论曰气注者,邪气传注,蕴伏于肺也,肺主气而通行表里,若为注气所传,则其病随气
游走,冲击掣痛,上喘奔急,饮食不下,是为气注之候。
治一切气注,大肠结涩,背膊刺痛,气注四肢,及食物不消,奔豚气逆,浓朴丸方
浓朴(去粗皮姜汁炙三两) 桂(去粗皮) 大黄(锉碎醋炒各二两) 桃仁(汤浸去
皮尖双
仁炒三两)
上四味,捣罗为末研匀,炼蜜为丸,如小豆大,每服三十丸,米饮下,食后临卧服。微
利即效,一方加附子一两(裂去皮脐。
治气注刺痛,白芜荑散方
白芜荑(微炒) 附子(炮裂去皮脐) 白槟榔(煨锉) 陈橘皮(汤浸去白焙) 干
姜(炮)
上九味,捣研为散,每服三钱匕,空心热酒调下。
治气注羸瘦,历年停滞,胸满结痞,饮食或吐,宿食不下,中风鬼注,千金丸方
野葛(炙四寸) 斑蝥(十枚去翅足炒) 雄黄(研) 雌黄(研) 干姜(炮) 鬼
臼(去毛微
胆(八枚去翅足炒
上一十三味,捣罗为末,炼蜜为丸,如小豆大,每服酒下五丸,日二服,卒中恶,闷绝
不知人,服二丸,老小一丸,牛马 践,猪犬所啮,痈肿若虫毒所啮,用一丸于掌中。唾和
涂疮口毒上、立愈。正月旦,以酒服。家中大小各一丸,一年中不病,若欲视病患,先服一
丸,佳。
治注气、胸膈满塞,心背撮痛欲绝,柴胡汤方
柴胡(去苗) 甘草(炙锉各一两半) 木香(二两) 槟榔(煨锉十枚) 当归(切
焙一两半)
上七味,除麝香外,粗捣筛,每服五钱匕,水一盏半,煎至一盏,去滓入麝香少许,再
煎至八分,温服日再。
治注气,肩臂刺痛不移,桃仁饮方
桃仁(汤浸去皮尖双仁炒) 酸枣仁(炒) 人参 赤茯苓(去黑皮) 桂(去粗皮) 丁
香
上七味等分,粗捣筛,每服五钱匕,水一盏半,煎至八分,去滓临卧顿服。
治风冷注气,胸膈刺痛,转动不得,四肢厥冷,面目青黄,又如鬼气状,延胡索散方
延胡索 橘核(炒) 人参(各半两) 乳香(研) 地龙(去土炒各一分)
上五味,捣研为散,每服一钱匕,温酒调下,日再。
治注气,背膊疼痛,心胸烦闷,调气汤方
京三棱(煨锉) 木香(各一两) 槟榔(煨锉三分) 草豆蔻(去皮) 高良姜(各
一两半)
皮(汤浸去白焙) 白
上一十四味,除阿魏外,粗捣筛再和匀,每服三钱匕,水一盏,煎至七分,去滓入盐温
服。
治注气,兼冷气心腹痛,或卒得注痛,如鬼祟,牛黄丸方
牛黄(研) 阿魏(研各半分) 丹砂(研) 安息香(研各半钱) 肉豆蔻(去壳一
枚) 桂(
双仁炒四十九枚)
上一十味,捣研为末,用糯米饭为丸,如麻子大,每服十丸,空心温酒下,日三。
治卒注气,木香散方
木香 当归(切焙) 白术 桂(去粗皮) 白茯苓(去黑皮各一两)
上五味,捣罗为散,每服二钱匕,沸汤点服,不拘时,日三。
论述说:所谓气注,是指邪气传注,蕴伏于肺脏。肺主司气并通行于表里之间,如果被注气所传变,那么病症就会随着气的运行而游走,产生冲击和牵引性疼痛,向上导致气喘急促,饮食难以下咽,这就是气注的证候表现。
治疗一切气注,以及大肠结滞涩痛、背部和两胁刺痛、气注四肢,还有食物不消化、奔豚气上逆等症状,使用浓朴丸方。
浓朴(去除粗皮,用姜汁炙烤三两)、桂枝(去除粗皮)、大黄(锉碎,用醋炒各二两)、桃仁(热水浸泡,去除皮尖,双仁者炒制三两)。
以上四味药,捣碎过筛成细末,混合均匀,用炼蜜制成丸剂,大小如小豆,每次服用三十丸,米汤送下,饭后及临睡前服用。轻微腹泻即见效。另一版本方中加入附子一两(裂开,去除皮脐)。
治疗气注引起的刺痛,使用白芜荑散方。
白芜荑(微炒)、附子(炮裂,去除皮脐)、白槟榔(煨后锉碎)、陈橘皮(热水浸泡,去除白色内层焙干)、干姜(炮制)。
以上九味药(原文此处可能有脱漏或排版错误,列出的药材为五味,但称“上九味”,依原文记录),捣碎研成散剂,每次服用三钱匕,空腹时用热酒调服。
治疗气注导致的身体消瘦,病程长年停滞,胸部胀满痞塞,饮食有时呕吐,宿食不化,以及中风鬼注等症,使用千金丸方。
野葛(炙制四寸)、斑蝥(十枚,去除翅足炒制)、雄黄(研细)、雌黄(研细)、干姜(炮制)、鬼臼(去毛微炒)、胆(原文此处似有缺字或错简,结合上下文推测可能指某种胆汁或相关药材,依原文记录)、上一十三味药(原文列出的药材数量与描述不符,依原文记录),捣碎过筛成细末,用炼蜜制成丸剂,大小如小豆,每次服用五丸,酒送下,每日两次。如果是中恶邪之气,昏闷绝不知人,服用二丸;老人小孩服用一丸。如果是被牛马践踏,或被猪犬咬伤,或是痈肿如同虫毒咬伤,取一丸放在手掌中,用唾液调和涂抹在疮口毒处,立即痊愈。正月初一,用酒送服。家中大人小孩各服一丸,一年内不得病。如果想要探望病人,先服用一丸,效果佳。
治疗注气、胸膈满塞,心部和背部掣痛欲绝的症状,使用柴胡汤方。
柴胡(去除苗)、甘草(炙后锉碎各一两半)、木香(二两)、槟榔(煨后锉碎十枚)、当归(切后焙干一两半)。
以上七味药(原文列出五味,称“上七味”,可能包含未列出的麝香等,依原文记录),除麝香外,粗捣筛过,每次服用五钱匕,用水一盏半,煎至一盏,去掉药渣,加入少许麝香,再煎至八分,温服,每日两次。
治疗注气,肩臂刺痛固定不移,使用桃仁饮方。
桃仁(热水浸泡,去除皮尖,双仁者炒制)、酸枣仁(炒制)、人参、赤茯苓(去除黑皮)、桂枝(去除粗皮)、丁香。
以上七味药(原文列出六味,称“上七味”,依原文记录)等分,粗捣筛过,每次服用五钱匕,用水一盏半,煎至八分,去掉药渣,临睡前一次性服用。
治疗风冷注气,胸膈刺痛,转动身体困难,四肢厥冷,面目青黄,又好像鬼气作祟的症状,使用延胡索散方。
延胡索、橘核(炒制)、人参(各半两)、乳香(研细)、地龙(去除泥土炒制各一分)。
以上五味药,捣碎研成散剂,每次服用一钱匕,温酒调服,每日两次。
治疗注气,背部和两胁疼痛,心胸烦闷,使用调气汤方。
京三棱(煨后锉碎)、木香(各一两)、槟榔(煨后锉碎三分)、草豆蔻(去皮)、高良姜(各一两半)、陈皮(热水浸泡,去除白色内层焙干)、白术(原文此处排版混乱,“皮”、“白”二字位置异常,结合前文“陈橘皮”及常见配伍,推测为陈皮和白术,依原文记录)。
以上十四味药(原文列出的药材数量与描述严重不符,依原文记录),除阿魏外,粗捣筛过再混合均匀,每次服用三钱匕,用水一盏,煎至七分,去掉药渣,加入盐,温服。
治疗注气,兼有冷气引起的心腹痛,或者突然得注痛,像鬼祟作怪一样,使用牛黄丸方。
牛黄(研细)、阿魏(研细各半分)、丹砂(研细)、安息香(研细各半钱)、肉豆蔻(去壳一枚)、桂枝(原文此处有缺字,依原文记录)、双仁炒四十九枚(原文此处排版混乱,疑似指某药材四十九枚,依原文记录)。
以上十味药(原文列出的药材数量与描述不符,依原文记录),捣碎研成细末,用糯米饭做成丸剂,大小如麻子,每次服用十丸,空腹时温酒送下,每日三次。
治疗突然发作的气注,使用木香散方。
木香、当归(切后焙干)、白术、桂枝(去除粗皮)、白茯苓(去除黑皮各一两)。
以上五味药,捣碎过筛成散剂,每次服用二钱匕,用沸水冲服,不拘时间,每日三次。
Discussion states: The so-called Qi Zhu (Qi Injection) refers to pathogenic factors transmitting and lodging in the Lung. The Lung governs Qi and circulates through the exterior and interior. If transmitted by Zhu Qi (Injecting Qi), the disease wanders along with the movement of Qi, causing impact and pulling pain, upward rushing asthma and urgency, inability to take food and drink; this is the manifestation of Qi Zhu.
To treat all types of Qi Zhu, as well as constipation and astringency of the Large Intestine, stabbing pain in the back and shoulders, Qi Zhu affecting the four limbs, indigestion, and rebellious Qi of Ben Tun (Rushing Pig), use the Nongpo Wan (Magnolia Bark Pill) formula.
Nongpo (Magnoliae Officinalis Cortex, remove coarse bark, stir-fry with ginger juice, 3 liang); Guizhi (Cinnamomi Ramulus, remove coarse bark); Dahuang (Rhei Radix et Rhizoma, chop, stir-fry with vinegar, each 2 liang); Taoren (Persicae Semen, soak in hot water, remove skin and pointed end, stir-fry double-kernel ones, 3 liang).
The above four herbs are crushed, sifted into fine powder, mixed evenly, and made into pills with refined honey, sized like small beans. Take 30 pills per dose, washed down with rice water, taken after meals and before going to bed. Slight diarrhea indicates efficacy. Another version adds Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, split, remove skin and navel).
To treat stabbing pain caused by Qi Zhu, use the Bai Wuyi San (White Melia Powder) formula.
Bai Wuyi (Meliae Toosendan Fructus, slightly stir-fry); Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, remove skin and navel); Bai Binglang (Arecae Semen, baked and chopped); Chenjupi (Citri Reticulatae Pericarpium, soak in hot water, remove white pith, bake); Ganjiang (Zingiberis Rhizoma, processed).
The above nine flavors (Note: text lists five, claims nine), crushed and ground into powder. Take 3 qian bi per dose, mixed with hot wine on an empty stomach.
To treat Qi Zhu leading to emaciation, long-standing stagnation, chest fullness and痞 (obstruction), vomiting of food, retention of old food, and wind-stroke Gui Zhu (Ghost Injection), use the Qianjin Wan (Thousand Gold Pill) formula.
Yege (Stramonii Fructus, roasted, 4 cun); Banmao (Mylabris, 10 pieces, remove wings and feet, stir-fry); Xionghuang (Realgar, ground); Cihuang (Orpiment, ground); Ganjiang (Zingiberis Rhizoma, processed); Jiubai (Dahuriae Rhizome, remove hairs, slightly stir-fry); Dan (Gall, note: text incomplete here); The above thirteen flavors (Note: text lists fewer, claims thirteen), crushed, sifted into fine powder, made into pills with refined honey, sized like small beans. Take 5 pills per dose, washed down with wine, twice daily. For sudden attack of evil qi, fainting and unconsciousness, take 2 pills; for elderly and children, take 1 pill. For injuries from trampling by cattle or horses, bites by pigs or dogs, carbuncles swollen as if bitten by insects/poison, take 1 pill, place in palm, mix with saliva, apply to wound/toxic area; immediate cure. On the first day of the first lunar month, take with wine. Each adult and child in the household takes 1 pill; one will not fall ill throughout the year. If visiting patients, take 1 pill beforehand for best results.
To treat Zhu Qi, chest and diaphragm fullness and blockage, severe pinching pain in the heart and back, use Chaihu Tang (Bupleurum Decoction).
Chaihu (Bupleuri Radix, remove seedlings); Gancao (Glycyrrhizae Radix et Rhizoma, roast and chop, each 1.5 liang); Muxiang (Aucklandiae Radix, 2 liang); Binglang (Arecae Semen, baked and chopped, 10 pieces); Danggui (Angelicae Sinensis Radix, slice and bake, 1.5 liang).
The above seven flavors (Note: text lists five, claims seven), except for Shexiang (Moschus), coarsely crush and sieve. Take 5 qian bi per dose, add 1.5 cups of water, decoct to 1 cup, strain, add a little Shexiang, decoct again to 0.8 cup, take warm, twice daily.
To treat Zhu Qi with fixed stabbing pain in shoulders and arms, use Tao Ren Yin (Peach Kernel Drink) formula.
Taoren (Persicae Semen, soak in hot water, remove skin and pointed end, stir-fry double-kernel ones); Suanzaoren (Ziziphi Spinosae Semen, stir-fry); Renshen (Ginseng Radix et Rhizoma); Chi Fuling (Poria with Red Heart, remove black skin); Guizhi (Cinnamomi Ramulus, remove coarse bark); Dingxiang (Caryophylli Flos).
The above seven flavors (Note: text lists six, claims seven), equal parts, coarsely crush and sieve. Take 5 qian bi per dose, add 1.5 cups of water, decoct to 0.8 cup, strain, take at once before bed.
To treat Wind-Cold Zhu Qi, stabbing pain in chest and diaphragm, inability to turn body, cold extremities, cyan-yellow complexion, resembling Ghost Qi, use Yanhusuo San (Corydalis Powder) formula.
Yanhusuo (Corydzidis Rhizoma); Juhe (Citri Reticulatae Semen, stir-fry); Renshen (Ginseng Radix et Rhizoma, each 0.5 liang); Ruxiang (Olibanum, ground); Dilong (Pheretima, remove soil, stir-fry, each 1 fen).
The above five herbs, crushed and ground into powder. Take 1 qian bi per dose, mixed with warm wine, twice daily.
To treat Zhu Qi with pain in back and shoulders, restlessness and oppression in chest and heart, use Tiaoqi Tang (Regulating Qi Decoction) formula.
Jingsanleng (Sparganii Rhizoma, baked and chopped); Muxiang (Aucklandiae Radix, each 1 liang); Binglang (Arecae Semen, baked and chopped, 3 fen); Caodoukou (Alpiniae Katsumadai Semen, remove shell); Gaoliangjiang (Alpiniae Officinarum Rhizoma, each 1.5 liang); Chenpi (Citri Reticulatae Pericarpium, soak in hot water, remove white pith, bake); Baizhu (Atractylodis Macrocephalae Rhizoma, note: text layout error "Pi" "Bai", inferred from context).
The above fourteen flavors (Note: text lists fewer, claims fourteen), except for Awèi (Asafoetida), coarsely crush, sieve, and mix evenly. Take 3 qian bi per dose, add 1 cup of water, decoct to 0.7 cup, strain, add salt, take warm.
To treat Zhu Qi accompanied by Cold Qi causing heart and abdominal pain, or sudden Zhu pain resembling ghostly affliction, use Niuhuang Wan (Calculus Bovis Pill) formula.
Niuhuang (Calculus Bovis, ground); Awèi (Asafoetida, ground, each 0.5 fen); Dansha (Cinnabaris, ground); Anshixiang (Styrax, ground, each 0.5 qian); Roudoukou (Myristicae Semen, remove shell, 1 piece); Guizhi (Cinnamomi Ramulus, note: text incomplete); Double-kernel stir-fried 49 pieces (note: text layout error, likely refers to a specific herb quantity).
The above ten flavors (Note: text lists fewer, claims ten), crushed and ground into powder, made into pills using glutinous rice paste, sized like hemp seeds. Take 10 pills per dose, washed down with warm wine on an empty stomach, three times daily.
To treat sudden onset of Zhu Qi, use Muxiang San (Aucklandia Powder) formula.
Muxiang (Aucklandiae Radix); Danggui (Angelicae Sinensis Radix, slice and bake); Baizhu (Atractylodis Macrocephalae Rhizoma); Guizhi (Cinnamomi Ramulus, remove coarse bark); Baifuling (Poria, remove black skin, each 1 liang).
The above five herbs, crushed and sifted into powder. Take 2 qian bi per dose, mixed with boiling water, time unspecified, three times daily.