饶州王康孺翰林传。
凡下血,皆为肠风。粪后有血名内痔。粪前名外痔。大肠头出谓之脱肛。谷道四边有
肉,谓之鼠奶痔。头上出血谓之漏。此方通治之。
黄牛角腮(一个) 猪牙皂角(二两) 蛇皮(一条) 穿山甲(二两) 大附子(一
个,炮,
去皮脐) 当归(半两,炒) 叶(四两) 麝香(一钱) 皮(一个)
上件,一处砂瓶内,用炭火 ,令通赤。取出于地上,用盆合定,四畔用土覆之,去火
毒,然后捣罗为细末。患者先用胡桃肉半个研烂,同酒半盏,调药末二钱,服之便效。
治三脘气弱,中焦积寒,脾不磨,饮食迟化,吃物频伤,胸膈满闷,胁肋 刺,呕吐哕
逆,噫醋恶心,腹胀肠鸣,心腹疼痛,噎塞膈气,翻胃吐食,饮食减少,悉能治之。(以下
二方,上官驻泊传。)
青皮(三两) 陈皮(二两) 良姜(二两) 红豆(二两) 桂(去粗皮,一两) 缩
砂(去皮
,二两) 蓬术(炮,二两) 草果子(去皮,二两) 干姜(炮,二两) 莱菔子(二两,
炒)
木香(二两) 砂(半钱) 阿魏(一分。并 砂用醋化,去砂石研)
上和面,煮糊为丸,如绿豆大。每服五十粒,淡姜汤吞下,不拘时候,日进二服。久服
大补益脾胃,空膈,令人能食,去寒湿,强中温暖。如素来有沉寒积冷,腹中时作疼痛,宜
服之。或无此证,去 砂,常服温养中焦,有益脾胃。
饶州人王康孺,翰林院传述。
凡是便血,都属于肠风。粪便后面出血的称为内痔。粪便前面出血的称为外痔。大肠头脱出肛门外的称为脱肛。肛门四周长有肉赘的,称为鼠奶痔。肛门头上出血的称为漏。此方通治以上诸症。
黄牛角腮(一个) 猪牙皂角(二两) 蛇皮(一条) 穿山甲(二两) 大附子(一个,炮制,去皮和脐部) 当归(半两,炒) 叶(四两) 麝香(一钱) 皮(一个)
以上药材,放在一处砂瓶中,用炭火煅烧,使其完全通红。取出后放置在地上,用盆扣住固定,四周用泥土覆盖,以去除火毒,然后捣碎过筛成细末。患者先用半个胡桃肉研烂,与半杯酒混合,调服药末二钱,服用后即见效。
治疗三脘气虚,中焦积寒,脾脏不运化,饮食消化缓慢,进食容易受伤,胸膈满闷,胁肋刺痛,呕吐呃逆,嗳气吞酸恶心,腹胀肠鸣,心腹疼痛,噎塞膈气,翻胃吐食,饮食减少,这些症状都能治疗。(以下两个方剂,由上官驻泊传述。)
青皮(三两) 陈皮(二两) 良姜(二两) 红豆(二两) 桂枝(去掉粗皮,一两) 缩砂仁(去皮,二两) 蓬莪术(炮制,二两) 草果(去皮,二两) 干姜(炮制,二两) 莱菔子(二两,炒)
木香(二两) 砂仁(半钱) 阿魏(一分。并与砂仁一起用醋溶化,去掉砂石后研磨)
将以上药物混合,用面粉煮糊作为粘合剂制成丸药,大小如绿豆。每次服用五十粒,用淡姜汤送下,不限时间,每天服用两次。长期服用能大补脾胃,消除膈间积滞,使人食欲增加,去除寒湿,增强中焦温暖。如果素来有沉寒积冷,腹部时常疼痛,适宜服用此方。如果没有这些证候,去掉砂仁,常服可温养中焦,有益脾胃。
Wang Kangru from Raozhou, transmitted by the Hanlin Academy.
Any hematochezia (bleeding from the rectum) belongs to Changfeng (Intestinal Wind). Bleeding after defecation is called Neizhi (Internal Hemorrhoid). Bleeding before defecation is called Waizhi (External Hemorrhoid). The prolapse of the rectal head out of the anus is called Tuogang (Rectal Prolapse). Fleshy growths on the four sides of the anus are called Shunainai Zhi (Mouse Teat Hemorrhoid). Bleeding from the top of the anus is called Lou (Fistula/Abscess). This formula treats all these conditions generally.
Niu Huang Jiao Sai (Horn of Yellow Cow, one piece), Zhu Ya Zao Jiao (Toothed Soap Pod, two liang), She Pi (Snake Skin, one strip), Chuan Shan Jia (Pangolin Scale, two liang), Da Fu Zi (Large Prepared Aconite Root, one piece, processed, skin and umbilical scar removed), Dang Gui (Angelica Sinensis, half liang, stir-fried), Ye (Leaf, four liang), She Xiang (Musk, one qian), Pi (Bark, one piece).
Place the above ingredients in a clay pot together. Use charcoal fire to calcine them until they are completely red-hot. Take them out and place them on the ground. Cover with a basin and seal the edges with soil to remove the "fire toxicity" (heat residue). Then, pound and sieve into a fine powder. The patient should first crush half a walnut kernel, mix it with half a cup of wine, and take two qian of the medicine powder mixed in this liquid. It will be effective immediately upon ingestion.
Treat Qi deficiency in the three Jiao (San Wan), cold accumulation in the Middle Jiao, spleen failure to transform and transport, slow digestion of food, frequent injury from eating, chest and diaphragm fullness and oppression, stabbing pain in the hypochondrium, vomiting and hiccups, belching with acid regurgitation and nausea, abdominal distension with borborygmus, heart and abdominal pain, dysphagia with diaphragmatic Qi stagnation, reverse flow vomiting of food, and decreased appetite. All these can be treated. (The following two formulas were transmitted by Shang Guan Zhupo.)
Qing Pi (Green Tangerine Peel, three liang), Chen Pi (Aged Tangerine Peel, two liang), Liang Jiang (Galangal Rhizome, two liang), Hong Dou (Red Bean, two liang), Gui Zhi (Cinnamon Twig, one liang, coarse bark removed), Suo Sha (Cardamom Seed, two liang, skin removed), Peng Zhu (Curcuma Zedoaria, processed, two liang), Cao Guo (Black Cardamom Fruit, two liang, skin removed), Gan Jiang (Dried Ginger, two liang, processed), Lai Fu Zi (Radish Seed, two liang, stir-fried).
Mu Xiang (Costus Root, two liang), Sha Ren (Amomum Fruit, half qian), A Wei (Asafoetida, one fen. Dissolve with Sha Ren using vinegar, remove sand/stone impurities, then grind).
Mix the above ingredients. Use flour paste boiled as a binder to make pills, sized like mung beans. Take fifty pills per dose, swallowed with light ginger soup. Time is not restricted. Take twice daily. Long-term use greatly tonifies the Spleen and Stomach, clears the diaphragm, promotes appetite, dispels cold-dampness, and strengthens and warms the Middle Jiao. If one has chronic deep cold and accumulated cold causing occasional abdominal pain, this is suitable for consumption. If these symptoms are absent, remove Sha Ren; regular use can warm and nourish the Middle Jiao, benefiting the Spleen and Stomach.