即黄连解毒汤合四物汤去黄柏加防风治妇人血风证因大脱血崩漏或前后失血因而枯燥其
热不除循衣撮空摸床闭目不醒扬手掷足摇动不宁错语失神脉弦浮而虚内躁热之
而不润上下通燥此为难治当服此药若脉实者加大黄须审虚实
治狐惑状如伤寒蚀于上部则声喝此汤主之
甘草（四两甘平） 半夏（半升辛平）黄连（一两苦寒） 黄芩（三两苦寒） 干姜（三
两辛热） 人
上七味以水一斗煮取六升去滓再煎温服一升日三服王海藏云伊芳尹汤液此汤也七味今监本
无人
辛人
参甘
即甘草泻心汤减甘草（一两）干姜（二两）加生姜（四两）
林亿等谨按上生姜泻心汤法本云理中人参黄芩汤今详泻心以疗痞痞气因发阴而生是半夏
生姜
干噫食臭胁下水气腹中雷鸣下利者
即半夏泻心汤加黄连（二两）桂枝（三两）减人参（一两）治伤寒胸中有热胃中有邪气
腹
按成无己云凡陷胸汤攻结也泻心汤攻痞也气结而不散壅而不通为结胸陷胸汤为直达之剂
○塞
焉结胸
连之苦
痞为佐
大枣人
治太阳中风头痛发热汗出恶风鼻鸣干呕者
桂枝（三两去皮辛热） 芍药（三两酸微） 甘草（二两炙甘平） 生姜（三两切辛温）
大枣（十
上五味 咀以水七升微火煮取三升去滓适寒温服一升服已须臾 热稀粥一升余以助药力
温覆
尽剂
按成无己云内经曰辛甘发散为阳桂枝汤辛甘之剂也所以发散风邪又曰风淫所胜平以辛佐
以苦
生姜
云酒
亡此
这就是黄连解毒汤与四物汤合方，去掉黄柏，加入防风，用来治疗妇女血风证。由于大量失血、崩漏或前后部位出血，导致身体干枯燥热，热势不退，出现循衣摸空（手指无意识地抓摸衣物）、撮空理线、两手抚摸床沿、闭目不醒、扬手掷足、摇动不安、胡言乱语、神志失常等症状，脉象弦浮而虚，体内躁热而不滋润，上下皆干燥，这种情况属于难治之症，应当服用此药。如果脉象实有力，则加大黄。必须仔细审察虚实。
治疗狐惑病，症状类似伤寒。若腐蚀在上部，声音嘶哑，用此汤主治。
甘草（四两，味甘性平） 半夏（半升，味辛性平） 黄连（一两，味苦性寒） 黄芩（三两，味苦性寒） 干姜（三两，味辛性热） 人参（三两，味甘性平）
以上七味药，用水一斗，煮取六升，去渣滓，再煎煮，每次温服一升，每日三次。王海藏说：伊尹《汤液》中的这个汤剂就是此方，共七味药。现在的监本中缺了人参。
这就是甘草泻心汤，减去甘草（一两）、干姜（二两），加入生姜（四两）。
林亿等谨按：上面的生姜泻心汤法，原本说是理中人参黄芩汤。现在详细考察，泻心汤是用来治疗痞证的。痞气是因为发汗损伤阴气而产生的，表现为噫气伴有食物臭味，胁下有水气，腹中雷鸣，腹泻。
这就是甘草泻心汤，减去甘草一两，用来治疗胸部胀满但不疼痛，这叫做痞证；如果疼痛，那就是结胸证。
这就是半夏泻心汤，加入黄连（二两）、桂枝（三两），减去人参（一两），用来治疗伤寒，胸中有热，胃中有邪气，腹部不适。
按成无己所说：凡是陷胸汤攻逐的是结胸，泻心汤攻逐的是痞证。气结聚不散，壅滞不通，形成结胸，陷胸汤是直达病所的药剂。○塞焉结胸。连之苦。痞为佐。大枣人。
治疗太阳中风证，出现头痛、发热、出汗、恶风、鼻鸣、干呕的症状。
桂枝（三两，去皮，味辛性热） 芍药（三两，味酸微甘） 甘草（二两，炙，味甘性平） 生姜（三两，切，味辛性温） 大枣（十枚）
以上五味药，切碎，用水七升，用微火煮取三升，去渣滓，适寒温服用一升。服药后须臾，喝热稀粥一升多，以助药力。覆盖衣被保暖。
尽剂。
按成无己所说：《内经》说：辛甘发散为阳。桂枝汤是辛甘的药剂，所以能发散风邪。又说：风淫所胜，平以辛，佐以苦。生姜。云酒。亡此。
This is a combination of Huanglian Jiedu Tang (Coptis Decoction for Alleviating Toxicity) and Siwu Tang (Four Substance Decoction), with Huabo (Phellodendri Cortex, *Phellodendron amurense*) removed and Fangfeng (Saposhnikoviae Radix, *Saposhnikovia divaricata*) added. It treats Blood Wind Syndrome in women caused by massive blood loss, metrorrhagia, or bleeding from the anterior or posterior orifices, leading to dryness and withering. The heat persists, manifesting as unconscious finger picking at clothes, grasping at empty air, touching the bed, closed eyes without consciousness, flailing arms and kicking legs, restless shaking, delirious speech, and loss of spirit. The pulse is wiry, floating, and deficient; there is internal restlessness and heat without moisture, with dryness throughout the upper and lower body. This is difficult to treat, and this prescription should be administered. If the pulse is excess, add Dahuang (Rhei Radix et Rhizoma, *Rheum palmatum*). One must carefully examine the deficiency and excess patterns.
It treats Huhuo Disease (Chronic Ulcerative Condition), presenting like Taiyang Cold Damage. If erosion occurs in the upper part causing hoarseness, this decoction is indicated.
Gancao (Licorice Root, *Glycyrrhiza uralensis*, 4 liang, sweet, neutral) Banxia (Pinellia Tuber, *Pinellia ternata*, half sheng, acrid, neutral) Huanglian (Coptis Rhizome, *Coptis chinensis*, 1 liang, bitter, cold) Huangqin (Scutellaria Root, *Scutellaria baicalensis*, 3 liang, bitter, cold) Ganjiang (Dried Ginger, *Zingiber officinale*, 3 liang, acrid, hot) Renshen (Ginseng Root, *Panax ginseng*, 3 liang, sweet, neutral).
These seven ingredients are boiled in one dou of water until six sheng remain. Strain the dregs, boil again, and take one sheng warm, three times daily. Wang Haicang stated: This decoction is found in Yi Yin's *Tangye*. It consists of seven ingredients. However, the current Imperial Edition lacks Renshen.
This is Ganxie Xiexin Tang (Gastrodia and Pinellia Decoction for Releasing the Epigastrium), with Gancao reduced by 1 liang, Ganjiang reduced by 2 liang, and Shengjiang (Fresh Ginger, *Zingiber officinale*) added (4 liang).
Lin Yi et al. respectfully note: The method for Shengjiang Xiexin Tang above originally referred to Lizhong Renshen Huangqin Tang. Upon detailed examination, Xiexin Tangs are used to treat Pi (Glomus/Fullness). Pi qi arises from damaging Yin through sweating, characterized by belching with a food odor, water qi under the ribs, rumbling in the abdomen, and diarrhea.
This is Ganxie Xiexin Tang, with Gancao reduced by 1 liang, used to treat chest fullness without pain, which is called Pi (Glomus); if painful, it is called Juxiong (Chest Binding).
This is Banxia Xiexin Tang (Pinellia Decoction for Releasing the Epigastrium), with Huanglian added (2 liang), Guizhi (Cinnamon Twig, *Cinnamomum cassia*) added (3 liang), and Renshen reduced by 1 liang. It treats Taiyang Cold Damage where there is heat in the chest and pathogenic qi in the stomach, causing abdominal discomfort.
According to Cheng Wuji: Generally, Xiantong Tang attacks Juxiong (Chest Binding), while Xiexin Tang attacks Pi (Glomus). Qi knotting and not dispersing, stagnation and not flowing, forms Juxiong; Xiantong Tang is a direct-acting agent. ○ Obstruction leads to Juxiong. Bitterness of Lian. Pi acts as assistant. Dazao Ren.
It treats Taiyang Wind Strike syndrome, presenting with headache, fever, sweating, aversion to wind, nasal congestion with roaring sound, and dry vomiting.
Guizhi (Cinnamon Twig, *Cinnamomum cassia*, 3 liang, peeled, acrid, hot) Shaoyao (Peony Root, *Paeonia lactiflora*, 3 liang, sour, slightly sweet) Gancao (Licorice Root, *Glycyrrhiza uralensis*, 2 liang, honey-fried, sweet, neutral) Shengjiang (Fresh Ginger, *Zingiber officinale*, 3 liang, sliced, acrid, warm) Dazao (Jujube Fruit, *Ziziphus jujuba*, 10 pieces).
These five ingredients are crushed, boiled in seven sheng of water over low heat until three sheng remain. Strain the dregs. Take one sheng at a comfortable temperature. Shortly after taking the medicine, drink more than one sheng of hot thin porridge to assist the medicinal power. Cover with blankets to keep warm.
Finish the dose.
According to Cheng Wuji: The *Neijing* states: Acrid and sweet disperse and yang. Guizhi Tang is an acrid-sweet formula, thus it can disperse wind pathogens. It also states: When wind dominates excessively, soothe it with acrid, assist with bitter. Shengjiang. Yun Jiu. End here.