脉∶气口脉紧盛为伤食,食不消化,浮滑而痰。一云∶五味淡薄,令人神爽气清。盖酸多伤脾,咸多伤心,
苦多伤肺,甘多伤肾,辛多伤肝,尤忌生冷硬物。
节调饮食说∶夫脾者,阴气也。静则神藏,燥则消亡,饮食自倍,肠胃乃伤。谓食物无务于多,贵在能节,
所以保和而遂颐养也。若贪多务饱,饫塞难消,徒损暗伤,以招疾患。盖食物饱甚,耗气非一,或食不下而上涌
呕吐以耗灵源;或饮不消而作痰咯唾以耗神水;大便频数而泄,耗谷气之化生;溲便滑利而浊,耗源泉之浸润。
至于精清冷而下漏,汗淋沥而下泄,莫不由食物之过伤,滋味之太浓。如能节满意之食,省爽口之味,常不至于
饱甚者,即顿顿必无伤物,物皆为益,糟粕变化,早晚溲便,按时精华,和凝上下,津液含蓄,神气内守,荣卫
外固,邪毒不能犯,疾病无由作。故圣人立言垂教为养生之大经也。
伤食者,只因多餐饮食,脾虚运化不及,停于胸腹,饱闷恶心、恶食不食、嗳气作酸、下泄臭屁、或腹痛吐
泻,重则发热头疼,左手关脉平和、右手关脉紧盛,是伤食也。初起一吐即宽;若郁久不化,成食积也。
脾胃俱实,能食而肥,过时不饥,多食不伤也;脾胃俱虚,不食而瘦,与食则减食,不与食则不思,饥饱不
知也。食少而肥者,虽肥则四肢不举,盖脾因邪胜也;食多而瘦者,胃伏火邪于气分则能食,虽多食而不能生肌
肉也。
伤食夹气感寒者,宜消食顺气表寒也。
行气香苏散 治内伤生冷,饮食浓味坚硬之物,肚腹胀满疼痛,外感风寒湿气,头疼身热憎寒,遍身
骨节麻木而痛,七情恼怒相冲,饮食不下、心腹气痛。
紫苏 陈皮 香附 乌药 川芎 羌活 枳壳(麸炒) 麻黄 甘草 因湿加苍术。
上锉生姜三片,水煎温服。外感风寒加葱白三根;内伤饮食加山楂、神曲炒。
饮食停积,痞胀作痛者,宜消导也。属热积者,宜∶
枳实大黄汤 治胸腹有食积,大便不通者。
枳实 浓朴(去皮) 大黄 槟榔 甘草 腹痛甚加木香。
上锉一剂,水煎,空心热服。以利为度,不可再服。
消滞丸 消酒、消食、消水、消气、消痞、消胀、消肿、消积、消痛。此药消而不见,响而不动,药本
寻常,其功甚捷。
黑牵牛( ,取头末,二两) 香附米(炒) 五灵脂(一两)
上为细末,醋糊为丸,如绿豆大。每服二三十丸,食后生姜汤下。
属冷积者,宜∶
内消散 治过食寒硬之物,食伤太阴,或呕吐痞满胀痛。
陈皮 半夏(姜制) 白茯苓(去皮) 枳实(去瓤,麸炒) 山楂肉 神曲(炒) 砂仁 香附 三棱
莪术 干生姜
上锉一剂,水煎温服。
沉香化滞丸 消积滞、化痰饮、去恶气、解酒积、中满呕哕恶心。
沉香(五钱) 蓬术(醋炒、三两) 香附(炒) 陈皮(各一两) 木香 砂仁 藿香 麦芽(炒)
神曲(炒) 甘草(炙。各一两)
上为细末,酒糊为丸,如绿豆大。每服五十丸,空心沸汤下。
饮食不思、痞闷者,胃寒也。
香砂养胃汤 治脾胃不和,不思饮食、口不知味、痞闷不舒。
香附(炒) 砂仁 苍术(米泔制,炒) 浓朴(姜汁炒) 陈皮(各八分) 人参(五分) 白术(去芦,
一钱) 茯苓(去皮,八分) 木香(五分) 白豆蔻(去壳,七分) 甘草(炙)
上锉剂,姜枣煎服。脾胃寒加干姜、官桂;肉食不化加山楂、草果;米粉面食不化加神曲、麦芽,生冷瓜果
不化加槟榔、干姜;胸腹饱闷加枳壳、萝卜子、大腹皮,伤食胃口痛加木香、枳实、益智,伤食泄泻加干姜、
乌梅、白术;伤食、恶心呕吐加藿香、丁香、半夏、乌梅、干姜。
饮食不化到饱者,脾虚也。
香砂六君子汤 治脾虚不思饮食,食后到饱。
香附(一钱) 砂仁(五分) 人参(五分) 白术(一钱) 茯苓(去皮) 半夏(姜制) 陈皮(各一钱)
木香(五分) 白豆蔻 浓朴(姜汁炒,一钱) 益智仁 甘草(炙。各五分)
上锉一剂,姜枣煎服。胃口恶寒、呕吐不止去木香、益智仁,加丁香、藿香,名藿香安胃汤。
饮食自倍者,脾胃两伤也。
香砂平胃散 治伤食。
香附(炒,一钱) 砂仁(七分) 苍术(米泔制,炒,一钱) 陈皮(一钱) 甘草(五分) 枳实(麸炒,
八分) 木香(五分) 藿香(八分)
上锉一剂,姜一片,水煎服。肉食不化加山楂、草果;米粉面食不化加神曲、麦芽;生冷瓜果不化加干姜、青皮;
饮酒伤者加黄连、干葛、乌梅;吐泻不止加茯苓、半夏、乌
梅,去枳实。
酒者大热有毒,气味俱阳,乃无形之物也。
葛花解酲汤 治饮酒太过,呕吐痰逆、心神烦乱、胸膈痞塞、手足战摇、饮食减少、小便不利。
白豆蔻 砂仁 葛花(各五钱) 木香(五分) 青皮(三分) 白茯苓 陈皮 猪苓 人参(各一钱半)
白术 神曲(炒) 泽泻 干生姜(各二钱)
上为末和匀,每服三钱,白汤调下。但得微汗,酒病去矣。论云∶此盖不得已用之,岂可恃赖日日饮酒耶?
是方气味辛温,偶因酒病,服之则不损元气,何者敌酒病故也。若频服之,损人天年也。
神仙不醉丹
白葛花 白茯苓(去皮) 小豆花 葛根 木香 天门冬(去心) 缩砂仁 牡丹皮 人参(去芦)
官桂 枸杞子 陈皮 泽泻 海盐 甘草(各等分。)
上为细末,炼蜜为丸,如弹子大。每服一丸,细嚼,热酒送下。一丸可饮酒十盏,十丸可饮酒百盏。
调理脾胃者,医中之王道也。
太和丸 治元气脾胃虚损,不思饮食、肌体羸瘦、四肢无力、面色痿黄,专补气生血、健脾养胃、开胸
快膈、清郁化痰、消食顺气、平和调理之剂。
人参(去芦,五钱) 白术(去芦,土炒、四两) 白茯苓(去皮,半两) 陈皮(一两) 半夏(面炒,
二两二钱) 枳实(麸炒,一两) 黄连(姜汁炒,一两) 当归(酒洗,一两) 山楂(蒸,去子,一两)
木香(五钱) 白芍(酒炒,一两半) 香附(童便炒,一两) 神曲(炒,一两半) 麦芽(炒,一两半)
白豆蔻(去壳,一两三钱) 龙眼肉(一两三钱) 大粉草(炙,七钱)
上为末,荷叶一个煎汤,打仓米糊为丸,如梧桐子大。每服百九,不拘时,米汤送下。
一人患因房劳后,吃红柿十数枚,又饮凉水数碗,少顷,又食热面数碗而心腹大痛。予诊六脉沉微而气口
稍大,此寒热相搏而致也。以附子、干姜、肉桂、枳实、山楂、神曲、莪术、香附一服立止。后浑身发热,又
以小柴胡汤一剂而安。
一人腊月赌食羊肉数斤,被羊肉冷油冻住,堵塞在胸膈不下,胀闷而死。诸医掣时。余见六脉俱有,用黄
酒一大坛,温热入大缸内,令患人坐于中,众手轻轻乱拍胸腹背心,令二人吹其耳,及将热烧酒灌之,次服万亿
丸,得吐泻而愈。
脉象:气口脉紧盛是伤食的表现,食物不能消化;若脉浮滑则提示有痰。另一种说法认为:五味清淡,能使人精神清爽、气息清和。然而酸味过多会损伤脾脏,咸味过多会损伤心脏,苦味过多会损伤肺脏,甘味过多会损伤肾脏,辛味过多会损伤肝脏,尤其应当忌讳生冷坚硬的食物。
饮食调摄说:脾脏属于阴气。安静时神志内藏,躁动时精气消亡,如果饮食过量一倍,肠胃就会受到损伤。意思是食物不在于多,贵在能够节制,这样才能保持和谐并达到颐养天年的目的。如果贪多务饱,吃得太饱导致堵塞难以消化,只会暗中损耗元气,从而招致疾病。大概食物吃得过饱,耗气的途径不止一种:有的因食物不下而向上涌出呕吐,从而耗损先天之本(灵源);有的因饮水不消而变成痰液咯吐,从而耗损津液(神水);有的大便频数而泄泻,耗损由谷物化生的谷气;有的小便滑利而浑浊,耗损源泉的浸润作用。至于精液清冷而下漏,汗液淋漓而下泄,无不是由于食物过度损伤、滋味过于浓厚所致。如果能节制满足口腹之欲的饮食,减少爽口的美味,经常不至于吃得太饱,那么每顿饭都不会伤害身体,食物都能转化为益处,糟粕顺利变化,早晚大小便正常,按时摄取精华,上下和气凝结,津液含蓄体内,神气内守,营卫之气固护于外,邪毒就不能侵犯,疾病也就无从发生。所以圣人立言垂教,将其作为养生的重要准则。
伤食病,只因为进食过多,脾气虚弱运化不及,食物停滞在胸腹部,出现饱闷恶心、厌恶食物或不想进食、嗳气泛酸、下泄臭屁,或者腹痛吐泻,严重的会出现发热头痛。左手关脉平和、右手关脉紧盛,这就是伤食。初起时通过催吐即可缓解;如果郁结日久不化,就形成食积。
脾胃都结实的人,能吃而且肥胖,过了吃饭时间也不觉得饿,多吃也不会受伤;脾胃都虚弱的人,不吃东西却消瘦,给吃东西就少吃一点,不给吃就不想吃,对饥饱没有感觉。吃得少却肥胖的人,虽然肥胖但四肢无力抬举,这是因为脾被邪气所胜;吃得多却消瘦的人,是因为胃中伏藏火邪在气分,所以虽然能吃,但多吃也不能生长肌肉。
伤食兼夹气滞感受寒邪的,适宜采用消食、顺气、解表散寒的方法治疗。
行气香苏散:治疗内伤生冷、饮食浓味坚硬之物引起的肚腹胀满疼痛,外感风寒湿气引起的头疼身热恶寒,全身骨节麻木疼痛,以及七情恼怒相冲引起的饮食不下、心腹气痛。
药材:紫苏、陈皮、香附、乌药、川芎、羌活、枳壳(麸炒)、麻黄、甘草。因湿邪重加苍术。
用法:切碎,加生姜三片,水煎温服。外感风寒加葱白三根;内伤饮食加山楂、神曲(炒)。
饮食停积,痞胀作痛的,适宜采用消导法治疗。属于热积的,适宜用:
枳实大黄汤:治疗胸腹有食积,大便不通者。
药材:枳实、厚朴(去皮)、大黄、槟榔、甘草。腹痛严重加木香。
用法:切碎一剂,水煎,空腹热服。以通利为度,不可再服。
消滞丸:能消酒、消食、消水、消气、消痞、消胀、消肿、消积、消痛。此药消积而不显痕迹,响声大但不伤正气,药物本身寻常,但其功效非常迅速。
药材:黑牵牛(研末,取头末二两)、香附米(炒)、五灵脂(一两)。
用法:研为细末,醋糊为丸,如绿豆大。每次服用二三十丸,饭后用生姜汤送服。
属于冷积的,适宜用:
内消散:治疗过食寒硬之物,食伤太阴经,或出现呕吐痞满胀痛。
药材:陈皮、半夏(姜制)、白茯苓(去皮)、枳实(去瓤,麸炒)、山楂肉、神曲(炒)、砂仁、香附、三棱、莪术、干生姜。
用法:切碎一剂,水煎温服。
沉香化滞丸:消积滞、化痰饮、去恶气、解酒积、治疗中满呕哕恶心。
药材:沉香(五钱)、蓬术(醋炒,三两)、香附(炒)、陈皮(各一两)、木香、砂仁、藿香、麦芽(炒)、神曲(炒)、甘草(炙,各一两)。
用法:研为细末,酒糊为丸,如绿豆大。每次服用五十丸,空腹用沸水送服。
饮食不思、痞闷的,是胃寒所致。
香砂养胃汤:治疗脾胃不和,不思饮食、口不知味、痞闷不舒。
药材:香附(炒)、砂仁、苍术(米泔制,炒)、厚朴(姜汁炒)、陈皮(各八分)、人参(五分)、白术(去芦,一钱)、茯苓(去皮,八分)、木香(五分)、白豆蔻(去壳,七分)、甘草(炙)。
用法:切碎一剂,加姜枣煎服。脾胃寒加干姜、官桂;肉食不化加山楂、草果;米粉面食不化加神曲、麦芽;生冷瓜果不化加槟榔、干姜;胸腹饱闷加枳壳、萝卜子、大腹皮;伤食胃口痛加木香、枳实、益智;伤食泄泻加干姜、乌梅、白术;伤食、恶心呕吐加藿香、丁香、半夏、乌梅、干姜。
饮食不化到饱胀感的,是脾虚所致。
香砂六君子汤:治疗脾虚不思饮食,食后感到饱胀。
药材:香附(一钱)、砂仁(五分)、人参(五分)、白术(一钱)、茯苓(去皮)、半夏(姜制)、陈皮(各一钱)、木香(五分)、白豆蔻、厚朴(姜汁炒,一钱)、益智仁、甘草(炙,各五分)。
用法:切碎一剂,加姜枣煎服。胃口恶寒、呕吐不止者,去掉木香、益智仁,加丁香、藿香,名为藿香安胃汤。
饮食自倍(过量),是脾胃两伤。
香砂平胃散:治疗伤食。
药材:香附(炒,一钱)、砂仁(七分)、苍术(米泔制,炒,一钱)、陈皮(一钱)、甘草(五分)、枳实(麸炒,八分)、木香(五分)、藿香(八分)。
用法:切碎一剂,加一片姜,水煎服。肉食不化加山楂、草果;米粉面食不化加神曲、麦芽;生冷瓜果不化加干姜、青皮;饮酒伤者加黄连、干葛、乌梅;吐泻不止加茯苓、半夏、乌梅,去掉枳实。
酒是大热有毒之物,气味均属阳,是无形的物质。
葛花解酲汤:治疗饮酒太过,呕吐痰逆、心神烦乱、胸膈痞塞、手足战摇、饮食减少、小便不利。
药材:白豆蔻、砂仁、葛花(各五钱)、木香(五分)、青皮(三分)、白茯苓、陈皮、猪苓、人参(各一钱半)、白术、神曲(炒)、泽泻、干生姜(各二钱)。
用法:研为细末和匀,每次服用三钱,用白开水调下。只要微微出汗,酒病就好了。论述说:这大概是不得已才用的方法,怎么能依赖它天天饮酒呢?此方气味辛温,偶然因酒病服用,不会损伤元气,为什么呢?因为能对抗酒病的原因。如果频繁服用,会损害人的寿命。
神仙不醉丹
药材:白葛花、白茯苓(去皮)、小豆花、葛根、木香、天门冬(去心)、缩砂仁、牡丹皮、人参(去芦)、官桂、枸杞子、陈皮、泽泻、海盐、甘草(各等分)。
用法:研为细末,炼蜜为丸,如弹子大。每次服用一丸,细细咀嚼,用热酒送下。一丸可让人喝十杯酒,十丸可让人喝一百杯酒。
调理脾胃,是医家中的王道之法。
太和丸:治疗元气脾胃虚损,不思饮食、肌体羸瘦、四肢无力、面色萎黄,专门补气生血、健脾养胃、开胸快膈、清郁化痰、消食顺气、平和调理的药剂。
药材:人参(去芦,五钱)、白术(去芦,土炒,四两)、白茯苓(去皮,半两)、陈皮(一两)、半夏(面炒,二两二钱)、枳实(麸炒,一两)、黄连(姜汁炒,一两)、当归(酒洗,一两)、山楂(蒸,去子,一两)、木香(五钱)、白芍(酒炒,一两半)、香附(童便炒,一两)、神曲(炒,一两半)、麦芽(炒,一两半)、白豆蔻(去壳,一两三钱)、龙眼肉(一两三钱)、大粉草(炙,七钱)。
用法:研为细末,用一个荷叶煎汤,打仓米糊为丸,如梧桐子大。每次服用九十九丸,不拘时候,用米汤送下。
有一人患病,因为在房事后,吃了十几枚红柿子,又喝了几碗凉水,不久,又吃了几碗热面条,导致心腹剧烈疼痛。我诊察六脉沉微而气口稍大,这是寒热相搏导致的。用附子、干姜、肉桂、枳实、山楂、神曲、莪术、香附,一服药后疼痛立即停止。后来浑身发热,又用小柴胡汤一剂而痊愈。
有一人在腊月赌博后吃了几斤羊肉,被羊肉上的冷油冻住,堵塞在胸膈下不去,胀闷而死。众医生束手无策。我诊察发现六脉俱在,于是用一大坛黄酒,温热后放入大缸内,让病人坐在其中,众人用手轻轻拍打病人的胸腹背心,让两个人吹他的耳朵,并将热烧酒灌入,随后服用万亿丸,得到吐泻而痊愈。
Pulse: A tight and full pulse at the Qi Kou (radial artery point) indicates food stagnation, where food fails to digest; a floating and slippery pulse suggests phlegm. Another view holds that mild flavors refresh the spirit and clear the qi. However, excessive sourness damages the Spleen, excessive saltiness damages the Heart, excessive bitterness damages the Lung, excessive sweetness damages the Kidney, and excessive pungency damages the Liver. One must particularly avoid raw, cold, and hard foods.
On Dietary Regulation: The Spleen belongs to Yin Qi. In stillness, the Shen (Spirit) is stored; in dryness/agitation, it perishes. If food intake doubles, the intestines and stomach are injured. This means food quantity is not as important as moderation, which maintains harmony and promotes nourishment. Greedily eating until full causes blockage and indigestion, secretly depleting vital energy and inviting disease. Excessive eating consumes energy through various pathways: vomiting due to inability to ingest depletes the "spiritual source" (congenital essence); inability to absorb fluids leading to phlegm and saliva depletes "divine water" (body fluids); frequent diarrhea depletes the transformation of grain qi; turbid urination depletes the moistening of the source. Leakage of clear, cold essence or profuse sweating all stem from overindulgence in food and rich flavors. By moderating appetite and reducing flavorful foods, avoiding excess, each meal benefits the body. Waste transforms smoothly, bowel movements and urination occur on time, essence is absorbed, upper and lower harmonize, fluids are retained, Shen remains inward, Ying (Nutritive) and Wei (Defensive) Qi solidify the exterior, pathogens cannot invade, and disease does arise. Thus, sages established these teachings as the great principle of health preservation.
Food Stagnation Disease arises solely from overeating, where weak Spleen Qi fails to transport and transform, causing food to stagnate in the chest and abdomen. Symptoms include fullness, nausea, aversion to food or anorexia, belching with acid reflux, passing foul gas, abdominal pain, vomiting, and diarrhea. Severe cases present with fever and headache. A peaceful Guan pulse on the left hand and a tight, full Guan pulse on the right hand indicate food stagnation. Initially, inducing vomiting brings relief; if stagnation persists and fails to resolve, it becomes Food Accumulation.
When both Spleen and Stomach are solid, one eats well and is fat; hunger does not come when meals are overdue, and overeating does not cause injury. When both are deficient, one is thin without eating; eating reduces appetite further, and not eating leads to no desire for food, lacking awareness of hunger or fullness. Those who eat little but are fat have limbs that are difficult to lift because the Spleen is overcome by pathogenic factors. Those who eat much but are thin have latent Fire Evil in the Stomach's Qi level, allowing them to eat but preventing muscle growth despite large intake.
For Food Stagnation complicated by Qi stagnation and Cold invasion, treatment should focus on resolving food, regulating Qi, and releasing the exterior to dispel Cold.
Xingqi Xiangsu San (Moving Qi and Perilla Leaf Powder): Treats internal injury from raw/cold foods and rich/hard items causing abdominal distension and pain; external contraction of Wind-Cold-Dampness causing headache, fever, aversion to cold, and generalized joint numbness/pain; and emotional anger clashing causing inability to swallow food and epigastric/abdominal Qi pain.
Ingredients: Zi Su Ye (Perillae Folium), Chen Pi (Citri Reticulatae Pericarpium), Xiang Fu (Cyperi Rhizoma), Wu Yao (Linderae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix), Zhi Ke (Aurantii Fructus, bran-fried), Ma Huang (Ephedrae Herba), Gan Cao (Glycyrrhizae Radix et Rhizoma). Add Cang Zhu (Atractylodis Rhizoma) for dampness.
Preparation: Coarsely crush, add three slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water, and take warm. For external Wind-Cold, add three Cong Bai (Allii Fistulosi Bulbus). For internal dietary injury, add Shan Zha (Crataegi Fructus) and Shen Qu (Massa Medicata Fermentata), fried.
For dietary stagnation causing bloating and pain, resolution and guidance (digestion promotion) is indicated. For Heat Accumulation:
Zhishi Dahuang Tang (Immature Bitter Orange and Rhubarb Decoction): Treats food accumulation in chest/abdomen with constipation.
Ingredients: Zhishi (Aurantii Fructus Immaturus), Houpo (Magnoliae Officinalis Cortex), Da Huang (Rhei Radix et Rhizoma), Bing Lang (Arecae Semen), Gan Cao (Glycyrrhizae Radix et Rhizoma). Add Mu Xiang (Aucklandiae Radix) for severe abdominal pain.
Preparation: Coarsely crush one dose, decoct in water, take hot on an empty stomach. Stop once bowels move; do not continue.
Xiao Zhi Wan (Eliminate Stasis Pill): Resolves wine, food, water, Qi,痞 (fullness), distension, swelling, accumulation, and pain. It eliminates without visible signs, makes noise but does not damage the body. Though ordinary ingredients, its effect is swift.
Ingredients: Hei Qian Niu (Pharbitidis Semen, head powder, 2 liang), Xiang Fu Mi (Cyperi Rhizoma, fried), Wu Ling Zhi (Trogopterori Faeces, 1 liang).
Preparation: Fine powder, paste with vinegar and honey into pills the size of mung beans. Take 20-30 pills after meals with Ginger Tea.
For Cold Accumulation:
Nei Xiao San (Internal Dissolving Powder): Treats overconsumption of cold/hard foods injuring the Taiyin (Spleen), causing vomiting, fullness, distension, and pain.
Ingredients: Chen Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma, ginger-processed), Bai Fu Ling (Poria, peeled), Zhishi (Aurantii Fructus Immaturus, pulp removed, bran-fried), Shan Zha Rou (Crataegi Fructus flesh), Shen Qu (Massa Medicata Fermentata, fried), Sha Ren (Amomi Fructus), Xiang Fu (Cyperi Rhizoma), San Leng (Sparganii Rhizoma), E Zhu (Curcumae Rhizoma), Gan Sheng Jiang (Zingiberis Rhizoma Recens).
Preparation: Coarsely crush one dose, decoct in water, take warm.
Chenxiang Hua Zhi Wan (Agarwood Transforming Stasis Pill): Resolves accumulation, transforms phlegm-fluids, removes foul qi, resolves wine accumulation, treats epigastric fullness, vomiting, retching, and nausea.
Ingredients: Chen Xiang (Aquilariae Lignum Resinatum, 5 qian), Peng Zhu (Curcumae Phaeocaulis Rhizoma, vinegar-fried, 3 liang), Xiang Fu (Cyperi Rhizoma, fried), Chen Pi (Citri Reticulatae Pericarpium, 1 liang each), Mu Xiang (Aucklandiae Radix), Sha Ren (Amomi Fructus), Huo Xiang (Pogostemonis Herba), Mai Ya (Hordei Fructus Germinatus, fried), Shen Qu (Massa Medicata Fermentata, fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted, 1 liang each).
Preparation: Fine powder, paste with wine into pills the size of mung beans. Take 50 pills on an empty stomach with boiling water.
Lack of appetite and chest fullness indicate Stomach Cold.
Xiangsha Yangwei Tang (Fragrant Amomum Nourishing Stomach Decoction): Treats Spleen-Stomach disharmony, anorexia, loss of taste, and chest fullness.
Ingredients: Xiang Fu (Cyperi Rhizoma, fried), Sha Ren (Amomi Fructus), Cang Zhu (Atractylodis Rhizoma, rice-water processed, fried), Houpo (Magnoliae Officinalis Cortex, ginger-juice fried), Chen Pi (Citri Reticulatae Pericarpium, 8 fen each), Ren Shen (Ginseng Radix et Rhizoma, 5 fen), Bai Zhu (Atractylodis Macrocephalae Rhizoma, radicle removed, 1 qian), Fu Ling (Poria, peeled, 8 fen), Mu Xiang (Aucklandiae Radix, 5 fen), Bai Dou Kou (Cardamomi Fructus, shelled, 7 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted).
Preparation: Coarsely crush one dose, decoct with Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Jujubae Fructus). For Spleen-Stomach Cold, add Gan Jiang (Zingiberis Rhizoma) and Guan Gui (Cinnamomi Cortex). For undigested meat, add Shan Zha (Crataegi Fructus) and Cao Guo (Tsaoko Fructus). For undigested rice/flour, add Shen Qu (Massa Medicata Fermentata) and Mai Ya (Hordei Fructus Germinatus). For undigested raw/cold fruits, add Bing Lang (Arecae Semen) and Gan Jiang (Zingiberis Rhizoma). For chest/abdominal fullness, add Zhi Ke (Aurantii Fructus), Luo Bo Zi (Raphani Semen), and Da Fu Pi (Arecae Pericarpium). For food stagnation stomach pain, add Mu Xiang (Aucklandiae Radix), Zhishi (Aurantii Fructus Immaturus), and Yi Zhi Ren (Alpiniae Oxyphyllae Fructus). For food stagnation diarrhea, add Gan Jiang (Zingiberis Rhizoma), Wu Mei (Mume Fructus), and Bai Zhu (Atractylodis Macrocephalae Rhizoma). For food stagnation with nausea/vomiting, add Huo Xiang (Pogostemonis Herba), Ding Xiang (Caryophylli Flos), Ban Xia (Pinelliae Rhizoma), Wu Mei (Mume Fructus), and Gan Jiang (Zingiberis Rhizoma).
Inability to feel full after eating indicates Spleen Deficiency.
Xiangsha Liujunzi Tang (Fragrant Amomum Six Gentlemen Decoction): Treats Spleen deficiency with anorexia and postprandial fullness.
Ingredients: Xiang Fu (Cyperi Rhizoma, 1 qian), Sha Ren (Amomi Fructus, 5 fen), Ren Shen (Ginseng Radix et Rhizoma, 5 fen), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Fu Ling (Poria, peeled), Ban Xia (Pinelliae Rhizoma, ginger-processed), Chen Pi (Citri Reticulatae Pericarpium, 1 qian each), Mu Xiang (Aucklandiae Radix, 5 fen), Bai Dou Kou (Cardamomi Fructus), Houpo (Magnoliae Officinalis Cortex, ginger-juice fried, 1 qian), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted, 5 fen each).
Preparation: Coarsely crush one dose, decoct with Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Jujubae Fructus). For stomach cold with persistent vomiting, remove Mu Xiang (Aucklandiae Radix) and Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), add Ding Xiang (Caryophylli Flos) and Huo Xiang (Pogostemonis Herba), named Huoxiang Anwei Tang (Agastache Calming Stomach Decoction).
Doubling food intake injures both Spleen and Stomach.
Xiangsha Pingwei San (Fragrant Amomum Level the Stomach Powder): Treats food stagnation.
Ingredients: Xiang Fu (Cyperi Rhizoma, fried, 1 qian), Sha Ren (Amomi Fructus, 7 fen), Cang Zhu (Atractylodis Rhizoma, rice-water processed, fried, 1 qian), Chen Pi (Citri Reticulatae Pericarpium, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen), Zhishi (Aurantii Fructus Immaturus, bran-fried, 8 fen), Mu Xiang (Aucklandiae Radix, 5 fen), Huo Xiang (Pogostemonis Herba, 8 fen).
Preparation: Coarsely crush one dose, add one slice of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water. For undigested meat, add Shan Zha (Crataegi Fructus) and Cao Guo (Tsaoko Fructus). For undigested rice/flour, add Shen Qu (Massa Medicata Fermentata) and Mai Ya (Hordei Fructus Germinatus). For undigested raw/cold fruits, add Gan Jiang (Zingiberis Rhizoma) and Qing Pi (Citri Reticulatae Pericarpium Viride). For alcohol injury, add Huang Lian (Coptidis Rhizoma), Gan Ge (Puerariae Lobatae Radix), and Wu Mei (Mume Fructus). For persistent vomiting/diarrhea, add Fu Ling (Poria), Ban Xia (Pinelliae Rhizoma), and Wu Mei (Mume Fructus); remove Zhishi (Aurantii Fructus Immaturus).
Wine is extremely hot, toxic, purely Yang in nature and aroma, and formless.
Ge Hua Jie Cheng Tang (Kudzu Flower Relieving Intoxication Decoction): Treats excessive drinking causing vomiting with phlegm reversal, mental restlessness, chest diaphragm fullness, trembling hands/feet, reduced appetite, and dysuria.
Ingredients: Bai Dou Kou (Cardamomi Fructus), Sha Ren (Amomi Fructus), Ge Hua (Puerariae Flos, 5 qian each), Mu Xiang (Aucklandiae Radix, 5 fen), Qing Pi (Citri Reticulatae Pericarpium Viride, 3 fen), Bai Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium), Zhu Ling (Polyporus, 1.5 qian each), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Shen Qu (Massa Medicata Fermentata, fried), Ze Xie (Alismatis Rhizoma), Gan Sheng Jiang (Zingiberis Rhizoma Recens, 2 qian each).
Preparation: Mix fine powders evenly. Take 3 qian mixed with plain water. Mild sweating indicates the wine pathology has resolved. Commentary: This is a remedy of last resort; one should not rely on it to drink daily. The formula is acrid-warm; occasional use for wine illness does not damage Yuan Qi because it counters the wine pathology. Frequent use damages natural lifespan.
Shenxian Bu Zui Dan (Immortal Non-Intoxication Pill)
Ingredients: Bai Ge Hua (Puerariae Flos), Bai Fu Ling (Poria, peeled), Xiao Dou Hua (Vigna Radiata Flos), Ge Gen (Puerariae Lobatae Radix), Mu Xiang (Aucklandiae Radix), Tian Men Dong (Asparagi Radix, heart removed), Suo Sha Ren (Amomi Fructus), Mu Dan Pi (Moutan Cortex), Ren Shen (Ginseng Radix et Rhizoma, radicle removed), Guan Gui (Cinnamomi Cortex), Gou Qi Zi (Lycii Fructus), Chen Pi (Citri Reticulatae Pericarpium), Ze Xie (Alismatis Rhizoma), Hai Yan (Halitum), Gan Cao (Glycyrrhizae Radix et Rhizoma, equal parts).
Preparation: Fine powder, paste with refined honey into pills the size of a bullet. Take one pill, chew thoroughly, swallow with hot wine. One pill allows ten cups of wine; ten pills allow one hundred cups.
Regulating Spleen and Stomach is the "King's Way" among medical practices.
Taihe Wan (Great Harmony Pill): Treats Yuan Qi and Spleen-Stomach deficiency with anorexia, emaciation, limb weakness, and sallow complexion. It tonifies Qi to generate Blood, strengthens Spleen and nourishes Stomach, opens the chest and relieves diaphragm oppression, clears depression and transforms phlegm, resolves food and regulates Qi, providing gentle regulation.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma, radicle removed, 5 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, radicle removed, earth-fried, 4 liang), Bai Fu Ling (Poria, peeled, 0.5 liang), Chen Pi (Citri Reticulatae Pericarpium, 1 liang), Ban Xia (Pinelliae Rhizoma, flour-fried, 2.2 liang), Zhishi (Aurantii Fructus Immaturus, bran-fried, 1 liang), Huang Lian (Coptidis Rhizoma, ginger-juice fried, 1 liang), Dang Gui (Angelicae Sinensis Radix, wine-rinsed, 1 liang), Shan Zha (Crataegi Fructus, steamed, pitted, 1 liang), Mu Xiang (Aucklandiae Radix, 5 qian), Bai Shao (Paeoniae Radix Alba, wine-fried, 1.5 liang), Xiang Fu (Cyperi Rhizoma, child's urine-fried, 1 liang), Shen Qu (Massa Medicata Fermentata, fried, 1.5 liang), Mai Ya (Hordei Fructus Germinatus, fried, 1.5 liang), Bai Dou Kou (Cardamomi Fructus, shelled, 1.3 liang), Long Yan Rou (Longan Aril, 1.3 liang), Da Fen Cao (Glycyrrhizae Radix et Rhizoma, roasted, 7 qian).
Preparation: Fine powder. Decoct one lotus leaf in water, mix with glutinous rice paste to form pills the size of paulownia seeds. Take 99 pills anytime with rice gruel.
Case 1: A patient suffered severe epigastric and abdominal pain after sexual exertion, consuming over ten persimmons, several bowls of cold water, and shortly after, several bowls of hot noodles. Pulse was deep and faint at six positions, slightly large at Qi Kou. This was Cold-Heat clashing. One dose of Fu Zi (Aconiti Lateralis Radix Praeparata), Gan Jiang (Zingiberis Rhizoma), Rou Gui (Cinnamomi Cortex), Zhishi (Aurantii Fructus Immaturus), Shan Zha (Crataegi Fructus), Shen Qu (Massa Medicata Fermentata), E Zhu (Curcumae Rhizoma), and Xiang Fu (Cyperi Rhizoma) stopped the pain immediately. Subsequent generalized fever was resolved with one dose of Xiao Chai Hu Tang (Minor Bupleurum Decoction).
Case 2: In December, a patient ate several jin of lamb after gambling. The cold fat from the lamb froze, blocking the chest and diaphragm, causing fatal distension. Physicians were helpless. I found pulses present in all six positions. I used a large jar of yellow wine, warmed it in a large tub, had the patient sit in it, and had assistants gently pat the chest, abdomen, and back. Two people blew into his ears, and hot liquor was administered orally. Then, Wan Yi Wan (Trillion Pills) were given, resulting in vomiting and diarrhea, leading to recovery.