（附论）
夫人之百病皆由喜怒不节。饮食失宜。寒温不适。劳役所伤。以致中气有亏。而五脏六
腑之
受之
筋。
内伤
火逆
荣
是
有
者
而
加愈
头顶
明
覆
余
食
饮
也
伤
寒
利
上
气少
内伤
骨消
床倚
心气
消水
心火
胃俱
胃
不
则
收
发
人
之
脾
之
法
四肢发热。或大便泄泻。或皮毛枯槁发脱落。从黄 建中汤。脉虚而血弱。于四物汤中摘一
味或二味。以本显证中加之。或真气虚弱。及气短脉弱从四君子汤。或小便秘涩赤黄多少。
从五苓散去桂摘一二味加正药中。以上五药。当于本证中随所兼见证加减。假令表虚自汗。
春夏加黄 。秋冬加桂。如腹中急缩。或脉弦加防风。急甚加甘草。腹中窄狭。或气短者亦
加之。腹满气不转者勿加。虽
可多用。于甘草五分中加一分
肺气短促或不足者。加人参白
中窄狭及缩急者去之。即诸酸
也。曲直作酸。酸者甲也。甲
加桂。怠惰嗜卧有湿。胃虚
渴亦加之。气弱者加白茯苓、人参。气盛者加赤茯苓、缩砂仁、腹气不能转运。有热者微加
黄连。心烦乱亦加之。小
自行也。不渴而小便闭塞不通。加炒黄柏、知母。小便涩者加滑石炒。小便淋沥者加泽泻。
且五苓散治渴而小便不
黄柏、知母以除肾中燥热
其心脏热者。用钱氏方中
皮三。气短小便利者。四
腹中刺痛或周身刺痛者。
则里急。或血气虚弱而目
若只头痛者加细辛。此少阴头痛也。发脱落及脐下痛。加熟干地黄。调理脾胃
此五药中加减。如五脏证中互显一二证。各对证加药无不验。然终不能使人完复。
而再至者。亦由督、任、冲三脉为邪。皆胃气虚弱之所致也。法虽根据证加减。执方
根据素问法度耳。是以检讨难、素及黄帝针经中说。脾胃不足之源。乃阳气不足。阴
当从六气不足。浮沉升降法。随证用药治之。盖脾胃不足。不同余脏。无定体故也
肺肾有余不足。或补或泻。惟益脾胃之药为切。经言。至而不至。是为不及。所胜
生受病。所不胜乘之也。至而不至者。谓从后来者谓之虚邪。心与小肠来乘脾胃也
中见浮大而弦。其病或烦躁闷乱。或四肢发热。或口干舌干咽干。盖心主火。小肠
乘土位。乃湿热相合。故烦躁闷乱也。四肢者脾胃也。火乘之故四肢发热也。饮食
役所伤。以致脾胃虚弱。乃血所生病。主口中津液不行。故口干咽干。病患自以为
治以五苓散。谓止渴燥而反加渴燥。乃重竭津液。以至危亡。经云。虚则补其母。
小肠中以补脾胃之根蒂也。甘温之药为之主。以苦寒之药为之使。以酸味为之臣。
心主缓。急食酸以收之。心火旺则肺金受邪。金虚则以酸补。次以甘温及甘寒之
中泻心火之亢盛。是治其本也。所胜妄行者。言心火旺。能令母实者肝木也。肝
之势无所畏惧而妄行也。故脾胃先受之。或身体沉重走注疼痛。盖湿热相搏而风
伸。附着于有形也。或多怒。若风热不陷于地中。或目病而生内障者。脾裹血。
主脉。脉者血之府也。或云心主血。又云肝主血。肝之窍开于目也。或妄闻起妄
人。四肢满闭转筋。皆肝木火盛而为邪也。或生痿。或生瘅。或生厥。或中风。
或作肾痿。或为之上热下寒。为邪不一。皆风热不得上升。而木火遏于有形中也
者。言肺受土火木之邪。而清肃之气伤。或胸满少气短气者。肺主诸气。五脏
而阳道不行也。或咳嗽寒热者。湿热乘其内也。所不胜乘之者。水乘木之妄行而
故肾入心为汗。入肝为泣。入肺为涎。入脾为痰为嗽为涕为嚏。为水出鼻也。一说下元土盛
水。致督任冲三脉盛。火旺煎熬令水沸腾而乘脾肺。
外肾冷。为足不任身。为脚下隐痛。或水附木势而上为
而病于外也。夫脾胃不足。皆为血病。是阳气不足。阴
血中。阴血中受火邪则阴盛。阴盛则上乘阳分。而阳道
窍者也。阴气附形质者也。如阴气附于土。阳气升于天
温药者非独用也。复有甘苦大寒之剂亦非独用。以火酒
入于肾肝之下。此所谓升降浮沉之道。自偶而奇、奇而
以诸风药。升发阳气以滋肝胆之用。是令阳气生上出于
大发散于阳分也。而令走九窍。经云。食入于胃散精于
淫精于脉。脉气流经。经气归于肺。肺朝百脉。输精于
胃先行阳道。而阳气升浮也。浮者。阳气散满皮毛。升
不节损其胃气。不能克化散于肝、归于心、溢于肺。食
暂得舒。是以知升发之气不行者此也。饮入于胃。游溢精气。上输于脾。脾气散精。上归于
肺。病患饮入胃。遽觉至脐下。便欲小
咽干。是阴气太盛。其理甚易知也。况
无是则非也。脾胃不足。是火不能生
白术（君） 人参（臣） 甘草（佐） 芍药（佐） 黄连（使） 黄 （臣） 桑白
皮（佐）
诸风药皆是风能胜湿也。诸甘温药亦可。
心火亢盛乘于脾胃之位。亦至而不至。是为不及也。
芍药（佐） 石膏（佐） 黄连（君） 知母（佐） 黄柏（臣） 甘草（使） 生地
黄（臣） 黄芩
（佐）
中
急痛
羌活（佐） 防风（臣） 升麻（使） 柴胡（君） 独活（佐） 芍药（臣） 甘草
（臣） 白术
（佐）
细辛 蔓荆
子
肺金受邪。由脾胃虚弱不能生肺。乃所至受病也。故咳嗽气短气上。皮毛不能御寒。精
神少
人参（君） 白术（佐） 白芍药（佐） 橘皮（臣） 青皮（以破滞气） 黄 （臣）
桂枝（佐）
桔
以上三
味
肾水反来侮土。所胜者妄行也。作涎及清涕唾。唾多溺多而恶寒者是也。土火复之。及
三脉
见。
白术（臣） 苍术（佐） 川乌头（臣） 干姜（君） 肉桂（佐去皮少许） 茯苓（佐）
泽泻（使）
夫饮食入胃。阳气上行。津液与气入于心贯于肺。充实皮毛散于百脉。脾禀气于胃。而
浇灌
分补
阳气
主浮
风药
本脉
当于
二证
上喘
脉中兼
伏炽之
假如
加时
无毒
以气
之阳
寒者
温
一药之中理性具焉。主对治疗。由是而出。假令治表实麻黄、葛根。表虚桂枝、黄 。里实
枳实、大黄。里虚人参、芍药。热者黄芩、黄连。寒者干姜、附子之类为君。君药分两最多
臣药次之。使药又次之。不可令臣过于君。君臣有序。相与宣摄。则可以御邪除病矣。如
脉涩阴脉弦。法当腹中急痛。以芍药之酸。于土泻木为君。饴糖、炙甘草甘温。补脾养胃为
渴不止。寒水石、石膏各等分。少少与之。即钱氏方中甘露饮。主身大热而小便数。或上饮
下溲。此燥热也。气燥加白葵花。血燥加赤葵花。如脉弦只加风药。不可用五苓散。如小便
行病增者。此内燥津液不能停。当致津液。加炒黄柏、赤葵花。心下痞闷者。加黄连一黄芩
三。减诸甘药。不能食心下软而痞者。甘草泻心汤则愈。喘满者。加炙浓朴。小便不利者。
不可加之。为禁药也。胃虚弱而痞者。加甘草。喘而小便不利者。加苦葶苈。气短气弱而腹
微满者。不去人参去甘草加浓朴。然不若苦味泄之而不令大便行。如腹微满者。而气不转加
之。中满者。去甘草倍黄连加黄柏。更加三味五苓散少许。此病虽宜升宜汗。如汗多亡阳加
黄。四肢肌热烦热。与羌活、柴胡、升麻、葛根、甘草则愈。鼻流清涕恶风。或顶背脊膂
强痛。羌活、防风、甘草等分。黄 加倍。临卧服之。有大热脉洪大。加苦寒剂而热不退者
。加石膏。如脾胃中热。加炒黄连、甘草。凡治此病。脉数者当用黄柏。或少加黄连。以柴
胡、苍术、黄 、甘草更加升麻。得汗出则脉必下。乃火郁则发之也。如证退而脉数不退。
不洪大而疾有力者。多减苦药加石膏。如大便软或泄者。加桔梗。食后服之。此药误用则其
害非细。用者旋旋加之。如食少者不可用石膏。石膏善能去脉数疾。病退脉数不退者死不治
。如不大渴亦不可用。如脉弦而数者此阴气也。风药升阳以发火郁。则脉数峻退矣。风寒汗
出肩背痛。中风小便数而欠者。风热乘其肺。使肺气郁甚也。当泻风热。以通气防风汤主之
。小便遗失者肺气虚也。宜安卧养气禁劳役。以黄 、人参之类补之。不愈。当责其热加黄
柏、生地黄。肩背痛不可回顾。此手太阳气郁而不行。以风药散之。如脊痛项强。腰似折项
己半钱。轻则附子。重则川乌头少许。以为引用而行经也。如卧而多惊。小便淋溲者。邪在
少阳、厥阴。亦用太阳经药。更加柴胡半钱。如淋加泽泻半钱。此下焦三经风寒合病也。肾
肝之病同一治法。俱在下焦非风药行经不可也。如大便后有白脓。或只便白脓者因劳役气虚
伤大肠也。以黄 、人参汤补之。如里急频见者。血虚也。加当归。如肺胀膨膨而喘咳。胸
膈气满壅盛而上奔者。多加五味子。人参次之。麦门冬又次之。黄连少许。甚则交两手而瞀
者。真气大虚也。若气短加黄 、五味子、人参。气盛加五味子、人参、黄芩、荆芥穗。冬
月去荆芥穗加草豆蔻仁。如嗌痛颔肿。颈肩 肘臂外后廉痛。面赤脉洪大者。以羌活、防风
甘草、 本通其经血。加黄芩、黄连消其肿。以人参、黄 益其元气而泻其火邪。如脉紧者
寒也。或面黄善嚏。或面白色恶皆寒也。亦加羌活等四味。当泻足太阳。不用连、芩。少
附子以通其脉。面色白多悲恐者。更加桂附。如便白脓少有滑。频见污衣者。气脱加附子皮
。甚则加米谷。如气涩者。只以甘药补气。当安卧不动。以养其气。
夫脾胃虚弱必上焦之气不足。遇夏天气热甚损伤元气。怠惰嗜卧。四肢不收。精神不足。
两
虚
结秘
中闭塞。
即饱。全
为热所乘
或三分。
如头痛目
本二分。
九个。如
黄各半钱
用别药。
单血药
煎
并去
药太
分。
脾胃虚弱。遇六七月间。河涨霖雨。诸物皆润溽。汗沾衣。身重短气。甚则四肢痿软。
行步
使庚
津者
燥
服
更
火
甘
肠
曰中暑。其病必头痛恶寒。身形拘急。
使周身阳气不得伸越。意多以大顺散主
中热。其病必苦头痛发燥热恶热。扪之
外伤肺气。苍术白虎汤主之。洁古云
发散也。中热者阳证。为热伤元气。非
理失所。违时化。必困乏无力。懒语气
朦朦如烟雾中。不知身所有也。必有汗
重。支节时有烦疼。或一身尽痛。或渴
上热壅盛。口鼻气短气促。身心烦乱有
肝之为痿厥者。四肢如在火中为热厥。
热。为脾主四肢故也。若肌肉濡溃痹而
调之。气上冲胸。皆厥证也。痿者四
逆。故曰厥逆。其厥痹多相须也。于黄
泽泻四分。猪苓一分。白术一分。如
湿。如行步不正。脚膝痿弱两足欹侧
涌出气力矣。如汗大泄者津脱也。急
妨其食。当以意斟酌。若妨食则止。
者。于三里穴下三寸上廉穴出血。禁
元气竭尽而成软瘫。必腰下不能动。
热之令退时。或所增之病气退者。不
术之药。只根据本病中证候加减。常服
加辛温泻之。若湿气盛风证不退。
之中之下。得时一涩。其证四肢满闭。肢节烦疼。难以屈伸。身体沉重。烦心不安。忽肥忽
瘦。四肢懒倦。口失滋味。腹难舒伸。大小便清利而数。或上饮下便。或大便涩滞不行。一
二日一见。夏月飧泄。米谷不化。或便后见血见白脓。胸满短气膈咽不通。或痰嗽稠粘口中
沃沫。食入反出。耳鸣耳聋。目中流泪。视物昏花。 肉红丝。热壅头目。不得安卧。嗜卧
无力。不思饮食。调中益气汤主之。气虚身热得之伤暑。热伤气故也。有所远行劳倦。逢大
热而渴。渴则阳气内伐。内伐则热舍于肾。肾者水藏也。今水不胜火。则骨枯髓虚。足不任
身。发为骨痿者。生于大热也。此温热成痿。令人骨乏无力。故治痿独取于阳明。时当长夏。
湿热大胜。蒸蒸而炽。人感之多
气高而喘。身热而烦心膨闭。小便黄而数。大便溏而频。或痢出黄如糜。或如泔色。或渴或
不渴。不思饮食。自汗体重或
必加之以迟。迟缓虽互换少差。其天暑湿令则一也。宜以清燥之剂治之。阳气者卫外而为固
也。是则气泄令暑邪干卫。故身热自汗。以黄 甘温补之为君。人参、橘皮、当归、甘草、
甘微温补中益气为臣。苍术、白术、泽泻渗利而除湿。升麻、葛根、甘苦平善解肌热。又以
风胜湿也。湿胜则食不消而作痞满。故炒曲甘辛青皮辛温消食快气。肾恶燥急食辛以润之。
故以黄柏苦辛寒借甘味泻热补水。虚者滋其化源。以人参、五味子、麦门冬、酸甘微寒。救
天暑之伤于庚金为佐。名曰清暑益气汤。此病皆由饮食劳倦损其脾胃。乘天暑而病作也。但
药中犯泽泻、猪苓、茯苓、灯草、通草、木通、淡渗利小便之类。皆从时令之旺气以泻脾胃
（附论）
人的各种疾病，大多是由于喜怒情绪没有节制、饮食不适宜、寒暖不适、以及过度劳累所损伤，导致中气亏损，从而五脏六腑受到邪气侵袭。
筋脉受伤，内伤火逆，营气受损，这是有……（原文此处文字错乱，难以连贯翻译，略过混乱部分）……头顶明亮覆盖……其余饮食……也……伤寒利上……气少……内伤骨消……床倚心气……消水……心火胃俱……胃不……则收发人之脾之法四肢发热。或者大便泄泻，或者皮毛枯槁、头发脱落。从黄（芪）建中汤治疗。如果脉象虚而血弱，在四物汤中选取一味或两味药，加入到本证明显的药物中。如果是真气虚弱，以及气短脉弱，从四君子汤治疗；或者小便量少、涩滞、颜色赤黄多少不等，从五苓散中去掉桂枝，选取一两味药加入正药中。以上五种方药，应当根据本证中伴随的症状进行加减。假如表虚自汗，春夏季节加黄芪，秋冬季节加桂枝。如果腹中拘急收缩，或者脉弦，加防风；如果拘急严重，加甘草。如果腹中狭窄紧迫，或者气短的，也加上。如果腹部胀满、气机不运转的，不要加。虽然可以多用，但在五分甘草中加入一分……肺气短促或不足的，加人参白（术）。腹中狭窄紧迫及收缩急迫的，去掉它。即诸酸……曲直作酸，酸者属甲木。甲……加桂枝。怠惰嗜卧且有湿气的，胃虚口渴也加上。气弱的加白茯苓、人参；气盛的加赤茯苓、缩砂仁。如果腹气不能转运，有热的，微加黄连。心烦乱的也加上。小……自行也。不渴而小便闭塞不通的，加炒黄柏、知母。小便涩的加炒滑石。小便淋沥的加泽泻。而且五苓散治疗渴而小便不……黄柏、知母以清除肾中的燥热。其心脏热的，用钱氏方中……皮三。气短小便利的，四……腹中刺痛或周身刺痛的，则里急。或者血气虚弱而目……若只是头痛的，加细辛。这是少阴头痛。头发脱落及脐下痛的，加熟干地黄。调理脾胃……在这五种药中加减。如果五脏证候中互相显现一两个症状，各对证加药，无不灵验。然而终究不能使人完全康复，而再次复发的，也是由于督脉、任脉、冲脉为邪气所侵，都是胃气虚弱所致。治疗方法虽然根据证候加减，但执守方剂是根据《素问》的法度罢了。因此检讨《难经》、《素问》及《黄帝针经》中说，脾胃不足的根源，乃是阳气不足，阴气……应当从六气不足、浮沉升降法，随证用药治疗。大概脾胃不足，不同于其他脏腑，没有固定的形体缘故。肺肾有余不足，或者补或者泻，只有益脾胃的药最为切要。经文说：至而不至，称为不及。所胜者受病，所不胜者乘之。至而不至，谓从后来者称为虚邪。心与小肠来乘脾胃……中见浮大而弦，其病或者烦躁闷乱，或者四肢发热，或者口干舌干咽干。大概心主火，小肠……乘土位，乃湿热相合，所以烦躁闷乱。四肢属于脾胃，火乘之所以四肢发热。饮食劳役所伤，以致脾胃虚弱，乃血所生病，主口中津液不行，所以口干咽干。病患自以为……治以五苓散，谓止渴燥反而加重渴燥，乃重竭津液，以至危亡。经文云：虚则补其母。小肠中以补脾胃之根蒂。甘温的药作为主药，以苦寒的药作为使药，以酸味的药作为臣药。心主缓，急食酸以收敛之。心火旺则肺金受邪，金虚则以酸补。次以甘温及甘寒之……中泻心火之亢盛，是治其本。所胜妄行者，言心火旺，能令母实者肝木也。肝……之势无所畏惧而妄行也。所以脾胃先受之。或者身体沉重走注疼痛，大概湿热相搏而风……伸。附着于有形也。或多怒，如果风热不陷于地中，或者眼病而生内障的，脾裹血，主脉，脉是血的府库。或者说心主血，又说肝主血，肝之窍开于目。或者妄闻起妄……人，四肢满闭转筋，都是肝木火盛而为邪。或者生痿，或者生瘅，或者生厥，或者中风，或者作肾痿，或者为上热下寒，为邪不一，都是风热不得上升，而木火遏于有形中……者，言肺受土火木之邪，而清肃之气伤。或者胸满少气短气的，肺主诸气，五脏……而阳道不行也。或者咳嗽寒热的，湿热乘其内也。所不胜乘之者，水乘木之妄行而……故肾入心为汗，入肝为泣，入肺为涎，入脾为痰为嗽为涕为嚏，为水出鼻。一说下元土盛……水，致督任冲三脉盛，火旺煎熬令水沸腾而乘脾肺。外肾冷，为足不任身，为脚下隐痛，或者水附木势而上为……而病于外。夫脾胃不足，皆为血病，是阳气不足，阴……血中，阴血中受火邪则阴盛，阴盛则上乘阳分，而阳道……窍者也。阴气附形质者也。如阴气附于土，阳气升于天……温药者非独用也，复有甘苦大寒之剂亦非独用，以火酒……入于肾肝之下，此所谓升降浮沉之道，自偶而奇、奇而……以诸风药，升发阳气以滋肝胆之用，是令阳气生上出于……大发散于阳分也，而令走九窍。经文云：食入于胃散精于……淫精于脉，脉气流经，经气归于肺，肺朝百脉，输精于……胃先行阳道，而阳气升浮也。浮者，阳气散满皮毛，升……不节损其胃气，不能克化散于肝、归于心、溢于肺，食……暂得舒，是以知升发之气不行者此也。饮入于胃，游溢精气，上输于脾，脾气散精，上归于肺。病患饮入胃，遽觉至脐下，便欲小……咽干，是阴气太盛，其理甚易知也。况……无是则非也。脾胃不足，是火不能生……
白术（君药） 人参（臣药） 甘草（佐药） 芍药（佐药） 黄连（使药） 黄（芪）（臣药） 桑白皮（佐药）
诸风药皆是风能胜湿。诸甘温药也可。心火亢盛乘于脾胃之位，亦至而不至，是为不及。
芍药（佐药） 石膏（佐药） 黄连（君药） 知母（佐药） 黄柏（臣药） 甘草（使药） 生地黄（臣药） 黄芩（佐药）
中急痛
羌活（佐药） 防风（臣药） 升麻（使药） 柴胡（君药） 独活（佐药） 芍药（臣药） 甘草（臣药） 白术（佐药）
肺金受邪，由脾胃虚弱不能生肺，乃所至受病。所以咳嗽气短气上，皮毛不能御寒，精神少……
人参（君药） 白术（佐药） 白芍药（佐药） 橘皮（臣药） 青皮（用以破滞气） 黄（芪）（臣药） 桂枝（佐药） 桔梗
以上三味
肾水反来侮土，所胜者妄行。作涎及清涕唾，唾多溺多而恶寒者是。土火复之，及三脉见。
白术（臣药） 苍术（佐药） 川乌头（臣药） 干姜（君药） 肉桂（佐药，去皮少许） 茯苓（佐药） 泽泻（使药）
夫饮食入胃，阳气上行，津液与气入于心贯于肺，充实皮毛散于百脉。脾禀气于胃，而浇灌……分补阳气，主浮，风药，本脉，当于二证，上喘，脉中兼伏炽之，假如加时，无毒，以气之阳，寒者温……
一药之中理性具焉，主对治疗，由是而出。假令治表实用麻黄、葛根，表虚用桂枝、黄（芪）。里实用枳实、大黄，里虚用人参、芍药。热者用黄芩、黄连，寒者用干姜、附子之类为君药。君药分量最多，臣药次之，使药又次之。不可令臣药超过君药。君臣有序，相互宣摄，就可以御邪除病。如果脉涩阴脉弦，法当腹中急痛，以芍药之酸，于土泻木为君。饴糖、炙甘草甘温，补脾养胃为……渴不止，寒水石、石膏各等分，少少与之，即钱氏方中甘露饮，主身大热而小便数，或者上饮下溲，这是燥热。气燥加白葵花，血燥加赤葵花。如果脉弦只加风药，不可用五苓散。如果小便行病增者，这是内燥津液不能停，当致津液，加炒黄柏、赤葵花。心下痞闷的，加黄连一、黄芩三，减诸甘药。不能食心下软而痞的，甘草泻心汤则愈。喘满的，加炙浓朴。小便不利的，不可加之，为禁药。胃虚弱而痞的，加甘草。喘而小便不利的，加苦葶苈。气短气弱而腹微满的，不去人参去甘草加浓朴。然而不如苦味泄之而不令大便行。如果腹微满的，而气不转加之。中满的，去甘草倍黄连加黄柏。更加三味五苓散少许。此病虽宜升宜汗，如果汗多亡阳加黄（芪）。四肢肌热烦热，与羌活、柴胡、升麻、葛根、甘草则愈。鼻流清涕恶风，或者顶背脊膂强痛，羌活、防风、甘草等分，黄（芪）加倍，临卧服之。有大热脉洪大，加苦寒剂而热不退的，加石膏。如果脾胃中热，加炒黄连、甘草。凡治此病，脉数的当用黄柏，或少加黄连，以柴胡、苍术、黄（芪）、甘草更加升麻，得汗出则脉必下，乃火郁则发之。如果证退而脉数不退，不洪大而疾有力的，多减苦药加石膏。如果大便软或泄的，加桔梗，食后服之。此药误用则其害非细，用者旋旋加之。如果食少的不可用石膏。石膏善能去脉数疾，病退脉数不退的死不治。如果不大的渴也不可用。如果脉弦而数的，这是阴气。风药升阳以发火郁，则脉数峻退。风寒汗出肩背痛，中风小便数而欠的，风热乘其肺，使肺气郁甚。当泻风热，以通气防风汤主之。小便遗失的，肺气虚，宜安卧养气禁劳役，以黄（芪）、人参之类补之。不愈，当责其热加黄柏、生地黄。肩背痛不可回顾，这是手太阳气郁而不行，以风药散之。如果脊痛项强，腰似折项……己半钱，轻则附子，重则川乌头少许，以为引用而行经。如果卧而多惊，小便淋溲的，邪在少阳、厥阴，亦用太阳经药，更加柴胡半钱。如果淋加泽泻半钱，这是下焦三经风寒合病。肝肾之病同一治法，俱在下焦，非风药行经不可。如果大便后有白脓，或者只便白脓的，因劳役气虚伤大肠，以黄（芪）、人参汤补之。如果里急频见的，血虚，加当归。如果肺胀膨膨而喘咳，胸膈气满壅盛而上奔的，多加五味子，人参次之，麦门冬又次之，黄连少许，甚则交两手而瞀的，真气大虚。如果气短加黄（芪）、五味子、人参，气盛加五味子、人参、黄芩、荆芥穗。冬月去荆芥穗加草豆蔻仁。如果嗌痛颔肿，颈肩肘臂外后廉痛，面赤脉洪大的，以羌活、防风、甘草、本通其经血，加黄芩、黄连消其肿，以人参、黄（芪）益其元气而泻其火邪。如果脉紧的是寒，或者面黄善嚏，或者面白色恶皆寒，也加羌活等四味。当泻足太阳，不用连、芩，少附子以通其脉。面色白多悲恐的，更加桂附。如果便白脓少有滑，频见污衣的，气脱加附子皮，甚则加米谷。如果气涩的，只以甘药补气，当安卧不动，以养其气。
夫脾胃虚弱必上焦之气不足，遇夏天气热甚损伤元气，怠惰嗜卧，四肢不收，精神不足……两虚结秘中闭塞，即饱，全为热所乘，或者三分。如果头痛目……本二分，九个。如黄各半钱，用别药，单血药煎，并去药太分。
脾胃虚弱，遇六七月间，河涨霖雨，诸物皆润溽，汗沾衣，身重短气，甚则四肢痿软，行步……使庚津者燥，服更火甘肠曰中暑。其病必头痛恶寒，身形拘急，使周身阳气不得伸越，意多以大顺散主之。中热，其病必苦头痛发燥热恶热，扪之……外伤肺气，苍术白虎汤主之。洁古云发散也。中热者阳证，为热伤元气，非理失所，违时化，必困乏无力，懒语气朦朦如烟雾中，不知身所有。必有汗重，支节时有烦疼，或者一身尽痛，或者渴……上热壅盛，口鼻气短气促，身心烦乱有……肝之为痿厥者，四肢如在火中为热厥，热，为脾主四肢故。若肌肉濡溃痹而调之，气上冲胸，皆厥证。痿者四逆，故曰厥逆，其厥痹多相须。于黄泽泻四分，猪苓一分，白术一分，如湿，如行步不正，脚膝痿弱两足欹侧涌出气力。如果汗大泄者津脱，急妨其食，当以意斟酌，若妨食则止。者，于三里穴下三寸上廉穴出血，禁元气竭尽而成软瘫，必腰下不能动。热之令退时，或者所增之病气退者，不术之药，只根据本病中证候加减，常服加辛温泻之。如果湿气盛风证不退，之中之下，得时一涩，其证四肢满闭，肢节烦疼，难以屈伸，身体沉重，烦心不安，忽肥忽瘦，四肢懒倦，口失滋味，腹难舒伸，大小便清利而数，或者上饮下便，或者大便涩滞不行，一二日一见，夏月飧泄，米谷不化，或者便后见血见白脓，胸满短气膈咽不通，或者痰嗽稠粘口中沃沫，食入反出，耳鸣耳聋，目中流泪，视物昏花，肉红丝，热壅头目，不得安卧，嗜卧无力，不思饮食，调中益气汤主之。气虚身热得之伤暑，热伤气故。有所远行劳倦，逢大热而渴，渴则阳气内伐，内伐则热舍于肾，肾者水藏，今水不胜火，则骨枯髓虚，足不任身，发为骨痿，生于大热。此温热成痿，令人骨乏无力，故治痿独取于阳明。时当长夏，湿热大胜，蒸蒸而炽，人感之多气高而喘，身热而烦心膨闭，小便黄而数，大便溏而频，或者痢出黄如糜，或者如泔色，或者渴或不渴，不思饮食，自汗体重或者……必加之以迟，迟缓虽互换少差，其天暑湿令则一。宜以清燥之剂治之。阳气者卫外而为固，是则气泄令暑邪干卫，故身热自汗，以黄（芪）甘温补之为君，人参、橘皮、当归、甘草、甘微温补中益气为臣，苍术、白术、泽泻渗利而除湿，升麻、葛根、甘苦平善解肌热，又以风胜湿。湿胜则食不消而作痞满，故炒曲甘辛青皮辛温消食快气，肾恶燥急食辛以润之，故以黄柏苦辛寒借甘味泻热补水，虚者滋其化源，以人参、五味子、麦门冬、酸甘微寒，救天暑之伤于庚金为佐，名曰清暑益气汤。此病皆由饮食劳倦损其脾胃，乘天暑而病作。但药中犯泽泻、猪苓、茯苓、灯草、通草、木通、淡渗利小便之类，皆从时令之旺气以泻脾胃
(Attached Discussion)
The myriad diseases of humans all arise from unregulated emotions of joy and anger, inappropriate diet, discomfort with cold and warmth, and injury caused by overwork. These lead to a deficiency of Middle Qi (Middle Jiao Qi), causing the Five Zang and Six Fu organs to be affected.
[Note: The original text contains significant corruption and disjointed phrases here, making a coherent translation difficult. The following is a best-effort interpretation based on available context.]
...Heat flaring upward, Ying Qi (Nutritive Qi) damage... Head top brightness covering... Remaining food and drink... Cold damage diarrhea... Shortness of breath... Internal injury bone consumption... Bedridden heart Qi... Consuming water... Heart fire Stomach together... Stomach not... Then receiving emitting... Human Spleen method... Four limbs fever. Or loose stools in the large intestine, or dry and withered skin and hair loss. Treat with Huangqi Jianzhong Tang (Astragalus Decoction for Replenishing the Middle). If the pulse is deficient and blood is weak, select one or two herbs from Siwu Tang (Four Substances Decoction) and add them to the primary herbs for the obvious symptoms. If True Qi is weak, and there is shortness of breath and a weak pulse, treat with Sijunzi Tang (Four Gentlemen Decoction). Or if urine is scanty, astringent, and red/yellow, remove Gui Zhi (Cinnamon Twig) from Wuling San (Five-Ingredient Powder with Poria) and add one or two herbs to the main prescription. The above five medicines should be modified according to accompanying symptoms within the primary syndrome. For example, if there is spontaneous sweating due to exterior deficiency, add Huangqi (Astragalus Root) in spring and summer, and Guizhi (Cinnamon Twig) in autumn and winter. If there is abdominal cramping or a wiry pulse, add Fangfeng (Saposhnikovia Root); if severe, add Gancao (Licorice Root). If the abdomen feels narrow and tight, or there is shortness of breath, add these as well. Do not add if there is abdominal fullness and stagnant Qi. Although they can be used frequently, add one part to five parts of Gancao... If Lung Qi is short or insufficient, add Renshen (Ginseng Root) and Baizhu (Atractylodes Rhizome). Remove if there is abdominal tightness and cramping. Sour flavors... Curving and straightening produce sourness; sour belongs to Wood (Jia). Add Guizhi. Lethargy and desire to lie down indicate dampness; if Stomach deficiency causes thirst, add it. If Qi is weak, add Baifuling (White Poria) and Renshen; if Qi is excess, add Chifuling (Red Poria) and Suasharen (Amomum Fruit). If abdominal Qi cannot transport and there is heat, slightly add Huanglian (Coptis Rhizome). Add if there is mental restlessness. ...Self-flowing. If not thirsty but urine is blocked and unpassable, add fried Huangbai (Phellodendron Bark) and Zhimu (Anemarrhena Rhizome). If urine is astringent, add fried Huashi (Talc). If urine is dribbling, add Zexie (Alisma Rhizome). Moreover, Wuling San treats thirst with urination not... Huangbai and Zhimu clear dryness-heat in the Kidney. For Heart heat, use Qian's formula... Pi (Bark) three. For shortness of breath with frequent urination, Si... Abdominal stabbing pain or whole-body stabbing pain indicates interior urgency. Or blood and Qi deficiency affecting the eyes... If only headache, add Xixin (Asarum Root). This is Shaoyin (Lesser Yang) headache. For hair loss and pain below the umbilicus, add Shudihuang (Prepared Rehmannia Root). Regulate the Spleen and Stomach... Modify among these five medicines. If one or two symptoms appear mutually among the Five Zang syndromes, adding herbs against each symptom will be effective. However, it ultimately cannot restore complete health. Recurrence is also due to pathogenic factors in the Du, Ren, and Chong meridians, all caused by Stomach Qi weakness. Although treatment follows symptom modification, adhering to formulas relies on the principles of the Suwen (Basic Questions). Therefore, reviewing the Nanjing (Classic of Difficult Issues), Suwen, and Huangdi Zhenjing (Yellow Emperor's Classic of Acupuncture) states that the root of Spleen and Stomach deficiency is Yang Qi insufficiency and Yin... Should follow the insufficiency of the Six Qi and methods of floating/sinking and ascending/descending, treating according to symptoms. Generally, Spleen and Stomach deficiency differs from other Zang organs because it has no fixed form. Lung and Kidney excess or deficiency may be tonified or purged, but herbs benefiting the Spleen and Stomach are most crucial. The classics state: "Arriving but not arriving" is termed insufficiency. The conquered element suffers disease; the conquering element attacks. "Arriving but not arriving" refers to virtual evil coming from behind. Heart and Small Intestine attacking the Spleen and Stomach... Pulse appears floating, large, and wiry. Symptoms include irritability, confusion, four-limb fever, dry mouth/tongue/throat. Heart governs Fire; Small Intestine... attacking the Earth position combines dampness and heat, causing irritability. Four limbs belong to Spleen and Stomach; Fire attacking causes limb fever. Diet and overwork injure Spleen and Stomach, leading to weakness, which is a blood-related disease governing saliva flow. Hence dry mouth/throat. Patients might mistakenly treat with Wuling San, thinking it stops thirst/dryness, but it worsens them, depleting fluids further, leading to danger. The classics say: "Deficiency tonifies its mother." Small Intestine tonifies the root of Spleen and Stomach. Sweet-warm herbs are the Sovereign (Chief), bitter-cold herbs are the Envoy (Guide), sour herbs are the Minister (Deputy). Heart governs relaxation; urgently eat sour to astringe. Excess Heart Fire harms Lung Metal; if Metal is deficient, tonify with sour. Next, use sweet-warm and sweet-cold herbs to drain excessive Heart Fire, treating the root. "Conquered element acting wildly" means excess Heart Fire makes the Mother (Liver Wood) excess. Liver... acting without fear. Thus Spleen and Stomach suffer first. Symptoms include heavy body, wandering pain, likely damp-heat clashing with Wind... extending. Attaching to form. Often angry. If wind-heat does not sink into the earth, eye diseases or internal cataracts occur. Spleen envelops Blood, governs vessels; vessels are the mansion of Blood. Some say Heart governs Blood, others say Liver governs Blood; Liver opens into the eyes. Hallucinations, four-limb fullness/closure, tendon spasms are all Liver Wood/Fire excess becoming pathogenic. May develop Wei syndrome (flaccidity), Dan syndrome (feverishness), Jue syndrome (cold extremities), stroke, Kidney Wei syndrome, upper heat/lower cold. Pathogens vary, all due to wind-heat failing to ascend, trapped by Wood/Fire in form... Lung suffering Earth/Fire/Wood pathogens damages clear/descending Qi. Chest fullness, shortness of breath: Lung governs all Qi, Five Zang... Yang pathways fail. Cough with chills/fever: damp-heat invading internally. "Unconquered element attacking" means Water attacking wild Wood... Kidney entering Heart becomes sweat, entering Liver becomes tears, entering Lung becomes saliva/phlegm, entering Spleen becomes phlegm/cough/runny nose/sneezing/water from nose. Another view: Lower Yuan Earth excess... Water, causing Du, Ren, Chong meridians to be full. Fire boiling water attacks Spleen/Lung. External genitals cold, legs unable to support body, hidden pain in soles, or Water following Wood rising... Disease externally. Spleen/Stomach deficiency leads to blood disease, Yang insufficiency, Yin... In blood, Yin blood受热 (heat pathogen) becomes Yin excess; Yin excess attacks Yang division, blocking Yang pathways... Orifices. Yin Qi attaches to form/substance. Like Yin attaching to Earth, Yang rises to Heaven... Warm herbs are not used alone; bitter/great-cold agents are also not used alone. With wine entering lower Kidney/Liver, this is the way of ascending/descending/floating/sinking, from even to odd, odd to... Use wind herbs to raise Yang Qi to nourish Liver/Gallbladder function, allowing Yang to rise and emerge... Greatly dispersing in Yang division, moving through nine orifices. Classics: Food enters Stomach, scatters essence into... Essence flows into vessels, vessel Qi flows through meridians, Meridian Qi returns to Lung, Lung faces hundred vessels, transmits essence to... Stomach first moves Yang pathway, Yang Qi floats/rises. Floating means Yang Qi fills skin/hair, rising... Unregulated damaging Stomach Qi, unable to transform/scatter to Liver, return to Heart, overflow to Lung. Food... temporarily relieved, thus knowing ascending Qi fails. Drink enters Stomach, overflows essence, transports up to Spleen, Spleen scatters essence, returns up to Lung. Patient drinks, feels it reach below navel, desires small... Throat dry, Yin Qi too excess, logic easy to know. Otherwise incorrect. Spleen/Stomach deficiency is Fire unable to generate...
Baizhu (Sovereign) Renshen (Minister) Gancao (Assistant) Shaoyao (Assistant) Huanglian (Envoy) Huangqi (Minister) Sangbaipi (Assistant)
All wind herbs win dampness with wind. All sweet-warm herbs work. Heart Fire excess attacking Spleen/Stomach position is also "arriving but not arriving," termed insufficiency.
Shaoyao (Assistant) Shigao (Assistant) Huanglian (Sovereign) Zhimu (Assistant) Huangbai (Minister) Gancao (Envoy) Shengdihuang (Minister) Huangqin (Assistant)
Abdominal urgent pain
Qianghuo (Assistant) Fangfeng (Minister) Shengma (Envoy) Chaihu (Sovereign) Duhuo (Assistant) Shaoyao (Minister) Gancao (Minister) Baizhu (Assistant)
Xixin Manjingzi
Lung Metal suffers pathogen because Spleen/Stomach weakness fails to generate Lung, suffering disease from arrival. Hence cough, shortness of breath, rising Qi, skin/hair unable to resist cold, spirit/Qi scarce...
Renshen (Sovereign) Baizhu (Assistant) Baishaoyao (Assistant) Juapi (Minister) Qingpi (to break stagnant Qi) Huangqi (Minister) Guizhi (Assistant) Jiegeng
Above three flavors
Kidney Water counter-attacks Earth, conquered element acts wildly. Produces saliva/clear nasal discharge/sputum, excessive sputum/urination with aversion to cold. Earth/Fire retaliates, and Three Meridians appear.
Baizhu (Minister) Cangzhu (Assistant) Chuanwutou (Minister) Ganjiang (Sovereign) Rougui (Assistant, peel off a little) Fuling (Assistant) Zexie (Envoy)
When food enters Stomach, Yang Qi moves up, fluids and Qi enter Heart, penetrate Lung, fill skin/hair, scatter to hundred vessels. Spleen receives Qi from Stomach, irrigating... Dividing tonifying Yang Qi, governing floating, wind herbs, root pulse, should address two syndromes, upper wheezing, pulse combined with...伏炽 (hidden blazing), suppose adding time, non-toxic, using Qi's Yang, cold warms...
One herb contains all rational properties,主治 (main treatment), emerging from this. Suppose treating exterior excess with Mahuang (Ephedra Herb), Gegen (Kudzu Root); exterior deficiency with Guizhi, Huangqi. Interior excess with Zhishi (Immature Bitter Orange), Dahuang (Rhubarb Root); interior deficiency with Renshen, Shaoyao. Heat with Huangqin, Huanglian; Cold with Ganjiang, Fuzi (Aconite Root) as Sovereign. Sovereign herb dosage is largest, Minister next, Envoy least. Minister must not exceed Sovereign. Sovereign and Minister orderly, mutually regulating, can repel pathogen and cure disease. If pulse is choppy and Yin pulse wiry, law dictates abdominal cramping. Use Shaoyao's sourness to drain Wood from Earth as Sovereign. Yitang (Maltose), roasted Gancao sweet-warm, tonify Spleen/Stomach as... Thirst unceasing, Hanshuishi (Calcium Carbonate), Shigao equal parts, give sparingly, i.e., Qian's Formula Ganlu Yin (Sweet Dew Drink), governing great body heat and frequent urination, or drinking above/urinating below, this is dryness-heat. Qi dryness add Bai Kuihua (White Chrysanthemum Flower), Blood dryness add Chi Kuihua (Red Chrysanthemum Flower). If wiry pulse only add wind herbs, do not use Wuling San. If urination increases pathology, this is internal dryness/fluids failing to stay, must generate fluids, add fried Huangbai, Chi Kuihua. Epigastric stuffiness add Huanglian 1, Huangqin 3, reduce sweet herbs. Unable to eat, epigastric soft/stuffy, Gancao Xiexin Tang heals. Wheezing/fullness add roasted Houpo (Magnolia Bark). Urinary difficulty, do not add, forbidden herb. Stomach weak/stuffy add Gancao. Wheezing with urinary difficulty add Ku Tingli (Periploca Seed). Shortness of breath/weakness with slight abdominal fullness, do not remove Renshen, remove Gancao add Houpo. Better than bitter taste draining without moving stool. If slight abdominal fullness and Qi not turning, add it. Full middle, remove Gancao double Huanglian add Huangbai. Add small amount of Sanwei Wuling San. Though this disease suits raising/sweating, if sweating excessively loses Yang add Huangqi. Four-limb muscle heat/restlessness, with Qianghuo, Chaihu, Shengma, Gegen, Gancao heals. Runny clear nose/aversion to wind, or vertex/back/spine stiffness/pain, Qianghuo, Fangfeng, Gancao equal parts, Huangqi double, take before sleep. Great heat, large forceful pulse, add bitter-cold agent but heat remains, add Shigao. If heat in Spleen/Stomach, add fried Huanglian, Gancao. Treating this disease, rapid pulse use Huangbai, or slightly add Huanglian, with Chaihu, Cangzhu, Huangqi, Gancao plus Shengma, obtain sweating then pulse must drop, this is "Fire depression release it." If symptoms recede but pulse remains rapid, not large/fast/forceful, greatly reduce bitter herbs add Shigao. If stool soft/loose, add Jiegeng, take after meal. Misuse of this drug causes great harm, add gradually. If eating little, do not use Shigao. Shigao removes rapid pulse disease; if symptoms recede but pulse remains rapid, death untreatable. If not greatly thirsty, also do not use. If wiry/rapid pulse, this is Yin Qi. Wind herbs raise Yang to release Fire depression, then rapid pulse drops sharply. Wind-Cold sweating shoulder/back pain, Stroke frequent urination/yawning, Wind-Heat attacking Lung, causing Lung Qi depression. Must purge Wind-Heat, use Tongqi Fangfeng Tang as main. Urinary incontinence is Lung Qi deficiency, suitable rest/nourish Qi/prohibit overwork, tonify with Huangqi, Renshen etc. Not healed, blame heat add Huangbai, Shengdihuang. Shoulder/back pain unable to look back, Hand Taiyang Qi depressed/not moving, disperse with wind herbs. If spine pain/neck stiffness, waist like breaking neck... Ji half qian, mild Fuzi, heavy Chuanwutou slightly, as guide to move meridians. If lying down with many terrors, dribbling urine, pathogen in Shaoyang/Jueyin, also use Taiyang meridian herbs, add Chaihu half qian. If dribbling add Zexie half qian, this is Lower Jiao three meridians Wind-Cold combined disease. Liver/Kidney diseases same treatment, both in Lower Jiao, must use wind herbs to move meridians. If white pus after stool, or only white pus, due to overwork/Qi deficiency injuring Large Intestine, tonify with Huangqi, Renshen Tang. If tenesmus frequent, Blood deficiency, add Danggui (Angelica Sinensis). If Lung distension bloating/wheezing/cough, chest/diaphragm Qi full/blocking/rushing up, add much Wuweizi (Schisandra Berry), Renshen next, Maidong (Ophiopogon Tuber) next, slight Huanglian, severely crossing hands and blurred vision, True Qi greatly deficient. If shortness of breath add Huangqi, Wuweizi, Renshen; Qi excess add Wuweizi, Renshen, Huangqin, Jingjiesui (Perilla Leaf tip). Winter remove Jingjiesui add Caodoukou (Black Cardamom Seed). If throat pain/jaw swelling, neck/shoulder/elbow/arm outer rear edge pain, red face/large forceful pulse, use Qianghuo, Fangfeng, Gancao, Bencao (Ligusticum Chuanxiong) to open meridian blood, add Huangqin, Huanglian to reduce swelling, use Renshen, Huangqi to benefit Yuan Qi and purge Fire pathogen. If tight pulse is Cold, or yellow face sneezing often, or white face aversion to cold, also add Qianghuo etc. four flavors. Must purge Foot Taiyang, do not use Lian/Qin, slight Fuzi to open pulse. White face much sadness/fear, add Gui/Fu. If white pus slippery, frequent soiling clothes, Qi collapse add Fuzipi (Aconite Peel), severely add rice/grain. If Qi astringent, only use sweet herbs to tonify Qi, rest still to nourish Qi.
If Spleen/Stomach weak, Upper Jiao Qi must be insufficient. Meeting summer hot weather damages Yuan Qi, lethargy/desire to lie down, four limbs not gathering, spirit insufficient... Two deficiencies, constipation blockage, immediately full, entirely attacked by heat, or three parts. If headache eyes... Original two parts, nine. Such as Huang half qian, use other drugs, single blood drug decoction, remove drug too points.
Spleen/Stomach weakness, meeting June/July, river flood rain, all things moist/humid, sweat soaking clothes, heavy body/shortness of breath, severely four limbs flaccid, walking... Make Geng Jin dry, take more fire Gan Chang said Zhongshu (Summerstroke). Disease must headache/aversion to cold, body shape stiff, make whole body Yang Qi unable to extend/transcend, intention mostly Dashun San main. Zhongre (Mid-Heat), disease must bitter headache/dry heat/aversion to heat, touch... Exterior injury Lung Qi, Cangzhu Baihu Tang main. Jiegu says disperse. Zhongre is Yang syndrome, Heat damages Yuan Qi, not reason lost, violate season transformation, must fatigue/powerless, lazy speech foggy like smoke, not know body possession. Must have sweat heavy, joint times annoying pain, or whole body pain, or thirsty... Upper heat blockage, mouth/nose shortness of breath/rush, body/mind annoyed/confused have... Liver as Wei Jue syndrome, four limbs like in fire is Re Jue (Heat Jue), heat, because Spleen governs four limbs. If muscle rot/ulcer bi regulate, Qi rush chest, all Jue syndrome. Wei syndrome four reverse, therefore called Jue Ni (Reversal Cold), its Jue Bi mostly mutual. In Huang Zexie four fen, Zhuling one fen, Baizhu one fen, such as wet, if walking not correct, foot/knee flaccid two feet slanting surge out strength. If sweat large leakage fluid escape, urgent hinder food, should use mind consider, if hinder food then stop. Person, at Sanli point below three cun Shanglian point bleed, prohibit Yuan Qi exhaust become soft paralysis, must waist below not move. Heat command retreat time, or increased disease Qi retreat, not Zhu drug, only according to original disease syndrome modify, constant take add辛温 (acrid-warm) purge it. If dampness excess wind syndrome not retreat, inside below, get time one choppy, its syndrome four limbs full closure, joint annoying pain, difficult flex/extend, body heavy, annoyed heart uneasy, suddenly fat suddenly thin, four limbs lazy tired, mouth lose flavor, abdomen difficult stretch, large/small urine clear benefit and frequent, or drink above stool below, or stool choppy not move, one two days see once, Summer month Sunxie (Morning sickness/Digestion disorder), grain not digest, or stool after see blood see white pus, chest full shortness of breath diaphragm throat not pass, or phlegm cough thick sticky mouth foam, food enter reverse out, ear ring deaf, eyes tear, vision dim, meat red silk, heat block head/eyes, not able sleep, desire lie down powerless, not think eat, Tiaozhong Yiqi Tang main. Qi deficiency body heat get of Shangshu (Summer Heat), Heat damages Qi thus. Have long walk fatigue, meet big heat and thirst, thirst then Yang Qi internal attack, internal attack then heat lodge in Kidney, Kidney is Water store, now Water not defeat Fire, then bone wither marrow empty, feet not bear body, emit Wei Bone syndrome, born from big heat. This warm-heat become Wei, make people bone lack power, therefore treat Wei alone take Yangming. Time when Longxia (Late Summer), damp-heat great victory, steaming blazing, people feel mostly Qi high and wheeze, body heat and annoyed heart膨闭 (distended closed), urine yellow and frequent, stool loose and frequent, or dysentery out yellow like millet paste, or like rice water color, or thirsty or not thirsty, not think eat, self-sweat body weight or... Must add slow, slow although exchange little difference, its heaven heat damp command same. Suitable use Qingzao (Clear Dryness) agent treat. Yang Qi guards outside and solidifies, is then Qi leak let Summer Evil invade Guard, therefore body heat self-sweat, use Huangqi sweet-warm tonify as Sovereign, Renshen, Juapi, Danggui, Gancao, sweet-mild-warm tonify middle benefit Qi as Minister, Cangzhu, Baizhu, Zexie seep-benefit and remove damp, Shengma, Gegen, sweet-bitter flat good resolve muscle heat, again use wind win damp. Damp excess then food not digest become痞满 (stuffiness/fullness), therefore fried Qu (Medicated Leaven) sweet-acrid Qingpi acrid-warm digest food fast Qi, Kidney hates dryness urgently eat acrid to moisten, therefore use Huangbai bitter-acrid-cold borrow sweet taste purge heat replenish water, deficient tonify its source of transformation, use Renshen, Wuweizi, Maidong, sour-sweet-mild-cold, save heaven heat injury on Geng Metal as Assistant, named Qingxu Yiqi Tang (Clear Summer Heat Benefit Qi Decoction). This disease all by diet overwork damage Spleen/Stomach, ride heaven heat and disease act. But drug offend Zexie, Zhuling, Fuling, Dengcao (Juncus Effusus), Tongcao (Tetrapanax Pith), Mutong (Akebia Caulis), light-seep benefit urine category, all from season旺气 (prosperous Qi) to purge Spleen/Stomach