论曰虚劳之人，中焦有冷，不能化谷，寒气入胃，痞满不通，故虽能食而胃亦不受，使
气上行，令人呕逆痞闷不安，心下逆满也。
治虚劳胸满，气逆呕吐，饮食不入，前胡汤方
前胡（去芦头三分） 柴胡（去苗） 桔梗（炒） 人参 赤茯苓（去黑皮各半两） 大
腹（三
上八味，粗捣筛，每用五钱匕，水一盏半，入生姜一分拍破，煎至一盏，去滓空腹分温
二服。
治虚劳脾胃不和，吐逆痰涎，枇杷叶汤方
枇杷叶（刷去毛炙） 前胡（去芦头各三分） 人参 白术（各一两一分） 白茯苓（去
黑皮）
姜汁炙） 防风
（去叉） 鳖甲（醋浸炙去裙 ） 木香 木通（锉） 京三棱（煨） 五味子（炒） 当
归（切焙）
芍药 牡丹皮 甘草（炙锉） 枳壳（去瓤麸炒） 知母（切焙） 半夏（汤浸七遍去滑焙）
藿香
上二十五味，粗捣筛，每服五钱匕，以水一盏半，生姜一分拍碎，枣一枚劈破，煎至一
盏，去滓不拘时温服。
治虚劳脾胃气弱呕吐，口干烦渴，不能饮食，四肢疼痛，浓朴丸方
浓朴（去粗皮姜汁炙熟） 陈橘皮（汤浸去白炒） 白茯苓（去黑皮） 人参 干姜（炮）
白术 薏苡仁（各一两半） 桂（去粗皮） 牛膝（酒浸焙各一两一分） 枳壳（去瓤麸炒）
细辛（
上一十五味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，温酒下，日二服，加至
三十丸。
治虚劳脾胃气滞，胸膈痰壅，食即呕吐，半夏汤方
半夏（汤浸去滑焙干一两） 陈橘皮（汤浸去白炒二两） 芍药 白茯苓（去黑皮） 白
术
杏仁（汤浸去皮尖双仁别研各一两半）
上六味，除杏仁外，粗捣筛和匀，每服五钱匕，用水一盏半，入枣两枚劈破，生姜一分
拍碎，煎至一盏，去滓分温二服。
治虚劳脾胃虚冷，寒痰呕吐，心腹胀满 痛，水谷不消，七香丸方
零陵香（去梗） 甘松香（去土各一两） 藿香（去梗） 木香（各一两半） 丁香皮
（锉） 沉
香（各半两） 麝香（研） 红豆蔻（去皮） 草豆蔻（去皮） 荜澄茄（各一分） 山芋 槟
榔（煨
各二两） 浓朴（去粗皮生姜汁炙熟） 白术 半夏（汤洗七遍去滑） 人参 青橘皮（汤
浸去白
焙） 白豆蔻（去皮） 酱（各一两） 陈橘皮（汤浸去白三分） 甘草（炙一两半）
上二十一味，捣罗为末，面糊和丸，如梧桐子大，每服二十丸，食前生姜汤下。
治虚劳脾胃久虚，吐逆不下食，藿香汤方
藿香叶 人参 白茯苓（去黑皮） 桔梗（去芦头炒） 桂（去粗皮） 木香 白术 甘
草（
炙） 杏仁（汤浸去皮尖麸炒） 半夏（汤洗七遍去滑炒令黄各半两） 枇杷叶（十片拭去
毛炙）
不拘时候。
治虚劳脾胃气弱呕吐，不纳饮食，四肢怠惰，人参汤方
人参 肉豆蔻（去壳炮） 半夏（汤洗七遍去滑） 藿香（去梗） 黄 （锉） 浓朴
（去粗皮
生姜汁炙熟） 枇杷叶（拭去毛炙） 白茯苓（去黑皮各一两） 甘草（炙三分） 白术（二
两）
上一十味，粗捣筛，每服三钱匕，水一盏，入生姜指大拍碎，大枣二枚劈破，煎取七分，
去滓空心食前温服。
治虚劳胃气寒，中脘痞闷，呕吐多痰，不思饮食，半夏饮方
半夏（一两汤洗去滑用生姜二两同捣作饼子焙干） 丁香 木香（各一分） 白术 沉
香（
锉） 陈橘皮（汤浸去白炒各半两） 草豆蔻（五枚去皮） 甘草（炙） 青橘皮（汤浸去
白炒各一
两）
上九味，粗捣筛，每服五钱匕，以水一盏半，生姜半分，煎取一盏，去滓温服。
治虚劳胸中气满，痰饮 结，或时呕逆，不欲饮食，白术汤方
白术 陈橘皮（汤浸去白炒） 桂（去粗皮） 白茯苓（去黑皮） 前胡（去芦头各一
两） 枳
实（麸炒） 半夏（汤洗去滑七遍） 附子（炮裂去皮脐各三分） 甘草（炙半两）
上九味，锉如麻豆，每服三钱匕，以水一盏半，生姜半分，煎至一盏，去滓不计时候温
服。
治虚劳脾胃冷弱，胸满气逆，呕吐咳嗽，腹痛肠鸣，附子汤方
附子（炮裂去皮脐） 甘草（炙各一两） 干姜（炮三分） 半夏（一两汤洗去滑生姜
二两同
上六味，锉如麻豆，每服三钱匕，水一盏半，枣二枚劈，生姜半分，煎至一盏，去滓分
为二服。
Discourse states: Patients with deficiency consumptive disease (Xu Lao) have coldness in the Middle Jiao, which prevents the digestion of food. When cold qi enters the Stomach, it causes obstruction and fullness, leading to a blockage of Qi mechanism. Consequently, although they may be able to eat, the Stomach cannot receive or transform it, causing Qi to rebel upwards. This results in vomiting, hiccups, epigastric oppression, restlessness, and a sensation of rebellion and fullness below the heart (epigastrium).
For treating deficiency consumptive disease manifesting as chest fullness, rebellious Qi, vomiting, and inability to retain food, use Qianhu Tang (Peucedani Radix Decoction):
Qian Hu (Peucedani Radix, remove rhizome, 3 fen), Chai Hu (Bupleuri Radix, remove seedlings), Jie Geng (Platycodonis Radix, stir-fried), Ren Shen (Ginseng Radix et Rhizoma), Chi Fu Ling (Poria with Red Core, remove black skin, each 0.5 liang), Da Fu Pi (Arecae Pericarpium, 3 pieces).
The above eight herbs are coarsely crushed and sieved. For each dose, take 5 qian bi, add 1.5 zhan of water and 1 fen of Pao Sheng Jiang (Prepared Ginger, smashed), decoct until 1 zhan remains, strain, and take warm in two divided doses on an empty stomach.
For treating deficiency consumptive disease causing disharmony of the Spleen and Stomach, rebellious vomiting with phlegm-saliva, use Pipa Ye Tang (Loquat Leaf Decoction):
Pi Pa Ye (Eriobotryae Folium, brush off hairs and roast), Qian Hu (Peucedani Radix, remove rhizome, each 3 fen), Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma, each 1 liang 1 fen), Bai Fu Ling (Poria, remove black skin), Gan Cao (Licorice Root, stir-fried with ginger juice), Fang Feng (Saposhnikoviae Radix, remove forks), Bie Jia (Testudinis Carapax et Plastrum, soak in vinegar, roast, remove skirt), Mu Xiang (Aucklandiae Radix), Mu Tong (Akebiae Caulis, cut into small pieces), Jing San Leng (Curcumae Radix, simmer), Wu Wei Zi (Schisandrae Fructus, stir-fried), Dang Gui (Angelicae Sinensis Radix, slice and dry-roast), Shao Yao (Paeoniae Radix), Mu Dan Pi (Moutan Cortex), Gan Cao (Licorice Root, stir-fried and cut), Zhi Ke (Aurantii Fructus, remove pith and stir-fry with bran), Zhi Mu (Anemarrhenae Rhizoma, slice and dry-roast), Ban Xia (Pinelliae Rhizoma, soak in hot water seven times to remove slipperiness, then dry-roast), Huo Xiang (Agastaches Herba).
The above twenty-five herbs are coarsely crushed and sieved. For each dose, take 5 qian bi, add 1.5 zhan of water, 1 fen of Pao Sheng Jiang (Prepared Ginger, smashed), and one Zao (Jujube, split), decoct until 1 zhan remains, strain, and take warm at any time.
For treating deficiency consumptive disease causing weak Spleen and Stomach Qi with vomiting, dry mouth with irritability and thirst, inability to eat, and pain in the four limbs, use Nong Po Wan (Magnolia Bark Pill):
Nong Po (Magnoliae Officinalis Cortex, remove rough bark and stir-fry with ginger juice until cooked), Chen Ju Pi (Citri Reticulatae Pericarpium, soak in hot water, remove white pith, stir-fry), Bai Fu Ling (Poria, remove black skin), Ren Shen (Ginseng Radix et Rhizoma), Gan Jiang (Zingiberis Rhizoma, processed), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Yi Yi Ren (Coicis Semen, each 1.5 liang), Gui (Cinnamomi Ramulus, remove rough bark), Niu Xi (Achyranthis Bidentatae Radix, soak in wine and dry-roast, each 1 liang 1 fen), Zhi Ke (Aurantii Fructus, remove pith and stir-fry with bran), Xi Xin (Asari Radix et Rhizoma).
The above fifteen herbs are crushed, sifted into powder, and mixed with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose with warm wine, twice daily; dosage may be increased to 30 pills.
For treating deficiency consumptive disease causing Stomach and Spleen Qi stagnation, phlegm congestion in the chest and diaphragm, and vomiting immediately after eating, use Ban Xia Tang (Pinellia Decoction):
Ban Xia (Pinelliae Rhizoma, soak in hot water to remove slipperiness, dry-roast, 1 liang), Chen Ju Pi (Citri Reticulatae Pericarpium, soak in hot water, remove white pith, stir-fry, 2 liang), Shao Yao (Paeoniae Radix), Bai Fu Ling (Poria, remove black skin), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Xing Ren (Armeniacae Semen Amarum, soak in hot water, remove skin and tips, separate double-kernel ones, grind separately, each 1.5 liang).
The above six herbs, except for Xing Ren, are coarsely crushed, sieved, and mixed evenly. For each dose, take 5 qian bi, add 1.5 zhan of water, two Zao (Jujubes, split), and 1 fen of Pao Sheng Jiang (Prepared Ginger, smashed), decoct until 1 zhan remains, strain, and take warm in two divided doses.
For treating deficiency consumptive disease causing cold and weakness of the Spleen and Stomach, cold-phlegm vomiting, abdominal distension and pain, and indigestion of water and grain, use Qi Xiang Wan (Seven Fragrances Pill):
Ling Ling Xiang (Linglingxiang Herb, remove stems), Gan Song Xiang (Nardostachyos Radix et Rhizoma, remove soil, each 1 liang), Huo Xiang (Agastaches Herba, remove stems), Mu Xiang (Aucklandiae Radix, each 1.5 liang), Ding Xiang Pi (Caryophylli Flos cortex, cut into pieces), Chen Xiang (Aquilariae Lignum Resinatum, each 0.5 liang), She Xiang (Moschus, ground), Hong Dou Kou (Cardamomi Rubi Fructus, remove skin), Cao Dou Kou (Cardamomi Fructus, remove skin), Bi Cheng Qie (Piperis Kadsurae Fructus, each 1 fen), Shan Yu (Dioscoreae Rhizoma), Bing Lang (Arecae Semen, roasted, each 2 liang), Nong Po (Magnoliae Officinalis Cortex, remove rough bark and stir-fry with ginger juice until cooked), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ban Xia (Pinelliae Rhizoma, wash seven times in hot water to remove slipperiness), Ren Shen (Ginseng Radix et Rhizoma), Qing Ju Pi (Citri Reticulatae Pericarpium Viride, soak in hot water, remove white pith, dry-roast), Bai Dou Kou (Cardamomi Fructus Albus, remove skin), Jiang (Fermented Soybean Paste, each 1 liang), Chen Ju Pi (Citri Reticulatae Pericarpium, soak in hot water, remove white pith, 3 fen), Gan Cao (Licorice Root, stir-fried, 1.5 liang).
The above twenty-one herbs are crushed, sifted into powder, and mixed with flour paste to form pills the size of Sophora seeds. Take 20 pills per dose before meals with ginger soup.
For treating deficiency consumptive disease causing long-term Spleen and Stomach deficiency, rebellious vomiting with inability to eat, use Huo Xiang Tang (Patchouli Decoction):
Huo Xiang Ye (Agastaches Folium), Ren Shen (Ginseng Radix et Rhizoma), Bai Fu Ling (Poria, remove black skin), Jie Geng (Platycodonis Radix, remove rhizome and stir-fry), Gui (Cinnamomi Ramulus, remove rough bark), Mu Xiang (Aucklandiae Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (Licorice Root, stir-fried), Xing Ren (Armeniacae Semen Amarum, soak in hot water, remove skin and tips, stir-fry with bran), Ban Xia (Pinelliae Rhizoma, wash seven times in hot water to remove slipperiness, stir-fry until yellow, each 0.5 liang), Pi Pa Ye (Eriobotryae Folium, ten leaves, wipe off hairs and roast).
Decoct as usual, take warm at any time.
For treating deficiency consumptive disease causing weak Spleen and Stomach Qi with vomiting, inability to accept food, and lethargy of the four limbs, use Ren Shen Tang (Ginseng Decoction):
Ren Shen (Ginseng Radix et Rhizoma), Rou Dou Kou (Myristicae Semen, remove shell and process), Ban Xia (Pinelliae Rhizoma, wash seven times in hot water to remove slipperiness), Huo Xiang (Agastaches Herba, remove stems), Huang Qi (Astragali Radix, cut into pieces), Nong Po (Magnoliae Officinalis Cortex, remove rough bark and stir-fry with ginger juice until cooked), Pi Pa Ye (Eriobotryae Folium, wipe off hairs and roast), Bai Fu Ling (Poria, remove black skin, each 1 liang), Gan Cao (Licorice Root, stir-fried, 3 fen), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 2 liang).
The above ten herbs are coarsely crushed and sieved. For each dose, take 3 qian bi, add 1 zhan of water, a thumb-sized piece of Pao Sheng Jiang (Prepared Ginger, smashed), and two Zao (Jujubes, split), decoct until 0.7 zhan remains, strain, and take warm on an empty stomach before meals.
For treating deficiency consumptive disease causing Cold Stomach Qi, epigastric oppression, abundant vomiting of phlegm, and lack of appetite, use Ban Xia Yin (Pinellia Drink):
Ban Xia (Pinelliae Rhizoma, 1 liang, wash in hot water to remove slipperiness, mix with 2 liang of Sheng Jiang (Fresh Ginger), pound into a cake, and dry-roast), Ding Xiang (Caryophylli Flos), Mu Xiang (Aucklandiae Radix, each 1 fen), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chen Xiang (Aquilariae Lignum Resinatum, cut into pieces), Chen Ju Pi (Citri Reticulatae Pericarpium, soak in hot water, remove white pith, stir-fry, each 0.5 liang), Cao Dou Kou (Cardamomi Fructus, remove skin, 5 pieces), Gan Cao (Licorice Root, stir-fried), Qing Ju Pi (Citri Reticulatae Pericarpium Viride, soak in hot water, remove white pith, stir-fry, each 1 liang).
The above nine herbs are coarsely crushed and sieved. For each dose, take 5 qian bi, add 1.5 zhan of water and 0.5 fen of Sheng Jiang (Fresh Ginger), decoct until 1 zhan remains, strain, and take warm.
For treating deficiency consumptive disease causing fullness of Qi in the chest, condensation of Phlegm-Fluids, occasional rebellious vomiting, and lack of desire to eat, use Bai Zhu Tang (Atractylodes Macrocephala Decoction):
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chen Ju Pi (Citri Reticulatae Pericarpium, soak in hot water, remove white pith, stir-fry), Gui (Cinnamomi Ramulus, remove rough bark), Bai Fu Ling (Poria, remove black skin), Qian Hu (Peucedani Radix, remove rhizome, each 1 liang), Zhi Shi (Aurantii Fructus Immaturus, stir-fry with bran), Ban Xia (Pinelliae Rhizoma, wash in hot water seven times to remove slipperiness), Fu Zi (Aconiti Lateralis Radix Praeparata, process until cracked, remove skin and navel, each 3 fen), Gan Cao (Licorice Root, stir-fried, 0.5 liang).
The above nine herbs are cut like hemp seeds. For each dose, take 3 qian bi, add 1.5 zhan of water and 0.5 fen of Sheng Jiang (Fresh Ginger), decoct until 1 zhan remains, strain, and take warm at any time.
For treating deficiency consumptive disease causing cold and weakness of the Spleen and Stomach, chest fullness with rebellious Qi, vomiting and coughing, abdominal pain with borborygmus, use Fu Zi Tang (Aconite Decoction):
Fu Zi (Aconiti Lateralis Radix Praeparata, process until cracked, remove skin and navel), Gan Cao (Licorice Root, stir-fried, each 1 liang), Gan Jiang (Zingiberis Rhizoma, processed, 3 fen), Ban Xia (Pinelliae Rhizoma, 1 liang, wash in hot water to remove slipperiness, mix with 2 liang of Sheng Jiang (Fresh Ginger)... [text implies mixing/cooking together]).
The above six herbs are cut like hemp seeds. For each dose, take 3 qian bi, add 1.5 zhan of water, two Zao (Jujubes, split), and 0.5 fen of Sheng Jiang (Fresh Ginger), decoct until 1 zhan remains, strain, and divide into two doses.