（附论）
夫时气吐之后。或病新瘥。脾胃气皆虚。不能化于水谷。致有宿食难消。头目多疼。时
发寒热。或心腹烦满。大肠结燥。此皆是其候也。
方
枳实散（出圣惠方）治时气后脾胃气虚。心腹虚胀。吃食不消。
枳实（麸炒令黄） 人参（去芦一两） 干姜（炮制） 甘草（炙微赤锉） 半夏（汤
浸七次去
滑） 木香（各半两） 白术（三分） 桂心（三分） 桔梗（去芦三分） 上为散。每服
四钱。以
水一中盏。入生姜半分。枣三枚。煎至六分。去滓。食前服。
麦 散（出圣惠方）治时气后宿食不消。不思饮食。
麦 （微炒一两） 前胡（去芦头一两） 白术（一两） 槟榔（一两） 人参（去芦
头一两）
浓朴（去粗皮涂生姜汁炙令香熟一两） 甘草（半两炙微赤锉） 上为散。每服五钱。以水
一大
盏。入生姜半分。煎至五分。去滓。食前温服。
人参散（出圣惠方）治时气后胃虚。心膈壅闷。时有寒热。宿食不消。
人参（二两去芦头） 大腹皮（一两锉） 枳实（一两麸炒微黄） 赤茯苓（一两） 诃
黎勒
（用皮一两） 白术（一两） 桔梗（去芦头一两） 麦门冬（一两半去心焙） 甘草（半
两炙微赤
锉） 上为散。每服五钱。以水一大盏。煎至五分。去滓。食前温服。
白术散（出圣惠方）治时气后宿食不消。心胸壅滞。乍寒乍热。
白术（半两） 人参（去芦头半两） 陈橘皮（汤浸去白焙半两） 大腹皮（锉） 黄
（锉）
枳壳（麸炒微黄） 甘草（炙微赤锉各半两） 诃黎勒（用皮一两） 沉香（一两） 上为
散。每服
五钱。以水一大盏。煎至五分。去滓。食前温服。
大黄散（出圣惠方）治时气后宿食不消。不思饮食。
麦 （微炒一两） 前胡（去芦头一两） 白术（一两） 槟榔（一两） 人参（去芦
头一两）
浓朴（去粗皮涂生姜汁炙令香熟一两） 甘草（半两炙微赤锉） 上为散。每服五钱。以水
一大
盏。煎至五分。去滓。食前温服。
浓朴丸（出圣惠方）治时气后肠胃虚冷。食不消化。
浓朴（去粗皮涂生姜汁炙令香熟） 人参（去芦头） 枳壳（麸炒微黄去瓤） 神曲（炒
微黄）
大麦 （炒微黄） 杏仁（汤浸去皮尖双仁麸炒微黄各一两） 干姜（炮锉） 白术（各两
半） 甘
草（半两炙微赤锉） 茱萸（三分） 桂心（三分） 上为散。炼蜜和丸如梧桐子大。每服
食前以
枣汤下三十丸。
白豆蔻丸（出圣惠方）治时气后脾胃虚冷。食不消化。
白豆蔻（去皮） 草豆蔻（去皮） 白术 人参（去芦头） 陈橘皮（汤浸去白焙） 桂
心神
曲（炒黄三分） 干姜（炮锉） 甘草（炙微赤锉各半两） 上为末。炼蜜和丸如梧桐子大。
每服
食前以姜枣汤下三十丸。
木香丸（出圣惠方）治时气后脾胃虚冷。宿食不消。
木香（三分） 干姜（炮锉三分） 人参（去芦头） 枳壳（麸炒微黄去瓤） 麦 （炒
黄熟）
槟榔（各一两） 白术（一两半） 甘草（半两炙微赤锉） 上为散。炼蜜和丸如梧桐子大。
每服
食前以姜枣汤下三十丸。
黑神散（出活人书）治瘟疫时气有积食。
巴豆（新好者一两轻槌去皮以急流水两碗浸一宿然后更煮三五十沸候冷沥出去心膜以帛
拂去水然后研如膏用浓纸十数重压裹去油） 五灵脂（二分黑色者为上） 杏仁（半两烧过
后入
蒜煮研） 豆豉（二两新软者为妙不得令干与巴豆膏同细研） 大戟（半两生用去皮里面如
粉白
者妙） 三棱（半两生用） 上三味为极细末。入巴豆、豆豉研细。后入杏仁。更研细。别
入
飞罗面半匙。以井花水调如法。渐次和药。和得所。入臼中捣三二千下。丸如绿豆大。晾干
入瓶盒内。或微火焙亦得。如遇伤寒有食积者。脉沉。身体不热。即宜服之。量患人脏腑虚
实加减丸数服用。煎姜枣汤吞下。取微利为度。不可太过。溏泄身热。下之则为病气结胸。
若病在上可吐者。同生姜干嚼五丸。
(Attached Discussion)
After vomiting due to seasonal pathogenic factors, or when a disease has just recovered, the Qi of the Spleen and Stomach is deficient. It fails to transform and transport water and grain, resulting in retained food that is difficult to digest. Symptoms include frequent pain in the head and eyes, alternating chills and fever, or irritability and fullness in the chest and abdomen, along with dryness and constipation in the Large Intestine. These are all characteristic manifestations.
Formulas
Zhishi San (Bitter Orange Decoction/Powder), from *Shenghui Fang* (Holy Wisdom Formulas). Treats deficiency of Spleen-Stomach Qi after seasonal diseases, empty distension in the chest and abdomen, and indigestion.
Ingredients: Zhishi (Fructus Aurantii Immaturus, stir-baked with bran until yellow), Renshen (Radix Ginseng, remove rhizome, 1 liang), Ganjiang (Rhizoma Zingiberis Preparatum, processed), Gancao (Radix Glycyrrhizae, honey-fried until slightly red and crushed), Banxia (Rhizoma Pinelliae, soaked in decoction seven times to remove slipperiness), Muxiang (Radix Aucklandiae), Baizhu (Rhizoma Atractylodis Macrocephalae), Guixin (Cortex Cinnamomi), Jiegeng (Radix Platycodi, remove rhizome). Grind the above into a powder. Take 4 qian per dose. Add 1 zhongzhan of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until 6 fen remains, filter dregs, and take before meals.
Maiya San (Hordeum Vulgare Sprout Powder), from *Shenghui Fang*. Treats retained food not digesting after seasonal diseases, loss of appetite.
Ingredients: Maiya (Sporocarps Hordei Vulgaris, lightly stir-baked, 1 liang), Qianhu (Radix Peucedani, remove rhizome, 1 liang), Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Binglang (Arecae Semen, 1 liang), Renshen (Radix Ginseng, remove rhizome, 1 liang), Houpo (Cortex Magnoliae Officinalis, remove rough bark, coat with fresh ginger juice, fry until fragrant and cooked, 1 liang), Gancao (Radix Glycyrrhizae, half liang, honey-fried until slightly red and crushed). Grind the above into a powder. Take 5 qian per dose. Add 1 large zhan of water and 0.5 fen of fresh ginger. Decoct until 5 fen remains, filter dregs, and take warm before meals.
Renshen San (Ginseng Powder), from *Shenghui Fang*. Treats Stomach deficiency after seasonal diseases, oppression and stuffiness in the chest and diaphragm, intermittent chills and fever, and indigestion of retained food.
Ingredients: Renshen (Radix Ginseng, 2 liang, remove rhizome), Dafupi (Pericarpium Arecae, 1 liang, crushed), Zhishi (Fructus Aurantii Immaturus, 1 liang, stir-baked with bran until slightly yellow), Chifuling (Poria Cocos with Red Bark, 1 liang), Helile (Fructus Chebulae, use peel only, 1 liang), Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Jiegeng (Radix Platycodi, 1 liang, remove rhizome), Maidong (Radix Ophiopogonis, 1.5 liang, remove heart and bake), Gancao (Radix Glycyrrhizae, half liang, honey-fried until slightly red and crushed). Grind the above into a powder. Take 5 qian per dose. Add 1 large zhan of water. Decoct until 5 fen remains, filter dregs, and take warm before meals.
Baizhu San (Atractylodes Macrocephala Powder), from *Shenghui Fang*. Treats retained food not digesting after seasonal diseases, chest and heart oppression and stagnation, alternating chills and heat.
Ingredients: Baizhu (Rhizoma Atractylodis Macrocephalae, half liang), Renshen (Radix Ginseng, half liang, remove rhizome), Chenpi (Pericarpium Citri Reticulatae, soak in water, remove white pith, bake, half liang), Dafupi (Pericarpium Arecae, crushed), Huangqi (Radix Astragali, crushed), Zhike (Fructus Aurantii, stir-baked with bran until slightly yellow), Gancao (Radix Glycyrrhizae, half liang each, honey-fried until slightly red and crushed), Helile (Fructus Chebulae, use peel only, 1 liang), Chenxiang (Lignum Aquilariae Resinatum, 1 liang). Grind the above into a powder. Take 5 qian per dose. Add 1 large zhan of water. Decoct until 5 fen remains, filter dregs, and take warm before meals.
Dahuang San (Rhubarb Powder), from *Shenghui Fang*. Treats retained food not digesting after seasonal diseases, loss of appetite.
Ingredients: Maiya (Sporocarps Hordei Vulgaris, lightly stir-baked, 1 liang), Qianhu (Radix Peucedani, 1 liang, remove rhizome), Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Binglang (Arecae Semen, 1 liang), Renshen (Radix Ginseng, 1 liang, remove rhizome), Houpo (Cortex Magnoliae Officinalis, 1 liang, remove rough bark, coat with fresh ginger juice, fry until fragrant and cooked), Gancao (Radix Glycyrrhizae, half liang, honey-fried until slightly red and crushed). Grind the above into a powder. Take 5 qian per dose. Add 1 large zhan of water and 0.5 fen of fresh ginger. Decoct until 5 fen remains, filter dregs, and take warm before meals.
Houpo Wan (Magnolia Officinalis Pill), from *Shenghui Fang*. Treats deficiency-cold of the intestines and stomach after seasonal diseases, indigestion of food.
Ingredients: Houpo (Cortex Magnoliae Officinalis, remove rough bark, coat with fresh ginger juice, fry until fragrant and cooked), Renshen (Radix Ginseng, remove rhizome), Zhike (Fructus Aurantii, stir-baked with bran until slightly yellow, remove pulp), Shenqu (Massa Medicata Fermentata, stir-baked until slightly yellow), Daimaiya (Sporocarps Hordei Vulgaris, stir-baked until slightly yellow), Xingren (Semen Pruni Armeniacae, soak in water, remove skin and pointed ends, double-kernel, stir-baked with bran until slightly yellow, 1 liang each), Ganjiang (Rhizoma Zingiberis Preparatum, processed and crushed), Baizhu (Rhizoma Atractylodis Macrocephalae, 1.5 liang each), Gancao (Radix Glycyrrhizae, half liang, honey-fried until slightly red and crushed), Zhuyu (Fructus Evodiae, 3 fen), Guixin (Cortex Cinnamomi, 3 fen). Grind the above into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take 30 pills before meals, washed down with jujube soup.
Baidoukou Wan (Cardamom Albus Pill), from *Shenghui Fang*. Treats deficiency-cold of the Spleen and Stomach after seasonal diseases, indigestion of food.
Ingredients: Baidoukou (Fructus Cardamomi Albi, remove peel), Caodoukou (Fructus Cardamomi, remove peel), Baizhu (Rhizoma Atractylodis Macrocephalae), Renshen (Radix Ginseng, remove rhizome), Chenpi (Pericarpium Citri Reticulatae, soak in water, remove white pith, bake), Guixin (Cortex Cinnamomi), Shenqu (Massa Medicata Fermentata, stir-baked until yellow, 3 fen), Ganjiang (Rhizoma Zingiberis Preparatum, processed and crushed), Gancao (Radix Glycyrrhizae, half liang each, honey-fried until slightly red and crushed). Grind the above into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take 30 pills before meals, washed down with ginger-jujube soup.
Muxiang Wan (Aucklandia Pill), from *Shenghui Fang*. Treats deficiency-cold of the Spleen and Stomach after seasonal diseases, indigestion of retained food.
Ingredients: Muxiang (Radix Aucklandiae, 3 fen), Ganjiang (Rhizoma Zingiberis Preparatum, processed and crushed, 3 fen), Renshen (Radix Ginseng, remove rhizome), Zhike (Fructus Aurantii, stir-baked with bran until slightly yellow, remove pulp), Maiya (Sporocarps Hordei Vulgaris, stir-baked until cooked and yellow), Binglang (Arecae Semen, 1 liang each), Baizhu (Rhizoma Atractylodis Macrocephalae, 1.5 liang), Gancao (Radix Glycyrrhizae, half liang, honey-fried until slightly red and crushed). Grind the above into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take 30 pills before meals, washed down with ginger-jujube soup.
Heishen San (Black Divine Powder), from *Huoren Shu* (Book of Saving People). Treats epidemic seasonal pathogens with accumulated food.
Ingredients: Badou (Semini Crotonis Tiglii, select fresh and good quality, 1 liang, lightly crush, remove peel, soak in fast-flowing water for two bowls overnight, then boil again for 30-50 boils, let cool, drain, remove heart membrane, wipe off water with cloth, then grind into paste. Wrap in ten layers of thick paper to press out oil), Wulingzhi (Trogopteri Dung, 2 fen, black color is superior), Xingren (Semen Pruni Armeniacae, half liang, roast, then cook with garlic and grind), Douchi (Faba Fermentata, 2 liang, fresh and soft is best, do not let it dry; grind finely together with Badou paste). Grind the above three ingredients into extremely fine powder. Add Badou and Douchi paste, grind fine. Then add Xingren, grind fine again. Separately add half a spoonful of Feiluo flour (fine sifted wheat flour). Mix with well-water to the proper consistency, gradually incorporating the medicine. Knead well, place in a mortar, pound 3,000-2,000 times. Form pills the size of mung beans. Dry them and store in bottles or boxes, or bake lightly over low fire. If encountering Taiyang disease with food accumulation, pulse is deep, body is not hot, this formula should be taken. Adjust the number of pills based on the deficiency or excess of the patient's internal organs. Swallow with ginger-jujube decoction. Aim for mild diarrhea as the limit; do not overdo it. If there is loose stool and fever, using purgatives will cause pathological Qi to knot in the chest (Jie Xiong). If the pathology is in the upper part and can be induced to vomit, chew 5 pills dry with fresh ginger.