《经验方》∶治脾元气弱发渴,痛不可忍,用茱萸一两、桃仁一两和炒,令茱萸焦黑后去茱,
取桃仁去皮尖研细,
葱白三十茎煨热,以酒浸温分三服。
《千金方》∶治心脾痛,用高良姜,咀,微炒捣为末,米饮调下一钱,效。
《圣惠方》∶治因食冰水过多,或饮冷浆积于胃,以致脾痛者。胡椒二十五粒,浆水浸一宿,
取出用盐汤下,其病则脱,永不再发也。
腹胀脾疼怎抵当,椒姜之外有丁香。三般等分罗为末,调入白盐与白汤。
水磨乌药治脾疼,每服须教一盏浓。一片陈皮一苏叶,再煎温服有神功。
心与脾疼有妙方,良姜切碎等槟榔。两般同炒研为末,米饮同调服亦良。
《内经》曰∶木郁之发,民病胃脘当心而痛,上支两胁痛,膈噎不通,饮食不下。盖木
气被郁,发则太过,
故民病有土败木贼之候也。夫胃为脾之腑,阳先于阴,故脏未病而腑先病也。甚而致于胁下
如刀 之痛,已连及于脏矣,古方名为脾痛者是也。胃之上口名曰贲门,贲门与心相连,故经
所谓胃脘当心而痛。今俗呼为心痛者,未达此义耳。虽曰运气之胜复,未有不由清痰食积郁
于中,七情九气触于内之所致焉。是以清阳不升,浊阴不降,而肝木之邪得以乘机侵侮而为病
矣。更原厥初致病之由,多因纵恣口腹,喜好辛酸,酷饮热酒煎爆复食生冷,朝餐暮损,日积月深,
白郁成积,自积成痰。痰火煎熬,血液妄行,痰血相杂,妨碍升降,故胃脘疼痛。吞酸嗳气,
嘈杂恶心,膈噎反胃之渐者也。俗医不究其源,例以辛香燥热之剂治之,以火济火,遂成危
遽,良可痛哉!
*Jingyan Fang (Empirical Formulas)*: Treats thirst and unbearable pain caused by weak Spleen Yuan Qi (Primary Qi). Use one liang of Cornus Officinalis Fructus (Shanzhuyu) and one liang of Peach Seed (Taoren), stir-fried together until the Cornus becomes scorched black, then remove the Cornus. Take the Peach Seeds, remove the skin and tips, grind into fine powder. Simmer thirty stalks of Scallion White (Congbai) until hot, soak in wine, and take warm in three divided doses.
*Qianjin Fang (Prescriptions Worth a Thousand Gold)*: Treats Heart-Spleen pain. Use Galangal Rhizome (Gaoliangjiang), cut into pieces, lightly stir-fried and pounded into powder. Mix with rice water to take one qian; effective.
*Shenghui Fang (Sage's Grace Formulas)*: Treats Spleen pain caused by excessive consumption of ice water or cold fluids accumulating in the Stomach. Use twenty-five grains of Pepper (Hujiao), soaked in grain water (Jiangshui) overnight. Remove and administer with salt water; the disease will be cured and never recur.
Abdominal distension and Spleen pain are hard to withstand; besides Zanthoxylum (Huajiao) and Ginger (Shengjiang), there is also Clove (Dingxiang). Grind these three ingredients in equal parts into powder, mix with white salt and warm water to take.
Water-ground Lindera Root (Wuyao) treats Spleen pain; each dose must be brewed strong as a full cup. Add one slice of Tangerine Peel (Chenpi) and one Perilla Leaf (Ziyey), decoct again and take warm; it works miraculously.
There is an excellent formula for Heart and Spleen pain: Cut Galangal Rhizome (Gaoliangjiang) finely and use equal amounts of Areca Nut (Binglang). Stir-fry both together, grind into powder, and take mixed with rice water; also effective.
(Colloquially referred to as Heart Pain; see the section on Heart Pain.)
*Neijing (The Inner Canon)* states: When Wood Qi is depressed and erupts, people suffer from pain in the epigastrium centered at the heart region, radiating upward to both hypochondria, accompanied by dysphagia and inability to swallow food. This is because the Wood Qi, once depressed, erupts excessively, leading to symptoms of Earth deficiency and Wood encroachment. The Stomach is the Fu organ of the Spleen; Yang diseases manifest before Yin, so the Fu organ suffers before the Zang organ. In severe cases, this leads to knife-like pain under the hypochondria, indicating involvement of the Zang organs. Ancient formulas refer to this as Spleen Pain. The upper opening of the Stomach is called the Cardia (Benmen), which connects to the Heart; hence the classic description of "pain in the epigastrium centered at the heart." What is colloquially called Heart Pain today stems from a misunderstanding of this concept. Although attributed to climatic excesses and reversals, such conditions invariably arise from the accumulation of clear phlegm and food stagnation in the middle jiao, triggered by emotional disturbances and qi disorders internally. Consequently, clear Yang fails to ascend, turbid Yin fails to descend, allowing Liver Wood pathogenic factors to invade and cause disease. Tracing back to the initial causes, these often result from indulging in diet, favoring sour and pungent flavors, drinking hot wine excessively, consuming fried, roasted, and raw-cold foods, causing damage day after day. Over time, white stagnation forms masses, which transform into phlegm. Phlegm-fire cauterizes, causing blood to move recklessly; phlegm and blood mix, obstructing the ascent and descent of qi, thus causing epigastric pain. These are precursors to acid regurgitation, belching, stomach rumbling with nausea, dysphagia, and vomiting. Quack doctors, failing to investigate the root cause, uniformly treat with acrid, aromatic, dry, and hot agents, adding fire to fire, thereby creating critical situations. This is truly lamentable!