论治上焦火 论治上焦痰 论治胃寒 论治脾寒论 论治痨虫 论消肺痰
天师曰∶饱治者，病在上焦，用药宜饱饭后食之，此一法也。又病宜吐，宜饱食之后，用药以吐
之，又一法也。又有不必吐，宜饱食以治之，又一法也。病在上焦者，头目上之病也，用上清丸之类，
上清丸方，世多不妥，吾斟酌更定之，以治上焦之火，俱可服。苏叶二两，薄荷一两，白芷五钱，黄芩
二两，甘草一两，桔梗三两，麦冬三两。天门冬三两，半夏一两，陈皮一两，蔓荆子五钱，柴胡一两，各
为末。水打成丸。每服三钱，饱食后服。（〔批〕上清丸。）此方妙在清火而不伤中气，强弱人感中风邪，
上焦有风火者，服之俱妙。
上焦痰气甚盛，而下焦又虚者，不可下之，乃令其饱食后，以药服之即吐，吐至饮食即止。在下无
碍，而上焦之痰火，一吐而愈。此治法之巧者。方用瓜蒂七个，人参二钱，水三大碗，煎数沸饮之，即
大吐。（〔批〕加参瓜蒂散。）此方妙在瓜蒂散中加入人参。盖吐必伤气，今以瓜蒂吐之，而人参仍补
其胃中之气，虽大吐，而仍不伤胃也。故能一吐而即定。
不必吐，饱食以治之者，乃胃口寒而痛也。手按之而少止者，当用此法治之。方用人参一两，白术
一两，肉桂一钱，肥鸭一只，将药入鸭腹内，煮之极烂，外以五味和之，葱椒之类俱不忌，更以腐皮同
煮，恣其饱餐食尽。（〔批〕五香汤。）如不能食尽，亦听之，不必又食米饭也，一餐而痛如失矣。此
饱食之法，真有奇效。胃寒未有不胃气虚者。若以汤药与之，未免不能久留于胃中，各经俱来分取，所
以难愈。今以肥鸭
煮药饱食之，必久留于胃中，任其独乐，备经不能分取，自然一经偏受其益，而独感之寒亦不觉其顿
失。正气久留于胃中，则邪气自避于胃外也。因陈子之不明，余故又广泄其秘。
张公曰∶凡病在上者，俱宜饱饭后服之。惟饱食用鸭治胃，实所创闻，真神仙之治法也。必饱食
之以治病，乃脾病也。胃寒而痛者，在心之上也；脾寒而痛者，痛在心之下与左右也。方用猪肚一个，莲
肉一两，红枣一两，肉桂一钱，小茴香二钱，白糯米一合，将各药同米俱入肚中，以线扎住口，外用清水
煮之。肚未入药之前，先用清水照常洗去秽气，入药煮熟，以极烂为主。一气顿食，蘸甜酱油食之。（〔
批〕莲花肚。）如未饱，再用米饭压之，而痛如失矣。可与天师方并垂。天师方治胃，而予方治脾，两不
相妨。
又方用肥鳗二斤，白薇一两，小茴香三钱，甘草一钱，薏仁五钱，榧子十个，去壳，同在砂锅内，
用水煮烂，加五味和之，乘饥饱餐一顿。（〔批〕作香鳗。）不可少留些须，以食尽为度，不必再食饭
食，亦半日不可茶水，凡有痨虫，尽皆死矣。我因远公之问，大启其机。我不敢隐之，以于天谴也。
华君曰∶同。余更有一法未备也。人患痰病久不愈，乃用猪肺头一个，以萝卜子五钱，研碎，白芥
子一两，研碎，五味调和，饭锅蒸熟，饭后顿食之，一个即愈。此方乃治上焦之痰，汤药不能愈者，用此
神验。盖久留于肺上，而尽消其膜膈之痰，亦治之最巧者。
On Treating Fire in the Upper Jiao, On Treating Phlegm in the Upper Jiao, On Treating Cold Stomach, On Treating Cold Spleen, On Treating Lao Chong (Consumption Parasites/Bacilli), On Eliminating Lung Phlegm
The Heavenly Master said: The method of "treating after a full meal" refers to conditions located in the Upper Jiao (the chest and diaphragm area above), where medication should be taken after a full meal; this is one method. For conditions suitable for emesis, medication should be administered after a full meal to induce vomiting; this is another method. There are also cases that do not require emesis but are treated by inducing satiety through food intake; this is yet another method. Conditions in the Upper Jiao refer to diseases of the head and eyes. Medicines similar to Shangqing Wan (Upper Clearing Pill) are used. However, the formula for Shangqing Wan circulating in the world is often inappropriate. I have revised it after careful consideration to treat fire in the Upper Jiao, which can be taken universally. Su Ye (Perilla Leaf) two liang, Bo He (Mint) one liang, Bai Zhi (Angelicae Dahuricae Radix) five qian, Huang Qin (Scutellariae Radix) two liang, Gan Cao (Licorice Root) one liang, Jie Geng (Platycodonis Radix) three liang, Mai Dong (Ophiopogonis Radix) three liang, Tian Men Dong (Asparagi Radix) three liang, Ban Xia (Pinelliae Rhizoma Preparatum) one liang, Chen Pi (Citri Reticulatae Pericarpium) one liang, Man Jing Zi (Vittaginis Fructus) five qian, Chai Hu (Bupleuri Radix) one liang. Each is ground into fine powder. Form pills using water. Take three qian per dose, administered after a full meal. (Commentary: Shangqing Wan.) The brilliance of this formula lies in clearing fire without damaging Zhong Qi (Middle Jiao Qi/Spleen-Stomach Qi). Whether individuals of strong or weak constitution contract wind-stroke pathogens, or those with wind-fire in the Upper Jiao, taking this formula yields excellent results.
When phlegm-qi in the Upper Jiao is excessive while the Lower Jiao is deficient, purgative methods should not be used. Instead, allow the patient to eat until full, then administer medicine to induce vomiting immediately, stopping once food contents are expelled. This way, without affecting the Lower Jiao, the phlegm-fire in the Upper Jiao is cured in one instance of vomiting. This is a clever treatment method. The formula uses Gua Di (Melon Seed) seven pieces, Ren Shen (Ginseng Radix et Rhizoma) two qian, and three large bowls of water. Boil briefly and drink; it will induce severe vomiting immediately. (Commentary: Jia Shen Gua Di San [Gua Di Powder with Added Ginseng].) The brilliance of this formula lies in adding Ren Shen to Gua Di San. Since emesis inevitably damages Qi, using Gua Di for emesis while Ren Shen replenishes the Qi in the stomach ensures that even with severe vomiting, the Stomach is not injured. Thus, the condition stabilizes after one episode of vomiting.
For cases not requiring emesis but treated via satiety, the indication is coldness in the Stomach causing pain. If pressing the area provides slight relief, this method should be used. The formula consists of Ren Shen (Ginseng Radix et Rhizoma) one liang, Bai Zhu (Atractylodis Macrocephalae Rhizoma) one liang, Rou Gui (Cinnamomi Cortex) one qian, and one fat duck. Place the herbs inside the duck's cavity, cook until extremely tender, season externally with Five Flavors (Wu Wei), allowing all condiments such as scallions and pepper. Simmer further with tofu skin (Fu Pi). Allow the patient to eat heartily until finished. (Commentary: Wu Xiang Tang [Five Fragrances Decoction].) If the patient cannot finish it all, let it be; there is no need to eat rice afterwards. After one meal, the pain disappears as if lost. This method of treating via satiety truly has miraculous effects. Cold Stomach is invariably accompanied by deficiency of Stomach Qi. If decoctions are given, they inevitably fail to remain long in the Stomach, as Qi from various meridians comes to share and distribute the medicinal effect, making cure difficult. Now, by cooking the medicine in a fat duck and eating until full, the medicine remains long in the Stomach, acting independently without being distributed by other meridians. Naturally, one meridian receives its benefit exclusively, and the specific cold pathogen feels its sudden disappearance. When Zheng Qi (Upright Qi) remains long in the Stomach, Xie Qi (Pathogenic Qi) naturally avoids the exterior of the Stomach. Because Chen Zi did not understand this, I have thus widely revealed this secret.
Master Zhang said: Generally, diseases located in the upper part should be treated with medication taken after a full meal. Only the use of a full meal combined with duck to treat Stomach disease is truly unprecedented, a method worthy of immortals. Using a full meal to treat disease specifically targets Spleen disorders. Pain from Cold Stomach is located above the heart; pain from Cold Spleen is located below the heart and on the left and right sides. The formula uses one pig stomach, Lian Rou (Lotus Seed) one liang, Hong Zao (Jujubae Fructus) one liang, Rou Gui (Cinnamomi Cortex) one qian, Xiao Hui Xiang (Foeniculi Fructus) two qian, and Yi He (one unit of volume) of white glutinous rice. Put all herbs and rice into the stomach, tie the opening tightly with thread, and boil externally in clear water. Before putting herbs into the pig stomach, wash it thoroughly with clear water to remove odors. Cook with herbs until extremely tender. Eat all at once, dipping in sweet soy sauce. (Commentary: Lian Hua Du [Lotus Belly].) If not yet full, press down with rice, and the pain will disappear as if lost. This formula can be passed down alongside the Heavenly Master's formula. The Heavenly Master's formula treats the Stomach, while my formula treats the Spleen; the two do not interfere with each other.
Another method uses two jin of fat eel, Bai Wei (Cynanchi Atrati Radix) one liang, Xiao Hui Xiang (Foeniculi Fructus) three qian, Gan Cao (Licorice Root) one qian, Yi Yi Ren (Coicis Semen) five qian, and ten Fei Zi (Torreya Nuciferae Semen) shelled. Simmer together in a clay pot with water until tender. Season with Five Flavors and eat in one meal during moderate hunger or fullness. (Commentary: Zuo Xiang Man [Fragrant Eel].) Do not leave any behind; finish completely. Do not eat other food afterwards, and refrain from tea or water for half a day. All Lao Chong (consumption parasites/bacilli) will die. Due to Yuan Gong's inquiry, I greatly opened up this mechanism. I dare not conceal it, lest I incur heavenly retribution.
Master Hua said: Same as above. I have one more incomplete method. For patients suffering from chronic phlegm disease that does not heal, use one pig lung head. Grind Luo Bo Zi (Radish Seed) five qian and Bai Jie Zi (Mustard Seed) one liang into powder. Mix with Five Flavors, steam in a rice cooker until cooked, and eat in one sitting after a meal. One lung head cures it. This formula treats phlegm in the Upper Jiao that decoctions cannot cure, yielding miraculous results. Since the phlegm remains long in the lungs, it completely eliminates phlegm in the membranes and septa, representing an exceptionally clever treatment.