夫脾胃者水谷之精。化为气血。气血充盛。荣卫通疏。润养身形。荣于肌肉也。若脏腑
不足。脾胃虚伤。不能饮食。则令气血减少。肌体羸瘦也。
治脾胃气久虚。四肢无力。腑脏虚损。不欲饮食。日加羸瘦。体虚颤掉。宜服草
豆蔻散
草豆蔻（半两去皮） 青橘皮（半两汤浸去白瓤焙） 人参（一两去芦头） 桂心（半
两） 附
子（
两麸炒微
黄）
（一两去
芦头
上件药。捣筛为散。每服二钱。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。忌生冷油腻湿面猪犬肉。
治脾胃气虚弱。不思饮食。肌体羸瘦。四肢无力。宜服思食补益人参散方。
人参（一两去芦头） 白术（一两） 陈橘皮（一两汤浸去白瓤焙） 五味子（一两） 黄
（
一两锉） 附子（一两炮裂去皮脐） 木香（半两） 甘草（一分炙微赤锉） 桂心（半两）
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
。不计时候温服。
治脾胃久虚。腹胁胀满。肌体羸瘦少力。大小便不调。或加气促。吃食减少。宜
服诃黎
诃黎勒（三分煨用皮） 木香（三分） 鳖甲（三分涂醋炙令黄去裙 ） 川大黄（三
分锉微
炒）
干姜
（半两
草
（一分炙
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
。忌生冷油腻牛犬肉苋菜。
治脾胃气久弱。肌体羸瘦。或加劳气。大肠不调。有时痰逆。不思饮食。四肢少力
。宜
人参（一两去芦头） 柴胡（一两半去苗） 白茯苓（一两） 浓朴（二两去粗皮涂生
姜汁炙
令香
两）
黄
分） 半夏
（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。
不计时候温服。
治脾胃气虚弱。肌体羸瘦。四肢少力。或时痰逆。不思饮食。宜服丁香散方。
丁香〔三两（分）〕 高良姜（三分锉） 浓朴（二两去粗皮涂生姜汁炙令香熟） 草
豆蔻（三分去皮）
白术（三分） 人参（三分去芦头） 黄 （三分锉） 白茯苓（三分） 肉桂（三分去
皴皮） 附
子（二分炮裂去皮脐） 诃黎勒（三分煨用皮） 陈橘皮（三分汤浸去白瓤焙） 半夏（半
两汤洗
七遍去滑） 枳壳（半两麸炒微黄去瓤） 甘草（一分炙微赤锉）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不计时候温服。
治脾胃气虚弱。令人身重。不欲饮食。四肢少力。肌体羸瘦。宜服黄 散方。
黄 （三分锉） 甘草（半两炙微赤锉） 桂心（一两） 白术〔一（三）两〕 熟干
地黄（一
两） 人
参（一两去芦头） 浓朴（二两去粗皮涂生姜汁炙令香熟） 白茯苓（一两） 当归（一两
锉微炒）
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。
不计时候温服。忌生冷油腻犬肉。
治脾胃气久虚。不思饮食。肌体羸瘦。少力。腹胁疼痛。面色萎黄。宜服白术丸
方。
白术（一两） 槟榔（三分） 诃黎勒（三分煨用皮） 枳壳（三分麸炒微黄去瓤） 木
香（半
两）
附子（一两炮裂去皮脐） 白芷（半两） 肉豆蔻（三分去壳） 桂心（三分） 丁香（半
两） 当归
（一两锉微炒） 干姜（半两炮裂锉） 缩砂（三分去皮） 黄 （一两锉） 人参（半两
去芦头）
白茯苓（一两） 浓朴〔一（二）两去粗皮涂生姜汁炙令香熟〕
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计时候。以温酒下三
十丸。忌生冷油腻湿面。
治脾胃气虚弱。肌体羸瘦。不思饮食。四肢少力。宜服补益黄 丸方。
黄 （三分锉） 白茯苓（三分） 桂心（半两） 山茱萸（三分） 白术（三分） 麦
门冬（半
两去
子（二
分炮
蓣（三
分）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计时候。以姜枣汤下
三十丸。忌生冷油腻牛犬肉。
治脾胃气虚弱。肌体羸瘦。不能饮食。食不消化。宜服附子丸方。\x
附子（一两炮裂去皮脐） 桂心（半分） 浓朴（二两去粗皮涂生姜汁炙令香熟） 甘
草（一
分炙
炒出汗）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计时候。以姜枣汤下
丸。忌生冷油腻犬肉。
The Spleen and Stomach are the source of the essence from water and grain. They transform this essence into Qi and Blood. When Qi and Blood are abundant, Ying (Nutritive) and Wei (Defensive) Qi flow freely and smoothly, moistening and nourishing the body shape, and prospering the muscles. If the Zang-Fu organs are deficient, and the Spleen and Stomach are weak and injured, leading to an inability to eat, then Qi and Blood will decrease, resulting in emaciation of the body.
For chronic deficiency of Spleen and Stomach Qi, weakness in the four limbs, deficiency damage to the Zang-Fu organs, lack of appetite, progressive emaciation, and trembling due to bodily weakness, it is suitable to take Caodoukou San (Cardamom Seed Powder).
Caodoukou (Tsaoko Fructus, 草豆蔻) (half liang, peeled) Qingjupi (Citri Reticulatae Pericarpium Viride, 青橘皮) (half liang, soaked in boiling water, white pith removed, dried) Renshen (Ginseng Radix et Rhizoma, 人参) (one liang, radix removed) Guixin (Cinnamomi Ramulus, 桂心) (half liang) Fuzi (Aconiti Lateralis Radix Praeparata, 附子) (one liang, stir-fried with bran until slightly yellow)
Crush and sieve the above herbs into a powder. Take two qian per dose. Add one zhong of water, half ban of Shengjiang (Zingiberis Rhizoma Recens, 生姜), and three dates (Jujubae Fructus, 大枣). Decoct until six fen remains, remove the dregs. Drink while slightly warm at any time. Avoid cold, raw, greasy, damp wheat noodles, pork, and dog meat.
For Spleen and Stomach Qi deficiency, lack of appetite, emaciation, and weakness in the four limbs, it is suitable to take Sixibu Yi Renshen San (Appetite-Stimulating and Tonifying Ginseng Powder).
Renshen (Ginseng Radix et Rhizoma, 人参) (one liang, radix removed) Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) (one liang) Chenjupi (Citri Reticulatae Pericarpium, 陈橘皮) (one liang, soaked in boiling water, white pith removed, dried) Wuweizi (Schisandrae Chinensis Fructus, 五味子) (one liang) Huangqi (Astragali Membranacei Radix, 黄芪) (one liang, sliced) Fuzi (Aconiti Lateralis Radix Praeparata, 附子) (one liang, processed until cracked, peel and umbilicus removed) Muxiang (Aucklandiae Radix, 木香) (half liang) Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (one fen, honey-fried until slightly red and sliced) Guixin (Cinnamomi Ramulus, 桂心) (half liang)
Coarsely sieve the above herbs into a powder. Take three qian per dose. Add one zhong of water, half ban of Shengjiang (Zingiberis Rhizoma Recens, 生姜), and three dates (Jujubae Fructus, 大枣). Decoct until six fen remains, remove the dregs. Drink warm at any time.
For chronic Spleen and Stomach deficiency, abdominal and hypochondriac fullness, emaciation and weakness, irregular urination and defecation, or shortness of breath, and reduced food intake, it is suitable to take Helile San (Terminalia Chebula Powder).
Helile (Terminaliae Chebulae Fructus, 诃黎勒) (three fen, roasted, use the peel) Muxiang (Aucklandiae Radix, 木香) (three fen) Biejia (Testudinis Carapax et Plastrum, 鳖甲) (three fen, coated with vinegar, fried until yellow, skirt edges removed) Chuan Dahuang (Rhei Radix et Rhizoma, 川大黄) (three fen, sliced and lightly stir-fried) Ganjiang (Zingiberis Rhizoma, 干姜) (half liang) Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (one fen, honey-fried)
Crush and sieve the above herbs into a powder. Take three qian per dose. Add one zhong of water, half ban of Shengjiang (Zingiberis Rhizoma Recens, 生姜). Decoct until six fen remains, remove the dregs. Drink warm before meals. Avoid cold, raw, greasy beef, dog meat, and Amaranth vegetables.
For chronic weakness of Spleen and Stomach Qi, emaciation, or accumulation of劳气 (fatigue Qi), intestinal irregularity, occasional phlegm reversal, lack of appetite, and weakness in the four limbs, it is suitable to take Renshen San (Ginseng Powder).
Renshen (Ginseng Radix et Rhizoma, 人参) (one liang, radix removed) Chaihu (Bupleuri Radix, 柴胡) (one and a half liang, buds removed) Baifuling (Poria, 白茯苓) (one liang) Nongpo (Moutan Cortex / Magnoliae Officinalis Cortex? Context implies Magnoliae Officinalis Cortex usually as Houpo, but text says Nongpo which often refers to Magnolia bark in Song texts, specifically Magnoliae Officinalis Cortex 厚朴) (two liang, coarse bark removed, coated with ginger juice, fried until fragrant) Huangqi (Astragali Membranacei Radix, 黄芪) (one liang, sliced) Banxia (Pinelliae Rhizoma, 半夏) (one liang, washed seven times in boiling water to remove slipperiness)
Crush and sieve the above herbs into a powder. Take three qian per dose. Add one zhong of water, half ban of Shengjiang (Zingiberis Rhizoma Recens, 生姜), and three dates (Jujubae Fructus, 大枣). Decoct until six fen remains, remove the dregs. Drink warm at any time.
For Spleen and Stomach Qi deficiency, emaciation, weakness in the four limbs, occasional phlegm reversal, and lack of appetite, it is suitable to take Dingxiang San (Caryophylli Flos Powder).
Dingxiang (Caryophylli Flos, 丁香) (three liang) Gaoliangjiang (Alpiniae Officinarum Rhizoma, 高良姜) (three fen, sliced) Nongpo (Magnoliae Officinalis Cortex, 浓朴/厚朴) (two liang, coarse bark removed, coated with ginger juice, fried until fully cooked) Caodoukou (Tsaoko Fructus, 草豆蔻) (three fen, peeled) Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) (three fen) Renshen (Ginseng Radix et Rhizoma, 人参) (three fen, radix removed) Huangqi (Astragali Membranacei Radix, 黄芪) (three fen, sliced) Baifuling (Poria, 白茯苓) (three fen) Rougui (Cinnamomi Cortex, 肉桂) (three fen, rough bark removed) Fuzi (Aconiti Lateralis Radix Praeparata, 附子) (two fen, processed until cracked, peel and umbilicus removed) Helile (Terminaliae Chebulae Fructus, 诃黎勒) (three fen, roasted, use the peel) Chenjupi (Citri Reticulatae Pericarpium, 陈橘皮) (three fen, soaked in boiling water, white pith removed, dried) Banxia (Pinelliae Rhizoma, 半夏) (half liang, washed seven times in boiling water to remove slipperiness) Zhike (Aurantii Fructus Immaturus, 枳壳) (half liang, stir-fried with bran until slightly yellow, pith removed) Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (one fen, honey-fried until slightly red and sliced)
Crush and sieve the above herbs into a powder. Take three qian per dose. Add one zhong of water, half ban of Shengjiang (Zingiberis Rhizoma Recens, 生姜), and three dates (Jujubae Fructus, 大枣). Decoct until six fen remains, remove the dregs. Drink warm at any time.
For Spleen and Stomach Qi deficiency causing heavy sensation in the body, lack of appetite, weakness in the four limbs, and emaciation, it is suitable to take Huangqi San (Astragalus Powder).
Huangqi (Astragali Membranacei Radix, 黄芪) (three fen, sliced) Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (half liang, honey-fried until slightly red and sliced) Guixin (Cinnamomi Ramulus, 桂心) (one liang) Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) (three liang) Shugan Dihuang (Rehmanniae Radix Praeparata, 熟干地黄) (one liang) Renshen (Ginseng Radix et Rhizoma, 人参) (one liang, radix removed) Nongpo (Magnoliae Officinalis Cortex, 浓朴/厚朴) (two liang, coarse bark removed, coated with ginger juice, fried until fully cooked) Baifuling (Poria, 白茯苓) (one liang) Danggui (Angelicae Sinensis Radix, 当归) (one liang, sliced and lightly stir-fried)
Crush and sieve the above herbs into a powder. Take three qian per dose. Add one zhong of water, half ban of Shengjiang (Zingiberis Rhizoma Recens, 生姜), and three dates (Jujubae Fructus, 大枣). Decoct until six fen remains, remove the dregs. Drink warm at any time. Avoid cold, raw, greasy, and dog meat.
For chronic Spleen and Stomach Qi deficiency, lack of appetite, emaciation, weakness, abdominal and hypochondriac pain, and sallow complexion, it is suitable to take Baizhu Wan (Atractylodes Pill).
Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) (one liang) Binglang (Arecae Semen, 槟榔) (three fen) Helile (Terminaliae Chebulae Fructus, 诃黎勒) (three fen, roasted, use the peel) Zhike (Aurantii Fructus Immaturus, 枳壳) (three fen, stir-fried with bran until slightly yellow, pith removed) Muxiang (Aucklandiae Radix, 木香) (half liang) Fuzi (Aconiti Lateralis Radix Praeparata, 附子) (one liang, processed until cracked, peel and umbilicus removed) Baizhi (Angelicae Dahuricae Radix, 白芷) (half liang) Roudoukou (Myristicae Semen, 肉豆蔻) (three fen, shell removed) Guixin (Cinnamomi Ramulus, 桂心) (three fen) Dingxiang (Caryophylli Flos, 丁香) (half liang) Danggui (Angelicae Sinensis Radix, 当归) (one liang, sliced and lightly stir-fried) Ganjiang (Zingiberis Rhizoma, 干姜) (half liang, processed until cracked and sliced) Suosha (Amomi Fructus Rotundus, 缩砂/砂仁) (three fen, peeled) Huangqi (Astragali Membranacei Radix, 黄芪) (one liang, sliced) Renshen (Ginseng Radix et Rhizoma, 人参) (half liang, radix removed) Baifuling (Poria, 白茯苓) (one liang) Nongpo (Magnoliae Officinalis Cortex, 浓朴/厚朴) (two liang, coarse bark removed, coated with ginger juice, fried until fully cooked)
Grind the above herbs into fine powder. Mix with refined honey and pound for three to two hundred strokes. Form pills the size of paulownia seeds. Take thirty pills at any time with warm wine. Avoid cold, raw, greasy, and damp wheat noodles.
For Spleen and Stomach Qi deficiency, emaciation, lack of appetite, and weakness in the four limbs, it is suitable to take Buyi Huangqi Wan (Tonifying Astragalus Pill).
Huangqi (Astragali Membranacei Radix, 黄芪) (three fen, sliced) Baifuling (Poria, 白茯苓) (three fen) Guixin (Cinnamomi Ramulus, 桂心) (half liang) Shanzhuyu (Corni Fructus, 山茱萸) (three fen) Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) (three fen) Maimendong (Ophiopogonis Radix, 麦门冬) (half liang, heart removed) Fuzi (Aconiti Lateralis Radix Praeparata, 附子) (two fen, processed) Shanyao (Dioscoreae Rhizoma, 山药) (three fen)
Grind the above herbs into fine powder. Mix with refined honey and pound for three to two hundred strokes. Form pills the size of paulownia seeds. Take thirty pills at any time with Ginger and Date Decoction. Avoid cold, raw, greasy, beef, and dog meat.
For Spleen and Stomach Qi deficiency, emaciation, inability to eat, and indigestion, it is suitable to take Fuzi Wan (Aconite Pill).
Fuzi (Aconiti Lateralis Radix Praeparata, 附子) (one liang, processed until cracked, peel and umbilicus removed) Guixin (Cinnamomi Ramulus, 桂心) (half fen) Nongpo (Magnoliae Officinalis Cortex, 浓朴/厚朴) (two liang, coarse bark removed, coated with ginger juice, fried until fully cooked) Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (one fen, honey-fried) Ganjiang (Zingiberis Rhizoma, 干姜) (one fen, processed until cracked, sliced, and sweat induced)
Grind the above herbs into fine powder. Mix with refined honey and pound for three to two hundred strokes. Form pills the size of paulownia seeds. Take at any time with Ginger and Date Decoction. Avoid cold, raw, greasy, and dog meat.