(仲景)
治伤寒发汗,若吐若下,解后心下痞硬,噫气不除(汗吐下后,大邪虽解,胃气弱而不
和
旋复花(即金沸草。三两) 代赭石(一两) 人参(二两) 甘草(三两) 半夏(半
升) 生
此足阳明药也。成氏曰∶硬则气坚,旋复之咸以软痞硬;怯则气浮,代赭之重以镇虚逆
(代赭色赤体重,又能养阴血,止反胃);辛者散也,生姜之辛以散虚痞;甘者缓也,人参、
甘草、大枣之甘以补胃弱(《纲目》云∶病解后痞硬噫气,不下利者,用此汤;下利者,生
姜泻心汤。《活人》云∶有旋复代赭证或咳逆气虚者,先服四逆汤;胃寒者,先服理中汤;
后服此汤
(严氏)
治久病呃逆因于寒者(按∶方书无呃字,或作咳逆,或作哕气,仲景书中亦作哕。《说
文》曰∶哕,气牾也。海藏、东垣皆以哕为干呕,人多非之,今从俗作呃逆。此病有因痰阻
气滞者;有因血瘀者,有因火郁者,有因胃热失下者,此皆属实;有因中气大虚者,有因大
下胃虚阴火上冲者,此皆属虚。寒热虚实,治法不一,古方以此汤治寒呃,虽病本于寒,然
亦有火也。呃在中焦,谷气不运,其声短小,得食即发;呃在下焦,真气不足,其声长大,
不食亦然)。
丁香 柿蒂(二钱) 人参(一钱) 生姜(五片。)一方加陈皮、半夏、茯苓、甘草、
良姜
此足阳明、少阴药也。丁香泄肺温胃而暖肾,生姜去痰开郁而散寒,柿蒂苦涩而降气,
人参所以辅真气使得展布也。火呃亦可用者,盖从治之法也(以热攻热,名曰从治。朱丹溪
曰∶人之阴气,因胃为养,土伤则木挟相火直冲清道而上作呃逆,古人以为胃寒用丁香柿蒂,
不能
每
微
者
寒
用
则益
本方除人参、生姜,亦名丁香柿蒂汤(严氏)∶治同。本方除人参、生姜,加竹茹、橘
红,名丁香柿蒂竹茹汤,又名橘红竹茹汤;《宝鉴》去人参,加青皮、陈皮;《三因》去人参,
加良
(张仲景)
治疗伤寒经过发汗、催吐或泻下治疗后,病邪虽解,但出现胃脘部痞塞胀硬,嗳气不止的症状。(这是因为汗、吐、下法之后,大邪之气虽然解除,但胃气虚弱且不和顺。)
旋复花(即金沸草。三两) 代赭石(一两) 人参(二两) 甘草(三两) 半夏(半升) 生姜(五片) 大枣(十二枚)
此方是足阳明胃经的药物组成。成无己说:痞硬说明气机坚结,用旋复花的咸味来软化痞硬;怯弱说明气机上浮,用代赭石的沉重之性来镇摄虚逆之气(代赭石色赤体重,又能滋养阴血,止住反胃);辛味能发散,用生姜的辛味来疏散虚痞;甘味能缓急,用人参、甘草、大枣的甘味来补益胃气的虚弱(《本草纲目》说:病邪解除后出现痞硬、嗳气,但没有腹泻的,使用此汤;如果有腹泻的,使用生姜泻心汤。《活人书》说:有旋复代赭证或者咳嗽气虚的,先服用四逆汤;胃寒的,先服用理中汤;然后再服用此汤)。
(严用和)
治疗久病呃逆属于寒证的(按:医书中没有“呃”字,有的写作“咳逆”,有的写作“哕气”,张仲景书中也写作“哕”。《说文解字》说:哕,是气机逆乱。海藏、东垣都以为哕就是干呕,很多人不赞同这种观点,现在依从俗称为呃逆。这个病有因为痰阻气滞导致的;有因为血瘀导致的,有因为火郁导致的,有因为胃热失于通下的导致的,这些都属于实证;有因为中气大虚导致的,有因为过度泻下导致胃虚、阴火上冲导致的,这些都属于虚证。寒热虚实不同,治疗方法各不相同,古方用此汤治疗寒性呃逆,虽然病本源于寒,但其中也可能夹杂火邪。呃逆发生在中焦,谷气不能运化,声音短小,进食后即发作;呃逆发生在于下焦,真气不足,声音长大,不吃东西也会发作)。
丁香 柿蒂(二钱) 人参(一钱) 生姜(五片)。另一配方加陈皮、半夏、茯苓、甘草、良姜。
此方是足阳明胃经和足少阴肾经的药物组成。丁香能宣泄肺气、温暖胃腑并暖肾,生姜能祛除痰饮、开郁散寒,柿蒂味苦涩能降气,人参用来辅助真气使其得以舒展布散。火性呃逆也可以使用此方,这是采用“从治”的方法(以热攻热,叫做从治。朱丹溪说:人的阴气,因为胃土受损而失去滋养,脾土受伤则肝木挟带相火直冲清道而上行导致呃逆,古人认为是胃寒所以用丁香柿蒂汤,其实不能一概而论)。
每服几钱,水一盏半,煎至七分,温服。
本方除去人参、生姜,也称为丁香柿蒂汤(严氏):主治相同。本方除去人参、生姜,加入竹茹、橘红,名为丁香柿蒂竹茹汤,又名橘红竹茹汤;《医学宝鉴》去掉人参,加入青皮、陈皮;《三因极一病证方论》去掉人参,加入良姜...
(Zhang Zhongjing)
Treats the condition after Taiyang disease (Taiyang disease) has been treated with sweating, vomiting, or purging methods. After the pathogenic factors are resolved, the patient experiences epigastric fullness and hardness (epigastric fullness and hardness), along with persistent belching (belching). (This is because after sweating, vomiting, or purging, although the major pathogenic factors have resolved, the Stomach Qi (Stomach Qi) is weak and disharmonious.)
Xuanfuhua (Inulae Flos, i.e., Jinfecao. 3 liang) Daizheshi (Hematitum. 1 liang) Renshen (Ginseng Radix et Rhizoma. 2 liang) Gancao (Glycyrrhizae Radix et Rhizoma. 3 liang) Banxia (Pinelliae Rhizoma. half sheng) Shengjiang (Zingiberis Rhizoma Recens. 5 slices) Dazao (Jujubae Fructus. 12 pieces)
This prescription consists of herbs entering the Foot-Yangming Stomach Meridian. Cheng Wuji stated: Fullness and hardness indicate that Qi is firm; Xuanfuhua's salty flavor softens the fullness and hardness. Weakness indicates that Qi floats upward; Daizheshi's heavy nature anchors the deficient rebellious Qi (Daizheshi is red in color and heavy, and can also nourish Yin-blood and stop regurgitation). Pungent flavors disperse; Shengjiang's pungency disperses deficient fullness. Sweet flavors moderate; Renshen, Gancao, and Dazao's sweetness tonifies the weakness of the Stomach (Bencao Gangmu states: If after the resolution of disease there is fullness, hardness, and belching without diarrhea, this decoction is used; if there is diarrhea, Shengjiang Xiexin Tang is used. Huoren Shu states: For patients with Xuanfu Daizhe syndrome or cough with Qi deficiency, Sini Tang should be taken first; for those with Cold-Stomach, Lizhong Tang should be taken first; then this decoction is administered).
(Yan Yonghe)
Treats chronic hiccups due to Cold (Note: The character "e" (hiccup) does not appear in ancient medical texts; it is sometimes written as "ke ni" (cough/rebellious Qi) or "yue qi" (yue Qi). Zhang Zhongjing's texts also use "yue". Shuowen Jiezi states: Yue means Qi rebellion. Hai Zang and Dong Yuan both considered Yue to be dry heaving, a view many oppose; currently, we follow the common term "hiccup". This condition may be caused by Phlegm obstructing Qi stagnation; by Blood stasis; by Fire depression; or by Stomach Heat failing to descend, all of which are Excess patterns. It may also be caused by severe deficiency of Middle-Jiao Qi; or by excessive purging leading to Stomach deficiency and Deficient Fire rushing upward, all of which are Deficiency patterns. The treatment methods differ for Cold, Heat, Excess, and Deficiency. Ancient formulas used this decoction for Cold-type hiccups. Although the root cause is Cold, Fire may also be present. Hiccups originating in the Middle-Jiao involve failure of Grain Qi to circulate; the sound is short and small, triggered by eating. Hiccups originating in the Lower-Jiao involve insufficiency of True Qi; the sound is long and loud, occurring even without eating).
Dingxiang (Caryophylli Flos) Shidi (Kaki Calyx. 2 qian) Renshen (Ginseng Radix et Rhizoma. 1 qian) Shengjiang (Zingiberis Rhizoma Recens. 5 slices). Another formula adds Chenpi, Banxia, Fuling, Gancao, and Liangjiang.
This prescription consists of herbs entering the Foot-Yangming Stomach Meridian and Foot-Shaoyin Kidney Meridian. Dingxiang vents Lung Qi, warms the Stomach, and warms the Kidneys. Shengjiang eliminates Phlegm, opens depression, and disperses Cold. Shidi is bitter and astringent, directing Qi downward. Renshen assists True Qi to spread and distribute. This formula can also be used for Fire-type hiccups, employing the method of "following treatment" (treating heat with heat, known as following treatment). Zhu Danxi stated: Human Yin-Qi relies on the Stomach for nourishment. When Earth (Spleen/Stomach) is damaged, Wood (Liver) carries Ministerial Fire straight up the clear pathways, causing hiccups. Ancients attributed this to Stomach Cold and used Dingxiang Shidi Tang, but this cannot be applied universally.
Take several qian per dose, boil with one and a half cups of water until seven-tenths remain, and take warm.
If Renshen and Shengjiang are removed from this formula, it is also called Dingxiang Shidi Tang (Yan Shi): Indications are the same. If Renshen and Shengjiang are removed and Zhuru, Juhong are added, it is named Dingxiang Shidi Zhuru Tang, also known as Juhong Zhuru Tang. Baojian removes Renshen and adds Qingpi, Chenpi. Sanyin removes Renshen and adds Liangjiang...