夫症瘕者。皆由寒温不调。饮食不化。与脏气虚冷所生也。其病不动者直名为症。若病
虽有
出。
此食
在
在
右
皆为瘕。寸口脉结而伏者。腹中有症。不可转动。必死不治。
治症瘕气。腹胀痛。京三棱方。
京三棱(一两微煨锉) 柴胡(三分去苗) 桔梗(一两去芦头) 木通(一两锉) 当
归(三
分锉
两涂醋炙
令黄
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至五分。去滓。温服。日
三四
治症瘕久不瘥。令人不食。羸瘦少力。芎 散方。
芎 (一两) 桂心(一两) 川大黄(二两锉碎微炒) 鳖甲(二两涂醋炙令黄去裙
) 京
三
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓温服。一
日三
又方。
鳖甲(三两涂醋炙令黄去裙 ) 桃仁(二百枚汤浸去皮尖双仁以水三升生研滤取汁) 京
三棱
上件药。鳖甲三棱捣罗为末。先将桃仁水入铛中。煎三五沸。次下药捣。同煎至一升。
渐渐
治久积症瘕发动。心腹疼痛不可忍。大黄丸方。
大黄(二两锉碎微炒) 天雄(一两炮裂去皮脐) 雄黄(半两细研) 麝香(二钱细
研) 朱
砂(
两微
煨锉
两) 干姜
(半两
上件药。捣罗为末。入研了药令匀。炼蜜和捣三二百杵。丸如小豆大。每服空心。以清
粥饮
治症瘕。心腹胀痛。胸膈烦闷。不欲饮食。四肢少力。木香丸方。
木香(三分) 肉桂(三分去皱皮) 大戟(二分锉碎炒微黄) 京三棱(半两微煨锉)
附子
(半
橘皮
(半两
上件药。捣罗为末。入腻粉巴豆。更研令匀。用软粳米饭和丸。如小豆大。每服空心。
以粥
治症瘕。或寒或热。羸瘦不欲饮食。鳖甲丸方。
鳖甲(一两涂醋炙令黄去裙 ) 吴茱萸(三分汤浸七遍焙干微炒) 龟甲(一两涂醋
炙令
黄)
脐) 白术
(半
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。以温酒下二十丸。日三
服。
治症瘕喘嗽。腹中 痛。吃食减少。四肢乏力。防葵方。
防葵(三分) 桂心(半分) 木香(半两) 吴茱萸(半两汤浸七遍焙干微炒) 鳖
甲(一两
半涂
炒)
京三棱(
两汤浸去
皮微炒)
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以温酒下二十
丸。
治症瘕。神效大通丸方。
川乌头(二两炮裂去皮脐) 砒黄(一分细研) 巴豆(一两去皮心研纸裹压去油) 芫
花
(一两
(一分
炒令紫色) 猪牙皂荚(一两去黑皮涂酥炙令焦黄去子) 自然铜(一两细研别用)
上件药。捣罗为末。入研了药令匀。用黑豆面和丸。如绿豆大。以研了自然铜末滚过。
每
治症瘕。腹内疼痛。硼砂丸方。
硼砂(一两细研) 鳖甲(一两涂醋炙令黄去裙 ) 川大黄(一两锉碎微炒) 木香
〔二(三)
分
三
棱(二
醋浸两
宿绞
上件药。捣罗为末。入研了药令匀。以皂荚膏和丸。如绿豆大。每服空心。以生姜汤下
三丸
治症瘕不消。宜服此方。
川大黄(三两锉碎微炒) 鳖甲(二两涂酥炙令黄去裙 ) 槟榔(二两) 桃仁(一
两汤浸
去皮
上件药。捣罗为末。用酽醋二升。和搅令匀。以慢火熬。候可丸。即丸如梧桐子大。每
日空
Zhengjia (abdominal masses) are diseases caused by the imbalance of cold and heat, indigestion of food, and deficiency-cold of the zang-fu organs. When the lesion is fixed and immobile, it is directly named "Zheng" (fixed mass); if the lesion moves occasionally but is primarily located on the right side, it is named "Jia" (mobile mass). If the pulse at the cunkou position is knotted and deep, it indicates the presence of a Zheng mass in the abdomen that cannot be moved; this is a fatal condition that is incurable.
To treat Zhengjia qi stagnation causing abdominal distension and pain, use Jing Sanleng Tang (Cnidium Rhizome Decoction).
Ingredients: Jing Sanleng (Rhizoma Sparganii, 1 liang, lightly roasted and crushed), Chaihu (Radix Bupleuri, 3 fen, stems removed), Jie Geng (Radix Platycodi, 1 liang, radix tip removed), Mu Tong (Caulis Akebiae, 1 liang, crushed), Dang Gui (Radix Angelicae Sinensis, 3 fen, roasted with vinegar until yellow).
The above ingredients are pounded, sifted, and made into a powder. Take 3 qian per dose, add 1 zhongzhan of water and 0.5 banfen of fresh ginger, decoct until 0.5 fen of liquid remains, filter out the dregs, and take warm. Take 3-4 times daily.
To treat long-standing Zhengjia that does not heal, leading to loss of appetite, emaciation, and weakness, use Xiong Xiong San (Ligusticum Powder).
Ingredients: Xiong Xiong (Rhizoma Chuanxiong, 1 liang), Gui Xin (Cortex Cinnamomi, 1 liang), Chuan Da Huang (Radix et Rhizoma Rhei, 2 liang, crushed and lightly roasted), Bie Jia (Carapax et Plastrum Testudinis, 2 liang, roasted with vinegar until yellow, skirt edges removed), Jing Sanleng (Rhizoma Sparganii, 1 liang, lightly roasted and crushed).
The above ingredients are coarsely pounded and sifted to make a powder. Take 4 qian per dose, add 1 zhongzhan of water and 0.5 banfen of fresh ginger, decoct until 0.6 fen of liquid remains, filter out the dregs, and take warm. Take 3 times daily.
Another prescription:
Ingredients: Bie Jia (Carapax et Plastrum Testudinis, 3 liang, roasted with vinegar until yellow, skirt edges removed), Tao Ren (Semen Persicae, 200 seeds, soaked in hot water, skin and pointed ends removed, double kernels used, ground raw in 3 sheng of water and filtered for juice), Jing Sanleng (Rhizoma Sparganii, 1 liang, lightly roasted and crushed).
The above ingredients: Pound Bie Jia and Jing Sanleng into powder. First, boil Tao Ren and water in a pot for three to five boils. Then add the powdered Bie Jia and Sanleng, and decoct together until 1 sheng of liquid remains. Take slowly.
To treat long-standing accumulated Zhengjia attacks causing unbearable heart and abdominal pain, use Da Huang Wan (Rhubarb Pill).
Ingredients: Da Huang (Radix et Rhizoma Rhei, 2 liang, crushed and lightly roasted), Tian Xiong (Radix Aconiti Kusnezoffii, 1 liang, processed, skin and navel removed), Xiong Huang (Realgar, 0.5 liang, finely ground), She Xiang (Moschus, 2 qian, finely ground), Zhu Sha (Cinnabar, 1 liang, lightly roasted), Gan Jiang (Rhizoma Zingiberis, 0.5 liang, processed).
The above ingredients are pounded and sifted into powder. Mix with the finely ground medicines evenly. Combine with refined honey and pound 300-200 times. Form pills the size of small beans. Take each dose on an empty stomach, washed down with clear porridge drink.
To treat Zhengjia causing heart and abdominal distension and pain, chest oppression, aversion to eating, and limb weakness, use Mu Xiang Wan (Costus Root Pill).
Ingredients: Mu Xiang (Radix Aucklandiae, 3 fen), Rou Gui (Cortex Cinnamomi, 3 fen, wrinkled bark removed), Da Ji (Radix Euphorbiae Humifusae, 2 fen, crushed and lightly roasted), Jing Sanleng (Rhizoma Sparganii, 0.5 liang, lightly roasted and crushed), Fu Zi (Radix Aconiti Lateralis Preparata, 0.5 liang, processed, skin and navel removed), Ju Pi (Pericarpium Citri Reticulatae, 0.5 liang, white pith removed).
The above ingredients are pounded and sifted into powder. Add Ni Fen (Calomelas) and Ba Dou (Semen Crotonis), and grind again until uniform. Combine with soft japonica rice flour to form pills the size of small beans. Take each dose on an empty stomach, washed down with rice soup.
To treat Zhengjia presenting with either cold or heat symptoms, emaciation, and loss of appetite, use Bie Jia Wan (Turtle Shell Pill).
Ingredients: Bie Jia (Carapax et Plastrum Testudinis, 1 liang, roasted with vinegar until yellow, skirt edges removed), Wu Zhu Yu (Fructus Evodiae, 3 fen, soaked in hot water seven times, dried and lightly roasted), Gui Jia (Plastrum Testudinis, 1 liang, roasted with vinegar until yellow, skirt edges removed), Gan Jiang (Rhizoma Zingiberis, 0.5 liang, processed), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 0.5 liang).
The above ingredients are pounded and sifted into powder. Combine with refined honey and pound 300-200 times. Form pills the size of sophora seeds. Take each dose, washed down with warm wine, 20 pills per time. Take 3 times daily.
To treat Zhengjia causing wheezing and cough, abdominal pain, reduced food intake, and limb weakness, use Fang Kui Fang (Aristolochia Prescription).
Ingredients: Fang Kui (Radix Aristolochiae, 3 fen), Gui Xin (Cortex Cinnamomi, 0.5 fen), Mu Xiang (Radix Aucklandiae, 0.5 liang), Wu Zhu Yu (Fructus Evodiae, 0.5 liang, soaked in hot water seven times, dried and lightly roasted), Bie Jia (Carapax et Plastrum Testudinis, 1.5 liang, roasted with vinegar until yellow, skirt edges removed), Jing Sanleng (Rhizoma Sparganii, 1 liang, soaked in hot water, skin removed and lightly roasted).
The above ingredients are pounded and sifted into powder. Combine with refined honey and pound 300-200 times. Form pills the size of sophora seeds. Take each dose regardless of timing, washed down with warm wine, 20 pills per time.
To treat Zhengjia, Shen Xiao Da Tong Wan (Miraculous Great Unblocking Pill).
Ingredients: Chuan Wu Tou (Radix Aconiti Carmichaelii Preparata, 2 liang, processed, skin and navel removed), Pi Huang (Arsenic Trioxide, 1 fen, finely ground), Ba Dou (Semen Crotonis, 1 liang, skin and heart removed, ground and pressed between paper to remove oil), Yuan Hua (Flos Genkwa, 1 liang, roasted until purple), Zhu Ya Zao Jiao (Fructus Gleditsiae Sinensis, 1 liang, black skin removed, roasted with butter until scorched yellow, seeds removed), Zi Ran Tong (Pyritum, 1 liang, finely ground, set aside).
The above ingredients are pounded and sifted into powder. Mix with the finely ground medicines evenly. Combine with black soybean flour to form pills the size of mung beans, rolling them in the prepared Zi Ran Tong powder. Each dose... (text cuts off here)
To treat Zhengjia causing intra-abdominal pain, use Peng Sha Wan (Borax Pill).
Ingredients: Peng Sha (Borax, 1 liang, finely ground), Bie Jia (Carapax et Plastrum Testudinis, 1 liang, roasted with vinegar until yellow, skirt edges removed), Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, crushed and lightly roasted), Mu Xiang (Radix Aucklandiae, 2-3 fen), Jing Sanleng (Rhizoma Sparganii, 2 liang, soaked in vinegar for two nights and squeezed for juice).
The above ingredients are pounded and sifted into powder. Mix with the finely ground medicines evenly. Combine with soap pod paste to form pills the size of mung beans. Take each dose on an empty stomach, washed down with fresh ginger soup, 3 pills per dose... (text cuts off here)
To treat persistent Zhengjia that does not resolve, take this prescription.
Ingredients: Chuan Da Huang (Radix et Rhizoma Rhei, 3 liang, crushed and lightly roasted), Bie Jia (Carapax et Plastrum Testudinis, 2 liang, roasted with butter until yellow, skirt edges removed), Bing Lang (Areca Seed, 2 liang), Tao Ren (Semen Persicae, 1 liang, soaked in hot water, skin and pointed ends removed).
The above ingredients are pounded and sifted into powder. Use 2 sheng of strong vinegar, mix and stir evenly. Simmer over slow fire until suitable for forming pills. Form pills the size of sophora seeds. Take each day on an empty stomach... (text cuts off here)