葛花解酲汤 治酒病呕逆，心烦，胸满不食，小便不利。
青皮（三分） 木香（五分） 橘红 人参 猪苓 茯苓（各一钱半） 神曲 泽泻 干姜 白术（各
二钱） 白蔻仁 砂仁 葛花（各五钱
上为极细末，每服三钱，白汤调服，但得微汗，则酒病去矣。
罗谦甫云∶“夫酒者，大热有毒，气味俱阳，乃无形之物也。若伤之，止当发散，使汗
出则愈，最妙法也。其次莫如利小便，二者乃上下分消其湿，何酒病之有。”今之治此者，
乃用酒 丸大热之剂下之，又用牵牛，大黄下之，是无形元气病，反伤有形阴血，乖误甚矣
。
五苓散（方见吐泻加减，详本论
理中汤 甘草干姜汤 小青龙汤（加减详本论） 桂附八味丸（见痰饮）
小建中汤（即桂枝汤倍芍药加饴糖） 桂苓甘术汤（见痰饮
黄 建中汤 治诸虚里急。
生白芍（四钱） 大枣（三枚） 炙甘草（一钱五分） 生姜 小桂枝 炙 （各二钱
水煎去滓，入饴糖四钱，烊服。气短胸满加生姜。腹满，去枣加伏苓，及疗肺气虚诸不
足，补气加半夏。
二加龙骨汤 治虚劳诸不足，男人失精，女人梦交及浮热汗出。
生白芍 生姜 生龙骨（各三钱） 生牡蛎（四钱，研） 炙草 白薇（各二钱，） 炮附子（一钱） 大
枣（四枚
水煎服。
复脉汤（一名炙甘草汤，见伤寒。
治诸虚不足，汗出而闷，脉结悸，行动如常，不出百日，危急者十一日死（此治血脉空竭
力乏。）用之所以利血，凡脉见结悸者，虽行动如常，不出百日必死，若复危急，不能行动，
则过十日必死。语极明白，从前解者多误。
喻嘉言曰∶“此仲景治伤寒脉结代，心动悸，邪少虚多之圣方也。《金匮》不载，以《
千金翼》常用此方治虚劳，则实可微信，是以得名为《千金方》也。虚劳之体，多有表热夹
其阴虚，所以本论汗出而闷，表之固非，即治其阴虚亦非，惟用此方，得汗而脉出热解，俾
其人快然，真圣法也。但虚劳之人，胃中津液素虚，匪伤寒暴病，邪少虚多之比。桂枝、生
姜分两之多，服之津液每随热势外越，津既外越，难以复收，多有淋漓沾濡一昼夜者，透此
一关，亟以本方去桂枝、生姜二味，三倍加入人参，随继其后，庶几津液复生，乃致荣卫盛
而诸虚复，岂小补哉。”
（孙男心典）按∶虚劳治法，舍建中别无生路，又有一种脾阳不亏，胃有燥火，当从时贤养
胃阴诸法。叶天士云∶“太阴湿土得阳始运，阳明阳土得阴自安，以脾喜刚燥，胃喜柔润也
。”愚于此法，又悟出无数法门，此下所列之方，俱宜深考。
叶氏养胃方 治胃虚少纳谷，土不生金，音低气馁。
麦冬 生扁豆 玉竹 甘草 桑叶 沙参
此方生谷芽、广陈皮、白大麦仁、石斛、乌梅俱可加入。燥极加甘蔗汁。
叶氏方 治阴虚盗汗，不用当归六黄汤，以其味苦，不宜于胃也。此方用酸甘化阴法（合
前加减大建中汤辛甘化阳法，可悟用药之妙。
人参 熟地 五味 炙草 湖莲 茯神
水煎服。
又方 《经》云∶“形不足者，温之以气；精不足者，补之以味。”纳谷如常，而肌肉
日消，当以血肉充养。
牛骨髓 羊骨髓 猪脊髓 湖莲 茯神 枸杞 当归 芡实
水煎服。
又方 治肉消脂涸，吸气喘促，欲咳不能出声，必锯按季胁，方稍有力，寐醒喉中干涸
直至胸脘，此五液俱竭，法在不治，援引人身膏脂，为继续之计。
鲜河车（按∶此味不可用） 人乳汁 真秋石 血余灰
阴虚阳浮，宜用介以潜阳之法。六味丸减丹、泽加秋石、龟胶、牡蛎、湖莲之属，如有
用海参胶、淡菜胶及燕窝之类，皆是此意。
（孙男心典）按∶虚极之候，非无情草木所能补。如肉削之极，必须诸髓及羊肉胶之类；阴
中之阴虚极，必须龟胶、人乳粉、牡蛎、秋石、麋茸之类；阴中之阳虚极，必须鹿角胶、鹿
茸、黄犬外肾之类。一隅三反。
黑地黄丸 治阳盛阴衰，脾胃不足，房室虚损形瘦无力，面多青黄而无常色，此补肾益
胃之剂也。
苍术（一斤，酒浸） 熟地（一斤） 五味子（半斤） 干姜（秋冬一两，夏五钱，春七钱）
上为末，枣肉炼丸，梧子大，用米汤送下百丸，治血虚久痔甚妙，（此治血脱，脾寒之圣
葛花解酲汤：治疗饮酒过度引起的呕吐逆气、心烦意乱、胸中胀满不想进食、小便不通利。
配方组成：青皮（三分）、木香（五分）、橘红、人参、猪苓、茯苓（各一钱半）、神曲、泽泻、干姜、白术（各二钱）、白蔻仁、砂仁、葛花（各五钱）。
制法与用法：将上述药材研成极细的粉末，每次服用三钱，用温开水调服。只要微微出汗，酒病即可痊愈。
罗谦甫说：“酒这种物质，大热且有毒，气味都属于阳，是无形质的东西。如果伤了酒，只应当用发散的方法，使汗出则病愈，这是最妙的方法。其次不如通利小便，这两种方法分别是从上、下两路分消体内的湿气，哪里还会有酒病呢？”现在治疗这类疾病的人，却使用大热的药丸来攻下，又用牵牛子、大黄来攻下，这是无形的元气之病，反而损伤了有形的阴血，错误非常严重。
五苓散（方剂见《吐泻加减》，详见本论）
通脉四逆汤（见《伤寒》相关章节）
术附汤（见自汗相关章节）
归脾汤（见症冲加减，详见本论）
当归龙荟丸（见胁痛相关章节）
却邪汤（方剂见本论）
痧症（治法详见本论）
理中汤、附子汤、炙甘草汤（均见《伤寒》相关章节）
理中汤、甘草干姜汤、小青龙汤（加减法详见本论）
桂附八味丸（见痰饮相关章节）
小建中汤（即桂枝汤加倍芍药并加入饴糖）
桂苓甘术汤（见痰饮相关章节）
黄芪建中汤：治疗各种虚损导致的里急后重感。
配方组成：生白芍（四钱）、大枣（三枚）、炙甘草（一钱五分）、生姜、小桂枝、炙黄芪（各二钱）。
制法与用法：用水煎煮，去渣滓，加入饴糖四钱，烊化后服用。如果气短胸满，加生姜；如果腹满，去掉大枣，加入茯苓，以及治疗肺气虚的各种不足症状；补气可加入半夏。
二加龙骨汤：治疗虚劳导致的各种不足，男子遗精，女子梦交以及虚热汗出。
配方组成：生白芍、生姜、生龙骨（各三钱）、生牡蛎（四钱，研碎）、炙甘草、白薇（各二钱）、炮附子（一钱）、大枣（四枚）。
制法与用法：用水煎服。
复脉汤（又名炙甘草汤，见《伤寒》相关章节）。
治疗各种虚损不足，出汗而胸闷，脉搏结代且心悸，行动如常者，不出百日必死；危急者，十一日死（此乃治疗血脉空竭、体力乏力的方剂）。使用此方可以利于血液运行。凡是脉搏出现结代悸动者，虽然行动如常，不出百日必死；如果更加危急，不能行动，则超过十日必死。语意极其明白，从前解释的人大多有误。
喻嘉言说：“这是张仲景治疗伤寒脉结代、心动悸，邪气少而正气虚多的圣方。《金匮要略》未收录，因为《千金翼方》常用此方治疗虚劳，所以确实值得相信，因此得名《千金方》。虚劳体质的人，多有表热夹杂阴虚，所以本论中提到出汗而胸闷，发汗固然不对，即使治疗其阴虚也不对，只有用此方，得汗后脉搏复出、热解，使人感到舒适，真是圣法啊。但是虚劳之人，胃中津液素来虚弱，并非伤寒暴病那种邪少虚多的情况。桂枝、生姜分量较多，服用后津液往往随着热势向外发散，津液既已外越，难以收回，多有淋漓湿透一昼夜的情况。度过这一关后，亟需在本方中去掉桂枝、生姜两味药，三倍加入人参，紧随其后，这样津液才能再生，从而使营卫旺盛，各种虚损恢复，这难道是小补吗？”
（孙男心典）按语：治疗虚劳的方法，除了建中汤别无生路，但还有一种情况是脾阳不亏，胃中有燥火，应当遵循当代贤人养胃阴的各种方法。叶天士说：“太阴湿土得到阳气才开始运化，阳明阳土得到阴气自然安宁，因为脾喜欢刚燥，胃喜欢柔润。”我对此法，又悟出了无数法门，下面所列的方剂，都应当深入考察。
叶氏养胃方：治疗胃虚导致食欲减退，土不生金，声音低微、气息衰弱。
配方组成：麦冬、生扁豆、玉竹、甘草、桑叶、沙参。
此方还可以加入生谷芽、广陈皮、白大麦仁、石斛、乌梅。极度干燥的加入甘蔗汁。
叶氏方：治疗阴虚盗汗，不用当归六黄汤，因为其味道苦，不适合胃部。此方采用酸甘化阴法（结合前面加减大建中汤的辛甘化阳法，可以领悟用药的奥妙）。
配方组成：人参、熟地黄、五味子、炙甘草、湖莲、茯神。
制法与用法：用水煎服。
又一方：《内经》说：“形体不足的，用气来温养；精髓不足的，用味来补益。”饮食如常，但肌肉日渐消瘦，应当以血肉有情之品来充养。
配方组成：牛骨髓、羊骨髓、猪脊髓、湖莲、茯神、枸杞、当归、芡实。
制法与用法：用水煎服。
又一方：治疗肌肉消瘦、脂肪枯竭，吸气喘促，想咳嗽却发不出声音，必须用手按压季胁部，才稍微有力，睡醒后喉咙干枯直到胸脘部，这是五脏津液都枯竭了，属于无法治疗的病症，引用人身膏脂作为延续生命的计策。
鲜河车（按：此味不可用）、人乳汁、真秋石、血余灰。
阴虚阳浮，宜用介类潜阳的方法。六味丸减去丹皮、泽泻，加入秋石、龟胶、牡蛎、湖莲等属此类。如果有使用海参胶、淡菜胶及燕窝之类的，都是这个意思。
（孙男心典）按语：极度虚弱的状况，不是无情的草木所能补益的。如肌肉消瘦到极点，必须用各种骨髓及羊肉胶之类；阴中之阴虚到极点，必须用龟胶、人乳粉、牡蛎、秋石、麋茸之类；阴中之阳虚到极点，必须用鹿角胶、鹿茸、黄犬外肾之类。举一反三。
黑地黄丸：治疗阳盛阴衰，脾胃不足，房事过度导致的虚损、形体消瘦无力，面色多呈青黄而无常态，这是补肾益胃的药剂。
配方组成：苍术（一斤，酒浸）、熟地黄（一斤）、五味子（半斤）、干姜（秋冬一两，夏季五钱，春季七钱）。
制法与用法：研成粉末，用枣肉炼制成丸，如梧桐子大小，用米汤送服一百丸，治疗血虚久患痔疮非常巧妙（此方治疗血脱、脾寒是圣方……
Ge Hua Jie Cheng Tang (Kudzu Flower Decoction to Relieve Intoxication): Treats alcohol-induced vomiting and regurgitation, mental restlessness, chest fullness with loss of appetite, and difficulty in urination.
Ingredients: Qingpi (Exocarpium Citri Reticulatae, 3 fen), Muxiang (Aucklandiae Radix, 5 fen), Juhong (Pericarpium Citri Reticulatae Rubrum), Renshen (Ginseng Radix et Rhizoma), Zhuling (Polyporus, 1.5 qian each), Fuling (Poria, 1.5 qian each), Shenqu (Massa Medicata Fermentata, 2 qian each), Zexie (Alismatis Rhizoma, 2 qian each), Ganjiang (Zingiberis Rhizoma, 2 qian each), Baizhu (Atractylodis Macrocephalae Rhizoma, 2 qian each), Baikouren (Amomi Fructus Rotundus, 5 qian each), Sharen (Amomi Fructus, 5 qian each), Ge Hua (Flos Puerariae, 5 qian).
Preparation and Administration: Grind the above ingredients into an extremely fine powder. Take 3 qian per dose, mixed with warm water. Once a slight sweat is achieved, the alcohol disease will be cured.
Luo Qianfu stated: "Alcohol is excessively hot and toxic; its aroma and flavor are purely Yang, constituting a formless substance. If injured by alcohol, one should only employ dispersing methods to induce sweating for cure, which is the most excellent approach. Alternatively, promoting diuresis is the next best option. These two methods eliminate dampness from the upper and lower pathways respectively, leaving no room for alcohol disease." However, contemporary practitioners treat this condition by using excessively hot pills to purge downwards, or employing Qiuniu (Semina Koelreuteriae) and Dahuang (Rhei Radix et Rhizoma) to purge. This treats a disease of formless Yuan Qi but instead damages formless Yin Blood, which is a grave error.
Wu Ling San (Five-Ingredient Powder with Poria; formula see "Modifications for Vomiting and Diarrhea", detailed in this treatise)
Tong Mai Si Ni Tang (Decoction to Restore Pulse and Revive Yang; see "Shanghan")
Shu Fu Tang (Atractylodes and Aconite Decoction; see "Spontaneous Sweating")
Gui Pi Tang (Restore the Spleen Decoction; see "Symptoms of Chong and Ren Imbalance", detailed in this treatise)
Danggui Longhui Wan (Angelica and Gardenia Pill; see "Hypochondriac Pain")
Que Xie Tang (Expel Evil Decoction; formula see this treatise)
Sha Zheng (Sand Disease; treatment methods detailed in this treatise)
Li Zhong Tang (Regulate the Middle Decoction), Fuzi Tang (Aconite Decoction), Zhi Gancao Tang (Honey-Fried Licorice Decoction) (all see "Shanghan")
Li Zhong Tang (Regulate the Middle Decoction), Gancao Ganjiang Tang (Licorice and Dried Ginger Decoction), Xiao Qinglong Tang (Minor Blue Dragon Decoction) (modifications detailed in this treatise)
Gui Fu Ba Wei Wan (Cinnamon Twig and Aconite Eight-Ingredient Pill; see "Phlegm-Fluid Retention")
Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) (i.e., Guizhi Tang with doubled Shaoyao and added Yitang)
Guiling Gan Zhu Tang (Cinnamon Twig, Poria, Licorice, and Atractylodes Decoction; see "Phlegm-Fluid Retention")
Huangqi Jianzhong Tang (Astragalus and Construct the Middle Decoction): Treats various deficiencies presenting with interior urgency.
Ingredients: Sheng Baishao (Raw Paeoniae Radix Alba, 4 qian), Dazao (Jujubae Fructus, 3 pieces), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma, 1.5 qian), Shengjiang (Zingiberis Rhizoma Recens), Xiaoguizhi (Minor Cinnamon Twig), Zhi Huangqi (Honey-fried Astragali Radix) (each 2 qian).
Preparation and Administration: Decoct in water, remove dregs, add 4 qian of Yitang (Maltose), and melt before ingestion. For shortness of breath and chest fullness, add Shengjiang. For abdominal fullness, remove Dazao and add Fuling. To treat insufficiencies due to Lung Qi deficiency, add Banxia (Pinelliae Rhizoma) for tonifying Qi.
Er Jia Longgu Tang (Two-Shells and Dragon Bone Decoction): Treats various insufficiencies arising from Xu Lao (Consumptive Disease), seminal emission in men, nocturnal emissions/dream intercourse in women, and floating heat with sweating.
Ingredients: Sheng Baishao (Raw Paeoniae Radix Alba), Shengjiang (Zingiberis Rhizoma Recens), Sheng Longgu (Os Draconis) (each 3 qian), Sheng Muli (Concha Ostreae, 4 qian, crushed), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Baiwei (Celtidis Radix) (each 2 qian), Pao Fuzi (Processed Aconiti Lateralis Radix Praeparata, 1 qian), Dazao (Jujubae Fructus, 4 pieces).
Preparation and Administration: Decoct in water and take orally.
Fu Mai Tang (Pulse-Restoring Decoction) (also known as Zhi Gancao Tang, see "Shanghan").
Treats various deficiencies, sweating accompanied by oppression, knotted and intermittent pulse with palpitations. If the patient's movement is normal, death will occur within 100 days; if critical, death occurs in 11 days (this treats empty and exhausted blood vessels and lack of strength). Using this formula benefits the blood. Whenever a knotted and intermittent pulse is observed, even if the patient moves normally, death will occur within 100 days. If more critical and unable to move, death will occur within 10 days. The meaning is extremely clear; previous interpreters were mostly mistaken.
Yu Jiayan said: "This is Zhang Zhongjing's sacred formula for treating Shanghan with knotted/intermittent pulse and palpitations, where pathogenic factors are few and deficiency is predominant. It is not recorded in *Jingui Yaolue*, but since *Qianjin Yi* frequently uses this formula to treat Xu Lao, it is indeed credible, hence its association with *Qianjin Fang*. Patients with Xu Lao constitution often have exterior heat mixed with Yin deficiency. Therefore, in this treatise, sweating with oppression means that releasing the exterior is incorrect, and even treating Yin deficiency alone is incorrect. Only by using this formula can one achieve sweating, pulse recovery, and heat resolution, bringing comfort to the person—truly a sacred method. However, patients with Xu Lao have inherently deficient Stomach fluids, unlike the acute Shanghan where pathogens are few and deficiency is predominant. The large doses of Guizhi (Cinnamomi Ramulus) and Shengjiang cause fluids to scatter outward with the heat. Once fluids scatter outward, they are hard to recover, often resulting in profuse sweating lasting a day and night. After passing this hurdle, one must urgently modify this formula by removing Guizhi and Shengjiang, adding three times the amount of Renshen (Ginseng Radix et Rhizoma) subsequently. This way, fluids regenerate, Ying and Wei become abundant, and various deficiencies are restored. Is this not a significant benefit?"
(Sun Nan Xindian) Commentary: For treating Xu Lao, apart from Jianzhong formulas, there is no other way out. However, there is another type where Spleen Yang is not deficient, but the Stomach has dry fire; one should follow contemporary experts' methods for nourishing Stomach Yin. Ye Tianshi said: "Taiyin Wet Earth begins to transport upon receiving Yang; Yangming Dry Earth becomes tranquil upon receiving Yin, because the Spleen prefers rigid dryness, while the Stomach prefers soft moistening." From this method, I have realized countless approaches. The formulas listed below should be studied deeply.
Ye Shi Yangwei Fang (Ye's Stomach-Nourishing Formula): Treats Stomach deficiency leading to poor appetite, Earth failing to generate Metal, low voice, and weak Qi.
Ingredients: Maidong (Ophiopogonis Radix), Sheng Biandou (Raw Dolichos Lablab Semen), Yuzhu (Polygonati Odorati Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Sangye (Mori Folium), Shashen (Glehniae Radix).
This formula may also include Sheng Guya (Sprouted Setaria Italica Semen), Guang Chenpi (Exocarpium Citri Reticulatae), Bai Damai Ren (White Hordei Semen), Shihu (Dendrobii Caulis), and Wumei (Fructus Mume). For extreme dryness, add Ganshe Zhi (Saccharum Sinense Juice).
Ye Shi Fang (Ye's Formula): Treats Yin deficiency with night sweats. Do not use Danggui Liuhuang Tang (Angelica and Rehmannia Pill) because its bitter taste is unsuitable for the Stomach. This formula employs the Sour-Sweet method to transform Yin (combined with the Pungent-Sweet method to transform Yang from the previously mentioned modified Da Jianzhong Tang, one can comprehend the subtlety of medication).
Ingredients: Renshen (Ginseng Radix et Rhizoma), Shudi (Rehmanniae Radix Preparata), Wuwei Zi (Schisandrae Fructus), Zhi Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Hulian (Nelumbinis Plumula), Fushen (Poria cum Radix).
Preparation and Administration: Decoct in water and take orally.
Another Formula: The *Classic* states: "For those with insufficient form, warm with Qi; for those with insufficient essence, tonify with Flavor." If food intake is normal but muscles waste away daily, one should use animal products (flesh and blood) to nourish.
Ingredients: Niu Suisui (Bovine Marrow), Yang Suisui (Ovine Marrow), Zhu Suisui (Porcine Marrow), Hulian (Nelumbinis Plumula), Fushen (Poria cum Radix), Gouqi (Lycii Fructus), Danggui (Angelicae Sinensis Radix), Qishi (Euryales Semen).
Preparation and Administration: Decoct in water and take orally.
Another Formula: Treats muscle wasting and fat depletion, rapid inhalation with panting, inability to cough or produce sound, requiring pressing on the hypochondrium for slight strength, and throat dryness extending to the chest and epigastrium upon waking. This indicates exhaustion of the Five Fluids, a condition deemed untreatable. One resorts to human body fats and marrows as a last resort.
Xian Heche (Fresh Placenta Humanus) (Note: This ingredient should not be used), Ren Ru Zhi (Human Milk), Zhen Qiushi (Real Urine Sediment), Xueyu Hui (Calcinated Hair Ash).
For Yin deficiency with floating Yang, the method of using shellfish/minerals to subdue Yang is appropriate. Liuwei Wan (Six-Ingredient Pill) minus Danpi (Moutan Cortex) and Zexie (Alismatis Rhizoma), plus Qiushi (Urine Sediment), Guijiao (Colla Corii Corii), Muli (Concha Ostreae), Hulian (Nelumbinis Plumula), etc., fall into this category. Using Haishen Jiao (Collus Holothuriae), Dancai Jiao (Collus Mytili), and Yanwo (Swallow's Nest) follows this same principle.
(Sun Nan Xindian) Commentary: In cases of extreme deficiency, formless herbs cannot provide tonification. For extreme muscle wasting, various marrow and Lamb Colla are necessary. For extreme Yin deficiency within Yin, Turtle Colla, Human Milk Powder, Oyster Shell, Urine Sediment, and Cervus Elaphus Antler Powder are necessary. For extreme Yang deficiency within Yin, Deer Antler Colla, Cervus Elaphus Antler, and Canis Lupus Familiaris Testis are necessary. Apply this reasoning analogously.
Hei Di Huang Wan (Black Earth and Rehmannia Pill): Treats excessive Yang and deficient Yin, Spleen and Stomach insufficiency, sexual excess leading to emaciation and weakness, and complexion that is often greenish-yellow without fixed color. This is a formula for tonifying Kidney and benefiting Stomach.
Ingredients: Cangzhu (Atractylodis Rhizoma, 1 jin, soaked in wine), Shudi (Rehmanniae Radix Preparata, 1 jin), Wuweizi (Schisandrae Fructus, 0.5 jin), Ganjiang (Zingiberis Rhizoma, 1 liang in autumn/winter, 5 qian in summer, 7 qian in spring).
Preparation and Administration: Grind into powder, refine with Jujube flesh to make pills the size of Wutong seeds. Take 100 pills with Rice Decoction. It is excellent for treating chronic hemorrhoids due to Blood deficiency (this is a sacred formula for treating Blood loss and Spleen Cold...