治坠堕闪肭,血气凝滞腰痛。
子 当归(酒浸,焙) 威灵仙 破故纸(炒) 杜仲(炒) 桂心(以上各五钱)
乳香
上为细末,酒煮面糊和丸,如梧桐子大,每服七十丸,空心用盐汤或盐酒任下。
杜仲(炒,去丝) 木香(各四两) 官桂(一两)
上为细末,每服二钱,空心温酒调下,此药活血化气。
《素问·藏气法时论》曰∶肝病两胁,痛引少腹,善怒,何谓?夫肝厥阴脉,自足而上
,环阴器底少腹,又上贯肝膈,布胁肋,故两胁下痛引少腹。《刺热篇》云∶肝热亦令胁痛
,手足躁,不得安卧。《咳论》云∶肝咳之状,咳则两胁下痛,甚则不可以转,转则两 下
满。脾咳亦能右 下痛,阴阴引肩背, 亦胁也。《举痛论》∶寒气客于厥阴之脉,故胁引
少腹而痛,以岁运论之∶岁木太过,金反胜之,则胁痛;岁火太过,水反胜之,胸中痛,胁
支满痛;岁金太过,病两胁下小腹痛,木胜金复,则胸胁暴痛,下引少腹。《六元正纪》曰
∶木郁之发病胃脘,当心而痛,上支两胁,膈咽不通,饮食不下。《至真大要》曰∶阳明在
泉,心胁痛不能反侧。《缪刺篇》云∶邪客于足少阳之络,令人胁痛不得息,咳而汗出,邪
客足太阳之络,令人拘挛背急,引胁而痛。《标本论》曰∶心病先心痛,一日咳传肺,三日
肺传肝,胁支痛而满,肝病头目眩,胁支满痛也。且夫左右胁者,阴阳之道路也,故肝生于
左,肺藏于右,以左属肝而藏血,肝阳也,血阴也,乃为外阳而内阴也;右属肺而主气,肺
阴也,气阳也,乃为外阴而内阳也。或谓肝血蓄于左,胁作块而痛者,为肝积,名肥气丸;
肺气郁于右,胁痞硬而痛,咳喘为肺积,名息贲也。而脾所系于右,其经湿胜故痰饮,湿能
化之,随经流入于右,左胁痛者,多因留血而作。右胁痛者,悉是痰气,两胁痛者,岂可一
概而言哉?论病之由,当分外之六淫,内之五邪。若暴怒伤触,悲哀气结,饮食过度,冷热
失调, 仆伤形者,或因痰积流注于右,与血相搏,皆能为痛。张仲景论伤寒少阳,耳聋胁
痛甚者,此是肝胆之气郁而作痛,且胁痛之病,诸经论之详矣。其脉弦涩者顺,洪大者逆。
治法当推其岁气,分其左右,辨其气血痰积,量其形证虚实,有药施治,无不取效收十金之
功矣。
Treatment for lumbago due to stagnation of qi and blood caused by falling, sprain, or contusion.
Formula: Danggui (Angelicae Sinensis Radix, soaked in wine and baked), Weilingxian (Clematidis Radix et Rhizoma), Poguzhi (Psoraleae Fructus, stir-fried), Duzhong (Eucommiae Cortex, stir-fried), Guixin (Cinnamomi Cortex, 5 qian each), Ruxiang (Olibanum), Moyao (Myrrha, 2.5 qian each).
The above ingredients are ground into fine powder, mixed with wine-boiled flour paste to form pills the size of Chinese parasol seeds. Take 70 pills each time on an empty stomach, swallowed down with salt water or medicated wine with salt.
Duzhong (Eucommiae Cortex, stir-fried, silk removed), Muxiang (Aucklandiae Radix, 4 liang each), Guangui (Cinnamomi Cortex, 1 liang).
The above ingredients are ground into fine powder. Take 2 qian each time on an empty stomach, mixed with warm wine. This formula activates blood and transforms qi.
The *Suwen·Zangqi Fashi Lun* (Plain Questions · Treatise on the Correspondence of Visceral Qi with the Four Seasons) states: "Liver disease manifests with pain in both flanks (xie), which radiates to the lower abdomen, and a tendency to anger. Why is this?" This is because the Liver Jueyin channel runs upward from the foot, encircles the external genitalia and reaches the lower abdomen, then ascends further to penetrate the liver and diaphragm, and distributes to the costal and hypochondriac regions. Therefore, pain below both flanks radiates to the lower abdomen. The *Cire Pian* (Chapter on Needling Heat Diseases) says: "Liver heat can also cause hypochondriac pain (xietong), with restlessness of the hands and feet, and inability to sleep peacefully." The *Ke Lun* (Treatise on Cough) states: "The manifestation of liver cough is that coughing causes pain below both flanks, and in severe cases, the body cannot turn; turning causes fullness below both flanks. Spleen cough can also cause pain below the right flank, with a dull ache radiating to the shoulder and back; 'xie' also refers to the costal region." The *Ju Tong Lun* (Treatise on Various Pains) says: "When cold qi lodges in the Jueyin channel, it causes hypochondriac pain radiating to the lower abdomen." Discussing from the perspective of annual qi (suiyun): "In a year of excessive wood (mu), if metal (jin) counteracts it, hypochondriac pain occurs. In a year of excessive fire (huo), if water (shui) counteracts it, there is chest pain and distending fullness and pain in the hypochondrium. In a year of excessive metal (jin), disease manifests with pain in both hypochondria and the lower abdomen. When wood overcomes metal and metal retaliates, there is sudden severe pain in the chest and hypochondrium, radiating downward to the lower abdomen." The *Liu Yuan Zheng Ji* (On the Regular Order of the Six Epochs and the Primary Qi) states: "When wood (mu) is depressed, disease arises in the stomach duct (weiwan), with pain at the heart region, supporting the two flanks upward, obstruction of the diaphragm and throat, and inability to ingest food and drink." The *Zhi Zhen Da Yao* (Great Treatise on the Ultimate Truth and Essential Principles) says: "When Yangming is in the earth (spring), there is heart and hypochondriac pain preventing turning over." The *Miu Ci Pian* (Chapter on Contralateral Needling) states: "When pathogenic factors invade the collaterals of the foot Shaoyang channel, it causes hypochondriac pain with inability to breathe freely, and cough with sweating. When pathogenic factors invade the collaterals of the foot Taiyang channel, it causes spasm and tension of the back, radiating to the hypochondrium and causing pain." The *Biao Ben Lun* (Treatise on the Root and Branch) says: "Heart disease first manifests as heart pain. After one day, it transmits to the lung via cough. After three days, the lung transmits to the liver, causing distending pain and fullness in the hypochondrium. Liver disease manifests as dizziness of the head and eyes, and distending fullness and pain in the hypochondrium." Moreover, the left and right flanks are the pathways of yin and yang. Therefore, the liver generates on the left, and the lung stores on the right. The left belongs to the liver, which stores blood. The liver is yang, blood is yin, thus it is externally yang and internally yin. The right belongs to the lung, which governs qi. The lung is yin, qi is yang, thus it is externally yin and internally yang. Some say that when liver blood accumulates on the left, forming a lump with pain in the flank, it is liver accumulation (ganji), named Feiqi Wan. When lung qi stagnates on the right, with stuffiness, hardness, and pain in the flank, and cough and panting, it is lung accumulation (feiji), named Xiben. The spleen is connected to the right, and its channel is prone to dampness excess, hence phlegm-rheum (tanyin). Dampness can transform into phlegm, which flows along the channel to the right. Pain in the left flank is mostly caused by retained blood. Pain in the right flank is entirely due to phlegm-qi. Can pain in both flanks be discussed in a generalized manner? When discussing the causes of disease, one should differentiate the external six excesses (liuyin) and the internal five pathogens (wuxie). For instance, sudden anger causing injury and disturbance, sorrow leading to qi binding, excessive eating and drinking, imbalance of cold and heat, falling and injuring the body, or phlegm accumulation flowing to the right and contending with blood, all can cause pain. Zhang Zhongjing discussed Cold Damage (Shanghan) Shaoyang disease, where severe deafness and hypochondriac pain occur; this is due to stagnation of liver-gallbladder qi causing pain. Moreover, the disease of hypochondriac pain has been discussed in detail in various classics. Regarding the pulse, wiry (xian) and choppy (se) are favorable, while flooding (hong) and large (da) are unfavorable.
The treatment method should consider the annual qi, differentiate left and right, distinguish between qi, blood, phlegm, and accumulation, assess the deficiency or excess of the bodily form and symptoms, and administer medicine accordingly. There is no case where efficacy is not achieved and a perfect result is obtained.