论曰虚劳之人,气弱血虚,营卫不足,食饮入胃,不能传化,故中气痞塞,胃胀不通,
使人心腹痞满也。
治虚劳心腹痞满,不思饮食,胸膈不利,参苓煮散方
人参 白茯苓(去黑皮) 丁香 木香 桂(去粗皮) 益智(去皮) 青橘皮(汤浸
去白焙)
白术 浓朴(去粗皮生姜汁炙) 黄 (锉炒) 半夏(汤浸七遍用生姜汁制) 当归(切
焙) 京三棱(炮锉) 陈曲(炒) 麦 (炒各一两) 肉豆蔻(去壳) 槟榔(锉) 诃
黎勒(煨去核各五枚)
上二十三味,捣罗为散,每服三钱匕,入盐少许,水一盏,同煎至七分,和滓温服。
治虚劳心腹痞满,胁肋妨闷,不思饮食,诃黎勒汤方
诃黎勒(煨去核) 赤茯苓(去黑皮) 陈橘皮(汤浸去白焙) 前胡(去芦头各一两)
白术
梗(炒) 木
上一十四味,粗捣筛,每服三钱匕,水一盏,入生姜一分切碎,煎至七分,去滓温服。
治虚劳冷气上冲,心腹痞闷,肠鸣相逐,或多刺痛,呕哕膨胀,荜澄茄丸方
荜澄茄(一分) 沉香(锉) 丁香 木香 香子(舶上者炒各半两) 乌药(锉一
两) 白芷(一两一分) 葫芦巴(炒三分)
上八味,捣罗为末,炼蜜为丸,如弹子大,每服一丸。生姜汤嚼下。
治虚劳心腹痞满,不思饮食,柴胡饮方
柴胡(去苗) 枳壳(去瓤麸炒) 白茯苓(去黑皮) 京三棱(煨锉) 浓朴(去粗
皮生姜汁
上六味,细锉,如麻豆大,每服五钱匕,以水一盏半,入生姜一分拍碎,煎至八分。去
滓温服。
治虚劳冷气,心腹痞闷,肠鸣腹痛,饮食减少,木香煮散方
木香 白术 缩砂(去皮) 益智(去皮) 藿香(用叶) 人参(各一两) 丁香(半
两) 青
皮) 浓朴(去粗
上一十四味,捣罗为散,每服三钱匕,水一盏,入生姜三片,枣二枚劈破,煎至七分,
和滓稍热服,如不及煎,入盐少许,如汤点服。
治虚劳脾胃冷弱,心腹痞满,不思饮食,四肢怠惰,补虚调胃,建中丸方
人参 白术 浓朴(去粗皮生姜汁炙) 干姜(炮) 陈橘皮(汤浸去白焙) 枳壳(去
瓤麸炒各半两) 诃黎勒(三枚炮取皮)
上七味,捣罗为末,以煮枣肉和丸,如梧桐子大,每服二十丸,生姜橘皮汤下,不拘时
候。
治虚劳心胸痞闷,腹胁虚胀,补虚进饮食,人参煮散方
人参 鳖甲(去裙 醋炙各一两) 附子(炮裂去皮脐) 缩砂蜜(去皮) 桂(去粗
皮) 陈
切焙) 五味子 甘
上一十二味,捣罗为散,每服三钱匕,水一盏,入生姜二片,盐少许,同煎至七分,去
滓温服,每日空心午前日晚各一。
治虚劳下焦虚冷,心腹痞满,吃食无味,舌涩口干,四肢少力,健脾胃,茵陈煎丸方
茵陈蒿(三两捣为末用醋一升煎为煎) 鳖甲(去裙 醋浸炙令黄色) 京三棱(煨杵
碎各
橘皮(汤浸去白
吴茱萸(水浸一宿
上一十二味,除茵陈外,捣罗为末,用茵陈煎和为丸,如梧桐子大,每日空心,生姜汤
下三十丸,如和不成,更入热蜜。
治虚劳胸膈痞闷,气逆烦满,胁肋虚胀,前胡丸方
前胡(去芦头) 人参 白茯苓(去黑皮) 桂(去粗皮) 陈橘皮(汤浸去白焙) 白
术(各
上八味,捣研为末,炼蜜丸如梧桐子大,每服二十丸,温酒下,日二。
治虚劳气逆,心腹痞满,四肢羸瘦,腹胀不下食,柴胡汤方
柴胡(去苗三两) 枳壳(去瓤麸炒二两) 白茯苓(去黑皮三分) 白术(二两) 人
参(一
上六味,粗捣筛,每服三钱匕,水一盏,入生姜半分拍碎,煎至七分,去滓空腹温服,
日午夜卧各一。
论述说:虚劳病的人,气弱血虚,营卫之气不足,饮食进入胃中,不能正常消化传输,因此中焦气机痞塞,胃脘胀满不通,从而导致心腹痞满的症状。
治疗虚劳引起的心腹痞满、不思饮食、胸膈部不适的参苓煮散方:
人参、白茯苓(去除黑色外皮)、丁香、木香、桂枝(去除粗糙外皮)、益智仁(去除果皮)、青橘皮(用热水浸泡后去除白色内瓤并焙干)、白术、厚朴(去除粗糙外皮,用生姜汁炙烤)、黄芪(锉碎炒制)、半夏(用热水浸泡七遍,并用生姜汁炮制)、当归(切片焙干)、京三棱(炮制后锉碎)、神曲(炒制)、麦芽(炒制,以上各一两)、肉豆蔻(去除外壳)、槟榔(锉碎)、诃黎勒(煨制后去核,以上各五枚)。
以上二十三味药,捣碎过筛制成散剂,每次服用三钱匕,加入少许盐,水一盏,共同煎煮至七分量,连渣一起温服。
治疗虚劳引起的心腹痞满、胁肋部憋闷不适、不思饮食的诃黎勒汤方:
诃黎勒(煨制后去核)、赤茯苓(去除黑色外皮)、陈橘皮(热水浸泡后去白焙干)、前胡(去除芦头,以上各一两)、白术、粳米(炒制)、木香。
以上十四味药,粗捣过筛,每次服用三钱匕,水一盏,加入生姜一分切碎,煎煮至七分量,去渣后温服。
治疗虚劳冷气上冲、心腹痞闷、肠鸣声相继作响、或多处刺痛、呕吐呃逆、腹部膨胀的荜澄茄丸方:
荜澄茄(一分)、沉香(锉碎)、丁香、木香、胡椒(以进口者为佳,炒制,以上各半两)、乌药(锉碎一两)、白芷(一两一分)、葫芦巴(炒制三分)。
以上八味药,捣碎过筛制成粉末,用炼蜜制作成丸药,大小如弹子,每次服用一丸。用生姜汤送服并嚼碎。
治疗虚劳引起的心腹痞满、不思饮食的柴胡饮方:
柴胡(去除苗茎)、枳壳(去除果瓤,麸皮炒制)、白茯苓(去除黑色外皮)、京三棱(煨制后锉碎)、厚朴(去除粗糙外皮,用生姜汁……[原文此处似有缺漏,依常理推测为炙或制])。
以上六味药,细锉,大小如麻豆,每次服用五钱匕,用水一盏半,加入生姜一分拍碎,煎煮至八分量。去渣后温服。
治疗虚劳冷气、心腹痞闷、肠鸣腹痛、饮食减少的木香煮散方:
木香、白术、缩砂仁(去除果皮)、益智仁(去除果皮)、藿香(使用叶片)、人参(以上各一两)、丁香(半两)、青皮(……[原文此处似有缺漏])、厚朴(去除……[原文此处似有缺漏])。
以上十四味药,捣碎过筛制成散剂,每次服用三钱匕,水一盏,加入生姜三片、大枣二枚劈破,煎煮至七分量,连渣稍热时服用。如果来不及煎煮,可加入少许盐,像冲泡茶一样服用。
治疗虚劳脾胃寒冷虚弱、心腹痞满、不思饮食、四肢倦怠无力的补虚调胃建中丸方:
人参、白术、厚朴(去除粗糙外皮,用生姜汁炙烤)、干姜(炮制)、陈橘皮(热水浸泡后去白焙干)、枳壳(去除果瓤,麸皮炒制,以上各半两)、诃黎勒(三枚,炮制取皮)。
以上七味药,捣碎过筛制成粉末,用煮枣的肉混合制成丸药,大小如梧桐子,每次服用二十丸,用生姜橘皮汤送服,不拘泥于具体时间。
治疗虚劳心胸痞闷、腹胁部虚胀、补虚促进饮食的人参煮散方:
人参、鳖甲(去除裙边,醋炙,以上各一两)、附子(炮裂后去皮脐)、缩砂蜜(去除果皮)、桂枝(去除粗糙外皮)、陈皮(……[原文此处似有缺漏,结合上下文应为陈橘皮])、切焙)[原文此处文字错乱,推测为某药材切焙]、五味子、甘草(……[原文此处似有缺漏])。
以上十二味药,捣碎过筛制成散剂,每次服用三钱匕,水一盏,加入生姜两片、少许盐,共同煎煮至七分量,去渣后温服,每日空腹、午前、日晚各一次。
治疗虚劳下焦虚冷、心腹痞满、进食无味、舌涩口干、四肢无力、健脾胃的茵陈煎丸方:
茵陈蒿(三两,捣为末,用醋一升煎制成膏状)、鳖甲(去除裙边,醋浸炙至黄色)、京三棱(煨制杵碎,以上……[原文此处似有缺漏])、橘皮(热水浸泡后去白……[原文此处似有缺漏])、吴茱萸(用水浸泡一夜……[原文此处似有缺漏])。
以上十二味药,除茵陈外,其余捣碎过筛制成粉末,用茵陈煎膏混合制成丸药,大小如梧桐子,每日空腹时,用生姜汤送服三十丸。如果难以和合,可再加入热蜂蜜。
治疗虚劳胸膈痞闷、气逆烦满、胁肋部虚胀的前胡丸方:
前胡(去除芦头)、人参、白茯苓(去除黑色外皮)、桂枝(去除粗糙外皮)、陈橘皮(热水浸泡后去白焙干)、白术(以上各……[原文此处似有缺漏])。
以上八味药,捣研制成粉末,用炼蜜制成如梧桐子大的丸药,每次服用二十丸,用温酒送服,每日两次。
治疗虚劳气逆、心腹痞满、四肢消瘦、腹胀不下食的柴胡汤方:
柴胡(去除苗茎三两)、枳壳(去除果瓤,麸皮炒制二两)、白茯苓(去除黑色外皮三分)、白术(二两)、人参(一……[原文此处似有缺漏])。
以上六味药,粗捣过筛,每次服用三钱匕,水一盏,加入生姜半分拍碎,煎煮至七分量,去渣后空腹温服,夜间和午睡前各一次。
Discussion: In patients with deficiency consumptive disease (Xu Lao), Qi is weak and Blood is deficient, leading to insufficiency of Ying (Nutritive) and Wei (Defensive) Qi. When food and drink enter the Stomach, they cannot be properly transformed and transported. Consequently, Qi stagnation causes obstruction in the Middle Jiao, resulting in gastric distension and blockage, which manifests as fullness and stuffiness in the heart and abdomen.
**Shen Ling Zhu San Formula** for treating deficiency consumptive disease manifesting as fullness and stuffiness in the heart and abdomen, loss of appetite, and discomfort in the chest and diaphragm:
*Ren Shen* (Ginseng Radix), *Bai Fu Ling* (Poria), *Ding Xiang* (Caryophylli Flos), *Mu Xiang* (Aucklandiae Radix), *Gui Zhi* (Cinnamomi Ramulus [removed coarse bark]), *Yi Zhi Ren* (Alpiniae Oxyphyllae Fructus [removed shell]), *Qing Ju Pi* (Citri Reticulatae Pericarpium Viride [soaked in hot water, removed white pith, and dried]), *Bai Zhu* (Atractylodis Macrocephalae Rhizoma), *Hou Po* (Magnoliae Officinalis Cortex [removed coarse bark, processed with ginger juice]), *Huang Qi* (Astragali Radix [cut and stir-fried]), *Ban Xia* (Pinelliae Rhizoma [soaked in hot water seven times, processed with ginger juice]), *Dang Gui* (Angelicae Sinensis Radix [sliced and dried]), *Jing San Leng* (Curcumae Radix [processed and cut]), *Chen Qu* (Massa Medicata Fermentata [stir-fried]), *Mai Ya* (Hordei Fructus Germinatus [stir-fried, each 1 liang]), *Rou Dou Kou* (Myristicae Semen [removed shell]), *Bing Lang* (Arecae Semen [cut]), *He Li Le* (Terminaliae Chebulae Fructus [roasted, removed core, 5 fruits each]).
Process the above twenty-three ingredients by pounding and sieving into a powder. Take 3 qian bi per dose, add a little salt, one zhan of water, decoct together until reduced to 70%, and take warm including the dregs.
**He Li Le Tang Decoction** for treating deficiency consumptive disease manifesting as fullness and stuffiness in the heart and abdomen, oppression in the hypochondrium, and loss of appetite:
*He Li Le* (Terminaliae Chebulae Fructus [roasted, removed core]), *Chi Fu Ling* (Poria with Red Host [removed black skin]), *Chen Ju Pi* (Citri Reticulatae Pericarpium [soaked in hot water, removed white pith, and dried]), *Qian Hu* (Peucedani Radix [removed rhizome head, each 1 liang]), *Bai Zhu* (Atractylodis Macrocephalae Rhizoma), *Geng Mi* (Oryza Sativa [stir-fried]), *Mu Xiang* (Aucklandiae Radix).
Process the above fourteen ingredients by coarsely pounding and sieving. Take 3 qian bi per dose, one zhan of water, add 1 fen of chopped fresh ginger, decoct until reduced to 70%, remove dregs, and take warm.
**Bi Cheng Qie Wan Pills** for treating deficiency consumptive disease with cold qi rushing upward, fullness and stuffiness in the heart and abdomen, successive borborygmus, frequent stabbing pain, vomiting and hiccups, and abdominal distension:
*Bi Cheng Qie* (Litseae Fructus [1 fen]), *Chen Xiang* (Aquilariae Lignum Resinatum [cut]), *Ding Xiang* (Caryophylli Flos), *Mu Xiang* (Aucklandiae Radix), *Hu Jiao* (Piperis Longi Fructus [imported variety preferred, stir-fried, each half liang]), *Wu Yao* (Linderae Radix [cut, 1 liang]), *Bai Zhi* (Angelicae Dahuricae Radix [1 liang 1 fen]), *Hu Lu Ba* (Trigonellae Foenum-Graeci Semens [stir-fried, 3 fen]).
Process the above eight ingredients by pounding and sieving into powder. Form pills using refined honey, size of a bullet. Take one pill per dose. Chew and swallow with ginger soup.
**Chai Hu Yin Beverage** for treating deficiency consumptive disease manifesting as fullness and stuffiness in the heart and abdomen, and loss of appetite:
*Chai Hu* (Bupleuri Radix [removed seedlings]), *Zhi Ke* (Aurantii Fructus [removed pulp, bran-fried]), *Bai Fu Ling* (Poria [removed black skin]), *Jing San Leng* (Curcumae Radix [roasted and cut]), *Hou Po* (Magnoliae Officinalis Cortex [removed coarse bark... [text incomplete]]).
Process the above six ingredients by finely cutting to the size of hemp seeds. Take 5 qian bi per dose, one and a half zhan of water, add 1 fen of crushed fresh ginger, decoct until reduced to 80%. Remove dregs and take warm.
**Mu Xiang Zhu San Powder** for treating deficiency consumptive disease with cold qi, fullness and stuffiness in the heart and abdomen, borborygmus and abdominal pain, and decreased diet:
*Mu Xiang* (Aucklandiae Radix), *Bai Zhu* (Atractylodis Macrocephalae Rhizoma), *Suo Sha* (Amomi Fructus [removed shell]), *Yi Zhi Ren* (Alpiniae Oxyphyllae Fructus [removed shell]), *Huo Xiang* (Agastaches Herba [use leaves]), *Ren Shen* (Ginseng Radix [each 1 liang]), *Ding Xiang* (Caryophylli Flos [half liang]), *Qing Pi* (Citri Reticulatae Pericarpium Viride [text incomplete]), *Hou Po* (Magnoliae Officinalis Cortex [text incomplete]).
Process the above fourteen ingredients by pounding and sieving into powder. Take 3 qian bi per dose, one zhan of water, add three slices of fresh ginger and two cracked jujubes, decoct until reduced to 70%. Take warm with dregs. If decoction is not possible, add a little salt and take like tea infusion.
**Jian Zhong Wan Pills** for tonifying deficiency and regulating the stomach, treating deficiency consumptive disease with cold and weak Spleen and Stomach, fullness and stuffiness in the heart and abdomen, loss of appetite, and lethargy of the four limbs:
*Ren Shen* (Ginseng Radix), *Bai Zhu* (Atractylodis Macrocephalae Rhizoma), *Hou Po* (Magnoliae Officinalis Cortex [removed coarse bark, processed with ginger juice]), *Gan Jiang* (Zingiberis Rhizoma [processed]), *Chen Ju Pi* (Citri Reticulatae Pericarpium [soaked in hot water, removed white pith, and dried]), *Zhi Ke* (Aurantii Fructus [removed pulp, bran-fried, each half liang]), *He Li Le* (Terminaliae Chebulae Fructus [three fruits, processed, use bark]).
Process the above seven ingredients by pounding and sieving into powder. Mix with cooked jujube flesh to form pills, size of Sophora japonica seeds. Take 20 pills per dose, with ginger and tangerine peel soup, at any time.
**Shen Ling Zhu San Powder** for tonifying deficiency and promoting diet, treating deficiency consumptive disease with stuffiness in the chest and heart, empty distension in the abdomen and hypochondrium:
*Ren Shen* (Ginseng Radix), *Bie Jia* (Testudinis Carapax et Plastrum [removed skirt edge, vinegar-processed, each 1 liang]), *Fu Zi* (Aconiti Lateralis Radix Praeparata [processed, split, removed skin and umbilicus]), *Suo Sha Mi* (Amomi Fructus [removed shell]), *Gui Zhi* (Cinnamomi Ramulus [removed coarse bark]), *Chen Pi* (Citri Reticulatae Pericarpium [text incomplete]), *Wu Wei Zi* (Schisandrae Chinensis Fructus), *Gan Cao* (Glycyrrhizae Radix et Rhizoma [text incomplete]).
Process the above twelve ingredients by pounding and sieving into powder. Take 3 qian bi per dose, one zhan of water, add two slices of fresh ginger and a little salt, decoct together until reduced to 70%. Remove dregs and take warm. Take once on an empty stomach in the morning, before noon, and in the evening.
**Yin Chen Jian Wan Pills** for strengthening the Spleen and Stomach, treating deficiency consumptive disease with lower Jiao deficiency cold, fullness and stuffiness in the heart and abdomen, tasteless food, dry tongue and mouth, and weakness of the four limbs:
*Yin Chen Hao* (Artemisiae Scopariae Herba [3 liang, pounded to powder, decocted with one sheng of vinegar to make a paste]), *Bie Jia* (Testudinis Carapax et Plastrum [removed skirt edge, soaked in vinegar and roasted until yellow]), *Jing San Leng* (Curcumae Radix [roasted and pounded], [text incomplete]), *Ju Pi* (Citri Reticulatae Pericarpium [soaked in hot water, removed white pith... [text incomplete]]), *Wu Zhu Yu* (Evodiae Fructus [soaked in water overnight... [text incomplete]]).
Process the above twelve ingredients, except Yin Chen Hao, by pounding and sieving into powder. Mix with Yin Chen Hao paste to form pills, size of Sophora japonica seeds. Take 30 pills on an empty stomach daily with ginger soup. If difficult to bind, add more hot honey.
**Qian Hu Wan Pills** for treating deficiency consumptive disease with stuffiness in the chest and diaphragm, rebellious Qi causing irritability and fullness, and empty distension in the hypochondrium:
*Qian Hu* (Peucedani Radix [removed rhizome head]), *Ren Shen* (Ginseng Radix), *Bai Fu Ling* (Poria [removed black skin]), *Gui Zhi* (Cinnamomi Ramulus [removed coarse bark]), *Chen Ju Pi* (Citri Reticulatae Pericarpium [soaked in hot water, removed white pith, and dried]), *Bai Zhu* (Atractylodis Macrocephalae Rhizoma [each... [text incomplete]]).
Process the above eight ingredients by pounding and grinding into powder. Form pills using refined honey, size of Sophora japonica seeds. Take 20 pills per dose with warm wine, twice daily.
**Chai Hu Tang Decoction** for treating deficiency consumptive disease with rebellious Qi, fullness and stuffiness in the heart and abdomen, emaciation of the four limbs, abdominal distension, and inability to eat:
*Chai Hu* (Bupleuri Radix [removed seedlings, 3 liang]), *Zhi Ke* (Aurantii Fructus [removed pulp, bran-fried, 2 liang]), *Bai Fu Ling* (Poria [removed black skin, 3 qian]), *Bai Zhu* (Atractylodis Macrocephalae Rhizoma [2 liang]), *Ren Shen* (Ginseng Radix [1... [text incomplete]]).
Process the above six ingredients by coarsely pounding and sieving. Take 3 qian bi per dose, one zhan of water, add half a fen of crushed fresh ginger, decoct until reduced to 70%. Remove dregs and take warm on an empty stomach, once at night and once before sleep at noon.