人有肝气甚郁，结成气块，在左胁之下，左腹之上，动则痛，静则宁，岁月既
久，日渐壮大，面色黄槁，吞酸吐痰，时无休歇，人以为痞块也，谁知木郁而成
瘕乎。夫肝木之性，最喜飞扬，不喜闭滞。肝气一郁，必下克脾胃。脾胃受克，则
气不能畅行于脏腑，遇肝之部位，必致阻滞而不行，日积月累，无形化为有形，非
血积而成瘕，必食积为 也。治法舒其肝中之郁，助其脾胃之气，则有形仍化为无
形矣。倘见有形，误认为食与血，妄用消食败血之剂，则脾胃之气大伤，而肝之郁
仍不能解，势必其形愈大，往往有致死不悟者，不重可悲乎？方用平肝消瘕汤治之。
白芍（一两） 当归（五钱） 白术（一两） 柴胡（一钱） 鳖甲（三钱） 神曲（一钱）
山楂（一钱） 枳壳（一钱） 半夏（一钱） 水煎服。四剂块小，又有四剂而块又小，十剂块
全消矣。
此方全去平肝以解郁。郁气一舒，不来克脾胃之土，则土气自安。加白术以健
脾开胃，则脾胃气旺，不畏肝气之克，则气自通，肝何阻滞之有。况用鳖甲、山楂
皆是攻坚去秽之神药，何至有郁闷不舒哉。
此症用化痞膏外治亦可。
大黄（五钱） 人参（三钱） 白术（五钱） 枳实（三钱） 丹皮（二钱） 鳖甲（一两）
神曲（一两） 山楂（五钱） 麦芽（五钱） 浓朴（三钱） 当归（一两） 白芍（一两） 使君子肉（三钱）
两头尖（二钱） 蒲公英（一两） 金银花（一两） 生甘草（二钱） 槟榔
（二钱） 防风（一钱） 川乌（一个） 香油（三斤） 锅熬以上药，煎数沸，用白布将药渣漉出，
再煎，油滴水成珠，然后再入后药末∶
薄荷叶（二钱） 乳香 没药（各五钱） 麝香（一钱） 赤石脂（二两） 冰片（二钱） 阿魏（三钱）
血竭（三钱） 各为末，入油内再煎，又入炒过、水飞过黄丹末一斤，收之成膏矣。贴痞块，止消
一个即消。其膏药须摊得浓，不可大也。
人有脾气虚寒，又食寒物，结于小腹之闲，久不能消，遂成硬块，已而能动，
人以为 结而生瘕也，谁知是命门火衰不能化物乎。夫脾乃湿土，必藉命门之火熏
蒸。倘命门火衰，则釜底无薪，何以蒸腐水谷哉。譬如阳和之地，有太阳之照，则
万物发育。处于阴寒幽冷之区，则草木萎稿，安得有萌芽之达耶？又譬如淤泥湿田，
非遇烈日炎氛，未易烁干，是土必得火而燥也。人身脾土何独不然，无火则所用之
饮食停积于中，而 瘕生焉。若用攻逐之法，则亏损脾阴，势所不免。何若仍补命
门之火，扶助脾土，则旺土自能消化，不必攻逐而 瘕自开，更觉渐移默夺之为胜
哉。方用温土消瘕汤∶
白术（一两） 茯苓（一两） 肉桂（二钱） 枳实（二钱） 人参（五钱） 巴戟天（五钱）
山楂（一钱） 水煎服。二剂块少减，又二剂块又减，十剂消化于乌有矣。
此方用巴戟天、肉桂温补命门之火，火旺则阴霾自灭。人参、白术、茯苓健脾
又能利湿，湿去而土燥温和，寒虫水怪何所潜形。况有枳实、山楂之类，原能攻逐
乎。此方殆治其源，而又治其标者也。
此症亦可用化块丹治之。
人参（五钱） 白术（二两） 肉桂 神曲（各二钱） 荸荠（一两） 鳖甲（三钱） 水煎服。
人有胃气虚弱，食不能消，偶食坚硬之物存于胃中，久则变为有形之物腹中乱
动，动时疼不可忍，得食则解，后则渐大，虽有饮食亦痛，人以为痞块成鳖也，谁
知似鳖非鳖乎。盖痛之时，以手按之宛如鳖身之背，四足之齐动也。夫鳖动物也，
岂肯久安于一处，其非鳖也，明甚。何形之宛似乎？盖胃属土，土中所生之物，大
约四足者居多，土中所生之物，喜静而不喜动，故安士重迁，形如鳖而不移也。但
既不喜动，何以乱动？盖性虽喜静，而觅食充饥，则动静之物相同，试看其得食则
减，而不乱动，非索食之验乎。日用饮食以供其口腹，则身形日大；身形既大，所
用之饮食，何足以供之？自然啮皮伤肉，安得不痛哉？治法自当以杀虫为主。然杀
虫犹攻邪也，攻邪必伤正气。补正以杀虫，又何疑乎。方用攻补两益汤∶
榧子（十个） 白薇（三钱） 雷丸（三钱） 神曲（三钱） 槟榔（二钱） 使君子（十个）
白术（一两） 人参（五钱） 水煎服。一剂腹必大痛，断不可饮之茶水，坚忍半日，如渴
再饮二煎药汁，少顷必将虫秽之物尽下而愈，不必二剂。
此方神奇，方中尽是杀虫之味，用之于人参、白术之中，且以二味为君主之药。
盖冲锋破阵之帅，必得仁圣之君，智谋之相，筹画于尊俎之间，始能奏凯成功耳。
倘舍人参、白术不用，徒用杀虫之味，亦未必无功，然斩杀过伤，自损亦甚，非十
全之师也。
此症用化鳖汤亦效。
人参（三钱） 白术（五钱） 白薇 百部（各三钱） 麝香 枳壳（各一钱） 槟榔（二钱）
鳗鱼骨炒黑为末，煎汁服。
人有气虚下陷，饮食停住于脾胃之间而成块者，久则其形渐大，悠悠忽忽，似
痛不痛，似动不动，人以为痞块也，谁知是阳气不升之故乎。夫脾胃之气，日动宜
升，不可一朝下陷。倘饥饱劳役，以伤其形，房帏秘戏，以伤其骨，加之浓味醇醪，
不节口腹，则脾胃之气何能升哉。于是阳闭于阴之中，阴离于阳之内，阴阳两不交
接，饮食不易消化矣。即能消化而气结不伸，亦能成形，但其形外大而内歉，按之
如空虚之状，见假象以惑人也。治法不必治块，惟升提阳气，则脾胃无下陷之虚，
气块不消而自化矣。方用补中益气汤∶
人参（三钱） 黄 （一两） 当归（三钱） 陈皮（一钱） 甘草（一钱） 白术（一两） 柴胡（一钱）
升麻（四分） 半夏（一钱） 水煎服。
补中益气汤乃提阳气之圣药也。此病原是气虚，故用黄 补气为君。用白术一
两者，以块结于腹，取其利腰脐，以通上下之气。参、归助 、术以健脾胃之土。
土气既旺，用升、柴提之，则气尤易升。 瘕之块，未必无痰涎之壅。加半夏入于
陈皮、甘草之中，则消痰而又不耗气。同群共济，发扬阳气之升，即有邪结无不散
矣。况原系气块，而非食块，有不立时消化者哉？多亦不过数剂，便可奏功也。
此症亦可用加减六君子汤治之。
人参（三钱） 白术 茯苓（各五钱） 甘草 山楂 麦芽 浓朴（各一钱） 陈皮 枳壳（各五分）
神曲（一钱） 水煎服。
人有正值饮食之时，忽遇可惊之事，遂停滞不化，久成 瘕者。医有作痞块治
之不效，用补药治之亦不效，盖惊气之未收也。夫少阳胆气，主发生者也，一遇惊
则其气郁结不伸。胆与肝为表里，胆病而肝亦病，必加怒于脾胃之土。脾胃畏木气
之旺，不能消化糟粕，于是木土之气两停于肠胃之间，遂成 瘕而不可解也。治法
必须开少阳之郁为先，佐之平肝之剂，则脾胃不畏肝胆之克，自能分消水谷，何至
瘕之不散哉？方用逍遥散治之。
白术（二钱） 白芍（五钱） 当归（三钱） 柴胡（二钱） 陈皮（一钱） 半夏（一钱） 鳖甲（三钱）
甘草（五分） 茯苓（三钱） 水煎服。一剂轻，二剂又轻，十剂全愈。
逍遥散乃解郁之神药也。肝胆二经之郁结开，则脾胃之 瘕不攻自破矣。
此症用消瘕汤亦神效。
白芍（一两） 白术 鳖甲（各五钱） 甘草 郁金（各一钱） 枳壳（五分） 天花粉
丹皮 香附（各二钱） 茯苓 巴戟（各三钱） 白豆蔻（二粒） 广木香（五分） 水煎服。
人有偶食难化之物，忽又闻惊骇之事，则气结不散，食亦难消，因而痰裹成瘕，
人以为痞也，谁知是惊气之闭结乎。夫惊则气下，疑有食必随气而下矣，胡为因惊
反多留滞耶？不知气乃无形，食乃有形也。无形之气，随惊而下降；有形之物，随
惊而上升。且惊则气下于肝中，而不下于脾中也。气下于肝，则肝之气不散，而下
克脾土，即无物相闲，尚留物不化，况原有难化之物，受于未惊之前，安得即化乎，
此瘕所以生也。治法必去惊骇之气，大培脾胃之土，则 瘕不攻自散也。方用培
土化瘕汤∶
白术（一两） 柴胡（一钱） 茯苓（三钱） 山药（四钱） 神曲（二钱） 山楂（一钱） 枳壳（五分）
两头尖（三钱） 浓朴（一钱） 鳖甲（一钱五分） 白薇（一钱） 何首乌（生用二钱） 白芍（五钱）
白芥子（二钱） 水煎服。十剂 瘕消半，再服十剂全消。
此方用白术以培土，何又用白芍以平肝？盖脾弱由于肝胆之相制，用白芍以平
肝胆，正所以培脾胃之土也。肝既不克脾胃之土，则土气升腾，无物不化，况益之
消瘕破 之味，何块之不除哉？且方中柴胡一味，已抒肝胆之气，胆气扬而肝气快，
总有惊骇，不知消归何处，宁患 瘕之固结哉。
此症亦可用消瘕汤治之。
人有饱食即睡于风露之间，睡未觉腹中饱闷不舒，后遂成痞，人以为食未消而
成痞也，谁知风露之邪裹痰于胃中乎。夫风邪阳邪也，露邪阴邪也。二邪合，而不
阴不阳之气最难化物，故往往停积腹中而不散。治法通其阴阳，使阳邪入于阴之中，
阴邪出于阳之外，则阴阳正气两不相损，庶痰气开而邪易遁也。第阳邪易散，而阴
邪难散。然虽有阴阳之分，而祛邪何论阴阳。但补其阴阳之正气，则邪不祛而自祛
矣。方用两祛丹∶
白术（一两） 人参（三钱） 何首乌（生用三钱） 鳖甲末（三钱） 地栗粉（三钱）
神曲（二钱） 茯苓（二钱） 当归（三钱） 半夏（一钱） 贝母（一钱） 水煎服。二剂轻，
四剂又轻，十剂痞块全消。
此方脾胃双治之法也。脾胃俱属阴，奈何置阳不问乎？不知阳邪入于阴分，已
全乎为阴矣。全乎为阴，是忘其为阳也，故治阴而不必治阳。然方中虽是治阴，未
常非治阳之药，所以能入于阴之中，又能出乎阴之外，而阴邪阳邪两有以消之也。
人有食菜蔬之类，觉胸膈有碍，遂疑有虫，因而作痞，人以为虫子之作祟也。
谁知是心疑而物不化乎。夫脾胃主化物者也，毋论菜蔬入胃俱化，即虫子之类，到
胃入脾安有不化者乎？虫即消化，何能成痞？盖疑心害之也。夫脾胃之所以能化物
者，全藉乎先后天之火气也。后天火气在心包，先天火气在命门，心包之火生胃，
命门之火生脾。脾胃有二经火气，而后能化糟粕而出精微，土得火而生也。食菜蔬
而动疑，则心动矣。心包代心出治，主动而不主静。今心动而心包反不敢动，心包
不代心君以出治，则火气不入于胃。胃既不能化物，而脾遂不为胃以营运，其所食
之物，又安能化？自然停住于腹，而成痞矣。若不解其疑，止去健脾消痞，则 瘕
宁易荡除哉。方用释疑汤∶
人参（三钱） 巴戟天（五钱） 茯苓（三钱） 白术（五钱） 白薇（二钱） 甘草（一钱）
使君子（三枚） 砂仁（三粒） 肉桂（一钱） 广木香（三分） 菖蒲（五分） 水煎服。二剂轻，四
剂又轻，十剂全消。
此方全去温补心包之气，心包气旺，则心包之火自必升腾，宁肯自安于无为，
而不代心君以宣化哉。心包火气宣于胃中，而命门之火翕然相从，不啻如夫妇同心，
内外合力，齐心攻击，虽有 瘕，不立时消化，吾不信也。
此症亦可用加味四君汤治之。
人参 远志 山药（各三钱） 白术（五钱） 甘草 枳壳（各一钱） 茯苓（五钱） 菖蒲（一钱）
山楂（二十粒） 神曲（一钱） 水煎服。
有人肝气极度郁结，凝聚成气块，位于左胁下、左腹上部，活动时疼痛，静止时安宁。日久天长，肿块日渐增大，面色枯黄憔悴，伴有吞酸吐痰，症状时无休止。人们以为是痞块，谁知这是肝木郁结而形成的瘕证呢？肝木的性情，最喜欢舒展飞扬，不喜欢闭滞不通。肝气一旦郁结，必然向下克制脾胃。脾胃受到克制，则气不能在脏腑中畅行，遇到肝的部位，必定导致阻滞而不运行，日积月累，无形之气化为有形的积聚，不是血积而成瘕，就是食积形成痞块。治疗方法是疏解肝中的郁结，辅助脾胃之气，那么有形的积聚就能重新化为无形。如果见到有形之块，误认为是食积或血瘀，妄用消食破血的药物，就会严重损伤脾胃之气，而肝的郁结仍然不能解除，势必导致肿块越来越大，往往有人因此致死而不知悔改，这难道不令人悲痛吗？方用平肝消瘕汤治疗。
白芍（一两） 当归（五钱） 白术（一两） 柴胡（一钱） 鳖甲（三钱） 神曲（一钱） 山楂（一钱） 枳壳（一钱） 半夏（一钱） 水煎服。服用四剂后肿块缩小，再服四剂肿块又缩小，十剂后肿块完全消除。
此方主要作用是平抑肝气以解除郁结。郁结之气一旦舒展，不再克制脾胃之土，则脾土之气自然安宁。加入白术来健脾开胃，使脾胃之气旺盛，不再畏惧肝气的克制，气机自然通畅，肝气还有什么阻滞的呢？况且使用鳖甲、山楂都是攻坚去秽的神奇药物，怎么会有郁闷不舒的情况呢？
大黄（五钱） 人参（三钱） 白术（五钱） 枳实（三钱） 丹皮（二钱） 鳖甲（一两） 神曲（一两） 山楂（五钱） 麦芽（五钱） 浓朴（三钱） 当归（一两） 白芍（一两） 使君子肉（三钱） 两头尖（二钱） 蒲公英（一两） 金银花（一两） 生甘草（二钱） 槟榔（二钱） 防风（一钱） 川乌（一个） 香油（三斤）。将以上药物放入香油中熬制，煎煮数沸，用白布滤出药渣，再次煎煮，直到油滴水成珠状，然后加入以下药末：薄荷叶（二钱） 乳香 没药（各五钱） 麝香（一钱） 赤石脂（二两） 冰片（二钱） 阿魏（三钱） 血竭（三钱）。各研为细末，放入油中再煎，再加入炒过并水飞过的黄丹末一斤，收膏而成。贴敷于痞块处，止消一个即消一个。膏药必须摊得厚一些，不可太薄。
有人脾气虚寒，又食用了寒凉食物，凝结在小腹之间，久久不能消散，遂成硬块，后来肿块会移动，人们以为是虫结而生瘕，谁知这是命门火衰不能消化食物所致呢？脾属湿土，必须借助命门之火来熏蒸。如果命门火衰，就像锅底没有柴火，怎么能蒸煮腐熟水谷呢？譬如阳光和煦之地，有太阳照耀，万物才能发育；处于阴寒幽冷之处，草木就会枯萎，哪里能有萌芽生长呢？又譬如淤泥湿地，不遇到烈日暴晒，不容易晒干，是土地必须得到火的烘烤才能干燥。人身上的脾土难道唯独不是这样吗？没有火，所吃的饮食就会停积在体内，从而产生瘕块。如果使用攻逐的方法，必然会亏损脾阴，这是势所难免的。何不还是补益命门之火，扶助脾土，那么旺盛的脾土自然能消化食物，不必攻逐而瘕块自开，更觉得这种潜移默化地改变更为高明。方用温土消瘕汤：
白术（一两） 茯苓（一两） 肉桂（二钱） 枳实（二钱） 人参（五钱） 巴戟天（五钱） 山楂（一钱） 水煎服。服用两剂后肿块稍减，再服两剂肿块又减小，十剂后在无形中完全消化。
此方用巴戟天、肉桂温补命门之火，火旺则阴寒之气自然消灭。人参、白术、茯苓健脾又能利湿，湿气去除而土壤干燥温和，寒虫水怪有什么地方可以潜藏呢？况且有枳实、山楂之类，原本就能攻逐积滞。此方大概是既治其本源，又治其标症的方法。
此症也可以用化块丹治疗。
人参（五钱） 白术（二两） 肉桂 神曲（各二钱） 荸荠（一两） 鳖甲（三钱） 水煎服。
有人胃气虚弱，食物不能消化，偶尔吃了坚硬之物存留在胃中，日久变为有形之物，在腹中乱动，动的时候疼痛难忍，进食后缓解，后来逐渐变大，即使有饮食也感到疼痛，人们以为是痞块长成了鳖的样子，谁知似鳖非鳖呢？大概疼痛的时候，用手按压它宛如鳖身之背，四肢整齐地一起动。鳖是动物，岂肯久安于一处，它不是鳖是很明显的。为什么形状像鳖呢？盖因胃属土，土中所生的东西，大约四足的居多，土中所生的东西，喜欢安静而不喜欢活动，所以安居重迁，形状像鳖而不移动。但是既然不喜欢动，为什么会乱动呢？盖因其本性虽然喜静，但为了觅食充饥，则动静与物相同，试看它得到食物就减少活动，不乱动，这不是索食的验证吗？日用饮食供养它的口腹，身形就日益增大；身形既已增大，所用的饮食，怎么足以供养它呢？自然会啃咬皮肉，怎么会不痛呢？治疗方法自然应当以杀虫为主。然而杀虫也是攻邪，攻邪必然损伤正气。补益正气以杀虫，又有什么可怀疑的呢？方用攻补两益汤：
榧子（十个） 白薇（三钱） 雷丸（三钱） 神曲（三钱） 槟榔（二钱） 使君子（十个） 白术（一两） 人参（五钱） 水煎服。服用一剂后腹部必定大痛，绝对不可以饮茶喝水，坚忍半天，如果口渴再饮用第二煎的药汁，不久必将虫秽之物全部排出而痊愈，不需要服用第二剂。
此方神奇，方中尽是杀虫的药物，用在人参、白术之中，且以这两味药为君药。好比冲锋破阵的主帅，必须得到仁圣的君主、智谋的宰相，在尊俎之间筹划，才能奏凯成功。如果舍弃人参、白术不用，只用杀虫的药物，也未必没有功效，然而斩杀过度受伤，自身损失也很严重，不是十全的军队。
此症用化鳖汤也有效。
人参（三钱） 白术（五钱） 白薇 百部（各三钱） 麝香 枳壳（各一钱） 槟榔（二钱） 鳗鱼骨炒黑为末，煎汁服。
有人气虚下陷，饮食停住在脾胃之间而成块，日久其形状逐渐变大，悠悠忽忽，似痛非痛，似动非动，人们以为是痞块，谁知这是阳气不升的缘故呢？脾胃之气，日夜运动宜升，不可一朝下陷。如果饥饱劳役，损伤形体，房事过度，损伤骨骼，加上浓味醇酒，不节制口腹，那么脾胃之气怎么能上升呢？于是阳气闭阻于阴之中，阴气分离于阳之内，阴阳两者不交接，饮食就不易消化了。即使能消化，但气结不能伸展，也能成形，但其形外大而内空，按之如空虚的状态，呈现假象迷惑人。治疗方法不必治块，只需升提阳气，那么脾胃就没有下陷之虚，气块不消而自化了。方用补中益气汤：
人参（三钱） 黄芪（一两） 当归（三钱） 陈皮（一钱） 甘草（一钱） 白术（一两） 柴胡（一钱） 升麻（四分） 半夏（一钱） 水煎服。
补中益气汤是提升阳气的圣药。此病原是气虚，所以用黄芪补气为君药。用白术一两，是因为块结在腹部，取其利腰脐，以通上下之气。参、归助芪、术以健脾胃之土。土气既旺，用升麻、柴胡提举，则气更容易上升。瘕块未必没有痰涎壅塞。加入半夏于陈皮、甘草之中，则消痰又不耗气。同群共济，发扬阳气之升，即使有邪结无不散矣。况且原是气块，而非食块，有不立即消化的吗？多也不过几剂，便可奏效。
此症也可以用加减六君子汤治疗。
人参（三钱） 白术 茯苓（各五钱） 甘草 山楂 麦芽 浓朴（各一钱） 陈皮 枳壳（各五分） 神曲（一钱） 水煎服。
有人在正值饮食之时，忽然遇到惊恐之事，于是停滞不化，日久成瘕。医生有的当作痞块治疗无效，用补药治疗也无效，这是因为惊气未收。少阳胆气，主发生，一旦遇到惊吓，其气郁结不伸。胆与肝互为表里，胆病而肝亦病，必然加怒于脾胃之土。脾胃畏惧木气之旺，不能消化糟粕，于是木土之气两停于肠胃之间，遂成瘕而不可解。治疗方法必须开泄少阳之郁为先，佐以平肝之剂，则脾胃不畏肝胆之克，自然能分消水谷，何至于瘕不散呢？方用逍遥散治疗。
白术（二钱） 白芍（五钱） 当归（三钱） 柴胡（二钱） 陈皮（一钱） 半夏（一钱） 鳖甲（三钱） 甘草（五分） 茯苓（三钱） 水煎服。一剂减轻，二剂又减轻，十剂全愈。
逍遥散是解郁的神药。肝胆二经的郁结打开，则脾胃的瘕不攻自破了。
此症用消瘕汤也神效。
白芍（一两） 白术 鳖甲（各五钱） 甘草 郁金（各一钱） 枳壳（五分） 天花粉 丹皮 香附（各二钱） 茯苓 巴戟（各三钱） 白豆蔻（二粒） 广木香（五分） 水煎服。
有人偶然吃了难消化的东西，忽然又听到惊恐骇人的事情，则气结不散，食物也难消化，因而痰裹成瘕，人们以为是痞块，谁知是惊气闭结呢？惊则气下，怀疑有食物必随气而下，为何因惊反而多留滞呢？不知道气是无形的，食物是有形的。无形之气，随惊而下降；有形之物，随惊而上升。且惊则气下于肝中，而不下于脾中。气下于肝，则肝之气不散，而下克脾土，即使无物相间，尚且留有食物不化，何况原有难化的食物，受于未惊之前，怎么能立即消化呢，这就是瘕产生的原因。治疗方法必须去除惊骇之气，大培脾胃之土，则瘕不攻自散了。方用培土化瘕汤：
白术（一两） 柴胡（一钱） 茯苓（三钱） 山药（四钱） 神曲（二钱） 山楂（一钱） 枳壳（五分） 两头尖（三钱） 浓朴（一钱） 鳖甲（一钱五分） 白薇（一钱） 何首乌（生用二钱） 白芍（五钱） 白芥子（二钱） 水煎服。十剂瘕消一半，再服十剂全消。
此方用白术以培土，为何又用白芍以平肝？盖因脾弱由于肝胆的相制，用白芍以平肝胆，正是为了培补脾胃之土。肝既不克制脾胃之土，则土气升腾，无物不化，何况加上消瘕破积的味道，什么块状物不能去除呢？且方中柴胡一味，已抒发肝胆之气，胆气扬而肝气快，总有惊骇，不知消归何处，还担心瘕的固结吗？
此症也可以用消瘕汤治疗。
有人饱食后立即睡在风露之间，睡醒后觉腹中饱闷不舒，后来遂成痞块，人们以为是食物未消而成痞，谁知是风露之邪裹痰于胃中呢？风邪是阳邪，露邪是阴邪。二邪合，而不阴不阳之气最难化物，故往往停积腹中而不散。治疗方法通其阴阳，使阳邪入于阴之中，阴邪出于阳之外，则阴阳正气两不相损，庶痰气开而邪易遁也。第阳邪易散，而阴邪难散。然虽有阴阳之分，而祛邪何论阴阳。但补其阴阳之正气，则邪不祛而自祛矣。方用两祛丹：
白术（一两） 人参（三钱） 何首乌（生用三钱） 鳖甲末（三钱） 地栗粉（三钱） 神曲（二钱） 茯苓（二钱） 当归（三钱） 半夏（一钱） 贝母（一钱） 水煎服。二剂轻，四剂又轻，十剂痞块全消。
此方是脾胃双治的方法。脾胃俱属阴，奈何置阳不问乎？不知道阳邪入于阴分，已全乎为阴矣。全乎为阴，是忘其为阳也，故治阴而不必治阳。然方中虽是治阴，未常非治阳之药，所以能入于阴之中，又能出乎阴之外，而阴邪阳邪两有以消之也。
有人吃菜蔬之类，觉得胸膈有碍，于是怀疑有虫，因而作痞，人们以为是虫子作祟。谁知是心疑而物不化呢？脾胃主化物，无论菜蔬入胃俱化，即虫子之类，到胃入脾安有不化者乎？虫即消化，何能成痞？盖疑心害之也。夫脾胃之所以能化物者，全藉乎先后天之火气也。后天火气在心包，先天火气在命门，心包之火生胃，命门之火生脾。脾胃有二经火气，而后能化糟粕而出精微，土得火而生也。食菜蔬而动疑，则心动矣。心包代心出治，主动而不主静。今心动而心包反不敢动，心包不代心君以出治，则火气不入于胃。胃既不能化物，而脾遂不为胃以营运，其所食之物，又安能化？自然停住于腹，而成痞矣。若不解其疑，止去健脾消痞，则瘕宁易荡除哉。方用释疑汤：
人参（三钱） 巴戟天（五钱） 茯苓（三钱） 白术（五钱） 白薇（二钱） 甘草（一钱） 使君子（三枚） 砂仁（三粒） 肉桂（一钱） 广木香（三分） 菖蒲（五分） 水煎服。二剂轻，四剂又轻，十剂全消。
此方全去温补心包之气，心包气旺，则心包之火自必升腾，宁肯自安于无为，而不代心君以宣化哉。心包火气宣于胃中，而命门之火翕然相从，不啻如夫妇同心，内外合力，齐心攻击，虽有瘕，不立时消化，吾不信也。
此症也可以用加味四君汤治疗。
人参 远志 山药（各三钱） 白术（五钱） 甘草 枳壳（各一钱） 茯苓（五钱） 菖蒲（一钱） 山楂（二十粒） 神曲（一钱） 水煎服。
There are cases where Liver Qi is extremely stagnant, condensing into a Qi mass located below the left hypochondrium and above the left abdomen. It causes pain upon movement and relief upon rest. Over time, the mass gradually enlarges, the complexion becomes sallow and withered, accompanied by acid regurgitation and expectoration of phlegm, with symptoms persisting without cessation. People assume it to be a *Pi* mass (痞块, epigastric fullness/mass), but who would know that this is actually a *Jia* syndrome (瘕证, movable abdominal mass) formed due to the stagnation of Wood (Liver)? The nature of Liver Wood prefers to spread and rise freely, disliking closure and stagnation. Once Liver Qi stagnates, it inevitably attacks the Spleen and Stomach downward. When the Spleen and Stomach are attacked, Qi cannot circulate smoothly through the Zang-Fu organs. Upon encountering the Liver's region, obstruction occurs, preventing flow. Day by day and month by month, formless Qi transforms into a tangible accumulation. This is either blood stasis forming a *Jia*, or food retention forming a *Pi*. The treatment method is to soothe the stagnation in the Liver and assist the Qi of the Spleen and Stomach, so that the tangible accumulation transforms back into the formless. If one sees a tangible mass and mistakenly identifies it as food retention or blood stasis, recklessly using herbs to digest food or break blood will severely damage the Qi of the Spleen and Stomach, while the Liver's stagnation remains unresolved. Consequently, the mass will inevitably grow larger, often leading to death without realization. Is this not deeply tragic? Use Ping Gan Xiao Jia Tang (Calm the Liver and Dissolve Mass Decoction) for treatment.
Bai Shao (White Peony Root, 1 liang), Dang Gui (Angelica Sinensis, 5 qian), Bai Zhu (Atractylodes Macrocephala, 1 liang), Chai Hu (Bupleurum, 1 qian), Bie Jia (Turtle Shell, 3 qian), Shen Qu (Medicated Leaven, 1 qian), Shan Zha (Hawthorn, 1 qian), Zhi Ke (Immature Bitter Orange, 1 qian), Ban Xia (Pinellia, 1 qian). Decoct in water and take orally. After four doses, the mass shrinks; after another four doses, it shrinks further; after ten doses, the mass completely disappears.
This formula primarily calms the Liver to resolve stagnation. Once the stagnant Qi relaxes, it no longer attacks the Earth of the Spleen and Stomach, allowing the Qi of Earth to settle naturally. Adding Bai Zhu strengthens the Spleen and opens the stomach, making Spleen and Stomach Qi robust so they do not fear Liver Qi attack, allowing Qi to flow freely. What obstruction could the Liver cause then? Moreover, Bie Jia and Shan Zha are miraculous herbs for attacking hardness and removing filth. How could there be depression and discomfort?
For this condition, Hua Pi Gao (Dissolve Pi Paste) can also be used externally.
Da Huang (Rhubarb, 5 qian), Ren Shen (Ginseng, 3 qian), Bai Zhu (Atractylodes Macrocephala, 5 qian), Zhi Shi (Immature Bitter Orange, 3 qian), Dan Pi (Moutan Cortex, 2 qian), Bie Jia (Turtle Shell, 1 liang), Shen Qu (Medicated Leaven, 1 liang), Shan Zha (Hawthorn, 5 qian), Mai Ya (Barley Sprout, 5 qian), Hou Po (Magnolia Bark, 3 qian), Dang Gui (Angelica Sinensis, 1 liang), Bai Shao (White Peony Root, 1 liang), Shi Jun Zi Rou (Seed of Quisqualis, 3 qian), Liang Tou Jian (Rhizoma Typhonii, 2 qian), Pu Gong Ying (Dandelion, 1 liang), Jin Yin Hua (Honeysuckle, 1 liang), Sheng Gan Cao (Raw Licorice, 2 qian), Bing Lang (Areca Nut, 2 qian), Fang Feng (Saposhnikovia, 1 qian), Chuan Wu (Aconitum Carmichaelii, 1 piece), Xiang You (Sesame Oil, 3 jin). Boil the above herbs in sesame oil. After several boils, filter out the dregs with white cloth. Re-boil until the oil drops form pearls. Then add the following powdered herbs: Bo He Ye (Mint Leaf, 2 qian), Ru Xiang (Frankincense) and Mo Yao (Myrrh) (each 5 qian), She Xiang (Musk, 1 qian), Chi Shi Zhi (Red Halloysite, 2 liang), Bing Pian (Borneol, 2 qian), A Wei (Asafoetida, 3 qian), Xue Jie (Dragon's Blood, 3 qian). Grind each into powder, mix into the oil, and boil again. Add 1 jin of Huang Dan (Lead Monoxide, processed and levigated), and collect to form the paste. Apply to the Pi mass; applying it stops the growth of one mass. The paste must be applied thickly, not thinly.
There are cases where Spleen Qi is deficient and cold, combined with the consumption of cold foods, condensing in the lower abdomen. Unable to dissipate over time, it forms a hard mass that later moves. People assume it is a虫结 (worm knot) causing a *Jia*, but who would know this is due to the decline of Ming Men Fire (Gate of Life Fire) failing to transform substances? The Spleen is damp Earth, relying on Ming Men Fire to steam and warm. If Ming Men Fire declines, it is like having no fire under the pot; how can it cook and rot the water and grain? For example, in a warm place with sunlight, all things develop; in a cold, dark area, plants wither. How can sprouts emerge? Similarly, muddy wet fields require intense sun to dry; soil must receive fire to become dry. Is the human Spleen Earth any different? Without fire, ingested food accumulates internally, generating *Jia* masses. If one uses purging methods, Spleen Yin will inevitably be damaged. Why not instead tonify Ming Men Fire and support Spleen Earth? Robust Earth can naturally digest food; there is no need to purge, and the *Jia* will open itself. This gradual transformation is superior. Use Wen Tu Xiao Jia Tang (Warm Earth and Dissolve Mass Decoction):
Bai Zhu (Atractylodes Macrocephala, 1 liang), Fu Ling (Poria, 1 liang), Rou Gui (Cinnamon Bark, 2 qian), Zhi Shi (Immature Bitter Orange, 2 qian), Ren Shen (Ginseng, 5 qian), Ba Ji Tian (Morinda Officinalis, 5 qian), Shan Zha (Hawthorn, 1 qian). Decoct in water and take orally. After two doses, the mass reduces slightly; after two more doses, it reduces further; after ten doses, it digests into nothingness.
This formula uses Ba Ji Tian and Rou Gui to warm and tonify Ming Men Fire. When Fire is robust, Yin-Cold naturally extinguishes. Ren Shen, Bai Zhu, and Fu Ling strengthen the Spleen and promote diuresis. With dampness removed, the Earth becomes dry and warm, leaving no hiding place for cold worms or water monsters. Moreover, Zhi Shi and Shan Zha can naturally purge stagnation. This formula treats both the root and the branch.
For this condition, Hua Kuai Dan (Dissolve Mass Pill) can also be used.
Ren Shen (Ginseng, 5 qian), Bai Zhu (Atractylodes Macrocephala, 2 liang), Rou Gui (Cinnamon Bark) and Shen Qu (Medicated Leaven) (each 2 qian), Bi Qi (Water Chestnut, 1 liang), Bie Jia (Turtle Shell, 3 qian). Decoct in water and take orally.
There are cases where Stomach Qi is weak, unable to digest food. Occasionally, hard objects are eaten and remain in the Stomach. Over time, they become tangible masses that move chaotically in the abdomen. Movement causes unbearable pain, relieved by eating. Later, the mass grows larger, causing pain even when eating. People assume it is a *Pi* mass resembling a turtle (*Bie*), but who knows it resembles a turtle but is not one? When painful, pressing it feels like the back of a turtle, with legs moving together. Turtles are animals; they would not stay in one place for long. Clearly, it is not a turtle. Why does it resemble one? The Stomach belongs to Earth. Things born from Earth are mostly four-legged. Things born from Earth prefer stillness over movement, settling firmly. Thus, it resembles a turtle and does not move. But since it dislikes movement, why does it move chaotically? Although its nature prefers stillness, seeking food to satisfy hunger makes it similar to moving things. Observe that it reduces activity when fed; this is proof of seeking food. Daily food nourishes its body, making it grow larger. As it grows, the food intake is insufficient. It naturally bites skin and flesh, causing pain. The treatment should focus on killing parasites. However, killing parasites is attacking evil, which damages righteous Qi. Tonifying righteousness to kill parasites—why doubt this? Use Gong Bu Liang Yi Tang (Attack and Tonify Both Benefiting Decoction):
Fei Zi (Torreya Seed, 10 pieces), Bai Wei (Cynanchum Atratum, 3 qian), Lei Wan (Polyporus Umbellatus, 3 qian), Shen Qu (Medicated Leaven, 3 qian), Bing Lang (Areca Nut, 2 qian), Shi Jun Zi (Quisqualis Fruit, 10 pieces), Bai Zhu (Atractylodes Macrocephala, 1 liang), Ren Shen (Ginseng, 5 qian). Decoct in water and take orally. After one dose, severe abdominal pain will occur. Do not drink tea or water. Endure for half a day. If thirsty, drink the second decoction. Soon, parasitic waste will be expelled, and recovery will occur. No need for a second dose.
This formula is miraculous. It contains many parasite-killing herbs, used within Ren Shen and Bai Zhu, with these two as the Sovereign herbs. Like a general charging into battle, he needs a benevolent ruler and wise minister to plan victory. If Ren Shen and Bai Zhu are omitted, and only parasite-killing herbs are used, there may be efficacy, but excessive killing harms oneself too. It is not a perfect army.
For this condition, Hua Bie Tang (Dissolve Turtle Decoction) is also effective.
Ren Shen (Ginseng, 3 qian), Bai Zhu (Atractylodes Macrocephala, 5 qian), Bai Wei (Cynanchum Atratum) and Bai Bu (Stemona Root) (each 3 qian), She Xiang (Musk) and Zhi Ke (Immature Bitter Orange) (each 1 qian), Bing Lang (Areca Nut, 2 qian). Mince Man Yu Gu (Eel Bone, stir-fried black) into powder, decoct in water, and take the juice.
There are cases where Qi deficiency leads to sinking, with food stagnating between the Spleen and Stomach forming a mass. Over time, the shape enlarges, feeling vague, neither painful nor moving clearly. People assume it is a *Pi* mass, but who knows this is due to Yang Qi failing to ascend? Spleen and Stomach Qi should move and ascend daily; it must not sink suddenly. If injury occurs from hunger/fullness or labor, or from sexual excess injuring the bones, plus indulgence in rich flavors and alcohol without restraint, how can Spleen and Stomach Qi ascend? Thus, Yang is closed within Yin, and Yin separates from Yang. Yin and Yang do not interact, making digestion difficult. Even if digested, Qi knotting prevents extension, yet it can still form shapes. However, the shape is large outside but empty inside, feeling hollow upon pressure, presenting a false appearance. Treatment need not target the mass directly; simply lift and raise Yang Qi. Then the Spleen and Stomach will not have sinking deficiency, and the Qi mass will dissolve spontaneously. Use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction):
Ren Shen (Ginseng, 3 qian), Huang Qi (Astragalus, 1 liang), Dang Gui (Angelica Sinensis, 3 qian), Chen Pi (Tangerine Peel, 1 qian), Gan Cao (Licorice, 1 qian), Bai Zhu (Atractylodes Macrocephala, 1 liang), Chai Hu (Bupleurum, 1 qian), Sheng Ma (Cimicifuga, 4 fen), Ban Xia (Pinellia, 1 qian). Decoct in water and take orally.
Bu Zhong Yi Qi Tang is the sacred medicine for lifting Yang Qi. This disease originates from Qi deficiency, so Huang Qi is used as Sovereign to tonify Qi. Using 1 liang of Bai Zhu targets the mass in the abdomen, benefiting the waist and navel to connect upper and lower Qi. Ren Shen and Dang Gui assist Huang Qi and Bai Zhu to strengthen Spleen and Stomach Earth. Once Earth Qi is robust, Sheng Ma and Chai Hu lift it, making Qi rise easily. The *Jia* mass likely has Phlegm-fluid obstruction. Adding Ban Xia to Chen Pi and Gan Cao resolves Phlegm without consuming Qi. Working together, they promote the ascent of Yang Qi. Any evil knots will scatter. Since it is originally a Qi mass, not a Food mass, it will digest immediately. A few doses suffice for success.
For this condition, Jia Jian Liu Jun Zi Tang (Modified Six Gentlemen Decoction) can also be used.
Ren Shen (Ginseng, 3 qian), Bai Zhu (Atractylodes Macrocephala) and Fu Ling (Poria) (each 5 qian), Gan Cao (Licorice), Shan Zha (Hawthorn), Mai Ya (Barley Sprout), Hou Po (Magnolia Bark) (each 1 qian), Chen Pi (Tangerine Peel) and Zhi Shi (Immature Bitter Orange) (each 5 fen), Shen Qu (Medicated Leaven, 1 qian). Decoct in water and take orally.
There are cases where, during a meal, a sudden fright causes stagnation and indigestion, eventually forming a *Jia*. Doctors treating it as a *Pi* mass fail; treating it with tonics also fails because the Fright Qi has not settled. Shaoyang Gallbladder Qi governs generation. Upon fright, its Qi stagnates and fails to extend. The Gallbladder and Liver are interior-exterior partners; Gallbladder disease affects the Liver, which then attacks Spleen and Stomach Earth. The Spleen fears the robust Wood Qi and cannot digest residues. Thus, Wood and Earth Qi stagnate in the intestines and stomach, forming an intractable *Jia*. Treatment must first open Shaoyang stagnation, assisted by Liver-calming agents. Then the Spleen and Stomach will not fear Liver-Gallbladder attack and can naturally separate and digest water and grain. Why would the *Jia* not disperse? Use Xiao Yao San (Free and Easy Wanderer Powder):
Bai Zhu (Atractylodes Macrocephala, 2 qian), Bai Shao (White Peony Root, 5 qian), Dang Gui (Angelica Sinensis, 3 qian), Chai Hu (Bupleurum, 2 qian), Chen Pi (Tangerine Peel, 1 qian), Ban Xia (Pinellia, 1 qian), Bie Jia (Turtle Shell, 3 qian), Gan Cao (Licorice, 5 fen), Fu Ling (Poria, 3 qian). Decoct in water and take orally. One dose brings relief; two doses bring more relief; ten doses result in complete cure.
Xiao Yao San is the divine medicine for resolving stagnation. Once the stagnation in the Liver and Gallbladder meridians opens, the Spleen and Stomach *Jia* breaks down without attack.
For this condition, Xiao Jia Tang (Dissolve Mass Decoction) is also miraculous.
Bai Shao (White Peony Root, 1 liang), Bai Zhu (Atractylodes Macrocephala) and Bie Jia (Turtle Shell) (each 5 qian), Gan Cao (Licorice) and Yu Jin (Curcuma Longa Rhizome) (each 1 qian), Zhi Ke (Immature Bitter Orange, 5 fen), Tian Hua Fen (Trichosanthes Root), Dan Pi (Moutan Cortex), Xiang Fu (Cyperus Rotundus) (each 2 qian), Fu Ling (Poria), Ba Ji (Morinda Officinalis) (each 3 qian), Bai Dou Kou (Black Cardamom, 2 grains), Guang Mu Xiang (Vladimiria Root, 5 fen). Decoct in water and take orally.
There are cases where one accidentally eats indigestible food, then hears something shocking. Qi knots and does not disperse; food is hard to digest. Phlegm wraps around to form a *Jia*. People assume it is a *Pi* mass, but who knows it is the closure of Fright Qi? Fright causes Qi to descend; one might suspect food descends with Qi. Why does fright cause retention? Qi is formless; food is tangible. Formless Qi descends with fright; tangible food rises with fright. Moreover, fright causes Qi to descend into the Liver, not the Spleen. Qi descending into the Liver prevents Liver Qi from dispersing, leading it to attack Spleen Earth downward. Even without intervening matter, undigested food remains. How much more so if there was already indigestible food consumed before the fright? This is why the *Jia* arises. Treatment must remove Fright Qi and greatly tonify Spleen and Stomach Earth. Then the *Jia* will disperse without attack. Use Pei Tu Hua Jia Tang (Nourish Earth and Dissolve Mass Decoction):
Bai Zhu (Atractylodes Macrocephala, 1 liang), Chai Hu (Bupleurum, 1 qian), Fu Ling (Poria, 3 qian), Shan Yao (Dioscorea Opposita, 4 qian), Shen Qu (Medicated Leaven, 2 qian), Shan Zha (Hawthorn, 1 qian), Zhi Ke (Immature Bitter Orange, 5 fen), Liang Tou Jian (Rhizoma Typhonii, 3 qian), Hou Po (Magnolia Bark, 1 qian), Bie Jia (Turtle Shell, 1.5 qian), Bai Wei (Cynanchum Atratum, 1 qian), He Shou Wu (Polygonum Multiflorum, raw, 2 qian), Bai Shao (White Peony Root, 5 qian), Bai Jie Zi (White Mustard Seed, 2 qian). Decoct in water and take orally. After ten doses, the *Jia* reduces by half; after another ten doses, it completely disappears.
This formula uses Bai Zhu to nourish Earth. Why use Bai Shao to calm the Liver? Spleen weakness is due to Liver-Gallbladder constraint. Using Bai Shao to calm Liver-Gallbladder is precisely to nourish Spleen-Stomach Earth. If the Liver does not attack Spleen Earth, Earth Qi ascends, transforming everything. Plus, adding herbs to dissolve *Jia* and break accumulation, what mass would not be removed? Furthermore, Chai Hu alone抒 (shu, soothes) Liver-Gallbladder Qi. When Gallbladder Qi rises and Liver Qi is happy, even if there is fright, where would it go? Would one worry about solidified *Jia*?
For this condition, Xiao Jia Tang (Dissolve Mass Decoction) can also be used.
There are cases where one sleeps in wind and dew after a full meal. Waking up, one feels abdominal fullness and discomfort, eventually forming a *Pi*. People assume it is undigested food causing *Pi*, but who knows it is Wind-Dew pathogens wrapping Phlegm in the Stomach? Wind pathogen is Yang; Dew pathogen is Yin. These two combine to create a Qi that is neither purely Yin nor Yang, which is hardest to transform. Thus, it often stagnates in the abdomen without dispersing. Treatment should harmonize Yin and Yang, allowing Yang pathogen to enter Yin and Yin pathogen to exit Yang. Then Yin-Yang righteous Qi will not harm each other, Phlegm-Qi will open, and evil will easily flee. Yang pathogen is easy to scatter; Yin pathogen is hard to scatter. However, when dispelling evil, why distinguish Yin and Yang? By tonifying Yin-Yang righteous Qi, the evil will dispel itself without direct attack. Use Liang Qu Dan (Two-Dispelling Elixir):
Bai Zhu (Atractylodes Macrocephala, 1 liang), Ren Shen (Ginseng, 3 qian), He Shou Wu (Polygonum Multiflorum, raw, 3 qian), Bie Jia Mo (Turtle Shell Powder, 3 qian), Di Li Fen (Water Chestnut Powder, 3 qian), Shen Qu (Medicated Leaven, 2 qian), Fu Ling (Poria, 2 qian), Dang Gui (Angelica Sinensis, 3 qian), Ban Xia (Pinellia, 1 qian), Bei Mu (Fritillaria, 1 qian). Decoct in water and take orally. Two doses bring relief; four doses bring more relief; ten doses result in complete disappearance of the *Pi* mass.
This formula treats both Spleen and Stomach. Spleen and Stomach both belong to Yin. Why ignore Yang? Knowing that Yang pathogen entering Yin becomes entirely Yin. Being entirely Yin, it forgets its Yang nature. Thus, treating Yin need not treat Yang. However, although this formula treats Yin, it contains herbs that treat Yang, allowing entry into Yin and exit from Yin, eliminating both Yin and Yang pathogens.
There are cases where one eats vegetables, feels chest oppression, suspects worms, and thus develops *Pi*. People assume worm activity causes it. Who knows it is mental suspicion preventing transformation? The Spleen and Stomach govern transformation. Whether vegetables or worms enter the Stomach and Spleen, they should transform. If worms digest, how can they form *Pi*? It is the suspicion that harms. The ability of Spleen and Stomach to transform relies on Pre-Heaven and Post-Heaven Fire Qi. Post-Heaven Fire is in the Pericardium; Pre-Heaven Fire is in the Ming Men. Pericardium Fire generates Stomach; Ming Men Fire generates Spleen. With Fire Qi in both meridians, Spleen and Stomach can transform residues and extract essence. Earth is born from Fire. Eating vegetables and harboring suspicion moves the Heart. The Pericardium acts for the Heart, governing movement, not stillness. Now the Heart moves, but the Pericardium dares not move. The Pericardium does not act for the Heart Sovereign, so Fire Qi does not enter the Stomach. The Stomach cannot transform, and the Spleen does not transport for the Stomach. How can ingested food transform? Naturally, it stagnates in the abdomen, forming *Pi*. If suspicion is not resolved, and only Spleen-strengthening and *Pi*-dissolving methods are used, how easily can the *Jia* be cleared? Use Shi Yi Tang (Resolve Doubt Decoction):
Ren Shen (Ginseng, 3 qian), Ba Ji Tian (Morinda Officinalis, 5 qian), Fu Ling (Poria, 3 qian), Bai Zhu (Atractylodes Macrocephala, 5 qian), Bai Wei (Cynanchum Atratum, 2 qian), Gan Cao (Licorice, 1 qian), Shi Jun Zi (Quisqualis Fruit, 3 pieces), Sha Ren (Amomum Villosum, 3 grains), Rou Gui (Cinnamon Bark, 1 qian), Guang Mu Xiang (Vladimiria Root, 3 fen), Chang Pu (Acorus Tatarinowii, 5 fen). Decoct in water and take orally. Two doses bring relief; four doses bring more relief; ten doses result in complete disappearance.
This formula entirely warms and tonifies Pericardium Qi. When Pericardium Qi is robust, Pericardium Fire naturally ascends. Would it remain inactive and not act for the Heart Sovereign to disseminate and transform? Pericardium Fire Qi disseminates in the Stomach, and Ming Men Fire follows suit. It is like husband and wife with one heart, internal and external forces combining. Attacking together, even if there is a *Jia*, I do not believe it will not digest immediately.
For this condition, Jia Wei Si Jun Zi Tang (Modified Four Gentlemen Decoction) can also be used.
Ren Shen (Ginseng), Yuan Zhi (Polygala Root), Shan Yao (Dioscorea Opposita) (each 3 qian), Bai Zhu (Atractylodes Macrocephala, 5 qian), Gan Cao (Licorice) and Zhi Ke (Immature Bitter Orange) (each 1 qian), Fu Ling (Poria, 5 qian), Chang Pu (Acorus Tatarinowii, 1 qian), Shan Zha (Hawthorn, 20 grains), Shen Qu (Medicated Leaven, 1 qian). Decoct in water and take orally.