病源留饮者,由饮酒后饮水多,水气停留于胸膈之间,而不宣散,乃令人胁下痛,短气
而渴,皆其候也。(出第二十卷中)
范汪海藻丸,疗腹中留饮方。
海藻 木防己 甘遂 苁蓉 蜀椒(去汗) 芫花(熬) 葶苈子(熬各一两)
上七味捣筛,蜜和为丸,如梧子。服十丸,不瘥,当增之。(出第十六卷中)
千金疗病者脉伏,其人欲自痢,痢者反快,虽利心下续坚满,此为留饮欲去故也,甘遂
半夏汤主之方。
甘遂(大者三枚) 半夏(十二枚) 芍药(一两) 甘草(如指大一枚炙)
上四味,以蜜半升,纳药汁,及蜜合一升煎,取八大合,顿服之。忌海藻菘菜羊肉饧。
(此本仲景伤寒论方出第十八卷中)
病源夫酒 者,因大饮酒后,渴而引饮无度,酒与饮俱不散,停滞在于胁肋下,结聚成
,时时而痛,因却呼为酒 ,其状胁下弦急而痛。(出第二十七卷中)
深师消饮丸,疗酒 ,饮酒停痰水不消,满逆呕吐,目视 ,耳聋,腹中水声方。
干姜 茯苓(各三两) 白术(八两) 枳实(四枚炙)
上四味捣筛,蜜和丸服如梧子五丸。日三,稍加之,若下去枳实,加干姜二两,名为五
饮丸。忌桃李雀肉大醋生冷之类,大神验。
又倍术丸,疗五饮,酒 方。
白术(一斤) 桂心 干姜(各半斤)
上三味捣筛,蜜和丸如梧子,饮服十丸,稍加之,取下先食服之,日再。忌桃李雀肉生
葱。
又温脾丸,疗久寒宿食酒 方。
干姜(三两炒) 芍药(三两) 蜀椒(二两汗) 小草(一两熬干) 芎 茯苓 桃
仁(去皮尖) 柴胡(熬干各三两) 大黄(八两切熬令黄黑)
上九味捣筛,蜜和更捣万杵,服如大豆许十丸,日三。忌大醋。(并出第二十三卷中)
Pathogenesis: The so-called "Liu Yin" (Retention of Fluids) arises from drinking a large amount of water after consuming alcohol. This causes fluid qi to stagnate between the chest and diaphragm without dispersing, leading to symptoms such as pain in the hypochondrium, shortness of breath, and thirst. These are all characteristic signs. (From Volume 20)
Fan Wang's Hai Zao Wan (Algae Pill), a formula for treating retention of fluids in the abdomen.
Hai Zao (Sargassum Herba), Mu Fang Ji (Stephaniae Tetrandrae Radix), Gan Sui (Kansui Radix), Cong Rong (Cistanche Herba), Shu Jiao (Zanthoxyli Pericarpium [de-sweated]), Yuan Hua (Genkwa Flos [roasted]), Ting Li Zi (Descurainiae Semen [roasted], each 1 liang).
The above seven ingredients are pounded and sifted, then mixed with honey to form pills the size of wutong seeds. Take 10 pills per dose; if not cured, increase the dosage. (From Volume 16)
Qian Jin Fang treats patients with a submerged pulse (Mai Fu), who desire spontaneous diarrhea. Diarrhea brings relief, yet the epigastrium remains persistently hard and full despite the evacuation. This indicates that Liu Yin is attempting to exit. The governing formula is Gan Sui Ban Xia Tang (Kansui and Pinellia Decoction).
Gan Sui (3 large pieces), Ban Xia (Pinelliae Rhizoma [12 pieces]), Shao Yao (Paeoniae Radix Alba [1 liang]), Gan Cao (Glycyrrhizae Radix et Rhizoma [1 piece the size of a finger, roasted]).
The above four ingredients are decocted with half a sheng of honey added to the medicinal juice, combined with honey to make one sheng total. Decoct until 8 da he remain, and take in one dose. Avoid Hai Zao, Song Cai (Brassica pekinensis), mutton, and Yi Tang (Maltose).
(This formula originally comes from Zhang Zhongjing's Shanghan Lun, From Volume 18)
Pathogenesis: The so-called "Jiu Pi" (Alcohol-induced Mass) occurs when excessive drinking leads to uncontrolled consumption of water due to thirst. Both wine and water fail to disperse, stagnating under the hypochondriac region, condensing into a mass that causes intermittent pain, hence named Jiu Pi. Its presentation includes tension and pain in the hypochondrium. (From Volume 27)
Shen Shi Xiao Yin Wan (Deep Master's Pill for Dissolving Retention), a formula for treating Jiu Pi, as well as unresolved phlegm-fluid retention after drinking, fullness and rebellious qi with vomiting, blurred vision, deafness, and borborygmus in the abdomen.
Gan Jiang (Zingiberis Rhizoma), Fu Ling (Poria [each 3 liang]), Bai Zhu (Atractylodis Macrocephalae Rhizoma [8 liang]), Zhi Shi (Aurantii Fructus Immaturus [4 pieces, roasted]).
The above four ingredients are pounded and sifted, mixed with honey to form pills the size of wutong seeds. Take 5 pills per dose, three times daily, gradually increasing the dosage. If Zhi Shi is omitted and Gan Jiang increased by 2 liang, it is named Wu Yin Wan (Five Retentions Pill). Avoid plums, peaches, sparrow meat, strong vinegar, and raw/cold foods. This formula is highly effective.
Another formula, Bei Zhu Wan (Increased Atractylodes Pill), for treating Wu Yin (Five Retentions) and Jiu Pi.
Bai Zhu (1 jin), Gui Xin (Cinnamomi Ramulus Cortex), Gan Jiang (Zingiberis Rhizoma [each half jin]).
The above three ingredients are pounded and sifted, mixed with honey to form pills the size of wutong seeds. Take 10 pills with warm water, gradually increasing the dosage. Take before meals, twice daily. Avoid plums, peaches, sparrow meat, and raw scallions.
Another formula, Wen Pi Wan (Warm the Spleen Pill), for treating chronic cold, retained food, and Jiu Pi.
Gan Jiang (Zingiberis Rhizoma [3 liang, stir-fried]), Shao Yao (Paeoniae Radix Alba [3 liang]), Shu Jiao (Zanthoxyli Pericarpium [2 liang, de-sweated]), Xiao Cao (Consolidae Herba [1 liang, dried by roasting]), Xiong Qiong (Ligustici Chuanxiong Rhizoma), Fu Ling (Poria), Tao Ren (Persicae Semen [skin and tip removed]), Chai Hu (Bupleuri Radix [dried by roasting, each 3 liang]), Da Huang (Rhei Radix et Rhizoma [8 liang, cut and roasted until yellow-black]).
The above nine ingredients are pounded and sifted, mixed with honey, and pounded ten thousand times more. Take 10 pills the size of soybeans, three times daily. Avoid strong vinegar. (All from Volume 23)