夫脾劳病者。补肺气以益之。肺王则感脾矣。是以圣人。春夏养阳。秋冬养阴。以顺其
根矣
治脾劳。四肢羸瘦。腹中冷痛。不能饮食。人参散方。
人参（半两去芦头） 白茯苓（三分） 芎 （半两） 浓朴（三分去粗皮涂生姜汁炙
令香熟）
枳
皮（半
两
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。枣二（三）枚。煎至六分。
去滓
治脾劳。胃寒呕逆。脐下 痛。宜服丁香散方。
丁香（半两） 木香（半两） 桂心（半两） 白术（半两） 人参（半两去芦头） 当
归（半两）
白
青橘
皮
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。食前温服。
忌
治脾劳。四肢疼痛。不思饮食。宜服鳖甲散方。
鳖甲（一两涂醋炙令黄去裙 ） 人参（三分去芦头） 赤芍药（半两） 当归（半两）
黄
（一
两） 甘
草（一
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。食前温
服。
治脾劳实。四肢不举。五脏不调。胀满气急。半夏散方。
半夏（一两汤浸七遍去滑） 白术（二两） 赤茯苓（一两） 鳖甲（一两涂醋炙令黄
去裙 ）
杏
胡
（一
两半煨
用皮
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
食
治脾劳。壅热。身体眼目唇口悉黄。舌干。咽喉痛。不能咽唾。宜服生干地黄散
方。
生干地黄（二两） 川升麻（一两） 柴胡（三两去苗） 射干（一两） 子芩（一两）
茵陈
（一两）
蕤（一
两） 甘
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。入蜜一匙。更煎一沸。
放温
治脾劳。胃中虚冷。饮食不消。腹胁胀满。忧恚不乐。白术散方。
白术（三分） 白茯苓（二两） 桂心（三分） 浓朴（二两去粗皮涂生姜汁炙令香熟）
陈曲
（
萸（三分
汤浸
上件药。捣细罗为散。每服食前。以温酒调下二钱。
治脾劳虚冷。大肠滑泄。不思饮食。口舌生疮。四肢无力。日渐羸弱。宜服拌肝散
方。
茵陈（一两） 犀角屑（半两） 石斛（半两去根锉） 白术（三分） 赤芍药（半两）
柴胡
（三分
两去芦
头） 肉
上件药。捣细罗为散。用猪肝一叶。净去筋膜。不洗。薄切作片子。葱白三茎。细切。
入散
治脾劳。饮食不节。口苦舌涩。多吐清水。四肢黄瘦。虽食不成肌肤。大肠时时泄
滑。宜服
芜荑仁（二两捣罗为末酸米醋二升煎为膏） 人参（三分去芦头） 木香（半两） 陈
橘皮
（一两
分炮裂
去皮脐
朴（三分
去粗皮
上件药。捣罗为末。入芜荑煎和令匀。更入炼了蜜。和捣三五百杵。丸如梧桐子大。每
服空
治脾劳。脏腑虚冷。不思饮食。呕逆。四肢少力。腹胁胀痛。浓朴丸方。
浓朴（二两去粗皮涂生姜汁炙令香熟） 白茯苓（三分） 人参（三分去芦头） 鳖甲
（二两
涂醋
附
子（半两
裂锉）
麦（三
两锉） 槟
榔（半两
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每服空心。以粥饮下二十丸。
晚食
治脾劳。脏腑冷热不调。食少羸瘦。四肢无力。骨节烦疼。宿食不消。心腹积聚。
脐下冷痛
猪肚（一枚以皂荚水净洗用童子小便二斗于锅内煮至五升已来取出猪肚细切于沙盆中烂
研以
三棱
豆蔻
（去皮）
归
白术 牛
神曲
仁（三
两汤
上件药。捣细罗为末。入前猪肚煎中。慢火熬令稠。可丸即丸如梧桐子大。每服。以人
参汤
治脾劳。心腹气冷痛。时时下痢。宜服浓朴丸方。
浓朴（三两去粗皮涂生姜汁炙令香熟） 神曲（一两微炒） 当归（一两） 枳壳（一
两麸炒
微黄
微炒）
白龙骨（一
（一两）
人参（一两
上件药。捣罗为末。以酒煮曲糊。和捣三二百杵。丸如梧桐子大。每服空心及晚食前。
以粥
治脾劳。胃气不和。时有泄泻。食少无力。宜服松脂丸方。
松脂（一两） 肉豆蔻（一两去壳） 诃黎勒（二两煨用皮） 荜茇〔二（一）两〕 缩
砂（一
两去
术（一
两） 麦
上件药。捣罗为末。用白蜡熔和。丸如梧桐子大。每服食前。以粥饮下三十丸。
治脾胃虚劳羸瘦。脚膝疼痛。宜充肌调中助力。黄 丸方。
黄 （二两锉） 覆盆子（一两） 牛膝（一两去苗） 鳖甲（一两涂醋炙令黄去裙 ）
石斛
〔二
炮裂去
皮脐）
干地黄（二
两） 上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每日空心及晚食前。以温
酒下三十
治脾劳热。有虫在脾中为病。令人好呕吐出虫。宜服此茱萸根浸酒方。
吴茱萸根（东引大者一尺锉） 大麻仁（四两） 陈橘皮（二两汤浸去白瓤焙）
上件药。捣粗罗为散。以清酒五升。浸一宿。微火暖之。绞去滓。每日空腹。饮一中盏。
晚食前再服。下尽虫为度。
The treatment principle for Spleen Exhaustion Disease (Pi Lao Bing) is to tonify Lung Qi to benefit the Spleen. When Lung Metal is prosperous, it controls Liver Wood, thereby protecting Spleen Earth. Therefore, the sages advocate nourishing Yang in Spring and Summer, and nourishing Yin in Autumn and Winter, to conform to the root of life.
For treating Spleen Exhaustion characterized by emaciation of the four limbs, cold pain in the abdomen, and inability to eat, use Ginseng Powder Formula (Renshen San Fang).
Ren Shen (Ginseng Radix et Rhizoma), half liang, remove radicle; Bai Fu Ling (Poria), three qian; Chuan Xiong (Ligusticum Chuanxiong Rhizome), half liang; Hou Po (Magnoliae Officinalis Cortex), three qian, remove corky bark, coat with fresh ginger juice, stir-fry until fragrant and cooked; Zhi Ke (Aurantii Fructus), half liang.
Crush the above herbs into a coarse powder. Take four qian per dose. Add one zhong of water, half qian of fresh ginger, and two or three jujubes. Decoct until reduced to six parts. Strain and discard the dregs.
For treating Spleen Exhaustion characterized by stomach cold, vomiting, and pain below the umbilicus, take Dingxiang Powder Formula (Dingxiang San Fang).
Ding Xiang (Caryophylli Flos), half liang; Mu Xiang (Aucklandiae Radix), half liang; Gui Xin (Cinnamomi Ramulus), half liang; Bai Zhu (Atractylodis Macrocephalae Rhizoma), half liang; Ren Shen (Ginseng Radix et Rhizoma), half liang, remove radicle; Dang Gui (Angelicae Sinensis Radix), half liang; Qing Ju Pi (Citri Reticulatae Pericarpium Viride), half liang.
Sift the above herbs into a fine powder. Take three qian per dose. Add one zhong of water and half qian of fresh ginger. Decoct until reduced to six parts. Strain and drink warm before meals. Avoid certain foods.
For treating Spleen Exhaustion characterized by pain in the four limbs and loss of appetite, take Biejia Powder Formula (Biejia San Fang).
Bie Jia (Testudinis Carapax et Plastrum), one liang, coat with vinegar, fry until yellow, remove skirt edge; Ren Shen (Ginseng Radix et Rhizoma), three qian, remove radicle; Chi Shao Yao (Paeoniae Radix Rubra), half liang; Dang Gui (Angelicae Sinensis Radix), half liang; Huang Qi (Astragali Membranacei Radix), one liang; Gan Cao (Glycyrrhizae Radix et Rhizoma), one liang.
Crush the above herbs into a coarse powder. Take four qian per dose. Add one zhong of water and half qian of fresh ginger. Decoct until reduced to six parts. Strain and drink warm before meals.
For treating Excess type of Spleen Exhaustion characterized by inability to move the four limbs, dysfunction of the five zang organs, abdominal distension, and shortness of breath, take Banxia Powder Formula (Banxia San Fang).
Ban Xia (Pinelliae Tuber), one liang, soak in boiling water seven times to remove slipperiness; Bai Zhu (Atractylodis Macrocephalae Rhizoma), two liang; Chi Fu Ling (Poria cum Rhizoma Polypori), one liang; Bie Jia (Testudinis Carapax et Plastrum), one liang, coat with vinegar, fry until yellow, remove skirt edge; Xing Ren (Armeniacae Semen Amarum), one and a half liang, roast and use.
Crush the above herbs into a coarse powder. Take four qian per dose. Add one zhong of water, half qian of fresh ginger, and three jujubes. Decoct until reduced to six parts. Strain and drink warm before meals.
For treating Spleen Exhaustion characterized by heat accumulation, jaundice of the body, eyes, lips, and mouth, dry tongue, sore throat, and inability to swallow saliva, use Sheng Gan Di Huang Powder Formula (Sheng Gan Di Huang San Fang).
Sheng Gan Di Huang (Rehmanniae Radix Praeparata), two liang; Chuan Sheng Ma (Bupleuri Radix), one liang; Chai Hu (Bupleuri Radix), three liang, remove sprouts; She Gan (Belamcandae Rhizoma), one liang; Huang Qin (Scutellariae Radix), one liang; Yin Chen (Artemisiae Scopariae Herba), one liang; Rui Ren (Pruni Armeniacae Semen), one liang; Gan Cao (Glycyrrhizae Radix et Rhizoma), one liang.
Sift the above herbs into a fine powder. Take four qian per dose. Add one zhong of water. Decoct until reduced to six parts. Strain, add one spoonful of honey, boil once more, and drink when warm.
For treating Spleen Exhaustion characterized by deficiency-cold in the stomach, indigestion, abdominal and hypochondriac distension, and melancholy, use Baizhu Powder Formula (Baizhu San Fang).
Bai Zhu (Atractylodis Macrocephalae Rhizoma), three qian; Bai Fu Ling (Poria), two liang; Gui Xin (Cinnamomi Ramulus), three qian; Hou Po (Magnoliae Officinalis Cortex), two liang, remove corky bark, coat with fresh ginger juice, stir-fry until fragrant and cooked; Shen Qu (Massa Medicata Fermentata), one liang; Shan Yu Rou (Corni Fructus), three qian, soak in boiling water.
Grind the above herbs into a fine powder. Before each meal, mix two qian with warm wine and take orally.
For treating Deficiency-Cold type of Spleen Exhaustion characterized by intestinal sliding diarrhea, loss of appetite, sores in the mouth and tongue, weakness of the four limbs, and progressive emaciation, take Ban Gan Powder Formula (Ban Gan San Fang).
Yin Chen (Artemisiae Scopariae Herba), one liang; Xi Jiao Xie (Rhinocerotis Cornu), half liang; Shi Hu (Dendrobii Caulis), half liang, remove roots and chop; Bai Zhu (Atractylodis Macrocephalae Rhizoma), three qian; Chi Shao Yao (Paeoniae Radix Rubra), half liang; Chai Hu (Bupleuri Radix), three qian; Ren Shen (Ginseng Radix et Rhizoma), one liang, remove radicle; Rou Dou Kou (Myristicae Semen), half liang.
Grind the above herbs into a fine powder. Take one leaf of pig liver, clean thoroughly removing fascia, do not wash, slice thinly. Chop three stalks of scallion white finely. Mix the powder with the liver slices and scallions, and cook to eat.
For treating Spleen Exhaustion due to irregular diet, resulting in bitter taste, dry tongue, excessive salivation, yellow and thin limbs, inability to gain flesh despite eating, and frequent loose stools, take Wuyi Pill Formula (Wuyi Wan Fang).
Wuyi Ren (Canarii Fructus), two liang, grind into powder, decoct with two sheng of sour rice vinegar into a paste; Ren Shen (Ginseng Radix et Rhizoma), three qian, remove radicle; Mu Xiang (Aucklandiae Radix), half liang; Chen Pi (Citri Reticulatae Pericarpium), one liang, processed, remove peel and core; Hou Po (Magnoliae Officinalis Cortex), three qian, remove corky bark.
Grind all herbs into powder. Mix evenly with the Wuyi paste. Add refined honey and pound 300-500 times. Form pills the size of paulownia seeds. Take on an empty stomach.
For treating Spleen Exhaustion characterized by deficiency-cold of the viscera, loss of appetite, vomiting, weakness of the four limbs, and abdominal/hypochondriac pain, take Houpo Pill Formula (Houpo Wan Fang).
Hou Po (Magnoliae Officinalis Cortex), two liang, remove corky bark, coat with fresh ginger juice, stir-fry until fragrant and cooked; Bai Fu Ling (Poria), three qian; Ren Shen (Ginseng Radix et Rhizoma), three qian, remove radicle; Bie Jia (Testudinis Carapax et Plastrum), two liang, coat with vinegar, fry until yellow, remove skirt edge); Fu Zi (Aconiti Lateralis Radix Praeparata), half liang, processed, chopped; Mai Ya (Hordei Fructus Germinatus), three liang, chopped; Bing Lang (Arecae Semen), half liang.
Grind into powder. Mix with refined honey and pound 300-500 times. Form pills the size of paulownia seeds. Take twenty pills on an empty stomach with millet gruel broth, and after evening meal.
For treating Spleen Exhaustion characterized by disharmony of cold and heat in the viscera, poor appetite, emaciation, limb weakness, bone joint pain, retention of food, abdominal masses, and cold pain below the umbilicus, take Zhudu Pill Formula (Zhudu Wan Fang).
Zhu Du (Sus Stomach), one piece, washed clean with soap pod water, boiled in two dou of virgin boy's urine until reduced to five sheng. Remove stomach, chop finely, and grind in a stone mortar.
San Leng (Sparganii Rhizoma), one liang; Dou Kou (Cardamomi Fructus), peeled; Dang Gui (Angelicae Sinensis Radix); Bai Zhu (Atractylodis Macrocephalae Rhizoma); Niu Xi (Achyranthis Bidentatae Radix); Shen Qu (Massa Medicata Fermentata); Xing Ren (Armeniacae Semen Amarum), three liang, soaked in boiling water.
Grind all herbs into a fine powder. Add to the pig stomach decoction. Simmer over low heat until thick. Form pills the size of paulownia seeds. Take with Ginseng decoction.
For treating Spleen Exhaustion characterized by cold qi pain in the heart and abdomen, and frequent dysentery, take Houpo Pill Formula (Houpo Wan Fang).
Hou Po (Magnoliae Officinalis Cortex), three liang, remove corky bark, coat with fresh ginger juice, stir-fry until fragrant and cooked); Shen Qu (Massa Medicata Fermentata), one liang, lightly stir-fried; Dang Gui (Angelicae Sinensis Radix), one liang; Zhi Ke (Aurantii Fructus), one liang, bran-fried until slightly yellow); Bai Long Gu (Ossis Femoris Palaeotherii), one liang); Ren Shen (Ginseng Radix et Rhizoma), one liang.
Grind into powder. Make a paste by boiling the fermented mass in wine. Mix with the powder and pound 200-300 times. Form pills the size of paulownia seeds. Take on an empty stomach and before evening meal with millet gruel.
For treating Spleen Exhaustion characterized by disharmony of stomach qi, occasional diarrhea, poor appetite, and weakness, take Songzhi Pill Formula (Songzhi Wan Fang).
Song Zhi (Resina Pini), one liang; Rou Dou Kou (Myristicae Semen), one liang, remove shell; He Li Le (Chebulae Fructus), two liang, roasted and use skin); Bi Bo (Longani Fructus), one liang); Suo Sha (Amomi Fructus Rotundus), one liang, remove shell); Bai Zhu (Atractylodis Macrocephalae Rhizoma), one liang); Mai Ya (Hordei Fructus Germinatus), one liang.
Grind into powder. Melt white beeswax and mix to form pills the size of paulownia seeds. Take thirty pills before meals with millet gruel broth.
For treating Spleen-Stomach deficiency exhaustion with emaciation and pain in feet and knees, to fill muscles, regulate middle jiao, and assist strength, take Huangqi Pill Formula (Huangqi Wan Fang).
Huang Qi (Astragali Membranacei Radix), two liang, chopped; Fu Pen Zi (Rubi Fructus), one liang); Niu Xi (Achyranthis Bidentatae Radix), one liang, remove sprouts); Bie Jia (Testudinis Carapax et Plastrum), one liang, coat with vinegar, fry until yellow, remove skirt edge); Shi Hu (Dendrobii Caulis), two liang, processed, remove peel and core); Gan Di Huang (Rehmanniae Radix Praeparata), two liang.
Grind into powder. Mix with refined honey and pound 200-300 times. Form pills the size of paulownia seeds. Take thirty pills daily on an empty stomach and before evening meal with warm wine.
For treating Heat type of Spleen Exhaustion caused by parasites in the spleen, leading to vomiting of worms, take this Wu Zhu Yu Gen Infused Wine Formula (Wu Zhu Yu Gen Jin Jiu Fang).
Wu Zhu Yu Gen (Evodiae Radix), east-growing large ones, one chi, chopped); Da Ma Ren (Cannabis Fructus), four liang); Chen Pi (Citri Reticulatae Pericarpium), two liang, soaked in boiling water, remove white pith, dried.
Grind into a coarse powder. Soak in five sheng of clear wine overnight. Warm gently over fire. Strain and discard dregs. Drink one zhong on an empty stomach daily, and again before evening meal. Continue until worms are expelled.