(张介宾《新方八阵》) 治胸腹疼痛胀满,及食积、气积、血积、虫积、气疝血疝、
膨胀、症瘕、邪实秘滞痛剧等证。
陈皮 浓朴 木香 乌药 白芥子 草豆蔻 三棱 莪术(煨) 干姜 牙皂(炒) 泽
泻(各三钱俱研细) 巴豆(用滚汤泡去皮心膜秤足一钱)
先将巴豆用水一碗,微火煮至半碗,将巴豆捞起,用乳钵研极细,仍将前汤搀入研匀,
然后量药多少,入蒸饼浸烂,捣丸前药如绿豆大,每用三分或五分,甚者一钱,用热姜汤下。
泻
太平(丸)莪术芥三棱,朴泻姜陈牙皂朋,乌药木香草豆蔻,些微巴豆力能胜。(此方
借些微巴豆,以行群药之力,去滞最妙。如欲其峻,须用巴豆二钱。)食虫气血诸停积,胀
痛难过总可凭。(按∶《金匮》备急丸治冷热交结之积,《局方》感应丸治寒凝之积,景岳此
方治气食停滞秘实之积,其虫积与血积,乃借以为治也。)随证用汤为引下,(凡伤食停滞,
即以所伤之物,煎汤送下;妇人血气痛,当归汤下;气实痛,陈皮汤下;疝气,茴香汤下;
寒气,生姜汤下;气湿实滞臌胀,用烧酒加白糖少许送下;虫痛,槟榔汤下。)利多饮冷效
堪征。(巴豆泻人,得冷则止,故服巴豆丸散,利多不止者,饮冷粥一二口即止也。)
(From Zhang Jiabin's *Xin Fang Ba Zhen*) Treats syndromes of pain, distension, and fullness in the chest and abdomen, as well as food retention (Shi Ji), qi stagnation (Qi Ji), blood stasis (Xue Ji), parasitic accumulation (Chong Ji), qi-type hernia (Qi Shan), blood-type hernia (Xue Shan), abdominal distension with swelling (Peng Zhang), masses (Zheng Jia), severe pain due to pathogenic excess and constipation/stagnation.
Chenpi (Tangerine Peel), Houpo (Magnolia Bark), Muxiang (Aucklandiae Radix), Wuyao (Linderae Radix), Baijiezi (Sinapis Semen), Caodoukou (Cardamomi Fructus), Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma [roasted]), Ganjiang (Zingiberis Rhizoma), Yazao (Gleditsiae Spina), Zexie (Alismatis Rhizoma) (each 3 qian, all ground into fine powder); Badou (Crotonis Fructus) (soaked in boiling water, skin and heart membrane removed, weighed exactly 1 qian).
First, take one bowl of water and the Badou, simmer over low heat until reduced to half a bowl. Remove the Badou, grind it in a mortar until extremely fine, then mix in the previous decoction evenly. Then, depending on the quantity of herbs, soak steamed wheat cakes until soft, mash together, and form pills the size of mung beans. Take 3 fen or 5 fen per dose; for severe cases, take 1 qian. Administer with hot ginger soup. If diarrhea occurs...
Tai Ping Wan Formula Verse: Ezhu, Baijiezi, Sanleng, Houpo, Zexie, Ganjiang, Chenpi, Yazao, Muxiang, Wuyao, Caodoukou, a tiny amount of Badou is sufficient to exert its power. (This formula uses a minute amount of Badou to propel the action of the other herbs, making it excellent for removing stagnation. If a more drastic effect is desired, use 2 qian of Badou.) Whether it is food retention, parasitic accumulation, qi stagnation, or blood stasis causing obstruction, distension, and unbearable pain can generally be managed by relying on this formula. (Note: *Beiji Wan* from *Jin Gui Yao Lue* treats accumulations caused by cold-heat intermingling; *Ganying Wan* from *Ju Fang* treats accumulations caused by cold coagulation; Jingyue’s formula here treats accumulations of qi and food stagnation with constipation and solidity. The treatment of parasitic and blood accumulations relies on these agents.) Use different decoctions as guides according to the syndrome for administration: (For food retention, administer with a decoction made from the ingested food; for women’s blood and qi pain, administer with Danggui Tang; for excess qi pain, administer with Chenpi Tang; for hernia, administer with Huixiang Tang; for cold pathogen, administer with Shengjiang Tang; for qi-dampness excess leading to abdominal distension, administer with liquor mixed with a little white sugar; for worm pain, administer with Binglang Tang.) If diarrhea is frequent, drinking cold liquid proves effective. (Badou induces diarrhea, which stops upon exposure to cold. Therefore, if diarrhea persists after taking Badou pills or powders, drinking one or two mouthfuls of cold congee will stop it.)