治肝火太盛气实左胁痛
黄连 黄芩 栀子 当归 陈皮 胆星(各一钱) 龙胆草 香附(各八分) 玄参(七
分)
青
上锉一剂生姜三片水煎至七分入玄明粉三分痰盛加至五分食后服如作药丸加芦荟五分
麝香二分 为末神曲糊丸如桐子大每服五十丸淡姜汤下
治因怒胁痛
枳壳 细辛 川芎 干葛 防风 甘草 桔梗
姜三片煎服
治同上
川芎 干葛 桂枝 枳壳 细辛 芍药 麻黄 人参 防风 甘草
水二钟姜三片煎八分食远服
治同上
三棱 蓬术 青皮 陈皮 桂心 藿香 桔梗 益智仁 香附 甘草
白水煎服
治气郁痰积右胁痛
姜黄 枳壳 桂心 甘草(各二钱)
为细末每服一钱姜枣煎汤调下
治同上
紫苏 桑皮 五味子 草果 桔梗 大腹皮 茯苓 陈皮 甘草
水二钟姜三片煎八分不拘时服
治左胁下痛连小腹
龙胆草 柴胡梢 当归须 陈皮 青黛 甘草梢 赤茯苓 炒栀子 青皮
不拘时服
治肾虚腰痛不止
杜仲(炒去丝三钱) 乳香(一钱)
为细末每服一钱用温酒调服
怔忡者心中怯怯如人将捕之状惕然动摇不得安静无时而作也
惊悸者蓦然惊跳心慌战动欲厥之状有时而作也健忘者谓陡然恍惚而忘其事也
丹溪云忡病属血虚者有虑便动属气虚时作时止者痰因火动瘦人多是血少肥人多是痰时觉
心跳者亦是血少怔忡无时惊悸有时而作
治疗肝火过盛、气机实证导致的左胁肋疼痛:
黄连、黄芩、栀子、当归、陈皮、胆南星(各一钱),龙胆草、香附(各八分),玄参(七分)。
以上药物切碎为一剂,加生姜三片,水煎至七分量,加入玄明粉三分;若痰多则增至五分。饭后服用。若制成药丸,加芦荟五分、麝香二分,研为细末,用神曲糊制成如梧桐子大小的丸剂,每次服用五十丸,用淡姜汤送服。
治疗因愤怒导致的胁肋疼痛:
枳壳、细辛、川芎、干葛(葛根)、防风、甘草、桔梗。
加生姜三片,水煎后服用。
治疗方法同上:
川芎、干葛、桂枝、枳壳、细辛、芍药、麻黄、人参、防风、甘草。
加水两钟,生姜三片,水煎至八分量,在距离进食较远时服用。
治疗方法同上:
三棱、蓬术(莪术)、青皮、陈皮、桂心、藿香、桔梗、益智仁、香附、甘草。
加水煎煮后服用。
治疗气郁痰积导致的右胁肋疼痛:
姜黄、枳壳、桂心、甘草(各二钱)。
研为细末,每次服用一钱,用生姜、大枣煎汤调服。
治疗方法同上:
紫苏、桑白皮、五味子、草果、桔梗、大腹皮、茯苓、陈皮、甘草。
加水两钟,生姜三片,水煎至八分量,不限时间服用。
治疗左胁下疼痛牵连小腹:
龙胆草、柴胡梢、当归须、陈皮、青黛、甘草梢、赤茯苓、炒栀子、青皮。
不限时间服用。
治疗肾虚导致的腰痛不止:
杜仲(炒去丝,三钱)、乳香(一钱)。
研为细末,每次服用一钱,用温酒调服。
怔忡(心悸伴惊恐不安),是指心中怯懦恐惧,好像有人要抓捕自己一样,惕然动摇,不得安宁,无定时发作。
惊悸(受惊而心跳慌乱),是指突然受惊跳跃,心慌战动,甚至有昏厥倾向的症状,有时发作。
健忘,是指突然恍惚而忘记事情。
丹溪说:怔忡病属于血虚的,有事便动;属于气虚的,时作时止;属于痰因火动的,瘦人多属血少,肥人多属痰湿;时常觉得心跳的,也是血少所致。怔忡是无时无刻不发作,惊悸是偶尔发作。
The prescription is found in the section on "Regurgitation and Dysphagia," and the treatment method is the same as below.
For left hypochondriac pain caused by excessive Liver Fire and excess Qi:
Coptidis Rhizoma (Huanglian), Scutellariae Radix (Huangqin), Gardeniae Fructus (Zhizi), Angelicae Sinensis Radix (Danggui), Citri Reticulatae Pericarpium (Chenpi), Arisaematis Cum Bile (Danning), each 1 qian; Gentiana Scabra Radix et Rhizoma (Longdancao), Cyperi Rhizoma (Xiangfu), each 8 fen; Scrophulariae Radix (Xuanshen) 7 fen.
Crude these into one dose, add three slices of Zingiberis Rhizoma Recens (Shengjiang), decoct with water until three-tenths remain, add Natrii Sulfas (Xuanmingfen) 3 fen; if phlegm is abundant, increase to 5 fen. Take after meals. If made into pills, add Aloe (Lushen) 5 fen and Moschus (Shexiang) 2 fen, grind into fine powder, bind with Fermented Saccharomyces Paste (Shenqu Hu) into pills the size of paulownia seeds. Take 50 pills per dose, washed down with light Ginger Decoction.
For hypochondriac pain caused by anger:
Aurantii Fructus Immaturus (Zhiqiao), Asari Radix et Rhizoma (Xixin), Chuanxiong Rhizoma (Chuanxiong), Puerariae Lobatae Radix (Gange), Saposhnikoviae Radix (Fangfeng), Glycyrrhizae Radix et Rhizoma (Gancao), Platycodonis Radix (Jiegeng).
Add three slices of Zingiberis Rhizoma Recens (Shengjiang), decoct with water and take.
Treatment method same as above:
Chuanxiong Rhizoma (Chuanxiong), Puerariae Lobatae Radix (Gange), Cinnamomi Ramulus (Guizhi), Aurantii Fructus Immaturus (Zhiqiao), Asari Radix et Rhizoma (Xixin), Paeoniae Radix Alba (Shaoyao), Ephedrae Herba (Mahuang), Ginseng Radix et Rhizoma (Renshen), Saposhnikoviae Radix (Fangfeng), Glycyrrhizae Radix et Rhizoma (Gancao).
Add two zhong of water and three slices of Zingiberis Rhizoma Recens (Shengjiang), decoct until eight-tenths remain. Take when far from meals.
Treatment method same as above:
Curcumae Longae Rhizoma (Sanleng), Curcumae Phaeocaulis Rhizoma (Pengzhu), Citri Reticulatae Pericarpium Viride (Qingpi), Citri Reticulatae Pericarpium (Chenpi), Cinnamomi Cortex (Guixin), Agastachis Herba (Huoxiang), Platycodonis Radix (Jiegeng), Alpiniae Oxyphyllae Fructus (Yizhiren), Cyperi Rhizoma (Xiangfu), Glycyrrhizae Radix et Rhizoma (Gancao).
Decoct with plain water and take.
For right hypochondriac pain caused by Qi stagnation and phlegm accumulation:
Curcumae Longae Rhizoma (Jianghuang), Aurantii Fructus Immaturus (Zhiqiao), Cinnamomi Cortex (Guixin), Glycyrrhizae Radix et Rhizoma (Gancao), each 2 qian.
Grind into fine powder. Take 1 qian per dose, mixed with decoction of Zingiberis Rhizoma Recens (Shengjiang) and Jujubae Fructus (Zao).
Treatment method same as above:
Perillae Folium (Zisu), Mori Cortex (Sangpi), Schisandrae Fructus (Wuweizi), Tsaoko Fructus (Caoguo), Platycodonis Radix (Jiegeng), Arecae Pericarpium (Dafupi), Poria (Fuling), Citri Reticulatae Pericarpium (Chenpi), Glycyrrhizae Radix et Rhizoma (Gancao).
Add two zhong of water and three slices of Zingiberis Rhizoma Recens (Shengjiang), decoct until eight-tenths remain. Take at any time.
For pain under the left hypochondrium radiating to the lower abdomen:
Gentiana Scabra Radix et Rhizoma (Longdancao), Bupleuri Radix Tip (Chaishao), Angelicae Sinensis Radix Tip (Dangguixu), Citri Reticulatae Pericarpium (Chenpi), Atriplae Semen (Qingdai), Glycyrrhizae Radix et Rhizoma Tip (Gancao Shao), Poria cum Rubro (Chifuling), Fried Gardeniae Fructus (Chao Zhizi), Citri Reticulatae Pericarpium Viride (Qingpi).
Take at any time.
For unremitting lumbar pain due to Kidney Deficiency:
Eucommiae Cortex (Duzhong), stir-fried to remove silk fibers, 3 qian; Boswelliae Resina (Ruxiang), 1 qian.
Grind into fine powder. Take 1 qian per dose, mixed with warm wine.
Etiologies include Blood deficiency, Phlegm-Fire, excessive thinking, and fright/shock.
Zhengtong (Palpitations with dread) refers to a state where the heart feels timid and fearful, as if someone is about to capture it, trembling and unable to find peace, occurring without fixed timing.
Jingji (Startle palpitations) refers to a sudden startle, panic, trembling, and sensation of fainting, occurring intermittently.
Jianwang (Forgetfulness) refers to sudden mental confusion and forgetting matters.
Danxi stated: Zhengtong disease belonging to Blood deficiency manifests when events trigger movement; belonging to Qi deficiency, it comes and goes intermittently; caused by Phlegm stirring due to Fire, thin people mostly have Blood deficiency, while fat people mostly have Phlegm. Those who frequently feel their heart beating also suffer from Blood deficiency. Zhengtong occurs continuously, whereas Jingji occurs intermittently.