治咳逆呕哕,胃中虚冷,每一哕至八九声相连,收气不回,至于惊人。
橘皮(二两) 人参(一两) 甘草(炙,半两)
上为锉散。每服四钱,水一盏半,竹茹一小块,姜五片,枣二个,煎七分,去滓,不以时服。
止咳逆。
羌活 附子(炮去皮脐) 茴香(炒,各半两) 木香 干姜(炮) 丁香(各一两)
上为末。每服二钱,水七分盏,盐少许,煎数沸,空腹服。
治咳逆噎汗。
丁香 柿蒂(各一钱) 甘草(炙) 良姜(各半钱)
上为末。用热汤点二钱,乘热服,不以时。
又一方产后咳逆。(方见妇人门)
夫中脘有饮则嘈,有宿食则酸,食后噫醋吞酸,皆宿食证,俗谓之咽酸是也。
治中脘有宿食留饮,酸蜇心痛,口吐清水,嗳宿腐气者。
神曲(炒,三两) 苍术(泔浸三宿,洗净,晒干炒,一两半) 陈皮(一两)
上为末,生姜汁别煮神曲末糊为丸,如梧子大。每服三五十丸,姜汤下,不以时服。
治宿食留饮,聚积中脘,噫臭吞酸,心腹疼痛。并疗中虚积聚,及脏腑飧泄,
赤白痢下。
丁香 巴豆(去皮别研) 缩砂仁 胡椒 乌梅(去核)
上件各一百个,为细末,炊饼糊为丸,如绿豆大。每服五七丸,熟水下,食后临卧服。
夫谷饪之邪,从口入者,宿食也。盖五味入口,所以滋养五脏,得之则生,不得则
死,伤之则反为生害,所以宿食为杂病之先。若五脏不平,食不输化,血凝气滞,群证蜂起
,皆宿食所为也。治之,当量其脏腑虚实浅深为治;《养生方》戒不得用巴豆,令服青木香
丸;如有食癖,非巴豆不克,所谓扰乎可扰,扰亦无扰。木香丸用牵牛,牵牛最泻人肾,不
徒不能消食积,而又害于元精,识者知之。其病头痛,恶风憎寒,心腹胀满,下利,不欲
食,吞酸,噫宿腐气。若胃实热,食反留滞,其脉数而滑,宜下之愈;若脾虚,其脉浮大,
按之反涩,尺中亦微涩,宜温药消导。
治疗咳嗽气逆、呕吐呃逆,因胃中虚寒所致,每次呃逆连续发出八九声,气息收敛无法回纳,甚至令人惊骇。
橘皮(二两) 人参(一两) 甘草(炙用,半两)
以上药物捣碎成散剂。每次服用四钱,加水一盏半,竹茹一小块,生姜五片,大枣二个,煎煮至七分满,滤去药渣,不拘时候服用。
止咳逆。
羌活 附子(炮制,去皮及脐) 茴香(炒制,各半两) 木香 干姜(炮制) 丁香(各一两)
以上药物研为细末。每次服用二钱,加水七分盏,少许盐,煮沸数次,空腹服用。
治疗咳嗽气逆伴有噎阻和出汗。
丁香 柿蒂(各一钱) 甘草(炙用) 高良姜(各半钱)
以上药物研为细末。用热开水冲服二钱,趁热服用,不拘时候。
另一个方子治疗产后咳嗽气逆。(方剂见妇人门)
如果中脘部位有水饮停滞则出现嘈杂感,有宿食停滞则出现酸味,进食后打嗝泛酸、吞酸,这些都是宿食证候,俗称“咽酸”。
治疗中脘有宿食停留和水饮,导致胃酸刺痛心痛,口吐清水,嗳出腐败食物气味者。
神曲(炒制,三两) 苍术(用淘米水浸泡三夜,洗净,晒干后炒制,一两半) 陈皮(一两)
以上药物研为细末,用生姜汁单独煮神曲末制成糊状作为粘合剂,制成梧桐子大小的丸剂。每次服用三五十丸,用姜汤送服,不拘时候服用。
治疗宿食停留与水饮积聚于中脘,导致打嗝有臭味、泛酸,心腹疼痛。并治疗中焦虚弱导致的积聚,以及脏腑飧泄(完谷不化的腹泻),赤白痢疾。
丁香 巴豆(去皮后单独研磨) 缩砂仁 胡椒 乌梅(去核)
以上各药材取一百个,研为细末,用蒸饼糊制成绿豆大小的丸剂。每次服用五七丸,用熟水送服,饭后临睡前服用。
谷物烹饪产生的邪气,从口进入体内的,就是宿食。五味入口,本是为了滋养五脏,得到它就能生存,得不到就会死亡,但如果损伤了身体,反而成为危害,所以宿食是杂病的先导。如果五脏功能不平衡,食物无法输布转化,导致血液凝滞、气机阻滞,各种病症蜂拥而起,都是宿食造成的。治疗时,应当根据脏腑的虚实深浅来制定治疗方案;《养生方》告诫不得使用巴豆,建议服用青木香丸;如果有食癖(饮食积滞形成的痞块),非巴豆不能攻克,这就是所谓的“扰乎可扰,扰亦无扰”(在适当的时候扰动是可以的,扰动也不会造成真正的混乱)。木香丸中使用牵牛子,牵牛子最易泻伤肾气,不仅不能消除食积,反而会损害元气精华,明智的人应当知道这一点。其病症表现为头痛,怕风且憎恶寒冷,心腹胀满,腹泻,不想吃东西,泛酸,嗳出腐败食物气味。如果是胃实热证,食物反常地滞留体内,脉象数而滑,适宜用攻下法治愈;如果是脾虚证,脉象浮大,重按反而涩滞,尺部脉也微涩,适宜用温性药物消导积滞。
Treats cough with rebellious Qi, vomiting, and hiccups caused by deficiency-cold in the Stomach. Each episode of hiccup consists of eight or nine consecutive sounds, with Qi failing to return after contraction, which can be startling.
Chenpi (Citri Reticulatae Pericarpium, two liang) Renshen (Ginseng Radix et Rhizoma, one liang) Gancao (Licorice Root and Rhizome, roasted, half liang)
The above are processed into a coarse powder. Take four qian per dose, add one and a half zhan of water, a small piece of Zhuru (Bambusae Caulis in Taeniam), five slices of Shengjiang (Zingiberis Rhizoma Recens), and two dates. Decoct until seven parts remain, filter out the dregs, and take at any time.
Stops cough with rebellious Qi.
Qianghuo (Notopterygii Rhizoma et Radix) Fuzi (Aconiti Lateralis Radix Praeparata, processed, peel and umbilicus removed) Huixiang (Foeniculi Fructus, roasted, half liang each) Muxiang (Aucklandiae Radix) Ganjiang (Zingiberis Rhizoma, processed) Dingxiang (Caryophylli Flos, one liang each)
The above are ground into fine powder. Take two qian per dose, add seven-tenths of a zhan of water and a little salt. Boil for several boils and take on an empty stomach.
Treats cough with rebellious Qi accompanied by dysphagia and sweating.
Dingxiang (Caryophylli Flos) Shidi (Kaki Calyx, one qian each) Gancao (Licorice Root and Rhizome, roasted) Liangjiang (Galangal Rhizome, half qian each)
The above are ground into fine powder. Mix two qian with hot boiled water and take while hot, at any time.
Another prescription treats postpartum cough with rebellious Qi. (Prescription see Women's Department)
If there is fluid retention in the Zhongwan (CV12) area, there is a sensation of hunger pangs (caozhong); if there is retained food, there is acidity. Belching with acid regurgitation after eating are all signs of retained food, commonly known as "swallowing acid."
Treats retained food and fluid accumulation in the Zhongwan, causing acid stinging pain in the heart region, spitting clear saliva, and belching of rotten food odor.
Shenqu (Medicated Leaven, roasted, three liang) Cangzhu (Atractylodis Rhizoma, soaked in rice water for three nights, washed, dried, and roasted, one and a half liang) Chenpi (Citri Reticulatae Pericarpium, one liang)
The above are ground into powder. Use ginger juice to decoct the Shenqu powder separately to make a paste for binding, forming pills the size of mulberry seeds. Take thirty to fifty pills per dose, with ginger soup, at any time.
Treats retained food and fluid accumulation gathering in the Zhongwan, causing foul-smelling belching and acid regurgitation, and pain in the heart and abdomen. Also treats accumulation due to middle-jiao deficiency, as well as undigested diarrhea (xunxie) and bloody or white dysentery.
Dingxiang (Caryophylli Flos) Badou (Crotonis Semen, peel removed and ground separately) Suosharen (Amomi Fructus Rotundus) Hujiao (Piperis Longi Fructus) Wumei (Mume Fructus, pit removed)
Take one hundred of each of the above ingredients, grind into fine powder, and use steamed wheat cake paste to form pills the size of mung beans. Take five to seven pills per dose, with warm water, after meals and before bedtime.
Pathogenic factors from cooked grains enter through the mouth and constitute retained food. The five flavors entering the mouth are meant to nourish the Five Zang organs; obtaining them ensures life, lacking them leads to death, but damaging them becomes a harm. Thus, retained food is the precursor to miscellaneous diseases. If the Five Zang organs are imbalanced, food cannot be transported and transformed, leading to blood stasis and Qi stagnation, causing various symptoms to arise like swarms of insects, all due to retained food. Treatment should be based on the deficiency or excess and depth of the Zang-Fu organs. The *Yangsheng Fang* warns against using Badou (Croton Seed), suggesting Qingmuxiang Wan instead. However, if there is a food mass (shipi), only Badou can resolve it. This is referred to as "disturbing what can be disturbed; disturbance causes no true disorder." Qingmuxiang Wan uses Qianniuzi (Pharbitidis Semen), which most severely drains Kidney Qi. It not only fails to eliminate food accumulation but also harms the primordial essence; those who understand this will know better. Symptoms include headache, aversion to wind, fear of cold, abdominal distension and fullness, diarrhea, loss of appetite, acid regurgitation, and belching of rotten food odor. If there is excess heat in the Stomach with food stagnation, the pulse is rapid and slippery, and purgation is appropriate for cure. If there is Spleen deficiency, the pulse is floating and large, but feels choppy upon pressure, and the Chi position is also slightly choppy, indicating that warming herbs for digestion and guidance are appropriate.