(论一首 方八首 灸法十一首)
论曰∶病者腹满,按而不痛者为虚,按之痛者为实也。夫腹中满不减,减不足言,此当
下之。舌黄,未下者下之,黄自去。腹满时减复如故,此为寒,当得温药。腹满口中苦干燥,
腹
趺阳脉微弦,法当腹满不满者,必下部闭塞,大便难,两 下疼痛,此虚寒气从下上也
。当以温药服之,取瘥。腹满转痛来趋小腹,为欲自下利也(一云∶腹中痛,若转气下趋小
腹,为欲自利)。
治胃气不平,时胀咳,不能食方。
附子 当归 浓朴 人参 橘皮 芍药 甘草(各一两) 干姜(五分) 川椒(三合)
上九味 咀,以水九升,煮取三升,分三服。
治胃中虚冷,腹满塞下气方。
半夏(一升) 大枣(二十枚) 甘草 附子 当归 人参 浓朴 茯苓 枳实(各二
两)
桂心
上十二味 咀,以水一斗,煮取三升,分二服。
治腹中寒气胀满,肠鸣切痛,胸胁逆满呕吐方。
附子(一枚) 半夏 粳米(各半升) 甘草(一两) 大枣(十枚)
上五味 咀,以水八升煮米,熟去滓,每服一升,日三服(《集验方》加干姜二两)。
治腹满发热数十日,脉浮而数,饮食如故方。
浓朴(半斤) 大黄(四两) 陈枳实(大者五枚)
上三味 咀,以水一斗二升,煮取五升纳大黄,煎取三升,去滓,服一升。腹中转动
者勿服,不动者更服。一方加芒硝二两。
(论述一首 方剂八首 灸法十一首)
论述说:患病者腹部胀满,按压时不疼痛的属于虚证,按压时疼痛的属于实证。如果腹部胀满持续不减,即使有轻微减轻也不足为道,这种情况应当采用泻下法治疗。舌苔发黄,尚未使用泻下法的,应用泻下法,黄苔自然会消退。腹部胀满有时减轻,但不久又恢复原状,这属于寒证,应当服用温性药物。腹部胀满且口苦、口干,趺阳脉微而弦,按法度应当出现腹部胀满或虽无胀满但下部闭塞、大便困难、两胁下疼痛,这是虚寒气从下向上侵犯所致。应当服用温性药物,以求痊愈。腹部胀满并伴有疼痛感向小腹移动,这是将要自行腹泻的表现(另一种说法是:腹中疼痛,如果有气向下窜动至小腹,这是将要自行腹泻)。
治疗胃气不和,时常胀满咳嗽,不能进食的方剂。
附子、当归、浓朴、人参、橘皮、芍药、甘草(各一两),干姜(五分),川椒(三合)。
以上九味药,切碎,用水九升,煎煮取汁三升,分三次服用。
治疗胃中虚冷,腹部胀满堵塞,需下气的方剂。
半夏(一升)、大枣(二十枚)、甘草、附子、当归、人参、浓朴、茯苓、枳实(各二两),桂心。
以上十二味药,切碎,用水一斗,煎煮取汁三升,分两次服用。
治疗腹中寒气引起的胀满,肠鸣剧烈疼痛,胸胁气逆胀满呕吐的方剂。
附子(一枚)、半夏、粳米(各半升)、甘草(一两)、大枣(十枚)。
以上五味药,切碎,用水八升煮粳米,米熟后去渣,每次服用一升,每日三次(《集验方》加干姜二两)。
治疗腹部胀满发热数十日,脉象浮而数,饮食正常的方剂。
浓朴(半斤)、大黄(四两)、陈枳实(大的五枚)。
以上三味药,切碎,用水一斗二升,煎煮取汁五升,纳入大黄,再煎煮取汁三升,去渣,服用一升。如果服药后腹中转动(有便意或肠鸣),不要服用;如果没有反应,可再次服用。另一版本加芒硝二两。
(One Treatise, Eight Formulas, Eleven Moxibustion Methods)
The treatise states: When a patient suffers from abdominal fullness, if pressing the abdomen does not cause pain, it is a deficiency pattern; if pressing causes pain, it is an excess pattern. If abdominal fullness persists without reduction, or any slight reduction is negligible, purgation should be employed. If the tongue coating is yellow and purgation has not yet been used, administer purgatives, and the yellow coating will naturally disappear. If abdominal fullness decreases intermittently but returns to its previous state, this indicates a cold pattern, and warm herbs should be administered. If abdominal fullness is accompanied by bitter taste and dryness in the mouth, and the Duyang pulse (pulse at the dorsalis pedis artery) is faint and wiry, according to standard principles, there should be abdominal fullness; if there is no fullness, there must be obstruction in the lower part, difficult defecation, and pain in both hypochondriac regions. This is caused by deficiency-cold qi ascending from below. Warm herbs should be taken to achieve recovery. If abdominal fullness is accompanied by pain radiating towards the lower abdomen, it indicates impending spontaneous diarrhea (another version states: abdominal pain with qi moving downward toward the lower abdomen indicates impending spontaneous diarrhea).
Formula for treating disharmony of Stomach Qi, characterized by frequent distension, coughing, and inability to eat.
Fuzi (Aconiti Lateralis Radix Praeparata), Danggui (Angelicae Sinensis Radix), Houpo (Magnoliae Officinalis Cortex), Renshen (Ginseng Radix et Rhizoma), Ju pi (Citri Reticulatae Pericarpium), Shaoyao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma) (each 1 liang), Ganjiang (Zingiberis Rhizoma), Chuanjiao (Sichuan Pepper).
The above nine ingredients are coarsely crushed, boiled in 9 sheng of water until reduced to 3 sheng, and divided into three doses.
Formula for treating deficiency-cold in the Stomach, abdominal fullness and blockage requiring downward-moving Qi.
Banxia (Pinelliae Tuber), Dazao (Jujubae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata), Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix et Rhizoma), Houpo (Magnoliae Officinalis Cortex), Fuling (Poria), Zhishi (Aurantii Fructus Immaturus) (each 2 liang), Guixin (Cinnamomi Ramulus).
The above twelve ingredients are coarsely crushed, boiled in 1 dou of water until reduced to 3 sheng, and divided into two doses.
Formula for treating abdominal fullness due to cold pathogen in the abdomen, loud borborygmus with severe pain, rebellious Qi causing chest and hypochondriac fullness, and vomiting.
Fuzi (Aconiti Lateralis Radix Praeparata) (one piece), Banxia (Pinelliae Tuber), Jingmi (Oryza Sativa), Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang), Dazao (Jujubae Fructus) (ten pieces).
The above five ingredients are coarsely crushed, boiled in 8 sheng of water with the rice. Once the rice is cooked, strain the dregs. Take 1 sheng per dose, three times daily. (The *Jiyan Fang* adds Ganjiang [Zingiberis Rhizoma] 2 liang).
Formula for treating abdominal fullness and fever lasting dozens of days, with a floating and rapid pulse, while appetite remains normal.
Houpo (Magnoliae Officinalis Cortex) (half jin), Dahuang (Rhei Radix et Rhizoma) (4 liang), Chen Zhishi (Aurantii Fructus Immaturus aged) (five large pieces).
The above three ingredients are coarsely crushed, boiled in 1.2 dou of water until reduced to 5 sheng. Add Dahuang (Rhei Radix et Rhizoma) and boil until reduced to 3 sheng. Strain and take 1 sheng. Do not take if bowel movement or borborygmus occurs after ingestion; if no reaction occurs, take another dose. Another version adds Mangxiao (Natrii Sulfas) 2 liang.