论曰冲之为病,逆气而里急,又冲脉者,起于气冲,挟脐上行,至胸中而散,虚劳之人,
肾气不足,伤于冲脉,其证腹里拘急,脐上至心下引痛,不能食,身寒而 栗也。
治虚劳里急,少腹发痛,气引胸胁,或心痛短气,芍药汤方
芍药(三两) 黄 (去芦头) 干姜(炮裂各二两) 甘草(炙锉) 桂(去粗皮各
一两) 当
上六味,粗捣筛,每服三钱匕,水一盏,入生姜一分拍碎,枣两枚去核,煎至七分。去
滓入饴糖一分,再煎令沸,空腹温服,日午夜卧再服。
治虚劳里急诸不足,黄 建中汤方
黄 (锉) 甘草(炙锉各三两) 桂(去粗皮二两) 芍药(五两)
上四味,粗捣筛,每服五钱匕,水一盏半,入生姜一分拍碎,枣两枚劈破,煎至八分,
去滓入饴糖一分,再煎令沸,空腹温服。日午夜卧再服,若呕者加生姜,腹满者去枣,加白
茯苓一两。
治虚劳里急,腹中疼痛,夜梦失精,四肢酸疼,手足烦热,咽干口燥,并妇人小腹痛,
小建中汤方
桂(去粗皮一两半) 芍药(三两) 甘草(炙锉半两)
上三味,粗捣筛,每服五钱匕,水一盏半,入生姜一分拍碎,枣二枚劈,煎至八分,去
滓下饴糖一分,再煎令沸,空腹温服,日午夜卧再服。
治虚劳腹中拘急,食不生肌肉,面色黑黄,手足疼痛,小便不利,石斛散方
石斛(去稍黑者一两) 山茱萸 五味子 萆 (各一两) 肉苁蓉(酒洗去皴皮切炙
一两
艽(去苗土
上一十二味,捣罗为散,每服二钱匕,空腹温酒调下,日午夜卧再服。
治虚劳五脏六腑虚损肠鸣,风湿营卫不调,黄 汤方
黄 (锉) 陈橘皮(汤浸去白焙) 当归(切焙) 桂(去粗皮) 前胡(去芦头) 芍
药麦
切焙) 细辛(
上一十二味,粗捣筛,每服三钱匕,水一盏,入生姜一分拍碎,枣两枚劈,煎至七分,
去滓空腹温服,日午夜卧再服。
治虚劳肾气不足,腹内拘急,目暗耳鸣,四肢困倦,行步乏力,脚如石沉,肌瘦羸弱,
面色萎黄,脐下紧痛,心忪盗汗,小便滑数,苁蓉丸方
肉苁蓉(酒浸一宿切作片子焙干二两) 磁石(三两烧醋淬七遍研) 鹿茸(酥炙去毛)
桂
心) 地骨皮
茯苓(去黑皮各一两)
上一十四味,除磁石外,捣罗为细末,同研匀,炼蜜和丸,如梧桐子大,每服二十丸,
温酒下,空心食前。
治虚劳里急,腰脚 痹,筋骨疼痛,或攻刺胁肋,久服润肌肉,填骨髓,去风气,鹿
角丸方
鹿角(一斤洗净酥炙令香) 巴戟天(去心二两) 熟干地黄(焙四两) 黄 (锉) 牛
膝(
苁蓉(酒浸去皴皮切焙) 附子(炮裂去皮脐) 泽泻(锉) 续断 芎 槟榔(锉) 防
风(去叉) 甘草(炙锉) 秦艽(去苗土) 细辛(去苗叶) 当归(切焙) 芍药 白
蒺藜(炒去角) 枳壳(去瓤
麸炒) 人参 鹿角胶(炙令燥) 杏仁(汤浸去皮尖双仁炒研各半两)
上二十六味,除杏仁别研外,捣罗为末,同拌匀,炼蜜为丸,如梧桐子大,每服空心温
酒下二十丸。
论述说:冲脉为病,表现为气逆和腹部拘急疼痛。另外,冲脉起始于气冲穴,挟持肚脐上行,到达胸中后散开。患有虚劳的人,肾气不足,损伤了冲脉,其症状表现为腹部内部拘挛急迫,从肚脐上方牵引至心窝处疼痛,不能进食,身体发冷且战栗。
治疗虚劳引起的腹部拘急疼痛,少腹(小腹部)发作疼痛,气机牵引胸胁部,或者心痛、呼吸短促,使用芍药汤方。
芍药(三两)、黄耆(去除芦头)、干姜(炮制裂开,各二两)、甘草(炙烤并切碎)、桂枝(去除粗皮,各一两)、当归。
以上六味药,粗捣筛碎,每次服用三钱匕,用水一盏,加入生姜一分拍碎,大枣两枚去核,煎煮至七分满。滤去药渣,加入饴糖一分,再次煎煮至沸腾,空腹时温服,半夜和临睡前再服一次。
黄耆(切碎)、甘草(炙烤并切碎,各三两)、桂枝(去除粗皮二两)、芍药(五两)。
以上四味药,粗捣筛碎,每次服用五钱匕,用水一盏半,加入生姜一分拍碎,大枣两枚劈破,煎煮至八分满,滤去药渣,加入饴糖一分,再次煎煮至沸腾,空腹时温服。半夜和临睡前再服一次。如果呕吐的,加生姜;腹部胀满的,去掉大枣,加白茯苓一两。
治疗虚劳引起的腹部拘急,腹中疼痛,夜间做梦遗精,四肢酸痛,手足烦热,咽喉干燥口舌燥渴,以及妇女小腹痛,使用小建中汤方。
桂枝(去除粗皮一两半)、芍药(三两)、甘草(炙烤并切碎半两)。
以上三味药,粗捣筛碎,每次服用五钱匕,用水一盏半,加入生姜一分拍碎,大枣两枚劈破,煎煮至八分满,滤去药渣,加入饴糖一分,再次煎煮至沸腾,空腹时温服,半夜和临睡前再服一次。
治疗虚劳引起的腹部拘急,饮食不能转化为肌肉,面色黑黄,手足疼痛,小便不利,使用石斛散方。
石斛(去除稍黑部分一两)、山茱萸、五味子、萆薢(各一两)、肉苁蓉(酒洗去皱皮切片炙烤一两)、秦艽(去除苗土……[原文此处有缺漏])。
以上十二味药,捣碎过罗成为散剂,每次服用二钱匕,空腹时用温酒调服,半夜和临睡前再服一次。
治疗虚劳导致五脏六腑虚损、肠鸣,风湿导致营卫不调,使用黄耆汤方。
黄耆(切碎)、陈橘皮(汤浸去白焙干)、当归(切焙)、桂枝(去除粗皮)、前胡(去除芦头)、芍药……[原文此处有缺漏]、细辛……[原文此处有缺漏]。
以上十二味药,粗捣筛碎,每次服用三钱匕,用水一盏,加入生姜一分拍碎,大枣两枚劈破,煎煮至七分满,滤去药渣,空腹时温服,半夜和临睡前再服一次。
治疗虚劳导致的肾气不足,腹部内部拘急,视力昏暗耳鸣,四肢困倦乏力,行走无力,脚像石头一样沉重,肌肉消瘦羸弱,面色萎黄,脐下紧痛,心悸盗汗,小便滑数,使用肉苁蓉丸方。
肉苁蓉(酒浸泡一夜,切片焙干二两)、磁石(三两,烧红后用醋淬炼七遍,研磨)、鹿茸(酥炙去毛)、桂心、地骨皮、茯苓(去除黑皮,各一两)……[原文此处有缺漏]。
以上十四味药,除磁石外,捣碎过罗成为细末,一同研磨均匀,用炼蜜和丸,如梧桐子大小,每次服用二十丸,温酒送下,空心饭前服用。
治疗虚劳引起的腹部拘急,腰脚麻木痹痛,筋骨疼痛,或者攻刺胁肋,长期服用可滋润肌肉,填补骨髓,去除风气,使用鹿角丸方。
鹿角(一斤洗净,酥炙令香)、巴戟天(去心二两)、熟干地黄(焙干四两)、黄耆(切碎)、牛膝……[原文此处有缺漏]、肉苁蓉(酒浸去皱皮切片焙干)、附子(炮制裂开去皮脐)、泽泻(切碎)、续断、川芎、槟榔(切碎)、防风(去除叉枝)、甘草(炙烤切碎)、秦艽(去除苗土)、细辛(去除苗叶)、当归(切焙)、芍药、白蒺藜(炒去角)、枳壳(去瓤麸炒)、人参、鹿角胶(炙令干燥)、杏仁(汤浸去皮尖双仁炒研,各半两)。
以上二十六味药,除杏仁单独研磨外,其余捣碎过罗成为粉末,一同拌匀,用炼蜜制成丸剂,如梧桐子大小,每次空腹时用温酒送下二十丸。
Discussion states: When the Chong vessel (Penetrating Vessel) is diseased, it manifests as counterflow of Qi and abdominal tension with pain. Furthermore, the Chong vessel originates at Qichong (ST30), ascends alongside the umbilicus, and disperses in the chest. In individuals suffering from Xu Lao (Deficiency Emaciation), if Kidney Qi is insufficient and the Chong vessel is injured, the symptoms include internal abdominal cramping and urgency, pulling pain from above the umbilicus to the epigastrium, inability to eat, coldness of the body, and tremors.
For treating Xu Lao with abdominal tension and pain, pain in the lower abdomen, Qi pulling sensation in the chest and hypochondrium, or heart pain and shortness of breath, use Shaoyao Decoction.
Shaoyao (Radix Paeoniae Alba) (3 liang), Huangqi (Radix Astragali Membranacei) (remove rhizome head), Ganjiang (Rhizoma Zingiberis Preparatum) (prepared until cracked, 2 liang each), Gancao (Radix Glycyrrhizae Preparata) (roasted and crushed), Guizhi (Ramulus Cinnamomi) (remove coarse bark, 1 liang each), Danggui (Radix Angelicae Sinensis).
The above six herbs are coarsely pounded and sifted. For each dose, take 3 qianbi (approx. 9-15g depending on era/measure), add one zhan (cup) of water, one fen of crushed fresh ginger, and two jujubes pitted. Decoct until reduced to seven-tenths. Strain the dregs, add one part Yi Tang (Malt Sugar), and boil again until boiling. Take warm on an empty stomach, and administer again at midnight and before sleep.
For treating Xu Lao with abdominal tension and various deficiencies, use Huangqi Jianzhong Decoction.
Huangqi (Radix Astragali Membranacei) (crushed), Gancao (Radix Glycyrrhizae Preparata) (roasted and crushed, 3 liang each), Guizhi (Ramulus Cinnamomi) (remove coarse bark, 2 liang), Shaoyao (Radix Paeoniae Alba) (5 liang).
The above four herbs are coarsely pounded and sifted. For each dose, take 5 qianbi, add one and a half zhan of water, one fen of crushed fresh ginger, and two jujubes split open. Decoct until reduced to eight-tenths. Strain the dregs, add one part Yi Tang (Malt Sugar), and boil again until boiling. Take warm on an empty stomach, and administer again at midnight and before sleep. If vomiting occurs, add fresh ginger; if abdominal fullness occurs, remove jujube and add Baifuling (Poria Cum Radix Pini) (1 liang).
For treating Xu Lao with abdominal tension, abdominal pain, nocturnal seminal emission, soreness and pain in the four limbs, vexatious heat in hands and feet, dry throat and mouth, as well as lower abdominal pain in women, use Xiao Jianzhong Decoction.
Guizhi (Ramulus Cinnamomi) (remove coarse bark, 1.5 liang), Shaoyao (Radix Paeoniae Alba) (3 liang), Gancao (Radix Glycyrrhizae Preparata) (roasted and crushed, 0.5 liang).
The above three herbs are coarsely pounded and sifted. For each dose, take 5 qianbi, add one and a half zhan of water, one fen of crushed fresh ginger, and two jujubes split open. Decoct until reduced to eight-tenths. Strain the dregs, add one part Yi Tang (Malt Sugar), and boil again until boiling. Take warm on an empty stomach, and administer again at midnight and before sleep.
For treating Xu Lao with abdominal tension, food failing to nourish muscles, dark and yellow complexion, pain in hands and feet, and difficult urination, use Shihu Powder.
Shihu (Herba Dendrobii) (remove slightly black parts, 1 liang), Shanzhuyu (Fructus Corni Officinalis), Wuweizi (Fructus Schisandrae Chinensis), Bixie (Rhizoma Dioscoreae Hypoglaucae) (1 liang each), Rongrong (Cortex Cibotii / Rhizoma Cibotii - *Note: Text says Roucongrong but header says Shihu San, context implies Cistanche*) (Roucongrong (Caulis Cistanches) (wine-washed, remove wrinkled skin, sliced, prepared, 1 liang)), Qinjiao (Radix Gentianae Macrophyllae) (remove seedlings and soil)... [Text fragment missing].
The above twelve herbs are pounded, sieved into powder. For each dose, take 2 qianbi, mix with warm wine on an empty stomach, and administer again at midnight and before sleep.
For treating Xu Lao causing deficiency damage to the five Zang and six Fu organs, intestinal borborygmus, and wind-dampness causing disharmony of Ying and Wei, use Huangqi Decoction.
Huangqi (Radix Astragali Membranacei) (crushed), Chenju Pi (Pericarpium Citri Reticulatae) (soaked in water, white pith removed, dried), Danggui (Radix Angelicae Sinensis) (sliced and dried), Guizhi (Ramulus Cinnamomi) (remove coarse bark), Qianhu (Radix Peucedani), Shaoyao (Radix Paeoniae Alba)... [Text fragment missing], Xixin (Herba Asari) ... [Text fragment missing].
The above twelve herbs are coarsely pounded and sifted. For each dose, take 3 qianbi, add one zhan of water, one fen of crushed fresh ginger, and two jujubes split open. Decoct until reduced to seven-tenths. Strain the dregs and take warm on an empty stomach, administering again at midnight and before sleep.
For treating Xu Lao causing insufficiency of Kidney Qi, internal abdominal tension, dim vision and tinnitus, fatigue and weakness in the four limbs, difficulty walking, heaviness in legs like stones, emaciated muscles, sallow complexion, tight pain below the umbilicus, palpitations and night sweats, slippery and frequent urination, use Rongrong Pills.
Rongrong (Caulis Cistanches) (soaked in wine overnight, sliced and dried, 2 liang), Cishi (Magnetitum) (3 liang, calcined and quenched in vinegar seven times, ground), Lurong (Cornu Cervi Pantotrichum) (prepared with butter/fat, hair removed), Guixin (Cortex Cinnamomi), Digupi (Cortex Lycii), Fuling (Sclerotium Poriae) (remove black skin, 1 liang each)... [Text fragment missing].
The above fourteen herbs, except for Cishi, are pounded, sieved into fine powder, mixed evenly, and bound with refined honey into pills the size of Sophora seeds. Take 20 pills with warm wine before meals on an empty stomach.
For treating Xu Lao with abdominal tension, numbness and bi-syndrome in waist and legs, pain in sinews and bones, or stabbing pain in the hypochondrium, long-term use can moisten muscles, fill marrow, and expel wind-pathogens, use Lu Jiao Pills.
Lu Jiao (Cornu Cervi) (1 jin, cleaned, prepared with butter/fat until fragrant), Bajitian (Radix Morindae Officinalis) (remove heart, 2 liang), Shudihuang (Radix Rehmanniae Preparata) (dried, 4 liang), Huangqi (Radix Astragali Membranacei) (crushed), Niuxi (Radix Achyranthis Bidentatae)... [Text fragment missing], Rongrong (Caulis Cistanches) (soaked in wine, remove wrinkled skin, sliced and dried), Fuzi (Radix Aconiti Lateralis Preparata) (prepared until cracked, skin and navel removed), Zexie (Rhizoma Alismatis), Xuduan (Radix Dipsaci), Xiong (Rhizoma Chuanxiong), Binglang (Semen Arecae) (crushed), Fangfeng (Radix Saposhnikoviae) (remove forked tips), Gancao (Radix Glycyrrhizae Preparata) (roasted and crushed), Qinjiao (Radix Gentianae Macrophyllae) (remove seedlings and soil), Xixin (Herba Asari) (remove seedlings and leaves), Danggui (Radix Angelicae Sinensis) (sliced and dried), Shaoyao (Radix Paeoniae Alba), Bajieli (Fructus Tribuli) (stir-fried, thorns removed), Zhike (Fructus Aurantii) (remove pulp, stir-fried with bran), Renshen (Radix Ginseng), Lu Jiao Jiao (Corpus Cervi Colla) (prepared until dry), Xingren (Semen Pruni Armeniacae) (soaked in water, peel and pointed end removed, double-kernel, stir-fried and ground, 0.5 liang each).
The above twenty-six herbs, except for Xingren which is ground separately, are pounded, sieved into powder, mixed evenly, and bound with refined honey into pills the size of Sophora seeds. Take 20 pills with warm wine on an empty stomach.