主脾脏气实,胸中满,不能食方∶
茯苓(四两) 浓朴(四两,炙) 桂心(五两) 生姜(八两,切) 半夏(一升,
洗去滑)
人参 黄芩 甘草(炙,各二两)
上八味, 咀,以水一斗,煮取三升,分三服,又主冷气在脾脏,走在四肢,手足流肿,
亦逐水气。
治脾气实,其人口中淡甘,卧愦愦痛无常处,及呕吐反胃,并主之方∶
大黄(六两)
上一味,破,以水六升,煮取一升,分再服。又主食即吐并大便不通者,加甘草二两,
煮取二升半,分三服。
主脾气不足,虚冷注下腹痛方∶
当归 干姜 黄连 龙骨 赤石脂 人参(各三两) 橘皮 附子(炮,去皮) 秦皮 大
黄(各二两) 半夏(五两,洗)
上一十一味, 咀,以水一斗,煮取三升一合,分四服。
主不欲食,留腹中,或上或下,烦闷,得食辄呕欲吐,吐已即胀满不消,噫腥臭发热,
四肢肿而苦下体重,不能自胜方∶
麻子仁(三合) 禹余粮(二两) 桑根白皮(一斤) 大枣(一百枚,擘) 黄连 干
姜白
术甘草(炙,各三两)
上八味, 咀,以水一斗煮取半,去滓,得二升九合,日一服,三日令尽,老小任意加
减。
主脾气不调,使人身重如石,欲食即呕,四肢酸削不收方∶
生地黄 黄 芍药 甘草(各一两,炙) 生姜(二两) 白蜜(一升)
上六味, 咀,以水九升,煮取三升,去滓纳蜜,搅令微沸,服八合,日三夜一。
主治脾脏气实,胸中胀满,不能进食的方剂:
茯苓(四两) 厚朴(四两,炙烤) 桂心(五两) 生姜(八两,切片) 半夏(一升,洗去滑腻)
人参 黄芩 甘草(炙烤,各二两)
以上八味药,切碎,用水一斗,煎煮至三升,分三次服用。此方又主治冷气在脾脏,游走于四肢,手足浮肿,也能驱逐水气。
治疗脾气实,患者口中感觉淡甘,躺卧时昏沉疼痛且痛处不定,以及呕吐、反胃,都适用此方:
大黄(六两)
以上一味药,捣碎,用水六升,煎煮至一升,分两次服用。另外,如果是进食即吐并且大便不通的患者,加甘草二两,煎煮至二升半,分三次服用。
主治脾气不足,虚冷导致腹泻腹痛的方剂:
当归 干姜 黄连 龙骨 赤石脂 人参(各三两) 橘皮 附子(炮制,去皮) 秦皮 大黄(各二两) 半夏(五两,洗)
以上十一味药,切碎,用水一斗,煎煮至三升一合,分四次服用。
主治不想吃东西,食物停滞腹中,或上或下,烦闷,吃一点就呕吐想吐,吐完就胀满不消,嗳气有腥臭味并发热,四肢浮肿且苦于下肢沉重,无法支撑身体的方剂:
麻子仁(三合) 禹余粮(二两) 桑根白皮(一斤) 大枣(一百枚,掰开) 黄连 干姜 白术 甘草(炙烤,各三两)
以上八味药,切碎,用水一斗煎煮至一半,去掉药渣,得到二升九合,每天服用一次,三天服完,老人小孩可根据情况任意加减。
主治脾气不调,使身体沉重如石头,想吃东西却呕吐,四肢酸痛消瘦无力的方剂:
生地黄 黄芪 芍药 甘草(各一两,炙烤) 生姜(二两) 白蜜(一升)
以上六味药,切碎,用水九升,煎煮至三升,去掉药渣加入蜂蜜,搅拌微沸,服用八合,每天三次,夜间一次。
Formula for treating excess Qi in the Spleen organ, characterized by fullness in the chest and inability to eat:
Fuling (Poria, 4 liang) Houpo (Magnolia Bark, 4 liang, stir-fried) Guixin (Cinnamon Twig Heart, 5 liang) Shengjiang (Fresh Ginger, 8 liang, sliced) Banxia (Pinellia Rhizome, 1 sheng, washed to remove slipperiness)
Renshen (Ginseng Root) Huangqin (Scutellaria Root) Gancao (Licorice Root, stir-fried, each 2 liang)
The above eight herbs are coarsely crushed, decocted with one dou of water until three sheng remain, divided into three doses. This formula also treats cold Qi residing in the Spleen organ, wandering through the four limbs, causing edema in the hands and feet, and helps expel fluid retention.
Formula for treating excess Spleen Qi, where the patient experiences a bland-sweet taste in the mouth, drowsy pain while lying down with shifting locations, as well as vomiting and regurgitation:
Dahuang (Rhubarb Root, 6 liang)
The above single herb is broken, decocted with six sheng of water until one sheng remains, divided into two doses. Additionally, for cases involving immediate vomiting after eating and constipation, add Gancao (Licorice Root, 2 liang), decoct until two and a half sheng remain, divided into three doses.
Formula for treating deficiency-cold of Spleen Qi leading to diarrhea and abdominal pain:
Danggui (Angelica Sinensis Root) Ganjiang (Dried Ginger) Huanglian (Coptis Rhizome) Longgu (Fossilized Bone) Chishizhi (Red Kaolin) Renshen (Ginseng Root, each 3 liang) Jupi (Tangerine Peel) Fuzi (Aconite Lateral Root, processed, peeled) Qinpi (Ash Bark) Dahuang (Rhubarb Root, each 2 liang) Banxia (Pinellia Rhizome, 5 liang, washed)
The above eleven herbs are coarsely crushed, decocted with one dou of water until three sheng and one ge remain, divided into four doses.
Formula for treating anorexia, food stagnation in the abdomen moving up or down, restlessness, immediate vomiting upon eating, post-vomiting bloating that does not resolve, foul-smelling belching accompanied by fever, edema in the four limbs, and heaviness in the lower body making it difficult to bear weight:
Maziren (Hemp Seed) Yuyuliang (Limonitum) Sanggen Baipi (Mulberry Root Bark) Dazao (Jujube Fruit, 100 pieces, torn open) Huanglian (Coptis Rhizome) Ganjiang (Dried Ginger) Baizhu (Atractylodes Macrocephala Rhizome) Gancao (Licorice Root, stir-fried, each 3 liang)
The above eight herbs are coarsely crushed, decocted with one dou of water until reduced by half, filtered to obtain two sheng and nine ge, taken once daily, consumed completely over three days. Dosage may be adjusted arbitrarily for elderly and children.
Formula for treating disharmony of Spleen Qi, resulting in a heavy body feeling like stone, nausea when attempting to eat, and sore, wasted, weak four limbs:
Shengdihuang (Rehmannia Root) Huangqi (Astragalus Root) Shaoyao (Peony Root) Gancao (Licorice Root, stir-fried, each 1 liang) Shengjiang (Fresh Ginger, 2 liang) Baimi (White Honey, 1 sheng)
The above six herbs are coarsely crushed, decocted with nine sheng of water until three sheng remain. Filter out the dregs, add honey, stir until slightly boiling, take eight ge, three times daily and once at night.