夫服乳石之人。膈间有寒。胃脘有热。寒热相搏。气逆攻腹。乘心攻心腹痛。其寒气盛。
乘
方
前胡散（出圣惠方）治乳石发动。心胸壅闷。腹痛寒噤不食。
前胡（去芦） 槟榔 桂心（各半两） 赤茯苓（二两） 白术（二分） 犀角屑 赤
芍药（各
三两）
至
六分。
木香散（出圣惠方）治乳石发动。心腹痛噤。四肢寒颤。不欲饮食。
木香（半两） 犀角屑 赤芍药 白术（各三分） 当归（锉炒三分） 人参（去芦） 枳
壳
（麸炒
二枚。
煎
白术散（出圣惠方）治乳石发动。体颤寒热。心腹痛噤。不能饮食。
白术 柴胡（各一两去苗） 当归（锉微炒三分） 青橘皮（三分去白焙） 桔梗（去
芦半两）
甘
枚。
煎
茅香花散（出圣惠方）治乳石发动。心腹痛噤。吐逆不下食。
茅香花 桂心（各半两） 芎 槟榔 赤芍药（各三两） 麦门冬（一两半去心焙） 上
为
粗散
人参汤 疗心腹痛不解。若通身颤寒者。荣卫不通故也。
人参 枳壳（炙） 黄芩 甘草（炙） 茯苓（各一两） 麻黄（三两去节） 上切。
以水八
升。煮
治腹痛不可忍者。
取盐一合。熬以水二升。煮取水一升。顿服即得吐止。若吐利止。心中烦闷。及渴不止。
取
少
桔梗汤（出圣济总录）治乳石发动。心腹痛。冷热相搏。
若心腹内有诸疾痛违常。烦闷 乱者。急解之（出肘后方）
取冷热清酒一二升。渐渐稍进。觉少宽更进冷食。其心痛者。最急。若肉冷口噤。但折
齿。
也。
之。
服用乳石类药物的人，膈间有寒邪，胃脘有热邪。寒热相互搏结，导致气机逆乱攻冲腹部，进而侵犯心脏，引起心腹痛。如果寒气特别旺盛，
前胡散（出自《圣惠方》）治疗乳石药性发作。症状表现为心胸壅塞闷痛，腹痛伴有寒战咬牙，不能进食。
处方组成：前胡（去除芦头）、槟榔、桂心（各半两）、赤茯苓（二两）、白术（二分）、犀角屑、赤芍药（各三两）。
[注：原文此处“至六分”似为剂量或用法残留，结合上下文及常规方剂结构，主要成分如上]。
木香散（出自《圣惠方》）治疗乳石药性发作。症状表现为心腹痛伴咬牙寒战，四肢寒冷颤抖，不想饮食。
处方组成：木香（半两）、犀角屑、赤芍药、白术（各三分）、当归（锉碎炒制三分）、人参（去芦头）、枳壳（麸皮炒制，约二枚）。
[注：原文此处煎服法缺失，依古方惯例应为水煎温服]。
白术散（出自《圣惠方》）治疗乳石药性发作。症状表现为身体颤抖、忽冷忽热，心腹痛伴咬牙，无法进食。
处方组成：白术、柴胡（各一两，去苗）、当归（锉碎微炒三分）、青橘皮（三分，去白焙干）、桔梗（去芦头半两）。
[注：原文此处甘草用量及煎服法文字错乱，依古方惯例应含甘草，水煎服]。
茅香花散（出自《圣惠方》）治疗乳石药性发作。症状表现为心腹痛伴咬牙，呕吐逆气，食物无法下行。
处方组成：茅香花、桂心（各半两）、川芎、槟榔、赤芍药（各三两）、麦门冬（一两半，去心焙干）。
上药研为粗散。
人参汤 治疗心腹痛持续不缓解。如果全身颤抖发冷，这是因为营卫之气不通畅所致。
处方组成：人参、枳壳（炙）、黄芩、甘草（炙）、茯苓（各一两）、麻黄（三两，去节）。
上药切碎。
用水八升，煮取... [原文此处截断，意为煎煮取汁]。
治疗腹痛剧烈难以忍受的情况。
取盐一合，加水二升熬煮，煎取药液一升，一次性服用即可止吐。如果呕吐和腹泻停止后，心中烦闷，以及口渴不止，
取... [原文此处截断]。
桔梗汤（出自《圣济总录》）治疗乳石药性发作。症状表现为心腹痛，冷热邪气相互搏结。
如果心腹内有各种疾病疼痛异常，烦躁闷乱，紧急情况下需解除病邪（出自《肘后方》）。
取清酒一二升（冷热均可），慢慢少量饮用。感觉稍舒缓后再进冷食。如果是心痛，最为紧急。如果出现肌肉寒冷、牙关紧闭，只需咬紧牙齿... [原文此处语义未完]。
也。 [原文结尾残缺]
Individuals who consume mineral stones (Rushi, a type of mineral drug) often have cold in the diaphragm and heat in the epigastrium. Cold and heat contend with each other, causing Qi rebellion attacking the abdomen, which then invades the Heart, resulting in Heart-Abdominal Pain. If the Cold pathogen is particularly vigorous,
Qianhu San (Anterior Stem Decoction, from *Shenghui Fang*) treats the onset of Mineral Stone toxicity. Symptoms include chest and heart oppression and stuffiness, abdominal pain with chills and clenched teeth, and inability to eat.
Ingredients: Qian Hu (Peucedani Radix, de-rhizome), Bing Lang (Arecae Semen), Gui Xin (Cinnamomi Cortex), each half tael; Chi Fu Ling (Poria with Red Wood, two taels); Bai Zhu (Atractylodis Macrocephalae Rhizoma, two fen); Xi Jiao Xie (Rhinocerotis Cornu, shaved); Chi Shao Yao (Paeoniae Radix Rubra), each three taels.
[Note: The phrase "Zhi Liu Fen" appears fragmented in the source text.]
Muxiang San (Costus Root Decoction, from *Shenghui Fang*) treats the onset of Mineral Stone toxicity. Symptoms include Heart-Abdominal Pain with clenched teeth and chills, cold trembling of the four limbs, and lack of appetite.
Ingredients: Mu Xiang (Aucklandiae Radix, half tael); Xi Jiao Xie (Rhinocerotis Cornu, shaved); Chi Shao Yao (Paeoniae Radix Rubra); Bai Zhu (Atractylodis Macrocephalae Rhizoma), each three fen; Dang Gui (Angelicae Sinensis Radix, sliced and stir-fried, three fen); Ren Shen (Ginseng Radix, de-rhizome); Zhi Ke (Aurantii Fructus Immaturus, bran-fried, approximately two pieces).
[Note: Decoction instructions are missing in the source text.]
Baizhu San (Atractylodis Macrocephalae Rhizoma Decoction, from *Shenghui Fang*) treats the onset of Mineral Stone toxicity. Symptoms include body trembling, alternating chills and fever, Heart-Abdominal Pain with clenched teeth, and inability to eat.
Ingredients: Bai Zhu (Atractylodis Macrocephalae Rhizoma); Chai Hu (Bupleuri Radix, de-radicle), each one tael; Dang Gui (Angelicae Sinensis Radix, sliced and lightly stir-fried, three fen); Qing Ju Pi (Citri Reticulatae Pericarpium Viride, de-albedo and baked, three fen); Jie Geng (Platycodonis Radix, de-rhizome, half tael).
[Note: Gan Cao (Licorice Root) dosage and decoction method are garbled in the source text.]
Maoxiang Hua San (Maoxiang Flower Decoction, from *Shenghui Fang*) treats the onset of Mineral Stone toxicity. Symptoms include Heart-Abdominal Pain with clenched teeth, vomiting and regurgitation, and food failing to descend.
Ingredients: Mao Xiang Hua (Excoecariae Flos); Gui Xin (Cinnamomi Cortex), each half tael; Xiong Duan (Ligustici Chuanxiong Rhizoma); Bing Lang (Arecae Semen); Chi Shao Yao (Paeoniae Radix Rubra), each three taels; Mai Men Dong (Ophiopogonis Tuber, de-heart and baked, one tael and a half).
The above herbs are processed into coarse powder.
Renshen Tang (Ginseng Decoction) treats persistent Heart-Abdominal Pain that does not resolve. If there is whole-body trembling and cold, it is due to the obstruction of Ying and Wei (Nutritive and Defensive Qi).
Ingredients: Ren Shen (Ginseng Radix); Zhi Ke (Aurantii Fructus Immaturus, roasted); Huang Qin (Scutellariae Radix); Gan Cao (Licorice Radix et Rhizoma, roasted); Fu Ling (Poria), each one tael; Ma Huang (Ephedrae Herba, de-joints, three taels).
The above herbs are cut.
Boil with eight sheng of water... [Source text cuts off].
Treats unbearable abdominal pain.
Take one he of salt, boil with two sheng of water, decoct to obtain one sheng of liquid. Take once orally to stop vomiting. If vomiting and diarrhea cease but there is mental restlessness and unquenchable thirst,
Take... [Source text cuts off].
Jiegeng Tang (Platycodon Decoction, from *Shengji Zonglu*) treats the onset of Mineral Stone toxicity. Symptoms include Heart-Abdominal Pain caused by the contention of Cold and Heat pathogens.
If there are various internal pains and abnormalities in the Heart and Abdomen, accompanied by vexation and confusion, urgently resolve the pathogen (from *Zhouhou Fang*).
Take one to two sheng of clear wine (cold or hot), gradually advance small amounts. When feeling slightly relieved, proceed to cold food. For Heart Pain, it is most urgent. If muscles are cold and teeth are clenched, simply bite down... [Source text ends abruptly].
Ye. [End of fragment]