当归 芎 桔梗 茯苓（各一钱五分） 干姜 肉桂 半夏 苍术 浓朴 芍药 甘草（各一钱） 麻黄 白芷
橘皮 枳壳（各六分）
此方能治寒积、食积、气积、血积、痰积，故名五积。究其义，麻黄、白芷精专解表，甘草、芍药德合和里，
苍术、浓朴平胃中之敦阜，橘皮、枳壳发膜原之蕴藏，姜、桂、芎、归入血分，兼祛寒湿，半夏、苓、桔逐浮饮，
更豁顽痰。盖阴阳表里通用之剂也。外感风寒，内伤生冷，身热无汗，头痛目暴发，服亦准。元气素虚人，出麻
黄、苍术、枳壳，入参术。再肢冷自汗，加附子、生黄 。
诗曰∶五积枳橘陈成壳，芷芎姜桂苍于补，麻黄半夏采苓归，草梗删除看芍药。
人参 黄 当归 地黄 甘草 白芍 谷精草 黄连 山楂肉 葳蕤仁 黄芩 木通 桔梗 前胡 连翘
紫草茸 麦门冬 大力子即鼠粘子。
此清毒活血、攻补兼施之方也。痘中目暴发，明知邪干
风木，然痘色淡而浆空，主气血大虚，却不敢骤补。盖补则痘利。决害于目，目赤疼而翳生，变幻多端。仍不能
寒散，寒散则目宁有伤于痘。当家殊觉棘手，谩言庸劣。上方人参、黄 、地黄、当归、甘草，滋益真元者也，
真元济则黄芩、黄连、木通、大力可施其克伐。芍药、谷精、山楂、蕤仁、紫草，调和荣卫者也，荣卫调则桔梗、
前胡、麦冬、连翘可靖其娇氛。夫如是，症虽异而药参同契两不相妨。曰天保采薇者，借言吉人荷天保安，俾单
浓戬谷，厥药用无不宜，病莫不兴兴矣。益曲尽其情，敬司乃事，毋使病起而忘护持。人谓金不利，治弗良；医
无恒，术不精。作此方者，其思全省疚，寡尤寡悔之师乎。夏禹铸亦有此汤名，药名大相悬绝，不知何所取义，
且无论症之顺逆，总教人按方煎服，尤不可解。
诗曰∶天保采薇汤，翘芩连地黄，归 参大力，甘桔芍通方，紫草饶鲜色，蕤仁有密香。前胡云谷麦，性质
等楂凉。附夏方∶枳桔二陈药，升酒犹芎藿，柴葛前饮酣，羌苍独谨朴。
当归、川芎、桔梗、茯苓（各一钱五分）；干姜、肉桂、半夏、苍术、厚朴、芍药、甘草（各一钱）；麻黄、白芷、橘皮、枳壳（各六分）。
此方能够治疗寒积、食积、气积、血积、痰积，因此命名为五积散。探究其含义，麻黄、白芷精专于解除表邪，甘草、芍药温和地调和里气，苍术、厚朴平抑胃中壅滞的湿气，橘皮、枳壳宣发膜原（半表半里之隙）的郁结，干姜、肉桂、川芎、当归入血分，兼以祛除寒湿，半夏、茯苓、桔梗驱逐浮游之水饮，更豁除顽固之痰浊。这大概是阴阳表里通用的药剂。若是外感风寒，内伤生冷，身体发热且无汗，头痛且眼睛突然红肿暴发，服用此方也准确有效。对于元气素来虚弱的人，去掉麻黄、苍术、枳壳，加入人参、白术。如果肢体冰冷、自汗，则加附子、生黄芪。
诗曰：五积枳橘陈成壳，芷芎姜桂苍于补，麻黄半夏采苓归，草梗删除看芍药。
人参、黄芪、当归、地黄、甘草、白芍、谷精草、黄连、山楂肉、葳蕤仁、黄芩、木通、桔梗、前胡、连翘、紫草茸、麦门冬、大力子（即鼠粘子/牛蒡子）。
这是一个清解毒邪、活血，攻补兼施的方剂。痘疹并发眼睛突然红肿暴发，明知是邪气侵犯风木（肝），然而痘色淡而浆液空虚，主病机为气血大虚，却不敢贸然进补。因为补益则会导致痘疮顺利透发（此处指可能因补益不当导致痘毒内陷或发散过度，原文“痘利”结合语境应理解为痘毒随补益之气外泄或透发失控，进而危害眼部，或者指补益后痘出过多过急，耗伤正气，反害于目。根据后文“决害于目”，意指若单纯补益，可能导致痘毒炽盛或正气不固，从而伤害眼睛）。眼睛红痛且产生翳障，变幻多端。仍然不能单纯用寒凉药物解散，因为寒凉解散会损伤痘疮生机。当家者（医生）觉得棘手，不要说庸医劣技。上方中的人参、黄芪、地黄、当归、甘草，是用来滋益真元（先天元气）的，真元充足则可以使用黄芩、黄连、木通、大力子进行克伐（清热泻火解毒）。芍药、谷精草、山楂、蕤仁、紫草，是用来调和营卫的，营卫调和则可以使用桔梗、前胡、麦冬、连翘来平息娇嫩之肺气的燥热。像这样，症状虽然不同，但药物配合如同《周易》中的“同契”，两不相妨。叫做天保采薇汤，是借言吉祥之人承受上天保安，使得单厚福泽，所用的药物没有不适宜的，疾病没有不兴复痊愈的。更是曲尽其情，恭敬地从事医疗工作，不要让疾病发生而忘记护持。人们说金（肺/秋）不利，治疗不好；医生没有恒心，技术不精湛。制作这个方子的人，大概是思虑周全、少过错少后悔的良师吧。夏禹铸造的鼎上也有这个汤名，但药名大相径庭，不知道取义何在，而且不论病症的顺逆，总是教人按方煎服，尤其令人不解。
诗曰：天保采薇汤，翘芩连地黄，归参大力，甘桔芍通方，紫草饶鲜色，蕤仁有密香。前胡云谷麦，性质等楂凉。
附方：枳桔二陈药，升酒犹芎藿，柴葛前饮酣，羌苍独谨朴。
Angelicae Sinensis Radix (Danggui), Ligustici Chuanxiong Rhizoma (Xiong), Platycodonis Radix (Jiegeng), Poria (Fuling) (each 1.5 qian); Zingiberis Rhizoma Recens (Ganjiang), Cinnamomi Cortex (Rougui), Pinelliae Tuber (Banxia), Atractylodis Rhizoma (Cangzhu), Magnoliae Officinalis Cortex (Nongpu/Pohu), Paeoniae Radix (Shaoyao), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 qian); Ephedrae Herba (Mahuang), Angelicae Dahuricae Radix (Baizhi), Citri Reticulatae Pericarpium (Jupi), Aurantii Fructus Immaturus (Zhiqiao) (each 6 fen).
This formula can treat cold accumulation, food accumulation, qi stagnation, blood stasis, and phlegm accumulation, hence named Wuji San (Five Accumulations Powder). Investigating its meaning, Mahuang (Ephedrae Herba) and Baizhi (Angelicae Dahuricae Radix) are specialized in releasing the exterior; Gancao (Glycyrrhizae Radix et Rhizoma) and Shaoyao (Paeoniae Radix) harmonize the interior with virtue; Cangzhu (Atractylodis Rhizoma) and Nongpu (Magnoliae Officinalis Cortex) level the excess dampness in the stomach; Jupi (Citri Reticulatae Pericarpium) and Zhiqiao (Aurantii Fructus Immaturus) vent the hidden accumulation in the membrane source (Mo Yuan); Jiang (Zingiberis Rhizoma Recens) and Gui (Cinnamomi Cortex), along with Xiong (Ligustici Chuanxiong Rhizoma) and Danggui (Angelicae Sinensis Radix), enter the blood level to dispel cold and dampness; Banxia (Pinelliae Tuber), Ling (Poria), and Jiegeng (Platycodonis Radix) drive away floating fluid; furthermore, they clear stubborn phlegm. It is a formula that generally regulates yin and yang, exterior and interior. For external contraction of wind-cold and internal injury from raw/cold foods, resulting in fever, anhidrosis, headache, and sudden onset of eye redness and swelling, this formula is also accurate and effective. For individuals with constitutionally deficient yuan qi (primal qi), remove Mahuang (Ephedrae Herba), Cangzhu (Atractylodis Rhizoma), and Zhiqiao (Aurantii Fructus Immaturus), and add Renshen (Ginseng Radix et Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma). If there is cold limbs and spontaneous sweating, add Fuzi (Aconiti Lateralis Radix Praeparata) and Sheng Huangqi (Astragali Radix).
Poem says: Wuji combines Zhi, Ju, Chen, and Qiao shells; Baizhi, Xiong, Jiang, Gui, Cang, and Bu [Zhu]; Mahuang, Banxia, Cai [Ling], Gui; remove Cao and Geng, look to Shaoyao.
Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Rehmanniae Radix (Dihuang), Gancao (Glycyrrhizae Radix et Rhizoma), Baishao (Paeoniae Radix Alba), Valerianae Jatamansi Rhizoma (Gujingcao - *Note: Usually refers to Euphrasiae Herba or similar in ophthalmology contexts, but literal translation used*), Coptidis Rhizoma (Huanglian), Crataegi Fructus (Shanzha Rou), Polygonati Odorati Rhizoma (Weirui Ren), Scutellariae Radix (Huangqin), Akebiae Caulis (Mutong), Platycodonis Radix (Jiegeng), Peucedani Radix (Qianhu), Forsythiae Fructum (Lianqiao), Arnebiae Radix et Rhizoma (Zicao Rong), Ophiopogonis Tuber (Maimendong), Arctii Fructus (Dali Zi, i.e., Niubangzi).
This is a formula that clears toxicity, invigorates blood, and combines attacking and tonifying methods. In cases where chickenpox/smallpox is accompanied by sudden eye redness and swelling, it is known that evil affects the Wind-Wood (Liver). However, if the rash color is pale and the pus is empty, it indicates severe deficiency of qi and blood, yet one dares not tonify abruptly. Because tonification may cause the rash to erupt too freely or improperly, ultimately harming the eyes. Eye redness, pain, and nebula formation occur with many variations. One still cannot simply use cold-natured herbs to disperse, as cold dispersion would harm the rash's vitality. The physician finds it tricky and should not claim incompetence. In the above formula, Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Dihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), and Gancao (Glycyrrhizae Radix et Rhizoma) nourish and benefit the zhen yuan (true primal qi). When zhen yuan is sufficient, Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Mutong (Akebiae Caulis), and Dali Zi (Arctii Fructus) can be used for their purgative/clearing actions. Shaoyao (Paeoniae Radix), Gujingcao (Valerianae Jatamansi Rhizoma/Euphrasiae Herba), Shanzha (Crataegi Fructus), Ruiren (Polygonati Odorati Rhizoma), and Zicao (Arnebiae Radix et Rhizoma) harmonize ying (nutritive) and wei (defensive) qi. When ying and wei are harmonized, Jiegeng (Platycodonis Radix), Qianhu (Peucedani Radix), Maimendong (Ophiopogonis Tuber), and Lianqiao (Forsythiae Fructum) can pacify the delicate lung heat. Thus, although symptoms differ, the medicinal combination follows the principle of "Tong Qi" (Harmonious Agreement), mutually non-interfering. Named Tianbao Caiwei Tang (Heavenly Protection and Gathering Ferns Decoction), it borrows the phrase to imply that auspicious people receive heavenly protection, ensuring abundant blessings, so that the medicines used are all suitable, and diseases do not fail to recover. It fully expresses the sentiment, respectfully managing the medical task, so as not to forget care when illness arises. People say metal (lung/autumn) is unfavorable, and treatment is poor; doctors lack constancy and skill. The creator of this formula is likely a master who thinks comprehensively, committing few errors and regrets. Yu the Great also had a soup name on his cast bronze vessels, but the herb names are vastly different, making the rationale unclear. Moreover, regardless of whether the disease course is favorable or unfavorable, always instructing patients to decoct and take according to the formula is particularly inexplicable.
Poem says: Tianbao Caiwei Tang, Lianqiao, Huangqin, Huanglian, Dihuang; Danggui, Renshen, Dali Zi; Gancao, Jiegeng, Shaoyao, Mutong form the base; Zicao adds fresh color, Ruiren has dense fragrance; Qianhu, Yun [Mu Tong?], Gu [Jingcao], Mai [Men Dong], properties are cool like Zha [Shanzha].
Attached Formula: Zhi, Jiegeng, Erchen [San] drugs; Sheng, Jiu, You [Xiong], Huo [Xiang]; Chai, Ge, Qian Yin [Han], Han; Qiang, Cang, Du, Jin [Yi], Pu [Huo].