夫人之生,禀于营卫,人之本皆系于气,气若和平,邪正不能干犯,气若盛衰,百病由
是生焉,故怒则气上,喜则气缓,悲则气消,恐则气下,寒则气收聚,热则腠理开,而气泄
,忧则气乱,劳则气耗,思则气结。经曰∶九气七气,及言诸气者,皆不出于此也,诊其脉
,寸口伏,胸中逆气,是诸气上冲胸中,故面跗肿,喘息,如脉浮大,不治,上气脉躁而喘
者,属肺;肺胀欲作风水,发汗即愈,其脉若虚,宁得伏匿者生,牢强者死,喘息低不得者
,其脉滑,手足温即生。如脉涩,及手足冷死,数者亦死,谓其形损故也。至于五积六聚,
症瘕癖块,皆由阴阳不和,脏腑虚弱,受于风邪,搏于脏腑之气所为也。腑者六腑也,脏者
五脏也,脏为阴,腑为阳,阳浮而动,阴沉而静。是以五脏积症发不离其部。上下有所穷,
已聚,瘕者六腑所成,痛无常处,上下无所留止,盖由脏腑受邪,初未能为疾,留滞不散,
乃成症瘕也。
治一切气不和,心腹疰闷,气胀胸膈,噎塞不利,及积冷气,或时攻冲脾胃气逆,不思
饮食,霍乱不止,脏腑滑泄,酒食所伤,醋心不消,冷痰并多,大效。
甘草(炒) 官桂(去皮) 沉香 丁香 木香 槟榔 诃子(炮,去核,各半两) 人
参(一两半)
青皮(去瓤,半两。
上十二味,同为细末,炼蜜为丸如小弹子大。每服一丸,生姜汤嚼下。
大凡人的生存,依赖于营气和卫气,人体的根本都系于气。如果气机平和,邪气与正气就不能相互干扰侵犯;如果气机出现盛衰变化,各种疾病便由此产生。所以,愤怒会导致气机上逆,喜悦会导致气机舒缓,悲伤会导致气机消损,恐惧会导致气机下陷,寒冷会导致气机收敛聚集,炎热会导致腠理(皮肤毛孔)开泄而气外泄,忧愁会导致气机紊乱,劳累会导致气机耗散,思虑会导致气机郁结。医经说:九气、七气以及论述各种气病的理论,都不出上述这些范畴。诊察其脉象,如果寸口脉伏匿,伴有胸中气机逆乱上冲,这是诸气上冲胸中的表现,因此会出现面部和足背浮肿、喘息等症状;如果脉象浮大,则属难治之症;如果是上气病且脉象躁动伴喘息,病位属于肺;肺胀欲发展为风水病时,通过发汗即可痊愈;如果脉象虚弱,能够伏匿者预后较好可生,脉象牢强者预后不良主死;如果喘息声低微且呼吸急促困难,脉象滑利,手足温暖者可生;如果脉象涩滞,以及手足冰冷者主死,脉数者亦主死,这是因为形体受损的缘故。至于五积、六聚、症瘕癖块等病症,都是由阴阳不和、脏腑虚弱,感受风邪,邪气搏结于脏腑之气所导致。腑指的是六腑,脏指的是五脏,脏属阴,腑属阳,阳气轻浮而主动,阴气沉静而主静。因此,五脏的积症发作时不离其所在部位,上下有固定的界限;已聚、瘕证是由六腑形成的,疼痛没有固定位置,上下游走无定处,这大概是因为脏腑受邪,起初未能立即致病,但邪气留滞不散,最终形成了症瘕。
本方主治一切气机不和引起的心腹沉重闷胀,气胀满于胸膈,噎塞不通利,以及积冷之气,有时攻冲脾胃导致气逆,不思饮食,霍乱不止,脏腑滑脱泄泻,因酒食损伤,反酸不消化,冷痰增多等症,效果显著。
甘草(炒制) 官桂(去皮) 沉香 丁香 木香 槟榔 诃子(炮制,去核,各半两) 人参(一两半)
青皮(去瓤,半两)
以上十二味药,共同研为细末,用炼蜜制成如小弹丸大小的药丸。每次服用一丸,用生姜汤送服并嚼碎。
Human life is sustained by Ying Qi (Nutritive Qi) and Wei Qi (Defensive Qi), and the root of human existence lies in Qi. If Qi is harmonious, pathogenic factors cannot interfere with or invade the righteous Qi; if Qi becomes excessive or deficient, various diseases arise from this. Therefore, anger causes Qi to ascend, joy causes Qi to slacken, grief causes Qi to dissipate, fear causes Qi to sink, cold causes Qi to gather and condense, heat causes the Cou Li (skin pores) to open and Qi to leak out, worry causes Qi to become disordered, overexertion causes Qi to be consumed, and contemplation causes Qi to knot. The Classics state: The theories of Nine Qi, Seven Qi, and all discussions on various Qi disorders do not go beyond these principles. Upon examining the pulse, if the Cun Kou (radial artery at the wrist) pulse is deep-hidden, accompanied by rebellious Qi in the chest, this indicates that various Qi are rushing upward into the chest, resulting in edema of the face and dorsum of the feet, and panting. If the pulse is floating and large, it is difficult to treat. If there is Shang Qi (Rebellious Qi) with a restless pulse and panting, the disease belongs to the Lung. When Fei Zhang (Lung Distension) is about to develop into Feng Shui (Wind-Water Edema), sweating will lead to recovery. If the pulse is weak, those whose pulse can hide are likely to survive, while those with a firm and strong pulse are likely to die. If panting is low-pitched and difficult, and the pulse is slippery, survival is possible if the hands and feet are warm. If the pulse is choppy, or if the hands and feet are cold, death ensues; a rapid pulse also indicates death, due to the depletion of the physical form. As for Wu Ji (Five Accumulations), Liu Ju (Six Gatherings), Zheng Jia (Masses and Growths), and Pi Ku (Fixed Lumps), they are all caused by disharmony of Yin and Yang, weakness of the Zang-Fu organs, contraction of Wind pathogens, and the binding of pathogenic factors with the Qi of the Zang-Fu. Fu refers to the Six Fu Organs, and Zang refers to the Five Zang Organs. Zang are Yin, and Fu are Yang. Yang Qi is light, floating, and active; Yin Qi is heavy, sinking, and quiet. Therefore, accumulations in the Five Zang organs manifest without leaving their respective locations, having definite upper and lower boundaries. Ju (Gatherings) and Jia (Growths) are formed by the Six Fu organs; pain has no fixed location and moves up and down without staying. This is generally because the Zang-Fu have contracted pathogens; initially, this does not cause immediate illness, but as the pathogen remains stagnant and does not disperse, Zheng Jia (masses and growths) are formed.
This formula treats all cases of Qi disharmony causing heaviness and oppression in the heart and abdomen, Qi distension in the chest and diaphragm, dysphagia and obstruction, accumulation of cold Qi, occasional attacking of the Spleen and Stomach causing rebellious Qi, loss of appetite, unremitting Huo Luan (Cholera-like syndrome), intestinal slipping and diarrhea, injury from alcohol and food, acid regurgitation and indigestion, and excessive cold Phlegm, with significant efficacy.
Gan Cao (Licorice Root, stir-fried) Guan Gui (Cinnamon Twig, bark removed) Chen Xiang (Aquilaria Wood) Ding Xiang (Clove) Mu Xiang (Costus Root) Bing Lang (Areca Seed) He Zi (Chebula Fruit, processed, pitted, each half tael) Ren Shen (Ginseng Root, one and a half taels)
Qing Pi (Green Tangerine Peel, pulp removed, half tael)
The above twelve ingredients are ground together into a fine powder, mixed with refined honey, and formed into pills the size of small marbles. Take one pill per dose, chew it, and swallow with Ginger Decoction.