（附滞颐）
经曰∶胃为水谷之海，脾为生化之源。丹溪曰∶脾具坤静之德，而有干健之运。胃阳主气，脾阴主血。胃司纳受，
脾司运化。一纳一运，化生精液，清气上升，糟粕下降。饮食入胃，游溢精气，上输于脾，脾气散精，上归于肺，通条
水道，下输膀胱。清者为荣，浊者为卫。清阳发腠里，浊阴归五脏。水精四布，五经并行，合于四时，荣养五脏。若夫
饮食有节，寒温适宜，则脾胃壮实，饮食易消，运化精微，充溢五脏六腑，荣养四肢百骸，何病之有！脾胃衰弱，则饮
食不消，运化之令不行，化生之功失职，嗜卧多困，其病生焉。脾胃者，五脏之根本；饮食者，性命之大原。调理脾胃，
为医中之王道，诚有旨哉。所谓脾胃健，则诸病悉安；脾胃弱，则诸疾蜂起。
天下受拜平胃散 治脾胃不和，三焦气壅，胸膈痞胀，饮食不美，呕吐不食，不服水土，及山岚瘴气。不俱大
小老幼并宜服之。
真茅术（五两，炒） 浓朴（三两，姜制） 陈皮（四两） 甘草（一两五钱） 生姜（三两） 南枣（一斤，蒸
去核）
连枣、药，捣成饼，晒干为末。大人二钱，小儿一钱，盐汤下。
补中益气汤 治大小脾胃不和，四肢怠惰，饮食不进，日渐羸瘦，及男妇劳伤，诸虚百损并效。
人参（五分） 白术（一钱二分） 黄 （一钱） 陈皮（八分） 甘草（五分，炙） 当归（一钱） 柴胡（五
分） 升麻（五分）
生姜三片，枣一枚，水煎。
益黄散 治脾胃虚寒，呕吐泄泻。
陈皮 青皮（各五钱） 诃子（三钱） 甘草 丁香（各一钱）
每服一钱，清米汤调化下。
益脾散（本方加肉豆蔻二钱。）
益黄丸 治脾胃受伤，肌肉消瘦，肚腹膨胀，好食泥土，渐成脾疳。
白术（炒） 黄连 茯苓 神曲（炒。各一两） 砂仁（三钱） 山楂肉 胡连 芜荑（各六钱）
猪胆汁为丸，清米汤下。
补脾丸 治脾胃不和，饮食少进，泄泻不止，及男妇脾胃虚弱者并效。
茅术（十两。小茵香、茱萸、肉果、破故纸，四制去囊药） 莲肉 人参（各一两） 白芍（炒） 甘草（各五钱）
山药 陈皮（各七钱） 干姜（炮） 木香（各四钱）
神曲打糊为丸，姜汤下，米汤亦可。
参苓造化糕（一名八珍糕） 调理脾胃，不过此方之妙。
人参（五钱） 茯苓 山药 莲肉 芡实（肉） 薏苡仁（各一两） 山楂（肉） 麦芽（炒。各八钱） 白砂糖
（二两）
为末，每服二三钱。白滚汤调，再顿滚服，日进二三次。男妇脾胃弱者，及脾泄服之甚效。
蒸糕，拌陈米屑一升；作饼，拌炒米屑二升，添糖二两。
二仙膏 治症同前。脾泄久不止者甚效。
陈川米（一升，姜汁拌湿一宿，炒熟） 山药（一斤，干者，微炒）
为末，每服二三钱，白滚汤调下，加白砂糖一匙。
益荣汤 惊恐后，心君失辅，脾胃衰弱，怔忡恍惚，悲喜不常，小便混浊，夜睡不宁。此方补脾胃，养心血。
经云∶损其心，益其荣。男妇心血不足者并效。
当归 黄 远志 小草 茯神 人参 酸枣 柏子仁 白芍（各八分） 木香（三分） 紫石英（二钱） 甘草
（五分）
生姜三片，枣一枚，水煎。
归脾汤 补脾胃，养心血，安神镇惊。
人参 白术（炒） 黄 （蜜炒） 酸枣（炒） 茯神 当归 远志（各一钱） 甘草（五分） 木香（三分）
生姜三片，枣一枚，水煎。
人参养荣汤 养血补气，健脾开胃，安养心神。
人参 白术 茯苓 黄 当归 白芍 熟地 远志（肉） 陈皮（各八分） 五味（二分） 甘草 官桂（各四
分）
生姜三片，枣一枚，水煎。
人参养胃汤 治脾胃虚弱，内伤生冷，呕吐、泄泻、不食。
苍术（炒） 浓朴（炒） 陈皮 甘草 茯苓 藿香 人参 半夏（制） 草果 砂仁 香附（醋炒。各等分，量
症加减。）
六君子汤 养脾和胃，清痰顺气。
人参 白术 茯苓 甘草 陈皮 半夏（制。各等分，视症加减）
生姜三片，枣一枚，水煎。
橘半枳实丸 治痞消食，化痰强胃。
白术（四两） 枳实（二两，麸炒） 广皮（二两） 半夏（一两五钱，姜制）
为末，水叠为丸，白滚汤下。妇人加香附、砂仁。
橘半健脾丸 本方加神曲、山楂肉、砂仁、木香。
温脾汤 治滞颐。涎为脾液，脾胃虚寒，不能收制其津液，故涎于颐间也。其症亦有脾热口臭，而流涎者。当
分冷热调治之。
人参 白术 陈皮 茯苓（各一钱） 甘草 半夏（制） 诃子（煨） 肉蔻（各五分）
生姜三片。脾寒症，加丁香、木香；脾热，加黄连、软石膏
启脾丸（方见泄泻门） 治滞颐。
寒症，加诃子（煨）、丁香、木香；热症，加寒水石（ ）、胡连、黄连。
为末，蜜丸，米汤下。
(Attachment: Drooling / Li Yi)
The Classics state: The Stomach is the sea of water and grain; the Spleen is the source of transformation and production. Danxi said: The Spleen possesses the virtue of stillness like Kun (Earth), yet has the movement like Qian (Heaven). Stomach Yang governs Qi, while Spleen Yin governs Blood. The Stomach is responsible for receiving and accepting, while the Spleen is responsible for transportation and transformation. One receives and one transforms, generating essence and fluids; clear Qi ascends, while turbid waste descends. When food enters the Stomach, its essence overflows and is transported upward to the Spleen. The Spleen scatters the essence, sending it upward to return to the Lung, which regulates the water passages and transports it downward to the Bladder. The clear part becomes Ying (Nutritive) Qi, and the turbid part becomes Wei (Defensive) Qi. Clear Yang disperses into the Couli (interstices), while turbid Yin returns to the Zang organs. Water and essence are distributed throughout the four directions, and the five meridians run in parallel, harmonizing with the four seasons to nourish the five Zang organs. If diet is regulated and cold/heat are appropriate, then the Spleen and Stomach will be strong and solid, food will digest easily, essence and micro-nutrients will be transformed and transported, filling the five Zang and six Fu organs, and nourishing the four limbs and hundred bones. What disease could there be! If the Spleen and Stomach are weak, then food will not digest, the function of transformation and transport will cease, the merit of generation will fail, leading to drowsiness and fatigue, and diseases will arise. The Spleen and Stomach are the root of the five Zang organs; food and drink are the great origin of life. Regulating the Spleen and Stomach is the royal way in medicine, truly profound indeed. It is said that when the Spleen and Stomach are healthy, all diseases are pacified; when they are weak, all ailments arise like bees.
Tianxia Bai Ping Wei San (Worldwide Calm Stomach Powder): Treats disharmony of the Spleen and Stomach, stagnation of Qi in the Triple Burner, chest and diaphragm fullness and distension, poor appetite, vomiting and inability to eat, intolerance to local climate, and mountainous miasma. Suitable for patients of all ages and sizes.
Ingredients: Zhen Mao Zhu (Atractylodis Rhizoma, 5 liang, stir-fried), Nong Po (Magnoliae Officinalis Cortex, 3 liang, processed with ginger juice), Chen Pi (Citri Reticulatae Pericarpium, 4 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1.5 qian), Sheng Jiang (Zingiberis Rhizoma Recens, 3 liang), Nan Zao (Jujubae Fructus, 1 jin, steamed and pitted).
Pound the dates and herbs together into cakes, dry them in the sun, and grind into powder. Adults take 2 qian, children take 1 qian, taken with salt water.
Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction): Treats Spleen and Stomach disharmony causing abnormal bowel movements, lassitude of the four limbs, anorexia, progressive emaciation, as well as labor injuries and various deficiencies in both men and women.
Ingredients: Ren Shen (Ginseng Radix, 5 fen), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1.2 qian), Huang Qi (Astragali Radix, 1 qian), Chen Pi (Citri Reticulatae Pericarpium, 8 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen, honey-fried), Dang Gui (Angelicae Sinensis Radix, 1 qian), Chai Hu (Bupleuri Radix, 5 fen), Sheng Ma (Cimicifugae Rhizoma, 5 fen).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens) and 1 date, decoct in water.
Yi Huang San (Benefit Yellow Powder): Treats Spleen and Stomach deficiency-cold manifesting as vomiting and diarrhea.
Ingredients: Chen Pi (Citri Reticulatae Pericarpium), Qing Pi (Citri Reticulatae Pericarpium Viride, each 5 qian), He Zi (Terminalia Chebulae Fructus, 3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma), Ding Xiang (Caryophylli Flos, each 1 qian).
Take 1 qian per dose, dissolved and taken with clear rice soup.
Yi Pi San (Benefit Spleen Powder): This formula plus Rou Dou Kou (Myristicae Semen, 2 qian).
Yi Huang Wan (Benefit Yellow Pill): Treats damage to the Spleen and Stomach, emaciation of muscles, abdominal distension, craving for eating soil, gradually developing into Pi Gan (Spleen Malnutrition).
Ingredients: Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Huang Lian (Coptidis Rhizoma), Fu Ling (Poria, Shen Qu (Medicated Leaven, stir-fried, each 1 liang), Sha Ren (Amomi Fructus, 3 qian), Shan Zha Rou (Crataegi Fructus, Hu Lian (Coptidis Rhizoma or Coptidis Chinensis Rhizoma), Wu Yi (Chukrasiae Tabularis Seed, each 6 qian).
Form pills with pig bile, taken with clear rice soup.
Bu Pi Wan (Tonify Spleen Pill): Treats Spleen and Stomach disharmony, reduced food intake, persistent diarrhea, and Spleen and Stomach weakness in both men and women.
Ingredients: Mao Zhu (Atractylodis Rhizoma, 10 liang, processed with Xiao Yin Xiang, Zhu Yu, Rou Guo, Gu Zhi using four methods to remove the husk), Lian Rou (Nelumbinis Semen, Ren Shen (Ginseng Radix, each 1 liang), Bai Shao (Paeoniae Radix Alba, stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, each 5 qian), Shan Yao (Dioscoreae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium, each 7 qian), Gan Jiang (Zingiberis Rhizoma, prepared), Mu Xiang (Vladimiriae Radix, each 4 qian).
Form pills with Medicated Leaven paste, taken with ginger soup or rice soup.
Shen Ling Zao Hua Gao (Ginseng and Poria Creation Cake) (Also known as Ba Zhen Gao): For regulating the Spleen and Stomach, no formula is more excellent than this one.
Ingredients: Ren Shen (Ginseng Radix, 5 qian), Fu Ling (Poria), Shan Yao (Dioscoreae Rhizoma), Lian Rou (Nelumbinis Semen), Qian Shi (Euryales Semen), Yi Yi Ren (Coicis Semen, each 1 liang), Shan Zha Rou (Crataegi Fructus), Mai Ya (Hordei Fructus Germinatus, stir-fried, each 8 qian), Bai Sha Tang (White Rock Sugar, 2 liang).
Grind into powder. Take 2-3 qian per dose. Mix with boiling water, bring to a boil again, and consume. Take 2-3 times daily. Very effective for men and women with Spleen and Stomach weakness, and for Pi Xie (Spleen Diarrhea).
For steaming cakes, mix with 1 sheng of aged rice bran; for making pancakes, mix with 2 sheng of fried rice bran, adding 2 liang of sugar.
Er Xian Gao (Two Immortals Paste): Indications same as above. Very effective for chronic, unrelenting Pi Xie (Spleen Diarrhea).
Ingredients: Chen Chuan Mi (Old Sichuan Rice, 1 sheng, mixed with ginger juice and soaked overnight, then stir-fried until cooked), Shan Yao (Dioscoreae Rhizoma, 1 jin, dried, lightly stir-fried).
Grind into powder. Take 2-3 qian per dose, mixed with boiling water, add one spoonful of white rock sugar.
Yi Rong Tang (Benefit Ying Decoction): After fright, the Heart Monarch loses support, Spleen and Stomach become weak, manifesting as palpitations and trance-like states, emotional instability (crying or laughing inappropriately), turbid urine, and restless sleep at night. This formula tonifies the Spleen and Stomach and nourishes Heart Blood.
The Classics say: "If the Heart is damaged, benefit the Ying." Effective for men and women with insufficient Heart Blood.
Ingredients: Dang Gui (Angelicae Sinensis Radix), Huang Qi (Astragali Radix), Yuan Zhi (Polygalae Radix), Xiao Cao (Scrophulariae Radix or similar), Fu Shen (Poria with Hostwood), Ren Shen (Ginseng Radix), Suan Zao (Ziziphi Spinosae Semen), Bai Zi Ren (Platycladi Semen), Bai Shao (Paeoniae Radix Alba, each 8 fen), Mu Xiang (Vladimiriae Radix, 3 fen), Zi Shi Ying (Fluorite, 2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens) and 1 date, decoct in water.
Gui Pi Tang (Restore the Spleen Decoction): Tonifies the Spleen and Stomach, nourishes Heart Blood, calms the Spirit and settles fright.
Ingredients: Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Huang Qi (Astragali Radix, honey-fried), Suan Zao (Ziziphi Spinosae Semen, stir-fried), Fu Shen (Poria with Hostwood), Dang Gui (Angelicae Sinensis Radix), Yuan Zhi (Polygalae Radix, each 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen), Mu Xiang (Vladimiriae Radix, 3 fen).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens) and 1 date, decoct in water.
Ren Shen Yang Rong Tang (Ginseng Nourishing Ying Decoction): Nourishes Blood and tonifies Qi, strengthens the Spleen and opens the stomach, calms and nourishes the Heart Spirit.
Ingredients: Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Huang Qi (Astragali Radix), Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), Shu Di (Rehmanniae Radix Preparata), Yuan Zhi Rou (Polygalae Radix flesh), Chen Pi (Citri Reticulatae Pericarpium, each 8 fen), Wu Wei Zi (Schisandrae Chinensis Fructus, 2 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma), Guan Gui (Cinnamomi Cortex, each 4 fen).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens) and 1 date, decoct in water.
Ren Shen Yang Wei Tang (Ginseng Nourishing Stomach Decoction): Treats Spleen and Stomach weakness, internal injury from raw/cold foods, manifesting as vomiting, diarrhea, and anorexia.
Ingredients: Cang Zhu (Atractylodis Rhizoma, stir-fried), Nong Po (Magnoliae Officinalis Cortex, stir-fried), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Fu Ling (Poria), Huo Xiang (Agastaches Herba), Ren Shen (Ginseng Radix), Ban Xia (Pinelliae Rhizoma, processed), Cao Guo (Tsaoko Fructus), Sha Ren (Amomi Fructus), Xiang Fu (Cyperi Rhizoma, vinegar-fried, equal parts, adjust according to symptoms).
Liu Jun Zi Tang (Six Gentlemen Decoction): Nourishes the Spleen, harmonizes the Stomach, clears phlegm, and directs Qi downward.
Ingredients: Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma, processed, equal parts, adjust according to symptoms).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens) and 1 date, decoct in water.
Ju Ban Zhi Shi Wan (Tangerine Peel and Pinellia and Immature Bitter Orange Pill): Treats Pi syndrome (fullness), aids digestion, resolves phlegm, and strengthens the Stomach.
Ingredients: Bai Zhu (Atractylodis Macrocephalae Rhizoma, 4 liang), Zhi Shi (Aurantii Fructus Immaturus, 2 liang, bran-fried), Guang Pi (Citri Reticulatae Pericarpium, 2 liang), Ban Xia (Pinelliae Rhizoma, 1.5 qian, ginger-processed).
Grind into powder, form pills with water, taken with boiling water. Add Xiang Fu (Cyperi Rhizoma) and Sha Ren (Amomi Fructus) for female patients.
Ju Jian Pi Wan (Tangerine Peel and Pinellia Strengthen Spleen Pill): This formula plus Shen Qu (Medicated Leaven), Shan Zha Rou (Crataegi Fructus), Sha Ren (Amomi Fructus), Mu Xiang (Vladimiriae Radix).
Wen Pi Tang (Warm the Spleen Decoction): Treats Li Yi (Drooling). Saliva is the fluid of the Spleen. Due to Spleen and Stomach deficiency-cold, the body cannot control the fluids, so saliva flows between the cheeks. Symptoms may also include halitosis due to Spleen heat with drooling. Differentiate between cold and heat for treatment.
Ingredients: Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Fu Ling (Poria, each 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma), Ban Xia (Pinelliae Rhizoma, processed), He Zi (Terminalia Chebulae Fructus, roasted), Rou Kou (Myristicae Semen, each 5 fen).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens). For Spleen Cold symptoms, add Ding Xiang (Caryophylli Flos) and Mu Xiang (Vladimiriae Radix); for Spleen Heat, add Huang Lian (Coptidis Rhizoma) and Ruan Shi Gao (Gypsum Fibrosum).
Qi Pi Wan (Start Spleen Pill) (Formula see section on Diarrhea): Treats Li Yi (Drooling).
For Cold symptoms, add He Zi (Terminalia Chebulae Fructus, roasted), Ding Xiang (Caryophylli Flos), Mu Xiang (Vladimiriae Radix); for Heat symptoms, add Han Shui Shi (Halloysitum Rubrum), Hu Lian (Coptidis Rhizoma or Coptidis Chinensis Rhizoma), Huang Lian (Coptidis Rhizoma).
Grind into powder, form pills with honey, taken with rice soup.