（东垣） 治中满，寒胀，寒疝，二便不通，四肢厥逆。食入反出，腹中寒，心下
下虚阴躁，奔豚不收。（或多食寒凉，及脾胃久虚之人。胃中寒，则胀满。或脏寒生满
此汤主之。）
川乌 干姜 荜澄茄 生姜 黄连 人参 当归 泽泻 青皮 麻黄 柴胡（二钱） 草
蔻仁
服。
川乌二姜，吴茱澄茄，益智草蔻，除湿开郁，暖胃温肾，以祛其寒。青皮浓朴，以散其
满。
归以
东
泻之于内。谓脾胃有病，令上下分消其湿。下焦如渎，气血自然分化。如或大实大满，大小
便不利者，从权以寒热药下之。）
治中寒呕吐，吞酸，泄泻，不思饮食。及妇人脏寒呕恶，胎气不安等证。
白术（炒一二钱） 当归（一二钱） 人参（一二三钱） 白扁豆（炒二钱） 甘草（炙
一钱） 干姜
兼胸腹痛者。加藿
甚者加柴胡。如脾
钱。如脾胃虚极，大
如泄泻者，去当归，
治肾泻，脾泻。（肾泻者，五更时泻也。经曰∶肾者，胃之关也。前阴利水，后阴
肾属水，水旺于子。肾之阳虚，不能健闭，故将交阳分则泻也。脾泻者，脾之清阳下
能运化，阑门元气不足，不能分别水谷，不痛而泻也。（阑门，在大小肠之交，主分
两证皆由肾命火衰，不能上生脾土故也。杨仁斋曰∶肾命之气交通，水谷自然克
破故纸（四两酒浸一宿炒） 五味子（三两炒） 肉豆蔻（二两面里煨） 吴茱萸一两
盐汤泡 用
汤下。（若
破故纸辛苦大温，能补相火以通君火，火旺乃能生土，故以为君。肉蔻辛温，能行气消
食，
盖
单用破故纸肉豆蔻，名二神丸，治同。（许学士曰∶有全不进食者，服补脾药皆不效。
予授
鼎之
香（一两）木
气而实大肠，用
加木香肉果补
味丸。脾肾气血
痰，为脾肾亏损
【李东垣】治疗中满（腹部胀满）、寒性腹胀、寒疝（因寒邪引起的少腹牵引睾丸疼痛或下坠感）、大小便不通、四肢厥冷。食物吃进去反而吐出，腹中寒冷，心下部空虚伴有阴躁（虚阳浮越导致的烦躁），奔豚气发作无法收敛。（多因过食生冷寒凉之物，以及脾胃长期虚弱之人。胃中寒冷，就会发生胀满；或是脏腑虚寒导致胀满。此汤主治。）
川乌、干姜、荜澄茄、生姜、黄连、人参、当归、泽泻、青皮、麻黄、柴胡（各二钱）、草豆蔻仁。
服用方法：[原文此处缺失具体煎服法描述，仅列药名]
方解：川乌与两个姜（干姜、生姜），吴茱萸与澄茄，益智仁与草豆蔻，能除湿开郁，温暖胃肾，以祛除寒邪。青皮与厚朴，用来消散胀满。当归……[原文此处断裂] 从内部渗泄湿邪。意思是脾胃有病，让湿气从上、下分消。下焦像沟渠一样通畅，气血自然分化。如果病情是大实大满，大小便不利的，权宜之计用寒热药物攻下。）
治疗中寒呕吐、吞酸、泄泻、不想吃东西。以及妇人脏寒引起的呕恶、胎气不安等证候。
白术（炒制一二钱）、当归（一二钱）、人参（一二三钱）、白扁豆（炒制二钱）、甘草（炙制一钱）、干姜……[原文此处断裂]
兼有胸腹痛的，加藿香……[原文此处断裂]
症状严重的加柴胡。如果是脾……[原文此处断裂]
如果脾胃极度虚弱，大……[原文此处断裂]
如果是泄泻的，去掉当归，……[原文此处断裂]
治疗肾泻、脾泻。（肾泻，是在五更时分发生的腹泻。医经说：肾是胃的关口。前阴负责利水，后阴……[原文此处断裂]
肾属水，水在子时旺盛。肾阳虚衰，不能固摄关闭，所以即将进入阳气主事之时就发生腹泻。脾泻，是脾的清阳之气下陷……[原文此处断裂]
不能运化，阑门元气不足，不能分别清浊水谷，不痛而腹泻。（阑门，位于大肠与小肠交界处，主要功能是分辨……[原文此处断裂]
这两种证候都是由肾命门火衰，不能上温脾土所致。杨仁斋说：肾与命门之气交通，水谷自然消化……[原文此处断裂]
破故纸（补骨脂）四两，酒浸一夜后炒制；五味子三两，炒制；肉豆蔻二两，面裹煨制；吴茱萸一两，盐汤浸泡。用……[原文此处断裂]
汤剂送服。（如果……[原文此处断裂]
破故纸辛苦大温，能补益相火以通达君火，火旺才能生土，所以作为君药。肉豆蔻辛温，能行气消……[原文此处断裂]
饮食……[原文此处断裂]
盖……[原文此处断裂]
单用破故纸和肉豆蔻，名为二神丸，治疗相同。（许学士说：有完全不能进食的人，服用补脾药都没有效果。我传授……[原文此处断裂]
鼎之……[原文此处断裂]
香（一两）木……[原文此处断裂]
气而实大肠，用……[原文此处断裂]
加木香、肉果补……[原文此处断裂]
味丸。脾肾气血……[原文此处断裂]
痰，为脾肾亏损……[原文此处断裂]
[Li Dongyuan] Treats abdominal fullness (Zhongman), cold-type distension, cold hernia (pain or dragging sensation in the lower abdomen and testicles caused by cold pathogen), obstruction of urination and defecation, and cold extremities. Food is vomited out after ingestion, coldness in the abdomen, emptiness in the epigastrium accompanied by Yin restlessness (irritability due to floating deficient Yang), and uncontrolled onset of Ben Tun Qi (a condition characterized by a sensation of gas rushing up from the lower abdomen). [This occurs often due to excessive consumption of raw and cold foods, or in individuals with long-standing Spleen and Stomach deficiency. Cold in the Stomach leads to distension; or fullness arises from internal organ cold. This decoction is indicated.]
Chuanwu (Aconiti Lateralis Radix Praeparata), Ganjiang (Zingiberis Rhizoma), Bidengqie (Schaefferiae Fructus), Shengjiang (Zingiberis Rhizoma Recens), Huanglian (Coptidis Rhizoma), Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Zexie (Alismatis Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Mahuang (Ephedrae Herba), Chaihu (Bupleuri Radix) (each 2 qian), Caodoukou (Amomi Fructus Rotundus).
Administration: [The original text here lacks specific decoction and administration instructions, listing only herb names.]
Formula Analysis: Chuanwu combined with two types of ginger (Ganjiang, Shengjiang), Wuzhuyu (Evodiae Fructus) and Dengqie, Yizhi (Alpiniae Oxyphyllae Fructus) and Caodoukou, can dispel dampness, open stagnation, warm the Stomach and Kidney, thereby eliminating cold. Qingpi and Houpo (Magnoliae Officinalis Cortex) are used to dissipate fullness. Danggui... [Text fragment] drains dampness from within. The principle is that when the Spleen and Stomach are diseased, dampness should be dispersed from both upper and lower aspects. The Lower Jiao is like a drainage ditch, allowing Qi and Blood to differentiate naturally. If the condition involves extreme excess and fullness with obstruction of urination and defecation, as a temporary measure, cold and hot herbs may be used to purge.)
Treats vomiting due to Middle Jiao cold, acid regurgitation, diarrhea, and anorexia. Also treats conditions such as vomiting and nausea due to visceral cold in women, and fetal unrest.
Baizhu (Stir-fried 1-2 qian), Danggui (1-2 qian), Renshen (1-3 qian), Baibiandou (White Lablab Bean, stir-fried 2 qian), Gancao (Honey-fried 1 qian), Ganjiang... [Text fragment]
If accompanied by chest and abdominal pain, add Huoxiang... [Text fragment]
For severe cases, add Chaihu. If it is the Spleen... [Text fragment]
If the Spleen and Stomach are extremely deficient, large... [Text fragment]
If there is diarrhea, remove Danggui,... [Text fragment]
Treats Kidney diarrhea and Spleen diarrhea. (Kidney diarrhea refers to diarrhea occurring at dawn/waking hour. The Classics state: The Kidney is the gate of the Stomach. The anterior orifice governs water passage, the posterior orifice... [Text fragment]
The Kidney belongs to Water, which is prosperous at Zi hour (11 PM - 1 AM). Due to Kidney Yang deficiency, the ability to secure and close is impaired, hence diarrhea occurs just as Yang energy begins to rise. Spleen diarrhea is caused by the sinking of Spleen Clear Yang... [Text fragment]
failure to transform and transport, insufficiency of Yuan Qi at Lanmen (the boundary between Large and Small Intestines), inability to separate clear from turbid fluids and food, resulting in painless diarrhea. (Lanmen is located at the junction of the Large and Small Intestines, primarily responsible for distinguishing... [Text fragment]
Both syndromes are caused by the decline of Mingmen Fire (Gate of Life Fire), which fails to warm Spleen Earth from above. Yang Renzhai stated: When Qi of the Kidney and Mingmen communicates, food and drink are naturally digested... [Text fragment]
Pogu Zhi (Kopgu Zhi/Buguzhi - Psoraleae Fructus) 4 liang, soaked in wine overnight then stir-fried; Wuweizi (Schisandrae Chinensis Fructus) 3 liang, stir-fried; Roudoukou (Myristicae Semen) 2 liang, baked in flour paste; Wuzhuyu 1 liang, soaked in salt water. Use... [Text fragment]
decoction to wash down. (If... [Text fragment]
Pogu Zhi is pungent, bitter, and greatly warm; it can tonify Minister Fire to unblock Sovereign Fire. When Fire is prosperous, it generates Earth, thus serving as the Sovereign herb. Roudoukou is pungent and warm; it moves Qi and eliminates... [Text fragment]
food... [Text fragment]
Cover... [Text fragment]
Using only Pogu Zhi and Roudoukou is named Ershen Wan (Two Spirits Pill), treating the same condition. (Scholar Xu said: There are patients who cannot eat at all, and Spleen-tonifying herbs are ineffective. I transmitted... [Text fragment]
Dingzhi... [Text fragment]
Xiang (1 liang) Mu... [Text fragment]
Qi to solidify the Large Intestine, use... [Text fragment]
Add Muxiang (Aucklandiae Radix) and Rouguo (Nutmeg) to tonify... [Text fragment]
Wei Wan. Spleen and Kidney Qi and Blood... [Text fragment]
Phlegm, due to Spleen and Kidney deficiency... [Text fragment]