治上焦虚寒,短气不续,语声不出方。
黄 桂心(各二两) 五味子 桔梗 干姜 茯苓 甘草 川芎(各三两) 丹参 杏
仁
(各
上十味 咀,以水九升,煮取三升,分为三服。
治上焦冷下痢,腹内不安,食即注下方。
川连 乌梅肉(各八两) 桂心(二两) 干姜 附子 阿胶(各四两) 榉皮 川芎 黄
柏
(各
上九味为末,蜜丸如梧子大,饮下二十丸,加至三十丸。
治上焦闭塞干呕,呕而不出,热少冷多,好吐白沫清涎吞酸方。
浓朴 茯苓 川芎 白术 元参(各四两) 桔梗 附子 人参 橘皮(各三两) 生
姜
(八两) 吴茱萸(八合)
上十一味 咀,以水二斗,煮取五升,分为五服。
论曰∶中焦如沤(沤者,在胃中如沤也),其气起于胃中脘,在上焦之后。此受气者,
主
化水谷之味,秘糟粕,蒸津液,化为精微,上注于肺,脉乃化而为血,奉以生身,莫贵乎此,
故独行于经隧,名曰营气。主足阳明,阳明之别号曰丰隆,在外踝上,去踝八寸,别走太阴
络诸经之脉,上下络太仓,主腐熟五谷,不吐不下。实则生热,热则闭塞不通,上下隔绝。
虚则生寒,寒则腹痛,洞泄便痢霍乱,主脾胃之病。夫血与气异形而同类,卫气是精,血气
是神,故血与气异名同类焉。夫脱血者无汗,此是神气。夺汗者无血,此是精气,故人有两
死而无两生,犹精神之气隔绝也。若虚则补于胃,实则泻于脾,调其中和其源,万不遗一也。
治疗上焦虚寒,气短不能接续,声音发不出来的方剂。
黄连、桂心(各二两)、五味子、桔梗、干姜、茯苓、甘草、川芎(各三两)、丹参、杏仁(各三两)。
以上十味药,切碎,用水九升,煮取三升,分三次服用。
治疗上焦冷导致下痢,腹内不安稳,进食后立即腹泻的方剂。
黄连、乌梅肉(各八两)、桂心(二两)、干姜、附子、阿胶(各四两)、榉皮、川芎、黄柏(各三两)。
以上九味药研为细末,用蜂蜜制成梧桐子大小的丸药,每次用温水送服二十丸,逐渐增加至三十丸。
治疗上焦闭塞引起的干呕,想呕吐却吐不出来,热少冷多,喜欢吐出白色泡沫和清稀涎水并伴有吞酸症状的方剂。
厚朴、茯苓、川芎、白术、玄参(各四两)、桔梗、附子、人参、橘皮(各三两)、生姜(八两)、吴茱萸(八合)。
以上十一味药,切碎,用水二斗,煮取五升,分五次服用。
论述说:中焦的功能如同沤渍(沤者,指在胃中像沤泡食物一样),其气起源于胃的中脘部,位于上焦之后。这一部分负责受纳谷气,主要转化水谷的精微味道,封闭糟粕,蒸腾津液,将其化为精微物质,向上输送到肺,脉中的血液由此化生,供养身体生长,没有比这更珍贵的了,所以它独自行走于经络隧道之中,称为营气(Ying Qi, Nutritive Qi)。它主管足阳明胃经,足阳明胃经的别络名为丰隆穴(Fenglong, ST40),位于外踝上方,距离踝关节八寸处,别行联络太阴脾经及其他经脉的脉络,上下联络太仓(即胃),主管腐熟五谷,使食物不吐出不泻。如果实证则产生热邪,热邪会导致闭塞不通,上下隔绝。如果虚证则产生寒邪,寒邪会导致腹痛、洞泄(水样腹泻)、便痢、霍乱,这是主管脾胃的疾病。血和气形状不同但本质同类,卫气(Wei Qi, Defensive Qi)是精气所化,血气是神志活动的物质基础,所以血与气名称不同但本质同类。大量失血的人不会出汗,这是因为神气耗损;大量出汗的人不会再生出血液,这是因为精气耗竭,所以人有两种死法而不会有两种活法,就像精神和气机隔绝一样。如果虚证就在胃进行补益,如果实证就在脾进行泻除,调理其中焦,调和其源头,就不会有遗漏。
Formula for treating deficiency-cold of the Upper Jiao (Upper Burner), shortness of breath that cannot be sustained, and inability to speak.
Huanglian (Coptidis Rhizoma), Guixin (Cinnamomi Cortex) (each 2 liang), Wuweizi (Schisandrae Fructus), Jiegeng (Platycodonis Radix), Ganjiang (Zingiberis Rhizoma), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 3 liang), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Xingren (Armeniacae Semen Amarum) (each 3 liang).
The above ten ingredients are coarsely crushed, boiled in 9 sheng of water until 3 sheng remain, and divided into three doses.
Formula for treating cold-dysentery caused by cold of the Upper Jiao, inner abdominal discomfort, and immediate diarrhea after eating.
Chuanlian (Coptidis Rhizoma), Wumei Rou (Mume Fructus Flesh) (each 8 liang), Guixin (Cinnamomi Cortex) (2 liang), Ganjiang (Zingiberis Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata), Ejiao (Asini Corii Colla) (each 4 liang), Jupi (Phellodendri Cortex? Note: Text says Ju Pi, likely Phellodendri or similar bark contextually, but literally "Ju Pi" often refers to Citrus peel, however here listed with Huangbo, likely a typo for Huangbai or specific bark. Given "Ju Pi" usually is Chenpi, but here distinct from Chenpi later? Actually text says "Ju Pi" (Bark of Zelkova/Phellodendron?) and "Huangbo". Let's stick to literal translation of ingredient names provided: Ju Pi (Phellodendri Cortex/Zelkovae Cortex - context suggests bark), Chuanxiong (Ligustici Chuanxiong Rhizoma), Huangbo (Phellodendri Cortex) (each 3 liang).
*Correction on Ingredients based on standard TCM texts*: The text lists "Ju Pi" (榉皮 - Bark of Zelkova schneideriana) and "Huang Bo" (黄柏 - Phellodendri Cortex).
The above nine ingredients are ground into powder, mixed with honey to make pills the size of wu zi (Sophorae Japonicae Fructus), taken with warm water, starting at 20 pills and increasing to 30 pills per dose.
Formula for treating dry heaving due to obstruction of the Upper Jiao, retching without vomiting, less heat and more cold, frequent spitting of white foam and clear saliva, and acid regurgitation.
Houpo (Magnoliae Officinalis Cortex), Fuling (Poria), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Yuan Shen (Scrophulariae Radix) (each 4 liang), Jiegeng (Platycodonis Radix), Fuzi (Aconiti Lateralis Radix Praeparata), Renshen (Ginseng Radix), Ju Pi (Citri Reticulatae Pericarpium) (each 3 liang), Sheng Jiang (Zingiberis Rhizoma Recens) (8 liang), Wuzhuyu (Evodiae Fructus) (8 he).
The above eleven ingredients are coarsely crushed, boiled in 2 dou of water until 5 sheng remain, and divided into five doses.
Discussion states: The Middle Jiao (Middle Burner) functions like fermentation (fermentation refers to the process in the stomach resembling soaking/steeping). Its qi originates from the Zhongwan (CV12) area of the stomach, located posterior to the Upper Jiao. This part receives qi, primarily transforming the flavors of food and drink, retaining waste, steaming body fluids, and converting them into essence. This essence flows upward to the Lung, where blood is transformed in the vessels, nourishing the body. Nothing is more precious than this; thus, it travels alone through the meridians and collaterals, named Ying Qi (Nutritive Qi). It governs the Foot-Yangming Stomach Meridian. The divergent branch of the Yangming is called Fenglong (ST40), located eight cun above the lateral malleolus, connecting separately to the Taiyin Spleen Meridian and other meridian networks, linking up and down to the Tai Cang (Stomach). It governs the rotting and ripening of grains, preventing vomiting and diarrhea. In excess conditions, heat is generated; heat causes obstruction and blockage, severing communication between upper and lower parts. In deficiency conditions, cold is generated; cold causes abdominal pain, profuse watery diarrhea, dysentery, and Huoluan (Cholera-like syndrome), which are diseases governing the Spleen and Stomach. Blood and Qi have different forms but are of the same category. Wei Qi (Defensive Qi) is refined essence; blood and qi are the spirit's foundation. Thus, blood and qi differ in name but share the same origin. Those who suffer massive blood loss do not sweat, as their Shen Qi (Spirit Qi) is depleted. Those who suffer massive sweating do not regenerate blood, as their Jing Qi (Essence Qi) is exhausted. Therefore, humans face two types of death but no two types of life, analogous to the separation of Spirit and Qi. If deficient, tonify the Stomach; if excessive, drain the Spleen. Regulate the Middle Jiao and harmonize its source, and nothing will be missed.