治中寒呕吐，吞酸泄泻，不思饮食，及妇人脏寒呕恶，胎气不安等症。
人参（一二三钱或一两） 白术（一二钱或一两，炒） 扁豆（二钱，炒） 陈皮（一钱，或
不用） 干姜（一二三钱，炒焦） 炙甘草（一钱） 当归（一二钱，滑泄者不用）
水二盅，煎七分，食远温服。如下寒带浊者，加破故纸一钱。如气滞或兼胸腹痛者，
、丁香、木香、白豆蔻、砂仁、白芥子之属。如兼外邪及肝肾之病者，加桂枝、肉桂，甚者
，加柴胡。如脾气陷而身热者，加升麻五七分。如水泛为痰而胸腹痞满者，加茯苓一二钱。
如脾胃虚极，大呕大吐，不能止者，倍用参术，仍加胡椒二三分许，煎熟徐徐服之。
治阴虚于下，格阳于上，则真阳失守，血随而溢，以致大吐大衄，六脉细脱
厥冷，危在顷刻，而血不能止者，速宜用此，使孤阳有归，则血自安也。如治格阳喉痹上热
者，当以此汤冷服。
熟地（一二两） 牛膝（二钱） 甘草（一钱，炙） 泽泻（钱半） 肉桂（一二钱） 制附子（
五七分或一二三钱）
水二盅，速煎服。如兼呕恶者，加干姜炒黄一二钱。如气脱倦言，而脉弱极者，宜速
速多加人参，随宜用之。
一名摄营煎。治脾虚不能摄血等症，凡忧思郁怒、结劳，及误用攻伐等药，
阴，以致中气亏陷，神魂不宁，大便脱血不止，或妇人无火崩淋等症。凡兼呕恶，尤为危候
，速宜用此。单救脾气，则统摄固而血自归源。此归脾汤之变方，其效如神。若犯此症，而
再用寒凉，则胃气必脱，无不即毙者。
白术（二三钱） 当归（二钱） 山药（二钱） 枣仁（钱半） 炙甘草（一钱） 远志（三五分
，制） 炮干姜（一二三钱） 莲肉（二十粒，去心炒） 人参（随宜一二钱，急者用一两）
水二盅煎服。如血未止，加乌梅二个。凡畏酸者，不可用，或加地榆一钱半亦可。滑
者，加醋炒文蛤一钱。下焦虚滑不禁，加鹿角霜二钱为末，搅入药中服之。气虚甚者，加炙
黄二三钱。气陷而坠者，加炒升麻五七分。或白芷亦可。兼溏泄者，加补骨脂一钱炒用。
阳虚畏寒者，加制附子一二三钱。血去过多，阴虚气馁，心跳不宁者，加熟地七八钱，或一
二两。
Treats vomiting, acid regurgitation, diarrhea, and loss of appetite caused by cold pathogen invading the middle jiao; also treats vomiting and nausea due to visceral cold in women, as well as fetal unrest.
Ren Shen (Ginseng Radix) [1-3 qian or 1 liang] Bai Zhu (Atractylodis Macrocephalae Rhizoma) [1-2 qian or 1 liang, stir-fried] Bian Dou (Dolichoris Semen) [2 qian, stir-fried] Chen Pi (Citri Reticulatae Pericarpium) [1 qian, optional] Gan Jiang (Zingiberis Rhizoma) [1-3 qian, stir-fried until charred] Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparatum cum Melle) [1 qian] Dang Gui (Angelicae Sinensis Radix) [1-2 qian, avoid if loose stools]
Add two zhong of water, decoct until reduced to seven-tenths. Take warm, shortly after meals. If accompanied by lower-jiao cold with turbid discharge, add Po Gu Zhi (Psoraleae Fructus) [1 qian]. If there is qi stagnation or chest/abdominal pain, add Ding Xiang (Caryophylli Flos), Mu Xiang (Aucklandiae Radix), Bai Dou Kou (Amomi Fructus Rotundus), Sha Ren (Amomi Fructus), and Bai Jie Zi (Sinapis Semen). If accompanied by external pathogens or liver/kidney disorders, add Gui Zhi (Cinnamomi Ramulus) and Rou Gui (Cinnamomi Cortex); for severe cases, add Chai Hu (Bupleuri Radix). If spleen qi sinks causing fever, add Sheng Ma (Cimicifugae Rhizoma) [5-7 fen]. If water retention transforms into phlegm causing chest/abdominal fullness, add Fu Ling (Poria) [1-2 qian].
If spleen and stomach are extremely deficient with severe, uncontrollable vomiting, double the dosage of Ren Shen and Bai Zhu, add Hu Jiao (Piperis Longi Fructus) [2-3 fen], decoct, and take slowly.
Treats yin deficiency in the lower jiao with yang repelled to the upper jiao, causing true yang to lose its hold, leading to blood overflow resulting in severe hematemesis and epistaxis. The six pulses are fine and nearly imperceptible, limbs are cold, and the condition is critical. If bleeding cannot be stopped, use this formula immediately to anchor the floating yang, thereby stabilizing the blood. For treating throat obstruction with heat above due to yang repulsion, take this decoction cold.
Shu Di Huang (Rehmanniae Radix Praeparata) [1-2 liang] Niu Xi (Achyranthis Bidentatae Radix) [2 qian] Gan Cao (Glycyrrhizae Radix et Rhizoma) [1 qian, honey-fried] Ze Xie (Alismatis Rhizoma) [1.5 qian] Rou Gui (Cinnamomi Cortex) [1-2 qian] Zhi Fu Zi (Aconiti Lateralis Radix Praeparata) [5-7 fen or 1-3 qian]
Add two zhong of water, decoct quickly and take. If accompanied by vomiting and nausea, add Gan Jiang (Zingiberis Rhizoma) stir-fried until yellow [1-2 qian]. If there is qi collapse with fatigue and speechlessness, and the pulse is extremely weak, rapidly increase the dosage of Ren Shen (Ginseng Radix) according to circumstances.
Also known as She Ying Jian. Treats symptoms such as spleen deficiency failing to control blood. This includes conditions caused by worry, thought, depression, anger, chronic strain, or misuse of purgative drugs damaging yin/blood, leading to middle qi sinking, restless spirit, continuous rectal bleeding, or non-fire-induced metrorrhagia/metrostaxis in women. If accompanied by vomiting and nausea, it is a particularly critical sign requiring immediate use of this formula. By solely rescuing spleen qi, the controlling function becomes solid, and blood returns to its source. This is a modification of Gui Pi Tang (Restore the Spleen Decoction) with miraculous efficacy. If this syndrome occurs and cold-cooling herbs are used again, stomach qi will collapse, leading to certain death.
Bai Zhu (Atractylodis Macrocephalae Rhizoma) [2-3 qian] Dang Gui (Angelicae Sinensis Radix) [2 qian] Shan Yao (Dioscoreae Rhizoma) [2 qian] Zao Ren (Ziziphi Spinosae Semen) [1.5 qian] Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparatum cum Melle) [1 qian] Yuan Zhi (Polygalae Radix) [3-5 fen, processed] Pao Gan Jiang (Zingiberis Rhizoma Praeparatum) [1-3 qian] Lian Rou (Nelumbinis Semen) [20 grains, heart removed, stir-fried] Ren Shen (Ginseng Radix) [1-2 qian as needed, 1 liang for emergencies]
Decoct with two zhong of water. If bleeding does not stop, add Wu Mei (Mume Fructus) [2 pieces]. Avoid if sour taste is feared; alternatively, add Di Yu (Sanguisorbae Radix) [1.5 qian]. For slippery/profuse discharge, add Wen Ge (Meretrix Shell) stir-fried with vinegar [1 qian]. For lower jiao deficiency with involuntary slipping, add Lu Jiao Shuang (Cornu Cervi Pantotrichum Preparatum) [2 qian] ground into powder, mixed into the decoction. For severe qi deficiency, add Huang Qi (Astragali Radix) honey-fried [2-3 qian]. For qi sinking with bearing-down sensation, add Sheng Ma (Cimicifugae Rhizoma) stir-fried [5-7 fen]; or use Bai Zhi (Angelicae Dahuricae Radix). For accompanying loose stools, add Bu Gu Zhi (Psoraleae Fructus) stir-fried [1 qian].
For yang deficiency with aversion to cold, add Zhi Fu Zi (Aconiti Lateralis Radix Praeparata) [1-3 qian]. For excessive blood loss leading to yin deficiency, qi exhaustion, and palpitations/restlessness, add Shu Di Huang (Rehmanniae Radix Praeparata) [7-8 qian or 1-2 liang].