夫悬饮者。由脏腑虚冷。荣卫不和。三焦痞满。因饮水过多。停积不散。水流走于胁下
。则令两胁虚胀。咳唾引胁痛。故谓之悬饮也。
治悬饮。心腹痞满。水走肠间。两胁引痛。桂心散方。
桂心(一两) 旋复花(半两) 白术(半两) 细辛(半两) 半夏(半两汤洗七遍
去滑) 桔
梗(半两去芦头)
(半两炮
裂去皮脐) 前胡(
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。每于食
前温服。
治悬饮。腹胁痞急。宿食不化。心胸满闷。前胡散方。
前胡(一两去芦头) 半夏(二两汤洗七遍去滑) 桂心(一两) 人参(一两去芦头)
诃黎
勒皮(一两) 白术(一两) 槟榔(一两) 枳壳(一两麸炒微黄去瓤) 甘草(半两炙
微赤锉)
上件药。捣粗罗为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。稍热服
。日三四服。
治悬饮。心腹气滞。两胁多疼。浓朴散方。
浓朴(一两去粗皮涂生姜汁炙令香熟) 川大黄(一两锉碎微炒) 枳壳(三分麸炒微
黄去
瓤) 木香(半两) 桂心(半两) 槟榔(三分)
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。温服。日三四服。
又方。
半夏(三两捣罗为末) 木香(二两) 旋复花(一两) 槟榔(二两) 皂荚(六两
三两去黑
皮
以
上件药。捣罗为末。以酒煮面糊和丸。如梧桐子大。每于食前。以生姜汤下二十丸。
治悬饮。腹满胁痛。旋复花丸方。
旋复花(二两) 皂荚〔二(三)挺去黑皮涂酥炙令黄去子〕 草豆蔻(一两去皮) 杏
仁(一
两汤浸去皮尖双仁麸炒微黄) 川大黄(一两锉碎微炒) 枳壳(半两麸炒微黄去瓤)
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每于食前。以生姜汤下二十丸。
又方。
郁李仁(三两汤浸去皮微炒) 半夏(一两汤洗七遍去滑) 草豆蔻(一两去皮)
上件药。捣罗为末。以酒煮面糊和丸。如梧桐子大。每于食前。以生姜汤下二十丸。
又方。
牵牛子(二两微炒) 皂荚子仁(二两微炒)
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每于食前。以生姜汤下十五丸。以取下痰
滞为度。
所谓悬饮,是由于脏腑虚寒,营卫不和,三焦气机痞塞胀满,因饮水过多,水液停积不散,水流窜动于胁下,从而导致两胁部虚胀,咳嗽吐痰时牵引胁肋疼痛,因此称为悬饮。
治疗悬饮,症见心腹痞塞胀满,水气走窜肠间,两胁牵引作痛,用桂心散方。
桂心(一两) 旋复花(半两) 白术(半两) 细辛(半两) 半夏(半两,汤洗七遍去滑腻) 桔梗(半两,去芦头) [原文此处缺药名,据方义及常见配伍推测可能为干姜或类似温中药,但依原文仅列“(半两炮裂去皮脐)”,暂译为:某药(半两,炮裂去皮和脐)] 前胡([原文此处缺药量,据上下文补全逻辑])
以上药物,捣碎粗筛为散剂。每次服用四钱,用水一中盏,加入生姜半分,煎至六分,去渣滓。每次在饭前温服。
治疗悬饮,症见腹部胁肋痞塞急迫,宿食不消化,心胸满闷,用前胡散方。
前胡(一两,去芦头) 半夏(二两,汤洗七遍去滑腻) 桂心(一两) 人参(一两,去芦头) 诃黎勒皮(一两) 白术(一两) 槟榔(一两) 枳壳(一两,麸炒微黄去瓤) 甘草(半两,炙微赤锉碎)
以上药物,捣碎粗筛为散剂。每次服用五钱,用水一大盏,加入生姜半分,煎至五分,去渣滓,稍热服用。每日三四次。
治疗悬饮,症见心腹气机阻滞,两胁多疼痛,用浓朴散方。
浓朴(一两,去粗皮涂生姜汁炙令香熟) 川大黄(一两,锉碎微炒) 枳壳(三分,麸炒微黄去瓤) 木香(半两) 桂心(半两) 槟榔(三分)
以上药物,捣碎过筛为散剂。每次服用四钱,用水一中盏,煎至六分,去渣滓,温服。每日三四次。
又一方。
半夏(三两,捣罗为末) 木香(二两) 旋复花(一两) 槟榔(二两) 皂荚(六两,[原文残缺,据常理应为处理步骤] 去黑皮...)
以上药物,捣罗为末,用酒煮面糊和丸,如梧桐子大小。每次在饭前,用生姜汤送下二十丸。
治疗悬饮,症见腹满胁痛,用旋复花丸方。
旋复花(二两) 皂荚〔二(三)挺,去黑皮涂酥炙令黄去子〕 草豆蔻(一两,去皮) 杏仁(一两,汤浸去皮尖双仁麸炒微黄) 川大黄(一两,锉碎微炒) 枳壳(半两,麸炒微黄去瓤)
以上药物,捣罗为末,炼蜜和丸,如梧桐子大小。每次在饭前,用生姜汤送下二十丸。
又一方。
郁李仁(三两,汤浸去皮微炒) 半夏(一两,汤洗七遍去滑腻) 草豆蔻(一两,去皮)
以上药物,捣罗为末,用酒煮面糊和丸,如梧桐子大小。每次在饭前,用生姜汤送下二十丸。
又一方。
牵牛子(二两,微炒) 皂荚子仁(二两,微炒)
以上药物,捣罗为末,炼蜜和丸,如梧桐子大小。每次在饭前,用生姜汤送下十五丸,以下除痰滞为度。
Xuan Yin (Hanging Phlegm-Fluid) is caused by deficiency-cold of the Zang-Fu organs, disharmony of Ying and Wei (Nutritive and Defensive Qi), and stagnation and fullness in the San Jiao (Triple Burner). Due to excessive drinking of water, fluid retention accumulates and fails to dissipate. The water flow moves into the hypochondriac region, causing distension in both hypochondria and pain in the ribs when coughing or spitting. Hence, it is called Xuan Yin (Hanging Phlegm-Fluid).
To treat Xuan Yin (Hanging Phlegm-Fluid) with symptoms of epigastric and abdominal stuffiness and fullness, water moving through the intestines, and radiating pain in both hypochondria, use the Guixin San (Cinnamon Heart Powder) formula.
Guixin (Cortex Cinnamomi, one qianliang) Xuanfuhua (Flos Inulae, half qianliang) Baizhu (Rhizoma Atractylodis Macrocephalae, half qianliang) Xixin (Herba Asari, half qianliang) Banxia (Rhizoma Pinelliae, half qianliang, washed seven times in boiling water to remove slipperiness) Jiegeng (Radix Platycodonis, half qianliang, removed radix end) [Text missing herb name here] (half qianliang, processed, cracked, skin and umbilicus removed) Qianhu (Radix Peucedani, [text missing quantity])
The above ingredients are coarsely ground and sifted into a powder. Each dose consists of four qian. Take one zhongzhan (approx. 200ml) of water, add half banfen (approx. 15g) of Shengjiang (Fresh Rhizoma Zingiberis), decoct until six fen remains, filter out the dregs. Take warm before meals.
To treat Xuan Yin (Hanging Phlegm-Fluid) with symptoms of abdominal and hypochondriac stuffiness and urgency, undigested food retention, and chest and heart fullness and oppression, use the Qianhu San (Peucedanum Powder) formula.
Qianhu (Radix Peucedani, one qianliang, removed radix end) Banxia (Rhizoma Pinelliae, two qianliang, washed seven times in boiling water to remove slipperiness) Guixin (Cortex Cinnamomi, one qianliang) Renshen (Radix Ginseng, one qianliang, removed radix end) Helilepi (Pericarpium Terminaliae Chebulae, one qianliang) Baizhu (Rhizoma Atractylodis Macrocephalae, one qianliang) Binglang (Semen Arecae, one qianliang) Zhike (Fructus Aurantii, one qianliang, stir-fried with bran until slightly yellow, placenta removed) Gancao (Radix Glycyrrhizae, half qianliang, honey-fried until slightly red and cut)
The above ingredients are coarsely ground and sifted into a powder. Each dose consists of five qian. Take one dazhan (approx. 300ml) of water, add half banfen (approx. 15g) of Shengjiang (Fresh Rhizoma Zingiberis), decoct until five fen remains, filter out the dregs. Take slightly warm. Three to four doses per day.
To treat Xuan Yin (Hanging Phlegm-Fluid) with symptoms of qi stagnation in the heart and abdomen and frequent pain in both hypochondria, use the Nongpu San (Magnolia Bark Powder) formula.
Nongpu (Cortex Magnoliae Officinalis, one qianliang, removed coarse bark, coated with Shengjiang juice, roasted until fragrant and cooked) Chuan Dahuang (Radix et Rhizoma Rhei, one qianliang, cut into pieces and slightly stir-fried) Zhike (Fructus Aurantii, three fen, stir-fried with bran until slightly yellow, placenta removed) Muxiang (Radix Aucklandiae, half qianliang) Guixin (Cortex Cinnamomi, half qianliang) Binglang (Semen Arecae, three fen)
The above ingredients are ground and sifted into a powder. Each dose consists of four qian. Take one zhongzhan (approx. 200ml) of water, decoct until six fen remains, filter out the dregs. Take warm. Three to four doses per day.
Another prescription.
Banxia (Rhizoma Pinelliae, three qianliang, ground into fine powder) Muxiang (Radix Aucklandiae, two qianliang) Xuanfuhua (Flos Inulae, one qianliang) Binglang (Semen Arecae, two qianliang) Zaojia (Fructus Gleditsiae Sinensis, six qianliang, [text incomplete] removed black skin...)
The above ingredients are ground into a fine powder. Mix with a paste made from flour boiled in wine to form pills the size of Sophora seeds (Wutongzi). Take twenty pills before meals, washed down with Shengjiang (Fresh Rhizoma Zingiberis) decoction.
To treat Xuan Yin (Hanging Phlegm-Fluid) with symptoms of abdominal fullness and hypochondriac pain, use the Xuanfuhua Wan (Inula Pill) formula.
Xuanfuhua (Flos Inulae, two qianliang) Zaojia (Fructus Gleditsiae Sinensis [two or three pods], removed black skin, coated with butter, roasted until yellow, seeds removed) Caodoukou (Semen Cardamomi Rotundae, one qianliang, removed skin) Xingren (Semen Pruni Armeniacae, one qianliang, soaked in water, removed skin and pointed ends, double-kernel, stir-fried with bran until slightly yellow) Chuan Dahuang (Radix et Rhizoma Rhei, one qianliang, cut into pieces and slightly stir-fried) Zhike (Fructus Aurantii, half qianliang, stir-fried with bran until slightly yellow, placenta removed)
The above ingredients are ground into a fine powder. Mix with refined honey to form pills the size of Sophora seeds (Wutongzi). Take twenty pills before meals, washed down with Shengjiang (Fresh Rhizoma Zingiberis) decoction.
Another prescription.
Yuliren (Semen Pruni Persicae, three qianliang, soaked in water, removed skin, slightly stir-fried) Banxia (Rhizoma Pinelliae, one qianliang, washed seven times in boiling water to remove slipperiness) Caodoukou (Semen Cardamomi Rotundae, one qianliang, removed skin)
The above ingredients are ground into a fine powder. Mix with a paste made from flour boiled in wine to form pills the size of Sophora seeds (Wutongzi). Take twenty pills before meals, washed down with Shengjiang (Fresh Rhizoma Zingiberis) decoction.
Another prescription.
Qianniuzi (Semen Pharbitidis, two qianliang, slightly stir-fried) Zaojia Ziren Ren (Kernel of Semen Gleditsiae Sinensis, two qianliang, slightly stir-fried)
The above ingredients are ground into a fine powder. Mix with refined honey to form pills the size of Sophora seeds (Wutongzi). Take fifteen pills before meals, washed down with Shengjiang (Fresh Rhizoma Zingiberis) decoction. Continue until phlegm-fluid retention is discharged.