（论一首 方二十三首 脉四首 灸法一首）
脾实热
右手关上脉阴实者，足太阴经者，病苦足寒胫热，腹胀满，烦扰不得卧，名曰脾实热也
治舌本强直，或梦歌乐而体重不能行方。
前胡 茯苓 龙胆 细辛 芒硝（各三两） 杏仁（四两） 元参 大青（各二两） 苦
竹叶
（切
上九味 咀，以水九升煮取三升，分三服，食后服。
主治同前。
射干（八两） 大青（三两） 石膏（十两，一作一升） 赤蜜（一升）
上四味 咀，以水五升煮取一升五合，去滓，下蜜煎取二升，分三服。
治脾热面黄目赤季胁痛满方
半夏 母姜（各八两） 枳实 栀子 茯苓 芒硝（各三两） 细辛（五两） 白术 杏
仁
（各四两） 生地黄 淡竹叶（切，各一升）
上十一味 咀，以水九升煮取三升，去滓，下芒硝，分三服。
治脾横方
若赤黑发如瓜大，煎羊脂摩之。
又方 赤小豆末和鸡子白敷之。
四肢寒热腰痛不得俯仰，身黄腹满食呕，舌根直，灸第十一椎及左右各一寸五分，三处
各七壮。
脾胃俱实
右手关上脉阴阳俱实者，足太阴与阳明经俱实也。病苦脾胀腹坚，抢胁下痛，胃气不转
，大便难，时反泄利，腹中痛，上冲肺肝，动五脏，立喘鸣，多惊，身热汗不出，喉痹精少，
名
（论述一篇，方剂二十三首，脉诊四首，灸法一首）
脾实热证
右手关部阴脉呈现实象的，属于足太阴脾经的病证。患者痛苦于双足寒冷而小腿发热，腹部胀满烦闷，烦躁不安无法入睡，这被称为脾实热证。
治疗舌根强硬，或梦中唱歌欢笑但身体沉重不能行走的方剂。
前胡、茯苓、龙胆、细辛、芒硝（各三两），杏仁（四两），元参、大青（各二两）。
竹叶（切碎）。
以上九味药，捣碎，用水九升煎煮至三升，分三次服用，饭后服。
主治与前一方相同。
射干（八两），大青（三两），石膏（十两，一说为一升），赤蜜（一升）。
以上四味药，捣碎，用水五升煎煮至一升五合，滤去药渣，加入蜂蜜再煎取二升，分三次服用。
治疗脾热导致面色发黄、眼睛发红、季胁部疼痛胀满的方剂。
半夏、生姜（各八两），枳实、栀子、茯苓、芒硝（各三两），细辛（五两），白术、杏仁（各四两），生地黄、淡竹叶（切碎，各一升）。
以上十一味药，捣碎，用水九升煎煮至三升，滤去药渣，加入芒硝，分三次服用。
治疗脾横（脾脏病变横逆）的方剂。
如果患处出现如瓜子大小的赤黑色肿块，用熬煎过的羊脂涂抹按摩患处。
又一方：用赤小豆末与鸡蛋清调和后敷贴患处。
四肢寒热交替、腰痛不能俯仰、身体发黄、腹部胀满、饮食呕吐、舌根僵硬，艾灸第十一椎穴及左右各一寸五分处，共三处，每处灸七壮。
脾胃俱实证
右手关部阴阳脉均呈现实象的，是足太阴脾经与足阳明胃经俱实的病证。患者痛苦于脾脏胀满、腹部坚硬，胁下疼痛，胃气不运，大便困难，时而反而腹泻，腹中疼痛，气机上冲肺肝，扰动五脏，立即出现喘息鸣响，多受惊吓，身体发热无汗，喉痹，精气亏少，这被称为……
(One treatise, twenty-three prescriptions, four pulse diagnoses, one moxibustion method)
Spleen Excess-Heat Syndrome
When the Yin pulse at the Guan position of the right hand is excess, it indicates a disease of the Foot-Taiyin Splein Meridian. The patient suffers from cold feet with hot calves, abdominal distension and fullness, restlessness and inability to sleep. This is called Spleen Excess-Heat Syndrome.
Prescription for treating a stiff tongue base, or dreaming of singing and laughing while the body feels heavy and immobile.
Qianhu (Peucedani Radix), Fuling (Poria), Longdan (Gentianae Radix), Xixin (Asari Radix et Rhizoma), Mangxiao (Natrii Sulfas) (each 3 liang), Xingren (Prunus Armeniacae Semen Amaram) (4 liang), Yuanshen (Scrophulariae Radix), Daqing (Isatidis Folium) (each 2 liang).
Zhuye (Bambusae Folium) (cut).
The above nine herbs are crushed, decocted in 9 sheng of water until 3 sheng remain, divided into three doses, taken after meals.
Indications are the same as the preceding prescription.
Shéyè (Belamcandae Rhizoma) (8 liang), Daqing (Isatidis Folium) (3 liang), Shigao (Gypsum Fibrosum) (10 liang, alternatively 1 sheng), Chi Mi (Red Honey) (1 sheng).
The above four herbs are crushed, decocted in 5 sheng of water until 1.5 sheng remains, strained, then honey is added and boiled down to 2 sheng, divided into three doses.
Prescription for treating spleen heat causing yellow complexion, red eyes, and pain and fullness in the hypochondriac region.
Banxia (Pinelliae Rhizoma), Jiang (Zingiberis Rhizoma Recens) (each 8 liang), Zhishi (Aurantii Fructus Immaturus), Zhizi (Gardeniae Fructus), Fuling (Poria), Mangxiao (Natrii Sulfas) (each 3 liang), Xixin (Asari Radix et Rhizoma) (5 liang), Baizhu (Atractylodis Macrocephalae Rhizoma), Xingren (Prunus Armeniacae Semen Amaram) (each 4 liang), Sheng Dihuang (Rehmanniae Radix), Dan Zhuye (Bambusae Folium) (cut, each 1 sheng).
The above eleven herbs are crushed, decocted in 9 sheng of water until 3 sheng remain, strained, then Mangxiao (Natrii Sulfas) is added, divided into three doses.
Prescription for treating Pi Heng (Spleen pathology with horizontal reversal).
If red-black lesions the size of melon seeds appear, rub the area with rendered sheep fat.
Another prescription: Mix powder of Chixiaodou (Vigna umbellata Seed) with egg white and apply topically.
For alternating cold and heat in the four limbs, lower back pain preventing flexion and extension, yellowish body, abdominal fullness, vomiting of food, and a straight tongue root, moxa-burn the Eleventh Thoracic Vertebra point and points 1.5 cun to the left and right thereof. Treat these three locations, seven moxa cones per location.
Spleen and Stomach Both Excess Syndrome
When both the Yin and Yang pulses at the Guan position of the right hand are excess, it indicates that both the Foot-Taiyin Splein Meridian and the Foot-Yangming Stomach Meridian are in an excess state. The patient suffers from spleen distension and hard abdomen, pain under the ribs, stagnation of stomach qi, difficulty in defecation, occasional diarrhea, abdominal pain, qi rushing upward to the lungs and liver, disturbance of the five zang organs, immediate wheezing and rattling, frequent惊 (fright), fever without sweating, throat obstruction (Hou Bi), and scantiness of essence. This is called...