膈症。脾胃虚损。加牛胎（一具为末）芦柴根捣汁、打淮安口子末糊为丸、红枣汤下、鲁试有效。
又方 枳术丸一运一动。一补一消。乃理脾之圣药也。
白术（四两陈土炒过去土不用）、枳实（去穣麸炒二两）。
上为末。荷叶包老米饭煨熟。捣烂为丸。如梧桐子大。每服八十丸。食远清米汤送下。
有痰在膈上。满闷不快。加陈皮（去白一两）、半夏（姜制二两）、名橘半枳术丸。
破滞气。消积。开胃。进饮食。加木香（一两五分）、名木香枳术丸。
饮食太过。或食间着恼。以致心腹满闷不快。加香附（一两童便进炒）、神曲、苍术、山
栀、抚芎（各一两五钱）、木香（五钱）、名越鞠枳术丸。
伤肉食湿面辛辣味浓之物。加黄连、大黄、黄芩（三味俱酒蒸妙）、山楂、神曲、陈皮（各二
两）、木香（一两），名三黄枳术丸。
伤生冷并冷物。加苍术、半夏、陈皮（各二两）、草豆蔻、砂仁（各一两）、木香（五钱）、丁香
（三钱）。
若元气素弱。食饮难化。食已即腹内不和。疼痛泄泻。此胃虚有寒也。加人参、白芍药、陈
皮、山楂、神曲（各二两）、木香、砂仁（各一两）。
素有痰火。胸膈郁塞。或吞酸吐酸。呕吐嘈杂。或酒积。或泄泻结痛。此皆湿热
也。加木香（各五钱）、黄连（吴萸炒）、白芍药、陈皮（各二两）、生甘草（五钱）、夏。加石膏
冬。加干姜（七钱炒）。
有食积痞块。坚硬在腹内者。加山楂（二两）、黄连、浓朴、莪术。阿魏。昆布。（各一两）、木
香（五钱）、槟榔（八分）。
痞积气块在腹胁者。加黄连（吴萸炒一两五钱）、木香（一两）、莪术、阿魏（各一两五钱）、瓦
龙子（ 一两）、鳖甲（一两）。
勉强多食。致心腹痞闷不快。加山楂、神曲、陈皮（各一两五钱）、浓朴、砂仁（各一两）
湿热痞闷。加茯苓、泽泻、连翘、萝卜子（炒各一两五钱）。
心口胃脘痛。加干姜、砂仁（各一两）、丁香（四钱）。
素有痰火人。加半夏、橘红（各一两五钱）、白茯苓、黄芩、黄连（各一两）。
若胸膈不利。服辛香燥药。以致上焦受伤。胃脘干燥。而呕噎膈等症作矣。加黄连（吴萸
炒）、山栀（姜汁炒）、白芍药、当归（各一两五钱）、石膏、桔梗（各一两）、生甘草（五钱）。
明粉（各一两）、生甘草（五钱）。
若能食好食。但食后反饱难化。此胃旺脾阴虚也。
加白芍
药（酒炒二两）、人参、黄连、香附（各一两五钱）、石膏（一两）、生甘草、木香（各五钱）
桃仁（去皮尖另研各七钱）、升麻、甘草（各五钱）、此老人常服之药也。
泻痢后虚膨。加人参、白茯苓、陈皮（各一两五钱）、木香（五钱）。
小儿泻痢不止。加山楂（二两）、诃子肉果、黄连（烧酒浸炒各一两）、木香（五钱）。
小儿疳积。加胡黄连、使君肉、山楂（各二两）、芜荑（一两）。
小儿久疟。左胁有块。加山楂。鳖甲（各二两）、青皮、白芥子（各一两）。
膈症（指胸膈间气机阻滞，饮食难下或食入即吐的病证）。因脾胃虚损所致。加入牛胎（一头，研成粉末）、芦柴根捣取汁液、用打淮安口子的粉末调糊制成丸剂，以红枣汤送服，鲁氏试用有效。
又一方：枳术丸具有运化与补益、消导与滋补的双重作用，是调理脾脏的圣药。
白术（四两，用陈土炒制后去土不用）、枳实（去除瓤心，麸皮炒制，二两）。
将上述药材研为细末。用荷叶包裹老米饭煨熟，捣烂后作为粘合剂制成丸剂，大小如梧桐子。每次服用八十丸，饭后较远时用清米汤送服。
若膈上有痰，感到胀闷不适。加入陈皮（去白，一两）、半夏（姜制，二两），名为橘半枳术丸。
用于破滞气、消积滞、开胃、增进饮食。加入木香（一两五分），名为木香枳术丸。
饮食过量，或在进食时生气恼怒，导致心腹部胀闷不适。加入香附（一两，用童便进炒）、神曲、苍术、山栀、抚芎（各一两五钱）、木香（五钱），名为越鞠枳术丸。
损伤了肉食、湿面、辛辣味浓的食物。加入黄连、大黄、黄芩（这三味药均用酒蒸制，妙用）、山楂、神曲、陈皮（各二两）、木香（一两），名为三黄枳术丸。
损伤了生冷及寒凉之物。加入苍术、半夏、陈皮（各二两）、草豆蔻、砂仁（各一两）、木香（五钱）、丁香（三钱）。
如果元气素来虚弱，饮食难以消化，吃完后立刻腹内不和，出现疼痛泄泻，这是胃虚有寒的表现。加入人参、白芍药、陈皮、山楂、神曲（各二两）、木香、砂仁（各一两）。
素有痰火，胸膈郁结堵塞，或者吞酸吐酸，呕吐嘈杂，或者是酒积，或者是泄泻结痛，这都是湿热所致。加入木香（各五钱）、黄连（吴茱萸炒）、白芍药、陈皮（各二两）、生甘草（五钱）。夏季加石膏，冬季加干姜（七钱，炒制）。
有食积形成的痞块，坚硬在腹内者。加入山楂（二两）、黄连、厚朴、莪术、阿魏、昆布（各一两）、木香（五钱）、槟榔（八分）。
痞积气块在腹胁部位者。加入黄连（吴茱萸炒，一两五钱）、木香（一两）、莪术、阿魏（各一两五钱）、瓦龙子（一两）、鳖甲（一两）。
勉强多食，导致心腹痞闷不适。加入山楂、神曲、陈皮（各一两五钱）、厚朴、砂仁（各一两）。
湿热导致的痞闷。加入茯苓、泽泻、连翘、萝卜子（炒，各一两五钱）。
素有痰火的人。加入半夏、橘红（各一两五钱）、白茯苓、黄芩、黄连（各一两）。
如果胸膈不利，服用辛香燥热药物，导致上焦受伤，胃脘干燥，从而引发呕噎膈等病症。加入黄连（吴茱萸炒）、山栀（姜汁炒）、白芍药、当归（各一两五钱）、石膏、桔梗（各一两）、生甘草（五钱）、明粉（各一两）、生甘草（五钱）。（注：原文此处“明粉”前文似有脱漏，依原文直译）。
如果能吃好吃的食物，但食后反而饱胀难化，这是胃旺脾阴虚的表现。
加入白芍药（酒炒，二两）、人参、黄连、香附（各一两五钱）、石膏（一两）、生甘草、木香（各五钱）、桃仁（去皮尖，另研，各七钱）、升麻、甘草（各五钱），这是老年人常服的药物。
泻痢之后出现虚性膨满。加入人参、白茯苓、陈皮（各一两五钱）、木香（五钱）。
小儿泻痢不止。加入山楂（二两）、诃子肉果、黄连（烧酒浸炒，各一两）、木香（五钱）。
**Reguli Syndrome (Dysphagia/Obstruction in the Chest and Diaphragm)**. Caused by deficiency and damage of the Spleen and Stomach. Add one cow placenta (ground into powder), juice extracted from crushed *Arundo donax* root (Luchai Gen), and paste made with powder from "Da Huai'an Kouzi" (a specific local ingredient, likely a type of seed or herb processed in Huai'an). Form into pills and administer with Red Date Decoction. This was found effective after being tested by Lu.
Another prescription: Zhizhu Wan (Immature Bitter Orange and Atractylodes Macrocephala Pill) possesses the dual functions of promoting movement and tonification, as well as dissipating accumulation and strengthening the body. It is a supreme medicine for regulating the Spleen.
Bai Zhu (Atractodis Macrocephalae Rhizoma, 4 liang, stir-fried with aged earth, then the earth removed and discarded); Zhi Shi (Immature Bitter Orange, pith removed, stir-fried with bran, 2 liang).
Grind the above ingredients into fine powder. Wrap old rice leaves in lotus leaves and bake until cooked thoroughly. Mash into a paste to serve as the binder for forming pills, sized like sophora seeds. Take 80 pills per dose, administered with clear rice water long after meals.
If there is phlegm in the upper diaphragm causing fullness and discomfort, add Chen Pi (Tangerine Peel, white part removed, 1 liang) and Ban Xia (Pinellia Tuber, ginger-processed, 2 liang). This is named Ju Ban Zhizhu Wan (Tangerine Peel and Pinellia and Immature Bitter Orange and Atractylodes Macrocephala Pill).
It breaks stagnant Qi, dissipates accumulation, opens the stomach, and promotes appetite. Add Mu Xiang (Vladimiria Root, 1 liang 5 qian), named Muxiang Zhizhu Wan (Vladimiria Root and Immature Bitter Orange and Atractylodes Macrocephala Pill).
Due to overeating or emotional anger during meals, resulting in fullness and discomfort in the heart and abdomen, add Xiang Fu (Cyperus Rhizome, 1 liang, stir-fried with children's urine), Shen Qu (Medicated Leaven), Cang Zhu (Atractodis Rhizoma), Shan Zhi (Gardeniae Fructus), and Fu Xiong (Ligusticum Chuanxiong Rhizome, each 1 liang 5 qian), and Mu Xiang (Vladimiria Root, 5 qian). This is named Yueju Zhizhu Wan (Yueju and Immature Bitter Orange and Atractylodes Macrocephala Pill).
For injuries caused by meat, damp noodles, or strongly flavored spicy foods, add Huang Lian (Coptidis Rhizoma), Da Huang (Rhei Radix et Rhizoma), and Huang Qin (Scutellariae Radix) (all three wine-steamed and processed optimally), Shan Zha (Crataegi Fructus), Shen Qu (Medicated Leaven), and Chen Pi (Tangerine Peel, each 2 liang), and Mu Xiang (Vladimiria Root, 1 liang). This is named Sanhuang Zhizhu Wan (Three Yellows and Immature Bitter Orange and Atractylodes Macrocephala Pill).
For injuries caused by raw/cold foods and cold substances, add Cang Zhu (Atractodis Rhizoma), Ban Xia (Pinellia Tuber), and Chen Pi (Tangerine Peel, each 2 liang), Cao Dou Kou (Cardamomi Fructus Rotundus), Sha Ren (Amomi Fructus, each 1 liang), Mu Xiang (Vladimiria Root, 5 qian), and Ding Xiang (Caryophylli Flos, 3 qian).
If the Yuan Qi (Original Qi) has been weak since youth, leading to difficulty digesting food and drink, immediate abdominal disharmony, pain, and diarrhea after eating, this indicates Stomach deficiency with Cold. Add Ren Shen (Ginseng Radix et Rhizoma), Bai Shao Yao (Paeoniae Radix Alba), Chen Pi (Tangerine Peel), Shan Zha (Crataegi Fructus), and Shen Qu (Medicated Leaven, each 2 liang), Mu Xiang (Vladimiria Root), and Sha Ren (Amomi Fructus, each 1 liang).
If there is pre-existing Phlegm-Fire causing depression and blockage in the chest and diaphragm, or acid regurgitation, vomiting, and gastric discomfort, or alcohol accumulation, or diarrhea with painful knotting, these are all due to Damp-Heat. Add Mu Xiang (Vladimiria Root, each 5 qian), Huang Lian (Coptidis Rhizoma, stir-fried with Evodiae Fructus), Bai Shao Yao (Paeoniae Radix Alba), and Chen Pi (Tangerine Peel, each 2 liang), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma, 5 qian). In summer, add Shi Gao (Gypsum Fibrosum); in winter, add Gan Jiang (Zingiberis Rhizoma, 7 qian, stir-fried).
For food accumulation forming hard masses in the abdomen, add Shan Zha (Crataegi Fructus, 2 liang), Huang Lian (Coptidis Rhizoma), Hou Po (Magnoliae Officinalis Cortex), E Zhu (Curcumae Rhizoma), A Wei (Ferulae Resina), and Kun Bu (Sargassum Thallus, each 1 liang), Mu Xiang (Vladimiria Root, 5 qian), and Bing Lang (Arecae Semen, 8 fen).
For痞 (Pi) accumulations and Qi masses in the abdomen and hypochondrium, add Huang Lian (Coptidis Rhizoma, stir-fried with Evodiae Fructus, 1 liang 5 qian), Mu Xiang (Vladimiria Root, 1 liang), E Zhu (Curcumae Rhizoma), and A Wei (Ferulae Resina, each 1 liang 5 qian), Wa Long Zi (Fossilized Bones/Shells, 1 liang), and Bie Jia (Testudinis Carapax et Plastrum, 1 liang).
For forced overeating leading to heart and abdominal fullness and discomfort, add Shan Zha (Crataegi Fructus), Shen Qu (Medicated Leaven), and Chen Pi (Tangerine Peel, each 1 liang 5 qian), Hou Po (Magnoliae Officinalis Cortex), and Sha Ren (Amomi Fructus, each 1 liang).
For Damp-Heat causing fullness and obstruction, add Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Lian Qiao (Forsythiae Fructus), and Luo Bo Zi (Brassicae Semens, stir-fried, each 1 liang 5 qian).
For pain in the heart mouth and epigastrium, add Gan Jiang (Zingiberis Rhizoma) and Sha Ren (Amomi Fructus, each 1 liang), and Ding Xiang (Caryophylli Flos, 4 qian).
For individuals with pre-existing Phlegm-Fire, add Ban Xia (Pinellia Tuber) and Ju Hong (Citri Reticulatae Pericarpium Rubrum, each 1 liang 5 qian), Bai Fu Ling (Poria), Huang Qin (Scutellariae Radix), and Huang Lian (Coptidis Rhizoma, each 1 liang).
If the chest and diaphragm are obstructed, and pungent-aromatic-dry drugs have been taken, injuring the Upper Jiao, causing dryness in the epigastrium, thereby triggering symptoms such as vomiting, dysphagia, and regurgitation, add Huang Lian (Coptidis Rhizoma, stir-fried with Evodiae Fructus), Shan Zhi (Gardeniae Fructus, stir-fried with ginger juice), Bai Shao Yao (Paeoniae Radix Alba), and Dang Gui (Angelicae Sinensis Radix, each 1 liang 5 qian), Shi Gao (Gypsum Fibrosum), Jie Geng (Platycodonis Radix, each 1 liang), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma, 5 qian), and Ming Fen (likely referring to a mineral powder or refined salt, 1 liang), and Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma, 5 qian).
If one can eat good food but feels bloated and unable to digest after eating, this indicates Excess Stomach Fire and Yin Deficiency of the Spleen.
Add Bai Shao Yao (Paeoniae Radix Alba, wine-fried, 2 liang), Ren Shen (Ginseng Radix et Rhizoma), Huang Lian (Coptidis Rhizoma), and Xiang Fu (Cyperus Rhizome, each 1 liang 5 qian), Shi Gao (Gypsum Fibrosum, 1 liang), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma), Mu Xiang (Vladimiria Root, each 5 qian), Tao Ren (Persicae Semen, peeled and tip removed, separately ground, each 7 qian), Sheng Ma (Cimicifugae Rhizoma), and Gan Cao (Glycyrrhizae Radix et Rhizoma, each 5 qian). This is a formula commonly taken by the elderly.
For post-dysenteric bloating due to deficiency, add Ren Shen (Ginseng Radix et Rhizoma), Bai Fu Ling (Poria), and Chen Pi (Tangerine Peel, each 1 liang 5 qian), and Mu Xiang (Vladimiria Root, 5 qian).
For persistent diarrhea and dysentery in children, add Shan Zha (Crataegi Fructus, 2 liang), He Zi Rou (Terminalia Chebula Retz. Fruit Flesh), and Huang Lian (Coptidis Rhizoma, soaked in rice wine and stir-fried, each 1 liang), and Mu Xiang (Vladimiria Root, 5 qian).
For infantile malnutrition (Gan Accumulation), add Hu Huang Lian (Coptidis Rhizoma alternative/Hu Huang Lian), Shi Jun Zi (Quisqualis Fructus), and Shan Zha (Crataegi Fructus, each 2 liang), and Wu Yi (Meliosmae Fructus, 1 liang).
For chronic malaria in children with a mass in the left hypochondrium, add Shan Zha (Crataegi Fructus) and Bie Jia (Testudinis Carapax et Plastrum, each 2 liang), Qing Pi (Citri Reticulatae Pericarpium Viride), and Bai Jie Zi (Sinapis Semen, each 1 liang).