治脏腑神气不守正位,为喜怒忧思悲恐惊忤郁不行,遂聚涎饮,结积坚牢,有
如坯块,心腹绞痛,不能饮食,时发时止,发则欲死。
半夏(汤洗去滑,五两) 人参 桂心 甘草(炙,各一两)
上锉散。每服四钱,水盏半,姜七片,枣一枚,煎七分,去滓,食前服。
治喜怒不节,忧思兼并,多生悲恐,或时振惊,致脏气不平,憎寒发热,心
腹胀满,傍冲两胁,上塞咽喉,有如炙脔,吐咽不下,皆七气所生。
半夏(汤洗七次,五两) 白茯苓(四两) 浓朴(姜制炒,三两) 紫苏(二两)
上锉散。每服四钱,水盏半,姜七片,煎七分,去滓,食前服。
夫五噎者,即气噎、忧噎、劳噎、思噎、食噎。虽五种不同,皆以气为主。所谓气噎者
,心悸,上下不通,噫哕不彻,胸背痛。忧噎者,遇天阴寒,手足厥冷,不能自温。劳噎者
,气上鬲,胁下支满,胸中填塞,攻背疼痛。思噎者,心怔悸,喜忘,目视KT KT
。食噎者,食无多少,胸中苦寒疼痛,不得喘息。皆由喜怒不常,忧思过度,恐虑无时,郁
而生涎,涎与气搏,升而不降,逆害饮食,与五膈同,但此在咽嗌,故名五噎。
治五种噎,食饮不下,胸背痛,呕哕不彻,攻刺疼痛,泪与涎俱出。
人参 茯苓 浓朴(去粗皮锉,姜汁制炒) 枳壳(麸炒去瓤) 桂心 甘草(炙) 诃子(
炮去核) 白术 橘皮 白姜(炮) 三棱(炮) 神曲(炒) 麦 (炒,各二两) 木香(炮)
槟榔 蓬术(炮,各半两)
上为末。每服二钱,水一盏,生姜三片,枣子一枚,煎七分,空心温服;盐汤点亦得。
治疗脏腑神气不能安守正常位置,因喜怒、忧思、悲恐、惊忤等情绪导致气机郁结不畅,进而聚积痰饮,形成坚硬牢固的痞块,心腹剧烈绞痛,无法进食,症状时发时止,发作时痛苦欲死。
半夏(用热水洗去滑腻,五两) 人参 桂心 甘草(炙,各一两)
以上药物切碎成散剂。每次服用四钱,加水一盏半,生姜七片,大枣一枚,煎煮至七分满,滤去药渣,饭前服用。
治疗因喜怒没有节制,忧思交织,多产生悲恐情绪,或时常惊恐震颤,导致脏气不平衡,出现怕冷发热,心腹胀满,气逆冲撞两胁,向上阻塞咽喉,感觉像有烤肉块卡在喉咙里,想吐咽不下,这些都是由七气所引起。
半夏(用热水洗七次,五两) 白茯苓(四两) 浓朴(姜汁制炒,三两) 紫苏(二两)
以上药物切碎成散剂。每次服用四钱,加水一盏半,生姜七片,煎煮至七分满,滤去药渣,饭前服用。
所谓五噎,即气噎、忧噎、劳噎、思噎、食噎。虽然这五种情况不同,但都以气机阻滞为主。所谓气噎,表现为心悸,上下气机不通,嗳气呃逆不顺畅,胸背疼痛。忧噎者,遇到阴天寒冷时,手足厥冷,无法自行温暖。劳噎者,气逆上冲膈部,胁下胀满支撑感,胸中填塞感,牵引背部疼痛。思噎者,心中怔悸,容易遗忘,视物模糊不清。食噎者,无论吃多吃少,胸中都感到寒冷疼痛,无法喘息。这些都由于喜怒无常,忧思过度,恐惧忧虑无时不在,气机郁结而生出涎沫,涎沫与气相搏结,上升而不下降,阻碍饮食,与五膈病相同,只是此病位在咽喉,所以称为五噎。
治疗五种噎证,饮食难以下咽,胸背疼痛,呕吐呃逆不顺畅,攻刺样疼痛,流泪与流涎同时出现。
人参 茯苓 浓朴(去除粗皮切碎,姜汁制炒) 枳壳(麸皮炒去瓤) 桂心 甘草(炙) 诃子(炮制去核) 白术 橘皮 白姜(炮制) 三棱(炮制) 神曲(炒) 麦(炒,各二两) 木香(炮制) 槟榔 蓬术(炮制,各半两)
以上药物制成粉末。每次服用二钱,加水一盏,生姜三片,大枣一枚,煎煮至七分满,空腹温服;也可以用盐汤送服。
Treating the condition where the divine qi of the zang-fu organs fails to maintain its proper position, leading to stagnation due to emotions such as joy, anger, worry, thought, sorrow, fear, and fright. This causes phlegm-fluids to accumulate and form hard, firm masses, resulting in severe colicky pain in the heart and abdomen, inability to eat, intermittent onset, and extreme suffering during attacks.
Banxia (Pinelliae Rhizoma, washed with hot water to remove slipperiness, 5 liang) Renshen (Ginseng Radix et Rhizoma) Guixin (Cinnamomi Cortex) Gancao (Licorice Radix et Rhizoma, honey-fried, each 1 liang)
The above ingredients are crushed into a powder. Each dose consists of 4 qian, boiled with 1.5 cups of water, 7 slices of fresh ginger, and 1 jujube, until reduced to 70% volume. Strain the dregs and take before meals.
Treating conditions caused by unregulated joy and anger, combined with worry and thought, often generating sorrow and fear, or occasional tremors and fright, leading to imbalance of visceral qi. Symptoms include aversion to cold and fever, abdominal distension and fullness, qi rushing laterally to both hypochondria, upward obstruction of the throat feeling like a roasted meat lump that cannot be vomited or swallowed. All these arise from the "Seven Qi" (seven emotional factors).
Banxia (Pinelliae Rhizoma, washed seven times with hot water, 5 liang) Baifuling (Poria, 4 liang) Houpo (Magnoliae Officinalis Cortex, processed with ginger juice and fried, 3 liang) Zisu (Perillae Folium, 2 liang)
The above ingredients are crushed into a powder. Each dose consists of 4 qian, boiled with 1.5 cups of water and 7 slices of fresh ginger, until reduced to 70% volume. Strain the dregs and take before meals.
The term "Five Yi" refers to Qi Yi, You Yi, Lao Yi, Si Yi, and Shi Yi. Although these five types differ, they are all primarily governed by qi stagnation. Qi Yi is characterized by palpitations, blockage of qi flow up and down, incomplete belching or hiccups, and chest and back pain. You Yi occurs when encountering cloudy or cold weather, resulting in cold extremities that cannot warm themselves. Lao Yi involves qi rising against the diaphragm, distension and fullness under the hypochondria, a sense of filling in the chest, and radiating back pain. Si Yi presents with palpitations, forgetfulness, and blurred vision. Shi Yi manifests as cold pain in the chest regardless of food intake, and inability to breathe normally. All result from irregular emotions, excessive worry and thought, constant fear and anxiety, leading to qi stagnation and generation of saliva/phlegm. The phlegm and qi contend, ascending but not descending, obstructing diet. This is similar to the Five Ge (epigastric fullness) syndromes, but located in the throat, hence named Five Yi.
Treating the five types of Yi, where food and drink cannot pass down, accompanied by chest and back pain, incomplete vomiting and hiccups, stabbing pain, and simultaneous tearing and salivation.
Renshen (Ginseng Radix et Rhizoma) Fuling (Poria) Houpo (Magnoliae Officinalis Cortex, coarse skin removed, cut, processed with ginger juice and fried) Zhike (Aurantii Fructus Immaturus, bran-fried, pith removed) Guixin (Cinnamomi Cortex) Gancao (Licorice Radix et Rhizoma, honey-fried) Hezi (Terminalia Chebulae Fructus, roasted, pit removed) Baizhu (Atractylodis Macrocephalae Rhizoma) Chuanpi (Citri Reticulatae Pericarpium) Baijiang (Zingiberis Rhizoma, roasted) Sanleng (Sparganii Rhizoma, roasted) Shenqu (Massa Medicata Fermentata, fried) Maidong (Ophiopogonis Radix, fried, each 2 liang) Muxiang (Aucklandiae Radix, roasted) Binglang (Arecae Semen) Zhuansu (Curcumae Radix, roasted, each 0.5 liang)
The above ingredients are ground into powder. Each dose consists of 2 qian, boiled with 1 cup of water, 3 slices of fresh ginger, and 1 jujube, until reduced to 70% volume. Take warm on an empty stomach; alternatively, it can be taken with salted water.