脉弦急而滑,胸骤痞,乃肝气与食滞所成,为实;脉弦,或沉涩,或虚大无力,气口为甚,此脾胃受伤为
虚,寸口脉沉滑迟滑,为有滞。
〔热痞〕大黄黄连泻心汤 大黄 黄连 加黄芩,名三黄泻心汤。
〔恶寒〕附子泻心汤 芩 连 大黄 附子
〔胁水〕半夏泻心汤 见一卷湿,若除人参,加甘草,名甘草泻心汤。
〔痞呕〕生姜泻心汤 即半夏泻心汤加生姜。
〔消痰〕橘皮半夏汤 陈 夏 姜
〔痰痞〕二陈汤 见一卷中风。
〔温中〕和胃煎 见本卷嗳气。
〔温中〕浓朴温中汤 朴 陈 苓 草 木香 豆蔻 干姜
〔理阳〕苓桂术甘汤 见二卷痰饮。
〔补中〕补中益气汤 见一卷中风。
〔补脾〕四君子汤 参 苓 术 草 加陈皮,名异功散。
〔和补〕保和汤 参 术 苓 草 夏 陈 藿香 砂仁 香附 木香 姜 枣
〔散满〕三因七气汤 见二卷咳嗽。
〔消滞〕大和中饮 见本卷饮食。
〔消补〕枳术丸 枳实(一两) 白术(二两) 为末,以全荷叶裹烧,
饭捣丸,米饮下。
〔消补〕资生丸 参 术 陈 苓 曲 朴 草 山药 薏 苡 楂肉 黄连 扁豆 白蔻 莲子
麦芽 芡实 桔梗 藿香 泽泻 蜜丸。
〔温补〕养中煎 见本卷饮食。
〔归脾〕归脾汤 见二卷劳瘵。
〔温利〕治中汤 见本卷饮食。
〔和肝〕解肝煎 见本卷诸气。
〔理肺〕清肺饮 见二卷痰饮。
〔消结〕小陷胸汤 见一卷温。
〔祛暑〕三物香薷饮 香薷(一两) 浓朴 扁豆(各五钱) 冷服
〔却暑〕消暑丸 见一卷暑。
〔淡渗〕六一散 见一卷温。
〔除湿〕平胃散 术 朴 陈 草
〔燥湿〕小柴胡汤 见一卷温。
〔暑泻〕连理汤 见一卷暑。
脉象弦急而滑,胸部突然痞塞不通,这是由肝气郁结与食物停滞共同导致的,属于实证;若脉象弦,或沉涩,或虚大无力,且右寸口脉象尤为明显,这是脾胃受损所致,属于虚证;若寸口脉象呈现沉、滑、迟、滑的特征,则表明体内有积滞。
〔热痞证〕使用大黄黄连泻心汤:大黄、黄连,加入黄芩,称为三黄泻心汤。
〔伴有恶寒症状〕使用附子泻心汤:黄芩、黄连、大黄、附子。
〔胁部有水饮〕使用半夏泻心汤(见第一卷湿病章节),如果去掉人参,加入甘草,称为甘草泻心汤。
〔痞满伴呕吐〕使用生姜泻心汤:即半夏泻心汤加入生姜。
〔消除痰浊〕使用橘皮半夏汤:陈皮、半夏、生姜。
〔痰湿痞满〕使用二陈汤(见第一卷中风章节)。
〔温中散寒〕使用和胃煎(见本卷嗳气章节)。
〔温中散寒〕使用浓朴温中汤:厚朴、陈皮、茯苓、甘草、木香、豆蔻、干姜。
〔调理阳气〕使用苓桂术甘汤(见第二卷痰饮章节)。
〔补益中气〕使用补中益气汤(见第一卷中风章节)。
〔补脾〕使用四君子汤:人参、茯苓、白术、甘草,加入陈皮,称为异功散。
〔调和兼补〕使用保和汤:人参、白术、茯苓、甘草、半夏、陈皮、藿香、砂仁、香附、木香、生姜、大枣。
〔消散胀满〕使用三因七气汤(见第二卷咳嗽章节)。
〔消除积滞〕使用大和中饮(见本卷饮食章节)。
〔消食兼补〕使用枳术丸:枳实(一两)、白术(二两),研为细末,用完整的荷叶包裹后烧制,与米饭一起捣烂制成丸剂,用米汤送服。
〔消食兼补〕使用资生丸:人参、白术、陈皮、茯苓、神曲、厚朴、甘草、山药、薏苡仁、山楂肉、黄连、扁豆、白蔻仁、莲子、麦芽、芡实、桔梗、藿香、泽泻,炼蜜为丸。
〔温补〕使用养中煎(见本卷饮食章节)。
〔归脾〕使用归脾汤(见第二卷劳瘵章节)。
〔温通利水〕使用治中汤(见本卷饮食章节)。
〔调和肝气〕使用解肝煎(见本卷诸气章节)。
〔调理肺气〕使用清肺饮(见第二卷痰饮章节)。
〔消散结聚〕使用小陷胸汤(见第一卷温病章节)。
〔祛除暑邪〕使用三物香薷饮:香薷(一两)、厚朴、扁豆(各五钱),冷服。
〔驱除暑热〕使用消暑丸(见第一卷暑病章节)。
〔淡味渗湿〕使用六一散(见第一卷温病章节)。
〔去除湿气〕使用平胃散:白术、厚朴、陈皮、甘草。
〔燥湿〕使用小柴胡汤(见第一卷温病章节)。
〔暑天腹泻〕使用连理汤(见第一卷暑病章节)。
The pulse is wiry, rapid, and slippery, with sudden chest stuffiness; this is caused by Liver Qi stagnation combined with food retention, constituting an Excess pattern. If the pulse is wiry, or deep and choppy, or deficient, large, and forceless, with the right Cun position being particularly prominent, this indicates Spleen and Stomach injury, constituting a Deficiency pattern. If the Cun position pulse exhibits deep, slippery, slow, and slippery characteristics, it indicates the presence of retention.
[Heat Stuffiness] Da Huang Huang Lian Xie Xin Tang (Rhubarb and Coptis Decoction to Drain the Epigastrium): Da Huang (Rhei Radix et Rhizoma), Huang Lian (Coptidis Rhizoma), plus Huang Qin (Scutellariae Radix), named San Huang Xie Xin Tang (Three Yellows Decoction to Drain the Epigastrium).
[With Aversion to Cold] Fu Zi Xie Xin Tang (Aconite Decoction to Drain the Epigastrium): Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Da Huang (Rhei Radix et Rhizoma), Fu Zi (Aconiti Lateralis Radix Praeparata).
[Fluid Retention in Hypochondrium] Ban Xia Xie Xin Tang (Pinellia Decoction to Drain the Epigastrium) [see Vol. 1 on Dampness]; if Ren Shen (Ginseng Radix) is removed and Gan Cao (Glycyrrhizae Radix) is added, it is named Gan Cao Xie Xin Tang (Licorice Decoction to Drain the Epigastrium).
[Stuffiness with Vomiting] Sheng Jiang Xie Xin Tang (Fresh Ginger Decoction to Drain the Epigastrium): This is Ban Xia Xie Xin Tang (Pinellia Decoction to Drain the Epigastrium) plus Sheng Jiang (Zingiberis Rhizoma Recens).
[Eliminating Phlegm] Ju Pi Ban Xia Tang (Tangerine Peel and Pinellia Decoction): Chen Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma), Sheng Jiang (Zingiberis Rhizoma Recens).
[Phlegm Stuffiness] Er Chen Tang (Two-Aged Decoction) [see Vol. 1 on Wind-Stroke].
[Warming the Middle] He Wei Jian (Decoction to Harmonize the Stomach) [see this volume on Belching].
[Warming the Middle] Nong Po Wen Zhong Tang (Thick Bark Warming the Middle Decoction): Hou Po (Magnoliae Officinalis Cortex), Chen Pi (Citri Reticulatae Pericarpium), Fu Ling (Poria), Gan Cao (Glycyrrhizae Radix), Mu Xiang (Aucklandiae Radix), Dou Kou (Amomi Fructus Rotundus), Gan Jiang (Zingiberis Rhizoma).
[Regulating Yang] Ling Gui Zhu Gan Tang (Poria, Cinnamon Twig, Atractylodes, and Licorice Decoction) [see Vol. 2 on Phlegm-Fluids].
[Nourishing the Middle] Bu Zhong Yi Qi Tang (Supplement the Middle and Augment the Qi Decoction) [see Vol. 1 on Wind-Stroke].
[Nourishing the Spleen] Si Jun Zi Tang (Four Gentlemen Decoction): Ren Shen (Ginseng Radix), Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (Glycyrrhizae Radix); adding Chen Pi (Citri Reticulatae Pericarpium), it is named Yi Gong San (Yi-Gong Powder).
[Harmonizing and Tonifying] Bao He Tang (Preserve Harmony Decoction): Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Gan Cao (Glycyrrhizae Radix), Ban Xia (Pinelliae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Huo Xiang (Agastaches Herba), Sha Ren (Amomi Fructus), Xiang Fu (Cyperii Rhizoma), Mu Xiang (Aucklandiae Radix), Sheng Jiang (Zingiberis Rhizoma Recens), Da Zao (Jujubae Fructus).
[Dispersing Fullness] San Yin Qi Qi Tang (Three Causes Seven-Qi Decoction) [see Vol. 2 on Cough].
[Eliminating Retention] Da He Zhong Yin (Great Harmonizing the Middle Infusion) [see this volume on Diet].
[Reducing Retention and Tonifying] Zhi Zhu Wan (Immature Bitter Orange and Atractylodes Pill): Zhi Shi (Aurantii Fructus Immaturus) (1 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (2 liang), ground into powder, wrapped in a whole lotus leaf and roasted, pounded with rice flour to form pills, taken with rice water.
[Reducing Retention and Tonifying] Zi Sheng Wan (Nourishing Life Pill): Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Fu Ling (Poria), Qu (Medicated Leaven), Hou Po (Magnoliae Officinalis Cortex), Gan Cao (Glycyrrhizae Radix), Shan Yao (Dioscoreae Rhizoma), Yi Yi Ren (Coicis Semen), Zha Rou (Crataegi Fructus), Huang Lian (Coptidis Rhizoma), Bian Dou (Vignae Umbellatae Semen), Bai Kou (Amomi Fructus Rotundus), Lian Zi (Nelumbinis Semen), Mai Ya (Hordei Fructus Germinatus), Qian Shi (Euryales Semen), Jie Geng (Platycodonis Radix), Huo Xiang (Agastaches Herba), Ze Xie (Alismatis Rhizoma), honey for pills.
[Warming and Tonifying] Yang Zhong Jian (Nourishing the Middle Decoction) [see this volume on Diet].
[Nourishing the Heart and Spleen] Gui Pi Tang (Restore the Spleen Decoction) [see Vol. 2 on Consumption].
[Warming and Promoting Circulation] Zhi Zhong Tang (Regulating the Middle Decoction) [see this volume on Diet].
[Harmonizing the Liver] Jie Gan Jian (Relieving the Liver Decoction) [see this volume on Various Qi Disorders].
[Regulating the Lung] Qing Fei Yin (Clearing the Lung Infusion) [see Vol. 2 on Phlegm-Fluids].
[Resolving Knots] Xiao Xian Xiong Tang (Minor Trap-the-Chest Decoction) [see Vol. 1 on Warm Diseases].
[Expelling Summerheat] San Wu Xiang Ru Yin (Three-Ingredient Elsholtzia Infusion): Xiang Ru (Elsholtziae Herba) (1 liang), Hou Po (Magnoliae Officinalis Cortex), Bian Dou (Vignae Umbellatae Semen) (each 5 qian); taken cold.
[Dispelling Summerheat] Xiao Shu Wan (Dispelling Summerheat Pill) [see Vol. 1 on Summerheat].
[Light and Permeating] Liu Yi San (Six-to-One Powder) [see Vol. 1 on Warm Diseases].
[Removing Dampness] Ping Wei San (Peace the Stomach Powder): Bai Zhu (Atractylodis Macrocephalae Rhizoma), Hou Po (Magnoliae Officinalis Cortex), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix).
[Drying Dampness] Xiao Chai Hu Tang (Minor Bupleurum Decoction) [see Vol. 1 on Warm Diseases].
[Summerheat Diarrhea] Lian Li Tang (Coptis and Licorice Combined Decoction) [see Vol. 1 on Summerheat].