治卒呕吐心下痞,膈间有水,目眩悸方。
半夏(一升) 生姜(半斤) 茯苓(三两)
上三味 咀,以水七升,煮取一升五合,去滓,温分再服。(胡洽不用茯苓,用桂心四
两。)
假令瘦人脐下有悸者,吐涎沫而癫眩,水也,此方主之。(方见前九卷伤寒上
治腹满,口干燥,此肠间有水气,此方主之。
椒目 木防己 大黄(各一两) 葶苈(二两)
上四味为末,蜜丸如梧子大,先食饮服一丸,日三,后稍增,口中有津液止。渴者,加
芒硝半两。
病者脉伏,其人欲自利,利者反快,虽利心下续坚满,此为留饮,欲去故
之。
甘遂(大者三枚) 半夏(十二枚,以水一升,煮取半升) 芍药(三枚) 甘草(一
枚如指
大,
上四味以蜜半升,纳二药汁合一升半,煎取八合,顿服之。
主胸中结痰饮 结,脐下弦满,呕逆不得食,亦主风水方。
茯苓 白术(各三两) 半夏 桂心 细辛(一作人参) 生姜(各四两) 橘皮 附
子当归(各二两)
上九味 咀,以水一斗,煮取三升,去滓,分三服,服三剂。良。
主胸膈痰满方。
茯苓(四两) 半夏(一升) 生姜(一斤) 桂心(八两)
上四味 咀,以水八升,煮取二升半,分四服。冷极者加大附子四两,若气满者加槟
榔三七枚。
治疗突然呕吐、胃脘部痞塞不通,膈间有水饮停留,伴有头晕目眩、心悸的方剂。
半夏(一升) 生姜(半斤) 茯苓(三两)
以上三味药,切碎,用水七升,煎煮至剩余一升五合,滤去药渣,分两次温服。(胡洽方的用法是不用茯苓,改用桂心四两。)
如果是形体消瘦的人,脐下部位有跳动感,呕吐涎沫并出现癫痫样眩晕,这是水饮为患,此方主治。(该方见前卷伤寒篇上)
治疗腹部胀满,口舌干燥,这是肠间有水气停留,此方主治。
椒目 木防己 大黄(各一两) 葶苈子(二两)
以上四味药研成细末,用蜂蜜制成梧桐子大小的丸剂,饭前用温水送服一丸,每日三次,之后逐渐增加剂量,以口中生津液为度。如果口渴严重,加芒硝半两。
患者脉象沉伏,其人想要自发性腹泻,泻后反而感觉舒畅,虽然腹泻但胃脘部仍然持续坚硬胀满,这是留饮病,是正气试图驱除体内邪气的表现。
甘遂(大的三枚) 半夏(十二枚,用水一升,煎煮至半升) 芍药(三枚) 甘草(一枚,大小如手指)
以上四味药,用半升蜂蜜,加入另外两种药的汁液共成一升半,煎煮至八合,一次性服用。
主治胸中痰饮结聚,表现为脐下弦急胀满,呕吐逆气不能进食,也主治风水病。
茯苓 白术(各三两) 半夏 桂心 细辛(一作人参) 生姜(各四两) 橘皮 附子 当归(各二两)
以上九味药,切碎,用水一斗,煎煮至剩余三升,滤去药渣,分三次服用,连服三剂,疗效良好。
主治胸膈痰湿壅盛。
茯苓(四两) 半夏(一升) 生姜(一斤) 桂心(八两)
以上四味药,切碎,用水八升,煎煮至剩余二升半,分四次服用。如果寒邪极重,加大附子四两;如果气滞胀满严重,加槟榔三七枚。
Treats sudden vomiting, epigastric fullness and obstruction (Pipi), water retention between the diaphragm, dizziness, and palpitations.
Banxia (Pinelliae Rhizoma) - 1 sheng
Shengjiang (Zingiberis Recens Rhizoma) - 0.5 jin
Fuling (Poria) - 3 liang
The above three herbs are coarsely crushed. Boil in 7 sheng of water until reduced to 1.5 sheng. Strain and take warm, divided into two doses. (Hu Qia's formula does not use Fuling, but uses Guixin [Cinnamomi Cortex] 4 liang.)
If a thin person experiences palpitations below the umbilicus, vomits saliva and foam, and suffers from epileptic-like dizziness due to water retention, this formula is indicated. (See the formula in the previous volume on Shanghan Upper.)
Treats abdominal fullness and dry mouth, indicating water qi in the intestines; this formula is indicated.
Jiaomu (Semen Lepidii et Descurainiae)
Mufangji (Radix Stephaniae Tetrandrae)
Dahuang (Rhei Radix et Rhizoma) - each 1 liang
Tingli (Semen Lepidii seu Descurainiae) - 2 liang
The above four herbs are powdered and made into pills the size of wu zi (Chinese parasol tree seeds) with honey. Take one pill before meals with water, three times daily. Gradually increase the dose until saliva flows freely in the mouth. If thirst is severe, add Mangxiao (Natrii Sulfas) 0.5 liang.
When the patient's pulse is deep and hidden (Fu), and they desire spontaneous diarrhea, which brings relief, yet the epigastrium remains hard and full despite the diarrhea, this is Liuyin (Retained Fluid). It indicates the body's attempt to expel the pathogen.
Gansui (Radix Kansui) - 3 large pieces
Banxia (Pinelliae Rhizoma) - 12 pieces (boiled in 1 sheng of water until reduced to 0.5 sheng)
Shaoyao (Radix Paeoniae Alba or Rubra) - 3 pieces
Gancao (Glycyrrhizae Radix et Rhizoma) - 1 piece, size of a finger
The above four herbs are combined with half a sheng of honey and the juices of the other two medicines to make 1.5 sheng. Decoct until reduced to 0.8 sheng and take all at once.
Mainly treats phlegm-fluid retention knotting in the chest, characterized by tight fullness below the umbilicus, vomiting and inability to eat; also treats Fengshui (Wind-Edema).
Fuling (Poria)
Baizhu (Atractylodis Macrocephalae Rhizoma) - each 3 liang
Banxia (Pinelliae Rhizoma)
Guixin (Cinnamomi Cortex)
Xixin (Asari Radix et Rhizoma) (or Renshen [Ginseng Radix])
Shengjiang (Zingiberis Recens Rhizoma) - each 4 liang
Jupi (Citri Reticulatae Pericarpium)
Fuzi (Aconiti Lateralis Radix Praeparata)
Danggui (Angelicae Sinensis Radix) - each 2 liang
The above nine herbs are coarsely crushed. Boil in 1 dou of water until reduced to 3 sheng. Strain and divide into three doses. Taking three courses of treatment yields good results.
Treats phlegm-fullness in the chest and diaphragm.
Fuling (Poria) - 4 liang
Banxia (Pinelliae Rhizoma) - 1 sheng
Shengjiang (Zingiberis Recens Rhizoma) - 1 jin
Guixin (Cinnamomi Cortex) - 8 liang
The above four herbs are coarsely crushed. Boil in 8 sheng of water until reduced to 2.5 sheng. Divide into four doses. If cold is extreme, add Fuzi (Aconiti Lateralis Radix Praeparata) 4 liang. If there is Qi stagnation and fullness, add Binglang (Arecae Semen) 3-7 pieces.