论曰饮食入胃,脾脏化之,若腹内素有积聚,摄养乖度,食饮不时,则脾胃愈弱,饮食
迟化,故为宿食不消之病,其状噫气食臭,胃胀烦满是也。
治积聚宿食不消,中脘痞滞,烦满气促,腹内刺痛,噫气不思饮食,木香丸方
木香(半两) 槟榔(锉一两) 陈橘皮(汤浸去白焙半两) 丁香(一分) 京三棱
(煨一两 干姜(炮一分) 蓬莪术(煨半两) 巴豆(去皮心膜出油半钱 砂水飞研半
两)
上九味,除研外,捣罗为末,入巴豆 砂研令匀,汤浸蒸饼,丸如绿豆大,每服二丸至
三丸,温生姜橘皮汤下,食后服。
治积聚宿食不消,胸膈痞闷,腹肚胀满 痛不食,丁香丸方
丁香(一两) 青橘皮(汤浸去白焙二两) 桂(去粗皮) 干姜(炮) 附子(炮裂
去皮脐各一两) 蓬莪术(煨锉京三棱煨锉) 干漆(炒烟出各二两) 猪牙皂荚(酥炙去
皮子) 木香(各一两) 牵牛子(细末二两) 墨(一两十二味别捣罗为细末) 砂(醋
研) 大黄(生为末各二两) 巴豆(一两去皮心膜研如膏
上一十五味,先将后三味,于石锅内,醋煎 砂令热,先下巴豆霜,煎三两沸,次下大
黄末,熬成膏,和前一十二味药末熟杵,丸如绿豆大,常服一丸二丸,茶汤任下。如要取积,
生姜汤下七丸,更量力加减。
治积聚宿食不化,留滞成块,心腹疼痛,疲倦多困,日渐黄瘦,木香丸方
木香(三分) 蓬莪术 京三棱(二味煨锉各一两) 巴豆(去皮心膜研出油二十粒) 丹
砂(研三分
上五味,将前三味捣罗为末,入巴豆丹砂同研令匀,醋煮面糊,丸如绿豆大,每服三丸
至五丸,生姜橘皮汤下,食后临卧服。
治久积气块,宿食不消,胸膈痞闷,痰逆恶心,不思饮食,脐腹刺痛,醋心噎塞。小分
气丸方
木香(一两) 槟榔(锉) 陈橘皮(汤浸去白焙) 楝实(锉炒) 干姜(炮) 青
橘皮汤(浸去白炒各半两) 蓬莪术(醋浸一宿煨一两) 巴豆(去皮心膜研出油) 半夏
(汤洗七遍去滑焙) 大黄(煨锉各一分)
上一十一味,捣研为末,醋煮面糊,丸如绿豆大,每服五丸七丸,温生姜汤下,食后临
卧服。
逐积滞,化宿食,利胸膈。宽中丸方
乌头(炮裂去皮脐) 吴茱萸(汤浸焙炒) 高良姜 甘遂(麸炒) 大黄 栀子仁(各
半两) 巴豆(去
上七味,捣研为末,用枣肉丸如小绿豆大,每服一丸,生姜橘皮汤下。
消积化气,温胃思食,治食后心膈妨闷,如意丸方
威灵仙(去苗土) 附子(生去皮脐二味各半两同为末用好醋半盏浸一宿) 砂(细
研一分) 巴豆(二十一粒去皮心膜出油二味同研用酒半升醋半升同煎与前二味同熬成膏)
蓬莪术(煨锉) 木香(各半两) 青橘皮(汤浸去白炒一两) 大黄(锉炒三分) 陈曲
(炒半两) 丁香(一分)
上一十味,将后六味为末,以前四味膏和,更别熬醋少许,研墨汁同丸。如绿豆大,每
服五丸至七丸,生姜汤下。
消积滞,化宿食、痰饮,治胸膈痞闷,桂香匀气丸方
桂(去粗皮) 丁香皮 缩砂仁 益智(去皮炒) 陈橘皮(汤浸去白焙) 青橘皮(汤
浸去白焙) 槟榔(锉木香) 蓬莪术(煨各一两) 乌梅(和核一两半) 巴豆(去皮心
膜研出油六十四粒)
上一十一味。除巴豆外,捣罗为末。和匀,煮面糊丸如麻子大,每服七丸至十丸,茶酒
任下,食后服。
治一切积滞,宿食不消,痰逆恶心,吐泻霍乱,膈气痞满,胁肋膨闷,呕哕心疼泄痢。
宜服积气丸方
代赭(研) 赤石脂(研各一分) 大戟 木香 龙胆(各半两) 杏仁(汤浸去皮尖
四十九粒) 巴豆(
上七味,除别研外。捣罗为末,入杏仁巴豆霜同研匀,用面糊丸,如梧桐子大,每服三
丸至五丸,食后临卧木香汤下。
治久积伏滞,胸膈膨胀,心腹刺痛,不化饮食,及妇人血气疼痛,紫沉消积丸方
沉香(锉) 阿魏(醋化研) 巴豆霜(各一两) 砂(研四两四味同研匀用蜜一斤
酒二盏共熬成膏以瓷合盛丹砂研二两) 硫黄(研) 青橘皮(汤浸去白焙) 高良姜 槟
榔(锉) 木香 人参 桂(去粗
上一十五味,将前四味蜜酒熬成膏,余并捣罗为末,用膏和捣千百杵。丸如绿豆大,每
服五丸七丸,温橘皮汤下,如心痛温酒下,妇人血气当归汤下。
消积化气、进食。黑神丸方
木香 砂(研) 蓬莪术(煨锉) 京三棱(煨锉各半两) 桂(去粗皮) 附子(炮
裂去脐皮) 干姜(炮) 干漆(捣碎炒烟出) 大黄(煨别为末) 青橘皮(汤浸去白焙)
墨(烧过) 巴豆(去皮心膜细研出油各
上一十二味,以好醋一大碗,先熬 砂令沸,入巴豆又熬数沸,次又入大黄末。熬成膏,
余药并捣罗为末,以膏杵和丸,如莱菔子大,每服三丸五丸,茶酒任下,如消食化气,生姜
橘皮汤下,小肠疝气, 香酒,妇人血气,当归酒下。
治积聚、宿食留饮不消,丁香丸方
丁香 木香 沉香(锉) 安息香 乳香 砂(别研) 肉豆蔻(去壳) 桂(去粗
皮) 京三棱(煨) 当归(切焙) 陈橘皮(汤浸去白焙) 槟榔(锉) 荜澄茄(各一
两) 附子(炮裂去皮脐半两) 巴豆(十枚于
上一十五味,先将安息香乳香 砂三味,用少许酒浸良久,别研如膏,更与巴豆研匀,
余药并捣罗为末,同用酒煮面糊丸,如麻子大,每服五丸至七丸,熟水下,若大段气痛,加
至十丸,用生姜汤下。
治积聚气滞,胸膈满闷,心腹 痛,不化饮食,乳香丸方
乳香(研) 丁香 木香(各一两) 附子(炮裂去皮脐) 五灵脂(为末) 干姜(炮
各半两) 桂(去粗皮) 芫花(醋拌炒焦黄) 青橘皮(汤浸去白炒各三分) 猪牙皂荚
(去皮酥炙一两) 巴豆(去皮心膜别研如膏新瓦内摊去油取霜一钱)
上一十一味。除乳香五灵脂末巴豆霜外,八味捣罗为末,入上三味拌匀,煮陈曲糊丸,
如绿豆大,每服二丸三丸,温生姜汤下,量虚实加减,食后临卧服。
治积聚癖块,一切所伤,吃食减少,日渐黄瘦,如圣丸方
巴豆(去皮心膜研出油一两) 丁香(三钱) 乌梅(去核一两半) 干漆(捣碎炒烟
出一两) 滑石(一
上五味。先捣罗四味为末,然后入巴豆同研匀,用粳米饭同烂捣,丸如粟米大,每服二
丸至三丸,随所伤物下,更量虚实加减。
消食化气,利胸膈,及积聚凝滞,脏腑刺痛,饮食减少,木香丸方
木香(为末) 丁香(为末) 巴豆(去皮心膜研出油各半两) 砂(研半两) 大
枣(去皮核) 乌梅(去
上六味,先将水拌白面,作一薄饼,以枣肉铺饼上,次以前四味药末和匀,复上铺枣肉。
作馒头,裹就用炭火四围炙 ,候面焦黑约药透取出。地面上出火毒,候冷打破去焦面不用,
将药与乌梅末同捣,稀面糊丸如黄米大,每服二丸三丸,食后生姜汤下,或随所伤物汤
消食化气,破积聚,治心腹胀满,噫醋恶心,八仙丸方
京三棱(煨锉) 蓬莪术(煨锉) 五灵脂(各一两) 乌梅(六十枚和核用) 缩砂
(一百枚去皮) 干漆(半两炒烟出) 巴豆(四十粒去皮不出油研) 木香(一分)
上八味、捣罗为末,用酸粟米饭三两匙,同入臼,杵五七百下,丸如绿豆大,每服五丸
至七丸,生姜汤下,小儿一丸,如耍宣转,十五丸,更量虚实加减。
取积聚,消宿食,槟榔丸方
槟榔(生锉两枚) 巴豆(去皮心膜麸炒二十一粒) 青橘皮(汤浸去白焙半两) 牵
牛子(炒) 大黄(
上七味,捣研罗为末,汤浸蒸饼,丸如绿豆大,以丹砂为衣,每服一丸二丸。温水下,
如耍宣转取食积,三五丸或七丸十丸,量虚实,空心煎葱白汤下,宣后、服和气人参汤。
和气人参汤方
人参 白茯苓(去黑皮) 浓朴(去粗皮生姜汁炙) 甘草(炙) 肉豆蔻(去壳) 陈
橘皮(去白麸炒)
上一十味,捣为粗末,每服二钱匕,水一盏,生姜三片,枣一枚劈,同煎至七分,去滓
温服。
治脾胃虚冷,积聚沉结,宿食不消,益智散方
益智(去皮炒) 蓬莪术(煨锉) 京三棱(煨锉) 青橘皮 陈橘皮(二味并汤浸去
白炒) 白茯苓(去黑皮各一两) 人参 甘草(炙锉各半两) 木香(一分) 浓朴(去
粗皮生姜汁炙一两一分)
上一十味,捣罗为散,每服一钱匕,入盐少许,沸汤点服,不拘时候。
治久积聚宿滞不消,或翻胃吐逆,恶心干哕,及脾寒等疾,藿香煮散方
藿香叶 木香 陈橘皮(汤浸去白焙) 肉豆蔻(去壳) 诃黎勒皮 人参 白茯苓(去
粗皮) 甘草(炙) 草豆蔻(去皮) 麦 (炒) 陈曲(炒各一两) 干姜(炮) 高
良姜(锉炒各半两) 浓朴(去粗皮生姜
上一十四味,捣罗为散,每服二钱匕,水一盏,生姜一块,拍破,同煎至七分,入盐一
捻热服,水泻及肠风藏毒,热陈米饮调下。
治诸积宿食不消,黑虎丸方
芫花(炒) 甘遂(炒) 乌头(炮裂去皮脐) 大戟(炒锉) 京三棱(煨锉) 牵
牛子(炒) 干姜(炮) 陈橘
上九味,捣罗为末,以醋煮面糊,丸如绿豆大,每服二丸,消食化气温水下,取积滞米
汤下,温病伤寒姜醋汤下,气痛艾汤下,本脏气虚炒 香子酒下,疟疾桃枝汤下,妇人血气
劳气醋汤下,寸白虫煎牛肉汤下。
治一切积滞,化气消食,补益真气,逐产后败血,补虚损, 砂煎丸方
砂(拣通明无石者别研如粉) 当归(酒浸一宿去芦头切焙) 肉苁蓉(酒浸一宿薄
切作片焙干
一宿候软以刀子刮下瓤去
裂去皮脐) 天雄(用酒煮五七百沸候软刮
上一十二味,捣研为细末,以无灰酒煮白面糊,丸如梧桐子大,每服三十丸,空心日午
温酒下,尝有妇人病蓐中下痢日久,甚困笃,百方不瘥,医曰、蓐中痢与他痢不同。常痢可
用苦涩药止之,蓐中痢生于血不足,投涩药则血愈不行,痢当愈甚,产后痢者,宜投 砂丸
,日三服,痢顿减半,次日遂愈,此药产后虽无病,亦宜服之,能养血去积滞。
治积聚宿食不消,胁肋坚硬,及心腹刺痛诸病。礞石丸方
礞石(研半两) 砂(一两米醋三升化) 巴豆霜(一两半) 京三棱(醋浸一宿煨
一两) 大黄(煨锉一两半) 木香 槟榔(锉) 肉豆蔻(去核) 猪牙皂荚(去皮炒) 桂
(去粗皮) 干姜(炮) 丁香 芫花(醋浸一宿炒微有烟) 蓬莪术(炮各一两) 青橘
皮(去白焙) 白豆蔻(去皮) 墨(烧八分过各半两) 胡椒 粉霜(研各一分) 白面
(二两酒半升化)
上二十味,捣研各为末,先以 砂合巴豆醋煮两食久,投礞石三棱,又投酒面,又投
大黄,相去皆半食久,乃入众药,熬成稠膏,丸如绿豆大,每服三丸,酒饮下,凡坚积饮食
所伤,皆能愈。
治肋下结块,连心腹痛,食冷物即剧。鳖甲散方
鳖甲(去裙 醋炙) 蒺藜子(炒去角各二两) 黄芩(去黑心半两) 桂(去粗皮一
两) 柴胡(去苗) 桔梗(炒) 当归(切焙) 牛膝(酒浸切焙) 芍药 赤茯苓(去
黑心) 大黄(锉醋拌炒) 人参 陈橘皮(汤浸去白焙) 槟榔(锉) 诃黎勒(煨去核
各二分)
上一十五味。捣罗为散,每服二钱匕,煮枣汤调下。
【论述】饮食进入胃中,由脾脏进行运化。如果腹内原本就有积聚之邪,加之调养失当、饮食不规律,就会导致脾胃更加虚弱,食物消化迟缓,从而形成宿食不消的病证。其症状表现为嗳气带有酸腐臭味,胃部胀满烦闷等。
治疗积聚及宿食不消,症见中脘部痞塞阻滞、烦闷胀满、呼吸急促、腹内刺痛、嗳气且不想进食的,用木香丸方:
木香(半两)、槟榔(锉碎一两)、陈橘皮(热水浸泡后去白瓤焙干半两)、丁香(一分)、京三棱(煨制一两)、干姜(炮制一分)、蓬莪术(煨制半两)、巴豆(去皮、心、膜,榨出油半钱)、砂(水飞研细半两)。
以上九味药,除需要研磨的药外,其余捣碎过筛成末,加入巴豆和砂一起研磨均匀。用热水浸泡蒸过的面饼做粘合剂,制成如绿豆大小的药丸。每次服用二至三丸,用温热的生姜橘皮汤送服,饭后服用。
治疗积聚及宿食不消,症见胸膈痞闷、腹部胀满疼痛、不能进食的,用丁香丸方:
丁香(一两)、青橘皮(热水浸泡后去白瓤焙干二两)、桂(去掉粗皮)、干姜(炮制)、附子(炮裂后去掉粗皮、脐部,各一两)、蓬莪术(煨制锉碎)、京三棱(煨制锉碎)、干漆(炒至冒烟,各二两)、猪牙皂荚(用酥油炙烤后去掉皮和籽)、木香(各一两)、牵牛子(研成细末二两)、墨(一两,十二味药分别捣碎过筛成细末)、砂(用醋研磨)、大黄(生用研成末,各二两)、巴豆(一两,去皮、心、膜,研磨如膏状)。
以上十五味药,先将后三味药放入石锅中,用醋煎煮砂使其变热,先下入巴豆霜,煎煮三两沸后,再下入大黄末,熬成膏状。与前十二味药末混合,反复杵捣均匀,制成如绿豆大小的药丸。平时服用一或二丸,茶或开水任取一种送服。若要攻逐积滞,用生姜汤送服七丸,并根据患者体力酌情加减。
治疗积聚及宿食不化,停留凝聚成块,心腹疼痛,疲倦困乏,日渐面色萎黄消瘦的,用木香丸方:
木香(三分)、蓬莪术、京三棱(这两味药煨制锉碎,各一两)、巴豆(去皮、心、膜,研磨出油二十粒)、丹砂(研细三分)。
以上五味药,将前三味药捣碎过筛成末,加入巴豆和丹砂一同研磨均匀。用醋煮面糊做粘合剂,制成如绿豆大小的药丸。每次服用三至五丸,用生姜橘皮汤送服,饭后及临睡前服用。
治疗久积气块,宿食不消,胸膈痞闷,痰气上逆恶心,不想进食,脐腹刺痛,吞酸噎塞感的,用小分气丸方:
木香(一两)、槟榔(锉碎)、陈橘皮(热水浸泡后去白瓤焙干)、楝实(锉碎炒制)、干姜(炮制)、青橘皮(热水浸泡后去白瓤炒制,各半两)、蓬莪术(醋浸一夜后煨制一两)、巴豆(去皮、心、膜,研磨出油)、半夏(热水洗七遍去滑腻焙干)、大黄(煨制锉碎,各一分)。
以上十一味药,捣碎研磨成末,用醋煮面糊做粘合剂,制成如绿豆大小的药丸。每次服用五至七丸,用温热的生姜汤送服,饭后及临睡前服用。
具有逐除积滞、化解宿食、通利胸膈作用的,用宽中丸方:
乌头(炮裂后去掉粗皮、脐部)、吴茱萸(热水浸泡焙干炒制)、高良姜、甘遂(麸皮炒制)、大黄、栀子仁(各半两)、巴豆(去...[原文此处似有缺漏,依常规推测为处理步骤])。
以上七味药,捣碎研磨成末,用枣肉做粘合剂,制成如小绿豆大小的药丸。每次服用一丸,用生姜橘皮汤送服。
具有消积化气、温胃增进食欲作用,治疗进食后心膈部妨碍闷胀感的,用如意丸方:
威灵仙(去掉苗土)、附子(生用,去掉粗皮、脐部,这两味药各半两,共同研成末,用好醋半盏浸泡一夜)、砂(研细一分)、巴豆(二十一粒,去皮、心、膜,榨出油,这两味药同研,用酒半升、醋半升共同煎煮,与前两味药同熬成膏)、蓬莪术(煨制锉碎)、木香(各半两)、青橘皮(热水浸泡后去白瓤炒制一两)、大黄(锉碎炒制三分)、陈曲(炒制半两)、丁香(一分)。
以上十味药,将后六味药研成末,用前四味药制成的膏调和,另外再熬少许醋,研墨汁混合做成药丸。如绿豆大小,每次服用五至七丸,用生姜汤送服。
具有消积滞、化宿食、化痰饮作用,治疗胸膈痞闷的,用桂香匀气丸方:
桂(去掉粗皮)、丁香皮、缩砂仁、益智(去皮炒制)、陈橘皮(热水浸泡后去白瓤焙干)、青橘皮(热水浸泡后去白瓤焙干)、槟榔(锉碎)、木香、蓬莪术(煨制,各一两)、乌梅(带核一两半)、巴豆(去皮、心、膜,研磨出油六十四粒)。
以上十一味药。除巴豆外,其余捣碎过筛成末。混合均匀,煮面糊制成如麻子大小的药丸。每次服用七至十丸,茶或酒任取一种送服,饭后服用。
治疗各种积滞,宿食不消,痰气上逆恶心,呕吐腹泻霍乱,膈气痞满,胁肋膨闷,呕哕心痛泄痢的,宜服用积气丸方:
代赭(研细)、赤石脂(研细,各一分)、大戟、木香、龙胆(各半两)、杏仁(热水浸泡后去掉皮尖四十九粒)、巴豆(...[原文此处似有缺漏,依常规推测为处理步骤])。
以上七味药,除需单独研磨的外,其余捣碎过筛成末,加入杏仁和巴豆霜一同研磨均匀,用面糊做粘合剂,制成如梧桐子大小的药丸。每次服用三至五丸,饭后及临睡前用木香汤送服。
治疗久积伏留停滞,胸膈膨胀,心腹刺痛,饮食不化,以及妇女血气疼痛的,用紫沉消积丸方:
沉香(锉碎)、阿魏(醋化后研磨)、巴豆霜(各一两)、砂(研细四两,这四味药同研均匀,用蜜一斤、酒二盏共同熬成膏,用瓷盒盛装,另加丹砂研细二两)、硫黄(研细)、青橘皮(热水浸泡后去白瓤焙干)、高良姜、槟榔(锉碎)、木香、人参、桂(去掉粗...[原文此处似有缺漏])。
以上十五味药,将前四味药用蜜和酒熬成膏,其余药物捣碎过筛成末,用膏调和并捣上千百下。制成如绿豆大小的药丸。每次服用五至七丸,用温橘皮汤送服;若心痛则用温酒送服;妇女血气病用当归汤送服。
具有消积化气、进食作用的黑神丸方:
木香、砂(研细)、蓬莪术(煨制锉碎)、京三棱(煨制锉碎,各半两)、桂(去掉粗皮)、附子(炮裂后去掉脐皮)、干姜(炮制)、干漆(捣碎炒至冒烟)、大黄(煨制,单独研成末)、青橘皮(热水浸泡后去白瓤焙干)、墨(烧过)、巴豆(去皮、心、膜,细研出油,各...[原文此处似有缺漏])。
以上十二味药,用一大碗好醋,先煎煮砂令其沸腾,加入巴豆又煎煮数沸,接着加入大黄末。熬成膏状,其余药物捣碎过筛成末,用膏调和杵制成药丸,如莱菔子(萝卜籽)大小。每次服用三至五丸,茶或酒任取一种送服;若要消食化气,用生姜橘皮汤送服;小肠疝气用茴香酒送服;妇女血气病用当归酒送服。
治疗积聚、宿食留饮不消的,用丁香丸方:
丁香、木香、沉香(锉碎)、安息香、乳香、砂(单独研细)、肉豆蔻(去掉壳)、桂(去掉粗皮)、京三棱(煨制)、当归(切后焙干)、陈橘皮(热水浸泡后去白瓤焙干)、槟榔(锉碎)、荜澄茄(各一两)、附子(炮裂后去掉粗皮、脐部半两)、巴豆(十枚于...[原文此处似有缺漏])。
以上十五味药,先将安息香、乳香、砂这三味药,用少量酒浸泡良久,单独研磨如膏状,再与巴豆研磨均匀。其余药物捣碎过筛成末,共同用酒煮面糊做粘合剂,制成如麻子大小的药丸。每次服用五至七丸,用熟水送服;若气痛严重,加至十丸,用生姜汤送服。
治疗积聚气滞,胸膈满闷,心腹疼痛,饮食不化的,用乳香丸方:
乳香(研细)、丁香、木香(各一两)、附子(炮裂后去掉粗皮、脐部)、五灵脂(研成末)、干姜(炮制,各半两)、桂(去掉粗皮)、芫花(醋拌炒至焦黄)、青橘皮(热水浸泡后去白瓤炒制,各三分)、猪牙皂荚(去掉皮,用酥油炙烤一两)、巴豆(去皮、心、膜,单独研磨如膏状,在新瓦上摊开去油取霜一钱)。
以上十一味药。除乳香、五灵脂末、巴豆霜外,其余八味药捣碎过筛成末,加入上述三种药拌匀,煮陈曲糊做粘合剂,制成如绿豆大小的药丸。每次服用二至三丸,用温热的生姜汤送服,根据虚实情况酌情加减,饭后及临睡前服用。
治疗积聚癖块,一切所伤,食欲减少,日渐面色萎黄消瘦的,用如圣丸方:
巴豆(去皮、心、膜,研磨出油一两)、丁香(三钱)、乌梅(去掉核一两半)、干漆(捣碎炒至冒烟一两)、滑石(一...[原文此处似有缺漏])。
以上五味药。先捣碎过筛四味药成末,然后加入巴豆一同研磨均匀,用粳米饭一同烂捣,制成如粟米大小的药丸。每次服用二至三丸,根据所伤之物选用相应的汤剂送服,更需根据虚实情况酌情加减。
具有消食化气、通利胸膈,及治疗积聚凝滞、脏腑刺痛、饮食减少作用的,用木香丸方:
木香(研成末)、丁香(研成末)、巴豆(去皮、心、膜,研磨出油,各半两)、砂(研细半两)、大枣(去皮核)、乌梅(去...[原文此处似有缺漏])。
以上六味药,先将水拌白面,做一个薄饼,将枣肉铺在饼上,再将前四种药末混合均匀铺在上面,再铺一层枣肉。做成馒头状,用炭火在四周炙烤,待面皮焦黑约药性透出时取出。在地面上退去火毒,冷却后打破去掉焦黑的面皮不用,将药与乌梅末一同捣碎,用稀面糊制成如黄米大小的药丸。每次服用二至三丸,饭后用生姜汤送服,或根据所伤之物选用相应汤剂。
具有消食化气、通利胸膈,及治疗积聚凝滞、脏腑刺痛、饮食减少作用的,用八仙丸方:
京三棱(煨制锉碎)、蓬莪术(煨制锉碎)、五灵脂(各一两)、乌梅(六十枚带核使用)、缩砂(一百枚去皮)、干漆(半两炒至冒烟)、巴豆(四十粒去皮不出油研细)、木香(一分)。
以上八味药,捣碎过筛成末,用酸粟米饭三两匙,一同放入臼中,杵捣五七百下,制成如绿豆大小的药丸。每次服用五至七丸,用生姜汤送服;小儿服用一丸;若要宣转(通便),服用十五丸,更需根据虚实情况酌情加减。
具有取除积聚、消除宿食作用的,用槟榔丸方:
槟榔(生用锉碎两枚)、巴豆(去皮、心、膜,麸皮炒制二十一粒)、青橘皮(热水浸泡后去白瓤焙干半两)、牵牛子(炒制)、大黄(...[原文此处似有缺漏])。
以上七味药,捣碎研磨过筛成末,用热水浸泡蒸过的面饼做粘合剂,制成如绿豆大小的药丸,以丹砂为衣。每次服用一至二丸,温水送服;若要宣转取食积,服用三至五丸或七至十丸,根据虚实情况,空腹煎葱白汤送服;宣转后,服用和气人参汤。
和气人参汤方:
人参、白茯苓(去掉黑皮)、浓朴(去掉粗皮,用生姜汁炙制)、甘草(炙制)、肉豆蔻(去掉壳)、陈橘皮(去掉白瓤,麸皮炒制)...[原文此处似有缺漏,通常还有几味药]。
以上十味药,捣成粗末。每次服用二钱匕,加水一盏,生姜三片,枣一枚劈开,共同煎煮至七分,去渣温服。
治疗脾胃虚冷,积聚沉结,宿食不消的,用益智散方:
益智(去皮炒制)、蓬莪术(煨制锉碎)、京三棱(煨制锉碎)、青橘皮、陈橘皮(这两味药均热水浸泡后去白瓤炒制)、白茯苓(去掉黑皮,各一两)、人参、甘草(炙制锉碎,各半两)、木香(一分)、浓朴(去掉粗皮,用生姜汁炙制一两一分)。
以上十味药,捣碎过筛成散剂。每次服用一钱匕,加入少许盐,用沸水冲服,不拘时候。
治疗久积宿滞不消,或翻胃吐逆,恶心干哕,以及脾寒等疾病的,用藿香煮散方:
藿香叶、木香、陈橘皮(热水浸泡后去白瓤焙干)、肉豆蔻(去掉壳)、诃黎勒皮、人参、白茯苓(去掉粗皮)、甘草(炙制)、草豆蔻(去皮)、麦...[原文此处似有缺漏,通常为麦芽](炒制)、陈曲(炒制,各一两)、干姜(炮制)、高良姜(锉碎炒制,各半两)、浓朴(去掉粗皮,用生姜...[原文此处似有缺漏])。
以上十四味药,捣碎过筛成散剂。每次服用二钱匕,加水一盏,生姜一块拍破,共同煎煮至七分,加入一捻盐,热服。若为水泻及肠风藏毒,用热陈米饮调服。
治疗各种积滞宿食不消的,用黑虎丸方:
芫花(炒制)、甘遂(炒制)、乌头(炮裂后去掉粗皮、脐部)、大戟(炒制锉碎)、京三棱(煨制锉碎)、牵牛子(炒制)、干姜(炮制)、陈橘...[原文此处似有缺漏]。
以上九味药,捣碎过筛成末,用醋煮面糊制成如绿豆大小的药丸。每次服用二丸,消食化气温和水送服;取积滞用米汤送服;温病伤寒用姜醋汤送服;气痛用艾汤送服;本脏气虚用炒...[原文此处似有缺漏]香子酒送服;疟疾用桃枝汤送服;妇人血气劳气用醋汤送服;寸白虫(绦虫)用煎牛肉汤送服。
治疗各种积滞,化气消食,补益真气,逐除产后败血,补虚损的,用...砂煎丸方(注:原文标题可能有误,结合内容应为含硇砂或类似矿物药的方剂,此处依原文保留“砂”字指代):
砂(挑选透明无石的,单独研成粉)、当归(酒浸一夜,去掉芦头切后焙干)、肉苁蓉(酒浸一夜,薄片切作片焙干...[原文此处描述不清,通常为处理步骤]...裂去皮脐)、天雄(用酒煮五七百沸,候软刮...[原文此处描述不清])。
以上十二味药,捣研成细末,用无灰酒煮白面糊,制成如梧桐子大小的药丸。每次服用三十丸,空腹及日午时用温酒送服。曾有一妇人在产褥期中患痢疾日久,非常困顿危重,多方治疗无效。医生说:“产褥中的痢疾与其他痢疾不同。普通痢疾可用苦涩药止住,但产褥痢疾源于血不足,投用涩药则血更不行,痢疾会更严重。”产后痢疾,宜投用...砂煎丸,每日三次服用,痢疾顿时减半,次日痊愈。此药产后即使无病,也宜服用,能养血去积滞。
治疗积聚宿食不消,胁肋坚硬,及心腹刺痛诸病的,用礞石丸方:
礞石(研细半两)、砂(一两,用三升米醋化开)、巴豆霜(一两半)、京三棱(醋浸一夜煨制一两)、大黄(煨制锉碎一两半)、木香、槟榔(锉碎)、肉豆蔻(去核)、猪牙皂荚(去皮炒制)、桂(去掉粗皮)、干姜(炮制)、丁香、芫花(醋浸一夜炒至微有烟)、蓬莪术(炮制,各一两)、青橘皮(去白瓤焙干)、白豆蔻(去皮)、墨(烧过八分过,各半两)、胡椒、粉霜(研细,各一分)、白面(二两,用半升酒化开)。
以上二十味药,捣研各自成末。先用...砂合巴豆用醋煮两个时辰左右,投入礞石和三棱,又投入酒面,又投入大黄,每步间隔皆约半个时辰,然后投入众药,熬成稠膏,制成如绿豆大小的药丸。每次服用三丸,饮酒送服。凡是坚积饮食所伤,皆能治愈。
治疗肋下结块,连心腹痛,吃冷物即加剧的,用鳖甲散方:
鳖甲(去掉裙边,醋炙制)、蒺藜子(炒制去掉角,各二两)、黄芩(去掉黑心半两)、桂(去掉粗皮一两)、柴胡(去掉苗)、桔梗(炒制)、当归(切后焙干)、牛膝(酒浸切后焙干)、芍药、赤茯苓(去掉黑心)、大黄(锉碎醋拌炒制)、人参、陈橘皮(热水浸泡后去白瓤焙干)、槟榔(锉碎)、诃黎勒(煨制去核,各二分)。
以上十五味药。捣碎过筛成散剂。每次服用二钱匕,用煮枣汤调服。
[Dissertation] When food enters the stomach, it is transformed and transported by the Spleen. If there are already accumulations (Ji Ju) in the abdomen, and combined with improper nursing care and irregular eating habits, the Spleen and Stomach will become weaker, leading to slow digestion of food. This results in the disease of undigested retained food (Su Shi Bu Xiao). The manifestations include belching with a sour or rotten odor, and distension and fullness in the epigastrium accompanied by irritability.
To treat accumulations and undigested retained food, presenting with stagnation in the Zhongwan (CV12) region, irritability, fullness, shortness of breath, stabbing pain in the abdomen, belching, and loss of appetite, use the **Muxiang Wan** (Aucklandia Pill):
* *Muxiang Radix Aucklandiae* (Ban Liang)
* *Binglang Fructus Arecae* (Cui Yi Liang)
* *Chenju Pericarpium Citri Reticulatae* (Soaked in hot water, white pith removed, dried Ban Liang)
* *Dingxiang Flos Caryophylli* (Yi Fen)
* *Jingsanleng Rhizoma Curcumae* (Roasted Yi Liang)
* *Ganjiang Rhizoma Zingiberis* (Pao Yi Fen)
* *Peng'ezhu Rhizoma Curcumae Phaeocaulis* (Roasted Ban Liang)
* *Badou Semen Crotonis Tiglii* (Skin, core, and membrane removed, oil expressed Ban Qian)
* *Shahuang Minium* (Water-ground and powdered Ban Liang)
The above nine ingredients: except for those requiring grinding, crush and sieve into powder. Add *Badou* and *Shahuang*, grind until uniform. Use steamed dough soaked in hot water as a binder. Form pills the size of mung beans. Take 2–3 pills per dose, administered with warm ginger and tangerine peel decoction after meals.
For accumulations and undigested retained food, presenting with chest and diaphragm stuffiness, abdominal distension and pain, and inability to eat, use the **Dingxiang Wan** (Clove Pill):
* *Dingxiang Flos Caryophylli* (Yi Liang)
* *Qingju Pericarpium Citri Reticulatae Viride* (Soaked in hot water, white pith removed, dried Er Liang)
* *Guizi Cortex Cinnamomi* (Rough bark removed)
* *Ganjiang Rhizoma Zingiberis* (Pao)
* *Fuzii Radix et Rhizoma Aconiti Lateralis Preparata* (Cracked by heat, rough bark and umbilicus removed, each Yi Liang)
* *Peng'ezhu Rhizoma Curcumae Phaeocaulis* (Roasted and crushed)
* *Jingsanleng Rhizoma Curcumae* (Roasted and crushed)
* *Ganqi Resina Toxicodendri* (Stir-fried until smoke emerges, each Er Liang)
* *Zhuyazaojia Fructus Gleditsiae Sinensis* (Roasted in lard, skin and seeds removed)
* *Muxiang Radix Aucklandiae* (Each Yi Liang)
* *Qianniu Semen Pharbitidis* (Powdered Er Liang)
* *Mo Ink Stick* (Yi Liang; twelve ingredients processed separately into fine powder)
* *Shahuang Minium* (Ground with vinegar)
* *Dahuang Radix et Rhizoma Rhei* (Raw, powdered, each Er Liang)
* *Badou Semen Crotonis Tiglii* (Yi Liang, skin, core, and membrane removed, ground into paste)
The above fifteen ingredients: First, take the last three ingredients (*Shahuang*, *Badou*, *Dahuang*), place them in a stone pot, add vinegar, and boil *Shahuang* until hot. Add *Badou* frost first, boil for three minutes, then add *Dahuang* powder, and simmer into a paste. Mix with the powder of the previous twelve ingredients, pound thoroughly, and form pills the size of mung beans. For routine use, take 1–2 pills, swallowed with tea or water at will. To purge accumulations, take 7 pills with ginger decoction, adjusting dosage according to the patient's strength.
For accumulations and undigested retained food that stagnate and form masses, causing heart and abdominal pain, fatigue, drowsiness, and gradual emaciation with sallow complexion, use the **Muxiang Wan** (Aucklandia Pill):
* *Muxiang Radix Aucklandiae* (San Fen)
* *Peng'ezhu Rhizoma Curcumae Phaeocaulis*
* *Jingsanleng Rhizoma Curcumae* (These two roasted and crushed, each Yi Liang)
* *Badou Semen Crotonis Tiglii* (Skin, core, and membrane removed, oil expressed, 20 grains)
* *Dansha Cinnabaris* (Powdered San Fen)
The above five ingredients: Crush and sieve the first three into powder. Add *Badou* and *Dansha*, grind until uniform. Use vinegar-boiled wheat paste as a binder. Form pills the size of mung beans. Take 3–5 pills per dose, administered with ginger and tangerine peel decoction after meals and before bedtime.
For long-standing qi masses and undigested retained food, presenting with chest and diaphragm stuffiness, rebellious phlegm with nausea, loss of appetite, stabbing pain in the umbilical and abdominal regions, acid regurgitation, and dysphagia, use the **Xiaofen Qi Wan** (Small-Dose Qi-Regulating Pill):
* *Muxiang Radix Aucklandiae* (Yi Liang)
* *Binglang Fructus Arecae* (Crushed)
* *Chenju Pericarpium Citri Reticulatae* (Soaked in hot water, white pith removed, dried)
* *Lianshi Fructus Meliae Toosendan* (Crushed and stir-fried)
* *Ganjiang Rhizoma Zingiberis* (Pao)
* *Qingju Pericarpium Citri Reticulatae Viride* (Soaked in hot water, white pith removed, stir-fried, each Ban Liang)
* *Peng'ezhu Rhizoma Curcumae Phaeocaulis* (Soaked in vinegar overnight, roasted Yi Liang)
* *Badou Semen Crotonis Tiglii* (Skin, core, and membrane removed, oil expressed)
* *Banxia Rhizoma Pinelliae Preparatum* (Washed seven times in hot water to remove slipperiness, dried)
* *Dahuang Radix et Rhizoma Rhei* (Roasted and crushed, each Yi Fen)
The above eleven ingredients: Crush and grind into powder. Use vinegar-boiled wheat paste as a binder. Form pills the size of mung beans. Take 5–7 pills per dose, administered with warm ginger decoction after meals and before bedtime.
For purging stagnation, resolving retained food, and benefiting the chest and diaphragm, use the **Kuanzhong Wan** (Broad-Middle Pill):
* *Wutou Radix Aconiti Kusnezoffii Preparata* (Cracked by heat, rough bark and umbilicus removed)
* *Wuzhuyu Fructus Evodiae* (Soaked in hot water, dried and stir-fried)
* *Gaoliangjiang Rhizoma Alpiniae Officinarum*
* *Gansui Radix Euphorbiae Kansui* (Stir-fried with bran)
* *Dahuang Radix et Rhizoma Rhei*
* *Zhizi Fructus Gardeniae* (Er Ren, each Ban Liang)
* *Badou Semen Crotonis Tiglii* (Processed...)
The above seven ingredients: Crush and grind into powder. Use date flesh as a binder. Form pills the size of small mung beans. Take 1 pill per dose, administered with ginger and tangerine peel decoction.
For resolving accumulations, regulating qi, warming the stomach to stimulate appetite, and treating postprandial oppression and stuffiness in the heart and diaphragm, use the **Ruyi Wan** (As-You-Wish Pill):
* *Weilingxian Herba Clematidis* (Remove seedlings and soil)
* *Fuzii Radix et Rhizoma Aconiti Lateralis Cruda* (Raw, rough bark and umbilicus removed; these two each Ban Liang, ground into powder, soaked overnight in half a cup of good vinegar)
* *Shahuang Minium* (Finely ground San Fen)
* *Badou Semen Crotonis Tiglii* (21 grains, skin, core, and membrane removed, oil expressed; these two ground together, boiled with half a sheng of wine and half a sheng of vinegar, then simmered with the previous two ingredients into a paste)
* *Peng'ezhu Rhizoma Curcumae Phaeocaulis* (Roasted and crushed)
* *Muxiang Radix Aucklandiae* (Each Ban Liang)
* *Qingju Pericarpium Citri Reticulatae Viride* (Soaked in hot water, white pith removed, stir-fried, Yi Liang)
* *Dahuang Radix et Rhizoma Rhei* (Crushed and stir-fried, San Fen)
* *Chenqu Massa Medicamentosa Fermentata* (Stir-fried, Ban Liang)
* *Dingxiang Flos Caryophylli* (Yi Fen)
The above ten ingredients: Powder the last six ingredients. Mix with the paste made from the first four. Boil a small amount of vinegar separately, mix with ink juice, and combine to form pills the size of mung beans. Take 5–7 pills per dose, administered with ginger decoction.
For resolving stagnation, digesting retained food and phlegm-fluids, and treating chest and diaphragm stuffiness, use the **Guixiang Yunqi Wan** (Cinnamon and Aucklandia Qi-Regulating Pill):
* *Guipi Cortex Cinnamomi* (Rough bark removed)
* *Dingxipi Pericarpium Caryophylli*
* *Suosharen Fructus Amomi Rotundus*
* *Yizhi Fructus Alpiniae Oxyphyllae* (Skin removed, stir-fried)
* *Chenju Pericarpium Citri Reticulatae* (Soaked in hot water, white pith removed, dried)
* *Qingju Pericarpium Citri Reticulatae Viride* (Soaked in hot water, white pith removed, dried)
* *Binglang Fructus Arecae* (Crushed)
* *Muxiang Radix Aucklandiae*
* *Peng'ezhu Rhizoma Curcumae Phaeocaulis* (Roasted, each Yi Liang)
* *Wumei Fructus Mume* (With seeds, Yi Qian Ban)
* *Badou Semen Crotonis Tiglii* (Skin, core, and membrane removed, oil expressed, 64 grains)
The above eleven ingredients: Except for *Badou*, crush and sieve the rest into powder. Mix evenly. Use boiled wheat paste to form pills the size of sesame seeds. Take 7–10 pills per dose, swallowed with tea or wine at will, after meals.
To treat all types of stagnation and undigested retained food, rebellious phlegm with nausea, vomiting, diarrhea, cholera, diaphragmatic qi obstruction and fullness, flank distension, hiccups, heartache, and dysentery, it is suitable to take the **Jiqi Wan** (Accumulation-Qi Pill):
* *Daizhe Stone Haematitum* (Powdered)
* *Chishizhi Halloysitum Rubrum* (Powdered, each Yi Fen)
* *Daji Radix Euphorbiae Pekinensis*
* *Muxiang Radix Aucklandiae*
* *Longdan Radix et Rhizoma Gentianae* (Each Ban Liang)
* *Xingren Semen Armeniacae Amarum* (Soaked in hot water, skin and tips removed, 49 grains)
* *Badou Semen Crotonis Tiglii* (Processed...)
The above seven ingredients: Except for those to be ground separately, crush and sieve the rest into powder. Add *Xingren* and *Badou* frost, grind uniformly. Use wheat paste to form pills the size of sophora seeds. Take 3–5 pills per dose, administered with muxiang decoction after meals and before bedtime.
For long-standing latent stagnation, chest and diaphragm distension, stabbing pain in the heart and abdomen, indigestion, and blood-q pain in women, use the **Zichen Xiaoji Wan** (Purple Agarwood Accumulation-Resolving Pill):
* *Chenxiang Lignum Aquilariae Resinatum* (Crushed)
* *awei Resina Ferulae* (Dissolved in vinegar and ground)
* *Badoushuang Frostum Crotonis Tiglii* (Each Yi Liang)
* *Shahuang Minium* (Powdered Si Liang; these four ground together, boiled with one jin of honey and two zhan of wine into a paste, stored in a porcelain jar; add Dansha powder Er Liang)
* *Liuhuang Sulfur* (Powdered)
* *Qingju Pericarpium Citri Reticulatae Viride* (Soaked in hot water, white pith removed, dried)
* *Gaoliangjiang Rhizoma Alpiniae Officinarum*
* *Binglang Fructus Arecae* (Crushed)
* *Muxiang Radix Aucklandiae*
* *Renshen Radix Ginseng*
* *Guipi Cortex Cinnamomi* (Rough bark removed...)
The above fifteen ingredients: Boil the first four in honey and wine into a paste. Powder the remaining ingredients. Mix with the paste and pound thousands of times. Form pills the size of mung beans. Take 5–7 pills per dose, administered with warm tangerine peel decoction; if heartache, use warm wine; for women's blood-q pain, use Danggui decoction.
**Heishen Wan** (Black Divine Pill) for resolving accumulations, regulating qi, and promoting appetite:
* *Muxiang Radix Aucklandiae*
* *Shahuang Minium* (Powdered)
* *Peng'ezhu Rhizoma Curcumae Phaeocaulis* (Roasted and crushed)
* *Jingsanleng Rhizoma Curcumae* (Roasted and crushed, each Ban Liang)
* *Guipi Cortex Cinnamomi* (Rough bark removed)
* *Fuzii Radix et Rhizoma Aconiti Lateralis Preparata* (Cracked by heat, umbilicus and skin removed)
* *Ganjiang Rhizoma Zingiberis* (Pao)
* *Ganqi Resina Toxicodendri* (Crushed, stir-fried until smoke emerges)
* *Dahuang Radix et Rhizoma Rhei* (Roasted, ground separately into powder)
* *Qingju Pericarpium Citri Reticulatae Viride* (Soaked in hot water, white pith removed, dried)
* *Mo Ink Stick* (Burned)
* *Badou Semen Crotonis Tiglii* (Skin, core, and membrane removed, finely ground, oil expressed, each...)
The above twelve ingredients: Use one large bowl of good vinegar. First boil *Shahuang* until bubbling, add *Badou*, boil a few more times, then add *Dahuang* powder. Simmer into a paste. Powder the remaining herbs. Mix with the paste and pound into pills the size of radish seeds. Take 3–5 pills per dose, swallowed with tea or wine at will. To digest food and regulate qi, use ginger and tangerine peel decoction. For small intestine hernia, use fennel wine. For women's blood-q pain, use Danggui wine.
For accumulations and retained food/fluids not digesting, use the **Dingxiang Wan** (Clove Pill):
* *Dingxiang Flos Caryophylli*
* *Muxiang Radix Aucklandiae*
* *Chenxiang Lignum Aquilariae Resinatum* (Crushed)
* *Anshixiang Resina Liquidambaris*
* *Ruxiang Resina Olibani*
* *Shahuang Minium* (Ground separately)
* *Roudoukou Semen Myristicae* (Shell removed)
* *Guipi Cortex Cinnamomi* (Rough bark removed)
* *Jingsanleng Rhizoma Curcumae* (Roasted)
* *Danggui Radix Angelicae Sinensis* (Sliced and dried)
* *Chenju Pericarpium Citri Reticulatae* (Soaked in hot water, white pith removed, dried)
* *Binglang Fructus Arecae* (Crushed)
* *Bidengqie Fructus Schizonepetae* (Each Yi Liang)
* *Fuzii Radix et Rhizoma Aconiti Lateralis Preparata* (Cracked by heat, skin and umbilicus removed, Ban Liang)
* *Badou Semen Crotonis Tiglii* (10 grains...)
The above fifteen ingredients: First, soak *Anshixiang*, *Ruxiang*, and *Shahuang* in a small amount of wine for a long time, grind separately into a paste, then mix with *Badou*. Powder the remaining herbs. Use wine-boiled wheat paste to form pills the size of sesame seeds. Take 5–7 pills per dose, swallowed with cooked water. If severe qi pain, increase to 10 pills, administered with ginger decoction.
For accumulation qi stagnation, chest and diaphragm fullness, heart and abdominal pain, and indigestion, use the **Ruxiang Wan** (Frankincense Pill):
* *Ruxiang Resina Olibani* (Powdered)
* *Dingxiang Flos Caryophylli*
* *Muxiang Radix Aucklandiae* (Each Yi Liang)
* *Fuzii Radix et Rhizoma Aconiti Lateralis Preparata* (Cracked by heat, skin and umbilicus removed)
* *Wulingzhi Faex Trogopterori* (Powdered)
* *Ganjiang Rhizoma Zingiberis* (Pao, each Ban Liang)
* *Guipi Cortex Cinnamomi* (Rough bark removed)
* *Yuanhua Flos Genkwa* (Mixed with vinegar, stir-fried until scorched yellow)
* *Qingju Pericarpium Citri Reticulatae Viride* (Soaked in hot water, white pith removed, stir-fried, each San Fen)
* *Zhuyazaojia Fructus Gleditsiae Sinensis* (Skin removed, roasted in lard, Yi Liang)
* *Badou Semen Crotonis Tiglii* (Skin, core, and membrane removed, ground separately into paste, spread on new tile to express oil, take frost Yi Qian)
The above eleven ingredients: Except for *Ruxiang*, *Wulingzhi* powder, and *Badou* frost, crush and sieve the other eight into powder. Mix with the three aforementioned ingredients. Use aged yeast paste to form pills the size of mung beans. Take 2–3 pills per dose, administered with warm ginger decoction. Adjust according to deficiency or excess. Take after meals and before bedtime.
For accumulations,癖 masses, injuries from all causes, reduced appetite, and gradual emaciation with sallow complexion, use the **Rusheng Wan** (Like-Sage Pill):
* *Badou Semen Crotonis Tiglii* (Skin, core, and membrane removed, oil expressed, Yi Liang)
* *Dingxiang Flos Caryophylli* (San Qian)
* *Wumei Fructus Mume* (Core removed, Yi Qian Ban)
* *Ganqi Resina Toxicodendri* (Crushed, stir-fried until smoke emerges, Yi Liang)
* *Huashi Talcum* (Yi...)
The above five ingredients: First, crush and sieve the four ingredients into powder. Add *Badou*, grind uniformly. Use glutinous rice paste to pound thoroughly. Form pills the size of millet grains. Take 2–3 pills per dose, administered with a decoction corresponding to the ingested offending substance. Adjust according to deficiency or excess.
For digesting food, regulating qi, benefiting the chest and diaphragm, and treating stagnant accumulations, stabbing pain in the viscera, and reduced diet, use the **Muxiang Wan** (Aucklandia Pill):
* *Muxiang Radix Aucklandiae* (Powdered)
* *Dingxiang Flos Caryophylli* (Powdered)
* *Badou Semen Crotonis Tiglii* (Skin, core, and membrane removed, oil expressed, each Ban Liang)
* *Shahuang Minium* (Powdered Ban Liang)
* *Dazao Fructus Jujubae* (Skin and core removed)
* *Wumei Fructus Mume* (Removed...)
The above six ingredients: Mix white flour with water to make a thin pancake. Spread date flesh on the pancake. Mix the first four herb powders evenly and spread on top. Cover with more date flesh. Shape into buns. Roast around the edges over charcoal until the surface is charred black and the medicine is permeated. Remove, let cool on the ground to dissipate fire toxicity, break open, discard the charred skin. Grind the medicine with *Wumei* powder. Use thin wheat paste to form pills the size of broomcorn millet. Take 2–3 pills per dose, administered with ginger decoction after meals, or with a decoction corresponding to the offending substance.
For digesting food, regulating qi, benefiting the chest and diaphragm, and treating stagnant accumulations, stabbing pain in the viscera, and reduced diet, use the **Baxian Wan** (Eight Immortals Pill):
* *Jingsanleng Rhizoma Curcumae* (Roasted and crushed)
* *Peng'ezhu Rhizoma Curcumae Phaeocaulis* (Roasted and crushed)
* *Wulingzhi Faex Trogopterori* (Each Yi Liang)
* *Wumei Fructus Mume* (60 pieces, with seeds)
* *Suosharen Fructus Amomi Rotundus* (100 pieces, skin removed)
* *Ganqi Resina Toxicodendri* (Ban Liang, stir-fried until smoke emerges)
* *Badou Semen Crotonis Tiglii* (40 grains, skin removed, oil not expressed, ground)
* *Muxiang Radix Aucklandiae* (Yi Fen)
The above eight ingredients: Crush and sieve into powder. Add 3 spoons of sour millet rice into a mortar, pound 500–700 times. Form pills the size of mung beans. Take 5–7 pills per dose, administered with ginger decoction. Infants take 1 pill. To promote bowel movement, take 15 pills. Adjust according to deficiency or excess.
For expelling accumulations and digesting retained food, use the **Binglang Wan** (Areca Pill):
* *Binglang Fructus Arecae* (Raw, crushed, 2 pieces)
* *Badou Semen Crotonis Tiglii* (Skin, core, and membrane removed, stir-fried with bran, 21 grains)
* *Qingju Pericarpium Citri Reticulatae Viride* (Soaked in hot water, white pith removed, dried, Ban Liang)
* *Qianniu Semen Pharbitidis* (Stir-fried)
* *Dahuang Radix et Rhizoma Rhei* (...)
The above seven ingredients: Crush, grind, and sieve into powder. Use steamed dough soaked in hot water as a binder. Form pills the size of mung beans, coated with *Dansha*. Take 1–2 pills per dose, swallowed with warm water. To promote bowel movement for food stagnation, take 3–5 or 7–10 pills. Adjust according to deficiency or excess. Take on an empty stomach with scallion white decoction. After bowel movement, take Heqi Renshen Tang.
**Heqi Renshen Tang** (Harmonizing Qi and Ginseng Decoction):
* *Renshen Radix Ginseng*
* *Baifuling Poria* (Remove black skin)
* *Houpo Cortex Magnoliae Officinalis* (Remove rough bark, process with ginger juice)
* *Gancao Radix Glycyrrhizae Preparata* (Zhi)
* *Roudoukou Semen Myristicae* (Shell removed)
* *Chenju Pericarpium Citri Reticulatae* (Remove white pith, stir-fry with bran)
... [Text implies additional ingredients totaling ten]
The above ten ingredients: Crush into coarse powder. Take 2 qian bi per dose. Add one zhan of water, 3 slices of ginger, and 1 split jujube. Decoct to 7/10 volume. Strain and take warm.
For spleen-stomach deficiency-cold, deep-set accumulations, and undigested retained food, use the **Yizhi San** (Alpinia Powder):
* *Yizhi Fructus Alpiniae Oxyphyllae* (Skin removed, stir-fried)
* *Peng'ezhu Rhizoma Curcumae Phaeocaulis* (Roasted and crushed)
* *Jingsanleng Rhizoma Curcumae* (Roasted and crushed)
* *Qingju Pericarpium Citri Reticulatae Viride*
* *Chenju Pericarpium Citri Reticulatae* (Both soaked in hot water, white pith removed, stir-fried)
* *Baifuling Poria* (Remove black skin, each Yi Liang)
* *Renshen Radix Ginseng*
* *Gancao Radix Glycyrrhizae Preparata* (Zhi and crushed, each Ban Liang)
* *Muxiang Radix Aucklandiae* (Yi Fen)
* *Houpo Cortex Magnoliae Officinalis* (Remove rough bark, process with ginger juice, Yi Liang Yi Fen)
The above ten ingredients: Crush and sieve into powder. Take 1 qian bi per dose. Add a little salt. Take with boiling water. No specific timing required.
For long-standing accumulations and stagnation not digesting, or reverse flow vomiting, nausea, dry retching, and spleen-cold diseases, use the **Huoxiang Zhusan** (Agastache Decoction Powder):
* *Huoxiangye Herba Agastaches*
* *Muxiang Radix Aucklandiae*
* *Chenju Pericarpium Citri Reticulatae* (Soaked in hot water, white pith removed, dried)
* *Roudoukou Semen Myristicae* (Shell removed)
* *Helilepi Pericarpium Terminaliae Chebulae*
* *Renshen Radix Ginseng*
* *Baifuling Poria* (Remove rough bark)
* *Gancao Radix Glycyrrhizae Preparata* (Zhi)
* *Caodoukou Fructus Cardamomi* (Skin removed)
* *Maiya Fructus Hordei Germinatus* (Stir-fried)
* *Chenqu Massa Medicamentosa Fermentata* (Stir-fried, each Yi Liang)
* *Ganjiang Rhizoma Zingiberis* (Pao)
* *Gaoliangjiang Rhizoma Alpiniae Officinarum* (Crushed and stir-fried, each Ban Liang)
* *Houpo Cortex Magnoliae Officinalis* (Remove rough bark, ginger...)
The above fourteen ingredients: Crush and sieve into powder. Take 2 qian bi per dose. Add one zhan of water, 1 piece of smashed ginger. Decoct to 7/10 volume. Add a pinch of salt. Take hot. For watery diarrhea and intestinal wind/toxin retention, take with hot stale rice drink.
For various accumulations and undigested retained food, use the **Heihu Wan** (Black Tiger Pill):
* *Yuanhua Flos Genkwa* (Stir-fried)
* *Gansui Radix Euphorbiae Kansui* (Stir-fried)
* *Wutou Radix Aconiti Kusnezoffii Preparata* (Cracked by heat, skin and umbilicus removed)
* *Daji Radix Euphorbiae Pekinensis* (Stir-fried and crushed)
* *Jingsanleng Rhizoma Curcumae* (Roasted and crushed)
* *Qianniu Semen Pharbitidis* (Stir-fried)
* *Ganjiang Rhizoma Zingiberis* (Pao)
* *Chenju Pericarpium Citri Reticulatae* (...)
The above nine ingredients: Crush and sieve into powder. Use vinegar-boiled wheat paste to form pills the size of mung beans. Take 2 pills per dose. For digesting food, take with warm water. To expel stagnation, take with rice soup. For warm diseases and cold damage, take with ginger-vinegar decoction. For qi pain, take with mugwort decoction. For intrinsic organ qi deficiency, take with fried ...xiangzi wine. For malaria, take with peach branch decoction. For women's blood-q and labor qi, take with vinegar decoction. For tapeworms, take with beef soup decoction.
For all types of stagnation, digesting qi and food, tonifying true qi, expelling postpartum blood stasis, and tonifying deficiency, use the ...Sha Jian Wan (...Sand Decoction Pill):
* *Sha* (Select transparent stones without impurities, grind separately into powder)
* *Danggui Radix Angelicae Sinensis* (Soak in wine overnight, remove radicle, slice and dry)
* *Roucongrong Herba Cistanche* (Soak in wine overnight, slice thinly, dry...)
* *Tianxiong Radix Aconiti Kusnezoffii Preparata* (Boil in wine 500–700 times until soft, scrape...)
The above twelve ingredients: Grind into fine powder. Use non-fermented wine to boil wheat paste. Form pills the size of sophora seeds. Take 30 pills per dose, on an empty stomach and at noon, with warm wine. There was once a woman suffering from prolonged dysentery during the puerperium, very weak and critical, unresponsive to hundred remedies. The physician said: "Puerperal dysentery differs from ordinary dysentery. Ordinary dysentery can be stopped with astringent drugs, but puerperal dysentery arises from blood deficiency. Using astringents will further obstruct blood flow, worsening the dysentery." For postpartum dysentery, administer this pill, three times daily. The dysentery halved immediately and cured the next day. This pill is suitable even for postpartum women without illness, as it nourishes blood and resolves stagnation.
For accumulations and undigested retained food, hard hypochondriac regions, and stabbing pain in the heart and abdomen, use the **Mengshi Wan** (Calamine Pill):
* *Mengshi Calcinatum Magnetitum* (Powdered Ban Liang)
* *Sha* (Yi Liang, dissolved in three sheng of rice vinegar)
* *Badoushuang Frostum Crotonis Tiglii* (Yi Qian Ban)
* *Jingsanleng Rhizoma Curcumae* (Soaked in vinegar overnight, roasted Yi Liang)
* *Dahuang Radix et Rhizoma Rhei* (Roasted and crushed Yi Qian Ban)
* *Muxiang Radix Aucklandiae*
* *Binglang Fructus Arecae* (Crushed)
* *Roudoukou Semen Myristicae* (Core removed)
* *Zhuyazaojia Fructus Gleditsiae Sinensis* (Skin removed, stir-fried)
* *Guipi Cortex Cinnamomi* (Rough bark removed)
* *Ganjiang Rhizoma Zingiberis* (Pao)
* *Dingxiang Flos Caryophylli*
* *Yuanhua Flos Genkwa* (Soaked in vinegar overnight, stir-fried until slightly smoky)
* *Peng'ezhu Rhizoma Curcumae Phaeocaulis* (Pao, each Yi Liang)
* *Qingju Pericarpium Citri Reticulatae Viride* (White pith removed, dried)
* *Baidoukou Fructus Cardamomi Albescens* (Skin removed)
* *Mo Ink Stick* (Burned past 80%, each Ban Liang)
* *Hujiao Fructus Piperis Nigris*
* *Fenshuang Sublimated Arsenic Trioxide* (Powdered, each Yi Fen)
* *Baifun Flour* (Er Liang, dissolved in half a sheng of wine)
The above twenty ingredients: Grind each into powder. First, boil *Sha* and *Badou* in vinegar for about two hours. Add *Mengshi* and *Jingsanleng*. Then add wine-flour mixture. Then add *Dahuang*. Each step separated by about half an hour. Finally, add all other herbs. Simmer into a thick paste. Form pills the size of mung beans. Take 3 pills per dose, with wine. It cures all cases of firm accumulations and dietary injury.
For subcostal masses, pain radiating to the heart and abdomen, aggravated by cold food, use the **Biejia San** (Soft-shelled Turtle Powder):
* *Biejia Carapax et Plastrum Testudinis* (Remove skirt, roast with vinegar)
* *Jilizi Fructus Tribuli* (Stir-fried, remove spines, each Er Liang)
* *Huangqin Radix Scutellariae* (Remove black heart, Ban Liang)
* *Guipi Cortex Cinnamomi* (Rough bark removed, Yi Liang)
* *Chaihu Radix Bupleuri* (Remove seedlings)
* *Jiegeng Radix Platycodonis* (Stir-fried)
* *Danggui Radix Angelicae Sinensis* (Slice and dry)
* *Niuxi Radix Achyranthis Bidentatae* (Soak in wine, slice and dry)
* *Shaoyao Radix Paeoniae Alba*
* *Chifuling Poria* (Remove black heart)
* *Dahuang Radix et Rhizoma Rhei* (Crushed, mixed with vinegar, stir-fried)
* *Renshen Radix Ginseng*
* *Chenju Pericarpium Citri Reticulatae* (Soaked in hot water, white pith removed, dried)
* *Binglang Fructus Arecae* (Crushed)
* *Helile Fructus Terminaliae Chebulae* (Roasted, core removed, each Er Fen)
The above fifteen ingredients: Crush and sieve into powder. Take 2 qian bi per dose, taken with jujube decoction.