论曰胃受水谷，其气虚弱，不能传化，则令人怠惰嗜卧，肢体烦重，腹满善饥而不能食
，食已则发，谷气不行使然也，故谓之谷劳。
治谷劳体重，食已便卧，快气消食，沉香汤方
沉香（锉一两） 白豆蔻（皮去） 草豆蔻（去皮炒） 人参 甘草（炙锉） 白茯
苓（去黑皮） 半夏（汤洗薄切生姜汁拌炒黄色） 木香（各半两） 浓朴（去粗皮生姜汁
炙一两） 陈橘皮（汤浸去白炒三分） 白术（锉炒一两） 干姜（炮一分）
上一十二味，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，空心日午各一服。
治谷劳嗜卧，四肢怠惰，丁沉丸方
沉香（锉） 陈橘皮（汤洗去白焙） 诃黎勒（煨熟取皮各一两） 木香 丁香（各
半两） 肉豆蔻（去
上六味捣罗为末，炼蜜和丸，如弹子大，陈米饮或生姜盐汤嚼下一丸，不拘时。
治脾胃虚，饮食不消，劳倦气胀，嗜卧不乐，人参散方
人参 槟榔（锉） 白茯苓（去黑皮） 陈橘（锉） 浓朴（去粗皮生姜汁炙） 麦
（炒） 白术 吴茱萸（汤洗焙炒）
上八味等分，捣罗为散，每服二钱匕，温酒调下，食后服，日再。
治谷劳身重，四肢少力，食已好卧昏愦，槟榔散方
槟榔（半两） 人参 白茯苓（去黑皮各一两） 木香 陈橘皮（汤浸去白炒） 五
味子 甘草（炙各一两）
上七味，捣罗为细散，每服二钱匕，沸汤点服，不拘时。
治谷劳身重，食已好卧，困倦嗜眠，沉香汤方
沉香（锉） 白檀香（锉各二两） 干姜（炮二钱） 白茯苓（去黑皮） 甘草（炙）
肉豆蔻（去壳炮） 人
上八味，粗捣筛，每服二钱匕，水一盏，煎至七分，去滓不拘时温服。
治谷劳身重，食已因倦嗜眠，木香汤方
木香 人参 附子（炮裂去皮脐） 甘草（炙） 白茯苓（去黑皮各二两） 草豆蔻
（去皮半两） 干
上九味，锉如麻豆，每服二钱匕，水一盏，煎至七分，不拘时候去滓温服。
治谷劳体重，四肢烦倦，食已便卧，京三棱汤方
京三棱（煨锉五两） 陈曲（炒） 麦 （炒） 木香 肉豆蔻（去壳炮） 槟榔 干
姜（炮） 甘草（炙）
上一十味，粗捣筛，每服三钱匕，水一盏，煎七分，不拘时去滓温服。
治谷劳体重，食已好卧，豆蔻丸方
白豆蔻（去皮一两半） 枳壳（去瓤麸炒半斤） 陈橘皮（汤浸去白切炒） 诃黎勒（煨
去核） 桂（去粗
上六味，捣罗为末，用浆水煮枣去皮烂研，丸如梧桐子大，每服二十丸至三十丸，生姜
汤下不拘时。
治谷劳身重，少力多困，木香汤方
木香 陈橘皮（去白炒） 人参 陈曲（炒） 甘草（炙各三分） 大枣（去核焙五十
枚） 浓朴（去粗皮
上九味，粗捣筛，每服三钱匕，水一盏，煎至八分，去滓温服，不计时候。
治谷劳嗜卧，身体烦重，分气丸方
京三棱（煨锉） 蓬莪术（煨锉） 青橘皮（锉用巴豆半两打破同炒黄去巴豆不用各
五两） 胡椒（半两） 阿魏（一两醋面作饼炙干）
上五味，同为细末，醋煮面糊为丸，如梧桐子大，每服二十丸，陈橘皮汤下，日三服。
Commentary states: The Stomach receives water and grain. If its Qi is deficient and unable to transmit and transform, it causes lassitude, drowsiness, a sensation of heaviness and irritability in the limbs, abdominal fullness, frequent hunger but inability to eat, and exacerbation of symptoms after eating. This is due to the stagnation of Grain Qi, hence it is termed "Gu Lao" (Grain Exhaustion).
Chenxiang Tang (Agarwood Decoction) for treating Gu Lao with body heaviness, desire to lie down immediately after eating, which regulates Qi and aids digestion:
Chen Xiang (Agarwood, *Aquilaria sinensis* or *A. agallocha*) (crushed, 1 liang), Bai Dou Kou (Cardamom Seed, *Amomum kravanh* or *A. villosum*) (peeled), Cao Dou Kou (Greater Galangal Fruit, *Alpinia katsumadai*), Ren Shen (Ginseng Root, *Panax ginseng*), Gan Cao (Licorice Root, *Glycyrrhiza uralensis*) (honey-fried and crushed), Bai Fu Ling (Poria, *Poria cocos*) (black skin removed), Ban Xia (Pinellia Tuber, *Pinellia ternata*) (washed in hot water, thinly sliced, stir-fried with fresh ginger juice until yellow), Mu Xiang (Costus Root, *Saussurea costus*) (each 0.5 liang), Hou Po (Magnolia Bark, *Magnolia officinalis*) (rough bark removed, stir-fried with fresh ginger juice, 1 liang), Chen Pi (Dried Tangerine Peel, *Citrus reticulata*) (soaked in hot water, white pith removed, stir-fried, 3 qian), Bai Zhu (Atractylodes Rhizome, *Atractylodes macrocephala*) (crushed and stir-fried, 1 liang), Gan Jiang (Dried Ginger, *Zingiber officinale*) (processed, 1 fen).
The above twelve ingredients are coarsely pounded and sieved. Each dose consists of 3 qian bi (approx. 9g), decocted with one sheng (approx. 200ml) of water, three slices of fresh ginger, and two cracked jujubes. Simmer until reduced to 70% volume, strain, and take warm. Administer once on an empty stomach and once at noon.
Dingchen Wan (Cloves and Agarwood Pill) for treating Gu Lao with drowsiness and lethargy of the four limbs:
Chen Xiang (Agarwood, *Aquilaria sinensis* or *A. agallocha*) (crushed), Chen Pi (Dried Tangerine Peel, *Citrus reticulata*) (washed in hot water, white pith removed, dried), He Le Li (Chebula Fruit, *Terminalia chebula*) (roasted, peel taken, each 1 liang), Mu Xiang (Costus Root, *Saussurea costus*), Ding Xiang (Clove, *Syzygium aromaticum*) (each 0.5 liang), Rou Dou Kou (Nutmeg, *Myristica fragrans*) (shell removed).
The above six ingredients are pounded and sieved into fine powder. Mix with refined honey to form pills the size of a bullet. Take one pill chewed with aged rice wash or ginger-salt soup, at any time.
Renshen San (Ginseng Powder) for treating Spleen and Stomach deficiency, indigestion, fatigue-induced Qi distension, drowsiness, and low spirits:
Ren Shen (Ginseng Root, *Panax ginseng*), Bing Lang (Areca Seed, *Areca catechu*) (crushed), Bai Fu Ling (Poria, *Poria cocos*) (black skin removed), Chen Ju (Tangerine, *Citrus reticulata*) (crushed), Hou Po (Magnolia Bark, *Magnolia officinalis*) (rough bark removed, stir-fried with fresh ginger juice), Mai Ya (Barley Sprout, *Hordeum vulgare*) (stir-fried), Bai Zhu (Atractylodes Rhizome, *Atractylodes macrocephala*), Wu Zhu Yu (Evodia Fruit, *Evodia rutaecarpa*) (washed in hot water, dried and stir-fried).
The above eight ingredients are mixed in equal proportions, pounded and sieved into powder. Each dose is 2 qian bi (approx. 6g), taken with warm wine after meals, twice daily.
Binglang San (Areca Seed Powder) for treating Gu Lao with body heaviness, weakness of the four limbs, postprandial somnolence, and mental confusion:
Bing Lang (Areca Seed, *Areca catechu*) (0.5 liang), Ren Shen (Ginseng Root, *Panax ginseng*), Bai Fu Ling (Poria, *Poria cocos*) (black skin removed, each 1 liang), Mu Xiang (Costus Root, *Saussurea costus*), Chen Pi (Dried Tangerine Peel, *Citrus reticulata*) (soaked in hot water, white pith removed, stir-fried), Wu Wei Zi (Schisandra Fruit, *Schisandra chinensis*), Gan Cao (Licorice Root, *Glycyrrhiza uralensis*) (honey-fried, each 1 liang).
The above seven ingredients are pounded and sieved into fine powder. Each dose is 2 qian bi (approx. 6g), taken by mixing with boiling water, at any time.
Chenxiang Tang (Agarwood Decoction) for treating Gu Lao with body heaviness, postprandial somnolence, and fatigue:
Chen Xiang (Agarwood, *Aquilaria sinensis* or *A. agallocha*) (crushed), Bai Tan Xiang (Sandalwood, *Santalum album*) (crushed, each 2 liang), Gan Jiang (Dried Ginger, *Zingiber officinale*) (processed, 2 qian), Bai Fu Ling (Poria, *Poria cocos*) (black skin removed), Gan Cao (Licorice Root, *Glycyrrhiza uralensis*) (honey-fried), Rou Dou Kou (Nutmeg, *Myristica fragrans*) (shell removed, processed), Ren Shen (Ginseng Root, *Panax ginseng*).
The above eight ingredients are coarsely pounded and sieved. Each dose is 2 qian bi (approx. 6g), decocted with one sheng (approx. 200ml) of water until reduced to 70% volume, strained, and taken warm at any time.
Muxiang Tang (Costus Root Decoction) for treating Gu Lao with body heaviness and postprandial drowsiness due to fatigue:
Mu Xiang (Costus Root, *Saussurea costus*), Ren Shen (Ginseng Root, *Panax ginseng*), Fu Zi (Aconite Lateral Root, *Aconitum carmichaelii*) (processed, split, outer skin and umbilicus removed), Gan Cao (Licorice Root, *Glycyrrhiza uralensis*) (honey-fried), Bai Fu Ling (Poria, *Poria cocos*) (black skin removed, each 2 liang), Cao Dou Kou (Greater Galangal Fruit, *Alpinia katsumadai*) (peeled, 0.5 liang), Gan Jiang (Dried Ginger, *Zingiber officinale*).
The above nine ingredients are crushed like hemp seeds. Each dose is 2 qian bi (approx. 6g), decocted with one sheng (approx. 200ml) of water until reduced to 70% volume, strained, and taken warm at any time.
Jingsanleng Tang (Curcuma Zedoaria Decoction) for treating Gu Lao with body heaviness, limb fatigue, and postprandial desire to lie down:
Jing San Leng (Curcuma Zedoaria Rhizome, *Curcuma zedoaria*) (roasted and crushed, 5 liang), Chen Qu (Medicated Leaven, *Medicated Leaven*), Mai Ya (Barley Sprout, *Hordeum vulgare*) (stir-fried), Mu Xiang (Costus Root, *Saussurea costus*), Rou Dou Kou (Nutmeg, *Myristica fragrans*) (shell removed, processed), Bing Lang (Areca Seed, *Areca catechu*), Gan Jiang (Dried Ginger, *Zingiber officinale*) (processed), Gan Cao (Licorice Root, *Glycyrrhiza uralensis*) (honey-fried).
The above ten ingredients are coarsely pounded and sieved. Each dose is 3 qian bi (approx. 9g), decocted with one sheng (approx. 200ml) of water until reduced to 70% volume, strained, and taken warm at any time.
Doukou Wan (Cardamom Pill) for treating Gu Lao with body heaviness and postprandial somnolence:
Bai Dou Kou (Cardamom Seed, *Amomum kravanh* or *A. villosum*) (peeled, 1.5 liang), Zhi Ke (Aurantium Fruit, *Citrus aurantium*) (pulp removed, bran-fried, 0.5 jin), Chen Pi (Dried Tangerine Peel, *Citrus reticulata*) (soaked in hot water, white pith removed, cut and stir-fried), He Le Li (Chebula Fruit, *Terminalia chebula*) (roasted, pit removed), Gui Zhi (Cinnamon Twig, *Cinnamomum cassia*) (rough bark removed).
The above six ingredients are pounded and sieved into fine powder. Boil jujubes in starch water, remove skins, mash, and mix with the powder to form pills the size of sophora seeds. Take 20-30 pills with ginger soup at any time.
Muxiang Tang (Costus Root Decoction) for treating Gu Lao with body heaviness, weakness, and excessive fatigue:
Mu Xiang (Costus Root, *Saussurea costus*), Chen Pi (Dried Tangerine Peel, *Citrus reticulata*) (white pith removed, stir-fried), Ren Shen (Ginseng Root, *Panax ginseng*), Chen Qu (Medicated Leaven, *Medicated Leaven*) (stir-fried), Gan Cao (Licorice Root, *Glycyrrhiza uralensis*) (honey-fried, each 3 qian), Da Zao (Jujube, *Ziziphus jujuba*) (pit removed, dried, 50 pieces), Hou Po (Magnolia Bark, *Magnolia officinalis*) (rough bark removed).
The above nine ingredients are coarsely pounded and sieved. Each dose is 3 qian bi (approx. 9g), decocted with one sheng (approx. 200ml) of water until reduced to 80% volume, strained, and taken warm at any time.
Fenqi Wan (Qi-Distributing Pill) for treating Gu Lao with drowsiness and heavy, irritable body:
Jing San Leng (Curcuma Zedoaria Rhizome, *Curcuma zedoaria*) (roasted and crushed), Peng E Zhu (Curcuma Phaeocaulis Rhizome, *Curcuma phaeocaulis*) (roasted and crushed), Qing Ju Pi (Green Tangerine Peel, *Citrus reticulata*) (crushed, stir-fried together with half a liang of Ba Dou [Croton Seed, *Croton tiglium*] until yellow, then discard Ba Dou, each 5 liang), Hu Jiao (Pepper, *Piper nigrum*) (0.5 liang), A Wei (Asafoetida, *Ferula assa-foetida*) (1 liang, made into a cake with vinegar and flour, roasted dry).
The above five ingredients are ground into fine powder. Use vinegar-boiled flour paste as a binder to form pills the size of sophora seeds. Take 20 pills with Chen Pi soup, three times daily.