论曰∶内经谓人病胃脘痈者，当候胃脉，其脉沉细者气逆，气逆者，人迎甚盛，甚盛则
热，人迎者，胃脉也。逆而盛，则热聚于胃口而不行，故胃脘为痈也。夫阴阳升降，则营卫
流
以
咳
治热聚胃脘，留结为痈。连翘升麻汤方
连翘 升麻 射干（去毛） 独活（去芦头） 桑寄生 木通（锉各二两半） 大黄（锉
微炒
二两以上捣为粗末） 木香 沉香（镑） 薰陆香 丁香 麝香（各等分以上捣研为细末）
上十二味，每抄前药五钱匕，水二盏，煎至一盏半，去滓入后五香末二钱匕，再煎至一
盏，温服日三服，以快利为度。
治胃腑实热，留结为痈，阳气不得下，胃脉沉细者。犀角汤方
犀角（镑） 栀子仁 赤芍药 赤茯苓（去黑皮） 黄芩（去黑心） 射干（去毛） 大
黄（锉
炒各一两）
上七味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓入蜜一匙搅匀，再煎一两沸，
食后温服。
治营卫不流，热聚胃口，血肉腐坏，胃脘成痈。射干汤方
射干（去毛） 栀子仁 赤茯苓（去黑皮） 升麻（各一两） 赤芍药 白术（各一两
半）
上六味， 咀如麻豆大，每服五钱匕，水一盏半，煎至八分，去滓入生地黄汁一合，蜜
半合，再煎三沸，温服不拘时候，日二服。
治热气留聚胃脘，内结成痈。麦门冬汤方
麦门冬（去心焙） 犀角（镑） 葳蕤 荠 赤芍药 石膏（各一两半） 甘草（炙
锉） 红
雪（各一两）
上八味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓入竹沥一合，再煎三两沸，
温服。
治胃脘蓄热，结聚成痈。芍药汤方
赤芍药 犀角（镑） 木通（锉） 石膏（碎） 升麻（各二两） 甘草（生锉） 朴
硝玄参
麦门冬（去心焙各一两）
上九味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服，不计时候。
论述说：《内经》中提到，人患胃脘痈（胃部形成的化脓性肿块）时，应当诊察胃脉。如果脉象沉细，说明气机逆乱；气机逆乱，则人迎穴处的脉搏异常亢盛；脉搏亢盛则产生热邪。人迎脉属于胃经的脉象。气机逆乱且脉象亢盛，导致热邪聚集在胃口部位而不能消散，因此形成胃脘痈。
治疗热邪聚集于胃脘，停留结聚形成痈肿，营卫之气运行不畅的病证，用连翘升麻汤方。
处方组成：连翘、升麻、射干（去除绒毛）、独活（去除芦头）、桑寄生、木通（锉碎，各二两半）、大黄（锉碎，微炒，二两以上捣成粗末）、木香、沉香（镑片）、薰陆香、丁香、麝香（各等分，以上捣研成细末）。
煎服法：以上十二味药，每次取前五味药五钱匕，加水二盏，煎煮至一盏半，滤去药渣，加入后五种香药的细末二钱匕，再煎煮至一盏，温服，每日三次，以大便通畅为度。
治疗胃腑实热，停留结聚形成痈肿，阳气不能下行，胃脉沉细的病证，用犀角汤方。
处方组成：犀角（镑片）、栀子仁、赤芍药、赤茯苓（去除黑皮）、黄芩（去除黑心）、射干（去除绒毛）、大黄（锉碎，炒，各一两）。
煎服法：以上七味药，捣碎过筛，每次服用五钱匕，加水一盏半，煎煮至一盏，滤去药渣，加入蜂蜜一匙搅匀，再煮沸一两分钟，饭后温服。
治疗营卫之气运行不畅，热邪聚集在胃口，血肉腐败坏死，胃脘形成痈肿的病证，用射干汤方。
处方组成：射干（去除绒毛）、栀子仁、赤茯苓（去除黑皮）、升麻（各一两）、赤芍药、白术（各一两半）。
煎服法：以上六味药，切碎如麻豆大小，每次取五钱匕，加水一盏半，煎煮至八分，滤去药渣，加入生地黄汁一合，蜂蜜半合，再煮沸三次，不拘时候温服，每日两次。
治疗热气停留聚集于胃脘，内部结聚形成痈肿的病证，用麦门冬汤方。
处方组成：麦门冬（去除心，焙干）、犀角（镑片）、葳蕤、荠（此处疑为“荠”或特定药材，依原文保留）、赤芍药、石膏（各一两半）、甘草（炙，锉碎）、红雪（各一两）。
煎服法：以上八味药，捣碎过筛，每次取五钱匕，加水一盏半，煎煮至八分，滤去药渣，加入竹沥一合，再煮沸两三分钟，温服。
治疗胃脘蓄积热邪，结聚形成痈肿的病证，用芍药汤方。
处方组成：赤芍药、犀角（镑片）、木通（锉碎）、石膏（打碎）、升麻（各二两）、甘草（生，锉碎）、朴硝、玄参、麦门冬（去除心，焙干，各一两）。
煎服法：以上九味药，捣碎过筛，每次取五钱匕，加水一盏半，煎煮至八分，滤去药渣，温服，不拘时候。
It is stated in the discussion: The *Neijing* (Classic of Internal Medicine) mentions that when a person suffers from Stomach Epigastrium Carbuncle (a suppurative mass formed in the stomach), one should examine the Stomach pulse. If the pulse is deep and fine, it indicates rebellious Qi; if Qi is rebellious, the Renying point (ST9, located on the neck) presents with an extremely vigorous pulse; an extremely vigorous pulse signifies heat. The Renying pulse belongs to the Stomach meridian. When Qi is rebellious and the pulse is vigorous, heat gathers at the gastric opening and fails to dissipate, thus forming a Stomach Epigastrium Carbuncle.
For treating heat gathering in the epigastrium, lingering and knotting to form a carbuncle, and where Ying and Wei (Nutritive and Defensive Qi) fail to circulate smoothly, use Lianqiao Shengma Tang (Forsythia and Cimicifuga Decoction).
Ingredients: Lianqiao (Forsythiae Fructus), Shengma (Cimicifugae Rhizoma), Shegan (Belamcandae Rhizoma, remove hairs), Duhuo (Angelicae Pubescentis Radix, remove radicle), Sangjisheng (Taxilli Herba), Mutong (Akebiae Caulis, sliced, each 2.5 liang), Dahuang (Rhei Radix et Rhizoma, sliced, slightly stir-fried, over 2 liang, pounded into coarse powder), Muxiang (Aucklandiae Radix), Chenxiang (Aquilariae Lignum Resinatum, shaved), Xunluxiang (Boswelliae Resina), Dingxiang (Syzygii Flos), Shexiang (Moschus, equal parts, above pounded and ground into fine powder).
Preparation and Administration: Take the first five herbs mentioned above, five qianbi per dose, add two zhan of water, decoct until one and a half zhan remains, filter out the dregs, add two qianbi of the fine powder of the latter five aromatic herbs, decoct again until one zhan remains, take warm, three times daily, with free bowel movement as the endpoint.
For treating excess-heat in the Stomach fu organ, lingering and knotting to form a carbuncle, Yang Qi failing to descend, and the Stomach pulse being deep and fine, use Xijiao Tang (Rhino Horn Decoction).
Ingredients: Xijiao (Horni Rhinocerotis, shaved), Zhizi (Gardeniae Fructus), Chishaoyao (Paeoniae Radix Rubra), Chi Fuling (Poria cum Ligno, remove black skin), Huangqin (Scutellariae Radix, remove black heart), Shegan (Belamcandae Rhizoma, remove hairs), Dahuang (Rhei Radix et Rhizoma, sliced, stir-fried, each 1 liang).
Preparation and Administration: Pounded coarsely and sifted, take five qianbi per dose, add one and a half zhan of water, decoct until one zhan remains, filter out the dregs, add one spoonful of honey, stir evenly, boil for one or two more boils, take warm after meals.
For treating Ying and Wei failing to circulate, heat gathering at the gastric opening, flesh and blood rotting and decaying, and the stomach epigastrium forming a carbuncle, use Shegan Tang (Belamcanda Decoction).
Ingredients: Shegan (Belamcandae Rhizoma, remove hairs), Zhizi (Gardeniae Fructus), Chi Fuling (Poria cum Ligno, remove black skin), Shengma (Cimicifugae Rhizoma, each 1 liang), Chishaoyao (Paeoniae Radix Rubra), Baizhu (Atractylodis Macrocephalae Rhizoma, each 1.5 liang).
Preparation and Administration: Cut into pieces the size of hemp seeds, take five qianbi per dose, add one and a half zhan of water, decoct until eight-tenths remains, filter out the dregs, add one he of fresh Shengdihuang juice (Rehmanniae Radix Juice), half a he of honey, boil three more times, take warm at any time, twice daily.
For treating heat qi lingering and gathering in the stomach epigastrium, knotting internally to form a carbuncle, use Maidong Tang (Ophiopogon Decoction).
Ingredients: Maidong (Ophiopogonis Tuber, remove heart and roast), Xijiao (Horni Rhinocerotis, shaved), Weirui (Polygonati Odorati Rhizoma), Qi (Herba Siegesbeckiae? Note: Text says "Qi", likely a specific herb or typo, kept as is), Chishaoyao (Paeoniae Radix Rubra), Shigao (Gypsum Fibrosum, crushed, each 1.5 liang), Gancao (Licorice Root, roasted and sliced), Hongxue (Red Snow, each 1 liang).
Preparation and Administration: Coarsely pounded and sifted, take five qianbi per dose, add one and a half zhan of water, decoct until eight-tenths remains, filter out the dregs, add one he of Zhuli (Bamboo Sap), boil two or three more times, take warm.
For treating accumulated heat in the stomach epigastrium, knotting and gathering to form a carbuncle, use Shaoyao Tang (Peony Decoction).
Ingredients: Chishaoyao (Paeoniae Radix Rubra), Xijiao (Horni Rhinocerotis, shaved), Mutong (Akebiae Caulis, sliced), Shigao (Gypsum Fibrosum, crushed), Shengma (Cimicifugae Rhizoma, each 2 liang), Gancao (Licorice Root, raw and sliced), Poxiao (Natrii Sulfas), Xuanshen (Scrophulariae Radix), Maidong (Ophiopogonis Tuber, remove heart and roast, each 1 liang).
Preparation and Administration: Coarsely pounded and sifted, take five qianbi per dose, add one and a half zhan of water, decoct until eight-tenths remains, filter out the dregs, take warm, at any time.