答曰。妇人无故悲泣不止。象如神灵。 或以祟祈祷。终不应。金匮谓之燥脏是也。为所欲
不称其意。大枣汤主之。
大枣汤。治妇人脏燥。
甘草(一两) 小麦(三合)
上 咀。每服三钱。水盏半。枣五枚。煎八分。去渣温服。
答曰。有喉咙。有咽门。二者各有所司。喉咙者。空虚也。肺之系。气之道路也。肺应天。故
属天气所生。有九节以通九窍之气。咽者。咽也。言可咽物。为胃之系。胃属土。地气所生。谓
之嗌也。或阴阳之气痞结。咽膈噎塞。状若梅核。妨碍饮食。久而不愈。即成翻胃。或胸膈
痰结。与气相搏上逆。咽喉之间结聚。状如炙肉之脔也。
四七汤。治喜怒悲思忧恐惊之气。结成痰涎。状如破絮。或如梅核在咽喉。咯不出。咽不下
。此七气所为。或中脘痞满。气不舒快。或痰涎壅盛。上气喘急。或因痰饮节注。呕吐恶心
。
半夏(五两) 茯苓(四两) 浓朴(三两) 紫苏叶(二两)
上为 咀。每服四钱。水盏半。姜七片。枣一枚。煎六分。去滓热服。不拘时。
二气散。治阴阳痞结。咽膈噎塞。状若梅核。妨碍饮食。久而不愈。即成翻胃。
山栀子(炒) 干姜(炮各一两)
上为粗末。每服二钱。水一盏。煎五分。去滓热服。食远。
答曰。孙真人云。有香港脚之人。先从脚起。或先缓弱。起行忽倒。或两胫肿满。或膝枯细。
或心中忪悸。或小腹不仁。或举动转筋。或见食呕逆。恶闻食气。或胸满气急。或遍体酸痛
。皆香港脚候也。黄帝所谓缓气湿痹是也。顽弱名缓风。疼痛为湿痹。寒中三阳。所患必冷。
暑中三阴。所患必热。妇人足十指如热油煎者。此繇营卫气虚。湿毒之气。留滞经络。上攻
心则心痛。下攻脚则脚疼。其脚指如热油所煎。亦气之类。经云热厥是也。
换腿丸。治一切香港脚。即石楠丸。
石楠叶 天南星(炮) 金钗石斛 萆 牛膝(酒浸一宿) 薏苡仁 羌活(不蛀者) 川续断
天麻(锉) 防风(去芦) 当归 黄 甘草(各一两) 槟榔(二两半) 干木瓜(四两)
上为细末。酒糊为丸。桐子大。每服五十丸。渐加至一百丸。温酒或木瓜汤下。空心食前。
万灵散。治妇人香港脚。
当归 赤芍 乌药 青皮(各一两) 白术 肉桂(各半两) 黑牵牛(二两)
上为粗末。每服三钱。水盏半。酒少许。煎八分。去滓温服。食前。
活血丹。治妇人脾血久冷。诸般风邪湿毒之气。留滞经络。流注脚手。筋脉拳挛。或发赤肿
。行步艰辛。腰腿沉重。脚心吊痛。及上冲胁腹膨胀。胸膈痞闷。不思饮食。冲心闷乱。及
一切痛风走注。浑身疼痛。
川乌(一两) 乳香(一钱半另研) 草乌(一两) 地龙(一两) 天南星(一两) 没药(三钱半
另研) 牛膝(一两) 木瓜(一两)
上为细末。入研药。酒糊丸。梧子大。每服二十丸。空心日午冷酒下。或荆芥汤清茶亦得。
回答：妇女无故悲泣不止，神情恍惚如同被神灵附体。有人以为是鬼祟作怪而进行祈祷，但终究没有效果。《金匮要略》称之为“脏躁”。这是因为心中所愿不能如意所致，以大枣汤为主治方剂。
大枣汤，治疗妇女脏躁病。
甘草（一两） 小麦（三合）
将药材切碎。每次服用三钱，加水一盏半，红枣五枚，煎至八分满，去渣后温服。
回答：人体有喉咙和咽门两个部位，它们各自有不同的功能。喉咙是空虚的通道，属于肺系的延伸，是气息运行的道路。肺对应天，因此归属于天气所生，有九节结构以通达九窍之气。咽，即吞咽之意，指可以吞咽食物，属于胃系的延伸。胃属土，由地气所生，称为“嗌”（ai）。如果阴阳之气痞塞郁结，导致咽喉膈部噎塞不通，感觉像有梅核卡住一样，妨碍饮食，日久不愈，就会发展成翻胃（反胃）。或者胸膈间痰浊凝结，与气机相互搏结而上逆，在咽喉之间聚集成块，形状如同烤肉的一块肉。
四七汤，治疗因喜怒悲思忧恐惊等七情之气，结成痰涎，形状如破絮，或感觉像梅核卡在咽喉，咳不出来，咽不下去。这是由七情之气引起的。或者中脘部痞闷胀满，气机不畅快，或者痰涎壅盛，上气喘急，或者因为痰饮流注，出现呕吐恶心等症状。
半夏（五两） 茯苓（四两） 厚朴（三两） 紫苏叶（二两）
将药材切碎。每次服用四钱，加水一盏半，生姜七片，红枣一枚，煎至六分满，去渣后热服。不拘时间服用。
二气散，治疗阴阳痞塞郁结，咽喉膈部噎塞不通，感觉像有梅核卡住，妨碍饮食，日久不愈，最终形成翻胃。
山栀子（炒制） 干姜（炮制，各一两）
将药材捣成粗末。每次服用二钱，加水一盏，煎至五分满，去渣后热服。饭后较长时间服用。
回答：孙思邈真人说，患有香港脚（脚气病）的人，症状先从脚部开始。有的先表现为肢体缓弱无力，行走时突然跌倒；或者两小腿肿胀饱满，或者膝盖枯瘦细小；或者心中悸动不安，或者小腹感觉迟钝麻木；或者活动时肌肉抽搐痉挛；或者见到食物就呕吐逆气，厌恶闻到食物的气味；或者胸部胀满，气急；或者全身酸痛。这些都是香港脚病的征候。这就是黄帝所说的“缓气湿痹”。肢体顽弱无力称为“缓风”，疼痛称为“湿痹”。寒邪侵入三阳经，患病必然表现为冷症；暑热之邪侵入三阴经，患病必然表现为热症。妇女足十趾疼痛如同热油煎灼，这是由于营卫之气虚弱，湿毒之气留滞于经络，向上攻冲心脏则心痛，向下攻冲脚部则脚疼。其脚趾疼痛如同热油煎灼，也属于气机病变的一种。医经中称之为“热厥”。
换腿丸，治疗各种香港脚病，也就是石楠丸。
石楠叶 天南星（炮制） 金钗石斛 萆薢 牛膝（酒浸一夜） 薏苡仁 羌活（无虫蛀者） 川续断 天麻（锉碎） 防风（去芦头） 当归 黄芪 甘草（各一两） 槟榔（二两半） 干木瓜（四两）
将药材研为细末，用酒调糊制作成丸，大小如梧桐子。每次服用五十丸，逐渐增加至一百丸，用温酒或木瓜汤送服。空腹或在饭前服用。
万灵散，治疗妇女香港脚病。
当归 赤芍 乌药 青皮（各一两） 白术 肉桂（各半两） 黑牵牛（二两）
将药材捣成粗末。每次服用三钱，加水一盏半，少许酒，煎至八分满，去渣后温服。饭前服用。
活血丹，治疗妇女脾血久寒，以及各类风邪湿毒之气，留滞于经络，流注于手脚，导致筋脉拘挛收缩，或者发红肿胀，行走艰难，腰腿沉重，脚心牵引性疼痛，以及气机上冲胁腹部导致膨胀，胸膈痞闷，不思饮食，气冲心脏导致烦闷扰乱，以及一切痛风游走不定、浑身疼痛的症状。
川乌（一两） 乳香（一钱半，另研） 草乌（一两） 地龙（一两） 天南星（一两） 没药（三钱半，另研） 牛膝（一两） 木瓜（一两）
将药材研为细末，加入另研的药粉，用酒调糊制作成丸，大小如梧桐子。每次服用二十丸，空腹及中午时用冷酒送服，或者用荆芥汤、清茶送服也可以。
Answer: Women may experience uncontrollable weeping without an obvious cause, appearing as if possessed by spirits. Some attribute this to malevolent influences and resort to prayer, but it remains ineffective. This condition is referred to in the *Jin Gui Yao Lue* (Essential Prescriptions from the Golden Cabinet) as "Zang Zao" (Visceral Dryness). It arises when one's desires are not fulfilled. The primary treatment is Dazao Tang (Jujube Decoction).
Dazao Tang treats Zang Zao in women.
Gancao (Licorice Root, 1 liang) Xiaomai (Wheat, 3 he)
Crush the herbs. For each dose, take 3 qian, add 1.5 zhan of water and 5 jujubes. Decoct until reduced to 80% volume, strain, and take warm.
Answer: There are two distinct structures: the houlong (throat/larynx) and the yanmen (pharynx/esophagus), each with its own function. The houlong is a hollow passage, connected to the Lung system, serving as the pathway for Qi. The Lung corresponds to Heaven; thus, it is generated by Heavenly Qi. It has nine segments to connect with the Qi of the nine orifices. The yan refers to swallowing, indicating the passage for food. It is connected to the Stomach system. The Stomach belongs to Earth and is generated by Earthly Qi; it is also called "Ai". If Yin and Yang Qi become obstructed and knotted, causing blockage in the throat and diaphragm, it feels as if a plum pit is stuck there, hindering eating and drinking. If this persists without resolution, it may develop into Fan Wei (Regurgitation/Reversal Stomach). Alternatively, phlegm may knot in the chest and diaphragm, struggling with Qi and reversing upward, accumulating in the throat like a piece of roasted meat.
Siqi Tang treats phlegm-saliva formed by the knotting of Qi due to the seven emotions (joy, anger, worry, thought, sorrow, fear, fright). The phlegm may resemble torn cotton or feel like a plum pit stuck in the throat, impossible to cough out or swallow down. This is caused by the seven Qi. Symptoms may include fullness and distension in the Zhongwan area, uncomfortable Qi stagnation, excessive phlegm-saliva, rapid upper breathing, vomiting, and nausea due to fluid retention.
Banxia (Pinellia Tuber, 5 liang) Fuling (Poria, 4 liang) Houpo (Magnolia Bark, 3 liang) Zisuye (Perilla Leaf, 2 liang)
Crush the herbs. For each dose, take 4 qian, add 1.5 zhan of water, 7 slices of fresh ginger, and 1 jujube. Decoct until reduced to 60% volume, strain, and take hot. Take at any time.
Erqi San treats obstruction and knotting of Yin and Yang Qi, causing blockage in the throat and diaphragm, feeling like a plum pit is stuck, hindering eating and drinking. If unresolved over time, it leads to Fan Wei.
Shanzhizi (Gardenia Fruit, stir-fried) Ganjiang (Dried Ginger, processed, 1 liang each)
Grind into coarse powder. For each dose, take 2 qian, add 1 zhan of water. Decoct until reduced to 50% volume, strain, and take hot. Take well after meals.
Answer: Sun Simiao stated that patients with Hong Jiao Jiao (Foot Qi/Jamaican Itch/Foot Rot) typically begin with symptoms in the feet. Some first present with flaccid weakness, suddenly collapsing while walking; others have swollen calves or withered, thin knees; some experience palpitations or insensitivity in the lower abdomen; some suffer from muscle spasms during movement; some vomit upon seeing food or detest the smell of food; some have chest fullness and shortness of breath; or generalized body soreness. These are all signs of Hong Jiao Jiao. This corresponds to what the Yellow Emperor described as "Huan Qi Shi Bi" (Flaccid Qi Damp Bi). Flaccidity is termed Huan Feng (Flaccid Wind), and pain is termed Shi Bi (Damp Bi). Cold invading the Three Yang meridians results in cold manifestations; heat invading the Three Yin meridians results in heat manifestations. When a woman’s ten toes hurt as if scalded by hot oil, it is due to deficiency of Ying and Wei Qi, allowing damp-toxic Qi to stagnate in the collaterals. If attacking the Heart upwards, it causes heart pain; if attacking the feet downwards, it causes foot pain. The sensation of toes burning like hot oil is also related to Qi disorders, known in classics as Re Jue (Heat Jue).
Huantui Wan treats all types of Hong Jiao Jiao, also known as Shinan Wan.
Shinan Ye (Foliage of Photinia) Tian Nan Xing (Arisaema Rhizome, processed) Jinchai Shihu (Dendrobium Nobile Stem) Bi Xie (Dioscorea Hypoglauca Rhizome) Niuxi (Achyranthes Root, soaked in wine overnight) Yiyiren (Coix Seed) Qianghuo (Notopterygium Rhizome, free of insects) Chuanxuduan (Dipsacus Root) Tianma (Gastrodia Rhizome, sliced) Fangfeng (Saposhnikovia Root, de-rhizomed) Danggui (Angelica Sinensis Root) Huangqi (Astragalus Root) Gancao (Licorice Root, 1 liang each) Binglang (Areca Seed, 2.5 liang) Gan Mugua (Dried Chaenomeles Fruit, 4 liang)
Grind into fine powder. Make pills using wine paste, size of paulownia seeds. Take 50 pills per dose, gradually increasing to 100 pills. Take with warm wine or Mugua decoction on an empty stomach before meals.
Wanling San treats Hong Jiao Jiao in women.
Danggui (Angelica Sinensis Root) Chishao (Red Peony Root) Wuyao (Lindera Root) Qingpi (Citrus Reticulata Green Peel, 1 liang each) Baizhu (Atractylodes Macrocephala Rhizome) Rougui (Cinnamon Bark, 0.5 liang each) Hei Qianniu (Black Morning Glory Seed, 2 liang)
Grind into coarse powder. For each dose, take 3 qian, add 1.5 zhan of water and a little wine. Decoct until reduced to 80% volume, strain, and take warm. Take before meals.
Huoxue Dan treats chronic cold in Spleen blood in women, where various wind-pathogens and damp-toxic Qi stagnate in the collaterals and flow into the hands and feet, causing tendon contraction, redness, swelling, difficulty walking, heaviness in waist and legs, pulling pain in the soles, upward rushing to hypochondrium and abdomen causing distension, chest oppression, loss of appetite, mental agitation from Qi rushing to the Heart, and all types of gouty wandering pain throughout the body.
Chuan Wu (Aconitum Carmichaelii Lateral Root) Ruxiang (Frankincense, 1.5 qian, separately ground) Cao Wu (Aconitum Kusnezoffii Root) Dilong (Earthworm) Tian Nan Xing (Arisaema Rhizome) Moyao (Myrrh, 3.5 qian, separately ground) Niuxi (Achyranthes Root) Mugua (Chaenomeles Fruit, 1 liang each)
Grind into fine powder. Mix with separately ground ingredients. Make pills using wine paste, size of paulownia seeds. Take 20 pills per dose. Take with cold wine on an empty stomach and at noon, or with Jingjie decoction or clear tea.