治休息痢，昼夜无度，腥臭不可近，脐腹撮痛，诸药不效。
诃子（五钱，去核称） 椿根白皮（一两） 母丁香（三十个）
上为细末，醋面糊丸，如梧桐子大。每服五十丸，陈米饭汤入醋少许送下，五更，三
《十四难》曰∶损其脾者，调其饮食，适其寒温。又云∶夫脾、胃、大肠、小肠、三焦
、膀胱，仓廪之本，营之所居，名曰器，能化糟粕，转味而出入者也。若饮食，热无灼灼，
寒无怆怆，寒温中适，故气将持，乃不致邪僻。或饮食失节，寒温不适，所生之病，或溏泄
无度，或心下痞闷，腹胁 胀，口失滋味，四肢困倦，皆伤于脾胃所致而然也。肠胃为
市，无物不受，无物不入，若风、寒、暑、湿、燥，一气偏胜，亦能伤脾损胃，观证用药者，宜详审焉。
脾胃（右关所主，其脉缓。）如得弦脉，风邪所伤。甘草芍药汤、黄 建中汤之类。或甘酸
之剂，皆可用之；洪脉，热邪所伤。三黄丸、泻黄散、调胃承气汤。或甘寒之剂，皆可用之
；缓脉，本经太过，湿邪所伤。平胃散加白术、茯苓，五苓散。或除湿渗淡之剂，皆可用之
。涩脉，燥热所伤。异功散加当归，四君子汤加熟地黄。或甘温甘润之剂，皆可用之；沉细
脉，寒邪所伤。益黄散，养胃丸，理中丸，理中汤，如寒甚加附子。甘热之剂，皆可用之。
To treat dysentria (chronic intermittent dysentery) with unceasing day and night attacks, foul and fishy odor that is unbearable, and cramping pain in the umbilical and abdominal regions, where various medicines have proven ineffective.
Terminalia chebula Retz. Fructus (Hezi, 诃子) (five qian, pitted and weighed) Phellodendri amurense Cortex (Chungenbaipi, 椿根白皮) (one liang) Syzygium aromaticum Flos (Mudingxiang, 母丁香) (thirty pieces)
Grind the above into a fine powder, mix with vinegar and wheat flour paste to make pills, sized like Sophora japonica seeds (Wutongzi). Take fifty pills per dose, administered at dawn (Wugeng), with a small amount of vinegar added to old rice soup for delivery, three times [in course].
The Fourteenth Difficulty of *Nan Jing* states: "When the Spleen is damaged, regulate its diet and adapt to cold and warmth." It further says: "The Spleen, Stomach, Large Intestine, Small Intestine, Sanjiao (Triple Burner), and Bladder are the foundation of granaries, the residence of Ying (Nutritive) Qi, termed 'vessels,' capable of transforming dregs and excreting flavors." Regarding diet, heat should not be scorching, and cold should not be chilling; when cold and warmth are moderate, Zheng Qi (Upright Qi) will be maintained, preventing pathogenic deviations. If there is dietary irregularity or improper temperature regulation, resulting diseases may include unceasing loose stools, epigastric fullness and oppression, abdominal and hypochondriac distension, loss of taste in the mouth, and fatigue in the four limbs. All these are caused by damage to the Spleen and Stomach. The intestines and stomach are like a market, accepting and admitting all things. If any of the Wind, Cold, Summerheat, Dampness, Dryness, or Fire pathogens becomes excessive, it can also damage the Spleen and Stomach. Those who prescribe medicine based on syndrome differentiation must examine carefully.
Spleen and Stomach (governed by the Right Guan pulse position, with a normal slow/moderate pulse.) If a Wiry pulse (Xian Mai) is obtained, it indicates injury by Wind Pathogen. Gancao Shaoyao Tang (Licorice and Peony Decoction) or Huangqi Jianzhong Tang (Astragalus Middle-Builder Decoction) and similar formulas may be used; or sweet-and-sour agents are applicable. If a Surging pulse (Hong Mai) is obtained, it indicates injury by Heat Pathogen. Sanhuang Wan (Three Yellows Pill), Xiehuang San (Drain Yellow Powder), or Tiaowei Chengqi Tang (Regulate the Stomach and Order the Qi Decoction) may be used; or sweet-and-cold agents are applicable. If a Slow pulse (Huan Mai) is obtained, it indicates excess of the channel itself, injured by Damp Pathogen. Pingwei San (Calm the Stomach Powder) with Baizhu (Atractylodis Macrocephalae Rhizoma) and Fuling (Poria) added, or Wuling San (Five-Ingredient Powder with Poria), may be used; or damp-draining and leaching agents are applicable. If a Choppy pulse (Se Mai) is obtained, it indicates injury by Dryness-Heat. Yigong San (Yi Gong Powder) with Danggui (Angelicae Sinensis Radix) added, or Sijunzi Tang (Four Gentlemen Decoction) with Shudihuang (Rehmanniae Radix Preparata) added, may be used; or sweet-warm and sweet-moistening agents are applicable. If a Deep and Fine pulse (Chenxi Mai) is obtained, it indicates injury by Cold Pathogen. Yihuang San (Yellow-Protecting Powder), Yangwei Wan (Stomach-Nourishing Pill), Lizhong Wan (Center-Regulating Pill), or Lizhong Tang (Center-Regulating Decoction) may be used; if Cold is severe, add Fuzi (Aconiti Lateralis Radix Preparata). Sweet-hot agents are applicable.