夫伤寒后不思饮食者。脾胃虚弱故也。由汗下之后。邪气已除。谷气未复。脾胃虚弱。
故不思饮食。
方
人参丸 治伤寒后脾胃虚弱。不思饮食。
人参 白术 浓朴(去粗皮姜汁炙各半两) 五味子 细辛(去苗叶各一分) 陈橘皮
(汤
浸去白焙一两) 上为末。煮枣肉和丸梧桐子大。每服生姜汤食前下十五丸。
消食丸 治伤寒后脾胃气虚。不嗜饮食。及新虚不胜谷气。
小麦 (一升) 曲(一升) 干姜(炮) 乌梅肉(各四两) 上为末。炼蜜丸如梧
桐子大。
每服十五丸。温汤下。日再。渐加至四十丸。
茯苓煮散 治伤寒后脾胃气虚。四肢乏力。骨节烦疼。口苦舌干。不思饮食。
白茯苓(去黑皮) 柴胡(去苗) 诃黎勒(去核炮) 陈橘皮(汤浸去白焙) 桔梗
(炒) 人
参(各一两) 甘草(炙) 半夏(汤浸七次去滑各半两) 枳壳(去瓤麸炒三分) 枇杷
叶(去毛
姜汁炙二两) 上为散。每服五钱匕。水一盏半。入生姜一分拍碎。同煎至七分。去滓。食
前温服。
理中丸 治伤寒后脾胃虚冷。不思饮食。
人参 白术 干姜(炮) 甘草(炙) 上等分为末。炼蜜丸如弹丸大。每服一丸。
人参煮散 治伤寒后胃气冷。不思饮食。
人参 浓朴(去粗皮姜汁炙) 白茯苓(去黑皮各一两) 柴胡(去苗三分) 半夏(汤
洗七
次去滑焙) 枇杷叶(去毛姜汁炙) 草豆蔻(去皮各半两) 上为散。每服五钱匕。水一
盏半。
入
白术汤 治伤寒瘥后胃虚。不思饮食。
白术 陈橘皮(汤浸去白焙各三分) 甘草(炙一分) 白豆蔻(去皮) 高良姜(各
半两)
茯神(去木一两) 上粗捣筛。每服五钱匕。水一盏半。入生姜半分拍碎。枣二枚擘破。同
煎
至七分。去滓。食前温服。
参朴汤 治伤寒后脾胃气虚。不思饮食。脏腑不调。
人参 浓朴〔去粗皮姜汁炙各二(一)两〕 陈橘皮(汤浸去白焙) 桂(去粗皮) 诃
黎勒
皮(炙) 木香 枳壳(去瓤麸炒) 黄 (锉各半两) 甘草(炙一分) 白术(三分) 上
粗捣
筛。每服三钱。水一盏。入生姜半分拍碎。枣二枚擘破。同煎至半盏。去滓。食前温服。日
再服。
六神汤(出济生拔萃方)治伤寒后虚羸。不思饮食。
人参 白术 黄 〔锉各一分(两)〕 枳壳(去瓤麸炒) 白茯苓(去黑皮各半两) 甘
草
〔炙三分(一)〕 上粗捣筛。每服五钱匕。水一盏半。入生姜半分拍碎。枣三枚擘破。粳
米
少许。同煎至七分。去滓。食前温服。
参橘汤 治伤寒后脾胃肺不和。痰壅欲吐。不思饮食。
人参 陈橘皮(汤浸去白焙各一两) 前胡(去芦头) 白术 杏仁(汤浸去皮尖双仁
炒)
枇杷叶(去毛姜汁炙各半两) 甘草〔炙一两(分)〕 上粗捣筛。每服五钱匕。水一盏半。
煎
至七分。去滓。食前温服。
百合饮 治伤寒后脾胃有余热。气满不能食。
百合(一分) 人参〔一(半)分〕 豉(熬) 粳米(淘各半合) 陈橘皮(汤浸去
白焙半两)
薤白(切五茎) 生姜(切半两) 上锉如麻豆。以水五盏。煎至二盏半。去滓。食后。分
温三
服。
治伤寒瘥后一年。心下停水。不能食方。(出千金方)
生地黄(五斤) 白术(一斤) 好面(二斤) 上合捣令相得。曝干为细末。每服用
酒调下
方寸匕。日三服。
白术饮 治伤寒后胃虚。不思食。
白术 人参 生姜(切各半两) 甘草(炙一分) 上锉如麻豆。以水三盏。煎至一盏
半。
去滓。分二服。食前温服。
Whenever there is a loss of appetite after the recovery from Shanghan (Cold Damage), it is due to the deficiency and weakness of the Spleen and Stomach. This occurs because, following sweating or purging therapies, although the pathogenic factors have been eliminated, the Qi derived from grain has not yet recovered, leading to Spleen and Stomach deficiency and consequently a lack of desire to eat.
Formulas:
**Renshen Wan (Ginseng Pill)**
Indications: Treats loss of appetite due to Spleen and Stomach deficiency after Shanghan.
Ingredients: Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Houpo (Cortex Magnoliae Officinalis) [remove coarse bark, process with ginger juice, each 0.5 liang], Wuweizi (Fructus Schisandrae Chinensis), Xixin (Herba Asari) [remove seedlings and leaves, each 1 fen], Chenjupi (Pericarpium Citri Reticulatae) [soak in water, remove white pith, dry by baking, 1 liang].
Preparation and Administration: Grind the above ingredients into powder. Mix with paste made from boiled dates to form pills the size of paulownia seeds. Take 15 pills per dose before meals, washed down with Ginger Decoction.
**Xiaoshi Wan (Digestive Pill)**
Indications: Treats poor appetite due to Spleen and Stomach Qi deficiency after Shanghan, as well as inability to tolerate food due to recent debility.
Ingredients: Xiaomai (Frumentum Tritici Vulgaris) [1 sheng], Qu (Massa Medicata Fermentata) [1 sheng], Ganjiang (Rhizoma Zingiberis Preparatum) [processed], Wumei Rou (Sarcocarpus Mume) [each 4 liang].
Preparation and Administration: Grind the above ingredients into powder. Mix with refined honey to form pills the size of paulownia seeds. Take 15 pills per dose, washed down with warm water, twice daily. Gradually increase the dose to 40 pills.
**Fuling Zhusan (Poria Boiled Powder)**
Indications: Treats Spleen and Stomach Qi deficiency after Shanghan, characterized by fatigue in the four limbs, painful and heavy joints, bitter taste in the mouth, dry tongue, and loss of appetite.
Ingredients: Baifuling (Poria) [remove black skin], Chaihu (Radix Bupleuri) [remove seedlings], Helile (Fructus Chebulae) [remove pits, process], Chenjupi (Pericarpium Citri Reticulatae) [soak in water, remove white pith, dry by baking], Jiegeng (Radix Platycodonis), Renshen (Radix Ginseng), Gancao (Radix Glycyrrhizae Preparatae) [roasted], Banxia (Rhizoma Pinelliae Preparatae) [soak in water seven times to remove acridity, each 0.5 liang], Zhiqiao (Fructus Aurantii) [remove core, stir-fry with bran, 3 fen], Pipaye (Folium Eriobotryae) [remove hairs, process with ginger juice, 2 liang].
Preparation and Administration: Grind the above ingredients into powder. Take 5 qianbi per dose. Add 1.5 zhan of water and 1 fen of crushed fresh ginger. Decoct until reduced to 0.7 zhan. Strain and take warm before meals.
**Lizhong Wan (Regulate the Middle Pill)**
Indications: Treats cold deficiency of the Spleen and Stomach after Shanghan, resulting in loss of appetite.
Ingredients: Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Ganjiang (Rhizoma Zingiberis Preparatum) [processed], Gancao (Radix Glycyrrhizae Preparatae) [roasted].
Preparation and Administration: Mix the above ingredients in equal parts and grind into powder. Form pills with refined honey, sized like bullet shots. Take one pill per dose.
**Renshen Zhusan (Ginseng Boiled Powder)**
Indications: Treats cold Stomach Qi after Shanghan, causing loss of appetite.
Ingredients: Renshen (Radix Ginseng), Houpo (Cortex Magnoliae Officinalis) [remove coarse bark, process with ginger juice], Baifuling (Poria) [remove black skin, each 1 liang], Chaihu (Radix Bupleuri) [remove seedlings, 3 fen], Banxia (Rhizoma Pinelliae Preparatae) [wash with water seven times to remove acridity and dry], Pipaye (Folium Eriobotryae) [remove hairs, process with ginger juice], Caodoukou (Semen Cardamomi Rotundae) [remove husk, each 0.5 liang].
Preparation and Administration: Grind the above ingredients into powder. Take 5 qianbi per dose. Add 1.5 zhan of water. [Note: The original text contains a formatting anomaly where "Ru" (Enter/Add) appears on a separate line without an object before the next formula title. Following strict fidelity, specific adjuvants mentioned in similar formulas are omitted here as they are not explicitly listed for this specific preparation in the provided text.]
**Baizhu Tang (Atractylodes Macrocephala Decoction)**
Indications: Treats weak Stomach Qi after recovery from Shanghan, leading to loss of appetite.
Ingredients: Baizhu (Rhizoma Atractylodis Macrocephalae), Chenjupi (Pericarpium Citri Reticulatae) [soak in water, remove white pith, dry by baking, each 3 fen], Gancao (Radix Glycyrrhizae Preparatae) [roasted, 1 fen], Baidoukou (Semen Cardamomi) [remove husk], Gaoliangjiang (Rhizoma Alpiniae Officinarum) [each 0.5 liang], Fushen (Poria cum Radice Pinelli) [remove wood, 1 liang].
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 5 qianbi per dose. Add 1.5 zhan of water, 0.5 fen of crushed fresh ginger, and two jujubes split open. Decoct until reduced to 0.7 zhan. Strain and take warm before meals.
**Shenpo Tang (Ginseng and Magnolia Bark Decoction)**
Indications: Treats Spleen and Stomach Qi deficiency after Shanghan, loss of appetite, and disharmony of the Zang-Fu organs.
Ingredients: Renshen (Radix Ginseng), Houpo (Cortex Magnoliae Officinalis) [remove coarse bark, process with ginger juice, each 2 liang/1 liang variant], Chenjupi (Pericarpium Citri Reticulatae) [soak in water, remove white pith, dry by baking], Gui (Cinnamomi Cortex) [remove coarse bark], Helile Pi (Cortex Chebulae) [roasted], Muxiang (Radix Aucklandiae), Zhiqiao (Fructus Aurantii) [remove core, stir-fry with bran], Huangqi (Radix Astragali) [cut, each 0.5 liang], Gancao (Radix Glycyrrhizae Preparatae) [roasted, 1 fen], Baizhu (Rhizoma Atractylodis Macrocephalae) [3 fen].
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 3 qian per dose. Add 1 zhan of water, 0.5 fen of crushed fresh ginger, and two jujubes split open. Decoct until reduced to half a zhan. Strain and take warm before meals, twice daily.
**Liushen Tang (Six Deities Decoction)** [Source: *Jisheng Babie Fang*]
Indications: Treats emaciation and weakness after Shanghan, with loss of appetite.
Ingredients: Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Huangqi (Radix Astragali) [cut, each 1 fen/1 liang variant], Zhiqiao (Fructus Aurantii) [remove core, stir-fry with bran], Baifuling (Poria) [remove black skin, each 0.5 liang], Gancao (Radix Glycyrrhizae Preparatae) [roasted, 3 fen/1 liang variant].
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 5 qianbi per dose. Add 1.5 zhan of water, 0.5 fen of crushed fresh ginger, three jujubes split open, and a small amount of Jingmi (Oryza Sativa). Decoct until reduced to 0.7 zhan. Strain and take warm before meals.
**Shanju Tang (Ginseng and Citrus Peel Decoction)**
Indications: Treats disharmony among the Spleen, Stomach, and Lung after Shanghan, with phlegm obstruction, urge to vomit, and loss of appetite.
Ingredients: Renshen (Radix Ginseng), Chenjupi (Pericarpium Citri Reticulatae) [soak in water, remove white pith, dry by baking, each 1 liang], Qianhu (Radix Peucedani), Baizhu (Rhizoma Atractylodis Macrocephalae), Xingren (Semen Pruni Armeniacae) [soak in water, remove skin and tips, stir-fry if double-kernel], Pipaye (Folium Eriobotryae) [remove hairs, process with ginger juice, each 0.5 liang], Gancao (Radix Glycyrrhizae Preparatae) [roasted, 1 liang/1 fen variant].
Preparation and Administration: Coarsely crush and sieve the above ingredients. Take 5 qianbi per dose. Add 1.5 zhan of water. Decoct until reduced to 0.7 zhan. Strain and take warm before meals.
**Baihe Yin (Lily Decoction)**
Indications: Treats residual heat in the Spleen and Stomach after Shanghan, abdominal fullness, and inability to eat.
Ingredients: Baihe (Bulbus Lilii) [1 fen], Renshen (Radix Ginseng) [0.5 fen/1 fen variant], Chi (Folium Sojae Preparatum) [stir-fried], Jingmi (Oryza Sativa) [washed, each 0.5 he], Chenjupi (Pericarpium Citri Reticulatae) [soak in water, remove white pith, dry by baking, 0.5 liang], Xiebai (Bulbus Allii Macrostemonis) [cut, 5 stalks], Shengjiang (Rhizoma Zingiberis Recens) [cut, 0.5 liang].
Preparation and Administration: Cut the ingredients to the size of hemp seeds. Add 5 zhan of water and decoct until reduced to 2.5 zhan. Strain. After meals, divide into three doses and take warm.
**Formula for Treating Inability to Eat One Year After Recovery from Shanghan Due to Water Retention Below the Heart** [Source: *Qianjin Fang*]
Ingredients: Shengdihuang (Radix Rehmanniae Preparatae) [5 jin], Baizhu (Rhizoma Atractylodis Macrocephalae) [1 jin], Hao Mian (Good Wheat Flour) [2 jin].
Preparation and Administration: Mix and pound thoroughly until combined. Dry in the sun and grind into fine powder. Take 1 fangcunbi per dose, mixed with wine, three times daily.
**Baizhu Yin (Atractylodes Macrocephala Drink)**
Indications: Treats weak Stomach Qi after Shanghan, resulting in loss of appetite.
Ingredients: Baizhu (Rhizoma Atractylodis Macrocephalae), Renshen (Radix Ginseng), Shengjiang (Rhizoma Zingiberis Recens) [cut, each 0.5 liang], Gancao (Radix Glycyrrhizae Preparatae) [roasted, 1 fen].
Preparation and Administration: Cut the ingredients to the size of hemp seeds. Add 3 zhan of water and decoct until reduced to 1.5 zhan. Strain. Divide into two doses and take warm before meals.