治脾胃不和。膈噎痰气。呕吐酸水。气刺气闷胁筋虚胀。腹痛肠鸣。胸膈痞滞。饮食不美。
常服则温养脾元。及辟岚瘴冷湿。病后进食悉有神效。
浓朴（三两去皮姜汁炒） 陈皮（留白三两）
甘草（二两炙） 苍术（五两米泔水浸炒） 生姜（四两和皮薄切） 小枣（二百粒去核）
上用水五升。漫火煎干。捣作饼子。先晒后焙。碾为末。入盐少许。调服。如泄泻加生姜。乌梅。空心服。
脾寒疟疾可加草果。乌梅。各一个。如胃寒呕吐。加丁香茯苓生姜。气不舒快。不美饮食。加砂仁香
附各三两。生姜汤调服。瘴地阴
湿之气常盛。脾恶湿。苍术以扶脾燥湿。浓朴以温中下气。理痰消食去湿。陈皮以消痰利气。甘草
能健脾和中。姜以利痰温胃。小枣之甘。可以补脾气。
治食疟恶心。腹满寒热。右手寸关脉弦实。或沉滑。要之瘴疟多因食积。气痞痰结。此药消食
下气化痰。寓广者正宜服之。但矾红阿魏难得好者。又阿魏虽为下气消瘴之妙药。却不可常服。而
又不宜于孕妇虚老之人。所以易简方云。矾红阿魏不宜常服。用以治疟黄丹为衣。最好若食积 瘕痞胀。
得真阿魏却甚良。然亦在修合之际。用好米醋煎陈米糊为丸。自洗米至作糊。不着水纯用醋为妙。
蓬莪术（五两煨） 青皮（五两去穣） 陈皮（五两去白） 京三棱（五两煨） 胡椒（三两） 干
姜（三两） 阿魏（二两酒化） 矾红（为衣用）
上为细末。醋糊为丸。矾红为衣。每服六十丸。
不拘时。治瘴疾生姜桔皮汤。下大病后饮食难化。及中脘停酸。姜汤下心腹胀
满紫苏汤下。酒疸食疸遍心皆黄。大麦煎汤下。酒伤面黄。腹胀或时干呕煨姜汤下。脾气刺痛菖蒲
汤下。两胁引乳作痛沉香汤下。瘴疟外因四时之气乖戾。内因积食生冷而成。留者攻之。故用阿
魏棱术以去积冷。积为患气快则消。气滞则聚。得热则行。得寒愈结。青陈皮之辛温以快气。椒
姜之辛热以散冷结。用矾红为衣者。假其土性以培脾胃耳。治瘴用之以温中。消积甚得其宜。
Treats disharmony of the Spleen and Stomach. Obstruction in the chest and diaphragm, phlegm-qi stagnation. Vomiting of sour fluid. Qi stabbing pain, chest oppression, deficiency and distension of the hypochondriac tendons. Abdominal pain, borborygmus. Fullness and stagnation in the chest and diaphragm. Poor appetite.
Regular consumption warms and nourishes the Spleen Yuan (Primordial Energy of the Spleen), and wards off miasma, cold, and dampness. It is highly effective for food intake after illness.
Cortex Magnoliae Officinalis (Houpo, 厚朴) (3 liang, peeled, stir-fried with ginger juice)
Pericarpium Citri Reticulatae (Chenpi, 陈皮) (3 liang, retain the white pith)
Radix Glycyrrhizae Preparata (Gancao, 甘草) (2 liang, honey-fried)
Rhizoma Atractylodis Macrocephalae (Cangzhu, 苍术) (5 liang, soaked in rice washing water and stir-fried)
Rhizoma Zingiberis Recens (Shengjiang, 生姜) (4 liang, thinly sliced with peel)
Fructus Jujubae (Xiaozao, 小枣) (200 grains, pits removed)
Add 5 sheng of water to the above ingredients. Simmer over low heat until the water is completely evaporated. Pound into cakes. Sun-dry first, then bake. Grind into powder. Add a little salt and take with water. If diarrhea occurs, add Ginger and Fructus Mume (Wumei, 乌梅), taken on an empty stomach.
For malaria due to Spleen Cold, add Rhizoma Tsaoko (Caoguo, 草果) and Fructus Mume, one each. For vomiting due to Stomach Cold, add Flos Caryophylli (Dingxiang, 丁香), Poria (Fuling, 茯苓), and Ginger. For sluggish qi and poor appetite, add Fructus Amomi (Sharen, 砂仁) and Radix Ligustici Chuanxiong (Xiangfu, 香附), each 3 liang, taken with Ginger decoction. In miasma-prone areas, yin-damp qi is often prevalent. The Spleen dislikes dampness; Cangzhu supports the Spleen and dries dampness; Houpo warms the middle and directs qi downward, regulating phlegm, digesting food, and removing dampness; Chenpi resolves phlegm and promotes qi flow; Gancao strengthens the Spleen and harmonizes the middle; Ginger facilitates phlegm resolution and warms the Stomach; the sweetness of Xiaozao tonifies Spleen qi.
Treats nausea, abdominal fullness, and alternating chills and fever caused by food malaria. The pulse at the Cun and Guan positions on the right hand is wiry and excess, or deep and slippery. Generally, malarial fevers are often caused by food retention, qi stagnation with masses, and phlegm binding. This formula digests food, directs qi downward, and resolves phlegm. It is particularly suitable for those residing in the Guang region. However, high-quality Fanhong (Alum-red?) and Asafoetida (Awei, 阿魏) are hard to obtain. Moreover, although Awei is an excellent herb for directing qi downward and eliminating miasma, it should not be taken long-term, nor is it suitable for pregnant women, the debilitated, or the elderly. Thus, *Yijian Fang* states that Fanhong and Awei are unsuitable for regular use. If used for treating malaria, coating with Minium (Huandan, 黄丹) is best. For food retention, zheng-masses, and distension, genuine Awei is indeed very effective. However, this depends on the preparation process: use good rice vinegar to decoct aged rice paste for making pills. From washing the rice to making the paste, avoiding contact with raw water and using pure vinegar is optimal.
Rhizoma Curcumae Longae (Peng'ezhu, 蓬莪术) (5 liang, baked)
Pericarpium Citri Reticulatae Viride (Qingpi, 青皮) (5 liang, remove the albedo)
Pericarpium Citri Reticulatae (Chenpi, 陈皮) (5 liang, remove the albedo)
Rhizoma Sparganii (Jingsanleng, 京三棱) (5 liang, baked)
Fructus Piperis Nigris (Hujiao, 胡椒) (3 liang)
Rhizoma Zingiberis Preparatum (Ganjiang, 干姜) (3 liang)
Resina Ferulae (Awei, 阿魏) (2 liang, dissolved in wine)
Vermilion (Fan Hong, 矾红) (for coating)
Grind all ingredients into fine powder. Make pills with vinegar paste. Coat with Vermilion. Take 60 pills per dose.
Take at any time. For treating malarial diseases, swallow with Ginger and Tangerine Peel Decoction. For difficulty in digesting food after severe illness and acid retention in the Zhongwan area, swallow with Ginger decoction. For heart and abdominal fullness, swallow with Perilla Decoction. For Jaundice from Wine (Jiu Dan) and Jaundice from Food (Shi Dan) causing yellowing of the whole body, swallow with Barley Decoction. For facial yellowing, abdominal distension, or occasional dry heaving due to alcohol injury, swallow with Baked Ginger decoction. For stabbing pain due to Spleen qi, swallow with Acorus Decoction. For pain radiating from the hypochondrium to the breast, swallow with Agarwood Decoction. The external cause of malarial fevers is the aberrant nature of the four seasons' qi; the internal cause is food retention and raw/cold intake. For retained pathogens, attack them. Therefore, Awei, Sanleng, and E Zhu are used to remove accumulated cold. Accumulation causes disease; when qi flows freely, it dissipates; when qi stagnates, it gathers; it moves with heat and congeals with cold. The acrid-warm nature of Qingpi and Chenpi unblocks qi; the acrid-hot nature of Pepper and Ginger disperses cold accumulation. Using Vermilion as a coating borrows its Earth nature to cultivate the Spleen and Stomach. It is well-suited for warming the middle and resolving accumulation in treating malarial diseases.