论曰体弱之人,谷气不足,脾胃既虚,冷热之气,易为伤动,盖脾胃者,仓廪之官,布
化精气,灌养四旁,其气虚弱,则食饮或冷或热,多致不消,使阴阳交争,冷热相搏,故令
脾胃不和也。
治脾胃冷热气不和,食毒,脾胃中宿积,沉香阿魏丸方
沉香 木香(各三分) 芎 当归(锉焙) 蓬莪术(炮) 陈橘皮(去白焙) 延
胡索 槟榔(锉) 吴茱萸(醋浸一宿炒) 益智仁 桂(去粗皮) 白术 附子(炮裂去
皮脐) 干姜(炮) 草豆蔻(去皮各半两) 阿魏(一两半瓷器中醋浸一宿生绢滤去砂入
面煮糊。)
上一十六味,捣罗十五味为细末,用阿魏掺和糊,杵三二百下,丸如梧桐子大,丹砂为
衣,生姜橘皮汤下五七丸,血气温酒醋汤下。
治脾胃冷热气不和,不思饮食,或腹痛 刺,胜金丸方
山栀子仁 乌头(各等分)
上二味,生捣罗为细末,以酒糊丸,如梧桐子大,每服十五丸,炒生姜汤下,如小肠气
痛,炒 香子酒,下十丸。
治脾胃冷热相攻,胸膈气闷,消痰进食,快活丸方
五味子(微炒一两) 枳壳(去瓤微炒一两半) 糯米(炒香熟一两半) 槟榔(锉半
两) 京三棱(炮半两) 蓬莪术(炮半两) 郁李仁(汤浸去皮半两) 青橘皮(汤去
白焙一两)
上八味,捣罗为细末,用半夏一两生姜二两,烂煮研细为糊,丸如绿豆大,每服十五丸
,至二十丸,食后温汤下。
治脾胃冷热气不和,平胃前胡汤方。
前胡(去芦头) 人参 白茯苓(去黑皮) 附子(炮裂去皮脐) 半夏(生姜汁浸一
宿并生姜杵令匀焙干) 白术 枇杷叶(拭去毛) 浓朴(去粗皮生姜汁涂炙透) 诃黎勒
(纸裹煨熟去核各一两半槟榔锉) 肉豆蔻(去壳) 陈橘皮(汤去白焙) 干姜(炮) 甘
草(炙各三两)
上一十四味,锉如麻豆,每服三钱匕,水一盏,入生姜一枣大切,枣二枚劈,同煎至
七分,去滓不计时候温服。
治脾胃冷热气不和,心腹虚胀,痰逆不思饮食,四肢无力,丁香散方
丁香 干姜(炮) 白术(各半两) 人参 赤茯苓(去黑皮) 木瓜(去瓤切焙) 草
豆蔻(去皮) 诃黎勒(煨用皮) 茅香花(各三分) 甘草(炙一分)
上一十味,捣罗为细散,不计时,煎生姜枣汤调下一钱匕。
治脾胃气冷热不和,胸膈气滞,不下饮食,宜服大腹皮汤方
大腹皮(锉炒) 槟榔(生锉) 桑根白皮(锉各半两) 诃黎勒(皮煨) 陈橘皮(汤
浸去白焙) 赤茯苓(
上六味,粗捣筛,每服三钱匕,以水一盏,入生姜半分切,煎至七分,去滓不计时温服
。
治脾胃冷热气不和,胸膈满闷,四肢无力,痰逆不思饮食,藿香汤方
藿香叶(半两) 诃黎勒皮(煨半两) 人参(三分) 陈橘皮(汤浸去白焙三分) 半
夏(汤洗七遍去滑焙半两) 赤茯苓(去黑皮三分) 桂(去粗皮三分) 白术(三分) 草
豆蔻(去皮一两) 枳实(去瓤麸炒半两) 高良姜(三分) 甘草(炙锉半两) 浓朴(去
粗皮涂生姜汁炙一两)
上一十三味,粗捣筛,每服三钱匕,水一盏,入生姜半分切,枣三枚劈破,煎至七分,
去滓不计时、稍热服。
治脾胃冷热气不和,宽中脘,和中丸方
附子(炮裂去皮脐一两) 干姜(炮三两) 甘草(炙一两) 木香(一两) 香子
(炒一两) 青橘皮(汤
上八味,捣罗为细末,汤浸炊饼和丸,如樱桃大,每服一丸,白汤化下,食前服。
治脾胃冷热气不和,止痰逆,思饮食,匀气汤方
浓朴(去粗皮生姜汁炙一两) 陈橘皮(汤去白焙半两) 白术(半两) 甘草(炙
一两) 白茯苓(去黑皮半两) 麦 (炒一分) 高良姜(炒一分) 沉香(一分) 甘
松(一分)
上九味,粗捣筛,每服三钱匕,水一盏,入生姜二片,枣二枚劈,同煎至七分,去滓不
计时温服。
论述说:体质虚弱的人,水谷精气不足,脾胃已经虚弱,寒气和热气容易受到扰动。因为脾胃是负责储藏和消化食物的器官,分布化生精气,灌溉滋养四肢百骸。如果脾胃之气虚弱,那么饮食无论是冷是热,大多会导致消化不良,致使阴阳相互争斗,寒热相互搏结,从而导致脾胃不和。
治疗脾胃寒热之气不和、食毒积滞、脾胃中有宿食积滞的沉香阿魏丸方:
沉香、木香(各三分)、川芎、当归(切碎焙干)、蓬莪术(炮制)、陈橘皮(去白后焙干)、延胡索、槟榔(切碎)、吴茱萸(用醋浸泡一夜后炒制)、益智仁、桂枝(去掉粗皮)、白术、附子(炮裂,去掉皮和脐)、干姜(炮制)、草豆蔻(去皮,各半两)、阿魏(一两半,在瓷器中用醋浸泡一夜,用生绢过滤去除砂粒,加入面粉煮成糊状)。
以上十六味药,将十五味药捣碎过筛成细末,用阿魏掺入面糊中调和,杵捣三二百下,制成梧桐子大小的丸剂,用丹砂作为衣层。服用时,用生姜橘皮汤送服五到七丸;如果是血气病证,用温酒醋汤送服。
治疗脾胃寒热之气不和、不想进食、或者腹痛如针刺的胜金丸方:
山栀子仁、乌头(各等分)。
以上两味药,生捣碎过筛成细末,用酒调糊制成梧桐子大小的丸剂。每次服用十五丸,用炒生姜汤送服;如果是小肠气痛,用炒小茴香酒送服十丸。
治疗脾胃寒热相互攻冲、胸膈气闷、消除痰饮促进进食的快活丸方:
五味子(微炒一两)、枳壳(去瓤微炒一两半)、糯米(炒香熟一两半)、槟榔(切碎半两)、京三棱(炮制半两)、蓬莪术(炮制半两)、郁李仁(热水浸泡去皮半两)、青橘皮(热水烫去白后焙干一两)。
以上八味药,捣碎过筛成细末,用半夏一两、生姜二两,烂煮后研细做成糊状,制成绿豆大小的丸剂。每次服用十五丸到二十丸,饭后用温水送服。
治疗脾胃寒热之气不和的平胃前胡汤方:
前胡(去掉芦头)、人参、白茯苓(去掉黑皮)、附子(炮裂,去掉皮和脐)、半夏(用生姜汁浸泡一夜,并加生姜一起杵匀焙干)、白术、枇杷叶(擦拭去毛)、厚朴(去掉粗皮,涂生姜汁炙透)、诃黎勒(用纸包裹煨熟去核,各一两半,槟榔切碎)、肉豆蔻(去壳)、陈橘皮(热水烫去白后焙干)、干姜(炮制)、甘草(炙,各三两)。
以上十四味药,切碎如麻豆大小。每次服用三钱匕,用水一盏,加入生姜一块(切大块)、大枣两枚(劈开),同煎至七分,去渣,不分时候温服。
治疗脾胃寒热之气不和、心腹部虚胀、痰逆不想进食、四肢无力的丁香散方:
丁香、干姜(炮制)、白术(各半两)、人参、赤茯苓(去掉黑皮)、木瓜(去瓤切片焙干)、草豆蔻(去皮)、诃黎勒(煨后用皮)、茅香花(各三分)、甘草(炙一分)。
以上十味药,捣碎过筛成细散,不分时候,用生姜枣汤调服一钱匕。
治疗脾胃气寒热不和、胸膈气滞、无法进食,宜服用的大腹皮汤方:
大腹皮(切碎炒制)、槟榔(生切碎)、桑根白皮(切碎,各半两)、诃黎勒(皮煨)、陈橘皮(热水浸泡去白后焙干)、赤茯苓(去掉黑皮)。
以上六味药,粗捣过筛。每次服用三钱匕,用水一盏,加入生姜半分(切碎),煎至七分,去渣,不分时候温服。
治疗脾胃寒热之气不和、胸膈满闷、四肢无力、痰逆不想进食的藿香汤方:
藿香叶(半两)、诃黎勒皮(煨半两)、人参(三分)、陈橘皮(热水浸泡去白后焙干三分)、半夏(热水洗七遍去滑腻后焙干半两)、赤茯苓(去掉黑皮三分)、桂枝(去掉粗皮三分)、白术(三分)、草豆蔻(去皮一两)、枳实(去瓤麸炒半两)、高良姜(三分)、甘草(炙切碎半两)、厚朴(去掉粗皮涂生姜汁炙一两)。
以上十三味药,粗捣过筛。每次服用三钱匕,用水一盏,加入生姜半分(切碎)、大枣三枚(劈破),煎至七分,去渣,不分时候,稍热时服用。
治疗脾胃寒热之气不和、宽中脘、和中丸方:
附子(炮裂,去掉皮和脐一两)、干姜(炮制三两)、甘草(炙一两)、木香(一两)、小茴香(炒一两)、青橘皮(热水... [原文此处截断,推测为处理步骤] ...)
以上八味药,捣碎过筛成细末,用热水浸泡炊饼和丸,制成樱桃大小的丸剂。每次服用一丸,用白开水化开送服,饭前服用。
治疗脾胃寒热之气不和、止痰逆、思饮食、匀气汤方:
厚朴(去掉粗皮,生姜汁炙一两)、陈橘皮(热水去白后焙干半两)、白术(半两)、甘草(炙一两)、白茯苓(去掉黑皮半两)、麦芽(炒一分)、高良姜(炒一分)、沉香(一分)、甘松(一分)。
以上九味药,粗捣过筛。每次服用三钱匕,用水一盏,加入生姜两片、大枣两枚(劈开),同煎至七分,去渣,不分时候温服。
It is stated that individuals with weak constitutions lack sufficient qi from grain and food. Since the Spleen and Stomach are already deficient, cold and hot pathogens easily disturb them. The Spleen and Stomach (Zang-Fu organs responsible for digestion and transformation) serve as the officials of the granary, distributing and transforming essence-qi to irrigate and nourish the four peripheries. When their qi is weak, dietary intake, whether cold or hot, often fails to digest, causing Yin and Yang to contend and cold and heat to clash, thus resulting in disharmony between the Spleen and Stomach.
Formula for Chenxiang Awie Wan (Agarwood and Asafoetida Pill) to treat disharmony of cold and hot qi in the Spleen and Stomach, food toxicity, and accumulated retention in the Spleen and Stomach:
Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix) (each 3 fen); Xiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix) (cut and roasted); Peng'ezhu (Curcumae Phaeocaulis Rhizoma) (processed); Chenjupi (Citri Reticulatae Pericarpium) (white pith removed and roasted); Yanhusuo (Corydalis Rhizoma); Binglang (Arecae Semen) (cut); Wuzhuyu (Evodiae Fructus) (soaked in vinegar overnight and stir-fried); Yizhiren (Alpiniae Oxyphyllae Fructus); Guizhi (Cinnamomi Ramulus) (rough bark removed); Baizhu (Atractylodis Macrocephalae Rhizoma); Fuzi (Aconiti Lateralis Radix Praeparata) (cracked by processing, skin and umbilical scar removed); Ganjiang (Zingiberis Rhizoma) (processed); Caodoukou (Cardamomi Fructus) (skin removed, each half liang); Awei (Asafoetida) (1.5 liang, soaked in vinegar in a porcelain vessel overnight, filtered through raw silk to remove sand, then boiled with flour paste).
The above sixteen ingredients: Pulverize fifteen ingredients into fine powder. Mix with the Awei paste, pound 200-300 times until uniform. Form pills the size of Sophora japonica seeds. Coat with Cinnabar (Dansha). Take 5-7 pills with Decoction of Ginger and Tangerine Peel; for blood-related conditions, take with warm wine and vinegar decoction.
Formula for Shengjin Wan (Golden Victory Pill) to treat disharmony of cold and hot qi in the Spleen and Stomach, loss of appetite, or stabbing abdominal pain:
Shanzhizi Ren (Gardeniae Semen) and Wutou (Aconiti Radix) (equal parts).
The above two ingredients: Pound fresh and pulverize into fine powder. Use wine paste to form pills the size of Sophora japonica seeds. Take 15 pills per dose with stir-fried ginger decoction; for Qi pain of the Small Intestine, take 10 pills with stir-fried Fennel Seed (Xiao Huixiang) wine.
Formula for Kuaihuo Wan (Joyful Vitality Pill) to treat attacking cold and heat between Spleen and Stomach, chest and diaphragm oppression, resolving phlegm, and promoting appetite:
Wuweizi (Schisandrae Fructus) (lightly stir-fried, 1 liang); Zhike (Aurantii Fructus) (pulp removed, lightly stir-fried, 1.5 liang); Nuomi (Oryza Sativa Glutinosa) (stir-fried until fragrant, 1.5 liang); Binglang (Arecae Semen) (cut, half liang); Jingsanleng (Sparganii Rhizoma) (processed, half liang); Peng'ezhu (Curcumae Phaeocaulis Rhizoma) (processed, half liang); Yuliren (Pruni Semen) (soaked in water, skin removed, half liang); Qingjupi (Citri Reticulatae Pericarpium Viride) (scalded, white pith removed, roasted, 1 liang).
The above eight ingredients: Pulverize into fine powder. Boil Banxia (Pinelliae Rhizoma) (1 liang) and Shengjiang (Zingiberis Recens Rhizoma) (2 liang) until soft, grind finely to make a paste. Form pills the size of mung beans. Take 15-20 pills after meals with warm water.
Pingwei Qianhu Tang (Flat Stomach Peucedanum Decoction) to treat disharmony of cold and hot qi in the Spleen and Stomach:
Qianhu (Peucedani Radix) (radicle removed); Renshen (Ginseng Radix et Rhizoma); Bai Fuling (Poria) (black skin removed); Fuzi (Aconiti Lateralis Radix Praeparata) (cracked by processing, skin and umbilical scar removed); Banxia (Pinelliae Rhizoma) (soaked in ginger juice overnight, pounded with ginger until uniform, then dried); Baizhu (Atractylodis Macrocephalae Rhizoma); Pipaye (Loquat Folium) (wool brushed off); Houpo (Magnoliae Officinalis Cortex) (rough bark removed, coated with ginger juice and roasted thoroughly); Helile (Terminalia Chebulae Fructus) (wrapped in paper and baked熟, pit removed, each 1.5 liang; Binglang Arecae Semen cut); Roudoukou (Myristicae Semen) (shell removed); Chenjupi (Citri Reticulatae Pericarpium) (scalded, white pith removed, roasted); Ganjiang (Zingiberis Rhizoma) (processed); Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, each 3 liang).
The above fourteen ingredients: Cut like hemp seeds. Take 3 qianbi per dose. Add one cup of water, one large piece of sliced ginger, and two split jujubes. Decoct until reduced to 70%. Strain and take warm at any time.
Dingxi San (Clove Powder) to treat disharmony of cold and hot qi in the Spleen and Stomach, empty distension of heart and abdomen, rebellious phlegm, loss of appetite, and weakness of limbs:
Dingxiang (Caryophylli Flos); Ganjiang (Zingiberis Rhizoma) (processed); Baizhu (Atractylodis Macrocephalae Rhizoma) (each half liang); Renshen (Ginseng Radix et Rhizoma); Chi Fuling (Poria with red skin) (black skin removed); Mugua (Chaenomelis Fructus) (pulp removed, sliced and roasted); Caodoukou (Cardamomi Fructus) (skin removed); Helile (Terminalia Chebulae Fructus) (baked, use skin); Maoxianghua (Vetiveriae Flos) (each 3 fen); Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, 1 fen).
The above ten ingredients: Pulverize into fine powder. Take 1 qianbi mixed with Ginger-Jujube Decoction at any time.
Dafupi Tang (Betel Nut Vine Stem Bark Decoction) suitable for disharmony of cold and hot qi in Spleen and Stomach, stagnation of qi in chest and diaphragm, and inability to ingest food:
Dafupi (Arecae Causae Pericarpium) (cut and stir-fried); Binglang (Arecae Semen) (raw and cut); Sangbaipipi (Mori Cortex) (cut, each half liang); Helile (Terminalia Chebulae Fructus) (skin baked); Chenjupi (Citri Reticulatae Pericarpium) (soaked in water, white pith removed, roasted); Chi Fuling (Poria with red skin) (black skin removed).
The above six ingredients: Coarsely crush and sieve. Take 3 qianbi per dose. Add one cup of water and half a portion of sliced ginger. Decoct until reduced to 70%. Strain and take warm at any time.
Huoxiang Tang (Patchouli Decoction) to treat disharmony of cold and hot qi in Spleen and Stomach, fullness and oppression in chest and diaphragm, weakness of limbs, rebellious phlegm, and loss of appetite:
Huoxiangye (Pogostemonis Herba) (half liang); Helilepi (Terminalia Chebulae Fructus Cortex) (baked, half liang); Renshen (Ginseng Radix et Rhizoma) (3 fen); Chenjupi (Citri Reticulatae Pericarpium) (soaked in water, white pith removed, roasted, 3 fen); Banxia (Pinelliae Rhizoma) (washed seven times in water to remove slipperiness, dried, half liang); Chi Fuling (Poria with red skin) (black skin removed, 3 fen); Guizhi (Cinnamomi Ramulus) (rough bark removed, 3 fen); Baizhu (Atractylodis Macrocephalae Rhizoma) (3 fen); Caodoukou (Cardamomi Fructus) (skin removed, 1 liang); Zhishi (Aurantii Fructus Immaturus) (pulp removed, bran-roasted, half liang); Gaoliangjiang (Alpiniae Officinarum Rhizoma) (3 fen); Gancao (Glycyrrhizae Radix et Rhizoma) (roasted and cut, half liang); Houpo (Magnoliae Officinalis Cortex) (rough bark removed, coated with ginger juice and roasted, 1 liang).
The above thirteen ingredients: Coarsely crush and sieve. Take 3 qianbi per dose. Add one cup of water, half a portion of sliced ginger, and three split jujubes. Decoct until reduced to 70%. Strain and take warm (slightly hot) at any time.
Zhonghe Wan (Harmonizing Middle Pill) to treat disharmony of cold and hot qi in Spleen and Stomach, widening the middle jiao, and harmonizing the center:
Fuzi (Aconiti Lateralis Radix Praeparata) (cracked by processing, skin and umbilical scar removed, 1 liang); Ganjiang (Zingiberis Rhizoma) (processed, 3 liang); Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, 1 liang); Muxiang (Aucklandiae Radix) (1 liang); Xiangzi (Foeniculi Fructus) (stir-fried, 1 liang); Qingjupi (Citri Reticulatae Pericarpium Viride)... [Text cuts off here].
The above eight ingredients: Pulverize into fine powder. Mix with dough made from glutinous rice steamed bread soaked in water. Form pills the size of cherries. Take one pill per dose, dissolved in plain water, taken before meals.
Yunqi Tang (Qi-Balancing Decoction) to treat disharmony of cold and hot qi in Spleen and Stomach, stop rebellious phlegm, restore appetite, and balance qi:
Houpo (Magnoliae Officinalis Cortex) (rough bark removed, ginger juice roasted, 1 liang); Chenjupi (Citri Reticulatae Pericarpium) (scalded, white pith removed, roasted, half liang); Baizhu (Atractylodis Macrocephalae Rhizoma) (half liang); Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, 1 liang); Bai Fuling (Poria) (black skin removed, half liang); Maidong/Maiya? (Text says "Mai", likely Maiya or similar grain, fried 1 fen); Gaoliangjiang (Alpiniae Officinarum Rhizoma) (fried, 1 fen); Chenxiang (Aquilariae Lignum Resinatum) (1 fen); Gansong (Nardostachyos Radix et Rhizoma) (1 fen).
The above nine ingredients: Coarsely crush and sieve. Take 3 qianbi per dose. Add one cup of water, two slices of ginger, and two split jujubes. Decoct until reduced to 70%. Strain and take warm at any time.