《短剧》疗胁下偏痛发热,其脉紧弦,此寒也,当以温药下之。大黄附子汤方。
大黄(三两) 附子(三枚炮) 细辛(二两)
上三味,切,以水五升,煮取二升,分三服。若强盛人煮取三升半,分为三服,服别如
人行四五里进一服。忌猪肉、冷水、生菜等。(仲景同)
又半夏茯苓汤 疗胸膈心腹中痰水冷气,心下汪洋,嘈烦,或水鸣多唾,口清水自出,
胁肋急胀,痛不欲食,此皆胃气弱,受冷故也,其脉喜沉弦细迟,悉主之方。
半夏(五两洗) 生姜(五两) 茯苓(三两) 旋复花(一两) 陈橘皮 人参 桔
梗芍药
上十味,切,以水九升,煮取三升,分三服。欲得利者,加大黄;须微调者,用干地黄
;病有先时喜水,下者,加白术三两,除旋复花;若大便不调,宜加大黄及干地黄,并用三
两。忌羊肉、饧、酢物、生葱、猪肉、海藻、菘菜。(《集验》同,出第一卷中)
《广济》疗胸膈气胀满,吃食心下妨,虚热,脚手烦疼,渐羸瘦不能食,四肢无力。枳
实丸方。
枳实(六分) 犀角(四分) 前胡(四分) 青木香(八分) 麦门冬(去心八分) 赤
茯苓(
八分) 苦参(六分) 芍药(六分)
上八味,捣筛为末,蜜和丸如梧子。以饮空腹下二十丸,渐加至三十丸,日二服,不利
。忌生菜、热面、油腻、炙肉、酢、蒜。
又疗胸膈满塞,心背撮痛,走注气闷。宜服此柴胡汤方。
柴胡(六分) 当归(六分) 青木香(六分) 犀角(屑六分) 槟榔(十个) 甘
草(二分炙
上六味,切,以水七升,煮取二升半,绞去滓,纳麝香末。分温三服,如人行四五里,
微利为度。忌海藻、菘菜、生菜、热面、荞麦、猪、鱼、蒜。
又疗胸膈间伏气不下食,脐下满,柴胡汤方。
柴胡(三两) 枳实(三两) 生姜(三两) 白术(三两) 甘草(炙一两) 槟榔
(七个)
上六味,切,以水六升,煮取二升,绞去滓,分温二服,服别如人行六七里进一服,小
弱人微利。禁生冷、蒜、腥、海藻、菘菜、桃、李、雀肉等。(并出第一卷中)
《短剧》记载:治疗胁下偏侧疼痛且伴有发热,脉象紧弦,这是寒邪所致,应当用温性药物攻下。大黄附子汤方。
大黄(三两) 附子(三枚,炮制) 细辛(二两)
以上三味药,切碎,用水五升,煮取药液二升,分三次服用。如果是体质强壮的人,煮取药液三升半,分三次服用,每次服药间隔约人行走四五里的时间。(此方与张仲景所著相同)
另外,半夏茯苓汤
治疗胸膈及心腹中的痰饮、冷气和寒气,胃脘部有水声激荡感,嘈杂烦闷,或者肠鸣音多、唾液增多,口角流出清稀口水,胁肋部拘急胀满,疼痛导致不想进食,这些都是因为胃气虚弱,受寒邪侵袭所致,脉象多见沉、弦、细、迟,此方主治上述所有症状。
半夏(五两,洗) 生姜(五两) 茯苓(三两) 旋复花(一两) 陈橘皮 人参 桔梗 芍药
以上十味药,切碎,用水九升,煮取药液三升,分三次服用。想要通利大便的,加大黄;需要轻微调理的,用干地黄;如果病人先前喜欢喝水但腹泻的,加白术三两,去掉旋复花;如果大便不调,宜加大黄和干地黄,各用三两。忌食羊肉、饴糖、醋制品、生葱、猪肉、海藻、白菜。(此方出自《集验》,见第一卷中)
《广济》记载:治疗胸膈气机胀满,进食时感觉心下部受阻,虚热,手脚烦痛,逐渐消瘦不能进食,四肢无力。枳实丸方。
枳实(六分) 犀角(四分) 前胡(四分) 青木香(八分) 麦门冬(去心八分) 赤茯苓(八分) 苦参(六分) 芍药(六分)
以上八味药,捣碎筛成粉末,用蜂蜜调和制成梧桐子大小的丸剂。空腹时用温水送服二十丸,逐渐增加至三十丸,每日两次服用,以不通利大便为度。忌食生菜、热面、油腻食物、烤肉、醋、蒜。
另外,治疗胸膈满塞,心背部牵引疼痛,气机游走不畅导致胸闷。适宜服用此柴胡汤方。
柴胡(六分) 当归(六分) 青木香(六分) 犀角(锉碎六分) 槟榔(十个) 甘草(炙二分)
以上六味药,切碎,用水七升,煮取药液二升半,过滤去渣,加入麝香末。分三次温服,间隔约人行走四五里的时间,以轻微通利大便为度。忌食海藻、白菜、生菜、热面、荞麦、猪肉、鱼肉、蒜。
另外,治疗胸膈间伏留之气不下行导致不能进食,脐下胀满,柴胡汤方。
柴胡(三两) 枳实(三两) 生姜(三两) 白术(三两) 甘草(炙一两) 槟榔(七个)
以上六味药,切碎,用水六升,煮取药液二升,过滤去渣,分两次温服,每次服药间隔约人行走六七里的时间,体弱之人以轻微通利大便为度。禁食生冷、蒜、腥物、海藻、白菜、桃、李、雀肉等。(均出自第一卷中)
*Duǎnjù* (Short Treatise) records: Treating pain on one side of the hypochondrium accompanied by fever, with a tight and string-taut pulse (Jǐn Xián Mài), this is caused by Cold pathogen. It should be treated with warm purgatives. Dàhuáng Fùzǐ Tāng (Rhubarb and Aconite Decoction).
Dàhuáng (Rhei Radix et Rhizoma) (3 liǎng), Fùzǐ (Aconiti Lateralis Radix Praeparata) (3 pieces, prepared), Xìxīn (Asari Radix et Rhizoma) (2 liǎng).
The above three herbs are sliced, boiled in 5 shēng of water to obtain 2 shēng of decoction, divided into three doses. For robust individuals, boil to obtain 3.5 shēng, divided into three doses; administer each dose at intervals corresponding to walking for four or five lǐ. Avoid pork, cold water, and raw vegetables. (Same as Zhang Zhongjing's text)
Additionally, Bànxià Fúlíng Tāng (Pinellia and Poria Decoction)
Treats phlegm-fluid, Cold qi, and Cold pathogen in the chest, diaphragm, heart, and abdomen; feeling of fluid agitation in the epigastrium (Xīnxià Wāngyáng); sensation of hunger without desire to eat mixed with irritability (Cáofán); excessive bowel sounds and salivation; spontaneous flow of clear saliva from the mouth; stiffness, distension, and pain in the hypochondrium leading to anorexia. These are all due to weak Stomach qi (Wèiqì) and invasion by Cold. The pulse is preferably deep (Chén), string-taut (Xián), fine (Xì), and slow (Chí); this formula governs all such cases.
Bànxià (Pinelliae Rhizoma Preparatum) (5 liǎng, washed), Shēngjiāng (Zingiberis Rhizoma Recens) (5 liǎng), Fúlíng (Poria), Xuánfūhuā (Inulae Flos), Chénjúpí (Citri Reticulatae Pericarpium), Réncshēn (Ginseng Radix et Rhizoma), Jiégěng (Platycodonis Radix), Sháoyào (Paeoniae Radix Alba seu Rubra).
The above ten herbs are sliced, boiled in 9 shēng of water to obtain 3 shēng of decoction, divided into three doses. To promote bowel movement, add Dàhuáng; for mild regulation, use Gāndìhuáng (Rehmanniae Radix Preparata); if the patient previously preferred drinking water but suffered from diarrhea, add Báizhú (Atractylodis Macrocephalae Rhizoma) 3 liǎng and remove Xuánfūhuā; if stool is irregular, add Dàhuáng and Gāndìhuáng, each 3 liǎng. Avoid mutton, maltose (Yítáng), vinegar products, raw scallions, pork, Sǒnghài (Sargassum), and Báisài (Brassica rapa var. pekinensis). (Same as *Jíyàn*, from Volume I)
*Guǎngjì* (Broad Relief) records: Treating distension and fullness of Qi in the chest and diaphragm, obstruction in the epigastrium during eating, deficiency-heat, painful irritation of hands and feet, gradual emaciation and inability to eat, and weakness of the four limbs. Zhīshí Wán (Immature Bitter Orange Pill).
Zhīshí (Aurantii Fructus Immaturus) (6 fēn), Xījiǎo (Rhinocerotis Cornu), Qiánhú (Peucedani Radix), Qīngmùxiāng (Daemonorops Spatha / Aquilariae Lignum Resinatum - note: Qingmuxiang historically refers to Daemonorops spatha or similar aromatic wood, often substituted), Màiméndōng (Ophiopogonis Radix, core removed, 8 fēn), Chì Fúlíng (Poria with red bark, 8 fēn), Kǔshēn (Sophorae Flavescentis Radix) (6 fēn), Sháoyào (Paeoniae Radix Alba seu Rubra) (6 fēn).
The above eight herbs are crushed, sifted into powder, and mixed with honey to form pills the size of white mustard seeds. Take 20 pills with water on an empty stomach, gradually increasing to 30 pills, twice daily. Do not induce diarrhea. Avoid raw vegetables, hot noodles, greasy foods, roasted meat, vinegar, and garlic.
Additionally, treating fullness and blockage in the chest and diaphragm, pulling pain in the heart and back, and wandering Qi causing chest oppression. It is suitable to take this Cháihú Tāng (Bupleurum Decoction).
Cháihú (Bupleuri Radix) (6 fēn), Dāngguī (Angelicae Sinensis Radix) (6 fēn), Qīngmùxiāng (Daemonorops Spatha / Aquilariae Lignum Resinatum) (6 fēn), Xījiǎo (Rhinocerotis Cornu, shaved, 6 fēn), Bīngláng (Arecae Semen) (10 pieces), Gāncǎo (Glycyrrhizae Radix et Rhizoma, prepared, 2 fēn).
The above six herbs are sliced, boiled in 7 shēng of water to obtain 2.5 shēng of decoction, strained to remove dregs, and Musk (Shéxiāng) powder is added. Divide into three warm doses. Administer at intervals corresponding to walking for four or five lǐ. Stop when slight laxation occurs. Avoid Sǒnghài (Sargassum), Báisài (Brassica rapa var. pekinensis), raw vegetables, hot noodles, buckwheat, pork, fish, and garlic.
Additionally, treating latent Cold Qi trapped in the chest and diaphragm failing to descend, causing anorexia, and fullness below the umbilicus. Cháihú Tāng (Bupleurum Decoction).
Cháihú (Bupleuri Radix) (3 liǎng), Zhīshí (Aurantii Fructus Immaturus) (3 liǎng), Shēngjiāng (Zingiberis Rhizoma Recens) (3 liǎng), Báizhú (Atractylodis Macrocephalae Rhizoma) (3 liǎng), Gāncǎo (Glycyrrhizae Radix et Rhizoma, prepared, 1 liǎng), Bīngláng (Arecae Semen) (7 pieces).
The above six herbs are sliced, boiled in 6 shēng of water to obtain 2 shēng of decoction, strained to remove dregs, and divided into two warm doses. Administer each dose at intervals corresponding to walking for six or seven lǐ. For frail individuals, slight laxation is the goal. Prohibit cold/raw foods, garlic, fishy/meaty items, Sǒnghài (Sargassum), Báisài (Brassica rapa var. pekinensis), peaches, plums, and quail meat. (All from Volume I)