不食胃虚冷热分，二神思食效超群（二方治寒冷。）凝神散并资生（丸）妙（二方治虚热，以上皆
病在上，中二焦之方也，）议到下焦勇冠军（二神丸治肾中之火虚，六味汤治肾中之水虚。
谷劳食已即贪眠，责在胃虚气不前，《肘后》椒姜大麦研，沉香汤取善盘旋。
食亦者，饮食不为肌肤，言虽食亦若饥也。《内经》云∶大肠移热于胃，善食而瘦，谓
之食亦。夫胃为水谷之海，所以化气味而为荣卫者也。若乃胃受热邪，消灼谷气，不能变化
精血，故善食而瘦也。又胃移热于胆，亦名食亦，以胆为阳木，热气乘之，则烁土而消谷，
宜甘露饮主之。
食亦皆因胃热乘，虽能纳谷瘦难胜，慈云若骨垂甘露，荣卫氲氤气上腾。
黄胆证，已食如饥，但欲安卧，一身面目及小便俱黄是也。此为胃热脾寒，寒则生湿，
或胃得风而脾热，得寒而湿。湿热内郁，则膀胱之气不化，膀胱主一身之肌表，不化气则湿
热无去路而成疸矣。《金匮浅注》言之最详，今惟以阴阳提其大纲。凡阴黄胆，色暗如熏黄
，短气，小便自利，证多虚，宜理中汤、建中汤之类主之。阳黄胆，色明如橘子，气逆，小
便不利，证多实，宜茵陈蒿汤、栀子柏皮汤之类主之。又有从房事而得者，身黄而额上黑，
微汗出，手足心热，名女劳疸。取妇人月经布和血烧灰，空腹酒服方寸匕，日再，不过三
日必愈。然《金匮浅注》不可不读。此黄色虽现于表，而郁热则盛于里，故列于里证。
食欲不振（不能食）需分辨是胃气虚寒还是胃热，二神丸与资生丸疗效卓越（二神丸治疗寒冷证）。凝神散和资生丸也很精妙（这两方治疗虚热证，以上都是针对上、中二焦病变的方剂）。再议及下焦的勇冠军（二神丸治疗肾中火虚，六味汤治疗肾中水虚）。
谷劳病表现为进食后即贪睡，原因在于胃气虚弱，气机运行不前。《肘后备急方》记载将花椒、干姜和大麦研末服用，或用沉香汤取效，能善于缓解症状。
食亦病，指饮食摄入却不能转化为肌肤营养，意思是虽然吃得很多，却好像还在饥饿一样。《黄帝内经》说：大肠的热邪移注于胃，导致容易饥饿且身体消瘦，称为“食亦”。胃是水谷之海，负责将食物转化为营气和卫气。如果胃受热邪侵袭，消灼谷物之气，不能化生精血，所以容易饥饿且身体消瘦。另外，胃的热邪移注于胆，也叫做“食亦”，因为胆属阳木，热气侵犯它，就会灼伤脾胃（土）而加速消化，适宜用甘露饮主治。
食亦病皆因胃热乘袭所致，虽然能吃但身体消瘦难以支撑。慈云丸（此处疑为笔误或特定方名，原文作“慈云若骨垂”结合上下文及后文“甘露”，推测指代清热生津之法或方剂，此处直译意象）若骨瘦如柴，需用甘露饮使营卫之气氤氲上升。
黄疸病，表现为吃完饭后像饿了一样，只想安卧，全身面目及小便都发黄就是此证。这是因为胃热脾寒，寒则生湿；或者是胃受风邪而脾热，遇寒则生湿。湿热内郁，导致膀胱气化功能失常。膀胱主一身之肌表，如果不化气，则湿热没有出路而形成黄疸。《金匮要略浅注》对此论述最详细，现在只以阴阳来提纲挈领。凡是阴黄，颜色暗如熏黄，短气，小便自利，证候多属虚，适宜用理中汤、小建中汤之类主治。阳黄，颜色明如橘子色，气逆，小便不利，证候多属实，适宜用茵陈蒿汤、栀子柏皮汤之类主治。又有因房事不节而得的，身体发黄且额头发黑，微微出汗，手足心发热，名叫女劳疸。取妇女月经布和血烧成灰，空腹用酒送服一方寸匕，每天两次，不超过三天必定痊愈。然而《金匮要略浅注》不可不读。这种黄色虽然表现在体表，但郁热却在体内旺盛，所以将其列在里证中。
Anorexia (Inability to eat) requires differentiation between deficiency-cold and heat in the Stomach. Ershen Wan (Two Spirits Pill) and Zisheng Wan (Nourishing Life Pill) are highly effective (Ershen Wan treats cold patterns). Ning Shen San (Spirit-Calming Powder) and Zisheng Wan are also excellent (These two formulas treat deficiency-heat; above all, these are formulas for disorders of the Upper and Middle Jiao). We then discuss Yong Jun Guan for the Lower Jiao (Ershen Wan treats Kidney Fire Deficiency, Liuwei Tang (Six-Ingredient Rehmannia Decoction) treats Kidney Water Deficiency).
Gu Lao (Grain Exhaustion) is characterized by drowsiness immediately after eating, attributed to Stomach Qi deficiency where Qi fails to advance. The *Zhou Hou Bei Ji Fang* (Emergency Prescriptions Kept Up the Sleeve) records grinding Sichuan pepper, dried ginger, and barley for consumption, or using Chen Xiang Tang (Agarwood Decoction) for efficacy, which effectively alleviates symptoms.
Shi Yi (Eating Similarly/Insatiable Hunger) refers to a condition where food intake does not nourish the flesh and skin; although one eats much, it feels as if still hungry. The *Huang Di Nei Jing* states: "Heat from the Large Intestine transfers to the Stomach, causing excessive hunger and emaciation, termed Shi Yi." The Stomach is the Sea of Water and Grain, responsible for transforming food into Ying (Nutritive) and Wei (Defensive) Qi. If the Stomach is invaded by pathogenic heat, consuming the Qi of grains and failing to transform them into Essence and Blood, one experiences excessive hunger and emaciation. Furthermore, if Stomach heat transfers to the Gallbladder, it is also called Shi Yi, because the Gallbladder belongs to Yang Wood; when heat invades it, it scorches Earth (Spleen/Stomach) and accelerates digestion, making Gan Lu Yin (Sweet Dew Decoction) the appropriate treatment.
Shi Yi is caused by Stomach Heat encroaching; although appetite is good, the body becomes too thin to bear. [Metaphorical description regarding bone-thinness and Sweet Dew] allows Ying and Wei Qi to rise turbidly and ascend.
Jaundice presents with a sensation of hunger after eating, a desire to lie down, and yellowing of the whole body, face, eyes, and urine. This is due to Stomach Heat and Spleen Cold; cold generates dampness, or Wind affects the Stomach while Heat affects the Spleen, generating dampness upon exposure to cold. Internal stagnation of Damp-Heat impairs the Qi transformation of the Bladder. The Bladder governs the muscle and surface of the body; if Qi transformation fails, Damp-Heat has no outlet, resulting in Jaundice. The *Jin Gui Qian Zhu* (Light Annotation on the Golden Cabinet) discusses this in detail; here we summarize the main outline via Yin and Yang. For Yin Jaundice, the color is dark like smoked yellow, accompanied by shortness of breath and spontaneous urination; the pattern is mostly deficiency, treated with Lizhong Tang (Regulate the Middle Decoction) or Jianzhong Tang (Establish the Middle Decoction). For Yang Jaundice, the color is bright like an orange peel, accompanied by rebellious Qi and difficult urination; the pattern is mostly excess, treated with Yinyin Hao Tang (Artemisia Capillaris and Coix Seed Decoction) or Zhizi Baipi Tang (Gardenia and Phellodendron Bark Decoction). There is also a type acquired through sexual indiscretion, presenting with yellowing of the body, blackening of the forehead, slight sweating, and heat in the palms and soles, named Nü Lao Dan (Female Labor Jaundice). Take women's menstrual cloth, mix with blood, burn to ash, and take one cun cube with wine on an empty stomach, twice daily; recovery is certain within three days. However, the *Jin Gui Qian Zhu* must be read. Although this yellow manifests on the exterior, the stagnant heat is abundant internally, thus it is classified under Interior Patterns.