治阴虚内热，头痛，口渴，表热，自汗，不任风寒，脉洪大，心烦不安，四肢困倦，懒
于言
黄 人参 云术 炙甘草 陈皮 当归 升麻 柴胡
上八味，加生姜三片，大枣二枚，水煎，温服。
柯韵伯曰∶仲景有建中、理中二法。风木内干中气，用甘草、饴、枣培土以御风，姜、
桂、
而生
垣知
有余
温之品
汗；元
三味除
且以散诸
其本位，
品而气益
损其肺者
下者不宜
木香，
赵养葵曰∶后天脾土，非得先天之气不行。此气因劳而下陷于肾肝，清气不升，浊气不
降，
凡
方
陆丽京曰∶此为清阳下陷者言之，非为下虚而清阳不升者言之也。倘人之两尺虚微者，
或者
宜于
周慎斋曰∶下体痿弱，虚弱者不可用补中，必当以八味丸治之。凡内伤作泻，藏附子于
白术
治虚劳里急，悸，衄，腹中痛，梦失精，四肢酸疼，手足烦热，咽干口燥，诸不足。
黄 胶饴 白芍 甘草 桂枝 生姜 大枣
上七味，水煎服。
喻氏曰∶虚劳而至于亡血失精，津液枯槁，难为力矣。《内经》于针药所莫制者，调以
甘药
复其
贵立
令人
令建
之热
善为
又曰∶伤寒有小建中一法，治二三日心悸而烦，以其人中气馁弱，不能送邪外出，故用
饴糖
表虚
胸中
阴也
汤，
之后
惠先
《金
【补中益气汤】
主治阴虚内热，头痛，口渴，体表发热，自汗出，不能耐受风寒，脉象洪大，心烦不安，四肢困倦，懒于说话。
药物组成：黄芪、人参、白术（云术）、炙甘草、陈皮、当归、升麻、柴胡。
以上八味药，加生姜三片，大枣二枚，用水煎煮，温服。
柯韵伯说：张仲景有建中、理中两种治法。风木之气内扰中气，用甘草、饴糖、大枣培补脾土以抵御风邪，用干姜、桂枝等温热之品来……（原文此处有缺漏/错简，意指温中散寒）……元阳……三味药除去……并且以发散诸……其本位……药而气益……损伤肺者……下者不宜……木香……
赵养葵说：后天之脾土，如果没有先天之气的作用则无法运行。这种气因为劳累而下陷于肾肝，导致清气不升，浊气不降。
陆丽京说：这是针对清阳下陷的情况而言的，不是针对下焦虚损而清阳不升的情况而言的。如果人的两尺脉虚微者，或许……宜于……
周慎斋说：下体痿弱、虚弱的人不可使用补中益气汤，必须用八味丸治疗。凡是内伤导致的泄泻，将附子藏在白术……
【黄建中汤】（注：原文标题为黄建中汤，实指小建中汤类方，但依原文翻译）
主治虚劳引起的腹部拘急疼痛，心悸，鼻出血，腹中痛，梦中遗精，四肢酸痛，手足烦热，咽干口燥，各种不足之证。
药物组成：黄芪、胶饴、白芍、甘草、桂枝、生姜、大枣。
以上七味药，用水煎煮服用。
喻氏说：虚劳发展到亡血失精、津液枯槁的程度，就很难施治了。《内经》对于针灸和药物都无法控制的病症，用甘缓的药物来调理……恢复其……贵在建立……令人……令建立……之热……善于……
又说：伤寒有小建中这一种治法，治疗发病二三日出现的心悸而烦躁，因为病人中气气馁虚弱，不能将邪气送出体外，所以用饴糖……表虚……胸中……阴也……汤……之后……惠先……《金匮要略》……
[Buyi Yiqi Tang (Tonify the Middle and Augment the Qi Decoction)]
Indications: Yin deficiency with internal heat, headache, thirst, exterior heat, spontaneous sweating, intolerance to wind and cold, a flooding pulse, vexation and restlessness, fatigue of the four limbs, and reluctance to speak.
Ingredients: Huangqi (Astragali Radix), Renshen (Ginseng Radix), Yunzhu (Atractylodis Macrocephalae Rhizoma), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix).
The above eight herbs, plus three slices of Shengjiang (Zingiberis Rhizoma Recens) and two dates (Jujubae Fructus), are decocted in water and taken warm.
Ke Yunbo stated: Zhang Zhongjing had two methods: Jianzhong (Establish the Middle) and Lizhong (Warm the Middle). When Wind-Wood pathogen internally disturbs the Middle Qi, Gancao (Licorice Root), Yitang (Malt Sugar), and Zaoju (Jujube Fruit) are used to nourish Earth to resist Wind, while dried ginger and cinnamon twig... [text fragment] ... Yuan Yang (Primal Yang)... three flavors remove... and to disperse various... its original position... herbs and Qi increases... damaging Lung... lower ones should not... Muxiang (Costi Radix)...
Zhao Yangkui stated: The Spleen-Earth of the Post-Heaven cannot function without the Qi of the Pre-Heaven. This Qi sinks into the Kidney and Liver due to overexertion, causing Clear Yang to fail to ascend and Turbid Qi to fail to descend.
Lu Lijing stated: This refers to cases of sinking of Clear Yang, not to cases where Lower Deficiency causes Clear Yang to fail to ascend. If a person's Chi pulses at both wrists are deficient and minute, perhaps... suitable for...
Zhou Shenzhai stated: For weakness and flaccidity of the lower body, Buyi Yiqi Tang should not be used; Bawei Wan (Eight-Ingredient Pill) must be employed instead. For diarrhea caused by internal injury, Fuzi (Aconiti Lateralis Radix Praeparata) is hidden within Baizhu (Atractylodis Macrocephalae Rhizoma)...
[Huang Jianzhong Tang] (Note: Text title implies Yellow Establish-Middle Decoction, likely referring to Xiao Jianzhong Tang variants or specific modifications involving Huangqi)
Indications: Consumption disease with abdominal urgency and pain, palpitations, epistaxis, abdominal pain, nocturnal emission in dreams, soreness and pain of the four limbs, vexatious heat in the hands and feet, dry throat and mouth, and various deficiencies.
Ingredients: Huangqi (Astragali Radix), Jiaoyi (Malt Sugar), Baishao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), Guizhi (Cinnamomi Ramulus), Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus).
The above seven herbs are decocted in water and taken.
Yu stated: When consumption disease progresses to loss of blood and essence, with withered fluids, it is difficult to treat. The *Neijing* states that for conditions beyond the reach of acupuncture and herbs, sweet medicines should be used to regulate... restore its... importance lies in establishing... making people... let establish... heat... good at...
Also stated: In Shanghan (Cold Damage), there is the method of Xiao Jianzhong Tang, treating palpitations and vexation occurring in the second or third day, because the patient's Middle Qi is weak and unable to expel the pathogen outward, thus using malt sugar... Exterior deficiency... Chest center... Yin... Decoction... after... Hui Xian... *Jin Gui*...