千金凡右手关上脉阳实者，足阳明经也，病苦头痛，（脉经云阳中坚痛而热）汗不出，
如
温疟，唇口干，善哕，乳痈缺盆腋下肿，名曰胃实热也。
疗胃实泻胃热汤方。
栀子仁（二两） 芍药（四两） 白术（五两） 茯苓（三两） 生地黄（汁一升） 射
干（三两
）赤蜜（一两） 升麻（三两）
上八味切，以水七升，煮六味，取一升五合，去滓，下地黄汁两沸，次下蜜，煎取二升
，分三服，老小以意服之。忌桃李雀肉酢物芜荑等。
又方
灸膝下三寸两脚三里穴各三十壮，主胃中热病。
千金右手关上脉阳虚者，足阳明经也，病苦胫寒不得卧，恶风寒，洒洒自急，腹中痛耳
虚鸣，时寒时热，唇口干，面浮肿，名曰胃虚冷也，又疗胃虚冷，少气口苦，身体无泽，补
胃汤方。
防风 柏子仁 细辛 桂心 橘皮（各二两） 芎 吴茱萸 人参（各三两） 甘草
（一
两炙）
上九味切，以水一斗，煮取三升，分温三服。忌海藻菘菜生葱生菜等物。
又补胃虚寒，身枯绝骨，诸节皆痛，人参散方。
人参 细辛 甘草（炙各六分） 桂心 当归（各七分） 麦门冬（七分去心） 干姜
（八
分） 远志肉（四分） 蜀椒（三分汗） 吴茱萸（二分）
上十味为散，食后服方寸匕，温清酒进之。忌海藻菘菜生葱生菜。（并出第十六卷中）
范汪疗胃气虚，不欲食，四肢重短气，调和五脏，并疗诸病调中汤方。
薤白（切一升） 枳实（六枚炙） 橘皮（三枚） 大枣（十二枚） 粳米（三合） 香
豉（六合）
上六味切，枳实橘皮枣，以水六升先煮薤，得四升，纳诸药，煮取一升半，适寒温服，
中分服之，良。（一方生姜四分出第二十一卷中）
删繁疗胃虚，苦饥寒痛，人参补虚汤方。
人参 当归 茯苓 桔梗 芎 橘皮 浓朴（炙各三两） 桂心 甘草（炙各二两） 白
术（五两） 吴茱萸（二两） 大麦 （二升炒）
上十二味切，以水一斗二升，煮取三升，去滓，分三服。忌海藻菘菜桃李雀肉生葱猪肉
酢等物。（出第十一卷中）
又白术八味等散方。（与前疗同）
白术 浓朴（炙） 人参 吴茱萸 麦 （炒） 茯苓 芎 橘皮（各三两）
右药捣筛为散，食前服方寸匕，暖酒进之，随性服。忌桃李雀肉大酢。（出第四卷中）
延年补胃饮，主胃气虚热不能食，兼渴引饮方。
茯苓（四两） 人参（三两） 橘皮（二两） 生姜（三两） 薤白（切一升） 豉（五
合绵裹）
糯米（二合）
上七味切，以水七升，煮取三升，去滓，分温六服，中间任食，一日令尽。忌酢物。（
张文仲处出第一卷中）
《千金方》记载：凡是右手关部脉象阳实（指脉来充实有力）的，属于足阳明胃经的病证。患者痛苦于头痛，（《脉经》说阳气中坚紧则痛且发热），无汗，症状像温疟（一种以发热为主、伴有寒热的疟疾），嘴唇和口干苦，容易呃逆，乳房痈肿或缺盆穴及腋下肿胀，这叫做胃实热证。
治疗胃实热、泻胃火的汤剂方：
栀子仁（二两） 芍药（四两） 白术（五两） 茯苓（三两） 生地黄（取汁一升） 射干（三两） 赤蜜（一两） 升麻（三两）
以上八味药材切碎，用七升水，先煮前六味药，取汁一升五合，滤去药渣，加入生地黄汁煮沸两次，接着加入蜂蜜，煎取二升药液，分三次服用，老人小孩根据情况调整剂量。忌食桃李、雀肉、醋制品、芜荑等食物。
《千金方》又记载：右手关部脉象阳虚（指脉来虚弱无力）的，属于足阳明胃经的病证。患者痛苦于小腿寒冷无法安卧，怕风怕冷，身体瑟瑟发抖且感到紧迫，腹中疼痛且肠鸣虚响，时而发冷时而发热，嘴唇和口干苦，面部浮肿，这叫做胃虚冷证。另外治疗胃虚冷导致的气短、口苦、身体干枯无光泽，使用补胃汤方：
防风 柏子仁 细辛 桂心 橘皮（各二两） 川芎 吴茱萸 人参（各三两） 甘草（一两，炙过）
以上九味药材切碎，用一斗水，煎取三升药液，分三次温服。忌食海藻、菘菜（白菜类）、生葱、生菜等物。
又一方用于补胃虚寒，针对身体枯瘦、绝骨部位疼痛、全身关节皆痛的症状，使用人参散方：
人参 细辛 甘草（炙，各六分） 桂心 当归（各七分） 麦门冬（七分，去心） 干姜（八分） 远志肉（四分） 蜀椒（三分，出汗处理） 吴茱萸（二分）
以上十味药捣碎筛成散剂，饭后服用方寸匕（约2-3克），用温酒或清酒送服。忌食海藻、菘菜、生葱、生菜。
范汪治疗胃气虚，不想进食，四肢沉重、气短，调和五脏，并治疗各种疾病的中气调和汤方：
薤白（切碎一升） 枳实（六枚，炙过） 橘皮（三枚） 大枣（十二枚） 粳米（三合） 香豉（六合）
以上六味药材切碎，将枳实、橘皮、大枣放入水中先煮薤白，得四升水，再加入其他药物，煎取一升半药液，待温度适宜时服用，分两次服完，效果良好。（另一版本生姜四分，出自第二十一卷）
删繁疗法治疗胃虚，痛苦于饥饿寒冷引起的疼痛，使用人参补虚汤方：
人参 当归 茯苓 桔梗 川芎 橘皮 浓朴（炙，各三两） 桂心 甘草（炙，各二两） 白术（五两） 吴茱萸（二两） 大麦（二升，炒制）
以上十二味药材切碎，用一斗二升水，煎取三升药液，滤去药渣，分三次服用。忌食海藻、菘菜、桃李、雀肉、生葱、猪肉、醋等物。（出自第十一卷）
又一方为白术八味等散方。（与前文治疗相同）
白术 浓朴（炙） 人参 吴茱萸 麦（炒） 茯苓 川芎 橘皮（各三两）
以上药物捣碎筛成散剂，饭前服用方寸匕，用暖酒送服，随个人喜好服用。忌食桃李、雀肉、大酸之物。（出自第四卷）
延年补胃饮，主治胃气虚热导致不能进食，兼有口渴引饮的症状，方如下：
茯苓（四两） 人参（三两） 橘皮（二两） 生姜（三两） 薤白（切碎一升） 豉（五合，绵裹） 糯米（二合）
以上七味药材切碎，用七升水，煎取三升药液，滤去药渣，分六次温服，服药期间可随意进食，一天内服完。忌食醋制品。（出自张文仲处第一卷）
*Qianjin Fang* records: Whenever the pulse at the right Guan position (the middle position of the radial artery) is Yang-Shi (excess and solid), it indicates a disease of the Foot-Yangming Stomach Meridian. The patient suffers from headache, (as stated in *Mai Jing*, hardness in the Yang aspect causes pain and heat), absence of sweating, symptoms resembling Wen-Nue (a type of malaria characterized by predominant fever with alternating chills and heat), dryness of the lips and mouth, frequent hiccups, breast carbuncle, or swelling in the supraclavicular fossa and axilla. This is termed "Stomach Excess-Heat."
Decoction for Treating Stomach Excess and Purging Stomach Heat:
Zhi Zi Ren (Gardeniae Fructus, 2 liang) Shao Yao (Paeoniae Radix Alba, 4 liang) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 5 liang) Fu Ling (Poria, 3 liang) Sheng Di Huang (Rehmanniae Radix Recens, juice 1 sheng) She Gan (Belamcandae Rhizoma, 3 liang) Chi Mi (Red Honey, 1 liang) Sheng Ma (Cimicifugae Rhizoma, 3 liang)
Cut the above eight ingredients. Use seven sheng of water to decoct the first six ingredients until one sheng five he remains. Strain out the dregs, add the juice of Sheng Di Huang, boil twice, then add the honey, and decoct until two sheng remain. Divide into three doses. Elderly and children should adjust the dose according to their condition. Avoid eating peaches, plums, sparrow meat, vinegar products, and Yuan Yi.
Another prescription:
Moxibustion on the Zusanli acupoint (ST36), located three cun below the knee on both legs, thirty moxa cones each, primarily treats heat diseases in the stomach.
*Qianjin Fang* also records: When the pulse at the right Guan position is Yang-Xu (deficient and weak), it indicates a disease of the Foot-Yangming Stomach Meridian. The patient suffers from coldness in the lower legs preventing sleep, aversion to wind and cold, shivering with a sense of tightness, abdominal pain with empty borborygmi, alternating chills and fever, dryness of the lips and mouth, and facial edema. This is termed "Stomach Deficiency-Cold." Additionally, for treating Stomach Deficiency-Cold manifesting as shortness of breath, bitter taste in the mouth, and a body lacking luster, use the Bu Wei Tang (Tonify the Stomach Decoction):
Fang Feng (Saposhnikoviae Radix) Bai Zi Ren (Biota Semen) Xi Xin (Asari Radix et Rhizoma) Gui Xin (Cinnamomi Ramulus) Ju Pi (Citri Reticulatae Pericarpium) [each 2 liang] Xiong Qiong (Ligusticum Chuanxiong Rhizoma) Wu Zhu Yu (Evodiae Fructus) Ren Shen (Ginseng Radix et Rhizoma) [each 3 liang] Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 liang, prepared by stir-frying with honey)
Cut the above nine ingredients. Use one dou of water to decoct until three sheng remain. Take warm, divided into three doses. Avoid eating Hai Zao (Sargassum), Song Cai (Brassica chinensis), raw scallions, and raw vegetables.
Another prescription for tonifying Stomach Deficiency-Cold, addressing emaciation, pain in the Juegu bone area, and pain in all joints, use Ren Shen San (Ginseng Powder):
Ren Shen (Ginseng Radix et Rhizoma) Xi Xin (Asari Radix et Rhizoma) Gan Cao (Glycyrrhizae Radix et Rhizoma, prepared by stir-frying with honey) [each 6 fen] Gui Xin (Cinnamomi Ramulus) Dang Gui (Angelicae Sinensis Radix) [each 7 fen] Mai Men Dong (Ophiopogonis Tuber, 7 fen, heart removed) Gan Jiang (Zingiberis Rhizoma Preparatum, 8 fen) Yuan Zhi Rou (Polygalae Radix pulp, 4 fen) Shu Jiao (Zanthoxyli Pericarpium, 3 fen, sweat-treated) Wu Zhu Yu (Evodiae Fructus, 2 fen)
Grind the above ten ingredients into a powder. Take one fang cun bi (approx. 2-3 grams) after meals, administered with warm clear wine. Avoid eating Hai Zao, Song Cai, raw scallions, and raw vegetables.
Fan Wang treated Stomach Qi Deficiency, loss of appetite, heavy limbs, and shortness of breath, harmonizing the Five Zang organs and treating various diseases, using Tiao He Wu Zang, Bing Liao Zhu Bing Tiao Zhong Tang (Harmonize the Five Viscera and Treat Various Diseases to Regulate the Middle Decoction):
Xie Bai (Allii Macrostemonis Bulbus, cut 1 sheng) Zhi Shi (Aurantii Fructus Immaturus, 6 pieces, prepared by stir-frying) Ju Pi (Citri Reticulatae Pericarpium, 3 pieces) Da Zao (Jujubae Fructus, 12 pieces) Geng Mi (Oryza Sativa Glutinosa, 3 he) Xiang Chi (Sojae Semen Preparatum, 6 he)
Cut the above six ingredients. Place Zhi Shi, Ju Pi, and Da Zao in water, first decoct Xie Bai until four sheng remain. Add the remaining herbs and decoct until one sheng five remains. Take when temperature is suitable, divided into two doses. Effective. (Another version uses 4 fen of fresh ginger, from Volume 21).
Shan Fan therapy treats Stomach Deficiency, suffering from pain due to hunger and cold, using Ren Shen Bu Xu Tang (Ginseng Tonifying Deficiency Decoction):
Ren Shen (Ginseng Radix et Rhizoma) Dang Gui (Angelicae Sinensis Radix) Fu Ling (Poria) Jie Geng (Platycodonis Radix) Xiong Qiong (Ligusticum Chuanxiong Rhizoma) Ju Pi (Citri Reticulatae Pericarpium) Nong Po (Magnoliae Officinalis Cortex, prepared by stir-frying) [each 3 liang] Gui Xin (Cinnamomi Ramulus) Gan Cao (Glycyrrhizae Radix et Rhizoma, prepared by stir-frying with honey) [each 2 liang] Bai Zhu (Atractylodis Macrocephalae Rhizoma, 5 liang) Wu Zhu Yu (Evodiae Fructus, 2 liang) Da Mai (Hordei Fructus, 2 sheng, fried)
Cut the above twelve ingredients. Use one dou two sheng of water to decoct until three sheng remain. Strain out the dregs and divide into three doses. Avoid eating Hai Zao, Song Cai, peaches, plums, sparrow meat, raw scallions, pork, and vinegar. (From Volume 11).
Another prescription is Bai Zhu Ba Wei Deng San Powder (White Atractylodes Eight Ingredients Equal Powder). (Same treatment as above).
Bai Zhu (Atractylodis Macrocephalae Rhizoma) Nong Po (Magnoliae Officinalis Cortex, prepared by stir-frying) Ren Shen (Ginseng Radix et Rhizoma) Wu Zhu Yu (Evodiae Fructus) Mai (Hordei Fructus, fried) Fu Ling (Poria) Xiong Qiong (Ligusticum Chuanxiong Rhizoma) Ju Pi (Citri Reticulatae Pericarpium) [each 3 liang]
Grind the above medicines into a powder. Take one fang cun bi before meals, administered with warm wine, according to preference. Avoid eating peaches, plums, sparrow meat, and highly acidic foods. (From Volume 4).
Yan Nian Bu Wei Yin (Longevity Stomach-Tonifying Drink) primarily treats Stomach Qi Deficiency-Heat causing inability to eat, accompanied by thirst and desire to drink. Prescription:
Fu Ling (Poria, 4 liang) Ren Shen (Ginseng Radix et Rhizoma, 3 liang) Ju Pi (Citri Reticulatae Pericarpium, 2 liang) Sheng Jiang (Zingiberis Rhizoma Recens, 3 liang) Xie Bai (Allii Macrostemonis Bulbus, cut 1 sheng) Chi (Sojae Semen Preparatum, 5 he, wrapped in silk) Nuomi (Oryza Sativa Glutinosa, 2 he)
Cut the above seven ingredients. Use seven sheng of water to decoct until three sheng remain. Strain out the dregs and divide into six warm doses. Food may be taken freely between doses; complete within one day. Avoid vinegar products. (From Zhang Wenzhong, Volume 1).