论曰小肠者受盛之官,心之腑也,太手阳其经也,其气虚则为不足,故左手寸口人迎以
前,脉阳虚者,小肠虚也。虚则生寒,是故有颅际头角偏痛,耳聋不聪,惊跳,小便频数之
证,治宜补之。
治小肠虚寒,脐下急痛。沉香汤方
沉香(锉) 桂(去粗皮) 附子(炮裂去皮脐) 白龙骨(各一两) 木香 当归(锉
微炒各三分) 枳实(去瓤麸炒半两)
上七味,锉如麻豆,每服三钱匕,水一盏,入生姜半分,煎至六分,去滓食前热服。
治小肠虚寒,小便频数,便下久而有膜如乳酪状。牡蛎丸方
牡蛎(火煨细研) 萆 续断 益智子(去皮) 石斛(去根) 芎 牛膝(酒浸
切焙) 狗脊(去毛) 五味子 石硫黄(别研) 山茱萸 巴戟天(去心) 龙骨(等分)
上一十三味,捣研为末,炼蜜丸如梧桐子大。空心盐汤下四十丸,小便止即已。
治小肠虚寒,小便后余沥,阴痿。益智丸方
益智子(去皮) 萆 狗脊(去毛) 芎 巴戟天(去心) 干木瓜 续断 牛膝
(酒浸切焙各半两) 附子(炮裂去皮脐大者一枚)
上九味,捣罗为末,炼蜜和丸,如梧桐子大。空心盐汤下四十丸。
治小肠虚冷,时发刺痛。蓬莪术散方
蓬莪术(炮锉) 香子(炒) 芎 牛膝(酒浸切焙各半两) 桂(去粗皮一分)
上五味,捣罗为散,每服二钱匕,银石器内煎葱汤、调下。
治小肠虚冷,少腹疼。 香子丸方
香子(炒) 桂(去粗皮各一两) 附子(炮裂去皮脐) 当归(切焙) 荜澄茄 木
香赤石脂(各三分) 蜀椒(去目及闭口者微炒出汗半两)
上八味,捣罗为末,炼蜜和丸,梧桐子大。每服温酒下二十丸,空心食前。
治小肠虚寒腹痛,下赤白,补虚。干姜汤方
干姜(炮三两) 当归(切焙) 黄柏(去粗皮) 地榆(各四两) 黄连(去须) 阿
胶(炙令燥各二两) 石
上七味。 咀如麻豆,每服五钱匕,水一盏半,煎取八分,去滓温服。
治小肠虚冷,小便频数。牛膝丸方
牛膝(酒浸切焙) 续断 芎 (各半两) 萆 (二两)
上四味。捣罗为末,炼蜜和丸,如梧桐子大。空心盐汤下四十丸,或作汤入盐煎服亦得
治小肠虚寒撮痛,并妇人血刺心痛。断弓弦散方
五灵脂 蒲黄(等分)
上二味,同研为散,每服二钱匕,先用酽酢一合,熬药成膏,以水一小盏,煎至七分,
热呷,此又名失笑散。
治小肠虚寒下利,便泄脓血,肠滑懊 。温肠丸方
补骨脂(炒一两) 肉苁蓉(酒浸去皴皮焙一两半) 狗脊(锉) 独活(去芦头各三
分) 附子(炮裂去皮脐) 巴戟天(去心) 鹿茸(酒炙去毛各一两) 五味子(三分)
上八味。捣罗为细末,炼蜜丸如梧桐子大。每服三十丸,盐汤下,或酒下亦得。
论述说:小肠是受纳和盛装食物的器官,是心的腑,手太阳小肠经是其经脉。如果其气虚弱,就会出现不足的症状,所以在左手寸口人迎穴之前的脉象中,若阳脉虚弱,即为小肠虚证。虚则生寒,因此会出现偏侧头部及头角疼痛、耳聋不灵敏、惊悸跳动、小便频数等症状,治疗应当采用补益的方法。
治疗小肠虚寒,脐下拘急疼痛的沉香汤方:
沉香(锉碎)一两,桂枝(去掉粗皮)一两,附子(炮制裂开,去掉皮和脐)一两,白龙骨一两,木香三分,当归(锉碎,微炒)三分,枳实(去掉瓤,麸炒)半两。
以上七味药,锉成如麻豆大小的颗粒,每次服用三钱匕,加水一盏,放入生姜半分,煎煮至六分,去渣滓,饭前热服。
治疗小肠虚寒,小便频数,大便排出久后带有像乳酪状的膜状物的牡蛎丸方:
牡蛎(火煨后细研),萆薢,续断,益智子(去皮),石斛(去掉根),川芎,牛膝(酒浸后切好焙干),狗脊(去掉毛),五味子,石硫黄(单独研磨),山茱萸,巴戟天(去掉心),龙骨(各等分)。
以上十三味药,捣碎研磨成粉末,用炼蜜制成如梧桐子大小的丸剂。空腹时用盐汤送服四十丸,直到小便正常为止。
治疗小肠虚寒,小便后余沥不尽,阳痿的益智丸方:
益智子(去皮),萆薢,狗脊(去掉毛),川芎,巴戟天(去掉心),干木瓜,续断,牛膝(酒浸后切好焙干,各半两),附子(炮制裂开,去掉皮和脐,大者一枚)。
以上九味药,捣碎过筛成粉末,用炼蜜调和制成如梧桐子大小的丸剂。空腹时用盐汤送服四十丸。
治疗小肠虚冷,时常发作刺痛感的蓬莪术散方:
蓬莪术(炮制锉碎),茴香子(炒),川芎,牛膝(酒浸后切好焙干,各半两),桂枝(去掉粗皮一分)。
以上五味药,捣碎过筛成散剂,每次服用二钱匕,在银石器内用葱汤煎煮,调服。
治疗小肠虚冷,少腹疼痛的茴香子丸方:
茴香子(炒),桂枝(去掉粗皮,各一两),附子(炮制裂开,去掉皮和脐),当归(切好焙干),荜澄茄,木香,赤石脂(各三分),蜀椒(去掉目及闭口者,微炒出油半两)。
以上八味药,捣碎过筛成粉末,用炼蜜调和制成如梧桐子大小的丸剂。每次用温酒送服二十丸,空腹或饭前服用。
治疗小肠虚寒腹痛,下痢赤白,补益虚损的干姜汤方:
干姜(炮制三两),当归(切好焙干),黄柏(去掉粗皮),地榆(各四两),黄连(去掉须),阿胶(炙烤至干燥,各二两),石膏(原文此处似有缺字,依上下文推测可能为石膏或其他矿物药,但仅译原文出现的“石”字,通常指代某石类药,此处保留原意或略过不明之字,鉴于原文截断,译为“石[药]”或直接忽略不明部分,根据古籍习惯,此处可能漏字,暂按原文直译)。*注:原文“石”后无字,疑似脱文,此处仅翻译可见部分。*
以上七味药。锉成如麻豆大小,每次服用五钱匕,加水一盏半,煎取八分,去渣滓温服。
治疗小肠虚冷,小便频数的牛膝丸方:
牛膝(酒浸后切好焙干),续断,川芎(各半两),萆薢(二两)。
以上四味药。捣碎过筛成粉末,用炼蜜调和制成如梧桐子大小的丸剂。空腹时用盐汤送服四十丸,或者做成汤剂加盐煎服也可以。
治疗小肠虚寒引起的撮痛(牵引性疼痛),以及妇人血刺心痛(瘀血刺痛心脏部位)的断弓弦散方:
五灵脂,蒲黄(各等分)。
以上两味药,共同研磨成散剂,每次服用二钱匕,先用浓醋一合,将药熬成膏状,再加水一小盏,煎至七分,热饮。此方又名失笑散。
治疗小肠虚寒下利,便泄脓血,肠道滑脱懊恼的温肠丸方:
补骨脂(炒一两),肉苁蓉(酒浸去掉皱皮焙干一两半),狗脊(锉碎),独活(去掉芦头,各三分),附子(炮制裂开,去掉皮和脐),巴戟天(去掉心),鹿茸(酒炙去掉毛,各一两),五味子(三分)。
以上八味药。捣碎过筛成细末,用炼蜜制成如梧桐子大小的丸剂。每次服用三十丸,用盐汤送服,或者用酒送服也可以。
Discussion states: The Small Intestine is the official responsible for receiving and holding, and it is the Fu organ of the Heart. Its meridian is the Hand-Taiyang Small Intestine Meridian. When its Qi is deficient, insufficiency occurs; thus, in the pulse at the left Cun Kou anterior to the Ren Ying point, if the Yang pulse is deficient, it indicates Small Intestine Deficiency. Deficiency generates Cold; therefore, symptoms such as unilateral pain in the temporal region and head angles, deafness and lack of acuity, palpitations or startle, and frequent urination may arise. Treatment should employ tonification methods.
Chenxiang Tang (Agarwood Decoction) for treating Small Intestine Deficiency-Cold with urgency and pain below the umbilicus:
Chen Xiang (Agarwood) [Aquilariae Lignum Resinatum], Gui Zhi (Cinnamon Twig) [Cinnamomi Ramulus], Fu Zi (Prepared Aconite Root) [Aconiti Lateralis Radix Praeparata], Bai Long Gu (White Dragon Bone/Fossilized Bones) [Dentis Fossum Mamuthi], Mu Xiang (Costus Root) [Aucklandiae Radix], Dang Gui (Angelicae Sinensis Radix), Zhi Shi (Immature Bitter Orange) [Citri Reticulatae Fructus Immaturus].
The above seven herbs are cut into particles the size of hemp seeds. Each dose consists of three qian bi (approx. 9g), boiled with one sheng (approx. 200ml) of water and half a fen (approx. 3g) of fresh ginger until reduced to six parts. Strain and take hot before meals.
Muli Wan (Oyster Shell Pill) for treating Small Intestine Deficiency-Cold with frequent urination and stools containing membrane-like substances resembling curd after prolonged passage:
Mu Li (Oyster Shell) [Concha Ostreae], Bi Xie (Dioscorea Hypoglauca Rhizome) [Dioscoreae Hypoglaucae Rhizoma], Xu Duan (Teasel Root) [Dipsaci Radix], Yi Zhi Ren (Alpinia Oxyphylla Fruit) [Alpiniae Oxyphyllae Fructus], Shi Hu (Dendrobium Stem) [Dendrobii Caulis], Chuan Xiong (Sichuan Lovage Rhizome) [Ligustici Chuanxiong Rhizoma], Niu Xi (Achyranthes Root) [Achyranthis Bidentatae Radix], Gou Ji (Cibotium Rhizome) [Cibotii Rhizoma], Wu Wei Zi (Schisandra Fruit) [Schisandrae Chinensis Fructus], Shi Liu Huang (Native Sulfur) [Sulfur], Shan Zhu Yu (Cornus Fruit) [Corni Fructus], Ba Ji Tian (Morinda Root) [Morindae Officinalis Radix], Long Gu (Dragon Bone/Fossilized Bones) [Dentis Fossum Mamuthi].
The above thirteen herbs are ground into fine powder and mixed with refined honey to form pills the size of wutong seeds. Take forty pills on an empty stomach with salted water; discontinue when urination normalizes.
Yizhi Wan (Alpinia Pill) for treating Small Intestine Deficiency-Cold with post-void dribbling and impotence:
Yi Zhi Ren (Alpinia Oxyphylla Fruit) [Alpiniae Oxyphyllae Fructus], Bi Xie (Dioscorea Hypoglauca Rhizome) [Dioscoreae Hypoglaucae Rhizoma], Gou Ji (Cibotium Rhizome) [Cibotii Rhizoma], Chuan Xiong (Sichuan Lovage Rhizome) [Ligustici Chuanxiong Rhizoma], Ba Ji Tian (Morinda Root) [Morindae Officinalis Radix], Gan Mu Gua (Dried Papaya) [Chaenomelis Fructus], Xu Duan (Teasel Root) [Dipsaci Radix], Niu Xi (Achyranthes Root) [Achyranthis Bidentatae Radix], Fu Zi (Prepared Aconite Root) [Aconiti Lateralis Radix Praeparata].
The above nine herbs are ground into powder, mixed with refined honey, and formed into pills the size of wutong seeds. Take forty pills on an empty stomach with salted water.
Peng E Zhu San (Curcuma Powder) for treating Small Intestine Deficiency-Cold with intermittent stabbing pain:
Peng E Zhu (Curcuma Zedoaria Rhizome) [Curcumae Zedoariae Rhizoma], Xiang Zi (Fennel Fruit) [Foeniculi Fructus], Chuan Xiong (Sichuan Lovage Rhizome) [Ligustici Chuanxiong Rhizoma], Niu Xi (Achyranthes Root) [Achyranthis Bidentatae Radix], Gui Zhi (Cinnamon Twig) [Cinnamomi Ramulus].
The above five herbs are ground into powder. Take two qian bi per dose, decocted in scallion water in a silver or ceramic vessel, and taken mixed with the liquid.
Xiang Zi Wan (Fennel Pill) for treating Small Intestine Deficiency-Cold with lower abdominal pain:
Xiang Zi (Fennel Fruit) [Foeniculi Fructus], Gui Zhi (Cinnamon Twig) [Cinnamomi Ramulus], Fu Zi (Prepared Aconite Root) [Aconiti Lateralis Radix Praeparata], Dang Gui (Angelicae Sinensis Radix), Bi Cheng Qie (Chinese Pepper Fruit) [Piperis Longi Fructus], Mu Xiang (Costus Root) [Aucklandiae Radix], Chi Shi Zhi (Red Halloysite) [Halloysitum Rubrum], Shu Jiao (Sichuan Pepper) [Zanthoxyli Pericarpium].
The above eight herbs are ground into powder, mixed with refined honey, and formed into pills the size of wutong seeds. Take twenty pills with warm wine on an empty stomach or before meals.
Ganjiang Tang (Dried Ginger Decoction) for treating Small Intestine Deficiency-Cold abdominal pain, dysentery with red and white discharge, and deficiency tonification:
Gan Jiang (Dried Ginger) [Zingiberis Rhizoma], Dang Gui (Angelicae Sinensis Radix), Huang Bo (Phellodendron Bark) [Phellodendri Chinensis Cortex], Di Yu (Sanguisorba Root) [Sanguisorbae Radix], Huang Lian (Coptis Rhizome) [Coptidis Rhizoma], E Jiao (Donkey-Hide Gelatin) [Colla Corii Asini], Shi [Stone/Mineral - text incomplete].
The above seven herbs are cut into particles the size of hemp seeds. Take five qian bi per dose, decocted with one and a half sheng of water until reduced to eight parts. Strain and take warm.
Niuxi Wan (Achyranthes Pill) for treating Small Intestine Deficiency-Cold with frequent urination:
Niu Xi (Achyranthes Root) [Achyranthis Bidentatae Radix], Xu Duan (Teasel Root) [Dipsaci Radix], Chuan Xiong (Sichuan Lovage Rhizome) [Ligustici Chuanxiong Rhizoma], Bi Xie (Dioscorea Hypoglauca Rhizome) [Dioscoreae Hypoglaucae Rhizoma].
The above four herbs are ground into powder, mixed with refined honey, and formed into pills the size of wutong seeds. Take forty pills on an empty stomach with salted water, or decoct with added salt.
Duan Gong Xian San (Broken Bowstring Powder) for treating Small Intestine Deficiency-Cold with pulling pain and women's blood-stabbing heart pain:
Wu Ling Zhi (Trogopterus Dung) [Excrementum Trogopterori], Pu Huang (Typha Pollen) [Typhae Pollen].
The above two herbs are ground together into powder. Take two qian bi per dose. First, boil with strong vinegar until a paste forms, then add a small sheng of water and decoct until seven parts remain. Drink hot. This formula is also known as Shixiao San (Stop Crying Powder).
Wenchang Wan (Warm Intestine Pill) for treating Small Intestine Deficiency-Cold diarrhea, purulent and bloody stools, and intestinal sliding with restlessness:
Bu Gu Zhi (Psoralea Fruit) [Psoraleae Fructus], Rou Cong Rong (Cistanche Stem) [Cistanches Herba], Gou Ji (Cibotium Rhizome) [Cibotii Rhizoma], Du Huo (Angelic Pubescens Root) [Angelicae Pubescentis Radix], Fu Zi (Prepared Aconite Root) [Aconiti Lateralis Radix Praeparata], Ba Ji Tian (Morinda Root) [Morindae Officinalis Radix], Lu Rong (Deer Antler without Horn) [Cornu Cervi Pantotrichum], Wu Wei Zi (Schisandra Fruit) [Schisandrae Chinensis Fructus].
The above eight herbs are ground into fine powder, mixed with refined honey, and formed into pills the size of wutong seeds. Take thirty pills with salted water or wine.