论曰肾藏风冷气者,脐腹胀满疼痛是也,由肾气不足,内生阴寒,风邪冷气,客于肾经,
攻于下焦,蕴积脐腹之间,故连少腹胀满而疼痛也。
治肾藏风,冷气久积,脐腹虚胀不消,攻击疼痛,腰背相引拘急。牛膝丸方
牛膝(去苗酒浸焙) 五加皮(锉) 巴戟天(去心) 羌活(去芦头各一两) 附子
(炮裂去
皮脐) 菖蒲 桂(去粗皮) 木香(各半两)
上八味,捣罗为细末,酒煮面糊为丸,如梧桐子大,每服三十丸,空心温酒下。
治肾脏虚损,风冷相搏,在脐腹不散,胀满疼痛不已,黄 汤方
黄 (细锉) 青橘皮(汤浸去白焙) 五加皮(锉) 桔梗(炒) 羌活(去芦头) 甘
草(炙
锉) 白术(锉各一两) 桂(去粗皮) 附子(炮裂去皮脐) 干姜(炮各半两)
上一十味,锉如麻豆,每服三钱匕,水一盏,盐一捻,同煎七分,去滓温服食前。
治肾藏风冷气,攻脐腹胀满疼痛。木香汤方
木香 桃仁(汤去皮尖及双仁炒研各半两) 香子(炒) 羌活(去芦头) 青橘皮
(汤浸
去白焙) 当归(切焙) 芎 乌头(炮裂去皮脐各一两)
上八味。锉如麻豆,每服三钱匕,水一盏,生姜三片,枣二枚劈破,同煎七分,去滓温
服,不拘时候。
治肾藏风冷气,攻脐腹胀满,腰背相引疼痛。沉香汤方
沉香(锉) 五味子 细辛(去苗叶) 防风(去叉) 黄 (细锉) 石斛(去根) 萆
桂
(去粗皮各一两)
上八味,粗捣筛,每服三钱匕,水一盏,生姜三片,枣二枚劈破,同煎七分,去滓温服,
不拘时候。
治肾藏风冷气攻腹胀痛,腰胁拘急,及膀胱冷气痛。干蝎丸方
干蝎(去土炒) 肉豆蔻(炮去皮) 青橘皮(汤浸去白焙) 磁石( 醋淬二七遍各
一两)
木香(三分) 阿魏(醋化开面调作饼子炙干一分) 附子(炮裂去皮脐) 桃仁(去皮尖
双仁别
研作膏各半两) 安息香(一分)
上九味,除别研外,捣罗为细末,入研药拌匀,酒浸炊饼和丸,如梧桐子大,每服二十
丸,温酒下。
治肾脏虚损,久积风冷,脐腹胀满,疼痛不止。豆蔻丸方
肉豆蔻(去皮炮) 附子(炮裂去皮脐) 蓬莪术(炮) 天麻(酒浸炙各一两) 木
香槟榔
(锉) 干蝎(去土炒各半两) 砂(别研一分)
上八味,内七味捣罗为细末,入研药拌匀,酒煮面糊为丸,如梧桐子大,每服二十丸,
温酒下。
治肾藏风冷气,腿膝无力,小便数利,山茱萸丸方
山茱萸 山芋 巴戟天(去心) 菟丝子(酒浸别捣焙) 人参 天雄(炮裂去皮脐) 楮
实
地黄(焙
上一十三味,捣罗为末,炼蜜和丸,如梧桐子大,每服四十丸,暖酒下,空心食前服。
治肾风虚冷,小便多,腿细脚弱,渐渐羸瘦。黄 丸方
黄 (炙锉) 熟干地黄(焙) 龙骨(去土碎各一两半) 枳壳(去瓤麸炒) 肉苁
蓉(酒浸
切焙) 泽泻(各一两一分) 菟丝子(酒浸一宿别捣) 鹿茸(去毛酥炙) 麦门冬(去
心焙各二
两) 牡丹皮 石斛(去根)
五味子炒各一两 桑螵蛸(二十一枚炙)
上一十三味。捣罗为末,炼蜜丸如梧桐子,每空腹煎黄 汤下三十丸。
治肾脏风冷气,胸中聚痰,夜梦泄精,腰膝无力,小便频数。山芋丸方
山芋 韭子(炒令熟) 菟丝子(酒浸一宿别捣焙) 附子(炮裂去皮脐) 白龙骨 山
茱萸
(去粗皮各一两) 熟干地黄(焙五两) 肉苁蓉(去皴皮酒浸切焙二两)
上一十五味,捣罗为末,炼蜜和丸,如梧桐子大,每服四十丸,暖酒下,空心服。
治肾脏风冷气,腰膝疼痛。狗脊丸方
狗脊(去毛) 附子(炮裂去皮脐各二两) 五味子 覆盆子 山芋 白槟榔(锉) 白
茯苓
(去黑皮) 蛇床子(炒各两半) 木香 桂(去粗皮) 羌活(去芦头) 牛膝(酒浸切
焙) 独活
(去芦头) 熟干地黄(焙各三两)
上一十四味,捣罗为末,炼蜜和丸,如梧桐子大,每服四十丸,温酒下,空心食前服。
论述:所谓肾脏受风邪与冷气侵袭,表现为脐部及腹部胀满、疼痛。这是由于肾气不足,体内产生阴寒之气,风邪与冷气客居于肾经,攻冲于下焦,蕴结积聚在脐腹之间,因此导致少腹胀满并伴有疼痛。
治疗肾脏受风邪、冷气久积,导致脐腹虚胀不消,攻冲作痛,腰背相互牵引且拘急痉挛的方剂:牛膝丸方。
药材:牛膝(去苗,酒浸后焙干)、五加皮(锉碎)、巴戟天(去心)、羌活(去芦头),各一两;附子(炮裂,去皮和脐)、菖蒲、桂枝(去粗皮)、木香,各半两。
制法与用法:以上八味药,捣碎过筛成细末,用酒煮面糊作为粘合剂制成丸药,大小如梧桐子大。每次服用三十丸,空腹时用温酒送服。
治疗肾脏虚损,风邪与冷气相搏结,停留在脐腹不散,导致胀满疼痛不止的方剂:黄芪汤方。(注:原文“黄 ”应为黄芪之脱字)
药材:黄芪(细锉)、青橘皮(热水浸泡去白瓤后焙干)、五加皮(锉碎)、桔梗(炒制)、羌活(去芦头)、甘草(炙后锉碎)、白术(锉碎),各一两;桂枝(去粗皮)、附子(炮裂去皮和脐)、干姜(炮制),各半两。
制法与用法:以上十味药,锉碎如麻豆大小。每次取三钱匕,加水一盏,盐一捻,共同煎煮至七分,去渣后温热服用,饭前服。
治疗肾脏受风邪与冷气,攻冲导致脐腹胀满疼痛的方剂:木香汤方。
药材:木香、桃仁(热水浸泡去皮尖及双仁,炒制后研碎,各半两)、香子(炒制)、羌活(去芦头)、青橘皮(热水浸泡去白瓤后焙干)、当归(切后焙干)、川芎、乌头(炮裂去皮和脐),各一两。
制法与用法:以上八味药,锉碎如麻豆大小。每次取三钱匕,加水一盏,生姜三片,大枣二枚劈破,共同煎煮至七分,去渣后温热服用,不限定时间。
治疗肾脏受风邪与冷气,攻冲导致脐腹胀满,腰背相互牵引疼痛的方剂:沉香汤方。
药材:沉香(锉碎)、五味子、细辛(去苗叶)、防风(去叉枝)、黄芪(细锉)、石斛(去根)、萆薢、桂枝(去粗皮),各一两。
制法与用法:以上八味药,粗捣后筛选。每次取三钱匕,加水一盏,生姜三片,大枣二枚劈破,共同煎煮至七分,去渣后温热服用,不限定时间。
治疗肾脏受风邪与冷气攻冲导致腹胀痛,腰胁拘急,以及膀胱冷气痛的方剂:干蝎丸方。
药材:全蝎(去土,炒制)、肉豆蔻(炮制去皮)、青橘皮(热水浸泡去白瓤后焙干)、磁石(醋淬七次,各一两)、木香(三分)、阿魏(醋化开,用面调成饼状炙干,一分)、附子(炮裂去皮和脐)、桃仁(去皮尖及双仁,分别研成膏,各半两)、安息香(一分)。
制法与用法:以上九味药,除需单独研磨的药外,其余捣碎过筛成细末,加入已研好的药拌匀,用酒浸过的炊饼和丸,大小如梧桐子大。每次服用二十丸,用温酒送服。
治疗肾脏虚损,风冷久积,导致脐腹胀满,疼痛不止的方剂:豆蔻丸方。
药材:肉豆蔻(去皮炮制)、附子(炮裂去皮和脐)、蓬莪术(炮制)、天麻(酒浸后炙干),各一两;木香、槟榔(锉碎)、全蝎(去土炒制),各半两;砂(单独研磨,一分)。
制法与用法:以上八味药,将其中七味捣碎过筛成细末,加入已研好的药拌匀,用酒煮面糊制成丸药,大小如梧桐子大。每次服用二十丸,用温酒送服。
治疗肾脏受风邪与冷气,腿膝无力,小便频数利多的方剂:山茱萸丸方。
药材:山茱萸、山芋(薯蓣)、巴戟天(去心)、菟丝子(酒浸后单独捣碎焙干)、人参、天雄(炮裂去皮和脐)、楮实、地黄(焙干)。
制法与用法:以上十三味药,捣碎过筛成细末,用炼蜜调和制成丸药,大小如梧桐子大。每次服用四十丸,用暖酒送服,空腹且在饭前服用。
治疗肾风虚冷,小便多,腿部细小脚弱,逐渐消瘦的方剂:黄芪丸方。
药材:黄芪(炙后锉碎)、熟干地黄(焙干)、龙骨(去土捣碎),各一两半;枳壳(去瓤麸炒)、肉苁蓉(酒浸后切焙)、泽泻,各一两一分;菟丝子(酒浸一夜后单独捣碎)、鹿茸(去毛酥炙)、麦门冬(去心焙干),各二两;牡丹皮、石斛(去根)、五味子(炒制),各一两;桑螵蛸(炙制,二十一枚)。
制法与用法:以上十三味药,捣碎过筛成细末,用炼蜜制成如梧桐子大的丸药。每次空腹时煎服黄芪汤送服三十丸。
治疗肾脏风邪与冷气,胸中聚痰,夜间梦遗泄精,腰膝无力,小便频数的方剂:山芋丸方。
药材:山芋(薯蓣)、韭子(炒至熟)、菟丝子(酒浸一夜后单独捣碎焙干)、附子(炮裂去皮和脐)、白龙骨、山茱萸(去粗皮),各一两;熟干地黄(焙干,五两);肉苁蓉(去皴皮,酒浸切后焙干,二两)。
制法与用法:以上十五味药,捣碎过筛成细末,用炼蜜调和制成丸药,大小如梧桐子大。每次服用四十丸,用暖酒送服,空腹服用。
治疗肾脏风邪与冷气,腰膝疼痛的方剂:狗脊丸方。
药材:狗脊(去毛)、附子(炮裂去皮和脐,各二两)、五味子、覆盆子、山芋(薯蓣)、白槟榔(锉碎)、白茯苓(去黑皮)、蛇床子(炒制,各一两半)、木香、桂枝(去粗皮)、羌活(去芦头)、牛膝(酒浸切后焙干)、独活(去芦头)、熟干地黄(焙干,各三两)。
制法与用法:以上十四味药,捣碎过筛成细末,用炼蜜调和制成丸药,大小如梧桐子大。每次服用四十丸,用温酒送服,空腹且在饭前服用。
Discussion: The condition of the Kidney being affected by Wind and Cold Qi is characterized by distension, fullness, and pain in the umbilical and abdominal regions. This arises from insufficient Kidney Qi, leading to the internal generation of Yin-Cold. When Wind pathogen and Cold Qi lodge in the Kidney Meridian and attack the Lower Jiao (Lower Burner), they accumulate between the umbilicus and abdomen, resulting in distension and pain extending to the Shaoyang (Lesser Yang) or Shao Yin (Lesser Yin) regions of the lower abdomen.
Formula for treating the Kidney affected by Wind and long-standing accumulation of Cold Qi, causing persistent empty distension in the umbilical and abdominal regions, attacking pain, and pulling stiffness/spasm in the waist and back: Niuxi Wan (Achyranthes Pill).
Ingredients: Radix Achyranthis Bidentatae (Niuxi, 牛膝) [removed sprouts, soaked in wine, baked], Cortex Acanthopanacis Senticosi (Wujia Pi, 五加皮) [chopped], Radix Morinda Officinalis (Bajitian, 巴戟天) [removed heart], Rhizoma Notopterygii (Qianghuo, 羌活) [removed rhizome head], each 1 liang; Radix Aconiti Lateralis Preparata (Fuzi, 附子) [processed until cracked, skin and hilum removed], Rhizoma Acori Tatarinowii (Shichangpu, 菖蒲), Ramulus Cinnamomi (Guizhi, 桂枝) [removed rough bark], Fructus Costi (Muxiang, 木香), each 0.5 liang.
Preparation and Administration: The above eight herbs are crushed, sifted into fine powder, and mixed with a paste made from boiled flour and wine to form pills the size of Sophora japonica seeds. Take 30 pills per dose, administered with warm wine on an empty stomach.
Formula for treating Kidney deficiency where Wind and Cold contend and remain stagnant in the umbilical and abdominal regions, causing unceasing distension and pain: Huangqi Tang (Astragalus Decoction).
Ingredients: Radix Astragali Membranacei (Huangqi, 黄芪) [finely chopped], Pericarpium Citri Reticulatae Viride (Qingjupi, 青橘皮) [soaked in hot water, white pith removed, baked], Cortex Acanthopanacis Senticosi (Wujia Pi, 五加皮) [chopped], Radix Platycodi (Jiegeng, 桔梗) [stir-fried], Rhizoma Notopterygii (Qianghuo, 羌活) [removed rhizome head], Radix Glycyrrhizae Preparata (Gancao, 甘草) [roasted, chopped], Rhizoma Atractylodis Macrocephalae (Baizhu, 白术) [chopped], each 1 liang; Ramulus Cinnamomi (Guizhi, 桂枝) [removed rough bark], Radix Aconiti Lateralis Preparata (Fuzi, 附子) [processed until cracked, skin and hilum removed], Rhizoma Zingiberis Preparatum (Ganjiang, 干姜) [processed], each 0.5 liang.
Preparation and Administration: The above ten herbs are chopped like hemp seeds. Take three qianbi (approx. 9-10 grams) per dose, add one zhan (approx. 200ml) of water and a pinch of salt, decoct together until reduced to 70%, remove dregs, and take warm before meals.
Formula for treating the Kidney affected by Wind and Cold Qi, attacking to cause umbilical and abdominal distension and pain: Muxiang Tang (Costus Decoction).
Ingredients: Fructus Costi (Muxiang, 木香), Semen Persicae (Taoren, 桃仁) [soaked in hot water, skin and tip removed, double kernels removed, stir-fried and crushed, each 0.5 liang], Xiangzi (香子) [stir-fried], Rhizoma Notopterygii (Qianghuo, 羌活) [removed rhizome head], Pericarpium Citri Reticulatae Viride (Qingjupi, 青橘皮) [soaked in hot water, white pith removed, baked], Radix Angelicae Sinensis (Danggui, 当归) [cut and baked], Radix Ligustici Chuanxiong (Chuanxiong, 川芎), Radix Aconiti (Wutou, 乌头) [processed until cracked, skin and hilum removed], each 1 liang.
Preparation and Administration: The above eight herbs are chopped like hemp seeds. Take three qianbi per dose, add one zhan of water, three slices of fresh ginger, and two dates split open. Decoct together until reduced to 70%, remove dregs, and take warm at any time.
Formula for treating the Kidney affected by Wind and Cold Qi, attacking to cause umbilical and abdominal distension, with pulling pain in the waist and back: Chenxiang Tang (Agarwood Decoction).
Ingredients: Lignum Aquilariae Resinatum (Chenxiang, 沉香) [chopped], Fructus Schisandrae Chinensis (Wuweizi, 五味子), Herba Asari (Xixin, 细辛) [removed sprouts and leaves], Rhizoma Saposhnikoviae (Fangfeng, 防风) [removed forked roots], Radix Astragali Membranacei (Huangqi, 黄芪) [finely chopped], Radix Dendrobii (Shihu, 石斛) [removed roots], Rhizoma Dioscoreae Hypoglaucae (Bixie, 萆薢), Ramulus Cinnamomi (Guizhi, 桂枝) [removed rough bark], each 1 liang.
Preparation and Administration: The above eight herbs are coarsely pounded and sieved. Take three qianbi per dose, add one zhan of water, three slices of fresh ginger, and two dates split open. Decoct together until reduced to 70%, remove dregs, and take warm at any time.
Formula for treating Kidney Wind and Cold Qi attacking to cause abdominal distension and pain, stiffness and spasm in the waist and hypochondrium, and Cold Qi pain in the Bladder: Ganxie Wan (Dried Scorpion Pill).
Ingredients: Scorpio (Ganxie, 干蝎) [cleaned of earth, stir-fried], Semen Myristicae (Roudoukou, 肉豆蔻) [processed, skin removed], Pericarpium Citri Reticulatae Viride (Qingjupi, 青橘皮) [soaked in hot water, white pith removed, baked], Magnetitum (Cishi, 磁石) [quenched in vinegar seven times], each 1 liang; Fructus Costi (Muxiang, 木香) [3 fen]; Resina Ferulae (awei, 阿魏) [dissolved in vinegar, mixed with flour to make cakes, roasted dry] [1 fen]; Radix Aconiti Lateralis Preparata (Fuzi, 附子) [processed until cracked, skin and hilum removed]; Semen Persicae (Taoren, 桃仁) [skin and tip removed, double kernels separated and ground into paste] [each 0.5 liang]; Resina Benzoini (Anshixiang, 安息香) [1 fen].
Preparation and Administration: Of the above nine herbs, except those requiring separate grinding, crush and sift into fine powder. Mix with the separately ground herbs. Soak steamed dough in wine and mix with the powder to form pills the size of Sophora japonica seeds. Take 20 pills per dose, administered with warm wine.
Formula for treating Kidney deficiency with long-standing accumulation of Wind and Cold, causing umbilical and abdominal distension and unceasing pain: Doukou Wan (Myristica Pill).
Ingredients: Semen Myristicae (Roudoukou, 肉豆蔻) [skin removed, processed], Radix Aconiti Lateralis Preparata (Fuzi, 附子) [processed until cracked, skin and hilum removed], Rhizoma Curcumae Phaeocaulis (Peng'ezhu, 蓬莪术) [processed], Rhizoma Gastrodiae (Tianma, 天麻) [soaked in wine, roasted], each 1 liang; Fructus Costi (Muxiang, 木香), Fructus Arecae (Binglang, 槟榔) [chopped], Scorpio (Ganxie, 干蝎) [cleaned of earth, stir-fried], each 0.5 liang; Sand (Sha, 砂) [separately ground] [1 fen].
Preparation and Administration: Of the above eight herbs, crush seven of them into fine powder. Mix with the separately ground herb. Use wine-boiled flour paste to form pills the size of Sophora japonica seeds. Take 20 pills per dose, administered with warm wine.
Formula for treating the Kidney affected by Wind and Cold Qi, causing weakness in the legs and knees, and frequent urination: Shanzhuyu Wan (Cornus Pill).
Ingredients: Fructus Corni Officinalis (Shanzhuyu, 山茱萸), Rhizoma Dioscoreae Oppositae (Shanyu, 山芋), Radix Morinda Officinalis (Bajitian, 巴戟天) [removed heart], Semen Tribuli (Tusizi, 菟丝子) [soaked in wine, separately pounded and baked], Radix Ginseng (Renshen, 人参), Radix Aconiti Kusnezoffii Preparata (Tianxiong, 天雄) [processed until cracked, skin and hilum removed], Fructus Broussonetiae Papyriferae (Chushi, 楮实), Radix Rehmanniae Preparata (Shudi, 地黄) [baked].
Preparation and Administration: The above thirteen herbs are crushed and sifted into fine powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Take 40 pills per dose, administered with warm wine, on an empty stomach before meals.
Formula for treating Kidney Wind deficiency-cold, polyuria, thin legs and weak feet, and gradual emaciation: Huangqi Wan (Astragalus Pill).
Ingredients: Radix Astragali Membranacei (Huangqi, 黄芪) [roasted, chopped], Radix Rehmanniae Preparata (Shudihuang, 熟干地黄) [baked], Os Draconis (Longgu, 龙骨) [cleaned of earth, crushed], each 1.5 liang; Fructus Aurantii (Zhiqiao, 枳壳) [pulp and bran removed, stir-fried with bran], Caulis Cistanches (Roucongrong, 肉苁蓉) [soaked in wine, cut and baked], Radix Alismatis (Zexie, 泽泻), each 1 liang 1 fen; Semen Tribuli (Tusizi, 菟丝子) [soaked in wine overnight, separately pounded], Cornu Cervi Nipponis (Lurong, 鹿茸) [hair removed, roasted with butter], Radix Ophiopogonis (Maidong, 麦门冬) [heart removed, baked], each 2 liang; Cortex Moutan (Mudanpi, 牡丹皮), Rhizoma Dioscoreae Hypoglaucae (Shihu, 石斛) [removed roots], Fructus Schisandrae Chinensis (Wuweizi, 五味子) [stir-fried], each 1 liang; Ootheca Mantidis (Sangpiaoxiao, 桑螵蛸) [roasted] [21 pieces].
Preparation and Administration: The above thirteen herbs are crushed and sifted into fine powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Take 30 pills per dose, administered with decoction of Huangqi (Astragalus) on an empty stomach.
Formula for treating Kidney Wind and Cold Qi, phlegm accumulation in the chest, nocturnal emission during dreams, weakness in the waist and knees, and frequent urination: Shanyu Wan (Dioscorea Pill).
Ingredients: Rhizoma Dioscoreae Oppositae (Shanyu, 山芋), Semen Allii Tuberosi (Jiuizi, 韭子) [stir-fried until cooked], Semen Tribuli (Tusizi, 菟丝子) [soaked in wine overnight, separately pounded and baked], Radix Aconiti Lateralis Preparata (Fuzi, 附子) [processed until cracked, skin and hilum removed], Os Draconis Album (Bailonggu, 白龙骨), Fructus Corni Officinalis (Shanzhuyu, 山茱萸) [removed rough bark], each 1 liang; Radix Rehmanniae Preparata (Shudihuang, 熟干地黄) [baked] [5 liang]; Caulis Cistanches (Roucongrong, 肉苁蓉) [removed wrinkled skin, soaked in wine, cut and baked] [2 liang].
Preparation and Administration: The above fifteen herbs are crushed and sifted into fine powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Take 40 pills per dose, administered with warm wine, on an empty stomach.
Formula for treating Kidney Wind and Cold Qi, causing pain in the waist and knees: Gouji Wan (Drynaria Pill).
Ingredients: Rhizoma Drynariae (Gouji, 狗脊) [removed hair], Radix Aconiti Lateralis Preparata (Fuzi, 附子) [processed until cracked, skin and hilum removed] [each 2 liang], Fructus Schisandrae Chinensis (Wuweizi, 五味子), Fructus Rubi Chingii (Fupenzi, 覆盆子), Rhizoma Dioscoreae Oppositae (Shanyu, 山芋), Fructus Arecae Albae (Bai Binglang, 白槟榔) [chopped], Poria Cum Radix (Baifuling, 白茯苓) [removed black skin], Semen Cnidii (Shechuangzi, 蛇床子) [stir-fried], each 1.5 liang; Fructus Costi (Muxiang, 木香), Ramulus Cinnamomi (Guizhi, 桂枝) [removed rough bark], Rhizoma Notopterygii (Qianghuo, 羌活) [removed rhizome head], Radix Achyranthis Bidentatae (Niuxi, 牛膝) [soaked in wine, cut and baked], Radix Angelicae Pubescentis (Duhuo, 独活) [removed rhizome head], Radix Rehmanniae Preparata (Shudihuang, 熟干地黄) [baked], each 3 liang.
Preparation and Administration: The above fourteen herbs are crushed and sifted into fine powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Take 40 pills per dose, administered with warm wine, on an empty stomach before meals.