病源夫痰水结聚,在于胸腑膀胱之间,久而不散流行于脾胃,脾胃恶湿,得水则胀,胀
则不能消食也,或令腹里虚满,或水谷不消化,或时呕逆,皆其候也。(出第二十卷中)
广济疗心头痰积宿水呕逆不下食,前胡丸方。
前胡 白术 甘草(炙各五分) 旋复花 豆蔻仁(各三分) 人参 麦门冬(去心各
六分) 枳实(炙) 大黄(各四分)
上九味捣筛,蜜和为丸,如梧子大。空肚以酒下二十丸,渐加至三十丸,日再服,不利
。忌桃李雀肉海藻菘菜热面炙肉鱼蒜粘食生冷等物。
又疗心胸中痰积,气噎呕逆,食不下方。
柴胡 橘皮(各六分) 茯苓(十分) 人参 麦门冬(去心) 鸡苏(各八分) 生
姜(二十
分) 槟榔仁(四分末汤成下)
上八味切,以水八升,煮取二升五合,绞去滓,分温三服,服别相去如人行七八里,进
一服,未瘥,三日更服一剂,以利为度。忌酢物生冷油腻粘食。(并出一卷中)
千金疗痰饮,饮食不消,干呕汤方。
泽泻 杏仁(去尖皮) 枳实(炙) 白术(各三两) 茯苓 柴胡 生姜 芍药(各
四两)
旋复花 人参 橘皮 细辛(各二两) 半夏(四两洗)
上十三味切,以水九升,煮取二升七合,分为三服。忌桃李雀肉大酢生菜羊肉饧等物。
又疗胸中痰饮,腹中水鸣食不消,呕吐水汤方。
大腹槟榔(四十枚) 生姜(八两) 半夏(半升洗) 杏仁(四两去尖皮) 橘皮(三
两) 茯
苓(五两) 白术(四两切)
上七味切,以水一斗,煮取三升,去滓,分三服。忌羊肉饧大酢桃李雀肉等。(古今录
验同并出第十八卷中)
范汪姜椒汤,主胸中积聚痰饮,饮食减少,胃气不足,咳逆吐 方。
半夏(三两洗) 生姜汁(七合) 桂心 附子(炮) 甘草(炙) 茯苓 桔梗(各
一两)
蜀椒(二合汗) 橘皮(二两切)
上九味切,以水七升,煮取二升半,去滓,纳姜汁煎,取四升半,分三服,服三剂佳,
若欲服大散,并诸五石丸,必先服此方,及进黄 丸辈必佳。忌海藻菘菜羊肉饧生葱猪肉冷
水酢物。(千金翼深师同)
又白术茯苓汤,主胸中结痰饮 结脐下,弦满呕逆,不得食亦主风水方。
白术(五两) 茯苓(三两) 橘皮 当归 附子(炮各二两) 生姜 半夏(各四两
切)
桂(四两) 细辛(四两一作人参)
上九味切,以水一斗,煮取三升,分三服,服三剂良。忌羊肉饧桃李雀肉猪肉冷水生葱
生菜醋物等。(千金翼同)
又旋复花汤,主胸膈痰结唾如胶,不下食者方。
乌头(五枚去皮熬) 旋复花 细辛 前胡 甘草(炙) 茯苓(各二两) 半夏(一
两洗)
上九味切,以水九升,煮取三升,分为三服。忌羊肉饧海藻菘菜生葱酢物猪肉冷水等。
(并出第十六卷中)
延年茯苓饮,主心胸中有停痰宿水,自吐水出后,心胸间虚气满,不能食,消痰气,令
能食方。
茯苓(三两) 人参(二两) 白术(三两) 生姜(四两) 枳实(二两炙) 橘皮
(一两半切
)
上六味切,以水六升,煮取一升八合,去滓,分温三服,如人行八九里进之。忌酢物桃
李雀肉等。(仲景伤寒论同出第十七卷中)
古今录验疗胸膈痰饮,食啖经日,则并吐出,食皆不消,出如初,空腹一两日,聚食还
复吐之,极不便,此由痰饮聚下绝不通,服此丸,宣通下气方。
吴茱萸 泽泻 芍药 白术 汉防己 赤茯苓(各二两) 蜀大黄(二两)
上七味捣筛,蜜和为丸,如梧子大。饮服二十五丸。忌桃李雀肉酢物。(出第十九卷中)
病因:痰饮与水湿结聚,位于胸腑与膀胱之间,日久不散,流注于脾胃。脾胃厌恶湿气,遇水则胀满,胀满则无法消化食物,从而导致腹部虚胀,或水谷不能消化,或时常呕吐逆气,这些都是其症状表现。(出自第二十卷)
《广济方》治疗心头部痰积、宿留之水导致的呕吐逆气、饮食难下,前胡丸方。
前胡、白术、甘草(炙,各五分)、旋复花、豆蔻仁(各三分)、人参、麦门冬(去心,各六分)、枳实(炙)、大黄(各四分)。
以上九味药捣碎过筛,用蜂蜜调和制成丸药,大小如梧桐子大。空腹时用酒送服二十丸,逐渐增加至三十丸,每日服用两次,以不腹泻为度。忌食桃李、雀肉、海藻、菘菜(白菜类)、热面、烤肉、鱼、蒜及粘性食物、生冷之物。
又方治疗心胸中痰积,气机噎塞、呕吐逆气、饮食不下,下方。
柴胡、橘皮(各六分)、茯苓(十分)、人参、麦门冬(去心)、鸡苏(各八分)、生姜(二十分)、槟榔仁(四分,汤成时加入)。
以上八味药切碎,用水八升,煮取二升五合,过滤去渣,分三次温服。每次服药间隔时间相当于人行走七八里的路程。若未痊愈,三天后再服一剂,以大便通畅为度。忌食醋物、生冷、油腻及粘性食物。(均出自第一卷)
《千金方》治疗痰饮,饮食不消,干呕,汤方。
泽泻、杏仁(去尖皮)、枳实(炙)、白术(各三两)、茯苓、柴胡、生姜、芍药(各四两)、旋复花、人参、橘皮、细辛(各二两)、半夏(四两,洗)。
以上十三味药切碎,用水九升,煮取二升七合,分为三次服用。忌食桃李、雀肉、大酢(极酸的醋)、生菜、羊肉、饴糖等物。
又方治疗胸中痰饮,腹中水鸣音、饮食不消,呕吐水液,下方。
大腹槟榔(四十枚)、生姜(八两)、半夏(半升,洗)、杏仁(四两,去尖皮)、橘皮(三两)、茯苓(五两)、白术(四两,切)。
以上七味药切碎,用水一斗,煮取三升,去渣,分三次服用。忌食羊肉、饴糖、大酢、桃李、雀肉等。(《古今录验》同,均出自第十八卷)
范汪姜椒汤,主治胸中积聚痰饮,饮食减少,胃气不足,咳嗽逆气、呕吐,下方。
半夏(三两,洗)、生姜汁(七合)、桂心、附子(炮制)、甘草(炙)、茯苓、桔梗(各一两)、蜀椒(二合,出汗处理)、橘皮(二两,切)。
以上九味药切碎,用水七升,煮取二升半,去渣,加入姜汁煎煮,取四升半,分三次服用。连服三剂为佳。若想服用“大散”及各类“五石丸”,必须先服此方,以及进服黄 丸类药物,效果必佳。忌食海藻、菘菜、羊肉、饴糖、生葱、猪肉、冷水、醋物。(《千金翼方》、《深师方》同)
又方白术茯苓汤,主治胸中结聚痰饮,结于脐下,脉弦、胀满、呕吐逆气,不能进食;亦主治风水病,下方。
白术(五两)、茯苓(三两)、橘皮、当归、附子(炮制,各二两)、生姜、半夏(各四两,切)、桂(四两)、细辛(四两,一作人参)。
以上九味药切碎,用水一斗,煮取三升,分三次服用。连服三剂良效。忌食羊肉、饴糖、桃李、雀肉、猪肉、冷水、生葱、生菜、醋物等。(《千金翼方》同)
又方旋复花汤,主治胸膈痰结,唾沫如胶,饮食不下,下方。
乌头(五枚,去皮熬制)、旋复花、细辛、前胡、甘草(炙)、茯苓(各二两)、半夏(一两,洗)。
以上九味药切碎,用水九升,煮取三升,分为三次服用。忌食羊肉、饴糖、海藻、菘菜、生葱、醋物、猪肉、冷水等。(均出自第十六卷)
延年茯苓饮,主治心胸中有停聚的痰饮和宿水,自行吐出清水后,心胸间虚气胀满,不能进食,能消除痰气,使患者能够进食,下方。
茯苓(三两)、人参(二两)、白术(三两)、生姜(四两)、枳实(二两,炙)、橘皮(一两半,切)。
以上六味药切碎,用水六升,煮取一升八合,去渣,分三次温服,间隔时间相当于人行走八九里时服用。忌食醋物、桃李、雀肉等。(与张仲景《伤寒论》同,出自第十七卷)
《古今录验》治疗胸膈痰饮,进食经过一天后,全部吐出,食物皆未消化,吐出后如初入时一般,空腹一至两天,再次进食又会呕吐,极为不便。这是由于痰饮聚于下部,气机绝不通畅,服用此丸药,宣通下气,下方。
吴茱萸、泽泻、芍药、白术、汉防己、赤茯苓(各二两)、蜀大黄(二两)。
以上七味药捣碎过筛,用蜂蜜调和制成丸药,大小如梧桐子大。用温水送服二十五丸。忌食桃李、雀肉、醋物。(出自第十九卷)
Etiology: Phlegm-fluid (Tan-Yin) and water-dampness accumulate between the chest-fu organs and the Bladder. If unresolved over time, they flow into the Spleen and Stomach. The Spleen and Stomach dislike dampness; upon contact with water, they become distended. Distension impairs the digestion of food, leading to abdominal deficiency-fullness, indigestion of water and grain, or occasional vomiting and regurgitation. These are all characteristic symptoms. (From Volume 20)
Guangji Fang treats phlegm accumulation in the heart region, retained water causing vomiting and regurgitation, and inability to ingest food. Qianhu Wan Formula:
Qianhu (Peucedani Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 5 fen), Xuanjinhua (Inulae Flos), Doukourén (Cardamomi Fructus, each 3 fen), Renshen (Ginseng Radix), Maimendong (Ophiopogonis Radix, core removed, each 6 fen), Zhishi (Aurantii Fructus Immaturus, honey-fried), Dahuang (Rhei Radix et Rhizoma, each 4 fen).
The above nine ingredients are crushed, sifted, and mixed with honey to form pills the size of wutong seeds. Take 20 pills on an empty stomach with wine, gradually increasing to 30 pills, twice daily. Stop if diarrhea occurs. Avoid peaches, plums, sparrow meat, seaweed, songcai (Brassicaceae vegetables), hot noodles, roasted meat, fish, garlic, sticky foods, and cold/raw items.
Another formula treats phlegm accumulation in the chest and heart, qi obstruction, vomiting, regurgitation, and inability to eat.
Chaihu (Bupleuri Radix), Jupi (Citri Reticulatae Pericarpium, each 6 fen), Fuling (Poria, 10 fen), Renshen (Ginseng Radix), Maimendong (Ophiopogonis Radix, core removed), Jisu (Elsholtziae Herba, each 8 fen), Shengjiang (Zingiberis Rhizoma Recens, 20 fen), Binglangren (Arecae Semen, 4 fen, add when decoction is complete).
The above eight ingredients are cut, boiled in 8 sheng of water until reduced to 2.5 sheng. Strain and discard the dregs. Divide into three warm doses. Administer each dose at intervals equivalent to walking for seven to eight li. If not cured, administer another course after three days. Discontinue when bowel movements become free. Avoid vinegar, cold/raw items, greasy foods, and sticky foods. (All from Volume 1)
Qianjin Fang treats phlegm-fluid, indigestion, and dry retching. Tang Decoction:
Zexie (Alismatis Rhizoma), Xingren (Armeniacae Semen Amarum, remove tip and skin), Zhishi (Aurantii Fructus Immaturus, honey-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, each 3 liang), Fuling (Poria), Chaihu (Bupleuri Radix), Shengjiang (Zingiberis Rhizoma Recens), Shaoyao (Paeoniae Radix Alba, each 4 liang), Xuanjinhua (Inulae Flos), Renshen (Ginseng Radix), Jupi (Citri Reticulatae Pericarpium), Xixin (Asari Radix et Rhizoma, each 2 liang), Banxia (Pinelliae Rhizoma, 4 liang, washed).
The above thirteen ingredients are cut, boiled in 9 sheng of water until reduced to 2.7 sheng. Divide into three doses. Avoid peaches, plums, sparrow meat, strong vinegar, raw vegetables, mutton, and maltose.
Another formula treats phlegm-fluid in the chest, borborygmus in the abdomen, indigestion, and vomiting of water.
Dafubinglang (Arecae Pericarpium, 40 pieces), Shengjiang (Zingiberis Rhizoma Recens, 8 liang), Banxia (Pinelliae Rhizoma, half sheng, washed), Xingren (Armeniacae Semen Amarum, 4 liang, remove tip and skin), Jupi (Citri Reticulatae Pericarpium, 3 liang), Fuling (Poria, 5 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 4 liang, cut).
The above seven ingredients are cut, boiled in 1 dou of water until reduced to 3 sheng. Strain and divide into three doses. Avoid mutton, maltose, strong vinegar, peaches, plums, and sparrow meat. (Same as Gujin Luyan, from Volume 18)
Fan Wang Jiangjiao Tang treats accumulation of phlegm-fluid in the chest, decreased appetite, insufficient Stomach-qi, coughing with regurgitation, and vomiting.
Banxia (Pinelliae Rhizoma, 3 liang, washed), Shengjiangzhi (Zingiberis Rhizoma Recens Juice, 7 he), Guixin (Cinnamomi Ramulus), Fuzi (Aconiti Lateralis Radix Praeparata, processed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Fuling (Poria), Jiegeng (Platycodonis Radix, each 1 liang), Shujiao (Zanthoxyli Pericarpium, 2 he, sweat-treated), Jupi (Citri Reticulatae Pericarpium, 2 liang, cut).
The above nine ingredients are cut, boiled in 7 sheng of water until reduced to 2.5 sheng. Strain and add ginger juice, boiling further to obtain 4.5 sheng. Divide into three doses. Three courses are ideal. If intending to take Dasan or various Wushi Pills, this formula must be taken first, along with Huang Wan-type preparations, for optimal effect. Avoid seaweed, songcai, mutton, maltose, raw scallions, pork, cold water, and vinegar. (Same as Qianjin Yifang and Shenshi Fang)
Another formula, Baizhu Fuling Tang, treats phlegm-fluid accumulation in the chest, binding below the umbilicus, wiry pulse, fullness, vomiting, regurgitation, and inability to eat; it also treats Fengshui (Wind-Water edema).
Baizhu (Atractylodis Macrocephalae Rhizoma, 5 liang), Fuling (Poria, 3 liang), Jupi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), Fuzi (Aconiti Lateralis Radix Praeparata, processed, each 2 liang), Shengjiang (Zingiberis Rhizoma Recens), Banxia (Pinelliae Rhizoma, each 4 liang, cut), Gui (Cinnamomi Ramulus, 4 liang), Xixin (Asari Radix et Rhizoma, 4 liang; alternatively Renshen).
The above nine ingredients are cut, boiled in 1 dou of water until reduced to 3 sheng. Divide into three doses. Three courses yield good results. Avoid mutton, maltose, peaches, plums, sparrow meat, pork, cold water, raw scallions, raw vegetables, and vinegar. (Same as Qianjin Yifang)
Another formula, Xuanjinhua Tang, treats phlegm-binding in the chest-diaphragm, saliva like glue, and inability to eat.
Wutou (Aconiti Radix, 5 pieces, peel and roast), Xuanjinhua (Inulae Flos), Xixin (Asari Radix et Rhizoma), Qianhu (Peucedani Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Fuling (Poria, each 2 liang), Banxia (Pinelliae Rhizoma, 1 liang, washed).
The above nine ingredients are cut, boiled in 9 sheng of water until reduced to 3 sheng. Divide into three doses. Avoid mutton, maltose, seaweed, songcai, raw scallions, vinegar, pork, and cold water. (All from Volume 16)
Yannian Fuling Yin treats retained phlegm-fluid and old water in the chest and heart. After spontaneous vomiting of water, there is deficiency-fullness of qi in the chest and heart, inability to eat. It eliminates phlegm and qi, enabling eating.
Fuling (Poria, 3 liang), Renshen (Ginseng Radix, 2 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 liang), Shengjiang (Zingiberis Rhizoma Recens, 4 liang), Zhishi (Aurantii Fructus Immaturus, 2 liang, honey-fried), Jupi (Citri Reticulatae Pericarpium, 1.5 liang, cut).
The above six ingredients are cut, boiled in 6 sheng of water until reduced to 1.8 sheng. Strain and divide into three warm doses. Administer at intervals equivalent to walking for eight to nine li. Avoid vinegar, peaches, plums, and sparrow meat. (Same with Zhang Zhongjing's Shanghan Lun, from Volume 17)
Gujin Luyan treats phlegm-fluid in the chest-diaphragm. Food eaten a day prior is vomited up undigested, appearing as it did when ingested. After fasting for one or two days, eating again leads to vomiting. This is highly inconvenient and caused by phlegm-fluid accumulation blocking the lower body, preventing qi circulation. This pill promotes the descent of qi.
Wuzhuyu (Evodiae Fructus), Zexie (Alismatis Rhizoma), Shaoyao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma), Hanfangji (Stephaniae Tetrandrae Rhizoma), Chi Fuling (Poria with Red Core, each 2 liang), Shu Dahuang (Rhei Radix et Rhizoma, 2 liang).
The above seven ingredients are crushed, sifted, and mixed with honey to form pills the size of wutong seeds. Take 25 pills with water. Avoid peaches, plums, sparrow meat, and vinegar. (From Volume 19)