治气滞寒滞诸病。
木香 沉香 泽泻 乌药 陈皮 丁香 小茴香 香附(酒炒) 荔枝核(煨焦各等分)
皂角
之属温
(东垣) 治心下虚痞,恶食懒倦,右关脉弦。(脾虚不运,故痞满恶食,脾主四
虚故懒倦。右关属脾,脉弦者,脾虚而木来侮之也。经曰∶太阴所至,为积饮痞隔,皆
阳也。受病之脏,心与脾也。因而郁塞为痞者,火与湿也。盖心阳火也,主血。脾阴土
主湿。凡伤其阳,则火怫郁而血凝。伤其阴,则土壅塞而湿聚。阴阳之分,施治之法,
同也。)
枳实(麸炒) 黄连(姜汁炒五钱 浓朴姜炒四钱) 半夏曲 麦芽(炒) 人参 白
术(土炒)
枳实苦酸,行气破血。黄连苦寒,泻热开郁,并消痞之君药。浓朴苦降,散湿满而化食。
麦
关
又以固本,使不伤真气也。(玉机微义曰∶此半夏泻心汤加减法也。内有枳术四君平胃等药
,利湿消痞,补虚之剂也。)
治三焦壅滞,胸膈胀满,气道不清,小水不利。年力未衰,通身肿胀,或肚腹单胀
实非水等证。
枳壳(二钱) 浓朴(一钱半) 大腹皮(一二钱) 白芥子(七分或一二钱) 陈皮
(二钱) 茯苓
三钱) 水煎食远服。
茵陈二钱。小腹胀满,
疼痛者,加乌药香附。
治疗气机阻滞和寒邪凝滞引起的各种疾病。
木香、沉香、泽泻、乌药、陈皮、丁香、小茴香、香附(用酒炒制)、荔枝核(煨至焦黑),以上药材各取等分。
皂角。
这类药物属于温性。(李东垣)治疗心下部虚性痞塞,厌恶饮食、懒惰疲倦,右关脉呈弦象。(脾虚导致运化无力,所以出现痞满、厌恶饮食;脾主四肢,脾虚故见懒惰疲倦。右关脉对应脾脏,脉象弦,说明脾虚而肝木来克制脾土。经典记载:太阴经受邪所致病症,表现为积饮、痞塞阻隔,皆属于阳证。受病的脏腑是心和脾。因此郁结阻塞形成痞证的,原因是火与湿。心属阳火,主司血液;脾属阴土,主司湿气。凡是损伤其阳气,则火气郁结而血液凝滞;损伤其阴气,则土气壅塞而湿气聚集。阴阳受损的情况不同,但施治的原则是一样的。)
枳实(用麦麸炒制)、黄连(用姜汁炒制,五钱)、浓朴(用姜炒制,四钱)、半夏曲、麦芽(炒制)、人参、白术(用土炒制)。
枳实味苦酸,能行气破血。黄连味苦性寒,能泻热开郁,并作为消除痞证的君药。浓朴味苦性降,能散除湿气导致的胀满并消化食积。
又用这些药物来固护根本,使不损伤真气。(《玉机微义》说:这是半夏泻心汤的加减用法。方内含有枳术丸、四君子汤、平胃散等药物的功效,是利湿消痞、补虚的方剂。)
治疗三焦气机壅滞,胸膈部胀满,气道不清爽,小便不利。年龄精力尚未衰退,全身肿胀,或仅腹部单独胀大,实证而非水饮停聚等证候。
枳壳(二钱)、浓朴(一钱半)、大腹皮(一至二钱)、白芥子(七分或一至二钱)、陈皮(二钱)、茯苓(三钱)、茵陈(二钱)。用水煎煮,饭后服用。
若小腹胀满疼痛者,加乌药、香附。
Treats various diseases caused by Qi stagnation and Cold stagnation.
Muxiang (Aucklandiae Radix), Chenxiang (Aquilariae Lignum Resinatum), Zexie (Alismatis Rhizoma), Wuyao (Linderae Radix), Chenpi (Citri Reticulatae Pericarpium), Dingxiang (Caryophylli Flos), Xiaohuixiang (Foeniculi Fructus), Xiangfu (Cyperi Rhizoma, stir-fried with wine), Lizhihe (Litchi Semen, roasted until charred), each in equal parts.
Zaojiao (Gleditsiae Sinensis Spina).
These herbs belong to the warm category. (Li Dongyuan) Treats epigastric deficiency-type fullness (Xia Xin Xu Pi), aversion to food, lethargy, and a wiry pulse at the right Guan position. (Spleen deficiency fails to transport, hence fullness and aversion to food; the Spleen governs the four limbs, so Spleen deficiency leads to lethargy. The right Guan position corresponds to the Spleen; a wiry pulse indicates Spleen deficiency with Liver Wood overacting on it. The Classics state: "What arrives from Taiyin manifests as accumulation of fluids and obstruction/fullness," all belonging to Yang syndromes. The affected organs are the Heart and the Spleen. Thus, depression and blockage leading to Pi syndrome are due to Fire and Dampness. The Heart is Yang Fire, governing Blood; the Spleen is Yin Earth, governing Dampness. If its Yang is injured, Fire becomes constrained and Blood coagulates; if its Yin is injured, Earth becomes obstructed and Dampness gathers. Although the division of Yin and Yang differs, the principles of treatment remain the same.)
Zhishi (Immature Bitter Orange Fruit, bran-fried), Huanglian (Coptidis Rhizome, stir-fried with ginger juice, 5 qian), Houpo (Magnolia Bark, stir-fried with ginger, 4 qian), Banxiaqu (Pinelliae Fermentum), Maiya (Hordei Fructus Germinatus, fried), Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, soil-fried).
Zhishi is bitter and sour, promoting Qi movement and breaking blood stasis. Huanglian is bitter and cold, clearing heat and relieving depression, serving as the Sovereign herb for eliminating Pi (fullness/obstruction). Houpo is bitter and descending, dispersing Dampness-induced fullness and transforming food stagnation.
Furthermore, these are used to consolidate the root, ensuring the True Qi is not damaged. (Yuji Wei Yi states: This is an alteration of Banxia Xiexin Tang. It contains the effects of Zhiju Wan, Sijunzi Tang, Pingwei San, etc., and is a formula that promotes diuresis, eliminates Pi, and tonifies deficiency.)
Treats Sanjiao (Triple Burner) congestion and stagnation, chest and diaphragm distension, unclear air pathways, and difficult urination. In individuals whose age and vitality have not yet declined, presenting with generalized edema or isolated abdominal distension, excess patterns rather than Water retention, etc.
Zhiqiao (Immature Bitter Orange Fruit, 2 qian), Houpo (Magnolia Bark, 1.5 qian), Dafupi (Arecae Pericarpium, 1-2 qian), Baijiezi (Sinapis Semen, 7 fen or 1-2 qian), Chenpi (Citri Reticulatae Pericarpium, 2 qian), Fuling (Poria, 3 qian), Yichen (Artemisiae Scopariae Herba, 2 qian). Decoct in water and take after meals.
If there is lower abdominal distension and pain, add Wuyao (Linderae Radix) and Xiangfu (Cyperi Rhizoma).