治因忧气郁结中脘腹皮里微痛心下痞满不思饮食
枳实(炒) 当归梢(各二分) 陈皮 生姜 木香(各三分) 柴胡(四分) 炙甘草(各五
分) 红花(少许) 草豆蔻(五分) 半夏(一钱)
上为粗末作一服水二盏生姜三片煎至一盏食远服忌酒湿面
治心下痞胸中不利
半夏(洗) 浓朴(炙) 石膏 青皮(各五分) 当归身(七分) 白豆蔻仁 缩砂 茵陈(
酒制)
干葛(各一钱) 炙甘草 羌活 黄芩(一半酒洗一半炒) 苦葶苈(酒洗炒) 人参 柴胡
独活(各三钱)
上为细末汤浸 饼和匀筛子内擦如米大每服二钱临卧用一口汤下
治脾胃虚弱而心火乘之不能滋荣上焦元气遇冬肾与膀胱寒水旺时子能令母实以致肺金大
肠相
辅而来克心乘脾胃此大复仇也经云大胜必大复理之常也故皮毛血脉分肉之间元气已绝于外又
大寒大燥二气并乘之则苦恶风寒耳鸣及腰背相引而痛鼻息不通不闻香臭额寒脑痛大恶风寒目
时眩不欲开腹中为寒水反乘痰唾沃沫食则反出腹中常痛心胃作痛胁下缩急有时而痛腹不能努
大便多泻而少秘下气不绝或腹中鸣此脾胃虚之至极也胸中气乱心烦不安而为霍乱之渐咽膈不
通极则噎塞有声喘喝闭塞或于日阳处或于暖室中少缓口吸风寒之气则复作四肢厥逆身体沉重
不能转侧头不可以回顾小便溲而时躁此药主之秋冬寒凉大复气之药也
神曲末 柴胡(详胁下痛多少用之) 姜黄(各四分) 当归身 青皮(各六分) 黄 人
参
益智仁 吴茱萸(汤洗焙干) 陈皮 白僵蚕(各八分) 泽泻(小便数减半) 半夏(各一钱
洗) 甘草(生六分熟六分) 麦 面(一钱五分炒) 草豆蔻仁(面裹烧熟为度一钱四分) 桃
仁(七个汤浸去皮尖)
上除桃仁别研如泥余为细末同研匀汤浸 饼为丸如梧桐子大每服五七十丸白汤下食远服
治疗因忧思气机郁结于中脘,导致腹皮内侧微痛、心下痞满、不思饮食的方剂:
枳实(炒)、当归梢(各二分),陈皮、生姜、木香(各三分),柴胡(四分),炙甘草(各五分),红花(少许),草豆蔻(五分),半夏(一钱)。
以上药物捣成粗末,作为一服剂量。加水两盏,生姜三片,煎煮至一盏,饭后服用。忌食酒、湿面。
治疗心下痞塞、胸中气机不畅的方剂:
半夏(洗)、浓朴(炙)、石膏、青皮(各五分),当归身(七分),白豆蔻仁、缩砂、茵陈(酒制)、干葛(各一钱),炙甘草、羌活、黄芩(一半酒洗,一半炒)、苦葶苈(酒洗后炒)、人参、柴胡、独活(各三钱)。
以上药物捣成细末,用汤浸透的饼和匀,在筛子内擦成如米粒大小的颗粒。每次服用二钱,临睡前用一口汤送下。
治疗脾胃虚弱而心火乘袭,不能滋养上焦元气;遇到冬季肾与膀胱寒水旺盛之时,子能令母实,致使肺金、大肠相互辅助来克制心火并乘袭脾胃,这是“大复仇”的现象。《内经》说:“大胜必大复”,这是正常的规律。因此,皮毛、血脉、分肉之间的元气已在体表衰竭,又遇大寒、大燥二气同时侵袭,则出现怕冷恶风、耳鸣以及腰背互相牵引疼痛、鼻息不通、闻不到香臭、额头寒冷、脑痛、极度怕冷恶风、眼睛时常眩晕不想睁开、腹中因寒水反客为主而痰唾涌出、进食后食物反吐出来、腹中常痛、胃作痛、胁下收缩拘急有时疼痛、腹部不能用力、大便多泄泻而少便秘、下气不止或腹中鸣响,这是脾胃虚损到了极点。胸中气机紊乱、心烦不安,进而发展为霍乱的先兆;咽膈不通,极则噎塞有声、喘喝闭塞。或者在阳光处或暖室中稍加缓解,但若吸入风寒之气则病情复发;四肢厥冷、身体沉重不能转侧、头不能回顾、小便频数且时而烦躁。此药主治上述病症,是秋冬季节针对寒凉“大复气”的药物。
神曲末、柴胡(根据胁下疼痛程度酌情使用)、姜黄(各四分),当归身、青皮(各六分),黄芪、人参、益智仁、吴茱萸(汤洗焙干)、陈皮、白僵蚕(各八分),泽泻(小便次数多者减半),半夏(各一钱,洗),甘草(生用六分,熟用六分),麦面(一钱五分,炒),草豆蔻仁(面粉包裹烧熟为度,一钱四分),桃仁(七个,汤浸去皮尖)。
以上药物除桃仁单独研如泥状外,其余捣成细末,一同研匀。用汤浸透的饼作为粘合剂,制成如梧桐子大小的丸剂。每次服用五七十丸,白开水送下,饭后服用。
To treat epigastric fullness and discomfort caused by melancholy and qi stagnation in the middle jiao, resulting in slight pain inside the abdominal skin, subcardiac stuffiness, and loss of appetite:
Zhi Shi (Stir-baked Aurantii Fructus), Dang Gui Shao (Radix Angelicae Sinensis, caudal part) (2 fen each); Chen Pi (Pericarpium Citri Reticulatae), Sheng Jiang (Rhizoma Zingiberis Recens), Mu Xiang (Aucklandiae Radix) (3 fen each); Chai Hu (Bupleuri Radix) (4 fen); Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (5 fen each); Hong Hua (Flos Carthami) (a small amount); Cao Dou Kou (Fructus Alpiniae Katsumadai) (5 fen); Ban Xia (Rhizoma Pinelliae Preparatum) (1 qian).
Pulverize into coarse powder. Take as one dose. Add two cups of water and three slices of Sheng Jiang. Decoct until one cup remains. Administer after meals. Avoid alcohol and damp wheat products.
To treat subcardiac stuffiness and chest obstruction:
Ban Xia (Washed), Hou Po (Stir-fried with honey), Shi Gao (Gypsum Fibrosum), Qing Pi (Exocarpium Citri Grandis) (5 fen each); Dang Gui Shen (Radix Angelicae Sinensis, body part) (7 fen); Bai Dou Kou Ren (Semen Amomi Rotundus), Suo Sha (Fructus Tsaoko), Yin Chen (Herba Artemisiae Scopariae, wine-processed), Ge Gen (Puerariae Lobatae Radix) (1 qian each); Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix), Huang Qin (Scutellariae Radix) (half wine-washed, half stir-fried), Ting Li Zi (Semen Lepidii seu Descurainiae, wine-washed and stir-fried), Ren Shen (Ginseng Radix), Chai Hu (Bupleuri Radix), Du Huo (Angelicae Pubescentis Radix) (3 qian each).
Pulverize into fine powder. Mix with dough soaked in decoction, rub through a sieve to form particles the size of rice grains. Take 2 qian per dose, administer before sleep with a mouthful of water.
To treat spleen and stomach deficiency with heart fire encroaching, failing to nourish the primordial qi of the upper jiao; during winter when kidney and bladder cold-water qi is prosperous, the child makes the mother full, causing lung metal and large intestine to assist each other to overcome heart fire and encroach upon spleen and stomach. This is termed "great revenge." The Classics state: "Great excess must be followed by great recovery," which is the normal principle. Thus, primordial qi in the skin, blood vessels, and muscle layers is exhausted externally. When simultaneously attacked by great cold and dryness, symptoms include aversion to wind and cold, tinnitus, pulling pain between waist and back, nasal congestion, anosmia, cold forehead, headache, severe aversion to wind and cold, dizziness with desire not to open eyes, abdominal coldness with excessive phlegm and saliva, regurgitation of food after eating, constant abdominal pain, gastric pain, hypochondriac contraction and urgency with intermittent pain, inability to strain abdomen, frequent diarrhea rather than constipation, continuous lower qi discharge or borborygmus. These indicate extreme spleen and stomach deficiency. Turbulent qi in the chest, restlessness, leading to impending Huoluan (cholera-like syndrome); obstruction in throat and diaphragm, culminating in dysphagia with sound, panting, and closure. Relief may occur in sunny places or warm rooms, but recurrence follows inhalation of cold wind. Symptoms include cold extremities, heavy body unable to turn, inability to look back, frequent urination with occasional irritability. This formula treats these conditions and is indicated for autumn/winter cold-recovery pathogenic factors.
Shen Qu (Endowed Mass), Chai Hu (Bupleuri Radix, use according to severity of hypochondriac pain), Jiang Huang (Curcumae Longae Rhizoma) (4 fen each); Dang Gui Shen (Radix Angelicae Sinensis, body part), Qing Pi (Exocarpium Citri Grandis) (6 fen each); Huang Qi (Astragali Radix), Ren Shen (Ginseng Radix), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Wu Zhu Yu (Evodiae Fructus, washed with water and dried), Chen Pi (Pericarpium Citri Reticulatae), Bai Jiang Can (Bombyx Batryticatus) (8 fen each); Ze Xie (Alismatis Rhizoma, reduce dose if frequent urination); Ban Xia (Rhizoma Pinelliae Preparatum) (1 qian, washed); Gan Cao (Glycyrrhizae Radix et Rhizoma, raw 6 fen, cooked 6 fen); Mai Mian (Tritici Farina, stir-fried) (1.5 qian); Cao Dou Kou Ren (Fructus Alpiniae Katsumadai, wrapped in flour and roasted until done) (1.4 qian); Tao Ren (Persicae Semen, seven pieces, soaked in water, peeled, and removed of sharp ends).
Except for Tao Ren which is separately ground into paste, pulverize remaining herbs into fine powder and mix uniformly. Use dough soaked in decoction to make pills the size of Sophora japonica seeds. Take 50–70 pills per dose with plain warm water, after meals.