诀云，阿阿缓若春杨柳，此是脾家居四季，此叔和知之而未详也。大抵胃脉虽和缓而贵
不疾不速，重而取之，不亏乏，浮而取之，阿阿而至，不洪不浊，即为五脏脉全，若弦而急
，又洪大而有骨力，即受肝热邪，能生呕逆，若弦而紧，即受肝冷邪，能生飧泄。诀又曰∶
脾数即吐因脾热，此非脾热，乃肝热而侵脾，故作此和神之方，须使去风邪药，以和胃药，
此方神效，但于使疗处方觉其验。
诃子皮（一两） 削术（好者二两） 藿香 本
两） 根子〔（七铢），此用行肝气，乃木香中拣圆小气
各一分）
上为末，每服三钱，水一盏，煎取八分，去滓和滓任意服饵，才服逡巡，却觉胸膈如饥
，若是肝热刑脾而吐，唇焦口胶，面赤，渴引饮，小便赤，背脊寒，洒洒如疟，闻暖药臭，
只要凉水吃，即加
荆芥穗（二钱） 羌活（半两） 连翘（一分） 秦胶（三铢）
以上同为末，每服三钱，更入半夏二片，水一盏，生姜三片，同煎至七分服，若是脾湿
冷泄，即加
香白芷（一分） 肉豆蔻 草豆蔻（各半两）
如法修制，大抵用脾药须要止风邪药相并，其他加减，乃临时看风气多少，即万不失一
，脚膝下边生疮，乃肺气不下降使然，宜服降肺气汤药。
有病，吐半月不已，乃心鬲间有涎，宜用天南星去涎药去之。
水邪攻心气，素问云，攻所热者死，用桂与姜，壮心气胜之，其病，狂言身热，骨节疼
痛，面赤，眼如拔，而脑如脱。
小便白浊而口干，是土气余而克肾水，以枳壳散清其脾，则安，痔病用荆芥熏，以钓肠
丸服之。（方出灵，苑者是。）
歌诀说：“脉象阿阿缓若春柳之柔”，这是脾家脉在四季中的表现，王叔和对此知晓但未详尽阐述。大体上，胃脉虽然以和缓为特征，但贵在从容不迫、不急不躁；沉取时脉力不亏乏，浮取时脉来和阿阿然，不洪大也不浑浊，这就称为五脏脉气完备。如果脉弦而急，且洪大而有骨力，说明受到肝热邪气的侵袭，能产生呕吐逆乱的症状；如果脉弦而紧，说明受到肝冷邪气的侵袭，能产生完谷不化的泄泻。歌诀又说：“脾脉数则吐”，这并非脾热所致，而是肝热侵犯脾脏，因此制作了这个调和神志的方剂，必须使用祛风邪的药物配合和胃的药物，此方神效，但在施治处方时才能见到其疗效。
诃子皮（一两）、白术（好的二两）、藿香、本（各一分）、根子（七铢）。这里所用的“根子”是从木香中挑选出的圆小气味浓者。以上药物研为细末，每次服用三钱，用水一盏，煎至八分，去渣后连渣任意服食。刚服用不久，就会觉得胸膈像饥饿一样空虚。如果是肝热克制脾土导致的呕吐，伴有嘴唇焦裂、口胶黏、面色红赤、口渴想喝水、小便颜色深红、背脊发冷、战栗如疟疾状、闻到温热药的气味就厌恶，只想喝凉水，此时应加入荆芥穗（二钱）、羌活（半两）、连翘（一分）、秦艽（三铢）。以上药物同研为末，每次服用三钱，再加入半夏两片、生姜三片，用水一盏，同煎至七分服下。如果是脾湿冷导致的泄泻，则加入香白芷（一分）、肉豆蔻、草豆蔻（各半两）。按照上述方法炮制，大体上使用健脾药时必须配合祛风邪的药物，其他的加减变化，则是根据当时风邪的多少来决定，这样就不会失手。脚膝下方生疮，是肺气不能下降所致，适宜服用降肺气汤药。
有人患病，呕吐半个月不止，这是心膈间有痰涎，适宜用天南星等去涎药来祛除。水邪攻伐心气，《素问》说，攻伐所热之处会致死，应用桂枝与干姜，壮心气以胜之。这种病的症状是：胡言乱语、身体发热、骨节疼痛、面色红赤、眼睛突出如被拔出、头脑感觉像要脱落一样。
小便白浊且口干，是脾土之气有余而克制肾水，用枳壳散清利脾土，则病安。痔病用荆芥熏洗，并内服钓肠丸。（方剂出自《灵苑方》。）
The rhyme states: "The pulse is soft and slow like willow branches in spring," which represents the spleen's pulse during the four seasons. Wang Shuhe was aware of this but did not elaborate on it. Generally, although the stomach pulse is characterized by being harmonious and slow, it is prized for being neither rapid nor hurried. When pressed deeply (Chen), the force should not be deficient; when lifted superficially (Fu), the pulse arrives softly and harmoniously, neither surging (Hong) nor turbid. This constitutes a complete pulse of the five zang organs. If the pulse is wiry (Xian) and urgent, and also surging with bony strength, it indicates invasion by liver heat pathogenic factors, leading to vomiting and reflux. If the pulse is wiry and tight, it indicates invasion by liver cold pathogenic factors, leading to undigested food diarrhea (Sun Xie). The rhyme further states: "A rapid spleen pulse causes vomiting." This is not due to spleen heat, but rather liver heat invading the spleen. Therefore, this formula for harmonizing the spirit is created. It requires the use of wind-dispelling herbs combined with stomach-harmonizing herbs. This formula is miraculous, but its efficacy is only realized when prescribed and administered correctly.
Heqiao Pi (Persimmon Sepal Peel, 1 liang), Baizhu (Atractylodis Rhizoma, 2 liang of good quality), Huoxiang (Agastachis Herba), Bencao (Ligustici Chuanxiong Rhizoma, each 1 fen), Genzi (Muxiang Radix, 7 zhu). Here, "Genzi" refers to small, round Muxiang selected for its strong aroma. All ingredients are powdered. Take 3 qian per dose, add 1 zhan of water, decoct until 0.8 zhan remains, remove dregs, and consume both liquid and dregs as desired. Shortly after ingestion, one may feel a sensation of hunger in the chest and diaphragm. If vomiting is caused by liver heat suppressing the spleen, accompanied by cracked lips, sticky mouth, red face, thirst with desire to drink, dark urine, coldness in the back and spine, chills resembling malaria, aversion to the smell of warm medicines, and a preference for cold water, add Jingjie Sui (Schizonepetae Spica, 2 qian), Qianghuo (Notopterygii Rhizoma et Radix, 0.5 liang), Lianqiao (Forsythiae Fructus, 1 fen), Qinjiao (Gentianae Macrophyllae Radix, 3 zhu). Powder these together. Take 3 qian per dose, add 2 slices of Banxia (Pinelliae Rhizoma) and 3 slices of Shengjiang (Zingiberis Rhizoma Recens), add 1 zhan of water, decoct until 0.7 zhan remains, and take. If diarrhea is caused by spleen dampness and cold, add Baixia (Angelicae Dahuricae Radix, 1 fen), Roudoukou (Myristicae Semen), and Caodoukou (Buckwheat Fruit), each 0.5 liang. Process according to the above method. Generally, when using spleen-tonifying herbs, they must be combined with wind-dispelling herbs. Other modifications depend on the degree of wind pathogen at the time, ensuring no failure. Sores below the feet and knees are caused by lung qi failing to descend; thus, formulas that descend lung qi should be taken.
For a patient suffering from vomiting for half a month without relief, there is phlegm-fluid retention in the heart and diaphragm area. It is appropriate to use Tian Nanxing (Arisaematis Rhizoma) and other phlegm-resolving herbs to eliminate it. When water pathogen attacks heart qi, the *Suwen* states that attacking the heated area leads to death. One should use Guizhi (Cinnamomi Ramulus) and Jiang (Zingiberis Rhizoma) to strengthen heart qi and overcome the pathogen. Symptoms include delirium, fever, joint pain, red face, protruding eyes (as if pulled out), and a sensation of the brain detaching.
White and turbid urine with dry mouth indicates excess earth qi suppressing kidney water. Using Zhike San (Citri Reticulatae Pericarpium Powder) to clear the spleen will bring peace. For hemorrhoids, fumigate with Jingjie (Schizonepetae Herba) and take Diaochang Wan internally. (Formula from *Lingyuan Fang*.)