治太阳病发汗。汗出不解。其人仍发热。心下悸。头眩。身 动。振振欲擗地者。
此方主之。又治少阴病二三日不已。至四五日。腹痛小便不利。四肢沉重疼痛。自下利
者。
茯苓（三两） 芍药（三两） 生姜（三两） 白术（二两） 附子（一枚 炮。）
上五味。以水八升。煮取三升。去滓。温服七合。日三服。
歌曰 生姜芍茯数皆三。二两白术一附探。便短咳频兼腹痛。驱寒镇水与君谈。
加减歌曰 咳加五味要半升。干姜细辛一两具。（一本。去生姜。）小便若利恐耗津。须
去茯
张令韶曰。虚者不可汗。汗后病不解而变证也。真武者。镇水之神也。水性动。今动极
不安
上循于
旁者也。
罗东逸曰。小青龙汤治表不解有水气。中外皆寒实之病也。真武汤治表已解有水气。中
外皆
者脾也。主水者肾也。肾为胃关。聚水而从其类。倘肾中无阳。则脾之枢机虽运。而肾之关
门不开。水即欲行。以无主制。故泛溢妄行而有是证也。用附子之辛热。壮肾之元阳。则水
有所主矣。白术之温燥。创建中土。则水有所制矣。生姜之辛散。佐附子以补阳。于补水中
寓散水之意。茯苓之淡渗。佐白术以健土。于制水中寓利水之道焉。而尤重在芍药之苦降。
其旨甚微。盖人身阳根于阴。若徒以辛热补阳。不少佐以苦降之品。恐真阳飞越矣。芍药为
春花之殿。交夏而枯。用之以亟收散漫之阳气而归根。下利减芍药者。以其苦降涌泄也。加
干姜者。以其温中胜寒也。水寒伤肺则咳。加细辛、干姜者。胜水寒也。加五味子者。收肺
气也。小便利者去茯苓。恐其过利伤肾也。呕者去附子加生姜。以其病非下焦。水停于胃。
所以不须温肾以行水。只当温胃以散水。且生姜功能止呕也。
治疗太阳病经过发汗治疗后，汗出后病情仍未缓解。患者仍然发热，胃脘部悸动不安，头晕目眩，身体震颤动摇，站立不稳，似乎要跌倒在地。
此方主治上述症状。又用于治疗少阴病持续两三天未愈，发展到四五天，出现腹痛、小便不利、四肢沉重疼痛、自发性腹泻的症状。
茯苓（三两） 芍药（三两） 生姜（三两） 白术（二两） 附子（一枚，炮制）
以上五味药，用水八升，煮取三升药液，滤去药渣。每次温服七合，每日服用三次。
歌诀曰：生姜、芍药、茯苓用量均为三两，白术用二两，附子用一枚来探究其效。若见小便短少、频繁咳嗽兼有腹痛，可用本方驱寒镇水。
加减歌诀曰：若咳嗽加重，需加五味子半升，干姜、细辛各一两。（另一版本为去掉生姜。）若小便通利，恐怕会耗伤津液，必须去掉茯苓。
张令韶说：虚证患者不可发汗，发汗后病情未解而出现变证。真武汤中，“真武”是镇守水神的名字。水性主动，现在水气妄动至极，不得安宁。
向上循行于……（原文此处似有缺漏或排版问题，结合下文理解为上凌心肺等），旁及四肢。
罗东逸说：小青龙汤治疗表证未解且伴有水气的病症，属于内外皆寒实的病证。真武汤治疗表证已解但仍有水气的病症，属于……（原文此处似有缺漏，通常指里虚寒或阳虚水泛）。脾主运化水湿，肾为主水之脏。肾是胃的关门，水液聚集而随同类之气运行。如果肾中阳气不足，那么虽然脾的枢机仍在运转，但肾的关门不开，水液想要运行却因没有主宰而失控，所以泛滥妄行而产生这些症状。使用附子的辛热，以壮补肾的元阳，则水有所主宰。白术的温燥，以建立中焦脾胃之气，则水有所制约。生姜的辛散，辅助附子以补益阳气，在补水中寓含散水之意。茯苓的淡渗，辅助白术以健运脾土，在制约水中寓含利水之道。尤其关键在于芍药的苦降作用，其中的旨意非常微妙。因为人体的阳气根源于阴精，如果只用辛热药物补阳，不稍加佐以苦降的药物，恐怕真阳会飞越散失。芍药是春花的殿军，入夏即枯萎，用它来紧急收敛散漫的阳气使其归根。腹泻时减去芍药，是因为其苦降涌泄的作用。加入干姜，是因为它能温中胜寒。水寒伤肺导致咳嗽，加入细辛、干姜，是为了战胜水寒。加入五味子，是为了收敛肺气。小便通利者去掉茯苓，是担心它过度利水损伤肾气。呕吐者去掉附子加入生姜，是因为病位不在下焦，而是水停于胃，所以不需要温肾以行水，只应当温胃以散水。而且生姜具有止呕的功能。
Treats Taiyang disease (disease of the Taiyang channel) after sweating therapy. If sweating does not resolve the condition, and the patient still has fever, palpitations in the epigastrium (heart region), dizziness, body tremors, and a sensation of being unable to stand steady as if about to fall to the ground.
This formula is indicated for these conditions. It also treats Shaoyin disease (disease of the Shaoyin channel) that persists for two or three days, progressing to four or five days, presenting with abdominal pain, difficulty in urination, heaviness and pain in the four limbs, and spontaneous diarrhea.
Fuling (Poria, 3 liang) Shaoyao (White Peony Root, 3 liang) Shengjiang (Fresh Ginger, 3 liang) Baizhu (Atractylodis Rhizoma, 2 liang) Fuzi (Prepared Aconite Lateralis Radix, 1 piece, processed).
Take the above five herbs, add eight sheng of water, boil to obtain three sheng of decoction, remove the dregs. Take seven ge of warm decoction per dose, three times daily.
Song says: Ginger, Peony, and Poria are all three liang; Atractylodes is two liang, and one Aconite is used to explore its efficacy. For short urine, frequent cough, and abdominal pain, this formula drives out cold and calms water.
Modification Song says: If cough worsens, add Wuweizi (Schisandra Fruit, half sheng), Ganjiang (Dried Ginger, one liang), and Xixin (Asarum, one liang). (Another version removes Fresh Ginger.) If urination is clear and profuse, it may consume body fluids, so remove Fuling (Poria).
Zhanglingshao stated: Deficient patients should not undergo sweating therapy; if the condition persists after sweating, it leads to transformed syndromes. "Zhenwu" refers to the deity who controls water. Water nature is dynamic; now the water qi is moving excessively and restlessly.
It moves upward... [text incomplete] ...and affects the sides.
Luodongyi stated: Xiao Qinglong Tang (Minor Blue Dragon Decoction) treats exterior unresolved conditions with water qi, which is an excess-cold pattern affecting both interior and exterior. Zhenwu Tang (True Warrior Decoction) treats conditions where the exterior is resolved but water qi remains, involving... [text incomplete] ...Spleen governs water transport, Kidney governs water metabolism. The Kidney acts as the gatekeeper of the Stomach. Water accumulates following its kind. If there is no Yang Qi in the Kidney, although the Spleen's pivot mechanism functions, the Kidney's gate remains closed. Water attempts to flow but lacks control, leading to overflow and erratic movement, causing these symptoms. Using the acrid-hot nature of Fuzi (Prepared Aconite Lateralis Radix) strengthens the primal Yang of the Kidney, thus giving water a master. The warm-drying nature of Baizhu (Atractylodis Rhizoma) establishes the Middle Jiao (Earth element), thus providing control over water. The acrid-dispersing nature of Shengjiang (Fresh Ginger) assists Fuzi in tonifying Yang, embedding the intention of dispersing water within tonification. The light-penetrating nature of Fuling (Poria) assists Baizhu in strengthening Earth, embedding the method of promoting urination within controlling water. Particularly important is the bitter-descending action of Shaoyao (White Peony Root); its principle is subtle. Human Yang Qi is rooted in Yin Essence. If only acrid-hot herbs are used to tonify Yang without assisting with bitter-descending agents, the True Yang may fly away and dissipate. Shaoyao (White Peony Root) is the last flower of spring, wilting in summer; it is used to urgently gather scattered Yang Qi and return it to its root. When diarrhea occurs, Shaoyao is reduced because of its bitter-descending and purgative effects. Adding Ganjiang (Dried Ginger) warms the middle and overcomes cold. Cold-water injuring the Lung causes cough; adding Xixin (Asarum) and Ganjiang (Dried Ginger) overcomes cold-water. Adding Wuweizi (Schisandra Fruit) collects Lung Qi. If urination is normal/profuse, remove Fuling (Poria) to avoid excessive diuresis damaging Kidney Qi. If vomiting occurs, remove Fuzi (Prepared Aconite Lateralis Radix) and add Shengjiang (Fresh Ginger) because the pathology is not in the Lower Jiao but water stagnates in the Stomach; thus, warming the Kidney to move water is unnecessary, instead warming the Stomach to disperse water is appropriate. Moreover, Shengjiang (Fresh Ginger) has the function of stopping vomiting.