论曰∶中央生湿。湿生土。土生甘。甘生脾。脾生肉。肉生肺。脾主口。其在天为湿。
在地
在
其
于
气
也
脉
微
病
曰脾病。坚而锐。如鸟之啄。如鸟之距。如屋之漏。如水之溜。曰脾死。真脾脉弱而乍疏乍
数。然其色青黄不泽。毛折者死矣。
夫脾者。位居中央。王于四季。受水谷之精气。化气血以荣华。周养身形。灌溉脏腑者
也。
霍
细
治脾虚身重如石。四肢不举。食少无力。腹胀肠鸣。神思昏闷。宜服补脾人参散方
。
人参（一两去芦头） 石斛〔二（三）分去根〕 黄 （三分锉） 桔梗（三分去芦头）
白术
（三分
分汤浸
去白
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。忌生冷油腻湿面。
治脾气下焦冷。胸中满闷。不思饮食。胁下痛。宜服此补脾白术散方。
白术（半两） 五味子（半两） 白芍药（半两） 甘草（半两炙微赤锉） 桂心（三
分） 诃黎
勒（半两煨用皮） 附子（一两炮裂去皮脐） 高良姜（三分锉） 熟干地黄（三分）
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。忌生冷油腻湿面。
治脾气虚。大肠下泄。腹痛。不思饮食。四肢少力。宜服补脾诃黎勒散方。
诃黎勒（半两煨用皮） 草豆蔻（三分去皮） 陈橘皮（半两汤浸去白瓤焙） 附子（三
分炮
裂去
皮） 浓
朴（三
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。
治脾气虚。食饮难消。腹胁气胀。少思饮食。宜服补脾白豆蔻散方。
白豆蔻（三分去皮） 干姜（半两炮裂锉） 人参（半两去芦头） 附子（一两炮裂去
皮脐）
甘草
术
（三
上件药。捣筛为散。每服三钱。以水一中盏。入枣三枚。煎至六分。去滓。食前稍热服
之。
治脾气虚。心腹胀满。胸膈不利。食即欲呕。水谷不消。或时下痢。四肢无力。宜
服补
肉豆蔻（一两去皮） 附子（一两炮裂去皮脐） 白术（三分） 石斛（一两去根） 肉
桂（一
两半
砂（三
分去皮） 人参〔三两（分）去芦头〕 当归（半两锉微炒） 高良姜（三分锉） 木香（半
两） 浓
朴（一两半去粗皮涂生姜汁炙令香熟）
上件药。捣细罗为末。以生姜汁煮枣肉。相和为丸。如梧桐子大。每服食前。以温酒下
三十丸。
治脾虚。肌肉消瘦。面色黄萎。心腹胀满。水谷不化。饮食无味。四肢少力。或时
自利。宜服补脾黄 丸方。
黄 （一两锉） 石斛（一两去根） 五味子（三分） 肉桂（一两半去粗皮） 附子
（一两炮
裂去
术
（一两
沉香
（三分） 高良姜（三分锉） 浓朴
浸七遍
炒） 枳实（三分麸炒微黄）
上件药。捣细罗为末。煮枣肉和捣三五百杵。为丸如梧桐子大。每服食前。以温酒下三
十丸。
治脾虚。心腹胀满。食少无力。宜服补脾神曲丸方。\x
神曲（一两炮微黄） 附子（一两炮裂去皮脐） 诃黎勒（二两煨用皮） 浓朴（二两
去粗皮
涂生
参（一
两去
上件药。捣细罗为末。以酒煮枣肉。和捣三二百杵。为丸如梧桐子大。每服食前。以生
姜汤下二十丸。
Commentary states: The central region generates dampness. Dampness gives rise to Earth. Earth produces the sweet flavor. The sweet flavor nourishes the Spleen. The Spleen generates flesh. Flesh nourishes the Lung. The Spleen opens into the mouth. In Heaven, it corresponds to dampness; in Earth, it corresponds to Earth element; in the human body, it corresponds to the Spleen organ.
If the pulse is faint and thin, yet hard and sharp, resembling a bird pecking, a bird's spur, water leaking from a roof, or water flowing away, this indicates the death of the Spleen. The true Spleen pulse appears weak and irregularly intermittent (rapid and slow). If the complexion is cyan-yellow without luster, and hair breaks off, death ensues.
The Spleen resides in the center and prospers during the last eighteen days of each season. It receives the essence of food and drink, transforms Qi and Blood to nourish the body, circulates to sustain the physical form, and irrigates the Zang-Fu organs.
For treating Spleen deficiency manifesting as heaviness of the body like stone, inability to move the four limbs, poor appetite with weakness, abdominal distension with borborygmus, and mental dullness/stupor, the Bu Pi Ren Shen San (Tonify Spleen Ginseng Powder) formula is suitable.
Ren Shen (Ginseng Radix et Rhizoma, 1 liang, remove rhizome head), Shi Hu (Dendrobii Caulis, 2-3 fen, remove roots), Huang Qi (Astragali Radix, 3 fen, cut into pieces), Jie Geng (Platycodonis Radix, 3 fen, remove rhizome head), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 3 fen, soaked in decoction, remove white pith).
Crush and sieve the above herbs into powder. Take 3 qian per dose. Add 1 zhong of water, 0.5 fen of Sheng Jiang (Zingiberis Rhizoma Recens), and 3 dates. Decoct until reduced to 6 fen. Strain. Take warm at any time. Avoid cold, raw, greasy foods, and wet noodles.
For treating Spleen Qi deficiency with cold in the lower jiao, chest fullness and oppression, anorexia, and hypochondriac pain, the Bu Pi Bai Zhu San (Tonify Spleen Atractylodes Powder) formula is suitable.
Bai Zhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang), Wu Wei Zi (Schisandrae Fructus, 0.5 liang), Bai Shao Yao (Paeoniae Radix Alba, 0.5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and cut), Gui Xin (Cinnamomi Cortex, 3 fen), He Li Le (Terminalia Chebulae Fructus, 0.5 liang, roasted, use peel), Fu Zi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, remove skin and umbilicus), Gao Liang Jiang (Alpiniae Officinarum Rhizoma, 3 fen, cut), Shu Gan Di Huang (Rehmanniae Radix Praeparata, 3 fen).
Crush and sieve the above herbs into powder. Take 3 qian per dose. Add 1 zhong of water, 0.5 fen of Sheng Jiang (Zingiberis Rhizoma Recens), and 3 dates. Decoct until reduced to 6 fen. Strain. Take warm at any time. Avoid cold, raw, greasy foods, and wet noodles.
For treating Spleen Qi deficiency with large intestine diarrhea, abdominal pain, anorexia, and limb weakness, the Bu Pi He Li Le San (Tonify Spleen Terminalia Powder) formula is suitable.
He Li Le (Terminalia Chebulae Fructus, 0.5 liang, roasted, use peel), Cao Dou Kou (Cardamomi Fructus Rotundus, 3 fen, remove skin), Chen Ju Pi (Citri Reticulatae Pericarpium, 0.5 liang, soaked in water, remove white pith and baked), Fu Zi (Aconiti Lateralis Radix Praeparata, 3 fen, processed until cracked, remove skin), Hou Po (Magnoliae Officinalis Cortex, 3 fen, stir-fried with ginger juice).
Crush and sieve the above herbs into powder. Take 3 qian per dose. Add 1 zhong of water, 0.5 fen of Sheng Jiang (Zingiberis Rhizoma Recens), and 3 dates. Decoct until reduced to 6 fen. Strain. Take warm at any time.
For treating Spleen Qi deficiency with difficulty digesting food, abdominal and hypochondriac qi distension, and reduced appetite, the Bu Pi Bai Dou Kou San (Tonify Spleen White Cardamom Powder) formula is suitable.
Bai Dou Kou (Amomi Fructus Rotundus, 3 fen, remove skin), Gan Jiang (Zingiberis Rhizoma, 0.5 liang, processed until cracked and cut), Ren Shen (Ginseng Radix et Rhizoma, 0.5 liang, remove rhizome head), Fu Zi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, remove skin and umbilicus), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen, honey-fried), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 3 fen).
Crush and sieve the above herbs into powder. Take 3 qian per dose. Add 1 zhong of water and 3 dates. Decoct until reduced to 6 fen. Strain. Take warm before meals.
For treating Spleen Qi deficiency with epigastric and abdominal fullness, chest diaphragm discomfort, vomiting after eating, indigestion of food and fluids, occasional diarrhea, and limb weakness, the Bu Rou Dou Kou Wan (Tonify Nutmeg Pill) formula is suitable.
Rou Dou Kou (Myristicae Semen, 1 liang, remove skin), Fu Zi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, remove skin and umbilicus), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 3 fen), Shi Hu (Dendrobii Caulis, 1 liang, remove roots), Rou Gui (Cinnamomi Cortex, 1.5 liang, remove rough bark), Sha Ren (Amomi Fructus, 3 fen, remove skin), Ren Shen (Ginseng Radix et Rhizoma, 3 liang, remove rhizome head), Dang Gui (Angelicae Sinensis Radix, 0.5 liang, cut and lightly stir-fried), Gao Liang Jiang (Alpiniae Officinarum Rhizoma, 3 fen, cut), Mu Xiang (Aucklandiae Radix, 0.5 liang), Hou Po (Magnoliae Officinalis Cortex, 1.5 liang, remove rough bark, coat with ginger juice, stir-fry until fragrant and cooked).
Grind the above herbs into fine powder. Boil dates in ginger juice, mix with the powder, and knead into pills the size of Sophora seeds. Take 30 pills before meals with warm wine.
For treating Spleen deficiency with muscle emaciation, sallow and withered complexion, epigastric and abdominal fullness, indigestion, tasteless diet, limb weakness, and occasional spontaneous diarrhea, the Bu Huang Qi Wan (Tonify Astragalus Pill) formula is suitable.
Huang Qi (Astragali Radix, 1 liang, cut), Shi Hu (Dendrobii Caulis, 1 liang, remove roots), Wu Wei Zi (Schisandrae Fructus, 3 fen), Rou Gui (Cinnamomi Cortex, 1.5 liang, remove rough bark), Fu Zi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, remove skin and umbilicus), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Chen Xiang (Aquilariae Lignum Resinatum, 3 fen), Gao Liang Jiang (Alpiniae Officinarum Rhizoma, 3 fen, cut), Hou Po (Magnoliae Officinalis Cortex, 1 liang, soak in ginger juice seven times then stir-fry), Zhi Shi (Aurantii Fructus Immaturus, 3 fen, bran-stir-fried until slightly yellow).
Grind the above herbs into fine powder. Boil dates, mix with the powder, and knead for 300-500 strikes into pills the size of Sophora seeds. Take 30 pills before meals with warm wine.
For treating Spleen deficiency with epigastric and abdominal fullness, poor appetite, and weakness, the Bu Shen Qu Wan (Tonify Medicated Leaven Pill) formula is suitable.
Shen Qu (Medicated Leaven, 1 liang, processed until slightly yellow), Fu Zi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, remove skin and umbilicus), He Li Le (Terminalia Chebulae Fructus, 2 liang, roasted, use peel), Hou Po (Magnoliae Officinalis Cortex, 2 liang, remove rough bark, coat with ginger juice and stir-fry), Ren Shen (Ginseng Radix et Rhizoma, 1 liang, remove rhizome head).
Grind the above herbs into fine powder. Boil dates in wine, mix with the powder, and knead for 200-300 strikes into pills the size of Sophora seeds. Take 20 pills before meals with ginger decoction.