广济疗气瘿气,胸膈满塞,咽喉项颈渐粗。昆布丸方。
昆布(二两洗去咸汁) 通草(一两) 羊靥(二具炙) 海蛤(一两研) 马尾海藻
(一两洗
去咸汁)
上五味,蜜丸如弹子,细细含咽汁。忌生菜、热面、炙肉、蒜、笋。
又疗冷气筑咽喉噎塞兼瘿气。昆布丸方。
昆布(八分洗) 干姜(六分) 犀角(六分屑) 吴茱萸(四分) 人参(八分) 马
尾海藻(
四分洗) 葶苈子(六分熬) 杏仁(八分去皮尖熬)
上八味捣筛,蜜丸如梧子,空腹以饮服。忌生冷、粘食、陈臭等。余忌同前。
又疗气妨塞方。
昆布(三两洗) 菘萝 通草 柳根须(各三两近水生者)
上四味捣筛,蜜丸如弹丸大,以海藻汤浸,细细含之,咽尽勿停。忌举重生嗔忧悲等。
又疗瘿细气方。
昆布(十二分洗) 马尾海藻(十分洗) 杏仁(八分) 通草 麦门冬(去心) 连
翘(各六
分) 干姜 橘皮(各六分) 茯苓(八分) 松萝(三两)
上十味捣末,以袋盛含之,乃以齿微微嚼药袋子,汁出入咽中,日夜勿停,有问荆加四
分佳。忌嗔及劳油腻粘食。(并出第二卷中)
深师苏子膏疗气瘿方。
腊月猪脂一升 苏子 桂心 大黄 当归 干姜 橘皮 蜀椒汗各三分
上八味切,以水六升,煮取二升,去滓,纳猪脂,消尽服瘥。忌生葱。(出第二十九卷
中)
崔氏云凡水瘿气瘿可瘥,石瘿不可治疗气瘿方。
平旦手挽瘿令离项,掐其下根,脉断愈。一日一度掐,易愈者七日,如难瘥者三七日愈
又方
昆布(二两洗) 海藻(二两洗) 龙胆草(一两) 马刀(半两炙) 海蛤(半两研)
大黄(
一分) 熏黄(半两)
上七味捣,蜜丸如梧子大,破除日以绵裹一丸含咽津,朝暮空腹服。忌五辛、猪肉。
又方
海藻(二两洗)
上一味以淳酒四升渍二宿,漉去滓,细细暖含咽之,尽即更造,取差为度。(范汪同并
出第四卷中)
必效主气瘿方。
白头翁(半两) 昆布(十分洗) 海藻(七分洗) 通草(七分) 玄参 连翘(各
八分) 桂
心(三分) 白蔹(六分)
上八味捣筛,蜜丸如梧子五丸。若冷用酒服禁蒜、面、猪、鱼、生葱。(出第五卷中)
古今录验疗瘿有在咽喉初起,游气去来阴阳气相搏,遂停住喉中前不去,肿起如斛罗,
诸疗不瘥。小麦汤方。
小麦(三升) 昆布(二两洗去咸) 浓朴(炙一两) 橘皮 附子(炮) 海藻(洗
各二两)
生姜(五两) 半夏(洗五两) 白前(三两) 杏仁(一百枚去尖皮)
上十味切以水一斗,煮取三升半,分五服。相去一炊顷。忌猪肉、饧、羊肉、冷水。(出
第四十一卷中)
《广济方》治疗气瘿,症状表现为胸膈部满闷堵塞,咽喉及颈部逐渐变粗。昆布丸方。
昆布(二两,洗净去除咸味汁液) 通草(一两) 羊靥(两个,炙烤) 海蛤(一两,研碎) 马尾海藻(一两,洗净去除咸味汁液)
以上五味药,用蜂蜜制成如弹子大小的蜜丸,细细含服,让药汁慢慢咽下。忌食生菜、热面、烤肉、蒜、笋。
又方治疗冷气冲击咽喉导致噎塞并兼有瘿气。昆布丸方。
昆布(八分,洗净) 干姜(六分) 犀角(六分,锉成屑) 吴茱萸(四分) 人参(八分) 马尾海藻(四分,洗净) 葶苈子(六分,炒制) 杏仁(八分,去皮尖后炒制)
以上八味药捣碎过筛,用蜂蜜制成如梧桐子大小的蜜丸,空腹时用水送服。忌食生冷、粘性食物、陈旧变质食物等。其余禁忌同前。
又方治疗气机妨碍堵塞。
昆布(三两,洗净) 菘萝 通草 柳根须(各三两,取靠近水源生长的)
以上四味药捣碎过筛,用蜂蜜制成如弹丸大小的蜜丸,用海藻汤浸泡,细细含服,将药汁咽尽不要停止。忌情绪激动、生气、忧愁、悲伤等。
又方治疗细小的瘿气和气滞。
昆布(十二分,洗净) 马尾海藻(十分,洗净) 杏仁(八分) 通草 麦门冬(去心) 连翘(各六分) 干姜 橘皮(各六分) 茯苓(八分) 松萝(三两)
以上十味药捣成粉末,装入袋中含在口中,然后用牙齿微微嚼破药袋,让药汁出入于咽喉中,日夜不停,若有问荆可加四分效果更佳。忌愤怒以及劳累、油腻、粘性食物。(均出自第二卷)
《深师方》苏子膏治疗气瘿方。
腊月猪脂一升 苏子 桂心 大黄 当归 干姜 橘皮 蜀椒(汗出者)各三分
以上八味药切碎,用水六升,煮取二升药液,去掉药渣,加入猪脂,待猪脂完全融化后服用,病愈为止。忌生葱。(出自第二十九卷)
崔氏说:凡是水瘿、气瘿可以治愈,石瘿不可治疗。治疗气瘿方。
清晨用手握住瘿瘤使其离开颈部,掐按瘿瘤下方的根部,使脉气阻断则痊愈。每天掐一次,容易好的七天痊愈,难以治愈的二十一天痊愈。
又方
昆布(二两,洗净) 海藻(二两,洗净) 龙胆草(一两) 马刀(半两,炙烤) 海蛤(半两,研碎) 大黄(一分) 熏黄(半两)
以上七味药捣碎,用蜂蜜制成如梧桐子大小的蜜丸,白天破除药丸,用绵裹住一丸含在口中,吞咽津液,早晚空腹服用。忌五辛、猪肉。
又方
海藻(二两,洗净)
以上一味药用纯酒四升浸泡两个晚上,滤去药渣,细细温热含服咽下,喝完再重新制作,以病愈为度。(范汪方相同,均出自第四卷)
《必效方》主治气瘿方。
白头翁(半两) 昆布(十分,洗净) 海藻(七分,洗净) 通草(七分) 玄参 连翘(各八分) 桂心(三分) 白蔹(六分)
以上八味药捣碎过筛,用蜂蜜制成如梧桐子大小的蜜丸,每次五丸。若属寒证用酒送服,禁食蒜、面、猪肉、鱼、生葱。(出自第五卷)
《古今录验》治疗瘿病,有的在咽喉初起,游动之气往来,阴阳之气相互搏结,于是停滞在喉中向前不去,肿起如葫芦状,各种疗法均无效。小麦汤方。
小麦(三升) 昆布(二两,洗净去除咸味) 浓朴(炙烤一两) 橘皮 附子(炮制) 海藻(洗净各二两)
生姜(五两) 半夏(洗净五两) 白前(三两) 杏仁(一百枚,去尖皮)
以上十味药切碎,用水一斗,煮取三升半,分五次服用。每次服药间隔一顿饭的时间。忌猪肉、饴糖、羊肉、冷水。(出自第四十一卷)
*Guangji Fang* treats Qi Ying (Qi goiter), with symptoms of fullness and obstruction in the chest and diaphragm, and gradual thickening of the throat, neck, and cervical region. Kelp Pill Formula.
Kelp (2 liang, washed to remove salty juice) Tongcao (1 liang) Sheep thyroid gland (2 pieces, roasted) Clam shell (1 liang, ground) Horse-tail Seaweed (1 liang, washed to remove salty juice).
The above five herbs are processed into honey pills the size of a bullet. Chew slowly and swallow the juice gradually. Avoid raw vegetables, hot noodles, roasted meat, garlic, and bamboo shoots.
Another formula treats cold qi attacking the throat causing dysphagia and obstruction, accompanied by Ying Qi (goiter qi). Kelp Pill Formula.
Kelp (8 fen, washed) Dried Ginger (6 fen) Rhinoceros Horn (6 fen, shaved) Evodia Fruit (4 fen) Ginseng Root (8 fen) Horse-tail Seaweed (4 fen, washed) Lepidium Seed (6 fen, stir-fried) Apricot Kernel (8 fen, skin and tip removed, stir-fried).
The above eight herbs are crushed, sifted, and made into honey pills the size of a Sophora seed. Take on an empty stomach with water. Avoid raw/cold foods, sticky foods, and stale/odorous foods. Other restrictions are the same as above.
Another formula treats Qi obstruction and blockage.
Kelp (3 liang, washed) Plantago Seed (Songluo) Tongcao Willow Rootlets (each 3 liang, preferably from near water sources).
The above four herbs are crushed, sifted, and made into honey pills the size of a small ball. Soak in Seaweed Decoction, chew slowly, and swallow completely without stopping. Avoid emotional agitation, anger, sorrow, and grief.
Another formula treats small Ying (goiter) and Qi stagnation.
Kelp (12 fen, washed) Horse-tail Seaweed (10 fen, washed) Apricot Kernel (8 fen) Tongcao Ophiopogon Tuber (heart removed) Forsythia Fruit (each 6 fen) Dried Ginger Tangerine Peel (each 6 fen) Poria (8 fen) Usnea (3 liang).
The above ten herbs are powdered, placed in a bag for oral containment. Gently chew the herb bag with teeth so that the juice enters and exits the throat, day and night without stopping. Adding Shepherd's Purse (Wenjing Cao) 4 fen is beneficial. Avoid anger, labor, greasy, and sticky foods. (All from Volume II)
*Shenshi Fang* Perilla Paste Formula for treating Qi Ying (Qi goiter).
Lard from the twelfth lunar month (1 sheng) Perilla Seed Cinnamon Twig Rhubarb Angelica Sinensis Root Dried Ginger Tangerine Peel Sichuan Pepper (sweated) each 3 fen.
The above eight herbs are chopped, boiled in 6 sheng of water until reduced to 2 sheng. Strain out the dregs, add lard, melt completely, and take until cured. Avoid raw green onions. (From Volume XXIX)
Cui Shi stated: Water Ying (Water goiter) and Qi Ying (Qi goiter) can be cured, but Stone Ying (Stone goiter) cannot be treated. Treatment for Qi Ying.
At dawn, grasp the goiter with hand to lift it off the neck, pinch its lower root until the pulse is interrupted; this leads to cure. Pinch once a day. Easy cases resolve in 7 days; difficult cases resolve in 21 days.
Another formula
Kelp (2 liang, washed) Seaweed (2 liang, washed) Gentian Root Scorpion (Ban Dao, 0.5 liang, roasted) Clam Shell (0.5 liang, ground) Rhubarb (1 fen) Realgar (0.5 liang).
The above seven herbs are crushed and made into honey pills the size of Sophora seeds. During the day, unwrap one pill, wrap in cotton, hold in mouth, and swallow saliva. Take on an empty morning and evening. Avoid Five Pungent Spices and pork.
Another formula
Seaweed (2 liang, washed).
Soak this single herb in 4 sheng of pure wine for two nights. Strain out the dregs. Warm slightly, hold in mouth, and swallow slowly. When finished, prepare again. Continue until cured. (Fan Wang's formula is the same; both from Volume IV)
*Bixiao Fang* Main Formula for Qi Ying (Qi goiter).
Pulsatilla Root (0.5 liang) Kelp (10 fen, washed) Seaweed (7 fen, washed) Tongcao (7 fen) Scrophularia Root Forsythia Fruit (each 8 fen) Cinnamon Twig (3 fen) White Peony Root (6 fen).
The above eight herbs are crushed, sifted, and made into honey pills the size of Sophora seeds, 5 pills per dose. If due to cold, take with wine. Prohibit garlic, noodles, pork, fish, and raw green onions. (From Volume V)
*Gujin Luyan* treats Ying (goiter) which initially arises in the throat. Wandering Qi moves back and forth, Yin and Yang Qi clash, then stagnate in the throat, moving forward but not backward, swelling like a gourd. Various treatments fail. Wheat Decoction Formula.
Wheat (3 sheng) Kelp (2 liang, washed to remove salt) Magnolia Bark (roasted 1 liang) Tangerine Peel Aconite Root (processed) Seaweed (washed, each 2 liang)
Fresh Ginger (5 liang) Pinellia Tuber (washed 5 liang) Cynanchum Root (3 liang) Apricot Kernel (100 pieces, tip and skin removed).
The above ten herbs are chopped, boiled in 1 dou of water until reduced to 3.5 sheng. Divide into five doses. Space doses apart by the time it takes to cook a meal. Avoid pork, maltose, mutton, and cold water. (From Volume XLI)