消者(zhe)(zhe)(zhe)，散(san)其(qi)(qi)積(ji)也，導者(zhe)(zhe)(zhe)，行其(qi)(qi)氣(qi)也，脾虛不(bu)運，則(ze)氣(qi)不(bu)流行，則(ze)停滯而為(wei)積(ji)，或作(zuo)瀉痢，或成癥痞，以(yi)致飲(yin)食減少，五臟無所資稟，血氣(qi)日以(yi)虛衰，因致危困者(zhe)(zhe)(zhe)多矣，故必消而導之，輕則(ze)用和解之常劑(ji)，重必假峻下之湯丸(wan)，蓋濁陰不(bu)降，則(ze)清陽不(bu)升，客垢不(bu)除，則(ze)真元不(bu)復，如戡定禍亂，然(ran)后(hou)可以(yi)致太(tai)平也，峻劑(ji)見(jian)攻里門(men)，茲(zi)集(ji)緩攻平治消補(bu)兼施者(zhe)(zhe)(zhe)，為(wei)消導之劑(ji)。

平(ping)胃(wei)(wei)散(san)(san)〔利(li)濕(shi)(shi)(shi)(shi)散(san)(san)滿(man)(man)(man)，局(ju)方(fang)〕治(zhi)脾(pi)(pi)有停濕(shi)(shi)(shi)(shi)，痰飲(yin)痞(pi)膈，宿食(shi)(shi)(shi)不(bu)(bu)消(xiao)，滿(man)(man)(man)悶嘔瀉(xie)，及(ji)山嵐瘴(zhang)霧，不(bu)(bu)服水土(tu)。｛土(tu)濕(shi)(shi)(shi)(shi)太(tai)(tai)過，木邪乘所不(bu)(bu)勝而(er)侮之，脾(pi)(pi)虛(xu)不(bu)(bu)能(neng)健運，故(gu)有痰食(shi)(shi)(shi)留滯中(zhong)焦，致(zhi)生痞(pi)滿(man)(man)(man)諸證，胃(wei)(wei)寒(han)(han)則(ze)嘔，濕(shi)(shi)(shi)(shi)盛則(ze)瀉(xie)，嵐瘴(zhang)水土(tu)之病，亦由(you)胃(wei)(wei)虛(xu)故(gu)感之也(ye)。｝蒼(cang)朮(zhu)〔泔浸(jin)二錢(qian)〕、厚(hou)樸(pu)〔薑(jiang)(jiang)炒〕、陳(chen)皮〔去白(bai)〕、甘草(cao)(cao)〔炙一錢(qian)〕、加(jia)(jia)(jia)(jia)(jia)薑(jiang)(jiang)棗煎，傷食(shi)(shi)(shi)加(jia)(jia)(jia)(jia)(jia)神麴(qu)麥(mai)芽或枳實，濕(shi)(shi)(shi)(shi)勝加(jia)(jia)(jia)(jia)(jia)五苓(ling)，痰多(duo)加(jia)(jia)(jia)(jia)(jia)半夏，脾(pi)(pi)倦不(bu)(bu)思食(shi)(shi)(shi)加(jia)(jia)(jia)(jia)(jia)參(can)耆，痞(pi)悶加(jia)(jia)(jia)(jia)(jia)枳殼、木香，大(da)便秘加(jia)(jia)(jia)(jia)(jia)大(da)黃(huang)、芒硝(xiao)，小便赤澀(se)加(jia)(jia)(jia)(jia)(jia)苓(ling)瀉(xie)，傷寒(han)(han)頭痛加(jia)(jia)(jia)(jia)(jia)蔥鼓取(qu)微汗(han)，此(ci)足太(tai)(tai)陰陽明藥也(ye)，蒼(cang)朮(zhu)辛(xin)烈燥濕(shi)(shi)(shi)(shi)而(er)強脾(pi)(pi)，厚(hou)樸(pu)苦(ku)溫(wen)除濕(shi)(shi)(shi)(shi)而(er)散(san)(san)滿(man)(man)(man)，｛苦(ku)降(jiang)能(neng)瀉(xie)實滿(man)(man)(man)，辛(xin)溫(wen)能(neng)散(san)(san)濕(shi)(shi)(shi)(shi)滿(man)(man)(man)。｝陳(chen)皮辛(xin)溫(wen)利(li)氣而(er)行痰，甘草(cao)(cao)中(zhong)州主藥，能(neng)補能(neng)和(he)(he)，蜜炙為使，泄(xie)中(zhong)有補，務令濕(shi)(shi)(shi)(shi)土(tu)底于和(he)(he)平(ping)也(ye)。本(ben)方(fang)加(jia)(jia)(jia)(jia)(jia)藿(huo)香、半夏，名(ming)藿(huo)香平(ping)胃(wei)(wei)散(san)(san)，又名(ming)不(bu)(bu)換金正氣散(san)(san)，〔局(ju)方(fang)〕治(zhi)胃(wei)(wei)寒(han)(han)腹(fu)痛嘔吐，及(ji)瘴(zhang)疫(yi)濕(shi)(shi)(shi)(shi)瘧(nve)，再(zai)加(jia)(jia)(jia)(jia)(jia)人(ren)參(can)、茯(fu)苓(ling)、草(cao)(cao)果、生薑(jiang)(jiang)、烏梅、名(ming)人(ren)參(can)養胃(wei)(wei)湯(tang)，治(zhi)外感風寒(han)(han)，內傷生冷(leng)，夾食(shi)(shi)(shi)停痰，嵐瘴(zhang)瘟疫(yi)，或飲(yin)食(shi)(shi)(shi)傷脾(pi)(pi)，發為痎(jie)瘧(nve)，〔老瘧(nve)也(ye)〕本(ben)方(fang)合二陳(chen)，加(jia)(jia)(jia)(jia)(jia)藿(huo)香，名(ming)除濕(shi)(shi)(shi)(shi)湯(tang)，治(zhi)傷濕(shi)(shi)(shi)(shi)腹(fu)痛，身重，足軟，大(da)便溏瀉(xie)，本(ben)方(fang)加(jia)(jia)(jia)(jia)(jia)峹本(ben)枳殼、桔梗(geng)，名(ming)和(he)(he)解散(san)(san)，〔局(ju)方(fang)〕治(zhi)四時傷寒(han)(han)頭痛，煩躁自(zi)汗(han)，欬嗽吐利(li)，本(ben)方(fang)一兩(liang)加(jia)(jia)(jia)(jia)(jia)桑(sang)白(bai)皮一兩(liang)，名(ming)對金飲(yin)子，治(zhi)脾(pi)(pi)胃(wei)(wei)受濕(shi)(shi)(shi)(shi)，腹(fu)脹身重飲(yin)食(shi)(shi)(shi)不(bu)(bu)進，肢痠膚腫，本(ben)方(fang)除蒼(cang)朮(zhu)，加(jia)(jia)(jia)(jia)(jia)木香、草(cao)(cao)蔻、乾薑(jiang)(jiang)、茯(fu)苓(ling)，名(ming)厚(hou)樸(pu)溫(wen)中(zhong)湯(tang)，治(zhi)脾(pi)(pi)胃(wei)(wei)虛(xu)寒(han)(han)，心腹(fu)脹滿(man)(man)(man)，及(ji)秋冬客(ke)寒(han)(han)犯胃(wei)(wei)，時作(zuo)疼痛，｛散(san)(san)以辛(xin)熱，佐以苦(ku)甘，滲以甘淡，氣溫(wen)胃(wei)(wei)和(he)(he)，痛自(zi)止矣(yi)。｝本(ben)方(fang)加(jia)(jia)(jia)(jia)(jia)麥(mai)芽、炒麴(qu)，名(ming)加(jia)(jia)(jia)(jia)(jia)味平(ping)胃(wei)(wei)散(san)(san)，治(zhi)宿食(shi)(shi)(shi)不(bu)(bu)消(xiao)，吞酸(suan)噯臭(chou)。

枳(zhi)(zhi)(zhi)(zhi)朮丸(wan)(wan)(wan)(wan)〔健脾(pi)(pi)消(xiao)(xiao)(xiao)(xiao)(xiao)食(shi)(shi)(shi)，潔(jie)古〕消(xiao)(xiao)(xiao)(xiao)(xiao)痞(pi)除(chu)痰，健脾(pi)(pi)進(jin)食(shi)(shi)(shi)。｛消(xiao)(xiao)(xiao)(xiao)(xiao)痞(pi)除(chu)氮(dan)消(xiao)(xiao)(xiao)(xiao)(xiao)也(ye)(ye)，健脾(pi)(pi)進(jin)食(shi)(shi)(shi)補(bu)也(ye)(ye)。｝白朮〔三兩土蒸〕、枳(zhi)(zhi)(zhi)(zhi)實〔一(yi)兩麩(fu)炒〕，為(wei)末，荷(he)(he)葉包陳(chen)米(mi)飯煨乾為(wei)丸(wan)(wan)(wan)(wan)，痞(pi)悶(men)(men)加(jia)(jia)(jia)(jia)陳(chen)皮(pi)，氣(qi)(qi)(qi)(qi)(qi)(qi)滯加(jia)(jia)(jia)(jia)木(mu)(mu)(mu)香(xiang)，傷(shang)(shang)(shang)食(shi)(shi)(shi)加(jia)(jia)(jia)(jia)麥芽、神(shen)麴(qu)(qu)。此足(zu)太陰陽(yang)明藥(yao)也(ye)(ye)，李(li)東(dong)垣曰，白朮甘溫，補(bu)脾(pi)(pi)胃(wei)(wei)(wei)(wei)之(zhi)(zhi)元氣(qi)(qi)(qi)(qi)(qi)(qi)，其(qi)(qi)苦味除(chu)胃(wei)(wei)(wei)(wei)中(zhong)(zhong)(zhong)濕熱(re)，利(li)腰臍間(jian)血(xue)，過于枳(zhi)(zhi)(zhi)(zhi)實剋化(hua)之(zhi)(zhi)藥(yao)一(yi)倍，枳(zhi)(zhi)(zhi)(zhi)實苦寒(han)，泄胃(wei)(wei)(wei)(wei)中(zhong)(zhong)(zhong)痞(pi)悶(men)(men)，化(hua)胃(wei)(wei)(wei)(wei)中(zhong)(zhong)(zhong)所傷(shang)(shang)(shang)，是先(xian)補(bu)其(qi)(qi)虛，而(er)后化(hua)其(qi)(qi)傷(shang)(shang)(shang)，則(ze)不(bu)峻(jun)矣(yi)，荷(he)(he)葉中(zhong)(zhong)(zhong)空色青(qing)，形仰(yang)象(xiang)震，在人為(wei)少(shao)陽(yang)膽(dan)生(sheng)化(hua)之(zhi)(zhi)根蒂也(ye)(ye)，飲(yin)食(shi)(shi)(shi)入胃(wei)(wei)(wei)(wei)，營(ying)氣(qi)(qi)(qi)(qi)(qi)(qi)上行，即少(shao)陽(yang)甲膽(dan)之(zhi)(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)也(ye)(ye)，胃(wei)(wei)(wei)(wei)氣(qi)(qi)(qi)(qi)(qi)(qi)元氣(qi)(qi)(qi)(qi)(qi)(qi)穀(gu)氣(qi)(qi)(qi)(qi)(qi)(qi)，甲膽(dan)上升(sheng)(sheng)之(zhi)(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)一(yi)也(ye)(ye)，食(shi)(shi)(shi)藥(yao)感此氣(qi)(qi)(qi)(qi)(qi)(qi)化(hua)，胃(wei)(wei)(wei)(wei)氣(qi)(qi)(qi)(qi)(qi)(qi)何由不(bu)上升(sheng)(sheng)乎，燒(shao)飯與白朮協力滋養(yang)穀(gu)氣(qi)(qi)(qi)(qi)(qi)(qi)，補(bu)令胃(wei)(wei)(wei)(wei)厚(hou)，不(bu)至再(zai)傷(shang)(shang)(shang)，其(qi)(qi)利(li)廣矣(yi)。｛王安道曰，勞倦飲(yin)食(shi)(shi)(shi)，雖俱為(wei)內(nei)傷(shang)(shang)(shang)，然勞倦傷(shang)(shang)(shang)誠不(bu)足(zu)矣(yi)，飲(yin)食(shi)(shi)(shi)傷(shang)(shang)(shang)又當(dang)於不(bu)足(zu)之(zhi)(zhi)中(zhong)(zhong)(zhong)分(fen)(fen)其(qi)(qi)有(you)(you)余(yu)，夫飢餓不(bu)飲(yin)食(shi)(shi)(shi)者(zhe)，胃(wei)(wei)(wei)(wei)中(zhong)(zhong)(zhong)空虛，此為(wei)不(bu)足(zu)而(er)傷(shang)(shang)(shang)也(ye)(ye)，飲(yin)食(shi)(shi)(shi)自倍，腸胃(wei)(wei)(wei)(wei)乃傷(shang)(shang)(shang)者(zhe)，此不(bu)足(zu)之(zhi)(zhi)中(zhong)(zhong)(zhong)兼有(you)(you)余(yu)而(er)傷(shang)(shang)(shang)也(ye)(ye)，惟其(qi)(qi)不(bu)足(zu)故補(bu)益(yi)，惟其(qi)(qi)有(you)(you)余(yu)故消(xiao)(xiao)(xiao)(xiao)(xiao)導，亦有(you)(you)物(wu)滯氣(qi)(qi)(qi)(qi)(qi)(qi)傷(shang)(shang)(shang)，消(xiao)(xiao)(xiao)(xiao)(xiao)補(bu)兼行者(zhe)，亦有(you)(you)物(wu)滯氣(qi)(qi)(qi)(qi)(qi)(qi)不(bu)傷(shang)(shang)(shang)，但(dan)須(xu)(xu)消(xiao)(xiao)(xiao)(xiao)(xiao)導者(zhe)，亦有(you)(you)不(bu)須(xu)(xu)消(xiao)(xiao)(xiao)(xiao)(xiao)導，但(dan)須(xu)(xu)補(bu)益(yi)者(zhe)，枳(zhi)(zhi)(zhi)(zhi)朮丸(wan)(wan)(wan)(wan)之(zhi)(zhi)類，雖曰消(xiao)(xiao)(xiao)(xiao)(xiao)導，固有(you)(you)補(bu)益(yi)之(zhi)(zhi)意焉，若所滯之(zhi)(zhi)物(wu)，非枳(zhi)(zhi)(zhi)(zhi)朮丸(wan)(wan)(wan)(wan)之(zhi)(zhi)力所能去者(zhe)，備急丸(wan)(wan)(wan)(wan)煮黃(huang)丸(wan)(wan)(wan)(wan)瓜蒂散等，潔(jie)古東(dong)垣亦未(wei)嘗委之(zhi)(zhi)而(er)勿用(yong)也(ye)(ye)。｝本(ben)(ben)方(fang)作湯(tang)(tang)名(ming)(ming)(ming)枳(zhi)(zhi)(zhi)(zhi)朮湯(tang)(tang)，〔金(jin)匱〕治(zhi)(zhi)(zhi)水飲(yin)心(xin)(xin)下(xia)堅大(da)如盤(pan)，邊如旋盤(pan)，｛心(xin)(xin)下(xia)上焦(jiao)陽(yang)分(fen)(fen)也(ye)(ye)，屬氣(qi)(qi)(qi)(qi)(qi)(qi)分(fen)(fen)之(zhi)(zhi)水。｝本(ben)(ben)方(fang)加(jia)(jia)(jia)(jia)半夏(xia)一(yi)兩，名(ming)(ming)(ming)半夏(xia)枳(zhi)(zhi)(zhi)(zhi)朮丸(wan)(wan)(wan)(wan)，治(zhi)(zhi)(zhi)脾(pi)(pi)濕停痰，及傷(shang)(shang)(shang)冷食(shi)(shi)(shi)，淋者(zhe)加(jia)(jia)(jia)(jia)澤瀉一(yi)兩，本(ben)(ben)方(fang)加(jia)(jia)(jia)(jia)橘皮(pi)一(yi)兩名(ming)(ming)(ming)橘皮(pi)枳(zhi)(zhi)(zhi)(zhi)朮丸(wan)(wan)(wan)(wan)，治(zhi)(zhi)(zhi)飲(yin)食(shi)(shi)(shi)不(bu)消(xiao)(xiao)(xiao)(xiao)(xiao)，氣(qi)(qi)(qi)(qi)(qi)(qi)滯痞(pi)悶(men)(men)，本(ben)(ben)方(fang)加(jia)(jia)(jia)(jia)陳(chen)皮(pi)半夏(xia)，名(ming)(ming)(ming)橘半枳(zhi)(zhi)(zhi)(zhi)朮丸(wan)(wan)(wan)(wan)，健脾(pi)(pi)消(xiao)(xiao)(xiao)(xiao)(xiao)痞(pi)化(hua)痰，本(ben)(ben)方(fang)加(jia)(jia)(jia)(jia)木(mu)(mu)(mu)香(xiang)一(yi)兩，名(ming)(ming)(ming)木(mu)(mu)(mu)香(xiang)枳(zhi)(zhi)(zhi)(zhi)朮丸(wan)(wan)(wan)(wan)，治(zhi)(zhi)(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)滯痞(pi)滿(man)(man)，｛木(mu)(mu)(mu)香(xiang)平(ping)肝行氣(qi)(qi)(qi)(qi)(qi)(qi)，使木(mu)(mu)(mu)不(bu)剋土。｝再(zai)加(jia)(jia)(jia)(jia)砂(sha)仁，名(ming)(ming)(ming)香(xiang)砂(sha)枳(zhi)(zhi)(zhi)(zhi)朮丸(wan)(wan)(wan)(wan)，破滯氣(qi)(qi)(qi)(qi)(qi)(qi)，消(xiao)(xiao)(xiao)(xiao)(xiao)飲(yin)食(shi)(shi)(shi)，強(qiang)脾(pi)(pi)胃(wei)(wei)(wei)(wei)，如加(jia)(jia)(jia)(jia)乾薑(jiang)(jiang)五(wu)錢(qian)(qian)，名(ming)(ming)(ming)木(mu)(mu)(mu)香(xiang)乾薑(jiang)(jiang)枳(zhi)(zhi)(zhi)(zhi)朮丸(wan)(wan)(wan)(wan)，兼治(zhi)(zhi)(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)寒(han)，再(zai)加(jia)(jia)(jia)(jia)人參(can)陳(chen)皮(pi)，名(ming)(ming)(ming)木(mu)(mu)(mu)香(xiang)人參(can)乾薑(jiang)(jiang)枳(zhi)(zhi)(zhi)(zhi)朮丸(wan)(wan)(wan)(wan)，開(kai)胃(wei)(wei)(wei)(wei)進(jin)食(shi)(shi)(shi)，本(ben)(ben)方(fang)加(jia)(jia)(jia)(jia)神(shen)麴(qu)(qu)麥芽各一(yi)兩，名(ming)(ming)(ming)麴(qu)(qu)蘗枳(zhi)(zhi)(zhi)(zhi)朮丸(wan)(wan)(wan)(wan)，治(zhi)(zhi)(zhi)內(nei)傷(shang)(shang)(shang)飲(yin)食(shi)(shi)(shi)或泄瀉，本(ben)(ben)方(fang)加(jia)(jia)(jia)(jia)酒炒黃(huang)連(lian)、黃(huang)芩、大(da)黃(huang)、炒神(shen)麴(qu)(qu)、橘紅、各一(yi)兩，名(ming)(ming)(ming)三黃(huang)枳(zhi)(zhi)(zhi)(zhi)朮丸(wan)(wan)(wan)(wan)，治(zhi)(zhi)(zhi)傷(shang)(shang)(shang)肉食(shi)(shi)(shi)濕麵(mian)辛熱(re)，味厚(hou)之(zhi)(zhi)物(wu)，填(tian)塞悶(men)(men)亂不(bu)快(kuai)，本(ben)(ben)方(fang)加(jia)(jia)(jia)(jia)茯(fu)苓五(wu)錢(qian)(qian)，乾薑(jiang)(jiang)七錢(qian)(qian)，名(ming)(ming)(ming)消(xiao)(xiao)(xiao)(xiao)(xiao)飲(yin)丸(wan)(wan)(wan)(wan)，治(zhi)(zhi)(zhi)停飲(yin)胸滿(man)(man)嘔(ou)逆。

保和丸〔傷食傷飲〕

治食積(ji)飲(yin)停，腹(fu)痛泄瀉，痞滿(man)吐酸，積(ji)滯(zhi)惡食，食瘧下痢。｛傷(shang)於(wu)食飲(yin)，脾不(bu)運化(hua)，滯(zhi)於(wu)腸胃(wei)，故有(you)泄痢食瘧等證(zheng)，傷(shang)而(er)未甚(shen)，不(bu)欲攻以厲(li)劑，惟以平和之(zhi)品消(xiao)而(er)化(hua)之(zhi)，故曰保和，李東垣(yuan)曰，傷(shang)飲(yin)者，無形(xing)之(zhi)氣(qi)也，宜發汗，利小便，以導其(qi)濕(shi)，傷(shang)食者有(you)形(xing)之(zhi)物也，輕(qing)則消(xiao)化(hua)，或損其(qi)穀，重者方可吐下，脈經云，大腸有(you)宿食，寒栗(li)發熱有(you)時如瘧，輕(qing)則消(xiao)導，重則下之(zhi)，當(dang)求(qiu)之(zhi)傷(shang)食門(men)。

｝山查〔三兩(liang)去核或云核亦有力〕、神麴〔炒(chao)〕、茯苓(ling)、半夏〔一兩(liang)〕、陳皮、

萊菔(fu)子〔微(wei)炒(chao)〕、連翹〔五錢〕、麴(qu)糊丸，麥芽(ya)(ya)湯下，或加(jia)(jia)麥芽(ya)(ya)入藥亦可。此足(zu)太陰(yin)陽(yang)明藥也，山查酸溫(wen)(wen)收縮(suo)之(zhi)性，能消(xiao)油膩腥羶之(zhi)食(shi)(shi)，〔收縮(suo)故食(shi)(shi)消(xiao)。〕神(shen)麴(qu)辛溫(wen)(wen)蒸茭之(zhi)物(wu)，〔茭遏合切〕能消(xiao)酒(jiu)食(shi)(shi)陳腐(fu)之(zhi)積(ji)，菔(fu)子辛甘下氣而(er)制麵，麥芽(ya)(ya)鹹溫(wen)(wen)消(xiao)穀而(er)軟(ruan)堅，〔堅積(ji)堅痰。〕傷食(shi)(shi)必(bi)兼乎(hu)濕(shi)，茯(fu)苓補脾而(er)滲(shen)濕(shi)，積(ji)久必(bi)郁(yu)為熱，連翹散結而(er)清熱，半(ban)夏能溫(wen)(wen)能燥，和胃(wei)而(er)健脾，陳皮能降能升(sheng)，調(diao)中而(er)理氣，此內傷而(er)氣未(wei)病者，但當消(xiao)導(dao)，不須補益，大安丸加(jia)(jia)白朮(zhu)，則(ze)消(xiao)補兼施也。本(ben)方加(jia)(jia)白朮(zhu)、白芍，去半(ban)夏、菔(fu)子、連翹，蒸餅(bing)糊丸，名小保(bao)和丸，助(zhu)脾進食(shi)(shi)，本(ben)方 加(jia)(jia)白朮(zhu)二兩，名大安丸，或加(jia)(jia)人參，治(zhi)飲食(shi)(shi)不消(xiao)，氣虛邪(xie)微(wei)，本(ben)方加(jia)(jia)白朮(zhu)、香附(fu)、黃(huang)芩、黃(huang)連、厚樸、枳(zhi)實、治(zhi)積(ji)聚痞塊，本(ben)方合越(yue)麴(qu)丸，扶脾開郁(yu)。

健脾丸〔脾虛氣弱〕

治(zhi)(zhi)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)虛(xu)(xu)(xu)(xu)氣弱，飲(yin)(yin)食(shi)不(bu)消(xiao)(xiao)(xiao)(xiao)。人(ren)參(can)、白(bai)朮〔土(tu)炒(chao)(chao)二兩(liang)〕、陳皮(pi)、麥芽(ya)(ya)(ya)〔炒(chao)(chao)二兩(liang)〕、山(shan)查(cha)〔去(qu)(qu)(qu)核兩(liang)半〕、枳實(shi)〔三兩(liang)〕、神(shen)麴(qu)糊(hu)丸(wan)(wan)(wan)，米飲(yin)(yin)下。此足(zu)太陰(yin)(yin)陽(yang)明藥(yao)(yao)(yao)也(ye)(ye)，脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)胃(wei)(wei)(wei)者(zhe)倉廩之(zhi)(zhi)(zhi)官，胃(wei)(wei)(wei)虛(xu)(xu)(xu)(xu)則(ze)(ze)(ze)不(bu)能(neng)(neng)容受，故(gu)不(bu)嗜食(shi)，脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)虛(xu)(xu)(xu)(xu)則(ze)(ze)(ze)不(bu)能(neng)(neng)運(yun)化(hua)，故(gu)有(you)積滯，所以(yi)然者(zhe)，由氣虛(xu)(xu)(xu)(xu)也(ye)(ye)，參(can)朮補氣，陳皮(pi)利氣，氣運(yun)則(ze)(ze)(ze)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)健(jian)(jian)(jian)(jian)而(er)胃(wei)(wei)(wei)強矣，山(shan)查(cha)消(xiao)(xiao)(xiao)(xiao)肉食(shi)，麥芽(ya)(ya)(ya)消(xiao)(xiao)(xiao)(xiao)穀食(shi)，戊(wu)己(ji)不(bu)足(zu)，｛胃(wei)(wei)(wei)為(wei)戊(wu)土(tu)，脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)為(wei)己(ji)土(tu)。｝故(gu)以(yi)二藥(yao)(yao)(yao)助之(zhi)(zhi)(zhi)使化(hua)，枳實(shi)力猛能(neng)(neng)消(xiao)(xiao)(xiao)(xiao)積化(hua)痞(pi)，佐(zuo)以(yi)參(can)朮，則(ze)(ze)(ze)為(wei)功更捷(jie)而(er)又不(bu)致傷(shang)(shang)(shang)氣也(ye)(ye)，夫脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)胃(wei)(wei)(wei)受傷(shang)(shang)(shang)，則(ze)(ze)(ze)須(xu)補益(yi)(yi)，飲(yin)(yin)食(shi)難(nan)化(hua)，則(ze)(ze)(ze)宜消(xiao)(xiao)(xiao)(xiao)導，合斯二者(zhe)，所以(yi)健(jian)(jian)(jian)(jian)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)也(ye)(ye)。本方(fang)(fang)去(qu)(qu)(qu)山(shan)查(cha)麥芽(ya)(ya)(ya)，加(jia)茯苓(ling)(ling)、炙(zhi)甘(gan)草(cao)，名(ming)益(yi)(yi)氣健(jian)(jian)(jian)(jian)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)丸(wan)(wan)(wan)，治(zhi)(zhi)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)虛(xu)(xu)(xu)(xu)食(shi)少，本方(fang)(fang)去(qu)(qu)(qu)山(shan)查(cha)、麥芽(ya)(ya)(ya)、陳皮(pi)，加(jia)當(dang)歸、芍藥(yao)(yao)(yao)、芎藭、麥冬、柏子仁，名(ming)養榮(rong)健(jian)(jian)(jian)(jian)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)丸(wan)(wan)(wan)，治(zhi)(zhi)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)陰(yin)(yin)不(bu)足(zu)，飲(yin)(yin)食(shi)不(bu)為(wei)肌膚，〔血(xue)充然后肉長。〕本方(fang)(fang)去(qu)(qu)(qu)人(ren)參(can)、枳實(shi)、麥芽(ya)(ya)(ya)，加(jia)香附、木(mu)香、半夏(xia)、茯苓(ling)(ling)、神(shen)麴(qu)、黃(huang)連(lian)、當(dang)歸、芍藥(yao)(yao)(yao)、〔一方(fang)(fang)無芍藥(yao)(yao)(yao)。〕荷(he)葉燒飯丸(wan)(wan)(wan)，名(ming)理氣健(jian)(jian)(jian)(jian)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)丸(wan)(wan)(wan)，治(zhi)(zhi)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)胃(wei)(wei)(wei)虛(xu)(xu)(xu)(xu)弱，久瀉(xie)久痢，本方(fang)(fang)去(qu)(qu)(qu)人(ren)參(can)、山(shan)查(cha)、麥芽(ya)(ya)(ya)，加(jia)神(shen)麴(qu)、川芎、香附，麴(qu)糊(hu)丸(wan)(wan)(wan)，名(ming)舒郁(yu)健(jian)(jian)(jian)(jian)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)丸(wan)(wan)(wan)，治(zhi)(zhi)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)氣郁(yu)滯，飲(yin)(yin)食(shi)不(bu)消(xiao)(xiao)(xiao)(xiao)，本方(fang)(fang)去(qu)(qu)(qu)山(shan)查(cha)、麥芽(ya)(ya)(ya)，加(jia)半夏(xia)、膽星、蛤粉、茯苓(ling)(ling)，神(shen)麴(qu)糊(hu)丸(wan)(wan)(wan)，名(ming)化(hua)痰(tan)健(jian)(jian)(jian)(jian)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)丸(wan)(wan)(wan)，治(zhi)(zhi)內(nei)傷(shang)(shang)(shang)挾痰(tan)，本方(fang)(fang)去(qu)(qu)(qu)人(ren)參(can)、山(shan)查(cha)、麥芽(ya)(ya)(ya)，加(jia)半夏(xia)、山(shan)梔、黃(huang)連(lian)，水丸(wan)(wan)(wan)，名(ming)清火(huo)健(jian)(jian)(jian)(jian)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)丸(wan)(wan)(wan)，治(zhi)(zhi)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)虛(xu)(xu)(xu)(xu)有(you)火(huo)，本方(fang)(fang)去(qu)(qu)(qu)人(ren)參(can)、山(shan)查(cha)、麥芽(ya)(ya)(ya)，加(jia)木(mu)香、檳榔、厚樸、半夏(xia)、甘(gan)草(cao)，名(ming)和中(zhong)健(jian)(jian)(jian)(jian)脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)丸(wan)(wan)(wan)，治(zhi)(zhi)胃(wei)(wei)(wei)虛(xu)(xu)(xu)(xu)飢(ji)不(bu)欲食(shi)，再加(jia)入人(ren)參(can)，名(ming)妙應丸(wan)(wan)(wan)，治(zhi)(zhi)胃(wei)(wei)(wei)虛(xu)(xu)(xu)(xu)不(bu)能(neng)(neng)食(shi)，臟腑(fu)或結或瀉(xie)，本方(fang)(fang)去(qu)(qu)(qu)山(shan)查(cha)，加(jia)半夏(xia)、青皮(pi)、木(mu)香、砂仁、草(cao)蔻(kou)、乾(qian)薑、炙(zhi)甘(gan)草(cao)、茯苓(ling)(ling)、豬(zhu)苓(ling)(ling)、澤瀉(xie)、蒸餅丸(wan)(wan)(wan)，名(ming)寬中(zhong)進食(shi)丸(wan)(wan)(wan)，〔東(dong)(dong)垣〕補脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)胃(wei)(wei)(wei)，進飲(yin)(yin)食(shi)。 枳實(shi)消(xiao)(xiao)(xiao)(xiao)痞(pi)丸(wan)(wan)(wan)〔痞(pi)滿(man)(man)，東(dong)(dong)垣〕治(zhi)(zhi)心下虛(xu)(xu)(xu)(xu)痞(pi)，惡食(shi)懶倦，右關(guan)脈弦。｛脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)虛(xu)(xu)(xu)(xu)不(bu)運(yun)，故(gu)痞(pi)滿(man)(man)惡食(shi)，脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)主(zhu)四(si)肢，虛(xu)(xu)(xu)(xu)故(gu)懶倦，右關(guan)屬脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)，脈弦者(zhe)，脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)虛(xu)(xu)(xu)(xu)而(er)木(mu)來侮(wu)之(zhi)(zhi)(zhi)也(ye)(ye)，經曰，太陰(yin)(yin)所至為(wei)積飲(yin)(yin)痞(pi)膈，皆陰(yin)(yin)勝(sheng)陽(yang)也(ye)(ye)，受病之(zhi)(zhi)(zhi)臟，心與脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)也(ye)(ye)，因而(er)郁(yu)塞為(wei)痞(pi)者(zhe)，火(huo)與濕(shi)(shi)也(ye)(ye)，蓋(gai)心陽(yang)火(huo)也(ye)(ye)，主(zhu)血(xue)，脾(pi)(pi)(pi)(pi)(pi)(pi)(pi)(pi)陰(yin)(yin)土(tu)也(ye)(ye)，主(zhu)濕(shi)(shi)，凡傷(shang)(shang)(shang)其陽(yang)，則(ze)(ze)(ze)火(huo)拂郁(yu)而(er)血(xue)凝，傷(shang)(shang)(shang)其陰(yin)(yin)，則(ze)(ze)(ze)土(tu)壅塞而(er)濕(shi)(shi)聚，陰(yin)(yin)陽(yang)之(zhi)(zhi)(zhi)分，施治(zhi)(zhi)之(zhi)(zhi)(zhi)法，不(bu)可(ke)同也(ye)(ye)。｝枳實(shi)〔麩炒(chao)(chao)〕、黃(huang)連(lian)〔薑汁炒(chao)(chao)五錢〕、厚樸〔薑炒(chao)(chao)四(si)錢〕、

半夏麴、麥芽〔炒〕、人參、白(bai)朮〔土炒〕、茯苓〔三錢〕、甘草〔炙〕、

乾薑〔二錢〕、蒸餅糊丸。此足(zu)太陰陽明藥也，枳實(shi)苦酸，行氣(qi)(qi)破血，〔脾無積(ji)血，心下不痞(pi)。〕黃連苦寒(han)，瀉(xie)熱開郁，并消(xiao)痞(pi)之君藥，厚(hou)樸苦降(jiang)，散(san)濕(shi)滿而(er)(er)化(hua)食(shi)厚(hou)腸，麥芽(ya)鹹溫，助胃(wei)氣(qi)(qi)而(er)(er)軟堅(jian)破結，半夏(xia)(xia)燥痰濕(shi)而(er)(er)和胃(wei)，乾薑去(qu)惡血而(er)(er)通關(guan)，｛開五臟六腑(fu)，通四肢(zhi)關(guan)節｝皆所以(yi)散(san)而(er)(er)瀉(xie)之也，參朮(zhu)苓草，甘溫補脾，使氣(qi)(qi)足(zu)脾運而(er)(er)痞(pi)自化(hua)，既(ji)以(yi)助散(san)瀉(xie)之力，又(you)以(yi)固本使不傷真氣(qi)(qi)也。｛玉機(ji)微義曰(yue)，此半夏(xia)(xia)瀉(xie)心湯(tang)加減(jian)法也，內有枳朮(zhu)四君平胃(wei)等藥，利(li)濕(shi)消(xiao)痞(pi)，補虛之劑也。｝

痞氣(qi)(qi)丸(wan)〔脾(pi)積(ji)，東垣〕治脾(pi)積(ji)在于胃(wei)脘，大如(ru)盤，久(jiu)不(bu)愈(yu)，令人(ren)(ren)(ren)四肢不(bu)收，或發(fa)黃(huang)(huang)疸，飲(yin)食(shi)不(bu)為(wei)肌膚(fu)。｛金匱云，堅而(er)(er)(er)(er)不(bu)移(yi)者(zhe)，名(ming)積(ji)，為(wei)臟病(bing)，推(tui)移(yi)不(bu)定者(zhe)，名(ming)聚，為(wei)腑病(bing)，按痞病(bing)由陰伏陽蓄，氣(qi)(qi)血不(bu)運而(er)(er)(er)(er)成，處心下(xia)(xia)，位中(zhong)央，填塞(sai)痞滿(man)(man)，皆土病(bing)也，與脹(zhang)滿(man)(man)有(you)(you)(you)輕重之(zhi)(zhi)(zhi)(zhi)分，痞惟內覺滿(man)(man)悶，脹(zhang)滿(man)(man)則外有(you)(you)(you)脹(zhang)急(ji)之(zhi)(zhi)(zhi)(zhi)形也，前人(ren)(ren)(ren)皆指誤(wu)下(xia)(xia)所致，蓋傷寒之(zhi)(zhi)(zhi)(zhi)病(bing)，由於誤(wu)下(xia)(xia)，則里(li)氣(qi)(qi)虛(xu)，表邪乘(cheng)虛(xu)入於心下(xia)(xia)，若雜病(bing)亦(yi)有(you)(you)(you)中(zhong)氣(qi)(qi)虛(xu)衰，不(bu)能運化精(jing)微而(er)(er)(er)(er)成痞者(zhe)，有(you)(you)(you)飲(yin)食(shi)痰積(ji)不(bu)能施化而(er)(er)(er)(er)成痞者(zhe)，有(you)(you)(you)濕熱太(tai)甚(shen)上(shang)乘(cheng)心下(xia)(xia)而(er)(er)(er)(er)成痞者(zhe)，古(gu)方(fang)用(yong)黃(huang)(huang)連黃(huang)(huang)芩枳實之(zhi)(zhi)(zhi)(zhi)苦(ku)(ku)以泄之(zhi)(zhi)(zhi)(zhi)，厚樸半夏(xia)生薑之(zhi)(zhi)(zhi)(zhi)辛以散之(zhi)(zhi)(zhi)(zhi)，人(ren)(ren)(ren)參白朮之(zhi)(zhi)(zhi)(zhi)甘苦(ku)(ku)溫以補之(zhi)(zhi)(zhi)(zhi)，茯苓澤瀉之(zhi)(zhi)(zhi)(zhi)淡以滲之(zhi)(zhi)(zhi)(zhi)，惟宜上(shang)下(xia)(xia)分消其氣(qi)(qi)，果有(you)(you)(you)內實之(zhi)(zhi)(zhi)(zhi)證，庶可略(lve)施疏導，世人(ren)(ren)(ren)苦(ku)(ku)於痞塞(sai)喜(xi)用(yong)利藥，暫(zan)時通快，藥過滋甚(shen)，皆不(bu)察夫下(xia)(xia)多亡陰之(zhi)(zhi)(zhi)(zhi)意(yi)也。｝黃(huang)(huang)連〔八錢〕、厚樸〔五錢〕、

吳茱萸〔三錢(qian)〕、白朮〔土(tu)炒(chao)〕、黃(huang)芩〔二錢(qian)〕、茵(yin)陳〔酒(jiu)炒(chao)〕、乾(qian)薑〔炮〕、

砂仁〔錢半〕、人(ren)參、茯苓、澤瀉〔一錢〕、川(chuan)烏〔炮〕、川(chuan)椒〔炒五錢〕、桂、

巴豆霜〔四分(fen)(fen)〕、蜜丸，燈草湯(tang)下(xia)(xia)。此(ci)足(zu)太陰陽明(ming)藥(yao)也(ye)(ye)，黃(huang)(huang)連瀉(xie)(xie)熱燥(zao)濕，治(zhi)痞(pi)君藥(yao)，｛仲(zhong)景(jing)治(zhi)痞(pi)滿，諸瀉(xie)(xie)心(xin)(xin)湯(tang)皆用(yong)之(zhi)(zhi)。｝厚樸砂(sha)(sha)仁(ren)，行(xing)氣(qi)(qi)而(er)散(san)滿，茵(yin)陳苓(ling)瀉(xie)(xie)，利(li)水以(yi)實脾(pi)，黃(huang)(huang)芩清肺(fei)而(er)養陰，椒萸燥(zao)脾(pi)而(er)逐(zhu)冷，薑桂川(chuan)(chuan)烏，補命火以(yi)生脾(pi)土而(er)薑桂又能(neng)去瘀生新(xin)，｛痞(pi)多(duo)血(xue)(xue)(xue)病，黃(huang)(huang)連枳(zhi)實皆血(xue)(xue)(xue)分(fen)(fen)藥(yao)。｝巴豆能(neng)消有形(xing)積(ji)滯，為斬關(guan)奪(duo)門之(zhi)(zhi)將，藉(jie)(jie)之(zhi)(zhi)以(yi)為先驅，加(jia)參朮(zhu)(zhu)者，以(yi)補脾(pi)元，正氣(qi)(qi)正旺然(ran)后可(ke)以(yi)祛(qu)邪也(ye)(ye)。｛潔(jie)古曰，養正積(ji)自(zi)除，李東(dong)垣(yuan)曰，痞(pi)滿皆血(xue)(xue)(xue)證也(ye)(ye)，下(xia)(xia)多(duo)亡陰，謂(wei)脾(pi)胃(wei)水穀之(zhi)(zhi)陰亡也(ye)(ye)，心(xin)(xin)主(zhu)血(xue)(xue)(xue)，心(xin)(xin)虛而(er)邪陷於血(xue)(xue)(xue)之(zhi)(zhi)分(fen)(fen)，故致心(xin)(xin)下(xia)(xia)痞(pi)，宜理(li)脾(pi)胃(wei)以(yi)血(xue)(xue)(xue)藥(yao)治(zhi)之(zhi)(zhi)，若全用(yong)氣(qi)(qi)藥(yao)，則(ze)痞(pi)益甚，而(er)復下(xia)(xia)之(zhi)(zhi)，氣(qi)(qi)愈(yu)下(xia)(xia)降(jiang)，必變為中滿鼓脹矣，世有用(yong)氣(qi)(qi)藥(yao)治(zhi)痞(pi)而(er)不(bu)(bu)效者，蓋未明(ming)此(ci)理(li)也(ye)(ye)。｝本方(fang)除吳(wu)(wu)茱萸、白朮(zhu)(zhu)、茯苓(ling)、澤瀉(xie)(xie)、茵(yin)陳、川(chuan)(chuan)椒、砂(sha)(sha)仁(ren)，加(jia)菖蒲、茯神、丹參、紅豆、名(ming)伏梁丸，治(zhi)心(xin)(xin)積(ji)起臍上至(zhi)心(xin)(xin)下(xia)(xia)，大如臂，令人(ren)煩(fan)心(xin)(xin)，本方(fang)除吳(wu)(wu)茱萸、砂(sha)(sha)仁(ren)、桂、朮(zhu)(zhu)、黃(huang)(huang)芩、澤瀉(xie)(xie)，加(jia)柴胡、莪述^d、皁角、昆布、甘草、名(ming)肥氣(qi)(qi)丸，治(zhi)肝積(ji)在左簫下(xia)(xia)，有頭足(zu)，令人(ren)發(fa)(fa)欬痎瘧不(bu)(bu)已，本方(fang)除吳(wu)(wu)茱萸、白朮(zhu)(zhu)、砂(sha)(sha)仁(ren)、黃(huang)(huang)苓(ling)、茵(yin)陳、澤瀉(xie)(xie)，加(jia)紫(zi)菀、桔(jie)梗、天冬、白蔻(kou)、陳皮、青皮、三稜、名(ming)息賁丸，淡薑湯(tang)下(xia)(xia)，治(zhi)肺(fei)積(ji)在右簫下(xia)(xia)，令人(ren)灑(sa)淅寒熱，欬喘發(fa)(fa)肺(fei)癰，秋冬黃(huang)(huang)連減半(ban)，本方(fang)除吳(wu)(wu)茱萸、白朮(zhu)(zhu)、砂(sha)(sha)仁(ren)、人(ren)參、乾薑、川(chuan)(chuan)椒、黃(huang)(huang)芩、茵(yin)陳，加(jia)菖蒲、丁香、附子、苦楝、延(yan)胡索(suo)，、獨活、全蠍、名(ming)賁豚(tun)丸，淡鹽湯(tang)下(xia)(xia)，治(zhi)腎(shen)積(ji)發(fa)(fa)于小腹上至(zhi)心(xin)(xin)下(xia)(xia)，若豚(tun)狀，上下(xia)(xia)無時，令人(ren)喘欬骨痿，及(ji)男(nan)子七疝，女子瘕(jia)聚帶下(xia)(xia)。｛此(ci)東(dong)垣(yuan)五積(ji)方(fang)也(ye)(ye)，雖(sui)有破滯消積(ji)之(zhi)(zhi)藥(yao)，多(duo)藉(jie)(jie)人(ren)參之(zhi)(zhi)力贊助成功，經曰，大積(ji)大聚，其(qi)可(ke)犯也(ye)(ye)衰其(qi)大半(ban)而(er)止(zhi)，過者死(si)，吳(wu)(wu)鶴皋曰，五積(ji)丸非東(dong)垣(yuan)之(zhi)(zhi)方(fang)也(ye)(ye)，故醫(yi)方(fang)考中皆不(bu)(bu)錄(lu)。｝

葛花解酲湯〔酒積〕

專治酒積(ji)，或(huo)嘔吐，或(huo)泄瀉痞塞，頭痛，小便不利。｛酒大熱(re)(re)有毒(du)，又水之所釀成(cheng)，故熱(re)(re)而兼(jian)濕，濕熱(re)(re)積(ji)於(wu)腸胃，故見(jian)諸證。｝葛花(hua)、豆蔻(kou)、砂仁〔一錢(qian)〕、

木香〔一(yi)分〕、青皮、陳皮、人參、白朮(zhu)〔炒(chao)〕、茯苓〔四分〕、神(shen)麴〔炒(chao)〕、乾薑、

豬苓、澤瀉〔三分〕此(ci)手足陽明藥也(ye)，過飲無度，濕熱(re)(re)(re)之(zhi)毒(du)積于腸(chang)胃(wei)，葛(ge)花獨入(ru)陽明，令濕熱(re)(re)(re)從(cong)肌(ji)肉(rou)而(er)(er)(er)解(jie)，豆蔻砂(sha)仁皆辛散解(jie)酒(jiu)，故(gu)以(yi)為君，神麴(qu)解(jie)酒(jiu)而(er)(er)(er)化(hua)食，木(mu)香(xiang)乾薑(jiang)調(diao)氣(qi)(qi)(qi)而(er)(er)(er)溫中(zhong)，青皮(pi)陳皮(pi)除痰而(er)(er)(er)疏滯，二苓澤瀉能驅濕熱(re)(re)(re)從(cong)小(xiao)便(bian)出，乃(nai)內外(wai)分消之(zhi)劑(ji)，飲多則中(zhong)氣(qi)(qi)(qi)傷，故(gu)又加參朮以(yi)補其(qi)氣(qi)(qi)(qi)也(ye)。｛人(ren)參補氣(qi)(qi)(qi)，最能解(jie)酒(jiu)，李東(dong)垣曰，酒(jiu)大熱(re)(re)(re)有毒(du)，無形之(zhi)物(wu)也(ye)，傷之(zhi)只當發汗，次利小(xiao)便(bian)，上(shang)下分消其(qi)濕氣(qi)(qi)(qi)，今(jin)人(ren)或(huo)用(yong)酒(jiu)癥丸(wan)，大熱(re)(re)(re)之(zhi)藥下之(zhi)，或(huo)用(yong)大黃(huang)牽牛下之(zhi)，是(shi)無形元氣(qi)(qi)(qi)受傷，反損有形陰血，陰血愈虛，陽毒(du)太旺，元氣(qi)(qi)(qi)消亡，而(er)(er)(er)虛損之(zhi)病成矣，或(huo)曰葛(ge)花解(jie)酒(jiu)而(er)(er)(er)發散，不(bu)如枳(zhi)椇(ju)，枳(zhi)椇(ju)一名(ming)(ming)雞(ji)距(ju)，一名(ming)(ming)木(mu)蜜，經霜黃(huang)赤，而(er)(er)(er)味甘(gan)，其(qi)葉(xie)入(ru)酒(jiu)，酒(jiu)化(hua)為水，門外(wai)植此(ci)木(mu)者，屋(wu)內釀(niang)酒(jiu)多不(bu)佳(jia)。｝

鱉甲飲〔瘧(nve)(nve)母(mu)，嚴氏〕治瘧(nve)(nve)久(jiu)不愈(yu)，腹中結塊名曰(yue)瘧(nve)(nve)母(mu)。｛瘧(nve)(nve)久(jiu)不愈(yu)為溫瘧(nve)(nve)，多成癖(pi)於左簫之下，名曰(yue)瘧(nve)(nve)母(mu)，乃肝(gan)之積也(ye)，瘧(nve)(nve)屬少陽膽經(jing)，膽與肝(gan)相表里，久(jiu)瘧(nve)(nve)屬在(zai)血(xue)分(fen)，血(xue)亦(yi)肝(gan)所主也(ye)，當(dang)以鱉甲為君，視證虛實而(er)施佐使之藥。｝

鱉甲〔醋炙〕、白(bai)(bai)朮〔土炒(chao)〕、黃耆、芎藭、白(bai)(bai)芍(shao)〔酒炒(chao)〕、檳(bin)榔、草果〔麵(mian)煨〕、

厚樸、陳(chen)(chen)皮、甘草等(deng)分，薑三片，棗(zao)一枚，烏梅(mei)少(shao)許煎。此(ci)足(zu)少(shao)陽厥(jue)陰(yin)(yin)(yin)太陰(yin)(yin)(yin)藥也，久瘧(nve)必由脾(pi)虛，白朮補脾(pi)氣(qi)(qi)，黃耆補肺(fei)氣(qi)(qi)，使氣(qi)(qi)足(zu)脾(pi)運(yun)，方能(neng)磨(mo)積(ji)也，川芎補肝(gan)(gan)而(er)(er)(er)行血(xue)中(zhong)氣(qi)(qi)滯，芍藥助(zhu)脾(pi)而(er)(er)(er)散肝(gan)(gan)經火邪，二藥并和厥(jue)陰(yin)(yin)(yin)榮氣(qi)(qi)，榮血(xue)調則陰(yin)(yin)(yin)陽和矣，〔陰(yin)(yin)(yin)陽爭故發寒(han)(han)發熱。〕檳榔下氣(qi)(qi)而(er)(er)(er)攻積(ji)，草果暖胃(wei)而(er)(er)(er)祛寒(han)(han)，厚樸破血(xue)而(er)(er)(er)散滿，陳(chen)(chen)皮理氣(qi)(qi)而(er)(er)(er)消(xiao)痰，甘草和中(zhong)而(er)(er)(er)補土(tu)，鱉甲鹹平(ping)屬陰(yin)(yin)(yin)，色青入肝(gan)(gan)，專能(neng)益陰(yin)(yin)(yin)補虛，消(xiao)熱散結，故為痎瘧(nve)之君藥也。