肝主藏血，故为血海。操烦太过，营血大亏，虚气无归，横逆胀痛，调营敛肝饮主之。
调营敛肝饮（自制）
归身（二钱） 白芍（一钱五分酒炒） 川芎（八分） 枸杞（三钱） 五味（五分）
广皮（一钱） 枣仁（一钱五分炒研） 茯苓（二钱） 木香（五分） 阿胶（一钱五分蛤
粉炒） 大枣（二枚） 姜（三片）
本方治肝虚法也。四物用归、芎、酒芍，加蛤粉炒阿胶；不用熟地，嫌其滞也。枸杞、枣仁、
五味，虚肝在所必用。而以茯苓、广皮、木香、姜、枣，调营卫而和气血，补而不滞，润而不腻，
通而不破，温和而不燥、不苦寒。虚肝为病，脾胃必更弱于实肝。近代趋势，虚肝患者之多，几欲
超实肝而过之。祖怡治一妇人，心痛彻背，痛至那里，肌肉胀至那里，肤外亦痛，夜不成寐。曾用
麻醉剂止痛安神，不见寸效。用先生此方，一服而病减大半，夜即能寐。方信先生所云，营血大亏，
虚气无归，横逆胀痛，完全从临床经验得来，的是虚肝为病最合理之治法。嗣后凡遇类似此症者，悉
以此方变通用之，莫不应手而愈。先生对于各种虚症，制方独出心裁，真醇乎其醇矣。祖怡注。
脾本湿土，寒邪乘之，寒与湿凝，是为重阴。脘下至当脐胀满作痛，悦脾汤主之。
悦脾汤（自制）
白术（一钱） 茅术（一钱） 茯苓（二钱） 附子（八分） 砂仁（一钱）
木香（五分） 乌药（一钱） 青皮（一钱） 神曲（三钱炒） 苡仁（四钱）
姜（三片）
本方与胀门姜术二仁汤，同用白术、茯苓、木香、砂仁。姜为主药，不用炮而用生。去当归、
半夏、浓朴、广皮、生熟谷芽，加附子、茅术、神曲、青皮、乌药，其温燥之力，当在姜术二仁汤
之上。祖怡注。
肝脏主要功能是贮藏血液，因此被称为“血海”。如果精神操劳过度，导致营血严重亏损，虚气失去依附而横逆，引起胀痛，应以调营敛肝饮为主进行治疗。
调营敛肝饮（自制方）
当归身（二钱） 白芍（一钱五分，用酒炒） 川芎（八分） 枸杞子（三钱） 五味子（五分）
陈皮（一钱） 酸枣仁（一钱五分，炒后研碎） 茯苓（二钱） 木香（五分） 阿胶（一钱五分，用蛤粉炒） 大枣（两枚） 生姜（三片）
这个方子是治疗肝虚的方法。方中四物汤使用当归、川芎和酒炒白芍，加上蛤粉炒制的阿胶；不使用熟地黄，是担心它滋腻碍胃。枸杞子、酸枣仁、五味子，对于肝虚来说是必须使用的药物。再配合茯苓、陈皮、木香、生姜、大枣，来调和营卫、和气养血，使得补益而不滞塞，滋润而不黏腻，疏通而不破散，药性温和而不燥烈、不苦寒。肝虚引起的疾病，脾胃功能往往比肝实病时更加虚弱。近代的医疗趋势显示，肝虚患者之多，几乎超过了肝实患者。祖怡曾治疗一位妇人，心痛放射至背部，疼痛在哪里，肌肉就胀到哪里，皮肤外面也痛，夜晚无法入睡。曾经使用麻醉剂止痛安神，但毫无效果。使用先生（作者）的这个方子，服用一次后病情减轻大半，当晚就能入睡。这才相信先生所说的“营血大亏，虚气无归，横逆胀痛”，完全是从临床经验中得来的，确实是治疗肝虚最合理的方法。此后凡是遇到类似症状的，都以此方加减运用，没有不随手治愈的。先生对于各种虚证，制定方剂独具匠心，真是纯正至极啊。祖怡注。
脾本属湿土，寒邪侵袭它，寒与湿凝结，这称为“重阴”（极度的阴寒）。从胃脘下方直到肚脐周围胀满疼痛，应以悦脾汤为主进行治疗。
悦脾汤（自制方）
白术（一钱） 苍术（一钱） 茯苓（二钱） 附子（八分） 砂仁（一钱）
木香（五分） 乌药（一钱） 青皮（一钱） 神曲（三钱，炒） 薏苡仁（四钱）
生姜（三片）
这个方子与胀门篇中的姜术二仁汤，共同使用了白术、茯苓、木香、砂仁。以生姜为主药，不用炮姜而用生姜。去掉了当归、半夏、厚朴、陈皮、生谷芽和熟谷芽，加入了附子、苍术、神曲、青皮、乌药，其温燥的力量，应当在姜术二仁汤之上。祖怡注。
The Liver primarily functions to store blood, thus it is referred to as the "Sea of Blood." If mental exertion is excessive, causing a severe deficiency of Ying (Nutritive) Blood, the deficient Qi loses its anchor and moves transversely and rebelliously, resulting in distension and pain. The primary treatment is Tiaoying Lian Gan Decoction (Regulating Nutritive and Astringing Liver Decoction).
Tiaoying Lian Gan Decoction (Self-made Formula)
Danggui Shen (Radix Angelicae Sinensis, two qian), Baishao (Radix Paeoniae Alba, one qian five fen, stir-fried with wine), Chuanxiong (Rhizoma Chuanxiong, eight fen), Gouqi (Fructus Lycii, three qian), Wuwei Zi (Fructus Schisandrae, five fen), Guangpi (Pericarpium Citri Reticulatae, one qian), Zaoren (Semen Ziziphi Spinosae, one qian five fen, stir-fried and crushed), Fuling (Poria, two qian), Muxiang (Radix Aucklandiae, five fen), Ejiao (Colla Corii Asini, one qian five fen, stir-fried with clam powder), Dazao (Fructus Jujubae, two pieces), Jiang (Rhizoma Zingiberis Recens, three slices).
This formula represents the method for treating Liver Deficiency. In the Siwu Tang (Four Substance Decoction), Danggui, Chuanxiong, and wine-processed Baishao are used, along with clam powder-processed Ejiao; Shudihuang (Prepared Radix Rehmanniae) is omitted due to concern that it may be cloying and obstructive. Gouqi, Zaoren, and Wuwei Zi are essential for Liver Deficiency. Combined with Fuling, Guangpi, Muxiang, Jiang, and Dazao, the formula regulates Ying and Wei (Defensive) Qi and harmonizes Qi and Blood, ensuring that tonification does not cause stagnation, moistening does not become greasy, unblocking does not damage, and the nature is mild, neither drying nor bitter-cold. Diseases arising from Liver Deficiency often involve Spleen and Stomach weakness even greater than in cases of Liver Excess. In recent trends, the number of patients with Liver Deficiency nearly surpasses those with Liver Excess. Zuyi treated a woman who suffered from heart pain radiating to the back; where the pain was located, the muscles swelled to that extent, and the skin surface also hurt, preventing sleep at night. Anesthetics were previously used for pain relief and sedation without any effect. Using this formula by the author, the condition reduced by more than half after one dose, and she could sleep that night. This confirms that the author's statement regarding "severe deficiency of Ying Blood, deficient Qi losing its anchor, and transverse/rebellious Qi causing distension and pain" is derived entirely from clinical experience, representing the most rational treatment for Liver Deficiency diseases. Subsequently, for all similar cases, this formula was applied with modifications, achieving immediate cures every time. The author’s unique creativity in formulating prescriptions for various deficiency syndromes is truly pure and profound. Note by Zuyi.
The Spleen naturally belongs to Wet Earth. When Cold Evil invades it, Cold and Dampness coagulate, constituting "Heavy Yin" (Extreme Yin). Fullness and pain extend from below the epigastrium to the umbilicus. The primary treatment is Yu Pi Tang (Spleen-Pleasing Decoction).
Yu Pi Tang (Self-made Formula)
Baizhu (Rhizoma Atractylodis Macrocephalae, one qian), Maozhu (Rhizoma Atractylodis Lanceae, one qian), Fuling (Poria, two qian), Fuzi (Radix Aconiti Lateralis Preparata, eight fen), Sharen (Fructus Amomi Rotundus, one qian), Muxiang (Radix Aucklandiae, five fen), Wuyao (Radix Linderae, one qian), Qingpi (Pericarpium Citri Reticulatae Viride, one qian), Shenqu (Massa Medicata Fermentata, three qian, stir-fried), Yiren (Semen Coicis, four qian), Jiang (Rhizoma Zingiberis Recens, three slices).
This formula shares Baizhu, Fuling, Muxiang, and Sharen with Jiangshu Eren Tang (Ginger and Atractylodes Two Seeds Decoction) from the Distension chapter. Ginger is used as the chief drug, employing fresh ginger rather than processed ginger. Danggui, Banxia, Houpo, Guangpi, Sheng Guya (Raw Hordeum Sprout), and Shu Guya (Processed Hordeum Sprout) are removed, while Fuzi, Maozhu, Shenqu, Qingpi, and Wuyao are added. Its warming and drying potency exceeds that of Jiangshu Eren Tang. Note by Zuyi.