上为细末，汤浸蒸饼为丸，如梧桐子大，每服三十丸，温米饮送下，食后服。
白术和胃丸 治病久厌厌不能食，而脏腑或闭或溏，此胃气虚弱也。常服则和中理气，去湿消痰，和脾胃，进
饮食。
白术（一两五钱） 半夏（汤泡洗七次） 浓朴（姜制，各一两） 陈皮（去白，八钱） 人参（五钱） 甘草（炙，
二钱） 枳实（麸炒黄色） 槟榔（各二钱五分） 木香（一钱五分） 干生姜（七分）
上为细末，汤浸蒸饼为丸，如梧桐子大，每服五十丸，温米饮送下。
枳术丸 治痞满，消食强胃。
白术（二两） 枳实（麸炒黄色，一两）
上为细末，用沸汤泡青荷叶，干者亦可，顷间去叶，用汤浸晚粳米杵粉，以原汤煮糊为丸，如梧桐子大，每服五十
丸，多至七、八十丸，白汤送下。本方加橘红一两，名橘皮枳术丸，治元气虚弱，饮食不消，心下痞闷。本方加炒神曲
一两，炒麦 面一两，名曲 枳术丸，治饮食太过，致心腹满闷不快。本方加木香一两，名木香枳术丸，能破滞气，消
饮食，开胃进食。本方加半夏一两，名半夏枳术丸，治因冷食内伤。本方加酒炒黄连、酒蒸大黄、炒神曲、净橘红各二
两，黄芩四两，名三黄枳术丸，治伤肉食湿面、辛辣味浓之物，填塞闷乱不快。
草豆蔻丸 治伤饮食卒心痛，甚效。或秋冬伤寒冷之物，胃脘当心而痛，上支两胁痛，膈噎不通，食饮不下。
草豆蔻（面裹煨） 枳实（麸炒黄色） 白术（各一两） 麦 （面炒黄色） 半夏（汤泡洗） 黄芩（去朽，酒
炒） 神曲（炒黄色，各五钱） 干生姜（炮） 橘红 青皮（炒，各二钱） 炒盐（五分）
上为细末，汤浸蒸饼为丸，如绿豆大，每服五十丸，白汤送下。如冬月，不可用黄芩。岁火不及，又伤冷物，加以
温剂，是其治也。然亦有热物伤者，从权以寒药治之，随时之宜，不可不知也。
枳实导滞丸 治伤湿热之物，不得施化而作痞满，闷乱不安。
大黄（一两） 枳实（去穣，麸炒） 神曲（炒，各五钱） 茯苓（去皮） 黄芩（去朽） 黄连 白术（各三钱）
泽泻（二钱）
或加木香、槟榔各二钱，名木香导滞丸。
上为细末，汤浸蒸饼为丸，如梧桐子大，每服七八十丸，温水送下，食远，量强弱加减丸数，以利为度。
白术丸 治伤豆粉、湿面、油腻之物。
白术（六两） 枳实（炒） 半夏（泡洗，七次） 神曲（炒，各五钱） 橘红（七钱） 黄芩（炒，五钱） 白
矾（枯，三分）
上为细末，汤浸蒸饼为丸，如绿豆大，每服六、七十丸，白汤送下，量所伤加减丸数。原素食多用椒、姜，故用黄
芩以泻之。
木香见 丸 治伤生冷硬物，心腹满闷疼痛。
神曲（炒） 京三棱（煨，各一两） 草豆蔻（面裹煨） 香附子（各五钱） 升麻 柴胡（各三钱） 木香（一
钱） 巴豆霜（五分） 石三棱（五钱，去皮煨）
上为细末，汤浸蒸饼为丸，如梧桐子大，每服三十丸，白汤送下，量所伤多少服之。
三棱消枳丸 治伤生冷硬物，不能消化，心腹满闷。
京三棱（醋煮） 广术（醋煮） 神曲（炒，各七钱） 净青皮 巴豆（和皮米炒焦黑，去米及皮） 茴香 陈皮
（去白，各五钱） 丁香 益智（去壳，各三钱）
上为细末，醋调面糊为丸，如梧桐子大，每服十丸，加至二十丸，生姜汤送下，食前，量虚实加减。如更衣，止后
服。
备急大黄丸 治心腹诸卒暴痛。
大黄 巴豆（去皮膜及油） 干姜（各等分）
上为细末，炼蜜和捣为丸，如小豆大，每服二丸，以利为度。
保和丸（丹溪） 治一切饮食所伤，胸腹饱闷不安，或腹中有食积癖块，多服日渐消散，脾胃虚者勿服。
山楂肉（五两，去核） 神曲（炒，三两） 半夏（汤泡洗，三两） 茯苓 陈皮（去白，各一两） 连翘（一两）
莱菔子（炒一两） 麦 面（炒，一两）
上为细末，别用生神曲五两，入生姜汁一小盏，水调打糊为丸，如梧桐子大，每服三、五十丸，白汤或清米饮送下。
一方加麦 面，有白术二两，名大安丸，健脾胃，消食积，最效。一云∶脾虚者服之，虚虚之祸，疾如反掌。或以四君
子
等作汤使送下。盖山楂一物，大能克化食物。若胃中无食、脾虚不运、不思食者服之，则克伐脾胃之气，故云然也。
加味二陈汤（丹溪） 导痰补脾，消食行气。
橘红 茯苓（各七分） 半夏（汤泡洗，一钱） 甘草（炙，三分） 川芎 苍术 白术（各八分） 山楂肉（一
钱五分） 砂仁（五分） 神曲（炒，七分） 香附子（一钱） 麦 面（炒，五分）
上件，除神曲、麦 面细研炒另包，余细切，作一服，加生姜三片，大枣一枚，水二盏，煎至一盏，调神曲、麦
入内服。
（祖传方）
溯源散 凡伤食物，致恶寒发热久不愈，或伤寒后食诸物，致食复潮热不已，必询问其先食何物所伤，或 粽，
或肉食，则以原食之物烧存性，一两重，细研为末，别用生韭菜连根约一握，杵汁调服，过一、二时，以东垣枳实导滞
丸百余粒催之，其所伤之宿食即下，热退而愈。
参苓白术散
治脾胃虚弱，饮食不进，或呕吐泻利。其大病后补助脾胃，此药极妙。
人参 白术 白茯苓 干山药 白扁豆（去壳，姜汁浸，炒，一两五钱） 甘草（炙） 桔梗（去芦） 薏苡仁 莲
肉（以上各一两）
家传治噤口痢，用石莲肉，又加石菖蒲一两。有气，加木香五钱。
上为细末，每服二钱，枣汤调下，噤口痢用粳米汤，休息痢用砂糖汤调下。别方有缩砂一两。
（医案）
杜门傅氏妇，予族侄女也，年三十岁，因劳倦伤食，致腹痛 胀面黄，十数日后求予治。诊得右手气口脉洪盛而滑，
右关脉浮诊虚大而滑，重按则沉实，左寸关亦弦滑而无力，两尺皆虚而伏。予曰∶此中气不足，脾气弱而不磨，当补泻
兼施而治。初与补中益气汤二服，次日与枳实导滞丸八十丸，大便去二次，次日又与补中益气汤。如此补一日，泻一日，
二十日服补药十数帖，导滞丸千数丸，腹胀渐退而安。
东阳卢廉夫，善推明丹溪之医学人也，自病亦误治。年四十五，时正月间，因往永康，路途跋涉，劳倦发热，身体
略痛而头不痛，自以为外感而用九味羌活汤，三帖汗出热不退，前后又服小柴胡汤五、六帖，热愈甚，经八日召予诊视。
至卧榻前，见煎成汤饮一盏在案，问之，乃大承气汤，将欲饮。诊其脉，右三部浮洪略弦而无力，左三部略小，而亦浮
软不足。予曰∶汝儿自杀矣，此内伤虚证，服此药大下必死。伊芳曰∶我平生元气颇实，素无虚损证，明是外感无疑也。
予曰∶将欲作阳明内实治而下之欤？脉既不沉实，而又无目疼鼻干、潮热谵语等证。将欲作太阳表实治而汗之欤？脉虽
浮洪而且虚，又无头痛脊强等证。今经八日，不应仍在其表，汝欲作何经而处治之乎？伊芳则唯唯不语。以补中益气汤加
附子三分，作大剂与之，是夜连进二服，天明往诊，脉略平和。伊芳言尚未服，仍谓前药无效，欲易外感退热之药。予曰∶
再饮前药二服，不效当罪我。又如前二服，脉证俱减半。伊芳始曰∶我儿误矣。去附子，再煎二服与之，得热退气和而愈。
予则告曰。其热虽退，体犹困倦，伊芳如前自合二十余帖，服后方得强健复元而安。
上湖吕氏子，年三十余，九月间因劳倦发热。医作外感治，用小柴胡、黄连解毒、白虎等汤，反加痰气上壅，狂言
不识人，目赤上视，身热如火，众医技穷。八日后召予诊视，六脉数疾七、八至，又三部豁大无力，左略弦而芤。予曰∶
此病先因中气不足，又内伤寒凉之物，致内虚发热，因与苦寒药太多，为阴盛格阳之证，幸元气稍充，未死耳。以补中
益气汤，加制附子二钱，干姜一钱，又加大枣、生姜煎服。众医笑曰∶此促其死也。黄昏时服一剂，痰气遂平而熟寐。
伊芳父报曰∶自病不寐，今安卧，鼾声如平时。至半夜方醒，始识人，而诸病皆减。又如前再与一剂，至天明时，得微汗
气和而愈。
将药物研成细末，用汤水浸泡蒸饼制成丸药，大小如梧桐子，每次服用三十丸，用温热的米汤送服，饭后服用。
白术和胃丸：治疗病程长久、精神萎靡、食欲不振，且脏腑功能时而闭塞不通、时而大便溏泄的症状，这是胃气虚弱的表现。经常服用可以调和脾胃、理顺气机、祛除湿邪、消除痰饮，从而增进饮食。
白术（一两五钱） 半夏（用汤水泡洗七次） 浓朴（姜汁制，各一两） 陈皮（去白皮，八钱） 人参（五钱） 甘草（蜜炙，二钱） 枳实（麸皮炒至黄色） 槟榔（各二钱五分） 木香（一钱五分） 干生姜（七分）
将上述药物研成细末，用汤水浸泡蒸饼制成丸药，大小如梧桐子，每次服用五十丸，用温热的米汤送服。
枳术丸：治疗痞满证，能消食健胃。
白术（二两） 枳实（麸皮炒至黄色，一两）
将上述药物研成细末，用沸水冲泡青荷叶（干荷叶也可以），片刻后取出荷叶，用泡过荷叶的水浸泡晚粳米并捣碎成粉，再用原汤煮成糊状，以此制作丸药，大小如梧桐子，每次服用五十丸，多者可服七、八十丸，用白开水送服。本方加入橘红一两，名为橘皮枳术丸，治疗元气虚弱、饮食不消化、心下痞闷。本方加入炒神曲一两、炒麦面一两，名为曲蘖枳术丸，治疗饮食过量导致的心腹满闷不适。本方加入木香一两，名为木香枳术丸，能破滞气、消饮食、开胃进食。本方加入半夏一两，名为半夏枳术丸，治疗因冷食内伤所致病症。本方加入酒炒黄连、酒蒸大黄、炒神曲、净橘红各二两，黄芩四两，名为三黄枳术丸，治疗因食用肉类、湿面、辛辣味浓之物导致的填塞闷乱不适。
草豆蔻丸：治疗因饮食损伤引起的突发心痛，效果显著。或秋冬季节因食用寒冷之物，导致胃脘部当心而痛，疼痛向上支撑两胁，膈噎不通，饮食难下。
草豆蔻（面粉包裹煨熟） 枳实（麸皮炒至黄色） 白术（各一两） 麦芽（面粉炒至黄色） 半夏（汤水泡洗） 黄芩（去除朽坏部分，酒炒） 神曲（炒至黄色，各五钱） 干生姜（炮制） 橘红 青皮（炒，各二钱） 炒盐（五分）
将上述药物研成细末，用汤水浸泡蒸饼制成丸药，大小如绿豆，每次服用五十丸，用白开水送服。如果是冬季，不可使用黄芩。若岁火不及，又损伤冷物，应加用温性药物，这是正确的治法。然而也有因热物损伤的情况，可权变以寒凉药物治疗，需根据时令适宜情况而定，不可不知。
枳实导滞丸：治疗因损伤湿热之物，导致气化不利而产生痞满，胸闷烦乱不安。
大黄（一两） 枳实（去瓤，麸皮炒） 神曲（炒，各五钱） 茯苓（去皮） 黄芩（去朽） 黄连 白术（各三钱） 泽泻（二钱）
或者加入木香、槟榔各二钱，名为木香导滞丸。
将上述药物研成细末，用汤水浸泡蒸饼制成丸药，大小如梧桐子，每次服用七八十丸，用温水送服，饭前服用，根据患者体质强弱增减丸数，以通利大便为度。
白术丸：治疗因食用豆粉、湿面、油腻之物造成的损伤。
白术（六两） 枳实（炒） 半夏（泡洗七次） 神曲（炒，各五钱） 橘红（七钱） 黄芩（炒，五钱） 白矾（枯矾，三分）
将上述药物研成细末，用汤水浸泡蒸饼制成丸药，大小如绿豆，每次服用六、七十丸，用白开水送服，根据所伤食物的多少增减丸数。原本素食较多的人容易多用椒、姜，故用黄芩来清泻之。
木香见（注：原文可能有误，通常指某类丸剂，此处依原文翻译）丸：治疗因食用生冷坚硬之物，导致心腹满闷疼痛。
神曲（炒） 京三棱（煨，各一两） 草豆蔻（面粉包裹煨） 香附子（各五钱） 升麻 柴胡（各三钱） 木香（一钱） 巴豆霜（五分） 石三棱（五钱，去皮煨）
将上述药物研成细末，用汤水浸泡蒸饼制成丸药，大小如梧桐子，每次服用三十丸，用白开水送服，根据所伤食物的多少决定服用量。
三棱消枳丸：治疗因食用生冷坚硬之物，不能消化，导致心腹满闷。
京三棱（醋煮） 广术（醋煮） 神曲（炒，各七钱） 净青皮 巴豆（带皮与米同炒至焦黑，去掉米及皮） 茴香 陈皮（去白，各五钱） 丁香 益智（去壳，各三钱）
将上述药物研成细末，用醋调面糊制成丸药，大小如梧桐子，每次服用十丸，增至二十丸，用生姜汤送服，饭前服用，根据虚实情况增减剂量。如果排便，则停止后续服药。
备急大黄丸：治疗心腹部各种突发剧烈疼痛。
大黄 巴豆（去皮膜及油） 干姜（各等分）
将上述药物研成细末，用炼蜜调和捣制成丸药，大小如小豆，每次服用二丸，以通利大便为度。
保和丸（丹溪方）：治疗一切饮食所伤，胸腹饱闷不安，或腹中有食积癖块，多服可日渐消散，脾胃虚弱者勿服。
山楂肉（五两，去核） 神曲（炒，三两） 半夏（汤水泡洗，三两） 茯苓 陈皮（去白，各一两） 连翘（一两） 莱菔子（炒一两） 麦面（炒，一两）
将上述药物研成细末，另外取生神曲五两，加入生姜汁一小盏，用水调打糊状制成丸药，大小如梧桐子，每次服用三、五十丸，用白开水或清米汤送服。另一说法是加入麦面，并有白术二两，名为大安丸，能健脾胃、消食积，效果极佳。有人说：脾虚者服用此方，会导致虚上加虚的祸患，病情恶化极快。也有人建议用四君子汤等煎汤送服。这是因为山楂一味药，具有强大的消化食物作用。如果胃中没有积食、脾虚不运化、不思饮食者服用，则会克伐脾胃之气，所以这样说。
加味二陈汤（丹溪方）：引导痰浊、补益脾气、消食行气。
橘红 茯苓（各七分） 半夏（汤水泡洗，一钱） 甘草（蜜炙，三分） 川芎 苍术 白术（各八分） 山楂肉（一钱五分） 砂仁（五分） 神曲（炒，七分） 香附子（一钱） 麦面（炒，五分）
以上药物，除神曲、麦面细研炒后另包外，其余切碎，作为一付药，加入生姜三片、大枣一枚，水两盏，煎至一盏，调入神曲、麦面粉末内服用。
（祖传方）
溯源散：凡是因食物损伤，导致恶寒发热经久不愈，或伤寒后食用各种食物，导致食复潮热不止，必须询问之前吃了什么食物受损，或是粽子，或是肉食，则将原食之物烧存性（烧至外部焦黑内部保留药性），重一两，研成细末，另外取生韭菜连根约一握，捣取汁液调服，过一、两个时辰后，用东垣枳实导滞丸百余粒催吐或通便，所伤的宿食即排出，热退而痊愈。
参苓白术散
治疗脾胃虚弱，饮食不进，或呕吐腹泻。在大病之后补助脾胃，此药极为巧妙。
人参 白术 白茯苓 干山药 白扁豆（去壳，姜汁浸，炒，一两五钱） 甘草（蜜炙） 桔梗（去芦头） 薏苡仁 莲肉（以上各一两）
家传治疗噤口痢的方法，使用石莲肉，又加入石菖蒲一两。如果有气滞，加入木香五钱。
将上述药物研成细末，每次服用二钱，用枣汤调下；治疗噤口痢用粳米汤，治疗休息痢用砂糖汤调下。其他方剂中有一两缩砂。
（医案）
杜门傅氏妇，是我的族侄女，三十岁，因劳累倦怠导致伤食，引起腹痛、腹胀、面色发黄，十几天后求我诊治。诊得右手气口脉洪盛而滑，右关脉轻取虚大而滑，重按则沉实，左寸关亦弦滑而无力，两尺脉皆虚而伏。我说：这是中气不足，脾气弱而不能磨化食物，应当补泻兼施来治疗。起初给予补中益气汤两服，次日给予枳实导滞丸八十丸，大便排出两次，次日又给予补中益气汤。如此补一天，泻一天，二十天服用补药十数帖，导滞丸千余丸，腹胀逐渐消退而安宁。
东阳卢廉夫，是一位善于推演阐明丹溪医学的人，他自己生病也误治了。四十五岁时，正值正月，因前往永康，路途跋涉，劳累倦怠发热，身体略有疼痛但头部不痛，自认为是外感而使用九味羌活汤，三帖后出汗但热不退，前后又服小柴胡汤五、六帖，热势更甚，经过八天召我诊治。来到卧榻前，见案上有一盏煎好的汤饮，问之，乃是大承气汤，正准备饮用。诊其脉，右三部浮洪略弦而无力，左三部略小，也浮软不足。我说：你这是在自杀啊，这是内伤虚证，服用此药大下必死。他说：我平生元气颇实，素无虚损证，明是外感无疑。我说：你想当作阳明内实证来攻下吗？脉既不沉实，又没有目疼鼻干、潮热谵语等症状。想当作太阳表实证来发汗吗？脉虽浮洪而且虚，又没有头痛脊强等症状。如今已过八天，不应仍在表证阶段，你想当作哪一经来处置呢？他唯唯不语。我用补中益气汤加附子三分，作大剂给他服用，当夜连进两服，天明去诊视，脉象略微平和。他说尚未服药，仍谓前药无效，欲换用外感退热之药。我说：再饮前药两服，若无效当归罪于我。又如前服用两服，脉证俱减半。他才说：我儿误矣。去掉附子，再煎两服给他，得以热退气和而痊愈。我告诫他说：其热虽退，身体仍然困倦，他照从前自行合方二十余帖，服用后方得强健复元而安宁。
上湖吕氏子，三十多岁，九月间因劳累倦怠发热。医生当作外感治疗，用小柴胡、黄连解毒、白虎等汤，反而加重痰气上壅，狂言不识人，目赤上视，身热如火，众医技穷。八天后召我诊治，六脉数疾七、八至，又三部豁大无力，左略弦而芤。我说：此病先因中气不足，又内伤寒凉之物，导致内虚发热，因与苦寒药太多，成为阴盛格阳之证，幸而元气稍充，未死罢了。用补中益气汤，加制附子二钱，干姜一钱，又加大枣、生姜煎服。众医笑着说：这是促使其死亡。黄昏时服一剂，痰气遂平而熟睡。其父报告说：自患病以来不能入睡，现在安卧，鼾声如平时。至半夜才醒，开始认识人，而诸病皆减。又如前再给一剂，至天明时，得微汗气和而痊愈。
The medicines are ground into a fine powder, mixed with steamed dough soaked in decoction to form pills the size of *Cerasus pseudocerasus* seeds (Wutongzi). Each dose consists of thirty pills, taken with warm rice water after meals.
Baizhu Hewei Wan (Atractylodes Macrocephala Stomach-Harmonizing Pill): Treats prolonged illness characterized by lethargy and anorexia, with intestinal or rectal obstruction or loose stools, indicating deficiency of Stomach Qi. Regular consumption harmonizes the middle, regulates Qi, dispels dampness, resolves phlegm, strengthens the Spleen and Stomach, and promotes appetite.
Baizhu (Atractylodis Macrocephalae Rhizoma) [1 liang 5 qian], Banxia (Pinelliae Rhizoma, washed seven times in decoction), Houpo (Magnoliae Officinalis Cortex, ginger-processed, each 1 liang), Chenpi (Citri Reticulatae Pericarpium, white pith removed, 8 qian), Renshen (Ginseng Radix et Rhizoma, 5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 qian), Zhishi (Immature Bitter Orange Fruit, bran-fried until yellow), Binglang (Arecae Semen, each 2 qian 5 fen), Muxiang (Vladimiriae Root, 1 qian 5 fen), Ganshengjiang (Dried Ginger, 7 fen).
Grind the above into a fine powder, mix with steamed dough soaked in decoction to form pills the size of *Cerasus pseudocerasus* seeds. Each dose is fifty pills, taken with warm rice water.
Zhizhu Wan (Immature Bitter Orange and Atractylodes Pill): Treats fullness and distension (Pi Man), dissipates food stagnation, and strengthens the Stomach.
Baizhu (Atractylodis Macrocephalae Rhizoma) [2 liang], Zhishi (Immature Bitter Orange Fruit, bran-fried until yellow, 1 liang).
Grind the above into a fine powder. Soak green lotus leaves in boiling water (dried leaves may also be used), remove the leaves after a short while, soak late-season japonica rice in the same water, pound into powder, and cook with the original water to make a paste for forming pills the size of *Cerasus pseudocerasus* seeds. Each dose is fifty pills, up to seventy or eighty pills, taken with plain boiled water. If Juhong (Tangerine Peel) one liang is added, it is named Jupi Zhizhu Wan, treating Yuanqi deficiency, indigestion, and epigastric fullness. If fried Shenqu (Medicated Leaven) one liang and fried Mai mian (Wheat Flour) one liang are added, it is named Quzhi Zhizhu Wan, treating excessive food intake causing epigastric and abdominal fullness and discomfort. If Muxiang (Vladimiriae Root) one liang is added, it is named Muxiang Zhizhu Wan, breaking Qi stagnation, digesting food, and opening the stomach to promote eating. If Banxia (Pinelliae Rhizoma) one liang is added, it is named Banxia Zhizhu Wan, treating internal injury from cold food. If Jiuhuanglian (Coptidis Rhizoma wine-fried), Jiudahuang (Rhei Radix et Rhizoma wine-steamed), fried Shenqu, and Jing Juhong (Tangerine Peel) each two liang, plus Huangqin (Scutellariae Radix) four liang are added, it is named Sanhuang Zhizhu Wan, treating blockage and restlessness caused by meat, wet noodles, and strong spicy foods.
Caodoukou Wan (Cardamomi Fructus Pill): Highly effective for sudden heart pain due to food injury. Or for pain in the epigastrium directly below the heart caused by consuming cold foods in autumn and winter, radiating to both hypochondria, with diaphragmatic obstruction and inability to swallow food or drink.
Caodoukou (Cardamomi Fructus, baked in flour), Zhishi (Immature Bitter Orange Fruit, bran-fried until yellow), Baizhu (Atractylodis Macrocephalae Rhizoma, each 1 liang), Mairen (Malt, baked in flour until yellow), Banxia (Pinelliae Rhizoma, washed in decoction), Huangqin (Scutellariae Radix, rotten parts removed, wine-fried), Shenqu (Medicated Leaven, fried until yellow, each 5 qian), Ganshengjiang (Dried Ginger, processed), Juhong (Tangerine Peel), Qingpi (Green Tangerine Peel, fried, each 2 qian), Chao Yan (Fried Salt, 5 fen).
Grind the above into a fine powder, mix with steamed dough soaked in decoction to form pills the size of mung beans. Each dose is fifty pills, taken with plain boiled water. In winter, Huangqin should not be used. If the year lacks Fire energy and cold foods are injured, warming agents should be added; this is the correct treatment. However, injuries from hot foods also occur; one must use cold medicines as a temporary measure according to seasonal appropriateness, which must not be ignored.
Zhishi Daozhi Wan (Immature Bitter Orange and Dampness-Draining Pill): Treats fullness and distress caused by injuring damp-heat substances, leading to impaired transformation and accumulation.
Dahuang (Rhei Radix et Rhizoma, 1 liang), Zhishi (Immature Bitter Orange Fruit, pulp removed, bran-fried), Shenqu (Medicated Leaven, fried, each 5 qian), Fuling (Poria, peeled), Huangqin (Scutellariae Radix, rotten parts removed), Huanglian (Coptidis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, each 3 qian), Zexie (Alismatis Rhizoma, 2 qian).
Alternatively, add Muxiang (Vladimiriae Root) and Binglang (Arecae Semen) each 2 qian, named Muxiang Daozhi Wan.
Grind the above into a fine powder, mix with steamed dough soaked in decoction to form pills the size of *Cerasus pseudocerasus* seeds. Each dose is seventy or eighty pills, taken with warm water before meals. Adjust the number of pills based on strength, aiming for bowel movement.
Baizhu Wan (Atractylodes Pill): Treats injury from bean flour, wet noodles, and greasy foods.
Baizhu (Atractylodis Macrocephalae Rhizoma) [6 liang], Zhishi (Immature Bitter Orange Fruit, fried), Banxia (Pinelliae Rhizoma, washed seven times), Shenqu (Medicated Leaven, fried, each 5 qian), Juhong (Tangerine Peel, 7 qian), Huangqin (Scutellariae Radix, fried, 5 qian), Bai Fan (Alumen, calcined, 3 fen).
Grind the above into a fine powder, mix with steamed dough soaked in decoction to form pills the size of mung beans. Each dose is sixty or seventy pills, taken with plain boiled water. Adjust the number of pills based on the amount of injured food. Since vegetarians often consume more pepper and ginger, Huangqin is used to clear heat.
Muxiang Jian (Note: Original text likely refers to a specific pill type, translated literally) Pill: Treats epigastric and abdominal fullness and pain caused by consuming raw, cold, and hard foods.
Shenqu (Medicated Leaven, fried), Jing Sanleng (Sparganii Rhizoma, baked, each 1 liang), Caodoukou (Cardamomi Fructus, baked in flour), Xiangfuzi (Cyperi Rhizoma, each 5 qian), Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix, each 3 qian), Muxiang (Vladimiriae Root, 1 qian), Badoushuang (Crotonis Semen Paste, 5 fen), Shi Sanleng (Sparganii Rhizoma, 5 qian, peeled and baked).
Grind the above into a fine powder, mix with steamed dough soaked in decoction to form pills the size of *Cerasus pseudocerasus* seeds. Each dose is thirty pills, taken with plain boiled water. Adjust the dose based on the amount of injured food.
Sanleng Xiao Zhi Wan (Sparganium and Immature Bitter Orange Pill): Treats inability to digest raw, cold, and hard foods, causing epigastric and abdominal fullness.
Jing Sanleng (Sparganii Rhizoma, vinegar-boiled), Guang Zhu (Curcumae Rhizoma, vinegar-boiled), Shenqu (Medicated Leaven, fried, each 7 qian), Jing Qingpi (Green Tangerine Peel), Badou (Crotonis Semen, fried with skin and rice until black, remove rice and skin), Huixiang (Foeniculi Fructus), Chenpi (Citri Reticulatae Pericarpium, white pith removed, each 5 qian), Dingxiang (Caryophylli Flos), Yizhi (Alpiniae Oxyphyllae Fructus, husked, each 3 qian).
Grind the above into a fine powder, mix with vinegar-adjusted wheat paste to form pills the size of *Cerasus pseudocerasus* seeds. Each dose is ten pills, increasing to twenty pills, taken with ginger decoction before meals. Adjust based on deficiency or excess. Stop subsequent doses if defecation occurs.
Beiji Dahuang Wan (Emergency Dahuang Pill): Treats various sudden severe pains in the heart and abdomen.
Dahuang (Rhei Radix et Rhizoma), Badou (Crotonis Semen, peel and membrane removed, oil drained), Ganshengjiang (Dried Ginger, equal parts).
Grind the above into a fine powder, mix with refined honey and knead to form pills the size of small beans. Each dose is two pills, aiming for bowel movement.
Baohe Wan (Danxi Formula): Treats all types of food injury, chest and abdominal fullness and discomfort, or food accumulation masses in the abdomen. Long-term use gradually dissipates them. Do not use for those with Spleen-Stomach deficiency.
Shanzha Rou (Crataegi Fructus flesh, 5 liang, pits removed), Shenqu (Medicated Leaven, fried, 3 liang), Banxia (Pinelliae Rhizoma, washed in decoction, 3 liang), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium, white pith removed, each 1 liang), Lianqiao (Forsythiae Fructus, 1 liang), Laifuzi (Raphani Semen, fried, 1 liang), Maimian (Wheat Flour, fried, 1 liang).
Grind the above into a fine powder. Separately, take raw Shenqu five liang, add one small cup of fresh ginger juice, mix with water to form a paste for pills the size of *Cerasus pseudocerasus* seeds. Each dose is thirty to fifty pills, taken with plain boiled water or clear rice water. Another version adds Maimian and Baizhu two liang, named Da'an Wan, strongly tonifying the Spleen and Stomach and resolving food accumulation. Some say: Those with Spleen deficiency taking this will suffer from "deficiency adding to deficiency," worsening rapidly. Others suggest taking it with Si Jun Zi Tang (Four Gentlemen Decoction). This is because Shanzha has strong food-digesting properties. If there is no food in the Stomach, Spleen deficiency with poor transport, and lack of appetite, taking it will damage Spleen and Stomach Qi, hence the warning.
Jiawei Erchen Tang (Modified Two-Chen Decoction, Danxi Formula): Guides out phlegm, tonifies the Spleen, digests food, and moves Qi.
Juhong (Tangerine Peel), Fuling (Poria, each 7 fen), Banxia (Pinelliae Rhizoma, washed in decoction, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 fen), Chuanxiong (Ligustici Chuanxiong Rhizoma), Cangzhu (Atractylodis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, each 8 fen), Shanzha Rou (Crataegi Fructus flesh, 1 qian 5 fen), Sharen (Amomi Fructus, 5 fen), Shenqu (Medicated Leaven, fried, 7 fen), Xiangfuzi (Cyperi Rhizoma, 1 qian), Maimian (Wheat Flour, fried, 5 fen).
For the above, except Shenqu and Maimian which are finely ground, fried, and packed separately, chop the rest finely for one dose. Add three slices of fresh ginger and one jujube. Decoct in two cups of water until one cup remains. Mix in the ground Shenqu and Maimian before drinking.
(Ancestral Formula)
Suyuan San (Source-Tracing Powder): For any food injury causing persistent aversion to cold and fever, or post-typhoid relapse fever due to eating various foods, inquire what was eaten. Whether zongzi or meat, burn the original food to retain its nature (charred outside, medicated inside), weigh one liang, grind to powder. Separately, take about one handful of raw Chinese chives with roots, crush to extract juice, and mix with the powder to take. After one or two hours, administer over one hundred pills of Dongyuan's Zhishi Daozhi Wan to induce evacuation. The retained food will pass, fever will subside, and recovery will occur.
Shenling Baizhu San (Ginseng, Poria, and Atractylodes Powder)
Treats Spleen-Stomach weakness, anorexia, vomiting, or diarrhea. It is excellent for supporting the Spleen and Stomach after serious illness.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Baifuling (White Poria), Ganshan Yao (Dried Dioscoreae Rhizoma), Baibian Dou (Dolichoris Semen, husked, soaked in ginger juice, fried, 1 liang 5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Jiegeng (Platycodonis Radix, rhizome removed), Yiyiren (Coicis Semen), Lianrou (Nelumbinis Plumula, each 1 liang).
Family method for Jin Kou Li (Tabes Dysenteria with inability to eat): Use Shi Lian Rou (Stone Lotus Seed), add Shichangpu (Acori Tatarinowii Rhizoma) one liang. If Qi stagnation exists, add Muxiang (Vladimiriae Root) five qian.
Grind the above into a fine powder. Each dose is two qian, taken with jujube water decoction. For Tabes Dysenteria, use japonica rice water; for intermittent dysentery, use sugar water. Other formulas include Suisha (Amomi Fructus) one liang.
(Medical Case)
Madam Fu of Du Men, my clan niece, aged thirty, suffered from abdominal pain, distension, and sallow complexion due to fatigue and food injury. She sought my treatment ten days later. Her pulse at the Qi Kou on the right hand was surging and slippery. The Guan position on the right was superficially deficient and large but slippery, and deep pressure revealed it was deep and solid. The Cun and Guan positions on the left were wiry and slippery but weak. Both Chi positions were deficient and hidden. I said: This is insufficient Middle Qi and weak Spleen failing to grind food. Treatment should combine tonification and purgation. Initially, I gave Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) for two doses. The next day, I gave Zhishi Daozhi Wan eighty pills, resulting in two bowel movements. The following day, I again administered Bu Zhong Yi Qi Tang. Thus, tonifying one day and purging the next, she took over ten doses of tonics and thousands of pills of the draining formula over twenty days. Abdominal distension gradually subsided, and she recovered.
Lu Lianfu of Dongyang, a scholar skilled in elucidating Danxi's medical theories, misdiagnosed himself. At forty-five, in January, he traveled to Yongkang, suffering from fatigue-induced fever and mild body ache without headache. Believing it was an exterior contraction, he used Jiuwei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction). After three doses, sweating occurred but fever persisted. He then took Xiao Chaihu Tang (Minor Bupleurum Decoction) five or six times, worsening the fever. Eight days later, I examined him. On his bedside table was a cup of prepared Da Chengqi Tang (Major Order the Qi Decoction), which he intended to drink. His pulse in the right three positions was floating, surging, slightly wiry, and weak. The left three positions were slightly smaller, also floating, soft, and insufficient. I said: You are killing yourself. This is an interior deficiency pattern; drastic purgation will cause death. He replied: My Yuanqi has always been robust, with no history of deficiency. It is clearly an exterior contraction. I said: Are you treating this as Yangming interior excess and purging? The pulse is not deep and solid, nor do you have eye pain, dry nose, tidal fever, or delirium. Are you treating this as Taiyang exterior excess and sweating? The pulse is floating and surging yet weak, and you lack headache and stiff spine. Having passed eight days, it should no longer be in the exterior. Which channel do you propose to treat? He remained silent. I prescribed Bu Zhong Yi Qi Tang with 3 fen of Fuzi (Aconiti Lateralis Radix Praeparata) in a large dose. He took two doses that night. At dawn, his pulse had slightly normalized. He claimed he hadn't taken them and still wanted exterior-clearing medicine. I insisted on two more doses. Afterward, symptoms halved. He admitted error. We removed Fuzi and continued for two more doses. Fever subsided, Qi harmonized, and he recovered. I advised: Although fever is gone, fatigue remains. He self-prescribed over twenty additional doses, finally regaining strength and health.
The son of the Lu family in Shanghu, over thirty years old, developed fever due to fatigue in September. Physicians treated it as an exterior contraction using Xiao Chaihu Tang, Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxins), and Baihu Tang (White Tiger Decoction). This exacerbated phlegm-Qi rising, causing delirium, inability to recognize people, red eyes looking upward, and intense body heat. Physicians exhausted their skills. Eight days later, I examined him. All six pulses were rapid, beating seven to eight times per breath, wide and empty, lacking force. The left was slightly wiry and hollow. I said: This disease began with insufficient Middle Qi and internal injury from cold/cool substances, causing interior deficiency fever. Excessive bitter-cold medicines led to Yin excess repelling Yang. Fortunately, his Yuanqi was sufficient enough to prevent death. I prescribed Bu Zhong Yi Qi Tang with 2 qian of processed Fuzi, 1 qian of Ganshengjiang, plus jujube and fresh ginger. Physicians laughed, saying this would hasten death. He took one dose at dusk. Phlegm-Qi calmed, and he slept soundly. His father reported: He couldn't sleep since falling ill, now sleeps peacefully with normal snoring. He woke at midnight, recognized people, and symptoms decreased. Another dose was given. By dawn, slight sweating occurred, Qi harmonized, and he recovered.