删繁疗脾劳虚损消瘦。四肢不举。毛悴色夭。牛髓补虚寒丸方。
牛髓 鹿髓 羊髓 白蜜 酥 枣肉（研为脂各一升） 人参（四分） 生地黄（十斤
切酒
二升渍三宿出曝还内酒中取尽曝干） 桂心 茯苓（各四分） 干姜 白术 芎 （各五分）
甘草
上十四味捣筛。纳五髓中微火煎搅。可为丸如梧子。初服三十丸。加至四十丸为剂。日
再服。温清酒进之。忌海藻菘菜生葱芜荑桃李雀肉酢。（髓字恐误并酥蜜为五物尔）
又疗脾虚劳寒。饮食不消。劳倦气胀噫满。忧恚不解。人参消食八味等散方。
人参 茯苓 陈麦曲（熬） 麦 （熬） 白术 吴茱萸 浓朴（炙） 槟榔仁（炙各
八分合
子用）
上药捣筛为散。食后服方寸匕。日再服。清酒进之。忌酢物桃李雀肉等。（千金同并出
第七卷中）
千金疗脾虚寒劳损。气胀噫满。食不下。通噫消食膏酒方。
猪膏（二升） 宿姜汁（五升） 吴茱萸（一升） 白术（一斤）
上四味。捣筛茱萸术等二物为细散。纳姜汁膏中。煎取六升。温清酒一升。进方寸匕。
日再。忌桃李雀肉等。（删繁同出第十五卷中）
千金疗脾实热。舌本强直。或梦歌乐而体重不能行泻热汤方。
前胡 茯苓（各三两） 龙胆 细辛（各三两） 芒硝（三两） 玄参 大青（各二两）
苦竹
叶（切一升） 杏仁（四两去尖皮两仁者）
上九味切。以水九升。煮取三升。分三服。忌酢物生菜。
又射干汤。主疗与前方同。
射干（八两） 大青（三两） 石膏（十两碎绵裹） 赤蜜（一升）
上四味切。以水五升。煮取一升五合。去滓。下蜜煎取二升。分三服。
又疗脾热胁痛。热满不歇。目赤不止。口唇干裂方。
石膏（一斤碎绵裹） 生地黄汁（一升） 赤蜜（一升） 淡竹叶（切五升）
上四味。以水一斗二升。煮竹叶。取七升。去滓。澄清。煮石膏。取一升五合。去滓。
下地黄汁两沸。下蜜。煎取三升。细细服之。忌芜荑。
又疗脾热偏一边痛。胸满胁偏胀方。
茯苓 橘皮 泽泻（各三两） 石膏（八两碎绵裹） 桑白皮根（一升） 芍药 白术
（各四
两） 桂心 人参（各二两） 生姜（切一升） 半夏（六两洗）
上十一味切。以水一斗二升。煮取三升。分为三服。若须利。加芒硝二两。忌羊肉饧
桃李雀肉生葱酢物。（并出第十五卷中）
千金翼泻脾汤。主脾脏病。气实胸中满。不能食方。
茯苓 浓朴（炙各四两） 甘草炙 人参 黄芩（各二两） 桂心（五两） 生姜（八
两） 半
夏（一升洗）
上八味切。以水七升。煮取三升。分为三服。此方又主冷气在脾脏。走出四肢。手足流
肿。亦逐水气忌海藻菘菜羊肉饧生葱酢等物。
又主脾气实。其人口中淡。甘卧愦愦。痛无常处。呕吐反胃方。
大黄六两
上一味。以水六升。煮取一升。分再服。又主食即吐。并大便不通者。加甘草二两。煮
取二升半。分为三服。忌海藻菘菜。（并出第十七卷中）
[Formulas for Treating Spleen Labor, Deficiency, and Cold]
**Niú Suǐ Bǔ Xū Hán Wán Fāng (Ox Marrow Pill for Tonifying Deficiency and Dispelling Cold)**
Used to eliminate complex symptoms and treat spleen labor resulting in deficiency, emaciation, inability to move the four limbs, withered hair, and dull complexion.
Herbs: Niú Suǐ (Bovis Medulla, ox marrow), Lù Suǐ (Cervi Medulla, deer marrow), Yáng Suǐ (Ovis Medulla, sheep marrow), Bái Mì (White Honey), Sū (Butter/Ghee), Zǎo Ròu (Date Flesh, ground into a paste, each 1 sheng); Rén Shēn (Ginseng Radix et Rhizoma, 4 fen); Shēng Dì Huáng (Rehmanniae Radix, 10 jin, sliced and soaked in 2 sheng of wine for three nights, taken out and dried, then returned to the wine until the liquid is exhausted, then dried again); Guì Xīn (Cinnamomi Ramulus, also known as Gui Zhi Xin), Fú Líng (Poria, each 4 fen); Gān Jiāng (Zingiberis Rhizoma Recens, dried), Bái Zhú (Atractylodis Macrocephalae Rhizoma), Xiōng Qū (Ligustici Chuanxiong Rhizoma, each 5 fen); Gān Cǎo (Licorice Root).
The above fourteen ingredients are crushed and sifted, mixed with the five types of marrow, and gently boiled while stirring. They can be formed into pills the size of Chinese quince seeds. Start with 30 pills per dose, gradually increasing to 40 pills. Take twice daily. Administer with warm clear wine. Avoid consuming Hǎi Zǎo (Sargassum), Sōng Cài (Chinese Cabbage), raw Cōng (Scallion), Wú Yí (Chrysanthemi Fructus), Táo Lǐ (Peaches and Plums), Què Ròu (Sparrow Meat), and Vinegar. (Note: The character "Suǐ" may be an error, possibly referring only to Sū and Mì as five substances.)
**Rén Shēn Xiāo Shí Bā Wèi Děng Sǎn Fāng (Ginseng Digestive Eight-Ingredient Powder Formula)**
Also used to treat spleen deficiency labor with cold syndrome, characterized by indigestion, fatigue-induced abdominal distension, belching, chest fullness, and unresolved sorrow or indignation.
Herbs: Rén Shēn (Ginseng Radix et Rhizoma), Fú Líng (Poria), Chén Mài Qū (Fermented Wheat Saccharomyces, roasted), Mài Yá (Hordei Fructus Germinatus, roasted), Bái Zhú (Atractylodis Macrocephalae Rhizoma), Wú Zhū Yú (Evodiae Fructus), Nóng Pò (Magnoliae Officinalis Cortex, processed with heat), Bīng Láng Rén (Arecae Semen, processed with heat, including the shell, each 8 fen).
The above herbs are crushed and sifted to make a powder. Take one fang cun bi (a measure equivalent to a square inch) after meals. Take twice daily. Administer with clear wine. Avoid vinegar, peaches, plums, sparrow meat, etc. (This formula is identical to that in Qiān Jīn Fāng, found in Volume 7.)
**Tōng Yì Xiāo Shí Gāo Jiǔ Fāng (Belch-Unblocking Digestive Paste-Wine Formula)**
From Qiān Jīn Fāng, treating spleen deficiency-cold labor, abdominal distension, belching, and poor appetite.
Herbs: Zhū Gāo (Porcine Fat, 2 sheng), Sù Jiāng Zhī (Aged Ginger Juice, 5 sheng), Wú Zhū Yú (Evodiae Fructus, 1 sheng), Bái Zhú (Atractylodis Macrocephalae Rhizoma, 1 jin).
The above four ingredients: Crush and sift Wú Zhū Yú and Bái Zhú into fine powder. Mix into the ginger juice and porcine fat. Boil until reduced to 6 sheng. Take one fang cun bi, administered with 1 sheng of warm clear wine. Twice daily. Avoid peaches, plums, sparrow meat, etc. (Identical to Shān Fán, found in Volume 15.)
[Formulas for Treating Spleen Excess-Heat]
**Xiè Rè Tāng Fāng (Heat-Draining Decoction Formula)**
From Qiān Jīn Fāng, treating spleen excess-heat syndrome, characterized by stiffness of the tongue root, or dreaming of singing and laughing while experiencing heavy body weight and inability to walk.
Herbs: Qián Hú (Peucedani Radix), Fú Líng (Poria, each 3 liǎng); Lóng Dǎn (Gentianae Radix et Rhizoma), Xì Xīn (Asari Radix et Rhizoma, each 3 liǎng); Máng Xiāo (Natrii Sulfas, 3 liǎng); Xuán Shēn (Scrophulariae Radix), Dà Qīng (Isatidis Folium, each 2 liǎng); Kǔ Zhú Yè (Bambusae Folium, cut, 1 sheng); Xìng Rén (Armeniacae Semen Amarum, 4 liǎng, remove tips and skins, keep those with two kernels).
The above nine ingredients are cut. Boil in 9 sheng of water until reduced to 3 sheng. Divide into three doses. Avoid vinegar and raw vegetables.
**Shè Gān Tāng (Belamcanda Decoction)**
Another formula, Shè Gān Tāng, has the same indications as the above formula.
Herbs: Shè Gān (Belamcandae Rhizoma, 8 liǎng); Dà Qīng (Isatidis Folium, 3 liǎng); Shí Gāo (Gypsum Fibrosum, 10 liǎng, crushed and wrapped in silk), Chì Mì (Red Honey, 1 sheng).
The above four ingredients are cut. Boil in 5 sheng of water until reduced to 1.5 sheng. Strain the dregs, add honey, and boil until reduced to 2 sheng. Divide into three doses.
**Formula for Treating Spleen Heat with Hypochondriac Pain, Red Eyes, and Cracked Lips**
Also used to treat spleen heat causing hypochondriac pain, persistent heat sensation, continuous redness of the eyes, and dry cracked lips.
Herbs: Shí Gāo (Gypsum Fibrosum, 1 jin, crushed and wrapped in silk); Shēng Dì Huáng Zhī (Rehmanniae Juice, 1 sheng); Chì Mì (Red Honey, 1 sheng); Dàn Zhú Yè (Phyllostachys Viridis Folium, cut, 5 sheng).
The above four ingredients: Boil Zhú Yè in 12 sheng of water until reduced to 7 sheng. Strain and clarify. Add Shí Gāo and boil until reduced to 1.5 sheng. Strain. Add Shēng Dì Huáng Zhī and boil twice. Add Mì and boil until reduced to 3 sheng. Drink slowly. Avoid Wú Yí.
**Formula for Treating Spleen Heat with Unilateral Pain and Chest/Hypochondriac Distension**
Also used to treat spleen heat causing unilateral pain, chest fullness, and unilateral hypochondriac distension.
Herbs: Fú Líng (Poria), Jú Pí (Citri Reticulatae Pericarpium), Zé Xiè (Alismatis Rhizoma, each 3 liǎng); Shí Gāo (Gypsum Fibrosum, 8 liǎng, crushed and wrapped in silk); Sāng Bái Pí Gēn (Mori Cortex, 1 sheng); Sháo Yào (Paeoniae Radix), Bái Zhú (Atractylodis Macrocephalae Rhizoma, each 4 liǎng); Guì Xīn (Cinnamomi Ramulus), Rén Shēn (Ginseng Radix et Rhizoma, each 2 liǎng); Shēng Jiāng (Zingiberis Rhizoma Recens, cut, 1 sheng); Bàn Xià (Pinelliae Rhizoma, 6 liǎng, washed).
The above eleven ingredients are cut. Boil in 12 sheng of water until reduced to 3 sheng. Divide into three doses. If purgation is needed, add Máng Xiāo 2 liǎng. Avoid mutton, Yí Táng (Maltose), peaches, plums, sparrow meat, raw scallion, and vinegar. (Found in Volume 15.)
**Xiè Pí Tāng (Spleen-Draining Decoction)**
From Qiān Jīn Yì Fāng, treating spleen organ disease, where qi excess causes chest fullness and inability to eat.
Herbs: Fú Líng (Poria), Nóng Pò (Magnoliae Officinalis Cortex, processed with heat, each 4 liǎng); Gān Cǎo (processed with heat), Rén Shēn (Ginseng Radix et Rhizoma), Huáng Qín (Scutellariae Radix, each 2 liǎng); Guì Xīn (Cinnamomi Ramulus, 5 liǎng); Shēng Jiāng (Zingiberis Rhizoma Recens, 8 liǎng); Bàn Xià (Pinelliae Rhizoma, 1 sheng, washed).
The above eight ingredients are cut. Boil in 7 sheng of water until reduced to 3 sheng. Divide into three doses. This formula also treats cold qi in the spleen organ moving to the four limbs, causing edema of hands and feet, and can expel fluid retention. Avoid Hǎi Zǎo, Sōng Cài, mutton, Yí Táng, raw scallion, and vinegar.
**Formula for Treating Spleen Qi Excess, Dull Taste, Vomiting, and Regurgitation**
Also treats spleen qi excess, where the mouth feels bland, the patient lies down feeling groggy and irritable, pain occurs in unpredictable locations, accompanied by vomiting and regurgitation.
Herbs: Dà Huáng (Rhei Radix et Rhizoma, 6 liǎng).
The above single ingredient: Boil in 6 sheng of water until reduced to 1 sheng. Divide into two doses. If vomiting occurs immediately after eating and there is constipation, add Gān Cǎo 2 liǎng, boil until reduced to 2.5 sheng, and divide into three doses. Avoid Hǎi Zǎo and Sōng Cài. (Found in Volume 17.)