治寒疝腹中绞痛。贼风入攻。五脏拘急。不得转侧。发作有时。令人阴缩。手
(即大乌头煎。见上。)
(歌见长沙方歌括。)治心腹卒中痛者。
柴胡(四两。) 黄芩(一两半。) 人参(一两半。) 半夏(二合半。) 大枣(十二
枚。) 生姜(三两。) 甘草(一两。) 桂枝(一两半。) 芍药(一两半。)
右九味。以水六升。煮取三升。温服一升。日三服。
治中恶心痛腹胀。大便不通。
巴豆(二枚。去皮心。熬。) 杏仁(二枚。)
上二味。以绵缠。捶令碎。热汤二合。捻取白汁饮之。当下。老少量之。通治飞尸鬼击
病。
歌曰 外来异气伤人多。腹胀心疼走马搓。巴杏二枚同捣细。冲汤捻汁好驱邪。
受业门人林士雍按。中恶心痛。大便不通。此实邪也。然邪气虽实。亦以体虚而受也。
是故
利
口
虚者则不可用矣。近世有痧疾病。疑即此也。昔闻之先业师曰。今所谓痧疾者。乃六淫邪毒
猛恶厉气所伤。凡所过之处。血气为之凝滞不行。其症或见身痛。心腹胀满绞痛。或通身青
紫。四肢厥冷。指甲色如靛青。口噤。牙关紧闭。不能言语。或心中忙乱。死在旦夕。是邪
毒内入矣。宜泻其毒。或刺尺泽、委中、足十趾。必使络脉贯通。气血流行。毒邪自解矣。
愚意。轻者用刮痧之法。随即服紫金锭。或吐或下或汗出。务使经气流通。毒邪亦解。或吐
泻不止。腹痛肢厥。大汗出。脉微欲绝者。宜用白通汤、通脉四逆汤、四逆汤等以回阳气。
以化阴邪。庶毒厉之邪渐消。若口不能开者。当从鼻孔中灌之。 集验良方有云。行路之人
路中犯此痧疾者。不得不用刮痧之法。刮后或其人不省者。宜用人尿拌土。将此土环绕脐中。
复使同行之人向脐中溺之。使中宫温。则气机转运。血脉流行矣。
治疗寒疝引起的腹部剧烈绞痛。贼风侵入体内,导致五脏拘挛紧急,身体无法转动侧身,疼痛发作有定时,使人出现阴囊收缩的症状。(此方即大乌头煎,见上文。)
(歌诀见《长沙方歌括》。)治疗心腹突然遭受邪气侵袭而疼痛的病症。
柴胡(四两) 黄芩(一两半) 人参(一两半) 半夏(二合半) 大枣(十二枚) 生姜(三两) 甘草(一两) 桂枝(一两半) 芍药(一两半)
以上九味药,用水六升,煮取三升药液,每次温服一升,每日服用三次。
治疗中恶导致的恶心心痛、腹胀,以及大便不通畅。
巴豆(两枚,去皮和芯,炒制) 杏仁(两枚)
以上两味药,用棉布包裹,捶打至破碎,加入热汤二合,揉搓提取白色汁液饮用,服药后应当会腹泻排出毒素。年老体弱者应减少剂量。此方可通用治疗飞尸鬼击病。
歌诀说:外来的异气伤害人多,腹胀心疼如走马般急促。巴豆和杏仁各两枚一同捣碎,冲入汤水揉出汁液以驱除邪气。
受业门人林士雍按语:中恶引起的心痛和大便不通,属于实邪。然而邪气虽然属实,也是因为人体正气虚弱才受到的。因此,体质虚弱的人则不可使用此方。近代有一种称为“痧疾”的疾病,怀疑就是此类病症。过去听我的先师说,现今所谓的痧疾,是被六淫邪毒、猛恶厉气所伤。凡是邪气经过的地方,血气就会凝滞不行。其症状有的表现为身体疼痛,心腹胀满绞痛,或者全身青紫,四肢厥冷,指甲颜色像靛青一样,牙关紧闭,不能言语,或者心中慌乱不安,随时可能死亡,这是邪毒内入了。应当泻去毒邪,或者针刺尺泽穴、委中穴、足十趾端,必须使络脉贯通,气血流行,毒邪自然解除。我的意见是,轻症采用刮痧的方法,随即服用紫金锭,通过催吐、泻下或出汗的方式,务必使经气流通,毒邪也能解除。如果出现呕吐腹泻不止,腹痛肢冷,大汗淋漓,脉搏微弱几乎摸不到的情况,应当使用白通汤、通脉四逆汤、四逆汤等来回复阳气,化解阴邪,这样毒厉之邪才能逐渐消退。如果患者口不能张开,应当从鼻孔中灌入药液。《集验良方》中说,行路之人如果在路上染上这种痧疾,不得不使用刮痧的方法。刮痧后如果患者不省人事,应当用人尿拌土,将这种土环绕在肚脐周围,再让同行的路人向肚脐中撒尿,使中宫(脾胃/腹部)温暖,那么气机就能转运,血脉就能流行了。
Treats cold hernia (Han Shan) characterized by severe colicky pain in the abdomen. When a thief-wind (Zeifeng, an external pathogenic factor) invades and attacks, it causes spasmodic tension in the five zang organs, making it impossible to turn or shift the body. The attacks occur at specific times and cause retraction of the genitals. (This formula is Da Wutou Jian [Great Aconite Decoction], see above.)
(The rhyme scheme is found in *Changsha Fang Ge Kuo*.) Treats sudden heart and abdominal pain caused by acute invasion of pathogenic factors.
Chaihu (Bupleuri Radix, 4 liang), Huangqin (Scutellariae Radix, 1.5 liang), Renshen (Ginseng Radix, 1.5 liang), Banxia (Pinelliae Rhizoma Preparatum, 2.5 he), Dazao (Zizyphi Fructus, 12 pieces), Shengjiang (Zingiberis Rhizoma Recens, 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang), Guizhi (Cinnamomi Ramulus, 1.5 liang), Shaoyao (Paeoniae Radix Alba, 1.5 liang).
The above nine ingredients are boiled in six sheng of water until three sheng remain. Take one sheng warm, three times daily.
Treats Zhong'e (acute collapse due to evil qi) presenting with nausea, heart pain, abdominal distension, and constipation.
Badou (Crotonis Fructus, 2 pieces, peeled, core removed, stir-fried), Xingren (Armeniacae Semen Amarum, 2 pieces).
The above two ingredients are wrapped in silk, pounded until broken, mixed with two he of hot water, squeezed to extract the white juice, and drunk. It should induce defecation to expel pathogens. Reduce the dose for the elderly. This formula is generally applicable for treating Feishi Guiji disease (flying corpse and ghost strike diseases, referring to sudden acute infectious or toxic conditions).
The rhyme states: External heterogenous qi harms many people; abdominal distension and heart pain rush like a galloping horse. Pound Badou and Xingren together finely; mix with soup and squeeze juice to drive out evil effectively.
Disciple Lin Shiyong notes: Zhong'e causing heart pain and constipation indicates excess pathogens. However, although the pathogen is excess, it is contracted due to underlying deficiency of the body's righteous qi. Therefore, this formula is contraindicated for those with deficiency. In recent times, there is a disease called "Sha Ji" (sand disease/toxic heat syndrome), which is suspected to be this condition. I once heard my former master say that what is currently called Sha Ji is caused by the injury of severe epidemic toxins from the six exogenous pathogenic factors. Wherever the pathogen passes, blood and qi become stagnant and cease to flow. Symptoms may include body pain, abdominal distension and fullness with colicky pain, or general cyanosis of the body, cold limbs, nails colored like indigo, locked jaw, inability to speak, or mental agitation, with death imminent. This indicates the entry of toxic pathogens into the interior. One should purge the toxin, or prick the Chize (LU5), Weizhong (BL40), and ten toes acupoints, ensuring the collaterals are unblocked and blood and qi circulate freely, so the toxic pathogen resolves itself. My opinion is that for mild cases, use the scraping method (Gua Sha), followed immediately by taking Zijin Ding (Purple Gold Pill). Through vomiting, purging, or sweating, ensure the circulation of meridian qi, and the toxic pathogen will also resolve. If there is incessant vomiting and diarrhea, abdominal pain with cold limbs, profuse sweating, and a faint pulse nearly imperceptible, use Baitong Tang (White Tongue Decoction), Tongmai Sini Tang (Pulse-Returning Four Reversal Decoction), or Sini Tang (Four Reversal Decoction) to restore yang qi and transform yin pathogens, so that the epidemic toxic pathogen gradually dissipates. If the mouth cannot open, administer the medicine via nasal instillation. *Ji Yan Liang Fang* states: If travelers contract Sha Ji on the road, they must use the scraping method. After scraping, if the patient loses consciousness, mix soil with human urine, surround the navel with this soil, and have a companion urinate onto the navel. This warms the central palace (middle jiao), allowing the mechanism of qi to rotate and blood vessels to flow.