治一切气痛不可忍(端午日午时合) 没药 辰砂 血蝎(各一两) 木香(半两) 麝
香(一钱) 沉香(一两)
上各生用银瓷器,熬生甘草膏为丸,皂角子大。姜盐汤送下,血气,醋汤嚼下。松滋令
万君,拟宝此药。妇人血痛不可忍者,只一丸,万君神秘之。每有人病,止肯与半丸,往往
亦瘥。
砂(一两米醋三升化) 巴豆霜(二两半以上先煮) 青礞石(半两研) 三棱(醋
浸一宿,煨一两,以上次煮) 大黄(一两半,分三分煨炒,又次煎) 木香 槟榔 肉
豆蔻 猪牙皂角(去皮炒一云炙) 肉桂 干姜(炮) 丁香 蓬莪术(各一两) 芫花(醋
浸一宿炒微有烟) 青橘皮 白豆蔻 墨(烧八分过,各半两) 胡椒(一分) 粉霜(研
一分) 面(二两,酒半斤
上 砂醋合巴豆,煮两食久。投礞石三棱,又投酒面,又投大黄,相去皆半食。久乃入
众药熬,丸如绿豆大。每服三五丸,酒饮杂下。凡症积饮食所伤,气凝谷食不化,皆能愈。
消食化气止泻,腹中诸冷。
乌头(炮去皮) 桂 香附子(微炒) 干姜(炮) 陈橘皮(微炒)
上先用川巴豆取肉,麻油内,慢火煎。自旦及午,候巴豆如皂子色,即止。净拭,冷水
中浸两日。日再换水,又拭干,研如油极细。须研一日方可用。以铁匙刮出,薄摊新瓦上,
如一重纸浓。候一复时,以铁匙刮下,再研极细。每巴豆霜一两,即诸药各五两为细末,与
巴豆同研千万匝。再用绢罗过,更研令匀,陈米一升半,为细末,水调成膏,直候微酸臭,
即煮为硬糊。细研令无块硬处,乃与众药一处为丸,如绿豆大。每服五七丸,随汤使下,此
只是食药,然食药方至多,无如此方者,能和脾胃,消气进食,止泻去积。凡食物壅隘,服
之即消。应腹中不平脾胃诸疾,服之莫不康泰。苏州有人卖一朱砂丸,食药,无所不治,其
效如神。如此致巨富,服其药者,遍天下人无有得其真方者。后有亲人窃得,乃与此一同。
但加朱砂为衣耳,人家宜常合,长少皆可服,的的可赖。
【沉麝丸】治疗一切难以忍受的气痛(需在端午日中午时分制作)。药材包括:没药、辰砂、血竭(各一两)、木香(半两)、麝香(一钱)、沉香(一两)。以上药材均生用,置于银器或瓷器中,熬制生甘草膏作为粘合剂制成丸剂,大小如皂角子。气痛用姜盐汤送服,血气痛用醋汤嚼服。松滋县令万君非常珍视此药。妇女因血痛难以忍受者,仅服一丸即可,万君视其为秘方。每当有人患病,他只肯给半丸,往往也能治愈。
【礞石丸】(注:原文此处标题与内容对应关系需结合上下文,根据方名及成分判断此为礞石丸类方剂,但原文开头列出的“治一切气痛...”实为沉麝丸,随后列出大量药物并描述制作过程,根据“砂...巴豆霜...青礞石...”等成分,此段实际描述的是另一个方剂,通常称为“三棱消积丸”或类似名称,但鉴于原文结构混乱,我们按原文顺序翻译。注意:原文第一段末尾提到“松滋令万君...”,第二段开头直接列出药物,中间似乎缺失了方名或连接词。根据中医古籍常见体例,第二段开始的新的一组药物应属于下一个方剂。然而,原文第一句“治一切气痛不可忍”后紧跟沉麝丸的药味,然后讲用法和故事。接着突然列出“砂...巴豆霜...”。这里存在文本断句问题。通常“治一切气痛...”是沉麝丸的主治。接下来的大段药物列表属于另一个方剂。让我们仔细看原文结构:
1. 治一切气痛... [沉麝丸药味] ... 万君神秘之 ... 往往亦瘥。 (沉麝丸部分结束)
2. 砂(一两米醋三升化)... [一系列药物] ... 皆能愈。消食化气止泻,腹中诸冷。 (这是第二个方剂,可能是“三棱丸”或“礞石丸”的变体,但原文标题有“礞石丸”,且含有青礞石。不过,第一段已经讲了沉麝丸的故事。第二段开头没有方名,直接列药。第三段开头也没有方名。我们需要仔细分辨。)
重新梳理原文逻辑:
原文标题行:沉麝丸 / 治诸气,礞石丸。 / 疾褐丸
这暗示有三个方剂。
第一部分:“治一切气痛不可忍... 没药... 沉香... 上各生用... 皂角子大... 万君...”。这部分明显是**沉麝丸**。
第二部分:“砂... 巴豆霜... 青礞石... 三棱... 大黄... 木香... 槟榔... 肉豆蔻... 猪牙皂角... 肉桂... 干姜... 丁香... 蓬莪术... 芫花... 青橘皮... 白豆蔻... 墨... 胡椒... 粉霜... 面... 上 砂醋合巴豆... 丸如绿豆大... 凡症积饮食所伤...”。这部分含有青礞石、三棱、大黄等,攻下逐瘀之力强,对应标题中的**礞石丸**(或相关消积方)。
第三部分:“乌头... 桂... 香附子... 干姜... 陈橘皮... 上先用川巴豆取肉... 每巴豆霜一两,即诸药各五两... 陈米... 煮为硬糊... 苏州有人卖一朱砂丸...”。这部分以巴豆霜为主,配合温里理气药,且文中提到“苏州有人卖一朱砂丸... 乃与此一同”,这可能是一个独立的方剂,或者是对前文的补充/对比。但看其组成和制法,自成一体。考虑到标题有“疾褐丸”(可能指治疗积聚痞块),且此方也有消积作用。但通常“朱砂丸”是另一个名。这里原文排版较乱。
为了忠实于“逐句对照”和“不增添内容”,我将严格按照文本出现的段落进行翻译。
**第一段(沉麝丸):**
治疗一切难以忍受的气痛(制作时间为端午节中午)。药材:没药、辰砂、血竭(各一两)、木香(半两)、麝香(一钱)、沉香(一两)。以上药材均生用,放入银器或瓷器中,熬制生甘草膏作为粘合剂制成丸剂,大小如皂角子。气痛用姜盐汤送服,血气痛用醋汤嚼服。松滋县令万君非常珍视此药。妇女因血痛难以忍受者,仅服一丸即可,万君视其为秘方。每当有人患病,他只肯给半丸,往往也能治愈。
**第二段(疑似礞石丸或消积方):**
硇砂(一两,用三升米醋化开)、巴豆霜(二两半,以上先煮)、青礞石(半两,研细)、三棱(醋浸一夜,煨,一两,以上次煮)、大黄(一两半,分三份分别煨炒,又次煎)、木香、槟榔、肉豆蔻、猪牙皂角(去皮炒,一说炙)、肉桂、干姜(炮制)、丁香、蓬莪术(各一两)、芫花(醋浸一夜,炒至微冒烟)、青橘皮、白豆蔻、墨(烧去八分余,各半两)、胡椒(一分)、粉霜(研细,一分)、面粉(二两,酒半斤)。将硇砂与醋混合,加入巴豆,煮约一顿饭的时间。投入礞石和三棱,再投入酒和面粉,再投入大黄,每次间隔约一顿饭的时间。久煮后加入其他药物熬制,制成如绿豆大小的丸剂。每次服用三五丸,用酒送服。凡是症积、饮食所伤、气凝导致谷食不化等病症,都能治愈。具有消食化气、止泻、治疗腹中各种寒症的功效。
**第三段(疑似另一消积方或朱砂丸原方):**
乌头(炮制去皮)、桂枝、香附子(微炒)、干姜(炮制)、陈橘皮(微炒)。先用四川巴豆取仁,在麻油中用慢火煎炸。从早晨到中午,待巴豆呈皂荚子颜色时停止。捞出洗净,在冷水中浸泡两天,每天换两次水,再擦干,研磨成极细的油状物。必须研磨一天才能使用。用铁匙刮出,薄摊在新瓦片上,厚度如一重纸。等待一个时辰后,用铁匙刮下,再次研磨至极细。每用巴豆霜一两,其他药物各五两研成细末,与巴豆霜共同研磨千万次。再用绢筛过,进一步研磨均匀。取陈米一升半,研成细末,用水调成膏,直到微微发酸臭,然后煮成硬糊。细细研磨至无硬块,再与其他药物混合制成丸剂,大小如绿豆。每次服用五七丸,随汤剂送服。这只是食药疗法,然而食药疗法中,没有比这个方子用量更大的了。它能调和脾胃,消气进食,止泻去积。凡是食物壅滞阻塞,服用后即能消散。所有腹中不平、脾胃方面的疾病,服用后无不康复。苏州有人售卖一种朱砂丸,用于食药疗法,无所不治,效果如神。因此致富巨万,服用他药的人遍布天下,但没有得到真正配方的人。后来有他的亲戚偷得了配方,发现与此方相同,只是加了朱砂作为衣料罢了。各家应当常备此药,老少皆可服用,确实可靠。
[Chenshe Wan (Musk and Dragon's Blood Pill)] Treats all types of unbearable Qi pain (to be prepared at noon on the Dragon Boat Festival). Ingredients: Myrrha (Moyao), Cinnabar (Chensha), Dragon's Blood (Xuejie) (each 1 liang), Aucklandia Root (Muxiang) (0.5 liang), Musk (Shexiang) (1 qian), Agarwood (Chenxiang) (1 liang). All ingredients are used raw, placed in silver or porcelain vessels, and boiled with raw Licorice Paste (Sheng Gancao Gao) as a binder to form pills, sized like Sophora seeds. For Qi pain, take with Ginger-Salt Decoction; for Blood Qi pain, chew with Vinegar Decoction. Wan Jun, the Magistrate of Songzi, highly valued this medicine. For women suffering from unbearable Blood pain, only one pill is needed; Wan Jun regarded it as a secret prescription. Whenever someone fell ill, he would only give half a pill, which often resulted in recovery.
[Nanshi Wan (Lapis Lazuli Pill) / Xiaoji Formula] Nao Sha (1 liang, dissolved in 3 sheng of rice vinegar), Croton Seed Frost (Badou Shuang) (2.5 liang, boiled first above), Qing Mengshi (Blue Lapis Lazuli) (0.5 liang, ground), Burret Flower Rhizome (Sanleng) (soaked in vinegar overnight, roasted, 1 liang, boiled next above), Rhubarb (Dahuang) (1.5 liang, divided into three parts for roasting/stir-frying, then decocted next), Aucklandia Root (Muxiang), Areca Nut (Binglang), Nutmeg (Roudoukou), Soap Pod (Zhuya Zaojiao) (skin removed, stir-fried, one version says roasted), Cinnamon Bark (Rougui), Dried Ginger (Ganjiang) (processed), Clove (Dingxiang), Curcuma Zedoaria (Peng'Ezhu) (each 1 liang), Genkwa Flower (Yuanhua) (soaked in vinegar overnight, stir-fried until slight smoke appears), Green Tangerina Peel (Qingju Pi), Cardamom (Baidoukou), Ink Stick (Mo) (burned until 80% consumed, each 0.5 liang), Pepper (Hujiao) (1 fen), Arsenic Trioxide Powder (Fenshuang) (ground, 1 fen), Wheat Flour (Mian) (2 liang, mixed with 0.5 jin of wine). Combine Nao Sha with vinegar and Badou, boil for the duration of a meal. Add Mengshi and Sanleng, then add wine and flour, then add Dahuang, with intervals of about a meal between additions. After prolonged boiling, add the remaining herbs and simmer to form pills the size of mung beans. Take 3-5 pills per dose, washed down with wine. It can cure conditions such as accumulations (Zheng Ji), injuries from diet, Qi stagnation leading to undigested food, etc. It promotes digestion, regulates Qi, stops diarrhea, and treats various cold syndromes in the abdomen.
[Another Accumulation-Dissolving Formula] Aconite Root (Wutou) (processed, skin removed), Cinnamon Twig (Gui), Cyperus Rhizome (Xiangfuzi) (lightly stir-fried), Dried Ginger (Ganjiang) (processed), Aged Tangerina Peel (Chenju Pi) (lightly stir-fried). First, take the kernels of Sichuan Croton Seeds (Chuan Badou), and fry them slowly in Sesame Oil (Mamayou) from morning until noon. Stop when the seeds turn the color of soap pods. Rinse clean, soak in cold water for two days, changing the water twice daily. Dry thoroughly and grind into an extremely fine oil-like paste. Grinding must continue for one day before use. Scrape out with an iron spoon, spread thinly on new tiles to a thickness of one layer of paper. Wait for one double-hour (two hours), scrape down, and grind again to extreme fineness. For every 1 liang of Badou Shuang, mix with 5 liang of each other herb ground into fine powder, and grind together with the Badou Shuang for thousands of turns. Sieve through silk gauze and grind further to ensure uniformity. Take 1.5 sheng of aged rice, grind into fine powder, mix with water to form a paste, wait until it smells slightly sour and foul, then cook into a hard paste. Grind finely until no lumps remain, then mix with the herbal powders to form pills the size of mung beans. Take 5-7 pills per dose, taken with any appropriate decoction. This is a food-medicine therapy; however, among such therapies, no formula has such large dosages. It harmonizes the Spleen and Stomach, resolves Qi, stimulates appetite, stops diarrhea, and removes accumulations. For any food stagnation or obstruction, consumption leads to immediate resolution. For all abdominal irregularities and Spleen-Stomach diseases, recovery is assured. In Suzhou, a man sold a Zhusha Wan (Cinnabar Pill) for food-medicine therapy, claiming it could treat everything with miraculous efficacy, making him extremely wealthy. Users were widespread, but few obtained the true formula. Later, his relative stole the formula and found it identical to this one, except that Cinnabar (Zhusha) was added as a coating. Families should keep this formula ready; it is suitable for both young and old and is truly reliable.