1.内伤劳役伤脾气, 饮食伤胃伤其形, 伤形失节温凉过, 气湿热暑
火寒中.
【注】劳役伤气, 伤元气也. 饮食伤形, 伤胃腑也. 伤气宜补, 有热
中,湿热, 暑热, 火郁, 寒中之不同. 伤形宜消, 有饮食失节, 过于
温凉之不一也.
2.内伤脉大见气口, 外感脉大见人迎, 头疼时痛与常痛, 恶寒温解
烈火仍, 热在肌肉从内泛, 热在皮肤扪内轻, 自汗气乏声怯弱, 虽汗
气壮语高声, 手心热兮手背热, 鼻息气短鼻促鸣, 不食恶食内外辨,
初渴后渴少多明.
【注】内伤外感脉皆大, 内伤之脉, 气口大于人迎, 不似外感之脉,
人迎大于气口也. 内伤外感皆头痛, 内伤之头痛有时而痛, 有时不痛
,不似外感之头痛, 常常而痛不休也. 内伤外感皆恶寒, 内伤之恶寒
得就温衣而即解, 不似外感之恶寒, 虽近烈火而仍恶也. 内伤外感皆
发热, 内伤之发热, 热在肌肉, 以手扪之, 热从内泛, 不似外感之发
热,热在皮肤, 以手扪之, 热自内轻也. 内伤外感皆自汗, 内伤之自
汗,气短乏声怯弱, 不似外感之自汗, 气壮促语声高也. 内伤外感手
皆热, 内伤之热手心热, 不似外感之热, 手背热也. 内伤外感皆鼻不
和,内伤之鼻息气短而喘, 不似外感之鼻息, 气促而呜也. 内伤外感
皆不食, 内伤之不食口中无味, 不似外感之不食, 闻食则恶也. 内伤
外感皆渴, 内伤之渴初病即渴, 其饮甚少, 不似外感之渴, 三日后始
渴,其饮甚多也.
补中益气汤
3.补中益气升阳清, 热伤气陷大虚洪, 头痛表热自汗出, 心烦口渴
畏寒风, 困倦懒言无气动, 动则气高喘促声, 保元甘温除大热, 血归
气术补脾经, 佐橘降浊散滞气, 升柴从胃引阳升, 阴火肾躁加地柏,
阳热心烦安神宁.
【注】补中益气汤治内伤, 清阳下陷, 因劳役过度, 热伤元气故脉虚
大而洪也. 内伤头痛, 时作时止也. 内伤表热, 尝自汗出也. 心烦,
气虚恶烦劳也. 口渴, 气陷不蒸化也. 畏寒畏风, 表气虚失卫也. 困
倦懒言, 气乏不周也. 动则气喘上气, 不足息也. 保元, 谓人参, 黄
耆,甘草, 名保元汤也. 臣当归和脾血, 白术益脾气, 佐橘皮降浊,
散胸中滞气, 升, 柴, 升清, 从胃中引阳也. 阴火时显躁热, 加黄柏
,生地, 补水救阴. 阳热昼夜心烦, 合朱砂安神丸, 泻火安神.
调中益气汤
4.调中弦洪缓沉涩, 湿热体倦骨酸疼, 气少心烦忽肥瘦, 口沫食出
耳鸣聋, 胸膈不快食无味, 二便失调飧血脓, 保元升柴苍橘柏, 去柏
加木亦同名.
【注】调中益气亦治内伤, 清气下陷, 浊气上乘, 清浊相干而兼湿热
者,故二便不调, 飧泻脓血也. 此汤与补中益气汤, 虽互相发明, 然
其证脉则不可不分别也. 内伤之病, 脾胃元气一虚, 四脏失其调和,
所以五脏之脉, 交相混见, 故肝弦, 心洪, 脾缓之脉反见于上. 按之
沉涩, 肺脉而反见于下也. 身肢重倦, 气不周也. 骨节酸疼, 血不荣
也.气少, 中气乏也. 心烦, 心血少也. 忽肥忽瘦者, 火乘土位, 上
并阳分, 则血脉上行而上盛, 故面赤红而肥; 下并阴分, 则血脉下行
而上虚, 故面青白而瘦. 即今之虚损病人, 早则面青白瘦而恶寒, 午
后则面红赤肥而发热者是也. 口沫, 谓口中沃沫, 脾不散精也. 食出
,谓食入反出, 胃虚不纳也. 耳鸣聋, 谓耳鸣, 耳聋, 阴火上冲也.
胸膈不快, 浊气滞也. 饮食无味, 胃气伤也. 二便不调, 谓大便时泻
不泻, 小便时利不利, 脾湿不分也. 飧, 谓完谷不化之飧泻, 脾虚湿
不化也. 血脓, 谓大便后或见脓见血, 脾湿热酿成也. 保元, 谓保元
汤,即人参, 黄耆, 炙草, 升麻, 柴胡, 苍术, 橘皮, 黄柏也. 去黄
柏加木香, 亦名调中益气汤, 以热少气不和者宜之也.
升阳益胃汤
5.内伤升阳益胃汤, 湿多热少抑清阳, 倦怠懒食身重痛, 口苦舌干
便不常, 洒洒恶寒属肺病, 惨惨不乐乃阳伤, 六君白芍连泽泻, 羌独
黄耆柴与防.
【注】内伤气虚, 湿多热少, 遏抑春生清气不得上升脾胃之证, 宜服
此汤. 其证倦怠懒食, 身重而痛, 口苦舌干, 便不常, 谓大便不调 ,
小便频数不如常也. 洒洒恶寒, 卫气不足, 属肺皮毛之病也. 惨惨不
乐,面色不和, 乃阳气伤而不伸也. 六君, 谓人参, 白术, 茯苓, 炙
草,橘皮, 半夏也. 加白芍, 黄连, 泽泻, 黄耆, 羌活, 独活, 柴胡
,防风, 即是升阳益胃也.
补脾胃泻阴火升阳汤
6.补中升阳泻阴火, 火多湿少困脾阳, 虽同升阳益胃证, 然无泻数
肺阳伤. 补脾胃气参耆草, 升阳柴胡升与羌, 石膏芩连泻阴火, 长夏
湿令故加苍.
【注】内伤气虚, 热多湿少, 阴火困脾, 阳气不得上升, 脾胃之证,
宜服此方. 此方所治, 虽同升阳益胃之证, 然无大便不证, 小便频数
,洒洒恶寒肺病, 惨惨不乐阳伤之证也.
内伤补中, 调中, 益胃等汤加减法
7.冬加姜桂草蔻益, 秋芍白蔻缩槟榔, 夏月气冲芩连柏, 春加风药
鼓清阳, 长夏沉困精神少, 人参麦味泽苓苍. 肺热咳嗽减参去, 春加
金沸款冬芳, 夏加麦冬五味子, 秋冬连根节麻黄. 头痛蔓荆甚芎入,
巅脑?? 本苦细尝. 沉重懒倦或呕逆, 痰厥头疼半夏姜. 口干嗌干或
表热, 加葛生津清胃阳. 大便燥涩元明粉, 血燥归桃熟大黄, 痞胀香
砂连枳朴, 寒减黄连加炒姜. 胃痛草蔻寒益智, 气滞青皮白蔻香. 腹
痛芍草芩桂审, 脐下痛桂熟地黄. 内外烦疼归和血, 胁下痛急草柴良
.身重脚软己苍柏, 身疼发热?? 防羌.
【注】冬加干姜, 官桂, 草豆蔻, 益智, 助阳气也. 秋加白芍, 白豆
蔻,缩砂仁, 槟榔, 助燥收也. 夏月加黄连, 黄芩, 黄柏, 降阴火也
.或腹中气上冲逆, 属阴火冲上, 虽非夏月亦加之. 春加风药, 谓羌
活,独活, 防风,?? 本之类, 佐参耆之品, 能鼓清阳之气上升也. 长
夏身肢沉困, 精神短少, 加人参, 麦冬, 五味子, 恐暑伤气也. 加泽
泻,茯苓, 苍术, 去脾湿也. 肺中有热咳嗽, 减人参, 远肺热也. 春
加金沸草, 款冬花, 散肺风也. 夏加麦冬, 五味子, 保肺气也. 冬加
连根节麻黄, 散肺寒也. 头痛加蔓荆子, 引太阳也. 痛甚加川芎, 上
行捷也. 巅痛脑痛加?? 本, 入督脉也. 苦头痛加细辛, 走少阴也.
痰厥头痛, 沉重懒倦, 或呕逆痰涎, 加半夏, 生姜, 治痰逆也. 口干
嗌干, 或表发热, 加葛根, 生津解肌也. 大便燥涩加元明粉, 血虚燥
加当归, 血实燥加桃仁, 热实燥加大黄, 心下痞胀气不快加木香, 食
不消加砂仁, 心下结热加黄连, 心下结气加枳实, 胃气壅塞加厚朴.
如胃中寒, 或冬月, 减去黄连, 加炒干姜. 胃痛加草豆蔻, 胃寒或唾
沫加益智, 气满不快加白豆蔻, 青皮, 腹痛加白芍, 甘草, 审其有热
加黄芩, 有寒加官桂. 脐下痛加肉桂, 熟地黄. 腹内身外刺痛, 此属
血涩不足, 加当归以活血也. 胁下痛或急缩, 加甘草, 柴胡, 以和肝
也.身重脚软, 加防己, 苍术, 黄柏, 去湿热在内也. 身痛发热, 加
??本, 防风, 羌活, 疏风在表也.
清暑益气汤 清燥汤
8.长夏湿暑交相病, 暑多清暑益气功, 汗热烦渴倦少气, 恶食尿涩
便溏行, 补中去柴加柏泽, 麦味苍麴甘葛青, 湿多痿厥清燥地, 猪茯
柴连减葛青.
【注】长夏之令, 暑湿炎蒸, 交相为病. 暑多湿少为病, 其证则自汗
身热, 心烦口渴, 倦困少气恶食, 小便涩少, 大便稀溏, 宜清暑益气
汤,即补中益气汤去柴胡, 加黄柏, 泽泻, 麦冬, 五味子, 苍术, 神
曲,甘葛, 青皮也. 若湿多暑少为病, 则成痿厥之证, 腰以下痿软,
难于转动, 行走不正, 两足欹侧, 宜清燥汤, 即本方更加生地, 猪苓
,茯苓, 柴胡, 黄连, 减去甘葛, 青皮也.
升阳散火汤 火郁汤
9.血虚胃弱过食凉, 阳郁于脾散火汤, 肌肤筋骨肢困热, 扪之烙手
热非常, 羌独芍防升柴葛, 人参二草枣生姜, 火郁加葱减参独, 恶寒
沉数发之方.
【注】二草, 炙甘草, 生甘草. 恶寒, 谓身虽有如是烙手之热而反恶
寒.脉来沉数, 则可知火郁肌里, 宜以此方发之.
白术附子汤 加味理中汤
10.内伤水来侮土病, 寒湿白术附子汤, 涎涕腹胀时多溺, 足软无力
痛为殃, 腰背胛眼脊背痛, 丸冷阴阴痛不常, 苍附五苓陈半朴, 虚宜
理中附苓苍.
【注】东垣内伤, 热中之病, 用补中益气汤; 寒中之病, 用白术附子
汤.寒中为水来侮土, 寒湿之病, 其证内则腹胀多溺涎涕, 外则足软
胛脊腰背睾丸痛. 脾胃寒湿而气不虚者, 宜用是方, 即五苓散加苍术
,附子, 陈皮, 半夏, 厚朴也. 若脾胃寒湿而气虚者, 则宜用理中汤
加附子, 茯苓, 苍术是也.
人参资生丸
11.资生脾胃俱虚病, 不寒不热平补方, 食少难消倒饱胀, 面黄肌瘦
倦难当.
【注】缪仲醇制资生丸方, 为脾胃俱虚, 不寒不热平补之药. 其所治
之证, 乃饮食减少, 过时不化, 倒饱胀闷, 面色痿黄, 肌肉渐瘦, 困
倦无力也. 方见诸书, 故不录药味.
清胃理脾汤
12.清胃理脾治湿热, 伤食平胃酌三黄, 大便粘秽小便赤, 饮食爱冷
口舌疮.
【注】清胃理脾汤, 即平胃散加黄连, 黄芩, 大黄也. 酌三黄者, 谓
有热滞而不实者, 不可入大黄也. 伤食, 谓伤食病证, 如痞胀, 哕呕
,不食, 吞酸, 恶心, 噫气之类. 更兼大便粘臭, 小便赤涩, 饮食爱
冷,口舌生疮, 皆伤醇酒厚味, 湿热为病之证也.
理中汤
13.理中治虚寒湿伤, 食少喜热面青黄, 腹痛肠呜吐冷沫, 大便腥秽
似鸭溏.
【注】白术附子汤, 治脾胃寒湿形气实者也. 理中汤, 治脾胃寒湿形
气虚者也. 虚者, 其证食少, 喜食热物, 面色青黄, 腹痛肠鸣, 吐冷
涎沫, 大便腥秽不臭, 似鸭粪澄彻清溏也, 故宜此汤.
消食健脾丸
14.胃强脾弱脾胃病, 能食不化用消食, 平胃炒盐胡椒共, 麦蘖查麴
白蒺藜.
【注】脾胃病中, 有胃强脾弱一证, 胃强所以能食, 脾弱不能消化.
宜服消食健脾汤丸, 助其消化. 用苍术, 陈皮, 厚朴, 甘草, 炒盐,
胡椒, 山查, 神麴, 麦芽, 白蒺藜, 末, 蜜丸服之. 更节其饮食, 自
然脾胃和而能健运矣.
开胃进食汤
15.开胃进食治不食, 少食难化胃脾虚, 丁木藿香莲子朴, 六君砂麦
与神麴.
【注】此方治不思饮食, 少食不能消化, 脾胃两虚之证. 方即六君子
汤,加丁香, 木香, 藿香, 莲子, 厚朴, 缩砂, 麦芽, 神麴也.
平胃散
16.一切伤食脾胃病, 痞胀哕呕不能食, 吞酸恶心并噫气, 平胃苍朴
草陈皮, 快膈枳术痰苓半, 伤谷二芽缩神麴, 肉滞山查面莱菔, 滞热
芩连柏大宜.
【注】伤食等证, 宜用平胃散, 即苍术, 厚朴, 甘草, 陈皮也. 快膈
加枳实, 白术, 有痰加半夏, 茯苓. 伤谷滞者, 加麦芽, 谷芽, 缩砂
,神麴. 伤肉滞者, 加山查. 伤面滞者, 加莱菔. 有热者, 加黄芩,
黄连, 黄柏, 大黄, 酌而用之.
葛花解酲汤
17.葛花解酲发酒汗, 懒食热倦呕头寒, 参葛四苓白蔻缩, 神麴干姜
陈木青.
【注】伤酒宜用葛花解酲汤汗之, 汗出立愈. 其证头痛懒食, 呕吐身
热,倦怠而烦, 似乎外感而实非外感, 皆因酒所致也. 方即人参, 葛
花,白术, 茯苓, 猪苓, 泽泻, 白蔻, 缩砂, 神麴, 干姜, 陈皮, 木
香,青皮.
秘方化滞丸
1. 内伤是由于劳役过度损伤了脾气，饮食不节损伤了胃腑及形体。损伤形体是因为起居作息和寒温调节失当，导致气机被湿、热、暑、火或寒邪中伤。
【注】劳役过度损伤的是气，即元气。饮食不节损伤的是形，即胃腑。损伤气的应当用补法，其中有热中、湿热、暑热、火郁、寒中等不同的情况。损伤形的应当用消导法，其中有饮食失节、过于温热或寒凉等不同原因。
2. 内伤的脉象在大而见于气口（寸口），外感的脉象在大而见于人迎。头痛方面，内伤是间歇性疼痛，外感是持续性疼痛；恶寒方面，内伤得温暖衣物即可缓解，外感即使靠近烈火仍觉寒冷；发热方面，内伤的热在肌肉深层，触摸时感觉热气从内向外散发，外感的热在皮肤表层，触摸时感觉热气较轻；自汗方面，内伤伴有气短、乏力、声音怯弱，外感则气息壮盛、语声高亢；手足温度方面，内伤手心热，外感手背热；呼吸方面，内伤鼻息气短且喘，外感鼻息急促且有鸣音；食欲方面，内伤不食且口中无味，外感不食且闻见食物气味就厌恶；口渴方面，内伤初病即渴但饮水少，外感则是三日后才渴且饮水多。
【注】内伤和外感的脉象都表现为大，但内伤的脉象是气口大于人迎，不像外感那样人迎大于气口。内伤和外感都有头痛，但内伤的头痛是有时痛有时不痛，不像外感那样常常疼痛不止。内伤和外感都怕冷，但内伤的怕冷得到温暖的衣服包裹就能缓解，不像外感那样即使靠近烈火仍然怕冷。内伤和外感都发热，但内伤的发热，热在肌肉层，用手摸它，热气是从内部泛出来的，不像外感的发热，热在皮肤层，用手摸它，热气是从内部轻浅地透出来的。内伤和外感都有自汗，但内伤的自汗，伴随气短乏力、声音怯弱，不像外感的自汗，伴随气息壮盛急促、语声高亢。内伤和外感的手都热，但内伤的热在手心，不像外感的热在手背。内伤和外感都有鼻部不适，但内伤的鼻息气短而喘，不像外感的鼻息，气促而有鸣音。内伤和外感都不想吃东西，但内伤的不吃是因为口中没有味道，不像外感的不吃，是因为闻到食物气味就恶心。内伤和外感都口渴，但内伤的渴是刚生病就渴，喝水很少，不像外感的渴，是三天后才渴，而且喝水很多。
补中益气汤
3. 补中益气汤能升举阳气、清除虚热，适用于因热邪损伤元气导致气陷、脉象大虚洪大的证候。症状包括头痛、体表发热、自汗出、心烦口渴、畏风怕冷、困倦懒言、气短无力，活动后气逆喘促、声音粗重。此方用人参、黄芪、甘草（保元汤）甘温以除大热，使血液回归，白术补脾经之气，佐以橘皮降浊气、散滞气，升麻、柴胡从胃中引导阳气上升。若伴有阴火引起的肾躁，加地黄、黄柏；若为阳热引起的心烦，合用朱砂安神丸以泻火安神。
【注】补中益气汤治疗内伤，针对清阳下陷，因劳役过度，热邪损伤元气，所以脉象虚大而洪。内伤头痛，是时而发作时而停止。内伤体表发热，经常有自汗出。心烦，是气虚厌恶烦劳。口渴，是气陷不能蒸腾气化。畏寒畏风，是表气虚失去卫外功能。困倦懒言，是气乏不能周流全身。动则气喘上气，是肺气不足。保元，指人参、黄芪、甘草，名为保元汤。臣药当归调和脾血，白术补益脾气，佐药橘皮降浊，消散胸中的滞气，升麻、柴胡升举清气，从胃中引导阳气上升。阴火时常显现躁热，加黄柏、生地，补水救阴。阳热导致昼夜心烦，合用朱砂安神丸，泻火安神。
调中益气汤
4. 调中益气汤主治脉象弦、洪、缓、沉、涩交错，身体疲倦、骨节酸疼，气短心烦，忽胖忽瘦，口吐涎沫，饮食反出，耳鸣耳聋，胸膈不快，饮食无味，二便失调，完谷不化或脓血便。方中含保元汤（人参、黄芪、炙甘草）、升麻、柴胡、苍术、橘皮、黄柏，若去掉黄柏加木香，也名为调中益气汤。
【注】调中益气汤也治疗内伤，针对清气下陷，浊气上乘，清浊相干兼夹湿热的情况，所以出现二便不调，完谷不化的泄泻及脓血便。此汤与补中益气汤虽然互相发明，但其证候和脉象不可不分别。内伤病，脾胃元气一旦虚弱，四脏失去调和，所以五脏的脉象交相混杂出现，因此肝弦、心洪、脾缓的脉象反而出现在上部。按之沉涩，肺脉反而出现在下部。身体肢体沉重疲倦，是气不能周流。骨节酸疼，是血不能荣养。气少，是中气匮乏。心烦，是心血不足。忽胖忽瘦，是火邪乘袭土位，向上并入阳分，则血脉上行而上部盛，所以面色红赤而显得胖；向下并入阴分，则血脉下行而上部虚，所以面色青白而显得瘦。就是现在的虚损病人，早晨面色青白瘦而怕冷，午后面色红赤胖而发热的情况。口吐涎沫，是指口中唾液多，是脾不散精。饮食反出，是指吃进去的食物又吐出来，是胃虚不能受纳。耳鸣耳聋，是指耳鸣、耳聋，是阴火上冲。胸膈不快，是浊气停滞。饮食无味，是胃气受伤。二便不调，是指大便有时泻有时不泻，小便有时通利有时不通利，是脾湿不分。飧泻，是指完谷不化的泄泻，是脾虚湿不化。血脓，是指大便后或见脓或见血，是脾湿热酿成。保元，指保元汤，即人参、黄芪、炙甘草、升麻、柴胡、苍术、橘皮、黄柏。去掉黄柏加木香，也名为调中益气汤，适用于热少气不和的情况。
升阳益胃汤
5. 升阳益胃汤治疗内伤，适用于湿气多、热气少，抑制清阳上升的证候。症状包括倦怠懒食、身体沉重疼痛、口苦舌干、二便不调，洒洒然恶寒属于肺病，心情惨淡不乐乃阳气受伤。方含六君子汤（人参、白术、茯苓、炙甘草、橘皮、半夏）加白芍、黄连、泽泻、黄芪、羌活、独活、柴胡、防风。
【注】内伤气虚，湿气多热气少，遏抑春生清气不得上升脾胃的证候，适宜服用此汤。其证候倦怠懒食，身体沉重而痛，口苦舌干，二便不调，指大便不调，小便频数不如常。洒洒恶寒，是卫气不足，属于肺主皮毛的病。惨惨不乐，面色不和，是阳气受伤而不能伸展。六君，指人参、白术、茯苓、炙甘草、橘皮、半夏。加白芍、黄连、泽泻、黄芪、羌活、独活、柴胡、防风，即是升阳益胃汤。
补脾胃泻阴火升阳汤
6. 补脾胃泻阴火升阳汤能补中升阳、泻阴火，适用于火多湿少、困阻脾阳的证候。虽然与升阳益胃汤证相似，但没有大便不调、小便频数、洒洒恶寒等肺病表现，也没有惨惨不乐等阳气受伤的表现。方含补脾胃气的人参、黄芪、甘草，升阳的柴胡、升麻、羌活，泻阴火的石膏、黄芩、黄连，因长夏湿令故加苍术。
【注】内伤气虚，热多湿少，阴火困脾，阳气不得上升，脾胃的证候，适宜服用此方。此方所治，虽然同于升阳益胃汤的证候，但是没有大便不调、小便频数、洒洒恶寒等肺病，以及惨惨不乐等阳气受伤的证候。
内伤补中、调中、益胃等汤加减法
7. 冬季加干姜、官桂、草豆蔻、益智仁以助阳气。秋季加白芍、白豆蔻、缩砂仁、槟榔以助燥收。夏季气机上冲加黄芩、黄连、黄柏。春季加风药以鼓动清阳上升。长夏季节身体沉重困倦、精神少，加人参、麦冬、五味子、泽泻、茯苓、苍术。肺热咳嗽减人参去远志，春季加金沸草、款冬花，夏季加麦冬、五味子，秋冬加连根节麻黄。头痛甚加蔓荆子、川芎，巅顶脑痛加藁本、细辛。沉重懒倦或呕逆痰厥头疼加半夏、生姜。口干咽干或表热加葛根。大便燥涩加元明粉，血燥加当归、桃仁、熟大黄，痞胀加香附、砂仁、黄连、枳实、厚朴，胃寒减黄连加炒干姜，胃痛加草豆蔻、益智仁，气滞加青皮、白豆蔻、木香，腹痛审证加芍药、甘草、黄芩、肉桂，脐下痛加肉桂、熟地黄，内外烦疼加当归和血，胁下痛急加甘草、柴胡，身重脚软加防己、苍术、黄柏，身疼发热加藁本、防风、羌活。
【注】冬季加干姜、官桂、草豆蔻、益智仁，是助阳气。秋季加白芍、白豆蔻、缩砂仁、槟榔，是助燥收。夏季加黄连、黄芩、黄柏，是降阴火。或者腹中气上冲逆，属阴火冲上，虽非夏季也加这些药。春季加风药，指羌活、独活、防风、藁本之类，辅助人参、黄芪等品，能鼓动清阳之气上升。长夏身体肢体沉困，精神短少，加人参、麦冬、五味子，恐怕暑气伤气。加泽泻、茯苓、苍术，是去脾湿。肺中有热咳嗽，减人参，是远离肺热。春季加金沸草、款冬花，是散肺风。夏季加麦冬、五味子，是保肺气。冬季加连根节麻黄，是散肺寒。头痛加蔓荆子，是引经至太阳经。痛甚加川芎，是上行迅速。巅顶痛、脑痛加藁本，是入督脉。苦头痛加细辛，是走少阴经。痰厥头痛，沉重懒倦，或呕逆痰涎，加半夏、生姜，是治痰逆。口干咽干，或体表发热，加葛根，是生津解肌。大便燥涩加元明粉，血虚燥加当归，血实燥加桃仁，热实燥加大黄，心下痞胀气不快加木香，食不消化加砂仁，心下结热加黄连，心下结气加枳实，胃气壅塞加厚朴。如胃中寒，或冬季，减去黄连，加炒干姜。胃痛加草豆蔻，胃寒或吐涎沫加益智仁，气满不快加白豆蔻、青皮，腹痛加白芍、甘草，审察有热加黄芩，有寒加官桂。脐下痛加肉桂、熟地黄。腹内身外刺痛，这属于血涩不足，加当归以活血。胁下痛或急缩，加甘草、柴胡，以调和肝脏。身重脚软，加防己、苍术、黄柏，是去除内部的湿热。身痛发热，加藁本、防风、羌活，是疏解体表的風邪。
清暑益气汤 清燥汤
8. 长夏季节湿暑交杂致病，暑多湿少用清暑益气汤功效好。症状包括汗出、身热、心烦、口渴、倦怠、少气、恶食、尿涩、便溏。方由补中益气汤去柴胡，加黄柏、泽泻、麦冬、五味子、苍术、神曲、甘葛、青皮组成。若湿多暑少导致痿厥证，腰以下痿软，行走不正，宜用清燥汤，即本方更加生地、猪苓、茯苓、柴胡、黄连，减去甘葛、青皮。
【注】长夏时令，暑湿炎蒸，交相为病。暑多湿少为病，其证候是自汗身热，心烦口渴，倦困少气恶食，小便涩少，大便稀溏，适宜清暑益气汤，即补中益气汤去柴胡，加黄柏、泽泻、麦冬、五味子、苍术、神曲、甘葛、青皮。若湿多暑少为病，则成为痿厥之证，腰以下痿软，难于转动，行走不正，两足倾斜，适宜清燥汤，即本方更加生地、猪苓、茯苓、柴胡、黄连，减去甘葛、青皮。
升阳散火汤 火郁汤
9. 血虚胃弱，过食生冷，阳气郁于脾，用升阳散火汤。症状包括肌肤筋骨四肢困热，触摸时烙手，热势非常。方含羌活、独活、白芍、防风、升麻、柴胡、葛根、人参、二草（炙甘草、生甘草）、大枣、生姜。火郁证加葱白，减人参、独活，这是发散恶寒的方法。
【注】二草，指炙甘草、生甘草。恶寒，谓身体虽然有如此烙手的热，却反而怕冷。脉来沉数，则可知火郁于肌里，适宜以此方发散之。
白术附子汤 加味理中汤
10. 内伤水气侮土病，寒湿证用白术附子汤。症状包括涎涕多、腹胀、尿频、足软无力、疼痛，腰背肩胛眼脊背痛，丸冷阴阴痛无常。方含苍术、附子、五苓散、陈皮、半夏、厚朴。若虚证宜用理中汤加附子、茯苓、苍术。
【注】东垣内伤，热中之病，用补中益气汤；寒中之病，用白术附子汤。寒中是水来侮土，寒湿之病，其证内部则腹胀多溺、多涎涕，外部则足软、肩胛脊腰背睾丸痛。脾胃寒湿而气不虚者，适宜用此方，即五苓散加苍术、附子、陈皮、半夏、厚朴。若脾胃寒湿而气虚者，则适宜用理中汤加附子、茯苓、苍术。
人参资生丸
11. 资生丸治疗脾胃俱虚病，是不寒不热的平补方。症状包括食少难消、倒饱胀闷、面黄肌瘦、疲倦难当。
【注】缪仲醇制定资生丸方，是为脾胃俱虚，不寒不热的平补药物。其所治疗的证候，乃是饮食减少，过时不化，倒饱胀闷，面色萎黄，肌肉渐瘦，困倦无力。方剂见诸书，故不录药味。
清胃理脾汤
12. 清胃理脾汤治疗湿热伤食证，用平胃散酌加三黄（黄连、黄芩、大黄）。症状包括大便粘秽、小便赤、饮食爱冷、口舌生疮。
【注】清胃理脾汤，即平胃散加黄连、黄芩、大黄。酌加三黄，谓有热滞而不实者，不可入大黄。伤食，谓伤食病证，如痞胀、哕呕、不食、吞酸、恶心、噫气之类。更兼大便粘臭，小便赤涩，饮食爱冷，口舌生疮，皆是伤食醇酒厚味，湿热为病的证候。
理中汤
13. 理中汤治疗虚寒湿伤证。症状包括食少、喜热、面青黄、腹痛肠鸣、吐冷沫、大便腥秽似鸭溏。
【注】白术附子汤，治疗脾胃寒湿形气实者。理中汤，治疗脾胃寒湿形气虚者。虚者，其证食少，喜食热物，面色青黄，腹痛肠鸣，吐冷涎沫，大便腥秽不臭，似鸭粪澄彻清溏，故适宜此汤。
消食健脾丸
14. 胃强脾弱脾胃病，能食不化用消食健脾丸。方含平胃散（苍术、厚朴、甘草、陈皮）加炒盐、胡椒、麦芽、神曲、山楂、白蒺藜。
【注】脾胃病中，有胃强脾弱一证，胃强所以能食，脾弱不能消化。适宜服消食健脾汤丸，助其消化。用苍术、陈皮、厚朴、甘草、炒盐、胡椒、山楂、神曲、麦芽、白蒺藜，研末，蜜丸服之。更要节制饮食，自然脾胃和而能健运矣。
开胃进食汤
15. 开胃进食汤治疗不食证，适用于少食难化、胃脾虚证。方含丁香、木香、藿香、莲子、厚朴、六君子汤（人参、白术、茯苓、炙甘草、陈皮、半夏）加砂仁、麦芽、神曲。
【注】此方治不思饮食，少食不能消化，脾胃两虚之证。方即六君子汤，加丁香、木香、藿香、莲子、厚朴、缩砂、麦芽、神曲。
平胃散
16. 平胃散治疗一切伤食脾胃病。症状包括痞胀、哕呕、不能食、吞酸、恶心、噫气。方含苍术、厚朴、甘草、陈皮。快膈加枳实、白术，有痰加半夏、茯苓，伤谷滞加二芽（麦芽、谷芽）、缩砂、神曲，伤肉滞加山楂，伤面滞加莱菔，滞热加芩连柏大黄。
【注】伤食等证，适宜用平胃散，即苍术、厚朴、甘草、陈皮。快膈加枳实、白术，有痰加半夏、茯苓。伤谷滞者，加麦芽、谷芽、缩砂、神曲。伤肉滞者，加山楂。伤面滞者，加莱菔。有热者，加黄芩、黄连、黄柏、大黄，酌而用之。
葛花解酲汤
17. 葛花解酲汤通过发汗治疗酒醉。症状包括懒食、热倦、呕吐、头痛、恶寒。方含人参、葛花、四苓（白术、茯苓、猪苓、泽泻）、白蔻、缩砂、神曲、干姜、陈皮、木香、青皮。
【注】伤酒适宜用葛花解酲汤汗之，汗出立愈。其证头痛懒食，呕吐身热，倦怠而烦，似乎外感而实非外感，皆因酒所致。方即人参、葛花、白术、茯苓、猪苓、泽泻、白蔻、缩砂、神曲、干姜、陈皮、木香、青皮。
秘方化滞丸
1. Internal injury results from excessive labor damaging the Spleen Qi, and improper diet damaging the Stomach and the physical form. Damage to the form arises from irregular lifestyle and excessive exposure to cold or heat, leading to Qi being affected by Dampness, Heat, Summerheat, Fire, or Cold.
[Note] Excessive labor damages Qi, specifically Yuan Qi (Original Qi). Improper diet damages the Form, specifically the Stomach organ. Damage to Qi should be treated with tonification; there are differences among Repletion of Heat, Damp-Heat, Summerheat-Heat, Fire Depression, and Cold Invasion. Damage to the Form should be treated with resolution/digestion; there are differences among dietary irregularity, and excessive consumption of warm/hot or cold foods.
2. In internal injury, the pulse is large and prominent at the Qikou (Cunkou/Radial artery); in external contraction, the pulse is large and prominent at the Renying (Carotid artery). Regarding headache: internal injury causes intermittent pain, whereas external contraction causes constant pain. Regarding aversion to cold: internal injury resolves with warmth and clothing, whereas external contraction persists even near intense fire. Regarding fever: internal injury fever resides in the muscle layer, feeling as if heat radiates from within when palpated; external contraction fever resides in the skin layer, feeling superficially light when palpated. Regarding spontaneous sweating: internal injury presents with shortness of breath, fatigue, and a weak voice, whereas external contraction presents with robust breathing and a loud voice. Regarding hand temperature: internal injury causes heat in the palms, whereas external contraction causes heat on the dorsum of the hands. Regarding respiration: internal injury presents with short, asthmatic nasal breathing, whereas external contraction presents with rapid, wheezing nasal breathing. Regarding appetite: internal injury involves loss of appetite with no taste in the mouth, whereas external contraction involves aversion to the smell of food. Regarding thirst: internal injury causes immediate thirst with small water intake, whereas external contraction causes thirst after three days with large water intake.
[Note] Both internal injury and external contraction present with a large pulse. In internal injury, the Qikou pulse is larger than the Renying pulse, unlike external contraction where the Renying pulse is larger than the Qikou. Both involve headache; internal injury headache is intermittent, unlike external contraction which is constant. Both involve aversion to cold; internal injury aversion resolves with warmth, unlike external contraction which persists despite proximity to fire. Both involve fever; internal injury fever is deep in the muscles, radiating from within upon palpation, unlike external contraction fever which is superficial in the skin. Both involve spontaneous sweating; internal injury sweating accompanies shortness of breath, fatigue, and a weak voice, unlike external contraction sweating which accompanies robust breathing and a loud voice. Both involve heat in the hands; internal injury heat is in the palms, unlike external contraction heat which is on the dorsum. Both involve nasal discomfort; internal injury involves short, asthmatic breathing, unlike external contraction which involves rapid, wheezing breathing. Both involve anorexia; internal injury anorexia is due to lack of taste, unlike external contraction anorexia which is due to aversion to food smells. Both involve thirst; internal injury thirst occurs immediately with little intake, unlike external contraction thirst which occurs later with heavy intake.
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction)
3. Buzhong Yiqi Tang raises Yang and clears deficiency heat, indicated for Qi sinking and a large, deficient, flooding pulse caused by Heat damaging Yuan Qi due to overwork. Symptoms include headache, exterior heat, spontaneous sweating, vexation, thirst, aversion to wind/cold, fatigue, reluctance to speak, Qi deficiency, and panting/loud voice upon exertion. This formula uses Ginseng, Astragalus, and Licorice (Baoyuan Tang) with sweet-warm properties to eliminate great heat, allowing Blood to return; Atractylodes tonifies the Spleen channel; Tangerine Peel descends turbidity and disperses stagnant Qi; Cimicifuga and Bupleurum guide Yang upward from the Stomach. If Yin Fire causes Kidney restlessness, add Rehmannia and Phellodendron; if Yang Heat causes vexation, combine with Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill) to drain Fire and calm the Spirit.
[Note] Buzhong Yiqi Tang treats internal injury, clearing sinking Clear Yang caused by overwork and Heat damaging Yuan Qi, resulting in a deficient, large, and flooding pulse. Internal injury headache is intermittent. Internal injury exterior heat often presents with spontaneous sweating. Vexation indicates Qi deficiency and aversion to mental/physical exertion. Thirst indicates Qi sinking failing to steam and transform fluids. Aversion to cold/wind indicates exterior Qi deficiency failing to guard the exterior. Fatigue and reluctance to speak indicate Qi deficiency failing to circulate fully. Panting upon movement indicates insufficient Lung Qi. "Baoyuan" refers to Ginseng, Astragalus, and Licorice, named Baoyuan Tang. The minister herb Angelica harmonizes Spleen Blood; Atractylodes benefits Spleen Qi; the assistant herb Tangerine Peel descends turbidity and disperses chest stagnation; Cimicifuga and Bupleurum raise Clear Yang, guiding Yang from the Stomach. If Yin Fire manifests as irritability/heat, add Phellodendron and Rehmannia to nourish Water and save Yin. If Yang Heat causes day-and-night vexation, combine with Zhusha Anshen Wan to drain Fire and calm the Spirit.
Tiaozhong Yiqi Tang (Regulate the Middle and Augment the Qi Decoction)
4. Tiaozhong Yiqi Tang is indicated for pulses that are wiry, flooding, slow, deep, and choppy, accompanied by body fatigue, bone/joint soreness, shortness of breath, vexation, fluctuating weight changes, salivation, regurgitation of food, tinnitus/deafness, chest/opium discomfort, loss of taste, bowel/bladder dysfunction, undigested stool, or pus/blood in stool. The formula contains Baoyuan Tang (Ginseng, Astragalus, Roasted Licorice), Cimicifuga, Bupleurum, Atractylodes, Tangerine Peel, and Phellodendron. Removing Phellodendron and adding Aucklandia retains the name Tiaozhong Yiqi Tang.
[Note] Tiaozhong Yiqi Tang also treats internal injury, addressing sinking Clear Yang, ascending Turbid Qi, their interference, and accompanying Damp-Heat, leading to bowel/bladder dysfunction and dysentery with undigested food/pus/blood. Although this formula elucidates similar principles to Buzhong Yiqi Tang, its symptoms and pulses must be distinguished. In internal injury, once Spleen/Stomach Yuan Qi is deficient, the Four Zang organs lose harmony, causing mixed Zang pulses: Liver wiry, Heart flooding, and Spleen slow pulses appear superiorly. Palpating reveals deep/choppy Lung pulses inferiorly. Heavy limbs/fatigue indicate Qi failure to circulate. Bone/joint soreness indicates Blood failing to nourish. Shortness of breath indicates Middle Qi deficiency. Vexation indicates Heart Blood deficiency. Fluctuating weight indicates Fire attacking the Earth element; ascending to Yang aspect causes blood to rise, red face, and apparent obesity; descending to Yin aspect causes blood to fall, pale/blue face, and emaciation. Saliva indicates Spleen failing to distribute essence. Regurgitation indicates Stomach deficiency failing to receive. Tinnitus/deafness indicates Yin Fire rushing upward. Chest discomfort indicates Turbid Qi stagnation. Loss of taste indicates Stomach Qi damage. Bowel/bladder dysfunction indicates Spleen Dampness failing to separate. Undigested stool (Sun diarrhea) indicates Spleen deficiency failing to transform Dampness. Pus/blood indicates Spleen Damp-Heat brewing. "Baoyuan" refers to Ginseng, Astragalus, Roasted Licorice, Cimicifuga, Bupleurum, Atractylodes, Tangerine Peel, Phellodendron. Removing Phellodendron and adding Aucklandia is also named Tiaozhong Yiqi Tang, suitable for cases with less Heat and Qi disharmony.
Shengyang Yiewei Tang (Raise Yang and Benefit the Stomach Decoction)
5. Shengyang Yiewei Tang treats internal injury where excess Dampness and slight Heat suppress the rising of Clear Yang. Symptoms include fatigue, reluctance to eat, heavy painful body, bitter taste, dry tongue, irregular bowels/bladder, shivering aversion to cold (Lung disease), and depression (Yang injury). The formula contains Liu Jun Zi Tang (Six Gentlemen Decoction: Ginseng, Atractylodes, Poria, Roasted Licorice, Tangerine Peel, Pinellia) plus White Peony, Coptis, Alisma, Astragalus, Notopterygium, Saussurea, Bupleurum, and Saposhnikovia.
[Note] Internal injury Qi deficiency with excess Dampness and slight Heat, suppressing the Spring-like Clear Yang from rising to the Spleen/Stomach, is treated with this decoction. Symptoms: fatigue, reluctance to eat, heavy painful body, bitter taste, dry tongue, irregular bowels/bladder (bowel irregularity, frequent urination). Shivering aversion to cold indicates Wei Qi deficiency, a Lung/skin-hair disorder. Depression and unhealthy complexion indicate Yang injury failing to extend. "Liu Jun" refers to Ginseng, Atractylodes, Poria, Roasted Licorice, Tangerine Peel, Pinellia. Adding White Peony, Coptis, Alisma, Astragalus, Notopterygium, Saussurea, Bupleurum, and Saposhnikovia constitutes Shengyang Yiewei Tang.
Bu Piwei Xie Yinhuo Shengyang Tang (Tonify Spleen/Stomach, Drain Yin Fire, Raise Yang Decoction)
6. Bu Piwei Xie Yinhuo Shengyang Tang tonifies the middle, raises Yang, and drains Yin Fire, indicated for excess Fire and slight Dampness confining Spleen Yang. Although similar to Shengyang Yiewei Tang indications, it lacks bowel irregularity, frequent urination, shivering aversion to cold (Lung disease), and depression (Yang injury). The formula contains Ginseng, Astragalus, Licorice to tonify Spleen/Stomach Qi; Bupleurum, Cimicifuga, Notopterygium to raise Yang; Gypsum, Scutellaria, Coptis to drain Yin Fire; and Atractylodes due to long summer dampness.
[Note] Internal injury Qi deficiency with excess Heat and slight Dampness, where Yin Fire confines the Spleen preventing Yang from rising, is treated with this formula. Although similar to Shengyang Yiewei Tang indications, it lacks bowel irregularity, frequent urination, shivering aversion to cold (Lung disease), and depression (Yang injury).
Modifications for Internal Injury Buzhong, Tiaozhong, Shengyang Yiewei Decoctions
7. Winter: Add Ginger, Cinnamon, Cardamom, Alpinia to assist Yang. Autumn: Add White Peony, White Cardamom, Amomum, Areca Seed to assist drying/astringency. Summer: Add Scutellaria, Coptis, Phellodendron to descend Yin Fire; or if Qi rushes upward (Yin Fire), add these regardless of season. Spring: Add Wind-dispelling herbs (Notopterygium, Saussurea, Saposhnikovia, Ligusticum) to assist Ginseng/Astragalus in raising Clear Yang. Long Summer: For heaviness/fatigue/low spirit, add Ginseng, Ophiopogon, Schisandra (fearing Summerheat damaging Qi); add Alisma, Poria, Atractylodes to remove Spleen Dampness. Lung Heat cough: Reduce Ginseng, remove Polygala. Spring: Add Boilweed, Coltsfoot to disperse Lung Wind. Summer: Add Ophiopogon, Schisandra to protect Lung Qi. Winter: Add Ephedra with roots/rhizomes to disperse Lung Cold. Headache: Add Vitex to guide to Taiyang; severe pain add Ligusticum for rapid ascent. Vertex/brain pain: Add Ligusticum to enter Du Mai; severe pain add Asarum to traverse Shaoyin. Phlegm-Jue headache/heaviness/vomiting: Add Pinellia, Ginger to treat Phlegm reversal. Dry mouth/throat/exterior heat: Add Kudzu to generate fluids and release muscle layer. Dry constipation: Add Mirabilite; Blood deficiency dryness: Add Angelica; Blood excess dryness: Add Peach Kernel; Heat excess dryness: Add Rhubarb. Epigastric fullness/Qi stagnation: Add Aucklandia; Food stagnation: Add Amomum; Epigastric heat knot: Add Coptis; Epigastric Qi knot: Add Immature Bitter Orange; Stomach Qi congestion: Add Magnolia Bark. Stomach Cold/Winter: Remove Coptis, add Stir-fried Ginger. Stomach pain: Add Cardamom; Stomach Cold/saliva: Add Alpinia; Qi fullness: Add White Cardamom, Green Tangerine Peel. Abdominal pain: Add White Peony, Licorice; check for Heat (add Scutellaria) or Cold (add Cinnamon). Umbilical pain: Add Cinnamon, Prepared Rehmannia. Internal/external stabbing pain (Blood stasis): Add Angelica to invigorate Blood. Hypochondriac pain/tightness: Add Licorice, Bupleurum to harmonize Liver. Heavy body/weak legs: Add Stephania, Atractylodes, Phellodendron to remove internal Damp-Heat. Body pain/fever: Add Ligusticum, Saposhnikovia, Notopterygium to dispel Wind from the exterior.
[Note] Winter additions assist Yang. Autumn additions assist drying/astringency. Summer additions descend Yin Fire. Qi rushing upward indicates Yin Fire; add herbs regardless of season. Spring Wind herbs assist Ginseng/Astragalus in raising Clear Yang. Long Summer additions address Summerheat Qi damage and Spleen Dampness. Lung Heat cough modification avoids Lung Heat. Spring additions disperse Lung Wind. Summer additions protect Lung Qi. Winter Ephedra disperses Lung Cold. Vitex guides to Taiyang. Ligusticum ascends rapidly. Ligusticum enters Du Mai. Asarum traverses Shaoyin. Pinellia/Ginger treat Phlegm reversal. Kudzu generates fluids/releases muscle layer. Mirabilite treats dryness; Angelica treats Blood deficiency dryness; Peach Kernel treats Blood excess dryness; Rhubarb treats Heat excess dryness. Aucklandia treats Qi stagnation. Amomum treats food stagnation. Coptis treats heat knots. Immature Bitter Orange treats Qi knots. Magnolia Bark treats Qi congestion. Ginger replaces Coptis for Cold. Cardamom/Alpinia treat Stomach Cold. White Cardamom/Green Tangerine Peel treat Qi fullness. White Peony/Licorice treat abdominal pain; Scutellaria/Cinnamon added based on Heat/Cold. Cinnamon/Rehmannia treat umbilical pain. Angelica treats Blood stasis. Licorice/Bupleurum harmonize Liver. Stephania/Atractylodes/Phellodendron remove Damp-Heat. Ligusticum/Saposhnikovia/Notopterygium dispel exterior Wind.
Qingshu Yiqi Tang (Clear Summerheat and Augment Qi Decoction) Qingzao Tang (Clear Dryness Decoction)
8. Long Summer damp-summerheat diseases: Summerheat-dominant cases use Qingshu Yiqi Tang. Symptoms: sweating, fever, vexation, thirst, fatigue, Qi deficiency, anorexia, dysuria, loose stools. Formula: Buzhong Yiqi Tang minus Bupleurplus, plus Phellodendron, Alisma, Ophiopogon, Schisandra, Atractylodes, Medicated Leaven, Kudzu, Green Tangerine Peel. Damp-dominant cases causing flaccidity-cold syndrome (lower body weakness, gait disturbance) use Qingzao Tang: former formula plus Rehmannia, Polyporus, Poria, Bupleurum, Coptis; minus Kudzu, Green Tangerine Peel.
[Note] Long Summer season features steaming Summerheat and Dampness. Summerheat-dominant disease presents with sweating, fever, vexation, thirst, fatigue, anorexia, scanty dysuria, loose stools; treated with Qingshu Yiqi Tang (Buzhong Yiqi Tang minus Bupleurum, plus Phellodendron, Alisma, Ophiopogon, Schisandra, Atractylodes, Medicated Leaven, Kudzu, Green Tangerine Peel). Damp-dominant disease causes flaccidity-cold syndrome (lower body weakness, difficulty moving, abnormal gait, tilted feet); treated with Qingzao Tang (former formula plus Rehmannia, Polyporus, Poria, Bupleurum, Coptis; minus Kudzu, Green Tangerine Peel).
Shengyang Sanhuo Tang (Raise Yang and Disperse Fire Decoction) Huoyu Tang (Fire Depression Decoction)
9. Blood deficiency and Stomach weakness from excessive cold/raw food cause Yang depression in the Spleen, treated with Shengyang Sanhuo Tang. Symptoms: heat sensation in skin/muscles/bones/limbs, burning to touch, very high heat. Formula: Notopterygium, Saussurea, White Peony, Saposhnikovia, Cimicifuga, Bupleurum, Kudzu, Ginseng, two Licorices (Roasted/Raw), Jujube, Ginger. For Fire Depression: add Scallion, reduce Ginseng/Saussurea. This is a method to dissipate aversion to cold.
[Note] Two Licorices refer to Roasted Licorice and Raw Licorice. "Aversion to cold" means despite burning heat, the patient feels cold. Deep, rapid pulse indicates Fire depressed in the muscle interior; treat by dispersing with this formula.
Baizhu Fuzi Tang (Atractylodes Macrocephala and Aconite Decoction) Jiawei Lizhong Tang (Modified Center-Regulating Decoction)
10. Internal injury where Water insults Earth (Cold-Damp) uses Baizhu Fuzi Tang. Symptoms: excess saliva/phlegm, abdominal distension, frequent urination, weak legs, pain, back/shoulder/scrotal/testicular pain, cold scrotum, intermittent阴阴 pain. Formula: Atractylodes, Aconite, Wuling San (Five-Ling Powder), Tangerine Peel, Pinellia, Magnolia Bark. For deficiency, use Lizhong Tang plus Aconite, Poria, Atractylodes.
[Note] Dongyuan's internal injury: Heat-Repletion uses Buzhong Yiqi Tang; Cold-Repletion uses Baizhu Fuzi Tang. Cold-Repletion is Water insulting Earth (Cold-Damp). Internal symptoms: abdominal distension, frequent urination, excess saliva/phlegm. External symptoms: weak legs, shoulder/back/scrotal/testicular pain. Spleen/Stomach Cold-Damp without Qi deficiency uses this formula (Wuling San plus Atractylodes, Aconite, Tangerine Peel, Pinellia, Magnolia Bark). Spleen/Stomach Cold-Damp with Qi deficiency uses Lizhong Tang plus Aconite, Poria, Atractylodes.
Renshen Zisheng Wan (Ginseng Nourishing Life Pill)
11. Zisheng Wan treats dual Spleen/Stomach deficiency, a neutral tonifying formula. Symptoms: poor appetite, indigestion, postprandial fullness, sallow complexion, emaciation, severe fatigue.
[Note] Miao Zhongchun formulated Zisheng Wan as a neutral tonifier for dual Spleen/Stomach deficiency. Indications: reduced appetite, delayed digestion, postprandial fullness/distension, sallow complexion, gradual emaciation, severe fatigue. Formula recorded in other texts, so ingredients omitted.
Qingwei Lipi Tang (Clear Stomach and Regulate Spleen Decoction)
12. Qingwei Lipi Tang treats Damp-Heat and Food Stagnation, using Pingwei San modified with Three Yellows (Coptis, Scutellaria, Rhubarb). Symptoms: sticky foul stool, red urine, preference for cold drinks, oral/tongue ulcers.
[Note] Qingwei Lipi Tang is Pingwei San plus Coptis, Scutellaria, Rhubarb. "Modified Three Yellows" implies Rhubarb is omitted if there is Heat stagnation without excess accumulation. "Food Stagnation" includes distension, hiccups/vomiting, anorexia, acid regurgitation, nausea, belching. Accompanied by sticky foul stool, red dysuria, preference for cold, oral ulcers—all indicating Damp-Heat from rich foods/alcohol.
Lizhong Tang (Center-Regulating Decoction)
13. Lizhong Tang treats Deficient-Cold-Damp injury. Symptoms: poor appetite, preference for hot foods, sallow-blue complexion, abdominal pain, borborygmus, vomiting cold saliva, fishy-smelly duck-like loose stool.
[Note] Baizhu Fuzi Tang treats Spleen/Stomach Cold-Damp with robust constitution. Lizhong Tang treats Spleen/Stomach Cold-Damp with deficient constitution. Deficiency symptoms: poor appetite, preference for hot foods, sallow-blue complexion, abdominal pain, borborygmus, cold saliva vomiting, non-foul fishy stool resembling clear duck feces; thus, this decoction is appropriate.
Xiaoshi Jianpi Wan (Digest Food and Strengthen Spleen Pill)
14. Stomach Strong/Spleen Weak condition: able to eat but cannot digest, treated with Xiaoshi Jianpi Wan. Formula: Pingwei San (Atractylodes, Magnolia Bark, Licorice, Tangerine Peel) plus Fried Salt, Pepper, Malt, Medicated Leaven, Hawthorn, Tribulus.
[Note] Stomach Strong/Spleen Weak: Stomach strong allows eating; Spleen weak fails to digest. Treat with Xiaoshi Jianpi Decoction/Pill to aid digestion. Ingredients: Atractylodes, Tangerine Peel, Magnolia Bark, Licorice, Fried Salt, Pepper, Hawthorn, Medicated Leaven, Malt, Tribulus, powdered, honey-pilled. Dietary restriction is essential for Spleen/Stomach harmony and transport.
Kaiwei Jinshi Tang (Open Appetite and Promote Eating Decoction)
15. Kaiwei Jinshi Tang treats anorexia due to Spleen/Stomach deficiency (poor intake, indigestion). Formula: Dingxiang (Clove), Muxiang (Aucklandia), Huoxiang (Patchouli), Lianzi (Lotus Seed), Houpo (Magnolia Bark), Liujun Zi Tang (Six Gentlemen Decoction) plus Sharen (Amomum), Maiya (Malt), Shenqu (Medicated Leaven).
[Note] Treats lack of appetite and inability to digest small amounts due to dual Spleen/Stomach deficiency. Formula is Liujun Zi Tang plus Clove, Aucklandia, Patchouli, Lotus Seed, Magnolia Bark, Amomum, Malt, Medicated Leaven.
Pingwei San (Peaceful Stomach Powder)
16. Pingwei San treats all Food Stagnation Spleen/Stomach diseases. Symptoms: distension, hiccups/vomiting, anorexia, acid regurgitation, nausea, belching. Formula: Atractylodes, Magnolia Bark, Licorice, Tangerine Peel. Modifications: Kuai Ge adds Immature Bitter Orange, Atractylodes; Phlegm adds Pinellia, Poria; Grain stagnation adds Malt, Rice Sprout, Amomum, Medicated Leaven; Meat stagnation adds Hawthorn; Flour stagnation adds Radish; Heat adds Scutellaria, Coptis, Phellodendron, Rhubarb.
[Note] Food Stagnation treated with Pingwei San (Atractylodes, Magnolia Bark, Licorice, Tangerine Peel). Kuai Ge modification adds Immature Bitter Orange, Atractylodes. Phlegm adds Pinellia, Poria. Grain stagnation adds Malt, Rice Sprout, Amomum, Medicated Leaven. Meat stagnation adds Hawthorn. Flour stagnation adds Radish. Heat adds Scutellaria, Coptis, Phellodendron, Rhubarb, used judiciously.
Gehua Jiecheng Tang (Kudua Flower Relieve Intoxication Decoction)
17. Gehua Jiecheng Tang treats alcohol intoxication via sweating. Symptoms: anorexia, fever/fatigue, vomiting, headache, aversion to cold. Formula: Ginseng, Kudua Flower, Siling (Four Poria: Atractylodes, Poria, Polyporus, Alisma), White Cardamom, Amomum, Medicated Leaven, Ginger, Tangerine Peel, Aucklandia, Green Tangerine Peel.
[Note] Alcohol injury treated by inducing sweat with Gehua Jiecheng Tang; recovery follows sweating. Symptoms: headache, anorexia, vomiting, fever, fatigue/vexation—resembling external contraction but caused by alcohol. Formula: Ginseng, Kudua Flower, Atractylodes, Poria, Polyporus, Alisma, White Cardamom, Amomum, Medicated Leaven, Ginger, Tangerine Peel, Aucklandia, Green Tangerine Peel.
Mifang Huazhi Wan (Secret Formula Resolve Stagnation Pill)