夫脏腑气虚。脾胃衰弱。阳气不足。阴气有余。邪冷之气。内搏于足太阴之经。伏留而
不去。脾积冷气。乘之于心。正气与邪气交争。上下相击。故令心腹疼痛也。
治脾脏冷气。攻心腹疼痛。或胁下气聚不散。面色萎黄。手足常冷。不欲饮食。
宜服京
京三棱（一两炮锉） 白术（一两） 桂心（半两） 青橘皮（一两汤浸去白瓤焙） 木
香（半
两） 芎
两去芦头）
附子
炒） 浓
朴（一两去
上件药。捣粗罗为散。每服一钱。以水二中盏。入枣三枚。煎至六分。去滓。不计时候
稍热服。
治脾脏冷气。时攻心腹疼痛。面色青黄。常多呕逆。四肢虚乏。宜服肉豆蔻散方。
肉豆蔻（三枚去壳） 白术（半两） 木香（半两） 半夏〔半两汤浸（洗）七遍去滑〕
丁香
（半两） 青橘皮（半两汤浸去白瓤焙） 蓬莪术（半两） 附子（半两炮裂去皮脐） 芎
（半两）
甘草（一分炙微赤锉） 当归（三分锉微炒） 桂心（半两） 干姜（半两炮裂锉） 浓朴
（一两去
粗皮
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓
。不计时候稍热服。
治脾脏冷气。攻心腹疼痛不可忍。宜服木香散方。
木香（半两） 桃仁（一分汤浸去皮尖双仁麸炒微黄） 吴茱萸（三分汤浸七遍焙干微
炒）
青橘
两锉微炒）
干
上件药。捣细罗为散。不计时候。以热酒调下一钱。
治脾脏冷气。攻心腹疼痛不可忍。宜服吴茱萸散方。
吴茱萸（半两汤浸七遍焙干微炒） 高良姜（半两锉） 桂心（三分） 浓朴（二两去
粗皮涂
生姜汁炙令香熟） 当归（半两锉微炒） 木香（半两）
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候稍热服。
治脾脏冷气。攻心腹疼痛。或吐清水。不思饮食。宜服木香散方。
木香（半两） 人参（三分去芦头） 芎 （三分） 青橘皮（一两汤浸去白瓤焙白术
三分）
肉桂
涂生姜
汁炙
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候稍热服。
治脾脏冷气。攻心腹疼痛。宿食不消。及腹胁胀闷。不思饮食。宜服红豆蔻散方。
红豆蔻（一两去皮） 木香（半两） 当归（三分锉微炒） 桂心（半两） 高良姜（一
两锉）
芎（三分） 诃黎勒（半两煨用皮） 草豆蔻（六枚去皮） 附子（一两炮裂去皮脐） 陈
橘皮
（一两
上件药。捣筛为散。每服三钱。以水一中盏。入枣三枚。同煎至六分。去滓。不计时候
稍热服。
治脾脏久积虚冷。气攻心腹胀痛。胃气不和。见食即呕。面色萎黄。四肢无力。
宜服阿
阿魏（面裹煨面熟为度） 槟榔 青橘皮（汤浸去白瓤焙） 胡椒 丁香 荜茇 白豆
蔻（
去皮）
（煨用皮）
（一分细研）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计时候。以热酒下二
十丸。
治脾脏久积冷气。攻心腹疼痛。面色青黄。四肢无力。不思饮食。宜服荜茇丸方。
荜茇（三分） 木香（半两） 桂心（半两） 白茯苓（三分） 槟榔（一两） 附子
（一两炮裂
去皮脐） 胡椒（三分）
炒） 干
姜（半两炮裂锉） 诃
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计时候。粥饮下三十
丸。
治脾脏虚冷。心腹有积滞气。发歇疼痛。心膈不利。两胁胀满。不能饮食。宜服硼
（ ）
硼（ ）砂（二两白色不夹石者研） 阿魏（一分） 神曲（一两别捣罗为末） 诃黎
勒（一两
用皮）
瓤焙）
白芥子
上件药。诃黎勒以下。捣细罗为末。以好酒一升。先煎硼（ ）砂。次入阿魏。同煎五
七
沸。
杵。
治脾脏积冷。气攻心腹疼痛。不能饮食。四肢无力。宜服诃黎勒丸方。
诃黎勒（二两煨用皮） 人参（一两去芦头） 桂心（半两） 干姜（半两炮裂锉） 白
茯苓（
一两） 木香（半两）
（一两炮裂
去皮脐） 桔梗（一
去白瓤焙）
浓朴（一两去粗皮涂生姜汁
上件药。捣罗为散。炼蜜和捣三五百杵。丸如梧桐子大。每服。不计时候。以温酒下三
十丸。
治脾脏冷气。及夙有积块。时攻心腹疼痛。呕逆不思饮食。四肢羸瘦。宜服京三
棱丸方
京三棱（一两炮裂） 鳖甲（一两涂醋炙令黄去裙 ） 木香（半两） 川大黄（半两
锉碎微
炒）
茯
苓（芍
两汤浸
去白
（一两炮裂
去皮脐）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以生姜橘皮汤
下三十丸。
脏腑之气虚弱。脾胃功能衰弱。阳气不足。阴气偏盛。寒邪冷气。内侵搏结于足太阴脾经。潜伏停留而不去除。脾脏积聚的冷气。上乘侵犯心脏。正气与邪气相互交争。上下互相冲击。因此导致心腹疼痛。
治疗脾脏冷气。攻冲心腹疼痛。或者胁下气聚不散。面色萎黄。手足经常发冷。不想进食。适宜服用京三棱散方。
京三棱（一两，炮制锉碎） 白术（一两） 桂心（半两） 青橘皮（一两，汤浸去白瓤焙干） 木香（半两） 芎䓖（一两，去芦头） 附子（半两，炮裂去皮脐） 浓朴（一两，去粗皮涂生姜汁炙令香熟）
以上药物。捣筛成粗散。每次服用一钱。用水二大盏。加入大枣三枚。煎至六分。去渣滓。不限时候。稍热时服用。
治疗脾脏冷气。时常攻冲心腹疼痛。面色青黄。经常多呕吐逆气。四肢虚弱乏力。适宜服用肉豆蔻散方。
肉豆蔻（三枚，去壳） 白术（半两） 木香（半两） 半夏（半两，汤浸洗七遍去滑腻） 丁香（半两） 青橘皮（半两，汤浸去白瓤焙干） 蓬莪术（半两） 附子（半两，炮裂去皮脐） 芎䓖（半两） 甘草（一分，炙微赤锉碎） 当归（三分，锉碎微炒） 桂心（半两） 干姜（半两，炮裂锉碎） 浓朴（一两，去粗皮涂生姜汁炙令香熟）
以上药物。捣筛成粗散。每次服用三钱。用水一中盏。加入生姜半分。大枣三枚。煎至六分。去渣滓。不限时候。稍热时服用。
治疗脾脏冷气。攻冲心腹疼痛剧烈难以忍受。适宜服用木香散方。
木香（半两） 桃仁（一分，汤浸去皮尖双仁麸炒微黄） 吴茱萸（三分，汤浸七遍焙干微炒） 青橘皮（一两，锉碎微炒） 干姜（半两，炮裂锉）
以上药物。捣细罗成散。不限时候。用热酒调服一钱。
治疗脾脏冷气。攻冲心腹疼痛剧烈难以忍受。适宜服用吴茱萸散方。
吴茱萸（半两，汤浸七遍焙干微炒） 高良姜（半两，锉碎） 桂心（三分） 浓朴（二两，去粗皮涂生姜汁炙令香熟） 当归（半两，锉碎微炒） 木香（半两）
以上药物。捣筛成散。每次服用三钱。用水一中盏。煎至六分。去渣滓。不限时候。稍热时服用。
治疗脾脏冷气。攻冲心腹疼痛。或者吐出清水。不思饮食。适宜服用木香散方。
木香（半两） 人参（三分，去芦头） 芎䓖（三分） 青橘皮（一两，汤浸去白瓤焙干） 白术（三分） 肉桂（半两，涂生姜汁炙）
以上药物。捣筛成散。每次服用三钱。用水一中盏。煎至六分。去渣滓。不限时候。稍热时服用。
治疗脾脏冷气。攻冲心腹疼痛。宿食不消化。以及腹部胁肋胀闷。不思饮食。适宜服用红豆蔻散方。
红豆蔻（一两，去皮） 木香（半两） 当归（三分，锉碎微炒） 桂心（半两） 高良姜（一两，锉碎） 芎䓖（三分） 诃黎勒（半两，煨用皮） 草豆蔻（六枚，去皮） 附子（一两，炮裂去皮脐） 陈橘皮（一两，汤浸去白瓤焙干）
以上药物。捣筛成散。每次服用三钱。用水一中盏。加入大枣三枚。同煎至六分。去渣滓。不限时候。稍热时服用。
治疗脾脏久积虚冷。气攻心腹胀痛。胃气不和。见食物即呕吐。面色萎黄。四肢无力。适宜服用阿魏丸方。
阿魏（面裹煨至面熟为度） 槟榔 青橘皮（汤浸去白瓤焙干） 胡椒 丁香 荜茇 白豆蔻（去皮） 诃黎勒（煨用皮） 硇砂（一分，细研）
以上药物。捣罗成末。炼蜜调和捣杵三二百下。制成梧桐子大小的丸剂。每次服用。不限时候。用热酒送下二十丸。
治疗脾脏久积冷气。攻冲心腹疼痛。面色青黄。四肢无力。不思饮食。适宜服用荜茇丸方。
荜茇（三分） 木香（半两） 桂心（半两） 白茯苓（三分） 槟榔（一两） 附子（一两，炮裂去皮脐） 胡椒（三分） 干姜（半两，炮裂锉碎） 诃黎勒（一两，煨用皮）
以上药物。捣罗成末。炼蜜调和捣杵三二百下。制成梧桐子大小的丸剂。每次服用。不限时候。用米粥饮送下三十丸。
治疗脾脏虚冷。心腹有积滞气。发作性疼痛。心膈部不适。两胁胀满。不能进食。适宜服用硼砂丸方。
硼砂（二两，白色不夹杂石头的，研细） 阿魏（一分） 神曲（一两，另捣罗成末） 诃黎勒（一两，用皮） 青橘皮（一两，汤浸去白瓤焙干） 白芥子（一两，炒）
以上药物。将诃黎勒以下的药物。捣细罗成末。用好酒一升。先煎硼砂。其次加入阿魏。同煎五七沸。再入前药末。捣杵。
治疗脾脏积冷。气攻心腹疼痛。不能进食。四肢无力。适宜服用诃黎勒丸方。
诃黎勒（二两，煨用皮） 人参（一两，去芦头） 桂心（半两） 干姜（半两，炮裂锉碎） 白茯苓（一两） 木香（半两） 附子（一两，炮裂去皮脐） 桔梗（一两，去芦头焙干） 浓朴（一两，去粗皮涂生姜汁炙）
以上药物。捣罗成散。炼蜜调和捣杵三五百下。制成梧桐子大小的丸剂。每次服用。不限时候。用温酒送下三十丸。
治疗脾脏冷气。以及素有积块。时常攻冲心腹疼痛。呕吐逆气不思饮食。四肢消瘦。适宜服用京三棱丸方。
京三棱（一两，炮裂） 鳖甲（一两，涂醋炙令黄色去裙襕） 木香（半两） 川大黄（半两，锉碎微炒） 白茯苓（一两） 青橘皮（一两，汤浸去白瓤焙干） 附子（一两，炮裂去皮脐）
以上药物。捣罗成末。炼蜜调和捣杵三二百下。制成梧桐子大小的丸剂。每次服用不限时候。用生姜橘皮汤送下三十丸。
The Qi of the Zang-Fu organs is deficient. The Spleen and Stomach are weak. Yang Qi is insufficient, while Yin Qi is in excess. Pathogenic cold Qi invades internally and binds to the Foot-Taiyin Splein Meridian (Foot-Taiyin Spleen Channel), lingering and remaining without departing. Cold accumulation in the Spleen attacks upward to the Heart. Righteous Qi and pathogenic Qi contend with each other, striking up and down. Thus, pain in the heart and abdomen occurs.
To treat cold Qi in the Spleen attacking the heart and abdomen causing pain, or Qi gathering under the hypochondrium that does not dissipate, sallow complexion, constant coldness of the hands and feet, and lack of appetite, it is suitable to take Jing Sanleng Powder (Rhizoma Sparganii Decoction).
Jing Sanleng (Rhizoma Sparganii, 1 liang, processed and crushed) Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang) Guixin (Cortex Cinnamomi, 0.5 liang) Qingjupi (Pericarpium Citri Reticulatae Viride, 1 liang, soaked in water, white pith removed, dried) Muxiang (Radix Aucklandiae, 0.5 liang) Xiongqiong (Radix Ligustici Chuanxiong, 1 liang, rhizome head removed) Fuzi (Radix Aconiti Lateralis Preparata, 0.5 liang, processed, skin and umbilicus removed) Nongpo (Cortex Magnoliae Officinalis, 1 liang, coarse bark removed, brushed with ginger juice and roasted until fragrant)
The above medicines are coarsely ground into a powder. Each dose is 1 qian. Take 2 large bowls of water, add 3 jujubes, decoct until reduced to 6 fen. Remove the dregs. Take slightly warm at any time.
To treat cold Qi in the Spleen frequently attacking the heart and abdomen causing pain, greenish-yellow complexion, frequent vomiting and regurgitation, and weakness of the four limbs, it is suitable to take Roudoukou Powder (Nucis Arecae Semen Decoction).
Roudoukou (Nucis Arecae Semen, 3 pieces, shell removed) Baizhu (Rhizoma Atractylodis Macrocephalae, 0.5 liang) Muxiang (Radix Aucklandiae, 0.5 liang) Banxia (Rhizoma Pinelliae Preparatum, 0.5 liang, soaked in water, washed seven times to remove slipperiness) Dingxiang (Flos Caryophylli, 0.5 liang) Qingjupi (Pericarpium Citri Reticulatae Viride, 0.5 liang, soaked in water, white pith removed, dried) Peng'ezhu (Rhizoma Curcumae Phaeocaulis, 0.5 liang) Fuzi (Radix Aconiti Lateralis Preparata, 0.5 liang, processed, skin and umbilicus removed) Xiongqiong (Radix Ligustici Chuanxiong, 0.5 liang) Gancao (Radix Glycyrrhizae Preparata, 1 fen, roasted until slightly red and crushed) Danggui (Radix Angelicae Sinensis, 3 fen, crushed and lightly stir-fried) Guixin (Cortex Cinnamomi, 0.5 liang) Ganjiang (Rhizoma Zingiberis Preparatum, 0.5 liang, processed and crushed) Nongpo (Cortex Magnoliae Officinalis, 1 liang, coarse bark removed, brushed with ginger juice and roasted until fragrant)
The above medicines are coarsely ground into a powder. Each dose is 3 qian. Take 1 medium bowl of water, add 0.5 fen of fresh ginger and 3 jujubes, decoct until reduced to 6 fen. Remove the dregs. Take slightly warm at any time.
To treat cold Qi in the Spleen attacking the heart and abdomen causing unbearable pain, it is suitable to take Muxiang Powder (Radix Aucklandiae Decoction).
Muxiang (Radix Aucklandiae, 0.5 liang) Taoren (Semen Persicae, 1 fen, soaked in water, skin and pointed end removed, double-kernel bran-roasted until slightly yellow) Wuzhuyu (Fructus Evodiae Preparatus, 3 fen, soaked in water seven times, dried and lightly stir-fried) Qingjupi (Pericarpium Citri Reticulatae Viride, 1 liang, crushed and lightly stir-fried) Ganjiang (Rhizoma Zingiberis Preparatum, 0.5 liang, processed and crushed)
The above medicines are finely sifted into a powder. Take 1 qian mixed with hot wine at any time.
To treat cold Qi in the Spleen attacking the heart and abdomen causing unbearable pain, it is suitable to take Wuzhuyu Powder (Fructus Evodiae Decoction).
Wuzhuyu (Fructus Evodiae Preparatus, 0.5 liang, soaked in water seven times, dried and lightly stir-fried) Gaoliangjiang (Rhizoma Alpiniae Officinarum, 0.5 liang, crushed) Guixin (Cortex Cinnamomi, 3 fen) Nongpo (Cortex Magnoliae Officinalis, 2 liang, coarse bark removed, brushed with ginger juice and roasted until fragrant) Danggui (Radix Angelicae Sinensis, 0.5 liang, crushed and lightly stir-fried) Muxiang (Radix Aucklandiae, 0.5 liang)
The above medicines are sifted into a powder. Each dose is 3 qian. Take 1 medium bowl of water, decoct until reduced to 6 fen. Remove the dregs. Take slightly warm at any time.
To treat cold Qi in the Spleen attacking the heart and abdomen causing pain, vomiting of clear fluid, and lack of appetite, it is suitable to take Muxiang Powder (Radix Aucklandiae Decoction).
Muxiang (Radix Aucklandiae, 0.5 liang) Renshen (Radix Ginseng, 3 fen, rhizome head removed) Xiongqiong (Radix Ligustici Chuanxiong, 3 fen) Qingjupi (Pericarpium Citri Reticulatae Viride, 1 liang, soaked in water, white pith removed, dried) Baizhu (Rhizoma Atractylodis Macrocephalae, 3 fen) Rougui (Cortex Cinnamomi Cassiae, 0.5 liang, brushed with ginger juice and roasted)
The above medicines are sifted into a powder. Each dose is 3 qian. Take 1 medium bowl of water, decoct until reduced to 6 fen. Remove the dregs. Take slightly warm at any time.
To treat cold Qi in the Spleen attacking the heart and abdomen causing pain, indigestion of retained food, abdominal and hypochondriac distension and stuffiness, and lack of appetite, it is suitable to take Hongdoukou Powder (Fructus Cardamomi Minoris Decoction).
Hongdoukou (Fructus Cardamomi Minoris, 1 liang, skin removed) Muxiang (Radix Aucklandiae, 0.5 liang) Danggui (Radix Angelicae Sinensis, 3 fen, crushed and lightly stir-fried) Guixin (Cortex Cinnamomi, 0.5 liang) Gaoliangjiang (Rhizoma Alpiniae Officinarum, 1 liang, crushed) Xiongqiong (Radix Ligustici Chuanxiong, 3 fen) Helile (Fructus Chebulae, 0.5 liang, roasted, skin used) Caodoukou (Fructus Cardamomi Rotundus, 6 pieces, skin removed) Fuzi (Radix Aconiti Lateralis Preparata, 1 liang, processed, skin and umbilicus removed) Chenjupi (Pericarpium Citri Reticulatae, 1 liang, soaked in water, white pith removed, dried)
The above medicines are sifted into a powder. Each dose is 3 qian. Take 1 medium bowl of water, add 3 jujubes, decoct together until reduced to 6 fen. Remove the dregs. Take slightly warm at any time.
To treat long-standing deficiency-cold accumulation in the Spleen, Qi attacking the heart and abdomen causing distension and pain, disharmony of Stomach Qi, vomiting upon seeing food, sallow complexion, and weakness of the four limbs, it is suitable to take Awie Pill (Asafoetida Pill).
Awie (Asafoetida, wrapped in dough and roasted until the dough is cooked) Binglang (Arecae Semen) Qingjupi (Pericarpium Citri Reticulatae Viride, soaked in water, white pith removed, dried) Hujiao (Piperis Fructus) Dingxiang (Flos Caryophylli) Biba (Fructus Piperis Kadsurae) Baidoukou (Fructus Cardamomi Rotundus, skin removed) Helile (Fructus Chebulae, roasted, skin used) Naosha (Sal Nitri, 1 fen, finely ground)
The above medicines are ground into powder. Mix with refined honey and pound for three to two hundred strokes. Form pills the size of paulownia seeds. Each dose: take 20 pills with hot wine at any time.
To treat long-standing cold Qi accumulation in the Spleen attacking the heart and abdomen causing pain, greenish-yellow complexion, weakness of the four limbs, and lack of appetite, it is suitable to take Biba Pill (Fructus Piperis Kadsurae Pill).
Biba (Fructus Piperis Kadsurae, 3 fen) Muxiang (Radix Aucklandiae, 0.5 liang) Guixin (Cortex Cinnamomi, 0.5 liang) Baifuling (Poria, 3 fen) Binglang (Arecae Semen, 1 liang) Fuzi (Radix Aconiti Lateralis Preparata, 1 liang, processed, skin and umbilicus removed) Hujiao (Piperis Fructus, 3 fen) Ganjiang (Rhizoma Zingiberis Preparatum, 0.5 liang, processed and crushed) Helile (Fructus Chebulae, 1 liang, roasted, skin used)
The above medicines are ground into powder. Mix with refined honey and pound for three to two hundred strokes. Form pills the size of paulownia seeds. Each dose: take 30 pills with rice gruel drink at any time.
To treat deficiency-cold in the Spleen, stagnant Qi in the heart and abdomen causing intermittent pain, discomfort in the heart and diaphragm, fullness in both hypochondria, and inability to eat, it is suitable to take Pingsha Pill (Borax Pill).
Pingsha (Sal Nitri, 2 liang, white and free from stone impurities, ground) Awie (Asafoetida, 1 fen) Shenqu (Massa Medicata Fermentata, 1 liang, separately ground into powder) Helile (Fructus Chebulae, 1 liang, skin used) Qingjupi (Pericarpium Citri Reticulatae Viride, 1 liang, soaked in water, white pith removed, dried) Baijiezi (Semen Sinapis Albae, 1 liang, stir-fried)
For the above medicines, grind Helile and subsequent ingredients into fine powder. Take 1 sheng of good wine, first decoct Pingsha. Then add Awie. Decoct together for five to seven boils. Add the previous powder. Pound.
To treat cold accumulation in the Spleen attacking the heart and abdomen causing pain, inability to eat, and weakness of the four limbs, it is suitable to take Helile Pill (Fructus Chebulae Pill).
Helile (Fructus Chebulae, 2 liang, roasted, skin used) Renshen (Radix Ginseng, 1 liang, rhizome head removed) Guixin (Cortex Cinnamomi, 0.5 liang) Ganjiang (Rhizoma Zingiberis Preparatum, 0.5 liang, processed and crushed) Baifuling (Poria, 1 liang) Muxiang (Radix Aucklandiae, 0.5 liang) Fuzi (Radix Aconiti Lateralis Preparata, 1 liang, processed, skin and umbilicus removed) Jiegeng (Radix Platycodonis, 1 liang, rhizome head removed, dried) Nongpo (Cortex Magnoliae Officinalis, 1 liang, coarse bark removed, brushed with ginger juice)
The above medicines are ground into powder. Mix with refined honey and pound for three to five hundred strokes. Form pills the size of paulownia seeds. Each dose: take 30 pills with warm wine at any time.
To treat cold Qi in the Spleen, as well as existing accumulations, frequently attacking the heart and abdomen causing pain, vomiting and regurgitation with lack of appetite, and emaciation of the four limbs, it is suitable to take Jing Sanleng Pill (Rhizoma Sparganii Pill).
Jing Sanleng (Rhizoma Sparganii, 1 liang, processed) Biejia (Carapax et Plastrum Testudinis, 1 liang, brushed with vinegar, roasted until yellow, skirt removed) Muxiang (Radix Aucklandiae, 0.5 liang) Chuan Dahuang (Radix et Rhizoma Rhei Palmati, 0.5 liang, crushed and lightly stir-fried) Baifuling (Poria, 1 liang) Qingjupi (Pericarpium Citri Reticulatae Viride, 1 liang, soaked in water, white pith removed, dried) Fuzi (Radix Aconiti Lateralis Preparata, 1 liang, processed, skin and umbilicus removed)
The above medicines are ground into powder. Mix with refined honey and pound for three to two hundred strokes. Form pills the size of paulownia seeds. Each dose: take 30 pills with fresh ginger and tangerine peel decoction at any time.