予受学于东垣先生。先生授以内经要奥。仍授以制方之法。中书左丞董公彦明。中统辛酉夏领军
攻济南。时暑隆盛。军人饮冷。多成痢疾。又兼时气流行。左丞遣人来求医于予。遂以数药付之。
至秋城陷矣。公回。谓予曰。向所付药。服之多效。其方君自制耶。古方耶予曰。有自制方。有古方。公
曰。君用药如此。可谓得医之三昧矣。以自制方及古方。用之经验者。类而集之以济人。不亦善乎
。予遂允之。凡古今名方。亲获效者。类以成书。详列于后。
痹论云。阴气者静则神藏。躁则消亡。饮食自倍。肠胃乃伤。谓食物无务于多。贵在能节。所
以保冲和而遂颐养也。若贪多务饱。饫塞难消。徒积暗伤。以召疾患。盖食物饱甚。耗气非一。或
食不下而上涌。呕吐以耗灵源。或饮不消而作痰。咯唾以耗神水。大便频数而泄。耗谷气之化生。
溲便滑利而浊。耗源泉之浸润。至于精清冷而下漏。汗淋漉而外泄。莫不由食物之过伤。滋味之太
浓。如能节满意之食。省爽口之味。常不至于饱甚者。即顿顿必无伤。物物皆为益。糟粕变化。早
晚溲便按时。精华和凝上下津液含蓄。神藏内守。荣卫外固。邪毒不能犯。疾 无由作。故圣人立
言垂教。为养生之大经也。
论曰。人之生也。由五谷之精。化五味之备。故能生形。经曰。味归形。若伤于味亦能损形。今饮
食反过其节。以至肠胃不能胜。气不及化。故伤焉。经曰。壮火食气。气食少火。壮火散气。少火
生气。痹论云。饮食自倍。肠胃乃伤。失四时之调养。故能为人之病也。经曰。气口紧盛伤于食。
心、胃满而口无味。口与气口同。气口曰坤口。乃脾之候。故胃伤而气口紧盛。夫伤者有多少。有
轻重。如气口一盛。得脉六至。则伤于厥阴。乃伤之轻也。枳术丸之类主之。气口二盛。脉得七至
。则伤于少阴。乃伤之重也。雄黄圣饼子、木香槟榔丸、枳壳丸之类主之。气口三盛。脉得八至九
至。则伤太阴。填塞闷乱则心胃大痛。备急丸、神保丸、消积丸之类主之。兀兀欲吐则已。俗呼食
迷风是也经曰。上部有脉下部无脉。其人当吐不吐。者死瓜蒂散吐之。如不能吐。则无治也。经曰。
其高者因而越之。在下者引而竭之也。
【枳术丸】治痞消食强胃
白术（二两） 枳实（一两麸炒）
上为末。荷叶裹。烧饭为丸。如梧子大。每服五十丸。多用白汤下。无时。用白术者。本意不取其食
速化。但久服令胃气强实。不复伤也。
【橘皮枳术丸】治老幼元气虚弱。饮食不消。或脏腑不调。心下痞闷。
白术（二两） 枳实（麸炒） 橘皮（各一两）
上为末。荷叶裹。烧饭为丸。如桐子大。每服五十丸。温水送下。食远。夫内伤用药之大法。
所贵服之强人
胃气。令胃气益浓。虽猛食多食重食而不伤。此能用食药者此药久久益胃气。令不复致伤。
【半夏枳术丸】治因冷食内伤
白术（二两） 半夏（泡七次） 枳实（麸炒各一两）
上为末。荷叶裹。烧饭为丸。如桐子大。每服五十丸。温水送下。食远。汤浸蒸饼丸亦可。如食伤
寒热不调每服加上二黄丸十丸。白汤送下。
【木香枳术丸】破滞气。消饮食。开胃进食。
白术（二两） 木香 枳实（麸炒各一两）
上为末。荷叶裹。烧饭为丸。如桐子大。每服五十丸。温水送下。食远。
【木香化滞汤】治因忧气食冷湿面。结于中脘。腹皮底微痛。心下痞满。不思饮食。食之不散
。常常痞气。
半夏（一两泡） 草豆蔻 炙甘草（各五钱） 柴胡（四钱）
木香 橘皮（各三钱） 枳实（麸炒一钱） 当归身（二钱） 红花（五分）
上九味。 咀。每服五钱。水一盏。生姜五片。煎一盏。去渣稍热服。食远。忌生冷酒湿面。
【丁香烂饭丸】治饮食所伤。卒心胃痛。
甘松 缩砂仁 丁香皮（各三钱） 甘草（炙，二钱）
京三棱（炮一钱） 香附子（半两） 木香（一钱） 益智仁（三钱）
丁香 广术（炮。各一钱）
上十味为末。汤浸蒸饼。丸如绿豆大。每服三十丸。白汤送下。细嚼烧生姜亦可。无时。
【消滞丸】治一切所伤。心腹痞满刺痛。积滞不消。
黑牵牛（二两炒末） 五灵脂（炒） 香附（炒各一两）
上为末。醋糊丸如小豆大。每服三十丸。食后生姜汤下。
【煮黄丸】治一切酒食所伤。心腹满闷不快。
雄黄（一两研） 巴豆（五钱。去皮生用。研烂入雄黄末于内再研）
上件研匀。入白面三两。再同研匀。滴水丸如桐子大。每服时。先煎浆水令沸。下二十四丸。
煮二十沸漉入冷浆水内。沉冷。一时下二丸。一日服尽二十四丸也。加至微利为度。用浸药生浆水
下。治胁下 癖气块痛如神。
【木香槟榔丸】治一切气滞。心腹痞满。胁肋胀闷。大小便结滞不快利者。并宜服之。
木香 槟榔 青皮（去白） 陈皮（去白） 枳壳（麸炒） 广术（煨切） 黄连（
各一两） 黄柏（去粗皮） 香附（炼炒） 大黄（炒各三两） 黑牵牛（生取头末四两）
上为末。滴水丸如豌豆大。每服三五十丸。食后生姜汤送下。加至微利为度。
【上二黄丸】治伤热食痞闷。兀兀欲吐。烦乱不安。
黄芩（二两） 黄连（一两酒洗） 枳实（麸炒半两） 升麻 柴
胡（各三钱） 甘草（二钱）
上六味为极细末。汤浸蒸饼。丸如绿豆大。每服五七十丸。白汤下。量所伤服之。
【消积集香丸】治寒饮食所伤。心腹满闷疼痛。及消散积聚、 癖、气块。久不愈。宜服。
木香 陈皮 青皮 三棱（炮） 广术（炮） 黑牵牛（炒） 白牵牛（炒） 茴香（炒各半两） 巴豆（半两。
不去皮。用白米一撮同炒。米黑去米）
上为末。醋糊丸如桐子大。每服七丸至十丸。温姜汤下。无时。以利为度。忌生冷硬物。
【枳壳丸】治中焦气滞。胸膈痞满。饮食迟化。四肢困倦。呕逆恶心。常服升降滞气。化宿
食。祛痰逐饮。美进饮食。
三棱（炮） 广术（炮） 黑牵牛（炒各三两） 白茯苓（去皮） 白术 青皮
（各一两半） 陈皮（去白一两二钱） 木香 枳壳（麸炒） 半夏（炮） 槟榔（各一两）
上为末。醋糊丸如桐子大。每服五十丸。温姜汤送下。食后。
【开结妙功丸】治怫热内盛。 癖坚积。酒食积、一切肠垢积滞。 瘕积聚。疼痛发作有时。三焦
壅滞。二肠燥结。或懊 烦心。不得眠。咳喘哕逆。不能食。兼为肿胀。一切所伤心腹暴痛。又能
宣通气血。消酒进食解积。
三棱（炮） 神曲（炒各一两） 川乌（一两半。去皮脐） 大黄（一两同前四味为末好
醋半升熬成膏。不破坚积。不用膏） 麦 （炒） 茴香（炒，各一两）
半夏（半两） 巴豆（两个。破坚积用四个） 干姜（炮）
拣桂（各二钱） 牵牛（三两拣净）
上为末。同前膏和丸如小豆大。生姜汤下十丸至十五丸。或嚼生姜。温水送下亦得。渐加二三十丸
或心胃间稍觉药力暖性。却即减丸数。或取久积。或破坚积初服十丸。次服二十丸。每服加十丸。
大便三五行后如常服。少得食力后。更加取利为度。
【感应丸】治虚中积冷。气弱。有伤停积胃脘。不能传化。或因气伤冷。因饥饱食。饮酒过
多。心下坚满。两胁胀痛。心腹大痛。霍乱吐泻。大便频数。后重迟涩。久痢赤白。脓血相杂。米
谷不化。愈而后发。又治中酒呕吐。痰逆恶心。喜睡头旋。胸膈痞满。四肢倦怠。不欲饮食。不拘
新久积冷。并皆服之。
南木香 肉豆蔻 丁香（各一两半） 干姜（炮一两）
巴豆（七十个。去皮心膜。研出油） 杏仁（一百四十个。汤浸去皮尖。研）
上上四味为末。外入百草霜二两。研。与巴豆、杏仁七味同和匀。用好蜡六两。溶化成汁。以重绢
滤去滓。更以好酒一升。于银石器内煮蜡数沸。倾出待酒冷。其蜡自浮于上。取蜡秤用。春夏修
合。用清油一两。铫内熬令末散香熟。次下酒。煮蜡四两同化成汁。就铫内乘热拌和前项药末秋冬
修合。用清油一两半同煎。煮熟成汁。和前药末成剂。分作小铤子。油纸裹。旋丸。服之。每服三
十丸。空心姜汤下。
【备急丹】治心腹百病卒痛如锥刺。及胀满下气。皆治之。易老名独行丸。脾胃论名备急大黄
丸。
川大黄末 干姜末 巴豆（先去皮膜心。研如泥霜出油。用霜。各等分）
上合和一处研匀。炼蜜丸。臼内杵千百下如泥。丸如小豆大。夜卧温水下一丸。如下气实者加一丸。
如卒病不计时候。妇人有胎不可服。如所伤饮食在胸膈。兀兀欲吐。反复闷乱。一物瓜蒂散吐去之。
【瓜蒂散】上部有脉。下部无脉。其人当吐。不吐者死。何谓下部无脉。此所谓木郁也。饮食
过饱。填塞胸中。胸中者太阴之分野。内经曰。气口反大于人迎三倍。食伤太阴。故曰木郁则达之
。吐者是也。
瓜蒂 赤小豆（等分）
上二味。为极细末。每服一钱匕。温浆水调下。取吐为度。若不两手尺脉绝无。不宜便用此药。恐
损元气。令人胃气不复。若止是胸膈中窒塞。闷乱不通。以指探之。如不得吐者。以物探去之。得
吐而已。如食不去。用此吐之。
【枳实栀子大黄汤】治大病瘥后。伤食劳复。
枳实（二个。麸炒） 栀子（二个。肥者） 豆豉（一两二钱半）
上以清浆水三盏。空煮退八分。内枳实栀子。煮取八分。下豉再煮五七沸。去渣。温服。覆令
汗出。若有宿食。纳大黄如博棋子大五六枚同煎。劳复则热气浮越。以枳实栀子汤以解之。以其热
聚于胃上。以苦吐之。热散于表。以苦发之。食复则以苦下之。食膏粱之物过多。躁热闷乱者。亦
宜服之。
【金露丸】治天行时病。内伤冷物饮食。心下痞闷。
桔梗（二两） 大黄（一两） 枳实（五钱。炒） 牵牛头末（二钱半）
上四味为末。烧饭丸如桐子大。每服三十丸。食后温水下。如常服十丸至二十丸甚妙。
我师从李东垣先生学习。先生传授给我《内经》的要旨，又传授给我组方的方法。中书左丞董公彦明，在中统辛酉年夏天领军攻打济南。当时暑气极盛，军人饮用冷饮，大多患上了痢疾，又兼时行疫病流行。左丞派人来找我求医，我便将几种药方交给他。到了秋天城陷落时，董公回来，对我说：“之前所给的药方，服用后大多有效。这些方子是您自己创制的呢，还是古方？”我说：“既有我自己创制的方子，也有古方。”董公说：“您用药如此精妙，可以说是深得医学的三昧了。将那些经过验证有效的自制方和古方，分类整理汇编起来以救济世人，不也是很好的事吗？”于是我应允了他。凡是古今名方，亲自获得疗效的，都分类编成书籍，详细列在后面。
《素问·痹论》说：“阴气者静则神藏，躁则消亡。饮食自倍，肠胃乃伤。”意思是食物不在于多，贵在能够节制。以此来保持冲和之气而得以颐养天年。如果贪多务饱，食积难消，只会暗中积累损伤，从而招致疾病。大概食物吃得过饱，耗气的途径不止一种：有的因食不下而上涌，通过呕吐消耗元气；有的因饮不消而生痰，通过咯唾消耗津液；有的大便频数而泄泻，消耗谷气的化生之源；有的小便滑利而浑浊，消耗源泉的浸润之功。甚至出现精液清冷而下漏，汗出淋漓而外泄，无不都是由食物过度损伤、滋味过于浓腻所致。如果能节制满足口腹之欲的饮食，减少爽口的美味，常常不至于吃得太饱，那么每顿饭都不会造成伤害，每种食物都能带来益处。糟粕变化正常，早晚大小便按时排出，精华和气凝聚，上下津液含蓄，神明内守，营卫固护于外，邪毒不能侵犯，疾病无从发生。所以圣人立言垂教，将其作为养生的大经大法。
论述说：人的生存，依靠五谷的精微，化备五味，所以能生成形体。《内经》说：“味归形”，如果伤害了口味（或饮食失节），也能损害形体。现在饮食反而超过了节制，以至于肠胃不能承受，气不及化，所以受到损伤。《内经》说：“壮火食气，气食少火。壮火散气，少火生气。”《痹论》说：“饮食自倍，肠胃乃伤。”失去四时的调养，所以能成为人的疾病。《内经》说：“气口紧盛伤于食。心、胃满而口无味。”口与气口是相通的，气口又称坤口，是脾的征候。所以胃受伤而气口脉象紧盛。损伤有轻重之分：如果气口脉比寸口大一倍，脉搏六至，则是伤及厥阴，属于轻症，用枳术丸之类的方剂主治。气口脉大二倍，脉搏七至，则是伤及少阴，属于重症，用雄黄圣饼子、木香槟榔丸、枳壳丸之类的方剂主治。气口脉大三倍，脉搏八至九至，则是伤及太阴，胸膈填塞闷乱，心胃剧痛，用备急丸、神保丸、消积丸之类的方剂主治。感到恶心欲吐，俗称“食迷风”。《内经》说：“上部有脉，下部无脉，其人当吐不吐者死。”可用瓜蒂散催吐。如果不能吐出，就没有办法治疗了。《内经》说：“其高者因而越之，在下者引而竭之也。”
【枳术丸】治疗痞证，消食，强胃。
白术（二两） 枳实（一两，麸炒）
以上两味研为末，用荷叶包裹，烧饭为丸，如梧桐子大。每次服用五十丸，多用白开水送下，不拘时候。使用白术的本意，不是追求食物迅速消化，而是长期服用使胃气强实，不再受损伤。
【橘皮枳术丸】治疗老幼元气虚弱，饮食不消，或脏腑不调，心下痞闷。
白术（二两） 枳实（麸炒） 橘皮（各一两）
以上三味研为末，用荷叶包裹，烧饭为丸，如梧桐子大。每次服用五十丸，温水送下，饭后服用。这是内伤用药的大法，贵在服药后增强人的胃气，使胃气更加浓厚，即使猛吃、多吃、重吃也不会受伤。这就是善于使用食药的人。此药长期服用能益胃气，使其不再导致损伤。
【半夏枳术丸】治疗因冷食内伤。
白术（二两） 半夏（泡七次） 枳实（麸炒，各一两）
以上三味研为末，用荷叶包裹，烧饭为丸，如梧桐子大。每次服用五十丸，温水送下，饭后服用。也可以用汤浸蒸饼做丸。如果因食伤导致寒热不调，每次加服二黄丸十丸，白开水送下。
【木香枳术丸】破滞气，消饮食，开胃进食。
白术（二两） 木香 枳实（麸炒，各一两）
以上三味研为末，用荷叶包裹，烧饭为丸，如梧桐子大。每次服用五十丸，温水送下，饭后服用。
【木香化滞汤】治疗因忧气、食冷湿面，结于中脘，腹皮底微痛，心下痞满，不思饮食，食之不散，常常痞气。
半夏（一两，泡） 草豆蔻 炙甘草（各五钱） 柴胡（四钱）
木香 橘皮（各三钱） 枳实（麸炒一钱） 当归身（二钱） 红花（五分）
以上九味，切碎。每次服用五钱，水一盏，生姜五片，煎至一盏，去渣，稍热服用，饭后服用。忌生冷、酒、湿面。
【丁香烂饭丸】治疗饮食所伤，突然心胃痛。
甘松 缩砂仁 丁香皮（各三钱） 甘草（炙，二钱）
京三棱（炮，一钱） 香附子（半两） 木香（一钱） 益智仁（三钱）
丁香 广术（炮，各一钱）
以上十味研为末，用汤浸蒸饼，丸如绿豆大。每次服用三十丸，白开水送下，不拘时候。也可以细嚼烧生姜送服。
【消滞丸】治疗一切所伤，心腹痞满刺痛，积滞不消。
黑牵牛（二两，炒末） 五灵脂（炒） 香附（炒，各一两）
以上三味研为末，醋糊丸如小豆大。每次服用三十丸，食后生姜汤送下。
【煮黄丸】治疗一切酒食所伤，心腹满闷不快。
雄黄（一两，研） 巴豆（五钱，去皮生用，研烂入雄黄末于内再研）
以上两味研匀，加入白面三两，再同研匀。滴水丸如梧桐子大。每次服用时，先煎浆水令沸，下二十四丸，煮二十沸，捞出放入冷浆水中，沉冷。一时辰内服下二丸，一天服完二十四丸。加到轻微腹泻为度。用浸泡药物的生浆水送下。治疗胁下癖气块痛如神效。
【木香槟榔丸】治疗一切气滞，心腹痞满，胁肋胀闷，大小便结滞不快利者，都适宜服用。
木香 槟榔 青皮（去白） 陈皮（去白） 枳壳（麸炒） 广术（煨切） 黄连（各一两） 黄柏（去粗皮） 香附（炼炒） 大黄（炒，各三两） 黑牵牛（生取头末，四两）
以上为末，滴水丸如豌豆大。每次服用三五十丸，食后生姜汤送下。加到轻微腹泻为度。
【上二黄丸】治疗伤热食痞闷，恶心欲吐，烦乱不安。
黄芩（二两） 黄连（一两，酒洗） 枳实（麸炒半两） 升麻 柴胡（各三钱） 甘草（二钱）
以上六味为极细末，汤浸蒸饼，丸如绿豆大。每次服用五七十丸，白开水送下。根据所伤程度服用。
【消积集香丸】治疗寒饮食所伤，心腹满闷疼痛，及消散积聚、癖、气块，久不愈，宜服用。
木香 陈皮 青皮 三棱（炮） 广术（炮） 黑牵牛（炒） 白牵牛（炒） 茴香（炒，各半两） 巴豆（半两，不去皮，用白米一撮同炒，米黑去米）
以上为末，醋糊丸如梧桐子大。每次服用七丸至十丸，温姜汤送下，不拘时候。以利为度。忌生冷硬物。
【枳壳丸】治疗中焦气滞，胸膈痞满，饮食迟化，四肢困倦，呕逆恶心。常服可升降滞气，化宿食，祛痰逐饮，增进饮食。
三棱（炮） 广术（炮） 黑牵牛（炒，各三两） 白茯苓（去皮） 白术 青皮（各一两半） 陈皮（去白一两二钱） 木香 枳壳（麸炒） 半夏（炮） 槟榔（各一两）
以上为末，醋糊丸如梧桐子大。每次服用五十丸，温姜汤送下，饭后服用。
【开结妙功丸】治疗郁热内盛，癖坚积，酒食积、一切肠垢积滞，瘕积聚，疼痛发作有时，三焦壅滞，二肠燥结，或懊恼烦心，不得眠，咳喘哕逆，不能食，兼为肿胀。一切所伤心腹暴痛，又能宣通气血，消酒进食解积。
三棱（炮） 神曲（炒，各一两） 川乌（一两半，去皮脐） 大黄（一两，同前四味为末，好醋半升熬成膏，不破坚积不用膏） 麦 （炒） 茴香（炒，各一两）
半夏（半两） 巴豆（两个，破坚积用四个） 干姜（炮）
拣桂（各二钱） 牵牛（三两，拣净）
以上为末，同前膏和丸如小豆大。生姜汤下十丸至十五丸。或者嚼生姜，温水送下也可以。逐渐加量至二三十丸，或者心胃间稍觉药力暖性，就随即减少丸数。如果要取久积，或破坚积，初服十丸，次服二十丸，每服加十丸。大便三五行后如常服，少得食力后，更加取利为度。
【感应丸】治疗虚中积冷，气弱，有伤停积胃脘，不能传化。或因气伤冷，因饥饱食，饮酒过多，心下坚满，两胁胀痛，心腹大痛，霍乱吐泻，大便频数，后重迟涩，久痢赤白，脓血相杂，米谷不化，愈而后发。又治中酒呕吐，痰逆恶心，喜睡头旋，胸膈痞满，四肢倦怠，不欲饮食。不拘新久积冷，都适宜服用。
南木香 肉豆蔻 丁香（各一两半） 干姜（炮一两）
巴豆（七十个，去皮心膜，研出油） 杏仁（一百四十个，汤浸去皮尖，研）
以上四味为末，另外加入百草霜二两，研。与巴豆、杏仁七味同和匀。用好蜡六两，溶化成汁，用双层绢滤去滓。再用好酒一升，在银石器内煮蜡数沸，倾出待酒冷，其蜡自浮于上。取蜡称量使用。春夏修合，用清油一两，铫内熬令末散香熟。其次下酒，煮蜡四两同化成汁。就在铫内乘热拌和前项药末。秋冬修合，用清油一两半同煎，煮熟成汁，和前药末成剂。分作小锭子，油纸裹，随时丸服。每次服用三十丸，空心姜汤送下。
【备急丹】治疗心腹百病卒痛如锥刺，及胀满下气，都治疗。易老名独行丸，《脾胃论》名备急大黄丸。
川大黄末 干姜末 巴豆（先去皮膜心，研如泥霜出油，用霜，各等分）
以上混合一处研匀，炼蜜丸，臼内杵千百下如泥。丸如小豆大。夜卧温水下一丸。如下气实者加一丸。如卒病不计时候。妇人有胎不可服。如果所伤饮食在胸膈，恶心欲吐，反复闷乱，用一味瓜蒂散吐去之。
【瓜蒂散】上部有脉，下部无脉，其人当吐，不吐者死。什么叫下部无脉？这所谓木郁。饮食过饱，填塞胸中。胸中者是太阴之分野。《内经》说：“气口反大于人迎三倍，食伤太阴。”所以说木郁则达之。吐就是这种方法。
瓜蒂 赤小豆（等分）
以上两味，为极细末。每次服用一钱匕，温浆水调下。取吐为度。如果不两手尺脉绝无，不宜便用此药，恐损元气，令人胃气不复。如果只是胸膈中窒塞，闷乱不通，以指探之，如不得吐者，以物探去之。得吐而已。如果食不去，用此吐之。
【枳实栀子大黄汤】治疗大病瘥后，伤食劳复。
枳实（二个，麸炒） 栀子（二个，肥者） 豆豉（一两二钱半）
以上以清浆水三盏，空煮退八分，内枳实栀子，煮取八分，下豉再煮五七沸，去渣，温服。覆令汗出。如果有宿食，纳大黄如博棋子大五六枚同煎。劳复则热气浮越，以枳实栀子汤以解之。以其热聚于胃上，以苦吐之。热散于表，以苦发之。食复则以苦下之。食膏粱之物过多，躁热闷乱者，也适宜服用。
【金露丸】治疗天行时病，内伤冷物饮食，心下痞闷。
桔梗（二两） 大黄（一两） 枳实（五钱，炒） 牵牛头末（二钱半）
以上四味为末，烧饭丸如梧桐子大。每次服用三十丸，食后温水下。如果常服十丸至二十丸甚妙。
I studied under Master Li Dongyuan. The Master imparted to me the essential principles of the *Neijing* (Inner Canon), and further taught me the methods of formulating prescriptions. During the summer of the Xinyou year in the Zhongtong era, Dong Gong Yanming, Left Vice Director of the Secretariat, led troops to attack Jinan. At that time, the summer heat was intense. Soldiers drank cold beverages, and many developed dysentery. Additionally, a seasonal epidemic was prevalent. The Vice Director sent someone to seek my medical assistance, so I provided him with several prescriptions. By autumn, when the city fell, the Duke returned and said to me, "The prescriptions you previously gave were mostly effective. Were these formulas self-created by you, or ancient ones?" I replied, "There are both self-created formulas and ancient ones." The Duke said, "Your use of medicine is so skillful; you can be said to have grasped the essence of medicine. It would be beneficial to categorize and compile those self-created and ancient formulas that have proven effective through experience, to aid people. Would this not be good?" I agreed. All famous ancient and modern formulas that I had personally found effective were categorized into a book, detailed below.
The *Bilun* (Treatise on Bi Syndrome) states: "When Yin Qi is quiet, the Spirit is stored; when agitated, it dissipates and perishes. If food and drink double in quantity, the intestines and stomach are injured." This means that food should not focus on abundance but on moderation. This preserves the harmonious state and allows for nourishment and longevity. If one greedily seeks fullness, causing food stagnation and difficulty in digestion, it merely accumulates hidden damage, thereby inviting disease. Generally, eating until overly full consumes Qi through various pathways: some may vomit due to indigestion, consuming the vital source; some may generate phlegm from undigested fluids, consuming spirit water through coughing and spitting; frequent diarrhea depletes the transformation and generation of grain Qi; slippery and turbid urination depletes the moistening power of the source. Even clear and cold semen leaking downward, or profuse sweating leaking outward, all stem from excessive injury from food and overly rich flavors. If one can moderate satisfying meals and reduce palatable tastes, often avoiding overeating, then every meal will cause no harm, and every food item will be beneficial. Waste changes normally, morning and evening urination and defecation occur on schedule, essence and Qi condense harmoniously, fluids above and below are retained, the Spirit is stored internally, Ying and Wei are secured externally, pathogenic toxins cannot invade, and diseases have no origin. Thus, the Sages established words and teachings as the great canon of health preservation.
It is stated: Human life depends on the essence of the five grains and the preparation of the five flavors, which generate the physical form. The Classics say: "Flavors return to the form." If flavors are harmed, they can also damage the form. Now, diet exceeds moderation, causing the intestines and stomach to be unable to bear it, and Qi fails to transform, resulting in injury. The Classics say: "Blazing fire consumes Qi; Qi feeds the mild fire. Blazing fire scatters Qi; mild fire generates Qi." The *Bilun* says: "If food and drink double in quantity, the intestines and stomach are injured." Losing the regulation of the four seasons leads to disease. The Classics say: "A tight and full pulse at the Qi Kou indicates injury from food. The chest and stomach feel full, and there is no taste in the mouth." The mouth and Qi Kou are connected. Qi Kou is also called Kun Kou, representing the Spleen. Therefore, when the Stomach is injured, the Qi Kou pulse is tight and full. Injuries vary in degree. If the Qi Kou pulse is twice as strong as the Cun Kou pulse, and the pulse beats six times per breath cycle, it indicates injury to the Jueyin channel, which is a mild injury. Formulas like Zhizhu Wan (Immature Bitter Orange and Atractylodes Pill) are indicated. If the Qi Kou pulse is three times as strong, and the pulse beats seven times, it indicates injury to the Shaoyin channel, which is a severe injury. Formulas like Xionghuang Shengbing Zi (Realgar Holy Cake), Muxiang Binglang Wan (Costus and Areca Nut Pill), and Zhike Wan (Citrus Aurantium Pill) are indicated. If the Qi Kou pulse is four times as strong, and the pulse beats eight to nine times, it indicates injury to the Taiyin channel. The chest and epigastrium feel stuffed and confused, with severe pain in the heart and stomach. Formulas like Beijie Wan (Emergency Preparation Pill), Shenbao Wan (Divine Treasure Pill), and Xiaoji Wan (Eliminate Accumulation Pill) are indicated. Feeling nauseous and wanting to vomit is commonly known as "food dizziness" (Shi Mi Feng). The Classics say: "If there is a pulse in the upper part but none in the lower part, the person should vomit; if they do not vomit, death ensues." Guadisan (Melon Pedicel Powder) should be used to induce vomiting. If vomiting cannot be induced, there is no treatment. The Classics say: "For pathogens high up, induce emesis; for those low down, drain them thoroughly."
[Zhizhu Wan] Treats Pi syndrome (fullness/stagnation), eliminates food stagnation, and strengthens the Stomach.
Baizhu (Atractylodis Macrocephalae Rhizoma) (2 liang), Zhishi (Immature Bitter Orange Fruit, stir-fried with bran) (1 liang).
Grind the above two ingredients into powder. Wrap in lotus leaves, mix with cooked rice to make pills the size of wutong seeds. Take 50 pills each time, washed down with plenty of plain boiled water, at any time. The purpose of using Baizhu is not to rapidly digest food, but to strengthen Stomach Qi through long-term use, preventing further injury.
[Jupi Zhizhu Wan] Treats weak Yuan Qi in the elderly and children, indigestion, organ dysfunction, epigastric fullness.
Baizhu (Atractylodis Macrocephalae Rhizoma) (2 liang), Zhishi (Immature Bitter Orange Fruit, stir-fried with bran), Jupi (Citretum Reticulatum Pericarpium) (each 1 liang).
Grind the above three ingredients into powder. Wrap in lotus leaves, mix with cooked rice to make pills the size of tung seeds. Take 50 pills each time, washed down with warm water, after meals. This represents the major principle of treating internal injury: the value lies in strengthening the person's Stomach Qi, making it robust enough to withstand heavy or excessive eating without injury. This is how one skillfully uses food-medicine. Long-term use benefits Stomach Qi, preventing future injury.
[Banxia Zhizhu Wan] Treats internal injury from cold food.
Baizhu (Atractylodis Macrocephalae Rhizoma) (2 liang), Banxia (Pinelliae Rhizoma, soaked seven times), Zhishi (Immature Bitter Orange Fruit, stir-fried with bran) (each 1 liang).
Grind the above three ingredients into powder. Wrap in lotus leaves, mix with cooked rice to make pills the size of tung seeds. Take 50 pills each time, washed down with warm water, after meals. Pills made with steamed dough soaked in water are also acceptable. If cold-heat imbalance occurs due to food injury, add 10 pills of Shang'erhuang Wan (Two Yellows Pill) each time, washed down with plain boiled water.
[Muxiang Zhizhu Wan] Breaks stagnant Qi, eliminates food, opens the appetite.
Baizhu (Atractylodis Macrocephalae Rhizoma) (2 liang), Muxiang (Costi Radix), Zhishi (Immature Bitter Orange Fruit, stir-fried with bran) (each 1 liang).
Grind the above three ingredients into powder. Wrap in lotus leaves, mix with cooked rice to make pills the size of tung seeds. Take 50 pills each time, washed down with warm water, after meals.
[Muxiang Huazhi Tang] Treats結 (knotting) in the Zhongwan region due to worry, cold food, and damp noodles, causing slight pain under the abdominal skin, epigastric fullness, loss of appetite, inability to digest food, and chronic Qi stagnation.
Banxia (Pinelliae Rhizoma, soaked) (1 liang), Caodoukou (Cardamomi Fructus), Zhi Gancao (Prepared Licorice Root) (each 5 qian), Chaihu (Bupleuri Radix) (4 qian).
Muxiang (Costi Radix), Jupi (Citretum Reticulatum Pericarpium) (each 3 qian), Zhishi (Immature Bitter Orange Fruit, stir-fried with bran) (1 qian), Dangguishen (Angelicae Sinensis Radix Corpus) (2 qian), Honghua (Carthami Flos) (5 fen).
Chop the above nine herbs. Take 5 qian each time, with one cup of water and five slices of fresh ginger. Decoct to one cup, remove dregs, and take slightly warm after meals. Avoid raw/cold foods, alcohol, and damp noodles.
[Dingxiang Lanfan Wan] Treats food injury causing sudden heart and stomach pain.
Gansong (Nardostachyos Radix et Rhizoma), Suosharen (Amomi Fructus Rotundus), Dingxiangpi (Caryophylli Cortex) (each 3 qian), Gancao (Licorice Root, prepared) (2 qian).
Jingsanleng (Sparganii Rhizoma, processed) (1 qian), Xiangfuzi (Cyperi Rhizoma) (0.5 liang), Muxiang (Costi Radix) (1 qian), Yizhiren (Alpiniae Oxyphyllae Fructus) (3 qian).
Dingxiang (Caryophylli Flos), Guangzhu (Curcumae Rhizoma, processed) (each 1 qian).
Grind the above ten ingredients into powder. Use steamed dough soaked in water to make pills the size of mung beans. Take 30 pills each time, washed down with plain boiled water, at any time. Alternatively, chew roasted fresh ginger.
(Xiaozhi Wan) Treats all types of injury, epigastric and abdominal fullness with stabbing pain, and uneliminated stagnation.
Heiqianniu (Semen Phaseoli Volubilis, fried and powdered) (2 liang), Wulingzhi (Trogopterori Faeces, fried), Xiangfu (Cyperi Rhizoma, fried) (each 1 liang).
Grind the above three ingredients into powder. Make pills with vinegar paste the size of small beans. Take 30 pills each time, washed down with ginger soup after meals.
(Zhuhuang Wan) Treats all types of wine and food injury, causing epigastric and abdominal fullness and discomfort.
Xionghuang (Realgar, ground) (1 liang), Badou (Crotonis Fructus, 5 qian, peeled, raw, ground into paste, mixed with realgar powder).
Mix the above two finely. Add 3 liang of white flour and grind together. Add drops of water to make pills the size of tung seeds. When taking, first boil Jiangshui (fermented rice water). Add 24 pills, boil for 20 cycles, remove, and place in cold Jiangshui until cool. Take 2 pills within one shichen (2 hours), finishing 24 pills in one day. Increase dosage until mild laxation. Wash down with the water in which the drugs were soaked. Highly effective for hypochondriac masses and pain.
[Muxiang Binglang Wan] Treats all Qi stagnation, epigastric and abdominal fullness, hypochondriac distension, and constipation or difficult urination/defecation. Suitable for all such cases.
Muxiang (Costi Radix), Binglang (Arecae Semen), Qingpi (Citri Reticulatae Pericarpium Viride, white pith removed), Chenpi (Citri Reticulatae Pericarpium, white pith removed), Zhike (Aurantii Fructus Immaturus, stir-fried with bran), Guangzhu (Curcumae Rhizoma, baked and sliced), Huanglian (Coptidis Rhizoma) (each 1 liang), Huangbai (Phellodendri Cortex, rough bark removed), Xiangfu (Cyperi Rhizoma, refined fried), Dahuang (Rhei Radix et Rhizoma, fried) (each 3 liang), Heiqianniu (Semen Phaseoli Volubilis, first extraction powder, raw) (4 liang).
Grind into powder. Make pills with drops of water the size of pea seeds. Take 30-50 pills each time, washed down with ginger soup after meals. Increase dosage until mild laxation.
[Shang'erhuang Wan] Treats heat-food injury causing Pi syndrome, nausea, restlessness, and anxiety.
Huangqin (Scutellariae Radix) (2 liang), Huanglian (Coptidis Rhizoma, wine-washed) (1 liang), Zhishi (Immature Bitter Orange Fruit, stir-fried with bran) (0.5 liang), Shengma ( Cimicifugae Rhizoma), Chaihu (Bupleuri Radix) (each 3 qian), Gancao (Licorice Root) (2 qian).
Grind the above six ingredients into an extremely fine powder. Use steamed dough soaked in water to make pills the size of mung beans. Take 50-70 pills each time, washed down with plain boiled water. Adjust dosage according to the severity of the injury.
[Xiaoji Jixiang Wan] Treats cold-food injury causing epigastric and abdominal fullness and pain, and dissipating accumulations, masses, and Qi lumps that persist for a long time. Suitable for use.
Muxiang (Costi Radix), Chenpi (Citri Reticulatae Pericarpium), Qingpi (Citri Reticulatae Pericarpium Viride), Sanleng (Sparganii Rhizoma, processed), Guangzhu (Curcumae Rhizoma, processed), Heiqianniu (Semen Phaseoli Volubilis, fried), Baiqianniu (Semen Phaseoli Volubilis, fried), Huixiang (Foeniculi Fructus, fried) (each 0.5 liang), Badou (Crotonis Fructus, 0.5 liang, unpeeled, stir-fried with a pinch of white rice until rice turns black, then discard rice).
Grind into powder. Make pills with vinegar paste the size of tung seeds. Take 7-10 pills each time, washed down with warm ginger soup, at any time. Stop when laxation occurs. Avoid raw, cold, and hard foods.
[Zhike Wan] Treats Middle Jiao Qi stagnation, chest and diaphragm fullness, slow digestion, limb fatigue, retching, and nausea. Regular use regulates Qi, resolves old food, expels phlegm and fluid retention, and improves appetite.
Sanleng (Sparganii Rhizoma, processed), Guangzhu (Curcumae Rhizoma, processed), Heiqianniu (Semen Phaseoli Volubilis, fried) (each 3 liang), Baifuling (Poria, peeled), Baizhu (Atractylodis Macrocephalae Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride) (each 1.5 liang), Chenpi (Citri Reticulatae Pericarpium, white pith removed) (1.2 liang), Muxiang (Costi Radix), Zhike (Aurantii Fructus Immaturus, stir-fried with bran), Banxia (Pinelliae Rhizoma, processed), Binglang (Arecae Semen) (each 1 liang).
Grind into powder. Make pills with vinegar paste the size of tung seeds. Take 50 pills each time, washed down with warm ginger soup after meals.
[Kaijie Miaogong Wan] Treats internal excess of constrained heat, hard accumulations, wine/food stagnation, intestinal waste, abdominal masses, periodic pain, San Jiao congestion, dry constipation, vexation, insomnia, cough/wheezing/hiccups, inability to eat, swelling, and sudden severe heart/abdominal pain. Also promotes Qi and Blood circulation, resolves wine/food accumulation.
Sanleng (Sparganii Rhizoma, processed), Shenqu (Massa Medicata Fermentata, fried) (each 1 liang), Chuanwu (Aconiti Radix Preparata, peel and navel removed) (1.5 liang), Dahuang (Rhei Radix et Rhizoma) (1 liang, ground with previous four herbs, simmered with half sheng of good vinegar into a paste; omit paste if not breaking hard accumulations), Maiya (Hordei Fructus Germinatus, fried), Huixiang (Foeniculi Fructus, fried) (each 1 liang).
Banxia (Pinelliae Rhizoma) (0.5 liang), Badou (Crotonis Fructus) (2 seeds, use 4 for breaking hard accumulations), Ganjiang (Zingiberis Rhizoma, processed), Jian Gui (Cinnamomi Ramulus, selected) (each 2 qian), Qianniu (Semen Phaseoli Volubilis, cleaned) (3 liang).
Grind into powder. Mix with the aforementioned paste to make pills the size of small beans. Take 10-15 pills washed down with ginger soup. Alternatively, chew fresh ginger and wash down with warm water. Gradually increase to 20-30 pills, or reduce dosage if warmth is felt in the heart/stomach. For old accumulations or hard masses, start with 10 pills, then 20, increasing by 10 per dose. After 3-5 bowel movements, resume normal dosage. Once digestive strength returns, adjust to achieve mild laxation.
[Ganying Wan] Treats deficiency-cold accumulation, weak Qi, food stagnation in the Stomach preventing transmission. Due to Qi injury from cold, irregular eating/drinking, or excessive alcohol, causing epigastric hardness/fullness, hypochondriac distension/pain, severe heart/abdominal pain, cholera-like vomiting/diarrhea, frequent stools with tenesmus, chronic dysentery with red/white pus/blood, undigested food, recurring after recovery. Also treats alcohol-induced vomiting, phlegm-reversal nausea, drowsiness/dizziness, chest/diaphragm fullness, limb fatigue, loss of appetite. Suitable for new or old cold accumulations.
Nanmuxiang (Aquilariae Lignum Resinatum), Roudoukou (Myristicae Semen), Dingxiang (Caryophylli Flos) (each 1.5 liang), Ganjiang (Zingiberis Rhizoma, processed) (1 liang).
Badou (Crotonis Fructus) (70 seeds, peel, remove heart/membrane, press out oil), Xingren (Armeniacae Semen Amarum) (140 seeds, soak in water, peel/remove tips, grind).
Grind the above four ingredients into powder. Add 2 liang of Baicaoshuang (soot from hundred grasses), grind well. Mix evenly with Badou and Xingren (seven ingredients total). Use 6 liang of good beeswax, melt into liquid, filter through double-layer silk to remove impurities. Boil wax in 1 sheng of good wine in a silver/copper vessel for a few boils. Pour out, let cool until wine is cold; wax floats to top. Weigh the wax.
For Spring/Summer preparation: Use 1 liang of clear oil, heat in a pot until fragrant. Add wine, boil 4 liang of wax into liquid. Mix hot with drug powders in the pot.
For Autumn/Winter preparation: Use 1.5 liang of clear oil, fry until cooked into liquid. Mix with drug powders.
Form into small sticks, wrap in oiled paper, roll into pills as needed. Take 30 pills each time, on an empty stomach with ginger soup.
[Beiji Dan] Treats sudden piercing pain in heart/abdomen from various diseases, bloating, and Qi descent. Yi Lao named it Duxing Wan; *Piwei Lun* named it Beiji Dahuang Wan.
Dahuang powder (Rhhei Radix et Rhizoma), Ganjiang powder (Zingiberis Rhizoma), Badou (Crotonis Fructus, peel/remove heart/membrane, grind to butter/oil, use the butter/rush) (equal parts).
Mix and grind uniformly. Make pills with refined honey, pounding in a mortar thousands of times until paste-like. Size of small beans. Take one pill with warm water before sleep. If Qi stagnation is severe, add one pill. For acute illness, timing does not matter. Contraindicated in pregnant women. If food injury is in the chest/diaphragm with nausea/vomiting/restlessness, use Yiwu Gudi San (Single Herb Melon Pedicel Powder) to induce vomiting.
[Gudi San] Upper pulse present, lower pulse absent, patient should vomit; if not, death ensues. What is "lower pulse absent"? This is Wood Depression. Overeating fills the chest. The chest is the domain of the Taiyin. The *Neijing* says: "Qi Kou is three times larger than Renying, indicating food injury to Taiyin." Thus, "Wood depression should be reached/expelled." Vomiting is the method.
Gudi (Melonis Pedicel), Chixiaodou (Vigna Semen Rubrum) (equal parts).
Grind the above two into an extremely fine powder. Take 1 qian bi each time, mixed with warm Jiangshui (fermented rice water). Induce vomiting as the limit. If both Chi pulses at the wrists are completely absent, do not use this drug, as it may damage Yuan Qi and prevent Stomach Qi recovery. If only chest/diaphragm obstruction causes confusion, probe with finger; if vomiting doesn't occur, use object to induce. Stop once vomiting occurs. If food remains, use this to vomit.
[Zhishi Zhizi Dahuang Tang] Treats relapse due to food/labor after serious illness.
Zhishi (Immature Bitter Orange Fruit, 2 pieces, stir-fried with bran), Zhizi (Gardeniae Fructus, 2 pieces, plump), Douchi (Sojae Semens Praeparatum) (1.25 liang).
Use 3 cups of Qingjiangshui (clear fermented rice water). Boil empty water, reduce by 20%. Add Zhishi and Zhizi, decoct to 80% volume. Add Douchi, boil 5-7 more boils. Remove dregs, take warm. Cover to induce sweating. If old food exists, add Dahuang (Rhei Radix et Rhizoma) pieces the size of chess pieces (5-6 pieces) to decoct. Labor relapse involves floating heat, resolved by Zhishi Zhizi Tang. Heat gathering above Stomach is treated by bitter emesis. Heat dispersing to exterior is treated by bitter diaphoresis. Food relapse is treated by bitter purgation. Also suitable for excessive consumption of rich/greasy foods causing agitation/restlessness.
[Jinlu Wan] Treats seasonal epidemics, internal injury from cold food/drink, epigastric fullness.
Jiegeng (Platycodonis Radix) (2 liang), Dahuang (Rhei Radix et Rhizoma) (1 liang), Zhishi (Immature Bitter Orange Fruit, 5 qian, fried), Qianniu Toumo (Semen Phaseoli Volubilis, first extraction powder) (2.5 qian).
Grind the above four ingredients into powder. Make pills with cooked rice the size of tung seeds. Take 30 pills each time, washed down with warm water after meals. For regular maintenance, 10-20 pills is excellent.