治少阴伤寒腹痛，小便不利，四肢沉重疼痛，自下利者，此为有水气，其人或咳或
呕，此汤主之；又治太阳病发汗，汗出不解，仍发热，心下悸，头眩，筋惕肉 ，振振欲擗
地者。
茯苓 芍药 生姜（各三两） 白术（二两） 附子（炮一枚） 水八升，煮取三升，
去滓，温服
治少阴病身体痛，手足寒，骨节痛，脉沉，口中和，背恶寒者。
附子（二枚生切） 人参（二两） 茯苓 芍药（各三两） 白术（四两） 水八升，
煮取三升，去
真武汤中用熟附，茯苓术芍生姜互。崇土扶阳泄水邪，少阴水逆阳虚故。（按∶肾之真
阳盛
芍
疼呕利四肢沉，（皆脾胃病，盖水反侮土故也。）悸眩（水气凌心） 惕（阳气欲亡）兼能顾。
（
又
惟附子生熟分两各异；其补阳镇阴之分岐，只在参、姜一味之转旋。于此等处，大宜着眼。
）但以人参易去姜，温散之功转温补。（真武汤用姜而不用参，是温散以逐水气。附子汤去
姜
一
（刘完素《素问病机气宜保命集》） 治虚寒水泻，冷汗脉微，甚则呕吐，此为
急病；夏暑暴泻亡阳亦宜。
附子 干姜 炙甘草 官桂（各五钱） 高良姜（二钱半） 半夏（二两）
为细末，每服三五钱，浆水二盏，煎至一盏，去滓热服。
河间浆水（散）治吐泻，脉微汗冷亡阳者。附姜夏草桂良姜，（此即四逆汤加官桂佐附
子，加
时为取
搅混，
暑湿热
月，不
治疗少阴伤寒引起的腹痛、小便不通畅、四肢沉重疼痛以及自发性腹泻的，这是体内有水气停留。患者可能伴有咳嗽或呕吐，此方主治；另外也治疗太阳病发汗后，汗出而病未解，仍然发热，心下悸动，头晕目眩，肌肉跳动，身体震颤想要倒地的情况。
茯苓、芍药、生姜（各三两），白术（二两），附子（炮制一枚）。用水八升，煮取三升，滤去药渣，温服。
治疗少阴病出现身体疼痛、手脚冰凉、骨节疼痛、脉象沉细、口中平和无燥热感、背部怕冷的情况。
附子（生用，切块，二枚），人参（二两），茯苓、芍药（各三两），白术（四两）。用水八升，煮取三升，滤去药渣……（原文此处中断）
真武汤中使用的是熟附子，茯苓、白术、芍药、生姜相互配合。旨在培补脾胃（崇土）、扶助阳气、泄除水邪，这是因为少阴病导致的水气上逆和阳气虚衰。（按语：肾中真阳旺盛……）
疼痛、呕吐、腹泻、四肢沉重，（这些都是脾胃病的表现，因为水气反侮脾土所致。）心悸、眩晕（是水气凌犯心脏），肌肉跳动（是阳气即将亡失的表现），同时也能够顾护正气。
（又注：只有附子的生用与熟用、剂量不同；其补阳与镇阴的区别，关键在于人参和生姜这一味药的转换运用。在这些细微之处，非常值得注意。）如果将人参替换掉生姜，功效就从温散转为温补。（真武汤使用生姜而不用人参，是为了温散以驱逐水气。附子汤去掉生姜……）
（刘完素《素问病机气宜保命集》）治疗虚寒引起的水样腹泻，冷汗淋漓，脉象微弱，甚至出现呕吐，这属于急症；夏季暑天暴泻导致亡阳的情况也适宜使用。
附子、干姜、炙甘草、官桂（各五钱），高良姜（二钱半），半夏（二两）。研成细末，每次服用三五钱，用浆水两盏，煎至一盏，滤去药渣，热服。
河间浆水散治疗呕吐腹泻，脉象微弱，出汗冰冷，亡阳的患者。方中包含附子、干姜、半夏、甘草、官桂、高良姜，（这就是四逆汤加上官桂辅助附子，加上……）当时为了取……搅拌混合，暑湿热……月，不……
Treats abdominal pain, difficulty in urination, heaviness and pain in the four limbs, and spontaneous diarrhea caused by Shaoyin cold damage (Shaoyin Cold Syndrome); this indicates the presence of water qi (fluid retention). The patient may also experience cough or vomiting; this decoction is indicated. It also treats cases where, after sweating therapy for Taiyang disease (Taiyang Syndrome), the sweat does not resolve the condition, fever persists, palpitations occur below the heart, dizziness arises, muscles twitch, and the body trembles as if about to fall to the ground.
Fuling (Poria), Shaoyao (White Peony Root), Shengjiang (Fresh Ginger) (each 3 liang), Baizhu (Atractylodes Macrocephala Rhizome) (2 liang), Fuzi (Prepared Aconite Lateralis Radix) (1 piece, prepared). Add 8 sheng of water, boil to obtain 3 sheng, remove the dregs, and take warm.
Treats Shaoyin disease manifesting as body pain, cold hands and feet, bone and joint pain, deep pulse, a neutral sensation in the mouth, and aversion to cold on the back.
Fuzi (Raw, sliced, 2 pieces), Renshen (Ginseng Radix et Rhizoma) (2 liang), Fuling (Poria), Shaoyao (White Peony Root) (each 3 liang), Baizhu (Atractylodes Macrocephala Rhizome) (4 liang). Add 8 sheng of water, boil to obtain 3 sheng, remove the dregs... (Text ends here)
Zhenwu Tang uses cooked Fuzi, with Fuling, Baizhu, Shaoyao, and Shengjiang interacting. Its purpose is to strengthen the spleen/stomach (Chongtu), support yang, and drain water pathogens, addressing the water counterflow and yang deficiency characteristic of Shaoyin disease. (Note: When the true yang of the kidney is abundant...)
Pain, vomiting, diarrhea, and heavy limbs (all are diseases of the spleen and stomach, as water overacts on earth). Palpitations and dizziness (water qi harassing the heart), muscle twitching (yang qi about to perish), while also being able to protect the righteous qi.
(Additional note: The difference lies only in whether Fuzi is used raw or cooked and its dosage; the distinction between tonifying yang and anchoring yin hinges solely on the rotation between Renshen and Shengjiang. Great attention should be paid to such details.) If Renshen replaces Shengjiang, the function shifts from warming and dispersing to warming and tonifying. (Zhenwu Tang uses Shengjiang but not Renshen, aiming to warm and disperse to drive out water qi. Fuzi Tang removes Shengjiang...)
(Liu Wansu's *Suwen Bingji Qi Yi Baoming Ji*) Treats watery diarrhea due to deficiency-cold, cold sweats, and faint pulse, even vomiting; this is an acute condition. It is also suitable for sudden diarrhea in summer heat leading to collapse of yang.
Fuzi (Aconite Lateralis Radix), Ganjiang (Dried Ginger Rhizome), Zhi Gancao (Prepared Licorice Root), Guigui (Cinnamon Twig), Gaoliangjiang (Galangal Rhizome) (each 5 qian), Banxia (Pinellia Tuber) (2 liang). Grind into fine powder. Take 3-5 qian per dose, with 2 zhan of Jiangshui (fermented grain water), boil to 1 zhan, remove dregs, and take hot.
Hejian Jiangshui San (Riverbank Fermented Water Powder) treats vomiting and diarrhea with faint pulse, cold sweating, and collapse of yang. The formula contains Fuzi, Ganjiang, Banxia, Gancao, Guigui, Gaoliangjiang (This is Sini Tang plus Guigui assisting Fuzi, plus...) at that time to take... stir and mix, summer heat dampness... month, not...