治五膈,胸膈痞闷,诸气结聚,胁肋胀满,痰逆恶心,不进饮食。(李宪德生堂经验方
云∶治五般膈气结胸,膈痰逆满,恶心,呕呃。)
枳壳(去瓤,麸炒) 木香(不见火) 青皮(
炒) 丁香(不见火) 天南星(汤泡,去皮) 干姜(炮)
两) 甘草(炙,半两)
上为细末,每服二钱,水一中盏,生姜五片,煎至六分,温服,不拘时候。
治胸痞,胸中痛彻背,喘急妨闷。
栝蒌实(别研) 枳壳(去瓤,麸炒) 半夏(汤泡七次) 桔梗(炒。各一两)
上为细末,姜汁打糊为丸,如梧桐子大,每服五十丸,食后,用淡姜汤送下。
夫咳逆之病,考详诸书,无该载者。唯孙真人云∶咳逆遍寻方论,无此名称。但古人以
咳
收气不回者,却当仔细看脉与证,施以治法。大抵老人、虚人、久病患及妇人产后,有此证
者,皆是病深之候,非佳兆也。
治吐利后,胃寒咳逆。
羌活(去芦) 附子(炮,去皮脐) 茴香(炒,各半两) 干姜(炮,去土) 丁香
各一两)
上为细末,每服二钱,水一盏,入盐少许,煎至七分,空心,热服。
治吐利后,胃中虚,膈上热,咳逆者。
橘皮(去白,二两) 人参 甘草(炙,各半两)
上锉散,每服四钱,水一盏半,竹茹一小块,生姜五片,枣二枚,煎至七分,去滓,温
服,
治疗五膈证,表现为胸膈部痞塞闷胀,各种气机郁结聚集,胁肋部位胀满,痰气上逆导致恶心,无法进食。(李宪德生堂的经验方记载:治疗五种膈气引起的结胸、膈间痰浊上逆胀满、恶心、呕吐呃逆。)
枳壳(去除瓤,用麦麸炒制)、木香(避免直接火烧)、青皮(炒制)、丁香(避免直接火烧)、天南星(用汤水浸泡,去皮)、干姜(炮制)、甘草(蜜炙,半两)。
以上药材研磨成细末,每次服用二钱,用水一中盏,加入生姜五片,煎煮至剩余六分药液,温服,不受时间限制。
栝蒌实(单独研磨)、枳壳(去除瓤,用麦麸炒制)、半夏(用汤水浸泡七次)、桔梗(炒制,各一两)。
以上药材研磨成细末,用姜汁调和面糊制成丸剂,大小如梧桐子,每次服用五十丸,饭后用淡姜汤送服。
关于咳逆这一病症,查阅各类书籍,没有专门记载的。只有孙真人说:咳逆遍寻方论,无此名称。但古人将咳嗽伴随气息收摄不回的症状归为此类,此时应当仔细诊察脉象与证候,施以相应的治疗方法。大抵老年人、体虚者、久病患者以及妇女产后出现此症状的,都是病情深重的征候,不是好兆头。
羌活(去芦头)、附子(炮制,去皮和脐)、茴香(炒制,各半两)、干姜(炮制,去泥土)、丁香(各一两)。
以上药材研磨成细末,每次服用二钱,用水一盏,加入少许盐,煎煮至剩余七分药液,空腹时热服。
以上药材切碎成散剂,每次服用四钱,用水一盏半,加入竹茹一小块、生姜五片、大枣二枚,煎煮至剩余七分药液,滤去药渣,温服。
Treats the five types of Ge syndrome (obstruction syndrome), characterized by stifling and distending sensations in the chest and diaphragm, accumulation of various Qi stagnations, fullness and distension in the hypochondrium, nausea due to rebellious Phlegm-Qi, and loss of appetite. (Li Xiande's Shengtang experience formula states: Treats five kinds of Qi obstruction causing Jie Xiong [chest binding], rebellious Phlegm-Qi with fullness in the diaphragm, nausea, vomiting, and hiccups.)
Zhi Qiao (Bitter Orange Fruit, deseeded and stir-fried with bran), Mu Xiang (Aucklandia Root, avoid direct fire), Qing Pi (Green Tangerine Peel, stir-fried), Ding Xiang (Clove, avoid direct fire), Tian Nan Xing (Arisaema Rhizome, soaked in decoction, peeled), Gan Jiang (Dried Ginger, processed), Zhi Gan Cao (Honey-fried Licorice Root, half tael).
Grind the above ingredients into a fine powder. Take 2 qian per dose, with one zhong zhan of water, add five slices of fresh ginger, decoct until six parts remain, take warm, at any time.
Treats chest Bi (stifling sensation) with pain radiating through to the back, rapid breathing, and suffocating distress.
Gua Lou Shi (Trichosanthes Fruit, ground separately), Zhi Qiao (Bitter Orange Fruit, deseeded and stir-fried with bran), Ban Xia (Pinellia Tuber, soaked in boiling water seven times), Jie Geng (Platycodon Root, stir-fried, each one tael).
Grind the above ingredients into a fine powder, mix with ginger juice and paste to form pills the size of Sophora seeds. Take 50 pills per dose after meals, send down with light ginger soup.
Regarding the disease of Ke Ni (hiccups/rebellious cough), detailed examination of various books reveals no specific entries. Only Sun Simiao stated: "Ke Ni" is not found in standard formulas or discussions. However, ancients attributed symptoms where coughing was accompanied by inability to retain breath to this condition. In such cases, one must carefully examine the pulse and signs to apply appropriate treatment methods. Generally, when elderly people, those with deficiency, patients with chronic diseases, or women postpartum exhibit these signs, it indicates a deep-seated disease and is an unfavorable omen.
Treats Ke Ni (rebellious cough/hiccups) following vomiting and diarrhea, caused by Stomach Cold.
Qiang Huo (Notopterygium Rhizome, remove rhizome base), Fu Zi (Processed Aconite Lateral Root, peeled and de-navelled), Hui Xiang (Fennel Fruit, stir-fried, each half tael), Gan Jiang (Dried Ginger, processed, cleaned), Ding Xiang (Clove, one tael).
Grind the above ingredients into a fine powder. Take 2 qian per dose, with one zhan of water, add a small amount of salt, decoct until seven parts remain, take hot on an empty stomach.
Treats Ke Ni (rebellious cough/hiccups) following vomiting and diarrhea, characterized by Stomach Deficiency and Heat above the Diaphragm.
Ju Pi (Tangerine Peel, white pith removed, two taels), Ren Shen (Ginseng Root), Zhi Gan Cao (Honey-fried Licorice Root, each half tael).
Cut the above ingredients into pieces for decoction. Take 4 qian per dose, with one and a half zhan of water, add a small piece of Zhu Ru (Bamboo Shavings), five slices of fresh ginger, and two dates. Decoct until seven parts remain, strain, and take warm.