苓七钱;气弱食少,加陈皮;饮食难化,疼痛泄泻,加人参、白芍、神曲、麦芽各一两,砂仁、木香各五钱;
痰火胸膈郁塞,咽酸噎气吞酸,或酒积泄结痛,加黄连、白芍、陈皮各一两,石膏、甘草各五钱,砂仁、木
香各二钱,川芎四钱;痞块,加黄连、浓朴各五钱;积坚,加莪术、昆布各三钱;伤冷腹痛溏泄,加半夏一两,
砂仁、干姜、神曲、麦芽各五钱;挟气伤食,加川芎、香附各一两,木香、黄连各五钱;胸膈不利,过服香燥,
以致胃脘干燥,噎膈反胃。加黄连、山栀、桔梗、甘草、石膏各五钱,白芍、当归各一两;胸膈顽痰交结,大
便燥闭,加芒硝五钱;素有痰加半夏、陈皮、茯苓各一两,芩、连各五钱;素有气加木香一两;能食好食,食
后反饱难化,此胃火旺,脾阴虚也,加白芍一两半,石膏一两,人参七钱,甘草五钱,黄连、香附、木香各四
钱;年高人脾虚血燥,易饥易饱,便燥,加白芍、当归各一两,人参七钱,升麻、甘草各四钱,山楂、麦芽、
桃仁各五钱。
枳术汤 枳实、白术等分,荷叶少许,水煎服。治心腹坚大如盘,饮水所作,名曰气分。
脾冷而食不磨,参 草术兮,砂豆陈皮等分;
加减补中汤 人参、黄 、甘草、白术、砂仁、肉豆蔻、陈皮各等分,水煎服。
胃寒而饮不消,苍朴橘甘兮,白蔻参苓再入。
豆蔻平胃散 苍术、陈皮、浓朴、甘草、白豆蔻、人参、茯苓等分由人,姜煎温服。
治积因名立五方,全凭损增;
肥气丸 当归、苍术各一两半,青皮一两,三棱、莪术、铁孕粉各三两,三味同醋煮一时,蛇含石五钱少
醉淬,为末,醋糊丸梧子大。每三十丸,当归浸酒下。治肝积。
伏梁丸 枳壳、茯苓、浓朴、人参、白术、半夏、三棱各等分,面糊丸梧子大。每五十丸,食远米饮下,
治心积。
痞气丸 附子、赤石脂、川椒、干姜、桂心各一两,乌头二钱半,为末,蜜丸梧子大,朱砂为衣。每十丸,
米饮下,治脾积。
息贲汤 半夏、吴萸、桂心各一钱半,人参、桑白皮、苦葶苈各七分,甘草五分,姜枣煎服。治肺积。
奔豚汤 李根皮、干葛各六分,川芎、当归、半夏各一钱,黄芩、白芍、甘草各五分,姜煎温服,治肾积。
以上五方,随证加减,所谓益元气,泄阴火,破滞气,削其坚也。
消块芫花与三棱,要量体质。
消块丸 硝石三两,大黄上两,人参、甘草各一两,为末,用陈醋三升置瓷器内,先纳大黄,不住手搅,
使微沸尽一升;下余药熬至可丸,则丸梧子大。每三十丸,米饮下,当利如鸡肝、米泔恶物,下后忌风冷,软
粥将息。治 瘕痞块,当先下此药,不令人困,须量体虚实,又治带下、绝产。
芫花丸 芫花、朱砂各等分为末,蜜丸小豆大。每十丸,浓枣汤下。治疟母停水结癖,腹胁坚痛。
三棱煎 三棱、莪术各四两,芫花一两,同入瓷器中,用米醋五盏浸之,泥封器口,以
灰火煨令干,取出棱、莪,将芫花以余醋炒令微焦,焙干为末,醋糊丸绿豆大。每十五丸,姜汤下。治食 酒癖,
血瘕气块。时发刺痛,全不思食及积滞不消,心腹坚胀,痰逆吐哕,噫酸,胁肋刺痛,胸膈痞闷。如妇人血分,
男子脾气横泄,肿满如水,桑白皮煎汤下。以上三方,皆霸剂也,体薄气弱者,慎用。
肉癖酒 ,乌白白芥阿魏收功;
乌白丸 乌梅、生姜各一斤,白矾、半夏各半斤,捣匀,用新瓦夹定,火焙三日夜,入神曲、麦芽、陈皮、
青皮、莪术、丁皮、大腹子、枳壳各四两,为末,酒糊为丸,姜汤下五十丸。治酒积,消食化痰。
白芥丸 白芥子、萝卜子各一两半,山栀、川芎、三棱、莪术、桃仁、香附、山楂、神曲各一两,青皮
五钱,黄连一两半,一半用吴萸水炒,一半用益智仁水炒,为末,蒸饼为丸服。治男妇食积死血,痰积成块在
两胁,动作腹鸣,嘈杂眩晕,身热时作时止。
大阿魏丸 南星、半夏、山楂、神曲、麦芽、黄连各一两,连翘、阿魏、栝蒌仁、贝母各五钱,风化硝、
石、萝卜子、胡黄连各二钱半,为末,姜汁浸蒸饼糊为丸,梧子大。每服三十丸,白汤下。治诸积聚。一方
加香附,海石,治嗽。
小阿魏丸 山楂二两,黄连一两三钱,连翘一两,为末,用阿魏二两,醋煮作糊为丸,白汤送下,治肉积,
但脾虚者,须用补脾药煎汤下,切不可独用阿魏,恐有虚虚之祸。
痰痞血块,海石 生漆如失。
海石丸 海石、三棱、莪术、桃仁、红花、五灵脂、香附、蚶壳、石 各等分为末,醋糊丸梧子大,白术
煎汤下三十丸。治痰与食积,死血成块,块去后,须大补之。
石 丸 半夏一两,用皂角水浸透晒干,山楂三两,石 三两,为末,粥糊丸梧子大。每三十丸白汤下。治
痰饮成积。
单 壳丸 又名瓦垄子,火 醋淬三次,为末,醋糊为丸,姜汤下。治一切气血痰块 瘕。
生漆膏 阿魏一两,生漆(滤过)、木耳各四两,蜂蜜六两,和匀入锡罐内,密封罐口,置锅内水煮三
炷香久,取起候冷,每服二茶匙,食远烧酒调下,日三次,忌油腻发毒物,治男妇痞块神效。
气聚香棱,王道无如通玄;
香棱丸 三棱、槟榔各六两,青皮、陈皮、莪术、枳壳、枳实、萝卜子、香附各三两,山楂四两,黄连、
神曲、麦芽、鳖子甲、干漆、桃仁、 砂、砂仁、当归尾、木香、甘草各一两,为末,醋煮面糊为丸如梧子大。每
服三五十丸,白汤下。治五积六聚气块。
通玄二八丹 黄连半斤,芍药、当归、生地、乌梅各五钱,为末,用雄猪肚一具,入药于内,以线缝之,
将韭菜二斤铺底面,于锅内蒸之,候汤干,再添蒸一日,以药熟为度,取出俱入石臼内,捣丸梧子大。每七十
丸。如饮食积聚等证侵,晨姜汤下,或不泄,或泻一二次,即以温粥补住;如泄痢,饭后茶清下即止。以姜
汤则行,茶清则止,真治积聚,止泄痢,除拘急之妙药。
积纂平胃,伯药随宜出入。
纂积丹 用平胃散一料为主,如气积无形,加木香、槟榔、青皮、陈皮、沉香、萝卜子、香附为佐,樟树
皮少许,甚者以巴豆炒诸药黄色,去巴;血积有形,加三棱、莪术、牛膝、川芎、当归尾、鳖甲、红花、蚶壳、
桃仁、乳没之类,甚者以芫花煮醋以制前药;酒积加葛花、黄连、砂仁、麦芽、陈皮、木香、猪苓、泽泻、车
前子之类;果积加草果、山楂、香附、乌药、枳壳、菖蒲少许;鱼积加紫苏,甚者加青矾拌炒诸药,须先炒药热
而后入矾可也;肉积加山楂、阿魏;饭积加麦芽、谷芽、神曲、枳实;水积加半夏、茯苓、葶苈、泽泻;浮肿
加商陆汁为糊,或吸用青矾炒药不伤元气为妙;痰积加海粉、礞石、半夏、白矾、风化硝;寒积、新积加干
姜、巴豆、良姜、茴香、丁香、白豆蔻、益智仁、菖蒲少许;热积、久积加黄连、黄柏、大黄、滑石;气弱者,
通加人参;有泻者,加肉蔻;有虫者,用苦楝根皮一斤,皂角十片,以水一碗,熬膏搜和前药为丸,先用沉香
为衣,后用雷丸、木香为衣,每十丸,四更时分沙糖水下,寻常醋糊丸梧子大。每三五十丸,空心米饮下。治
一切积证,呕吐吞酸,胸膈痞闷,或为 瘕,或泻或秘,脾胃怯弱,饮食不消,腹胀面黄,四肢酸疼无力,甚则
为疽为肿,流为疮痈痿痹等证,此方积气丹合退黄丸纂成,加减由人。
追虫妙应(丸)最灵,
槟榔十二两,黑牵牛三两,大黄、雷丸、锡灰、芜荑、木香、使君子各一两,为末,用葱白煎汤,露一宿
为丸粟米大。每四钱,五更葱汤或木香煎汤下。取寸白虫,用东方上石榴根煎汤,面东服之,小儿服一钱或
五分,天明取下病根,或虫,或如烂鱼肠,或如马尾、蛤蟆、小蛇,诸般怪物,或小便取下青、黄、红、白,或
米泔等色。其虫皆因饮食中所感而成,此药不比巴霜、甘遂、 砂等剂,不动真气,有虫取虫,有积取积,有
气取气,有块取块,一服见效。凡人面上白斑唇红,能食心嘈,颜色不常,脸上生蟹爪露者,便有虫也。此丸
四时可服,孕妇禁用。治山岚瘴气,传尸痨瘵,水肿疟痢,咳嗽黄胆,噎膈肠风痔漏,一切风气食积疼痛,疮
癞热痰痞块,赤眼口疮,女人经脉不调,血瘕血闭,赤白带下,小儿癫痫,一切疳积、蛊积并治,一方去使君
子,名七转灵应丹,如失声加沉香、琥珀,忌生冷荤腥等物一月。
贴膏神圣莫及。
神效阿魏散 天竺黄、芦荟、僵蚕各二钱,阿魏二钱二分,番木鳖一个,儿茶、甘草各三钱,大黄一两,
穿山甲七片,为末。每三钱酒调服,即化下脓血来,或醋调膏贴脐亦好。大治痞疾。
三圣膏 风化锻石半斤为末,瓦器中炒令淡红色提出,候热稍减,次下大黄末一两,就炉外炒,候热减,
入桂心末五钱略炒,入米醋熬成黑膏,浓纸摊开贴患处。
治蛊消毒,东坡雄矾(丸)三般;
即蜡矾丸加雄黄等分,端午日为丸梧子大,每七丸熟水下。治蛊毒及虫、蛇、畜兽等毒神效。
消水毒饮 吴茱半升,生姜、犀角、升麻、陈皮各一两,乌梅七个,用水七碗,煎至二碗,分二服。
理脾却瘴,经略金丹一粒。
理脾却瘴汤 陈皮、白术、茯苓、黄芩、半夏、山栀、山楂各一钱,苍术、神曲各八分,黄连、前胡各
七分,姜煎服。治游宦四方,水土不服者。
一粒金丹 腽肭脐、阿芙蓉各二钱,脑、麝各一厘,朱砂、原蚕蛾各三分,为末,入瓷器内,另用烧酒二
盅煮射干草熬至八分,倾于前碗内,放水面上,炭火滚四五次,取出丸梧子大,金箔为衣。每半月十日,方可
服一丸,体稍盛者,四季各服一丸,砂糖或梨嚼烂送下。治五劳七伤,男女诸般痨嗽,吐痰吐血,呕酸反胃,
咳逆风壅,痰涎,冷泪,鼻流清涕,水泄痢疾,心腹胀痛,肠鸣痞块,酒疸食黄水气,宿食不化,饮食减少,左
瘫右痪,三十六种风,七十二般气,润三焦,补精气,安五脏,定魂魄,壮筋骨,益元阳,宽胸膈,暖腰膝,
止疼痛,明眼目,返老还童,行走轻健,黑须发,牢牙齿,凡仕宦两广及饥饱酒食生冷,损伤脾胃,尤宜。
噫!节劳逸,气血自然循常;甘淡伯,水土随处可袭。
气失其平之谓疾,有升无降之谓逆。或为胸腹痞满,或为胁疝痛刺。分气、顺气、降气、撞气用何方?
辛凉、辛平、辛温、辛热任君择。
木香分气丸 木香、甘松各一两,甘草六两,香附一斤,莪术半斤,为末,糊丸梧子大。每三十丸,姜汤
橘皮煎汤任下。治一切气逆,心胸痞闷,腹胁虚胀。或加丁皮、藿香、姜黄、砂仁、檀香,常服宽中进食。
木香顺气丸 木香、萝卜子、大腹皮各五钱,枳壳、陈皮、香附各一两,黑丑六两,故纸一两,使气升
降而归于肾也,为末,水丸梧子大。每五六十丸,温水下。
沉香降气汤 沉香二钱,砂仁五钱,甘草一两二钱,香附四两,为末。每二钱入盐少许,白汤调服。治阴
阳壅滞,气不升降,胸膈痞闷,喘促短气,噎醋吞酸,肝胃留饮,胁下支结妨闷。
阿魏撞气丸 小茴、青皮、甘草、陈皮、莪术、川芎各一两,生姜四两,用盐五钱淹一宿,胡椒、白芷、
肉桂、砂仁、丁香皮炒各五钱,为末,用阿魏一钱半和面糊丸芡实大,每药一斤,用朱砂七钱为衣,每三五丸,
男子气痛炒姜盐汤下,妇人血气痛醋汤下。治五种噎疾,九种心痛, 癖气块,冷气攻刺,腹痛肠鸣,呕吐酸
水,男子疝气,女人血气。
交感丹,治郁甚矣脱营;
茯神四两,香附一斤,为末,蜜丸弹子大。每一丸,空心细嚼,用本方加甘草少许为末,调热汤送下。治
心肾不交,惊悸痞塞,食少遗精梦泄,大能益气清神,降火升水。
清气汤,退热烦也气逆。
退热清气汤 柴胡、橘皮、茯苓各一钱,半夏、枳壳各八钱,香附七分,川芎五分,砂仁七粒,木香、甘草
各三分,姜煎温服。治气逆身热,中脘痞满。
破气滞,枳橘须加引经;
枳橘汤 橘皮八钱,枳壳一钱半,生姜四钱,郁甚加姜黄少许,水煎食远温服。治胸痹胸中气塞短气,须审
气滞何部分,以引经药导之。橘皮一物汤∶橘皮洗净一两,新汲水煎温服。治诸气攻刺及感风寒暑湿初证通用,
凡酒食所伤,中脘痞塞妨闷,呕吐吞酸。
止刺痛,苍莎善能清隔。
清膈苍莎丸 苍术二两,香附一两半,黄芩、黄连各五钱,为末,用红熟栝蒌去皮捣糊和丸绿豆大,每三十
丸温汤下。治因湿热痰水气滞。
枳实薤白(汤)除胸痹,
枳壳一枚,薤白二两,浓朴一两,肉桂、栝蒌仁各五钱,先煮枳、朴减半,入诸药煎浓,食远服。治心中
痞满,此留气结在胸,胸满,胁下逆抢心。
木香槟榔(丸)消膈食。
木香、枳壳、青皮、杏仁、槟榔各一两,郁李仁、皂角、半夏曲各二两,为末,别用皂角熬膏,入蜜少
许,和丸梧子大。每五十丸,食后姜汤下。导三焦,宽胸膈,破痰逐饮,快气消食。一方去杏仁、皂角、半夏、
茯苓七钱;若气虚、食欲减退,加陈皮;若饮食难以消化,出现疼痛和泄泻,加人参、白芍、神曲、麦芽各一两,砂仁、木香各五钱;
痰火郁结于胸膈,导致咽喉酸涩、气逆噎阻或吞酸,或因酒积导致的泄泻、便秘、疼痛,加黄连、白芍、陈皮各一两,石膏、甘草各五钱,砂仁、木香各二钱,川芎四钱;若有痞块,加黄连、厚朴各五钱;若积滞坚硬,加莪术、昆布各三钱;若因受冷引起的腹痛、便溏,加半夏一两,砂仁、干姜、神曲、麦芽各五钱;若兼有气滞伤食,加川芎、香附各一两,木香、黄连各五钱;若胸膈不畅,因过服香燥药物导致胃脘干燥,出现噎膈反胃,加黄连、山栀、桔梗、甘草、石膏各五钱,白芍、当归各一两;若胸膈顽痰交结,大便燥闭,加芒硝五钱;若素有痰饮,加半夏、陈皮、茯苓各一两,黄芩、黄连各五钱;若素有气滞,加木香一两;若能进食但喜食,食后反而饱胀难化,这是胃火旺盛、脾阴虚的表现,加白芍一两半,石膏一两,人参七钱,甘草五钱,黄连、香附、木香各四钱;老年人脾虚血燥,容易饥饿也容易饱胀,大便干燥,加白芍、当归各一两,人参七钱,升麻、甘草各四钱,山楂、麦芽、桃仁各五钱。
枳术汤:枳实、白术等分,加少许荷叶,水煎服。治疗心腹部坚硬肿大如盘状,由饮水引起,名为气分病。
脾脏寒冷而食物不消化,用人参、甘草、白术,加上砂仁、豆蔻、陈皮等分;
加减补中汤:人参、黄芪、甘草、白术、砂仁、肉豆蔻、陈皮各等分,水煎服。
胃寒而水饮不消化,用苍术、厚朴、橘皮、甘草,再加上白豆蔻、人参、茯苓。
豆蔻平胃散:苍术、陈皮、厚朴、甘草、白豆蔻、人参、茯苓等分,随人斟酌,生姜煎煮温服。
治疗积聚因病因而设立这五个方剂,全凭根据亏损与增盛来加减;
肥气丸:当归、苍术各一两半,青皮一两,三棱、莪术、铁粉各三两,这三味药同醋煮一个时辰,蛇含石五钱,少醉(注:此处疑为“淬”字之误或特定炮制法,暂译作淬火处理),研为末,醋糊制成梧桐子大小的丸药。每次三十丸,用当归浸酒送下。治疗肝积。
伏梁丸:枳壳、茯苓、厚朴、人参、白术、半夏、三棱各等分,面糊制成梧桐子大小的丸药。每次五十丸,饭后较远时用米饮送下,治疗心积。
痞气丸:附子、赤石脂、川椒、干姜、桂心各一两,乌头二钱半,研为末,蜜丸梧桐子大小,朱砂为衣。每次十丸,米饮送下,治疗脾积。
息贲汤:半夏、吴茱萸、桂心各一钱半,人参、桑白皮、苦葶苈各七分,甘草五分,生姜、大枣煎服。治疗肺积。
奔豚汤:李根皮、干葛各六分,川芎、当归、半夏各一钱,黄芩、白芍、甘草各五分,生姜煎煮温服,治疗肾积。
以上五个方剂,随证候加减,这就是所谓补益元气,清泄阴火,破除滞气,消除坚积的方法。
消除肿块需用芫花和三棱,必须衡量体质强弱。
消块丸:硝石三两,大黄二两,人参、甘草各一两,研为末,用陈醋三升放入瓷器内,先放入大黄,不停地搅拌,使其微沸并消耗掉一升醋;再加入其余药物熬至可丸的状态,制成梧桐子大小的丸药。每次三十丸,米饮送下,应当排出像鸡肝、米泔水一样的恶物,服药后忌风冷,用软粥调养。治疗癥瘕痞块,应当先用此药,不使人困倦,必须衡量体质的虚实,又治疗带下病、不孕症。
芫花丸:芫花、朱砂各等分为末,蜜丸小豆大小。每次十丸,浓枣汤送下。治疗疟母停水结癖,腹胁坚硬疼痛。
三棱煎:三棱、莪术各四两,芫花一两,一同放入瓷器中,用米醋五盏浸泡,泥封器口,用灰火煨烤至干,取出三棱、莪术,将芫花用剩余的醋炒至微焦,焙干研为末,醋糊制成绿豆大小的丸药。每次十五丸,姜汤送下。治疗食积、酒癖,血瘕气块。时常发作刺痛,完全不想吃东西以及积滞不消,心腹坚硬胀满,痰逆呕吐呃逆,嗳气泛酸,胁肋刺痛,胸膈痞闷。如果是妇女血分病,男子脾气横溢泄泻,肿满如水,用桑白皮煎汤送下。以上三个方剂,都是霸道峻猛之剂,身体薄弱、气息虚弱的人,慎用。
肉积、酒积,用乌梅、白芥子、阿魏收功;
乌白丸:乌梅、生姜各一斤,白矾、半夏各半斤,捣匀,用新瓦夹定,火焙三天三夜,加入神曲、麦芽、陈皮、青皮、莪术、丁皮、大腹子、枳壳各四两,研为末,酒糊制成丸药,姜汤送下五十丸。治疗酒积,消食化痰。
白芥丸:白芥子、萝卜子各一两半,山栀、川芎、三棱、莪术、桃仁、香附、山楂、神曲各一两,青皮五钱,黄连一两半,一半用吴茱萸水炒,一半用益智仁水炒,研为末,蒸饼制成丸药服用。治疗男女食积死血,痰积成块在两胁,动作时腹鸣,嘈杂眩晕,身热时作时止。
大阿魏丸:南星、半夏、山楂、神曲、麦芽、黄连各一两,连翘、阿魏、栝蒌仁、贝母各五钱,风化硝、硇砂、萝卜子、胡黄连各二钱半,研为末,姜汁浸蒸饼糊制成梧桐子大小的丸药。每次服用三十丸,白开水送下。治疗各种积聚。一方加香附、海浮石,治疗咳嗽。
小阿魏丸:山楂二两,黄连一两三钱,连翘一两,研为末,用阿魏二两,醋煮作糊制成丸药,白开水送下,治疗肉积,但是脾虚者,必须用补脾药煎汤送下,切不可单独使用阿魏,恐怕有虚上加虚的祸患。
痰痞血块,海浮石和生漆的效果如同失去一样(意指效果显著或需配合使用)。
海石丸:海浮石、三棱、莪术、桃仁、红花、五灵脂、香附、蚶壳、礞石各等分为末,醋糊制成梧桐子大小的丸药,白术煎汤送下三十丸。治疗痰与食积,死血成块,肿块去除后,必须大补。
礞石丸:半夏一两,用皂角水浸透晒干,山楂三两,礞石三两,研为末,粥糊制成梧桐子大小的丸药。每次三十丸,白开水送下。治疗痰饮成积。
单壳丸:又名瓦垄子,火煅后醋淬三次,研为末,醋糊制成丸药,姜汤送下。治疗一切气血痰块癥瘕。
生漆膏:阿魏一两,生漆(过滤)、木耳各四两,蜂蜜六两,和匀放入锡罐内,密封罐口,放在锅内水煮三炷香的时间,取出候冷,每次服用两茶匙,饭后较远时用烧酒调服,每日三次,忌油腻发毒食物,治疗男女痞块神效。
气聚香棱,王道之法没有比得上通玄丹的;
香棱丸:三棱、槟榔各六两,青皮、陈皮、莪术、枳壳、枳实、萝卜子、香附各三两,山楂四两,黄连、神曲、麦芽、鳖甲、干漆、桃仁、砂仁、砂仁、当归尾、木香、甘草各一两,研为末,醋煮面糊制成梧桐子大小的丸药。每次服用三五十丸,白开水送下。治疗五积六聚气块。
通玄二八丹:黄连半斤,芍药、当归、生地、乌梅各五钱,研为末,用雄猪肚一个,将药放入其中,以线缝好,将韭菜二斤铺在锅底和盖面,在锅内蒸之,待汤干,再添水蒸一天,以药熟为度,取出全部放入石臼内,捣成梧桐子大小的丸药。每次七十丸。如果饮食积聚等证侵袭,早晨用姜汤送下,如果不腹泻,或者腹泻一两次,立即用温粥补住肠胃;如果发生泄痢,饭后用茶清送下即可停止。用姜汤则行气,用茶清则止泻,真是治疗积聚,止泄痢,除拘急的妙药。
积纂平胃散,伯药随宜出入。
纂积丹:用平胃散一料为主,如果是气积无形,加木香、槟榔、青皮、陈皮、沉香、萝卜子、香附为佐使,樟树皮少许,严重的用巴豆炒诸药至黄色,去掉巴豆;如果是血积有形,加三棱、莪术、牛膝、川芎、当归尾、鳖甲、红花、蚶壳、桃仁、乳香没药之类,严重的用芫花煮醋来制约前药;酒积加葛花、黄连、砂仁、麦芽、陈皮、木香、猪苓、泽泻、车前子之类;果积加草果、山楂、香附、乌药、枳壳、菖蒲少许;鱼积加紫苏,严重的加青矾拌炒诸药,必须先炒热药而后入矾才可以;肉积加山楂、阿魏;饭积加麦芽、谷芽、神曲、枳实;水积加半夏、茯苓、葶苈、泽泻;浮肿加商陆汁为糊,或者吸用青矾炒药不伤元气为妙;痰积加海粉、礞石、半夏、白矾、风化硝;寒积、新积加干姜、巴豆、良姜、茴香、丁香、白豆蔻、益智仁、菖蒲少许;热积、久积加黄连、黄柏、大黄、滑石;气弱者,通用加人参;有泻者,加肉豆蔻;有虫者,用苦楝根皮一斤,皂角十片,用水一碗,熬膏搜和前药为丸,先用沉香为衣,后用雷丸、木香为衣,每次十丸,四更时分沙糖水下,寻常醋糊制成梧桐子大小的丸药。每次三五十丸,空腹米饮送下。治疗一切积证,呕吐吞酸,胸膈痞闷,或者形成癥瘕,或者泻或者秘,脾胃怯弱,饮食不消,腹胀面黄,四肢酸疼无力,甚至成为疽肿,流变为疮痈痿痹等证,此方是积气丹合退黄丸编纂而成,加减由人。
追虫妙应丸最灵验,
槟榔十二两,黑牵牛三两,大黄、雷丸、锡灰、芜荑、木香、使君子各一两,研为末,用葱白煎汤,露置一夜制成粟米大小的丸药。每次四钱,五更时用葱汤或木香煎汤送下。取寸白虫,用东方来的石榴根煎汤,面向东方服用,小儿服用一钱或五分,天明取下病根,或者是虫,或者是像烂鱼肠,或者是像马尾、蛤蟆、小蛇,各种怪物,或者从小便排出青、黄、红、白,或者米泔水等颜色的东西。这些虫子都是因为饮食中所感而成的,此药不比巴豆霜、甘遂、硇砂等峻剂,不动真气,有虫取虫,有积取积,有气取气,有块取块,一服见效。凡是人面上白斑唇红,能食心嘈,颜色不常,脸上生蟹爪纹的,便有虫了。此丸四季可服,孕妇禁用。治疗山岚瘴气,传尸痨瘵,水肿疟痢,咳嗽黄疸,噎膈肠风痔漏,一切风气食积疼痛,疮癞热痰痞块,赤眼口疮,女人经脉不调,血瘕血闭,赤白带下,小儿癫痫,一切疳积、蛊积并治,一方去使君子,名七转灵应丹,如果失声加沉香、琥珀,忌生冷荤腥等物一月。
贴膏神圣莫及。
神效阿魏散:天竺黄、芦荟、僵蚕各二钱,阿魏二钱二分,番木鳖一个,儿茶、甘草各三钱,大黄一两,穿山甲七片,研为末。每次三钱酒调服,即化下脓血来,或者醋调膏贴脐也好。大治痞疾。
三圣膏:风化锻石半斤为末,瓦器中炒令淡红色提出,候热稍减,次下大黄末一两,就炉外炒,候热减,入桂心末五钱略炒,入米醋熬成黑膏,浓纸摊开贴患处。
治蛊消毒,东坡雄矾丸三般;
即蜡矾丸加雄黄等分,端午日为丸梧桐子大小,每次七丸熟水送下。治疗蛊毒及虫、蛇、畜兽等毒神效。
消水毒饮:吴茱萸半升,生姜、犀角、升麻、陈皮各一两,乌梅七个,用水七碗,煎至二碗,分二次服。
理脾却瘴,经略金丹一粒。
理脾却瘴汤:陈皮、白术、茯苓、黄芩、半夏、山栀、山楂各一钱,苍术、神曲各八分,黄连、前胡各七分,生姜煎服。治疗游宦四方,水土不服者。
一粒金丹:腽肭脐、阿芙蓉各二钱,冰片、麝香各一厘,朱砂、原蚕蛾各三分,研为末,放入瓷器内,另用烧酒二盅煮射干草熬至八分,倾于前碗内,放水面上,炭火滚四五次,取出制成梧桐子大小的丸药,金箔为衣。每半月或十日,方可服一丸,体质稍盛者,四季各服一丸,砂糖或梨嚼烂送下。治疗五劳七伤,男女各种痨嗽,吐痰吐血,呕酸反胃,咳逆风壅,痰涎,冷泪,鼻流清涕,水泄痢疾,心腹胀痛,肠鸣痞块,酒疸食黄水气,宿食不化,饮食减少,左瘫右痪,三十六种风,七十二般气,润三焦,补精气,安五脏,定魂魄,壮筋骨,益元阳,宽胸膈,暖腰膝,止疼痛,明眼目,返老还童,行走轻健,黑须发,牢牙齿,凡是仕宦两广及饥饱酒食生冷,损伤脾胃,尤其适宜。
噫!节制劳逸,气血自然循常;甘淡之药,水土随处可袭。
气失去平衡称为疾,只有上升没有下降称为逆。或者表现为胸腹痞满,或者表现为胁疝痛刺。分气、顺气、降气、撞气用何方?辛凉、辛平、辛温、辛热任君择。
木香分气丸:木香、甘松各一两,甘草六两,香附一斤,莪术半斤,研为末,糊丸梧桐子大小。每次三十丸,姜汤或橘皮煎汤任下。治疗一切气逆,心胸痞闷,腹胁虚胀。或者加丁皮、藿香、姜黄、砂仁、檀香,常服宽中进食。
木香顺气丸:木香、萝卜子、大腹皮各五钱,枳壳、陈皮、香附各一两,黑丑六两,故纸一两,使气升降而归于肾也,研为末,水丸梧桐子大小。每次五六十丸,温水送下。
沉香降气汤:沉香二钱,砂仁五钱,甘草一两二钱,香附四两,研为末。每次二钱入盐少许,白开水调服。治疗阴阳壅滞,气不升降,胸膈痞闷,喘促短气,噎醋吞酸,肝胃留饮,胁下支结妨闷。
阿魏撞气丸:小茴、青皮、甘草、陈皮、莪术、川芎各一两,生姜四两,用盐五钱淹一宿,胡椒、白芷、肉桂、砂仁、丁香皮炒各五钱,研为末,用阿魏一钱半和面糊制成芡实大小的丸药,每药一斤,用朱砂七钱为衣,每次三五丸,男子气痛炒姜盐汤送下,妇人血气痛醋汤送下。治疗五种噎疾,九种心痛,癖气块,冷气攻刺,腹痛肠鸣,呕吐酸水,男子疝气,女人血气。
交感丹,治疗郁甚矣脱营;
茯神四两,香附一斤,研为末,蜜丸弹子大小。每一丸,空心细嚼,用本方加甘草少许为末,调热汤送下。治疗心肾不交,惊悸痞塞,食少遗精梦泄,大能益气清神,降火升水。
清气汤,退热烦也气逆。
退热清气汤:柴胡、橘皮、茯苓各一钱,半夏、枳壳各八钱,香附七分,川芎五分,砂仁七粒,木香、甘草各三分,生姜煎煮温服。治疗气逆身热,中脘痞满。
破气滞,枳橘须加引经;
枳橘汤:橘皮八钱,枳壳一钱半,生姜四钱,郁甚加姜黄少许,水煎食远温服。治疗胸痹胸中气塞短气,须审气滞何部分,以引经药导之。橘皮一物汤:橘皮洗净一两,新汲水煎温服。治疗诸气攻刺及感风寒暑湿初证通用,凡酒食所伤,中脘痞塞妨闷,呕吐吞酸。
止刺痛,苍莎善能清隔。
清膈苍莎丸:苍术二两,香附一两半,黄芩、黄连各五钱,研为末,用红熟栝蒌去皮捣糊和丸绿豆大小,每次三十丸温汤送下。治疗因湿热痰水气滞。
枳实薤白汤除胸痹,
枳壳一枚,薤白二两,厚朴一两,肉桂、栝蒌仁各五钱,先煮枳壳、厚朴减半,入诸药煎浓,食远服。治疗心中痞满,此留气结在胸,胸满,胁下逆抢心。
木香槟榔丸消膈食。
木香、枳壳、青皮、杏仁、槟榔各一两,郁李仁、皂角、半夏曲各二两,研为末,别用皂角熬膏,入蜜少许,和丸梧桐子大小。每次五十丸,食后姜汤送下。导三焦,宽胸膈,破痰逐饮,快气消食。一方去杏仁、皂角、半夏、
Fuling (Poria) 7 qian; if Qi deficiency and poor appetite, add Chenpi (Tangerine Peel); if food is difficult to digest, accompanied by pain and diarrhea, add Renshen (Ginseng), Baishao (White Peony Root), Shenqu (Medicated Leaven), and Maiya (Malt) each 1 liang, Sharen (Amomum Fruit) and Muxiang (Aucklandia Root) each 5 qian;
if Phlegm-Fire stagnates in the chest and diaphragm, causing sourness in the throat, dysphagia, or acid regurgitation, or due to Wine Accumulation causing diarrhea, constipation, and pain, add Huanglian (Coptis Rhizome), Baishao (White Peony Root), and Chenpi (Tangerine Peel) each 1 liang, Shigao (Gypsum Fibrosum) and Gancao (Licorice Root) each 5 qian, Sharen (Amomum Fruit) and Muxiang (Aucklandia Root) each 2 qian, Chuanxiong (Ligusticum Rhizome) 4 qian; if there are mass formations, add Huanglian (Coptis Rhizome) and Houpo (Magnolia Bark) each 5 qian; if accumulation is hard, add Ezhu (Curcuma Zedoaria Rhizome) and Kunbu (Sargassum Thallus) each 3 qian; if cold injury causes abdominal pain and loose stools, add Banxia (Pinellia Tuber) 1 liang, Sharen (Amomum Fruit), Ganjiang (Dried Ginger), Shenqu (Medicated Leaven), and Maiya (Malt) each 5 qian; if accompanied by Qi stagnation and food injury, add Chuanxiong (Ligusticum Rhizome) and Xiangfu (Cyperus Rhizome) each 1 liang, Muxiang (Aucklandia Root) and Huanglian (Coptis Rhizome) each 5 qian; if the chest and diaphragm are obstructed due to overuse of aromatic and dry herbs, leading to dryness in the epigastrium, dysphagia, and vomiting of undigested food, add Huanglian (Coptis Rhizome), Shanzhi (Gardenia Fruit), Jiegeng (Platycodon Root), Gancao (Licorice Root), and Shigao (Gypsum Fibrosum) each 5 qian, Baishao (White Peony Root) and Danggui (Angelica Sinensis Root) each 1 liang; if stubborn phlegm knots in the chest and diaphragm with dry constipation, add Mangxiao (Mirabilite) 5 qian; if phlegm has existed previously, add Banxia (Pinellia Tuber), Chenpi (Tangerine Peel), and Fuling (Poria) each 1 liang, Huangqin (Scutellaria Root) and Huanglian (Coptis Rhizome) each 5 qian; if Qi stagnation has existed previously, add Muxiang (Aucklandia Root) 1 liang; if one can eat but feels full and unable to digest after eating, this indicates Stomach Fire excess and Spleen Yin deficiency, add Baishao (White Peony Root) 1.5 liang, Shigao (Gypsum Fibrosum) 1 liang, Renshen (Ginseng) 7 qian, Gancao (Licorice Root) 5 qian, Huanglian (Coptis Rhizome), Xiangfu (Cyperus Rhizome), and Muxiang (Aucklandia Root) each 4 qian; for elderly people with Spleen deficiency and Blood dryness, prone to hunger and fullness, with dry stools, add Baishao (White Peony Root) and Danggui (Angelica Sinensis Root) each 1 liang, Renshen (Ginseng) 7 qian, Shengma (Cimicifuga Rhizome) and Gancao (Licorice Root) each 4 qian, Shanzha (Hawthorn Fruit), Maiya (Malt), and Taoren (Peach Seed) each 5 qian.
Zhizhu Tang (Bitter Orange and Atractylodes Decoction): Zhishi (Immature Bitter Orange) and Baizhu (Atractylodes Macrocephala Rhizome) in equal proportions, with a small amount of He Ye (Lotus Leaf), decocted in water and taken orally. Treats hardness and enlargement of the heart and abdomen like a plate, caused by drinking water, named Qi Fen (Qi Division) disease.
If the Spleen is cold and food is not ground/digested, use Renshen (Ginseng), Gancao (Licorice Root), and Baizhu (Atractylodes Macrocephala Rhizome), plus Sharen (Amomum Fruit), Doukou (Nutmeg), and Chenpi (Tangerine Peel) in equal proportions;
Jiajian Buzhong Tang (Modified Center-Supplementing Decoction): Renshen (Ginseng), Huangqi (Astragalus Root), Gancao (Licorice Root), Baizhu (Atractylodes Macrocephala Rhizome), Sharen (Amomum Fruit), Roudoukou (Nutmeg), and Chenpi (Tangerine Peel) in equal proportions, decocted in water and taken orally.
If the Stomach is cold and fluids are not digested, use Cangzhu (Atractylodes Lancea Rhizome), Houpo (Magnolia Bark), Ju Gan (Tangerine Peel), and Gancao (Licorice Root), plus Baidoukou (White Cardamom), Renshen (Ginseng), and Fuling (Poria).
Doukou Pingwei San (Cardamom Stomach-Peace Powder): Cangzhu (Atractylodes Lancea Rhizome), Chenpi (Tangerine Peel), Houpo (Magnolia Bark), Gancao (Licorice Root), Baidoukou (White Cardamom), Renshen (Ginseng), and Fuling (Poria) in equal proportions, adjusted according to the patient, decocted with fresh ginger and taken warm.
The above five formulas were established based on the etiology of accumulations, relying entirely on tonifying deficiency and reducing excess;
Feiqi Wan (Fat Qi Pill): Danggui (Angelica Sinensis Root) and Cangzhu (Atractylodes Lancea Rhizome) each 1.5 liang, Qingpi (Green Tangerine Peel) 1 liang, Sanleng (Sparganium Rhizome), Ezhu (Curcuma Zedoaria Rhizome), and Tieyunfen (Iron Powder) each 3 liang. These three ingredients are boiled in vinegar for one shichen (two hours), Shehanshi (Ophiocordyceps sinensis stone? *Note: likely a specific mineral/stone used in ancient texts, translated as Snake-containing Stone*) 5 qian is quenched in vinegar, then all are powdered, mixed with vinegar paste, and formed into pills the size of wu zi (wu berry). Take 30 pills each time, washed down with wine infused with Danggui (Angelica Sinensis Root). Treats Liver Accumulation.
Fuliang Wan (Beam Pill): Zhike (Aurantium Aurantium Fructus), Fuling (Poria), Houpo (Magnolia Bark), Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), Banxia (Pinellia Tuber), and Sanleng (Sparganium Rhizome) in equal proportions, formed into pills the size of wu zi using flour paste. Take 50 pills each time, washed down with rice drink far from meals. Treats Heart Accumulation.
Piqi Wan (Stagnant Qi Pill): Fuzi (Prepared Aconite Root), Chishizhi (Red Halloysite), Chuanjiao (Sichuan Pepper), Ganjiang (Dried Ginger), and Guixin (Cinnamon Twig Bark) each 1 liang, Wutou (Aconitum Carmichaelii Root) 2.5 qian, powdered, mixed with honey to form pills the size of wu zi, coated with Zhusha (Cinnabar). Take 10 pills each time, washed down with rice drink. Treats Spleen Accumulation.
Xiben Tang (Breath-Retaining Decoction): Banxia (Pinellia Tuber), Wuyu (Evodia Fruit), and Guixin (Cinnamon Twig Bark) each 1.5 qian, Renshen (Ginseng), Sangbaipi (Mulberry Bark), and Kutingli (Descurainia Seed) each 7 fen, Gancao (Licorice Root) 5 fen, decocted with fresh ginger and jujube. Treats Lung Accumulation.
Ben Tun Tang (Running Piglet Decoction): Ligenpi (Li Tree Bark), Gange (Kudzu Root) each 6 fen, Chuanxiong (Ligusticum Rhizome), Danggui (Angelica Sinensis Root), and Banxia (Pinellia Tuber) each 1 qian, Huangqin (Scutellaria Root), Baishao (White Peony Root), and Gancao (Licorice Root) each 5 fen, decocted with fresh ginger and taken warm. Treats Kidney Accumulation.
The above five formulas should be modified according to symptoms, which is what is meant by benefiting Yuan Qi (Primal Qi), draining Yin Fire, breaking Qi stagnation, and reducing hardness.
To eliminate masses, Yuanhua (Genkwa Flower) and Sanleng (Sparganium Rhizome) are used, but one must assess the constitution.
Xiaokuai Wan (Mass-Reducing Pill): Xiaoshi (Niter) 3 liang, Dahuang (Rhubarb Root) 2 liang, Renshen (Ginseng) and Gancao (Licorice Root) each 1 liang, powdered. Place 3 sheng of aged vinegar in a porcelain vessel, first add Dahuang (Rhubarb Root), stir constantly until it boils slightly and consumes one sheng of vinegar; then add the remaining medicines and boil until pillable, forming pills the size of wu zi. Take 30 pills each time, washed down with rice drink. One should pass foul matter resembling chicken liver or rice water; after taking, avoid wind and cold, and recuperate with soft porridge. Treats Zheng Jia (Fixed Masses) and Pi Kuai (Stagnant Masses). This medicine should be used first so as not to exhaust the patient; one must assess the deficiency or excess of the body constitution. It also treats leukorrhea and infertility.
Yuanhua Wan (Genkwa Pill): Yuanhua (Genkwa Flower) and Zhusha (Cinnabar) in equal proportions, powdered, mixed with honey to form pills the size of beans. Take 10 pills each time, washed down with thick jujube soup. Treats Nuomu (Malaria Mother) with stagnant water and bi (accumulation), causing hard and painful abdomen and hypochondrium.
Sanleng Jian (Sparganium Decoction): Sanleng (Sparganium Rhizome) and Ezhu (Curcuma Zedoaria Rhizome) each 4 liang, Yuanhua (Genkwa Flower) 1 liang. Put them together in a porcelain vessel, soak in 5 zhan of rice vinegar, seal the mouth with mud, and simmer over ash fire until dry. Remove Sanleng (Sparganium Rhizome) and Ezhu (Curcuma Zedoaria Rhizome). Stir-fry Yuanhua (Genkwa Flower) in the remaining vinegar until slightly scorched, dry it, and powder it. Mix with vinegar paste to form pills the size of mung beans. Take 15 pills each time, washed down with ginger soup. Treats Shi Ji (Food Accumulation), Jiu Pi (Wine Bi), Xue Jia (Blood Mass), and Qi Kuai (Qi Mass). Symptoms include frequent stabbing pain, complete loss of appetite, indigestion, hard and distended heart and abdomen, rebellious phlegm, vomiting and hiccups, belching with acid, stabbing pain in the hypochondrium, and stuffiness in the chest and diaphragm. For women's blood division diseases, or men's spleen Qi rebellion with diarrhea, swelling and fullness like water, wash down with Sangbaipi (Mulberry Bark) decoction. The above three formulas are all "Ba" (domineering/harsh) agents; those with thin bodies and weak Qi should use them with caution.
For Rou Pi (Meat Bi) and Jiu Pi (Wine Bi), Wu Mei (Dark Plum), Baijiezi (White Mustard Seed), and Awei (Asafoetida) bring success;
Wubai Wan (Black-White Pill): Wu Mei (Dark Plum) and Shengjiang (Fresh Ginger) each 1 jin, Baifan (Alum) and Banxia (Pinellia Tuber) each half jin. Pound evenly, sandwich between new tiles, and bake over fire for three days and nights. Add Shenqu (Medicated Leaven), Maiya (Malt), Chenpi (Tangerine Peel), Qingpi (Green Tangerine Peel), Ezhu (Curcuma Zedoaria Rhizome), Dingpi (Syzygium Aromaticum Calyx), Dafuzi (Areca Seed), and Zhike (Aurantium Aurantium Fructus) each 4 liang. Powder them, mix with wine paste to form pills, take 50 pills washed down with ginger soup. Treats Wine Accumulation, resolves food and transforms phlegm.
Baijie Wan (White Mustard Pill): Baijiezi (White Mustard Seed) and Luobozhi (Radish Seed) each 1.5 liang, Shanzhi (Gardenia Fruit), Chuanxiong (Ligusticum Rhizome), Sanleng (Sparganium Rhizome), Ezhu (Curcuma Zedoaria Rhizome), Taoren (Peach Seed), Xiangfu (Cyperus Rhizome), Shanzha (Hawthorn Fruit), and Shenqu (Medicated Leaven) each 1 liang, Qingpi (Green Tangerine Peel) 5 qian, Huanglian (Coptis Rhizome) 1.5 liang. Half is stir-fried with Wuyu (Evodia Fruit) water, half with Yizhiren (Alpinia Oxyphylla Fruit) water. Powder them, mix with steamed bread dough to form pills. Treats food accumulation and dead blood in men and women, phlegm accumulation forming masses in both hypochondria, abdominal borborygmus upon movement, stomach discomfort, dizziness, and intermittent fever.
Da Aw ei Wan (Large Asafoetida Pill): Nanxing (Arisaema Rhizome), Banxia (Pinellia Tuber), Shanzha (Hawthorn Fruit), Shenqu (Medicated Leaven), Maiya (Malt), and Huanglian (Coptis Rhizome) each 1 liang, Lianqiao (Forsythia Fruit), Aw ei (Asafoetida), Gualouren (Trichosanthes Seed), and Beimu (Fritillaria Bulb) each 5 qian, Fenghua Xiao (Efflorescent Niter), Naosha (Sal Ammoniac), Luobozhi (Radish Seed), and Huhuanglian (Coptis Chinensis Root) each 2.5 qian. Powder them, mix with ginger juice and steamed bread dough paste to form pills the size of wu zi. Take 30 pills each time, washed down with plain water. Treats various accumulations. Another formula adds Xiangfu (Cyperus Rhizome) and Haishi (Aragonite) to treat cough.
Xiao Aw ei Wan (Small Asafoetida Pill): Shanzha (Hawthorn Fruit) 2 liang, Huanglian (Coptis Rhizome) 1.3 liang, Lianqiao (Forsythia Fruit) 1 liang. Powder them. Use Aw ei (Asafoetida) 2 liang, boil in vinegar to make a paste, and form pills. Wash down with plain water. Treats Meat Accumulation. However, for those with Spleen deficiency, one must use Spleen-tonifying medicine decoction to wash down the pills. Do not use Aw ei (Asafoetida) alone, lest it cause harm by further weakening the deficient.
For Tan Pi (Phlegm Stagnation) and Xue Kuai (Blood Mass), Haishi (Aragonite) and Shengqi (Raw Lacquer) are effective.
Haishi Wan (Aragonite Pill): Haishi (Aragonite), Sanleng (Sparganium Rhizome), Ezhu (Curcuma Zedoaria Rhizome), Taoren (Peach Seed), Honghua (Safflower), Wulingzhi (Trogopterus Dung), Xiangfu (Cyperus Rhizome), Hanshao (Clam Shell), and Mengshi (Fluorite) in equal proportions, powdered, mixed with vinegar paste to form pills the size of wu zi. Take 30 pills washed down with Baizhu (Atractylodes Macrocephala Rhizome) decoction. Treats phlegm and food accumulation, dead blood forming masses. After the mass is removed, one must strongly tonify.
Mengshi Wan (Fluorite Pill): Banxia (Pinellia Tuber) 1 liang, soaked thoroughly in Zaojiao (Gleditsia Sinensis Fruit) water and dried. Shanzha (Hawthorn Fruit) 3 liang, Mengshi (Fluorite) 3 liang. Powder them, mix with congee paste to form pills the size of wu zi. Take 30 pills each time, washed down with plain water. Treats phlegm-fluid transforming into accumulation.
Dan Qiao Wan (Single Shell Pill): Also known as Walongzi (Tile Barnacle Shell). Calcined over fire, quenched in vinegar three times, powdered, mixed with vinegar paste to form pills. Wash down with ginger soup. Treats all Qi, Blood, and Phlegm masses and Zheng Jia (fixed masses).
Shengqi Gao (Raw Lacquer Plaster): Aw ei (Asafoetida) 1 liang, Shengqi (Raw Lacquer - filtered) and Mu'er (Wood Ear Mushroom) each 4 liang, Fengmi (Honey) 6 liang. Mix evenly, put in a tin jar, seal tightly, and boil in a pot of water for the time it takes to burn three incense sticks. Remove and cool. Take two tea spoons each time, mixed with roasted wine far from meals, three times a day. Avoid greasy and toxic-inducing foods. Treats male and female pi kuai (stagnant masses) with miraculous effect.
For Qi Ju (Qi Aggregation) Xiang Leng, the Kingly Way has no match compared to Tongxuan Dan;
Xiang Leng Wan (Aucklandia Mass Pill): Sanleng (Sparganium Rhizome) and Binglang (Betel Nut) each 6 liang, Qingpi (Green Tangerine Peel), Chenpi (Tangerine Peel), Ezhu (Curcuma Zedoaria Rhizome), Zhike (Aurantium Aurantium Fructus), Zhishi (Immature Bitter Orange), Luobozhi (Radish Seed), and Xiangfu (Cyperus Rhizome) each 3 liang, Shanzha (Hawthorn Fruit) 4 liang, Huanglian (Coptis Rhizome), Shenqu (Medicated Leaven), Maiya (Malt), Biejiapia (Turtle Shell), Ganqi (Dry Lacquer), Taoren (Peach Seed), Sha Ren (Cardamom), Dangguiwei (Tail of Angelica Sinensis Root), Muxiang (Aucklandia Root), and Gancao (Licorice Root) each 1 liang. Powder them, boil in vinegar and flour paste to form pills the size of wu zi. Take 30-50 pills each time, washed down with plain water. Treats Five Accumulations and Six Aggregations Qi masses.
Tongxuan Erba Dan (Tongxuan Two-Eight Elixir): Huanglian (Coptis Rhizome) half jin, Shaoyao (Peony Root), Danggui (Angelica Sinensis Root), Shengdi (Rehmannia Root), and Wumei (Dark Plum) each 5 qian. Powder them. Take one male pig stomach, insert the medicine inside, sew it shut. Lay 2 jin of Chinese chives at the bottom and top of a pot, steam the stomach inside. When the water dries, add more water and steam for another day, until the medicine is cooked. Remove everything and pound in a mortar to form pills the size of wu zi. Take 70 pills each time. If invaded by food and fluid accumulations, take with ginger soup in the morning; if no diarrhea occurs, or if diarrhea happens once or twice, immediately replenish with warm porridge; if diarrhea and dysentery occur, take with tea infusion after meals to stop it. Ginger soup promotes movement, tea infusion stops diarrhea. This is truly a wonderful medicine for treating accumulations, stopping diarrhea and dysentery, and relieving cramping.
Ji Zan uses Pingwei San, with Bo Yao entering and exiting as appropriate.
Zuanji Dan (Accumulation Compilation Elixir): Uses one portion of Pingwei San (Stomach-Peace Powder) as the main base. If it is Formless Qi Accumulation, add Muxiang (Aucklandia Root), Binglang (Betel Nut), Qingpi (Green Tangerine Peel), Chenpi (Tangerine Peel), Chenxiang (Agarwood), Luobozhi (Radish Seed), and Xiangfu (Cyperus Rhizome) as assistants, with a little Zhangshupi (Cinnamon Bark). For severe cases, stir-fry all medicines with Badou (Croton Seed) until yellow, then remove Badou (Croton Seed). If it is Formed Blood Accumulation, add Sanleng (Sparganium Rhizome), Ezhu (Curcuma Zedoaria Rhizome), Niuxi (Achyranthes Root), Chuanxiong (Ligusticum Rhizome), Dangguiwei (Tail of Angelica Sinensis Root), Biejia (Turtle Shell), Honghua (Safflower), Hanshao (Clam Shell), Taoren (Peach Seed), Rushu (Frankincense and Myrrh), etc. For severe cases, boil these medicines in vinegar prepared with Yuanhua (Genkwa Flower) to moderate their effects. For Wine Accumulation, add Gegua (Kudzu Flower), Huanglian (Coptis Rhizome), Sharen (Amomum Fruit), Maiya (Malt), Chenpi (Tangerine Peel), Muxiang (Aucklandia Root), Zhuling (Polyporus), Zexie (Alisma), and Cheqianzi (Plantago Seed). For Fruit Accumulation, add Caoguo (Black Cardamom), Shanzha (Hawthorn Fruit), Xiangfu (Cyperus Rhizome), Wuyao (Litsea Cubeba), Zhike (Aurantium Aurantium Fructus), and a little Changpu (Acorus Rhizome). For Fish Accumulation, add Zisu (Perilla Leaf); for severe cases, add Qingfan (Green Vitriol) to stir-fry the medicines, but the medicines must be hot before adding the vitriol. For Meat Accumulation, add Shanzha (Hawthorn Fruit) and Aw ei (Asafoetida). For Rice Accumulation, add Maiya (Malt), Guya (Barley Sprout), Shenqu (Medicated Leaven), and Zhishi (Immature Bitter Orange). For Water Accumulation, add Banxia (Pinellia Tuber), Fuling (Poria), Tingli (Descurainia Seed), and Zexie (Alisma). For edema, add Shanglu (Phytolacca Root) juice as paste, or absorb Qingfan (Green Vitriol) fried medicines without damaging Yuan Qi, which is excellent. For Phlegm Accumulation, add Haifen (Sea Flour), Mengshi (Fluorite), Banxia (Pinellia Tuber), Baifan (Alum), and Fenghua Xiao (Efflorescent Niter). For Cold Accumulation and New Accumulation, add Ganjiang (Dried Ginger), Badou (Croton Seed), Liangjiang (Galangal Root), Huixiang (Fennel Seed), Dingxiang (Clove), Baidoukou (White Cardamom), Yizhiren (Alpinia Oxyphylla Fruit), and a little Changpu (Acorus Rhizome). For Heat Accumulation and Long-standing Accumulation, add Huanglian (Coptis Rhizome), Huangbo (Phellodendron Bark), Dahuang (Rhubarb Root), and Huashi (Talcum). For weak Qi, generally add Renshen (Ginseng). For those with diarrhea, add Roudoukou (Nutmeg). For those with parasites, use Kulian Genpi (Melia Root Bark) 1 jin and Zaojiao (Gleditsia Sinensis Fruit) 10 slices, boil one bowl of water into a paste, mix with the previous medicines to form pills. First coat with Chenxiang (Agarwood), then with Leiwan (Vermipila) and Muxiang (Aucklandia Root). Take 10 pills at the fourth watch (1-3 AM) washed down with sugar water. Normally, vinegar paste forms pills the size of wu zi. Take 30-50 pills each time, washed down with rice drink on an empty stomach. Treats all accumulation syndromes, vomiting and acid regurgitation, chest and diaphragm stuffiness, formation of Zheng Jia (fixed masses), diarrhea or constipation, weak Spleen and Stomach, inability to digest food, abdominal distension and sallow complexion, soreness and weakness in the four limbs, even progressing to ulcers and swelling, flowing into sores, carbuncles, flaccidity, and bi-syndrome. This formula is compiled from Jiqi Dan (Accumulation Qi Elixir) and Tuihuang Wan (Jaundice-Resolving Pill); modifications are up to the practitioner.
Zhui Chong Miaoying Wan (Parasite-Chasing Miraculous Response Pill) is most spiritual.
Binglang (Betel Nut) 12 liang, Heiqianniu (Black Morning Glory Seed) 3 liang, Dahuang (Rhubarb Root), Leiwan (Vermipila), Xihui (Tin Ash), Wuyi (Chrysanthemum Seed), Muxiang (Aucklandia Root), and Shijunzi (Quisqualis Fruit) each 1 liang. Powder them. Decoct Congbai (Chinese Chive White) in water, expose overnight, and form pills the size of millet grains. Take 4 qian each time, at the fifth watch (3-5 AM) washed down with Congbai (Chinese Chive White) soup or Muxiang (Aucklandia Root) decoction. To expel Tapeworms, use Pishigen (Pomegranate Root Bark) from the East, decoct in water, face East, and take it. Children take 1 qian or 5 fen. By dawn, the root of the disease, or worms, or things like rotten fish intestines, horse tails, toads, or small snakes, or various monsters will be expelled. Or green, yellow, red, white, or rice-water colored substances will be passed in urine. These worms are caused by infections from diet. This medicine does not damage True Qi unlike Badoushuang (Croton Resin), Gansui (Euphorbia Kansui Root), or Naosha (Sal Ammoniac). It removes worms where there are worms, accumulations where there are accumulations, Qi where there is Qi, and masses where there are masses. One dose shows effect. Anyone with white spots on the face, red lips, increased appetite with stomach discomfort, irregular complexion, or crab-claw patterns on the face has worms. This pill can be taken in all four seasons; pregnant women must prohibit its use. Treats mountain miasma, consumptive tuberculosis, edema, malaria-dysentery, cough, jaundice, dysphagia, intestinal wind, hemorrhoids and fistulas, all Wind-Qi and Food Accumulation pains, sores, tinea, heat-phlegm masses, red eyes, mouth ulcers, menstrual irregularities in women, blood masses and amenorrhea, red and white leukorrhea, childhood epilepsy, all childhood malnutrition accumulations, and gu accumulations. Another formula removes Shijunzi (Quisqualis Fruit), named Qizhuan Lingying Dan (Seven-Turn Spiritual Response Elixir). If aphonia occurs, add Chenxiang (Agarwood) and Hupo (Fossilized Wood). Avoid raw, cold, meat, and fish for one month.
Paste plasters are unsurpassed in divinity.
Shenxiao Aw ei San (Divine Effect Asafoetida Powder): Tianzhuhuang (Calamus Tuber), Lvhui (Aloe), Jiangcan (Bombyx Batryticatus) each 2 qian, Aw ei (Asafoetida) 2.2 qian, Fanmubie (Strychnos Nux-vomica) 1, Ercha (Child's Tea), and Gancao (Licorice Root) each 3 qian, Dahuang (Rhubarb Root) 1 liang, Shanjia (Pangolin Scale) 7 slices. Powder them. Take 3 qian each time, mixed with wine. Pus and blood will liquefy and come out. Alternatively, mix with vinegar to make a paste and apply to the navel. Greatly treats chronic malaria and痞疾 (mass diseases).
Sansheng Gao (Three Sages Plaster): Fenghua Duanshi (Calcined Iron Oxide) half jin, powdered. Stir-fry in a clay vessel until pale red, remove. When heat decreases slightly, add Dahuang (Rhubarb Root) powder 1 liang, stir-fry outside the furnace. When heat decreases, add Guixin (Cinnamon Twig Bark) powder 5 qian, stir-fry briefly. Add rice vinegar and boil into a black plaster. Spread on thick paper and apply to the affected area.
To treat Gu poison and detoxify, Dongpo Xiongfan Wan (Dongpo Realgar-Alum Pill) comes in three types;
Namely Lafan Wan (Wax-Alum Pill) added with Xionghuang (Realgar) in equal proportions. Form pills the size of wu zi on the Dragon Boat Festival day. Take 7 pills washed down with cooked water. Treats Gu poison and toxins from insects, snakes, and livestock/beasts with miraculous effect.
Xiaoshuidu Yin (Water-Toxin Removing Drink): Wuzhu Yu (Evodia Fruit) half sheng, Shengjiang (Fresh Ginger), Xijiao (Rhinoceros Horn), Shengma (Cimicifuga Rhizome), and Chenpi (Tangerine Peel) each 1 liang, Wumei (Dark Plum) 7 pieces. Use 7 bowls of water, boil down to 2 bowls, divide into two doses.
To regulate the Spleen and dispel miasma, Jinglue Jin Dan (Strategy Golden Pill) is one pill.
Lipi Quezhang Tang (Spleen-Regulating Miasma-Dispelling Decoction): Chenpi (Tangerine Peel), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), Huangqin (Scutellaria Root), Banxia (Pinellia Tuber), Shanzhi (Gardenia Fruit), and Shanzha (Hawthorn Fruit) each 1 qian, Cangzhu (Atractylodes Lancea Rhizome) and Shenqu (Medicated Leaven) each 8 fen, Huanglian (Coptis Rhizome) and Qianhu (Peucedanum Root) each 7 fen. Decoct with fresh ginger and take. Treats officials traveling everywhere who suffer from unacclimatization.
Yili Jin Dan (One-Pill Golden Pill): Wangnaqi (Cat Gland), Afuyun (Opium) each 2 qian, Bingpian (Borneol), Shexiang (Musk) each 1 li, Zhusha (Cinnabar), Yuancan'e (Silkworm Moth) each 3 fen. Powder them. Put in a porcelain vessel. Separately, boil 2 cups of strong liquor with Shegan (Belamcanda Rhizome) until reduced to 8 parts. Pour into the previous bowl, place on water surface, roll over charcoal fire 4-5 times. Remove and form pills the size of wu zi, coated with Jinbo (Gold Foil). Every half month or ten days, take one pill. Those with stronger constitutions take one pill in each season. Chew with rock sugar or pear and swallow. Treats Five Exhaustions and Seven Injuries, various consumptive coughs in men and women, spitting phlegm and blood, vomiting acid and regurgitation, coughing with wind obstruction, salivation, cold tears, clear nasal discharge, watery diarrhea and dysentery, heart and abdominal distension and pain, borborygmus and masses, wine jaundice, food-yellow water qi, undigested food, decreased appetite, left hemiplegia and right paralysis, thirty-six types of Wind, seventy-two types of Qi, moistens the Triple Burner, benefits Essence and Qi, calms the Five Zang, stabilizes Hun and Po, strengthens sinews and bones, benefits Yuan Yang, broadens the chest and diaphragm, warms waist and knees, stops pain, clarifies eyes, reverses aging, makes walking light and vigorous, blackens beard and hair, secures teeth. Especially suitable for officials in Liangguang and those whose Spleen and Stomach are damaged by irregular eating, drinking, alcohol, and cold/raw foods.
Ah! Regulate work and rest, and Qi and Blood will naturally follow the norm; Sweet and bland medicines can adapt to any soil and water.
When Qi loses its balance, it is called illness; when there is ascending without descending, it is called rebellion. It may manifest as chest and abdominal fullness, or hypochondriac hernia and stabbing pain. Which formula to use for Fen Qi (Separating Qi), Shun Qi (Smooth Qi), Jiang Qi (Descending Qi), and Zhuang Qi (Striking Qi)? Choose freely among Xin Liang (Acrid-Cool), Xin Ping (Acrid-Ping), Xin Wen (Acrid-Warm), and Xin Re (Acrid-Hot).
Muxiang Fenqi Wan (Aucklandia Separating Qi Pill): Muxiang (Aucklandia Root), Gansong (Nardostachys Root) each 1 liang, Gancao (Licorice Root) 6 liang, Xiangfu (Cyperus Rhizome) 1 jin, Ezhu (Curcuma Zedoaria Rhizome) half jin. Powder them, form pills with paste the size of wu zi. Take 30 pills each time, washed down with ginger soup or orange peel decoction as desired. Treats all Qi rebellion, chest and heart stuffiness, and virtual distension of abdomen and hypochondrium. Can add Dingpi (Syzygium Aromaticum Calyx), Huoxiang (Patchouli Leaf), Jianghuang (Turmeric Rhizome), Sharen (Amomum Fruit), and Tanxiang (Sandalwood) for regular use to broaden the middle and promote appetite.
Muxiang Shunqi Wan (Aucklandia Smoothing Qi Pill): Muxiang (Aucklandia Root), Luobozhi (Radish Seed), Dafupi (Areca Pericarp) each 5 qian, Zhike (Aurantium Aurantium Fructus), Chenpi (Tangerine Peel), and Xiangfu (Cyperus Rhizome) each 1 liang, Heiqiu (Black Morning Glory Seed) 6 liang, Guzhi (Astragalus Complanatus Seed) 1 liang. This makes Qi ascend and descend and return to the Kidney. Powder them, form water pills the size of wu zi. Take 50-60 pills each time, washed down with warm water.
Chenxiang Jiangqi Tang (Agarwood Descending Qi Decoction): Chenxiang (Agarwood) 2 qian, Sharen (Amomum Fruit) 5 qian, Gancao (Licorice Root) 1.2 liang, Xiangfu (Cyperus Rhizome) 4 liang. Powder them. Take 2 qian each time, add a little salt, mix with plain water. Treats Yin-Yang congestion, Qi failing to ascend and descend, chest and diaphragm stuffiness, panting and shortness of breath, acid regurgitation, retained fluids in Liver and Stomach, and subcostal knotting causing oppression.
Aw ei Zhuangqi Wan (Asafoetida Striking Qi Pill): Xiaohui (Fennel Seed), Qingpi (Green Tangerine Peel), Gancao (Licorice Root), Chenpi (Tangerine Peel), Ezhu (Curcuma Zedoaria Rhizome), and Chuanxiong (Ligusticum Rhizome) each 1 liang, Shengjiang (Fresh Ginger) 4 liang, marinated overnight with 5 qian of salt. Haw pepper, Baizhi (Angelica Dahurica Root), Rougui (Cinnamon Bark), Sharen (Amomum Fruit), and Dingpicao (Clove Skin stir-fried) each 5 qian. Powder them. Mix with 1.5 qian of Aw ei (Asafoetida) and flour paste to form pills the size of Chinese quince. For every 1 jin of medicine, use 7 qian of Zhusha (Cinnabar) as coating. Take 3-5 pills each time. For men's Qi pain, wash down with stir-fried ginger-salt soup; for women's Blood-Qi pain, wash down with vinegar soup. Treats five types of dysphagia, nine types of heart pain, Pi Qi masses, cold Qi attacking and stabbing, abdominal pain and borborygmus, vomiting acidic water, men's hernia, and women's Blood-Qi disorders.
Jiaogan Dan (Interacting Elixir) treats severe depression leading to Tuoying (Depleted Ying);
Fushen (Poria with Hostwood) 4 liang, Xiangfu (Cyperus Rhizome) 1 jin. Powder them, mix with honey to form pills the size of弹子 (bullet). Take one pill each time, chew finely on an empty stomach. Take a small amount of Gancao (Licorice Root) powder from this formula, mix with hot water, and swallow. Treats Heart-Kidney non-interaction, palpitations and stuffiness, poor appetite, seminal emission and dream leakage. It greatly benefits Qi, clears Spirit, descends Fire, and ascends Water.
Qingqi Tang (Clearing Qi Decoction) relieves heat and irritability due to Qi rebellion.
Retre Qingqi Tang (Retreating Heat Clearing Qi Decoction): Chaihu (Bupleurum Root), Jupi (Tangerine Peel), Fuling (Poria) each 1 qian, Banxia (Pinellia Tuber) and Zhike (Aurantium Aurantium Fructus) each 8 qian, Xiangfu (Cyperus Rhizome) 7 fen, Chuanxiong (Ligusticum Rhizome) 5 fen, Sharen (Amomum Fruit) 7 grains, Muxiang (Aucklandia Root) and Gancao (Licorice Root) each 3 fen. Decoct with fresh ginger and take warm. Treats Qi rebellion with body heat and fullness in the Middle Jiao.
To break Qi stagnation, Zhiju (Bitter Orange and Tangerine Peel) must be added with guiding herbs;
Zhiju Tang (Bitter Orange and Tangerine Peel Decoction): Jupi (Tangerine Peel) 8 qian, Zhike (Aurantium Aurantium Fructus) 1.5 qian, Shengjiang (Fresh Ginger) 4 qian. If depression is severe, add a little Jianghuang (Turmeric Rhizome). Decoct in water and take warm far from meals. Treats Chest Bi (impediment) with Qi blockage and shortness of breath in the chest. One must examine which part of the body has Qi stagnation and guide it with guiding herbs. Jupi Yi Wu Tang (Tangerine Peel Single Herb Decoction): Cleanse 1 liang of Jupi (Tangerine Peel), decoct in fresh drawn water and take warm. Universally treats initial stages of Qi attacking pain and invasion of Wind-Cold, Summer-Heat, and Dampness. Also treats injuries from wine and food, Middle Jiao stuffiness and oppression, vomiting, and acid regurgitation.
To stop stabbing pain, Cangsha (Atractylodes and Cyperus) excels at clearing the diaphragm.
Qingge Cangsha Wan (Clear Diaphragm Atractylodes-Cyperus Pill): Cangzhu (Atractylodes Lancea Rhizome) 2 liang, Xiangfu (Cyperus Rhizome) 1.5 liang, Huangqin (Scutellaria Root) and Huanglian (Coptis Rhizome) each 5 qian. Powder them. Use ripe Gualou (Trichosanthes Fruit), remove skin, pound into paste, and mix to form pills the size of mung beans. Take 30 pills each time, washed down with warm water. Treats Qi stagnation due to Damp-Heat, Phlegm, and Fluids.
Zhishi Xiebai Tang (Immature Bitter Orange and Allium Macrostemon Decoction) removes Chest Bi,
One Zhike (Aurantium Aurantium Fructus), Xiebai (Allium Macrostemon Bulb) 2 liang, Houpo (Magnolia Bark) 1 liang, Rougui (Cinnamon Bark) and Gualouren (Trichosanthes Seed) each 5 qian. First boil Zhike (Aurantium Aurantium Fructus) and Houpo (Magnolia Bark) until reduced by half, then add other medicines and boil until concentrated. Take far from meals. Treats fullness in the heart, where lingering Qi knots in the chest, causing chest fullness and rebellious Qi rushing from the hypochondrium to the heart.
Muxiang Binglang Wan (Aucklandia Betel Nut Pill) eliminates diaphragmatic food stagnation.
Muxiang (Aucklandia Root), Zhike (Aurantium Aurantium Fructus), Qingpi (Green Tangerine Peel), Xingren (Apricot Seed), and Binglang (Betel Nut) each 1 liang, Yuliren (Bush Cherry Seed), Zaojiao (Gleditsia Sinensis Fruit), and Banxiaqu (Pinellia Fermented Paste) each 2 liang. Powder them. Separately, boil Zaojiao (Gleditsia Sinensis Fruit) into a paste, add a little honey, and mix to form pills the size of wu zi. Take 50 pills each time, washed down with ginger soup after meals. Guides the Triple Burner, broadens the chest and diaphragm, breaks phlegm and drives out fluids, moves Qi and resolves food. Another formula removes Xingren (Apricot Seed), Zaojiao (Gleditsia Sinensis Fruit), and Banxia (Pinellia Tuber)...