金 冲年遗恙。先天最薄。夏秋疟伤。食少不运。痞胀溏泻。都是脾胃因病致虚。当薄味调和。进
治中法。
人参 益智 广皮 茯苓 木瓜 炒泽泻 谷芽 煨姜
李（氏） 脉沉。形寒。腰髀。牵强腹鸣。有形上下攻触。每晨必泻。经水百日一至。仿仲景意。
茯苓 炮淡干姜 生于术 肉桂
某（氏） 阳微浊滞。吐泻心痛。当辛温开气。胃阳苏醒乃安。
炒半夏 浓朴 广皮 益智仁 煨木香 乌药 香附汁 姜汁
某（二十） 色白。脉 。体质阳薄。入春汗泄。神力疲倦。大便溏泄不爽。皆脾阳困顿。不克胜举。无以鼓
动生生阳气耳。刻下姑与和中为先。（脾阳虚）
益智仁（八分） 广皮（一钱） 姜灰（七分） 茯苓（三钱） 生谷芽（三钱）
杨 小便不利。大便溏泄。补脾法中。佐以淡渗。分其阴阳。
人参 熟术 茯苓 象牙屑 泽泻 苡仁 广皮 白芍
薛（十三） 水谷湿邪内着。脾气不和。腹膨不饥。便溏。四肢酸痹。
浓朴 茯苓皮 大腹皮 防己 广皮 泽泻 苡仁 桂枝木
又 肢酸。腹膨便溏。
Jin, an elderly patient with lingering sequelae. His congenital constitution is extremely weak. The malaria contracted in summer and autumn has damaged his health, leading to poor appetite and impaired transportation and transformation. Symptoms include epigastric fullness, abdominal distension, and loose stools. These are all cases of deficiency resulting from disease affecting the Spleen and Stomach. Treatment should involve a light diet to harmonize the middle jiao, employing methods to warm the middle and regulate the spleen.
Ren Shen (Ginseng Radix), Yi Zhi Ren (Alpinia Oxyphylla Fructus), Guang Pi (Tangerine Peel), Fu Ling (Poria), Mu Gua (Chaenomeles Fruit), Chao Ze Xie (Fried Alisma Rhizome), Gu Ya (Sprouted Grain), Wei Jiang (Baked Ginger).
Li, pulse is deep. The body feels cold. There is pulling stiffness in the waist and thighs, and borborygmus in the abdomen. There is a sensation of tangible pathogenic factors attacking and touching up and down. Diarrhea occurs every morning. Menstruation comes only once every hundred days. Following the intent of Zhang Zhongjing:
Fu Ling (Poria), Pao Dan Gan Jiang (Processed Light Dried Ginger), Sheng Bai Zhu (Raw Atractylodes Macrocephala Rhizome), Rou Gui (Cinnamon Bark).
A certain patient: Yang qi is deficient with turbid stagnation. Symptoms include vomiting, diarrhea, and heart pain. One should use pungent-warm herbs to open the qi mechanism. Peace will be restored once the Stomach Yang revives.
Chao Ban Xia (Fried Pinellia Tuber), Hou Po (Magnolia Bark), Guang Pi (Tangerine Peel), Yi Zhi Ren (Alpinia Oxyphylla Fructus), Wei Mu Xiang (Baked Aucklandia Root), Wu Yao (Lindera Root), Xiang Fu Zhi (Cyperi Rhizoma Juice), Jiang Zhi (Ginger Juice).
A certain twenty-year-old patient: Complexion is pale. Pulse [description missing]. The constitution is weak in yang. After entering spring, excessive sweating occurred, leading to mental fatigue and physical weakness. Loose stools are difficult to pass smoothly. All these indicate that Spleen Yang is trapped and exhausted, unable to perform its lifting function, thus failing to stimulate the generative yang qi. For now, harmony of the middle jiao should be prioritized. (Diagnosis: Spleen Yang Deficiency)
Yi Zhi Ren (Alpinia Oxyphylla Fructus) (8 fen), Guang Pi (Tangerine Peel) (1 qian), Jiang Hui (Ash of Ginger) (7 fen), Fu Ling (Poria) (3 qian), Sheng Gu Ya (Sprouted Grain) (3 qian).
Yang: Difficulty in urination, loose stools. In the method of tonifying the Spleen, add bland diuretic herbs to separate yin and yang.
Ren Shen (Ginseng Radix), Shu Bai Zhu (Prepared Atractylodes Macrocephala Rhizome), Fu Ling (Poria), Xiang Ya Xie (Ivory Scraps), Ze Xie (Alisma Rhizome), Yi Yi Ren (Coix Seed), Guang Pi (Tangerine Peel), Bai Shao (White Peony Root).
Xue, thirteen years old: Water and grain dampness have settled internally, causing disharmony of the Spleen Qi. Symptoms include abdominal distension, lack of appetite, loose stools, and soreness/numbness in the four limbs.
Hou Po (Magnolia Bark), Fu Ling Pi (Poria Peel), Da Fu Pi (Areca Peel), Fang Ji (Stephania Root), Guang Pi (Tangerine Peel), Ze Xie (Alisma Rhizome), Yi Yi Ren (Coix Seed), Gui Zhi Mu (Cinnamon Twig Wood).
Follow-up visit: Soreness in limbs, abdominal distension, loose stools.