论曰脾脏盛实，则生热，热气熏蒸，则令人舌本肿胀，语言謇涩，腹胁坚硬，泾溲不利
，四肢不举，身体沉重，面目焦黄，不得安卧而唇口干燥也。
治脾实舌本强直，或梦歌乐，体重不能行。泻热汤方
前胡（去芦头） 赤茯苓（去黑皮） 龙胆（去土） 细辛（去苗叶） 芒硝（各三两）
杏仁（汤浸去皮尖双
上九味。粗捣筛，每服三钱匕。水一盏，煎至八分，去滓不拘时候温服。
治脾实热，面黄目赤，季胁痛满。半夏汤方
半夏（汤洗七遍切焙） 枳实（去瓤麸炒） 栀子（去皮） 赤茯苓（去黑皮） 芒硝
（各三两） 细辛（去
上九味。粗捣筛，每服五钱匕。水一盏半，入生地黄生姜各半分切，同煎至一盏，去滓
不拘时候温服。
治脾实咽干口燥，舌本肿强，腹胁满胀，大便涩难。射干汤方
射干（八两） 大青（三两） 石膏（碎十两）
上三味。粗捣筛，每服五钱匕。入蜜一匙头，水一盏半，同煎至一盏，去滓不拘时候温
服。
治脾实胸中满闷，腹胁壅胀，身热颊疼，咽喉不利。泻脾大黄汤方
大黄（锉微炒一两） 赤茯苓（去黑皮三分） 枳壳（去瓤麸炒半两） 甘草（炙锉） 黄
芩（去黑心各一两） 陈橘皮（汤浸去白焙半两） 麦门冬（去心焙一两） 半夏（汤洗去
滑焙） 前胡（去芦头各半两）
上九味。粗捣筛，每服三钱匕。水一盏，入生姜一枣大拍碎，煎至七分，去滓不拘时候
温服。
治脾实热，头痛胸满，腹胁壅滞，不思饮食。泻脾赤茯苓汤下
赤茯苓（去黑皮三分） 旋复花（半两） 大黄（锉微炒） 石膏（碎各一两） 桑根
白皮（锉三分） 芍药（赤者半两） 枳壳（去瓤麸炒三分） 前胡（去芦头） 甘草（炙
各半两）
上九味。粗捣筛，每服三钱匕。水一盏，入生姜一枣大拍碎，煎至七分，去滓不拘时候
温服。
治脾脏壅实，口内生疮，食少心烦。泻脾升麻汤方
升麻 羚羊角屑 茯神（去木） 黄连（去须各一两） 柴胡（去苗一两半） 黄芩（去
黑心三分） 麦门冬（去心焙一两） 大青（三分） 甘草（炙半两）
上九味。粗捣筛，每服三钱匕。水一盏，煎至七分，去滓食后温服。
治脾实热，头痛胁满，烦闷或渴，唇口干燥。石膏汤方
石膏（碎一两） 麦门冬（去心焙一两半） 柴胡（去苗） 犀角屑 栝蒌根 地骨皮
（各一两） 葛根（锉二两） 甘草（炙半两）
上八味。粗捣筛，每服三钱匕。水一盏，入竹叶二七片，煎至七分，去滓入蜜半合，生
地黄汁一合，搅令匀，更煎两沸，食后温服。
治脾气实，四肢不利，头重目疼，腹胁妨闷，心膈壅滞，不思饮食。前胡饮方
前胡（去芦头一两） 大腹皮（锉一分） 赤芍药 赤茯苓（去黑皮） 桔梗（锉炒） 羚
羊角屑 旋复花 枳壳（去瓤麸炒各半两）
上八味。粗捣筛，每服三钱匕。水一盏，生姜一枣大拍碎，枣二枚劈破，煎至七分，去
滓不拘时候温服。
治脾实腹胁坚胀，泾溲不利。槟榔丸方
槟榔（锉） 木香（各二两） 芍药 枳壳（去瓤麸炒各三分） 桂（去粗皮） 大黄
（锉炒各一两）
上六味，捣罗为末，炼蜜和丸，如梧桐子大。每日空心米饮下十丸，利下为度。
It is stated that when the Spleen organ (Spleen) suffers from excess and fullness, heat generates. The steaming of heat qi causes swelling of the tongue root, speech impediment with slurred articulation, hardness in the abdomen and hypochondrium, difficulty in urination and defecation, inability to lift the limbs, heaviness of the body, sallow and scorched complexion, restlessness preventing sleep, and dryness of the lips and mouth.
For treating Spleen excess causing stiffness and rigidity of the tongue root, or dreaming of singing and laughing, with body heaviness making walking difficult: Xiere Tang (Heat-Draining Decoction).
Qianhu (Peucedani Radix, removed rhizome head), Chifuling (Poria Cocos with Red Skin, removed black skin), Longdan (Gentianae Radix, removed soil), Xixin (Asari Radix et Rhizoma, removed seedlings and leaves), Mangxiao (Natrii Sulfas, each three liang), Xingren (Prunus Armeniacae Semen, soaked in hot water, skin and tips removed, retaining double kernels).
The above nine ingredients are coarsely crushed and sifted. Each dose consists of three qianbi (approx. 9 grams). Add one zhan (approx. 200 ml) of water, decoct until eight-tenths remains, remove dregs, and take warm at any time.
For treating Spleen excess-heat presenting with yellow face, red eyes, and pain and fullness in the lateral costal region: Banxia Tang (Pinellia Decoction).
Banxia (Pinelliae Rhizoma, washed seven times in hot water, sliced and dried), Zhishi (Aurantii Fructus Immaturus, removed pulp, stir-fried with bran), Zhizi (Gardeniae Fructus, removed skin), Chifuling (Poria Cocos with Red Skin, removed black skin), Mangxiao (Natrii Sulfas, each three liang), Xixin (Asari Radix et Rhizoma, removed seedlings and leaves).
The above nine ingredients are coarsely crushed and sifted. Each dose consists of five qianbi (approx. 15 grams). Add one and a half zhan of water, along with Shengdihuang (Rehmanniae Radix) and Shengjiang (Zingiberis Rhizoma Recens), each half fen (sliced), decoct together until one zhan remains, remove dregs, and take warm at any time.
For treating Spleen excess presenting with dry throat and mouth, swelling and stiffness of the tongue root, abdominal and hypochondriac fullness, and difficult, astringent defecation: Shegan Tang (Belamcandae Decoction).
Shegan (Belamcandae Rhizoma, eight liang), Daqing (Isatidis Folium, three liang), Shigao (Gypsum Fibrosum, crushed, ten liang).
The above three ingredients are coarsely crushed and sifted. Each dose consists of five qianbi. Add one spoonful of honey, add one and a half zhan of water, decoct together until one zhan remains, remove dregs, and take warm at any time.
For treating Spleen excess causing chest fullness and oppression, abdominal and hypochondriac congestion and distension, body heat with cheek pain, and unsmooth throat: Xiepi Dahuang Tang (Spleen-Draining Rhubarb Decoction).
Dahuang (Rhei Radix et Rhizoma, cut into pieces and slightly stir-fried, one liang), Chifuling (Poria Cocos with Red Skin, removed black skin, three qian), Zhike (Aurantii Fructus, removed pulp, stir-fried with bran, half liang), Gancao (Licorice Root, roasted and cut into pieces), Huangqin (Scutellariae Radix, removed black heart, each one liang), Chenju pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried, half liang), Maimendong (Ophiopogonis Radix, removed heart, dried, one liang), Banxia (Pinelliae Rhizoma, washed in hot water to remove slipperiness, dried), Qianhu (Peucedani Radix, removed rhizome head, each half liang).
The above nine ingredients are coarsely crushed and sifted. Each dose consists of three qianbi. Add one zhan of water, plus one date-sized piece of Shengjiang (Zingiberis Rhizoma Recens, smashed), decoct until seven-tenths remains, remove dregs, and take warm at any time.
For treating Spleen excess-heat presenting with headache and chest fullness, abdominal and hypochondriac stagnation, and loss of appetite: Xiepi Chifuling Tang (Spleen-Draining Poria with Red Skin Decoction).
Chifuling (Poria Cocos with Red Skin, removed black skin, three qian),uanjinhua (Inulae Flos, half liang), Dahuang (Rhei Radix et Rhizoma, cut into pieces and slightly stir-fried), Shigao (Gypsum Fibrosum, crushed, each one liang), Sangbaipipi (Mori Cortex, cut into pieces, three qian), Shaoyao (Paeoniae Radix, red variety, half liang), Zhike (Aurantii Fructus, removed pulp, stir-fried with bran, three qian), Qianhu (Peucedani Radix, removed rhizome head), Gancao (Licorice Root, roasted, each half liang).
The above nine ingredients are coarsely crushed and sifted. Each dose consists of three qianbi. Add one zhan of water, plus one date-sized piece of Shengjiang (Zingiberis Rhizoma Recens, smashed), decoct until seven-tenths remains, remove dregs, and take warm at any time.
For treating Spleen organ congestion and excess, sores inside the mouth, reduced food intake, and vexation: Xiepi Shengma Tang (Spleen-Draining Cimicifugae Decoction).
Shengma (Cimicifugae Rhizoma), Lingyangjiaoxie (Antilope Cervicapra Cornu, shaved), Fushen (Poria Cocos with Hostwood, removed wood), Huanglian (Coptidis Rhizoma, removed roots, each one liang), Chaihu (Bupleuri Radix, removed seedlings, one and a half liang), Huangqin (Scutellariae Radix, removed black heart, three qian), Maimendong (Ophiopogonis Radix, removed heart, dried, one liang), Daqing (Isatidis Folium, three qian), Gancao (Licorice Root, roasted, half liang).
The above nine ingredients are coarsely crushed and sifted. Each dose consists of three qianbi. Add one zhan of water, decoct until seven-tenths remains, remove dregs, and take warm after meals.
For treating Spleen excess-heat presenting with headache and hypochondriac fullness, vexation or thirst, and dryness of lips and mouth: Shigao Tang (Gypsum Decoction).
Shigao (Gypsum Fibrosum, crushed, one liang), Maimendong (Ophiopogonis Radix, removed heart, dried, one and a half liang), Chaihu (Bupleuri Radix, removed seedlings), Xijiaoxie (Rhinocerotis Cornu, shaved), Gualougen (Trichosanthis Radix), Digupi (Lycii Cortex, each one liang), Gegen (Puerariae Lobatae Radix, cut into pieces, two liang), Gancao (Licorice Root, roasted, half liang).
The above eight ingredients are coarsely crushed and sifted. Each dose consists of three qianbi. Add one zhan of water, plus fourteen leaves of Zhuye (Bambusae Folium), decoct until seven-tenths remains, remove dregs, add half he of honey and one he of Shengdihuangzhi (Jus Rehmanniae Recens), stir well, boil twice more, and take warm after meals.
For treating Spleen qi excess causing impaired limb movement, heavy head and painful eyes, abdominal and hypochondriac obstruction and stuffiness, stagnation in the heart and diaphragm, and loss of appetite: Qianhu Yin (Peucedani Infusion).
Qianhu (Peucedani Radix, removed rhizome head, one liang), Dafupi (Arecae Pericarpium, cut into pieces, one qian), Chishaoyao (Paeoniae Radix Rubra), Chifuling (Poria Cocos with Red Skin, removed black skin), Jiegeng (Platycodonis Radix, cut into pieces and stir-fried), Lingyangjiaoxie (Antilope Cervicapra Cornu, shaved), Yuanjinhua (Inulae Flos), Zhike (Aurantii Fructus, removed pulp, stir-fried with bran, each half liang).
The above eight ingredients are coarsely crushed and sifted. Each dose consists of three qianbi. Add one zhan of water, plus one date-sized piece of Shengjiang (Zingiberis Rhizoma Recens, smashed) and two dates (split open), decoct until seven-tenths remains, remove dregs, and take warm at any time.
For treating Spleen excess causing hardness and distension of the abdomen and hypochondrium, and difficulty in urination and defecation: Binglang Wan (Areca Seed Pill).
Binglang (Arecae Semen, cut into pieces), Muxiang (Aucklandiae Radix, each two liang), Shaoyao (Paeoniae Radix), Zhike (Aurantii Fructus, removed pulp, stir-fried with bran, each three qian), Gui (Cinnamomi Ramulus, removed coarse bark), Dahuang (Rhei Radix et Rhizoma, cut into pieces and stir-fried, each one liang).
The above six ingredients are pounded and sieved into powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Take ten pills daily on an empty stomach with rice water, stopping when bowel movement becomes free.