病心腹虚冷游痰气上胸胁满,不下食呕逆者方。
半夏(一升) 生姜(一斤) 橘皮(四两)
上三味 咀,以水一斗,煮取三升,分三服。若心中急及心痛,纳桂心四两。若腹满
痛,纳当归三两,羸弱及老人尤宜服之。一方用人参二两(仲景无橘皮、人参。)。
又方 半夏(一升) 生姜(一斤) 桂心(三两) 甘草(一两)
上四味 咀,以水七升,煮取二升半,分三服。
治心下痰饮,胸胁支满目眩方。
甘草(二两) 桂心 白术(各三两) 茯苓(四两)
上四味 咀,以水六升宿渍,煮取三升,去滓,服一升,日三,小盒饭利。
治病悬饮者,若下后不可与也。凡上气汗出而咳者,此悬饮也。(方见本卷咳
病溢饮者,当发其汗,小青龙汤主之(方见本卷咳嗽篇中。)(范汪用大青龙汤)。
治膈间有支饮,其人喘满,心下痞坚,面色黧黑,其脉沉紧,得之数十日,医吐下之
不愈者,用此方。
木防己(三两) 桂心(二两) 人参(四两) 石膏(鸡子大十二枚)
上四味 咀,以水六升,煮取二升,分二服,虚者即愈。实者三日复发,发则复与,若
不愈去石膏加茯苓四两,芒硝三合,微下利即愈。(一方不加茯苓。)
夫酒客咳者,必致吐血,此坐久饮过度所致。其脉虚者必胸满,胸中有支饮,此方主
之。
浓朴(一尺) 大黄(六两) 枳实(四两)
上三味 咀,以水五升,煮取二升,温服,分二服。
呕家不渴,渴为欲解,今反不渴,心下有支饮故也,小半夏汤主之。又有先渴即呕者,
此为水停心下,小半夏加茯苓汤主之。
治疗心腹部虚冷、游痰之气上冲至胸胁导致胀满,饮食不下且伴有呕吐逆气的方剂。
半夏(一升) 生姜(一斤) 橘皮(四两)
以上三味药,切碎,用水一斗,煎煮至取汁三升,分三次服用。如果心中急迫及心痛,加入桂心四两。如果腹部胀满疼痛,加入当归三两,身体瘦弱及老年人尤其适宜服用。另一版本用人参二两(张仲景的方子中没有橘皮、人参)。
又一方:半夏(一升) 生姜(一斤) 桂心(三两) 甘草(一两)
以上四味药,切碎,用水七升,煎煮至取汁二升半,分三次服用。
治疗心下痰饮,胸胁支撑感且目眩的方剂。
甘草(二两) 桂心 白术(各三两) 茯苓(四两)
以上四味药,切碎,用水六升浸泡过夜,煎煮至取汁三升,去渣,每次服用一升,每日三次,小便应当通利。
治疗悬饮病者,如果在泻下之后不可使用此法。凡是气逆、出汗且咳嗽的,这是悬饮。(方剂见本卷咳嗽病篇)
治疗溢饮病者,应当发汗,用小青龙汤主治(方剂见本卷咳嗽篇中)。(范汪用大青龙汤)。
治疗膈间有支饮,患者气喘胸闷,心下痞塞坚硬,面色黧黑,脉象沉紧,得病数十日,医生用吐法、下法治疗不愈的,用此方。
木防己(三两) 桂心(二两) 人参(四两) 石膏(鸡蛋大小十二枚)
以上四味药,切碎,用水六升,煎煮至取汁二升,分两次服用,虚证者即愈。实证者三天后复发,复发则再次给予此方,如果不愈,去掉石膏,加入茯苓四两,芒硝三合,轻微腹泻即愈。(另一版本不加茯苓。)
凡是嗜酒之人咳嗽,必然导致吐血,这是因为长久饮酒过度所致。其脉象虚者必然胸满,胸中有支饮,此方主治。
浓朴(一尺) 大黄(六两) 枳实(四两)
以上三味药,切碎,用水五升,煎煮至取汁二升,温服,分两次服用。
呕吐的人如果不渴,口渴则是病情欲解的表现,现在反而不渴,是因为心下有支饮的缘故,用小半夏汤主治。又有先感到口渴随即呕吐的,这是因为水停聚在心下,用小半夏加茯苓汤主治。
A prescription for treating deficiency-cold in the heart and abdomen, with wandering phlegm (Wandering Phlegm) qi rising to the chest and hypochondrium causing fullness, inability to eat, and vomiting or regurgitation.
Banxia (Pinelliae Rhizoma), one sheng; Shengjiang (Zingiberis Rhizoma Recens), one jin; Jupi (Citri Reticulatae Pericarpium), four liang.
The above three herbs are coarsely crushed, boiled in ten dou of water until reduced to three sheng, and divided into three doses. If there is urgency in the heart and heart pain, add Guixin (Cinnamomi Ramulus), four liang. If there is abdominal fullness and pain, add Danggui (Angelicae Sinensis Radix), three liang. This is especially suitable for emaciated individuals and the elderly. Another version uses Renshen (Ginseng Radix), two liang (Zhang Zhongjing's formula does not contain Jupi or Renshen).
Another prescription: Banxia (Pinelliae Rhizoma), one sheng; Shengjiang (Zingiberis Rhizoma Recens), one jin; Guixin (Cinnamomi Ramulus), three liang; Gancao (Glycyrrhizae Radix et Rhizoma), one liang.
The above four herbs are coarsely crushed, boiled in seven sheng of water until reduced to two and a half sheng, and divided into three doses.
A prescription for treating phlegm-fluid retention (Tan-Yin) below the heart, with a sensation of support in the chest and hypochondrium and vertigo.
Gancao (Glycyrrhizae Radix et Rhizoma), two liang; Guixin (Cinnamomi Ramulus); Baizhu (Atractylodis Macrocephalae Rhizoma), each three liang; Fuling (Poria), four liang.
The above four herbs are coarsely crushed, soaked overnight in six sheng of water, boiled until reduced to three sheng, the dregs removed, and one sheng taken per dose, three times daily. Urination should be profuse.
For treating Huan-Yin (Suspension Fluid), it should not be used after purgation. Generally, when there is rebellious qi, sweating, and coughing, this is Huan-Yin (Suspension Fluid). (See the formula in the Cough Disease section of this volume.)
For treating Yi-Yin (Overflowing Fluid), diaphoresis should be induced, and Xiao Qinglong Tang (Minor Blue Dragon Decoction) is the primary treatment. (See the formula in the Cough Disease section of this volume.) (Fan Wang used Da Qinglong Tang (Major Blue Dragon Decoction)).
For treating Zhi-Yin (Branch Fluid) between the diaphragm, where the patient suffers from wheezing and fullness, hardness and stuffiness below the heart, darkened complexion, and a deep, tight pulse, having been ill for dozens of days without improvement despite doctors' use of emesis and purgation, use this prescription.
Mufangji (Stephaniae Tetrandrae Radix), three liang; Guixin (Cinnamomi Ramulus), two liang; Renshen (Ginseng Radix), four liang; Shigao (Gypsum Fibrosum), twelve pieces the size of an egg.
The above four herbs are coarsely crushed, boiled in six sheng of water until reduced to two sheng, and divided into two doses. Those with deficiency will be cured immediately. Those with excess will relapse after three days; if they relapse, administer the same prescription again. If there is no improvement, remove Shigao (Gypsum Fibrosum) and add Fuling (Poria), four liang, and Mangxiao (Natrii Sulfas), three he. Mild diarrhea indicates cure. (Another version does not include Fuling.)
Those who drink wine excessively and suffer from coughing will inevitably expectorate blood, caused by long-term excessive drinking. Those with a deficient pulse will inevitably have chest fullness; there is Zhi-Yin (Branch Fluid) in the chest, which this prescription treats.
Houpo (Magnoliae Officinalis Cortex), one chi; Dahuang (Rhei Radix et Rhizoma), six liang; Zhishi (Aurantii Fructus Immaturus), four liang.
The above three herbs are coarsely crushed, boiled in five sheng of water until reduced to two sheng, taken warm, and divided into two doses.
Those who vomit but do not feel thirsty indicate that thirst would mean the condition is resolving. The current lack of thirst is due to Zhi-Yin (Branch Fluid) below the heart, treated primarily with Xiao Banxia Tang (Minor Pinellia Decoction). Furthermore, those who feel thirsty and then vomit have water stagnating below the heart, treated primarily with Xiao Banxia Jia Fuling Tang (Minor Pinellia Decoction plus Poria).