治胁肋苦痛偏效。并心下、胁肋,并小腹牵引痛者皆主之。
木通(去皮节) 青皮(去白) 川楝子(去皮核,各一两)(以上三味,用巴豆半两
炒黄,去巴豆不用) 萝卜子(炒) 舶上茴香(一两,炒) 莪术 木香 滑石(各半两)
上为细末,煎葱白,酒调三钱,一服愈。甚者不过再服。
治中焦虚痞,两胁气痛,面目手足浮肿,大便秘涩。兼治香港脚。
大腹皮 紫苏 沉香 干木瓜 独活(各一两) 白术 川芎 木香 甘草 陈皮 槟
榔(各三分)
上 咀,每服三钱。水一盏,煎至七分,去滓,空心热服,日中服。
戊午秋,在京城有一妇人,中焦虚痞,腹胁胀痛,大便秘结,六脉微弱,更数医服药无
效,仆投此药不终剂而愈。
夫妇人心腹胀满者,由脏腑久冷,气血虚损而邪气客之,乘于心脾故也。足太阴脾之经
也,脾虚则胀。足少阴肾之经也,其脉起于小指之下,斜趣足心,入跟中,上股内后廉、贯
肾、络膀胱,从肾上贯肝膈,入肺中。其支者从肺出络于心。脏虚,邪气客于三经,与正气
相搏,积聚在内,气并于脾,脾虚有胀,故令心腹烦满而胀也。诊其脉迟而滑者,胀满也。
治妇人脾胃气虚,心腹胀满,不欲饮食,四肢少力。
白术 草果仁 诃子肉(各三分) 赤茯苓 槟榔 桂心(各半两) 陈皮 浓朴 人
参(各一两) 甘草(一分)
上为粗末,每服四钱。姜三片,枣一枚,煎至七分,去滓,食前热服。
To treat severe pain in the hypochondriac region as a highly effective prescription. It is indicated for cases involving pulling pain in the epigastrium, hypochondriac region, and lower abdomen.
Tongcao (Vetiveria Radix, remove skin and nodes) Qingpi (Citri Reticulatae Pericarpium Viride, remove white pith) Chuanlianzi (Toosendan Fructus, remove skin and seeds; these three herbs are stir-fried with half an ounce of Dadou (Crotonis Fructus) until yellow, then discard the Dadou) Luobozhongzi (Brassicae Semen, stir-fried) Bo Shang Huixiang (Foeniculi Fructus, one tael, stir-fried) Ezhu (Curcumae Rhizoma) Muxiang (Aucklandiae Radix) Huashi (Talcum, each half an tael).
Grind the above ingredients into a fine powder. Mix three qian with decoction of Congbai (Allii Fistulosi Bulbus) prepared with wine. One dose cures it. For severe cases, no more than two doses are needed.
To treat deficiency-type stagnation and fullness in the Middle Jiao, Qi pain in both hypochondria, edema of the face, eyes, hands, and feet, and constipation with difficult defecation. Also treats Hongjiaojiao (Gouty Arthritis / Beriberi).
Dafupi (Arecae Pericarpium) Zisu (Perillae Folium) Chenxiang (Aquilariae Lignum Resinatum) Gan Mugua (Chaenomelis Fructus) Duhuo (Angelicae Pubescentis Radix, each one tael) Baizhu (Atractylodis Macrocephalae Rhizoma) Chuanxiong (Chuanxiong Rhizoma) Muxiang (Aucklandiae Radix) Gancao (Glycyrrhizae Radix et Rhizoma) Chenpi (Citri Reticulatae Pericarpium) Binglang (Arecae Semen, each three fen).
Cut the herbs into small pieces. Take three qian per dose. Add one盏 (approx. 200ml) of water, decoct until seven-tenths remains, strain, and take hot on an empty stomach, with another dose at midday.
In the autumn of the Wuwu year, there was a woman in the capital suffering from deficiency-type stagnation in the Middle Jiao, abdominal and hypochondriac distending pain, and constipation. Her six pulses were weak. After consulting several physicians without effect, I administered this prescription, and she recovered before finishing one dose.
Abdominal distension and fullness in women arises from long-standing cold in the Zang-Fu organs, deficiency and damage to Qi and Blood, allowing pathogenic factors to lodge and invade the Heart and Spleen. This involves the Foot-Taiyin Spleen Meridian; when the Spleen is deficient, distension occurs. It also involves the Foot-Shaoyin Kidney Meridian, which originates below the little toe, slants toward the sole, enters the heel, ascends along the posterior medial aspect of the thigh, penetrates the Kidney, and connects with the Bladder. From the Kidney, it ascends through the Liver and Diaphragm, enters the Lung. Its branch emerges from the Lung and connects with the Heart. When the Zang organs are deficient, pathogenic factors lodge in these three meridians, battling with healthy Qi and accumulating internally. Qi converges on the Spleen; Spleen deficiency leads to distension, causing vexation and fullness in the Heart and Abdomen. If the pulse is slow and slippery upon diagnosis, it indicates distension and fullness.
To treat Qi deficiency of the Spleen and Stomach in women, manifesting as abdominal distension and fullness, loss of appetite, and weakness in the four limbs.
Baizhu (Atractylodis Macrocephalae Rhizoma) Caoguoren (Myristicae Semen, each three fen) Hezirou (Terminaliae Fructus, each three fen) Chi Fuling (Poria cum Risus, half an tael) Binglang (Arecae Semen, half an tael) Guixin (Cinnamomi Ramulus, half an tael) Chenpi (Citri Reticulatae Pericarpium) Houpo (Magnoliae Officinalis Cortex) Renshen (Ginseng Radix et Rhizoma, each one tael) Gancao (Glycyrrhizae Radix et Rhizoma, one fen).
Grind into coarse powder. Take four qian per dose. Add three slices of Shengjiang (Zingiberis Rhizoma Recens) and one Zao (Jujubae Fructus), decoct until seven-tenths remains, strain, and take hot before meals.