治少阴病得之二三日，心中烦而不得卧者。
黄连（四两） 黄芩 芍药（各二两） 阿胶（三两） 鸡子黄（二枚） 水六升，先
煮芩、连、芍
则不致凝结而
（《医方集解》引王好古方） 治伤寒热毒入胃，下利脓血者。
黄连（炒四两） 黄柏 阿胶（炒各一两） 山栀（五钱） 每服四钱，水煎服。
（孙思邈《千金要方》） 治冷热不调，下利赤白，里急后重，脐腹疼痛，口燥
小便不利，此湿热郁于大肠，故为此证。
黄连（六两） 阿胶（炒三两） 干姜（炮二两） 当归（炒一两） 水泛丸，空朝米
饮下三钱。仲景黄连阿胶汤，黄芩芍药鸡子黄。少阴心烦不得卧，传经热灼致阴伤。酸甘咸
苦收阴气，
连直折少
故再佐
逆汤收
尝。（连、
黄连、阿胶
动血，此治
炙甘草汤（一名复脉汤） 治伤寒脉结代，心动悸者；又虚劳不足，汗出而闷，脉结心
悸，虽
炙甘草（四两） 生姜（三两） 人参（二两） 生地黄（一斤） 桂枝（三两） 麦
冬（半斤） 阿胶
煮八味，煮取三升，（水
日三服。炙甘草汤参姜桂，麦冬生地大麻仁，大枣阿胶加酒服，虚劳（凡虚劳脉结心悸而更
汗出，阴
其阴亡而
桂。此涎
邪尽之后，气血两虚，故现此证。王叔和《脉经》云∶“脉来缓时一止复来者，名曰‘结’。”
又曰∶“阴盛则结，脉来动而中止，不能自还，因而复动者，名曰‘代’，几动一息亦曰‘代
’。”皆血气两虚，经隧不通，阴阳不交之故。）益血生津复脉遵。（王晋三《古方选注》曰∶
“此汤仲景治心悸，王焘治肺痿，孙思邈治虚劳，三者皆是津涸燥淫之证，《至真要大论》
云∶‘燥淫于内，金气不足，治以甘辛’也。第药味不从心肺，而主乎肝脾者，是阳从脾以
致津，阴从肝以致液，各从心肺之母以补之也。人参、麻仁之甘以润脾津，生地、阿胶之咸
苦以滋肝液，重用地、冬浊味，恐其不能上升，故君以炙甘草之气浓，桂枝之轻扬，载引地
、冬上润肺燥，佐以清酒，芳香入血，引领地、冬归心复脉，仍使以姜、枣和营卫，则津液
悉上供于心肺矣。”喻嘉言曰∶“此仲景伤寒门中之圣方也。仲景方每多通利，于此处特开门
户，重用生地，再借用麦冬手经药者，麦冬与地黄、人参，气味相合，而脾胃与心经，亦受
气相交。脉络之病，取重心经，故又名‘复脉汤’。”）
治疗少阴病，患病两三天后，心中烦躁且无法安卧的症状。
黄连（四两） 黄芩 芍药（各二两） 阿胶（三两） 鸡子黄（两个） 用水六升，先煮黄芩、黄连、芍药，（煎至剩余三升，去渣，加入阿胶烊化，待药液稍凉后，加入两个鸡子黄，搅匀服用）。
（《医方集解》引用王好古的方子） 治疗伤寒热毒侵入胃腑，导致下利脓血的症状。
黄连（炒制四两） 黄柏 阿胶（炒制各一两） 山栀（五钱） 每次服用四钱，用水煎服。
（孙思邈《千金要方》） 治疗冷热不调，下利赤白痢疾，里急后重，脐腹疼痛，口干舌燥，小便不利，这是湿热郁结于大肠所致，因此出现这些证候。
黄连（六两） 阿胶（炒制三两） 干姜（炮制二两） 当归（炒制一两） 用水泛丸，清晨空腹用米饮送服三钱。张仲景的黄连阿胶汤，由黄芩、芍药、鸡子黄组成。少阴病心烦不得卧，是传经之热灼伤阴液所致。酸、甘、咸、苦味能收敛阴气，黄连直折火势，故再佐以……（原文此处有残缺或错简，意指黄连直折少阴之火，阿胶滋阴养血等意，结合上下文补全逻辑：黄连直折少阴之火，阿胶滋阴养血，芍药敛阴和营，鸡子黄滋阴润燥，共奏滋阴降火之功）。
炙甘草汤（又名复脉汤） 治疗伤寒脉象结代，心动悸的症状；又用于治疗虚劳不足，汗出而胸闷，脉象结代心悸，虽然……（原文此处有残缺，意为虽经发汗等治疗后邪气已尽，但气血两虚，故现此证）。
炙甘草（四两） 生姜（三两） 人参（二两） 生地黄（一斤） 桂枝（三两） 麦冬（半斤） 阿胶 ……（原文此处有残缺，通常还包括大枣、麻仁等，依《伤寒论》原方补全逻辑：与大枣、麻仁同煮），用八味药，加水煎煮，取汁三升，分三次温服。炙甘草汤含人参、生姜、桂枝，麦冬、生地黄、大麻仁，再加红枣、阿胶，用酒和水同煎服用。虚劳病若见脉结代、心悸且伴有汗出，乃阴液亡失之象。桂枝辛温通阳。此方在邪气尽之后，针对气血两虚之证。王叔和《脉经》说：“脉来迟缓，时而一止，止后复来的，名叫‘结’。”又说：“阴盛则脉结，脉来跳动中止，不能自行恢复，因而再次跳动的，名叫‘代’，几次跳动中有一次停顿也叫‘代’。”这都是气血两虚，经络不通，阴阳不交的缘故。益血生津，恢复脉象遵循此理。（王晋三《古方选注》说：“此汤是张仲景治疗心悸的方子，王焘治疗肺痿，孙思邈治疗虚劳，这三种情况都是津液枯竭、燥邪内淫的证候，《至真要大论》说：‘燥邪在内，金气不足，用甘辛味的药物来治疗’。只是此方用药不直接从心肺入手，而是主调肝脾，是因为阳气从脾而生以化生津液，阴液从肝而生以滋养体液，各自从心肺之母脏（脾为肺母，肝为心母/木生火）来补益它们。人参、麻仁的甘味以滋润脾津，生地、阿胶的咸苦味以滋助肝液，重用生地、麦冬这类浊重之品，担心其不能上升，所以以炙甘草浓厚的气味为君药，桂枝轻扬的特性为臣药，载引生地、麦冬上行润肺燥，佐以清酒，芳香入血，引领生地、麦冬归心复脉，仍使用生姜、大枣调和营卫，那么津液就能全部上供于心肺了。”喻嘉言说：“这是张仲景伤寒门中的圣方。张仲景的方子大多通利，在此处特意开门户，重用生地黄，再借用手少阴心经的药物麦冬，麦冬与地黄、人参气味相合，脾胃与心经的气机也得以相交。脉络的疾病，重在调理心经，所以又名‘复脉汤’。”）
Treat Shaoyin disease (Shaoyin syndrome) presenting two to three days after onset, characterized by restlessness in the heart and inability to sleep.
Huanglian (Coptidis Rhizoma, 4 liang), Huangqin (Scutellariae Radix, 2 liang), Shaoyao (Paeoniae Radix Alba, 2 liang), Ejiao (Colla Corii Asini, 3 liang), JiZihuang (Ovi Galli Albumen, 2 pieces). Use six sheng of water. First decoct Huangqin, Huanglian, and Shaoyao. (After reducing the volume, strain the dregs, dissolve Ejiao into the liquid, allow it to cool slightly, then add the two Ovi Galli Albumens, stir well, and take warm.)
(Cited from Wang Haogu's prescription in *Yifang Jijie* [Collection of Medical Formulas]) Treats Shanghan (Cold Damage) where heat-toxin enters the stomach, resulting in dysentery with pus and blood.
Huanglian (Stir-fried Coptidis Rhizoma, 4 liang), Huangbo (Phellodendri Cortex, 1 liang), Ejiao (Stir-fried Colla Corii Asini, 1 liang), Shanzhi (Gardeniae Fructus, 5 qian). Take 4 qian per dose, decoct in water and drink.
(Sun Simiao's *Qianjin Yaofang* [Essential Prescriptions Worth a Thousand Gold for Emergencies]) Treats imbalance of cold and heat, dysentery with red and white discharge, tenesmus, pain in the umbilical and abdominal regions, dry mouth and throat, and difficult urination. This is caused by damp-heat stagnating in the large intestine, leading to these symptoms.
Huanglian (Coptidis Rhizoma, 6 liang), Ejiao (Stir-fried Colla Corii Asini, 3 liang), Ganjiang (Prepared Zingiberis Rhizoma, 2 liang), Danggui (Angelicae Sinensis Radix, 1 liang). Make pills using water, and take 3 qian on an empty stomach in the morning with rice water. Zhang Zhongjing's Huanglian Ejiao Tang consists of Huangqin, Shaoyao, and JiZihuang. In Shaoyin disease, restlessness and inability to sleep are caused by transmitted heat scorching and injuring Yin. The sour, sweet, salty, and bitter flavors gather and nourish Yin. Huanglian directly drains the fire of Shaoyin, while other ingredients assist in nourishing Yin and calming the spirit.
Zhigancao Tang (also known as Fumai Tang [Pulse-Restoring Decoction]) Treats Shanghan with knotted and intermittent pulse (Jiedai Mai) and palpitations; also treats deficiency consumption (Xulao) with insufficient Qi and Blood, sweating, chest stuffiness, knotted and intermittent pulse, and palpitations. (Context implies this occurs after pathogenic factors have been exhausted, leaving Qi and Blood severely deficient.)
Zhigancao (Honey-fried Glycyrrhizae Radix et Rhizoma, 4 liang), Shengjiang (Fresh Zingiberis Rhizoma, 3 liang), Renshen (Ginseng Radix, 2 liang), Shengdihuang (Rehmanniae Radix Recens, 1 jin), Guizhi (Cinnamomi Ramulus, 3 liang), Maidong (Ophiopogonis Radix, 0.5 jin), Ejiao (Colla Corii Asini)... (Decoct eight ingredients, obtain three sheng of liquid, take three times daily). Zhigancao Tang contains Renshen, Shengjiang, Guizhi, Maidong, Shengdihuang, Hamaoren (Cannabis Seed), Dazao (Jujubae Fructus), and Ejiao, taken with wine and water. For Xulao (deficiency consumption) presenting with knotted/intermittent pulse, palpitations, and sweating, it indicates the loss of Yin fluids. Guizhi warms and unblocks Yang. After the pathogen is eliminated, this formula addresses severe Qi and Blood deficiency. Wang Shuhe's *Maijing* [Pulse Classic] states: "A pulse that is slow and occasionally stops before resuming is called 'Jie' (Knotted)." It further states: "When Yin is excessive, the pulse is Jie; if the pulse stops during movement and cannot resume immediately, but resumes later, it is called 'Dai' (Intermittent); even one stop per breath cycle is considered 'Dai'." These are due to dual deficiency of Qi and Blood, obstruction of the meridians, and failure of Yin and Yang to interact. The principle is to benefit Blood, generate fluids, and restore the pulse. (Wang Jinshan in *Gufang Xuanzhu* [Selected Annotations of Ancient Formulas] says: "This decoction was used by Zhang Zhongjing for palpitations, Wang Tao for lung abscess (Feiwei), and Sun Simiao for deficiency consumption. All three conditions involve dried-up fluids and internal dryness. The *Suwen* states: 'When dryness invades internally and Metal Qi is insufficient, treat with sweet and acrid substances.' However, this formula focuses on the Liver and Spleen rather than directly targeting the Heart and Lung. This is because Yang Qi generates fluids from the Spleen (Mother of Lung), and Yin fluids are produced from the Liver (Mother of Heart/Wood generates Fire). Ren Shen and Hamaoren use their sweetness to moisten Spleen fluids; Sheng Di Huang and Ejiao use their salty-bitter taste to nourish Liver fluids. Heavy use of dense substances like Di Huang and Mai Dong might fail to ascend, so Honey-fried Gan Cao acts as the Chief herb with its thick Qi, and Gui Zhi acts as an Assistant with its light and ascending nature, carrying Di Huang and Mai Dong upward to moisten Lung dryness. Qingjiu (clear wine) is added as an Assistant; its aromatic quality enters the Blood level, guiding Di Huang and Mai Dong to the Heart to restore the pulse. Finally, Sheng Jiang and Da Zao harmonize Ying and Wei, ensuring all fluids ascend to supply the Heart and Lung." Yu Jiayan says: "This is a sage formula in Zhang Zhongjing's Shanghan section. Zhang's formulas often promote free flow; here, he opens a new pathway by heavily using Sheng Di Huang and borrowing Maidong, a herb of the Hand-Shaoyin Heart meridian. Maidong harmonizes with Di Huang and Renshen in flavor, allowing the Spleen-Stomach and Heart meridians to exchange Qi. For diseases of the vessels, emphasis is placed on the Heart meridian, hence it is also named 'Fumai Tang' [Pulse-Restoring Decoction].")