金 冲年遗恙。先天最薄。夏秋疟伤。食少不运。痞胀溏泻。都是脾胃因病致虚。当薄味调和。进
治中法。
人参 益智 广皮 茯苓 木瓜 炒泽泻 谷芽 煨姜
李（氏） 脉沉。形寒。腰髀。牵强腹鸣。有形上下攻触。每晨必泻。经水百日一至。仿仲景意。
茯苓 炮淡干姜 生于术 肉桂
某（氏） 阳微浊滞。吐泻心痛。当辛温开气。胃阳苏醒乃安。
炒半夏 浓朴 广皮 益智仁 煨木香 乌药 香附汁 姜汁
某（二十） 色白。脉 。体质阳薄。入春汗泄。神力疲倦。大便溏泄不爽。皆脾阳困顿。不克胜举。无以鼓
动生生阳气耳。刻下姑与和中为先。（脾阳虚）
益智仁（八分） 广皮（一钱） 姜灰（七分） 茯苓（三钱） 生谷芽（三钱）
杨 小便不利。大便溏泄。补脾法中。佐以淡渗。分其阴阳。
人参 熟术 茯苓 象牙屑 泽泻 苡仁 广皮 白芍
薛（十三） 水谷湿邪内着。脾气不和。腹膨不饥。便溏。四肢酸痹。
浓朴 茯苓皮 大腹皮 防己 广皮 泽泻 苡仁 桂枝木
又 肢酸。腹膨便溏。
金姓患者，年事已高，遗留旧疾。先天禀赋最为薄弱。夏秋季节患疟疾损伤正气，导致食欲减退、运化无力。出现心下痞满、腹胀、大便溏泄等症状，这都是因为疾病导致脾胃虚弱所致。应当饮食清淡以调和脾胃，采用温中健脾的方法治疗。
人参 益智仁 广陈皮 茯苓 木瓜 炒泽泻 谷芽 煨生姜
李姓患者，脉象沉细，形体怕冷，腰部和髋部牵引僵硬不适，腹部有鸣响，感觉有形之邪气上下攻冲触碰，每天早晨必定腹泻，月经一百天才来一次。仿照张仲景的意旨进行治疗。
茯苓 炮制淡干姜 生白术 肉桂
某位患者，阳气微弱且伴有浊邪停滞，出现呕吐、腹泻和心痛症状。应当使用辛温药物开通气机，待胃阳苏醒后病情才能安宁。
炒半夏 厚朴 广陈皮 益智仁 煨木香 乌药 香附汁 姜汁
某位二十岁的患者，面色苍白，脉象（原文缺失具体描述），体质阳气薄弱。入春后出汗过多，神疲乏力，大便溏泄且排出不畅，这些都是脾阳困顿，不能胜任升举功能，无法鼓动生生不息的阳气所致。眼下暂且以调和脾胃为优先。（辨证为脾阳虚）
益智仁（八分） 广陈皮（一钱） 姜灰（七分） 茯苓（三钱） 生谷芽（三钱）
杨姓患者，小便不利，大便溏泄。在补脾的方法中，佐以淡味渗湿的药物，以分清阴阳。
人参 熟白术 茯苓 象牙屑 泽泻 薏苡仁 广陈皮 白芍
薛姓十三岁患者，水谷湿邪内着于体内，脾气不和，腹部膨隆且不思饮食，大便溏泄，四肢酸楚麻木。
厚朴 茯苓皮 大腹皮 防己 广陈皮 泽泻 薏苡仁 桂枝木
Jin, an elderly patient with lingering sequelae. His congenital constitution is extremely weak. The malaria contracted in summer and autumn has damaged his health, leading to poor appetite and impaired transportation and transformation. Symptoms include epigastric fullness, abdominal distension, and loose stools. These are all cases of deficiency resulting from disease affecting the Spleen and Stomach. Treatment should involve a light diet to harmonize the middle jiao, employing methods to warm the middle and regulate the spleen.
Ren Shen (Ginseng Radix), Yi Zhi Ren (Alpinia Oxyphylla Fructus), Guang Pi (Tangerine Peel), Fu Ling (Poria), Mu Gua (Chaenomeles Fruit), Chao Ze Xie (Fried Alisma Rhizome), Gu Ya (Sprouted Grain), Wei Jiang (Baked Ginger).
Li, pulse is deep. The body feels cold. There is pulling stiffness in the waist and thighs, and borborygmus in the abdomen. There is a sensation of tangible pathogenic factors attacking and touching up and down. Diarrhea occurs every morning. Menstruation comes only once every hundred days. Following the intent of Zhang Zhongjing:
Fu Ling (Poria), Pao Dan Gan Jiang (Processed Light Dried Ginger), Sheng Bai Zhu (Raw Atractylodes Macrocephala Rhizome), Rou Gui (Cinnamon Bark).
A certain patient: Yang qi is deficient with turbid stagnation. Symptoms include vomiting, diarrhea, and heart pain. One should use pungent-warm herbs to open the qi mechanism. Peace will be restored once the Stomach Yang revives.
Chao Ban Xia (Fried Pinellia Tuber), Hou Po (Magnolia Bark), Guang Pi (Tangerine Peel), Yi Zhi Ren (Alpinia Oxyphylla Fructus), Wei Mu Xiang (Baked Aucklandia Root), Wu Yao (Lindera Root), Xiang Fu Zhi (Cyperi Rhizoma Juice), Jiang Zhi (Ginger Juice).
A certain twenty-year-old patient: Complexion is pale. Pulse [description missing]. The constitution is weak in yang. After entering spring, excessive sweating occurred, leading to mental fatigue and physical weakness. Loose stools are difficult to pass smoothly. All these indicate that Spleen Yang is trapped and exhausted, unable to perform its lifting function, thus failing to stimulate the generative yang qi. For now, harmony of the middle jiao should be prioritized. (Diagnosis: Spleen Yang Deficiency)
Yi Zhi Ren (Alpinia Oxyphylla Fructus) (8 fen), Guang Pi (Tangerine Peel) (1 qian), Jiang Hui (Ash of Ginger) (7 fen), Fu Ling (Poria) (3 qian), Sheng Gu Ya (Sprouted Grain) (3 qian).
Yang: Difficulty in urination, loose stools. In the method of tonifying the Spleen, add bland diuretic herbs to separate yin and yang.
Ren Shen (Ginseng Radix), Shu Bai Zhu (Prepared Atractylodes Macrocephala Rhizome), Fu Ling (Poria), Xiang Ya Xie (Ivory Scraps), Ze Xie (Alisma Rhizome), Yi Yi Ren (Coix Seed), Guang Pi (Tangerine Peel), Bai Shao (White Peony Root).
Xue, thirteen years old: Water and grain dampness have settled internally, causing disharmony of the Spleen Qi. Symptoms include abdominal distension, lack of appetite, loose stools, and soreness/numbness in the four limbs.
Hou Po (Magnolia Bark), Fu Ling Pi (Poria Peel), Da Fu Pi (Areca Peel), Fang Ji (Stephania Root), Guang Pi (Tangerine Peel), Ze Xie (Alisma Rhizome), Yi Yi Ren (Coix Seed), Gui Zhi Mu (Cinnamon Twig Wood).
Follow-up visit: Soreness in limbs, abdominal distension, loose stools.