苍术一味,九蒸九晒,为极细末,每服浆水调下一钱。
湿痰腹痛者,此方主之。
湿痰腹痛,是土实也。经曰∶土欲实,木当平之。苍术九蒸九晒,则其气轻清而薄,风
木胜湿之品也,故治湿痰腹痛神良。
紫苏子(沉水者) 白芥子 萝卜子(各三钱)
年高痰盛气实者,此方主之。
痰不自动也,因气而动,故气上则痰上,气下则痰下,气行则痰行,气滞则痰滞。是方
也,卜子能耗气,苏子能降气,芥子能利气。气耗则邪不实,气降则痰不逆,气利则膈自宽,
奚痰患之有?飞霞子此方,为人子事亲者设也。虽然,治痰先理气,此治标之论耳,终不若
二陈有健脾去湿治本之妙也。但气实之证,则养亲汤亦径捷之方矣。
陈皮(一斤,去白,盐水洗) 甘草(二两,炙)
共为末所丸。
上而痰吐,下而痰泻,此方皆良。
陈皮有消痰泄气之功;食盐具咸能润下之性;甘草有和药调中之妙,炙之有健脾益胃之
能。丹溪翁微加星、夏者,燥其生痰之源;微加芩、连者,扑其动痰之焰。
制半夏 胆南星(各三斤) 神曲(炒) 杏仁(去皮尖) 陈皮(去白) 萝卜子(生
用) 葛
根山楂肉(炒) 青皮(去穣,炒) 苏子(沉水者) 香附(制) 麦芽(各一两)
饮食生痰,胸膈膨闷者,此方主之。
星、夏之辛,能燥湿痰;葛根之清,能解酒热;山楂、麦芽、神曲之消,能疗饮食之痰
;青皮、陈皮、苏子、杏仁、卜子、香附之利,能行气滞之痰。痰去,则胸膈之膨闷亦去矣。
九蒸苍术散:仅用苍术一味药,经过九次蒸制和九次日晒,研磨成极细的粉末。每次服用时,用米汤(浆水)调服一钱。
顺气消食化痰丸:适用于湿痰引起的腹痛患者,此方为主治之方。
湿痰导致的腹痛,属于脾土实证。《内经》说:“土气过实,应当用木气来平抑它。”苍术经过九蒸九晒后,其药性变得轻清而淡薄,属于风木类胜湿的药物,因此治疗湿痰引起的腹痛效果极佳。
紫苏子(以沉入水中的为佳)、白芥子、萝卜子(各三钱)。
适用于年老体衰但痰多气盛的患者,此方为主治之方。
痰液不会自行移动,而是随着气的运动而移动,所以气向上则痰向上,气向下则痰向下,气运行通畅则痰随之运行,气机阻滞则痰液停滞。这个方剂中,萝卜子能消耗气机,紫苏子能降逆气,白芥子能疏通气机。气机被消耗则邪气不实,气机下降则痰液不逆上,气机通畅则胸膈自然宽舒,哪里还会有痰患呢?飞霞子创制此方,是为那些作为子女侍奉双亲的人所设的。虽然如此,治疗痰症先调理气机,这只是治标的说法,终究不如二陈汤具有健脾祛湿、治本的精妙之处。但对于气实的证候,养亲汤也是简便快捷的方子。
陈皮(一斤,去掉白色内层,用盐水清洗)、甘草(二两,炙烤)。
共同研磨成粉末后制成丸剂。
对于上部呕吐痰涎、下部腹泻痰浊的情况,此方都有良好的疗效。
陈皮具有消除痰涎、泄降气机的功效;食盐具备咸味并能润下通便的特性;甘草有调和药物、调理中焦的妙用,经过炙烤后具有健脾益胃的能力。朱丹溪先生稍微加入天南星、半夏,是为了燥化生痰的根源;稍微加入黄芩、黄连,是为了扑灭引发痰动的火炎。
制半夏、胆南星(各三斤)、神曲(炒制)、杏仁(去皮尖)、陈皮(去白)、萝卜子(生用)、葛根、山楂肉(炒制)、青皮(去掉瓤,炒制)、紫苏子(沉水者)、香附(炮制)、麦芽(各一两)。
适用于因饮食不当产生痰浊,导致胸膈部胀满闷痛的患者,此方为主治之方。
天南星、半夏的辛温之性,能够燥化湿痰;葛根的清凉之性,能够解除酒热;山楂、麦芽、神曲的消导作用,能够治疗由饮食积滞产生的痰浊;青皮、陈皮、紫苏子、杏仁、萝卜子、香附的理气作用,能够行散气滞导致的痰浊。痰浊去除后,胸膈部的胀闷感也随之消失。
Jiu Zheng Cang Zhu San (Nine-Steamed Atractylodes Powder): Using only one herb, Rhizoma Atractylodis (Cangzhu), subjected to nine steaming and nine sun-drying cycles, ground into an extremely fine powder. For each dose, take one qian (approx. 3-5g) mixed with rice water (Jiangshui).
Shun Qi Xiao Shi Hua Tan Wan (Regulating Qi, Digesting Food, and Resolving Phlegm Pill): This formula is indicated for abdominal pain caused by damp-phlegm.
Abdominal pain due to damp-phlegm represents an excess condition of the Earth element. The Classics state: "When Earth becomes excessive, Wood should be used to level it." After nine steaming and nine drying cycles, Rhizoma Atractylodis (Cangzhu) acquires a light, clear, and mild nature; it belongs to the category of Wind-Wood herbs that overcome dampness. Therefore, it is highly effective in treating abdominal pain caused by damp-phlegm.
Fructus Perillae (Zisuzi, preferably those that sink in water), Semen Sinapis Albae (Baijiezi), Fructus Raphani Sativi (Luobozhi/Laifuzi) (each 3 qian).
This formula is indicated for elderly patients with abundant phlegm and robust qi.
Phlegm does not move on its own; it moves with the Qi. Thus, when Qi ascends, phlegm ascends; when Qi descends, phlegm descends; when Qi flows freely, phlegm moves with it; when Qi stagnates, phlegm stagnates. In this formula, Fructus Raphani Sativi (Laifuzi) consumes Qi, Fructus Perillae (Zisuzi) directs Qi downward, and Semen Sinapis Albae (Baijiezi) promotes the flow of Qi. When Qi is consumed, pathogenic factors are not solid; when Qi descends, phlegm does not rebel upward; when Qi flows smoothly, the chest and diaphragm naturally become spacious. How could there be phlegm disorders? Feixia Zi created this formula for filial sons serving their parents. Although treating phlegm by regulating Qi is merely a symptomatic treatment (treating the branch), it is ultimately inferior to Er Chen Tang (Two-Aged Decoction) in its subtlety of strengthening the Spleen, removing dampness, and treating the root. However, for conditions of Qi excess, Yang Qin Tang (Nourishing Parents Decoction) is also a direct and expedient formula.
Pericarpium Citri Reticulatae (Chenpi, 1 jin, remove white pith, wash with salt water), Radix Glycyrrhizae Preparata (Gancao, 2 liang, honey-fried).
Grind together into powder and make pills.
For vomiting phlegm from above and diarrhea of phlegm from below, this formula is excellent.
Pericarpium Citri Reticulatae (Chenpi) has the function of resolving phlegm and draining Qi; Salt possesses the salty flavor and moistening, downward-draining property; Radix Glycyrrhizae Preparata (Gancao) has the wonder of harmonizing herbs and regulating the Middle Jiao; after honey-frying, it has the ability to strengthen the Spleen and benefit the Stomach. Master Zhu Danxi slightly added Rhizoma Arisaematis (Xing) and Rhizoma Pinelliae Preparata (Banxia) to dry the source of phlegm production; he slightly added Radix Scutellariae (Huangqin) and Rhizoma Coptidis (Huanglian) to suppress the flame that stirs phlegm.
Rhizoma Pinelliae Preparata (Banxia), Rhizoma Arisaematis cum Bile (Dannanxing) (each 3 jin), Massa Medicata Fermentata (Shenqu, stir-fried), Semen Pruni Armeniacae (Xingren, remove skin and tips), Pericarpium Citri Reticulatae (Chenpi, remove white pith), Fructus Raphani Sativi (Laifuzi, raw use), Radix Puerariae Lobatae (Gegen), Cortex Crataegi (Shanzha Rou, stir-fried), Fructus Aurantii Immaturus (Qingpi, remove albedo, stir-fried), Fructus Perillae (Zisuzi, sinking variety), Rhizoma Cyperi (Xiangfu, processed), Frumentum Germinatum (Maiya) (each 1 liang).
This formula is indicated for fullness and oppression in the chest and epigastrium caused by phlegm generated from dietary irregularities.
The pungent nature of Rhizoma Arisaematis (Xing) and Rhizoma Pinelliae Preparata (Banxia) can dry damp-phlegm; the cooling nature of Radix Puerariae Lobatae (Gegen) can resolve alcohol-heat; the digestive properties of Massa Medicata Fermentata (Shenqu), Semen Pruni Armeniacae (Xingren - *Note: Text implies digestion context but Xingren is usually lung/bowel, here likely referring to general descending/digestive aid or typo in original context for digestion, but strictly translating text's claim*), and Cortex Crataegi (Shanzhou) can treat phlegm from food retention; the moving properties of Fructus Aurantii Immaturus (Qingpi), Pericarpium Citri Reticulatae (Chenpi), Fructus Perillae (Zisuzi), Semen Pruni Armeniacae (Xingren), Fructus Raphani Sativi (Laifuzi), and Rhizoma Cyperi (Xiangfu) can move Qi stagnation-related phlegm. Once phlegm is removed, the fullness and oppression in the chest and diaphragm will also disappear.