夫肾之积名曰奔豚。发于小腹。上至心。下若豚走之状。上下无时。久不愈。令人喘逆。
发
肾
又曰。奔豚气者。是肾之积气也。起于惊恐忧思所生。若惊恐则伤神。心藏神也。忧思
则伤
踊踊
奔豚之状也。若气满支心。心下闷乱。不欲闻人声。休作有时。乍瘥乍剧。翕翕短气。手足
厥逆
急沉
治奔 气。从小腹起。上至心下。妨胀壅闷。胃中短气。坐卧不安。宜服赤茯苓
散方。
赤茯苓〔二（一）两半〕 大腹皮（半两锉） 槟榔（半两） 桂心（一两） 吴茱萸
（半两汤
浸七
上件药。捣筛为散。每服三钱。水一中盏。煎至六分。去滓。不计时候。稍热服。
治奔 气。脐腹胀痛。翕翕短气。发作有时。四肢疼闷。宜服甘李根散方。
甘李根（二两锉） 吴茱萸（半两汤浸七遍焙干微炒） 半夏（一两汤洗七遍去滑） 人
参
（一两
两炮裂
锉） 槟榔（一两）
上药捣筛为散。每服三钱。水一中盏。煎至六分。去滓。不计时候。稍热服。
治奔豚气。小腹胀硬。心中满闷。宜服槟榔散方。
槟榔（一两） 沉香（半两） 白蒺藜（半两微炒去刺） 木香（半两） 附子（一两
炮裂去皮
脐）
上件药。捣细罗为散。入麝香令匀。每服不计时候。以温酒调下二钱。
治奔豚气。上冲心胸闷乱。脐腹胀痛。饮食辄呕。宜服木香散方。
木香（一两） 青橘皮（半两汤浸去白瓤焙） 槟榔（一两） 白术（半两） 沉香（一
两）
香子
上件药。捣细罗为散。每服不计时候。以温酒调下二钱。
治奔豚气。上攻心胸。喘闷胀满。桃仁散方。
桃仁（一两汤浸去皮尖双仁麸炒微黄研入） 牵牛子（一两微炒） 槟榔（半两） 青
橘皮
（半两
研入）
上件药。捣细罗为散。研入桃仁郁李仁令匀。每服不计时候。以温酒调下二钱。
治奔豚气。攻筑心腹。膨胀疼痛。面色唇口青黑。四肢不和。宜服硫黄丸方。
硫黄（一两细研） 木香（一两） 青橘皮（一两汤浸去白瓤焙） 桂心（一两） 肉
豆蔻（一
两）
槟榔
（一两）
上件药。捣细罗为末。以酒煮面糊。和捣三二百杵。为丸如梧桐子大。每服。以生姜温
酒下
治奔豚气。小腹积聚疼痛。或时上攻。心胸壅闷。宜服沉香丸方。
沉香（半两） 阿魏（半两以少面和溶作饼子炙令黄） 木香（一分） 桃仁（半两汤
浸去皮
尖双
橘皮
（一分
入）
（一两生用）
上件药。捣细罗为末。入硼砂令匀。以酒煮面糊和丸。如梧桐子大。每服食前。以姜盐
汤
治奔豚气在小腹。积聚成块。发歇痛。宜服硼砂煎丸方。
硼砂（三两不夹石者细研以酒醋各一升慢火熬令如膏） 附子（一两炮裂去皮脐） 吴
茱萸
（半
葵
（三分
上件药。捣细罗为末。入桃仁令匀。纳硼砂煎中入少蒸饼。和溶为丸。如梧桐子大。每
服食
治奔豚气。逆上冲心满闷。脐腹虚胀。宜服此方。
槟榔（一两） 诃黎勒皮（一两） 木香（一两） 吴茱萸（三分汤浸七遍焙干微炒） 牵
牛子
（二
上件药。捣细锉为散。每服一钱。以温酒一合。童子小便一合。相和调下。不计时候服。
治奔豚气在心胸。迫满闷乱。宜服此方。
半夏（二两汤洗七遍去滑） 桂心（二两半） 人参（一两去芦头） 槟榔（一两） 吴
茱萸
（半两
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
治奔豚气。上下冲走闷乱。面青。宜服此方。
甘李根皮（三两锉） 生姜（三两炒干） 吴茱萸（一两汤浸七遍焙干微炒）
上件药。捣细罗为散。每服一钱。水一中盏。煎至六分。去滓。不计时候热服。
又方。
槟榔（三枚捣罗为末） 生姜汁（半合）
上件药。以童子小便一大盏。微暖过。入前药二味。搅令匀。分为三服。如人行五六里
进一
肾的积气病名为奔豚。发作时从小腹开始，向上冲至心口，其状如同小猪奔跑一般，上下窜动没有定时。若久治不愈，会导致人气喘逆乱。
又说，奔豚气，是肾的积气所致。起于惊恐、忧思等情志因素。如果受到惊恐，就会损伤心神，因为心藏神；如果忧愁思虑过度，就会损伤肾志（导致肾气上逆），出现心中悸动不安、如猪奔跑般的症状。如果感觉气满支撑心部，心下感到烦闷混乱，不想听到人的声音，发作与休止有定时，有时好转有时加重，呼吸短促，手足厥冷，脉象急而沉。治疗奔豚气，从小腹起，向上冲到心下，导致胸腹胀满壅塞闷痛，胃中气息短促，坐卧不安，适宜服用赤茯苓散方。
赤茯苓（二两半） 大腹皮（半两，锉碎） 槟榔（半两） 桂心（一两） 吴茱萸（半两，用汤浸泡七遍）
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，去渣滓。不限时候，稍热时服用。
治疗奔豚气，脐腹部胀满疼痛，呼吸短促，发作有定时，四肢疼痛烦闷，适宜服用甘李根散方。
甘李根（二两，锉碎） 吴茱萸（半两，用汤浸泡七遍，焙干，微炒） 半夏（一两，用汤洗七遍，去滑腻） 人参（一两，去芦头） 甘草（一两，炙，锉碎） 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，去渣滓。不限时候，稍热时服用。
槟榔（一两） 沉香（半两） 白蒺藜（半两，微炒，去刺） 木香（半两） 附子（一两，炮裂，去皮脐）
以上药材，捣细过罗制成散剂，加入麝香混合均匀。每次不限时候，用温酒调服二钱。
治疗奔豚气，气上冲心胸导致烦闷混乱，脐腹部胀痛，饮食即呕吐，适宜服用木香散方。
木香（一两） 青橘皮（半两，用汤浸泡，去白瓤，焙干） 槟榔（一两） 白术（半两） 沉香（一两） 丁香（一分）
以上药材，捣细过罗制成散剂。每次不限时候，用温酒调服二钱。
桃仁（一两，用汤浸泡，去皮尖及双仁者，麸炒至微黄，研入药中） 牵牛子（一两，微炒） 槟榔（半两） 青橘皮（半两，研入药中）
以上药材，捣细过罗制成散剂，加入桃仁、郁李仁研匀。每次不限时候，用温酒调服二钱。
治疗奔豚气，气攻筑心腹，导致膨胀疼痛，面色和唇口呈青黑色，四肢不和顺，适宜服用硫黄丸方。
硫黄（一两，细研） 木香（一两） 青橘皮（一两，用汤浸泡，去白瓤，焙干） 桂心（一两） 肉豆蔻（一两） 槟榔（一两）
以上药材，捣细过罗制成末，用酒煮面糊，调和后捣三四百下，制成梧桐子大小的丸药。每次服用，用生姜温酒送下。
治疗奔豚气，小腹积聚疼痛，有时向上攻冲，心胸壅闷，适宜服用沉香丸方。
沉香（半两） 阿魏（半两，用少量面和成饼，炙至黄色） 木香（一分） 桃仁（半两，用汤浸泡，去皮尖及双仁者） 青橘皮（一分，去白瓤） 枳实（一两，生用）
以上药材，捣细过罗制成末，加入硼砂混合均匀，用酒煮面糊和丸，制成梧桐子大小的丸药。每次在饭前，用姜盐汤送下。
治疗奔豚气在小腹，积聚成块，发作时疼痛，适宜服用硼砂煎丸方。
硼砂（三两，不夹杂石头的，细研，用酒醋各一升，慢火熬制成膏状） 附子（一两，炮裂，去皮脐） 吴茱萸（半两，汤浸七遍，焙干，微炒） 葵子（三分）
以上药材，捣细过罗制成末，加入桃仁混合均匀，放入硼砂膏中，加入少许蒸饼，调和溶解制成丸药，梧桐子大小。每次在饭前服用。
槟榔（一两） 诃黎勒皮（一两） 木香（一两） 吴茱萸（三分，用汤浸泡七遍，焙干，微炒） 牵牛子（二两）
以上药材，捣碎锉细制成散剂。每次服用一钱，用温酒一合、童子小便一合，混合调服。不限时候服用。
半夏（二两，用汤洗七遍，去滑腻） 桂心（二两半） 人参（一两，去芦头） 槟榔（一两） 吴茱萸（半两）
以上药材，捣粗罗制成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分，去渣滓，不限时候服用。
甘李根皮（三两，锉碎） 生姜（三两，炒干） 吴茱萸（一两，用汤浸泡七遍，焙干，微炒）
以上药材，捣细过罗制成散剂。每次服用一钱，用水一中盏，煎煮至六分，去渣滓，不限时候热服。
又一方。
以上药材，用童子小便一大盏，微暖过后，加入前两种药，搅拌混合均匀，分为三次服用。如人行走五六里路后进服一次。
The accumulation of Qi in the Kidney is named Ben Tun (Rushing Pig). It originates from the lower abdomen, ascends to the heart, and its movement resembles a pig running up and down without fixed timing. If not cured for a long time, it causes wheezing and counterflow Qi.
It is also said that Ben Tun Qi is an accumulation of Qi in the Kidney, arising from fright, fear, worry, and overthinking. Fright injures the Shen (Spirit), which resides in the Heart; worry and overthinking injure the Zhi (Will), leading to palpitations and the sensation of a rushing pig. If Qi feels full and distending against the heart, with stifling and chaotic sensations below the heart, aversion to hearing voices, periodic exacerbation and remission, alternating between slight improvement and severe worsening, shortness of breath, cold extremities, and a rapid, deep pulse: To treat Ben Tun Qi, which rises from the lower abdomen to below the heart, causing chest and abdominal distension, stagnation, stifling pain, shortness of breath in the stomach, and restlessness in sitting or lying down, the Chi Fu Ling San (Red Poria Powder) formula is suitable.
Chi Fu Ling [2.5 liang] Da Fu Pi (0.5 liang, sliced) Bing Lang (0.5 liang) Gui Xin (1 liang) Wu Zhu Yu (0.5 liang, soaked in hot water seven times)
Crush and sieve the above ingredients into a powder. Take 3 qian per dose, decoct with one zhong of water until reduced to 0.6 zhong, strain, and take slightly warm at any time.
To treat Ben Tun Qi with umbilical and abdominal distension and pain, shortness of breath, periodic attacks, and painful stuffiness in the four limbs, the Gan Li Gen San (Sweet Plum Root Powder) formula is suitable.
Gan Li Gen (2 liang, sliced) Wu Zhu Yu (0.5 liang, soaked in hot water seven times, dried by baking, lightly stir-fried) Ban Xia (1 liang, washed in hot water seven times to remove slipperiness) Ren Shen (1 liang, removed rhizome) Gan Cao (1 liang, honey-fried, sliced) Bing Lang (1 liang)
Crush and sieve the above ingredients into a powder. Take 3 qian per dose, decoct with one zhong of water until reduced to 0.6 zhong, strain, and take slightly warm at any time.
To treat Ben Tun Qi with lower abdominal hardness and fullness/stifling sensation in the heart, the Bing Lang San (Areca Seed Powder) formula is suitable.
Bing Lang (1 liang) Chen Xiang (0.5 liang) Bai Ji Li (0.5 liang, lightly stir-fried, thorns removed) Mu Xiang (0.5 liang) Fu Zi (1 liang, processed until cracked, skin and umbilicus removed)
Crush and sieve the above ingredients finely, add She Xiang (Musk) and mix evenly. Take 2 qian at any time, mixed with warm wine.
To treat Ben Tun Qi where Qi rushes upward to the chest and heart causing chaotic stifling, umbilical and abdominal distension and pain, and vomiting after eating, the Mu Xiang San (Aucklandia Powder) formula is suitable.
Mu Xiang (1 liang) Qing Ju Pi (0.5 liang, soaked in hot water, white pith removed, baked) Bing Lang (1 liang) Bai Zhu (0.5 liang) Chen Xiang (1 liang) Ding Xiang (0.1 fen)
Crush and sieve the above ingredients finely. Take 2 qian at any time, mixed with warm wine.
For Ben Tun Qi attacking the chest and heart with wheezing, stifling, and distension, use Tao Ren San (Peach Kernel Powder).
Tao Ren (1 liang, soaked in hot water, skin and tips removed, double-kernels discarded, bran-fried until slightly yellow, ground and added) Qian Niu Zi (1 liang, lightly stir-fried) Bing Lang (0.5 liang) Qing Ju Pi (0.5 liang, ground and added)
Crush and sieve the above ingredients finely, add Tao Ren and Yu Li Ren, grind evenly. Take 2 qian at any time, mixed with warm wine.
To treat Ben Tun Qi attacking and beating the chest and abdomen, causing distension and pain, blue-black complexion and lips, and disharmony of the four limbs, the Liu Huang Wan (Sulfur Pill) formula is suitable.
Liu Huang (1 liang, finely ground) Mu Xiang (1 liang) Qing Ju Pi (1 liang, soaked in hot water, white pith removed, baked) Gui Xin (1 liang) Rou Dou Kou (1 liang) Bing Lang (1 liang)
Crush and sieve the above ingredients into a fine powder. Boil flour paste in wine, mix with the powder, and pound 300-400 times. Form pills the size of Sophora seeds. Take each dose with warm wine containing fresh ginger.
To treat Ben Tun Qi with accumulation and pain in the lower abdomen, sometimes rushing upward causing chest and heart stifling, the Chen Xiang Wan (Agarwood Pill) formula is suitable.
Chen Xiang (0.5 liang) A Wei (0.5 liang, mixed with a little flour, formed into cakes, roasted until yellow) Mu Xiang (0.1 fen) Tao Ren (0.5 liang, soaked in hot water, skin and tips removed, double-kernels discarded) Qing Ju Pi (0.1 fen, white pith removed) Zhi Shi (1 liang, raw)
Crush and sieve the above ingredients into a fine powder, add Peng Sha (Borax) and mix evenly. Mix with flour paste boiled in wine to form pills the size of Sophora seeds. Take before meals with ginger-salt water.
To treat Ben Tun Qi accumulating in the lower abdomen forming lumps with intermittent pain, the Peng Sha Jian Wan (Borax Decoction Pill) formula is suitable.
Peng Sha (3 liang, pure, finely ground, slow-boiled with one sheng of wine and one sheng of vinegar until like paste) Fu Zi (1 liang, processed until cracked, skin and umbilicus removed) Wu Zhu Yu (0.5 liang, soaked in hot water seven times, dried by baking, lightly stir-fried) Kui Zi (0.3 fen)
Crush and sieve the above ingredients into a fine powder, add Tao Ren and mix evenly. Incorporate into the Peng Sha paste with a little steamed dough, mix and dissolve to form pills the size of Sophora seeds. Take before meals.
To treat Ben Tun Qi rushing upward to the heart causing fullness and stifling, and empty distension in the umbilical and abdominal regions, this formula is suitable.
Bing Lang (1 liang) He Li Le Pi (1 liang) Mu Xiang (1 liang) Wu Zhu Yu (0.3 fen, soaked in hot water seven times, dried by baking, lightly stir-fried) Qian Niu Zi (2 liang)
Crush and slice the above ingredients into a powder. Take 1 qian per dose, mixed with one he of warm wine and one he of child's urine. Take at any time.
To treat Ben Tun Qi in the chest and heart causing oppressive fullness and chaotic stifling, this formula is suitable.
Ban Xia (2 liang, washed in hot water seven times to remove slipperiness) Gui Xin (2.5 liang) Ren Shen (1 liang, removed rhizome) Bing Lang (1 liang) Wu Zhu Yu (0.5 liang)
Crush coarsely and sieve the above ingredients into a powder. Take 3 qian per dose, with one zhong of water and half a piece of fresh ginger, decoct until reduced to 0.6 zhong, strain, and take at any time.
To treat Ben Tun Qi rushing up and down causing chaotic stifling and bluish complexion, this formula is suitable.
Gan Li Gen Pi (3 liang, sliced) Sheng Jiang (3 liang, stir-fried until dry) Wu Zhu Yu (1 liang, soaked in hot water seven times, dried by baking, lightly stir-fried)
Crush and sieve the above ingredients finely. Take 1 qian per dose, decoct with one zhong of water until reduced to 0.6 zhong, strain, and take hot at any time.
Another prescription.
Bing Lang (3 pieces, crushed and sieved into powder) Sheng Jiang Zhi (0.5 he)
Mix the above ingredients with one large zhong of child's urine, gently warm, add the two previous powders, stir evenly, and divide into three doses. Administer one dose after walking about five to six li.