治消渴不能食。
人参 白术 白茯 甘草(炙) 枳壳(炒。各半钱)藿香(一钱) 干葛(二钱) 木
香五味子 柴胡(各三分) 上作一服,水煎服。
治三消渴通用。
菟丝(酒浸,十四两) 北五味子(七两) 白茯苓(五两) 石莲肉(三两)
上为末,用山药六两为末,作糊为丸梧子大。每服五十丸,米饮下。
治消渴小便频数。
麦冬(去心) 人参 茯苓(去皮) 黄 (半生半蜜炙) 乌梅(去核) 甘草(各
一两) 栝蒌根
上为末,炼蜜丸,弹子大。每一丸,温汤嚼下。
伤食恶食,胸中有物,宜导痰补脾,用二陈汤加白术、山楂、川芎、苍术服之。右手气
口脉必紧盛,胸膈痞塞,噫气如败卵臭,亦有头痛发热,但身不疼,伤食必恶食,心口按之
必刺痛。
治伤食发热困倦,心口按之刺痛,服之立效。
黄连 枳实 山楂 神曲 苍术 浓朴 陈皮 甘草
上锉,水二钟,煎八分,通口服。如虚弱加白术,甚则加人参。
治痞,消食,强胃。
白术(去梗炒,四两) 枳实(去穣,麸炒,二两)
上为末,荷叶包烧糯米饭,研为糊,丸如桐子大。每服五七十丸,白汤下。此药久服,
能使人胃气强实,虽过食而不能伤也。若加陈皮一两,名陈皮枳术丸,治老幼元气虚弱,饮
食不消,或脏腑不调,心下痞闷。若加陈皮一两,酒浸炒黄连一两,名橘连枳术丸,补脾和
胃,泻火消痰。若加半夏一两,名半夏枳术丸,治因冷食内伤。若加炒神曲、炒麦芽面各一
两,名曲 枳术丸,治勉强多食,致心腹满闷不快。若加木香一两,名木香枳术丸,破滞气,
消饮食,开胃进食。若加黄芩四两,酒炒大黄、煨神曲、炒陈皮各二两,名二黄枳术丸,治
伤肉食湿面,辛辣味浓之物填塞,闷乱不快,以蒸饼为丸,各量所伤服之。
治疗消渴病且不能进食的症状。
人参、白术、白茯苓、甘草(炙)、枳壳(炒,各半钱)、藿香(一钱)、干葛(二钱)、木香、五味子、柴胡(各三分)。以上药材作为一剂,加水煎煮后服用。
治疗上消、中消、下消三种消渴病的通用方。
菟丝子(酒浸,十四两)、北五味子(七两)、白茯苓(五两)、石莲子肉(三两)。
以上药材研为细末,用山药六两研末,制成糊状作为粘合剂,制作成梧桐子大小的丸药。每次服用五十丸,用米汤送服。
治疗消渴病导致的小便频数。
麦冬(去心)、人参、茯苓(去皮)、黄芪(一半生用,一半蜜炙)、乌梅(去核)、甘草(各一两)、栝蒌根。
以上药材研为细末,用炼蜜制作成弹子大小的丸药。每次取一丸,用温水嚼服。
饮食停滞导致厌恶食物,胸中有积滞物,适宜采用导痰补脾的方法,使用二陈汤加入白术、山楂、川芎、苍术服用。右手气口脉象必然紧盛,胸膈部痞塞胀满,嗳气有腐败鸡蛋的气味,也有头痛发热的症状,但身体不疼痛。伤食必定厌恶食物,心窝处按压必然感到刺痛。
治疗因伤食导致的发热困倦,心窝处按压刺痛,服用此方立即见效。
黄连、枳实、山楂、神曲、苍术、厚朴、陈皮、甘草。
以上药材切碎,用水两钟,煎至八分,一次性口服。如果体质虚弱加白术,严重则加人参。
治疗痞证,消除食积,强健胃气。
白术(去梗炒,四两)、枳实(去瓤,麸炒,二两)。
以上药材研为细末,用荷叶包裹烧熟的糯米饭,研磨成糊状,制作成梧桐子大小的丸药。每次服用五七十丸,用白开水送服。此药长期服用,能使胃气强实,即使过量饮食也不会受伤。如果加入陈皮一两,名为陈皮枳术丸,治疗老幼元气虚弱,饮食不消化,或脏腑功能不调,心下痞闷。如果加入陈皮一两、酒浸炒黄连一两,名为橘连枳术丸,补脾和胃,泻火消痰。如果加入半夏一两,名为半夏枳术丸,治疗因冷食内伤。如果加入炒神曲、炒麦芽面各一两,名为曲蘖枳术丸,治疗勉强多食,导致心腹满闷不快。如果加入木香一两,名为木香枳术丸,破滞气,消饮食,开胃进食。如果加入黄芩四两、酒炒大黄、煨神曲、炒陈皮各二两,名为二黄枳术丸,治疗因肉食、湿面、辛辣味浓之物填塞,导致闷乱不快,以蒸饼为丸,根据所伤食物的种类和分量服用。
Treats *xiaoke* (Wasting and Thirsting Syndrome) accompanied by an inability to eat.
*Renshen* (Ginseng Radix), *Baizhu* (Atractylodis Macrocephalae Rhizoma), *Baifu Ling* (Poria), *Gancao* (Licorice Radix et Rhizoma, prepared with honey), *Zhiqiao* (Aurantii Fructus, stir-fried, each 0.5 qian), *Huoxiang* (Agastaches Herba, 1 qian), *Qian Ge* (Puerariae Radix, 2 qian), *Muxiang* (Aucklandiae Radix), *Wuweizi* (Schisandrae Fructus), *Chaihu* (Bupleuri Radix, each 3 fen). Combine all as one dose, decoct in water, and take orally.
This is a general formula for treating the three types of *xiaoke*: *Shangxiao* (Upper Wasting-Thirst), *Zhongxiao* (Middle Wasting-Thirst), and *Xiaxiao* (Lower Wasting-Thirst).
*Tiansi* (Cuscutae Semen, soaked in wine, 14 liang), *Bei Wuweizi* (Schisandrae Fructus, 7 liang), *Baifuling* (Poria, 5 liang), *Shilian Rou* (Nelumbinis Plumula, 3 liang).
Grind the above into powder. Use *Shanyao* (Dioscoreae Rhizoma, 6 liang) ground into powder mixed with water to form a paste as a binder. Make pills the size of wutong seeds. Take 50 pills per dose, swallowed with rice water.
Treats *xiaoke* characterized by frequent urination.
*Maidong* (Ophiopogonis Tuber, pipped), *Renshen* (Ginseng Radix), *Fuling* (Poria, peeled), *Huangqi* (Astragali Radix, half raw and half honey-fried), *Wumei* (Mume Fructus, pitted), *Gancao* (Licorice Radix et Rhizoma, each 1 liang), *Gualougen* (Trichosanthis Radix).
Grind the above into powder. Mix with refined honey to make pills the size of bullet seeds. Take one pill per dose, chew it down with warm water.
Food stagnation causing aversion to food and a sensation of obstruction in the chest. It is appropriate to guide out phlegm and tonify the spleen using *Erchen Tang* (Two-Cured Decoction) added with *Baizhu* (Atractylodis Macrocephalae Rhizoma), *Shanzha* (Crataegi Fructus), *Chuanxiong* (Ligustici Chuanxiong Rhizoma), and *Cangzhu* (Atractylodis Rhizoma). The pulse at the Qi Kou point on the right hand will necessarily be tight and vigorous. There will be stuffiness and fullness in the chest and diaphragm, belching with the odor of rotten eggs. There may also be headache and fever, but the body does not ache. Food stagnation inevitably causes aversion to food, and pressing on the epigastrium will cause stabbing pain.
Treats fever and fatigue caused by food stagnation, and stabbing pain upon pressing the epigastrium. This formula produces immediate effect.
*Huanglian* (Coptidis Rhizoma), *Zhishi* (Aurantii Fructus Immaturus), *Shanzha* (Crataegi Fructus), *Shenqu* (Massa Medicata Fermentata), *Cangzhu* (Atractylodis Rhizoma), *Houpo* (Magnoliae Officinalis Cortex), *Chenpi* (Citri Reticulatae Pericarpium), *Gancao* (Licorice Radix et Rhizoma).
Cut the above herbs. Decoct in two zhong of water until reduced to eight-tenths. Take orally in one go. If the patient is weak, add *Baizhu*; if severe, add *Renshen*.
Treats *pi* (fullness syndrome), eliminates food stagnation, and strengthens the stomach.
*Baizhu* (Atractylodis Macrocephalae Rhizoma, stem removed and stir-fried, 4 liang), *Zhishi* (Aurantii Fructus Immaturus, albedo removed and stir-fried with bran, 2 liang).
Grind the above into powder. Wrap cooked glutinous rice in lotus leaves and roast it, then grind into a paste to bind the pills, making them the size of tung seeds. Take 50-70 pills per dose, swallowed with plain hot water. Long-term use of this medicine can strengthen stomach qi so that even overeating will not cause injury. If *Chenpi* (Citri Reticulatae Pericarpium, 1 liang) is added, it is named *Chenpi Zhizhu Wan* (Tangerine Peel and Immature Bitter Orange Pill), treating yuan qi deficiency in the elderly and children, indigestion, or disharmony of the zang-fu organs with fullness below the heart. If *Chenpi* (1 liang) and *Huanglian* (Coptidis Rhizoma, wine-soaked and stir-fried, 1 liang) are added, it is named *Julián Zhizhu Wan* (Orange Peel and Coptis Pill), tonifying the spleen, harmonizing the stomach, clearing fire, and resolving phlegm. If *Banxia* (Pinelliae Rhizoma, 1 liang) is added, it is named *Banxia Zhizhu Wan*, treating internal injury from cold food. If fried *Shenqu* (Massa Medicata Fermentata) and fried *Maiya Mian* (Hordei Fructus Germinatus Powder), each 1 liang, are added, it is named *Qu Mai Zhizhu Wan*, treating discomfort and fullness in the heart and abdomen caused by forced overeating. If *Muxiang* (Aucklandiae Radix, 1 liang) is added, it is named *Muxiang Zhizhu Wan*, breaking stagnant qi, digesting food, and stimulating appetite. If *Huangqin* (Scutellariae Radix, 4 liang), *Dahuang* (Rhei Radix et Rhizoma, wine-stir-fried), *Wei Shenqu* (Massa Medicata Fermentata, baked), and *Chenpi* (Citri Reticulatae Pericarpium, stir-fried), each 2 liang, are added, it is named *Erhuang Zhizhu Wan*, treating blockage and restlessness caused by meat, damp noodles, and strongly flavored spicy foods. Make pills with steamed wheat cakes, and adjust the dosage according to the type and amount of ingested food.