治心下坚大如盘,边如旋盘,水饮所作,名曰气分。
桂心(三两) 甘草(炙) 麻黄(去节汤,焙干秤) 细辛(去苗,各二两) 附子(四个,炮去皮
脐) 上为锉散。每服四钱,水一盏半,生姜七片,枣三个,煎七分,去滓温服,汗出如
虫行皮中即愈。
治心下坚大如盘,边如旋盘,水饮所作,名曰气分。
枳实(一两半) 白术(三两)
上为锉散。每服四钱,水一盏半,煎七分,去滓温服,腹中软,即当散也。
夫阴 ,属肝,系宗筋,胃阳明养之。世多不识,谓之外肾,非特名义差错,亦使五内
不分,其可不辨。古方虽出四证,但曰肠 、气 、水 、卵胀,殊不别其所因。如肠 ,
则因房室过度,元脏虚冷,肠边 系不收,坠入 中,上下无定,谓之肠 ,属不内外因
;病者久蓄忧思,恐怒兼并,随脏气下坠阴 ,肿胀急痛,名曰气 ,属内所因;病者久坐
冷湿,湿气下袭,致阴肿胀,名曰水 ,属外所因;病者劳役无节,及跨马坐车,致卵核肿
胀,或偏有大小,上下无常,名曰卵胀,亦属不内外因。有小儿生来便如此者,乃宿疾也。
卵胀、肠 ,皆难治;气 、水 治之易愈。又寒疝下注,入于 中,名曰狐疝,亦属 病。世
人因此并以 病为疝气,不审之甚。妇人阴门挺出,亦称 病,名义不分,有如此者。
治疗心下痞硬,胀大如盘,边缘像旋转的盘子一样,由水饮停留所致,这种病称为气分。
桂心(三两) 甘草(炙) 麻黄(去节,用汤煮后焙干称重) 细辛(去苗,各二两) 附子(四个,炮制去皮脐) 以上药物捣碎成散剂。每次服用四钱,加水一盏半,生姜七片,大枣三个,煎至七分满,滤去药渣,温服。服药后若感觉汗出如虫在皮肤中爬行,即为痊愈。
治疗心下痞硬,胀大如盘,边缘像旋转的盘子一样,由水饮停留所致,这种病称为气分。
枳实(一两半) 白术(三两)
以上药物捣碎成散剂。每次服用四钱,加水一盏半,煎至七分满,滤去药渣,温服。若腹部变软,说明积滞已消散。
阴器属于肝经,系于宗筋,由足阳明胃经滋养。世人大多不认识,称之为“外肾”,这不仅名称和含义有误,也导致五脏六腑界限不清,怎能不加以辨别呢?古方虽然列出了四种证候,但只说肠疝、气疝、水疝、卵疝,并不区分其病因。例如肠疝,是因为房事过度,元脏虚冷,肠边系膜松弛不收,坠入阴囊中,上下移动不定,称为肠疝,属于不内外因;病人长期郁结忧思,惊恐愤怒交加,随着脏气下坠至阴器,导致肿胀急痛,称为气疝,属于内所因;病人久坐冷湿之地,湿气下袭,导致阴器肿胀,称为水疝,属于外所因;病人劳役无度,以及骑马坐车颠簸,导致睾丸肿胀,或大小不一,上下无常,称为卵疝,也属于不内外因。有小儿生来就如此,这是宿疾。卵疝、肠疝,都难治;气疝、水疝治疗容易痊愈。又有寒疝向下注陷,进入阴囊中,称为狐疝,也属于疝病。世人因此将所有的疝病都称为疝气,这是非常不审慎的。妇人阴户挺出,也称为疝病,名义不分,情况就是这样。
To treat fullness and hardness in the epigastrium, enlarged like a plate, with edges resembling a rotating disk, caused by fluid retention, this condition is named Qi Fen (Qi Division).
Guixin (Cortex Cinnamomi, 3 liang) Gancao (Licorice Root, processed with honey) Mahuang (Ephedrae Herba, nodes removed, boiled then dried and weighed) Xixin (Asari Radix et Rhizoma, roots removed, each 2 liang) Fuzi (Radix Aconiti Lateralis Preparata, 4 pieces, processed, peel and umbilicus removed) The above ingredients are crushed into a coarse powder. For each dose of 4 qian, add 1.5 sheng of water, 7 slices of fresh ginger, and 3 jujubes. Decoct until reduced to 0.7 sheng, strain, and take warm. If sweating occurs as if insects are crawling under the skin, the patient will be cured.
To treat fullness and hardness in the epigastrium, enlarged like a plate, with edges resembling a rotating disk, caused by fluid retention, this condition is named Qi Fen (Qi Division).
Zhishi (Immature Bitter Orange, 1.5 liang) Baizhu (Atractylodis Macrocephalae Rhizoma, 3 liang)
The above ingredients are crushed into a coarse powder. For each dose of 4 qian, add 1.5 sheng of water. Decoct until reduced to 0.7 sheng, strain, and take warm. If the abdomen becomes soft, the accumulation will dissipate.
The yin organ belongs to the Liver channel and is connected to the Zongjin (tendons), nourished by the Stomach Yangming channel. Most people do not recognize it correctly, calling it "external kidney" (wai shen). This not only causes errors in name and meaning but also blurs the distinction among the five zang organs, so how can one fail to distinguish it? Although ancient formulas listed four types of hernias, they merely mentioned Chang Hong (Intestinal Hernia), Qi Hong (Qi Hernia), Shui Hong (Water Hernia), and Luan Hong (Testicular Hernia), without distinguishing their etiologies. For instance, Chang Hong (Intestinal Hernia) results from excessive sexual activity and deficiency-cold of the Yuan Zang (Primordial Organ), causing the mesentery of the intestine to relax and fail to retract, allowing the intestine to descend into the scrotum, moving up and down不定ly; this is classified as an neither-internal-nor-external cause. When a patient suffers from long-term worry and thought, combined with fear and anger, the pathogenic qi descends along with the organ's qi into the yin organ, causing swelling, urgency, and pain, named Qi Hong (Qi Hernia), which belongs to internal causes. When a patient sits for long periods in cold and damp environments, dampness invades downward, causing swelling of the yin organ, named Shui Hong (Water Hernia), which belongs to external causes. When a patient overexerts themselves or rides horses and carriages causing vibration, leading to testicular swelling, uneven size, or irregular movement, named Luan Hong (Testicular Hernia), this also belongs to neither-internal-nor-external causes. Some infants are born with this condition, which is a congenital disease. Luan Hong (Testicular Hernia) and Chang Hong (Intestinal Hernia) are difficult to treat; Qi Hong (Qi Hernia) and Shui Hong (Water Hernia) are easy to cure. Additionally, when Cold Han (Cold Hernia) sinks downward into the scrotum, it is named Hu Hong (Fox Hernia), which also belongs to hernia diseases. People therefore indiscriminately refer to all hernia diseases as "Shan Qi" (Hernia Qi), which is highly imprudent. In women, prolapse of the vaginal opening is also called a hernia disease; such confusion in names and meanings exists.