夫三焦者各关也。上焦名三管反射。中焦名霍乱。下焦名走哺。合而为一。有名无形。
生五
以知
同。
夫上焦者。在胃上口。并咽。上贯膈。布胸走腋。循太阴之分。主卫气之所出。以荣皮
肤分
治上焦虚寒气滞。胸膈噎闷。饮食全少。或时痰逆。诃黎勒散方。
诃黎勒皮(一两) 赤茯苓(三分) 陈橘皮(三分汤浸去白瓤焙) 枳实(半两麸炒
微黄)
桂
去芦头)
木通
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至五分。去滓。每于食后
温
治上焦虚寒气壅。攻注头痛。胸膈不利。大腹皮散方。
大腹皮(三分锉) 槟榔(三分) 木香(半两) 赤茯苓(一两) 桂心(半两) 半
夏(半两
汤洗
芎
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至五分。去滓。不计时候
温服
治上焦虚寒。精神不守。泄下便利。语声不出。白茯苓散方。
白茯苓(二两) 人参〔三(二)两半去芦头〕 干姜(一两炮裂锉) 桂心(一两) 远
志(一
两)
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至五分。去滓。不计时候
温服
治上焦虚寒。胸膈短气。不能下食。黄 散方。
黄 (二两) 桂心(一两) 人参(一两去芦头) 桔梗(一两去芦头) 干姜(一
两炮裂锉)
五
浸去皮尖
双
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至五分。去滓。不计时候
温服
治上焦虚寒。短气不续。膈间厌闷。饮食先吐而后下。宜服理中通膈破寒。半夏
散方。
半夏(一两汤洗七遍去滑) 麻黄(一两去根节) 细辛(一两) 枳实(二两麸炒微
黄) 杏
仁(
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至五分。去滓。不计时候
温服
三焦各自有关联。上焦称为“三管反射”,中焦称为“霍乱”,下焦称为“走哺”。三者合而为一,有名而无实形。
上焦位于胃的上口,与咽部相连,向上贯穿膈肌,分布于胸部并走向腋下,沿着手太阴肺经的循行部位分布,主要主管卫气的生成与发出,以滋养皮肤和分肉。
治疗上焦虚寒导致的气机阻滞,出现胸膈部噎塞闷胀感,饮食量显著减少,有时伴有痰气上逆的症状,使用诃黎勒散方。
药材:诃黎勒皮(一两)、赤茯苓(三分)、陈橘皮(三分,用汤浸泡后去除白色内瓤,焙干)、枳实(半两,麸炒至微黄)、桂心(去芦头)、木通。
以上药材,捣碎过筛制成散剂。每次服用三钱,用水一中盏,加入生姜半分,煎煮至剩余五分药液,滤去药渣。每次在饭后温热服用。
治疗上焦虚寒导致的气机壅滞,邪气攻注引起头痛,胸膈部气机不畅,使用大腹皮散方。
药材:大腹皮(三分,锉碎)、槟榔(三分)、木香(半两)、赤茯苓(一两)、桂心(半两)、半夏(半两,汤洗)、川芎。
以上药材,捣碎过筛制成散剂。每次服用三钱,用水一中盏,加入生姜半分,煎煮至剩余五分药液,滤去药渣。不拘泥于具体时间,温热服用。
治疗上焦虚寒,导致精神不能守舍,大便泄泻通畅,声音低微或不出,使用白茯苓散方。
药材:白茯苓(二两)、人参(三两半,去芦头)、干姜(一两,炮裂后锉碎)、桂心(一两)、远志(一两)。
以上药材,捣碎过筛制成散剂。每次服用三钱,用水一中盏,加入生姜半分,煎煮至剩余五分药液,滤去药渣。不拘泥于具体时间,温热服用。
治疗上焦虚寒,导致胸膈部短气,无法进食,使用黄芪散方。
药材:黄芪(二两)、桂心(一两)、人参(一两,去芦头)、桔梗(一两,去芦头)、干姜(一两,炮裂后锉碎)、五味子(浸去皮尖)、双仁(此处原文可能有误,通常指杏仁等,依原文保留)。
以上药材,捣碎过筛制成散剂。每次服用三钱,用水一中盏,加入生姜半分,煎煮至剩余五分药液,滤去药渣。不拘泥于具体时间,温热服用。
治疗上焦虚寒,导致短气且气息不续,膈间厌恶闷胀,饮食先吐出而后下行,适宜服用理中通膈破寒的半夏散方。
药材:半夏(一两,汤洗七遍去滑腻)、麻黄(一两,去根节)、细辛(一两)、枳实(二两,麸炒至微黄)、杏仁。
以上药材,捣碎过筛制成散剂。每次服用四钱,用水一中盏,加入生姜半分,煎煮至剩余五分药液,滤去药渣。不拘泥于具体时间,温热服用。
The Sanjiao (Triple Burner) each has its respective connections. The Upper Jiao is named "San Guan Fan She" (Three Tubes Reflection), the Middle Jiao is named "Huo Luan" (Cholera-like disorder), and the Lower Jiao is named "Zou Bu" (Running Food). Together they form one entity, having a name but no substantial form.
The Upper Jiao is located at the upper opening of the Stomach, connects with the Pharynx, passes upward through the Diaphragm, spreads in the Chest and moves toward the Axillae, following the distribution of the Hand-Taiyin Lung Meridian. It primarily governs the emergence of Wei Qi (Defensive Qi) to nourish the Skin and Muscle Intervals.
To treat Upper Jiao deficiency-cold with Qi stagnation, presenting as chest and diaphragm obstruction and stuffiness, significantly reduced food intake, or occasional phlegm-reversal, use He Li Le San (Terminalia Chebula Powder).
Ingredients: Pi of He Li Le (Terminalia chebula Retz.) (1 liang), Chi Fu Ling (Red Poria) (3 fen), Chen Ju Pi (Aged Tangerine Peel) (3 fen, soaked in decoction, white pith removed, dried), Zhi Shi (Immature Bitter Orange) (0.5 liang, stir-fried with bran until slightly yellow), Gui Xin (Cinnamon Twig Heart) (remove Lu Tou/Awn head), Mu Tong (Akebia Stem) (as per context, likely Akebiae Caulis).
Process the above ingredients by pounding and sieving into a powder. Take 3 qian per dose. Add 1 zhong zhan (approx. 200-300ml) of water and 0.5 fen of Sheng Jiang (Fresh Ginger Rhizome). Decoct until 0.5 zhong zhan remains. Strain off the dregs. Take warm after meals.
To treat Upper Jiao deficiency-cold with Qi congestion, attacking and causing headache, and disharmony in the chest and diaphragm, use Da Fu Pi San (Areca Peel Powder).
Ingredients: Da Fu Pi (Areca Peel) (3 fen, chopped), Bing Lang (Areca Seed) (3 fen), Mu Xiang (Costus Root) (0.5 liang), Chi Fu Ling (Red Poria) (1 liang), Gui Xin (Cinnamon Twig Heart) (0.5 liang), Ban Xia (Pinellia Tuber) (0.5 liang, washed in decoction), Xiong (likely Chuan Xiong/Sichuan Lovage Rhizome).
Process the above ingredients by pounding and sieving into a powder. Take 3 qian per dose. Add 1 zhong zhan of water and 0.5 fen of Sheng Jiang (Fresh Ginger Rhizome). Decoct until 0.5 zhong zhan remains. Strain off the dregs. Take warm at any time.
To treat Upper Jiao deficiency-cold, resulting in spirit failing to reside, loose stools, and inability to speak, use Bai Fu Ling San (White Poria Powder).
Ingredients: Bai Fu Ling (White Poria) (2 liang), Ren Shen (Ginseng Radix et Rhizoma) (2.5 liang, remove Lu Tou/Awn head), Gan Jiang (Dried Ginger Rhizome) (1 liang, processed until cracked and chopped), Gui Xin (Cinnamon Twig Heart) (1 liang), Yuan Zhi (Polygala Root) (1 liang).
Process the above ingredients by pounding and sieving into a powder. Take 3 qian per dose. Add 1 zhong zhan of water and 0.5 fen of Sheng Jiang (Fresh Ginger Rhizome). Decoct until 0.5 zhong zhan remains. Strain off the dregs. Take warm at any time.
To treat Upper Jiao deficiency-cold, resulting in shortness of breath in the chest/diaphragm and inability to eat, use Huang Qi San (Astragalus Powder).
Ingredients: Huang Qi (Astragali Radix) (2 liang), Gui Xin (Cinnamon Twig Heart) (1 liang), Ren Shen (Ginseng Radix et Rhizoma) (1 liang, remove Lu Tou/Awn head), Jie Geng (Platycodon Root) (1 liang, remove Lu Tou/Awn head), Gan Jiang (Dried Ginger Rhizome) (1 liang, processed until cracked and chopped), Wu Wei Zi (Schisandra Fruit) (soaked, skin and seeds removed), Shuang Ren (Double Kernels, likely Apricot Kernels).
Process the above ingredients by pounding and sieving into a powder. Take 3 qian per dose. Add 1 zhong zhan of water and 0.5 fen of Sheng Jiang (Fresh Ginger Rhizome). Decoct until 0.5 zhong zhan remains. Strain off the dregs. Take warm at any time.
To treat Upper Jiao deficiency-cold, resulting in shortness of breath with interrupted breathing, aversion and stuffiness in the diaphragm, where food is vomited first then digested downward, it is suitable to take Ban Xia San (Pinellia Powder) which regulates the middle, unblocks the diaphragm, and breaks cold.
Ingredients: Ban Xia (Pinellia Tuber) (1 liang, washed seven times in decoction to remove slipperiness), Ma Huang (Ephedra Herb) (1 liang, remove root joints), Xi Xin (Asarum Root) (1 liang), Zhi Shi (Immature Bitter Orange) (2 liang, stir-fried with bran until slightly yellow), Xing Ren (Apricot Kernel).
Process the above ingredients by pounding and sieving into a powder. Take 4 qian per dose. Add 1 zhong zhan of water and 0.5 fen of Sheng Jiang (Fresh Ginger Rhizome). Decoct until 0.5 zhong zhan remains. Strain off the dregs. Take warm at any time.