(治各种疝气。)
西党参 上绵 (炙) 焦白术 川楝肉(盐酒炒) 蛀青皮 当归身(各四两酒炒) 小
茴
香(
熟地
(五
各取末。炼蜜为丸。淡酒下。每服四钱。
一方。疝初起。寒热疼痛如欲成囊痈者。用新鲜地骨皮(即枸杞子根)生姜各四两。共
捣
如泥
(治寒疝。攻心急痛。)
木香(一钱) 青皮 香附 苍术 黑丑(取头末) 元胡索(各二钱) 大茴香(七
分) 良
姜(
陈酒二杯。煎至一杯。空心温服。立止。
一方。用川楝子取肉。炒为末。每服三钱。空心陈酒调服。
(治心脾痛。)
草果 元胡索 五灵脂 没药
上各等分为末。每服三钱。温酒调下。
一方治卒然心痛。牙关紧闭欲绝。用老葱白五根。捣汁。送入咽中。再灌麻油四两。但
得下咽即苏。如系虫痛。上 白点为验。照用扫虫煎(方见后八十)化虫散(方见后八十一)
等
方自愈
(治胃气痛。)
淡吴萸(四分) 川连 干姜(各二分) 橘皮 当归 白芍(各一钱) 桂枝(同白
芍炒)
炙草
白水煎服。凡胃痛虚寒者多。实热者少。虚寒者。口多清涎。得热饮。痛可稍缓。实热
者。
实热者易解。栀子清肝散(方见后七十七)主之。或加味逍遥散。(方见前二十六)一帖可
愈。
虚寒者难治。暂愈复发。以是方与补中汤。(方见前十)间进之。加服六味桂附丸。(方见前
八)斯可渐愈。其有寒而实者。肢冷面白气促。勺饮下咽即吐。方内去党参。加法制半夏三
钱。温饮而
(治疗各种疝气。)
西党参、上绵芪(蜜炙)、焦白术、川楝肉(用盐和酒炒制)、蛀青皮、当归身(各四两,用酒炒制)、小茴香、熟地黄(各取药末。用炼过的蜂蜜制成丸剂。用淡酒送服。每次服用四钱。)
另一方案:疝气初起时,出现寒热交替、疼痛剧烈且快要形成囊痈的情况。使用新鲜的地骨皮(即枸杞子的根)和生姜各四两。共同捣碎成泥状。
(治疗寒疝,攻冲心腹剧烈疼痛。)
木香(一钱)、青皮、香附、苍术、黑丑(取头末)、元胡索(各二钱)、大茴香(七分)、良姜(用量未详)。用陈年酒两杯,煎煮至一杯。空腹温服。疼痛立即停止。
另一方案:使用川楝子取肉,炒后研为粉末。每次服用三钱,空腹时用陈年酒调服。
(治疗心脾疼痛。)
草果、元胡索、五灵脂、没药。
以上药材各等分研为粉末。每次服用三钱,用温酒调服。
另一方案治疗突然发作的心痛,牙关紧闭,气息微弱欲绝。使用老葱白五根,捣汁。灌入咽中。再灌服麻油四两。只要能够咽下,病人即可苏醒。如果是虫痛,呕吐物或排泄物中有白色斑点作为验证。按照上述方法使用扫虫煎(方剂见后文第八十节)、化虫散(方剂见后文第八十一节)等方剂,疾病可自愈。
(治疗胃气疼痛。)
淡吴茱萸(四分)、川黄连、干姜(各二分)、橘皮、当归、白芍(各一钱)、桂枝(与白芍同炒)、炙甘草。
用水煎服。凡是胃痛属于虚寒证的居多,实热证较少。虚寒证的患者,口中多清稀涎沫,喝热饮后疼痛可以稍微缓解。实热证的患者容易解除。以栀子清肝散(方剂见后文第七十七节)为主治方。或者加味逍遥散(方剂见前文第二十六节),一帖即可痊愈。
虚寒证难以治愈,暂时好转后会复发。将此方与补中汤(方剂见前十节)交替服用。加服六味桂附丸(方剂见前文第八节)。这样可以逐渐痊愈。其中有寒邪但体质壮实的患者,四肢冰冷、面色苍白、气短急促,连一口水咽下去都会呕吐。此方中去掉党参,加入法制半夏三钱,用温水送服。
(Treats various types of hernia.)
Xidangshen (Codonopsis pilosula), Shangmianqi (Astragali Radix, honey-fried), Jiaobaizhu (Atractylodis Macrocephalae Rhizoma, charred), Chuanlianrou (Fructus Toosendan, stir-fried with salt and wine), Zhuqingpi (Citri Reticulatae Pericarpium, worm-eaten), Dangguishen (Angelicae Sinensis Radix, each 4 liang, stir-fried with wine), Xiaohuixiang (Foeniculum Vulgare Fruit), Shudihuang (Rehmanniae Radix Praeparata). Grind all into powder. Form pills with refined honey. Take with light rice wine. Each dose is 4 qian.
Another prescription: When hernia first appears, accompanied by alternating chills and fever, severe pain, and impending formation of a scrotal abscess (Nangyong), use fresh Digupi (Cortex Lycii Radicis, i.e., root of Lycium barbarum) and Shengjiang (Zingiberis Rhizoma Recens), each 4 liang. Pound together into a paste.
(Treats Cold Hernia, attacking heart and abdomen with severe pain.)
Muxiang (Costi Radix, 1 qian), Qingpi (Citri Reticulatae Pericarpium), Xiangfu (Cyperi Rhizoma), Cangzhu (Atractylodis Rhizoma), Heichou (Pharbitidis Semen, head powder only), Yuanhusuo (Corydalis Rhizoma), Da Huixiang (Foeniculum Vulgare Fruit, 7 fen), Liangjiang (Alpiniae Officinarum Rhizoma). Decoct in two cups of aged wine until reduced to one cup. Take warm on an empty stomach. Pain stops immediately.
Another prescription: Use Chuanlianzi (Fructus Toosendan) flesh, stir-fry and grind into powder. Take 3 qian per dose, mixed with aged wine on an empty stomach.
(Treats Heart-Spleen pain.)
Caoguo (Tsaoko Fructus), Yuanhusuo (Corydalis Rhizoma), Wulingzhi (Trogopterori Faeces), Moyao (Myrrha).
Grind equal parts of the above into powder. Take 3 qian per dose, mixed with warm wine.
Another prescription for sudden onset of heart pain, with locked jaw and faint breath: Use five stalks of Laocongbai (Allii Fistulosi Bulbus), pound to extract juice, and administer into the throat. Then pour down 4 liang of Mayou (Sesami Oleum). Once swallowed, the patient will revive. If it is caused by parasites, the presence of white spots in vomit or excrement serves as confirmation. Follow this method using Saochong Jian (see Prescription 80 below), Huachong San (see Prescription 81 below), etc., and the disease will heal itself.
(Treats Stomach Qi pain.)
Dan Wuyu (Evodiae Fructus, lightly processed, 4 fen), Chuanlian (Coptidis Rhizoma), Ganjiang (Zingiberis Rhizoma, each 2 fen), Ju pi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba, each 1 qian), Guizhi (Cinnamomi Ramulus, stir-fried with Baishao), Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata).
Decoct in water and take orally. Most cases of stomach pain are deficiency-cold; excess-heat cases are rare. In deficiency-cold patterns, there is abundant clear saliva, and pain is slightly relieved by hot drinks. Excess-heat patterns are easier to resolve. The primary treatment is Zhizi Qinggan San (see Prescription 77 below). Alternatively, Jiawei Xiaoyao San (see Prescription 26 above) can cure it in one dose.
Deficiency-cold patterns are difficult to treat and tend to recur after temporary relief. Alternate this formula with Buzhong Tang (see Prescription 10 above). Additionally take Liuwei Guifu Wan (see Prescription 8 above). Gradual recovery is possible. For patients with cold but robust constitution, presenting with cold limbs, pale face, shortness of breath, and vomiting even a spoonful of liquid: Remove Dangshen from the formula, add 3 qian of Zhifazhexia (Pinelliae Rhizoma Praeparatum), and take with warm water.