(有肝胆火,肺气,郁,死血,痰 ,食积,气虚)
【木实】〔草部〕黄连(猪胆炒,大泄肝胆之火。肝火胁痛,姜汁炒丸。左金丸∶同茱
萸
炒,丸服。) 柴胡(胁痛主药。) 黄芩 龙胆 青黛 (并泻肝胆之火。) 芍药 抚芎
(并
搜肝气。) 生甘草(缓火。) 木香(散肝经滞气,升降诸气。) 香附子(总解诸郁,治
膀胱
连胁下气妨。) 地肤子(胁下痛,为末酒服。) 〔果木〕青橘皮(泻肝胆积气必用之药。)
栀子 芦荟 桂枝
【痰气】〔草部〕芫花(心下痞满,痛引两胁,干呕汗出,同甘遂、大戟为散,枣汤服。)
大戟 甘遂(痰饮胁痛。控涎丸。) 野狼毒(两胁气结痞满,心下停痰鸣转,同附子、旋复
花
丸服。) 香薷(心烦胁痛,连胸欲死,捣汁饮。) 防风(泻肺实,烦满胁痛。) 半夏 天
南星 桔梗 苏梗 细辛 杜若 白前 贝母 〔谷菜〕生姜(并主胸胁逆气。) 白芥
子
(痰在胸胁支满,每酒吞七粒。又同白术丸服。) 薏苡根(胸胁卒痛,煮服即定。) 〔果
木〕橘皮 槟榔 枳壳(心腹结气痰水,两胁胀痛。因惊伤肝,胁骨痛,同桂末服。) 枳
实
(胸胁痰 气痛。) 茯苓 〔虫介〕白僵蚕 牡蛎粉 文蛤(并主胸胁逆气满痛。) 〔兽
石〕羚羊角(胸胁痛满,烧末水服。) 麝香 古钱(心腹烦满,胸胁痛欲
【血积】〔草部〕大黄(腹胁老血痛。) 凤仙花(腰胁引痛不可忍,晒研,酒服三钱,
活
血消积。) 当归 芎 姜黄 延胡索 牡丹皮 红蓝花 〔谷菜〕神曲 红曲(并主
死
血、食积作痛。) 韭菜(瘀血,两胁刺痛。) 〔果木〕吴茱萸(食积。) 桃仁 苏木 白
棘刺(腹胁刺痛,同槟榔煎
【虚陷】〔草谷菜部〕黄 人参 苍术 柴胡 升麻(并主气虚下陷,两胁支痛。) 黑
大豆(腰胁卒痛,炒焦煎酒服。) 茴香(胁下刺痛,同枳壳末,盐、酒服。) 马芹子(腹
冷
胁痛。)
【外治】食盐 生姜 葱白 韭菜 艾叶(并炒熨。) 冬灰(醋炒熨。) 芥子 茱萸
(并
醋研敷。) 大黄
(病因包括:肝胆火盛、肺气郁滞、死血瘀阻、痰饮停滞、食积内停、气虚下陷)
【木实类】
〔草部〕黄连:用猪胆汁炒制,能强力清泄肝胆之火。治疗肝火引起的胁痛,用姜汁炒后制成丸剂服用。左金丸:与吴茱萸同炒,制成丸剂服用。柴胡:治疗胁痛的主药。黄芩、龙胆、青黛:均能清泻肝胆之火。芍药、抚芎(川芎的一种):均能疏理肝气。生甘草:能缓和火势。木香:能疏散肝经的滞气,调节全身气机的升降。香附子:能总解各种郁结,治疗膀胱及胁下气机阻滞不适。地肤子:治疗胁下疼痛,研成粉末用酒送服。
〔果木类〕青橘皮:是清泻肝胆积气的必用药物。栀子、芦荟、桂枝。
【痰气类】
〔草部〕芫花:治疗心下部痞塞胀满,疼痛牵引两侧胁肋,伴有干呕、出汗,可与甘遂、大戟一起研为散剂,用枣汤送服。大戟、甘遂:治疗痰饮引起的胁痛,可制成控涎丸服用。野狼毒:治疗两胁气结痞满,心下部停痰有声转动,可与附子、旋复花一起制成丸剂服用。香薷:治疗心烦胁痛,痛连胸部似要死去,捣取汁液饮用。防风:清泻肺实,治疗烦闷胀满及胁痛。半夏、天南星、桔梗、苏梗、细辛、杜若、白前、贝母。
〔谷菜类〕生姜:均主治胸胁逆气。白芥子:治疗痰在胸胁导致支满,每次用酒吞服七粒。也可与白术一起制成丸剂服用。薏苡根:治疗胸胁突发剧痛,煮水服用即可缓解。
〔果木类〕橘皮、槟榔、枳壳:治疗心腹结气痰水,两胁胀痛。因惊恐伤肝导致的胁骨痛,可与桂末一起服用。枳实:治疗胸胁痰气疼痛。茯苓。
〔虫介类〕白僵蚕、牡蛎粉、文蛤:均主治胸胁逆气满痛。
〔兽石类〕羚羊角:治疗胸胁痛满,烧成粉末用水送服。麝香、古钱:治疗心腹烦满,胸胁痛欲……(原文此处截断)
【血积类】
〔草部〕大黄:治疗腹胁陈旧性瘀血疼痛。凤仙花:治疗腰胁牵引疼痛不可忍受,晒干研末,用酒送服三钱,具有活血消积功效。当归、芎(川芎)、姜黄、延胡索、牡丹皮、红蓝花。
〔谷菜类〕神曲、红曲:均主治死血、食积引起的疼痛。韭菜:治疗瘀血,两胁刺痛。
〔果木类〕吴茱萸:治疗食积。桃仁、苏木、白棘刺:治疗腹胁刺痛,可与槟榔一起煎服……(原文此处截断)
【虚陷类】
〔草谷菜部〕黄芪、人参、苍术、柴胡、升麻:均主治气虚下陷,两胁支撑作痛。黑大豆:治疗腰胁突发剧痛,炒焦后用酒煎服。茴香:治疗胁下刺痛,与枳壳末、盐、酒一起服用。马芹子:治疗腹部冷痛及胁痛。
(Causes include: Liver and Gallbladder Fire, Lung Qi Stagnation, Fixed Blood Stasis, Phlegm Accumulation, Food Retention, and Qi Deficiency with Sinking)
[Category: Trees and Fruits]
[Herbal Category] Coptidis Rhizoma (Huanglian): Stir-fried with Pig Bile, it strongly drains Liver and Gallbladder Fire. For Liver Fire causing Hypochondriac Pain, stir-fry with Ginger Juice and make into pills. Zuojin Wan (Left Metal Pill): Stir-fried together with Evodiae Fructus (Wuzhuyu), made into pills for oral administration. Bupleuri Radix (Chaihu): The principal herb for treating Hypochondriac Pain. Scutellariae Radix (Huangqin), Gentianae Radix (Longdan), Indigo Naturalis (Qingdai): All drain Liver and Gallbladder Fire. Paeoniae Radix (Shaoyao), Chuanxiong Rhizome (Fuxiong): Both regulate Liver Qi. Raw Glycyrrhizae Radix et Rhizoma (Sheng Gancao): Relieves Fire. Aucklandiae Radix (Muxiang): Disperses stagnant Qi in the Liver Meridian and regulates the ascending and descending of all Qi. Cyperi Rhizoma (Xiangfuzi): Resolves various types of Qi Stagnation, treats Qi obstruction in the Bladder and hypochondriac region. Kochiae Fructus (Difuzi): Treats pain under the hypochondrium; grind into powder and take with wine.
[Fruit and Tree Category] Aurantii Fructus Viridis (Qingjupi): An essential herb for draining accumulated Qi in the Liver and Gallbladder. Gardeniae Fructus (Zhizi), Aloe (Luhui), Cinnamomi Ramulus (Guizhi).
[Category: Phlegm and Qi]
[Herbal Category] Genkwa Flos (Yuanhua): Treats epigastric fullness and stuffiness, pain radiating to both hypochondria, dry heaving, and sweating. Combine with Euphorbiae Pekinensis Radix (Gansui) and Euphorbiae Humifusa Radix (Daji), grind into powder, and take with Jujubae Decoction. Euphorbiae Pekinensis Radix (Gansui), Euphorbiae Humifusa Radix (Daji): Treat Phlegm-Fluid Hypochondriac Pain. Kongyan Wan (Control Fluid Pill). Daphnes Genkwa Bark (Yelangdu): Treats Qi knotting and fullness in both hypochondria, phlegm retention in the epigastrium with gurgling sounds. Combine with Aconiti Lateralis Radix Praeparata (Fuzi) and Inulae Flos (Xuanfuhua), make into pills. Moslae Herba (Xiangru): Treats vexation, Hypochondriac Pain extending to the chest as if dying; crush and drink the juice. Saposhnikoviae Radix (Fangfeng): Drains Lung Excess, treats vexation, fullness, and Hypochondriac Pain. Pinelliae Rhizoma (Banxia), Arisaemae Rhizoma (Tiannanxing), Platycodonis Radix (Jiegeng), Perillae Caulis (Sugeng), Asari Radix et Rhizoma (Xixin), Pollinium Polygontae Multiflorae (Duruo), Petasitis Radix (Baiqian), Fritillariae Bulbus (Beimu).
[Cereal and Vegetable Category] Zingiberis Rhizoma Recens (Shengjiang): All treat rebellious Qi in the chest and hypochondrium. Mustard Seed (Baijiezi): Treats Phlegm in the chest and hypochondrium causing distension and fullness; swallow seven grains each time with wine. Also combine with Atractylodis Macrocephalae Rhizoma (Baizhu) to make pills. Coicis Radix (Yiyigen): Treats sudden severe pain in the chest and hypochondrium; boil and drink to relieve.
[Fruit and Tree Category] Citri Reticulatae Pericarpium (Jupi), Arecae Semen (Binglang), Aurantii Fructus (Zhiqiao): Treats Qi knotting and Phlegm-Fluid in the heart and abdomen, distending and painful Hypochondrium. Hypochondriac bone pain due to Liver injury from fright, combine with Cinnamomi Cortex powder. Aurantii Fructus Immaturus (Zhishi): Treats Phlegm-Qi pain in the chest and hypochondrium. Poria (Fuling).
[Insect and Shellfish Category] Bombyx Batryticatus (Bai Jiangcan), Ostrea Concha (Muli Fen), Clam Shell (Wenge): All treat rebellious Qi, fullness, and pain in the chest and hypochondrium.
[Animal and Mineral Category] Antelopis Cornu (Lingyangjiao): Treats chest and hypochondriac pain and fullness; burn to ash, take with water. Moschus (Shexiang), Ancient Coin (Guqian): Treats epigastric vexation and fullness, chest and hypochondriac pain... (Text cuts off here)
[Category: Blood Stasis]
[Herbal Category] Rhei Radix et Rhizoma (Dahuang): Treats old blood stasis pain in the abdomen and hypochondrium. Impatiens Balsamina Flower (Fengxianhua): Treats unbearable pulling pain in the waist and hypochondrium; sun-dry, grind, take 3 qian with wine; promotes blood circulation and resolves accumulation. Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizome (Xiong), Curcumae Longae Rhizoma (Jianghuang), Corydalis Rhizoma (Yanhusuo), Moutan Cortex (Mudanpi), Carthami Flos (Honglanhua).
[Cereal and Vegetable Category] Massae Fermentatae Medicinatae (Shenqu), Red Yeast Rice (Hongqu): Both treat pain caused by fixed blood stasis and food retention. Chinese Leek (Jiucai): Treats blood stasis, stabbing pain in both hypochondria.
[Fruit and Tree Category] Evodiae Fructus (Wuzhuyu): Treats food retention. Persicae Semen (Taoren), Dalbergiae Odoriferae Lignum (Sumu), Acaciae Spina (Baijici): Treats stabbing pain in the abdomen and hypochondrium; decoct with Arecae Semen (Binglang)... (Text cuts off here)
[Category: Qi Deficiency and Sinking]
[Herbal, Cereal, and Vegetable Category] Astragali Membranaceus Radix (Huangqi), Ginseng Radix (Renshen), Atractylodis Rhizoma (Cangzhu), Bupleuri Radix (Chaihu), Cimicifugae Rhizoma (Shengma): All treat Qi Deficiency with Sinking, supporting pain in both hypochondria. Glycine Max Seed Nigra (Heidadou): Treats sudden severe pain in the waist and hypochondrium; roast until charred, decoct with wine. Foeniculi Fructus (Huixiang): Treats stabbing pain under the hypochondrium; take with Aurantii Fructus (Zhiqiao) powder, salt, and wine. Apii Cathayensis Fructus (Maqinzi): Treats cold abdomen and Hypochondriac Pain.
[External Treatment]
Sodium Chloride (Shiyan), Zingiberis Rhizoma Recens (Shengjiang), Allii Fistulosi Bulbus (Congbai), Chinese Leek (Jiucai), Artemisiae Argyi Folium (Aiye): All stir-fry and apply hot compress. Winter Ash (Donghui): Stir-fry with vinegar and apply hot compress. Mustard Seed (Jiezi), Evodiae Fructus (Zhuyu): Grind with vinegar and apply as a poultice. Rhei Radix et Rhizoma (Dahuang).