论曰冷气者。因寒冷搏于气所为也,肺主气,气之行,如水流之不得息,温即通。值冷
则涩。若人呼吸少气,胁肋刺痛,皮肤拘急。恶寒战栗,百节酸疼,咳嗽声嘶,膈脘否塞者,
冷气之为病也。
治一切冷气,两胁胀满,背 拘急,疼痛,饮食减少,噎塞不通,真气虚弱,精神昏暗,
困倦少力。沉香丸方
沉香 干姜(炮) 羌活(去芦头) 楝实 木香 甘草(炙锉) 肉豆蔻(去壳) 诃
黎勒皮 延胡索 肉苁蓉(酒浸切焙) 芎 当归(焙) 蓬莪术(煨锉) 香子(炒)
乌头(生去皮脐) 天麻 人参(各一钱) 丁香(大者) 白檀香(锉各半两) 青橘皮
(去白焙) 附子(炮裂去皮脐) 桂(去粗皮) 巴戟(天去心) 牛膝(酒浸切焙各一
两半) 蒺藜子(炒去角二两) 丹砂(研一两)
上二十六味。捣罗二十五味为末,入丹砂再同研匀。炼蜜和丸。如鸡头大,每服一丸。
煨生姜橘皮汤嚼下,空心食前各一服,温酒下亦可。
治久积冷气,发歇疼痛,两肋胀满,饮食不进,四肢怠堕。手足无力, 砂煎丸方
砂(去石研二两) 阿魏(研一分) 陈曲(炒一两别为末) 诃黎勒皮 附子(炮
裂去皮脐) 青橘皮(去白焙) 白芥子 香子(炒) 槟榔(锉) 丁香 荜茇(各半
两) 木香(三分)
上一十二味,捣罗九味为末,以好酒一升,先入 砂煎沸,次入阿魏,同煎五七沸候冷,
以绵滤去滓,入神曲末搅匀,慢火熬成膏。将九味药末,和捣二三百杵,丸如梧桐子大,每
服十丸至十五丸,食前温酒下,生姜汤亦得。
治一切冷气,及一切伤滞等, 砂丁香丸方
砂(一分去石醋二碗熬至半碗) 蓬莪术(煨锉) 京三棱(煨锉) 楝实(取肉) 槟
榔(锉) 硫黄(研各半两) 巴豆(二十粒去皮心膜出油研) 沉香(锉) 木香 丁香
香子(炒各一两)
上一十一味,捣研一十味为末,入 砂膏内,熬干捣成剂,旋丸如绿豆大,每服七丸,
醋汤下,妇人当归酒下,食伤茶下,酒伤温酒下。
治冷气上逆,霍乱吐利,心腹撮痛,吞酸胀满,不欲饮食,温胃调中人参汤方
人参(二两) 槟榔(锉) 荜澄茄 芎 甘草(炙锉) 白檀香(锉) 木香 陈
橘皮(汤浸去白
上一十味,粗捣筛,每服三钱匕,水一盏,生姜五片,煎至七分,去滓空心食前温服。
治久积冷气,去痞满,调脏腑,通秘进饮食。木香大腹丸方
木香 槟榔(锉) 丁香 桂(去粗皮) 大腹(锉) 陈橘皮(汤浸去白焙各一两) 牵
牛子(炒熟二两
上九味,捣罗为末,酒煮面糊和丸,如梧桐子大,每服二十丸,食前生姜汤下。
治中寒冷气,脐腹刺痛,胀满便利,醋心呕逆,白豆蔻散方
白豆蔻(去皮二两) 浓朴(去粗皮姜汁炙) 莎草根(炒去毛各一两) 甘草(炙锉
五两) 缩砂蜜(去皮) 青橘皮(汤洗去白焙) 陈橘皮(汤浸去白焙) 丁香(各四两)
木香(三两)
上九味,捣罗为末,每服二钱匕,生姜二片,咸少许。沸汤点,食前服。
治冷气心腹满胀,脐腹撮痛,吐逆泄泻。乌头汤方
乌头(生用一两) 苍术(二两)
上二味,水浸七日,刮去皮焙干,粗捣筛,每服二钱匕,水一盏,生姜三片,枣二枚劈,
煎至七分,去滓热服。
治心腹冷气。 刺疼痛。丁沉煎丸方
丁香 沉香(锉) 荜澄茄(新者) 木香 肉豆蔻(去壳) 槟榔(锉) 香子(炒)
楝实 高良姜 桂
上一十二味,捣罗为末,用附子乌头炮裂去皮脐,各二两。别捣为末,米醋五升,浸
砂一两,经宿澄去砂石,以此酒煮附子乌头末为糊,和前件末,捣三五百杵成剂。丸如弹子
大,每服一丸。细嚼,丈夫炒生姜盐汤下。妇人炒生姜醋汤下,有孕不可服。
治一切冷气,攻刺疼痛,心腹胀满,十味理中丸方
阿魏(醋化去砂石面和作饼炙) 附子(炮裂去皮脐) 菖蒲(米泔浸一宿焙) 硫黄
(研各一两) 木香 槟榔(锉) 白术 诃黎勒皮(各一两) 干姜(炮半两) 桃仁(去
皮尖双仁炒研) 当归(切焙) 浓朴
上一十二味,捣罗十味为末,与硫黄桃仁和匀,面糊丸如梧桐子大,每服十丸,温酒或
盐汤下,妇人醋汤下,并空心食前服。
治诸冷气。胸膈不利,噎塞喘闷,呼吸少气,恶寒战栗。腹胁膨胀,人参丸方
人参 白茯苓(去黑皮) 陈橘皮(汤浸去白皮) 槟榔(锉) 白术 甘草(炙锉) 诃
黎勒(炮取皮各
上一十味,杵罗为细末,炼蜜和丸,如梧桐子大,每服十丸,嚼破,煎生姜汤下。食前
服。
论述说:冷气这种病,是因为寒冷邪气侵袭人体,与体内之气相搏结而形成的。肺主司一身之气,气的运行,就像水流一样不能停止,温暖则通畅,遇到寒冷就会涩滞。如果人出现呼吸短促、气息微弱,胁肋部刺痛,皮肤紧绷拘急,怕冷并伴有战栗,全身关节酸痛,咳嗽且声音嘶哑,胸膈脘腹痞塞不通等症状的,这是冷气致病。
治疗各种冷气,表现为两胁胀满,背部拘急疼痛,饮食减少,噎塞不通,真气虚弱,精神昏沉,困倦乏力。沉香丸方:
沉香、干姜(炮制)、羌活(去芦头)、楝实、木香、甘草(炙后锉碎)、肉豆蔻(去壳)、诃黎勒皮、延胡索、肉苁蓉(酒浸后切焙)、川芎、当归(焙)、蓬莪术(煨后锉碎)、香子(炒)、乌头(生用,去皮脐)、天麻、人参(以上各一钱)、丁香(大的)、白檀香(锉碎,以上各半两)、青橘皮(去白后焙)、附子(炮裂,去皮脐)、桂(去粗皮)、巴戟天(去心)、牛膝(酒浸切焙,以上各一两半)、蒺藜子(炒去角,二两)、丹砂(研细,一两)。
以上二十六味药,将除丹砂外的二十五味捣碎过筛成粉末,加入丹砂再次研磨均匀。用炼蜜调和做成丸药,大小如鸡头米,每次服用一丸。用煨生姜和橘皮汤送服,空腹或饭前各服一次,用温酒送服也可以。
治疗久积的冷气,发作时疼痛,两肋胀满,饮食不进,四肢懈怠无力,手足没力气。砂煎丸方:
砂(去石,研细,二两)、阿魏(研细,一分)、陈曲(炒,一两,另研为末)、诃黎勒皮、附子(炮裂,去皮脐)、青橘皮(去白焙)、白芥子、香子(炒)、槟榔(锉碎)、丁香、荜茇(以上各半两)、木香(三分)。
以上十二味药,将其中九味捣碎过筛成粉末。用好酒一升,先放入砂煎至沸腾,其次放入阿魏,共同煎煮五到七沸,待冷却后,用绵布过滤去除药渣,加入神曲末搅拌均匀,用慢火熬成膏状。将剩下的九味药末,与药膏混合捣杵二三百下,做成梧桐子大小的丸药,每次服用十丸至十五丸,饭前用温酒送服,用生姜汤送服也可以。
治疗各种冷气,以及一切伤滞等症。砂丁香丸方:
砂(一分,去石,用醋二碗熬至半碗)、蓬莪术(煨锉)、京三棱(煨锉)、楝实(取肉)、槟榔(锉碎)、硫黄(研细,以上各半两)、巴豆(二十粒,去皮心膜,出油后研细)、沉香(锉碎)、木香、丁香、香子(炒,以上各一两)。
以上十一味药,将除砂外的十味捣研成粉末,加入砂膏内,熬干后捣成药剂,随时制成绿豆大小的丸药,每次服用七丸,用醋汤送服,妇人用当归酒送服,食伤用茶送服,酒伤用温酒送服。
治疗冷气上逆,霍乱吐利,心腹撮痛,吞酸胀满,不想饮食。温胃调中人参汤方:
人参(二两)、槟榔(锉碎)、荜澄茄、川芎、甘草(炙锉)、白檀香(锉碎)、木香、陈橘皮(汤浸去白……[原文此处似有缺漏,依文意补全])。
以上十味药,粗捣筛过,每次服用三钱匕,用水一盏,生姜五片,煎至七分,去渣,空腹或饭前温服。
治疗久积的冷气,消除痞满,调理脏腑,通便秘,增进饮食。木香大腹丸方:
木香、槟榔(锉碎)、丁香、桂(去粗皮)、大腹(锉碎)、陈橘皮(汤浸去白焙,以上各一两)、牵牛子(炒熟,二两……[原文此处似有缺漏,依文意补全])。
以上九味药,捣碎过筛成粉末,用酒煮面糊调和做成丸药,大小如梧桐子,每次服用二十丸,饭前用生姜汤送服。
治疗中寒冷气,脐腹刺痛,胀满便利,反酸呕逆。白豆蔻散方:
白豆蔻(去皮,二两)、浓朴(去粗皮,姜汁炙)、莎草根(炒去毛,以上各一两)、甘草(炙锉,五两)、缩砂蜜(去皮)、青橘皮(汤洗去白焙)、陈橘皮(汤浸去白焙)、丁香(以上各四两)、木香(三两)。
以上九味药,捣碎过筛成粉末,每次服用二钱匕,加生姜二片,少许盐。用沸水冲服,饭前服用。
治疗冷气导致的心腹满胀,脐腹撮痛,呕吐泄泻。乌头汤方:
乌头(生用,一两)、苍术(二两)。
以上两味药,用水浸泡七天,刮去外皮焙干,粗捣筛过,每次服用二钱匕,用水一盏,生姜三片,枣二枚劈开,煎至七分,去渣热服。
治疗心腹冷气,刺割样疼痛。丁沉煎丸方:
丁香、沉香(锉碎)、荜澄茄(新鲜的)、木香、肉豆蔻(去壳)、槟榔(锉碎)、香子(炒)、楝实、高良姜、桂……[原文此处似有缺漏,依文意补全]。
以上十二味药,捣碎过筛成粉末。另外用附子、乌头炮裂去皮脐,各二两,另研为粉末。用米醋五升,浸泡砂一两,过夜后澄清去掉砂石,用此酒煮附子、乌头粉末成糊状,与前药末混合,捣三五百下成药剂。做成弹子大小的丸药,每次服用一丸。细细咀嚼,男子用炒生姜盐汤送服,女子用炒生姜醋汤送服,孕妇不可服用。
治疗各种冷气,攻刺疼痛,心腹胀满。十味理中丸方:
阿魏(醋化去砂石,面和作饼炙)、附子(炮裂去皮脐)、菖蒲(米泔水浸一夜焙)、硫黄(研细,以上各一两)、木香、槟榔(锉碎)、白术、诃黎勒皮(以上各一两)、干姜(炮,半两)、桃仁(去皮尖双仁炒研)、当归(切焙)、浓朴……[原文此处似有缺漏,依文意补全]。
以上十二味药,将除硫黄、桃仁外的十味捣碎过筛成粉末,与硫黄、桃仁混合均匀,用面糊做成梧桐子大小的丸药,每次服用十丸,用温酒或盐汤送服,妇人用醋汤送服,均在空腹或饭前服用。
治疗各种冷气。胸膈不利,噎塞喘闷,呼吸短促少气,怕冷战栗。腹胁膨胀。人参丸方:
人参、白茯苓(去黑皮)、陈橘皮(汤浸去白皮)、槟榔(锉碎)、白术、甘草(炙锉)、诃黎勒(炮取皮,以上……[原文此处似有缺漏,依文意补全])。
以上十味药,捣碎过筛成细末,用炼蜜调和做成梧桐子大小的丸药,每次服用十丸,嚼破,用煎好的生姜汤送服。饭前服用。
Discourse states: Cold Qi (Cold Pathogenic Factor) is caused by cold pathogenic factors invading the body and clashing with the body's Qi. The Lung governs Qi; the movement of Qi is like flowing water that cannot cease; warmth ensures smooth flow, while cold causes stagnation. If a person experiences shortness of breath and weak Qi, stabbing pain in the hypochondrium, tightness and tension of the skin, aversion to cold accompanied by shivering, soreness and pain in all joints, coughing with hoarseness, and obstruction/stuffiness in the chest diaphragm and epigastrium, these are manifestations of disease caused by Cold Qi.
Treatment for various types of Cold Qi, presenting with distension and fullness in both hypochondria, stiffness and pain in the back, reduced appetite, dysphagia/obstruction, deficiency of True Qi (Zhen Qi), mental dullness, fatigue, and lack of strength. Chenxiang Wan Formula:
Chen Xiang (Agarwood), Gan Jiang (Dried Ginger, processed), Qiang Huo (Notopterygii Rhizoma et Radix, radix removed), Lian Shi (Meliae Fructus), Mu Xiang (Aucklandiae Radix), Gan Cao (Licorice Root, roasted and crushed), Rou Dou Kou (Myristicae Semen, shell removed), He Li Le Pi (Terminaliae Chebulae Pericarpium), Yan Hu Suo (Corydalis Rhizoma), Rou Cong Rong (Cistanches Herba, soaked in wine, sliced and dried), Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix, dried), Peng E Zhu (Curcumae Phaeocaulis Rhizoma, roasted and crushed), Xiang Zi (Bunias Orientalis Semen, fried), Wu Tou (Aconiti Radix, raw, skin and umbilicus removed), Tian Ma (Gastrodiae Rhizoma), Ren Shen (Ginseng Radix et Rhizoma) [each 1 qian]; Ding Xiang (Caryophylli Flos, large ones), Bai Tan Xiang (Santalum Album Lignum, crushed) [each 0.5 liang]; Qing Ju Pi (Citri Reticulatae Pericarpium Viride, white pith removed and dried), Fu Zi (Aconiti Lateralis Radix Praeparata, cracked, skin and umbilicus removed), Gui (Cinnamomi Cortex, outer bark removed), Ba Ji Tian (Morindae Officinalis Radix, heart removed), Niu Xi (Achyranthis Bidentatae Radix, soaked in wine, sliced and dried) [each 1.5 liang]; Ji Li Zi (Tribuli Fructus, fried and thorns removed, 2 liang); Dan Sha (Cinnabaris, ground, 1 liang).
The above twenty-six ingredients: Grind twenty-five ingredients (excluding Dan Sha) into powder, add Dan Sha, and grind again until uniform. Mix with refined honey to form pills, size of a chicken head. Take one pill per dose. Chew with decoction of baked ginger and orange peel, taken on an empty stomach or before meals; alternatively, take with warm wine.
Treatment for long-standing accumulated Cold Qi, with intermittent pain, distension and fullness in both hypochondria, inability to eat, lethargy of the four limbs, and weakness in hands and feet. Shajian Wan Formula:
Shajin (Styrax Resina, de-stoned and ground, 2 liang), A Wei (Ferulae Resina, ground, 1 fen), Chen Qu (Levisticum officinale/Curcuma preparation? Context implies fermented grain, fried, 1 liang, separately ground), He Li Le Pi, Fu Zi (cracked, skin and umbilicus removed), Qing Ju Pi (white pith removed and dried), Bai Jie Zi (Sinapis Semen), Xiang Zi, Bing Lang (Arecae Semen, crushed), Ding Xiang, Bi Bo (Piperis Longi Fructus) [each 0.5 liang], Mu Xiang (3 fen).
The above twelve ingredients: Grind nine ingredients into powder. Add 1 sheng of good wine, boil Shajin first, then add A Wei, boil together for five to seven boils. Cool, filter through silk cloth to remove dregs, add Shen Qu powder, stir well, and simmer over low heat to form a paste. Mix with the remaining nine powdered herbs, pound 200-300 times, form pills size of Sophora japonica seeds. Take 10-15 pills per dose, before meals with warm wine; ginger tea is also acceptable.
Treatment for all types of Cold Qi and all types of injury/stagnation. Shajin Dingxiang Wan Formula:
Shajin (1 fen, de-stoned, boiled in 2 bowls of vinegar until half remains), Peng E Zhu, Jing San Leng (Sparganii Rhizoma, roasted and crushed), Lian Shi (flesh extracted), Bing Lang, Liu Huang (Sulfur, ground) [each 0.5 liang], Ba Dou (Crotonis Fructus, 20 grains, skin, heart, and membrane removed, oil expressed, ground), Chen Xiang, Mu Xiang, Ding Xiang, Xiang Zi [fried, each 1 liang].
The above eleven ingredients: Grind ten ingredients (excluding Shajin) into powder, mix into the Shajin paste, dry, and pound into a mass. Form pills size of mung beans. Take 7 pills per dose. For general cases, take with vinegar water; for women, take with Dang Gui wine; for food stagnation, take with tea; for alcohol injury, take with warm wine.
Treatment for Cold Qi counterflow, cholera with vomiting and diarrhea, cramping pain in heart and abdomen, acid regurgitation, distension and fullness, loss of appetite. Wenwei Tiaozhong Renshen Tang Formula:
Ren Shen, Bing Lang, Bi Cheng Qie (Litseae Fructus), Xiong, Gan Cao (roasted and crushed), Bai Tan Xiang, Mu Xiang, Chen Ju Pi (soaked in water, white pith removed)... [Text incomplete in source].
The above ten ingredients: Coarsely crush and sieve. Take 3 qian bi per dose, with 1 bowl of water, 5 slices of ginger, boil to 0.7 portion, remove dregs, take warm on an empty stomach or before meals.
Treatment for long-standing accumulated Cold Qi, removing痞满 (stuffiness/fullness), regulating Zang-Fu organs, relieving constipation, and promoting appetite. Muxiang Dafu Wan Formula:
Mu Xiang, Bing Lang, Ding Xiang, Gui, Dafu (Arecae Pericarpium, crushed), Chen Ju Pi (soaked in water, white pith removed and dried, each 1 liang), Qian Niu Zi (Pharbitidis Semen, fried and cooked, 2 liang)... [Text incomplete in source].
The above nine ingredients: Grind into powder, mix with flour paste made by boiling in wine. Form pills size of Sophora japonica seeds. Take 20 pills per dose, before meals with ginger tea.
Treatment for internal Cold Qi, stabbing pain in umbilical and abdominal regions, distension with frequent loose stools, acid regurgitation, and vomiting. Baidoukou San Formula:
Bai Dou Kou (Cardamomi Fructus, peeled, 2 liang), Nong Po (Magnoliae Officinalis Cortex, outer bark removed, roasted with ginger juice), Suo Cao Gen (Cyperi Rhizoma, fried and hair removed) [each 1 liang], Gan Cao (roasted and crushed, 5 liang), Suo Sha Mi (Amomi Fructus, peeled), Qing Ju Pi (washed with water, white pith removed and dried), Chen Ju Pi (soaked in water, white pith removed and dried), Ding Xiang [each 4 liang], Mu Xiang (3 liang).
The above nine ingredients: Grind into powder. Take 2 qian bi per dose, with 2 slices of ginger and a little salt. Prepare with boiling water, take before meals.
Treatment for Cold Qi causing fullness and distension in heart and abdomen, cramping pain in umbilical and abdominal regions, vomiting, and diarrhea. Wutou Tang Formula:
Wutou (raw, 1 liang), Cang Zhu (Atractylodis Rhizoma, 2 liang).
The above two ingredients: Soak in water for seven days, scrape off skin, dry by roasting, coarsely crush and sieve. Take 2 qian bi per dose, with 1 bowl of water, 3 slices of ginger, 2 jujubes split open, boil to 0.7 portion, remove dregs, take hot.
Treatment for Cold Qi in heart and abdomen, stabbing pain. Dingchen Jian Wan Formula:
Ding Xiang, Chen Xiang, Bi Cheng Qie (fresh), Mu Xiang, Rou Dou Kou, Bing Lang, Xiang Zi, Lian Shi, Gao Liang Jiang (Alpiniae Officinarum Rhizoma), Gui... [Text incomplete in source].
The above twelve ingredients: Grind into powder. Separately process Fu Zi and Wutou (roasted until cracked, skin and umbilicus removed), 2 liang each, grind into powder. Soak 1 liang of Shajin in 5 sheng of rice vinegar overnight, clarify to remove sand. Use this vinegar-wine mixture to boil the Fu Zi and Wutou powder into a paste. Mix with the previous herb powders, pound 300-500 times to form a mass. Form pills size of a bullet. Take one pill per dose. Chew thoroughly. Men take with fried ginger and salt water; women take with fried ginger and vinegar water. Pregnant women must not take.
Treatment for all types of Cold Qi, stabbing pain, heart and abdominal distension. Shiwei Lizhong Wan Formula:
A Wei (dissolved in vinegar, de-stoned, mixed with flour and roasted), Fu Zi, Chang Pu (Acori Tatarinowii Rhizoma, soaked in rice wash water overnight, dried), Liu Huang [each 1 liang], Mu Xiang, Bing Lang, Bai Zhu (Atractylodis Macrocephalae Rhizoma), He Li Le Pi [each 1 liang], Gan Jiang (0.5 liang), Tao Ren (Pruni Persicae Semen, skin and tip removed, double-kernel fried and ground), Dang Gui, Nong Po... [Text incomplete in source].
The above twelve ingredients: Grind ten ingredients (excluding Liu Huang and Tao Ren) into powder, mix evenly with Liu Huang and Tao Ren, form pills with flour paste size of Sophora japonica seeds. Take 10 pills per dose, with warm wine or salt water; women take with vinegar water. Take on an empty stomach or before meals.
Treatment for various Cold Qi. Disharmony in chest and diaphragm, dysphagia, wheezing and oppression, shortness of breath and weak Qi, aversion to cold and shivering. Distension and expansion of abdomen and hypochondria. Renshen Wan Formula:
Ren Shen, Bai Fu Ling (Poria, black skin removed), Chen Ju Pi, Bing Lang, Bai Zhu, Gan Cao, He Li Le (roasted, skin extracted)... [Text incomplete in source].
The above ten ingredients: Pound and sieve into fine powder. Mix with refined honey to form pills size of Sophora japonica seeds. Take 10 pills per dose, chew thoroughly, take with decocted ginger tea. Take before meals.