喜浮大,忌虚小。余参看肿症脉。
萝卜牙皂散
治五臌神方。
萝卜子(四两,用巴豆十六粒同炒) 牙皂(一两五钱,煨,去弦) 沉香(五钱) 枳壳(四两,火酒煮,切片,
炒) 大黄(一两,酒,焙) 琥珀(一两)
上共为末,每服一钱。随病轻重加减,鸡鸣时温酒送下。姜汤下亦可,后服《金匮》肾气丸,调理收功。
蕉扇千金滑石散
治水臌。
陈巴蕉扇(去筋,烧灰存性,五分) 千金子(去油,壳,一分五厘) 滑石(二分)
共为细末。以腐皮包,滚水送下,一服痊愈。
黄牛粪散
治臌胀。
用四五月时黄牛粪阴干,微炒黄香,为末,每服一两。煎半时,滤清服之,不过三服即愈。
葫芦糯米酒散
治中满臌胀。
陈葫芦(一个,要三四年者佳) 糯米(一斗)
作酒待熟,用葫芦瓢于炭上炙热,入酒浸之,如此五六次。将瓢烧灰存性,为细末,每服三钱酒下。
猪肚大蒜汤
治臌胀。
雄猪肚子(一个) 大蒜(四两) 槟榔(研末) 砂仁(研末,各三钱) 木香(二钱)
砂锅内用河水煮熟,空心服猪肚,立效。
橘叶青盐汤
治肝气胀。
乌梅(三个) 鲜橘叶(三钱) 青盐(三分) 川椒(二钱)
水煎,空心服。
蛤蟆砂仁散
治气臌。
将大蛤蟆一只破开,用大砂仁填满腹中,黄泥封固,炭上 红,冷定去泥研末。陈皮汤调服,放屁即愈。
萝卜砂仁散
治气臌气胀。
萝卜子二两捣研,以水滤汁。用砂仁一两,浸一夜,炒干。又浸又晒,凡七次,为末。
每米汤送下一钱。
田螺解胀敷脐方(俱见《种福堂》)
治一切臌胀,肚饱发虚。
大田螺(一个) 雄黄(一钱) 甘遂末(一钱) 麝香(一分)
先将药末用田螺捣如泥,以麝置脐,放药脐上,以物覆之,束好。待小便大通,去之
。重者用此相兼,小便大通,病即解矣。
萝卜牙皂散
治疗五种鼓胀(腹部胀大如鼓的病证)的神效方剂。
萝卜子(四两,与十六粒巴豆同炒) 牙皂(一两五钱,煨制,去除筋膜) 沉香(五钱) 枳壳(四两,用黄酒煮后切片,炒制) 大黄(一两,酒浸,焙干) 琥珀(一两)
以上药物共研为细末,每次服用一钱。根据病情的轻重适当增减剂量,在鸡鸣时分(凌晨3-5点)用温酒送服。也可以用姜汤送服,之后服用《金匮要略》中的肾气丸进行调理以收功。
蕉扇千金滑石散
治疗水臌(以腹部积水为主要特征的鼓胀)。
陈年芭蕉扇(去除筋络,烧成灰但保留药性,五分) 千金子(去油后的种仁,一分五厘) 滑石(二分)
共同研成细末。用腐皮包裹,用滚开水送服,服用一次即可痊愈。
黄牛粪散
治疗臌胀。
使用四五月份时的黄牛粪便,阴干后微炒至黄香色,研为细末,每次服用一两。煎煮半小时,滤去渣滓服用,不超过三次即可痊愈。
葫芦糯米酒散
治疗中满臌胀(胸腹痞满、腹部胀大的病证)。
陈葫芦(一个,以存放三四年者为佳) 糯米(一斗)
酿造成酒,待酒成熟后,用葫芦瓢在炭火上烤热,将酒浸入其中,如此重复五六次。然后将葫芦瓢烧成灰并保留药性,研为细末,每次服用三钱,用酒送服。
猪肚大蒜汤
治疗臌胀。
雄猪肚子(一个) 大蒜(四两) 槟榔(研为细末) 砂仁(研为细末,各三钱) 木香(二钱)
在砂锅中用河水煮熟,空腹服用猪肚,立即见效。
橘叶青盐汤
治疗肝气胀(因肝气郁滞引起的胀满)。
乌梅(三个) 鲜橘叶(三钱) 青盐(三分) 川椒(二钱)
加水煎煮,空腹服用。
蛤蟆砂仁散
治疗气臌(以气滞为主导致的腹部胀大)。
取一只大蛤蟆剖开,用大量砂仁填满其腹部,用黄泥封固,在炭火上烧红,冷却后去掉泥土,研为细末。用陈皮汤调服,排出屁后即可痊愈。
萝卜砂仁散
治疗气臌和气胀。
萝卜子二两捣碎研磨,用水过滤取汁。用砂仁一两,浸泡一夜,炒干。再浸泡再晾晒,如此反复七次,研为细末。
每次用米汤送下一钱。
田螺解胀敷脐方(均见于《种福堂》)
治疗各种臌胀,腹部饱胀且感觉虚弱。
大田螺(一个) 雄黄(一钱) 甘遂末(一钱) 麝香(一分)
先将药末用田螺捣烂如泥状,将麝香置于肚脐上,再把药泥放在脐上,用物品覆盖好,捆绑固定。等待小便通畅排出后,去掉药物。病情严重者配合此法使用,一旦小便大通,疾病即可解除。
The pulse should be floating and large, while deficiency and smallness are contraindicated. I refer to the discussion on pulses in edema syndromes.
Luobo Yazao San (Radish Seed and Tamarisk Bean Powder)
A divine prescription for treating the five types of Gu distension (abdominal distension resembling a drum).
Luo Bo Zi (Brassicae Semis Indigerae Fructus, 4 liang, stir-fried together with 16 seeds of Ephedrae Herba [Badou]) Ya Zao (Gleditsiae Sinensis Fructus, 1.5 qian, roasted, tendons removed) Chen Xiang (Aquilariae Lignum Resinatum, 5 qian) Zhi Ke (Aurantii Fructus, 4 liang, boiled in Huangjiu [yellow wine], sliced, stir-fried) Da Huang (Rhei Radix et Rhizoma, 1 qian, soaked in wine, dried) Hu Po (Succinum, 1 liang)
Grind all ingredients into fine powder. Take 1 qian per dose. Adjust according to the severity of the disease. Administer with warm wine during the Ji Ming period (3:00-5:00 AM). Ginger soup may also be used. Subsequently, administer Shenqi Wan (Kidney Qi Pill) from *Jinkui Yaolue* (*Essential Prescriptions from the Golden Cabinet*) for conditioning to conclude treatment.
Jiaoshan Qianjin Huashi San (Banana Leaf and Stone Slipper Powder)
For treating Shui Gu (Water Distension).
Chen Ba Jiao Shan (Musae Folium, aged, remove veins, burn to ash retaining efficacy, 5 fen) Qian Jin Zi (Euphorbiae Lathyridis Semen, oil removed, 1.5 li) Hua Shi (Talcum, 2 fen)
Grind into fine powder. Wrap in tofu skin and swallow with boiling water. One dose results in complete recovery.
Huang Niu Fen San (Yellow Cow Manure Powder)
For treating Gu distension.
Use yellow cow manure from April or May, dry in shade, lightly stir-fry until fragrant and yellow, grind into powder. Take 1 liang per dose. Decoct for half an hour, filter, and drink. Recovery occurs within three doses.
Hulu Nuomi Jiu San (Gourd and Glutinous Rice Wine Powder)
For treating Zhongman Gu distension (fullness and abdominal distension).
Chen Hu Lu (Lagenariae Sicerariae Fructus, one piece, three to four years old is best) Nuo Mi (Oryza Sativa Var. Glutinosa, 1 dou)
Brew into wine. When mature, heat a gourd ladle over charcoal, soak it in the wine, repeating this process five or six times. Burn the ladle to ash retaining efficacy, grind into fine powder. Take 3 qian per dose with wine.
Zhudu Dasuan Tang (Pig Stomach and Garlic Soup)
For treating Gu distension.
Xiong Zhu Du Zi (Sus Scrofa Domesticus Ventriculus, one piece) Da Suan (Allii Sativi Bulbus, 4 liang) Bing Lang (Arecae Semen, ground) Sha Ren (Amomi Fructus, ground, 3 qian each) Mu Xiang (Aucklandiae Radix, 2 qian)
Cook thoroughly in river water in a clay pot. Eat the pig stomach on an empty stomach for immediate effect.
Juye Qingyan Tang (Orange Leaf and Green Salt Soup)
For treating Gan Qi Zhang (Liver Qi Distension).
Wu Mei (Mume Fructus, three pieces) Xian Ju Ye (Citri Reticulatae Folium, fresh, 3 qian) Qing Yan (Halitum, 3 fen) Chuan Jiao (Zanthoxyli Pericarpium, 2 qian)
Decoct in water and consume on an empty stomach.
Hamadaren San (Toad and Amomum Powder)
For treating Qi Gu (Qi Distension).
Cut open one large toad, fill the abdomen with ample Daren (Amomi Fructus), seal with yellow mud, roast over charcoal until red, cool, remove mud, and grind into powder. Mix with Chenpi Tang (Tangerine Peel Decoction) and take orally. Recovery occurs upon passing flatus.
Luobo Daren San (Radish Seed and Amomum Powder)
For treating Qi Gu and Qi Zhang.
Crush 2 liang of Luo Bo Zi (Brassicae Semis Indigerae Fructus), filter juice with water. Soak 1 liang of Daren (Amomi Fructus) overnight, then dry by stir-frying. Repeat soaking and sun-drying seven times, then grind into powder. Take 1 qian per dose with rice soup.
Tianluo Jiezhang Fuqi Fang (River Snail Abdominal Relieving Umbilical Application Formula) (See *Zhongfutang*)
For treating all types of Gu distension, characterized by abdominal fullness and emptiness/weakness.
Da Tianluo (Viverrae Felis? No, Viviparae Concha [River Snail Shell], one large snail) Xiong Huang (Realgar, 1 qian) Gansui Mo (Kansui Radix Powder, 1 qian) She Xiang (Moschus, 1 fen)
First, mash the powder with the snail into a paste. Place She Xiang (Moschus) on the umbilicus, apply the paste over it, cover with material, and bind securely. Wait until urination becomes profuse, then remove. For severe cases, use concurrently; once urination is abundant, the disease resolves.