〔薛〕经曰∶胃为水谷之海，六腑之大源也，人身气血腑脏，俱由胃气而生，故东垣之法，一以脾胃为主，
所谓补肾不若补脾，正此意也。在小儿虽得乳食，水谷之气未全，尤仗胃气，胃气一虚，则四脏俱失所养矣，
故丹溪谓小儿多肝脾之疾也。若面色 白，目无晴光，口中气冷，不食吐水，肌瘦腹痛，此胃气虚寒之证，用五
味异功散或六君子汤主之。若大便不实，兼脾虚也，加干姜温之。中满不利，脾不运也，加木香开之。喜冷
便秘，胃实热也，用泻黄散凉之。命门火衰，不能生土者，用八味丸补之。禀赋胃气不足，亦用此丸。盖下焦真
阳充盛，则上生脾元，自能温蒸水谷矣。
平胃散 治脾胃不和，不思饮食，心腹胀痛，口苦短气，恶心嗳气吞酸，面黄体瘦，嗜卧体痛，霍乱
吐泻等证。
浓朴（姜汁，五两） 陈皮 甘草（炙。各一两） 苍术（米泔浸，焙，八两）
上为末。每服二钱，姜枣水煎，沸汤点服亦得。常服调气暖胃，化宿食，消痰饮，辟四时不正之气。
愚按∶前证，若乳食停滞，嗳腐吞酸，呕哕恶心者，宜服是方。若饮食既消，
脾胃虚弱，呕吐恶心者，则宜四君子汤。
调中丸 治脾胃虚寒。
白术 人参 甘草（炒。各五分）
八味地黄丸 即六味地黄丸加肉桂、附子、各一两，治禀赋命门火衰，不能生土，以致脾土虚寒，或饮
食少思，及食而不化，腹脐疼痛，夜多漩溺等证，《内经》谓∶益火之源以消阴翳。正此药也。
钱氏益黄散（一名补脾散） 治脾胃虚冷吐泻。（方见前）
愚按∶前方若脾土虚寒，或寒水侮土，而呕吐泄泻，手足并冷，或痰涎上涌，睡而露睛，不思乳食者，宜
用此方。若脾土虚弱吐泻者，用六君柴胡。如不应或手足俱冷者，属虚寒，加木香炮姜。若因乳母脾虚肝侮，亦
治以前药。若乳母郁怒，致儿患前症者，其母、兼服加味归脾汤。
参苓白术散 主脾胃虚弱，饮食不进，多困少气，中满痞噫呕吐逆，此药不寒不热，
性味和平，常服调脾悦色，顺正去邪。
人参（去芦） 白茯苓（去皮） 粉草 白术 白扁豆（炒，去壳） 山药（去黑皮） 缩砂仁 薏苡
仁桔梗（锉、炒。九味各一两） 莲子肉（去心）
上，锉焙为末。每服半钱至一钱，用枣汤空心调服，或温米汤亦可。
健脾饮 建脾养胃，理呕吐，治泻痢，及诸病后气色虚弱，有痰恶心，腹中微痛，饮食减，精神慢，并宜服之。
浓朴（去粗皮，锉碎，姜汁浸一宿，慢火炒干，再入醇醋、淬透，仍以慢火炒） 人参（去芦。各一两
）白茯苓（去皮） 肉豆蔻 半夏（汤者透滤，仍锉、焙干） 益智仁 净香附 良姜（锉片，东壁土炒） 诃子
肉（各二钱半） 甘草（炙，五钱）
上锉。每服二钱，水一盏，姜二片，枣一枚，煎七分，无时服。
藿香饮 理虚化痰，及治脾胃不和，饮食少进，正气除邪。
人参（去芦） 半夏（汤煮透滤，锉片、焙干） 赤茯苓（去皮） 甘草（炙。各一两） 苍术（去粗皮，米泔水
浸一宿，滤干，锉片，用火炒至微黄色，二两） 陈皮（去白） 藿香（去梗。各七钱半） 浓朴（去粗皮，制，一
两半）
上件 咀。每服二钱，水一盏，姜二片，枣一枚，煎七分，空心温服，或入烧盐同煎。
治小儿脾胃虚弱，饮食少进。
用人参、白术、茯苓、甘草等分，为末。每服一钱，盐汤点服。一方，加陈皮、缩砂。
治胃虚气逆，吮乳不食。
用人参一钱，丁香、藿香叶、各半钱，水半盏煎熟，入乳汁少许煎服。
治胃弱吐逆，手足心热，不进乳食。
用陈红曲三钱半，白术一钱半麸炒，甘草炙一钱，为末。每服半钱，枣汤米饮下。
治脾胃不和，呕逆恶心，乳食不进。
用浓朴姜制一钱，白术半钱，干姜炮、甘草炙各三分，水一盏，姜二片煎，空心热服。
治宿食伤脾，消食快膈。
用缩砂仁、橘皮、三棱、莪术、神曲、麦 各半两，香附子一两，各炒，
为末，面糊、丸如麻子大。食后白汤下。随大小加减丸数。
〔茅先生〕匀气散
桔梗（五两） 甘草（炙，二两） 白姜（一分） 缩砂仁 陈橘皮 茴香（洗。各一两）
为末。半钱或一钱，霜木瓜煎汤调服，紫苏盐汤亦得。（《宝童》多浓朴、苍术、良姜、桂、
乌梅，名养脾汤。）
调理众病醒脾散
木香 白术（并湿纸、裹煨） 人参 茯苓 草果子 甘草（炙） 陈橘皮 浓朴（纲砂水煮
）紫苏子
上等分，为末。一钱，水六分，姜一片，枣半个，煎四分，通口服。
健脾散 治小儿胃气。
白茯苓（去皮） 人参（各一两） 浓朴（三两，用姜汁炙） 苍术（米泔浸一宿，四两）
陈橘皮（去白，五两） 甘草（二两，半生半熟） 草果子（去皮，二两）
上件为末。每服一钱，姜枣同煎，随大小分减服。
调中饮子 治小儿诸疾。
肉豆蔻 白术（炮） 人参 陈橘皮（去白） 诃子（炮，去核） 茴香 甘草（炙） 缩砂仁（各半两
）藿香 桂心 槟榔（各三钱）
上为末。每服半钱一钱，用姜枣煎水，随儿大小五分四分煎，通口服。
《宝童》壮脾去积进食。
京三棱 蓬莪术（醋，纸裹煨） 益智（去皮。各四两） 甘草（炙，四两半） 陈皮 青皮（各二两）
上为末。汤点一钱，不时服。姜枣煎亦得。
治患后脾胃虚弱，烦热恍惚，睡中多惊，气急烦乱，温养脾胃，消进奶食，匀气清神，调和脏腑神术散
白术 人参 茯苓 石莲肉（去心） 莺粟米 白扁豆 藿香 甘草（炙）
等分，细末。半小钱，枣汤调，空心、日午服。（汉东观音散，少白术粟米、多神曲白芷木香黄 ）
《圣惠》治脾胃不和，见食欲呕，心胸壅闷。前胡散
前胡 芦根（各三分） 桂心（一分） 人参 白术 赤茯苓 枇杷叶（去毛，炙） 甘草（炙） 浓
朴（姜炙，各半两）
粗罗。一钱，水一小盏，姜少许，煎五分，不时，量温服。
〔张涣〕集香煎 治脾胃虚，不欲食，羸瘦。
藿香叶 浓朴（姜制） 丁香 沉香 木香（各一两） 白茯苓 白豆蔻 白术（炮。各半两）
上为细末。入麝香一钱，水一升，蜜半斤，大枣三十枚，姜二十片，银石器中慢火熬成膏，去姜枣，
通风处阴干，每皂子大，乳前米饮下。
调中散 治小儿冷热不调，致脾胃不和。
木香（锉） 人参（去芦头） 青橘皮（汤浸、去白，焙干，各一两） 丁香 白术 白茯苓 大
腹皮（锉） 甘草
上件，捣罗为细末。每服一钱，水一小盏，入生姜三片，煎五分，去滓温服。
益胃丹 调冷热，和脾胃。
当归（洗，焙干） 木香 白术 沉香（各一两） 白芍药 人参（去芦头） 蓬莪术 缩砂仁（各半两）
上件，捣罗为细末，白面糊和，如黍米大。每服十粒至十五粒，点麝香汤下。
量儿大小加减。
丁香黄 散 治小儿脾胃虚弱，不能饮食，已渐伤损荣卫，致令肌体羸瘦，时时下痢，面色青白。
丁香 绵黄 （锉） 人参（去芦头） 白术 当归（洗、焙干） 鳖甲（涂酥炙黄，去裙裥。各一两
）胡黄连 甘草（炙。各半两）
上件，捣罗为细末。每服一钱，水一盏，入生姜二片，枣二枚，同煎至五分，去滓温服，食前。
《千金》地黄丸 治胃气不调，不嗜食生肌肉。
干地黄 大黄（各两六铢） 茯苓（十八铢） 杏仁 柴胡 当归（各半两）
上为末，蜜丸如麻子。每服五丸，日三。
《婴孺》治三七岁儿不食，或呕，或头热，或下利，或渴，或手脚热，有时冷。每日一剂，便能食。
鳖甲（一两） 当归 甘草（炙） 升麻（各二钱半） 椒（五十粒，汗）
上切，水一升，煮八合，为三服，相去人行六七里，再服，觉身上润，衣盖取汗，微汗勿深。
【薛己】《内经》说：胃是受纳水谷的仓库，也是六腑气血生化的重要源头。人体的气血和脏腑功能，都依赖胃气来生成。所以李东垣的治法，始终以调理脾胃为核心，也就是所谓的“补肾不如补脾”，正是这个意思。对于小儿来说，虽然摄取了乳食，但水谷的精微之气尚未完全化生，更加依赖胃气的支持。一旦胃气虚弱，其他四脏（心、肝、肺、肾）都会失去滋养。因此朱丹溪说小儿多患肝脾方面的疾病。如果面色苍白，眼神无光彩，口中气息寒冷，不吃东西且呕吐清水，肌肉消瘦并伴有腹痛，这是胃气虚寒的证候，使用五味异功散或六君子汤主治。如果大便不成形，兼有脾虚症状，加入干姜以温中散寒。如果脘腹胀满且排便不畅，是脾运化功能失职，加入木香以行气开郁。如果喜欢冷饮且大便秘结，是胃中有实热，使用泻黄散以清热凉之。如果是命门火衰，不能温煦脾土的情况，使用八味丸以温补。如果是先天禀赋导致胃气不足，也使用此丸。因为下焦的真阳充盛，就能向上滋生脾元，自然能够温蒸腐熟水谷。
平胃散 治疗脾胃不和，不想吃东西，心胸腹部胀满疼痛，口苦短气，恶心嗳气吞酸，面色萎黄身体消瘦，嗜睡肢体疼痛，霍乱吐泻等证候。
浓朴（用姜汁制，五两） 陈皮 甘草（炙，各一两） 苍术（用米泔水浸泡，焙干，八两）
以上药物研为细末。每次服用二钱，用生姜、大枣煎汤送服，或者用沸水冲服也可以。经常服用可以调气暖胃，化解积食，消除痰饮，抵御四季不正之气。
我按语：上述证候，如果是乳食停滞，嗳气带有腐臭味，吞酸，呕吐恶心者，适宜服用此方。如果饮食已经消化，但脾胃依然虚弱，出现呕吐恶心者，则适宜使用四君子汤。
八味地黄丸 即六味地黄丸加上肉桂、附子，各一两。治疗先天禀赋命门火衰，不能温煦脾土，导致脾土虚寒，或者饮食减少思虑，以及吃了不消化，腹脐部疼痛，夜间小便多等证候。《内经》所说：“益火之源，以消阴翳”，正是指这种药。
钱氏益黄散（又名补脾散） 治疗脾胃虚冷引起的呕吐泄泻。（方剂见前文）
我按语：前方如果用于脾土虚寒，或者寒水反侮脾土，导致呕吐泄泻，手脚发冷，或者痰涎上涌，睡觉时眼睛半睁（露睛），不想吃乳食者，适宜使用此方。如果是脾土虚弱导致的吐泻，使用六君子汤加柴胡。如果无效或者手脚全部冰冷，属于虚寒，加入木香、炮姜。如果是由于乳母脾虚导致肝气乘侮小儿，也用前面的药物治疗。如果是因为乳母抑郁愤怒，导致小儿患上前述病症的，母亲兼服加味归脾汤。
参苓白术散 主治脾胃虚弱，饮食不进，容易疲倦少气，脘腹胀满痞塞嗳气呕吐逆气。此药不寒不热，性味平和，经常服用可以调理脾胃，改善面色，顺应正气，祛除邪气。
人参（去芦头） 白茯苓（去皮） 粉草（甘草） 白术 白扁豆（炒，去壳） 山药（去黑皮） 缩砂仁 薏苡仁 桔梗（锉碎、炒，九味药各一两） 莲子肉（去心）
以上药物，锉碎焙干后研为细末。每次服用半钱至一钱，用枣汤在空腹时调服，或者用温米汤送服也可以。
健脾饮 建立脾气，养胃，调理呕吐，治疗泻痢，以及大病之后气色虚弱，有痰恶心，腹中轻微疼痛，饮食减少，精神倦怠，都适宜服用。
浓朴（去掉粗皮，锉碎，用姜汁浸泡一夜，慢火炒干，再倒入纯醋淬透，仍用慢火炒） 人参（去芦头，各一两） 白茯苓（去皮） 肉豆蔻 半夏（用水煮透滤过，再锉碎、焙干） 益智仁 净香附 良姜（锉片，用东壁土炒） 诃子肉（各二钱半） 甘草（炙，五钱）
以上药物锉碎。每次服用二钱，用水一盏，生姜两片，大枣一枚，煎至七分，随时服用。
藿香饮 调理虚损化痰，以及治疗脾胃不和，饮食摄入减少，扶正祛邪。
人参（去芦头） 半夏（用水煮透滤过，锉片、焙干） 赤茯苓（去皮） 甘草（炙，各一两） 苍术（去掉粗皮，米泔水浸泡一夜，滤干，锉片，用火炒至微黄色，二两） 陈皮（去白） 藿香（去梗，各七钱半） 浓朴（去掉粗皮，制过，一两半）
以上药物切碎。每次服用二钱，用水一盏，生姜两片，大枣一枚，煎至七分，空腹温服，或者加入烧过的盐一同煎服。
治疗小儿脾胃虚弱，饮食摄入减少。
用人参、白术、茯苓、甘草等量，研为细末。每次服用一钱，用盐汤点服。另一方，加入陈皮、缩砂。
治疗胃虚气逆，吸吮乳汁但不进食。
用人参一钱，丁香、藿香叶各半钱，用水半盏煎熟，加入少许乳汁煎服。
治疗胃弱呕吐逆气，手足心发热，不进乳食。
用陈红曲三钱半，白术一钱半（麸炒），甘草炙一钱，研为细末。每次服用半钱，用枣汤或米饮送下。
治疗脾胃不和，呕吐逆气恶心，乳食不进。
用姜制的浓朴一钱，白术半钱，炮干姜、炙甘草各三分，用水一盏，生姜两片煎，空腹热服。
治疗宿食损伤脾脏，消食宽胸膈。
用缩砂仁、橘皮、三棱、莪术、神曲、麦芽各半两，香附子一两，各炒过后，研为细末，用面糊做成如麻子大的丸药。饭后用白开水送下。根据大小调整丸数。
【茅先生】匀气散
桔梗（五两） 甘草（炙，二两） 白姜（一分） 缩砂仁 陈橘皮 茴香（洗，各一两）
研为细末。每次半钱或一钱，用霜木瓜煎汤调服，紫苏盐汤也可以。（《宝童》多加浓朴、苍术、良姜、桂、乌梅，名为养脾汤。）
调理众病醒脾散
木香 白术（并用湿纸包裹煨） 人参 茯苓 草果子 甘草（炙） 陈橘皮 浓朴（纲砂水煮） 紫苏子
以上等分，研为细末。每次一钱，用水六分，生姜一片，大枣半个，煎至四分，通口服。
健脾散 治疗小儿胃气虚弱。
白茯苓（去皮） 人参（各一两） 浓朴（三两，用姜汁炙） 苍术（米泔水浸泡一夜，四两）
陈橘皮（去白，五两） 甘草（二两，半生半熟） 草果子（去皮，二两）
以上药物研为细末。每次服用一钱，用生姜、大枣同煎，根据年龄大小减量服用。
调中饮子 治疗小儿各种疾病。
肉豆蔻 白术（炮） 人参 陈橘皮（去白） 诃子（炮，去核） 茴香 甘草（炙） 缩砂仁（各半两） 藿香 桂心 槟榔（各三钱）
以上药物研为细末。每次服用半钱至一钱，用生姜、大枣煎水，根据儿童大小煎至五分或四分，通口服。
《宝童》壮脾去积进食。
京三棱 蓬莪术（醋，用纸包裹煨） 益智（去皮，各四两） 甘草（炙，四两半） 陈皮 青皮（各二两）
以上药物研为细末。用汤水冲服一钱，随时服用。用姜枣煎服也可以。
治疗患病后脾胃虚弱，烦热恍惚，睡中多惊，气急烦乱，温养脾胃，促进奶食吸收，匀气清神，调和脏腑的神术散。
白术 人参 茯苓 石莲肉（去心） 罂粟米 白扁豆 藿香 甘草（炙）
等分，研为细末。每次半小钱，用枣汤调服，空腹、日午时服用。（汉东观音散，少白术、粟米，多神曲、白芷、木香、黄芩。）
《圣惠》治疗脾胃不和，看见食物想呕吐，心胸壅闷。前胡散
前胡 芦根（各三分） 桂心（一分） 人参 白术 赤茯苓 枇杷叶（去毛，炙） 甘草（炙） 浓朴（姜炙，各半两）
粗筛。每次一钱，用水一小盏，生姜少许，煎至五分，随时，适量温服。
【张涣】集香煎 治疗脾胃虚弱，不想吃东西，身体瘦弱。
藿香叶 浓朴（姜制） 丁香 沉香 木香（各一两） 白茯苓 白豆蔻 白术（炮，各半两）
以上研为细末。加入麝香一钱，水一升，蜂蜜半斤，大枣三十枚，生姜二十片，在银石器中用慢火熬成膏，去掉姜枣，在通风处阴干，每次如皂角子大小，喂奶前用米饮送下。
调中散 治疗小儿冷热不调，导致脾胃不和。
木香（锉） 人参（去芦头） 青橘皮（汤浸、去白，焙干，各一两） 丁香 白术 白茯苓 大腹皮（锉） 甘草
以上药物，捣罗为细末。每次服用一钱，用水一小盏，加入生姜三片，煎至五分，去渣温服。
益胃丹 调理冷热，调和脾胃。
当归（洗，焙干） 木香 白术 沉香（各一两） 白芍药 人参（去芦头） 蓬莪术 缩砂仁（各半两）
以上药物，捣罗为细末，用白面糊和，做成如黍米大小的丸药。每次服用十粒至十五粒，用麝香汤送下。
根据儿童大小加减用量。
丁香黄散 治疗小儿脾胃虚弱，不能饮食，逐渐损伤营卫，导致身体瘦弱，时常下痢，面色青白。
丁香 绵黄芪（锉） 人参（去芦头） 白术 当归（洗、焙干） 鳖甲（涂酥炙黄，去裙边，各一两） 胡黄连 甘草（炙，各半两）
以上药物，捣罗为细末。每次服用一钱，用水一盏，加入生姜二片，大枣二枚，同煎至五分，去渣温服，饭前服用。
《千金》地黄丸 治疗胃气不调，不喜欢吃东西，不生肌肉。
干地黄 大黄（各两六铢） 茯苓（十八铢） 杏仁 柴胡 当归（各半两）
以上研为末，蜜丸如麻子大。每次服用五丸，每天三次。
《婴孺》治疗三七岁儿童不吃饭，或者呕吐，或者头部发热，或者下利，或者口渴，或者手脚发热，有时发冷。每日一剂，便能进食。
鳖甲（一两） 当归 甘草（炙） 升麻（各二钱半） 花椒（五十粒，出汗处理）
以上切碎，用水一升，煮取八合，分为三服，两次服药间隔人行走六七里的时间，再次服用，感觉身上湿润，盖衣取汗，微汗即可，不要大汗。
[Xue] The *Classic* states: "The Stomach is the sea of water and grain, and the great source of the six fu organs." The qi and blood of the human body, as well as the zang and fu organs, are all generated by Stomach Qi. Therefore, Li Dongyuan's treatment method focuses primarily on the Spleen and Stomach. This embodies the principle that "tonifying the Spleen is superior to tonifying the Kidney." In infants and children, although they consume milk and food, the qi derived from water and grain is not yet fully formed, making them even more reliant on Stomach Qi. If Stomach Qi becomes deficient, the other four zang organs (Heart, Liver, Lung, Kidney) will lose their nourishment. Thus, Zhu Danxi stated that infants and children often suffer from Liver and Spleen disorders. If the complexion is pale, the eyes lack luster, breath from the mouth feels cold, there is anorexia with vomiting of clear fluid, emaciation, and abdominal pain, this is a syndrome of Deficient-Cold of Stomach Qi. It should be treated with Wuwei Yigong San (Five-Ingredient Powder for Extraordinary Merit) or Liu Junzi Tang (Six-Gentleman Decoction). If the stool is unformed, indicating concurrent Spleen deficiency, add Ganjiang (Dried Ginger) to warm it. If there is abdominal fullness and difficulty in defecation, indicating failure of Spleen transportation, add Muxiang (Aucklandia Root) to promote qi movement. If there is a preference for cold drinks and constipation, indicating Excess-Heat in the Stomach, treat with Xiehuang San (Powder to Drain the Yellow) to cool it. If Mingmen Fire (Fire of the Gate of Life) is deficient and unable to warm Earth (Spleen), use Bawei Wan (Eight-Ingredient Pill) to tonify. For congenital insufficiency of Stomach Qi, this pill is also used. When the True Yang of the Lower Jiao is abundant, it generates Yuan Qi of the Spleen upwards, naturally enabling the warming and steaming digestion of water and grain.
Pingwei San (Flat Stomach Powder) treats disharmony of the Spleen and Stomach, anorexia, chest and abdominal distension and pain, bitter taste, shortness of breath, nausea, belching, acid regurgitation, sallow complexion, emaciation, lethargy, body aches, and syndromes such as cholera-like vomiting and diarrhea.
Houpo (Magnolia Bark, processed with ginger juice, 5 liang) Chenpi (Tangerine Peel) Gancao (Licorice Root, honey-fried, 1 liang each) Cangzhu (Atractylodes Rhizome, soaked in rice wash water, dried, 8 liang)
Grind into powder. Take 2 qian per dose, decocted with ginger and jujube; alternatively, it can be taken as a paste mixed with boiling water. Regular consumption regulates qi, warms the stomach, resolves retained food, eliminates phlegm-fluids, and wards off pathogenic factors of the four seasons.
My commentary: For the aforementioned syndromes, if caused by retention of milk and food, characterized by belching with a putrid odor, acid regurgitation, vomiting, and nausea, this formula is suitable. If the food has digested but Spleen and Stomach weakness persists, leading to vomiting and nausea, Sizijunzi Tang (Four-Gentleman Decoction) is appropriate.
Tiaozhong Wan (Regulate the Middle Pill) treats Deficient-Cold of the Spleen and Stomach.
Baizhu (Atractylodes Macrocephala Rhizome) Renshen (Ginseng Root) Gancao (Licorice Root, fried, 5 fen each)
Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill) is Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) plus Rougui (Cinnamon Bark) and Fuzi (Prepared Aconite Root), 1 liang each. It treats congenital deficiency of Mingmen Fire failing to warm Earth, resulting in Cold-Deficiency of Spleen Earth, reduced appetite, indigestion, umbilical pain, and frequent nocturia. As stated in the *Neijing*: "Tonify the source of fire to eliminate yin shadows," which precisely describes this medication.
Qian Shi Yihuang San (Master Qian's Powder to Benefit the Yellow/Spleen, also known as Bupi San) treats vomiting and diarrhea due to Cold-Deficiency of the Spleen and Stomach. (Formula seen previously)
My commentary: Use the previous formula for Spleen Earth Cold-Deficiency, or when Cold Water insults Earth, causing vomiting and diarrhea, cold extremities, surging phlegm-saliva, sleeping with eyes partially open (exposed pupils), and anorexia. For vomiting and diarrhea due to Spleen Earth weakness, use Liu Junzi Tang (Six-Gentleman Decoction) with Chaihu (Bupleurum Root). If ineffective or if all extremities are cold, indicating Deficient-Cold, add Muxiang (Aucklandia Root) and Paogjiang (Processed Dried Ginger). If caused by the nursing mother's Spleen deficiency leading to Liver overacting, treat with the aforementioned medicines. If the nursing mother's depression and anger cause these symptoms in the child, the mother should concurrently take Jiawei Guipi Tang (Modified Restore the Spleen Decoction).
Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Pill) mainly treats Spleen and Stomach weakness, anorexia, fatigue, shortness of breath, abdominal fullness, bloating, belching, vomiting, and regurgitation. This medicine is neither cold nor hot, with a balanced nature and flavor. Regular consumption regulates the Spleen, improves complexion, supports righteous qi, and expels evil.
Renshen (Ginseng Root, remove rhizome) Baifuling (Poria, remove bark) Fencao (Licorice Root) Baizhu (Atractylodes Macrocephala Rhizome) Baibiandou (White Hyacinth Bean, fried, shelled) Shanyao (Chinese Yam, remove black skin) Suosharen (Amomum Fruit) Yiyiren (Coix Seed) Jiegeng (Platycodon Root, sliced, fried. Nine ingredients, 1 liang each) Lianzirou (Lotus Seed Embryo, remove heart)
Grind and dry into powder. Take 0.5 to 1 qian per dose, mix with jujube decoction on an empty stomach, or use warm rice soup.
Jianpi Yin (Strengthen Spleen Drink) builds spleen qi, nourishes the stomach, regulates vomiting, treats dysentery and diarrhea, and is suitable for post-illness weak complexion, phlegm-induced nausea, slight abdominal pain, reduced diet, and sluggish spirit.
Houpo (Magnolia Bark, remove coarse bark, slice, soak in ginger juice overnight, stir-fry until dry on low heat, then quench with pure vinegar, stir-fry again on low heat) Renshen (Ginseng Root, remove rhizome, 1 liang each) Baifuling (Poria, remove bark) Roudoukou (Nutmeg) Banxia (Pinellia Tuber, boiled thoroughly, filtered, sliced, dried) Yizhiren (Alpinia Oxyphylla Fruit) Jingxiangfu (Cyperus Rhizome, cleaned) Liangjiang (Galangal Rhizome, sliced, stir-fried with earth from the east wall) Hezirou (Chebula Fruit pulp, 2.5 qian each) Gancao (Licorice Root, honey-fried, 5 qian)
Slice. Take 2 qian per dose, with 1 cup of water, 2 slices of ginger, and 1 jujube, decoct to 70%, take at any time.
Huoxiang Yin (Agastache Drink) regulates deficiency, transforms phlegm, treats disharmony of the Spleen and Stomach, reduced food intake, and strengthens righteous qi to expel pathogens.
Renshen (Ginseng Root, remove rhizome) Banxia (Pinellia Tuber, boiled thoroughly, filtered, sliced, dried) Chifuling (Red Poria, remove bark) Gancao (Licorice Root, honey-fried, 1 liang each) Cangzhu (Atractylodes Rhizome, remove coarse bark, soak in rice wash water overnight, filter dry, slice, stir-fry on fire until slightly yellow, 2 liang) Chenpi (Tangerine Peel, remove white pith) Huoxiang (Patchouli Leaf, remove stem, 7.5 qian each) Houpo (Magnolia Bark, remove coarse bark, processed, 1.5 liang)
Chop the above ingredients. Take 2 qian per dose, with 1 cup of water, 2 slices of ginger, and 1 jujube, decoct to 70%, take warm on an empty stomach, or add roasted salt and decoct together.
To treat infantile Spleen and Stomach weakness and reduced food intake:
Use equal parts of Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), and Gancao (Licorice Root), grind into powder. Take 1 qian per dose, taken with salt water. Another prescription adds Chenpi (Tangerine Peel) and Suosha (Amomum Fruit).
To treat Stomach deficiency with rebellious qi, sucking milk but not eating:
Use 1 qian of Renshen (Ginseng Root), 0.5 qian each of Dingxiang (Clove) and Huoxiangye (Patchouli Leaf), decoct with half a cup of water until cooked, add a little breast milk, and decoct further before taking.
To treat weak Stomach with vomiting and regurgitation, hot palms and soles, and refusal of milk/food:
Use 3.5 qian of Chen Hongqu (Aged Red Yeast Rice), 1.5 qian of Baizhu (Atractylodes Macrocephala Rhizome, bran-fried), 1 qian of Gancao (Licorice Root, honey-fried), grind into powder. Take 0.5 qian per dose, with jujube soup or rice drink.
To treat disharmony of Spleen and Stomach, vomiting, regurgitation, nausea, and refusal of milk/food:
Use 1 qian of Houpo (Magnolia Bark, ginger-processed), 0.5 qian of Baizhu (Atractylodes Macrocephala Rhizome), 0.3 qian each of Ganjiang (Dried Ginger, processed) and Gancao (Licorice Root, honey-fried), decoct with 1 cup of water and 2 slices of ginger, take hot on an empty stomach.
To treat retained food injuring the Spleen, promoting digestion and relieving chest oppression:
Use 0.5 liang each of Suosharen (Amomum Fruit), Jupi (Orange Peel), Sanleng (Sparganium Rhizome), Ezhu (Curcuma Rhizome), Shenqu (Medicated Leaven), and Maiya (Malt); 1 liang of Xiangfuzi (Cyperus Rhizome). Stir-fry each, grind into powder, make pills with wheat starch paste the size of sesame seeds. Take after meals with plain warm water. Adjust the number of pills according to age and condition.
[Mao Xiansheng] Yunqi San (Harmonize Qi Powder)
Jiegeng (Platycodon Root, 5 liang) Gancao (Licorice Root, honey-fried, 2 liang) Baijiang (White Ginger, 1 fen) Suosharen (Amomum Fruit) Chenjupi (Aged Tangerine Peel) Huixiang (Fennel Seed, washed, 1 liang each)
Grind into powder. Take 0.5 or 1 qian, mixed with decoction of Frost Papaya (Shuang Mugua). Purple Perilla salt water is also acceptable. (*Baotong* adds Houpo, Cangzhu, Liangjiang, Gui, and Wumei, named Yangpi Tang.)
Tiaoli Zhongbing Xingpi San (Regulate All Diseases Awaken Spleen Powder)
Muxiang (Costus Root) Baizhu (Atractylodes Macrocephala Rhizome, both wrapped in wet paper and baked) Renshen (Ginseng Root) Fuling (Poria) Caoguozhi (Black Cardamom Fruit) Gancao (Licorice Root, honey-fried) Chenjupi (Aged Tangerine Peel) Houpo (Magnolia Bark, boiled with Gangsha water) Zisuzi (Perilla Seed)
Equal parts, grind into powder. Take 1 qian, with 60% cup of water, 1 slice of ginger, and half a jujube, decoct to 40%, take orally.
Jianpi San (Strengthen Spleen Powder) treats infantile Stomach Qi deficiency.
Baifuling (Poria, remove bark) Renshen (Ginseng Root, 1 liang each) Houpo (Magnolia Bark, 3 liang, ginger-processed) Cangzhu (Atractylodes Rhizome, soaked in rice wash water overnight, 4 liang)
Chenjupi (Tangerine Peel, remove white pith, 5 liang) Gancao (Licorice Root, 2 liang, half raw half cooked) Caoguozhi (Black Cardamom Fruit, peeled, 2 liang)
Grind into powder. Take 1 qian per dose, decoct with ginger and jujube, reduce dosage according to age.
Tiaozhong Yinzi (Regulate the Middle Drink) treats various pediatric diseases.
Roudoukou (Nutmeg) Baizhu (Atractylodes Macrocephala Rhizome, processed) Renshen (Ginseng Root) Chenjupi (Aged Tangerine Peel, remove white pith) Hezi (Chebula Fruit, processed, pitted) Huixiang (Fennel Seed) Gancao (Licorice Root, honey-fried) Suosharen (Amomum Fruit, 0.5 liang each) Huoxiang (Patchouli Leaf) Guixin (Cinnamon Twig) Binglang (Areca Seed, 3 qian each)
Grind into powder. Take 0.5 to 1 qian per dose, decoct with ginger and jujube water, adjust volume to 50% or 40% based on child's age, take orally.
*Baotong* Zhuangpi Quji Jinshi (Strengthen Spleen, Remove Accumulation, Promote Appetite)
Jingsanleng (Beijing Sparganium Rhizome) Peng'ezhu (Curcuma Rhizome, vinegar-wrapped in paper and baked) Yizhi (Alpinia Oxyphylla Fruit, peeled, 4 liang each) Gancao (Licorice Root, honey-fried, 4.5 liang) Chenpi (Tangerine Peel) Qingpi (Green Tangerine Peel, 2 liang each)
Grind into powder. Take 1 qian with water, at any time. Decocting with ginger and jujube is also acceptable.
Shenzhu San (Divine Skill Powder) treats post-illness Spleen and Stomach weakness, irritability, confusion, frequent startles during sleep, rapid breathing, agitation, warms and nourishes Spleen and Stomach, promotes milk/food absorption, harmonizes qi, clears spirit, and harmonizes zang-fu organs.
Baizhu (Atractylodes Macrocephala Rhizome) Renshen (Ginseng Root) Fuling (Poria) Shilianrou (Stone Lotus Seed Embryo, remove heart) Yingsumi (Poppy Seed) Baibiandou (White Hyacinth Bean) Huoxiang (Patchouli Leaf) Gancao (Licorice Root, honey-fried)
Equal parts, fine powder. Take half a small qian, mixed with jujube soup, on an empty stomach and at noon. (Handong Guanyin San contains less Baizhu and Poppy Seed, more Shenqu, Baizhi, Muxiang, and Huangqin.)
*Shenghui* Qianhu San (Peucedanum Powder) treats disharmony of Spleen and Stomach, aversion to seeing food with urge to vomit, and chest/heart congestion.
Qianhu (Peucedanum Root) Lugeng (Reed Rhizome, 3 fen each) Guixin (Cinnamon Twig, 1 fen) Renshen (Ginseng Root) Baizhu (Atractylodes Macrocephala Rhizome) Chifuling (Red Poria) Pipaye (Loquat Leaf, remove hairs, honey-fried) Gancao (Licorice Root, honey-fried) Houpo (Magnolia Bark, ginger-processed, 0.5 liang each)
Coarsely sieve. Take 1 qian, with one small cup of water and a little ginger, decoct to 50%, take warm at any time in appropriate amounts.
[Zhang Huan] Jixiang Jian (Collect Fragrance Decoction) treats Spleen and Stomach deficiency, anorexia, and emaciation.
Huoxiangye (Patchouli Leaf) Houpo (Magnolia Bark, ginger-processed) Dingxiang (Clove) Chenxiang (Agarwood) Muxiang (Costus Root, 1 liang each) Baifuling (Poria) Baidoukou (White Cardamom) Baizhu (Atractylodes Macrocephala Rhizome, processed, 0.5 liang each)
Grind into fine powder. Add 1 qian of Shexiang (Musk), 1 sheng of water, half a jin of honey, 30 jujubes, and 20 slices of ginger. Slowly boil into a paste in a silver or ceramic vessel. Remove ginger and jujube, dry in a ventilated place. Take one dose the size of a soap bean, with rice drink before nursing.
Tiaozhong San (Regulate the Middle Powder) treats pediatric imbalance of cold and heat leading to Spleen and Stomach disharmony.
Muxiang (Costus Root, sliced) Renshen (Ginseng Root, remove rhizome) Qingjupi (Green Tangerine Peel, soaked in water, remove white pith, dried, 1 liang each) Dingxiang (Clove) Baizhu (Atractylodes Macrocephala Rhizome) Baifuling (Poria) Dafupi (Areca Peel, sliced) Gancao (Licorice Root)
Pound and sieve into fine powder. Take 1 qian, with one small cup of water and 3 slices of fresh ginger, decoct to 50%, strain and take warm.
Yiwei Dan (Benefit Stomach Pill) regulates cold and heat, harmonizes Spleen and Stomach.
Danggui (Angelica Sinensis Root, washed, dried) Muxiang (Costus Root) Baizhu (Atractylodes Macrocephala Rhizome) Chenxiang (Agarwood, 1 liang each) Baishao (White Peony Root) Renshen (Ginseng Root, remove rhizome) Peng'ezhu (Curcuma Rhizome) Suosharen (Amomum Fruit, 0.5 liang each)
Pound and sieve into fine powder, mix with white wheat starch paste, make pills the size of millet seeds. Take 10 to 15 pills per dose, with Shexiang Tang (Musk Decoction).
Adjust dosage according to child's size.
Dingxiang Huangsan (Clove and Astragalus Powder) treats infantile Spleen and Stomach weakness, inability to eat, gradual damage to Ying and Wei (Nutritive and Defensive qi), resulting in emaciation, frequent dysentery, and bluish-white complexion.
Dingxiang (Clove) Mianhuangqi (Milky Astragalus Root, sliced) Renshen (Ginseng Root, remove rhizome) Baizhu (Atractylodes Macrocephala Rhizome) Danggui (Angelica Sinensis Root, washed, dried) Biejia (Turtle Shell, coated with butter, fried yellow, remove skirt, 1 liang each) Huhuanglian (Japanese Coptis Rhizome) Gancao (Licorice Root, honey-fried, 0.5 liang each)
Pound and sieve into fine powder. Take 1 qian per dose, with 1 cup of water, 2 slices of ginger, and 2 jujubes, decoct to 50%, strain and take warm before meals.
*Qianjin* Dihuang Wan (Rehmannia Pill from *Essential Prescriptions of Value of a Thousand Gold*) treats irregular Stomach Qi, anorexia, and failure to gain flesh.
Gan Dihuang (Rehmannia Root, dried) Dahuang (Rhubarb Root, 2 liang 6 zhu each) Fuling (Poria, 18 zhu) Xingren (Apricot Seed) Chaihu (Bupleurum Root) Danggui (Angelica Sinensis Root, 0.5 liang each)
Grind into powder, make honey pills the size of sesame seeds. Take 5 pills per dose, three times daily.
*Yingru* treats non-eating in children aged three to seven, or vomiting, or head heat, or diarrhea, or thirst, or hot hands and feet, sometimes cold. One dose daily enables eating.
Biejia (Turtle Shell, 1 liang) Danggui (Angelica Sinensis Root) Gancao (Licorice Root, honey-fried) Shengma (Cimicifuga Rhizome, 2.5 qian each) Jiao (Sichuan Pepper, 50 grains, sweat-treated)
Cut into pieces, decoct with 1 sheng of water to obtain 8 ge, divide into three doses. Take the next dose after walking for about six to seven li. After taking, feel moist on the body, cover with clothes to induce sweat. Mild sweating is sufficient; do not induce profuse sweating.