夫饮癖者。由饮水过多。在于胁下不散。又遇冷气相冲。致而有痛。呼为饮癖也。其状
胁下强(弦)急。时有水声。是其候也。
治饮癖气分。心下坚硬。如杯。水饮所作。桂心散方。
桂心(三分) 白术(一两) 细辛(一两) 附子(一两炮裂去皮脐) 枳壳〔三分
麸炒微(令
)黄去瓤〕 槟榔(三分)
上件药。捣粗罗为散。每服五钱。以水一大盏。入生姜半分。枣三枚。煎至五分。去滓
温服。日三四服。
治饮癖。心下坚大如杯。时复疼痛。宜服此方。
枳实(二两麸炒微黄) 白术(三两) 桂心(二两)
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓温服。日三
四服。
治饮癖。胸中结滞。脐下满急。呕逆。不能食。细辛散方。
细辛(一两) 半夏(一两汤洗七遍去滑) 桂心(一两) 赤茯苓(一分) 白术〔二
(一)
两〕
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候温服。
治饮癖。胸膈不利。吃食经日吐出不消。宜服吴茱萸丸方。
吴茱萸(一两汤浸七遍焙干微炒) 泽泻(一两) 赤茯苓(一两) 赤芍药(一两) 半
夏(
一两汤洗七遍去滑) 白术(一两) 防葵(一两)
上件药。捣罗为末。炼蜜和捣五七百杵。丸如梧桐子大。每服。以生姜汤下二十丸。日
三四服。
治饮癖。腹胁胀满。心胸不利。少思饮食。郁李仁丸方。
郁李仁(三两汤浸去皮微炒) 旋复花(一两) 半夏(一两汤洗七遍去滑) 川乌头
(一两
炮裂去皮脐)
两汤浸
去皮尖双仁麸
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。
治饮癖。心腹胀满。不能下食。槟榔丸方。
槟榔(一两) 防葵(一两) 白术(一两) 桂心(一两) 麦 (一两微炒) 前
胡(一两去
芦头) 鳖甲(一两涂醋炙令黄去裙 ) 木香(半两) 枳壳(半两麸炒微黄去瓤)
上件药。捣罗为末。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。\x
芫花(一两醋拌炒令干) 皂荚(三条去黑皮涂酥炙令黄去子) 神曲(一两微炒) 半
夏(
一两汤洗七遍去滑) 木香〔三分(一两)〕 枳壳(一两麦炒微黄去瓤)
上件药。捣罗为末。以醋煮面糊和丸。如梧桐子大。每于食前。以生姜汤下十丸。
饮癖这种病证,是由于饮水过多,水液停滞在胁下无法消散,再加上受到冷气的冲击,从而导致疼痛,因此被称为“饮癖”。其症状表现为胁下部位僵硬、拘急(呈弦脉象),有时能听到水流动的声音,这就是它的征候。
治疗因饮癖导致的气分病变,心下部坚硬如杯状,由水饮积聚引起,使用桂心散方。
药材组成:桂心(三分)、白术(一两)、细辛(一两)、附子(一两,炮制后裂开,去皮和脐)、枳壳(三分,麸炒至微黄,去瓤)、槟榔(三分)。
以上药物,捣碎并过粗筛制成散剂。每次服用五钱,用水一大盏,加入生姜半块、大枣三枚,煎煮至剩余五分水量,滤去药渣,温服。每日服用三四次。
治疗饮癖,心下部坚硬肿大如杯,时常伴有疼痛,适宜服用此方。
药材组成:枳实(二两,麸炒至微黄)、白术(三两)、桂心(二两)。
以上药物,捣碎并过筛制成散剂。每次服用三钱,用水一中盏,加入生姜半块,煎煮至剩余六分水,滤去药渣,温服。每日服用三四次。
治疗饮癖,胸中气机郁结阻滞,脐下胀满紧迫,呕吐逆气,不能进食,使用细辛散方。
药材组成:细辛(一两)、半夏(一两,汤洗七遍以去除滑腻感)、桂心(一两)、赤茯苓(一分)、白术(二两)。
以上药物,捣碎并过筛制成散剂。每次服用三钱,用水一中盏,加入生姜半块,煎煮至剩余六分水,滤去药渣,不拘时间温服。
治疗饮癖,胸膈部气机不畅,进食后经一日仍吐出未消化的食物,适宜服用吴茱萸丸方。
药材组成:吴茱萸(一两,汤浸七遍,焙干后微炒)、泽泻(一两)、赤茯苓(一两)、赤芍药(一两)、半夏(一两,汤洗七遍以去除滑腻感)、白术(一两)、防葵(一两)。
以上药物,捣碎过罗制成粉末,用炼蜜调和并捣杵五七百下,制成梧桐子大小的丸剂。每次服用时,用生姜汤送服二十丸,每日服用三四次。
治疗饮癖,腹部和胁部胀满,心胸部位气机不畅,食欲减退,使用郁李仁丸方。
药材组成:郁李仁(三两,汤浸去皮后微炒)、旋复花(一两)、半夏(一两,汤洗七遍以去除滑腻感)、川乌头(一两,炮制后裂开,去皮和脐)。
以上药物,捣碎过罗制成粉末,用炼蜜调和制成丸剂,大小如梧桐子。每次在饭前,用生姜汤送服十五丸。
治疗饮癖,心腹部胀满,无法进食,使用槟榔丸方。
药材组成:槟榔(一两)、防葵(一两)、白术(一两)、桂心(一两)、大麦(一两,微炒)、前胡(一两,去芦头)、鳖甲(一两,涂醋炙至黄色,去裙边)、木香(半两)、枳壳(半两,麸炒至微黄,去瓤)。
以上药物,捣碎过罗制成粉末,用酒煮面糊调和制成丸剂,大小如梧桐子。每次在饭前,用生姜汤送服二十丸。
另一个方子:
药材组成:芫花(一两,用醋拌炒至干)、皂荚(三条,去黑皮,涂酥炙至黄色,去籽)、神曲(一两,微炒)、半夏(一两,汤洗七遍以去除滑腻感)、木香(三分,原注有一两,此处取三分)、枳壳(一两,麦炒至微黄,去瓤)。
以上药物,捣碎过罗制成粉末,用醋煮面糊调和制成丸剂,大小如梧桐子。每次在饭前,用生姜汤送服十丸。
Yinpi (Drinking Heterogeneity) is a condition caused by excessive water intake, where fluid stagnates in the hypochondriac region and fails to dissipate. When combined with an invasion of cold qi, it leads to pain, hence the name "Yinpi." The clinical manifestations include stiffness and tension in the hypochondriac region (often presenting as a wiry pulse), accompanied by audible splashing sounds of fluid, which are characteristic signs.
For treating Qi-level disorders due to Yinpi, characterized by hardness in the epigastrium resembling a cup, caused by fluid accumulation, use Guixin San (Cinnamon Heart Powder).
Ingredients: Guixin (Cortex Cinnamomi, 3 fen), Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Xixin (Herba Asari, 1 liang), Fuzi (Radix Aconiti Lateralis Preparata, 1 liang, processed, cracked, skin and umbilicus removed), Zhike (Pericarpium Citri Reticulatae, 3 fen, bran-fried until slightly yellow, pith removed), Binglang (Semen Arecae, 3 fen).
Process the above ingredients into a coarse powder. Take 5 qian per dose, decoct with 1 large bowl of water, adding 0.5 piece of Shengjiang (Rhizoma Zingiberis Recens) and 3 dates. Decoct until 0.5 portion remains, strain, and take warm. Administer 3-4 times daily.
For treating Yinpi with hardness and enlargement in the epigastrium resembling a cup, accompanied by intermittent pain, this formula is suitable.
Ingredients: Zhishi (Fructus Aurantii Immaturus, 2 liang, bran-fried until slightly yellow), Baizhu (Rhizoma Atractylodis Macrocephalae, 3 liang), Guixin (Cortex Cinnamomi, 2 liang).
Process the above ingredients into a fine powder. Take 3 qian per dose, decoct with 1 medium bowl of water, adding 0.5 piece of Shengjiang (Rhizoma Zingiberis Recens). Decoct until 0.6 portion remains, strain, and take warm. Administer 3-4 times daily.
For treating Yinpi with stagnation in the chest, fullness and urgency below the umbilicus, vomiting and regurgitation, and inability to eat, use Xixin San (Asari Powder).
Ingredients: Xixin (Herba Asari, 1 liang), Banxia (Rhizoma Pinelliae Preparata, 1 liang, washed seven times in hot water to remove slipperiness), Guixin (Cortex Cinnamomi, 1 liang), Chifuling (Poria Cum Radix Pini Rubra, 1 fen), Baizhu (Rhizoma Atractylodis Macrocephalae, 2 liang).
Process the above ingredients into a fine powder. Take 3 qian per dose, decoct with 1 medium bowl of water, adding 0.5 piece of Shengjiang (Rhizoma Zingiberis Recens). Decoct until 0.6 portion remains, strain, and take warm at any time.
For treating Yinpi with obstruction in the chest and diaphragm, where food eaten a day ago is vomited undigested, use Wuzhuyu Wan (Evodia Pill).
Ingredients: Wuzhuyu (Fructus Evodiae, 1 liang, soaked in water seven times, dried, and slightly fried), Zexie (Rhizoma Alismatis, 1 liang), Chifuling (Poria Cum Radix Pini Rubra, 1 liang), Chishao (Radix Paeoniae Rubra, 1 liang), Banxia (Rhizoma Pinelliae Preparata, 1 liang, washed seven times in hot water to remove slipperiness), Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Fangkui (Radix Saposhnikoviae, 1 liang).
Process the above ingredients into a powder. Mix with refined honey and pound 500-700 times. Form pills the size of Sophora seeds. Take 20 pills per dose with Shengjiang (Rhizoma Zingiberis Recens) decoction. Administer 3-4 times daily.
For treating Yinpi with abdominal and hypochondriac distension, discomfort in the chest and heart, and reduced appetite, use Yuliren Wan (Prunus Persica Seed Pill).
Ingredients: Yuliren (Semen Pruni, 3 liang, soaked in water, skin removed, and slightly fried), Xuanjinhua (Flos Inulae, 1 liang), Banxia (Rhizoma Pinelliae Preparata, 1 liang, washed seven times in hot water to remove slipperiness), Chuanwutou (Radix Aconiti Kusnezoffii Preparata, 1 liang, processed, cracked, skin and umbilicus removed).
Process the above ingredients into a powder. Mix with refined honey and form pills the size of Sophora seeds. Take 15 pills per dose before meals with Shengjiang (Rhizoma Zingiberis Recens) decoction.
For treating Yinpi with epigastric and abdominal distension and inability to ingest food, use Binglang Wan (Areca Nut Pill).
Ingredients: Binglang (Semen Arecae, 1 liang), Fangkui (Radix Saposhnikoviae, 1 liang), Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Guixin (Cortex Cinnamomi, 1 liang), Damai (Hordeum Vulgare, 1 liang, slightly fried), Qianhu (Radium Peucedani, 1 liang, rhizome removed), Biejia (Carapax et Plastrum Testudinis, 1 liang, vinegar-brushed, roasted until yellow, skirt removed), Muxiang (Radix Aucklandiae, 0.5 liang), Zhike (Pericarpium Citri Reticulatae, 0.5 liang, bran-fried until slightly yellow, pith removed).
Process the above ingredients into a powder. Mix with flour paste boiled in wine and form pills the size of Sophora seeds. Take 20 pills per dose before meals with Shengjiang (Rhizoma Zingiberis Recens) decoction.
Another prescription:
Ingredients: Yuanhua (Flos Genkwa, 1 liang, mixed with vinegar and fried until dry), Zaojia (Fructus Gleditsiae Sinensis, 3 strips, black skin removed, brushed with lard, roasted until yellow, seeds removed), Shenqu (Massa Medicata Fermentata, 1 liang, slightly fried), Banxia (Rhizoma Pinelliae Preparata, 1 liang, washed seven times in hot water to remove slipperiness), Muxiang (Radix Aucklandiae, 3 fen), Zhike (Pericarpium Citri Reticulatae, 1 liang, wheat-fried until slightly yellow, pith removed).
Process the above ingredients into a powder. Mix with flour paste boiled in vinegar and form pills the size of Sophora seeds. Take 10 pills per dose before meals with Shengjiang (Rhizoma Zingiberis Recens) decoction.