解铃丸(出杨氏家藏方)治奔豚气疼痛。手足拳缩。不可忍者。
茴香(一两同青盐一两研细同炒) 蝎梢(一分去毒炒) 蓬莪术(用纸数重裹油内蘸
灯上
烧过
空心
奔豚汤(出千金方)治气奔急欲绝者。
吴茱萸(一升) 石膏 人参 半夏 芎 (各三分) 桂心 芍药 生姜(各四分) 生
葛
根
升。煮
取
木香散(出圣惠方)治奔豚气上冲。心胸闷乱。脐腹胀痛。饮食转呕。
木香(一两) 青橘皮(半两汤浸去白瓤焙) 槟榔(一两) 白术(半两) 沉香(一
两)
香子
件药。捣细
罗为
治奔豚气及内外肾钓。并霍乱转筋。\x(出本草)
以椒叶和艾及葱。研以醋汤拌罨。并得。一方以椒叶捣传。外煎水洗脚。
内经谓病胁下满。气逆。二三岁不已。病名曰息积。夫消息者。阴阳之更迭也。今气聚
胁下
法不
厥逆上气。气攻两胁。心下痛满。
上以两手拇指压无名指本节。作拳。按捭趺坐。扣齿三十六。屏气二十一息。咽气三口。
再
皆不必拘此法。
方
化气汤(出三因方)治息积癖于腹胁之下。偏胀膨满。不妨饮食。诸药不能取
转。及治心脾
缩砂仁 桂心 木香(各一分) 甘草(炙) 茴香 丁香皮 青皮(炒) 陈皮 生
姜(干)
蓬
下。
桔梗丸 治息积。胁下气逆妨闷。岁久不已。
桔梗(锉碎) 枳实(麸炒) 鳖甲(去裙 醋炙) 人参 当归(切焙) 白术 干
姜桂
(去粗皮) 吴茱萸(汤浸焙干炒) 甘草(炙各三分) 大麦 ) 人参 诃黎勒皮 青橘皮(汤浸去
白焙)
白术
二十
丸。
白术丸(出宣明论)治息积。胁下妨闷。喘息气逆。呼吸引痛不已。
白术 枳实(麸炒) 桂(去粗皮各一两半) 人参(二两) 桔梗(锉炒) 陈橘皮
(汤浸去
白焙)
拘
时。日
赤茯苓汤 治息积。胁下气逆。满闷妨胀。
赤茯苓(去黑皮一两半) 大腹(锉半两) 高良姜(一两) 吴茱萸(汤洗七次焙干
炒三分)
诃
煎至
七
理气丸(出仁存方)治胁下满。气逆不妨于食。连年不已。由风寒之邪。客于
卫气。伏留不
橘红(一两) 桔梗 桂心 槟榔(各半两) 木香 杏仁(去皮尖各一分) 上为末。
炼蜜
丸。
槟榔汤 治息积。胁下气逆满闷。
槟榔(锉) 诃黎勒(煨去核各二两) 陈橘皮(浸去白焙三两) 吴茱萸(陈者淘七
次焙干
炒一
磨积丸(出三因方)治肠胃因虚。气癖于盲膜之外。流于季胁。气逆息难。积
日频年。医所
胡椒(一百五十粒) 木香(一分) 全蝎(十枚去毒一用蝎尾) 上为末。粟米饭丸
如绿
豆大。
陈橘皮汤 治息积胁下气逆满闷。\x
陈橘皮(汤浸去白焙干) 吴茱萸(陈者水淘七次炒干各一两半) 上粗捣筛。每服三
钱匕
水一
解铃丸(出自杨氏家藏方):治疗奔豚气引起的疼痛。手足蜷缩拘急,痛苦难以忍受。
药材:茴香(一两,与青盐一两一同研细后共同炒制)、蝎梢(一分,去毒并炒制)、蓬莪术(用多层纸包裹,在油中蘸湿,在灯火上烧过)。
服用方法:空腹服用。
奔豚汤(出自《千金方》):治疗气机奔冲急迫,感觉气息将断绝的情况。
药材:吴茱萸(一升)、石膏、人参、半夏、川芎(各三分)、桂心、芍药、生姜(各四分)、生葛根。
煎服法:用水煎煮,取汁液服用。
木香散(出自《圣惠方》):治疗奔豚气上冲心胸,导致心胸闷乱,脐部及腹部胀痛,饮食入胃即呕吐。
药材:木香(一两)、青橘皮(半两,经汤浸泡后去除白色内瓤,焙干)、槟榔(一两)、白术(半两)、沉香(一两)、香附子(原文“香子”疑为香附,此处保留原意或指代此类理气药,按常规理解为香附或类似理气药,但严格依原文提取实体,故列为香子/香附类,此处翻译为香附子以通顺,实体提取时注意)、其他药物。
制备与服用:将上述药物捣碎过筛成细粉。
(另一段关于外治法的描述,虽未明确方名,但属治疗奔豚及内外肾钓、霍乱转筋之法):
治疗方法:使用椒叶配合艾草和葱,研磨后用醋汤拌和,敷贴患处,这样即可见效。另一方法是直接将椒叶捣烂外敷,同时煎水清洗双脚。
《内经》记载:如果病症表现为胁下胀满,气机上逆,持续两三年不愈,这种病名为息积。所谓“息”,是指阴阳之气的更迭变化。如今气聚于胁下……(原文此处有缺漏,意为气滞不去,形成积聚)。
厥逆上气:气攻冲两胁,心下部疼痛胀满。
导引法:用双手拇指按压无名指本节处,握拳,盘腿跌坐,叩齿三十六次,屏住呼吸二十一次,吞咽津液三口。
注:以上导引法不必拘泥于此种具体操作。
化气汤(出自《三因方》):治疗息积癖块位于腹胁之下,偏侧肿胀膨满,但不影响饮食,且其他药物无法使其消散移动。同时也治疗心脾……(原文残缺)。
药材:缩砂仁、桂心、木香(各一分)、甘草(炙)、茴香、丁香皮、青皮(炒)、陈皮、生姜(干姜)。
制备:……(原文残缺,通常为捣罗为末或煎服)。
桔梗丸:治疗息积。胁下气机上逆,妨碍胸膈感到闷窒,日久不愈。
药材:桔梗(锉碎)、枳实(麸炒)、鳖甲(去除裙边,醋炙)、人参、当归(切片焙干)、白术、干姜、桂枝(去粗皮)、吴茱萸(汤浸后焙干炒)、甘草(炙,各三分)、大麦(原文此处可能有误,通常桔梗丸不含大麦,或为辅料,依原文列出)、人参(重复?原文结构混乱,依原文提取)、诃黎勒皮、青橘皮(汤浸去白焙)。
制备:……(原文残缺,通常为炼蜜为丸)。
白术丸(出自《宣明论》):治疗息积。胁下妨碍闷痛,喘息气逆,呼吸牵引疼痛不止。
药材:白术、枳实(麸炒)、桂枝(去粗皮,各一两半)、人参(二两)、桔梗(锉炒)、陈橘皮(汤浸去白焙)。
服用:不拘时间……(原文残缺)。
赤茯苓汤:治疗息积。胁下气机上逆,胀满闷痛。
药材:赤茯苓(去黑皮一两半)、大腹皮(锉半两)、高良姜(一两)、吴茱萸(汤洗七次焙干炒三分)、诃子(原文残缺)。
煎服:煎至……(原文残缺)。
理气丸(出自《仁存方》):治疗胁下胀满,气机上逆但不妨碍进食,连年不愈。这是由于风寒邪气客居于卫气之中,潜伏停留不……(原文残缺)。
药材:橘红(一两)、桔梗、桂心、槟榔(各半两)、木香、杏仁(去皮尖,各一分)。
制备:将上述药物研为细末,炼蜜为丸。
槟榔汤:治疗息积。胁下气机上逆,胀满闷痛。
药材:槟榔(锉)、诃黎勒(煨去核,各二两)、陈橘皮(浸去白焙三两)、吴茱萸(陈者淘洗七次焙干炒……(原文残缺)。
磨积丸(出自《三因方》):治疗肠胃因虚弱,气癖结于盲膜之外,流注于季胁,气逆呼吸困难,积聚日频年久,医生所……(原文残缺)。
药材:胡椒(一百五十粒)、木香(一分)、全蝎(十枚去毒,或用蝎尾)。
制备:将上述药物研为细末,用粟米饭做丸,如绿豆大小。
陈橘皮汤:治疗息积胁下气机上逆,胀满闷痛。
药材:陈橘皮(汤浸去白焙干)、吴茱萸(陈者水淘七次炒干,各一两半)。
制备:将上述药物粗捣筛匀。每服三钱匕……(原文残缺)。
Jieling Wan (Decoction of Untying the Bell, from Yang's Family Preserved Formulas): Treats pain caused by Ben Tun Qi (Rushing Pig Qi). The hands and feet are curled and contracted, unbearable in severity.
Herbs: Fennel Fructus (Fenhuixiang, 1 liang, ground finely together with 1 liang of Green Salt, then stir-fried together), Scorpion Tail (Xieshao, 1 fen, detoxified and stir-fried), Curcuma Zedoaria Rhizome (Peng Ezhu, wrapped in several layers of paper, dipped in oil, and roasted over a lamp flame).
Administration: Taken on an empty stomach.
Ben Tun Tang (Decoction for Rushing Pig Qi, from Qianjin Fang): Treats conditions where Qi rushes urgently as if breath were about to cease.
Herbs: Evodia Fruit (Wuzhuyu, 1 sheng), Gypsum Fibrosum (Shigao), Ginseng Radix et Rhizoma (Renshen), Pinellia Tuber (Banxia), Szechwan Lovage Rhizome (Xiongqiong, each 3 qian), Cinnamon Twig (Guixin), Peony Root (Shaoyao), Fresh Ginger (Shengjiang, each 4 qian), Kudzu Root (Sheng Gegen).
Preparation: Decocted in water to extract the liquid.
Muxiang San (Powder of Aromatic Wood, from Shenghui Fang): Treats Ben Tun Qi rushing upward, causing chest oppression and confusion, distending pain in the umbilical and abdominal regions, and vomiting after eating.
Herbs: Costus Root (Muxiang, 1 liang), Green Tangerine Peel (Qingjupi, 0.5 liang, soaked in hot water, white pith removed, dried), Areca Seed (Binglang, 1 liang), Atractylodes Macrocephala Rhizome (Baizhu, 0.5 liang), Agarwood (Chenxiang, 1 liang), Cyperus Rhizome (Xiangzi/Xiangfu, implied contextually as aromatic Qi-regulating herb).
Preparation: All herbs are crushed, sifted into fine powder.
(External Treatment Method for Ben Tun Qi, Internal/External Kidney Hook, and Huoluan with Muscle Cramps):
Method: Mix Pepper Leaves with Mugwort and Scallion, grind them, mix with vinegar soup, and apply as a compress. This is effective. Another method: Mash Pepper Leaves directly and apply externally, while simultaneously decocting water to wash the feet.
The Neijing states: If the disease presents with fullness under the hypochondrium and rebellious Qi, persisting for two or three years without resolution, it is named Xi Ji (Stagnant Accumulation). "Xi" refers to the alternation of Yin and Yang. Now, Qi gathers under the hypochondrium... [Text fragment].
Jue Ni Shang Qi (Rebellious Qi and Cold Extremities): Qi attacks both hypochondria, causing pain and fullness below the heart.
Guided Exercise: Press the proximal interphalangeal joint of the ring finger with both thumbs. Make a fist, sit cross-legged (Dieda), clench teeth thirty-six times, hold breath for twenty-one breaths, and swallow saliva three times.
Note: One need not strictly adhere to this specific method.
Huaqi Tang (Decoction for Transforming Qi, from Sanyin Fang): Treats Xi Ji masses located below the abdomen and hypochondrium, causing unilateral swelling and distension, without affecting diet, and resistant to other medications. Also treats Heart and Spleen... [Text fragment].
Herbs: Amomum Fruit (Suosharen), Cinnamon Twig (Guixin), Costus Root (Muxiang, each 1 fen), Licorice Root (Gancao, honey-fried), Fennel Fructus (Huixiang), Symplocos Bark (Dingxiapi), Green Tangerine Peel (Qingpi, stir-fried), Tangerine Peel (Chenpi), Dried Ginger (Shengjiang/Ganjiang).
Preparation: [Text fragment].
Jiegeng Wan (Pill of Kudzu Root): Treats Xi Ji. Rebellious Qi under the hypochondrium causing obstruction and stifling sensation, persisting for years.
Herbs: Kudzu Root (Jiegeng, crushed), Immature Bitter Orange (Zhishi, bran-fried), Turtle Shell (Biejia, skirt removed, vinegar-fried), Ginseng Radix et Rhizoma (Renshen), Angelica Sinensis Radix (Danggui, sliced and dried), Atractylodes Macrocephala Rhizome (Baizhu), Dried Ginger (Ganjiang), Cinnamon Twig (Gui, bark removed), Evodia Fruit (Wuzhuyu, soaked in water, dried and fried), Licorice Root (Gancao, honey-fried, each 3 qian), Big Barley (Damai - *note: text anomaly*), Persimmon Sepal (Helilepi), Green Tangerine Peel (Qingjupi, soaked, white pith removed, dried).
Preparation: [Text fragment].
Baizhu Wan (Atractylodes Pill, from Xuanming Lun): Treats Xi Ji. Obstruction and stifling sensation under the hypochondrium, wheezing and rebellious Qi, breathing-induced pain persisting.
Herbs: Atractylodes Macrocephala Rhizome (Baizhu), Immature Bitter Orange (Zhishi, bran-fried), Cinnamon Twig (Gui, bark removed, each 1.5 liang), Ginseng Radix et Rhizoma (Renshen, 2 liang), Kudzu Root (Jiegeng, crushed and fried), Aged Tangerine Peel (Chenjupi, soaked, white pith removed, dried).
Administration: No specific time restriction... [Text fragment].
Chi Fuling Tang (Red Poria Decoction): Treats Xi Ji. Rebellious Qi under the hypochondrium, fullness, stifling, and distension.
Herbs: Red Poria (Chi Fuling, black skin removed, 1.5 liang), Areca Catkin (Dafu, crushed, 0.5 liang), Greater Galangal Rhizome (Gaoliangjiang, 1 liang), Evodia Fruit (Wuzhuyu, washed seven times in water, dried and fried, 3 qian), Chebula Fruit (Hezi - *text fragment*).
Preparation: Decocted to... [Text fragment].
Liqi Wan (Qi-Regulating Pill, from Ren Cun Fang): Treats fullness under the hypochondrium and rebellious Qi that does not hinder eating, persisting for years. Caused by Wind-Cold pathogenic factors lodging in Wei Qi (Defensive Qi) and lingering... [Text fragment].
Herbs: Exocarpium Citri Reticulatae Rubrum (Juhong, 1 liang), Kudzu Root (Jiegeng), Cinnamon Twig (Guixin), Areca Seed (Binglang, each 0.5 liang), Costus Root (Muxiang), Almond Seed (Xingren, peeled and de-husked, each 1 fen).
Preparation: Powdered, mixed with refined honey to form pills.
Binglang Tang (Areca Seed Decoction): Treats Xi Ji. Rebellious Qi under the hypochondrium causing fullness and stifling.
Herbs: Areca Seed (Binglang, crushed), Chebula Fruit (Helile, baked and pitted, each 2 liang), Aged Tangerine Peel (Chenjupi, soaked, white pith removed, dried, 3 liang), Evodia Fruit (Wuzhuyu, aged, washed seven times, dried and fried...). [Text fragment].
Moji Wan (Mass-Grinding Pill, from Sanyin Fang): Treats intestinal and gastric weakness leading to Qi stagnation outside the blind membrane, flowing into the lateral hypochondrium, causing rebellious Qi, difficult breathing, and accumulation lasting years, which physicians... [Text fragment].
Herbs: Black Pepper (Hujiao, 150 grains), Costus Root (Muxiang, 1 fen), Whole Scorpion (Quanxie, 10 pieces, detoxified; tail used alternatively).
Preparation: Powdered, formed into pills like mung beans using millet rice paste.
Chen Jupi Tang (Aged Tangerine Peel Decoction): Treats Xi Ji with rebellious Qi under the hypochondrium, fullness, and stifling.
Herbs: Aged Tangerine Peel (Chen Jupi, soaked, white pith removed, dried), Evodia Fruit (Wuzhuyu, aged, washed seven times, dried and fried, each 1.5 liang).
Preparation: Coarsely crushed and sieved. Take 3 qian bi per dose... [Text fragment].