答曰。呕吐之病。皆繇三焦不调。脾胃不和。清浊相干之所致也。大抵呕吐本二证。呕者。
呕而有声。俗所谓 是也。吐者。吐而有物。胃中虚冷则吐。若心下牢大如杯。或时寒热。
朝食暮吐。脉如弦紧。则为虚寒相搏。胃气日亏。所以不能停留水谷。名曰胃反。
紫金丹。治呕吐。心腹疼。
丁香 木香 荜澄茄 胡椒 五灵脂(西者) 肉豆蔻(煨) 干姜(炮) 半夏末(半两) 附子
(炮) 硫黄水 银砂子(二件如灵砂法炒青金头角一两)
上为细末。半夏末姜汁打糊丸。如桐子大。每服七十丸。空心米饮下。姜合丸。疗中脘停寒
。胸膈结痞。呕吐恶心。不思饮食。
木香 肉桂 附子 砂(纸上飞各一两) 陈皮 丁香 沉香 荜澄茄 青皮(去白各一两)
茴香(一分炒)
上为细末。次入 砂研。酒煮面糊为丸。每一两作二十丸。每服一丸。
以生姜一块。剜如盒子。安药在内。湿纸裹煨。令香。去纸放温。细嚼盐汤送下。
答曰。气以形载。形以气充。惟气与形。两者相待。气和则生。气戾则病。结为积聚。气不
舒也。逆为狂厥。气不降也。宜通而塞则为痛。气不达也。宜消而息则为 。婴之为瘿。留
之为瘤。亦气之凝耳。内经曰。怒则气上。喜则气缓。悲则气消。恐则气下。寒则气收。热
则气泄。劳则气耗。思则气结。惊则气乱。九气不同。故妇人之病。多因气之所生也。
大七气汤。治惊恐恚怒相搏而痛。
京三棱 莪术 青橘皮(净洗) 陈皮 藿香叶 桔梗 官桂 益智(各一两) 香附子(去
毛二两) 甘草(半两)
上为粗末散。每服五钱。水二盏。姜三片。枣一枚。煎至一盏。去滓温服。木香顺气散。理
卫气。顺三焦。
乌药 木香 香附子 姜黄 砂仁 甘草
上为 咀。每服半两。水二钟。姜五片。枣二枚。煎至八分。去滓温服。不拘时。
紫金丹。治气癖。气瘕。蛊胀病。(天台陈秀山传到不系产方)
针砂(十两) 余粮石 硫黄(各二两)
上先用药三件。同好醋入铁锅内煮干。碾为末。
平胃散(十两) 莪术(二两) 缩砂仁 丁香 木香 独活 黄 枳壳(各一两) 白茯苓
大黄 黄连 黑牵牛 甘草 茱萸 槟榔 破故纸(各三两) 干漆(一两须好者生漆二两亦
得)
上件为细末。同前药末用酒糊为丸。桐子大。每日三五服不拘数。如病重则多服。忌盐酱
油面生冷等物。
回答:呕吐这一病症,都是由于三焦(人体水液代谢和气机运行的通道)功能失调、脾胃(消化系统的核心脏腑)不和,导致清气与浊气相互干扰所引起的。大抵来说,呕吐原本分为两种证候:“呕”,是指呕吐时伴有声音,也就是民间俗称的“干呕”;“吐”,是指呕吐时有食物吐出。如果胃中虚寒寒冷就会发生呕吐。如果心窝部坚硬如杯状,或者时而发冷时而发热,早晨吃下的食物到了晚上才吐出来,脉象像弦紧一样,这就是虚寒相互搏结,胃气日渐亏损,所以不能停留水和食物,这种病名叫“胃反”。
紫金丹,用于治疗呕吐、心腹部疼痛。
配方:丁香、木香、荜澄茄、胡椒、五灵脂(产自西边的)、肉豆蔻(煨制)、干姜(炮制)、半夏末(半两)、附子(炮制)、硫黄水、银砂子(以上两件按照制作灵砂的方法炒至青金色,一两)。
将上述药物研成细末,用半夏末加姜汁调糊制成丸药,大小如梧桐子。每次服用七十丸,空腹时用米汤送服。
姜合丸,治疗中脘部停聚寒邪、胸膈部痞塞结聚、呕吐恶心、不想吃东西。
配方:木香、肉桂、附子、硇砂(在纸上飞过的各一两)、陈皮、丁香、沉香、荜澄茄、青皮(去白,各一两)、茴香(一分,炒制)。
将上述药物研成细末,另外加入硇砂研磨均匀。用酒煮面糊作为粘合剂制成丸药,每一两药粉做成二十丸。每次服用一丸。取生姜一块,挖空如盒子状,将药放入其中,用湿纸包裹后煨烤,直到闻到香味。去掉纸张,待温度适宜后细细咀嚼,用盐汤送下。
回答:气依靠形体来承载,形体依靠气来充盈。只有气和形两者相互依存,气调和则生命健康,气乖戾则产生疾病。气郁结形成积聚,是因为气不舒展;气逆乱导致狂躁或厥逆,是因为气不下降;应当通畅却阻塞则产生疼痛,是因为气不达;应当消散却停止则形成瘿瘤(甲状腺肿大等),也是气凝聚的结果。《内经》说:愤怒则气上逆,喜悦则气舒缓,悲伤则气消减,恐惧则气下陷,寒冷则气收敛,炎热则气外泄,劳累则气耗散,思虑则气结聚,惊吓则气紊乱。这九种气的变化不同,所以妇女的疾病,多因气机失调而产生。
大七气汤,治疗因惊恐和愤怒相互搏结而引起的疼痛。
配方:京三棱、莪术、青橘皮(洗净)、陈皮、藿香叶、桔梗、官桂、益智仁(各一两)、香附子(去毛,二两)、甘草(半两)。
将上述药物研成粗末散剂。每次服用五钱,加水两盏,生姜三片,大枣一枚,煎煮至一盏,去除药渣后温服。
木香顺气散,调理卫气,疏通三焦。
配方:乌药、木香、香附子、姜黄、砂仁、甘草。
将上述药物捣碎成粗颗粒。每次服用半两,加水两钟,生姜五片,大枣二枚,煎煮至八分,去除药渣后温服。不拘泥于特定时间服用。
紫金丹,治疗气癖(气滞形成的积块)、气瘕(聚散无常的气积)、蛊胀病。(此方由天台陈秀山传出的非产科专用方)
配方:针砂(十两)、余粮石、硫黄(各二两)。
先将这三种药物与好醋一起放入铁锅中煮干,然后碾成粉末。
再加入平胃散(十两)、莪术(二两)、缩砂仁、丁香、木香、独活、黄芪、枳壳(各一两)、白茯苓、大黄、黄连、黑牵牛、甘草、吴茱萸、槟榔、破故纸(各三两)、干漆(一两,须是好漆,生漆二两也可以)。
将上述所有药物研成细末,与前一种药末混合,用酒糊制成丸药,大小如梧桐子。每天服用三到五次,不限次数。如果病情严重则多加服用。忌食盐、酱、油、面、生冷等食物。
Answer: The disease of vomiting and spitting is caused by the dysfunction of the Sanjiao (Triple Burner, the channels for water metabolism and Qi movement) and the disharmony of the Spleen and Stomach, resulting in the interference between clear and turbid Qi. Generally speaking, vomiting and spitting are originally two syndromes. "Ou" (vomiting with sound) refers to vomiting accompanied by sound, commonly known as dry heaving. "Tu" (spitting) refers to vomiting with food expulsion. If the stomach is deficient and cold, spitting occurs. If there is a hardness below the heart like a cup, or alternating chills and fever, eating in the morning and vomiting in the evening, with a pulse that is wiry and tight, this indicates a struggle between deficiency and cold, leading to the daily depletion of Stomach Qi, so that it cannot retain water and grain. This condition is named "Wei Fan" (Stomach Reversal).
Zijin Dan (Purple Gold Pill) treats vomiting and pain in the heart and abdomen.
Ingredients: Dingxiang (Clove), Muxiang (Costus Root), Bichengqie (Long Pepper Fruit), Hujiao (Black Pepper), Wulingzhi (Trogopterus Dung, from the West), Roudoukou (Nutmeg, baked), Ganjiang (Dried Ginger, processed), Banxia Mo (Pinellia Powder, half tael), Fuzi (Aconite Root, processed), Liuhuang Shui (Sulfur Water), Yinshazi (Silver Cinnabar, one tael of the two items fried until green-gold color according to the Lingsha method).
Grind the above ingredients into fine powder. Use Banxia Mo mixed with Ginger Juice to make paste pills, sized like tung tree seeds. Take 70 pills each time, swallowed with rice drink on an empty stomach.
Jianghe Wan (Ginger Combined Pill) treats cold stagnation in the Zhongwan (Middle Jiao), chest and diaphragm obstruction, vomiting, nausea, and loss of appetite.
Ingredients: Muxiang (Costus Root), Rougui (Cinnamon Bark), Fuzi (Aconite Root), Naosha (Sal Ammoniac, refined on paper, one tael each), Chenpi (Tangerine Peel), Dingxiang (Clove), Chenxiang (Agarwood), Bichengqie (Long Pepper Fruit), Qingpi (Green Tangerine Peel, without white pith, one tael each), Huixiang (Fennel Seed, one fen, stir-fried).
Grind the above ingredients into fine powder, then mix with ground Naosha. Use wine-boiled wheat paste to form pills. One tael of powder makes twenty pills. Take one pill each time. Hollow out a piece of fresh ginger like a box, place the medicine inside, wrap in wet paper, and bake until fragrant. Remove the paper, let it cool to warm temperature, chew thoroughly, and swallow with salt water.
Answer: Qi relies on the body to carry it, and the body relies on Qi to fill it. Only when Qi and Body support each other can life be sustained; if Qi becomes perverse, disease arises. Accumulation and mass formation occur due to Qi not flowing freely; mania and syncope occur due to Qi not descending; pain occurs when blockage prevents flow; Yi (goiter) and Liu (tumor) remain due to Qi condensation. The Neijing states: Anger causes Qi to rise; Joy causes Qi to slacken; Grief causes Qi to dissipate; Fear causes Qi to sink; Cold causes Qi to contract; Heat causes Qi to leak; Labor causes Qi to consume; Thought causes Qi to knot; Shock causes Qi to disorder. These nine types of Qi changes differ, therefore women's diseases often arise from Qi disorders.
Daqi Qi Tang (Great Seven Qi Decoction) treats pain caused by the struggle between fright/anger and resentment.
Ingredients: Jing Sanleng (Burreed Tuber), Ezhu (Curcuma Rhizome), Qing Ju Pi (Green Tangerine Peel, washed clean), Chenpi (Aged Tangerine Peel), Huoxiang Ye (Patchouli Leaf), Jiegeng (Platycodon Root), Guanzi Gui (Cassia Twig), Yizhi (Alpinia Oxyphylla Fruit, one tael each), Xiangfu Zi (Cyperus Rhizome, de-haired, two taels), Gancao (Licorice Root, half tael).
Grind the above ingredients into coarse powder. Take five qian each time, add two zhan of water, three slices of ginger, and one jujube. Decoct to one zhan, remove dregs, and take warm.
Muxiang Shunqi San (Costus Regulating Qi Powder) regulates Wei Qi (Defensive Qi) and smooths the Sanjiao.
Ingredients: Wuyao (Lindera Root), Muxiang (Costus Root), Xiangfu Zi (Cyperus Rhizome), Jianghuang (Turmeric Rhizome), Sharen (Amomum Fruit), Gancao (Licorice Root).
Crush the above ingredients into coarse particles. Take half liang each time, add two zhong of water, five slices of ginger, and two jujubes. Decoct to eight parts, remove dregs, and take warm. Take at any time.
Zijin Dan (Purple Gold Pill) treats Qi Pi (Qi accumulation), Qi Jia (Qi mass), and Gu Zhang (Ascites/Gu Distension). (This prescription was transmitted by Chen Xiushan from Tiantai and is not specifically for obstetrics.)
Ingredients: Zhen Sha (Needle Sand, ten taels), Yuliang Shi (Kaolinite, two taels), Liuhuang (Sulfur, two taels).
First, boil the three ingredients with good vinegar in an iron pot until dry, then grind into powder.
Add Pingwei San (Stomach-Pacifying Powder, ten taels), Ezhu (Curcuma Rhizome, two taels), Suosharen (Cardamom), Dingxiang (Clove), Muxiang (Costus Root), Duhuo (Angelica Pubescens), Huangqi (Astragalus Root), Zhike (Bitter Orange Fruit, one tael each), Baifuling (Poria, three taels), Dahuang (Rhubarb Root), Huanglian (Coptis Rhizome), Heiqianniu (Black Morning Glory Seed), Gancao (Licorice Root), Zhuyu (Evodia Fruit), Binglang (Areca Seed), Poguzhi (Cistanche Stem, three taels each), Ganqi (Dry Lacquer, one tael, preferably good quality; raw lacquer two taels is also acceptable).
Grind all ingredients into fine powder, mix with the previous powder, and use wine paste to form pills sized like tung tree seeds. Take three to five times daily, no fixed number. If the illness is severe, take more. Avoid salt, soy sauce, oil, noodles, and raw/cold foods.