白术（二两土炒） 枳实（一两，麸炒）
荷叶包陈米饭，煨干为末糊丸。
健脾消痞，此方主之。
一消一补，调养之方也。故用白术以补脾，枳实以消痞，烧饭取其香以益胃，荷叶取其
仰以象震。象震者，欲其升生甲胆之少阳也。此易老一时之方，来东垣末年之悟，孰谓立方
之旨易闻耶？
白术（土炒） 茯苓（去皮） 黄芩（酒炒） 黄连（酒炒，各三钱） 泽泻（二钱） 大
黄（一
两） 枳实（麸炒） 神曲（各五钱）
伤湿热之物，不得消化，而作痞满者，此方主之。
湿热之物，酒面之类也。燥以制湿，淡以渗湿，故用白术、茯苓、泽泻。苦以下热，寒
以胜热，故用芩，连，枳实，大黄。 造变化者，可以推陈而致新，故用神曲。
京三棱（醋煮） 蓬莪术（醋煮） 陈皮（去白） 青皮（麸炒，各五两） 干姜（炮）
胡椒（
各二两）
共为末，醋糊为丸，如梧桐子大，矾红为衣。每服三十丸。
伤寒冷之物，腹痛成积者，此方主之。
三棱、莪术，攻坚药也，故可以去积，干姜、胡椒，辛热物也，故可以去寒，青皮、陈
皮，快气药也，故可以去痛，而必以醋糊为丸者，经曰酸胜甘，故用之以疗肥甘之滞。必以
矾
附子（去皮脐，炮） 干姜（炮） 人参（去芦） 白术（炒） 甘草（炙）
口食冷物，客寒犯胃，中焦痛甚，脉沉迟者，急以此方主之。
凡吞冰饮泉及一切冷物，食之过其分量，则寒气凝于中焦，故令肚腹大痛。脉来沉者为
里，迟者为寒。是方也，干姜、附子之辛热，所以温中散寒。人参、白术、甘草之甘温，所
以益胃于被伤之后也。
白术（二两，用土炒制） 枳实（一两，用麦麸炒制）
用荷叶包裹陈米饭，煨烤至干后研成细末，再用此粉末作为黏合剂制成丸药。
本方主治健脾消痞之证。
一消一补，属于调养性质的方剂。因此使用白术来补益脾气，使用枳实来消除痞满，烧饭取其香气以增益胃气，选用荷叶是因为其形态向上，象征震卦。象征震卦，是希望提升少阳胆木的生发之气。这是易老（张元素）一时的创方，也是李东垣晚年领悟到的道理，谁说确立方剂的宗旨容易听闻呢？
白术（土炒） 茯苓（去皮） 黄芩（酒炒） 黄连（酒炒，各三钱） 泽泻（二钱） 大黄（一两） 枳实（麦麸炒） 神曲（各五钱）
因食用了损伤脾胃的湿热之物，导致无法消化而产生痞满症状的，由本方主治。
所谓湿热之物，是指酒类、面食之类。用燥性药物来制约湿气，用淡味药物来渗利湿气，所以使用白术、茯苓、泽泻。用苦味药物来降泄热邪，用寒性药物来胜热，所以使用黄芩、黄连、枳实、大黄。制造变化者，可以推陈出新，所以使用神曲。
京三棱（醋煮） 蓬莪术（醋煮） 陈皮（去白） 青皮（麦麸炒，各五两） 干姜（炮制） 胡椒（各二两）
共同研成细末，用醋调糊制成丸药，大小如梧桐子，外用红矾为衣。每次服用三十丸。
因食用寒冷之物，导致腹痛并形成积块的，由本方主治。
三棱、莪术，是攻坚破积的药物，所以能够消除积块；干姜、胡椒，是辛热性质的药物，所以能够驱散寒气；青皮、陈皮，是行气快气的药物，所以能够缓解疼痛。而必须用醋糊来制作丸药，是因为《内经》说“酸胜甘”，所以使用它来治疗肥甘厚味导致的停滞。必须用矾……
附子（去皮脐，炮制） 干姜（炮制） 人参（去芦头） 白术（炒制） 甘草（炙制）
因进食冷物，外寒客犯胃腑，中焦剧烈疼痛，脉象沉迟的，急需使用本方主治。
凡是吞食冰块、饮用泉水以及一切冷物，如果食用超过分量，则寒气凝结在中焦，从而导致腹部剧烈疼痛。脉象沉表示病在里，脉象迟表示有寒。本方中，干姜、附子的辛热性质，是用来温中散寒的；人参、白术、甘草的甘温性质，是在胃腑受损之后用来补益胃气的。
Bai Zhu (Rhizoma Atractylodis Macrocephalae, two liang, stir-fried with soil) Zhi Shi (Fructus Aurantii Immaturus, one liang, stir-fried with bran)
Wrap Chen Fan Si (aged rice) in lotus leaves, bake until dry, grind into powder, and use this powder as a binder to make pills.
This formula primarily governs the strengthening of the spleen and resolution of fullness.
It is a conditioning formula combining purgation and tonification. Therefore, Bai Zhu is used to tonify the spleen, and Zhi Shi is used to resolve fullness. The roasted rice is employed for its aroma to benefit the stomach; the lotus leaf is chosen because its upward orientation symbolizes the Zhen trigram (Thunder). Symbolizing Zhen implies the desire to promote the ascending and generating energy of the Shaoyang Gallbladder. This was a creation by Yi Lao (Zhang Yuansu) at one time, and a realization by Li Dongyuan in his later years. Who would say that the principles of formulating prescriptions are easy to comprehend?
Bai Zhu (Rhizoma Atractylodis Macrocephalae, stir-fried with soil) Fu Ling (Poria, peeled) Huang Qin (Radix Scutellariae, wine-fried) Huang Lian (Rhizoma Coptidis, wine-fried, each three qian) Ze Xie (Rhizoma Alismatis, two qian) Da Huang (Radix et Rhizoma Rhei, one liang) Zhi Shi (Fructus Aurantii Immaturus, stir-fried with bran) Shen Qu (Massa Medicata Fermentata, each five qian)
This formula primarily governs cases where consumption of damp-heat damaging substances leads to indigestion and results in epigastric fullness.
The so-called damp-heat damaging substances refer to items such as alcohol and wheat noodles. Drying agents control dampness, and bland agents leach out dampness; thus, Bai Zhu, Fu Ling, and Ze Xie are used. Bitter agents descend heat, and cold agents overcome heat; thus, Huang Qin, Huang Lian, Zhi Shi, and Da Huang are used. Agents that facilitate transformation can eliminate the old and generate the new; thus, Shen Qu is used.
San Leng (Rhizoma Sparganii, boiled in vinegar) E Zhu (Rhizoma Curcumae, boiled in vinegar) Chen Pi (Pericarpium Citri Reticulatae, white pith removed) Qing Pi (Pericarpium Citri Reticulatae Viride, stir-fried with bran, each five liang) Gan Jiang (Rhizoma Zingiberis, processed) Hu Jiao (Fructus Piperis Nigris, each two liang)
Grind all into powder, bind with vinegar paste to make pills the size of Sophora japonica seeds, and coat with red alum. Take thirty pills per dose.
This formula primarily governs cases where consumption of cold substances leads to abdominal pain and the formation of accumulations.
San Leng and E Zhu are drugs that attack hardness and break accumulations, thus they can remove stagnation; Gan Jiang and Hu Jiao are acrid-hot substances, thus they can dispel cold; Qing Pi and Chen Pi are qi-moving substances, thus they can relieve pain. The reason for using vinegar paste to make pills is that the Classic states "sour overcomes sweet," thus it is used to treat stagnation caused by rich and sweet foods. It is necessary to use alum...
Fu Zi (Radix Aconiti Lateralis Preparata, skin and umbilicus removed, processed) Gan Jiang (Rhizoma Zingiberis, processed) Ren Shen (Radix Ginseng, radix tip removed) Bai Zhu (Rhizoma Atractylodis Macrocephalae, stir-fried) Gan Cao (Radix Glycyrrhizae Preparata, honey-fried)
When cold food is ingested, causing external cold to invade the stomach, resulting in severe middle jiao pain and a deep, slow pulse, this formula should be urgently administered.
Whenever ice is swallowed, spring water is drunk, or any cold substance is consumed beyond appropriate limits, cold qi condenses in the middle jiao, causing severe abdominal pain. A deep pulse indicates an interior condition, and a slow pulse indicates cold. In this formula, the acrid-hot nature of Gan Jiang and Fu Zi is used to warm the middle and dispel cold. The sweet-warm nature of Ren Shen, Bai Zhu, and Gan Cao is used to benefit the stomach after it has been injured.