治心下有痰饮，胸胁支满，目眩，及伤寒吐下后，心下逆满，气上冲胸，起则
沉紧，发汗则动经，身为振振摇者。
茯苓（四两） 桂枝 白术（各三两） 甘草（二两炙） 水六升，煮取三升，分温三
服。苓桂术甘（汤）蠲饮剂，崇脾以利膀胱气。（膀胱气钝则水蓄，脾不行津液则饮聚。白
术、甘
胸胁
当以
当
则
曰∶“苓桂术甘汤主饮在阳，呼气之短；肾气丸主饮在阴，吸气之短。盖呼者出心肺，吸者
出肾肝。茯苓入手太阴，桂枝入手少阴，皆轻清之剂，治其阳也；地黄入足少阴，出萸入足
厥阴，皆重浊之剂，治其阴也。一证二方，岂无故哉！”）误汗动经身振摇，阳虚轻者斯能
御
意
（刘完素《宣明论方》） 治中暑受湿，引饮过多，头痛烦渴，湿热小便秘
茯苓 泽泻（各一两） 猪苓 白术 肉桂（各五钱） 滑石（四两） 甘草 石膏 寒
水石（各
（张子和《儒门事亲》） 治伏暑烦渴，渴欲饮水，水入则吐，脉虚者。
即河间方中去猪苓，减三石一半，加人参五钱，干葛一两，藿香五钱，木香一分。河间
桂苓甘露饮，五苓散加三石甘，（此即五苓散加滑石、石膏、寒水石、甘草。）中暑烦渴
秘，清热利湿所宜谙。（王晋三《古方选注》曰∶“消暑在于消湿去热，故用五苓去湿
解热。湿热既去，一若新秋甘露降而暑气潜消矣。”）三石减半猪苓去，加参葛藿木
此是子和（桂苓）甘露饮，脉虚水逆（水入则吐，名曰“水逆”。）服之堪。霍乱转筋烦
益虚去浊用无惭。（程扶生曰∶“吐泻亡津烦渴，法宜补脾胃，生津液，升清降浊，
此方最为合度。”喻嘉言《医门法律》曰∶“河间之桂苓甘露饮，用五苓、三石
以益胃之虚；子和之桂苓甘露饮，用人参、葛根、甘草、藿香、木香，益虚之
”）
治疗心下有痰饮，胸胁部支撑胀满，头晕目眩，以及伤寒经过吐法或下法治疗后，出现心下部逆满，气向上冲至胸部，起身时脉象沉紧，若误用发汗法则会扰动经脉，导致身体震颤摇动者。
茯苓（四两） 桂枝 白术（各三两） 甘草（二两，炙用） 用水六升，煮取三升，分三次温服。苓桂术甘汤是蠲除水饮的方剂，通过崇补脾胃以利膀胱气化。（膀胱气化不利则水液蓄积，脾不运化津液则水饮聚积。白术、甘草……胸胁……应当以……应当……则……王晋三曰：“苓桂术甘汤主治阳分之饮，表现为呼气短促；肾气丸主治阴分之饮，表现为吸气短促。因为呼出之气出于心肺，吸入之气出于肾肝。茯苓入足太阴肺经，桂枝入手少阴心经，都是轻清之剂，治疗阳分病证；地黄入足少阴肾经，山茱萸入足厥阴肝经，都是重浊之剂，治疗阴分病证。同一病证有两种方剂，难道没有缘故吗！”）误用发汗扰动经脉致身体振摇，阳气虚弱较轻者此方能抵御。
（刘完素《宣明论方》）治疗中暑受湿，饮水过多，头痛烦渴，湿热导致小便闭塞不通。
茯苓 泽泻（各一两） 猪苓 白术 肉桂（各五钱） 滑石（四两） 甘草 石膏 寒水石（各……
（张子和《儒门事亲》）治疗伏暑烦渴，口渴想喝水，但水入即吐，脉象虚弱者。
即在河间方中去掉猪苓，将三石减半，加入人参五钱，干葛一两，藿香五钱，木香一分。河间的桂苓甘露饮，是由五苓散加上三石和甘草组成。（这就是五苓散加滑石、石膏、寒水石、甘草。）适用于中暑烦渴、小便闭塞，清热利湿之法应当熟悉掌握。（王晋三《古方选注》说：“消暑在于消除湿气去除热邪，所以用五苓散去湿解热。湿热既已去除，就像初秋甘露降下而暑气潜消一样。”）三石减半去掉猪苓，加入人参、葛根、藿香、木香，这就是子和的桂苓甘露饮，对于脉虚水逆（水入即吐，称为“水逆”）服用适宜。霍乱转筋烦渴，益气祛浊用之无愧。（程扶生说：“吐泻亡失津液导致烦渴，治法应当补益脾胃，生津液，升清降浊，此方最为合适。”喻嘉言《医门法律》说：“河间的桂苓甘露饮，用五苓、三石来益胃之虚；子和的桂苓甘露饮，用人参、葛根、甘草、藿香、木香，来益虚之……”）
Treats phlegm-fluid retention in the epigastrium, distension and fullness in the chest and hypochondrium, vertigo, as well as after treatment with emesis or purgation for Cold Damage (Shanghan), presenting with rebellious fullness in the epigastrium, Qi rushing upward to the chest, a deep and tight pulse upon rising, and if sweating is induced, it disturbs the channels causing tremors and shaking of the body.
Fuling (Poria) (4 liang) Guizhi (Cinnamon Twig) Baizhu (Atractylodis Rhizoma) (each 3 liang) Gancao (Licorice Root), roasted (2 liang). Add 6 sheng of water, boil to obtain 3 sheng, divide into three warm doses. Linggui Zhugan Tang (Poria, Cinnamon Twig, Atractylodes, and Licorice Decoction) is a formula that eliminates fluid retention by strengthening the Spleen to facilitate Bladder Qi transformation. (When Bladder Qi transformation is sluggish, water accumulates; when the Spleen fails to transport fluids, fluids condense into retention. Baizhu, Gancao... chest and hypochondrium... should be treated with... should... then... Wang Jin-san said: "Linggui Zhugan Tang treats fluid retention in the Yang aspect, characterized by shortness of exhalation; Shenqi Wan (Kidney Qi Pill) treats fluid retention in the Yin aspect, characterized by shortness of inhalation. For exhalation comes from the Heart and Lung, while inhalation comes from the Kidney and Liver. Fuling enters the Foot-Taiyin Lung Meridian, Guizhi enters the Hand-Shaoyin Heart Meridian; both are light and clear agents treating the Yang aspect; Dihuang (Rehmannia Root) enters the Foot-Shaoyin Kidney Meridian, Shanzhuyu (Cornus Fruit) enters the Foot-Jueyin Liver Meridian; both are heavy and turbid agents treating the Yin aspect. One condition, two formulas, surely there is a reason!") If mistaken sweating disturbs the channels causing body tremors, those with mild Yang deficiency can be protected by this.
(Liu Wansu's *Xuanming Lunfang*) Treats heatstroke combined with dampness, excessive drinking, headache, irritability and thirst, and urinary obstruction due to damp-heat.
Fuling (Poria) Zexie (Alisma Rhizome) (each 1 liang) Zhuling (Polyporus) Baizhu (Atractylodis Rhizoma) Rougui (Cinnamon Bark) (each 5 qian) Huashi (Talcum) (4 liang) Gancao (Licorice Root) Shigao (Gypsum Fibrosum) Hanshuishi (Borax? Note: Usually refers to a specific mineral stone in this context, often translated as Cold Water Stone or similar local mineral) (each...)
(Zhang Zihe's *Rumen Shishen*) Treats latent summerheat causing irritability and thirst, desire to drink water, but vomiting immediately after ingestion, with a deficient pulse.
This is derived from Hejian's formula by removing Zhuling, reducing the "Three Stones" by half, and adding Renshen (Ginseng Root) 5 qian, Gegen (Puerariae Radix) 1 liang, Huoxiang (Agastache Herba) 5 qian, Muxiang (Vladimiriae Radix) 1 fen. Hejian's Guiling Ganlu Yin (Cassia, Poria, and Sweet Dew Drink) consists of Wuling San (Five-Ingredient Powder with Poria) plus the Three Stones and Gancao. (This is exactly Wuling San added with Huashi, Shigao, Hanshuishi, and Gancao.) It is suitable for heatstroke with irritability and thirst, and one should master the methods of clearing heat and promoting diuresis to resolve dampness. (Wang Jin-san in *Gufang Xianzhu* says: "To eliminate summerheat, one must eliminate dampness and remove heat, hence using Wuling San to remove dampness and resolve heat. Once damp-heat is removed, it is as if sweet dew descends in early autumn, and summerheat dissipates secretly.") Reduce the Three Stones by half, remove Zhuling, add Renshen, Gegen, Huoxiang, and Muxiang; this is Zihe's Guiling Ganlu Yin. It is suitable for consumption in cases of deficient pulse and Water Rebellion (vomiting immediately after drinking water, termed "Water Rebellion"). For cholera with muscle cramps and irritability, benefiting Qi and eliminating turbidity brings no shame. (Cheng Fusheng says: "For vomiting and diarrhea leading to loss of body fluids, irritability, and thirst, the method should be to tonify the Spleen and Stomach, generate body fluids, raise the clear, and descend the turbid; this formula is most appropriate." Yu Jiayan in *Yimen Falv* says: "Hejian's Guiling Ganlu Yin uses Wuling San and the Three Stones to benefit the deficiency of the Stomach; Zihe's Guiling Ganlu Yin uses Renshen, Gegen, Gancao, Huoxiang, and Muxiang to benefit the deficiency of...")