补中益气汤
方见热门
按立方本指云夫脾胃虚者因饮食劳倦心火亢甚而乘其土位其次肺气受邪须用黄 最多人
参甘
草次之脾胃一虚肺气先绝故用黄 以益皮毛而闭腠理不令自汗上喘气短损其元气人参以补之
心火乘脾炙甘草之甘温以泻火热而补脾胃中元气若脾胃急痛胀中急缩者宜多用之经云急者缓
之白术苦甘温除胃中热利腰脐间血胃中清气在下升麻柴胡以引之引黄 甘草甘温之气味上升
能补卫气之散解而实其表也又缓带脉之缩急二味苦平味之薄者阴中之阳引清气上升也气乱于
胸中为清浊相干用陈皮以理之又能助阳气之升以散滞气助诸甘辛为用也脾胃气虚不能升浮为
阴火伤其生发之气荣血大亏营气不荣阴火炽盛是血中伏火日渐煎熬血气日减心主血血减则心
无所养致使心乱而烦病名曰 者心惑而烦闷不安也故加辛甘微温之剂生阳气阳旺则能生阴
血更以当归和之少加黄柏以救肾水能泻阴中之伏火如烦不止少加生地黄补肾水水旺而心火自
降如气浮心乱以朱砂安神丸镇固之则愈
安神丸
方见热门
头痛加蔓荆子三分痛甚加川芎五分顶痛脑痛加 本五分细辛三分诸头痛并用此四味头痛
有痰沉重懒倦者乃太阴厥头痛加半夏半钱姜三分
耳鸣目黄颊颔肿颈有 肘臂外后 痛面赤脉洪大者以羌活一钱防风七分甘草五分 本七
分通其经血加黄芩三分黄连三分消其肿人参五分黄 七分益元气而泻火邪
嗌痛颔肿脉洪大面赤加黄芩三分桔梗七分甘草三分口干嗌干者加葛根五分升引胃气上行
以润之
心下痞夯闷者加芍药黄连各一钱如痞腹胀加枳实三分浓朴七分木香三分砂仁三分如天寒
少加干姜
心下痞觉中寒加附子黄连各一钱不能食而心下痞加生姜陈皮各一钱能食而心下痞加黄连
半钱枳实三分脉缓有痰而痞加半夏黄连各一钱
腹中痛加白芍半钱甘草三分如恶寒觉冷痛加中桂半钱夏月腹中痛不恶寒不恶热者加黄芩
五分芍药一钱甘草五分以治时热也
腹痛在寒凉时加半夏益智豆蔻之类
胁下痛或缩急俱加柴胡
脐下痛加真熟地黄半钱有寒者加肉桂半钱
升阳散火汤
方见火门
当归补血汤
方见热门
升阳顺气汤治因饮食不节劳役所伤腹胁满闷短气遇春则口无味遇夏虽热犹寒饥常如饱不
喜食冷
升麻 柴胡(各一钱) 黄 (一两) 半夏(三钱) 甘草(炙半钱) 陈皮(一钱) 人参(
三钱) 神曲(炒一钱) 当归身(一钱) 黄柏(半钱) 草豆蔻仁(二钱)
上 咀每三钱或半两水煎入生姜三片
按论云脾胃不足之证须用升麻柴胡苦平味之薄者阴中之阳引脾胃中清气行于阳道及诸经
生发
阴阳之气以滋春气之和也又引黄 参草甘温之气味上行充实腠理使阳气得卫外而为固也凡治
脾胃之药多以升阳补气名之者此也
升阳补气汤治饮食不时饥饱劳役胃气不足脾气下溜气短无力不能寒热早饭罢转增昏闷须
要眠睡怠惰四肢不收懒倦动作及五心烦热
升麻 羌活 独活 防风 白芍 泽泻 甘草(炙各一钱) 浓朴(半钱制) 柴胡(二钱
半) 生地黄(一钱半)
上为粗末每五钱水煎入姜三片枣二枚如腹胀及窄狭加浓朴腹中似硬加砂仁三分
按此用升浮扶持胃气抑肝清脾药也
参术调中汤泻热补气止嗽定喘和脾胃进饮食
黄 (四分) 桑白皮(五分) 人参 甘草(炙) 白茯苓(各三分) 五味子(二十个) 白
术(三分) 地骨皮 麦门冬 陈皮(各二分) 青皮(一分)
上 咀作一服水煎大温服早饭后忌多言语劳役
按论云内经曰火位之主其泻以甘以黄 甘温泻热补气桑白皮苦微寒泻肺火定喘故以为君
肺欲
收急食酸以收之以五味之酸收耗散之气止咳嗽脾胃不足以甘补之白术人参炙甘草苦甘温补脾
缓中为臣地骨皮苦微寒善解肌热茯苓甘平降肺火麦门冬甘微寒保肺气为佐青陈皮苦辛温散胸
中滞气为使也
升阳益胃汤治脾胃虚则怠惰嗜卧四肢不收时值秋燥令行湿热少退体重节痛口干舌干饮食
无味
大便不调小便频数食不消兼见肺病洒淅恶寒惨惨不乐面色恶而不和乃阳气不伸故也当以升阳
益胃名之
羌活 独活 防风(各半两以秋旺故以辛温泻之) 柴胡 白术 茯苓(渴者勿用) 泽泻
(各
三钱) 黄 (二两) 人参 半夏 甘草(炙各一两) 黄连(一钱) 陈皮(四钱) 白芍(五钱
何故秋旺用参术芍药之类反补旺脾胃虚则肺俱受邪故因时而补易为力也)
上 咀每服三钱水煎入姜枣温服早饭后或加至半两服药后如小便罢而病加剧是不宜利小
盒饭
少去茯苓泽泻若喜食初一二日不可饱食恐胃再伤以药力尚少胃气不得转运升发也须薄味之食
或美食助其药力益外浮之气而滋其胃气慎不可淡食以损力而助邪气之降沉也可以小役形体使
胃与药得转运升发慎勿大劳役使气复苦脾胃得安静为佳若胃气稍强少食果以助谷药之力经云
五谷为养五果为助者也
双和散补血益气治虚劳少力
黄 川芎 当归 熟地黄(各一两) 官桂 甘草(炙各七钱半) 白芍(二两半)
上为粗末每四钱入姜枣水四盏煎温服
论云治大疾之后虚劳气乏者以此调治不热不冷温而有余
调中益气汤夫脉弦洪缓而沉按之中之下得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咽膈不通安卧嗜睡无力不思饮食
升麻(二分) 黄 (一钱) 甘草(半钱) 苍术(四分) 木香(一分) 人参（五分) 柴胡
橘皮(各二分)
上 咀作一服水煎食前热服
如时显热躁是下元阴火蒸蒸发也加生地黄黄柏如大便虚并不得或大便了而不了腹常逼迫
血虚血涩也加当归身
白术和胃丸治病久不能食而脏腑或结或溏此胃气虚弱也常服则和中理气消痰去湿和脾胃
进饮食
浓朴(制) 半夏(各一两) 白术(一两二钱) 陈皮(八钱) 槟榔 枳实(各二钱半) 木
香(一钱) 人参(七钱) 甘草(炙三钱)
上为细末生姜汁浸蒸饼为丸如桐子大每三十丸温水送下食远服之
宽中进食丸滋形气美饮食
神曲(炒五钱) 甘草(炙一钱) 木香(五分) 草豆蔻仁(五钱) 枳实(炒四钱) 半夏(
七钱
)人参(一钱) 干生姜(一钱) 青皮(一钱) 陈皮 白术 白茯苓 泽泻(各二钱) 猪苓(
一钱) 砂仁(一钱半) 大麦芽(一两)
上为细末汤浸蒸为丸如桐子大每三四十丸温米饮下食远服之
浓朴温中汤治脾胃虚寒心腹胀满及秋冬客寒犯胃时作疼痛
浓朴(制) 陈皮(各一两) 茯苓 草豆蔻 甘草(炙) 木香(各半两) 干姜(二钱)
上为粗末每五钱入姜煎食前服
论云戊火已衰不能运化又加客寒聚为满痛散以辛热佐以苦甘以淡泄之气温胃和痛自止矣
按此三方又消导之剂也
益胃散治服寒药过多或脾胃虚弱胃脘痛(又名温胃汤)
白豆蔻 姜黄 干生姜(各三钱) 泽泻 砂仁 甘草 人参 浓朴 陈皮 黄 (各七
钱) 益智仁(六钱)
上为细末每服三钱水煎温服如脉弦恶寒腹痛乃中气弱也以仲景小建中加黄 钱氏异攻散
加芍药选而用之
沉香温胃丸治中焦气弱脾胃受寒饮食不美气不调和脏腑积冷心腹冷痛大便滑泄腹中雷鸣
霍乱吐泻手足厥逆大便利无度又治下焦阳虚脐腹疼痛及疗伤寒阴湿形气沉困自汗
沉香 甘草(炙) 良姜 当归 吴茱萸 人参 木香 茯苓 白术 白芍(各半两) 附
子(炮) 巴戟(酒浸) 干姜(炮) 茴香(各一两) 官桂(七钱) 丁香(二钱)
上为细末用好醋打面糊为丸如桐子大每五七十丸热米饮空心下日二服忌一切生冷物
按此治肾之脾胃虚寒药也论云凡脾胃之证调治差误或妄下之未传寒中复遇时寒则四肢厥
逆而
心胃绞痛冷汗出举痛论云寒气客于五脏厥逆上泄阳气未入故卒然痛死不知人气复则生矣夫六
气之胜皆能为病惟寒毒最重阴主杀故也圣人以辛热散之复其阳气故曰寒邪客之得炅则痛立止
此之谓也
神圣复气汤治气乘冬足太阳寒气足少阴肾水子能令母实手太阴肺实反来侮土火木受邪腰
背胸
膈闭塞疼痛善嚏口中涎目中泣鼻流浊涕不止或 肉不闻香臭咳嗽痰沫上热如火下寒如水头作
阵痛目中流火视物目KT KT 耳鸣耳韵头并口鼻或恶风寒喜日阳夜卧不安常觉痰塞膈咽不通口失味
两胁缩急而痛牙齿动摇不能嚼物阴汗前阴冷行步欹侧起居艰难掌中寒风痹麻木小便数而昼
多夜频而欠气短喘渴少气不足以息卒遗失无度妇人白带阴户中痛牵心而痛面如赭色食少大便
不调烦心霍乱逆气里急而腹皮色白后出余气复不能努或肠鸣膝下筋急肩甲大痛此皆寒水木复
火土之雠也
干姜(炮三分) 半夏(汤洗七分) 柴胡(一钱) 本(八分) 防风 人参 郁李仁(研
各半
钱) 升麻(七分) 附子(炮二分) 当归身(六分) 羌活(一钱) 甘草(八分) 白葵花(五朵
去心)
上 咀都作一服水五盏煎至二盏入
黄 (一钱) 陈皮(五分) 草豆蔻(面裹煨一钱在内煎至一盏再入下项药) 黄柏(酒浸)
黄连(酒洗) 枳壳 生地黄(各三分)
以上四味预一日别用新水浸又以
华细辛(二分) 川芎 蔓荆子(各三分)
预一日用新水半大盏分作二处浸此三味并黄柏等煎正药作一大盏不去渣入此浸者药再上
火煎
至一大盏去渣空心稍热服又能治咬颊咬唇咬舌舌根强硬等证如神宜食肉汤不宜食肉不助经络
中火邪也大抵肾与膀胱经中有寒元气不足者皆宜服之神验于月生月满时隔三五日一服如病急
不拘时分
益胃汤治头闷劳动则微痛不喜饮食四肢怠坠躁热气短口不知味肠鸣大便微溏黄色身体昏
闷口干不喜食冷
黄 (半钱) 甘草(二分) 黄芩(三分) 当归(半钱) 苍术(一钱半) 陈皮 升麻(各
五分)柴胡 人参 白术 益智仁(各三分) 半夏(二分)
上 咀作一服水煎食前稍热服忌生冷硬物酒湿面
强胃汤治因饮食劳倦所伤腹胁满闷短气遇春口淡无味遇夏虽热而恶寒常如饱不喜食冷物
前方减黄芩苍白术益智加草豆蔻黄柏曲生姜论曰治法已验者可以意求其的触类而长之则
不可
胜用矣予病脾胃久衰视听半失此阴乘阳而上气短精神不足且脉弦皆阳气衰弱伏匿于阴中故耳
癸卯岁六七月间霖雨阴寒逾月不止时人多病泻痢乃湿多成五泄故也一日体重肢节疼痛大便泄
并下者三而小便闭塞默思内经有云在下者引而竭之是先利小便也又治诸泻小便不利者先分利
之治湿不利小便非其治也法当淡渗之剂意圣人之法虽布在方策其不尽者以意求之今客邪寒湿
之
胜自外入里而甚暴若以淡渗之剂利之病虽即已是降之又降复益其阴而重竭其阳也则阳气愈削
而精神愈短阴重强而阳重衰也兹以升阳之药是为宜尔羌活独活升麻各一钱防风半钱炙甘草半
钱一剂乃愈大法云寒湿之胜助风以平之又曰下者举之此得阳气升腾故愈是因曲而为之直也夫
圣人之法可以类推举一则知百矣
杂方
拔萃槟榔丸治伤食心腹膨胀
槟榔(二钱半) 陈皮(一两) 木香(二钱半) 牵牛(头末半两) 枳实(半两)
上为细末醋糊丸桐子大米饮下二三十丸
千金紫丸治食痫
赤石脂 代赭石(各一钱) 巴豆(三十个另研) 杏仁(五个另研成膏)
上以杏仁膏相和杵二千下入蜜些小丸麻子大三十日儿一丸乳下
丹溪越鞠丸治食郁
方见热门
补中益气汤
方剂见“热门”章节。
按语：本方创立的初衷是指出，脾胃虚弱的人，由于饮食不节和劳累过度，导致心火亢盛，从而乘袭脾土（脾胃）。其次，肺气受到邪气侵袭，必须使用黄芪为君药，人参、甘草为臣药。因为脾胃一旦虚弱，肺气就会先受损，所以用黄芪来补益皮毛并固密腠理，防止自汗、上气喘促和气短，以保护元气；用人参来补益元气；用炙甘草的甘温之性来清泻火热并补益脾胃中的元气。如果脾胃急痛、腹部胀满且感觉紧缩拘急，应当多用此方。《内经》说：“急者缓之。”白术味苦、甘、温，能清除胃中的热邪，疏通腰脐间的血气。升麻、柴胡用来引导胃中清气上升。它们能引导黄芪、甘草甘温的气味上升，能够补益卫气的散失并充实体表。同时又能缓解带脉的收缩拘急。这两味药味苦平，气味轻薄，属于阴中之阳，能引导清气上升。如果气机紊乱于胸中，造成清浊之气相互干扰，就用陈皮来调理，它又能辅助阳气上升以消散滞气，协助其他甘辛药物发挥作用。脾胃气虚，不能升浮，被阴火损伤了生发之气，营血严重亏损，营气不能荣养身体，阴火炽盛，这是血中有伏火，日渐煎熬，使气血日益减少。心主血脉，血减少则心无所养，导致心神混乱而烦躁，这种病名叫“烦”，即心中困惑、烦闷不安。所以加入辛甘微温的药物以生发阳气，阳气旺盛则能化生阴血，再用当归调和。稍加黄柏以救肾水，能清泻阴分中的伏火。如果烦躁不止，稍加生地黄以补肾水，水旺则心火自然下降。如果气浮乱于心神，用朱砂安神丸来镇心安神则痊愈。
安神丸
方剂见“热门”章节。
头痛：加蔓荆子三分；疼痛剧烈者加川芎五分；头顶痛或脑痛加藁本五分、细辛三分。各种头痛都可用这四味药。如果头痛伴有痰湿，感觉沉重懒倦，这是太阴厥头痛，加半夏半钱、干姜三分。
耳鸣、目黄、脸颊和下颌肿胀、颈部及肘臂外侧后方疼痛、面色红赤、脉象洪大者，用羌活一钱、防风七分、甘草五分、藁本七分来通调经络气血，加黄芩三分、黄连三分来消除肿胀，加人参五分、黄芪七分来补益元气并清泻火邪。
咽喉痛、下颌肿胀、脉象洪大、面色红赤者，加黄芩三分、桔梗七分、甘草三分。口干、咽干者，加葛根五分，以引胃气上行滋润咽喉。
心下痞塞胀闷者，加芍药、黄连各一钱。如果痞塞伴腹胀，加枳实三分、厚朴七分、木香三分、砂仁三分。如果天气寒冷，稍加干姜。
心下痞塞且感觉中间寒冷者，加附子、黄连各一钱。不能进食且心下痞塞者，加生姜、陈皮各一钱。能进食但心下痞塞者，加黄连半钱、枳实三分。脉缓且有痰而痞塞者，加半夏、黄连各一钱。
腹中痛者，加白芍半钱、甘草三分。如果怕冷、感觉冷痛，加肉桂半钱。夏季腹中痛，不怕冷也不怕热者，加黄芩五分、芍药一钱、甘草五分，以治疗时令热邪。
腹痛在寒冷季节发作，加半夏、益智仁、豆蔻之类。
胁下痛或收缩拘急，都加柴胡。
脐下痛者，加真熟地黄半钱。有寒者，加肉桂半钱。
升阳散火汤
方剂见“火门”章节。
当归补血汤
方剂见“热门”章节。
升阳顺气汤
治疗因饮食不节制、劳累过度所伤，导致腹胁部胀满闷痛、气短。到了春天口淡无味，到了夏天虽然热却仍觉寒冷，饥饿时常常像吃饱了一样，不喜欢吃冷的食物。
处方：升麻、柴胡（各一钱），黄芪（一两），半夏（三钱），甘草（炙，半钱），陈皮（一钱），人参（三钱），神曲（炒，一钱），当归身（一钱），黄柏（半钱），草豆蔻仁（二钱）。
以上药物捣碎，每次取三钱或半两，加水煎煮，放入生姜三片。
按语论述：脾胃不足的证候，必须使用升麻、柴胡。这两味药味苦平，气味轻薄，属于阴中之阳，能引导脾胃中的清气运行于阳道及各条经脉的生发之气，以滋养春季气候的和顺。又能引导黄芪、人参、甘草甘温的气味上行，充实腠理，使阳气得以护卫体表而固密。凡是治疗脾胃的药物，多以升阳补气命名，就是这个原因。
升阳补气汤
治疗饮食不规律、饥饱失常、劳累过度，导致胃气不足、脾气下陷。表现为气短无力，不能耐受寒热变化。早饭后反而增加昏闷感，需要睡觉，四肢懈怠不收，懒倦，动作时五心烦热。
处方：升麻、羌活、独活、防风、白芍、泽泻、甘草（炙，各一钱），厚朴（制，半钱），柴胡（二钱半），生地黄（一钱半）。
以上药物研成粗末，每次取五钱，加水煎煮，放入生姜三片、大枣二枚。如果腹胀及胸部狭窄，加厚朴；如果腹中感觉坚硬，加砂仁三分。
按语：此方是用升浮性质的药物扶持胃气，抑制肝木，清利脾湿的药。
参术调中汤
清热补气，止咳定喘，调和脾胃，增进饮食。
处方：黄芪（四分），桑白皮（五分），人参、甘草（炙）、白茯苓（各三分），五味子（二十个），白术（三分），地骨皮、麦门冬、陈皮（各二分），青皮（一分）。
以上药物捣碎，作为一服，加水煎煮，大温服用。早饭后忌多说话和劳累。
按语论述：《内经》说：“火位之主，其泻以甘。”黄芪甘温，能泻热补气。桑白皮苦微寒，能泻肺火、定喘，所以作为君药。肺欲收敛，急食酸味以收敛它，用五味子的酸味收敛耗散之气，止咳嗽。脾胃不足，用甘味补益它，白术、人参、炙甘草苦甘温，补脾缓中，作为臣药。地骨皮苦微寒，善于解除肌表之热；茯苓甘平，降肺火；麦门冬甘微寒，保肺气，作为佐药。青皮、陈皮苦辛温，散胸中滞气，作为使药。
升阳益胃汤
治疗脾胃虚弱则怠惰嗜卧，四肢懈怠不收。正值秋燥令行，湿热稍退，身体沉重，关节疼痛，口干舌干，饮食无味，大便不调，小便频数，食物不消化，兼见肺病症状，洒淅恶寒，心情惨淡不乐，面色不和，这是因为阳气不能伸展的缘故。所以应当命名为升阳益胃汤。
处方：羌活、独活、防风（各半两，因为秋季金旺，故用辛温之品泻之），柴胡、白术、茯苓（口渴者不用），泽泻（各三钱），黄芪（二两），人参、半夏、甘草（炙，各一两），黄连（一钱），陈皮（四钱），白芍（五钱）。为何秋季旺时用参、术、芍药等反补？因为脾胃虚弱则肺也受邪，所以因时而补，容易见效。
以上药物捣碎，每次服用三钱，加水煎煮，放入生姜、大枣，温服。早饭后服用，或者加至半两。服药后如果小便通畅而病情加重，是不宜利小水的，应去掉茯苓、泽泻。如果喜欢进食，初一二日不可吃得过饱，恐怕再次损伤胃气，因为药力尚少，胃气不得转运升发。应该吃清淡口味的食物，或者吃美味的食物以助药力，益外浮之气而滋养胃气。千万不要吃淡而无味的食物以损力气而助长邪气的降沉。可以用轻微的活动形体，使胃与药得以转运升发。千万不要过度劳累，使气再次受苦。脾胃得到安静为佳。如果胃气稍强，少吃水果以辅助谷物的药力。《经》云：“五谷为养，五果为助。”
双和散
补血益气，治疗虚劳乏力。
处方：黄芪、川芎、当归、熟地黄（各一两），官桂、甘草（炙，各七钱半），白芍（二两半）。
以上药物研成粗末，每次取四钱，放入生姜、大枣，加水四盏，煎煮后温服。
论云：治疗大病之后，虚劳气乏者，用此方调治，性质不热不冷，温和而有余力。
调中益气汤
脉象弦、洪、缓，沉取之中下部得涩脉。证候表现为四肢胀满闭塞，肢节烦疼，难以屈伸，身体沉重，心烦不安，忽胖忽瘦，四肢懒倦，口失滋味，大小便清利而频数，或者上饮下泄，或者大便涩滞不行，一二日一见。夏季出现飧泄，米谷不化，或者便后见血、见白脓，胸满气短，咽膈不通，安卧嗜睡，无力不思饮食。
处方：升麻（二分），黄芪（一钱），甘草（半钱），苍术（四分），木香（一分），人参（五分），柴胡、橘皮（各二分）。
以上药物捣碎，作为一服，加水煎煮，饭前热服。
如果时常显现热躁，这是下元阴火蒸蒸发越所致，加生地黄、黄柏。如果大便虚秘不通，或者大便完了还觉得没完，腹中常逼迫不适，这是血虚血涩，加当归身。
白术和胃丸
治疗久病不能进食，而脏腑或者结聚或者溏泄，这是胃气虚弱。常服可以和中理气，消痰去湿，调和脾胃，增进饮食。
处方：厚朴（制）、半夏（各一两），白术（一两二钱），陈皮（八钱），槟榔、枳实（各二钱半），木香（一钱），人参（七钱），甘草（炙，三钱）。
以上药物研成细末，用生姜汁浸透蒸饼做成丸药，如梧桐子大。每次三十丸，温水送下，饭后服用。
宽中进食丸
滋养形气，美化饮食。
处方：神曲（炒，五钱），甘草（炙，一钱），木香（五分），草豆蔻仁（五钱），枳实（炒，四钱），半夏（七钱），人参（一钱），干生姜（一钱），青皮（一钱），陈皮、白术、白茯苓、泽泻（各二钱），猪苓（一钱），砂仁（一钱半），大麦芽（一两）。
以上药物研成细末，用汤浸泡蒸制成丸，如梧桐子大。每次三四十丸，温米饮送下，饭后服用。
厚朴温中汤
治疗脾胃虚寒，心腹胀满，以及秋冬时节客寒犯胃，时时作痛。
处方：厚朴（制）、陈皮（各一两），茯苓、草豆蔻、甘草（炙）、木香（各半两），干姜（二钱）。
以上药物研成粗末，每次五钱，放入生姜煎煮，饭前服用。
论云：戊土之火衰微，不能运化，又加上客寒聚集，形成胀满疼痛。用辛热之品发散，佐以苦甘之品，以淡味渗泄。气温则胃和，痛自然停止。
按语：这三方又是消导类的方剂。
益胃散
治疗服用寒药过多，或者脾胃虚弱导致的胃脘痛（又名温胃汤）。
处方：白豆蔻、姜黄、干生姜（各三钱），泽泻、砂仁、甘草、人参、厚朴、陈皮、黄芪（各七钱），益智仁（六钱）。
以上药物研成细末，每次服用三钱，加水煎煮，温服。如果脉弦、恶寒、腹痛，这是中气弱，可以用张仲景的小建中汤加黄芪，或者钱乙的异攻散加芍药，选择使用。
沉香温胃丸
治疗中焦气弱，脾胃受寒，饮食不佳，气机不调和，脏腑积冷，心腹冷痛，大便滑泄，腹中雷鸣，霍乱吐泻，手足厥逆，大便无度。又治疗下焦阳虚，脐腹疼痛，以及治疗伤寒阴湿，形气沉困，自汗。
处方：沉香、甘草（炙）、良姜、当归、吴茱萸、人参、木香、茯苓、白术、白芍（各半两），附子（炮制）、巴戟天（酒浸）、干姜（炮制）、茴香（各一两），官桂（七钱），丁香（二钱）。
以上药物研成细末，用好醋打面糊做成丸药，如梧桐子大。每次五七十丸，热米饮空腹送下，每日两次。忌食一切生冷食物。
按语：这是治疗肾脏和脾胃虚寒的药物。论云：凡是脾胃的证候，调治失误或者妄用下法，未传变为寒中，又遇到时令寒冷，则四肢厥逆而心胃绞痛，出冷汗。《举痛论》云：寒气侵犯五脏，厥逆上泄，阳气未入，所以突然疼痛甚至昏死不知人，人气回复则生。六气之胜都能致病，只有寒毒最重，阴主杀伐。圣人用辛热之品发散，恢复阳气，所以说寒邪客于体内，得到温热则疼痛立即停止，就是这个意思。
神圣复气汤
治疗气乘冬季，足太阳寒气盛，足少阴肾水子能令母实，手太阴肺实反来侮土，火木受邪。表现为腰背胸膈闭塞疼痛，善嚏，口中流涎，目中流泪，鼻流浊涕不止，或者息肉阻塞不闻香臭，咳嗽痰沫，上热如火，下寒如水，头部阵痛，目中流火，视物模糊不清，耳鸣耳聋，头并口鼻或恶风寒，喜日光，夜卧不安，常觉痰塞膈咽不通，口失滋味，两胁收缩急痛，牙齿动摇不能嚼物，阴汗，前阴冷，行走倾斜，起居艰难，掌中寒风痹麻木，小便数而白天多夜间频且欠伸，气短喘渴，少气不足以息，卒然遗失无度。妇人白带，阴户中痛牵连心而痛，面色如赭石色，食少，大便不调，心烦霍乱，逆气里急而腹皮色白，后出余气复不能努，或者肠鸣膝下筋急，肩甲大痛。这都是寒水木复火土之仇的症状。
处方：干姜（炮，三分），半夏（汤洗，七分），柴胡（一钱），藁本（八分），防风、人参、郁李仁（研，各半钱），升麻（七分），附子（炮，二分），当归身（六分），羌活（一钱），甘草（八分），白葵花（五朵，去心）。
以上药物捣碎，都作为一服，加水五盏，煎至二盏，加入黄芪（一钱）、陈皮（五分）、草豆蔻（面裹煨，一钱，在内煎至一盏），再入以下药物：黄柏（酒浸）、黄连（酒洗）、枳壳、生地黄（各三分）。
以上四味预先一天用新水浸泡。另外，华细辛（二分）、川芎、蔓荆子（各三分），预先一天用新水半大盏，分成两处浸泡。将此三味连同黄柏等煎煮正药，共煎成一盏，不去渣，加入这些浸泡过的药，再上火煎至一大盏，去渣，空心稍热服。又能治疗咬颊、咬唇、咬舌、舌根强硬等证，效果神奇。适宜吃肉汤，不宜吃肉，以免助长经络中的火邪。大抵肾与膀胱经中有寒，元气不足者，皆适宜服用，神验。在月生月满之时，隔三五日服一次。如果病急，不拘时分。
益胃汤
治疗头闷，劳动则微痛，不喜欢饮食，四肢怠坠，躁热气短，口不知味，肠鸣，大便微溏黄色，身体昏闷，口干，不喜欢吃冷的食物。
处方：黄芪（半钱），甘草（二分），黄芩（三分），当归（半钱），苍术（一钱半），陈皮、升麻（各五分），柴胡、人参、白术、益智仁（各三分），半夏（二分）。
以上药物捣碎，作为一服，加水煎煮，饭前稍热服。忌生冷硬物、酒、湿面。
强胃汤
治疗因饮食劳倦所伤，腹胁满闷，气短。遇春口淡无味，遇夏虽热而恶寒，常像吃饱了一样，不喜欢吃冷的食物。
前方减去黄芩、苍白术、益智仁，加草豆蔻、黄柏、神曲、生姜。论曰：治疗方法已经验证的，可以意求其确切，触类旁通则不可胜用。我患脾胃久衰，视听半失，这是阴乘阳而上，气短精神不足，且脉弦，都是阳气衰弱伏匿于阴中。癸卯年六七月间，霖雨阴寒逾月不止，时人多病泻痢，这是湿多成五泄的缘故。一日体重肢节疼痛，大便泄并下者三次，而小便闭塞。默思《内经》有云：“在下者引而竭之”，是先利小便。又治诸泻小便不利者，先分利之。治湿不利小便，非其治也。法当用淡渗之剂。意圣人之法虽布在方策，其不尽者以意求之。今客邪寒湿之胜，自外入里而甚暴，若以淡渗之剂利之，病虽即已，但是降之又降，复益其阴而重竭其阳也，则阳气愈削而精神愈短，阴重强而阳重衰也。兹以升阳之药，是为宜尔。羌活、独活、升麻各一钱，防风半钱，炙甘草半钱，一剂乃愈。大法云：寒湿之胜，助风以平之。又曰：下者举之。此得阳气升腾故愈，是因曲而为之直也。夫圣人之法可以类推，举一则知百矣。
杂方
拔萃槟榔丸
治疗伤食心腹膨胀。
处方：槟榔（二钱半），陈皮（一两），木香（二钱半），牵牛（头末，半两），枳实（半两）。
以上药物研成细末，醋糊丸，梧桐子大。米饮下二三十丸。
千金紫丸
治疗食痫。
处方：赤石脂、代赭石（各一钱），巴豆（三十个，另研），杏仁（五个，另研成膏）。
以上将杏仁膏相和杵二千下，入蜜少许，丸如麻子大。三十日儿一丸，乳下。
Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction)
See "Re Men" chapter for the formula.
Commentary: The original intention of this formula is to point out that individuals with Spleen-Stomach deficiency, due to irregular diet and overexertion, suffer from hyperactive Heart Fire, which then attacks the Earth element (Spleen-Stomach). Secondly, when Lung Qi is invaded by pathogenic factors, Huangqi (Astragali Radix) should be used as the sovereign drug, with Renshen (Ginseng Radix) and Gancao (Licorice Radix) as minister drugs. Since Spleen-Stomach deficiency leads to prior damage to Lung Qi, Huangqi is used to benefit the skin and hair and consolidate the interstices, preventing spontaneous sweating, asthma, and shortness of breath, thereby protecting Yuan Qi (Original Qi); Renshen is used to tonify Yuan Qi; Zhi Gancao (Honey-fried Licorice Radix) uses its sweet-warm nature to clear heat fire and tonify the Yuan Qi in the Spleen-Stomach. If there is acute Spleen-Stomach pain, abdominal distension, and a sensation of tightness or contraction, this formula should be used in larger doses. The *Neijing* states: "For tension, use soothing methods." Baizhu (Atractylodis Macrocephalae Rhizoma), with bitter, sweet, and warm properties, clears heat in the Stomach and unblocks blood in the waist and umbilical region. Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix) guide the clear Qi of the Stomach upwards. They guide the sweet-warm aroma of Huangqi and Gancao upwards, replenishing the dispersion of Wei Qi (Defensive Qi) and solidifying the exterior. Simultaneously, they relieve the contraction of the Dai Mai (Girdle Vessel). These two herbs are bitter and neutral, with thin aromas, belonging to Yang within Yin, guiding Clear Qi upwards. If Qi mechanism is chaotic in the chest, causing interference between Clear and Turbid Qi, Chenpi (Citri Reticulatae Pericarpium) is used to regulate it; it also assists Yang Qi in rising to dissipate stagnant Qi, assisting other sweet and acrid drugs. Spleen-Stomach Qi deficiency fails to rise and float, damaged by Yin Fire affecting the generating Qi. Ying Blood (Nutritive Blood) is severely depleted, and Ying Qi cannot nourish the body. Yin Fire flares up, indicating latent fire in the blood, gradually simmering and reducing Qi and Blood day by day. The Heart governs Blood; when Blood decreases, the Heart lacks nourishment, leading to mental confusion and irritability. This condition is called "Fan" (Irritability/Restlessness), meaning inner confusion and restless discomfort. Therefore, acrid, sweet, and slightly warm agents are added to generate Yang Qi. When Yang Qi is robust, it generates Yin Blood, harmonized with Danggui (Angelicae Sinensis Radix). A small amount of Huangbai (Phellodendri Cortex) is added to rescue Kidney Water, clearing latent fire in the Yin aspect. If irritability persists, a small amount of Shengdihuang (Rehmanniae Radix) is added to tonify Kidney Water; when Water is abundant, Heart Fire naturally subsides. If Qi floats chaotically disturbing the mind, Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill) is used to settle and secure the mind, leading to recovery.
An Shen Wan (Calming the Spirit Pill)
See "Re Men" chapter for the formula.
Headache: Add Manjingzi (Vittariae Spora) 3 fen; if pain is severe, add Chuanxiong (Ligustici Chuanxiong Rhizoma) 5 fen; for vertex or brain pain, add Gaoben (Ligustici Jingwei Rhizoma) 5 fen and Xixin (Asari Radix et Rhizoma) 3 fen. These four herbs can be used for various headaches. If headache is accompanied by phlegm-dampness, heaviness, and lethargy, it is Taiyin Jue Headache; add Banxia (Pinelliae Rhizoma) 0.5 qian and Jiang (Zingiberis Rhizoma Recens) 3 fen.
Tinnitus, yellow eyes, swelling of cheeks and jaw, pain in the neck and outer posterior elbow/arm, red face, and surging pulse: Use Qianghuo (Notopterygii Rhizoma et Radix) 1 qian, Fangfeng (Saposhnikoviae Radix) 7 fen, Gancao 5 fen, and Gaoben 7 fen to unblock meridians and blood; add Huangqin (Scutellariae Radix) 3 fen and Huanglian (Coptidis Rhizoma) 3 fen to reduce swelling; add Renshen 5 fen and Huangqi 7 fen to tonify Yuan Qi and drain fire.
Throat pain, jaw swelling, surging pulse, red face: Add Huangqin 3 fen, Jiegeng (Platycodonis Radix) 7 fen, and Gancao 3 fen. For dry mouth and throat, add Gegen (Puerariae Lobatae Radix) 5 fen to guide Stomach Qi upward to moisten.
Fullness and stuffiness below the heart: Add Shaoyao (Paeoniae Radix Alba) and Huanglian each 1 qian. If fullness is accompanied by abdominal distension, add Zhishi (Aurantii Fructus Immaturus) 3 fen, Houpo (Magnoliae Officinalis Cortex) 7 fen, Muxiang (Aucklandiae Radix) 3 fen, and Sharen (Amomi Fructus) 3 fen. If cold weather, add Ganjiang (Zingiberis Rhizoma) slightly.
Fullness below the heart with a sensation of cold in the center: Add Fuzi (Aconiti Lateralis Radix Praeparata) and Huanglian each 1 qian. Inability to eat with fullness below the heart: Add Shengjiang (Zingiberis Rhizoma Recens) and Chenpi each 1 qian. Ability to eat but with fullness below the heart: Add Huanglian 0.5 fen and Zhishi 3 fen. Slow pulse with phlegm and fullness: Add Banxia and Huanglian each 1 qian.
Abdominal pain: Add Baishao (Paeoniae Radix Alba) 0.5 qian and Gancao 3 fen. If aversion to cold and cold pain: Add Rougui (Cinnamomi Cortex) 0.5 qian. Summer abdominal pain without aversion to cold or heat: Add Huangqin 5 fen, Shaoyao 1 qian, and Gancao 5 fen to treat seasonal heat.
Abdominal pain during cold seasons: Add Banxia, Yizhiren (Alpiniae Oxyphyllae Fructus), Doukou (Amomi Fructus Rotundus), etc.
Hypochondriac pain or contraction/tightness: Add Chaihu.
Supra-umbilical pain: Add Zhen Shudihuang (Prepared Rehmanniae Radix) 0.5 qian. If cold: Add Rougui 0.5 qian.
Sheng Yang San Huo Tang (Raise Yang and Disperse Fire Decoction)
See "Huo Men" chapter for the formula.
Danggui Buxue Tang (Angelica Tonify Blood Decoction)
See "Re Men" chapter for the formula.
Sheng Yang Shun Qi Tang (Raise Yang and Smooth Qi Decoction)
Treats injury from irregular diet and overwork, causing abdominal and hypochondriac fullness/stuffiness and shortness of breath. In spring, taste is bland; in summer, despite heat, there is still cold sensation. Hunger feels like satiety; dislikes cold food.
Formula: Shengma, Chaihu (each 1 qian), Huangqi (1 liang), Banxia (3 qian), Zhi Gancao (0.5 qian), Chenpi (1 qian), Renshen (3 qian), Shenqu (Stir-fried, 1 qian), Danggui Shen (1 qian), Huangbai (0.5 qian), Caodoukou Ren (2 qian).
Crush the above. Take 3 qian or half a liang, decoct in water with 3 slices of fresh ginger.
Commentary: For Spleen-Stomach insufficiency, Shengma and Chaihu must be used. These are bitter and neutral, with thin aromas, belonging to Yang within Yin. They guide the Clear Qi of the Spleen-Stomach into the Yang pathways and the generating Qi of all meridians, nourishing the harmony of Spring Qi. They also guide the sweet-warm aroma of Huangqi, Renshen, and Gancao upward to fill the interstices, allowing Yang Qi to protect the exterior and remain secure. Most medicines treating Spleen-Stomach are named for raising Yang and tonifying Qi for this reason.
Sheng Yang Bu Qi Tang (Raise Yang and Tonify Qi Decoction)
Treats irregular diet, alternating hunger and fullness, and overwork, leading to insufficient Stomach Qi and sinking Spleen Qi. Symptoms include shortness of breath and weakness, intolerance to cold and heat. After breakfast, dizziness and stuffiness increase, requiring sleep. Limbs are lax and unreceptive, lethargic. Five-center heat upon movement.
Formula: Shengma, Qianghuo, Duhuo, Fangfeng, Baishao, Zexie, Zhi Gancao (each 1 qian), Zhi Houpo (0.5 qian), Chaihu (2.5 qian), Shengdihuang (1.5 qian).
Grind into coarse powder. Take 5 qian, decoct in water with 3 slices of ginger and 2 jujubes. If abdominal distension and chest tightness occur, add Houpo. If abdomen feels hard, add Sharen 3 fen.
Commentary: This formula uses ascending and floating drugs to support Stomach Qi, suppress Liver, and clear Spleen dampness.
Shen Zhu Tiao Zhong Tang (Ginseng and Atractylodes Regulate the Middle Decoction)
Clears heat, tonifies Qi, stops cough, calms asthma, harmonizes Spleen-Stomach, and promotes appetite.
Formula: Huangqi (4 fen), Sangbaipi (Mulberry Cortex) (5 fen), Renshen, Zhi Gancao, Baifuling (Poria) (each 3 fen), Wuweizi (Schisandrae Fructus) (20 pieces), Baizhu (3 fen), Digupi (Lycii Cortex) (2 fen), Maidong (Ophiopogonis Radix) (2 fen), Chenpi (2 fen), Qingpi (Aurantii Fructus Imperforatus) (1 fen).
Crush. One dose, decoct in water, take warm. Avoid excessive talking and work after morning meal.
Commentary: The *Neijing* states: "For diseases of the Fire position, purgation is done with sweet substances." Huangqi is sweet and warm, clearing heat and tonifying Qi. Sangbaipi is bitter and slightly cold, draining Lung Fire and calming asthma, thus serving as Sovereign. The Lung desires astringency; sour foods astringe quickly. Wuweizi's sourness astringes scattered Qi and stops cough. Spleen-Stomach insufficiency is tonified with sweet substances. Baizhu, Renshen, and Zhi Gancao are bitter-sweet and warm, tonifying Spleen and moderating the middle, serving as Ministers. Digupi is bitter and slightly cold, resolving muscular heat. Fuling is sweet and neutral, descending Lung Fire. Maidong is sweet and slightly cold, preserving Lung Qi, serving as Assistants. Qingpi and Chenpi are bitter-acrid and warm, dispersing stagnation in the chest, serving as Envoys.
Sheng Yang Yi Wei Tang (Raise Yang and Benefit Stomach Decoction)
Treats Spleen-Stomach deficiency causing lethargy and propensity to sleep, limbs lax and unreceptive. During autumn dryness, when damp-heat recedes, body weight increases, joint pain occurs, mouth and tongue are dry, taste is absent, bowel movements are irregular, urination is frequent, and digestion is impaired. Accompanied by Lung symptoms: chills, depression, facial disharmony, due to Yang Qi failing to extend. Hence named Raise Yang and Benefit Stomach Decoction.
Formula: Qianghuo, Duhuo, Fangfeng (each 0.5 liang; since Autumn Metal is prosperous, acrid-warm drugs are used to drain it), Chaihu, Baizhu, Fuling (omit if thirsty), Zexie (each 3 qian), Huangqi (2 liang), Renshen, Banxia, Zhi Gancao (each 1 liang), Huanglian (1 qian), Chenpi (4 qian), Baishao (5 qian). Why use Renshen, Baizhu, Baishao when Autumn is prosperous? Because Spleen-Stomach deficiency affects the Lung, so tonifying according to the season facilitates efficacy.
Crush. Take 3 qian, decoct in water with ginger and jujube, take warm after morning meal, or up to 0.5 liang. If urination clears but disease worsens, diuresis is inappropriate; remove Fuling and Zexie. If appetite returns, do not overeat on the first one or two days to avoid re-injuring Stomach Qi, as medicinal power is weak and Stomach Qi cannot transport and ascend. Eat light flavors or nutritious food to assist medicinal power and nourish Stomach Qi. Do not eat bland food to weaken strength and aid pathogenic sinking. Light physical activity helps Stomach and medicine transport and ascend. Avoid heavy labor. Let Spleen-Stomach rest. If Stomach Qi strengthens, eat less fruit to assist grain medicine. Classics say: "Five grains nourish, five fruits assist."
Shuang He San (Double Harmony Powder)
Tonifies Blood and Qi, treats consumptive fatigue and weakness.
Formula: Huangqi, Chuanxiong, Danggui, Shudihuang (Prepared Rehmanniae Radix) (each 1 liang), Guanzi Gui (Cinnamomi Cortex), Zhi Gancao (each 0.75 qian), Baishao (2.5 liang).
Grind into coarse powder. Take 4 qian with ginger and jujube, decoct in 4 cups of water, take warm.
Commentary: For consumptive fatigue and Qi deficiency after major illness, this formula regulates. It is neither hot nor cold, gentle and sufficient.
Tiao Zhong Yi Qi Tang (Regulate Middle and Augment Qi Decoction)
Pulse is wiry, surging, slow, and choppy at deep pressure. Symptoms: limb fullness and blockage, joint pain, difficulty bending/extending, heavy body, vexation, instability, fluctuating weight, limb lethargy, loss of taste, frequent clear urination/defecation, upper drinking/lower diarrhea, or constipation. Summer loose stools with undigested food, or blood/pus after stool. Chest fullness, shortness of breath, throat obstruction, desire to lie down and sleep, weakness, anorexia.
Formula: Shengma (2 fen), Huangqi (1 qian), Gancao (0.5 qian), Cangzhu (Atractylodis Rhizoma) (4 fen), Muxiang (1 fen), Renshen (5 fen), Chaihu, Jupi (Tangerine Peel) (each 2 fen).
Crush. One dose, decoct in water, take hot before meals.
If heat/restlessness appears, it is Lower Yuan Yin Fire steaming; add Shengdihuang and Huangbai. If defecation is deficient/blocking or incomplete with abdominal urgency, it is Blood deficiency/stasis; add Danggui Shen.
Baizhu He Wei Wan (Atractylodes Harmonize Stomach Pill)
Treats prolonged illness with inability to eat, where organs are either knotted or loose, due to weak Stomach Qi. Regular use harmonizes middle, regulates Qi, resolves phlegm, removes dampness, harmonizes Spleen-Stomach, and promotes appetite.
Formula: Zhi Houpo, Banxia (each 1 liang), Baizhu (1.2 liang), Chenpi (8 qian), Binglang (Arecae Semen), Zhishi (each 2.5 qian), Muxiang (1 qian), Renshen (7 qian), Zhi Gancao (3 qian).
Grind into fine powder. Soak steamed biscuit in fresh ginger juice, make pills like paulownia seeds. Take 30 pills with warm water after meals.
Kuan Zhong Jin Shi Wan (Widen Middle and Promote Eating Pill)
Nourishes form and Qi, beautifies diet.
Formula: Chao Shenqu (Stir-fried Saccharomyces) (5 qian), Zhi Gancao (1 qian), Muxiang (5 fen), Caodoukou Ren (5 qian), Chao Zhishi (Stir-fried Aurantii Fructus Immaturus) (4 qian), Banxia (7 qian), Renshen (1 qian), Gan Shengjiang (Dried Fresh Ginger) (1 qian), Qingpi (1 qian), Chenpi, Baizhu, Baifuling, Zexie (each 2 qian), Zhuling (Polyporus) (1 qian), Sharen (1.5 qian), Dayamai (Hordei Fructus Germinatus) (1 liang).
Grind into fine powder. Soak in soup, steam, make pills like paulownia seeds. Take 30-40 pills with warm rice drink after meals.
Houpo Wen Zhong Tang (Magnolia Warm Middle Decoction)
Treats Spleen-Stomach deficiency-cold, epigastric/abdominal fullness, and guest cold invading Stomach in autumn/winter causing intermittent pain.
Formula: Zhi Houpo, Chenpi (each 1 liang), Fuling, Caodoukou, Zhi Gancao, Muxiang (each 0.5 liang), Ganjiang (Dried Ginger) (2 qian).
Grind into coarse powder. Take 5 qian with ginger, decoct, take before meals.
Commentary: Wu Fire (Earth) declines, unable to transform; combined with guest cold causing fullness/pain. Disperse with acrid-hot, assist with bitter-sweet, drain with bland. Warm Qi harmonizes Stomach, pain stops.
Note: These three formulas are also digestive/resolving agents.
Yi Wei San (Benefit Stomach Powder)
Treats epigastric pain from excessive cold medicine or Spleen-Stomach weakness (also known as Wen Wei Tang/Warm Stomach Decoction).
Formula: Baidoukou (Amomi Fructus), Jianghuang (Curcumae Longae Rhizoma), Gan Shengjiang (each 3 qian), Zexie, Sharen, Gancao, Renshen, Houpo, Chenpi, Huangqi (each 7 qian), Yizhiren (6 qian).
Grind into fine powder. Take 3 qian, decoct in water, take warm. If wiry pulse, aversion to cold, abdominal pain indicates weak Middle Qi; choose Zhang Zhongjing's Xiao Jianzhong Tang plus Huangqi, or Qian Yi's Yigong San plus Baishao.
Chenxiang Wen Wei Wan (Agarwood Warm Stomach Pill)
Treats Middle Jiao Qi weakness, Spleen-Stomach cold, poor diet, disharmonious Qi, organ cold accumulation, epigastric/abdominal cold pain, slippery diarrhea, borborygmus, cholera/vomiting/diarrhea, cold extremities, profuse diarrhea. Also treats Lower Jiao Yang deficiency, umbilical/abdominal pain, and cold-damp typhoid with heavy form/Qi, spontaneous sweating.
Formula: Chenxiang (Aquilariae Lignum Resinatum), Zhi Gancao, Liangjiang (Galangal Rhizoma), Danggui, Wuzhuyu (Evodiae Fructus), Renshen, Muxiang, Fuling, Baizhu, Baishao (each 0.5 liang), Pao Fuzi (Prepared Aconite), Bajitian (Morindae Radix, wine-soaked), Pao Ganjiang (Prepared Dried Ginger), Huixiang (Foeniculi Fructus) (each 1 liang), Guanzi Gui (0.75 qian), Dingxiang (Caryophylli Flos) (2 qian).
Grind into fine powder. Make pills with good vinegar and wheat paste, like paulownia seeds. Take 50-70 pills with hot rice drink on empty stomach, twice daily. Avoid all raw/cold foods.
Note: This treats Kidney and Spleen-Stomach deficiency-cold. Commentary: Errors in treating Spleen-Stomach or misuse of purgatives, followed by seasonal cold, cause cold extremities and cardiac/gastric绞痛 with cold sweat. *Ju Tong Lun* says: Cold qi invades five zang, reversal causes upper leakage, Yang has not entered, so sudden pain and unconsciousness occur; life returns when Qi recovers. Among six qi excesses, only Cold toxicity is heaviest, as Yin governs killing. Sages use acrid-hot to disperse and restore Yang. Thus, "Cold qi invading, getting warmth stops pain immediately."
Shen Sheng Fu Qi Tang (Divine Restore Qi Decoction)
Treats Qi attacking Winter, Foot-Taiyang Cold excess, Foot-Shaoyin Kidney Water (child making mother full), Hand-Taiyin Lung Excess reversing to insult Earth, Fire/Wood injured. Symptoms: back/chest/diaphragm blockage/pain, sneezing, salivation, tearing, turbid nasal discharge, polyps blocking smell, cough with sputum, upper heat like fire, lower cold like water, paroxysmal head pain, burning eyes, blurred vision, tinnitus/deafness, aversion to wind/cold, preferring sun, restless sleep, phlegm blocking throat, loss of taste, hypochondriac contraction/pain, loose teeth, genital sweat/cold, limping, difficult movement, palm wind-bi/numbness, frequent urination (day/night), yawning, shortness of breath, panting, incontinence. Women: leukorrhea, vaginal pain radiating to heart, dark-red face, anorexia, irregular bowels, vexation, cholera, rebellious Qi, abdominal urgency, white abdominal skin, inability to strain, borborygmus, knee tendon tension, scapular pain. These are conflicts of Cold-Water-Wood against Fire-Earth.
Formula: Pao Ganjiang (Prepared Dried Ginger) (3 fen), Banxia (Water-washed) (7 fen), Chaihu (1 qian), Gaoben (8 fen), Fangfeng, Renshen, Yanli Ren (Pruni Semen, ground) (each 0.5 qian), Shengma (7 fen), Pao Fuzi (Prepared Aconite) (2 fen), Danggui Shen (6 fen), Qianghuo (1 qian), Gancao (8 fen), Bai Kuihua (White Chrysanthemum Flower) (5 flowers, remove heart).
Crush. One dose, decoct 5 cups water to 2 cups. Add Huangqi (1 qian), Chenpi (5 fen), Caodoukou (flour-roasted, 1 qian), decoct to 1 cup. Then add: Huangbai (wine-soaked), Huanglian (wine-rinsed), Zhike (Aurantii Fructus), Shengdihuang (each 3 fen).
Soak these four in new water for one day separately. Also soak Huaxixin (Asari Radix et Rhizoma) (2 fen), Chuanxiong, Manjingzi (each 3 fen) in half large cup new water for one day, divided into two parts. Combine main decoction (one cup, dregs included) with soaked herbs, boil to one cup, strain. Take warm on empty stomach. Also treats biting cheek/lip/tongue, stiff tongue root. Effective. Meat broth is suitable; meat is not, to avoid aiding fire in meridians. Generally suitable for Cold in Kidney/Bladder meridians with insufficient Yuan Qi. Divine effect. Take every 3-5 days during moon waxing/waning. If urgent, any time.
Yi Wei Tang (Benefit Stomach Decoction)
Treats head stuffiness, slight pain on exertion, anorexia, limb heaviness, restlessness, shortness of breath, loss of taste, borborygmus, loose yellow stool, heavy body, dry mouth, dislike of cold food.
Formula: Huangqi (0.5 qian), Gancao (2 fen), Huangqin (3 fen), Danggui (0.5 qian), Cangzhu (1.5 qian), Chenpi, Shengma (each 5 fen), Chaihu, Renshen, Baizhu, Yizhiren (each 3 fen), Banxia (2 fen).
Crush. One dose, decoct in water, take warm before meals. Avoid raw/cold/hard foods, alcohol, damp noodles.
Qiang Wei Tang (Strengthen Stomach Decoction)
Treats injury from diet/overwork, abdominal/hypochondriac fullness, shortness of breath. Spring: bland taste. Summer: cold despite heat, feeling of satiety, dislike of cold food.
Modify previous formula: Remove Huangqin, Cangzhu, Baizhu, Yizhiren. Add Caodoukou, Huangbai, Shenqu, Shengjiang. Commentary: Verified methods can be understood intuitively; applying them broadly is inexhaustible. I suffered long-term Spleen-Stomach decline, partial loss of hearing/vision. Yin attacked Yang, Qi was short, spirit insufficient, pulse wiry—all indicate Yang deficiency hiding in Yin. In Gui Mao year, June-July, continuous rain/cold for over a month. Many had dysentery/diarrhea due to dampness causing five types of diarrhea. One day, heavy body/joint pain, three episodes of diarrhea, urinary obstruction. Reflecting on *Neijing*: "Those below, draw and exhaust," implying promoting urination first. Treating diarrhea with urinary difficulty requires separating fluids. Treating dampness without promoting urination is incorrect; bland-draining agents are indicated. Sage's methods are in texts, but intuition fills gaps. Guest cold-damp enters from outside to inside violently. Using bland-draining agents might cure quickly, but repeated draining benefits Yin and depletes Yang further, weakening Yang and spirit, strengthening Yin. Thus, raising-Yang drugs are appropriate. Qianghuo, Duhuo, Shengma (each 1 qian), Fangfeng (0.5 qian), Zhi Gancao (0.5 qian). One dose cured. Great Method: "For cold-damp excess, assist with Wind to level it." Also: "Those below, lift them." Recovery due to Yang rising, straightening the crooked. Sage's methods allow analogy; knowing one implies knowing hundreds.
Miscellaneous Formulas
Bachuibing Lang Wan (Areca Nut Pill from Bachui)
Treats food stagnation with epigastric/abdominal distension.
Formula: Binglang (Arecae Semen) (2.5 qian), Chenpi (1 liang), Muxiang (2.5 qian), Qianniu (Pharbitidis Semen, first powder) (0.5 liang), Zhishi (0.5 liang).
Grind fine. Make pills with vinegar paste, paulownia seed size. Take 20-30 pills with rice drink.
Qianjin Zi Wan (Golden Thousand Purple Pill)
Treats food epilepsy.
Formula: Chishizhi (Halloysit Rubrum), Daizheshi (Haematitum) (each 1 qian), Badou (Crotonis Fructus, 30 seeds, ground separately), Xingren (Armeniacae Semen, 5 seeds, ground to paste).
Mix almond paste, pound 2000 times. Add little honey, make pills like hemp seeds. One pill for 30-day-old infant, taken with milk.
Danxi Yueju Wan (Jade Peak Resolve Depression Pill)
Treats Food Depression.
See "Re Men" chapter for formula.