（附论）
夫 癖羸瘦者。由寒温不调。脏腑虚冷。饮食不化。邪气与脏气相搏。结聚所生也。
若
久不
能荣
方
羊脂煎（出圣惠方）治 癖气。四肢羸瘦。心神虚烦。皮肤干燥。不欲饮食
。
宜服。
羊脂（一升） 牛髓（一升） 川椒（一两去目及闭口者微炒去汗） 桂心（一两） 人
参（一
两去
两〕 远
志〔半（一）两去心〕 生姜汁〔半（二）合〕 当归（一两锉微炒） 生地黄（汁一升） 吴
茱萸
（
火
煎
牛膝丸（出圣惠方）治 癖气。不能饮食。虚乏羸瘦。
牛膝（三两去苗） 生干地黄（四两） 当归（一两半锉微炒） 桂心（三两） 木香
（一两）
五味
（二
合
浸去白瓤
炒）
下
三十
附子丸（出圣惠方）治 癖气。多吐清水。面色萎黄。心肋胀痛。不欲饮食
。四肢羸瘦。宜
附子（四两炮裂去皮脐） 白术（三两） 陈橘皮（一两汤浸去白瓤焙） 吴茱萸（一
两汤浸
七遍
两）
桂心（
两去皮）
上
白术丸（出圣惠方）治 癖气。攻心肋痛。不欲饮食。四肢羸瘦。
白术（三分） 蓬莪术（三分） 乌药（半两） 木香（半两） 桂心（半两） 砂
（一两半细
研半
两捣罗为
末并
生姜
枸杞子丸（出圣惠方）治 癖冷气。不能饮食。四肢羸瘦少力。
枸杞子（三两） 干姜（一两炮裂锉） 白术（一两） 川椒（二合去目及闭口者微炒
去汗）
吴茱
和
捣。三
紫菀丸（一名温白丸出圣惠方）治 癖气。心腹滞闷。面色萎黄。日渐羸瘦
。\x
【附论】
所谓癖羸瘦，是由于寒温失调，脏腑虚冷，饮食无法消化，邪气与脏气相互搏结，积聚而形成的病症。
如果长期不能滋养身体，
应当服用：
羊脂煎（出自《圣惠方》），治疗癖气。症状表现为四肢消瘦，心神虚弱烦躁，皮肤干燥，不想进食。
药材组成：
羊脂（一升）、牛髓（一升）、川椒（一两，去除椒目及闭口者，微炒去汗）、桂心（一两）、人参（一两，去除芦头）、远志（半两，去除心）、生姜汁（半合）、当归（一两，锉碎微炒）、生地黄（取汁一升）、吴茱萸（一两，汤浸七遍，焙干）。
以上药物捣罗为细末，和匀，用炼蜜制成梧桐子大小的丸剂。每次在食前以温水送服三十丸。
牛膝丸（出自《圣惠方》），治疗癖气。症状表现为不能进食，虚弱乏力，形体消瘦。
药材组成：
牛膝（三两，去除苗）、生干地黄（四两）、当归（一两半，锉碎微炒）、桂心（三两）、木香（一两）、五味子（二两，微炒，浸后去除白色瓤部）。
以上药物捣罗为细末，用酒煮面糊制成梧桐子大小的丸剂。每次在食前以米汤送服三十丸。
附子丸（出自《圣惠方》），治疗癖气。症状表现为多吐清水，面色萎黄，心肋部位胀痛，不想进食，四肢消瘦。适宜服用此方。
药材组成：
附子（四两，炮裂，去皮脐）、白术（三两）、陈橘皮（一两，汤浸去除白色瓤部，焙干）、吴茱萸（一两，汤浸七遍，焙干，去汗）、桂心（一两，去除皮）。
以上药物捣罗为细末，用酒煮面糊制成梧桐子大小的丸剂。每次在食前以温水送服二十丸。
白术丸（出自《圣惠方》），治疗癖气。症状表现为攻冲心肋疼痛，不想进食，四肢消瘦。
药材组成：
白术（三分）、蓬莪术（三分）、乌药（半两）、木香（半两）、桂心（半两）、砂仁（一两半，细研）、半夏（一两，汤洗七遍去滑）。
以上药物捣罗为细末，用生姜汁和面糊制成梧桐子大小的丸剂。每次在食前以温水送服二十丸。
枸杞子丸（出自《圣惠方》），治疗癖冷气。症状表现为不能进食，四肢消瘦无力。
药材组成：
枸杞子（三两）、干姜（一两，炮裂，锉碎）、白术（一两）、川椒（二合，去除椒目及闭口者，微炒去汗）、吴茱萸（一两，汤浸七遍，焙干，去汗）。
以上药物捣烂，用炼蜜制成梧桐子大小的丸剂。每次在食前以温水送服三十丸。
[Supplementary Discussion]
The condition of Pi (accumulation) with emaciation is caused by the disharmony of cold and warm influences, deficiency-cold of the Zang-Fu organs, failure to digest food, and the binding and accumulation of pathogenic factors with the Qi of the viscera.
If the body cannot be nourished for a long time,
the following formula should be taken:
Yangzhi Jian (Mutton Fat Decoction), sourced from *Shenghui Fang*, treats Pi Qi. Symptoms include emaciation of the four limbs, deficiency-heat vexation of the mind and spirit, dryness of the skin, and anorexia.
Ingredients:
Yangzhi (Mutton Fat, 1 sheng), Niuisui (Bovine Marrow, 1 sheng), Chuanjiao (Sichuan Pepper, 1 liang, remove seeds and closed ones, stir-fry slightly to remove moisture), Guixin (Cinnamon Twig Heart, 1 liang), Renshen (Ginseng Root, 1 liang, remove rhizome), Yuanzhi (Polygala Root, 0.5 liang, remove heart), Shengjiangzhi (Fresh Ginger Juice, 0.5 he), Danggui (Angelica Sinensis Root, 1 liang, cut into pieces and stir-fry slightly), Shengdihuang (Rehmannia Root, juice extracted, 1 sheng), Wuzhuyu (Evodia Fruit, 1 liang, soak in water seven times, dry-bake).
Process all ingredients into fine powder, mix evenly, and form pills the size of tung tree seeds using refined honey. Take 30 pills before meals with warm water.
Niuxi Wan (Achyranthes Pill), sourced from *Shenghui Fang*, treats Pi Qi. Symptoms include inability to eat, weakness, and emaciation.
Ingredients:
Niuxi (Achyranthes Root, 3 liang, remove sprouts), Shenggan Dihuang (Dried Rehmannia Root, 4 liang), Danggui (Angelica Sinensis Root, 1.5 liang, cut into pieces and stir-fry slightly), Guixin (Cinnamon Twig Heart, 3 liang), Muxiang (Costus Root, 1 liang), Wuweizi (Schisandra Berry, 2 liang, stir-fry slightly, soak and remove white pith).
Process all ingredients into fine powder, and form pills the size of tung tree seeds using a paste made from wine-boiled flour. Take 30 pills before meals with rice soup.
Fuzi Wan (Aconite Pill), sourced from *Shenghui Fang*, treats Pi Qi. Symptoms include frequent vomiting of clear fluid, sallow complexion, distending pain in the heart and hypochondrium, anorexia, and emaciation of the four limbs. This formula is suitable.
Ingredients:
Fuzi (Prepared Aconite Lateral Root, 4 liang, processed until cracked, remove skin and umbilicus), Baizhu (Atractylodes Macrocephala Rhizome, 3 liang), Chenjuapi (Aged Tangerine Peel, 1 liang, soak in water, remove white pith, bake), Wuzhuyu (Evodia Fruit, 1 liang, soak in water seven times, dry-bake, remove moisture), Guixin (Cinnamon Twig Heart, 1 liang, remove bark).
Process all ingredients into fine powder, and form pills the size of tung tree seeds using a paste made from wine-boiled flour. Take 20 pills before meals with warm water.
Baizhu Wan (Atractylodes Pill), sourced from *Shenghui Fang*, treats Pi Qi. Symptoms include attacking pain in the heart and hypochondrium, anorexia, and emaciation of the four limbs.
Ingredients:
Baizhu (Atractylodes Macrocephala Rhizome, 3 fen), Peng'ezhu (Curcuma Zedoaria Rhizome, 3 fen), Wuyao (Lindera Root, 0.5 liang), Muxiang (Costus Root, 0.5 liang), Guixin (Cinnamon Twig Heart, 0.5 liang), Sharen (Amomum Fruit, 1.5 liang, finely ground), Banxia (Pinellia Tuber, 1 liang, wash in water seven times to remove slipperiness).
Process all ingredients into fine powder, and form pills the size of tung tree seeds using ginger juice and flour paste. Take 20 pills before meals with warm water.
Gouqizi Wan (Goji Berry Pill), sourced from *Shenghui Fang*, treats Pi Cold-Qi. Symptoms include inability to eat, emaciation, and lack of strength in the four limbs.
Ingredients:
Gouqizi (Goji Berry, 3 liang), Ganjiang (Dried Ginger, 1 liang, processed until cracked and cut), Baizhu (Atractylodes Macrocephala Rhizome, 1 liang), Chuanjiao (Sichuan Pepper, 2 he, remove seeds and closed ones, stir-fry slightly to remove moisture), Wuzhuyu (Evodia Fruit, 1 liang, soak in water seven times, dry-bake, remove moisture).
Pound the ingredients, and form pills the size of tung tree seeds using refined honey. Take 30 pills before meals with warm water.
Ziwan Wan (Aster Pill, also known as Wenbai Wan), sourced from *Shenghui Fang*, treats Pi Qi. Symptoms include stagnation and fullness in the heart and abdomen, sallow complexion, and progressive emaciation.