论曰脾脏盛实，则生热，热气熏蒸，则令人舌本肿胀，语言謇涩，腹胁坚硬，泾溲不利
，四肢不举，身体沉重，面目焦黄，不得安卧而唇口干燥也。
治脾实舌本强直，或梦歌乐，体重不能行。泻热汤方
前胡（去芦头） 赤茯苓（去黑皮） 龙胆（去土） 细辛（去苗叶） 芒硝（各三两）
杏仁（汤浸去皮尖双
上九味。粗捣筛，每服三钱匕。水一盏，煎至八分，去滓不拘时候温服。
治脾实热，面黄目赤，季胁痛满。半夏汤方
半夏（汤洗七遍切焙） 枳实（去瓤麸炒） 栀子（去皮） 赤茯苓（去黑皮） 芒硝
（各三两） 细辛（去
上九味。粗捣筛，每服五钱匕。水一盏半，入生地黄生姜各半分切，同煎至一盏，去滓
不拘时候温服。
治脾实咽干口燥，舌本肿强，腹胁满胀，大便涩难。射干汤方
射干（八两） 大青（三两） 石膏（碎十两）
上三味。粗捣筛，每服五钱匕。入蜜一匙头，水一盏半，同煎至一盏，去滓不拘时候温
服。
治脾实胸中满闷，腹胁壅胀，身热颊疼，咽喉不利。泻脾大黄汤方
大黄（锉微炒一两） 赤茯苓（去黑皮三分） 枳壳（去瓤麸炒半两） 甘草（炙锉） 黄
芩（去黑心各一两） 陈橘皮（汤浸去白焙半两） 麦门冬（去心焙一两） 半夏（汤洗去
滑焙） 前胡（去芦头各半两）
上九味。粗捣筛，每服三钱匕。水一盏，入生姜一枣大拍碎，煎至七分，去滓不拘时候
温服。
治脾实热，头痛胸满，腹胁壅滞，不思饮食。泻脾赤茯苓汤下
赤茯苓（去黑皮三分） 旋复花（半两） 大黄（锉微炒） 石膏（碎各一两） 桑根
白皮（锉三分） 芍药（赤者半两） 枳壳（去瓤麸炒三分） 前胡（去芦头） 甘草（炙
各半两）
上九味。粗捣筛，每服三钱匕。水一盏，入生姜一枣大拍碎，煎至七分，去滓不拘时候
温服。
治脾脏壅实，口内生疮，食少心烦。泻脾升麻汤方
升麻 羚羊角屑 茯神（去木） 黄连（去须各一两） 柴胡（去苗一两半） 黄芩（去
黑心三分） 麦门冬（去心焙一两） 大青（三分） 甘草（炙半两）
上九味。粗捣筛，每服三钱匕。水一盏，煎至七分，去滓食后温服。
治脾实热，头痛胁满，烦闷或渴，唇口干燥。石膏汤方
石膏（碎一两） 麦门冬（去心焙一两半） 柴胡（去苗） 犀角屑 栝蒌根 地骨皮
（各一两） 葛根（锉二两） 甘草（炙半两）
上八味。粗捣筛，每服三钱匕。水一盏，入竹叶二七片，煎至七分，去滓入蜜半合，生
地黄汁一合，搅令匀，更煎两沸，食后温服。
治脾气实，四肢不利，头重目疼，腹胁妨闷，心膈壅滞，不思饮食。前胡饮方
前胡（去芦头一两） 大腹皮（锉一分） 赤芍药 赤茯苓（去黑皮） 桔梗（锉炒） 羚
羊角屑 旋复花 枳壳（去瓤麸炒各半两）
上八味。粗捣筛，每服三钱匕。水一盏，生姜一枣大拍碎，枣二枚劈破，煎至七分，去
滓不拘时候温服。
治脾实腹胁坚胀，泾溲不利。槟榔丸方
槟榔（锉） 木香（各二两） 芍药 枳壳（去瓤麸炒各三分） 桂（去粗皮） 大黄
（锉炒各一两）
上六味，捣罗为末，炼蜜和丸，如梧桐子大。每日空心米饮下十丸，利下为度。
论述说：脾脏邪气盛实，就会产生热邪；热气熏蒸上扰，会导致舌根肿胀、言语不清艰涩，腹部和胁肋部坚硬，大小便不通畅，四肢无法抬举，身体沉重，面色焦黄，不能安稳躺卧，且嘴唇和口腔干燥。
治疗脾实证导致舌根僵硬强直，或梦中唱歌欢笑，身体沉重无法行走的方剂：泻热汤方。
前胡（去除芦头） 赤茯苓（去除黑皮） 龙胆（去除泥土） 细辛（去除苗叶） 芒硝（各三两）
杏仁（用热水浸泡后去皮尖，双仁者保留）
以上九味药。粗捣碎并过筛，每次服用三钱匕的药量。用水一盏，煎煮至八分满，滤去药渣，不分时候温服。
治疗脾实热证，见面色发黄、眼睛发红，季胁部位疼痛胀满的方剂：半夏汤方。
半夏（用热水清洗七遍，切片焙干） 枳实（去除瓤，麸皮炒制） 栀子（去除外皮） 赤茯苓（去除黑皮） 芒硝（各三两） 细辛（去除苗叶）
以上九味药。粗捣碎并过筛，每次服用五钱匕的药量。用水一盏半，加入生地黄和生姜各半分（切碎），一同煎煮至一盏满，滤去药渣，不分时候温服。
治疗脾实证出现咽干口燥，舌根肿胀僵硬，腹部和胁肋部胀满，大便涩滞难解的方剂：射干汤方。
射干（八两） 大青（三两） 石膏（打碎，十两）
以上三味药。粗捣碎并过筛，每次服用五钱匕的药量。加入一匙头蜂蜜，用水一盏半，一同煎煮至一盏满，滤去药渣，不分时候温服。
治疗脾实证导致胸中胀闷，腹部和胁肋部壅塞胀满，身体发热且脸颊疼痛，咽喉不利顺畅的方剂：泻脾大黄汤方。
大黄（锉碎微炒一两） 赤茯苓（去除黑皮三分） 枳壳（去除瓤，麸皮炒制半两） 甘草（炙烤后锉碎） 黄芩（去除黑心各一两） 陈橘皮（热水浸泡后去除白瓤焙干半两） 麦门冬（去除心焙干一两） 半夏（热水清洗去除滑腻感焙干） 前胡（去除芦头各半两）
以上九味药。粗捣碎并过筛，每次服用三钱匕的药量。用水一盏，加入一块枣大小的生姜（拍碎），煎煮至七分满，滤去药渣，不分时候温服。
治疗脾实热证，出现头痛胸满，腹部和胁肋部壅滞，不想进食的方剂：泻脾赤茯苓汤方。
赤茯苓（去除黑皮三分） 旋复花（半两） 大黄（锉碎微炒） 石膏（打碎各一两） 桑根白皮（锉碎三分） 芍药（红色的半两） 枳壳（去除瓤，麸皮炒制三分） 前胡（去除芦头） 甘草（炙烤各半两）
以上九味药。粗捣碎并过筛，每次服用三钱匕的药量。用水一盏，加入一块枣大小的生姜（拍碎），煎煮至七分满，滤去药渣，不分时候温服。
治疗脾脏壅塞实邪，口中生疮，食欲减少心烦意乱的方剂：泻脾升麻汤方。
升麻 羚羊角屑 茯神（去除木质部分） 黄连（去除须根各一两） 柴胡（去除苗一两半） 黄芩（去除黑心三分） 麦门冬（去除心焙干一两） 大青（三分） 甘草（炙烤半两）
以上九味药。粗捣碎并过筛，每次服用三钱匕的药量。用水一盏，煎煮至七分满，滤去药渣，饭后温服。
治疗脾实热证，出现头痛胁肋胀满，烦闷或口渴，嘴唇和口腔干燥的方剂：石膏汤方。
石膏（打碎一两） 麦门冬（去除心焙干一两半） 柴胡（去除苗） 犀角屑 栝蒌根 地骨皮（各一两） 葛根（锉碎二两） 甘草（炙烤半两）
以上八味药。粗捣碎并过筛，每次服用三钱匕的药量。用水一盏，加入十四片竹叶，煎煮至七分满，滤去药渣，加入半合蜂蜜和一合生地黄汁，搅拌均匀，再煮沸两次，饭后温服。
治疗脾气实邪，导致四肢活动不利，头部沉重眼睛疼痛，腹部和胁肋部妨碍闷胀，心膈部壅塞阻滞，不想进食的方剂：前胡饮方。
前胡（去除芦头一两） 大腹皮（锉碎一分） 赤芍药 赤茯苓（去除黑皮） 桔梗（锉碎炒制） 羚羊角屑 旋复花 枳壳（去除瓤，麸皮炒制各半两）
以上八味药。粗捣碎并过筛，每次服用三钱匕的药量。用水一盏，加入一块枣大小的生姜（拍碎）、两枚大枣（劈破），煎煮至七分满，滤去药渣，不分时候温服。
治疗脾实证导致腹部和胁肋部坚硬胀满，大小便不通畅的方剂：槟榔丸方。
槟榔（锉碎） 木香（各二两） 芍药 枳壳（去除瓤，麸皮炒制各三分） 桂枝（去除粗皮） 大黄（锉碎炒制各一两）
以上六味药，捣碎过罗成为粉末，用炼蜜调和制成丸药，大小如梧桐子。每天空腹时米汤送服十丸，以大便通利为度。
It is stated that when the Spleen organ (Spleen) suffers from excess and fullness, heat generates. The steaming of heat qi causes swelling of the tongue root, speech impediment with slurred articulation, hardness in the abdomen and hypochondrium, difficulty in urination and defecation, inability to lift the limbs, heaviness of the body, sallow and scorched complexion, restlessness preventing sleep, and dryness of the lips and mouth.
For treating Spleen excess causing stiffness and rigidity of the tongue root, or dreaming of singing and laughing, with body heaviness making walking difficult: Xiere Tang (Heat-Draining Decoction).
Qianhu (Peucedani Radix, removed rhizome head), Chifuling (Poria Cocos with Red Skin, removed black skin), Longdan (Gentianae Radix, removed soil), Xixin (Asari Radix et Rhizoma, removed seedlings and leaves), Mangxiao (Natrii Sulfas, each three liang), Xingren (Prunus Armeniacae Semen, soaked in hot water, skin and tips removed, retaining double kernels).
The above nine ingredients are coarsely crushed and sifted. Each dose consists of three qianbi (approx. 9 grams). Add one zhan (approx. 200 ml) of water, decoct until eight-tenths remains, remove dregs, and take warm at any time.
For treating Spleen excess-heat presenting with yellow face, red eyes, and pain and fullness in the lateral costal region: Banxia Tang (Pinellia Decoction).
Banxia (Pinelliae Rhizoma, washed seven times in hot water, sliced and dried), Zhishi (Aurantii Fructus Immaturus, removed pulp, stir-fried with bran), Zhizi (Gardeniae Fructus, removed skin), Chifuling (Poria Cocos with Red Skin, removed black skin), Mangxiao (Natrii Sulfas, each three liang), Xixin (Asari Radix et Rhizoma, removed seedlings and leaves).
The above nine ingredients are coarsely crushed and sifted. Each dose consists of five qianbi (approx. 15 grams). Add one and a half zhan of water, along with Shengdihuang (Rehmanniae Radix) and Shengjiang (Zingiberis Rhizoma Recens), each half fen (sliced), decoct together until one zhan remains, remove dregs, and take warm at any time.
For treating Spleen excess presenting with dry throat and mouth, swelling and stiffness of the tongue root, abdominal and hypochondriac fullness, and difficult, astringent defecation: Shegan Tang (Belamcandae Decoction).
Shegan (Belamcandae Rhizoma, eight liang), Daqing (Isatidis Folium, three liang), Shigao (Gypsum Fibrosum, crushed, ten liang).
The above three ingredients are coarsely crushed and sifted. Each dose consists of five qianbi. Add one spoonful of honey, add one and a half zhan of water, decoct together until one zhan remains, remove dregs, and take warm at any time.
For treating Spleen excess causing chest fullness and oppression, abdominal and hypochondriac congestion and distension, body heat with cheek pain, and unsmooth throat: Xiepi Dahuang Tang (Spleen-Draining Rhubarb Decoction).
Dahuang (Rhei Radix et Rhizoma, cut into pieces and slightly stir-fried, one liang), Chifuling (Poria Cocos with Red Skin, removed black skin, three qian), Zhike (Aurantii Fructus, removed pulp, stir-fried with bran, half liang), Gancao (Licorice Root, roasted and cut into pieces), Huangqin (Scutellariae Radix, removed black heart, each one liang), Chenju pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried, half liang), Maimendong (Ophiopogonis Radix, removed heart, dried, one liang), Banxia (Pinelliae Rhizoma, washed in hot water to remove slipperiness, dried), Qianhu (Peucedani Radix, removed rhizome head, each half liang).
The above nine ingredients are coarsely crushed and sifted. Each dose consists of three qianbi. Add one zhan of water, plus one date-sized piece of Shengjiang (Zingiberis Rhizoma Recens, smashed), decoct until seven-tenths remains, remove dregs, and take warm at any time.
For treating Spleen excess-heat presenting with headache and chest fullness, abdominal and hypochondriac stagnation, and loss of appetite: Xiepi Chifuling Tang (Spleen-Draining Poria with Red Skin Decoction).
Chifuling (Poria Cocos with Red Skin, removed black skin, three qian),uanjinhua (Inulae Flos, half liang), Dahuang (Rhei Radix et Rhizoma, cut into pieces and slightly stir-fried), Shigao (Gypsum Fibrosum, crushed, each one liang), Sangbaipipi (Mori Cortex, cut into pieces, three qian), Shaoyao (Paeoniae Radix, red variety, half liang), Zhike (Aurantii Fructus, removed pulp, stir-fried with bran, three qian), Qianhu (Peucedani Radix, removed rhizome head), Gancao (Licorice Root, roasted, each half liang).
The above nine ingredients are coarsely crushed and sifted. Each dose consists of three qianbi. Add one zhan of water, plus one date-sized piece of Shengjiang (Zingiberis Rhizoma Recens, smashed), decoct until seven-tenths remains, remove dregs, and take warm at any time.
For treating Spleen organ congestion and excess, sores inside the mouth, reduced food intake, and vexation: Xiepi Shengma Tang (Spleen-Draining Cimicifugae Decoction).
Shengma (Cimicifugae Rhizoma), Lingyangjiaoxie (Antilope Cervicapra Cornu, shaved), Fushen (Poria Cocos with Hostwood, removed wood), Huanglian (Coptidis Rhizoma, removed roots, each one liang), Chaihu (Bupleuri Radix, removed seedlings, one and a half liang), Huangqin (Scutellariae Radix, removed black heart, three qian), Maimendong (Ophiopogonis Radix, removed heart, dried, one liang), Daqing (Isatidis Folium, three qian), Gancao (Licorice Root, roasted, half liang).
The above nine ingredients are coarsely crushed and sifted. Each dose consists of three qianbi. Add one zhan of water, decoct until seven-tenths remains, remove dregs, and take warm after meals.
For treating Spleen excess-heat presenting with headache and hypochondriac fullness, vexation or thirst, and dryness of lips and mouth: Shigao Tang (Gypsum Decoction).
Shigao (Gypsum Fibrosum, crushed, one liang), Maimendong (Ophiopogonis Radix, removed heart, dried, one and a half liang), Chaihu (Bupleuri Radix, removed seedlings), Xijiaoxie (Rhinocerotis Cornu, shaved), Gualougen (Trichosanthis Radix), Digupi (Lycii Cortex, each one liang), Gegen (Puerariae Lobatae Radix, cut into pieces, two liang), Gancao (Licorice Root, roasted, half liang).
The above eight ingredients are coarsely crushed and sifted. Each dose consists of three qianbi. Add one zhan of water, plus fourteen leaves of Zhuye (Bambusae Folium), decoct until seven-tenths remains, remove dregs, add half he of honey and one he of Shengdihuangzhi (Jus Rehmanniae Recens), stir well, boil twice more, and take warm after meals.
For treating Spleen qi excess causing impaired limb movement, heavy head and painful eyes, abdominal and hypochondriac obstruction and stuffiness, stagnation in the heart and diaphragm, and loss of appetite: Qianhu Yin (Peucedani Infusion).
Qianhu (Peucedani Radix, removed rhizome head, one liang), Dafupi (Arecae Pericarpium, cut into pieces, one qian), Chishaoyao (Paeoniae Radix Rubra), Chifuling (Poria Cocos with Red Skin, removed black skin), Jiegeng (Platycodonis Radix, cut into pieces and stir-fried), Lingyangjiaoxie (Antilope Cervicapra Cornu, shaved), Yuanjinhua (Inulae Flos), Zhike (Aurantii Fructus, removed pulp, stir-fried with bran, each half liang).
The above eight ingredients are coarsely crushed and sifted. Each dose consists of three qianbi. Add one zhan of water, plus one date-sized piece of Shengjiang (Zingiberis Rhizoma Recens, smashed) and two dates (split open), decoct until seven-tenths remains, remove dregs, and take warm at any time.
For treating Spleen excess causing hardness and distension of the abdomen and hypochondrium, and difficulty in urination and defecation: Binglang Wan (Areca Seed Pill).
Binglang (Arecae Semen, cut into pieces), Muxiang (Aucklandiae Radix, each two liang), Shaoyao (Paeoniae Radix), Zhike (Aurantii Fructus, removed pulp, stir-fried with bran, each three qian), Gui (Cinnamomi Ramulus, removed coarse bark), Dahuang (Rhei Radix et Rhizoma, cut into pieces and stir-fried, each one liang).
The above six ingredients are pounded and sieved into powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Take ten pills daily on an empty stomach with rice water, stopping when bowel movement becomes free.