论曰损其脾者，调其饮食，适其寒温，若食饮不节，寒温失宜，致脾胃气弱，冷气乘之
，则不能腐化水谷，而四肢身体无所禀养也。
治脾胃虚，冷气上攻胸膈，三焦不调，不思饮食，及饮食不消，开胃进食，八味浓朴丸
方
浓朴（去粗皮生姜汁炙令紫二两） 陈橘皮（汤去白焙一两） 诃黎勒（取肉一两生用）
桂（去粗皮取肉一两） 附子（炮裂去皮脐一两） 干姜（炮一两） 白茯苓（去黑皮一两）
甘草（炙一两）
上八味，捣罗为细末，拌令匀，炼蜜丸如梧桐子大，每服三十丸，空心晚食前，温酒或
盐汤下嚼破，如大段膈气，进食不得，即留一半散，每服二钱匕，以酒二合，水二合，同煎
至二合，和滓下丸药三十粒。
治脾胃虚冷，气久不顺，中脘痞闷，全不思食，痰逆呕哕，水谷迟化，谷神丸方
小麦 （炒） 陈曲（炒各一两半） 乌梅肉（炒一两） 生姜（切焙） 陈橘皮（焙
去白） 枳实（去瓤麸炒各半两）
上六味，捣罗为末，炼蜜丸如梧桐子大，每服三十丸，食后米饭下。
治脾胃虚冷一切病，温白丸方
半夏（汤浸切作片生姜汁浸焙二两） 白术（一分） 丁香（一分
上三味，捣罗为末，生姜汁面糊，丸如梧桐子大，每服十丸，浓煎生姜汤下，食前空心
服，如腹痛呕逆，食后服。
治脾胃虚冷，食即呕逆，水谷不化，或时泄利，和胃丸方
浓朴（去粗皮生姜汁炙透四两） 干姜（炮） 当归（切焙各一两半） 人参 槟榔（锉
各一两一分） 陈橘皮（汤去白焙） 白术 半夏（汤洗七遍去滑焙各二两） 桔梗（焙一
两） 甘草（炙半两） 诃黎勒（
上一十一味，捣罗为末，酒面糊和丸，如梧桐子大，每服十五丸，至二十丸，温生姜枣
汤下，米饮亦得，不拘时候。
治脾胃虚冷，胸膈痞滞，吐逆霍乱，脏腑滑利，水谷不消，胀满肠鸣，白豆蔻丸方
白豆蔻（去皮） 木香 干姜（炮） 枳实（去瓤麸炒各一两） 半夏（汤洗去滑
七遍焙一两半） 桂（去粗皮） 白术 细辛（去苗叶各三分） 诃黎勒（皮一两一分） 当
归（切焙半两）
上一十味，捣罗为末，酒煮面糊，丸如梧桐子大，每服二十丸，以米饮盐汤下，空心食
前服。
治脾胃虚冷，脐腹疼痛，吐泻不定，里急后重，肠中虚鸣，水谷不消，不下饮食，七枣
汤方
浓朴（去粗皮生姜汁炙透焙干半斤） 干姜（炮三两） 甘草（炙三两） 乌头（炮裂
去皮脐） 香子（炒） 益智仁（去皮） 缩砂（去皮各四两）
上七味，锉如麻豆，每服二钱匕，水一盏，入枣七枚劈破，同煎至七分，去滓空心食
前温服。
治脾胃虚冷，水谷不化，腹内 刺撮痛，脏腑不调，及因冷物伤脾，吐泻不止，豆蔻
汤方
草豆蔻（薄面里烧香熟面用二两） 桂（去粗皮） 陈橘皮（汤去白焙四两） 高良（四
两） 甘草（炙四
上六味，捣罗五味为末，入粟米末拌匀，再罗过，每服三钱匕，淘米清泔一盏半，生姜
三片，枣五枚劈破，同煎至八分，去滓热服，空心食前。
治脾胃虚冷，饮食不化，呕逆多痰，半夏汤方
半夏（白矾水煮焙） 白扁豆（各一两） 人参 枳壳（去瓤麸炒各半两）
上四味，粗捣筛，每服二钱匕，水一盏，生姜三片，枣一枚劈破，同煎至七分，去滓温
服。
治脾胃虚冷，大肠滑泄，饮食不化，胡椒丸方
胡椒（一两） 乌头（炮裂去皮脐） 干姜（炮） 赤石脂（各半两）
上四味，捣罗为末，面糊丸如梧桐子大，每服十五丸，至二十丸，空心食前米饮下。
治脾胃虚冷，食已胀满，水谷不化，大浓朴丸方
浓朴（去粗皮生姜汁炙焦） 白术（各一两） 陈曲（炒） 陈橘皮（汤去白焙干各三
分） 麦 （炒） 人参 沉香（锉） 木香 丁香 甘草（炙各半两） 缩砂仁 草豆蔻
（去皮） 槟榔（锉各一分）
上一十三味，捣罗为末，炼蜜丸如樱桃仁，每服一丸细嚼，橘皮汤下，空心食前服。
治脾胃虚弱，不能饮食，干哕恶心，或水谷不化，半夏饮方
半夏（为末生姜汁制作饼曝干） 浓朴（去粗皮生姜汁炙各二两） 陈橘皮（汤浸去白
焙） 人参 白术（各一两半）
上五味，粗捣筛，每服三钱匕，水一盏半，生姜五片，枣二枚劈，同煎至八分，去滓温
服。
Commentary states: For damage to the Spleen, regulate diet and adapt to cold and warmth. If food and drink are not taken in moderation, and cold and warmth are inappropriate, leading to weak Qi of the Spleen and Stomach, with Cold Qi taking advantage, then the ability to rot and ripen water and grain is lost, and the four limbs and body receive no nourishment.
To treat deficiency-cold of the Spleen and Stomach, with Cold Qi attacking upward to the chest and diaphragm, dysfunction of the Triple Burner (San Jiao), loss of appetite, and indigestion, to open the stomach and promote eating, use Ba Wei Hou Po Wan (Eight-Ingredient Magnolia Bark Pill).
Hou Po (Magnoliae Officinalis Cortex, remove coarse bark, process with Ginger Juice until purple, 2 liang) Chen Ju Pi (Aurantii Fructus Perforatus, soak in water, remove white pith, dry, 1 liang) He Li Le (Terminalia Chebulae Fructus, take flesh, 1 liang, raw use) Gui (Cinnamomi Ramulus, remove coarse bark, take flesh, 1 liang) Fu Zi (Aconiti Lateralis Radix Praeparata, roast until cracked, remove skin and umbilicus, 1 liang) Gan Jiang (Zingiberis Rhizoma, roasted, 1 liang) Bai Fu Ling (Poria, remove black skin, 1 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 liang)
The above eight herbs are pounded and sifted into fine powder, mixed evenly, and combined with refined honey to make pills the size of Sophora seeds. Take 30 pills per dose, on an empty stomach or before evening meal, swallow with warm wine or salt water, chewing them up. If there is severe Qi stagnation in the diaphragm preventing eating, reserve half of the powder as a san (powder). Take 2 qian bi per dose, decoct with 2 he of wine and 2 he of water until reduced to 2 he, mix with the dregs, and take together with 30 pills.
To treat deficiency-cold of the Spleen and Stomach, long-term Qi stagnation, fullness and oppression in Zhongwan (CV12), complete loss of appetite, phlegm-reversal vomiting and hiccups, slow digestion of water and grain, use Gu Shen Wan (Grain Spirit Pill).
Xiao Mai (Tritici Vulgaris Fructus, stir-baked) Chen Qu (Malt, stir-baked, each 1.5 liang) Wu Mei Rou (Mume Fructus flesh, stir-baked, 1 liang) Sheng Jiang (Zingiberis Rhizoma Recens, sliced and dried) Chen Ju Pi (Aurantii Fructus Perforatus, dried, remove white pith) Zhi Shi (Aurantii Fructus Immaturus, remove pulp, bran-fried, each 0.5 liang)
The above six herbs are pounded and sifted into powder, combined with refined honey to make pills the size of Sophora seeds. Take 30 pills per dose, after meals, swallow with rice.
To treat all diseases of deficiency-cold of the Spleen and Stomach, use Wen Bai Wan (Warm White Pill).
Ban Xia (Pinelliae Rhizoma, soak in water, slice, soak in Ginger Juice, dry, 2 liang) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 fen) Ding Xiang (Caryophylli Flos, 1 fen)
The above three herbs are pounded and sifted into powder, combined with Ginger Juice and wheat paste to make pills the size of Sophora seeds. Take 10 pills per dose, swallow with strongly decocted Ginger Soup, before meals on an empty stomach. If abdominal pain and vomiting occur, take after meals.
To treat deficiency-cold of the Spleen and Stomach, vomiting and reflux upon eating, indigestion of water and grain, occasional diarrhea, use He Wei Wan (Harmonize Stomach Pill).
Hou Po (Magnoliae Officinalis Cortex, remove coarse bark, process thoroughly with Ginger Juice, 4 liang) Gan Jiang (Zingiberis Rhizoma, roasted) Dang Gui (Angelicae Sinensis Radix, slice and dry, each 1.5 liang) Ren Shen (Ginseng Radix et Rhizoma) Bing Lang (Arecae Semen, crushed, each 1 liang 1 fen) Chen Ju Pi (Aurantii Fructus Perforatus, soak in water, remove white pith, dry) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Ban Xia (Pinelliae Rhizoma, wash seven times in water to remove slipperiness, dry, each 2 liang) Jie Geng (Platycodonis Radix, dried, 1 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 liang) He Li Le (Terminalia Chebulae Fructus...)
The above eleven herbs are pounded and sifted into powder, combined with wine and wheat paste to make pills the size of Sophora seeds. Take 15 to 20 pills per dose, swallow with warm Ginger and Jujube Soup; rice drink is also acceptable. No specific time restriction.
To treat deficiency-cold of the Spleen and Stomach, chest and diaphragm fullness and stagnation, vomiting, reflux, cholera-like symptoms, slippery bowels, indigestion of water and grain, distension and borborygmus, use Bai Dou Kou Wan (White Cardamom Pill).
Bai Dou Kou (Amomi Fructus Rotundus, remove skin) Mu Xiang (Aucklandiae Radix) Gan Jiang (Zingiberis Rhizoma, roasted) Zhi Shi (Aurantii Fructus Immaturus, remove pulp, bran-fried, each 1 liang) Ban Xia (Pinelliae Rhizoma, wash seven times in water to remove slipperiness, dry, 1.5 liang) Gui (Cinnamomi Ramulus, remove coarse bark) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves, each 3 fen) He Li Le (Terminalia Chebulae Fructus, peel, 1 liang 1 fen) Dang Gui (Angelicae Sinensis Radix, slice and dry, 0.5 liang)
The above ten herbs are pounded and sifted into powder, combined with wine-boiled wheat paste to make pills the size of Sophora seeds. Take 20 pills per dose, swallow with rice drink or salt water, before meals on an empty stomach.
To treat deficiency-cold of the Spleen and Stomach, pain in the navel and abdomen, uncertain vomiting and diarrhea, tenesmus, empty borborygmus in intestines, indigestion of water and grain, inability to eat, use Qi Zao Tang (Seven-Jujube Decoction).
Hou Po (Magnoliae Officinalis Cortex, remove coarse bark, process thoroughly with Ginger Juice, dry, 0.5 jin) Gan Jiang (Zingiberis Rhizoma, roasted, 3 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 liang) Wu Tou (Aconiti Radix, roast until cracked, remove skin and umbilicus) Xiang Zi (Cyperi Rhizoma, stir-baked) Yi Zhi Ren (Alpiniae Oxyphyllae Fructus, remove skin) Suo Sha (Amomi Fructus, remove skin, each 4 liang)
The above seven herbs are cut like hemp seeds. Take 2 qian bi per dose, add one sheng of water and seven split jujubes, decoct together until reduced to 7/10, strain, and take warm before meals on an empty stomach.
To treat deficiency-cold of the Spleen and Stomach, indigestion of water and grain, stabbing and cramping pain in the abdomen, dysfunction of zang-fu organs, and vomiting/diarrhea unceasing due to cold food injuring the Spleen, use Dou Kou Tang (Cardamom Decoction).
Cao Dou Kou (Amomi Fructus, wrap in thin flour, roast until fragrant and cooked, use 2 liang) Gui (Cinnamomi Ramulus, remove coarse bark) Chen Ju Pi (Aurantii Fructus Perforatus, soak in water, remove white pith, dry, 4 liang) Gao Liang Jiang (Galangal Rhizome, 4 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 4 liang)
The above six herbs: pound five herbs into powder, mix with millet flour, sieve again. Take 3 qian bi per dose, add one and a half sheng of clear rice washing water, three slices of Ginger, and five split jujubes, decoct together until reduced to 8/10, strain, and take hot before meals on an empty stomach.
To treat deficiency-cold of the Spleen and Stomach, indigestion of food, vomiting, reflux, excessive phlegm, use Ban Xia Tang (Pinellia Decoction).
Ban Xia (Pinelliae Rhizoma, boil with Alum, dry) Bai Bian Dou (Phaseoli Semen Album, each 1 liang) Ren Shen (Ginseng Radix et Rhizoma) Zhi Ke (Aurantii Fructus Immaturus, remove pulp, bran-fried, each 0.5 liang)
The above four herbs are coarsely pounded and sieved. Take 2 qian bi per dose, add one sheng of water, three slices of Ginger, and one split jujube, decoct together until reduced to 7/10, strain, and take warm.
To treat deficiency-cold of the Spleen and Stomach, slippery diarrhea of the Large Intestine, indigestion of food, use Hu Jiao Wan (Pepper Pill).
Hu Jiao (Piperis Longi Fructus, 1 liang) Wu Tou (Aconiti Radix, roast until cracked, remove skin and umbilicus) Gan Jiang (Zingiberis Rhizoma, roasted) Chi Shi Zhi (Halloysit Rubrum, each 0.5 liang)
The above four herbs are pounded and sifted into powder, combined with wheat paste to make pills the size of Sophora seeds. Take 15 to 20 pills per dose, swallow with rice drink before meals on an empty stomach.
To treat deficiency-cold of the Spleen and Stomach, distension after eating, indigestion of water and grain, use Da Hou Po Wan (Large Magnolia Bark Pill).
Hou Po (Magnoliae Officinalis Cortex, remove coarse bark, process with Ginger Juice until scorched) Bai Zhu (Atractylodis Macrocephalae Rhizoma, each 1 liang) Chen Qu (Malt, stir-baked) Chen Ju Pi (Aurantii Fructus Perforatus, soak in water, remove white pith, dry, each 3 fen) Mai Ya (Hordei Fructus Germinatus, stir-baked) Ren Shen (Ginseng Radix et Rhizoma) Chen Xiang (Aquilariae Lignum Resinatum, crushed) Mu Xiang (Aucklandiae Radix) Ding Xiang (Caryophylli Flos) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 0.5 liang) Suo Sha Ren (Amomi Fructus, remove skin) Cao Dou Kou (Amomi Fructus, remove skin) Bing Lang (Arecae Semen, crushed, each 1 fen)
The above thirteen herbs are pounded and sifted into powder, combined with refined honey to make pills the size of cherry kernels. Take one pill per dose, chew finely, swallow with Tangerine Peel Soup, before meals on an empty stomach.
To treat weakness of the Spleen and Stomach, inability to eat, dry retching and nausea, or indigestion of water and grain, use Ban Xia Yin (Pinellia Drink).
Ban Xia (Pinelliae Rhizoma, pound into powder, make cakes with Ginger Juice, dry in shade) Hou Po (Magnoliae Officinalis Cortex, remove coarse bark, process with Ginger Juice, each 2 liang) Chen Ju Pi (Aurantii Fructus Perforatus, soak in water, remove white pith, dry) Ren Shen (Ginseng Radix et Rhizoma) Bai Zhu (Atractylodis Macrocephalae Rhizoma, each 1.5 liang)
The above five herbs are coarsely pounded and sieved. Take 3 qian bi per dose, add one and a half sheng of water, five slices of Ginger, and two split jujubes, decoct together until reduced to 8/10, strain, and take warm.