论曰虚劳之人,气弱胃虚,饮食伤动,冷气乘之,邪正相干,则腹痛不已,上干心络,
故令心腹俱痛也。
治虚劳心腹撮痛,肌体羸瘦,茱萸猪肚丸方
吴茱萸(汤洗焙炒一两半) 食茱萸(一两) 山茱萸(一两) 附子(炮裂去皮脐) 干
姜(
火赤各一
上九味,捣研为末,以生猪肚一枚,先将药末用醋拌和令匀,入在猪肚内缝合,用水一
斗,以文武火煮烂,砂盆内一处研令得所,丸如梧桐子大,每服二十丸,空心食前盐汤下,
温酒亦可。
治虚劳冷气,攻击心腹撮痛,腰胯重疼, 砂附子丸方
砂(研一钱) 槟榔(二枚) 木香(一分) 干蝎(炒一钱) 附子(炮裂去皮脐)
沉香(镑) 香子(炒) 桃仁(去皮尖双仁慢火炒) 自然铜(火 醋淬七遍各半两)
上九味,捣罗为末,醋煮面糊为丸,如梧桐子大,每服十五丸,生姜热酒下,食前服。
治虚劳心腹疼痛,泄泻肠鸣,面黄肌瘦,胁肋胀满,不思饮食,金花散方
半夏(汤洗七遍切焙) 乌头(炮裂去皮脐) 郁金(用浆水生姜皂荚三味煮半日令软
切作
切) 京三棱
煨过) 芜荑(炒)
上一十四味,捣罗为散,每服三钱匕,用羯羊肝一具,去筋膜批作片子,匀渗药末在内,
更入盐三钱,干姜末二钱,芜荑末二钱匕,葱白一寸细切,搅拌匀和,白面作角子,慢火烧
令香熟,空心吃,温米饮下。
治虚劳心腹撮疼,胸膈痞满,和气进食, 香子散方
香子(炒) 附子(炮裂去皮脐) 桂(去粗皮) 蜀椒(去目并闭口者炒出汗) 木
香胡
两)
上一十味,捣罗为散,每服二钱匕,用 猪肾一对,去筋膜切作薄片子,入药末葱丝少
许,盐半钱,湿纸裹煨熟,食讫,以酒或粥饭压之,须臾觉脐下暖甚妙。
治虚劳心腹撮痛,补骨脂丸方
补骨脂(炒) 楝实(麸炒去核各一两) 高良姜(微炒一两半) 巴戟天(去心一两)
葫芦巴(半两) 香子(炒一两)
上六味,捣罗为末,酒煮面糊为丸,如梧桐子大,每服二十丸,温酒下,盐汤亦得。食
前服。
治虚劳心腹疼痛,补骨脂散方
补骨脂(炒) 牛膝(酒浸切焙) 没药(研各半两) 干姜(炮) 阳起石(研)
香子(炒)
上八味,捣罗为散,每服一钱匕,温酒调下。
治虚劳邪气,攻击心腹刺痛,牛膝汤方
牛膝(酒浸切焙) 柴胡(去苗) 荆芥穗 桔梗(炒) 陈橘皮(汤浸去白焙) 青
橘皮(汤
土) 知母(焙各
盏盖出火毒去皮脐尖三枚
上一十六味, 咀如麻豆,每服三钱匕,水一盏,入肥枣一枚劈,煎至六分,去滓温
治虚劳下元久冷,心腹疼痛,不思饮食,桂附丸方
桂(去粗皮一两) 干姜(炮半两) 香子(炒二两) 附子(炮裂去皮脐一两) 硫
黄(研
上五味,捣研为末,用白面糊为丸,如梧桐子大,每服二十丸,空心盐汤下。
治冷劳心腹疼痛,或时泄痢,兼治妇人下经冷病带下,艾叶煎丸方
艾叶(炒四两) 当归(切焙) 干姜(炮各一两)
上三味,捣罗为末,用米醋三升,入药末一半,熬成煎,后入余药末相和,丸如梧桐子
大,每服三十丸,温粥饮下,空心食前服之。
治虚劳元脏气冷,心腹 痛, 香子丸方
香子(炒) 胡椒 附子(炮裂去皮脐) 阿魏(面和作饼子炙熟) 青橘皮(汤浸
去白焙)
上九味,捣罗为末,面糊为丸,如梧桐子大,每服十五丸,空心温酒下。
治虚劳元脏虚冷,心腹疼痛,精神倦怠。白芷散方
白芷(炒半两) 巴戟天(去心一两) 高良姜(一钱)
上三味,捣罗为散,每服一钱匕,猪肾一对,去筋膜,入药末煨熟,细嚼温酒下。
治虚劳心腹撮痛,不思饮食,补益元脏,平和脾胃,楝实丸方
楝实(炒) 白术(各一两) 乌药(锉) 香子(微炒) 补骨脂(水淘去浮者微
炒) 木香
上七味,捣罗为末,酒煮面糊和丸,如梧桐子大,每服二十丸,空心食前温酒,或盐汤
下,日三服。
论述说:虚劳病的人,气弱胃虚,饮食损伤触动,寒气乘虚而入,邪气与正气相互干扰,导致腹痛不止,上扰心络,因此造成心和腹部都疼痛。
治疗虚劳引起的心腹拘急疼痛,身体消瘦,茱萸猪肚丸方:
吴茱萸(用汤洗后焙干炒制一两半) 食茱萸(一两) 山茱萸(一两) 附子(炮裂去皮和脐) 干姜(火烤至赤色)各一两。
以上九味药,捣碎研成细末,取一个生猪肚,先将药末用醋拌和均匀,放入猪肚内缝合,用水一斗,用文武火煮烂,在砂盆中一起研磨至适宜程度,制成梧桐子大小的药丸,每次服用二十丸,空腹饭前用盐汤送下,温酒送服也可以。
治疗虚劳寒气,攻击心腹拘急疼痛,腰胯沉重疼痛,砂附子丸方:
砂(研细一钱) 槟榔(两枚) 木香(一分) 干蝎(炒制一钱) 附子(炮裂去皮和脐) 沉香(镑片) 香子(炒制) 桃仁(去皮尖及双仁,慢火炒制) 自然铜(火煅醋淬七遍)各半两。
以上九味药,捣碎过筛成细末,用醋煮面糊制作药丸,如梧桐子大小,每次服用十五丸,生姜热酒送下,饭前服用。
治疗虚劳心腹疼痛,泄泻肠鸣,面色黄肌肉瘦,胁肋胀满,不想吃东西,金花散方:
半夏(用汤洗七遍切块焙干) 乌头(炮裂去皮和脐) 郁金(用浆水、生姜、皂荚三味煮半天至软,切作……切) 京三棱(煨过) 芜荑(炒制)。
以上十四味药,捣碎过筛成散剂,每次服用三钱匕,用一只羯羊肝,去掉筋膜切成薄片,均匀渗入药末,再加入盐三钱,干姜末二钱,芜荑末二钱匕,葱白一寸细切,搅拌混合均匀,用白面做成角子(面食),慢火烧至香熟,空腹吃,温米饮送下。
治疗虚劳心腹拘急疼痛,胸膈痞闷胀满,调和气息增进食欲,……香子散方:
香子(炒制) 附子(炮裂去皮和脐) 桂(去掉粗皮) 蜀椒(去掉目并闭口者,炒出油汗) 木香……胡……两)。
以上十味药,捣碎过筛成散剂,每次服用二钱匕,用一对猪肾,去掉筋膜切成薄片子,加入药末少许葱丝,盐半钱,用湿纸包裹煨熟,吃完后,用酒或粥饭压住药力,一会儿觉得脐下非常温暖很妙。
治疗虚劳心腹拘急疼痛,补骨脂丸方:
补骨脂(炒制) 楝实(麸炒去核各一两) 高良姜(微炒一两半) 巴戟天(去心一两) 葫芦巴(半两) 香子(炒制一两)。
以上六味药,捣碎过筛成细末,用酒煮面糊制作药丸,如梧桐子大小,每次服用二十丸,温酒送下,盐汤也可以。饭前服用。
治疗虚劳心腹疼痛,补骨脂散方:
补骨脂(炒制) 牛膝(酒浸切块焙干) 没药(研细各半两) 干姜(炮制) 阳起石(研细) 香子(炒制)。
以上八味药,捣碎过筛成散剂,每次服用一钱匕,温酒调服。
治疗虚劳邪气,攻击心腹刺痛,牛膝汤方:
牛膝(酒浸切块焙干) 柴胡(去苗) 荆芥穗 桔梗(炒制) 陈橘皮(汤浸去白焙干) 青橘皮(汤……土) 知母(焙干各……盏盖出火毒去皮脐尖三枚)。
以上十六味药,切碎如麻豆大小,每次服用三钱匕,水一盏,加入一枚劈开的肥枣,煎至六分,去渣温服。
治疗虚劳下元久冷,心腹疼痛,不想吃东西,桂附丸方:
桂(去掉粗皮一两) 干姜(炮制半两) 香子(炒制二两) 附子(炮裂去皮和脐一两) 硫黄(研细)。
以上五味药,捣碎研成细末,用白面糊制作药丸,如梧桐子大小,每次服用二十丸,空腹盐汤送下。
治疗冷劳心腹疼痛,有时泄痢,兼治妇人下经冷病带下,艾叶煎丸方:
艾叶(炒制四两) 当归(切块焙干) 干姜(炮制各一两)。
以上三味药,捣碎过筛成细末,用米醋三升,加入一半药末,熬成膏状,后加入剩余药末混合,制成梧桐子大小的药丸,每次服用三十丸,温粥饮送下,空腹饭前服用。
治疗虚劳元脏气冷,心腹……痛,……香子丸方:
香子(炒制) 胡椒 附子(炮裂去皮和脐) 阿魏(面粉和作饼子炙熟) 青橘皮(汤浸去白焙干)。
以上九味药,捣碎过筛成细末,面糊制作药丸,如梧桐子大小,每次服用十五丸,空腹温酒送下。
治疗虚劳元脏虚冷,心腹疼痛,精神倦怠。白芷散方:
白芷(炒制半两) 巴戟天(去心一两) 高良姜(一钱)。
以上三味药,捣碎过筛成散剂,每次服用一钱匕,一对猪肾,去掉筋膜,加入药末煨熟,细嚼后用温酒送下。
治疗虚劳心腹拘急疼痛,不想吃东西,补益元脏,平和脾胃,楝实丸方:
楝实(炒制) 白术(各一两) 乌药(锉碎) 香子(微炒) 补骨脂(水淘去浮者微炒) 木香。
以上七味药,捣碎过筛成细末,酒煮面糊混合制作药丸,如梧桐子大小,每次服用二十丸,空腹饭前温酒,或盐汤送下,每日三次服用。
Discussion states: Patients with deficiency consumption (Xu Lao) have weak Qi and a deficient stomach. Injury from diet and movement allows cold qi to take advantage of this weakness. When pathogenic factors interfere with healthy Qi, abdominal pain persists unceasingly. If it affects the Heart collaterals upwards, it causes pain in both the Heart region and the abdomen.
Treatment for deficiency consumption causing cramping pain in the Heart and abdomen, emaciation of the body: Cornus and Pork Stomach Pill Formula (Zhuyu Zhudu Wan).
Evodiae Fructus (Wu Zhu Yu) (washed with decoction, dried, roasted, 1.5 liang), Zanthoxyli Fructus (Shi Zhu Yu) (1 liang), Corni Fructus (Shan Zhu Yu) (1 liang), Aconiti Lateralis Radix Praeparata (Fu Zi) (cracked by fire, skin and umbilicus removed), Zingiberis Rhizoma Dryum (Gan Jiang) (roasted until red) each 1 liang.
The above nine ingredients are pounded and ground into powder. Take one raw pork stomach, mix the powder evenly with vinegar, place it inside the stomach, sew it shut, and boil in one dou of water using moderate heat until soft. Grind together in a stone mortar until suitable. Form pills the size of paulownia seeds. Take 20 pills per dose, administered before meals with salt water decoction; warm wine may also be used.
Treatment for deficiency consumption cold qi attacking the Heart and abdomen causing cramping pain, heaviness and pain in the lower back and hips: Shafa Zi and Aconite Pill Formula (Sha Fu Zi Wan).
Realgar (Sha) (ground, 1 qian), Arecae Semen (Bing Lang) (2 pieces), Costi Radix (Mu Xiang) (1 fen), Scorpio (Gan Xie) (roasted, 1 qian), Aconiti Lateralis Radix Praeparata (Fu Zi) (cracked by fire, skin and umbilicus removed), Aquilariae Lignum Resinatum (Chen Xiang) (sliced), Cuminum Fructus (Xiang Zi) (roasted), Persicam Semen (Tao Ren) (skin and tip removed, double-kernel removed, slow-roasted), Pyritum (Ziran Tong) (calcined seven times with vinegar quenching) each 0.5 liang.
The above nine ingredients are pounded, sifted into powder, and made into pills with vinegar-boiled wheat paste, sized like paulownia seeds. Take 15 pills per dose with hot ginger-infused wine, before meals.
Treatment for deficiency consumption Heart and abdominal pain, diarrhea with borborygmus, sallow complexion and emaciation, distension in the hypochondrium, loss of appetite: Jinhua Powder Formula (Jinhua San).
Pinelliae Rhizoma Preparatum (Ban Xia) (washed seven times with decoction, sliced, dried), Aconiti Radix (Wu Tou) (cracked by fire, skin and umbilicus removed), Curcumae Radix (Yu Jin) (boiled for half a day with fermented grain water, fresh ginger, and Gleditsiae Spina (Zao Jia) until soft, then sliced...), Bupleuri Radix (Jing San Leng) (baked over fire), Myrobalani Fructus (Wu Yi) (roasted).
The above fourteen ingredients are pounded and sifted into powder. Take 3 qian bi per dose. Use one ram liver, remove fascia, slice thinly, and evenly sprinkle the powder inside. Add 3 qian salt, 2 qian Gan Jiang powder, 2 qian Wu Yi powder, and finely chopped 1 cun scallion white. Mix well, wrap in white flour dough to make dumplings, and slowly roast until fragrant and cooked. Eat on an empty stomach, washed down with warm rice drink.
Treatment for deficiency consumption cramping Heart and abdominal pain, chest and diaphragm fullness/stuffiness, harmonizing Qi and promoting appetite: ...Xiang Zi Powder Formula (...Xiang Zi San).
Cuminum Fructus (Xiang Zi) (roasted), Aconiti Lateralis Radix Praeparata (Fu Zi) (cracked by fire, skin and umbilicus removed), Cinnamomi Ramulus (Gui) (coarse bark removed), Zanthoxyli Fructus (Shu Jiao) (pits and closed-mouth ones removed, roasted until sweat appears), Costi Radix (Mu Xiang)... Hu... liang).
The above ten ingredients are pounded and sifted into powder. Take 2 qian bi per dose. Use a pair of pig kidneys, remove fascia, slice thinly. Add a little powder and shredded scallion, 0.5 qian salt. Wrap in wet paper and bake/roast until cooked. After eating, suppress with wine or porridge/rice. It is excellent if warmth is felt below the navel shortly after.
Treatment for deficiency consumption cramping Heart and abdominal pain: Buguzhi Pill Formula (Buguzhi Wan).
Psoraleae Fructus (Buguzhi) (roasted), Meliae Fructus (Lian Shi) (bran-roasted, pith removed, 1 liang each), Alpiniae Officinarum Rhizoma (Gaoliangjiang) (lightly roasted, 1.5 liang), Morinda Officinalis Radix (Bajitian) (heart removed, 1 liang), Trigonellae Foenum-Graecum Semen (Huluba) (0.5 liang), Cuminum Fructus (Xiang Zi) (roasted, 1 liang).
The above six ingredients are pounded and sifted into powder. Make pills with wine-boiled wheat paste, sized like paulownia seeds. Take 20 pills per dose with warm wine; salt water is also acceptable. Take before meals.
Treatment for deficiency consumption Heart and abdominal pain: Buguzhi Powder Formula (Buguzhi San).
Psoraleae Fructus (Buguzhi) (roasted), Achyranthis Bidentatae Radix (Niuxi) (soaked in wine, sliced, dried), Myrrha (Moyao) (ground, 0.5 liang each), Zingiberis Rhizoma Dryum (Gan Jiang) (prepared), Yangqishi (ground), Cuminum Fructus (Xiang Zi) (roasted).
The above eight ingredients are pounded and sifted into powder. Take 1 qian bi per dose, mixed with warm wine.
Treatment for deficiency consumption pathogenic factors attacking the Heart and abdomen causing stabbing pain: Niuxi Decoction Formula (Niuxi Tang).
Achyranthis Bidentatae Radix (Niuxi) (soaked in wine, sliced, dried), Bupleuri Radix (Chaihu) (sprouts removed), Schizonepetae Spica (Jingjie Sui), Platycodonis Radix (Jiegeng) (roasted), Citri Reticulatae Pericarpium (Chen Ju Pi) (washed with decoction, white pith removed, dried), Aurantii Fructus Viridis (Qing Ju Pi) (decoction... soil), Anemarrhenae Rhizoma (Zhimu) (dried, each... cup cover to remove fire toxicity, skin and umbilicus removed, three pieces).
The above sixteen ingredients are cut like hemp seeds. Take 3 qian bi per dose, add one split fat jujube to one cup of water, decoct until 60% remains, strain, and take warm.
Treatment for deficiency consumption chronic cold in the lower origin, Heart and abdominal pain, loss of appetite: Guifu Pill Formula (Gui Fu Wan).
Cinnamomi Ramulus (Gui) (coarse bark removed, 1 liang), Zingiberis Rhizoma Dryum (Gan Jiang) (prepared, 0.5 liang), Cuminum Fructus (Xiang Zi) (roasted, 2 liang), Aconiti Lateralis Radix Praeparata (Fu Zi) (cracked by fire, skin and umbilicus removed, 1 liang), Sulphur (Liuhuang) (ground).
The above five ingredients are pounded and ground into powder. Make pills with white wheat paste, sized like paulownia seeds. Take 20 pills per dose on an empty stomach with salt water.
Treatment for cold deficiency consumption Heart and abdominal pain, occasional dysentery/diarrhea; also treats women's cold disease of the lower menses and leukorrhea: Aiye Decoction Pill Formula (Aiye Jian Wan).
Artemisiae Argyi Folium (Ai Ye) (roasted, 4 liang), Angelicae Sinensis Radix (Dang Gui) (sliced, dried), Zingiberis Rhizoma Dryum (Gan Jiang) (prepared, 1 liang each).
The above three ingredients are pounded and sifted into powder. Use three sheng of rice vinegar, add half the powder, boil down to a thick extract/decoction. Then mix in the remaining powder. Form pills sized like paulownia seeds. Take 30 pills per dose with warm porridge drink, before meals on an empty stomach.
Treatment for deficiency consumption cold Qi in the Yuan Zang (Primary Viscera), Heart and abdominal... pain: ...Xiang Zi Pill Formula (...Xiang Zi Wan).
Cuminum Fructus (Xiang Zi) (roasted), Piperis Fructus (Hu Jiao), Aconiti Lateralis Radix Praeparata (Fu Zi) (cracked by fire, skin and umbilicus removed), Asafoetida (A Wei) (mixed with flour into cakes, roasted熟), Citri Reticulatae Pericarpium (Qing Ju Pi) (washed with decoction, white pith removed, dried).
The above nine ingredients are pounded and sifted into powder. Make pills with wheat paste, sized like paulownia seeds. Take 15 pills per dose with warm wine on an empty stomach.
Treatment for deficiency consumption cold and deficiency of the Yuan Zang, Heart and abdominal pain, mental fatigue: Baizhi Powder Formula (Baizhi San).
Angelicae Dahuricae Radix (Baizhi) (roasted, 0.5 liang), Morinda Officinalis Radix (Bajitian) (heart removed, 1 liang), Alpiniae Officinarum Rhizoma (Gaoliangjiang) (1 qian).
The above three ingredients are pounded and sifted into powder. Take 1 qian bi per dose. Use a pair of pig kidneys, remove fascia, add powder, roast until cooked. Chew thoroughly and wash down with warm wine.
Treatment for deficiency consumption cramping Heart and abdominal pain, loss of appetite, tonifying the Yuan Zang, harmonizing the Spleen and Stomach: Lianshi Pill Formula (Lianshi Wan).
Meliae Fructus (Lian Shi) (roasted), Atractylodis Macrocephalae Rhizoma (Baizhu) (1 liang each), Linderae Radix (Wuyao) (chopped), Cuminum Fructus (Xiang Zi) (lightly roasted), Psoraleae Fructus (Buguzhi) (rinsed with water to remove floating impurities, lightly roasted), Costi Radix (Mu Xiang).
The above seven ingredients are pounded and sifted into powder. Make pills with wine-boiled wheat paste, sized like paulownia seeds. Take 20 pills per dose, before meals on an empty stomach with warm wine or salt water. Three doses daily.