论曰胃为水谷之海,冲气属焉,围而保之。则邪不能袭。若经气虚,风冷伤动。则逆乘
于心之络脉,痛归于心而腹胀,是为胃心痛也。
治胃心痛,腹胀满。口吐酸水,饮食无味,及一切气疾。荜澄茄丸方
荜澄茹 白豆蔻(去皮) 肉豆蔻(去壳) 木香 草豆蔻(去皮炒) 丁香 白术 缩
砂仁
附子(炮
裂去皮脐) 香子(舶上者炒) 槟榔(锉) 胡椒 干姜(炮) 阿魏(面裹煨去面各
一两)
青橘皮(汤浸去白焙) 陈橘皮(汤浸去白焙各二两) 甘草(炙四两)
上二十三味,捣罗为末,炼蜜和丸。樱桃大,每服一丸,细嚼温酒或盐汤下。妇人醋汤
下。
治胃心痛,腹胁虚胀,胸膈不利,痰逆不思食,呕吐酸水。沉香阿魏丸方
沉香(锉) 木香 丁香 荜澄茄 香子(炒) 青橘皮(汤浸去白焙) 干姜(炮)
陈橘
皮(汤浸去白焙) 槟榔(锉) 阿魏(醋和面裹煨熟去面研各等分)
上一十味,捣罗为末,炼蜜和丸,如樱桃大,研丹砂为衣,每服一丸,细嚼炒生姜盐汤
或温酒下。
治胃心痛。丁香汤方
丁香 肉豆蔻(去壳各半两) 干姜(炮裂) 青橘皮(汤浸去白焙) 藿香叶(各三
分) 麝
香(研半钱)
上六味,粗捣筛,每服二钱匕,酒一盏半,煎至七分,去滓温服。
治脾胃伤冷,心腹疼痛,霍乱吐泻。六气汤方
白术 高良姜(锉) 桂(去粗皮) 陈橘皮(汤浸去白焙) 香子(炒) 甘草(炙
各等分)
上六味,粗捣筛,每服三钱匕,水一盏,入生姜三片,煎至七分,去滓稍热服。
治胃心痛吐清水。上吐下泻,及一切冷痰。煨姜丸方
附子(大者二枚刀刻作一小口入 砂三分面裹煨面熟去面) 丁香(半两)
上二味,捣罗为末,新汲水和丸,梧桐子大,每服七丸。生姜一块切两片剜空。入药在
内,以湿纸裹煨。令姜软,和姜细嚼。盐汤下。
治胃心痛不止。丁香汤方
丁香(一分) 桂(去粗皮半两)
上二味。粗捣筛,每服二钱匕,酒一盏,煎至六分。去滓温服。
治胃气极冷,卒病心痛,吐逆寒痰,饮食不下。高良姜散方
高良姜三两
上一味,酒浸,纸裹入慢入内,煨令熟。捣罗为散,每服一钱匕,米饮调下。
论述说:胃是受纳水谷的器官,冲脉之气归属于它,环绕并保护着它。如果这样,邪气就不能侵袭。如果经脉之气虚弱,风冷之邪伤动机体,就会逆而上乘于心之络脉,疼痛归于心而伴有腹胀,这叫做胃心痛。
治疗胃心痛,表现为腹部胀满,口吐酸水,饮食无味,以及一切气机疾病。荜澄茄丸方:
荜澄茄、白豆蔻(去皮)、肉豆蔻(去壳)、木香、草豆蔻(去皮炒)、丁香、白术、缩砂仁、附子(炮制裂开,去皮和脐)、香子(来自海外的,炒制)、槟榔(锉碎)、胡椒、干姜(炮制)、阿魏(用面包裹煨熟后去掉面,各一两)、青橘皮(热水浸泡后去掉白色内瓤焙干)、陈橘皮(热水浸泡后去掉白色内瓤焙干,各二两)、甘草(炙制,四两)。
以上二十三味药,捣碎过筛成粉末,用炼蜜调和制成丸剂。大小如樱桃,每次服用一丸,细细咀嚼后用温酒或盐汤送服。妇女用醋汤送服。
治疗胃心痛,腹胁部虚胀,胸膈部不畅,痰气上逆不想进食,呕吐酸水。沉香阿魏丸方:
沉香(锉碎)、木香、丁香、荜澄茄、香子(炒制)、青橘皮(热水浸泡后去掉白色内瓤焙干)、干姜(炮制)、陈橘皮(热水浸泡后去掉白色内瓤焙干)、槟榔(锉碎)、阿魏(用醋调和面包裹煨熟后去掉面研细,各等分)。
以上十味药,捣碎过筛成粉末,用炼蜜调和制成丸剂,大小如樱桃,用丹砂粉末为衣,每次服用一丸,细细咀嚼后用炒生姜盐汤或温酒送服。
治疗胃心痛。丁香汤方:
丁香、肉豆蔻(去壳,各半两)、干姜(炮制裂开)、青橘皮(热水浸泡后去掉白色内瓤焙干)、藿香叶(各三分)、麝香(研细,半钱)。
以上六味药,粗捣筛过,每次服用二钱匕,加入一盏半酒,煎至七分,去掉药渣,温服。
治疗脾胃受寒损伤,心腹疼痛,霍乱吐泻。六气汤方:
白术、高良姜(锉碎)、桂枝(去掉粗皮)、陈橘皮(热水浸泡后去掉白色内瓤焙干)、香子(炒制)、甘草(炙制,各等分)。
以上六味药,粗捣筛过,每次服用三钱匕,加入一盏水,放入生姜三片,煎至七分,去掉药渣,稍热时服用。
治疗胃心痛吐出清水,上吐下泻,以及一切冷痰。煨姜丸方:
附子(大的两枚,用刀刻一个小口,放入硇砂三分,用面包裹煨熟后去掉面)、丁香(半两)。
以上两味药,捣碎过筛成粉末,用新汲水和丸,大小如梧桐子,每次服用七丸。取一块生姜切成两片,挖空中间,将药粉放入其中,用湿纸包裹煨烤。等到姜变软,连同姜一起细细咀嚼,用盐汤送服。
治疗胃心痛不止。丁香汤方:
丁香(一分)、桂枝(去掉粗皮,半两)。
以上两味药,粗捣筛过,每次服用二钱匕,加入一盏酒,煎至六分,去掉药渣,温服。
治疗胃气极冷,突然发病心痛,呕吐逆气寒痰,饮食无法下咽。高良姜散方:
高良姜三两。
以上一味药,用酒浸泡,用纸包裹放入慢火中,煨烤至熟。捣碎过筛成散剂,每次服用一钱匕,用米饮调服。
It is stated that the Stomach (Wei) is the sea of water and grain, with the Chong vessel's qi belonging to it, surrounding and protecting it. In this state, pathogenic factors cannot invade. If the channel qi is deficient, wind-cold may injure and disturb the body, causing rebellious qi to attack the collateral vessels of the Heart, resulting in pain localized to the Heart accompanied by abdominal distension; this is termed Stomach Heart Pain (Wei Xin Tong).
To treat Stomach Heart Pain characterized by abdominal fullness, regurgitation of sour fluid, loss of taste for food and drink, and all types of Qi disorders: Bichengqie Wan Formula.
Bichengqie (Fructus Galangae), Bai Doukou (Cardamomi Fructus Rotundus, peeled), Rou Doukou (Myristicae Semen, shelled), Muxiang (Aucklandiae Radix), Caodoukou (Alpiniae Katsumadai Semen, peeled and stir-fried), Dingxiang (Caryophylli Flos), Baizhu (Atractylodis Macrocephalae Rhizoma), Suosharen (Amomi Fructus), Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, peel and navel removed), Xiangzi (Bursae Fructus, from overseas, stir-fried), Binglang (Arecae Semen, sliced), Hujiao (Piperis Longi Fructus), Ganjiang (Zingiberis Rhizoma, processed), Awei (Ferulae Resina, wrapped in flour and baked, flour removed, each 1 liang), Qing Ju Pi (Citri Reticulatae Pericarpium Viride, soaked in hot water, white pith removed, dried), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried, each 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 4 liang).
The above twenty-three ingredients are pounded, sifted into powder, and mixed with refined honey to form pills the size of a cherry. Each dose consists of one pill, chewed thoroughly and taken down with warm wine or salted water. For women, take down with vinegar water.
To treat Stomach Heart Pain with deficiency-type distension of the abdomen and hypochondrium, discomfort in the chest and diaphragm, rebellious phlegm, anorexia, and vomiting of sour fluid: Chenxiang Awei Wan Formula.
Chenxiang (Aquilariae Lignum Resinatum, sliced), Muxiang (Aucklandiae Radix), Dingxiang (Caryophylli Flos), Bichengqie (Fructus Galangae), Xiangzi (Bursae Fructus, stir-fried), Qing Ju Pi (Citri Reticulatae Pericarpium Viride, soaked in hot water, white pith removed, dried), Ganjiang (Zingiberis Rhizoma, processed), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried), Binglang (Arecae Semen, sliced), Awei (Ferulae Resina, mixed with vinegar and flour, baked until cooked, flour removed and ground, equal parts).
The above ten ingredients are pounded, sifted into powder, and mixed with refined honey to form pills the size of a cherry, coated with Cinnabar (Zhusha) powder. Each dose consists of one pill, chewed thoroughly and taken down with stir-fried ginger salted water or warm wine.
To treat Stomach Heart Pain: Dingxiang Tang Decoction.
Dingxiang (Caryophylli Flos), Rou Doukou (Myristicae Semen, shelled, each half liang), Ganjiang (Zingiberis Rhizoma, processed until cracked), Qing Ju Pi (Citri Reticulatae Pericarpium Viride, soaked in hot water, white pith removed, dried), Huoxiang Ye (Agastaches Herba, each 3 fen), Shexiang (Moschus, ground, half qian).
The above six ingredients are coarsely pounded and sieved. Each dose consists of two qian bi, added to one and a half zhan of wine, decocted until reduced to seven-tenths, strained, and taken warm.
To treat Cold Injury to the Spleen and Stomach, pain in the heart and abdomen, cholera with vomiting and diarrhea: Liuqi Tang Decoction.
Baizhu (Atractylodis Macrocephalae Rhizoma), Gaoliangjiang (Alpiniae Officinarum Rhizoma, sliced), Gui (Cinnamomi Ramulus, outer bark removed), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried), Xiangzi (Bursae Fructus, stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, equal parts).
The above six ingredients are coarsely pounded and sieved. Each dose consists of three qian bi, added to one zhan of water, with three slices of fresh ginger, decocted until reduced to seven-tenths, strained, and taken slightly warm.
To treat Stomach Heart Pain with vomiting of clear water, simultaneous vomiting and diarrhea, and all types of cold-phlegm: Weijiang Wan Pill.
Fuzi (Aconiti Lateralis Radix Praeparata, two large ones, scored with a knife to make a small incision, insert Naosha (Sal Ammoniac) 3 fen, wrapped in flour and baked until cooked, flour removed), Dingxiang (Caryophylli Flos, half liang).
The above two ingredients are pounded, sifted into powder, and mixed with fresh well-water to form pills the size of a Sophora japonica seed. Each dose consists of seven pills. Take a piece of fresh ginger, cut into two slices, hollow out the center, place the medicine inside, wrap in wet paper, and bake until the ginger is soft. Chew thoroughly with the ginger and take down with salted water.
To treat persistent Stomach Heart Pain: Dingxiang Tang Decoction.
Dingxiang (Caryophylli Flos, 1 fen), Gui (Cinnamomi Ramulus, outer bark removed, half liang).
The above two ingredients are coarsely pounded and sieved. Each dose consists of two qian bi, added to one zhan of wine, decocted until reduced to six-tenths, strained, and taken warm.
To treat extreme cold of Stomach Qi, sudden onset of Heart Pain, vomiting with rebellious Qi and cold-phlegm, inability to swallow food and drink: Gaoliangjiang San Powder.
Gaoliangjiang (Alpiniae Officinarum Rhizoma, 3 liang).
The above single ingredient is soaked in wine, wrapped in paper, and baked slowly over low heat until cooked. Pounded, sifted into powder. Each dose consists of one qian bi, taken down with rice water.