肝主藏血，故为血海。操烦太过，营血大亏，虚气无归，横逆胀痛，调营敛肝饮主之。
调营敛肝饮（自制）
归身（二钱） 白芍（一钱五分酒炒） 川芎（八分） 枸杞（三钱） 五味（五分）
广皮（一钱） 枣仁（一钱五分炒研） 茯苓（二钱） 木香（五分） 阿胶（一钱五分蛤
粉炒） 大枣（二枚） 姜（三片）
本方治肝虚法也。四物用归、芎、酒芍，加蛤粉炒阿胶；不用熟地，嫌其滞也。枸杞、枣仁、
五味，虚肝在所必用。而以茯苓、广皮、木香、姜、枣，调营卫而和气血，补而不滞，润而不腻，
通而不破，温和而不燥、不苦寒。虚肝为病，脾胃必更弱于实肝。近代趋势，虚肝患者之多，几欲
超实肝而过之。祖怡治一妇人，心痛彻背，痛至那里，肌肉胀至那里，肤外亦痛，夜不成寐。曾用
麻醉剂止痛安神，不见寸效。用先生此方，一服而病减大半，夜即能寐。方信先生所云，营血大亏，
虚气无归，横逆胀痛，完全从临床经验得来，的是虚肝为病最合理之治法。嗣后凡遇类似此症者，悉
以此方变通用之，莫不应手而愈。先生对于各种虚症，制方独出心裁，真醇乎其醇矣。祖怡注。
脾本湿土，寒邪乘之，寒与湿凝，是为重阴。脘下至当脐胀满作痛，悦脾汤主之。
悦脾汤（自制）
白术（一钱） 茅术（一钱） 茯苓（二钱） 附子（八分） 砂仁（一钱）
木香（五分） 乌药（一钱） 青皮（一钱） 神曲（三钱炒） 苡仁（四钱）
姜（三片）
本方与胀门姜术二仁汤，同用白术、茯苓、木香、砂仁。姜为主药，不用炮而用生。去当归、
半夏、浓朴、广皮、生熟谷芽，加附子、茅术、神曲、青皮、乌药，其温燥之力，当在姜术二仁汤
之上。祖怡注。
The Liver primarily functions to store blood, thus it is referred to as the "Sea of Blood." If mental exertion is excessive, causing a severe deficiency of Ying (Nutritive) Blood, the deficient Qi loses its anchor and moves transversely and rebelliously, resulting in distension and pain. The primary treatment is Tiaoying Lian Gan Decoction (Regulating Nutritive and Astringing Liver Decoction).
Tiaoying Lian Gan Decoction (Self-made Formula)
Danggui Shen (Radix Angelicae Sinensis, two qian), Baishao (Radix Paeoniae Alba, one qian five fen, stir-fried with wine), Chuanxiong (Rhizoma Chuanxiong, eight fen), Gouqi (Fructus Lycii, three qian), Wuwei Zi (Fructus Schisandrae, five fen), Guangpi (Pericarpium Citri Reticulatae, one qian), Zaoren (Semen Ziziphi Spinosae, one qian five fen, stir-fried and crushed), Fuling (Poria, two qian), Muxiang (Radix Aucklandiae, five fen), Ejiao (Colla Corii Asini, one qian five fen, stir-fried with clam powder), Dazao (Fructus Jujubae, two pieces), Jiang (Rhizoma Zingiberis Recens, three slices).
This formula represents the method for treating Liver Deficiency. In the Siwu Tang (Four Substance Decoction), Danggui, Chuanxiong, and wine-processed Baishao are used, along with clam powder-processed Ejiao; Shudihuang (Prepared Radix Rehmanniae) is omitted due to concern that it may be cloying and obstructive. Gouqi, Zaoren, and Wuwei Zi are essential for Liver Deficiency. Combined with Fuling, Guangpi, Muxiang, Jiang, and Dazao, the formula regulates Ying and Wei (Defensive) Qi and harmonizes Qi and Blood, ensuring that tonification does not cause stagnation, moistening does not become greasy, unblocking does not damage, and the nature is mild, neither drying nor bitter-cold. Diseases arising from Liver Deficiency often involve Spleen and Stomach weakness even greater than in cases of Liver Excess. In recent trends, the number of patients with Liver Deficiency nearly surpasses those with Liver Excess. Zuyi treated a woman who suffered from heart pain radiating to the back; where the pain was located, the muscles swelled to that extent, and the skin surface also hurt, preventing sleep at night. Anesthetics were previously used for pain relief and sedation without any effect. Using this formula by the author, the condition reduced by more than half after one dose, and she could sleep that night. This confirms that the author's statement regarding "severe deficiency of Ying Blood, deficient Qi losing its anchor, and transverse/rebellious Qi causing distension and pain" is derived entirely from clinical experience, representing the most rational treatment for Liver Deficiency diseases. Subsequently, for all similar cases, this formula was applied with modifications, achieving immediate cures every time. The author’s unique creativity in formulating prescriptions for various deficiency syndromes is truly pure and profound. Note by Zuyi.
The Spleen naturally belongs to Wet Earth. When Cold Evil invades it, Cold and Dampness coagulate, constituting "Heavy Yin" (Extreme Yin). Fullness and pain extend from below the epigastrium to the umbilicus. The primary treatment is Yu Pi Tang (Spleen-Pleasing Decoction).
Yu Pi Tang (Self-made Formula)
Baizhu (Rhizoma Atractylodis Macrocephalae, one qian), Maozhu (Rhizoma Atractylodis Lanceae, one qian), Fuling (Poria, two qian), Fuzi (Radix Aconiti Lateralis Preparata, eight fen), Sharen (Fructus Amomi Rotundus, one qian), Muxiang (Radix Aucklandiae, five fen), Wuyao (Radix Linderae, one qian), Qingpi (Pericarpium Citri Reticulatae Viride, one qian), Shenqu (Massa Medicata Fermentata, three qian, stir-fried), Yiren (Semen Coicis, four qian), Jiang (Rhizoma Zingiberis Recens, three slices).
This formula shares Baizhu, Fuling, Muxiang, and Sharen with Jiangshu Eren Tang (Ginger and Atractylodes Two Seeds Decoction) from the Distension chapter. Ginger is used as the chief drug, employing fresh ginger rather than processed ginger. Danggui, Banxia, Houpo, Guangpi, Sheng Guya (Raw Hordeum Sprout), and Shu Guya (Processed Hordeum Sprout) are removed, while Fuzi, Maozhu, Shenqu, Qingpi, and Wuyao are added. Its warming and drying potency exceeds that of Jiangshu Eren Tang. Note by Zuyi.