此因饮食失节，损及脾胃，致元气虚脱，令头昏脚弱，四肢倦怠，心下痞闷，午后发热，乃元气下入阴分
也，服全真丹、荜澄茄散，三月而愈。若服滋阴降火凉药，其病转甚，若俗医用下药，致病危笃，六脉沉细，
灸中脘五十壮，关元一百壮，可保，迟则脾气衰脱而死。（庸医于此证，不知误杀天下多少苍生，而小儿为甚。
午后发热，不曰潮热，便云阴虚；心下痞闷，不云食积，便云停痰。动辄寒凉，恣行消克，大人变为虚脱，小
儿转为脾风，而犹曰风暑难清，痰热为害，及至垂毙，医者云人力已竭，病家云天数难挽，至死不悟，良可悲
哉。）
凡饮食失节，冷物伤脾，胃虽纳受，而脾不能运，故作
吐，宜二圣散、草神丹，或金液丹。若伤之最重，再兼六欲七情有损者，则饮蓄于中焦，令人朝食暮吐，名曰
番胃，乃脾气太虚，不能健运也，治迟则伤人。若用攻克，重伤元气立死，须灸左命关二百壮，服草神丹而愈，
若服他药则不救。（呕吐一证，先当审其所因，轻者二陈、平胃、藿香正气一剂可定；虚者六君、理中亦易为
力；唯重者，一时暴吐，厥逆汗出，稍失提防，躁脱而死，不可不知。至于番胃，虽属缓证，治颇棘手，惟在
医者细心，病患谨摄，治以丹艾，庶可获全，不然生者少矣。）
这是因为饮食没有节制，损伤了脾胃，导致元气虚脱，出现头晕脚软、四肢倦怠、心下痞闷、午后发热等症状，这是由于元气下沉进入阴分所致。服用全真丹、荜澄茄散，三个月可以痊愈。如果服用滋阴降火的凉药，病情会加重；如果庸医使用泻下药，会导致病情危重，脉象六脉沉细，此时应灸中脘穴五十壮，关元穴一百壮，可以保全生命，拖延则脾气衰败脱失而死。（庸医对于这种病症，不知道误杀天下多少百姓，其中小儿尤为严重。午后发热，不说是潮热（定时发热），便说是阴虚；心下痞闷，不说是食积，便说是停痰。动辄使用寒凉药物，肆意进行消导攻伐，大人变成虚脱，小儿转为脾风，却还说风暑难清，痰热为害，等到病危垂死时，医生说人力已尽，家属说天数难挽，至死不悟，实在可悲啊。）
凡是饮食失节，冷物伤脾，胃虽然受纳食物，但脾不能运化，所以发生呕吐，适宜用二圣散、草神丹，或者金液丹。如果受伤最重，再加上六欲七情有损伤的，则水饮蓄积在中焦，使人早晨吃晚上吐，名叫反胃，这是脾气太虚，不能健运所致，治疗迟缓则会伤人。如果使用攻下克伐的药物，重伤元气会立即死亡，必须灸左命关穴二百壮，服用草神丹而痊愈，如果服用其他药物则无法救治。（呕吐一证，首先应当审察其原因，轻者用二陈汤、平胃散、藿香正气散一剂即可安定；虚者用六君子汤、理中汤也容易见效；只有重者，一时暴吐，四肢厥逆汗出，稍加疏忽，就会因躁动脱绝而死，不可不知。至于反胃，虽然属于缓证，治疗颇为棘手，只有在医者细心，病患谨慎调养，用丹药艾灸治疗，才可能获得保全，不然存活的人就少了。）
This is caused by irregular diet, which damages the Spleen and Stomach, leading to the depletion of Yuan Qi (Original Qi). Symptoms include dizziness and weak legs, fatigue in the four limbs, fullness and oppression below the heart, and afternoon fever. This occurs because Yuan Qi sinks into the Yin aspect. Taking Quanzhen Dan (Complete True Pill) and Bidengqie San (Picrasma Fructus Powder) can lead to recovery within three months. If cooling herbs that nourish Yin and descend Fire are taken, the condition will worsen. If quacks use purgatives, the condition becomes critical with deep and fine pulses throughout all six positions. At this point, moxibustion at Zhongwan (CV12) for 50 moxa cones and Guanyuan (CV4) for 100 moxa cones can preserve life; delay leads to the collapse of Spleen Qi and death. (Quacks, not understanding this syndrome, have unknowingly killed countless people, especially children. Afternoon fever is often misdiagnosed as Yin deficiency rather than tidal fever; epigastric fullness is attributed to retained phlegm rather than food stagnation. They indiscriminately use cold-natured herbs and aggressively employ draining methods, causing adults to suffer from deficiency collapse and children to develop Spleen Wind. Yet they claim wind-heat is hard to clear and phlegm-heat is harmful. Only when death is imminent do doctors admit exhaustion of effort and families accept fate, dying without realization, which is truly pitiable.)
Irregular diet or cold substances injuring the Spleen may result in the Stomach receiving food but the Spleen failing to transform and transport it, causing vomiting. Ersheng San (Two Sage Powder), Caoshen Dan (Grass Spirit Pill), or Jin Ye Dan (Golden Fluid Pill) are appropriate. If the injury is severe, compounded by damage from desires and emotions, fluids accumulate in the Middle Jiao, causing morning intake to be vomited in the evening, known as Fan Wei (Reverse Stomach/Regurgitation). This is due to extreme Spleen Qi deficiency and failure of healthy transformation. Delayed treatment harms the patient. Using attacking and draining methods severely injures Yuan Qi and causes immediate death. One must perform 200 moxa cones on Zuomingguan (Left Life Gate, likely referring to a specific external point or variant of Pishu/Baimen area in Song dynasty context, often associated with Spleen regulation) and take Caoshen Dan for recovery; other medications will fail. (For vomiting, one must first examine the cause. Mild cases can be resolved with one dose of Erchen Tang (Two Aged Herbs Decoction), Pingwei San (Stomach-Pacifying Powder), or Huoxiang Zhengqi San (Agastache Powder Regulating the Qi). Deficiency cases respond easily to Liujunzi Tang (Six Gentlemen Decoction) or Lizhong Tang (Regulate the Middle Decoction). Severe cases involve sudden violent vomiting, cold extremities, and sweating; slight negligence leads to restlessness, collapse, and death, so this must be known. Although Fan Wei is a chronic condition, treatment is difficult. It requires careful medical attention and strict patient self-care. Treatment with pills and moxibustion offers the best chance of survival; otherwise, few survive.)