论曰体弱之人，谷气不足，脾胃既虚，冷热之气，易为伤动，盖脾胃者，仓廪之官，布
化精气，灌养四旁，其气虚弱，则食饮或冷或热，多致不消，使阴阳交争，冷热相搏，故令
脾胃不和也。
治脾胃冷热气不和，食毒，脾胃中宿积，沉香阿魏丸方
沉香 木香（各三分） 芎 当归（锉焙） 蓬莪术（炮） 陈橘皮（去白焙） 延
胡索 槟榔（锉） 吴茱萸（醋浸一宿炒） 益智仁 桂（去粗皮） 白术 附子（炮裂去
皮脐） 干姜（炮） 草豆蔻（去皮各半两） 阿魏（一两半瓷器中醋浸一宿生绢滤去砂入
面煮糊。）
上一十六味，捣罗十五味为细末，用阿魏掺和糊，杵三二百下，丸如梧桐子大，丹砂为
衣，生姜橘皮汤下五七丸，血气温酒醋汤下。
治脾胃冷热气不和，不思饮食，或腹痛 刺，胜金丸方
山栀子仁 乌头（各等分）
上二味，生捣罗为细末，以酒糊丸，如梧桐子大，每服十五丸，炒生姜汤下，如小肠气
痛，炒 香子酒，下十丸。
治脾胃冷热相攻，胸膈气闷，消痰进食，快活丸方
五味子（微炒一两） 枳壳（去瓤微炒一两半） 糯米（炒香熟一两半） 槟榔（锉半
两） 京三棱（炮半两） 蓬莪术（炮半两） 郁李仁（汤浸去皮半两） 青橘皮（汤去
白焙一两）
上八味，捣罗为细末，用半夏一两生姜二两，烂煮研细为糊，丸如绿豆大，每服十五丸
，至二十丸，食后温汤下。
治脾胃冷热气不和，平胃前胡汤方。
前胡（去芦头） 人参 白茯苓（去黑皮） 附子（炮裂去皮脐） 半夏（生姜汁浸一
宿并生姜杵令匀焙干） 白术 枇杷叶（拭去毛） 浓朴（去粗皮生姜汁涂炙透） 诃黎勒
（纸裹煨熟去核各一两半槟榔锉） 肉豆蔻（去壳） 陈橘皮（汤去白焙） 干姜（炮） 甘
草（炙各三两）
上一十四味，锉如麻豆，每服三钱匕，水一盏，入生姜一枣大切，枣二枚劈，同煎至
七分，去滓不计时候温服。
治脾胃冷热气不和，心腹虚胀，痰逆不思饮食，四肢无力，丁香散方
丁香 干姜（炮） 白术（各半两） 人参 赤茯苓（去黑皮） 木瓜（去瓤切焙） 草
豆蔻（去皮） 诃黎勒（煨用皮） 茅香花（各三分） 甘草（炙一分）
上一十味，捣罗为细散，不计时，煎生姜枣汤调下一钱匕。
治脾胃气冷热不和，胸膈气滞，不下饮食，宜服大腹皮汤方
大腹皮（锉炒） 槟榔（生锉） 桑根白皮（锉各半两） 诃黎勒（皮煨） 陈橘皮（汤
浸去白焙） 赤茯苓（
上六味，粗捣筛，每服三钱匕，以水一盏，入生姜半分切，煎至七分，去滓不计时温服
。
治脾胃冷热气不和，胸膈满闷，四肢无力，痰逆不思饮食，藿香汤方
藿香叶（半两） 诃黎勒皮（煨半两） 人参（三分） 陈橘皮（汤浸去白焙三分） 半
夏（汤洗七遍去滑焙半两） 赤茯苓（去黑皮三分） 桂（去粗皮三分） 白术（三分） 草
豆蔻（去皮一两） 枳实（去瓤麸炒半两） 高良姜（三分） 甘草（炙锉半两） 浓朴（去
粗皮涂生姜汁炙一两）
上一十三味，粗捣筛，每服三钱匕，水一盏，入生姜半分切，枣三枚劈破，煎至七分，
去滓不计时、稍热服。
治脾胃冷热气不和，宽中脘，和中丸方
附子（炮裂去皮脐一两） 干姜（炮三两） 甘草（炙一两） 木香（一两） 香子
（炒一两） 青橘皮（汤
上八味，捣罗为细末，汤浸炊饼和丸，如樱桃大，每服一丸，白汤化下，食前服。
治脾胃冷热气不和，止痰逆，思饮食，匀气汤方
浓朴（去粗皮生姜汁炙一两） 陈橘皮（汤去白焙半两） 白术（半两） 甘草（炙
一两） 白茯苓（去黑皮半两） 麦 （炒一分） 高良姜（炒一分） 沉香（一分） 甘
松（一分）
上九味，粗捣筛，每服三钱匕，水一盏，入生姜二片，枣二枚劈，同煎至七分，去滓不
计时温服。
It is stated that individuals with weak constitutions lack sufficient qi from grain and food. Since the Spleen and Stomach are already deficient, cold and hot pathogens easily disturb them. The Spleen and Stomach (Zang-Fu organs responsible for digestion and transformation) serve as the officials of the granary, distributing and transforming essence-qi to irrigate and nourish the four peripheries. When their qi is weak, dietary intake, whether cold or hot, often fails to digest, causing Yin and Yang to contend and cold and heat to clash, thus resulting in disharmony between the Spleen and Stomach.
Formula for Chenxiang Awie Wan (Agarwood and Asafoetida Pill) to treat disharmony of cold and hot qi in the Spleen and Stomach, food toxicity, and accumulated retention in the Spleen and Stomach:
Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix) (each 3 fen); Xiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix) (cut and roasted); Peng'ezhu (Curcumae Phaeocaulis Rhizoma) (processed); Chenjupi (Citri Reticulatae Pericarpium) (white pith removed and roasted); Yanhusuo (Corydalis Rhizoma); Binglang (Arecae Semen) (cut); Wuzhuyu (Evodiae Fructus) (soaked in vinegar overnight and stir-fried); Yizhiren (Alpiniae Oxyphyllae Fructus); Guizhi (Cinnamomi Ramulus) (rough bark removed); Baizhu (Atractylodis Macrocephalae Rhizoma); Fuzi (Aconiti Lateralis Radix Praeparata) (cracked by processing, skin and umbilical scar removed); Ganjiang (Zingiberis Rhizoma) (processed); Caodoukou (Cardamomi Fructus) (skin removed, each half liang); Awei (Asafoetida) (1.5 liang, soaked in vinegar in a porcelain vessel overnight, filtered through raw silk to remove sand, then boiled with flour paste).
The above sixteen ingredients: Pulverize fifteen ingredients into fine powder. Mix with the Awei paste, pound 200-300 times until uniform. Form pills the size of Sophora japonica seeds. Coat with Cinnabar (Dansha). Take 5-7 pills with Decoction of Ginger and Tangerine Peel; for blood-related conditions, take with warm wine and vinegar decoction.
Formula for Shengjin Wan (Golden Victory Pill) to treat disharmony of cold and hot qi in the Spleen and Stomach, loss of appetite, or stabbing abdominal pain:
Shanzhizi Ren (Gardeniae Semen) and Wutou (Aconiti Radix) (equal parts).
The above two ingredients: Pound fresh and pulverize into fine powder. Use wine paste to form pills the size of Sophora japonica seeds. Take 15 pills per dose with stir-fried ginger decoction; for Qi pain of the Small Intestine, take 10 pills with stir-fried Fennel Seed (Xiao Huixiang) wine.
Formula for Kuaihuo Wan (Joyful Vitality Pill) to treat attacking cold and heat between Spleen and Stomach, chest and diaphragm oppression, resolving phlegm, and promoting appetite:
Wuweizi (Schisandrae Fructus) (lightly stir-fried, 1 liang); Zhike (Aurantii Fructus) (pulp removed, lightly stir-fried, 1.5 liang); Nuomi (Oryza Sativa Glutinosa) (stir-fried until fragrant, 1.5 liang); Binglang (Arecae Semen) (cut, half liang); Jingsanleng (Sparganii Rhizoma) (processed, half liang); Peng'ezhu (Curcumae Phaeocaulis Rhizoma) (processed, half liang); Yuliren (Pruni Semen) (soaked in water, skin removed, half liang); Qingjupi (Citri Reticulatae Pericarpium Viride) (scalded, white pith removed, roasted, 1 liang).
The above eight ingredients: Pulverize into fine powder. Boil Banxia (Pinelliae Rhizoma) (1 liang) and Shengjiang (Zingiberis Recens Rhizoma) (2 liang) until soft, grind finely to make a paste. Form pills the size of mung beans. Take 15-20 pills after meals with warm water.
Pingwei Qianhu Tang (Flat Stomach Peucedanum Decoction) to treat disharmony of cold and hot qi in the Spleen and Stomach:
Qianhu (Peucedani Radix) (radicle removed); Renshen (Ginseng Radix et Rhizoma); Bai Fuling (Poria) (black skin removed); Fuzi (Aconiti Lateralis Radix Praeparata) (cracked by processing, skin and umbilical scar removed); Banxia (Pinelliae Rhizoma) (soaked in ginger juice overnight, pounded with ginger until uniform, then dried); Baizhu (Atractylodis Macrocephalae Rhizoma); Pipaye (Loquat Folium) (wool brushed off); Houpo (Magnoliae Officinalis Cortex) (rough bark removed, coated with ginger juice and roasted thoroughly); Helile (Terminalia Chebulae Fructus) (wrapped in paper and baked熟, pit removed, each 1.5 liang; Binglang Arecae Semen cut); Roudoukou (Myristicae Semen) (shell removed); Chenjupi (Citri Reticulatae Pericarpium) (scalded, white pith removed, roasted); Ganjiang (Zingiberis Rhizoma) (processed); Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, each 3 liang).
The above fourteen ingredients: Cut like hemp seeds. Take 3 qianbi per dose. Add one cup of water, one large piece of sliced ginger, and two split jujubes. Decoct until reduced to 70%. Strain and take warm at any time.
Dingxi San (Clove Powder) to treat disharmony of cold and hot qi in the Spleen and Stomach, empty distension of heart and abdomen, rebellious phlegm, loss of appetite, and weakness of limbs:
Dingxiang (Caryophylli Flos); Ganjiang (Zingiberis Rhizoma) (processed); Baizhu (Atractylodis Macrocephalae Rhizoma) (each half liang); Renshen (Ginseng Radix et Rhizoma); Chi Fuling (Poria with red skin) (black skin removed); Mugua (Chaenomelis Fructus) (pulp removed, sliced and roasted); Caodoukou (Cardamomi Fructus) (skin removed); Helile (Terminalia Chebulae Fructus) (baked, use skin); Maoxianghua (Vetiveriae Flos) (each 3 fen); Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, 1 fen).
The above ten ingredients: Pulverize into fine powder. Take 1 qianbi mixed with Ginger-Jujube Decoction at any time.
Dafupi Tang (Betel Nut Vine Stem Bark Decoction) suitable for disharmony of cold and hot qi in Spleen and Stomach, stagnation of qi in chest and diaphragm, and inability to ingest food:
Dafupi (Arecae Causae Pericarpium) (cut and stir-fried); Binglang (Arecae Semen) (raw and cut); Sangbaipipi (Mori Cortex) (cut, each half liang); Helile (Terminalia Chebulae Fructus) (skin baked); Chenjupi (Citri Reticulatae Pericarpium) (soaked in water, white pith removed, roasted); Chi Fuling (Poria with red skin) (black skin removed).
The above six ingredients: Coarsely crush and sieve. Take 3 qianbi per dose. Add one cup of water and half a portion of sliced ginger. Decoct until reduced to 70%. Strain and take warm at any time.
Huoxiang Tang (Patchouli Decoction) to treat disharmony of cold and hot qi in Spleen and Stomach, fullness and oppression in chest and diaphragm, weakness of limbs, rebellious phlegm, and loss of appetite:
Huoxiangye (Pogostemonis Herba) (half liang); Helilepi (Terminalia Chebulae Fructus Cortex) (baked, half liang); Renshen (Ginseng Radix et Rhizoma) (3 fen); Chenjupi (Citri Reticulatae Pericarpium) (soaked in water, white pith removed, roasted, 3 fen); Banxia (Pinelliae Rhizoma) (washed seven times in water to remove slipperiness, dried, half liang); Chi Fuling (Poria with red skin) (black skin removed, 3 fen); Guizhi (Cinnamomi Ramulus) (rough bark removed, 3 fen); Baizhu (Atractylodis Macrocephalae Rhizoma) (3 fen); Caodoukou (Cardamomi Fructus) (skin removed, 1 liang); Zhishi (Aurantii Fructus Immaturus) (pulp removed, bran-roasted, half liang); Gaoliangjiang (Alpiniae Officinarum Rhizoma) (3 fen); Gancao (Glycyrrhizae Radix et Rhizoma) (roasted and cut, half liang); Houpo (Magnoliae Officinalis Cortex) (rough bark removed, coated with ginger juice and roasted, 1 liang).
The above thirteen ingredients: Coarsely crush and sieve. Take 3 qianbi per dose. Add one cup of water, half a portion of sliced ginger, and three split jujubes. Decoct until reduced to 70%. Strain and take warm (slightly hot) at any time.
Zhonghe Wan (Harmonizing Middle Pill) to treat disharmony of cold and hot qi in Spleen and Stomach, widening the middle jiao, and harmonizing the center:
Fuzi (Aconiti Lateralis Radix Praeparata) (cracked by processing, skin and umbilical scar removed, 1 liang); Ganjiang (Zingiberis Rhizoma) (processed, 3 liang); Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, 1 liang); Muxiang (Aucklandiae Radix) (1 liang); Xiangzi (Foeniculi Fructus) (stir-fried, 1 liang); Qingjupi (Citri Reticulatae Pericarpium Viride)... [Text cuts off here].
The above eight ingredients: Pulverize into fine powder. Mix with dough made from glutinous rice steamed bread soaked in water. Form pills the size of cherries. Take one pill per dose, dissolved in plain water, taken before meals.
Yunqi Tang (Qi-Balancing Decoction) to treat disharmony of cold and hot qi in Spleen and Stomach, stop rebellious phlegm, restore appetite, and balance qi:
Houpo (Magnoliae Officinalis Cortex) (rough bark removed, ginger juice roasted, 1 liang); Chenjupi (Citri Reticulatae Pericarpium) (scalded, white pith removed, roasted, half liang); Baizhu (Atractylodis Macrocephalae Rhizoma) (half liang); Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, 1 liang); Bai Fuling (Poria) (black skin removed, half liang); Maidong/Maiya? (Text says "Mai", likely Maiya or similar grain, fried 1 fen); Gaoliangjiang (Alpiniae Officinarum Rhizoma) (fried, 1 fen); Chenxiang (Aquilariae Lignum Resinatum) (1 fen); Gansong (Nardostachyos Radix et Rhizoma) (1 fen).
The above nine ingredients: Coarsely crush and sieve. Take 3 qianbi per dose. Add one cup of water, two slices of ginger, and two split jujubes. Decoct until reduced to 70%. Strain and take warm at any time.