造法。于六月六日。用面五斤象白虎。苍耳草自然汁一碗象勾陈。野蓼自然汁一碗象
蛇。青蒿自然汁一碗象青龙。杏仁去皮尖五两及北方河水。象元武。赤小豆煮熟去皮四两
朱雀。用汁和面豆杏仁作饼。麻叶或楮叶包 如造曲法。待生黄衣。取悬风处。经年用。
味甘辛。气温。阳中之阳。入足阳明经。健脾。暖胃。下气。化水谷。消积滞。除痰逆。
疗
暑劳
身
其
痞腹
梧子大
〔论〕神曲用白面象白虎为君。取人身真气尽统于肺也。用苍耳汁象勾陈。取戊土属胃
也。
上统
而
人
阳
神
助
凡人脾阴虚。胃火盛者。不宜用。能落胎。孕妇宜少食。（仲淳）
〔修治〕凡用须炒黄以助土气。陈久者良。
气味甘温。消食活血。健脾燥胃。下水谷。治赤白痢。女人血气痛。及产后恶血不尽
擂酒饮之。酿酒。破血行药势。杀山岚瘴气。治打扑损伤。方书治血郁蓄血。心痛胃脘痛
有治脾胃营血之功。得同气相求之理。（濒湖）消食健脾胃。与神曲同。而活血和伤。惟归
红曲。故治血痢。尤为要药。（仲淳）得番降香鲮鲤甲没药通草。治上部内伤胸膈作痛。或
怒伤吐血。和童便服神效。同
神。同续断番降香延胡当归通
蒲黄赤芍。治产后恶露不尽。
〔论〕红曲本于湿热之气所化。因人身营血由液化。渐黄而赤。仿其所自始以造兹曲。
濒湖
气之
而涩
用此
香港脚
杵头糠
味辛甘。气热。治噎病。谷壳属金。糠性则热。（丹溪）膈气噎塞。饮食不下。用碓嘴
上细糠。蜜丸弹子大。时时含咽津液。咽喉妨碍如有物。吞吐不利。杵头糠人参各一钱。石
莲肉炒一钱。水煎服。日三次。
【制作法】在六月六日这一天，取面粉五斤象征白虎（西方金神），苍耳草自然汁一碗象征勾陈（北方水神），野蓼自然汁一碗象征蛇（此处指代玄武或阴寒之象，原文语境中常与北方对应，但前文已有勾陈，此处依原文列举），青蒿自然汁一碗象征青龙（东方木神），杏仁去皮尖五两以及北方的河水象征玄武（北方水神），赤小豆煮熟后去皮四两象征朱雀（南方火神）。用这些汁液调和面粉、豆类和杏仁制成饼状。用麻叶或楮叶包裹，按照制造曲的方法进行发酵。待表面生出黄色菌衣后，取出悬挂在通风处，存放一年后可使用。
【性味功效】味甘、辛，气温，属于阳中之阳。归足阳明胃经。具有健脾、暖胃、下气、化水谷、消积滞、除痰逆的功效。治疗暑劳（因暑热导致的虚劳）、痞腹（胸腹间气机阻滞不通的感觉）。
【方剂用量参考】梧桐子大小（指丸剂规格）。
【论述】制作神曲时，用白面作为君药来象征白虎，寓意人体的真气全部统摄于肺（肺属金，色白）。用苍耳汁象征勾陈，寓意戊土归属于胃（胃属土）。
【禁忌】凡是脾阴虚、胃火旺盛的人，不宜使用神曲。神曲能导致堕胎，孕妇应当少吃。（引自：仲淳）
【炮制方法】凡是用神曲，必须炒至黄色以增强其补益脾胃之气的作用。陈久的神曲品质更好。
【红曲气味功效】气味甘温。具有消食、活血、健脾、燥胃、下水谷的功效。治疗赤白痢疾（便下脓血）、妇女血气痛，以及产后恶露不尽。研磨后用酒送服。也可用于酿酒，能破血行药势，杀灭山岚瘴气（山林间的湿热毒气）。治疗跌打损伤。医书中记载其治疗血郁、蓄血（血液瘀积）、心痛、胃脘痛，有调理脾胃营血的功用，符合“同气相求”的道理。（引自：濒湖）
【红曲特性】消食健脾胃的作用与神曲相同，但具有活血和伤的功效，唯独红曲擅长此道，因此治疗血痢尤为重要。（引自：仲淳）若配合番降香、鲮鲤甲（穿山甲鳞片）、没药、通草，可治疗上部内伤引起的胸膈疼痛，或因愤怒导致吐血者，配合童便服用效果神奇。若配合续断、番降香、延胡索、当归、通蒲黄、赤芍，可治疗产后恶露不尽。
【红曲论述】红曲本是由湿热之气转化而成。因为人体内的营血由津液化生，逐渐变黄进而变红，仿照这一过程来制造这种曲。
【杵头糠气味功效】味道辛、甘，气热。治疗噎病（吞咽困难）。谷壳属金，糠的性质则热。（引自：丹溪）对于膈气噎塞、饮食不下，可用碓嘴上的细糠，制成蜜丸，如弹子大小，时时含咽，让津液慢慢吞下。若咽喉有异物感，吞吐不利，可用杵头糠、人参各一钱，石莲肉炒过一钱，水煎服，每日三次。
[Manufacturing Method] On the sixth day of the sixth lunar month, take five jin of wheat flour to symbolize Baihu (White Tiger, representing Metal in the West), one bowl of natural juice from *Acanthopanacis Senticosi Herba* (Cang'er Cao) to symbolize Gouchen (representing Water in the North), one bowl of natural juice from *Polygoni Hydropiperis Herba* (Ye Liao) to symbolize Snake (associated with Yin/Cold), one bowl of natural juice from *Artemisiae Annuae Herba* (Qinghao) to symbolize Qinglong (Azure Dragon, representing Wood in the East), five liang of Apricot Kernels (Xingren) peeled and de-seeded along with river water from the north to symbolize Xuanwu (Black Tortoise, representing Water in the North), and four liang of cooked and peeled Adzuki Beans (Chixiaodou) to symbolize Zhuque (Vermilion Bird, representing Fire in the South). Mix these juices with the flour, beans, and kernels to form cakes. Wrap them in Hemp Leaves (Maye) or Paper Mulberry Leaves (Chuye), and ferment them according to the method for making Qu (fermented starter). Once a yellow mold layer grows on the surface, remove them and hang them in a ventilated place for use after one year.
[Properties and Actions] The taste is sweet and pungent; the temperature is warm. It belongs to Yang within Yang. It enters the Foot-Yangming Stomach Meridian. It strengthens the Spleen, warms the Stomach, directs Qi downward, transforms food and fluids, resolves accumulation and stagnation, and eliminates phlegm and rebellious Qi. It treats Summerheat-Lao (deficiency syndrome due to summerheat), and Pi-Fu (a sensation of obstruction in the chest and abdomen).
[Dosage Reference] Size of Sophora Seeds (Wutongzi Da - used as a reference for pill size).
[Dissertation] In the manufacture of Shenqu, wheat flour is used as the Sovereign herb to symbolize Baihu, implying that the body's True Qi is entirely governed by the Lung (Lung corresponds to Metal and the color white). *Acanthopanacis Senticosi Herba* juice is used to symbolize Gouchen, implying that Wu Earth belongs to the Stomach (Stomach corresponds to Earth).
[Contraindications] Individuals with Spleen Yin Deficiency and excessive Stomach Fire should not use Shenqu. Shenqu can induce abortion; pregnant women should consume it sparingly. (Cited: Zhongchun)
[Processing] When using Shenqu, it must be stir-fried until yellow to enhance its ability to tonify Earth (Spleen/Stomach). Aged Shenqu is superior.
[Hongqu Properties and Actions] The taste is sweet and the temperature is warm. It promotes digestion, invigorates Blood, strengthens the Spleen, dries the Stomach, and helps transform food and fluids. It treats Dysentery with pus and blood (Chi Bai Li), menstrual pain due to Blood and Qi disorders, and incomplete expulsion of lochia postpartum. Grind and administer with wine. It can also be used for brewing wine, where it breaks up Blood stasis and enhances the action of herbs, dispels mountain miasma (toxic damp-heat in mountainous areas), and treats traumatic injuries. Medical texts record its efficacy in treating Blood Stagnation, Blood Accumulation, Heart Pain, and Epigastric Pain, possessing the function of regulating Ying-Blood of the Spleen and Stomach, adhering to the principle of "seeking resonance with similar energies." (Cited: Benlin)
[Hongqu Characteristics] Its function of promoting digestion and strengthening the Spleen and Stomach is similar to Shenqu, but it uniquely excels in invigorating Blood and harmonizing trauma. Therefore, it is a crucial herb for treating Bloody Dysentery. (Cited: Zhongchun) Combined with Xiang Hong (Fagarae Pericarpium), Pangolin Scales (Lingli Jia), Myrrh (Moyao), and Tongcao, it treats upper internal injury causing chest and diaphragmatic pain, or hematemesis caused by anger. Administered with fresh urine, it yields miraculous results. Combined with Duanmu Xu Duan (Duanmu Xu Duan), Xiang Hong, Yan Hu Suo (Corydalis Rhizome), Dang Gui (Angelica Sinensis), Pu Huang (Typha Pollen), and Chi Shao (Red Peony Root), it treats incomplete expulsion of lochia postpartum.
[Hongqu Dissertation] Hongqu is originally transformed from Damp-Heat Qi. Since the body's Ying-Blood is derived from Jin-Ye (body fluids), gradually turning yellow and then red, this process is mimicked to create this Qu.
[Chutou Kang Properties and Actions] The taste is pungent and sweet; the temperature is hot. It treats Yebing (dysphagia/choking disease). Rice husks belong to Metal, but the bran has a hot nature. (Cited: Danxi) For Geqi (obstruction in the diaphragm) and dysphagia where food cannot pass, use the fine bran from the pestle head, make into honey pills the size of marbles, hold in the mouth frequently, and swallow with saliva. If there is a sensation of an object in the throat causing difficulty in swallowing, use one qian of Chutou Kang (Rice Bran from Pestle Head) and one qian of Renshen (Ginseng), plus one qian of stir-fried Shilian Rou (Lotus Seed Embryo). Decoct in water and take three times daily.