夫内经谓有病口苦名曰胆瘅。夫胆为中正之官。中清之腑。十一脏之所取决。咽为之使。
若
故气上溢而其证为是也。经所谓是动则病口苦。以气为是动也。
半夏茯苓汤 治谋虑不决胆气上溢。热。口苦。神思不爽。
半夏(汤洗去滑炒) 赤茯苓(去皮) 麦门冬(去心) 酸枣仁 桂 黄芩(去皮) 远
志
(去心)
秫
米一匙头
地骨皮汤 治谋虑伤胆。胆气上溢。膈脘虚烦。常觉口苦。
地骨皮 生地黄(各五两) 前胡(二两五钱) 茯神(二两) 麦门冬(去心) 知
母人参
甘
不
麦门冬汤(一名升麻汤)治胆虚逆。口中常苦。烦燥引饮。(方见升麻汤)
益胆汤(出圣惠方)治肝胆俱虚。热气上熏。口中常苦。泄热。脏腑因虚致
然。
黄芩 甘草(炙各二两) 人参 桂(去皮各一两) 苦参 茯苓(去皮各五钱) 上
捣筛。
每服
栀子汤(出圣惠方)治腹热气逆。口苦烦渴。
栀子仁(二十枚) 升麻 黄芩 大青 茯神(去木各二分) 甘草(炙锉五钱) 上
捣筛。
每服
炙爆等物。
人参汤(一名枳壳汤)治胆虚气逆。邪热攻冲。口苦烦渴。(方见枳壳汤)
夫胃腑者主脾也。口唇者。是其候也。脾合气于胃。胃者水谷之腑也。号仓库守内啬吏。
重
谷
焦
满
故肠胃之中。当留谷二斗四升。水一斗一升。故人一日再至后(甲乙作圊)后二升半。一日
中
五升。七日。五七三斗五升。而留水谷尽。故平人不饮不食七日而死者。水谷精气津液皆尽
。故七日而死矣。
右手关上阳绝者。无胃脉也。苦吞酸。头痛。胃中有冷。刺足太阴治阴。在足大趾本节
后一
右手关上阳实者。胃实也。苦胃中伏伏不思食。得食不能消。刺足阳明治阳。在足上动
脉。
趺阳脉浮大者。此胃家微虚烦。圊必日再行。动作头痛。重热气朝者属胃。
胃脉搏坚而长。其色赤。当病折髀。其 而散者。当病食痹髀痛。病先发于胃。胀满。
五
不
胃病者。腹 胀。胃管当心而痛。上支两胁。膈咽不通。饮食不下。下取三里。
饮食不下。隔塞不通。邪在胃管。在上管则抑而刺之。在下管则散而去之。
胃胀者。腹满胃管痛。鼻闻焦臭。妨于食。大便难。
胃中有癖食冷物者。痛不能食。食热则能食。脾前受病移于胃。脾咳不已呕吐长虫。厥
气客
诊得胃脉病形何如。曰胃脉实则胀。虚则泄。脾应肉 。肉 坚大者胃浓。肉 么者
薄。
肉 小而么者胃不坚。肉
肉 不坚者胃缓。肉 无小果累标坚者胃急。肉 多小果累者胃结。胃结者。胃上脘
不利。
扁鹊云。足太阴与阳明为表里。脾胃若病实则伤热。热则饮水浆常渴。虚则伤寒。寒则
苦饥
胃绝不治五日死。何以知之。舌肿。溺血。大便赤泄。
咽者。咽物之门户也。膈者。上焦胸中心肺之分野。不通者。升降之气。上不得交。又
云。
得大
在上
下也
当上
谷入
盖胃
是为
气
益其
血也
The *Neijing* states that a disease characterized by a bitter taste in the mouth is called Dan Dan (Gallbladder Jaundice/Bitterness). The Gallbladder is the official of uprightness, a middle-clear organ, and the decisions of the eleven zang-fu organs depend on it. The pharynx serves as its external manifestation channel.
If gallbladder qi overflows upward, this syndrome occurs. The classic text says "when the vessel is moved, the disease manifests as bitterness in the mouth," which is due to the rebellion of gallbladder qi.
Banxia Fuling Tang (Pinellia and Poria Decoction): Treats indecisiveness leading to gallbladder qi overflow, presenting with heat, bitterness in the mouth, and unclear mental state.
Ingredients: Banxia (Pinelliae Rhizoma, washed with decoction to remove slipperiness and stir-fried), Chifuling (Red Poria Cocos, peeled), Maimendong (Ophiopogonis Radix, heart removed), Suanzaoren (Ziziphi Spinosae Semen), Guizhi (Cinnamomi Ramulus), Huangqin (Scutellariae Radix, peeled), Yuanzhi (Polygalae Radix, heart removed), Shumi (Sorghum Grain, one spoonful).
Digupi Tang (Lycii Cortex Decoction): Treats gallbladder injury from excessive deliberation, gallbladder qi overflow, deficiency-heat irritability in the diaphragm and epigastrium, and frequent bitterness in the mouth.
Ingredients: Digupi (Lycii Cortex), Shengdihuang (Rehmanniae Radix Fresh, each 5 liang), Qianhu (Peucedani Radix, 2.5 liang), Fushen (Poria Cocos with Hostwood, 2 liang), Maimendong (Ophiopogonis Radix, heart removed), Zhimu (Anemarrhenae Radix), Renshen (Ginseng Radix), Gancao (Licorice Root). [Note: Original text has gaps].
Maimendong Tang (Ophiopogonis Decoction), also known as Shengma Tang (Polygoni Multiflori Decoction): Treats gallbladder deficiency with rebellious qi, constant bitterness in the mouth, irritability, and craving for drinks. (Formula details see Shengma Tang entry).
Yidan Tang (Gallbladder-Boosting Decoction) (from *Shenghui Fang*): Treats joint deficiency of liver and gallbladder, hot qi steaming upward, constant bitterness in the mouth, clearing heat. Viscera become diseased due to deficiency.
Ingredients: Huangqin (Scutellariae Radix), Gancao (Licorice Root, honey-fried, each 2 liang), Renshen (Ginseng Radix), Guizhi (Cinnamomi Ramulus, peeled, each 1 liang), Kushen (Sophorae Flavescentis Radix), Fuling (Poria Cocos, peeled, each 5 qian). The above are crushed and sifted.
Usage: Take an appropriate amount per dose. [Original text missing dosage].
Zhizi Tang (Gardeniae Decoction) (from *Shenghui Fang*): Treats abdominal hot qi rebelling upward, bitterness in the mouth, irritability, and thirst.
Ingredients: Zhiziren (Gardeniae Fructus Seed, 20 pieces), Shengma (Polygoni Multiflori Radix), Huangqin (Scutellariae Radix), Daqing (Isatidis Folium), Fushen (Poria Cocos with Hostwood, de-heartened, each 2 fen), Gancao (Licorice Root, honey-fried and cut, 5 qian). The above are crushed and sifted.
Usage: Take an appropriate amount per dose. [Original text missing dosage].
Dietary advice: Avoid roasted, fried, or explosive foods.
Renshen Tang (Ginseng Decoction), also known as Zhike Tang (Aurantii Fructus Decoction): Treats gallbladder deficiency with rebellious qi, attacking pathogenic heat, bitterness in the mouth, irritability, and thirst. (Formula details see Zhike Tang entry).
The Stomach fu organ corresponds to the Spleen. The lips are its external manifestation. The Spleen harmonizes qi with the Stomach. The Stomach is the fu organ of water and grain, termed the "keeper of the granary."
[Text contains significant lacunae, general meaning:]
Within the intestines and stomach, there should remain two dou four sheng of grain and one dou one sheng of water. Thus, a person defecates twice daily (Jia Yi Jing writes 'qing'), expelling two and a half sheng. Daily consumption is five sheng. Over seven days, five times seven equals three dou five sheng, exhausting the retained water and grain. Therefore, a healthy person who neither drinks nor eats for seven days will die, as the essence, qi, and fluids from water and grain are exhausted.
If the Yang pulse at the right Guan position is absent (Yang Jue), there is no Stomach pulse. Symptoms include acid regurgitation, headache, and cold in the stomach. Acupuncture the Foot-Taiyin channel to treat Yin syndromes; the point is located one cun posterior to the proximal interphalangeal joint of the big toe.
If the Yang pulse at the right Guan position is excess (Yang Shi), it indicates Stomach excess. Symptoms include hidden pain in the stomach, lack of appetite, and inability to digest food after eating. Acupuncture the Foot-Yangming channel to treat Yang syndromes; the point is located at the pulsating artery on the foot.
If the Duyang pulse is floating and large, this indicates slight deficiency-heat irritability in the Stomach. Defecation occurs twice daily. Headache upon movement, and heavy heat sensation in the morning belong to the Stomach.
If the Stomach pulse is firm and long, and the complexion is red, one should expect pain in the thigh (Zhe Bi). If the pulse is scattered, one should expect food stagnation bi-syndrome with thigh pain. If the disease originates in the Stomach, distension and fullness occur.
[Text contains lacunae]
Stomach diseases manifest as abdominal distension, pain in the epigastrium centered behind the heart, radiating upward to support both hypochondria, obstruction of the diaphragm and pharynx, and inability to swallow food. Treat by selecting points below, such as Zusanli (ST36).
Inability to swallow, obstruction, pathogen in the gastric tube. If in the upper jiao, suppress and needle; if in the lower jiao, disperse and remove.
Stomach distension manifests as abdominal fullness, epigastric pain, smelling burnt odors in the nose, interference with eating, and difficult defecation.
Stomach pi-mass (accumulation): Eating cold foods causes pain and inability to eat; eating hot foods allows eating. Spleen disease transfers to the Stomach. Unresolved Spleen cough leads to vomiting of roundworms. Jue qi invades...
How to diagnose Stomach pulse and disease forms? Answer: Stomach pulse excess indicates distension; deficiency indicates diarrhea. The Spleen corresponds to flesh. Flesh firm and large indicates thick Stomach; flesh small indicates thin Stomach.
Flesh small and fine indicates Stomach not firm.
Flesh not firm indicates relaxed Stomach. Flesh without small nodules and firm indicates tense Stomach. Flesh with many small nodules indicates knotted Stomach. Knotted Stomach means dysfunction of the upper jiao of the Stomach.
Bian Que said: Foot-Taiyin and Foot-Yangming are exterior-interior pairs. If Spleen-Stomach disease is excess, it injures with heat; heat causes craving for fluids and constant thirst. If deficiency, it injures with cold; cold causes suffering from hunger.
Stomach exhaustion is untreatable; death occurs in five days. How is this known? Swollen tongue, hematuria, red loose stools.
The pharynx is the gateway for swallowing. The diaphragm is the territory of the Upper Jiao, chest, heart, and lungs. Obstruction means ascending and descending qi cannot interact. Furthermore...
[Text ends with severe lacunae and fragmented phrases]
Obtains large...
In the upper...
Below...
Should be upper...
Grain enters...
Covering the Stomach...
This is...
Qi...
Benefit its...
Blood also...