干德中,浙江有慎恭道,肌瘦如劳,惟好食米。缺之则流清水,情似忧思。食米顷,顿
常。众医莫辨。后遇蜀僧道庶,以鸡屎及白米各半合,共炒为末,水一盏调服。良久,病者
吐出如米形,遂瘥。其病为米 是也。
阿魏丸
阿魏 山楂肉(各一两) 连翘(五钱) 黄连(六钱五分)
上三味为末,以阿魏醋煮为丸如梧子大,每服五六十丸,食前白汤下。
又方∶治肉积虫积,一应难消难化,腹中饱胀疼痛,皆能取效如神,不伤元气。
京三棱 莪术(并醋炒) 自然铜 蛇含石(并醋淬七次,各二钱) 雄黄 蜈蚣(全用,
钱二分) 木香(一钱半) 辰砂 沉香(各八分) 铁花粉(用米醋炒,一钱) 天竺黄 阿魏
全蝎(洗,焙干) 芦荟(各四钱) 冰片(五分)
上为极细末,用雄猪胆汁炼为丸,如梧子大,每服七八分,重者一钱,五更酒送下,块
消即止,不必尽剂,用黑狗胆汁丸亦妙。
《宣明》三棱汤 治 瘕 癖,积聚不散,坚满痞胀,饮食不下。
京三棱(二两) 白术(一两) 蓬术 当归(各半两) 槟榔 木香(各七钱半)
为末,每服三钱,沸汤调下。
《三因》散聚汤 治九气积聚,状如 瘕,随气上下,发则心腹绞痛,攻刺腰胁
半夏 槟榔 当归(各七钱半) 浓朴(姜制) 枳壳 茯苓 附子(炮) 川芎 吴茱萸
(汤炮) 炙草(各一两) 杏仁(去皮尖,麸炒) 桂心 橘红(各二两)
为末,每服四钱,水一盏,姜三片,煎七分,空心温服。大便不利加大黄。
诸积太仓丸
陈仓米四两,以巴豆二十一粒,去皮尖同炒,至米香豆黑,勿令米焦,去豆不用,
再入橘红四两,为末,和丸桐子大,姜汤送下,五丸,日二。
万病紫菀丸
即温白丸加羌活、独活、防风。
万病感应丸
即温白丸减去川椒,加下药∶羌活、三棱、甘遂、杏仁、防风(各一两五钱) 威灵仙(
一两)
干德年间,浙江有一位名叫慎恭道的人,身体消瘦如同患有虚劳病,只喜欢吃米。如果吃不到米,就会流出清稀口水,神情看起来像是忧愁思虑过度。一旦吃了米,症状立刻缓解。众位医生都无法诊断出病因。后来遇到一位来自蜀地的僧人道庶,用鸡屎白和白米各半合的量,共同炒制后研成粉末,用水一盏调匀服用。过了许久,病人吐出了像米粒形状的东西,于是病就好了。这种病就是“米瘕”。
阿魏丸
配方:阿魏、山楂肉(各一两);连翘(五钱);黄连(六钱五分)。
制作与服用方法:将上述三味药研成细末,用醋煮阿魏作为粘合剂,制成梧桐子大小的药丸。每次服用五六十丸,饭前用白开水送服。
又一方:治疗肉积、虫积,以及一切难以消化、腹部饱胀疼痛的症状,都能取得神奇疗效,且不损伤元气。
配方:京三棱、莪术(均用醋炒);自然铜、蛇含石(均用醋淬七次,各二钱);雄黄、蜈蚣(全虫使用,二分);木香(一钱半);辰砂、沉香(各八分);天花粉(用米醋炒,一钱);天竺黄、阿魏、全蝎(洗净焙干)、芦荟(各四钱);冰片(五分)。
制作与服用方法:将上述药物研成极细的粉末,用雄猪胆汁炼蜜为丸,制成梧桐子大小。每次服用七八分,重症者服用一钱,在凌晨五更天时以酒送服。肿块消散即停药,不必服完所有药剂。用黑狗胆汁制丸也很好。
《宣明》三棱汤:治疗瘕癖、积聚不散,导致坚硬满闷痞胀,饮食难以下咽。
配方:京三棱(二两);白术(一两);蓬术、当归(各半两);槟榔、木香(各七钱半)。
制作与服用方法:研成细末,每次服用三钱,用沸水调服。
《三因》散聚汤:治疗九气积聚,症状类似瘕块,随气机上下移动,发作时心腹绞痛,放射至腰胁部。
配方:半夏、槟榔、当归(各七钱半);浓朴(姜汁制);枳壳、茯苓、附子(炮制)、川芎、吴茱萸(汤泡)、炙甘草(各一两);杏仁(去皮尖,麸炒);桂心、橘红(各二两)。
制作与服用方法:研成细末,每次服用四钱,加水一盏,生姜三片,煎至七分,空腹温服。若大便不通畅,加大黄。
诸积太仓丸
配方:陈仓米四两,与巴豆二十一粒,去皮尖后同炒,直到米香豆黑为止,注意不要让米烧焦,去掉巴豆不用,再加入橘红四两,研成细末,和丸制成桐子大小。
服用方法:姜汤送下,每次五丸,每日两次。
In the Gande era, there was a man in Zhejiang named Shen Gongdao. His body was emaciated as if suffering from consumption (Xu Lao), and he had a strong craving for rice. If deprived of rice, he would salivate clear fluid, appearing to be in a state of melancholy or excessive worry. Upon eating rice, his symptoms would immediately subside. Many physicians were unable to diagnose the condition. Later, he encountered Dao Shu, a monk from Shu, who prescribed a mixture of half a *he* (a traditional unit of volume) of chicken droppings (*Ji Shi Bai*) and half a *he* of white rice. These were stir-fried together, ground into powder, mixed with one cup of water, and taken orally. After some time, the patient vomited out matter resembling grains of rice, and the illness was cured. This disease is known as "Rice Jia" (Mi Jia).
Awei Wan (Asafoetida Pill)
Ingredients: Awei (Asafoetida), Shan Zha Rou (Hawthorn Fruit Flesh) (each 1 liang); Lian Qiao (Forsythiae Fructus) (5 qian); Huang Lian (Coptidis Rhizoma) (6.5 qian).
Preparation and Administration: Grind the above three ingredients into fine powder. Use Awei boiled in vinegar as a binder to form pills the size of sophora seeds. Take 50-60 pills per dose before meals, washed down with plain warm water.
Another Prescription: For treating meat accumulation (Rou Ji), insect accumulation (Chong Ji), and any other difficult-to-digest accumulations causing abdominal fullness and pain, this prescription yields miraculous results without damaging the healthy qi (Yuan Qi).
Ingredients: Jing San Leng (Broomrape Rhizome / Euphorbiae Humifusae Radix - note: traditionally refers to Bupleurum or similar rhizomes depending on context, here likely San Leng), E Zhu (Curcumae Rhizoma) (both stir-fried with vinegar); Zi Ran Tong (Pyritum), She Han Shi (Serpentinite) (both quenched seven times in vinegar, each 2 qian); Xiong Huang (Realgar), Wu Gong (Scolopendra) (whole insect used, 2 fen); Mu Xiang (Aucklandiae Radix) (1.5 qian); Chen Sha (Cinnabaris), Chen Xiang (Aquilariae Lignum Resinatum) (each 8 fen); Tian Hua Fen (Trichosanthis Radix) (stir-fried with rice vinegar, 1 qian); Tian Zhu Huang (Bambusae Calamus Taeniatas Resina), Awei (Asafoetida), Quan Xie (Scorpio) (washed and dried), Lu Hui (Aloe) (each 4 qian); Bing Pian (Borneolum Syntheticum) (5 fen).
Preparation and Administration: Grind all ingredients into an extremely fine powder. Use bile from a male pig to bind and form pills the size of sophora seeds. Take 7-8 fen per dose; for severe cases, take 1 qian. Administer at dawn (Wu Geng time) with wine. Stop taking when the mass dissipates; it is not necessary to finish the entire course. Using bile from a black dog for binding is also excellent.
San Leng Tang (Broomrape Decoction) from *Xuan Ming*: Treats Jia Pi (masses and fixed lumps), accumulation that does not disperse, resulting in hardness, fullness, distension, and inability to eat.
Ingredients: Jing San Leng (2 liang); Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1 liang); Peng Zhu (Curcumae Rhizoma), Dang Gui (Angelicae Sinensis Radix) (each 0.5 liang); Bing Lang (Arecae Semen), Mu Xiang (Aucklandiae Radix) (each 7.5 qian).
Preparation and Administration: Grind into powder. Take 3 qian per dose, mixed with boiling water.
San Ju Tang (Dispersing Accumulation Decoction) from *San Yin*: Treats accumulations caused by the nine qi emotions, presenting like Jia masses, moving up and down with the qi. Attacks cause severe colic in the heart and abdomen, radiating to the waist and hypochondrium.
Ingredients: Ban Xia (Pinelliae Rhizoma), Bing Lang (Arecae Semen), Dang Gui (Angelicae Sinensis Radix) (each 7.5 qian); Hou Po (Magnoliae Officinalis Cortex) (processed with ginger juice); Zhi Ke (Aurantii Fructus), Fu Ling (Poria), Fu Zi (Aconiti Lateralis Radix Praeparata), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Wu Zhu Yu (Evodiae Fructus) (processed with hot water), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) (each 1 liang); Xing Ren (Armeniacae Semen Amarum) (skin and tip removed, stir-fried with bran); Gui Xin (Cinnamomi Ramulus), Ju Hong (Citri Reticulatae Pericarpium) (each 2 liang).
Preparation and Administration: Grind into powder. Take 4 qian per dose with one cup of water and three slices of ginger. Decoct until reduced to 70%. Take warm on an empty stomach. If stool is difficult, add Da Huang (Rhei Radix et Rhizoma).
Zhu Ji Tai Cang Wan (All Accumulations Grand Granary Pill)
Ingredients: Chen Cang Mi (Aged Stored Rice) 4 liang, stir-fried together with 21 Ba Dou (Crotonis Fructus) seeds (skin and tip removed) until the rice smells fragrant and the beans turn black, being careful not to burn the rice. Remove the beans. Add 4 liang of Ju Hong (Citri Reticulatae Pericarpium). Grind into powder and form pills the size of paulownia seeds.
Administration: Wash down with ginger decoction. Take 5 pills twice daily.
Wan Bing Zi Wan (Myrtle Pill for Ten Thousand Diseases)
This is Wen Bai Wan (Warm White Pill) plus Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), and Fang Feng (Saposhnikoviae Radix).
Wan Bing Gan Ying Wan (Miracle Pill for Ten Thousand Diseases)
This is Wen Bai Wan (Warm White Pill) minus Chuan Jiao (Zanthoxyli Pericarpium), plus the following herbs: Qiang Huo (Notopterygii Rhizoma et Radix), San Leng (Broomrape Rhizome), Gan Sui (Kansui Radix), Xing Ren (Armeniacae Semen Amarum), Fang Feng (Saposhnikoviae Radix) (each 1.5 liang); Wei Ling Xian (Syneilesis Rhizoma / Clematidis Radix) (1 liang).