辨证
背心一点痛者，痰湿气也，宜乌药顺气散，合二陈汤，或香苏散加苍术、羌活。体虚人
背恶
乌药顺气散（见中风） 香苏散（见伤寒）
御寒膏
治背痛恶寒及一切冷痹，并治湿气。
生姜半斤（取汁） 牛皮胶三两 乳香 没药各一钱五分。
铜铫内煮化，移在热汤内炖，以柳条搅至成膏，加花椒末少许，再搅匀，用皮纸摊贴患
处，
诸痛熨法 韭菜，连根捣烂，醋拌炒，绢包熨痛处。
脾胃属土居中位，受纳水谷滋营卫，水谷尽兮营卫亡，安谷则昌绝则毙。一有不足为
内伤，医家值此须审详，勿作外感有余治，交泄之时定见殃。六君子汤盖调理，白术参苓
甘草比，陈皮半夏炒砂仁，三斤生姜二钟水。内伤之症何所成，饮食劳倦并七情，治须先
用补元气，看所挟者而加增。挟痰挟邪挟郁热，补中益气汤多用，甘草参 为操纵，陈皮
白术当归身。
柴胡升麻八味共，或停饮食将如何，不足之中继有饮，气口脉来而紧盛，先须道者自然
除。
腹痛盖缘脾上虚，次分寒热食三居，或有湿痰或死血，悠悠而痛为多寒，脉必沉而又无
力，
汁。
外有肉桂茱胡索，春夏去之冬可着。时痛时止热治之，脉浮无力何方治，小柴胡汤参可
去，槟榔芍药却宜加，枳壳砂仁玄胡索，水姜煎来以前施。痛后利减为食积，关腹紧浮而有
力，平胃方加大腹皮，草果槟榔并枳实，砂仁白术曲玄胡，依旧煎入木香汁。小便不利湿痰
兼，左关无脉缓无力，二陈汤用苍白术，木香通附猪苓实，生姜三片水二钟，更添姜汁和竹
沥。死血痛定而不移，左寸浮涩四物移，亦加干姜及甘草，红花苏子牡丹皮，桃仁枳壳玄胡
索，
理中汤（见伤寒） 小柴胡汤（见伤寒）
平胃汤（见伤食） 二陈汤（见痰饮）
四物汤（见妇人科）
余论
腹痛有块撑起，急以手按之便不见，五更心嘈牙关矫硬，恶心吐清水，梦中啮齿者虫也，
治
辨证
背心出现一点疼痛的，是痰湿之气所致，适宜使用乌药顺气散，配合二陈汤，或者香苏散加入苍术、羌活。身体虚弱的人背部怕冷（恶寒），可使用御寒膏。
御寒膏：治疗背痛、怕冷以及一切冷痹症，并治疗湿气。
配方：生姜半斤（取汁）、牛皮胶三两、乳香一钱五分、没药一钱五分。
制法与用法：在铜锅中煮化，移至热汤中炖，用柳条搅拌至成为膏状，加入少许花椒末，再搅拌均匀，用皮纸摊开贴敷于患处。
诸痛熨法：韭菜，连根捣烂，用醋拌炒，用绢布包裹熨烫疼痛部位。
脾胃属土，位居中央，负责受纳水谷以滋养营卫之气。如果水谷摄入停止，营卫之气就会消亡；能安享饮食则昌盛，断绝饮食则会死亡。一旦饮食不足导致内伤，医生遇到这种情况必须仔细审察，不要当作外感有余之证来治疗，否则在交节泄气之时定会招致灾殃。六君子汤用于调理，由白术、人参、茯苓、甘草组成，加上陈皮、半夏和炒砂仁，用三斤生姜和二钟水煎煮。内伤病症是如何形成的？是由于饮食不节、劳倦过度以及七情所伤。治疗必须先补益元气，根据兼夹的病邪进行加减。如果兼夹痰饮、邪气或郁热，多用补中益气汤，以甘草、人参为君臣药物，搭配陈皮、白术、当归身、柴胡、升麻，共八味药。如果是饮食停滞怎么办？在内伤不足的基础上又有饮食停滞，气口脉象紧盛，先用导滞的方法使积滞自然消除。
腹痛大概是因为脾虚，其次分为寒、热、食三种情况，或者有湿痰，或者有死血（瘀血），悠悠作痛的多为寒证，脉象必然沉而无力。外用肉桂、吴茱萸、小茴香，春夏季节去掉这些温热药，冬季可以使用。时痛时止的热性疼痛如何治疗？脉浮无力的用什么方子？小柴胡汤可去掉人参，宜加槟榔、芍药、枳壳、砂仁、玄胡索，用水和生姜煎服施用。疼痛后腹泻减轻的是食积，关部腹诊紧浮而有力，用平胃散加大腹皮、草果、槟榔、枳实、砂仁、白术、神曲、玄胡索，依旧煎煮时加入木香汁。小便不利且兼有湿痰，左关脉缓而无力，用二陈汤加苍术、白术、木香、通草、附子、猪苓、薏苡仁，用生姜三片、二钟水煎煮，再加姜汁调和竹沥。瘀血疼痛固定不移，左寸脉浮涩，用四物汤加减，也加入干姜及甘草、红花、苏子、牡丹皮、桃仁、枳壳、玄胡索。
理中汤（见伤寒篇） 小柴胡汤（见伤寒篇）
平胃汤（见伤食篇） 二陈汤（见痰饮篇）
四物汤（见妇人科篇）
余论
Differentiation of Syndrome
Pain at a single point on the back is caused by Phlegm-Dampness Qi (Phlegm-Dampness pathogenic factor). It is suitable to use Wuyao Shunqi San (Aucklandia Decoction for Regulating Qi) combined with Erchen Tang (Two-Cured Decoction), or Xiangsu San (Fragrant Perilla Powder) added with Cangzhu (Rhizoma Atractylodis Lanceae) and Qianghuo (Rhizoma et Radix Notopterygii). For individuals with weak constitution experiencing cold intolerance (aversion to cold) in the back, Yuhan Gao (Cold-Avoiding Ointment) can be used.
Yuhan Gao: Treats back pain, aversion to cold, all types of Cold-Bi syndrome (painful obstruction due to cold), and dampness.
Ingredients: Fresh Ginger (Shengjiang) half jin (extract juice); Ox Hide Glue (Niupijiao) three liang; Frankincense (Ruxiang) one qian five fen; Myrrh (Moyao) one qian five fen.
Preparation and Application: Melt in a copper pot, transfer to hot water to simmer, stir with a willow branch until it becomes an ointment. Add a small amount of Sichuan pepper powder, stir evenly. Spread on skin paper and apply to the affected area.
Various Pain Hot Compress Method: Chinese chives (Jiucai), including roots, pounded into a paste. Mix with vinegar and stir-fry. Wrap in silk cloth and apply as a hot compress to the painful area.
The Spleen and Stomach belong to Earth and occupy the central position. They receive and transform food and fluids to nourish Ying (Nutritive Qi) and Wei (Defensive Qi). If the intake of food and fluids ceases, Ying and Wei will perish; if one can digest food properly, vitality prospers; if cut off, death ensues. Once insufficiency leads to internal injury, physicians must examine carefully. Do not treat it as an excess condition of external contraction. Otherwise, during periods of climatic transition, disaster will surely occur. Liujunzi Tang (Six Gentlemen Decoction) is used for regulation, composed of Baizhu (Rhizoma Atractylodis Macrocephalae), Renshen (Radix Ginseng), Fuling (Poria), and Gancao (Radix Glycyrrhizae), plus Chenpi (Pericarpium Citri Reticulatae), Banxia (Rhizoma Pinelliae), and Chao Sharen (Fructus Amomi Rotundus, processed). Use three jin of fresh ginger and two zhong of water for decoction. How are internal injury syndromes formed? They result from improper diet, overwork, fatigue, and emotional disturbances. Treatment must first tonify Yuan Qi (Original Qi), adding herbs based on accompanying pathogens. If accompanied by Phlegm, pathogenic factors, or stagnant heat, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is often used. Gancao (Radix Glycyrrhizae) and Renshen (Radix Ginseng) act as sovereign and minister drugs, paired with Chenpi (Pericarpium Citri Reticulatae), Baizhu (Rhizoma Atractylodis Macrocephalae), Danggui Shen (Radix Angelicae Sinensis, root portion), Chaihu (Radix Bupleuri), and Shengma (Rhizoma Cimicifugae), totaling eight ingredients. What if there is food stagnation? When there is dietary retention superimposed on deficiency, and the Qi Kou pulse (radial artery at the cun position) is tight and vigorous, one must first use guiding methods to naturally eliminate the accumulation.
Abdominal pain is generally due to Spleen deficiency, subsequently classified into Cold, Heat, and Food categories. There may also be Damp-Phlegm or Si Xue (Dead Blood/Stasis). Lingering pain is mostly due to Cold, with a pulse that is deep and forceless. Externally, Rougui (Cortex Cinnamomi), Zhuyu (Fructus Evodiae), and Husuo (Fructus Alpiniae Officinarum) can be used; remove them in spring and summer, but they can be applied in winter. How to treat intermittent pain of a heat nature? For a floating and forceless pulse, which formula is indicated? Xiaochaihu Tang (Minor Bupleurum Decoction) can have Renshen (Radix Ginseng) removed; Binglang (Semen Arecae), Shaoyao (Radix Paeoniae Alba/Rubra), Zhike (Fructus Aurantii), Sharen (Fructus Amomi), and Yuansu (Radix Curcumae) should be added. Decoct with water and fresh ginger for administration. If diarrhea relieves the pain after eating, it is Food Accumulation. If the Guan pulse (radial artery at the guan position) is tight, floating, and forceful, Pingwei San (Stomach-Pacifying Powder) is used with Dafupi (Pericarpium Arecae), Caoguo (Fructus Tsaoko), Binglang (Semen Arecae), Zhishi (Fructus Aurantii Immaturus), Sharen (Fructus Amomi), Baizhu (Rhizoma Atractylodis Macrocephalae), Shenqu (Massa Medicata Fermentata), and Yuansu (Radix Curcumae). Decoct as usual and add Muxiang juice. If urination is difficult accompanied by Damp-Phlegm, and the Left Guan pulse is slow and forceless, Erchen Tang (Two-Cured Decoction) is used with Cangzhu (Rhizoma Atractylodis Lanceae), Baizhu (Rhizoma Atractylodis Macrocephalae), Muxiang (Radix Aucklandiae), Tongcao (Medulla Tetrapanacis), Fuzi (Radix Aconiti Lateralis Preparata), Zhuling (Poria), and Yiyiren (Semen Coicis). Decoct with three slices of fresh ginger and two zhong of water, then add Jiangzhi (Fresh Ginger Juice) and Zhuli (Bamboo Sap). If stasis pain is fixed and does not move, and the Left Cun pulse is floating and choppy, Siwu Tang (Four Substances Decoction) is modified. Also add Ganjiang (Rhizoma Zingiberis), Gancao (Radix Glycyrrhizae), Honghua (Flos Carthami), Suzi (Fructus Perillae), Mudanpi (Cortex Moutan), Tao Ren (Semen Persicae), Zhike (Fructus Aurantii), and Yuansu (Radix Curcumae).
Lizhong Tang (Regulate the Middle Decoction) [See Shanghan]
Xiaochaihu Tang (Minor Bupleurum Decoction) [See Shanghan]
Pingwei Tang (Stomach-Pacifying Decoction) [See Shangshi]
Erchen Tang (Two-Cured Decoction) [See Tan Yin]
Siwu Tang (Four Substances Decoction) [See Funuke]
Additional Remarks
If abdominal pain presents with a mass that rises up and disappears upon pressing with the hand, or if there is heartburn at dawn, jaw stiffness, nausea with vomiting of clear fluid, and teeth grinding in sleep, these indicate a Worm Infestation. Treatment...