（又名谷神散）
治中满下虚。五噎五膈。脾胃不和。胸膈痞闷。胁筋胀满。心腹刺痛。不进饮食。或多痰。或吞
酸胸满。短气肢体倦怠。面色萎黄。如中焦虚痞。不任攻击。脏腑虚寒。
不受峻补。或因病中气衰。食不复常。禀受祛弱。不能多食。及瘴疾阴阳表里未分之际。尤宜服之。
枇杷叶（去毛姜汁炙一两） 石斛（酒拌微炒三钱） 杜仲（酒姜汁同炒三钱） 青皮（五钱）
甘草（一两五钱） 藿香叶（三钱） 谷芽（炒五钱） 陈皮（去白三钱） 白术（炒二两）
砂仁（二两） 薏米仁（炒一两） 随风子（一钱如无小诃子代之） 半夏（姜汁制三钱） 丁香
（五钱不见火） 木香（三钱） 桑白皮（炒五钱） 槟榔（炒五钱） 五味子（炒五钱） 神曲（炒
一两） 人参（去芦一两） 白蔻（去皮炒五钱） 茯苓（一两去皮） 大腹皮（炒三钱） 沉香（三钱）
上为末每服姜三片。枣二枚。水煎温服。不拘时。此方疗四时感冒。能调阴阳。使无变动。刻日得安。
如疗五噎加干柿蒂一枚。同煎如疗膈气。吐逆羸困入葱白三寸。枣五枚。同煎妇人亦可服。瘴病发
热候冷服。老人虚人大便闭。加蜜少许煎冷服。
瘴病多因脾胃感冷而成。是方用参术。苓草。陈半。六君以补脾利痰。丁香。木香。砂仁。白蔻。
藿香。以开胃除积冷以温中。青皮以理气。谷芽神曲以消积。瘴病上
热。肺最受邪。枇杷叶薏米仁桑白皮以养肺散肺热。五味随风子之酸以补肺敛肺气。瘴病阳气不降。
槟榔大腹皮沉香以降气。气不降则下寒。下寒则肾无阳。石斛杜仲合沉香引阳气入肾而暖腰膝。
故李待制谓其宜于瘴病。能升降阴阳。虽证候未分。亦可服之。
（又名谷神散）
治疗中焦胀满而下元虚损。五噎（吞咽困难，气、血、筋、食、饮五种噎塞）五膈（胸膈阻塞不通）。脾胃功能失调。胸膈部痞塞闷痛。胁肋部位筋脉胀满。心腹部刺痛。无法进食。或者痰多。或者吞酸水、胸部胀满。呼吸短促、肢体倦怠乏力。面色萎黄。如果是中焦虚性痞满，不耐受攻伐药物；或者是脏腑虚寒，不耐受峻猛补药；或者是因病导致中气衰弱，饮食不能恢复正常；或者是先天禀赋虚弱，不能多吃食物。以及在瘴疟病阴阳表里证候尚未分明之际，尤其适宜服用此方。
枇杷叶（去毛，用姜汁炙烤一两）、石斛（酒拌微炒三钱）、杜仲（酒和姜汁同炒三钱）、青皮（五钱）、甘草（一两五钱）、藿香叶（三钱）、谷芽（炒制五钱）、陈皮（去白三钱）、白术（炒制二两）、砂仁（二两）、薏苡仁（炒制一两）、随风子（一钱，如果没有可用小诃子代替）、半夏（姜汁制三钱）、丁香（五钱，不经过火炒）、木香（三钱）、桑白皮（炒制五钱）、槟榔（炒制五钱）、五味子（炒制五钱）、神曲（炒制一两）、人参（去芦头一两）、白豆蔻（去皮炒制五钱）、茯苓（一两，去皮）、大腹皮（炒制三钱）、沉香（三钱）。
以上药材研为细末。每次服用时，加生姜三片、大枣二枚，用水煎煮，温服。不拘泥于固定时间。此方治疗四季感冒，能调和阴阳，使其不发生剧烈变动，按疗程可获安宁。
如果用于治疗五噎，加干柿蒂一枚，一同煎煮；如果用于治疗膈气，呕吐逆乱、身体瘦弱困倦者，加葱白三寸、大枣五枚，一同煎煮。妇女也可以服用。瘴病发热时，候冷后服用；老人或体虚之人若大便闭塞，加少许蜂蜜，煎煮后冷服。
瘴病多因脾胃感受寒邪而成。本方用人参、白术、茯苓、甘草、陈皮、半夏（即六君子汤之意）来补益脾气、利化痰湿；用丁香、木香、砂仁、白豆蔻、藿香来开胃、消除积冷、温中焦；用青皮来调理气机；用谷芽、神曲来消食化积。瘴病上焦有热，肺脏最容易受邪，用枇杷叶、薏苡仁、桑白皮来滋养肺脏、疏散肺热；用五味子、随风子的酸味来补益肺气、收敛肺气。瘴病阳气不降，用槟榔、大腹皮、沉香来降气。气不下降则下部生寒，下部生寒则肾中无阳，用石斛、杜仲配合沉香引导阳气进入肾脏以温暖腰膝。所以李待制说此方适宜于瘴病，能够升降阴阳，即使证候尚未分明，也可以服用。
(Named Gushen San)
Treats fullness in the middle jiao with deficiency in the lower jiao. Wuye (Five types of dysphagia: qi, blood, tendon, food, and drink obstruction) and Wuge (Five types of chest diaphragm obstruction). Disharmony of the Spleen and Stomach. Stifling sensation and oppression in the chest and diaphragm. Distension and fullness of the tendons in the hypochondrium. Stabbing pain in the heart and abdomen. Inability to eat. Or excessive phlegm. Or acid regurgitation with chest fullness. Shortness of breath and limb fatigue. Sallow complexion. If it is a deficiency-type stifling in the middle jiao that cannot tolerate attacking methods; or if it is cold-deficiency of the Zang-Fu organs that cannot tolerate harsh tonification; or if the Middle Qi has declined due to illness, causing diet not to return to normal; or if one has weak congenital constitution and cannot eat much. It is especially suitable for use when the Yin-Yang and exterior-interior patterns of Zhang disease (Malarial pestilence) are not yet distinguished.
Loquat Leaf (Pipaye, *Eriobotryae Folium*, remove hairs, roast with ginger juice, 1 liang), Dendrobium (Shihu, *Dendrobii Caulis*, stir-fry slightly after mixing with wine, 3 qian), Eucommia Bark (Duzhong, *Eucommiae Cortex*, stir-fry with wine and ginger juice, 3 qian), Green Tangerine Peel (Qingpi, *Citri Reticulatae Pericarpium Viride*, 5 qian), Licorice Root (Gancao, *Glycyrrhizae Radix et Rhizoma*, 1.5 liang), Patchouli Leaf (Huoxiangye, *Agastaches Herba*, 3 qian), Rice Sprout (Guya, *Oryzae Fructus Germinatus*, stir-fried, 5 qian), Tangerine Peel (Chenpi, *Citri Reticulatae Pericarpium*, remove white pith, 3 qian), Atractylodes Macrocephala Rhizome (Baizhu, *Atractylodis Macrocephalae Rhizoma*, stir-fried, 2 liang), Amomum Fruit (Sharen, *Amomi Fructus*, 2 liang), Coix Seed (Yiyiren, *Coicis Semen*, stir-fried, 1 liang), Suifengzi (*Biswollenussamen* / substitute with Xiaohezi/Small Chebula Fruit if unavailable, 1 qian), Pinellia Tuber (Banxia, *Pinelliae Rhizoma*, prepared with ginger juice, 3 qian), Clove Bud (Dingxiang, *Caryophylli Flos*, 5 qian, do not roast over fire), Costus Root (Muxiang, *Aucklandiae Radix*, 3 qian), Mulberry Root Bark (Sangbaipi, *Mori Radicis Cortex*, stir-fried, 5 qian), Areca Seed (Binglang, *Arecae Semen*, stir-fried, 5 qian), Schisandra Berry (Wuweizi, *Schisandrae Chinensis Fructus*, stir-fried, 5 qian), Medicated Leaven (Shenqu, *Massa Medicata Fermentata*, stir-fried, 1 liang), Ginseng Root (Renshen, *Ginseng Radix et Rhizoma*, remove rhizome, 1 liang), White Cardamom Seed (Baiko, *Cardamomi Albi Semen*, peel and stir-fry, 5 qian), Poria (Fuling, *Poria*, 1 liang, remove skin), Betel Nut Peel (Dafupi, *Arecae Pericarpium*, stir-fried, 3 qian), Agarwood (Chenxiang, *Aquilariae Lignum Resinatum*, 3 qian).
Grind the above ingredients into powder. For each dose, add three slices of fresh ginger and two dates, decoct in water, and take warm. Take at any time without restriction. This formula treats common colds in all four seasons, harmonizes Yin and Yang, prevents drastic fluctuations, and brings peace within a prescribed period.
If used to treat Wuye, add one dried persimmon calyx, decoct together. If used to treat Geqi (diaphragmatic qi stagnation), vomiting, reversal, emaciation, and exhaustion, add three cun of scallion white and five dates, decoct together. Women may also take this formula. For Zhang disease with fever, take when cool. For elderly or deficient persons with constipation, add a small amount of honey, decoct, and take cool.
Zhang disease often arises from the Spleen and Stomach contracting cold pathogens. This formula uses Ginseng, Atractylodes, Poria, and Licorice, along with Tangerine Peel and Pinellia (resembling Liujunzi Tang) to tonify Spleen Qi and promote fluid metabolism to resolve phlegm; uses Clove, Costus, Amomum, White Cardamom, and Patchouli to open the stomach, eliminate accumulated cold, and warm the middle jiao; uses Green Tangerine Peel to regulate Qi; uses Rice Sprout and Medicated Leaven to digest food accumulation. In Zhang disease, heat in the upper jiao affects the Lung most severely; Loquat Leaf, Coix Seed, and Mulberry Root Bark nourish the Lung and dissipate Lung heat; the sour properties of Schisandra and Suifengzi tonify Lung Qi and astringe Lung Qi. When Yang Qi fails to descend in Zhang disease, Areca Seed, Betel Nut Peel, and Agarwood descend Qi. If Qi does not descend, cold generates in the lower part; if lower cold exists, Kidney lacks Yang; Dendrobium and Eucommia, combined with Agarwood, guide Yang Qi into the Kidney to warm the waist and knees. Therefore, Li Daizhi stated that this formula is suitable for Zhang disease, capable of ascending and descending Yin and Yang, and can be taken even when the syndrome patterns are not yet distinct.