夫症瘕者。皆由寒温不调。饮食不化。与脏气虚冷所生也。其病不动者直名为症。若病
虽有
出。
此食
在
在
右
皆为瘕。寸口脉结而伏者。腹中有症。不可转动。必死不治。
治症瘕气。腹胀痛。京三棱方。
京三棱(一两微煨锉) 柴胡(三分去苗) 桔梗(一两去芦头) 木通(一两锉) 当
归(三
分锉
两涂醋炙
令黄
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至五分。去滓。温服。日
三四
治症瘕久不瘥。令人不食。羸瘦少力。芎 散方。
芎 (一两) 桂心(一两) 川大黄(二两锉碎微炒) 鳖甲(二两涂醋炙令黄去裙
) 京
三
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓温服。一
日三
又方。
鳖甲(三两涂醋炙令黄去裙 ) 桃仁(二百枚汤浸去皮尖双仁以水三升生研滤取汁) 京
三棱
上件药。鳖甲三棱捣罗为末。先将桃仁水入铛中。煎三五沸。次下药捣。同煎至一升。
渐渐
治久积症瘕发动。心腹疼痛不可忍。大黄丸方。
大黄(二两锉碎微炒) 天雄(一两炮裂去皮脐) 雄黄(半两细研) 麝香(二钱细
研) 朱
砂(
两微
煨锉
两) 干姜
(半两
上件药。捣罗为末。入研了药令匀。炼蜜和捣三二百杵。丸如小豆大。每服空心。以清
粥饮
治症瘕。心腹胀痛。胸膈烦闷。不欲饮食。四肢少力。木香丸方。
木香(三分) 肉桂(三分去皱皮) 大戟(二分锉碎炒微黄) 京三棱(半两微煨锉)
附子
(半
橘皮
(半两
上件药。捣罗为末。入腻粉巴豆。更研令匀。用软粳米饭和丸。如小豆大。每服空心。
以粥
治症瘕。或寒或热。羸瘦不欲饮食。鳖甲丸方。
鳖甲(一两涂醋炙令黄去裙 ) 吴茱萸(三分汤浸七遍焙干微炒) 龟甲(一两涂醋
炙令
黄)
脐) 白术
(半
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。以温酒下二十丸。日三
服。
治症瘕喘嗽。腹中 痛。吃食减少。四肢乏力。防葵方。
防葵(三分) 桂心(半分) 木香(半两) 吴茱萸(半两汤浸七遍焙干微炒) 鳖
甲(一两
半涂
炒)
京三棱(
两汤浸去
皮微炒)
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以温酒下二十
丸。
治症瘕。神效大通丸方。
川乌头(二两炮裂去皮脐) 砒黄(一分细研) 巴豆(一两去皮心研纸裹压去油) 芫
花
(一两
(一分
炒令紫色) 猪牙皂荚(一两去黑皮涂酥炙令焦黄去子) 自然铜(一两细研别用)
上件药。捣罗为末。入研了药令匀。用黑豆面和丸。如绿豆大。以研了自然铜末滚过。
每
治症瘕。腹内疼痛。硼砂丸方。
硼砂(一两细研) 鳖甲(一两涂醋炙令黄去裙 ) 川大黄(一两锉碎微炒) 木香
〔二(三)
分
三
棱(二
醋浸两
宿绞
上件药。捣罗为末。入研了药令匀。以皂荚膏和丸。如绿豆大。每服空心。以生姜汤下
三丸
治症瘕不消。宜服此方。
川大黄(三两锉碎微炒) 鳖甲(二两涂酥炙令黄去裙 ) 槟榔(二两) 桃仁(一
两汤浸
去皮
上件药。捣罗为末。用酽醋二升。和搅令匀。以慢火熬。候可丸。即丸如梧桐子大。每
日空
症瘕这类疾病,都是由于寒热失调、饮食不化,以及脏腑之气虚冷所导致的。其中,病灶固定不移的,直接称为“症”;如果病灶虽然时有移动,但主要位于右侧的,都称为“瘕”。如果寸口脉象表现为结代且沉伏,说明腹中有症积,无法转动,这是必死无疑、无法治疗的危重证候。
治疗症瘕气滞引起的腹胀疼痛,使用京三棱方。
药材:京三棱(一两,微火煨后捣碎)、柴胡(三分,去苗)、桔梗(一两,去芦头)、木通(一两,捣碎)、当归(三分,用醋涂炙至黄色)。
以上药材,捣碎过筛制成散剂。每次服用三钱,加水一中盏,放入生姜半分,煎煮至剩余五分药液,滤去药渣,温服。每日服用三四次。
治疗症瘕日久不愈,导致人食欲不振、身体消瘦、乏力,使用芎䓖散方。
药材:芎䓖(一两)、桂心(一两)、川大黄(二两,捣碎微炒)、鳖甲(二两,涂醋炙至黄色,去裙边)、京三棱(一两,微火煨后捣碎)。
以上药材,捣碎粗罗制成散剂。每次服用四钱,加水一中盏,放入生姜半分,煎煮至剩余六分药液,滤去药渣,温服。每日服用三次。
又一方:
药材:鳖甲(三两,涂醋炙至黄色,去裙边)、桃仁(二百枚,热水浸泡去皮尖双仁,加水三升生研过滤取汁)、京三棱(一两,微火煨后捣碎)。
以上药材,将鳖甲和京三棱捣罗成粉末。先将桃仁和水放入锅中,煮沸三五次,然后加入捣碎的鳖甲和三棱粉末,同煎至一升药液。慢慢服用。
治疗久积的症瘕发作,心腹疼痛难以忍受,使用大黄丸方。
药材:大黄(二两,捣碎微炒)、天雄(一两,炮裂去皮脐)、雄黄(半两,细研)、麝香(二钱,细研)、朱砂(一两,微火煨)、干姜(半两,炮裂)。
以上药材,捣罗成粉末,加入已研细的药物混合均匀,用炼蜜调和,捣杵三二百下,制成如小豆大小的丸剂。每次空腹服用,用清粥送服。
治疗症瘕,心腹胀痛,胸膈烦闷,不想吃东西,四肢乏力,使用木香丸方。
药材:木香(三分)、肉桂(三分,去皱皮)、大戟(二分,捣碎炒至微黄)、京三棱(半两,微火煨后捣碎)、附子(半两,炮裂去皮脐)、橘皮(半两,去白)。
以上药材,捣罗成粉末,加入腻粉、巴豆,再次研磨均匀。用软粳米饭和丸,制成如小豆大小的丸剂。每次空腹服用,用米汤送服。
治疗症瘕,或寒或热,身体消瘦,不想吃东西,使用鳖甲丸方。
药材:鳖甲(一两,涂醋炙至黄色,去裙边)、吴茱萸(三分,热水浸泡七遍,焙干微炒)、龟甲(一两,涂醋炙至黄色,去裙边)、干姜(半两,炮裂)、白术(半两)。
以上药材,捣罗成粉末,用炼蜜调和,捣杵三二百下,制成如梧桐子大小的丸剂。每次服用,用温酒送服二十丸,每日三次。
治疗症瘕引起的喘咳,腹部疼痛,进食减少,四肢乏力,使用防葵方。
药材:防葵(三分)、桂心(半分)、木香(半两)、吴茱萸(半两,热水浸泡七遍,焙干微炒)、鳖甲(一两半,涂醋炙至黄色,去裙边)、京三棱(一两,热水浸泡去皮微炒)。
以上药材,捣罗成粉末,用炼蜜调和,捣杵三二百下,制成如梧桐子大小的丸剂。每次不拘时候,用温酒送服二十丸。
治疗症瘕,神效大通丸方。
药材:川乌头(二两,炮裂去皮脐)、砒黄(一分,细研)、巴豆(一两,去皮心,研后用纸包裹压去油)、芫花(一两,炒令紫色)、猪牙皂荚(一两,去黑皮,涂酥炙至焦黄,去子)、自然铜(一两,细研备用)。
以上药材,捣罗成粉末,加入已研细的药物混合均匀。用黑豆面和丸,制成如绿豆大小的丸剂,外层滚上研好的自然铜粉末。每次服用...(原文此处截断)
治疗症瘕,腹内疼痛,使用硼砂丸方。
药材:硼砂(一两,细研)、鳖甲(一两,涂醋炙至黄色,去裙边)、川大黄(一两,捣碎微炒)、木香(二至三分)、京三棱(二两,醋浸两宿绞汁)。
以上药材,捣罗成粉末,加入已研细的药物混合均匀,用皂荚膏和丸,制成如绿豆大小的丸剂。每次空腹服用,用生姜汤送服三丸...(原文此处截断)
治疗症瘕不消,宜服用此方。
药材:川大黄(三两,捣碎微炒)、鳖甲(二两,涂酥炙至黄色,去裙边)、槟榔(二两)、桃仁(一两,热水浸泡去皮尖)。
以上药材,捣罗成粉末,用浓醋二升,调和搅匀,用慢火熬制,待可丸时,制成如梧桐子大小的丸剂。每日空腹...(原文此处截断)
Zhengjia (abdominal masses) are diseases caused by the imbalance of cold and heat, indigestion of food, and deficiency-cold of the zang-fu organs. When the lesion is fixed and immobile, it is directly named "Zheng" (fixed mass); if the lesion moves occasionally but is primarily located on the right side, it is named "Jia" (mobile mass). If the pulse at the cunkou position is knotted and deep, it indicates the presence of a Zheng mass in the abdomen that cannot be moved; this is a fatal condition that is incurable.
To treat Zhengjia qi stagnation causing abdominal distension and pain, use Jing Sanleng Tang (Cnidium Rhizome Decoction).
Ingredients: Jing Sanleng (Rhizoma Sparganii, 1 liang, lightly roasted and crushed), Chaihu (Radix Bupleuri, 3 fen, stems removed), Jie Geng (Radix Platycodi, 1 liang, radix tip removed), Mu Tong (Caulis Akebiae, 1 liang, crushed), Dang Gui (Radix Angelicae Sinensis, 3 fen, roasted with vinegar until yellow).
The above ingredients are pounded, sifted, and made into a powder. Take 3 qian per dose, add 1 zhongzhan of water and 0.5 banfen of fresh ginger, decoct until 0.5 fen of liquid remains, filter out the dregs, and take warm. Take 3-4 times daily.
To treat long-standing Zhengjia that does not heal, leading to loss of appetite, emaciation, and weakness, use Xiong Xiong San (Ligusticum Powder).
Ingredients: Xiong Xiong (Rhizoma Chuanxiong, 1 liang), Gui Xin (Cortex Cinnamomi, 1 liang), Chuan Da Huang (Radix et Rhizoma Rhei, 2 liang, crushed and lightly roasted), Bie Jia (Carapax et Plastrum Testudinis, 2 liang, roasted with vinegar until yellow, skirt edges removed), Jing Sanleng (Rhizoma Sparganii, 1 liang, lightly roasted and crushed).
The above ingredients are coarsely pounded and sifted to make a powder. Take 4 qian per dose, add 1 zhongzhan of water and 0.5 banfen of fresh ginger, decoct until 0.6 fen of liquid remains, filter out the dregs, and take warm. Take 3 times daily.
Another prescription:
Ingredients: Bie Jia (Carapax et Plastrum Testudinis, 3 liang, roasted with vinegar until yellow, skirt edges removed), Tao Ren (Semen Persicae, 200 seeds, soaked in hot water, skin and pointed ends removed, double kernels used, ground raw in 3 sheng of water and filtered for juice), Jing Sanleng (Rhizoma Sparganii, 1 liang, lightly roasted and crushed).
The above ingredients: Pound Bie Jia and Jing Sanleng into powder. First, boil Tao Ren and water in a pot for three to five boils. Then add the powdered Bie Jia and Sanleng, and decoct together until 1 sheng of liquid remains. Take slowly.
To treat long-standing accumulated Zhengjia attacks causing unbearable heart and abdominal pain, use Da Huang Wan (Rhubarb Pill).
Ingredients: Da Huang (Radix et Rhizoma Rhei, 2 liang, crushed and lightly roasted), Tian Xiong (Radix Aconiti Kusnezoffii, 1 liang, processed, skin and navel removed), Xiong Huang (Realgar, 0.5 liang, finely ground), She Xiang (Moschus, 2 qian, finely ground), Zhu Sha (Cinnabar, 1 liang, lightly roasted), Gan Jiang (Rhizoma Zingiberis, 0.5 liang, processed).
The above ingredients are pounded and sifted into powder. Mix with the finely ground medicines evenly. Combine with refined honey and pound 300-200 times. Form pills the size of small beans. Take each dose on an empty stomach, washed down with clear porridge drink.
To treat Zhengjia causing heart and abdominal distension and pain, chest oppression, aversion to eating, and limb weakness, use Mu Xiang Wan (Costus Root Pill).
Ingredients: Mu Xiang (Radix Aucklandiae, 3 fen), Rou Gui (Cortex Cinnamomi, 3 fen, wrinkled bark removed), Da Ji (Radix Euphorbiae Humifusae, 2 fen, crushed and lightly roasted), Jing Sanleng (Rhizoma Sparganii, 0.5 liang, lightly roasted and crushed), Fu Zi (Radix Aconiti Lateralis Preparata, 0.5 liang, processed, skin and navel removed), Ju Pi (Pericarpium Citri Reticulatae, 0.5 liang, white pith removed).
The above ingredients are pounded and sifted into powder. Add Ni Fen (Calomelas) and Ba Dou (Semen Crotonis), and grind again until uniform. Combine with soft japonica rice flour to form pills the size of small beans. Take each dose on an empty stomach, washed down with rice soup.
To treat Zhengjia presenting with either cold or heat symptoms, emaciation, and loss of appetite, use Bie Jia Wan (Turtle Shell Pill).
Ingredients: Bie Jia (Carapax et Plastrum Testudinis, 1 liang, roasted with vinegar until yellow, skirt edges removed), Wu Zhu Yu (Fructus Evodiae, 3 fen, soaked in hot water seven times, dried and lightly roasted), Gui Jia (Plastrum Testudinis, 1 liang, roasted with vinegar until yellow, skirt edges removed), Gan Jiang (Rhizoma Zingiberis, 0.5 liang, processed), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 0.5 liang).
The above ingredients are pounded and sifted into powder. Combine with refined honey and pound 300-200 times. Form pills the size of sophora seeds. Take each dose, washed down with warm wine, 20 pills per time. Take 3 times daily.
To treat Zhengjia causing wheezing and cough, abdominal pain, reduced food intake, and limb weakness, use Fang Kui Fang (Aristolochia Prescription).
Ingredients: Fang Kui (Radix Aristolochiae, 3 fen), Gui Xin (Cortex Cinnamomi, 0.5 fen), Mu Xiang (Radix Aucklandiae, 0.5 liang), Wu Zhu Yu (Fructus Evodiae, 0.5 liang, soaked in hot water seven times, dried and lightly roasted), Bie Jia (Carapax et Plastrum Testudinis, 1.5 liang, roasted with vinegar until yellow, skirt edges removed), Jing Sanleng (Rhizoma Sparganii, 1 liang, soaked in hot water, skin removed and lightly roasted).
The above ingredients are pounded and sifted into powder. Combine with refined honey and pound 300-200 times. Form pills the size of sophora seeds. Take each dose regardless of timing, washed down with warm wine, 20 pills per time.
To treat Zhengjia, Shen Xiao Da Tong Wan (Miraculous Great Unblocking Pill).
Ingredients: Chuan Wu Tou (Radix Aconiti Carmichaelii Preparata, 2 liang, processed, skin and navel removed), Pi Huang (Arsenic Trioxide, 1 fen, finely ground), Ba Dou (Semen Crotonis, 1 liang, skin and heart removed, ground and pressed between paper to remove oil), Yuan Hua (Flos Genkwa, 1 liang, roasted until purple), Zhu Ya Zao Jiao (Fructus Gleditsiae Sinensis, 1 liang, black skin removed, roasted with butter until scorched yellow, seeds removed), Zi Ran Tong (Pyritum, 1 liang, finely ground, set aside).
The above ingredients are pounded and sifted into powder. Mix with the finely ground medicines evenly. Combine with black soybean flour to form pills the size of mung beans, rolling them in the prepared Zi Ran Tong powder. Each dose... (text cuts off here)
To treat Zhengjia causing intra-abdominal pain, use Peng Sha Wan (Borax Pill).
Ingredients: Peng Sha (Borax, 1 liang, finely ground), Bie Jia (Carapax et Plastrum Testudinis, 1 liang, roasted with vinegar until yellow, skirt edges removed), Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, crushed and lightly roasted), Mu Xiang (Radix Aucklandiae, 2-3 fen), Jing Sanleng (Rhizoma Sparganii, 2 liang, soaked in vinegar for two nights and squeezed for juice).
The above ingredients are pounded and sifted into powder. Mix with the finely ground medicines evenly. Combine with soap pod paste to form pills the size of mung beans. Take each dose on an empty stomach, washed down with fresh ginger soup, 3 pills per dose... (text cuts off here)
To treat persistent Zhengjia that does not resolve, take this prescription.
Ingredients: Chuan Da Huang (Radix et Rhizoma Rhei, 3 liang, crushed and lightly roasted), Bie Jia (Carapax et Plastrum Testudinis, 2 liang, roasted with butter until yellow, skirt edges removed), Bing Lang (Areca Seed, 2 liang), Tao Ren (Semen Persicae, 1 liang, soaked in hot water, skin and pointed ends removed).
The above ingredients are pounded and sifted into powder. Use 2 sheng of strong vinegar, mix and stir evenly. Simmer over slow fire until suitable for forming pills. Form pills the size of sophora seeds. Take each day on an empty stomach... (text cuts off here)