治上气呕吐,不能下食。
半夏(汤洗,焙,三分) 陈皮(去白焙) 白术 甘草(锉炙) 桂心(各半两) 人
参(一
上 咀,每服五钱,水一盏,生姜五片,枣三枚,煎至七分,去滓温服。日三。
治上气呕逆,及疏利过多,虚气上攻,及短气少气噎闷,宜服。
木香 人参 白茯苓(去皮) 藿香叶 陈皮(去白焙) 枳壳(麸炒) 甘草(炙,
各一两)
上为细末,每服二钱,煎紫苏木瓜生姜汤调,再入银盏重汤煎五七沸,温服。
治男子妇人诸物所伤,遍身走注,疼痛多年,沉积不散,呕吐恶心,胸膈
痛,久痢不止,肋胁胀满,一切冷气不和,妇人胎前产后诸疾,并皆治之。
沉香 檀香 木香 乳香 没药(各半两) 丁香 香附(炒,去毛) 八角茴香 莪
术(
乌(炮) 草乌(
上为细末,用醋煮面糊为丸,如樱桃大,每服一丸,用枣一枚,烧熟去核,同药细嚼,
用冷米饮送下。心腹急痛,用冷水送下。伤损肠内痛,煎乳香汤下。积聚亦如前法。服后以
干物压之,忌热物,大有神效,食后临卧时服。
膈噎为病,巢氏以忧思劳食气五者为五噎,以忧恚寒热气为五膈。然膈噎虽分之为二,
不云治疗之法,《内经》言三阳结谓之膈,三阳者大肠小肠膀胱是也,结者热结也。小肠热
则血脉燥,大肠热则后不圊,膀胱热则津液涸。三阳结热,则前后闭涩不通,气反上行,食
噎不下,此皆热证。《内经》又云∶诸气为阳也,气结则脉结,脉结于阳部,必寸关缓涩而
沉伏,此谓之阳结也,结者乃结聚之义也。膈者谓膈在心脾之间,上下不通,若格拒之状也
,或结于咽喉,时觉有所碍,吐之不出,咽之不下,由气郁痰搏而然,久则渐妨饮食而为膈
也。噎者饮食之际,气卒阻滞,饮食不下而为噎也。大凡忧愁愤怒,盖出于思,思则伤神,
气不舒,气聚结不散,为结为痞,为膈为噎,乃正气虚,使气道嗌塞,大便自结。结则气上
不下,食不得入,入则反出,俾肠涸胃空,上吐下结,遂成结肠反胃。盖气膈之病,胸中气
痞烦闷,饮食不下,或心下苦满,噫气吞酸,时闻食臭,大小便闭涩,不时吐逆,皆由忧思
伤气,故阳脉结而谓之膈气也。夫喜则气散,怒则气逆,忧则气聚,思则气结,悲则气急,
恐则气怯,惊则气乱,此七气不和则百病生。膈噎之证,得气愈盛,气噎其脉缓涩,食噎其
脉短涩,治法透膈疏气,化痰和胃。后之学人,幸而辨之,治证药类,开列于后。
To treat upward-rebellious Qi causing vomiting and inability to take food.
Banxia (Pinelliae Rhizoma, washed with decoction, dried, 3 fen) Chenshi (Citri Reticulatae Pericarpium, white pith removed, dried) Baizhu (Atractylodis Macrocephalae Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma, cut and roasted) Guixin (Cinnamomi Cortex, each 0.5 liang) Renshen (Panacis Ginseng Radix, 1 liang)
Crush the above herbs. For each dose, use 5 qian, add 1 zhan of water, 5 slices of Shengjiang (Zingiberis Rhizoma Recens), and 3 dates. Decoct until 7/10 remains, strain, and take warm. Three times a day.
To treat upward-rebellious Qi causing retching, as well as deficiency Qi attacking upward due to excessive purgation, shortness of breath, scanty Qi, and dysphagia/stuffiness. This is suitable for consumption.
Muxiang (Aucklandiae Radix) Renshen (Panacis Ginseng Radix) Baifuling (Poria, pelt removed) Huoxiangye (Agastachis Herba) Chenshi (Citri Reticulatae Pericarpium, white pith removed, dried) Zhike (Aurantii Fructus Immaturus, bran-fried) Gancao (Glycyrrhizae Radix et Rhizoma, roasted, each 1 liang)
Grind the above herbs into fine powder. For each dose, use 2 qian, mix with decoction made from Zisu (Perillae Folium), Mugua (Chaenomelis Fructus), and Shengjiang (Zingiberis Rhizoma Recens). Place in a silver cup and heat over boiling water for five or seven boils. Take warm.
To treat men and women injured by various pathogens, wandering pain throughout the body persisting for years without dissipating, accompanied by vomiting, nausea, chest and diaphragm pain, chronic dysentery, hypochondriac distension and fullness, all types of cold Qi disharmony, and various diseases before and after childbirth in women. All are treated.
Chenxiang (Aquilariae Lignum Resinatum) Tanxiang (Santalum Album Lignum) Muxiang (Aucklandiae Radix) Ruxiang (Olibanum) Moyao (Myrrha) (each 0.5 liang) Dingxiang (Caryophylli Flos) Xiangfu (Cyperi Rhizoma, fried, trichomes removed) Bajiaohuixiang (Illicii Fructus) Ezhu (Curcumae Rhizoma, processed) Wutou (Aconiti Lateralis Radix Praeparata, processed) Caowu (Aconiti Kusnezoffii Radix, processed)
Grind the above herbs into fine powder. Use vinegar-boiled wheat paste to make pills the size of cherries. For each dose, take one pill. Roast one date until cooked, remove the pit, chew together with the pill finely, and swallow with cold rice drink. For acute heart and abdominal pain, swallow with cold water. For internal intestinal pain due to injury, swallow with Ruxiang (Olibanum) decoction. For accumulations, follow the same method. After taking the medicine, press the stomach with dry food; avoid hot food. It has great miraculous effect. Take after meals and before bedtime.
The disease of Ge-Ye (dysphagia and obstruction), according to Chao Yuanfang, consists of five types of Ye (choking) caused by worry, thought, labor, diet, and Qi stagnation, and five types of Ge (obstruction) caused by anger, fear, cold, and heat. Although Ge and Ye are divided into two categories, their treatment methods were not described. The *Neijing* states: "Obstruction of the three Yang meridians is called Ge." The three Yang refer to the Large Intestine, Small Intestine, and Bladder. "Jie" refers to heat accumulation. Heat in the Small Intestine causes blood vessels to become dry; heat in the Large Intestine causes difficulty in defecation; heat in the Bladder causes depletion of body fluids. When the three Yang suffer from heat accumulation, the anterior and posterior orifices become blocked and unpatent, Qi rebels upward, food is obstructed and cannot go down. These are all heat syndromes. The *Neijing* also says: "All Qi belongs to Yang. Qi stagnation leads to pulse stagnation. If the pulse is stagnant in the Yang portion, it will be slow, choppy, deep, and hidden at the Cun and Guan positions. This is called Yang Jie." Jie means aggregation. Ge refers to the area between the Heart and Spleen, where upper and lower passages are blocked, resembling rejection. Or it may aggregate at the throat, causing a sensation of obstruction, unable to vomit out or swallow down. This results from Qi depression and phlegm binding. Over time, it gradually hinders eating and becomes Ge syndrome. Ye refers to sudden Qi blockage during eating, preventing food from going down, resulting in Ye syndrome. Generally, worry and anger stem from thought. Thought injures the Spirit, causing Qi to fail to circulate freely. Qi aggregates and does not disperse, forming stagnation, fullness, Ge, and Ye. This is due to deficiency of righteous Qi, causing blockage of the Qi pathway and throat, and natural constipation of stool. Stagnation causes Qi to rise but not descend, food cannot enter, and if it enters, it comes back up. This dries the intestines and empties the stomach, leading to upper vomiting and lower stagnation, eventually forming Colon Obstruction and Regurgitation. The disease of Qi Ge involves chest Qi stagnation, fullness, and irritability, inability to eat, or bitter fullness below the heart, belching with acid regurgitation, frequent smell of food, blockage of urination and defecation, and frequent vomiting and reflux. All are caused by worry and thought injuring Qi, leading to Yang pulse stagnation, hence called Qi Ge. Joy disperses Qi, anger causes Qi to rebel, worry causes Qi to aggregate, thought causes Qi to knot, grief causes Qi to rush, fear causes Qi to sink, shock causes Qi to scatter. Disharmony of these seven Qi leads to hundreds of diseases. In Ge-Ye syndromes, the more abundant the pathogenic Qi, the slower and choppier the pulse in Qi Ye, and the shorter and choppier the pulse in Food Ye. The treatment method is to penetrate the diaphragm, soothe Qi, resolve phlegm, and harmonize the Stomach. Future scholars should strive to distinguish them. The medicinal categories for treating these syndromes are listed below.