《病源论》云∶夫五脏调和则营卫气理,营卫气理则津液通流,虽复多饮水浆,不能为
病。
寒气,
《通玄》云∶ 癖之疾,亦不专于一。 病者肝之所生,癖病者脾之所成。 生于左,
癖成
脾
矣。
《龙门方》治 癖病、腹坚如石方∶
取苦瓠开口盛大,严醋满中,密塞口,釜中煮令极热,出瓠以熨坚处,冷即更煮,煮时
即作
《极要方》治 癖方∶
鳖甲〔(一名青衣)六分,炙〕 白术(六分) 桔梗〔(一名荠 )六分〕 枳壳(六
卜,炙)
上,以水六升,煮取一升六合,分温三服,忌猪鱼。
《千金方》治心上痰荫僻气吞酸半夏汤方∶
半夏(三两) 生姜(六两) 附子(一枚) 吴茱萸(三两)
四味,水五升,煮取二升半,分三服。
《葛氏方》治腹中冷癖、水谷 结,心下停痰,两胁痞满,按之鸣转,逆害饮食方∶
大黄(三两) 甘草(二两) 蜜(一升二合) 枣(二十七枚)
以水三升,煮枣,取一升,纳诸药,煮取一升七合,分再服。
又方∶茯苓一两,茱萸三两,捣蜜丸如梧子,服五丸,日三。
《医门方》疗 气冷痛,吐酸水,或因出热吃水得此病方∶
术 干姜(各二两) 橘皮 细辛 吴茱萸(各一两) 茯苓 人参(各二两半)
上,捣筛,蜜和为丸,空腹暖水下十五丸,加至二十丸,日二。
《广利方》理癖气腹痛两肋胁胀满食少方∶
柴胡(六分) 桔梗(八分) 通草(八分) 茯苓(六分) 赤夕药(四卜) 郁李
仁(四卜) 鳖甲(四分,炙,碎)
切,以水二大升,煎取九合,食后分温三服,如人行七
八里进一服,忌生冷人苋。
《广济方》疗癖结心下硬痛巴豆丸方∶
巴豆(三枚) 杏仁(七枚) 大黄(如鸡子大)
捣筛,蜜丸,空腹以饮服如梧子七丸,日一服。
《诸病源候论》说:五脏功能调和,则营气和卫气运行通畅;营卫之气运行通畅,则津液流通无阻。即使大量饮水浆,也不会致病。
《通玄论》说:癖积这类疾病,并不只局限于一个部位。病症由肝脏产生,癖积由脾脏形成。生于左侧的,是脾脏形成的癖积。
《龙门方》治疗癖积病、腹部坚硬如石的方子:
取苦瓠(一种葫芦科植物果实),将其开口处扩大,严实地灌满醋,密密地塞住口,放入锅中煮至极热,取出苦瓠熨烫坚硬部位,变冷后再重新煮,煮的时候……(原文此处似有缺漏或排版错误,依文意理解为反复加热熨烫)
《极要方》治疗癖积的方子:
鳖甲(又名青衣),六分,炙烤;白术,六分;桔梗(又名荠苨),六分;枳壳,六分,炙烤。
以上药材,用水六升,煎煮取汁一升六合,分三次温服。忌食猪肉和鱼类。
《千金方》治疗心下痰饮阻滞、癖气吞酸的半夏汤方:
半夏,三两;生姜,六两;附子,一枚;吴茱萸,三两。
以上四味药,用水五升,煎煮取汁二升半,分三次服用。
《葛氏方》治疗腹中冷癖、水谷结聚、心下停痰、两胁痞满、按压时鸣响转动、妨碍饮食的方子:
大黄,三两;甘草,二两;蜂蜜,一升二合;大枣,二十七枚。
用水三升,先煮大枣,取汁一升,加入其他药物,再煎煮取汁一升七合,分两次服用。
又一方:茯苓一两,吴茱萸三两,捣碎后加蜂蜜制成梧桐子大小的丸剂,每次服五丸,每日三次。
《医门方》治疗冷气痛、吐酸水,或因受热后喝冷水导致此病的方子:
白术、干姜(各二两);橘皮、细辛、吴茱萸(各一两);茯苓、人参(各二两半)。
以上药材,捣碎过筛,用蜂蜜调和制成丸剂。空腹时用温水送服十五丸,可逐渐增加至二十丸,每日两次。
《广利方》调理癖气腹痛、两肋胁胀满、食欲减退的方子:
柴胡,六分;桔梗,八分;通草,八分;茯苓,六分;赤芍药,四分;郁李仁,四分;鳖甲,四分,炙烤并捣碎。
切碎后,用两大升水,煎煮取汁九合,饭后分三次温服。若患者行走约七八里路后进服一次,忌食生冷食物和人苋菜。
《广济方》治疗癖积结聚于心下、硬痛的巴豆丸方:
巴豆,三枚;杏仁,七枚;大黄(如鸡蛋大小)。
捣碎过筛,用蜂蜜制成丸剂。空腹时用饮品送服梧桐子大小的七丸,每日一次。
According to *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases): When the functions of the five Zang organs are harmonious, Ying Qi (Nutritive Qi) and Wei Qi (Defensive Qi) circulate smoothly. When Ying Qi and Wei Qi circulate smoothly, body fluids flow freely. Even if one drinks large amounts of water or liquids, it will not cause disease.
According to *Tong Xuan Lun*: Pi Ji (accumulated masses) do not occur in a single fixed location. The pathological manifestations originate from the Liver, while the Pi Ji masses are formed by the Spleen. Those arising on the left side are Pi Ji formed by the Spleen.
*Long Men Fang* (Dragon Gate Formulas) for treating Pi Ji disease with an abdomen hard as stone:
Take a bitter gourd (*Lagenaria siceraria*), make a large opening at one end, fill it tightly with vinegar, seal the mouth densely, and boil it in a pot until extremely hot. Remove the gourd and apply it to the hardened area as a hot compress. When it cools, boil it again... [Note: The original text appears incomplete here, implying repeated heating and application].
*Ji Yao Fang* (Essential Formulas) for treating Pi Ji:
*Bie Jia* (Carapax et Plastrum Testudinis, also known as Qing Yi), 6 fen, roasted; *Bai Zhu* (Atractylodis Macrocephalae Rhizoma), 6 fen; *Jie Geng* (Platycodonis Radix, also known as Qi Ni), 6 fen; *Zhi Ke* (Aurantii Fructus Perfricatus), 6 fen, roasted.
Crush these ingredients. Add 6 sheng of water, decoct to obtain 1 sheng and 6 he. Divide into three warm doses. Avoid consuming pork and fish.
*Qian Jin Fang* (Prescriptions Worth a Thousand Gold) Banxia Decoction for treating phlegm-fluid retention under the heart, Pi Qi, and acid regurgitation:
*Ban Xia* (Pinelliae Rhizoma), 3 liang; *Sheng Jiang* (Zingiberis Rhizoma Recens), 6 liang; *Fu Zi* (Aconiti Lateralis Radix Praeparata), 1 piece; *Wu Zhu Yu* (Evodiae Fructus), 3 liang.
Take these four herbs, add 5 sheng of water, decoct to obtain 2 sheng and 5 he. Divide into three doses.
*Ge Shi Fang* (Ge's Formulas) for treating cold Pi Ji in the abdomen, accumulation of water and grain, phlegm retention under the heart, distension and fullness in both hypochondria, rumbling upon pressure, and interference with digestion:
*Da Huang* (Rhei Radix et Rhizoma), 3 liang; *Gan Cao* (Glycyrrhizae Radix et Rhizoma), 2 liang; *Mi* (Mel), 1 sheng and 2 he; *Zao* (Jujubae Fructus), 27 pieces.
Add 3 sheng of water, first decoct the jujubes to obtain 1 sheng of liquid. Add the other herbs and decoct to obtain 1 sheng and 7 he. Divide into two doses.
Another formula: *Fu Ling* (Poria), 1 liang; *Zhu Yu* (Evodiae Fructus), 3 liang. Pound together and mix with honey to form pills the size of wu zi (evodia seeds). Take 5 pills per dose, three times daily.
*Yi Men Fang* (Medical Gate Formulas) for treating cold Qi pain, vomiting of sour fluid, or this condition caused by heat followed by drinking cold water:
*Bai Zhu* (Atractylodis Macrocephalae Rhizoma) and *Gan Jiang* (Zingiberis Rhizoma), 2 liang each; *Ju Pi* (Citri Reticulatae Pericarpium), *Xi Xin* (Asari Radix et Rhizoma), and *Wu Zhu Yu* (Evodiae Fructus), 1 liang each; *Fu Ling* (Poria) and *Ren Shen* (Ginseng Radix), 2.5 liang each.
Pound and sieve these ingredients. Mix with honey to form pills. Take 15 pills with warm water on an empty stomach, increasing gradually to 20 pills. Take twice daily.
*Guang Li Fang* (Broad Benefit Formulas) for regulating Pi Qi abdominal pain, distension and fullness in both hypochondria, and poor appetite:
*Chai Hu* (Bupleuri Radix), 6 fen; *Jie Geng* (Platycodonis Radix), 8 fen; *Tong Cao* (Tetrapanacis Medulla), 8 fen; *Fu Ling* (Poria), 6 fen; *Chi Shao Yao* (Paeoniae Radix Rubra), 4 fen; *Yu Li Ren* (Pruni Semen), 4 fen; *Bie Jia* (Carapax et Plastrum Testudinis), 4 fen, roasted and crushed.
Cut into small pieces. Add 2 da sheng of water, decoct to obtain 9 he. Take in three warm doses after meals. If the patient walks about seven or eight li, take one dose. Avoid raw/cold foods and *Ren Xian* (Amaranthus tricolor leaves).
*Guang Ji Fang* (Broad Salvation Formulas) Badou Pills for treating Pi Ji accumulation causing hardness and pain under the heart:
*Ba Dou* (Crotonis Fructus), 3 pieces; *Xing Ren* (Armeniacae Semen Amarum), 7 pieces; *Da Huang* (Rhei Radix et Rhizoma), size of a chicken egg.
Pound and sieve. Mix with honey to form pills. Take 7 pills the size of wu zi with drink on an empty stomach, once daily.