治久患腹胀。
丁香 木香 槟榔 萝卜子 牵牛(各等分)
上为细末,水糊为丸,如梧桐子大,每服十丸,空心用紫苏汤送下。
又方 凡治腹胀,经久患泄泻数升,昼夜不止,服药不验者,乃气脱也,宜用此。
上用益智子煎浓汤服,立愈。
治浊气在上,则生 胀。
木香 草豆蔻(面裹煨) 苍术(米泔浸,各三分) 浓朴(姜制,四分) 当归(五
分) 青皮(去白) 益智仁 白茯苓(去皮) 陈皮 泽泻 干生姜 吴茱萸(汤泡) 半
夏(以上各二分) 升麻 柴胡(各一分)
《内经》曰∶留者行之,结者散之,以柴胡升麻之苦平,行少阳阳明二经,发散清气,
营运阳分为君,以生姜半夏草豆蔻益智仁辛甘大热,消散中寒为臣,以浓朴木香苍术青皮苦
辛大温,通顺滞气,以当归陈皮人参之辛甘温,调和荣卫,滋养中气。浊气不降,以苦泄之
,吴茱萸之苦热,泄之者也。气之薄者为阳中之阴,茯苓甘平,泽泻咸平,气薄引导浊阴之
气,自天而下,故以为佐。气味相合,散之泄之,上之下之,使清浊之气,各安其位也。范
天骧夫人,先因劳役,饮食失节,加之忧思气结,病心腹胀满,旦食则不能暮食,两胁刺痛
。诊其脉弦而细,至夜浊阴之气当降而不降, 胀尤甚,大抵阳主运化,饮食劳倦,损伤脾
胃,阳气不能运化精微,聚而不散,故为胀满,先灸中脘,乃胃之募穴,引胃中生发之气,
上行阳道,又以前药助之,使浊阴之气自此而降矣。
上 咀,都作一服,用水二盏,煎至一盏,去滓,食前温服,忌食生冷硬物。
治疗长期患有腹胀。
丁香、木香、槟榔、萝卜子、牵牛(各取等量)。
以上药物研成细末,用水糊制作成丸药,大小如梧桐子,每次服用十丸,空腹时用紫苏汤送服。
另一个方子:凡是治疗腹胀,长期患有腹泻数次甚至数升,昼夜不停,服药无效的情况,这是气虚下脱,适宜使用此方。
用益智子煎煮浓汤服用,立即痊愈。
治疗浊气停留在上部,就会发生胀满。
木香、草豆蔻(用面粉包裹后煨制)、苍术(用米泔水浸泡,各三分)、厚朴(姜汁炮制,四分)、当归(五分)、青皮(去白)、益智仁、白茯苓(去皮)、陈皮、泽泻、干生姜、吴茱萸(汤泡)、半夏(以上各二分)、升麻、柴胡(各一分)。
《黄帝内经》说:停留的邪气要行散它,结聚的邪气要消散它。用柴胡、升麻的苦平之性,疏通少阳、阳明两条经脉,发散清气,营运于阳分,作为君药;用生姜、半夏、草豆蔻、益智仁的辛甘大热之性,消散中焦寒邪,作为臣药;用厚朴、木香、苍术、青皮的苦辛大温之性,通顺滞涩之气;用当归、陈皮、人参的辛甘温之性,调和营卫,滋养中气。对于不降的浊气,用苦味药泄降它,吴茱萸的苦热之性,就是用来泄降的。气味轻薄属于阳中之阴,茯苓甘平,泽泻咸平,气味轻薄能引导浊阴之气从天部下降,所以作为佐药。各种药物的气味相合,起到散发和泄降的作用,使上部的邪气得以疏散,下部的气机得以通降,让清气和浊气各自安守其位。范天骧的夫人,先前因为劳累过度,饮食没有节制,加上忧思导致气机郁结,出现心腹胀满,早上吃了饭晚上就不能再吃,两胁刺痛。诊察她的脉象弦而细,到了夜晚浊阴之气应当下降却不能下降,胀满更加严重。大抵阳气主司运化,饮食和劳倦损伤了脾胃,阳气不能运化精微物质,聚集而不散,所以形成胀满。先灸中脘穴,这是胃的募穴,以引导胃中生发之气上行至阳道,再用前面的药物辅助,使浊阴之气从此而降。
以上药物切碎,全部作为一剂服用,用水两盏,煎煮至一盏,去掉药渣,饭前温服,忌食生冷坚硬的食物。
To treat chronic abdominal distension.
Dingxiang (Caryophylli Flos), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Luobozǐ (Raphani Fructus), Qianniu (Pharbitidis Semen) (equal parts).
Grind the above into a fine powder, mix with water paste to make pills, sized like wutong seeds. Take ten pills each time, administered on an empty stomach with Zisu Tang (Perilla Decoction).
Another prescription: For treating abdominal distension where there is a long-standing history of diarrhea, evacuating several sheng (a traditional unit of volume) daily without cease, and previous medications have been ineffective, this indicates Qi collapse. This prescription is suitable.
Boil Yizhiren (Alpiniae Oxyphyllae Fructus) in strong decoction and take it; recovery will be immediate.
To treat turbid Qi stagnating in the upper jiao, which generates distension.
Muxiang (Aucklandiae Radix), Caodoukou (Amomi Fructus Rotundus wrapped in flour and baked), Cangzhu (Atractylodis Rhizoma soaked in rice wash water, 3 fen), Houpo (Magnoliae Officinalis Cortex processed with ginger juice, 4 fen), Danggui (Angelicae Sinensis Radix, 5 fen), Qingpi (Citri Reticulatae Pericarpium Viride peeled, remove white pith), Yizhiren (Alpiniae Oxyphyllae Fructus), Baifuling (Poria Cocos with skin removed), Chenpi (Citri Reticulatae Pericarpium), Zexie (Alismatis Rhizoma), Ganshengjiang (Zingiberis Rhizoma Recens dried), Wuzhuyu (Evodiae Fructus soaked in hot water), Banxia (Pinelliae Rhizoma) (each of the above 2 fen), Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix) (each 1 fen).
The *Neijing* states: "For what remains stagnant, move it; for what is knotted, disperse it." Using the bitter and neutral properties of Chaihu and Shengma to circulate through the Shaoyang and Yangming meridians, dispersing clear Qi and circulating within the Yang division, serving as the Sovereign drug. Using the acrid, sweet, and great heat properties of Shengjiang, Banxia, Caodoukou, and Yizhiren to dissipate middle-jiao cold, serving as the Minister drug. Using the bitter, acrid, and great warm properties of Houpo, Muxiang, Cangzhu, and Qingpi to unblock stagnant Qi. Using the acrid, sweet, and warm properties of Danggui, Chenpi, and Renshen to harmonize Ying and Wei, and nourish Middle Qi. For turbid Qi that does not descend, use bitter drugs to drain it; the bitter and hot property of Wuzhuyu serves to drain it. Subtle aromas belong to Yin within Yang; Fuling is sweet and neutral, Zexie is salty and neutral. Their subtle aromas guide turbid Yin Qi downward from the Heaven level, thus serving as the Assistant drug. The combination of flavors and aromas disperses and drains, moving upward and downward, allowing Clear and Turbid Qi to reside in their proper positions. Lady Fan Tianxiang, previously due to overwork and irregular diet, compounded by worry and thought causing Qi knotting, suffered from cardiac and abdominal distension and fullness, unable to eat dinner if she ate breakfast, with stabbing pain in both hypochondria. Her pulse was wiry and thin. At night, when Turbid Yin Qi should descend but fails to do so, distension becomes particularly severe. Generally, Yang governs transformation and transportation. Diet and fatigue damage the Spleen and Stomach; Yang Qi cannot transform and transport essence and micro-nutrients, leading to accumulation without dispersion, thus causing distension and fullness. First, moxa the Zhongwan (CV12) point, the Front-Mu point of the Stomach, to guide the ascending Qi of the Stomach up the Yang pathways, assisted by the aforementioned herbs, so that Turbid Yin Qi descends from here.
Chop the above ingredients, combine as one dose. Use two cups of water, boil down to one cup, remove dregs, and take warm before meals. Avoid raw, cold, and hard foods.