病源夫五脏调和。则营卫气理。营卫气理。则津液通流。虽复多饮水浆。亦不能为病。
若摄养乖方。则三焦痞隔。三焦痞隔。则肠胃不能宣行。因饮水浆。便令停滞不散。更
遇寒气积聚而成癖。癖者。谓僻侧在于两胁之间。有时而痛是也。其汤熨针石。别有正方。
补养宣导。今附于后。养生云∶卧觉勿饮水更眠。令人作水 。又云∶饮水勿急咽。久成水
。又云∶举两膝夹两颊边。两手据地蹲坐。故久行之愈伏梁。伏梁者。宿食不消成癖。腹
中如杯如盘。宿痈者。宿水宿气癖数生痈。久则肠化为筋。骨变为实。(出第二十卷中)
广济疗腹中癖气方。
牛膝(八分) 桔梗(六分) 芍药(六分) 枳实(八分炙) 白术(六分) 鳖甲
(八分炙)
茯苓(八分) 人参(六分) 浓朴(六分炙) 大黄(六分) 桂心(六分) 槟榔(六
分)
上十二味捣筛蜜和丸。空肚温酒服。如梧子二十丸。日二服。渐加至三十丸。老小微利
。忌生冷油腻小豆粘食苋菜醋生葱猪肉。(出第二卷中)
千金翼江宁衍法师破癖方。
白术(三两) 枳实(三两炙) 柴胡(三两)
上三味切。以水五升。煮取二升。分温三服。服三十剂永瘥。忌桃李雀肉。(出第十九
卷中)
必效疗癖方。
取车下李仁。微汤退去皮及并仁。与干面相半。捣之为饼。如犹干和淡水如常溲面。大
小一如病患手掌。为二饼。微炙使黄。勿令至熟。空肚食一枚。当快利。如不利。更食一枚。
或饮热粥汁即利。以快利为度。至午后利不止。即以醋饭止之。利后当虚。病未尽者。量力
一二日。更进一服。以病尽为限。小儿亦以意量之。不得食酪及牛马肉。无不效。但病重者
李仁与面相半。轻者以意减。病减之后。服者亦任量力频试瘥神效。
又方
大黄(十两)
上一味捣筛。醋三升和煎调。纳白蜜两匙。煎堪丸如梧子。一服三十丸。以利为度。小
者减之。
又方
牛黄(三大豆许) 麝香(一当门子大) 朱砂(准麝香) 生犀角(小枣许别捣末)
以上四味并研令极细汤成后纳之。
大黄(一两) 吊藤(一两) 升麻(一两) 甘草(半两炙) 鳖甲(半两炙) 丁
香(五十枚)
上十味切。以水三升。先煮大黄等六味。取强半升。绞去滓。纳牛黄等四味。和绞。分
为三服。每服如人行十里久。忌如药法。若利出如桃胶肉酱等物。是病出之候。特忌牛马肉。
其药及水。并是大两大升。此药分两。是十五以上人服。若十岁以下。斟量病减之。忌苋菜
海藻菘菜生血物等。(并出第三卷中)
【病因】五脏功能调和,则营气与卫气运行通畅。营卫之气通畅,则津液流通无阻。即使大量饮水浆,也不会致病。
若调养失当,则三焦气机痞塞阻隔。三焦痞塞,则肠胃不能正常宣通运行。此时若饮水浆,便会导致水饮停滞不散。再遇到寒气积聚,便形成癖病。所谓癖病,是指病邪偏侧位于两胁之间,有时会出现疼痛症状。其汤药外敷、艾灸、针刺砭石等疗法,另有专门的正方。补益养生及导引之术,现附于后。《养生》云:睡醒后不要立即喝水再睡觉,否则会使人患上“水癖”。又云:饮水时不要急促吞咽,久而久之会形成“水癖”。又云:抬起双膝夹住脸颊两侧,双手撑地蹲坐,长期练习可治愈伏梁病。伏梁病,是指宿食不消化而形成的癖病,腹中感觉像杯子或盘子一样硬块。宿痈,是指宿水宿气癖积久而生成的痈肿,时间久了肠道会化为筋脉,骨骼变为坚实。(出自第二十卷)
《广济方》治疗腹中癖气的方剂。
牛膝(八分) 桔梗(六分) 芍药(六分) 枳实(八分,炙) 白术(六分) 鳖甲(八分,炙)
茯苓(八分) 人参(六分) 浓朴(六分,炙) 大黄(六分) 桂心(六分) 槟榔(六分)
以上十二味药捣碎过筛,用蜂蜜和匀制成丸药。空腹时用温酒送服,如梧桐子大小二十丸,每日两次服用。逐渐增加至三十丸。老人和小孩剂量稍减。忌食生冷、油腻、小豆、粘性食物、苋菜、醋、生葱、猪肉。(出自第二卷)
《千金翼方》江宁衍法师破除癖病的方剂。
白术(三两) 枳实(三两,炙) 柴胡(三两)
以上三味药切碎,用水五升,煮取二升药液,分三次温服。服用三十剂后可彻底痊愈。忌食李子、桃子和雀肉。(出自第十九卷)
《必效方》治疗癖病的方剂。
取车下李仁(即落在地上的李子核中的仁),用微热水退去皮及种仁,与干面粉各半,捣碎做成饼状。如果太干,加少许淡水像平常揉面那样和匀。大小如同病患手掌,做成两个饼。轻微烘烤至变黄,不要烤熟。空腹吃一个饼,应当会有畅快的大便排出。如果未排便,再吃一个饼。或者喝热粥汁即可排便。以畅快排便为度。到了午后如果腹泻不止,就用醋饭来止泻。排便后身体会感到虚弱。如果病邪未尽,根据体力情况,一两天后再进服一次。以病邪尽除为限。小儿也酌情减量。不得食用奶酪及牛马肉。没有不有效的。但病情重者,李仁与面粉比例各半;轻者酌情减少。病情减轻后,服药者也可根据体力频繁尝试,直至痊愈,效果神妙。
又一方
大黄(十两)
以上一味药捣碎过筛,用三升醋调和煎煮,调入两匙白蜜,煎至可以制成丸药,如梧桐子大小。每次服用三十丸,以大便通畅为度。儿童减量。
又一方
牛黄(约三大豆大小) 麝香(如一枚门子大小) 朱砂(用量同麝香) 生犀角(如小枣大小,另捣成末)
以上四味药都研磨至极细粉末,在汤药煎成后加入。
大黄(一两) 吊藤(一两) 升麻(一两) 甘草(半两,炙) 鳖甲(半两,炙) 丁香(五十枚)
以上十味药切碎,用水三升,先煮大黄等六味药,取强半升药液,绞去药渣。加入牛黄等四味药,混合绞匀。分三次服用。每次服药间隔时间相当于人行走十里路所需的时间。禁忌事项同前。如果排出如桃胶、肉酱等物质,这是病邪排出的征兆。特别忌食牛马肉。上述药物及水量,均指大两大升的容量。此药的剂量适用于十五岁以上的人服用。如果十岁以下,需斟酌病情减少剂量。忌食苋菜、海藻、菘菜(白菜)、生血之物等。(均出自第三卷)
[Pathogenesis] When the five Zang organs are harmonious, Ying (Nutritive) Qi and Wei (Defensive) Qi flow smoothly. When Ying and Wei Qi are smooth, body fluids circulate freely. Even if one drinks large amounts of water or liquids, it will not cause disease.
If health preservation is improper, the San Jiao (Triple Burner) becomes obstructed. Obstruction of the San Jiao prevents the stomach and intestines from functioning normally. Consequently, ingested water stagnates and fails to disperse. If cold pathogenic factors accumulate, "Pi" (masses/accumulations) form. Pi refers to masses located laterally between the two hypochondriac regions, which sometimes cause pain. Therapies such as decoctions, external heat applications, moxibustion, acupuncture, and stone therapy have separate specific prescriptions. Tonifying regimens and Daoyin (guiding and pulling) exercises are attached below. *Yangsheng* states: Do not drink water upon waking and then go back to sleep, as this causes "Shui Pi" (Water Mass). It also states: Do not swallow water hastily; doing so over time leads to Water Mass. Furthermore, lift both knees to clamp against the sides of the cheeks, place hands on the ground, and squat. Long-term practice cures Fuliang (Over-riding Beam) disease. Fuliang refers to indigestion forming masses, where the abdomen feels hard like a cup or plate. Su Yong (Old Abscess) refers to abscesses generated by long-standing water and Qi masses; prolonged cases may result in intestines transforming into sinews and bones becoming solid. (From Volume 20)
*Guangji Fang* Prescription for treating abdominal Pi Qi.
Niuxi (Achyranthis Bidentatae Radix, 8 fen) Jiegeng (Platycodonis Radix, 6 fen) Shaoyao (Paeoniae Radix, 6 fen) Zhishi (Aurantii Fructus Immaturus, 8 fen, processed with heat) Baizhu (Atractylodis Macrocephalae Rhizoma, 6 fen) Biejia (Trionycis Carapax, 8 fen, processed with heat)
Fuling (Poria, 8 fen) Renshen (Ginseng Radix et Rhizoma, 6 fen) Houpo (Magnoliae Officinalis Cortex, 6 fen, processed with heat) Dahuang (Rhei Radix et Rhizoma, 6 fen) Guixin (Cinnamomi Ramulus, 6 fen) Binglang (Arecae Semen, 6 fen)
Crush and sieve the above twelve ingredients. Mix with honey to make pills. Take on an empty stomach with warm wine. Size of Sophora japonica seeds (Wu Zi), 20 pills per dose, twice daily. Gradually increase to 30 pills. Reduce dosage for elderly and children. Avoid raw/cold, greasy foods, adzuki beans, sticky foods, amaranth, vinegar, raw green onions, and pork. (From Volume 2)
*Qianjin Yi Fang* (Supplement to Essential Prescriptions Worth a Thousand Gold) Master Yan's Prescription from Jiangning for Breaking Pi.
Baizhu (Atractylodis Macrocephalae Rhizoma, 3 liang) Zhishi (Aurantii Fructus Immaturus, 3 liang, processed with heat) Chaihu (Bupleuri Radix, 3 liang)
Cut the above three ingredients. Boil in 5 sheng of water until reduced to 2 sheng. Divide into three warm doses. After taking 30 courses, the disease will be completely cured. Avoid plums, peaches, and sparrow meat. (From Volume 19)
*Bixiao Fang* (Prescription of Certain Effect) Prescription for Treating Pi.
Take Li Ren (Pruni Semen) from fallen plums. Remove skins and kernels using slightly hot water. Mix equal parts kernel and dry flour. Pound into cakes. If too dry, add a little fresh water and knead as usual. Make two cakes, each the size of the patient's palm. Lightly roast until yellow, do not cook thoroughly. Eat one cake on an empty stomach. One should experience a comfortable bowel movement. If no movement occurs, eat another cake. Alternatively, drinking hot porridge juice may induce movement. The goal is a comfortable bowel movement. If diarrhea persists after noon, stop it with vinegar-rice. Bowel movements may cause weakness. If pathogens remain, take another dose after one or two days based on strength. Continue until pathogens are exhausted. Adjust dosage for children. Avoid cheese and beef/horse meat. This is effective for all cases. For severe illness, use half kernel and half flour; for mild illness, reduce accordingly. As symptoms improve, patients may try frequently based on tolerance until cured. It is miraculous.
Another Prescription
Dahuang (Rhei Radix et Rhizoma, 10 liang)
Pound and sieve the single ingredient. Mix with 3 sheng of vinegar and boil. Add two spoonfuls of white honey. Boil until suitable for making pills, size of Sophora japonica seeds. Take 30 pills per dose. Stop when bowel movements become loose. Reduce dosage for children.
Another Prescription
Niuhuang (Calculus Bovis, approx. size of 3 soybeans) Shexiang (Moschus, approx. size of one door latch bead) Zhusha (Cinnabaris, same amount as Shexiang) Sheng Xijiao (Rhino Horn, raw, approx. size of small date, pounded separately into powder)
Grind the above four ingredients to extremely fine powder. Add them after the decoction is ready.
Dahuang (Rhei Radix et Rhizoma, 1 liang) Diaoteng (Uncariae Ramulus cum Uncis, 1 liang) Shengma ( Cimicifugae Rhizoma, 1 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, processed with heat) Biejia (Trionycis Carapax, 0.5 liang, processed with heat) Dingxiang (Caryophylli Flos, 50 pieces)
Cut the above ten ingredients. Boil in 3 sheng of water. First boil Dahuang and the other six ingredients until reduced to slightly more than 0.5 sheng. Strain to remove dregs. Add Niuhuang and the other four ingredients. Mix well. Divide into three doses. Take each dose at intervals equivalent to walking ten li. Follow dietary restrictions as prescribed. If excretions resemble peach gum or meat paste, this indicates the expulsion of pathogens. Strictly avoid beef and horse meat. All measurements refer to large units (Da Liang/Da Sheng). This dosage is for persons aged fifteen and above. For children under ten, reduce dosage according to condition. Avoid amaranth, seaweed, Chinese cabbage, and blood-generating foods. (All from Volume 3)