三棱煎丸
治脾虚为肉食所伤,停久不散,作为腹满膨痛,或泄泻。每服三十五丸,淡姜汤
(方见诸气类。)
阿魏丸
治脾胃怯弱,食肉食面,或食生果,停滞中焦,不能克化,致胀满腹疼,呕恶不食
利或秘。
阿魏(酒浸化) 官桂(不见火) 蓬术(炮) 麦 (炒) 神曲(炒) 青皮(去
白) 萝卜子
(炒)
上为末,和匀,用薄糊丸如绿豆大。每服二十丸,不拘时,姜汤送下。面伤,用面汤送
下;
抵当汤
治瘀血凝滞,腹内刺痛,或膀胱痛,身面微黄。
水蛭(锉炒) 虻虫(去翅足,炒,三十个) 桃仁(三十七个,炒,去皮脐) 大黄
(蒸,三钱
上锉散。每服四钱,水一盏半,煎七分,去滓,温服。血未利,更服。
重者,十枣汤 治泛饮水浆,多感冷湿,胸腹胀满。沥洛有声,喘急气促,面色痿黄。
芫花(炒赤) 甘遂 大戟 黑牵牛(炒,取为末)
上各等分,为末。每服一钱,先将红枣十枚,煎汤一盏,调温,再单饮枣汤送下。平旦
服,
轻者,青木香丸。(方见诸疝通治类。)
炒粉丸
治积聚涎块,结于心腹之间,致令心腹刺痛,日久不愈。或干呕减食。
蚌粉(一两) 巴豆(七粒,去壳及膜)
上二味,同炒令赤,去巴豆不用,只以醋丸其粉如梧桐子大。丈夫脐腹痛,炒茴香酒吞
下二
控涎丹
空心,茶清下三七粒。(方见臂痛类。)
三棱煎丸
治疗因脾气虚弱,被肉食损伤,食物停滞日久不散,导致腹部胀满膨隆疼痛,或者出现泄泻。每次服用三十五丸,用淡姜汤送服。(该方剂详见“诸气类”章节。)
阿魏丸
治疗脾胃虚弱,食用肉类、面食或生冷水果后,食物停滞在中焦,无法消化,导致腹部胀满疼痛,呕吐恶心不想进食,或者腹泻或便秘。
药材:阿魏(用酒浸泡化开)、官桂(注意不要见火烤)、蓬术(炮制)、麦芽(炒制)、神曲(炒制)、青皮(去除白色内层)、萝卜子(炒制)。
将上述药材研成细末,混合均匀,用稀薄面糊制成如绿豆大小的药丸。每次服用二十丸,不限时间,用姜汤送服。如果是面食损伤引起的,用煮面的汤送服;
抵当汤
治疗瘀血凝滞,腹部内有刺痛感,或者膀胱疼痛,身体和面部轻微发黄。
药材:水蛭(锉碎并炒制)、虻虫(去掉翅膀和脚,炒制,三十个)、桃仁(三十七个,炒制,去掉皮和尖),大黄(蒸制,三钱)。
将药材锉成散状。每次服用四钱,用水一盏半,煎煮至七分水量,滤去药渣,温服。如果瘀血未下,可再服用。
木香流气饮。适用于热证者。分心气饮。(这两个方剂均详见“诸气类”章节。)
病情较重者,使用十枣汤。治疗因过量饮水浆,多感受冷湿之邪,导致胸腹胀满。腹中沥沥有声,气喘急促,面色萎黄。
药材:芫花(炒至变红)、甘遂、大戟、黑牵牛(炒制,取粉末)。
将上述药材各等份,研成细末。每次服用一钱,先取红枣十枚,煎煮成一盏汤,调温后,先单独喝掉枣汤,再用枣汤送服药末。在清晨空腹时服用。
病情较轻者,使用青木香丸。(该方剂详见“诸疝通治类”章节。)
炒粉丸
治疗积聚的涎块,结聚在心腹之间,导致心腹刺痛,日久不愈。或者出现干呕、食欲减退。
药材:蚌粉(一两)、巴豆(七粒,去掉外壳及内膜)。
将这两味药一起炒至变红,去掉巴豆不用,只用剩下的粉末,用醋调和制成如梧桐子大小的药丸。男子脐部腹痛,用炒茴香的酒吞服二丸。
Sanleng Jian Wan (Three-Spined Decoction Pill)
Indicated for spleen deficiency complicated by injury from meat consumption, where food stagnates for a long time without dispersing, resulting in abdominal distension, swelling, and pain, or diarrhea. Take 35 pills per dose, administered with light ginger decoction. (See "Various Qi Disorders" category for the formula.)
Awei Wan (Asafoetida Pill)
Indicated for spleen and stomach weakness, where consumption of meat, flour products, or raw fruits causes stagnation in the middle jiao, leading to indigestion, abdominal distension and pain, nausea, vomiting, anorexia, diarrhea, or constipation.
Ingredients: Asafetida (dissolved in wine), Cinnamon Twig (avoid direct fire heating), Curcuma Zedoaria (processed), Fructus Hordei Germinatus (stir-fried), Massae Fermentatae Sojae et Farinae (stir-fried), Exocarpium Citri Reticulatae (remove white pith), Semen Raphani (stir-fried).
Grind the above ingredients into fine powder, mix evenly, and bind with thin starch paste to form pills the size of mung beans. Take 20 pills per dose at any time, washed down with ginger decoction. For injuries caused by flour products, use noodle water for administration;
Didang Tang (Resisting Decoction)
Indicated for blood stasis coagulation and stagnation, causing stabbing pain inside the abdomen, bladder pain, or slight yellowing of the body and face.
Ingredients: Hirudo (cut and stir-fried), Ocyrrhoe (remove wings and feet, stir-fried, 30 units), Persicae Semen (37 units, stir-fried, remove skin and tips), Rheum Palmatum (steamed, 3 qian).
Cut the herbs into pieces. Take 4 qian per dose, boil in 1.5 cups of water until reduced to 0.7 cups, strain, and take warm. If blood stasis has not been expelled, take again.
Muxiang Liuqi Yin (Costus Flowing Qi Decoction). Indicated for heat patterns. Fenxin Qi Yin (Heart-Dividing Qi Decoction). (Both formulas are detailed in the "Various Qi Disorders" category.)
For severe cases, Shizao Tang (Ten Jujube Decoction) is indicated. It treats conditions caused by excessive intake of liquids combined with frequent exposure to cold-dampness, resulting in chest and abdominal fullness and distension, borborygmus (gurgling sounds), panting, shortness of breath, and sallow complexion.
Ingredients: Genkwa Flos (stir-fried until red), Kansui Radix, Euphorbiae Pekinensis Radix, Black Pharbitis Seed (stir-fried, taken as powder).
Take equal parts of each, grind into fine powder. Take 1 qian per dose. First, decoct 10 red dates in one cup of water, warm the solution, drink the date decoction alone first, then use it to wash down the medicine powder. Administer on an empty stomach in the early morning.
For mild cases, Qingmuxiang Wan (Green Costus Pill) is indicated. (See "General Treatment of Hernia" category for the formula.)
Chaofen Wan (Stir-Fried Powder Pill)
Indicated for accumulation of phlegm-fluid masses, knotting between the heart and abdomen, causing stabbing pain in the heart and abdomen that persists for a long time. Or presenting with dry retching and reduced appetite.
Ingredients: Concha Meretricis Cyclinae Pulvis (1 liang), Crotonis Fructus (7 seeds, remove shell and membrane).
Stir-fry these two ingredients together until red, remove the Crotonis Fructus and discard it. Use only the remaining powder, bind with vinegar to form pills the size of Chinese honeylocust seeds. For men with umbilical abdominal pain, swallow 2 pills with wine infused with stir-fried Foeniculum Vulgare.
Kongxian Dan (Control Phlegm-Fluid Pellet)
Take 3-7 pellets on an empty stomach, washed down with clear tea infusion. (See "Arm Pain" category for the formula.)