治五疟八痞。
独头蒜(不拘多少,每个开七窍,入去皮江子七粒,湿纸裹煨,研为膏,非大蒜也) 丁香
橘红 木香 荜茇 胡椒
上等分为末,用蒜膏为丸,如梧子大。先嚼盐少许,令生津液,干咽二粒,渐加至三五
丸,临卧服。
《广五行记》永徽中,有僧维则病噎不能食,语弟子曰∶吾死之后,便可开吾胸喉,视
有何物。言绝而卒。弟子果开视胸中,得一物,形似鱼而有两头,遍体皆有肉鳞。弟子置器
中,跳跃不止,戏以诸味,皆随化尽。时夏中蓝盛作淀。有一僧以淀置器中,此虫遂绕器中
走,须臾化为水。此乃生瘕,非五噎比。后人因以蓝治噎,误矣。
病有五膈者,胸中气结,津液不通,饮食不下,羸瘦短气,名忧膈;中脘实满,噎则醋
心,饮食不消,大便不利,名曰思膈;胸胁逆满,噎塞不通,呕则筋急,恶闻食臭,名曰怒
膈;五心烦热,口舌生疮,四肢倦重,身常发热,胸痹引背,不能多食,名曰喜膈;心腹胀
满,咳嗽气逆,腹下若冷,雷鸣绕脐,痛不能食,名曰恐膈。此皆五情失度,动气伤神,致
阴阳不和,结于胸膈之间,病在膻中之下,故名五膈;若在咽嗌,即名五噎。治之,五病同法。
治忧恚思虑,膈塞不通,及食冷物即发,其病苦心痛,不得气息,引背痛如刺
,心下坚大如粉絮,紧痛欲吐,吐即瘥,食饮不下;甚者手足冷,短气;或上气喘急呕逆,悉主之。
麦门冬(去心) 甘草(炙,各五两) 人参(四两) 川椒(炒出汗) 远志(去心炒) 细辛(去
苗) 桂心(各三两) 干姜(炮,二两) 附子(炮,一两)
上为末,蜜丸,弹子大。含化,日三夜二。胸中当热,七日愈;亦可丸如梧子大,米汤
下二三十丸。《延年方》夏加麦门冬、甘草、人参各一两。《经心录》以吴茱萸代桂,治遇
寒冷则心痛,咽中有物,吐不出,咽不入,食饮减少,并可服之,不拘时候。
Treats five types of malaria (malaria) and eight types of pi masses (abdominal masses).
Monocot garlic (any quantity, cut seven holes in each clove, insert seven seeds of Euphorbiae Lathyridis Herba (Daji, 大戟) with the skin removed, wrap in wet paper and roast until soft, then grind into a paste; note: this refers to Daji, not common garlic), Clove, Tangerine Peel, Aucklandia Root, Long Pepper, Black Pepper.
Grind the above ingredients into powder in equal proportions, use the garlic paste as a binder to form pills, sized like Sophora japonica seeds. Before taking the medicine, chew a small amount of salt to generate saliva, swallow two pills dry, gradually increase to three or five pills, and take them before going to bed.
The "Guang Wuxing Ji" records that during the Yonghui era of Emperor Gaozong of Tang, a monk named Weize suffered from yige (dysphagia/choking syndrome) and could not eat. He told his disciples, "After I die, you may open my chest and throat to see what is inside." He died shortly after speaking. The disciples indeed opened his chest and found an object resembling a fish with two heads, covered in fleshy scales throughout. When placed in a vessel by the disciples, it jumped incessantly. Various flavors were tested on it, but it dissolved upon contact. At that time, during summer, Isatis indigotica plants were abundant for making indigo dye. A certain monk put some indigo dye into the vessel; the creature ran around inside the vessel and soon turned into water. This was a sheng jia (living mass formed by pathological products), not comparable to the five types of yegge. Later generations mistakenly used indigo to treat yegge.
Patients suffering from the five types of ge (obstruction syndrome) present with qi stagnation in the chest, unblocked body fluids, difficulty swallowing food, emaciation, and shortness of breath; this is called Youge (Worry Ge). Fullness and excess in the Zhongwan area, acid reflux when swallowing, indigestion, and constipation characterize Si Ge (Pensive Ge). Reversal fullness in the chest and hypochondrium, blockage preventing swallowing, tendon spasm during vomiting, and aversion to the smell of food define Nuge (Angry Ge). Heat in the five centers (palms, soles, and chest), mouth and tongue ulcers, heavy and fatigued limbs, frequent low-grade fever, chest bi pain radiating to the back, and inability to eat much constitute Xige (Joyful Ge). Abdominal distension and fullness, coughing with rebellious qi, cold sensation below the abdomen, borborygmus surrounding the navel, and pain preventing eating are known as Kongge (Fear Ge). All these result from the imbalance of the five emotions, which agitate qi and damage the spirit, leading to disharmony of Yin and Yang, knotting between the chest and diaphragm. The pathology lies below the Danzhong acupoint, hence the name Five Ge; if located in the pharynx, it is called Five Yegge. The treatment method for these five diseases is the same.
This prescription treats obstruction due to sorrow, anger, and excessive thinking, as well as symptoms triggered by consuming cold foods. The patient suffers from heart pain, dyspnea, stabbing pain radiating to the back, hardness and enlargement below the heart resembling cotton fluff, tight pain inducing vomiting (relief occurs after vomiting), and inability to ingest food or drink. Severe cases manifest as cold extremities and shortness of breath; or rapid breathing with asthma and vomiting/rebellious qi. This formula addresses all these conditions.
Ophiopogon Tuber (heart removed), Roasted Licorice Root (each 5 liang), Ginseng Root (4 liang), Sichuan Peppercorn (stir-fried until oil appears), Polygala Tuber (heart removed and stir-fried), Asarum Root (aerial parts removed), Cinnamon Twig (3 liang each), Prepared Ginger (2 liang), Prepared Aconite Root (1 liang).
Grind the above into powder, mix with honey to form pills the size of bullet seeds. Allow to dissolve in the mouth; take three times during the day and twice at night. The chest should feel warm; recovery occurs within seven days. Alternatively, form pills the size of Sophora japonica seeds and take 20-30 pills with rice soup. The "Yannian Fang" suggests adding Ophiopogon Tuber, Licorice Root, and Ginseng Root by one liang each during summer. The "Jingxin Lu" recommends replacing Cinnamon Twig with Evodia Fruit to treat heart pain triggered by cold, a sensation of a foreign body in the throat that cannot be vomited out or swallowed down, and reduced appetite; this can be taken at any time.