夫脾实则生热。热则阳气盛。阳气盛则心胸烦闷。唇口干焦。身热颊疼。体重不能转侧
。语
四
治脾实。胸中满闷。腹胁壅胀。身热烦疼。咽喉不利。宜服泻脾大黄散方。
川大黄（一两锉微炒） 赤茯苓（三分） 枳壳（半两麸炒微黄去瓤） 甘草（一分炙
微赤锉）
黄
汤洗七
遍去
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。不计时候
温服。
治脾实热。头痛胸满。腹胁壅滞。不思饮食。宜服泻脾赤茯苓散方。
赤茯苓〔二（三）分〕 旋复花（半两） 川大黄（一两锉碎微炒） 石膏（一两） 桑
根白皮
（三两锉） 赤芍药（半两） 枳壳（三分麸炒微黄去瓤） 前胡（半两去芦头） 甘草（半
两炙微
赤锉）
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。不计时候
温服。
治脾脏壅实。口内生疮。食少心烦。宜服泻脾升麻散方。
川升麻（一两） 羚羊角屑（一两） 茯神（一两） 黄连（一两去须） 柴胡（一两
半去苗）
黄芩（三分） 麦门冬（一两去心） 大青（三分） 甘草（半两炙微赤锉）
上件药。细锉和匀。每服三钱。以水一中盏。煎至六分。去滓。食后温服。忌炙爆热面
治脾实热。头痛胁满。烦闷。或渴。唇口干燥。宜服石膏散方。
石膏（一两） 麦门冬（一两半去心） 柴胡（一两去苗） 犀角屑（一两） 栝蒌根
（一两）
地骨皮（一两） 葛根（十两） 甘草（半两炙微赤锉）
上件药。捣筛为散。每服三钱。水一中盏。入竹叶二七片。煎至六分。去滓。入蜜半合
。生地黄汁二合。搅令匀。食后分温二服。
治脾气实。四肢不利。头重目疼。腹胁胀闷。心膈壅滞。少思饮食。宜服前胡散方
。
前胡（一两去芦头） 大腹皮（三分锉） 赤芍药（半两） 赤茯苓（半两） 桔梗（半
两去芦
头） 羚羊角屑（半两） 旋复花（半两） 枳壳（半两麸炒微黄去瓤） 甘草（半两炙微
赤锉）
上件药。捣筛为散。每服三钱。水一中盏。入生姜半分。枣三枚。煎至六分。去滓。不
计时候温服。
治脾气实。心腹壅滞。四肢痛闷。两胁胀满。大小便不利。宜服羚羊角丸方。
羚羊角屑（一两） 枳壳（一两麸炒微黄去瓤） 川大黄（一两锉微炒） 木通（一两
锉） 大
麻仁（一两） 赤茯苓（半两） 槟榔（一两） 桑根白皮（一两锉） 前胡（半两去芦头）
上件药。捣细罗为末。炼蜜和捣三二百杵。为丸如梧桐子大。每食前。以温水下二十丸
治脾脏壅实。心胸烦闷。唇口干燥。喝水不止。宜服麦门冬煎方。
麦门冬汁（半升） 生地黄汁（半升） 蜜（半升） 栝蒌根（二两） 地骨皮（一两）
黄（
一两
两） 甘草
（半两
上件药。栝蒌根等捣筛为散。先以水七升。煎取三升。滤去滓。入麦门冬汁等三味。内
锅中。慢火熬如稀饧。以瓷合盛。不计时候。温服一合。
When the Spleen is in a state of Excess, internal heat is generated. This heat causes an abundance of Yang Qi. An abundance of Yang Qi leads to vexation and oppression in the chest and heart, dryness and scorching of the lips and mouth, feverish body with pain in the cheeks, heaviness of the body making it difficult to turn or change position.
For treating Spleen Excess, characterized by fullness and oppression in the chest, bloating and distension in the abdomen and hypochondrium, fever accompanied by pain, and difficulty in the throat, the Xiepi Dahuang San (Cathartic Spleen Rhubarb Powder) formula is suitable.
Ingredients: Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, crushed and lightly stir-fried), Chi Fuling (Poria with Hostwood, 3 qian), Zhike (Aurantii Fructus, 0.5 liang, stir-fried with bran until slightly yellow, pith removed), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian, honey-fried until slightly red and crushed).
Preparation and Administration: The above ingredients are pounded and sifted into a powder. Take 3 qian per dose, add one zhong cup of water and 0.5 fen of fresh ginger, decoct until 0.6 zhong cup remains, filter out the dregs. Take warm at any time.
For treating Spleen Excess-Heat, characterized by headache, chest fullness, qi stagnation and obstruction in the abdomen and hypochondrium, and loss of appetite, the Xiepi Chi Fuling San (Cathartic Spleen Red Poria Powder) formula is suitable.
Ingredients: Chi Fuling (Poria with Hostwood, 2 or 3 qian), Xuanjuflower (Inulae Flos, 0.5 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, crushed and lightly stir-fried), Shigao (Gypsum Fibrosum, 1 liang), Sangbaipí (Mori Cortex, 3 liang, crushed), Chi Shaoyao (Paeoniae Radix Rubra, 0.5 liang), Zhike (Aurantii Fructus, 3 qian, stir-fried with bran until slightly yellow, pith removed), Qianhu (Peucedani Radix, 0.5 liang, radix removed), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and crushed).
Preparation and Administration: The above ingredients are pounded and sifted into a powder. Take 3 qian per dose, add one zhong cup of water and 0.5 fen of fresh ginger, decoct until 0.6 zhong cup remains, filter out the dregs. Take warm at any time.
For treating Spleen Obstruction-Excess, characterized by sores in the mouth, reduced food intake, and mental restlessness, the Xiepi Shengma San (Cathartic Spleen Cimicifugae Powder) formula is suitable.
Ingredients: Chuan Shengma (Cimicifugae Rhizoma, 1 liang), Lingyangjiaoxie (Saigae Tataricae Cornu, 1 liang), Fushen (Poria with Pinus Root, 1 liang), Huanglian (Coptidis Rhizoma, 1 liang, fibrous roots removed), Chaihu (Bupleuri Radix, 1.5 liang, sprouts removed), Huangqin (Scutellariae Radix, 3 qian), Maimendong (Ophiopogonis Radix, 1 liang, core removed), Daqing (Isatidis Folium, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and crushed).
Preparation and Administration: The above ingredients are finely crushed and mixed evenly. Take 3 qian per dose, add one zhong cup of water, decoct until 0.6 zhong cup remains, filter out the dregs. Take warm after meals. Avoid fried, roasted, and hot-natured wheat products.
For treating Spleen Excess-Heat, characterized by headache, hypochondriac fullness, vexation, thirst, and dryness of the lips and mouth, the Shigao San (Gypsum Powder) formula is suitable.
Ingredients: Shigao (Gypsum Fibrosum, 1 liang), Maimendong (Ophiopogonis Radix, 1.5 liang, core removed), Chaihu (Bupleuri Radix, 1 liang, sprouts removed), Xijiaoxie (Rhinocerotis Cornu, 1 liang), Gualougen (Trichosanthis Radix, 1 liang), Digupi (Lycii Cortex, 1 liang), Gegen (Puerariae Lobatae Radix, 10 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and crushed).
Preparation and Administration: The above ingredients are pounded and sifted into a powder. Take 3 qian per dose, add one zhong cup of water and fourteen leaves of Zhu Ye (Bambusae Folium), decoct until 0.6 zhong cup remains, filter out the dregs. Add Banmi (Honey, 0.5 he) and Shengdihuangzhi (Rehmanniae Radix Juice, 2 he), mix well. Take warm in two divided doses after meals.
For treating Spleen Qi Excess, characterized by impaired movement of the four limbs, heavy head, eye pain, abdominal and hypochondriac distension and oppression, qi stagnation in the heart and diaphragm, and poor appetite, the Qianhu San (Peucedani Powder) formula is suitable.
Ingredients: Qianhu (Peucedani Radix, 1 liang, radix removed), Dafupi (Arecae Pericarpium, 3 qian, crushed), Chi Shaoyao (Paeoniae Radix Rubra, 0.5 liang), Chi Fuling (Poria with Hostwood, 0.5 liang), Jiegeng (Platycodonis Radix, 0.5 liang, radix removed), Lingyangjiaoxie (Saigae Tataricae Cornu, 0.5 liang), Xuanjuflower (Inulae Flos, 0.5 liang), Zhike (Aurantii Fructus, 0.5 liang, stir-fried with bran until slightly yellow, pith removed), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and crushed).
Preparation and Administration: The above ingredients are pounded and sifted into a powder. Take 3 qian per dose, add one zhong cup of water, 0.5 fen of fresh ginger, and three dates, decoct until 0.6 zhong cup remains, filter out the dregs. Take warm at any time.
For treating Spleen Qi Excess, characterized by qi stagnation and obstruction in the heart and abdomen, pain and heaviness in the four limbs, fullness in both hypochondria, and difficulty in urination and defecation, the Lingyangjiao Wan (Saiga Pill) formula is suitable.
Ingredients: Lingyangjiaoxie (Saigae Tataricae Cornu, 1 liang), Zhike (Aurantii Fructus, 1 liang, stir-fried with bran until slightly yellow, pith removed), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, crushed and lightly stir-fried), Mutong (Akebiae Caulis, 1 liang, crushed), Damaren (Cannabis Semen, 1 liang), Chi Fuling (Poria with Hostwood, 0.5 liang), Binglang (Areca Seed, 1 liang), Sangbaipí (Mori Cortex, 1 liang, crushed), Qianhu (Peucedani Radix, 0.5 liang, radix removed).
Preparation and Administration: The above ingredients are pounded through a fine sieve into powder, mixed with refined honey, and pounded for three to two hundred strikes to form pills the size of Sophora seeds. Take twenty pills before each meal with warm water.
For treating Spleen Obstruction-Excess, characterized by vexation and oppression in the chest and heart, dryness of the lips and mouth, and incessant drinking, the Maimendong Jian (Ophiopogon Decoction) formula is suitable.
Ingredients: Maimendongzhi (Ophiopogonis Radix Juice, 0.5 sheng), Shengdihuangzhi (Rehmanniae Radix Juice, 0.5 sheng), Honey (Banmi, 0.5 sheng), Gualougen (Trichosanthis Radix, 2 liang), Digupi (Lycii Cortex, 1 liang), Huangqin (Scutellariae Radix, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang).
Preparation and Administration: Pound and sift Gualougen and other solid ingredients into powder. First, decoct seven sheng of water to obtain three sheng of liquid, then filter out the dregs. Add the three liquid ingredients (Maimendong juice, Shengdihuang juice, and Honey) into a pot, and slowly simmer over low heat until it resembles thin maltose syrup. Store in a porcelain container. Take one he warm at any time.