论曰虚劳之人,气弱血虚,营卫不足,食饮入胃,不能传化,故中气痞塞,胃胀不通,
使人心腹痞满也。
治虚劳心腹痞满,不思饮食,胸膈不利,参苓煮散方
人参 白茯苓(去黑皮) 丁香 木香 桂(去粗皮) 益智(去皮) 青橘皮(汤浸
去白焙)
白术 浓朴(去粗皮生姜汁炙) 黄 (锉炒) 半夏(汤浸七遍用生姜汁制) 当归(切
焙) 京三棱(炮锉) 陈曲(炒) 麦 (炒各一两) 肉豆蔻(去壳) 槟榔(锉) 诃
黎勒(煨去核各五枚)
上二十三味,捣罗为散,每服三钱匕,入盐少许,水一盏,同煎至七分,和滓温服。
治虚劳心腹痞满,胁肋妨闷,不思饮食,诃黎勒汤方
诃黎勒(煨去核) 赤茯苓(去黑皮) 陈橘皮(汤浸去白焙) 前胡(去芦头各一两)
白术
梗(炒) 木
上一十四味,粗捣筛,每服三钱匕,水一盏,入生姜一分切碎,煎至七分,去滓温服。
治虚劳冷气上冲,心腹痞闷,肠鸣相逐,或多刺痛,呕哕膨胀,荜澄茄丸方
荜澄茄(一分) 沉香(锉) 丁香 木香 香子(舶上者炒各半两) 乌药(锉一
两) 白芷(一两一分) 葫芦巴(炒三分)
上八味,捣罗为末,炼蜜为丸,如弹子大,每服一丸。生姜汤嚼下。
治虚劳心腹痞满,不思饮食,柴胡饮方
柴胡(去苗) 枳壳(去瓤麸炒) 白茯苓(去黑皮) 京三棱(煨锉) 浓朴(去粗
皮生姜汁
上六味,细锉,如麻豆大,每服五钱匕,以水一盏半,入生姜一分拍碎,煎至八分。去
滓温服。
治虚劳冷气,心腹痞闷,肠鸣腹痛,饮食减少,木香煮散方
木香 白术 缩砂(去皮) 益智(去皮) 藿香(用叶) 人参(各一两) 丁香(半
两) 青
皮) 浓朴(去粗
上一十四味,捣罗为散,每服三钱匕,水一盏,入生姜三片,枣二枚劈破,煎至七分,
和滓稍热服,如不及煎,入盐少许,如汤点服。
治虚劳脾胃冷弱,心腹痞满,不思饮食,四肢怠惰,补虚调胃,建中丸方
人参 白术 浓朴(去粗皮生姜汁炙) 干姜(炮) 陈橘皮(汤浸去白焙) 枳壳(去
瓤麸炒各半两) 诃黎勒(三枚炮取皮)
上七味,捣罗为末,以煮枣肉和丸,如梧桐子大,每服二十丸,生姜橘皮汤下,不拘时
候。
治虚劳心胸痞闷,腹胁虚胀,补虚进饮食,人参煮散方
人参 鳖甲(去裙 醋炙各一两) 附子(炮裂去皮脐) 缩砂蜜(去皮) 桂(去粗
皮) 陈
切焙) 五味子 甘
上一十二味,捣罗为散,每服三钱匕,水一盏,入生姜二片,盐少许,同煎至七分,去
滓温服,每日空心午前日晚各一。
治虚劳下焦虚冷,心腹痞满,吃食无味,舌涩口干,四肢少力,健脾胃,茵陈煎丸方
茵陈蒿(三两捣为末用醋一升煎为煎) 鳖甲(去裙 醋浸炙令黄色) 京三棱(煨杵
碎各
橘皮(汤浸去白
吴茱萸(水浸一宿
上一十二味,除茵陈外,捣罗为末,用茵陈煎和为丸,如梧桐子大,每日空心,生姜汤
下三十丸,如和不成,更入热蜜。
治虚劳胸膈痞闷,气逆烦满,胁肋虚胀,前胡丸方
前胡(去芦头) 人参 白茯苓(去黑皮) 桂(去粗皮) 陈橘皮(汤浸去白焙) 白
术(各
上八味,捣研为末,炼蜜丸如梧桐子大,每服二十丸,温酒下,日二。
治虚劳气逆,心腹痞满,四肢羸瘦,腹胀不下食,柴胡汤方
柴胡(去苗三两) 枳壳(去瓤麸炒二两) 白茯苓(去黑皮三分) 白术(二两) 人
参(一
上六味,粗捣筛,每服三钱匕,水一盏,入生姜半分拍碎,煎至七分,去滓空腹温服,
日午夜卧各一。
Discussion: In patients with deficiency consumptive disease (Xu Lao), Qi is weak and Blood is deficient, leading to insufficiency of Ying (Nutritive) and Wei (Defensive) Qi. When food and drink enter the Stomach, they cannot be properly transformed and transported. Consequently, Qi stagnation causes obstruction in the Middle Jiao, resulting in gastric distension and blockage, which manifests as fullness and stuffiness in the heart and abdomen.
**Shen Ling Zhu San Formula** for treating deficiency consumptive disease manifesting as fullness and stuffiness in the heart and abdomen, loss of appetite, and discomfort in the chest and diaphragm:
*Ren Shen* (Ginseng Radix), *Bai Fu Ling* (Poria), *Ding Xiang* (Caryophylli Flos), *Mu Xiang* (Aucklandiae Radix), *Gui Zhi* (Cinnamomi Ramulus [removed coarse bark]), *Yi Zhi Ren* (Alpiniae Oxyphyllae Fructus [removed shell]), *Qing Ju Pi* (Citri Reticulatae Pericarpium Viride [soaked in hot water, removed white pith, and dried]), *Bai Zhu* (Atractylodis Macrocephalae Rhizoma), *Hou Po* (Magnoliae Officinalis Cortex [removed coarse bark, processed with ginger juice]), *Huang Qi* (Astragali Radix [cut and stir-fried]), *Ban Xia* (Pinelliae Rhizoma [soaked in hot water seven times, processed with ginger juice]), *Dang Gui* (Angelicae Sinensis Radix [sliced and dried]), *Jing San Leng* (Curcumae Radix [processed and cut]), *Chen Qu* (Massa Medicata Fermentata [stir-fried]), *Mai Ya* (Hordei Fructus Germinatus [stir-fried, each 1 liang]), *Rou Dou Kou* (Myristicae Semen [removed shell]), *Bing Lang* (Arecae Semen [cut]), *He Li Le* (Terminaliae Chebulae Fructus [roasted, removed core, 5 fruits each]).
Process the above twenty-three ingredients by pounding and sieving into a powder. Take 3 qian bi per dose, add a little salt, one zhan of water, decoct together until reduced to 70%, and take warm including the dregs.
**He Li Le Tang Decoction** for treating deficiency consumptive disease manifesting as fullness and stuffiness in the heart and abdomen, oppression in the hypochondrium, and loss of appetite:
*He Li Le* (Terminaliae Chebulae Fructus [roasted, removed core]), *Chi Fu Ling* (Poria with Red Host [removed black skin]), *Chen Ju Pi* (Citri Reticulatae Pericarpium [soaked in hot water, removed white pith, and dried]), *Qian Hu* (Peucedani Radix [removed rhizome head, each 1 liang]), *Bai Zhu* (Atractylodis Macrocephalae Rhizoma), *Geng Mi* (Oryza Sativa [stir-fried]), *Mu Xiang* (Aucklandiae Radix).
Process the above fourteen ingredients by coarsely pounding and sieving. Take 3 qian bi per dose, one zhan of water, add 1 fen of chopped fresh ginger, decoct until reduced to 70%, remove dregs, and take warm.
**Bi Cheng Qie Wan Pills** for treating deficiency consumptive disease with cold qi rushing upward, fullness and stuffiness in the heart and abdomen, successive borborygmus, frequent stabbing pain, vomiting and hiccups, and abdominal distension:
*Bi Cheng Qie* (Litseae Fructus [1 fen]), *Chen Xiang* (Aquilariae Lignum Resinatum [cut]), *Ding Xiang* (Caryophylli Flos), *Mu Xiang* (Aucklandiae Radix), *Hu Jiao* (Piperis Longi Fructus [imported variety preferred, stir-fried, each half liang]), *Wu Yao* (Linderae Radix [cut, 1 liang]), *Bai Zhi* (Angelicae Dahuricae Radix [1 liang 1 fen]), *Hu Lu Ba* (Trigonellae Foenum-Graeci Semens [stir-fried, 3 fen]).
Process the above eight ingredients by pounding and sieving into powder. Form pills using refined honey, size of a bullet. Take one pill per dose. Chew and swallow with ginger soup.
**Chai Hu Yin Beverage** for treating deficiency consumptive disease manifesting as fullness and stuffiness in the heart and abdomen, and loss of appetite:
*Chai Hu* (Bupleuri Radix [removed seedlings]), *Zhi Ke* (Aurantii Fructus [removed pulp, bran-fried]), *Bai Fu Ling* (Poria [removed black skin]), *Jing San Leng* (Curcumae Radix [roasted and cut]), *Hou Po* (Magnoliae Officinalis Cortex [removed coarse bark... [text incomplete]]).
Process the above six ingredients by finely cutting to the size of hemp seeds. Take 5 qian bi per dose, one and a half zhan of water, add 1 fen of crushed fresh ginger, decoct until reduced to 80%. Remove dregs and take warm.
**Mu Xiang Zhu San Powder** for treating deficiency consumptive disease with cold qi, fullness and stuffiness in the heart and abdomen, borborygmus and abdominal pain, and decreased diet:
*Mu Xiang* (Aucklandiae Radix), *Bai Zhu* (Atractylodis Macrocephalae Rhizoma), *Suo Sha* (Amomi Fructus [removed shell]), *Yi Zhi Ren* (Alpiniae Oxyphyllae Fructus [removed shell]), *Huo Xiang* (Agastaches Herba [use leaves]), *Ren Shen* (Ginseng Radix [each 1 liang]), *Ding Xiang* (Caryophylli Flos [half liang]), *Qing Pi* (Citri Reticulatae Pericarpium Viride [text incomplete]), *Hou Po* (Magnoliae Officinalis Cortex [text incomplete]).
Process the above fourteen ingredients by pounding and sieving into powder. Take 3 qian bi per dose, one zhan of water, add three slices of fresh ginger and two cracked jujubes, decoct until reduced to 70%. Take warm with dregs. If decoction is not possible, add a little salt and take like tea infusion.
**Jian Zhong Wan Pills** for tonifying deficiency and regulating the stomach, treating deficiency consumptive disease with cold and weak Spleen and Stomach, fullness and stuffiness in the heart and abdomen, loss of appetite, and lethargy of the four limbs:
*Ren Shen* (Ginseng Radix), *Bai Zhu* (Atractylodis Macrocephalae Rhizoma), *Hou Po* (Magnoliae Officinalis Cortex [removed coarse bark, processed with ginger juice]), *Gan Jiang* (Zingiberis Rhizoma [processed]), *Chen Ju Pi* (Citri Reticulatae Pericarpium [soaked in hot water, removed white pith, and dried]), *Zhi Ke* (Aurantii Fructus [removed pulp, bran-fried, each half liang]), *He Li Le* (Terminaliae Chebulae Fructus [three fruits, processed, use bark]).
Process the above seven ingredients by pounding and sieving into powder. Mix with cooked jujube flesh to form pills, size of Sophora japonica seeds. Take 20 pills per dose, with ginger and tangerine peel soup, at any time.
**Shen Ling Zhu San Powder** for tonifying deficiency and promoting diet, treating deficiency consumptive disease with stuffiness in the chest and heart, empty distension in the abdomen and hypochondrium:
*Ren Shen* (Ginseng Radix), *Bie Jia* (Testudinis Carapax et Plastrum [removed skirt edge, vinegar-processed, each 1 liang]), *Fu Zi* (Aconiti Lateralis Radix Praeparata [processed, split, removed skin and umbilicus]), *Suo Sha Mi* (Amomi Fructus [removed shell]), *Gui Zhi* (Cinnamomi Ramulus [removed coarse bark]), *Chen Pi* (Citri Reticulatae Pericarpium [text incomplete]), *Wu Wei Zi* (Schisandrae Chinensis Fructus), *Gan Cao* (Glycyrrhizae Radix et Rhizoma [text incomplete]).
Process the above twelve ingredients by pounding and sieving into powder. Take 3 qian bi per dose, one zhan of water, add two slices of fresh ginger and a little salt, decoct together until reduced to 70%. Remove dregs and take warm. Take once on an empty stomach in the morning, before noon, and in the evening.
**Yin Chen Jian Wan Pills** for strengthening the Spleen and Stomach, treating deficiency consumptive disease with lower Jiao deficiency cold, fullness and stuffiness in the heart and abdomen, tasteless food, dry tongue and mouth, and weakness of the four limbs:
*Yin Chen Hao* (Artemisiae Scopariae Herba [3 liang, pounded to powder, decocted with one sheng of vinegar to make a paste]), *Bie Jia* (Testudinis Carapax et Plastrum [removed skirt edge, soaked in vinegar and roasted until yellow]), *Jing San Leng* (Curcumae Radix [roasted and pounded], [text incomplete]), *Ju Pi* (Citri Reticulatae Pericarpium [soaked in hot water, removed white pith... [text incomplete]]), *Wu Zhu Yu* (Evodiae Fructus [soaked in water overnight... [text incomplete]]).
Process the above twelve ingredients, except Yin Chen Hao, by pounding and sieving into powder. Mix with Yin Chen Hao paste to form pills, size of Sophora japonica seeds. Take 30 pills on an empty stomach daily with ginger soup. If difficult to bind, add more hot honey.
**Qian Hu Wan Pills** for treating deficiency consumptive disease with stuffiness in the chest and diaphragm, rebellious Qi causing irritability and fullness, and empty distension in the hypochondrium:
*Qian Hu* (Peucedani Radix [removed rhizome head]), *Ren Shen* (Ginseng Radix), *Bai Fu Ling* (Poria [removed black skin]), *Gui Zhi* (Cinnamomi Ramulus [removed coarse bark]), *Chen Ju Pi* (Citri Reticulatae Pericarpium [soaked in hot water, removed white pith, and dried]), *Bai Zhu* (Atractylodis Macrocephalae Rhizoma [each... [text incomplete]]).
Process the above eight ingredients by pounding and grinding into powder. Form pills using refined honey, size of Sophora japonica seeds. Take 20 pills per dose with warm wine, twice daily.
**Chai Hu Tang Decoction** for treating deficiency consumptive disease with rebellious Qi, fullness and stuffiness in the heart and abdomen, emaciation of the four limbs, abdominal distension, and inability to eat:
*Chai Hu* (Bupleuri Radix [removed seedlings, 3 liang]), *Zhi Ke* (Aurantii Fructus [removed pulp, bran-fried, 2 liang]), *Bai Fu Ling* (Poria [removed black skin, 3 qian]), *Bai Zhu* (Atractylodis Macrocephalae Rhizoma [2 liang]), *Ren Shen* (Ginseng Radix [1... [text incomplete]]).
Process the above six ingredients by coarsely pounding and sieving. Take 3 qian bi per dose, one zhan of water, add half a fen of crushed fresh ginger, decoct until reduced to 70%. Remove dregs and take warm on an empty stomach, once at night and once before sleep at noon.