病源积聚成病。蕴结在内。则气行不宣通。还搏于腑脏故心腹胀满。则烦闷而短气也。
(出第十九卷中)
深师乌头丸。疗心腹积聚胀满。少食多厌。绕脐痛。按之排手。寒中有水上气。女人产
后余疾。大人风癫。少小风惊痫百病者。元嘉中用疗数人皆良。有一人服五服药。即出虫长
一尺余三枚。复出如牛胆黑坚四枚。中皆有饭食。病即愈方。
乌头(七枚炮) 干姜(五分) 皂荚(五分炙兼皮子) 菖蒲(三分) 桂心(四分)
柴胡(
三分) 附子(三分炮) 人参(三分) 浓朴(三分炙) 黄连(三分) 茯苓(三分) 蜀
椒(五分
汗) 吴茱萸(四分) 桔梗(三分)
上十四味捣筛。蜜和为丸。服如梧子二丸。日三。稍加至十五丸。忌猪肉冷水醋物生葱
羊肉饧。(出第二十三卷中)
病源积聚而宿食不消者。由腑脏为寒气所乘。脾胃虚冷。故不能消化。留为宿食也。诊
其脉来实。心腹积聚。饮食不消。胃中冷故也。(出第十九卷中)
千金翼三台丸。疗五脏寒热积聚。胪胀肠鸣而噫。食不作肌肤。甚者呕逆。若伤寒寒疟
已愈。令不复发。食后服五丸。饮多者吞十丸。长服令人大小便调和长肌肉方。
大黄(二两熬) 熟硝石(一升) 葶苈(一升熬) 前胡(二两) 浓朴(一两炙) 附
子(一
两炮) 茯苓(半两) 半夏(一两洗) 杏仁(一升去尖皮熬) 细辛(一两)
上十味捣筛。蜜和捣五千杵。酒服如梧子五丸。稍加。以知为度。忌猪羊肉饧生菜酢物
。(深师同出第二十卷中)
古今录验气痞丸。疗寒气痞积。聚结不通。绕脐切痛。腹中胀满。胸逼满。风入脏。忧
恚所积。用力不节。筋脉伤。羸瘦。不能食饮。此药令人强嗜食益气力方。
乌头(二分炮) 甘草(二分炙) 葶苈子(二分熬) 大黄(二分) 芎 (二分) 芍
药(二
分) 甘皮(二分炙)
上七味下筛。蜜和丸如梧子。一服三丸。日再不知。渐至五丸七丸。一方桂心二分。去
甘皮。忌海藻菘菜猪肉冷水等。(一方有通草无甘皮)
又小乌头丸疗久寒积聚心腹。绕脐切痛。食饮不下方。
乌头(三两炮) 甘草(三两炙) 茱萸(半两) 细辛(二两) 半夏(二两) 附
子(二两炮)
上七味下筛。蜜和丸如梧子大。先食服五丸。日再。不知。稍增之。忌羊猪肉冷水。
又五通丸。主积聚留饮宿食。寒热烦结。长肌肤补不足方。
椒目(一两) 附子(一两炮) 浓朴(一两炙) 杏仁(三两) 半夏(一两) 葶
苈(三两熬)
上八味捣。葶苈子杏仁使熟。和诸药末。和以蜜。捣五千杵。吞如梧子二丸。忌猪羊肉
饧冷水。(出第十卷中)
病因是积聚形成疾病。邪气蕴结在体内,导致气机运行不畅、不通达,进而搏击于脏腑,所以出现心腹胀满,伴有烦闷和呼吸短促的症状。
(出自第十九卷中)
深师乌头丸:治疗心腹部的积聚胀满,食欲减退且容易厌食,脐周疼痛,按压时感觉坚硬如排手状,寒邪内盛伴有水饮上逆之气,妇女产后余疾,成人风癫病,小儿风惊痫等各种疾病。元嘉年间用此药治疗数人,效果都很好。其中一人服用五服药后,排出长约一尺多的虫子三条,又排出像牛胆一样黑而坚硬的物体四枚,里面都有饭食,病随即痊愈。方剂如下:
乌头(七枚,炮制) 干姜(五分) 皂荚(五分,炙烤,连皮带子) 石菖蒲(三分) 桂心(四分)
柴胡(三分) 附子(三分,炮制) 人参(三分) 厚朴(三分,炙烤) 黄连(三分) 茯苓(三分) 蜀椒(五分,出汗/去汗味) 吴茱萸(四分) 桔梗(三分)
以上十四味药捣碎过筛,用蜂蜜调和制成丸药。每次服用梧子大小的两丸,每日三次,逐渐增加至十五丸。禁忌食用猪肉、冷水、醋类食物、生葱、羊肉、饴糖。(出自第二十三卷中)
病因是积聚且宿食不消化,是因为脏腑受到寒气侵袭,脾胃虚冷,所以不能消化食物,留滞成为宿食。诊察其脉象来势坚实,心腹部有积聚,饮食不消化,这是因为胃中寒冷所致。(出自第十九卷中)
千金翼三台丸:治疗五脏寒热积聚,腹部膨胀、肠鸣且嗳气,饮食无法转化为肌肉营养,严重的出现呕吐逆气。如果伤寒或寒疟已经痊愈,可防止复发。饭后服用五丸,酒量好的人吞服十丸。长期服用可使人大小便调和,促进肌肉生长。方剂如下:
大黄(二两,熬制) 熟硝石(一升) 葶苈(一升,熬制) 前胡(二两) 厚朴(一两,炙烤) 附子(一两,炮制) 茯苓(半两) 半夏(一两,洗) 杏仁(一升,去尖皮,熬制) 细辛(一两)
以上十味药捣碎过筛,用蜂蜜调和并捣击五千杵。用酒送服梧子大小的五丸,逐渐增加剂量,以见效为度。禁忌食用猪羊肉、饴糖、生菜、醋类食物。(与深师方同出自第二十卷中)
古今录验气痞丸:治疗寒气引起的痞积,聚结不通,脐周剧烈疼痛,腹部胀满,胸部憋闷胀满,风邪入脏,忧怒郁结所致,用力过度损伤筋脉,身体消瘦,不能进食饮水。此药能增强食欲,补益气力。方剂如下:
乌头(二分,炮制) 甘草(二分,炙烤) 葶苈子(二分,熬制) 大黄(二分) 川芎(二分) 芍药(二分) 甘皮(二分,炙烤)
以上七味药过筛,用蜂蜜调和制成梧子大小的丸药。每次服用三丸,每日两次,若无效,逐渐增加至五丸、七丸。另一版本方中有桂心二分,去掉甘皮。禁忌海藻、白菜、猪肉、冷水等。(另一版本有通草无甘皮)
另外的小乌头丸:治疗久寒积聚于心腹部,脐周剧烈疼痛,饮食不下。方剂如下:
乌头(三两,炮制) 甘草(三两,炙烤) 茱萸(半两) 细辛(二两) 半夏(二两) 附子(二两,炮制)
以上七味药过筛,用蜂蜜调和制成梧子大小的丸药。饭前服用五丸,每日两次,若无效,逐渐增加剂量。禁忌羊猪肉、冷水。
另外还有五通丸:主治积聚、留饮、宿食,寒热烦结,具有长肌肤、补不足的功效。方剂如下:
椒目(一两) 附子(一两,炮制) 厚朴(一两,炙烤) 杏仁(三两) 半夏(一两) 葶苈(三两,熬制)
以上八味药捣碎,将葶苈子和杏仁捣熟,与其他药末混合,用蜂蜜调和,捣击五千杵。吞服梧子大小的两丸。禁忌猪羊肉、饴糖、冷水。(出自第十卷中)
The etiology involves the formation of disease due to accumulation and mass (Ji Ju). When pathogenic factors accumulate internally, the movement of Qi becomes obstructed and fails to circulate freely. This stagnation then attacks the Zang-Fu organs, resulting in distension and fullness of the heart and abdomen, accompanied by irritability and shortness of breath.
(From Volume 19)
Shenshi Aconite Pill: Treats accumulation and mass with distension and fullness in the heart and abdomen, reduced appetite with frequent aversion to food, pain around the umbilicus, hardness upon palpation resembling a row of hands, internal cold with water retention and rebellious Qi, residual diseases after childbirth in women, wind-manic disorders in adults, and various wind-strike convulsive epilepsy conditions in children. During the Yuanjia era, it was used to treat several patients with good results. One patient, after taking five doses, expelled three worms over one chi long, and four black, hard objects resembling ox gallstones, which contained undigested rice; the disease was cured immediately.
Formula:
Aconiti Lateralis Radix Praeparata (Wutou, 7 pieces, processed) Dried Ginger (Ganjiang, 5 fen) Gleditsiae Sinensis Fructus (Zaojiao, 5 fen, stir-baked with skin and seeds) Acori Tatarinowii Rhizoma (Changpu, 3 fen) Cinnamomi Ramulus (Guixin, 4 fen)
Bupleuri Radix (Chaihu, 3 fen) Aconiti Radix (Fuzi, 3 fen, processed) Ginseng Radix (Renshen, 3 fen) Magnoliae Officinalis Cortex (Houpo, 3 fen, stir-baked) Coptidis Rhizoma (Huanglian, 3 fen) Poria (Fuling, 3 fen) Zanthoxyli Pericarpium (Shujiao, 5 fen, perspired/dried) Evodiae Fructus (Wuzhuyu, 4 fen) Platycodonis Radix (Jiegeng, 3 fen)
Grind the above fourteen ingredients into powder, mix with honey to form pills. Take two pills the size of a wu zi (seed), three times daily. Gradually increase the dose up to fifteen pills. Avoid pork, cold water, vinegar products, raw green onions, mutton, and malt sugar. (From Volume 23)
The etiology of accumulation with indigestion of retained food is caused by cold pathogenic factors invading the Zang-Fu organs. Due to deficiency-cold of the Spleen and Stomach, digestion fails, causing food to remain as retained food. Palpation reveals a firm pulse. Accumulation in the heart and abdomen with inability to digest food is due to cold in the Stomach. (From Volume 19)
Qianjin Yi Santai Pill: Treats accumulation of cold and heat in the Five Viscera, abdominal distension, borborygmus, and belching. It addresses malnutrition where food does not transform into muscle tissue, and severe cases of vomiting and rebellious Qi. If contracted Shanghan or cold malaria has healed, this prevents recurrence. Take five pills after meals; those who drink alcohol may take ten pills. Long-term use harmonizes bowel movements and urination and promotes muscle growth.
Formula:
Rhei Radix et Rhizoma (Dahuang, 2 liang, cooked) Natrii Sulfas Preparatus (Shuxiaoshi, 1 sheng) Lepidii Semen (Tingli, 1 sheng, cooked) Peucedani Radix (Qianhu, 2 liang) Magnoliae Officinalis Cortex (Houpo, 1 liang, stir-baked) Aconiti Radix (Fuzi, 1 liang, processed) Poria (Fuling, 0.5 liang) Pinelliae Rhizoma (Banxia, 1 liang, washed) Armeniacae Semen Amarum (Xingren, 1 sheng, tips and skins removed, cooked) Asari Radix et Rhizoma (Xixin, 1 liang)
Grind the above ten ingredients into powder, mix with honey, and pound for five thousand strokes. Administer with wine, five pills the size of a wu zi initially. Gradually increase the dose until therapeutic effect is achieved. Avoid pork, mutton, malt sugar, raw vegetables, and vinegar products. (Same source as Shenshi formula, from Volume 20)
Gujin Luyan Qipi Pill: Treats qi obstruction and accumulation caused by cold pathogenic factors, characterized by knotting and blockage, severe pain around the umbilicus, abdominal distension, chest tightness and fullness, wind entering the viscera, accumulation due to sorrow and anger, injury to sinews and vessels due to excessive exertion, emaciation, and inability to eat or drink. This medicine enhances appetite and boosts Qi and strength.
Formula:
Aconiti Lateralis Radix Praeparata (Wutou, 2 fen, processed) Glycyrrhizae Radix et Rhizoma (Gancao, 2 fen, stir-baked) Lepidii Semen (Tinglizi, 2 fen, cooked) Rhei Radix et Rhizoma (Dahuang, 2 fen) Chuanxiong Rhizoma (Chuanxiong, 2 fen) Paeoniae Radix (Shaoyao, 2 fen) Glycyrrhizae Cortex (Ganpi, 2 fen, stir-baked)
Sift the above seven ingredients, mix with honey to form pills the size of a wu zi. Take three pills per dose, twice daily. If ineffective, gradually increase to five or seven pills. Another version includes Cinnamomi Ramulus (Guixin, 2 fen) and omits Ganpi. Avoid seaweed, Chinese cabbage, pork, and cold water. (Another version contains Tongcao instead of Ganpi)
Additionally, Xiaowutou Pill: Treats long-standing cold accumulation in the heart and abdomen, severe pain around the umbilicus, and inability to ingest food or drink.
Formula:
Aconiti Lateralis Radix Praeparata (Wutou, 3 liang, processed) Glycyrrhizae Radix et Rhizoma (Gancao, 3 liang, stir-baked) Evodiae Fructus (Zhuyu, 0.5 liang) Asari Radix et Rhizoma (Xixin, 2 liang) Pinelliae Rhizoma (Banxia, 2 liang) Aconiti Radix (Fuzi, 2 liang, processed)
Grind the above seven ingredients into powder, mix with honey to form pills the size of a wu zi. Take five pills before meals, twice daily. If ineffective, gradually increase the dose. Avoid mutton, pork, and cold water.
Furthermore, Wutong Pill: Primarily treats accumulation, retained fluid, and retained food, as well as cold-heat complex with irritability. It promotes muscle growth and tonifies deficiency.
Formula:
Zanthoxyli Semen (Jiaomu, 1 liang) Aconiti Radix (Fuzi, 1 liang, processed) Magnoliae Officinalis Cortex (Houpo, 1 liang, stir-baked) Armeniacae Semen Amarum (Xingren, 3 liang) Pinelliae Rhizoma (Banxia, 1 liang) Lepidii Semen (Tingli, 3 liang, cooked)
Pound the above eight ingredients. Cook Tingli and Xingren thoroughly, mix with other powdered herbs, combine with honey, and pound for five thousand strokes. Swallow two pills the size of a wu zi. Avoid pork, mutton, malt sugar, and cold water. (From Volume 10)