此理中汤之变方也。凡脾肾中虚等症，宜刚燥者，当用理中六君之类；宜温
当用理阴大营之类。欲知调补，当先察此。此方通治真阴虚弱，胀满呕哕，痰饮恶心，吐泻
腹痛，妇人经迟血滞等症。
熟地（三五七钱或一二两） 当归（二三钱或五七钱） 炙甘草（一二钱） 干姜（一二三钱
，炒黄） 或加桂一二钱。
水二盅，煎七八分，热服。若治脾肾两虚，水泛为痰，或呕或胀者，加茯苓一钱半，
芥子五分以行之。若泄泻不止，及肾泄者，少用当归，或并去之，加山药、扁豆、吴茱萸、
破故、肉豆蔻、附子之属。若腰腹有痛，加杜仲、枸杞。若腹有胀滞疼痛，加陈皮、木香、
砂仁之属。
治元阳虚脱，危在顷刻者。
人参（一二两） 制附子（二三钱） 炙甘草（一二钱） 炮干姜（二三钱）
水二盅，武火煎七八分，温服，徐徐饮之。
治阴阳将脱等症。
人参（一二两或数钱） 制附子 炮干姜（各二三钱） 熟地（五钱或一两） 归身（三钱，
泄泻或血动者，代以冬术，多多益善） 炙甘草（一钱）
水二盅，武火煎七八分，温服。如肉振汗多者，加炙黄 四五钱，或一两，或冬术三
泄泻者，加乌梅二枚，或北五味二十粒亦可。如虚阳上浮者，加茯苓二钱。如肝经郁滞者，
加肉桂二三钱。
这是理中汤的变方。凡是脾肾虚弱等病症，适宜使用刚燥药物的，应当用理中汤、六君子汤之类的；适宜温补阴血的，应当用理阴煎、大营煎之类的。想要知道如何调补，应当先考察清楚这些区别。此方通用治疗真阴虚弱、腹胀满闷、呕吐呃逆、痰饮恶心、吐泻腹痛、妇女月经推迟血行瘀滞等症。
熟地（三五七钱或一二两） 当归（二三钱或五七钱） 炙甘草（一二钱） 干姜（一二三钱，炒黄） 或者加桂枝一二钱。
用水二盅，煎至七八分，热服。如果治疗脾肾两虚，水湿泛滥化为痰饮，或者呕吐或者腹胀的，加茯苓一钱半，芥子五分以行气化痰。如果泄泻不止，以及肾泄的，少用当归，或者一并去掉，加山药、扁豆、吴茱萸、破故纸、肉豆蔻、附子之类。如果腰腹部有疼痛，加杜仲、枸杞。如果腹部有胀滞疼痛，加陈皮、木香、砂仁之类。
治疗元阳虚脱，危急在顷刻之间的情况。
人参（一二两） 制附子（二三钱） 炙甘草（一二钱） 炮干姜（二三钱）
用水二盅，武火煎至七八分，温服，慢慢饮用。
治疗阴阳即将脱失等症。
人参（一二两或数钱） 制附子 炮干姜（各二三钱） 熟地（五钱或一两） 归身（三钱，如果有泄泻或出血动血的，用冬术代替，多多益善） 炙甘草（一钱）
用水二盅，武火煎至七八分，温服。如果出现肌肉震颤汗出多的，加炙黄芪四五钱，或一两，或者白术三钱。有泄泻的，加乌梅二枚，或者北五味子二十粒也可以。如果是虚阳上浮的，加茯苓二钱。如果是肝经郁滞的，加肉桂二三钱。
This is a modified formula of Lizhong Decoction (Replenish the Middle Decoction). For conditions such as deficiency in the Spleen and Kidney, where pungent-dry herbs are indicated, formulas like Lizhong Tang (Replenish the Middle Decoction) or Liujunzi Tang (Six Gentlemen Decoction) should be used; where warming and nourishing Yin-blood is indicated, formulas like Linyin Jian (Nourish Yin Infusion) or Daying Jian (Great Camp Infusion) should be used. To understand how to regulate and tonify, one must first examine these distinctions. This formula treats generally true Yin deficiency, abdominal distension and fullness, vomiting and hiccups, phlegm-fluid causing nausea, vomiting and diarrhea with abdominal pain, and in women, delayed menstruation with blood stasis.
Prepared Rehmanniae Radix (Shu Di Huang) (3-5-7 qian or 1-2 liang), Angelicae Sinensis Radix (Dang Gui) (2-3 qian or 5-7 qian), Prepared Glycyrrhizae Radix et Rhizoma (Zhi Gan Cao) (1-2 qian), Dried Zingiberis Rhizoma (Gan Jiang) (1-2-3 qian, stir-fried until yellow), or add Cinnamomi Ramulus (Gui Zhi) 1-2 qian.
Use two zhong of water, decoct until reduced to seven or eight parts, take warm. If treating dual deficiency of Spleen and Kidney with water overflowing to transform into phlegm, or with vomiting or distension, add Poria (Fu Ling) 1.5 qian and Brassicae Semen (Jie Zi) 0.5 fen to promote movement. If diarrhea persists unremittingly, or for Kidney diarrhea, use less Dang Gui, or remove it entirely, and add Dioscoreae Rhizoma (Shan Yao), Dolichoris Semen (Bian Dou), Evodiae Fructus (Wu Zhu Yu), Psoraleae Fructus (Po Gu), Myristicae Semen (Rou Dou Kou), Aconiti Lateralis Radix Praeparata (Fu Zi), etc. If there is pain in the waist and abdomen, add Eucommiae Cortex (Du Zhong) and Lycii Fructus (Gou Qi). If there is distension, stagnation, and pain in the abdomen, add Citri Reticulatae Pericarpium (Chen Pi), Aucklandiae Radix (Mu Xiang), and Amomi Fructus Rotundus (Sha Ren), etc.
Treats Yuan Yang (Primordial Yang) deficiency and collapse, critical within moments.
Ginseng Radix et Rhizoma (Ren Shen) (1-2 liang), Aconiti Lateralis Radix Praeparata (Zhi Fu Zi) (2-3 qian), Prepared Glycyrrhizae Radix et Rhizoma (Zhi Gan Cao) (1-2 qian), Roasted Dried Zingiberis Rhizoma (Pao Gan Jiang) (2-3 qian).
Use two zhong of water, decoct over strong fire until reduced to seven or eight parts, take warm, drink slowly.
Treats impending collapse of Yin and Yang.
Ginseng Radix et Rhizoma (Ren Shen) (1-2 liang or several qian), Aconiti Lateralis Radix Praeparata (Zhi Fu Zi), Roasted Dried Zingiberis Rhizoma (Pao Gan Jiang) (each 2-3 qian), Prepared Rehmanniae Radix (Shu Di Huang) (5 qian or 1 liang), Angelicae Sinensis Radix (Gui Shen) (3 qian; if diarrhea or bleeding occurs, substitute with Atractylodis Macrocephalae Rhizoma (Dong Zhu), the more the better), Prepared Glycyrrhizae Radix et Rhizoma (Zhi Gan Cao) (1 qian).
Use two zhong of water, decoct over strong fire until reduced to seven or eight parts, take warm. If muscle tremors and profuse sweating occur, add Prepared Astragali Radix (Zhi Huang Qi) 4-5 qian, or 1 liang, or Atractylodis Macrocephalae Rhizoma (Dong Zhu) 3 qian. For diarrhea, add Mume Fructus (Wu Mei) 2 pieces, or Schisandrae Chinensis Fructus (Bei Wu Wei Zi) 20 grains. If deficient Yang floats upward, add Poria (Fu Ling) 2 qian. If Liver channel stagnation exists, add Cinnamomi Cortex (Rou Gui) 2-3 qian.