升麻 陈皮（去白） 柴胡 草豆蔻 当归（各一钱） 黄 （四分） 甘草 柏皮（各
五分）
半夏（姜制） 人参（各三分） 神曲（一钱五分）
清气在下，浊气在上，令人胸膈饱胀，大便溏泄者，此方主之。
上件病由于饮食伤其脾气，不能升清降浊故耳。是方也，升、柴辛温升其清，清升则阳
气顺矣。柏皮苦寒降其浊，浊降则阴气顺矣。人参、黄 、当归、甘草补其虚，补虚则正气
顺矣。半夏、陈皮利其膈，膈利则痰气顺矣。豆蔻、神曲消其食，食消则谷气顺矣。故曰升
阳顺气。
羌活 独活 防风 柴胡 白术 茯苓 泽泻 黄 人参 半夏 陈皮 黄连 甘草
白芍药
湿淫于内，体重节痛，口干无味，大便不调，小便频数，饮食不消，洒淅恶寒，面色不
乐者，此方主之。
湿淫于内者，脾土虚弱不能制湿，而湿内生也。湿流百节，故令体重节痛；脾胃虚衰，
不能运化精微，故令口干无味。中气既弱，则传化失宜，故令大便不调，小便频数，而饮食
不消也。洒淅恶寒者，湿邪胜也，湿为阴邪，故令恶寒。面色不乐者，阳气不伸也。是方也，
半夏、白术能燥湿。茯苓、泽泻能渗湿。羌活、独活、防风、柴胡能升举清阳之气，而搜百
节之湿。黄连苦而燥，可用之以疗湿热。陈皮辛而温，可用之以平胃气，乃人参、黄 、甘
草，用之以益胃。而白芍药之酸收，用之以和荣气，而协羌、防、柴、独辛散之性耳。仲景
于桂枝汤中用芍药，亦是和荣之意。古人用辛散，必用酸收，所以防其峻厉，犹兵家之节制
也
升麻、陈皮（去除白色内皮）、柴胡、草豆蔻、当归（各一钱）、黄芪（四分）、甘草、黄柏（各五分）
半夏（用生姜炮制）、人参（各三分）、神曲（一钱五分）
清气位于下部，浊气位于上部，导致胸部和膈肌部位胀满，大便稀溏泄泻的病症，此方主治。
上述病症是由于饮食损伤了脾气，导致不能提升清气、下降浊气所致。这个方剂中，升麻、柴胡味辛性温，能提升清气，清气上升则阳气顺遂。黄柏味苦性寒，能下降浊气，浊气下降则阴气顺遂。人参、黄芪、当归、甘草补益虚损，补益虚损则正气顺遂。半夏、陈皮疏通胸膈，胸膈通畅则痰气顺遂。草豆蔻、神曲消食导滞，食物消化则谷气顺遂。因此称为“升阳顺气”。
羌活、独活、防风、柴胡、白术、茯苓、泽泻、黄芪、人参、半夏、陈皮、黄连、甘草、白芍药
湿气在体内过度泛滥，出现身体沉重、关节疼痛，口干燥且味觉减退，大便不调，小便频数，饮食不消化，战栗恶寒，面色不佳的病症，此方主治。
湿气在体内过度泛滥，是因为脾土虚弱不能制约湿气，导致湿气内生。湿气流注于全身关节，所以导致身体沉重、关节疼痛；脾胃虚弱衰退，不能运化水谷精微，所以导致口干燥、味觉减退。中气既然虚弱，则传导消化功能失常，所以导致大便不调、小便频数、饮食不消化。战栗恶寒，是因为湿邪强盛，湿属于阴邪，所以导致恶寒。面色不佳，是因为阳气不能舒展伸张。这个方剂中，半夏、白术能够燥湿。茯苓、泽泻能够渗利湿气。羌活、独活、防风、柴胡能够升举清阳之气，并搜剔百节中的湿气。黄连味苦而燥，可以用来治疗湿热。陈皮味辛而温，可以用来平调胃气，以及人参、黄芪、甘草，用来补益胃气。而白芍药的酸收之性，用来调和营气，并协调羌活、防风、柴胡、独活等药物的辛散特性。张仲景在桂枝汤中使用芍药，也是调和营气的意图。古人使用辛散药物时，必定配合酸收药物，以此来防止药性过于猛烈峻厉，就像兵法中的节制约束一样。
Shengma (Rhizoma Cimicifugae), Chenpi (Pericarpium Citri Reticulatae, with the white pith removed), Chaihu (Radix Bupleuri), Caodoukou (Fructus Tsaoko), Danggui (Radix Angelicae Sinensis) [each 1 qian]; Huangqi (Radix Astragali Membranacei) [0.4 qian]; Gancao (Radix Glycyrrhizae uralensis), Huangbai (Cortex Phellodendri Amurensis) [each 0.5 qian]
Banxia (Rhizoma Pinelliae Ternatae, processed with fresh ginger juice), Ren Shen (Radix Ginseng) [each 0.3 qian]; Shenqu (Massa Medicata Fermentata) [1.5 qian]
When clear Qi descends to the lower part and turbid Qi ascends to the upper part, it causes fullness and distension in the chest and diaphragm, along with loose stools or diarrhea. This formula is indicated for such conditions.
The aforementioned pathology arises from dietary injury to the Spleen Qi, resulting in the failure to ascend the clear and descend the turbid. In this formula, Shengma and Chaihu are acrid and warm, ascending the clear Qi; when clear Qi ascends, the Yang Qi becomes smooth. Huangbai is bitter and cold, descending the turbid Qi; when turbid Qi descends, the Yin Qi becomes smooth. Ren Shen, Huangqi, Danggui, and Gancao tonify deficiency; tonifying deficiency ensures the Smoothness of Righteous Qi (Zheng Qi). Banxia and Chenpi facilitate the Diaphragm; facilitating the Diaphragm ensures the Smoothness of Phlegm-Qi. Caodoukou and Shenqu digest food; digesting food ensures the Smoothness of Grain Qi. Hence, it is named "Ascending Yang and Promoting Qi Smoothness."
Qianghuo (Rhizoma et Radix Notopterygii), Duhuo (Radix Angelicae Pubescentis), Fangfeng (Radix Saposhnikoviae), Chaihu (Radix Bupleuri), Baizhu (Rhizoma Atractylodis Macrocephalae), Fuling (Poria), Zexie (Rhizoma Alismatis Orientale), Huangqi (Radix Astragali Membranacei), Ren Shen (Radix Ginseng), Banxia (Rhizoma Pinelliae Ternatae), Chenpi (Pericarpium Citri Reticulatae), Huanglian (Rhizoma Coptidis), Gancao (Radix Glycyrrhizae uralensis), Baishaoyao (Radix Paeoniae Lactiflorae)
When Dampness excessively invades internally, presenting with heaviness of the body and pain in the joints, dry mouth with loss of taste, irregular bowel movements, frequent urination, indigestion, shivering aversion to cold, and an unhappy complexion, this formula is indicated.
Excessive internal Dampness occurs because the Spleen Earth is weak and fails to control Dampness, leading to endogenous Dampness generation. When Dampness flows through the hundred joints, it causes bodily heaviness and joint pain; due to the weakness and decline of the Spleen and Stomach, which fail to transport and transform essential substances (Jingwei), it causes dry mouth and loss of taste. Since the Middle Qi is weak, transmission and transformation become disordered, causing irregular bowel movements, frequent urination, and indigestion. Shivering aversion to cold indicates that Dampness pathogen is dominant; as Dampness is a Yin pathogen, it causes aversion to cold. An unhappy complexion indicates that Yang Qi cannot extend. In this formula, Banxia and Baizhu can dry Dampness. Fuling and Zexie can leach out Dampness. Qianghuo, Duhuo, Fangfeng, and Chaihu can raise and lift the Clear Yang Qi and search out Dampness in the hundred joints. Huanglian is bitter and drying, suitable for treating Damp-Heat. Chenpi is acrid and warm, suitable for regulating Stomach Qi. Ren Shen, Huangqi, and Gancao are used to benefit the Stomach. The sour and astringent nature of Baishaoyao is used to harmonize Ying Qi (Nutritive Qi) and coordinate the acrid-dispersing properties of Qianghuo, Fangfeng, Chaihu, and Duhuo. Zhang Zhongjing used Shaoyao in Guizhi Tang (Cinnamon Twig Decoction) also for the purpose of harmonizing Ying Qi. In ancient times, when using acrid-dispersing herbs, sour-astringent herbs were invariably employed to prevent their harshness and severity, analogous to military discipline and restraint.