治肺痈胸满胀。一身面目浮肿。鼻塞清涕出。不闻香臭酸辛。咳逆上气。
喘鸣迫塞。此汤主之。（方见上。三日一剂。可至三四剂。须先服小青龙汤一剂。乃进。）
治奔豚气上冲胸。腹痛。往来寒热者主之。
甘草 当归 芎 黄芩 芍药（各二两。） 半夏 生姜（各四两。） 生葛（五两。）
甘李
上九味。以水二斗。煮取五升。温服一升。日三夜一服。
歌曰 气冲腹痛号奔豚。四两夏姜五（两）葛根。归芍芎芩甘二两。李皮须到一升论。
按伤寒论云。厥阴之为病。气上冲心。今奔豚而见往来寒热。腹痛。是肝脏有邪。而气
通于
阴阳相
徐忠可云。此方合桂枝、小柴胡二汤。去柴胡。去桂枝。去大枣。以太阳少阳合病治法。
解
正
尤在泾云。苓桂为奔豚主药。而不用者。病不由肾发也。按服此汤而未愈者。用乌梅丸
神效
（歌见长沙方歌括。） 治发汗后烧针令其汗。针处被寒。核起而赤者。必发奔豚
从少腹上至心。灸其核上各一壮。与此汤主之。
桂枝汤（方见妇人妊娠病。）加桂枝二两。
元犀按。汗后又迫其汗。重伤心气。心气伤不能下贯元阳。则肾气寒而水滞也。加以针
处被
入之
（歌见长沙方歌括。） 治发汗后脐下悸者。欲作奔豚。此汤主之。
茯苓 甘草 大枣 桂枝
此发汗后心气不足。而后肾气乘之脐下悸。即奔豚之兆也。
孙男心典禀按。因惊而得。似只宜以心为治也。然自下而上。动于肾气。激乱于厥阴。
而撤
草大
骨救逆
苓心下
先祖云
治疗肺痈引起的胸部胀满。全身及面部眼睑浮肿。鼻塞流清涕。嗅觉失灵，闻不到香、臭、酸、辛等气味。咳嗽气逆。喘息有声，气道阻塞。此方主治。（方剂见上文。每三日服用一剂，最多可服三四剂。必须先服用小青龙汤一剂，然后才能进服本方。）
治疗奔豚气上冲至胸中。腹痛。伴有往来寒热症状的，以此方主治。
甘草、当归、川芎、黄芩、芍药（各二两）。半夏、生姜（各四两）。生葛根（五两）。甘李根白皮（一升）。
以上九味药，用水二斗，煎煮取汁五升。温服一升，每日三次，夜间一次。
歌诀曰：气冲腹痛名为奔豚。半夏、生姜各四两，葛根五两。当归、芍药、川芎、黄芩、甘草各二两。李根白皮需用一升计算。
按《伤寒论》记载：厥阴病的表现是气上冲心。现在奔豚病出现往来寒热、腹痛，这是肝脏受邪，而气机通达于阴阳之间。
徐忠可说：此方结合了桂枝汤和小柴胡汤，去掉柴胡、桂枝和大枣，用太阳经和少阳经合病的治法来解析。
尤在泾说：茯苓、桂枝是治疗奔豚的主药，但这里没有使用，是因为病不是由肾脏引发的。按：服用此方后未痊愈者，使用乌梅丸有神奇疗效。
（歌诀见《长沙方歌括》）治疗发汗后，用烧针强迫出汗，针孔处受寒，起核状红肿的，必定会引发奔豚，气从少腹上冲至心胸。在红肿的核上各灸一壮，并以此方主治。
桂枝汤（方剂见妇人妊娠病篇），加桂枝二两。
元犀按：发汗后又逼迫其出汗，严重损伤心气。心气受伤不能下贯元阳，则肾气寒冷而水液停滞。加上针孔处受寒……
（歌诀见《长沙方歌括》）治疗发汗后脐下悸动的，欲作奔豚之证，此方主治。
茯苓、甘草、大枣、桂枝。
这是发汗后心气不足，导致肾气乘虚而入，脐下悸动，即奔豚的先兆。
孙男心典禀按：因惊恐而得病，似乎只宜用心脏为治疗重点。然而病势自下而上，动于肾气，激乱于厥阴经……
先祖云
Treats lung abscess (Fei Yong) causing chest fullness and distension. Generalized edema of the body, face, and eyelids. Nasal congestion with clear discharge. Loss of smell, unable to perceive fragrant, foul, sour, or pungent odors. Cough with rebellious Qi ascending. Wheezing with audible sounds and airway obstruction. This decoction is indicated. (Formula seen above. One dose every three days, up to three or four doses. Must first administer Xiao Qing Long Tang (Minor Blue Dragon Decoction) for one dose, then proceed.)
Treats Ben Tun (Running Piglet) where Qi rushes upward to the chest, accompanied by abdominal pain and alternating chills and fever. This decoction is indicated.
Gan Cao (Licorice Root), Dang Gui (Angelica Sinensis), Xiong (Ligusticum Chuanxiong), Huang Qin (Scutellaria Baicalensis), Shao Yao (White Peony Root) (each 2 liang). Ban Xia (Pinellia Tuber), Sheng Jiang (Fresh Ginger) (each 4 liang). Sheng Ge Gen (Pueraria Root) (5 liang). Gan Li Gen Bai Pi (Bark of Prunus Sibirica Root) (1 sheng).
The above nine ingredients are boiled in 2 dou of water, reduced to 5 sheng. Take 1 sheng warm, three times daily and once at night.
Song says: Qi rushing and abdominal pain is called Ben Tun (Running Piglet). Four taels each of Ban Xia (Pinellia Tuber) and Sheng Jiang (Fresh Ginger), five taels of Ge Gen (Pueraria Root). Two taels each of Dang Gui (Angelica Sinensis), Shao Yao (White Peony Root), Xiong (Ligusticum Chuanxiong), Huang Qin (Scutellaria Baicalensis), and Gan Cao (Licorice Root). The bark of Li tree root must be calculated as one sheng.
According to Shang Han Lun (Treatise on Cold Damage): The disease of Jue Yin (Lesser Yang) manifests as Qi rushing upward to the heart. Now, Ben Tun (Running Piglet) presents with alternating chills and fever and abdominal pain; this indicates pathogenic factors in the Liver channel, with Qi communicating through Yin and Yang.
Xu Zhongke states: This formula combines Gui Zhi Tang (Cinnamon Twig Decoction) and Xiao Chai Hu Tang (Minor Bupleurum Decoction), removing Chai Hu (Bupleurum Root), Gui Zhi (Cinnamon Twig), and Da Zao (Jujube), applying the treatment method for combined diseases of Tai Yang (Greater Yang) and Shao Yang (Lesser Yang).
You Zaijing states: Fu Ling (Poria) and Gui Zhi (Cinnamon Twig) are the principal medicines for treating Ben Tun (Running Piglet), but they are not used here because the disease does not originate from the Kidney. Note: For those not cured after taking this decoction, Wu Mei Wan (Mume Pill) yields miraculous effects.
(Song seen in Chang Sha Fang Ge Ku (Songs of Formulas from Changsha)). Treats cases where, after sweating therapy, burning needles were used to induce further sweating. The needle sites became cold, developing nodular redness. This will inevitably trigger Ben Tun (Running Piglet), with Qi rising from the lower abdomen to the heart. Moxibustion should be applied to each nodule (one moxa cone per site), and this decoction is indicated.
Gui Zhi Tang (Cinnamon Twig Decoction) (Formula seen in the chapter on Gynecological Diseases of Pregnancy), with an addition of 2 liang of Gui Zhi (Cinnamon Twig).
Yuan Xi notes: Sweating followed by forced sweating severely damages Heart Qi. When Heart Qi is damaged, it cannot descend to connect with Yuan Yang (Primal Yang), causing Kidney Qi to become cold and water to stagnate. Additionally, the needle sites are invaded by cold...
(Song seen in Chang Sha Fang Ge Ku (Songs of Formulas from Changsha)). Treats cases where, after sweating therapy, palpitations occur below the umbilicus, indicating impending Ben Tun (Running Piglet). This decoction is indicated.
Fu Ling (Poria), Gan Cao (Licorice Root), Da Zao (Jujube), Gui Zhi (Cinnamon Twig).
This occurs due to insufficient Heart Qi after sweating, allowing Kidney Qi to invade. Palpitations below the umbilicus are a precursor to Ben Tun (Running Piglet).
Sun Nan Xin Dian notes: Acquired due to fright, it seems only appropriate to treat via the Heart. However, the pathology moves upward from below, stirring Kidney Qi and disrupting the Jue Yin (Lesser Yang) channel...
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