治脾胃俱虚冷方。
白术 浓朴 人参 吴茱萸 茯苓 麦 曲 芎 (各三两)
上八味治,下筛,酒服方寸匕,食后服,日三。(一方加大腹、橘皮。
凡身重不得食,食无味,心下虚满,时时欲下,喜卧者,皆针胃脘,太仓宜,服建中
汤及此方。
杏仁(五十枚) 丹参(三两) 苦参 元参 葶苈(各二两) 芎 桂心(各一两)
上七味为末,蜜丸如梧子大,酒服五丸,日三,以知为度。
又方 治丈夫小儿食实不消,胃气不调,或温壮热结,大小便不利者,有病冷者服露
宿丸,热药后当进此丸调胃方,(露宿丸见后十六卷胃腑痼冷积热门)。
大黄(二两) 小草 甘草 芍药 芎 葶苈(各一两) 杏仁(五十枚)
上七味为末,蜜丸如梧子,饮服五丸,日三。一岁小儿二丸,渐加之。(《翼方》无杏
仁,有菖蒲、当归、干姜、茯苓、麦门冬、细辛,为十三味)。
论曰∶凡病宿食在上脘,当吐之,脉数而滑者实也。有宿食不消,下之愈。胃中有 食
冷物,即痛不能食,有热物即欲食。大腹有宿食,寒栗发热如疟状。宿食在小腹者,当暮发
热,明旦复止。寸脉紧即头痛风寒,或腹中宿食不化。寸口脉紧者,如转索左右无常。脾胃
中有宿食不消,寸口脉浮而大,按之反涩,尺中微而涩,故知宿食。
治疗脾胃俱虚寒的方剂。
白术、厚朴、人参、吴茱萸、茯苓、麦曲、川芎(各三两)。
以上八味药捣碎,过筛,用酒送服一方寸匕,饭后服用,每日三次。(另一版本加大腹皮、陈皮。)
凡是身体沉重、不能进食、食物无味、心下虚满、时时想排便、喜欢躺卧的,都应当针刺胃脘穴、太仓穴(中脘),并服用小建中汤及此方。
杏仁(五十枚)、丹参(三两)、苦参、玄参、葶苈子(各二两)、川芎、桂心(各一两)。
以上七味药研成末,蜂蜜炼丸如梧桐子大,酒送服五丸,每日三次,以见效为度。
又一方:治疗男子小儿食积不消,胃气不调,或温热壮热结聚,大小便不利的;若有患冷病的,服用露宿丸后,当进服此调胃方。(露宿丸见后十六卷胃腑痼冷积热门)。
大黄(二两)、小草、甘草、芍药、川芎、葶苈子(各一两)、杏仁(五十枚)。
以上七味药研成末,蜂蜜炼丸如梧桐子大,饮水送服五丸,每日三次。一岁的幼儿服二丸,逐渐增加剂量。(《翼方》无杏仁,有石菖蒲、当归、干姜、茯苓、麦门冬、细辛,共十三味)。
论述说:凡是病邪宿食在上脘,应当用吐法,脉象数而滑的是实证。有宿食不消,用下法可愈。胃中有冷的食物,就会疼痛而不能进食;有热的食物就想进食。大腹有宿食,会寒战发热像疟疾一样。宿食在小腹的,会在傍晚发热,第二天早晨停止。寸脉紧即头痛风寒,或腹中宿食不化。寸口脉紧的,像转索左右无常。脾胃中有宿食不消,寸口脉浮而大,按之反涩,尺中微而涩,所以知道是宿食。
A prescription for treating deficiency-cold of both the Spleen and Stomach.
Baizhu (Atractylodis Macrocephalae Rhizoma), Houpo (Magnoliae Officinalis Cortex), Renshen (Ginseng Radix et Rhizoma), Wuzhuyu (Evodiae Fructus), Fuling (Poria), Maiqu (Bran Fermented with Medicinal Herbs), Xiong (Chuanxiong Rhizome) (each 3 liang).
The above eight herbs are processed, sifted into powder, taken orally with wine in a dose of one fangcun bi (a square-inch measure), after meals, three times a day. (Another version adds Dafupi (Arecae Pericarpium) and Choupi (Citri Reticulatae Pericarpium).)
For cases characterized by heavy body, anorexia, loss of taste, epigastric fullness with emptiness, frequent desire to defecate, and preference for lying down, acupuncture at Weiwann (St19, Stomach Well-Source point) and Tai cang (CV12, Zhongwan) is appropriate, along with oral administration of Xiaojianzhong Tang (Minor Construct the Middle Decoction) and this prescription.
Xingren (Pruni Armeniacae Semen), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Kushen (Sophorae Flavescentis Radix), Yuanshen (Scrophulariae Radix), Tingli (Descurainiae Semen seu Lepidii Semen) (each 2 liang), Xiong (Chuanxiong Rhizome), Guixin (Cinnamomi Ramulus) (each 1 liang).
The above seven herbs are powdered, mixed with honey to form pills the size of wutong seeds (Vitex negundo fruits), taken orally with wine, five pills per dose, three times a day, until efficacy is observed.
Another prescription: For treating food stagnation and indigestion in men and children, disharmony of Stomach Qi, or accumulation of warm-heat causing high fever, with difficulty in urination and defecation; for those suffering from cold conditions, after taking Lusu Wan (Dew-Night-Standing Pill), this Stomach-regulating pill should be administered. (Lusu Wan is found in Volume 16, Chapter on Chronic Cold Accumulation in the Stomach Organ.)
Dahuang (Rhei Radix et Rhizoma), Xiao Cao (Radix Glycyrrhizae Uralensis var. Glechomae? Note: Context implies a mild herb, likely referring to a specific local variant or typo for Gancao/Xiaobai, but kept as literal translation based on text "Xiao Cao"), Gancao (Glycyrrhizae Radix et Rhizoma), Shaoyao (Paeoniae Radix), Xiong (Chuanxiong Rhizome), Tingli (Descurainiae Semen seu Lepidii Semen) (each 1 liang), Xingren (Pruni Armeniacae Semen) (50 seeds).
The above seven herbs are powdered, mixed with honey to form pills the size of wutong seeds, taken orally with water, five pills per dose, three times a day. One-year-old infants take two pills, gradually increasing the dose. (Yi Fang omits Xingren, adding Shichangpu (Acori Tatarinowii Rhizoma), Danggui (Angelicae Sinensis Radix), Ganjiang (Zingiberis Rhizoma), Fuling (Poria), Maidong (Ophiopogonis Radix), and Xixin (Asari Radix et Rhizoma), totaling thirteen herbs.)
Discussion states: Generally, when pathogenic food stagnation is located in the Upper Jiao (Upper Burner), emesis should be induced; a rapid and slippery pulse indicates excess syndrome. If food stagnation does not digest, purgation leads to recovery. If cold food remains in the Stomach, pain occurs and appetite is lost; if hot food remains, appetite increases. If food stagnation is in the large abdomen, chills and fever resembling malaria occur. If food stagnation is in the lower abdomen, fever starts in the evening and subsides by morning. A tight pulse at the Cun position indicates headache due to wind-cold, or indigestion of food stagnation in the abdomen. A tight pulse at the Cunkou (Radial artery) feels like a turning rope varying left and right. When food stagnation exists in the Spleen and Stomach, the Cunkou pulse is floating and large, but feels choppy upon pressure, while the Chi position is faint and choppy; thus, it is known to be food stagnation.