神曲与山楂,苓夏陈翘菔(音卜)子加。曲糊为丸麦(芽)汤下,亦可方中用麦芽。〔山
楂(去核)三两,神曲、茯苓、半夏各一两,菔子(微炒)、连翘各五钱。山楂消肉食,麦
芽消谷食,神曲消食解酒,菔子下气,制曲、茯苓渗湿,连翘散结,陈、夏健脾化痰。此内
伤而气末病者,故但以和平之品消而化之,不必攻补也。〕太安丸内加白术(二两,)中消兼
补效堪夸。
参术与陈皮,枳实山楂麦 (芽)随。曲糊作丸米饮下,消补兼行胃弱宜。〔人参、白
术(土炒)各二两,陈皮、麦芽(炒)各一两,山楂两半,枳实(麸炒)三两。陈皮、枳实
理气化积,山楂消肉食,曲、麦消谷食,人参、白术益气强脾。〕枳术丸(洁古)亦消兼补,
〔白术(土炒)〕、〔枳实(麸炒)〕等分。荷叶烧饭上升奇。(荷叶包陈米饭,煨干为丸,引
胃气及少
(散)扁豆陈,山药甘莲砂薏仁。(数药利气强脾。)桔梗上浮(载药上行)兼保肺,(恐
燥药上僭。)枣汤调服益脾神。〔人参、茯苓、白术(土炒)、陈皮、山药、甘草(炙)各一
斤,扁豆(炒)十二两,莲肉(炒)、砂仁、苡仁(炒)、桔梗各半斤,共为末,每服二钱,
枣汤或米饮调下。〕
(丸,东垣)四君全,麦芽夏曲朴姜连。蒸饼糊丸消积满,清热破结补虚痊。〔
炒)、黄连(姜汁炒)各五钱,人参、白术(土炒)、半夏曲、浓朴(姜汁炒)、茯苓各三钱,
甘草(炙)、干姜各二钱。黄连、枳实治痞君药,麦、夏、姜、朴温胃散满,参、术、苓、
甘燥湿补脾,使气足脾运,痞乃化也。〕
保和丸由神曲、山楂组成,加入茯苓、半夏、陈皮、连翘、莱菔子(音卜)。用神曲糊制作成丸剂,以麦芽汤送服,也可以在方中加入麦芽。〔山楂(去核)三两,神曲、茯苓、半夏各一两,莱菔子(微炒)、连翘各五钱。山楂消化肉食积滞,麦芽消化谷物积滞,神曲消食并解酒毒,莱菔子下气,神曲和茯苓渗利湿气,连翘消散结聚,陈皮和半夏健脾化痰。这是饮食内伤但气机尚未严重病变的情况,所以只用平和的药物来消导化积,不需要攻伐或补益。〕在太安丸中加入白术(二两),对于中消证兼有补益效果显著。
四君子汤加陈皮、枳实、山楂、麦芽。用神曲糊制作成丸剂,以米饮送服,适合消补兼施、脾胃虚弱者。〔人参、白术(土炒)各二两,陈皮、麦芽(炒)各一两,山楂一两半,枳实(麸炒)三两。陈皮、枳实行气理气、消除积滞,山楂消化肉食,神曲、麦芽消化谷物,人参、白术益气强健脾胃。〕洁古的枳术丸也是消补兼施,〔白术(土炒)〕、〔枳实(麸炒)〕等分。用荷叶包裹陈米饭煨干后制成丸剂,能奇妙地提升胃气。(荷叶包陈米饭,煨干为丸,引胃气及少阳之气上升。)
香砂六君散加扁豆、陈皮、山药、甘草、莲子、砂仁、薏苡仁。(这些药物有利气强脾的作用。)桔梗上浮(载药上行)兼能保护肺脏,(防止燥药上僭。)用枣汤调服有益脾的神奇效果。〔人参、茯苓、白术(土炒)、陈皮、山药、甘草(炙)各一斤,扁豆(炒)十二两,莲肉(炒)、砂仁、薏苡仁(炒)、桔梗各半斤,共研为细末,每次服用二钱,用枣汤或米饮调下。〕
(东垣的)枳实消痞丸包含四君子汤全方,加上麦芽、半夏曲、厚朴、干姜、黄连。用蒸饼糊制作成丸剂,可消除积滞痞满,清热破结,补虚痊愈。〔黄连(姜汁炒)各五钱,人参、白术(土炒)、半夏曲、厚朴(姜汁炒)、茯苓各三钱,甘草(炙)、干姜各二钱。黄连、枳实是治疗痞证的君药,麦芽、半夏、干姜、厚朴温胃消除胀满,人参、白术、茯苓、甘草燥湿补脾,使气足脾运,痞证乃化解。〕
Baohe Wan (Preserve Harmony Pill) consists of Shenqu (Medicated Leaven) and Shanzha (Crataegi Fructus), with added Lingzhi (Poria), Banxia (Pinelliae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Qiaokua (Forsskaoleae Herba, often interpreted as Lianqiao in this context but text says Qiaokua/Lianqiao mix - *Correction*: Text says "Ling Xia Chen Qiao Fu Zi", where Qiao refers to Lianqiao/Forsythiae Fructus). It is made into pills using Shenqu paste and taken with Maiya (Maltis Decoctum); Maita can also be used within the formula. [Shanzha (pitted) 3 liang, Shenqu, Lingzhi, Banxia each 1 liang, Fuzi (Radish Seed, i.e., Laifuzi) (lightly stir-fried), Lianqiao (Forsythiae Fructus) each 5 qian. Shanzha digests meat accumulation, Maita digests grain accumulation, Shenqu aids digestion and resolves alcohol toxicity, Laifuzi directs qi downward, Shenqu and Lingzhi promote dampness drainage, Lianqiao dissipates nodules, Chenpi and Banxia strengthen the spleen and transform phlegm. This addresses internal injury from food where qi has not yet severely pathologically changed; thus, only mild agents are used to digest and resolve accumulation, without need for purgation or tonification.] Adding Baizhu (2 liang) to Taian Wan yields remarkable effects for treating Zhongxiao (Middle Jiao Consumption) with simultaneous tonification.
Sancunzi Tang (Four Gentlemen Decoction) combined with Chenpi, Zhishi, Shanzha, and Maita. Made into pills with Shenqu paste and taken with rice drink; suitable for cases requiring both reduction and tonification due to weak stomach. [Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (earth-fried) each 2 liang, Chenpi, Maita (stir-fried) each 1 liang, Shanzha 1.5 liang, Zhishi (Stellariae Fructus, actually Atractylodis Discatae Fructus/Zhishi) (bran-fried) 3 liang. Chenpi and Zhishi regulate qi and eliminate stagnation, Shanzha digests meat, Shenqu and Maita digest grains, Renshen and Baizhu benefit qi and strengthen the spleen.] Ji Gu's Zhizhu Wan (Zhishi and Atractylodes Pill) also combines reduction and tonification, with equal parts of [Baizhu (earth-fried)] and [Zhishi (bran-fried)]. Using lotus leaves to wrap old rice, roasting until dry, and forming pills miraculously ascends the stomach qi. (Lotus leaf wraps old rice, roasted dry into pills, guiding stomach qi and Shaoyang qi upward.)
Xiangsha Liujun San (Aromatic and Amomum Six Gentlemen Powder) adds Bian Dou, Chenpi, Shanyao, Gancao, Lianrou, Sharen, Yiren. (These herbs promote qi movement and strengthen the spleen.) Jiegeng (Platycodonis Radix) floats upward (carrying medicinal properties up) and protects the lungs (preventing drying herbs from ascending excessively). Taking it with jujube decoction benefits the spleen magically. [Renshen, Lingzhi, Baizhu (earth-fried), Chenpi, Shanyao, Gancao (honey-fried) each 1 jin, Bian Dou (stir-fried) 12 liang, Lianrou (stir-fried), Sharen, Yiren (stir-fried), Jiegeng each 0.5 jin, all ground into powder. Take 2 qian per dose, mixed with jujube decoction or rice drink.]
Dong Yuan's Zhishi Xiaopi Wan contains the complete Sancunzi Tang, plus Maita, Banxia Qu, Houpo, Ganjiang, Huanglian. Made into pills with steamed biscuit paste to eliminate accumulation and fullness, clear heat, break stagnation, and cure deficiency. [Huanglian (ginger-juice fried) 5 qian, Renshen, Baizhu (earth-fried), Banxia Qu, Houpo (ginger-juice fried), Lingzhi each 3 qian, Gancao (honey-fried), Ganjiang each 2 qian. Huanglian and Zhishi are the sovereign herbs for treating Pi (glomus/fullness); Maita, Banxia, Ganjiang, and Houpo warm the stomach and dissipate fullness; Renshen, Baizhu, Lingzhi, and Gancao dry dampness and tonify the spleen, ensuring sufficient qi and spleen transportation, thereby resolving the Pi.]