病源冷痰者,言胃气虚弱,不能宣行水谷,故使痰水结聚停于胸膈之间,遂令人吞酸气
逆,四肢变青,不能食饮。(出第二十卷中)
范汪病痰饮者,当以温药和之,疗心腹虚冷游痰气上胸胁满,不下食,呕逆,胸中冷,
半夏汤方。
半夏(一升洗) 生姜(一斤) 橘皮(四两)
上三味切,以水一斗,煮取三升,分三服,若心中急及心痛,纳桂枝四两,若腹痛纳当
归四两,羸瘦老小者服之佳。忌羊肉饧。
又方
半夏(一升汤洗) 生姜(一斤) 桂心(三两) 甘草(三两炙)
上四味切,以水七升,煮取二升半,分三服。忌海藻菘菜羊肉饧生葱。(并出第十六卷
中)
千金茯苓汤,主胸膈痰满方。
茯苓(四两) 半夏(一升洗) 生姜(一斤) 桂心(八两)
上四味切,以水八升,煮取二升半,分四服,冷极者加大附子四两,气满者加槟榔三七
枚。忌酢物羊肉生葱饧。(出第十八卷中)
千金翼论曰,凡痰饮盛,吐水无时节其源为冷冻饮料过度,遂令痼冷脾胃气羸,不能消于食
饮,食饮入胃,皆变成冷水反吐不停者,赤石脂散主之方。
赤石脂(三斤)
上一味捣下筛,服方寸匕,日三,酒饮并可,稍稍加至三匕,服尽三斤,则终身不吐水
,又不下利,补五脏,令肥健,有人久患痰饮,诸药不瘥,惟服此一斤则愈。(出第十九卷
中)
病源中的冷痰,是指胃气虚弱,不能正常宣发和运行水谷精微,从而导致痰与水液凝结积聚,停滞在胸膈之间,于是使人出现吞酸、气逆、四肢变青、无法进食饮水的症状。(出自第二十卷中)
范汪治疗痰饮病,应当用温性药物来调和。此方用于治疗心腹虚冷、游移不定的痰气上冲至胸胁导致胀满、不能进食、呕吐气逆、胸中寒冷,方名半夏汤。
半夏(一升,洗净) 生姜(一斤) 橘皮(四两)
以上三味药切碎,用水一斗,煎煮取汁三升,分三次服用。如果心中急迫或心痛,加入桂枝四两;如果腹痛,加入当归四两;身体瘦弱、年老或年幼者服用此方效果佳。忌食羊肉和饴糖。
又一方:
半夏(一升,热水洗净) 生姜(一斤) 桂心(三两) 甘草(三两,炙过)
以上四味药切碎,用水七升,煎煮取汁二升半,分三次服用。忌食海藻、白菜、羊肉、饴糖和生葱。(均出自第十六卷中)
千金茯苓汤,主治胸膈痰湿壅盛之证。
茯苓(四两) 半夏(一升,洗净) 生姜(一斤) 桂心(八两)
以上四味药切碎,用水八升,煎煮取汁二升半,分四次服用。寒邪极重者加大附子四两;气滞胀满者加槟榔三到七枚。忌食醋类食物、羊肉、生葱和饴糖。(出自第十八卷中)
《千金翼方》论述说,凡是痰饮病严重,不时吐清水的,其根源在于过度食用冷冻饮料,导致脾胃痼冷、正气虚弱,不能消化饮食。饮食进入胃中,都变成冷水而不断反吐,此证用赤石脂散主治。
赤石脂(三斤)
将这一味药捣碎并过筛,每次服用一方寸匕,每日三次,用酒送服或温水送服均可,逐渐增加剂量至三方寸匕。服完三斤药后,则终身不再吐清水,也不会腹泻,并能补益五脏,使身体肥壮强健。有人长期患痰饮病,各种药物无效,只服用此药一斤便痊愈了。(出自第十九卷中)
In the *Bingyuan* (Source of Diseases), cold phlegm refers to a condition where the Stomach Qi is deficient and unable to diffuse and transport water and grain, causing phlegm and fluid to condense and accumulate between the chest and diaphragm. This leads to symptoms such as acid regurgitation, rebellious Qi, cyanosis of the four limbs, and an inability to eat or drink. (From Volume 20)
Fan Wang stated that for phlegm-fluid retention, one should harmonize with warm herbs. This formula treats deficiency-cold in the heart and abdomen, wandering phlegm-Qi rushing up to the chest and hypochondrium causing fullness, inability to eat, vomiting and rebellious Qi, and coldness in the chest. The formula is Banxia Tang (Pinellia Decoction).
Banxia (Pinelliae Rhizoma, 1 sheng, washed) Shengjiang (Zingiberis Rhizoma Recens, 1 jin) Jupi (Citri Reticulatae Pericarpium, 4 liang)
The above three ingredients are cut, boiled in 1 dou of water until 3 sheng remain, and divided into three doses. If there is urgency in the heart or heart pain, add Guizhi (Cinnamomi Ramulus, 4 liang); if there is abdominal pain, add Danggui (Angelicae Sinensis Radix, 4 liang). It is suitable for those who are emaciated, elderly, or young. Avoid mutton and maltose.
Another prescription:
Banxia (Pinelliae Rhizoma, 1 sheng, washed with hot water) Shengjiang (Zingiberis Rhizoma Recens, 1 jin) Guixin (Cinnamomi Cortex, 3 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 3 liang, honey-fried)
The above four ingredients are cut, boiled in 7 sheng of water until 2.5 sheng remain, and divided into three doses. Avoid Haizao (Sargassum), Songcai (Brassica rapa var. pekinensis), mutton, maltose, and raw scallions. (All from Volume 16)
Qianjin Fuling Tang (Poria Decoction from Qianjin Fang) primarily treats phlegm-fullness in the chest and diaphragm.
Fuling (Poria, 4 liang) Banxia (Pinelliae Rhizoma, 1 sheng, washed) Shengjiang (Zingiberis Rhizoma Recens, 1 jin) Guixin (Cinnamomi Cortex, 8 liang)
The above four ingredients are cut, boiled in 8 sheng of water until 2.5 sheng remain, and divided into four doses. For extreme cold, add Fuzi (Aconiti Lateralis Radix Praeparata, 4 liang); for Qi fullness, add Binglang (Arecae Semen, 3-7 pieces). Avoid vinegar, mutton, raw scallions, and maltose. (From Volume 18)
The *Qianjin Yifang* discusses that when phlegm-fluid retention is severe, with frequent vomiting of clear fluid, the root cause is excessive consumption of frozen drinks, leading to entrenched cold in the Spleen and Stomach and weakened Qi, which cannot digest food and drink. When food and drink enter the Stomach, they turn into cold water and are constantly vomited back up. This condition is treated with Chishizhi San (Red Halloysite Powder).
Chishizhi (Halloysitum Rubrum, 3 jin)
The single ingredient is crushed and sifted. Take one fangcun bi (square-inch spoonful) per dose, three times daily, taken with wine or water. Gradually increase the dose to three fangcun bi. After consuming three jin of this medicine, one will never vomit water again nor suffer from diarrhea; it tonifies the Five Zang organs and makes the body robust and strong. There was a person who suffered from phlegm-fluid retention for a long time without improvement from other medicines, but was cured after taking only one jin of this prescription. (From Volume 19)