脉寸口浮大,按之反涩,尺中亦微而涩,宿食也。
脉寸口如转索而紧,宿食也。
脉滑而数者,宿食也,当下之。
又浮而滑者,宿食也;脉沉,病若伤寒者,宿食留饮,当下之。
下利不欲食者,宿食。
脉短而滑酒病。脉浮而细滑者伤饮。
宿食状
千金云,胃中有辟食冷物则痛,不能食,有热物则欲食。
大腹有宿食,则寒凛如疟发热状;小腹有宿食,即暮发热,明旦复止。
又有云,病宿食则头痛、恶风增寒,心腹胀满下利,不欲食,吞酸噫气腐
气,或腹胀泄泻,及四肢浮肿。若胃实寒,食反留滞,其脉滑而数,宜下之愈;
若虚,其脉浮大,按之反涩,尺中亦微涩,宜温消之。
痰饮状
或咳、或喘、或呕、或泄、晕眩、 烦、悸忪、 KT 、寒热、疼痛、肿满、
挛癖、癃闭、痞膈、如风、如颠。
悬饮者 饮水留在胁下,咳唾引痛(治法当下)。
溢饮者 饮流于四肢,当汗不汗,身体疼痛(法当汗)。
支饮者 咳逆倚息、短气不得卧,其形如肿(随证汗下之)。
痰饮者 其人素盛今瘦,肠间漉漉有声(宜治湿从小便去之)。
留饮者 背寒如手大,或短气而渴,四肢历节疼,胁下痛引缺盆。
伏饮者 膈满喘咳,呕吐,发则寒热、腰背痛,目泪恶寒,振振然。
李论 饮食肠胃乃伤,复加之,则胃化迟难,故宿食饮留。
食者物也,有形之血也,因而饱食,筋脉横解肠为重,或呕、或吐、或下
利,甚则心胃大痛,犯其血也。宜分寒热轻重而治之。如初得,上部有脉,下部
无脉,其人当吐,不吐者死。宜瓜蒂散吐之。轻则内消宿食,缩砂、神曲是也;
重则除下,承气类也;寒则温之,半夏、干姜、山棱、莪术等也;热则寒之,大
黄、黄连、枳实、麦 等也。
饮者水也,无形之气也,因而大饮则气逆,形寒饮冷则伤肺,病则为咳、
满、水泄;重而为蓄积。轻者,宜取汗、利小便,使上下分消其湿,解醒汤、
五苓、半夏、术、壳之类是也;重者三花神 等也。又一云∶凡伤西瓜、冷水、
羊乳寒湿之物
白术(二钱) 川乌(二钱) 防己(一钱) 丁香 甘草(各五分)
凡伤羊肉、湿面湿热之物∶白术 连(一钱) 大黄(二钱) 甘草 以上二证,腹痛
白芍药(一钱);心下痞加枳实;腹胀加浓朴;胸中不利加枳壳;胸中寒加陈皮;渴
者加茯苓;腹中闷加苍术;及体沉重加酲术。大抵伤冷物巴豆为君,伤热物大黄为君。
张论
饮食不消,分贫富而治之。富者乃膏粱太过,以致中脘停留,胀闭痞隔,
酸心,宜木香导饮丸主之。贫者饮食粗,动作劳,酒食伤之,以致心腹满闷,时
吐酸水,宜进食丸主之。又重者,证太阳伤寒,止脉沉,宜导饮丸治之。
又论留饮,蓄水而已,虽有四有五之说,止一证也。夫郁愤而不伸,则肝气
乘脾,脾气不濡,亦为留饮。肝主虑,久不决则饮气不行;脾主思,久则脾
结,亦为留饮。乘困饮水,脾胃失衰不能布散,亦为留饮。饮酒过多,胞经
不及渗泄,亦为留饮。渴饮冷水,乘快过多,逸而不动,亦为留饮。
夫水者,阴物也。但积水则生湿;停酒则发燥,久则成痰。在左胁同肥气;
在右胁同息贲。上入肺则喘;下入大肠则泻;入肾则涌水;在太阳为支饮。皆由
气逆得之。故湿在上者面浮目黄;在下者股膝肿满;在中者,支饮痞鬲痰逆。在
阳不去,久而化气;在阴不去,久而成形。宜治以导水如禹功,调以五苓、
葶苈、椒目逐水为全矣。
刘用槟榔丸 治伤之轻,饮食不化,心腹膨。
槟榔 木香(各一钱) 陈皮(八钱) 牵牛(头)
上醋糊丸,姜汤下二十丸。
雄黄丸 治伤之重,腹胁虚胀。
雄黄(一两另研) 巴豆(五钱生用)
丸治法同心痛条下。
瓜蒂散 吐心腹卒痛闷乱急剂。
瓜蒂 赤小豆(各三钱)
上为末,每一钱,温水下。
枳术丸 治伤食。
枳实(半两) 白术(一两)
□闷加曲 ;滞气加槟榔、木香、青皮;伤湿热加大黄、黄连、黄芩;
湿加萝卜子;热加连;伏湿痞闷加茯苓、泽泻;病后食伤加栀子粉湿面油腻加
豆粉半夏;伤冷硬加草豆蔻、棱、莪术;伤水加干姜;心胃痛加宿砂、丁香;
□□加人参半夏。
解酲汤 治伤酒。
白豆蔻 宿砂 生姜 葛花(各一半两) 木香(五分) 茯苓 陈皮(去白) 猪
苓(去皮) 人参 白术(各钱半) 青皮(三钱) 炒曲 泽泻(各三钱)
上为末,白汤下。
秘方 治胸中有物恶食。
二陈汤加白术 山楂 川芎 苍术 神曲(炒)
□□□ 治留饮悬饮脉弦。又治脉伏,其人欲自利,难利,心下续筑
满,此为留饮欲去故也。
茯苓、桂术甘草汤 治心下有痰饮,胸胁肢满目眩。
大青龙汤 治溢饮体疼当发其汗。
麻黄(七钱半) 桂枝 甘草(各二钱) 杏仁 石膏(鸡子大) 半夏(续加)
泽泻汤 治心下有支饮,其人苦冒眩。支饮不得息,加葶苈大枣。
朴黄汤 治支饮胸满。
浓朴 大黄
二陈汤 小半夏汤 治呕家本渴,今反不渴,心下有支饮。治先渴却
呕,水停心下,属饮也,加茯苓。
五苓散 治瘦人脐下有悸,吐涎沫而颠眩,水也,亦治停痰宿水。
破钡丸 治五饮结为 瘕,支饮胸满吐逆,心痛大能散气。
以拨 胡椒 丁香 宿砂 青皮 乌梅 木香 蝎梢 巴豆(去油)
以青皮同巴豆,浆水渍一宿,漉出,同炒,青皮焦,去豆不用,渍浆
水淹乌梅肉,炊一熟饭,研细为膏,姜汤下五七丸。
控涎丹 治胃胸背手脚头项腰胯隐痛不忍,连筋骨牵钩痛,坐卧不
宁,时时走易。
甘遂 大戟 白芥子(真者) 糊为丸。
脉象在寸口部位浮大,重按反而涩滞,尺部脉象也微细而涩,这是宿食(停滞不化的食物)的征象。
脉象在寸口部位像转动绳索一样紧实有力,这是宿食。
另外,脉象浮而滑,也是宿食;如果脉象沉,病症类似伤寒,这是宿食兼留饮(停留的水饮),应当用攻下法治疗。
脉短而滑,是饮酒过度导致的病证。脉浮而细滑,是损伤水饮所致。
宿食的临床表现:
《千金方》说,胃中有辟易冷物则疼痛,不能进食;有热物则想要进食。
腹部有大块宿食,就会恶寒战栗,像疟疾一样发热;小腹有宿食,就在傍晚发热,第二天早晨停止。
又有说法称,患宿食病会出现头痛、怕风加重恶寒、心腹胀满、腹泻、不想进食、吞酸、打嗝有腐臭味,或者腹胀泄泻,以及四肢浮肿。如果是胃中实寒,食物反而滞留,其脉象滑而数,适宜用攻下法痊愈;如果是虚证,脉象浮大,重按反而涩滞,尺部也微涩,适宜用温补消导法治疗。
痰饮的临床表现:
有的咳嗽,有的气喘,有的呕吐,有的腹泻,头晕目眩,心烦,心悸,惊恐不安,忽冷忽热,疼痛,肿胀痞满,筋脉拘挛积聚,小便不通,胸脘痞塞阻隔,像中风,像癫狂。
悬饮:饮水停留在胁下,咳嗽吐唾时牵引作痛(治法应当攻下)。
溢饮:水饮流注于四肢,本该出汗却不出汗,身体疼痛(治法应当发汗)。
支饮:咳嗽气逆,倚靠物体呼吸,气短不能平卧,身形看起来像浮肿(根据证候采用发汗或攻下法)。
痰饮:病人原本形体丰盛现在消瘦,肠间有水声漉漉作响(适宜通过利湿从小便排出)。
留饮:背部寒冷如手掌大小,或者气短口渴,四肢关节疼痛,胁下疼痛牵引至缺盆穴。
伏饮:膈部胀满,气喘咳嗽,呕吐,发作时忽冷忽热,腰背疼痛,流泪怕冷,身体颤抖。
李东垣论述:饮食损伤肠胃,如果再叠加伤害,则胃的运化迟缓困难,所以导致宿食和水饮停留。
食物是有形的物质,属于有形之血(此处指有形之物),因此饱食会导致筋脉松弛,肠道沉重,或者呕吐,或者吐食,或者腹泻,严重时心胃剧烈疼痛,伤及气血。应当分辨寒热的轻重来治疗。如果是初得病,上部有脉,下部无脉,病人应当催吐,不吐的会死亡。适宜用瓜蒂散催吐。轻症则内消宿食,如缩砂仁、神曲;重症则从下面排除,如承气汤类;寒证则温之,如半夏、干姜、三棱、莪术等;热证则寒之,如大黄、黄连、枳实、麦冬等。
水饮是无形的邪气,因此大量饮水会导致气机逆乱,形体受寒、饮用冷水会损伤肺脏,生病则表现为咳嗽、胀满、水样腹泻;严重则形成蓄积。轻症,适宜取汗、利小便,使湿气上下分消,如解酲汤、五苓散、半夏、白术、枳壳之类;重症用三花神祐丸等。另一种说法:凡是损伤西瓜、冷水、羊乳等寒湿之物,可用以下方剂:白术(二钱)、川乌(二钱)、防己(一钱)、丁香、甘草(各五分)。
凡是损伤羊肉、湿面等湿热之物:白术、黄连(一钱)、大黄(二钱)、甘草。以上两种证候,腹痛加白芍药(一钱);心下痞满加枳实;腹胀加厚朴;胸中不利加枳壳;胸中寒加陈皮;口渴者加茯苓;腹中闷加苍术;以及身体沉重加炒白术。大抵损伤冷物以巴豆为君药,损伤热物以大黃为君药。
张元素论述:
饮食不消化,要区分贫富来治疗。富贵之人多是膏粱厚味太过,导致中脘停留,胀闭痞隔,反酸,适宜用木香导饮丸主治。贫苦之人饮食粗糙,劳作辛苦,被酒食所伤,导致心腹满闷,时常吐出酸水,适宜用进食丸主治。还有重症,证属太阳伤寒,仅见脉沉,适宜用导饮丸治疗。
又论留饮,只是蓄水而已,虽然有四饮、五饮的说法,其实只是一个证候。如果郁愤而不舒展,则肝气乘脾,脾气不濡润,也成为留饮。肝主谋虑,久不决断则饮气不行;脾主思虑,久则脾结,也成为留饮。困倦时饮水,脾胃衰弱不能布散,也成为留饮。饮酒过多,膀胱经络不及渗泄,也成为留饮。口渴喝冷水,趁快喝得过多,安逸不动,也成为留饮。
水是阴邪。但积水则生湿;停酒则发燥,久了则变成痰。在左胁同于肥气;在右胁同于息贲。向上入肺则喘;向下入大肠则泻;入肾则涌水;在太阳经为支饮。都是由气逆引起的。所以湿气在上则面部浮肿、眼睛发黄;在下则大腿膝盖肿胀痞满;在中则支饮、痞隔、痰逆。在阳分不去,久了化为气;在阴分不去,久了形成形质。适宜用禹功散那样的方法导水,用五苓散、葶苈子、椒目逐水来调理,就完整了。
刘完素用槟榔丸:治疗损伤较轻,饮食不化,心腹膨隆。
槟榔、木香(各一钱)、陈皮(八钱)、牵牛子(头末)。
上药醋糊为丸,姜汤送服二十丸。
雄黄丸:治疗损伤较重,腹胁虚胀。
雄黄(一两,另研)、巴豆(五钱,生用)。
丸剂的制法同心痛条下的方法。
瓜蒂散:催吐心腹突然疼痛、烦闷混乱的急救方。
瓜蒂、赤小豆(各三钱)。
上药研为末,每次一钱,温水送下。
枳术丸:治疗伤食。
枳实(半两)、白术(一两)。
胸闷加神曲;气滞加槟榔、木香、青皮;伤湿热加大黄、黄连、黄芩;湿加萝卜子;热加黄连;伏湿痞闷加茯苓、泽泻;病后食伤加栀子粉;湿面油腻加豆粉、半夏;伤冷硬加草豆蔻、三棱、莪术;伤水加干姜;心胃痛加砂仁、丁香;[缺失字]加人参、半夏。
解酲汤:治疗伤酒。
白豆蔻、砂仁、生姜、葛花(各半两)、木香(五分)、茯苓、陈皮(去白)、猪苓(去皮)、人参、白术(各一钱半)、青皮(三钱)、炒神曲、泽泻(各三钱)。
上药研为末,开水送服。
秘方:治疗胸中有异物感、厌恶进食。
二陈汤加白术、山楂、川芎、苍术、神曲(炒)。
[缺失字]:治疗留饮、悬饮脉弦。又治疗脉伏,病人想自利(腹泻),难以排出,心下持续筑筑跳动、满闷,这是留饮欲去的原因。
茯苓桂术甘草汤:治疗心下有痰饮,胸胁肢面目眩。
大青龙汤:治疗溢饮身体疼痛,应当发汗。
麻黄(七钱半)、桂枝、甘草(各二钱)、杏仁、石膏(鸡蛋大小)、半夏(随后加入)。
泽泻汤:治疗心下有支饮,病人苦于冒眩。支饮导致呼吸不畅,加葶苈子、大枣。
二陈汤、小半夏汤:治疗呕吐的人本来口渴,现在反而不渴,心下有支饮。治疗先口渴却呕吐,水停心下,属于饮邪,加茯苓。
五苓散:治疗瘦人脐下有悸动感,吐涎沫而头晕,是水邪,也治疗停痰宿水。
破钡丸(应为破块丸或类似名,原文可能有误,依原文录入):治疗五饮结为瘕聚,支饮胸满吐逆,心痛,能散气。
以拨(疑为某药名残缺)、胡椒、丁香、砂仁、青皮、乌梅、木香、蝎梢、巴豆(去油)。
用青皮同巴豆,浆水浸泡一夜,捞出,同炒,青皮焦黑,去掉豆子不用。用浆水浸泡乌梅肉,蒸熟饭,研细为膏,姜汤送服五到七丸。
Pulse at the Cun Kou (radial artery) is floating and large, but pressing deeply reveals a choppy texture; the Chi pulse (distal radial artery) is also faint and choppy. This indicates retained food (food stagnation).
The pulse at the Cun Kou feels tight and forceful like a turning rope. This indicates retained food.
A slippery and rapid pulse indicates retained food; purgative treatment should be applied.
Additionally, a floating and slippery pulse indicates retained food; if the pulse is deep and the symptoms resemble Taiyang cold damage, this indicates retained food combined with fluid retention (accumulation of pathological fluids); purgative treatment should be applied.
Diarrhea accompanied by anorexia indicates retained food.
A short and slippery pulse indicates alcohol-induced pathology. A floating, fine, and slippery pulse indicates injury from drinking water/fluids.
Manifestations of Retained Food:
*Qianjin Fang* states that if cold substances are ingested into the stomach, pain occurs and eating is impossible; if hot substances are present, there is a desire to eat.
If retained food is in the large abdomen, chills resembling malaria and fever occur; if retained food is in the small abdomen, fever occurs in the evening and subsides by morning.
It is also said that retained food disease presents with headache, aversion to wind with increased chills, abdominal distension and fullness, diarrhea, anorexia, acid regurgitation, belching with a putrid odor, abdominal distension with diarrhea, or edema of the four limbs. If the stomach is solid-cold causing food stagnation, the pulse is slippery and rapid; purgatives are suitable for cure. If it is a deficiency pattern, the pulse is floating and large, choppy upon pressure, and faint/choppy at the Chi position; warming and resolving methods are suitable.
Manifestations of Phlegm-Fluids:
Symptoms may include cough, asthma, vomiting, diarrhea, vertigo, irritability, palpitations, fright, alternating chills and fever, pain, swelling and fullness, tendon spasms and masses, strangury and urinary obstruction, chest/epigastric stuffiness, sensations resembling wind-stroke or mania.
Xuan Yin (Hanging Fluid): Water/fluid remains under the hypochondrium, causing pain upon coughing and spitting (Treatment: Purge).
Yi Yin (Overflowing Fluid): Fluid flows into the four limbs; sweating should occur but does not, causing body pain (Treatment: Induce sweating).
Zhi Yin (Supporting Fluid): Coughing with air hunger, leaning on objects to breathe, shortness of breath preventing lying flat, appearance resembling edema (Treatment: Sweat or purge according to syndrome).
Tan Yin (Phlegm-Fluid): The patient was formerly robust but is now emaciated; gurgling sounds are heard in the intestines (Treatment: Resolve dampness via urination).
Liu Yin (Stagnant Fluid): Cold sensation on the back the size of a hand, or shortness of breath with thirst, pain in the four limbs and joints, pain under the hypochondrium radiating to the Quren point.
Fu Yin (Hidden Fluid): Fullness in the diaphragm, wheezing, cough, vomiting; upon attack, chills and fever, lower back pain, tearing, aversion to cold, trembling.
Li Dongyuan’s Discussion: Diet injures the intestines and stomach; further aggravation leads to slow gastric transformation, resulting in retained food and fluid stagnation.
Food is tangible matter, belonging to tangible blood (here referring to tangible substances). Overeating causes tendons and vessels to relax and intestines to become heavy, leading to vomiting, eructation, or diarrhea. Severe cases cause severe heart and stomach pain, injuring blood and qi. Treatment must distinguish between cold and heat severity. In early stages, if the upper pulse exists but the lower pulse is absent, the patient should vomit; failure to vomit leads to death. Genti San (Thistle Powder) is suitable for inducing vomiting. For mild cases, internal resolution of retained food uses Sha Ren (Amomum Fruit) and Shen Qu (Medicated Leaven); for severe cases, downward expulsion uses Chengqi Tang formulas; for cold patterns, warming agents like Ban Xia (Pinellia Tuber), Gan Jiang (Dried Ginger), San Leng (Burreed Rhizome), and E Zhu (Curcuma Rhizome) are used; for heat patterns, cooling agents like Da Huang (Rhubarb Root), Huang Lian (Coptis Rhizome), Zhi Shi (Immature Bitter Orange), and Mai Dong (Ophiopogon Tuber) are used.
Drinking fluids involves intangible Qi. Excessive drinking causes Qi rebellion; cold exposure and cold drinks injure the Lung, causing cough, fullness, and watery diarrhea; severe cases lead to accumulation. Mild cases benefit from sweating and promoting urination to disperse dampness upward and downward, using Jie Cheng Tang (Resolve Intoxication Decoction), Wu Ling San (Five-Ingredient Powder with Poria), Ban Xia, Bai Zhu (Atractylodes Macrocephala Rhizome), and Zhi Ke (Bitter Orange). Severe cases use San Hua Shen You Wan (Three-Flower Divine Expulsion Pill). Another view: Injury from cold-damp substances like watermelon, cold water, or sheep milk can be treated with: Bai Zhu (2 qian), Chuan Wu (Aconite Root), Fang Ji (Stephania Root), Ding Xiang (Clove), and Gan Cao (Licorice Root) (each 0.5 qian).
Injury from warm-damp substances like mutton or wet dough: Bai Zhu, Huang Lian (1 qian), Da Huang (2 qian), Gan Cao. For abdominal pain, add Bai Shao Yao (White Peony Root, 1 qian); for epigastric stuffiness, add Zhi Shi; for abdominal distension, add Hou Po (Magnolia Bark); for chest discomfort, add Zhi Ke; for chest cold, add Chen Pi (Tangerine Peel); for thirst, add Fu Ling (Poria); for abdominal heaviness, add Cang Zhu (Atractylodes Lancea Rhizome); for general heaviness, add fried Bai Zhu. Generally, for cold injuries, Ba Dou (Croton Seed) is the sovereign herb; for heat injuries, Da Huang is the sovereign herb.
Zhang Yuansu’s Discussion:
Indigestion is treated differently based on wealth. The wealthy suffer from excessive rich foods, causing stagnation in the Zhong Wan (Middle Epigastrium), distension, obstruction, stuffiness, and acid reflux; Mu Xiang Dao Yin Wan (Costus Guiding Drink Pill) is indicated. The poor consume coarse food and labor hard, suffering alcohol and food injury causing abdominal fullness and frequent acid regurgitation; Jin Shi Wan (Advance Food Pill) is indicated. Severe cases presenting as Taiyang cold damage with only a deep pulse are treated with Dao Yin Wan.
Regarding stagnant fluid, although there are theories of Four and Five Fluids, it is essentially one syndrome. Depression and frustration cause Liver Qi to invade the Spleen, leading to Spleen Qi deficiency and stagnant fluid. The Liver governs planning; prolonged indecision stops fluid Qi. The Spleen governs thought; prolonged thinking causes Spleen knotting and stagnant fluid. Drinking while fatigued, when Spleen/Stomach are weak and cannot distribute fluids, causes stagnant fluid. Excessive drinking prevents Bladder meridians from excreting, causing stagnant fluid. Drinking cold water excessively while active, followed by inactivity, causes stagnant fluid.
Water is Yin pathogen. Accumulated water generates dampness; stored wine generates dryness, eventually transforming into phlegm. In the left hypochondrium, it resembles Fei Qi (Fat Qi); in the right hypochondrium, it resembles Xi Ben (Breathing Burden). Ascending to the Lung causes wheezing; descending to the Large Intestine causes diarrhea; entering the Kidney causes Yong Shui (Surging Water); in the Taiyang channel, it is Zhi Yin. All result from Qi rebellion. Dampness above causes facial edema and yellow eyes; below causes thigh/knee swelling; in the middle causes Zhi Yin, stuffiness, and phlegm reversal. If Yang pathogen persists, it transforms into Qi over time; if Yin pathogen persists, it forms physical masses. Treatment should guide water like Yu Gong San, regulating with Wu Ling San, Ting Li Zi (Descurainia Seed), and Jiao Mu (Sichuan Pepper Seed) to expel water.
Liu Wansu’s Bing Lang Wan: Treats mild injury, indigestion, and abdominal distension.
Bing Lang (Areca Seed), Mu Xiang (Costus Root) (each 1 qian), Chen Pi (Tangerine Peel, 8 qian), Qian Niu (Morning Glory Seed, head powder).
Make pills with vinegar paste, take 20 pills with ginger decoction.
Xiong Huang Wan: Treats severe injury, empty distension of abdomen and hypochondrium.
Xiong Huang (Realgar, 1 liang, separately ground), Ba Dou (Croton Seed, 5 qian, raw).
Pill preparation follows the method under Heart Pain section.
Genti San: Emergency emetic for sudden heart/abdominal pain and confusion.
Genti (Thistle Fruit), Chi Xiao Dou (Red Adzuki Bean) (each 3 qian).
Powder, take 1 qian with warm water.
Zhi Zhu Wan: Treats food injury.
Zhi Shi (Immature Bitter Orange, 0.5 liang), Bai Zhu (1 liang).
For chest stuffiness, add Shen Qu; for Qi stagnation, add Bing Lang, Mu Xiang, Qing Pi (Green Tangerine Peel); for damp-heat injury, add Da Huang, Huang Lian, Huang Qin (Scutellaria Root); for dampness, add Luo Bo Zi (Radish Seed); for heat, add Huang Lian; for hidden dampness/stuffiness, add Fu Ling, Ze Xie (Alisma Rhizome); for post-illness food injury, add Zhi Zi (Gardenia Fruit) powder; for oily/wet dough injury, add Dou Fen (Bean Starch), Ban Xia; for cold/hard food injury, add Cao Dou Kou (Grass Cardamom), Leng, E Zhu; for water injury, add Gan Jiang; for heart/stomach pain, add Su Sha (Sand Amomum), Ding Xiang; [missing characters] add Ren Shen (Ginseng Root), Ban Xia.
Jie Cheng Tang: Treats alcohol intoxication.
Bai Dou Kou (White Cardamom), Su Sha, Sheng Jiang (Fresh Ginger), Ge Hua (Kudzu Flower) (each 0.5 liang), Mu Xiang (0.5 qian), Fu Ling, Chen Pi (de-white), Zhu Ling (Polyporus), Ren Shen, Bai Zhu (each 1.5 qian), Qing Pi (3 qian), Chao Qu (Fried Medicated Leaven), Ze Xie (each 3 qian).
Powder, take with boiling water.
Secret Recipe: Treats foreign body sensation in chest and anorexia.
Er Chen Tang (Two-Aged Decoction) plus Bai Zhu, Shan Zha (Hawthorn Fruit), Chuan Xiong (Sichuan Lovage Rhizome), Cang Zhu, Shen Qu (fried).
[Missing Characters]: Treats Liu Yin and Xuan Yin with wiry pulse. Also treats hidden pulse where the patient desires spontaneous diarrhea but finds it difficult, with continuous pounding/fullness in the epigastrium; this indicates stagnant fluid attempting to exit.
Fu Ling Gui Zhu Gan Cao Tang: Treats phlegm-fluid in the heart region, causing chest/hypochondriac/limb/eye vertigo.
Da Qing Long Tang: Treats Yi Yin with body pain, requiring sweating.
Ma Huang (7.5 qian), Gui Zhi (Cinnamon Twig), Gan Cao (each 2 qian), Xing Ren (Apricot Seed), Shi Gao (Gypsum, egg-sized), Ban Xia (add later).
Ze Xie Tang: Treats Zhi Yin in the heart region, causing severe vertigo/dizziness. For Zhi Yin causing breathing difficulty, add Ting Li Zi and Da Zao (Jujube).
Pu Huang Tang: Treats Zhi Yin with chest fullness.
Hou Po, Da Huang.
Er Chen Tang, Xiao Ban Xia Tang: Treats patients who usually thirst after vomiting but now do not, indicating Zhi Yin in the heart region. Treats initial thirst followed by vomiting due to water stopping in the heart region (fluid pathogen); add Fu Ling.
Wu Ling San: Treats thin individuals with palpitations below the umbilicus, salivation, and dizziness due to water pathogen; also treats retained phlegm and old water.
Po Bei Wan (Likely typo for Po Kuai Wan or similar): Treats five fluids结 (knotting) into masses, Zhi Yin with chest fullness/vomiting, heart pain; disperses Qi.
[Yi Bo - likely missing herb name], Hu Jiao (Pepper), Ding Xiang, Su Sha, Qing Pi, Wu Mei (Mume Fruit), Mu Xiang, Xie Shao (Scorpion Tail), Ba Dou (de-oiled).
Soak Qing Pi with Ba Dou in fermented grain water overnight, drain, stir-fry together until Qing Pi is scorched, discard Ba Dou. Soak Wu Mei meat in fermented grain water, steam with cooked rice, grind to paste, take 5-7 pills with ginger decoction.
Kong Xian Dan: Treats hidden pain in stomach, chest, back, hands, feet, head, neck, waist, and hips that is unbearable, radiating to bones/tendons, restlessness, migrating pain.
Gan Suan (Euphorbia Root), Da Ji (Spurge Root), Bai Jie Zi (Mustard Seed, authentic), make pills with paste.