治支饮胸满。
浓朴(四两,姜制) 大黄(二两,蒸) 枳实(一两,麸炒去瓤)
上为锉散。每服四大钱,水一盏半,煎七分,去滓,不以时加减。
治支饮,手足冷,多唾口燥,气从小腹上冲胸咽,手足痹,面热翕然如
醉,因复下流阴股,小便难,时复眩冒,呕肿。
茯苓(四两) 桂心 甘草(炙,各三两) 五味子(二两半)
上为锉散。每服四大钱,水一盏半,煎七分,去滓,
空腹服。服之冲气即低,反更咳满者,去桂,加干姜、细辛各三两;咳满止而复渴,冲气更
发者,以细辛、干姜为热药,服之当遂渴,反止者,为支饮也,支饮法当冒,冒者必呕,呕
者复加半夏二两半,以去其饮,饮去呕则止;其人形肿与痹,加杏仁二两半;若面赤如醉,
以胃中热上熏,加大黄三两。须详证加减。
治膈间有饮,卒呕吐,心下痞,眩悸。
半夏(五两,汤洗) 茯苓(三两)
上为锉散。每服四大钱,水二盏,姜七片,煎七分,去滓温服。
治支饮,呕吐不渴。
半夏(汤洗,七次)
上为锉散。每服四大钱,水二盏,姜十片,煎七分,去滓温服。
葶苈大枣泻肺汤 治支饮,不得息。(方见肺痈门)
五苓散 治瘦人脐下有悸者,挟涎沫而癫眩者,饮也。(方见伤暑门)
治心气不行,郁而生涎,胸胁支满,目眩,以胸中有痰饮也。
茯苓(四两) 桂心 白术(各三两) 甘草(炙,二两)
上为锉散。每服四大钱,水一盏半,煎七分,去滓,空腹服,小便利即愈。
治疗支饮(水饮停聚于胸膈)导致的胸部胀满。
厚朴(四两,用生姜汁炮制) 大黄(二两,蒸制) 枳实(一两,用麦麸炒后去掉瓤)
以上药材切碎成散剂。每次服用四大钱,加水一盏半,煎煮至七分水量,滤去药渣,不拘时间服用,可根据病情加减。
治疗支饮,出现手足冰冷,唾液多且口干燥,气从小腹向上冲击胸咽部,手足麻木,面部发热潮红如同醉酒之状,随后热气下行至大腿内侧,小便困难,时常头晕目眩,呕吐浮肿。
茯苓(四两) 桂心 甘草(炙制,各三两) 五味子(二两半)
以上药材切碎成散剂。每次服用四大钱,加水一盏半,煎煮至七分水量,滤去药渣,空腹服用。服药后冲逆之气即会减弱,如果反而出现咳嗽、胸满的症状,则去掉桂心,加入干姜、细辛各三两;如果咳嗽、胸满停止后又出现口渴,且冲逆之气再次发作,这是因为细辛、干姜属于热性药物,服用后应当导致口渴,如果反而不渴,说明是支饮所致。支饮的常规表现应当伴有头昏目眩,头昏者必然呕吐,呕吐者再加半夏二两半,以去除水饮,水饮去则呕吐止;如果患者身体浮肿且伴有麻木,加杏仁二两半;如果面色赤红如同醉酒,是因为胃中热气上熏,加大黄三两。必须详细辨证进行加减。
治疗膈间有水饮,突然呕吐,胃脘部痞塞不通,头晕心悸。
半夏(五两,用开水烫洗) 茯苓(三两)
以上药材切碎成散剂。每次服用四大钱,加水两盏,生姜七片,煎煮至七分水量,滤去药渣,温服。
治疗支饮,呕吐但不口渴。
半夏(用开水烫洗,七次)
以上药材切碎成散剂。每次服用四大钱,加水两盏,生姜十片,煎煮至七分水量,滤去药渣,温服。
葶苈大枣泻肺汤(Tingli Dazao Xiefei Decoction, Poppy Seed and Jujube Decoction to Drain the Lungs) 治疗支饮,呼吸急促。(方剂见肺痈门)
五苓散(Wuling San, Five-Ingredient Powder with Poria) 治疗形体消瘦之人脐下有跳动感,挟带痰涎泡沫而导致癫痫眩晕的,属于水饮为病。(方剂见伤暑门)
治疗心气运行不畅,郁结而生涎沫,胸胁部支撑胀满,头晕目眩,这是由于胸中有痰饮所致。
茯苓(四两) 桂心 白术(各三两) 甘草(炙制,二两)
以上药材切碎成散剂。每次服用四大钱,加水一盏半,煎煮至七分水量,滤去药渣,空腹服用,小便通利后即可痊愈。
Treating chest fullness caused by Zhi Yin (fluid retention in the chest and diaphragm).
Houpo (Magnoliae Officinalis Cortex, four liang, processed with ginger juice) Dahuang (Rhei Radix et Rhizoma, two liang, steamed) Zhishi (Aurantii Fructus Immaturus, one liang, stir-fried with bran, pith removed)
The above ingredients are cut into coarse pieces for decoction. Each dose is four qian, boiled with one and a half zhan of water until reduced to seven-tenths volume, then filtered. It can be taken at any time, with dosage adjustments as needed.
Treating Zhi Yin presenting with cold hands and feet, excessive salivation and dry mouth, Qi rushing from the lower abdomen up to the chest and throat, numbness in the limbs, facial heat and flushing resembling drunkenness, followed by the sensation of heat flowing down to the inner thighs, difficult urination, occasional dizziness and vertigo, vomiting, and edema.
Fuling (Poria, four liang) Guixin (Cinnamomi Ramulus, three liang) Gancao (Glycyrrhizae Radix et Rhizoma, prepared, three liang) Wuweizi (Schisandrae Chinensis Fructus, two and a half liang)
The above ingredients are cut into coarse pieces for decoction. Each dose is four qian, boiled with one and a half zhan of water until reduced to seven-tenths volume, then filtered. Take on an empty stomach. After taking the medicine, the rushing Qi will subside. If cough and chest fullness occur instead, remove Guixin and add Ganjiang (Zingiberis Rhizoma) and Xixin (Asari Radix et Rhizoma), each three liang; if cough and fullness stop but thirst appears, and the rushing Qi recurs, this is because Xixin and Ganjiang are hot herbs; taking them should cause thirst. If thirst does not occur, it indicates Zhi Yin. The standard manifestation of Zhi Yin includes dizziness/vertigo (Mao); those with Mao must vomit. For vomiting, add Banxia (Pinelliae Rhizoma), two and a half liang, to drain the fluid; once the fluid is drained, vomiting stops. If the patient has generalized edema and numbness, add Xingren (Armeniacae Semen Amarum), two and a half liang. If the face is red like drunkenness due to heat steaming upward from the stomach, add Dahuang (Rhei Radix et Rhizoma), three liang. Dosage adjustments must be made based on detailed syndrome differentiation.
Treating fluid retention between the diaphragm, presenting with sudden vomiting, epigastric stuffiness (Pi), dizziness, and palpitations.
Banxia (Pinelliae Rhizoma, five liang, washed with boiling water) Fuling (Poria, three liang)
The above ingredients are cut into coarse pieces for decoction. Each dose is four qian, boiled with two zhan of water and seven slices of Shengjiang (Zingiberis Rhizoma Recens) until reduced to seven-tenths volume, then filtered. Take warm.
Treating Zhi Yin with vomiting but no thirst.
Banxia (Pinelliae Rhizoma, washed with boiling water, seven times)
The above ingredients are cut into coarse pieces for decoction. Each dose is four qian, boiled with two zhan of water and ten slices of Shengjiang (Zingiberis Rhizoma Recens) until reduced to seven-tenths volume, then filtered. Take warm.
Tingli Dazao Xiefei Tang (Poppy Seed and Jujube Decoction to Drain the Lungs) Treating Zhi Yin with dyspnea. (Formula see Men of Lung Abscess)
Wuling San (Five-Ingredient Powder with Poria) Treating thin individuals with palpitations below the umbilicus, accompanied by phlegm-fluids causing epilepsy and vertigo, which is a disorder of fluid retention. (Formula see Men of Summerheat Injury)
Treating impaired circulation of Heart Qi, stagnation generating phlegm-fluids, leading to distending fullness in the chest and hypochondrium, and dizziness/vertigo, caused by phlegm-fluid retention in the chest.
Fuling (Poria, four liang) Guixin (Cinnamomi Ramulus, three liang) Baizhu (Atractylodis Macrocephalae Rhizoma, three liang) Gancao (Glycyrrhizae Radix et Rhizoma, prepared, two liang)
The above ingredients are cut into coarse pieces for decoction. Each dose is four qian, boiled with one and a half zhan of water until reduced to seven-tenths volume, then filtered. Take on an empty stomach. Recovery occurs when urination becomes smooth.