论曰脾者仓廪之官，胃为水谷之海，其气和平，布散精微，上注于心肺，下流于肾肝，
虚损之人，仓廪不足，谷气衰弱，腹脏不调，治法宜以调和脾胃为先。
补虚治气，调顺三焦，安和脏腹，进饮食。沉香汤方
沉香（一两） 肉豆蔻仁 桂（去粗皮） 木香 浓朴（去粗皮生姜汁炙） 槟榔 青
橘皮（
汤浸去白焙） 诃黎勒皮 白术 当归（焙） 京三棱（醋浸一宿煨锉） 人参 枇杷叶（炙
刷
去毛） 芎 干姜（炮） 蓬莪术（煨锉） 黄 郁李仁（汤浸去皮并双仁） 附子（炮
裂去皮
脐） 白茯苓（去黑皮） 石槲（去根酒浸微炙） 前胡（去芦头） 枳壳（去瓤麸炒） 甘
草（炙各
半两）
上二十四味。锉如麻豆，每服五钱匕，水一盏半，入生姜三片，大枣三枚擘破，煎至八
分，去滓稍热食前服。
治脏腑虚弱，眼目昏暗，腰膝无力或多脑冷酸痛，饮食减少，补暖。木瓜煎丸方
木瓜（宣州者两枚去子蒸令熟） 黑豆（拣细紧者一升） 陈橘皮（汤浸去白） 吴茱
萸（各
四两上先煮黑豆令熟 干却入三味拌匀用好酒一斗入豆内同煎泣干漉出令烂研似面糊然后入
下项药末） 附子（炮裂去皮脐） 桂（去粗皮） 芎 羌活（去芦头） 肉豆蔻（去壳）
槟榔（
锉各一两）
上一十味。捣罗六味为末，入在前膏内，搜和令匀，再杵得所，为丸如梧桐子大，每服
十五丸至二十丸，空心夜卧盐汤下，候见效即减五丸，甚妙。
补元气，调脏腹，解二毒伤寒，除腰膝疼痛，及治真阳伤惫，霍乱吐泻，偏风 麻痹痛
，香港脚注肿，行履不得。十华汤方
附子（炮裂去皮脐） 黄 （锉） 羌活（去芦头） 白术（炒） 青橘皮（汤浸去白）
桔梗（
炒） 干姜（炮） 桂（去粗皮） 甘草（炙） 五加皮（用吴茱萸一两以水一碗同五加皮
煮之水尽
为度去茱萸细锉皮焙干用）
上一十味。等分，锉如麻豆，每服三钱匕，水一盏，入生姜三片，枣二枚擘破，煎至六
分，去滓温服。
治真脏气弱，洞泄寒中，腹内雷鸣，时多便泄，饮食减少，多困嗜卧。石槲黄 丸方
石槲（去根二两） 肉苁蓉（酒浸切熔干一两半） 五味子 黄 （微炙锉） 枳壳（去
瓤
炒） 熟干地黄（焙各一两） 诃黎勒皮（半两） 木香 山芋 苍术（切碎炒） 泽泻（各
一两）
上一十一味。捣罗为末，以酒煮面糊和丸，如梧桐子大，每服二十丸至三十丸，温酒或
盐汤下。空心食前。
治元脏冷气，脐腹疼痛冲心，及久泻痢，诸药不瘥者。归命丸方
青橘皮（汤浸去白焙） 桂（去粗皮） 半夏（洗七遍去滑焙） 乌头（去皮脐） 附
子（去皮
脐） 干姜 硫黄（舶上者各半两） 槟榔（锉二枚） 胡椒（四十九粒） 肉豆蔻（去壳
二枚）
上一十味。并生为末，唯硫黄别研，极细为度，入众药末中令匀，以米醋面糊。更入盐
少许，同和丸如绿豆大，每日空心温酒下十五丸，疾甚不可救者，煎盐艾汤下二十丸。
治脾元虚冷，泄痢，不思饮食，时多干哕，补益。枳壳煎丸方
枳壳（去瓤 炒四两） 浓朴（去粗皮生姜汁炙） 杏仁（去皮尖双仁炒） 吴茱萸（洗）
干
姜（炮） 附子（炮裂去皮脐各半两） 艾叶（伏道者四两揉如绵）
上七味。捣罗六味为末，以酽醋一斗，于银石器内煎艾得所，次入药末同煎，再入臼杵
千百下，为丸如梧桐子大，每服空心温酒或生姜汤下二十丸，加至三十丸。
补中益气，调顺脾元，治心胸满闷，不思食，上热下冷。白豆蔻汤方
白豆蔻仁（半两） 肉豆蔻仁（三枚） 白术（一两） 桂（去粗皮半两） 青橘皮（汤
浸去白
半两） 浓朴（去粗皮生姜汁炙半两） 甘草（炙三分）
上七味。粗捣筛，每服二钱匕，水一盏，入生姜二片，粟米少许，枣二枚擘，同煎至七
分，去滓热服。
治一切冷气，积年气痢，补暖。莨菪子丸方
莨菪子（水浸锻石清汁煮一复时掬出芽曝干炒） 附子（炮裂去脐皮） 干姜（炮） 陈
橘
皮（汤浸去白焙） 桂（去粗皮） 浓朴（去粗皮生姜汁炙各半两）
上六味。捣罗为末，水煮面糊和丸，如梧桐子大，每服二十丸，食前米饮下，加至三十
丸，如觉热发，以绿豆汁解之。
补暖下元，止泄痢。雪粉丸方
阳起石（野狼牙者半两杵研如粉） 钟乳（研半两） 砒霜（细研半两） 黄蜡（用浆水
煎炼三
五遍令白半两） 羊肾 脂（水洗过二两）
上五味。合研三味令匀，粗瓷碗中炭火上熔蜡脂成汁，下药末搅匀拈下，乘热丸就如梧
桐子大，每服三丸，空心新汲水下。
散宿冷，调脏气，治腰膝疼痛。调中丸方
阿魏（三钱用醋化成膏入白面和作饼子焙干） 浓朴（捣作粗末用生姜自然汁拌匀慢火
铫
子内炒干秤一钱） 白附子（捣作粗末用醋拌匀慢火铫子内炒干秤一钱） 草豆蔻（和皮捣
作粗
末秤一钱入青盐二钱入铫子内同炒黄色）
上四味。捣罗为末，酒煮面糊，丸如绿豆大，以丹砂为衣，每服二十丸至三十丸空心食
前米饮下。
补虚，浓肠胃，美饮食。朴附丸方
浓朴（去粗皮一斤） 生姜（一斤同浓朴于木臼内捣匀取出晒干） 附子（炮裂去皮脐
二两） 干姜（炮半斤）
上四味。捣罗为末，熟枣肉并面糊，丸如梧桐子大，空心食前温酒或米饮下五十丸至七
十丸。
治脏寒，补下元。内灸丸方
艾叶（一斤）
上于五月五日采取，用米醋洒湿，压一宿，以文武火焙干为末，却用五日煮粽汁七升，
于锅内熬成膏，捣数百杵，丸如梧桐子大，每服二十丸，空心盐汤下。
It is stated: The spleen is the official in charge of granaries, and the stomach is the sea of water and grain. When their qi is harmonious, they distribute essence and subtle nutrients, sending them upward to the heart and lungs, and downward to the kidneys and liver. In cases of deficiency and damage, the granaries are insufficient, the qi of grain is weak, and the abdominal organs are disharmonious. The treatment method should prioritize harmonizing the spleen and stomach.
To tonify deficiency and regulate qi, smooth the Sanjiao (Triple Burner), calm and harmonize the zang-fu organs, and promote appetite. Chenxiang Tang (Agarwood Decoction) Formula
Chenxiang (Aquilariae Lignum Resinatum, 1 liang) RouDoukou Ren (Myristicae Semen, kernel) Guizhi (Cinnamomi Ramulus, coarse bark removed) Muxiang (Aucklandiae Radix) Houpo (Magnoliae Officinalis Cortex, coarse bark removed, stir-baked with ginger juice) Binglang (Arecae Semen) Qingju Pi (Citri Reticulatae Pericarpium Viride, soaked in hot water, white pith removed, dried) Helile Pi (Terminaliae Chebulae Pericarpium) Baizhu (Atractylodis Macrocephalae Rhizoma) Danggui (Angelicae Sinensis Radix, baked) Jingsanleng (Sparganii Rhizoma, soaked in vinegar overnight, roasted and crushed) Renshen (Ginseng Radix et Rhizoma) Pipaye (Eriobotryae Folium, roasted, hairs brushed off) Xiong (Chuanxiong Rhizoma) Ganjiang (Zingiberis Rhizoma, processed) Peng'ezhu (Curcumae Phaeocaulis Rhizoma, roasted and crushed) Huangqi (Astragali Membranacei Radix) Yuliren (Pruni Armeniacae Semen Amarum, soaked in hot water, skin removed, double kernels discarded) Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilical scar removed) BaiFuling (Poria, black skin removed) Shihu (Dendrobii Caulis, roots removed, soaked in wine, slightly roasted) Qianhu (Peucedani Radix, rhizome removed) Zhike (Aurantii Fructus, pulp removed, bran-fried) Gancao (Glycyrrhizae Radix et Rhizoma, roasted, each half liang)
The above twenty-four ingredients. Crush into pieces the size of hemp seeds. For each dose, take five qianbi (approx. 5-7 grams). Add one dan (approx. 200ml) of water, three slices of fresh ginger, and three dates split open. Decoct until reduced to eight-tenths. Strain and take warm before meals.
Treating weakness of the zang-fu organs, dim vision, weakness of the waist and knees, or frequent cold pain and soreness in the head, decreased appetite; provides warming and tonification. Mugua Jian Wan (Papaya Decoction Pills) Formula
Mugua (Chaenomelis Fructus, from Xuanzhou, two fruits, remove seeds, steam until cooked) Heidou (Soybean, select fine and tight ones, one sheng) Chenju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed) Wuzhuyu (Evodiae Fructus, four liang each). First boil the soybeans until cooked, dry them, mix with the three herbs, add one dou (approx. 10 liters) of good wine, put the beans inside, and decoct together until the liquid is absorbed. Remove, mash until soft, and grind into a paste resembling flour gruel. Then add the following powdered herbs: Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilical scar removed) Guizhi (Cinnamomi Ramulus, coarse bark removed) Xiong (Chuanxiong Rhizoma) Qianghuo (Notopterygii Rhizoma et Radix, rhizome removed) RouDoukou (Myristicae Semen, shell removed) Binglang (Arecae Semen, crushed, each one liang)
The above ten ingredients. Pound and sieve six of them into powder, add to the previous paste, knead until uniform, pound again appropriately, and form pills the size of sophora seeds. Take fifteen to twenty pills per dose, on an empty stomach and before sleep, with salt water. Once effective, reduce by five pills; this is excellent.
Tonifying primordial qi, regulating zang-fu organs, resolving Erdu Shanghan (Two Toxins Cold Damage), eliminating pain in the waist and knees, and treating exhaustion of true yang, cholera with vomiting and diarrhea, hemiplegia with numbness and pain, Hongxiangjiao (Foot Qi/Edema), where walking is impossible. Shihua Tang (Ten Splendors Decoction) Formula
Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilical scar removed) Huangqi (Astragali Membranacei Radix, crushed) Qianghuo (Notopterygii Rhizoma et Radix, rhizome removed) Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried) Qingju Pi (Citri Reticulatae Pericarpium Viride, soaked in hot water, white pith removed) Jiegeng (Platycodonis Radix, stir-fried) Ganjiang (Zingiberis Rhizoma, processed) Guizhi (Cinnamomi Ramulus, coarse bark removed) Gancao (Glycyrrhizae Radix et Rhizoma, roasted) Wujia Pi (Acanthopanacis Cortex, use one liang of Wuzhuyu, decoct with one bowl of water and Wujia Pi until water is exhausted, remove Wuzhuyu, finely crush the bark, and bake dry)
The above ten ingredients. Equal parts, crush into pieces the size of hemp seeds. For each dose, take three qianbi. Add one dan of water, three slices of fresh ginger, and two dates split open. Decoct until reduced to six-tenths. Strain and take warm.
Treating weakness of the true zang qi, severe diarrhea due to cold invading the middle, borborygmus in the abdomen, frequent loose stools, decreased appetite, lethargy, and drowsiness. Shihu Huangqi Wan (Dendrobium and Astragalus Pills) Formula
Shihu (Dendrobii Caulis, roots removed, two liang) Roucongrong (Cynomorii Herba, soaked in wine, sliced, dried, one and a half liang) Wuweizi (Schisandrae Chinensis Fructus) Huangqi (Astragali Membranacei Radix, slightly roasted and crushed) Zhike (Aurantii Fructus, pulp removed, stir-fried) Shudihuang (Rehmanniae Radix Praeparata, baked, each one liang) Helile Pi (Terminaliae Chebulae Pericarpium, half liang) Muxiang (Aucklandiae Radix) Shanyu (Dioscoreae Oppositae Rhizoma) Cangzhu (Atractylodis Lanceae Rhizoma, cut into pieces and stir-fried) Zexie (Alismatis Rhizoma, each one liang)
The above eleven ingredients. Pound and sieve into powder. Use wine to cook wheat paste for binding. Form pills the size of sophora seeds. Take twenty to thirty pills per dose, with warm wine or salt water. On an empty stomach and before meals.
Treating cold qi in the primordial organ, pain in the navel and abdomen radiating to the heart, chronic dysentery and diarrhea unresponsive to other medicines. Guiming Wan (Return to Life Pills) Formula
Qingju Pi (Citri Reticulatae Pericarpium Viride, soaked in hot water, white pith removed, dried) Guizhi (Cinnamomi Ramulus, coarse bark removed) Banxia (Pinelliae Rhizoma, washed seven times, remove slipperiness, dried) Wutou (Aconiti Radix, skin and umbilical scar removed) Fuzi (Aconiti Lateralis Radix Praeparata, skin and umbilical scar removed) Ganjiang (Zingiberis Rhizoma, processed) Liuhuang (Sulfur, imported, each half liang) Binglang (Arecae Semen, crushed, two pieces) Hujiao (Piperis Longi Fructus, forty-nine grains) RouDoukou (Myristicae Semen, shell removed, two pieces)
The above ten ingredients. Process all raw into powder, except Liuhuang which is ground separately to an extremely fine consistency. Mix evenly with the other powders. Use rice vinegar and wheat paste as binder. Add a little salt. Form pills the size of mung beans. Take fifteen pills daily on an empty stomach with warm wine. For severe, incurable cases, take twenty pills with salt mugwort decoction.
Treating deficiency-cold of the spleen's primordial qi, diarrhea and dysentery, loss of appetite, frequent dry heaves; provides tonification. Zhike Jian Wan (Aurantii Fructus Decoction Pills) Formula
Zhike (Aurantii Fructus, pulp removed, stir-fried, four liang) Houpo (Magnoliae Officinalis Cortex, coarse bark removed, stir-baked with ginger juice) Xingren (Armeniacae Semen Amarum, skin and tip removed, double kernels discarded, stir-fried) Wuzhuyu (Evodiae Fructus, washed) Ganjiang (Zingiberis Rhizoma, processed) Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilical scar removed, each half liang) Aye (Artemisiae Argyi Folium, from Fudao, four liang, rubbed like cotton)
The above seven ingredients. Pound and sieve six of them into powder. Use one dou of strong vinegar. Decoct the Aye in a silver or earthenware vessel until appropriate. Add the medicine powder and decoct together. Then place in a mortar and pound thousands of times. Form pills the size of sophora seeds. Take twenty pills on an empty stomach with warm wine or ginger tea; may increase to thirty pills.
Tonifying the middle and benefiting qi, smoothing the spleen's primordial qi, treating fullness and oppression in the chest and heart, loss of appetite, upper heat and lower cold. Baidoukou Tang (White Cardamom Decoction) Formula
Baidoukou Ren (Amomi Fructus Rotundus, kernel, half liang) RouDoukou Ren (Myristicae Semen, kernel, three pieces) Baizhu (Atractylodis Macrocephalae Rhizoma, one liang) Guizhi (Cinnamomi Ramulus, coarse bark removed, half liang) Qingju Pi (Citri Reticulatae Pericarpium Viride, soaked in hot water, white pith removed, half liang) Houpo (Magnoliae Officinalis Cortex, coarse bark removed, stir-baked with ginger juice, half liang) Gancao (Glycyrrhizae Radix et Rhizoma, roasted, three fen)
The above seven ingredients. Coarsely crush and sieve. For each dose, take two qianbi. Add one dan of water, two slices of fresh ginger, a little millet, and two dates split open. Decoct together until reduced to seven-tenths. Strain and take hot.
Treating all types of cold qi, chronic qi-type dysentery, providing warming. Langdangzi Wan (Datura Seed Pills) Formula
Langdangzi (Daturae Semen, soaked in clear juice of calcined lime, boiled for one shichen, remove sprouts, sun-dry, stir-fry) Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, remove umbilical scar and skin) Ganjiang (Zingiberis Rhizoma, processed) Chenju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried) Guizhi (Cinnamomi Ramulus, coarse bark removed) Houpo (Magnoliae Officinalis Cortex, coarse bark removed, stir-baked with ginger juice, each half liang)
The above six ingredients. Pound and sieve into powder. Use water-cooked wheat paste for binding. Form pills the size of sophora seeds. Take twenty pills per dose, before meals with rice drink; may increase to thirty pills. If heat sensation occurs, resolve it with mung bean juice.
Warming the lower primordial, stopping diarrhea and dysentery. Xuefen Wan (Snow Powder Pills) Formula
Yangqishi (Actinolite, wild wolf-tooth variety, half liang, pounded to powder) Zhongru (Gypsum Fibrosum, ground, half liang) Pishuang (Arsenic Trioxide, finely ground, half liang) Huangla (Beeswax, refined three to five times with starch water until white, half liang) Yangshen Zhi (Lard from Sheep Kidney, washed, two liang)
The above five ingredients. Grind three of them uniformly. Melt the wax and lard over charcoal fire in a coarse porcelain bowl until liquid. Add the powder, stir evenly, pinch into pills while hot, the size of sophora seeds. Take three pills per dose, on an empty stomach with newly drawn cold water.
Dispersing old cold, regulating zang qi, treating pain in the waist and knees. Tiaozhong Wan (Regulating the Middle Pills) Formula
awei (Asafoetida, three qian, melt with vinegar into paste, mix with white flour to make cakes, bake dry) Houpo (Magnoliae Officinalis Cortex, coarsely crushed, mixed with natural ginger juice, stir-fried slowly in a small pot until dry, weigh one qian) Baifuzi (Gastrodiae Rhizoma, coarsely crushed, mixed with vinegar, stir-fried slowly in a small pot until dry, weigh one qian) Caodoukou (Cardamomi Fructus, with skin, coarsely crushed, weigh one qian, add two qian of green salt, stir-fry together in a pot until yellow)
The above four ingredients. Pound and sieve into powder. Use wine-cooked wheat paste. Form pills the size of mung beans. Coat with Cinnabar. Take twenty to thirty pills per dose, on an empty stomach and before meals, with rice drink.
Tonifying deficiency, thickening the intestines and stomach, improving diet. PuFu Wan (Magnolia and Aconite Pills) Formula
Houpo (Magnoliae Officinalis Cortex, coarse bark removed, one jin) Shengjiang (Zingiberis Rhizoma Recens, one jin, pound together with Houpo in a wooden mortar, take out and sun-dry) Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilical scar removed, two liang) Ganjiang (Zingiberis Rhizoma, processed, half jin)
The above four ingredients. Pound and sieve into powder. Use ripe jujube flesh and wheat paste. Form pills the size of sophora seeds. Take fifty to seventy pills on an empty stomach and before meals, with warm wine or rice drink.
Treating cold in the zang organs, tonifying the lower primordial. Neijiu Wan (Internal Moxa Pills) Formula
Aye (Artemisiae Argyi Folium, one jin)
Harvest on the fifth day of the fifth lunar month. Sprinkle with rice vinegar, press for one night. Bake dry with gentle and strong fire into powder. Then use seven sheng of juice from boiling zongzi (sticky rice dumplings) on the fifth day. Boil down in a pot into a paste. Pound hundreds of times. Form pills the size of sophora seeds. Take twenty pills per dose, on an empty stomach with salt water.