《病源论》云∶脾气盛,为形有余,则病腹胀,溲不利;身重口苦饥,足痿不收,行善
挚,
肠鸣。是为脾气之虚也,则宜补之。
《删繁方》疗脾虚寒,劳损气胀,噫满,食不下通,噫消食方∶
猪膏(三升) 宿姜汁(五升) 吴茱萸(一升) 白术(一升)
捣茱萸等二物为散,纳姜汁膏中,煎取六升,温酒进方寸匕,日再服。
《千金方》治脾实热,舌本强直,或梦歌乐而体重不能行,泻热汤方∶
茈胡(三分) 茯苓(三分) 玄参(二分) 大青(二分) 龙胆(三两) 细辛(三
分) 杏仁(四
九味,水九升,煮取三升,分三服。
《极要方》疗脾热,内热唇燥渴,多肿身重方∶
以生地黄五两,捣之以水,绞取汁渍梅,蜜和服之。
又方∶取芹菜汁一升,一服。
又方∶麦门冬汁服之。
《广济方》主脾胃中热,渴欲得饮冷水,不下食方∶
茯苓(四两) 甘草(二两) 石膏(五两) 地骨白皮(三两) 茅根(切,一升)
切,以水八升,煮取二升五合,绞去滓,分温三服,忌热面、热肉、海藻、猪、蒜。
《僧深方》温脾汤,治脾气不足,虚弱下利,上入下出方∶
干姜(三两) 人参(二两) 附子(二两) 甘草(三两) 大黄(三两)
凡五物,切,以水八升,煮取二升半,分三服,应得下去毒实,甚良。
《诸病源候论》说:脾气过盛,表现为形体有余,就会发生腹胀、小便不利;身体沉重、口苦、虽有饥饿感但食欲不佳、足部痿软无力不能收持、行走时容易绊倒、肠鸣。这是脾气的虚证,就应当采用补益的方法治疗。
《删繁方》治疗脾虚寒、劳损气胀、嗳气饱胀、饮食不下且不通畅的消食方:
猪脂油(三升) 老姜汁(五升) 吴茱萸(一升) 白术(一升)
将吴茱萸等两味药捣成散剂,放入姜汁和猪脂油中,煎煮至剩余六升,用温酒送服一方寸匕的量,每天服用两次。
《千金方》治疗脾实热,舌根强直,或者梦中唱歌欢笑而身体沉重无法行走的泻热汤方:
柴胡(三分) 茯苓(三分) 玄参(二分) 大青(二分) 龙胆草(三两) 细辛(三分) 杏仁(四分)
以上九味药,用水九升,煎煮至剩余三升,分三次服用。
《极要方》治疗脾热,体内发热、嘴唇干燥口渴、多肿且身体沉重的方子:
取生地黄五两,用水捣碎,绞取汁液浸泡梅子,加蜂蜜调和后服用。
另一个方子:取芹菜汁一升,一次服用。
再一个方子:服用麦门冬汁。
《广济方》主治脾胃中有热,想喝冷水,饮食难以下咽的方子:
茯苓(四两) 甘草(二两) 石膏(五两) 地骨皮(三两) 茅根(切碎,一升)
切碎药材,用水八升,煎煮至剩余二升五合,过滤去渣滓,分三次温服。忌食热面、热肉、海藻、猪肉、大蒜。
《僧深方》温脾汤,治疗脾气不足,虚弱导致的下利,气机上下逆乱失调的方子:
干姜(三两) 人参(二两) 附子(二两) 甘草(三两) 大黄(三两)
共五味药,切碎,用水八升,煎煮至剩余二升半,分三次服用。应当能使体内的毒邪实滞排出,效果很好。
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: When Spleen Qi is excessive, manifesting as an excess in physical form, it causes abdominal distension and difficult urination; heaviness of the body, bitter taste in the mouth, hunger with poor appetite, flaccidity and weakness of the legs that cannot support the body, stumbling while walking, and borborygmus. This constitutes a deficiency syndrome of Spleen Qi, which should be treated with tonification methods.
The *Shanfan Fang* (Eliminating Redundancy Formulas) treats Spleen deficiency-cold, qi distension due to overstrain, belching and fullness, inability to ingest food smoothly, and formulas for digestion:
Porcine fat (3 sheng) Ginger juice from stored ginger (5 sheng) Evodia fruit (1 sheng) Atractylodes macrocephala Rhizome (1 sheng)
Pound the Evodia fruit and other two ingredients into a powder, add them to the ginger juice and porcine fat mixture, decoct until 6 sheng remain. Take one cun-bi (square-inch measure) with warm wine, twice daily.
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treats Spleen excess-heat, stiffness of the tongue root, or dreaming of singing and laughing accompanied by heavy body and inability to walk, using the Xiere Tang (Heat-Draining Decoction):
Bupleurum Root (3 fen) Poria (3 fen) Scrophularia Root (2 fen) Isatis Root (2 fen) Gentian Root (3 liang) Asarum Root (3 fen) Apricot Seed (4 fen)
Nine medicinal materials, decoct in 9 sheng of water until 3 sheng remain. Divide into three doses.
The *Jiyao Fang* (Extremely Important Formulas) treats Spleen heat, internal heat with dry lips and thirst, edema, and heavy body:
Take 5 liang of fresh Rehmannia Root, pound it with water, squeeze out the juice, soak plum fruits in it, mix with honey, and take orally.
Another formula: Take 1 sheng of celery juice, taken once.
Another formula: Take Ophiopogon Tuber juice.
The *Guangji Fang* (Broad Aid Formulas) primarily treats heat in the Stomach and Spleen, desire to drink cold water, and difficulty swallowing food:
Poria (4 liang) Licorice Root (2 liang) Gypsum Fibrosum (5 liang) Phellodendron Bark (3 liang) Imperata Rhizome (cut, 1 sheng)
Cut the herbs, decoct in 8 sheng of water until 2.5 sheng remain. Strain to remove dregs, divide into three warm doses. Avoid hot noodles, hot meat, kelp, pork, and garlic.
The *Seng Shen Fang* (Monk Shen's Formulas) Wenyi Tang (Warm the Spleen Decoction) treats insufficient Spleen Qi, weakness leading to diarrhea, and dysregulation of qi moving up and down:
Dried Ginger (3 liang) Ginseng Root (2 liang) Prepared Aconite Root (2 liang) Licorice Root (3 liang) Rhubarb (3 liang)
Five medicinal materials in total, cut, decoct in 8 sheng of water until 2.5 sheng remain. Divide into three doses. This should facilitate the expulsion of pathogenic toxins and excesses, yielding excellent results.