膈症。脾胃虚损。加牛胎（一具为末）芦柴根捣汁、打淮安口子末糊为丸、红枣汤下、鲁试有效。
又方 枳术丸一运一动。一补一消。乃理脾之圣药也。
白术（四两陈土炒过去土不用）、枳实（去穣麸炒二两）。
上为末。荷叶包老米饭煨熟。捣烂为丸。如梧桐子大。每服八十丸。食远清米汤送下。
有痰在膈上。满闷不快。加陈皮（去白一两）、半夏（姜制二两）、名橘半枳术丸。
破滞气。消积。开胃。进饮食。加木香（一两五分）、名木香枳术丸。
饮食太过。或食间着恼。以致心腹满闷不快。加香附（一两童便进炒）、神曲、苍术、山
栀、抚芎（各一两五钱）、木香（五钱）、名越鞠枳术丸。
伤肉食湿面辛辣味浓之物。加黄连、大黄、黄芩（三味俱酒蒸妙）、山楂、神曲、陈皮（各二
两）、木香（一两），名三黄枳术丸。
伤生冷并冷物。加苍术、半夏、陈皮（各二两）、草豆蔻、砂仁（各一两）、木香（五钱）、丁香
（三钱）。
若元气素弱。食饮难化。食已即腹内不和。疼痛泄泻。此胃虚有寒也。加人参、白芍药、陈
皮、山楂、神曲（各二两）、木香、砂仁（各一两）。
素有痰火。胸膈郁塞。或吞酸吐酸。呕吐嘈杂。或酒积。或泄泻结痛。此皆湿热
也。加木香（各五钱）、黄连（吴萸炒）、白芍药、陈皮（各二两）、生甘草（五钱）、夏。加石膏
冬。加干姜（七钱炒）。
有食积痞块。坚硬在腹内者。加山楂（二两）、黄连、浓朴、莪术。阿魏。昆布。（各一两）、木
香（五钱）、槟榔（八分）。
痞积气块在腹胁者。加黄连（吴萸炒一两五钱）、木香（一两）、莪术、阿魏（各一两五钱）、瓦
龙子（ 一两）、鳖甲（一两）。
勉强多食。致心腹痞闷不快。加山楂、神曲、陈皮（各一两五钱）、浓朴、砂仁（各一两）
湿热痞闷。加茯苓、泽泻、连翘、萝卜子（炒各一两五钱）。
心口胃脘痛。加干姜、砂仁（各一两）、丁香（四钱）。
素有痰火人。加半夏、橘红（各一两五钱）、白茯苓、黄芩、黄连（各一两）。
若胸膈不利。服辛香燥药。以致上焦受伤。胃脘干燥。而呕噎膈等症作矣。加黄连（吴萸
炒）、山栀（姜汁炒）、白芍药、当归（各一两五钱）、石膏、桔梗（各一两）、生甘草（五钱）。
明粉（各一两）、生甘草（五钱）。
若能食好食。但食后反饱难化。此胃旺脾阴虚也。
加白芍
药（酒炒二两）、人参、黄连、香附（各一两五钱）、石膏（一两）、生甘草、木香（各五钱）
桃仁（去皮尖另研各七钱）、升麻、甘草（各五钱）、此老人常服之药也。
泻痢后虚膨。加人参、白茯苓、陈皮（各一两五钱）、木香（五钱）。
小儿泻痢不止。加山楂（二两）、诃子肉果、黄连（烧酒浸炒各一两）、木香（五钱）。
小儿疳积。加胡黄连、使君肉、山楂（各二两）、芜荑（一两）。
小儿久疟。左胁有块。加山楂。鳖甲（各二两）、青皮、白芥子（各一两）。
**Reguli Syndrome (Dysphagia/Obstruction in the Chest and Diaphragm)**. Caused by deficiency and damage of the Spleen and Stomach. Add one cow placenta (ground into powder), juice extracted from crushed *Arundo donax* root (Luchai Gen), and paste made with powder from "Da Huai'an Kouzi" (a specific local ingredient, likely a type of seed or herb processed in Huai'an). Form into pills and administer with Red Date Decoction. This was found effective after being tested by Lu.
Another prescription: Zhizhu Wan (Immature Bitter Orange and Atractylodes Macrocephala Pill) possesses the dual functions of promoting movement and tonification, as well as dissipating accumulation and strengthening the body. It is a supreme medicine for regulating the Spleen.
Bai Zhu (Atractodis Macrocephalae Rhizoma, 4 liang, stir-fried with aged earth, then the earth removed and discarded); Zhi Shi (Immature Bitter Orange, pith removed, stir-fried with bran, 2 liang).
Grind the above ingredients into fine powder. Wrap old rice leaves in lotus leaves and bake until cooked thoroughly. Mash into a paste to serve as the binder for forming pills, sized like sophora seeds. Take 80 pills per dose, administered with clear rice water long after meals.
If there is phlegm in the upper diaphragm causing fullness and discomfort, add Chen Pi (Tangerine Peel, white part removed, 1 liang) and Ban Xia (Pinellia Tuber, ginger-processed, 2 liang). This is named Ju Ban Zhizhu Wan (Tangerine Peel and Pinellia and Immature Bitter Orange and Atractylodes Macrocephala Pill).
It breaks stagnant Qi, dissipates accumulation, opens the stomach, and promotes appetite. Add Mu Xiang (Vladimiria Root, 1 liang 5 qian), named Muxiang Zhizhu Wan (Vladimiria Root and Immature Bitter Orange and Atractylodes Macrocephala Pill).
Due to overeating or emotional anger during meals, resulting in fullness and discomfort in the heart and abdomen, add Xiang Fu (Cyperus Rhizome, 1 liang, stir-fried with children's urine), Shen Qu (Medicated Leaven), Cang Zhu (Atractodis Rhizoma), Shan Zhi (Gardeniae Fructus), and Fu Xiong (Ligusticum Chuanxiong Rhizome, each 1 liang 5 qian), and Mu Xiang (Vladimiria Root, 5 qian). This is named Yueju Zhizhu Wan (Yueju and Immature Bitter Orange and Atractylodes Macrocephala Pill).
For injuries caused by meat, damp noodles, or strongly flavored spicy foods, add Huang Lian (Coptidis Rhizoma), Da Huang (Rhei Radix et Rhizoma), and Huang Qin (Scutellariae Radix) (all three wine-steamed and processed optimally), Shan Zha (Crataegi Fructus), Shen Qu (Medicated Leaven), and Chen Pi (Tangerine Peel, each 2 liang), and Mu Xiang (Vladimiria Root, 1 liang). This is named Sanhuang Zhizhu Wan (Three Yellows and Immature Bitter Orange and Atractylodes Macrocephala Pill).
For injuries caused by raw/cold foods and cold substances, add Cang Zhu (Atractodis Rhizoma), Ban Xia (Pinellia Tuber), and Chen Pi (Tangerine Peel, each 2 liang), Cao Dou Kou (Cardamomi Fructus Rotundus), Sha Ren (Amomi Fructus, each 1 liang), Mu Xiang (Vladimiria Root, 5 qian), and Ding Xiang (Caryophylli Flos, 3 qian).
If the Yuan Qi (Original Qi) has been weak since youth, leading to difficulty digesting food and drink, immediate abdominal disharmony, pain, and diarrhea after eating, this indicates Stomach deficiency with Cold. Add Ren Shen (Ginseng Radix et Rhizoma), Bai Shao Yao (Paeoniae Radix Alba), Chen Pi (Tangerine Peel), Shan Zha (Crataegi Fructus), and Shen Qu (Medicated Leaven, each 2 liang), Mu Xiang (Vladimiria Root), and Sha Ren (Amomi Fructus, each 1 liang).
If there is pre-existing Phlegm-Fire causing depression and blockage in the chest and diaphragm, or acid regurgitation, vomiting, and gastric discomfort, or alcohol accumulation, or diarrhea with painful knotting, these are all due to Damp-Heat. Add Mu Xiang (Vladimiria Root, each 5 qian), Huang Lian (Coptidis Rhizoma, stir-fried with Evodiae Fructus), Bai Shao Yao (Paeoniae Radix Alba), and Chen Pi (Tangerine Peel, each 2 liang), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma, 5 qian). In summer, add Shi Gao (Gypsum Fibrosum); in winter, add Gan Jiang (Zingiberis Rhizoma, 7 qian, stir-fried).
For food accumulation forming hard masses in the abdomen, add Shan Zha (Crataegi Fructus, 2 liang), Huang Lian (Coptidis Rhizoma), Hou Po (Magnoliae Officinalis Cortex), E Zhu (Curcumae Rhizoma), A Wei (Ferulae Resina), and Kun Bu (Sargassum Thallus, each 1 liang), Mu Xiang (Vladimiria Root, 5 qian), and Bing Lang (Arecae Semen, 8 fen).
For痞 (Pi) accumulations and Qi masses in the abdomen and hypochondrium, add Huang Lian (Coptidis Rhizoma, stir-fried with Evodiae Fructus, 1 liang 5 qian), Mu Xiang (Vladimiria Root, 1 liang), E Zhu (Curcumae Rhizoma), and A Wei (Ferulae Resina, each 1 liang 5 qian), Wa Long Zi (Fossilized Bones/Shells, 1 liang), and Bie Jia (Testudinis Carapax et Plastrum, 1 liang).
For forced overeating leading to heart and abdominal fullness and discomfort, add Shan Zha (Crataegi Fructus), Shen Qu (Medicated Leaven), and Chen Pi (Tangerine Peel, each 1 liang 5 qian), Hou Po (Magnoliae Officinalis Cortex), and Sha Ren (Amomi Fructus, each 1 liang).
For Damp-Heat causing fullness and obstruction, add Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Lian Qiao (Forsythiae Fructus), and Luo Bo Zi (Brassicae Semens, stir-fried, each 1 liang 5 qian).
For pain in the heart mouth and epigastrium, add Gan Jiang (Zingiberis Rhizoma) and Sha Ren (Amomi Fructus, each 1 liang), and Ding Xiang (Caryophylli Flos, 4 qian).
For individuals with pre-existing Phlegm-Fire, add Ban Xia (Pinellia Tuber) and Ju Hong (Citri Reticulatae Pericarpium Rubrum, each 1 liang 5 qian), Bai Fu Ling (Poria), Huang Qin (Scutellariae Radix), and Huang Lian (Coptidis Rhizoma, each 1 liang).
If the chest and diaphragm are obstructed, and pungent-aromatic-dry drugs have been taken, injuring the Upper Jiao, causing dryness in the epigastrium, thereby triggering symptoms such as vomiting, dysphagia, and regurgitation, add Huang Lian (Coptidis Rhizoma, stir-fried with Evodiae Fructus), Shan Zhi (Gardeniae Fructus, stir-fried with ginger juice), Bai Shao Yao (Paeoniae Radix Alba), and Dang Gui (Angelicae Sinensis Radix, each 1 liang 5 qian), Shi Gao (Gypsum Fibrosum), Jie Geng (Platycodonis Radix, each 1 liang), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma, 5 qian), and Ming Fen (likely referring to a mineral powder or refined salt, 1 liang), and Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma, 5 qian).
If one can eat good food but feels bloated and unable to digest after eating, this indicates Excess Stomach Fire and Yin Deficiency of the Spleen.
Add Bai Shao Yao (Paeoniae Radix Alba, wine-fried, 2 liang), Ren Shen (Ginseng Radix et Rhizoma), Huang Lian (Coptidis Rhizoma), and Xiang Fu (Cyperus Rhizome, each 1 liang 5 qian), Shi Gao (Gypsum Fibrosum, 1 liang), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma), Mu Xiang (Vladimiria Root, each 5 qian), Tao Ren (Persicae Semen, peeled and tip removed, separately ground, each 7 qian), Sheng Ma (Cimicifugae Rhizoma), and Gan Cao (Glycyrrhizae Radix et Rhizoma, each 5 qian). This is a formula commonly taken by the elderly.
For post-dysenteric bloating due to deficiency, add Ren Shen (Ginseng Radix et Rhizoma), Bai Fu Ling (Poria), and Chen Pi (Tangerine Peel, each 1 liang 5 qian), and Mu Xiang (Vladimiria Root, 5 qian).
For persistent diarrhea and dysentery in children, add Shan Zha (Crataegi Fructus, 2 liang), He Zi Rou (Terminalia Chebula Retz. Fruit Flesh), and Huang Lian (Coptidis Rhizoma, soaked in rice wine and stir-fried, each 1 liang), and Mu Xiang (Vladimiria Root, 5 qian).
For infantile malnutrition (Gan Accumulation), add Hu Huang Lian (Coptidis Rhizoma alternative/Hu Huang Lian), Shi Jun Zi (Quisqualis Fructus), and Shan Zha (Crataegi Fructus, each 2 liang), and Wu Yi (Meliosmae Fructus, 1 liang).
For chronic malaria in children with a mass in the left hypochondrium, add Shan Zha (Crataegi Fructus) and Bie Jia (Testudinis Carapax et Plastrum, each 2 liang), Qing Pi (Citri Reticulatae Pericarpium Viride), and Bai Jie Zi (Sinapis Semen, each 1 liang).