夫留饮之病。得于三焦壅痞。气脉凝涩。致水饮不消。留聚于胸膈之间。令人痞满短气。
胁
方
槟榔汤(出圣惠方)治留饮。宿食不消。心腹坚痛。胸满呕逆。腹中积聚。
槟榔(锉) 人参 桂(去粗皮) 甘草(炙锉) 郁李仁(汤浸去皮) 白术 泽泻 木
香
(各一
入
生姜半
荜茇煮散 治留饮食癖。
荜茇 丁香 诃黎勒皮 干姜 甘草 大黄(各半两) 桂(去粗皮三分) 草豆蔻(去
皮)
陈
片。
煎取
快膈散 治胃脘停痰。膈中留饮。心头不快。复时有声。或饮食后或早起。口吐清
水。
白术(炒一两) 丁香 香附子(炒各二钱半) 草果仁 诃子(炮) 半夏(汤洗炮
二次)
甘草
赤茯苓汤 治膈间留饮。呕逆头眩。短气多渴。
赤茯苓(去黑皮) 柴胡(去苗) 枳壳(去瓤麸炒) 白术 槟榔(锉各一两) 半
夏(汤浸
七次
五钱。
水
沉香茯苓丸 治留饮满脾胃。利胸膈。调顺气血。
沉香(一两) 半夏(汤浸七次去滑二两) 槟榔(锉) 甘草(生用) 陈橘皮(汤
浸去白焙)
白
和丸。如
梧
辰砂利痰丸(出御药院方)治痰涎留滞。停留不散。心腹痞闷。饮食迟化。或
时咳嗽。膈不
神曲(炒黄) 面 (各半斤) 陈皮(去白四两) 白矾(飞过) 天南星(炮) 皂
角(酥炙
黄色
生
姜汁
可。
人参白术丸 治利胸膈。去痰逆。不思饮食。
人参 半夏曲 白术(锉) 白茯苓(各半两去黑皮) 天麻 丁香(各一分) 龙脑
(研一
钱半)
每服十
芫花丸(出本事方)治积聚停饮。痰水生虫。久则成噎隔。及变为胃痈。
芫花(醋制干一两) 干漆 野狼牙根 桔梗(炒黄) 藜芦(炒) 槟榔(各半两) 巴
豆(十
枚炒
利膈丸 治留饮。调正气。利心膈。行壅滞。
槟榔(锉二两) 陈橘皮(汤浸去白焙) 枳壳(去瓤麸炒黄色各二两) 木香(半两)
干姜
(炮
五七
百下
海藻丸 疗腹中留饮。
海藻 木防己 甘遂 苁蓉 椒(熬) 芫花(熬) 葶苈子(熬各二两) 上捣筛。
蜜和
丸。如
顺流紫丸(出千金方)治心腹积聚。两胁胀满。留饮痰癖。大小便不利。小腹
切痛。膈气上
石膏(五分) 代赭石 乌贼骨 半夏(各三分) 桂心(四分) 巴豆(去皮七枚) 上
为
末。蜜
无石膏
快活丸(出御药院方)治上膈停痰。中脘气痞不下。饮食不入。或时呕吐。
食不消化。心腹
良姜 干姜 吴茱萸(炮) 木香(各一两) 枳壳(不去白) 陈皮(不去白各三两)
上为
细末
时候
逐气丸(出御药院方)治痰。脾胃停饮。攻注腹。痞滞冷痛。或停痰留滞。胸
膈。痞闷不快
沉香(二两) 破故纸(微炒) 槟榔(各半两) 郁李仁(二十五枚) 黑牵牛(四
两半一半
生一
也)
溏利时
椒目丸 治腹满。口干燥。此肠间有水气。此方主之。
椒目 木防己 大黄(各一两) 葶苈(二两) 上为细末。蜜和丸。如梧桐子大。先
服一
丸。
五膈丸 治留饮停积不消。胸膈痞气。去粗垢。
大黄 牵牛 木香(各一两) 陈皮(去白焙干二两) 上为细末。炼蜜和丸。如梧桐
子大。
每
甘遂半夏汤 治病者脉伏。其人欲自利。利反快。虽利心下续坚满。此为留饮去故
也。
甘遂(大者三枚) 芍药(三枚) 半夏(二十枚水煮) 甘草(一枝如指大二味药各
以水煮取
半
枳实汤 治留饮。心下坚痞。时腹作痛。
枳实(去瓤麸炒二两) 白术(三两) 桂(去粗皮一两) 上粗捣筛。每服三钱。以
水一盏。
入
茯苓半夏汤 治停痰留饮。胸膈满闷。咳嗽呕吐。气短恶心。以致饮食不下。并宜
服之。或
茯苓(去皮四两) 半夏(汤洗七次五两) 上为粗末。每服四钱。水一盏。生姜七片。
煎
至七
甘遂汤 治留饮病脉伏。其人欲自利。利后即快。虽利心下续结满。为留饮未除。
甘遂(炒令黄半两) 半夏(汤浸去滑生姜汁炒干一两) 上捣筛。每服一钱。水一大
盏。
煎至
间服
半夏丸 治留饮不散。膈脘不利。宿饮不消。呕逆恶心。(方见沉香坠痰丸)
半夏汤 治留饮不除。胸中痰冷。
前胡散 治温饮停留肢体。时疼痛气膈。痰热客于上焦。心下痞闷。不欲饮食。头
目眩昏。
前胡 人参 赤茯苓(去皮) 紫苏(各七钱半) 陈皮(去白) 半夏曲 枳壳(麸
炒去瓤)
甘
分。
热服。日进三服。
Liu Yin (Retained Fluid) is a disease caused by the obstruction and stagnation of Qi in the San Jiao (Triple Burner), leading to congealed and sluggish Qi and Blood channels. This results in the failure of water fluids to transform, causing them to remain and accumulate between the chest and diaphragm. Symptoms include chest and epigastric fullness and distension, and shortness of breath.
Binglang Tang (Areca Nut Decoction) [from *Taiping Shenghui Fang*]: Treats Liu Yin, undigested food retention, hardness and pain in the heart and abdomen, chest fullness, nausea and vomiting, and abdominal accumulations.
Ingredients: Arecae Semen (Binglang, crushed), Ginseng Radix et Rhizoma (Renshen), Cinnamomi Ramulus (Guizhi, bark removed), Glycyrrhizae Radix et Rhizoma (Gancao, roasted and crushed), Prunus armeniaca seed (Yuliren, soaked in hot water and peeled), Atractylodis Macrocephalae Rhizoma (Baizhu), Alismatis Rhizoma (Zexie), Costi Rhizoma (Muxiang), Long Pepper Fruit (Bibo). Dosage: Each ingredient one qian. Preparation: Pound into a powder. Take 2 qian per dose, add half a slice of fresh ginger, decoct with one sheng of water until reduced to 0.7 sheng, strain, and take warm.
Bibo Zhusan (Long Pepper Boiled Powder): Treats retained fluid and food癖 (fixed masses due to food stagnation).
Ingredients: Long Pepper Fruit (Bibo), Clove (Dingxiang), Pericarpium Terminaliae Chebulae (Helilepi), Zingiberis Rhizoma Recens (Ganjiang), Glycyrrhizae Radix et Rhizoma (Gancao), Rheum Palmatum Radix et Rhizoma (Dahuang), Cinnamomi Ramulus (Guizhi, bark removed), Cardamomi Fructus (Caodoukou, peeled). Dosage: Dahuang, Guizhi, Caodoukou each ban liang. Preparation: Pound into a powder. Take 2 qian per dose, decoct with one zhong zhan of water until reduced to 0.6 zhong zhan, strain, and take warm at any time.
Kuaige San (Diaphragm-Relieving Powder): Treats phlegm-fluid retention in the stomach region, retained fluid in the diaphragm, discomfort in the heart, occasional borborygmus, or spitting clear saliva after eating or upon waking.
Ingredients: Atractylodis Macrocephalae Rhizoma (Baizhu, stir-fried, 1 liang), Clove (Dingxiang), Cyperi Rhizoma (Xiangfuzi, stir-fried, 2.5 qian each), Tsaoko Fructus (Caoguoren), Chebulae Fructus (Hezi, processed), Pinelliae Rhizoma (Banxia, washed in hot water and processed twice), Glycyrrhizae Radix et Rhizoma (Gancao, roasted). Preparation: Pound into a powder. Take 2 qian per dose, decoct with one zhong zhan of water until reduced to 0.6 zhong zhan, strain, and take warm at any time.
Chifuling Tang (Red Poria Decoction): Treats retained fluid in the diaphragm, nausea and vomiting, dizziness, shortness of breath, and excessive thirst.
Ingredients: Polyporus (Chifuling, black skin removed), Bupleuri Radix (Chaihu, roots removed), Aurantii Fructus Immaturus (Zhike, pulp removed and stir-fried with bran), Atractylodis Macrocephalae Rhizoma (Baizhu), Arecae Semen (Binglang, crushed). Dosage: Chifuling, Chaihu, Zhike, Baizhu, Binglang each 1 liang. Banxia (soaked in hot water seven times). Preparation: Pound into a powder. Take 3 qian per dose, decoct with one zhong zhan of water until reduced to 0.6 zhong zhan, strain, and take warm at any time.
Chenxiang Fuling Wan (Agarwood and Poria Pill): Treats retained fluid filling the Spleen and Stomach, unblocking the chest and diaphragm, and regulating Qi and Blood.
Ingredients: Agarwood (Chenxiang, 1 liang), Pinelliae Rhizoma (Banxia, soaked in hot water seven times to remove slipperiness, 2 liang), Arecae Semen (Binglang, crushed), Glycyrrhizae Radix et Rhizoma (Gancao, raw), Citri Reticulatae Pericarpium (Chenju pi, soaked in hot water, white pith removed, dried), Poria (Baifuling). Dosage: Chenxiang 1 liang; others 1 liang each. Preparation: Pound into fine powder, mix with fresh ginger juice and refined honey to form pills the size of tung tree seeds. Take 20 pills per dose with rice water at any time.
Chensha Litany Wan (Cinnabar Phlegm-Draining Pill) [from *Yuyao Yuan Fang*]: Treats stagnant phlegm-fluid that does not disperse, chest and abdominal stuffiness, slow digestion of food, occasional cough, and diaphragmatic discomfort.
Ingredients: Mass Medicinal Saccharomyces (Shenqu, stir-fried yellow), Wheat Flour (Mian), Citri Reticulatae Pericarpium (Chenpi, white pith removed, 4 liang), Alum (Baifan, purified), Pinelliae Rhizoma (Tian Nanxing, processed), Gleditsia Sinensis Spina (Zaojiao, fried in lard to yellow). Preparation: Pound into fine powder, mix with fresh ginger juice and refined honey to form pills the size of tung tree seeds. Take 15 pills per dose with warm water at any time.
Renshen Baizhu Wan (Ginseng and Atractylodes Pill): Treats unblocking the chest and diaphragm, eliminating rebellious phlegm, and improving poor appetite.
Ingredients: Ginseng Radix et Rhizoma (Renshen), Pinelliae Fermented Fructus (Banxia Qu), Atractylodis Macrocephalae Rhizoma (Baizhu, crushed), Poria (Baifuling, black skin removed), Gastrodiae Rhizoma (Tianma), Clove (Dingxiang), Borax (Longnao, ground). Dosage: Renshen, Banxia Qu, Baizhu, Baifuling each ban liang; Tianma, Dingxiang each 1 fen; Longnao 1.5 qian. Preparation: Pound into fine powder, mix with fresh ginger juice and refined honey to form pills the size of tung tree seeds. Take 10 pills per dose with rice water at any time.
Yuanhua Wan (Kerria Flower Pill) [from *Benshi Fang*]: Treats accumulations and retained fluid, phlegm-dampness generating parasites, leading to dysphagia over time, or transforming into gastric abscess.
Ingredients: Kerriae Caulis (Yuanhua, vinegar-processed and dried, 1 liang), Drynariae Rhizoma (Ganqi), Wild Wolf-tooth Root (Yelangya Gen), Platycodonis Radix (Jiegeng, stir-fried yellow), Veratrum Nigrum Rhizoma (Lilu, stir-fried), Arecae Semen (Binglang), Crotonis Fructus (Badou, 10 seeds stir-fried). Dosage: Yuanhua 1 liang; others ban liang each. Preparation: Pound into fine powder, mix with steamed dough and refined honey to form pills the size of tung tree seeds. Take 5 pills per dose with warm water at any time.
Lige Wan (Diaphragm-Opening Pill): Treats retained fluid, regulates righteous Qi, unblocks the heart and diaphragm, and moves stagnation.
Ingredients: Arecae Semen (Binglang, crushed, 2 liang), Citri Reticulatae Pericarpium (Chenju pi, soaked in hot water, white pith removed, dried), Aurantii Fructus Immaturus (Zhike, pulp removed and stir-fried with bran to yellow), Costi Rhizoma (Muxiang, ban liang), Zingiberis Rhizoma Recens (Ganjiang, processed). Dosage: Binglang 2 liang; Zhike, Muxiang, Ganjiang as specified. Preparation: Pound into fine powder, mix with fresh ginger juice and refined honey to form pills the size of tung tree seeds. Take 20 pills per dose with warm water at any time.
Haizao Wan (Sargassum Pill): Treats retained fluid in the abdomen.
Ingredients: Sargassum (Haizao), Stephaniae Tetrandrae Radix (Mufangji), Kansui Radix (Gansui), Cynomorii Herba (Rongrong), Zanthoxyli Fructus (Jiao, roasted), Kerriae Caulis (Yuanhua, roasted), Lepidii Semen (Tinglizi, roasted). Dosage: Haizao, Mufangji, Gansui, Rongrong, Jiao, Yuanhua, Tinglizi each 2 liang. Preparation: Pound and sieve, mix with refined honey to form pills the size of tung tree seeds. Take 10 pills per dose with warm water at any time.
Shunliu Ziwan (Smooth Flow Purple Pill) [from *Qianjin Fang*]: Treats heart and abdominal accumulations, distension and fullness of both hypochondria, retained fluid and phlegm-pi, difficulty in urination and defecation, sharp pain in the lower abdomen, and rebellious Qi from the diaphragm.
Ingredients: Gypsum Fibrosum (Shigao, 5 fen), Haematitum (Daizhe Shi), Sepiae Endoconcha (Wuzeigu), Pinelliae Rhizoma (Banxia), Cinnamomi Cortex (Guixin), Crotonis Fructus (Badou, peeled, 7 seeds). Dosage: Shigao 5 fen; Daizhe Shi, Wuzeigu, Banxia each 3 fen; Guixin 4 fen. Preparation: Pound into fine powder, mix with refined honey to form pills the size of tung tree seeds. Take 3 pills per dose with warm water at any time. If Shigao is unavailable, omit it.
Kuaohuo Wan (Joyful Life Pill) [from *Yuyao Yuan Fang*]: Treats phlegm retention in the upper diaphragm, Qi stagnation in the middle jiao preventing descent, inability to eat, occasional vomiting, indigestion, and heart/abdominal discomfort.
Ingredients: Galangali Rhizoma (Liangjiang), Zingiberis Rhizoma Recens (Ganjiang), Evodiae Fructus (Wuzhuyu, processed), Costi Rhizoma (Muxiang), Aurantii Fructus Immaturus (Zhike, white pith retained), Citri Reticulatae Pericarpium (Chenpi, white pith retained). Dosage: Liangjiang, Ganjiang, Wuzhuyu, Muxiang each 1 liang; Zhike, Chenpi each 3 liang. Preparation: Pound into fine powder, mix with fresh ginger juice and refined honey to form pills the size of tung tree seeds. Take 20 pills per dose with warm water at any time.
Zhuge Wan (Qi-Chasing Pill) [from *Yuyao Yuan Fang*]: Treats phlegm, retained fluid in Spleen/Stomem attacking the abdomen, causing stuffy cold pain, or phlegm stagnation in the chest/diaphragm causing stuffiness and discomfort.
Ingredients: Agarwood (Chenxiang, 2 liang), Psoraleae Fructus (Poguzhi, lightly stir-fried), Arecae Semen (Binglang), Prunus armeniaca seed (Yuliren, 25 seeds), Black Morning Glory Seed (Heiqianniu, 4.5 liang, half raw, half stir-fried). Dosage: Chenxiang 2 liang; Poguzhi, Binglang each ban liang; Yuliren 25 seeds; Heiqianniu 4.5 liang. Preparation: Pound into fine powder, mix with fresh ginger juice and refined honey to form pills the size of tung tree seeds. Take 15 pills per dose with warm water at any time. Stop if loose stools occur.
Jiaomu Wan (Pepper Seed Pill): Treats abdominal fullness and dry mouth, indicating water-Qi in the intestines. This formula is indicated for this condition.
Ingredients: Zanthoxyli Fructus (Jiaomu), Stephaniae Tetrandrae Radix (Mufangji), Rheum Palmatum Radix et Rhizoma (Dahuang), Lepidii Semen (Tinglizi). Dosage: Jiaomu, Mufangji, Dahuang each 1 liang; Tinglizi 2 liang. Preparation: Pound into fine powder, mix with refined honey to form pills the size of tung tree seeds. Start with 1 pill, gradually increase dosage until effective.
Wuge Wan (Five Diaphragms Pill): Treats retained fluid accumulation that does not dissipate, chest/diaphragm Qi stagnation, and removing coarse turbidity.
Ingredients: Rheum Palmatum Radix et Rhizoma (Dahuang), Pharbitidis Semen (Qianniu), Costi Rhizoma (Muxiang), Citri Reticulatae Pericarpium (Chenpi, white pith removed and dried). Dosage: Dahuang, Qianniu, Muxiang each 1 liang; Chenpi 2 liang. Preparation: Pound into fine powder, mix with refined honey to form pills the size of tung tree seeds. Take 20 pills per dose with warm water at any time.
Gansui Banxia Tang (Kansui and Pinellia Decoction): Treats patients with hidden pulse, who desire spontaneous diarrhea. After diarrhea, they feel relieved, but the epigastrium remains hard and full. This indicates the departure of old retained fluid.
Ingredients: Kansui Radix (Gansui, large ones, 3 pieces), Paeoniae Radix Alba (Shaoyao, 3 pieces), Pinelliae Rhizoma (Banxia, 20 pieces boiled in water), Glycyrrhizae Radix et Rhizoma (Gancao, one branch finger-thick). Preparation: Boil Gansui and Gancao together; boil Banxia separately. Mix the decoctions, simmer to appropriate volume, and take warm.
Zhishi Tang (Immature Bitter Orange Decoction): Treats retained fluid, hardness and stuffiness in the epigastrium, and intermittent abdominal pain.
Ingredients: Aurantii Fructus Immaturus (Zhishi, pulp removed and stir-fried with bran, 2 liang), Atractylodis Macrocephalae Rhizoma (Baizhu, 3 liang), Cinnamomi Ramulus (Guizhi, bark removed, 1 liang). Preparation: Coarsely pound and sieve. Take 3 qian per dose, decoct with one sheng of water until reduced to 0.6 sheng, strain, and take warm at any time.
Fuling Banxia Tang (Poria and Pinellia Decoction): Treats retained phlegm and fluid, chest/diaphragm fullness and stuffiness, cough and vomiting, shortness of breath and nausea, leading to inability to eat. Suitable for these conditions.
Ingredients: Polyporus (Fuling, skin removed, 4 liang), Pinelliae Rhizoma (Banxia, washed in hot water seven times, 5 liang). Preparation: Coarsely pound. Take 4 qian per dose, add one zhong zhan of water and 7 slices of fresh ginger, decoct until reduced to 0.7 zhong zhan, strain, and take warm at any time.
Gansui Tang (Kansui Decoction): Treats retained fluid disease with hidden pulse. The patient desires spontaneous diarrhea, feels relieved after diarrhea, but the epigastrium continues to be knotted and full, indicating retained fluid has not been eliminated.
Ingredients: Kansui Radix (Gansui, stir-fried until yellow, ban liang), Pinelliae Rhizoma (Banxia, soaked in hot water to remove slipperiness, stir-fried with fresh ginger juice until dry, 1 liang). Preparation: Pound and sieve. Take 1 qian per dose, decoct with one large zhong zhan of water until reduced to 0.6 zhong zhan, strain, and take warm intermittently.
Banxia Wan (Pinellia Pill): Treats retained fluid that does not disperse, diaphragmatic/epigastric dysfunction, undigested fluid retention, nausea and vomiting. (See Chenxiang Zhuantan Wan for formula details).
Banxia Tang (Pinellia Decoction): Treats retained fluid that is not eliminated, cold-phlegm in the chest.
Qianhu San (Peucedani Radix Powder): Treats warm-fluid retention in the limbs, intermittent pain and Qi stagnation, phlegm-heat lodging in the Upper Jiao, epigastric stuffiness, loss of appetite, dizziness and vertigo.
Ingredients: Peucedani Radix (Qianhu), Ginseng Radix et Rhizoma (Renshen), Polyporus (Chifuling, skin removed), Perillae Folium (Zisu), Citri Reticulatae Pericarpium (Chenpi, white pith removed), Pinelliae Fermented Fructus (Banxia Qu), Aurantii Fructus Immaturus (Zhike, stir-fried with bran, pulp removed). Dosage: Qianhu, Renshen, Chifuling, Zisu each 7.5 qian; Chenpi, Banxia Qu, Zhike as needed. Preparation: Pound into powder. Take 2 qian per dose, decoct with one zhong zhan of water until reduced to 0.6 zhong zhan, strain, take hot, three doses daily.