治表解有汗, 里热不除, 胃因不和, 而不作解者.
大黄 ( 酒洗 ) 四两 甘草 ( 炙 ) 二两 芒硝半斤, 右三味, 以水
三升, 先煮二味, 取一升, 去滓; 纳芒硝, 微煮令沸, 稍稍温服之.
【注】三承气汤之立名, 而曰大者, 制大其服, 欲急下其邪也; 小者
,制小其服, 欲缓下其邪也. 曰调胃者, 则有调和承顺胃气之义, 非
若大, 小专攻下也. 经曰: 热淫于内, 治以咸寒; 火淫于内, 治以苦
寒. 君大黄之苦寒, 臣芒硝之咸寒, 二味并举, 攻热泻火之力备矣.
更佐甘草之缓, 调停于大黄, 芒硝之间, 又稍稍温服之, 使其力不峻
,则不能速下而和也.
治津液不足, 肠胃干燥, 大便不通.
朱砂 ( 研如飞面 ) 五钱 芦荟 ( 研细, 生用 ) 七钱 滴好酒少许
,和丸. 每服一钱二分, 好酒下.
【集注】柯琴曰: 胃为后天之本, 不及固病, 太过亦病. 然太过复有
阳盛阴虚之别焉. 两阳合明而胃家实, 仲景制三承气汤以下之; 三阳
燥结而津液亡, 前贤又制更衣丸以润之. 古人入厕必更衣, 故以此命
名也. 朱砂以汞为体, 性寒重坠下达, 芦荟以液为质, 味苦膏润下滋
.兼以大寒大苦之性味, 能润燥结, 从上导下而胃关开矣. 合以为丸
,两者相须, 得效最宏, 奏功甚捷, 诚匪夷所思矣.
治疗表证已解、有汗出，但里热未除，胃气不和，导致病情未能缓解的情况。
大黄（用酒清洗）四两 甘草（蜜炙）二两 芒硝半斤，以上三味药，用水三升，先煎煮前两种药，取汁一升，滤去药渣；加入芒硝，微火煮沸，分次温服。
【注释】三首承气汤命名中称为“大”的，是因为制剂剂量大，想要急下以祛除邪气；称为“小”的，是因为制剂剂量小，想要缓下以祛除邪气。称为“调胃”，则含有调和并顺承胃气的意思，不像大、小承气汤那样专门用于攻下。经文说：热邪盛于体内，用咸寒之品治疗；火邪盛于体内，用苦寒之品治疗。方中以大黄的苦寒为君药，芒硝的咸寒为臣药，两药并用，攻热泻火的功效完备了。再佐以甘草的缓和之性，在大黄和芒硝之间起到调和作用，再加上分次温服的方法，使药力不峻猛，从而能迅速通便并使身体调和。
治疗津液不足，肠胃干燥，大便不通畅的情况。
朱砂（研磨如细粉状）五钱 芦荟（研磨细，生用）七钱 滴入少许优质白酒，混合制成丸剂。每次服用一钱二分，用优质白酒送服。
【集注】柯琴说：胃是后天之本，功能不及会生病，太过也会生病。然而太过又有阳盛阴虚的区别。两阳合明而导致胃家实，张仲景制定三首承气汤来攻下；三阳经燥结而津液耗亡，前代医家又制定更衣丸来滋润。古人上厕所必须更换衣服，所以以此命名。朱砂以汞为主体，性质寒凉沉重，向下通达；芦荟以液体为质地，味道苦且膏润，向下滋润。兼具大寒大苦的性质和味道，能够润燥通便，从上引导至下，使胃关开启。两者合用制成丸剂，相互辅助，疗效最为宏大，见效极快，确实令人难以置信。
Treats conditions where the exterior syndrome has resolved with sweating, yet interior heat remains unremoved, stomach qi is disharmonious, and the condition fails to resolve.
Dahuang (Rhei Radix et Rhizoma) four liang, Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) two liang, Mangxiao (Natrii Sulfas) half jin. The above three ingredients: use three sheng of water, first decoct the first two ingredients, obtain one sheng of liquid, remove dregs; add Mangxiao, boil slightly until boiling, take in small doses while warm.
[Note] Regarding the naming of the three Chengqi Decoctions: those named "Da" (Major) have larger dosages, intending to urgently purge pathogens; those named "Xiao" (Minor) have smaller dosages, intending to gently purge pathogens. "Tiaowei" (Regulate Stomach) implies harmonizing and smoothing Stomach qi, unlike Da and Xiao Chengqi Tang which are specifically for purgation. The Classic states: "When heat floods within, treat with salty-cold substances; when fire floods within, treat with bitter-cold substances." Dahuang's bitter-cold nature serves as the Sovereign herb, Mangxiao's salty-cold nature as the Minister herb. Using both together fully provides the power to attack heat and drain fire. Furthermore, Gancao's moderating nature acts as an assistant, mediating between Dahuang and Mangxiao. Taking it in small doses while warm ensures the potency is not too harsh, thereby achieving rapid purgation and harmony.
Treats conditions of insufficient body fluids, dryness of the intestines and stomach, and constipation.
Zhusha (Cinnabar, ground into fine powder) five qian, Lvhui (Aloe Arborescens Folium, ground finely, used raw) seven qian. Add a few drops of good wine, mix to form pills. Take one qian two fen per dose, washed down with good wine.
[Collected Notes] Ke Qin stated: The Stomach is the foundation of the post-heaven existence. Insufficiency causes disease, and excess also causes disease. However, excess differs between Yang excess and Yin deficiency. When two Yangs combine to clarify and lead to Shijia Shi (Excess in the Stomach and Intestines), Zhang Zhongjing formulated the three Chengqi Decoctions to purge it. When the Three Yang channels suffer from dryness and binding with loss of body fluids, ancient experts formulated Gengyi Wan (Changing Clothes Pill) to moisten it. Ancients had to change clothes before entering the toilet, hence the name. Zhusha (Cinnabar), having Mercury as its substance, is cold, heavy, and descending; Lvhui (Aloe), having fluid as its quality, is bitter and moistening, nourishing downwards. Combining their great cold and great bitter properties, they can moisten dryness and bind, guiding from above to below, opening the Stomach gate. Formed into pills together, they assist each other, yielding the greatest efficacy and very rapid results, truly beyond imagination.