治风湿脉浮身重。汗出恶风者主之。
防己（一两。） 甘草（半两。炙。） 白术（七钱半。） 黄 （一两一分。一本。
用一两。）
上锉麻豆大。每服五钱匕。生姜四片。大枣一枚。水盏半。煎八分。去滓温服。 喘者。
加麻
三分
歌曰 身重脉浮汗。（上节无汗。故用麻黄发之。此节汗出。只用防己驱之。） 恶风。
七钱
加减歌曰 喘者再入五钱麻。胃不和兮芍药加。三分分字去声读。七钱五分今不瘥。寒
取细
岐秘
（合参） 上方治实邪无汗。即桂枝、麻黄二汤例也。虚汗自出。故不用麻黄以散之。
只用防己以驱之。服后如虫行及腰下如冰云云。皆湿气下行之征也。然非 、术、甘草。
焉
车
运于
驳。
责焉。防己功用。余先君注有神农本草经。议论甚详。毋庸再赘。
（歌见长沙方歌括） 太阳中热者。 是也。汗出恶寒。身热而渴者主之。
知母 石膏 甘草 粳米 人参
元犀按。白虎西方神名也。其令为秋。其政清肃。凉风至。白露降。则溽暑潜消。以此
汤有
治太阳中 。身热疼重而脉微弱。此以夏月伤冷水。水行皮中所致也。此汤主
瓜蒂（二七个。）
上锉。以水一升。煮取五合。去滓温服。
歌曰 病阴阳认要真。热疼身重得其因。暑为湿恋名阴暑。二七甜瓜蒂可珍。
元犀按。此物能去水气。水去则暑无所根据而自愈矣。 尤在泾云。暑虽阳邪。而气恒与
湿
阴
而
水去而暑解。此治中暑兼湿者之法也。
治疗风湿病，脉象浮，身体沉重，出汗且怕风的患者。
防己（一两） 甘草（半两，炙烤） 白术（七钱半） 黄芪（一两一分，另一版本用一两）
将上述药材切碎如麻豆大小。每次服用五钱匕的药末，加入生姜四片、大枣一枚，用水一盏半，煎至八分满，去渣后温服。如果伴有气喘，加麻黄三分。
歌诀：
身体沉重，脉象浮，出汗。（上一节是无汗，所以用麻黄发汗；这一节是出汗，只用防己驱除湿邪。）怕风。
加减歌诀：
如果有气喘，再加入五钱麻黄。如果胃气不和，加入芍药。“三分”的“分”字读去声，“七钱五分”现在不效验。寒邪取细辛？岐伯秘传？（此处原文有脱漏或错简，结合上下文推测为对药物性味或用量的补充说明，但依原文直译）
上方治疗实邪无汗的情况，即参照桂枝汤、麻黄汤的法则。虚证自汗出，所以不用麻黄来发散，只用防己来驱除。服药后感觉像虫子在皮肤下爬行，以及腰部以下像冰一样凉等，都是湿气向下排出的征象。然而，如果没有黄芪、白术、甘草，湿气如何能运化并责之于脾肺呢？防己的功效，我的先父在《神农本草经》注中已有详细议论，无需再赘述。
甘草 附子 桂枝 白术
以上三个方剂的歌诀、解释、证候和治疗，都见于《长沙方歌括》。
（歌诀见《长沙方歌括》）太阳中热者，即暍病（中暑）。出汗、怕冷、身体发热且口渴的患者，主治此方。
元犀按语：白虎是西方神名，其时令为秋季，其政令清肃。凉风至，白露降，则湿热暑气潜消。以此汤比喻……
治疗太阳中湿病，身体发热、疼痛沉重而脉象微弱，这是因为夏季损伤了冷水，水气行于皮中所致。此汤主治。
瓜蒂（二十七个）
将瓜蒂切碎，用水一升，煮取五合，去渣后温服。
歌诀：
辨别阴阳病症要认清，热痛身重得其病因。暑气被湿气留恋称为阴暑，二十七个甜瓜蒂值得珍视。
元犀按语：此物能去除水气，水去则暑邪无所依附而自愈。尤在泾说：暑虽然是阳邪，但其气常与湿相合，表现为阴证。水去而暑解，这是治疗中暑兼湿的方法。
Indicated for Wind-Dampness with a floating pulse, heaviness of the body, sweating, and aversion to wind.
*Fangji Huangqi Guizhi Tang* (Stephania and Astragalus Decoction):
- *Fangji* (Stepheriae Rhizoma) - 1 liang
- *Gancao* (Licorice Root), honey-fried - 0.5 liang
- *Baizhu* (Atractylodis Macrocephalae Rhizoma) - 7 qian 5 fen
- *Huangqi* (Astragali Radix) - 1 liang 1 fen (another version uses 1 liang)
Crush the herbs to the size of hemp seeds. Take 5 qian bi (approx. 5-10 grams depending on measurement standard) per dose. Add 4 slices of fresh ginger (*Shengjiang*, Zingiberis Rhizoma Recens), 1 jujube (*Dazao*, Jujubae Fructus). Decoct in 1.5 cups of water until reduced to 0.8 cup. Strain and take warm. If there is wheezing, add *Mahuang* (Ephedrae Herba) 3 fen.
Song:
Heaviness of body, floating pulse, sweating. (The previous section had no sweat, thus using *Mahuang* to induce sweating; this section has sweating, thus using only *Fangji* to expel dampness.) Aversion to wind.
Modification Song:
If wheezing occurs, add 5 qian of *Mahuang*. If the stomach is disharmonious, add *Shaoyao* (Paeoniae Radix Alba). The character "fen" in "3 fen" is pronounced as the departing tone. "7 qian 5 fen" is currently ineffective. [Text appears corrupted or refers to specific dosage nuances regarding cold pathogens or *Xixin*].
The above formula treats excess pathogen with no sweating, following the principles of *Guizhi Tang* (Cinnamon Twig Decoction) and *Mahuang Tang* (Ephedra Decoction). For deficiency with spontaneous sweating, *Mahuang* is not used to disperse, but only *Fangji* is used to drive out dampness. After taking the medicine, sensations such as insects crawling under the skin or ice-cold feeling below the waist are signs of dampness descending and exiting. However, without *Huangqi*, *Baizhu*, and *Gancao*, how can the transformation and transportation be managed? Regarding the efficacy of *Fangji*, my father's commentary on the *Shennong Bencao Jing* (Divine Farmer's Materia Medica) is detailed enough, so no further elaboration is needed.
[Reference to other formulas containing]:
*Ciguizhi*, *Fuzi*, *Shengjiang*, *Gancao*, *Dazao*
*Fuzi*, *Baizhu*, *Shengjiang*, *Gancao*, *Dazao*
*Gancao*, *Fuzi*, *Ciguizhi*, *Baizhu*
The songs, explanations, syndromes, and treatments for the above three formulas are all found in *Changsha Fangge Kuai* (Songs of Formulas from Changsha).
(Song found in *Changsha Fangge Kuai*)
For Sun-Yang Zhongre (Summerheat-Heat in the Taiyang stage), which is Ye (Heatstroke). Indicated for patients with sweating, aversion to cold, fever, and thirst.
*Baihu Tang* (White Tiger Decoction):
- *Zhimu* (Anemarrhenae Rhizoma)
- *Shigao* (Gypsum Fibrosum)
- *Gancao* (Licorice Root)
- *Jingmi* (Oryza Sativa Germen)
- *Renshen* (Ginseng Radix et Rhizoma)
Commentary by Yuan Xi: Baihu (White Tiger) is the name of the Western deity, associated with Autumn, characterized by clear and severe governance. When cool winds arrive and white dew falls, humid summer heat dissipates. This decoction acts similarly...
Indicated for Taiyang Zhongshi (Summerheat-Dampness in the Taiyang stage), presenting with fever, pain, heaviness, and a faint pulse. This is caused by injuring oneself with cold water in summer, causing water qi to circulate within the skin. This decoction is indicated.
*Yiwu Gudi Tang* (Single Melon Pedicel Decoction):
- *Gudi* (Cucumeris Fructus) - 27 pieces
Crush the melon pedicels. Decoct in 1 sheng of water until reduced to 5 he. Strain and take warm.
Song:
One must truly recognize Yin and Yang syndromes. Pain and heaviness due to heat reveal the cause. Summerheat lingering with dampness is named Yin Summerheat; twenty-seven sweet melon pedicels are precious.
Commentary by Yuan Xi: This substance can remove water qi. Once water is removed, summerheat has no basis and heals itself. You Zaijing said: Although summerheat is a Yang pathogen, its qi often combines with dampness, manifesting as Yin patterns. Removing water resolves summerheat; this is the method for treating summerheat complicated by dampness.