夫时气结胸者。谓热毒瓦斯结聚于心胸也。此由病发于阳。而下之早。热毒之气。乘虚而
痞结
逆。
舌
治时气结胸。心下坚实满痛。宜服桂心散方。
桂心(一两) 甘遂(半两煨令微黄) 人参(一两去芦头) 栝蒌(一枚取子用)
上件药。捣筛为散。每服三钱。以水一中盏。入枣三枚。煎至五分。去滓。不计时候。
温服。
治时气结胸。心下满实。烦闷。宜服猪苓散方。
猪苓(一两去黑皮) 泽泻(一两) 桂心(半两) 赤茯苓(三分) 川朴硝(三两)
上件药。捣细罗为散。每服不计时候。以粥饮调下二钱。
治时气结胸。心下坚。按之即痛。其脉沉滑。宜服陷胸汤方。
栝蒌(一枚大者取子) 黄连(一两去须) 半夏(一两汤洗七遍去滑)
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时候
。温服。
治时气结胸。烦闷喘急。宜服槟榔丸方。
槟榔(半两) 马蔺花(一分微炒) 甜葶苈(半两隔纸炒令紫色) 猪牙皂荚(半两
去皮炙
令黄焦)
上件药。捣筛为末。炼蜜和丸。如梧桐子大。每服不计时候。以竹叶汤下二十丸。
治时气结胸。热毒在内。宜服苦参丸方。
苦参(半两锉) 黄连(一两去芦头) 黄芩(一两) 栀子仁(半两) 川大黄(一
两锉碎微
炒)
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服不计时候。以竹叶汤下二十丸。
治时气结胸。热实在内。其脉沉坚。心下痛满。按之如石。宜服陷胸丸方。
川大黄(二两锉碎微炒) 甜葶苈(一两隔纸炒令黄(紫)色) 川朴硝(二两) 杏
仁(一两
汤浸去皮尖双仁麸炒微黄)
上件药。捣罗为末。炼蜜和丸。如弹子大。每服廿(一)丸。用甘遂末半钱。蜜一小匙。
水一中盏。同煎。至七分。温温化丸药。不计时候服之。以利为度。
治时气。热毒在胸膈。六七日。垂死者。宜服此方。
苦参(一分锉)
上捣碎。以酒二大盏。煎取一盏。去滓。看冷暖得所。不计时候。都为一服。服后当闻
苦参气。即吐毒如羊胆汁。便愈。
所谓时气结胸,是指热毒之气结聚于心胸部位。这通常是因为病发于阳经,却过早使用了攻下法,导致热毒之气乘虚内陷,痞塞逆乱。
治疗时气结胸,症见心下(胃脘部)坚硬胀满疼痛者,适宜服用桂心散方。
药材:桂心(一两)、甘遂(半两,煨至微黄色)、人参(一两,去芦头)、栝蒌(一枚,取子使用)。
制法与用法:将上述药物捣碎过筛制成散剂。每次服用三钱,加水一中盏,放入大枣三枚,煎煮至剩余五分药液,滤去药渣。不拘时候,温服。
治疗时气结胸,症见心下胀满结实、烦闷者,适宜服用猪苓散方。
药材:猪苓(一两,去黑皮)、泽泻(一两)、桂心(半两)、赤茯苓(三分)、川朴硝(三两)。
制法与用法:将上述药物捣细过罗制成散剂。每次服用不拘时候,用米粥汤调服二钱。
治疗时气结胸,症见心下坚硬,按压即痛,脉象沉滑者,适宜服用陷胸汤方。
药材:栝蒌(一枚大的,取子)、黄连(一两,去须)、半夏(一两,用水洗七遍以去除滑腻)。
制法与用法:将上述药物捣碎过筛制成散剂。每次服用五钱,加水一大盏,放入生姜半分,煎煮至剩余五分药液,滤去药渣。不拘时候,温服。
治疗时气结胸,症见烦闷、气喘急促者,适宜服用槟榔丸方。
药材:槟榔(半两)、马蔺花(一分,微炒)、甜葶苈(半两,隔纸炒至紫色)、猪牙皂荚(半两,去皮,炙至黄焦色)。
制法与用法:将上述药物捣碎过筛制成粉末,用炼蜜和丸,如梧桐子大小。每次服用不拘时候,用竹叶汤送服二十丸。
治疗时气结胸,症见热毒在内者,适宜服用苦参丸方。
药材:苦参(半两,锉碎)、黄连(一两,去芦头)、黄芩(一两)、栀子仁(半两)、川大黄(一两,锉碎,微炒)。
制法与用法:将上述药物捣罗制成粉末,用炼蜜和丸,如梧桐子大小。每次服用不拘时候,用竹叶汤送服二十丸。
治疗时气结胸,症见热邪实盛于内,脉象沉坚,心下疼痛胀满,按压如石头般坚硬者,适宜服用陷胸丸方。
药材:川大黄(二两,锉碎,微炒)、甜葶苈(一两,隔纸炒至黄紫色)、川朴硝(二两)、杏仁(一两,用水浸泡,去皮尖及双仁,麸炒至微黄色)。
制法与用法:将上述药物捣罗制成粉末,用炼蜜和丸,如弹子大小。每次服用一丸,另取甘遂末半钱、蜂蜜一小匙、水一中盏,共同煎煮至剩余七分药液,趁温热化开丸药服用。不拘时候,以大便通畅为度。
治疗时气病,热毒蕴结在胸膈,病程六七日,病情垂危者,适宜服用此方。
药材:苦参(一分,锉碎)。
制法与用法:将苦参捣碎,用酒两大盏,煎取一盏药液,滤去药渣。待温度适宜,不拘时候,一次性服完。服药后应当能闻到苦参的气味,随即吐出如羊胆汁样的毒物,病即可痊愈。
The condition known as "Shi Qi Jie Xiong" (Seasonal Pathogen Chest Binding) refers to the accumulation and binding of heat-toxic qi in the chest and epigastric region. This typically arises when a disease originating in the Yang stages is treated too early with purgative methods, causing the heat-toxic qi to sink into the deficiency and become obstructed and rebellious.
For Seasonal Pathogen Chest Binding presenting with hardness, fullness, and pain in the epigastrium, Guixin San (Cinnamon Heart Powder) is indicated.
Ingredients: Guixin (Cortex Cinnamomi, 1 liang), Gansui (Radix Euphorbiae Lathyri, 0.5 liang, roasted until slightly yellow), Renshen (Radix Ginseng, 1 liang, radix removed), Gualou (Fructus Trichosanthis, 1 fruit, seeds used).
Preparation and Administration: The above ingredients are crushed, sifted, and made into a powder. Each dose consists of 3 qian, decocted with 1 zhong of water and 3 jujubes until reduced to 0.5 zhong. Strain and take warm at any time.
For Seasonal Pathogen Chest Binding presenting with fullness and solidity in the epigastrium and irritability, Zhuling San (Polyporus Powder) is indicated.
Ingredients: Zhuling (Poria, 1 liang, black skin removed), Zexie (Rhizoma Alismatis, 1 liang), Guixin (Cortex Cinnamomi, 0.5 liang), Chi Fuling (Poria with Red Host, 0.3 liang), Chuan Puxiao (Natrii Sulfas, 3 liang).
Preparation and Administration: The above ingredients are finely crushed, sifted through a fine sieve, and made into a powder. Each dose consists of 2 qian, taken with millet gruel broth at any time.
For Seasonal Pathogen Chest Binding presenting with hardness in the epigastrium, pain upon pressure, and a deep-slippery pulse, Xianxiong Tang (Chest-Sinking Decoction) is indicated.
Ingredients: Gualou (Fructus Trichosanthis, 1 large fruit, seeds used), Huanglian (Rhizoma Coptidis, 1 liang, roots removed), Banxia (Rhizoma Pinelliae, 1 liang, washed seven times in water to remove slipperiness).
Preparation and Administration: The above ingredients are crushed, sifted, and made into a powder. Each dose consists of 5 qian, decocted with 1 da zhong of water and 0.5 fen of fresh ginger until reduced to 0.5 zhong. Strain and take warm at any time.
For Seasonal Pathogen Chest Binding presenting with irritability, panting, and urgency, Binglang Wan (Areca Nut Pill) is indicated.
Ingredients: Binglang (Semen Arecae, 0.5 liang), Malinhua (Flos Iris Tectorii, 0.1 liang, lightly stir-fried), Tiantingli (Semen Lepidii et Descurainiae, 0.5 liang, stir-fried between papers until purple), Zhuya Zaojia (Fructus Gleditsiae Sinensis, 0.5 liang, skin removed, roasted until yellow and scorched).
Preparation and Administration: The above ingredients are crushed, sifted, and made into a powder. Honey is added to form pills the size of Sophora japonica seeds. Each dose consists of 20 pills, taken with bamboo leaf decoction at any time.
For Seasonal Pathogen Chest Binding with heat-toxin residing internally, Kushen Wan (Sophora Root Pill) is indicated.
Ingredients: Kushen (Cortex Radicis Sophorae Flavescentis, 0.5 liang, cut into small pieces), Huanglian (Rhizoma Coptidis, 1 liang, radix removed), Huangqin (Radix Scutellariae, 1 liang), Zhizi Ren (Semen Gardeniae, 0.5 liang), Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang, cut into small pieces, lightly stir-fried).
Preparation and Administration: The above ingredients are crushed, sifted, and made into a powder. Honey is added to form pills the size of Sophora japonica seeds. Each dose consists of 20 pills, taken with bamboo leaf decoction at any time.
For Seasonal Pathogen Chest Binding with excess heat internally, a deep-firm pulse, pain and fullness in the epigastrium, and hardness upon pressure resembling stone, Xianxiong Wan (Chest-Sinking Pill) is indicated.
Ingredients: Chuan Dahuang (Radix et Rhizoma Rhei, 2 liang, cut into small pieces, lightly stir-fried), Tiantingli (Semen Lepidii et Descurainiae, 1 liang, stir-fried between papers until yellow-purple), Chuan Puxiao (Natrii Sulfas, 2 liang), Xingren (Semen Pruni Armeniacae, 1 liang, soaked in water, skin and tips removed, bran-roasted until slightly yellow).
Preparation and Administration: The above ingredients are crushed, sifted, and made into a powder. Honey is added to form pills the size of a bullet. Each dose consists of 1 pill. Additionally, use 0.5 qian of Gansui powder, 1 small spoon of honey, and 1 zhong of water. Simmer together until reduced to 0.7 zhong. Warmly dissolve the pill in this liquid and take at any time. Continue until bowel movement occurs.
For Seasonal Pathogen disease where heat-toxin is lodged in the chest and diaphragm, persisting for six or seven days, with the patient near death, this formula is indicated.
Ingredients: Kushen (Cortex Radicis Sophorae Flavescentis, 0.1 liang, cut into small pieces).
Preparation and Administration: Crush the Kushen and decoct it with 2 large zhong of wine until reduced to 1 zhong. Strain. Adjust the temperature to be suitable. Take all at once at any time. After ingestion, one should smell the scent of Kushen, followed by vomiting material resembling sheep bile, after which the illness will resolve.