夫伤寒心腹胀痛者。由其人脏腑久冷。因染斯疾。未得汗间。心神烦热。遂服凉药。及
饮冷
胀痛
治伤寒因有热。服冷药过度。心腹胀痛。宜服浓朴散方。
浓朴(一两去粗皮涂生姜汁炙令香熟) 当归(半两锉微炒) 枳壳(半两麸炒微黄去
瓤)
木香(半两) 诃黎勒(一两煨用皮) 大腹皮(半两锉)
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
稍热服。
治伤寒。冷水积在腹中。胀满疼痛。宜服木香散方。
木香(二分) 枳壳(三分麸炒微黄去瓤) 柴胡(三分去苗) 当归(三分锉微炒) 干
姜(
半两炮裂锉) 吴茱萸(一分汤浸七遍焙干微炒)
上件药。捣筛为散。每服三钱。以水一中盏。入枣三枚。煎至六分。去滓。稍热不计时
候温服。
治伤寒。心腹胀满疼痛。宜服桃仁散方。
桃仁(三分汤浸去皮尖双仁麸炒微黄) 枳壳(三分麸炒微黄去瓤) 桂心(一两) 白
术(
三分) 神曲(三分炒令微黄) 麦 (三分炒令微黄)
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候稍热服。
治伤寒。脾胃虚冷。心腹胀痛。不思饮食。宜服当归散方。
当归(半两锉微炒) 桂心(一两) 芎 (一两) 干姜(半两炮裂锉) 陈橘皮(一
两汤浸
去白瓤焙) 槟榔(一两)
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。稍热不计时候服。
治伤寒脾胃气滞。心腹胀满。痛不欲饮食。宜服赤芍药散方。
赤芍药 诃黎勒(煨用皮) 当归(锉微炒) 肉豆蔻(去壳) 人参(去芦头) 郁
李仁(汤
浸去皮尖微炒) 桂心(以上各三分) 陈橘皮〔二(一)两汤浸去白瓤焙〕 槟榔(一两)
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不计时候温服。
治伤寒发汗后。气壅不散。攻心腹胀痛。宜服柴胡散方。
柴胡(三分去苗) 枳壳(半两麸炒微黄去瓤) 黄芩(三分) 赤芍药(三分) 半
夏(半两
汤洗七遍去滑) 大腹皮(半两锉) 槟榔(三分) 木香(半两)
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服。
治伤寒卒心腹痛。胀满不下饮食。宜服赤茯苓散方。
赤茯苓(一两) 桔梗(一两去芦头) 陈橘皮(一两汤浸去白瓤焙) 人参(半两去
芦头)
高良姜(一两锉) 槟榔(三分)
上件药。捣筛为散。每服三钱。以水一中盏。入枣三枚。煎至六分。去滓。稍热不计时
候服。
治伤寒。大肠气壅。心腹胀满疼痛。四肢骨节酸疼烦闷。不得眠卧。宜服大黄丸方
。
川大黄(一两锉碎微炒) 木香(一分) 槟榔(半两) 桂心(一分) 枳壳(半两
麸炒微黄
去瓤) 甘草(一分炙微赤锉) 郁李仁(三分汤浸去皮尖微炒)
上件药。捣罗为末。炼蜜和捣一二百杵。丸如梧桐子大。每服。不计时候。以温酒下三
十丸。以利为度。
治伤寒。冷气攻心腹。胀满疼痛。不下饮食方。
木香(三分) 吴茱萸(半两汤浸七遍焙干微炒) 桂心(半两) 浓朴(三分去粗皮
涂生姜
汁炙
两) 青
橘皮
上件药。捣筛为散。每服四钱。以水一中盏。入枣三枚。煎至六分。去滓。不计时候稍
热服。
治伤寒。心腹胀满疼痛。胸膈壅滞。或呕哕不能饮食。宜服半夏散方。
半夏(三分汤洗七遍去滑) 前胡(三分去芦头) 诃黎勒皮(三分) 赤芍药(三分)
桂心
(半两) 人参(三分去芦头) 木香(半两) 槟榔(半两) 陈橘皮(一两汤浸去白瓤
焙)
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。稍热不计
时候服。
治伤寒汗后。腹胀疼痛。宜服浓朴散方。
川大黄(一两锉碎微炒) 芎 (三分) 人参(一两去芦头) 赤芍药(三分) 陈
橘皮(三
分汤浸去白瓤焙) 浓朴(二两去粗皮涂生姜汁炙令香熟)
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。稍热不计
时候服。
凡是患伤寒病出现心腹胀痛症状的,是因为患者脏腑长期虚寒,又感染了这种疾病。如果在尚未出汗的时候,心中烦热,就服用寒凉药物,或者饮用冷饮,就会导致胀满疼痛。
治疗伤寒因体内有热,却过度服用冷药,导致心腹胀痛的情况,适宜服用浓朴散方。
药材:浓朴(一两,去除粗皮,涂抹生姜汁炙烤至香气熟透)、当归(半两,切碎微炒)、枳壳(半两,麸炒至微黄,去除瓤)、木香(半两)、诃黎勒(一两,煨制后使用果皮)、大腹皮(半两,切碎)。
以上药材,捣碎过筛制成散剂。每次服用四钱,用水一中盏,加入生姜半分,煎煮至六分,滤去药渣。不分时候,稍热时服用。
治疗伤寒,冷水积聚在腹中,导致胀满疼痛的情况,适宜服用木香散方。
药材:木香(二分)、枳壳(三分,麸炒至微黄,去除瓤)、柴胡(三分,去除苗头)、当归(三分,切碎微炒)、干姜(半两,炮裂后切碎)、吴茱萸(一分,汤洗七遍,焙干微炒)。
以上药材,捣碎过筛制成散剂。每次服用三钱,用水一中盏,加入大枣三枚,煎煮至六分,滤去药渣。不分时候,稍热时温服。
治疗伤寒,心腹胀满疼痛的情况,适宜服用桃仁散方。
药材:桃仁(三分,汤浸去皮尖,双仁者用,麸炒微黄)、枳壳(三分,麸炒微黄,去除瓤)、桂心(一两)、白术(三分)、神曲(三分,炒令微黄)、麦蘖(三分,炒令微黄)。
以上药材,捣碎过筛制成散剂。每次服用三钱,用水一中盏,煎煮至六分,滤去药渣。不分时候,稍热时服用。
治疗伤寒,脾胃虚寒,心腹胀痛,不想饮食的情况,适宜服用当归散方。
药材:当归(半两,切碎微炒)、桂心(一两)、川芎(一两)、干姜(半两,炮裂切碎)、陈橘皮(一两,汤浸去白瓤焙干)、槟榔(一两)。
以上药材,捣碎过筛制成散剂。每次服用三钱,用水一中盏,煎煮至六分,滤去药渣。稍热时不分时候服用。
治疗伤寒,脾胃气机阻滞,心腹胀满,疼痛且不想饮食的情况,适宜服用赤芍药散方。
药材:赤芍药、诃黎勒(煨制后使用果皮)、当归(切碎微炒)、肉豆蔻(去壳)、人参(去芦头)、郁李仁(汤浸去皮尖微炒)、桂心(以上各三分)、陈橘皮(一两,汤浸去白瓤焙干)、槟榔(一两)。
以上药材,捣碎过筛制成散剂。每次服用三钱,用水一中盏,加入生姜半分、大枣三枚,煎煮至六分,滤去药渣。不分时候温服。
治疗伤寒发汗后,气机壅滞不散,攻冲导致心腹胀痛的情况,适宜服用柴胡散方。
药材:柴胡(三分,去苗)、枳壳(半两,麸炒微黄去瓤)、黄芩(三分)、赤芍药(三分)、半夏(半两,汤洗七遍去滑)、大腹皮(半两,锉)、槟榔(三分)、木香(半两)。
以上药材,捣碎过筛制成散剂。每次服用三钱,用水一中盏,加入生姜半分,煎煮至六分,滤去药渣。不分时候温服。
治疗伤寒突然发生心腹痛,胀满不能进食的情况,适宜服用赤茯苓散方。
药材:赤茯苓(一两)、桔梗(一两,去芦头)、陈橘皮(一两,汤浸去白瓤焙干)、人参(半两,去芦头)、高良姜(一两,锉)、槟榔(三分)。
以上药材,捣碎过筛制成散剂。每次服用三钱,用水一中盏,加入大枣三枚,煎煮至六分,滤去药渣。稍热时不分时候服用。
治疗伤寒,大肠气机壅滞,心腹胀满疼痛,四肢骨节酸痛烦闷,无法安睡的情况,适宜服用大黄丸方。
药材:川大黄(一两,锉碎微炒)、木香(一分)、槟榔(半两)、桂心(一分)、枳壳(半两,麸炒微黄去瓤)、甘草(一分,炙微赤锉)、郁李仁(三分,汤浸去皮尖微炒)。
以上药材,捣细罗成末,炼蜜调和捣一二百杵,制成梧桐子大小的丸剂。每次服用,不分时候,用温酒送下三十丸,以大便通畅为度。
治疗伤寒,冷气攻冲心腹,胀满疼痛,不能进食的方剂。
药材:木香(三分)、吴茱萸(半两,汤浸七遍焙干微炒)、桂心(半两)、浓朴(三分,去粗皮涂生姜汁炙)、青橘皮(原文此处似有缺漏,依前例推测为适量或特定分量,此处仅译出可见部分)。
以上药材,捣碎过筛制成散剂。每次服用四钱,用水一中盏,加入大枣三枚,煎煮至六分,滤去药渣。不分时候稍热时服用。
治疗伤寒,心腹胀满疼痛,胸膈气机壅滞,或者呕吐呃逆不能饮食的情况,适宜服用半夏散方。
药材:半夏(三分,汤洗七遍去滑)、前胡(三分,去芦头)、诃黎勒皮(三分)、赤芍药(三分)、桂心(半两)、人参(三分,去芦头)、木香(半两)、槟榔(半两)、陈橘皮(一两,汤浸去白瓤焙干)。
以上药材,捣碎过筛制成散剂。每次服用四钱,用水一中盏,加入生姜半分,煎煮至六分,滤去药渣。稍热时不分时候服用。
治疗伤寒发汗后,腹胀疼痛的情况,适宜服用浓朴散方。
药材:川大黄(一两,锉碎微炒)、川芎(三分)、人参(一两,去芦头)、赤芍药(三分)、陈橘皮(三分,汤浸去白瓤焙干)、浓朴(二两,去粗皮涂生姜汁炙令香熟)。
以上药材,捣碎过筛制成散剂。每次服用四钱,用水一中盏,加入生姜半分,煎煮至六分,滤去药渣。稍热时不分时候服用。
For those suffering from Taiyang disease (Taiyang Disease) with heart and abdominal distension and pain, it is due to the long-standing coldness of the internal organs, compounded by contracting this illness. If one experiences mental restlessness and heat before sweating occurs, and subsequently takes cooling medicines or drinks cold liquids, distension and pain will ensue.
To treat Taiyang disease where internal heat exists but excessive consumption of cold medicines has led to heart and abdominal distension and pain, the Nongpo San (Magnolia Bark Powder) formula is suitable.
Ingredients: Magnoliae Officinalis Cortex (Nongpo, 1 liang, coarse skin removed, brushed with fresh ginger juice, roasted until fragrant and cooked); Angelicae Sinensis Radix (Danggui, 0.5 liang, sliced and lightly stir-fried); Aurantii Fructus Immaturus (Zhike, 0.5 liang, bran-fried until slightly yellow, pith removed); Costi Rhizoma (Muxiang, 0.5 liang); Chebulae Fructus (Helile, 1 liang, baked for use of the peel); Arecae Pericarpium (Dafupi, 0.5 liang, sliced).
The above ingredients are crushed, sifted into a powder. Each dose is 4 qian. Add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 6 fen. Strain the dregs. Take while slightly warm, at any time.
To treat Taiyang disease where cold water accumulates in the abdomen, causing distension and pain, the Muxiang San (Costus Powder) formula is suitable.
Ingredients: Costi Rhizoma (Muxiang, 2 fen); Aurantii Fructus Immaturus (Zhike, 3 fen, bran-fried until slightly yellow, pith removed); Bupleuri Radix (Chaihu, 3 fen, radix removed); Angelicae Sinensis Radix (Danggui, 3 fen, sliced and lightly stir-fried); Zingiberis Rhizoma Recens (Ganjiang, 0.5 liang, processed until cracked and sliced); Evodiae Fructus (Wuzhuyu, 1 fen, soaked in hot water seven times, dried and lightly stir-fried).
The above ingredients are crushed, sifted into a powder. Each dose is 3 qian. Add 1 zhong of water and 3 dates, decoct until reduced to 6 fen. Strain the dregs. Take warm while slightly heated, at any time.
To treat Taiyang disease with heart and abdominal distension and pain, the Taoren San (Peach Kernel Powder) formula is suitable.
Ingredients: Persicae Semen (Taoren, 3 fen, soaked in hot water, skin and tip removed, double-kernel used, bran-fried until slightly yellow); Aurantii Fructus Immaturus (Zhike, 3 fen, bran-fried until slightly yellow, pith removed); Cinnamomi Ramulus (Guixin, 1 liang); Atractylodis Macrocephalae Rhizoma (Baizhu, 3 fen); Massae Fermentatae Medicinalis (Shenqu, 3 fen, fried until slightly yellow); Hordeum Fructus Germinatus (Maiya, 3 fen, fried until slightly yellow).
The above ingredients are crushed, sifted into a powder. Each dose is 3 qian. Add 1 zhong of water, decoct until reduced to 6 fen. Strain the dregs. Take while slightly warm, at any time.
To treat Taiyang disease with deficiency-cold of the Spleen and Stomach, heart and abdominal distension and pain, and loss of appetite, the Danggui San (Angelica Powder) formula is suitable.
Ingredients: Angelicae Sinensis Radix (Danggui, 0.5 liang, sliced and lightly stir-fried); Cinnamomi Ramulus (Guixin, 1 liang); Ligustici Chuanxiong Rhizoma (Xiong, 1 liang); Zingiberis Rhizoma Recens (Ganjiang, 0.5 liang, processed until cracked and sliced); Citri Reticulatae Pericarpium (Chenju pi, 1 liang, soaked in hot water, white pith removed, dried); Areca Seed (Binglang, 1 liang).
The above ingredients are crushed, sifted into a powder. Each dose is 3 qian. Add 1 zhong of water, decoct until reduced to 6 fen. Strain the dregs. Take while slightly warm, at any time.
To treat Taiyang disease with Qi stagnation of the Spleen and Stomach, heart and abdominal distension, pain, and aversion to food, the Chishaoyao San (Red Peony Root Powder) formula is suitable.
Ingredients: Paeoniae Radix Rubra (Chishaoyao); Chebulae Fructus (Helile, baked for use of the peel); Angelicae Sinensis Radix (Danggui, sliced and lightly stir-fried); Myristicae Semen (Roudoukou, shell removed); Ginseng Radix (Renshen, radix removed); Pruni Semen (Yulingren, soaked in hot water, skin and tip removed, lightly stir-fried); Cinnamomi Ramulus (Guixin, 3 fen each of the above); Citri Reticulatae Pericarpium (Chenju pi, 1 liang, soaked in hot water, white pith removed, dried); Areca Seed (Binglang, 1 liang).
The above ingredients are crushed, sifted into a powder. Each dose is 3 qian. Add 1 zhong of water, 0.5 fen of fresh ginger, and 3 dates, decoct until reduced to 6 fen. Strain the dregs. Take warm, at any time.
To treat Taiyang disease after sweating, where Qi is congested and does not disperse, attacking the heart and abdomen causing distension and pain, the Chaihu San (Bupleurum Powder) formula is suitable.
Ingredients: Bupleuri Radix (Chaihu, 3 fen, radix removed); Aurantii Fructus Immaturus (Zhike, 0.5 liang, bran-fried until slightly yellow, pith removed); Scutellariae Radix (Huangqin, 3 fen); Paeoniae Radix Rubra (Chishaoyao, 3 fen); Pinelliae Rhizoma (Banxia, 0.5 liang, washed in hot water seven times to remove slipperiness); Arecae Pericarpium (Dafupi, 0.5 liang, sliced); Areca Seed (Binglang, 3 fen); Costi Rhizoma (Muxiang, 0.5 liang).
The above ingredients are crushed, sifted into a powder. Each dose is 3 qian. Add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 6 fen. Strain the dregs. Take warm, at any time.
To treat sudden Taiyang disease with heart and abdominal pain, distension, and inability to eat, the Chi Fuling San (Red Poria Powder) formula is suitable.
Ingredients: Poria Cum Radix Xyli (Chifuling, 1 liang); Platycodonis Radix (Jiegeng, 1 liang, radix removed); Citri Reticulatae Pericarpium (Chenju pi, 1 liang, soaked in hot water, white pith removed, dried); Ginseng Radix (Renshen, 0.5 liang, radix removed); Alpiniae Officinarum Rhizoma (Gaoliangjiang, 1 liang, sliced); Areca Seed (Binglang, 3 fen).
The above ingredients are crushed, sifted into a powder. Each dose is 3 qian. Add 1 zhong of water and 3 dates, decoct until reduced to 6 fen. Strain the dregs. Take while slightly warm, at any time.
To treat Taiyang disease with Qi congestion of the Large Intestine, heart and abdominal distension and pain, soreness and pain in the limbs and joints, restlessness, and inability to sleep, the Dahuang Wan (Rhubarb Pill) formula is suitable.
Ingredients: Rheum Palmatum (Chuan Dahuang, 1 liang, sliced and lightly stir-fried); Costi Rhizoma (Muxiang, 1 fen); Areca Seed (Binglang, 0.5 liang); Cinnamomi Ramulus (Guixin, 1 fen); Aurantii Fructus Immaturus (Zhike, 0.5 liang, bran-fried until slightly yellow, pith removed); Glycyrrhizae Radix et Rhizoma (Gancao, 1 fen, honey-roasted until slightly red and sliced); Pruni Semen (Yulingren, 3 fen, soaked in hot water, skin and tip removed, lightly stir-fried).
The above ingredients are finely ground into powder, mixed with refined honey, and pounded for 100-200 strokes to form pills the size of paulownia seeds. Each dose is 30 pills, taken with warm wine, at any time. Stop when bowel movement is achieved.
To treat Taiyang disease where cold Qi attacks the heart and abdomen, causing distension, pain, and inability to eat.
Ingredients: Costi Rhizoma (Muxiang, 3 fen); Evodiae Fructus (Wuzhuyu, 0.5 liang, soaked in hot water seven times, dried and lightly stir-fried); Cinnamomi Ramulus (Guixin, 0.5 liang); Magnoliae Officinalis Cortex (Nongpo, 3 fen, coarse skin removed, brushed with fresh ginger juice, roasted); Citri Reticulatae Pericarpium (Qingju pi).
The above ingredients are crushed, sifted into a powder. Each dose is 4 qian. Add 1 zhong of water and 3 dates, decoct until reduced to 6 fen. Strain the dregs. Take while slightly warm, at any time.
To treat Taiyang disease with heart and abdominal distension and pain, chest and diaphragm congestion, or vomiting and hiccups preventing eating, the Banxia San (Pinellia Powder) formula is suitable.
Ingredients: Pinelliae Rhizoma (Banxia, 3 fen, washed in hot water seven times to remove slipperiness); Peucedani Radix (Qianhu, 3 fen, radix removed); Chebulae Fructus Peel (Helile pi, 3 fen); Paeoniae Radix Rubra (Chishaoyao, 3 fen); Cinnamomi Ramulus (Guixin, 0.5 liang); Ginseng Radix (Renshen, 3 fen, radix removed); Costi Rhizoma (Muxiang, 0.5 liang); Areca Seed (Binglang, 0.5 liang); Citri Reticulatae Pericarpium (Chenju pi, 1 liang, soaked in hot water, white pith removed, dried).
The above ingredients are crushed, sifted into a powder. Each dose is 4 qian. Add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 6 fen. Strain the dregs. Take while slightly warm, at any time.
To treat Taiyang disease after sweating, resulting in abdominal distension and pain, the Nongpo San (Magnolia Bark Powder) formula is suitable.
Ingredients: Rheum Palmatum (Chuan Dahuang, 1 liang, sliced and lightly stir-fried); Ligustici Chuanxiong Rhizoma (Xiong, 3 fen); Ginseng Radix (Renshen, 1 liang, radix removed); Paeoniae Radix Rubra (Chishaoyao, 3 fen); Citri Reticulatae Pericarpium (Chenju pi, 3 fen, soaked in hot water, white pith removed, dried); Magnoliae Officinalis Cortex (Nongpo, 2 liang, coarse skin removed, brushed with fresh ginger juice, roasted until fragrant and cooked).
The above ingredients are crushed, sifted into a powder. Each dose is 4 qian. Add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 6 fen. Strain the dregs. Take while slightly warm, at any time.