关脉弦数为食积,温热伤脾;沉微者为冷,不思饮食。未满三岁,看虎口脉纹。
脾胃虚寒或腹痛不食,理中汤主之;有伤食腹胀而或痛,以消食丸导之;有热者,
仁斋保和丸之属。
平胃散 治脾胃不和,不思乳食,心腹疼痛,口苦无味,呕哕恶心,噫气吐酸,面色痿黄,
体弱肌瘦,肚腹泄泻,并服之。
浓朴(去皮,姜炒) 陈皮(去白。各三两) 苍术(五两,浸二日) 甘草(一两,炙)
上为末,每服二钱,姜二片、枣二枚,水煎。空心,入盐少许调服。常服,快气暖胃,
化宿食,消痰。
快膈消食丸宽中快膈,消乳食,正颜色。
砂仁 橘红 三棱(煨) 莪术 神曲(炒) 麦 (炒。各半两) 香附子(一两,炒)
上为末,面糊丸,绿豆大,食后紫苏汤下二十丸。
温脾汤 治脾胃不和,腹胁虚胀,不进乳食,困倦无力。
诃子(炮) 人参(七钱半) 木香 桔梗(各半两) 茯苓 藿香(洗) 陈皮 黄
甘草(各二钱半) 白术(半两)
上为末,每服二钱,姜、枣煎。
四君子汤调理脾胃,进乳食,止泄泻。
人参 白术 茯苓 甘草(炙。各等分)
上咀,每服二钱,姜、枣煎,加陈皮、半夏名六君子汤。
和中汤 治小儿脾胃不和,呕逆恶心,冷热不调,减食泄泻,腹痛肠鸣,少力嗜卧。
浓朴 白术 干姜 甘草(各二钱)
上为细末,每服二钱。姜二片,水八分煎,乳食前温服。
(仁斋)保和丸 治小儿食伤发热,欲成疳证。常服,益脾胃,食则不伤。
白术(五两) 茯苓 半夏(制) 山楂 神曲(炒。各三两) 陈皮 连翘 萝卜子(各二两)
苍术(制) 枳实(炒) 香附子(制) 浓朴(制) 黄芩(酒炒) 黄连(酒炒。
各一两)
上为细末,姜汁打面糊为丸,如黍米大。每服五十丸,渐加至七、八十丸,食后茶
汤下。
加减观音散调理脾胃,常服,正颜色,消饮食。
白术(炒) 人参 扁豆(炒) 茯苓 麦芽(炒) 黄 (炙) 甘草 山药 神曲(炒)
香附子(炒)
上为末,每服一钱,空心米饮下。
调中散 治脾胃不和。
人参 茯苓 木香 白术 甘草(炙) 干姜(煨) 藿香(洗) 香附子 砂仁 丁香(各等分)
上为末,每服一钱,姜、枣汤下。
The Guan pulse presenting as wiry and rapid indicates food stagnation, or spleen injury caused by warm-heat pathogens; if the Guan pulse is deep and thready, it belongs to cold syndrome, manifesting as anorexia. For infants under three years old, observe the pulse pattern on the tiger's mouth (the radial artery area at the base of the thumb).
If abdominal pain and anorexia are caused by deficiency-cold of the Spleen and Stomach, Lizhong Tang (Regulate the Middle Decoction) should be used as the primary treatment; if abdominal distension and occasional pain result from food injury, Xiaoshi Wan (Digest Food Pill) should be used to guide out the stagnation; if heat signs are present, formulas such as Renzhai Baohe Wan (Harmonize the Interior Pill) should be employed.
Pingwei San (Calm the Stomach Powder): Used to treat disharmony between the Spleen and Stomach, manifesting as reluctance to take milk or food, pain in the heart and abdomen, bitter taste in the mouth and loss of flavor, vomiting, hiccups, nausea, belching with acid regurgitation, sallow complexion, physical weakness and emaciation, and abdominal diarrhea. It is effective for all these conditions.
Ingredients: Houpo (Magnoliae Officinalis Cortex, peeled and stir-fried with ginger juice), Chenpi (Citri Reticulatae Pericarpium, pith removed, each 3 liang), Cangzhu (Atractylodis Rhizoma, 5 liang, soaked for two days), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried).
Preparation and Administration: Grind the above ingredients into powder. Take 2 qian per dose, with 2 slices of fresh Ginger and 2 Jujubes, decocted in water. Take on an empty stomach, mixed with a small amount of salt. Regular use promotes Qi movement, warms the Stomach, resolves old food stagnation, and eliminates phlegm.
Kuige Xiaoshi Wan (Rapid Diaphragm Digestive Pill): Functions to broaden the middle, soothe the diaphragm, digest milk and food, and correct the complexion.
Ingredients: Sharen (Amomi Fructus), Juhong (Citri Reticulatae Pericarpium Rubrum), Sanleng (Sparganii Rhizoma, roasted), Ezhu (Curcumae Rhizoma), Shenqu (Massae Fermentatae Medicamentosa, stir-fried), Maiya (Hordei Fructus Germinatus, stir-fried, each half liang), Xiangfuzi (Cyperi Rhizoma, 1 liang, stir-fried).
Preparation and Administration: Grind into powder, make pills with wheat paste, size of mung beans. Take 20 pills after meals with Perilla Decoction.
Wenpi Tang (Warm the Spleen Decoction): Used to treat disharmony between the Spleen and Stomach, vacuous distension in the abdomen and hypochondrium, inability to take milk or food, fatigue and weakness.
Ingredients: Hezi (Myrobalani Fructus, processed), Renshen (Ginseng Radix et Rhizoma, 7.5 qian), Muxiang (Aucklandiae Radix), Jiegeng (Platycodonis Radix, each half liang), Fuling (Poria), Huoxiang (Agastaches Herba, washed), Chenpi (Citri Reticulatae Pericarpium), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, each 2.5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, half liang).
Preparation and Administration: Grind into powder. Take 2 qian per dose, decocted with Ginger and Jujube.
Sijunzi Tang (Four Gentlemen Decoction): Regulates the Spleen and Stomach, promotes appetite, and stops diarrhea.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, equal parts).
Preparation and Administration: Cut into pieces. Take 2 qian per dose, decocted with Ginger and Jujube. If Chenpi (Citri Reticulatae Pericarpium) and Banxia (Pinelliae Rhizoma) are added, it is named Liujunzi Tang (Six Gentlemen Decoction).
Hezhong Tang (Harmonize the Middle Decoction): Used to treat disharmony between the Spleen and Stomach in children, manifesting as vomiting and retching, nausea, imbalance of cold and heat, reduced appetite and diarrhea, abdominal pain and borborygmus, lack of strength and somnolence.
Ingredients: Houpo (Magnoliae Officinalis Cortex), Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, each 2 qian).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose. Add 2 slices of Ginger, decoct in 8 fen of water. Take warm before milk or food intake.
(Renzhai) Baohe Wan (Harmonize the Interior Pill): Used to treat fever caused by dietary injury in children, preventing progression to Gan syndrome (malnutrition). Regular use benefits the Spleen and Stomach, ensuring food does not cause injury.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma, 5 liang), Fuling (Poria), Banxia (Pinelliae Rhizoma, processed), Shanzha (Crataegi Fructus), Shenqu (Massae Fermentatae Medicamentosa, stir-fried, each 3 liang), Chenpi (Citri Reticulatae Pericarpium), Lianqiao (Forsythiae Fructus), Luobozhi (Raphani Semen, each 2 liang), Cangzhu (Atractylodis Rhizoma, processed), Zhishi (Aurantii Fructus Immaturus, stir-fried), Xiangfuzi (Cyperi Rhizoma, processed), Houpo (Magnoliae Officinalis Cortex, processed), Huangqin (Scutellariae Radix, wine-fried), Huanglian (Coptidis Rhizoma, wine-fried, each 1 liang).
Preparation and Administration: Grind into fine powder, make pills with ginger juice and wheat paste, size of millet seeds. Take 50 pills initially, gradually increasing to 70-80 pills, taken after meals with tea infusion.
Jiajian Guanyin San (Modified Guanyin Powder): Regulates the Spleen and Stomach. Regular use corrects the complexion and aids digestion.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Renshen (Ginseng Radix et Rhizoma), Bidou (Dolichoris Semen, stir-fried), Fuling (Poria), Maiya (Hordei Fructus Germinatus, stir-fried), Huangqi (Astragali Radix, honey-fried), Gancao (Glycyrrhizae Radix et Rhizoma), Shanyao (Dioscoreae Rhizoma), Shenqu (Massae Fermentatae Medicamentosa, stir-fried), Xiangfuzi (Cyperi Rhizoma, stir-fried).
Preparation and Administration: Grind into powder. Take 1 qian per dose on an empty stomach with rice drink.
Tiaozhong San (Regulate the Middle Powder): Used to treat disharmony between the Spleen and Stomach.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Muxiang (Aucklandiae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Ganjiang (Zingiberis Rhizoma, roasted), Huoxiang (Agastaches Herba, washed), Xiangfuzi (Cyperi Rhizoma), Sharen (Amomi Fructus), Dingxiang (Caryophylli Flos, equal parts).
Preparation and Administration: Grind into powder. Take 1 qian per dose, taken with Ginger and Jujube decoction.