经曰∶饮食自倍,肠胃乃伤。又曰∶饮食劳倦则伤脾,脾伤则内闭九窍,外壅肌肉,卫气散
解。此谓自伤,气之削也。又曰∶安谷则昌,绝谷则亡。盖脾者,阴气也。脾居阴静之体,而有
阳健之用,故司消化之令,贵在节饮食以养脾,使滋荣中外,犹土气盛而万物发生。若肌饱过,
则诸病所阶。右手气口脉紧盛者,伤食;右关沉迟,脾胃虚寒;关沉而滑,为食不消;两关弦大
,脾胃饱胀。
主方 人参(五分) 白术 茯苓(各一钱) 炙草 陈皮 半夏 麦芽(各七分) 山
楂(钱半) 上加姜三片,枣一枚,水煎服。
脾虚少食加砂仁、白蔻、莲肉、扁豆、官桂;呕加藿香、丁香。
行气香苏散 外感风寒湿气,内伤饮食生冷,腹胀、头痛、身热。
紫苏 陈皮 香附 乌药 川芎 羌活 枳壳 麻黄(等分) 甘草(减半)
加生姜三片水煎,热服取汗。寒甚加葱白;伤食山楂、麦芽;湿加苍术。随宜加减。
枳术丸 健脾强胃,利气消痰。除痞满,化饮食,定呕吐,止泄泻。
白术(土炒,四两) 枳实(麸炒,二两)
上为细末,荷叶汤煮老米饭为丸,绿豆大,每服百丸,食前白汤下。痰多加橘皮、半夏;
食不化,神曲、麦芽(各二钱) 腹痛、泻,木香、砂仁(各一两);湿火噎酸,黄连、黄芩(
炒。各一两)胃火,石膏、栀子;
血少,归、芍;气郁,香附、萝卜子。
保和丸 宽胸顺气,消滞化食。加白术,名大安丸。
山楂(二两) 茯苓 半夏 神曲 陈皮(各一钱) 连翘 萝卜子(各半两)
上为末,水丸或神曲糊丸,绿豆大,每二钱白汤下。消痰利气,去湿热,快脾,加苍、白术
、香附、朴、实、芩、连(酒炒),姜糊丸。
葛花解酲汤 饮酒太过,呕吐痰逆,胸膈不利,神昏体倦。
人参 白术 茯苓 白豆蔻 葛花(或根) 砂仁(各一钱) 陈皮 青皮 猪苓 泽泻(
各七分) 神曲(炒) 木香(各五分)
上加生姜五片,水煎,食远温服,取微汗。或为末,姜醋汤调下。
泻黄散 脾胃壅滞不食,口内生疮,烦渴。
防风 藿香 石膏( ) 砂仁 山栀 甘草(等分)
上加灯心二十枚,黑枣一枚,水煎服。
简便方 萝卜子炒、研,煎服。食已作胀,饮淡盐汤,指搅探吐。
饮食伤胸满,即以所食之物。如伤酒用酒药,饭食用锅焦,肉食用肉骨之类,烧成炭,研细
,白汤下。
《黄帝内经》说:“饮食过量一倍,肠胃就会受伤。”又说:“饮食不节加上劳累倦怠会损伤脾脏,脾脏受损则内部九窍闭塞,外部肌肉壅滞,卫气涣散。这叫做自我伤害,导致正气削弱。”还说:“能消化食物则身体昌盛,不能消化食物则生命危亡。”脾脏属于阴气,脾居于阴静之体,却具有阳健之用,因此主管消化的功能,关键在于节制饮食以养护脾脏,使气血滋养内外,就像土气旺盛而万物生长一样。如果吃得太饱,各种疾病就会产生。右手寸口脉紧盛,是伤食;右关脉沉迟,是脾胃虚寒;关脉沉而滑,是食物不消化;两关脉弦大,是脾胃饱胀。
主方:人参(五分),白术、茯苓(各一钱),炙甘草、陈皮、半夏、麦芽(各七分),山楂(一钱半)。加生姜三片,大枣一枚,水煎服。
脾虚少食者,加砂仁、白蔻、莲肉、扁豆、官桂;呕吐者,加藿香、丁香。
行气香苏散:主治外感风寒湿气,内伤饮食生冷,出现腹胀、头痛、身热。
配方:紫苏、陈皮、香附、乌药、川芎、羌活、枳壳、麻黄(等分),甘草(减半)。
加生姜三片水煎,热服取汗。寒邪重者加葱白;伤食者加山楂、麦芽;湿重者加苍术。随证加减。
枳术丸:健脾强胃,利气消痰。消除痞满,化除饮食,止住呕吐,停止泄泻。
配方:白术(土炒,四两),枳实(麸炒,二两)。
研为细末,用荷叶汤煮老米饭制成丸药,如绿豆大小,每次服用一百丸,饭前用白开水送下。痰多者加橘皮、半夏;食物不消化者,加神曲、麦芽(各二钱);腹痛、腹泻者,加木香、砂仁(各一两);湿火引起的噎膈反酸者,加黄连、黄芩(炒,各一两);胃火者,加石膏、栀子;血少者,加当归、芍药;气郁者,加香附、萝卜子。
保和丸:宽胸顺气,消滞化食。加入白术,名为大安丸。
配方:山楂(二两),茯苓、半夏、神曲、陈皮(各一钱),连翘、萝卜子(各半两)。
研为末,用水泛丸或用神曲糊丸,如绿豆大小,每次服用二钱,用白开水送下。若要消痰利气,去湿热,快脾,可加苍术、白术、香附、厚朴、枳实、黄芩、黄连(酒炒),姜糊丸。
葛花解酲汤:治疗饮酒过多,呕吐痰逆,胸膈不利,神志昏沉,身体疲倦。
配方:人参、白术、茯苓、白豆蔻、葛花(或葛根)、砂仁(各一钱),陈皮、青皮、猪苓、泽泻(各七分),神曲(炒)、木香(各五分)。
加生姜五片,水煎,饭后稍远时温服,取微汗。或研为末,用姜醋汤调服。
泻黄散:治疗脾胃壅滞不食,口中生疮,烦躁口渴。
配方:防风、藿香、石膏、砂仁、山栀、甘草(等分)。
加灯心草二十枚,黑枣一枚,水煎服。
简便方:萝卜子炒后研碎,煎服。进食后感到胀满,饮用淡盐汤,用手指搅动咽喉探吐。
饮食损伤导致胸满,立即食用所吃的食物残渣。如伤酒用酒药,伤饭食用锅巴,伤肉食用肉骨之类,烧成炭,研细,用白开水送下。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: "If food and drink intake doubles, the intestines and stomach will be injured." It also says: "Improper diet combined with fatigue and overwork injures the Spleen; when the Spleen is injured, the nine orifices internally become obstructed, muscles externally become congested, and Wei Qi (Defensive Qi) scatters and dissolves. This is called self-injury, leading to the depletion of Qi." It further states: "Ability to digest grain leads to prosperity; inability to digest grain leads to demise." The Spleen belongs to Yin Qi. Although it resides in a state of Yin stillness, it possesses Yang vigorous function, thus governing digestive commands. It is crucial to regulate diet to nourish the Spleen, allowing nourishment to permeate the interior and exterior, just as abundant Earth Qi causes all things to flourish. If one eats until overly full, various diseases arise. A tight and excess pulse at the Cun Kou (Inch Position) on the right hand indicates Food Injury; a deep and slow pulse at the Guan (Bar) position on the right indicates Spleen-Stomach Deficiency-Cold; a deep and slippery pulse at the Guan position indicates indigestion; a wiry and large pulse at both Guan positions indicates Spleen-Stomach fullness and distension.
Main Formula: Renshen (Ginseng Radix et Rhizoma, 5 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian each), Fuling (Poria, 1 qian each), Zhigancao (Prepared Licorice Root, 7 fen each), Chenpi (Citri Reticulatae Pericarpium, 7 fen each), Banxia (Pinelliae Tuber, 7 fen each), Maiya (Hordei Fructus Germinatus, 7 fen each), Shanzha (Crataegi Fructus, 1.5 qian). Add three slices of fresh ginger and one jujube, decoct in water and take orally.
For Spleen deficiency with poor appetite, add Shaoren (Amomi Fructus), Baikou (Amomi Rotundiflori Fructus), Lianrou (Nelumbinis Semen), Bian Dou (Dolichoris Lablab Semen), and Guangui (Cinnamomi Cortex). For vomiting, add Huoxiang (Agastaches Herba) and Dingxiang (Eugeniae Flos).
Xingqi Xiangsu San (Qi-Moving Perilla Powder): Indicated for external contraction of Wind-Cold-Dampness and internal injury from cold/raw food and drink, presenting with abdominal distension, headache, and body heat.
Formula: Zisu (Perillae Folium), Chenpi, Xiangfu (Cyperi Rhizoma), Wuyao (Linderae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Zhike (Aurantii Fructus Immaturus), Mahuang (Ephedrae Herba) in equal parts; Gancao (Licorice Root) halved.
Add three slices of fresh ginger, decoct in water, take hot to induce sweating. For severe cold, add Congbai (Allii Fistulosi Bulbus); for food injury, add Shanzha and Maiya; for dampness, add Cangzhu (Atractylodis Rhizoma). Modify according to indications.
Zhizhu Wan (Immature Bitter Orange and Atractylodes Pill): Strengthens the Spleen and fortifies the Stomach, promotes Qi movement and resolves phlegm. Eliminates epigastric fullness, transforms food retention, stops vomiting, and arrests diarrhea.
Formula: Baizhu (stir-fried with soil, 4 liang), Zhishi (Bitter Orange Immature Fruit, stir-fried with bran, 2 liang).
Grind into fine powder, mix with old rice cooked in lotus leaf soup to form pills the size of mung beans. Take 100 pills before meals with plain warm water. For excessive phlegm, add Jupi (Tangerine Peel) and Banxia; for undigested food, add Shenqu (Medicated Leaven) and Maiya (each 2 qian); for abdominal pain and diarrhea, add Muxiang (Aucklandiae Radix) and Shaoren (each 1 liang); for damp-heat causing dysphagia and acid regurgitation, add Huanglian (Coptidis Rhizoma) and Huangqin (Scutellariae Radix) (stir-fried, each 1 liang); for Stomach Fire, add Shigao (Gypsum Fibrosum) and Zhizi (Gardeniae Fructus); for blood deficiency, add Danggui (Angelicae Sinensis Radix) and Shaoyao (Paeoniae Radix); for Qi stagnation, add Xiangfu and Luobozhi (Brassicae Semenis).
Baohe Wan (Preserve Harmony Pill): Widens the chest and regulates Qi, resolves stagnation and digests food. Adding Baizhu creates Da'an Wan (Great Peace Pill).
Formula: Shanzha (2 liang), Fuling, Banxia, Shenqu, Chenpi (each 1 qian), Lianqiao (Forsythiae Fructum), Luobozhi (each 0.5 liang).
Grind into powder, make water pills or pills using Shenqu paste, size of mung beans. Take 2 qian with plain warm water. To resolve phlegm, promote Qi, clear damp-heat, and invigorate the Spleen, add Cangzhu, Baizhu, Xiangfu, Houpo (Magnoliae Officinalis Cortex), Zhishi, Huangqin, and Huanglian (wine-fried), made into pills with ginger paste.
Ge Hua Jie Ying Tang (Kudzu Flower Decoction to Relieve Intoxication): Treats excessive alcohol consumption, vomiting with phlegm reversal, chest and diaphragm discomfort, mental confusion, and physical fatigue.
Formula: Renshen, Baizhu, Fuling, Baidoukou (Cardamomi Fructus), Ge Hua (Kudzu Flower) or Gen (Kudzu Root), Shaoren (each 1 qian), Chenpi, Qingpi (Citri Reticulatae Pericarpium Viride), Zhuling (Polyporus, 7 fen each), Zexie (Alismatis Rhizoma, 7 fen each), Shenqu (stir-fried), Muxiang (each 5 fen).
Add five slices of fresh ginger, decoct in water, take warm shortly after meals to induce slight sweating. Alternatively, grind into powder and take mixed with ginger-vinegar broth.
Xiehuang San (Drain Yellow Powder): Treats Spleen-Stomach congestion with anorexia, mouth sores, irritability, and thirst.
Formula: Fangfeng (Saposhnikoviae Radix), Huoxiang, Shigao, Shaoren, Shanzhi (Gardeniae Fructus), Gancao in equal parts.
Add twenty stalks of Dengxincao (Junci Medullia) and one black jujube, decoct in water and take orally.
Simple Prescription: Stir-fry Luobozhi (Radish Seed), grind, decoct and take. For postprandial bloating, drink light salt water and use fingers to stimulate the throat to induce vomiting.
For chest fullness due to dietary injury, immediately consume the residue of the ingested food. For wine injury, use wine lees; for rice injury, use scorched rice crust; for meat injury, use meat bones, etc., burn to charcoal, grind finely, and take with plain warm water.