（附论）
夫内经言谷气通于脾。盖虚则能受也。脾胃之为仓廪者如此。若其气不和。则腹内虚满。
不能饮食。治宜调其饮食。适其寒温。则病自愈。
方
神仙快活丸 治妇人男子脾胃不和。气不升降。腹胀肠鸣。反胃吐食。呕吐酸水。
不思饮食
桂花（二钱） 木香 丁香 青皮 陈皮（各一分） 官桂（二分） 荜澄茄（一分） 肉
果
（一分） 砂仁（四钱） 良姜（五分） 白果（一钱） 白芷（二分） 甘松（四分） 广
三棱（四分）
檀香（一分） 沉香（一分） 茯苓（六分） 香附子（五分） 麝香（一分） 益智（六
分） 大椒
（一十个
又方
苍术（四两炒黑色） 牵牛（八钱） 京三棱（一两一钱） 萝卜子（八钱） 皂角（二
定去皮
弦） 皂角子仁（二合） 上为细末。白面糊为丸如梧桐子大。每服十丸。先嚼饼子一个。
后
将药随
十八味丁沉透膈汤（出德生堂）治脾胃不和。中寒上气。胁肋胀满。心腹
痛
痰逆恶
白术（二两） 香附（炒） 人参 缩砂仁（各一两） 丁香（炙） 麦 肉豆蔻（煨）
白豆
蔻木香 青皮（各半两） 甘草（炙一两半） 半夏（汤泡七次二钱半） 藿香 浓朴〔姜
汁炒
各
每服四钱
。水二大盏。姜三片。枣子一枚。煎至八分去滓。热服。一方加茯苓去肉豆蔻。
木香散 治脾胃。和气消食。
干木瓜（焙五两） 益智（去皮） 桂（去粗皮） 草豆蔻（去皮） 红豆蔻（去皮） 干
姜（炮）
高
神
曲（炒各三分） 生姜（一斤取自然汁） 丁香 沉香（各一两） 盐（一斤） 上捣罗十
四味为
散。
木香煮散（出御药院方）治脾胃不和。不能饮食。心胸痞闷。口淡无味。及
解
伤寒。调顺中
木香 人参 白茯苓（去黑皮） 半夏（汤洗七次炒） 白术 浓朴（去粗皮各一分将
浓朴
生姜一分同捣炒干） 干姜（炮） 桂（去粗皮） 枳实（麸炒去瓤） 甘草（炙锉各半两）
陈橘
皮（汤浸去白焙干一两） 槟榔（锉一枚） 草豆蔻〔去皮二钱（枚）〕 诃黎勒（煨去核
五枚） 上
大腹汤 治脾胃不和。不能饮食。
大腹（锉） 神曲 浓朴（去粗皮生姜汁炒） 木香（锉各一两） 肉豆蔻（去皮） 干
姜（炮）
人
麦（微
炒） 半夏〔汤洗七遍去滑焙干各半（一）两〕 京三棱（炮锉一两半） 上 咀。每服三
（二）
钱匕。水一盏。入生姜三片。枣二枚擘破。同煎至七（六）分。去滓。稍热食前服。
木香丸（出宣明论）和脾胃。宽胸膈。消痰逆。止呕吐。进益美食。
官桂 干姜（各半两） 木香（一分） 大黄 蓬术 芫花（醋拌湿炒下） 枳壳（去
瓤） 陈
皮（一作红皮） 半夏（二两） 牵牛（半斤取末四两） 茴香（炒） 巴豆（四个） 上
为末。滴水
为
紫苏丸 治脾胃不和。痰唾呕逆。脐腹撮痛。心胸痛闷。调脏止泻。
紫苏叶 桂（去粗皮） 赤茯苓（去皮） 缩砂（去皮） 甘草（炙锉各二两） 沉香
（锉） 人
参桔梗（炒） 青橘皮（汤浸去白焙） 陈橘皮〔汤浸去白焙各二（一）两〕 胡椒（半
两） 上
为末。炼蜜和丸如弹子大。每服一丸。炒生姜盐汤嚼下。
沉香汤 治脾胃气不和。心腹 痛。不能饮食。
沉香（锉） 浓朴（去粗皮生姜汁炙） 桂（去粗皮） 益智（去皮炒） 白术 青橘
皮（汤浸
去白焙） 桔梗（炒各一两焙） 五味子（一两一分微炒） 附子（炮裂去皮脐） 干姜（炮）
甘
草（炙锉各半两） 上粗捣筛。每服二钱匕。水一盏。入生姜三片。同煎至七（六）分。去
滓。
稍热食
木香丸（出圣惠方）治脾胃不和。腹胁胀满。时有 痛。不思饮食。
木香（一两） 桂心（一两） 芎 （一两） 羌活（一两） 附子（一两炮裂去皮脐）
川大黄
（一两锉微炒） 槟榔（一两） 干姜（一两炮裂锉） 郁李仁（一两汤浸去皮微炒） 牵
牛子（二
两半微炒） 香橘皮（一两汤浸去白瓤焙） 上为末。炼蜜和捣三五百杵。丸如梧桐子大。
每
服空心以生姜橘皮汤下二十丸。
高良姜散 治脾胃不和。饮食减少。腹中虚鸣。
高良姜（一两半） 陈橘皮（去白焙二两） 肉豆蔻（去壳） 干姜（炮裂） 浓朴（去
粗皮姜
汁炙锉） 五味子 甘草（炙锉） 白术 吴茱萸（汤洗焙干炒各一两） 神曲（炒半两） 上
捣
罗为散。每服二钱匕。陈米饮调下。
半夏饮 治脾胃不和。不能饮食。见食吐逆。
半夏（一两别捣末生姜自然汁和为饼焙干同杵） 干姜（炮一两） 枣肉（焙） 附子
（炮裂
去皮脐） 青橘皮（汤浸去白焙各半两） 陈橘皮（汤浸去白焙） 红豆蔻（去皮各一两） 木
香
（半分） 草豆蔻（去皮二枚） 上 咀。每服一钱半匕。水一盏。蜜半匙。煎至七分去滓。
稍
均气丸 治脾胃不和。心胸满闷。不能饮食。痰逆吞酸。少力。头目昏眩。
牡丹皮 当归（切焙） 木香 京三棱（炮椎碎各一分） 半夏（半两别捣末生姜自然
汁和
为饼焙干同杵） 青橘皮（汤浸去白焙） 枳实（去瓤麸炒各半两） 槟榔（锉一两） 上
为末。
炼
白术丸 治脾胃不和。不能饮食。
白术（锉） 浓朴（去粗皮生姜汁炙锉） 苍术（去粗皮炒各半斤） 芜荑（四两） 青
橘皮
（去白焙） 甘草（炙锉） 附子（炮裂去皮脐各三两） 干姜（炮裂二两） 上为末。炼
蜜和丸如
鸡头
进食汤（一名进食散）治脾胃不和。不思饮食。虚冷呕逆。（方见进食散）
八味煮散 治脾胃气虚。不能饮食。
浓朴（去粗皮生姜汁炙锉） 麦 （炒各二两） 吴茱萸（汤洗焙干炒） 人参 桂（去
粗皮）
芜
水一盏。
入生姜三片。枣一枚擘破。同煎至六分去滓。空心温服。
七宝汤 治脾胃不和。腹中刺痛。胃逆气冷。不能饮食。
草豆蔻（五枚面裹煨熟去面及皮） 白茯苓（去黑皮） 人参（各一两） 大腹皮（锉
四枚）
诃黎勒（炮去核五枚） 半夏〔二（一）分汤浸洗五度生姜汁浸一宿去姜汁炒黄〕 甘草（炙
锉
半两） 上粗捣筛。每服三钱匕。水一盏。入生姜三片。大枣二枚擘破。同煎至七分。去滓
温服。
沉香汤 治脾胃气不和。虚满不能饮食。
沉香（锉） 香子（炒） 青橘皮（去白炒） 胡椒 荜澄茄 楝实（锉炒） 陈橘
皮（去白
焙各一两） 上粗捣筛。每服三钱匕。葱白三寸擘破。入酒并童子小便各半盏。同煎至七分。
去
了脾丸 和脾胃。宽胸膈。消痰逆。止呕吐。进益美食。
石燕子（一枚烧红醋淬七次） 舶上硫黄（一两） 白丁香（七钱） 丁香（七钱净） 木
香
（五钱） 使君子（去壳一两） 陈皮（五钱） 上用三棱一两 咀。用巴豆五钱净炒京三
棱。巴
豆焦黄为度。去巴豆不用。同前药为细末。醋煮大黄末为丸。如梧桐子大。晒干。每服四十
丸。空心用。随意汤下。小儿如黍米大。每服一百丸。见黑粪为效。
健中丸 治脾胃不和。不能饮食。
白术 浓朴（去粗皮生姜汁炙各二两） 木香 诃黎勒（去核） 肉豆蔻（去皮） 芎
（各
一
草豆蔻汤 治脾胃气冷热不和。进食和气。
草豆蔻（去皮） 人参 陈橘皮（汤浸去白焙） 浓朴（去粗皮生姜汁炙各一两） 甘
草（炙
锉） 桂（去粗皮各半两） 上粗捣筛。每服三钱匕。水一盏。入生姜三片。同煎至六分。
去
滓食前
和胃丸 治脾胃冷热不和。不能饮食。胸膈满闷。痰唾吐逆。及一切气疾。
甘草（生锉） 高良姜（生各一两） 藿香叶 桂（去粗皮） 丁香皮（炙各一两） 上
为末。
炼蜜和杵三二百下。丸如樱桃大。每服一丸。盐汤嚼下。空心服。
浓朴汤 治脾胃不和。化癖气。调中脏。及心下急懊。
浓朴（去粗皮四两生姜二两用杵阴一二日曝干） 陈橘皮（汤浸去白焙三两） 白术（四
两）
乌药（汤浸锉炒） 甘草（炙锉各二两） 上捣筛。每服二钱匕。水一盏。入生姜三片。大
枣二
枚擘破。同煎至七分。去滓温服。
白豆蔻丸 治脾胃不和。不能饮食。
白豆蔻（去皮一两） 白术 干姜（炮各三分） 上为细末。炼蜜和丸如梧桐子大。每
服二
十丸。煎姜枣汤下。空心食前。
调中丸（出御药院方）治脾胃不和。内挟湿燠。烦燥发渴。不思饮食。头目
昏
眩。小便不清
赤茯苓 猪苓（并去皮） 陈皮（去瓤） 白术 桔梗 泽泻 黄芩 大黄 桂（去粗
皮各
一两） 枳壳（麸炒去瓤） 葛根 木通（各一两半） 半夏（汤洗） 滑石（各二两） 黑
牵牛（生
用六
调中益气汤（出济生拔粹方）夫脉弦洪缓而沉。按之中之下。得时一涩。其
证
四肢满闷。肢节烦疼。难以屈伸。身体沉重。烦心不安。忽肥忽瘦。四肢懒倦。口失滋
味。复难舒伸。大小便清利而数。或上饮下便，或大便涩滞不行。一二日一见。夏月飧
泄。米谷不化。或便后见血见白脓。胸满短气。膈咽不通。或痰嗽稠粘。口中沃沫。食
入反出。耳鸣耳聋。目中流火。视物昏花。 肉红丝。热壅头目。不得安卧。嗜卧无力
不思饮食。
升麻（二分） 黄 （一钱） 甘草（五分） 苍术（五分） 木香（一分或二分气不
转运者加
之） 人参（五分有嗽者去之） 柴胡（二分二味为气不足胃气与脾气下留乃补上气从阴引
阳）
橘皮〔二分如腹中气不得运转者更加二（一）分〕 上件锉如麻豆大。都作一服。水二盏煎
至
一盏。去渣带热服。宿食消尽服之。宁心绝思。药必神效。盖病在四肢血脉。空服在旦是也。
如是显热燥。是下元阴火蒸蒸发也。加真生地黄二分。黄柏三分。如大便虚不得服。或大便
了而不了。腹常逼迫。皆血虚血涩也。加当归身。如身体沉重。虽小便数多。亦加茯苓二分。
苍术一钱。泽泻五分。黄柏三分。此临时从权而祛湿也。不可常用。兼足太阴己病也。其脉
亦终于心中。故显湿热相合而生烦乱。如胃气不和。加汤洗半夏半钱。生姜三片。有嗽加生
姜、生地黄二分。以制半夏之毒。痰厥头疼。非半夏不能除。此足太阳经所作也。一方作足
太阴经也。如无以上证。只服。
黄 （一钱） 炙甘草（半钱） 柴胡（三分） 人参（半钱有嗽者去） 苍术（半钱）
黄柏
（二分酒洗） 橘皮（如腹中气不转运更加一分木香一分或二分无此证者勿加只用橘皮三钱）
升麻（三分二味为上气不足胃气与脾气不弱乃补上气从阴引阳） 上件锉如麻豆大。根据前煎
服。如兼燥热。加黄柏二分生地黄二分。如无以上证。只服前药。如夏月须加白芍药三分。
春月腹中痛尤宜加。如恶热而渴或腹痛者。加白芍药半钱生黄芩二分。如恶寒腹中痛。加中
桂三分。去黄芩。谓之桂枝芍药汤。亦如芍药汤中加桂同煎。如冬月腹痛。不可用芍药。盖
大寒之药也。只加干姜三（二）分。或加半夏五七分以生姜少许制之。如秋冬之月。胃脉四道。
为冲任脉所逆胁下。并少阳脉二道而反上行。病名曰厥逆。其证气上冲咽。不得息。而喘息
有音不得卧。用吴茱萸半钱。或一钱半。汤洗去苦。观厥气多少而用之。亦于前药中作一服
服之。如夏月有此证为大热也。此病随四时为寒热温凉也。宜以用黄连酒洗酒黄柏酒知母各
等分。为细末。熟汤为丸如梧桐子大。每服一百丸或二百丸。白汤送下。空心。不令胃中停
留。以美肉食早膳压之。治饮食劳倦所得之病。乃虚劳七损证也。常宜以甘温平之。甘多辛
少。是其治也。
小独圣丸（出和剂方）治脾胃不和。饮食多伤。心腹刺痛。呕哕恶心。噎痞
吞
酸。干噫食臭
巴豆（连皮秤半两去皮心膜炒熟得三钱研） 砂（少研飞一两） 肉桂（去粗皮一斤）
半
夏（汤洗七次） 丁皮（舶上者） 乌梅（去核） 干姜（炮） 当归（去芦） 三棱（煨
捣碎各四两）
上为细末。入巴豆 砂匀。水煮面糊为丸如麻子大。每服三丸至五丸。用温水下。食后服。
常
人参煮散（出和剂方）治脾胃不和。中脘气滞。心腹胀痛。不思饮食。宿寒留
饮。停积不消。或因饮冷过度。内伤脾气。呕吐痰逆。寒热往来。或时汗出。又治肠胃
冷湿。泄泻。注下
人参（四两） 青皮（去白十二两） 甘草（炙十两） 干姜（炮六两） 芍药（一斤）
三棱
〔煨捣碎十三（二）两〕 丁香皮（六两） 茯苓（去皮） 苍术（去皮各半斤） 上为末。
每服二
钱。水一盏。生姜五片。枣三个。同煎至七分。食前空心温服。
脾不磨方
[Supplementary Discussion]
The *Neijing* (Inner Canon) states that the qi of grains and food connects with the Spleen. This is because deficiency allows for reception (referring to the Spleen's function of transportation and transformation; if obstructed by pathogenic factors, it cannot receive; here it implies that tonifying the deficient Spleen-Stomach enables reception). The Spleen and Stomach serve as the "granaries and stores" (referring to their role in receiving and transforming water-grain essence), thusly. If the Qi of the Spleen and Stomach is disharmonious, there will be abdominal distension and fullness due to emptiness.
One cannot eat or drink. Treatment should involve regulating diet and adapting to cold and warmth, then the illness will heal itself.
Formulas
Shenxian Kuaishou Wan (Immortal Joy Pill): Treats Spleen-Stomach disharmony in men and women, where Qi ascends and descends abnormally, causing abdominal distension, borborygmus, regurgitation and vomiting of food, vomiting of sour fluid, and loss of appetite.
Ingredients: Osmanthus flower (2 qian), Muxiang (Aucklandiae Radix), Dingxiang (Caryophylli Flos), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium) (each 1 fen), Guanzi Gui (Cinnamomi Cortex), Bichengqie (Schizonepetae Fructus? Note: Usually refers to Pimenta fructus or similar aromatic spice in ancient texts, often translated as Allspice or similar), Rouguo (Myristicae Semen), Sharen (Amomi Fructus Rotundus), Liangjiang (Alpiniae Officinarum Rhizoma), Baiguo (Ginkgonis Semen), Baizhi (Angelicae Dahuricae Radix), Gansong (Nardostachyos Radix), Guang Sanleng (Sparganii Rhizoma), Tanxiang (Santalum Album Lignum), Chenxiang (Aquilariae Lignum Resinatum), Fuling (Poria), Xiangfuzi (Cyperi Rhizoma), Shexiang (Moschus), Yizhi (Alpiniae Oxyphyllae Fructus), Dajiao (Zanthoxyli Fructus) (10 pieces).
Another Formula:
Cangzhu (Atractylodis Rhizoma) (4 liang, stir-fried until black), Qianniu (Pharbitidis Semen), Jing Sanleng (Sparganii Rhizoma) (1 liang 1 qian), Luobozǐ (Brassicae Semens) (8 qian), Zaojiao (Gleditsiae Fructus) (2 ting, remove skin and strings), Zaojiao Zi Ren (Gleditsiae Fructus Semen) (2 he). Grind the above herbs into fine powder, use white flour paste to make pills the size of paulownia seeds. Take 10 pills each time, first chew one biscuit, then swallow the medicine with water.
Shibawei Dingchen Touge Tang (Eighteen-Ingredient Clove and Agarwood Diaphragm-Penetrating Decoction) (from Desheng Hall): Treats Spleen-Stomach disharmony, cold invading the middle jiao causing rebellious Qi ascending, distension and fullness of the hypochondrium, pain in the heart and abdomen, rebellious Phlegm-Qi, and nausea.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma) (2 liang), Xiangfu (Cyperi Rhizoma) (stir-fried), Renshen (Ginseng Radix et Rhizoma), Suosharen (Amomi Fructus Rotundus) (each 1 liang), Dingxiang (Caryophylli Flos) (roasted), Maidong (Ophiopogonis Tuber), Roudoukou (Myristicae Semen) (baked), Baidoukou (Cardamomi Albi Fructus), Muxiang (Aucklandiae Radix), Qingpi (Citri Reticulatae Pericarpium Viride) (each ban liang), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, 1.5 liang), Banxia (Pinelliae Tuber) (soaked in hot water seven times, 2.5 qian), Huoxiang (Agastaches Herba), Nongpo (Magnoliae Officinalis Cortex) [stir-fried with ginger juice].
Usage: Take 4 qian each time, add 2 large bowls of water, 3 slices of fresh ginger, and 1 date, decoct until 80% remains, strain, and take hot. Another version adds Fuling and removes Roudoukou.
Muxiang San (Aucklandia Powder): Treats the Spleen and Stomach, harmonizes Qi, and promotes digestion.
Ingredients: Gan Mugua (Dried Chaenomelis Fructus) (roasted, 5 liang), Yizhi (Alpiniae Oxyphyllae Fructus) (remove skin), Gui (Cinnamomi Ramulus) (remove rough bark), Caodoukou (Cardamomi Fructus) (remove shell), Hongdoukou (Galangal Seed), Ganjiang (Zingiberis Rhizoma) (processed), Shenqu (Massae Medicatae Fermentatae) (stir-fried, each 3 fen), Shengjiang (Fresh Zingiberis Rhizoma) (1 jin, extract natural juice), Dingxiang (Caryophylli Flos), Chenxiang (Aquilariae Lignum Resinatum) (each 1 liang), Yan (Salt) (1 jin). Grind the fourteen ingredients into a powder.
Usage: [Original text missing specific usage instructions, only lists ingredients.]
Muxiang Zhusan (Aucklandia Boiled Powder) (from Imperial Medical Bureau Formulary): Treats Spleen-Stomach disharmony, inability to eat, chest and epigastric stuffiness, bland taste in the mouth, as well as resolving Shaoyang disease and regulating Middle Jiao Qi.
Ingredients: Muxiang (Aucklandiae Radix), Renshen (Ginseng Radix et Rhizoma), Bai Fuling (Poria) (remove black skin), Banxia (Pinelliae Tuber) (wash in hot water seven times, stir-fry), Baizhu (Atractylodis Macrocephalae Rhizoma), Nongpo (Magnoliae Officinalis Cortex) (remove rough bark, each 1 fen, crush Nongpo with 1 fen of fresh ginger and stir-fry until dry), Ganjiang (Zingiberis Rhizoma) (processed), Gui (Cinnamomi Ramulus) (remove rough bark), Zhishi (Aurantii Fructus Immaturus) (bran-roasted, remove pith), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted and cut, each ban liang), Chen Ju Pi (Citri Reticulatae Pericarpium) (soak in hot water, remove white pith, roast until dry, 1 liang), Binglang (Arecae Semen) (cut, 1 piece), Caodoukou (Cardamomi Fructus) [remove shell, 2 qian (pieces)], Helile (Terminaliae Fructus) (bake, remove core, 5 pieces).
Usage: [Original text missing specific usage instructions, only lists ingredients.]
Dafu Tang (Betel Nut Decoction): Treats Spleen-Stomach disharmony, inability to eat.
Ingredients: Dafu (Arecae Pericarpium) (cut), Shenqu (Massae Medicatae Fermentatae), Nongpo (Magnoliae Officinalis Cortex) (remove rough bark, stir-fry with ginger juice), Muxiang (Aucklandiae Radix) (cut, each 1 liang), Roudoukou (Myristicae Semen) (remove shell), Ganjiang (Zingiberis Rhizoma) (processed), Ren [Shen?], Mai [Ya?] (lightly stir-fried), Banxia (Pinelliae Tuber) [wash in hot water seven times, remove slipperiness, roast until dry, each ban (1) liang], Jing Sanleng (Sparganii Rhizoma) (process, cut, 1.5 liang).
Usage: Cut the above herbs. Take 3 (2) qian bi each time, add 1 bowl of water, 3 slices of fresh ginger, and 2 dates broken open, decoct together until 7 (6) parts remain, strain, and take slightly warm before meals.
Muxiang Wan (Aucklandia Pill) (from Xuanming Lun): Harmonizes Spleen and Stomach, opens the chest and diaphragm, eliminates rebellious Phlegm, stops vomiting, and improves appetite.
Ingredients: Guanzi Gui (Cinnamomi Cortex), Ganjiang (Zingiberis Rhizoma) (each ban liang), Muxiang (Aucklandiae Radix) (1 fen), Dahuang (Rhei Radix et Rhizoma), Pengzhu (Curcumae Rhizoma), Yuanhua (Genkwa Flos) (mixed with vinegar, moistened, and stir-fried), Zhike (Aurantii Fructus) (remove pith), Chenpi (Citri Reticulatae Pericarpium) (also known as Hongpi), Banxia (Pinelliae Tuber) (2 liang), Qianniu (Pharbitidis Semen) (half jin, take 4 liang of powder), Huixiang (Foeniculi Fructus) (stir-fried), Badou (Crotonis Fructus) (4 seeds).
Usage: Grind the above into powder, add drops of water to form pills. [Original text missing pill size and dosage instructions.]
Zisu Wan (Perilla Pill): Treats Spleen-Stomach disharmony, rebellious Phlegm and saliva, vomiting, cramping pain in the umbilical and abdominal region, chest and heart stuffiness, regulates Zang organs, and stops diarrhea.
Ingredients: Zisu Ye (Perillae Folium), Gui (Cinnamomi Ramulus) (remove rough bark), Chi Fuling (Poria) (remove skin), Suosha (Amomi Fructus Rotundus) (remove shell), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted and cut, each 2 liang), Chenxiang (Aquilariae Lignum Resinatum) (cut), Renshen (Ginseng Radix et Rhizoma), Jiegeng (Platycodonis Radix) (stir-fried), Qing Ju Pi (Citri Reticulatae Pericarpium Viride) (soak in hot water, remove white pith, roast), Chen Ju Pi (Citri Reticulatae Pericarpium) [soak in hot water, remove white pith, roast, each 2 (1) liang], Hujiao (Piperis Longi Fructus) (ban liang).
Usage: Grind the above into powder, mix with refined honey to form pills the size of a bullet. Take 1 pill each time, chew with salted ginger water.
Chenxiang Tang (Agarwood Decoction): Treats Spleen-Stomach Qi disharmony, heart and abdominal [pain], inability to eat.
Ingredients: Chenxiang (Aquilariae Lignum Resinatum) (cut), Nongpo (Magnoliae Officinalis Cortex) (remove rough bark, roast with ginger juice), Gui (Cinnamomi Ramulus) (remove rough bark), Yizhi (Alpiniae Oxyphyllae Fructus) (remove skin, stir-fry), Baizhu (Atractylodis Macrocephalae Rhizoma), Qing Ju Pi (Citri Reticulatae Pericarpium Viride) (soak in hot water, remove white pith, roast), Jiegeng (Platycodonis Radix) (stir-fry, each 1 liang, roast), Wuweizi (Schisandrae Chinensis Fructus) (1 liang 1 fen, lightly stir-fry), Fuzi (Aconiti Lateralis Radix Praeparata) (process until cracked, remove skin and navel), Ganjiang (Zingiberis Rhizoma) (processed), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted and cut, each ban liang).
Usage: Coarsely grind and sieve the above. Take 2 qian bi each time, add 1 bowl of water, 3 slices of fresh ginger, decoct together until 7 (6) parts remain, strain, and take slightly warm before [meals].
Muxiang Wan (Aucklandia Pill) (from Shenghui Fang): Treats Spleen-Stomach disharmony, abdominal and hypochondriac distension and fullness, occasional [pain], and loss of appetite.
Ingredients: Muxiang (Aucklandiae Radix) (1 liang), Guixin (Cinnamomi Ramulus), Xiong (Ligustici Chuanxiong Rhizoma) (1 liang), Qianghuo (Notopterygii Rhizoma et Radix) (1 liang), Fuzi (Aconiti Lateralis Radix Praeparata) (1 liang, process until cracked, remove skin and navel), Chuan Dahuang (Rhei Radix et Rhizoma) (1 liang, cut and lightly stir-fried), Binglang (Arecae Semen) (1 liang), Ganjiang (Zingiberis Rhizoma) (1 liang, process until cracked and cut), Yuliren (Pruni Armeniaci Semen Amarum) (1 liang, soak in hot water, remove skin, lightly stir-fried), Qianniu Zi (Pharbitidis Semen) (2.5 liang, lightly stir-fried), Xiang Ju Pi (Citri Reticulatae Pericarpium) (1 liang, soak in hot water, remove white pith, roast).
Usage: Grind the above into powder, mix with refined honey and pound 300-500 times, form pills the size of paulownia seeds. Take 20 pills each time on an empty stomach, washed down with ginger and orange peel tea.
Gaoliang Jiang San (Galangal Powder): Treats Spleen-Stomach disharmony, reduced food intake, and borborygmus in the abdomen.
Ingredients: Gaoliangjiang (Alpiniae Officinarum Rhizoma) (1.5 liang), Chen Ju Pi (Citri Reticulatae Pericarpium) (remove white pith, roast, 2 liang), Roudoukou (Myristicae Semen) (remove shell), Ganjiang (Zingiberis Rhizoma) (process until cracked), Nongpo (Magnoliae Officinalis Cortex) (remove rough bark, roast with ginger juice and cut), Wuweizi (Schisandrae Chinensis Fructus), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted and cut), Baizhu (Atractylodis Macrocephalae Rhizoma), Wuzhuyu (Evodiae Fructus) (wash in hot water, roast until dry, stir-fry, each 1 liang), Shenqu (Massae Medicatae Fermentatae) (stir-fried, ban liang).
Usage: Grind and sieve the above into a powder. Take 2 qian bi each time, mix with rice water from old grain.
Banxia Yin (Pinellia Drink): Treats Spleen-Stomach disharmony, inability to eat, and vomiting upon seeing food.
Ingredients: Banxia (Pinelliae Tuber) (1 liang, separately grind into powder, mix with fresh ginger juice to form cakes, roast until dry, and pound together), Ganjiang (Zingiberis Rhizoma) (processed, 1 liang), Zaorou (Date Flesh) (roast), Fuzi (Aconiti Lateralis Radix Praeparata) (process until cracked, remove skin and navel), Qing Ju Pi (Citri Reticulatae Pericarpium Viride) (soak in hot water, remove white pith, roast, each ban liang), Chen Ju Pi (Citri Reticulatae Pericarpium) (soak in hot water, remove white pith, roast), Hongdoukou (Galangal Seed) (remove shell, each 1 liang), Muxiang (Aucklandiae Radix) (ban fen), Caodoukou (Cardamomi Fructus) (remove shell, 2 pieces).
Usage: Cut the above herbs. Take 1.5 qian bi each time, add 1 bowl of water, half spoon of honey, decoct until 7 parts remain, strain, and take [slightly warm].
Junqi Wan (Harmonizing Qi Pill): Treats Spleen-Stomach disharmony, chest and heart fullness and stuffiness, inability to eat, rebellious Phlegm and acid regurgitation, weakness, dizziness, and vertigo.
Ingredients: Mudanpi (Moutan Cortex), Danggui (Angelicae Sinensis Radix) (cut and roast), Muxiang (Aucklandiae Radix), Jing Sanleng (Sparganii Rhizoma) (process and crush, each 1 fen), Banxia (Pinelliae Tuber) (ban liang, separately grind into powder, mix with fresh ginger juice to form cakes, roast until dry, and pound together), Qing Ju Pi (Citri Reticulatae Pericarpium Viride) (soak in hot water, remove white pith, roast), Zhishi (Aurantii Fructus Immaturus) (remove pith, bran-roast, each ban liang), Binglang (Arecae Semen) (cut, 1 liang).
Usage: Grind the above into powder. [Original text missing pill preparation and dosage instructions.]
Baizhu Wan (Atractylodes Pill): Treats Spleen-Stomach disharmony, inability to eat.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma) (cut), Nongpo (Magnoliae Officinalis Cortex) (remove rough bark, roast with ginger juice and cut), Cangzhu (Atractylodis Rhizoma) (remove rough bark, stir-fry, each ban jin), Wuyi (Euodiae Fructus? Note: Context suggests digestive aid, possibly Wuyi or similar), Qing Ju Pi (Citri Reticulatae Pericarpium Viride) (remove white pith, roast), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted and cut), Fuzi (Aconiti Lateralis Radix Praeparata) (process until cracked, remove skin and navel, each 3 liang), Ganjiang (Zingiberis Rhizoma) (process until cracked, 2 liang).
Usage: Grind the above into powder, mix with refined honey to form pills the size of chicken heads [seeds]. [Original text missing dosage instructions.]
Jinshi Tang (Appetite-Enhancing Decoction) (also known as Jinshi San): Treats Spleen-Stomach disharmony, loss of appetite, cold-deficiency vomiting and regurgitation. (Formula see Jinshi San)
Bawei Zhusan (Eight-Ingredient Boiled Powder): Treats Spleen-Stomach Qi deficiency, inability to eat.
Ingredients: Nongpo (Magnoliae Officinalis Cortex) (remove rough bark, roast with ginger juice and cut), Mai [Ya] (Hordei Fructus Germinatus) (stir-fried, each 2 liang), Wuzhuyu (Evodiae Fructus) (wash in hot water, roast until dry, stir-fry), Renshen (Ginseng Radix et Rhizoma), Gui (Cinnamomi Ramulus) (remove rough bark), Wu [Yi?].
Usage: [Original text missing solvent and brewing method, only lists ingredients] Add 1 bowl of water, 3 slices of fresh ginger, and 1 date broken open, decoct together until 6 parts remain, strain, and take warm on an empty stomach.
Qibao Tang (Seven-Treasure Decoction): Treats Spleen-Stomach disharmony, stabbing pain in the abdomen, rebellious Stomach Qi and cold, inability to eat.
Ingredients: Caodoukou (Cardamomi Fructus) (5 pieces, wrapped in flour, baked until cooked, remove flour and skin), Bai Fuling (Poria) (remove black skin), Renshen (Ginseng Radix et Rhizoma) (each 1 liang), Dafupi (Arecae Pericarpium) (cut, 4 pieces), Helile (Terminaliae Fructus) (process, remove core, 5 pieces), Banxia (Pinelliae Tuber) [2 (1) fen, soak in hot water and wash five times, soak in ginger juice overnight, remove ginger juice, stir-fry until yellow], Gancao (Glycyrrhizae Radix et Rhizoma) (roasted and cut, ban liang).
Usage: Coarsely grind and sieve the above. Take 3 qian bi each time, add 1 bowl of water, 3 slices of fresh ginger, and 2 dates broken open, decoct together until 7 parts remain, strain, and take warm.
Chenxiang Tang (Agarwood Decoction): Treats Spleen-Stomach Qi disharmony, false fullness, inability to eat.
Ingredients: Chenxiang (Aquilariae Lignum Resinatum) (cut), Xiang [Fu] Zi (Cyperi Rhizoma) (stir-fried), Qing Ju Pi (Citri Reticulatae Pericarpium Viride) (remove white pith, stir-fry), Hujiao (Piperis Longi Fructus), Bichengqie (Schizonepetae Fructus? Note: Often Allspice/Litsea), Lianshi (Meliae Fructus) (cut and stir-fried), Chen Ju Pi (Citri Reticulatae Pericarpium) (remove white pith, roast, each 1 liang).
Usage: Coarsely grind and sieve the above. Take 3 qian bi each time, add 3 cun of scallion white broken open, half bowl of wine, and half bowl of child's urine, decoct together until 7 parts remain, strain [and take].
Liao Pi Wan (Spleen-Clearing Pill): Harmonizes Spleen and Stomach, opens the chest and diaphragm, eliminates rebellious Phlegm, stops vomiting, and improves appetite.
Ingredients: Shi Yanzǐ (Hematitum), Boshang Liuhuang (Sulfur imported from overseas) (1 liang), Bai Dingxiang (Vomeris Os), Dingxiang (Caryophylli Flos) (7 qian, pure), Muxiang (Aucklandiae Radix) (5 qian), Shijunzi (Quisqualis Fructus) (remove shell, 1 liang), Chenpi (Citri Reticulatae Pericarpium) (5 qian). Use 1 liang of Sanleng [cut]. Stir-fry 5 qian of clean Badou with Jing Sanleng until Badou is scorched yellow, remove Badou and do not use. Mix with the above herbs into fine powder, use vinegar-boiled Dahuang powder to form pills the size of paulownia seeds, dry in the sun. Take 40 pills each time on an empty stomach, washed down with any suitable liquid. For children, make pills the size of millet seeds, take 100 pills each time, effect indicated by black stool.
Jianzhong Wan (Strengthening Middle Pill): Treats Spleen-Stomach disharmony, inability to eat.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Nongpo (Magnoliae Officinalis Cortex) (remove rough bark, roast with ginger juice, each 2 liang), Muxiang (Aucklandiae Radix), Helile (Terminaliae Fructus) (remove core), Roudoukou (Myristicae Semen) (remove shell), Xiong [Xiong] (Ligustici Chuanxiong Rhizoma) (each [1 liang?]). [Original text incomplete here.]
Caodoukou Tang (Cardamom Decoction): Treats Spleen-Stomach Qi cold-heat disharmony, enhances appetite and harmonizes Qi.
Ingredients: Caodoukou (Cardamomi Fructus) (remove shell), Renshen (Ginseng Radix et Rhizoma), Chen Ju Pi (Citri Reticulatae Pericarpium) (soak in hot water, remove white pith, roast), Nongpo (Magnoliae Officinalis Cortex) (remove rough bark, roast with ginger juice, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted and cut), Gui (Cinnamomi Ramulus) (remove rough bark, each ban liang).
Usage: Coarsely grind and sieve the above. Take 3 qian bi each time, add 1 bowl of water, 3 slices of fresh ginger, decoct until 6 parts remain, remove [dregs] before [meals] [take].
Hewei Wan (Stomach-Harmonizing Pill): Treats Spleen-Stomach cold-heat disharmony, inability to eat, chest and diaphragm fullness and stuffiness, rebellious Phlegm and saliva vomiting, and all Qi disorders.
Ingredients: Gancao (Glycyrrhizae Radix et Rhizoma) (raw and cut), Gaoliangjiang (Alpiniae Officinarum Rhizoma) (raw, each 1 liang), Huoxiang Ye (Agastaches Folium), Gui (Cinnamomi Ramulus) (remove rough bark), Dingxiang Pi (Caryophylli Cortex) (roasted, each 1 liang).
Usage: Grind the above into powder, mix with refined honey and pound 200-300 times, form pills the size of cherries. Take 1 pill each time, chew with salted water, take on an empty stomach.
Nongpo Tang (Magnolia Bark Decoction): Treats Spleen-Stomach disharmony, resolves phlegm-stagnation, regulates Middle Zang, and treats urgency and restlessness in the epigastrium.
Ingredients: Nongpo (Magnoliae Officinalis Cortex) (remove rough bark, 4 liang, crush with 2 liang of fresh ginger, store in shade for 1-2 days, dry in sun), Chen Ju Pi (Citri Reticulatae Pericarpium) (soak in hot water, remove white pith, roast, 3 liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (4 liang), Wuyao (Litseae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted and cut, each 2 liang).
Usage: Grind and sieve the above. Take 2 qian bi each time, add 1 bowl of water, 3 slices of fresh ginger, and 2 dates broken open, decoct together until 7 parts remain, strain, and take warm.
Baidoukou Wan (White Cardamom Pill): Treats Spleen-Stomach disharmony, inability to eat.
Ingredients: Baidoukou (Cardamomi Albi Fructus) (remove shell, 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma) (processed, each 3 fen).
Usage: Grind the above into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take 20 pills each time, washed down with ginger and date decoction, on an empty stomach before meals.
Tiaozhong Wan (Regulating Middle Pill) (from Imperial Medical Bureau Formulary): Treats Spleen-Stomach disharmony, internal damp-heat accumulation, irritability and thirst, loss of appetite, dizziness and vertigo, and unclear [red/turbid] urination.
Ingredients: Chi Fuling (Poria), Zhuling (Polyporus), Chenpi (Citri Reticulatae Pericarpium) (remove pith), Baizhu (Atractylodis Macrocephalae Rhizoma), Jiegeng (Platycodonis Radix), Zexie (Alismatis Rhizoma), Huangqin (Scutellariae Radix), Dahuang (Rhei Radix et Rhizoma), Gui (Cinnamomi Ramulus) (remove rough bark, each 1 liang), Zhike (Aurantii Fructus Immaturus) (bran-roasted, remove pith), Gegen (Puerariae Lobatae Radix), Mutong (Akebiae Caulis) (each 1.5 liang), Banxia (Pinelliae Tuber) (wash in hot water), Huashi (Talcum) (each 2 liang), Hei Qianniu (Pharbitidis Semen) (raw [use?]). [Original text missing dosage and usage.]
Tiaozhong Yiqi Tang (Regulating Middle and Boosting Qi Decoction) (from Jisheng Bacui Fang): The pulse is wiry, surging, slow, and deep; pressing below the middle yields a occasional choppy sensation. Symptoms include fullness and stuffiness in the four limbs, painful joints, difficulty bending and stretching, heavy body, vexation and uneasiness, fluctuating weight (suddenly fat or thin), lazy and fatigued limbs, loss of taste in the mouth, difficulty extending again, clear and frequent urination and defecation, or drinking leads to immediate urination, or constipation with infrequent bowel movements (once every one or two days). Summer presents with undigested stool, or blood and white pus after defecation, chest fullness and shortness of breath, obstruction in the diaphragm and throat, thick and sticky phlegm cough, foaming in the mouth, food regurgitation, tinnitus and deafness, fire flowing in the eyes, blurred vision, red filaments in the [eyelid?] flesh, heat congesting the head and eyes, inability to lie down comfortably, lethargy and weakness, and loss of appetite.
Ingredients: Shengma (Cimicifugae Rhizoma) (2 fen), Huangqi (Astragali Radix) (1 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (5 fen), Cangzhu (Atractylodis Rhizoma) (5 fen), Muxiang (Aucklandiae Radix) (1 fen or 2 fen, add if Qi does not circulate), Renshen (Ginseng Radix et Rhizoma) (5 fen, remove if coughing), Chaihu (Bupleuri Radix) (2 fen, these two ingredients address Qi deficiency where Stomach and Spleen Qi sink; they tonify upper Qi, drawing Yang from Yin), Jupi [Citrus Peel] (2 fen, add another 1-2 fen if abdominal Qi fails to circulate). Cut the above herbs like hemp beans, prepare as one dose, decoct 2 bowls of water until 1 bowl remains, strain and take hot. Take after residual food is digested. Calm the mind and eliminate distracting thoughts, the medicine will be miraculous. The disease lies in the four limbs and blood vessels, taken on an empty stomach in the morning. If obvious heat and dryness appear, this is steaming from Yin fire in the lower origin. Add Zhen Shengdi Huang (Rehmanniae Radix) 2 fen, Huangbo (Phellodendri Cortex) 3 fen. If the stool is loose and unsuitable for taking, or if defecation is incomplete with constant abdominal pressure, this is Blood deficiency and stagnation. Add Danggui Shen (Angelicae Sinensis Radix radix portion). If the body feels heavy, even with frequent urination, also add Fuling 2 fen, Cangzhu 1 qian, Zexie 5 fen, Huangbo 3 fen. This is a temporary measure to dispel dampness, not for long-term use. It also involves the Foot Taiyin channel. The pulse ultimately reaches the Heart, hence damp-heat combines to cause confusion. If Stomach Qi is disharmonious, add Banxia (Pinelliae Tuber) washed in soup 0.5 qian, 3 slices of fresh ginger. If coughing, add fresh ginger and Shengdi Huang 2 fen to counteract Banxia toxicity. For Phlegm-Jue headache, only Banxia can resolve it; this is caused by the Foot Taiyang channel. Another school attributes it to the Foot Taiyin channel. If none of the above symptoms exist, take only:
Huangqi (Astragali Radix) (1 qian), Zhi Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian), Chaihu (Bupleuri Radix) (3 fen), Renshen (Ginseng Radix et Rhizoma) (0.5 qian, remove if coughing), Cangzhu (Atractylodis Rhizoma) (0.5 qian), Huangbo (Phellodendri Cortex) (2 fen, wine-washed), Jupi (Citrus Peel) (add 1 fen if abdominal Qi fails to circulate, or add Muxiang 1 fen or 2 fen; if no such symptom, do not add, use only 3 qian Jupi), Shengma (Cimicifugae Rhizoma) (3 fen, these two ingredients address insufficient upper Qi where Stomach and Spleen Qi are not weak; they tonify upper Qi, drawing Yang from Yin). Cut the above herbs like hemp beans, decoct according to previous methods. If combined with dryness-heat, add Huangbo 2 fen and Shengdi Huang 2 fen. If none of the above symptoms exist, take only the previous medicine. In summer, add Baishao (Paeoniae Radix Alba) 3 fen; especially suitable in spring if abdominal pain occurs. If aversion to heat with thirst or abdominal pain, add Baishao 0.5 qian and Sheng Huangqin (Scutellariae Radix) 2 fen. If aversion to cold with abdominal pain, add Zhong Gui (Cinnamon Twig) 3 fen, remove Huangqin, called Guizhi Shaoyao Tang. Also decoct with Gui added to Shaoyao Tang. In winter, if abdominal pain, do not use Baishao as it is a great cold herb; instead add Ganjiang (Zingiberis Rhizoma) 2-3 fen, or add Banxia 5-7 fen, controlled by a little fresh ginger. In autumn and winter months, the Stomach pulse has four pathways, reversed by Chong and Ren pulses, under the hypochondrium, and along the Shaoyang pulse two pathways reversing upward, the disease is named Jue-Ni (Reversal Cold). Symptoms include Qi rushing up to the throat, inability to breathe, wheezing with sound, and inability to lie down. Use Wuzhuyu (Evodiae Fructus) 0.5 qian or 1.5 qian, wash in soup to remove bitterness, use according to the amount of Jue Qi, also prepare as one dose with the previous medicine. If this symptom occurs in summer, it indicates great heat. This disease changes with the four seasons into cold, heat, warmth, and coolness. It is appropriate to use Huanglian (Coptidis Rhizoma) wine-washed, Huangbo (Phellodendri Cortex) wine-washed, and Zhimu (Anemarrhenae Rhizoma) wine-washed in equal parts, grind into fine powder, form pills with hot water the size of paulownia seeds. Take 100 or 200 pills each time, washed down with plain water, on an empty stomach, so as not to leave residue in the Stomach, suppress with a good meat breakfast. This treats diseases obtained from dietary irregularity and fatigue, which are signs of Xu Lao Seven Damages. Generally, balance with sweet and warm flavors, more sweet than pungent, is the treatment.
Xiao Dusheng Wan (Little Unique Holy Pill) (from Heji Fang): Treats Spleen-Stomach disharmony, excessive damage from food, stabbing pain in the heart and abdomen, retching and nausea, choking and stuffiness with acid regurgitation, dry belching with food odor.
Ingredients: Badou (Crotonis Fructus) (weigh 0.5 liang with skin, remove skin, heart, and membrane, cook until ripe to get 3 qian, grind), Sha [Ren] (Cardamomi Fructus) (lightly grind and sift, 1 liang), Rougui (Cinnamomi Cortex) (remove rough bark, 1 jin), Ban [Xia?] [?], Dingpi (Caryophylli Cortex) (imported), Wumei (Mume Fructus) (remove core), Ganjiang (Zingiberis Rhizoma) (processed), Danggui (Angelicae Sinensis Radix) (remove radicle), Sanleng (Sparganii Rhizoma) (bake and crush, each 4 liang).
Usage: Grind the above into fine powder, mix evenly with Badou [kernel] and Sha [Ren], boil in water with flour paste to form pills the size of sesame seeds. Take 3 to 5 pills each time, washed down with warm water, after meals. Often [take?].
Renshen Zhusan (Ginseng Boiled Powder) (from Heji Fang): Treats Spleen-Stomach disharmony, Qi stagnation in the middle jiao, heart and abdominal distension and pain, loss of appetite, residual cold and retained fluids, stagnant accumulation not digesting, or excessive drinking of cold liquids damaging Spleen Qi internally, vomiting and rebellious Phlegm, alternating chills and fever, or occasional sweating. Also treats cold-dampness of the intestines and stomach, diarrhea, and profuse discharge.
Ingredients: Renshen (Ginseng Radix et Rhizoma) (4 liang), Qingpi (Citri Reticulatae Pericarpium Viride) (remove white pith, 12 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, 10 liang), Ganjiang (Zingiberis Rhizoma) (processed, 6 liang), Shaoyao (Paeoniae Radix) (1 jin), Sanleng [Sparganii Rhizoma] [bake and crush, 12-13 liang], Dingpi (Caryophylli Cortex) (6 liang), Fuling (Poria) (remove skin), Cangzhu (Atractylodis Rhizoma) (remove skin, each ban jin).
Usage: Grind the above into powder. Take 2 qian each time, add 1 bowl of water, 5 slices of fresh ginger, and 3 dates, decoct together until 7 parts remain, take warm on an empty stomach before meals.
Pi Bu Mo Fang (Spleen Not Grinding Formula)