论曰虚劳不思食者，劳气在脾胃也，胃为水谷之海，脾能消磨，今脾胃虚弱，不能化谷，
则胃中虚满而不饥，令人胸膈痞塞，故不思饮食。
治虚劳不思饮食，腹肚不调，口疮痰逆，及脏腑久冷，猪肝丸方
猪肝（半具去脂膜以酒五升煮令烂细切后入药末） 柴胡（去苗） 浓朴（去粗皮生
姜汁
炙） 干姜（炮裂） 附子（炮裂去皮脐） 缩砂（去皮） 白术（各一两） 陈橘皮（汤
浸去白炒）
皮） 木香 黄连（去须
各一分）
上一十五味，除猪肝外，捣罗为末，入木臼，将猪肝相和，烂杵为丸，如梧桐子大，每
服二十丸，温酒下不拘时。
治虚劳不思饮食，胸背支满，脏气虚逆羸瘦，食不消化，温脾进食，茱萸丸方
食茱萸（微炒三分） 干姜（炮裂） 大黄（锉炒） 甘草（炙） 附子（炮裂去皮
脐） 麦曲
上九味，捣罗为末，炼蜜和为丸，如梧桐子大，每服二十丸，温酒下，空心日午夜卧服
治虚劳瘦羸不进食，脏腑虚冷，内补地黄丸方
熟干地黄（焙） 桂（去粗皮各三分） 防风（去叉） 乌头（炮裂去皮脐） 芎 桃
仁（汤浸去皮尖炒别研） 牛膝（酒浸切焙） 石槲（去根） 干姜（炮裂各半两）
上九味，除桃仁外，捣罗为末，与桃仁相和令匀，炼蜜为丸，如梧桐子大，每服二十丸，
温酒下，空心日午夜卧服。
治虚劳不思饮食，中满痞塞，大肠或秘或泄，豆蔻汤方
白豆蔻（去皮一两） 丁香（半两） 白术（锉炒一两） 浓朴（去粗皮生姜汁炙二两）
人参
（一两） 干姜（炮裂半两） 甘草（炙半两） 陈橘皮（汤浸去白焙一两） 槟榔（锉二
枚）
上九味，粗捣筛，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
温服，不计时候。
治脾劳虚损，不思饮食，脐腹疼痛，补虚壮阳，巴戟丸方
巴戟天（去心） 附子（炮裂去皮脐） 肉苁蓉（酒浸切焙） 香子（炒） 牛膝（酒
浸切焙）
橘皮（汤浸去
白焙） 木香 人参（各一两）
上一十二味，捣罗为末，醋煮面糊为丸，如梧桐子大，每服二十丸，不拘时温酒下。
治虚劳脾胃宿冷，不思饮食，四肢怠惰，心腹胀满，脐下结痛，及 癖气块等病。
荜茇丸方
荜茇（炒） 诃黎勒（煨去核） 干姜（炮裂） 人参（各一两） 桂（去粗皮） 白
茯苓（去黑
皮） 胡椒（各半两）
上七味，捣罗为末，炼蜜和丸梧桐子大，每服二十丸，米饮下，空心食前服。
治虚劳不思饮食，进食补虚，人参汤方
人参 木香 青橘皮（汤浸去白焙） 陈橘皮（汤浸去白焙） 藿香叶 白茯苓（去黑
皮）
甘草（炙各一两）
上七味，粗捣筛，每服三钱匕，水一盏，生姜三片，枣二枚劈破，同煎至七分，去滓温
服，不计时候。
治脾劳腹痛，不思饮食，乌头汤方
乌头（炮裂去皮脐一两） 青橘皮（汤浸去白焙一两半） 甘草（炙一两） 益智（去
皮） 高
良姜（锉炒） 香子（炒各半两） 草豆蔻（去皮五枚）
上七味，锉如麻豆，每服三钱匕，以水一盏，入盐少许，同煎七分，去滓温服，如气泻，
入艾叶五片同煎。
治五劳七伤，脏腑虚惫，四肢少力，骨节疼痛，胃气不调，日渐羸瘦，不思饮食。
猪肝煎丸方
猪肝 猪肚（净洗去脂膜各二具）
上二味，并切作片，于新砂盆内，以薄黄泥固济外面泥如灶，初且用小便一斗以来入肝
肚，慢火煎，以柳木篦搅，夜盖复，旋入小便，更可二斗，次入后药。
桃仁（去皮尖双仁炒五两研） 阿魏（二两醋化去硝石以面裹慢火煨候面黄熟去面并桃
仁
同研入药） 薄荷汁（二升） 青蒿头（研汁二升） 猪胆（二十枚取汁）
上五味，并相次入前药煎频搅，更入小便二斗，都可五斗以来，不住以慢火煎，渐渐入，
不得冷干，候煎如稀饧，以通油器盛贮封盖，更入后药末。
鳖甲（去裙 醋炙） 京三棱（煨锉各二两） 槟榔（锉） 桂（去粗皮） 干漆（炒
烟出） 浓
朴（去粗皮生姜汁炙） 附子（炮裂去皮脐） 木香 蓬莪术（煨） 石槲（去根） 草豆
蔻（去皮）
（锉炒） 紫菀（去苗
土） 芎 芍药 诃黎勒皮 陈橘皮（去白焙） 陈曲（炒） 地骨皮（各一两） 肉豆
蔻（十枚
去壳） 柴胡（去苗三两）
上二十五味，并捣罗为末，用前煎搜和，丸如梧桐子大，每服二十丸，加至三十丸，空
心人参汤下，温酒下亦得。
Discussion states: The condition of loss of appetite due to deficiency consumption (Xu Lao) is caused by the accumulation of exhaustion qi in the spleen and stomach. The stomach is the sea of water and grain, and the spleen can digest food. Now that the spleen and stomach are weak and unable to transform grains, it leads to a feeling of false fullness in the stomach without hunger, causing chest and diaphragm stuffiness and obstruction, thus resulting in a lack of desire for food.
For treating loss of appetite due to deficiency consumption, abdominal discomfort, mouth ulcers, phlegm and rebellious qi, as well as long-term coldness of the zang-fu organs, Pig Liver Pill formula:
Pig liver (half a piece, remove fat membrane, boil in five sheng of wine until soft and tender, cut into fine pieces, then add herbal powders) Chai Hu (Bupleuri Radix, remove seedlings) Hou Po (Magnoliae Officinalis Cortex, remove rough bark, process with fresh ginger juice) Gan Jiang (Dried Ginger, processed by cracking) Fu Zi (Aconiti Lateralis Radix Praeparata, processed by cracking, remove skin and umbilicus) Su Sha (Amomi Fructus Rotundus, remove skin) Bai Zhu (Atractylodis Macrocephalae Rhizoma, each one liang) Chen Pi (Citri Reticulatae Pericarpium, soak in hot water, remove white pith, stir-fry) Mu Xiang (Aucklandiae Radix) Huang Lian (Coptidis Rhizoma, remove stamens, each one fen)
The above fifteen ingredients, except for pig liver, are crushed and sieved into powder, placed in a wooden mortar, mixed with pig liver, pounded thoroughly into pills the size of paulownia seeds. Take twenty pills per dose, with warm wine, at any time.
For treating loss of appetite due to deficiency consumption, distending fullness in the chest and back, deficiency and rebellious qi of the zang organs leading to emaciation, indigestion, warming the spleen and promoting appetite, Cornus Pill formula:
Shi Zhu Yu (Corni Fructus, lightly stir-fried, three fen) Gan Jiang (Dried Ginger, processed by cracking) Da Huang (Rhei Radix et Rhizoma, cut and stir-fried) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) Fu Zi (Aconiti Lateralis Radix Praeparata, processed by cracking, remove skin and umbilicus) Mai Qu (Saccharomyces, wheat-based fermentation product)
The above nine ingredients are crushed and sieved into powder, mixed with refined honey to form pills the size of paulownia seeds. Take twenty pills per dose, with warm wine, on an empty stomach, at midnight, and before sleep.
For treating deficiency consumption with emaciation and refusal to eat, coldness and deficiency of the zang-fu organs, Internal Nourishing Rehmannia Pill formula:
Shu Di Huang (Prepared Rehmanniae Radix, baked) Gui Zhi (Cinnamomi Ramulus, remove rough bark, each three fen) Fang Feng (Saposhnikoviae Radix, remove forked roots) Wu Tou (Aconiti Radix, processed by cracking, remove skin and umbilicus) Xiong Diao (Ligustici Chuanxiong Rhizoma) Tao Ren (Persicae Semen, soak in hot water, remove skin and pointed ends, stir-fry, grind separately) Niu Xi (Achyranthis Bidentatae Radix, soak in wine, cut, bake) Shi Hu (Dendrobii Caulis, remove roots) Gan Jiang (Dried Ginger, processed by cracking, each half liang)
The above nine ingredients, except for peach kernel, are crushed and sieved into powder, mixed evenly with peach kernel, formed into pills with refined honey the size of paulownia seeds. Take twenty pills per dose, with warm wine, on an empty stomach, at midnight, and before sleep.
For treating loss of appetite due to deficiency consumption, middle jiao fullness and obstruction, large intestine either constipated or diarrheic, Cardamom Decoction formula:
Bai Dou Kou (Cardamomi Fructus, remove skin, one liang) Ding Xiang (Caryophylli Flos, half liang) Bai Zhu (Atractylodis Macrocephalae Rhizoma, cut and stir-fried, one liang) Hou Po (Magnoliae Officinalis Cortex, remove rough bark, process with fresh ginger juice, two liang) Ren Shen (Ginseng Radix et Rhizoma, one liang) Gan Jiang (Dried Ginger, processed by cracking, half liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, half liang) Chen Pi (Citri Reticulatae Pericarpium, soak in hot water, remove white pith, bake, one liang) Bing Lang (Arecae Semen, cut, two pieces)
The above nine ingredients are coarsely crushed and sieved. Take three qian bi per dose, with one sheng of water, add three slices of fresh ginger and two cracked dates, decoct together until seven-tenths remain, remove dregs, take warm, at any time.
For treating spleen exhaustion and deficiency, loss of appetite, pain in the navel and abdomen, tonifying deficiency and strengthening yang, Morinda Pill formula:
Ba Ji Tian (Morindae Officinalis Radix, remove heart) Fu Zi (Aconiti Lateralis Radix Praeparata, processed by cracking, remove skin and umbilicus) Rou Cong Rong (Cistanches Herba, soak in wine, cut, bake) Xiang Zi (Foeniculi Fructus, stir-fry) Niu Xi (Achyranthis Bidentatae Radix, soak in wine, cut, bake) Ju Pi (Citri Reticulatae Pericarpium, soak in hot water, remove white pith, bake) Mu Xiang (Aucklandiae Radix) Ren Shen (Ginseng Radix et Rhizoma, each one liang)
The above twelve ingredients are crushed and sieved into powder, made into pills using vinegar-boiled wheat paste the size of paulownia seeds. Take twenty pills per dose, at any time, with warm wine.
For treating deficiency consumption with chronic cold in the spleen and stomach, loss of appetite, lethargy of the four limbs, abdominal distension and fullness, knotting pain below the navel, as well as pi masses and other diseases. Bi Bo Pill formula:
Bi Bo (Long Pepper Fruit, stir-fried) He Li Le (Terminalia Chebulae Fructus, roast, remove pit) Gan Jiang (Dried Ginger, processed by cracking) Ren Shen (Ginseng Radix et Rhizoma, each one liang) Gui Zhi (Cinnamomi Ramulus, remove rough bark) Bai Fu Ling (Poria, remove black skin) Hu Jiao (Piperis Longi Fructus, each half liang)
The above seven ingredients are crushed and sieved into powder, mixed with refined honey to form pills the size of paulownia seeds. Take twenty pills per dose, with rice drink, on an empty stomach before meals.
For treating deficiency consumption, loss of appetite, promoting eating and tonifying deficiency, Ginseng Decoction formula:
Ren Shen (Ginseng Radix et Rhizoma) Mu Xiang (Aucklandiae Radix) Qing Ju Pi (Green Citri Reticulatae Pericarpium, soak in hot water, remove white pith, bake) Chen Pi (Citri Reticulatae Pericarpium, soak in hot water, remove white pith, bake) Huo Xiang Ye (Agastaches Folium) Bai Fu Ling (Poria, remove black skin) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, each one liang)
The above seven ingredients are coarsely crushed and sieved. Take three qian bi per dose, with one sheng of water, add three slices of fresh ginger and two cracked dates, decoct together until seven-tenths remain, remove dregs, take warm, at any time.
For treating spleen exhaustion abdominal pain, loss of appetite, Aconite Decoction formula:
Wu Tou (Aconiti Radix, processed by cracking, remove skin and umbilicus, one liang) Qing Ju Pi (Green Citri Reticulatae Pericarpium, soak in hot water, remove white pith, bake, one and a half liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, one liang) Yi Zhi Ren (Alpiniae Oxyphyllae Fructus, remove skin) Gao Liang Jiang (Galangal Rhizome, cut and stir-fry) Xiang Zi (Foeniculi Fructus, stir-fried, each half liang) Cao Dou Kou (Grass Cardamom Seed, remove skin, five pieces)
The above seven ingredients are cut like hemp seeds. Take three qian bi per dose, with one sheng of water, add a little salt, decoct together until seven-tenths remain, remove dregs, take warm. If there is qi-type diarrhea, add five leaves of Ai Ye (Artemisiae Argyi Folium) and decoct together.
For treating five labors and seven injuries, exhaustion of the zang-fu organs, weakness of the four limbs, bone and joint pain, disharmony of stomach qi, gradual emaciation, and loss of appetite.
Pig Liver Decoction Pill formula:
Pig liver Pig stomach (cleanly washed, remove fat membrane, two pieces each)
The above two ingredients are all cut into slices. Place in a new clay pot, seal the outside with thin yellow mud like a stove. Initially, put in more than one dou of urine with the liver and stomach, simmer over slow fire, stir with a willow wood spatula, cover at night, adding urine as needed, up to two dou. Then add the following herbs.
Tao Ren (Persicae Semen, remove skin and pointed ends, double-kernel stir-fried, five liang, ground) A Wei (Ferulae Resina, two liang, dissolve in vinegar, remove saltpeter, wrap in dough, roast over slow fire until dough is yellow and cooked, remove dough and grind with peach kernel) Bo He Zhi (Menthae Haplocalycis Juice, two sheng) Qing Hao Tou (Artemisiae Annuae Herba Head, pressed juice, two sheng) Zhu Dan (Porcine Bile, twenty pieces, extract juice)
The above five ingredients are added sequentially to the previous decoction, stirring frequently. Add another two dou of urine, totaling about five dou. Simmer continuously over slow fire, adding gradually, ensuring it does not dry out completely. When reduced to a thick syrup consistency, store in an oil jar, seal tightly. Then add the following herbal powders.
Bie Jia (Testudinis Carapax et Plastrum, remove skirt edge, process with vinegar) Jing San Leng (Sparganii Rhizoma, roast, cut, each two liang) Bing Lang (Arecae Semen, cut) Gui Zhi (Cinnamomi Ramulus, remove rough bark) Gan Qi (Dry Lacca, stir-fry until smoke appears) Hou Po (Magnoliae Officinalis Cortex, remove rough bark, process with fresh ginger juice) Fu Zi (Aconiti Lateralis Radix Praeparata, processed by cracking, remove skin and umbilicus) Mu Xiang (Aucklandiae Radix) Peng E Zhu (Curcumae Phaeocaulis Rhizoma, roast) Shi Hu (Dendrobii Caulis, remove roots) Cao Dou Kou (Grass Cardamom Seed, remove skin) Zhi Ke (Aurantii Fructus Immaturus, cut and stir-fry) Zi Wan (Adenophorae Radix, remove seedlings and soil) Xiong Diao (Ligustici Chuanxiong Rhizoma) Shao Yao (Paeoniae Radix Alba) He Li Le Pi (Terminalia Chebulae Pericarpium) Chen Pi (Citri Reticulatae Pericarpium, remove white pith, bake) Chen Qu (Saccharomyces, stir-fried) Di Gu Pi (Lycii Cortex, each one liang) Rou Dou Kou (Myristicae Semen, ten pieces, remove shell) Chai Hu (Bupleuri Radix, remove seedlings, three liang)
The above twenty-five ingredients are all crushed and sieved into powder. Mix with the previously prepared decoction paste to form pills the size of paulownia seeds. Take twenty pills per dose, increasing to thirty pills. Take on an empty stomach with Ginseng Decoction; warm wine is also acceptable.