用天门冬麦门冬并去心知母贝母款冬花杏仁去皮尖（各二两）当归生地黄黄连熟地黄
胶
蛤粉炒（各一两半）蒲黄京墨桔梗薄荷（各一两）麝香少许另研上为细末炼蜜为丸如弹子大
每服
一丸临睡细嚼薄荷汤送下治痨证久嗽肺痈并宜噙服决定除根
治脾胃虚弱侵晨五更作泻或全思食或食而不化
破故纸（四两炒） 肉豆蔻（二两生用）
上二味为末用大红枣（四十九枚）生姜（四两）切碎水煮熟去姜取枣肉和药为丸桐子大
每服五十
愚按许叔微学士本事方云孙真人言补肾不若补脾予曰补脾不若补肾肾气虚弱则阳气衰劣
不能熏蒸脾胃脾胃气寒令人胸膈痞塞不进饮食迟于运化或腹胁虚胀或呕吐痰涎或肠鸣泄泻譬
如釜
补但
即二神丸加五味子（二两）吴茱萸（一两）为细末生姜（八两）红枣（一百枚）煮熟取
枣肉
丸桐子大每服五七十丸空心或食前白汤下治脾胃虚弱大便不实饮食不思或泻痢腹痛等证
用二神丸加木香茴香炒（各一两）一方用神曲麦芽（各一两）俱名四神治脾泄肾泄
用破故纸酒浸炒（一斤）杜仲去皮姜汁浸炒（一斤）胡桃肉去皮（二十个）为末以蒜捣
膏
两）和丸桐子大每空心温酒下二十丸妇人淡醋汤下治肾气虚弱风冷乘之或血气相搏腰痛如
俯仰不利或因劳役伤肾或湿痹伤腰或坠堕败伤或风寒客搏或气滞不散皆令腰痛或腰间如物
坠起坐艰辛者悉能治之常服壮筋骨活血脉乌髭须益颜色
[Taiping Wan]
Take Asparagi Radix (Tianmendong) and Ophiopogonis Radix (Mendongdong) (both with the hearts removed), Anemarrhenae Rhizoma (Zhimu), Fritillariae Cirrhosae Bulbus (Beimu), Periplocae Semen (Kuandonghua), and Armeniacae Semen Amarum (Xingren) (with skins and tips removed, each 2 liang); Danggui Radix (Danggui), Rehmanniae Radix Recens (Shengdihuang), Coptidis Rhizoma (Huanglian), and Rehmanniae Radix Preparata (Shudihuang); Ejiao (prepared by stir-frying with蛤粉 Ge Fen, each 1.5 liang); Puncteliae Cortex (Puhuang), Jingmo (Jingmo), Platycodonis Radix (Jiegeng), and Menthae Haplocalycis Herba (Bohe) (each 1 liang); and Moschus (Shexiang) a small amount (separately ground). The above herbs are processed into a fine powder, mixed with refined honey to form pills the size of bullet seeds. Take one pill each time, chew it thoroughly before going to sleep at night, and swallow with Mint Decoction (Bohe Tang). It treats consumptive disease (Laozheng), chronic cough, and lung abscess (Fei'ong). It is advisable to hold the pill in the mouth for gradual absorption to eradicate the root cause.
[Qie Wan / Er Shen Wan Base]
Treats spleen and stomach deficiency, characterized by diarrhea occurring in the early morning (Wugeng time), lack of appetite, or indigestion after eating.
Take Psoraleae Fructus (Pogu Zhi) (4 liang, stir-fried) and Myristicae Semen (Roudoukou) (2 liang, used raw).
Grind the above two herbs into powder. Use 49 large red dates (Hongzao) and 4 liang of fresh ginger (Shengjiang), chopped finely. Boil them in water until cooked, remove the ginger, take the date pulp, and mix it with the herbal powder to form pills the size of Sophora japonica seeds (Tongzi da).
Take 50 pills per dose.
My commentary: Academician Xu Shuwu records in *Ben Shi Fang* that Sun Simiao said, "Tonifying the kidney is inferior to tonifying the spleen." I argue, "Tonifying the spleen is inferior to tonifying the kidney." If kidney qi is weak, yang qi declines and fails to warm and steam the spleen and stomach. This causes coldness in the spleen and stomach, leading to chest and diaphragm fullness/stagnation, loss of appetite, and slow digestion. Symptoms may include empty distension in the abdomen and hypochondrium, vomiting of phlegm-saliva, or borborygmus and diarrhea. This is analogous to a pot without fire... [text implies inability to cook food/digest].
[Er Shen Wan]
This is Er Shen Wan plus Amomi Fructus Rotundus (Muxiang) (2 liang). Treatment method is described previously.
[Si Shen Wan]
This is Er Shen Wan plus Schisandrae Fructus (Wuweizi) (2 liang) and Evodiae Fructus (Wuzhuyu) (1 liang), processed into a fine powder. Use 8 liang of fresh ginger (Shengjiang) and 100 large red dates (Hongzao), boiled until cooked. Take the date pulp and mix with the powder to form pills the size of Sophora japonica seeds. Take 50-70 pills when empty-stomached or before meals, swallowed with plain warm water. It treats spleen and stomach deficiency, loose stools, poor appetite, dysentery, abdominal pain, and other syndromes.
[Variation of Si Shen Formula]
Use Er Shen Wan plus Amomi Fructus Rotundus (Muxiang) and Foeniculi Fructus (Huixiang) (stir-fried, each 1 liang). Another prescription uses Massae Medicatae Fermentatae (Shenqu) and Malto (Yamayi) (each 1 liang). Both are named "Si Shen" and treat spleen diarrhea and kidney diarrhea.
[Qie Wan (Alternative Prescription)]
Take Psoraleae Fructus (Pogu Zhi) (soaked in wine and stir-fried, 1 jin), Eucommiae Cortex (Duzhong) (skin removed, soaked in ginger juice and stir-fried, 1 jin), and Juglandis Semen (Hetao Rou) (skin removed, 20 pieces). Grind into powder. Mix with garlic paste (Suan Gao) formed by pounding garlic, and combine with the powder to form pills the size of Sophora japonica seeds. Take 20 pills when empty-stomached, swallowed with warm wine. Women should use light vinegar decoction. It treats kidney qi deficiency where wind-cold invades, or blood and qi stagnation causing lower back pain with difficulty in bending and stretching; or kidney injury due to overwork; or waist injury from damp-bi; or internal injury from falls; or pathogenic wind-cold attacking; or stagnant qi failing to disperse, all of which can cause lower back pain, a sensation of something dropping in the waist, or difficulty sitting and standing. Regular use strengthens sinews and bones, invigorates blood vessels, blackens beard and hair, and improves complexion.