（主肾实。出《素问·平人气象论》）
冬脉太过，缓而涩，肾实，精不运。解者，缓， ，疑，寒热类也。
利肾汤 主之∶治解 ，春脉动，气痛气乏，不欲言，此为肾元有余矣。
泽泻 生地黄 赤茯苓（去皮。各一两半） 槟榔 麦门冬（去心） 柴胡 枳壳（麸炒，去穣）
牛膝（去苗，酒浸。各一两）
上为末，每服三钱，水一盏半，煎至七分，去滓，温服，不计时候。
（主胃热。出《素问·平人气象论》）
食已如饥，胃热能消谷，阳明脉终，心火上行，心憎烦，身黄，小便赤涩也。
加减茯苓汤 主之∶治胃疸积热，食已辄饥，面黄瘦，胸满胁胀，小便 赤。
赤茯苓 陈皮（去白） 泽泻 桑白皮（锉。各三两） 赤芍药 白术（各四两） 人参
官桂（各二两） 石膏（八两） 半夏（六两，汤洗，生姜制，焙）
上为末，每服三钱，水一盏，生姜十片，同煎至八分，去滓，温服，不计时候。如
病甚者，加大黄、朴硝各二两。
（主脾风。出《素问·玉机真藏论》）
脾风传肾，一名疝气，小腹痛，出白液，名曰蛊。《左传》云∶惑以丧志，名为蛊，乃
真精不守也。
大建中汤 主之∶治蛊病，小腹急痛，便溺失精，溲而出白液。
黄 远志（去心） 当归 泽泻（各三两） 芍药 人参 龙骨 甘草（炙。各一两）
上为末，每服三钱，水一盏，生姜五片，煎至八分，去滓，温服，不计时候。
（主治肾实证。出自《素问·平人气象论》）
冬季的脉象如果过于强盛，表现为缓而涩，这是肾实，导致精气不能正常运行。解（一种病证，症状类似寒热往来），疑（疑为“解”字的衍文或异体，指代前述病证），属于寒热交替类的病证。
使用利肾汤来主治：治疗解（病证），春季脉象跳动异常，伴有气痛、气虚乏力、不想说话的症状，这是因为肾元有余（肾气过盛）所致。
药材组成：泽泻、生地黄、赤茯苓（去皮，各一两半）、槟榔、麦门冬（去心）、柴胡、枳壳（麸炒，去瓤）、牛膝（去苗，酒浸，各一两）。
制法与用法：将上述药材研为细末，每次服用三钱，加水一盏半，煎煮至七分量，滤去药渣，温服，不拘泥于特定时间。
（主治胃热证。出自《素问·平人气象论》）
进食后感觉像饥饿一样，是因为胃热能消化食物，阳明脉气终结（此处指病理状态下的脉象变化或经气运行异常），心火向上逆行，心中厌恶烦闷，身体发黄，小便短赤涩痛。
使用加减茯苓汤来主治：治疗胃疸积热，进食后立即感到饥饿，面色黄瘦，胸膈满闷，胁肋胀痛，小便颜色深红且涩痛。
药材组成：赤茯苓、陈皮（去白）、泽泻、桑白皮（锉碎，各三两）、赤芍药、白术（各四两）、人参、官桂（各二两）、石膏（八两）、半夏（六两，用汤洗，生姜炮制，焙干）。
制法与用法：将上述药材研为细末，每次服用三钱，加水一盏，加入生姜十片，共同煎煮至八分量，滤去药渣，温服，不拘泥于特定时间。如果病情严重，加大黄、朴硝各二两。
（主治脾风证。出自《素问·玉机真藏论》）
脾风传变至肾，又名为疝气，小腹部疼痛，排出白色液体，这种病症称为蛊。《左传》中说：“因迷惑而丧失志气，称为蛊”，这指的是真精不能固守。
使用大建中汤来主治：治疗蛊病，小腹部拘急疼痛，大小便失禁并遗精，排尿时流出白色液体。
药材组成：黄芪、远志（去心）、当归、泽泻（各三两）、芍药、人参、龙骨、甘草（炙，各一两）。
制法与用法：将上述药材研为细末，每次服用三钱，加水一盏，加入生姜五片，煎煮至八分量，滤去药渣，温服，不拘泥于特定时间。
(Indicated for Kidney Excess Syndrome. Originating from "Su Wen: Ping Ren Qi Xiang Lun")
When the Winter pulse is excessive, appearing slow and choppy, it indicates Kidney Excess (Shi), where essence fails to circulate properly. Jie (a disease pattern characterized by alternating chills and fever), Yi (likely a textual variant or duplication referring to the aforementioned condition), belongs to patterns resembling alternating chills and fever.
Li Shen Tang (Benefit Kidney Decoction) is indicated: It treats Jie syndrome with abnormal pulsation of the Spring pulse, accompanied by Qi pain, Qi deficiency and fatigue, and reluctance to speak. This arises from an excess of Kidney Yuan Qi (Primordial Qi).
Ingredients: Alisma Rhizoma (Zexie), Rehmanniae Radix Preparata (Sheng Dihuang), Poria Cocos with Red Bark (Chi Fuling, peeled, 1.5 liang each); Areca Seed (Binglang); Ophiopogonis Radix (Maidong, pith removed); Bupleuri Radix (Chaihu); Aurantii Fructus Immaturus (Zhike, bran-fried, albedo removed); Achyranthis Bidentatae Radix (Niuxi, radix removed, soaked in wine, 1 liang each).
Preparation and Administration: Grind the above ingredients into powder. Take 3 qian per dose, add 1.5 zhan of water, decoct until 0.7 zhan remains, strain, and take warm. Administer at any time.
(Indicated for Stomach Heat Syndrome. Originating from "Su Wen: Ping Ren Qi Xiang Lun")
Feeling hungry immediately after eating is due to Stomach Heat digesting food rapidly; the Yangming pulse terminates (indicating pathological stagnation or end-stage meridian qi dynamics); Heart Fire moves upward, causing aversion and irritability in the heart, yellowing of the body, and dark, scanty, painful urination.
Jiajian Fuling Tang (Modified Poria Decoction) is indicated: It treats Wei Dan (Stomach Jaundice) with accumulated heat, immediate hunger after eating, sallow and emaciated complexion, chest fullness, hypochondriac distension, and dark red, painful urination.
Ingredients: Poria Cocos with Red Bark (Chi Fuling); Citrus Reticulatae Pericarpium (Chenpi, white pith removed); Alisma Rhizoma (Zexie); Morus Albae Cortex (Sangbaipi, chopped, 3 liang each); Paeoniae Radix Rubra (Chi Shaoyao); Atractylodis Macrocephalae Rhizoma (Baizhu, 4 liang each); Ginseng Radix et Rhizoma (Renshen); Cinnamomi Cortex (Guangui, 2 liang each); Gypsum Fibrosum (Shigao, 8 liang); Pinelliae Rhizoma Preparatum (Banxia, 6 liang, washed with decoction, processed with fresh ginger, dried).
Preparation and Administration: Grind the above ingredients into powder. Take 3 qian per dose, add 1 zhan of water and 10 slices of fresh ginger, decoct together until 0.8 zhan remains, strain, and take warm. Administer at any time. If the condition is severe, add Rheum Palmatum (Dahuang) and Natrii Sulfas (Puxiao), 2 liang each.
(Indicated for Spleen Wind Syndrome. Originating from "Su Wen: Yu Ji Zhen Zang Lun")
Spleen Wind transmitting to the Kidney is also known as Shan Qi (Hernia Qi), characterized by lower abdominal pain and discharge of white fluid, termed Gu (Gu Disease). The "Zuo Zhuan" states: "Confusion leads to loss of will, termed Gu," which refers to the failure of True Essence to remain secure.
Da Jianzhong Tang (Greatly Reconstruct Middle Decoction) is indicated: It treats Gu disease, characterized by urgent lower abdominal pain, incontinence of urine and feces with seminal emission, and discharge of white fluid during urination.
Ingredients: Astragali Membranacei Radix (Huangqi); Polygalae Radix (Yuanzhi, pith removed); Angelica Sinensis Radix (Danggui); Alisma Rhizoma (Zexie, 3 liang each); Paeoniae Radix (Shaoyao); Ginseng Radix et Rhizoma (Renshen); Os Draconis (Longgu); Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried, 1 liang each).
Preparation and Administration: Grind the above ingredients into powder. Take 3 qian per dose, add 1 zhan of water and 5 slices of fresh ginger, decoct until 0.8 zhan remains, strain, and take warm. Administer at any time.