治心腹冷痛方。
细辛 蜀椒 桂心 干姜 吴茱萸 芍药 防风 苦参 甘草 当归 干地黄(各一
两)
上十四味 咀,以水九升煮取三升,分四服。
治心腹久痛积年不定,不过一时间还发,甚则数日不能食,又便出干血,穷天下方不
能瘥,甄立言处此方,数日即愈。
犀角 麝香 雄黄 桔梗 莽草 鬼臼 桂心 芫花(各半两) 甘遂(一两半) 附
子
光明砂(各六铢) 贝齿(五枚) 巴豆(二十枚) 赤足蜈蚣(二枚)
上十四味为末,蜜丸,如梧子,饮服一丸,日二,渐加至三丸,以微利为度。(《古今
录验》无雄黄。)
治卒心腹绞痛如刺,两胁支满,烦闷不可忍方。
高良姜(五两) 浓朴(二两) 当归 桂心(各三两)
上四味 咀,以水八升煮取一升八合,分二服,日三。若一服痛止便停,不须更服,强
者作二服,弱者分三服。
治心腹绞痛诸虚冷气满痛方。
当归 芍药 浓朴 半夏(各二两) 桂心 甘草 黄 人参(各三两) 干姜(四
两)
蜀椒(一两)
上十味 咀,以水一斗煮取三升二合,分四服,羸弱人分六服。(《短剧》云人冷加附
子一枚良。)
又方 治虚冷腹痛,不下饮食,食复不消胪胀者方。
当归 茯苓(各五分) 黄 紫菀(各四分) 高良姜 干姜(各六分) 鹿茸 桂
心肉
苁蓉 昆布 橘皮(各三分) 甘草(二两) 乌头(二两) 大枣(四十枚) 桃仁(一
百枚) 地
骨皮 法曲 大麦 (各一升)
上十八味 咀,以水一斗五升煮取四升二合,分为五服,下利加赤石脂、龙骨各三分,
渴加麦门冬一升。
又方 治寒冷腹中痛方。(《短剧》云吴茱萸汤)
当归(二两) 桂心 甘草 人参(各一两) 生姜(五两) 半夏 小麦(各一升) 吴
茱萸(
二升)
上八味 咀,以水一斗五升煮取三升,分三服,日三,亦治产后虚冷。
又方 治冷气胁下往来冲胸膈痛引胁背闷者方。
当归 桂心 人参 甘草 吴茱萸 芍药 大黄(各二两) 茯苓 枳实(各一两) 干
姜
(三两)
上十味 咀,以水八升煮取二升半,分三服,日三,并治尸疰亦佳。(《外台》仲景方
无茯苓、枳实。)
又方 治久寒疾痼,胸腹中痛时下痢方。
当归(三两) 附子(一两) 干姜 甘草 柑皮(各二两)
上五味 咀,以水八升煮取二升,分三服,日三。
又方 治久寒宿疾,胸腹中痛,短气时滞下痢方。
当归 桂心(各三两) 干姜(四两) 附子(一两)
上四味 咀,以水八升煮取二升,分三服,日三。(范汪无附子,有甘草二两,云虚冷
激痛甚者加黄 、芍药各二两。)
治疗心腹冷痛的方法。
细辛、蜀椒、桂心、干姜、吴茱萸、芍药、防风、苦参、甘草、当归、干地黄(各一两)。
以上十四味药,切碎,用水九升煎煮至三升,分四次服用。
治疗心腹长期疼痛,多年发作不定,不过一段时间又复发,严重时数日不能进食,并且排出干血,天下所有方剂都不能治愈,甄立言开出此方,数日即愈。
犀角、麝香、雄黄、桔梗、莽草、鬼臼、桂心、芫花(各半两)、甘遂(一两半)、附子、光明砂(各六铢)、贝齿(五枚)、巴豆(二十枚)、赤足蜈蚣(二枚)。
以上十四味药研成粉末,用蜂蜜制成丸药,如梧桐子大小,用温水送服一丸,每日两次,逐渐增加至三丸,以轻微腹泻为度。(《古今录验》中没有雄黄。)
治疗突然发生的心腹绞痛如针刺,两胁支撑胀满,烦闷难以忍受的方法。
高良姜(五两)、浓朴(二两)、当归、桂心(各三两)。
以上四味药,切碎,用水八升煎煮至一升八合,分两次服用,每日三次。如果一次服药后疼痛停止就停药,不需要再服,体质强者分两次服,体质弱者分三次服。
治疗心腹绞痛及各种虚寒之气导致的胀满疼痛的方法。
当归、芍药、浓朴、半夏(各二两)、桂心、甘草、黄芪、人参(各三两)、干姜(四两)、蜀椒(一两)。
以上十味药,切碎,用水一斗煎煮至三升二合,分四次服用,身体瘦弱的人分六次服用。(《短剧》说:如果是寒气重,加一枚附子效果好。)
另一个方法:治疗虚冷腹痛,无法进食,饮食复食不消化导致腹部胀满的方法。
当归、茯苓(各五分)、黄芪、紫菀(各四分)、高良姜、干姜(各六分)、鹿茸、桂心、肉苁蓉、昆布、橘皮(各三分)、甘草(二两)、乌头(二两)、大枣(四十枚)、桃仁(一百枚)、地骨皮、法曲、大麦(各一升)。
以上十八味药,切碎,用水一斗五升煎煮至四升二合,分为五次服用,如果出现腹泻,加赤石脂、龙骨各三分;口渴加麦门冬一升。
又一个方法:治疗寒冷引起的腹中疼痛的方法。(《短剧》称为吴茱萸汤)
当归(二两)、桂心、甘草、人参(各一两)、生姜(五两)、半夏、小麦(各一升)、吴茱萸(二升)。
以上八味药,切碎,用水一斗五升煎煮至三升,分三次服用,每日三次,也治疗产后虚冷。
又一个方法:治疗冷气从胁下往来冲击胸膈,疼痛牵引胁背,感到闷塞的方法。
当归、桂心、人参、甘草、吴茱萸、芍药、大黄(各二两)、茯苓、枳实(各一两)、干姜(三两)。
以上十味药,切碎,用水八升煎煮至二升半,分三次服用,每日三次,同时也治疗尸疰效果很好。(《外台秘要》引用的张仲景方中没有茯苓、枳实。)
又一个方法:治疗久寒宿疾,胸腹中疼痛并时常腹泻的方法。
当归(三两)、附子(一两)、干姜、甘草、柑皮(各二两)。
以上五味药,切碎,用水八升煎煮至二升,分三次服用,每日三次。
又一个方法:治疗久寒宿疾,胸腹中疼痛,气短且时常腹泻的方法。
当归、桂心(各三两)、干姜(四两)、附子(一两)。
以上四味药,切碎,用水八升煎煮至二升,分三次服用,每日三次。(范汪的方子中没有附子,有两甘草,说如果是虚冷剧烈疼痛严重的,加黄芪、芍药各二两。)
Formulas for treating cold pain in the heart and abdomen.
Xixin (Asari Radix et Rhizoma), Shujiao (Sichuan Pepper Fruit), Guixin (Cinnamon Twig Heart), Ganjiang (Dried Ginger), Wuzhuyu (Evodia Fruit), Shaoyao (Peony Root), Fangfeng (Saposhnikovia Root), Kushen (Sophora Root), Gancao (Licorice Root), Danggui (Angelica Sinensis), Ganyedi Huang (Rehmannia Root, Dried). (Each 1 liang)
The above fourteen ingredients are chopped, boiled in nine sheng of water until three sheng remain, and divided into four doses.
Formula for treating chronic heart and abdominal pain that has persisted for years, recurring intermittently, sometimes preventing eating for several days, accompanied by the passage of dried blood; a condition refractory to all other known remedies. Zhen Liyan prescribed this formula, resulting in recovery within a few days.
Xijiao (Rhinoceros Horn), Shexiang (Musk), Xionghuang (Realgar), Jiegeng (Platycodon Root), Mangcao (Polygonum Arvense Herb), Guijiu (Podophyllum Fruit), Guixin (Cinnamon Twig Heart), Yuanhua (Kadua Flower), Gansui (Euphorbia Lathyris Root). (Each half liang); Fuzi (Aconite Lateral Root Prepared). (1.5 liang); Guangmingsha (Realgar, refined); Beichi (Concha Tridacnae); Badou (Croton Seed); Chizu Wugong (Centipede). (2 specimens)
The above fourteen ingredients are powdered and formed into pills with honey, sized like wu zi (seeds of Cerasus japonica). Take one pill with warm water, twice daily, gradually increasing to three pills, stopping when mild diarrhea occurs. (Note: "Gujin Luyan" excludes Xionghuang.)
Formula for treating sudden, severe stabbing pain in the heart and abdomen, distension and fullness in both hypochondria, and unbearable restlessness.
Gaoliangjiang (Galangal Rhizome). (5 liang); Nongpo (Magnolia Bark). (2 liang); Danggui (Angelica Sinensis); Guixin (Cinnamon Twig Heart). (Each 3 liang)
The above four ingredients are chopped, boiled in eight sheng of water until one sheng eight he remain, and divided into two doses, taken three times daily. If pain ceases after one dose, discontinue use. For strong constitutions, divide into two doses; for weak constitutions, divide into three doses.
Formula for treating colicky pain in the heart and abdomen due to various deficiencies and cold qi causing fullness and pain.
Danggui (Angelica Sinensis), Shaoyao (Peony Root), Nongpo (Magnolia Bark), Banxia (Pinellia Tuber). (Each 2 liang); Guixin (Cinnamon Twig Heart), Gancao (Licorice Root), Huangqi (Astragalus Root), Renshen (Ginseng Root). (Each 3 liang); Ganjiang (Dried Ginger). (4 liang); Shujiao (Sichuan Pepper Fruit). (1 liang)
The above ten ingredients are chopped, boiled in one dou of water until three sheng two he remain, and divided into four doses. For emaciated or weak individuals, divide into six doses. (Note: "Duanju" states adding one Fuzi is beneficial for severe cold.)
Another formula for treating abdominal pain due to deficiency-cold, inability to ingest food, indigestion upon re-feeding, and abdominal distension.
Danggui (Angelica Sinensis), Fuling (Poria), Huangqi (Astragalus Root), Ziwan (Adenophora Root). (Each 5 fen); Gaoliangjiang (Galangal Rhizome), Ganjiang (Dried Ginger). (Each 6 fen); Lurong (Deer Antler without Hair), Guixin (Cinnamon Twig Heart), Rongrong (Cistanche Stem), Kunbu (Laminaria Thallus), Juapi (Citrus Peel). (Each 3 fen); Gancao (Licorice Root). (2 liang); Wutou (Aconite Root Prepared). (2 liang); Dazao (Jujube Fruit). (40 pieces); Taoren (Peach Seed); Digupi (Phellodendron Bark); Faqu (Medicated Leaven); Damai (Barley Grain). (Each 1 sheng)
The above eighteen ingredients are chopped, boiled in one dou five sheng of water until four sheng two he remain, and divided into five doses. If diarrhea occurs, add Chishizhi (Halloysitum Rubrum) and Longgu (Fossilized Bones) each 3 fen; if thirsty, add Maidong (Ophiopogon Tuber) 1 sheng.
Another formula for treating abdominal pain caused by cold. (Known as "Wuzhuyu Tang" in "Duanju")
Danggui (Angelica Sinensis). (2 liang); Guixin (Cinnamon Twig Heart), Gancao (Licorice Root), Renshen (Ginseng Root). (Each 1 liang); Shengjiang (Fresh Ginger). (5 liang); Banxia (Pinellia Tuber); Xiaomai (Wheat Grain). (Each 1 sheng); Wuzhuyu (Evodia Fruit). (2 sheng)
The above eight ingredients are chopped, boiled in one dou five sheng of water until three sheng remain, and divided into three doses, taken three times daily. This also treats postpartum deficiency-cold.
Another formula for treating pain from cold qi rushing from the hypochondria to the chest and diaphragm, radiating to the back and sides, causing stifling sensation.
Danggui (Angelica Sinensis), Guixin (Cinnamon Twig Heart), Renshen (Ginseng Root), Gancao (Licorice Root), Wuzhuyu (Evodia Fruit), Shaoyao (Peony Root), Dahuang (Rhubarb Root). (Each 2 liang); Fuling (Poria), Zhishi (Immature Bitter Orange). (Each 1 liang); Ganjiang (Dried Ginger). (3 liang)
The above ten ingredients are chopped, boiled in eight sheng of water until two sheng half remain, and divided into three doses, taken three times daily. This is also effective for treating Shizhu (corpse transmission/chronic infectious disease). (Note: The Zhang Zhongjing formula cited in "Waitai Miyao" excludes Fuling and Zhishi.)
Another formula for treating chronic cold disorders with chest and abdominal pain accompanied by occasional dysentery.
Danggui (Angelica Sinensis). (3 liang); Fuzi (Aconite Lateral Root Prepared). (1 liang); Ganjiang (Dried Ginger), Gancao (Licorice Root), Ganpi (Citrus Peel). (Each 2 liang)
The above five ingredients are chopped, boiled in eight sheng of water until two sheng remain, and divided into three doses, taken three times daily.
Another formula for treating chronic cold disorders with chest and abdominal pain, shortness of breath, and occasional dysentery.
Danggui (Angelica Sinensis), Guixin (Cinnamon Twig Heart). (Each 3 liang); Ganjiang (Dried Ginger). (4 liang); Fuzi (Aconite Lateral Root Prepared). (1 liang)
The above four ingredients are chopped, boiled in eight sheng of water until two sheng remain, and divided into three doses, taken three times daily. (Note: Fan Wang's formula excludes Fuzi but includes 2 liang of Gancao; it states that for severe deficiency-cold cramping pain, add Huangqi and Shaoyao each 2 liang.)