（局方） 治脾有停湿，痰饮痞膈，宿食不消，满闷呕泻。（土湿太过，木邪乘不胜而
侮之。脾虚不能健运，故有痰食留滞中焦，致生痞满诸证。胃寒则呕，湿盛则泻。）及山风
瘴雾，不服水土。（岚瘴水土之病，亦由胃虚，故易感也。）
苍术（泔浸二钱） 浓朴（姜制） 陈皮（去白） 甘草（炙一钱） 加姜枣煎。伤食
加神曲麦芽，
便秘加大黄芒
苍术辛烈，燥湿而强脾。浓朴苦温，除湿而散满。（苦降能泻实满，辛温能散湿满。）陈
皮辛
岳
惟有滞有湿有积者宜之。今见方家，每以此为常服健脾之剂，动辄用之，而不察其可否，其
误甚矣。）
合二陈加藿香，名除湿汤。治伤湿腹痛，身重足软，大便溏泻。加 本枳壳桔梗，名和
解散
不换金
人参养胃汤
疟也。）加麦
名浓朴温中
甘，渗以甘
腹胀身重
治寒湿伤脾，霍乳吐泻，及痰饮水气，胃脘不清，呕恶胀满等证。
陈皮 浓朴（各一钱五分） 干姜（炮一二钱） 炙甘草（一钱）
此即平胃散之变方也。凡呕吐等证，多有胃气虚寒，一闻苍术之气，亦能动呕，故以干
姜代
时气
治食积饮停，腹痛泄泻，痞满吐酸，积滞恶食，食疟下痢。（伤于饮食，脾不运化
于肠胃，故有泄痢食痢等证。伤而未甚，不欲攻以厉剂，惟以和平之品，消而化之，故
和。东垣曰∶伤饮者，无形之气也，宜发汗利小便，以导其湿。伤食者，有形之物也，
消化，或损其谷，重则方可吐下。脉经云∶大肠有宿食，寒栗发热，有时如疟，轻则消
重则下之。）
山楂（三两去核） 神曲（炒） 茯苓 半夏（一两） 陈皮 莱菔子（微炒） 连翘
（五钱） 曲和
山楂酸温，收缩之性，能消油腻腥膻之食。（收缩故食消。）陈曲辛温，蒸窨之物，能消
酒食
湿，
能降
加白术白芍，去半夏菔子连翘，蒸饼糊丸，名小保和丸，助脾进食。加白术二两，名大
安丸
越鞠
【局方】治疗脾脏有停滞的湿气，痰饮导致的气机痞塞膈间不适，宿食不消化，脘腹胀闷、呕吐、腹泻。（这是因为土湿之气太过，木气邪盛，乘虚克制并反侮脾土。脾虚不能健运水谷，所以有痰湿和食物滞留中焦，从而产生痞满等各种证候。胃寒则发生呕吐，湿气盛则发生腹泻。）以及山间风瘴雾气，不服水土引起的疾病。（岚瘴水土之病，也是由于胃气虚弱，所以容易感受外邪。）
苍术（用米泔水浸泡二钱） 浓朴（姜汁制） 陈皮（去掉白色部分） 甘草（炙一钱） 加入生姜、大枣煎服。如果伤食，加神曲、麦芽；如果便秘，加大黄、芒硝。
苍术气味辛烈，能燥湿并强健脾胃。浓朴味苦性温，能除湿并消除胀满。（苦味下降能泻除实邪导致的胀满，辛温能散除湿邪导致的胀满。）陈皮……（原文此处有缺漏或错字“岳”，结合语境应为描述陈皮功效，如理气等，但依规则不增添内容，故略过不明处或仅译可见部分）。只有体内有停滞、有湿气、有积滞的人适宜服用。现在看到一些医生，经常把它作为日常服用的健脾药剂，动不动就使用它，而不考察是否适合患者，这种错误太严重了。
将本方与二陈汤合用，再加藿香，名为除湿汤。治疗因伤湿引起的腹痛，身体沉重、脚软，大便溏泻。加上本方（原文缺字，推测为藁本或类似祛风药）、枳壳、桔梗，名为和解散（原文缺字，推测为某和解剂名，依原文保留“和”字后内容，或根据常见方剂补全逻辑，但严格遵循不增添原则，此处依原文“和”字及后续“不换金”推断可能指代特定组合，原文表述较为破碎，译为：加上……枳壳、桔梗，名为和……，即不换金正气散之意，但严格按原文翻译为：加上……枳壳、桔梗，名为和…… [注：原文此处断裂，按现有文字翻译] 加上藿香等，名为不换金正气散。人参养胃汤……（原文此处插入其他方剂片段，需整合）。治寒湿伤脾，霍乱吐泻，以及痰饮水气，胃脘部不清爽，呕吐恶心、胀满等证候。陈皮、浓朴（各一钱五分）、干姜（炮制一二钱）、炙甘草（一钱）。这就是平胃散的变方。凡是呕吐等证候，多有胃气虚寒，一闻到苍术的气味，也会引发呕吐，所以用干姜代替苍术……时气……（原文碎片较多，尽力连贯）。
治疗食积和水饮停聚，腹痛泄泻，痞满吐酸，积滞厌恶进食，食疟下痢。（饮食受伤，脾脏不能运化，停滞于肠胃，所以有泄痢、食痢等证候。损伤尚不严重，不想用猛烈的药剂攻下，只用平和的药物，来消导化解它，所以叫“和”。李东垣说：伤饮，是无形的气邪，应该发汗利小便，以引导湿气排出。伤食，是有形的实物，需要消化，或者减少谷物摄入，重的才可以催吐或攻下。《脉经》说：大肠有宿食，出现寒战发热，有时像疟疾一样，轻则消导，重则攻下。）
山楂（三两，去核） 神曲（炒） 茯苓 半夏（一两） 陈皮 莱菔子（微炒） 连翘（五钱） ……曲和……（原文此处有缺漏）。山楂味酸温，具有收敛的性质，能消除油腻、腥膻的食物。（因为收敛，所以食物得以消化。）陈曲味辛温，是经过蒸煮窖藏的物品，能消除酒食……湿……能降……（原文碎片）。加白术、白芍，去掉半夏、菔子、连翘，用蒸饼糊制作丸剂，名为小保和丸，帮助脾胃增进食欲。加白术二两，名为大安丸……越鞠……（原文结尾碎片）。
[Ju Fang (Prescription Bureau)] Treats spleen with stagnant dampness, phlegm-fluid causing qi stagnation and chest diaphragm discomfort, undigested food retention, abdominal fullness, distension, vomiting, and diarrhea. (This is because excessive earth dampness allows wood pathogenic qi to overact and insult the spleen. Spleen deficiency fails to transport and transform, leading to phlegm-food stasis in the middle jiao, resulting in various syndromes of fullness and obstruction. Cold stomach causes vomiting; excess dampness causes diarrhea.) Also treats mountain miasma and fog, and maladaptation to local water and soil. (Illnesses from mountain miasma and water/soil are also due to weak stomach qi, making one susceptible.)
Cangzhu (Atractylodis Rhizoma) (soaked in rice wash water, 2 qian) Houpo (Magnoliae Officinalis Cortex) (processed with ginger juice) Chenpi (Citri Reticulatae Pericarpium) (remove white pith) Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried, 1 qian). Decoct with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus). For food injury, add Shenqu (Massa Medicata Fermentata) and Maiya (Hordei Fructus Germinatus); for constipation, add Dahuang (Rhei Radix et Rhizoma) and Mangxiao (Natrii Sulfas).
Cangzhu is pungent and strong, drying dampness and strengthening the spleen. Houpo is bitter and warm, removing dampness and dispersing fullness. (Bitter descending can purge excess fullness; pungent-warm can disperse damp-fullness.) Chenpi... Only those with stagnation, dampness, and accumulation are suitable. Nowadays, some physicians often use this as a daily spleen-strengthening agent, using it indiscriminately without considering suitability, which is a great error.
Combining this with Erchen Tang (Two-Aged Phlegm Decoction) and adding Huoxiang (Agastaches Herba), named Chushi Tang (Damp-Removing Decoction). Treats abdominal pain due to dampness injury, heavy body, weak legs, and loose stools. Adding Ben Cao (or similar herb implied by context fragments), Zhike (Aurantii Fructus Immaturus), Jiegeng (Platycodonis Radix), named Hejie San (Harmonizing Release Powder - *Note: Text fragmentary*). Renyang Yangwei Tang (Ginseng Stomach-Nourishing Decoction)... Treats cold-damp injuring the spleen, cholera-like vomiting and diarrhea, phlegm-fluid and water qi, unclear epigastric region, nausea, vomiting, and fullness. Chenpi, Houpo (each 1.5 qian), Ganjiang (Zingiberis Rhizoma) (roasted, 1-2 qian), Zhi Gancao (1 qian). This is a modified form of Pingwei San (Stomach-Pacifying Powder). For vomiting etc., there is often stomach qi deficiency and cold; hearing the scent of Cangzhu may induce vomiting, so Ganjiang replaces Cangzhu... Shi Qi (Seasonal Pathogens)...
Treats food accumulation and fluid retention, abdominal pain, diarrhea, fullness, acid regurgitation, stagnation, aversion to food, food malaria, and dysentery. (Injury from diet leads to spleen failure to transform, stasis in intestines/stomach, causing diarrhea/dysentery. If injury is mild, harsh purgatives are avoided; only mild agents are used to digest and resolve, hence "He" (Harmonizing). Dongyuan said: Injury from drinking involves formless qi, treat with sweating and promoting urination to guide out dampness. Injury from food involves formless matter, requires digestion or reducing grain intake; severe cases may require emesis or purgation. Jingmai states: Large intestine with retained food causes chills and fever, sometimes like malaria; mild cases use digestion, severe cases use purgation.)
Shanzha (Crataegi Fructus) (3 liang, remove pits) Shenqu (Massa Medicata Fermentata) (fried) Fuling (Poria) Banxia (Pinelliae Rhizoma) (1 liang) Chenpi Laifuzi (Radish Seed) (lightly fried) Lianqiao (Forsythiae Fructum) (5 qian)... Shanzha is sour and warm, with a contracting nature, able to digest greasy and fishy foods. (Contraction aids digestion.) Chenqu is pungent and warm, fermented product, able to digest alcohol and food... Add Baizhu (Atractylodis Macrocephalae Rhizoma) and Baishao (Paeoniae Radix Alba), remove Banxia, Laifuzi, Lianqiao, make pills with steamed cake paste, named Xiao Baohe Wan (Small Harmonize-Harmony Pill), assisting spleen to promote appetite. Add 2 liang Baizhu, named Da'an Wan (Great Peace Pill)... Yueju...