(附论)
夫膈气妨闷者,由忧恚思虑,冷热不调,气结胸中,上下痞满,致饮食噎塞,津液不通,
虚
方
大腹皮散(出圣惠方)
治膈气,心胸壅滞妨闷。
大腹皮(锉) 赤茯苓 白术 丁香 陈橘皮(汤浸去白瓤焙) 芎 草豆蔻(去皮)
木
香(
粗皮涂生
姜汁
时候
白术散(出圣惠方)
治膈气不散,胸中噎塞不下,食时妨闷。
白术(半两) 半夏(一两汤洗七次去滑) 赤茯苓(一两) 大腹皮(一两锉) 人
参(三分)
陈
去芦头)
浓朴(一两去粗皮涂姜汁炙令香熟) 槟榔(一两) 上为散,每服三钱,水一盏,入生姜
半分
,煎至六分,去滓,不计时候,稍热服。
槟榔散(出圣惠方)
治膈气,心胸妨闷,不下饮食。
槟榔(三分) 前胡(一两去芦头) 桂心(半两) 郁李仁(三分汤浸去皮炒) 草
豆蔻(半
两去
(三分)
甘
热
服
紫苏散(出圣惠方)
治膈气。胸中妨闷。痰壅。不下食。
紫苏叶(三两) 陈橘皮(一两汤浸去白瓤焙) 半夏(一两汤洗七次去滑) 枳壳(三
分麸
炒微
散,每服
三钱
枳壳丸(出圣惠方)
治膈气胀满,吃食妨闷,脚手疼烦,渐加羸瘦,四肢无力。
枳壳(一两麸炒微黄去瓤) 木香(一两) 槟榔(一两) 麦门冬(一两半去心焙) 羚
羊角
屑(
三二百
杵,
诃黎勒丸(出圣惠方)
治膈气,心腹妨闷,不能下食。
诃黎勒皮(二两) 槟榔(一两) 木香(一两) 陈橘皮(一两汤浸去白瓤焙) 五
味子(一
两)
下二十丸
桃仁散(出圣惠方)
治膈气,心胸妨闷,常欲呕吐,汤水不下。
桑根白皮(一两锉) 桃仁(一两汤浸去皮尖双仁麸炒黄) 木香(半两) 上为散,
每服三钱,
(附论)
所谓膈气妨闷,是由于忧愁愤怒、思虑过度,加上冷热失调,导致气机郁结于胸中,上下痞塞胀满,致使饮食噎塞难下,津液运行不通。
虚(此处原文似有脱漏或排版错误,仅保留“虚”字,意指可能涉及虚证或原文残缺)
方剂
大腹皮散(出自《圣惠方》)
治疗膈气,心胸壅滞不畅、烦闷不适。
大腹皮(切碎)、赤茯苓、白术、丁香、陈橘皮(用汤浸泡后去除白色瓤部并焙干)、川芎、草豆蔻(去皮)、木香(取粗皮,涂生姜汁,在适当时候使用)。
白术散(出自《圣惠方》)
治疗膈气不散,胸中噎塞感强烈且食物难以下咽,进食时感到烦闷不适。
白术(半两)、半夏(一两,用水清洗七次以去除滑腻之性)、赤茯苓(一两)、大腹皮(一两,切碎)、人参(三分,去芦头)、陈橘皮(一两,去芦头)、浓朴(一两,去除粗皮,涂姜汁炙烤至香气透发且熟透)、槟榔(一两)。以上药物研为散剂,每次服用三钱,加水一盏,放入生姜半分,煎煮至剩余六分药液,滤去药渣,不限时间,稍热时服用。
槟榔散(出自《圣惠方》)
治疗膈气,心胸烦闷不适,饮食难以下咽。
槟榔(三分)、前胡(一两,去芦头)、桂心(半两)、郁李仁(三分,用水浸泡后去皮炒制)、草豆蔻(半两,去皮)、[原文此处可能有缺字,推测为其他药材](三分)、甘[原文残缺,推测为甘草或其他甘味药]、[原文残缺]热服。
紫苏散(出自《圣惠方》)
治疗膈气。胸中烦闷不适。痰浊壅盛。无法进食。
紫苏叶(三两)、陈橘皮(一两,用水浸泡后去除白色瓤部并焙干)、半夏(一两,用水清洗七次以去除滑腻之性)、枳壳(三分,麸炒至微黄)。[原文此处描述制作方法及服用方法残缺,推测为研为散剂,每次服用三钱]。
枳壳丸(出自《圣惠方》)
治疗膈气引起的胀满,进食时烦闷不适,手脚疼痛烦躁,逐渐消瘦,四肢无力。
枳壳(一两,麸炒至微黄后去除瓤部)、木香(一两)、槟榔(一两)、麦门冬(一两半,去心并焙干)、羚羊角屑([原文残缺,推测为用量])。[原文此处描述制作成丸剂的方法残缺,如捣杵等]。
诃黎勒丸(出自《圣惠方》)
治疗膈气,心腹部烦闷不适,不能进食。
诃黎勒皮(二两)、槟榔(一两)、木香(一两)、陈橘皮(一两,用水浸泡后去除白色瓤部并焙干)、五味子(一两)。[原文此处描述服用方法残缺,推测为每次服用二十丸]。
桃仁散(出自《圣惠方》)
治疗膈气,心胸烦闷不适,经常想要呕吐,连汤水都无法咽下。
桑根白皮(一两,切碎)、桃仁(一两,用水浸泡后去皮尖及双仁部分,麸炒至黄色)、木香(半两)。以上药物研为散剂,每次服用三钱,[原文此处描述服用方法残缺]。
(Attached Discussion)
The condition of "Ge Qi" (Diaphragmatic Qi Stagnation) characterized by oppression and stuffiness arises from excessive worry, anger, and rumination, combined with disharmony between cold and heat. This leads to the knotting of Qi in the chest, causing distension and fullness above and below, resulting in dysphagia (difficulty swallowing), obstruction of food intake, and impaired flow of body fluids (Jin Ye).
Deficiency (Note: The original text contains only the character "Xu", implying a deficiency pattern or indicating a textual lacuna.)
Formulas
Dafupi San (Great Belly Skin Powder)
(Source: *Shenghui Fang*)
Indications: Ge Qi, with stagnation and oppression in the heart and chest causing discomfort.
Ingredients: Dafupi (Arecae Pericarpium, sliced), Chifuling (Polyporus), Baizhu (Atractylodis Macrocephalae Rhizoma), Dingxiang (Caryophylli Flos), Chenjupi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, and dried), Xiong (Ligustici Chuanxiong Rhizoma), Caodoukou (Alpiniae Katsumadai Semen, peel removed), Muxiang (Aucklandiae Radix [taken with coarse skin, coated with fresh ginger juice, used at appropriate times]).
Baizhu San (Atractylodis Macrocephalae Rhizoma Powder)
(Source: *Shenghui Fang*)
Indications: Persistent Ge Qi, severe sensation of blockage in the chest making it difficult to swallow food, and discomfort during eating.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang), Banxia (Pinelliae Tuber, 1 liang, washed seven times in water to remove slipperiness), Chifuling (Polyporus, 1 liang), Dafupi (Arecae Pericarpium, 1 liang, sliced), Renshen (Ginseng Radix et Rhizoma, 3 fen, radix removed), Chenjupi (Citri Reticulatae Pericarpium, 1 liang, radix removed), Houpo (Magnoliae Officinalis Cortex, 1 liang, coarse bark removed, coated with ginger juice, and roasted until fragrant and cooked), Binglang (Arecae Semen, 1 liang).
Preparation and Administration: Grind the above ingredients into a powder. Take 3 qian per dose, add one cup of water and half a fen of fresh ginger, decoct until 0.6 cup remains, strain, and take warm at any time.
Binglang San (Arecae Semen Powder)
(Source: *Shenghui Fang*)
Indications: Ge Qi, with oppression and discomfort in the heart and chest, and inability to ingest food.
Ingredients: Binglang (Arecae Semen, 3 fen), Qianhu (Peucedani Radix, 1 liang, radix removed), Guixin (Cinnamomi Ramulus/Cortex, 0.5 liang), Yuliren (Pruni Armeniacae Semen, 3 fen, soaked in water, peel removed, and stir-fried), Caodoukou (Alpiniae Katsumadai Semen, 0.5 liang, peel removed)... [Text lacuna regarding other ingredients and preparation]. Take hot.
Zisu San (Perillae Folium Powder)
(Source: *Shenghui Fang*)
Indications: Ge Qi. Oppression and discomfort in the chest. Phlegm-fluid retention (Tan Yong). Inability to eat.
Ingredients: Zisuye (Perillae Folium, 3 liang), Chenjupi (Citri Reticulatae Pericarpium, 1 liang, soaked in water, white pith removed, and dried), Banxia (Pinelliae Tuber, 1 liang, washed seven times in water to remove slipperiness), Zhike (Aurantii Fructus Immaturus, 3 fen, stir-fried with bran until slightly yellow)... [Text lacuna regarding preparation and administration, likely powder, 3 qian per dose].
Zhike Wan (Aurantii Fructus Immaturus Pill)
(Source: *Shenghui Fang*)
Indications: Ge Qi with distension and fullness, discomfort when eating, pain and irritability in hands and feet, progressive emaciation, and weakness in the four limbs.
Ingredients: Zhike (Aurantii Fructus Immaturus, 1 liang, stir-fried with bran until slightly yellow, pith removed), Muxiang (Aucklandiae Radix, 1 liang), Binglang (Arecae Semen, 1 liang), Maidong (Ophiopogonis Tuber, 1.5 liang, core removed and dried), Lingyangjiaoxie (Saigae Tataricae Cornu, shavings)... [Text lacuna regarding pill preparation method, such as pounding].
Helile Wan (Terminalia Chebula Fruit Peel Pill)
(Source: *Shenghui Fang*)
Indications: Ge Qi, with oppression and discomfort in the heart and abdomen, and inability to eat.
Ingredients: Helilepi (Terminalia Chebulae Pericarpium, 2 liang), Binglang (Arecae Semen, 1 liang), Muxiang (Aucklandiae Radix, 1 liang), Chenjupi (Citri Reticulatae Pericarpium, 1 liang, soaked in water, white pith removed, and dried), Wuweizi (Schisandrae Chinensis Fructus, 1 liang)... [Text lacuna regarding administration, likely 20 pills per dose].
Taoren San (Persicae Semen Powder)
(Source: *Shenghui Fang*)
Indications: Ge Qi, with oppression and discomfort in the heart and chest, frequent desire to vomit, and inability to swallow even liquids.
Ingredients: Sangbaipipi (Mori Cortex, 1 liang, sliced), Taoren (Persicae Semen, 1 liang, soaked in water, peel and pointed ends removed, double-kernel seeds discarded, stir-fried with bran until yellow), Muxiang (Aucklandiae Radix, 0.5 liang).
Preparation and Administration: Grind the above ingredients into a powder. Take 3 qian per dose... [Text lacuna regarding administration].