《病源论》云∶气痛者,人身忽然有一处痛,发作有时,痛发则小热,痛静便如冰霜所
加,故云气痛也。亦由体虚为风邪所侵,遇寒气而折之,邪气不出故也。
《短剧方》云∶有气痛病,身中忽有一处痛如打掴之状,不可堪耐,亦左右走身中,发
作有时,痛发时则小热,痛静时便觉其处如冷水霜雪所加。此皆由冬时受温风,至春复暴寒
凉来折之,不成温病乃变作气痛也。
宜先服五香连翘汤数剂及竹沥汤,摩丹参膏及以白酒煮杨柳树皮,暖熨之,有赤气点点
见处宜 去血也,其间将白薇散。
小竹沥汤 治气痛方∶
淡竹沥(二升) 夜干(二两) 杏仁(二两) 茵芋(半两) 黄芩(半两) 白术
(二两) 木防己(二两) 防风(二两) 秦胶(二两) 茯苓(三两) 麻黄(一两) 独
活(二两) 枳实(二两) 夕药(二两) 甘草(二两)
凡十五物, 咀,以水九升,煮药折半乃可纳竹汁,煮取三升,分四服,少嫩人分作五
服。
白薇散 治风热相搏结,气痛,左右走身中,或有恶 疹起者,积服汤,余热未平复,
宜此白薇散以消余热方∶
白薇(六分) 葳蕤(四分) 当归(四分) 麻黄(三分) 秦胶(五分) 天门冬
(四分) 蜀椒(二分) 木防己(四分) 柴胡(三分) 草(二分) 独活(四分) 枳
实(四分) 乌头(二分) 术(六分) 人参(四分) 夜干(六分) 山茱萸(四分) 防
风(六分) 白芷(三分)
凡二十物,捣下绢筛,以酢浆服方寸匕渐至二匕,日三。少嫩人随长少减服之。毒微者
可用酒也。(以上《集验方》同之。)
《诸病源候论》说:气痛,是指人体突然某一处疼痛,发作有定时。疼痛发作时伴有轻微发热,疼痛停止后患处感觉像被冰霜覆盖一样寒冷,所以称为气痛。这也是因为体质虚弱,被风邪侵袭,遇到寒气遏制,导致邪气无法排出所致。
《短剧方》说:有一种气痛病,身体中忽然有一处疼痛,状如被打耳光般剧烈,难以忍受,疼痛位置也在身体左右游走不定,发作有定时。疼痛发作时会有轻微发热,疼痛静止时则感觉该处如同冷水、霜雪加身一般寒冷。这都是因为在冬季感受了温风(暖邪),到了春季又遭遇突如其来的寒凉之气遏制,没有发展成温病,反而变成了气痛。
应当先服用五香连翘汤数剂,以及竹沥汤,外涂丹参膏,并用白酒煮杨柳树皮热敷患处。如果看到皮肤上有红色斑点显现,说明应当放血治疗。在此期间,可以服用白薇散。
小竹沥汤 治疗气痛的方剂:
淡竹沥(二升) 干姜(二两) 杏仁(二两) 茵芋(半两) 黄芩(半两) 白术(二两) 木防己(二两) 防风(二两) 秦艽(二两) 茯苓(三两) 麻黄(一两) 独活(二两) 枳实(二两) 芍药(二两) 甘草(二两)
以上十五味药,切碎,用水九升,煎煮至药液减半时,再加入竹汁,继续煎煮取三升药液,分四次服用,年幼体弱者分五次服用。
白薇散 治疗风热相互搏结,引起气痛,疼痛在身体左右游走,或者伴有恶风皮疹发作的情况。在长期服用汤药后,余热尚未完全清除,适宜使用此白薇散以消除余热的方剂:
白薇(六分) 玉竹(四分) 当归(四分) 麻黄(三分) 秦艽(五分) 天门冬(四分) 蜀椒(二分) 木防己(四分) 柴胡(三分) 甘草(二分) 独活(四分) 枳实(四分) 乌头(二分) 白术(六分) 人参(四分) 干姜(六分) 山茱萸(四分) 防风(六分) 白芷(三分)
以上二十味药,捣碎过绢筛,用醋浆送服一方寸匕,逐渐增加至两方寸匕,每日三次。年幼体弱者根据年龄大小减少剂量服用。毒性轻微的可以用酒送服。(以上内容与《集验方》相同。)
The *Bingyuan Lun* (Treatise on the Origins and Manifestations of Diseases) states: Qi pain refers to a sudden onset of pain in one specific area of the body, occurring at regular intervals. When the pain flares up, there is slight heat; when the pain subsides, the affected area feels as if covered by ice or frost, hence it is called "Qi pain." This condition also arises because the body's constitution is deficient and invaded by Wind pathogenic factors; when confronted with Cold pathogenic factors, the pathogens are constrained and unable to exit the body.
The *Duanju Fang* (Short Formula Prescriptions) states: There is a disease called Qi pain, where a sudden pain occurs in one part of the body, resembling the sensation of being slapped, which is unbearable. The pain may wander left and right within the body, occurring at specific times. During an attack, there is slight heat; when the pain is quiet, the area feels as if subjected to cold water, frost, or snow. All these cases result from contracting warm winds (warm pathogens) during winter, and then being constrained by sudden cold and chill in spring. Instead of developing into Warm Disease, it transforms into Qi pain.
It is advisable to first administer several doses of Wuxiang Liaoqiao Tang (Five-Aromatic Forsythia Decoction) and Zhuli Tang (Bamboo Juice Decoction), apply Danshen Gao (Salvia Ointment), and use willow bark boiled in white wine for warm compresses. If red spots appear on the skin, bloodletting should be performed. During this period, Baiwei San (Cynanchum Powder) should be taken.
Xiao Zhuli Tang (Minor Bamboo Juice Decoction) for Treating Qi Pain:
Dan Zhuli (Light Green Bamboo Juice, 2 Sheng) Ganjiang (Dried Ginger, 2 Liang) Xingren (Apricot Seed, 2 Liang) Yinyu (Ilex Leaf, 0.5 Liang) Huangqin (Scutellaria Root, 0.5 Liang) Baizhu (Atractylodes Macrocephala Rhizome, 2 Liang) Muganji (Stephania Tetrandra Root, 2 Liang) Fangfeng (Saposhnikovia Root, 2 Liang) Qinjiao (Gentiana Macrophylla Root, 2 Liang) Fuling (Poria, 3 Liang) Mahuang (Ephedra Herb, 1 Liang) Duhuo (Angelica Pubescens Root, 2 Liang) Zhishi (Immature Bitter Orange, 2 Liang) Shaoyao (Peony Root, 2 Liang) Gancao (Licorice Root, 2 Liang)
These fifteen ingredients are cut into pieces, decocted in 9 Sheng of water until reduced by half, then bamboo juice is added. It is further decocted to obtain 3 Sheng of liquid, divided into four doses. Younger or weaker individuals should divide it into five doses.
Baiwei San (Cynanchum Powder) for Treating Wind-Heat Binding:
This formula treats Qi pain caused by the binding of Wind and Heat, where pain wanders left and right in the body, possibly accompanied by aversion to wind and rashes. After prolonged administration of decoctions, if residual heat remains unbalanced, this Baiwei San is suitable to dissipate the residual heat.
Baiwei (Cynanchum Root, 6 Fen) Weirui (Polygonatum Odoratum Rhizome, 4 Fen) Danggui (Angelica Sinensis Root, 4 Fen) Mahuang (Ephedra Herb, 3 Fen) Qinjiao (Gentiana Macrophylla Root, 5 Fen) Tianmendong (Asparagus Fern Tuber, 4 Fen) Shujiao (Sichuan Pepper, 2 Fen) Muganji (Stephania Tetrandra Root, 4 Fen) Chaihu (Bupleurum Root, 3 Fen) Gancao (Licorice Root, 2 Fen) Duhuo (Angelica Pubescens Root, 4 Fen) Zhishi (Immature Bitter Orange, 4 Fen) Wutou (Aconite Lateral Root, 2 Fen) Baizhu (Atractylodes Macrocephala Rhizome, 6 Fen) Renshen (Ginseng Root, 4 Fen) Ganjiang (Dried Ginger, 6 Fen) Shanzhuyu (Cornus Fruit, 4 Fen) Fangfeng (Saposhnikovia Root, 6 Fen) Baizhi (Angelica Dahurica Root, 3 Fen)
These twenty ingredients are crushed and sifted through silk. Take one Cunbi (approx. 2.7g) administered with vinegar solution, gradually increasing to two Cunbi, three times daily. Younger or weaker individuals should reduce the dose according to their age and strength. For mild toxicity, wine may be used for administration. (The above content is identical to that in the *Jiyan Fang*.)