论曰胃受谷,脾播而消之。伤寒发汗吐下之后,腑脏俱虚,气血未复,脾胃弱不能克化
饮食,故令宿食不消也,其状烦热如疟,心胸满胀,噫气酸臭者是也。
治伤寒后胃气虚冷,宿食不消,麦 人参丸方
大麦 (炒黄) 人参 枳壳(去瓤麸炒) 白术(各一两) 甘草(炙半两) 木香 干
姜(炮裂各三分)
上七味,捣罗为末,炼蜜和捣三五百杵,丸如梧桐子大,每服食前温酒下十五丸,加至
二十丸、日再。
治伤寒后饮食不消,腹胁虚满,坚筋倍力,大麦 丸方
大麦 (炒黄一两) 白术 人参(各一两半) 枳壳(去瓤麸炒) 槟榔(锉) 半
夏(汤洗七遍焙) 陈橘皮(汤浸去白焙) 薏苡仁(炒) 干姜(炮) 大黄(细锉醋炒)
浓朴(去粗皮生姜汁炙各一两) 甘草(炙三分
上一十二味,捣罗为末,炼蜜和捣三五百杵,丸如梧桐子大,每服空心米饮下十五丸。
加至二十丸,日再。
治伤寒后肠胃虚冷,食不能化。陈曲丸方
陈曲(捣炒黄一两) 干姜(炮) 白术 人参(各一两半) 甘草(炙) 枳壳(去
瓤麸炒) 大麦 (炒黄) 浓朴(去粗皮生姜汁炙) 杏仁(汤浸去皮尖双仁炒黄别研各
一两) 桂(去粗皮三分)
上一十味,除杏仁外,捣罗为末,入杏仁同研匀,炼蜜和捣三五百杵,丸如梧桐子大,
每服空心温酒下二十丸,日再。
治伤寒后新虚谷食不化。消食丸方
小麦 (炒) 陈曲(各一升) 干姜(炮) 乌梅肉(各四两)
上四味,捣罗为末,炼蜜和丸,如梧桐子大,每服十五丸,温水下日再,稍加至四十丸。
治伤寒后胃气不和,不能食,纵食不消,平胃丸方
白豆蔻(去皮) 枳壳(去瓤麸炒) 白术 人参 大麦 (炒黄各一两) 干姜(炮
三分) 甘草(炙半两)
上七味,捣罗为末,炼蜜和捣三五百杵,丸如梧桐子大,每服空心煎生姜枣汤。下二十
丸,日再。
治伤寒后宿食不消,心腹气胀。参术丸方
人参 白术(各一两半) 木香 陈橘皮(汤浸去白焙) 干姜(炮) 桂(去粗皮) 赤
茯苓(去黑皮各一两) 槟榔(锉半两) 枳壳(去瓤麸炒一两)
上九味,捣罗为末,炼蜜和捣三五百杵,丸如梧桐子大,每服空心温酒下五丸,日再。
治伤寒后脾胃虚冷,胸膈气滞,和五脏,消宿食。木香丸方
木香 人参 白茯苓(去黑皮) 槟榔(锉) 白术 干姜(炮)
陈橘皮(汤浸去白焙) 诃黎勒((炮去核) 桂(去粗皮) 郁李仁(微炒去皮各一
两) 甘草(炙三分) 吴茱萸(汤洗三遍炒干半两)
上一十二味,捣罗为末,炼蜜和捣三五百杵,丸如梧桐子大,每服空心米饮下二十丸。
治伤寒后宿食不消。调中丸方
白术 高良姜(各一两半) 桂(去粗皮) 甘草(炙) 人参 京三棱(炮各一两) 红
豆蔻 干姜(炮各半两) 枳壳(去瓤麸炒三分)
上九味,捣罗为末,炼蜜和捣三五百杵,丸如梧桐子大,每服空心温酒下二十丸。加至
三十丸,日再。
治伤寒后宿食不化。助胃丸方
缩砂仁 白术 茯苓(去黑皮各一两) 红豆蔻 甘草(炙) 人参 枳壳(去瓤麸炒
各半两)
上七味,捣罗为末,炼蜜和捣三五百杵,丸如梧桐子大,每服空心米饮下五丸,日再。
治伤寒后宿食不消,心腹妨闷,大肠不利。疏气丸方
京三棱(炮锉二两) 牵牛子(微炒四两) 干姜(炮半两) 陈橘皮(汤浸去白焙一
两)
上四味,捣罗为末,炼蜜和捣三五百杵,丸如梧桐子大,每服空心生姜汤下二十丸,微
利为度,未利稍加至三十丸。
治伤寒后宿食不消,大肠气滞,大黄丸方
大黄(二两细锉醋炒) 葶苈(微炒) 杏仁(汤浸去皮尖双仁) 朴硝(各一两)
上四味,捣罗为末,炼蜜和捣三五百杵,丸如梧桐子大,每服食前,米饮下十丸,以利
为度。
论述说:胃接受谷物,脾运化并消化它。伤寒经过发汗、催吐或泻下治疗后,脏腑都虚弱,气血尚未恢复,脾胃功能减弱,不能腐熟和运化饮食,所以导致隔夜的食物无法消化。其症状表现为烦热像疟疾一样,心胸部位胀满,嗳气带有酸臭味。
治疗伤寒后胃气虚寒,隔夜食物不消化的麦人参丸方:
大麦(炒至黄色)一两,人参一两,枳壳(去掉瓤,麸皮炒)一两,白术(各一两),甘草(炙制半两),木香三分,干姜(炮裂)三分。
以上七味药,捣碎过筛成粉末,用炼蜜调和,捣杵三五百次,制成梧桐子大小的药丸。每次在饭前用温酒送服十五丸,可加量至二十丸,每天两次。
治疗伤寒后饮食不消化,腹部胁部虚性胀满,强健筋骨倍增力气的大麦丸方:
大麦(炒黄一两),白术一两半,人参一两半,枳壳(去掉瓤,麸皮炒),槟榔(锉碎),半夏(汤洗七遍后焙干),陈橘皮(汤浸去白皮后焙干),薏苡仁(炒),干姜(炮),大黄(细锉,醋炒),浓朴(去掉粗皮,生姜汁炙),甘草(炙制三分)。
以上十二味药,捣碎过筛成粉末,用炼蜜调和,捣杵三五百次,制成梧桐子大小的药丸。每次空腹用米汤送服十五丸。可加量至二十丸,每天两次。
治疗伤寒后肠胃虚寒,食物不能消化。陈曲丸方:
陈曲(捣碎炒黄一两),干姜(炮),白术一两半,人参一两半,甘草(炙),枳壳(去掉瓤,麸皮炒),大麦(炒黄),浓朴(去掉粗皮,生姜汁炙),杏仁(汤浸去皮尖及双仁,炒黄,单独研碎,各一两),桂枝(去掉粗皮三分)。
以上十味药,除杏仁外,其余捣碎过筛成粉末,加入杏仁一起研磨均匀,用炼蜜调和,捣杵三五百次,制成梧桐子大小的药丸。每次空腹用温酒送服二十丸,每天两次。
治疗伤寒后新近体虚,谷食不消化。消食丸方:
小麦(炒),陈曲(各一升),干姜(炮),乌梅肉(各四两)。
以上四味药,捣碎过筛成粉末,用炼蜜和丸,制成梧桐子大小的药丸。每次服用十五丸,温水送服,每天两次,逐渐加量至四十丸。
治疗伤寒后胃气不和,不能进食,即使吃了也不能消化。平胃丸方:
白豆蔻(去皮),枳壳(去掉瓤,麸皮炒),白术一两,人参一两,大麦(炒黄各一两),干姜(炮三分),甘草(炙半两)。
以上七味药,捣碎过筛成粉末,用炼蜜调和,捣杵三五百次,制成梧桐子大小的药丸。每次空腹煎生姜枣汤送服二十丸,每天两次。
治疗伤寒后隔夜食物不消化,心腹部气胀。参术丸方:
人参一两半,白术一两半,木香一两,陈橘皮(汤浸去白皮焙干)一两,干姜(炮)一两,桂枝(去掉粗皮)一两,赤茯苓(去掉黑皮)一两,槟榔(锉碎半两),枳壳(去掉瓤,麸皮炒一两)。
以上九味药,捣碎过筛成粉末,用炼蜜调和,捣杵三五百次,制成梧桐子大小的药丸。每次空腹用温酒送服五丸,每天两次。
治疗伤寒后脾胃虚寒,胸膈气机阻滞,调和五脏,消除隔夜食物。木香丸方:
木香一两,人参一两,白茯苓(去掉黑皮)一两,槟榔(锉碎)一两,白术一两,干姜(炮)一两,陈橘皮(汤浸去白皮焙干)一两,诃黎勒(炮去核)一两,桂枝(去掉粗皮)一两,郁李仁(微炒去皮)一两,甘草(炙三分),吴茱萸(汤洗三遍炒干半两)。
以上十二味药,捣碎过筛成粉末,用炼蜜调和,捣杵三五百次,制成梧桐子大小的药丸。每次空腹用米汤送服二十丸。
治疗伤寒后隔夜食物不消化。调中丸方:
白术一两半,高良姜一两半,桂枝(去掉粗皮)一两,甘草(炙)一两,人参一两,京三棱(炮)一两,红豆蔻半两,干姜(炮)半两,枳壳(去掉瓤,麸皮炒三分)。
以上九味药,捣碎过筛成粉末,用炼蜜调和,捣杵三五百次,制成梧桐子大小的药丸。每次空腹用温酒送服二十丸。可加量至三十丸,每天两次。
治疗伤寒后隔夜食物不消化。助胃丸方:
缩砂仁一两,白术一两,茯苓(去掉黑皮)一两,红豆蔻半两,甘草(炙)半两,人参半两,枳壳(去掉瓤,麸皮炒)半两。
以上七味药,捣碎过筛成粉末,用炼蜜调和,捣杵三五百次,制成梧桐子大小的药丸。每次空腹用米汤送服五丸,每天两次。
治疗伤寒后隔夜食物不消化,心腹部闷堵不适,大肠排便不畅。疏气丸方:
京三棱(炮锉二两),牵牛子(微炒四两),干姜(炮半两),陈橘皮(汤浸去白皮焙干一两)。
以上四味药,捣碎过筛成粉末,用炼蜜调和,捣杵三五百次,制成梧桐子大小的药丸。每次空腹用生姜汤送服二十丸,以轻微腹泻为度,若未腹泻可稍加量至三十丸。
治疗伤寒后隔夜食物不消化,大肠气机阻滞。大黄丸方:
大黄(二两,细锉,醋炒),葶苈子(微炒),杏仁(汤浸去皮尖及双仁),朴硝(各一两)。
以上四味药,捣碎过筛成粉末,用炼蜜调和,捣杵三五百次,制成梧桐子大小的药丸。每次在饭前用米汤送服十丸,以腹泻为度。
Commentary states: The stomach receives grain, and the spleen transports and digests it. After treatment of cold damage (Shanghan) with sweating, emesis, or purgation, the zang-fu organs are all deficient, and qi and blood have not yet recovered. The spleen and stomach are weak and unable to decompose and transform food and drink; thus, retained food fails to digest. Its manifestations include vexatious heat resembling malaria, fullness and distension in the chest and heart, and belching with a sour and foul odor.
Formula for Mai Ren Shen Wan (Barley and Ginseng Pill) to treat deficiency-cold of stomach qi and undigested retained food after cold damage:
Mai Mai (Hordei Fructus Germinatus, fried until yellow), 1 liang; Renshen (Ginseng Radix et Rhizoma), 1 liang; Zhike (Aurantii Fructus Immaturus, pith removed, bran-fried), 1 liang; Baizhu (Atractylodis Macrocephalae Rhizoma), 1 liang; Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), half 1 liang; Muxiang (Aucklandiae Radix), 3 fen; Ganjiang (Zingiberis Rhizoma, processed until cracked), 3 fen.
The above seven herbs are crushed, sifted into powder, mixed with refined honey, and pounded three to five hundred times until uniform. Form pills the size of paulownia seeds. Take fifteen pills before meals with warm wine; dosage may be increased to twenty pills, twice daily.
Formula for Damai Wan (Barley Pill) to treat undigested food after cold damage, empty fullness in the abdomen and hypochondrium, and strengthening of sinews and muscles:
Damai (Hordei Fructus Germinatus, fried until yellow), 1 liang; Baizhu (Atractylodis Macrocephalae Rhizoma), 1.5 liang; Renshen (Ginseng Radix et Rhizoma), 1.5 liang; Zhike (Aurantii Fructus Immaturus, pith removed, bran-fried); Binglang (Arecae Semen, chopped); Banxia (Pinelliae Rhizoma, washed seven times in hot water then dried); Chenpi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried); Yiyiren (Coicis Semen, fried); Ganjiang (Zingiberis Rhizoma, processed); Dahuang (Rhei Radix et Rhizoma, finely chopped, vinegar-fried); Houpo (Magnoliae Officinalis Cortex, coarse bark removed, ginger juice-processed); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), 3 fen.
The above twelve herbs are crushed, sifted into powder, mixed with refined honey, and pounded three to five hundred times until uniform. Form pills the size of paulownia seeds. Take fifteen pills on an empty stomach with rice decoction; dosage may be increased to twenty pills, twice daily.
Formula for Chen Qu Wan (Aged Yeast Pill) to treat deficiency-cold of intestines and stomach and inability to digest food after cold damage:
Chenqu (Medicated Leaven, crushed and fried until yellow), 1 liang; Ganjiang (Zingiberis Rhizoma, processed); Baizhu (Atractylodis Macrocephalae Rhizoma), 1.5 liang; Renshen (Ginseng Radix et Rhizoma), 1.5 liang; Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried); Zhike (Aurantii Fructus Immaturus, pith removed, bran-fried); Damai (Hordei Fructus Germinatus, fried until yellow); Houpo (Magnoliae Officinalis Cortex, coarse bark removed, ginger juice-processed); Xingren (Armeniacae Semen Amarum, soaked in water, skin and tip removed, double-kernel fried until yellow, separately ground), 1 liang; Guizhi (Cinnamomi Ramulus, coarse bark removed), 3 fen.
The above ten herbs, except Xingren, are crushed, sifted into powder. Add Xingren and grind uniformly. Mix with refined honey and pound three to five hundred times until uniform. Form pills the size of paulownia seeds. Take twenty pills on an empty stomach with warm wine, twice daily.
Formula for Xiaoshi Wan (Digestive Food Pill) to treat new deficiency after cold damage and inability to digest grain:
Xiaomai (Tritici Fructus, fried); Chenqu (Medicated Leaven), each 1 sheng; Ganjiang (Zingiberis Rhizoma, processed); Wumei Rou (Mume Fructus Flesh), each 4 liang.
The above four herbs are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take fifteen pills with warm water, twice daily; gradually increase to forty pills.
Formula for Pingwei Wan (Peace the Stomach Pill) to treat disharmony of stomach qi after cold damage, anorexia, and inability to digest food even if eaten:
Baidoukou (Cardamomi Rotundus Fructus, skin removed); Zhike (Aurantii Fructus Immaturus, pith removed, bran-fried); Baizhu (Atractylodis Macrocephalae Rhizoma), 1 liang; Renshen (Ginseng Radix et Rhizoma), 1 liang; Damai (Hordei Fructus Germinatus, fried until yellow), 1 liang; Ganjiang (Zingiberis Rhizoma, processed), 3 fen; Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), half 1 liang.
The above seven herbs are crushed, sifted into powder, mixed with refined honey, and pounded three to five hundred times until uniform. Form pills the size of paulownia seeds. Take twenty pills on an empty stomach with decoction of fresh ginger and jujube, twice daily.
Formula for Shenzhu Wan (Ginseng and Atractylodes Pill) to treat undigested retained food after cold damage and qi distension in the heart and abdomen:
Renshen (Ginseng Radix et Rhizoma), 1.5 liang; Baizhu (Atractylodis Macrocephalae Rhizoma), 1.5 liang; Muxiang (Aucklandiae Radix), 1 liang; Chenpi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried), 1 liang; Ganjiang (Zingiberis Rhizoma, processed), 1 liang; Guizhi (Cinnamomi Ramulus, coarse bark removed), 1 liang; Chifuling (Poria Cocos with Red Skin, black skin removed), 1 liang; Binglang (Arecae Semen, chopped), half 1 liang; Zhike (Aurantii Fructus Immaturus, pith removed, bran-fried), 1 liang.
The above nine herbs are crushed, sifted into powder, mixed with refined honey, and pounded three to five hundred times until uniform. Form pills the size of paulownia seeds. Take five pills on an empty stomach with warm wine, twice daily.
Formula for Muxiang Wan (Aucklandia Pill) to treat deficiency-cold of spleen and stomach, stagnation of qi in the chest and diaphragm, harmonization of the five zang organs, and elimination of retained food after cold damage:
Muxiang (Aucklandiae Radix), 1 liang; Renshen (Ginseng Radix et Rhizoma), 1 liang; BaiFuling (Poria Cocos, black skin removed), 1 liang; Binglang (Arecae Semen, chopped), 1 liang; Baizhu (Atractylodis Macrocephalae Rhizoma), 1 liang; Ganjiang (Zingiberis Rhizoma, processed), 1 liang; Chenpi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried), 1 liang; Helile (Chebulae Fructus, processed, pit removed), 1 liang; Guizhi (Cinnamomi Ramulus, coarse bark removed), 1 liang; Yuliren (Pruni Semen, lightly fried, skin removed), 1 liang; Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), 3 fen; Wuzhuyu (Evodiae Fructus, washed three times in water, stir-fried until dry), half 1 liang.
The above twelve herbs are crushed, sifted into powder, mixed with refined honey, and pounded three to five hundred times until uniform. Form pills the size of paulownia seeds. Take twenty pills on an empty stomach with rice decoction.
Formula for Tiaozhong Wan (Regulate the Middle Pill) to treat undigested retained food after cold damage:
Baizhu (Atractylodis Macrocephalae Rhizoma), 1.5 liang; Gaoliangjiang (Alpiniae Officinarum Rhizoma), 1.5 liang; Guizhi (Cinnamomi Ramulus, coarse bark removed), 1 liang; Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), 1 liang; Renshen (Ginseng Radix et Rhizoma), 1 liang; Jingsanleng (Curcumae Zedoariae Rhizoma, processed), 1 liang; Hongdoukou (Myristicae Fragrans Arillus Ruber), half 1 liang; Ganjiang (Zingiberis Rhizoma, processed), half 1 liang; Zhike (Aurantii Fructus Immaturus, pith removed, bran-fried), 3 fen.
The above nine herbs are crushed, sifted into powder, mixed with refined honey, and pounded three to five hundred times until uniform. Form pills the size of paulownia seeds. Take twenty pills on an empty stomach with warm wine; dosage may be increased to thirty pills, twice daily.
Formula for Zhuwei Wan (Assist the Stomach Pill) to treat undigested retained food after cold damage:
Suosharen (Amomi Fructus Rotundus), 1 liang; Baizhu (Atractylodis Macrocephalae Rhizoma), 1 liang; Fuling (Poria Cocos, black skin removed), 1 liang; Hongdoukou (Myristicae Fragrans Arillus Ruber), half 1 liang; Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), half 1 liang; Renshen (Ginseng Radix et Rhizoma), half 1 liang; Zhike (Aurantii Fructus Immaturus, pith removed, bran-fried), half 1 liang.
The above seven herbs are crushed, sifted into powder, mixed with refined honey, and pounded three to five hundred times until uniform. Form pills the size of paulownia seeds. Take five pills on an empty stomach with rice decoction, twice daily.
Formula for Shuqi Wan (Disperse Qi Pill) to treat undigested retained food after cold damage, oppression and stuffiness in the heart and abdomen, and unfavorable bowel movements:
Jingsanleng (Curcumae Zedoariae Rhizoma, processed and chopped), 2 liang; Qianniuzi (Pharbitidis Semen, lightly fried), 4 liang; Ganjiang (Zingiberis Rhizoma, processed), half 1 liang; Chenpi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried), 1 liang.
The above four herbs are crushed, sifted into powder, mixed with refined honey, and pounded three to five hundred times until uniform. Form pills the size of paulownia seeds. Take twenty pills on an empty stomach with ginger decoction; stop when mild diarrhea occurs. If no diarrhea occurs, slightly increase to thirty pills.
Formula for Dahuang Wan (Rhubarb Pill) to treat undigested retained food after cold damage and qi stagnation in the large intestine:
Dahuang (Rhei Radix et Rhizoma, 2 liang, finely chopped, vinegar-fried); Tingli (Descurainiae Semen seu Lepidii Semen, lightly fried); Xingren (Armeniacae Semen Amarum, soaked in water, skin and tip removed, double-kernel); Poxiao (Natrii Sulfas), each 1 liang.
The above four herbs are crushed, sifted into powder, mixed with refined honey, and pounded three to five hundred times until uniform. Form pills the size of paulownia seeds. Take ten pills before meals with rice decoction; stop when diarrhea occurs.