【草豆蔻丸】治因饥饱劳役。脾胃虚弱。而心火乘之。不能滋荣心肺。上焦元气衰败。
因遇冬冷。肾与膀胱之寒水大旺。子能令母实。助肺金大旺相辅。而来克心乘脾。故胃脘当心而痛
。此大复其仇。故经云。大乘必大复。理之常也。故皮毛血脉分肉之间。元气已绝于外。又以大寒
大燥二气。并而乘之。其人苦恶
风寒。耳鸣及腰背相引。而鼻内苦 肉不通。不闻香臭。额寒脑痛。目时眩。寒水反乘脾土。痰唾
沃沫。饮食反出。腹中常痛。心胃痛。胁下急缩。有时而痛。腹不能伸。大便多泄而不秘。下气不
绝。或腹中鸣。胸中气乱。心烦不安。而成霍乱之意。膈咽不通。极则有声。鼻中气短。遇寒滋甚
。或居暖处。方过口吸风。寒则复作。四肢厥逆。身体沉重。不能转侧。头不可以顾。小便溲而欠
。此脾虚之至极也。
橘皮(八分) 僵蚕(八分) 草豆蔻(一钱四分。面裹煨熟。去皮)
泽泻(一钱) 青皮(六分) 吴茱萸(八分。洗去苦) 半夏(一钱)
黄(八分) 益智仁(八分) 人参(八分) 神曲(炒。四分)
生甘草(六分) 姜黄(四分) 桃仁(汤浸去皮尖。六分) 当归身(六分)
柴胡(四分。详胁下痛。多少用之) 大麦 (一钱半) 甘草(炙六分)
上除桃仁另研外。余同为末。入桃仁研匀。汤浸蒸饼。丸如桐子大。每服三十丸。热白汤送下
。旋斟酌虚实多少用之。
【神保丸】治心膈痛。腹胁痛。肾气痛。痰积痛。
木香 胡椒(各二钱五分) 干蝎(七个) 巴豆(去心。膜油。十个)
上为细末。入巴豆霜令匀。汤浸蒸饼为丸麻子大。朱砂为衣。每服三丸。姜汤下。
【丁香止痛散】治心气痛不可忍。
良姜(五两) 茴香(炒) 甘草(炙。各一两半) 丁香(半两)
上为末。每服二钱。沸汤点服。不拘时。
【失笑散】定心气痛不可忍。小肠气痛。
蒲黄(炒香) 五灵脂(酒研。洗去砂土。各等分为末)
上先用酽醋调二钱。熬成膏。入水一盏。煎七分。食前热服。
【二姜丸】治心脾疼。温养脾胃。疗冷食所伤。
干姜(炮) 良姜
上二味等分。为细末。面糊为丸梧子大。每服二三十丸。食后陈皮汤下。妊妇不宜服。
【七气汤】治七气为病。内结积聚。心腹绞痛。时发时止。
人参 官桂 炙甘草(各一两) 半夏(五两)
上 咀。每服三钱。水一大盏。入姜三片。煎七分。稍热服。
【益智散】治冷气奔冲。心胁脐腹胀满绞痛。
川乌(四两) 益智(二两) 干姜(半两) 青皮(一两)
上 咀。每服三钱。水二盏入盐一捻。姜五片。枣二个。同煎至八分。去渣。温服。食前。
【茱萸丸】 治脾胃虚冷呕逆。醋心腹闷不快。大效。
官桂(二两) 荜茇 荜澄茄(各一两) 浓朴(姜制)
胡椒(各一两) 黑附子(炮去皮脐。半两) 干姜(炮。一两) 吴茱萸(拣净。三两。好
酒少许。洗焙)
上为末。炼蜜丸如桐子大。每服二十丸。食前温米饮送下。日三服。
【高良姜汤】治心腹 痛如刺。两胁支满而闷不可忍。
良姜(五钱) 浓朴(姜制) 当归(炒) 官桂(各二钱)
上 咀。以水一升。煎取四合。强人分作二服。弱人分作三服。一服痛定。止后服。对病增损
。
【草豆蔻丸】治疗因饥饱不均、过度劳累导致的脾胃虚弱,进而心火乘虚侵袭,无法滋养心肺,致使上焦元气衰败。此时若遇冬季寒冷,肾与膀胱的寒水之气大盛,依据“子能令母实”的理论,寒水助益肺金使其旺盛,肺金过旺则克制心火并侵犯脾土,从而导致胃脘部当心而痛。这是五行相克中“大复其仇”的表现,正如经典所言:“大乘必大复”,这是常理。因此,在皮毛、血脉、分肉之间,元气已在体表衰竭,又遭受大寒与大燥两种邪气共同侵袭。患者表现为极度厌恶风寒,耳鸣,腰背相互牵引作痛,鼻腔内部肌肉僵硬不通,嗅觉失灵,额头发冷且脑痛,眼睛时常眩晕。寒水反侮脾土,导致痰涎唾沫增多,饮食反而吐出,腹部经常疼痛,心胃痛,胁下拘急收缩,有时疼痛剧烈导致腹部无法伸展,大便多泄泻而不便秘,排气不止,或腹中肠鸣,胸中气机紊乱,心烦不安,呈现出类似霍乱的症状。膈咽部阻塞不通,严重时伴有声响,鼻中气息短促,遇寒症状加重,只有在温暖处稍加吸入风后,遇寒才会再次发作。四肢厥冷,身体沉重,难以翻身侧卧,头部不能回顾,小便频数且伴有哈欠。这是脾虚到了极点的表现。
处方:橘皮(八分)、僵蚕(八分)、草豆蔻(一钱四分,用面粉包裹煨熟,去皮)、泽泻(一钱)、青皮(六分)、吴茱萸(八分,洗净去苦味)、半夏(一钱)、黄芪(八分)、益智仁(八分)、人参(八分)、神曲(炒制,四分)、生甘草(六分)、姜黄(四分)、桃仁(热水浸泡去皮尖,六分)、当归身(六分)、柴胡(四分,根据胁下疼痛程度酌情增减用量)、大麦(一钱半)、炙甘草(六分)。
以上药物除桃仁单独研磨外,其余药物共同研为细末,加入桃仁粉末混合均匀。用热水浸透蒸饼制作药丸,大小如梧桐子。每次服用三十丸,用温热的白开水送服。随后根据患者虚实情况斟酌调整剂量。
【神保丸】治疗心膈疼痛、腹部及胁部疼痛、肾气疼痛、痰积疼痛。
处方:木香、胡椒(各二钱五分)、干蝎(七个)、巴豆(去除心膜及油脂,十个)。
将上述药物研成细末,加入巴豆霜混合均匀。用热水浸透蒸饼制作药丸,大小如麻子。以朱砂为衣。每次服用三丸,用姜汤送服。
处方:良姜(五两)、茴香(炒制)、炙甘草(各一两半)、丁香(半两)。
将上述药物研为细末。每次服用二钱,用沸水冲服,不限时间。
处方:蒲黄(炒香)、五灵脂(酒研,洗去砂土,各等分研为细末)。
先用浓醋调匀二钱药粉,熬制成膏状,加入一盏水,煎至七分。饭前热服。
将这两味药等分,研为细末,用面糊制作药丸,大小如梧桐子。每次服用二三十丸,饭后用陈皮汤送服。孕妇不宜服用。
【七气汤】治疗七情之气致病,体内结聚形成积聚,心腹绞痛,时发时止。
将药物切碎。每次服用三钱,加水一大盏,放入生姜三片,煎至七分。稍热时服用。
处方:川乌(四两)、益智仁(二两)、干姜(半两)、青皮(一两)。
将药物切碎。每次服用三钱,加水二盏,放入一捻盐、生姜五片、大枣二个,同煎至八分。去渣滓,温服,饭前服用。
【茱萸丸】治疗脾胃虚寒引起的呕吐逆气,吞酸,腹部闷胀不适,效果显著。
处方:官桂(二两)、荜茇、荜澄茄(各一两)、厚朴(姜汁制)、胡椒(各一两)、黑附子(炮制,去皮脐,半两)、干姜(炮制,一两)、吴茱萸(拣选干净,三两,用少许好酒清洗焙干)。
将上述药物研为细末,用炼蜜制作药丸,大小如梧桐子。每次服用二十丸,饭前用温米饮送服,每日三次。
【高良姜汤】治疗心腹刺痛如刀割,两胁支撑胀满且闷痛难以忍受。
处方:良姜(五钱)、厚朴(姜汁制)、当归(炒制)、官桂(各二钱)。
将药物切碎,用水一升,煎取四合。体质强壮者分两次服用,体质虚弱者分三次服用。一次服药后疼痛停止,则停止后续服用。根据病情增减药量。
[Caodoukou Wan (Grass Cardamom Pill)] Treats stomach pain at the epigastrium caused by irregular diet and overexertion leading to Spleen-Stomach Qi Deficiency (Spleen-Stomach Qi Deficiency). The Heart Fire takes advantage of this deficiency to invade, failing to nourish the Heart and Lungs, resulting in the decline of Upper Jiao Yuan Qi (Primordial Qi of the Upper Burner). When encountering winter cold, the Cold Water of the Kidney and Bladder becomes excessive. According to the principle that "the child can make the mother substantial," the Cold Water assists Lung Metal, making it overly vigorous. Lung Metal then controls Heart Fire and invades Spleen Earth, causing pain in the epigastrium directly behind the heart. This is a case of "great retaliation" in Five Element theory, as stated in the classics: "Great control leads to great recovery." This is a common principle. Consequently, Yuan Qi is exhausted externally in the skin, hair, blood vessels, and muscle layers. Simultaneously, the patient is attacked by both Great Cold and Great Dryness pathogens. The person suffers from aversion to wind and cold, tinnitus, pulling pain between the waist and back, nasal congestion with loss of smell, cold forehead and headache, occasional dizziness. Cold Water counter-attacks Spleen Earth, causing profuse phlegm and saliva, regurgitation of food, frequent abdominal pain, Heart-Stomach pain, tightness and contraction under the hypochondrium, intermittent pain preventing abdominal extension, frequent diarrhea without constipation, continuous passage of flatus, or borborygmus in the abdomen. There is chaotic Qi in the chest, restlessness, and symptoms resembling Huoluan (Cholera-like syndrome). The diaphragm and throat are blocked, sometimes with audible sounds. Shortness of breath occurs via the nose, worsening with cold. Symptoms may temporarily improve after inhaling air in a warm place but recur upon exposure to cold. The limbs are cold (Jue Ni), the body feels heavy and difficult to turn, and the head cannot be turned back. Frequent urination with yawning indicates extreme Spleen Deficiency.
Formula: Chenpi (Tangerine Peel, 8 fen), Jiangcan (Bombyx Batryticatus, 8 fen), Caodoukou (Grass Cardamom Seed, 1 qian 4 fen, wrapped in flour, roasted until cooked, peel removed), Zexie (Alisma Rhizome, 1 qian), Qingpi (Green Tangerine Peel, 6 fen), Wuzhuyu (Evodia Fruit, 8 fen, washed to remove bitterness), Banxia (Pinellia Tuber, 1 qian), Huangqi (Astragalus Root, 8 fen), Yizhiren (Bitter Apricot Seed, 8 fen), Renshen (Ginseng Root, 8 fen), Shenqu (Medicated Leaven, stir-fried, 4 fen), Sheng Gancao (Raw Licorice Root, 6 fen), Jianghuang (Turmeric Rhizome, 4 fen), Taoren (Peach Kernel, soaked in hot water, peeled and removed of tips, 6 fen), Danggui Shen (Body of Angelica Sinensis Root, 6 fen), Chaihu (Bupleurum Root, 4 fen, dosage adjusted based on severity of hypochondriac pain), Damai (Barley, 1 qian 5 fen), Zhi Gancao (Honey-fried Licorice Root, 6 fen).
Except for Taoren which is ground separately, all other herbs are ground into fine powder together. Mix evenly with the ground Taoren. Soak steamed dough cakes in hot water to form pills the size of paulownia seeds. Take 30 pills per dose, swallowed with warm white water. Adjust dosage according to the patient's excess or deficiency condition.
[Shenbao Wan (Divine Treasure Pill)] Treats pain in the heart and diaphragm, abdomen and hypochondrium, Kidney Qi pain, and Phlegm accumulation pain.
Formula: Muxiang (Costus Root), Hujiao (Black Pepper) (2 qian 5 fen each), Ganxie (Dried Scorpion, 7 individuals), Badou (Croton Seed, remove heart, membrane, and oil, 10 seeds).
Grind into fine powder. Add Badou Frost (Croton Seed Powder processed to reduce toxicity) and mix evenly. Form pills the size of sesame seeds using soaked steamed dough cakes. Coat with Zhusha (Cinnabar). Take 3 pills per dose, swallowed with Ginger Decoction.
[Dingzhi Zhitong San (Clove Pain-Relieving Powder)] Treats unbearable Heart Qi pain.
Formula: Liangjiang (Galangal Rhizome, 5 liang), Huixiang (Fennel Fruit, stir-fried), Zhi Gancao (Honey-fried Licorice Root) (1 qian 5 fen each), Dingxiang (Clove, 0.5 liang).
Grind into powder. Take 2 qian per dose, mixed with boiling water. Take at any time.
[Shixiao San (Laughing Off Powder)] Relieves unbearable Heart Qi pain and Small Intestine Qi pain.
Formula: Puhuang (Typha Pollen, stir-fried until fragrant), Wulingzhi (Trogopterus Dung, ground with wine, washed to remove sand and soil) (equal parts, ground into powder).
First, mix 2 qian of powder with strong vinegar, boil into a paste. Add one cup of water, decoct until reduced to 0.7 cup. Take hot before meals.
[Erljiao Wan (Two Gingers Pill)] Treats Heart-Spleen pain, warms and nourishes Spleen-Stomach, and treats injury from cold food.
Formula: Ganjiang (Dried Ginger, processed), Liangjiang (Galangal Rhizome).
Equal parts of these two herbs, ground into fine powder. Form pills the size of paulownia seeds using wheat paste. Take 20-30 pills per dose, swallowed with Chenpi Decoction after meals. Not suitable for pregnant women.
[Qi Qi Tang (Seven Qi Decoction)] Treats diseases caused by Seven Emotions, internal formation of accumulations, severe paroxysmal pain in the heart and abdomen, occurring intermittently.
Formula: Renshen (Ginseng Root), Guanzi Gui (Cinnamon Twig), Zhi Gancao (Honey-fried Licorice Root) (1 liang each), Banxia (Pinellia Tuber, 5 liang).
Cut into small pieces. Take 3 qian per dose, add one large cup of water and three slices of ginger. Decoct until reduced to 0.7 cup. Take slightly warm.
[Yi Zhi San (Yi Zhi Powder)] Treats rushing Cold Qi causing distension, fullness, and paroxysmal pain in the heart, hypochondrium, umbilicus, and abdomen.
Formula: Chuanwu (Aconite Lateral Root, processed, 4 liang), Yizhi (Alpinia Oxyphylla Fruit, 2 liang), Ganjiang (Dried Ginger, 0.5 liang), Qingpi (Green Tangerine Peel, 1 liang).
Cut into small pieces. Take 3 qian per dose, add two cups of water, a pinch of salt, five slices of ginger, and two jujubes. Decoct together until reduced to 0.8 cup. Strain and take warm before meals.
[Zhuyu Wan (Evodia Pill)] Treats vomiting and regurgitation due to Spleen-Stomach Deficiency-Cold, acid reflux, and abdominal stuffiness/discomfort. Highly effective.
Formula: Guanzi Gui (Cinnamon Twig, 2 liang), Biba (Long Pepper Fruit), Bichengqie (Litsea Cubeba Fruit) (1 liang each), Houpo (Magnolia Bark, processed with ginger juice), Hujiao (Black Pepper) (1 liang each), Hei Fuzi (Processed Black Aconite Lateral Root, peeled and de-navelled, 0.5 liang), Ganjiang (Dried Ginger, processed, 1 liang), Wuzhuyu (Evodia Fruit, selected clean, 3 liang, washed with a little good wine and dried).
Grind into powder. Form pills the size of paulownia seeds using refined honey. Take 20 pills per dose, swallowed with warm rice drink before meals. Three times daily.
[Gao Liang Jiang Tang (High Galangal Decoction)] Treats stabbing pain in the heart and abdomen, distension and fullness in the hypochondrium with unbearable stifling sensation.
Formula: Liangjiang (Galangal Rhizome, 5 qian), Houpo (Magnolia Bark, processed with ginger juice), Danggui (Angelica Sinensis Root, stir-fried), Guanzi Gui (Cinnamon Twig) (2 qian each).
Cut into small pieces. Decoct one sheng of water until reduced to four he. Strong constitutions divide into two doses; weak constitutions divide into three doses. If pain subsides after one dose, stop subsequent doses. Adjust dosage according to the disease.