治水肿心下如盘。边如旋盘。
枳实（十枚） 白术（二两）
上二味。水煎。温分三服。腹中软。即当散也。
枳术丸 治脾不健运。饮食不化。
枳术汤用枳实一两。白术二两。荷叶裹米烧饭为丸。米汤下七八十丸。
海藏曰。东垣枳术丸。本仲景枳术汤。至晚年道进。用荷叶烧饭为丸。取留滓于胃也。太无曰。金匮治水肿心下如
盘。故用汤以荡涤之。东垣治脾不健运。故用丸以缓消之。二方各有深意。不可移易。
香砂枳术丸 治气滞宿食不消。
枳术丸加木香、砂仁各半两。
橘半枳术丸 治痰食兼并不化。
枳术丸加橘皮、半夏各半两。
深师消饮丸 治停饮胸满呕逆。腹中水声。不思饮食。
枳术丸加茯苓一两。炮姜半两。姜汁调。神曲煮浮糊丸梧子大。淡姜汤或沸汤米汤任下三四十丸。
按此即肾着汤去甘草之缓中。易枳实以导滞也。
治胃中宿食不化。藜藿人宜之。
苍术（泔浸去皮。麻油拌炒黄。四两） 浓朴（去皮。姜汁炒） 陈皮（泡。去浮白） 甘草（炙。各三两）
上四味。为散。每服四五钱。加生姜三片。水煎。温服。
香连平胃散 治食积发热。腹痛作泻。
平胃散加姜汁炒川连二两。木香一两。
不换金正气散（局方） 治时气不正。感冒夹食。
平胃散加藿香、半夏。时气。加香豉。
藿香正气散（局方） 治水土不服。感冒时气夹食。
平胃散换白术。加藿香、紫苏、半夏、茯苓、白芷、桔梗、大腹皮、姜、枣。（古本。无大腹皮。有苍术）
人参养胃汤（局方） 治食滞痞满。寒热痞疟。
平胃散加藿香、半夏、人参、茯苓、草果、姜、枣、乌梅。
参苓平胃散 治脾虚饮食不化。大便不实。
平胃散加人参、茯苓。
白凤膏 治少年禀气不足。因饮食饥饱所伤。致成虚损。形体羸弱。日晡潮热。腹胀气急。脉来弦数者。
平胃散四两。加参、苓各一两。京枣四两。去核。逐一填入前药。入乌嘴白鸭腹内。男雌女雄。制法如乌骨鸡丸。
此葛可久方。丸以蒸饼。取缓留胃脘而和中气之伤也。盖参、苓平胃。原非补益肾水之药。予尝借此以治饮食内伤。中
气不和。发热羸瘦之证。往往获效。详方名白凤者。以凫字下几字。加于鸟字以上也。且丸以膏名。取脂膏之义。藏机
法也。
浓朴汤 治脾胃虚寒。作胀。腹中时痛时止。
平胃散去苍术加茯苓、干姜。洁古。加半夏、枳实、姜、枣。
除湿汤 治湿热痞满不食。
平胃散加半夏、茯苓、白术、藿香、生姜、大枣。
升阳除湿汤 治脾胃虚弱。不能饮食。腹鸣泄泻。
平胃散去浓朴加羌活、防风、升麻、柴胡、猪苓、泽泻、麦芽、神曲。
五积散（局方） 治感冒内挟冷食。脾阴受伤。表里俱病。
平胃散加麻黄、桂枝、炮姜、半夏、茯苓、枳壳、桔梗、白芍、当归、川芎、白芷。每服四五钱。生姜三片。葱白
三茎。水煎。去滓热服。温覆取微汗。
调中汤 治食积类伤寒。及手足四肢发阴斑。
平胃散加枳实、白术、干姜、黄连、山楂、神曲、草果。水煎。去滓。磨木香调服。
胃苓汤 治饮食停积。浮肿泄泻。脉证俱实者。
平胃散合五苓散生料煎服。 平胃本平胃气之敦阜。若因脾土之虚。不能消运。又须稍藉参、苓。如养胃之类。然
有土衰不能分利而成肿胀。且气壅不胜参、术难合理中者。乃合五苓以健运水土。与正气散之假苏、藿以散客邪。两不
移易之定例也。
枣矾丸 治食积发黄。
平胃散加皂矾。（面裹。烧红） 煮红枣肉丸服。 此消磨宿滞之第一峻利方。较平胃之缓急百倍。膏粱慎勿罔施。
服后以谷压之。否则恐其呕吐也。
枳壳汤 治痘疹误服参、 。腹胀喘急。
平胃散去苍术加枳壳。
治疗水肿，心下感觉像盘子里的物体一样胀满。边缘如同旋转的盘子。
枳实（十枚） 白术（二两）
以上两味药，用水煎煮。分三次温服。腹部变软后，说明水饮之邪已经消散。
枳术丸：治疗脾脏运化功能失常，饮食无法消化。
枳术汤中用枳实一两，白术二两。用荷叶包裹米饭烧熟制成丸剂。用米汤送服七八十丸。
海藏说：东垣的枳术丸，本源于张仲景的枳术汤。到了晚年道行精进时，改用荷叶烧饭制成丸剂，目的是让药渣留在胃中发挥作用。太无说：《金匮要略》治疗水肿心下如盘，所以用汤剂来荡涤病邪；东垣治疗脾不健运，所以用丸剂来缓慢消除病邪。两个方子各有深意，不可随意互换。
香砂枳术丸：治疗气机阻滞、宿食不消。
在枳术丸基础上加木香、砂仁各半两。
橘半枳术丸：治疗痰湿与食积互结导致的不消化。
在枳术丸基础上加橘皮、半夏各半两。
深师消饮丸：治疗水饮停聚导致的胸满、呕吐逆气、腹中有水声、不思饮食。
在枳术丸基础上加茯苓一两，炮姜半两。用姜汁调和，神曲煮成糊状作为粘合剂，制成梧桐子大小的丸剂。用淡姜汤或沸开的米汤送服三四十丸。
按语：此方即肾着汤去掉甘草以去除其缓中之性，将白术改为枳实以引导滞气。
治疗胃中宿食不消化，适合吃粗茶淡饭的人服用。
苍术（用淘米水浸泡去皮，用麻油拌炒至黄色，四两） 浓朴（去皮，用姜汁炒） 陈皮（泡过，去掉浮白的部分） 甘草（炙过，各三两）
以上四味药，研成散剂。每次服用四五钱，加生姜三片，用水煎煮，温服。
香连平胃散：治疗食积发热，腹痛并伴有腹泻。
平胃散中加入用姜汁炒过的川黄连二两，木香一两。
不换金正气散（局方）：治疗时行不正之气，感冒夹带食积。
平胃散中加入藿香、半夏。如果是时气病，加入香豉。
藿香正气散（局方）：治疗水土不服，感冒时气夹带食积。
平胃散替换掉白术，加入藿香、紫苏、半夏、茯苓、白芷、桔梗、大腹皮、姜、枣。（古本中没有大腹皮，有苍术）
人参养胃汤（局方）：治疗食滞痞满，寒热交替的痞疟。
平胃散中加入藿香、半夏、人参、茯苓、草果、姜、枣、乌梅。
参苓平胃散：治疗脾虚导致饮食不消化，大便不成形。
平胃散中加入人参、茯苓。
白凤膏：治疗少年禀赋不足，因饮食饥饱失调所伤，导致形成虚损，形体消瘦虚弱，下午定时发热，腹胀气急，脉象弦数。
平胃散四两，加入人参、茯苓各一两，京枣四两，去核。将人参和茯苓逐一填入枣中。放入黑嘴白鸭腹内，男性用雌鸭，女性用雄鸭。制作方法参照乌骨鸡丸。
这是葛可久的方子。用蒸饼做丸剂，取药力在胃脘停留较久从而调和受损中气的意思。大概人参、茯苓和平胃散原本不是补肾水的药物。我曾借此治疗饮食内伤、中气不和、发热消瘦的病症，往往获得疗效。详细解释方名“白凤”的原因，是因为“凫”字下面的几笔加在“鸟”字之上即为“凤”。而且以“膏”命名丸剂，取脂膏的含义，是隐藏机巧的方法。
浓朴汤：治疗脾胃虚寒，出现胀满，腹中时而疼痛时而停止。
平胃散去苍术，加入茯苓、干姜。洁古老人版：加入半夏、枳实、姜、枣。
除湿汤：治疗湿热导致的痞满、不想进食。
平胃散中加入半夏、茯苓、白术、藿香、生姜、大枣。
升阳除湿汤：治疗脾胃虚弱，不能进食，肠鸣泄泻。
平胃散去浓朴，加入羌活、防风、升麻、柴胡、猪苓、泽泻、麦芽、神曲。
五积散（局方）：治疗感冒内部夹杂冷食，脾阴受伤，表里同病。
平胃散中加入麻黄、桂枝、炮姜、半夏、茯苓、枳壳、桔梗、白芍、当归、川芎、白芷。每次服用四五钱，加生姜三片，葱白三茎，用水煎煮，去渣后热服，覆盖衣被使微微出汗。
调中汤：治疗食积类似伤寒，以及手足四肢出现阴斑。
平胃散中加入枳实、白术、干姜、黄连、山楂、神曲、草果。用水煎煮，去渣，磨木香粉调入服用。
胃苓汤：治疗饮食停积，浮肿泄泻，脉证都表现为实证。
平胃散合五苓散生料煎服。平胃散原本是平抑胃气敦阜（过盛）的，如果是因为脾土虚弱，不能消运，又须稍微借助人参、茯苓，比如养胃汤之类。然而如果有土衰不能分利而成肿胀，且气壅盛不胜任人参、白术，难以合理中汤的情况，那就合用五苓散来健运水土，这与正气散借用苏叶、藿香来疏散客邪，都是不可移易的定例。
枣矾丸：治疗食积发黄。
平胃散加入皂矾。（用面粉包裹，烧红）煮红枣肉做成丸剂服用。这是消磨宿滞的第一峻烈有效方剂，比平胃散的效力急猛百倍。富贵人家慎用，切勿乱用。服药后用谷食压制，否则恐怕会引起呕吐。
Treats edema with a sensation of fullness in the epigastrium resembling a plate, with edges like a rotating dish.
Zhi Shi (Immature Bitter Orange Fruit, 10 pieces) Bai Zhu (Atractylodis Rhizoma, 2 liang)
Decoct the above two ingredients in water. Take warm in three divided doses. When the abdomen becomes soft, it indicates that the pathogenic factor has dissipated.
Zhiju Wan (Bitter Orange and Atractylodes Pill): Treats impaired spleen transportation and transformation (Pi Bu Jian Yun), where food is not digested.
In Zhiju Tang (Cinnamon Twig and Atractylodes Decoction - *Note: Text says Zhiju Tang but ingredients are Zhi Shi and Bai Zhu, standard name is Zhiju Tang*), use Zhi Shi (Immature Bitter Orange Fruit) 1 liang and Bai Zhu (Atractylodis Rhizoma) 2 liang. Wrap in lotus leaves with rice, cook into a meal, and form pills. Take 70-80 pills with rice soup.
Haizang stated: Dongyuan's Zhiju Wan originated from Zhang Zhongjing's Zhiju Tang. In his later years, with advanced Daoist cultivation, he used rice cooked in lotus leaves to form pills, aiming to retain residue in the stomach. Taiwu stated: The *Jin Gui Yao Lue* treats edema with epigastric fullness like a plate, hence using a decoction to purge the pathogen; Dongyuan treats impaired spleen transportation, hence using a pill to slowly resolve the pathogen. Both formulas have profound meanings and should not be interchanged.
Xiangsha Zhiju Wan (Amomum and Immature Bitter Orange Pill): Treats qi stagnation and retained food failing to digest.
Add Mu Xiang (Vladimiria Root) and Sha Ren (Amomi Fructus), each 0.5 liang, to Zhiju Wan.
Ju Ban Zhiju Wan (Citrus Peel and Pinellia Pill): Treats indigestion caused by the combined accumulation of phlegm and food.
Add Ju Pi (Citri Reticulatae Pericarpium) and Ban Xia (Pinelliae Rhizoma), each 0.5 liang, to Zhiju Wan.
Shenshi Xiaoyin Wan (Deep Master's Drink-Dissipating Pill): Treats chest fullness, retching, borborygmus (water sounds in the abdomen), and loss of appetite due to retained fluid.
Add Fu Ling (Poria) 1 liang and Pao Jiang (Prepared Ginger) 0.5 liang to Zhiju Wan. Mix with ginger juice, use Shen Qu (Medicated Leaven) boiled paste as a binder, and form pills the size of wu zi (loquat seeds). Take 30-40 pills with light ginger soup or boiling rice soup at will.
Commentary: This formula is essentially Shen Zhuo Tang (Kidney Fixing Decoction) minus Gan Cao (Licorice Root) to remove its moderating effect, and replacing Bai Zhu with Zhi Shi to guide stagnant qi.
Treats retained food in the stomach failing to digest; suitable for those eating coarse food.
Cang Zhu (Coarse Atractylodes Rhizoma, soaked in rice water, peeled, stir-fried with sesame oil until yellow, 4 liang) Hou Po (Magnolia Bark, peeled, stir-fried with ginger juice) Chen Pi (Aged Tangerine Peel, soaked, remove white pith) Gan Cao (Licorice Root, honey-fried, each 3 liang)
Grind the above four ingredients into powder. Take 4-5 qian per dose, add 3 slices of fresh ginger, decoct in water, and take warm.
Xianglian Pingwei San (Coptis and Stomach-Pacifying Powder): Treats fever and abdominal pain with diarrhea due to food stagnation.
Add Jiang Zhi Chao Chuan Lian (Stir-fried Coptis Rhizoma with ginger juice) 2 liang and Mu Xiang (Vladimiria Root) 1 liang to Pingwei San (Stomach-Pacifying Powder).
Bu Huan Jin Zhengqi San (Golden Exchange Upright Qi Powder, Bureau Formula): Treats epidemic qi invasion, cold complicated by food stagnation.
Add Huo Xiang (Agastache Herb) and Ban Xia (Pinelliae Rhizoma) to Pingwei San. For epidemic qi, add Dou Chi (Fermented Soybean).
Huoxiang Zhengqi San (Agastache Upright Qi Powder, Bureau Formula): Treats maladaptation to local environment, cold complicated by epidemic qi and food stagnation.
Replace Bai Zhu with Cang Zhu in Pingwei San, and add Huo Xiang (Agastache Herb), Zi Su Ye (Perilla Leaf), Ban Xia (Pinelliae Rhizoma), Fu Ling (Poria), Bai Zhi (Angelica Dahurica Root), Jie Geng (Platycodon Root), Da Fu Pi (Areca Peel), Sheng Jiang (Fresh Ginger), and Da Zao (Jujube). (Ancient version lacks Da Fu Pi but includes Cang Zhu).
Renshen Yangwei Tang (Ginseng Nourishing Stomach Decoction, Bureau Formula): Treats food stagnation with distension and fullness, alternating chills and fever with痞疟 (pi malaria).
Add Huo Xiang (Agastache Herb), Ban Xia (Pinelliae Rhizoma), Ren Shen (Ginseng Root), Fu Ling (Poria), Cao Guo (Tsaoko Fruit), Sheng Jiang (Fresh Ginger), Da Zao (Jujube), and Wu Mei (Mume Fruit) to Pingwei San.
Canling Pingwei San (Ginseng and Poria Stomach-Pacifying Powder): Treats indigestion and loose stools due to spleen deficiency.
Add Ren Shen (Ginseng Root) and Fu Ling (Poria) to Pingwei San.
Baifeng Gao (White Phoenix Paste): Treats congenital insufficiency in youth, damaged by irregular diet (hunger and overeating), leading to deficiency consumption, emaciation, afternoon tidal fever, abdominal distension with急促 breathing, and a wiry-rapid pulse.
Take 4 liang of Pingwei San, add Ren Shen (Ginseng Root) and Fu Ling (Poria), each 1 liang, and Jing Zao (Beijing Jujube) 4 liang, pitted. Insert the ginseng and poria individually into the jujubes. Place inside the belly of a black-billed white duck (male uses female duck, female uses male duck). Prepare according to the method for Wuguji Wan (Black-Bone Chicken Pill).
This is a formula by Ge Kejiu. Formed into pills with steamed bread dough, taking advantage of the slow retention in the stomach to harmonize injured middle qi. Essentially, Ren Shen, Fu Ling, and Pingwei San are not herbs that tonify kidney water. I have used this to treat conditions of internal injury from diet, disharmony of middle qi, fever, and emaciation, often achieving efficacy. The name "Baifeng" (White Phoenix) derives from the character composition of "Fu" (wild duck) and "Niao" (bird). The term "Gao" (paste) implies fat/nourishment, hiding a subtle method.
Houpo Tang (Magnolia Bark Decoction): Treats spleen and stomach deficiency-cold causing distension, and intermittent abdominal pain.
Remove Cang Zhu from Pingwei San, add Fu Ling (Poria) and Gan Jiang (Dried Ginger). Jiegu's version adds Ban Xia (Pinelliae Rhizoma), Zhi Shi (Immature Bitter Orange Fruit), Sheng Jiang (Fresh Ginger), and Da Zao (Jujube).
Chushi Tang (Dampness-Removing Decoction): Treats damp-heat causing distension, fullness, and anorexia.
Add Ban Xia (Pinelliae Rhizoma), Fu Ling (Poria), Bai Zhu (Atractylodis Rhizoma), Huo Xiang (Agastache Herb), Sheng Jiang (Fresh Ginger), and Da Zao (Jujube) to Pingwei San.
Shengyang Chushi Tang (Yang-Raising Dampness-Removing Decoction): Treats spleen and stomach weakness causing inability to eat, borborygmus, and diarrhea.
Remove Hou Po (Magnolia Bark) from Pingwei San, add Qiang Huo (Notopterygium Rhizome), Fang Feng (Saposhnikovia Root), Sheng Ma (Cimicifugae Rhizome), Chai Hu (Bupleuri Radix), Zhu Ling (Polyporus), Ze Xie (Alisma Rhizome), Mai Ya (Hordei Fructus Germinatus), and Shen Qu (Medicated Leaven).
Wuji San (Five Accumulations Powder, Bureau Formula): Treats cold complicated by cold food intake during a cold, injuring spleen yin, affecting both exterior and interior.
Add Ma Huang (Ephedrae Herba), Gui Zhi (Cinnamomi Ramulus), Pao Jiang (Prepared Ginger), Ban Xia (Pinelliae Rhizoma), Fu Ling (Poria), Zhi Ke (Aurantii Fructus), Jie Geng (Platycodon Root), Bai Shao (Paeoniae Radix Alba), Dang Gui (Angelica Sinensis Radix), Chuan Xiong (Ligustici Rhizoma), and Bai Zhi (Angelica Dahurica Root) to Pingwei San. Take 4-5 qian per dose, add 3 slices of fresh ginger and 3 stalks of scallion white, decoct in water, strain, and take hot. Cover with blankets to induce slight sweating.
Tiaozhong Tang (Middle-Harmonizing Decoction): Treats food stagnation resembling shaoyang syndrome, and yin macules on hands, feet, and limbs.
Add Zhi Shi (Immature Bitter Orange Fruit), Bai Zhu (Atractylodis Rhizoma), Gan Jiang (Dried Ginger), Huang Lian (Coptidis Rhizoma), Shan Zha (Crataegi Fructus), Shen Qu (Medicated Leaven), and Cao Guo (Tsaoko Fruit) to Pingwei San. Decoct in water, strain, and mix with ground Mu Xiang (Vladimiria Root) before taking.
Weiling Tang (Stomach-Wu Ling Decoction): Treats food stagnation, edema, and diarrhea where pulse and symptoms indicate excess.
Decoct Pingwei San (Stomach-Pacifying Powder) and Wuling San (Five-Ingredient Powder with Poria) together with raw ingredients. Pingwei San originally pacifies excessive stomach qi. If the cause is spleen earth deficiency failing to transport, one must slightly rely on Ren Shen (Ginseng Root) and Fu Ling (Poria), such as in Yangwei Tang. However, if earth decline fails to separate clear from turbid leading to swelling, and qi stagnation cannot tolerate Ren Shen and Bai Zhu, making Lizhong Tang inappropriate, then combine with Wuling San to strengthen the transportation of water and earth. This is as fixed as Zhengqi San using Su Ye and Huo Xiang to disperse invading pathogens.
Zaofan Wan (Alum and Jujube Pill): Treats jaundice due to food stagnation.
Add Zao Fan (Alumen) to Pingwei San (wrap in flour, roast red). Boil jujube flesh and form pills. This is the first potent formula for dissipating retained stagnation, far more urgent than Pingwei San. Those consuming rich foods must use caution and not apply it recklessly. After taking, press down with grain food, otherwise vomiting may occur.
Zhike Tang (Aurantii Fructus Decoction): Treats abdominal distension and急促 breathing after mistakenly administering Ren Shen (Ginseng Root) and Bai Zhu (Atractylodis Rhizoma) for variola/rubella.
Remove Cang Zhu from Pingwei San, add Zhi Ke (Aurantii Fructus).