（见痉病。） 寸口脉浮而大。按之反涩。尺中亦微而涩者。有宿食也。此汤主之。
而滑者实也。此有宿食。下之愈。宜此汤。 下利不欲食者。此有宿食。当下之。宜此
（歌见长沙方歌括。） 治宿食在上脘。当吐之。宜此散主之。
瓜蒂 赤小豆 香豉。
治肝着。其人常欲蹈其胸上。先未苦时。但欲饮热者主之。
旋复花（三两。） 葱（十四茎。） 新绛（少许。）
上三味。以水三升。煮取一升。顿服。
歌曰 肝着之人欲蹈胸。（肝气着滞反行其气于肺。所谓横之病也。胸者肺之位。欲按
摩之以通其气也。）热汤一饮便轻松。（欲饮热者。欲着之气得热则散。）
复花三两葱十四。新绛通行少许从。（旋复花咸温下气。新绛和血。葱叶通阳。新绛查
本
（歌见长沙方歌括。） 治趺阳脉浮而涩。浮则胃气强。涩则小便数。浮涩相搏。大便
则坚。其脾为约。此丸主之。
麻仁 芍药 枳实 大黄 浓朴 杏仁
按。脉浮者阳盛。脉涩者阴伤。脾为胃行其津液。阴伤则脾无所运矣。又。约者弱也。
脾弱
（一名肾着汤。） 治肾着之病。其人身体重。腰中冷。如坐水中。形如
小便自利。饮食如故。病属下焦。身劳汗出。衣里冷湿。久久得之。腰以下
五千钱者。此主之。
甘草 白术（各二两。） 干姜 茯苓（各四两。）
上四味。以水五升。煮取三升。分温三服。腰即温。
歌曰 腰冷溶溶坐水泉。（带脉束于腰间。肾着则腰带病。故溶溶如坐水中状。）腹中如
带五
尤在泾云。寒湿之邪。不在肾之中脏。而在肾之外府。故其治不在温肾以散寒。而在燠
土以胜水。若用桂、附。则反伤肾之阴矣。
（此方见痉病篇。）寸口脉象浮而大，重按反而涩滞，尺部脉象也微而涩的，是有宿食停滞。此汤主治。
若脉滑，是实证。这是有宿食，用下法可愈，适宜用此汤。
下利且不想吃东西的，这是有宿食，应当用下法，适宜用此……
（歌诀见《长沙方歌括》。）治疗宿食停留在上脘，应当用吐法，适宜用此散剂主治。
瓜蒂、赤小豆、香豉。
治疗肝着病。患者常常想要别人踩踏或按摩他的胸部。在刚开始未感到痛苦时，只是喜欢喝热饮的，以此方主治。
旋复花（三两）、葱（十四茎）、新绛（少许）。
以上三味药，用水三升，煮取一升，一次服下。
歌诀说：肝着之人欲蹈胸。（肝气郁结阻滞，反而行气于肺，所谓“横”的病证。胸是肺的部位，想要通过按摩来通畅其气。）热汤一饮便轻松。（喜欢喝热饮，是因为郁结之气得热则消散。）
复花三两葱十四，新绛通行少许从。（旋复花咸温能下气，新绛能和血，葱叶能通阳，新绛查本……）
（歌诀见《长沙方歌括》。）治疗趺阳脉浮而涩，浮则胃气强盛，涩则小便频数。浮涩相搏，大便则坚硬，脾被约束，此丸主治。
麻仁、芍药、枳实、大黄、浓朴、杏仁
按语：脉浮者阳气盛，脉涩者阴液伤。脾为胃运行津液，阴液受伤则脾无法运化。另外，“约”意为弱。脾弱……
（又名肾着汤。）治疗肾着病。患者身体沉重，腰部发冷，如同坐在水中，外形如常，小便自利，饮食正常。病属下焦，因身体劳累汗出，衣里冷湿，久久所致，腰以下……五千钱者，以此方主治。
甘草、白术（各二两）、干姜、茯苓（各四两）。
以上四味药，用水五升，煮取三升，分三次温服。腰部即感温暖。
歌诀说：腰冷溶溶坐水泉。（带脉束于腰间，肾着则腰带病，故感觉溶溶然如坐水中状。）腹中如带五……
尤在泾说：寒湿之邪，不在肾之中脏，而在肾之外府。所以治疗不在温肾以散寒，而在暖土以胜水。如果用桂枝、附子，反而会损伤肾之阴液。
(See the chapter on Spasm.) The pulse at the Cun Kou (inch position) is floating and large; upon pressing, it feels choppy (slippery/rough), and the Chi (cubit position) pulse is also faint and choppy. This indicates retained food stagnation. This decoction is indicated.
If the pulse is slippery, it indicates excess. This is retained food stagnation; purgation will lead to recovery. This decoction is appropriate.
For diarrhea accompanied by anorexia, this indicates retained food stagnation. Purging is indicated. This... is appropriate.
(The rhyme verse is found in *Changsha Fang Ge Ku*.) Treats retained food stagnation located in the upper Jiao (upper burner); emesis should be induced. This powder is indicated.
Gua Di (Thistle Fruit), Chi Xiao Dou (Adzuki Bean), Xiang Chi (Fermented Soybean).
Treats Liver Zhu (Liver Fixation/Stagnation). The patient constantly desires someone to tread or massage their chest. In the early stage before discomfort arises, they merely desire drinking hot liquids; this formula is indicated.
Xuan Fu Hua (Inula Flower, 3 liang), Cong (Scallion Stem, 14 stems), Xin Jiang (Safflower-infused silk, a small amount).
The above three ingredients are boiled in 3 sheng of water to yield 1 sheng, taken in one dose.
The rhyme states: "The person with Liver Zhu desires chest treading." (Liver Qi stagnation reverses its flow into the Lung, known as a disease of "lateral" spread. The chest is the seat of the Lung; massaging is desired to unblock the Qi.) "A sip of hot soup brings immediate relief." (Desire for hot drinks indicates that stagnant Qi disperses when warmed.)
Xuan Fu Hua 3 liang, Cong 14 stems; Xin Jiang promotes circulation, used in small amounts from the beginning. (Xuan Fu Hua is salty and warm, directing Qi downward; Xin Jiang harmonizes Blood; Cong leaves unblock Yang...)
(The rhyme verse is found in *Changsha Fang Ge Ku*.) Treats the Fu Yang pulse being floating and choppy. Floating indicates strong Stomach Qi; choppy indicates frequent urination. The interaction of floating and choppy pulses leads to hard stools, and the Spleen becomes constrained (Pi Yue). This pill is indicated.
Ma Ren (Hemp Seed), Shao Yao (Peony Root), Zhi Shi (Immature Bitter Orange), Da Huang (Rhubarb Root), Nong Po (Magnolia Bark), Xing Ren (Apricot Seed).
Note: A floating pulse indicates excessive Yang; a choppy pulse indicates damaged Yin. The Spleen transports fluids for the Stomach; if Yin is damaged, the Spleen has nothing to transport. Furthermore, "Yue" (constrained) implies weakness. Spleen weakness...
(Also known as Shen Zhuo Tang / Kidney Fixation Decoction.) Treats Kidney Zhuo (Kidney Fixation) disease. The patient feels heavy in the body, cold in the waist, as if sitting in water, with normal appearance, free urination, and normal diet. The pathology belongs to the Lower Jiao. It results from prolonged exposure to cold dampness due to sweating during labor and wearing cold, wet clothes. For cases involving the lower waist... and those paying five thousand coins [contextual reference], this formula is indicated.
Gan Cao (Licorice Root), Bai Zhu (Atractylodes Rhizome, 2 liang each), Gan Jiang (Dried Ginger), Fu Ling (Poria, 4 liang each).
The above four ingredients are boiled in 5 sheng of water to yield 3 sheng, taken in three divided warm doses. The waist will feel warm.
The rhyme states: "Waist cold and dripping like sitting in a spring." (The Dai Mai [Girdle Vessel] binds the waist; Kidney Zhuo affects the Dai Mai, hence the sensation of sitting in water.) "Abdomen feels like a belt of five..."
You Zai Jing stated: The pathogenic factors of Cold-Dampness do not reside in the interior viscera of the Kidney, but in its external mansion (the lumbar region). Therefore, treatment does not lie in warming the Kidney to dispel Cold, but in warming the Earth (Spleen) to overcome Water. If Gui Zhi (Cinnamon Twig) and Fu Zi (Aconite Root) were used, they would instead damage the Yin of the Kidney.