夫脾与胃为表里。胃者脾之腑。脾者胃之脏。候于肌肉。主水谷。水谷之精。化为气血
以为荣卫。养于脏腑也。若脾胃虚弱。受于邪气。则气逆腹胀。水谷不消。故令呕吐也。
治脾胃气虚弱。胸中满闷。气促。呕吐不能下食。宜服白茯苓散方。
白茯苓（一两） 陈橘皮（一两汤浸去白瓤焙） 人参（一两去芦头） 白术（三分） 五
味子
（三分） 草豆蔻（半两去皮） 半夏〔三（二）分汤洗七遍去滑〕 甘草（一分炙微赤锉）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓
。不计时候稍热服。
治脾胃气虚弱。呕吐不能食。四肢少力。心腹妨闷。宜服白术散方。
白术（一两） 人参（三分去芦头） 枳壳（半两麸炒微黄去瓤） 桂心（三分） 陈
橘皮（半
两汤浸去
蔻（一
两去皮）
上件药。捣粗罗为散。每服三钱。水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不计时候稍热服。
治脾胃气虚弱。呕吐不下食。四肢无力。宜服此方。
白茯苓（一两） 陈橘皮（一两汤浸去白瓤焙） 人参（一两去芦头） 白术（一两） 五
味子
（一
（一分炙
微赤
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓
。不计时候稍热服。
治脾胃气虚弱。不能饮食。食即呕吐。四肢羸瘦。少力。宜服此薤白汤方。
薤白（七茎） 粳米（半两） 大枣（四枚） 陈橘皮（三分汤洗去白瓤焙） 枳实（四
枚麸炒
微黄） 生姜（一分） 豉（四十九粒）
上件药细锉。都以水一大盏半。煎至八分。去滓。不计时候。稍热分为二服。
治脾胃气虚弱。脏腑积冷。呕吐宿食。四肢少力。面无颜色。宜服草豆蔻散方。
草豆蔻（二两去皮） 半夏（半两汤浸七遍去滑） 肉桂（三分去皴皮） 人参（三分
去芦头）
木
炮裂去皮
脐）
甘
草（一
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不计时候。稍热服。
治脾胃气虚弱。食即呕吐。人参饮子方。
人参（一两去芦头） 甘草（一分炙微赤锉） 陈橘皮（一两汤浸去白瓤焙） 薤白（十
四茎）
上件药。细锉。以水二大盏。煎取一盏二分。去滓。不计时候。稍热分为三服。
治脾胃气虚弱。见食呕吐。半夏散方。
半夏（半两汤洗七遍去滑） 红豆蔻（三分去皮） 茅香花（三分） 人参（一两去芦
头） 陈
橘皮（一两汤浸去白瓤焙） 白术（一两）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓
。不计时候稍热服。
治脾胃气弱虚。不思饮食。胸中气满。四肢不和。食即呕吐。宜服荜澄茄散方。
荜澄茄（三分） 白豆蔻（三分去皮） 丁香（三分） 沉香（半两） 木香（半两） 高
良姜（
半两
去白瓤焙）
干
黎
勒
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓
。不计时候温服。
治脾胃虚弱。胸膈气滞。吐逆不下食。宜服白豆蔻丸方。
白豆蔻（一两去皮） 干姜（一两炮裂） 半夏（一两半汤洗七遍去滑微炒） 桂心（二
分）
白术（三分） 细辛（三分） 木香（一两） 诃黎勒（一两半煨用皮） 枳实（一两麸炒
微黄）
上件药。捣细罗为末。以酒煮面糊和丸。如梧桐子大。每服二十丸。不计时候。用后方
浓朴汤下。
浓朴汤方。
浓朴（四两去粗皮涂生姜汁炙令香熟） 人参（四两去芦头） 陈橘皮（二两汤浸去白
瓤）
甘草（一两炙微赤锉）
上件药。捣罗为散（末）。每服三钱。用煎成小麦汁一中盏。入生姜半分。煎至六分。
去
滓。下前丸药。
治脾胃气虚弱。食即呕吐。四肢不和。心腹妨闷。宜服丁香丸方。
丁香（半两） 诃黎勒（一两煨用皮） 附子（一两炮裂去皮脐） 藿香（半两） 草
豆蔻（一
两去皮） 荜茇（三分） 陈橘皮（一两汤浸去白瓤焙） 人参（一两去芦头） 白茯苓（三
分）
桂心
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。不计时候。以姜枣汤下二十丸
治脾胃气虚弱。腑脏积冷。或时呕吐。不能饮食。宜服荜茇丸方。
荜茇（一两） 胡椒（一两） 槟榔（一两） 诃黎勒（二两煨用皮） 白茯苓（一两）
肉桂（
一两去皴皮） 人参（一两去芦头） 干姜（一两炮裂锉） 陈橘皮（二两汤浸去白瓤焙）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。不计时候。以生姜汤下二十丸
。忌生冷。
The Spleen and Stomach are exteriorly-interiorly related. The Stomach is the Fu-organ of the Spleen, and the Spleen is the Zang-organ of the Stomach. The condition of the Spleen manifests in the muscles, and it governs the transformation and transportation of food and fluids (Shuigu). The essence derived from food and fluids transforms into Qi and Blood, thereby forming Ying and Wei (Defensive) Qi to nourish the Zang-Fu organs. If the Spleen and Stomach are weak and deficient, and pathogenic factors invade, Qi will rebel upward causing abdominal distension, food and fluids will fail to digest, leading to vomiting.
For treating deficiency-cold of Spleen and Stomach Qi, presenting with fullness in the chest, shortness of breath, vomiting, and inability to take food, Bai Fuling San (White Poria Powder) is indicated.
Bai Fuling (Poria, 1 liang), Chen Jupi (Aged Tangerine Peel, 1 liang, soaked in hot water, white pith removed, dried), Renshen (Ginseng Root, 1 liang, radix removed), Baizhu (Atractylodes Macrocephala Rhizome, 3 fen), Wuweizi (Schisandra Fruit, 3 fen), Caodoukou (Black Cardamom Seed, 0.5 liang, peeled), Banxia (Pinellia Tuber, 2-3 fen, washed seven times in water to remove acridity), Gancao (Licorice Root, 1 fen, honey-fried until slightly red and chopped).
Crush the above herbs into a coarse powder. Take 3 qian per dose, add 1 zhongzhan of water, 0.5 fen of Shengjiang (Fresh Ginger), and 3 dates. Decoct until 0.6 zhongzhan remains, strain, and drink warm at any time.
For treating deficiency-cold of Spleen and Stomach Qi, presenting with vomiting, inability to eat, weakness in the four limbs, and stifling sensation in the heart and abdomen, Baizhu San (Atractylodes Powder) is indicated.
Baizhu (Atractylodes Macrocephala Rhizome, 1 liang), Renshen (Ginseng Root, 3 fen, radix removed), Zhike (Bitter Orange Fruit, 0.5 liang, bran-fried until slightly yellow, pith removed), Guixin (Cinnamon Twig Heart, 3 fen), Chen Jupi (Aged Tangerine Peel, 0.5 liang, soaked in hot water, white pith removed, dried), Hong Doukou (Red Cardamom Seed, 1 liang, peeled).
Crush the above herbs into a coarse powder. Take 3 qian per dose, add 1 zhongzhan of water, 0.5 fen of Shengjiang (Fresh Ginger), and 3 dates. Decoct until 0.6 zhongzhan remains, strain, and drink warm at any time.
For treating deficiency-cold of Spleen and Stomach Qi, presenting with vomiting, inability to eat, and weakness in the four limbs, this formula is indicated.
Bai Fuling (Poria, 1 liang), Chen Jupi (Aged Tangerine Peel, 1 liang, soaked in hot water, white pith removed, dried), Renshen (Ginseng Root, 1 liang, radix removed), Baizhu (Atractylodes Macrocephala Rhizome, 1 liang), Wuweizi (Schisandra Fruit, 1 liang), Caodoukou (Black Cardamom Seed, 0.5 liang, peeled), Banxia (Pinellia Tuber, 3 fen, washed seven times in water to remove acridity), Gancao (Licorice Root, 1 fen, honey-fried until slightly red and chopped).
Crush the above herbs into a coarse powder. Take 3 qian per dose, add 1 zhongzhan of water, 0.5 fen of Shengjiang (Fresh Ginger), and 3 dates. Decoct until 0.6 zhongzhan remains, strain, and drink warm at any time.
For treating deficiency-cold of Spleen and Stomach Qi, presenting with inability to eat, immediate vomiting upon eating, emaciation of the four limbs, and weakness, Xiebai Tang (Allium Macrostemon Decoction) is indicated.
Xiebai (Allium Macrostemon Bulb, 7 stems), Jingmi (Glutinous Rice, 0.5 liang), Dazao (Jujube Fruit, 4 pieces), Chen Jupi (Aged Tangerine Peel, 3 fen, washed in water, white pith removed, dried), Zhishi (Immature Bitter Orange Fruit, 4 pieces, bran-fried until slightly yellow), Shengjiang (Fresh Ginger, 1 fen), Chi (Fermented Soybean, 49 grains).
Finely chop the above herbs. Add 1.5 zhongzhan of water. Decoct until 0.8 zhongzhan remains, strain, and divide into two doses to be taken warm at any time.
For treating deficiency-cold of Spleen and Stomach Qi, accumulation of cold in the Zang-Fu, vomiting of undigested food, weakness in the four limbs, and pallor, Caodoukou San (Black Cardamom Powder) is indicated.
Caodoukou (Black Cardamom Seed, 2 liang, peeled), Banxia (Pinellia Tuber, 0.5 liang, soaked in water for seven times to remove acridity), Rougui (Cinnamon Bark, 3 fen, rough bark removed), Renshen (Ginseng Root, 3 fen, radix removed), Muxiang (Costus Root, 0.5 liang, processed until cracked, peeled), Gancao (Licorice Root, 1 liang, honey-fried until slightly red and chopped).
Sift the above herbs into a fine powder. Take 3 qian per dose, add 1 zhongzhan of water, 0.5 fen of Shengjiang (Fresh Ginger), and 3 dates. Decoct until 0.6 zhongzhan remains, strain, and drink warm at any time.
For treating deficiency-cold of Spleen and Stomach Qi, presenting with immediate vomiting upon seeing food, Ren Shen Yinzi (Ginseng Infusion) is indicated.
Renshen (Ginseng Root, 1 liang, radix removed), Gancao (Licorice Root, 1 fen, honey-fried until slightly red and chopped), Chen Jupi (Aged Tangerine Peel, 1 liang, soaked in hot water, white pith removed, dried), Xiebai (Allium Macrostemon Bulb, 14 stems).
Finely chop the above herbs. Add 2 large zhongzhan of water. Decoct to obtain 1.2 zhongzhan, strain, and divide into three doses to be taken warm at any time.
For treating deficiency-cold of Spleen and Stomach Qi, presenting with immediate vomiting upon seeing food, Banxia San (Pinellia Powder) is indicated.
Banxia (Pinellia Tuber, 0.5 liang, washed seven times in water to remove acridity), Hong Doukou (Red Cardamom Seed, 3 fen, peeled), Maoxianghua (Agastache Flower, 3 fen), Renshen (Ginseng Root, 1 liang, radix removed), Chen Jupi (Aged Tangerine Peel, 1 liang, soaked in hot water, white pith removed, dried), Baizhu (Atractylodes Macrocephala Rhizome, 1 liang).
Crush the above herbs into a coarse powder. Take 3 qian per dose, add 1 zhongzhan of water, 0.5 fen of Shengjiang (Fresh Ginger), and 3 dates. Decoct until 0.6 zhongzhan remains, strain, and drink warm at any time.
For treating deficiency-cold of Spleen and Stomach Qi, presenting with lack of appetite, fullness of Qi in the chest, disharmony of the four limbs, and immediate vomiting upon eating, Bidengqie San (Vietnamese Star Anise Powder) is indicated.
Bidengqie (Vietnamese Star Anise Fruit, 3 fen), Baidoukou (White Cardamom Seed, 3 fen, peeled), Dingxiang (Clove, 3 fen), Chenxiang (Agarwood, 0.5 liang), Muxiang (Costus Root, 0.5 liang), Gaoliangjiang (Galangal Rhizome, 0.5 liang, peeled), Ganjiang (Dried Ginger, 1 liang, processed until cracked), Helile (Chebulic Myrobalan Fruit, 1.5 liang, roasted, using the peel).
Crush the above herbs into a coarse powder. Take 3 qian per dose, add 1 zhongzhan of water, 0.5 fen of Shengjiang (Fresh Ginger), and 3 dates. Decoct until 0.6 zhongzhan remains, strain, and drink warm at any time.
For treating deficiency of Spleen and Stomach, stagnation of Qi in the chest and diaphragm, retching, and inability to take food, Baidoukou Wan (White Cardamom Pill) is indicated.
Baidoukou (White Cardamom Seed, 1 liang, peeled), Ganjiang (Dried Ginger, 1 liang, processed until cracked), Banxia (Pinellia Tuber, 1.5 liang, washed seven times in water to remove acridity, lightly fried), Guixin (Cinnamon Twig Heart, 2 fen), Baizhu (Atractylodes Macrocephala Rhizome, 3 fen), Xixin (Asarum Root, 3 fen), Muxiang (Costus Root, 1 liang), Helile (Chebulic Myrobalan Fruit, 1.5 liang, roasted, using the peel), Zhishi (Immature Bitter Orange Fruit, 1 liang, bran-fried until slightly yellow).
Grind the above herbs into a fine powder. Mix with paste made from flour boiled in wine to form pills the size of Sophora seeds. Take 20 pills per dose at any time, administered with Nongpu Tang (Magnolia Bark Decoction) described below.
Nongpu Tang Formula.
Nongpu (Magnolia Bark, 4 liang, coarse skin removed, brushed with fresh ginger juice, fried until fragrant and cooked), Renshen (Ginseng Root, 4 liang, radix removed), Chen Jupi (Aged Tangerine Peel, 2 liang, soaked in hot water, white pith removed), Gancao (Licorice Root, 1 liang, honey-fried until slightly red and chopped).
Crush the above herbs into a powder. Take 3 qian per dose, add 1 zhongzhan of decocted wheat juice, 0.5 fen of Shengjiang (Fresh Ginger). Decoct until 0.6 zhongzhan remains, strain, and then add the aforementioned pills.
For treating deficiency-cold of Spleen and Stomach Qi, presenting with immediate vomiting upon eating, disharmony of the four limbs, and stifling sensation in the heart and abdomen, Dingxiang Wan (Clove Pill) is indicated.
Dingxiang (Clove, 0.5 liang), Helile (Chebulic Myrobalan Fruit, 1 liang, roasted, using the peel), Fuzi (Prepared Aconite Root, 1 liang, processed until cracked, skin and umbilical scar removed), Huoxiang (Patchouli Herb, 0.5 liang), Caodoukou (Black Cardamom Seed, 1 liang, peeled), Bibo (Long Pepper Fruit, 3 fen), Chen Jupi (Aged Tangerine Peel, 1 liang, soaked in hot water, white pith removed, dried), Renshen (Ginseng Root, 1 liang, radix removed), Bai Fuling (Poria, 3 fen), Guixin (Cinnamon Twig Heart, 3 fen).
Grind the above herbs into a powder. Mix with refined honey and pound for 200-300 strikes to form pills the size of Sophora seeds. Take 20 pills at any time, administered with Ginger-Jujube Decoction.
For treating deficiency-cold of Spleen and Stomach Qi, accumulation of cold in the Zang-Fu, occasional vomiting, and inability to eat, Bibo Wan (Long Pepper Pill) is indicated.
Bibo (Long Pepper Fruit, 1 liang), Hujiao (Pepper Fruit, 1 liang), Binglang (Areca Seed, 1 liang), Helile (Chebulic Myrobalan Fruit, 2 liang, roasted, using the peel), Bai Fuling (Poria, 1 liang), Rougui (Cinnamon Bark, 1 liang, rough bark removed), Renshen (Ginseng Root, 1 liang, radix removed), Ganjiang (Dried Ginger, 1 liang, processed until cracked and chopped), Chen Jupi (Aged Tangerine Peel, 2 liang, soaked in hot water, white pith removed, dried).
Grind the above herbs into a powder. Mix with refined honey and pound for 200-300 strikes to form pills the size of Sophora seeds. Take 20 pills at any time, administered with Ginger Decoction. Avoid raw and cold foods.