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补虚治小肠 · 普济方 · 医典·华经

普济方

补虚治小肠1252 / 2015

普济方 · 补虚治小肠 · 明

古文

（附论）
夫肾与膀胱俱虚。其气盛有余。则病小肠痼。二经俱虚。则寒邪乘之。久而不愈。传为
小肠
方
香子丸（出圣济总录）治小肠虚寒。撮痛。
香子（炒）蜀椒（去目合口者炒取红）附子（炮裂去皮脐）巴戟（去心）木
香青桔
皮（
饼炙）干
蝎（
黄（舶
上者
蜜杵
葫芦巴散（出圣济总录一名补骨脂丸）治肾脏虚惫。腰膝痛。小肠膀胱等气
攻
冲。
内固丸（出圣济总录）治下元虚冷。脐撮痛。及小肠气疼。
丹砂（研一两）砂（水飞研一分）香子（炒）芫花（醋化煮炒焦黄色）玄
胡索（研）
海
没药
（
如桐
子
楝实散治小肠撮痛。
楝实（锉炒）莪术（煨锉）三棱（煨锉）芎补骨脂（炒）菟丝子（酒浸另
捣各半两）
木
服二钱
许
香附子丸治积年伤惫。小肠久冷及气。
附子（炮去皮脐）桂（去皮）葫芦巴马蔺花（炒）香子（炒）青皮（去白
焙）楝实
（取
桐子大。
每
木香丸治下元虚冷。脐腹撮疼。及膀胱小肠气痛。
木香（半两）干蝎（去土炒）阿魏（醋化面作饼炙各一两）香子（炒）天麻
（酒浸切
焙）
每
服一丸
玉蕊丸治元阳虚惫。脐腹冷疼。面黄肌瘦。多困少力。腰膝酸疼。饮食减少。膀
胱小肠气
木香（三分）茴香子（炒）蝎梢（各半两）附子（炮去皮脐一两）白矾（烧令
汁枯一分）
阳
每服二
十
撮
吴茱萸散治小肠虚冷气痞。腹如刀刺。或绕脐结痛冷汗。宜服。
吴茱萸（一分汤泡焙干微炒）浓朴（半两去皮涂姜汁炙）芎（半两）干姜（半
两炮锉）
附
去
滓
鹿茸丸治小肠虚冷。小便数多。
鹿茸（一两去毛酥炙微黄）白龙骨（一两烧过）桑螵蛸（三分微炒）附子（一两
半泡去
皮
空心。
盐汤
芍药汤治小肠虚冷。时发搐痛。不思饮食。或时干哕。补虚脏腑。
芍药牡丹皮莎草根（炒去皮）高良姜（各一两）木香附子（炮去皮脐各半两）
上
锉如
青盐丸治下元积冷。伤惫筋骨无力。小肠气痛。并肾脏风毒。腰膝乏力沉重。
青盐（研一两）天雄（炮去皮脐）茴香子（炒）青皮（汤泡去白炒）附子（炮
去皮脐各
一两）
味
外。捣
腽肭脐散治下元久冷。虚气攻刺心脾。小肠冷疼不可忍。
腽肭脐（切焙）吴茱萸（洗焙炒）甘松（焙洗）陈皮（浸去白）良姜（各一分）
上为
末。先
无灰酒
正元煮散补虚。治小肠气。
楝实（取肉炒）木香桂（去皮各半两）甘草（炙一两）茴香子（炒一分）上
为散。每服三
巴戟煎丸治小肠积冷。饮食减少。面多虚黄。手足常冷。\x
巴戟（一两另研末去心）舶上茴香（二两炒）川楝子（二两面炒）马蔺（二两醋
炒紫色）牛
浸三日焙干）破故
好酒二升。入白麸少许。
同熬成膏。拌众药匀。再杵三五百下。丸如桐子大。每服十五丸。至二十丸。空心盐汤下。

白话

（附论）
肾脏与膀胱同时虚弱。如果肾气盛而有余，就会引发小肠的顽固性疾病。如果这两经都虚弱，寒邪就会趁虚侵袭，久而久之不愈，就会传变为小肠的病证。

方剂：
香子丸（出自《圣济总录》），治疗小肠虚寒引起的撮痛（牵引性疼痛）。
药材：香子（炒制）、蜀椒（去除目和闭合口者，炒至变红）、附子（炮裂后去皮和脐）、巴戟天（去心）、木香、青桔皮（用饼炙烤）、干蝎（焙黄）、黄耆（选用舶上来者，用蜜捣碎）、葫芦巴散（出自《圣济总录》，又名补骨脂丸），治疗肾脏虚惫、腰膝疼痛以及小肠、膀胱等部位的气机攻冲。

内固丸（出自《圣济总录》），治疗下元虚冷、肚脐周围牵引性疼痛，以及小肠气疼痛。
药材：丹砂（研细一两）、硇砂（水飞研细一分）、香子（炒制）、芫花（醋化后煮炒至焦黄色）、玄胡索（研细）、没药（如桐子大小）。

楝实散，治疗小肠牵引性疼痛。
药材：楝实（锉碎炒制）、莪术（煨后锉碎）、三棱（煨后锉碎）、川芎、补骨脂（炒制）、菟丝子（酒浸后另捣，各半两）。
用法：每次服用二钱许。

香附子丸，治疗积年劳损疲惫、小肠久冷以及疝气。
药材：附子（炮制去皮和脐）、桂枝（去皮）、葫芦巴、马蔺花（炒制）、香子（炒制）、青皮（去白后焙干）、楝实（制成桐子大小的丸剂）。
用法：每服若干丸。

木香丸，治疗下元虚冷、脐腹部牵引性疼痛，以及膀胱和小肠气痛。
药材：木香（半两）、干蝎（去土炒制）、阿魏（醋化后用面做成饼炙烤，各一两）、香子（炒制）、天麻（酒浸切开后焙干）。
用法：每服一丸。

玉蕊丸，治疗元阳虚惫、脐腹部冷痛、面色发黄肌肉消瘦、多困倦少力气、腰膝酸痛、饮食减少、膀胱和小肠气痛。
药材：木香（三分）、茴香子（炒制）、蝎梢（各半两）、附子（炮制去皮和脐一两）、白矾（烧至汁液干枯一分）。
用法：每服二十丸。

吴茱萸散，治疗小肠虚冷气痞，腹部像刀刺一样疼痛，或者绕脐结聚疼痛出冷汗，适宜服用。
药材：吴茱萸（一分，汤泡后焙干微炒）、浓朴（半两，去皮涂姜汁炙烤）、川芎（半两）、干姜（半两，炮制锉碎）、附子（去皮）。
用法：去渣滓。

鹿茸丸，治疗小肠虚冷、小便次数多。
药材：鹿茸（一两，去毛后用酥炙至微黄）、白龙骨（一两，烧过）、桑螵蛸（三分，微炒）、附子（一两半，炮制去皮）。
用法：空腹，盐汤送服。

芍药汤，治疗小肠虚冷，时常发作抽搐疼痛，不想吃东西，或者时常干呕，具有补益虚损脏腑的作用。
药材：芍药、牡丹皮、莎草根（炒制去皮）、高良姜（各一两）、木香、附子（炮制去皮和脐各半两）。
用法：上药锉如粗末。

青盐丸，治疗下元积冷、伤惫导致筋骨无力、小肠气痛，以及肾脏风毒、腰膝乏力沉重。
药材：青盐（研细一两）、天雄（炮制去皮和脐）、茴香子（炒制）、青皮（汤泡去白后炒制）、附子（炮制去皮和脐各一两）。
用法：味，外捣。

腽肭脐散，治疗下元久冷、虚气攻刺心脾、小肠冷痛不可忍受。
药材：腽肭脐（切后焙干）、吴茱萸（洗后焙炒）、甘松（焙后洗）、陈皮（浸后去白）、良姜（各一分）。
用法：上为末。先无灰酒。

正元煮散，补虚，治疗小肠气。
药材：楝实（取肉炒制）、木香、桂枝（去皮各半两）、甘草（炙一两）、茴香子（炒一分）。
用法：上为散。每服三钱。

巴戟煎丸，治疗小肠积冷、饮食减少、面色多虚黄、手足常冷。
药材：巴戟天（一两，另研末去心）、舶上茴香（二两，炒制）、川楝子（二两，面炒制）、马蔺（二两，醋炒至紫色）、牛膝（浸三日焙干）、破故纸（即补骨脂）。
用法：好酒二升，入白麸少许，同熬成膏，拌众药匀，再杵三五百下，丸如桐子大。每服十五丸，至二十丸，空心盐汤下。

英文

(Attached Discussion)
When both the Kidney and Bladder are deficient, if the Qi of the Kidney is excessive and surplus, it leads to stubborn diseases of the Small Intestine. If both meridians are deficient, Cold Evil invades them; if left untreated for a long time, it transmits into diseases of the Small Intestine.

Prescriptions:

Xiangzi Wan (Cibet Seed Pill), from *Shengji Zonglu*, treats deficiency-cold of the Small Intestine causing pulling pain (Cuotong).
Ingredients: Xiangzi (Styrax Benzoin Resin, stir-fried), Shujiao (Sichuan Pepper, remove eyes and closed mouths, stir-fry until red), Fuzi (Prepared Aconite Root, cracked, peel removed, navel removed), Bajitian (Morinda Root, heart removed), Muxiang (Aucklandia Root), Qingju pi (Green Tangerine Peel, roasted with cake), Ganxie (Dried Scorpion, roasted yellow), Huangqi (Astragalus Root, best imported by sea, pounded with honey), Huluba San (Huluba Powder, also known as Buguzhi Wan), treats Kidney deficiency exhaustion, pain in waist and knees, and Qi attacking/pushing sensations in the Small Intestine and Bladder.

Neigu Wan (Inner Solidification Pill), from *Shengji Zonglu*, treats deficiency-cold of the Lower Origin, pulling pain around the umbilicus, and Qi pain of the Small Intestine.
Ingredients: Dansha (Cinnabar, ground, 1 liang), Naosha (Sal Ammoniac, water-floated and ground, 1 fen), Xiangzi (Styrax Benzoin Resin, stir-fried), Yuanhua (Genkwa Flower, dissolved in vinegar, boiled, stir-fried until scorched yellow), Yanhusuo (Corydalis Rhizome, ground), Moyao (Myrrh, size of Toona seeds).

Lianshi San (Toona Fruit Powder), treats pulling pain of the Small Intestine.
Ingredients: Lianshi (Toona Fruit, chopped and stir-fried), Ezhu (Curcuma Rhizome, baked and chopped), Sanleng (Sparganium Rhizome, baked and chopped), Xiong (Ligusticum Chuanxiong Rhizome), Buguzhi (Psoralea Fruit, stir-fried), Tusizi (Dodder Seed, soaked in wine and pounded separately, each 0.5 liang).
Usage: Take approximately 2 qian per dose.

Xiangfuzi Wan (Cyperus Fruit Pill), treats chronic injury and exhaustion, chronic cold of the Small Intestine, and hernia (Qi).
Ingredients: Fuzi (Prepared Aconite Root, peeled, navel removed), Gui (Cinnamon Twig, bark removed), Huluba (Fenugreek Seed), Malinhua (Iris Laevigata Flower, stir-fried), Xiangzi (Styrax Benzoin Resin, stir-fried), Qingpi (Green Tangerine Peel, white pith removed, dried), Lianshi (Toona Fruit, made into pills the size of Toona seeds).
Usage: Take a certain number of pills per dose.

Muxiang Wan (Aucklandia Pill), treats deficiency-cold of the Lower Origin, pulling pain in the umbilical and abdominal region, and Qi pain of the Bladder and Small Intestine.
Ingredients: Muxiang (Aucklandia Root, 0.5 liang), Ganxie (Dried Scorpion, earth removed, stir-fried), Awèi (Asafoetida, dissolved in vinegar, made into cakes with flour and roasted, each 1 liang), Xiangzi (Styrax Benzoin Resin, stir-fried), Tianma (Gastrodia Rhizome, soaked in wine, sliced, dried).
Usage: Take one pill per dose.

Yurui Wan (Jade Stamen Pill), treats deficiency exhaustion of Primordial Yang, cold pain in the umbilical and abdominal region, sallow complexion with emaciation, lethargy and weakness, soreness and pain in the waist and knees, decreased appetite, and Qi pain of the Bladder and Small Intestine.
Ingredients: Muxiang (Aucklandia Root, 3 fen), Huixiangzi (Fennel Fruit, stir-fried), Xieshao (Scorpion Tail, each 0.5 liang), Fuzi (Prepared Aconite Root, peeled, navel removed, 1 liang), Baijian (Alum, burned until juice is dry, 1 fen).
Usage: Take 20 pills per dose.

Wuzhuyu San (Evodia Powder), treats deficiency-cold Qi stagnation in the Small Intestine, stabbing abdominal pain like a knife, or knotted pain around the umbilicus with cold sweat. Suitable for use.
Ingredients: Wuzhuyu (Evodia Fruit, 1 fen, soaked in boiling water, dried, slightly stir-fried), Houpo (Magnolia Bark, 0.5 liang, peeled, roasted with ginger juice), Xiong (Ligusticum Chuanxiong Rhizome, 0.5 liang), Jiangjiang (Dried Ginger, 0.5 liang, prepared and chopped), Fuzi (Prepared Aconite Root, peel removed).
Usage: Strain the dregs.

Lurong Wan (Deer Antler Pill), treats deficiency-cold of the Small Intestine and frequent urination.
Ingredients: Lurong (Deer Antler, 1 liang, hair removed, roasted with butter until slightly yellow), Bailonggu (Fossilized Bone, 1 liang, calcined), Sangpiaoxiao (Mantis Egg-case, 3 fen, slightly stir-fried), Fuzi (Prepared Aconite Root, 1.5 liang, prepared, peel removed).
Usage: Take on an empty stomach with salt water.

Shaoyao Tang (Peony Decoction), treats deficiency-cold of the Small Intestine, intermittent spasmodic pain, loss of appetite, or occasional dry heaving. It tonifies deficiency and benefits the Zang-Fu organs.
Ingredients: Shaoyao (Peony Root), Mudanpi (Tree Peony Bark), Suocaogen (Cyperus Rhizome, stir-fried, peel removed), Gaoliangjiang (Galangal Root, each 1 liang), Muxiang (Aucklandia Root), Fuzi (Prepared Aconite Root, peeled, navel removed, each 0.5 liang).
Usage: Chop the above herbs into coarse pieces.

Qingyan Wan (Blue Salt Pill), treats accumulation of cold in the Lower Origin, injury leading to weakness in sinews and bones, Qi pain of the Small Intestine, Wind-Toxin of the Kidney, and heaviness/weakness in the waist and knees.
Ingredients: Qingyan (Blue Salt, ground, 1 liang), Tianxiong (Aconitum Carmichaelii Deauxradix, prepared, peel and navel removed), Huixiangzi (Fennel Fruit, stir-fried), Qingpi (Green Tangerine Peel, soaked in water, white pith removed, stir-fried), Fuzi (Prepared Aconite Root, peeled, navel removed, each 1 liang).
Usage: Pound externally.

Tan'naqi San (Otter Bladder Powder), treats chronic cold of the Lower Origin, deficient Qi attacking and piercing the Heart and Spleen, unbearable cold pain of the Small Intestine.
Ingredients: Tan'naqi (Otter Bladder, sliced and dried), Wuzhuyu (Evodia Fruit, washed, dried, stir-fried), Gansong (Nardostachys Root, dried, washed), Chenpi (Aged Tangerine Peel, soaked, white pith removed), Liangjiang (Galangal Root, each 1 fen).
Usage: Make into powder. First, use non-fermented wine.

Zhengyuan Zhusan (Primary Origin Boiled Powder), tonifies deficiency, treats Qi of the Small Intestine.
Ingredients: Lianshi (Toona Fruit flesh, stir-fried), Muxiang (Aucklandia Root), Gui (Cinnamon Twig, bark removed, each 0.5 liang), Gancao (Licorice Root, roasted, 1 liang), Huixiangzi (Fennel Fruit, stir-fried, 1 fen).
Usage: Make into powder. Take 3 qian per dose.

Baji Jianwan (Morinda Decoction Pill), treats accumulation of cold in the Small Intestine, decreased appetite, sallow complexion, and constant coldness of hands and feet.
Ingredients: Bajitian (Morinda Root, 1 liang, pounded into powder separately, heart removed), Boshang Huixiang (Imported Fennel Fruit, 2 liang, stir-fried), Chuanlianzi (Toona Fruit, 2 liang, stir-fried with flour), Malin (Iris Laevigata, 2 liang, stir-fried with vinegar until purple), Niuxi (Achyranthes Root, soaked for 3 days, dried), Poguzhi (Psoralea Fruit).
Usage: Use 2 sheng of good wine, add a little white bran. Simmer together into a paste, mix evenly with all herbs, pound 300-500 times more, make into pills the size of Toona seeds. Take 15-20 pills per dose on an empty stomach with salt water.