病源留饮者,由饮酒后饮水多,水气停留于胸膈之间,而不宣散,乃令人胁下痛,短气
而渴,皆其候也。(出第二十卷中)
范汪海藻丸,疗腹中留饮方。
海藻 木防己 甘遂 苁蓉 蜀椒(去汗) 芫花(熬) 葶苈子(熬各一两)
上七味捣筛,蜜和为丸,如梧子。服十丸,不瘥,当增之。(出第十六卷中)
千金疗病者脉伏,其人欲自痢,痢者反快,虽利心下续坚满,此为留饮欲去故也,甘遂
半夏汤主之方。
甘遂(大者三枚) 半夏(十二枚) 芍药(一两) 甘草(如指大一枚炙)
上四味,以蜜半升,纳药汁,及蜜合一升煎,取八大合,顿服之。忌海藻菘菜羊肉饧。
(此本仲景伤寒论方出第十八卷中)
病源夫酒 者,因大饮酒后,渴而引饮无度,酒与饮俱不散,停滞在于胁肋下,结聚成
,时时而痛,因却呼为酒 ,其状胁下弦急而痛。(出第二十七卷中)
深师消饮丸,疗酒 ,饮酒停痰水不消,满逆呕吐,目视 ,耳聋,腹中水声方。
干姜 茯苓(各三两) 白术(八两) 枳实(四枚炙)
上四味捣筛,蜜和丸服如梧子五丸。日三,稍加之,若下去枳实,加干姜二两,名为五
饮丸。忌桃李雀肉大醋生冷之类,大神验。
又倍术丸,疗五饮,酒 方。
白术(一斤) 桂心 干姜(各半斤)
上三味捣筛,蜜和丸如梧子,饮服十丸,稍加之,取下先食服之,日再。忌桃李雀肉生
葱。
又温脾丸,疗久寒宿食酒 方。
干姜(三两炒) 芍药(三两) 蜀椒(二两汗) 小草(一两熬干) 芎 茯苓 桃
仁(去皮尖) 柴胡(熬干各三两) 大黄(八两切熬令黄黑)
上九味捣筛,蜜和更捣万杵,服如大豆许十丸,日三。忌大醋。(并出第二十三卷中)
病源:所谓留饮,是因为饮酒之后又大量饮水,导致水气停滞在胸膈之间,无法宣散,从而使人出现胁下疼痛、呼吸短促且口渴等症状,这些都是其征候。(出自第二十卷中)
范汪海藻丸,用于治疗腹中留饮的方剂。
海藻、木防己、甘遂、肉苁蓉、蜀椒(去汗)、芫花(熬制)、葶苈子(熬制,各一两)。
以上七味药捣碎过筛,用蜂蜜调和制成丸药,大小如梧桐子。每次服用十丸,如果未痊愈,应当增加剂量。(出自第十六卷中)
《千金方》治疗患者脉象沉伏,其人想要自发性腹泻,腹泻后反而感觉舒适,虽然腹泻但心下部仍然持续坚硬胀满,这是留饮欲去的表现,主治方为甘遂半夏汤。
甘遂(大的三枚)、半夏(十二枚)、芍药(一两)、甘草(如手指大一枚,炙烤)。
以上四味药,用半升蜂蜜,加入药汁,与蜜共煎至一升,取八大合,一次性服下。忌食海藻、菘菜、羊肉和饴糖。
(此方本出自张仲景《伤寒论》,出自第十八卷中)
病源:所谓酒癖,是因为大醉酒后,因口渴而无节制地饮水,酒与水都不得消散,停滞在胁肋之下,结聚形成痞块,时常疼痛,因此被称为酒癖,其症状表现为胁下拘急而痛。(出自第二十七卷中)
深师消饮丸,用于治疗酒癖,以及饮酒后停痰积水不消、胸满气逆呕吐、视物模糊、耳聋、腹中有水声的方剂。
干姜、茯苓(各三两)、白术(八两)、枳实(四枚,炙烤)。
以上四味药捣碎过筛,用蜂蜜调和成丸,大小如梧桐子,每次服用五丸。每日三次,逐渐增加剂量。如果去掉枳实,增加干姜二两,则名为五饮丸。忌食李子、桃子、雀肉、大量醋及生冷食物,此方极为灵验。
又方倍术丸,用于治疗五饮、酒癖的方剂。
白术(一斤)、桂心、干姜(各半斤)。
以上三味药捣碎过筛,用蜂蜜调和成丸,大小如梧桐子,用温水送服十丸,逐渐增加剂量,饭前服用,每日两次。忌食李子、桃子、雀肉、生葱。
又方温脾丸,用于治疗久寒宿食、酒癖的方剂。
干姜(三两,炒制)、芍药(三两)、蜀椒(二两,去汗)、小草(一两,熬干)、川芎、茯苓、桃仁(去皮尖)、柴胡(熬干,各三两)、大黄(八两,切碎,熬至黄黑色)。
以上九味药捣碎过筛,用蜂蜜调和后再捣一万杵,服用如大豆大小的丸药十丸,每日三次。忌食大量醋。(均出自第二十三卷中)
Pathogenesis: The so-called "Liu Yin" (Retention of Fluids) arises from drinking a large amount of water after consuming alcohol. This causes fluid qi to stagnate between the chest and diaphragm without dispersing, leading to symptoms such as pain in the hypochondrium, shortness of breath, and thirst. These are all characteristic signs. (From Volume 20)
Fan Wang's Hai Zao Wan (Algae Pill), a formula for treating retention of fluids in the abdomen.
Hai Zao (Sargassum Herba), Mu Fang Ji (Stephaniae Tetrandrae Radix), Gan Sui (Kansui Radix), Cong Rong (Cistanche Herba), Shu Jiao (Zanthoxyli Pericarpium [de-sweated]), Yuan Hua (Genkwa Flos [roasted]), Ting Li Zi (Descurainiae Semen [roasted], each 1 liang).
The above seven ingredients are pounded and sifted, then mixed with honey to form pills the size of wutong seeds. Take 10 pills per dose; if not cured, increase the dosage. (From Volume 16)
Qian Jin Fang treats patients with a submerged pulse (Mai Fu), who desire spontaneous diarrhea. Diarrhea brings relief, yet the epigastrium remains persistently hard and full despite the evacuation. This indicates that Liu Yin is attempting to exit. The governing formula is Gan Sui Ban Xia Tang (Kansui and Pinellia Decoction).
Gan Sui (3 large pieces), Ban Xia (Pinelliae Rhizoma [12 pieces]), Shao Yao (Paeoniae Radix Alba [1 liang]), Gan Cao (Glycyrrhizae Radix et Rhizoma [1 piece the size of a finger, roasted]).
The above four ingredients are decocted with half a sheng of honey added to the medicinal juice, combined with honey to make one sheng total. Decoct until 8 da he remain, and take in one dose. Avoid Hai Zao, Song Cai (Brassica pekinensis), mutton, and Yi Tang (Maltose).
(This formula originally comes from Zhang Zhongjing's Shanghan Lun, From Volume 18)
Pathogenesis: The so-called "Jiu Pi" (Alcohol-induced Mass) occurs when excessive drinking leads to uncontrolled consumption of water due to thirst. Both wine and water fail to disperse, stagnating under the hypochondriac region, condensing into a mass that causes intermittent pain, hence named Jiu Pi. Its presentation includes tension and pain in the hypochondrium. (From Volume 27)
Shen Shi Xiao Yin Wan (Deep Master's Pill for Dissolving Retention), a formula for treating Jiu Pi, as well as unresolved phlegm-fluid retention after drinking, fullness and rebellious qi with vomiting, blurred vision, deafness, and borborygmus in the abdomen.
Gan Jiang (Zingiberis Rhizoma), Fu Ling (Poria [each 3 liang]), Bai Zhu (Atractylodis Macrocephalae Rhizoma [8 liang]), Zhi Shi (Aurantii Fructus Immaturus [4 pieces, roasted]).
The above four ingredients are pounded and sifted, mixed with honey to form pills the size of wutong seeds. Take 5 pills per dose, three times daily, gradually increasing the dosage. If Zhi Shi is omitted and Gan Jiang increased by 2 liang, it is named Wu Yin Wan (Five Retentions Pill). Avoid plums, peaches, sparrow meat, strong vinegar, and raw/cold foods. This formula is highly effective.
Another formula, Bei Zhu Wan (Increased Atractylodes Pill), for treating Wu Yin (Five Retentions) and Jiu Pi.
Bai Zhu (1 jin), Gui Xin (Cinnamomi Ramulus Cortex), Gan Jiang (Zingiberis Rhizoma [each half jin]).
The above three ingredients are pounded and sifted, mixed with honey to form pills the size of wutong seeds. Take 10 pills with warm water, gradually increasing the dosage. Take before meals, twice daily. Avoid plums, peaches, sparrow meat, and raw scallions.
Another formula, Wen Pi Wan (Warm the Spleen Pill), for treating chronic cold, retained food, and Jiu Pi.
Gan Jiang (Zingiberis Rhizoma [3 liang, stir-fried]), Shao Yao (Paeoniae Radix Alba [3 liang]), Shu Jiao (Zanthoxyli Pericarpium [2 liang, de-sweated]), Xiao Cao (Consolidae Herba [1 liang, dried by roasting]), Xiong Qiong (Ligustici Chuanxiong Rhizoma), Fu Ling (Poria), Tao Ren (Persicae Semen [skin and tip removed]), Chai Hu (Bupleuri Radix [dried by roasting, each 3 liang]), Da Huang (Rhei Radix et Rhizoma [8 liang, cut and roasted until yellow-black]).
The above nine ingredients are pounded and sifted, mixed with honey, and pounded ten thousand times more. Take 10 pills the size of soybeans, three times daily. Avoid strong vinegar. (All from Volume 23)