（又名谷神散）
治中满下虚。五噎五膈。脾胃不和。胸膈痞闷。胁筋胀满。心腹刺痛。不进饮食。或多痰。或吞
酸胸满。短气肢体倦怠。面色萎黄。如中焦虚痞。不任攻击。脏腑虚寒。
不受峻补。或因病中气衰。食不复常。禀受祛弱。不能多食。及瘴疾阴阳表里未分之际。尤宜服之。
枇杷叶（去毛姜汁炙一两） 石斛（酒拌微炒三钱） 杜仲（酒姜汁同炒三钱） 青皮（五钱）
甘草（一两五钱） 藿香叶（三钱） 谷芽（炒五钱） 陈皮（去白三钱） 白术（炒二两）
砂仁（二两） 薏米仁（炒一两） 随风子（一钱如无小诃子代之） 半夏（姜汁制三钱） 丁香
（五钱不见火） 木香（三钱） 桑白皮（炒五钱） 槟榔（炒五钱） 五味子（炒五钱） 神曲（炒
一两） 人参（去芦一两） 白蔻（去皮炒五钱） 茯苓（一两去皮） 大腹皮（炒三钱） 沉香（三钱）
上为末每服姜三片。枣二枚。水煎温服。不拘时。此方疗四时感冒。能调阴阳。使无变动。刻日得安。
如疗五噎加干柿蒂一枚。同煎如疗膈气。吐逆羸困入葱白三寸。枣五枚。同煎妇人亦可服。瘴病发
热候冷服。老人虚人大便闭。加蜜少许煎冷服。
瘴病多因脾胃感冷而成。是方用参术。苓草。陈半。六君以补脾利痰。丁香。木香。砂仁。白蔻。
藿香。以开胃除积冷以温中。青皮以理气。谷芽神曲以消积。瘴病上
热。肺最受邪。枇杷叶薏米仁桑白皮以养肺散肺热。五味随风子之酸以补肺敛肺气。瘴病阳气不降。
槟榔大腹皮沉香以降气。气不降则下寒。下寒则肾无阳。石斛杜仲合沉香引阳气入肾而暖腰膝。
故李待制谓其宜于瘴病。能升降阴阳。虽证候未分。亦可服之。
(Named Gushen San)
Treats fullness in the middle jiao with deficiency in the lower jiao. Wuye (Five types of dysphagia: qi, blood, tendon, food, and drink obstruction) and Wuge (Five types of chest diaphragm obstruction). Disharmony of the Spleen and Stomach. Stifling sensation and oppression in the chest and diaphragm. Distension and fullness of the tendons in the hypochondrium. Stabbing pain in the heart and abdomen. Inability to eat. Or excessive phlegm. Or acid regurgitation with chest fullness. Shortness of breath and limb fatigue. Sallow complexion. If it is a deficiency-type stifling in the middle jiao that cannot tolerate attacking methods; or if it is cold-deficiency of the Zang-Fu organs that cannot tolerate harsh tonification; or if the Middle Qi has declined due to illness, causing diet not to return to normal; or if one has weak congenital constitution and cannot eat much. It is especially suitable for use when the Yin-Yang and exterior-interior patterns of Zhang disease (Malarial pestilence) are not yet distinguished.
Loquat Leaf (Pipaye, *Eriobotryae Folium*, remove hairs, roast with ginger juice, 1 liang), Dendrobium (Shihu, *Dendrobii Caulis*, stir-fry slightly after mixing with wine, 3 qian), Eucommia Bark (Duzhong, *Eucommiae Cortex*, stir-fry with wine and ginger juice, 3 qian), Green Tangerine Peel (Qingpi, *Citri Reticulatae Pericarpium Viride*, 5 qian), Licorice Root (Gancao, *Glycyrrhizae Radix et Rhizoma*, 1.5 liang), Patchouli Leaf (Huoxiangye, *Agastaches Herba*, 3 qian), Rice Sprout (Guya, *Oryzae Fructus Germinatus*, stir-fried, 5 qian), Tangerine Peel (Chenpi, *Citri Reticulatae Pericarpium*, remove white pith, 3 qian), Atractylodes Macrocephala Rhizome (Baizhu, *Atractylodis Macrocephalae Rhizoma*, stir-fried, 2 liang), Amomum Fruit (Sharen, *Amomi Fructus*, 2 liang), Coix Seed (Yiyiren, *Coicis Semen*, stir-fried, 1 liang), Suifengzi (*Biswollenussamen* / substitute with Xiaohezi/Small Chebula Fruit if unavailable, 1 qian), Pinellia Tuber (Banxia, *Pinelliae Rhizoma*, prepared with ginger juice, 3 qian), Clove Bud (Dingxiang, *Caryophylli Flos*, 5 qian, do not roast over fire), Costus Root (Muxiang, *Aucklandiae Radix*, 3 qian), Mulberry Root Bark (Sangbaipi, *Mori Radicis Cortex*, stir-fried, 5 qian), Areca Seed (Binglang, *Arecae Semen*, stir-fried, 5 qian), Schisandra Berry (Wuweizi, *Schisandrae Chinensis Fructus*, stir-fried, 5 qian), Medicated Leaven (Shenqu, *Massa Medicata Fermentata*, stir-fried, 1 liang), Ginseng Root (Renshen, *Ginseng Radix et Rhizoma*, remove rhizome, 1 liang), White Cardamom Seed (Baiko, *Cardamomi Albi Semen*, peel and stir-fry, 5 qian), Poria (Fuling, *Poria*, 1 liang, remove skin), Betel Nut Peel (Dafupi, *Arecae Pericarpium*, stir-fried, 3 qian), Agarwood (Chenxiang, *Aquilariae Lignum Resinatum*, 3 qian).
Grind the above ingredients into powder. For each dose, add three slices of fresh ginger and two dates, decoct in water, and take warm. Take at any time without restriction. This formula treats common colds in all four seasons, harmonizes Yin and Yang, prevents drastic fluctuations, and brings peace within a prescribed period.
If used to treat Wuye, add one dried persimmon calyx, decoct together. If used to treat Geqi (diaphragmatic qi stagnation), vomiting, reversal, emaciation, and exhaustion, add three cun of scallion white and five dates, decoct together. Women may also take this formula. For Zhang disease with fever, take when cool. For elderly or deficient persons with constipation, add a small amount of honey, decoct, and take cool.
Zhang disease often arises from the Spleen and Stomach contracting cold pathogens. This formula uses Ginseng, Atractylodes, Poria, and Licorice, along with Tangerine Peel and Pinellia (resembling Liujunzi Tang) to tonify Spleen Qi and promote fluid metabolism to resolve phlegm; uses Clove, Costus, Amomum, White Cardamom, and Patchouli to open the stomach, eliminate accumulated cold, and warm the middle jiao; uses Green Tangerine Peel to regulate Qi; uses Rice Sprout and Medicated Leaven to digest food accumulation. In Zhang disease, heat in the upper jiao affects the Lung most severely; Loquat Leaf, Coix Seed, and Mulberry Root Bark nourish the Lung and dissipate Lung heat; the sour properties of Schisandra and Suifengzi tonify Lung Qi and astringe Lung Qi. When Yang Qi fails to descend in Zhang disease, Areca Seed, Betel Nut Peel, and Agarwood descend Qi. If Qi does not descend, cold generates in the lower part; if lower cold exists, Kidney lacks Yang; Dendrobium and Eucommia, combined with Agarwood, guide Yang Qi into the Kidney to warm the waist and knees. Therefore, Li Daizhi stated that this formula is suitable for Zhang disease, capable of ascending and descending Yin and Yang, and can be taken even when the syndrome patterns are not yet distinct.