柴胡（一两五钱） 甘草（炙） 黄 （臣） 苍术（泔浸，去黑皮，切作片子，日曝干，锉碎炒） 羌活（以
上各一两） 升麻（八钱） 人参（臣） 黄芩（以上各七钱） 黄连（去须，酒制，五钱炒，为臣为佐） 石膏（少
许，长夏微用，过时去之，从权）
上件 咀，每且三钱，水二盏，煎至一盏，去渣，大温服，早饭后、午饭前，间日服。服药之时，宜减食，宜美
食。服药讫，忌语话一二时辰许，及酒、湿面、大料物之类，恐大湿热之物，复助火邪而愈损元气也。亦忌冷水及
寒凉淡渗之物及诸果，恐阳气不能生旺也。宜温食及薄滋味，以助阳气。大抵此法此药，欲令阳气升浮耳，若渗泄
淡味，皆为滋阴之味，为大禁也。虽然，亦有从权而用之者。如见肾火旺及督、任、冲三脉盛，则用黄柏、知母，
酒洗讫，火炒制加之，若分两则临病斟酌，不可久服，恐助阴气而为害也。小便亦或涩，当利之，大便涩，当行之，
此亦从权也，得利，则勿再服。此虽立食禁法，若可食之物，一切禁之，则胃气失所养也，亦当从权而食之，以滋
胃也。
附∶
……夫饮食人胃，阳气上行，津液与气，入于心，贯于肺，充实皮毛，散于百脉。脾禀气于胃，而灌溉四旁，营养
气血者也。今饮食损胃，劳倦伤脾，脾胃虚则火邪乘之，而生大热，当先于心分补脾之源，盖土生于火，兼于脾胃
中泻火之亢甚是先治其标，后治其本也。
且湿热相合，阳气日以虚，阳气虚则不能上升，而脾胃之气下流，并于肾肝，是有秋冬而无
春夏。春主升，夏主浮，在人则肝心应之。弱则阴气盛，故阳气不得经营。经云∶阳本根
于阴，惟泻阴中之火，味薄风药，升发以伸阳气，则阴气不病，阳气生矣。传云∶履端于始
，序则不愆，正谓此也。
《四气调神大论》云∶天明则日月不明，邪害空窍，阳气者闭塞，地气者冒明，云雾不
精，则上应白露不下，在人则缘胃虚，以火乘之。脾为劳倦所伤，劳则气耗，而心火炽动，
血脉沸腾，则血病，而阳气不治，阴火乃独炎上，而走于空窍，以至燎于周身，反用热药以
燥脾胃，则谬之谬也。
胃乃脾之刚，脾乃胃之柔，表里之谓也。饮食不节，则胃先病，脾无所禀而后病；劳倦
则脾先病，不能为胃行气而后病。其所生病之先后虽异，所受邪则一也。胃为十二经之海，
十二经皆禀血气，滋养于身，脾受胃之禀，行其气血也。脾胃既虚，十二经之邪，不一而出
。假令不能食而肌肉削，乃本病也。其右关脉缓而弱，本脉也。而本部本证脉中兼见弦脉
，或见四肢满闭，淋溲便难，转筋一二证，此肝之脾胃病也。当于本经药中，加风药以泻之
。本部本证脉中兼见洪大，或见肌热，烦热，面赤而不能食，肌内消一二证，此心之脾胃病
也。当于本经药中，加泻心火之药。本部本证脉中兼见浮涩，或见气短、气上，喘咳、痰盛
，皮涩一二证，此肺之脾胃病也。当于本经药中，兼泻肺之体，及补气之药。本部本证脉中
兼见沉细，或见善恐欠之证，此肾之脾胃病也，当于本经药中，加泻肾水之浮，及泻阴火伏
炽之药。
经云∶病有逆从，治有反正，除四反治法，不须论之。其下云∶惟有阳明、厥阴，不从
标本，从乎中也。其注者，以阳明在上，中见太阴，厥阴在上，中见少阳为说，予独谓不然
，此中，非中外之中也，亦非上中之中也，乃不定之辞，盖欲人临病消息，酌中用药耳，以
手足阳明、厥阴者，中气也，在卯酉之分，天地之门户也。春分、秋分，以分阴阳也，中有
水火之异者也，况手厥阴为十二经之领袖，主生化之源；足阳明为十二经之海，主经营之气
，诸经皆禀之。言阳明、厥阴与何经相并而为病，酌中以用药，如权之在衡，在两，则有在
两之中；在斤，则有在斤之中也。所以言此者，发明脾胃之病，不可一例而推之，不可一途
而取之，欲人知百病皆由脾胃衰而生也，毫厘之失，则灾害立生。假如时在长夏，于长夏之
令中立方，谓正当主气衰而客气旺之时也，后之处方者，当从此法，加时令药，名曰补脾胃
泻阴火升阳汤。
柴胡（一两五钱） 甘草（炙） 黄耆（臣药） 苍术（用淘米水浸泡，去掉黑皮，切成片，晒干，切碎炒制） 羌活（以上药材各一两） 升麻（八钱） 人参（臣药） 黄芩（以上药材各七钱） 黄连（去掉须根，酒制，五钱炒制，作为臣药和佐药） 石膏（少量，长夏季节轻微使用，过了这个季节去掉，这是权宜之计）
以上药材捣碎成粗末，每次服用三钱，加水两盏，煎煮至一盏，去渣滓，大温服，在早饭后、午饭前服用，隔日服用一次。服药期间，应当减少饮食，且食物要美味可口。服药结束后，忌口说话约一两个时辰，以及酒类、湿面、大料等物品，恐怕这些大湿热之物，会再次助长火邪而进一步损伤元气。也忌食冷水及寒凉淡渗之物和各种水果，恐怕阳气不能生发旺盛。适宜吃温热食物及味道清淡的食物，以辅助阳气。大体上说，这种方法这种药物，是想让阳气升浮罢了，如果渗泄淡味，都是滋阴的味道，是大禁忌。虽然如此，也有权宜变通使用的情况。如见到肾火旺及督脉、任脉、冲脉三脉盛，则使用黄柏、知母，酒洗后，火炒制加入，至于分量则根据病情斟酌，不可久服，恐怕助长阴气而为害。小便如果涩滞，应当利小便，大便如果涩滞，应当通大便，这也是权宜之计，得利之后，就不再服用。这里虽然立下饮食禁忌的方法，但如果可吃的东西，一概禁止，那么胃气就失去滋养了，也应当权宜变通地食用，以滋养胃气。
附注：
……饮食进入胃中，阳气上行，津液与气，进入心，贯穿肺，充实皮毛，散布于全身经脉。脾禀受胃的气，而灌溉四周，是营养气血的器官。如今饮食损伤胃，劳倦损伤脾，脾胃虚弱则火邪乘虚而入，产生大热，应当先在心的分位上补脾的源头，因为土生于火，兼在脾胃中泻火的亢盛是先治其标，后治其本。
况且湿热相合，阳气日渐虚弱，阳气虚则不能上升，而脾胃之气下流，并入肾肝，这就只有秋冬而没有春夏。春主升，夏主浮，在人身上则对应肝心。弱则阴气盛，所以阳气不能正常运行。经书说：阳根本源于阴，只有泻除阴中的火，用气味薄的风药，升发以伸展阳气，那么阴气不生病，阳气就生发了。传书说：履端于始，序则不愆，正是说的这个意思。
《四气调神大论》说：天明则日月不明，邪害空窍，阳气者闭塞，地气者冒明，云雾不精，则上应白露不下，在人身上则是由于胃虚，以火乘之。脾被劳倦所伤，劳则气耗，而心火炽动，血脉沸腾，则血病，而阳气不治，阴火乃独自炎上，而跑向空窍，以至于燎烧周身，反而用热药来燥脾胃，那就错上加错了。
胃是脾的刚，脾是胃的柔，这是表里的关系。饮食不节制，则胃先病，脾无所禀受而后病；劳倦则脾先病，不能为胃行气而后病。其所生病的先后虽然不同，所受邪气则是一样的。胃是十二经的海，十二经都禀受血气，滋养身体，脾受胃的禀受，运行其气血。脾胃既已虚弱，十二经的邪气，不一而出。假如不能吃饭而肌肉消瘦，是本病。其右关脉缓而弱，是本脉。而在本部本证的脉中兼见弦脉，或见四肢满闭、淋溲便难、转筋一二证，这是肝之脾胃病。应当在本科药中加入风药以泻之。本部本证的脉中兼见洪大，或见肌热、烦热、面赤而不能吃饭、肌肉消减一二证，这是心之脾胃病。应当在本科药中加入泻心火的药。本部本证的脉中兼见浮涩，或见气短、气上逆、喘咳、痰盛、皮肤干燥一二证，这是肺之脾胃病。应当在本科药中，兼泻肺之体，及补气之药。本部本证的脉中兼见沉细，或见善恐欠伸之证，这是肾之脾胃病，应当在本科药中，加泻肾水之浮，及泻阴火伏炽之药。
经书说：病有逆从，治有反正，除了四种反治法，不需要讨论。其中又说：惟有阳明、厥阴，不从标本，从乎中也。注释的人，以阳明在上，中见太阴，厥阴在上，中见少阳为说法，我独自认为不对，这个“中”，不是中外之中，也不是上中之中，是不定的辞令，大概是想要让人临病时斟酌，酌中用药罢了，以手足阳明、厥阴者，是中气，在卯酉之分，是天地的门户。春分、秋分，以分阴阳，中有水火之异，何况手厥阴是十二经的领袖，主生化之源；足阳明是十二经的海，主经营之气，诸经都禀受它。说阳明、厥阴与何经相并而为病，酌中以用药，如同秤锤在秤杆上，在两则有在两之中；在斤则有在斤之中。所以说这个，是为了阐明脾胃的病，不可一例而推之，不可一途而取之，想要让人知道百病皆由脾胃衰而生也，毫厘之差，则灾害立即产生。假如时间在长夏，在长夏的命令中立方，说是正当主气衰而客气旺的时候，后来的处方者，应当从此法，加时令药，名叫补脾胃泻阴火升阳汤。
Chai Hu (Bupleuri Radix, 1 liang 5 qian) Gan Cao (Licorice Root, processed with honey) Huang Qi (Astragali Radix, Minister herb) Cang Zhu (Atractylodis Rhizoma, soaked in rice water, remove black skin, slice, sun-dry, chop and stir-fry) Qiang Huo (Notopterygii Rhizoma et Radix, each of the above herbs 1 liang) Sheng Ma (Cimicifugae Rhizoma, 8 qian) Ren Shen (Ginseng Radix, Minister herb) Huang Qin (Scutellariae Radix, each of the above herbs 7 qian) Huang Lian (Coptidis Rhizoma, remove stamens, process with wine, stir-fry 5 qian, Minister and Assistant herb) Shi Gao (Gypsum Fibrosum, a small amount, used mildly during late summer, discontinued afterwards, an expedient measure)
The above ingredients are coarsely crushed. Take 3 qian per dose, add two cups of water, decoct to one cup, remove dregs, and take warm. Administer after breakfast and before lunch, every other day. During medication, food intake should be reduced, and food should be palatable. After taking medicine, avoid speaking for about one or two shichen (2-4 hours), as well as alcohol, wet noodles, and strong spices, lest these damp-heat substances further assist fire pathogenic factors and damage Yuan Qi (Original Qi). Also avoid cold water, cold-cool diuretic foods, and various fruits, lest Yang Qi fail to flourish. Warm food and bland flavors are suitable to assist Yang Qi. Generally, this method and these medicines aim to raise and float Yang Qi. Diuretic and bland flavors are Yin-nourishing and thus strictly forbidden. However, there are expedient uses. For instance, if Kidney Fire is hyperactive and the Du, Ren, and Chong meridians are vigorous, use Huang Bo (Phellodendri Cortex) and Zhi Mu (Anemarrhenae Rhizoma), washed with wine and stir-fried over fire. Dosages should be adjusted according to the condition; long-term use is contraindicated to avoid nourishing Yin excessively and causing harm. If urination is obstructed, promote diuresis; if defecation is difficult, promote bowel movement; this is also an expedient measure. Once relief is achieved, discontinue use. Although dietary restrictions are established, forbidding all edible items would deprive Wei Qi (Stomach Qi) of nourishment; thus, appropriate foods should be consumed expediently to nourish the Stomach.
Appendix:
...When food enters the Stomach, Yang Qi ascends. Body fluids and Qi enter the Heart, penetrate the Lungs, fill the skin and hair, and disseminate through the twelve meridians. The Spleen receives Qi from the Stomach and irrigates the four directions, nourishing Blood and Qi. Now, improper diet damages the Stomach, and fatigue/injury damages the Spleen. When Spleen and Stomach are deficient, Fire Pathogenic Factors invade, generating intense heat. One must first tonify the source of the Spleen via the Heart's domain, as Earth is born from Fire. Simultaneously, clearing excessive Fire in the Spleen and Stomach treats the branch (symptoms) first and the root (cause) later.
Moreover, when Damp-Heat combine, Yang Qi declines daily. Deficient Yang Qi cannot ascend, causing Spleen and Stomach Qi to sink downward into the Kidney and Liver, resulting in a state resembling only Autumn/Winter without Spring/Summer. Spring governs ascending, Summer governs floating; in humans, these correspond to the Liver and Heart. Weakness leads to excess Yin Qi, preventing Yang Qi from circulating. The Classics state: "Yang originates from Yin." Only by clearing Fire within Yin and using light-flavored Wind-dispelling herbs to raise and expand Yang Qi can Yin Qi remain unharmed and Yang Qi generate. The Commentaries say: "Begin at the start, maintain order without error," referring precisely to this principle.
The *Su Wen* chapter "Si Qi Tiao Shen Da Lun" states: "If Heaven is bright, the Sun and Moon lose their clarity; pathogens harm the empty orifices. Yang Qi becomes blocked, Earth Qi obscures brightness, clouds and mist become impure, leading to a failure of white dew to descend. In humans, this occurs due to Stomach deficiency allowing Fire to invade. The Spleen is injured by fatigue; fatigue consumes Qi, Heart Fire blazes, blood vessels boil, causing Blood disorders. Yang Qi fails to regulate, Yin Fire flares upward into the orifices, burning the entire body. Using hot drugs to dry the Spleen and Stomach would be doubly erroneous."
The Stomach is the Gang (Solid/Yang aspect) of the Spleen; the Spleen is the Rou (Soft/Yin aspect) of the Stomach; this defines Interior-Exterior relationships. Improper diet injures the Stomach first, leaving the Spleen without reception, then injuring it; fatigue injures the Spleen first, impairing its ability to move Qi for the Stomach, then injuring it. Although the sequence of disease differs, the pathogenic factor received is the same. The Stomach is the Sea of the Twelve Meridians; all meridians receive Blood and Qi to nourish the body. The Spleen receives from the Stomach and circulates Qi and Blood. When Spleen and Stomach are deficient, pathogens from the Twelve Meridians emerge variably. For example, inability to eat and muscle wasting is the primary disease. The pulse at the Right Guan position is slow and weak, which is the primary pulse. If the pulse in this region/syndrome additionally shows a Wiry (Xian) quality, or symptoms include fullness/closure of limbs, difficult urination/defecation, or tendon spasms, this is Liver-invading-Spleen-Stomach disease. Add Wind-dispelling herbs to the primary formula to clear it. If the pulse shows Surging (Hong) and Large qualities, or symptoms include muscle fever, vexatious heat, red face, inability to eat, or muscle wasting, this is Heart-invading-Spleen-Stomach disease. Add herbs to clear Heart Fire. If the pulse shows Floating (Fu) and Choppy (Se) qualities, or symptoms include shortness of breath, Qi rebellion, wheezing/cough, profuse phlegm, or dry skin, this is Lung-invading-Spleen-Stomach disease. Add herbs to clear Lung substance and tonify Qi. If the pulse shows Deep (Chen) and Fine (Xi) qualities, or symptoms include fearfulness and yawning, this is Kidney-invading-Spleen-Stomach disease. Add herbs to drain floating Kidney Water and subdue latent, blazing Yin Fire.
The Classics state: "Diseases have contrary and compliant aspects; treatments have correct and reverse approaches." Excluding the four reverse treatment methods, we discuss no further. It further states: "Only Yangming and Jueyin do not follow the root or branch but follow the Middle." Commentators explain that Yangming is superior, revealing Taiyin in the middle; Jueyin is superior, revealing Shaoyang in the middle. I disagree. This "Middle" does not refer to interior/exterior or upper/lower middle, but is an indeterminate term, urging clinicians to weigh the condition and medicate according to the mean. Hand and Foot Yangming and Jueyin constitute Zhong Qi (Middle Qi), located at Mao and You divisions, the gates of Heaven and Earth. Spring and Autumn Equinoxes divide Yin and Yang, containing differences between Water and Fire. Moreover, Hand Jueyin is the leader of the Twelve Meridians, governing the source of generation/transformation; Foot Yangming is the Sea of the Twelve Meridians, governing circulating Qi; all meridians rely on them. When discussing Yangming or Jueyin combining with other meridions to cause disease, one must medicate according to the Middle, like a weight on a balance beam: if at the ends, there is a center between the ends; if at the jin (unit), there is a center within the jin. This is said to elucidate that Spleen-Stomach diseases cannot be deduced uniformly or treated monotonously, teaching that all hundred diseases arise from Spleen-Stomach decline. A slight error brings immediate disaster. Assuming the time is Late Summer, the prescription is formulated within the command of Late Summer, a time when Principal Qi is weak and Guest Qi is vigorous. Future prescribers should follow this method, adding seasonal herbs, naming it Bu Pi Wei Xie Yin Huo Sheng Yang Tang (Tonify Spleen-Stomach, Drain Yin Fire, Raise Yang Decoction).