栝蒌实一枚（捣） 薤白半斤 白酒七升
上三味，同煮，取二升，分温再服。
栝蒌实一枚（捣） 薤白三两 半夏半斤 白酒一斗
上四味，同煮，取四升，温服一升，日三服。
枳实四枚 浓朴四两 薤白半斤 桂枝一两 栝蒌实一枚（捣）
上五味，以水五升，先煮枳实、浓朴取二升，去滓，纳诸药，煮数沸，分温三服。
胸痹三方，皆用栝蒌实、薤白，按其治法却微分三焦。《内经》言∶淫气喘息，痹聚在
肺。
喘息
之气
和胃
无足
较
附子一枚（炮） 半夏半斤 甘草一两 大枣十枚 粳米半升
上五味，以水八升，煮米熟汤成，去滓，温服一升，日三服。
附子粳米汤，温胃通阳于肾之剂。本论云∶腹中寒气，雷鸣切痛，胸胁逆满，呕吐，是
邪高
也。治
可温经
也。
当归三两 生姜五两 羊肉一斤
上三味，以水八升，煮取三升，温服七合，日三服。若寒多者，加生姜成一斤；痛多而
呕者
寒疝为沉寒在下，由阴虚得之，阴虚则不得用辛热燥烈之药重劫其阴。故仲景另立一法，
以
入
气
甘遂大者三枚 半夏十二枚（以水一升，煮取半升，去滓） 芍药五枚 甘草如指大一
枚
（一本作无）
上四味，以水二升，煮取半升，去滓，以蜜半升，和药汁煎取八合，顿服之。
甘遂反甘草。反者，此欲下而彼欲上也。乃以白芍约之，白蜜润之，则虽反而甘遂仍得
下渗。《灵枢》有言∶约方约囊是也。甘遂、半夏逐留饮弥漫于肠胃之间，虽利而续坚满，
苟非以甘草、白蜜与甘遂大相反者激而行之，焉能去其留着之根。相反为方，全赖芍药酸可
胜甘，
栝蒌实一枚（捣碎） 薤白半斤 白酒七升
以上三味药，一起煎煮，取药液二升，分两次温服。
栝蒌实一枚（捣碎） 薤白三两 半夏半斤 白酒一斗
以上四味药，一起煎煮，取药液四升，每次温服一升，每日服用三次。
枳实四枚 厚朴四两 薤白半斤 桂枝一两 栝蒌实一枚（捣碎）
以上五味药，用水五升，先煎煮枳实、厚朴，取药液二升，去掉药渣，加入其余药物，再煮沸数分钟，分三次温服。
治疗胸痹的这三个方剂，都使用了栝蒌实和薤白，但根据治疗方法的不同，作用部位略微区分于上、中、下三焦。《黄帝内经》说：邪气淫溢导致喘息，痹证聚集在肺。
喘息之气与胃有关，没有足部症状的比较。
附子一枚（炮制） 半夏半斤 甘草一两 大枣十枚 粳米半升
以上五味药，用水八升，煮至米熟汤成，去掉药渣，温服一升，每日服用三次。
附子粳米汤，是温通肾阳以温暖胃气的方剂。本论中说：腹中有寒气，肠鸣如雷，剧烈疼痛，胸胁部胀满逆气，呕吐，这是邪气位置高所致。治疗可以温经散寒。
当归三两 生姜五两 羊肉一斤
以上三味药，用水八升，煮取药液三升，每次温服七合，每日服用三次。如果寒气重者，将生姜加至一斤；如果疼痛重且伴有呕吐者……
寒疝是由于下焦沉寒，由阴虚引起，阴虚则不能使用辛热燥烈的药物再次劫伤阴液。所以张仲景另立一种治法，以……入气分。
甘遂大者三枚 半夏十二枚（用水一升，煮取半升，去渣） 芍药五枚 甘草如手指大一枚
（另一版本作无甘草）
以上四味药，用水二升，煮取半升，去掉药渣，用蜂蜜半升，调和药汁煎取八合，一次性顿服。
甘遂与甘草相反。所谓相反，是指这里想要下行而那边想要上行。于是用白芍来约束它，用白蜜来滋润它，那么虽然两者相反，甘遂仍能向下渗透。《灵枢经》有言：约束方剂就像约束口袋一样。甘遂、半夏驱逐弥漫在肠胃之间的留饮，即使腹泻后仍然坚硬胀满，如果不是用与甘遂大相相反的甘草、白蜜来激发并推动它，怎么能去除其留着的病根。相反为方的配伍，全赖芍药的酸味可以制约甘味，
Gualou Shi (Trichosanthis Fructus) one piece (crushed), Xiebai (Allii Macrostemonis Bulbus) half a jin, Baijiu (White Wine) seven sheng.
The above three ingredients are boiled together to obtain two sheng of decoction, which is taken in two divided doses at a warm temperature.
Gualou Shi (Trichosanthis Fructus) one piece (crushed), Xiebai (Allii Macrostemonis Bulbus) three liang, Banxia (Pinelliae Rhizoma) half a jin, Baijiu (White Wine) one dou.
The above four ingredients are boiled together to obtain four sheng of decoction; one sheng is taken warm each time, three times a day.
Zhishi (Aurantii Fructus Immaturus) four pieces, Houpo (Magnoliae Officinalis Cortex) four liang, Xiebai (Allii Macrostemonis Bulbus) half a jin, Guizhi (Cinnamomi Ramulus) one liang, Gualou Shi (Trichosanthis Fructus) one piece (crushed).
The above five ingredients are treated with five sheng of water. First, Zhishi (Aurantii Fructus Immaturus) and Houpo (Magnoliae Officinalis Cortex) are boiled to obtain two sheng of decoction. The dregs are removed, and the remaining herbs are added. After boiling for a few more minutes, the decoction is divided into three warm doses.
These three formulas for treating Xiongbi (Chest Bi Syndrome / Chest Pain) all use Gualou Shi (Trichosanthis Fructus) and Xiebai (Allii Macrostemonis Bulbus). However, their therapeutic methods slightly differentiate among the Upper, Middle, and Lower Jiao (Sanjiao / Triple Burner). The *Neijing* (Inner Canon) states: "When pathogenic factors overflow causing panting, the Bi syndrome gathers in the Lung."
The qi of panting relates to the Stomach; there is no comparison regarding foot symptoms.
Fuzi (Aconiti Lateralis Radix Praeparata) one piece (processed), Banxia (Pinelliae Rhizoma) half a jin, Gancao (Glycyrrhizae Radix et Rhizoma) one liang, Dazao (Jujubae Fructus) ten pieces, Jingmi (Oryza Sativa) half a sheng.
The above five ingredients are treated with eight sheng of water. Boil until the rice is cooked and the decoction is ready. Remove the dregs and take one sheng warm, three times a day.
Fuzi Jingmi Tang (Aconite and Rice Decoction) is a formula that warms the Stomach and unblocks Yang through the Kidney. This treatise states: "Cold qi in the abdomen causes borborygmus like thunder, cutting pain, fullness and counterflow in the chest and hypochondrium, and vomiting. This is because the pathogen is high." Treatment can involve warming the meridians.
Danggui (Angelicae Sinensis Radix) three liang, Shengjiang (Zingiberis Rhizoma Recens) five liang, Yangrou (Mutton) one jin.
The above three ingredients are treated with eight sheng of water. Boil to obtain three sheng of decoction. Take seven ge warm each time, three times a day. If cold is severe, add Shengjiang (Zingiberis Rhizoma Recens) to make one jin; if pain is severe accompanied by vomiting...
Hanshan (Cold Spasm) is caused by deep cold in the lower jiao, resulting from Yin deficiency. In cases of Yin deficiency, acrid-hot and drying drugs should not be used to severely deplete Yin further. Therefore, Zhang Zhongjing established another method, entering the Qi level.
Gansui (Kansui Radix) three large pieces, Banxia (Pinelliae Rhizoma) twelve pieces (boiled in one sheng of water to obtain half a sheng, then filtered), Shaoyao (Paeoniae Radix Alba) five pieces, Gancao (Glycyrrhizae Radix et Rhizoma) one piece as thick as a finger.
(Another version omits Gancao).
The above four ingredients are treated with two sheng of water. Boil to obtain half a sheng, remove the dregs, mix with half a sheng of honey, and boil to obtain eight ge. Take in one dose.
Gansui (Kansui Radix) is incompatible with Gancao (Glycyrrhizae Radix et Rhizoma). "Incompatible" here means that while one aims to descend, the other aims to ascend. By using Baishao (White Peony Root) to constrain it and Baimi (White Honey) to moisten it, although they are incompatible, Gansui (Kansui Radix) can still penetrate downward. The *Lingshu* (Spiritual Pivot) says: "Constraining a formula is like constraining a bag." Gansui (Kansui Radix) and Banxia (Pinelliae Rhizoma) drive out retained fluid overflowing between the stomach and intestines. Even after purging, hardness and fullness persist. Unless stimulated and propelled by Gancao (Glycyrrhizae Radix et Rhizoma) and White Honey, which are greatly incompatible with Gansui (Kansui Radix), how can the root of the retained pathogen be removed? The formulation relying on incompatibility fully depends on the sour taste of Shaoyao (Paeoniae Radix) overcoming the sweet taste,