此补中益气汤之变方也。治劳倦伤阴，精不化气，或阴虚内乏，以致外感不
，寒热 疟，阴虚便结不通等症。凡属阴气不足，而虚邪外侵者，用此升散，无不神效。
人参（一二三钱） 当归（二三钱） 山药（二三钱，酒炒） 陈皮（一钱） 熟地（三五钱或
用至
水二盅，加生姜三五七片，煎八分，食远温服。
治气虚下陷，血崩血脱，亡阳垂危等症，有不利于归熟等剂，而但宜补气者，
以此主之。
人参 黄 （各三五钱，炙） 炙甘草（一二钱） 升麻（五七分，炒） 白术（一二钱，炒
水一盅半，煎七八分，温服。如兼阳气虚寒者，桂附、干姜，随宜佐用。如兼滑脱者
，加乌梅二个，或文蛤七八分。
治思虑伤脾，不能摄血，致血妄行，或健忘、怔忡、惊悸、盗汗、嗜卧、
或大便不调，心脾疼痛，疟痢郁结，或因病用药失宜，克伐伤脾，以致变症者，最宜用之。
人参 黄 白术 茯苓 枣仁（各二钱） 远志 当归（各一钱） 木香 炙甘草（各五
水二盅，加圆眼肉七枚，煎七分，食远服。
景岳先生云∶此汤之用木香，特因郁结疼痛者设，如无痛郁等症，必须除去木香，以
燥，岂不于气虚血动者为尤善乎？又远志味辛，气升而散，凡多汗而躁热者，亦宜酌用。
This is a modified formula of Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). It treats conditions caused by fatigue and overwork damaging Yin, where essence fails to transform into Qi, or internal deficiency due to Yin deficiency, leading to unresolved external contractions, alternating chills and fever resembling malaria, and constipation due to dryness from Yin deficiency. For all cases where Qi deficiency allows pathogenic factors to invade from outside, using this formula for lifting and dispersing yields miraculous effects.
Ren Shen (Ginseng Radix) (1-3 qian), Dang Gui (Angelicae Sinensis Radix) (2-3 qian), Shan Yao (Dioscoreae Rhizoma) (2-3 qian, stir-fried with wine), Chen Pi (Citri Reticulatae Pericarpium) (1 qian), Shu Di Huang (Rehmanniae Radix Praeparata) (3-5 qian, or more). [Text missing: Water 2 zhong]. Add 3-7 slices of fresh ginger, decoct until 80% remains, take warm after meals.
It treats conditions such as sinking of Qi deficiency, uterine bleeding or blood collapse, and critical Yang collapse. For those unsuitable for formulas like Guipi Tang (Restore the Spleen Decoction) or Shu Di Huang-based preparations, but who only require tonification of Qi, this formula serves as the primary treatment.
Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix) (each 3-5 qian, honey-fried), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (1-2 qian), Sheng Ma (Cimicifugae Rhizoma) (5-7 fen, stir-fried), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1-2 qian, stir-fried). [Text missing: Water 1.5 zhong]. Decoct until 70-80% remains, take warm. If accompanied by Yang deficiency and cold, Gui Zhi (Cinnamomi Ramulus), Fu Zi (Aconiti Lateralis Radix Praeparata), and Gan Jiang (Zingiberis Rhizoma) may be added as auxiliaries according to suitability. If accompanied by slipping and incontinence, add 2 Wu Mei (Mume Fructus) or 5-7 fen Wen Ge (Meretricis et Cyclinae Concha).
It treats conditions caused by excessive worry injuring the Spleen, failing to control blood, leading to reckless bleeding; or forgetfulness, palpitations, fright and anxiety, night sweats, lethargy; or irregular bowel movements, pain in the heart and spleen, malaria and dysentery with stagnation; or adverse changes resulting from inappropriate medication that attacks and injures the Spleen. This formula is most suitable for these cases.
Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Suan Zao Ren (Ziziphi Spinosae Semen) (each 2 qian), Yuan Zhi (Polygalae Radix), Dang Gui (Angelicae Sinensis Radix) (each 1 qian), Mu Xiang (Aucklandiae Radix), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (each 5 fen). [Text missing: Water 2 zhong]. Add 7 pieces of Long Yan Rou (Longan Aril), decoct until 70% remains, take after meals.
Mr. Jingyue stated: The use of Mu Xiang (Aucklandiae Radix) in this formula is specifically designed for cases involving stagnation and pain. If there are no symptoms of pain or stagnation, Mu Xiang must be removed to avoid its drying nature, which would be even more beneficial for those with Qi deficiency and restless blood. Furthermore, Yuan Zhi (Polygalae Radix) has a pungent taste and ascending, dispersing Qi. For cases with excessive sweating and restlessness/heat, it should also be used with discretion.