（附论）
夫脾为中州。主腐化水谷。裨诸脏腑。若脾虚冷气与正气相击。则令腹内虚鸣。甚则腹
痛下
走往
方
陈橘皮汤 治脾脏虚冷。邪正气相击搏。腹内虚鸣。兼治阴阳二毒伤寒。
陈橘皮（汤浸去白麸炒） 桂（去粗皮） 甘草（炙锉） 干姜（炮） 枳壳（去瓤麸
炒） 白术
人
黎
勒（
木香
（各
热
服
乌头丸 治脾脏冷气。腹内虚鸣。四肢多冷。心腹疼痛。
草乌头（去皮尖取末一两） 芫花（一分醋炒黄别杵为末二味用醋一升熬成稠膏刮出） 桂
（去
皮脐） 当
归（
二味熬膏
外
皮
橘皮煮散（出王氏博济方）治脾脏冷气不和。腹内雷鸣。膨胀刺痛。及解伤
寒。
陈橘皮（汤浸去白炒） 白术（各二两） 诃黎勒（炮去核） 干姜（炮） 枳壳（去
瓤麸炒）
桂（
夏（汤
浸二
生
姜三
益智煮散 治脾脏冷气。肠鸣相逐。饮食无味。补虚。
益智（去皮） 乌药（锉） 桂（去粗皮） 天仙藤（各一两） 莎草根（炒去毛） 陈
橘皮（汤
浸去
（一钱） 上捣为粗散。每服三钱匕。水一盏。入生姜三片。枣二枚。擘破。煎六分。去滓
温服。食前。
桔梗散（出圣惠方）治脾脏久积冷气流走。腹内虚鸣。两胁胀满。少思饮食。
桔梗（一两去芦头） 木香（一两） 丹参（一两去芦头） 白豆蔻〔三（分）钱去皮〕
附子
（三
半用皮）
陈橘皮（半两汤浸去白瓤微焙） 上为散。每服三钱。水一中盏。入生姜半分。煎六分。去
滓
。食前稍热服。
诃黎勒丸（出圣惠方）治脾脏冷气。腹内虚鸣。胸膈气滞。不能饮食。虽食
不消。频呕逆。
诃黎勒（一两半煨用皮） 赤茯苓（一两） 吴茱萸（半两汤浸七遍焙干微炒） 白术
（一两）
桂
豆蔻
（
末。炼
蜜和丸。梧桐子大。每服不计时。生姜汤下二十丸。
浓朴汤 治脾脏虚冷。腹胀肠鸣。 痛泄泻。饮食不化。
浓朴（去粗皮生姜汁炙） 白茯苓（去黑皮） 人参 草豆蔻（去皮） 陈橘皮〔汤浸
去白
瓤焙
枳壳（去
瓤
至
浓朴丸 治脾脏冷气。腹内虚鸣。内寒外热。宿食不消。大便乍秘乍泄。腑脏不调
。少思饮
浓朴（一两半去粗皮涂生姜汁炙令香熟） 白术（半两） 干姜（半两炮裂锉） 桔梗
（一两
去芦
两炙微赤
锉）
粥
饮下
肉豆蔻丸 治脾脏虚冷。气攻心腹。 痛肠鸣。
肉豆蔻（去壳） 干姜（炮） 陈橘皮（汤洗去白焙） 半夏（汤洗去滑七遍焙） 桂
（去粗皮）
吴茱萸（汤浸焙干炒） 浓朴（去粗皮生姜汁炙） 乌头（炮裂去皮脐） 白茯苓（去黑皮
各半两）
上为末。枣肉丸梧桐子大。食前生姜醋汤下十五丸。
补脾散 治脾脏冷气。腹内虚鸣泄泻。及食气结块。憎寒壮热。日渐羸瘦。
木香（半两） 草豆蔻（白面裹慢火煨令焦去皮并面） 陈橘皮（汤浸去白焙） 香
子（炒） 浓朴（去粗皮生姜汁炙） 干姜（炮） 荆三棱（炮各一两） 陈曲（炒）
麦（炒各二两） 上捣罗为散。食前。炒生姜盐汤调下二钱匕。
赤茯苓散 治脾脏冷气。胸膈不利。腹内虚鸣。少思饮食。
赤茯苓（三钱） 桔梗（三钱去芦头） 白术（三钱） 吴茱萸（一钱汤浸七遍焙干微
炒） 槟
榔（
为散。
每
白术丸（出圣惠方）治脾脏冷气壅滞胀闷。腹内鸣转。不思饮食。
白术（三两生姜二两同捣令烂慢火炒令黄色） 桂心（半两） 槟榔〔二（一）两〕 高
良姜
（一
茱萸
（半两汤
丸。
梧桐子大
吴茱萸丸（出圣惠方）治脾脏冷气积滞。醋心呕逆。宿食不消。腹脏虚鸣。
时时疼痛。
吴茱萸（半两汤浸七遍焙干微炒） 神曲（一两炒令微黄） 陈橘皮（二两汤浸去白瓤
焙）
白术
锉） 诃黎
勒（
趁气丸 治脾虚冷气。腹胀满虚鸣。腰腿疼重刺痛。
胡椒（炒一百粒） 木香（三钱） 槟榔（一枚锉） 蝎稍（炒二钱） 阿魏（醋化去
砂入药）
陈橘
末。
生姜
草豆蔻丸 治脾胃久冷。气攻心腹。肠鸣胀满。痰逆恶心。
草豆蔻（炮去皮） 干姜（炮） 桂（去粗皮各一两半） 诃黎勒（煨取皮） 甘草（炙
锉） 白
茯苓
人参散 治脾脏冷气。腹胀虚鸣。饮食不化。泄泻不止。
人参 诃黎勒皮〔各三钱（分）〕 枳壳（去瓤麸炒） 槟榔〔锉各四钱（两）〕 陈橘
皮（汤
浸
空
心服。
丁香丸 治脾脏冷气。心腹痛胀闷。胸膈不利。呕逆。腹内虚鸣。
丁香 香子（炒） 桂（去粗皮） 陈橘皮（汤浸去白焙） 甘草（炙锉） 胡椒（等
分） 上
为
太白汤 治脾虚冷。腹中雷鸣。
附子（炮裂去皮脐二两） 青橘皮（汤浸去白焙一两） 干姜（炮） 香子（炒） 木
香（炮
各
温
温脾丸 治脾脏冷气。腹内虚鸣。
高良姜（一两） 附子（炮裂去皮脐） 干姜（炮） 胡椒（炒各半两） 上为末。炼
蜜丸梧桐
子大。每服二十丸。生姜橘皮或米饮下。不拘时。
[Supplementary Discussion]
The Spleen is located in the central region of the body, akin to a central province. It is primarily responsible for the digestion and transformation of food and fluids (Fu Hua Shui Gu), thereby nourishing all Zang-Fu organs. If Spleen Qi is deficient and Cold Qi arises internally, clashing with the healthy Qi, it causes empty rumbling within the abdomen. In severe cases, abdominal pain occurs, radiating downwards.
Chen Ju Pi Tang (Tangerine Peel Decoction): Treats deficiency-cold of the Spleen organ, where pathogenic factors and healthy Qi clash, causing empty rumbling within the abdomen. Also treats Yin and Yang Er Du Shang Han (Two Poisons Cold Damage).
Ingredients: Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, stir-fried with bran), Guizhi (Cinnamomi Ramulus, rough bark removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed), Ganjiang (Zingiberis Rhizoma, processed), Zhike (Aurantii Fructus, pith removed, stir-fried with bran), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix et Rhizoma), Helile (Terminaliae Chebulae Fructus, roasted), Muxiang (Aucklandiae Radix). (Dosages not specified; take warm).
Wutou Wan (Aconite Pill): Treats Cold Qi of the Spleen organ, abdominal rumbling, frequent coldness of the four limbs, and pain in the heart and abdomen.
Ingredients: Caowutou (Aconiti Kusnezoffii Radix, skin and tip removed, powdered, 1 liang), Yuanhua (Genkwa Flos, 1 fen, stir-fried with vinegar until yellow, pounded separately into powder; boil the above two ingredients with 1 sheng of vinegar into a thick paste and scrape out), Guizhi (Cinnamomi Ramulus, bark and navel removed), Danggui (Angelicae Sinensis Radix). (Boil the latter two ingredients into a paste and mix with the previous paste to form pills).
Jupi Zhu San (Tangerine Peel Decoction Powder, from *Wang Shi Bo Ji Fang*): Treats disharmony of Cold Qi in the Spleen organ, thunderous rumbling in the abdomen, abdominal distension with stabbing pain, and resolves Shang Han pathogens.
Ingredients: Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, each 2 liang), Helile (Terminaliae Chebulae Fructus, processed, pit removed), Ganjiang (Zingiberis Rhizoma, processed), Zhike (Aurantii Fructus, pith removed, stir-fried with bran), Guizhi (Cinnamomi Ramulus), Banxia (Pinelliae Rhizoma, soaked in hot water), Shengjiang (Zingiberis Rhizoma Recens, 3 slices).
Yizhi Zhu San (Alpinia Oxyphylla Decoction Powder): Treats Cold Qi of the Spleen organ, continuous intestinal rumbling, loss of taste for food, and has tonifying effects for deficiency.
Ingredients: Yizhiren (Alpiniae Oxyphyllae Fructus, skin removed), Wuyao (Tsaoko Cardamomi Fructus, crushed), Guizhi (Cinnamomi Ramulus, rough bark removed), Tianxianteng (Akebiae Caulis, each 1 liang), Shacaogen (Cyperi Rhizoma, stir-fried, hairs removed), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed), Qingpi (Citri Reticulatae Pericarpium Viride, 1 qian). Pound into coarse powder. Each dose takes 3 qian bi, add 1 zhan of water, 3 slices of Shengjiang (Zingiberis Rhizoma Recens), 2 Zao (Jujubae Fructus, broken open). Decoct to 6 fen, remove dregs, take warm before meals.
Jiegeng San (Platycodon Powder, from *Sheng Hui Fang*): Treats long-standing accumulation of Cold Qi flowing in the Spleen organ, empty rumbling in the abdomen, fullness and distension in both hypochondria, and reduced appetite.
Ingredients: Jiegeng (Platycodonis Radix, 1 liang, radicle removed), Muxiang (Aucklandiae Radix, 1 liang), Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 1 liang, radicle removed), Baidoukou (Amomi Fructus Rotundus, 3 fen, skin removed), Fuzi (Aconiti Lateralis Radix Praeparata, half liang, keep skin), Chen Ju Pi (Citri Reticulatae Pericarpium, half liang, soaked in hot water, white pith removed, lightly baked). Powder all. Each dose takes 3 qian, 1 zhong zhan of water, half a portion of Shengjiang (Zingiberis Rhizoma Recens). Decoct to 6 fen, remove dregs. Take slightly warm before meals.
Helile Wan (Terminalia Pill, from *Sheng Hui Fang*): Treats Cold Qi of the Spleen organ, empty rumbling in the abdomen, Qi stagnation in the chest and diaphragm, inability to eat, indigestion even after eating, frequent vomiting and regurgitation.
Ingredients: Helile (Terminaliae Chebulae Fructus, 1.5 liang, roasted, use skin), Chi Fuling (Poria with Red Wood, 1 liang), Wuzhuyu (Evodiae Fructus, half liang, soaked in hot water seven times, baked dry, lightly stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Guizhi (Cinnamomi Ramulus), Doukou (Amomi Fructus). Powder all, mix with refined honey to make pills the size of paulownia seeds. Take 20 pills at any time with Shengjiang tea.
Houpo Tang (Magnolia Bark Decoction): Treats deficiency-cold of the Spleen organ, abdominal distension, intestinal rumbling, abdominal pain with diarrhea, and indigestion.
Ingredients: Houpo (Magnoliae Officinalis Cortex, rough bark removed, stir-fried with Shengjiang juice), Bai Fuling (Poria, black skin removed), Renshen (Ginseng Radix et Rhizoma), Caodoukou (Tsaoko Cardamomi Fructus, skin removed), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, baked), Zhike (Aurantii Fructus, pith removed, stir-fried with bran).
Houpo Wan (Magnolia Bark Pill): Treats Cold Qi of the Spleen organ, empty rumbling in the abdomen, internal cold with external heat, retention of undigested food, alternating constipation and diarrhea, dysfunction of Fu organs, and reduced appetite.
Ingredients: Houpo (Magnoliae Officinalis Cortex, 1.5 liang, rough bark removed, coated with Shengjiang juice, stir-fried until fragrant and cooked), Baizhu (Atractylodis Macrocephalae Rhizoma, half liang), Ganjiang (Zingiberis Rhizoma, half liang, processed, cracked, crushed), Jiegeng (Platycodonis Radix, 1 liang, radicle removed)... (Text incomplete here, likely continues with other herbs and instructions such as taking with porridge drink).
Roudoukou Wan (Myristica Pill): Treats deficiency-cold of the Spleen organ, Qi attacking the heart and abdomen, abdominal pain with intestinal rumbling.
Ingredients: Roudoukou (Myristicae Semen, shell removed), Ganjiang (Zingiberis Rhizoma, processed), Chen Ju Pi (Citri Reticulatae Pericarpium, washed in hot water, white pith removed, baked), Banxia (Pinelliae Rhizoma, washed in hot water seven times to remove slipperiness, baked), Guizhi (Cinnamomi Ramulus, rough bark removed), Wuzhuyu (Evodiae Fructus, soaked in hot water, baked dry, stir-fried), Houpo (Magnoliae Officinalis Cortex, rough bark removed, stir-fried with Shengjiang juice), Wutou (Aconiti Radix, processed, cracked, skin and navel removed), Bai Fuling (Poria, black skin removed, each half liang). Powder all, mix with date flesh to make pills the size of paulownia seeds. Take 15 pills before meals with Shengjiang vinegar water.
Bupi San (Spleen-Tonifying Powder): Treats Cold Qi of the Spleen organ, empty rumbling and diarrhea in the abdomen, formation of food-Qi masses, aversion to cold with high fever, and progressive emaciation.
Ingredients: Muxiang (Aucklandiae Radix, half liang), Caodoukou (Tsaoko Cardamomi Fructus, wrapped in white flour, slow-roasted until scorched, skin and flour removed), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, baked), Xiangzi (Foeniculi Fructus, stir-fried), Houpo (Magnoliae Officinalis Cortex, rough bark removed, stir-fried with Shengjiang juice), Ganjiang (Zingiberis Rhizoma, processed), Jingsanleng (Sparganii Rhizoma, processed, each 1 liang), Chenqu (Massa Medicata Fermentata, stir-fried), Maidong/Maiya (Hordei Fructus Germinatus, stir-fried, each 2 liang). Pound and sieve into powder. Before meals, take 2 qian bi mixed with stir-fried Shengjiang salt water.
Chi Fuling San (Red Poria Powder): Treats Cold Qi of the Spleen organ, discomfort in the chest and diaphragm, empty rumbling in the abdomen, and reduced appetite.
Ingredients: Chi Fuling (Poria with Red Wood, 3 qian), Jiegeng (Platycodonis Radix, 3 qian, radicle removed), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 qian), Wuzhuyu (Evodiae Fructus, 1 qian, soaked in hot water seven times, baked dry, lightly stir-fried), Binglang (Arecae Semen)... (Powder all. Each dose... [Text incomplete]).
Baizhu Wan (Atractylodes Pill, from *Sheng Hui Fang*): Treats obstruction and distension due to Cold Qi stagnation in the Spleen organ, abdominal rumbling, and lack of desire to eat.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma, 3 liang, pounded together with 2 liang of Shengjiang until mushy, slow-roasted until yellow), Guixin (Cinnamomi Ramulus Cortex, half liang), Binglang (Arecae Semen, 1 or 2 liang), Gaoliangjiang (Alpiniae Officinarum Rhizoma, 1 liang), Wuzhuyu (Evodiae Fructus, half liang, hot water... [Text incomplete]). Make pills the size of paulownia seeds.
Wuzhuyu Wan (Evodia Pill, from *Sheng Hui Fang*): Treats accumulation and stagnation of Cold Qi in the Spleen organ, acid regurgitation and vomiting, retention of undigested food, empty rumbling in the abdomen and viscera, and intermittent pain.
Ingredients: Wuzhuyu (Evodiae Fructus, half liang, soaked in hot water seven times, baked dry, lightly stir-fried), Shenqu (Massa Medicata Fermentata, 1 liang, stir-fried until slightly yellow), Chen Ju Pi (Citri Reticulatae Pericarpium, 2 liang, soaked in hot water, white pith removed, baked), Baizhu (Atractylodis Macrocephalae Rhizoma)... [Text incomplete, likely includes Zhike and Helile].
Chenqi Wan (Qi-Advancing Pill): Treats deficiency-cold of the Spleen, abdominal distension and fullness with empty rumbling, heavy and stabbing pain in the waist and legs.
Ingredients: Hujiao (Piperis Nigris Fructus, stir-fried, 100 grains), Muxiang (Aucklandiae Radix, 3 qian), Binglang (Arecae Semen, 1 piece, crushed), Xieshao (Scorpio, stir-fried, 2 qian),awei (Ferulae Resina, dissolved in vinegar, sand removed, added to medicine), Chen Ju Pi (Citri Reticulatae Pericarpium)... (Powder all... [Text incomplete, likely instructions to take with Shengjiang water]).
Caodoukou Wan (Cardamom Pill): Treats long-standing cold of the Spleen and Stomach, Qi attacking the heart and abdomen, intestinal rumbling and distension, phlegm-regurgitation and nausea.
Ingredients: Caodoukou (Tsaoko Cardamomi Fructus, processed, skin removed), Ganjiang (Zingiberis Rhizoma, processed), Guizhi (Cinnamomi Ramulus, rough bark removed, each 1.5 liang), Helile (Terminaliae Chebulae Fructus, roasted, use skin), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed), Baifuling (Poria)...
Renshen San (Ginseng Powder): Treats Cold Qi of the Spleen organ, abdominal distension and empty rumbling, indigestion, and incessant diarrhea.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Helile Pi (Terminaliae Chebulae Fructus Cortex, each 3 qian), Zhike (Aurantii Fructus, pith removed, stir-fried with bran), Binglang (Arecae Semen, crushed, each 4 qian), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water... [Text incomplete]). Take on an empty stomach, warm.
Dingxiang Wan (Clove Pill): Treats Cold Qi of the Spleen organ, pain, distension, and stuffiness in the heart and abdomen, discomfort in the chest and diaphragm, vomiting and regurgitation, empty rumbling in the abdomen.
Ingredients: Dingxiang (Caryophylli Flos), Xiangzi (Foeniculi Fructus, stir-fried), Guizhi (Cinnamomi Ramulus, rough bark removed), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, baked), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed), Hujiao (Piperis Nigris Fructus, equal parts). ... (Powder all... [Text incomplete regarding preparation and dosage]).
Taibai Tang (White Emperor Decoction): Treats deficiency-cold of the Spleen, thunderous rumbling in the abdomen.
Ingredients: Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, skin and navel removed, 2 liang), Qingju Pi (Citri Reticulatae Pericarpium Viride, soaked in hot water, white pith removed, baked, 1 liang), Ganjiang (Zingiberis Rhizoma, processed), Xiangzi (Foeniculi Fructus, stir-fried), Muxiang (Aucklandiae Radix, processed, each... [Text incomplete]). Take warm.
Wenpi Wan (Warm-Spleen Pill): Treats Cold Qi of the Spleen organ, empty rumbling in the abdomen.
Ingredients: Gaoliangjiang (Alpiniae Officinarum Rhizoma, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, skin and navel removed), Ganjiang (Zingiberis Rhizoma, processed), Hujiao (Piperis Nigris Fructus, stir-fried, each half liang). Powder all, mix with refined honey to make pills the size of paulownia seeds. Take 20 pills each time with Shengjiang tangerine peel water or rice drink, at any time.