论曰胃气盛实,则壅涩不宣,蕴积生热,令人口干烦渴,面目悉黄,谵妄狂越,身热多
汗,腹胁坚满,大便秘难,皆其证也。
治胃气实热,唇焦口干,引饮不止,赤芍药汤方
赤芍药 生干地黄(焙各一两) 大黄(锉炒) 草(炙各半两)
上四味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服日再。
治胃气实热,口舌干燥,头痛烦渴,黄芩汤方
黄芩(去黑心) 柴胡(去苗各一两) 葛根(锉) 赤芍药(各三分) 甘草(炙半
两) 石膏(碎二两)
上六味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时。
治胃气实热,烦躁多渴,黄连丸方
黄连(去须) 赤茯苓(去黑皮各三分) 麦门冬(去心焙一两) 苦参(半两)
上四味,捣罗为末,炼蜜丸如梧桐子大,每服二十丸,食后临卧煎竹叶汤下。
治胃气实热,头痛寒热,状如温疟,唇口干燥,黄芩栀子汤方
黄芩(去黑心) 栀子仁 犀角(镑) 赤茯苓(去黑皮) 射干(各一两) 大黄(锉
炒半两)
上六味,粗捣筛,每服五钱匕,水二盏,煎至一盏,次入生地黄汁半合,蜜一匙,搅匀
更煎数沸,去滓食后温服。
治胃气实热,唇口干燥,头昏体倦,五心烦热,地骨皮汤方
地骨皮(二两) 防风(去叉) 甘草(炙各一两)
上三味,粗捣筛,每服三钱匕,水一盏半,煎至一盏,去滓食后温服。
治胃实热呕哕,吐逆不食,头痛烦渴,犀角饮方
犀角(镑) 枇杷叶(炙去毛) 葛根(锉) 麦门冬(去心焙各一两)
上四味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服不拘时。
治胃实热气盛,消谷善饥,头目昏痛,衄血烦渴,黄连丸方
黄连(去须) 栝蒌(根) 麦门冬(去心焙) 知母(焙) 茯神(去木各一两)
上五味,捣罗为末,炼蜜丸如梧桐子大,每服三十丸,温熟水下,不拘时。
治胃实热烦渴,咽干吐逆,葛根汤方
葛根(锉十两) 甘草(炙三两) 半夏(二两生姜汁升同煮软半盏浆水半切焙干) 黄
连(去须一两
上四味,粗捣筛,每服三钱匕,水一盏,生姜二片,竹茹少许,同煎至七分,去滓温服
,不拘时。
治胃实热,干呕烦闷,目黄燥渴,前胡汤方
前胡(去芦头一两半) 茅根(锉二两) 麦门冬(去心焙) 甘草(炙各一两) 黄
芩(去黑心半两
上五味,粗捣筛,每服二钱匕,水一盏,煎至七分,去滓温服,不拘时。
治胃实热,升麻栀子汤方
升麻(锉) 栀子仁 射干 赤茯苓(去黑皮各三两) 白术(五两) 芍药(四两)
上六味, 咀,如麻豆大,每服五钱匕,水一盏,煎至八分,入地黄汁一合,赤蜜一匙
,更煎一二沸,去滓温服。
治胃中实热,吐逆心烦,不下食饮,姜蜜饮方
生姜(半两取自然汁) 白蜜(一合) 糯米(半合淘净细研)
上三味,和匀,入新汲水一盏调开,分二服,不拘时。
治胃气盛实,壅涩不宣,蕴积为热,口干烦渴,地黄饮方
生地黄(汁)生姜(汁) 藕节(汁) 生蜜(各二合)
上四味,调和令匀,分作三服,不拘时候。
治胃腑实热发渴,饮水浆不止,茯神饮方
茯神(去木一两) 栝蒌根 麦门冬(去心焙各二两半) 葳蕤 知母(焙各二两)
上五味,粗捣筛,每服先以水三盏,煮小麦一合,淡竹叶一合,十余沸去滓,然后下药
末五钱匕,生地黄半分切,枣三枚劈破,同煎至一盏,去滓温呷。
治胃气实热,苦头痛汗不出,口中干燥,通热汤方
人参(二两) 白茯苓(去黑皮一两) 甘草(炙一分) 柴胡(去苗一两) 葛根(锉
一两) 麻黄(去根节
上九味,粗捣筛,每服三钱匕,水一盏,生姜三片,煎取七分,去滓温服。
论述说:胃气充盛而实热,会导致气机壅滞、涩滞不通,郁积而生内热,从而出现口干烦渴、面目全部发黄、胡言乱语、狂躁越常、身体发热且多汗、腹部和胁肋部坚硬胀满、大便秘结困难等症状,这些都是其证候表现。
治疗胃气实热,嘴唇焦枯、口干舌燥、饮水不止的赤芍药汤方:
赤芍药、生干地黄(焙干)各一两,大黄(锉碎炒制)、甘草(炙制)各半两。
以上四味药,粗捣筛过,每次服用三钱匕,用水一盏,煎煮至七分,去渣后温服,每日两次。
治疗胃气实热,口舌干燥、头痛、烦渴的黄芩汤方:
黄芩(去除黑心部分)、柴胡(去苗)各一两,葛根(锉碎)、赤芍药各三分,甘草(炙制)半两,石膏(打碎)二两。
以上六味药,粗捣筛过,每次服用三钱匕,用水一盏,煎煮至七分,去渣后温服,不限时间。
治疗胃气实热,烦躁多渴的黄连丸方:
黄连(去须)、赤茯苓(去黑皮)各三分,麦门冬(去心焙干)一两,苦参半两。
以上四味药,捣碎罗筛成粉末,用炼蜜制成梧桐子大小的丸剂,每次服用二十丸,饭后及睡前用竹叶汤送服。
治疗胃气实热,头痛、寒热往来,症状像温疟,嘴唇口舌干燥的黄芩栀子汤方:
黄芩(去除黑心部分)、栀子仁、犀角(镑片)、赤茯苓(去黑皮)、射干各一两,大黄(锉碎炒制)半两。
以上六味药,粗捣筛过,每次服用五钱匕,用水二盏,煎煮至一盏,然后加入生地黄汁半合、蜂蜜一匙,搅拌均匀再煎煮数沸,去渣后饭后温服。
治疗胃气实热,嘴唇口舌干燥、头昏身体疲倦、五心烦热的地骨皮汤方:
地骨皮二两,防风(去叉刺)、甘草(炙制)各一两。
以上三味药,粗捣筛过,每次服用三钱匕,用水一盏半,煎煮至一盏,去渣后饭后温服。
治疗胃实热引起的呕吐呃逆、吐逆不能进食、头痛烦渴的犀角饮方:
犀角(镑片)、枇杷叶(炙制去毛)、葛根(锉碎)、麦门冬(去心焙干)各一两。
以上四味药,粗捣筛过,每次服用三钱匕,用水一盏,煎煮至七分,去渣后温服,不限时间。
治疗胃实热气盛,消谷善饥(吃得多饿得快),头目昏痛,鼻出血、烦渴的黄连丸方:
黄连(去须)、栝蒌根、麦门冬(去心焙干)、知母(焙干)、茯神(去木心)各一两。
以上五味药,捣碎罗筛成粉末,用炼蜜制成梧桐子大小的丸剂,每次服用三十丸,用温开水送服,不限时间。
治疗胃实热烦渴、咽干吐逆的葛根汤方:
葛根(锉碎)十两,甘草(炙制)三两,半夏(二两,用生姜汁半升同煮至软,再用浆水半升切焙干),黄连(去须)一两。
以上四味药,粗捣筛过,每次服用三钱匕,用水一盏,生姜两片,竹茹少许,同煎煮至七分,去渣后温服,不限时间。
治疗胃实热,干呕烦闷,眼睛发黄、燥渴的前胡汤方:
前胡(去芦头)一两半,茅根(锉碎)二两,麦门冬(去心焙干)、甘草(炙制)各一两,黄芩(去除黑心部分)半两。
以上五味药,粗捣筛过,每次服用二钱匕,用水一盏,煎煮至七分,去渣后温服,不限时间。
治疗胃实热的升麻栀子汤方:
升麻(锉碎)、栀子仁、射干、赤茯苓(去黑皮)各三两,白术五两,芍药四两。
以上六味药,切碎如麻豆大小,每次服用五钱匕,用水一盏,煎煮至八分,加入地黄汁一合、赤蜜一匙,再煎煮一二沸,去渣后温服。
治疗胃中实热,吐逆心烦,不能进食饮水的姜蜜饮方:
生姜(半两,取自然汁)、白蜜(一合)、糯米(半合,淘净细研)。
以上三味药,混合均匀,加入新汲水一盏调开,分两次服用,不限时间。
治疗胃气盛实,壅滞涩滞不通,郁积为热,口干烦渴的地黄饮方:
生地黄(汁)、生姜(汁)、藕节(汁)、生蜜各二合。
以上四味药,调和均匀,分三次服用,不限时候。
治疗胃腑实热导致口渴,饮水浆不止的茯神饮方:
茯神(去木心)一两,栝蒌根、麦门冬(去心焙干)各二两半,葳蕤、知母(焙干)各二两。
以上五味药,粗捣筛过,每次先用水三盏,煮小麦一合、淡竹叶一合,煮沸十余次后去渣,然后加入药末五钱匕、生地黄半分切块、枣三枚劈破,同煎煮至一盏,去渣后温饮。
治疗胃气实热,剧烈头痛无汗,口中干燥的通热汤方:
人参二两,白茯苓(去黑皮)一两,甘草(炙制)一分,柴胡(去苗)一两,葛根(锉碎)一两,麻黄(去根节)……(原文此处截断,未列全其余药材及剂量,仅列出已提及部分)
以上九味药(注:原文列举不足九味即结束,依原文记录),粗捣筛过,每次服用三钱匕,用水一盏,生姜三片,煎取七分,去渣后温服。
Commentary states: When Stomach Qi is abundant and excessive, it leads to stagnation and obstruction, causing heat to accumulate from郁积 (accumulation). This results in symptoms such as dry mouth with irritability and thirst, yellowing of the face and eyes, delirium and mania, body fever with profuse sweating, hardness and fullness in the abdomen and hypochondrium, and difficult constipation. These are all its manifestations.
Chishao Yao Tang (Red Peony Root Decoction) for treating Stomach Qi excess-heat, with cracked lips, dry mouth, and incessant drinking:
Chi Shao Yao (Radix Paeoniae Rubra), Sheng Gan Di Huang (Fried Radix Rehmanniae Preparata) each 1 liang; Da Huang (Rhizoma Rhei, crushed and stir-fried), Gan Cao (Radix Glycyrrhizae Preparata) each 0.5 liang.
The above four herbs are coarsely pounded and sifted. Each dose consists of 3 qian bi (approx. 9g), boiled in 1 sheng (approx. 200ml) of water until reduced to 0.7 sheng. Strain and take warm, twice daily.
Huang Qin Tang (Scutellaria Decoction) for treating Stomach Qi excess-heat, with dry mouth and tongue, headache, irritability, and thirst:
Huang Qin (Radix Scutellariae, remove black heart), Chai Hu (Radix Bupleuri, remove seedlings) each 1 liang; Ge Gen (Puerariae Lobatae Radix, crushed), Chi Shao Yao (Radix Paeoniae Rubra) each 0.3 fen; Gan Cao (Radix Glycyrrhizae Preparata) 0.5 liang; Shi Gao (Gypsum Fibrosum, crushed) 2 liang.
The above six herbs are coarsely pounded and sifted. Each dose consists of 3 qian bi, boiled in 1 sheng of water until reduced to 0.7 sheng. Strain and take warm, at any time.
Huang Lian Wan (Coptis Pill) for treating Stomach Qi excess-heat, with irritability and excessive thirst:
Huang Lian (Rhizoma Coptidis, remove stamens), Chi Fu Ling (Poria Cum Radix, remove black skin) each 0.3 fen; Mai Men Dong (Radix Ophiopogonis, remove heart, fried) 1 liang; Ku Shen (Radix Sophorae Flavescentis) 0.5 liang.
The above four herbs are pounded, sieved into powder, and made into pills the size of paulownia seeds using refined honey. Each dose is 20 pills, taken after meals and before bed with Zhu Ye Tang (Bamboo Leaf Decoction).
Huang Qin Zhi Zi Tang (Scutellaria and Gardenia Decoction) for treating Stomach Qi excess-heat, with headache, alternating chills and fever resembling Warm Malaria (Wen Nue), and dry lips and mouth:
Huang Qin (Radix Scutellariae, remove black heart), Zhi Zi Ren (Semen Gardeniae), Xi Jiao (Cornu Rhinocerotis, shaved), Chi Fu Ling (Poria Cum Radix, remove black skin), She Gan (Belamcandae Rhizoma) each 1 liang; Da Huang (Rhizoma Rhei, crushed and stir-fried) 0.5 liang.
The above six herbs are coarsely pounded and sifted. Each dose consists of 5 qian bi, boiled in 2 sheng of water until reduced to 1 sheng. Then add Ban He (approx. 15ml) of Sheng Di Huang Zhi (Fresh Juice of Radix Rehmanniae) and one spoonful of honey, mix well, boil a few more times, strain, and take warm after meals.
Di Gu Pi Tang (Cortex Lycii Decoction) for treating Stomach Qi excess-heat, with dry lips and mouth, dizziness, fatigue, and five-palm heat (warming sensation in palms, soles, and chest):
Di Gu Pi (Cortex Lycii) 2 liang; Fang Feng (Radix Saposhnikoviae, remove forked roots), Gan Cao (Radix Glycyrrhizae Preparata) each 1 liang.
The above three herbs are coarsely pounded and sifted. Each dose consists of 3 qian bi, boiled in 1.5 sheng of water until reduced to 1 sheng. Strain and take warm after meals.
Xi Jiao Yin (Rhinoceros Horn Drink) for treating Stomach excess-heat causing vomiting and hiccups, inability to eat due to retching, headache, and thirst:
Xi Jiao (Cornu Rhinocerotis, shaved), Pi Pa Ye (Folium Eriobotryae, prepared and de-hairy), Ge Gen (Puerariae Lobatae Radix, crushed), Mai Men Dong (Radix Ophiopogonis, remove heart, fried) each 1 liang.
The above four herbs are coarsely pounded and sifted. Each dose consists of 3 qian bi, boiled in 1 sheng of water until reduced to 0.7 sheng. Strain and take warm, at any time.
Huang Lian Wan (Coptis Pill) for treating Stomach excess-heat with vigorous Qi, polyphagia (rapid digestion and hunger), dizziness and pain in head and eyes, epistaxis, and thirst:
Huang Lian (Rhizoma Coptidis, remove stamens), Gua Lou Gen (Radix Trichosanthis), Mai Men Dong (Radix Ophiopogonis, remove heart, fried), Zhi Mu (Rhizoma Anemarrhenae, fried), Fu Shen (Poria with Pine Root, remove wood) each 1 liang.
The above five herbs are pounded, sieved into powder, and made into pills the size of paulownia seeds using refined honey. Each dose is 30 pills, taken with warm cooked water, at any time.
Ge Gen Tang (Kudzu Decoction) for treating Stomach excess-heat with irritability and thirst, dry throat, and vomiting:
Ge Gen (Puerariae Lobatae Radix, crushed) 10 liang; Gan Cao (Radix Glycyrrhizae Preparata) 3 liang; Ban Xia (Rhizoma Pinelliae) 2 liang (boiled soft with 0.5 sheng of Sheng Jiang Zhi [Ginger Juice], then dried with 0.5 sheng of Jiang Shui [Fermented Rice Water]); Huang Lian (Rhizoma Coptidis, remove stamens) 1 liang.
The above four herbs are coarsely pounded and sifted. Each dose consists of 3 qian bi, boiled with 1 sheng of water, 2 slices of Sheng Jiang (Fresh Ginger), and a little Zhu Ru (Bambusae Caulis in Taeniam) until reduced to 0.7 sheng. Strain and take warm, at any time.
Qian Hu Tang (Peucedani Radix Decoction) for treating Stomach excess-heat with dry heaving, irritability, jaundice, and dry thirst:
Qian Hu (Peucedani Radix, remove rhizome) 1.5 liang; Mao Gen (Imperatae Rhizoma, crushed) 2 liang; Mai Men Dong (Radix Ophiopogonis, remove heart, fried), Gan Cao (Radix Glycyrrhizae Preparata) each 1 liang; Huang Qin (Radix Scutellariae, remove black heart) 0.5 liang.
The above five herbs are coarsely pounded and sifted. Each dose consists of 2 qian bi, boiled in 1 sheng of water until reduced to 0.7 sheng. Strain and take warm, at any time.
Sheng Ma Zhi Zi Tang (Cimicifugae and Gardenia Decoction) for treating Stomach excess-heat:
Sheng Ma (Cimicifugae Rhizoma, crushed), Zhi Zi Ren (Semen Gardeniae), She Gan (Belamcandae Rhizoma), Chi Fu Ling (Poria Cum Radix, remove black skin) each 3 liang; Bai Zhu (Atractylodis Macrocephalae Rhizoma) 5 liang; Shao Yao (Radix Paeoniae Alba) 4 liang.
The above six herbs are chopped to the size of hemp or beans. Each dose consists of 5 qian bi, boiled in 1 sheng of water until reduced to 0.8 sheng. Add Yi Di Huang Zhi (Juice of Radix Rehmanniae) 1 he and Chi Mi (Red Honey) one spoonful, boil for one or two more boils, strain, and take warm.
Jiang Mi Yin (Ginger and Honey Drink) for treating Middle Jiao excess-heat with retching, irritability, and inability to ingest food or drink:
Sheng Jiang (Fresh Ginger, 0.5 liang, extract natural juice), Bai Mi (White Honey) 1 he, Nuomi (Glutinous Rice) 0.5 he (washed clean and finely ground).
The above three ingredients are mixed evenly, diluted with 1 sheng of fresh drawn water, divided into two doses, taken at any time.
Di Huang Yin (Rehmannia Drink) for treating Stomach Qi abundance and excess, stagnation and obstruction not venting, accumulation turning into heat, dry mouth, and irritability/thirst:
Sheng Di Huang Zhi (Juice of Fresh Radix Rehmanniae), Sheng Jiang Zhi (Juice of Fresh Ginger), Ou Jie Zhi (Juice of Lotus Rhizome Node), Sheng Mi (Raw Honey) each 2 he.
The above four ingredients are mixed evenly, divided into three doses, taken at any time.
Fu Shen Yin (Poria Drink) for treating Fu Organ excess-heat causing thirst and incessant drinking:
Fu Shen (Poria with Pine Root, remove wood) 1 liang; Gua Lou Gen (Radix Trichosanthis), Mai Men Dong (Radix Ophiopogonis, remove heart, fried) each 2.5 liang; Wei Yu (Polygonati Odorati Rhizoma), Zhi Mu (Rhizoma Anemarrhenae, fried) each 2 liang.
The above five herbs are coarsely pounded and sifted. For each dose, first boil 3 sheng of water with 1 he of Xiao Mai (Triticum Vulgare) and 1 he of Dan Zhu Ye (Lophatheri Herba) for about ten boils, then strain. Add 5 qian bi of the herb powder, 0.5 fen of cut Sheng Di Huang (Radix Rehmanniae), and 3 broken dates, boil together until reduced to 1 sheng. Strain and sip warm.
Tong Re Tang (Heat-Passing Decoction) for treating Stomach Qi excess-heat, severe headache with no sweat, and dry mouth:
Ren Shen (Ginseng Radix et Rhizoma) 2 liang; Bai Fu Ling (Poria, remove black skin) 1 liang; Gan Cao (Radix Glycyrrhizae Preparata) 1 fen; Chai Hu (Radix Bupleuri, remove seedlings) 1 liang; Ge Gen (Puerariae Lobatae Radix, crushed) 1 liang; Ma Huang (Ephedrae Herba, remove root and joints)... (Original text cuts off here, listing only these ingredients though claiming nine total).
The above nine herbs (note: original text lists fewer than nine before ending) are coarsely pounded and sifted. Each dose consists of 3 qian bi, boiled in 1 sheng of water with 3 slices of Sheng Jiang (Fresh Ginger) until 0.7 sheng remains. Strain and take warm.