治脾胃虚弱，不能运化饮食，以至生痰。
生白术（二两） 生鸡内金（二两，去净瓦石糟粕）
上药二味，各自轧细过罗，各自用慢火焙熟（不可焙过），炼蜜为丸梧桐子大。每服三钱，开水送下。白
术为健补脾胃之主药，然土性壅滞，故白术多服久服，亦有壅滞之弊；有鸡内金之善消瘀积者以佐之，则补益
与宣通并用。俾中焦气化，壮旺流通，精液四布，清升浊降，痰之根柢蠲除矣。又此方不但治痰甚效，凡廉于
饮食者，服之莫不饮食增多。且久服之，并可消融腹中一切积聚。
初拟此方时，原和水为丸。而久服者间有咽干及大便燥结之时。后改用蜜丸，遂无斯弊。
治老人气虚，不能行痰，致痰气郁结，胸次满闷，胁下作疼。凡气虚痰盛之人，服之皆效，兼治疝气。
生芡实（六两） 生鸡内金（三两） 白面（半斤） 白沙糖（不拘多少）
先将芡实用水淘去浮皮，晒干，轧细，过罗。再将鸡内金（中有瓦石糟粕去净分量还足）轧细，过罗，
置盆内浸以滚水，半日许。再入芡实、白糖、白面，用所浸原水，和作极薄小饼，烙成焦黄色，随意食之。
鸡内金，以补助脾胃，大能运化饮食，消磨瘀积。食化积消，痰涎自除。再者，老人痰涎壅盛，多是下焦
虚惫，气化不摄，痰涎随冲气上泛。芡实大能敛冲固气，统摄下焦气化。且与麦面同用，一补心，一补肾，使
心肾相济，水火调和，而痰气自平矣。
或问∶老人之痰，既由于气虚不行，何不加以补助气分之品？答曰∶凡补气之药，久服转有他弊。此方所
用药品，二谷食，一肉食，复以沙糖调之，可作寻常服食之物，与他药饵不同。且食之，能令人饮食增多，
则气虚者自实也。
此方去芡实，治小儿疳积痞胀，大人 瘕积聚。
Treats Spleen and Stomach Qi deficiency (Spleen-Stomach Qi Deficiency), where the inability to transform and transport dietary food leads to the generation of Phlegm.
Raw Atractylodis Macrocephalae Rhizoma (Bai Zhu, 白术) (2 liang) Raw Gallus Gallus Giger Endothelium Corneum (Ji Nei Jin, 鸡内金) (2 liang, thoroughly cleaned of gravel and debris)
The above two herbs are separately ground into fine powder and sieved, then separately roasted over slow fire (do not over-roast). Form pills with refined honey, sized like paulownia seeds. Take 3 qian per dose, swallowed with boiled water. Bai Zhu is the principal herb for strengthening and tonifying the Spleen and Stomach; however, its Earth nature tends to cause stagnation, so excessive or prolonged use of Bai Zhu may also lead to stagnation. With Ji Nei Jin assisting by resolving blood stasis and accumulation, tonification and unblocking are employed simultaneously. This ensures that the Qi transformation in the Middle Jiao becomes robust and flowing, fluids are distributed throughout, clear Yang ascends and turbid Yin descends, thereby eliminating the root of Phlegm. Furthermore, this formula is not only highly effective for treating Phlegm, but for those with poor appetite, it invariably increases food intake. Moreover, long-term use can dissolve all accumulations in the abdomen.
When first drafting this formula, it was originally intended to be made into pills using water. However, some long-term users experienced dry throat and dry, constipated stools. Later, honey pills were adopted, and this drawback disappeared.
Treats elderly patients with Qi deficiency who cannot move Phlegm, leading to Phlegm-Qi stagnation, chest fullness and oppression, and pain in the hypochondrium. It is effective for anyone with Qi deficiency and abundant Phlegm, and also treats Hernia (Shan Qi, 疝气).
Raw Euryales Semen (Qian Shi, 芡实) (6 liang) Raw Gallus Gallus Giger Endothelium Corneum (Ji Nei Jin, 鸡内金) (3 liang) Wheat Flour (Bai Mian, 白面) (0.5 jin) White Rock Sugar (Baisha Tang, 白沙糖) (as needed)
First, wash the Qian Shi in water to remove the floating skin, sun-dry, grind into powder, and sieve. Then, grind the Ji Nei Jin (ensuring any gravel/debris is removed so the weight remains accurate), sieve it, place it in a basin, and soak in boiling water for about half a day. Next, add the Qian Shi, white sugar, and wheat flour. Use the original soaking water to mix into very thin small cakes, pan-fried until scorched yellow, and eat as desired.
Ji Nei Jin supplements the Spleen and Stomach, greatly aiding the transformation and transportation of food, and dissolving accumulations. Once food is digested and accumulations resolved, Phlegm and saliva are naturally eliminated. Furthermore, abundant Phlegm and saliva in the elderly are often due to deficiency and exhaustion of the Lower Jiao, where Qi transformation fails to secure and hold, causing Phlegm to rise with Chong Qi (Penetrating Vessel Qi). Qian Shi strongly consolidates Chong Qi and secures Zheng Qi, regulating the Qi transformation of the Lower Jiao. When used together with wheat flour, one tonifies the Heart and the other tonifies the Kidney, allowing Heart and Kidney to interact, harmonizing Fire and Water, thus calming Phlegm-Qi.
Question: Since the Phlegm in the elderly is due to Qi deficiency failing to move it, why not add herbs that tonify Qi? Answer: Any Qi-tonifying herbs, if taken for a long time, may cause other drawbacks. The ingredients in this formula consist of two grain foods and one meat product, sweetened with sugar, making it suitable for ordinary dietary consumption, distinct from medicinal decoctions. Moreover, eating it increases food intake, which naturally strengthens those with Qi deficiency.
If Qian Shi is removed from this formula, it can treat Infantile Malnutrition (Gan Ji, 疳积) and abdominal distension in children, and Masses (Jia Ji Ju, 瘕积聚) in adults.