四物汤 治肝脾肾血虚发热，或日晡热甚，头目不清，或烦躁不寐，胸膈作胀，或胁作痛，
宜用此汤。若脾气虚而不能生血，宜用四君子汤。若脾气郁而虚，宜用归脾汤。若肾水涸而不
能生肝血，宜用六味丸。
当归 熟地黄（各三钱） 芍药（二钱） 川芎（一钱五分）
上水煎服。
加味四物汤 即前方加白术、茯苓、柴胡、丹皮。
四君子汤 治脾胃虚弱，饮食少进；或肢体肿胀，肚腹作痛；或大便不实，体瘦面黄；或胸
膈虚痞，痰嗽吞酸。若因脾胃虚寒而致，宜香砂六君子；若因脾经郁结而致，宜归脾汤。若
因肝木侮脾胃而致，宜用六君加木香、芍药；若命门火虚而致，宜用八味丸。
人参 白术 茯苓（各二钱） 甘草（炙，一钱）
上姜、枣，水煎服。
异功散 治久咳不已，或腹满少食，或面肿气逆。又治脾胃虚弱，饮食少思等症。即前方加
陈皮。
六君子汤 即四君子加半夏、陈皮。治脾胃虚弱，饮食少思，或久患疟、痢。若见内热，或饮
食难化作酸，乃属虚火，须加炮姜。其功甚速。
香砂六君子汤 即前方加香附、藿香、砂仁。
人参理中汤 治脾胃虚弱，饮食少思，或去后无度，或呕吐腹痛，或饮食难化，胸膈不利
，或疟疾中气虚损，久不能愈，或中气虚弱，痰气不利，口舌生疮。加附子名附子理中汤，治
中气虚寒而患前症，又治入房腹痛，手足逆冷，或犯寒气，或食冷物。
人参 白术 干姜（炮） 甘草（炙） 各等分
上每服五、七钱，或一两，水煎服。
附子理中汤 治脾胃虚寒，手足厥冷，饮食不入，或肠鸣切痛，呕逆吐泻。即前方加附子等
分，照前服。
八珍汤 治气血虚弱，恶寒发热，烦躁作渴，或不时寒热，眩晕昏愦，或大便不实，小便赤
淋，或饮食少思，小腹胀痛等症。即四物、四君合方。
十全大补汤 即八珍加黄 、肉桂，治症同前。又治遗精，白浊，自汗，盗汗；或内热、晡热、
潮热、发热；或口干作渴，喉痛舌裂；或胸乳膨胀，胁肋作痛；或脐腹阴冷，便溺余滴；或
头颈时痛，眩晕目花；或心神不宁，寤而不寐；或形容不充，肢体作痛；或鼻吸气冷，急趋
气促。此皆是无根虚火，但服此药，诸症悉退。
人参养荣汤 治脾肺俱虚，发热恶寒，四肢倦怠，肌肉消瘦，面黄短气，食少作泻。若气血
虚而变见诸症，莫能名状，勿论其病，勿论其脉，但用此汤，其病悉退。
白芍药（一钱五分） 人参 陈皮 黄 （蜜炙） 桂心 当归 白术 甘草（炙，各一钱） 熟地黄
五味子（炒杵） 茯苓（各七分半） 远志（五分）
上姜、枣，水煎服。
当归补血汤 治气血俱虚，肌热恶寒，面目赤色，烦渴引饮，脉洪大而虚，重按似无。此脉
虚血虚也。此病多有得于饥饱劳役者。
黄 （炙，一两） 当归（二钱，酒制）
上水煎服。
当归六黄汤
当归 黄 （炒） 生地黄 熟地黄（各一钱） 黄芩 黄连 黄柏（各炒焦，五分）
上水煎服。
独参汤 治一切失血，恶寒发热，作渴烦躁。盖血生于气，故血脱补气，阳生阴长之理也。
人参（二两）
上枣十枚，水煎服。
归脾汤 治思虑伤脾，不能摄血，致血妄行；或健忘，怔忡，惊悸，盗汗；或心脾作痛，嗜卧少
食，大便不调；或肢体重痛，月经不调，赤白带下；或思虑伤脾而患疟、痢。
人参 白术 白茯苓 黄 龙眼肉 酸枣仁（各二钱） 远志（一钱） 木香 甘草（炙，各五分）
当归（一钱）
上姜、枣，水煎服。
加味归脾汤 即前方加柴胡、山栀。
加减八味丸 治肾水不足，虚火上炎，发热作渴，口舌生疮，或牙龈溃烂，咽喉作痛；或形
体憔悴，寝汗，发热，五脏齐损。即六味丸加肉桂一两。
六味丸（一名地黄丸，一名肾气丸。）
治肾经不足，发热作渴，小便淋秘，气壅痰嗽，头目眩晕，眼
花耳聋，咽燥舌痛，齿牙不固，腰腿痿软，自汗盗汗，便血诸血失音，水泛为痰，血虚发热
等症。其功不能尽述。
熟地黄（八两，杵膏） 山茱萸肉 干山药（各四两） 牡丹皮 白茯苓 泽泻（各三两）
上各另为末，和地黄加炼蜜，丸桐子大，每服七、八十丸，空心食前滚汤下。
八味丸 治命门火衰，不能生土，以致脾胃虚寒，饮食少思，大便不实，脐腹疼痛，夜多漩
溺等症。即六味丸加肉桂、附子各一两。
余方见下卷。
四物汤：治疗肝、脾、肾三脏血虚引起的发热，或者下午申时（约15:00-17:00）发热加重，头部和眼睛昏沉不清爽，或者烦躁不安、无法入睡，胸膈部胀满，或者胁肋部疼痛，适宜使用此方。如果是脾气虚弱导致不能化生血液，适宜使用四君子汤。如果是脾气郁结且虚弱，适宜使用归脾汤。如果是肾阴枯竭导致不能滋养肝血，适宜使用六味丸。
当归、熟地黄（各三钱）、芍药（二钱）、川芎（一钱五分）。
以上药材加水煎煮后服用。
四君子汤：治疗脾胃虚弱，饮食摄入减少；或者肢体肿胀，腹部疼痛；或者大便稀溏不成形，身体消瘦面色萎黄；或者胸膈部虚痞闷塞，咳嗽有痰、吞酸水。如果是因为脾胃虚寒所致，适宜使用香砂六君子汤；如果是因为脾经气机郁结所致，适宜使用归脾汤。如果是因为肝木之气克制脾胃所致，适宜使用六君子汤加入木香、芍药；如果是因为命门火衰所致，适宜使用八味丸。
人参、白术、茯苓（各二钱）、甘草（炙用，一钱）。
以上药材加入生姜、大枣，加水煎煮后服用。
异功散：治疗久咳不止，或者腹部胀满、食欲减退，或者面部浮肿、气逆上冲。又用于治疗脾胃虚弱，饮食思虑减少等症状。即在四君子汤基础上加入陈皮。
六君子汤：即四君子汤加入半夏、陈皮。治疗脾胃虚弱，饮食思虑减少，或者长期患有疟疾、痢疾。如果出现内热，或者饮食难以消化变成酸水，这属于虚火，必须加入炮姜。其疗效非常迅速。
人参理中汤：治疗脾胃虚弱，饮食思虑减少，或者排便无节制，或者呕吐腹痛，或者饮食难以消化，胸膈部不适，或者疟疾导致中气虚损，长期不能痊愈，或者中气虚弱，痰气运行不畅，口舌生疮。加入附子后称为附子理中汤，治疗中气虚寒而患上述病症，又治疗房事后腹痛，手脚冰凉，或者受寒气侵袭，或者食用生冷食物。
人参、白术、干姜（炮制）、甘草（炙用），各等分。
以上每次服用五、七钱，或一两，加水煎煮后服用。
附子理中汤：治疗脾胃虚寒，手脚厥冷，饮食无法进入，或者肠鸣剧烈疼痛，呕吐逆气、吐泻。即在前方基础上加入等分的附子，按照前面的方法服用。
八珍汤：治疗气血虚弱，怕冷发热，烦躁口渴，或者不时出现寒热交替，头晕眼花、神志昏乱，或者大便稀溏，小便赤涩淋痛，或者饮食思虑减少，小腹胀痛等症状。即四物汤与四君子汤的合方。
十全大补汤：即八珍汤加入黄芪、肉桂，治疗的病症同前。又治疗遗精，白浊，自汗，盗汗；或者内热、下午申时发热、潮热、发热；或者口干口渴，喉咙痛、舌头裂开；或者胸部乳房膨胀，胁肋部疼痛；或者脐腹部位阴冷，排尿后仍有滴沥；或者头颈部时常疼痛，头晕眼花；或者心神不宁，醒着却无法入睡；或者形体消瘦不丰满，肢体疼痛；或者吸气时感觉寒冷，急走时气促。这些都是无根之虚火，只要服用此药，各种症状都会消退。
人参养荣汤：治疗脾肺两脏俱虚，发热怕冷，四肢倦怠，肌肉消瘦，面色萎黄、气短，进食少且容易腹泻。如果因为气血虚弱而变见各种症状，无法具体命名描述，不论是什么病，不论脉象如何，只要使用此汤，病情都会消退。
白芍药（一钱五分）、人参、陈皮、黄芪（蜜炙）、桂心、当归、白术、甘草（炙用，各一钱）、熟地黄、五味子（炒捣碎）、茯苓（各七分半）、远志（五分）。
以上药材加入生姜、大枣，加水煎煮后服用。
当归补血汤：治疗气血俱虚，肌肤发热怕冷，面目发红，烦躁口渴想喝水，脉象洪大但按之无力，重按时似乎没有脉搏。这是脉虚、血虚的表现。这种病多因饥饱失调、劳累过度所致。
黄芪（炙用，一两）、当归（二钱，酒制）。
以上药材加水煎煮后服用。
当归六黄汤：
当归、黄芪（炒）、生地黄、熟地黄（各一钱）、黄芩、黄连、黄柏（各炒焦，五分）。
以上药材加水煎煮后服用。
独参汤：治疗一切失血导致的怕冷发热，口渴烦躁。因为血生于气，所以血脱时需要补气，这是阳生阴长的道理。
人参（二两）。
以上药材加入十枚大枣，加水煎煮后服用。
归脾汤：治疗思虑过度损伤脾气，不能统摄血液，导致血液妄行；或者健忘，心慌，惊悸，盗汗；或者心脾部位疼痛，嗜睡、食欲少，大便不调；或者肢体沉重疼痛，月经不调，白带或赤白带下；或者因思虑伤脾而患疟疾、痢疾。
人参、白术、白茯苓、黄芪、龙眼肉、酸枣仁（各二钱）、远志（一钱）、木香、甘草（炙用，各五分）、当归（一钱）。
以上药材加入生姜、大枣，加水煎煮后服用。
加减八味丸：治疗肾阴不足，虚火上炎，发热口渴，口舌生疮，或者牙龈溃烂，咽喉疼痛；或者形体憔悴，夜间出汗，发热，五脏功能均受损。即在六味丸基础上加入一两肉桂。
六味丸（又名地黄丸，又名肾气丸）：
治疗肾经不足，发热口渴，小便淋沥闭塞，气壅痰嗽，头晕眼花，视物模糊耳聋，咽干舌痛，牙齿松动，腰腿痿软，自汗盗汗，便血及其他出血症、失音，水液泛滥形成痰饮，血虚发热等症状。其功效无法详尽叙述。
熟地黄（八两，捣成膏状）、山茱萸肉、干山药（各四两）、牡丹皮、白茯苓、泽泻（各三两）。
以上药材分别研为细末，与地黄膏混合，加入炼蜜，制成梧桐子大小的丸药，每次服用七八十丸，空腹饭前用滚开水送服。
八味丸：治疗命门火衰，不能温煦脾土，导致脾胃虚寒，饮食思虑减少，大便稀溏，脐腹疼痛，夜间小便多等症状。即在六味丸基础上加入一两肉桂、一两附子。
其余方剂见下卷。
Siwu Tang (Four Substances Decoction): Treats fever caused by blood deficiency in the Liver, Spleen, and Kidney meridians; or exacerbation of heat in the afternoon (Shen hour, approx. 15:00-17:00); dizziness and cloudiness of the head and eyes; irritability and insomnia; distension in the chest and diaphragm; or pain in the hypochondrium. This formula is appropriate. If Spleen Qi deficiency fails to generate blood, Sizijunzi Tang (Four Gentlemen Decoction) is appropriate. If Spleen Qi is constrained and deficient, Guipi Tang (Restore the Spleen Decoction) is appropriate. If Kidney Yin is exhausted and fails to nourish Liver blood, Liuwei Wan (Six-Ingredient Pill with Rehmannia) is appropriate.
Danggui (Angelicae Sinensis Radix), Shudihuang (Prepared Rehmanniae Radix) (each 3 qian), Shaoyao (Paeoniae Radix Alba) (2 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (1.5 qian).
Decoct with water and take orally.
Jiawei Siwu Tang (Modified Four Substances Decoction): The above formula plus Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Chaihu (Bupleuri Radix), Danpi (Moutan Cortex).
Sizijunzi Tang (Four Gentlemen Decoction): Treats Spleen and Stomach weakness with reduced food intake; edema of limbs and abdominal pain; loose stools, emaciation, and sallow complexion; empty stuffiness in the chest and diaphragm, phlegm-cough, and acid regurgitation. If caused by Spleen-Stomach deficiency-cold, Xiangsha Liujunzi Tang (Aucklandia and Amomum Six-Gentlemen Decoction) is appropriate. If caused by constraint in the Spleen meridian, Guipi Tang (Restore the Spleen Decoction) is appropriate. If caused by Liver Wood overacting on the Spleen and Stomach, Liujunzi Tang (Six-Gentlemen Decoction) plus Muxiang (Aucklandiae Radix) and Shaoyao (Paeoniae Radix Alba) is appropriate. If caused by Mingmen Fire deficiency, Bawei Wan (Eight-Ingredient Pill) is appropriate.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria) (each 2 qian), Gancao (Licorice Root, honey-fried) (1 qian).
Decoct with water, adding Shengjiang (Fresh Ginger) and Dazao (Jujubae Fructus), and take orally.
Yigong San (Extraordinary Power Powder): Treats persistent chronic cough, abdominal fullness with poor appetite, facial edema with rebellious Qi. Also treats Spleen and Stomach weakness with reduced desire for food. It is the previous formula plus Chenpi (Citri Reticulatae Pericarpium).
Liujunzi Tang (Six-Gentlemen Decoction): Sizijunzi Tang plus Banxia (Pinelliae Rhizoma) and Chenpi (Citri Reticulatae Pericarpium). Treats Spleen and Stomach weakness with reduced desire for food, or chronic malaria and dysentery. If internal heat appears, or if food digestion leads to sourness, this indicates deficient fire; Paojiang (Prepared Ginger) must be added. Its efficacy is very rapid.
Xiangsha Liujunzi Tang (Aucklandia and Amomum Six-Gentlemen Decoction): Liujunzi Tang plus Xiangfu (Cyperi Rhizoma), Huoxiang (Agastaches Herba), and Sharen (Amomi Fructus).
Renshen Lizhong Tang (Ginseng Regulate the Middle Decoction): Treats Spleen and Stomach weakness with reduced desire for food, uncontrolled defecation, vomiting and abdominal pain, indigestion, chest discomfort, Qi deficiency due to malaria that persists chronically, or middle Qi weakness causing phlegm-Qi obstruction, mouth and tongue sores. Adding Fuzi (Aconiti Lateralis Radix Praeparata) makes it Fuzi Lizhong Tang (Prepared Aconite Regulate the Middle Decoction), which treats the aforementioned symptoms due to middle Qi deficiency-cold, post-coital abdominal pain, cold extremities, exposure to cold pathogens, or consumption of cold foods.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma), Gancao (Licorice Root, honey-fried), equal parts.
Take 5-7 qian or 1 liang per dose, decoct with water and take orally.
Fuzi Lizhong Tang (Prepared Aconite Regulate the Middle Decoction): Treats Spleen-Stomach deficiency-cold with cold extremities, inability to eat, borborygmus with severe pain, vomiting, and diarrhea. Add Fuzi (Aconiti Lateralis Radix Praeparata) in equal parts to the previous formula and take as directed.
Bazhen Tang (Eight-Treasure Decoction): Treats Qi and Blood deficiency with aversion to cold and fever, irritability and thirst, intermittent chills and fever, dizziness and fainting, loose stools, red scanty urination, reduced desire for food, and lower abdominal distension/pain. It is a combination of Siwu Tang (Four Substances Decoction) and Sizijunzi Tang (Four Gentlemen Decoction).
Shiquan Dabu Tang (Ten-Inch Great Tonifying Decoction): Bazhen Tang plus Huangqi (Astragali Radix) and Rougui (Cinnamomi Cortex). Treats the same symptoms as above. Also treats spermatorrhea, white turbidity, spontaneous sweating, and night sweats; internal heat, afternoon heat, tidal fever, and fever; dry mouth and thirst, sore throat, and cracked tongue; chest and breast distension, hypochondriac pain; coldness in the umbilical and abdominal region, dribbling urination; occasional headache and neck pain, dizziness and blurred vision; restlessness of the Heart Spirit, wakefulness without sleep; emaciation and limb pain; sensation of cold air when inhaling, shortness of breath upon rapid movement. These are all rootless deficient fires. Taking this medicine will resolve all symptoms.
Renshen Yangrong Tang (Ginseng Nourish Glory Decoction): Treats combined deficiency of the Spleen and Lung with fever and aversion to cold, four-limb fatigue, muscle emaciation, sallow complexion, shortness of breath, poor appetite, and diarrhea. If various symptoms arise from Qi and Blood deficiency that are indescribable, regardless of the disease name or pulse condition, using this decoction will resolve the illness.
Baishaoyao (Paeoniae Radix Alba) (1.5 qian), Renshen (Ginseng Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Huangqi (Astragali Radix, honey-fried), Guixin (Cinnamomi Ramulus), Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Licorice Root, honey-fried) (each 1 qian), Shudihuang (Prepared Rehmanniae Radix), Wuweizi (Schisandrae Chinensis Fructus, stir-fried and crushed), Fuling (Poria) (each 0.75 qian), Yuanzhi (Polygalae Radix) (0.5 qian).
Decoct with water, adding Shengjiang (Fresh Ginger) and Dazao (Jujubae Fructus), and take orally.
Danggui Buxue Tang (Angelica Tonify Blood Decoction): Treats combined Qi and Blood deficiency with skin heat and aversion to cold, reddish face and eyes, irritability, thirst with desire to drink, and a洪大 (Hongda/Voluminous) pulse that is empty and feels absent upon heavy pressure. This indicates pulse deficiency and Blood deficiency. This condition often results from irregular eating, hunger, fatigue, and overwork.
Huangqi (Astragali Radix, honey-fried) (1 liang), Danggui (Angelicae Sinensis Radix) (2 qian, wine-processed).
Decoct with water and take orally.
Danggui Liuhuang Tang (Angelica Six-Yellow Decoction):
Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix, stir-fried), Shengdihuang (Raw Rehmanniae Radix), Shudihuang (Prepared Rehmanniae Radix) (each 1 qian), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex, each stir-fried until scorched) (each 0.5 qian).
Decoct with water and take orally.
Dushen Tang (Single Ginseng Decoction): Treats all conditions of blood loss accompanied by aversion to cold, fever, thirst, and irritability. Since Blood is generated by Qi, tonifying Qi addresses blood loss, following the principle of Yang generating Yin.
Renshen (Ginseng Radix et Rhizoma) (2 liang).
Decoct with 10 Jujubes in water and take orally.
Guipi Tang (Restore the Spleen Decoction): Treats excessive worry injuring the Spleen, failing to control blood, leading to reckless bleeding; forgetfulness, palpitations, fright, and night sweats; Heart-Spleen pain, lethargy with poor appetite, irregular bowel movements; heavy painful limbs, irregular menstruation, leukorrhea (white or bloody-white discharge); malaria or dysentery caused by worry injuring the Spleen.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Bai Fuling (Poria), Huangqi (Astragali Radix), Longyanrou (Longan Aril), Suanzaoren (Ziziphi Spinosae Semen) (each 2 qian), Yuanzhi (Polygalae Radix) (1 qian), Muxiang (Aucklandiae Radix), Gancao (Licorice Root, honey-fried) (each 0.5 qian), Danggui (Angelicae Sinensis Radix) (1 qian).
Decoct with water, adding Shengjiang (Fresh Ginger) and Dazao (Jujubae Fructus), and take orally.
Jiawei Guipi Tang (Modified Restore the Spleen Decoction): The previous formula plus Chaihu (Bupleuri Radix) and Zhizi (Gardeniae Fructus).
Jiian Bawei Wan (Modified Eight-Ingredient Pill): Treats Kidney Yin insufficiency with deficient fire flaming upward, fever and thirst, mouth and tongue sores, gum ulceration, sore throat; emaciation, night sweats, fever, and dysfunction of the Five Zang organs. It is Liuwei Wan (Six-Ingredient Pill with Rehmannia) plus 1 liang of Rougui (Cinnamomi Cortex).
Liuwei Wan (Six-Ingredient Pill with Rehmannia) (also known as Dihuang Wan or Shenqi Wan):
Treats Kidney meridian insufficiency with fever and thirst, stranguria and urinary retention, Qi stagnation with phlegm-cough, dizziness, blurred vision and deafness, dry throat and painful tongue, loose teeth, weak waist and legs, spontaneous and night sweats, hematochezia and other bleeding disorders, aphonia, fluid overflow forming phlegm, and blood-deficiency fever. Its effects cannot be fully described.
Shudihuang (Prepared Rehmanniae Radix) (8 liang, pounded into paste), Shanzhuyu (Corni Fructus), Shanyao (Dioscoreae Rhizoma) (each 4 liang), Mudanpi (Moutan Cortex), Bai Fuling (Poria), Zexie (Alismatis Rhizoma) (each 3 liang).
Grind each into powder, mix with the Rehmannia paste and refined honey, form pills the size of tung tree seeds. Take 70-80 pills per dose before meals on an empty stomach with boiling water.
Bawei Wan (Eight-Ingredient Pill): Treats Mingmen Fire decline failing to warm Earth (Spleen/Stomach), resulting in Spleen-Stomach deficiency-cold, reduced desire for food, loose stools, umbilical/abdominal pain, and frequent nocturnal urination. It is Liuwei Wan (Six-Ingredient Pill with Rehmannia) plus 1 liang of Rougui (Cinnamomi Cortex) and 1 liang of Fuzi (Aconiti Lateralis Radix Praeparata).
Other formulas are found in the next volume.