心下不痞满，自不能食也。
〔《经》〕治大人小儿不进乳食，和气去痰。用人参四两，半夏一两，姜汁浸一宿，曝干为末，
面糊丸。食后生姜汤下。
〔垣〕和中丸开胃进食。
干姜（一钱） 木瓜（一枚） 甘草（炙二钱） 陈皮（一钱） 人参（一钱） 白术（三钱）
上为末，蒸饼糊丸。食前白汤下三五十丸。
〔《本》〕七珍散开胃进食，补脾养气。
人参 白术 黄 （蜜炙） 山药 白茯苓 粟米（微炒） 甘草（等分）
上为末，每服二钱，姜枣煎服。如故不思饮食，加扁豆一两，名八珍散。此方温平不热，
常服饮食自倍。
〔海〕六神汤治伤寒虚羸，不思饮食。
人参 白术 黄 （各一两） 枳壳（一方用枳实。炒） 白茯苓（各半两） 甘草（二钱）
上为末。每服五钱，姜、枣同粳米合许煎，食前服。
〔罗〕钱氏异功散 治脾胃虚弱，难任饮食。（异功散用人参、白茯苓、白术、甘草、橘红、
木香各等分，姜、枣煎服。）
罗谦甫云∶脾胃弱而饮食难任者，不可一概用克伐之剂，宜钱氏异功散补之，自然能食。
设或嗜食太过，伤脾而痞满呕逆，权用枳实丸一服，慎勿多服。予尝治翁氏久疟，食少汗多。先
用补剂加黄连、枳实，月余食反不进，汗亦不止。因悟谦甫此言，遂减去枳、连，纯用补剂；又
令粥多于药而食进；又于原方内加附子三分半，一服而愈。
〔垣〕宽中进食丸滋形气，喜饮食。
草蔻仁（五钱） 砂仁（一钱五分） 半夏曲（七钱） 麦芽（炒，一两） 枳实（炒，四钱） 神
曲（炒，半两） 甘草（炙，一钱半） 干姜（一钱） 陈皮（三钱） 木香（五分） 白术 白茯苓（各二钱）
猪苓 泽泻 人参 青皮（各一钱）
上为末，汤浸蒸饼为丸。每服三五十丸，白汤下。
和中丸治病久虚弱，厌厌不能食，而脏腑或秘或溏。常服和中理气，消痰进食，去湿浓
肠胃。
浓朴（姜制，一两） 白术（一两半） 半夏（制，一两） 橘红（八钱） 槟榔（四钱） 枳实（麸炒，
三钱） 木香（二钱半） 甘草（炙，三钱半）
上为末，生姜汁浸蒸饼丸。每服五六十丸，食远白汤下。
木香枳术丸、木香干姜枳术丸能开胃进食。（二方并见内伤饮食门。）
交泰丸升阳气，泻阴火，调荣气，进饮食，助精神，宽腹胀。除怠惰嗜卧，四肢不收，
沉困懒倦。
知母（四钱，一半生，一半酒炒，春夏用，秋冬减去） 柴胡（一钱半） 浓朴（去皮，炒，三
钱。秋冬加七钱） 人参（一钱） 黄连（六钱，秋冬减一钱半） 苦楝（酒煮，三钱） 肉桂（去皮，
一钱） 白茯苓（三钱） 皂角（去皮弦，煨，六钱） 紫菀（去苗，六钱） 小椒（炒，去汗、并闭目
者，一钱半） 白术（二钱） 川乌头（四钱半） 干姜（炮，三钱） 巴豆霜（半两） 吴茱萸（汤洗，
半两） 砂仁（三钱）
上除巴豆霜另研入，余俱为细末，蜜丸。每服三四十丸，温水下，量虚实加减。
〔河〕人参半夏丸 下痰进食。（方见咳嗽门。）
〔丹〕治一男子，因服热药多，又性急，形瘦多倦，食少。此时四月，后与此方，分作十四帖，
食后煎热，下
大补丸十五粒。
白术（一两半） 炒曲（一两） 陈皮（七钱） 黄芩（六钱） 人参 知母（炒） 麦门冬 木通
（各半两） 生甘草 炙甘草（各一钱）
又治劳苦不思饮食。
白术（三钱） 滑石 白茯苓（各一钱）
水煎服，下保和丸三十丸。
治香港脚瘦倦，不思饮食。
白术（二两） 苍术 陈皮 黄连 黄柏 半夏（各半两） 扁柏（七钱半） 香附（一两）
白芍药（一两）
上为末，姜汁糊丸。
忧抑伤脾，不思饮食。
黄连（炒） 芍药（酒炒） 香附 青六散末（方见滞下。即六一散加红曲二两）
上姜汁浸，炊饼为丸。
湿痰气滞，不思谷食，三补丸加苍术，倍香附。
〔《本》〕治脾气久虚，不进饮食，停饮胁痛，曲术丸。
神曲（炒，十两） 白术（五两） 干姜 官桂（各二两） 吴茱萸 川椒（各三两）
上为末，薄糊丸。每服三五十丸，食前姜汤下。有饮加白术二两。此方自试有效。
二神丸治脾肾虚弱，全不进食。
破故纸（炒，四两） 肉豆蔻（生，二两）
上为末。用肥枣四十九个，生姜四两，切片同煮。枣烂去姜，取枣剥去皮核，用肉研为膏，入
药末和杵，丸如桐子大。每服三四十丸，盐汤下。有人全不进食，服补脾药皆不效，予授此方
服之，顿能进食。此病不
可全作脾气治，盖肾气怯弱，真元衰削，是以不能消化饮食。譬之鼎釜之中，置诸米谷，下无
火力，终日米不熟，其何能化。黄鲁直尝记∶服菟丝子淘净，酒浸曝干，日挑数匙，以酒下之。
十日外饮啖，如汤沃雪，亦知此理也。
〔《摘》〕胃弱不思饮食，肠鸣腹痛，食亦不化∶三里、三阴交
〔东〕三焦停水，气攻不食，身黄微热，胃中有寒故也∶维道、中封、胃俞、肾俞。
〔《撮》〕三焦邪热，不嗜饮食∶关元（一分，沿皮向后三分，灸。）
〔东〕全不思食∶然谷（出血立饥。）
脉浮滑而疾者，食不消，脾不磨。阳脉滑而紧，滑则胃气实，紧则脾气伤，得食不消者，此脾
不和也。（枳术丸之类治之。）
〔仲〕寸口脉微而涩，微者卫气不行，涩者荣气不达。荣卫不能相将，三焦无所仰，身体痹
不仁。荣气不足，则头疼口难言，卫气虚则恶寒数欠，三焦不归其部。上焦不归者，噫而吞酸；
中焦不归者，不能消谷引食；下焦不归者，则为遗溲。（异功散之类治之。）
心下没有痞塞胀满的感觉，是因为自身无法进食。
〔《黄帝内经》〕治疗成人和儿童不能进乳食，具有调和气血、祛除痰浊的作用。用人参四两，半夏一两，用姜汁浸泡一夜，晒干后研为细末，用面糊制成丸药。饭后用生姜汤送服。
〔李东垣〕和中丸能开胃进食。
干姜（一钱） 木瓜（一枚） 甘草（炙二钱） 陈皮（一钱） 人参（一钱） 白术（三钱）
以上药物研为细末，用蒸饼糊制成丸药。饭前用白开水送服三五十丸。
〔《太平惠民和剂局方》〕七珍散能开胃进食，补脾养气。
人参 白术 黄芩（蜜炙） 山药 白茯苓 粟米（微炒） 甘草（等分）
以上药物研为细末，每次服用二钱，加生姜、大枣煎服。如果仍然不想饮食，加入扁豆一两，名为八珍散。此方性质温平而不燥热，常服可使饮食量加倍。
〔王海藏〕六神汤治疗伤寒导致的身体虚弱消瘦，不想饮食。
人参 白术 黄芪（各一两） 枳壳（一方用枳实，炒） 白茯苓（各半两） 甘草（二钱）
以上药物研为细末。每次服用五钱，加生姜、大枣及少许粳米同煎，饭前服用。
〔罗谦甫〕钱氏异功散 治疗脾胃虚弱，难以承受饮食。（异功散用人参、白茯苓、白术、甘草、橘红、木香各等分，加生姜、大枣煎服。）
罗谦甫说：脾胃虚弱而饮食难消化的，不可一概使用攻伐的药物，宜用钱氏异功散来补益，自然能够进食。
假如因为嗜食太过，损伤脾胃导致痞满呕逆，暂时使用枳实丸服用一次，千万不要多服。我曾治疗翁氏患久疟疾，食少汗多。先用补剂加入黄连、枳实，一个月后食物反而吃不下，汗也不止。于是领悟到谦甫的这番话，便减去枳实、黄连，纯用补剂；又让喝粥多于吃药，从而食欲增进；又在原方内加入附子三分半，服用一次就痊愈了。
〔李东垣〕宽中进食丸滋养形体和气机，促进食欲。
草蔻仁（五钱） 砂仁（一钱五分） 半夏曲（七钱） 麦芽（炒，一两） 枳实（炒，四钱） 神曲（炒，半两） 甘草（炙，一钱半） 干姜（一钱） 陈皮（三钱） 木香（五分） 白术 白茯苓（各二钱）
猪苓 泽泻 人参 青皮（各一钱）
以上药物研为细末，用汤浸湿的蒸饼制成丸药。每次服用三五十丸，用白开水送服。
和中丸治疗病久体虚，精神萎靡不想进食，且脏腑或便秘或腹泻。常服可调和理气，消痰进食，祛湿增厚肠胃。
厚朴（姜制，一两） 白术（一两半） 半夏（制，一两） 橘红（八钱） 槟榔（四钱） 枳实（麸炒，三钱） 木香（二钱半） 甘草（炙，三钱半）
以上药物研为细末，用生姜汁浸湿的蒸饼制成丸药。每次服用五六十丸，饭后较远时用白开水送服。
木香枳术丸、木香干姜枳术丸能开胃进食。（两个方子并见内伤饮食门。）
交泰丸提升阳气，泻阴火，调和营气，促进饮食，帮助精神，缓解腹胀。消除怠惰嗜卧，四肢无力不收，沉重困倦懒动。
知母（四钱，一半生用，一半酒炒，春夏用，秋冬减去） 柴胡（一钱半） 厚朴（去皮，炒，三钱。秋冬加七钱） 人参（一钱） 黄连（六钱，秋冬减一钱半） 苦楝（酒煮，三钱） 肉桂（去皮，一钱） 白茯苓（三钱） 皂角（去皮弦，煨，六钱） 紫菀（去苗，六钱） 小椒（炒，去汗、并闭目者，一钱半） 白术（二钱） 川乌头（四钱半） 干姜（炮，三钱） 巴豆霜（半两） 吴茱萸（汤洗，半两） 砂仁（三钱）
以上除巴豆霜另研入外，其余都研为细末，用蜂蜜制成丸药。每次服用三四十丸，温水送服，根据虚实情况加减剂量。
〔朱丹溪〕治疗一名男子，因为服用热药过多，又性格急躁，形体消瘦多疲倦，吃得少。此时是四月，后来给他这个方子，分作十四帖，饭后煎热，送服大补丸十五粒。
白术（一两半） 炒曲（一两） 陈皮（七钱） 黄芩（六钱） 人参 知母（炒） 麦门冬 木通（各半两） 生甘草 炙甘草（各一钱）
又治疗劳苦导致不想饮食。
白术（三钱） 滑石 白茯苓（各一钱）
水煎服，送服保和丸三十丸。
治疗香港脚（脚气病）消瘦疲倦，不想饮食。
白术（二两） 苍术 陈皮 黄连 黄柏 半夏（各半两） 侧柏叶（七钱半） 香附（一两）
白芍药（一两）
以上药物研为细末，用姜汁糊制成丸药。
忧思抑郁损伤脾胃，不想饮食。
黄连（炒） 芍药（酒炒） 香附 青六散末（方子见滞下。即六一散加红曲二两）
以上用姜汁浸泡，用炊饼制成丸药。
湿痰气滞，不想吃谷物食物，在三补丸基础上加苍术，倍量香附。
〔《太平惠民和剂局方》〕治疗脾气久虚，不进饮食，停饮胁痛，用曲术丸。
神曲（炒，十两） 白术（五两） 干姜 官桂（各二两） 吴茱萸 川椒（各三两）
以上药物研为细末，用薄糊制成丸药。每次服用三五十丸，饭前用姜汤送服。有饮邪加白术二两。此方自己试用有效。
二神丸治疗脾肾虚弱，完全不想进食。
破故纸（炒，四两） 肉豆蔻（生，二两）
以上药物研为细末。用肥枣四十九个，生姜四两，切片同煮。枣烂后去掉姜，取枣剥去皮核，用肉研为膏，加入药末和匀捣杵，制成如梧桐子大的丸药。每次服用三四十丸，盐汤送服。有人完全不想进食，服用补脾药都不见效，我传授此方给他服用，顿时就能进食。这种病不可全当作脾气虚来治，这是因为肾气怯弱，真元衰削，所以不能消化饮食。譬如鼎釜之中，放置各种米谷，下面没有火力，整天米不熟，怎么能消化呢？黄鲁直曾经记载：服用菟丝子淘净，酒浸晒千，每天挑几匙，用酒送服。十天后饮食，如同热水浇雪，也懂得这个道理了。
〔《摘玄方》〕胃弱不想饮食，肠鸣腹痛，食物也不消化：三里、三阴交。
〔王好古〕三焦停水，气攻导致不食，身黄微热，这是胃中有寒的缘故：维道、中封、胃俞、肾俞。
〔《医垒元戎》〕三焦邪热，不喜欢饮食：关元（一分，沿皮向后三分，灸。）
脉象浮滑而疾速的，食物不消化，脾不磨运。阳脉滑而紧，滑则胃气实，紧则脾气伤，吃了东西不消化的，这是脾不和。（用枳术丸之类治疗。）
〔张仲景〕寸口脉微而涩，微者是卫气不行，涩者是荣气不达。荣卫不能相互协调，三焦无所依赖，身体痹阻不仁。荣气不足，则头疼口难言，卫气虚则恶寒频繁呵欠，三焦不归其部位。上焦不归者，嗳气吞酸；中焦不归者，不能消化谷物引纳饮食；下焦不归者，则为遗尿失禁。（用异功散之类治疗。）
There is no sensation of fullness and obstruction in the epigastrium; the inability to eat arises from oneself.
[From *Huangdi Neijing* (The Yellow Emperor's Inner Canon)] To treat adults and children who cannot take milk or food, [this method] harmonizes Qi and eliminates phlegm. Use Ren Shen (Ginseng Radix) four liang, Ban Xia (Pinelliae Rhizoma) one liang, soak in Jiang Zhi (Ginger Juice) overnight, dry it, and grind into powder. Make pills with flour paste. Take after meals with Sheng Jiang Tang (Ginger Decoction).
[Li Dongyuan] He Zhong Wan (Harmonize the Middle Pill) opens the stomach and promotes appetite.
Gan Jiang (Dried Ginger Root) (one qian) Mu Gua (Chaenomeles Fruit) (one piece) Zhi Gan Cao (Honey-fried Licorice Root) (two qian) Chen Pi (Aged Tangerine Peel) (one qian) Ren Shen (Ginseng Radix) (one qian) Bai Zhu (Atractylodis Macrocephalae Rhizoma) (three qian)
Grind the above into powder, make pills with steamed bread paste. Take thirty to fifty pills before meals with warm water.
[From *Tai Ping Hui Min He Ji Ju Fang* (Prescriptions of the Public Welfare Bureau)] Qi Zhen San (Seven Treasures Powder) opens the stomach, promotes appetite, tonifies the Spleen, and nourishes Qi.
Ren Shen (Ginseng Radix) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Huang Qin (Scutellariae Radix) (honey-fried) Shan Yao (Dioscoreae Rhizoma) Bai Fu Ling (Poria) Su Mi (Millet Seed) (lightly fried) Gan Cao (Licorice Root) (equal parts)
Grind the above into powder. Take two qian per dose, decoct with Sheng Jiang (Fresh Ginger) and Da Zao (Jujube). If there is still no desire for food, add Bian Dou (Lablab Bean) one liang, named Ba Zhen San (Eight Treasures Powder). This formula is warm and neutral without being hot; regular use will double dietary intake.
[Wang Haicang] Liu Shen Tang (Six Gods Decoction) treats deficiency and emaciation due to Shang Han (Cold Damage), with no desire for food.
Ren Shen (Ginseng Radix) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Huang Qi (Astragali Radix) (each one liang) Zhi Ke (Aurantii Fructus) (in one prescription, Zhi Shi (Immature Bitter Orange) is used, stir-fried) Bai Fu Ling (Poria) (each half liang) Gan Cao (Licorice Root) (two qian)
Grind the above into powder. Take five qian per dose, decoct with Sheng Jiang (Fresh Ginger), Da Zao (Jujube), and a small amount of Jing Mi (Rice Grain). Take before meals.
[Luo Qianfu] Qian Shi Yi Gong San (Master Qian's Extraordinary Efficacy Powder) treats Spleen and Stomach weakness, where food is difficult to tolerate. (Yi Gong San uses Ren Shen (Ginseng Radix), Bai Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (Licorice Root), Ju Hong (Tangerine Red Peel), and Mu Xiang (Aucklandiae Radix) in equal parts, decocted with Sheng Jiang (Fresh Ginger) and Da Zao (Jujube).)
Luo Qianfu said: For those with weak Spleen and Stomach and difficulty digesting food, one should not indiscriminately use attacking/draining agents. One should use Qian Shi Yi Gong San (Master Qian's Extraordinary Efficacy Powder) to tonify, and naturally, appetite will return.
If excessive indulgence in food damages the Spleen, leading to fullness, vomiting, and reflux, temporarily use Zhi Shi Wan (Immature Bitter Orange Pill) once, but do not take it frequently. I once treated Mr. Weng who suffered from chronic malaria, with little food intake and profuse sweating. Initially, I used a tonifying formula added with Huang Lian (Coptidis Rhizoma) and Zhi Shi (Immature Bitter Orange). After more than a month, he could not eat at all, and sweating continued. I then realized the wisdom of Qianfu's words, removed Zhi Shi (Immature Bitter Orange) and Huang Lian (Coptidis Rhizoma), and used purely tonifying agents. I also instructed him to consume more porridge than medicine, which improved his appetite. Furthermore, I added Fu Zi (Aconiti Lateralis Radix Praeparata) three qian half to the original formula. After one dose, he was cured.
[Li Dongyuan] Kuan Zhong Jin Shi Wan (Widen the Middle and Promote Eating Pill) nourishes the physical form and Qi, promoting appetite.
Cao Kou Ren (Grass Cardamom Seed) (five qian) Sha Ren (Amomi Fructus) (one qian five fen) Ban Xia Qu (Pinelliae Fermented Paste) (seven qian) Mai Ya (Hordei Fructus Germinatus) (stir-fried, one liang) Zhi Shi (Immature Bitter Orange) (stir-fried, four qian) Shen Qu (Massa Medicata Fermentata) (stir-fried, half liang) Zhi Gan Cao (Honey-fried Licorice Root) (one qian half) Gan Jiang (Dried Ginger Root) (one qian) Chen Pi (Aged Tangerine Peel) (three qian) Mu Xiang (Aucklandiae Radix) (five fen) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Bai Fu Ling (Poria) (each two qian)
Zhu Ling (Polyporus) Ze Xie (Alismatis Rhizoma) Ren Shen (Ginseng Radix) Qing Pi (Citri Reticulatae Pericarpium Viride) (each one qian)
Grind the above into powder, make pills using steamed bread soaked in water. Take thirty to fifty pills per dose with warm water.
He Zhong Wan (Harmonize the Middle Pill) treats chronic illness causing weakness, listlessness, and anorexia, accompanied by constipation or diarrhea. Regular use harmonizes and regulates Qi, eliminates phlegm, promotes eating, removes dampness, and thickens the intestinal walls.
Hou Po (Magnolia Bark) (processed with ginger juice, one liang) Bai Zhu (Atractylodis Macrocephalae Rhizoma) (one and a half liang) Ban Xia (Pinelliae Rhizoma) (processed, one liang) Ju Hong (Tangerine Red Peel) (eight qian) Bing Lang (Areca Seed) (four qian) Zhi Shi (Immature Bitter Orange) (bran-stir-fried, three qian) Mu Xiang (Aucklandiae Radix) (two qian half) Zhi Gan Cao (Honey-fried Licorice Root) (three qian half)
Grind the above into powder, make pills with steamed bread soaked in Sheng Jiang Zhi (Ginger Juice). Take fifty to sixty pills per dose, taken well after meals with warm water.
Mu Xiang Zhi Zhu Wan (Aucklandia and Atractylodes Pill) and Mu Xiang Gan Jiang Zhi Zhu Wan (Aucklandia, Dried Ginger, and Atractylodes Pill) open the stomach and promote appetite. (Both formulas are found in the section on Internal Injury due to Diet.)
Jiao Tai Wan (Interlocking Harmony Pill) raises Yang Qi, drains Yin Fire, harmonizes Ying Qi (Nutritive Qi), advances diet, assists spirit, and relieves abdominal distension. It eliminates lethargy and propensity to lie down, flaccidity of the four limbs, heaviness, and lassitude.
Zhi Mu (Anemarrhenae Rhizoma) (four qian, half raw, half wine-stir-fried, used in spring/summer, reduced in autumn/winter) Chai Hu (Bupleuri Radix) (one qian half) Hou Po (Magnolia Bark) (peeled, stir-fried, three qian. Add seven qian in autumn/winter) Ren Shen (Ginseng Radix) (one qian) Huang Lian (Coptidis Rhizoma) (six qian, reduce by one qian half in autumn/winter) Ku Lian (Meliae Cortex) (wine-boiled, three qian) Rou Gui (Cinnamomi Cortex) (peeled, one qian) Bai Fu Ling (Poria) (three qian) Zao Jiao (Gleditsiae Spina) (peeled of skin and string, roasted, six qian) Zi Wan (Adenophorae Radix) (remove roots, six qian) Xiao Jiao (Zanthoxyli Pericarpium) (stir-fried, remove sweat, and select closed ones, one qian half) Bai Zhu (Atractylodis Macrocephalae Rhizoma) (two qian) Chuan Wu Tou (Aconiti Radix) (four qian half) Gan Jiang (Dried Ginger Root) (processed, three qian) Ba Dou Shuang (Crotonis Semen Paste) (half liang) Wu Zhu Yu (Evodiae Fructus) (washed with hot water, half liang) Sha Ren (Amomi Fructus) (three qian)
Except for Ba Dou Shuang (Crotonis Semen Paste) which is ground separately and added, grind the rest into fine powder, make pills with honey. Take thirty to forty pills per dose with warm water, adjusting dosage according to deficiency or excess.
[Zhang Yuansu] Ren Shen Ban Xia Wan (Ginseng and Pinellia Pill) descends phlegm and promotes eating. (Formula seen in the Cough section.)
[Zhu Danxi] Treated a man who had taken too many hot medicines, had an irritable temperament, was thin and fatigued, and ate little. It was April. Later, I gave him this formula, divided into fourteen doses. Decoct hot after meals, and take fifteen pills of Da Bu Wan (Great Tonification Pill).
Bai Zhu (Atractylodis Macrocephalae Rhizoma) (one and a half liang) Chao Qu (Stir-fried Mass Medicata Fermentata) (one liang) Chen Pi (Aged Tangerine Peel) (seven qian) Huang Qin (Scutellariae Radix) (six qian) Ren Shen (Ginseng Radix) Zhi Mu (Anemarrhenae Rhizoma) (stir-fried) Mai Men Dong (Ophiopogonis Radix) Mu Tong (Akebiae Caulis) (each half liang) Sheng Gan Cao (Raw Licorice Root) Zhi Gan Cao (Honey-fried Licorice Root) (each one qian)
Also treated fatigue-induced anorexia.
Bai Zhu (Atractylodis Macrocephalae Rhizoma) (three qian) Hua Shi (Talcum) Bai Fu Ling (Poria) (each one qian)
Decoct in water, take with Bao He Wan (Preserve Harmony Pill) thirty pills.
Treated Hong Zhang Jiao (Hong Kong Foot/Gout) with emaciation and fatigue, and no desire for food.
Bai Zhu (Atractylodis Macrocephalae Rhizoma) (two liang) Cang Zhu (Atractylodis Rhizoma) Chen Pi (Aged Tangerine Peel) Huang Lian (Coptidis Rhizoma) Huang Bo (Phellodendri Cortex) Ban Xia (Pinelliae Rhizoma) (each half liang) Bai Bai (Platycladi Cacumen) (seven qian half) Xiang Fu (Cyperi Rhizoma) (one liang)
Bai Shao Yao (Paeoniae Radix Alba) (one liang)
Grind the above into powder, make pills with Ginger Juice paste.
Sorrow and depression damage the Spleen, leading to anorexia.
Huang Lian (Coptidis Rhizoma) (stir-fried) Shao Yao (Paeoniae Radix) (wine-stir-fried) Xiang Fu (Cyperi Rhizoma) Qing Liu San Mo (Qing Liu散的粉末) (Formula seen in Dysentery. i.e., Liu Yi San (Six-to-One Powder) plus Hong Qu (Red Yeast Rice) two liang)
Soak in Ginger Juice, make pills with steamed bread.
Damp-phlegm and Qi stagnation, no desire for grain food: Add Cang Zhu (Atractylodis Rhizoma) to San Bu Wan (Three Tonification Pill), double the amount of Xiang Fu (Cyperi Rhizoma).
[From *Tai Ping Hui Min He Ji Ju Fang* (Prescriptions of the Public Welfare Bureau)] Treats long-term Spleen Qi deficiency, anorexia, fluid retention with hypochondriac pain, using Qu Zhu Wan (Shenqu and Atractylodes Pill).
Shen Qu (Massa Medicata Fermentata) (stir-fried, ten liang) Bai Zhu (Atractylodis Macrocephalae Rhizoma) (five liang) Gan Jiang (Dried Ginger Root) Guan Gui (Cinnamon Twig) (each two liang) Wu Zhu Yu (Evodiae Fructus) Chuan Jiao (Zanthoxyli Pericarpium) (each three liang)
Grind the above into powder, make pills with thin paste. Take thirty to fifty pills per dose before meals with Ginger Soup. If there is fluid retention, add Bai Zhu (Atractylodis Macrocephalae Rhizoma) two liang. This formula has been effective in my own trials.
Er Shen Wan (Two Divine Pills) treats Spleen and Kidney weakness, complete anorexia.
Po Gu Zhi (Morindae Officinalis Radix) (stir-fried, four liang) Rou Dou Kou (Myristicae Semen) (raw, two liang)
Grind the above into powder. Use forty-nine plump dates, four liang of fresh ginger, sliced and boiled together. When dates are soft, remove ginger, peel and pit the dates, grind the flesh into a paste, mix with the herbal powder, and pound into pills the size of paulownia seeds. Take thirty to forty pills per dose with Salt Water. Someone who completely lost appetite did not respond to Spleen-tonifying medicines. I taught them this formula, and they immediately regained their appetite. This condition should not be treated solely as Spleen Qi deficiency; it is because Kidney Qi is timid and True Yuan (Original Essence) is depleted, so digestion fails. It is like placing grains in a pot over a fire; if there is no heat below, the rice will not cook all day, how can it be digested? Huang Luzhi once recorded: Wash Tu Si Zi (Cuscutae Semen) clean, soak in wine, dry in the sun, take several spoons daily with wine. After ten days, eating and drinking becomes like snow melting in hot water. This illustrates the principle.
[From *Zhai Xuan Fang* (Selected Mysterious Prescriptions)] Stomach weakness with anorexia, borborygmus and abdominal pain, undigested food: San Li (ST36), San Yin Jiao (SP6).
[Wang Haogu] Fluid retention in the San Jiao (Triple Burner), Qi attack causing anorexia, yellow complexion with slight fever, due to Cold in the Stomach: Wei Dao (GB27), Zhong Feng (LR4), Wei Shu (BL21), Shen Shu (BL23).
[From *Yi Lei Yuan Rong* (Fortress of Medical Origins)] Heat pathogen in the San Jiao (Triple Burner), aversion to food: Guan Yuan (CV4) (moxibustion one cun, along the skin backwards three cun).
[Wang Haogu] Complete anorexia: Ran Gu (KI2) (bleeding leads to immediate hunger.)
When the pulse is floating, slippery, and rapid, food is not digested, and the Spleen does not grind. If the Yang pulse is slippery and tight, slipperiness indicates Excess Stomach Qi, while tightness indicates injured Spleen Qi. Inability to digest food after eating is due to Spleen disharmony. (Treat with formulas like Zhi Zhu Wan (Atractylodes and Immature Bitter Orange Pill).)
[Zhang Zhongjing] The Cun Kou (Inch Position) pulse is faint and choppy. Faintness indicates non-communication of Wei Qi (Defensive Qi); choppy nature indicates non-penetration of Ying Qi (Nutritive Qi). When Ying and Wei cannot support each other, the San Jiao (Triple Burner) has no reliance, leading to body bi (obstruction) and insensitivity. Deficiency of Ying Qi causes headache and difficulty speaking; deficiency of Wei Qi causes aversion to cold and frequent yawning; the San Jiao fails to return to its proper sector. If the Upper Jiao fails to return, there is belching and acid regurgitation; if the Middle Jiao fails to return, there is inability to digest grains and accept food; if the Lower Jiao fails to return, there is enuresis and incontinence. (Treat with formulas like Yi Gong San (Extraordinary Efficacy Powder).)