治痰气结胸,不问阴阳虚实,较胜陷胸泻心等药。
银朱五钱,明矾一两同研,以熨斗盛火。以瓦盛药,熔化,急刮下,搓丸。每服一钱,
细茶入姜汁少许,服之。心上隐隐有声,结胸自散,不动脏腑,不伤真气。明矾化痰,银朱
破积故也。
致面目浮肿,终夕不寐。
蛤粉少加青黛,用淡 水滴麻油数点,调服三钱。
庚生按∶此即古方蛤利散之类,然用不得法,每易作呕,致药难下咽,不如用蛤利散为
便。方用蛤利壳三、四两,洗净炭火 焙,不可过性,以烧出气味炸响为度,取出放地上出
火毒,研细收存。如遇痰火喘咳之症,取一两分为三服,少吃晚饭,先用稀面和调,捏成丸
如黄豆大,用开水将丸两三口吞下,旋丸旋吞,不可放干,药才下咽,痰即下行。
治虫蛊诸毒,并解一切药毒。
大山豆根五钱,雄黄一两,朱砂一两(研细),黄药子、黄丹、麝香、斑蝥(去头足)
各二钱五分,糯米半升(炒黄),川巴豆(肥者取肉不去油)二钱五分,续随子(生杵研末)
二钱五分,赤蜈蚣二条(一生一炙)。
上药入乳钵研细末,和匀,用糯米汤和丸如龙眼核大,阴干,磁瓶收贮。每一丸,细茶
吞服,不得嚼破,须臾毒物即下。
治抑郁烦恼,七情所伤,不思饮食,面黄形羸,胸膈诸症。
香附二斤(用瓦器炒令黄色取净末一斤),茯神(去皮)四两。
上为细末,蜜丸如弹子大,每服一丸,空腹细嚼,白滚汤或降气汤下。
附∶降气汤方∶香附五钱,如前法制,加茯神二两、炙甘草一两五钱,为末,点沸汤服
前药。
庚生按∶此方《医书汇参》中有之。香附用一斤,以长流水浸三日,擦去毛,以姜汁、
童便、陈酒、米醋四物,各炒一次焙干,加茯神四两,研细末和匀,蜜丸如弹子大。香附不
可近铁器。以上两药分量既配,制法亦佳,较胜于前方也。
治疗痰气互结于胸膈的证候,不论患者体质属于阴证还是阳证、虚证还是实证,此法的效果优于陷胸汤和泻心汤等药物。
取银朱五钱,明矾一两,共同研磨均匀。用熨斗盛放炭火加热,将药物置于瓦器中熔化,迅速刮下药液,搓制成丸剂。每次服用一钱,配合细茶及少许姜汁送服。服药后若感到心口处隐隐有声响,说明结胸之症自然消散,此法不损伤脏腑,也不伤害人体真气。这是因为明矾能化痰,银朱能破除积滞的缘故。
(针对)导致面目浮肿,整夜无法入睡的症状。
庚生按语:这即是古方蛤利散之类的方子,然而如果使用方法不当,容易引起呕吐,导致药物难以咽下,不如使用蛤利散方便。蛤利散的用法是:取蛤利壳三到四两,洗净后用炭火焙干,注意火候不可过猛,以烧出气味并炸响为度。取出后放在地上以去除“火毒”,研磨成细末保存。如果遇到痰火引起的喘咳症状,取一两分为三次服用。晚饭要少吃,先用稀面糊调和药粉,捏成如黄豆大小的丸剂。用开水将丸剂两三三口吞下,边吞咽边制作丸剂,不要让药丸变干。药丸刚咽下,痰浊随即下行。
治疗虫蛊中毒以及各种毒素,并能解除一切药物中毒。
大山豆根五钱,雄黄一两,朱砂一两(研细),黄药子、黄丹、麝香、斑蝥(去掉头和足)各二钱五分,糯米半升(炒至黄色),川巴豆(选用肥大的,取仁不去油)二钱五分,续随子(生品捣碎研末)二钱五分,赤蜈蚣两条(一条生用,一条炙用)。
将上述药物放入乳钵中研成细末,混合均匀。用糯米汤调和,制成如龙眼核大小的丸剂,阴干后存入磁瓶中密封保存。每次服用一丸,用细茶送服,不得嚼破。片刻之后,毒物即可排出体外。
治疗因抑郁烦恼、七情内伤导致的不思饮食、面色萎黄、形体消瘦以及胸膈部的各种病症。
将上述药物研成细末,用蜂蜜调和制成如弹子大小的丸剂。每次服用一丸,空腹细细咀嚼,用白开水或降气汤送服。
附注:降气汤方:香附五钱,按照前述方法炮制,加入茯神二两、炙甘草一两五钱,研成细末,用沸水冲服以辅助前药。
庚生按语:此方收录于《医书汇参》中。其中香附用量为一斤,用长流水浸泡三天,擦去绒毛,分别用姜汁、童便、陈酒、米醋四种液体各炒一次,然后焙干。加入茯神四两,研成细末混合均匀,用蜂蜜制成如弹子大小的丸剂。香附不可接触铁器。以上两种药物的配伍比例既合理,炮制方法也精良,效果优于前面的方子。
To treat chest fullness and pain caused by the knotting of phlegm and Qi, this method is superior to formulas such as Xianxiong Decoction (Cave-Chest Decoction) and Xiexin Decoction (Drain-Heart Decoction), regardless of whether the patient presents with Yin or Yang patterns, or deficiency or excess conditions.
Take 5 qian of Yinzhu (Realgar and Cinnabar mixture, specifically processed red mercury sulfide) and 1 liang of Mingfan (Alumen, Alum). Grind them together thoroughly. Place a charcoal fire in an ironing iron (ti dou). Put the medicine in a clay vessel to melt it. Scrape down the molten medicine immediately and roll it into pills. Take 1 qian per dose, administered with fine tea leaves and a few drops of ginger juice. After ingestion, if a faint sound is heard in the heart region, the chest knot will naturally dissipate. This method does not damage the Zang-Fu organs nor injure the True Qi. This is because Mingfan resolves phlegm, and Yinzhu breaks up accumulations.
(For symptoms) causing facial and ocular edema, and insomnia throughout the night.
Take Ge Fen (Margarita Shell Powder) with a small amount of Qingdai (Indigo Naturalis). Mix with light salt water and add a few drops of sesame oil. Administer 3 qian orally.
Geng Sheng's Note: This resembles the ancient formula Gelisan (Clam-Li Powder). However, improper administration often induces vomiting, making the medicine difficult to swallow. It is more convenient to use Gelisan. The prescription for Gelisan involves taking 3 to 4 liang of shellfish shells (Gelishell), washing them clean, and roasting them over charcoal fire. Do not over-roast; stop when the shells emit an odor and crackle/pop. Remove them and place on the ground to eliminate "fire toxicity." Grind into a fine powder and store. For conditions involving panting and coughing due to phlegm-fire, take 1 liang divided into three doses. Eat a light dinner. First, mix the powder with thin rice paste, shape into pills the size of soybeans. Swallow two or three pills at a time with boiling water, rolling/swallowing continuously without letting the pills dry out. As soon as the medicine is swallowed, the phlegm descends.
To treat poisoning from insects, gu poison, and various toxins, and to resolve all kinds of drug poisonings.
Take 5 qian of Dashandougen (Dawsonia Root), 1 liang of Xionghuang (Realgar), 1 liang of Zhusha (Cinnabaris, ground fine), 2.5 qian each of Huangyaozi (Dioscorea bulbifera Tuber), Huandan (Lithargyrum), Shexiang (Moschus/Musk), Banmao (Mylabris/Blister Beetle, heads and feet removed), 0.5 sheng of Nuomi (Oryzae Semen/Glutinous Rice, fried yellow), 2.5 qian of Chuan Badou (Crotonis Fructus/Sichuan Croton Seed, fleshy part of plump seeds, oil retained), 2.5 qian of Xuisui Zi (Euphorbiae Lathyridii Fructus/Euphorbia seed, raw pounded to powder), and 2 Chi Wugong (Scolopendra/Red Centipede, one raw, one roasted).
Grind all ingredients into a fine powder in a mortar and mix evenly. Use glutinous rice soup to bind the powder into pills the size of longan seeds. Dry in the shade and store in porcelain bottles. Take one pill per dose, swallowed with fine tea. Do not chew. Within a short time, the toxic substances will be expelled.
To treat depression, vexation, injuries caused by the Seven Emotions, loss of appetite, sallow complexion, emaciation, and various disorders of the chest and diaphragm.
Take 2 jin of Xiangfu (Cyperi Rhizoma, fried in a clay vessel until yellow, take 1 jin of pure powder) and 4 liang of Fushen (Poria with Hostwood, skin removed).
Grind into a fine powder. Bind with honey into pills the size of quail eggs. Take one pill per dose, chew thoroughly while fasting, and wash down with plain boiled water or Jiangqi Decoction (Descending-Qi Decoction).
Appendix: Jiangqi Tang Formula: 5 qian of Xiangfu (prepared as above), added with 2 liang of Fushen and 1.5 liang of Zhi Gancao (Prepared Licorice Root). Grind into powder and administer by steeping in boiling water to assist the previous medication.
Geng Sheng's Note: This formula appears in *Yishu Huican* (Compendium of Medical Books). In this version, 1 jin of Xiangfu is soaked in running water for three days, the hairs are wiped off, and it is stir-fried separately four times using ginger juice, child's urine, aged wine, and rice vinegar, then dried. Add 4 liang of Fushen, grind into fine powder, mix evenly, and bind with honey into pills the size of quail eggs. Xiangfu must not come into contact with iron utensils. Both the dosage ratio and processing methods of these two prescriptions are excellent, and they are superior to the former formula.