（仲景） 治伤寒误下。小结胸，正在心下，按之则痛，脉浮滑者，及痰热塞胸。（前
证上下俱硬，此则正在心下，前证痛不可近，此则按之则痛。结胸脉沉紧，或寸浮关沉。
脉浮滑，知热未深，与此汤以除膈上结热。）
黄连（一两） 半夏（半升） 栝蒌（大者一枚）
黄连之苦寒以泄热，栝蒌之寒润以涤垢，半夏之辛温以散结。结胸多由痰热结聚，故用
三物
实旋
（仲景） 治伤寒结胸，项强如柔痉状。（有汗为柔痉，胸膈实满，故项强而不能俯
项属太阳部位。）
大黄（八两） 杏仁（去皮尖） 葶苈（炒） 芒硝（各半升） 合研，取如弹丸一枚。
别捣甘遂末
降气，葶苈
（仲景） 治太阳中风，下利呕逆，表解者乃可攻之。其人 汗出，头痛，心下痞硬
，引胁下痛，干呕短气，汗出不恶寒，表解而里未和。邪热内蓄，有伏饮者。（下利呕逆，
里受邪也。汗出不恶寒，表已解也。头痛痞硬，引胁下痛，干呕短气，邪热内蓄，而有伏
也，此为水气上逆。呕逆头痛，与表证头痛稍别。周扬俊曰∶此证与结胸颇同，故汤亦与
胸相仿，表解后攻，与结胸之戒不殊也。）
芫花（炒黑） 甘遂 大戟（等分） 大枣（十枚） 先煮枣去滓，内前药末。强人服
一钱，虚人
芫花大戟之辛苦，以遂水饮，甘遂苦寒，能直达水气所结之处，以攻决为用。三药过峻，
故
桂
表
咳
痛
枣
术
恣
逐
是
除大枣，加大黄黑丑轻粉，水丸，名三花神佑丸。（河间）治壮实人风痰郁热，肢体麻
痹，走
涎塞，
以去痰
小胃丹。（
【小陷胸汤】
（张仲景）治疗伤寒误用下法后出现的小结胸证，病位正在心窝部，按压时才会疼痛，脉象浮滑的，以及痰热阻滞胸膈的。（前一种证候胸胁上下都硬满，此证仅在心窝部；前一种证候疼痛剧烈、拒按，此证则是按压才痛。结胸证的脉象多沉紧，或寸脉浮、关脉沉。脉象浮滑，说明热邪尚未深入，给予此方以清除膈上的结聚之热。）
黄连（一两） 半夏（半升） 栝蒌（大者一枚）
黄连味苦性寒，用以泄热；栝蒌性寒而润，用以涤除垢浊；半夏味辛性温，用以散结。结胸证多由痰热结聚所致，故用这三味药。
【大陷胸丸】
（张仲景）治疗伤寒结胸证，项部僵硬，类似柔痉的症状。（有汗出的称为柔痉，因胸膈实满，所以项强而不能俯仰，项部属于太阳经循行部位。）
大黄（八两） 杏仁（去皮尖） 葶苈子（炒） 芒硝（各半升） 混合研磨，制成如弹丸大小的一枚。
另捣甘遂末。
（旨在）降气，葶苈子……
【十枣汤】
（张仲景）治疗太阳中风证，伴有下利、呕逆，表证已解后方可攻里。患者身体汗出，头痛，心下部痞塞硬满，牵引胁下疼痛，干呕，呼吸短促，汗出且不恶寒，这是表证已解但里气未和。邪热内蓄，且有伏饮停留。（下利呕逆，是里经受邪；汗出且不恶寒，是表证已解；头痛、痞硬、牵引胁下痛、干呕、短气，是邪热内蓄且有伏饮，此为水气上逆。呕逆头痛，与表证的头痛略有不同。周扬俊说：此证与结胸颇相似，故方剂也与陷胸汤相仿，待表解后攻里，与结胸证的禁忌原则没有太大区别。）
芫花（炒至黑） 甘遂 京大戟（等分） 大枣（十枚） 先煮大枣，去渣，加入前述药物粉末。体质强壮者服一钱，体质虚弱者……
芫花、京大戟味辛苦，用以逐水饮；甘遂味苦性寒，能直达水气结聚之处，以攻决为功效。这三味药过于峻猛，故……
桂枝 表证 咳嗽 疼痛 大枣 白术 恣意 逐水 是 除去大枣，加大黄、黑丑、轻粉，制成水丸，名为三花神佑丸。（刘河间）治疗壮实之人风痰郁热，肢体麻木痹痛，走注……痰涎壅塞，用以祛痰……
小胃丹。
[Small Xianxiong Decoction]
(Zhang Zhongjing) Treats the minor Jie-Xiong (chest binding) syndrome resulting from the erroneous use of purgatives in Shanghan (Cold Damage). The pathology is located precisely at the epigastrium; pain occurs only upon palpation, and the pulse is floating and slippery. It also treats phlegm-heat obstructing the chest. (In previous syndromes, hardness and fullness extend above and below the chest; here it is localized to the epigastrium. In previous syndromes, pain is severe and patients avoid touch; here, pain occurs only upon pressure. The pulse in Jie-Xiong is typically deep and tight, or floating at the Cun position and deep at the Guan position. A floating and slippery pulse indicates that the heat has not penetrated deeply. This decoction is administered to clear the constrained heat in the diaphragm.)
Coptidis Rhizoma (Huanglian, 黄连) - 1 liang
Pinelliae Tuber (Banxia, 半夏) - half sheng
Trichosanthis Fructus (Gualou, 栝蒌) - one large fruit
The bitter and cold nature of Huanglian clears heat; the cold and moistening nature of Gualou washes away turbidity; the acrid and warm nature of Banxia dissipates constraints. Jie-Xiong syndromes are mostly caused by the accumulation of phlegm-heat; therefore, these three herbs are used.
[Large Xianxiong Pill]
(Zhang Zhongjing) Treats Shanghan Jie-Xiong syndrome, characterized by stiffness of the neck resembling Rou-Ji (soft spasm). (Rou-Ji is defined by the presence of sweating; due to excess fullness in the chest and diaphragm, the neck is stiff and cannot bend forward. The neck belongs to the Taiyang meridian region.)
Rhei Radix et Rhizoma (Dahuang, 大黄) - 8 liang
Prunus Armeniaca Seed (Xingren, 杏仁) - skin and tips removed
Lepidii Semen (Tinglizi, 葶苈子) - stir-fried
Miris Natrii Sulfas (Mangxiao, 芒硝) - half sheng each
Grind together and form into a pill the size of a bullet.
Separately grind Kansui Radix (Gansui, 甘遂) into powder.
(Aimed at) descending Qi; Tinglizi...
[Shizao Decoction]
(Zhang Zhongjing) Treats Taiyang Wind-Strike syndrome accompanied by diarrhea and vomiting/reversal of Qi. Purging may be employed only after the exterior syndrome has resolved. The patient exhibits sweating, headache, epigastric stuffiness and hardness, pain radiating to the hypochondriac region, dry retching, shortness of breath, sweating without aversion to cold. This indicates the exterior is resolved but the interior is not harmonized. Pathogenic heat accumulates internally, with latent fluid retention. (Diarrhea and vomiting indicate pathogenic invasion of the interior; sweating without aversion to cold indicates the exterior is resolved; headache, epigastric stuffiness/hardness, pain radiating to the hypochondrium, dry retching, and shortness of breath indicate internal accumulation of pathogenic heat and latent fluid, constituting rebellious upward movement of water qi. Vomiting/reversal and headache differ slightly from those in exterior syndromes. Zhou Yangjun stated: This syndrome is quite similar to Jie-Xiong; thus, the decoction resembles the Xianxiong formulas. Purging after resolving the exterior aligns with the precautions for Jie-Xiong.)
Genkwa Flos (Yuanhua, 芫花) - stir-fried until black
Kansui Radix (Gansui, 甘遂)
Euphorbiae Pekinensis Radix (Daji, 大戟) - equal parts
Jujubae Fructus (Dazao, 大枣) - 10 pieces
Boil the Dazao first, remove the dregs, and add the powders of the aforementioned herbs. Robust individuals take 1 qian; frail individuals...
The acrid and bitter nature of Yuanhua and Daji expels water retention; the bitter and cold nature of Gansui reaches directly to the site where water qi is constrained, employing attacking and resolving actions. These three herbs are excessively harsh; therefore...
Guizhi (Cinnamon Twig) Exterior syndrome Cough Pain Dazao Baizhu (Atractylodes Macrocephala Rhizome) Indulge/Excessively Pursue Water Is Remove Dazao, add Dahuang, Black Chou (Semen Sinapis), Qingfen (Calomel), form into water pills, named Sanhua Shenyu Wan. (He Jian) Treats robust individuals with wind-phlegm and stagnant heat, causing numbness and bi-syndrome of the limbs, migrating... Phlegm-fluid obstruction, used to eliminate phlegm...
Xiaowei Dan (Small Stomach Pill).