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(Attached Treatise)
The spleen is the official responsible for storage and transportation of grain. The stomach is the sea of water and grain. When their qi is harmonious, they distribute essence and subtle nutrients, sending them upward to the heart and lungs, and downward to the kidneys and liver.

Deficiency Patterns
Formulas

Chenxiang Tang (Sandalwood Decoction) (from *Shengji Zonglu*): Tonifies deficiency and regulates qi, smooths the Sanjiao (Triple Burner), harmonizes the zang-fu organs and abdomen, and promotes appetite.
Ingredients: Chenxiang (Agarwood, *Aquilaria sinensis*), Roudoukou (Nutmeg, *Myristica fragrans*), Guizhi (Cinnamon Twig, *Cinnamomi Ramulus*), Houpo (Magnolia Bark, *Magnolia officinalis*, peeled and stir-fried with fresh ginger juice), Muxiang (Vladimiria Root, *Vladimiria souliei*), Binglang (Areca Seed, *Areca catechu*), Qingju pi (Green Tangerine Peel, *Citrus reticulata*, soaked to remove white pith and hairs), Baizhu (Atractylodes Rhizome, *Atractylodes macrocephala*, baked and sliced, removing the rhizome head), Zhike (Bitter Orange Fruit, *Aurantii Fructus*, pulp removed). The above ingredients are coarsely crushed. Take 5 qian, add 1.5 sheng of water, decoct to 1 sheng, strain, and take warm.

Muxiang Hezhong Wan (Vladimiria Pill for Harmonizing the Middle): Harmonizes spleen qi, benefits kidney water, eliminates accumulation in the intestines and stomach, regulates Sanjiao qi and vessels, opens chest and diaphragm fullness, and relieves stifling pain in the heart and abdomen.
Ingredients: Muxiang (Vladimiria Root, *Vladimiria souliei*, remove rotten parts), Chenxiang (Agarwood, *Aquilaria sinensis*), Baidoukou (White Cardamom, *Amomum kravanh*), Zhishi (Immature Bitter Orange Fruit, *Aurantii Fructus*, pulp removed), Binglang (Areca Seed, *Areca catechu*), Pengzhu (Curcuma Rhizome, *Curcuma phaeocaulis*, peeled), Qingpi (Green Tangerine Peel, *Citrus reticulata*, pulp removed), Chenpi (Tangerine Peel, *Citrus reticulata*, white pith removed), Huangbai (Phellodendron Bark, *Phellodendri Chinensis Cortex*, remove coarse skin and seeds), Sanleng (Spotted Flagellate Rhizome, *Sparganii Rhizoma*, peeled). The above ingredients are ground into fine powder. Use vinegar and wheat paste to form pills, size of wutong seeds. Take 30 pills, fasting, with rice drink. If there is gastric heat, reduce Fuzi; if fu-organ qi and blood are deficient, add Danggui and Shaoyao; if stool is not loose enough, add Dahuang.

Huixiang Jian Wan (Fennel Decoction Pill): Treats weak spleen and stomach, deficiency of kidney qi, poor diet, belching with acid regurgitation, stabbing pain in the umbilical and abdominal region, small intestine qi pain, and nausea after drinking alcohol.
Ingredients: Chuanjiao (Sichuan Pepper, *Zanthoxyllum bungeanum*, half liang, remove seeds and closed ones), Lao Shengjiang (Old Ginger, *Zingiberis Rhizoma Recens*, two liang, finely ground), Houpo (Magnolia Bark, *Magnolia officinalis*, remove coarse skin), Qingyan (Green Salt, sea salt is acceptable). The above five ingredients are pounded in a mortar, add Chuanwutou (Aconite Lateral Root, *Aconiti Lateralis Radix Praeparata*, processed, remove skin and navel), grind into fine powder. Use wine and wheat paste to form pills, size of wutong seeds. Take 20 pills, fasting, with ginger and jujube decoction.

Mibu Guzhen Dan (Dense Tonifying and Solidifying True Elixir) (Mr. Liu's *Zhige* formula): Treats deficiency damage of true yuan of spleen and kidney, diarrhea/dysentery, phlegm cough, hiccups and fullness, sour and foul smell of water and grain, and lack of taste in food.
Ingredients: Tiannanxing (Arisaema Rhizome, *Arisaematis Rhizoma*, half liang), Banxia (Pinellia Tuber, *Pinelliae Rhizoma*, processed), Shenqu (Medicated Leaven, *Massa Medicata Fermentata*), Maiya (Sprouted Hordeum, *Hordei Fructus Germinatus), Huixiang (Fennel Fruit, *Foeniculi Fructus*, stir-fried), Jing Sanleng (Spotted Flagellate Rhizome, *Sparganii Rhizoma*, each two liang, processed), Baifuzi (Typhonii Rhizoma, *Typhonii Rhizoma*, raw), Ganjiang (Dried Ginger, *Zingiberis Rhizoma*, processed). The above ingredients are ground into fine powder. Mix with water to form pills, size of wutong seeds. Take 30 pills, fasting, with warm water. Regular use can tonify lung and kidney deficiency symptoms.

Mugua Wan (Papaya Pill) (from *Shenghui Fang*): Treats cold accumulation in spleen and stomach, pain in abdomen and hypochondrium, indigestion of retained food, spasms in both legs, and frequent diarrhea/dysentery.
Ingredients: Mugua (Papaya Fruit, *Chaenomelis Fructus*, seven large ones, cut off one piece as lid, remove pulp and seeds, insert Liuhuang and Qingyan inside), Liuhuang (Sulfur, *Sulfur*, two liang, finely ground and water-floted), Guixin (Cinnamon Heart, *Cinnamomi Cortex*, one liang), Doukou (Cardamom, *Amomi Fructus*, half liang, remove skin). Steam the papaya until soft. Remove sulfur etc., grind finely, mix with papaya flesh, form pills, size of wutong seeds. Take 20 pills, fasting, with rice drink.

Shihu Huangqi Wan (Dendrobium and Astragalus Pill) (from *Shengji Zonglu*): Treats weakness of true zang yuan, severe diarrhea due to cold in middle, rumbling in abdomen, frequent loose stools, and reduced diet.
Ingredients: Shihu (Dendrobium Stem, *Dendrobii Caulis*, remove roots, two liang), Wuweizi (Schisandra Fruit, *Schisandrae Chinensis Fructus*, one liang), Huangqi (Astragalus Root, *Astragali Radix*, slightly roasted and sliced, one liang), Rongrong (Cistanche Stem, *Cistanches Caulis*, soaked in wine, sliced, baked dry, one and a half liang), Shudihuang (Prepared Rehmannia Root, *Rehmanniae Radix Praeparata*, one liang). The above ingredients are ground into fine powder. Use wine and wheat paste to form pills, size of wutong seeds. Take 30 pills, fasting, with rice drink.

Muxiang Wan (Vladimiria Pill) (from *Shenghui Fang*): Treats all types of qi stagnation and indigestion of retained food, distending pain in heart and abdomen, and lower bowel diarrhea.
Ingredients: Muxiang (Vladimiria Root, *Vladimiria souliei*, one liang), Binglang (Areca Seed, *Areca catechu*, one liang), Helile pi (Chebula Pericarpium, *Terminaliae Chebulae Pericarpium*, half liang), Dingxiang (Clove, *Syzygii Armati Flos*), Guixin (Cinnamon Heart, *Cinnamomi Cortex*, one liang), Qianniu (Morning Glory Seed, *Convolvuli Semen*, slightly stir-fried), Shexiang (Musk, *Moschus)*, Dafupi (Betel Nut Peel, *Arecae Pericarpium*, half liang). The above ingredients are ground into fine powder. Refine honey to form pills, size of wutong seeds. Take 20 pills, fasting, with rice drink.

Mugua Jian Wan (Papaya Decoction Pill) (from *Wangshi Boji Fang*): Treats weakness of zang-fu organs, dim vision, weakness in waist and knees, frequent cold phlegm pain in head, and reduced diet.
Ingredients: Mugua (Papaya Fruit, *Chaenomelis Fructus*, two from Xuanzhou, remove seeds, steam until cooked), Heidou (Black Soybean, *Glycines Soja*, one sheng, select fine and tight ones), Chenpi (Tangerine Peel, *Citrus reticulata*, soak in wine, remove white pith), Fuzi (Aconite Lateral Root, *Aconiti Lateralis Radix Praeparata*, process until cracked, remove skin and navel). The above ingredients are ground into fine powder. Use papaya decoction juice to form pills, size of wutong seeds. Take 30 pills, fasting, with rice drink.

Shihua Yin (Ten Splendors Drink) (from *Shengji Zonglu*): Tonifies original qi, regulates zang-fu organs, resolves Erdu Shanghan (Two Poisons Cold Damage), removes pain in waist and knees, and treats exhaustion of true qi, cholera-like vomiting and diarrhea.
*(Note: The original text lists the formula name and indications but omits the specific ingredient list for this formula immediately following it.)*

Guiming Wan (Return to Life Pill) (from *Shengji Zonglu*): Treats cold qi in original zang, pain in umbilical and abdominal region radiating to the heart, and chronic dysentery/diarrhea unresponsive to other medicines.
Ingredients: Qingju pi (Green Tangerine Peel, *Citrus reticulata*, soak in soup, remove white pith, bake), Guizhi (Cinnamon Twig, *Cinnamomi Ramulus*, peel), Banxia (Pinellia Tuber, *Pinelliae Rhizoma*, wash seven times, remove slipperiness, bake), Wutou (Aconite Main Root, *Aconiti Radix*, remove skin and navel), Fuzi (Aconite Lateral Root, *Aconiti Lateralis Radix Praeparata*, remove skin and navel). The above ingredients are ground into fine powder. Refine honey to form pills, size of wutong seeds. Take 20 pills, fasting, with rice drink.

Zhike Jian Wan (Bitter Orange Decoction Pill) (from *Wangshi Boji Fang*): Treats deficiency-cold diarrhea/dysentery due to weak spleen yuan, loss of appetite, and frequent dry hiccups.
Ingredients: Zhike (Bitter Orange Fruit, *Aurantii Fructus*, remove pulp, stir-bake with bran, four liang), Houpo (Magnolia Bark, *Magnolia officinalis*, peel, prepare with ginger juice), Xingren (Apricot Seed, *Armeniacae Semen Amarum*, remove skin and tips, double-kernel, stir-fry), Wuzhuyu (Evodia Fruit, *Evodiae Fructus*, wash), Ganjiang (Dried Ginger, *Zingiberis Rhizoma*, process). Use strong vinegar one dou, slow fire to decoct until half remains, remove dregs, add maltose (Yitang) a little, decoct until pillable consistency. Form pills, size of wutong seeds. Take 30 pills, fasting, with warm wine or rice drink.

Baidoukou Tang (White Cardamom Decoction) (from *Shenghui Fang*): Tonifies middle and benefits qi, smooths spleen yuan, treats chest and heart fullness/stifling, loss of appetite, stops upper heat and lower cold.
Ingredients: Baidoukou (White Cardamom, *Amomi Fructus*, half liang), Roudoukou (Nutmeg, *Myristica fragrans*, three pieces), Baizhu (Atractylodes Rhizome, *Atractylodes macrocephala*, one liang), Guizhi (Cinnamon Twig, *Cinnamomi Ramulus*, remove coarse skin, half liang), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, roast, three fen), Qingju pi (Green Tangerine Peel, *Citrus reticulata*, remove white pith). The above ingredients are coarsely crushed like hemp seeds. Take 5 qian, add one sheng of water, decoct to 0.6 sheng, strain, and take warm.

Cishi Wan (Magnetite Pill) (from *Shenghui Fang*): Tonifies and warms the lower yuan water organ, strengthens qi and strength, brightens eyes and ears, benefits waist and feet, with miraculous effect.
Ingredients: Cishi (Magnetite, *Magnetitum*, ten liang, burn red, quench in vinegar six or seven times, grind finely and water-flot, decoct in good wine one sheng until like syrup), Rongrong (Cistanche Stem, *Cistanches Caulis*, two liang, soak in wine overnight, remove wrinkled skin), Chuangzi (Cnidium Fruit, *Cnidii Fructus*, stir-fry), Langdangzi (Datura Seed, *Daturae Semen*, stir-fry, remove shell). The above ingredients are ground into fine powder. Refine honey to form pills, size of wutong seeds. Take 20 pills, fasting, with rice drink.

Langdangzi Wan (Datura Seed Pill) (from *Shengji Zonglu*): Treats cold qi in zang-fu organs, chronic diarrhea/dysentery.
Ingredients: Langdangzi (Datura Seed, *Daturae Semen*, soak in clear juice of lime-treated water for one fushi, scoop out hairs, dry in sun, stir-fry), Ganjiang (Dried Ginger, *Zingiberis Rhizoma*, process), Fuzi (Aconite Lateral Root, *Aconiti Lateralis Radix Praeparata*, process, remove skin and navel), Guizhi (Cinnamon Twig, *Cinnamomi Ramulus*, peel). The above ingredients are ground into fine powder. Refine honey to form pills, size of wutong seeds. Take 15 pills, fasting, with rice drink.

Daijiu Gao (Substitute Moxibustion Paste) (from *Ren Cun Fang*): Treats deficiency-cold in lower jiao in men, weakness of true qi, painful diarrhea/dysentery, shortness of breath and anorexia, elderly debility, deficiency-cold of original qi, deficiency-cold of zang-fu organs, cold painful heaviness in waist and feet, reduced diet, and cold extremities that cannot be endured. Using this moxibustion formula, its effects cannot be fully described.
Ingredients: Fuzi (Aconite Lateral Root, *Aconiti Lateralis Radix Praeparata*, one liang), Wuzhuyu (Evodia Fruit, *Evodiae Fructus*), Malinhua (Iris Flower, *Iridis Tectorii Flos*), Chuangzi (Cnidium Fruit, *Cnidii Fructus*, each one fen), Muxiang (Vladimiria Root, *Vladimiria souliei*, one qian), Rougui (Cinnamon Bark, *Cinnamomi Cortex*, two qian). The above ingredients are ground into fine powder. For each application, take one Fuzi, pound into paste, fill into the umbilicus, and apply moxibustion. Suitable for cold accumulation in lower back.

Leifen Wan (Thunder Powder Pill) (from *Shengji Zonglu*): Tonifies and warms lower yuan, stops diarrhea/dysentery, regulates zang-fu organs.
Ingredients: Yangqishi (Yangqi Stone, *Stalactitum*, half liang of wild wolf-tooth variety, grind into powder), Zhongru (Milky Stalactite, *Stalactitum*, grind half liang), Pishuang (Arsenic Trioxide, *Realgar*? No, Pishuang is Arsenic, *Arsenici Trioxidum*, finely grind half liang), Yangshen zhi (Sheep Kidney Fat, *Ovis Renalis Adiposum*, wash water, two liang), Huangla (Yellow Beeswax, *Cera Flava*). The above ingredients are mixed, melted over slight fire, stirred evenly, and formed into pills, size of wutong seeds. Take 3 pills, fasting, with rice drink.

Tiaozhong Wan (Regulating Middle Pill) (from *Shengji Zonglu*): Disperses old cold, regulates organ qi, treats pain in waist and knees.
Ingredients: Aw ei (Asafoetida, *Ferulae Resina*, three qian, melt with vinegar into paste, mix with white flour to make cakes, bake dry), Houpo (Magnolia Bark, *Magnolia officinalis*, pound into coarse powder, mix evenly with ginger juice, stir-fry in slow-fire pot until dry), Qingyan (Green Salt, *Sal Gemmae*, two qian). The above ingredients are ground into fine powder. Use wine paste to form pills, size of wutong seeds. Take 30 pills, fasting, with rice drink.

Pufu Wan (Magnolia and Aconite Pill) (from *Heji Fang*): Treats weak spleen yuan, delayed digestion of food, frequent injury from eating, abdominal pain and borborygmus, slippery diarrhea of zang-fu organs without day or night limit. Most suitable for such patients.
Ingredients: Houpo (Magnolia Bark, *Magnolia officinalis*, prepare with ginger juice, remove coarse skin, one slice), Fuzi (Aconite Lateral Root, *Aconiti Lateralis Radix Praeparata*, process until cracked, remove skin, two liang), Shenqu (Medicated Leaven, *Massa Medicata Fermentata*, stir-fry, eight liang), Ganjiang (Dried Ginger, *Zingiberis Rhizoma*, process, half jin). The above ingredients are ground into fine powder. Use wine paste to form pills, size of wutong seeds. Take 50 pills, fasting, with rice drink.

Ershen Wan (Two Spirits Pill) (from *Yuyao Yuan Fang*): Treats complete loss of appetite due to spleen-kidney weakness, diarrhea/dysentery of zang-fu organs, undigested grains in stool. Some people do not eat at all because spleen yuan is declining and naturally cannot digest. It is recorded that Huang Luzhi took Tusizi (Dodder Seed, *Cuscutae Semen*), soaked in wine, ground into powder, took several spoons fasting, mixed with wine and swallowed. After ten days, eating and drinking were like snow melting in hot soup, also understanding this principle.
Ingredients: Poguzhi (Cuscuta Seed, *Cuscutae Semen*, four liang, stir-fry), Roudoukou (Nutmeg, *Myristica fragrans*, two liang). The above ingredients are ground into powder. Use forty-nine large fat jujubes, four liang of finely chopped ginger. Cook together until jujubes are soft. Remove ginger, take jujube flesh and mix with medicine powder, form pills, size of wutong seeds. Take 50 pills, fasting, with rice drink.

Neijiu Wan (Internal Moxibustion Pill) (from *Shengji Zonglu*): Treats cold in zang-organs, tonifies lower yuan.
Method: Use one jin of Aiye (Mugwort Leaf, *Artemisiae Argyi Folium*), harvested on the fifth day of the fifth month. Press with vinegar and wine moisture overnight. Bake dry with moderate fire, grind into powder. Then use seven sheng of juice from boiling zongzi (sticky rice dumplings) on the noon day, mix with medicine powder to form pills, size of wutong seeds. Take 30 pills, fasting, with rice drink.

Another Formula: Warms middle, directs qi downward, tonifies deficiency, harmonizes zang-fu organs, promotes appetite, benefits yang, stops discharge of white pus and abdominal pain.
Method: Cook and eat leeks (Jiu, *Allium tuberosum*).

Another Formula: Treats deficiency-cold in abdomen, long-term use preserves youth.
Method: Use forty grains of Chuanjiao (Sichuan Pepper, *Zanthoxyllum bungeanum*), select those without black spots and intact. Soak in Jiangshui (fermented grain water) overnight, ensuring all openings close. Swallow fasting with newly drawn well water. Accumulated cold will warm up.