食积。由乳食积滞,胸闷肠鸣,嗳气酸腐,见食则恶,或胀或痛,大便臭秽,矢气有伤
食之
味。夹寒则面色白 ,舌苔白腻,口吐清水,食物不化,手足时冷。夹热则面赤唇干,口渴
,舌苔黄腻。积久脾伤,延成疳疾。内治以健脾扶阳主之。
分阴阳,(一百遍。)推三关,(一百遍。)退六腑,(一百遍。)运八卦,(一百遍。)分腹
阴阳
,(二百遍。)揉脐,(二百遍。)推补脾土。(一百遍。)凡推用葱姜水。用熨法,(见卷二,
四十五页。)灸法,灸神阙、鸠尾、气海各穴七壮。(见卷二,二十六页。)吐法,(见卷二,
二十二页。)下法,(见卷二,二十三页。)通脉法。(见卷二,四十三页。)
附治伤乳。陈红曲一钱五分,砂仁五分,生姜一片,水煎服。
附治伤一切诸谷食,将所伤之物烧灰,如鸡内金炙灰,磨枳实汁调服。
附治伤诸肉食及生鱼脍。草果(面包煨)五分,焦山楂肉一钱五分,研末,姜汤调服。
附治伤面筋粽子等物,诸药不能消化。即以本物拌绿矾烧灰,沙糖酒下。
附治伤糯米粉饼饵。用炒酒药或酒曲三钱炒,糖姜汤下。
附治伤索粉片者。紫苏煎浓汤加杏仁泥服之。
附治伤面伤豆腐者。生莱菔煎汤饮之。如无生莱菔,以莱菔子煎汤亦效。
附治伤瓜果生冷菜物。木香、砂仁各一钱。炮姜、肉桂各三分,麝香少许,共研末和饭
杵丸,炒山楂煎汤下。
附治伤蟹肤痛者。苏叶一钱,生姜一块,煎汤,加丁香汁少许服,最效。
附治伤鸡卵鸭卵胸腹满闷。生姜、大蒜泥捣汁,和开水频咽之。
附治伤狗肉。杏仁四两,去皮尖,和沸汤捣烂绞汁,服二次即解,或以芦根水煮汁饮亦
效。
按∶饮以养阳,食以养阴。饮食所以卫生,实脾胃所生之本也。胃旺则多食不滞,过时
不饥
。脾运则分输五脏,荣润四肢。然以生冷则戕胃,饥饱则戕脾。中气先馁,不宜专事消导。
中气,即脾胃冲和之元气也。脾气以健运为要,胃气以下行为顺。胃强脾弱,则消谷而便溏
,脾强胃弱,则知饥而纳少。食伤者,胃阳虚,饱食辄嗳,宜温通。脾阳虚,多食不化者,
宜香燥。饮食留滞,脘痞腹胀者,为腑气不宣,宜消导。小儿伤乳滞,则又宜香附、神曲、
麦芽、砂仁、陈皮、甘草之属。可以佐按摩之法不逮也。(惕厉子)
食积。由于乳食停滞积聚,导致胸闷、肠鸣,嗳气带有酸腐气味,见到食物就厌恶,腹部或胀或痛,大便气味臭秽,放屁有伤食的臭味。若夹寒邪,则面色苍白,舌苔白腻,口吐清水,食物不消化,手足时常发冷。若夹热邪,则面红唇干,口渴,舌苔黄腻。积滞日久损伤脾脏,拖延可形成疳疾。内治以健脾扶阳为主。
分阴阳(一百遍)。推三关(一百遍)。退六腑(一百遍)。运八卦(一百遍)。分腹阴阳(二百遍)。揉脐(二百遍)。推补脾土(一百遍)。凡推拿时均使用葱姜水。采用熨法(见卷二,四十五页),灸法,灸神阙穴、鸠尾穴、气海穴各七壮(见卷二,二十六页)。吐法(见卷二,二十二页)。下法(见卷二,二十三页)。通脉法(见卷二,四十三页)。
附:治疗伤一切谷物食物,将所伤之物烧成灰,如鸡内金炙后烧灰,用枳实汁调服。
附:治疗伤各种肉食及生鱼脍。草果(面包煨)五分,焦山楂肉一钱五分,研成末,姜汤调服。
附:治疗伤面筋、粽子等物,诸药不能消化的情况。即用本物拌绿矾烧成灰,砂糖酒送下。
附:治疗伤糯米粉饼饵。用炒过的酒药或酒曲三钱炒制,糖姜汤送下。
附:治疗伤面食、豆腐者。生莱菔煎汤饮用。如果没有生莱菔,用莱菔子煎汤也有效。
附:治疗伤瓜果、生冷菜物。木香、砂仁各一钱。炮姜、肉桂各三分,麝香少许,共研成末和饭杵制成丸剂,炒山楂煎汤送下。
附:治疗伤蟹肤痛者。苏叶一钱,生姜一块,煎汤,加丁香汁少许服用,效果最好。
附:治疗伤鸡卵、鸭卵致胸腹满闷。生姜、大蒜泥捣汁,和开水频频咽下。
附:治疗伤狗肉。杏仁四两,去皮尖,和沸汤捣烂绞汁,服两次即解,或用芦根水煮汁饮也有效。
按语:饮水以养阳,饮食以养阴。饮食之所以能维护生命,实为脾胃生化之本。胃气旺盛则多食而不停滞,过了进食时间也不觉饥饿。脾运化正常则输布至五脏,荣润四肢。然而食用生冷则伤害胃,饥饱不均则伤害脾。中气先虚弱,不宜专门从事消导之法。中气,即脾胃冲和的元气。脾气以健运为关键,胃气以下行为顺。胃强脾弱,则消谷善饥而大便溏薄;脾强胃弱,则知饥但纳食少。食伤者,多为胃阳虚,饱食后即嗳气,宜温通。脾阳虚,多食不化者,宜香燥。饮食留滞,脘痞腹胀者,为腑气不宣,宜消导。小儿伤乳滞,则又宜香附、神曲、麦芽、砂仁、陈皮、甘草之类。可以辅助按摩疗法之不足。(惕厉子)
Food Stagnation. Caused by the accumulation and stagnation of milk and food, leading to chest tightness and borborygmus (intestinal rumbling), belching with a sour and putrid odor, aversion to seeing food, abdominal distension or pain, foul-smelling stools, and flatulence with the smell of indigestion. If accompanied by cold pathogen, the complexion is pale, the tongue coating is white and greasy, clear fluid is vomited, food is not digested, and the hands and feet are often cold. If accompanied by heat pathogen, the face is red, lips are dry, thirst is present, and the tongue coating is yellow and greasy. Prolonged stagnation damages the Spleen, which may eventually develop into Infantile Malnutrition (Gan Disease). Internal treatment focuses on invigorating the Spleen and supporting Yang.
Divide Yin and Yang (100 repetitions). Push San Guan (Three Passages) (100 repetitions). Retreat Liu Fu (Six Limbs) (100 repetitions). Rotate Ba Gua (Eight Trigrams) (100 repetitions). Divide Abdominal Yin and Yang (200 repetitions). Rub the Umbilicus (200 repetitions). Push and Tonify Pi Tu (Spleen Earth) (100 repetitions). For all pushing techniques, use water infused with green onion and ginger. Apply moxibustion therapy (see Volume 2, page 45), acupuncture/moxa therapy: moxa on Shen Que (CV8), Jiu Wei (CV15), and Qi Hai (CV6), seven moxa cones each (see Volume 2, page 26). Emetic therapy (see Volume 2, page 22). Purging therapy (see Volume 2, page 23). Meridian-unblocking therapy (see Volume 2, page 43).
Appendix: Treatment for Milk Injury. Chen Hong Qu (Aged Red Yeast Rice) 1.5 qian, Sha Ren (Amomum Fruit) 0.5 qian, one slice of Sheng Jiang (Fresh Ginger), decoct in water and take orally.
Appendix: Treatment for injury from all kinds of grain foods. Burn the ingested substance to ash; for example, roast Ji Nei Jin (Chicken Gizzard Lining) until charred, grind into powder, and take mixed with Zhi Shi (Immature Bitter Orange) juice.
Appendix: Treatment for injury from various meats and raw fish sashimi. Cao Guo (Black Cardamom) (roasted in flour) 0.5 qian, Jiao Shan Zha (Charred Hawthorn Fruit) 1.5 qian, grind into powder, and take mixed with Ginger Decoction.
Appendix: Treatment for injury from gluten, zongzi (sticky rice dumplings), etc., where other medicines cannot digest them. Mix the original substance with Lv Fan (Green Vitriol), burn to ash, and swallow with sugar wine.
Appendix: Treatment for injury from glutinous rice flour cakes. Stir-fry 3 qian of Jiu Yao (Wine Leaven) or Jiu Qu (Wine Qu) with sugar and ginger water for administration.
Appendix: Treatment for injury from Su Fen Pian (vermicelli slices). Decoct Zi Su (Perilla Leaf) into a strong decoction, add Xing Ren (Apricot Seed) paste, and take orally.
Appendix: Treatment for injury from wheat products and tofu. Decoct fresh Lai Fu (Radish) and drink the soup. If fresh radish is unavailable, decocting Lai Fu Zi (Radish Seed) is also effective.
Appendix: Treatment for injury from melons, fruits, and cold/raw vegetables. Mu Xiang (Aucklandia Root) and Sha Ren 1 qian each; Pao Jiang (Prepared Ginger) and Rou Gui (Cinnamon Bark) 0.3 qian each, plus a small amount of She Xiang (Musk). Grind all into powder, mix with rice paste to form pills, and take with a decoction of stir-fried Shan Zha (Hawthorn Fruit).
Appendix: Treatment for crab-induced skin pain. Zi Su Ye (Perilla Leaf) 1 qian, one piece of Sheng Jiang, decoct in water, add a few drops of Ding Xiang (Clove) juice, and take orally; this is most effective.
Appendix: Treatment for chicken or duck egg injury causing chest and abdominal fullness. Crush Sheng Jiang and Da Suan (Garlic) into a paste, extract the juice, mix with boiled water, and swallow frequently.
Appendix: Treatment for dog meat injury. Xing Ren (Apricot Kernel) 4 liang, remove skin and tips, mash with boiling water, squeeze out the juice, and take twice to resolve; decocting Lu Gen (Reed Rhizome) in water and drinking it is also effective.
Commentary: Drinking nourishes Yang, eating nourishes Yin. Diet is essential for maintaining health, as it originates from the transformation and transportation of the Spleen and Stomach. When Stomach Qi is robust, excessive intake does not cause stagnation, and hunger does not arise after the proper time. When Spleen function is normal, nutrients are distributed to the Five Zang Organs, nourishing the four limbs. However, consuming cold and raw items injures the Stomach, while irregular meals injure the Spleen. If Middle Qi (Zhong Qi) is initially deficient, one should not rely solely on digestive methods. Middle Qi refers to the harmonious Yuan Qi of the Spleen and Stomach. The key to Spleen Qi is robust transportation; the順 (smoothness) of Stomach Qi lies in its downward movement. If Stomach is strong but Spleen is weak, there is rapid digestion but loose stools; if Spleen is strong but Stomach is weak, there is appetite but poor intake. In cases of food injury, if it is due to Stomach Yang deficiency with belching after fullness, warm and unblocking methods are suitable. If it is due to Spleen Yang deficiency with inability to digest large amounts of food, aromatic and drying methods are suitable. For food retention causing epigastric stuffiness and abdominal distension, indicating obstruction of Fu Organ Qi, digestive methods are suitable. For infants with milk stagnation, herbs such as Xiang Fu (Cyperus Rhizome), Shen Qu (Medicated Leaven), Mai Ya (Sprouted Barley), Sha Ren, Chen Pi (Tangerine Peel), and Gan Cao (Licorice Root) are appropriate. These can supplement the limitations of massage therapy. (Ti Li Zi)