（脉二首 方三首 灸法一首）
胃实热
右手关上脉阳实者，足阳明经也。病苦头痛（《脉经》作腹中坚痛而热），汗不出如温疟，
唇口干，善哕，乳痈，缺盆腋下肿痛，名曰胃实热也。
栀子仁 射干 升麻 茯苓（各二两） 芍药（四两） 白术（五两） 赤蜜 生地汁
（各一
升）
上八味 咀，以水七升，煮取一升半，去滓，下地黄汁，煮两沸，次下蜜，煮取三升
，分三服，老少以意加减。
胃中热病，灸三里三十壮，穴在膝下三寸。
胃虚冷
右手关上脉阳虚者，足阳明经也。病苦胫寒不得卧，恶风寒洒洒，目急，腹痛虚鸣（《外
台》作耳虚鸣），时寒时热，唇口干，面目浮肿，名曰胃虚冷也。
治少气口苦，身体无泽方。
柏子仁 防风 细辛 桂心 橘皮（各二两） 川芎 吴茱萸 人参（各三两） 甘草
（一
两）
上九味 咀，以水一斗，煮取三升，分为三服。
补胃虚寒，身枯绝，诸骨节皆痛方。
人参 甘草 细辛（各六分） 麦冬 桂心 当归（各七分） 干姜（二两） 远志（一
两）
吴茱萸（二分） 川椒（三分）
上十味治，下筛，食后，温酒服方寸匕。
（论一首）
论曰∶喉咙者，脾胃之候也。（重十二两，长一尺二寸，广二寸。其层围十二重，应十
二时）。主通利水谷之道，往来神气。若脏热，喉则肿塞气不通，乌 膏主之（方见第六卷
中）。
若腑寒，喉则耿耿如物，常欲窒痒痹涎唾。母姜酒主之（方见第六卷中）。热则开之，寒则
通
之，不热不寒，根据脏调之。
胃实热证
右手关部脉象阳实者，属于足阳明胃经的病变。患者痛苦于头痛（《脉经》中记载为腹中坚硬疼痛且发热），无汗如同温疟病，嘴唇和口腔干燥，频繁呃逆，乳房痈肿，缺盆穴及腋下肿痛，这称为胃实热证。
栀子仁、射干、升麻、茯苓（各二两）、芍药（四两）、白术（五两）、赤蜜、生地黄汁（各一升）。
以上八味药，切碎，用水七升，煎煮至取汁一升半，滤去药渣，加入生地黄汁，再煮沸两次，随后加入蜂蜜，继续煎煮至取汁三升，分三次服用，老人和儿童根据具体情况酌情增减剂量。
对于胃中热病，可艾灸足三里穴三十壮，该穴位位于膝眼下三寸处。
胃虚冷证
右手关部脉象阳虚者，属于足阳明胃经的病变。患者痛苦于小腿寒冷无法安卧，怕风怕冷战栗，眼睛拘急不适，腹部疼痛且有虚性鸣响（《外台秘要》记载为耳中虚鸣），时而发冷时而发热，嘴唇和口腔干燥，面目浮肿，这称为胃虚冷证。
治疗少气、口苦、身体枯槁无光泽的方剂。
柏子仁、防风、细辛、桂心、橘皮（各二两）、川芎、吴茱萸、人参（各三两）、甘草（一两）。
以上九味药，切碎，用水一斗，煎煮至取汁三升，分三次服用。
补益胃虚寒、身体枯槁衰竭、全身骨节皆痛的方剂。
人参、甘草、细辛（各六分）、麦冬、桂心、当归（各七分）、干姜（二两）、远志（一两）、吴茱萸（二分）、川椒（三分）。
以上十味药处理后，过筛成粉，饭后用温酒送服一方寸匕。
（论述一篇）
论述说：喉咙是脾胃功能的外在征候。（喉咙重十二两，长一尺二寸，宽二寸。其结构有十二层环绕，对应一年十二个时辰）。它主要主管水谷通道的通畅，以及神气的往来运行。如果脏腑有热，喉咙就会肿胀堵塞，气息不通，可用乌膏治疗（方剂见第六卷中）。
如果腑脏有寒，喉咙就会感觉如有异物梗塞，经常想要窒息，伴有瘙痒、麻痹及涎唾增多。可用母姜酒治疗（方剂见第六卷中）。热证则用开泄法，寒证则用通散法，若不热不寒，则根据脏腑情况进行调理。
(Two sections on pulse diagnosis, three prescriptions, one section on moxibustion)
Stomach Excess-Heat Syndrome
When the yang aspect of the pulse at the right guan position is excess (full and forceful), it indicates a disease of the Foot-Yangming Meridian. The patient suffers from headache (recorded in *Mai Jing* as hardness and pain in the abdomen with heat), absence of sweating resembling warm malaria (Wen Nue), dryness of the lips and mouth, frequent hiccups (Yue), breast carbuncle (Ru Yong), swelling and pain in the clavicular fossa (Quepen) and axilla. This is named Stomach Excess-Heat Syndrome.
Zhi Zi Ren (Gardeniae Semen), She Gan (Belamcandae Rhizoma), Sheng Ma (Cimicifugae Rhizoma), Fu Ling (Poria), each 2 liang; Shao Yao (Paeoniae Radix Alba), 4 liang; Bai Zhu (Atractylodis Macrocephalae Rhizoma), 5 liang; Chi Mi (Red Honey), Sheng Di Huang Zhi (Fresh Rehmanniae Radix Juice), each 1 sheng.
The above eight ingredients are coarsely crushed. Boil with 7 sheng of water to obtain 1.5 sheng of decoction. Strain off the dregs, add the Fresh Rehmanniae Radix Juice, boil twice more, then add the honey, and boil until 3 sheng remains. Divide into three doses. Adjust dosage according to age and condition for adults and children.
For Heat Disease in the Stomach, moxa thirty zhu (cones) at Zusanli (ST36), located three cun below the knee.
Stomach Deficiency-Cold Syndrome
When the yang aspect of the pulse at the right guan position is deficient (empty and weak), it indicates a disease of the Foot-Yangming Meridian. The patient suffers from coldness in the calves preventing sleep, aversion to wind and cold with shivering, eye stiffness/tension, abdominal pain with hollow borborygmi (recorded in *Waitai Miyao* as hollow tinnitus in the ears), alternating chills and fever, dryness of the lips and mouth, edema of the face and eyes. This is named Stomach Deficiency-Cold Syndrome.
Prescription for treating shortness of breath, bitter taste in the mouth, and body lusterlessness.
Bai Zi Ren (Biota Seed), Fang Feng (Saposhnikoviae Radix), Xi Xin (Asari Radix et Rhizoma), Gui Xin (Cinnamomi Ramulus Cortex), Ju Pi (Citri Reticulatae Pericarpium), each 2 liang; Chuan Xiong (Ligusticum Chuanxiong Rhizoma), Wu Zhu Yu (Evodiae Fructus), Ren Shen (Ginseng Radix et Rhizoma), each 3 liang; Gan Cao (Glycyrrhizae Radix et Rhizoma), 1 liang.
The above nine ingredients are coarsely crushed. Boil with 1 dou of water to obtain 3 sheng of decoction. Divide into three doses.
Prescription for tonifying Stomach Deficiency-Cold, emaciation and exhaustion, and pain in all bone joints.
Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Xi Xin (Asari Radix et Rhizoma), each 6 fen; Mai Dong (Ophiopogonis Tuber), Gui Xin (Cinnamomi Ramulus Cortex), Dang Gui (Angelicae Sinensis Radix), each 7 fen; Gan Jiang (Zingiberis Rhizoma Recens), 2 liang; Yuan Zhi (Polygalae Radix), 1 liang; Wu Zhu Yu (Evodiae Fructus), 2 fen; Chuan Jiao (Zanthoxyli Pericarpium), 3 fen.
Process the above ten ingredients, sift into powder. Take one fang cun bi after meals, washed down with warm wine.
(One section on discussion)
Discussion states: The throat is the external indicator of the Spleen and Stomach. (It weighs 12 liang, is 1 chi 2 cun long, and 2 cun wide. Its circumference consists of twelve layers, corresponding to the twelve hours of the day). It primarily governs the smooth passage of water and food, and the circulation of Shen Qi (Spiritual Energy). If the Zang organs are hot, the throat will swell and obstruct, preventing Qi flow; this is treated with Wu Gao (Black Ointment) (see Prescription in Volume VI).
If the Fu organs are cold, the throat will feel as if something is stuck there, often causing a sensation of suffocation, itching, numbness, and excessive saliva/phlegm; this is treated with Mu Jiang Jiu (Mother Ginger Wine) (see Prescription in Volume VI). For heat conditions, use dispersing/opening methods; for cold conditions, use unblocking/warming methods. If neither hot nor cold, regulate according to the Zang organ status.