洁古枳术丸治痞消食强胃
枳实(麸炒一两) 白术(二两)
上同为细末荷叶裹饭烧为丸如桐子大每五十丸多用白汤送下
按论云用术者本意不取其食速化但久令人胃气强食不复伤也
丁香烂饭丸治饮食所伤
丁香皮 甘草(炙各二钱) 砂仁 益智仁 甘松(各三钱) 丁香 京三棱(炮) 木香
广术(炮各一钱) 香附子(半两)
上为细末汤浸蒸饼为丸如绿豆大每三十丸白汤下或细嚼亦可不拘时候
按此寒湿胜者最宜用之
东垣橘皮枳术丸治老幼元气虚弱饮食不消或脏腑不调心下痞闷
橘皮 枳实(各一两) 白术(二两)
上为细末荷叶烧饭为丸如桐子大每五十丸温水送下食远服
按此内伤用药之大法所贵服之强人胃气令益浓虽猛食多食而不伤此能用食药者也
曲 枳术丸治为人所勉强食之破心腹满闷不快
白术(二两) 枳实(炒) 神曲(炒) 麦 (面炒各一两)
上为细末荷叶烧饭丸如桐子大每五十丸温水下木香枳术丸破滞气消饮食开胃进食
木香 枳实(炒各一两) 白术(二两)
上制服如前
木香化滞汤治内忧气食湿面结于中脘腹皮底彻痛心下痞满不思饮食食之不散常常痞气
木香 红花(各三钱) 橘皮 当归梢(各二钱) 柴胡(四钱) 草豆蔻 甘草(炙各半两)
半夏(一两) 枳实(炒二钱)
上锉如麻豆大每服三五钱入姜煎食远服
半夏枳术丸治因食冷内伤
半夏(汤洗焙) 枳实(炒各一两) 白术(二两)
上为细末荷叶烧饭为丸如绿豆大每五六十丸温水下如食伤寒热不调每服加二黄丸十粒
草豆蔻丸治秋冬伤寒冷物胃脘当心而痛上支两胁膈咽不通
草豆蔻(面裹煨一两) 神曲(炒半两) 白术(一两) 橘皮 干生姜 青皮(各二钱) 黄
芩麦 半夏 炒盐(各半两) 枳实(炒一两)
上为细末汤浸蒸饼为丸如绿豆大每服五十丸白汤下
量所伤多少加减服之
按论云如冬月用别作一药不用黄芩岁火不及又伤冷物加以温剂是其
治也然有热物伤者从权以寒药治之随时之宜不可不知也
除湿益气丸治伤湿面心腹满闷肢体沉重
枳实(麸炒) 白术 黄芩(各一两) 萝白子(炒熟去气半两) 神曲(炒一两) 红花(三
钱)
上为细末荷叶烧饭为丸如绿豆大每五六十丸白汤下
二黄丸治伤热食痞闷兀兀欲吐烦乱不安
黄芩(二两) 黄连(酒浸一两) 升麻 柴胡(各三钱) 甘草(一钱) 枳实(半两炒)
上为极细末汤浸蒸饼丸如绿豆大每五七十丸白汤下
白术丸治伤豆粉湿面油腻之物
白术 半夏(汤洗) 神曲(炒) 枳实(炒各一两) 橘皮(七钱) 黄芩(半两) 白矾(枯
三钱)
上为细末汤浸蒸饼为丸如绿豆大一倍每五十丸白汤
下量所伤加减服
论曰素食者多用干姜故加黄芩以泻之按以上诸方并宜随寒热所用出太阴例
葛花解酲汤
白豆蔻 砂仁 葛花(各半两) 木香(半钱) 青皮(三钱) 陈皮 白茯苓 猪苓 人参
(各一钱半) 白术 神曲(炒) 泽泻 干生姜(各二钱)
上为细末和匀每三钱白汤调下但得微汗酒病去矣论云此盖不得已用之岂可恃赖日日饮酒
是方气味辛辣偶因酒病服之则不损元气何者敌酒病故也若频服之损人天年也
除湿散治伤马乳并牛羊骆水一切冷病
车前子(炒) 泽泻(各半两) 神曲(炒一两) 半夏(汤泡七次) 干生姜(各三钱) 红花
甘草(炙各二钱) 茯苓(七钱)
上为细末每三钱匕白汤调食前服
五苓散
方见湿门
按以上三方并太阳例药妙利之剂也
三棱消积丸治伤生冷硬物不能消化心腹满闷
丁皮 益智仁(各三钱) 陈皮 青皮(各五钱) 茴香(炒半两) 炒曲 广术(炮) 京三
棱(炮各七钱) 巴豆(和米炒去米五钱)
上为细末醋糊丸如桐子大每十丸至二十丸温姜汤下食前服
备急大黄丸疗心腹诸卒暴百病
大黄 干姜 巴豆(去皮各一两)
上须精择好药摇罗蜜和更捣一千杵丸如小豆大每三丸大小量之若中恶客忤心腹胀满卒痛
如
锥刀刺痛气急口噤尸卒死者以暖水若酒服之或不下捧头起下咽须臾未瘥更与三丸以腹中鸣转
即吐下便愈若口已噤亦须折齿 之令入尤妙忌芦笋猪肉冷水肥脏易水张先生又名独行丸乃
急剂也
海藏神应丸治因一切冷物冷水及潼乳酪水腹痛肠鸣米谷不化
巴豆 杏仁 干姜 百草霜(各半两) 丁香 木香(各二钱) 黄蜡(一两)
上先将黄蜡用好醋煮去渣将巴豆杏仁同炒黑烟尽研如泥将蜡再上火入小油半两溶开入在
杏仁
等泥子内同搅旋下丁香木香等药末研匀搓作挺子油纸裹了旋丸每用三五十丸温米饮下食前服
吐剂
瓜蒂散
方见疾饮门
按论云若不两尺脉绝无不宜便用此药恐损元气令人胃气不复若止是胸中窒塞闷乱不通以
指探去之如不得吐者以物探去之得吐则已如食不去用此药去之
Jiegu Zhizhu Wan (Zhizhu Pill by Jiegu): Treats pi syndrome (abdominal fullness and obstruction), reduces food stagnation, and strengthens the stomach qi.
Prescription: Zhi Shi (Immature Bitter Orange Fruit, bran-fried, 1 liang), Bai Zhu (Atractylodis Rhizoma, 2 liang).
Preparation and Administration: Grind the above herbs into fine powder. Wrap in lotus leaves with rice, roast until cooked, mix with the powder, and make pills the size of tung tree seeds. Take 50 pills per dose; for larger doses, administer with plain warm water.
Commentary: The discussion states that the original intention of using Bai Zhu is not to achieve rapid digestion of food, but to strengthen stomach qi over time, thereby preventing dietary injury.
Dingxiang Lanfan Wan (Clove Mashed Rice Pill): Treats injuries caused by improper diet.
Prescription: Dingxiang Pi (Clove Bark), Gan Cao (Licorice Root, honey-fried, each 2 qian), Sharen (Amomi Fructus), Yizhiren (Alpiniae Oxyphyllae Fructus), Gansong (Nardostachyos Radix et Rhizoma, each 3 qian), Dingxiang (Clove), Jing Sanleng (Sparganii Rhizoma, processed), Muxiang (Vladimiria Root), Guang Zhu (Curcumae Longae Rhizoma, processed, each 1 qian), Xiangfuzi (Cyperi Rhizoma, 0.5 liang).
Preparation and Administration: Grind the above herbs into fine powder. Moisten steamed bread cake with decoction, mix with powder, and make pills the size of mung bean seeds. Take 30 pills per dose with plain warm water, or chew thoroughly without restriction on timing.
Commentary: This formula is most suitable for cases dominated by cold-dampness.
Dongyuan Jupi Zhizhu Wan (Orange Peel Zhizhu Pill by Dongyuan): Treats indigestion due to weak yuan qi in the elderly and children, or disharmony of the zang-fu organs causing epigastric fullness and oppression.
Prescription: Ju Pi (Citrus Reticulata Peel), Zhi Shi (Immature Bitter Orange Fruit, each 1 liang), Bai Zhu (Atractylodis Rhizoma, 2 liang).
Preparation and Administration: Grind the above herbs into fine powder. Mix with rice roasted in lotus leaves to make pills the size of tung tree seeds. Take 50 pills per dose with warm water, taken well after meals.
Commentary: This represents the general principle for treating internal injury. Its value lies in strengthening the person's stomach qi, making it robust enough to withstand heavy or excessive eating without injury. This utilizes food as medicine effectively.
Qu Zhizhu Wan (Shenqu Zhizhu Pill): Treats abdominal fullness and discomfort caused by forced overeating.
Prescription: Bai Zhu (Atractylodis Rhizoma, 2 liang), Zhi Shi (Immature Bitter Orange Fruit, fried), Shen Qu (Medicated Leaven, fried), Mai Ya (Hordei Fructus Germinatus, flour-fried, each 1 liang).
Preparation and Administration: Grind the above herbs into fine powder. Mix with rice roasted in lotus leaves to make pills the size of tung tree seeds. Take 50 pills per dose with warm water.
Muxiang Zhizhu Wan (Vladimiria Zhizhu Pill): Resolves qi stagnation, reduces food stagnation, opens the stomach, and promotes appetite.
Prescription: Muxiang (Vladimiria Root), Zhi Shi (Immature Bitter Orange Fruit, fried, each 1 liang), Bai Zhu (Atractylodis Rhizoma, 2 liang).
Preparation and Administration: Preparation and administration are the same as above.
Muxiang Huazhi Tang (Vladimiria Decoction for Removing Stagnation): Treats conditions where emotional distress, qi stagnation, food stagnation, and damp noodles knot in the middle jiao (epigastrium), causing deep pain under the abdominal skin, epigastric fullness and oppression, loss of appetite, undigested food, and chronic qi stagnation.
Prescription: Muxiang (Vladimiria Root), Honghua (Carthami Flos, each 3 qian), Ju Pi (Citrus Reticulata Peel), Danggui Shao (Angelica Sinensis Radical Tip, each 2 qian), Chaihu (Bupleuri Radix, 4 qian), Caodoukou (Cardamomi Fructus), Gan Cao (Licorice Root, honey-fried, each 0.5 liang), Banxia (Pinelliae Tuber, 1 liang), Zhi Shi (Immature Bitter Orange Fruit, fried, 2 qian).
Preparation and Administration: Cut the herbs into pieces the size of hemp seeds. Take 3-5 qian per dose, decoct with ginger, and take well after meals.
Banxia Zhizhu Wan (Pinellia Zhizhu Pill): Treats internal injury caused by consuming cold foods.
Prescription: Banxia (Pinelliae Tuber, washed in hot water and dried), Zhi Shi (Immature Bitter Orange Fruit, fried, each 1 liang), Bai Zhu (Atractylodis Rhizoma, 2 liang).
Preparation and Administration: Grind the above herbs into fine powder. Mix with rice roasted in lotus leaves to make pills the size of mung bean seeds. Take 50-60 pills per dose with warm water. If there is heat dysregulation due to dietary cold-induced shanghan, add 10 pills of Erhuang Wan per dose.
Caodoukou Wan (Cardamom Pill): Treats epigastric pain radiating to the heart area, extending to both hypochondria, and blockage in the diaphragm and throat, caused by consuming cold items in autumn and winter.
Prescription: Caodoukou (Cardamomi Fructus, wrapped in flour and baked, 1 liang), Shen Qu (Medicated Leaven, fried, 0.5 liang), Bai Zhu (Atractylodis Rhizoma, 1 liang), Ju Pi (Citrus Reticulata Peel), Gan Jiang (Zingiberis Rhizoma, Qingpi (Green Tangerine Peel), each 2 qian), Huang Qin (Scutellariae Radix), Mai Ya (Hordei Fructus Germinatus), Banxia (Pinelliae Tuber), Chao Yan (Fried Salt, each 0.5 liang), Zhi Shi (Immature Bitter Orange Fruit, fried, 1 liang).
Preparation and Administration: Grind the above herbs into fine powder. Moisten steamed bread cake with decoction, mix with powder, and make pills the size of mung bean seeds. Take 50 pills per dose with plain warm water. Adjust dosage according to the amount of ingested cold food.
Commentary: The discussion states that if used in winter, a different prescription should be made excluding Huang Qin, because if the year's fire energy is insufficient and cold food injures the body, adding warm agents is the correct treatment. However, if the injury is caused by hot foods, one should temporarily use cold medicines. One must know how to adapt to the circumstances.
Chushi Yiqi Wan (Dampness-Removing and Qi-Nourishing Pill): Treats epigastric and abdominal fullness and heaviness of the limbs caused by dampness injury.
Prescription: Zhi Shi (Immature Bitter Orange Fruit, bran-fried), Bai Zhu (Atractylodis Rhizoma), Huang Qin (Scutellariae Radix, each 1 liang), Luobai Zi (Raphani Semen, fried, deodorized, 0.5 liang), Shen Qu (Medicated Leaven, fried, 1 liang), Honghua (Carthami Flos, 3 qian).
Preparation and Administration: Grind the above herbs into fine powder. Mix with rice roasted in lotus leaves to make pills the size of mung bean seeds. Take 50-60 pills per dose with plain warm water.
Erhuang Wan (Two-Yellow Pill): Treats epigastric fullness, nausea, restlessness, and anxiety caused by heat-inducing food injury.
Prescription: Huang Qin (Scutellariae Radix, 2 liang), Huang Lian (Coptidis Rhizoma, wine-soaked, 1 liang), Shengma ( Cimicifugae Rhizoma), Chaihu (Bupleuri Radix, each 3 qian), Gan Cao (Licorice Root, 1 qian), Zhi Shi (Immature Bitter Orange Fruit, fried, 0.5 liang).
Preparation and Administration: Grind the above herbs into extremely fine powder. Moisten steamed bread cake with decoction, mix with powder, and make pills the size of mung bean seeds. Take 50-70 pills per dose with plain warm water.
Baizhu Wan (Atractylodes Pill): Treats injuries caused by consuming beans, starches, wet noodles, and greasy foods.
Prescription: Bai Zhu (Atractylodis Rhizoma), Banxia (Pinelliae Tuber, washed in hot water), Shen Qu (Medicated Leaven, fried), Zhi Shi (Immature Bitter Orange Fruit, fried, each 1 liang), Ju Pi (Citrus Reticulata Peel, 7 qian), Huang Qin (Scutellariae Radix, 0.5 liang), Bai Fan (Alumen, calcined, 3 qian).
Preparation and Administration: Grind the above herbs into fine powder. Moisten steamed bread cake with decoction, mix with powder, and make pills the size of mung bean seeds, doubling the quantity. Take 50 pills per dose with plain warm water. Adjust dosage according to the amount of ingested food.
Discussion: Vegetarians often use Gan Jiang (Dried Ginger); therefore, Huang Qin is added to drain heat. All the above formulas should be selected based on cold or heat patterns, originating from the Taiyin category.
Ge Hua Jieying Tang (Kudzu Flower Decoction for Relieving Hangover)
Prescription: Baidoukou (Amomi Fructus Rotundus), Sharen (Amomi Fructus), Ge Hua (Puerariae Flos, each 0.5 liang), Muxiang (Vladimiria Root, 0.5 qian), Qingpi (Green Tangerine Peel, 3 qian), Chenpi (Aged Citrus Peel), Baifuling (Poria Cocos with White Mycelium), Zhuling (Polyporus, Renshen (Ginseng Radix et Rhizoma), each 1.5 qian), Baizhu (Atractylodis Rhizoma), Shen Qu (Medicated Leaven, fried), Zexie (Alismatis Rhizoma), Gan Jiang (Zingiberis Rhizoma, each 2 qian).
Preparation and Administration: Grind the above herbs into fine powder and mix evenly. Take 3 qian per dose, mixed with plain warm water. A slight sweat indicates the hangover is cured.
Commentary: This formula is a last resort; one cannot rely on it to drink alcohol daily. Although the formula has pungent and spicy flavors, taking it occasionally for hangover does not damage yuan qi because it counteracts the pathogenic effects of alcohol. However, frequent use damages natural lifespan.
Chushi San (Dampness-Removing Powder): Treats injuries caused by drinking horse milk and cow, sheep, or camel milk, addressing all cold diseases.
Prescription: Cheqianzi (Plantaginis Semen, fried), Zexie (Alismatis Rhizoma, each 0.5 liang), Shen Qu (Medicated Leaven, fried, 1 liang), Banxia (Pinelliae Tuber, soaked in hot water seven times), Gan Jiang (Zingiberis Rhizoma, each 3 qian), Honghua (Carthami Flos), Gan Cao (Licorice Root, honey-fried, each 2 qian), Fuling (Poria Cocos, 7 qian).
Preparation and Administration: Grind the above herbs into fine powder. Take 3 qian per dose, mixed with plain warm water, administered before meals.
Wuling San (Five-Ling Powder)
Source: See the Dampness section.
Commentary: The above three formulas belong to the Taiyang category medications; they are exquisite and effective draining agents.
Sanleng Xiaoji Wan (Sparganium Pill for Reducing Accumulation): Treats epigastric and abdominal fullness caused by inability to digest raw, cold, and hard foods.
Prescription: Dingpi (Clove Bark), Yizhiren (Alpiniae Oxyphyllae Fructus, each 3 qian), Chenpi (Aged Citrus Peel), Qingpi (Green Tangerine Peel, each 5 qian), Huixiang (Foeniculi Fructus, fried, 0.5 liang), Chao Qu (Fried Medicated Leaven), Guang Zhu (Curcumae Longae Rhizoma, processed), Jing Sanleng (Sparganii Rhizoma, processed, each 7 qian), Badou (Crotonis Fructus, stir-fried with rice, remove rice, 5 qian).
Preparation and Administration: Grind the above herbs into fine powder. Make pills with vinegar paste the size of tung tree seeds. Take 10-20 pills per dose before meals with warm ginger decoction.
Beiji Dahuang Wan (Emergency Da Huang Pill for Acute Conditions): Treats various sudden acute diseases of the heart and abdomen.
Prescription: Dahuang (Rhei Radix et Rhizoma), Gan Jiang (Zingiberis Rhizoma), Badou (Crotonis Fructus, peeled, each 1 liang).
Preparation and Administration: Carefully select high-quality herbs, sift them, mix with honey, and pound for one thousand strokes. Make pills the size of small soybeans. Take 3 pills per dose, adjusting for patient size. For cases of evil invasion or guest qi causing sudden abdominal distension and pain like needle/stabbing, shortness of breath, locked jaw, or syncope, administer with warm water or wine. If the pill is not swallowed, prop up the head to facilitate swallowing. If symptoms do not improve shortly, give another 3 pills. When bowel sounds occur and vomiting or purging happens, recovery follows. If the jaw is locked, break the teeth to insert the pill, which is optimal. Avoid Asparagus, pork, cold water, and fatty foods. Mr. Zhang Shengzhen from Yishui also calls this pill "Duxing Wan"; it is an emergency formula.
Haizang Shenyin Wan (Sea Storehouse Miraculous Pill): Treats abdominal pain, borborygmus, and undigested food caused by all cold items, cold water, and animal milks/cheeses.
Prescription: Badou (Crotonis Fructus), Xingren (Pruni Armeniaci Semen), Gan Jiang (Zingiberis Rhizoma), Baicaoshuang (Carbonized Bamboo Charcoal, each 0.5 liang), Dingxiang (Clove), Muxiang (Vladimiria Root, each 2 qian), Huangla (Yellow Beeswax, 1 liang).
Preparation and Administration: First, boil the yellow beeswax in good vinegar and strain. Stir-fry Badou and Xingren together until black smoke ceases, then grind into a paste. Reheat the wax, add a small amount of oil to melt, pour into the almond paste, and stir. Immediately add the powdered Dingxiang and Muxiang, mix evenly, roll into strips, wrap in oiled paper, and form pills as needed. Take 30-50 pills per dose before meals with warm rice drink.
Emetic Agents
Gua Di San (Melon Peduncle Powder)
Source: See the Phlegm-Fluids section.
Commentary: The discussion states that if the pulses at both chi positions are absent, this medicine should not be used immediately, as it may damage yuan qi and prevent stomach qi recovery. If there is only chest obstruction, stuffiness, and confusion, induce vomiting by probing the throat with a finger. If unsuccessful, use an object to probe the throat. Stop once vomiting occurs. If food remains, use this medicine to remove it.