阴弦腹痛,细小紧急,皆腹痛。濡滑为痰饮,短滑为宿食。芤涩为死血,沉伏为气滞。尺脉紧,脐下痛。
弦急,小腹痛,痛甚者,脉必伏。大为病久,细小而迟者易治;实大坚疾,紧数浮长者,难治。大痛而喘,
人中黑者,死。阴弦或紧,宜温,沉弦滑实,可下。
〔温中〕香砂理中汤 理中加木香、砂仁。
〔健运〕香砂六君汤 六君子汤加木香、砂仁。
〔消导〕香砂枳术丸 见本卷头痛。
〔消导〕保和丸 见二卷痰饮。
〔温通〕排气饮 见三卷积聚。
〔辛泄〕吴茱萸汤 见三卷呕吐。
〔甘缓〕小建中汤 桂 芍 姜 草 枣 饴
〔厥阴〕当归四逆汤 归 桂 芍 辛 草 通草 枣
〔少阴〕真武汤 见二卷喘。
〔霍乱〕藿香正气散 见一卷中风。
〔和解〕六和汤 见一卷暑。
〔火郁〕清中汤 见本卷心痛。
〔痰热〕二陈汤 夏 陈 苓 草
〔热厥〕金铃子散 见三卷郁。
〔气郁〕七气汤 见二卷咳嗽。
〔行气〕五磨饮 四磨饮见二卷哮,此去人参,加枳实、木香、白酒磨,名五磨饮。
〔血郁〕手拈散 见本卷心痛。
〔和营〕芍药甘草汤 芍 草 脉缓伤水,加桂枝、生姜。脉洪伤气,加黄 、大枣。脉涩伤血,加
当归。
〔血虚〕大营煎 见三卷关格。
〔气血〕理阴煎 见二卷咳嗽。
〔络瘀〕失笑散 见本卷胃脘痛。
〔补阴〕六味丸 见一卷中风。
〔宣络〕旋复花汤 旋复 新绛 葱
〔通瘀〕桃仁承气汤 见一卷疫症。
〔积聚〕木香槟榔丸 见三卷积聚。
〔热积〕阿魏丸 连翘 黄连(各五钱) 山楂 阿魏(各一两) 醋煮阿魏糊丸,白汤下。
〔跌伤〕复元活血汤 见二卷吐血。
〔酒积〕曲 丸 神曲 麦芽 枳实 白术
〔经闭〕玉烛散 四物汤加 大黄 芒硝 甘草
〔伤脾〕归脾汤 见二卷劳瘵。
〔痞结〕柴胡疏肝散 见二卷劳瘵。
〔肝火〕左金丸 黄连 吴萸
〔虫动〕理中安蛔散 见三卷呕吐。
〔蛔厥〕乌梅丸 见三卷呕吐。
〔疝痛〕立效散 楂肉(一两) 川楝子 茴香(盐水炒) 枳实 茅术 香附 山栀(姜汁炒)
青皮(醋炒。各五钱) 吴萸(三钱) 为末,每服五钱。
〔肠痈〕大黄汤 丹皮 栝蒌(各三钱) 桃仁 大黄 芒硝(各二钱)
〔肠痈〕牡丹散 见本卷胃脘痈。
〔肠痈〕排脓散 见一卷肺痈。
〔中恶〕苏合香丸 见一卷中风。
〔六郁〕越鞠丸 见三卷郁。
〔利湿〕平胃散 术 朴 陈 草
〔降火〕逍遥散 见一卷火。
〔除痰〕二术二陈汤 见二卷痰饮。
Yin-chord (Chord-like pulse at the Chi position) with abdominal pain, or a fine and tight pulse, both indicate abdominal pain. A soggy and slippery pulse indicates phlegm-fluid retention; a short and slippery pulse indicates retained food stagnation. A knotted and choppy pulse indicates dead blood (blood stasis); a deep and hidden pulse indicates Qi stagnation. A tight pulse at the Chi position corresponds to pain below the umbilicus.
If the pulse is chord-like and urgent, with pain in the lower abdomen, severe pain will necessarily present with a hidden (Fu) pulse. A large pulse indicates a long-standing disease; a fine, small, and slow pulse is easy to treat; however, if the pulse is solid, large, firm, rapid, floating, and long, it is difficult to treat. Severe pain accompanied by panting, and blackening of the area between the nose and upper lip (Ren Zhong), indicates a fatal condition. If the Yin-chord or tight pulse is present, warming methods are appropriate; if the pulse is deep, chord-like, slippery, and solid, purgative methods may be used.
[Warming the Middle] Xiangsha Lizhong Tang (Amomum and Cardamom Regulate the Middle Decoction): Lizhong Tang added with Mugher (Aucklandiae Radix) and Sharen (Tsaoko Fructus).
[Strengthening Transportation] Xiangsha Liujun Tang (Amomum and Cardamom Six-Gentlemen Decoction): Liujunzi Tang added with Mugher and Sharen.
[Resolving Stagnation] Xiangsha Zhizhu Wan (Amomum and Cardamom Immature Bitter Orange and Atractylodes Pill): See Headache section in this volume.
[Resolving Stagnation] Baohe Wan (Preserve Harmony Pill): See Phlegm-Fluid Retention section in Volume II.
[Warming and Unblocking] Paiqi Yin (Expel Qi Decoction): See Accumulation and Masses section in Volume III.
[Pungent Draining] Wuzhuyu Tang (Evodia Decoction): See Vomiting section in Volume III.
[Sweet Soothing] Xiaojianzhong Tang (Minor Construct the Middle Decoction): Composed of Guizhi (Cinnamon Twig), Shaoyao (Peony Root), Shengjiang (Fresh Ginger), Gancao (Licorice Root), Dazao (Jujube), and Yitang (Maltose).
[Jueyin Disease] Danggui Sini Tang (Angelica Sinensis Reversal-Cold Decoction): Composed of Danggui (Angelicae Sinensis Radix), Guizhi, Shaoyao, Xixin (Asari Radix et Rhizoma), Gancao, Tongcao (Tetrapanacis Medulla), and Dazao.
[Shaoyin Disease] Zhenwu Tang (True Warrior Decoction): See Asthma section in Volume II.
[Huo Luan] Huoxiang Zhengqi San (Pogostemon Rectifying Qi Powder): See Wind-Stroke section in Volume I.
[Harmonizing] Liuhe Tang (Six-Harmonies Decoction): See Summerheat section in Volume I.
[Fire Depression] Qingzhong Tang (Clear the Middle Decoction): See Heartache section in this volume.
[Phlegm-Heat] Erchen Tang (Two-Aged Decoction): Composed of Banxia (Pinelliae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), and Gancao.
[Heat Jue] Jinlingzi San (Melia Toosendan Powder): See Depression section in Volume III.
[Qi Depression] Qiqi Tang (Seven-Qi Decoction): See Cough section in Volume II.
[Moving Qi] Wumo Yin (Five-Mortars Decoction): Simo Yin is seen in the Asthma section in Volume II; this formula removes Renshen (Ginseng Radix et Rhizoma), adds Zhishi (Immature Bitter Orange), Mugher, and is ground with Baijiu (White Liquor), named Wumo Yin.
[Blood Depression] Shounian San (Hand-Picking Powder): See Heartache section in this volume.
[Nourishing Ying] Shaoyao Gancao Tang (Peony and Licorice Decoction): Composed of Shaoyao and Gancao. If the pulse is slow, indicating injury to Water, add Guizhi and Shengjiang; if the pulse is surging, indicating injury to Qi, add Huangqi (Astragali Radix) and Dazao; if the pulse is choppy, indicating injury to Blood, add Danggui.
[Blood Deficiency] Daying Jian (Great Camp Strengthening Decoction): See Guan Ge section in Volume III.
[Qi and Blood] Liyin Jian (Nourishing Yin Strengthening Decoction): See Cough section in Volume II.
[Collateral Stasis] Shixiao San (Quick Effect Powder): See Epigastric Pain section in this volume.
[Nourishing Yin] Liuwei Wan (Six-Ingredient Pill): See Wind-Stroke section in Volume I.
[Ventilating Collaterals) Xuanfuhua Tang (Inula Flower Decoction): Composed of Xuanfuhua (Inulae Flos), Xinjiang (Safflower), and Congbai (Scallion Stem).
[Unblocking Blood Stasis] Tao Ren Chengqi Tang (Peach Kernel Decocting Qi Decoction): See Epidemic Diseases section in Volume I.
[Accumulation and Masses] Muxiang Binglang Wan (Aucklandia and Betel Nut Pill): See Accumulation and Masses section in Volume III.
[Heat Accumulation] Awai Wan (Styrax Pill): Lianqiao (Forsythiae Fructus) and Huanglian (Coptidis Rhizoma) each 5 qian; Shan Zha (Crataegi Fructus) and Awai (Styrax Resina) each 1 liang. Boil Awai in vinegar to make a paste for pills, taken with warm water.
[Traumatic Injury] Fuyuan Huoxue Tang (Restore Origin Invigorate Blood Decoction): See Hematemesis section in Volume II.
[Alcohol Accumulation] Shenqu Wan (Medicated Leaven Pill): Composed of Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), Zhishi, and Baizhu (Atractodis Macrocephalae Rhizoma).
[Amenorrhea) Yuzhu San (Jade Candle Powder): Siwu Tang added with Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas), and Gancao.
[Spleen Injury) Guipi Tang (Restore the Spleen Decoction): See Laozai (Consumption) section in Volume II.
[Fullness and Knotting) Chaihu Shugan San (Bupleurum Soothing Liver Decoction): See Laozai section in Volume II.
[Liver Fire) Zuojin Wan (Left Metal Pill): Composed of Huanglian and Wu Zhu Yu (Evodiae Fructus).
[Parasite Movement) Lizhong An Hui San (Regulate the Middle Calm Ascaris Powder): See Vomiting section in Volume III.
[Ascaric Jue) Wumei Wan (Mume Pill): See Vomiting section in Volume III.
[Chan Pain) Lixiao San (Immediate Effect Powder): Shan Zha Rou (Hawthorn Flesh) 1 liang; Chuan Lian Zi (Meliae Fructus), Huixiang (Foeniculi Fructus, stir-fried in salt water), Zhishi, Maoyu (Atractodis Rhizoma), Xiangfu (Cyperi Rhizoma), Shanzhi (Gardeniae Fructus, stir-fried in ginger juice), Qingpi (Citri Reticulatae Pericarpium Viride, stir-fried in vinegar) each 5 qian; Wu Zhu Yu 3 qian. Grind into powder, take 5 qian per dose.
[Intestinal Abscess) Dahuang Tang (Rhubarb Decoction): Danpi (Moutan Cortex) and Gualou (Trichosanthis Fructus) each 3 qian; Taoren (Persicae Semen), Dahuang, Mangxiao each 2 qian.
[Intestinal Abscess) Mudan San (Moutan Powder): See Epigastric Abscess section in this volume.
[Intestinal Abscess) Paimao San (Drain Pus Powder): See Lung Abscess section in Volume I.
[Sudden Evil) Suhexiang Wan (Liquidambar Pill): See Wind-Stroke section in Volume I.
[Six Depressions) Yueju Wan (Surmount Depression Pill): See Depression section in Volume III.
[Draining Dampness) Pingwei San (Level the Stomach Powder): Composed of Baizhu, Houpo (Magnoliae Officinalis Cortex), Chenpi, and Gancao.
[Descending Fire) Xiaoyao San (Free Wanderer Powder): See Fire section in Volume I.
[Eliminating Phlegm) Eryu Erchen Tang (Two-Atractodes Two-Aged Decoction): See Phlegm-Fluid Retention section in Volume II.