治脾胃不和。膈噎痰气。呕吐酸水。气刺气闷胁筋虚胀。腹痛肠鸣。胸膈痞滞。饮食不美。
常服则温养脾元。及辟岚瘴冷湿。病后进食悉有神效。
浓朴（三两去皮姜汁炒） 陈皮（留白三两）
甘草（二两炙） 苍术（五两米泔水浸炒） 生姜（四两和皮薄切） 小枣（二百粒去核）
上用水五升。漫火煎干。捣作饼子。先晒后焙。碾为末。入盐少许。调服。如泄泻加生姜。乌梅。空心服。
脾寒疟疾可加草果。乌梅。各一个。如胃寒呕吐。加丁香茯苓生姜。气不舒快。不美饮食。加砂仁香
附各三两。生姜汤调服。瘴地阴
湿之气常盛。脾恶湿。苍术以扶脾燥湿。浓朴以温中下气。理痰消食去湿。陈皮以消痰利气。甘草
能健脾和中。姜以利痰温胃。小枣之甘。可以补脾气。
治食疟恶心。腹满寒热。右手寸关脉弦实。或沉滑。要之瘴疟多因食积。气痞痰结。此药消食
下气化痰。寓广者正宜服之。但矾红阿魏难得好者。又阿魏虽为下气消瘴之妙药。却不可常服。而
又不宜于孕妇虚老之人。所以易简方云。矾红阿魏不宜常服。用以治疟黄丹为衣。最好若食积 瘕痞胀。
得真阿魏却甚良。然亦在修合之际。用好米醋煎陈米糊为丸。自洗米至作糊。不着水纯用醋为妙。
蓬莪术（五两煨） 青皮（五两去穣） 陈皮（五两去白） 京三棱（五两煨） 胡椒（三两） 干
姜（三两） 阿魏（二两酒化） 矾红（为衣用）
上为细末。醋糊为丸。矾红为衣。每服六十丸。
不拘时。治瘴疾生姜桔皮汤。下大病后饮食难化。及中脘停酸。姜汤下心腹胀
满紫苏汤下。酒疸食疸遍心皆黄。大麦煎汤下。酒伤面黄。腹胀或时干呕煨姜汤下。脾气刺痛菖蒲
汤下。两胁引乳作痛沉香汤下。瘴疟外因四时之气乖戾。内因积食生冷而成。留者攻之。故用阿
魏棱术以去积冷。积为患气快则消。气滞则聚。得热则行。得寒愈结。青陈皮之辛温以快气。椒
姜之辛热以散冷结。用矾红为衣者。假其土性以培脾胃耳。治瘴用之以温中。消积甚得其宜。
治疗脾胃功能失调。胸膈阻塞、痰气阻滞。呕吐酸水。气机刺痛、胸闷、胁肋部筋脉虚弱且胀满。腹痛、肠鸣。胸膈部位痞塞停滞。食欲不佳。
经常服用可以温养脾元，并能抵御岚瘴、冷湿之气。病后进食服用此药都有显著疗效。
厚朴（三两，去皮，用姜汁炒） 陈皮（保留白色内层，三两）
甘草（二两，蜜炙） 苍术（五两，用米泔水浸泡后炒制） 生姜（四两，带皮薄切） 小枣（二百粒，去核）
以上药材用水五升，用慢火煎至水分干尽，捣碎制成饼状。先晾晒后焙干，碾成粉末。加入少许盐，调服。如果出现泄泻，加生姜、乌梅，空腹服用。
脾寒引起的疟疾可加草果、乌梅，各一枚。如果是胃寒呕吐，加丁香、茯苓、生姜。如果气机不畅快、饮食无味，加砂仁、香附各三两，用生姜汤调服。瘴地阴湿之气常常盛行，脾脏厌恶湿气，苍术用来扶助脾脏、燥湿；厚朴用来温中、降气，调理痰浊、消食、祛湿；陈皮用来消痰、利气；甘草能够健脾和中；生姜用来利痰、温胃；小枣的甘味，可以补益脾气。
治疗因食积引起的疟疾、恶心、腹部胀满、忽冷忽热。右手寸关脉象弦实，或者沉滑。总之，瘴疟多因为食积、气滞痞块、痰结所致。此药能消食、降气、化痰。居住在南方广府地区的人正适宜服用它。但是矾红和阿魏难以得到优质的，而且阿魏虽然是降气、消除瘴气的妙药，却不可以长期服用，并且不适合孕妇、体虚和年老的人。所以《易简方》中说：矾红和阿魏不宜常服。如果用治疟疾，以黄丹为衣最好。如果是食积、癥瘕痞胀，得到真正的阿魏确实很有效。然而这也在于炮制配合之时，用好米醋煎煮陈年米糊来制作丸剂，从洗米到做成米糊，不接触生水，纯用醋来制作最为巧妙。
蓬莪术（五两，煨制） 青皮（五两，去掉橘络） 陈皮（五两，去掉白色内层） 京三棱（五两，煨制） 胡椒（三两） 干姜（三两） 阿魏（二两，酒化开） 矾红（作为包衣使用）
以上药材研成细末，用醋糊制作成丸剂，以矾红为衣。每次服用六十丸。
不拘泥于时间服用。治疗瘴疾，用生姜桔皮汤送服。治疗大病后饮食难以消化，以及中脘部停聚酸水，用姜汤送服。心腹胀满，用紫苏汤送服。酒疸、食疸导致全身皆黄，用大麦煎汤送服。酒伤导致面色发黄、腹胀或时常干呕，用煨姜汤送服。脾气刺痛，用菖蒲汤送服。两胁牵引乳房作痛，用沉香汤送服。瘴疟的外因是四季气候异常乖戾，内因是积食生冷而成。对于留滞的病邪要攻逐，所以使用阿魏、三棱、莪术来去除积冷。积滞导致患病，气机通畅则消散，气机阻滞则聚集，遇热则运行，遇寒则凝结。青皮、陈皮的辛温之性可以顺气；胡椒、干姜的辛热之性可以散除冷结。使用矾红作为包衣，是借其土性来培补脾胃罢了。治疗瘴疟用它来温中、消积，非常得当。
Treats disharmony of the Spleen and Stomach. Obstruction in the chest and diaphragm, phlegm-qi stagnation. Vomiting of sour fluid. Qi stabbing pain, chest oppression, deficiency and distension of the hypochondriac tendons. Abdominal pain, borborygmus. Fullness and stagnation in the chest and diaphragm. Poor appetite.
Regular consumption warms and nourishes the Spleen Yuan (Primordial Energy of the Spleen), and wards off miasma, cold, and dampness. It is highly effective for food intake after illness.
Cortex Magnoliae Officinalis (Houpo, 厚朴) (3 liang, peeled, stir-fried with ginger juice)
Pericarpium Citri Reticulatae (Chenpi, 陈皮) (3 liang, retain the white pith)
Radix Glycyrrhizae Preparata (Gancao, 甘草) (2 liang, honey-fried)
Rhizoma Atractylodis Macrocephalae (Cangzhu, 苍术) (5 liang, soaked in rice washing water and stir-fried)
Rhizoma Zingiberis Recens (Shengjiang, 生姜) (4 liang, thinly sliced with peel)
Fructus Jujubae (Xiaozao, 小枣) (200 grains, pits removed)
Add 5 sheng of water to the above ingredients. Simmer over low heat until the water is completely evaporated. Pound into cakes. Sun-dry first, then bake. Grind into powder. Add a little salt and take with water. If diarrhea occurs, add Ginger and Fructus Mume (Wumei, 乌梅), taken on an empty stomach.
For malaria due to Spleen Cold, add Rhizoma Tsaoko (Caoguo, 草果) and Fructus Mume, one each. For vomiting due to Stomach Cold, add Flos Caryophylli (Dingxiang, 丁香), Poria (Fuling, 茯苓), and Ginger. For sluggish qi and poor appetite, add Fructus Amomi (Sharen, 砂仁) and Radix Ligustici Chuanxiong (Xiangfu, 香附), each 3 liang, taken with Ginger decoction. In miasma-prone areas, yin-damp qi is often prevalent. The Spleen dislikes dampness; Cangzhu supports the Spleen and dries dampness; Houpo warms the middle and directs qi downward, regulating phlegm, digesting food, and removing dampness; Chenpi resolves phlegm and promotes qi flow; Gancao strengthens the Spleen and harmonizes the middle; Ginger facilitates phlegm resolution and warms the Stomach; the sweetness of Xiaozao tonifies Spleen qi.
Treats nausea, abdominal fullness, and alternating chills and fever caused by food malaria. The pulse at the Cun and Guan positions on the right hand is wiry and excess, or deep and slippery. Generally, malarial fevers are often caused by food retention, qi stagnation with masses, and phlegm binding. This formula digests food, directs qi downward, and resolves phlegm. It is particularly suitable for those residing in the Guang region. However, high-quality Fanhong (Alum-red?) and Asafoetida (Awei, 阿魏) are hard to obtain. Moreover, although Awei is an excellent herb for directing qi downward and eliminating miasma, it should not be taken long-term, nor is it suitable for pregnant women, the debilitated, or the elderly. Thus, *Yijian Fang* states that Fanhong and Awei are unsuitable for regular use. If used for treating malaria, coating with Minium (Huandan, 黄丹) is best. For food retention, zheng-masses, and distension, genuine Awei is indeed very effective. However, this depends on the preparation process: use good rice vinegar to decoct aged rice paste for making pills. From washing the rice to making the paste, avoiding contact with raw water and using pure vinegar is optimal.
Rhizoma Curcumae Longae (Peng'ezhu, 蓬莪术) (5 liang, baked)
Pericarpium Citri Reticulatae Viride (Qingpi, 青皮) (5 liang, remove the albedo)
Pericarpium Citri Reticulatae (Chenpi, 陈皮) (5 liang, remove the albedo)
Rhizoma Sparganii (Jingsanleng, 京三棱) (5 liang, baked)
Fructus Piperis Nigris (Hujiao, 胡椒) (3 liang)
Rhizoma Zingiberis Preparatum (Ganjiang, 干姜) (3 liang)
Resina Ferulae (Awei, 阿魏) (2 liang, dissolved in wine)
Vermilion (Fan Hong, 矾红) (for coating)
Grind all ingredients into fine powder. Make pills with vinegar paste. Coat with Vermilion. Take 60 pills per dose.
Take at any time. For treating malarial diseases, swallow with Ginger and Tangerine Peel Decoction. For difficulty in digesting food after severe illness and acid retention in the Zhongwan area, swallow with Ginger decoction. For heart and abdominal fullness, swallow with Perilla Decoction. For Jaundice from Wine (Jiu Dan) and Jaundice from Food (Shi Dan) causing yellowing of the whole body, swallow with Barley Decoction. For facial yellowing, abdominal distension, or occasional dry heaving due to alcohol injury, swallow with Baked Ginger decoction. For stabbing pain due to Spleen qi, swallow with Acorus Decoction. For pain radiating from the hypochondrium to the breast, swallow with Agarwood Decoction. The external cause of malarial fevers is the aberrant nature of the four seasons' qi; the internal cause is food retention and raw/cold intake. For retained pathogens, attack them. Therefore, Awei, Sanleng, and E Zhu are used to remove accumulated cold. Accumulation causes disease; when qi flows freely, it dissipates; when qi stagnates, it gathers; it moves with heat and congeals with cold. The acrid-warm nature of Qingpi and Chenpi unblocks qi; the acrid-hot nature of Pepper and Ginger disperses cold accumulation. Using Vermilion as a coating borrows its Earth nature to cultivate the Spleen and Stomach. It is well-suited for warming the middle and resolving accumulation in treating malarial diseases.