（仲景） 治伤寒阳脉涩，阴脉弦，腹中急痛。（邪气入里，与正相搏，则腹痛。涩者，
血不足也。弦者，木克土也。太阳在表，而无腹痛。少阳在半表半里，有胸胁痛，无腹痛。
阳明腹满急痛者，里实也，宜下之，大柴胡汤，小承气汤。三阴下利而腹痛者，里寒也。
宜温之，四逆汤，附子理中汤。肠鸣泄泻而痛者，里虚有寒也，宜小建中汤温中散寒。）伤
寒二三日，心悸而烦。（悸者，阳气虚也。烦者，阴血虚也。气血内虚，与此汤先建其里。
倍芍药者，酸以敛阴，阴收则阳归附也。加饴糖者，甘以润土，土润则万物生也。）通治虚
劳悸衄，里急腹痛，梦遗失精，四肢酸痛，手足烦热，咽燥口干，虚劳黄胆。（黄胆，小便
利而色白者，是无热也。不可除热，当作虚寒治之。喻嘉言曰∶虚劳病，至于亡血失精，精
血枯槁，难为力矣。急宜建其中脏，使饮食增而阴血旺。故但用稼穑作甘之味，生其精血。
而酸辛酸苦，在所不用，舍是无良法也。）
桂枝 生姜（三两） 芍药（六两） 甘草（一两炙） 大枣（十二枚） 入饴糖一升。
微火解服。
糖为君，故
桂枝当是
准绳曰∶脾居四脏之中，生育营卫，通行津液。一有不调，则失所育所行矣。必以此汤
温健
散也
以桂
出上
以姜
泻木
退寒
汤温
按此
理
君
能泻中焦之实，而不能泻上焦下焦之实。）
加黄 两半，名黄 建中汤。（金匮）治虚劳诸不足。（准绳曰∶血不足而用黄 ，黄
味甘
所从
而出
脉迟
但拘
筋骨
气。
表
（张仲景）治疗伤寒病中，阳脉涩滞，阴脉弦紧，腹中拘急疼痛。（邪气入里，与正气相搏结，则导致腹痛。脉涩，是血不足的表现。脉弦，是木气克制土气的表现。太阳病在表，不会出现腹痛。少阳病在半表半里，出现胸胁痛，而没有腹痛。阳明病出现腹部胀满急痛，属于里实证，应当用攻下法，可用大柴胡汤或小承气汤。三阴病出现下利且腹痛，属于里寒证，应当用温法，可用四逆汤或附子理中汤。肠鸣泄泻且疼痛，属于里虚有寒，应当用小建中汤来温中散寒。）伤寒发病二三日，出现心悸且烦躁。（悸，是因为阳气虚弱。烦，是因为阴血虚弱。气血内部亏虚，因此用此汤先建立中焦脾胃之气。加倍使用芍药，是因为酸味可以收敛阴气，阴气收敛则阳气得以依附。加入饴糖，是因为甘味可以滋润脾土，脾土滋润则万物生长。）通用治疗虚劳引起的心悸、鼻衄，腹中拘急疼痛，梦遗失精，四肢酸痛，手足心烦热，咽喉干燥口干，虚劳黄疸。（黄疸，如果小便通利且颜色发白，说明体内无热，不可清热，应当当作虚寒证治疗。喻嘉言说：虚劳病，到了亡血失精、精血枯槁的地步，很难救治了。急切应当建立中脏脾胃之气，使饮食增加而阴血旺盛。所以只用味甘如稼穑之味的药物，以滋生精血。而酸、辛、苦味的药物，都在不用之列，除了这种方法没有更好的办法了。）
桂枝 生姜（三两） 芍药（六两） 甘草（一两，炙） 大枣（十二枚） 加入饴糖一升。
用微火煎煮后服用。
饴糖为君药，所以……
《医方准绳》说：脾位于四脏之中，化生营卫，通行津液。一旦不调和，就失去了化生和通行的功能。必须用此汤来温健……
散也……
以桂枝……
出自上……
以生姜……
泻木气……
退寒邪……
汤温中……
按此……
理……
君……
能泻中焦的实邪，而不能泻上焦和下焦的实邪。）
加入黄芪一两半，名为黄芪建中汤。（出自《金匮要略》）治疗虚劳诸不足。（《医方准绳》说：血不足而用黄芪，黄芪味甘……
所从……
而出……
脉迟……
但拘……
筋骨……
气……
表……
(Zhang Zhongjing) Treats Taiyang disease (disease of the Taiyang channel) where the Yang pulse is choppy and the Yin pulse is string-taut, accompanied by acute pain in the abdomen. (When pathogenic factors enter the interior and contend with healthy Qi, abdominal pain occurs. A choppy pulse indicates insufficiency of Blood. A string-taut pulse indicates Wood overacting on Earth. Taiyang disease remains at the exterior and does not present with abdominal pain. Shaoyang disease is at the half-exterior and half-interior, presenting with hypochondriac pain but no abdominal pain. Yangming disease presents with abdominal fullness and acute pain due to interior excess; purgation is indicated, using Da Chai Hu Tang or Xiao Cheng Qi Tang. Three Yin diseases presenting with diarrhea and abdominal pain indicate interior cold; warming is indicated, using Si Ni Tang or Fu Zi Li Zhong Tang. Borborygmus, diarrhea, and pain indicate interior deficiency with cold; Xiao Jian Zhong Tang should be used to warm the middle and dissipate cold.) In Taiyang disease, two to three days after onset, palpitations and irritability occur. (Palpitations are due to deficiency of Yang Qi. Irritability is due to deficiency of Yin Blood. With internal deficiency of Qi and Blood, this decoction is used first to establish the interior. Doubling the amount of Shaoyao (Paeoniae Radix Alba) uses its sour flavor to astringe Yin; when Yin is gathered, Yang returns and attaches. Adding Yi Tang (Maltose) uses its sweet flavor to moisten Spleen Earth; when Earth is moistened, all things grow.) It generally treats Xu Lao (consumptive disease) presenting with palpitations, epistaxis, abdominal urgency and pain, nocturnal emission and loss of essence, soreness and pain of the four limbs, vexing heat in the hands and feet, dry throat and mouth, and Xu Lao Huang Dan (jaundice due to consumptive disease). (In Huang Dan, if urination is free and the urine color is pale white, it indicates absence of heat. Heat-clearing is contraindicated; it should be treated as deficiency-cold. Yu Jiayan stated: In consumptive disease, when blood loss and essence loss have led to exhaustion of essence and blood, it is difficult to exert effort [to cure]. Urgently, one must establish the Middle Zang (Spleen/Stomach), so that food intake increases and Yin Blood flourishes. Therefore, only use flavors sweet like grain cultivation to generate essence and blood. Sour, acrid, and bitter flavors are excluded; apart from this, there is no excellent method.)
Guizhi (Cinnamon Twig), Shengjiang (Fresh Ginger, 3 liang), Shaoyao (White Peony Root, 6 liang), Gancao (Licorice Root, 1 liang, honey-fried), Dazao (Jujube, 12 pieces). Add Yi Tang (Maltose) 1 sheng.
Decoct over low heat and take.
Yi Tang is the Sovereign herb, therefore...
*Yifang Zhunsheng* states: The Spleen resides among the four Zang organs, generating Ying and Wei (Nutritive and Defensive Qi), and circulating body fluids. If there is any disharmony, generation and circulation are lost. One must use this decoction to warm and strengthen...
Dissipate...
Using Guizhi...
From the upper...
Using Shengjiang...
Drain Wood...
Retreat Cold...
Decoction warms...
According to this...
Principle...
Sovereign...
Can drain excess in the Middle Jiao, but cannot drain excess in the Upper and Lower Jiao.)
Add Huangqi (Astragalus Root) 1.5 liang, named Huangqi Jianzhong Tang. (From *Jin Gui Yao Lue*) Treats various deficiencies in Xu Lao. (*Yifang Zhunsheng* states: When Blood is insufficient and Huangqi is used, Huangqi has a sweet flavor...
From which...
Outflow...
Pulse is slow...
Only constrained...
Sinews and bones...
Qi...
Exterior...