四味回阳饮 治元阳虚脱，危在顷刻者。
人参（一、二两） 制附子（二、三钱） 炙甘草（一、二钱） 炮干姜（二、三钱）
水二钟，武火煎七、八分，温服，徐徐饮之。
六味回阳饮 治阴阳将脱等证。
人参（一、二两或数钱） 制附子（二、三钱） 炮干姜（二、三钱） 炙甘草（一钱） 熟地（五钱，或
一两） 当归身（三钱，如泄泻者，或血动者，以冬术易之，多多益善）
水二钟，武火煎七、八分，温服。如肉振汗多者，加炙黄 四、五钱或一两，或冬白术
三、五钱；如泄泻者，加乌梅二枚，或北五味二十粒亦可；如虚阳上浮者，加茯苓二钱；如
肝经郁滞者，加肉桂二、三钱。
理阴煎 此理中汤之变方也。凡脾肾中虚等证，宜刚燥者，当用理中、六君之类；宜温
润者，当用理阴、大营之类。欲知调补，当先察此。此方通治真阴虚弱，胀满呕哕，痰饮恶
心，吐泻腹痛，妇人经迟血滞等证。又凡真阴不足，或素多劳倦之辈，因而忽感寒邪，不能
解散，或发热，或头身疼痛，或面赤舌焦，或虽渴而不喜冷冻饮料，或背心肢体畏寒，但脉见无
力者，悉是假热之证。若用寒凉攻之必死，宜速用此汤，照后加减以温补阴分，托散表邪，
连进数服，使阴气渐充，则汗从阴达，而寒邪不攻自散，此最切于时用者也，神效不可尽述
熟地（三、五、七钱或一、二两） 当归（二、三钱或五、七钱） 炙甘草（一、二钱） 干姜（炒
黄色，一、二、三钱）或加肉桂（一、二钱）
水二钟，煎七、八分，热服。此方加附子，即名附子理阴煎；再加人参，即名六味回阳
饮。治命门火衰，阴中无阳等证。若风寒外感，邪未入深，但见发热身痛，脉数不洪，凡内
无火证，素禀不足者，但用此汤加柴胡一钱半或二钱，连进一、二服，其效如神；若寒凝阴
盛而邪有难解者，必加麻黄一、二钱，放心用之，或不用柴胡亦可，恐其清利也。此寒邪初
感温散第一方，惟仲景独知此义。第仲景之温散，首用麻黄、桂枝二汤，余之温散，即以理
阴煎及大温中饮为增减，此虽一从阳分，一从阴分，其迹若异，然一逐于外，一托于内，而
用温则一也。学人当因所宜，酌而用之。若阴胜之时，外感寒邪，脉细恶寒，或背畏寒者，
乃太阳少阴证也，加细辛一、二钱，甚者再加附子一、二钱，真神剂也。或并加柴胡以助之
亦可。若阴虚火盛，其有内热不宜用温，而气血俱虚，邪不能解者，宜去姜、桂，单以三味
加减与之，或只加人参亦可。若治脾肾两虚，水泛为痰，或呕或胀者，于前方加茯苓一钱半
，或加白芥子五分以行之；若泄泻不止及肾泄者，少用当归，或并去之，加山药、扁豆、吴
茱萸、破故纸、肉豆蔻、附子之属；若腰腹有痛，加杜仲、枸杞；若腹有胀滞疼痛，加陈皮
、木香、砂仁之属。
养中煎 治中气虚寒，为呕为泄者。
人参（一、二、三钱） 山药（炒，二钱） 白扁豆（炒，二、三钱） 炙甘草（一钱） 茯苓（二钱） 干
姜（炒黄，一、二钱）
水二钟，煎七分，食远温服。如嗳腐气滞者，加陈皮一钱，或砂仁四分；如胃中空虚觉
馁者，加熟地三、五钱。
温胃散 治中寒呕吐，吞酸泄泻，不思饮食，及妇人脏寒呕恶，胎气不安等证。
人参（一、二、三钱，或一两） 白术（炒，一、二钱，或一两） 扁豆（二钱，炒） 陈皮（一钱，或不
用） 干姜（炒焦，一、二、三钱） 炙甘草（一钱） 当归（一、二钱，滑泄者勿用）
水二钟，煎七分，食远温服。如下寒带浊者，加破故纸一钱；如气滞或兼胸腹痛者，加
藿香、丁香、木香、白豆蔻、砂仁、白芥子之属；如兼外邪及肝肾之病者，加桂枝、肉桂，
甚者加柴胡；如脾气陷而身热者，加升麻五、七分；如水泛为痰而胸腹痞满者，加茯苓一、
二钱；如脾胃虚极，大呕大吐不能止者，倍用参术，仍加胡椒二、三分许，煎熟徐徐服之。
五君子煎 治脾胃虚寒，呕吐泄泻而兼湿者。
人参（二、三钱） 白术 茯苓（各二钱） 炙甘草（一钱） 干姜（炒黄，一、二钱）
水一钟半，煎服。
六味异功煎 治证同前而兼微滞者。
即前方加陈皮一钱。此即五味异功散加干姜也。
参姜饮 治脾肺胃气虚寒，呕吐咳嗽气短，小儿吐乳等证。
人参（三 五钱或倍之） 炙甘草（三、五分） 干姜（炮，五分或一、二钱，或用煨生姜三、五
片）
水一钟半，煎七、八分，徐徐服之。此方或陈皮，或荜茇，或茯苓，皆可酌而佐之。
胃关煎 治脾肾虚寒作泻，或甚至久泻，腹痛不止，冷痢等证。
熟地（三、五钱，或一两） 山药（炒，二钱） 白扁豆（炒，二钱） 炙甘草（一、二钱） 焦干姜（一
、二、三钱） 吴茱萸（制，五、七分） 白术（炒，一、二、三钱）
水二钟，煎七分，食远温服。泻甚者，加肉豆蔻一、二钱，面炒用，或破故纸亦可；气
虚势甚者，加人参随宜用；阳虚下脱不固者，加制附子一、二、三钱；腹痛甚者，加木香七
、八分，或加浓朴八分；滞痛不通者，加当归二、三钱；滑脱不禁者，加乌梅二个，或北五
味子二十粒；若肝邪侮脾者，加肉桂一、二钱。
佐关煎 治生冷伤脾，泻痢未久，肾气未损者，宜用此汤以去寒湿，安脾胃。此胃关煎之佐者也。
浓朴（炒，一钱） 陈皮（炒，一钱） 山药（炒，二钱） 扁豆（炒，二钱） 炙甘草（七分） 猪苓（二钱）
泽泻（二钱） 干姜（炒，一、二钱） 肉桂（一、二钱）
水一钟半，煎服。如腹痛甚者，加木香三、五分，或吴茱萸亦可；如泻甚不止者，或破
故纸，或肉豆蔻，皆可加用。
抑扶煎 治气冷阴寒，或暴伤生冷致成泻痢，凡初起血气未衰，脾肾未败，或胀痛，或
呕恶，皆宜先用此汤。此胃关煎表里药也，宜察虚实用之。其有寒湿伤脏，霍乱邪实者，最宜用此。
浓朴 陈皮 乌药（各一钱五分） 猪苓（二钱） 泽泻（二钱） 炙甘草（一钱） 干姜（炮，一、二钱）
吴茱萸（制，五、七分）
水一钟半，煎七分，食远温服。如气滞痛甚者，加木香五、七分，或砂仁亦可；如血虚
多痛者，加当归二钱；如寒湿胜者，加苍术一钱半。
四维散 治脾肾虚寒，滑脱之甚，或泄痢不能止，或气虚下陷，二阴血脱不能禁者，无出此方之右。
人参（一两） 制附子（二钱） 干姜（炒黄，二钱） 炙甘草（一、二钱） 乌梅肉（五分或一钱，酌其
味之微甚，随病患之意而用之。或不用此，即四味回阳饮也）
上为末，和匀，用水拌湿，蒸一饭顷，取起烘干，再为末。每服一、二钱，温汤调下。
镇阴煎 治阴虚于下，格阳于上，则真阳失守，血随而溢，以致大吐大衄，六脉细脱，
手足厥冷，危在顷刻而血不能止者，速宜用此，使孤阳有归，则血自安也。如治格阳喉痹上
热者，当以此汤冷服。
熟地（一、二两） 牛膝（二钱） 炙甘草（一钱） 泽泻（一钱半） 肉桂（一、二钱） 制附子（五、七分
，或一、二、三钱）
水二钟，速煎服。如兼呕恶者，加干姜炒黄一、二钱；如气脱倦言而脉弱极者，宜速速
多加人参，随宜用之。
归气饮 治气逆不顺，呃逆呕吐，或寒中脾肾等证。
熟地（三、五钱） 茯苓（二钱） 扁豆（二钱） 干姜（炮） 丁香 陈皮（各一钱） 藿香（一钱五分）
炙甘草（八分）
水一钟半，煎七分，食远温服。中气寒甚者，加制附子；肝肾寒者，加吴茱萸、肉桂，或加当归。
暖肝煎 治肝肾阴寒，小腹疼痛，疝气等证。
当归（二、三钱） 枸杞（三钱） 茯苓（二钱） 小茴香（二钱） 肉桂（一、二钱） 乌药（二
钱） 沉香（一钱，或木香亦可）
水一钟半，加生姜三、五片，煎七分，食远温服。如寒甚者，加吴茱萸、干姜；再甚者，加附子。
寿脾煎 一名摄营煎。治脾虚不能摄血等证。凡忧思郁怒积劳，及误用攻伐等药，犯损
脾阴，以致中气亏陷，神魂不宁，大便脱血不止，或妇人无火崩淋等证，凡兼呕恶，尤为危
候，速宜用此，单救脾气，则统摄固而血自归源。此归脾汤之变方，其效如神。若犯此证而
再用寒凉，则胃气必脱，无不即毙者。
白术（二、三钱） 当归（二钱） 山药（二钱） 炙甘草（一钱） 枣仁（钱半） 远志（制，三、五分） 干
姜（炮，一、二、三钱） 莲肉（去心，炒，二十粒） 人参（随宜一、二钱，急者用一两）
水二钟，煎服。如血未止，加乌梅二个，凡畏酸者不可用，或加地榆一钱半亦可；滑脱
不禁者，加醋炒文蛤一钱；下焦虚滑不禁，加鹿角霜二钱为末，搅入药中服之；气虚甚者，
加炙黄 二、三钱；气陷而坠者，加炒升麻五、七分，或白芷亦可；兼溏泄者，加补骨脂一
钱炒用；阳虚畏寒者，加制附子一、二、三钱；血去过多，阴虚气馁，心跳不宁者，加熟地
七、八钱，或一、二两。
三气饮 治血气亏损，风寒湿三气乘虚内侵，筋骨历节痹痛之极，及痢后鹤膝风痛等症。
当归 枸杞 杜仲（各二钱） 熟地（三钱，或五钱） 牛膝 茯苓 芍药（酒炒） 肉桂（各一钱）
北细辛（或代以独活） 白芷 炙甘草（各一钱） 附子（随宜一、二钱）
水二钟，加生姜三片，煎服。如气虚者，加人参、白术随宜；风寒胜者，加麻黄一、二
钱。此饮亦可浸酒，大约每药一斤，可用烧酒六、七升，浸十余日，徐徐服之。
五德丸 治脾肾虚寒，飧泄 溏等证，或暴伤生冷，或受时气寒湿，或酒湿伤脾，腹痛
作泄，或饮食失宜，呕恶痛泄，无火等证。
补骨脂（四两，酒炒） 吴茱萸（制，二两） 木香（二两） 干姜（四两，炒） 北五味（二两，或以肉
豆蔻代之，面炒用。或用乌药亦可）
汤浸蒸饼丸，桐子大。每服六、七十丸，甚者百余丸，滚白汤或人参汤，或米汤俱可下
。腹痛多呕者，加胡椒二两更妙。
七德丸 治生冷伤脾，初患泻痢，腹胀疼痛，凡年壮气血未衰，及寒湿食滞，凡宜和胃
者，无不神效。此即佐关煎之偏裨也。
台乌药 吴茱萸（制） 干姜（炒黄） 苍术（炒，各二两） 木香 茯苓（各一两） 补骨脂（炒，四两）
神曲糊丸，桐子大。每服七、八十丸，或百丸，滚白汤送下。
复阳丹 治阴寒呕吐泄泻，腹痛寒疝等证。
附子（制） 炮姜 胡椒 北五味（炒） 炙甘草（各一两） 白面（二两，炒熟）
上为末，和匀，入温汤捣丸，桐子大。每服一钱，随证用药引送下。
黄芽丸 治脾胃虚寒，或饮食不化，或时多胀满泄泻，吞酸呕吐等证。此药随身常用甚妙。
人参（二两） 焦干姜（三钱）
炼白蜜为丸，芡实大。常嚼服之。
一气丹 治脾肾虚寒，不时易泻腹痛，阳痿怯寒等证。此即参附汤之变方也。
人参 制附子（各等分）
炼白蜜丸，如绿豆大。每用滚白汤送下三、五分，或一钱。凡药饵不便之处，或在途次，随带此丹最妙。
九气丹 治脾肾虚寒如五德丸之甚者。
熟地（八两） 制附子（四两） 肉豆蔻（面炒，二两） 焦姜 吴茱萸 补骨脂（酒炒） 荜茇（炒）
五味子（炒，各二两） 粉甘草（炒，一两）
炼白蜜为丸，或山药糊丸，如桐子大。每服六、七十丸、或百丸，滚白汤下。如气虚者
，加人参，或二两，或四两，尤妙甚。
温脏丸 治诸虫积既逐而复生者，多由脏气虚寒，宜健脾胃以杜其源，此方主之。
人参（随宜用，无亦可） 白术（米泔浸炒） 当归（各四两） 芍药（酒炒焦） 茯苓 川椒（
去合口者，炒出汗） 细榧肉 使君子（煨，取肉） 槟榔（各二两） 干姜（炮） 吴茱萸（汤炮一
宿，炒，各一两）
上为末，神曲糊为丸，桐子大。每服五、七十丸，或百丸，饥时白汤下。如脏寒者，加
制附子一、二两；脏热者，加黄连一、二两。
圣术煎 治饮食偶伤，或吐或泻，胸膈痞闷，或胁肋疼痛，或过用克伐等药，致伤脏气
，有同前证而脉无力，气怯神倦者，速宜用此，不得因其虚痞虚胀而畏用白术，此中虚实之
机，贵乎神悟也。若痛胀觉甚者，即以此煎送神香散最妙。若用治寒湿泻痢呕吐，尤为圣药。
白术（用冬术味甘佳者，五、六、七、八钱，炒，或一、二两） 干姜（炒） 肉桂（各一、二钱）
陈皮（酌用，或不用）
水一钟半，煎七分，温热服。若治虚寒泻痢呕吐等证，则人参、炙甘草之类，当任意加
用；若治中虚感寒，则麻黄、柴胡亦任意加用。
Siwei Huiyang Yin (Four-Ingredient Decoction to Restore Yang): Treats the syndrome of collapse of primal yang, where the condition is critical and life is in imminent danger.
Ren Shen (Ginseng Radix et Rhizoma) (1–2 liang), Zhi Fu Zi (Prepared Aconiti Lateralis Radix) (2–3 qian), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (1–2 qian), Pao Gan Jiang (Roasted Zingiberis Rhizoma) (2–3 qian).
Add two zhong of water, boil vigorously until only seven or eight parts remain, take warm, and drink slowly.
Liawei Huiyang Yin (Six-Ingredient Decoction to Restore Yang): Treats syndromes such as impending collapse of yin and yang.
Ren Shen (Ginseng Radix et Rhizoma) (1–2 liang or several qian), Zhi Fu Zi (Prepared Aconiti Lateralis Radix) (2–3 qian), Pao Gan Jiang (Roasted Zingiberis Rhizoma) (2–3 qian), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (1 qian), Shu Di Huang (Prepared Rehmanniae Radix) (5 qian, or 1 liang), Dang Gui Shen (Radix Angelicae Sinensis, root body) (3 qian; if diarrhea or bleeding occurs, replace with Bai Zhu (Atractylodis Macrocephalae Rhizoma), more is better).
Add two zhong of water, boil vigorously until only seven or eight parts remain, take warm. If there is muscle tremor and excessive sweating, add Zhi Huang Qi (Honey-fried Astragali Radix) 4–5 qian or 1 liang, or Chao Bai Zhu (Stir-fried Atractylodis Macrocephalae Rhizoma) 3–5 qian; if there is diarrhea, add Wu Mei (Mume Fructus) 2 pieces, or Bei Wu Wei Zi (Schisandrae Chinensis Fructus) 20 grains; if there is floating of deficient yang, add Fu Ling (Poria) 2 qian; if there is stagnation in the Liver channel, add Rou Gui (Cinnamomi Cortex) 2–3 qian.
Liyin Jian (Decoction to Regulate Yin): This is a modified formula from Lizhong Tang (Regulate the Middle Decoction). For syndromes of deficiency in the Spleen and Kidney middle jiao that require pungent-dry herbs, formulas such as Lizhong Tang or Liu Jun Zi Tang (Six-Gentlemen Decoction) should be used; for those requiring warm-moistening herbs, formulas such as Liyin Jian or Daying Jian (Great Nourishing Decoction) should be used. To understand regulation and tonification, one must first distinguish these. This formula generally treats syndromes of true yin deficiency causing distension, vomiting and hiccups, phlegm-fluid retention with nausea, vomiting and diarrhea with abdominal pain, delayed menstruation and blood stasis in women. Furthermore, for those with insufficient true yin or who are prone to fatigue, if they suddenly contract cold pathogenic factors that cannot be dispersed, presenting with fever, headache and body pain, red face and scorched tongue, thirst but aversion to cold drinks, or chills in the back and limbs, provided the pulse is forceless, all are false heat syndromes. Using cold-cooling purgatives will certainly lead to death; one should quickly use this decoction, adding/subtracting according to the following instructions to warm-tonify the yin aspect and expel/disperse exterior pathogens. After taking several doses, as yin qi gradually fills, sweat will emerge from the yin aspect, and cold pathogens will disperse without direct attack. This is most appropriate for current times, and its miraculous effects cannot be fully described.
Shu Di Huang (Prepared Rehmanniae Radix) (3, 5, 7 qian or 1, 2 liang), Dang Gui (Angelicae Sinensis Radix) (2, 3 qian or 5, 7 qian), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (1, 2 qian), Gan Jiang (Zingiberis Rhizoma) (stir-fried yellow, 1, 2, 3 qian) or add Rou Gui (Cinnamomi Cortex) (1, 2 qian).
Add two zhong of water, boil until seven or eight parts remain, take hot. Adding Fu Zi (Aconiti Lateralis Preparata Radix) to this formula names it Fuzi Liyin Jian (Aconite Decoction to Regulate Yin); adding Ren Shen (Ginseng Radix et Rhizoma) further names it Liawei Huiyang Yin (Six-Ingredient Decoction to Restore Yang). It treats syndromes of decline of Mingmen Fire (Gate of Life Fire) and yang within yin. If it is wind-cold exterior contraction with pathogen not deeply entered, presenting only with fever and body pain, rapid but not surging pulse, and no internal heat signs with constitutional insufficiency, use this decoction alone adding Chai Hu (Bupleuri Radix) 1.5–2 qian, taken continuously for one or two doses, with miraculous effect; if cold coagulation and excess yin make pathogen difficult to resolve, add Ma Huang (Ephedrae Herba) 1–2 qian, use with confidence, or omit Chai Hu to avoid its clearing-draining nature. This is the primary formula for warming-dispersing initial cold contraction, known uniquely by Zhang Zhongjing. While Zhang’s warming-dispersing methods prioritize Mahuang Tang (Ephedra Decoction) and Guizhi Tang (Cinnamon Twig Decoction), my warming-dispersing methods increase/decrease from Liyin Jian and Dawenzhong Yin (Great Warming Middle Drink). Although one acts on the yang aspect and the other on the yin aspect, appearing different, one expels externally while one supports internally, yet both utilize warmth. Scholars should choose based on suitability. When yin excess occurs with exterior cold contraction, fine pulse and aversion to cold, or chills in the back, this is a Taiyang-Shaoyin syndrome; add Xixin (Asari Radix et Rhizoma) 1–2 qian, severe cases add Fu Zi (Aconiti Lateralis Preparata Radix) 1–2 qian, truly a divine agent. Adding Chai Hu (Bupleuri Radix) is also acceptable. If yin deficiency with fire hyperactivity presents with internal heat unsuitable for warming, yet qi and blood are both deficient with unresolved pathogen, remove Gan Jiang (Zingiberis Rhizoma) and Rou Gui (Cinnamomi Cortex), use only the three main ingredients with modifications, or add only Ren Shen (Ginseng Radix et Rhizoma). For treating dual Spleen-Kidney deficiency with water flooding transforming into phlegm, or vomiting/distension, add Fu Ling (Poria) 1.5 qian or Bai Jie Zi (Brassicae Semens Album) 0.5 qian to move qi; for persistent diarrhea or Kidney diarrhea, reduce or omit Dang Gui (Angelicae Sinensis Radix), add Shan Yao (Dioscoreae Rhizoma), Bian Dou (Phaseoli Semen), Wu Zhu Yu (Evodiae Fructus), Po Gu Zhi (Psoraleae Fructus), Rou Dou Kou (Myristicae Semen), Fu Zi (Aconiti Lateralis Preparata Radix); for waist/abdominal pain, add Du Zhong (Eucommiae Cortex), Gou Qi (Lycii Fructus); for abdominal distension/pain with stagnation, add Chen Pi (Citri Reticulatae Pericarpium), Mu Xiang (Aucklandiae Radix), Sha Ren (Amomi Fructus).
Yangzhong Jian (Decoction to Nourish the Middle): Treats deficiency-cold of the Middle Qi causing vomiting and diarrhea.
Ren Shen (Ginseng Radix et Rhizoma) (1, 2, 3 qian), Shan Yao (Dioscoreae Rhizoma) (stir-fried, 2 qian), Bai Bian Dou (Phaseoli Semen) (stir-fried, 2–3 qian), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (1 qian), Fu Ling (Poria) (2 qian), Gan Jiang (Zingiberis Rhizoma) (stir-fried yellow, 1–2 qian).
Add two zhong of water, boil to seven parts, take warm well after meals. If there is belching with rotten smell and qi stagnation, add Chen Pi (Citri Reticulatae Pericarpium) 1 qian or Sha Ren (Amomi Fructus) 0.4 qian; if the stomach feels empty and hungry, add Shu Di Huang (Prepared Rehmanniae Radix) 3–5 qian.
Wenwei San (Powder to Warm the Stomach): Treats middle-jiao cold causing vomiting, acid regurgitation, diarrhea, loss of appetite, and in women, organ-cold causing nausea/vomiting and fetal instability.
Ren Shen (Ginseng Radix et Rhizoma) (1–3 qian or 1 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (stir-fried, 1–2 qian or 1 liang), Bian Dou (Phaseoli Semen) (2 qian, stir-fried), Chen Pi (Citri Reticulatae Pericarpium) (1 qian, or omit), Gan Jiang (Zingiberis Rhizoma) (charred/stir-fried, 1–3 qian), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (1 qian), Dang Gui (Angelicae Sinensis Radix) (1–2 qian, omit if loose stools).
Add two zhong of water, boil to seven parts, take warm well after meals. If lower cold with turbidity, add Po Gu Zhi (Psoraleae Fructus) 1 qian; if qi stagnation or chest/abdominal pain, add Huo Xiang (Agastaches Herba), Ding Xiang (Syzygdii Flos), Mu Xiang (Aucklandiae Radix), Bai Dou Kou (Amomi Fructus Rotundus), Sha Ren (Amomi Fructus), Bai Jie Zi (Brassicae Semens Album); if exterior pathogen and Liver/Kidney disease coexist, add Guizhi (Cinnamomi Ramulus), Rou Gui (Cinnamomi Cortex), severe cases add Chai Hu (Bupleuri Radix); if Spleen qi sinks with fever, add Sheng Ma ( Cimicifugae Rhizoma) 0.5–0.7 qian; if water flooding transforms into phlegm with chest/abdominal fullness, add Fu Ling (Poria) 1–2 qian; if Spleen/Stomach extreme deficiency with uncontrollable vomiting, double Ren Shen (Ginseng Radix et Rhizoma) and Bai Zhu (Atractylodis Macrocephalae Rhizoma), add Hu Jiao (Piperis Longi Fructus) 0.2–0.3 qian, boil and take warm slowly.
Wujunzi Jian (Five-Gentlemen Decoction): Treats Spleen-Stomach deficiency-cold with vomiting/diarrhea complicated by dampness.
Ren Shen (Ginseng Radix et Rhizoma) (2–3 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria) (each 2 qian), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (1 qian), Gan Jiang (Zingiberis Rhizoma) (stir-fried yellow, 1–2 qian).
Add one and a half zhong of water, boil and take.
Liuyi Yigong Jian (Six-Ingredient Yi Gong Decoction): Treats the same syndromes as above with slight stagnation.
The previous formula plus Chen Pi (Citri Reticulatae Pericarpium) 1 qian. This is Wuyi Yigong San (Five-Gentlemen Yi Gong Powder) plus Gan Jiang (Zingiberis Rhizoma).
Shenjiang Yin (Ginger and Ginseng Drink): Treats Spleen-Lung-Stomach qi deficiency-cold causing vomiting, cough, shortness of breath, and infant spitting up.
Ren Shen (Ginseng Radix et Rhizoma) (3–5 qian or doubled), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (0.3–0.5 qian), Gan Jiang (Zingiberis Rhizoma) (roasted, 0.5 qian or 1–2 qian, or use Wei Sheng Jiang (Steamed Fresh Zingiberis Rhizoma) 3–5 slices).
Add one and a half zhong of water, boil to seven or eight parts, take slowly. Chen Pi (Citri Reticulatae Pericarpium), Bi Bo (Long Pepper Fruit), or Fu Ling (Poria) can be added as needed.
Weiguan Jian (Stomach Gate Decoction): Treats Spleen-Kidney deficiency-cold causing diarrhea, prolonged diarrhea, unceasing abdominal pain, cold dysentery.
Shu Di Huang (Prepared Rehmanniae Radix) (3–5 qian or 1 liang), Shan Yao (Dioscoreae Rhizoma) (stir-fried, 2 qian), Bai Bian Dou (Phaseoli Semen) (stir-fried, 2 qian), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (1–2 qian), Jiao Gan Jiang (Charred Ginger, 1–3 qian), Wu Zhu Yu (Evodiae Fructus) (processed, 0.5–0.7 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (stir-fried, 1–3 qian).
Add two zhong of water, boil to seven parts, take warm well after meals. Severe diarrhea: add Rou Dou Kou (Myristicae Semen) 1–2 qian (flour-roasted) or Po Gu Zhi (Psoraleae Fructus); severe qi deficiency: add Ren Shen (Ginseng Radix et Rhizoma) as needed; yang deficiency with sinking/unconsolidated: add Zhi Fu Zi (Prepared Aconiti Lateralis Radix) 1–3 qian; severe abdominal pain: add Mu Xiang (Aucklandiae Radix) 0.7–0.8 qian or Hou Po (Magnoliae Officinalis Cortex) 0.8 qian; stagnation-pain: add Dang Gui (Angelicae Sinensis Radix) 2–3 qian; incontinence: add Wu Mei (Mume Fructus) 2 pieces or Bei Wu Wei Zi (Schisandrae Chinensis Fructus) 20 grains; Liver evil insulting Spleen: add Rou Gui (Cinnamomi Cortex) 1–2 qian.
Zuoguan Jian (Assistant to the Gate Decoction): Treats cold/raw food injuring Spleen, recent dysentery/diarrhea with intact Kidney qi; suitable for removing cold-damp and calming Spleen-Stomach. This assists Weiguan Jian.
Hou Po (Magnoliae Officinalis Cortex) (stir-fried, 1 qian), Chen Pi (Citri Reticulatae Pericarpium) (stir-fried, 1 qian), Shan Yao (Dioscoreae Rhizoma) (stir-fried, 2 qian), Bian Dou (Phaseoli Semen) (stir-fried, 2 qian), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (0.7 qian), Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma) (each 2 qian), Gan Jiang (Zingiberis Rhizoma) (stir-fried, 1–2 qian), Rou Gui (Cinnamomi Cortex) (1–2 qian).
Add one and a half zhong of water, boil and take. Severe abdominal pain: add Mu Xiang (Aucklandiae Radix) 0.3–0.5 qian or Wu Zhu Yu (Evodiae Fructus); severe unceasing diarrhea: add Po Gu Zhi (Psoraleae Fructus) or Rou Dou Kou (Myristicae Semen).
Yifu Jian (Suppress and Support Decoction): Treats cold qi/yin-cold or acute raw food injury causing dysentery/diarrhea; suitable for early stage when blood/qi is not depleted and Spleen/Kidney not failed, presenting with distension/pain or nausea/vomiting. This is the exterior-interior formula of Weiguan Jian; use after distinguishing deficiency/excess. Most suitable for cold-damp injuring organs, cholera with excess pathogen.
Hou Po (Magnoliae Officinalis Cortex), Chen Pi (Citri Reticulatae Pericarpium), Wu Yao (Linderae Radix) (each 1.5 qian), Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma) (each 2 qian), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (1 qian), Gan Jiang (Zingiberis Rhizoma) (roasted, 1–2 qian), Wu Zhu Yu (Evodiae Fructus) (processed, 0.5–0.7 qian).
Add one and a half zhong of water, boil to seven parts, take warm well after meals. Severe qi stagnation pain: add Mu Xiang (Aucklandiae Radix) 0.5–0.7 qian or Sha Ren (Amomi Fructus); blood deficiency with much pain: add Dang Gui (Angelicae Sinensis Radix) 2 qian; excess cold-damp: add Cang Zhu (Atractylodis Rhizoma) 1.5 qian.
Siji San (Four-Dimension Powder): Treats Spleen-Kidney deficiency-cold with severe incontinence, unceasing dysentery/diarrhea, qi deficiency with sinking, or blood depletion from two orifices unable to control. Nothing surpasses this formula.
Ren Shen (Ginseng Radix et Rhizoma) (1 liang), Zhi Fu Zi (Prepared Aconiti Lateralis Radix) (2 qian), Gan Jiang (Zingiberis Rhizoma) (stir-fried yellow, 2 qian), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (1–2 qian), Wu Mei Rou (Mume Fructus Flesh) (0.5–1 qian, adjust taste strength per patient preference; omitting this yields Siwei Huiyang Yin).
Grind to powder, mix evenly, moisten with water, steam for duration of one meal, dry, grind again. Take 1–2 qian each time, mixed with warm water.
Zhenyin Jian (Settling Yin Decoction): Treats yin deficiency below, rejecting yang above, causing loss of true yang, blood溢溢 (overflowing), leading to massive hematemesis/epistaxis, fine/fading six pulses, cold extremities, critical condition with uncontrolled bleeding. Use quickly to anchor lone yang so blood settles. For throat bi with upper heat due to rejection, take cold.
Shu Di Huang (Prepared Rehmanniae Radix) (1–2 liang), Niu Xi (Achyranthis Bidentatae Radix) (2 qian), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (1 qian), Ze Xie (Alismatis Rhizoma) (1.5 qian), Rou Gui (Cinnamomi Cortex) (1–2 qian), Zhi Fu Zi (Prepared Aconiti Lateralis Radix) (0.5–0.7 qian or 1–3 qian).
Add two zhong of water, boil quickly and take. With nausea/vomiting: add Gan Jiang (Zingiberis Rhizoma) stir-fried yellow 1–2 qian; qi collapse with weak speech/extreme weak pulse: quickly add large dose of Ren Shen (Ginseng Radix et Rhizoma) as needed.
Guiqi Yin (Returning Qi Drink): Treats rebellious qi, hiccup/vomiting, or cold invading Spleen-Kidney.
Shu Di Huang (Prepared Rehmanniae Radix) (3–5 qian), Fu Ling (Poria) (2 qian), Bian Dou (Phaseoli Semen) (2 qian), Gan Jiang (Zingiberis Rhizoma) (roasted), Ding Xiang (Syzygdii Flos), Chen Pi (Citri Reticulatae Pericarpium) (each 1 qian), Huo Xiang (Agastaches Herba) (1.5 qian), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (0.8 qian).
Add one and a half zhong of water, boil to seven parts, take warm well after meals. Severe middle cold: add Zhi Fu Zi (Prepared Aconiti Lateralis Radix); Liver/Kidney cold: add Wu Zhu Yu (Evodiae Fructus), Rou Gui (Cinnamomi Cortex) or Dang Gui (Angelicae Sinensis Radix).
Nuan Gan Jian (Warming Liver Decoction): Treats Liver-Kidney yin-cold, lower abdominal pain, hernia.
Dang Gui (Angelicae Sinensis Radix) (2–3 qian), Gou Qi (Lycii Fructus) (3 qian), Fu Ling (Poria) (2 qian), Xiao Hui Xiang (Foeniculi Fructus) (2 qian), Rou Gui (Cinnamomi Cortex) (1–2 qian), Wu Yao (Linderae Radix) (2 qian), Chen Xiang (Aquilariae Lignum Resinatum) (1 qian, or Mu Xiang (Aucklandiae Radix)).
Add one and a half zhong of water, add Sheng Jiang (Fresh Zingiberis Rhizoma) 3–5 slices, boil to seven parts, take warm well after meals. Severe cold: add Wu Zhu Yu (Evodiae Fructus), Gan Jiang (Zingiberis Rhizoma); even worse: add Fu Zi (Aconiti Lateralis Preparata Radix).
Shoupi Jian (Longevity Spleen Decoction): Also called Sheying Jian (Nourishing Camp Decoction). Treats Spleen deficiency failing to control blood. Due to worry/thought/anger/accumulated fatigue or misuse of attacking drugs damaging Spleen yin, causing Middle Qi sinking, restless spirit, continuous rectal bleeding, or uterine bleeding without fire in women. Especially critical with nausea/vomiting; use quickly to save Spleen qi alone, securing control so blood returns to source. Modified from Guipi Tang (Restore the Spleen Decoction), effects are miraculous. Using cold-coolants here causes Stomach qi collapse and immediate death.
Bai Zhu (Atractylodis Macrocephalae Rhizoma) (2–3 qian), Dang Gui (Angelicae Sinensis Radix) (2 qian), Shan Yao (Dioscoreae Rhizoma) (2 qian), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (1 qian), Zao Ren (Ziziphi Spinosae Semen) (1.5 qian), Yuan Zhi (Polygalae Radix) (processed, 0.3–0.5 qian), Gan Jiang (Zingiberis Rhizoma) (roasted, 1–3 qian), Lian Rou (Nelumbinis Semen) (heart removed, stir-fried, 20 grains), Ren Shen (Ginseng Radix et Rhizoma) (as needed 1–2 qian, 1 liang for emergencies).
Add two zhong of water, boil and take. If bleeding continues: add Wu Mei (Mume Fructus) 2 pieces (omit if sour-averse), or Di Yu (Sanguisorbae Radix) 1.5 qian; incontinence: add Cu Chao Wen Ge (Vinegar-processed Arcae Concha) 1 qian; lower jiao deficiency-incontinence: add Lu Jiao Shuang (Cornu Cervi Deglutinatum) 2 qian powder mixed in; severe qi deficiency: add Zhi Huang Qi (Honey-fried Astragali Radix) 2–3 qian; qi sinking/prolapsing: add Chao Sheng Ma (Stir-fried Cimicifugae Rhizoma) 0.5–0.7 qian or Bai Zhi (Angelicae Dahuricae Radix); with loose stools: add Bu Gu Zhi (Psoraleae Fructus) 1 qian stir-fried; yang deficiency/chills: add Zhi Fu Zi (Prepared Aconiti Lateralis Radix) 1–3 qian; excessive blood loss, yin deficiency/qi exhaustion, palpitations: add Shu Di Huang (Prepared Rehmanniae Radix) 7–8 qian or 1–2 liang.
Sanqi Yin (Three-Qi Drink): Treats blood/qi deficiency allowing Wind-Cold-Damp to invade, causing extreme joint/bone bi pain, or crane-knee wind pain post-dysentery.
Dang Gui (Angelicae Sinensis Radix), Gou Qi (Lycii Fructus), Du Zhong (Eucommiae Cortex) (each 2 qian), Shu Di Huang (Prepared Rehmanniae Radix) (3–5 qian), Niu Xi (Achyranthis Bidentatae Radix), Fu Ling (Poria), Shao Yao (Paeoniae Radix) (wine-stir-fried), Rou Gui (Cinnamomi Cortex) (each 1 qian), Bei Xi Xin (Asari Radix et Rhizoma) (or Huo Zhuo (Herba Actaeae)), Bai Zhi (Angelicae Dahuricae Radix), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (each 1 qian), Fu Zi (Aconiti Lateralis Preparata Radix) (as needed 1–2 qian).
Add two zhong of water, add Sheng Jiang (Fresh Zingiberis Rhizoma) 3 slices, boil and take. Qi deficiency: add Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma) as needed; excess Wind-Cold: add Ma Huang (Ephedrae Herba) 1–2 qian. Can be infused in liquor (1 jin herb to 6–7 sheng rice wine, steep >10 days, take slowly).
Wude Wan (Five-Virtues Pill): Treats Spleen-Kidney deficiency-cold with undigested stool/loose stools, acute raw food injury, seasonal cold-damp, alcohol-damp injuring Spleen causing abdominal pain/diarrhea, improper diet causing nausea/pain/diarrhea, non-fire syndromes.
Bu Gu Zhi (Psoraleae Fructus) (4 liang, wine-stir-fried), Wu Zhu Yu (Evodiae Fructus) (processed, 2 liang), Mu Xiang (Aucklandiae Radix) (2 liang), Gan Jiang (Zingiberis Rhizoma) (4 liang, stir-fried), Bei Wu Wei Zi (Schisandrae Chinensis Fructus) (2 liang, or Rou Dou Kou (Myristicae Semen) flour-roasted, or Wu Yao (Linderae Radix)).
Make pills with steamed dough soaked in soup, size of Sophora seeds. Take 60–70 pills, severe cases >100, with boiling water, Ren Shen decoction, or rice water. Abdominal pain/vomiting: add Hu Jiao (Piperis Longi Fructus) 2 liang.
Qide Wan (Seven-Virtues Pill): Treats cold/raw food injuring Spleen, initial dysentery/diarrhea, abdominal distension/pain; suitable for robust individuals with un-depleted qi/blood, cold-damp/food stagnation requiring harmonizing Stomach. Assistant to Zuoguan Jian.
Tai Wu Yao (Linderae Radix), Wu Zhu Yu (Evodiae Fructus) (processed), Gan Jiang (Zingiberis Rhizoma) (stir-fried yellow), Cang Zhu (Atractylodis Rhizoma) (stir-fried, each 2 liang), Mu Xiang (Aucklandiae Radix), Fu Ling (Poria) (each 1 liang), Bu Gu Zhi (Psoraleae Fructus) (stir-fried, 4 liang).
Make pills with Shen Qu paste, size of Sophora seeds. Take 70–80 or 100 pills, with boiling water.
Fuyang Dan (Restore Yang Pellet): Treats yin-cold vomiting/diarrhea, abdominal pain/cold hernia.
Fu Zi (Aconiti Lateralis Preparata Radix) (processed), Pao Jiang (Roasted Ginger), Hu Jiao (Piperis Longi Fructus), Bei Wu Wei Zi (Schisandrae Chinensis Fructus) (stir-fried), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (each 1 liang), Bai Mian (White Flour) (2 liang, stir-fried cooked).
Grind to powder, mix, knead with warm water into pills, size of Sophora seeds. Take 1 qian each time, guided by syndrome-specific decoction.
Huanya Wan (Yellow Sprout Pill): Treats Spleen-Stomach deficiency-cold, indigestion, frequent distension/diarrhea, acid regurgitation/vomiting. Excellent for daily carry/use.
Ren Shen (Ginseng Radix et Rhizoma) (2 liang), Jiao Gan Jiang (Charred Ginger) (3 qian).
Make pills with refined white honey, size of Euryale seeds. Chew regularly.
Yiqi Dan (One-Qi Pellet): Treats Spleen-Kidney deficiency-cold, frequent loose stools/abdominal pain, impotence/chills. Modified from Shenfu Tang (Ginseng-Aconite Decoction).
Ren Shen (Ginseng Radix et Rhizoma), Zhi Fu Zi (Prepared Aconiti Lateralis Radix) (equal parts).
Make pills with refined white honey, size of mung beans. Take 0.3–0.5 qian or 1 qian with boiling water. Ideal for travel/convenience.
Jiuqi Dan (Nine-Qi Pellet): Treats Spleen-Kidney deficiency-cold worse than Wude Wan.
Shu Di Huang (Prepared Rehmanniae Radix) (8 liang), Zhi Fu Zi (Prepared Aconiti Lateralis Radix) (4 liang), Rou Dou Kou (Myristicae Semen) (flour-roasted, 2 liang), Jiao Jiang (Charred Ginger), Wu Zhu Yu (Evodiae Fructus), Bu Gu Zhi (Psoraleae Fructus) (wine-stir-fried), Bi Bo (Long Pepper Fruit) (stir-fried), Wu Wei Zi (Schisandrae Chinensis Fructus) (stir-fried, each 2 liang), Fen Gan Cao (Licorice Root) (stir-fried, 1 liang).
Make pills with refined white honey or Shan Yao paste, size of Sophora seeds. Take 60–70 or 100 pills with boiling water. For qi deficiency: add Ren Shen (Ginseng Radix et Rhizoma) 2–4 liang, especially effective.
Wenzang Wan (Warm Viscera Pill): Treats recurring parasites due to viscus deficiency-cold; strengthens Spleen-Stomach to cut off source.
Ren Shen (Ginseng Radix et Rhizoma) (as needed, optional), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (soaked in rice water, stir-fried), Dang Gui (Angelicae Sinensis Radix) (each 4 liang), Shao Yao (Paeoniae Radix) (wine-stir-fried charred), Fu Ling (Poria), Chuan Jiao (Sichuan Pepper) (remove closed mouth, stir-fried to release oil), Xi Fei Rou (Seed of Torreyea), Shi Jun Zi (Quisqualis Fructus) (baked, flesh), Bing Lang (Arecae Semen) (each 2 liang), Gan Jiang (Zingiberis Rhizoma) (roasted), Wu Zhu Yu (Evodiae Fructus) (water-soaked overnight, stir-fried, each 1 liang).
Grind to powder, make pills with Shen Qu paste, size of Sophora seeds. Take 50–70 or 100 pills with white water when hungry. Viscus cold: add Zhi Fu Zi (Prepared Aconiti Lateralis Radix) 1–2 liang; viscus heat: add Huang Lian (Coptidis Rhizoma) 1–2 liang.
Shengzhu Jian (Supreme Atractylodes Decoction): Treats accidental dietary injury causing vomiting/diarrhea, chest/diaphragm oppression, hypochondriac pain, or damage to viscus qi from overuse of draining drugs, presenting with prior symptoms but forceless pulse, timid qi, tired spirit. Use quickly; do not fear using Bai Zhu (Atractylodis Macrocephalae Rhizoma) for deficiency-fullness/distension; discern deficiency/excess mechanism through insight. If severe pain/distension, send with Shenxiang San (Spirit Fragrance Powder). Best for cold-damp dysentery/vomiting.
Bai Zhu (Atractylodis Macrocephalae Rhizoma) (choose winter Atractylodes with sweet taste, 5–8 qian stir-fried or 1–2 liang), Gan Jiang (Zingiberis Rhizoma) (stir-fried), Rou Gui (Cinnamomi Cortex) (each 1–2 qian), Chen Pi (Citri Reticulatae Pericarpium) (optional).
Add one and a half zhong of water, boil to seven parts, take warm. For deficiency-cold dysentery/vomiting: add Ren Shen (Ginseng Radix et Rhizoma), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) as desired; for middle deficiency contracting cold: add Ma Huang (Ephedrae Herba), Chai Hu (Bupleuri Radix) as desired.