（仲景） 治伤寒胸中有热而欲呕，胃中有寒而腹痛。（成氏曰∶湿家下后，舌上如胎
者。以丹田有热，胸中有寒，是邪气入里，而为下热上寒也。此伤寒邪气传里，而为下寒上
热也。胃中有邪气，使阴不得升，而独治于下。为下寒，腹中痛，阳不得降，而独治于上。
为胸中热欲呕吐，宜与此汤以升降阴阳。）
黄连（炒） 干姜（炒） 桂枝 甘草（三两） 人参（二两） 半夏（半升） 大枣
（十二枚）
黄连苦寒，泄热以降阳，姜桂辛温，除寒以升阴，人参助正去邪，半夏和胃止呕，甘草
大枣
者，
从中
以
上
用
（集验） 治胆虚痰热不眠，虚烦惊悸，口苦呕涎。（胆热则口苦，胆虚气郁，致脾生
痰涎而烦呕，伤寒病后，多有此证。）
半夏（姜制） 茯苓（或用茯神） 陈皮（去白） 甘草 枳宝（麸炒） 竹茹 加姜
煎，或加枣。
夏，（以其行
术。内实心
橘半生姜之辛温，以之导痰止呕，即以之温胆。（戴氏云∶痰在胆经，神不守舍，亦令
人不
以平甲
不安。
治不眠
证。触
曰∶诸
加人参枣仁远志熟地，名十味温胆汤，治梦遗惊惕。
（丹溪） 统治六郁，胸膈痞闷，吞酸呕吐，饮食不消。（六郁者，气郁，血郁，痰郁
，火郁，湿郁，食郁也。六者之中，以气为主，气行则郁散矣。吞酸呕吐，由于痰火。饮食
不消，由气不晕行。丹溪曰∶气升则郁自降。滑伯仁曰∶郁者结聚而不得发越，当升者不得
升，当降者不得降，当变化者不得变化，所以传化失常而病见矣。气郁者，胸膈痛。湿郁者
，周身痛，或关节痛，遇阴寒即发。痰郁者，动则气喘，脉沉滑。热郁者，昏瞀便赤，脉沉
数。血郁者，四肢无力，能食。食郁者，嗳酸腹饱，不能食。）
香附（醋炒） 苍术（泔浸炒） 抚芎 神曲 栀子（炒黑）等分。曲糊丸。如湿郁，
加茯苓白芷
香槟榔。食
吴鹤皋曰∶越鞠者，发越鞠郁之谓也。香附开气郁，苍术燥湿郁，抚芎调血郁，栀子解
火郁
主，
欲降
附阴
下
既
（张仲景）治疗伤寒病，患者胸中有热邪导致想呕吐，胃中有寒邪导致腹部疼痛。（成无己说：患有湿病的人经过误下之后，舌面上像有一层苔垢。这是因为丹田有热，胸中有寒，这是邪气入里，形成了下热上寒的证候。而此处是伤寒邪气传入体内，形成了下寒上热的证候。胃中有邪气，使得阴气不能上升，而独自治理下部，形成下寒，引起腹中疼痛；阳气不能下降，而独自治理上部，形成胸中热且想呕吐，适宜给予此汤来升降阴阳。）
黄连（炒制） 干姜（炒制） 桂枝 甘草（三两） 人参（二两） 半夏（半升） 大枣（十二枚）
黄连味苦性寒，能泄热以降阳；干姜、桂枝味辛性温，能除寒以升阴；人参扶助正气祛除邪气；半夏调和胃气止呕；甘草、大枣从中焦调理。
（《集验方》）治疗胆虚痰热导致的失眠，虚烦惊悸，口苦呕出涎沫。（胆热则口苦，胆虚气机郁滞，导致脾脏生痰涎而出现烦闷呕吐，伤寒病后，多有这种证候。）
半夏（生姜炮制） 茯苓（或用茯神） 陈皮（去白） 甘草 枳实（麸炒） 竹茹 加生姜煎煮，或加红枣。
半夏（因其具有行气化痰之功），配合橘皮、半夏、生姜的辛温之性，用来导痰止呕，同时也用来温胆。（戴氏说：痰在胆经，神志不守舍，也让人不安宁。用于治疗失眠证候。触类旁通地说：各种……加上人参、酸枣仁、远志、熟地黄，名为十味温胆汤，治疗梦遗惊惕。）
（朱丹溪）统管六郁证，表现为胸膈痞闷，吞酸呕吐，饮食不消化。（所谓六郁，是指气郁、血郁、痰郁、火郁、湿郁、食郁。这六种郁结之中，以气郁为主，气机运行通畅则郁结自散。吞酸呕吐，是由于痰火所致。饮食不消化，是由于气机不行。朱丹溪说：气机升发则郁结自然下降。滑伯仁说：郁结是指气血津液结聚而不能发散，该升的不升，该降的不降，该变化的不变化，所以传化功能失常而病症出现。气郁者，胸膈疼痛。湿郁者，周身疼痛，或关节疼痛，遇到阴寒天气即发作。痰郁者，活动后气喘，脉象沉滑。热郁者，头昏目眩，小便赤黄，脉象沉数。血郁者，四肢无力，但能进食。食郁者，嗳气泛酸，腹部饱胀，不能进食。）
香附（醋炒） 苍术（淘米水浸泡后炒制） 抚芎（川芎的一种） 神曲 栀子（炒黑）等分。用曲糊制作丸剂。如果是湿郁，加茯苓、白芷、槟榔。
吴鹤皋说：越鞠，意思是发越解除郁结。香附开通气郁，苍术燥湿郁，抚芎调理血郁，栀子解火郁……主药在于……欲降……附子阴……下……既……
(Zhang Zhongjing) Treats Shanghan (Cold Damage) where there is heat in the chest causing nausea, and cold in the stomach causing abdominal pain. (Cheng Wuji states: After purgation in a patient with dampness pathology, a coating resembling a fur appears on the tongue. This is because there is heat in the Dantian and cold in the chest; this indicates pathogenic factors entering the interior, resulting in lower heat and upper cold. In this case, Shanghan pathogenic factors have transmitted to the interior, resulting in lower cold and upper heat. Pathogenic factors in the stomach prevent Yin from ascending, governing only the lower part, causing lower cold and abdominal pain; Yang fails to descend, governing only the upper part, causing heat in the chest and desire to vomit. It is appropriate to administer this decoction to regulate the ascending and descending of Yin and Yang.)
Huanglian (Stir-fried) Ganjiang (Stir-fried) Guizhi Gancao (3 liang) Renshen (2 liang) Banxia (0.5 sheng) Dazao (12 pieces)
Huanglian (Coptidis Rhizoma) is bitter and cold, clearing heat to descend Yang; Ganjiang (Zingiberis Rhizoma) and Guizhi (Cinnamomi Ramulus) are acrid and warm, dispelling cold to ascend Yin; Renshen (Ginseng Radix et Rhizoma) assists righteous Qi to expel pathogens; Banxia (Pinelliae Rhizoma) harmonizes the Stomach and stops vomiting; Gancao (Glycyrrhizae Radix et Rhizoma) and Dazao (Jujubae Fructus) regulate from the Middle Jiao.
(Ji Yan Fang) Treats insomnia due to Gallbladder deficiency with phlegm-heat, empty vexation, palpitations, bitter taste in the mouth, and vomiting of saliva. (Gallbladder heat causes bitter taste; Gallbladder deficiency with Qi stagnation leads to the Spleen producing phlegm-saliva, resulting in vexation and vomiting. After Shanghan disease, this syndrome is common.)
Banxia (Processed with Shengjiang) Fuling (or Fushen) Chenpi (White removed) Gancao Zhishi (Stir-fried with bran) Zhuru Add Shengjiang for decoction, or add Zao.
Banxia (due to its ability to move Qi and resolve phlegm), combined with the acrid-warm nature of Chenpi (Citri Reticulatae Pericarpium), Banxia, and Shengjiang (Zingiberis Rhizoma Recens), guides out phlegm and stops vomiting, thereby warming the Gallbladder. (Dai Shi says: Phlegm in the Gallbladder meridian causes the Spirit not to reside in its house, leading to restlessness. Used to treat insomnia. By analogy: Various... Add Renshen, Suanzaoren (Ziziphi Spinosae Semen), Yuanzhi (Polygalae Radix), Shudi (Rehmanniae Radix Praeparata), named Shiwei Wendan Tang, treating nocturnal emission and startle.)
(Zhu Danxi) Universally treats Six Types of Stagnation, manifesting as chest and diaphragm oppression, acid regurgitation, vomiting, and indigestion. (The Six Stagnations refer to Qi stagnation, Blood stagnation, Phlegm stagnation, Fire stagnation, Dampness stagnation, and Food stagnation. Among these six, Qi stagnation is primary; when Qi moves freely, stagnation disperses. Acid regurgitation and vomiting are caused by phlegm-fire. Indigestion is caused by failure of Qi movement. Zhu Danxi said: When Qi ascends, stagnation naturally descends. Hua Boren said: Stagnation refers to the accumulation of Qi, Blood, and fluids that cannot be dispersed; what should ascend does not ascend, what should descend does not descend, what should transform does not transform, thus transmission and transformation functions fail, and diseases appear. In Qi stagnation, there is chest and diaphragmatic pain. In Dampness stagnation, there is whole-body pain or joint pain, triggered by yin-cold. In Phlegm stagnation, panting upon movement, pulse is deep and slippery. In Heat stagnation, dizziness and blurred vision, dark urine, pulse is deep and rapid. In Blood stagnation, weakness in the four limbs but ability to eat. In Food stagnation, belching with sour taste, abdominal fullness, inability to eat.)
Xiangfu (Vinegar-fried) Cangzhu (Soaked in rice water and stir-fried) Fuxiong (Chuanxiong) Shenqu Zhizi (Stir-fried until black) in equal proportions. Make pills using Shenqu paste. If Dampness stagnation, add Fuling, Baizhu, Binglang.
Wu Hegao said: Yueju means to vent and resolve stagnation. Xiangfu opens Qi stagnation, Cangzhu dries Dampness stagnation, Fuxiong regulates Blood stagnation, Zhizi resolves Fire stagnation... The main agent lies in... desire to descend... Fuzi Yin... down... already...