（宋《开宝》）
【释名】肉果（《纲目》）、迦拘勒。
宗 曰∶肉豆蔻对草豆蔻为名，去壳只用肉。肉油色者佳，枯白瘦虚者劣。
时珍曰∶花实皆似豆蔻而无核，故名。
【集解】藏器曰∶肉豆蔻生胡国，胡名迦拘勒。大舶来即有，中国无之。其形圆小，皮
紫紧薄，中肉辛辣。
曰∶生昆仑，及大秦国。
颂曰∶今岭南人家亦种之。春生苗，夏抽茎开花，结实似豆蔻，六月、七月采。
时珍曰∶肉豆蔻花及实状虽似草豆蔻，而皮肉之颗则不同。颗外有皱纹，而内有斑缬纹，
如槟榔纹。最易生蛀，惟烘干蜜封，则稍可留。
实
【修治】 曰∶凡使，须以糯米粉熟汤搜裹豆蔻，于 灰火中煨熟，去粉用。勿令犯铁。
【气味】辛，温，无毒。权曰∶苦、辛。好古曰∶入手足阳明经。
【主治】温中，消食止泄，治积冷心腹胀痛，霍乱中恶，鬼气冷疰，呕沫冷气，小儿乳
霍（《开宝》）。调中下气，开胃，解酒毒，消皮外络下气（大明）。治宿食痰饮，止小儿吐逆，
不下乳，腹痛（甄权）。主心腹虫痛，脾胃虚冷，气并冷热，虚泄赤白痢，研末粥饮服之（李
）。暖脾胃，固大肠
【发明】大明曰∶肉豆蔻调中下气，消皮外络下气，味珍，力更殊。
宗 曰∶亦善下气，多服则泄气，得中则和平其气。
震亨曰∶属金与土，为丸温中补脾。《日华子》称其下气，以脾得补而善运化，气自下
也。非若陈皮、香附之快泄。寇氏不详其实，遂以为不可服也。
机曰∶痢疾用此涩肠，为伤乳泄泻之要药。
时珍曰∶土爱暖而喜芳香，故肉豆蔻之辛温，理脾胃而治吐利。
【附方】旧一，新七。
暖胃除痰，进食消食。肉豆蔻二个，半夏（姜汁炒）五钱，木香二钱半，为末，蒸饼丸
芥子大，每食后津液下五丸、十丸。（《普济》）
霍乱吐利∶肉豆蔻为末，姜汤服一钱。（《普济方》）
久泻不止∶肉豆蔻（煨）一两，木香二钱半，为末，枣肉和丸，米饮服四五十丸。又方∶
肉豆蔻（煨）一两，熟附子七钱。为末糊丸。米饮服四五十丸。又方∶肉豆蔻（煨）、粟壳
（炙）等分为末，醋糊丸，米饮服四、五十丸。（并《百一选方》）
老人虚泻∶肉豆蔻三钱（面裹煨熟，去面研），乳香一两，为末，陈米粉糊丸梧子大。
每服五七十丸，米饮下。此乃常州侯教授所传方。（《瑞竹堂方》）
小儿泄泻∶肉豆蔻五钱，乳香二钱半，生姜五片。同炒黑色，去姜，研为膏收，旋丸绿
豆大。每量大小，米饮下。（《全幼心鉴》）
脾泄气痢∶豆蔻一颗（米醋调面裹，煨令焦黄，和面研末），更以 子（炒研末）一两，
相和。又以陈廪米炒焦，为末和匀。每以二钱煎作饮，调前二味三钱，旦暮各一服，便瘥。
（《续传信方》）冷痢腹痛，不能食者。肉豆蔻一两（去皮）。醋和面裹煨，捣末。每服一钱，
粥饮调下。（《圣惠方》）
(Sourced from the Song Dynasty *Kaibao Bencao*)
[Names] Rouguo (Fruit Nutmeg) (*Bencao Gangmu*), Jiajule.
Li Gao (Dongyuan) stated: Rou Dou Kou is named in contrast to Cao Dou Kou; only the flesh inside the shell is used. Those with oily flesh and good color are superior, while those that are dry, white, thin, and hollow are inferior.
Li Shizhen stated: Its flowers and fruits resemble Dou Kou but lack a core, hence the name.
[Collection of Explanations] Chen Cangqi stated: Rou Dou Kou grows in Hu countries; its Hu name is Jiajule. It was available via large ships, but not native to China. Its shape is round and small, with tight, thin purple skin, and spicy flesh inside.
An unnamed physician stated: It grows in Kunlun and Daqin (Rome).
Su Song stated: Now it is also planted by families in Lingnan. Sprouts emerge in spring, stems shoot up and flower in summer, bearing fruit resembling Dou Kou, harvested in June and July.
Li Shizhen stated: Although the flowers and fruits of Rou Dou Kou resemble Cao Dou Kou, the texture of the skin and flesh differs. The kernels have wrinkles on the outside and patterned veins inside, similar to Betel Nut. They are prone to insect damage; only when dried and sealed with honey can they be preserved for a while.
[Processing] An unnamed physician stated: When preparing, one must wrap the nutmeg in cooked glutinous rice flour dough, roast it in hot ash until cooked, remove the flour, and use it. Avoid contact with iron.
[Flavor and Properties] Acrid, warm, non-toxic. Li Xun stated: Also bitter. Zhang Yuansu (Jiegong) stated: Enters the Hand-Yangming Large Intestine Meridian and Foot-Yangming Stomach Meridian.
[Indications] Warms the Middle Jiao, promotes digestion, stops diarrhea, treats abdominal distension and pain caused by accumulated cold, Huoluan (Cholera-like syndrome) and Zhong'e (Sudden evil invasion), Guiqi Lengzhu (Cold transmission disease attributed to ghosts), vomiting of cold qi foam, and Xiao'er Ru Huo (Infantile milk cholera) (*Kaibao Bencao*). Regulates the Middle Jiao, directs Qi downward, opens the appetite, resolves alcohol toxicity, and dissipates external collateral Qi (Li Daming). Treats retained food and phlegm-fluids, stops infantile regurgitation, aids lactation, and relieves abdominal pain (Zhen Quan). Mainly treats abdominal worm pain, Spleen-Stomach deficiency-cold, Qi stagnation with mixed cold-heat patterns, deficiency-type diarrhea, and dysentery with red and white discharge; grind into powder and take with congee or water (Li Gao). Warms the Spleen and Stomach, secures the Large Intestine.
[Elucidation] Li Daming stated: Rou Dou Kou regulates the Middle Jiao and directs Qi downward, dissipating external collateral Qi; due to its precious nature, its efficacy is even more distinct.
Li Gao (Dongyuan) stated: It is also effective in directing Qi downward, but excessive use depletes Qi, whereas moderate use harmonizes the Qi.
Zhu Zhenheng (Danxi) stated: It belongs to Metal and Earth; made into pills, it warms the Middle and tonifies the Spleen. *Ri Hua Zi* claims it directs Qi downward because tonifying the Spleen enhances transformation and transportation, causing Qi to descend naturally. This differs from the rapid purging effect of Chen Pi (Tangerine Peel) and Xiang Fu (Cyperus Rhizome). Kou Zongshi failed to investigate its true nature and thus claimed it should not be taken.
Wang Haogu (Haicang) stated: In treating dysentery, this herb astringes the intestines and is a key medicine for diarrhea caused by damaged milk intake.
Li Shizhen stated: Earth loves warmth and fragrance; therefore, the acrid-warm nature of Rou Dou Kou regulates the Spleen and Stomach and treats vomiting and diarrhea.
[Attached Prescriptions] One old prescription, seven new prescriptions.
To warm the stomach, eliminate phlegm, promote appetite, and digest food: Two Rou Dou Kou, five qian Ban Xia (stir-fried with ginger juice), two and a half qian Mu Xiang. Grind into powder, make pills the size of mustard seeds. Take five to ten pills after each meal with saliva (*Puji Fang*).
Huoluan with vomiting and diarrhea: Grind Rou Dou Kou into powder, take one qian with ginger decoction (*Puji Fang*).
Incessant chronic diarrhea: One liang of Rou Dou Kou (roasted), two and a half qian Mu Xiang. Grind into powder, mix with jujube paste to make pills. Take 40-50 pills with rice drink. Another method: One liang of Rou Dou Kou (roasted), seven qian Shu Fu Zi (Prepared Aconite Root). Grind into powder, make pills with paste. Take 40-50 pills with rice drink. Another method: Equal parts of Rou Dou Kou (roasted) and Su Ke (Poppy Shell) (roasted). Grind into powder, make pills with vinegar paste. Take 40-50 pills with rice drink. (All from *Baiyi Xuanfang*).
Deficiency diarrhea in the elderly: Three qian of Rou Dou Kou (wrapped in flour, roasted thoroughly, remove flour and grind), one liang of Ru Xiang (Frankincense). Grind into powder, make pills the size of wutong seeds using aged rice flour paste. Take 50-70 pills with rice drink. This formula was passed down by Professor Hou of Changzhou (*Ruizhutang Fang*).
Diarrhea in infants: Five qian of Rou Dou Kou, two and a half qian of Ru Xiang, five slices of Sheng Jiang (Fresh Ginger). Stir-fry together until black, remove ginger, grind into a paste for storage. Make pills the size of mung beans as needed. Take according to age with rice drink (*Quanyou Xinjian*).
Spleen diarrhea and Qi-type dysentery: One Dou Kou (wrapped in flour mixed with rice vinegar, roasted until scorched yellow, and ground together with the flour). Add one liang of Ting Li Zi (Descurainia Seed) (roasted and ground). Mix well. Also stir-fry aged barn rice until scorched and grind into powder, mixing evenly. Take two qian, decoct as a drink, and mix with three qian of the previous two powders. Take morning and evening once each until recovery. (*Xu Chuanxin Fang*). For cold dysentery with abdominal pain and inability to eat: One liang of Rou Dou Kou (peeled). Wrap in flour mixed with vinegar, roast, and grind into powder. Take one qian, mixed with congee drink (*Shenghui Fang*).