主治胁下偏痛，发热，其脉紧弦，此寒也，以温药下之。
大黄（二两） 附子（二枚，炮） 细辛（二两）
上三味，以水五升，煮取二升，分温三服。若强人取二升半，分三服。服后如人行四五
里
喻嘉言曰∶仲景治伤寒热邪痞聚心下，而挟阳虚阴盛之症，用附子泻心汤之法矣。其杂
症胁
后世
者，
讵知
张路玉曰∶三承气汤，为寒下之柔剂；白散、备急丸，为热下之刚剂；附子泻心汤、大
黄附
之热
结，
芩、
胁下
（《金匮》）
治中风痱，身体不能自收持，口不能言，冒昧不知痛处，或拘急不得转侧。
麻黄 桂枝 石膏 干姜 杏仁（四十枚） 川芎 当归 人参 甘草（各三两）
上九味，以水一斗，煮取四升，温服一升。当小汗，薄覆脊，凭几坐，汗出则愈，不汗
更服
赵以德曰∶痱病者，营卫气血不养于内外，故身体不用，机关不利，精神不治。然是症
有虚
实者
其营
风痹
（
治太阳症备，身体强KT KT ，然脉反沉迟，此为痉。此汤主之。
栝蒌根（二两） 桂枝（三两） 芍药（三两） 甘草（二两） 生姜（三两） 大枣
（十
二枚）
上六味，以水九升，煮取三升，分温三服，取微汗。汗不出，食顷，须啜热粥发之。
喻嘉言曰∶伤寒方中，治项背KT KT ，用桂枝加葛根汤矣。彼之汗出恶风，其邪在
表，
而此之太阳症，罔不具备，其邪之亦在于表可知也。但以脉之沉迟，知其在表之邪，为内湿
所持而不解，即系湿热二邪交合，不当从风寒之表法起见，故不用葛根之发汗解肌，改用栝
蒌之味苦入阴，擅生津彻热之长者为君，合之桂枝和营卫养筋脉，而治其痉，乃变表法为和
法也。
主治胁下偏侧疼痛，伴有发热，脉象紧弦，这是寒邪所致，应用温性药物进行攻下治疗。
大黄（二两） 附子（二枚，炮制） 细辛（二两）
以上三味药，用水五升，煮取药液二升，分三次温服。如果是体质强壮的人，可取二升半，分三次服用。服药后大约经过行走四五里的时间（药效发作）。
喻嘉言说：张仲景治疗伤寒热邪痞结于心下，同时夹杂阳虚阴盛的病症，使用了附子泻心汤的方法。至于杂病中……（原文此处有缺漏或错乱，仅翻译可见部分）……后世……难道知道……
张路玉说：三承气汤，是寒下法的柔剂；白散、备急丸，是热下法的刚剂；附子泻心汤、大黄附子汤……（原文此处有缺漏或错乱，仅翻译可见部分）……之热结……芩……胁下……
（《金匮要略》）
治疗中风痱病，身体不能自主控制，口不能说话，神志昏蒙不知疼痛部位，或者拘急不能翻身转侧。
麻黄 桂枝 石膏 干姜 杏仁（四十枚） 川芎 当归 人参 甘草（各三两）
以上九味药，用水一斗，煮取药液四升，每次温服一升。应当微微出汗，背部覆盖薄被，靠着几案坐定，汗出则病愈，若未出汗则继续服用。
赵以德说：痱病患者，营卫气血不能滋养内外，所以身体不能使用，关节机关不利，精神不能安宁。然而此症有虚实之分……其营……风痹……（原文此处有缺漏或错乱，仅翻译可见部分）
治疗太阳病证候具备，身体强直僵硬（KT KT 为古籍异体字或刻印不清，指强直），但脉象反而沉迟，这是痉病。此汤主治。
栝蒌根（二两） 桂枝（三两） 芍药（三两） 甘草（二两） 生姜（三两） 大枣（十二枚）
以上六味药，用水九升，煮取药液三升，分三次温服，以取得微汗。如果不出汗，过一会儿，需喝热粥以助发汗。
喻嘉言说：在伤寒方中，治疗项背强直僵硬，使用了桂枝加葛根汤。那种汗出恶风的情况，邪气在表，而此处的太阳病，证候无不具备，可知邪气也在表。但因为脉象沉迟，可知在表的邪气被内湿所束缚而不能解除，即是湿热二邪交合，不应当从风寒表证的方法考虑，所以不用葛根的发表解肌功效，改用栝蒌根味苦入阴，擅长生津彻热的长处作为君药，配合桂枝调和营卫、滋养筋脉，从而治疗痉病，这是将解表法变为和法。
Indications: Unilateral pain in the hypochondrium, accompanied by fever, with a tight and string-taut pulse (Jin Xian Mai). This is caused by Cold; it should be treated with warm purgatives.
Da Huang (Rhei Radix et Rhizoma, 2 liang) | Fu Zi (Aconiti Lateralis Radix Praeparata, 2 pieces, processed) | Xi Xin (Asari Radix et Rhizoma, 2 liang)
The above three herbs are boiled in five sheng of water to obtain two sheng of decoction, which is divided into three warm doses. For robust individuals, take two and a half sheng, divided into three doses. The effect manifests after walking for approximately four or five li.
Yu Jiayan stated: Zhang Zhongjing treated cases where heat pathogenic factors caused palpitations/stuffiness in the epigastrium, complicated by symptoms of Yang deficiency and Yin excess, using the method of Fuzi Xie Xin Tang (Aconite Decoction to Drain the Epigastrium). Regarding miscellaneous diseases... [Text fragment] ...later generations... how could they know...
Zhang Luyu stated: San Cheng Qi Tangs (Three Formulas to Order the Qi) are soft agents for cold purgation; Bai San (White Powder) and Bei Ji Wan (Emergency Pill) are hard agents for hot purgation; Fuzi Xie Xin Tang... [Text fragment] ...heat accumulation... Qin... hypochondrium...
(Jin Gui Yao Lue / Essential Prescriptions from the Golden Cabinet)
Treats Feng Zhong Fei (Wind Stroke with Flaccidity), characterized by the inability to control the body voluntarily, inability to speak, mental confusion without awareness of pain locations, or stiffness preventing turning over.
Ma Huang (Ephedrae Herba) | Gui Zhi (Cinnamomi Ramulus) | Shi Gao (Gypsum Fibrosum) | Gan Jiang (Zingiberis Rhizoma) | Xing Ren (Armeniacae Semen Amarum, 40 pieces) | Chuan Xiong (Ligustici Chuanxiong Rhizoma) | Dang Gui (Angelicae Sinensis Radix) | Ren Shen (Ginseng Radix) | Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 3 liang)
The above nine herbs are boiled in ten dou of water to obtain four sheng of decoction. Take one sheng warm per dose. It should induce slight sweating. Cover the back lightly with a thin cloth, sit leaning against a table, and if sweat appears, the disease will heal. If no sweat occurs, administer again.
Zhao Yi-de stated: In patients with Fei Bing (Flaccidity Disease), Ying and Wei Qi and Blood fail to nourish the interior and exterior, resulting in immobility of the body, dysfunction of joints and mechanisms, and disordered spirit. However, this condition has distinctions between deficiency and excess... its Ying... Wind-Bi... [Text fragment]
Treats Tai Yang Syndrome (Tai Yang Bing) where all symptoms are present, including rigidity and stiffness of the body, yet the pulse is instead deep and slow (Chen Chi). This indicates Jing Disease (Spasm). This formula governs it.
Gua Lou Gen (Trichosanthis Radix, 2 liang) | Gui Zhi (Cinnamomi Ramulus, 3 liang) | Shao Yao (Paeoniae Radix Alba, 3 liang) | Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 liang) | Sheng Jiang (Zingiberis Rhizoma Recens, 3 liang) | Da Zao (Jujubae Fructus, 12 pieces)
The above six herbs are boiled in nine sheng of water to obtain three sheng of decoction, divided into three warm doses, aiming for slight sweating. If sweat does not occur, after a short while, drink hot congee to promote sweating.
Yu Jiayan stated: In formulas for Shang Han (Cold Damage), Gu Zhi Jia Ge Gen Tang (Decoction of Cinnamon Twig plus Kudzu Root) is used to treat rigidity of the neck and back. In cases with sweating and aversion to wind, the pathogen is at the exterior. In this case of Tai Yang Syndrome, all symptoms are present, indicating the pathogen is also at the exterior. However, due to the deep and slow pulse, it is known that the exterior pathogen is constrained by internal dampness and cannot resolve, representing an intermingling of Damp-Heat pathogens. Therefore, one should not approach it as a Wind-Cold exterior syndrome. Thus, Ge Gen (Kudzu Root) is not used for releasing the exterior and resolving muscle tension; instead, Gua Lou Gen (Trichosanthes Root) is chosen as the sovereign herb for its bitter taste entering the Yin, excelling in generating fluids and clearing heat. Combined with Gui Zhi to harmonize Ying and Wei and nourish sinews and vessels to treat spasm, this transforms the exterior-releasing method into a harmonizing method.