有一种遇粗工攻伐过当。胃阴大伤者。浓煎六味饮与之。虚热者。合生脉散。中气虚者。六君
理中建中补中益气选用。
有一种不便而不食者。粗工必主便则邪去而膈清。才能思食。我独曰不然。必须养胃以助正
。助正以去邪。如养未到。邪不即去。不食不妨也。
心烦不安。身痛如束。或足冷耳聋。或咳或呕。乃是发 之候。升麻葛根汤。（脉弱者可加人参。
食少大便不实者。倍用白术。）血热者。犀角地黄汤。俱可入酒芩连桔梗连翘元参薄荷叶天花粉
之类。热甚者。（口干舌燥。黄胎。）合白虎汤。以 尽为度。脉伏心烦。谓之欲 。烦止神静。
肌肤中无隐隐之状。始为 尽。 已出而口干脉洪者。竹叶石膏汤化之。或配凉药一二味。生地
丹皮之属。洪而无力。兼体虚烦渴。本方加人参麦冬知母。令汗出自愈。呕者。大半夏汤加减。
脉洪数有力。心下硬痛。口干而胎色渐黄黑色。乃燥矢为患也。大承气汤或大柴胡汤。看微甚而
下之。更衣舌润为愈。如未可下。有潮热烦渴者。且与小柴胡去半夏。合解毒。加栝蒌根主之。
或加大青亦佳。（大青味苦。大寒之物也。解心胸热毒。治伤寒发赤 烦痛。）有内伤元气不足
之症。误作外感。虚火游行于外。亦发 。第脉虚大。倦怠。懒于言动。自汗。为异耳。（因气
血虚。亦身痛心烦作热。若作有余治。立危。速进补中益气。熟睡热止为愈。）内伤发 者。胃
气极虚。一身之火。游行于外。宜补以降之。大建中汤。内有伏阴。或误服凉药。逼其虚阳浮散
于外。而为阴 。脉虽洪大。按之无力。或手足逆冷。过乎肘膝者。先用炮姜理中汤。以复其阳
。次随症治。
大半夏汤
治诸呕要药。
赤茯苓（臣） 半夏（制君） 陈皮（佐） 生姜（使）
大建中汤
黄 （君） 人参（臣） 当归（臣） 白芍（佐） 桂心（使） 黑附子（
制使） 甘草（佐） 半夏（佐） 生姜（引） 大枣（引）
有一种情况是遇到庸医攻伐过度，导致胃阴严重受损。此时应浓煎六味地黄饮给予患者。若伴有虚热症状，则配合生脉散使用；若中气虚弱，则在六君子汤、理中汤、建中汤、补中益气汤中酌情选用。
有一种情况是大便不通且不能进食。庸医必定主张通过通便来祛除邪气，使胸膈清爽，从而恢复食欲。我却认为并非如此。必须通过养胃来扶助正气，依靠正气来祛除邪气。如果胃气尚未调养到位，邪气就不会立即去除，此时不能进食也无妨。
有一种情况是大便不通但能进食。只要推陈出新，脾胃运化功能正常，自然能够通畅便利，无需担忧大便不通的问题。
出现心烦不安、身体疼痛如同被捆绑束缚，或者脚冷耳聋，或者咳嗽或呕吐，这是发疹（麻疹/斑疹）的征兆。可用升麻葛根汤治疗。（若脉象虚弱者可加入人参；若饮食减少、大便不成形者，加倍使用白术。）若属血热证，用犀角地黄汤。上述方剂均可加入酒制黄芩、黄连、桔梗、连翘、玄参、薄荷叶、天花粉等药物。若热势严重（表现为口干舌燥、舌苔发黄），则配合白虎汤使用，以疹点出尽为度。若脉象沉伏、心烦，称为欲发疹之候。待烦躁停止、神志安静，肌肤中没有隐隐约约的红点状皮疹时，才算是疹已出尽。疹已出尽而仍口干、脉象洪大者，用竹叶石膏汤加减治疗。也可配伍一两味凉药，如生地、丹皮之类。若脉象洪大但无力，兼有体虚、心烦、口渴，可在本方中加入人参、麦冬、知母，令其出汗后自愈。若有呕吐症状，用大半夏汤加减。若脉象洪数有力，心下硬痛，口干且舌苔颜色逐渐变为黄黑色，这是燥屎内结为患。可用大承气汤或大柴胡汤，根据病情轻重而下法治疗。排便后舌苔转润即为痊愈。如果尚不可用下法，而有潮热、烦渴症状者，暂用小柴胡汤去掉半夏，合解毒汤，加栝蒌根为主治。或者加大青叶也很好。（大青叶味苦，性大寒，能解心胸热毒，治疗伤寒引起的赤疹、烦痛。）若有内伤元气不足的病症，误当作外感治疗，虚火游行于体表，也会发出疹子。只是脉象虚大、倦怠、懒于言语动作、自汗，这是与之不同的地方。（因为气血虚弱，也会出现身痛、心烦、发热，若当作实证有余来治疗，立刻会有危险，应迅速进服补中益气汤，熟睡后热退即为痊愈。）内伤导致的发疹，胃气极虚，一身之火游行于体表，宜用补益法以降火。可用大建中汤。体内有潜伏的阴寒，或者误服凉药，逼迫虚阳浮散于体表，而形成阴疹。脉象虽然洪大，但按之无力，或者手足逆冷，超过肘膝关节者，先用炮姜理中汤以回复阳气，随后再随症治疗。
大半夏汤
治疗各种呕吐的要药。
赤茯苓（臣药） 半夏（君药，制） 陈皮（佐药） 生姜（使药）
大建中汤
黄芪（君药） 人参（臣药） 当归（臣药） 白芍（佐药） 桂心（使药） 黑附子（制使药） 甘草（佐药） 半夏（佐药） 生姜（引药） 大枣（引药）
There is a condition where inappropriate aggressive treatment by incompetent physicians causes severe damage to Stomach Yin. In such cases, a concentrated decoction of Liuwei Dihuang Yin (Six-Ingredient Rehmannia Decoction) should be administered. If deficiency heat is present, it should be combined with Shengmai San (Generate the Pulse Powder). If Middle Qi is deficient, one may select from Liujunzi Tang (Six-Gentlemen Decoction), Lizhong Tang (Regulate the Middle Decoction), Jianzhong Tang (Establish the Middle Decoction), or Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) as appropriate.
There is another condition characterized by constipation and an inability to eat. Incompetent physicians invariably advocate purging to eliminate pathogenic factors, thereby clearing the chest and diaphragm to restore appetite. I, however, argue otherwise. One must nourish the Stomach to support Healthy Qi (Zheng Qi), and support Healthy Qi to eliminate pathogens. If the Stomach has not yet been sufficiently nourished, pathogens will not be immediately expelled; thus, the inability to eat is not a concern at this stage.
There is a condition where there is constipation but the patient can still eat. As long as old waste is eliminated and new nutrients are generated, and the Granary (Spleen/Stomach transport function) is full and overflowing, bowel movements will naturally become smooth and unobstructed. There is no need to worry about constipation in this scenario.
If the patient experiences mental restlessness and irritability, body pain as if bound tightly, cold feet, deafness, cough, or vomiting, these are signs indicating the impending eruption of macules/papules (often referring to measles or similar exanthems). Shengma Gegen Tang (Cimicifuga and Pueraria Decoction) should be used. (If the pulse is weak, Ginseng may be added; if food intake is low and stools are loose, double the dosage of Atractylodis Rhizoma/Bai Zhu.) If the condition is due to Blood Heat, Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) is indicated. Both formulas can be modified with herbs such as Scutellariae Radix processed with wine (Huang Qin), Coptidis Rhizoma (Huang Lian), Platycodonis Radix (Jie Geng), Forsythiae Fructus (Lian Qiao), Scrophulariae Radix (Xuan Shen), Menthae Haplocalycis Herba (Bo He), and Trichosanthis Radix (Tian Hua Fen). If the heat is severe (manifesting as dry mouth, dry tongue, and yellow coating), combine with Baihu Tang (White Tiger Decoction). The treatment should continue until the rash has fully erupted. If the pulse is hidden/faint and there is irritability, this is termed "about to erupt." When the irritability ceases and the spirit becomes calm, and there are no longer any faintly visible rashes under the skin, it signifies that the eruption is complete. If after the eruption is complete, the patient still has a dry mouth and a flooding pulse, Zhuye Shigao Tang (Leaf of Bambusa and Gypsum Decoction) should be used for modification. Alternatively, one or two cooling herbs such as Rehmanniae Radix (Sheng Di) and Moutan Cortex (Dan Pi) may be added. If the pulse is flooding but forceless, accompanied by physical weakness, irritability, and thirst, add Ginseng, Ophiopogonis Radix (Mai Dong), and Anemarrhenae Rhizoma (Zhi Mu) to the base formula, allowing spontaneous sweating to lead to recovery. For those with vomiting, Banxia Houpo Tang or Banxia Tang (Pinellia Decoction) should be modified. If the pulse is flooding, rapid, and forceful, with hardness and pain in the epigastrium, dry mouth, and a tongue coating gradually turning yellow-black, this indicates pathology caused by dry fecal matter (dry stool). Da Chengqi Tang (Major Order the Qi Decoction) or Da Chaihu Tang (Major Bupleurum Decoction) should be used to purge, depending on the severity. Recovery is indicated when bowel movements occur and the tongue becomes moist. If purging is not yet indicated, but tidal fever and irritability/thirst are present, temporarily use Xiao Chaihu Tang (Minor Bupleurum Decoction) with Pinelliae Rhizoma (Ban Xia) removed, combined with Jiedu Tang (Detoxification Decoction), and add Trichosanthis Radix (Gua Lou Gen) as the main ingredient. Adding Qing Dai (Orpiment/Azurite) is also effective. (Qing Dai is bitter and extremely cold; it clears heat-toxin from the chest and heart and treats red rashes, irritability, and pain caused by Cold Damage.)
If there are symptoms of internal injury with insufficient Yuan Qi (Original Qi), mistakenly treated as an external contraction, floating deficiency fire may manifest externally, causing a rash-like eruption. However, the pulse will be deficient and large, accompanied by fatigue, reluctance to speak or move, and spontaneous sweating, which distinguishes it from exterior patterns. (Due to Qi and Blood deficiency, body pain, irritability, and fever may also occur. Treating this as an excess pattern will lead to immediate danger. Rapidly administer Buzhong Yiqi Tang; recovery occurs when the fever subsides during deep sleep.) In cases of internal injury causing eruptions, Stomach Qi is extremely deficient, and the fire of the whole body floats outward. It is appropriate to tonify to subdue the fire using Dajianzhong Tang (Great Establish the Middle Decoction). If latent Yin-cold exists internally, or if cooling medicines were mistakenly taken, forcing deficient Yang to float outward, resulting in a "Yin Rash," the pulse may appear flooding and large but feels forceless upon pressure. Or, there may be cold extremities extending beyond the elbows and knees. In such cases, first use Paoyang Jiang Lizhong Tang (Baked Ginger Regulate the Middle Decoction) to restore Yang, followed by symptomatic treatment.
Banxia Tang (Pinellia Decoction)
A key remedy for treating various types of vomiting.
Chi Fuling (Minister herb) - Red Polyporus
Banxia (Monarch herb, processed) - Pinelliae Rhizoma
Chenpi (Assistant herb) - Citri Reticulatae Pericarpium
Shengjiang (Envoy herb) - Zingiberis Rhizoma Recens
Dajianzhong Tang (Great Establish the Middle Decoction)
Huangqi (Monarch herb) - Astragali Radix
Renshen (Minister herb) - Ginseng Radix
Danggui (Minister herb) - Angelicae Sinensis Radix
Baishao (Assistant herb) - Paeoniae Radix Alba
Guixin (Envoy herb) - Cinnamomi Ramulus
Hei Fuzi (Processed Envoy herb) - Aconiti Lateralis Radix Preparata
Gancao (Assistant herb) - Glycyrrhizae Radix et Rhizoma
Banxia (Assistant herb) - Pinelliae Rhizoma
Shengjiang (Guide herb) - Zingiberis Rhizoma Recens
Dazao (Guide herb) - Jujubae Fructus