治饮食伤胃, 劳倦伤脾, 脾胃一虚, 阳
气下陷, 阴火乘之, 时值夏令, 当从此治.
黄耆 苍术 ( 泔漫, 炒 ) 甘草 ( 炙 ) 羌活一两 升麻八钱
柴胡两半 黄连 ( 酒炒 ) 五钱 黄芩 ( 炒 ) 人参七钱 石膏少
许,长夏微用, 过时去之. 每服五钱, 姜, 枣煎服.
【集注】汪昂曰: 李杲云: 脾胃一伤, 阳气日损, 脾胃之清气下陷,
浊阴之火得以上乘, 是有秋冬而无春夏也. 惟以气味薄之风药, 升发
阳气, 佐以苦寒之品, 泻阴中火, 则阴不病阳气伸矣. 是方参, 耆,
术,草, 以补脾胃也. 佐羌活, 升, 柴, 以助阳升; 佐石膏, 芩, 连
,以泻阴火. 假令不能食而瘦, 乃本病也. , 右关脉缓弱, 乃本脉也.
或本脉兼见弦脉, 本脉兼见四肢满, 闭, 淋, 溲便难, 转筋一二证,
此肝之脾胃病也, 当加风药以泻肝木. 脉兼见洪大, 证兼见肌热, 烦
热,面赤一二证, 此心之脾胃病也, 当加泻心火之药. 脉兼见浮涩,
证兼见短气, 气上, 喘咳, 痰盛, 皮涩一二证, 此肺之脾胃病也, 当
加泻肺及补气之药. 脉兼见沉细, 证兼见善欠, 善恐一二证, 此肾之
脾胃病也, 当加泻肾水及泻阴火之药. 所以言此者, 欲人知百病皆从
脾胃而生, 处方者当从此法加时令药也.
治疗饮食损伤胃腑，劳倦损伤脾脏，导致脾胃虚弱，阳气下陷，阴火趁机上扰，正值夏季，应当采用此法治疗。
黄芪、苍术（用米泔水浸泡后炒制）、甘草（炙烤）、羌活一两、升麻八钱、柴胡一两半、黄连（酒炒）五钱、黄芩（炒制）、人参七钱、石膏少许（长夏季节轻微使用，过了这个时节则去掉）。每次服用五钱，加生姜、大枣煎服。
【集注】汪昂说：李杲认为：脾胃一旦受损，阳气每日损耗，脾胃的清气下陷，浊阴之火得以乘虚上扰，这就好比只有秋冬而没有春夏了。唯有使用气味轻薄的风药，来升发阳气，辅以苦寒的药物，泻除阴中的火邪，那么阴气就不会为病，阳气得以伸展。这个方子中，人参、黄芪、白术、甘草，用来补益脾胃；佐以羌活、升麻、柴胡，来辅助阳气上升；佐以石膏、黄芩、黄连，来泻除阴火。假如患者不能进食且身体消瘦，这是本病的表现；右关脉缓弱，这是本病的脉象。如果在本脉的基础上兼见弦脉，或者在本脉的基础上兼见四肢胀满、闭塞、淋证、小便困难、转筋等一两个症状，这是肝木克伐脾胃的病证，应当加入风药以泻肝木。如果脉象兼见洪大，症状兼见肌热、烦热、面红等一两个症状，这是心火克伐脾胃的病证，应当加入泻心火的药物。如果脉象兼见浮涩，症状兼见短气、气逆、喘咳、痰多、皮肤干燥粗糙等一两个症状，这是肺金克伐脾胃的病证，应当加入泻肺及补气的药物。如果脉象兼见沉细，症状兼见频繁呵欠、易恐惧等一两个症状，这是肾水反侮脾胃的病证，应当加入泻肾水及泻阴火的药物。之所以这样说，是想让人知道百病皆从脾胃而生，开处方的人应当根据此法加入时令药物。
To treat stomach injury caused by dietary excess, spleen injury caused by fatigue and overwork, leading to deficiency of the Spleen and Stomach, sinking of Yang Qi, and invasion of Yin Fire. During the summer season, this treatment should be adopted.
Huangqi (Radix Astragali), Cangzhu (Rhizoma Atractylodis Lanceae) [soaked in rice washing water and stir-fried], Gancao (Radix Glycyrrhizae) [honey-fried], Qianghuo (Rhizoma et Radix Notopterygii) 1 liang, Shengma (Rhizoma Cimicifugae) 8 qian, Chaihu (Radix Bupleuri) 1.5 liang, Huanglian (Rhizoma Coptidis) [stir-fried with wine] 5 qian, Huangqin (Cortex Scutellariae) [stir-fried], Renshen (Radix Ginseng) 7 qian, Shigao (Gypsum Fibrosum) a small amount [use slightly during late summer, remove when the season passes]. Take 5 qian per dose, decoct with fresh ginger and jujube.
[Collected Annotations] Wang Ang stated: Li Guo said: Once the Spleen and Stomach are damaged, Yang Qi is diminished daily. The clear Qi of the Spleen and Stomach sinks, allowing turbid Yin Fire to ascend and invade, resembling a state where there is only autumn and winter but no spring and summer. Only by using wind herbs with thin aroma and flavor to raise and generate Yang Qi, assisted by bitter-cold substances to drain the fire within Yin, can Yin cease to cause disease and Yang Qi be extended. In this formula, Renshen, Huangqi, Baizhu, and Gancao are used to tonify the Spleen and Stomach. Qianghuo, Shengma, and Chaihu are added as assistants to aid the ascent of Yang; Shigao, Huangqin, and Huanglian are added as assistants to drain Yin Fire. Suppose a patient cannot eat and is emaciated; this is the manifestation of the primary disease. The pulse at the right Guan position is slow and weak; this is the primary pulse. If the primary pulse is accompanied by a wiry pulse, or if the primary pulse is accompanied by one or two symptoms such as fullness and obstruction in the four limbs, strangury, difficult urination, or muscle twitching, this indicates Liver Wood attacking the Spleen and Stomach, and wind herbs should be added to drain Liver Wood. If the pulse is accompanied by a surging and large quality, and symptoms include one or two of muscle heat, vexation-heat, or red face, this indicates Heart Fire attacking the Spleen and Stomach, and herbs that drain Heart Fire should be added. If the pulse is accompanied by a floating and choppy quality, and symptoms include one or two of shortness of breath, rebellious Qi, wheezing and cough, profuse phlegm, or rough skin, this indicates Lung Metal attacking the Spleen and Stomach, and herbs that drain the Lungs and tonify Qi should be added. If the pulse is accompanied by a deep and fine quality, and symptoms include one or two of frequent yawning or timidity, this indicates Kidney Water counter-attacking the Spleen and Stomach, and herbs that drain Kidney Water and drain Yin Fire should be added. The reason for stating this is to make people aware that all diseases arise from the Spleen and Stomach, and prescribers should add seasonal herbs according to this method.