（丹溪）
黄柏（酒炒） 苍术（泔洗） 南星（姜制） 神曲（炒调中） 川芎（上下行） 桃
仁（去皮尖捣）
灵仙（酒拌上下行） 桂枝（
痛风，有寒，有湿，有热，有痰，有血之不同，此方能通治之。黄柏清热，苍术燥湿。
（此
桃仁红花
面之风，
积之气也
治而通用
在上者
诸药至
治中风二便数日不行，邪气内实者，以此方微利之。（嘉言曰∶风中经络，只宜宣
散。误下则风邪乘虚入腑入脏，酿患无窍。若夫中脏之候，多有平素积虚，脏真不守者
之立亡，不可不慎。唯在胃腑一证，内实便秘者，间有可下。然不过解其烦热，非大下
所谓一气之微汗，一旬之微利，亦因可用始用之，至于子和以下立法，机要以中脏者宜
言，则指下为定法，胡可训耶。然中脏有缓急二候，中腑日久，热势深极，传入脏者，
可下。而下必使风与热俱去，填其空窍，则风不再生。若开其壅瘀，必反增风势，何以
哉。其卒虚身中急证，下药入口，其人即不苏矣，可无辨与。后世以中腑之便秘，指为
见其误下不致损人。益信子和机要之法为可用，设遇真中脏证下不中病，难可复追矣
方见卷四上攻下门附方内
大黄浓朴枳实，小承气汤也。上焦满，治以浓朴，中焦满，破以枳实，下焦实夺以大黄。
用
三
开
逆
奈何今人每开窍以出其风，岂知窍空而风愈炽，长此安穷也哉。）
（朱丹溪）
黄柏（用酒炒制），苍术（用淘米水清洗），南星（用姜汁炮制），神曲（炒制以调和脾胃），川芎（能通行上下），桃仁（去皮尖后捣碎）。
威灵仙（用酒拌，能通行上下），桂枝。
痛风一病，有寒邪、湿邪、热邪、痰浊、瘀血等不同类型，此方能通治这些情况。黄柏能清热，苍术能燥湿。
（此处原文似乎存在排版错乱或残缺，结合上下文及《成方切用》常见版本，后续内容主要讨论“三化汤”治疗中风便秘的机理及张子和的观点。）
治疗中风导致二便数日不通，邪气内实的情况，用此方轻微通利。（张景岳曰：风邪中于经络，只宜宣散。若误用下法，则风邪会乘虚深入腑脏，酿成大患，无药可救。至于中脏的证候，多因平素正气虚弱，脏腑真气不固，一旦误下，可能导致立即死亡，不可不慎。只有在胃腑这一证型，内有实邪且便秘的情况下，偶尔可以使用下法。但这不过是为了缓解烦热，并非大剂量攻下。所谓“一气之微汗，一旬之微利”，也是在有适应症时才使用。至于张子和以下的立法，其机要在于中脏者宜……（原文此处语意未尽或错简）。如果指下为定法，怎么可以作为准则呢？然而中脏有缓急两种证候，中腑日久，热势极深，传入脏者，才可下。但下法必须使风与热俱去，填补空窍，则风不再产生。如果开通壅滞瘀血，必然反而增加风势，为什么呢？那些突然身体极度虚弱的急证，下药入口，病人就会不省人事，这难道不需要辨别吗？后世将中腑的便秘，指为……（原文残缺）。看到误下不致损伤人体，更加相信张子和机要之法可用。假如遇到真正的中脏证，下法不对症，就难以补救了。
方剂见卷四上攻下门附方内。
大黄、浓朴、枳实，这是小承气汤。上焦满闷，用浓朴治疗；中焦满闷，用枳实破结；下焦实结，用大黄夺实。
奈何现在的人每用开窍法来祛风，岂知窍空而风邪更炽盛，长此以往，何时是尽头啊。）
(Zhu Danxi)
Huangbai (Phellodendri Cortex), stir-fried with wine; Cangzhu (Atractylodis Rhizoma), washed with rice water; Nanxing (Arisaematis Rhizoma), processed with ginger juice; Shenqu (Massa Medicata Fermentata), stir-fried to harmonize the middle jiao; Chuanxiong (Ligustici Chuanxiong Rhizoma), capable of circulating in the upper and lower parts; Taoren (Persicae Semen), skin and tip removed, pounded.
Lingxian (Clematidis Radix et Rhizoma), mixed with wine, capable of circulating in the upper and lower parts; Guizhi (Cinnamomi Ramulus).
Gouty pain (Tongfeng) presents with different pathogenic factors such as cold, dampness, heat, phlegm, and blood stasis. This formula can treat them all generally. Huangbai clears heat; Cangzhu dries dampness.
(Note: The original text contains apparent typographical errors or missing segments. Based on context and standard editions of *Chengfang Qieyong*, the subsequent content mainly discusses the mechanism of "Sanhua Tang" for treating constipation in stroke and Zhang Zihe's views.)
For stroke resulting in no urination or defecation for several days, with internal excess of pathogenic factors, use this formula to gently promote evacuation. (Zhang Jingyue said: When wind strikes the meridians and collaterals, only dispersing and venting is appropriate. If purgatives are mistakenly used, wind pathogens will enter the fu and zang organs through the deficiency, causing incurable disasters. Regarding syndromes of organ involvement (Zhong Zang), there is often pre-existing deficiency, with the true qi of the organs failing to remain secure. A mistaken purge could lead to immediate death; one must be extremely cautious. Only in the case of the stomach fu, where there is internal excess and constipation, purgatives may occasionally be used. However, this is merely to relieve vexation and heat, not for massive purging. The so-called "slight sweating from one breath, slight purgation over ten days," should only be used when indicated. As for the legislation by Zhang Zihe and others, its key point lies in that for organ involvement... [text incomplete]. If pulse diagnosis dictates a fixed method, how can it serve as a standard? However, organ involvement has two presentations: mild and urgent. If exterior syndrome persists for a long time, heat becomes extreme and transmits to the organs, purgation may be considered. But purgation must eliminate both wind and heat, filling the empty cavities, so that wind does not regenerate. If one opens up congestion and stasis, it will inevitably exacerbate the wind pathogen. Why? In cases of sudden severe deficiency, if purgatives enter the mouth, the patient will lose consciousness immediately. Is it not necessary to distinguish these? Later generations identified constipation in exterior syndrome... [text fragmented]. Seeing that mistaken purgation did not harm people, they further believed Zhang Zihe's methods were applicable. If one encounters a true organ involvement syndrome and the purgation is inappropriate, recovery would be difficult.
The formula is found in Appendix Formulas under Upper and Lower Attack and Evacuation in Volume 4.
Dahuang (Rhei Radix et Rhizoma), Nongpu (Magnoliae Officinalis Cortex), Zhishi (Aurantii Fructus Immaturus) constitute Xiao Chengqi Tang (Minor Order the Qi Decoction). For fullness in the upper jiao, treat with Nongpu; for fullness in the middle jiao, break stagnation with Zhishi; for solidity in the lower jiao, seize the excess with Dahuang.
Why do modern practitioners always use opening-orifice methods to dispel wind, not realizing that emptying the orifices makes the wind pathogen more rampant? How will this endless cycle ever end?)