夫脾胃之气。候于唇口。通于咽喉。连于舌本。咽喉者水谷之道路。神气之往来。若脾
气壅实。则上焦生热。故令头痛心烦。口舌干燥。咽喉不利也。
治脾实热。舌本强。咽喉不利。体重不能行步。宜服柴胡散方。
柴胡（一两去苗） 赤茯苓（三分） 玄参（三分） 大青（一两） 龙胆（三分去芦
头） 杏仁
（三分汤浸去皮尖双仁麸炒微黄） 川芒硝（二两） 络石（二两） 川升麻（一两）
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候温服。忌炙爆
热面。
治脾实热。咽干头痛。心神烦渴。射干散方。
射干（一两） 石膏〔一（二）两〕 大青（三分） 葳蕤（二分） 赤茯苓〔二（三）
分〕 川
升麻（三
仁（半两汤
浸去皮尖
上件药。捣筛为散。每服三钱。以水一中盏。入竹叶二七片。生地黄一分。生姜半分。
煎至六分。去滓。不计时候。温服。忌炙爆热面。
治脾实热。喉中肿痛。热塞不通。升麻散方。
川升麻（一两） 射干（一两） 羚羊角屑（半两） 木通（半两锉） 赤芍药（半两）
络石（
三分） 甘草（半两炙微赤锉） 川大黄（一两锉碎微炙） 川芒硝（一两） 黄芩（三分）
上件药。捣筛为散。每服三钱。以水一中盏。入生地黄一分。煎至六分。去滓。不计时
候温服。
治脾实热。咽喉干。头痛心烦。四肢壅闷。宜服枳壳散方。
枳壳（一两麸炒微黄去瓤） 石膏（二两） 子芩（半两） 柴胡（一两去苗） 玄参
（一两）
赤茯
炙微赤锉）
麦
上件药。捣筛为散。每服三钱。以水一中盏。入竹叶二七片。煎至六分。去滓。不计时
候温服。
治脾实热。舌本强。唇口肿。咽喉窒塞。心神烦热。宜服犀角散方。
犀角屑（三分） 独活（三分） 黄芩（一两） 川升麻（一两） 马牙硝（一两） 玄
参（一两）
上件药。捣筛为散。每服三钱。以水一中盏。煎至五分。去滓。入淡竹沥半合。更煎一
两沸。不计时候温服。
治脾实热。唇肿心烦。咽喉不利。体热烦疼。宜服地骨皮散方。
地骨皮（三分） 麦门冬（一两去心） 柴胡（一两半去苗） 川升麻（一两） 赤芍
药（三分）
上件药。捣筛为散。每服三钱。以水一中盏。煎至五分。去滓。入牛蒡汁一合。更煎一
两沸。食后温服。
治脾脏实热。咽喉不利。口舌干燥。宜服犀角丸方。
犀角屑（一两） 牛蒡子（半两） 射干（半两） 川升麻（二分） 麦门冬（一两去
心焙） 诃
黎勒
甘草（半
两炙
上件药。捣细罗为末。入研了药令匀。炼蜜和为丸。如梧桐子大。每服。以竹叶汤下二
十丸。食后服。忌生果炙爆热面。
The Qi of the Spleen and Stomach manifests in the lips and mouth, connects to the throat, and links to the root of the tongue. The throat is the pathway for food and fluids, and the channel through which Shen (Spirit) and Qi circulate. If Spleen Qi becomes stagnant and excessive with heat, Heat arises in the Upper Jiao (Upper Burner), causing headache, mental restlessness, dryness of the mouth and tongue, and difficulty in the throat.
For treating Excess-Heat of the Spleen manifesting as stiffness of the tongue root, difficulty in the throat, heaviness of the body making walking difficult, it is appropriate to take Chaihu San (Bupleurum Powder).
Ingredients: Chai Hu (Radix Bupleuri, 1 liang, remove seedlings); Chi Fu Ling (Poria Cocos with Red Bark, 3 fen); Xuan Shen (Radix Scrophulariae, 3 fen); Da Qing (Cortex Isatidis, 1 liang); Long Dan (Radix Gentianae, 3 fen, remove rhizome head); Xing Ren (Semen Armeniacae Amarum, 3 fen, soak in hot water, remove skin and pointed ends, use double kernels, stir-fry with bran until slightly yellow); Chuan Mang Xiao (Natrii Sulfas, 2 liang); Luo Shi (Lignum Rhyncichnatis, 2 liang); Chuan Sheng Ma (Rhizoma Cimicifugae, 1 liang).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 3 qian per dose. Add one zhong zhan (approx. 200-300ml) of water, decoct until reduced to six-tenths. Remove dregs. Take warm at any time. Avoid roasted, fried, and heating foods such as noodles.
For treating Excess-Heat of the Spleen manifesting as dry throat, headache, mental restlessness, and thirst, it is appropriate to take She Gan San (Belamcanda Powder).
Ingredients: She Gan (Rhizoma Belamcandae, 1 liang); Shi Gao (Gypsum Fibrosum, 1 or 2 liang); Da Qing (Cortex Isatidis, 3 fen); Wei Rui (Rhizoma Polygonati Odorati, 2 fen); Chi Fu Ling (Poria Cocos with Red Bark, 2 or 3 fen); Chuan Sheng Ma (Rhizoma Cimicifugae, 3 fen); Xing Ren (Semen Armeniacae Amarum, half liang, soak in hot water, remove skin and pointed ends).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 3 qian per dose. Add one zhong zhan of water, fourteen leaves of Zhu Ye (Bamboo Leaves), Yi Tang (Sheng Di Huang / Radix Rehmanniae Preparata, 1 fen), and Sheng Jiang (Rhizoma Zingiberis Recens, half ban). Decoct until reduced to six-tenths. Remove dregs. Take warm at any time. Avoid roasted, fried, and heating foods such as noodles.
For treating Excess-Heat of the Spleen manifesting as swelling and pain in the throat, and blockage due to Heat obstruction, it is appropriate to take Sheng Ma San (Cimicifuga Powder).
Ingredients: Chuan Sheng Ma (Rhizoma Cimicifugae, 1 liang); She Gan (Rhizoma Belamcandae, 1 liang); Ling Yang Jiao Xie (Cornu Saigae Tataricae, half liang); Mu Tong (Caulis Akebiae, half liang, sliced); Chi Shao Yao (Radix Paeoniae Rubra, half liang); Luo Shi (Lignum Rhyncichnatis, 3 fen); Gan Cao (Radix Glycyrrhizae, half liang, stir-fried until slightly red and sliced); Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, sliced and slightly stir-fried); Chuan Mang Xiao (Natrii Sulfas, 1 liang); Huang Qin (Radix Scutellariae, 3 fen).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 3 qian per dose. Add one zhong zhan of water and Yi Tang (Sheng Di Huang / Radix Rehmanniae Preparata, 1 fen). Decoct until reduced to six-tenths. Remove dregs. Take warm at any time.
For treating Excess-Heat of the Spleen manifesting as dry throat, headache, mental restlessness, and stagnation/heaviness in the four limbs, it is appropriate to take Zhi Ke San (Aurantii Fructus Powder).
Ingredients: Zhi Ke (Fructus Aurantii, 1 liang, stir-fried with bran until slightly yellow, remove pith); Shi Gao (Gypsum Fibrosum, 2 liang); Zi Qin (Radix Scutellariae, half liang); Chai Hu (Radix Bupleuri, 1 liang, remove seedlings); Xuan Shen (Radix Scrophulariae, 1 liang); Chi Fu Ling (Poria Cocos with Red Bark, 3 fen); Gan Cao (Radix Glycyrrhizae, half liang, stir-fried until slightly red and sliced).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 3 qian per dose. Add one zhong zhan of water and fourteen leaves of Zhu Ye (Bamboo Leaves). Decoct until reduced to six-tenths. Remove dregs. Take warm at any time.
For treating Excess-Heat of the Spleen manifesting as stiffness of the tongue root, swelling of lips and mouth, obstruction in the throat, and mental restlessness with Heat, it is appropriate to take Xi Jiao San (Rhinoceros Horn Powder).
Ingredients: Xi Jiao Xie (Cornu Rinocerontis, 3 fen); Du Huo (Radix Angelicae Pubescentis, 3 fen); Huang Qin (Radix Scutellariae, 1 liang); Chuan Sheng Ma (Rhizoma Cimicifugae, 1 liang); Ma Ya Xiao (Natrii Sulfas Crystallisatus, 1 liang); Xuan Shen (Radix Scrophulariae, 1 liang).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 3 qian per dose. Add one zhong zhan of water. Decoct until reduced to five-tenths. Remove dregs. Add Dan Zhu Li (Bamboo Sap, half he). Boil for two more boils. Take warm at any time.
For treating Excess-Heat of the Spleen manifesting as swelling of lips, mental restlessness, difficulty in the throat, body heat with painful discomfort, it is appropriate to take Di Gu Pi San (Cortex Lycii Powder).
Ingredients: Di Gu Pi (Cortex Lycii, 3 fen); Mai Men Dong (Radix Ophiopogonis, 1 liang, remove heart); Chai Hu (Radix Bupleuri, 1.5 liang, remove seedlings); Chuan Sheng Ma (Rhizoma Cimicifugae, 1 liang); Chi Shao Yao (Radix Paeoniae Rubra, 3 fen).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 3 qian per dose. Add one zhong zhan of water. Decoct until reduced to five-tenths. Remove dregs. Add Niu Bang Zi Zhi (Juice of Fructus Arctii, one he). Boil for two more boils. Take warm after meals.
For treating Excess-Heat of the Spleen manifesting as difficulty in the throat and dryness of the mouth and tongue, it is appropriate to take Xi Jiao Wan (Rhinoceros Horn Pill).
Ingredients: Xi Jiao Xie (Cornu Rinocerontis, 1 liang); Niu Bang Zi (Fructus Arctii, half liang); She Gan (Rhizoma Belamcandae, half liang); Chuan Sheng Ma (Rhizoma Cimicifugae, 2 fen); Mai Men Dong (Radix Ophiopogonis, 1 liang, remove heart and bake); He Li Le (Fructus Chebulae, half liang); Gan Cao (Radix Glycyrrhizae, half liang, stir-fried).
Preparation and Administration: Pound the above ingredients into fine powder using a silk sieve. Mix thoroughly. Combine with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose, washed down with Zhu Ye Tang (Decoction of Bamboo Leaves), after meals. Avoid raw fruits, roasted, fried, and heating foods.