疝之为病,随脏气虚实,感伤外邪,寒泣风散,暑郁湿着,绞刺击搏,无有定处,仓卒
之际,痛不堪忍。世人称为横弦、竖弦、膀胱小肠气、贼风入腹等,名义不同,证状则一。
寒则温之,风则散之,暑则利之,湿则燥之,各有成法。
治风寒疝,腹中痛,逆冷,手足不仁,身体疼痛,灸刺诸药不能疗;及
贼风入腹,攻刺五脏,拘急不得转侧,发作叫呼,阴缩,悉主之。
大乌头(五枚,实者,去皮尖,蜜一大盏,煎减半,漉出汤切洗) 桂心 芍药(各三钱三字)
甘草(一分,炙)
上为锉散。每服四大钱,水一盏半,姜五片,大枣三个,入前煎乌头蜜半合,同煎至七
分盏,去滓,食前服。一法,用附子一个,不使乌头,为蜜附汤。
治卒疝,无故心腹痛,阴缩,手足厥逆。并治飞尸鬼。
巴豆(二个,去皮心炒) 杏仁(二个,去皮尖)
上二味,取绵缠,捶令碎,热汤二合,捻取白汁,饮之当下,老少量与。
治寒疝入腹,心腹卒痛;及小肠膀胱气绞刺,脾肾气攻,挛急,极痛不可忍,
屈伸不能,腹中冷,重如石,白汗出。
山栀子(四十九个,烧半过) 附子(一枚,炮)
上为末。每服二钱,水一盏,酒半盏,煎至七分,入盐一捻,温服即愈。
治
一切冷气不和;及本脏膀胱气,攻刺疼痛。及治妇人产前产后腹痛,胎不安,或血刺者。兼
能治血脏宿冷,百骨节倦痛,肌瘦怯弱,伤劳带癖,久服尽除。但妇人一切疾病,最宜服之。
川芎 当归 枳壳(麸炒去瓤) 浓朴(姜制炒) 官桂(去皮) 青皮 干姜(炮) 茴
香(炒) 川楝(炒) 神曲(炒) 麦 (炒) 三棱(炮) 蓬术(醋浸一宿,焙) 人参 茯
苓芍药 木香(炮) 干地黄(各一两)
上为末。每服三钱,水一盏,葱白二寸,煎七分,入盐少许,热服。大便秘涩,加大黄
煎;大便自利,加诃子煎;食前服。
疝病的发生,随着脏腑之气的虚实变化,感受并损伤外邪,寒邪使气血凝泣,风邪使气机散乱,暑邪郁结,湿邪黏着,疼痛如绞刺、击打、搏击一般,没有固定的部位,在突然发作之际,疼痛难以忍受。世人称之为横弦、竖弦、膀胱小肠气、贼风入腹等,名称不同,但症状表现是一致的。对于寒邪引起的,用温法治疗;对于风邪引起的,用散法治疗;对于暑邪引起的,用利法治疗;对于湿邪引起的,用燥法治疗,各有既定的法则。
本方主治风寒疝,症见腹中疼痛,四肢逆冷,手足麻木不仁,身体疼痛,即使采用灸法、针刺及各类药物治疗均无效;以及贼风侵入腹部,攻冲刺痛五脏,导致拘挛紧急不能转身侧卧,发作时呼叫呻吟,阴囊收缩,本方均能主治。
药材:大乌头(五枚,选质地坚实的,去掉皮和尖端,用一大盏蜂蜜,煎煮至减半,滤出药渣,切块清洗)桂心 芍药(各三钱三分)甘草(一分,炙烤)
以上药物捣碎成粗散。每次服用四大钱,加水一盏半,生姜五片,大枣三个,加入预先煎好的乌头蜜汁半合,一同煎煮至七分满,去药渣,饭前服用。另一种方法,使用附子一枚,不使用乌头,制成蜜附汤。
本方主治突发疝气,无缘无故的心腹疼痛,阴囊收缩,手足厥冷。同时也能治疗飞尸鬼疰(一种古代认为由鬼邪引起的急症)。
药材:巴豆(二个,去皮去心后炒制)杏仁(二个,去皮去尖)
以上两味药,用绵布包裹,捶打使其破碎,用热汤二合,揉搓提取白色汁液,饮用后应当腹泻,年老体弱者少量给予。
本方主治寒疝侵入腹部,心腹突然剧痛;以及小肠膀胱之气绞刺作痛,脾肾之气攻冲,筋脉拘挛紧急,极度疼痛难以忍受,屈伸困难,腹中寒冷,感觉沉重如石头,冷汗出。
药材:山栀子(四十九个,烧至半焦)附子(一枚,炮制)
以上药物研为细末。每次服用二钱,加水一盏,酒半盏,煎煮至七分,加入一捻盐,温服即愈。
本方主治一切冷气不和;以及本脏膀胱之气,攻冲刺痛。同时也能治疗妇女产前产后腹痛,胎动不安,或血瘀刺痛者。兼能治疗血脏宿冷,全身骨节倦怠疼痛,肌肉消瘦怯弱,劳伤带癖,长期服用可彻底清除。凡是妇女的一切疾病,最适合服用此方。
药材:川芎 当归 枳壳(麸炒去瓤)厚朴(姜制炒)官桂(去皮)青皮 干姜(炮制)茴香(炒)川楝子(炒)神曲(炒)麦芽(炒)三棱(炮制)蓬术(醋浸一夜,焙干)人参 茯苓 芍药 木香(炮制)干地黄(各一两)
以上药物研为细末。每次服用三钱,加水一盏,葱白二寸,煎煮至七分,加入少许盐,热服。如果大便秘结涩滞,加大黄同煎;如果大便自利(腹泻),加诃子同煎;饭前服用。
The occurrence of hernia (Shan) follows the deficiency or excess of Zang-Fu Qi, where external pathogens are contracted and damaged. Cold causes blood and Qi to stagnate, wind scatters Qi, summer-heat causes depression, and dampness causes adhesion. The pain feels like twisting, stabbing, striking, or battering, with no fixed location. At the moment of sudden onset, the pain is unbearable. People commonly refer to it as horizontal string, vertical string, Bladder and Small Intestine Qi, thief-wind entering the abdomen, etc. Although the names differ, the symptoms are identical. For cold, warm it; for wind, disperse it; for summer-heat, promote its drainage; for dampness, dry it. There are established methods for each.
This formula treats Wind-Cold Hernia, characterized by abdominal pain, cold limbs, numbness in the hands and feet, body aches, which cannot be cured by moxibustion, acupuncture, or various medications; as well as Thief-Wind entering the abdomen, attacking and stabbing the Five Zang Organs, causing stiffness and inability to turn or lie sideways, screaming during attacks, and retraction of the genitals. It addresses all these conditions.
Herbs: Da Wutou (Aconiti Lateralis Radix Praeparata, five pieces, solid ones, peel removed, tips removed, decocted with one large cup of honey until reduced by half, filtered, cut, and washed); Guixin (Cinnamomi Cortex); Shaoyao (Paeoniae Radix Alba); Gancao (Glycyrrhizae Radix et Rhizoma, roasted). Each of Guixin and Shaoyao is three qian and three fen. Gancao is one fen.
Crush the above into coarse powder. Take four qian per dose, add one and a half cups of water, five slices of ginger, three jujubes, and half a he of the previously decocted Aconite-honey mixture. Simmer together until seven-tenths full, strain, and take before meals. Another method uses one Fuzi (Aconiti Lateralis Radix Praeparata), without using Wutou, made into Honey-Fuzi Decoction.
It treats sudden Hernia, unexplained heart and abdominal pain, genital retraction, and cold extremities. It also treats Feishi Guizhu (Flying Corpse Ghost Affliction, an ancient term for acute epidemic diseases believed to be caused by evil spirits).
Herbs: Badou (Crotonis Fructus, two pieces, peel and heart removed, stir-fried); Xingren (Armeniacae Semen Amarum, two pieces, peel and tips removed).
Wrap the above two herbs in cotton cloth, pound them until crushed. Add two he of hot water, knead to extract the white juice, drink it. It should induce diarrhea. Give a small amount to the elderly.
It treats Cold Hernia entering the abdomen, sudden severe pain in the heart and abdomen; as well as twisting and stabbing pain from Qi in the Small Intestine and Bladder, attacking pain from Qi in the Spleen and Kidney, spasms and stiffness, extreme pain that is unbearable, inability to bend or stretch, coldness in the abdomen, heaviness like a stone, and sweating of cold sweat.
Herbs: Shanzhizi (Gardeniae Fructus, forty-nine pieces, burned until half-charred); Fuzi (Aconiti Lateralis Radix Praeparata, one piece, processed).
Grind the above into fine powder. Take two qian per dose, add one cup of water and half a cup of wine. Simmer until seven-tenths full, add a pinch of salt, and take warm to achieve recovery.
It treats all types of Cold Qi disharmony; as well as Qi in the primary organ and Bladder, attacking and stabbing with pain. It also treats abdominal pain in women before and after childbirth, fetal restlessness, or stabbing pain due to Blood stasis. It additionally treats chronic cold in the Blood organs, fatigue and pain in all bone joints, emaciation and weakness, injury-labor with masses, and long-term use can completely eliminate these issues. It is most suitable for all diseases in women.
Herbs: Chuanxiong (Ligustici Chuanxiong Rhizoma); Danggui (Angelicae Sinensis Radix); Zhike (Aurantii Fructus Immaturus, bran-roasted, pulp removed); Houpo (Magnoliae Officinalis Cortex, ginger-processed and stir-fried); Guigui (Cinnamomi Ramulus, peeled); Qingpi (Citri Reticulatae Pericarpium Viride); Ganjiang (Zingiberis Rhizoma, processed); Huixiang (Foeniculi Fructus, stir-fried); Chuanlian (Meliosmae Fructus, stir-fried); Shenqu (Massa Medicata Fermentata, stir-fried); Maiya (Hordei Fructus Germinatus, stir-fried); Sanleng (Sparganii Rhizoma, processed); Pengzhi (Curcumae Rhizoma, soaked in vinegar overnight, dried); Renshen (Ginseng Radix et Rhizoma); Fuling (Poria); Shaoyao (Paeoniae Radix Alba); Muxiang (Aucklandiae Radix, processed); Dihuang (Rehmanniae Radix, dried). Each is one liang.
Grind the above into powder. Take three qian per dose, add one cup of water and two cun of Congbai (Allii Fistulosi Bulbus). Simmer until seven-tenths full, add a little salt, and take hot. If constipation occurs, add Dahuang (Rhei Radix et Rhizoma) and simmer; if loose stools occur, add Hezi (Terminaliae Chebulae Fructus) and simmer. Take before meals.