夫下焦者。在脐下。当膀胱上口。主分别清浊。为传导之腑。如沟水决池也。起胃下管。
别
膀
不
谷
治下焦虚寒。腹痛气逆。不下食。附子散方。
附子〔一（二）两炮裂去皮脐〕 干姜（三分炮裂锉） 桂心（一两） 青橘皮（一两
汤浸去
白瓤
（半两炙微
赤锉
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至五分。去滓。空心温服
之。
治下焦虚寒。小腹痛不止。短气欲绝。续气人参散方。
人参（一两去芦头） 陈橘皮（一两汤浸去白瓤焙） 白茯苓（一两） 乌梅肉（一两
微炒）
麦门
浓朴
（二两
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时候
温服
治下焦虚寒。腹中瘀滞。令人喜忘。不欲闻人声。胸中噎塞而短气。茯苓丸方。
白茯苓（一两） 甘草（一两炙微赤锉） 人参〔二（一）两半去芦头〕 杏仁（一两
汤浸去
皮尖
（一两
锉）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服。以粥饮下三十丸。日三服。
治下焦虚寒。或先见血后便转。此为近血。或利下或不利。伏龙肝散方。
伏龙肝（二两） 甘草（一两炙微赤锉） 干姜（一两炮裂锉） 牛膝（二两去苗） 熟
干地黄
（二
燥为末）
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。入阿胶末一钱。发灰一钱。更
煎一
治下焦虚寒。或先便转后见血。此为远血。或利下或不利。因劳冷而发。宜服此
续断散方。
续断（二两） 当归（一两锉微炒） 甘草（一两炙微赤锉） 干姜（一两炮裂锉） 桂
心（一
两）
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。入阿胶末一钱。蒲黄一
钱。
下焦，位于肚脐下方，正当膀胱上口。它的主要功能是分别清浊之气，作为传导糟粕的腑器，其作用就像沟渠决开、水流注入池沼一样。下焦起始于胃的下口。
治疗下焦虚寒证，症见腹痛、气机上逆、无法进食，用附子散方。
附子（一两，炮制裂开，去皮及脐） 干姜（三分，炮制裂开，锉碎） 桂心（一两） 青橘皮（一两，汤浸去白瓤，炙微赤，锉碎）
以上药材，捣碎过筛制成散剂。每次服用四钱，加水一中盏，放入生姜半分，煎煮至五分水量，滤去药渣，空腹温服。
治疗下焦虚寒证，症见小腹疼痛不止、呼吸短促似将断绝，用续气人参散方。
人参（一两，去芦头） 陈橘皮（一两，汤浸去白瓤，焙干） 白茯苓（一两） 乌梅肉（一两，微炒） 麦门冬（二两，去心） 浓朴（二两，去皮，姜汁炙）
以上药材，捣碎过筛制成散剂。每次服用五钱，加水一大盏，放入生姜半分，煎煮至五分水量，滤去药渣，不拘时候温服。
治疗下焦虚寒证，症见腹中瘀滞，使人容易健忘，不喜欢听到人声，胸中噎塞感且呼吸短促，用茯苓丸方。
白茯苓（一两） 甘草（一两，炙微赤，锉碎） 人参（一两半，去芦头） 杏仁（一两，汤浸去皮尖，麸炒微黄） 枳实（一两，水浸去穰，麸炒微黄）
以上药材，捣细罗过筛制成粉末，用炼蜜和丸，如梧桐子大小。每次服用三十丸，用米粥饮送下，每日三次。
治疗下焦虚寒证，或先见血而后大便转色，这称为“近血”；或下利或不下利，用伏龙肝散方。
伏龙肝（二两） 甘草（一两，炙微赤，锉碎） 干姜（一两，炮制裂开，锉碎） 牛膝（二两，去苗） 熟干地黄（二两，酒浸一宿，焙干，燥为末）
以上药材，捣碎过筛制成散剂。每次服用五钱，加水一大盏，煎煮至五分水量，加入阿胶末一钱、发灰一钱，再煎煮一二沸。
治疗下焦虚寒证，或先大便后见血，这称为“远血”；或下利或不下利，因劳损受冷而发作，宜服用此续断散方。
续断（二两） 当归（一两，锉碎，微炒） 甘草（一两，炙微赤，锉碎） 干姜（一两，炮制裂开，锉碎） 桂心（一两）
以上药材，捣碎过筛制成散剂。每次服用五钱，加水一大盏，煎煮至五分水量，滤去药渣，加入阿胶末一钱、蒲黄一钱，再煎煮一二沸。
The Lower Jiao (Lower Burner) is located below the umbilicus, at the upper opening of the Bladder. It is responsible for separating the clear from the turbid and serves as the fu-organ of conduction and transformation, functioning like a ditch releasing water into a pool. It originates from the lower orifice of the Stomach.
For deficiency-cold of the Lower Jiao manifesting as abdominal pain, rebellious Qi, and inability to eat, use Fuzi San (Aconite Powder).
Fuzi (Prepared Aconiti Lateralis Radix, 1 liang, processed until cracked, skin and hilum removed) Ganjiang (Dried Zingiberis Rhizoma, 3 fen, processed until cracked, chopped) Guixin (Cinnamomi Cortex, 1 liang) Qingjupi (Green Citri Reticulatae Pericarpium, 1 liang, soaked in decoction, white pith removed, roasted until slightly red and chopped)
Crush and sieve the above ingredients to make a powder. Take 4 qian per dose. Add 1 zhong zhan of water and 0.5 ban of fresh ginger. Decoct until reduced to 0.5 fen volume. Strain and take warm on an empty stomach.
For deficiency-cold of the Lower Jiao manifesting as unremitting lower abdominal pain and shortness of breath as if about to cease, use Xuqi Renshen San (Ren Shen Powder for Continuation of Qi).
Renshen (Ginseng Radix et Rhizoma, 1 liang, radix removed) Chenjupi (Dried Citri Reticulatae Pericarpium, 1 liang, soaked in decoction, white pith removed, dried) Baifuling (Poria, 1 liang) Wumei Rou (Semen Pruni Mume, 1 liang, lightly stir-fried) Maidong (Ophiopogonis Radix, 2 liang, heart removed) Houpo (Magnoliae Officinalis Cortex, 2 liang, bark removed, processed with ginger juice)
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 da zhan of water and 0.5 ban of fresh ginger. Decoct until reduced to 0.5 fen volume. Strain and take warm at any time.
For deficiency-cold of the Lower Jiao manifesting as stasis in the abdomen causing forgetfulness, aversion to human voices, chest oppression, and shortness of breath, use Fuling Wan (Poria Pill).
Baifuling (Poria, 1 liang) Gancao (Licorice Radix et Rhizoma, 1 liang, honey-roasted until slightly red and chopped) Renshen (Ginseng Radix et Rhizoma, 1.5 liang, radix removed) Xingren (Armeniacae Semen Amarum, 1 liang, soaked in decoction, skin and tip removed, bran-roasted until slightly yellow) Zhishi (Immature Bitter Orange Fruit, 1 liang, soaked in water, pulp removed, bran-roasted until slightly yellow)
Sieve the above ingredients into fine powder. Mix with refined honey to form pills the size of Sophora seeds. Take 30 pills per dose with gruel beverage, three times daily.
For deficiency-cold of the Lower Jiao manifesting as bleeding preceding stool changes, termed "proximal blood"; or with or without diarrhea, use Fulonggan San (Dragon's House Soil Powder).
Fulonggan (Hearth Earth, 2 liang) Gancao (Licorice Radix et Rhizoma, 1 liang, honey-roasted until slightly red and chopped) Ganjiang (Dried Zingiberis Rhizoma, 1 liang, processed until cracked and chopped) Niuxi (Achyranthis Bidentatae Radix, 2 liang, sprouts removed) Shudihuang (Rehmanniae Radix Praeparata, 2 liang, soaked in wine overnight, dried, ground into powder)
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 da zhan of water. Decoct until reduced to 0.5 fen volume. Add 1 qian of Ejiao powder and 1 qian of ash from hair. Boil for one or two more boils.
For deficiency-cold of the Lower Jiao manifesting as stool preceding bleeding, termed "distal blood"; or with or without diarrhea, occurring due to fatigue and cold exposure, use Xuduan San (Dipsacus Powder).
Xuduan (Dipsaci Radix, 2 liang) Danggui (Angelicae Sinensis Radix, 1 liang, chopped and lightly stir-fried) Gancao (Licorice Radix et Rhizoma, 1 liang, honey-roasted until slightly red and chopped) Ganjiang (Dried Zingiberis Rhizoma, 1 liang, processed until cracked and chopped) Guixin (Cinnamomi Cortex, 1 liang)
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 da zhan of water. Decoct until reduced to 0.5 fen volume. Strain. Add 1 qian of Ejiao powder and 1 qian of Puhuang pollen. Boil for one or two more boils.