治脾胃不和,中脘气痞,心腹胀闷,不思饮食,呕吐痰逆,噫气吞酸,面色萎
消瘦,腹胁刺痛,便利下调,少力嗜卧,体重节痛。及治虚劳,脾胃弱,饮食不化
痛,并宜常服。老幼气弱皆可,能和中,温脾胃,进饮食。
浓朴(去粗皮,锉碎,以生姜二两,捣碎同炒) 鳖甲(九斤大者一个,黄泥外固,以
米
干后
桂(去粗皮,
诃子(炮,去核) 陈皮(去
各一两) 赤茯苓(去皮) 干姜(炮
上为细末,炼蜜和丸,如小豆大,每服二十丸,加至三十丸,微嚼碎,用温水送下,不
拘时服。
调中养气,和胃健脾。治中焦积寒,胸膈气痞,呕逆恶心,腹胁疼痛,脏腑
多伤,困倦少力,肢体怠惰少精神。
肉桂(去粗皮,锉) 浓朴(去粗皮,细锉,用生姜一两研碎,同淹一宿,炒令香熟)
甘草(炒,各一两) 肉豆蔻(面裹煨) 干姜(炮) 丁香 胡椒 附子(炮,去皮脐) 木
香
半两) 诃子(面
上为细末,炼蜜和丸,弹子大,每服一丸,细嚼,用温水饮送下,食前服。
大理脾胃,胸膈不通,调中顺气。方治冬三月,阴气在外,阳气内藏,当外
得发汗,内消阴火,勿令泄泻,此闭藏周密之大要也。盛冬乃水旺之时,水旺则
令母实,肺者肾之母,皮毛之阳,元本虚弱,更以冬月助其令,故病者善嚏,鼻
甚出浊涕,嚏不止,比常人大恶风寒,小便数而欠,或上饮下便,色清而多,大
寒无寐,甚则为痰咳,为呕为哕,为吐为唾白沫,以致口开目瞪,气不交通欲绝
之。
吴茱萸 草豆蔻仁(各二钱二分) 益智仁 人参 黄 升麻(各八分) 白僵蚕 泽
泻
夏(一钱)
上为细末,用汤浸蒸饼为丸,如绿豆大,每服三十丸,细嚼,用白汤送下,无时。夏三
月大暑,阳气在外,阴气在内,以此病而值此时,是天助正气,而胜其邪气,不治而自愈。
然亦有当愈而不愈者,盖阴气极盛,正气不能伸故耳。且如膈噎不通,咽中如梗,甚者前证
俱作,治法当从时利膈丸泻肺火,以黄 补中汤送下。如两足酸厥,行步颓然,欹侧欲倒
,KT 如折,及作痛而无力,或气短气促而喘,或不得倚息,以黄 人参甘草白术苍术
泽泻猪苓茯苓橘皮等作汤送下滋肾丸一百五十丸。六七月之间,湿热之令大行,气短不能言
者,加五味子麦门冬。如心下痞,膨闷,食不下,以上件白术苍术等汤,下消痞丸五七十丸
,更审而用之。
治疗脾胃功能失调,中脘穴处气机阻滞痞塞,心腹部胀满闷痛,不想进食,呕吐痰涎逆气,打嗝吞酸,面色萎黄消瘦,腹胁部刺痛,大小便通调但偏下利,乏力嗜睡,身体沉重关节疼痛。以及治疗虚劳病,脾胃虚弱,饮食不消化引起的疼痛,都适宜经常服用。老人和儿童气虚体弱者都可以使用,能够调和脾胃,温补脾胃,增进食欲。
厚朴(去除粗皮,切碎,用生姜二两,捣碎后同炒) 鳖甲(九斤重的大者一个,外用黄泥包裹固定,以米泔水浸透后晒干) 桂枝(去除粗皮,切碎) 诃子(炮制,去核) 陈皮(去除白瓤,各一两) 赤茯苓(去皮) 干姜(炮制,各一两)
以上药物研成细末,用炼蜜调和制成丸药,如小豆大小,每次服用二十丸,可加至三十丸,轻微嚼碎,用温水送服,不拘泥于具体时间服用。
功效:调理中焦,滋养正气,调和胃气,健脾益气。治疗中焦积寒,胸膈部气机阻滞痞塞,呕吐逆气恶心,腹胁疼痛,脏腑多受损伤,困倦乏力,肢体懈怠精神不足。
肉桂(去除粗皮,切碎) 厚朴(去除粗皮,细细切碎,用生姜一两研碎,同浸泡一夜,炒至香熟) 甘草(炒制,各一两) 肉豆蔻(面粉包裹煨制) 干姜(炮制) 丁香 胡椒 附子(炮制,去皮去脐) 木香(半两) 诃子(面粉包裹煨制,半两)
以上药物研成细末,用炼蜜调和制成丸药,如弹子大小,每次服用一丸,细细咀嚼,用温水送服,饭前服用。
功效:调理脾胃,胸膈气机不通畅,调理中焦顺理气机。方剂主治冬季三个月,阴气在外,阳气内藏,应当通过发汗使邪气外达,内部消除阴火,不要导致泄泻,这是闭藏周密的重要原则。盛冬是水气旺盛的时候,水旺则令母实(肾水生肝木,此处指水旺导致肺金之母肾水实,或依上下文逻辑,原文“令母实,肺者肾之母”似有倒置或特定语境,通常肺为肾之母,肾为肺之子,若水旺则肾实,进而影响肺),肺是肾的母亲,皮毛的阳气,原本体质虚弱,再加上冬季助长其令,所以病人容易打喷嚏,鼻子流出大量浊涕,喷嚏不止,比常人更厌恶风寒,小便次数多且量少,或者上饮下便,尿液颜色清而量多,大寒无眠,严重时出现痰咳,呕吐呃逆,吐白沫,以致张口瞪眼,气机不通欲绝的状态。
吴茱萸 草豆蔻仁(各二钱二分) 益智仁 人参 黄芪 升麻(各八分) 白僵蚕 泽泻 半夏(一钱)
以上药物研成细末,用热水浸泡蒸饼制作丸药,如绿豆大小,每次服用三十丸,细细咀嚼,用白开水送服,不限时间。夏季三个月大暑时节,阳气在外,阴气在内,以此病正值此时,是天时帮助正气,从而战胜邪气,不治也能自愈。然而也有应当痊愈却未痊愈的,是因为阴气极盛,正气不能伸展的缘故。比如膈噎不通,咽喉中有异物感,严重的上述症状全部发作,治疗方法应当从时利膈丸泻肺火,用黄芪补中汤送服。如果两足酸痛厥冷,行走无力歪斜欲倒,膝盖像折断一样疼痛且无力,或者气短气促喘息,或者不能平卧呼吸,用黄芪、人参、甘草、白术、苍术、泽泻、猪苓、茯苓、橘皮等煎汤送服滋肾丸一百五十丸。六七月之间,湿热之气盛行,气短不能说话的,加入五味子、麦门冬。如果心下痞满,胀闷,吃不下东西,用上述白术、苍术等煎汤,送服消痞丸五七十丸,再仔细审察病情后使用。
Treats spleen and stomach disharmony, qi stagnation and fullness at the Zhongwan (CV12) acupoint, abdominal distension and oppression, loss of appetite, vomiting of phlegm and rebellious qi, belching with acid regurgitation, sallow and emaciated complexion, stabbing pain in the abdomen and hypochondrium, normal bowel movements but tendency toward diarrhea, fatigue and somnolence, heavy body and joint pain. It also treats deficiency consumption (Xu Lao), weak spleen and stomach, and pain due to indigestion; it is suitable for regular use. It can be used by both the elderly and children with weak qi; it harmonizes the middle jiao, warms the spleen and stomach, and promotes appetite.
Magnoliae Officinalis Cortex (Houpo) (remove coarse bark, chop into pieces, stir-fry with two liang of fresh ginger juice/paste); Trionycis Carapax et Plastrum (Biejia) (one large shell weighing nine jin, coated externally with yellow clay, soaked in rice water until saturated, then dried); Cinnamomi Ramulus (Guizhi) (remove coarse bark, chop); Terminalia Chebula Retz. Fruit (Hezi) (processed, remove pits); Citrus Reticulatae Pericarpium (Chenpi) (remove white pith, each one liang); Poria Cum Radix Polypori (Chifuling) (remove skin); Zingiberis Rhizoma Preparatum (Ganjiang) (processed, each one liang).
Grind the above ingredients into a fine powder, mix with refined honey to make pills the size of small beans. Take twenty pills per dose, increasing to thirty if necessary. Chew slightly before swallowing, taken with warm water, at any time.
Actions: Regulate the middle jiao, nourish qi, harmonize the stomach, and strengthen the spleen. Treats cold accumulation in the middle jiao, qi stagnation and fullness in the chest and diaphragm, vomiting and nausea, abdominal and hypochondriac pain, multiple organ injuries, fatigue and weakness, lethargy and lack of spirit in the limbs.
Cinnamon Bark (Rougui) (remove coarse bark, chop); Magnoliae Officinalis Cortex (Houpo) (remove coarse bark, finely chop, soak with one liang of crushed fresh ginger overnight, stir-fry until fragrant); Glycyrrhizae Radix et Rhizoma (Gancao) (stir-fried, each one liang); Myristicae Semen (Roudoukou) (wrapped in flour and baked); Zingiberis Rhizoma Preparatum (Ganjiang) (processed); Syzygdii Fructus (Dingxiang); Piperis Longi Fructus (Hujiao); Aconiti Lateralis Radix Preparata (Fuzi) (processed, remove skin and bud); Aucklandiae Radix (Muxiang) (half liang); Terminalia Chebula Retz. Fruit (Hezi) (wrapped in flour and baked, half liang).
Grind the above ingredients into a fine powder, mix with refined honey to make pills the size of an elastic bullet. Take one pill per dose, chew thoroughly, swallow with warm water, taken before meals.
Actions: Greatly regulate the spleen and stomach, relieve chest and diaphragm obstruction, regulate the middle jiao and smooth qi. The formula treats the winter months when yin qi is external and yang qi is internal. One should induce sweating to release exterior pathogens and dissipate interior yin fire, avoiding diarrhea; this is the key principle of secure closure and storage. In deep winter, water qi is prosperous; when water is prosperous, the mother is made solid (Kidney Water generates Liver Wood, but here context implies Kidney/Lung relationship or specific theory where Kidney is mother of Lung? Note: Traditional theory says Lung is mother of Kidney. Text says "Lung is Kidney's mother", so if Water/Kidney is strong, it affects its mother Lung). The lung governs the skin and hair; if the original constitution is weak, and winter aids this command, patients may sneeze frequently, have profuse turbid nasal discharge, continuous sneezing, greater aversion to wind and cold than usual, frequent and scanty urination, or clear and abundant urine after drinking. Severe cold may cause insomnia; extreme cases lead to phlegm cough, vomiting, hiccups, spitting white foam, opening mouth and staring eyes, and qi failing to circulate, approaching extinction.
Evodiae Fructus (Wuzhuyu); Alpiniae Katsumadai Semen (Caodoukou Ren) (each two qian two fen); Alpiniae Oxyphyllae Fructus (Yizhiren); Ginseng Radix (Renshen); Astragali Membranacei Radix (Huangqi); Cimicifugae Rhizoma (Shengma) (each eight fen); Bombyx Batryticatus (Baijiangcan); Alismatis Rhizoma (Zexie); Pinelliae Tuber (Banxia) (one qian).
Grind the above ingredients into a fine powder, make pills using steamed wheat dough soaked in hot water, the size of mung beans. Take thirty pills per dose, chew thoroughly, swallow with plain boiled water, at any time. During the summer months of great heat, yang qi is external and yin qi is internal. If this disease occurs during this time, heaven assists the righteous qi to overcome the pathogenic qi, and it may heal spontaneously without treatment. However, some cases that should heal do not, because yin qi is extremely prosperous and righteous qi cannot extend. For example, in esophageal obstruction (Ge Ye) with a sensation of a lump in the throat, or when severe symptoms occur, the treatment method should involve using Shili Ge Wan to drain lung fire, taken with Huangqi Buzhong Tang. If the legs are sore and cold, walking unsteadily as if about to fall, knees feeling like they are breaking, painful and weak, or shortness of breath, rapid breathing, or inability to lie flat, take Zishen Wan (150 pills) sent down with a decoction of Astragali Membranacei Radix, Ginseng Radix, Glycyrrhizae Radix et Rhizoma, Atractylodis Macrocephalae Rhizoma, Atractylodis Rhizoma, Alismatis Rhizoma, Polyporus, Poria, and Citrus Reticulatae Pericarpium. Between the sixth and seventh lunar months, damp-heat qi prevails; for shortness of breath and inability to speak, add Schisandrae Chinensis Fructus (Wuweizi) and Ophiopogonis Radix (Maimendong). If there is epigastric fullness and oppression, bloating, and inability to eat, take Xiaopi Wan (50-70 pills) sent down with the aforementioned decoction of Atractylodis Rhizoma and others, after careful examination.