治忧膈、食膈、饮膈、气膈、劳膈五病,同主咸以忧、恚、思、虑、饮食得之,若冷
食及生菜便发。其病苦心满,不得气息,引背痛如刺之状,食则心下坚大如粉絮,大痛欲吐,
吐即瘥。饮食不得下,甚者及手足冷,上气咳逆喘息短气方。
麦冬 甘草(各五两) 人参(四两) 川椒 远志 桂心 细辛(各三两) 附子(一
两半)
干姜(二两)
上九味为末蜜丸,微使淖,先食含如弹丸一枚,细细咽之。喉中胸中当热,药力稍尽,
复含一丸,日三夜二。服药十日愈。(《延年方》云∶若不能含者,可分一大丸作十小丸尽
服之。夏月宜增麦冬、甘草、人参。胡洽云∶亦可作梧子大十丸酒服之。《经心录》以吴
萸代桂心,酒下如梧子五丸,空腹服之。治寒冷则心痛,咽中有物,吐之不出,咽之不下,
食饮少者
治结气冷症积在胁下,香港脚上入小腹,腹中胀满百病方∶
大蒜去心皮三升,捣令极熟,以水三升和令调,绞取汁更捣,余滓令熟,更以水三升和
令调,绞取汁更捣,余滓令熟,更以水三升和令调,绞取汁合得九升,所得滓可桃颗大,弃
之。以微火煎取三升,下牛乳三升,合煮取三升,旦起空腹一顿温服令尽,至申时食,三日
服一剂,三十日服十剂止。
治疗忧膈、食膈、饮膈、气膈、劳膈这五种膈病,这些病都由忧愁、愤怒、思虑过度以及饮食不当引起,如果吃了冷食或生蔬菜就会发作。病症表现为心中烦闷胀满,呼吸不畅,背部疼痛像被针刺一样,进食后心窝部坚硬膨大如粉团状,剧烈疼痛想呕吐,吐出来症状就缓解。饮食无法咽下,严重的会出现手脚冰冷,气逆咳嗽喘息、呼吸短促。
麦冬(各五两) 甘草(各五两) 人参(四两) 川椒 远志 桂心 细辛(各三两) 附子(一两半)
干姜(二两)
以上九味药研成粉末,用蜂蜜制成丸剂,稍微使其湿润柔软。饭前含服如弹丸大小的一枚,细细咽下。喉咙和胸部应当感到发热,药效稍减后,再含服一枚,每天三次,夜间两次。服药十天即可痊愈。(《延年方》说:如果不能含服,可以将一个大丸分成十个小小丸全部服下。夏季适宜增加麦冬、甘草、人参的用量。胡洽说:也可以做成梧桐子大小的十丸,用酒送服。《经心录》用吴茱萸代替桂心,用酒送服梧桐子大小的五丸,空腹服用。治疗寒冷导致的心痛,咽喉中有异物感,吐不出来也咽不下去,饮食减少。)
治疗结气、冷积积聚在胁下,脚气上冲至小腹,腹部胀满等百病的方法:
大蒜去芯去皮三升,捣烂至极熟,加入水三升调和,绞取汁液再次捣碎残渣至熟,再加入水三升调和,绞取汁液再次捣碎残渣至熟,再加入水三升调和,绞取汁液,共得到九升汁液,剩下的残渣可保留如桃核大小,其余丢弃。用微火煎煮至三升,加入牛乳三升,共同煮取三升,早晨起床时空腹一次性温服完,到申时进食,每三天服用一剂,三十天服用十剂为止。
Treats the five diseases of You Ge (Sorrowful Obstruction), Shi Ge (Food Obstruction), Yin Ge (Drink Obstruction), Qi Ge (Qi Obstruction), and Lao Ge (Fatigue Obstruction). These conditions are primarily caused by sorrow, resentment, excessive thinking, worry, and improper diet. They may be triggered by consuming cold food or raw vegetables. The symptoms include distressing fullness in the heart region, difficulty breathing, and back pain resembling stabbing sensations. After eating, the epigastrium becomes hard and distended like a mass of flour paste, accompanied by severe pain and an urge to vomit; vomiting brings relief. Food cannot go down. In severe cases, there is coldness in the hands and feet, rebellious Qi, cough, wheezing, and shortness of breath.
Mai Dong (Ophiopogonis Radix) [5 liang each], Gan Cao (Licorice Root) [5 liang each], Ren Shen (Ginseng Radix) [4 liang], Chuan Jiao (Sichuan Pepper Fruit), Yuan Zhi (Polygalae Radix), Gui Xin (Cinnamon Twig Heart), Xi Xin (Asari Radix et Rhizoma) [3 liang each], Fu Zi (Aconiti Lateralis Radix Praeparata) [1.5 liang], Gan Jiang (Zingiberis Rhizoma) [2 liang].
The above nine herbs are ground into powder and formed into pills with honey, slightly moistened. Before meals, hold one pill the size of a bullet in the mouth and swallow it slowly. Heat should be felt in the throat and chest. When the medicinal effect begins to wane, hold another pill. Take three times during the day and twice at night. Cure after ten days of medication. (According to *Yan Nian Fang*: If holding in the mouth is not feasible, divide one large pill into ten small pills and take them all. In summer, increase the dosage of Mai Dong, Gan Cao, and Ren Shen. Hu Qia stated: It can also be made into ten pills the size of Chinese wolfberry seeds and taken with wine. *Jing Xin Lu* replaces Gui Xin with Wu Zhu Yu, taking five pills the size of Chinese wolfberry seeds with wine on an empty stomach. Treats heart pain caused by cold, a sensation of a foreign body in the throat that cannot be spat out or swallowed, and reduced appetite.)
Treatment for accumulated Qi and cold masses in the hypochondrium, Hong Xiang Jiao (Beriberi ascending to the lower abdomen), abdominal distension, and various other diseases:
Da Suan (Allii Sativi Bulbus) peeled and cored, 3 sheng. Pound until extremely soft. Add 3 sheng of water, mix well, and squeeze out the juice. Pound the remaining dregs until soft again. Add 3 sheng of water, mix well, and squeeze out the juice. Pound the remaining dregs until soft again. Add 3 sheng of water, mix well, and squeeze out the juice. Collect a total of 9 sheng of juice. Retain a portion of the dregs the size of a peach pit; discard the rest. Simmer over low heat until reduced to 3 sheng. Add 3 sheng of cow's milk and boil together until reduced to 3 sheng. In the morning on an empty stomach, take the entire dose warm at once. Eat at Shen hour (3-5 PM). Take one dose every three days. Stop after ten doses within thirty days.