（东垣）
治伤湿热之物，不得施化，痞闷不安，腹内硬痛，积滞泄泻。
大黄（一两） 枳实（麸炒） 黄芩（酒炒） 黄连（酒炒） 神曲（炒。五钱） 白
术（土炒）
此足太阴、阳明药也。饮食伤滞，作痛成积，非有以推荡之则不行，积滞不尽，病终不
除
之
温而消之。芩连、大黄，苦寒太甚，恐其伤胃，故又以白术之甘温，补土而固中也。
（丹溪）
黄牡牛肉（肥嫩者）二三十斤。切碎洗净，用长流水、桑柴火煮糜烂，滤去渣，取净汁，
再
每饮
出物可尽，病根乃止（连进之，急则逆上而吐多，缓则顺下而利多，视病之上下而为缓急）。
吐利后必渴，不得与汤，其小便必长，取以饮之，名轮回酒，非惟止渴，兼涤余垢。行后倦
卧觉饥，先与米饮，次与稀粥，三日后方与浓粥、软饭、菜羹，调养半月一月，精神焕发，
沉悉
霞天膏∶即照前法，每肉十二斤，可熬膏一斤，瓷罐盛之。夏月水浸，可留三日；寒天
久留生霉（音梅），用重汤煮。入煎剂，调服；入丸剂，每三分加曲一分，煮糊，或同蜜炼。
此足太阴、手足阳明药也。朱丹溪曰∶牛，坤土也，黄，土之色也，以顺为德而法健为
功者，牡之用也；肉，胃之药也，液，无形之物也，积聚久则形质成，根据附肠胃回薄曲折之
处，
陈
发之乐乎
非吐下药
（李东垣）
治疗因食用损伤脾胃的湿热食物，导致运化失常，出现胸脘痞闷、心中不安，腹部坚硬疼痛，以及积滞引起的泄泻。
大黄（一两） 枳实（麸皮炒） 黄芩（酒炒） 黄连（酒炒） 神曲（炒。五钱） 白术（土炒）
这是作用于足太阴脾经和足阳明胃经的药物。饮食停滞，引发疼痛并形成积滞，如果没有推荡积滞的药物，病邪就无法排出；如果积滞不除尽，疾病终究无法痊愈。因此用温性的药物来消导积滞。黄芩、黄连和大黄苦寒之性太重，恐怕会损伤胃气，所以又加入白术的甘温之性，以补益脾气并巩固中焦。
（朱丹溪）
取黄色牡牛（肥嫩者）二三十斤。切碎洗净，用流动的长流水、桑柴火煮至糜烂，过滤去除渣滓，取得纯净的肉汁，再次煮沸。
每次饮用，直到排出的废物全部排尽，病根才能停止（连续服用，病情急迫时药力逆上而呕吐较多，病情缓和时药力顺下而腹泻较多，根据病位的上下来决定服药的缓急）。
吐泻之后必然口渴，不能给予普通汤水，此时小便必然增多，收集尿液饮用，名为“轮回酒”，不仅能止渴，还能涤荡体内剩余的污垢。服药后感到疲倦想躺卧，觉得饥饿时，先给米汤，再给稀粥，三天后才给浓粥、软饭、菜羹，调养半个月到一个月，精神焕发，沉疴悉除。
霞天膏：即按照上述方法，每十二斤牛肉，可熬制成一斤膏，用瓷罐盛装。夏季用水浸泡，可保存三天；寒冷天气长期存放容易发霉（音梅），需用隔水加热的方法煮熟。入煎剂调服；入丸剂，每三分膏加一分神曲，煮糊，或同蜂蜜炼制。
这是作用于足太阴脾经及手足阳明经的药物。朱丹溪说：牛，属坤土；黄，是土的颜色；顺应地势为德，效法健壮为功，这是牡牛的作用；牛肉，是调理胃的药物；肉汁，是无形的物质，积聚久了就会形成有形的质体，依附在肠胃回旋曲折的地方，非吐下药所能轻易去除。
(Li Dongyuan)
Treats conditions caused by consuming food that damages the spleen and stomach with damp-heat, leading to impaired transformation and transportation. Symptoms include chest and epigastric fullness and discomfort, abdominal hardness and pain, and diarrhea due to food stagnation.
Rhubarb Radix et Rhizoma (Da Huang) (1 liang) / Immature Bitter Orange Fructus Aurantii (Zhi Shi) (stir-fried with bran) / Scutellaria Root Radix Scutellariae (Huang Qin) (stir-fried with wine) / Coptis Rhizome Rhizoma Coptidis (Huang Lian) (stir-fried with wine) / Medicated Leaven Massae Fermentatae Medicatae (Shen Qu) (stir-fried. 5 qian) / Atractylodes Macrocephala Rhizome Rhizoma Atractylodis Macrocephalae (Bai Zhu) (stir-fried with soil).
This prescription acts on the Foot-Taiyin Spleen Meridian and Foot-Yangming Stomach Meridian. When dietary stagnation causes pain and forms accumulations, without agents to push and purge them, the pathogenic factors cannot be expelled. If the stagnation is not completely cleared, the disease will ultimately not be cured. Therefore, warm-natured herbs are used to dissolve and eliminate the stagnation. Since Huang Qin, Huang Lian, and Da Huang are excessively bitter and cold, which may damage the Stomach Qi, Bai Zhu's sweet and warm nature is added to tonify the Earth (Spleen) and secure the Middle Jiao.
(Zhu Danxi)
Take 20–30 jin of yellow ox meat (preferably fat and tender). Chop it finely, wash it clean, and boil it in running water using mulberry wood fire until it becomes mushy. Filter out the dregs and collect the pure juice. Boil it again.
Drink each time until all excrement is expelled, at which point the root of the disease will cease (consume continuously; if the condition is urgent, the medicine moves upward causing more vomiting; if mild, it moves downward causing more diarrhea. Adjust the speed based on whether the pathology is upper or lower).
After vomiting and diarrhea, thirst will inevitably occur. Do not give ordinary decoctions. At this time, urination will increase; collect the urine for drinking, named "Lunhui Jiu" (Wheel-turning Wine). This not only quenches thirst but also cleanses residual impurities. After the purgative effect, the patient will feel tired and wish to lie down. When hunger arises, first provide rice water, then thin porridge. Only after three days should thick porridge, soft rice, and vegetable soup be given. Maintain this regimen for half a month to one month, resulting in renewed vitality and the complete resolution of chronic ailments.
Xi Tian Gao (Cloud Sky Paste): Follow the above method. For every 12 jin of beef, one jin of paste can be prepared. Store in porcelain jars. In summer, keep submerged in water for up to three days; in winter, long-term storage may cause mold (pronounced 'mei'), which must be cooked thoroughly via double-boiling before use. For decoctions, take as directed; for pills, mix 3 fen of paste with 1 fen of Shen Qu, cook into a paste, or refine with honey.
This prescription acts on the Foot-Taiyin Spleen Meridian and the Hand-Foot Yangming Stomach/Large Intestine Meridians. Zhu Danxi stated: The ox belongs to Kun Earth; yellow is the color of Earth. Its virtue lies in following the earth's nature, and its function lies in imitating robust strength—this is the utility of the male ox. Beef is medicine for the Stomach; meat juice is formless substance. Accumulations that persist for a long time become solid masses, adhering to the convoluted and curved parts of the intestines and stomach, which cannot be easily removed by simple emetic or purgative drugs.