【歌】饮食劳形是内伤，或因饥饱过行房。其形即与伤寒似，误汗令人病卧床。
【论】夫饮食劳役之证，当补而不当泻。外感风寒客邪，当泻而不当补，二者若霄壤之不侔。内伤之证，
亦有头痛发热之候，粗工多作外感治之，大发其汗，其误甚矣！祸不旋踵。东垣云∶人迎脉大于气口为外伤，
气口脉大于人迎为内伤。外伤则寒热齐作而无间；内伤则寒热间作而不齐。外伤恶寒，虽近烈火不除；内伤恶
寒，得就温暖则解。外伤恶风，乃不禁一切风；内伤恶风，惟恶些少贼风。外伤证显在鼻，故鼻气不利而壅盛
有力；内伤证显在口，故口不知味而腹中不和。外伤则邪气有余，故发言壮厉且先轻而后重；内伤则元气不足，
故出言懒怯且先重而后轻。外伤手背热，手心不热；内伤手心热，手背不热。内伤头痛，时作时止；外伤头
痛，常常有之，直须传里方罢。内伤则怠惰嗜卧，四肢不收；外伤则得病之日，即着床枕，非扶不起，筋挛骨
痛。外伤不能食，然口则知味而不恶食；内伤则恶食而口不知味。外伤三日以后，谷消水去，邪气传里必渴；
内伤则邪气在血脉中有余，故不渴。若饥饿内伤，房劳太过，比之内伤饮食尤为不足中之不足，当大补回阳，
犹恐或迟，若误作外感治，重发其汗，宁不死欤？
【脉】内伤劳役，豁大不禁。若损胃气，隐而难寻。内
伤冷食，滑疾而沉。内伤热食，数大涩侵。
过食伤
饮食过伤，保和丸、曲 枳术丸。伤热物，三黄枳实汤。伤冷物，木香见 丸。
保和丸（方见伤食。）
曲 枳术丸（方见脾胃。）
三黄枳实汤（方见伤食。）
木香见 丸（方见伤食。）
饥饿伤
年饥缺食，或多事饿久，致伤脾胃，元气弱，四君子汤，或黄 建中汤，或补中益气汤加山药，去柴胡。
四君子汤
治脾胃虚弱，饮食少思，或大便不实，体瘦面黄，或胸膈虚痞，痰嗽吞酸，或脾胃虚弱，善患疟、痢等证。
人参（去芦） 白术（去芦、油） 茯苓（去皮，各二钱） 甘草（炙，一钱）
上锉，一剂，生姜三片，大枣一枚，水煎温服。
加陈皮名异功散，再加半夏名六君子汤。
黄 建中汤
治汗多亡阳，尺脉虚弱者用之。
黄 （上） 芍药（中） 桂枝（中） 甘草（下）
上，水、姜煎，临服加胶饴。
元气虚甚加人参。
劳役内伤
负重作劳，致伤元气，补中益气汤、调中益气汤，或黄 建中汤、六君子汤。劳者温之，非温热药也，宜
温养之谓也。夏月劳碌内伤后冒暑汗泄，虚弱脉微者，清暑益气汤。
补中益气汤
治形神劳役并饮食失节，劳倦虚损，身热而烦，脉洪大而虚，头痛，或恶寒而渴，自汗无力，气高而喘。
黄 （蜜炙，一钱五分） 人参（一钱） 甘草（炙，五分） 归身（酒洗，一钱） 陈皮（不去
白，五分） 白术（五分） 柴胡（三分） 升麻（三分）
上锉，一剂，生姜三片，大枣二枚，水煎温服。
按∶经曰∶五味入口，甘先入脾。是方参、 、归、术、甘草皆甘物也，故可以入脾而补中气。中气者，
脾胃之气也。升麻引胃气上腾而复其本位。柴胡引少阳之气上行而助春升之令也。用陈皮者，一能疏通脾胃，
一能行甘温之滞也。
如汗多，去升、柴加酸枣仁，夜间不寐亦如之。头疼加蔓荆子、川芎。如善嚏者，乃腠理不密，外邪所
搏，加白芷、川芎。如脑痛或巅顶痛加 本、细辛。如口干或渴加葛根。有痰加贝母、前胡。泄泻加白芍、泽
泻、茯苓。心胸觉痞闷，去黄 、升麻、柴胡，加枳实、姜炒黄连。如嗽加桑白皮、五味子。如用心太过，神
思不宁，或怔忡惊悸，加茯神、远志、酸枣仁、石菖蒲、柏子仁。如饮食少，或伤饮食，加神曲、麦芽、山楂、
枳实。如胃中湿痰加半夏。如大病后元气未复而胸满气短者，加橘皮、枳实、白芍。如有热加芩、连。
调中益气汤
治证同前。
即补中益气汤去归身、白术，加苍术、黄柏、木香。
六君子汤
人参 白术 茯苓 甘草
即四君子加陈皮、半夏，姜、枣煎服。
清暑益气汤
治长夏湿热蒸人，人感之，四肢困倦，精神减少，懒于
动作，胸满气促，肢节疼痛，或气高而喘，身热而烦，心下膨闷，小便黄而数，大便溏而频，或利或渴，不思
饮食，自汗体虚。
黄 （蜜炒） 苍术（米泔制） 升麻（各一钱） 人参 白术（土炒） 陈皮（炒） 神曲（炒） 泽
泻黄柏（酒炒） 当归 青皮（去穣） 麦门冬（去心） 干葛 甘草（各三分） 五味子（九粒）
上锉，一剂，水煎温服。
房劳内伤
强力入房，致伤元气，自汗乏力，人参养荣汤、十全大补汤。因而阳脱者，三建汤，急灸关元、气海百壮，
可复元。
人参养荣汤
治积劳虚损气血亏，肌肉消，四肢怠惰。
人参 黄 （蜜炙） 陈皮 白芍药（酒炒） 当归（酒洗） 甘草（炙） 白茯 五味子 远志 白术
桂心 熟地黄
上，姜、枣煎服。
十全大补汤
即八珍汤加黄 、肉桂。
三建汤（方见中寒。）
饮酒内伤
酒乃无形之物，大热有毒，多饮则伤胃呕吐，葛花解酲汤。纵饮热酒，烦躁中酒毒，黄连解毒汤主之。
葛花解酲汤
治饮酒太过，呕吐痰逆，心神烦乱，胸膈痞塞，手足战摇，饮食减少，小便不利。
葛花 砂仁 木香 白豆蔻 人参 茯苓 陈皮（各五分） 神曲（炒） 白术（炒） 青皮 泽
泻干生姜（各三分）
按∶葛花性寒，能解中酒之毒。泽、茯味淡，能利中酒之湿。砂仁、豆蔻，木香、青、陈之辛，能行酒食
之滞。生姜开胃止呕。神曲消磨炙腻。而人参、白术之甘，所以益被伤之元气焉。
黄连解毒汤（方见火证。）
【歌诀】饮食不节和过度劳累是内伤的成因，有时也因饥饿、饱食或房事过度所致。其症状表现与伤寒相似，若误用发汗法治疗，会导致病人卧床不起。
【论述】饮食劳役导致的病证，应当采用补法而不应当采用泻法。外感风寒邪气，应当采用泻法而不应当采用补法，这两者相差犹如天地之远。内伤病证，也有头痛、发热的症状，粗劣的医生多将其当作外感病治疗，大发其汗，这种错误非常严重！灾祸转瞬即至。李东垣说：人迎脉（位于颈部两侧，反映阳经状况）大于气口脉（位于手腕桡动脉处，反映阴经及脾胃状况）为外感伤，气口脉大于人迎脉为内伤。外感病则恶寒发热同时出现且无间歇；内伤病则恶寒发热交替出现且不规律。外感病怕冷，即使靠近烈火也不能缓解；内伤病怕冷，靠近温暖环境即可缓解。外感病怕风，是害怕所有的风；内伤病怕风，只是害怕少量的贼风（非正常之风）。外感病的症状明显表现在鼻部，所以鼻塞气息不利且壅盛有力；内伤病的症状明显表现在口部，所以口不知味且腹部不适。外感病则是邪气有余，所以说话声音壮厉且病情先轻后重；内伤病则是元气不足，所以说话懒怯且病情先重后轻。外感病手背热，手心不热；内伤病手心热，手背不热。内伤病头痛，时作时止；外感病头痛，经常存在，直到传入里证才停止。内伤病表现为倦怠嗜睡，四肢无力收持；外感病则在患病当日就卧床枕席，不扶起不能起身，筋挛骨痛。外感病不能进食，但口能知味且不厌恶食物；内伤病则厌恶食物且口不知味。外感病三天以后，谷食消化水液代谢，邪气传入里部必然口渴；内伤病则是邪气在血脉中有余，所以不渴。如果是饥饿导致的内伤，或房劳过度，比之内伤饮食更为元气亏虚，应当大补回阳，还担心救治稍迟，如果误作外感治疗，再次大发其汗，难道不会致死吗？
【脉象】内伤劳役，脉象豁大而无力约束。如果损伤了胃气，脉象隐伏而难以寻得。内伤冷食，脉象滑疾而沉。内伤热食，脉象数大且涩滞。
过食伤
饮食过伤，使用保和丸、曲蘖枳术丸。伤于热物，使用三黄枳实汤。伤于冷物，使用木香见圆丸。
保和丸（方剂见伤食章节。）
曲蘖枳术丸（方剂见脾胃章节。）
三黄枳实汤（方剂见伤食章节。）
木香见圆丸（方剂见伤食章节。）
饥饿伤
年成饥荒缺食，或多事长期饥饿，导致损伤脾胃，元气虚弱，使用四君子汤，或黄芪建中汤，或补中益气汤加山药，去掉柴胡。
四君子汤
治疗脾胃虚弱，饮食少思，或大便不成形，身体消瘦面色发黄，或胸膈虚痞闷，痰嗽吞酸，或脾胃虚弱，容易患疟疾、痢疾等病证。
人参（去芦头） 白术（去芦头、油） 茯苓（去皮，各二钱） 甘草（蜜炙，一钱）
以上锉碎，一剂药，生姜三片，大枣一枚，水煎温服。
加入陈皮名为异功散，再加半夏名为六君子汤。
黄芪建中汤
治疗汗多亡阳，尺脉虚弱者使用。
黄芪（上） 芍药（中） 桂枝（中） 甘草（下）
以上药物，用水、生姜煎煮，临服用时加入胶饴（麦芽糖）。
元气极虚加上人参。
劳役内伤
负重劳作，导致损伤元气，使用补中益气汤、调中益气汤，或黄芪建中汤、六君子汤。“劳者温之”，并非指温热药，而是指宜用温养的方法。夏季劳碌内伤后中暑出汗，虚弱脉微者，使用清暑益气汤。
补中益气汤
治疗形体和精神劳役并饮食失节，劳倦虚损，身热而烦，脉洪大而虚，头痛，或恶寒而渴，自汗无力，气逆而喘。
黄芪（蜜炙，一钱五分） 人参（一钱） 甘草（炙，五分） 当归身（酒洗，一钱） 陈皮（不去白，五分） 白术（五分） 柴胡（三分） 升麻（三分）
以上锉碎，一剂药，生姜三片，大枣二枚，水煎温服。
按语：经典记载：五味入口，甘味先入脾。此方人参、黄芪、当归、白术、甘草皆属甘味药物，故可以入脾而补中气。中气，即脾胃之气。升麻引导胃气上升恢复其本位。柴胡引导少阳之气上行以助春生升发之令。使用陈皮的原因，一是能疏通脾胃，二是能行散甘温药的滞气。
如汗多，去掉升麻、柴胡，加酸枣仁，夜间失眠也如此处理。头疼加蔓荆子、川芎。如容易打喷嚏，这是腠理不密，外邪所搏，加白芷、川芎。如脑痛或巅顶痛加藁本、细辛。如口干或渴加葛根。有痰加贝母、前胡。泄泻加白芍、泽泻、茯苓。心胸感觉痞闷，去掉黄芪、升麻、柴胡，加枳实、姜炒黄连。如咳嗽加桑白皮、五味子。如用心太过，神思不宁，或怔忡惊悸，加茯神、远志、酸枣仁、石菖蒲、柏子仁。如饮食少，或伤饮食，加神曲、麦芽、山楂、枳实。如胃中湿痰加半夏。如大病后元气未复而胸满气短者，加橘皮、枳实、白芍。如有热加黄芩、黄连。
调中益气汤
治疗证候同前。
即补中益气汤去掉当归身、白术，加苍术、黄柏、木香。
六君子汤
人参 白术 茯苓 甘草
即四君子汤加陈皮、半夏，加生姜、大枣煎服。
清暑益气汤
治疗长夏湿热蒸人，人感受之，四肢困倦，精神减少，懒于动作，胸满气促，肢节疼痛，或气逆而喘，身热而烦，心下膨闷，小便黄而频数，大便溏而频数，或利或渴，不思饮食，自汗体虚。
黄芪（蜜炒） 苍术（米泔水制） 升麻（各一钱） 人参 白术（土炒） 陈皮（炒） 神曲（炒） 泽泻 黄柏（酒炒） 当归 青皮（去瓤） 麦门冬（去心） 干葛 甘草（各三分） 五味子（九粒）
以上锉碎，一剂药，水煎温服。
房劳内伤
强力入房，导致损伤元气，自汗乏力，使用人参养荣汤、十全大补汤。因而阳气脱失者，使用三建汤，急灸关元、气海穴百壮，可恢复元气。
人参养荣汤
治疗积劳虚损气血亏，肌肉消减，四肢怠惰。
人参 黄芪（蜜炙） 陈皮 白芍药（酒炒） 当归（酒洗） 甘草（炙） 白茯苓 五味子 远志 白术 桂心 熟地黄
以上药物，加生姜、大枣煎服。
饮酒内伤
酒乃无形之物，大热有毒，多饮则伤胃呕吐，使用葛花解酲汤。纵饮热酒，烦躁中酒毒，黄连解毒汤主治。
葛花解酲汤
治疗饮酒太过，呕吐痰逆，心神烦乱，胸膈痞塞，手足战摇，饮食减少，小便不利。
葛花 砂仁 木香 白豆蔻 人参 茯苓 陈皮（各五分） 神曲（炒） 白术（炒） 青皮 泽泻 干生姜（各三分）
按语：葛花性寒，能解中酒之毒。泽泻、茯苓味淡，能利中酒之湿。砂仁、豆蔻，木香、青皮、陈皮的辛味，能行酒食之滞气。生姜开胃止呕。神曲消磨炙腻之物。而人参、白术的甘味，所以益被损伤的元气。
[Verse]
Dietary indiscretion and physical overexertion constitute internal injury, sometimes also caused by hunger, overeating, or excessive sexual activity. The presentation resembles cold damage (Shanghan); misusing sweating therapy will cause the patient to become bedridden.
[Dissertation]
For syndromes caused by dietary indiscretion and labor, tonification should be employed rather than purgation. For external contraction of wind-cold pathogenic factors, purgation (dispersing) should be employed rather than tonification; the difference between the two is as vast as heaven and earth. Internal injury syndromes may also present with headache and fever. Incompetent physicians often treat them as external contractions and induce heavy sweating, a grave error! Disaster follows swiftly. Li Dongyuan stated: When the Renying pulse (located at the neck, reflecting Yang meridians) is larger than the Qikou pulse (located at the radial artery of the wrist, reflecting Yin meridians and Spleen/Stomach), it indicates external injury. When the Qikou pulse is larger than the Renying pulse, it indicates internal injury. In external injuries, aversion to cold and fever occur simultaneously without interval; in internal injuries, they occur alternately and irregularly. In external injuries, aversion to cold persists even near intense heat; in internal injuries, aversion to cold resolves upon seeking warmth. In external injuries, aversion to wind implies intolerance to all winds; in internal injuries, aversion to wind is only to slight drafts. External injury symptoms manifest prominently in the nose, causing nasal congestion with forceful breathing; internal injury symptoms manifest prominently in the mouth, causing loss of taste and abdominal discomfort. External injuries involve excess pathogenic factors, so speech is loud and vigorous, with severity increasing from light to heavy; internal injuries involve deficiency of Yuan Qi (Original Qi), so speech is lazy and timid, with severity decreasing from heavy to light. In external injuries, the back of the hand is hot while the palm is not; in internal injuries, the palm is hot while the back of the hand is not. Internal injury headaches come and go; external injury headaches are constant until the pathogen transmits to the interior. Internal injury presents with lethargy and desire to lie down, with limbs unable to hold themselves up; external injury causes the patient to be bedridden on the day of onset, unable to rise without support, with muscle spasms and bone pain. In external injuries, appetite is lost but taste remains normal and there is no disgust for food; in internal injuries, there is disgust for food and loss of taste. After three days of external injury, grain is digested and fluids metabolized, pathogenic factors transmit to the interior, and thirst inevitably occurs; in internal injury, pathogenic factors remain in excess in the blood vessels, so there is no thirst. If the internal injury is due to hunger or excessive sexual activity, it represents a deficiency within deficiency compared to dietary internal injury. Major tonification to restore Yang is required, and one still fears delay. If mistakenly treated as an external contraction and heavy sweating is induced again, death is inevitable.
[Pulse Diagnosis]
Internal injury from labor presents with a wide, loose pulse that lacks constraint. If Stomach Qi is damaged, the pulse becomes hidden and difficult to locate. Internal injury from cold food presents with a slippery, rapid, and deep pulse. Internal injury from hot food presents with a rapid, large, and choppy pulse.
Overeating Injury
For injury from overeating, use Baohe Wan (Preserve Harmony Pill) or Qu Nie Zhi Zhu Wan (Malt and Immature Bitter Orange and Atractylodes Macrocephala Pill). For injury from hot foods, use San Huang Zhi Shi Tang (Three Yellows and Immature Bitter Orange Decoction). For injury from cold foods, use Muxiang Jian Yuan Wan (Costus Root Round Pill).
Baohe Wan (Formula see Food Injury section.)
Qu Nie Zhi Zhu Wan (Formula see Spleen and Stomach section.)
San Huang Zhi Shi Tang (Formula see Food Injury section.)
Muxiang Jian Yuan Wan (Formula see Food Injury section.)
Hunger Injury
In years of famine or prolonged starvation due to excessive work, damaging the Spleen and Stomach and weakening Yuan Qi, use Sijunzi Tang (Four Gentlemen Decoction), or Huangqi Jianzhong Tang (Astragalus Middle-Nourishing Decoction), or Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Shanyao added and Chaihu removed.
Sijunzi Tang
Treats Spleen and Stomach weakness, poor appetite, or loose stools, emaciation with sallow complexion, or empty fullness in the chest and diaphragm, phlegm cough with acid regurgitation, or Spleen and Stomach weakness prone to malaria and dysentery.
Renshen (Ginseng Radix et Rhizoma, remove rhizome) Baizhu (Atractylodis Macrocephalae Rhizoma, remove rhizome and oil) Fuling (Poria, remove skin) each 2 qian Gancao (Licorice Root, honey-fried) 1 qian
Crush these into pieces. For one dose, add 3 slices of fresh ginger and 1 jujube, decoct in water, and take warm.
Adding Chenpi (Citri Reticulatae Pericarpium) creates Yigong San (Different Merit Powder). Adding Banxia (Pinelliae Rhizoma) creates Liujunzi Tang (Six Gentlemen Decoction).
Huangqi Jianzhong Tang
Used for profuse sweating leading to Yang collapse with a weak Chi pulse (at the wrist).
Huangqi (Astragali Radix) Shaoyao (Paeoniae Radix Alba) Guizhi (Cinnamomi Ramulus) Gancao (Licorice Root)
Decoct with water and ginger. Add Yi (Maltose) before administration.
If Yuan Qi is extremely deficient, add Renshen.
Labor Internal Injury
Heavy lifting and labor damage Yuan Qi. Use Buzhong Yiqi Tang, Tiaozhong Yiqi Tang, or Huangqi Jianzhong Tang, Liujunzi Tang. "Those who are fatigued should be warmed" does not refer to hot-warm herbs, but rather to warming and nourishing methods. In summer, after labor-induced internal injury with heatstroke and sweating, presenting with weakness and a faint pulse, use Qingshu Yiqi Tang (Clear Summerheat and Augment Qi Decoction).
Buzhong Yiqi Tang
Treats physical and mental fatigue combined with dietary irregularity, exhaustion and deficiency, fever with irritability, a洪大 (surging-large) yet empty pulse, headache, or aversion to cold with thirst, spontaneous sweating with weakness, Qi rebellion with asthma.
Huangqi (Astragali Radix, honey-fried) 1.5 qian Renshen (Ginseng Radix et Rhizoma) 1 qian Gancao (Licorice Root, fried) 0.5 qian Dangguishen (Angelicae Sinensis Radix, body only, wine-rinsed) 1 qian Chenpi (Citri Reticulatae Pericarpium, keep white pith) 0.5 qian Baizhu (Atractylodis Macrocephalae Rhizoma) 0.5 qian Chaihu (Bupleuri Radix) 0.3 qian Shengma (Cimicifugae Rhizoma) 0.3 qian
Crush these into pieces. For one dose, add 3 slices of fresh ginger and 2 jujubes, decoct in water, and take warm.
Note: The Classics state: "The five flavors enter the mouth; sweet flavor first enters the Spleen." This formula contains Renshen, Huangqi, Danggui, Baizhu, and Gancao, all sweet substances, thus entering the Spleen to tonify Middle Qi. Middle Qi refers to the Qi of the Spleen and Stomach. Shengma guides Stomach Qi upward to restore its proper position. Chaihu guides Shaoyang Qi upward to assist the spring-like ascending function. Chenpi is used to unblock the Spleen and Stomach and to move the stagnation of sweet-warm herbs.
If there is profuse sweating, remove Shengma and Chaihu, add Suanzaoren (Ziziphi Spinosae Semen). For insomnia at night, do likewise. For headache, add Manjingzi (Vittariae Spora) and Chuanxiong (Ligustici Chuanxiong Rhizoma). If prone to sneezing, indicating loose interstices and external pathogen invasion, add Baizhi (Angelicae Dahuricae Radix) and Chuanxiong. For brain pain or vertex pain, add Gaoben (Ligustici Wallichii Rhizoma et Radix) and Xixin (Asari Radix et Rhizoma). For dry mouth or thirst, add Gegen (Puerariae Lobatae Radix). For phlegm, add Beimu (Fritillariae Thunbergii Bulbus) and Qianhu (Peucedani Radix). For diarrhea, add Baishao (Paeoniae Radix Alba), Zexie (Alismatis Rhizoma), and Fuling. For chest/epigastric fullness/stuffiness, remove Huangqi, Shengma, and Chaihu, add Zhishi (Aurantii Fructus Immaturus) and Huanglian (Coptidis Rhizoma, stir-fried with ginger). For cough, add Sangbaipi (Mori Cortex) and Wuweizi (Schisandrae Chinensis Fructus). For excessive mental exertion, restlessness, palpitations, or fright, add Fushen (Poria cum Pinodi), Yuanzhi (Polygalae Radix), Suanzaoren, Shichangpu (Acori Tatarinowii Rhizoma), and Baiziren (Platycladi Semen). For poor appetite or food injury, add Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), Shanzha (Crataegi Fructus), and Zhishi. For damp-phlegm in the Stomach, add Banxia. For post-illness incomplete recovery of Yuan Qi with chest fullness and shortness of breath, add Jupi (Citri Reticulatae Pericarpium), Zhishi, and Baishao. For heat, add Huangqin (Scutellariae Radix) and Huanglian.
Tiaozhong Yiqi Tang
Indications are the same as above.
It is Buzhong Yiqi Tang minus Dangguishen and Baizhu, plus Cangzhu (Atractylodis Rhizoma), Huangbai (Phellodendri Chinensis Cortex), and Muxiang (Aucklandiae Radix).
Liujunzi Tang
Renshen Baizhu Fuling Gancao
This is Sijunzi Tang plus Chenpi and Banxia, decocted with ginger and jujube.
Qingshu Yiqi Tang
Treats long summer damp-heat steaming people. Upon contraction, symptoms include limb fatigue, reduced spirit, reluctance to move, chest fullness and shortness of breath, joint pain, or Qi rebellion with asthma, fever with irritability, epigastric distension, yellow and frequent urination, loose and frequent stools, or diarrhea with thirst, poor appetite, spontaneous sweating, and body weakness.
Huangqi (Astragali Radix, honey-fried) Cangzhu (Atractylodis Rhizoma, rice-water processed) Shengma (Cimicifugae Rhizoma) each 1 qian Renshen Baizhu (Atractylodis Macrocephalae Rhizoma, soil-fried) Chenpi (Citri Reticulatae Pericarpium, fried) Shenqu (Massa Medicata Fermentata, fried) Zexie (Alismatis Rhizoma) Huangbai (Phellodendri Chinensis Cortex, wine-fried) Danggui (Angelicae Sinensis Radix) Qingpi (Citri Reticulatae Pericarpium Viride, remove pith) Maidong (Ophiopogonis Radix, remove heart) Gegen (Puerariae Lobatae Radix) Gancao (Licorice Root) each 0.3 qian Wuweizi (Schisandrae Chinensis Fructus) 9 grains
Crush these into pieces. For one dose, decoct in water and take warm.
Sexual Activity Internal Injury
Excessive sexual activity damages Yuan Qi, causing spontaneous sweating and weakness. Use Renshen Yangrong Tang (Ginseng Nourishing Grace Decoction) or Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction). If Yang collapses, use Sanjian Tang (Three Jian Decoction), urgently moxa Guanyuan (CV4) and Qihai (CV6) for 100 moxa cones each, to restore Yuan Qi.
Renshen Yangrong Tang
Treats accumulated fatigue, deficiency and damage of Qi and Blood, muscle wasting, and limb lethargy.
Renshen Huangqi (Astragali Radix, honey-fried) Chenpi Baishao (Paeoniae Radix Alba, wine-fried) Danggui (Angelicae Sinensis Radix, wine-rinsed) Gancao (Licorice Root, fried) Fuling (Poria) Wuweizi Yuanzhi Baizhu Guixin (Cinnamomi Cortex) Shudihuang (Rehmanniae Radix Praeparata)
Decoct with ginger and jujube.
Shiquan Dabu Tang
This is Bazhen Tang (Eight Treasures Decoction) plus Huangqi and Rougui (Cinnamomi Cortex).
Sanjian Tang (Formula see Cold Damage to Interior section.)
Alcohol Injury
Wine is formless, greatly hot and toxic. Excessive drinking damages the Stomach causing vomiting. Use Gehua Jie Cheng Tang (Kudzu Flower Relieving Intoxication Decoction). For indulging in hot wine causing irritability and alcohol toxicity, Huanglian Jiedu Tang (Coptis Detoxification Decoction) is indicated.
Gehua Jie Cheng Tang
Treats excessive drinking, vomiting with phlegm reversal, mental confusion, chest/diaphragm stuffiness, trembling hands and feet, reduced appetite, and difficult urination.
Gehua (Puerariae Flos) Sharen (Amomi Fructus Rotundus) Muxiang Aucklandiae Radix Baidoukou (Cardamomi Fructus) Renshen Fuling Chenpi (Citri Reticulatae Pericarpium) each 0.5 qian Shenqu (Massa Medicata Fermentata, fried) Baizhu (Atractylodis Macrocephalae Rhizoma, fried) Qingpi (Citri Reticulatae Pericarpium Viride) Zexie Ganshengjiang (Zingiberis Rhizoma Recens, dried ginger) each 0.3 qian
Note: Gehua is cold in nature and can resolve alcohol toxicity. Zexie and Fuling are bland in flavor and can drain dampness from alcohol. Sharen, Doukou, Muxiang, Qingpi, and Chenpi have pungent flavors that move stagnation of alcohol and food. Ginger opens the Stomach and stops vomiting. Shenqu dissolves greasy foods. The sweetness of Renshen and Baizhu benefits the damaged Yuan Qi.
Huanglian Jiedu Tang (Formula see Fire Syndromes section.)