治因一切冷物冷水及 乳酪水,腹痛肠鸣,米谷不化。
黄蜡(二两) 巴豆 杏仁 百草霜 干姜(以上各五钱) 丁香 木香(以上各二钱)
上先将黄蜡用好醋煮去渣秽,将巴豆、杏仁同炒黑,烟尽,研如泥,将黄蜡再上火,入小油半两,
溶开,入在杏仁巴豆泥子内,同搅,旋下丁香、木香等药末,研匀,搓作挺子,油纸裹了旋丸用,每
服三五十丸,温米饮送下,食前。日进三服。
如脉缓体重自利,乃湿气胜也,以五苓散平胃散加炒曲相合而服之,名之曰对金饮子。
治因服寒药过多,或脾胃虚弱,胃脘痛。
陈皮 黄 (以上各七钱) 益智仁(六钱) 白豆蔻仁 泽泻 干生姜 姜黄(以上各三钱)
缩砂仁 甘草 浓朴 人参(以上各二钱)
上为粗末,每服三钱,水一盏,煎至七分,温服,食前。
如脉弦,恶寒腹痛,乃中气弱也。以仲景小建中汤加黄 ,钱氏异功散加芍药,选而用之。
如渴甚者,以白术散加葛根倍之。
《痹论》云∶“阴气者,静则神藏,躁则消亡。饮食自倍,肠胃乃伤”。此混言之也。分之为二∶饮也,食
也。又经云∶“因而大饮则气逆。因而饱食,筋脉横解,则肠 为痔”。饮者,无形之气,伤之则宜发
汗利小便,使上下分消其湿,解酲汤、五苓散之类主之。食者,有形之物,伤之则宜损其谷;其次莫若
消导,丁香烂饭丸、枳术丸之类主之;稍重则攻化,三棱消积丸、木香见 丸之类主之;尤重者,则或
吐或下,瓜蒂散、备急丸之类主之。以平为期。盖脾已伤,又以药伤,使营运之气减削,食愈难
消。故《五常政大论》云,“大毒治病,十去其六;常毒治病,十去其七;小毒治病,十去其八;无毒治
病,十去其九;谷肉果菜,食养尽之。无使过之,伤其正也。不尽,行复如法。”圣人垂,此严戒,是为万
世福也。如能慎言语、节饮食,所谓治未病也。
治疗因食用各种生冷食物、冷水以及乳酪水,导致腹痛、肠鸣、米谷不消化。
黄蜡(二两) 巴豆 杏仁 百草霜 干姜(以上各五钱) 丁香 木香(以上各二钱)
先将黄蜡用好醋煮去渣滓秽物,将巴豆、杏仁同炒至黑,烟尽,研成泥状,再将黄蜡上火,加入小油半两,溶化后,倒入杏仁巴豆泥中,一同搅拌,随即加入丁香、木香等药末,研磨均匀,搓制成条状或丸剂,用油纸包裹,随制随用。每次服用三五十丸,用温米汤送下,饭前服用。每日进服三次。
如果脉象缓、身体沉重、自发性腹泻,这是湿气胜的表现,用五苓散(Wu Ling San, Five-Ingredient Powder with Poria)和平胃散(Ping Wei San, Powder to Maintain the Stomach)加炒神曲合方服用,名为对金饮子(Dui Jin Yin Zi, Golden Pairing Drink)。
治疗因服用寒凉药物过多,或脾胃虚弱,导致的胃脘痛。
陈皮 黄芪(以上各七钱) 益智仁(六钱) 白豆蔻仁 泽泻 干生姜 姜黄(以上各三钱)
缩砂仁 甘草 浓朴 人参(以上各二钱)
以上药材捣成粗末,每次服用三钱,用水一盏,煎至七分,温服,饭前服用。
如果脉象弦,恶寒腹痛,这是中气虚弱。选用张仲景的小建中汤(Xiao Jian Zhong Tang, Minor Construct the Middle Decoction)加黄芪,或钱乙的异功散(Yi Gong San, Extraordinary Merit Powder)加芍药,选择使用。
如果口渴严重的,用白术散(Bai Zhu San, Atractylodes Macrocephala Powder)加葛根并加倍用量。
《痹论》说:“阴气者,静则神藏,躁则消亡。饮食自倍,肠胃乃伤”。这是笼统的说法。将其分为两类:饮和食。又经书说:“因而大饮则气逆。因而饱食,筋脉横解,则肠澼为痔”。饮,是无形的之气,损伤它适宜发汗利小便,使上下分消其湿,以解酲汤(Jie Cheng Tang, Hangover Resolving Decoction)、五苓散之类为主治。食,是有形的物质,损伤它适宜减少谷物摄入;其次不如消导,以丁香烂饭丸(Ding Xiang Lan Fan Wan, Clove Rotting Rice Pill)、枳术丸(Zhi Zhu Wan, Aurantium and Atractylodes Pill)之类为主治;稍重的则攻伐化解,以三棱消积丸(San Leng Xiao Ji Pill, Curcuma Zedoaria Accumulation-Resolving Pill)、木香见愁丸(Mu Xiang Jian Chou Pill, Costus Root Sorrow-Seeing Pill)之类为主治;特别重的,则或用吐法或用下法,以瓜蒂散(Gua Di San, Melon Peduncle Powder)、备急丸(Bei Ji Pill, Emergency Preparedness Pill)之类为主治。以平和为准则。因为脾已经受伤,再用药物伤害,会使营运之气减削,食物更加难以消化。所以《五常政大论》说,“大毒治病,十去其六;常毒治病,十去其七;小毒治病,十去其八;无毒治病,十去其九;谷肉果菜,食养尽之。无使过之,伤其正也。不尽,行复如法。”圣人垂示,这是严格的戒律,是为万世造福啊。如果能慎言语、节饮食,这就是所谓的治未病(Preventive Treatment of Disease)。
To treat abdominal pain, borborygmus (intestinal rumbling), and indigestion of rice and grains caused by consuming various cold foods, cold water, and dairy products such as cheese and yogurt.
Huang La (Beeswax) (2 liang) | Ba Dou (Croton Seed) | Xing Ren (Apricot Seed) | Bai Cao Shuang (Soot from Chimney) | Gan Jiang (Dried Ginger) (each 5 qian above) | Ding Xiang (Clove) | Mu Xiang (Costus Root) (each 2 qian above).
First, boil Huang La in good vinegar to remove dregs and impurities. Stir-fry Ba Dou and Xing Ren together until black and smokeless, then grind into a paste. Reheat Huang La over fire, add half a liang of light oil, melt it, and pour it into the Xing Ren and Ba Dou paste. Stir thoroughly, then gradually add the powders of Ding Xiang, Mu Xiang, etc., and grind evenly. Roll into pills or sticks, wrap in oiled paper, and use freshly prepared. Take 30–50 pills each time, washed down with warm rice drink, before meals. Administer three times daily.
If the pulse is slow, the body feels heavy, and there is spontaneous diarrhea, this indicates an excess of dampness. Combine Wu Ling San (Five-Ingredient Powder with Poria) and Ping Wei San (Powder to Maintain the Stomach) with stir-fried Shen Qu (Medicated Leaven) and administer. This formula is named Dui Jin Yin Zi (Golden Pairing Drink).
To treat epigastric pain caused by excessive intake of cold-natured medicines or by spleen and stomach deficiency.
Chen Pi (Aged Tangerine Peel) | Huang Qi (Astragalus Root) (each 7 qian) | Yi Zhi Ren (Alpinia Oxyphylla Fruit) (6 qian) | Bai Dou Kou Ren (Cardamom Seed) | Ze Xie (Alisma Rhizome) | Gan Sheng Jiang (Dried Fresh Ginger) | Jiang Huang (Turmeric Rhizome) (each 3 qian above) | Suo Sha Ren (Amomum Fruit) | Gan Cao (Licorice Root) | Nong Po (Magnolia Bark) | Ren Shen (Ginseng Root) (each 2 qian above).
Grind all ingredients into a coarse powder. Take 3 qian each time, add one cup of water, decoct until reduced to 70%, and take warm before meals.
If the pulse is wiry, accompanied by aversion to cold and abdominal pain, this indicates weakness of middle qi. Selectively use Zhang Zhongjing’s Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) added with Huang Qi, or Qian Yi’s Yi Gong San (Extraordinary Merit Powder) added with Shao Yao (Peony Root).
If thirst is severe, use Bai Zhu San (Atractylodes Macrocephala Powder) added with Ge Gen (Kudzu Root) in double dosage.
The *Bi Lun* (Treatise on Bi Syndrome) states: "Yin qi, when quiet, stores the spirit; when agitated, it dissipates. If food and drink are doubled, the intestines and stomach are injured." This is a general statement. Dividing it into two categories: drinks and food. Another classic states: "Excessive drinking leads to rebellious qi. Overeating causes sinews and vessels to relax transversely, leading to hemorrhoids." Drinks are formless qi; injuring them requires inducing sweating and promoting urination to disperse dampness from above and below. Formulas such as Jie Cheng Tang (Hangover Resolving Decoction) and Wu Ling San are primarily used. Food consists of tangible matter; injuring it requires reducing grain intake. Next best is digestion promotion, using formulas like Ding Xiang Lan Fan Wan (Clove Rotting Rice Pill) and Zhi Zhu Wan (Aurantium and Atractylodes Pill). For slightly more severe cases, attack and resolve accumulation using San Leng Xiao Ji Pill (Curcuma Zedoaria Accumulation-Resolving Pill) or Mu Xiang Jian Chou Pill (Costus Root Sorrow-Seeing Pill). For particularly severe cases, induce vomiting or purgation using Gua Di San (Melon Peduncle Powder) or Bei Ji Pill (Emergency Preparedness Pill). The goal is to restore balance. Since the spleen is already injured, further injury by medicine will deplete the transporting and transforming qi, making food even harder to digest. Therefore, the *Wu Chang Zheng Da Lun* (Great Treatise on the Five Regular Administrations) states: "For drugs with great toxicity, cure six-tenths of the disease; for common toxicity, seven-tenths; for slight toxicity, eight-tenths; for non-toxic drugs, nine-tenths. Use grains, meats, fruits, and vegetables to complete the nourishment. Do not exceed these limits, lest you injure healthy qi. If the disease is not fully resolved, repeat the method according to rules." The sages established this as a strict warning, bringing blessings for ten thousand generations. If one can guard speech and regulate diet, this is called preventive treatment of disease (Zhi Wei Bing).