夫小肠合于心,手太阳是其经也,为受盛之府,主水液下行也。若虚则生寒,寒
则肠中痛,惊跳,乍来乍去,小便数,此则小肠虚冷之候也。
治小肠虚冷,小腹如刀刺,或绕脐结痛,冷汗出,宜服吴茱萸散方。
吴茱萸(一分汤浸七遍,焙干,微炒) 浓朴(半两去粗皮,涂生姜汁,炙令香熟) 芎
(一两) 干姜(半两炮裂,锉) 甘草(半两炙微赤,锉) 附子(三分炮裂,去皮脐)
上件药,捣粗罗为散。每服三钱,以水一中盏,煎至六分,去滓,不计时候,稍热服。
治小肠虚冷,脐下急痛,小便滑数,沉香散方。
沉香(一两) 桂心(一两) 附子(一两炮裂,去皮脐) 白龙骨(一两) 木香(三
分) 当
归〔二(三)分锉,微炒〕 枳实〔三分(麸)炒微黄〕
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,食前稍热
服。
治小肠虚,冷气,小腹卒痛如刺,胸胁气满闷乱。不忍,浓朴散方。
浓朴(一两去粗皮,涂生姜汁,炙令香熟) 高良姜(一两锉) 当归(三分锉,微炒)
桂心(一两) 芎 (三分) 白芍药(三分)
上件药,捣筛为散。每服三钱,用水一中盏,煎至六分,去滓,不计时候,稍热服。
治小肠虚,冷气,小腹疼痛不可忍,附子丸方。
附子(三分炮裂,去皮脐) 川乌头(三分炮裂,去皮脐) 当归(半两锉,微炒) 桂
心
(一
香(三
分)
上件药,捣罗为末,炼蜜和捣一、二百杵,丸如梧桐子大。不计时候,以温酒下二十丸
治小肠虚冷,小便数多,鹿茸丸方。
鹿茸(二两去毛,涂酥,炙令微黄) 白龙骨(一两烧过) 桑螵蛸(三分微炒) 椒
红(一
两微炒) 附子(一两半炮裂,去皮脐) 山茱萸(一两)
上件药,捣罗为末,炼蜜和捣一、二百杵,丸如梧桐子大。每服,空心及晚食前,以盐
汤下二十丸。
小肠与心相表里,手太阳小肠经是其所属经脉,作为受纳和盛装水谷的腑,主要主管水液的向下运行。如果小肠虚弱则会产生寒邪,寒邪凝滞会导致肠中疼痛、惊悸跳动,疼痛时发时止,小便频数,这就是小肠虚冷的证候表现。
治疗小肠虚冷,症见小腹如刀刺般疼痛,或者围绕肚脐结聚作痛,出冷汗,适宜服用吴茱萸散方。
吴茱萸(一分,用汤水浸泡七遍,焙干,微炒) 厚朴(半两,去除粗皮,涂生姜汁,炙烤至香气熟透) 川芎(一两) 干姜(半两,炮裂,锉碎) 甘草(半两,炙至微红,锉碎) 附子(三分,炮裂,去皮和脐)
以上药物,捣碎并过粗筛制成散剂。每次服用三钱,用水一中盏,煎煮至剩余六分,滤去药渣,不分时候,稍热时服用。
治疗小肠虚冷,症见脐下拘急疼痛,小便滑利频数,适宜服用沉香散方。
沉香(一两) 桂心(一两) 附子(一两,炮裂,去皮和脐) 白龙骨(一两) 木香(三分) 当归(二或三分,锉碎,微炒) 枳实(三分,麸炒至微黄)
以上药物,捣碎并过筛制成散剂。每次服用三钱,用水一中盏,加入生姜半分,煎煮至剩余六分,滤去药渣,饭前稍热时服用。
治疗小肠虚弱,冷气内侵,小腹突然刺痛难忍,胸胁部气满闷乱,痛苦不堪,适宜服用厚朴散方。
厚朴(一两,去除粗皮,涂生姜汁,炙烤至香气熟透) 高良姜(一两,锉碎) 当归(三分,锉碎,微炒) 桂心(一两) 川芎(三分) 白芍药(三分)
以上药物,捣碎并过筛制成散剂。每次服用三钱,用水一中盏,煎煮至剩余六分,滤去药渣,不分时候,稍热时服用。
治疗小肠虚弱,冷气内侵,小腹疼痛难以忍受,适宜服用附子丸方。
附子(三分,炮裂,去皮和脐) 川乌头(三分,炮裂,去皮和脐) 当归(半两,锉碎,微炒) 桂心(一两) [原文此处有缺漏,推测为其他药材及用量] 木香(三分)
以上药物,捣碎过罗制成粉末,用炼蜜调和,捣拌一、二百杵,制成梧桐子大小的丸剂。不分时候,用温酒送服二十丸。
治疗小肠虚冷,症见小便频数多,适宜服用鹿茸丸方。
鹿茸(二两,去毛,涂酥油,炙烤至微黄) 白龙骨(一两,烧制过) 桑螵蛸(三分,微炒) 椒红(一两,微炒) 附子(一两半,炮裂,去皮和脐) 山茱萸(一两)
以上药物,捣碎过罗制成粉末,用炼蜜调和,捣拌一、二百杵,制成梧桐子大小的丸剂。每次服用,在空腹及晚饭前,用盐汤送服二十丸。
The Small Intestine is internally-externally related to the Heart, and its meridian is the Hand-Taiyang (Small Intestine) Meridian. As the fu organ responsible for receiving and containing, it primarily governs the downward flow of fluids. If deficient, cold generates; cold causes pain in the intestines, palpitations or jumping sensations, intermittent onset and cessation of symptoms, and frequent urination. These are manifestations of deficiency-cold of the Small Intestine.
For treating deficiency-cold of the Small Intestine, characterized by stabbing pain in the lower abdomen as if pierced by a knife, or knotted pain around the umbilicus, with cold sweat, Wu Zhu Yu San (Evodia Powder) is appropriate.
Evodiae Fructus (Wuzhuyu, 1 fen, soaked in boiling water seven times, dried, slightly stir-fried) Magnoliae Officinalis Cortex (Houpo, 0.5 liang, remove rough bark, coat with fresh ginger juice, roast until fragrant and cooked) Ligustici Chuanxiong Rhizoma (Chuanxiong, 1 liang) Zingiberis Rhizoma Recens (Ganjiang, 0.5 liang, processed until cracked, chopped) Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 liang, roasted until slightly red, chopped) Aconiti Lateralis Radix Praeparata (Fuzi, 3 qian, processed until cracked, remove skin and navel)
Crush the above ingredients into a coarse powder. Take 3 qian per dose, decoct with one zhong of water until reduced to 6 fen, strain, and take warm at any time.
For treating deficiency-cold of the Small Intestine, characterized by urgent pain below the umbilicus and slippery, frequent urination, Chen Xiang San (Agarwood Powder) is appropriate.
Aquilariae Lignum Resinatum (Chenxiang, 1 liang) Cinnamomi Ramulus (Guixin, 1 liang) Aconiti Lateralis Radix Praeparata (Fuzi, 1 liang, processed until cracked, remove skin and navel) Os Draconis (Bailonggu, 1 liang) Aucklandiae Radix (Muxiang, 3 qian) Angelicae Sinensis Radix (Danggui, 2 or 3 qian, chopped, slightly stir-fried) Immaturus Trifolii Citri Fructus (Zhishi, 3 qian, bran-roasted until slightly yellow)
Sift the above ingredients into a fine powder. Take 3 qian per dose, decoct with one zhong of water and half a fen of fresh ginger until reduced to 6 fen, strain, and take warm before meals.
For treating deficiency of the Small Intestine with invading cold qi, sudden stabbing pain in the lower abdomen that is unbearable, and fullness/stuffiness in the chest and hypochondrium causing distress, Houpo San (Magnolia Bark Powder) is appropriate.
Magnoliae Officinalis Cortex (Houpo, 1 liang, remove rough bark, coat with fresh ginger juice, roast until fragrant and cooked) Alpiniae Officinarum Rhizoma (Gaoliangjiang, 1 liang, chopped) Angelicae Sinensis Radix (Danggui, 3 qian, chopped, slightly stir-fried) Cinnamomi Ramulus (Guixin, 1 liang) Ligustici Chuanxiong Rhizoma (Chuanxiong, 3 qian) Paeoniae Radix Alba (Baishao, 3 qian)
Sift the above ingredients into a fine powder. Take 3 qian per dose, decoct with one zhong of water until reduced to 6 fen, strain, and take warm at any time.
For treating deficiency of the Small Intestine with invading cold qi, causing unbearable lower abdominal pain, Fuzi Wan (Aconite Pill) is appropriate.
Aconiti Lateralis Radix Praeparata (Fuzi, 3 qian, processed until cracked, remove skin and navel) Aconiti Kusnezoffii Radix (Chuanwutou, 3 qian, processed until cracked, remove skin and navel) Angelicae Sinensis Radix (Danggui, 0.5 liang, chopped, slightly stir-fried) Cinnamomi Ramulus (Guixin, 1 liang) [Text lacuna here] Aucklandiae Radix (Muxiang, 3 qian)
Pulverize the above ingredients, mix with refined honey, and pound 100-200 times to form pills the size of paulownia seeds. Take 20 pills with warm wine at any time.
For treating deficiency-cold of the Small Intestine with frequent and excessive urination, Lurong Wan (Deer Antler Pill) is appropriate.
Cornu Cervi Pantotrichum (Lurong, 2 liang, remove hair, coat with butter, roast until slightly yellow) Os Draconis (Bailonggu, 1 liang, calcined) Mantidis Oötheca (Sangpiaoxiao, 3 qian, slightly stir-fried) Zanthoxyli Pericarpium (Jiaohong, 1 liang, slightly stir-fried) Aconiti Lateralis Radix Praeparata (Fuzi, 1.5 liang, processed until cracked, remove skin and navel) Corni Fructus (Shanzhuyu, 1 liang)
Pulverize the above ingredients, mix with refined honey, and pound 100-200 times to form pills the size of paulownia seeds. Take 20 pills with salted water on an empty stomach and before evening meal.