治腹中寒气雷鸣切痛。胸胁逆满呕吐者。此汤主之。
附子（一枚。炮。） 半夏 粳米（各半升。） 甘草（一两。） 大枣（十枚。）
上五味。以水八升。煮米熟汤成。去滓。温服一升。日三服。
歌曰 腹中切痛作雷鸣。胸胁皆膨呕吐成。附子一枚枣十个。半升粳夏一甘烹。
元犀按。腹中雷鸣。胸胁逆满呕吐。气也。半夏功能降气。腹中切痛。寒也。附子功能
驱寒。
而交乎
治腹满发热十日。脉浮而数。饮食如故者。此汤主之。
浓朴（半斤。） 甘草 大黄（各三两。） 大枣（十枚。） 枳实（五枚。） 桂枝（二
两。） 生姜（五两。）
上七味。以水一斗。煮取四升。温服八合。日三服。呕者加半夏五合。下利去大黄。寒
多者
歌曰 满而便闭脉兼浮。三两甘黄八朴投。二桂五姜十个枣。五枚枳实效优优。
元犀按。病过十日。腹满发热。脉浮而数。夫脉浮而发热。邪盛于表也。腹满而脉数。
邪实
小承
权宜
恐
（歌见长沙方歌括。） 按之心下满痛者。此为实也。当下之。宜此汤。
柴胡 黄芩 芍药 半夏 枳实 大黄 大枣 生姜
元犀按。实者当下症。大承气汤尤恐不及。况大柴胡汤乎。按之心下满痛者。太阳之邪
逆而
治痛而便闭者。此汤主之。
浓朴（八两。） 大黄（四两。） 枳实（五枚。）
上三味。以水一斗二升。先煮二味。取五升。内大黄。煮取三升。温服一升。以利为度。
歌曰 痛而便闭下无疑。四两大黄朴倍之。枳用五枚先后煮。小承变法更神奇。
尤在泾云。承气意在荡实。故君大黄。三物意在行气。故君浓朴。
元犀按。此方不减大黄者。以行气必先通便。便通则肠胃畅。而腑脏气通。通则不痛也。
治疗腹中寒气引起的肠鸣如雷、剧烈疼痛，伴有胸胁部气逆胀满、呕吐的症状。此方主治。
附子（一枚，炮制）、半夏、粳米（各半升）、甘草（一两）、大枣（十枚）。
以上五味药，用水八升，煮至米熟汤成。滤去药渣。每次温服一升，每日三次。
歌诀曰：腹中剧痛如雷鸣，胸胁胀满伴呕吐。一枚附子十个枣，半升粳米半夏草同烹。
元犀按语：腹中肠鸣，胸胁气逆胀满呕吐，这是气机紊乱的表现。半夏具有降气的作用。腹中剧烈疼痛，这是寒邪所致。附子具有驱散寒邪的作用。
治疗腹部胀满、发热持续十天，脉象浮而数，但饮食正常的症状。此方主治。
浓朴（半斤）、甘草、大黄（各三两）、大枣（十枚）、枳实（五枚）、桂枝（二两）、生姜（五两）。
以上七味药，用水一斗，煮取四升。每次温服八合，每日三次。若呕吐者，加半夏五合；若下利者，去大黄；若寒多者……（原文此处截断）
歌诀曰：腹胀便秘脉兼浮，三两甘草大黄投。二两桂枝五两姜，十个大枣配伍优。五枚枳实效更优。
元犀按语：病程已过十日，出现腹部胀满、发热，脉象浮而数。脉浮且发热，说明邪气盛于体表。腹部胀满且脉数，说明邪气实于体内……（原文此处截断，涉及小承气汤的权宜之计及对比）
（歌诀见《长沙方歌括》。）按压心下部感到胀满疼痛的，这是实证。应当用攻下法，适宜用此方。
柴胡、黄芩、芍药、半夏、枳实、大黄、大枣、生姜。
元犀按语：实证应当用攻下法。大承气汤恐怕还嫌力度不够，何况是大柴胡汤呢？按压心下部胀满疼痛的，是太阳之邪逆传……（原文此处截断）
治疗腹痛且大便闭塞不通的症状。此方主治。
浓朴（八两）、大黄（四两）、枳实（五枚）。
以上三味药，用水一斗二升，先煮前两种药（浓朴、枳实），取五升药液，加入大黄，再煮取三升药液。每次温服一升，以大便通畅为度。
歌诀曰：腹痛便秘下法无疑，大黄四两浓朴加倍量。枳实用五枚分先后煎煮，小承气汤变法功效更神奇。
尤在泾说：承气汤意在荡涤实邪，所以以大黄为君药。三物汤（即本方）意在行气导滞，所以以浓朴为君药。
元犀按语：此方不减去大黄的原因，是因为行气必须先通便。大便通畅则肠胃气机畅达，脏腑之气得以通调，通则不痛。
Treats abdominal coldness causing borborygmus (intestinal rumbling) and severe pain, accompanied by rebellious Qi stagnation and fullness in the chest and hypochondrium, and vomiting. This decoction is indicated for these symptoms.
Fuzi (Aconiti Lateralis Radix Praeparata, one piece, processed), Banxia (Pinelliae Rhizoma), Jingmi (Oryzae Semen), each half sheng; Gancao (Glycyrrhizae Radix et Rhizoma, one liang); Dazao (Ziziphi Jujubae Fructus, ten pieces).
Take the above five herbs. Add eight sheng of water. Boil until the rice is cooked and the decoction is ready. Strain to remove dregs. Take one sheng warm, three times a day.
Song says: Severe pain in the abdomen like thunder rumbling, chest and hypochondrium distended with vomiting. One piece of Fuzi, ten Ziziphi Jujubae Fructus, half sheng of Oryzae Semen and Pinelliae Rhizoma boiled together with Glycyrrhiza.
Yu Xi's commentary: Borborygmus in the abdomen, rebellious Qi fullness in the chest and hypochondrium with vomiting, indicates Qi disorder. Pinelliae Rhizoma has the function of descending Qi. Severe pain in the abdomen indicates Cold. Aconiti Lateralis Radix Praeparata has the function of dispelling Cold.
Treats abdominal fullness and fever persisting for ten days, with a floating and rapid pulse, but normal appetite. This decoction is indicated for these symptoms.
Houpo (Magnoliae Officinalis Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Dahuang (Rhei Radix et Rhizoma), each three liang; Dazao (Ziziphi Jujubae Fructus, ten pieces); Zhishi (Aurantii Fructus Immaturus), five pieces; Guizhi (Cinnamomi Ramulus), two liang; Shengjiang (Zingiberis Rhizoma Recens), five liang.
Take the above seven herbs. Add one dou of water. Boil to obtain four sheng. Take eight ge warm, three times a day. If vomiting occurs, add five ge of Banxia (Pinelliae Rhizoma); if diarrhea occurs, remove Dahuang (Rhei Radix et Rhizoma); if there is much cold... [text cuts off]
Song says: Fullness and constipation with a floating pulse, three liang of Gancao and Dahuang are used. Two liang of Cinnamomi Ramulus, five liang of Zingiberis Rhizoma Recens, ten Ziziphi Jujubae Fructus, and five Aurantii Fructus Immaturus yield excellent efficacy.
Yu Xi's commentary: The disease has lasted over ten days, presenting with abdominal fullness and fever, and a floating and rapid pulse. A floating pulse with fever indicates pathogenic factors abundant at the exterior. Abdominal fullness with a rapid pulse indicates pathogenic excess in the interior... [text cuts off, referring to provisional measures involving Xiaochengqi Tang and comparison]
(The song is found in *Changsha Fang Ge Kuo*.) Pressing the epigastrium reveals fullness and pain; this is an Excess syndrome. It should be treated with purgation. This decoction is suitable.
Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Shaoyao (Paeoniae Radix Alba), Banxia (Pinelliae Rhizoma), Zhishi (Aurantii Fructus Immaturus), Dahuang (Rhei Radix et Rhizoma), Dazao (Ziziphi Jujubae Fructus), Shengjiang (Zingiberis Rhizoma Recens).
Yu Xi's commentary: Excess syndromes require purgation. Dachengqi Tang might still be insufficient, let alone Da Chaihuhu Tang. Pressing the epigastrium revealing fullness and pain indicates the invasion of Taiyang pathogenic factors... [text cuts off]
Treats abdominal pain accompanied by constipation. This decoction is indicated for these symptoms.
Houpo (Magnoliae Officinalis Cortex), eight liang; Dahuang (Rhei Radix et Rhizoma), four liang; Zhishi (Aurantii Fructus Immaturus), five pieces.
Take the above three herbs. Add one dou two sheng of water. First boil the first two herbs (Houpo and Zhishi), obtain five sheng of liquid. Then add Dahuang (Rhei Radix et Rhizoma) and boil to obtain three sheng. Take one sheng warm, adjusting dosage until bowel movement is achieved.
Song says: Pain with constipation clearly requires purgation. Four liang of Rhei Radix et Rhizoma, twice the amount of Magnoliae Officinalis Cortex. Use five pieces of Aurantii Fructus Immaturus, boiled separately then together; the modified method of Xiaochengqi Tang yields miraculous effects.
You Zaijing states: The intent of Chengqi Decoctions is to sweep away excess, hence Rhei Radix et Rhizoma is the sovereign herb. The intent of the Three-Ingredient Decoction (this formula) is to promote Qi movement, hence Magnoliae Officinalis Cortex is the sovereign herb.
Yu Xi's commentary: The reason this formula does not omit Rhei Radix et Rhizoma is that promoting Qi movement must first facilitate bowel movement. Once the bowels are unobstructed, the Qi mechanism of the intestines and stomach becomes smooth, allowing the Qi of the fu-organs to flow freely. When there is free flow, there is no pain.