夫脾胃者。候身体肌肉也。胃为水谷之海。若虚劳。则脏腑不和。令脾胃气弱。故不思
食也。
治虚劳。脾胃气虚。不思饮食。宜服白术散方。
白术 木香 草豆蔻（去皮） 陈橘皮（汤浸去白瓤焙） 人参（去芦头） 肉豆蔻（去
壳）
益智
夏
（半
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
治虚劳脾胃气不和。心腹冷气。不思饮食。宜服浓朴散方。
浓朴（一两去粗皮涂生姜汁炙令香熟） 人参（一两去芦头） 吴茱萸（半两汤浸七遍
焙干
微炒）
皮） 桂
心（半
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
治虚劳。脾胃气虚弱。不思饮食。四肢无力。睡常不足。面色萎黄。宜服诃黎勒散
方。
诃黎勒（三分煨用皮） 人参（半两去芦头） 当归（半两） 白术（一两） 芎 （半
两） 丁
香（
桂心
（半
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
治虚劳。脾胃不和。少思饮食。或时自泻。宜服浓朴散方。
浓朴（五两去粗皮细锉用生姜五两研取汁和浸浓朴一宿以生姜捏焙干后微火炒令香熟紫
色烟
勒（二两
煨用皮
上件药。捣细罗为散。每服食前。以生姜枣汤调下一钱。
治虚劳。脾胃虚冷。不思饮食。宜服温脾散方。
诃黎勒（二两煨用皮） 肉桂（二两去皱皮） 木香（一两） 肉豆蔻（一两去壳） 人
参（一
两去
两） 沉
香（半
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
治虚劳不思食。煮肝散方。
木香（一两） 人参（一两去芦头） 桂心（半两） 胡椒（一分） 补骨脂（半两） 白
术（一
两）
瓤焙）
浓朴（
上件药。捣细罗为散。每服。用 猪肝一具。细切。以散五钱。拌和令匀。入于铛内。
以浆
治虚劳。暖脾壮胃。令思饮食。和气通真丸方。
浓朴（一两去粗皮涂生姜汁炙令香熟） 楮实（三分水淘去浮者焙干） 石斛（一两去
根锉）
肉
术
（一两）
分）
薯蓣（半
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每服食前。以生姜枣汤下三十
丸。
治虚劳。脾胃虚冷。气满不思食。宜服桔梗丸方。
桔梗（一两去芦头） 白术（一两半） 桂心（一两） 吴茱萸（一两半汤浸七遍焙干
微炒）
浓朴
黄去
瓤）
半炒微
黄） 神曲（
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服食前。以暖酒下二十丸。
以瘥
治虚劳。脾胃不调。腹胁胀满。不思饮食。宜服浓朴丸方。
浓朴（一两去粗皮涂生姜汁炙令香熟） 五味子（一两） 桔梗（一两去芦头） 白术
（一两
半）
裂锉）
人参（一两
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服食前。以温酒下二十丸。
治虚劳。肠胃大冷。全不思食。或气胀满。宜服荜茇丸方。
荜茇（一两） 人参（一两去芦头） 桂心（一两） 干姜（一两炮裂锉） 诃黎勒（一
两半煨
用皮）
上件药。捣罗为末。炼蜜和捣一二百杵。丸如梧桐子大。每服食前。以粥饮下二十丸。
治虚劳。脾胃气冷。不思饮食。或气满刺痛。宜服木香丸方。
木香（半两） 诃黎勒（一两煨用皮） 肉豆蔻（一分去壳） 麝香（一分）
上件药。捣罗为末。煮枣肉和丸。如绿豆大。每服食前。以暖酒下十丸。
The Spleen and Stomach are organs that reflect the condition of the body's muscles. The Stomach is referred to as the "Sea of Water and Grain" (the organ responsible for receiving and rotting/ripening food and drink). If one suffers from Xu Lao (Deficiency-Labor, a chronic wasting syndrome), it leads to disharmony among the Zang-Fu organs, causing Qi deficiency in the Spleen and Stomach, thereby resulting in anorexia or lack of desire to eat.
For treating Xu Lao accompanied by Spleen-Stomach Qi deficiency and anorexia, it is appropriate to take Baizhu San (Atractylodes Macrocephala Powder).
Herbs: Baizhu (Atractylodis Macrocephalae Rhizoma), Muxiang (Aucklandiae Radix), Caodoukou (Cardamomi Fructus, peeled), Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, and dried), Renshen (Ginseng Radix et Rhizoma, radix end removed), Roudoukou (Myristicae Semen, shell removed), Yizhi (Alpiniae Oxyphyllae Fructus), Banxia (Pinelliae Rhizoma).
Preparation and Administration: Crush the aforementioned herbs into coarse powder. Take 3 qian per dose. Add 1 zhong of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until the volume reduces to 6 fen. Strain and take warm.
For treating Xu Lao accompanied by disharmony of Spleen-Stomach Qi, cold sensation in the heart and abdomen, and anorexia, it is appropriate to take Houpo San (Magnolia Bark Powder).
Herbs: Houpo (Magnoliae Officinalis Cortex, 1 liang, coarse bark removed, brushed with fresh ginger juice, and roasted until fragrant and cooked), Renshen (Ginseng Radix et Rhizoma, 1 liang, radix end removed), Wuzhuyu (Evodiae Fructus, 0.5 liang, soaked in hot water seven times, dried, and lightly roasted), Chenpi (Citri Reticulatae Pericarpium, 0.5 liang, white pith removed), Guixin (Cinnamomi Ramulus Cortex, 0.5 liang).
Preparation and Administration: Crush the aforementioned herbs into coarse powder. Take 3 qian per dose. Add 1 zhong of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until the volume reduces to 6 fen. Strain and take warm.
For treating Xu Lao accompanied by Spleen-Stomach Qi deficiency, anorexia, weakness in the four limbs, insufficient sleep, and sallow complexion, it is appropriate to take Helile San (Terminalia Chebula Powder).
Herbs: Helile (Terminaliae Chebulae Fructus, 3 fen, used after roasting, including the skin), Renshen (Ginseng Radix et Rhizoma, 0.5 liang, radix end removed), Danggui (Angelicae Sinensis Radix, 0.5 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Xiong (Ligustici Chuanxiong Rhizoma, 0.5 liang), Dingxiang (Syzygii Aromatisati Flos), Guixin (Cinnamomi Ramulus Cortex).
Preparation and Administration: Crush the aforementioned herbs into coarse powder. Take 3 qian per dose. Add 1 zhong of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until the volume reduces to 6 fen. Strain and take warm.
For treating Xu Lao accompanied by Spleen-Stomach disharmony, reduced appetite, and occasional spontaneous diarrhea, it is appropriate to take Houpo San (Magnolia Bark Powder).
Herbs: Houpo (Magnoliae Officinalis Cortex, 5 liang, coarse bark removed, finely chopped, soaked overnight in juice extracted from 5 liang of fresh ginger, pressed with fresh ginger, dried, and lightly roasted until purple smoke appears), Helile (Terminaliae Chebulae Fructus, 2 liang, used after roasting, including the skin).
Preparation and Administration: Crush the aforementioned herbs into fine powder. Take 1 qian before meals, mixed with decoction of fresh ginger and jujubes.
For treating Xu Lao accompanied by Spleen-Stomach deficiency-cold and anorexia, it is appropriate to take Wenpi San (Warming the Spleen Powder).
Herbs: Helile (Terminaliae Chebulae Fructus, 2 liang, used after roasting, including the skin), Rougui (Cinnamomi Cortex, 2 liang, wrinkled bark removed), Muxiang (Aucklandiae Radix, 1 liang), Roudoukou (Myristicae Semen, 1 liang, shell removed), Renshen (Ginseng Radix et Rhizoma, 1 liang, radix end removed), Chenxiang (Aquilariae Lignum Resinatum, 0.5 liang).
Preparation and Administration: Crush the aforementioned herbs into coarse powder. Take 3 qian per dose. Add 1 zhong of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until the volume reduces to 6 fen. Strain and take warm.
For treating Xu Lao with anorexia, it is appropriate to take Zhu Gan San (Boiled Liver Powder).
Herbs: Muxiang (Aucklandiae Radix, 1 liang), Renshen (Ginseng Radix et Rhizoma, 1 liang, radix end removed), Guixin (Cinnamomi Ramulus Cortex, 0.5 liang), Hujiao (Piperis Nigris Fructus, 1 fen), Buguzhi (Psoraleae Fructus, 0.5 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Chenpi (Citri Reticulatae Pericarpium, 1 liang, soaked in hot water, white pith removed, and dried), Houpo (Magnoliae Officinalis Cortex).
Preparation and Administration: Crush the aforementioned herbs into fine powder. For each dose, take one liver (pig liver), cut into fine shreds, mix evenly with 5 qian of the powder. Place in a pan and cook with Jiangshui (fermented rice liquid) until done.
To treat Xu Lao, warm the Spleen, strengthen the Stomach, and promote appetite, it is appropriate to take Heqi Tongzhen Wan (Harmonizing Qi and Penetrating Truth Pill).
Herbs: Houpo (Magnoliae Officinalis Cortex, 1 liang, coarse bark removed, brushed with fresh ginger juice, and roasted until fragrant and cooked), Chushi (Broussonetiae Fructus, 3 fen, washed with water to remove floating impurities, then dried), Shihu (Dendrobii Caulis, 1 liang, roots removed and chopped), Rourong (Cistanche Deserticola), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Shanyao (Dioscoreae Rhizoma, 0.5 liang).
Preparation and Administration: Crush the aforementioned herbs into powder. Mix with refined honey and pound 300-500 times. Form pills the size of Sophora seeds. Take 30 pills before meals, administered with decoction of fresh ginger and jujubes.
For treating Xu Lao accompanied by Spleen-Stomach deficiency-cold, abdominal distension due to Qi stagnation, and anorexia, it is appropriate to take Jiegeng Wan (Platycodon Pill).
Herbs: Jiegeng (Platycodonis Radix, 1 liang, radix end removed), Baizhu (Atractylodis Macrocephalae Rhizoma, 1.5 liang), Guixin (Cinnamomi Ramulus Cortex, 1 liang), Wuzhuyu (Evodiae Fructus, 1.5 liang, soaked in hot water seven times, dried, and lightly roasted), Houpo (Magnoliae Officinalis Cortex), Dahuang (Rhei Radix et Rhizoma, outer bark removed, lightly roasted until yellow), Shenqu (Massa Medicata Fermentata, roasted until yellow).
Preparation and Administration: Crush the aforementioned herbs into powder. Mix with refined honey and pound 200-300 times. Form pills the size of Sophora seeds. Take 20 pills before meals, administered with warm wine, until recovered.
For treating Xu Lao accompanied by Spleen-Stomach dysfunction, abdominal and hypochondriac fullness/distension, and anorexia, it is appropriate to take Houpo Wan (Magnolia Bark Pill).
Herbs: Houpo (Magnoliae Officinalis Cortex, 1 liang, coarse bark removed, brushed with fresh ginger juice, and roasted until fragrant and cooked), Wuweizi (Schisandrae Chinensis Fructus, 1 liang), Jiegeng (Platycodonis Radix, 1 liang, radix end removed), Baizhu (Atractylodis Macrocephalae Rhizoma, 1.5 liang), Renshen (Ginseng Radix et Rhizoma, 1 liang, split and chopped).
Preparation and Administration: Crush the aforementioned herbs into powder. Mix with refined honey and pound 200-300 times. Form pills the size of Sophora seeds. Take 20 pills before meals, administered with warm wine.
For treating Xu Lao accompanied by severe cold in the intestines and stomach, complete loss of appetite, or Qi stagnation and distension, it is appropriate to take Bibie Wan (Long Pepper Pill).
Herbs: Bibie (Piperis Longi Fructus, 1 liang), Renshen (Ginseng Radix et Rhizoma, 1 liang, radix end removed), Guixin (Cinnamomi Ramulus Cortex, 1 liang), Jiangjiang (Zingiberis Rhizoma Recens, processed until cracked and chopped, 1 liang), Helile (Terminaliae Chebulae Fructus, 1.5 liang, used after roasting, including the skin).
Preparation and Administration: Crush the aforementioned herbs into powder. Mix with refined honey and pound 100-200 times. Form pills the size of Sophora seeds. Take 20 pills before meals, administered with millet gruel beverage.
For treating Xu Lao accompanied by Spleen-Stomach Qi cold, anorexia, or Qi stagnation with distension and stabbing pain, it is appropriate to take Muxiang Wan (Aucklandia Pill).
Herbs: Muxiang (Aucklandiae Radix, 0.5 liang), Helile (Terminaliae Chebulae Fructus, 1 liang, used after roasting, including the skin), Roudoukou (Myristicae Semen, 1 fen, shell removed), Shexiang (Moschus, 1 fen).
Preparation and Administration: Crush the aforementioned herbs into powder. Mix with paste made from boiled jujubes to form pills the size of mung beans. Take 10 pills before meals, administered with warm wine.