即大陷胸汤增大黄（二两）减芒硝（半升）加葶苈杏仁（各半升）先捣大黄葶苈二味内
硝合研如脂和散取如弹丸一枚别捣甘遂末（一钱匕）白蜜（二合）水二升煮取一升温顿服
一宿
乃下如不下更服取下为效禁如药法结胸证其脉浮大者不可下下之则死结胸证悉具烦躁
治太阳中风下利呕逆表解乃可攻之
芫花（熬辛温） 甘遂（苦寒） 大戟（苦寒各等分） 大枣（十枚擘甘温）
上三味各捣为散以水一升半先煮大枣肥者十枚取八合去滓内药末强人服一钱匕羸人服半
钱平
按成无己曰辛以散之芫花之辛以散饮苦以泄之甘遂大戟之苦以泄水水者肾所主也甘者脾
之味
汗出
未和
即十枣汤去芫花加白芥子大麦面上三味药为末拌和匀作饼慢火炒黄熟再为细末用大麦面
一两同上拌匀糊丸桐子大空心冷酒下十丸至十五丸明理趁痛丸无大戟治香港脚上攻风毒走注疼
痛神效又治水气浮肿
这就是大陷胸汤，将大黄增加至二两，芒硝减少至半升，加入葶苈子和杏仁各半升。先捣碎大黄和葶苈子这两味药，与硝（此处指芒硝）混合研磨成脂状，再拌入散剂。取如弹丸大小的一枚，另外单独捣碎甘遂末（一钱匕），加入白蜜（二合）和水二升，煮取一升，温服，一次顿服。过一夜后大便才通下；如果未通下，再服用，以通便为有效标准。禁忌同一般服药法。结胸证（水热互结于胸膈的病证）如果脉象浮大，不可攻下，攻下则致死。结胸证症状全部具备且出现烦躁不安的……
治疗太阳中风证伴有下利、呕逆，待表证解除后方可攻里。
芫花（炮制，辛，温）、甘遂（苦，寒）、大戟（苦，寒，各等分）、大枣（十枚，掰开，甘，温）。
以上三味药（芫花、甘遂、大戟）分别捣碎成散剂。用一升半水，先煮肥大者十枚大枣，取八合药液，去渣，纳入药末。体质强壮的人服一钱匕，体弱的人服半钱匕，平旦空腹服。
按：成无己说：“辛能发散，芫花的辛味以发散饮邪；苦能泄降，甘遂、大戟的苦味以泄下水气。水气由肾所主。甘味是脾的味道。”
汗出。
尚未调和。
这就是神效丸加入黄连、黄柏、青黛。元戎说：以上四种药极有毒性，不可轻易尝试。
这就是十枣汤去掉芫花，加入白芥子、大麦面。将这三味药研成细末，拌匀，做成饼状，用慢火炒至黄熟，再研为细末。用一两大麦面同上拌匀，糊丸如梧桐子大。空心时冷酒送服十丸至十五丸。明理趁痛丸没有大戟，主治香港脚（足部肿痛之症）上攻、风毒走注引起的疼痛，效果神奇；又治水肿浮肿。
这就是神效丸加入青皮、陈皮、木香，制成水丸，白开水送服七十丸。
这就是十枣汤去掉芫花、大枣，加入白芥子、桃仁泥，糊丸。每次服五七丸，逐渐加至十丸，姜汤送服。治疗全身及两胁疼痛，痰挟死血者。
这就是十枣汤去掉大枣，加大黄、黄柏，制成水丸。临睡前用津液送服二三十丸，或用白开水送服。制法详见《准绳》。取膈上湿积，根据病情斟酌用量。欲使泻下，宜空心服用。
This is Da Xianxiong Tang (Major Inward-Draining Pill), modified by increasing the dosage of Rhizoma et Radix Rhei (Dahuang, 大黄) to two liang, reducing Sal Nitratis (Mangxiao, 芒硝) to half a sheng, and adding Semen Lepidii seu Descurainiae (Tinglizi, 葶苈子) and Fructus Armeniacae (Xingren, 杏仁), each half a sheng. First, pound the Rhizoma et Radix Rhei (Dahuang, 大黄) and Semen Lepidii seu Descurainiae (Tinglizi, 葶苈子), mix them with Sal Nitratis (Mangxiao, 芒硝), and grind into a paste-like consistency, then blend with the powder. Take one pill the size of a bullet. Separately, pound the Radix Euphorbiae Humifusae (Gansui, 甘遂) into powder (one qian bi). Add Mel (Bai Mi, 白蜜) two he and water two sheng. Boil until one sheng remains. Take warm in one dose. The bowels will move after one night. If not, take another dose; the effect is achieved when the bowels move. Contraindications follow the general rules for taking these medicines. For Jie Xiong Syndrome (Syndrome of Knotting in the Chest), if the pulse is floating and large, do not purge; purging will lead to death. If all symptoms of Jie Xiong Syndrome (Syndrome of Knotting in the Chest) are present and restlessness occurs...
To treat Taiyang Wind-Stroke Syndrome (Taiyang Fengzhong Bing, 太阳中风) accompanied by diarrhea and vomiting, only attack the interior after the exterior syndrome has resolved.
Radix Genkwa (Yuanhua, 芫花) (processed, acrid, warm), Radix Euphorbiae Humifusae (Gansui, 甘遂) (bitter, cold), Radix Euphorbiae Pekinensis (Daji, 大戟) (bitter, cold, equal parts), Fructus Jujubae (Dazao, 大枣) (ten pieces, split, sweet, warm).
The above three herbs (Radix Genkwa (Yuanhua, 芫花), Radix Euphorbiae Humifusae (Gansui, 甘遂), Radix Euphorbiae Pekinensis (Daji, 大戟)) are each pounded into powder. Use one and a half sheng of water to first decoct ten large Fructus Jujubae (Dazao, 大枣) until eight he remain. Strain, add the herb powders. Strong individuals take one qian bi; weak individuals take half a qian bi. Take on an empty stomach at dawn.
Commentary: Cheng Wuji stated: "Acrid substances disperse; the acridity of Radix Genkwa (Yuanhua, 芫花) disperses fluid retention. Bitter substances drain; the bitterness of Radix Euphorbiae Humifusae (Gansui, 甘遂) and Radix Euphorbiae Pekinensis (Daji, 大戟) drains water. Water is governed by the Kidney. Sweet is the flavor of the Spleen."
Sweating.
Not yet harmonized.
This is Shizao Tang (Ten Jujube Decoction) added with Semen Sterculiae Lychnophorae (Qianniu, 牵牛), Rhizoma et Radix Rhei (Dahuang, 大黄), and Calamina (Qingfen, 轻粉), made into water pills.
This is Shenxiao Wan (Divine Effect Pill) added with Resina Draconis (Ruxiang, 乳香) and Resina Olibani (Moyao, 没药).
This is Shenxiao Wan (Divine Effect Pill) added with Cortex Phellodendri Amurensis (Huanglian, 黄连 - *Note: Huanglian is usually Cortex Coptidis, but text says Huanglian*), Cortex Phellodendri Amurensis (Huangbai, 黄柏), and Atramentum (Qingdai, 青黛). Yuanrong said: These four medicines are extremely toxic and should not be tried lightly.
This is Shizao Tang (Ten Jujube Decoction) without Radix Genkwa (Yuanhua, 芫花), added with Semen Sinapis Albae (Baijiezi, 白芥子) and Farina Hordei (Damaimian, 大麦面). The three herbs are powdered, mixed evenly, formed into cakes, and slowly fried until yellow and cooked, then powdered again. Mix with one liang of Farina Hordei (Damaimian, 大麦面) as above, use paste to make pills the size of tung tree seeds. Take ten to fifteen pills on an empty stomach with cold wine. Mingli Chentong Wan contains no Radix Euphorbiae Pekinensis (Daji, 大戟). It treats Hongjiaojiao (Hongjiaojiao, 香港脚 - gouty swelling of feet) attacking upward, pain caused by wind-toxin wandering, with divine efficacy. It also treats edema and swelling.
This is Shenxiao Wan (Divine Effect Pill) added with Pericarpium Citri Reticulatae (Qingpi, 青皮), Exocarpium Citri Reticulatae (Chenpi, 陈皮), and Lignum Aquilariae Resinatum (Muxiang, 木香), made into water pills. Take seventy pills with plain boiled water.
This is Shizao Tang (Ten Jujube Decoction) without Radix Genkwa (Yuanhua, 芫花) and Fructus Jujubae (Dazao, 大枣), added with Semen Sinapis Albae (Baijiezi, 白芥子) and Pulpa Rosae Chinensis (Taoren Ni, 桃仁泥). Make paste pills. Take five to seven pills initially, gradually increasing to ten pills. Take with ginger soup. Treats pain throughout the body and in both flanks, where phlegm clings to dead blood.
This is Shizao Tang (Ten Jujube Decoction) without Fructus Jujubae (Dazao, 大枣), increased with Rhizoma et Radix Rhei (Dahuang, 大黄) and Cortex Phellodendri Amurensis (Huangbai, 黄柏), made into water pills. Take twenty to thirty pills before sleep with saliva, or with plain boiled water. The preparation method is detailed in Zhunsheng. To remove damp accumulation from the diaphragm, adjust according to judgment. To induce purgation, take on an empty stomach.