主胸中积聚痰饮,饮食减少,胃气不足,咳逆呕吐方。
生姜汁(七合) 蜀椒(三合,汗,去目、闭口者) 半夏(三两,洗) 橘皮(二两)
茯苓
上九味, 咀。以水七升煮取二升五合,去滓,纳姜汁煎取二升,分三服,服两剂佳
,若欲服大散诸五石丸,必先服此方,乃进黄 丸辈必佳。
主痰饮 气吞酸方。
半夏(三两,洗) 生姜(六两,切) 附子(一枚,炮,去皮) 吴茱萸(三两,熬)
上四味, 咀。以水五升,煮取一升五合,分三服,日三,老小服半合。
主痰冷 气方。
生姜(八两,切) 附子(四两,生,去皮,四破)
上二味,以水八升,煮取二升,分四服,日二。亦主猝风,大良。
论曰∶凡痰饮盛,吐水无时节,其源为冷冻饮料过度,遂令痼冷脾胃气羸,不能消于食饮,
食饮入胃,皆变成冷水,反吐不停者。
赤石脂散 主之方∶
赤石脂(三斤)
上一味,捣筛为散。服方寸匕,日三,酒饮并可下之,稍稍渐加至三匕,服尽三斤,则
终身不吐水。又不下利,补五脏,令肥健,有人痰饮,服诸药不瘥,惟服此一斤,即愈。
方一十四首
主坚癖或在人胸胁,或在心腹方。
野狼毒 干地黄(熬,各四两) 杏仁(三十枚,去皮尖、双仁熬) 巴豆(二十枚,去
皮、心
,熬) 干姜 桂心(各一两半) 旋复花 芫花(熬) 莽草(各半两) 细辛 五味子 蜀
椒(
汗,去目、闭口者) 漆头 茹(各一两) 人参 附子(炮,去皮) 大黄 浓朴(炙) 木
防己
上二十一味,捣筛为末,炼蜜和丸,如梧子大。以饮服二丸,日二夜一,以知为度。
主治胸中积聚的痰饮,饮食减少,胃气虚弱,咳嗽气逆呕吐的方剂。
生姜汁(七合) 蜀椒(三合,出汗,去掉籽粒和闭口者) 半夏(三两,洗净) 橘皮(二两)
茯苓
以上九味药,切碎。用水七升煮取二升五合,滤去药渣,加入姜汁再煎取二升,分三次服用,服用两个疗程效果更佳。
如果想要服用大散或各类五石丸,必须先服用此方,之后服用黄丸等药物效果一定更好。
主治痰饮、气上冲吞酸的方剂。
半夏(三两,洗净) 生姜(六两,切片) 附子(一枚,炮制,去皮) 吴茱萸(三两,炒制)
以上四味药,切碎。用水五升,煮取一升五合,分三次服用,每日三次,老人小孩每次服用半合。
主治痰冷气的方剂。
生姜(八两,切片) 附子(四两,生用,去皮,切成四块)
以上两味药,用水八升,煮取二升,分四次服用,每日两次。也主治猝中风,效果很好。
论述说:凡是痰饮旺盛,不定时地吐清水,其根源在于过度食用冷冻饮料,导致脾胃顽固性寒冷,元气虚弱,不能消化食物和水饮,
食物和水饮进入胃中,都变成冷水,反而不停呕吐。
赤石脂散 主治此症的方剂:
赤石脂(三斤)
以上一味药,捣碎过筛制成散剂。每次服用一方寸匕,每日三次,用酒或水送服均可,逐渐增加至每次三匕,服完三斤,则终身不再吐清水。又不会腹泻,能补益五脏,使人肥壮健壮。有人患痰饮病,服用各种药物无效,只服用此药一斤,即痊愈。
共十四个方剂
主治坚癖积块,位于人的胸胁部,或心腹部的方剂。
野狼毒 干地黄(熬制,各四两) 杏仁(三十枚,去皮尖、双仁者并熬制) 巴豆(二十枚,去
皮、心
,熬制) 干姜 桂心(各一两半) 旋复花 芫花(熬制) 莽草(各半两) 细辛 五味子 蜀椒(
出汗,去掉籽粒和闭口者) 漆头 茹(各一两) 人参 附子(炮制,去皮) 大黄 浓朴(炙制) 木
防己
以上二十一味药,捣碎过筛制成粉末,用炼蜜调和做成丸药,如梧桐子大小。用温水送服二丸,每日两次夜间一次,以见效为度。
Indicated for phlegm-fluid retention (Tan Yin) accumulating in the chest, decreased appetite, deficiency of Stomach Qi, cough with counterflow qi and vomiting.
Fresh Ginger Juice (7 he) Shu Jiao (Sichuan Pepper) (3 he, perspired, remove seeds and closed-mouth ones) Ban Xia (Pinelliae Rhizoma) (3 liang, washed) Ju Pi (Citri Reticulatae Pericarpium) (2 liang)
Fu Ling (Poria)
The above nine ingredients are cut into pieces. Decoct with 7 sheng of water to obtain 2.5 he, strain out the dregs, add ginger juice, and decoct again to obtain 2 sheng. Divide into three doses; taking two courses is optimal.
If one wishes to take Da San or various Five-Mineral Pills, this formula must be taken first, after which Huang Wan and similar pills will be more effective.
Indicated for phlegm-fluid retention and qi rushing upward causing acid regurgitation.
Ban Xia (Pinelliae Rhizoma) (3 liang, washed) Sheng Jiang (Zingiberis Rhizoma Recens) (6 liang, sliced) Fu Zi (Aconiti Lateralis Radix Praeparata) (1 piece, processed, peeled) Wu Zhu Yu (Evodiae Fructus) (3 liang, roasted)
The above four ingredients are cut into pieces. Decoct with 5 sheng of water to obtain 1.5 he. Divide into three doses, taken three times daily; elderly and children take half a he per dose.
Indicated for cold-phlegm affecting qi movement.
Sheng Jiang (Zingiberis Rhizoma Recens) (8 liang, sliced) Fu Zi (Aconiti Lateralis Radix Praeparata) (4 liang, raw, peeled, cut into four pieces)
The above two ingredients are decocted with 8 sheng of water to obtain 2 sheng. Divide into four doses, taken twice daily. It is also indicated for sudden wind stroke, with excellent efficacy.
Discussion: Whenever phlegm-fluid retention is severe, with frequent spitting of clear fluid at irregular intervals, the root cause lies in excessive consumption of frozen beverages, leading to entrenched coldness in the Spleen and Stomach and weakened Qi, unable to digest food and fluids.
When food and fluids enter the Stomach, they transform into cold water, causing continuous vomiting.
Chi Shi Zhi San (Red Kaolin Powder) is indicated for this condition:
Chi Shi Zhi (Halloysitum Rubrum) (3 jin)
The above single ingredient is crushed and sifted into a powder. Take one fang cun bi per dose, three times daily, administered with wine or water as desired. Gradually increase the dose to three fang cun bi. After consuming three jin, vomiting of clear fluid will cease for life. It does not cause diarrhea, tonifies the five Zang organs, and promotes robust health. For patients with phlegm-fluid retention who have failed to respond to various medications, taking only one jin of this remedy results in a cure.
Fourteen formulas in total.
Indicated for hard accumulations located in the chest and hypochondrium, or in the heart and abdomen.
Ye Lang Du (Stellerae Radix) Gan Di Huang (Rehmanniae Radix Preparata) (each 4 liang) Xing Ren (Armeniacae Semen) (30 kernels, peeled, tips removed, double-kernel ones roasted) Ba Dou (Crotonis Fructus) (20 kernels, peeled, hearts removed, roasted) Gan Jiang (Zingiberis Rhizoma) Gui Xin (Cinnamomi Ramulus) (each 1.5 liang) Xuan Fu Hua (Inulae Flos) Yuan Hua (Genkwa Flos) (roasted) Mang Cao (Magnoliae Flos? Note: Likely refers to a specific herb, kept as Mang Cao) (each 0.5 liang) Xi Xin (Asari Radix et Rhizoma) Wu Wei Zi (Schisandrae Fructus) Shu Jiao (Sichuan Pepper) (perspired, remove seeds and closed-mouth ones) Qi Tou Ru (likely a typo or obscure term, kept as Qi Tou Ru) (each 1 liang) Ren Shen (Ginseng Radix) Fu Zi (Aconiti Lateralis Radix Praeparata) (processed, peeled) Da Huang (Rhei Radix et Rhizoma) Nong Po (Moutan Cortex? Note: Usually Hou Po, kept as Nong Po) (stir-fried) Mu Fang Ji (Stephaniae Tetrandrae Radix)
The above twenty-one ingredients are crushed and sifted into powder. Mix with refined honey to form pills the size of a wutong seed. Take two pills with warm water, twice daily and once at night, adjusting until therapeutic effect is achieved.