黄胆久久变为黑疸，身黄额黑，或身面俱黄是也。若身不黄，口面黑，于章门主之。（《针灸经》云∶
神门亦治疸。）
〔仲〕酒疸下之，久久变为黑疸，目青面黑，心中如啖蒜 状，大便正黑，皮肤爪之不仁，
其脉浮弱，虽黑微黄，故知之。黄家，日晡时发热，而反恶寒，此为女劳得之。膀胱急，少腹满，
一身尽黄，额上黑，足下热，因作黑疸。其腹胀如水状，大便黑，或时溏，此女劳之病，非水也。
腹满者，难治。硝石散主之。
硝石 矾石（烧。各等分）
上为细末，匀和。以大麦面粥调服方寸匕，日三服。病随大小便下，小便去黄，大便去黑，
是其候也。
〔《圣》〕治黑疸多死，宜急治。用土瓜根一斤，捣碎绞汁六合，顿服。当有黄水随小便出，
更服之。
面 然浮肿，脊痛不能正立，其色 黑，多汗恶风者，属风。（治见诸风门。）
〔丹〕腹痛有寒、积热、死血、食积、湿痰。
〔垣〕夫心胃痛及腹中诸痛，皆因劳力过甚，饮食失节，中气不足，寒邪乘虚而入客之，故卒然而作大痛。
经言得炅则止。炅者，热也。以热治寒，治之正也。然腹痛有部分，脏腑有高下，治之者亦宜分之。如厥心痛
者，乃寒邪客于心胞络也。前人以良姜、菖蒲大辛热之味末之，酒调服，其痛立止，此直折之耳。真心痛者，
寒邪伤其君也，手足青至节，甚则旦发夕死，夕发旦死。中脘痛者，太阴也，理中、建中、草豆蔻丸之类主之。
脐腹痛者，少阴也，四逆、姜附御寒汤之类主之。少腹痛者，厥阴也，正阳散、回阳丹、当归四逆汤之类主之。
杂症而痛者，苦楝汤、酒煮当归丸、丁香楝实丸之类主之。是随高下治之也。更循各脏部分穴俞而灸刺之。如
厥心痛者，痛如针刺其心，甚者脾之痛也，取之然谷、太溪，余脏皆然。如腹中不和而痛者，以甘草芍药汤主
之。如伤寒误下，传太阴腹满而痛者，桂枝加芍药汤主之。痛甚者，桂枝加大黄汤主之。夏月肌热、恶热，脉
洪疾而痛者，黄芩芍药汤主之。又有诸虫痛者，如心腹懊 作痛聚，往来上下行，痛有休止，腹热善渴，涎出，
面色乍青乍白乍赤，呕吐水者，蛔咬也。以手紧按而坚持之，无令得脱，以针刺之，久持之，虫不动，乃出针
也。或《局方》化虫丸及诸虫之药，量虚实用之，不可一例治也。
〔海〕秋腹痛，肌寒、恶寒，脉沉微，足太阴、足少阴主之，桂枝芍药汤。中脘痛，太阴也，理中、建中、
黄汤之类。脐腹痛，少阴也，四逆、真武、附子汤之类。小腹痛，厥阴也，重则正阳散、回阳丹之类，轻则
当归四逆汤之类。太阴传少阴痛甚者，当变下利而止。
〔仲〕虚劳里急，腹中痛，小建中汤主之。（方见伤寒。）
〔罗〕肝胜乘脾真定路总管刘仲美，年逾六旬，有脾胃虚热之证。至元辛巳闰八月初，天气阴寒，因
官事劳役，渴而饮冷，夜半自利两行。平旦予诊视，其脉弦细而微，四肢冷，手心寒，唇舌皆青褐色，腹中微
痛，气短而不思饮食。予思《内经》云∶色青者肝也，肝属木。唇者脾也，脾属士。木克土，故色见于唇。《难
经》亦云∶见肝之病，则知肝当传之于脾，故先实其脾气，令脾不受肝之邪也。洁古先师云∶假令五脏各行己
胜，侮所不胜，当重实不胜，微泻其胜，以黄 建中加芍药附子汤主之。且芍药味酸，泻其肝木，微泻其胜。
黄、甘草甘温补实脾土，皆重实其胜。桂、附辛热，治其寒水，又助阳退阴。饴糖甘温，补脾之不足，肝苦
急，急食甘以缓之。生姜、大枣辛甘大温，生发脾胃，升腾其气，行其荣卫，能缓其急。每服一两，根据法煎服，
再服而愈。黄 建中汤倍芍药，量虚实加附子。（本方见治虚实法。）
〔仲〕理中汤（方见伤寒少阴病。）
〔垣〕草豆蔻丸 治脾胃虚而心火乘之，不能滋荣上焦元气，遇冬肾与膀胱之寒水旺时，子能令母实，致肺金大
肠相辅而来克心乘脾胃，此大复其仇也。经曰∶大胜必大复。故皮毛血脉分肉之间，元气已绝于外，又大寒
大燥二气并乘之，则苦恶风寒，耳鸣及腰背相引胸中而痛，鼻息不通，不闻香臭，额寒脑痛，目时眩，目不
欲开，腹中为寒水反乘，痰唾涎沫，食入反出，腹中常痛及心胃痛，胁下急缩，有时而痛，腹不能努，大便
多泻而少秘，下气不绝或肠鸣，此脾胃虚之极也。胸中气乱，心烦不安，而为霍乱之渐。膈咽不通，噎塞，
极则有声，喘喝闭塞，或日阳中，或暖房内稍缓，口吸风寒则复作，四肢厥冷，身体沉重不能转侧，不可回
顾，小便溲而时躁。此药主秋冬寒凉，大复气之药也。
草豆蔻仁（一钱四分，面裹，煨，去皮） 吴茱萸（八分，汤洗，焙干） 益智仁（八分） 陈皮（八分）
白僵蚕（一钱） 甘草（炙，六分） 桃仁（去皮尖，七分） 青皮（六分） 泽泻（一分，小便数，减半）
黄（八分） 半夏（一钱，汤泡七次） 人参（八分） 麦 （一钱半，炒） 神曲（四分） 姜黄（四分）
当归身（六分） 柴胡（四分）
上件十七味，同为细末；桃仁另研如泥，再入一处研匀。汤浸蒸饼为丸，如桐子大。每服三五十丸，白汤
送下，旋斟酌多少。
神圣复气汤 治复气乘冬足太阳寒气、足少阴肾水之旺，子能令母实，手太阴肺实反来侮土，火木受邪，腰、
背、胸膈闭塞痛疼，善嚏，口中涎，目中泣，鼻中流浊涕不止，或有 肉不闻香臭，咳嗽痰沫，上热如火，
下寒如水，头作阵痛，目中流火，视物KT KT ，耳鸣耳聋，头并口鼻或恶风寒，喜日阳，夜卧不安，常觉痰塞，
膈咽不通，口无滋味，两胁缩急而痛，牙齿动摇不能嚼物，腰、脐间及尻臀、膝、足寒冷，阴汗，前阴冷，
行步欹侧，起居艰难，掌中寒，风痹麻木，小便数而昼多夜频而少，气短喘喝，少气不足以息，卒遗矢无度。
妇人白带，阴户中大痛牵心而痛，黧黑失色；男子控睾牵心，阴阴而痛，面如赭色，食少，大小便不调，烦
心霍乱，逆气里急，而腹皮色白，后出余气，腹不能努，或肠鸣，膝下筋急，肩胛大痛，此皆寒水来复火土
之仇也。
干姜（炮，三分） 人参（五分） 半夏（汤泡，七分） 柴胡（一钱） 本（八分） 防风（五分）
羌活（一钱） 甘草（八分） 升麻（七分） 白葵花（五朵，去心） 归身(六分，酒洗，浸） 黑附子（三分，
炮，去皮脐） 桃仁（汤浸，去皮，五分，研） 郁李仁（汤浸，去皮、五分）
上作一服，水五盏，煎至二盏，入
黄 （一钱） 草豆蔻（一钱，面煨去皮称） 陈皮（五分）
上件入在内，再煎至一盏，再入下项药
黄柏（五分，酒浸） 黄连（三分，酒浸） 枳壳（三分） 生地（二分，酒洗）
以上四味，预一日另用新水浸。又次入
细辛（二分） 川芎（三分） 蔓荆子（三分）
预一日用水半大盏，分作二处浸，此三味并黄柏等药，前正药作一大盏，不去渣，入此浸药，再上火煎至
一大盏，去渣，稍热服，空心。又能治咬颊、咬唇、咬舌、舌根强硬等症如神。忌肉汤及食肉，使不助经络
中火邪也。大抵肾并膀胱经中有寒，肺气元气不足者，皆宜服之，神验。于月生、月满时，隔三五日一服。
如病急，不拘时候。
益智和中丸 季秋合，治心腹中大痛，烦躁，冷汗自出。
草蔻仁（四钱） 益智仁（一钱三分） 砂仁（七分） 甘草（炙，二钱半） 黄 当归身
人参 干姜 麦门冬 曲末 陈皮（各五分） 桂枝 桂花（各一钱半） 大麦 （炒，三钱半）
黄连（一钱） 生地（一钱） 姜黄（三分） 木香（二分）
上为细末，汤浸蒸饼为丸，如桐子大。每服二三十九，温水送下。细嚼亦得。
温胃汤 治服寒药多，致脾胃虚弱，胃脘痛。
白豆蔻（三分） 益智 砂仁 甘草（二分） 姜黄（各二分） 陈皮（七分） 泽泻（三分）
黄（七分） 干姜（二分） 浓朴（二分） 人参（三分）
上为细末。每服三钱，水一盏，煎至半盏，食前温服。
〔丹〕里成人，年二十五岁，肚痛二个月，食少，面微寒。
白术 陈皮 青皮（各半两） 川芎 白芍 半夏（各三钱） 苍术 官桂 归身尾 甘草（炙）
木通（各一钱）
分七帖，姜二片煎，下保和九二十粒。
一老人，腹痛作隔，不禁下者。
川芎 苍术 香附 白芷 茯苓 干姜 滑石
上八方，皆治中寒、虚寒腹痛也。
〔垣〕术桂汤 治寒湿所客，身体沉重，胃脘痛，面色痞黄。
麻黄（一钱） 桂技（五分） 杏仁（十个） 草蔻仁 半夏 泽泻 炒曲（各五分） 苍术（三钱）
陈皮（一钱） 白茯苓（一钱） 猪苓（五分） 黄 （各五分） 甘草（二分，炙）
上 咀，水二大盏，煎至一盏，去渣，稍热服，食前。
麻黄草豆蔻丸 季秋合，治客寒犯胃，心胃大痛不可忍者。
麻黄（去节，二钱） 草豆蔻 炒曲（各一钱） 益智（八分） 升麻 大麦曲 砂仁 黄 半夏（汤泡）
白术 陈皮（各五分，去白） 柴
胡甘草（炙） 吴茱萸 当归身 青皮 木香 浓朴（各二钱） 荜澄茄 红花 苏木（各五分）
上为末，汤浸蒸饼为丸，如桐子大。每服三五十丸，细嚼，温水送下。
浓朴汤 治脾胃虚寒，心腹满；及秋冬客寒犯胃，时作疼痛。
浓朴（姜制） 陈皮（去白，二两） 甘草（炙） 干姜（各五钱） 茯苓（去皮一两）
戊火已衰，不能运化，又加客气，聚为满痛。散以辛热，佐以苦甘温，以淡泄之，扶持胃气，以期平也。
〔罗〕高良姜汤 治心腹绞痛如刺，两胁支满不可忍。
高良姜（五钱） 浓朴（姜制） 当归（炒） 桂心（各二钱）
上 咀，以水一升，煮取四合，分二服。若一服痛止便停，不须更服。若强人分二服，劣人分三服，增损
之。
〔《本》〕治心脾痛神效。荔枝核为末，每服一钱，热醋汤调下。
〔仲〕四逆汤 真武汤 附子汤（以上三方并见伤寒。）
腹中寒气，雷鸣切痛，胸膈逆满，呕吐，附子粳米汤主之。
附子（一个，炮） 半夏（五分） 甘草（半两） 大枣（十个） 粳米（半升）
上五味，以水八升，煮米熟用汤，或去渣温服一升，日三服。
〔罗〕益智散 治伤寒阴盛，心腹痞满，呕逆泻利，手足厥逆，及一切冷气攻心，胁脐腹胀满绞痛。
川乌（炮，去皮脐，四两） 益智（去皮） 干姜（炮） 青皮（去白。各一两）
上为细末。每服三钱，水二盏，生姜三片，枣二枚劈破，同煎至八分，去渣温服，食前。
〔《本》〕又方 治胸满气噫，下部冷，脐腹 痛。
半夏（二两，制） 生姜（六两） 陈皮（四两，去白） 桂（一两） 吴茱萸（五十粒，汤洗泡）
上 咀，用水十升，煮取四升，分五服，冷再服，空心食前服。予少年时，曾患脐 腹痛，初不疑其虚，
遍服诸家药无效，遂自诊之，觉是虚症，合此药一剂，服未至半剂，顿愈。
〔海〕正阳散 回阳丹 当归四逆汤（以上三方方见伤寒。）
〔罗〕葱熨治验《内经》云∶寒气客于小肠膜原之间，络血之中，血泣而不得注于大经，血气稽留不得
行，故宿昔而成积矣。又寒气客于肠胃，厥逆上出，故痛而呕也。诸寒作痛，得炅则痛立止。真定一秀士，年
三十一，肌体本弱，左胁下有积气，不敢食冷物，觉寒则痛，或呕吐清水，眩运欲倒，目不敢开，恶人烦冗。
静卧一二日及服辛热之药则病退。延至至元甲戌秋初，因劳役及食冷物，其病大作，腹痛不止，冷汗自出，四
肢厥冷，口鼻气亦冷，面色青黄不泽，全不得卧，扶几而坐，咳嗽，咽膈不利。予与药服之，见药则吐，药不
得入，无如之何，遂以熟艾约半斤，用白纸一张铺于腹上，纸上摊艾令匀，又以憨葱数枝批作两半片，铺于熟
艾上，再用白纸一张覆之，以慢火熨斗熨之，冷则易之，觉腹中热，腹皮暖不禁，以帛三搭，多缝带系之，待
冷方解。初熨时，得暖则痛减，大暖则痛止，至夜得睡。翌日，再与对证药服之，良愈。故立此熨法，以救将
来之痛也。
〔海〕夏腹痛，肌热，恶热，脉洪疾，手太阴、足阳明主之。芍药黄芩汤治腹痛，脉洪数。（方见下滞下。）
〔丹〕妇人肚坠痛，不泄，脉不数。
陈皮 地黄 芍药（二钱） 黄芩 木通 归尾（一钱） 甘草（炙些） 桃仁（二十四个）
〔《经》〕卒患腹痛。水研山豆根汁半盏服之。
五灵脂汤 治中暑，肚腹疼不已。
五灵脂 香附（各等分）
上为末，白汤调服。
腹痛，或大便利，或用手重按痛处，不痛者为虚，治法并于寒条选用之。或无寒者，如下方。
芍药甘草汤 芍药、甘草治腹痛，稼穑作甘，甘者己也，曲直作酸，酸者甲也，甲己化土，此仲景妙方也。
芍药（二两） 甘草（一两）
上 咀。每服五钱，水煎服。海藏云∶白收而赤散也，酸以收之，甘以锾之。
〔海〕肚腹痛者，芍药甘草汤主之。
黄疸日久转变为黑疸，表现为身体发黄、额头发黑，或者全身和面部都发黄。如果身体不黄，只有口唇和面部发黑，应在章门穴进行治疗。（《针灸经》记载：神门穴也能治疗黄疸。）
〔张仲景〕酒疸经过攻下治疗后，日久转变为黑疸，出现眼睛周围发青、面色发黑，心中感觉像吃了大蒜后的辛辣灼痛感，大便颜色纯黑，皮肤麻木不知痛痒，脉象浮而无力，虽然面色发黑但隐约可见黄色，据此可以判断是黑疸。患有黄疸病的人，通常在傍晚时分发热，却反而怕冷，这是女劳疸（因房劳过度所致）引起的。膀胱拘急，少腹部胀满，全身发黄，额头发黑，脚心发热，因此形成黑疸。如果腹胀得像水臌一样，大便黑色，有时稀溏，这是女劳疸的病证，不是水臌。如果腹部胀满严重的，难以治疗。用硝石散主治。
硝石、矾石（烧制，各等分）
将上述药物研成细末，混合均匀。用大麦面粥调服一方寸匕的药量，每日服用三次。病情会随着大小便排出体外，小便排出黄色液体，大便排出黑色物质，这就是见效的征候。
〔《圣济总录》〕治疗黑疸大多预后不良，应当紧急治疗。使用土瓜根一斤，捣碎后绞取汁液六合，一次性服用。应当会有黄色水液随小便排出，继续服用。
面部浮肿，脊背疼痛不能直立，肤色发黑，多汗且怕风的，属于风邪致病。（治疗方法见诸风门。）
〔李东垣〕心胃痛以及腹中各种疼痛，都是因为劳累过度，饮食不节制，导致中气不足，寒邪乘虚侵入体内，所以突然发生剧烈疼痛。医经说遇到热则疼痛停止。“炅”就是热的意思。用热法治疗寒邪，是正确的治法。然而腹痛有具体的部位，脏腑有高下之分，治疗者也应当加以区分。比如厥心痛，是寒邪客居在心包络。前人用良姜、石菖蒲等大辛大热的药研成末，用酒调服，疼痛立刻停止，这是直接折服寒邪的方法。真心痛，是寒邪伤害了心君，手足青紫达到关节，严重时早晨发病晚上死亡，晚上发病早晨死亡。中脘部疼痛，属于太阴脾经病变，用理中汤、建中汤、草豆蔻丸等主治。脐周疼痛，属于少阴肾经病变，用四逆汤、姜附御寒汤等主治。少腹部疼痛，属于厥阴肝经病变，用正阳散、回阳丹、当归四逆汤等主治。杂症引起的疼痛，用苦楝汤、酒煮当归丸、丁香楝实丸等主治。这是根据疼痛部位的高下来治疗的。还要沿着各个脏腑对应的穴位进行艾灸和针刺。比如厥心痛，疼痛像针刺心脏一样，严重的涉及脾脏疼痛，取然谷穴、太溪穴治疗，其他脏腑的疼痛也类似处理。如果腹中不和而疼痛，用甘草芍药汤主治。如果伤寒误用下法，传入太阴导致腹部胀满疼痛，用桂枝加芍药汤主治。疼痛剧烈的，用桂枝加大黄汤主治。夏季肌肤发热、怕热，脉象洪大而快速并伴有疼痛的，用黄芩芍药汤主治。又有各种虫积引起的疼痛，比如心腹烦闷作痛，痛处上下移动，疼痛有休止时间，腹部发热且容易口渴，流口水，面色忽青忽白忽红，呕吐清水的，是蛔虫咬噬所致。用手紧紧按住并保持不动，不让虫体逃脱，用针刺入，长时间保持，虫子不动后，再拔出针。或者使用《局方》中的化虫丸及各类驱虫药，根据患者虚实情况斟酌使用，不能一概而论。
〔王好古〕秋季腹痛，肌肤寒冷、怕冷，脉象沉微，由足太阴脾经、足少阴肾经病变引起，用桂枝芍药汤治疗。中脘部疼痛，属于太阴，用理中汤、建中汤、黄芪建中汤等主治。脐周疼痛，属于少阴，用四逆汤、真武汤、附子汤等主治。小腹部疼痛，属于厥阴，重的用正阳散、回阳丹等，轻的用当归四逆汤等。太阴病传变至少阴，疼痛剧烈的，应当转变为下利然后停止。
〔张仲景〕虚劳导致的腹部拘急疼痛，用小建中汤主治。（方剂见伤寒篇。）
〔罗天益〕肝木旺盛克制脾土的案例：真定路总管刘仲美，年龄超过六十岁，有脾胃虚热的症状。至元辛巳年闰八月初，天气阴冷，因为公务劳累，口渴喝了冷水，半夜腹泻两次。清晨我诊视，脉象弦细而微弱，四肢冰冷，手心寒冷，嘴唇和舌头都呈青褐色，腹中轻微疼痛，气短不想吃东西。我想《内经》说：面色青的是肝病，肝属木。嘴唇代表脾，脾属土。木克土，所以青色出现在嘴唇上。《难经》也说：看到肝病的表现，就知道肝病会传变到脾，所以首先要补益脾气，使脾不受肝邪侵害。洁古先师说：假如五脏各自运行其胜气，侮弄其所不胜之气，应当着重补益所不胜之气，轻微泻除其胜气，用黄芪建中汤加芍药附子汤主治。而且芍药味酸，能泻肝木，轻微泻除其胜气。黄芪、甘草味甘性温，能补益脾土，都是着重补益其胜气。桂枝、附子味辛性热，能治疗寒水，又助阳退阴。饴糖味甘性温，能补脾之不足。肝苦急，急食甘味以缓急。生姜、大枣味辛甘性大温，能生发脾胃之气，升腾清气，运行营卫，能缓解拘急。每服一两，按照方法煎服，再服一次就好了。黄芪建中汤倍用芍药，根据虚实情况加入附子。（本方见治虚实法章节。）
〔李东垣〕草豆蔻丸 治疗脾胃虚弱而心火乘袭，不能滋养上焦元气，遇到冬季肾与膀胱寒水旺盛之时，子能令母实，导致肺金大肠相辅而来克制心火、乘袭脾胃，这是大复气（报复之气）的表现。医经说：大胜必有大复。所以皮毛、血脉、分肉之间，元气已在体表衰竭，又大寒大燥二气同时乘袭，就会厌恶风寒，耳鸣以及腰背牵引胸中疼痛，鼻息不通，闻不到香臭，额头寒冷脑痛，眼睛时常眩晕，不想睁开，腹中为寒水反乘，痰唾涎沫，食物吃进去反吐出来，腹中常痛及心胃痛，胁下拘急收缩，有时疼痛，腹部不能用力，大便多泄泻而少便秘，排气不止或肠鸣，这是脾胃虚弱到了极点。胸中气机紊乱，心烦不安，成为霍乱的先兆。膈咽不通，噎塞，极严重时发出声音，喘喝闭塞，或者在向阳处或暖房内稍缓解，吸入风寒则再次发作，四肢厥冷，身体沉重不能转身，不可回头，小便频数且时而烦躁。此药主治秋冬寒凉的大复气病症。
草豆蔻仁（一钱四分，面粉包裹，煨熟，去皮） 吴茱萸（八分，热水洗，焙干） 益智仁（八分） 陈皮（八分）
白僵蚕（一钱） 甘草（炙，六分） 桃仁（去皮尖，七分） 青皮（六分） 泽泻（一分，小便频数减半）
黄芪（八分） 半夏（一钱，热水泡七次） 人参（八分） 麦冬（一钱半，炒） 神曲（四分） 姜黄（四分）
当归身（六分） 柴胡（四分）
以上十七味药，共同研成细末；桃仁单独研如泥状，再与其他药混合研匀。用汤浸蒸饼做成丸药，如梧桐子大。每次服用三五十丸，白开水送下，随时斟酌剂量。
神圣复气汤 治疗复气乘袭冬季足太阳寒气、足少阴肾水旺盛之时，子能令母实，手太阴肺实反过来侮弄脾土，火木受邪，腰、背、胸膈闭塞疼痛，爱打喷嚏，口中流涎，眼中流泪，鼻中流浊涕不止，或有息肉闻不到香臭，咳嗽痰沫，上身热如火，下身寒如水，头部阵发性疼痛，眼中似有火光，视物模糊不清，耳鸣耳聋，头及口鼻或恶风寒，喜欢阳光，夜间睡眠不安，常觉得痰塞，膈咽不通，口无味，两胁收缩急迫而痛，牙齿动摇不能咀嚼，腰、脐间及尾骶臀部、膝、足寒冷，阴部出汗，前阴寒冷，行走歪斜，起居艰难，手掌寒冷，风痹麻木，小便频数且白天多夜间少，气短喘喝，气短不足以呼吸，突然遗屎失禁。
妇女白带，阴户中大痛牵引心脏疼痛，面色黧黑失色；男子睾丸牵引心脏，隐隐作痛，面色如赭石色，食量少，大小便不调，心烦霍乱，气逆里急，腹皮色白，后出余气，腹部不能用力，或肠鸣，膝下筋脉拘急，肩胛大痛，这都是寒水来报复火土之仇的表现。
干姜（炮制，三分） 人参（五分） 半夏（热水泡，七分） 柴胡（一钱） 藁本（八分） 防风（五分）
羌活（一钱） 甘草（八分） 升麻（七分） 白葵花（五朵，去心） 归身(六分，酒洗，浸泡） 黑附子（三分，
炮制，去皮脐） 桃仁（热水浸，去皮，五分，研碎） 郁李仁（热水浸，去皮，五分）
以上为一服，用水五盏，煎至二盏，加入
黄芪（一钱） 草豆蔻（一钱，面粉煨熟去皮称量） 陈皮（五分）
以上药物放入内，再煎至一盏，再加入以下药物
黄柏（五分，酒浸） 黄连（三分，酒浸） 枳壳（三分） 生地（二分，酒洗）
以上四味药，预先一天另用新水浸泡。接着加入
细辛（二分） 川芎（三分） 蔓荆子（三分）
预先一天用水半大盏，分成两处浸泡，这三味药连同黄柏等药，与前主药共一大盏，不去渣，加入这些浸泡过的药，再上火煎至一大盏，去渣，稍热服用，空腹。又能治疗咬颊、咬唇、咬舌、舌根强硬等症状，效果神奇。忌食肉汤及肉类，以免助长经络中的火邪。大抵肾并膀胱经中有寒，肺气元气不足的，都适宜服用，神验。在月亮初生、月圆时，隔三五日服用一次。如果病情紧急，不拘泥于时候。
益智和中丸 季秋时节配制，治疗心腹中大痛，烦躁，冷汗自出。
草蔻仁（四钱） 益智仁（一钱三分） 砂仁（七分） 甘草（炙，二钱半） 黄芪 当归身
人参 干姜 麦门冬 神曲末 陈皮（各五分） 桂枝 桂花（各一钱半） 大麦 （炒，三钱半）
黄连（一钱） 生地（一钱） 姜黄（三分） 木香（二分）
以上研成细末，用汤浸蒸饼做成丸药，如梧桐子大。每次服用二三十九丸，温水送下。细细咀嚼也可以。
温胃汤 治疗服用寒药过多，导致脾胃虚弱，胃脘痛。
白豆蔻（三分） 益智 砂仁 甘草（二分） 姜黄（各二分） 陈皮（七分） 泽泻（三分）
黄芪（七分） 干姜（二分） 厚朴（二分） 人参（三分）
以上研成细末。每次服用三钱，水一盏，煎至半盏，饭前温服。
〔朱丹溪〕里成人，年龄二十五岁，肚痛两个月，食量少，面色微寒。
白术 陈皮 青皮（各半两） 川芎 白芍 半夏（各三钱） 苍术 官桂 归身尾 甘草（炙）
木通（各一钱）
分为七帖，加生姜两片煎煮，送服保和丸二十粒。
一位老人，腹痛伴有隔拒（呕吐），不耐受泻下药。
川芎 苍术 香附 白芷 茯苓 干姜 滑石
以上八方，都是治疗中寒、虚寒腹痛的。
〔李东垣〕术桂汤 治疗寒湿客居，身体沉重，胃脘痛，面色晦暗发黄。
麻黄（一钱） 桂枝（五分） 杏仁（十个） 草蔻仁 半夏 泽泻 炒曲（各五分） 苍术（三钱）
陈皮（一钱） 白茯苓（一钱） 猪苓（五分） 黄芪（各五分） 甘草（二分，炙）
以上切碎，用水两大盏，煎至一盏，去渣，稍热服用，饭前。
麻黄草豆蔻丸 季秋时节配制，治疗客寒犯胃，心胃大痛不可忍受。
麻黄（去节，二钱） 草豆蔻 炒曲（各一钱） 益智（八分） 升麻 大麦曲 砂仁 黄芪 半夏（热水泡）
白术 陈皮（各五分，去白） 柴胡 甘草（炙） 吴茱萸 当归身 青皮 木香 厚朴（各二钱） 荜澄茄 红花 苏木（各五分）
以上研成末，用汤浸蒸饼做成丸药，如梧桐子大。每次服用三五十丸，细细咀嚼，温水送下。
厚朴汤 治疗脾胃虚寒，心腹满；以及秋冬客寒犯胃，时常疼痛。
厚朴（姜制） 陈皮（去白，二两） 甘草（炙） 干姜（各五钱） 茯苓（去皮一两）
戊火已衰，不能运化，又加客气，聚集成满痛。用辛热药发散，佐以苦甘温药，以淡味渗泄，扶持胃气，以期平衡。
〔罗天益〕高良姜汤 治疗心腹绞痛如针刺，两胁支撑胀满不可忍受。
高良姜（五钱） 厚朴（姜制） 当归（炒） 桂心（各二钱）
以上切碎，用水一升，煮取四合，分两次服用。如果一次服药疼痛停止就停药，不需要再服。如果是强壮人分两次服，体弱者分三次服，增减剂量。
〔《本草》〕治疗心脾痛神效。荔枝核研成末，每次服用一钱，热醋汤调下。
腹中寒气，肠鸣切痛，胸膈逆满，呕吐，用附子粳米汤主治。
附子（一个，炮制） 半夏（五分） 甘草（半两） 大枣（十个） 粳米（半升）
以上五味药，用水八升，煮米熟后用汤，或去渣温服一升，每日三次。
〔罗天益〕益智散 治疗伤寒阴盛，心腹痞满，呕逆泻利，手足厥逆，及一切冷气攻心，胁脐腹胀满绞痛。
川乌（炮制，去皮脐，四两） 益智（去皮） 干姜（炮制） 青皮（去白。各一两）
以上研成细末。每次服用三钱，水二盏，生姜三片，枣二枚劈破，同煎至八分，去渣温服，饭前。
〔《本草》〕又一方 治疗胸满气噫，下部冷，脐腹疼痛。
半夏（二两，制） 生姜（六两） 陈皮（四两，去白） 桂（一两） 吴茱萸（五十粒，热水洗泡）
以上切碎，用水十升，煮取四升，分五次服用，冷服或再服，空腹饭前服用。我年轻时，曾患脐腹疼痛，起初不怀疑是虚证，遍服各家药物无效，于是自己诊察，觉得是虚证，配制此药一剂，服用不到半剂，顿时痊愈。
〔王好古〕正阳散 回阳丹 当归四逆汤（以上三方方见伤寒篇。）
〔罗天益〕葱熨治验 《内经》说：寒气客居在小肠膜原之间，络血之中，血液凝涩而不能注入大经，气血滞留不能运行，所以过一段时间就形成积块。又寒气客居肠胃，厥逆向上溢出，所以疼痛而呕吐。各种寒邪引起的疼痛，遇到热则疼痛立刻停止。真定有一位秀才，年龄三十一岁，体质本来虚弱，左胁下有积气，不敢吃冷物，觉得冷就痛，有时呕吐清水，眩晕欲倒，眼睛不敢睁开，怕人烦扰。静卧一二天及服用辛热药物则病情减退。延至至元甲戌年初秋，因为劳累及吃冷物，病情大作，腹痛不止，冷汗自出，四肢厥冷，口鼻气息也冷，面色青黄无光泽，完全不能躺卧，扶着几案坐着，咳嗽，咽膈不利。我给他药服用，见到药就吐，药进不去，无可奈何，于是用熟艾约半斤，用白纸一张铺在腹部上，纸上摊开艾绒使其均匀，又以大葱数枝剖成两半片，铺在熟艾上，再用白纸一张覆盖，用慢火熨斗熨烫，冷了则更换，觉得腹中热，腹皮温暖不禁受，用帛布三搭，多缝带系住，待冷才解开。刚开始熨时，得到温暖则疼痛减轻，大暖则疼痛停止，到夜里能睡觉。第二天，再给予对症药物服用，痊愈。所以确立此熨法，以救将来的痛苦。
〔王好古〕夏季腹痛，肌肤发热，怕热，脉象洪大快速，由手太阴肺经、足阳明胃经病变引起。芍药黄芩汤治疗腹痛，脉象洪数。（方剂见下滞下篇。）
〔朱丹溪〕妇人肚坠痛，不腹泻，脉象不数。
陈皮 地黄 芍药（二钱） 黄芩 木通 归尾（一钱） 甘草（炙少许） 桃仁（二十四个）
五灵脂汤 治疗中暑，肚腹疼痛不已。
五灵脂 香附（各等分）
以上研成末，白开水调服。
腹痛，或者大便通畅，或者用手重按痛处，不痛的为虚证，治法都在寒条中选用。如果没有寒邪的，如下方。
芍药甘草汤 芍药、甘草治疗腹痛，稼穑作甘，甘者己也，曲直作酸，酸者甲也，甲己化土，这是张仲景的妙方。
芍药（二两） 甘草（一两）
以上切碎。每次服用五钱，水煎服。海藏说：白色收敛而红色发散，酸以收敛之，甘以缓之。
Jaundice, if it persists for a long time, transforms into Black Jaundice (Hei Dan), characterized by yellowing of the body and blackening of the forehead, or yellowing of both the body and face. If the body is not yellow but only the mouth and face are black, treatment should focus on the Zhangmen point (LR13). (The *Zhenjiu Jing* states: Shenmen (HT7) also treats jaundice.)
[Zhang Zhongjing] When Wine Jaundice (Jiu Dan) is treated with purgatives, it may transform into Black Jaundice after a long period. Symptoms include bluish-black discoloration around the eyes and face, a sensation in the heart region as if garlic had been consumed, pure black stool, and skin that feels numb to scratching. The pulse is floating and weak. Although the complexion is black, a faint yellow hue remains, which allows for diagnosis. Patients with Jaundice typically experience fever at dusk but paradoxically feel aversion to cold; this is caused by Female Labor Jaundice (Nv Lao De Zhi - jaundice due to sexual exhaustion). There is urgency in the bladder, fullness in the lower abdomen, yellowing of the entire body, blackening of the forehead, and heat in the soles of the feet, leading to Black Jaundice. If abdominal distension resembles water accumulation (ascites), with black stool and occasional loose stools, this is a disease of Female Labor Jaundice, not water retention. Abdominal fullness indicates a difficult-to-treat condition. It is treated with Xiaoshi San (Niter Powder).
Xiaoshi (Niter), Fanshi (Alum) (calcined, equal parts)
Grind into a fine powder and mix evenly. Take one fangcun bi (a square-inch measure) mixed with barley porridge, three times daily. As the disease resolves, pathogens will exit via urine and stool: yellow fluid in urine and black matter in stool indicate efficacy.
*[Shengji Zonglu]* Black Jaundice often has a poor prognosis and requires urgent treatment. Use one jin of Tugua Gen (Trichosanthes kirilowii root), crush it, extract six he of juice, and take it in one dose. Yellowish water should appear in the urine; continue administration.
Facial edema, back pain preventing upright posture, dark complexion, excessive sweating, and aversion to wind belong to Wind pathogen patterns. (Treatment see Chapter on Various Winds.)
[Zhu Danxi] Abdominal pain can be caused by Cold, Accumulated Heat, Dead Blood, Food Stagnation, or Damp-Phlegm.
[Li Dongyuan] Heart and stomach pain, as well as various pains in the abdomen, arise from excessive labor, irregular diet, deficiency of Middle Qi, allowing Cold Evil to invade when defenses are low, causing sudden severe pain. The Classics state that pain ceases upon receiving heat ("Jiong" means heat). Treating cold with heat is the correct approach. However, abdominal pain has specific locations, and organs have high and low positions; thus, treatment must be differentiated. For example, Jue Xin Tong (Jue-type Heart Pain) is caused by Cold Evil lodging in the Pericardium Meridian. Ancients used Liangjiang (Galangal Rhizome) and Changpu (Acorus Rhizome), both large acrid-hot herbs, ground into powder and taken with wine, stopping pain immediately; this directly subdues the pathogen. Zhen Xin Tong (True Heart Pain) occurs when Cold Evil injures the Heart Monarch; hands and feet turn cyan up to the joints, and death may occur within hours (morning onset leads to evening death, evening onset leads to morning death). Pain in the Zhongwan region belongs to the Taiyin (Spleen); treat with Lizhong Tang (Regulate the Middle Decoction), Jianzhong Tang (Establish the Middle Decoction), or Caodoukou Wan (Cardamom Pill). Pain around the umbilicus belongs to Shaoyin (Kidney); treat with Sini Tang (Reverse the Yin Decoction) or Jiangfu Yuhan Tang (Ginger and Aconite Cold-Repellent Decoction). Pain in the Lower Abdomen belongs to Jueyin (Liver); treat with Zhengyang San (Upright Yang Powder), Huiyang Dan (Return Yang Pill), or Danggui Sini Tang (Angelica Sinensis Reverse the Yin Decoction). Pain from miscellaneous diseases is treated with Koushen Tang (Melia Decoction), Jiuzhu Danggui Wan (Wine-Boiled Angelica Pill), or Dingxiang Lianshi Wan (Clove Melia Seed Pill). This follows the principle of treating based on location. Additionally, moxibustion and acupuncture should be applied to the Shu points corresponding to each organ. For Jue Xin Tong, where pain feels like needle insertion into the heart, involving severe Spleen pain, select Ran Gu (KI2) and Taixi (KI3); other organs follow similar principles. For disharmony in the abdomen causing pain, use Gancao Shaoyao Tang (Licorice and Peony Decoction). If Taiyang Exogenous Disease is mistakenly purged, transmitting to Taiyin causing abdominal fullness and pain, use Guizhi Jia Shaoyao Tang (Cinnamon Twig Plus Peony Decoction). For severe pain, use Guizhi Jia Dahuang Tang (Cinnamon Twig Plus Rhubarb Decoction). In summer, if there is muscle heat, aversion to heat, rapid and surging pulse with pain, use Huangqin Shaoyao Tang (Scutellaria and Peony Decoction). For pain caused by parasites, such as mental restlessness and abdominal pain moving up and down, with intervals of relief, abdominal heat, thirst, salivation, alternating blue/white/red facial color, and vomiting clear fluid, this is Ascaris biting. Press firmly and hold still to prevent movement, insert a needle, keep it in until the parasite stops moving, then remove. Alternatively, use Huachong Wan (Parasite-Dissolving Pill) from the *Ju Fang* or other anti-parasitic drugs, adjusted for deficiency or excess; do not treat uniformly.
[Wang Haogu] Autumn abdominal pain with cold muscles, aversion to cold, and deep-micro pulse involves Foot Taiyin and Foot Shaoyin meridians; treat with Guizhi Shaoyao Tang. Zhongwan pain belongs to Taiyin; treat with Lizhong Tang, Jianzhong Tang, or Huangqi Jianzhong Tang. Umbilical pain belongs to Shaoyin; treat with Sini Tang, Zhenwu Tang, or Fuzi Tang. Lower abdominal pain belongs to Jueyin; severe cases use Zhengyang San or Huiyang Dan, mild cases use Danggui Sini Tang. If Taiyin transmits to Shaoyin with severe pain, it should transform into diarrhea and stop.
[Zhang Zhongjing] For deficiency consumptive disorders with internal tension and abdominal pain, use Xiao Jianzhong Tang (Minor Establish the Middle Decoction). (Formula see Exogenous Disease chapter.)
[Luo Tianyi] Case of Liver Overacting on Spleen: Liu Zhongmei, Administrator of Zhending Road, over sixty years old, presented with Spleen-Stomach deficiency heat. In the leap eighth month of Xinsi year, during cold weather, due to official duties and labor, he drank cold water when thirsty and suffered two episodes of diarrhea at midnight. At dawn, I examined him: pulse was string-thin and micro, limbs cold, palms cold, lips and tongue cyan-brown, slight abdominal pain, shortness of breath, and anorexia. I recalled the *Neijing*: "Blue color indicates Liver; Liver belongs to Wood. Lips represent Spleen; Spleen belongs to Earth. Wood conquers Earth, hence blue appears on lips." The *Nanjing* also states: "Seeing Liver disease, know it will transmit to Spleen; therefore, first strengthen Spleen Qi to prevent Liver evil invasion." Master Jiegu said: "If organs act with their conquering qi and insult the unconquerable, heavily tonify the unconquerable and slightly drain the conquering." Treat with Huangqi Jianzhong Tang plus Shaoyao and Fuzi. Shaoyao is sour to drain Liver Wood slightly. Huangqi and Gancao are sweet-warm to tonify Spleen Earth heavily. Guizhi and Fuzi are acrid-hot to treat Cold Water, assist Yang, and retreat Yin. Yitang is sweet-warm to tonify Spleen deficiency. "Liver suffers from tension; eat sweet to relax." Ginger and Jujube are acrid-sweet and greatly warm to generate Spleen-Stomach Qi, ascend clear Yang, circulate Ying and Wei, and relieve tension. Take one liang per dose, decoct according to method, and cure after two doses. Huangqi Jianzhong Tang doubles Shaoyao; add Fuzi based on deficiency/excess. (See Treatment of Deficiency/Excess chapter.)
[Zhang Zhongjing] Lizhong Tang (Formula see Exogenous Disease Shaoyin chapter.)
[Li Dongyuan] Caodoukou Wan (Cardamom Pill) treats Spleen-Stomach deficiency with Heart Fire overacting, failing to nourish Upper Jiao Yuan Qi. In winter, when Kidney and Bladder Cold Water are prosperous, "Child makes Mother solid," causing Lung Metal and Large Intestine to assist in attacking Heart Fire and invading Spleen-Stomach, representing a major retaliatory Qi (Fu Qi). The Classics say: "Great victory leads to great retaliation." Thus, Yuan Qi is exhausted in skin, blood vessels, and muscles; combined with Great Cold and Great Dryness, symptoms include aversion to wind/cold, tinnitus, waist/back pulling chest pain, nasal congestion, loss of smell, cold forehead/headache, dizziness, desire to keep eyes closed, Cold Water counter-attacking in abdomen with phlegm/saliva, regurgitation, constant abdominal/stomach pain, hypochondriac tightness, inability to strain, frequent diarrhea/infrequent constipation, continuous flatulence/borborygmus. This is extreme Spleen-Stomach deficiency. Chest Qi chaos, irritability, precursor to Huoluan (Cholera-like disorder). Throat blockage, dysphagia, loud breathing, obstruction, relief in sun/warm rooms, recurrence with wind/cold, limb coldness, heavy body unable to turn, difficulty rising, frequent urination with restlessness. This medicine treats autumn/winter Cold Fu Qi.
Caodoukou Ren (Cardamom Seed, 1 qian 4 fen, wrapped in flour, roasted, peeled) Wuzhuyu (Evodia Fruit, 8 fen, washed in hot water, dried) Yizhiren (Bitter Apricot Seed, 8 fen) Chenpi (Tangerine Peel, 8 fen)
Baijiangcan (Stiff Silkworm, 1 qian) Gancao (Licorice Root, honey-fried, 6 fen) Taoren (Peach Kernel, peeled/split, 7 fen) Qingpi (Green Tangerine Peel, 6 fen) Zexie (Alisma, 1 fen, halve if frequent urination)
Huangqi (Astragalus Root, 8 fen) Banxia (Pinellia Tuber, 1 qian, soaked 7 times in hot water) Renshen (Ginseng Root, 8 fen) Maidong (Ophiopogon Tuber, 1.5 qian, fried) Shenqu (Medicated Leaven, 4 fen) Jianghuang (Turmeric Rhizome, 4 fen)
Dangguishen (Angelica Body, 6 fen) Chaihu (Bupleurum Root, 4 fen)
Seventeen ingredients, finely powdered. Taoren separately ground to paste, then mixed. Form pills with steamed dough soaked in soup, size of paulownia seeds. Take 30-50 pills with white water, adjusting dosage.
Shensheng Fuqi Tang (Divine Holy Restoring Qi Decoction) treats Fu Qi invading during Winter when Foot Taiyang Cold and Foot Shaoyin Kidney Water are strong. Child makes Mother solid, Hand Taiyin Lung becomes excessive and insults Earth, injuring Fire/Wood. Symptoms: waist/back/chest oppression/pain, sneezing, salivation, tearing, turbid nasal discharge, polyps losing smell, cough with sputum, upper heat like fire, lower cold like water, paroxysmal headache, eyes flowing fire, blurred vision, tinnitus/deafness, head/nose/mouth aversion to wind/cold, preference for sun, restless sleep, feeling of phlegm obstruction, throat blockage, tastelessness, hypochondriac tightness/pain, loose teeth, cold waist/navel/sacrum/buttocks/knees/feet, genital sweating/cold, limping, difficulty moving, cold palms, wind-bi numbness, frequent urination (day more/night less), shortness of breath, sudden fecal incontinence.
Women: leukorrhea, severe genital pain radiating to heart, dark complexion. Men: testicular pain radiating to heart, dull pain, ochre complexion, anorexia, bowel/bladder dysfunction, irritability, Huoluan, rebellious Qi, internal tension, pale abdominal skin, residual gas, inability to strain, borborygmus, knee tendon tightness, scapular pain. These are all Cold Water retaliating against Fire/Earth.
Ganjiang (Dry Ginger, roasted, 3 fen) Renshen (Ginseng, 5 fen) Banxia (Pinellia, 7 fen, hot water soak) Chaihu (Bupleurum, 1 qian) Bencao (Ligusticum Rhizome, 8 fen) Fangfeng (Saposhnikovia Root, 5 fen)
Qianghuo (Notopterygium Rhizome, 1 qian) Gancao (Licorice, 8 fen) Shengma (Cimicifuga Rhizome, 7 fen) Bai Kuihua (White Sunflower Head, 5 flowers, remove center) Guishen (Angelica Body, 6 fen, wine wash/soak) Hei Fuzi (Black Aconite, 3 fen, roasted, peel/navel removed) Taoren (Peach Kernel, 5 fen, soaked/peeled/grinded) Yuliren (Bush Cherry Kernel, 5 fen, soaked/peeled)
One dose, five cups water, boil to two cups. Add
Huangqi (Astragalus, 1 qian) Caodoukou (Cardamom, 1 qian, flour-roasted/peeled) Chenpi (Tangerine Peel, 5 fen)
Boil again to one cup. Add next items
Huangbai (Phellodendron Bark, 5 fen, wine soak) Huanglian (Coptis Rhizome, 3 fen, wine soak) Zhike (Bitter Orange Fruit, 3 fen) Shengdi (Rehmannia Root, 2 fen, wine wash)
These four pre-soaked in new water for one day. Then add
Xixin (Asarum Root, 2 fen) Chuanxiong (Ligusticum Rhizome, 3 fen) Manjingzi (Vittex Seed, 3 fen)
Pre-soaked in half a large cup of water divided into two parts. Combine these soaked herbs with the main decoction (one large cup, unfiltered), add soaked herbs, boil to one large cup, filter, drink warm on empty stomach. Also treats biting cheeks/lips/tongue, stiff tongue root. Avoid meat broth/meat to prevent aiding Fire Evil in meridians. Suitable for Cold in Kidney/Bladder meridians and Lung Qi deficiency. Administer every 3-5 days during waxing/waning moon, or anytime if urgent.
Yizhi Hezhong Wan (Wisdom Harmonizing Middle Pill) prepared in late autumn, treats severe heart/abdominal pain, irritability, spontaneous cold sweat.
Caokouren (Cardamom, 4 qian) Yizhiren (Bitter Apricot, 1.3 qian) Sharen (Amomum Fruit, 7 fen) Gancao (Licorice, honey-fried, 2.5 qian) Huangqi (Astragalus) Dangguishen (Angelica Body)
Renshen (Ginseng) Ganjiang (Dry Ginger) Maimendong (Ophiopogon) Qumoi (Medicated Leaven Powder) Chenpi (Tangerine Peel) (Each 5 fen) Guizhi (Cinnamon Twig) Guihua (Osmanthus Flower) (Each 1.5 qian) Damai (Barley, fried, 3.5 qian)
Huanglian (Coptis, 1 qian) Shengdi (Rehmannia, 1 qian) Jianghuang (Turmeric, 3 fen) Muxiang (Costus Root, 2 fen)
Finely powdered, form pills with steamed dough, paulownia seed size. Take 20-30 pills with warm water, or chew thoroughly.
Wenwei Tang (Warm Stomach Decoction) treats Spleen-Stomach weakness from excessive cold medicine, causing epigastric pain.
Baidoukou (White Cardamom, 3 fen) Yizhi (Bitter Apricot) Sharen (Amomum) Gancao (Licorice, 2 fen) Jianghuang (Turmeric) (Each 2 fen) Chenpi (Tangerine Peel, 7 fen) Zexie (Alisma, 3 fen)
Huangqi (Astragalus, 7 fen) Ganjiang (Dry Ginger, 2 fen) Houpo (Magnolia Bark, 2 fen) Renshen (Ginseng, 3 fen)
Finely powdered. Take 3 qian, one cup water, boil to half cup, warm before meals.
[Zhu Danxi] Adult patient, 25 years old, abdominal pain for two months, low appetite, slightly cold complexion.
Baizhu (Atractylodes Macrocephala Rhizome) Chenpi (Tangerine Peel) Qingpi (Green Tangerine Peel) (Each ban liang) Chuanxiong (Ligusticum Rhizome) Baishao (White Peony Root) Banxia (Pinellia Tuber) (Each 3 qian) Cangzhu (Atractylodes Lancea Rhizome) Guangui (Cassia Bark) Guishenwei (Angelica Body/Tail) Gancao (Licorice, honey-fried)
Mutong (Akebia Stem) (Each 1 qian)
Divide into seven doses, decoct with two ginger slices, take with Baohe Wan (Harmonize and Preserve Pill) 20 pills.
Elderly patient, abdominal pain with obstruction/vomiting, intolerant to purgatives.
Chuanxiong (Ligusticum Rhizome) Cangzhu (Atractylodes Lancea Rhizome) Xiangfu (Cyperus Rhizome) Baizhi (Angelica Dahurica Root) Fuling (Poria) Ganjiang (Dry Ginger) Huashi (Talcum)
The above eight formulas all treat Middle Cold and Deficiency-Cold abdominal pain.
[Li Dongyuan] Shugui Tang (Atractylodes and Cinnamon Decoction) treats Cold-Damp invasion, heavy body, epigastric pain, sallow complexion.
Mahuang (Ephedra Herb, 1 qian) Guizhi (Cinnamon Twig, 5 fen) Xingren (Apricot Seed, 10 pieces) Caodoukou (Cardamom) Banxia (Pinellia Tuber) Zexie (Alisma) Chao Qu (Fried Medicated Leaven) (Each 5 fen) Cangzhu (Atractylodes Lancea Rhizome, 3 qian)
Chenpi (Tangerine Peel, 1 qian) Bai Fuling (Poria, 1 qian) Zhuling (Polyporus, 5 fen) Huangqi (Astragalus) (Each 5 fen) Gancao (Licorice, honey-fried, 2 fen)
Cut into pieces, two large cups water, boil to one cup, filter, drink warm before meals.
Mahuang Caodoukou Wan (Ephedra and Cardamom Pill) prepared in late autumn, treats External Cold invading Stomach, unbearable heart/stomach pain.
Mahuang (Ephedra, de-stemmed, 2 qian) Caodoukou (Cardamom) Chao Qu (Fried Medicated Leaven) (Each 1 qian) Yizhi (Bitter Apricot, 8 fen) Shengma (Cimicifuga Rhizome) Damai Qu (Barley Medicated Leaven) Sharen (Amomum Fruit) Huangqi (Astragalus) Banxia (Pinellia Tuber, hot water soak)
Baizhu (Atractylodes Macrocephala Rhizome) Chenpi (Tangerine Peel, de-white, each 5 fen) Chaihu (Bupleurum Root) Gancao (Licorice, honey-fried) Wuzhuyu (Evodia Fruit) Dangguishen (Angelica Body) Qingpi (Green Tangerine Peel) Muxiang (Costus Root) Houpo (Magnolia Bark) (Each 2 qian) Bichengqie (Long Pepper Fruit) Honghua (Safflower) Sumu (Dragon's Blood Wood) (Each 5 fen)
Powder, form pills with steamed dough, paulownia seed size. Take 30-50 pills, chew thoroughly, swallow with warm water.
Houpo Tang (Magnolia Bark Decoction) treats Spleen-Stomach deficiency-cold, heart/abdominal fullness; and Autumn/Winter External Cold invading Stomach, intermittent pain.
Houpo (Magnolia Bark, ginger-processed) Chenpi (Tangerine Peel, de-white, 2 liang) Gancao (Licorice, honey-fried) Ganjiang (Dry Ginger) (Each 5 qian) Fuling (Poria, peeled, 1 liang)
Fire (Heart/Spleen) is declining, unable to transform/digest; added pathogenic Qi gathers into fullness/pain. Disperse with acrid-hot, assist with bitter-sweet-warm, drain with bland, support Stomach Qi to restore balance.
[Luo Tianyi] Gaoliangjiang Tang (Galangal Rhizome Decoction) treats heart/abdominal stabbing pain, unbearable hypochondriac fullness.
Gaoliangjiang (Galangal Rhizome, 5 qian) Houpo (Magnolia Bark, ginger-processed) Danggui (Angelica Root, fried) Guixin (Cinnamon Bark, each 2 qian)
Cut into pieces, one sheng water, boil to four he, divide into two doses. Stop if pain ceases after one dose. Strong patients take two doses, weak patients three doses, adjust accordingly.
*[Bencao]* Miraculous for Heart-Spleen pain. Lychee seed powder, take 1 qian with hot vinegar water.
[Zhang Zhongjing] Sini Tang (Reverse the Yin Decoction) Zhenwu Tang (True Warrior Decoction) Fuzi Tang (Aconite Decoction) (All three see Exogenous Disease chapter.)
Abdominal Cold Qi, borborygmus and cutting pain, chest/diaphragm rebellion/fullness, vomiting, treated with Fuzi Jingmi Tang (Aconite and Rice Decoction).
Fuzi (Aconite Root, one, roasted) Banxia (Pinellia Tuber, 5 fen) Gancao (Licorice Root, ban liang) Dazao (Jujube, ten pieces) Jingmi (Rice, ban sheng)
Five ingredients, eight sheng water, cook rice until done, strain or drink warm liquid, one sheng per dose, three times daily.
[Luo Tianyi] Yizhi San (Wisdom Powder) treats Exogenous Disease with Yin excess, heart/abdominal stuffiness, vomiting/diarrhea, limb coldness, and all Cold Qi attacking Heart, hypochondriac/navel fullness/cutting pain.
Chuanwu (Chuanwu Root, roasted, peel/navel removed, 4 liang) Yizhi (Bitter Apricot, peeled) Ganjiang (Dry Ginger, roasted) Qingpi (Green Tangerine Peel, de-white, each 1 liang)
Fine powder. Take 3 qian, two cups water, three ginger slices, two jujubes split, boil to 80%, filter, drink warm before meals.
*[Bencao]* Another formula treats chest fullness/belching, lower body cold, umbilical/abdominal pain.
Banxia (Pinellia Tuber, 2 liang, processed) Shengjiang (Fresh Ginger, 6 liang) Chenpi (Tangerine Peel, 4 liang, de-white) Gui (Cinnamon) (1 liang) Wuzhuyu (Evodia Fruit, 50 grains, washed/soaked in hot water)
Cut into pieces, ten sheng water, boil to four sheng, divide into five doses. Drink cold or reheat, before meals on empty stomach. In my youth, I suffered umbilical/abdominal pain, initially doubting deficiency, tried many medicines without success. Self-diagnosed as deficiency, made this prescription. Took less than half a dose and was instantly cured.
[Wang Haogu] Zhengyang San (Upright Yang Powder) Huiyang Dan (Return Yang Pill) Danggui Sini Tang (Angelica Sinensis Reverse the Yin Decoction) (All three see Exogenous Disease chapter.)
[Luo Tianyi] Congyi (Scallion Moxibustion) Clinical Verification: *Neijing* states: Cold Qi lodges between Small Intestine membranes and collaterals, blood stagnates and cannot enter major meridians, Qi/Blood stasis forms masses over time. Cold Qi in intestines/stomach rebels upward, causing pain and vomiting. All Cold-induced pain stops with heat. A scholar in Zhending, 31 years old, weak constitution, Qi mass in left hypochondrium, avoids cold food, pain with cold, sometimes vomits clear fluid, dizziness/fainting, photophobia, irritability. Resting 1-2 days or taking acrid-hot herbs reduced symptoms. In early autumn of Ji Xu year, due to labor and cold food, disease worsened: incessant abdominal pain, cold sweat, limb coldness, cold breath, sallow-cyan complexion, unable to lie down, sat leaning on table, cough, throat discomfort. Medication was rejected (vomited). Used half a jin of cooked mugwort, spread on paper over abdomen, layered with sliced green onions, covered with paper, ironed with slow-fire iron. Changed when cool. Patient felt abdominal heat, warmth unbearable, bound with cloth straps until cool. Initial ironing reduced pain with warmth, stopped with great warmth, allowed sleep. Next day, gave targeted medicine, fully recovered. Established this method to prevent future pain.
[Wang Haogu] Summer abdominal pain, muscle heat, aversion to heat, rapid surging pulse involves Hand Taiyin Lung and Foot Yangming Stomach meridians. Shaoyao Huangqin Tang (Peony and Scutellaria Decoction) treats abdominal pain with rapid surging pulse. (Formula see Dysentery chapter below.)
[Zhu Danxi] Female patient, abdominal dragging pain, no diarrhea, pulse not rapid.
Chenpi (Tangerine Peel) Dihuang (Rehmannia Root) Shaoyao (Peony Root, 2 qian) Huangqin (Scutellaria Root) Mutong (Akebia Stem) Guiwei (Angelica Tail) (1 qian) Gancao (Licorice, honey-fried slightly) Taoren (Peach Kernel, 24 pieces)
*[Jing]* Sudden abdominal pain. Grind Dougen (Sophora Root) in water, take half cup juice.
Wulingzhi Tang (Trogopterus Dung Decoction) treats Summerheat, incessant abdominal pain.
Wulingzhi (Trogopterus Dung) Xiangfu (Cyperus Rhizome) (Equal parts)
Powder, mix with white water.
Abdominal pain, or free stool, or pressing hard on pain site causes no pain = Deficiency. Select treatment from Cold category. If no Cold, use below.
Shaoyao Gancao Tang (Peony and Licorice Decoction) Shaoyao and Gancao treat abdominal pain. "Sowing and Reaping yields Sweet (Earth); Sweet is Ji (Earth stem). Crooked/Straight yields Sour (Wood); Sour is Jia (Wood stem). Jia-Ji transforms into Earth." This is Zhang Zhongjing's brilliant formula.
Shaoyao (Peony Root, 2 liang) Gancao (Licorice Root, 1 liang)
Cut into pieces. Take 5 qian, decoct in water. Haizang said: White contracts, Red disperses. Sour contracts, Sweet moderates.
[Wang Haogu] Abdominal pain is treated with Shaoyao Gancao Tang.