神保丸(方见诸气类。)
舒经汤
治血气滞留经络不行,臂痛不可忍者。
片子姜黄(四两,如无,用嫩莪术代,不可用染物者) 白术(炒,二两) 羌活 甘
草(炙。
上为散。每服三钱,水一盏,煮至七分,空心服。
防风通圣散(方见风科热证类。)
敷贴药∶
治臂腿间忽一两点痛,着骨不可忍。
芫花根一味,研为末,米醋调,随大小敷之,立止。贴敷不住,须以纸花覆其上,用绢
帛扎
针法∶
肩隅一穴,随时而愈。
小柴胡汤
加白牡蛎粉研碎、枳壳去穣切片各半钱煎。(方见伤寒阳证类。)
神保丸
治膀胱气胁下痛,或项筋痛久不愈,流入背膂臂胛,并皆治之。每服七粒,用茴香
(方见诸气类。)
枳壳煮散
治悲哀烦恼伤肝气,至两腋骨疼,筋脉拘急,腰脚重滞。两股筋急,两胁牵痛,
能举,渐至背膂挛急。大治胁痛。
防风(去芦) 川芎 细辛 枳壳(去穣,麸炒) 桔梗(炒。各四两) 甘草(炙,
二两) 干葛
上锉散。每服四钱,水一盏半,生姜三片,煎至七分,去滓,空心温服。
推气散
治右胁疼痛,胀满不食。
枳壳(去穣,麸炒) 桂心(去皮,不见火。各半两) 甘草(炒,三钱) 片子姜黄
(洗,半两)
上为末。每服二钱,姜、枣汤调服。酒亦可。
枳芎散
治左胁刺痛不可忍者。
枳实 川芎(各半两) 粉草(炙,二钱半)
上为末。每服二钱,姜、枣汤调服,酒亦可。
枳壳散
治胁间痛,如有物以插然,乃气疾也。
枳壳(去穣,炒,二两半) 甘草(炙,七钱半)
上为末。每服二钱,浓煎葱白汤调下,不拘时候。
神保丸(方剂见“诸气类”章节。)
舒经汤
治疗气血滞留于经络中运行不畅,导致手臂疼痛剧烈、难以忍受的症状。
片子姜黄(四两,如果没有,可用嫩莪术代替,但不可使用经过染色处理的药材) 白术(炒制,二两) 羌活 甘草(炙制)。
以上药物研为散剂。每次服用三钱,加水一盏,煎煮至剩余七分水量,空腹时服用。
防风通圣散(方剂见“风科热证类”章节。)
敷贴药:
治疗臂部和腿部之间突然出现的局部一两点疼痛,痛感深入骨骼,难以忍受。
取芫花根一味药,研磨成粉末,用米醋调和,根据患处大小进行敷贴,可立即止痛。如果贴敷容易脱落,需用纸花覆盖在上面,再用绢帛绑扎固定。
针法:
针刺肩髃穴,可根据病情随时施治以痊愈。
小柴胡汤
加入白牡蛎粉(研碎)、枳壳(去瓤切片)各半钱,共同煎煮。(方剂见“伤寒阳证类”章节。)
神保丸
治疗膀胱气机失调引起的胁下疼痛,或者颈项部筋脉疼痛日久不愈,病邪流入背部脊柱及手臂肩胛部位,均可治疗。每次服用七粒,用茴香汤送服。(方剂见“诸气类”章节。)
枳壳煮散
治疗因悲哀烦恼损伤肝气,导致两侧腋下骨骼疼痛,筋脉拘挛紧急,腰脚沉重滞涩。大腿筋脉拘急,两侧胁肋牵引作痛,身体难以抬起,逐渐发展到背部脊柱拘挛紧急。此方对胁痛有显著疗效。
防风(去芦头) 川芎 细辛 枳壳(去瓤,麸皮炒制) 桔梗(炒制。各四两) 甘草(炙制,二两) 干葛。
以上药物切碎成散剂。每次服用四钱,加水一盏半,生姜三片,煎煮至剩余七分水量,滤去药渣,空腹温服。
推气散
治疗右侧胁肋部疼痛,伴有胀满感且食欲不振。
枳壳(去瓤,麸皮炒制) 桂心(去皮,避免直接火烤。各半两) 甘草(炒制,三钱) 片子姜黄(洗净,半两)。
以上药物研为末。每次服用二钱,用姜、枣汤调服。也可用酒送服。
枳芎散
治疗左侧胁肋部刺痛,剧烈难忍。
枳实 川芎(各半两) 粉草(炙制,二钱半)。
以上药物研为末。每次服用二钱,用姜、枣汤调服,也可用酒送服。
枳壳散
治疗胁肋间疼痛,感觉像有物体插入一样,这是气机疾病所致。
枳壳(去瓤,炒制,二两半) 甘草(炙制,七钱半)。
以上药物研为末。每次服用二钱,用浓煎的葱白汤调服,不限定具体时间。
Shenbao Wan (Formula see "Zhu Qi Lei" category.)
Shujing Tang
Treats blood and qi stagnation in the meridians causing obstruction, resulting in unbearable arm pain.
Pianzi Jianghuang (4 liang; if unavailable, use tender Ezhu [Curcuma zedoaria Rhizome], do not use dyed materials) Baizhu [Atractylodis Macrocephalae Rhizoma] (stir-fried, 2 liang) Qianghuo [Notopterygii Rhizoma et Radix] Gancao [Glycyrrhizae Radix et Rhizoma] (honey-fried).
Grind the above into a powder. Take 3 qian per dose, add 1 chalice of water, boil until 0.7 chalice remains, and take on an empty stomach.
Fangfeng Tongsheng San (Formula see "Feng Ke Re Zheng Lei" category.)
External Application Medicine:
Treats sudden, localized sharp pain in one or two spots between the arms and legs, penetrating to the bone and unbearable.
Take Yuanhua Gen [Daphne Genkwa Root Bark] alone, grind into powder, mix with rice vinegar, apply according to the size of the affected area for immediate relief. If the application does not adhere well, cover it with paper flowers and secure with silk cloth.
Acupuncture Method:
Needle Jianyu [LI15] acupoint; treat as needed for recovery.
Xiao Chaihu Tang
Add Bai Muli Fen [Concha Ostreae Powder] (ground), Zhike [Aurantii Fructus Immaturus] (pith removed, sliced) each 0.5 qian, and decoct together. (Formula see "Shanghan Yang Zheng Lei" category.)
Shenbao Wan
Treats hypochondriac pain caused by Bladder Qi disorder, or chronic neck tendon pain that has spread to the back spine and shoulder blades. Take 7 pills per dose, administered with Huixiang [Foeniculi Fructus] decoction. (Formula see "Zhu Qi Lei" category.)
Zhike Zhu San
Treats liver qi injury due to sorrow and distress, leading to pain in both axillary bones, tendon and vessel spasm, heavy and sluggish waist and legs. Spasm of tendons in both thighs, pulling pain in both hypochondria, inability to lift the body, gradually progressing to spasms in the back spine. This formula is highly effective for hypochondriac pain.
Fangfeng [Saposhnikoviae Radix] (remove rhizome head) Chuanxiong [Ligustici Chuanxiong Rhizoma] Xixin [Asari Radix et Rhizoma] Zhike [Aurantii Fructus Immaturus] (pith removed, bran-fried) Jiegeng [Platycodonis Radix] (stir-fried). Each 4 liang. Gancao [Glycyrrhizae Radix et Rhizoma] (honey-fried, 2 liang) Gegen [Puerariae Lobatae Radix].
Chop into pieces and make into a powder. Take 4 qian per dose, add 1.5 chalices of water and 3 slices of Shengjiang [Zingiberis Rhizoma Recens], decoct until 0.7 chalice remains, strain, and take warm on an empty stomach.
Tuiqi San
Treats right-sided hypochondriac pain, distension, fullness, and loss of appetite.
Zhike [Aurantii Fructus Immaturus] (pith removed, bran-fried) Guixin [Cinnamomi Cortex] (bark removed, avoid direct fire). Each 0.5 liang. Gancao [Glycyrrhizae Radix et Rhizoma] (stir-fried, 3 qian) Pianzi Jianghuang [Curcumae Longae Rhizoma] (washed, 0.5 liang).
Grind into powder. Take 2 qian per dose, mixed with Ginger and Jujube decoction. Wine may also be used.
Zhixiong San
Treats stabbing pain in the left hypochondrium that is unbearable.
Zhishi [Aurantii Fructus Immaturus] Chuanxiong [Ligustici Chuanxiong Rhizoma]. Each 0.5 liang. Fencao [Glycyrrhizae Radix et Rhizoma] (honey-fried, 2.5 qian).
Grind into powder. Take 2 qian per dose, mixed with Ginger and Jujube decoction. Wine may also be used.
Zhike San
Treats intercostal pain feeling like something inserting itself, which is a Qi disorder.
Zhike [Aurantii Fructus Immaturus] (pith removed, stir-fried, 2.5 liang) Gancao [Glycyrrhizae Radix et Rhizoma] (honey-fried, 0.75 liang).
Grind into powder. Take 2 qian per dose, mixed with strong Scallion White decoction, at any time.