（歌见长沙方歌括。） 脉沉而弦者悬饮内痛。病悬饮者。此汤主之。
芫花 甘遂 大戟 大枣
男元犀按。脉沉主里。弦主饮。饮水凝结。悬于胸膈之间。致咳引内痛也。悬饮既成。
缓必滋蔓。急用十枣汤直达病所。不嫌其峻。意谓始成而即攻之。使水饮下趋而无结痛之患。
所
（歌见长沙方歌括。）
麻黄 桂枝 甘草 杏仁 石膏 生姜 大枣。
（歌见长沙方歌括。） 治病溢饮者。当发其汗。大青龙汤主之。小青龙汤亦主之。
麻黄 芍药 细辛 干姜 甘草 桂枝 半夏 五味子。
男元犀按。师云。饮水流行归于四肢。当汗而不汗出。身体疼重。谓之溢饮。故病溢饮
者。
汗以
治膈间支饮。其人喘满。心下痞坚。面色黧黑。其脉沉紧。得之数十日医吐下之
此汤主之。虚者即愈。实者三日复发。复与不愈者。宜此汤去石膏加茯苓芒硝汤主之。
木防己（三两。） 石膏（如鸡子大二枚。） 桂枝（二两。） 人参（四两。）
上四味。以水六升。煮取二升。分温再服。
歌曰 喘满痞坚面色黧。己三桂二四参施。膏枚二个如鸡子。辛苦寒温各适宜。
男元犀按。防己入手太阴肺。肺主气。气化而水自行矣。桂枝入足太阳膀胱。膀胱主水。
水
坚可除矣。然病得数十日之久。又经吐下。可知胃阴伤而虚气逆。故用人参以生既伤之阴。
石膏以镇虚逆之气。阴复逆平。则喘满面黧自愈矣。此方治其本来。救其失误。面面俱到。
（歌诀见《长沙方歌括》。）脉象沉而弦的，是悬饮证，表现为胸胁内部疼痛。患有悬饮病的，用此汤治疗。
芫花、甘遂、大戟、大枣。
陈元犀按语：脉沉主里证，脉弦主饮邪。饮水凝结，悬挂于胸膈之间，导致咳嗽牵引内部疼痛。悬饮既已形成，
若缓慢处理必然滋蔓扩散，故紧急使用十枣汤直达病所，不嫌其药性峻猛。意思是趁病初成立即攻逐，使水饮下行从而没有结聚疼痛的隐患。
（歌诀见《长沙方歌括》。）
麻黄、桂枝、甘草、杏仁、石膏、生姜、大枣。
（歌诀见《长沙方歌括》。）治疗溢饮病的，应当发汗，大青龙汤主治。小青龙汤也主治。
麻黄、芍药、细辛、干姜、甘草、桂枝、半夏、五味子。
陈元犀按语：老师说，饮水流行归于四肢，应当出汗却无汗出，身体疼痛沉重，称为溢饮。所以患溢饮病的人，
需要用汗法来
治疗膈间支饮。患者气喘胸闷，心下痞塞坚硬，面色黧黑，脉象沉紧。得病几十天，医生误用吐法或下法，
用此汤治疗。体质虚弱的服药后痊愈，体质实壮的三天后复发，再次用药仍不愈的，适宜用此汤去掉石膏加入茯苓芒硝汤治疗。
木防己（三两）、石膏（如鸡蛋大小两枚）、桂枝（二两）、人参（四两）。
以上四味药，用水六升，煮取二升，分两次温服。
歌诀说：喘满痞坚面色黧，己三桂二四参施。膏枚二个如鸡子，辛苦寒温各适宜。
陈元犀按语：防己入足太阴肺经，肺主气，气化则水液自行。桂枝入足太阳膀胱经，膀胱主水，
水行则痞坚可除。然而病已持续数十日之久，又经过吐下之法，可知胃阴受损且虚气上逆，故用人参以生养已伤的阴液，
用石膏以镇潜虚逆之气。阴液恢复，逆气平复，那么气喘、面色黧黑等症状自然自愈。此方针对病因本源，补救医疗失误，面面俱到。
(The rhyme is found in *Changsha Fang Ge Kuo*.) A pulse that is deep and wiry indicates internal pain due to suspended fluid (Xuan Yin, a type of fluid retention causing pain). For patients with suspended fluid, this decoction is the primary treatment.
*Hua Er Hua* (Kadsura Longipedunculata Fruit), *Gan Sui* (Euphorbia Lathyris Root), *Da Ji* (Euphorbia Pekinensis Root), *Da Zao* (Jujube Fruit).
Commentary by Chen Yuanxi: A deep pulse indicates an interior syndrome; a wiry pulse indicates fluid retention. When ingested water condenses and suspends between the chest and diaphragm, it causes coughing that draws pain from within. Once suspended fluid has formed,
if treated slowly, it will inevitably spread and proliferate. Therefore, *Shi Zao Tang* (Ten Jujube Decoction) is urgently used to reach the disease site directly, without hesitation regarding its harsh nature. The intent is to attack immediately upon initial formation, directing the fluid downward to prevent complications of stagnation and pain.
(The rhyme is found in *Changsha Fang Ge Kuo*.)
*Mahuang* (Ephedrae Herba), *Guizhi* (Cinnamomi Ramulus), *Gancao* (Glycyrrhizae Radix et Rhizoma), *Xingren* (Armeniacae Semen Amarum), *Shigao* (Gypsum Fibrosum), *Shengjiang* (Zingiberis Rhizoma Recens), *Dazao* (Jujubae Fructus).
(The rhyme is found in *Changsha Fang Ge Kuo*.) In treating overflowing fluid (Yi Yin, fluid retention spreading to the limbs), sweating should be induced. *Da Qing Long Tang* (Major Blue Green Dragon Decoction) is the primary treatment. *Xiao Qing Long Tang* (Minor Blue Green Dragon Decoction) is also indicated.
*Mahuang* (Ephedrae Herba), *Shaoyao* (Paeoniae Radix Alba), *Xixin* (Asari Radix et Rhizoma), *Ganjiang* (Zingiberis Rhizoma), *Gancao* (Glycyrrhizae Radix et Rhizoma), *Guizhi* (Cinnamomi Ramulus), *Banxia* (Pinelliae Rhizoma Preparatum), *Wuweizi* (Schisandrae Fructus).
Commentary by Chen Yuanxi: The Master stated: "When drinking water flows and accumulates in the four limbs, and sweating should occur but does not, resulting in body pain and heaviness, it is called overflowing fluid." Therefore, for those suffering from overflowing fluid,
sweating methods are employed to treat...
To treat branch fluid (Zhi Yin, fluid retention in the epigastrium/chest) between the diaphragm: The patient suffers from wheezing and fullness, epigastric stiffness and hardness, dark complexion, and a deep, tight pulse. After dozens of days of illness, if the physician mistakenly used emetic or purgative methods,
this decoction is used. If the patient is deficient, they will recover; if the patient is excess, relapse may occur after three days. If repeated administration fails, it is appropriate to use this decoction modified by removing *Shigao* (Gypsum Fibrosum) and adding *Fuling* (Poria) and *Mangxiao* (Natrii Sulfas).
*Mufangji* (Stephaniae Tetrandrae Radix) (3 liang), *Shigao* (Gypsum Fibrosum) (2 pieces, size of chicken eggs), *Guizhi* (Cinnamomi Ramulus) (2 liang), *Renshen* (Ginseng Radix et Rhizoma) (4 liang).
The above four ingredients are boiled in 6 sheng of water until 2 sheng remain. Divide into two doses and take warm.
The rhyme states: Wheezing, fullness, stiffness, hardness, darkened face; Fangji three, Guizhi two, four parts Renshen. Two pieces of Shigao like chicken eggs, bitter, pungent, cold, and warm each suitably.
Commentary by Chen Yuanxi: *Mufangji* enters the Lung Meridian of Hand-Taiyin. The Lung governs Qi; when Qi transforms, fluids move naturally. *Guizhi* enters the Bladder Meridian of Foot-Taiyang. The Bladder governs water;
when water moves, epigastric stiffness and hardness can be resolved. However, since the illness has persisted for dozens of days and has been subjected to emesis and purgation, it is known that Stomach Yin is damaged and deficient Qi rebels upward. Therefore, *Renshen* (Ginseng Radix et Rhizoma) is used to regenerate the damaged Yin,
and *Shigao* (Gypsum Fibrosum) is used to calm the rebellious Qi. Once Yin is restored and rebellion is pacified, symptoms such as wheezing and darkened complexion will heal spontaneously. This formula addresses the root cause and remedies medical errors, being comprehensive in its approach.