（附论）
夫脾实则生热。热则阳气盛。阳气盛。则心胸烦闷。唇口干焦。身热颊疼。体重不能转
侧。
腹胁
方
治脾热。面黄目赤。季胁痛满。（出千金方）
半夏 母姜（各八两） 枳实 栀子 茯苓 芒硝（各三两） 细辛（五两） 白术 杏
仁
（各四
三服。
治脾热。偏一边痛。胸满胁偏胀。（出千金方）
茯苓 橘皮 泽泻（各三两） 芍药 白术（各四两） 人参 桂心（各二两） 石膏
（八两）
半
去滓。
分三服。若须利下。加芒硝二两。佳。
清脾汤（出医方大成）治脾实热。病足寒胫热。腹胀满。烦扰不得卧。舌本
强。体重面黄。
茯苓 橘皮 草果（去皮） 白术（各二钱） 半夏（三钱汤洗七次焙） 人参 桂心 白
芷
甘
去
清脾汤 治忧思过度。蕴热于脾。口干唇燥。沈裂无色。用。
香白芷 黄 升麻 人参 甘草（炙） 半夏（汤洗七次） 上各等分。散。每四钱。
水一盏
泻热汤（出千金方）治舌本强直。或梦歌乐。而体重不能行。
前胡 茯苓 龙胆草 细辛 芒硝（各三两） 杏仁（四两） 玄参 大青（各二两） 苦
竹叶（
大黄汤（出圣惠方）治脾实。胸中满闷。腹胁壅胀。身热颊疼。咽喉不利。
大黄（锉炒一两） 赤茯苓（去黑皮三分） 枳壳（去瓤麸炒半两） 甘草（炙锉） 黄
芩（去黑心
芦颈各半两） 上
温服。
泻脾赤茯苓汤（出圣惠方）治脾实热。头痛胸满。腹胁壅滞。不思饮食。
赤茯苓（去皮三两） 旋复花（半两） 大黄（微炒） 石膏（碎各一两） 桑白皮（三
钱） 芍
药（
每服三钱
匕
前胡饮（出圣惠方）治脾气实。四肢不利。头重目疼。腹胁妨闷。心膈壅滞
。不思饮食。
前胡（去芦一两） 大腹皮（一两） 赤芍药 赤茯苓（去皮） 桔梗（锉炒） 羚羊
角屑 旋
复花
片。
枣大
羚羊角丸（出圣惠方）治脾气实。心腹壅滞。妨闷。两胁胀满。四肢疼痛。
大小便不利。
羚羊角屑（一两） 枳壳（一两麸炒微黄去瓤） 前胡（半两去芦头） 川大黄（一两
锉微炒）
木
捣罗为
细
泻脾升麻汤（出圣惠方）治脾脏壅实。口内生疮。食少心烦。
升麻 羚羊角屑 茯神（去木） 黄连（去须各一两） 柴胡（去苗一两半） 麦门冬
（去心
一两）
食
后温服
石膏汤（出圣惠方）治脾实热。头痛。胁满烦闷。或渴。唇口干燥。
石膏（一两） 麦门冬（去心焙一两半） 柴胡（去苗） 犀角屑 栝蒌根 地骨皮（各
一两）
葛
去滓。
入蜜半合。生地黄汁一合。搅令匀。更煎两沸。食前温服。
泻脾汤 主脾脏病气实。胸中满。不能食。
茯苓 浓朴（炙各四两） 甘草（炙） 人参 黄芩（各二两） 桂心（五两） 生姜
（八两）
半夏
足
流肿
槟榔丸 治脾实。胁腹坚胀。泾溲不利。
槟榔 木香 芍药 枳壳（去瓤麸炒各三钱） 桂（去粗皮） 大黄（锉炒各一两） 上
捣罗
为末
射干煎（出千金方）治舌本强直。或梦歌乐。而体重不能行。
射干（八两） 大青（三两） 石膏（十两一作一升） 赤蜜（一升） 上 咀。水五
升。煮一
升
治脾热。胁痛热满不歇。目赤不止。口唇干裂。（出千金方）
石膏（一斤碎） 生地黄（汁） 赤蜜（各一升） 淡竹叶（切五升） 上先以水一斗
二升。煮
竹叶
细服
治脾横方（出千金方）若赤黑发如瓜大。用煎羊脂摩之。
柴胡升麻汤 治四肢发热。
又方（出千金方）用赤小豆末。和鸡子白敷之。
主脾气实。其人口中痰涎。卧愦愦痛无常处。呕吐反胃方。
用大黄六两。以水六升。煮取一升。分再服之。又主食即吐。并大便不通者。加甘草二
两。
麦门冬煎（出千金方）治脾脏壅实。心胸烦闷。唇口干燥。渴水不止。
治脾脏积热。中焦气隔。唇皮焦绝。胸中气满。气昏。并口内生涎。大腹实热。\x
大黄（炮熟） 荆芥穗 桔梗 杏仁 羌活 诃子 枳壳（只用青） 麻黄（去根） 防
风
川芎
服。
[Attached Discussion]
When the Spleen is in a state of Excess, internal heat is generated. When heat is generated, Yang Qi becomes hyperactive. When Yang Qi is hyperactive, it leads to vexation and oppression in the chest and heart, dryness and scorching of the lips and mouth, feverish body, pain in the cheeks, heaviness of the body, and an inability to turn or shift position freely.
[Formulas]
To treat Spleen Heat, manifesting as a sallow complexion, red eyes, and pain and fullness in the hypochondriac region (Qiji). (From *Qianjin Fang*)
Banxia (Pinelliae Rhizoma), Shengjiang (Zingiberis Rhizoma Recens) (each 8 liang); Zhishi (Aurantii Fructus Immaturus), Zhizi (Gardeniae Fructus), Fuling (Poria), Mangxiao (Natrii Sulfas) (each 3 liang); Xixin (Asari Radix et Rhizoma) (5 liang); Baizhu (Atractylodis Macrocephalae Rhizoma), Xingren (Armeniacae Semen Amarum) (each 4 liang).
The above herbs are pulverized into a powder. Take 3 qianbi (a traditional measure) per dose, add 1.5 zhan of water, decoct until 1 zhan remains, strain, and divide into three doses for warm administration.
To treat Spleen Heat, manifesting as pain on one side, chest fullness, and distension on one side of the hypochondrium. (From *Qianjin Fang*)
Fuling (Poria), Jupi (Citri Reticulatae Pericarpium), Zexie (Alismatis Rhizoma) (each 3 liang); Shaoyao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 4 liang); Renshen (Ginseng Radix), Guixin (Cinnamomi Ramulus) (each 2 liang); Shigao (Gypsum Fibrosum) (8 liang).
The above herbs are cut into small pieces, added to 1 dou of water, decocted until 3 sheng remain, strained, and divided into three doses for warm administration. If purgation is desired, add Mangxiao (Natrii Sulfas) 2 liang for better effect.
Qingpi Tang (Clear the Spleen Decoction) (From *Yifang Dacheng*), treating Spleen Excess-Heat. Symptoms include cold feet with hot calves, abdominal distension and fullness, restlessness preventing sleep, stiffness of the tongue root, heavy body, and sallow complexion.
Fuling (Poria), Jupi (Citri Reticulatae Pericarpium), Caoguo (Tsaoko Fructus, peeled), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 2 qian); Banxia (Pinelliae Rhizoma) (3 qian, washed seven times in boiling water then dried); Renshen (Ginseng Radix), Guixin (Cinnamomi Ramulus), Baizhi (Angelicae Dahuricae Radix), Gancao (Liquiritiae Radix et Rhizoma, honey-fried) (each 1 liang).
The above herbs are cut into small pieces, added to 3 zhan of water, decocted until 1.5 zhan remains, strained, and divided into two doses for warm administration before meals.
Qingpi Tang (Clear the Spleen Decoction) (Another prescription), treating heat accumulating in the Spleen due to excessive worry and overthinking. Symptoms include dry mouth and lips, and dry, cracked skin lacking luster.
Xiangbaizhi (Angelicae Dahuricae Radix), Huangqin (Scutellariae Radix), Shengma (Cimicifugae Rhizoma), Renshen (Ginseng Radix), Gancao (Liquiritiae Radix et Rhizoma, honey-fried), Banxia (Pinelliae Rhizoma, washed seven times in boiling water). The above herbs are taken in equal parts and pulverized into a powder. Take 4 qian per dose, add 1 zhan of water, decoct until 0.7 zhan remains, strain, and take warm before meals.
Xiere Tang (Drain Heat Decoction) (From *Qianjin Fang*), treating stiffness and straightening of the tongue root, or dreaming of singing and laughing, accompanied by heavy body and inability to walk.
Qianhu (Peucedani Radix), Fuling (Poria), Longdancao (Gentianae Radix), Xixin (Asari Radix et Rhizoma), Mangxiao (Natrii Sulfas) (each 3 liang); Xingren (Armeniacae Semen Amarum) (4 liang); Xuanshen (Scrophulariae Radix), Daqing (Isatidis Folium) (each 2 liang); Kuzhuye (Bambusae Folium) (one handful).
The above herbs are cut into small pieces, added to 9 sheng of water, decocted until 3 sheng remain, strained, and divided into three doses for warm administration.
Dahuang Tang (Rhubarb Decoction) (From *Shenghui Fang*), treating Spleen Excess. Symptoms include chest fullness and oppression, abdominal and hypochondriac congestion and distension, feverish body with cheek pain, and throat discomfort.
Dahuang (Rhei Radix et Rhizoma, cut and stir-fried) (1 liang); Chifuling (Poria with Red Host, black skin removed) (3 fen); Zhike (Aurantii Fructus, pith removed, bran-fried) (0.5 liang); Gancao (Liquiritiae Radix et Rhizoma, honey-fried and cut); Huangqin (Scutellariae Radix, black heart removed); Genggen (Bupleuri Radix), Gegen (Puerariae Lobatae Radix) (each 0.5 liang).
The above herbs are cut into small pieces, added to 5 sheng of water, decocted until 2 sheng remain, strained, and divided into three doses for warm administration.
Xiepi Chifuling Tang (Drain Spleen Red Poria Decoction) (From *Shenghui Fang*), treating Spleen Excess-Heat. Symptoms include headache and chest fullness, abdominal and hypochondriac stagnation, and loss of appetite.
Chifuling (Poria with Red Host, peeled) (3 liang); Xuanfuhua (Inulae Flos) (0.5 liang); Dahuang (Rhei Radix et Rhizoma, lightly stir-fried); Shigao (Gypsum Fibrosum, crushed) (each 1 liang); Sangbaipi (Mori Cortex) (3 qian); Shaoyao (Paeoniae Radix Alba) (1 liang).
The above herbs are cut into small pieces, added to 1 large zhan of water, decocted until 0.6 zhan remains, strained, and taken warm with 3 qianbi per dose.
Qianhu Yin (Peucedanum Drink) (From *Shenghui Fang*), treating Spleen Qi Excess. Symptoms include impediment in the four limbs, heavy head and painful eyes, obstruction in the abdomen and hypochondrium, stagnation in the heart and diaphragm, and loss of appetite.
Qianhu (Peucedani Radix, rhizome removed) (1 liang); Dafupi (Arecae Pericarpium) (1 liang); Chishaoyao (Paeoniae Radix Rubra); Chifuling (Poria with Red Host, peeled); Jiegeng (Platycodonis Radix, cut and stir-fried); Lingyangjiaoxie (Saigae Tataricae Cornu); Xuanfuhua (Inulae Flos); Gancao (Liquiritiae Radix et Rhizoma, honey-fried) (each 1 liang).
The above herbs are cut into small pieces, added to 3 zhan of water, decocted until 1.5 zhan remains, strained, and divided into two doses for warm administration.
Lingyangjiao Wan (Saiga Antelope Horn Pill) (From *Shenghui Fang*), treating Spleen Qi Excess. Symptoms include stagnation in the heart and abdomen, oppression, distension of both hypochondria, pain in the four limbs, and difficulty in urination and defecation.
Lingyangjiaoxie (Saigae Tataricae Cornu) (1 liang); Zhike (Aurantii Fructus, 1 liang, bran-fried until slightly yellow, pith removed); Qianhu (Peucedani Radix, 0.5 liang, rhizome removed); Chuandahuang (Rhei Radix et Rhizoma, 1 liang, cut and lightly stir-fried); Muxiang (Aucklandiae Radix), Binglang (Arecae Semen) (each 1 liang); Qianniu (Pharbitidis Semen, 2 liang, stir-fried).
The above herbs are pulverized into a fine powder, mixed with refined honey to form pills the size of wutong seeds. Take 20 pills per dose after meals, delivered with warm water.
Xiepi Shengma Tang (Drain Spleen Cimicifuga Decoction) (From *Shenghui Fang*), treating Spleen Organ congestion and excess. Symptoms include sores in the mouth, poor appetite, and vexation.
Shengma (Cimicifugae Rhizoma), Lingyangjiaoxie (Saigae Tataricae Cornu), Fushen (Poria with Pine Root, wood removed), Huanglian (Coptidis Rhizoma, whiskers removed) (each 1 liang); Chaihu (Bupleuri Radix, shoots removed) (1.5 liang); Maimendong (Ophiopogonis Radix, heart removed) (1 liang).
The above herbs are cut into small pieces, added to 3 zhan of water, decocted until 1 zhan remains, strained, and taken warm after meals.
Shigao Tang (Gypsum Decoction) (From *Shenghui Fang*), treating Spleen Excess-Heat. Symptoms include headache, hypochondriac fullness and vexation, thirst, and dry lips and mouth.
Shigao (Gypsum Fibrosum) (1 liang); Maimendong (Ophiopogonis Radix, heart removed and dried) (1.5 liang); Chaihu (Bupleuri Radix, shoots removed); Xijiaoxie (Rhinocerotis Cornu); Gualougen (Trichosanthis Radix); Digupi (Lycei Cortex); Gegen (Puerariae Lobatae Radix) (each 1 liang); Gegen (Puerariae Lobatae Radix) (0.5 liang).
The above herbs are cut into small pieces, added to 5 sheng of water, decocted until 2 sheng remain, strained, add 0.5 he of honey and 1 he of Shengdihuang juice (Rehmanniae Radix Fresh Juice), mix well, boil twice more, and take warm before meals.
Xiepi Tang (Drain Spleen Decoction), primarily treating Spleen Organ disease characterized by Qi Excess. Symptoms include chest fullness and inability to eat.
Fuling (Poria), Houpo (Magnoliae Officinalis Cortex, honey-fried) (each 4 liang); Gancao (Liquiritiae Radix et Rhizoma, honey-fried); Renshen (Ginseng Radix); Huangqin (Scutellariae Radix) (each 2 liang); Guixin (Cinnamomi Ramulus) (5 liang); Shengjiang (Zingiberis Rhizoma Recens) (8 liang); Banxia (Pinelliae Rhizoma, washed) (3 liang).
The above herbs are cut into small pieces, added to 1 dou of water, decocted until 3 sheng remain, strained, and divided into three doses for warm administration. If edema occurs, add Binglang (Arecae Semen) 2 liang.
Binglang Wan (Areca Seed Pill), treating Spleen Excess. Symptoms include hardness and distension of the hypochondrium and abdomen, and difficult urination.
Binglang (Arecae Semen), Muxiang (Aucklandiae Radix), Shaoyao (Paeoniae Radix Alba), Zhike (Aurantii Fructus, pith removed, bran-fried) (each 3 qian); Gui (Cinnamomi Cortex, coarse bark removed); Dahuang (Rhei Radix et Rhizoma, cut and stir-fried) (each 1 liang).
The above herbs are pulverized into a powder, mixed with refined honey to form pills the size of wutong seeds. Take 15 pills per dose after meals, delivered with warm water.
Shegan Jian (Belamcanda Decoction) (From *Qianjin Fang*), treating stiffness and straightening of the tongue root, or dreaming of singing and laughing, accompanied by heavy body and inability to walk.
Shegan (Belamcandae Rhizoma) (8 liang); Daqing (Isatidis Folium) (3 liang); Shigao (Gypsum Fibrosum) (10 liang, or 1 sheng); Chi mi (Red Honey) (1 sheng).
The above herbs are cut into small pieces, added to 5 sheng of water, decocted until 1 sheng remains, strained, add Chi mi (Red Honey), and simmer until fluid. Take a small amount at a time and swallow slowly.
To treat Spleen Heat, unceasing heat and fullness in the hypochondrium, unceasing redness of the eyes, and dry, cracked lips. (From *Qianjin Fang*)
Shigao (Gypsum Fibrosum, crushed) (1 jin); Shengdihuang (Rehmanniae Radix Fresh, juice); Chi mi (Red Honey) (each 1 sheng); Danzhuye (Lophatheri Graminis Folium, cut) (5 sheng).
First, add 1 dou 2 sheng of water, decoct the Danzhuye (Lophatheri Graminis Folium) until 5 sheng of juice remains, strain, add Shigao (Gypsum Fibrosum), decoct until 3 sheng remain, strain, add Shengdihuang juice (Rehmanniae Radix Fresh Juice) and Chi mi (Red Honey), mix well, boil twice more, and take frequently in small amounts.
Treatment for Pi Heng (Spleen Transverse Condition) (From *Qianjin Fang*): If red-black patches like melon seeds appear, decoct Yangzhi (Sheep Fat) and apply/massage it onto the affected area.
Chaihu Shengma Tang (Bupleurum and Cimicifuga Decoction), treating heat sensation in the four limbs.
Another Prescription (From *Qianjin Fang*): Use powder of Xiaohongdou (Vigna angularis) mixed with egg white (Jizi bai) for external application.
Primarily treating Spleen Qi Excess. Symptoms include phlegm and saliva in the mouth, drowsy pain while lying down with shifting locations, vomiting, and regurgitation.
Use Dahuang (Rhei Radix et Rhizoma) 6 liang, add 6 sheng of water, decoct until 1 sheng remains, divide into two doses. If vomiting occurs immediately after eating, accompanied by constipation, add Gancao (Liquiritiae Radix et Rhizoma) 2 liang.
Maimendong Jian (Ophiopogon Decoction) (From *Qianjin Fang*), treating Spleen Organ congestion and excess. Symptoms include vexation and oppression in the chest and heart, dry lips and mouth, and incessant thirst for water.
Treating Spleen Organ accumulated heat, Qi blockage in the Middle Jiao, scorched and lifeless lip skin, chest Qi fullness, mental confusion, salivation in the mouth, and excess heat in the great abdomen.
Dahuang (Rhei Radix et Rhizoma, roasted and cooked), Jingjie (Schizonepetae Spica), Jiegeng (Platycodonis Radix), Xingren (Armeniacae Semen Amarum), Qianghuo (Notopterygii Rhizoma et Radix), Hezi (Terminaliae Chebulae Fructus), Zhike (Aurantii Fructus, use only green ones), Mahuang (Ephedrae Herba, roots removed), Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Gancao (Liquiritiae Radix et Rhizoma, honey-fried) (each 1 liang).
The above herbs are cut into small pieces, added to 3 zhan of water, decocted until 1 zhan remains, strained, add Yi tang (Maltose) 0.5 liang, simmer until fluid, take a small amount at a time and swallow slowly.