雄黄圣饼子
巴豆（一百枚，去油膜） 雄黄（半两） 白面（十两，炒，又罗过）
上三味，内除白面，余同为细末，共面和匀，用新水搅和，做饼如手大，以水再煮，浮于
汤上，看硬软捏作饼子。每服五七饼，加至十饼、十五饼，嚼食。一饼，利一行；二饼，利二行。
食前茶酒任下。
〔洁〕人之生也，由五谷之精，化五味之备，故能生形。经曰∶味归形。若伤于味，亦能损形。
今饮食过节，以致肠胃不能胜，气不及化，故伤焉。经云∶壮火食气，气食少火，壮火散气，少
火生气。又云∶饮食自倍，肠胃乃伤。以失四时之调节，故能成病，脉在气口。经曰∶气口脉盛
伤于食，心胃满而口无味。口与气口同，口曰坤者，口乃脾之候，故胃伤而气口紧盛。夫伤有多
少、有轻重，如气口一盛，得脉六至，则伤于厥阴，乃伤之轻也，枳术丸之类主之。气口二盛，脉
得七至，则伤于少阴，乃伤之重也，雄黄圣饼子、木香槟榔丸、枳壳丸之类主之。气口三盛，脉
得八至九至，则伤太阴，填塞闷乱，则心胃大痛，备急丸、神保丸、消积丸之类主之。兀兀欲吐
不已，俗呼食迷风是也。经曰∶上部有脉，下部无脉，其人当吐，不吐者死，瓜蒂散主之。如不能
吐，是无治也。经曰∶其高者，因而越之，此之谓也。备急下之亦可。
槟榔丸治饮食过多，心腹胀闷。
槟榔（二钱半） 陈皮 牵牛（各一两） 木香（二钱半） 枳实（炒，一两）
上为末，醋糊丸。生姜汤下三四十丸。
煮黄丸治饮食过多，心腹胀满，胁肋走气， 癖刺痛如神。
雄黄（研，一两） 巴豆（五钱，去皮心，研如泥）
上入白面二两，同研匀，滴水丸，如桐子大。滚浆水煮十二丸，滤入冷浆水内，令沉冷，
每用时，用浸药冷浆下一丸，一日十二时尽十二丸，以微利为度，不必尽剂。
〔仲〕宿食在上脘，当吐之，宜瓜蒂散。又云∶凡血虚者，不可吐。
〔垣〕瓜蒂散治大满大实，气上冲逆，上部有脉，下部无脉，填塞闷乱者用之。如尺寸俱
盛者，宜用备急丸。
瓜蒂（炒） 赤小豆（煮，等分）
上为细末。每服二钱，温浆水调下，取吐为度。仲景以香豉七合，煮取汁和散一匕服之。若不
至两尺脉绝者，不宜便服此药，恐损元气，令人胃气不复。若止胸中窒塞，闷乱不通，以物探之，
得吐则已。如探不去，方以此剂吐之。或曰∶盛食填塞，胸中痞乱，两寸脉当用事，今反两尺脉
不见，其理安在？曰∶胸中有食，是木郁宜达，故探吐之。食者物也，物者坤土也，是足太阴之
号也。胸中者肺也，为物所塞。肺者，手太阴金也。金主杀伐，与坤土俱在于上而旺于天。金能
克木，故肝木发生之气伏于地下，非木郁而何？吐去上焦阴土之物，木得舒畅，则郁结去矣。食
塞于上，脉绝于下，若不明天地之道，无由达此至理。水火者，阴阳之征兆，天地之别名也。故
独阳不生，独阴不长。天之用在于地下，则万物生长；地之用在于天上，则万物收藏。此乃天地交
而万物通也，此天地相根之道也。故阳火之根本于地下，阴水之源本于天上，故曰水出高源。故
人五脏主有形之物。物者，阴也。阴者，水也。右三部脉主之，偏见于寸口。食塞于上，是绝五脏
之源，源绝则水不下流，两尺脉之绝，此其理也。何疑之有？然必视所伤之物冷热，随症加减。
如伤冷物一分，热物二分，则用寒药二停，热药一停，随时消息。经云∶必先岁气，无伐天和，
此之谓也。
〔海〕秦生好服三生茶及冷物，成积而痼寒，脉非浮非沉，上下内外按举极有力，坚而不柔，
触指突出肤表，往来不可以至数名，纵横不可以巨细状，此阴症鼓击脉也。一身流行之火萃于胸中，
寒气逼之，故搏大有
力。与真武、四逆、理中等汤丸，佐以芍药、茴香，使不僭上。每日服百丸，夜八十丸，至夜出
汗而愈。
〔洁〕既有三阴可下之法，亦必有三阴可补之法。予故云∶内伤三阴可用温剂。若饮冷内伤，
虽云损胃，未知色脉各在何经∶若面色青黑，脉浮沉不一，弦而弱者，伤在厥阴；若面色红赤，
脉浮沉不一，细而微者，伤在少阴；若面色黄洁，脉浮沉不一，缓而迟者，伤在太阴也。如伤
在厥阴肝之经，当归四逆汤加吴茱萸生姜汤之类主之。（方见伤寒。）伤在少阴肾之经，宜服通
脉四逆汤。（方见伤寒。）伤在太阴脾之经，理中丸汤主之。大便软者宜汤，结者宜丸。（方见伤寒。）
〔海〕唐臣嗜冷食，遂成阴症。脉迟七八至一止，后仅三至。予亟与温剂数服，四五日不解。
遂续进三服，一日脉生，大汗而解。
〔罗〕阴气者，静则神藏，躁则消亡。饮食自倍，肠胃乃伤。谓食物无贪于多，贵在有节，所
以保冲和而遂颐养也。若贪多务饱，饫塞难消，徒积暗伤，以召疾患。盖食物饱甚，耗气非一；
或食不下而上涌，呕吐以泄真元；或饮不消而作痰，咯唾以耗神水，大便频数，而泄耗谷气之化生，
溲便滑利，而浊耗源泉之浸润。至于精清冷而下漏，汗淋漓而外泄，莫不由食物过伤，滋味太浓。如
能节满意之食，省爽口之味，当不至于饱甚，即顿顿必无伤，物物皆为益，津液内蓄，精华和凝，
邪毒不能犯，疾 无由作矣。
巴豆（一百枚，去除油膜） 雄黄（半两） 白面（十两，炒制，并筛过）
以上三味药，除去白面外，其余药物共同研磨成细末，与白面混合均匀，用新汲水调和，做成如手掌大小的饼状，再次放入水中煮，待其浮于汤面上时，根据软硬程度捏制成饼子。每次服用五到七个饼，逐渐增加至十个、十五个，嚼碎后吞服。吃一个饼，排便一次；吃两个饼，排便两次。饭前喝茶或酒送服均可。
〔李杲〕人的生存，依靠五谷的精微物质，化生五味以完备形体，所以能够生成身体。《内经》说：味道滋养形体。如果饮食滋味过度，也会损伤形体。现在饮食没有节制，导致肠胃无法承受，气力不足以运化，因此受到损伤。经书说：壮火消耗元气，少火滋生元气，壮火散失元气，少火生长元气。又说：饮食过量一倍，肠胃就会受伤。因为失去了四季的调节适应，所以能形成疾病，脉象表现在气口。经书说：气口脉盛大是伤于食，心胃胀满而口中无味。口与气口相通，口对应坤卦，口是脾的外候，所以胃受伤则气口脉紧盛。伤害有轻重多少之分，如气口脉大一倍，脉搏六次跳动，则是伤在厥阴，属于轻伤，用枳术丸之类的方剂主治。气口脉大二倍，脉搏七次跳动，则是伤在少阴，属于重伤，用雄黄圣饼子、木香槟榔丸、枳壳丸之类的方剂主治。气口脉大三倍，脉搏八到九次跳动，则是伤在太阴，胸中填塞闷乱，心胃剧烈疼痛，用备急丸、神保丸、消积丸之类的方剂主治。恶心欲吐不止，俗称“食迷风”。经书说：上部有脉，下部无脉，此人应当呕吐，不呕吐的会死亡，用瓜蒂散主治。如果不能吐，就没有治疗方法了。经书说：病位高的，顺势使其向上涌吐，说的就是这个道理。用备急丸攻下也可以。
槟榔（二钱半） 陈皮 牵牛（各一两） 木香（二钱半） 枳实（炒，一两）
以上药物研为细末，用醋糊制作成丸剂。生姜汤送服三四十丸。
煮黄丸治疗饮食过多，心腹胀满，胁肋部气机窜动刺痛，效果神奇。
以上加入白面二两，一同研匀，滴水制成丸剂，如梧桐子大小。用滚热的米浆水煮十二丸，滤出放入冷米浆水中，令其沉底变冷。每次用时，用浸泡药物的冷米浆水送服一丸，一天十二个时辰内服完十二丸，以轻微腹泻为度，不必服完所有药剂。
〔张仲景〕宿食停留在上脘，应当催吐，宜用瓜蒂散。又说：凡是血虚的人，不可使用催吐法。
〔李东垣〕瓜蒂散治疗大满大实，气机上冲逆乱，上部有脉，下部无脉，胸中填塞闷乱者使用。如果寸关尺三部脉都盛大，宜用备急丸。
以上研为细末。每次服用二钱，用温酸浆水调服，以吐出为度。张仲景用香豉七合，煮取汁液调和药散一匕服用。如果不是两尺脉绝的情况，不宜立即服用此药，恐怕损伤元气，使胃气不能恢复。如果只是胸中窒塞闷乱不通，可以用物探喉催吐，能吐出来就停止。如果探吐无效，才用此剂催吐。有人说：食物填塞，胸中痞闷混乱，两寸脉应当旺盛，现在反而两尺脉不见，这是什么道理？回答说：胸中有食积，这是肝木郁结应当疏达，所以采用探吐法。食物是物体，物体属坤土，这是足太阴脾土的称号。胸中是肺所在之处，被物体堵塞。肺是手太阴金。金主杀伐，与坤土俱处于上部而在天旺。金能克木，所以肝木发生之气伏藏于地下，这不是木郁结是什么？吐出上焦阴土之物，木气得以舒畅，郁结就去除了。食物堵塞在上部，脉象绝于下部，如果不明白天地之道，无法通达这个至理。水火是阴阳的征兆，也是天地的别名。所以独阳不生，独阴不长。天的作用在于地下，则万物生长；地的作用在于天上，则万物收藏。这是天地交泰而万物通畅，这是天地相互根本的道理。所以阳火的根本在于地下，阴水的源头本于天上，所以说“水出高源”。人的五脏主管有形之物。物体，属阴。阴，属水。右三部脉主管它，偏见于寸口。食物堵塞在上部，是断绝五脏的源头，源头断绝则水不下流，两尺脉绝，就是这个道理。有什么可怀疑的呢？然而必须观察所伤食物的冷热性质，随症状加减。如伤冷物一分，热物二分，则用寒药两份，热药一份，随时斟酌。经书说：必须先考虑岁气，不要破坏天和，说的就是这个道理。
〔王好古〕秦生喜欢服用三生茶及冷物，形成积滞且痼寒，脉象不浮不沉，上下内外按举极有力，坚硬而不柔和，触指突出肤表，往来不能用至数来计数，纵横不能用巨细来形容，这是阴症鼓击脉。一身流行的火聚集在胸中，寒气逼迫它，所以搏动大有力。给予真武汤、四逆汤、理中汤等汤丸，佐以芍药、茴香，防止药性僭越上行。每天服用一百丸，夜间八十丸，到夜间出汗而痊愈。
〔李杲〕既然有三阴可下的方法，也必然有三阴可补的方法。所以我曾说：内伤三阴可用温剂。如果是饮冷内伤，虽然说是损伤胃，但不知道色脉各在哪一经：如果面色青黑，脉象浮沉不一，弦而弱，是伤在厥阴；如果面色红赤，脉象浮沉不一，细而微，是伤在少阴；如果面色黄洁，脉象浮沉不一，缓而迟，是伤在太阴。如果伤在厥阴肝经，用当归四逆汤加吴茱萸生姜汤之类主治。（方剂见伤寒篇。）伤在少阴肾经，宜服用通脉四逆汤。（方剂见伤寒篇。）伤在太阴脾经，用理中丸汤主治。大便软的宜用汤剂，大便干的宜用丸剂。（方剂见伤寒篇。）
〔王好古〕唐臣嗜好冷食，遂成阴症。脉象迟涩，七八次跳动有一次停顿，后来仅三次跳动。我急忙给予温剂服用几次，四五日未解。于是继续进服三剂，一天后脉象复生，大汗而解。
〔罗天益〕阴气，安静则神志潜藏，躁动则消亡。饮食过量一倍，肠胃就会受伤。意思是食物不要贪多，贵在节制，以此来保持冲和之气从而颐养身心。如果贪多务饱，饱食难消，徒然积累暗伤，招致疾病。大概食物吃得过饱，耗气的途径不止一种：或者食不下而上涌，呕吐以泄真元；或者饮不消而变成痰，咯唾以耗神水，大便频数，泄耗谷气化生的精气，小便滑利，浊耗源泉的浸润。以至于精液清冷而下漏，汗淋漓而外泄，无不都是由食物过伤，滋味太浓所致。如果能节制满足口腹之欲的饮食，减少爽口的美味，就不会至于过饱，那么每顿饭都不会受伤，每种食物都有益处，津液内蓄，精华和凝，邪毒不能侵犯，疾病无从产生。
Xionghuang Shengbingzi (Realgar Holy Cake)
Crotonis Fructus (Babao, 巴豆) [100 seeds, oil membrane removed], Realgar (Banliang, 雄黄) [half liang], White Flour (Shiliang, 十两) [ten liang, stir-fried and sifted]
Take the above three ingredients. Excluding the white flour, grind the remaining ingredients into a fine powder together. Mix evenly with the white flour. Knead with fresh water to form cakes the size of a hand. Boil again in water until they float on the surface. Adjust hardness by kneading into cake shapes. Take five to seven cakes per dose, increasing gradually to ten or fifteen cakes. Chew thoroughly before swallowing. One cake induces one bowel movement; two cakes induce two bowel movements. Administer before meals with tea or wine as desired.
[Li Gao] Human life relies on the essence of the five grains, which transforms the five flavors to complete the physical form, thereby enabling the generation of the body. The Classics state: "Flavors nourish the form." If flavors are excessive, they can also damage the form. Currently, irregular diet leads to the inability of the intestines and stomach to bear it, and insufficient Qi to transform it, resulting in injury. The Classics say: "Strong Fire consumes Qi, Weak Fire generates Qi; Strong Fire scatters Qi, Weak Fire grows Qi." It also states: "If food and drink exceed double the normal amount, the intestines and stomach will be injured." Due to the loss of regulation according to the four seasons, disease arises, and the pulse manifests at the Qi Kou (radial artery). The Classics state: "A full pulse at the Qi Kou indicates injury from food; the heart and stomach feel full, and the mouth lacks taste." The mouth corresponds to the Qi Kou; the mouth represents Kun Earth. The mouth is the external indicator of the Spleen; thus, when the Stomach is injured, the Qi Kou pulse becomes tight and full. Injuries vary in degree and severity. For instance, if the Qi Kou pulse is one-fold stronger than normal, with six beats per respiration cycle, the injury is in the Jueyin (Liver/Gallbladder channel), representing a mild injury, treated with formulas like Zhizhu Wan (Immature Bitter Orange and Atractylodes Pill). If the Qi Kou pulse is two-fold stronger, with seven beats, the injury is in the Shaoyin (Heart/Kidney channel), representing a severe injury, treated with Xionghuang Shengbingzi, Muxiang Binglang Wan (Costus and Betel Nut Pill), or Zhike Wan (Citrus Aurantium Pill). If the Qi Kou pulse is three-fold stronger, with eight to nine beats, the injury is in the Taiyin (Spleen/Lung channel), characterized by chest filling and mental confusion, severe pain in the heart and stomach, treated with Beijji Wan (Emergency Rescue Pill), Shenbao Wan (Divine Treasure Pill), or Xiaoji Wan (Eliminate Accumulation Pill). Persistent nausea and urge to vomit, commonly known as "Food Dizziness Wind," occurs. The Classics state: "If there is a pulse in the upper part but none in the lower part, the person should vomit; if they do not vomit, death ensues." This is treated with Gouti San (Melon Pedicle Powder). If vomiting cannot be induced, there is no treatment. The Classics state: "For pathogens located high, use methods to cause upward expulsion." This refers to this principle. Using Beijji Wan to purge downward is also acceptable.
Binglang Wan treats excessive food intake causing abdominal distension and oppression.
Arecae Semen (Binglang, 槟榔) [2.5 qian], Citri Reticulatae Pericarpium (Chenpi, 陈皮), Pharbitidis Semen (Qianniu, 牵牛) [each 1 liang], Costi Radix (Muxiang, 木香) [2.5 qian], Immature Bitter Orange (Zhishi, 枳实) [stir-fried, 1 liang]
Grind into powder. Make pills using vinegar paste. Take 30-40 pills with Ginger Decoction.
Zhu Huang Wan treats excessive food intake causing abdominal distension and fullness, qi moving in the hypochondrium, and stabbing pain, with miraculous efficacy.
Realgar (ground, 1 liang), Crotonis Fructus (Babao, 巴豆) [5 qian, skin and heart removed, ground into paste]
Add 2 liang of white flour. Grind uniformly. Add drops of water to make pills the size of paulownia seeds. Boil 12 pills in hot rice gruel. Filter and place in cold rice gruel until submerged and cooled. When used, take one pill with the cold rice gruel used for soaking. Consume all 12 pills within 12 hours of the day. Stop when mild diarrhea occurs; it is not necessary to finish the entire dose.
[Zhang Zhongjing] Retained food in the Upper Jiao should be expelled via vomiting, suitable for Gouti San. Also states: "Those with Blood deficiency must not be vomited."
[Li Dongyuan] Gouti San is used for extreme fullness and excess, rebellious Qi rushing upward, presence of pulse in the upper part but absence in the lower part, and chest filling with mental confusion. If pulses at Cun, Guan, and Chi positions are all full, Beijji Wan should be used.
Melon Pedicle (Gouti, 瓜蒂) [stir-fried], Adzuki Bean (Chixiaodou, 赤小豆) [boiled, equal parts]
Grind into fine powder. Take 2 qian per dose, mixed with warm sour plum water. Induce vomiting as the limit. Zhang Zhongjing used Fermented Soybean (Xiangchi, 香豉) [7 he] boiled to extract juice, mixed with one bi of powder for administration. If the Chi pulses at both wrists are not absent, this medicine should not be taken immediately, as it may damage Yuan Qi and prevent Stomach Qi from recovering. If there is only chest obstruction and mental confusion without blockage, induce vomiting mechanically. If mechanical induction fails, then use this formula to induce vomiting. Some ask: "When food fills the chest causing痞 (blockage) and confusion, the Cun pulses should be active, yet the Chi pulses are invisible. What is the rationale?" The answer is: Food retention in the chest indicates Liver Wood stagnation that needs to be reached, hence the method of inducing vomiting. Food is an object; objects belong to Kun Earth, which is the designation of the Foot Taiyin Spleen. The chest is the domain of the Lung, Hand Taiyin Metal. Metal governs killing and pruning. With Kun Earth and Metal both residing in the upper part and flourishing in Heaven, Metal overcomes Wood. Thus, the generating Qi of Liver Wood is suppressed underground. Is this not Wood stagnation? Expelling the Yin Earth objects from the Upper Jiao allows Wood Qi to flow freely, resolving the stagnation. Food blocking the upper part causes pulse absence in the lower part. Without understanding the Dao of Heaven and Earth, one cannot comprehend this profound truth. Water and Fire are manifestations of Yin and Yang, and alternative names for Heaven and Earth. Therefore, solitary Yang does not generate, and solitary Yin does not grow. The function of Heaven lies beneath the earth, allowing all things to grow; the function of Earth lies above in heaven, allowing all things to store. This is Heaven and Earth interacting so that all things flow smoothly; this is the way Heaven and Earth root each other. Thus, the root of Yang Fire is in the earth, and the source of Yin Water is in the heaven; hence it is said, "Water flows from a high source." The five Zang organs manage有形 (form/substance) objects. Objects are Yin. Yin is Water. The right-side pulses (Cun, Guan, Chi on the left wrist in some contexts, or generally referring to specific pulse diagnoses) govern this, manifesting predominantly at the Qi Kou. Food blocking the upper part cuts off the source of the five Zang organs. When the source is cut, water does not flow down, leading to the absence of Chi pulses. This is the logic. Why doubt it? However, one must observe whether the ingested food was cold or hot and adjust accordingly. If one part cold food and two parts hot food were consumed, use two parts cold-natured medicine and one part hot-natured medicine, adjusting according to circumstances. The Classics state: "First consider the annual Qi, do not violate the Harmony of Heaven." This is what is meant.
[Wang Haogu] Qin Sheng liked to consume Sansheng Tea and cold foods, leading to accumulation and entrenched Cold. The pulse was neither floating nor sinking; pressing up and down, inside and out, it was extremely forceful, hard and unyielding, protruding through the skin upon touch. Its rhythm could not be counted by beats, and its shape could not be described by magnitude. This is the Drumming Pulse of Yin Syndrome. The fire circulating throughout the body gathered in the chest, forced by Cold Qi, resulting in strong pulsation. Prescribe Zhenwu Tang (True Warrior Decoction), Sini Tang (Reverse the Extremity Decoction), Lizhong Tang (Regulate the Middle Decoction), etc., assisted by Paeoniae Radix (Shaoyao, 芍药) and Fennel (Huixiang, 茴香) to prevent the medicine from soaring upward. Take 100 pills daily and 80 at night. Recovery occurred with sweating at night.
[Li Gao] Since there are methods for purging the Three Yin channels, there must also be methods for tonifying the Three Yin channels. Hence I stated: Internal injury to the Three Yin channels can be treated with Warm agents. If internal injury is caused by drinking cold liquids, although it damages the Stomach, one must determine which channel the color and pulse indicate. If the complexion is green-black, pulse varies in depth, wiry and weak, the injury is in Jueyin. If the complexion is red, pulse varies in depth, fine and faint, the injury is in Shaoyin. If the complexion is yellow and clear, pulse varies in depth, slow and delayed, the injury is in Taiyin. If injured in the Jueyin Liver channel, treat with Danggui Sini Tang (Angelica Decoction for Nourishing the Extremities) added with Wuzhuyu Shengjiang Tang (Evodia and Ginger Decoction). (Formula see Shanghan Treatise.) If injured in the Shaoyin Kidney channel, administer Tongmai Sini Tang (Unblock the Extremities Reverse the Extremity Decoction). (Formula see Shanghan Treatise.) If injured in the Taiyin Spleen channel, treat with Lizhong Wan/Tang (Regulate the Middle Pill/Decoction). For soft stools, use Decoction; for constipation, use Pill. (Formula see Shanghan Treatise.)
[Wang Haogu] Tang Chen had a craving for cold food, eventually developing Yin Syndrome. The pulse was slow and choppy, stopping every 7-8 beats, later slowing to 3 beats. I urgently administered Warm agents several times, but no relief after 4-5 days. Continued with three more doses. On the next day, the pulse returned, and recovery followed profuse sweating.
[Luo Tianyi] Yin Qi: when still, the Spirit is stored; when restless, it dissipates. If food and drink exceed double the normal amount, the intestines and stomach are injured. This means one should not greedily consume large quantities of food, but value moderation, thereby preserving the Harmonious Qi and nurturing life. If one seeks satiety to excess, becoming stuffed and unable to digest, one merely accumulates hidden damage, inviting illness. Eating too much consumes Qi in multiple ways: food may rise and vomit, draining True Yuan; undigested drinks may transform into Phlegm, consuming Shen Water through spitting; frequent loose stools drain the transformation of Grain Qi; slippery urination depletes the infiltration of the Source. Eventually, clear cold Essence leaks downward, and sweat pours outward. All stem from excessive food injury and overly rich flavors. If one moderates satisfying meals and reduces palatable tastes, one will not reach excessive fullness. Then, every meal will cause no harm, and every item will be beneficial. Jin Ye (Body Fluids) will accumulate internally, Jing Hua (Essence and Brilliance) will harmonize and condense, Evil Toxins cannot invade, and diseases will have no origin.