辟雾露寒邪,散膈脘凝滞,调顺三焦,和养荣卫。治心胸痞闷,噎醋吞酸,
津液不收,两胁刺痛,腹中坚满,口苦无味,不思饮食。
丁香(十二两) 沉香(二两) 木香(一钱半) 丁香皮(一两) 白豆蔻仁(九两
半)
上为细末,别用甘草熬膏子为丸,每一两分作二百五十丸。每服一粒,含化,空心食。
治虚中积冷,气弱有伤,停积胃脘,不能转化;或因气伤冷,因饥饱食,醉酒
下坚满,两胁胀痛,心腹大疼,霍乱吐泻,大便频并,后重迟涩,久痢赤白,脓血
谷不消,愈而复发。又治中酒呕吐,痰逆恶心,喜睡头旋,胸膈痞闷,四肢倦怠,
又治妊娠伤冷,新产有伤,若久有积寒吃热药不效者。又治久病形羸,荏苒岁月
面黄肌瘦,饮食或进或退,大便或秘或泄,不拘久新积冷,并悉治之。大病不
痊愈。此药温无毒,并不燥热,不损胃气,亦不吐泻,止是磨化积聚,消逐温
伤,快三焦滞气。旋丸如绿豆大,每服三、五粒,量虚实加减,温水吞下,不
进饮食,消酒毒,令人不中酒。又治小儿脾胃虚弱,累有伤滞,粪白 臭,下
五粒黍米大,干姜汤下,不拘时候。前项疾证,连绵月日,用热药及取转并不
百草霜(用村庄家锅底上刮得者,细研,称二两) 杏仁(拣净者,去双仁者,百四十
个,
一两半
个,去皮、心
上除巴豆粉、百草霜、杏仁三味外,余四味捣为细末,与前三味同拌,研令细,用好蜡
匮和,先将蜡六两熔化作汁,以重绵滤去滓,以好酒一升,于银石器内煮蜡熔,数沸倾出,
候酒冷,其蜡自浮,取蜡称用。凡春夏修合,用清油一两,于铫内熬,令末散香熟,次下酒
煮蜡四两,同化作汁,就锅内乘热拌和前项药末;秋冬修和,用清油一两半,同煎煮热作汁
,和匮药末成剂,分作小铤子,以油单纸裹,旋丸服饵。此高殿前家方也。
【功效】驱散雾露中的寒邪,消散胸膈与胃脘部位的凝滞之气,调理三焦气机,调和并滋养营卫气血。
【主治】治疗心胸部位痞塞闷痛,咽喉噎阻、泛吐酸水,津液无法收摄(表现为口干或唾液异常),两侧胁肋刺痛,腹部坚硬胀满,口苦且味觉减退,不想进食。
【处方组成】丁香(十二两)、沉香(二两)、木香(一钱半)、丁香皮(一两)、白豆蔻仁(九两半)。
【制法与用法一(感应丸)】将上述药材捣碎研成细末,另外取甘草熬制成膏状作为粘合剂制成丸药,每一两药粉分成二百五十丸。每次服用一粒,空腹时含在口中慢慢化开咽下。
【主治扩展】治疗中气虚弱导致的积冷,气力衰弱且有损伤,寒气停滞在胃脘,导致食物不能正常消化转化;或者因为受寒伤气,因饥饱不均饮食,或因醉酒导致腹部坚硬胀满,两侧胁肋胀痛,心腹剧烈疼痛,霍乱引起的呕吐腹泻,大便次数频繁且伴有里急后重、排便涩滞感,久痢导致的赤白脓血便,粪便中有未消化的食物残渣,病情痊愈后又复发。又治疗饮酒过量引起的呕吐,痰气上逆恶心,嗜睡头晕,胸膈痞闷,四肢倦怠无力。又治疗孕妇受寒,以及产后受损,如果长期有积寒而服用热性药物无效者。又治疗久病导致身体消瘦羸弱,病程迁延日久,面色萎黄肌肉消瘦,饮食有时能吃有时吃不下,大便有时便秘有时泄泻,无论新旧积累的寒邪,都一并治疗。大病久治不愈者也可适用。此药性质温和无毒,并不燥热,不损伤胃气,也不会引起呕吐或腹泻,只是通过磨化积聚、消除逐退温伤,来疏通三焦的滞气。
【制法与用法二(感应丸改良/蜡丸)】将药丸旋制如绿豆大小,每次服用三至五粒,根据患者虚实情况加减用量,用温水吞服。如果不进食,可帮助消除酒毒,使人不易醉酒。又治疗小儿脾胃虚弱,屡次出现食积停滞,粪便色白且无臭味,每次服用五粒黍米大小的药丸,用干姜汤送服,不拘泥于具体时间。上述各种病症,如果连绵数月多日,使用热性药物及催吐导滞方法均无效者,可用此方。
【处方组成二】百草霜(取农家锅底刮下的烟灰,细细研磨,称取二两)、杏仁(挑选干净的,去掉双仁的,一百四十个,约一两半)、巴豆(去皮、心及油粉,此处原文似有缺漏,依常规推断为巴豆霜或去油巴豆,但严格按原文提取实体)。*注:原文此处排版混乱,结合上下文“上除巴豆粉...余四味”,可知包含巴豆。*
【制法详解】除了巴豆粉、百草霜、杏仁这三味药外,其余四味药(丁香、沉香、木香、丁香皮、白豆蔻仁中的部分,原文前文已列五味,此处指代前文粉末)捣成细末,与前三种药混合拌匀,再细细研磨。用好蜂蜡调和。先将六两蜂蜡熔化成为汁液,用双层厚棉布过滤去除杂质。用一升好酒,在银器或石器内煮融蜂蜡,煮沸数次后倒出,待酒冷却后,蜂蜡自然浮起,取出蜂蜡称重备用。凡是春夏季节配制,用清油一两,在铫子内熬制,使其散发熟香味,然后加入用酒煮过的四两蜂蜡,一同熔化成汁,在锅内趁热拌和前项药末;秋冬季节配制,用清油一两半,同煎煮热成汁,和入蜂蜡药末成剂型,分成小条状,用油单纸包裹,随制随服。这是高殿前家的秘方。
[Functions] Disperses cold pathogenic factors from fog and dew; dissipates stagnation in the chest diaphragm and epigastrium; regulates the Sanjiao (Triple Burner); harmonizes and nourishes Ying (Nutrient Qi) and Wei (Defensive Qi).
[Indications] Treats chest and heart oppression and fullness, dysphagia with acid regurgitation, inability to retain fluids (abnormal saliva/dry mouth), stabbing pain in both hypochondria, hardness and fullness in the abdomen, bitter taste with loss of flavor, and anorexia.
[Formula Composition] Dingxiang (Clove Flos, 12 liang), Chenxiang (Aloewood Lignum, 2 liang), Muxiang (Costus Radix, 1 qian 5 fen), Dingxiangpi (Clove Pericarpium, 1 liang), Baidoukou Ren (Amomi Fructus Rotundus Kernel, 9 liang 5 qian).
[Preparation and Administration I (Ganying Wan)] The above herbs are pounded into a fine powder. Licorice root (Gancao) decoction paste is used separately as a binder to form pills. One liang of powder is divided into 250 pills. Take one pill per dose, hold it in the mouth to dissolve slowly on an empty stomach before meals.
[Extended Indications] Treats accumulation of cold due to deficiency of Zhong Qi (Middle Jiao Qi), weakness of Qi with injury, stagnation of cold in the epigastrium leading to indigestion; or injury from cold affecting Qi, irregular eating habits, alcohol intoxication causing abdominal hardness and fullness, distending pain in both hypochondria, severe pain in the heart and abdomen, cholera-like vomiting and diarrhea, frequent stools with tenesmus and difficult defecation, chronic dysentery with red and white purulent blood, undigested food in stool, recurrence after apparent recovery. Also treats vomiting from excessive alcohol intake, rebellious Phlegm-Qi with nausea, somnolence with vertigo, chest diaphragm oppression, fatigue in the four limbs. Also treats cold injury during pregnancy, postpartum injury, especially when long-standing cold accumulation fails to respond to warm herbs. Also treats emaciation from chronic illness, prolonged duration with sallow complexion and muscle wasting, fluctuating appetite, alternating constipation and diarrhea. It treats all cases of old and new cold accumulation. It is suitable for major diseases that do not fully recover. This medicine is warm and non-toxic, not drying or hot, does not damage Stomach Qi, nor causes vomiting or diarrhea. Its action is to grind down accumulations, eliminate cold injuries, and rapidly unblock stagnant Qi in the Sanjiao.
[Preparation and Administration II (Wax Pills)] Roll the pills into sizes similar to mung beans. Take 3-5 pills per dose, adjusting according to deficiency or excess, swallowed with warm water. If taken without food, it helps resolve alcohol toxicity and prevents intoxication. Also treats pediatric Spleen-Stomach weakness with recurrent food stagnation, white feces without foul odor. Take five pills sized like millet grains, administered with Shengjiang Tang (Fresh Ginger Decoction), at any time. For the aforementioned conditions persisting for months where warm herbs and methods to induce vomiting or purging have failed, this formula applies.
[Formula Composition II] Baicaoshuang (Soot from Kitchen Cauldron, 2 liang), Xingren (Prunus Armeniaca Semen, 140 kernels, approx. 1 liang 5 qian), Badou (Crotonis Fructus, processed to remove skin, core, and oil/powder - *Note: Text implies processing*).
[Detailed Preparation] Except for the Badou powder, Baicaoshuang, and Xingren, the remaining four/herbs (referring to the previous mixture) are pounded into fine powder and mixed thoroughly with the first three ingredients, then ground finely. Mix with high-quality beeswax. First, melt 6 liang of beeswax into liquid, filter through double-layer thick silk to remove impurities. Boil the wax in silver or earthenware vessels with 1 sheng of good wine, boil several times, then pour out. Wait for the wine to cool; the wax will float naturally. Retrieve and weigh the wax.
For spring/summer preparation: Use 1 liang of refined sesame oil, heat in a dingzi (small tripod pot) until fragrant and cooked. Add 4 liang of wine-boiled wax, melt together into liquid, and mix with the herb powder while hot in the pot.
For autumn/winter preparation: Use 1.5 liang of refined sesame oil, heat together with the wax into liquid, mix with the herb-wax compound to form a dough. Shape into small bars, wrap in oiled paper, and take fresh. This is a secret formula from Lord Gao Dianqian.