论曰水谷精微，化为血气，外荣形体，内充脏腑，脾胃气和，则能行其津液而充养肌肉
，若脾胃虚弱，不能运化水谷，则气血减耗，无以灌溉形体，故肌肉不丰而羸瘦也。
治脾胃气虚弱，肌体羸瘦，沉香丸方
沉香（锉） 附子（炮裂去皮脐） 浓朴（去粗皮生姜汁炙） 白术 芎 肉豆蔻（去
壳） 香子（微炒令香） 胡椒 陈曲（炒） 桃仁（去双仁皮尖炒各一两） 楝实（取
皮肉炒二两） 阿魏 砂（无石者佳各半两研）
上一十三味，除 砂阿魏外，捣研为末，将 砂阿魏，用好酒三升，银铜石锅内，熬
成膏，和上件药，丸如梧桐子大，早晨晚间腹空时，茶酒盐汤嚼下二十丸。
治脾胃气虚弱，肌体羸瘦，美饮食，长肌肉，去虚倦，强心力，黄 煮散方
黄 （锉二两） 人参 白茯苓（去黑皮） 葛根（锉） 浓朴（去粗皮生姜二两取汁
涂慢火炙尽各一两） 诃黎勒（炮去核一两半） 木香 甘草（炙各半两） 半夏（三分水
洗七遍去滑生姜一两半取汁浸一宿炒干） 干姜（炮一分）
上一十味，杵末，每服二钱匕，水一盏，入生姜三片，枣二枚劈，煎至七分，不以早晚
温服。
治脾胃气虚弱，肌体羸瘦，补不足，进饮食，山芋丸方
山芋（锉一两） 五味子（净拣三分） 黄 （细锉一两） 白术（三两） 人参（一
两）
上五味，捣罗为细末，炼蜜和丸，如梧桐子大，每服二十丸或三十丸，温米饮下、食前
服。
治脾胃气虚弱，肌体羸瘦，调中思食丸方
陈曲（捣碎炒黄色） 陈橘皮（汤浸去白焙） 人参 麦 （炒黄色） 钟乳（粉） 槟
榔（大者锉） 白
上九味，除钟乳别入外，捣罗为细末，拌匀炼蜜为丸，如梧桐子大，每服二十丸，温米
饮下食前服。
治脾胃气虚弱，四肢倦怠，肌体瘦弱，脏腑受湿，大便频数，全不思食，粟附丸方
陈粟米（一升） 附子（一两共得二枚者）
上二味，同于锅铫内，入水煮令附子透，取出附子切作片焙干，又别取陈粟米半升，水
淘令净控干，文火炒令香熟，同附子碾为末，却取元煮附子者粟米粥，同和丸，如梧桐子大
，每服三十丸至五十丸，陈橘皮汤下，空心食前。
治脾胃虚弱，肌体羸瘦，肉豆蔻丸方
肉豆蔻（去壳一分） 诃黎勒（一两面裹火炮取皮） 吴茱萸（汤洗焙干炒） 防风（去
叉） 浓朴（去粗皮生姜汁炙） 芎 苍术（米泔浸一宿切焙） 藿香叶 独活（去芦头
各一分） 石硫黄（一两别研）
上一十味，除硫黄外，细捣罗为末，同拌匀，炼蜜丸如梧桐子大，空心米汤下三十丸。
治脾胃虚弱，肌体羸瘦，及冷痢不止，不能食，浓朴散方
浓朴（去粗皮四两） 附子（炮裂去皮脐一两） 干姜（三两三味同艾滓三两都杵为粗
末同生姜四两擦碎拌前三味一处炒令紫黑色入后药） 肉豆蔻（去壳一两半） 诃黎勒（煨
去核一两半） 吴茱萸（汤洗七遍去涎焙干一两） 草豆蔻（去皮一两） 缩砂仁（一两） 陈
橘皮（汤浸去白焙一两）
上一十一味，都杵罗为细散，每服二钱匕，粟米饮调下，食前服。
治脾胃气虚弱，面黄肌瘦，小便频数，脐腹疼痛，不能饮食，香朴丸方
沉香（锉二两） 香子（炒二两） 浓朴（去粗皮五两） 附子（去皮脐生用二两） 蜀
椒（取红二两）
上五味，除椒红沉香 香子外，二味用浆水六升，青盐三两，生姜三两切作片子，同于
银锅中，煮令水尽曝干，入椒红沉香 香子，捣罗为细末，以水浸饮饼和丸，如梧桐子大，
每服三十丸，空心温酒下。
治脾胃气虚弱，多困羸瘦，面黄口淡，不思饮食，蜀椒丸方
蜀椒（去目及闭口者十两） 浓朴（去粗皮用十两以生姜汁炙令香细锉） 盐花（拾两）
附子（炮裂
上四味，以水一斗，于银石器内，以文武火熬，候水尽为度焙干，同杵为末，炼蜜并糯
米粉，同为糊，和丸如梧桐子大，每服二十丸，至三十丸，温酒下，空心服，如大肠滑泄，
生姜米饮下。
治脾胃气虚弱，肌体羸瘦，人参汤方
人参 半夏（汤洗去滑生姜汁制） 草豆蔻（去皮） 大腹皮（锉） 前胡（去芦头）
陈橘皮（汤浸去白焙） 桂（去粗皮） 芍药 当归（切焙） 白茯苓（去黑皮）
上一十味各等分，粗捣筛，每服三钱匕，水一盏半，入生姜半分切，大枣二枚劈，煎至
八分，去滓稍热服，不计时候。
治脾胃气虚，肌体羸瘦，团参丸方
团参 白术 山芋 枣（焙干为末） 陈仓米（炒黄色各一两） 甘草（炙一分） 草
豆蔻（去皮半两
上七味，捣罗为细末，炼蜜为丸，如樱桃大，米饮嚼下一丸，日三服。
治脾胃虚弱，面黄肌瘦，腰膝疼痛，寒痰呕逆，腹胁 癖、气痛，陈橘皮煎丸方
陈橘皮（一斤用水浸去白焙干杵为细末醋一斗熬为膏入后药） 沉香（锉二两） 干姜
（炮裂四两） 桂（去粗皮四两） 附子（炮裂去皮脐四两） 萆 （锉二两） 当归（洗
切焙干取二两） 京三棱（炮熟锉二两） 浓朴（去粗皮生姜汁炙令黑色四两）
上九味杵罗八味为细末，用陈橘皮膏和丸，如梧桐子大，每服二十丸，温酒下不嚼，陈
米饮下亦得，空心食前服。
治脾胃虚冷，不思饮食，或发虚肿，或日渐羸瘦，四肢衰倦，吐利无节，一切脾虚候状
，皆可服食，椒朴丸方
蜀椒（去目并闭口者） 浓朴（去粗皮生姜汁炙透） 香子（炒） 青盐淘（去砂取
净各二两）
上四味，以水二升，煮令干焙燥，捣罗为末，面糊丸如梧桐子大，每服三四十丸，空心
温米饮，及盐汤下，病深者日三服，诸方集重载椒朴丸方，有加附子者，有加干姜之类者，
皆不快捷，此方精要，与病相当如神，慎勿增他药。
It is discussed that the essence of water and grain transforms into blood and qi, nourishing the body externally and filling the internal organs. If the spleen and stomach qi are harmonious, they can circulate body fluids to nourish muscles; if the spleen and stomach are weak and cannot transport and transform water and grain, blood and qi will decrease and be consumed, leaving nothing to irrigate and nourish the body, thus resulting in emaciation and thinness of muscles.
Chenxiang Wan (Agarwood Pill) for treating spleen and stomach qi deficiency leading to emaciated body:
Chenxiang (Agarwood, crushed) Fuzi (Prepared Aconite Root, roasted until cracked, skin and umbilical scar removed) Houpo (Magnolia Bark, coarse skin removed, stir-fried with ginger juice) Baizhu (Atractylodis Rhizoma) Xiongqiong (Ligusticum Chuanxiong Rhizome) Roudoukou (Nutmeg, shell removed) Huixiangzi (Fennel Fruit, lightly roasted until fragrant) Hujiao (Pepper) Chenqu (Fermented Wheat Mass, roasted) Taoren (Peach Kernel, double kernels and skins removed, roasted, each 1 liang) Lianshi (Melia Fruit, skin and flesh roasted, 2 liang)awei (Asafoetida) Naosha (Sal Ammoniac, preferably without stone impurities, each half liang, ground)
The above thirteen ingredients, except for Sal Ammoniac and Asafoetida, are pounded and ground into powder. The Sal Ammoniac and Asafoetida are boiled in three sheng of good wine in a silver, copper, or stone pot until a paste forms. This paste is mixed with the aforementioned powders and formed into pills the size of paulownia seeds. Take twenty pills by chewing them in the morning and evening on an empty stomach, washed down with tea, wine, or salted water.
Huangqi Zhu San (Decoction Powder of Astragalus) for treating spleen and stomach qi deficiency leading to emaciated body, promoting appetite, building muscle, removing fatigue, and strengthening heart and mind:
Huangqi (Astragalus Root, crushed, 2 liang) Renshen (Ginseng Root) BaiFuling (Poria, black skin removed) Gegen (Kudzu Root, crushed) Houpo (Magnolia Bark, coarse skin removed, coated with juice from 2 liang of ginger, slow-roasted until dry, each 1 liang) Helile (Chebula Fruit, roasted, core removed, 1.5 liang) Muxiang (Costus Root) Gancao (Licorice Root, roasted, each half liang) Banxia (Pinellia Tuber, rinsed seven times with water to remove slipperiness, soaked overnight in juice from 1.5 liang of ginger, then roasted dry) Ganjiang (Dried Ginger, prepared, 1 fen)
The above ten ingredients are pounded into powder. Each dose consists of two qianbi, decocted with one zhan of water, three slices of fresh ginger, and two halved jujubes, until reduced to seventy percent. Take warm, regardless of time.
Shanyu Wan (Dioscorea Pill) for treating spleen and stomach qi deficiency leading to emaciated body, supplementing deficiencies, and advancing diet:
Shanyu (Chinese Yam, crushed, 1 liang) Wuweizi (Schisandra Berry, cleaned, 3 fen) Huangqi (Astragalus Root, finely crushed, 1 liang) Baizhu (Atractylodis Rhizoma, 3 liang) Renshen (Ginseng Root, 1 liang)
The above five ingredients are pounded and sifted into fine powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take twenty or thirty pills each time, washed down with warm rice drink, before meals.
Tiaozhong Sixi Wan (Regulating Middle and Stimulating Appetite Pill) for treating spleen and stomach qi deficiency leading to emaciated body:
Chenqu (Fermented Wheat Mass, crushed and roasted yellow) Chenjuapi (Aged Tangerine Peel, soaked in hot water, white pith removed, dried) Renshen (Ginseng Root) Maidong (Ophiopogon Tuber, roasted yellow) Zhongru (Stalactite, powder) Binglang (Areca Seed, large ones crushed) Baizhi (Angelica Dahurica Root)
The above nine ingredients, except for Stalactite which is added separately, are pounded and sifted into fine powder, mixed evenly, and formed into pills the size of paulownia seeds with refined honey. Take twenty pills each time, washed down with warm rice drink, before meals.
Sufu Wan (Millet and Aconite Pill) for treating spleen and stomach qi deficiency leading to limb fatigue, emaciated body, dampness affecting viscera, frequent stools, and complete loss of appetite:
Chensumi (Old Millet, 1 sheng) Fuzi (Prepared Aconite Root, 1 liang, approx. two medium-sized tubers)
The above two ingredients are boiled together in a pot with water until the Aconite is thoroughly cooked. Remove the Aconite, slice it, and roast dry. Separately, take half a sheng of old millet, wash clean, drain, and stir-fry over low heat until fragrant and cooked. Grind the roasted millet and Aconite together into powder. Use the original millet porridge used for boiling the Aconite to bind the powder into pills the size of paulownia seeds. Take thirty to fifty pills each time, washed down with tangerine peel decoction, on an empty stomach before meals.
Roudoukou Wan (Nutmeg Pill) for treating spleen and stomach weakness leading to emaciated body:
Roudoukou (Nutmeg, shell removed, 1 fen) Helile (Chebula Fruit, 1 liang, wrapped in flour and fire-roasted, skin taken) Wuzhuyu (Evodia Fruit, washed with hot water, dried, roasted) Fangfeng (Saposhnikovia Root, forked parts removed) Houpo (Magnolia Bark, coarse skin removed, stir-fried with ginger juice) Xiongqiong (Ligusticum Chuanxiong Rhizome) Cangzhu (Atractylodes Lancea Rhizome, soaked in rice washing water overnight, sliced, dried) Huoxiangye (Patchouli Leaf) Duhuo (Angelica Pubescens Root, rhizome removed, each 1 fen) Shiliuhuang (Native Sulfur, 1 liang, ground separately)
The above ten ingredients, except for Native Sulfur, are finely pounded and sifted into powder, mixed evenly, and formed into pills the size of paulownia seeds with refined honey. Take thirty pills on an empty stomach, washed down with rice soup.
Houpo San (Magnolia Bark Powder) for treating spleen and stomach weakness leading to emaciated body, persistent cold dysentery, and inability to eat:
Houpo (Magnolia Bark, coarse skin removed, 4 liang) Fuzi (Prepared Aconite Root, roasted until cracked, skin and umbilical scar removed, 1 liang) Ganjiang (Dried Ginger, 3 liang. These three ingredients are mixed with mugwort dregs (3 liang), pounded into coarse powder, mixed with 4 liang of grated fresh ginger, and stir-fried until purple-black. Then add the following herbs.) Roudoukou (Nutmeg, shell removed, 1.5 liang) Helile (Chebula Fruit, baked, core removed, 1.5 liang) Wuzhuyu (Evodia Fruit, washed seven times with hot water to remove saliva, dried, 1 liang) Caodoukou (Grass Cardamom Seed, peeled, 1 liang) Suosharen (Amomum Villosum Fruit, 1 liang) Chenjuapi (Aged Tangerine Peel, soaked in hot water, white pith removed, dried, 1 liang)
The above eleven ingredients are all pounded and sifted into fine powder. Take two qianbi each time, mixed with millet drink, before meals.
Xiangpo Wan (Agarwood and Magnolia Bark Pill) for treating spleen and stomach qi deficiency leading to sallow complexion and emaciated body, frequent urination, umbilical and abdominal pain, and inability to eat:
Chenxiang (Agarwood, crushed, 2 liang) Huixiangzi (Fennel Fruit, roasted, 2 liang) Houpo (Magnolia Bark, coarse skin removed, 5 liang) Fuzi (Prepared Aconite Root, raw, skin and umbilical scar removed, 2 liang) Shujiao (Sichuan Pepper, red part taken, 2 liang)
The above five ingredients, except for Sichuan Pepper red part, Agarwood, and Fennel Fruit, the other two (Magnolia Bark and Aconite) are boiled with six sheng of sour rice water, three liang of green salt, and three liang of sliced fresh ginger in a silver pot until the water evaporates and they are dried. Add the Sichuan Pepper red part, Agarwood, and Fennel Fruit, pound and sift into fine powder. Bind with dough made from water-soaked drinking biscuits into pills the size of paulownia seeds. Take thirty pills each time, washed down with warm wine on an empty stomach.
Shujiao Wan (Sichuan Pepper Pill) for treating spleen and stomach qi deficiency leading to excessive fatigue and emaciation, sallow complexion, bland taste in mouth, and lack of appetite:
Shujiao (Sichuan Pepper, eyes and closed-mouth ones removed, 10 liang) Houpo (Magnolia Bark, coarse skin removed, use 10 liang, stir-fried with ginger juice until fragrant, finely crushed) Yanhua (Salt Flower, 10 liang) Fuzi (Prepared Aconite Root, roasted until cracked)
The above four ingredients are boiled in one dou of water in a silver or stone vessel using moderate heat until the water is gone. Roast dry, pound into powder. Mix with refined honey and glutinous rice flour paste to form pills the size of paulownia seeds. Take twenty to thirty pills each time, washed down with warm wine, on an empty stomach. If there is intestinal sliding diarrhea, wash down with ginger rice drink.
Renshen Tang (Ginseng Decoction) for treating spleen and stomach qi deficiency leading to emaciated body:
Renshen (Ginseng Root) Banxia (Pinellia Tuber, washed with hot water to remove slipperiness, processed with ginger juice) Caodoukou (Grass Cardamom Seed, peeled) Dafupi (Areca Peel, crushed) Qianhu (Peucedanum Root, rhizome removed) Chenjuapi (Aged Tangerine Peel, soaked in hot water, white pith removed, dried) Guizhi (Cinnamon Twig, coarse skin removed) Shaoyao (Peony Root) Danggui (Angelica Sinensis Root, sliced and dried) BaiFuling (Poria, black skin removed)
The above ten ingredients are used in equal parts, coarsely pounded and sifted. Take three qianbi each time, decoct with one and a half zhan of water, half a fen of sliced fresh ginger, and two halved jujubes, until reduced to eighty percent. Strain and take slightly warm, at any time.
Tuanshen Wan (Round Ginseng Pill) for treating spleen and stomach qi deficiency leading to emaciated body:
Tuanshen (Ginseng) Baizhu (Atractylodis Rhizoma) Shanyu (Chinese Yam) Zao (Jujube, roasted dry and powdered) Chencangmi (Stored Rice, roasted yellow, each 1 liang) Gancao (Licorice Root, roasted, 1 fen) Caodoukou (Grass Cardamom Seed, peeled, half liang)
The above seven ingredients are pounded and sifted into fine powder, formed into pills the size of cherries with refined honey. Chew one pill with rice drink, three times a day.
Chenjuapi Jian Wan (Aged Tangerine Peel Decoction Pill) for treating spleen and stomach weakness leading to sallow complexion and emaciated body, lower back and knee pain, cold phlegm and vomiting, abdominal and hypochondriac masses, and qi pain:
Chenjuapi (Aged Tangerine Peel, 1 jin, soaked in water, white pith removed, dried, pounded into fine powder, boiled with one dou of vinegar into a paste, then add the following herbs) Chenxiang (Agarwood, crushed, 2 liang) Ganjiang (Dried Ginger, roasted until cracked, 4 liang) Guizhi (Cinnamon Twig, coarse skin removed, 4 liang) Fuzi (Prepared Aconite Root, roasted until cracked, skin and umbilical scar removed, 4 liang) Bixie (Dioscorea Hypoglauca Rhizome, crushed, 2 liang) Danggui (Angelica Sinensis Root, washed, sliced, dried, take 2 liang) Jingsanleng (Curcuma Zedoaria Rhizome, roasted, crushed, 2 liang) Houpo (Magnolia Bark, coarse skin removed, stir-fried with ginger juice until black, 4 liang)
The above nine ingredients, excluding the aged tangerine peel paste, the other eight are pounded and sifted into fine powder. Bind with the aged tangerine peel paste into pills the size of paulownia seeds. Take twenty pills each time, washed down with warm wine without chewing, or with aged rice drink is also acceptable, on an empty stomach before meals.
Jiaopo Wan (Sichuan Pepper and Magnolia Bark Pill) for treating spleen and stomach deficiency-cold, lack of appetite, occasional edema, gradual emaciation, limb fatigue, uncontrolled vomiting and diarrhea, and all symptoms of spleen deficiency:
Shujiao (Sichuan Pepper, eyes and closed-mouth ones removed) Houpo (Magnolia Bark, coarse skin removed, stir-fried thoroughly with ginger juice) Huixiangzi (Fennel Fruit, roasted) Qingyan (Green Salt, washed to remove sand, take pure, each 2 liang)
The above four ingredients are boiled in two sheng of water until dry, roasted, pounded, and sifted into powder. Form into pills the size of paulownia seeds with wheat paste. Take thirty to forty pills each time, on an empty stomach, washed down with warm rice drink and salted water. For severe cases, take three times a day. Various collected formulas for heavy-load Jiaopo Wan may include Fuzi or Ganjiang, but these are not as effective. This formula is concise and matches the condition perfectly like magic; do not add other herbs.