夫虚劳积聚者。脏腑之病也。积者脏病也。阴气所生也。聚者腑病也。阳气所成也。虚
劳之
治虚劳积聚。或心腹疼痛。四肢羸瘦。小便赤。不能饮食。宜服鳖甲散方。
鳖甲〔二(三)两涂醋炙微黄去裙 〕 浓朴(一两去粗皮涂生姜汁炙令香熟) 木香
(三
分)
炒) 芎
(半两)
(一两
炒微黄) 当
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。食前稍
热服
治虚劳。积聚结块。心腹胁肋刺痛。宜服桃仁散方。
桃仁(二两汤浸去皮尖双仁麸炒微黄) 川大黄(二两锉碎微炒) 鳖甲(一两涂醋炙
微黄
去裙 ) 吴茱萸(半两汤浸七遍焙干微炒) 诃黎勒(一两半煨用皮) 京三棱(一两炮
裂)
木香(
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。食前稍热服。忌苋菜
生冷
治虚劳。积聚坚实。腹如鼓。食即却吐。坐卧不安。喘急。宜服白术散方。
白术(半两) 防葵(一两) 槟榔(二两) 郁李仁(二两汤浸去皮微炒) 鳖甲(二
两涂醋
炙微
诃黎
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。食前温
服。
治虚劳积聚。心胸壅闷。喘急气促。不能饮食。四肢瘦弱。宜服赤茯苓散方。
赤茯苓(一两) 紫菀(三两(分)洗去苗土) 白术(半两) 吴茱萸(一分汤浸七
遍焙干微
炒)
涂醋炙微
黄去
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至五分。去滓食前温服。
忌
治虚劳积聚。腹中坚硬。气胀喘急。宜服野狼毒丸方。
野狼毒(二两半醋浸炙) 肉桂(二两去皱皮) 川乌头(半两去皮脐醋拌炒) 京三棱
(一两
炮锉)
甲(二
两涂
缺字)
木香(一两) 桃仁(二两汤浸去皮尖双仁麸炒微黄) 吴茱萸(一两汤浸七遍焙干微炒) 皂
荚
(三分汤浸去皮涂酥炙黄焦去子) 芫花(半两醋拌炒令干)
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每服空心。以温酒下十丸。忌
苋菜
治虚劳积聚。胁下妨满。腹胀不能食。及腹中痛。宜服防葵丸方。
防葵(一两) 柴胡(一两去苗) 木香(三分) 桃仁(一两汤浸去皮尖双仁麸炒微
黄) 鳖
甲(
三棱
(一两
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每服食前。以温酒下二十丸。
忌苋
治虚劳。积聚痞结。腹胁胀满。宜服京三棱丸方。
京三棱(三两炮裂锉) 川大黄(二两锉碎微炒) 鳖甲(二两涂醋炙微黄去裙 ) 赤
芍药
(一
乌头(一
两炮
上件药。捣罗为末。熬醋如胶。和捣三二百杵。丸如梧桐子大。每服食前。以温酒下二
十丸
治虚劳积聚。羸瘦不任。宜服鳖甲丸方。
鳖甲(二两涂醋炙微黄去裙 ) 肉桂(二两去皱皮) 川大黄(二两锉碎微炒) 诃
黎勒
(二两
麸炒微
黄)
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服空心。以温酒下三十丸。
加至
虚劳积聚,是脏腑的疾病。积证属于脏病,由阴气生成;聚证属于腑病,由阳气形成。
治疗虚劳积聚,若出现心腹疼痛、四肢消瘦、小便色赤、不能进食等症状,适宜服用鳖甲散方。
【配方】鳖甲(二至三两,涂醋炙至微黄,去除裙边)、厚朴(一两,去除粗皮,涂生姜汁炙至香熟)、木香(三分)、川芎(半两)、当归(一两,炒至微黄)。
【制法与用法】将上述药物捣碎并过粗筛制成散剂。每次服用四钱,加水一中盏,放入生姜半分,煎煮至剩余六分药液,滤去药渣。在饭前稍热时服用。
治疗虚劳,若见积聚结块、心腹胁肋刺痛症状,适宜服用桃仁散方。
【配方】桃仁(二两,温水浸泡后去皮尖及双仁,麸炒至微黄)、川大黄(二两,锉碎后微炒)、鳖甲(一两,涂醋炙至微黄,去除裙边)、吴茱萸(半两,温水浸泡七遍后焙干微炒)、诃黎勒(一两半,煨后用皮)、京三棱(一两,炮裂)、木香(分量原文缺失,依常理推测为少量或与前文类似,此处保留原文结构)。
【制法与用法】将上述药物捣碎并过粗筛制成散剂。每次服用四钱,加水一中盏,煎煮至剩余六分药液,滤去药渣。在饭前稍热时服用。忌食苋菜及生冷食物。
治疗虚劳,若见积聚坚实、腹部如鼓、进食后即呕吐、坐卧不安、气喘急促等症状,适宜服用白术散方。
【配方】白术(半两)、防葵(一两)、槟榔(二两)、郁李仁(二两,温水浸泡去皮微炒)、鳖甲(二两,涂醋炙至微黄)、诃黎勒(分量原文缺失)。
【制法与用法】将上述药物捣碎并过粗筛制成散剂。每次服用四钱,加水一中盏,放入生姜半分,煎煮至剩余六分药液,滤去药渣。在饭前温服。
治疗虚劳积聚,若见心胸壅闷、气喘急促、不能进食、四肢瘦弱等症状,适宜服用赤茯苓散方。
【配方】赤茯苓(一两)、紫菀(三两,洗去苗土)、白术(半两)、吴茱萸(一分,温水浸泡七遍焙干微炒)、鳖甲(分量原文缺失,涂醋炙微黄去裙)。
【制法与用法】将上述药物捣碎并过粗筛制成散剂。每次服用三钱,加水一中盏,放入生姜半分,煎煮至剩余五分药液,滤去药渣,在饭前温服。忌口事项原文缺失。
治疗虚劳积聚,若见腹中坚硬、气胀气喘等症状,适宜服用野狼毒丸方。
【配方】野狼毒(二两半,醋浸后炙)、肉桂(二两,去除皱皮)、川乌头(半两,去皮脐,醋拌炒)、京三棱(一两,炮裂锉碎)、鳖甲(二两,涂醋炙...缺字)、木香(一两)、桃仁(二两,温水浸泡去皮尖及双仁,麸炒微黄)、吴茱萸(一两,温水浸泡七遍焙干微炒)、皂荚(三分,温水浸泡去皮涂酥炙至黄焦,去子)、芫花(半两,醋拌炒令干)。
【制法与用法】将上述药物捣罗成细末,用炼蜜调和,捣杵三五百下,制成梧桐子大小的丸剂。每次空腹时,用温酒送服十丸。忌食苋菜。
治疗虚劳积聚,若见胁下痞满、腹胀不能进食以及腹中疼痛等症状,适宜服用防葵丸方。
【配方】防葵(一两)、柴胡(一两,去苗)、木香(三分)、桃仁(一两,温水浸泡去皮尖及双仁,麸炒微黄)、鳖甲(分量原文缺失)、京三棱(一两)。
【制法与用法】将上述药物捣罗成细末,用炼蜜调和,捣杵三五百下,制成梧桐子大小的丸剂。每次饭前,用温酒送服二十丸。忌食苋菜。
治疗虚劳,若见积聚痞结、腹胁胀满等症状,适宜服用京三棱丸方。
【配方】京三棱(三两,炮裂锉碎)、川大黄(二两,锉碎微炒)、鳖甲(二两,涂醋炙微黄去裙)、赤芍药(分量原文缺失)、川乌头(一两,炮裂)。
【制法与用法】将上述药物捣罗成细末,熬醋如胶状,与药末混合捣杵三二百下,制成梧桐子大小的丸剂。每次饭前,用温酒送服二十丸。
治疗虚劳积聚,若见身体极度消瘦、不堪负荷等症状,适宜服用鳖甲丸方。
【配方】鳖甲(二两,涂醋炙微黄去裙)、肉桂(二两,去除皱皮)、川大黄(二两,锉碎微炒)、诃黎勒(二两,麸炒微黄)。
【制法与用法】将上述药物捣罗成细末,用炼蜜调和,捣杵三二百下,制成梧桐子大小的丸剂。每次空腹时,用温酒送服三十丸,可根据病情增加剂量。
Deficiency consumption with accumulation and mass refers to diseases of the Zang and Fu organs. Accumulation (Ji) is a disease of the Zang organs, generated by Yin Qi; Mass (Ju) is a disease of the Fu organs, formed by Yang Qi.
For the treatment of deficiency consumption with accumulation and mass, if symptoms such as pain in the heart and abdomen, emaciation of the four limbs, dark red urine, and inability to eat are present, the Biejia San (Turtle Shell Powder) formula is suitable.
[Ingredients] Bie Jia (Turtle Shell, 2–3 liang, coated with vinegar and roasted until slightly yellow, remove the skirt), Hou Po (Magnolia Bark, 1 liang, remove coarse bark, coat with ginger juice and roast until fragrant), Mu Xiang (Aucklandia Root, 3 fen), Chuan Xiong (Sichuan Lovage Rhizome, 0.5 liang), Dang Gui (Angelica Sinensis, 1 liang, stir-fried until slightly yellow).
[Preparation and Administration] Crush the above herbs and sieve them coarsely to make a powder. Take 4 qian per dose. Add 1 zhong zhan of water and 0.5 fen of sliced fresh ginger. Decoct until the volume reduces to 0.6 zhong zhan. Strain off the dregs. Take warm while still hot before meals.
For the treatment of deficiency consumption, if there are accumulations forming masses accompanied by stabbing pain in the heart, abdomen, hypochondrium, and ribs, the Taoren San (Peach Kernel Powder) formula is suitable.
[Ingredients] Tao Ren (Peach Seed, 2 liang, soak in warm water, remove skin and tips, discard twin kernels, stir-fry with bran until slightly yellow), Chuan Da Huang (Rhubarb Root, 2 liang, cut into small pieces and lightly stir-fried), Bie Jia (Turtle Shell, 1 liang, coated with vinegar and roasted until slightly yellow, remove the skirt), Wu Zhu Yu (Evodia Fruit, 0.5 liang, soak in warm water seven times, bake dry and lightly stir-fry), He Li Le (Chebula Fruit, 1.5 liang, use the peel after baking), Jing San Leng (Burreed Tuber, 1 liang, processed until cracked), Mu Xiang (Aucklandia Root, dosage missing in original text).
[Preparation and Administration] Crush the above herbs and sieve them coarsely to make a powder. Take 4 qian per dose. Add 1 zhong zhan of water. Decoct until the volume reduces to 0.6 zhong zhan. Strain off the dregs. Take warm while still hot before meals. Avoid eating Amaranth and raw/cold foods.
For the treatment of deficiency consumption, if there are solid accumulations, an abdomen distended like a drum, vomiting immediately after eating, restlessness in sitting or lying down, and rapid panting, the Baizhu San (Atractylodes Macrocephala Powder) formula is suitable.
[Ingredients] Bai Zhu (Atractylodes Macrocephala Rhizome, 0.5 liang), Fang Kui (Peucedanum Root, 1 liang), Bing Lang (Areca Seed, 2 liang), Yu Li Ren (Bush Cherry Kernel, 2 liang, soak in warm water, remove skin and lightly stir-fried), Bie Jia (Turtle Shell, 2 liang, coated with vinegar and roasted until slightly yellow), He Li Le (Chebula Fruit, dosage missing in original text).
[Preparation and Administration] Crush the above herbs and sieve them coarsely to make a powder. Take 4 qian per dose. Add 1 zhong zhan of water and 0.5 fen of sliced fresh ginger. Decoct until the volume reduces to 0.6 zhong zhan. Strain off the dregs. Take warm before meals.
For the treatment of deficiency consumption with accumulation and mass, if there is chest and heart oppression, rapid panting, shortness of breath, inability to eat, and emaciation of the four limbs, the Chi Fu Ling San (Red Poria Powder) formula is suitable.
[Ingredients] Chi Fu Ling (Red Poria, 1 liang), Zi Wan (Aster Root, 3 liang, wash away seedlings and soil), Bai Zhu (Atractylodes Macrocephala Rhizome, 0.5 liang), Wu Zhu Yu (Evodia Fruit, 1 fen, soak in warm water seven times, bake dry and lightly stir-fried), Bie Jia (Turtle Shell, dosage missing in original text, coated with vinegar and roasted until slightly yellow, remove the skirt).
[Preparation and Administration] Crush the above herbs and sieve them coarsely to make a powder. Take 3 qian per dose. Add 1 zhong zhan of water and 0.5 fen of sliced fresh ginger. Decoct until the volume reduces to 0.5 zhong zhan. Strain off the dregs. Take warm before meals. Dietary restrictions are missing in the original text.
For the treatment of deficiency consumption with accumulation and mass, if there is hardness in the abdomen, abdominal distension, and rapid panting, the Yelang Du Wan (Stemmacantha Pill) formula is suitable.
[Ingredients] Ye Lang Du (Stemmacantha Root, 2.5 liang, soak in vinegar and roast), Rou Gui (Cinnamon Bark, 2 liang, remove wrinkled bark), Chuan Wu Tou (Aconite Root, 0.5 liang, remove skin and navel, mix with vinegar and stir-fry), Jing San Leng (Burreed Tuber, 1 liang, process until cracked and cut), Bie Jia (Turtle Shell, 2 liang, coated with vinegar and roasted... character missing), Mu Xiang (Aucklandia Root, 1 liang), Tao Ren (Peach Seed, 2 liang, soak in warm water, remove skin and tips, discard twin kernels, stir-fry with bran until slightly yellow), Wu Zhu Yu (Evodia Fruit, 1 liang, soak in warm water seven times, bake dry and lightly stir-fried), Zao Jia (Gleditsia Fruit, 3 fen, soak in warm water, remove skin, coat with lard, roast until yellow and scorched, remove seeds), Yuan Hua (Genkwa Flower, 0.5 liang, mix with vinegar and stir-fry until dry).
[Preparation and Administration] Pulverize the above herbs into fine powder. Mix with refined honey and pound for 300–500 strikes. Form pills the size of paulownia seeds. Take 10 pills on an empty stomach, administered with warm wine. Avoid eating Amaranth.
For the treatment of deficiency consumption with accumulation and mass, if there is fullness under the hypochondrium, abdominal distension preventing eating, and abdominal pain, the Fang Kui Wan (Peucedanum Pill) formula is suitable.
[Ingredients] Fang Kui (Peucedanum Root, 1 liang), Chai Hu (Bupleurum Root, 1 liang, remove seedlings), Mu Xiang (Aucklandia Root, 3 fen), Tao Ren (Peach Seed, 1 liang, soak in warm water, remove skin and tips, discard twin kernels, stir-fry with bran until slightly yellow), Bie Jia (Turtle Shell, dosage missing in original text), Jing San Leng (Burreed Tuber, 1 liang).
[Preparation and Administration] Pulverize the above herbs into fine powder. Mix with refined honey and pound for 300–500 strikes. Form pills the size of paulownia seeds. Take 20 pills before meals, administered with warm wine. Avoid eating Amaranth.
For the treatment of deficiency consumption, if there are obstructed accumulations and masses, and abdominal and hypochondrial distension, the Jing San Leng Wan (Burreed Pill) formula is suitable.
[Ingredients] Jing San Leng (Burreed Tuber, 3 liang, process until cracked and cut), Chuan Da Huang (Rhubarb Root, 2 liang, cut into small pieces and lightly stir-fried), Bie Jia (Turtle Shell, 2 liang, coated with vinegar and roasted until slightly yellow, remove the skirt), Chi Shao Yao (Red Peony Root, dosage missing in original text), Chuan Wu Tou (Aconite Root, 1 liang, processed until cracked).
[Preparation and Administration] Pulverize the above herbs into fine powder. Boil vinegar until it resembles glue. Mix with the powder and pound for 200–300 strikes. Form pills the size of paulownia seeds. Take 20 pills before meals, administered with warm wine.
For the treatment of deficiency consumption with accumulation and mass, if there is severe emaciation and physical weakness, the Bie Jia Wan (Turtle Shell Pill) formula is suitable.
[Ingredients] Bie Jia (Turtle Shell, 2 liang, coated with vinegar and roasted until slightly yellow, remove the skirt), Rou Gui (Cinnamon Bark, 2 liang, remove wrinkled bark), Chuan Da Huang (Rhubarb Root, 2 liang, cut into small pieces and lightly stir-fried), He Li Le (Chebula Fruit, 2 liang, stir-fry with bran until slightly yellow).
[Preparation and Administration] Pulverize the above herbs into fine powder. Mix with refined honey and pound for 200–300 strikes. Form pills the size of paulownia seeds. Take 30 pills on an empty stomach, administered with warm wine. The dosage may be increased as needed.