小肠腑者、主心也。舌是其候也。心合于小肠。小肠者受盛之腑也。号监仓吏。重二斤
十四
后
斗
三
小肠病者。小腹痛。腰脊控睾而痛。时窘之。复耳前热。若寒甚独肩上热。及手小指
次指之
小腹控睾。引腰脊。上冲心。邪在小肠者。连睾系。属于脊。贯肝肺。络心系。气盛则
厥逆
下之
左手关前寸口阳绝者。无小肠脉也。苦脐痹。小腹中有疝瘕。主月即冷上抢心。刺手心
主治
小肠
小肠有寒。其人下重。便脓血。有热必痔。
小肠有宿食。常暮发热。明日复止。小肠胀者。小腹 胀。引腹而痛。
心前受病。移于小肠。心咳不已。则气与咳俱出。
厥气客于小肠。梦聚邑街衢。
心应脉。皮浓者脉浓。脉浓者小肠浓。皮薄者脉薄。脉薄者小肠薄。皮缓者脉缓。脉缓
者小
扁鹊云。手少阴与太阳为表里。所以表清里浊。清实浊虚。故食下肠实而胃虚。故腑实
而不
小肠
小肠绝不治。六日死。何以知之。发直如干麻。不得屈伸。自汗不止。
夫小肠者。受盛之官。心之腑也。手太阳其经也。其气盛则为有余。故左手寸口。人迎
以前
之证
方
升麻散（出圣惠方）治小肠实热。口干舌燥。心胸烦闷。小便不利。
川升麻 黄柏（锉） 杏仁（汤浸去皮尖双仁麸炒微黄） 犀角屑 栝蒌根 桑根白皮
（锉）
葵
四
钱。
犀角汤（出圣惠方）治小肠实热。心烦口疮。小便赤涩。
犀角（镑） 瞿麦穗 杏仁（去皮尖双仁麸炒） 栀子（去皮） 赤茯苓（去黑皮） 木
通（锉）
黄连
为粗捣
筛。每
柴胡泽泻汤（出千金方）治小肠热胀。身热。手足心热。汗不出。心中烦满。
结塞不通。口
柴胡 泽泻 橘皮 黄芩 旋复花 枳实 升麻 芒硝（各三两） 生地黄（切一升） 上
咀以水一斗。煮取三升。去滓。下芒硝。分三服。无时。
郁金散（出圣惠方）治小肠实热。热则心下急痹。口舌生疮。
郁金（一两） 白附子（三分炮裂） 羌活（一两） 甘草（半两炙微赤锉） 黄连（一
两去须）
黄
细散。每
服
郁金散 治小肠实热。心下急痹。口舌生疮。
郁金（一两） 白附子（炮半两） 羌活（去芦头三分） 甘草（炙锉半两） 黄连（去
须一分）
黄
散。醋和
匀
赤茯苓汤（出圣惠方）治小肠实热。面赤多汗。小便不利。急痛。
木通（去节） 赤茯苓（去皮） 槟榔 生地黄（洗焙） 黄芩 赤芍药（以上各三分）
甘草
（炙
至
八
瞿麦汤（一名黄连散圣惠方）治小肠实热。小便黄赤。结涩不通。
瞿麦穗 犀角（镑） 猪苓（去黑皮） 防己（各三分） 黄连（去须） 车前子 木
通（锉各
一两）
时。
木通散（圣惠方）治小肠实热。心胸烦闷。小便涩少。腹中急痛。
木通（一两锉） 槟榔 羚羊角屑 赤芍药 黄芩 当归（锉微炒） 车前子（各三分）
甘
草（
大黄丸（出千金方）治小肠热。结满不通。
大黄 芍药 葶苈（各二两） 大戟 朴硝（各三两） 杏仁（五十枚） 巴豆（去油
七枚）
上为
麦门冬汤（杨子建护命方）治小肠实热。脉气盛实。小便下血。
麦门冬（去心焙） 知母 蒲黄 黄芩（去黑心） 木通（锉） 升麻（各一分） 大
黄（锉炒
三分）
滑石散 治下焦滞热阴中疼痛。小便难涩。
滑石（一两研） 甘草（炙锉） 大黄（锉炒） 黄 （锉） 地椒 山栀子（去皮各
半两） 乳
香（
胡荽汤 治小肠风热。小便黄赤。涩结不通。
胡荽 车前子 木通（锉） 防己 瞿麦穗 犀角（镑） 黄连（去须各等分） 上为
散。每
服五
射干汤（杨子建护命方）治小肠实热。小便赤涩。疼痛不可胜忍。
射干 黄芩（去黑心） 麦门冬（去心焙） 大黄（锉焙） 知母 木通（锉等分） 上
为散。
每服
以上
海蛤丸（出圣惠方）治小肠实热。小腹胀满。小便赤涩。
海蛤（三分） 汉防己（半两） 甜葶苈（半两隔纸炒令香） 槟榔（半两） 木通（半
两锉）
猪苓
地黄汤（圣惠方）治小肠实热。心中烦闷。小便出血。\x
生地黄 白茅根（各半两） 葱白（二茎焙） 上锉如麻豆大。水三盏。煎至一盏半。
去滓。
食
The Small Intestine Fu organ is governed by the Heart. The tongue serves as its external manifestation. The Heart and Small Intestine are internally-externally related. The Small Intestine is the Fu organ responsible for receiving and storing, often referred to as the "Official of Granary Supervision," weighing two jin and fourteen liang.
When disease occurs in the Small Intestine, there is pain in the lower abdomen, pain radiating from the lumbar spine to the testicles, and frequent sensations of urgency and distress. There may be heat in the front of the ears, or when cold is severe, heat isolated to the shoulder, and heat in the little finger and ring finger. Pain in the lower abdomen may radiate to the testicles, connect with the lumbar spine, and rush upward to the heart. When pathogenic factors reside in the Small Intestine, they connect to the spermatic cord, relate to the spine, penetrate the Liver and Lungs, and network with the Heart system. Excess Qi leads to reversal (Jue) downward.
If the Yang pulse at the Cun Kou position before the Guan on the left hand is absent (Yang Jue), it indicates the absence of the Small Intestine pulse. The patient suffers from Bi obstruction at the umbilicus, masses (Shan Zha) in the lower abdomen, and primarily experiences cold Qi rushing up to the heart monthly. Treatment involves needling the Pericardium channel master points.
Cold in the Small Intestine causes a sensation of heaviness in the lower part and pus-blood in the stool; Heat in the Small Intestine inevitably leads to hemorrhoids.
Food retention in the Small Intestine causes fever in the evening which subsides by the next morning. Distension of the Small Intestine causes abdominal distension and pain radiating to the abdomen.
Disease originating in the Heart transfers to the Small Intestine; if Heart Cough persists, Qi and cough are expelled together.
Rebellious Qi lodging in the Small Intestine causes dreams of gathering in city streets.
The Heart corresponds to the vessels. Thick skin correlates with thick vessels; thick vessels correlate with a thick-walled Small Intestine. Thin skin correlates with thin vessels; thin vessels correlate with a thin-walled Small Intestine. Lax skin correlates with slow pulses; slow pulses correlate with... [text cuts off].
Bian Que stated: The Hand-Shaoyin Heart Channel and the Hand-Taiyang Small Intestine Channel are exterior-interior pairs. Thus, the exterior is clear and the interior is turbid; clarity is solid and turbidity is empty. Therefore, after eating, the intestines become full while the stomach becomes empty, so the Fu organs are full but... [text cuts off].
Small Intestine exhaustion is incurable and leads to death within six days. How is this known? The hair stands stiff like dry hemp, the body cannot bend or stretch, and spontaneous sweating does not cease.
The Small Intestine is the Official of Reception and Storage, the Fu organ of the Heart. Its meridian is the Hand-Taiyang Small Intestine Channel. Excess Qi manifests as excess syndromes, hence the... [text cuts off] ...at the Ren Ying position anterior to the Cun Kou on the left hand.
Formulas:
Shengma San (Cinnamon Twig Powder, from *Shenghui Fang*) treats Small Intestine Excess-Heat. Symptoms include dry mouth and tongue, mental restlessness, and difficult urination.
Ingredients: Chuan Shengma (*Rhizoma Cimicifugae*), Huangbo (*Cortex Phellodendri*, sliced), Xingren (*Semen Armeniacae Amarum*, soaked in water, peel and tip removed, double kernels, bran-fried until slightly yellow), Xijiao (*Cornu Rhinocerotis*, shaved), Gualougen (*Radix Trichosanthis*), Sangbaipipi (*Cortex Morus Radicis*, sliced)... [dosage and decoction instructions omitted due to text gaps].
Xijiao Tang (Rhinoceros Horn Decoction, from *Shenghui Fang*) treats Small Intestine Excess-Heat. Symptoms include mental irritability, oral ulcers, and dark, scanty, painful urination.
Ingredients: Xijiao (*Cornu Rhinocerotis*, shaved), Qumai (*Herba Dianthi*), Xingren (*Semen Armeniacae Amarum*, peel and tip removed, double kernels, bran-fried), Zhizi (*Fructus Gardeniae*, peel removed), Chi Fuling (*Poria cum Risu Rubrum*, black skin removed), Mutong (*Caulis Akebiae*, sliced), Huanglian (*Rhizoma Coptidis*)... [dosage and decoction instructions omitted].
Chaihu Zexie Tang (Bupleurum and Alisma Decoction, from *Qianjin Fang*) treats Small Intestine Heat-Distension. Symptoms include body heat, heat in palms and soles, absence of sweating, mental fullness and irritability, blockage, and... [text cuts off].
Ingredients: Chaihu (*Radix Bupleuri*), Zexie (*Rhizoma Alismatis*, 3 liang each), Juapi (*Pericarpium Citri Reticulatae*), Huangqin (*Radix Scutellariae*), Xuanjufanhua (*Flos Inulae*, 3 liang each), Zhishi (*Fructus Aurantii Immaturus*, 3 liang each), Shengma (*Rhizoma Cimicifugae*, 3 liang each), Mangxiao (*Natrii Sulfas*, 3 liang each), Shengdihuang (*Radix Rehmanniae Recens*, cut 1 sheng). All ingredients are coarsely crushed. Boil in one dou of water to obtain three sheng. Strain, add Mangxiao, divide into three doses, take at any time.
Yujin San (Curcuma Powder, from *Shenghui Fang*) treats Small Intestine Excess-Heat. Heat causes acute Bi obstruction below the heart and oral/tongue ulcers.
Ingredients: Yujin (*Radix Curcumae Longae*, 1 liang), Baifuzi (*Rhizoma Typhonii*, 3 fen, processed), Qianghuo (*Rhizoma et Radix Notopterygii*, 1 liang), Gancao (*Radix Glycyrrhizae*, half liang, honey-fried until slightly red and sliced), Huanglian (*Rhizoma Coptidis*, 1 liang, whiskers removed*... [dosage and decoction instructions omitted].
Another Yujin San treats Small Intestine Excess-Heat, acute Bi obstruction below the heart, and oral/tongue ulcers.
Ingredients: Yujin (*Radix Curcumae Longae*, 1 liang), Baifuzi (*Rhizoma Typhonii*, processed half liang), Qianghuo (*Rhizoma et Radix Notopterygii*, remove root head 3 fen), Gancao (*Radix Glycyrrhizae*, honey-fried and sliced half liang), Huanglian (*Rhizoma Coptidis*, remove whiskers 1 fen*... [dosage and decoction instructions omitted].
Chi Fuling Tang (Red Poria Decoction, from *Shenghui Fang*) treats Small Intestine Excess-Heat. Symptoms include red face, profuse sweating, difficult urination, and acute pain.
Ingredients: Mutong (*Caulis Akebiae*, remove joints), Chi Fuling (*Poria cum Risu Rubrum*, remove skin), Binglang (*Semen Arecae*, 3 fen each), Shengdihuang (*Radix Rehmanniae Recens*, washed and dried), Huangqin (*Radix Scutellariae*, 3 fen each), Chi Shaoyao (*Radix Paeoniae Rubra*, 3 fen each), Gancao (*Radix Glycyrrhizae*, honey-fried*... [dosage and decoction instructions omitted].
Qumai Tang (also named Huanglian San, from *Shenghui Fang*) treats Small Intestine Excess-Heat. Symptoms include yellow-red urine, blockage, and difficult urination.
Ingredients: Qumai sui (*Herba Dianthi*, 3 fen each), Xijiao (*Cornu Rhinocerotis*, shaved), Zhuling (*Polyporus*, remove black skin), Fangji (*Radix Stephaniae Tetrandrae*, 3 fen each), Huanglian (*Rhizoma Coptidis*, remove whiskers), Cheqianzi (*Semen Plantaginis*, 3 fen each), Mutong (*Caulis Akebiae*, sliced*... [dosage and decoction instructions omitted].
Mutong San (Akebia Twig Powder, from *Shenghui Fang*) treats Small Intestine Excess-Heat. Symptoms include mental restlessness, scanty and difficult urination, and acute abdominal pain.
Ingredients: Mutong (*Caulis Akebiae*, 1 liang, sliced), Binglang (*Semen Arecae*, 3 fen each), Lingyangjiaoxie (*Cornu Saigae Tataricae*, shaved, 3 fen each), Chi Shaoyao (*Radix Paeoniae Rubra*, 3 fen each), Huangqin (*Radix Scutellariae*, 3 fen each), Danggui (*Radix Angelicae Sinensis*, sliced and lightly fried, 3 fen each), Cheqianzi (*Semen Plantaginis*, 3 fen each), Gancao (*Radix Glycyrrhizae*... [dosage and decoction instructions omitted].
Dahuang Wan (Rhubarb Pill, from *Qianjin Fang*) treats Small Intestine Heat. Symptoms include accumulation and blockage.
Ingredients: Dahuang (*Radix et Rhizoma Rhei*, 2 liang each), Shaoyao (*Radix Paeoniae Alba/Lactiflora*, 2 liang each), Tingli (*Semen Lepidii/Descurainiae*, 2 liang each), Daji (*Radix Euphorbiae Pekinensis*, 3 liang each), Piaoxiao (*Natrii Sulfas*, 3 liang each), Xingren (*Semen Armeniacae Amarum*, 50 seeds), Badou (*Semen Crotonis*, oil removed 7 seeds*). Process all into... [preparation instructions omitted].
Maimendong Tang (Ophiopogon Decoction, Yang Zijian's *Huming Fang*) treats Small Intestine Excess-Heat. Symptoms include vigorous pulse Qi and hematuria.
Ingredients: Maimendong (*Radix Ophiopogonis*, remove heart and dry), Zhimu (*Rhizoma Anemarrhenae*, 1 fen each), Puhuang (*Pollen Typhae*, 1 fen each), Huangqin (*Radix Scutellariae*, remove black heart, 1 fen each), Mutong (*Caulis Akebiae*, sliced, 1 fen each), Shengma (*Rhizoma Cimicifugae*, 1 fen each), Dahuang (*Radix et Rhizoma Rhei*, sliced and fried*... [dosage and decoction instructions omitted].
Huashi San (Talc Powder) treats Lower-Jiao stagnant Heat with pain in the yin and difficult, scanty urination.
Ingredients: Huashi (*Talcum*, 1 liang, ground), Gancao (*Radix Glycyrrhizae*, honey-fried and sliced), Dahuang (*Radix et Rhizoma Rhei*, sliced and fried), Huang... [missing character, likely Huangqi or Huangqin], Dijiao (*Fructus Zanthoxyli*), Shanzhizi (*Fructus Gardeniae*, peel removed, half liang each), Rushi (*Resina Dragonis*... [dosage and decoction instructions omitted].
Huisu Tang (Coriander Decoction) treats Small Intestine Wind-Heat. Symptoms include yellow-red urine and blockage with difficult urination.
Ingredients: Huisu (*Herba Coriandri Sativi*), Cheqianzi (*Semen Plantaginis*, equal parts), Mutong (*Caulis Akebiae*, sliced), Fangji (*Radix Stephaniae Tetrandrae*), Qumai sui (*Herba Dianthi*), Xijiao (*Cornu Rhinocerotis*, shaved), Huanglian (*Rhizoma Coptidis*, remove whiskers, equal parts*). Process into powder. Take 5... [dosage and decoction instructions omitted].
Shegan Tang (Belamcanda Decoction, Yang Zijian's *Huming Fang*) treats Small Intestine Excess-Heat. Symptoms include dark-red, scanty urination and unbearable pain.
Ingredients: Shegan (*Rhizoma Belamcandae*, equal parts), Huangqin (*Radix Scutellariae*, remove black heart, equal parts), Maimendong (*Radix Ophiopogonis*, remove heart and dry, equal parts*), Dahuang (*Radix et Rhizoma Rhei*, sliced and fried, equal parts*), Zhimu (*Rhizoma Anemarrhenae*, equal parts*), Mutong (*Caulis Akebiae*, sliced, equal parts*). Process into powder. Take... [dosage and decoction instructions omitted].
Haige Wan (Clam Shell Pill, from *Shenghui Fang*) treats Small Intestine Excess-Heat. Symptoms include lower abdominal distension and fullness, and dark-red, scanty urination.
Ingredients: Haige (*Concha Arcae*, 3 fen), Hanfangji (*Radix Stephaniae Tetrandrae*, half liang), Tian Tingli (*Semen Lepidii/Descurainiae*, half liang, stir-fried between papers until fragrant), Binglang (*Semen Arecae*, half liang), Mutong (*Caulis Akebiae*, half liang, sliced*), Zhuling (*Polyporus*... [dosage and decoction instructions omitted].
Dihuang Tang (Rehmannia Decoction, from *Shenghui Fang*) treats Small Intestine Excess-Heat. Symptoms include mental restlessness and hematuria.
Ingredients: Shengdihuang (*Radix Rehmanniae Recens*, half liang each), Baimaogen (*Radix Imperatae*, half liang each), Congbai (*Bulbus Allii Cepae*, two stalks, dried*). Coarsely crush like hemp seeds. Add three cups of water, decoct to one and a half cups. Strain... [administration instructions omitted].