治脾胃虚冷，心腹绞痛，胸膈满闷，胁肋虚胀，呕逆恶心，噫气吞酸，泄泻肠
不化，肢体倦怠，不思饮食。
大麦 （炒） 白茯苓（去皮） 人参（去芦，各一斤） 干姜（炮） 缩砂（去皮，
各二斤）
上为细末，炼蜜和丸，每两作八丸。每服一丸，细嚼，生姜汤送下，食前服。此药养胃
进食。
治因愁忧思虑，饮食不节，动气伤神，致阴阳不和，脏腑生病，结于胸膈，遂
气膈、食膈、饮膈、劳膈之病。若食生冷即发，心胸痞满，气不得通，疼痛如刺，
食即不下，心下坚痛，痛即欲吐，得吐即已，甚者手足逆冷，上气咳逆，喘息短
蜀椒（去目并闭口者，微炒去汗） 细辛（去苗、土） 肉桂（去粗皮） 远志（去心，
各三两）
四两） 附子（炮
上为细末，炼蜜和丸，如弹子大。每服一丸，含化咽之，胸膈喉中当热，药力稍尽，更
服一丸，日三服，夜二服，服药七日即愈；或丸如梧桐子大，温酒服之亦得，食后服。
（亦名谷神散。） 治中满下虚，五噎五膈，脾胃不和，胸膈痞闷，胁肋胀满，心
痛，不思饮食，或多痰逆，口苦舌酸，胸满短气，肢体怠惰，面色萎黄。如中焦虚痞，不
攻击，脏气虚寒，不受峻补；或因病气衰，食不复常，禀受怯弱，不能多食，尤宜服之。
服育神养气，和补脾胃，进美饮食。
枇杷叶（去毛，尽涂姜汁，炙令香熟为度） 薏苡仁（微炒） 白茯苓（去皮） 人
参（去
杜仲（去皮
香沉香 陈皮（去白，各三分） 谷 （微炒） 槟榔（炒） 丁香 五味子（微炒） 白
豆蔻（微炒，去皮
（微炒） 半夏（汤洗七遍，
草（炙，一两半）
上捣罗为末。每服二钱，水一盏，入生姜二片，肥枣三枚，同煎至七分，温服不计时候
。及疗四时伤寒，能调治阴阳，使无变动，克日得安。如疗五噎，入干柿一枚同煎，十服见
效。如疗膈气，吐逆羸困，入薤白三寸、枣五枚同煎。妇人亦可服。
[Yangpi Wan (Spleen-Nourishing Pill)]
Indicated for deficiency-cold of the Spleen and Stomach, severe colicky pain in the heart and abdomen, fullness and oppression in the chest and diaphragm, false distension in the hypochondrium, vomiting with nausea, belching with acid regurgitation, diarrhea with undigested food in stool, fatigue and weakness of the limbs, and loss of appetite.
Barley Grain (Mai Mai), stir-fried, 1 jin; Poria (Fu Ling), peeled, 1 jin; Ginseng Root (Ren Shen), radix removed; Dried Ginger (Gan Jiang), processed; Amomum Fruit (Suo Sha), peeled, each 2 jin.
Grind the above ingredients into a fine powder. Mix with refined honey to make pills. Each liang of powder makes eight pills. Take one pill per dose, chew thoroughly, and swallow with ginger decoction. Administer before meals. This medicine warms the Stomach Qi and promotes appetite.
[Wuge Wan (Five Obstruction Pills)]
Indicated for Qi obstruction (Qi Ge), Food obstruction (Shi Ge), Fluid obstruction (Yin Ge), and Labor obstruction (Lao Ge) caused by excessive worry and overthinking, irregular diet, disturbance of Qi mechanism, damage to Spirit, disharmony of Yin and Yang, and disease affecting the Zang-Fu organs with pathogenic factors knotting in the chest and diaphragm. Symptoms manifest upon consuming raw or cold foods: chest and epigastrium stuffiness and fullness, blocked Qi mechanism, stabbing pain, inability to swallow food after eating, hardness and pain in the epigastrium, desire to vomit when pain occurs (relief follows vomiting), severe cases presenting with cold extremities, rebellious Qi with coughing and wheezing, and shortness of breath.
Zanthoxylum Pericarpium (Shu Jiao), remove eyes and closed ones, lightly stir-fried until oil sweats out, 4 liang; Asarum Root (Xi Xin), remove seedlings and soil, 3 liang; Cinnamon Twig (Rou Gui), remove coarse bark, 3 liang; Polygala Root (Yuan Zhi), remove core, 3 liang; Aconite Lateral Root (Fu Zi), processed, 4 liang.
Grind the above ingredients into a fine powder. Mix with refined honey to make pills the size of a bullet. Take one pill per dose, hold in mouth to dissolve slowly and swallow. When heat is felt in the chest/diaphragm and throat, and the medicinal force begins to fade, take another pill. Take three times daily and twice at night. Cure expected after seven days of administration; alternatively, make pills the size of Sophora seeds (Wutong zi) and swallow with warm wine, taken after meals.
[Jiahe San (Harmonizing Rice Powder)]
(Also known as Gushen San.) Indicated for middle-jiao fullness with lower-jiao deficiency, five types of dysphagia (Wuye) and five types of obstruction (Wuge), disharmony of Spleen and Stomach, chest/diaphragm stuffiness and fullness, hypochondriac distension, heart pain, loss of appetite, excessive phlegm with rebellious Qi, bitter taste in mouth and sour tongue, chest fullness with shortness of breath, lethargy of limbs, and sallow complexion. Particularly suitable for those with middle-jiao deficiency-type stuffiness who cannot tolerate purgative attacks, or organ Qi deficiency-cold who cannot withstand harsh tonification; or those whose dietary intake has not returned to normal due to post-illness Qi decline, or those with innate frailty unable to eat much. This medicine nourishes Yuan Shen (Primordial Spirit), supplements Zheng Qi (Upright Qi), harmonizes and tonifies Spleen and Stomach, and improves dietary intake.
Loquat Leaf (Pi Pa Ye), remove hairs, coat evenly with ginger juice, roast until fragrant and cooked through, 3 liang; Coix Seed (Yi Yi Ren), lightly stir-fried, 3 liang; Poria (Fu Ling), peeled, 3 liang; Ginseng Root (Ren Shen), remove radix, 3 liang; Eucommia Bark (Du Zhong), remove bark, roasted, 3 liang; Agarwood (Chen Xiang), 3 liang; Tangerine Peel (Chen Pi), remove white pith, 3 fen; Germinated Grain (Gu Ya), lightly stir-fried, 3 liang; Areca Seed (Bing Lang), stir-fried, 3 liang; Clove (Ding Xiang), 1 liang; Schisandra Berry (Wu Wei Zi), lightly stir-fried, 1 liang; Cardamom Seed (Bai Dou Kou), lightly stir-fried, peeled, 1 liang; Licorice Root (Gan Cao), roasted, 1.5 liang.
Pulverize the above ingredients. Take 2 qian per dose. Add one cup of water, two slices of fresh ginger, and three jujubes. Decoct together until three-tenths remains. Take warm, at any time. Additionally treats common colds in all four seasons, regulating Yin and Yang to prevent deviation, ensuring recovery within days. For treating five types of dysphagia, add one dried persimmon and decoct together; efficacy seen after ten doses. For treating obstruction Qi with vomiting, rebellious Qi, emaciation, and fatigue, add 3 cun of Allii Macrostemonis Bulbus (Xie Bai) and five jujubes, decoct together. Women may also take this formula.