（局方） 治脾有停湿，痰饮痞膈，宿食不消，满闷呕泻。（土湿太过，木邪乘不胜而
侮之。脾虚不能健运，故有痰食留滞中焦，致生痞满诸证。胃寒则呕，湿盛则泻。）及山风
瘴雾，不服水土。（岚瘴水土之病，亦由胃虚，故易感也。）
苍术（泔浸二钱） 浓朴（姜制） 陈皮（去白） 甘草（炙一钱） 加姜枣煎。伤食
加神曲麦芽，
便秘加大黄芒
苍术辛烈，燥湿而强脾。浓朴苦温，除湿而散满。（苦降能泻实满，辛温能散湿满。）陈
皮辛
岳
惟有滞有湿有积者宜之。今见方家，每以此为常服健脾之剂，动辄用之，而不察其可否，其
误甚矣。）
合二陈加藿香，名除湿汤。治伤湿腹痛，身重足软，大便溏泻。加 本枳壳桔梗，名和
解散
不换金
人参养胃汤
疟也。）加麦
名浓朴温中
甘，渗以甘
腹胀身重
治寒湿伤脾，霍乳吐泻，及痰饮水气，胃脘不清，呕恶胀满等证。
陈皮 浓朴（各一钱五分） 干姜（炮一二钱） 炙甘草（一钱）
此即平胃散之变方也。凡呕吐等证，多有胃气虚寒，一闻苍术之气，亦能动呕，故以干
姜代
时气
治食积饮停，腹痛泄泻，痞满吐酸，积滞恶食，食疟下痢。（伤于饮食，脾不运化
于肠胃，故有泄痢食痢等证。伤而未甚，不欲攻以厉剂，惟以和平之品，消而化之，故
和。东垣曰∶伤饮者，无形之气也，宜发汗利小便，以导其湿。伤食者，有形之物也，
消化，或损其谷，重则方可吐下。脉经云∶大肠有宿食，寒栗发热，有时如疟，轻则消
重则下之。）
山楂（三两去核） 神曲（炒） 茯苓 半夏（一两） 陈皮 莱菔子（微炒） 连翘
（五钱） 曲和
山楂酸温，收缩之性，能消油腻腥膻之食。（收缩故食消。）陈曲辛温，蒸窨之物，能消
酒食
湿，
能降
加白术白芍，去半夏菔子连翘，蒸饼糊丸，名小保和丸，助脾进食。加白术二两，名大
安丸
越鞠
[Ju Fang (Prescription Bureau)] Treats spleen with stagnant dampness, phlegm-fluid causing qi stagnation and chest diaphragm discomfort, undigested food retention, abdominal fullness, distension, vomiting, and diarrhea. (This is because excessive earth dampness allows wood pathogenic qi to overact and insult the spleen. Spleen deficiency fails to transport and transform, leading to phlegm-food stasis in the middle jiao, resulting in various syndromes of fullness and obstruction. Cold stomach causes vomiting; excess dampness causes diarrhea.) Also treats mountain miasma and fog, and maladaptation to local water and soil. (Illnesses from mountain miasma and water/soil are also due to weak stomach qi, making one susceptible.)
Cangzhu (Atractylodis Rhizoma) (soaked in rice wash water, 2 qian) Houpo (Magnoliae Officinalis Cortex) (processed with ginger juice) Chenpi (Citri Reticulatae Pericarpium) (remove white pith) Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried, 1 qian). Decoct with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus). For food injury, add Shenqu (Massa Medicata Fermentata) and Maiya (Hordei Fructus Germinatus); for constipation, add Dahuang (Rhei Radix et Rhizoma) and Mangxiao (Natrii Sulfas).
Cangzhu is pungent and strong, drying dampness and strengthening the spleen. Houpo is bitter and warm, removing dampness and dispersing fullness. (Bitter descending can purge excess fullness; pungent-warm can disperse damp-fullness.) Chenpi... Only those with stagnation, dampness, and accumulation are suitable. Nowadays, some physicians often use this as a daily spleen-strengthening agent, using it indiscriminately without considering suitability, which is a great error.
Combining this with Erchen Tang (Two-Aged Phlegm Decoction) and adding Huoxiang (Agastaches Herba), named Chushi Tang (Damp-Removing Decoction). Treats abdominal pain due to dampness injury, heavy body, weak legs, and loose stools. Adding Ben Cao (or similar herb implied by context fragments), Zhike (Aurantii Fructus Immaturus), Jiegeng (Platycodonis Radix), named Hejie San (Harmonizing Release Powder - *Note: Text fragmentary*). Renyang Yangwei Tang (Ginseng Stomach-Nourishing Decoction)... Treats cold-damp injuring the spleen, cholera-like vomiting and diarrhea, phlegm-fluid and water qi, unclear epigastric region, nausea, vomiting, and fullness. Chenpi, Houpo (each 1.5 qian), Ganjiang (Zingiberis Rhizoma) (roasted, 1-2 qian), Zhi Gancao (1 qian). This is a modified form of Pingwei San (Stomach-Pacifying Powder). For vomiting etc., there is often stomach qi deficiency and cold; hearing the scent of Cangzhu may induce vomiting, so Ganjiang replaces Cangzhu... Shi Qi (Seasonal Pathogens)...
Treats food accumulation and fluid retention, abdominal pain, diarrhea, fullness, acid regurgitation, stagnation, aversion to food, food malaria, and dysentery. (Injury from diet leads to spleen failure to transform, stasis in intestines/stomach, causing diarrhea/dysentery. If injury is mild, harsh purgatives are avoided; only mild agents are used to digest and resolve, hence "He" (Harmonizing). Dongyuan said: Injury from drinking involves formless qi, treat with sweating and promoting urination to guide out dampness. Injury from food involves formless matter, requires digestion or reducing grain intake; severe cases may require emesis or purgation. Jingmai states: Large intestine with retained food causes chills and fever, sometimes like malaria; mild cases use digestion, severe cases use purgation.)
Shanzha (Crataegi Fructus) (3 liang, remove pits) Shenqu (Massa Medicata Fermentata) (fried) Fuling (Poria) Banxia (Pinelliae Rhizoma) (1 liang) Chenpi Laifuzi (Radish Seed) (lightly fried) Lianqiao (Forsythiae Fructum) (5 qian)... Shanzha is sour and warm, with a contracting nature, able to digest greasy and fishy foods. (Contraction aids digestion.) Chenqu is pungent and warm, fermented product, able to digest alcohol and food... Add Baizhu (Atractylodis Macrocephalae Rhizoma) and Baishao (Paeoniae Radix Alba), remove Banxia, Laifuzi, Lianqiao, make pills with steamed cake paste, named Xiao Baohe Wan (Small Harmonize-Harmony Pill), assisting spleen to promote appetite. Add 2 liang Baizhu, named Da'an Wan (Great Peace Pill)... Yueju...