脉
气口脉紧盛为伤食。食不消化，浮滑而疾。经曰∶上部有脉，下部无脉，其人当吐，不吐者死。又曰∶气
口脉大于人迎三倍，食伤太阴。盖饮食填塞胸中，太阳之分野，肝木之气，郁而不伸，故
必吐以达之，然伤有轻重，必甚而至于两手尺脉绝无者，乃用瓜蒂散吐之。不则或以指，或以鹅翎蘸桐
油胆矾探吐之，免致夭枉之患也。
证
病源曰∶宿食不消，由脏腑虚弱，寒气在于脾胃之间，故使谷不化也。宿谷未消，新谷又入，脾气
既弱，故不能磨之，则经宿而不消也。令人腹胀气急，胸膈痞塞，咽酸噫气，如败卵臭。时复憎
寒壮热，或头痛如疟状，皆其症也。凡伤食必恶食，胸中有物，宜
用消导之剂。若伤食挟外感者，不可专攻其食，用行气香苏散，兼而治之。
治
饮者，无形之气。伤之，则宜发汗、利小便，使上下分消其湿也。五苓散、葛花解酲汤、生姜、半夏、
枳实、白术之类是也。食者，有形之物。伤之则宜损其谷，其次莫如消导。重者，宜吐。宜
下，枳术丸、保和丸、备急丹之类，量轻重择用。
方
行气香苏散（三山陈氏方）〔批〕（按此方治内伤、外感、七情、四气，和解表里之剂）
治内伤生冷浓味、坚硬之物，胸腹胀满疼痛，及外感风寒湿气，发热恶寒，遍身酸痛，七情气逆，呕吐
泄泻，饮食不下等症。
紫苏（一钱） 柴胡（八分） 陈皮（八分） 香附（醋炒，一钱） 乌药（八分） 川芎
（八分） 羌活（八分） 枳壳（八分） 苍术（八分） 麻黄（一钱） 甘草（三分）
上锉生姜三片，水煎温服。外感风寒，加葱白三根；内伤饮食，加神曲、山楂各一钱。
消滞丸 消酒消食，消痰消气，消痞消胀，消肿消痛，消积
聚，消 瘕。此药消而不见，响而不动，药本寻常，功效甚妙。
黑牵牛（头末，二两） 香附（炒，一两） 五灵脂（一两）
上共末，醋糊丸如豆大，每服二十丸，生姜汤下。
宽中丸 治一切饮食不消，腹胀发热之症。
山楂（蒸过，去核，曝干）
上为末，每服五钱，米汤调下。
利气丸（方见气门）〔批〕（按此方消导积热之剂）
备急丸 治胃中停滞寒冷之物，及诸心腹卒痛。
大黄 干姜 巴豆（去油，各等分）
上为末，炼蜜丸如绿豆大。每服三丸，温水送下，量虚实加减丸数。若中恶客忤，心腹胀满，痛
如刀刺，气急口噤，尸厥卒死者，以热酒灌下。或口噤，以木棒撑起牙关，令下咽，须臾瘥，未瘥，更
与三丸，以腹中鸣转，即吐下便愈。若口噤，须折齿灌之，令人为
妙。忌猪肉、冷水、肥腻之物。
化滞丸〔批〕（按此方通利冷积之剂） 理一切气，化一切积。夺造化有
通塞之功，调阴阳有补泻之妙。久坚沉涸，磨之自消；暴积乍留，导之自去。
木香（二钱） 丁香（二钱） 青皮（二钱） 陈皮（二钱） 黄连（二钱） 半夏（为末，
姜汁和饼，阴干，二钱） 三棱（五钱，火煨） 蓬术（五钱，火煨）
以上八味俱为末。
巴豆（六钱，去心膜，以瓦器盛醋，浸一宿，熬至醋干，研）
乌梅（五钱，取肉焙干为末，用水醋熬膏，调前药为丸）
乌梅膏和丸黍大，每服五丸，或七丸至十丸，量虚实用。欲通则用热汤。欲止则用冷水。常服磨积，
不欲通泄，津液咽下，或空心陈皮汤下。停食饱闷，枳壳汤下。但有所积之物，取本汁饮下。因食吐不止，
津液下。小肠气痛，茴香酒下。食泻不休，及霍乱吐泻，新汲水下。赤痢，冷甘草汤下。白痢，
冷干姜汤下。心痛，菖蒲汤下。诸气痛，生姜陈皮汤下。若欲宣通，滚姜汤下，仍加丸子。未利再服，利
多饮冷水一口即止。
妇人血气痛，当归酒下，有孕不宜服。小儿量岁数加减用。疳积常服，不拘时候，米饮下三、五丸。
保和丸 消痰利气，扶脾胃，进饮食。一切饮食所伤，胸膈满
闷不安；或腹中有食不化；或积聚痞块，多服日渐消散，大有效验。
白术（五两） 陈皮（洗，三两） 半夏（泡，三两） 茯苓（三两） 神曲（三两，炒）
山楂肉（三两） 连翘（二两） 香附（醋炒，二两） 浓朴（姜炒，二两） 萝卜子（二两）
枳实（炒，一两） 麦芽（炒，一两） 黄连（姜炒，一两） 黄芩（酒炒，二两）
上为末，姜汁糊丸桐子大。每服五十丸，加至七、八十丸，食后茶清送下。
理气健脾丸（高硕尹传）
白术（土炒，六两） 归身（酒洗，六两） 陈皮（洗，三两） 白茯苓（三两） 黄连
姜炒，二两） 香附（醋炒，二两） 枳实（麸炒，二两） 桔梗（一两五钱） 山楂（去核，
二两） 半夏（姜炒，二两） 神曲（炒，二两） 木香（五钱）
上末，荷叶煮饭为丸，梧子大。每用百丸，白汤下。
三补枳术丸〔批〕（按此方半消半补，平和之剂） 化痰清热。健胃补脾，消食顺气。
白术（土炒，二两） 陈皮（去白，一两） 枳实（麸炒，一两） 黄连（姜炒，五钱）
黄芩（酒炒，五钱） 黄柏（盐炒，一两） 贝母（去心，八钱） 白茯苓（五钱） 神曲
（炒，五钱） 山楂（去核，五钱） 麦芽（炒，三钱） 香附（醋炒，五钱） 砂仁（一钱） 桔
梗（二钱） 连翘（二钱） 甘草（炙，三钱）
上末，荷叶煮饭为丸，如桐子大。每百丸，姜汤下。
脉象
气口脉（寸口脉）紧盛是伤食的表现。食物不消化，脉象浮滑且急促。医经说：上部有脉，下部无脉，病人应当呕吐，如果不吐就会死亡。又说：气口脉比人迎脉大三倍，是饮食损伤了太阴脾经。因为饮食填塞在胸中，这是太阳经的分布区域，肝木之气郁结而不能舒展，所以必须通过呕吐来疏导它。然而伤势有轻重之分，只有当两手尺脉完全摸不到时，才使用瓜蒂散进行催吐。否则，可以用手指或鹅翎蘸桐油和胆矾探喉催吐，以避免夭折的危险。
证候
病源学说认为：宿食不消，是因为脏腑虚弱，寒气停留在脾胃之间，导致谷物无法消化。未消化的宿谷还在，新的食物又进入，脾气既然虚弱，就不能磨化食物，所以经过一夜也不能消化。这会导致腹部胀满、气息急促、胸膈痞闷堵塞、咽部泛酸、打嗝有像臭鸡蛋一样的气味。有时还会憎寒壮热，或者头痛像疟疾发作一样，这些都是它的症状。凡是伤食一定厌恶食物，胸中有积滞物，适宜使用消导的药剂。如果伤食兼夹外感病邪，不可专门攻伐食积，应使用行气香苏散，同时治疗内外之邪。
治法
饮酒过量，酒属于无形的气。伤了酒，适宜发汗、利小便，使湿气从上下的途径分消。五苓散、葛花解酲汤、生姜、半夏、枳实、白术等药物就是这类。进食过多，食物是有形的物体。伤了食，适宜减少谷物摄入，其次不如使用消导法。伤势重的，适宜催吐；伤势轻的，适宜泻下。如枳术丸、保和丸、备急丹等，根据伤势轻重选择使用。
方剂
行气香苏散（出自三山陈氏方）〔批注〕（按：此方是治疗内伤、外感、七情、四气，和解表里的药剂）
治疗内伤生冷浓味、坚硬之物，胸腹胀满疼痛，以及外感风寒湿气，发热恶寒，全身酸痛，七情气逆，呕吐泄泻，饮食不下等症状。
紫苏（一钱） 柴胡（八分） 陈皮（八分） 香附（醋炒，一钱） 乌药（八分） 川芎（八分） 羌活（八分） 枳壳（八分） 苍术（八分） 麻黄（一钱） 甘草（三分）
以上药材切碎，加生姜三片，水煎温服。如果是外感风寒，加葱白三根；如果是内伤饮食，加神曲、山楂各一钱。
消滞丸 消除酒食、痰浊、气滞、痞块、胀满、肿痛、积聚、瘕瘕。此药消积而不显痕迹，响声大但不伤正气，药物虽寻常，功效却甚妙。
黑牵牛（头末，二两） 香附（炒，一两） 五灵脂（一两）
以上共研为末，用醋糊制成如豆大的丸药，每次服用二十丸，生姜汤送下。
宽中丸 治疗一切饮食不消，腹胀发热等症状。
山楂（蒸过，去核，晒干）
以上研为末，每次服用五钱，米汤调下。
备急丸 治疗胃中停滞的寒冷之物，以及各种心腹突然疼痛。
大黄 干姜 巴豆（去油，各等分）
以上研为末，炼蜜制成如绿豆大的丸药。每次服用三丸，温水送下，根据虚实加减丸数。如果是中恶客忤，心腹胀满，痛如刀刺，气息急促牙关紧闭，尸厥猝死，用热酒灌下。如果牙关紧闭，用木棒撑起牙关，令其咽下，片刻后好转，若未好转，再给三丸，直到腹中鸣转，即吐下便愈。如果牙关紧闭，必须折断牙齿灌药，让人帮忙为好。忌食猪肉、冷水、肥腻之物。
化滞丸〔批注〕（按：此方是通利冷积的药剂） 调理一切气机，化解一切积滞。具有通达闭塞的功效，调和阴阳有补泻的妙处。久坚沉涸的积滞，磨之自消；暴积乍留的积滞，导之自去。
木香（二钱） 丁香（二钱） 青皮（二钱） 陈皮（二钱） 黄连（二钱） 半夏（研为末，姜汁和饼，阴干，二钱） 三棱（五钱，火煨） 蓬术（五钱，火煨）
以上八味全部研为末。
巴豆（六钱，去心膜，用瓦器盛醋，浸泡一夜，熬至醋干，研磨）
乌梅（五钱，取肉焙干为末，用水醋熬膏，调和前药为丸）
用乌梅膏和丸如黍米大，每次服用五丸，或七丸至十丸，根据虚实用量。想要通便则用热汤送下。想要止泻则用冷水送下。常服磨积，不想通泄，用津液咽下，或空腹用陈皮汤送下。停食饱闷，用枳壳汤送下。但有所积之物，取本汁饮下。因食吐不止，用津液送下。小肠气痛，用茴香酒送下。食泻不休，及霍乱吐泻，用新汲水下。赤痢，用冷甘草汤送下。白痢，用冷干姜汤送下。心痛，用菖蒲汤送下。诸气痛，用生姜陈皮汤送下。如果想要宣通，用滚姜汤送下，仍加丸子。未通利再服，通利过多喝一口冷水即可停止。
妇人血气痛，用当归酒送下，孕妇不宜服用。小儿根据岁数加减使用。疳积常服，不拘时候，米饮送下三、五丸。
保和丸 消痰利气，扶护脾胃，增进饮食。一切饮食所伤，胸膈满闷不安；或腹中有食不化；或积聚痞块，多服日渐消散，大有疗效。
白术（五两） 陈皮（洗，三两） 半夏（泡，三两） 茯苓（三两） 神曲（三两，炒）
山楂肉（三两） 连翘（二两） 香附（醋炒，二两） 浓朴（姜炒，二两） 萝卜子（二两）
枳实（炒，一两） 麦芽（炒，一两） 黄连（姜炒，一两） 黄芩（酒炒，二两）
以上研为末，姜汁糊制成如梧桐子大的丸药。每次服用五十丸，加至七、八十丸，饭后茶清送下。
理气健脾丸（高硕尹传）
白术（土炒，六两） 归身（酒洗，六两） 陈皮（洗，三两） 白茯苓（三两） 黄连（姜炒，二两） 香附（醋炒，二两） 枳实（麸炒，二两） 桔梗（一两五钱） 山楂（去核，二两） 半夏（姜炒，二两） 神曲（炒，二两） 木香（五钱）
以上研为末，用荷叶煮饭为丸，如梧桐子大。每次服用一百丸，白开水送下。
三补枳术丸〔批注〕（按：此方半消半补，平和的药剂） 化痰清热。健胃补脾，消食顺气。
白术（土炒，二两） 陈皮（去白，一两） 枳实（麸炒，一两） 黄连（姜炒，五钱）
黄芩（酒炒，五钱） 黄柏（盐炒，一两） 贝母（去心，八钱） 白茯苓（五钱） 神曲（炒，五钱） 山楂（去核，五钱） 麦芽（炒，三钱） 香附（醋炒，五钱） 砂仁（一钱） 桔梗（二钱） 连翘（二钱） 甘草（炙，三钱）
以上研为末，用荷叶煮饭为丸，如梧桐子大。每次一百丸，姜汤送下。
Pulse Diagnosis
A tight and full pulse at the Qi Kou (Cunkou, radial artery pulse) indicates food retention. When food is not digested, the pulse is floating, slippery, and rapid. The classics state: "If there is a pulse in the upper part but none in the lower part, the patient should vomit; if they do not vomit, death ensues." It also states: "If the Qi Kou pulse is three times larger than the Ren Ying pulse, it indicates damage to the Taiyin Spleen due to food injury." This is because food obstructs the chest, which is the domain of the Taiyang channel. The Qi of Liver Wood becomes stagnant and fails to extend, so vomiting must be induced to unblock it. However, the severity of the injury varies. Only when the Chi pulses (Kidney pulses) on both wrists are completely imperceptible should Gua Di San (Melon Twig Powder) be used to induce vomiting. Otherwise, one may use a finger or a goose feather dipped in tung oil and alum to stimulate the throat for vomiting, thereby avoiding premature death.
Symptoms
The source of disease theory holds that retained food fails to digest due to weakness of the Zang-Fu organs and cold qi residing between the Spleen and Stomach, causing grains to remain undigested. If old food remains undigested and new food enters, the weakened Spleen Qi cannot grind and transform it, resulting in indigestion overnight. This leads to abdominal distension, shortness of breath, chest and diaphragm stuffiness and obstruction, acid regurgitation, belching with an odor like rotten eggs, occasional aversion to cold with high fever, or headache resembling malaria. These are all its symptoms. In cases of food retention, there is invariably an aversion to food and a sensation of something stuck in the chest; thus, formulas that promote digestion and guide out stagnation are appropriate. If food retention is complicated by an external pathogenic invasion, one should not solely attack the food stagnation; instead, Xing Qi Xiang Su San (Moving Qi and Perilla Decoction) should be used to treat both internal and external conditions simultaneously.
Treatment Principles
Alcohol belongs to formless Qi. Injury from alcohol should be treated by inducing sweating and promoting urination to dissipate dampness through the upper and lower pathways. Examples include Wu Ling San (Five-Ingredient Powder with Poria), Ge Hua Jie Cheng Tang (Kudzu Flower Decoction for Relieving Intoxication), Sheng Jiang (Fresh Ginger Rhizome), Ban Xia (Pinellia Tuber), Zhi Shi (Immature Bitter Orange), and Bai Zhu (Atractylodes Macrocephala Rhizome). Food, however, consists of tangible matter. Injury from food requires reducing grain intake; next best is using methods to promote digestion and eliminate stagnation. For severe cases, vomiting is indicated; for milder cases, purgation is indicated. Formulas such as Zhi Zhu Wan (Atractylodes and Immature Bitter Orange Pill), Bao He Wan (Preserve Harmony Pill), and Bei Ji Dan (Emergency Aid Pellet) should be selected according to the severity of the condition.
Formulas
Xing Qi Xiang Su San (Moving Qi and Perilla Decoction) [Commentary] (Note: This formula harmonizes the interior and exterior, treating internal injuries, external invasions, emotional disturbances, and climatic factors.)
Indicated for internal injuries caused by raw, cold, rich, or hard foods leading to chest and abdominal distension and pain; external invasions of wind-cold-dampness causing fever, aversion to cold, and generalized body ache; emotional Qi rebellion; vomiting and diarrhea; and inability to eat.
Zi Su Ye (Perilla Leaf) (1 qian), Chai Hu (Bupleurum Root) (8 fen), Chen Pi (Dried Tangerine Peel) (8 fen), Xiang Fu (Cyperus Rhizome, vinegar-fried) (1 qian), Wu Yao (Lindera Root) (8 fen), Chuan Xiong (Sichuan Lovage Rhizome) (8 fen), Qiang Huo (Notopterygium Rhizome) (8 fen), Zhi Ke (Aurantii Fructus Immaturus) (8 fen), Cang Zhu (Atractylodes Lancea Rhizome) (8 fen), Ma Huang (Ephedra Stem) (1 qian), Gan Cao (Licorice Root) (3 fen).
Chop the herbs, add three slices of fresh ginger, decoct in water, and take warm. For external wind-cold, add three stalks of scallion white (Cong Bai); for internal food injury, add Shen Qu (Medicated Leaven) and Shan Zha (Hawthorn Fruit) each 1 qian.
Xiao Zhi Wan (Eliminate Stagnation Pill)
Eliminates wine, food, phlegm, Qi stagnation, epigastric fullness, swelling, pain, accumulations, and masses. This medicine eliminates without leaving traces, produces sound but does not disturb the body's essence. Though the ingredients are common, its efficacy is remarkable.
Hei Qian Niu (Black Morning Glory Seed, first powder) (2 liang), Xiang Fu (Cyperus Rhizome, fried) (1 liang), Wu Ling Zhi (Trogopterus Dung) (1 liang).
Grind into powder, make pills with vinegar paste the size of beans. Take 20 pills per dose with ginger soup.
Kuan Zhong Wan (Widen the Middle Pill)
Treats all conditions of undigested food, abdominal distension, and fever.
Shan Zha (Hawthorn Fruit, steamed, pitted, dried).
Grind into powder. Take 5 qian per dose, mixed with rice gruel.
Li Qi Wan (Regulate Qi Pill) [Formula see Qi Gate] [Commentary] (Note: This formula promotes digestion and clears accumulated heat.)
Bei Ji Wan (Emergency Aid Pill)
Treats cold substances stagnating in the Stomach and various sudden heart and abdominal pains.
Da Huang (Rhubarb Root), Gan Jiang (Dried Ginger), Ba Dou (Croton Seed, oil removed), equal parts.
Grind into powder, make pills with refined honey the size of mung beans. Take 3 pills per dose with warm water, adjusting the number based on deficiency or excess. For poisoning or sudden collapse with abdominal distension, stabbing pain, rapid breathing, and locked jaw, administer with hot wine. If the jaw is locked, prop it open with a wooden stick to allow swallowing. Improvement should occur shortly; if not, give another 3 pills until bowel sounds are heard, followed by vomiting and purging which will cure the condition. If the jaw is locked, teeth may need to be broken to administer the medicine, preferably with assistance. Avoid pork, cold water, and greasy foods.
Hua Zhi Wan (Transform Stagnation Pill) [Commentary] (Note: This formula unblocks and drains cold accumulations.)
Regulates all Qi, transforms all accumulations. It has the power to open blockages, akin to creation itself, and harmonizes Yin and Yang with tonifying and draining effects. Long-standing, deep-seated accumulations dissolve upon grinding; recent, sudden accumulations depart upon guidance.
Mu Xiang (Costus Root) (2 qian), Ding Xiang (Clove) (2 qian), Qing Pi (Green Tangerine Peel) (2 qian), Chen Pi (Dried Tangerine Peel) (2 qian), Huang Lian (Coptis Rhizome) (2 qian), Ban Xia (Pinellia Tuber, powdered, mixed with ginger juice into cakes, dried) (2 qian), San Leng (Burreed Tuber, fire-roasted) (5 qian), E Zhu (Curcuma Rhizome, fire-roasted) (5 qian).
Grind the above eight herbs into powder.
Ba Dou (Croton Seed, 6 qian, remove heart membrane, soak in vinegar in a clay vessel overnight, boil until vinegar is dry, then grind).
Wu Mei (Mume Fruit, 5 qian, take flesh, bake dry, powder, simmer with water and vinegar to make paste, mix with previous powders to make pills).
Make pills the size of millet seeds using Mume paste. Take 5 to 10 pills per dose according to deficiency or excess. To promote movement, use hot water; to stop diarrhea, use cold water. For chronic accumulation without desire for purging, swallow with saliva or take on an empty stomach with Chen Pi (Tangerine Peel) decoction. For food stagnation and fullness, take with Zhi Ke (Immature Bitter Orange) decoction. For any accumulation, take with the specific juice of the relevant herb. For persistent vomiting due to food, swallow with saliva. For Small Intestine Qi pain, take with Fennel wine. For persistent food-induced diarrhea and cholera-like vomiting/diarrhea, take with fresh well water. For bloody dysentery, take with cold Licorice decoction. For white dysentery, take with cold Dried Ginger decoction. For heart pain, take with Acorus decoction. For various Qi pains, take with Fresh Ginger and Tangerine Peel decoction. To promote circulation, take with boiling Ginger decoction, adding more pills if necessary. If no relief, take again; if excessive purging occurs, drink a mouthful of cold water to stop it.
For women's Blood and Qi pain, take with Angelica wine; contraindicated in pregnancy. For children, adjust dosage by age. For infantile malnutrition (Gan syndrome), take regularly regardless of time, 3-5 pills with rice drink.
Bao He Wan (Preserve Harmony Pill)
Eliminates phlegm, regulates Qi, supports the Spleen and Stomach, and promotes appetite. Indicated for all dietary injuries causing chest and diaphragm fullness and discomfort; undigested food in the abdomen; or accumulations and masses. Long-term use gradually dissipates these conditions, showing significant efficacy.
Bai Zhu (Atractylodes Macrocephala Rhizome) (5 liang), Chen Pi (Dried Tangerine Peel, washed) (3 liang), Ban Xia (Pinellia Tuber, soaked) (3 liang), Fu Ling (Poria) (3 liang), Shen Qu (Medicated Leaven, fried) (3 liang), Shan Zha Rou (Hawthorn Flesh) (3 liang), Lian Qiao (Forsythia Fruit) (2 liang), Xiang Fu (Cyperus Rhizome, vinegar-fried) (2 liang), Hou Po (Magnolia Bark, ginger-fried) (2 liang), Luo Bo Zi (Radish Seed) (2 liang), Zhi Shi (Immature Bitter Orange, fried) (1 liang), Mai Ya (Barley Sprout, fried) (1 liang), Huang Lian (Coptis Rhizome, ginger-fried) (1 liang), Huang Qin (Scutellaria Root, wine-fried) (2 liang).
Grind into powder, make pills with ginger juice paste the size of paulownia seeds. Take 50 pills per dose, increasing to 70-80 pills, taken after meals with clear tea.
Li Qi Jian Pi Wan (Regulate Qi and Strengthen Spleen Pill) (Transmitted by Gao Shuo Yin)
Bai Zhu (Atractylodes Macrocephala Rhizome, soil-fried) (6 liang), Dang Gui Rou (Angelica Sinensis Root flesh, wine-washed) (6 liang), Chen Pi (Dried Tangerine Peel, washed) (3 liang), Bai Fu Ling (Poria, white) (3 liang), Huang Lian (Coptis Rhizome, ginger-fried) (2 liang), Xiang Fu (Cyperus Rhizome, vinegar-fried) (2 liang), Zhi Shi (Immature Bitter Orange, bran-fried) (2 liang), Jie Geng (Platycodon Root) (1.5 liang), Shan Zha (Hawthorn Fruit, pitted) (2 liang), Ban Xia (Pinellia Tuber, ginger-fried) (2 liang), Shen Qu (Medicated Leaven, fried) (2 liang), Mu Xiang (Costus Root) (5 qian).
Grind into powder, make pills with rice cooked in lotus leaves, the size of paulownia seeds. Take 100 pills per dose with plain boiled water.
San Bu Zhi Zhu Wan (Three-Tonic Atractylodes and Immature Bitter Orange Pill) [Commentary] (Note: This formula is half-tonifying and half-draining, a mild formula.)
Resolves phlegm, clears heat. Strengthens the Stomach, tonifies the Spleen, aids digestion, and smooths Qi.
Bai Zhu (Atractylodes Macrocephala Rhizome, soil-fried) (2 liang), Chen Pi (Dried Tangerine Peel, white part removed) (1 liang), Zhi Shi (Immature Bitter Orange, bran-fried) (1 liang), Huang Lian (Coptis Rhizome, ginger-fried) (5 qian), Huang Qin (Scutellaria Root, wine-fried) (5 qian), Huang Bo (Phellodendron Bark, salt-fried) (1 liang), Bei Mu (Fritillaria Bulb, heart removed) (8 qian), Bai Fu Ling (Poria, white) (5 qian), Shen Qu (Medicated Leaven, fried) (5 qian), Shan Zha (Hawthorn Fruit, pitted) (5 qian), Mai Ya (Barley Sprout, fried) (3 qian), Xiang Fu (Cyperus Rhizome, vinegar-fried) (5 qian), Sha Ren (Amomum Fruit) (1 qian), Jie Geng (Platycodon Root) (2 qian), Lian Qiao (Forsythia Fruit) (2 qian), Gan Cao (Licorice Root, roasted) (3 qian).
Grind into powder, make pills with rice cooked in lotus leaves, the size of paulownia seeds. Take 100 pills per dose with ginger decoction.