夫虚劳者。脏气不足故也。复为风邪所乘。邪正相干。冷热击搏。故为心腹痛也。
治虚劳。肩背疼闷。心腹胀痛。肠胃虚鸣。脐下拘急。宜服鳖甲散方。
鳖甲(一两半涂醋炙令微黄去裙 ) 柴胡〔二(一)两半去苗〕 京三棱(一两炮锉)
当
归(
去白瓤焙)
大
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。食前稍
热服
治虚劳。肩背及心腹疼痛。或四肢不和。腹胃胀满。宜服芎 散方。
芎 (一两) 柴胡(一两半去苗) 桂心(三分) 赤芍药(一两) 白术(一两) 大
腹皮
〔二(
香
(二分)
不计时候稍热
治虚劳。心腹痛。胃气不和。腹胁胀满。宜服木香散方。
木香 芎 枳壳(麸炒微黄去瓤) 桃仁(汤浸去皮尖双仁麸炒微黄) 陈橘皮(汤
浸去
白瓤
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候。稍热服。
治虚劳。冷气攻。心腹痛疼。宜服丁香散方。
丁香(半两) 当归(三分) 赤芍药(三分) 浓朴(一两半去粗皮涂生姜汁炙令香
熟) 青
橘皮
分汤浸
去皮
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不
治虚劳。心腹痛。小腹滞闷。宜服沉香散方。
沉香(一两半) 附子(炮裂去皮脐) 槟榔 肉桂(去皱皮) 陈橘皮(汤浸去白瓤
焙)
香子
上件药。捣细罗为散。每服食前。以热酒调下二钱。
治虚劳。心腹胀满刺痛。食不消。宜服肉豆蔻丸方。
肉豆蔻(一两去壳) 木香(一两) 丁香(半两) 当归(半两) 京三棱(一两炮
锉) 神曲
(一
去皮尖
双仁
上件药。捣罗为末。炼蜜和捣五七百杵。丸如梧桐子大。每服食前。以热酒下十五丸。
治虚劳。心腹或脐下疼痛。兼暖脾肾。顺气思食。阿魏丸方。
阿魏(半两细研用白面一两拌溲作饼子爆令黄焦) 木香(一两) 补骨脂(二两微炒)
青
橘皮
子(二
两微
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每服食前。以温(热)酒下十
五
丸。
又方。
青橘皮(一两汤浸去白瓤焙) 桂心(一两) 木香(二两) 桃仁(一两汤浸去皮尖
双仁麸
炒微
上件药。捣细罗为散。每服食前。以热酒调下一钱。
又方。
干漆(一两杵碎炒令烟出) 京三棱(一两炮锉) 蓬莪术(半两煨) 青橘皮(三分
汤浸去
白瓤
上件药。捣细罗为散。每服食前。以热酒调下一钱。
Deficiency consumption (Xu Lao) is caused by the insufficiency of Zang-Fu Qi. It is further invaded by Wind pathogen, where pathogenic factors and righteous Qi interfere with each other, and Cold and Heat energies clash and contend, thus resulting in Heart and Abdominal pain.
For treating deficiency consumption manifesting as shoulder and back pain and oppression, abdominal distension and pain, empty rumbling in the intestines and stomach, and tension and urgency below the umbilicus, it is appropriate to take Biejia San (Turtle Shell Powder).
Biejia (Chelonae Carapax et Plastrum, 1.5 liang, coated with vinegar, roasted until slightly yellow, remove the skirt edge), Chaihu (Bupleuri Radix, 2.5 liang, remove the seedling), Jingsanleng (Sparganii Rhizoma, 1 liang, processed and crushed), Danggui (Angelicae Sinensis Radix, remove white pith, baked).
The above herbs are coarsely ground and sieved to make a powder. Each dose is 3 qian. Take one zhongzhan of water, add half fen of Shengjiang (Zingiberis Rhizoma Recens), decoct until reduced to six parts, filter out the dregs, and take it slightly warm before meals.
For treating deficiency consumption manifesting as shoulder and back as well as heart and abdominal pain, or discomfort in the four limbs, and abdominal and gastric distension, it is appropriate to take Xiongqu San (Peucedani Radix Powder).
Xiongqu (Peucedani Radix, 1 liang), Chaihu (Bupleuri Radix, 1.5 liang, remove the seedling), Guixin (Cinnamomi Cortex, 3 fen), Chishaoyao (Paeoniae Radix Rubra, 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Dafupi (Arecae Pericarpium, 2 liang, roasted), Xiangfu (Cyperi Rhizoma, 2 fen, remove skin).
The above herbs are finely ground and sieved to make a powder. Each dose is 3 qian. Take one zhongzhan of water, decoct until reduced to six parts, filter out the dregs, and take it slightly warm at any time.
For treating deficiency consumption manifesting as heart and abdominal pain, disharmony of Stomach Qi, and abdominal and hypochondriac distension, it is appropriate to take Muxiang San (Costi Root Powder).
Muxiang ( Aucklandiae Radix ), Xiongqu (Peucedani Radix), Zhike (Aurantii Fructus Immaturus, bran-fried until slightly yellow, remove pith), Taoren (Persicae Semen, soaked in hot water to remove skin and tips, use double kernels, bran-fried until slightly yellow), Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water to remove white pith, baked).
The above herbs are coarsely ground and sieved to make a powder. Each dose is 3 qian. Take one zhongzhan of water, decoct until reduced to six parts, filter out the dregs, and take it slightly warm at any time.
For treating deficiency consumption where Cold Qi attacks, causing heart and abdominal pain, it is appropriate to take Dingxiang San (Caryophylli Flos Powder).
Dingxiang (Caryophylli Flos, 0.5 liang), Danggui (Angelicae Sinensis Radix, 3 fen), Chishaoyao (Paeoniae Radix Rubra, 3 fen), Houpo (Magnoliae Officinalis Cortex, 1.5 liang, remove rough bark, coat with fresh ginger juice, roast until fragrant and cooked), Qingjupi (Citri Reticulatae Pericarpium Viride, 3 fen, soaked in hot water to remove skin).
The above herbs are coarsely ground and sieved to make a powder. Each dose is 3 qian. Take one zhongzhan of water, add half fen of Shengjiang (Zingiberis Rhizoma Recens) and three dates, decoct until reduced to six parts, filter out the dregs, and take it slightly warm at any time.
For treating deficiency consumption manifesting as heart and abdominal pain, and stagnation and oppression in the lower abdomen, it is appropriate to take Chenxiang San (Aquilariae Lignum Resinatum Powder).
Chenxiang (Aquilariae Lignum Resinatum, 1.5 liang), Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, remove skin and root end), Binglang (Arecae Semen), Rougui (Cinnamomi Cortex, remove wrinkled bark), Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water to remove white pith, baked), Xiangzi (Litseae Fructus, 1 liang, slightly roasted).
The above herbs are finely ground and sieved to make a powder. Each dose before meals, mix with two qian using hot wine.
For treating deficiency consumption manifesting as heart and abdominal distension and fullness with stabbing pain, and indigestion, it is appropriate to take Roudoukou Wan (Myristicae Semen Pill).
Roudoukou (Myristicae Semen, 1 liang, remove shell), Muxiang (Aucklandiae Radix, 1 liang), Dingxiang (Caryophylli Flos, 0.5 liang), Danggui (Angelicae Sinensis Radix, 0.5 liang), Jingsanleng (Sparganii Rhizoma, 1 liang, processed and crushed), Shenqu (Massa Medicata Fermentata, 1 liang, fried), Xingren (Pruni Semen, 1 liang, soaked in hot water to remove skin and tips, use double kernels, bran-fried until slightly yellow).
The above herbs are ground into powder, mixed with refined honey, and pounded for five to seven hundred strokes to form pills the size of paulownia seeds. Each dose before meals, take fifteen pills with hot wine.
For treating deficiency consumption manifesting as heart, abdomen, or periumbilical pain, with the additional effects of warming Spleen and Kidney, regulating Qi, and promoting appetite, the Awei Wan (Styrax Pill) formula is used.
Awei (Styrax, 0.5 liang, finely ground, mixed with 1 liang of white flour to form cakes, popped until yellow and scorched), Muxiang (Aucklandiae Radix, 1 liang), Buguzhi (Psoraleae Fructus, 2 liang, slightly roasted), Qingjupi (Citri Reticulatae Pericarpium Viride, 1 liang, soaked in hot water to remove white pith, baked), Xiangzi (Litseae Fructus, 2 liang, slightly roasted).
The above herbs are ground into powder, mixed with refined honey, and pounded for three to five hundred strokes to form pills the size of paulownia seeds. Each dose before meals, take fifteen pills with warm (hot) wine.
Another prescription.
Qingjupi (Citri Reticulatae Pericarpium Viride, 1 liang, soaked in hot water to remove white pith, baked), Guixin (Cinnamomi Cortex, 1 liang), Muxiang (Aucklandiae Radix, 2 liang), Taoren (Persicae Semen, 1 liang, soaked in hot water to remove skin and tips, use double kernels, bran-fried until slightly yellow).
The above herbs are finely ground and sieved to make a powder. Each dose before meals, mix with one qian using hot wine.
Another prescription.
Ganqi (Resina Taxodi, 1 liang, pounded and fried until smoke emerges), Jingsanleng (Sparganii Rhizoma, 1 liang, processed and crushed), Ezhu (Curcumae Rhizoma, 0.5 liang, baked), Qingjupi (Citri Reticulatae Pericarpium Viride, 3 fen, soaked in hot water to remove white pith, baked).
The above herbs are finely ground and sieved to make a powder. Each dose before meals, mix with one qian using hot wine.