论曰饮食入于胃而化于脾。脾胃和调。则水谷易腐,若脾胃虚寒。即传化不时,新陈蕴
积。况膈气之人,气道久涩。是致噫气酸臭,痞满噎塞。而苦宿食不消也。
治膈气宿食不消,痰毒虚气。饮食无味。壮热憎寒,霍乱吐逆。人参茯苓汤方
人参(二两) 赤茯苓(去黑皮一两半) 附子(炮裂去皮脐) 黄 白术 干姜(炮)
前胡(去芦头) 甘草(炙) 诃黎勒皮 枇杷叶(拭去毛) 陈橘皮(汤浸去白焙) 麻
黄(去根节) 桂(去粗皮) 益智子
上一十四味,粗捣筛。每服三钱匕。水一盏。生姜三片,枣一枚劈破。同煎至七分,去
滓温服。如脾泄气痢,及伤寒三日外。要出汗,并三服。衣被盖出汗。不计阴阳二毒,食毒、
伤寒。并能疗之。
治膈气。宿食不消。胸膈痞满。心腹胀痛。建中汤方
草豆蔻(去皮) 陈曲(炒) 麦 (炒) 浓朴(去粗皮生姜汁炙熟) 陈橘皮(汤
浸去白焙) 白术 干
上九味。粗捣筛。每服三钱匕。入生姜三片。枣二枚劈破。水一盏。同煎至七分。去滓
温服、不拘时。
治膈气宿食不消。温脾胃。除积冷。磨脾散方
木香 人参 附子(炮裂去皮脐) 甘草(炙) 赤茯苓(去黑皮各二两) 草豆蔻(去
皮) 干姜(炮各
上九味,捣罗为散。每服二钱匕,入盐点服。不拘时。
治膈气宿食不消,草豆蔻散方
草豆蔻(去皮) 高良姜(炮) 陈曲(炒) 麦 (炒) 木香(各一两) 诃黎勒
(炮去核) 陈橘皮(汤浸去
上一十味,捣罗为散。每服二钱匕。入盐点服,空心食前。
治膈气宿食不消。气攻两胁痛。口内唾痰,心胸不快,参曲散方
人参 白茯苓(去黑皮) 浓朴(去粗皮涂生姜汁炙熟) 枳壳(去瓤麸炒) 桂(去
粗皮) 甘草(炙) 陈曲(炒黄) 诃黎勒皮 白术 干姜(炮) 京三棱(煨熟) 白
槟榔(锉) 木香(各三分)
上一十三味。捣罗为散,每服二钱匕。入盐点服,空心食前。
治膈气宿食不消。散寒邪。温脾胃。附子丸方
附子(炮裂去皮脐) 丹砂(各一两研细如粉留一半为衣) 槟榔(锉碎半两) 丁香
(一钱) 杏仁(二
上五味。捣研极细和匀。炼蜜为丸。梧桐子大。丹砂为衣。每服三丸至五丸。先嚼枣一
枚,裹药丸干咽后,以少生姜汤下,不拘时候。
治膈气。宿食不消,养胃丸方
浓朴(去粗皮锉作小块一斤) 丁香(半斤) 生姜(五斤取自然汁于银石器内同浓朴
文火煮尽姜
上五味。捣罗为末。以煮枣肉和丸。如梧桐子大。每服三十丸。米饮下。空心食前。
治膈气。宿食不消。消积滞。进饮食。 砂丸方
砂(一两研碎以浆水一大盏化去沙石入铫子内熬尽浆水却入好酒半升重熬如膏) 山
芋(四
上五味。捣罗为细末。以 砂膏搜和令匀。却以好酒半盏。煮面糊。丸如梧桐子大。每
服十丸至十五丸。食后良久温酒下。
治膈气。宿食不消,麦 散方
麦 (四两炒) 芎 白芷 香子(炒) 乌药(各一两半) 莎草根(炒去毛) 桔
梗(炒) 缩砂(去皮) 陈橘皮(汤浸去白焙) 红豆 蓬莪术(炮) 桂(去粗皮) 浓
朴(去粗皮生姜汁炙熟) 人参(各一两) 白术(三两) 木香(二钱) 诃黎勒皮(半
两) 苍术(米泔浸一宿麸炒三两)
上一十八味。捣罗为散。每服二钱匕。陈米饮或盐汤调下。不计时候。
治膈气宿食不消。浓朴汤方
浓朴(去粗皮锉一两半生姜汁浸一宿炒令紫) 草豆蔻(去皮) 桂(去粗皮) 高良
姜五味子(各半两) 青橘皮(汤浸去白焙) 陈橘皮(汤浸去白焙) 甘草(炙) 麦
(炒) 柴胡(去苗) 人参 麻黄(去根节煮掠去沫焙) 陈曲(炒) 诃黎勒炮(去
核各一两) 益智(炒去皮) 乌头(炮裂去皮脐各二两) 干
上一十七味。粗捣筛,每服三钱匕,水一盏,姜三片,枣二枚劈破,同煎至七分,去滓
稍热服。不拘时候。
论述说:饮食进入胃中,由脾进行运化。脾胃功能调和协调,则水谷容易消化腐熟;如果脾胃虚寒,就会导致传化功能失常,新旧食物蕴积停滞。况且患有膈气的人,气道长久涩滞不通,因此导致嗳气带有酸臭味,胸脘痞闷胀满、吞咽梗阻,并苦于宿食不消。
治疗膈气、宿食不消、痰毒、虚气、饮食无味、壮热恶寒、霍乱吐逆的方剂:人参茯苓汤方
人参(二两) 赤茯苓(去除黑皮一两半) 附子(炮制裂开,去皮和脐) 黄耆 白术 干姜(炮制) 前胡(去除芦头) 甘草(炙烤) 诃黎勒皮 枇杷叶(擦拭去毛) 陈橘皮(用汤浸泡,去除白色内瓤后焙干) 麻黄(去除根和节) 桂枝(去除粗皮) 益智仁
以上十四味药,捣碎筛成粗末。每次服用三钱匕。用水一盏,生姜三片,枣一枚劈破,一同煎煮至七分水量,去掉药渣,温服。如果是脾泄气痢,以及伤寒病三天以后,需要发汗的情况,都按此法服用三次,盖好衣被使身体出汗。不论阴阳二毒、食毒、伤寒,都能治疗。
治疗膈气、宿食不消、胸膈痞满、心腹胀痛的方剂:建中汤方
草豆蔻(去皮) 陈曲(炒制) 麦芽(炒制) 厚朴(去除粗皮,用生姜汁炙烤至熟) 陈橘皮(用汤浸泡,去除白色内瓤后焙干) 白术 干姜
以上九味药,捣碎筛成粗末。每次服用三钱匕,加入生姜三片,枣二枚劈破,用水一盏,一同煎煮至七分水量,去掉药渣,温服,不拘泥时间。
治疗膈气、宿食不消,温补脾胃、消除积冷的方剂:磨脾散方
木香 人参 附子(炮制裂开,去皮和脐) 甘草(炙烤) 赤茯苓(去除黑皮,各二两) 草豆蔻(去皮) 干姜(炮制,各...[原文此处有缺字,推测为重量])
以上九味药,捣碎过罗制成散剂。每次服用二钱匕,加盐调服,不拘泥时间。
治疗膈气、宿食不消的方剂:草豆蔻散方
草豆蔻(去皮) 高良姜(炮制) 陈曲(炒制) 麦芽(炒制) 木香(各一两) 诃黎勒(炮制,去核) 陈橘皮(用汤浸泡,去...[原文此处有缺字])
以上十味药,捣碎过罗制成散剂。每次服用二钱匕,加盐调服,空腹或进食前服用。
治疗膈气、宿食不消,气攻两胁疼痛,口中唾痰,心胸不快适的方剂:参曲散方
人参 白茯苓(去除黑皮) 厚朴(去除粗皮,涂生姜汁炙烤至熟) 枳壳(去除瓤,麸皮炒) 桂枝(去除粗皮) 甘草(炙烤) 陈曲(炒黄) 诃黎勒皮 白术 干姜(炮制) 京三棱(煨熟) 白槟榔(锉碎) 木香(各三分)
以上十三味药,捣碎过罗制成散剂,每次服用二钱匕,加盐调服,空腹或进食前服用。
治疗膈气、宿食不消,散发寒邪、温补脾胃的方剂:附子丸方
附子(炮制裂开,去皮和脐) 朱砂(各一两,研细如粉,留一半作为包衣) 槟榔(锉碎半两) 丁香(一钱) 杏仁(二...[原文此处有缺字])
以上五味药,捣研极细混合均匀,炼蜜制作成丸,大小如梧桐子大,用朱砂做包衣。每次服用三丸至五丸,先嚼一枚枣,包裹药丸干咽下后,用少量生姜汤送服,不拘泥时间。
治疗膈气、宿食不消,养胃的方剂:养胃丸方
厚朴(去除粗皮,锉成小块一斤) 丁香(半斤) 生姜(五斤,取自然汁,在银石器内与厚朴文火煮尽姜汁...[原文此处有缺字])
以上五味药,捣碎过罗制成粉末,用煮过的枣肉和丸,大小如梧桐子大。每次服用三十丸,米饮送下,空腹或进食前服用。
治疗膈气、宿食不消,消除积滞、增进饮食的方剂:...砂丸方(原文缺失首字,推测为缩砂或类似药物)
...砂(一两,研碎,用浆水一大盏化去沙石,放入铫子内熬尽浆水,却入好酒半升,重熬如膏) 山芋(四...[原文此处有缺字])
以上五味药,捣罗成细末,用...砂膏搜和令匀,再用好酒半盏,煮面糊,制作成如梧桐子大的丸药。每次服用十丸至十五丸,饭后良久用温酒送下。
治疗膈气、宿食不消的方剂:麦...散方(原文缺失第二字,推测为麦芽相关)
麦芽(四两炒制) 川芎 白芷 香附子(炒制) 乌药(各一两半) 莎草根(炒制去毛) 桔梗(炒制) 缩砂仁(去皮) 陈橘皮(用汤浸泡,去除白色内瓤后焙干) 红豆 蓬莪术(炮制) 桂枝(去除粗皮) 厚朴(去除粗皮,用生姜汁炙烤至熟) 人参(各一两) 白术(三两) 木香(二钱) 诃黎勒皮(半两) 苍术(米泔水浸泡一夜,麸皮炒制三两)
以上十八味药,捣碎过罗制成散剂。每次服用二钱匕,用陈米饮或盐汤调下,不拘泥时间。
治疗膈气、宿食不消的方剂:厚朴汤方
厚朴(去除粗皮,锉一两半,用生姜汁浸泡一夜,炒令紫色) 草豆蔻(去皮) 桂枝(去除粗皮) 高良姜 五味子(各半两) 青橘皮(用汤浸泡,去除白色内瓤后焙干) 陈橘皮(用汤浸泡,去除白色内瓤后焙干) 甘草(炙烤) 麦芽(炒制) 柴胡(去除苗) 人参 麻黄(去除根节,煮掠去沫,焙干) 陈曲(炒制) 诃黎勒(炮制,去核,各一两) 益智仁(炒制,去皮) 乌头(炮制裂开,去皮和脐,各二两) 干姜...[原文此处有缺字]
以上十七味药,捣碎筛成粗末,每次服用三钱匕,用水一盏,生姜三片,枣二枚劈破,一同煎煮至七分水量,去掉药渣,稍热时服用,不拘泥时间。
Discussion states: Food and drink enter the stomach and are transformed by the Spleen. When the Spleen and Stomach are harmonious, water and grain are easily decomposed and digested; if the Spleen and Stomach are deficient and cold, transmission and transformation will be irregular, causing new and old food to accumulate and stagnate. Moreover, in persons with Ge Qi (Diaphragmatic Qi Disturbance), the Qi pathway is long-term obstructed and astringent, leading to belching with a sour and foul odor, epigastric fullness and oppression, dysphagia, and suffering from undigested food retention.
Formula for treating Ge Qi (Diaphragmatic Qi Disturbance), undigested food retention, phlegm-toxin, deficient Qi, loss of taste in food, high fever with aversion to cold, cholera-like vomiting and regurgitation: Renshen Fuling Tang (Ginseng and Poria Decoction)
Renshen (Ren Shen, Ginseng Radix et Rhizoma) (2 liang) Chifuling (Red Poria) (remove black skin, 1.5 liang) Fuzi (Prepared Aconite Lateralis Radix) (boiled until cracked, remove skin and umbilical scar) Huangqi (Astragali Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Ganjiang (Dried Zingiberis Rhizoma) (prepared) Qianhu (Peucedani Radix) (remove rhizome head) Gancao (Licorice Root) (honey-fried) Helilepi (Pericarpium Terminaliae Chebulae) Pipaye (Loquat Leaf) (wipe off hairs) Chenjupi (Tangerine Peel) (soaked in hot water, remove white pith, baked) Mahuang (Ephedrae Herba) (remove roots and joints) Guizhi (Cinnamomi Ramulus) (remove rough bark) Yizhiren (Buckwheat Fruit)
The above fourteen ingredients are coarsely pounded and sifted. Each dose consists of three qianbi (approx. 3-4 grams). Use one zhan (approx. 200ml) of water, three slices of fresh ginger, and one jujube split open. Decoct together until the volume reduces to 70%, strain, and take warm. For Pi Xie Qi Li (Spleen diarrhea with qi-type dysentery) and after the third day of Shang Han (Cold Damage disease) when sweating is required, administer three doses. Cover with clothing and blankets to induce sweating. This formula can treat Yin and Yang Er Du (Two Poisons), Shi Du (Food Poisoning), and Shang Han regardless of differentiation.
Formula for treating Ge Qi (Diaphragmatic Qi Disturbance), undigested food retention, chest and diaphragm fullness/oppression, abdominal distension and pain: Jianzhong Tang (Middle-Building Decoction)
Caodoukou (Cardamomi Fructus Rotundus) (remove skin) Chenqu (Fermented Wheat Mass) (stir-fried) Maiya (Hordei Fructus Germinatus) (stir-fried) Houpo (Magnoliae Officinalis Cortex) (remove rough bark, stir-fry with fresh ginger juice until cooked) Chenjupi (Tangerine Peel) (soaked in hot water, remove white pith, baked) Baizhu (Atractylodis Macrocephalae Rhizoma) Ganjiang (Dried Zingiberis Rhizoma)
The above nine ingredients are coarsely pounded and sifted. Each dose consists of three qianbi. Add three slices of fresh ginger and two split jujubes. Use one zhan of water. Decoct together until the volume reduces to 70%, strain, and take warm. Take at any time.
Formula for treating Ge Qi (Diaphragmatic Qi Disturbance), undigested food retention, warming the Spleen and Stomach, removing accumulated cold: Mopi San (Spleen-Grinding Powder)
Muxiang (Aucklandiae Radix) Renshen (Ren Shen, Ginseng Radix et Rhizoma) Fuzi (Prepared Aconite Lateralis Radix) (boiled until cracked, remove skin and umbilical scar) Gancao (Licorice Root) (honey-fried) Chifuling (Red Poria) (remove black skin, 2 liang each) Caodoukou (Cardamomi Fructus Rotundus) (remove skin) Ganjiang (Dried Zingiberis Rhizoma) (prepared, [weight missing in text])
The above nine ingredients are pounded, sieved into powder. Each dose consists of two qianbi, taken with salt. Take at any time.
Formula for treating Ge Qi (Diaphragmatic Qi Disturbance), undigested food retention: Caodoukou San (Cardamom Powder)
Caodoukou (Cardamomi Fructus Rotundus) (remove skin) Gaoliangjiang (Galangal Rhizome) (prepared) Chenqu (Fermented Wheat Mass) (stir-fried) Maiya (Hordei Fructus Germinatus) (stir-fried) Muxiang (Aucklandiae Radix) (each 1 liang) Helile (Terminalia Chebula Reticulata) (prepared, remove pit) Chenjupi (Tangerine Peel) (soaked in hot water, [text incomplete])
The above ten ingredients are pounded, sieved into powder. Each dose consists of two qianbi, taken with salt. Take on an empty stomach or before meals.
Formula for treating Ge Qi (Diaphragmatic Qi Disturbance), undigested food retention, Qi attacking both hypochondria causing pain, spitting phlegm, chest and heart discomfort: Shenqu San (Ginseng and Fermented Mass Powder)
Renshen (Ren Shen, Ginseng Radix et Rhizoma) Bai Fuling (White Poria) (remove black skin) Houpo (Magnoliae Officinalis Cortex) (remove rough bark, coat with fresh ginger juice, stir-fry until cooked) Zhike (Aurantii Fructus Immaturus) (remove pulp, stir-fry with bran) Guizhi (Cinnamomi Ramulus) (remove rough bark) Gancao (Licorice Root) (honey-fried) Chenqu (Fermented Wheat Mass) (stir-fry until yellow) Helilepi (Pericarpium Terminaliae Chebulae) Baizhu (Atractylodis Macrocephalae Rhizoma) Ganjiang (Dried Zingiberis Rhizoma) (prepared) Jingsanleng (Curcumae Radix) (roasted) Bai Binglang (Arecae Semen) (chopped) Muxiang (Aucklandiae Radix) (each 3 fen)
The above thirteen ingredients are pounded, sieved into powder. Each dose consists of two qianbi, taken with salt. Take on an empty stomach or before meals.
Formula for treating Ge Qi (Diaphragmatic Qi Disturbance), undigested food retention, dispersing cold pathogens, warming the Spleen and Stomach: Fuzi Wan (Aconite Pill)
Fuzi (Prepared Aconite Lateralis Radix) (boiled until cracked, remove skin and umbilical scar) Zhusha (Cinnabaris) (each 1 liang, ground fine like powder, reserve half for coating) Binglang (Arecae Semen) (chopped, 0.5 liang) Dingxiang (Caryophylli Flos) (1 qian) Xingren (Prunus Armeniaca Seed) ([weight missing in text])
The above five ingredients are pounded and ground extremely fine, mixed evenly. Form pills using refined honey, size of Sophora japonica seeds. Coat with Zhusha (Cinnabaris). Each dose consists of 3 to 5 pills. First chew one jujube, swallow the pill dry wrapped in the jujube flesh, then wash down with a small amount of fresh ginger decoction. Take at any time.
Formula for treating Ge Qi (Diaphragmatic Qi Disturbance), undigested food retention, nourishing the Stomach: Yangwei Wan (Stomach-Nourishing Pill)
Houpo (Magnoliae Officinalis Cortex) (remove rough bark, chop into small pieces, 1 jin) Dingxiang (Caryophylli Flos) (0.5 jin) Shengjiang (Fresh Zingiberis Rhizoma) (5 jin, extract natural juice, cook with Houpo in silver or earthenware vessel over gentle heat until ginger juice is exhausted... [text incomplete])
The above five ingredients are pounded, sieved into powder. Mix with the flesh of boiled jujubes to form pills, size of Sophora japonica seeds. Each dose consists of 30 pills, taken with rice drink. Take on an empty stomach or before meals.
Formula for treating Ge Qi (Diaphragmatic Qi Disturbance), undigested food retention, eliminating stagnation, promoting appetite: ...Sha Wan ([First character missing, likely Suosha/Round Cardamom] Pill)
...Sha (Round Cardamom) (1 liang, crushed, dissolved in 1 zhan of Jiangshui (fermented grain water) to remove sand/stones, boiled in dingzi until Jiangshui is gone, then add 0.5 sheng of good wine, re-boil into paste) Shanyu (Dioscoreae Rhizoma)... [text incomplete]
The above five ingredients are pounded, sieved into fine powder. Knead uniformly with the ...Sha paste. Then use 0.5 zhan of good wine to boil wheat starch paste. Form pills size of Sophora japonica seeds. Each dose consists of 10 to 15 pills, taken with warm wine long after meals.
Formula for treating Ge Qi (Diaphragmatic Qi Disturbance), undigested food retention: Mai... San ([Second character missing, likely Maiya/Malt] Powder)
Maiya (Hordei Fructus Germinatus) (4 liang, stir-fried) Xiong (Ligustici Chuanxiong Rhizoma) Baizhi (Angelicae Dahuricae Radix) Xiangzi (Cyperi Rhizoma) (stir-fried) Wuyao (Linderae Radix) (each 1.5 liang) Shacaogen (Cyperaceae Rhizome) (stir-fried, remove hairs) Jiegeng (Platycodonis Radix) (stir-fried) Suosha (Cardamomi Fructus) (remove skin) Chenjupi (Tangerine Peel) (soaked in hot water, remove white pith, baked) Hongdou (Adzuki Bean) Peng Ezhu (Curcumae Longae Rhizoma) (prepared) Guizhi (Cinnamomi Ramulus) (remove rough bark) Houpo (Magnoliae Officinalis Cortex) (remove rough bark, stir-fry with fresh ginger juice until cooked) Renshen (Ren Shen, Ginseng Radix et Rhizoma) (each 1 liang) Baizhu (Atractylodis Macrocephalae Rhizoma) (3 liang) Muxiang (Aucklandiae Radix) (2 qian) Helilepi (Pericarpium Terminaliae Chebulae) (0.5 liang) Cangzhu (Atractylodis Rhizoma) (soaked in rice washing water overnight, stir-fry with bran, 3 liang)
The above eighteen ingredients are pounded, sieved into powder. Each dose consists of two qianbi, taken with aged rice drink or salt water. Take at any time.
Formula for treating Ge Qi (Diaphragmatic Qi Disturbance), undigested food retention: Houpo Tang (Magnolia Bark Decoction)
Houpo (Magnoliae Officinalis Cortex) (remove rough bark, chop 1.5 liang, soak in fresh ginger juice overnight, stir-fry until purple) Caodoukou (Cardamomi Fructus Rotundus) (remove skin) Guizhi (Cinnamomi Ramulus) (remove rough bark) Gaoliangjiang (Galangal Rhizome) Wuweizi (Schisandrae Chinensis Fructus) (each 0.5 liang) Qingjupi (Green Tangerine Peel) (soaked in hot water, remove white pith, baked) Chenjupi (Tangerine Peel) (soaked in hot water, remove white pith, baked) Gancao (Licorice Root) (honey-fried) Maiya (Hordei Fructus Germinatus) (stir-fried) Chaihu (Bupleuri Radix) (remove seedlings) Renshen (Ren Shen, Ginseng Radix et Rhizoma) Mahuang (Ephedrae Herba) (remove roots and joints, boil, skim foam, bake) Chenqu (Fermented Wheat Mass) (stir-fried) Helile (Terminalia Chebula Reticulata) (prepared, remove pit, each 1 liang) Yizhi (Alpiniae Oxyphyllae Fructus) (stir-fried, remove skin) Wutou (Aconiti Radix) (boiled until cracked, remove skin and umbilical scar, each 2 liang) Ganjiang (Dried Zingiberis Rhizoma)... [text incomplete]
The above seventeen ingredients are coarsely pounded and sifted. Each dose consists of three qianbi. Use one zhan of water, three slices of fresh ginger, and two split jujubes. Decoct together until the volume reduces to 70%, strain, and take slightly warm. Take at any time.