论曰风入腹拘急切痛者。风邪搏于阴经也。风邪搏于阴经。则肠缩蜷。肠缩蜷则绌急。
风寒之气。与正气相击。故里急而切痛也。
治风入腹。心腹 痛。胀满拘急。不得息。并转筋。温中止痛。利大小便。甘草饮方
甘草(炙锉) 防风(去叉各一两半) 吴茱萸(汤浸焙炒) 赤芍药 当归(切焙) 细
辛(去苗叶) 干姜(炮) 熟干地黄(各一两)
上八味。粗捣筛。每服五钱匕。以水一盏半。煎去滓取八分。空腹温服日二。
治风入腹攻五脏。拘急不得转侧。有时阴缩。手足厥冷。寒疝腹中 痛。乌头汤方
乌头(一枚炮袭去皮脐) 赤芍药(二两) 甘草(二两炙锉) 桂(去粗皮三两)
上四味。锉如麻豆。每服五钱匕。入生姜一分拍碎。水一盏半煎。去滓取八分。入蜜半
合。再煎三两沸。空腹服日三。
治风入腹。五脏拘急。四肢不遂。腹满欲绝。桂心汤方
桂(去粗皮) 防风(去叉) 黄芩(去黑心) 干姜(炮裂) 吴茱萸(汤浸焙炒) 秦
艽(去
上七味。粗捣筛。每服五钱匕 水一盏半。煎至八分。去滓温服。不拘时候。
治风入腹中 痛。并飞尸遁注。发作无时。发则抢心胀满。胁下如锥刀刺。甘草汤方
甘草(炙锉) 细辛(去苗叶) 干姜(炮) 当归(切焙) 桂(去粗皮) 白茯苓
(去黑皮)
上九味。粗捣筛。每服五钱匕。以水一盏半。入切羊脂少许。同煎至八分去滓。空心日
午夜卧服。
治风入心腹挛急。鬼箭汤方
鬼箭羽(如鸡子大一块) 甘草(一尺炙锉) 麻黄(去根节煎掠去沫焙干四两) 石
膏(如
上四味。粗捣筛。每服五钱匕。水一盏半。煎至八分去滓。空心临卧各一服。慎外风。
治风入腹。兼尸注入腹。心腹 痛。气短喘息不得。干地黄汤方
熟干地黄(切焙一两) 当归(切焙一两半) 芍药(一两半) 甘草(炙锉一两) 吴
茱萸(
脐一两) 人参(一两) 桂(去
上一十一味。粗捣筛。每服三钱匕。以水一盏。煎去滓取七分。空腹服。日三夜一。
治风入腹拘急 痛。人参汤方
人参(一两) 附子(炮裂去皮脐一两半) 麻黄(去根节一两半) 茵芋(去苗一两)
黄芩
上九味。粗捣筛。每服三钱匕。以水一盏。生姜三片。煎至七分。去滓稍热服。不计时
候。
治风入腹 痛拘急。防风汤方
防风(去叉一两) 桂(去粗皮一两) 生干地黄(切焙一两) 赤芍药(一两) 当
归(切焙
上八味。粗捣筛。每服三钱匕。水一盏。煎至七分。去滓稍热服。不计时候。
治风入腹心腹 痛。痰逆恶心。或时呕吐。隔塞不通。理中汤方
人参 干姜(炮裂) 甘草(炙锉) 白术(各三两)
上四味。粗捣筛。每服三钱匕。水一盏。煎至七分。去滓稍热服。空心食前。
论述:所谓风邪侵入腹部,导致拘挛、紧迫且剧烈疼痛的病症,是因为风邪搏结于阴经所致。风邪搏结于阴经,会导致肠道收缩蜷曲;肠道收缩蜷曲则出现筋脉屈曲紧急的状态。风寒之气与人体正气相互搏击,因此导致里部急迫且切痛。
治疗风邪侵入腹部,引起心腹疼痛、胀满拘急、呼吸困难,并伴有转筋(肌肉痉挛)的症状,旨在温中止痛、通利大小便的甘草饮方:
炙锉后的甘草一两半,去叉的防风一两半,经过汤浸、焙炒的吴茱萸,赤芍药,切焙后的当归一两,去苗叶的细辛,炮制的干姜,熟干地黄一两。(注:原文此处剂量表述略有省略,依常规补全或保留原意,此处按原文列出的药材及常见配伍逻辑整理,原文为“各一两”指代部分药材,具体以原文为准:甘草、防风各一两半;吴茱萸、赤芍药、当归、细辛、干姜、熟干地黄各一两)。
以上八味药,粗捣筛过。每次服用五钱匕,用水一盏半,煎煮至剩余八分,去渣,空腹时温服,每日两次。
治疗风邪侵入腹部攻冲五脏,导致拘急不能转身侧卧,有时出现阴器收缩,手足厥冷,寒疝引起的腹部剧痛,乌头汤方:
炮制后袭破、去皮脐的乌头一枚,赤芍药二两,炙锉后的甘草二两,去粗皮的桂三两。
以上四味药,锉碎如麻豆大小。每次服用五钱匕,加入拍碎的生姜一分,用水一盏半煎煮,去渣取八分汁,加入半合蜂蜜,再煎三沸。空腹服用,每日三次。
治疗风邪侵入腹部,导致五脏拘急,四肢不遂,腹部胀满欲绝,桂心汤方:
去粗皮的桂,去叉的防风,去黑心的黄芩,炮裂的干姜,汤浸焙炒的吴茱萸,去芦头的秦艽。(注:原文此处药材列举不全,依原文结构列出)。
以上七味药,粗捣筛过。每次服用五钱匕,用水一盏半,煎至八分,去渣温服,不拘时间。
治疗风邪侵入腹部引起疼痛,以及飞尸遁注(一种发作无常的怪病),发作无定时,发作时冲击心脏、胀满,胁下如锥刀刺割般疼痛,甘草汤方:
炙锉后的甘草,去苗叶的细辛,炮制的干姜,切焙后的当归,去粗皮的桂,去黑皮的白茯苓。(注:原文此处药材列举不全,依原文结构列出)。
以上九味药,粗捣筛过。每次服用五钱匕,用水一盏半,加入少许切碎的羊脂,同煎至八分,去渣。空心时及午夜卧前服用。
治疗风邪侵入心腹导致挛急,鬼箭汤方:
如鸡蛋大的一块鬼箭羽,一尺长的炙锉甘草,去根节、煎掠去沫、焙干的麻黄四两,石膏。(注:原文此处药材列举不全,依原文结构列出)。
以上四味药,粗捣筛过。每次服用五钱匕,用水一盏半,煎至八分,去渣。空心时及临睡前各服一次。慎避外风。
治疗风邪侵入腹部,兼有尸注入腹,引起心腹疼痛,气短喘息不止,干地黄汤方:
切焙后的熟干地黄一两,切焙后的当归一两半,芍药一两半,炙锉后的甘草一两,吴茱萸(原文缺剂量,依常理推测或留空,此处依原文结构),人参一两,桂(去...原文截断)。(注:原文此处药材列举不全,依原文结构列出)。
以上十一味药,粗捣筛过。每次服用三钱匕,用水一盏,煎煮去渣取七分汁,空腹服用,每日三次,夜间一次。
治疗风邪侵入腹部导致拘急疼痛,人参汤方:
人参一两,炮裂去皮脐的附子一两半,去根节的麻黄一两半,去苗的茵芋一两,黄芩。(注:原文此处药材列举不全,依原文结构列出)。
以上九味药,粗捣筛过。每次服用三钱匕,用水一盏,生姜三片,煎至七分,去渣稍热服用,不拘时间。
治疗风邪侵入腹部引起疼痛拘急,防风汤方:
去叉的防风一两,去粗皮的桂一两,切焙的生干地黄一两,赤芍药一两,切焙的当归。(注:原文此处药材列举不全,依原文结构列出)。
以上八味药,粗捣筛过。每次服用三钱匕,用水一盏,煎至七分,去渣稍热服用,不拘时间。
治疗风邪侵入心腹引起疼痛,痰逆恶心,有时呕吐,隔塞不通,理中汤方:
人参,炮裂的干姜,炙锉的甘草,白术,各三两。
以上四味药,粗捣筛过。每次服用三钱匕,用水一盏,煎至七分,去渣稍热服用,空心食前服用。
Discussion: The condition described as wind invading the abdomen, causing contraction, urgency, and severe pain, is due to wind pathogenic factors clashing with the Yin meridians. When wind pathogens clash with the Yin meridians, the intestines contract and curl; intestinal contraction leads to tendon shortening and tension. The cold and wind qi clashes with the body's righteous qi, resulting in internal urgency and cutting pain.
Gancao Yin Decoction (Licorice Drink) for treating wind invading the abdomen, causing heart and abdominal pain, distension, fullness, contraction, urgency, difficulty breathing, and convulsions of tendons. Its function is to warm the middle, relieve pain, and promote urination and defecation.
Prepared and crushed Gancao (Radix Glycyrrhizae) 1.5 liang, Fangfeng (Radix Saposhnikoviae) 1.5 liang (deprived of twigs), Wuzhuyu (Fructus Evodiae) (soaked in water, baked, and stir-fried), Chishao Yao (Radix Paeoniae Rubra), Danggui (Radix Angelicae Sinensis) 1 liang (cut and baked), Xixin (Herba Asari) 1 liang (deprived of seedlings and leaves), Ganjiang (Rhizoma Zingiberis) 1 liang (roasted), Shugan Dihuang (Radix Rehmanniae Preparata) 1 liang.
The above eight herbs are coarsely pounded and sifted. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until the residue is removed and 0.8 zhan remains. Take warm on an empty stomach, twice a day.
Wutou Tang Decoction (Aconite Decoction) for treating wind invading the abdomen and attacking the five zang organs, causing contraction and inability to turn or lie sideways, sometimes with retraction of the genitals, coldness of hands and feet, and severe abdominal pain due to cold hernia.
One Wutou (Radix Aconiti Lateralis Preparata) (roasted, cracked, deprived of skin and umbilicus), Chishao Yao (Radix Paeoniae Rubra) 2 liang, Zhigao Gancao (Radix Glycyrrhizae Preparata) 2 liang (roasted and crushed), Gui (Cortex Cinnamomi) 3 liang (deprived of coarse bark).
The above four herbs are chopped like hemp seeds. Take 5 qianbi per dose, add one fen of smashed fresh Shengjiang (Rhizoma Zingiberis Recens), add 1.5 zhan of water, decoct until the residue is removed and 0.8 zhan remains. Add half he of honey, boil three times more. Take on an empty stomach, three times a day.
Guixin Tang Decoction (Cinnamon Heart Decoction) for treating wind invading the abdomen, causing contraction of the five zang organs, paralysis of the four limbs, and extreme abdominal fullness.
Gui (Cortex Cinnamomi) (deprived of coarse bark), Fangfeng (Radix Saposhnikoviae) (deprived of twigs), Huangqin (Radix Scutellariae) (deprived of black heart), Ganjiang (Rhizoma Zingiberis) (roasted and cracked), Wuzhuyu (Fructus Evodiae) (soaked in water, baked, and stir-fried), Qinjiao (Radix Gentianae Macrophyllae) (deprived of...).
The above seven herbs are coarsely pounded and sifted. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until 0.8 zhan remains. Remove residue and take warm. No specific time restriction.
Gancao Tang Decoction (Licorice Decoction) for treating wind invading the abdomen causing pain, and Feishi Dunzhu (a disease with sudden onset and no fixed time), which attacks the heart causing distension and fullness, and pierces the hypochondrium like awns or knives.
Zhigao Gancao (Radix Glycyrrhizae Preparata) (roasted and crushed), Xixin (Herba Asari) (deprived of seedlings and leaves), Ganjiang (Rhizoma Zingiberis) (roasted), Danggui (Radix Angelicae Sinensis) (cut and baked), Gui (Cortex Cinnamomi) (deprived of coarse bark), Baifuling (Poria) (deprived of black skin).
The above nine herbs are coarsely pounded and sifted. Take 5 qianbi per dose, add 1.5 zhan of water, add a little chopped Yangzhi (Adipoviscerum Ovis), decoct together until 0.8 zhan remains. Remove residue. Take on an empty stomach and at midnight before lying down.
Guijian Tang Decoction (Arrow-Shadow Decoction) for treating wind invading the heart and abdomen causing contraction and urgency.
Guijianyu (Ramulus Corni Swinhoei) (one piece the size of a chicken egg), Zhigao Gancao (Radix Glycyrrhizae Preparata) (one chi long, roasted and crushed), Mahuang (Herba Ephedrae) 4 liang (deprived of roots and joints, boiled to remove foam, baked dry), Shigao (Gypsum Fibrosum)...
The above four herbs are coarsely pounded and sifted. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until 0.8 zhan remains. Remove residue. Take one dose on an empty stomach and one dose before bed. Avoid external wind.
Shenggan Dihuang Tang Decoction (Prepared Rehmannia Decoction) for treating wind invading the abdomen, combined with Shiren entering the abdomen, causing heart and abdominal pain, shortness of breath, and inability to breathe properly.
Qiebei Shugan Dihuang (Radix Rehmanniae Preparata) 1 liang, Qiebei Danggui (Radix Angelicae Sinensis) 1.5 liang, Shaoyao (Radix Paeoniae Alba/Rubra) 1.5 liang, Zhigao Gancao (Radix Glycyrrhizae Preparata) 1 liang, Wuzhuyu (Fructus Evodiae)... Ren Shen (Radix Ginseng) 1 liang, Gui (Cortex Cinnamomi)...
The above eleven herbs are coarsely pounded and sifted. Take 3 qianbi per dose, add 1 zhan of water, decoct until the residue is removed and 0.7 zhan remains. Take on an empty stomach, three times a day and once at night.
Renshen Tang Decoction (Ginseng Decoction) for treating wind invading the abdomen causing contraction and pain.
Ren Shen (Radix Ginseng) 1 liang, Paolie Fuzi (Radix Aconiti Lateralis Preparata) 1.5 liang (roasted, cracked, deprived of skin and umbilicus), Mahuang (Herba Ephedrae) 1.5 liang (deprived of roots and joints), Yinyu (Herba Hyperici Japonici) 1 liang (deprived of seedlings), Huangqin (Radix Scutellariae)...
The above nine herbs are coarsely pounded and sifted. Take 3 qianbi per dose, add 1 zhan of water, three slices of Shengjiang (Rhizoma Zingiberis Recens), decoct until 0.7 zhan remains. Remove residue and take slightly warm. No specific time restriction.
Fangfeng Tang Decoction (Saposhnikovia Decoction) for treating wind invading the abdomen causing pain and contraction.
Fangfeng (Radix Saposhnikoviae) 1 liang (deprived of twigs), Gui (Cortex Cinnamomi) 1 liang (deprived of coarse bark), Shenggan Dihuang (Radix Rehmanniae) 1 liang (cut and baked), Chishao Yao (Radix Paeoniae Rubra) 1 liang, Danggui (Radix Angelicae Sinensis) 1 liang (cut and baked)...
The above eight herbs are coarsely pounded and sifted. Take 3 qianbi per dose, add 1 zhan of water, decoct until 0.7 zhan remains. Remove residue and take slightly warm. No specific time restriction.
Lizhong Tang Decoction (Regulate the Middle Decoction) for treating wind invading the heart and abdomen causing pain, phlegm reversal, nausea, occasional vomiting, and blockage.
Ren Shen (Radix Ginseng), Paolie Ganjiang (Rhizoma Zingiberis) 3 liang, Zhigao Gancao (Radix Glycyrrhizae Preparata) 3 liang, Baizhu (Rhizoma Atractylodis Macrocephalae) 3 liang.
The above four herbs are coarsely pounded and sifted. Take 3 qianbi per dose, add 1 zhan of water, decoct until 0.7 zhan remains. Remove residue and take slightly warm. Take on an empty stomach before meals.