脏腑摄养乖方,则三焦痞膈,肠胃不能宣行,因饮水浆,便令停滞不散,更遇寒气,积
聚而成癖。癖者,谓僻侧在于两胁之间,有时而痛者也。方用∶
牛膝 枳实 (炙) 茯苓 鳖甲(炙)各八分 桔梗 芍药 白术 人参 浓朴(炙)
大黄 桂心 槟榔各六分
上捣筛,蜜和丸,空腹温酒,服如梧子二十丸,日二服,渐加至三十丸。
症者,由寒温失节,致脏腑之气虚弱,而食饮不消,聚积在内。渐染在生长块段,盘牢
不移动,若积引岁月,人则柴瘦,腹转大,遂至于死。治用∶
射罔二两(熬) 蜀椒三百粒
上捣末,以鸡子白为丸,半如麻子,半如赤小豆,先服如麻子,渐服如赤小豆二丸,不
知稍增之,以知为度。
患者腹中卒然有物,坚如石,痛如刺,昼夜啼呼,不疗之。百日死。方用∶
牛膝根二斤 酒一斗
先曝令牛膝根极干,纳酒一斗,浸之密器中,封口置热灰中温之,令味出。先服五、六
合,至一升,以意量多少之。
人有好哑米(思邈按∶哑者饥而思食之义)者,转久弥嗜。哑之若不得米,则胸中清水
出,得米便止。米不消化,遂生症结。治用∶
鸡屎一升 白米五合
合炒,取米焦,捣成散,用水一升,顿服取尽,少时即吐,吐出症如研米汁碎。若无症,
即吐白沫痰水,乃憎米不复食之。无所忌。
Narcissus bulb (Shuixianhua Zi), Paeonia lactiflora root (Shaoyao), and Lotus leaf (Heye) are ground together into powder and taken orally with plain boiled water; this is quite effective.
If the nourishment of the Zang-Fu organs is improper, it leads to obstruction in the Sanjiao (Triple Burner, a concept referring to the upper, middle, and lower cavities of the torso and their functions), causing the intestines and stomach to fail in their normal movement. Consequently, if one drinks water or fluids, they stagnate and do not disperse. If further exposed to cold pathogenic factors, these accumulate to form Pi masses (Pi disease: accumulations located laterally between the hypochondrium). Pi refers to pathological accumulations situated on one side between the two hypochondria, which cause pain at times. The prescription is as follows:
Achyranthes bidentata root (Niuxi), Immature bitter orange (Zhishi, stir-baked), Poria cocos (Fuling), and Turtle shell (Biejia, stir-baked), each 8 fen; Platycodon grandiflorus root (Jiegeng), Paeonia lactiflora root (Shaoyao), Atractylodes macrocephala rhizome (Baizhu), Ginseng radix (Renshen), Magnolia officinalis bark (Noupu, stir-baked), Rhubarb (Dahuang), Cinnamon twig (Guixin), and Areca seed (Binglang), each 6 fen.
The above ingredients are crushed and sieved, mixed with honey to form pills. Taken on an empty stomach with warm wine, 20 pills the size of Sophora japonica seeds per dose, twice daily. Gradually increase the dosage to 30 pills.
Zheng disease arises from irregular exposure to cold and heat, leading to deficiency of Qi in the Zang-Fu organs and indigestion of food and drink, which accumulate internally. Over time, they grow into solid masses that are firmly fixed and immobile. If left for years, the person becomes emaciated while the abdomen enlarges, eventually leading to death. The treatment is as follows:
Asarum heterotropoides root with nitre (Shewang, 2 liang, roasted); Sichuan pepper (Shujiao, 300 grains).
Crush into powder, bind with egg white to form pills. Half should be the size of sesame seeds, half the size of adzuki beans. Start by taking pills the size of sesame seeds, gradually increasing to two pills the size of adzuki beans. If there is no effect ("bu zhi"), slightly increase the dose until therapeutic effect is achieved ("yi zhi wei du").
If a patient suddenly has a hard object in the abdomen, hard as stone, with stabbing pain, crying and calling out day and night, and does not receive treatment, death will occur within one hundred days. The prescription is as follows:
Achyranthes bidentata root (Niuxigen), 2 jin; Wine, 1 dou.
First, sun-dry the Achyranthes bidentata root until extremely dry. Place it in 1 dou of wine, soak it in a sealed vessel, seal the mouth, and place it in hot ashes to warm it, allowing the medicinal properties to extract. Initially take 5-6 he, up to 1 sheng, adjusting the amount according to judgment.
Some people have a craving for raw rice (Sun Simiao notes: "Ya" implies hunger and the desire to eat). The longer this persists, the stronger the craving. If unable to obtain rice, clear fluid flows from the chest; obtaining rice stops this. Undigested rice forms Zheng knots. The treatment is as follows:
Chicken feces (Jishi), 1 sheng; White rice (Baimi), 5 he.
Stir-fry together until the rice is scorched, crush into powder. Take with 1 sheng of water in one dose. Vomiting will occur shortly after, expelling the Zheng knot resembling crushed rice juice. If no knot exists, white foamy phlegm-water will be vomited, after which the person will detest rice and refuse to eat it. There are no dietary restrictions.