东垣云。胃中元气盛。则能食而不伤。过时而不饥。脾胃俱旺。则能食而肥也。脾胃俱
虚。
则不能食而瘦。或少食而肥。虽肥而四肢不举。盖脾实而邪气盛也。又有善食而瘦者。胃伏
火邪于气分也。则能食。脾虚则肌肉削。即食伤也。
大抵饮食不进。以脾胃之药治之。多不效者。亦有说焉。人之有生。不善摄养。房劳过
度。
真阳衰败。坎火不温。不能上蒸脾土。冲和失布。中州不运。致饮食少。胸膈痞塞。或不食
而胀满。或已食而不消。大便泄溏。此皆真火衰弱。不能蒸蕴脾土而然。古云。补肾不若补
脾
予谓补脾不若补肾。肾气若壮。丹田之火。上蒸脾土。脾土温和。中焦自治。则能饮食矣
今饮食进少。且难消化。属脾胃虚寒。盖脾胃属土。乃命门火虚。不能生土而然。不宜补
脾胃。当服八味丸。补火生土也。（方见补益）
夫食者谓谷肉菜果之物也。经云。阴之所生。本在五味。阴之五宫。伤在五味。谷肉菜
果中
嗜而欲食之。心自裁制。勿使过焉。则不伤其正矣。或有伤于食者。必先问其人。或因喜
食而多食之耶。或因饥饿而急食之耶。或因人勉强劝而强食之耶。或因病后宜禁之物。而误
食
之耶。如因喜食得之。当先和其胃气。胃气素强。损谷自愈。消导耗气之药。不必服也。如
因饥饿得之。当先益其胃气。胃气强。所伤之物自消导矣。宜香砂养胃汤主之。如因勉强劝
而
得之。宜行消导之剂。百消丸主之。若因病后得之。当以补养为主。宜参苓白术散主之。
其所伤之物有寒热之不同。所伤之人。有强弱之各异。主治之法。无一定也。所谓热物
者。
如膏粱辛辣浓味之物是也。谷肉多有之。寒物者。水果瓜桃生冷之物是也。菜果多有之。治
热以寒。大黄、牵牛是也。治寒以热。丁香、巴豆是也。如以热攻热。以寒攻寒。则食虽
去
药毒犹存。胃气重伤。祸不旋踵矣。故伤热物者。三黄枳术丸。甚则利气丸导之。伤冷物
者。香砂养胃汤。甚则万亿丸通之。如冷热不调者。备急丹主之。
人知饮食所以养生。不知饮食失调。亦以害生。故能消息。使适其宜。是故贤哲防于未
病。
凡以饮食。无论四时。常令温暖。夏月伏阴在内。暖食尤宜。不欲苦饱。饱则筋脉横解。肠
为痔。因而大饮。则气乃暴逆。养生之道。不欲食后便卧。及终日稳坐。皆能凝结气血。
久即损寿。食后。常以手摩腹数百遍。仰面呵气数百口。趑趄缓行数百步。谓之消化。食后
便卧。令人患肺气头风中痞之疾。盖营卫不通。气血凝滞。故尔食讫当行步踌躇。有所作为
乃佳。语曰。流水不腐。户枢不蠹。以其动然也。食饱不得速步走马。登高涉险。恐气满
而激。致伤脏腑。不欲夜食。脾好音声。闻声即动而磨食。日入之后。万响俱绝。脾乃不磨
食之即不易消。不消即损胃。损胃即翻。翻即不受谷气。谷气不受。即坐卧袒肉操扇。此
当毛孔尽开。风邪易入。感之令人四肢不遂。不欲极饥而食。食不可过饱。不欲极渴而饮。
饮不可过多。食过多。则结积。饮过多。则成痰癖。故曰。大渴不大饮。大饥不大食。恐血
气失常。卒然不救也。荒年饿莩。饱食即死。是验也。嗟乎。善养生者养内。不善养生者养
外。养内者以恬脏腑。调顺血脉。使一身之流行冲和。百病不作。养外者恣口腹之欲。极滋
味之美。穷饮食之药。虽肌体充腴。容色悦泽。而酷烈之气。内蚀脏腑。精神虚矣。安能保
合太和。以臻遐龄。庄子曰。人之可畏者。衽席饮食之间。而不知为之戒。过也。其此之谓
乎。
一论治内伤生冷冻饮料食。浓味坚硬之物。肚腹胀满疼痛。外感风寒湿气。头疼身热憎寒。
遍体骨节麻木痛疼。及恼怒相冲。饮食不下。心腹气痛。
行气香苏散
紫苏（一钱） 陈皮（二钱） 香附（二钱） 乌药（二钱） 川芎（一钱五分） 枳壳（一钱）
羌活（二钱） 麻黄（五分） 甘草（一钱） 因湿。加苍术二钱。
上锉。生姜煎服。外感风寒头痛。加葱白三根。内伤饮食。加山楂二钱。神曲二钱。去
麻黄。一论脾胃虚弱。不思饮食。口不知味。胸腹痞胀疼痛等症用。
香砂养胃汤
人参（七分） 白术（去芦炒） 白茯苓（去皮） 香附（炒） 砂仁 苍术（米泔水浸炒）
浓朴（姜汁炒） 陈皮（各八分） 白豆蔻（去谷七分） 木香（五分） 甘草（炙二分）
上锉。姜、枣煎服。脾胃虚寒。加干姜、官桂。胃热。加姜汁炒黄连、栀子炒。肉
食不化。加山楂、草果。米面粉食不化。加神曲、麦芽。生冷瓜果不化。加槟榔、干姜
胸腹饱闷。加枳壳、萝卜子、大腹皮。伤食胃口痛。加木香、枳实、益智仁。伤食
泄泻。加干姜、乌梅、白术。伤食恶心呕吐。加藿香、丁香、半夏、乌梅、干姜。吐痰
加半夏。
一论脾胃虚弱。不思饮食。呕吐泄泻。胸痞腹胀噎膈。并虚劳咳嗽吐痰。大便频数。或
腹痛等症。寻常无病之人。服之百病皆除。
理气健脾丸
白术（去芦炒二两） 白茯苓（去皮三两） 陈皮（洗二两） 半夏（泡姜汁炒三两二钱） 当
归（酒洗六两） 黄连（姜汁炒三两） 枳实（麸炒一两五钱） 桔梗（炒一两五钱） 神曲（
炒二两五钱） 山楂肉（去子一两八钱） 香附（童便炒二两） 木香（五钱） 甘草（炙二两
）如泄泻。去桔梗。加白芍。（煨二两）
上为细末。荷叶一块。煎汤。下大米煮粥为丸。如梧子大。每服八十丸。食后白汤下。
如元气虚弱。加黄 蜜炙二两。人参一两。怀山药二两。莲肉去心炒二两。
一论人禀素弱。脾胃虚怯。上焦有火。有痰。有郁气。有食积。胸中不快。饮食少思。
常可服。
大补枳术丸
白术（去芦炒一两） 陈皮（去白一两） 枳实（麸炒一两） 黄连（姜汁炒五钱） 黄芩（醋
炒五钱） 黄柏（青盐水炒一两） 白茯苓（去皮五钱） 贝母（去心八钱） 神曲（炒五钱） 山
楂（去核五钱） 麦芽（炒五钱） 加砂仁（三钱） 香附（醋炒三钱）
上为细末。荷叶汤下粳米煮稀粥。同药捣和为丸。如梧子大。每服一百丸。食后。姜汤送下
有热。茶清送下。服后饮食自然多进。人之精血。皆因谷气而生。盖脾乃肺之母。母实乃
消化之气下降。何痰之有。
一论中气虚损。脾胃怯弱。饮食不下。或泻或痢。有调胃实肠之功。用大鲫鱼去
肠洗净。入蒜五六瓣于内。用纸包。水湿。火煨熟。去蒜食鱼。日二三次。自然进食。又治
膈噎食不下。
一论此方能消酒消食。消痰消气。消水消痞。消肿消胀。消积消痛。此药消而不见。响
而不动。药本寻常。其功甚捷。
百消丸
黑丑（头末二两） 香附米（炒） 五灵脂（各一两）
上为细末。炼蜜为丸。如绿豆大。每服二三十丸。或五六十丸。食后。姜汤下。
一治胃中停滞寒冷之物。及疗心腹诸卒暴痛。并胀满不快。宜用
备急丹
大黄 巴豆（去壳） 干姜（各一两）
上为细末。炼蜜为丸如梧桐子大。每服三丸。温水送下。若卒中客忤。心腹胀满。卒痛
如锥。气急口噤。停尸卒死者。用热酒灌下。以腹中鸣转即吐下立效。
万亿丸（方见通治） 治一切饮食所伤。腹满胀疼痛。
一治过食寒硬冷物。食伤太阴厥阴。或呕吐痞满肠 。
陈皮 半夏 茯苓（三钱） 枳实（一钱） 山楂（二钱） 神曲（二钱炒） 干生姜（一钱）
砂仁（六分） 三棱（一钱） 莪术（一钱）
上锉。生姜煎服。
一治过食热物煎炒浓味。有伤太阴厥阴。呕吐痞胀。或泻痢者。
青皮 陈皮 枳实（炒） 白术（炒） 白芍（炒） 黄连（姜炒） 山楂肉 麦芽（炒各一
钱） 大黄（酒蒸钱半） 甘草（三分）
上锉。水煎。温服。
李东垣说：胃中元气充沛，就能进食而不受伤，过了饭点也不会感到饥饿。脾胃功能都旺盛，就能进食且身体健壮；脾胃功能都虚弱，就不能进食且身体消瘦，或者吃得少却发胖，虽然肥胖但四肢无力抬举，这是因为脾脏实证而邪气盛盛。又有善于进食却消瘦的人，是因为胃中潜伏火邪在气分，所以能进食，但脾虚导致肌肉消减，这就是饮食损伤。
大体上，饮食不进，用调理脾胃的药物来治疗，大多无效，这也有说法。人活着，如果不善于调养，房事过度，真阳衰败，肾阳（坎火）不温，不能向上蒸腾脾土，冲和之气无法布散，中焦运化失常，导致饮食减少，胸膈痞塞，或者不吃东西就胀满，或者吃了东西不消化，大便稀溏。这些都是真火衰弱，不能蒸蕴脾土所致。古人说：“补肾不如补脾”，我认为“补脾不如补肾”。如果肾气壮实，丹田之火就能上蒸脾土，脾土温和，中焦自然调理好，就能正常饮食了。现在饮食摄入少，且难以消化，属于脾胃虚寒。因为脾胃属土，是命门火虚，不能生土所致。不宜直接补脾胃，应当服用八味丸，通过补火来生土。（方剂见补益篇）
所谓食物，是指谷物、肉类、蔬菜、水果等物品。《内经》说：“阴精的生成，根本在于五味；五脏的损伤，也在于五味。”对于谷物、肉类、蔬菜、水果，嗜好并想吃它，内心要自我节制，不要过量，这样就不会伤害正气。如果有因饮食受伤的情况，必须先询问原因：是因为喜爱某种食物而多吃了吗？是因为饥饿而急于进食吗？是因为别人勉强劝酒劝食而强行吃下的吗？还是因为病后禁忌之物而误食了呢？如果是因喜爱食物而导致的，应当先调和胃气。如果胃气本来强盛，减少饮食即可自愈，不必服用耗气的消导药。如果是因饥饿导致的，应当先补益胃气，胃气强盛，所伤的食物自然会被消化，宜用香砂养胃汤主治。如果是因勉强劝食而导致的，宜用行气消导的药剂，百消丸主治。如果是因病后导致的，应当以补养为主，宜用参苓白术散主治。
所伤的食物有寒热不同，受伤的人有强弱各异，主治的方法没有定式。所谓热性食物，如膏粱厚味、辛辣浓味的物品，谷物肉类中多有此类。寒性食物，如水果、瓜果、桃子及生冷物品，蔬菜水果中多有此类。治热证用寒凉药，如大黄、牵牛子；治寒证用温热药，如丁香、巴豆。如果用热药攻热邪，用寒药攻寒邪，那么食物虽去，药毒犹存，会重伤胃气，祸患立刻降临。所以伤于热物的，用三黄枳术丸，严重时用利气丸导下；伤于冷物的，用香砂养胃汤，严重时用万亿丸通下；如果冷热不调，用备急丹主治。
人们知道饮食用来养生，却不知道饮食失调也会害生。所以能够斟酌调节，使其适宜，因此贤哲在病前就加以预防。凡是饮食，无论四季，常令温暖。夏季体内伏藏阴气，暖食尤其适宜。不要刻意吃得太饱，饱食则筋脉松弛，肠道易生痔疮，如果接着大量饮水，气就会暴逆。养生的道理，不希望饭后立即躺卧，也不希望整天安稳坐着，这些都能使气血凝结，长久如此损害寿命。饭后，常用手按摩腹部数百遍，仰面呵气数百口，缓步慢行数百步，这叫做帮助消化。饭后便卧，会让人患上肺气不足、头风、中痞等疾病，因为营卫不通，气血凝滞，所以如此。吃完饭后应当徘徊行走，有所活动才好。俗话说：“流水不腐，户枢不蠹”，是因为它们运动的原因。吃饱后不得快步走或骑马，登高涉险，恐怕气满而激荡，导致损伤脏腑。不希望晚上吃东西，因为脾喜欢声音，听到声音就会蠕动磨碎食物。日落之后，万籁俱寂，脾就不再磨碎食物，吃下去就不容易消化，不消化就损伤胃，损伤胃就会导致反胃，反胃就不能受纳谷气，谷气不受纳，如果再坐卧时袒露身体摇扇，此时毛孔全部张开，风邪容易侵入，感之会导致四肢瘫痪。不希望极度饥饿时才进食，进食不可过饱；不希望极度口渴时才饮水，饮水不可过多。吃得过多，就会形成积滞；喝得过多，就会成为痰癖。所以说：“大渴不大饮，大饥不大食”，恐怕气血失常，突然无法救治。荒年饿死的人，饱食即死，就是验证。唉！善于养生的人修养内在，不善于养生的人修养外在。修养内在的人恬淡脏腑，调顺血脉，使一身之气流行冲和，百病不生；修养外在的人放纵口腹之欲，追求滋味之美，穷尽饮食药物，虽然肌体丰满，面色光泽，但酷烈之气内蚀脏腑，精神空虚，怎么能保持太和之气，达到长寿呢？庄子说：“人可畏惧的，就在寝席饮食之间，而不知道对此戒备，过错就在这里吧。”
第一篇论述治疗内伤生冷饮料食物、浓味坚硬之物引起的肚腹胀满疼痛，外感风寒湿气引起的头疼身热恶寒，全身骨节麻木疼痛，以及恼怒相冲、饮食不下、心腹气痛。
行气香苏散
紫苏（一钱） 陈皮（二钱） 香附（二钱） 乌药（二钱） 川芎（一钱五分） 枳壳（一钱）
羌活（二钱） 麻黄（五分） 甘草（一钱） 因湿，加苍术二钱。
以上锉碎，生姜煎服。外感风寒头痛，加葱白三根。内伤饮食，加山楂二钱、神曲二钱，去掉麻黄。
第二篇论述脾胃虚弱，不思饮食，口不知味，胸腹痞胀疼痛等症状。
香砂养胃汤
人参（七分） 白术（去芦炒） 白茯苓（去皮） 香附（炒） 砂仁 苍术（米泔水浸炒）
浓朴（姜汁炒） 陈皮（各八分） 白豆蔻（去壳七分） 木香（五分） 甘草（炙二分）
以上锉碎，姜、枣煎服。脾胃虚寒，加干姜、官桂。胃热，加姜汁炒黄连、栀子炒。肉食不化，加山楂、草果。米面粉食不化，加神曲、麦芽。生冷瓜果不化，加槟榔、干姜。胸腹饱闷，加枳壳、萝卜子、大腹皮。伤食胃口痛，加木香、枳实、益智仁。伤食泄泻，加干姜、乌梅、白术。伤食恶心呕吐，加藿香、丁香、半夏、乌梅、干姜。吐痰加半夏。
第三篇论述脾胃虚弱，不思饮食，呕吐泄泻，胸痞腹胀噎膈，并虚劳咳嗽吐痰，大便频数，或腹痛等症状。寻常无病之人，服用此方百病皆除。
理气健脾丸
白术（去芦炒二两） 白茯苓（去皮三两） 陈皮（洗二两） 半夏（泡姜汁炒三两二钱） 当归（酒洗六两） 黄连（姜汁炒三两） 枳实（麸炒一两五钱） 桔梗（炒一两五钱） 神曲（炒二两五钱） 山楂肉（去子一两八钱） 香附（童便炒二两） 木香（五钱） 甘草（炙二两） 如泄泻，去桔梗，加白芍。（煨二两）
以上为细末，荷叶一块，煎汤，下大米煮粥为丸，如梧桐子大。每服八十丸，食后白开水送下。如元气虚弱，加黄芪蜜炙二两、人参一两、怀山药二两、莲肉去心炒二两。
第四篇论述人禀赋素弱，脾胃虚怯，上焦有火，有痰，有郁气，有食积，胸中不快，饮食少思，常可服用。
大补枳术丸
白术（去芦炒一两） 陈皮（去白一两） 枳实（麸炒一两） 黄连（姜汁炒五钱） 黄芩（醋炒五钱） 黄柏（青盐水炒一两） 白茯苓（去皮五钱） 贝母（去心八钱） 神曲（炒五钱） 山楂（去核五钱） 麦芽（炒五钱） 加砂仁（三钱） 香附（醋炒三钱）
以上为细末，荷叶汤下粳米煮稀粥，同药捣和为丸，如梧桐子大。每服一百丸，食后姜汤送下。有热者，茶清送下。服后饮食自然多进。人的精血，皆因谷气而生。脾乃肺之母，母实则消化之气下降，何来痰呢？
第五篇论述中气虚损，脾胃怯弱，饮食不下，或泻或痢，有调胃实肠之功。用大鲫鱼去肠洗净，入蒜五六瓣于内，用纸包，水湿，火煨熟，去蒜食鱼，日二三次，自然进食。又治膈噎食不下。
第六篇论述此方能消酒消食，消痰消气，消水消痞，消肿消胀，消积消痛。此药消而不见响动，药本寻常，其功甚捷。
百消丸
黑丑（头末二两） 香附米（炒） 五灵脂（各一两）
以上为细末，炼蜜为丸，如绿豆大。每服二三十丸，或五六十丸，食后姜汤送下。
第七篇治疗胃中停滞寒冷之物，及疗心腹诸卒暴痛，并胀满不快。宜用
备急丹
大黄 巴豆（去壳） 干姜（各一两）
以上为细末，炼蜜为丸如梧桐子大。每服三丸，温水送下。若卒中客忤，心腹胀满，卒痛如锥，气急口噤，停尸卒死者，用热酒灌下，以腹中鸣转即吐下立效。
万亿丸（方见通治） 治一切饮食所伤，腹满胀疼痛。
第八篇治疗过食寒硬冷物，食伤太阴厥阴，或呕吐痞满肠鸣。
陈皮 半夏 茯苓（三钱） 枳实（一钱） 山楂（二钱） 神曲（二钱炒） 干生姜（一钱）
砂仁（六分） 三棱（一钱） 莪术（一钱）
以上锉碎，生姜煎服。
第九篇治疗过食热物煎炒浓味，有伤太阴厥阴，呕吐痞胀，或泻痢者。
青皮 陈皮 枳实（炒） 白术（炒） 白芍（炒） 黄连（姜炒） 山楂肉 麦芽（炒各一钱） 大黄（酒蒸钱半） 甘草（三分）
以上锉碎，水煎，温服。
Li Dongyuan said: When the primordial Qi (Vital Energy) in the stomach is abundant, one can eat without injury and will not feel hungry even after the meal time has passed. If both the Spleen and Stomach functions are vigorous, one can eat and become robust; if both the Spleen and Stomach functions are deficient, one cannot eat and becomes emaciated, or eats little yet becomes obese, though with weak limbs that cannot be lifted. This is because the Spleen is full while pathogenic factors are excessive. There are also those who eat well but remain thin; this is due to latent Fire Evil (Pathogenic Heat) hiding in the Qi level of the Stomach, allowing for good appetite, but Spleen deficiency causes muscle wasting, which is a form of dietary injury.
Generally, when food intake is poor, treatments using herbs for regulating the Spleen and Stomach often fail. There is another explanation. Human life requires proper nurturing; if one fails to do so, such as through excessive sexual activity, the True Yang (Primordial Yang) declines, the Kidney Fire (Kan Fire) loses its warmth, and it cannot steam and warm the Spleen Earth upwards. The harmonious Qi fails to distribute, and the Middle Jiao (Central Pivot) fails to transport, leading to reduced appetite, chest and diaphragm stuffiness, bloating even without eating, indigestion after eating, and loose stools. All these result from the weakness of True Fire failing to steam and nourish the Spleen Earth. Ancients said, "Tonifying the Kidney is better than tonifying the Spleen," but I argue that "Tonifying the Spleen is better than tonifying the Kidney." If Kidney Qi is strong, the Fire of the Dantian can steam the Spleen Earth; once the Spleen Earth is warm, the Middle Jiao self-regulates, and normal diet resumes. Currently, low food intake and difficulty in digestion belong to Deficiency-Cold of the Spleen and Stomach. Since the Spleen and Stomach belong to Earth, this is caused by the deficiency of Mingmen Fire (Gate of Life Fire) failing to generate Earth. It is inappropriate to directly tonify the Spleen and Stomach; instead, one should take Bawei Wan (Eight-Ingredient Pill with Rehmannia Root) to tonify Fire to generate Earth. (Formula see Tonification Section).
Food refers to grains, meats, vegetables, and fruits. The Classics state: "The generation of Yin essence originates from the Five Flavors; the injury to the Five Zang Organs also stems from the Five Flavors." Regarding grains, meats, vegetables, and fruits, if one craves them, the mind must exercise restraint and avoid excess, thus preventing injury to healthy Qi. If dietary injury occurs, one must first inquire into the cause: Was it due to overeating favorite foods? Eating hastily due to hunger? Forcing oneself to eat due to others' persuasion? Or mistakenly eating forbidden foods after illness? If caused by craving, one should first harmonize Stomach Qi. If Stomach Qi was originally strong, reducing food intake allows self-healing; no need to take Qi-consuming digestive herbs. If caused by hunger, one should first benefit Stomach Qi; once strong, the injured food digests naturally. Xiangsha Yangwei Tang (Aucklandia and Amomum Decoction for Nourishing the Stomach) is indicated. If caused by forced eating, use Qi-moving and digestive agents; Baixiao Wan (Hundred Elimination Pill) is indicated. If caused post-illness, focus on tonification and nourishment; Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) is indicated.
Injured foods differ in Cold and Heat; injured persons differ in strength. Thus, treatment methods vary. "Hot foods" refer to rich, fatty, spicy, and strong-flavored items, common in grains and meats. "Cold foods" refer to fruits, melons, peaches, and raw/cold items, common in vegetables and fruits. Treat Heat with Cold herbs, such as Dahuang (Rhubarb Rhizome) and Qianniu (Morning Glory Seed); treat Cold with Hot herbs, such as Dingxiang (Clove) and Badou (Croton Seed). Using Hot to attack Heat or Cold to attack Cold removes the food but leaves drug toxicity, severely injuring Stomach Qi, bringing immediate disaster. Therefore, for heat injury, use Sanhuang Zhizhu Wan (Three Yellows and Immature Bitter Orange Pill); if severe, use Liqi Wan (Qi-Regulating Pill) to purge. For cold injury, use Xiangsha Yangwei Tang; if severe, use Wan Yi Wan (Ten Thousand Billion Pill) to unblock. For mixed cold and heat, Beiji Dan (Emergency Pill) is indicated.
People know diet nourishes life but fail to realize that dietary imbalance harms life. Therefore, moderation and appropriateness are key. Wise individuals prevent disease before it arises. Diet should always be warm, regardless of season. In summer, Yin hides internally, making warm food especially suitable. Do not force overeating; overeating relaxes sinews and vessels, potentially causing hemorrhoids. Drinking heavily immediately after leads to sudden Qi rebellion. One should not lie down immediately after eating nor sit still all day, as this congeals Qi and Blood, shortening lifespan. After meals, rub the abdomen hundreds of times, exhale slowly hundreds of times, and walk slowly hundreds of steps—this aids digestion. Lying down after eating causes Lung Qi deficiency, Head Wind, and Chest Bi due to blocked Ying and Wei (Defensive and Nutritive) Qi and stagnant Blood. Walking after eating is beneficial. As the saying goes, "Flowing water does not rot, a door hinge does not get worm-eaten," because they move. Do not run fast, ride horses, climb high, or cross dangerous terrain after a full meal, lest agitated Qi injure the Zang-Fu organs. Avoid night eating. The Spleen likes sound; hearing sound stimulates peristalsis. After sunset, silence prevails, and the Spleen stops grinding food, leading to indigestion, Stomach injury, regurgitation, and inability to receive Grain Qi. If one then sits or lies naked fanning themselves, pores open, allowing Wind Evil to invade, causing limb paralysis. Do not eat when extremely hungry, nor overeat; do not drink when extremely thirsty, nor overdrink. Overeating causes accumulation; overdinking creates Phlegm-Pi (masses). Thus, "Do not drink heavily when extremely thirsty, do not eat heavily when extremely hungry," lest Qi and Blood become disordered and death occur suddenly. Starving people dying after a full meal proves this. Alas! Those skilled in health cultivation nurture the interior; those unskilled nurture the exterior. Those who nurture the interior calm the Zang-Fu, regulate blood vessels, ensure smooth Qi flow, and prevent disease. Those who nurture the exterior indulge taste buds, seek delicious flavors, and exhaust medicinal diets. Though their bodies may be plump and complexions radiant, harsh energies erode the Zang-Fu internally, depleting Spirit. How can they maintain Taihe (Great Harmony) and reach old age? Zhuangzi said, "What is fearful in humans is within the realm of bedding and diet, yet they fail to guard against it. This is the error." Is this not what he meant?
[Section 1] Treatment for internal injury from cold drinks/foods, rich/hard foods causing abdominal distension/pain; external contraction of Wind-Cold-Dampness causing headache, fever, aversion to cold, body/joint numbness/pain; anger clashing causing inability to swallow, heart/abdominal Qi pain.
Xingqi Xiangsu San (Qi-Moving Perilla and Eupatorium Powder)
Zisu (Perilla Leaf, 1 qian), Chenpi (Tangerine Peel, 2 qian), Xiangfu (Cyperus Rhizome, 2 qian), Wuyao (Lindera Root, 2 qian), Chuanxiong (Ligusticum Rhizome, 1.5 qian), Zhike (Immature Bitter Orange, 1 qian), Qianghuo (Notopterygium Rhizome, 2 qian), Mahuang (Ephedra Stem, 0.5 qian), Gancao (Licorice Root, 1 qian). Add Cangzhu (Atractylodes Rhizome, 2 qian) for dampness.
Decoct with Shengjiang (Fresh Ginger). For external Wind-Cold headache, add Congbai (Scallion White, 3 stalks). For internal dietary injury, add Shanzha (Hawthorn Fruit, 2 qian) and Shenqu (Medicated Leaven, 2 qian); remove Mahuang.
[Section 2] For Spleen-Stomach deficiency, lack of appetite, loss of taste, chest/abdominal distension/pain.
Xiangsha Yangwei Tang (Aucklandia and Amomum Decoction for Nourishing the Stomach)
Renshen (Ginseng Root, 0.7 qian), Baizhu (Atractylodes Macrocephala Rhizome, peeled/fried), Baifuling (Poria, peeled), Xiangfu (Cyperus Rhizome, fried), Sharen (Amomum Fruit), Cangzhu (Atractylodes Rhizome, soaked in rice water/fried), Houpo (Magnolia Bark, ginger juice-fried), Chenpi (Tangerine Peel, each 0.8 qian), Baudoukou (Cardamom Fruit, 0.7 qian), Muxiang (Costus Root, 0.5 qian), Gancao (Licorice Root, honey-fried, 0.2 qian).
Decoct with Jiang (Ginger) and Zao (Jujube). For Spleen-Stomach deficiency-cold, add Ganjiang (Dried Ginger) and Guongui (Cinnamon Bark). For Stomach heat, add Huanglian (Coptis Rhizome, ginger juice-fried) and Zhizi (Gardenia Fruit, fried). For undigested meat, add Shanzha (Hawthorn) and Caoguo (Black Cardamom). For undigested grains/flour, add Shenqu (Medicated Leaven) and Maiya (Barley Sprout). For undigested raw/cold fruits, add Binglang (Areca Seed) and Ganjiang (Dried Ginger). For chest/abdominal fullness, add Zhike (Immature Bitter Orange), Luobozhi (Radish Seed), Dafupi (Areca Peel). For food-stagnation stomach pain, add Muxiang (Costus Root), Zhishi (Immature Bitter Orange), Yizhiren (Alpinia Oxyphylla Fruit). For food-stagnation diarrhea, add Ganjiang (Dried Ginger), Wumei (Mume Fruit), Baizhu (Atractylodes). For food-stagnation nausea/vomiting, add Huoxiang (Patchouli), Dingxiang (Clove), Banxia (Pinellia Tuber), Wumei (Mume Fruit), Ganjiang (Dried Ginger). For phlegm, add Banxia (Pinellia).
[Section 3] For Spleen-Stomach deficiency, lack of appetite, vomiting/diarrhea, chest/abdominal distension/regurgitation, consumptive cough/phlegm, frequent stools, or abdominal pain. Healthy people taking this can eliminate many diseases.
Liqi Jianpi Wan (Qi-Regulating and Spleen-Strengthening Pill)
Baizhu (Atractylodes Macrocephala Rhizome, peeled/fried, 2 liang), Baifuling (Poria, peeled, 3 liang), Chenpi (Tangerine Peel, washed, 2 liang), Banxia (Pinellia Tuber, ginger juice-soaked/fried, 3.2 liang), Danggui (Angelica Sinensis Root, wine-washed, 6 liang), Huanglian (Coptis Rhizome, ginger juice-fried, 3 liang), Zhishi (Immature Bitter Orange, bran-fried, 1.5 liang), Jiegeng (Platycodon Root, fried, 1.5 liang), Shenqu (Medicated Leaven, fried, 2.5 liang), Shanzharon (Hawthorn Flesh, pitted, 1.8 liang), Xiangfu (Cyperus Rhizome, child's urine-fried, 2 liang), Muxiang (Costus Root, 0.5 qian), Gancao (Licorice Root, honey-fried, 2 liang). If diarrhea, remove Jiegeng, add Baishao (White Peony Root, baked, 2 liang).
Grind to fine powder. Decoct Heluye (Lotus Leaf) in water, cook rice porridge, mix with powder to form pills like wutong seeds. Take 80 pills after meals with plain water. For weak Yuan Qi, add Huangqi (Astragalus Root, honey-fried, 2 liang), Renshen (Ginseng Root, 1 liang), Huaishanyao (Chinese Yam, 2 liang), Lianrou (Lotus Seed Flesh, heart removed/fried, 2 liang).
[Section 4] For constitutions inherently weak, Spleen-Stomach timidity, Upper Jiao Fire, Phlegm, Qi stagnation, Food retention, chest discomfort, poor appetite. Suitable for regular use.
Dabu Zhizhu Wan (Great Tonification Immature Bitter Orange Pill)
Baizhu (Atractylodes Macrocephala Rhizome, peeled/fried, 1 liang), Chenpi (Tangerine Peel, white removed, 1 liang), Zhishi (Immature Bitter Orange, bran-fried, 1 liang), Huanglian (Coptis Rhizome, ginger juice-fried, 0.5 qian), Huangqin (Scutellaria Root, vinegar-fried, 0.5 qian), Huangbai (Phellodendron Bark, green salt water-fried, 1 liang), Baifuling (Poria, peeled, 0.5 qian), Beimu (Fritillaria Bulb, heart removed, 0.8 qian), Shenqu (Medicated Leaven, fried, 0.5 qian), Shanzha (Hawthorn, pitted, 0.5 qian), Maiya (Barley Sprout, fried, 0.5 qian). Add Sharen (Amomum Fruit, 0.3 qian), Xiangfu (Cyperus Rhizome, vinegar-fried, 0.3 qian).
Grind to fine powder. Mix with glutinous rice porridge cooked in Heluye (Lotus Leaf) decoction to form pills like wutong seeds. Take 100 pills after meals with ginger tea. If heat, take with clear tea. Appetite will naturally improve. Essence and Blood are generated from Grain Qi. The Spleen is the Mother of the Lung; when the Mother is solid, digestive Qi descends, eliminating Phlegm.
[Section 5] For Middle Qi deficiency, Spleen-Stomach weakness, inability to eat, diarrhea/dysentery, benefiting Stomach and intestines. Use large crucian carp, clean guts, insert 5-6 cloves of garlic, wrap in paper, wet with water, roast until cooked. Remove garlic, eat fish. 2-3 times daily. Also treats dysphagia/inability to swallow.
[Section 6] This formula eliminates alcohol, food, phlegm, Qi, water, distension, masses, and pain. It works silently and swiftly.
Baixiao Wan (Hundred Elimination Pill)
Heiqiu (Strychnos Seed, top grade powder, 2 liang), Xiangfumii (Cyperus Rice, fried), Wulingzhi (Trogopterus Dung, each 1 liang).
Grind to powder, bind with refined honey into pills like mung beans. Take 20-30 or 50-60 pills after meals with ginger tea.
[Section 7] For cold substances stagnating in the Stomach, acute heart/abdominal pain, distension/discomfort.
Beiji Dan (Emergency Pill)
Dahuang (Rhubarb Rhizome), Badou (Croton Seed, shelled), Ganjiang (Dried Ginger, each 1 liang).
Grind to powder, bind with refined honey into pills like wutong seeds. Take 3 pills with warm water. For sudden invasion of evil Qi, abdominal distension/pain, sharp pain, rapid breathing, locked jaw, or sudden death, pour hot wine down. Abdominal rumbling followed by vomiting/diarrhea brings immediate relief.
Wanyi Wan (Ten Thousand Billion Pill) (See General Treatments) treats all dietary injuries, abdominal distension/pain.
[Section 8] For overeating cold/hard/cold foods, injuring Taiyin/Jueyin, causing vomiting/distension/bowel sounds.
Chenpi (Tangerine Peel), Banxia (Pinellia Tuber), Fuling (Poria, each 3 qian), Zhishi (Immature Bitter Orange, 1 qian), Shanzha (Hawthorn Fruit, 2 qian), Shenqu (Medicated Leaven, fried, 2 qian), Ganshengjiang (Dried Fresh Ginger, 1 qian), Sharen (Amomum Fruit, 0.6 qian), Sanleng (Sparganium Rhizome, 1 qian), Ezhu (Curcuma Rhizome, 1 qian).
Decoct with Shengjiang (Fresh Ginger).
[Section 9] For overeating hot/fried/rich foods, injuring Taiyin/Jueyin, causing vomiting/distension/diarrhea-dysentery.
Qingpi (Green Tangerine Peel), Chenpi (Tangerine Peel), Zhishi (Immature Bitter Orange, fried), Baizhu (Atractylodes Macrocephala Rhizome, fried), Baishao (White Peony Root, fried), Huanglian (Coptis Rhizome, ginger-fried), Shanzharon (Hawthorn Flesh), Maiya (Barley Sprout, fried, each 1 qian), Dahuang (Rhubarb Rhizome, steamed in wine, 0.5 qian), Gancao (Licorice Root, 0.3 qian).
Decoct in water, take warm.