饮食内伤，气口急滑，劳倦内伤，脾脉大弱。
饮食有节，五内受益，何言伤乎？伤则过于饮食，甚至停蓄不消，而气口急滑
之脉见矣。急则不运不输，滑则有水有物，胃中停滞。而急滑应于气口者，以气口
正在右关脾胃之前故也。（宜推之运之，如东垣枳术导滞丸、丹溪保和丸、洁古枳术丸、曲 枳术
丸、东垣葛花解醒汤之类。）动而生阳，身固不宜久逸。东垣先生论升阳益胃汤方后云∶小役形体，使
胃气与药，得以转运升发，此即动而生阳之义。又上古天真论云∶不妄作劳，皆不
言不劳。但令小役，不令过役，并不妄劳耳。若烦扰而过于劳，外则体倦，内则脾
伤。盖脾土合肌肉而主四肢。配阳明胃腑，受纳水谷，酝酿精微，以灌溉四脏，为
人身阳气生化之源。过劳则肢体转旋，四肢举动。阳气张乱，无往非脾气之应，则
无往非脾气之伤矣。脾脉反大弱者，气张则大，气耗则弱也。（宜补中益气汤之类。）
枳术导滞丸（东垣） 治伤湿热之物，不得旋化而作痞，满闷不安。
黄芩 茯苓 白术 黄连（各三钱） 泽泻（一钱） 枳实（麸炒、去瓤） 神曲（炒，各
五钱） 大黄（煨，一两）
上为末，汤浸蒸饼为丸。食远白汤下五十丸。
丹溪保和丸（见第十七）
洁古枳术丸（见第十七）
曲 枳术丸（见第二十）
东垣葛花解醒汤 治饮酒太过，呕吐痰逆，心神烦乱，胸膈痞塞，手足颤摇，饮食减少，小便不利。
青皮（去瓤，三钱） 木香（五分） 橘红 人参 猪苓（去皮） 白茯苓（各一钱半） 神曲
（炒） 泽泻 干姜 白术（各二钱） 白豆蔻 葛花 砂仁（各五钱）
上为极细末。每服三钱，白汤调服。但得微汗，则酒病去矣。此盖不得已而用
之，岂可恃此酗饮成病，自损元气。惟病酒者思之。
东垣补中益气汤 治劳役过度，饮食失节，四肢倦怠，口干身热，手心蒸热，手背
不热，时或头痛，微恶风寒，自常汗出。或气高而喘，身热而烦。其脉洪大无力，
或脉微细软弱，或惟右脉虚大。凡中气虚弱而不能摄血，或中气不足而误用克伐，
或饮食劳倦而患疟痢，脾胃气虚而久不能愈，或腠理不密，易伤风寒，微邪凑肺
而咳嗽不已，或病久元气下陷，或伤恐元气不升，或元气虚弱，感冒风寒，不胜
发表，或入房之后，劳役感冒，或劳役感冒而后入房，或阳气不升而头晕作眩，
额上喜温而渐愈等证。不论内外病候，审是因于劳役者，以之为主。治之法，能
生长身中胃气，而行春夏之令。亦能使脾土以生肺金，为肝、心、脾、肺滋化源
之剂。
黄 （病甚、热甚者一钱） 人参（三分，有嗽去之） 甘草（炙，五分） 当归（酒制）
橘皮 升麻 柴胡（各三分） 白术（五分）
（薛新甫常用方∶ 、参、术各一钱半，归一钱，橘七分，柴、升各五分。）
水二盏，枣一枚，姜一片，煎至一盏。量气弱气盛，临病斟酌水盏大小。去滓，
食远稍热服。如伤重者，不过二服而愈。
饮食有节制，五脏六腑都能受益，怎么会受伤呢？如果受伤，是因为饮食过量，甚至导致食物停积不消化，从而出现气口脉象急滑的症状。急脉表示运化输布功能失常，滑脉表示胃中有水饮和未消化的食物停滞。这种急滑的脉象出现在气口部位，是因为气口正好位于右关部脾胃之前。（治疗应当推荡积滞、促进运化，如李东垣的枳术导滞丸、朱丹溪的保和丸、张洁古的枳术丸、曲枳术丸、李东垣的葛花解醒汤等方剂。）
人体通过活动而生发阳气，身体本来就不宜长期安逸。李东垣先生在论述升阳益胃汤方后说：“轻微地活动形体，使胃气与药力得以转运升发”，这就是“动而生阳”的含义。又《上古天真论》中说：“不要妄自过度劳累”，都没有说不需要劳作。只是要求轻微劳作，不要过度劳作，也不要妄自耗损精气罢了。如果烦扰躁动而过度劳累，外在表现为身体疲倦，内在则损伤脾气。因为脾土合于肌肉而主管四肢，配合阳明胃腑，受纳水谷，酝酿精微物质，以灌溉其他四脏，是人身阳气生化之源。过度劳累会导致肢体转动、四肢动作频繁，阳气散乱，无处不是脾气的应对反应，也就无处不是脾气的损伤。所以脾脉反而显得大且弱，气机张乱则脉大，气机耗损则脉弱。（治疗宜用补中益气汤等方剂。）
枳术导滞丸（李东垣）：治疗因食用湿热之物，不能即时消化而形成痞满，胸闷不安。
药材：黄芩、茯苓、白术、黄连（各三钱），泽泻（一钱），枳实（麸炒、去瓤），神曲（炒，各五钱），大黄（煨，一两）。
制法与用法：以上药物研为细末，用米汤浸泡蒸饼制成丸药。饭后较远时用白开水送服五十丸。
丹溪保和丸（见第十七章）
洁古枳术丸（见第十七章）
曲枳术丸（见第二十章）
东垣葛花解醒汤：治疗饮酒过多，呕吐痰逆，心神烦乱，胸膈痞塞，手足颤抖摇晃，饮食减少，小便不利。
药材：青皮（去瓤，三钱），木香（五分），橘红、人参、猪苓（去皮）、白茯苓（各一钱半），神曲（炒），泽泻、干姜、白术（各二钱），白豆蔻、葛花、砂仁（各五钱）。
制法与用法：以上药物研成极细末。每次服用三钱，用白开水调服。只要微微出汗，酒病即可去除。这大概是不得已才使用的方子，怎么能依赖此方酗酒成病，自我损害元气呢？只有患酒病的人深思这一点。
东垣补中益气汤：治疗劳役过度，饮食失节，四肢倦怠，口干身热，手心蒸热而手背不热，偶尔头痛，轻微恶风寒，经常自汗出。或者气短而喘，身热而烦躁。其脉洪大无力，或者脉微细软弱，或者仅右脉虚大。凡是中气虚弱而不能摄血，或者中气不足而误用攻伐药物，或者因饮食劳倦而患疟疾痢疾，脾胃气虚而久治不愈，或者腠理不紧密，容易受风寒侵袭，轻微邪气犯肺而咳嗽不止，或者病久元气下陷，或者惊恐导致元气不升，或者元气虚弱，感冒风寒，不胜发表之力，或者房事之后，劳役后感冒，或者劳役后感冒而后行房事，或者阳气不升而头晕目眩，额头喜欢温暖而逐渐痊愈等症状。不论内外病症，审查是否因劳役所致，以此方为主治。治疗原理，能够生长身体中的胃气，并运行春夏生发之令。也能使脾土生肺金，成为肝、心、脾、肺滋生化源的方剂。
药材：黄芪（病情严重、热势盛者用一钱），人参（三分，有咳嗽者去掉），甘草（炙，五分），当归（酒制），橘皮，升麻，柴胡（各三分），白术（五分）。
（薛己常用方剂量：黄芪、人参、白术各一钱半，当归一钱，橘皮七分，柴胡、升麻各五分。）
用水两盏，大枣一枚，生姜一片，煎至一盏。根据气弱或气盛的情况，临证斟酌用水量大小。去渣，饭后稍热时服用。如果伤势重，不超过两服即可痊愈。
Dietary injury results in a rapid and slippery pulse at the Qi Kou (radial artery at the wrist); labor fatigue injury results in a large and weak spleen pulse.
If diet is regulated, the five internal organs benefit; how could it cause injury? Injury occurs due to overeating, leading to food stagnation and indigestion, manifesting as a rapid and slippery pulse at the Qi Kou. A rapid pulse indicates impaired transportation and transformation, while a slippery pulse indicates the presence of fluid retention and undigested matter stagnating in the stomach. The appearance of this rapid-slippery pulse at the Qi Kou is because the Qi Kou is located just anterior to the Right Guan position corresponding to the Spleen and Stomach. (Treatment should involve promoting digestion and resolving stagnation, such as using Zhi Zhu Dao Zhi Wan (Immature Bitter Orange and Atractylodes Detoxifying Pill), Bao He Wan (Preserve Harmony Pill), Jie Gu Zhi Zhu Wan (Zhang Congzheng's Immature Bitter Orange and Atractylodes Pill), Qu Zhi Zhu Wan (Malt Immature Bitter Orange and Atractylodes Pill), or Ge Hua Jie Xing Tang (Kudzu Flower Decoction for Resolving Intoxication).)
Movement generates Yang; the body should not remain idle for long. Mr. Li Dongyuan stated after discussing the Sheng Yang Yi Wei Tang (Decoction to Raise Yang and Benefit the Stomach): "Slight physical activity allows the Stomach Qi to transport and ascend along with the medicinal action," which embodies the principle that movement generates Yang. Furthermore, the *Su Wen: Shanggu Tianzhen Lun* states: "Do not exert yourself improperly," implying that work is necessary but should not be excessive. It merely advises slight exertion without overexertion or reckless waste of essence. If one is agitated and overworks, externally there is bodily fatigue, and internally the Spleen is injured. The Spleen Earth combines with muscles and governs the four limbs. It pairs with the Yangming Stomach organ to receive and digest food and water, fermenting refined essences to irrigate the other four Zang organs, serving as the source of Qi and Yang generation in the human body. Overwork causes frequent limb movement and action, scattering Yang Qi. Everywhere there is Spleen Qi response, there is also Spleen Qi injury. Thus, the Spleen pulse appears both large and weak: Qi scattering makes it large, while Qi depletion makes it weak. (Treatment should use Bu Zhong Yi Qi Tang (Decoction to Supplement the Middle and Enrich the Qi).)
**Zhi Zhu Dao Zhi Wan (Immature Bitter Orange and Atractylodes Detoxifying Pill)** (Li Dongyuan): Treats痞满 (epigastric fullness/stagnation) and discomfort caused by consuming damp-heat-inducing foods that fail to transform promptly.
Ingredients: Huang Qin (Scutellariae Radix), Fu Ling (Poria), Bai Zhu (Atractodis Rhizoma), Huang Lian (Coptidis Rhizoma) (each 3 qian), Ze Xie (Alismatis Rhizoma) (1 qian), Zhi Shi (Immaturi Citri Fructus) (bran-fried, pith removed), Shen Qu (Medicated Leaven) (fried, each 5 qian), Da Huang (Rhei Radix et Rhizoma) (roasted, 1 liang).
Preparation and Administration: Grind into powder, mix with steamed bread dough soaked in decoction to form pills. Take 50 pills with warm water well after meals.
**Danxi Baohe Wan (Preserve Harmony Pill)** (See Chapter 17)
**Jiegu Zhi Zhu Wan (Zhang Congzheng's Immature Bitter Orange and Atractylodes Pill)** (See Chapter 17)
**Qu Zhi Zhu Wan (Malt Immature Bitter Orange and Atractylodes Pill)** (See Chapter 20)
**Dongyuan Ge Hua Jie Xing Tang (Kudzu Flower Decoction for Resolving Intoxication)**: Treats symptoms from excessive alcohol consumption, including vomiting with phlegm reversal, mental restlessness, chest and diaphragm oppression, trembling of hands and feet, reduced appetite, and difficult urination.
Ingredients: Qing Pi (Tangerine Peel pericarp) (pith removed, 3 qian), Mu Xiang (Aucklandiae Radix) (0.5 qian), Ju Hong (Tangerine Peel exocarp), Ren Shen (Ginseng Radix et Rhizoma), Zhu Ling (Polyporus), Bai Fu Ling (Poria) (each 1.5 qian), Shen Qu (Medicated Leaven) (fried), Ze Xie (Alismatis Rhizoma), Gan Jiang (Zingiberis Rhizoma), Bai Zhu (Atractodis Rhizoma) (each 2 qian), Bai Dou Kou (Amomi Fructus Rotundus), Ge Hua (Puerariae Flos), Sha Ren (Amomi Fructus) (each 5 qian).
Preparation and Administration: Grind into an extremely fine powder. Take 3 qian per dose, mixed with warm water. Once a slight sweat is achieved, the alcohol illness will resolve. This is a remedy of last resort; one must not rely on it to indulge in drinking and damage Yuan Qi. Those suffering from alcoholism should reflect on this.
**Dongyuan Bu Zhong Yi Qi Tang (Decoction to Supplement the Middle and Enrich the Qi)**: Treats excessive labor and irregular diet leading to limb fatigue, dry mouth, body heat, steaming heat in palms while backs of hands remain cool, occasional headache, slight aversion to wind and cold, spontaneous sweating. Or shortness of breath with panting, body heat with irritability. Pulse may be flooding and forceless, or faint, thin, and weak, or only the Right pulse is deficient and large. Indicated for deficiency of Middle Qi failing to control blood, or improper use of purgatives due to Middle Qi insufficiency, or malaria/dysentery caused by dietary and labor fatigue, chronic non-healing due to Spleen-Stomach Qi deficiency, loose interstices prone to Wind-Cold invasion causing persistent cough from minor pathogens affecting the Lung, sinking of Yuan Qi due to prolonged illness, failure of Yuan Qi to rise due to fright, weakness preventing tolerance of diaphoretic treatments for Wind-Cold, post-coital labor-induced colds, or labor-induced colds followed by intercourse, dizziness/vertigo from failing Yang rising, forehead preference for warmth with gradual improvement, etc. Regardless of internal or external conditions, if determined to be caused by labor/fatigue, use this as the primary formula. Its therapeutic method nourishes Stomach Qi in the body and promotes the ascending function of Spring and Summer. It also enables Spleen Earth to generate Lung Metal, serving as a source-nourishing agent for Liver, Heart, Spleen, and Lung.
Ingredients: Huang Qi (Astragali Radix) (1 qian if severe/feverish), Ren Shen (Ginseng Radix et Rhizoma) (0.3 qian, remove if coughing), Zhi Gan Cao (Honey-fried Licorice Root) (0.5 qian), Dang Gui (Angelicae Sinensis Radix) (wine-processed), Chen Pi (Citri Reticulatae Pericarpium), Sheng Ma (Cimicifugae Rhizoma), Chai Hu (Bupleuri Radix) (each 0.3 qian), Bai Zhu (Atractodis Rhizoma) (0.5 qian).
(Xue Xinpu's common prescription: Huang Qi, Ren Shen, Bai Zhu each 1.5 qian; Dang Gui 1 qian; Chen Pi 0.7 qian; Chai Hu, Sheng Ma each 0.5 qian.)
Add two cups of water, one jujube, and one slice of ginger. Decoct until one cup remains. Adjust water volume based on Qi deficiency or excess. Strain and take slightly warm well after meals. For severe cases, recovery occurs within no more than two doses.