论曰黄帝针经曰,病有腹胀而泄者,为胃寒肠热。胃受寒,则气收不行而为胀满,肠间
客热则水谷不聚而为泄注,病本浊寒之气在上,清热之气在下,故胀而且泄。治胃寒肠热
,腹胀满闷,泄泻不止,诃黎勒汤方
诃黎勒(去核一两半) 大黄(锉炒半两) 青橘皮(汤浸去白焙半两) 干姜(炮一
分) 浓朴(去粗皮姜汁炙半两) 陈橘皮(汤浸去白焙半两) 高良姜(半两) 甘草(炮
一分) 防风(去叉一分) 枳壳(去瓤麸炒半两)
上一十味,粗捣筛,每服三钱匕,水一盏,入生姜枣,煎至七分,去滓温服,不计时候
治胃寒肠热,腹胀泄利,香橘丸方
丁香皮(六钱) 青橘皮(去白焙半两) 砂(研细水飞一分) 木香 京三棱(炮
锉) 蓬莪术(炮锉) 缩砂仁 桂(去粗皮) 陈橘皮(去白焙各半两) 巴豆(二十二
枚和皮同乌梅一处捣令匀烂) 乌梅(和核用二两)
上一十一味,捣罗为末,面糊和丸,如绿豆大,每服十五丸,温生姜橘皮汤下,食后服
治胃寒肠热,腹胀泄利,当归黄连丸方
当归(锉焙) 黄连(去须各二两) 木香 吴茱萸(汤洗焙干炒) 赤茯苓(去黑皮)
浓朴(去粗皮生
上七味,捣罗为末,炼蜜和丸,如梧桐子大,每服三十丸,食前米饮下,日三。
治胃寒肠热,腹胀泄利,大腹木香汤方
大腹(锉) 木香(锉) 半夏(汤洗七遍焙各二两) 枳壳(去瓤麸炒) 白术(锉
前胡去芦头) 白芷(锉) 桂(去粗皮) 陈橘皮(汤浸去白焙各一两) 延胡索 当归
(切焙) 甘草(炙锉) 旋复花 柴胡(去苗) 芍药(各半两) 干姜(炮) 人参(各
三分)
上一十七味,粗捣筛,每服三钱匕,水一盏,入生姜三片,枣三枚劈破,同煎至六分,
去滓稍热、食前服。
治胃寒肠热,腹胀泄利,和胃丸方
半夏(汤洗十遍切作片子) 牵牛子(炒各半分) 生姜(一两切作片子) 人参 矾
蝴蝶 藿香叶(
上七味,先将半夏牵牛生姜,于银石器内,慢火煮,候水尽焙干,与人参等药,同杵为
末,用生姜汁煮面糊和丸,如梧桐子大,每服二十丸,生姜米饮下,空心食前。
治胃寒肠热,腹胀泄利,调气温胃丸方
半夏(二两汤洗七遍焙干) 肉豆蔻(去壳) 桂(去粗皮) 人参(各半两) 诃黎
勒皮 高良姜(各一分) 木香 陈橘皮(汤浸去白焙) 蜜 枣肉(各一两) 生姜(自
然汁一盏入蜜枣熬为膏)
上一十一味,将八味捣罗为末,用姜蜜枣膏和丸,如梧桐子大,每服十丸,米饮下,生
姜汤亦得。
治胃寒肠热,腹胀泄利,浓朴丸方
浓朴(去粗皮姜汁炙一两半) 龙骨 诃黎勒(去核) 干姜(炮) 附子(炮裂去皮
脐) 黄连(去须)
上八味,捣罗为末,醋浸炊饼和丸,如梧桐子大,每服三十丸,空心煎茱萸汤下,米饮
亦得,日三。
治胃寒肠热,腹胀泄利,妙应丸方
乌头(去皮脐生用半两) 栀子(去皮一分) 干姜(生用一分)
上三味,捣罗为末,用生姜自然汁和丸,如梧桐子大,每服七丸,温酒下、食前,日二
论述说:《黄帝针经》指出,疾病中有腹胀且伴有泄泻的,属于胃寒肠热。胃受到寒邪侵袭,气机收敛而不能正常运行,从而导致腹部胀满;肠道间有客居的热邪,导致水谷不能正常聚化吸收,从而发生急迫的泄泻。病的根本在于浊寒之气位于上部(胃),清热之气位于下部(肠),所以出现既胀满又泄泻的症状。
治疗胃寒肠热,腹部胀满闷塞,泄泻不止,使用诃黎勒汤方:
诃黎勒(去除果核一两半)、大黄(切碎炒制半两)、青橘皮(用热水浸泡后去掉白色内层并焙干半两)、干姜(炮制一分)、浓朴(去掉粗糙外皮,用姜汁炙烤半两)、陈橘皮(用热水浸泡后去掉白色内层并焙干半两)、高良姜(半两)、甘草(炮制一分)、防风(去除叉状分枝部分一分)、枳壳(去除瓤麸炒半两)。
以上十味药,粗捣筛碎,每次服用三钱匕,用水一盏,加入生姜和枣,煎煮至七分满,滤去药渣,温服,不限定具体时间。
治疗胃寒肠热,腹部胀满泄利,使用香橘丸方:
丁香皮(六钱)、青橘皮(去掉白色内层焙干半两)、砂(研细后用水飞法处理一分)、木香、京三棱(炮制切碎)、蓬莪术(炮制切碎)、缩砂仁、桂(去掉粗糙外皮)、陈橘皮(去掉白色内层焙干各半两)、巴豆(二十二枚,带皮与乌梅一起捣烂均匀)、乌梅(带核使用二两)。
以上十一味药,捣碎过筛成粉末,用面糊调和做成丸子,大小如绿豆,每次服用十五丸,用温热的生姜橘皮汤送服,饭后服用。
治疗胃寒肠热,腹部胀满泄利,使用当归黄连丸方:
当归(切碎焙干)、黄连(去除须根各二两)、木香、吴茱萸(用热水洗净焙干炒制)、赤茯苓(去掉黑色外皮)、浓朴(去掉粗糙外皮生用)。
以上七味药,捣碎过筛成粉末,用炼蜜调和做成丸子,大小如梧桐子,每次服用三十丸,饭前用米饮送服,每日三次。
治疗胃寒肠热,腹部胀满泄利,使用大腹木香汤方:
大腹(切碎)、木香(切碎)、半夏(用热水清洗七遍后焙干各二两)、枳壳(去除瓤麸炒)、白术(切碎)、前胡(去掉芦头)、白芷(切碎)、桂(去掉粗糙外皮)、陈橘皮(用热水浸泡去掉白色内层焙干各一两)、延胡索、当归(切片焙干)、甘草(炙烤切碎)、旋复花、柴胡(去掉苗)、芍药(各半两)、干姜(炮制)、人参(各三分)。
以上十七味药,粗捣筛碎,每次服用三钱匕,用水一盏,加入生姜三片、枣三枚劈破,一同煎煮至六分满,滤去药渣,稍热时,饭前服用。
治疗胃寒肠热,腹部胀满泄利,使用和胃丸方:
半夏(用热水清洗十遍后切成片)、牵牛子(炒制各半分)、生姜(一两切成片)、人参、矾、蝴蝶、藿香叶(原文此处可能有缺字或排版问题,依原文列出)。
以上七味药,先将半夏、牵牛子、生姜放入银石器中,用慢火煮,待水烧干后焙干,再加入人参等药物,共同杵碎成粉末,用生姜汁煮面糊调和做成丸子,大小如梧桐子,每次服用二十丸,用生姜米饮送服,空腹饭前服用。
治疗胃寒肠热,腹部胀满泄利,使用调气温胃丸方:
半夏(二两,用热水清洗七遍后焙干)、肉豆蔻(去掉外壳)、桂(去掉粗糙外皮)、人参(各半两)、诃黎勒皮、高良姜(各一分)、木香、陈橘皮(用热水浸泡去掉白色内层焙干)、蜜、枣肉(各一两)、生姜(取自然汁一盏,加入蜜和枣熬制成膏)。
以上十一味药,将其中八味捣碎过筛成粉末,用姜蜜枣膏调和做成丸子,大小如梧桐子,每次服用十丸,用米饮送服,用生姜汤送服也可以。
治疗胃寒肠热,腹部胀满泄利,使用浓朴丸方:
浓朴(去掉粗糙外皮,用姜汁炙烤一两半)、龙骨、诃黎勒(去除果核)、干姜(炮制)、附子(炮裂后去掉外皮和脐部)、黄连(去除须根)。
以上八味药,捣碎过筛成粉末,用醋浸泡炊饼调和做成丸子,大小如梧桐子,每次服用三十丸,空腹时煎煮吴茱萸汤送服,用米饮送服也可以,每日三次。
治疗胃寒肠热,腹部胀满泄利,使用妙应丸方:
乌头(去掉外皮和脐部,生用半两)、栀子(去掉外皮一分)、干姜(生用一分)。
以上三味药,捣碎过筛成粉末,用生姜自然汁调和做成丸子,大小如梧桐子,每次服用七丸,用温酒送服,饭前服用,每日两次。
It is stated: The *Yellow Emperor's Classic of Acupuncture* (*Huangdi Zhenjing*) points out that among diseases, those presenting with abdominal distension and diarrhea are classified as Cold Stomach and Heat Intestine (Wei Han Chang Re). When the stomach is affected by cold pathogenic factors, Qi mechanism contracts and fails to circulate freely, resulting in abdominal fullness. When there is a resident heat pathogen in the intestines, water and grain cannot be properly gathered and transformed, leading to urgent diarrhea. The root of the disease lies in turbid cold Qi located in the upper part (Stomach) and clearing heat Qi located in the lower part (Intestines), thus causing both distension and diarrhea.
To treat Cold Stomach and Heat Intestine, abdominal distension and stuffiness, and unremitting diarrhea, use Heheli Tang Decoction (Heheli Tang):
Heheli (Fructus Chebulae, remove pits, 1 liang 5 qian); Dahuang (Rhei Radix et Rhizoma, cut and stir-fry, 0.5 liang); Qingjupi (Aurantii Fructus Viridis, soak in hot water, remove white pith, and bake dry, 0.5 liang); Ganjiang (Zingiberis Rhizoma, processed, 1 fen); Nongpo (Magnoliae Officinalis Cortex, remove rough bark, process with ginger juice, 0.5 liang); Chenjupi (Aurantii Fructus, soak in hot water, remove white pith, and bake dry, 0.5 liang); Gaoliangjiang (Alpiniae Officinarum Rhizoma, 0.5 liang); Gancao (Glycyrrhizae Radix et Rhizoma, processed, 1 fen); Fangfeng (Saposhnikoviae Radix, remove forked branches, 1 fen); Zhike (Aurantii Fructus Immaturus, remove pulp, stir-fry with bran, 0.5 liang).
The above ten herbs are coarsely crushed and sieved. Each dose consists of 3 qianbi, boiled with one zhan of water, adding slices of Shengjiang (Zingiberis Rhizoma) and three dates (Jujubae Fructus), until reduced to 7/10 volume. Strain and take warm, at any time.
To treat Cold Stomach and Heat Intestine, abdominal distension and diarrhea, use Xiangju Wan Pill (Xiangju Wan):
Dingxiangpi (Caryophylli Flos, 6 qian); Qingjupi (Aurantii Fructus Viridis, remove white pith and bake dry, 0.5 liang); Sha (Borneolum Syntheticum, grind fine and wash with water, 1 fen); Muxiang (Aucklandiae Radix); Jingsanleng (Sparganii Rhizoma, processed and cut); Peng'ezhu (Curcumae Phaeocaulis Rhizoma, processed and cut); Suosharen (Amomi Fructus Rotundus); Gui (Cinnamomi Ramulus, remove rough bark); Chenjupi (Aurantii Fructus, remove white pith and bake dry, each 0.5 liang); Badou (Crotonis Fructus, 22 seeds, with skin, pounded together with Wumei until uniform and soft); Wumei (Mume Fructus, used with pits, 2 liang).
The above eleven herbs are crushed, sifted into powder, and mixed with flour paste to form pills the size of mung beans. Each dose is 15 pills, taken after meals with warm ginger and orange peel decoction.
To treat Cold Stomach and Heat Intestine, abdominal distension and diarrhea, use Danggui Huanglian Wan Pill (Danggui Huanglian Wan):
Danggui (Angelicae Sinensis Radix, cut and bake dry); Huanglian (Coptidis Rhizoma, remove roots, each 2 liang); Muxiang (Aucklandiae Radix); Wuzhuyu (Evodiae Fructus, wash with hot water, bake dry, and stir-fry); Chifuling (Poria Cocos with Red Skin, remove black skin); Nongpo (Magnoliae Officinalis Cortex, remove rough bark, raw).
The above seven herbs are crushed, sifted into powder, and mixed with refined honey to form pills the size of paulownia seeds. Each dose is 30 pills, taken before meals with rice drink, three times daily.
To treat Cold Stomach and Heat Intestine, abdominal distension and diarrhea, use Dafux Muxiang Tang Decoction (Dafux Muxiang Tang):
Dafux (Arecae Pericarpium, cut); Muxiang (Aucklandiae Radix, cut); Banxia (Pinelliae Rhizoma, wash seven times with hot water and bake dry, each 2 liang); Zhike (Aurantii Fructus Immaturus, remove pulp, stir-fry with bran); Baizhu (Atractylodis Macrocephalae Rhizoma, cut); Qianhu (Peucedani Radix, remove rhizome head); Baizhi (Angelicae Dahuricae Radix, cut); Gui (Cinnamomi Ramulus, remove rough bark); Chenjupi (Aurantii Fructus, soak in hot water, remove white pith, and bake dry, each 1 liang); Yanhusuo (Corydalis Rhizoma); Danggui (Angelicae Sinensis Radix, slice and bake dry); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut); Xuanjinhua (Inulae Flos); Chaihu (Bupleuri Radix, remove seedlings); Shaoyao (Paeoniae Radix Alba, each 0.5 liang); Ganjiang (Zingiberis Rhizoma, processed); Renshen (Ginseng Radix, each 3 qian).
The above seventeen herbs are coarsely crushed and sieved. Each dose consists of 3 qianbi, boiled with one zhan of water, adding three slices of Shengjiang (Zingiberis Rhizoma) and three cracked dates (Jujubae Fructus), until reduced to 6/10 volume. Strain and take slightly warm before meals.
To treat Cold Stomach and Heat Intestine, abdominal distension and diarrhea, use Hewei Wan Pill (Hewei Wan):
Banxia (Pinelliae Rhizoma, wash ten times with hot water and slice); Qianniu (Pharbitidis Semen, stir-fried, each 0.5 fen); Shengjiang (Zingiberis Rhizoma, 1 liang, sliced); Renshen (Ginseng Radix); Fan (Alumen); Hudie (Papilio, likely referring to insect ingredient); Huoxiangye (Agastaches Herba).
The above seven herbs: First, boil Banxia (Pinelliae Rhizoma), Qianniu (Pharbitidis Semen), and Shengjiang (Zingiberis Rhizoma) in a silver or ceramic vessel over low heat until the water is exhausted, then bake dry. Mix with other herbs like Renshen (Ginseng Radix), pound into powder, and mix with wheat paste made from ginger juice to form pills the size of paulownia seeds. Each dose is 20 pills, taken on an empty stomach before meals with ginger rice drink.
To treat Cold Stomach and Heat Intestine, abdominal distension and diarrhea, use Tiaoqi Wenwei Wan Pill (Tiaoqi Wenwei Wan):
Banxia (Pinelliae Rhizoma, 2 liang, wash seven times with hot water and bake dry); Roudoukou (Myristicae Semen, remove shell); Gui (Cinnamomi Ramulus, remove rough bark); Renshen (Ginseng Radix, each 0.5 liang); Heheli Pi (Chebulae Fructus Cortex); Gaoliangjiang (Alpiniae Officinarum Rhizoma, each 1 fen); Muxiang (Aucklandiae Radix); Chenjupi (Aurantii Fructus, soak in hot water, remove white pith, and bake dry); Mi (Mel); Zaorou (Jujubae Pulpa, each 1 liang); Shengjiang (Zingiberis Rhizoma, natural juice 1 zhan, boiled with honey and date pulp into a paste).
The above eleven herbs: Pound eight of them into powder. Mix with the ginger-honey-date paste to form pills the size of paulownia seeds. Each dose is 10 pills, taken with rice drink; ginger decoction is also acceptable.
To treat Cold Stomach and Heat Intestine, abdominal distension and diarrhea, use Nongpo Wan Pill (Nongpo Wan):
Nongpo (Magnoliae Officinalis Cortex, remove rough bark, process with ginger juice, 1 liang 5 qian); Longgu (Fossil Bones); Heheli (Fructus Chebulae, remove pits); Ganjiang (Zingiberis Rhizoma, processed); Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, remove skin and umbilicus); Huanglian (Coptidis Rhizoma, remove roots).
The above eight herbs are crushed, sifted into powder, and mixed with vinegar-soaked steamed dough to form pills the size of paulownia seeds. Each dose is 30 pills, taken on an empty stomach with Evodia decoction; rice drink is also acceptable, three times daily.
To treat Cold Stomach and Heat Intestine, abdominal distension and diarrhea, use Miaoying Wan Pill (Miaoying Wan):
Wutou (Aconiti Radix, remove skin and umbilicus, raw, 0.5 liang); Zhizi (Gardeniae Fructus, remove skin, 1 fen); Ganjiang (Zingiberis Rhizoma, raw, 1 fen).
The above three herbs are crushed, sifted into powder, and mixed with fresh ginger juice to form pills the size of paulownia seeds. Each dose is 7 pills, taken before meals with warm wine, twice daily.