雄黄 白矾 槟榔（等分）
共为末，饭丸黍米大。每服五分，食远下。
腹中干痛有时者，虫痛也，此方主之。
干痛者，不吐不泻而但痛也。有时者，淡食而饥则病，浓味而饱则否也。《浮粟经》曰∶
腹
虫盛者，以吐、下、驱虫之剂加之，视人虚实可也。
宋徽庙常食冰，因致腹痛，国医进药俱不效，乃召泗州杨吉老脉之。吉老曰∶宜主理中
丸。上曰∶服之屡矣，不验。吉老曰∶所进汤使不同，陛下之疾，得之食冰，今臣以冰煎药，
此
以属也。自非吉老之良，乌能主此？
叙曰∶胁者，肝胆之区也。肝为尽阴，胆无别窍，怒之则气无所泄，郁之则火无所越，
故病证恒多。今考名方三首，示大观尔！
黄连（一味，茱萸汤润一宿，曝干为末作丸）
左胁作痛者，此方主之。
肝，东方木也。南面而立，则左为东矣，故左胁为肝之部位。所以痛者，木气实也。木
欲实，金当平之。以黄连泻去心火，使金无所畏，自足以平肝，故曰抑青。此古人实则泻其
子，治之以其所水胜也。
柴胡 黄芩 人参 甘草 半夏 生姜 大枣
两胁作痛者，此方主之。
少阳胆经行于两胁，故两胁作痛，责之少阳。是方也，柴胡味辛而气温，辛者金之味，
故足以平木，温者春之气，故足以入少阳。佐以黄芩，泻其实也。佐以半夏，破其滞也。而
必用夫人参、甘草者，恐木病传脾，而先实其土也。用夫生姜、大枣者，调其营卫，不令经
气壅滞也。
雄黄、白矾、槟榔（三味药等量）
共同研磨成粉末，用米饭制成如黍米大小的丸剂。每次服用五分，在饭后较长时间服用。
腹部出现阵发性干痛的症状，是虫痛，此方主治。
所谓“干痛”，是指不呕吐、不腹泻而仅仅疼痛。所谓“有时”，是指吃清淡食物且饥饿时发病，吃浓味食物且饱腹时则不发病。《浮粟经》说：
如果体内虫邪旺盛，可以加入催吐、泻下或驱虫的药物，根据患者体质的虚实情况来调整。
宋徽宗常食用冰品，因此导致腹痛，宫廷御医进献的药物均无效，于是召见泗州人杨吉老诊脉。杨吉老说：“应当以理中丸为主治。”皇帝说：“我已经多次服用了，没有见效。”杨吉老说：“之前进服的汤剂辅料不同。陛下的病是因为吃了冰，现在臣用冰来煎药，这是同类相求的道理。如果不是杨吉老的医术高明，谁能想到这个办法呢？”
序言说：胁部，是肝胆所在的区域。肝为至阴之脏，胆没有单独的窍道，发怒则气机无处宣泄，郁结则火邪无处发散，所以病症往往很多。现在考证三个名方，以此展示其大致风貌！
黄连（单味药，用吴茱萸汤浸泡一夜，晒干后研末制丸）
左侧胁部疼痛的，此方主治。
肝，属于东方木行。面向南方站立，则左边即为东方，所以左胁是肝的部位。之所以疼痛，是因为木气过实。木气想要过实，金气应当制约它。用黄连泻去心火，使金气无所畏惧，自然足以平抑肝木，所以称为“抑青”。这是古人遵循“实则泻其子”的原则，用其所不胜（水克火，此处指通过泻心火以助肺金平肝木，原文逻辑稍显复杂，通常理解为泻心火以保肺金，或直接利用黄连苦寒坚阴/泻火之意，此处依原文直译：治之以其所不胜/水胜也，原文可能有误或特指某种五行生克变通，按字面意译：治疗用它所克制的属性/水胜也，注：原文“水胜”疑为笔误或特定理论，通常金克木，此处解释为泻心火（子）以平肝（母），即实则泻其子；后半句“治之以其所水胜也”语意不通，通常应为“治之以其所不胜”即金克木，或者结合前文“金当平之”，意指利用金的属性。鉴于要求忠实原文，保留原意结构）。
柴胡、黄芩、人参、甘草、半夏、生姜、大枣
两侧胁部疼痛的，此方主治。
少阳胆经循行于两胁，所以两胁疼痛，责任归于少阳。这个方剂中，柴胡味辛而性温，辛是金的口味，所以足以平抑木气；温是春季的气化特征，所以足以进入少阳经。辅以黄芩，是为了泻除其实热。辅以半夏，是为了破除气机的滞涩。而必须用人参、甘草的原因，是担心肝病传变到脾，所以先充实脾土。使用生姜、大枣的原因，是为了调和营卫，不让经络之气壅滞。
Realgar, Borneolum Syntheticum (Bofan), and Areca Seed (Betel Nut) are used in equal proportions.
They are ground together into a powder and formed into pills the size of millet seeds using rice paste. Each dose is 0.5 fen (approx. 1.875g or 3g depending on historical standard, here kept as 'fen'), taken long after meals.
Intermittent dry pain in the abdomen indicates worm pain; this formula treats it.
"Dry pain" refers to pain without vomiting or diarrhea. "Intermittent" means symptoms occur when eating light food and feeling hungry, but do not occur when eating rich/flavorful food and feeling full. The *Fusu Jing* states:
If worms are abundant, emetic, purgative, or vermifuge agents may be added, adjusted according to the patient's deficiency or excess condition.
Emperor Huizong of Song frequently consumed ice, which led to abdominal pain. The imperial physicians' prescribed medicines were ineffective. He then summoned Yang Jilao from Sizhou for pulse diagnosis. Yang Jilao said, "The Lizhong Wan (Regulate the Middle Pill) should be the primary treatment." The Emperor replied, "I have taken it many times with no effect." Yang Jilao said, "The vehicles (solvents/excipients) used in previous decoctions were different. Your Majesty's illness resulted from consuming ice. Now, I use ice to decoct the medicine. This follows the principle of treating like with like. If not for Yang Jilao's superior skill, who could have devised this?"
Preface: The hypochondriac region is the area of the Liver and Gallbladder. The Liver is the extreme Yin organ, and the Gallbladder has no separate orifice. Anger causes Qi to have no outlet to vent, and stagnation causes Fire to have no path to escape. Therefore, pathological manifestations are often numerous. Here, three famous formulas are examined to show their general principles.
Coptis Rhizome (Coptidis Rhizoma) (Single ingredient, soaked overnight in Evodia Decoction [Wuzhuyu Tang], dried, and ground into powder for pill formation)
Pain in the left hypochondrium is treated by this formula.
The Liver corresponds to Wood in the East. Standing facing South, the left side is East; thus, the left hypochondrium is the location of the Liver. Pain occurs because Wood Qi is excessive. For Wood to become excessive, Metal must regulate it. Coptis Rhizome clears Heart Fire, so that Metal is unafraid and naturally sufficient to subdue Liver Wood; hence it is called "Yiqing" (Suppressing Green). This follows the ancient principle of "draining the son when the mother is excess," treating it with its conquering element (Metal conquers Wood; note: original text mentions "water conquers," which contradicts standard Wu Xing theory regarding Metal/Wood, but translates literally as treating with what water conquers, likely a textual error in source or specific theoretical nuance, translated faithfully).
Bupleuri Radix (Chaihu), Scutellariae Radix (Huangqin), Ginseng Radix et Rhizoma (Renshen), Glycyrrhizae Radix et Rhizoma (Gancao), Pinelliae Tuber (Banxia), Zingiberis Rhizoma Recens (Shengjiang), and Jujubae Fructus (Dazao)
Pain in both hypochondria is treated by this formula.
Shaoyang Gallbladder Meridian runs through both hypochondria; therefore, pain in both sides is attributed to Shaoyang. In this formula, Chaihu is acrid and warm. Acridity is the flavor of Metal, thus sufficient to subdue Wood; warmth is the Qi of Spring, thus sufficient to enter the Shaoyang channel. Huangqin assists by draining excess heat. Banxia assists by breaking stagnation. Ginseng and Gancao are essential because one fears Liver disease transmitting to the Spleen, so the Earth is first fortified. Shengjiang and Dazao are used to harmonize Ying and Wei, preventing stagnation of meridian Qi.