《病源论》云∶七疝者,厥逆心痛,足寒清,饮食吐不下,名曰厥疝;腹中气乍满,心
下尽
曰气
行难
《录验方》七疝丸,治人腹中有大疾,厥逆心痛,足寒冷,食吐不下,名曰厥疝;腹中
气满
减而
相引
人参(五分) 桔梗(五分) 黄芩(五分) 细辛(五分) 干姜(五分) 蜀椒(五
分) 当归(五
凡十物,冶下筛,和以白蜜,丸如梧子,先食,服四丸,日三。不知稍增,禁生鱼猪肉。
(
乌喙二合,服三丸,日三。《范汪方》有十二物∶蜀椒五分、干姜四分、浓朴四分、桔梗二
分、乌喙一合、黄芩四分、细辛四分、夕药四分、桂心二分、柴胡一分、茯苓一分、牡丹一
分,先辅食,以酒服七丸,日三。)
《病源论》云∶阴气积于内,则卫气不行,卫气不行,则寒气盛,故令恶寒,不饮食,
手足
《葛氏方》治寒疝去来,每发绞痛方∶
吴茱萸(三两) 生姜(四两) 豉(二合)
酒四升,煮取二升,二服。
《短剧方》云∶解急蜀椒汤,主寒疝心痛如刺,绕脐绞痛,腹中尽痛,白汗自出欲绝方
蜀椒〔三百枚(一方二百枚)〕 附子(一枚) 粳米(半升) 干姜(半两) 大枣(三
十枚) 半夏
凡七物,以水七升,煮取三升,热服一升,不瘥,复服一升。
《经心方》蜀椒汤,治寒疝痛,腹胀奔胸方∶
吴茱萸(一升) 当归(一两) 夕药(一两) 黄芩(一两) 蜀椒(二合)
五味,以水八升,煮取二升半,分三服。
《范汪方》治寒疝腹中痛,小柴胡汤方∶
柴胡(半斤) 半夏(半升,洗) 黄芩(三两炙) 甘草(三两) 人参(三两) 生
姜(三两) 大
凡七物, 咀,以水一斗二升,煮得六升,去滓,服一升,日三。
《耆婆方》治寒疝积聚,用力不节,脉绝伤,羸瘦,不能食饮,此药令人强健,除冷气
痞丸
乌头(二十分,炮) 甘草(八分,炙) 真芎 (八分) 葶苈(八分,熬) 夕药
(八分) 大黄
上七味,捣筛,以蜜和为丸如梧子,服五丸,日二,忌猪鱼五辛生冷酢滑。
《新录方》治寒疝及冲心痛方∶
盐(五合) 灶突墨(三合)
以水一大升,煮取一小升,顿服之,吐瘥。
又方∶水一升五合,渍豉一升五合,绞交取汁服之。
又方∶桃仁八十枚,去皮研如泥,酒下之。
又方∶桃白皮一升,以水三升,煮取一升,顿服之。
又方∶以水若酒服乱发灰方寸匕,日二。
又方∶水酒服伏龙肝方寸匕,日二。
又方∶水服甑带节灰方寸匕,日二。
又方∶酒五升,烧鹿角一枚投酒中,分二三服之。
又方∶灸乳下一寸,足大指丛毛。
又方∶灸脐上三寸,名太仓,脐下二寸,名丹田,各五七炷,并要穴。
又方∶灸上脘七壮。
又方∶灸穷脊上一寸,百壮。
又方∶灸脊中百壮。
According to the *Bing Yuan Lun* (Treatise on the Origins and Manifestations of Diseases), among the seven types of hernia (Jian, abdominal masses/pain syndromes), there is one characterized by cold extremities (Jue Ni), heart pain, cold and clear feet, vomiting of food that cannot be swallowed, termed Jue Jian (Cold Reversal Hernia); sudden abdominal distension due to Qi stagnation, a sensation of tightness below the heart, and difficult Qi movement.
The *Qi Jian Wan* (Seven Hernia Pill) from the *Lu Yan Fang* (Verified Records Formulary) treats severe internal diseases manifesting as cold extremities, heart pain, cold feet, vomiting of food that cannot be swallowed, termed Jue Jian; abdominal Qi distension that fluctuates and radiating pain.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma, 5 fen), Jie Geng (Platycodonis Radix, 5 fen), Huang Qin (Scutellariae Radix, 5 fen), Xi Xin (Asari Radix et Rhizoma, 5 fen), Gan Jiang (Zingiberis Rhizoma Recens, 5 fen), Shu Jiao (Sichuan Pepper, 5 fen), Dang Gui (Angelicae Sinensis Radix, 5 fen)... Ten ingredients in total, ground into powder, mixed with white honey, and formed into pills the size of wu zi (Chinese parasol tree seeds). Take four pills before meals, three times daily. If ineffective, gradually increase the dose. Avoid raw fish and pork.
(Hei Hui [Aconiti Lateralis Radix Preparata, specifically toxic form], 2 he; take three pills, three times daily. The *Fan Wang Fang* contains twelve ingredients: Shu Jiao 5 fen, Gan Jiang 4 fen, Hou Po (Magnoliae Officinalis Cortex, 4 fen), Jie Geng 2 fen, Hei Hui 1 he, Huang Qin 4 fen, Xi Xin 4 fen, Bai Shao (Paeoniae Radix Alba, 4 fen), Gui Xin (Cinnamomi Ramulus, 2 fen), Chai Hu (Bupleuri Radix, 1 fen), Fu Ling (Poria, 1 fen), Mu Dan Pi (Moutan Cortex, 1 fen). Take after auxiliary meals, administered with wine, seven pills, three times daily.)
The *Bing Yuan Lun* states: When Yin Qi accumulates internally, Wei Qi (Defensive Qi) fails to circulate; when Wei Qi fails to circulate, Cold Qi becomes excessive, resulting in aversion to cold, inability to eat, and cold extremities.
The *Ge Shi Fang* (Ge's Formulary) for treating Han Jian (Cold Hernia) which comes and goes, causing severe colicky pain each time it attacks:
Wu Zhu Yu (Evodiae Fructus, 3 liang), Sheng Jiang (Zingiberis Rhizoma Recens, 4 liang), Chi Dou (Sojae Semen Praeparatum, 2 he).
Boil in 4 sheng of wine until 2 sheng remain. Divide into two doses.
The *Duan Ju Fang* (Short Drama Formulary) describes the *Jie Ji Shu Jiao Tang* (Urgency-Relieving Sichuan Pepper Decoction), primarily for Han Jian causing heart pain like stabbing, periumbilical colicky pain, generalized abdominal pain, spontaneous sweating of cold sweat nearly leading to collapse:
Shu Jiao [300 grains (another version says 200 grains)], Fu Zi (Aconiti Lateralis Radix Preparata, 1 piece), Jing Mi (Oryza Sativa, half sheng), Gan Jiang (half liang), Da Zao (Jujubae Fructus, 30 grains), Ban Xia (Pinelliae Rhizoma)...
Seven ingredients in total. Boil in 7 sheng of water until 3 sheng remain. Take 1 sheng hot. If not cured, take another 1 sheng.
The *Jing Xin Fang* (Mind-Heart Formulary) *Shu Jiao Tang* (Sichuan Pepper Decoction) for treating Han Jian pain, abdominal distension with Qi rushing to the chest:
Wu Zhu Yu (1 sheng), Dang Gui (1 liang), Bai Shao (1 liang), Huang Qin (1 liang), Shu Jiao (2 he).
Five ingredients. Boil in 8 sheng of water until 2.5 sheng remain. Divide into three doses.
The *Fan Wang Fang* Xiao Chai Hu Tang (Minor Bupleurum Decoction) for treating Han Jian abdominal pain:
Chai Hu (Ban jin), Ban Xia (half sheng, washed), Huang Qin (3 liang, stir-baked), Gan Cao (Licorice Root, 3 liang), Ren Shen (3 liang), Sheng Jiang (3 liang), Da Zao...
Seven ingredients in total. Cut into pieces, boil in 12 dou of water until 6 sheng remain. Strain. Take 1 sheng, three times daily.
The *Qi Po Fang* (Qi Po's Formulary) pill for treating Han Jian accumulation, injury to pulse Qi due to excessive exertion, emaciation, inability to eat or drink. This medicine strengthens the body and removes Cold Qi and epigastric fullness:
Wu Tou (Aconiti Radix, 20 fen, processed), Gan Cao (8 fen, stir-baked), Zhen Xiong Qiong (Ligusticum Chuanxiong Rhizoma, 8 fen), Ting Li (Descurainiae Semen seu Lepidii Semen, 8 fen, roasted), Bai Shao (8 fen), Da Huang (Rhei Radix et Rhizoma)...
Seven flavors. Pound and sieve, mix with honey to form pills the size of wu zi. Take five pills, twice daily. Avoid pork, fish, Five Spices (garlic, chives, leek, onion, asafoetida), raw/cold foods, vinegar, and slippery/greasy foods.
The *Xin Lu Fang* (Newly Recorded Formulary) for treating Han Jian and Chong Xin Tong (Rebellious Heart Pain):
Yan (Salt, 5 he), Zao Tu Mo (Soot from the kitchen chimney, 3 he).
Boil in 1 da sheng of water until 1 xiao sheng remains. Take all at once. Cured upon vomiting.
Another formula: Soak 1.5 sheng of Chi Dou in 1.5 sheng of water, squeeze out the juice, and drink.
Another formula: Take 80 Tao Ren (Persicae Semen), peel, grind into paste, administer with wine.
Another formula: Take 1 sheng of Tao Bai Pi (Pericarpium Persicae), boil in 3 sheng of water until 1 sheng remains, take all at once.
Another formula: Administer 1 fang cun bi (a square-inch measure) of Luan Fa Hui (Ash of tangled hair) with water or wine, twice daily.
Another formula: Administer 1 fang cun bi of Fu Long Gan (Dragon's House Earth/Collected Soot) with water or wine, twice daily.
Another formula: Administer 1 fang cun bi of Zeng Dai Jie Hui (Ash of steamer band joints) with water, twice daily.
Another formula: Throw 1 Lu Jiao (Cervi Cornu) into 5 sheng of wine after burning it red, divide into two or three doses.
Another formula: Moxibustion at one cun below the nipple, and at the cluster of hairs on the big toe.
Another formula: Moxibustion at three cun above the umbilicus, named Tai Cang acupoint; and two cun below the umbilicus, named Dan Tian acupoint. Each receives five to seven moxa cones. Both are important acupoints.
Another formula: Seven moxa cones at Shang Wan acupoint.
Another formula: One hundred moxa cones at one cun above the spine.
Another formula: One hundred moxa cones at Ji Zhong acupoint.