天雄（三两。） 白术（八两。） 桂枝（六两。） 龙骨（三两。）
上四味。杵为散。酒服半钱匕。日三服。不知。稍增之。（尤在泾云。此疑后人所附。
为补
歌曰 阴精不固本之阳。龙骨天雄三两匡。六两桂枝八两术。酒调钱匕日三尝。
元犀按。此方虽系后人采取。然却认出春之脚。阳之家。而施以大温大补大镇纳之剂。
可谓
龙骨
经所
主下之分。
（歌见长沙方歌括。） 治虚劳里急。悸衄。腹中痛。梦失精。四肢酸疼。手足烦热。
咽干口燥者主之。
桂枝 甘草 大枣 芍药 生姜 胶饴
张心在云。肺损之病。多由五志生火。销铄金脏。咳嗽发热。渐至气喘。侧眠。消瘦
羸瘠
效。其故何欤。窃尝观于炉中之火而得之。炊饭者始用武火。将熟则掩之以灰。饭徐透而
不焦黑。则知以灰养火。得火之用而无火之害。断断如也。五志之火内燃。温脾之土以养之。
而焰自息。方用小建中汤。虚甚加黄 。火得所养而不燃。金自清肃。又况饴糖为君。治嗽
妙品。且能补土以生金。肺损虽难着手。不患其不可治也。然不独治肺损。凡五劳七伤。皆
可以
治虚劳里急。诸不足者主之。
即小建中汤加黄 一两五钱。气短胸满者。加生姜。腹中满者。去枣加茯苓一两半。及
疗肺虚损不足。补气。加半夏三两。
歌曰 小建汤加两半 。诸虚里急治无遗。急当甘缓虚当补。愈信长沙百世师。
加减歌曰 气短胸满生姜好。三两相加六两讨。如逢腹满胀难消。加茯两半除去枣。及
疗肺
元犀按。虚劳里急者。里虚脉急也。诸不足者。五脏阴精阳气俱不足也。经云。阴阳俱
不足
小建
是也
于中
虚劳
天雄（三两）。白术（八两）。桂枝（六两）。龙骨（三两）。
以上四味药。捣碎成散剂。用酒送服半钱匕大小的量。每日服用三次。如果效果不明显，逐渐增加剂量。（尤在泾说：这方子怀疑是后人附加的。
为了补充
歌诀曰：阴精不固由于本元之阳虚，龙骨、天雄各三两来匡扶正气。桂枝六两、白术八两，用酒调制药粉，每次一钱匕，每日三次品尝。
元犀按语：此方虽然是后人采集的，然而却能识别出春季生发之始，阳气之家，而施以大温大补、大镇摄纳的药剂。
可以说
龙骨
经络所
主治下焦之分。
（歌诀见于《长沙方歌括》。）治疗虚劳病出现的腹部拘急疼痛、心悸、鼻出血、腹中痛、梦中遗精、四肢酸痛、手足心烦热、咽喉干燥、口舌干燥等症状的主方。
桂枝 甘草 大枣 芍药 生姜 胶饴
张心在说：肺脏受损的疾病，多由七情内伤化火，灼伤肺金，导致咳嗽发热，逐渐发展到气喘、侧卧睡眠、身体消瘦、瘦弱不堪。
疗效。这是什么原因呢？我曾观察炉中的火焰而得到启发。做饭开始时用猛火，快要熟时就用灰覆盖住它，饭就会慢慢透熟而不焦黑。由此可知，用灰养火，能发挥火的作用而没有火的危害，这是确凿无疑的。七情之火在内燃烧，用温补脾土的方法来滋养它，火势自然熄灭。方剂用小建中汤，虚损严重的加黄芪。火得到滋养而不妄燃，肺金自然清肃。况且饴糖作为君药，是治疗咳嗽的妙品，而且能补益脾土以生成肺金。肺脏受损虽然难以着手治疗，但不必担心它不可治愈。然而不仅治疗肺损，凡是五劳七伤，都
可以
治疗虚劳病出现的腹部拘急疼痛、各种不足症状的主方。
即在小建中汤基础上加黄芪一两五钱。气短胸闷的，加生姜。腹部胀满的，去掉大枣加茯苓一两半。以及
治疗肺虚损不足，补气，加半夏三两。
歌诀曰：小建中汤加黄芪一两半，各种虚损和腹部拘急都能治疗无遗漏。紧急时应甘缓补虚，更加相信长沙（张仲景）是百世师表。
加减歌诀曰：气短胸闷生姜好，三两相加共六两。如果遇到腹部胀满难消，加茯苓一两半去掉大枣。以及
治疗肺
元犀按语：虚劳里急，是指里虚脉象紧急。诸不足，是指五脏的阴精和阳气都不足。经文说：阴阳俱
不足
小建
就是
在中
虚劳
Tianxiong (Sanliang, 3 liang). Baizhu (Baliang, 8 liang). Guizhi (Liuliang, 6 liang). Longgu (Sanliang, 3 liang).
The above four herbs. Pound into a powder. Take half a Qianbi (a small measuring spoon shape) with wine. Three doses per day. If there is no effect, gradually increase the dosage. (You Zaijing said: This formula is suspected to be an addition by later generations.
To supplement
Song (Verse): When Yin essence is unsecured due to deficiency of the root Yang, Longgu and Tianxiong each at Sanliang (3 liang) assist it. Guizhi at Liuliang (6 liang) and Baizhu at Baliang (8 liang), mixed with wine and taken as one Qianbi per dose, three times daily.
Yu Xi's commentary: Although this formula was adopted by later generations, it correctly identifies the beginning of Spring generation and the home of Yang, employing great warming, great tonifying, and great anchoring/astringing agents.
It can be said that
Longgu
Meridian governs
the lower portion.
(The verse appears in *Changsha Fang Ge Kua*.) It is the main formula for treating Xu Lao (Deficiency Consumption) presenting with Li Ji (abdominal urgency/tightness), Ji (palpitations), Nu (epistaxis), Fuzhong Tong (abdominal pain), Meng Shi Jing (nocturnal emission in dreams), Sizhi Suan Teng (soreness and pain in the four limbs), Shouzhu Fanre (heat sensation in hands and feet), Yangan Kouzao (dry throat and dry mouth).
Guizhi Gancao Dazhao Shaoyao Shengjiang Jiaoyi
Zhang Xinzi said: Diseases of Lung damage often arise from Fire generated by the Five Emotions, which consumes the Metal organ. Cough and fever gradually progress to asthma, sleeping on the side, emaciation, and extreme thinness.
Efficacy. What is the reason? I once observed the fire in a stove and gained insight. When cooking rice, one starts with Wu Huo (vigorous fire); when nearly cooked, one covers it with ash. The rice cooks slowly without burning or turning black. Thus, we know that using ash to nurture fire allows one to utilize the function of fire without its harmful effects. This is absolutely certain. The Fire of the Five Emotions burns internally; by warming and tonifying the Spleen Earth to nourish it, the flame naturally subsides. One uses Xiao Jianzhong Tang (Minor Construct the Middle Decoction). For severe deficiency, add Huangqi (Astragalus Root). When Fire is nourished, it does not flare up recklessly; Lung Metal becomes clear and肃 (descending/clear). Moreover, since Yi Tang (Maltose) is the Sovereign herb, it is a wonderful product for treating coughs, and it can tonify Earth to generate Metal. Although Lung damage is difficult to treat, one need not worry about incurability. However, it treats not only Lung damage; all cases of Wu Lao Qi Shang (Five Exhaustions and Seven Injuries) can also be
treated.
It is the main formula for treating Xu Lao (Deficiency Consumption) presenting with Li Ji (abdominal urgency/tightness) and Zhu Bu Zu (various deficiencies).
This is Xiao Jianzhong Tang plus Huangqi (Astragalus Root) at Liang Wu Qian (1.5 liang). For those with shortness of breath and chest fullness, add Shengjiang (Fresh Ginger). For abdominal fullness, remove Dazao (Jujube) and add Fuling (Poria) at Liang Ban (1.5 liang). And
to treat Lung deficiency and insufficiency, to tonify Qi, add Banxia (Pinellia Tuber) at Sanliang (3 liang).
Song (Verse): Xiao Jian Tang plus Huangqi at Liang Ban (1.5 liang) treats all deficiencies and Li Ji without omission. Urgency requires sweet and緩 (relaxing/pacifying) methods, and deficiency requires tonification; this confirms Changsha (Zhang Zhongjing) as the teacher for a hundred generations.
Addition and Subtraction Song (Verse): For shortness of breath and chest fullness, Shengjiang is good; add three liang to make six liang total. If encountering abdominal fullness and bloating that is hard to resolve, add Fuling at Liang Ban (1.5 liang) and remove Dazao. And
treating Lung
Yu Xi's commentary: Xu Lao Li Ji refers to interior deficiency with urgent pulse characteristics. Zhu Bu Zu refers to the insufficiency of Yin Essence and Yang Qi in the Five Zang Organs. The Classic states: Both Yin and Yang are
insufficient
Xiao Jian
is exactly
in the middle
Xu Lao