论曰脾为中州，主腐化水谷，埤诸脏腑，若脾虚，冷气与正气相击，则令腹内虚鸣，甚
则腹痛下利，食不能化，内经所谓暴气象雷者，以阴阳之气冷热相击故也。
治脾脏虚冷，气攻心腹， 痛肠鸣，肉豆蔻丸方
肉豆蔻（去壳） 干姜（炮） 陈橘皮（汤浸去白焙） 半夏（去洗去滑七遍焙） 桂
（去粗皮） 吴茱萸（汤浸焙干炒） 浓朴（去粗皮生姜汁炙） 乌头（炮裂去皮脐） 白
茯苓（去黑皮各半两）
上九味，捣罗为末，枣肉和丸，如梧桐子大，食前生姜醋汤下十五丸。
治脾脏冷气不和，腹内雷鸣，膨胀刺痛，及解伤寒，橘皮煮散方
陈橘皮（汤浸去白焙） 白术（各二两） 诃黎勒（炮去核） 干姜（炮） 枳壳（去
瓤麸炒） 桂（去粗皮） 木香 人参 甘草（炙各一两） 草豆蔻（去皮七枚） 槟榔
（五枚锉） 半夏（汤洗二七遍三分） 浓朴（去粗皮生姜汁炙一两半）
上一十三味，捣为粗散，每服三钱匕，水一盏，入生姜三片，枣二枚劈破，同煎至七分
，去滓食前温服。
治脾脏冷气，心腹痛胀闷，胸膈不利呕逆，腹内虚鸣，丁香丸方
丁香 香子（炒） 桂（去粗皮） 陈橘皮（汤浸去白焙） 甘草（炙锉） 胡椒（等
分）
上六味，捣罗为末，炼蜜和丸，如樱桃大，每服一丸，生姜盐汤嚼下。
治脾脏冷气，肠鸣相逐，饮食无味，补虚，益智仁煮散方
益智（去皮） 乌药（锉） 桂（去粗皮） 天仙藤（各一两） 莎草根（炒去毛） 陈
橘皮（汤浸去白焙） 甘草（炙各二两） 干姜（炮） 木香 芎 白术 丁香（各半
两） 人参（一分）
上一十三味，捣为粗散，每服三钱匕，水一盏，入生姜三片，枣二枚劈破，同煎至六分
，去滓温服食前。
治脾脏冷气，腹内虚鸣，四肢多冷，心腹疼痛，乌头丸方
草乌头（去皮尖取末一分） 芫花（一分醋炒黄别杵为末二味用醋一升熬成稠膏刮出） 桂
（去粗皮） 干姜（炮） 槟榔（锉） 青橘皮（汤浸去白焙） 天雄（炮裂去皮脐） 肉
豆蔻仁 当归（切焙） 乌头（炮裂去皮脐） 胡椒（炒） 藿香叶 红豆蔻 丁香（各
三钱）
上一十四味，除二味熬膏外，捣罗为末，入前膏和剂，如硬更入蜜少许，丸如梧桐子，
每服十五丸，生姜汤或米汤橘皮汤下，病已即止。
治脾脏冷气，腹内虚鸣泄泻，及宿食气块不消，憎寒壮热，日渐羸瘦，补脾散方
木香（半两） 草豆蔻（白面裹慢火煨令焦去皮并面） 陈橘皮（汤浸去白焙） 浓朴
（去粗皮生姜汁炙） 香子（炒） 干姜（炮） 京三棱（炮各一两） 陈曲（炒） 大
麦（炒各二两）
上九味，捣罗为散，食前炒生姜盐汤调下二钱匕。
治脾虚冷气，腹胀满虚鸣，腰腿肿刺痛， 气丸方
胡椒（炒一百粒） 木香（三钱） 槟榔（一枚锉） 蝎梢（炒二钱） 阿魏（醋化去
砂入药） 陈橘皮（汤浸
上八味，捣罗为末，生姜自然汁，煮面糊和丸，如豌豆大，每服二十丸，温酒或陈橘皮
汤下，不拘时候。
治脾虚冷腹中雷鸣，太白汤方
附子（炮裂去皮脐二两） 青橘皮（汤浸去白焙一两） 香子（炒） 干姜（炮） 木
香（炮各半两）
上五味， 咀如麻豆，每服三钱匕，水一盏，入生姜二片，枣一枚劈破，同煎至七分
，去滓温服，不拘时候。
治脾脏冷气，腹内虚鸣，温脾丸方
高良姜（一两） 附子（炮裂去皮脐） 干姜（炮） 胡椒（炒各半两）
上四味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，生姜橘皮汤或米饮下，不拘
时候。
治脾脏虚冷，邪正气相击搏，腹内虚鸣，兼治阴阳二毒伤寒，陈橘皮汤方
陈橘皮（汤浸去白麸炒） 桂（去粗皮） 甘草（炙锉） 干姜（炮） 枳壳（去瓤麸
炒） 白术 人参 白茯苓（去黑皮） 浓朴（去粗皮生姜汁涂炙） 半夏（汤浸七遍去滑
麸炒各一两） 诃黎勒（五枚煨去核） 槟榔（二枚锉） 草豆蔻（二枚去皮） 附子（炮
裂去皮脐） 沉香（锉） 木香（各一两）
上一十六味，锉如麻豆，每服三钱匕，水一盏，生姜三片，枣三枚劈，同煎至六分，去
滓热服，脾泻气痛，服之神妙，伤寒并二服。
治脾胃久冷，气攻心腹，肠鸣胀满，痰逆恶心，草豆蔻丸方
草豆蔻（炮去皮） 干姜（炮） 桂（去粗皮各一两半） 诃黎勒（煨取皮） 甘草（炙
锉） 白茯苓（去黑
上七味，捣罗为末，炼蜜和丸，如梧桐子大，温酒下二十丸。
治脾脏虚冷，腹胀肠鸣， 痛泄泻，饮食不化，浓朴汤方
浓朴（去粗皮生姜汁炙） 白茯苓（去黑皮） 人参 草豆蔻（去皮） 陈橘皮（汤浸
去瓤焙炒各三分） 半夏（汤洗去滑生姜汁制） 桂（去粗皮） 木香 白术炒 枳壳（去
瓤麸炒各半两）
上一十味，粗捣筛，每服四钱匕，水一盏半，生姜三片，枣一枚劈，煎至七分，去滓食
前温服。
治脾脏冷气，腹胀虚鸣，饮食不化，泄泻不止，人参散方
人参 诃黎勒皮（各三分） 枳壳（去瓤麸炒） 槟榔（锉各四钱） 陈橘皮（汤浸去
白焙） 丁香（各半
上七味，捣罗为散，每服二钱匕，用姜米饮调下，空心食前服。
Commentary states: The Spleen is located in the central region of the body (Middle Jiao), primarily responsible for rotting and ripening food and fluids, and nourishing the other Zang-Fu organs. If the Spleen Qi is deficient, cold pathogenic factors clash with healthy Qi, causing hollow rumbling noises within the abdomen (Xu Ming). In severe cases, this leads to abdominal pain and diarrhea, with an inability to digest food. As stated in the *Nei Jing* ("Sudden sounds resemble thunder"), this occurs due to the clashing of Yin and Yang Qi, resulting from a conflict between cold and heat.
Formula for treating Spleen deficiency-cold, where Qi attacks the heart and abdomen, accompanied by intestinal rumbling and pain: Rou Dou Kou Wan (Nutmeg Pill)
Ingredients: Nutmeg (Rou Dou Kou, removed shell), Dried Ginger (Gan Jiang, processed), Aged Tangerine Peel (Chen Pi, soaked in hot water, white pith removed, dried), Pinellia Rhizome (Ban Xia, washed seven times to remove slipperiness, dried), Cinnamon Twig (Gui Zhi, outer bark removed), Evodia Fruit (Wu Zhu Yu, soaked in hot water, dried and stir-fried), Magnolia Bark (Hou Po, outer bark removed, processed with ginger juice), Aconite Root Lateralis Preparata (Chuan Wu, processed until cracked, skin and umbilical scar removed), Poria (Fu Ling, black skin removed, each 0.5 liang).
Preparation: The above nine ingredients are crushed, sifted into powder, and mixed with jujube flesh to form pills the size of sophora seeds. Take 15 pills before meals, administered with ginger and vinegar decoction.
Formula for treating Spleen cold-pathogen disharmony, abdominal thunderous rumbling, distension with stabbing pain, and resolving Shaoyang/Taiyang cold damage: Ju Pi Zhu San (Tangerine Peel Decoction Powder)
Ingredients: Aged Tangerine Peel (Chen Pi, soaked in hot water, white pith removed, dried), Atractylodes Macrocephala Rhizome (Bai Zhu, each 2 liang), Chebula Fruit (He Li Le, processed, pit removed), Dried Ginger (Gan Jiang, processed), Aurantium Fruit (Zhi Ke, pulp removed, bran-fried), Cinnamon Twig (Gui Zhi, outer bark removed), Costus Root (Mu Xiang), Ginseng (Ren Shen), Licorice Root (Gan Cao, honey-fried, each 1 liang), Grains of Paradise Seed (Cao Dou Kou, peeled, 7 seeds), Areca Seed (Bing Lang, 5 seeds, chopped), Pinellia Rhizome (Ban Xia, washed in hot water fourteen times, take 3 parts), Magnolia Bark (Hou Po, outer bark removed, processed with ginger juice, 1.5 liang).
Preparation: The above thirteen ingredients are crushed into coarse powder. Each dose consists of 3 qian bi, boiled with one cup of water, three slices of fresh ginger, and two split jujubes, until reduced to 7/10 volume. Strain and take warm before meals.
Formula for treating Spleen cold-pathogen, heart and abdominal pain with distension and oppression, chest and diaphragm discomfort with vomiting and regurgitation, and hollow abdominal rumbling: Ding Xiang Wan (Clove Pill)
Ingredients: Clove (Ding Xiang), Cyperus Rhizome (Xiang Fu, stir-fried), Cinnamon Twig (Gui Zhi, outer bark removed), Aged Tangerine Peel (Chen Pi, soaked in hot water, white pith removed, dried), Licorice Root (Gan Cao, honey-fried and chopped), Black Pepper (Hu Jiao, equal parts).
Preparation: The above six ingredients are crushed, sifted into powder, and mixed with refined honey to form pills the size of cherries. Take one pill per dose, chewed and swallowed with ginger and salt water.
Formula for treating Spleen cold-pathogen, successive intestinal rumbling, loss of taste in food, and tonifying deficiency: Yi Zhi Ren Zhu San (Alpinia Oxyphylla Decoction Powder)
Ingredients: Alpinia Oxyphylla Fruit (Yi Zhi, peeled), Lindera Root (Wu Yao, chopped), Cinnamon Twig (Gui Zhi, outer bark removed), Aristolochia Vine (Tian Xian Teng, each 1 liang), Cyperus Rotundus Rhizome (Sha Cao Gen, stir-fried and hair removed), Aged Tangerine Peel (Chen Pi, soaked in hot water, white pith removed, dried), Licorice Root (Gan Cao, honey-fried, each 2 liang), Dried Ginger (Gan Jiang, processed), Costus Root (Mu Xiang), Ligusticum Chuanxiong Rhizome (Xiong), Atractylodes Macrocephala Rhizome (Bai Zhu), Clove (Ding Xiang, each 0.5 liang), Ginseng (Ren Shen, 1 fen).
Preparation: The above thirteen ingredients are crushed into coarse powder. Each dose consists of 3 qian bi, boiled with one cup of water, three slices of fresh ginger, and two split jujubes, until reduced to 6/10 volume. Strain and take warm before meals.
Formula for treating Spleen cold-pathogen, hollow abdominal rumbling, coldness of the four limbs, and heart and abdominal pain: Wu Tou Wan (Aconite Pill)
Ingredients: Grass Aconite Root (Cao Wu Tou, tip and skin removed, powder taken as 1 fen), Genkwa Flower (Yuan Hua, 1 fen, stir-fried yellow with vinegar, separately pounded to powder; these two ingredients are boiled with one sheng of vinegar into a thick paste and scraped out), Cinnamon Twig (Gui Zhi, outer bark removed), Dried Ginger (Gan Jiang, processed), Areca Seed (Bing Lang, chopped), Green Tangerine Peel (Qing Ju Pi, soaked in hot water, white pith removed, dried), Heavenly Male Aconite (Tian Xiong, processed until cracked, skin and umbilical scar removed), Nutmeg Kernel (Rou Dou Kou Ren), Angelica Sinensis Root (Dang Gui, sliced and dried), Prepared Aconite Root (Wu Tou, processed until cracked, skin and umbilical scar removed), Black Pepper (Hu Jiao, stir-fried), Agastache Leaf (Huo Xiang Ye), Red Cardamom (Hong Dou Kou), Clove (Ding Xiang, each 3 qian).
Preparation: Of the above fourteen ingredients, except for the first two which are made into paste, the rest are crushed, sifted into powder, and mixed with the aforementioned paste. If too hard, add a little honey. Form pills the size of sophora seeds. Take 15 pills per dose, administered with ginger soup, rice soup, or tangerine peel soup. Discontinue when the disease is cured.
Formula for treating Spleen cold-pathogen, hollow abdominal rumbling with diarrhea, indigestion of retained food and qi masses, aversion to cold with high fever, and gradual emaciation: Bu Pi San (Tonify Spleen Powder)
Ingredients: Costus Root (Mu Xiang, 0.5 liang), Grains of Paradise Seed (Cao Dou Kou, wrapped in white flour, slow-roasted until scorched, skin and flour removed), Aged Tangerine Peel (Chen Pi, soaked in hot water, white pith removed, dried), Magnolia Bark (Hou Po, outer bark removed, processed with ginger juice), Cyperus Rhizome (Xiang Fu, stir-fried), Dried Ginger (Gan Jiang, processed), Burreed Tuber (Jing San Leng, processed, each 1 liang), Fermented Wheat Qu (Chen Qu, stir-fried), Barley (Da Mai, stir-fried, each 2 liang).
Preparation: The above nine ingredients are crushed, sifted into powder. Take 2 qian bi before meals, mixed with stir-fried ginger and salt water.
Formula for treating Spleen deficiency-cold, abdominal distension with hollow rumbling, swelling and stabbing pain in waist and legs: Qi Wan (Qi Pill)
Ingredients: Black Pepper (Hu Jiao, stir-fried, 100 grains), Costus Root (Mu Xiang, 3 qian), Areca Seed (Bing Lang, 1 seed, chopped), Scorpion Tail (Xie Shao, stir-fried, 2 qian), Asafoetida (A Wei, dissolved in vinegar to remove sand, added to medicine), Aged Tangerine Peel (Chen Pi, soaked in hot water, white pith removed).
Preparation: The above eight ingredients are crushed, sifted into powder. Mix with natural fresh ginger juice and wheat flour paste to form pills the size of pea seeds. Take 20 pills per dose, administered with warm wine or aged tangerine peel tea, at any time.
Formula for treating Spleen deficiency-cold with thunderous rumbling in the abdomen: Tai Bai Tang (Tai Bai Decoction)
Ingredients: Prepared Aconite Root (Fu Zi, processed until cracked, skin and umbilical scar removed, 2 liang), Green Tangerine Peel (Qing Ju Pi, soaked in hot water, white pith removed, dried, 1 liang), Cyperus Rhizome (Xiang Fu, stir-fried), Dried Ginger (Gan Jiang, processed), Costus Root (Mu Xiang, processed, each 0.5 liang).
Preparation: The above five ingredients are chopped like hemp seeds. Each dose consists of 3 qian bi, boiled with one cup of water, two slices of fresh ginger, and one split jujube, until reduced to 7/10 volume. Strain and take warm, at any time.
Formula for treating Spleen cold-pathogen with hollow abdominal rumbling: Wen Pi Wan (Warm Spleen Pill)
Ingredients: Galangal Rhizome (Gao Liang Jiang, 1 liang), Prepared Aconite Root (Fu Zi, processed until cracked, skin and umbilical scar removed), Dried Ginger (Gan Jiang, processed), Black Pepper (Hu Jiao, stir-fried, each 0.5 liang).
Preparation: The above four ingredients are crushed, sifted into powder, and mixed with refined honey to form pills the size of sophora seeds. Take 20 pills per dose, administered with ginger and tangerine peel soup or rice drink, at any time.
Formula for treating Spleen deficiency-cold, clashing of evil and healthy Qi, hollow abdominal rumbling, and concurrently treating Yin and Yang Er Du Cold Damage: Chen Pi Tang (Aged Tangerine Peel Decoction)
Ingredients: Aged Tangerine Peel (Chen Pi, soaked in hot water, white pith removed, bran-fried), Cinnamon Twig (Gui Zhi, outer bark removed), Licorice Root (Gan Cao, honey-fried and chopped), Dried Ginger (Gan Jiang, processed), Aurantium Fruit (Zhi Ke, pulp removed, bran-fried), Atractylodes Macrocephala Rhizome (Bai Zhu), Ginseng (Ren Shen), Poria (Fu Ling, black skin removed), Magnolia Bark (Hou Po, outer bark removed, coated with ginger juice and processed), Pinellia Rhizome (Ban Xia, soaked in hot water seven times to remove slipperiness, bran-fried, each 1 liang), Chebula Fruit (He Li Le, 5 fruits, roasted, pit removed), Areca Seed (Bing Lang, 2 seeds, chopped), Grains of Paradise Seed (Cao Dou Kou, 2 seeds, peeled), Prepared Aconite Root (Fu Zi, processed until cracked, skin and umbilical scar removed), Agarwood (Chen Xiang, chopped), Costus Root (Mu Xiang, each 1 liang).
Preparation: The above sixteen ingredients are chopped like hemp seeds. Each dose consists of 3 qian bi, boiled with one cup of water, three slices of fresh ginger, and three split jujubes, until reduced to 6/10 volume. Strain and take hot. For spleen diarrhea and qi pain, it is miraculous; for cold damage, take twice.
Formula for treating long-standing Spleen and Stomach cold, Qi attacking heart and abdomen, intestinal rumbling with distension, phlegm regurgitation and nausea: Cao Dou Kou Wan (Grains of Paradise Seed Pill)
Ingredients: Grains of Paradise Seed (Cao Dou Kou, processed and peeled), Dried Ginger (Gan Jiang, processed), Cinnamon Twig (Gui Zhi, outer bark removed, each 1.5 liang), Chebula Fruit (He Li Le, roasted, peel taken), Licorice Root (Gan Cao, honey-fried and chopped), Poria (Fu Ling, black skin removed).
Preparation: The above seven ingredients are crushed, sifted into powder, and mixed with refined honey to form pills the size of sophora seeds. Take 20 pills with warm wine.
Formula for treating Spleen deficiency-cold, abdominal distension with intestinal rumbling, painful diarrhea, and indigestion: Hou Po Tang (Magnolia Bark Decoction)
Ingredients: Magnolia Bark (Hou Po, outer bark removed, processed with ginger juice), Poria (Fu Ling, black skin removed), Ginseng (Ren Shen), Grains of Paradise Seed (Cao Dou Kou, peeled), Aged Tangerine Peel (Chen Pi, soaked in hot water, pulp removed, dried and stir-fried, each 3 fen), Pinellia Rhizome (Ban Xia, washed in hot water to remove slipperiness, processed with ginger juice), Cinnamon Twig (Gui Zhi, outer bark removed), Costus Root (Mu Xiang), Atractylodes Macrocephala Rhizome (Bai Zhu, stir-fried), Aurantium Fruit (Zhi Ke, pulp removed, bran-fried, each 0.5 liang).
Preparation: The above ten ingredients are coarsely crushed and sieved. Each dose consists of 4 qian bi, boiled with one and a half cups of water, three slices of fresh ginger, and one split jujube, until reduced to 7/10 volume. Strain and take warm before meals.
Formula for treating Spleen cold-pathogen, abdominal distension with hollow rumbling, indigestion, and incessant diarrhea: Ren Shen San (Ginseng Powder)
Ingredients: Ginseng (Ren Shen), Chebula Peel (He Li Le Pi, each 3 fen), Aurantium Fruit (Zhi Ke, pulp removed, bran-fried), Areca Seed (Bing Lang, chopped, each 4 qian), Aged Tangerine Peel (Chen Pi, soaked in hot water, white pith removed, dried), Clove (Ding Xiang, each 0.5 liang).
Preparation: The above seven ingredients are crushed, sifted into powder. Take 2 qian bi per dose, mixed with ginger and rice drink, taken on an empty stomach before meals.