《石壁经》三十六种内盘肠气 候歌∶
盘肠气发先腰曲,无泪叫啼眼干哭,口开脚冷上唇乌,(《凤髓经》云∶上唇干。一云∶口干脚冷。)额上汗流珠碌碌。
小肠为冷气所薄,致使痛发腰曲,为肠结痛也。当温小肠则痛住,次去其小肠积冷,即痊安也。
《凤髓经》歌括一同,有注云∶宜与越桃散(方见本门中)。
《小儿形证论》四十八候盘气 候歌(上四句与前歌同,下四句乃云∶)直莫吐泻伤荣卫,经络一定痛难屈,气通
微用三两行,却与调和自欢怿。
又歌∶痛来难忍便身黑,体硬如弓一向张,如妇胎中传邪毒,医人何不用名方。
此候气在小肠,结却不伸,只将宽气槟榔散与服(方见烦热门中),并与白丁香膏(方末见)兼苗香散相兼服必愈。
(方见肚腹 门中。)不可误吃他药,吐泻伤荣卫,但只和气。
汉东王先生有盘肠气 ,治法在惊风内 论中。
汉东王先生《家宝》治婴孩、小儿盘肠气 。钩藤膏方
乳香(研细) 没药 木香(炮) 姜黄(各一钱) 木鳖子(三个)
上为末,炼蜜为膏。每服旋HT 如皂子大,煎钩藤汤化下一丸,日三服。
汉东王先生《家宝》魏香散 治盘肠气 。
真阿魏(一钱) 蓬莪术(半两)
上先用温水化阿魏,浸蓬莪术一昼夜,焙干,为细末。每服一字,或半钱,煎紫苏米饮,空心调下。
三十六种治盘肠气痛。宣连丸方
宣连 雷丸(各一分) 木香(二钱,炒)
上为末,用粟米饭和丸如麻子大。每服十丸,饭饮下。
《凤髓经》越桃散 治小儿盘肠气 痛。
越桃(去壳,半两,入草乌少许,同炒,去草乌) 白芷(一钱,切)
上为细末。每服半钱或一钱,炒茴香、葱白酒下。
《刘氏家传》治小儿盘肠气 。槟榔丸
麻逸槟榔 大腹子 红丹(香匙 )
上等分,末之,面糊丸大麻子大,三岁以下小麻子大。每服十丸,萝卜煎汤下三日,灯心汤下三日,霹雳
汤下三日。其汤用姜钱十片、水一盏,烧秤锤,浸水候沸止,温去锤,将此下药号霹雳汤。
《庄氏家传》安息香膏 理盘肠气 、内 、虫痛、外疝,但诸般心腹痛皆治。
安息香 桃仁(汤去皮尖,麸炒黄) 蓬莪术(湿纸裹煨) 使君子(取肉切,焙干秤。以上各半两) 干蝎(一
分) 阿魏(一钱) 茴香(三钱,炒)
上七味,除桃仁别研外,次以阿魏并安息香,以酒少许,就汤瓶口上,以盏盛蒸,开土沙,入桃仁中共研,
余药同为末,一处炼蜜为膏如皂皂大。生姜薄荷汤化下,随儿大小加减。
《孔氏家传》治小儿盘肠气。缘因怀子在腹中时,或则其母吃冷物太多,或因胎中带不净入孩子腹中。每至夜深
则阴气盛逼,令小儿腹中住,至令啼哭不止,故为盘肠气也。
大附子尖(不可长,半寸,去皮,炮裂,为末) 巴豆(一粒,去心、膜并壳,将豆内乳钵内烂研成膏,用竹纸一
幅,折揲裹之,以竹棒杆,令油在纸上,直至捍得巴豆油极尽为度) 斑蝥(一个,去嘴及足翼,只用肉,先以麦面炒
熟)
上三味同研半日,以面糊为丸如粟米大。每服五丸,以少许茴香略借气,切,不可多用也。菖蒲茴香汤吞
下,临夜服,只通使一服。新修合者未可用,约修合百日后通用也。此药修合下经年岁转妙,唯小儿盘肠气
最佳。
《吉氏家传》治小儿盘肠气方。
萝卜子(不拘多少,炒令黄色)
上为细末。每服半钱,温酒调下三服止。
《石壁经》中关于三十六种内盘肠气候的歌诀:
盘肠气发作时,先表现为腰部弯曲,哭泣时无泪,眼睛干涩,口张开,脚冷,上唇发乌。(《凤髓经》记载说:上唇干燥。另一种说法是:口干、脚冷。)额头上的汗水像珠子一样滚落。
这是因为小肠受到寒气的侵袭,导致疼痛发作时腰部弯曲,这是肠道结聚疼痛的表现。应当温补小肠以使疼痛停止,随后去除小肠内的积冷,疾病即可痊愈。
《凤髓经》中的歌诀内容相同,并有注释说:适宜服用越桃散(方剂见本门类中)。
《小儿形证论》中关于四十八候盘气的候歌(前四句与前一首歌相同,后四句则是说):千万不要让吐泻损伤营卫之气,经络一旦固定,疼痛难以屈伸,只要气机通畅,轻微用药三两行,就能调和身体,恢复欢悦。
又有一首歌诀:疼痛难忍时全身发黑,身体僵硬如弓一般向后伸展,如同妇女在胎中传入邪毒,医生为何不施用名方?
这种候症的气在小肠,结聚而不能舒展,只需服用宽气槟榔散(方剂见烦热门中),并配合白丁香膏(方剂见末尾)和苗香散一起服用,必定痊愈。
(方剂见肚腹门类中。)不可误服其他药物,以免吐泻损伤营卫,只需调和气机即可。
汉东王先生的盘肠气治法,论述在惊风门类中。
汉东王先生《家宝》中治疗婴儿、小儿盘肠气的钩藤膏方:
乳香(研细)、没药、木香(炮制)、姜黄(各一钱)、木鳖子(三个)。
以上药材研为细末,用炼蜜制成膏剂。每次服用旋丸如皂荚子大小,用钩藤汤煎煮化开一丸,每日三次服用。
汉东王先生《家宝》中的魏香散,治疗盘肠气。
真阿魏(一钱)、蓬莪术(半两)。
先用温水化开阿魏,浸泡蓬莪术一昼夜,焙干后研为细末。每次服用一字或半钱,用紫苏米饮煎煮,空腹调服。
三十六种治疗盘肠气痛的方法。宣连丸方:
宣连、雷丸(各一分)、木香(二钱,炒制)。
以上研为细末,用粟米饭和丸如麻子大小。每次服用十丸,饭饮送下。
《凤髓经》越桃散,治疗小儿盘肠气痛。
越桃(去壳,半两,加入少许草乌同炒,去掉草乌)、白芷(一钱,切片)。
以上研为细末。每次服用半钱或一钱,用炒茴香、葱白酒送服。
《刘氏家传》治疗小儿盘肠气的槟榔丸:
麻逸槟榔、大腹子、红丹(香匙)。
以上等分,研为细末,用面糊丸如大麻子大小,三岁以下儿童丸如小麻子大小。每次服用十丸,前三日用萝卜煎汤送下,中间三日用灯心汤送下,后三日用霹雳汤送下。所谓霹雳汤,是用十片生姜、一盏水,烧红秤锤投入水中,待水沸腾停止后,取出秤锤,将此水作为下药,称为霹雳汤。
《庄氏家传》安息香膏,调理盘肠气、内疝、虫痛、外疝,凡是各种心腹痛皆能治疗。
安息香、桃仁(热水去皮尖,麸炒至黄)、蓬莪术(湿纸包裹煨制)、使君子(取肉切片,焙干称重。以上各半两)、干蝎(一分)、阿魏(一钱)、茴香(三钱,炒制)。
以上七味药,除桃仁单独研磨外,其次将阿魏和安息香,用少量酒,放在汤瓶口上,用盏盛装蒸制,挖开土沙,放入桃仁中共同研磨,其余药物一同研为细末,放在一起用炼蜜制成如皂荚子大小的膏剂。用生姜薄荷汤化开服用,根据患儿年龄大小增减剂量。
《孔氏家传》治疗小儿盘肠气。原因是母亲怀孕在腹中时,或者因为母亲吃了太多生冷食物,或者因为胎中带的不净物进入孩子腹中。每到夜深时阴气旺盛逼迫,使得小儿腹部气滞,导致啼哭不止,所以称为盘肠气。
大附子尖(长度不可超过半寸,去皮,炮裂后研为末)、巴豆(一粒,去心、膜及壳,将豆放入乳钵中捣烂成膏,用一幅竹纸折叠包裹,用竹棒碾压,使油渗到纸上,直到将巴豆油完全榨干为止)、斑蝥(一个,去嘴及足翼,只用肉,先用麦面炒熟)。
以上三味药共同研磨半天,用面糊制成如粟米大小的丸剂。每次服用五丸,用少许茴香稍微借其气味,切记不可多用。用菖蒲茴香汤吞服,临睡前服用,只允许通利一次。新配制的药暂时不可使用,大约配制一百日后才通用。此药配制存放经过年岁后效果更佳,尤其对小儿盘肠气最为有效。
The Song of Patterns from the *Shibi Jing* regarding thirty-six types of internal Pan Chang Qi (Intestinal Cramping):
When Pan Chang Qi attacks, it first manifests as curvature of the waist; crying without tears and dry eyes; mouth open, cold feet, and a dark upper lip. (The *Fengsui Jing* states: dry upper lip. Another version says: dry mouth and cold feet.) Sweat beads roll down the forehead.
This is caused by cold qi invading the small intestine, resulting in pain that causes the waist to curve, known as intestinal knotting pain. One should warm the small intestine to stop the pain, then eliminate the accumulated cold in the small intestine for recovery.
The song in the *Fengsui Jing* is identical, with a note stating: It is suitable to administer Yue Tao San (Formula see this section).
The Pattern Song for forty-eight types of Pan Qi from *Xiao'er Xingzheng Lun* (The first four lines are the same as the previous song; the last four lines say): Do not let vomiting and diarrhea damage Ying and Wei (Nutritive and Defensive Qi); once the meridians are fixed, pain makes flexion difficult. If qi flows freely, using mild medication allows three courses of action, harmonizing the body to restore joy.
Another song: When pain is unbearable, the body turns black; the body becomes stiff like a bow, extending backwards. Like evil toxins transmitted while a woman is pregnant, why does the physician not use famous formulas?
In this pattern, qi is in the small intestine, knotted and unable to extend. Only administer Kuan Qi Binglang San (Formula see Fever Section), combined with Bai Dingxiang Gao (Formula see end) and Miaoxiang San together for certain cure.
(Formula see Abdomen Section.) Do not mistakenly take other medicines that cause vomiting and diarrhea damaging Ying and Wei; only harmonize the qi.
Mr. Wang from Handong's treatment for Pan Chang Qi is discussed within the Convulsion section.
Gouteng Gao Formula from Mr. Wang of Handong's *Jiabao* for treating infants and children with Pan Chang Qi:
Ruxiang (Frankincense, ground fine), Moyao (Myrrh), Muxiang (Aucklandiae Radix, processed), Jianghuang (Curcumae Longae Rhizoma) (each 1 qian), Muguzi (Semen Momordicae) (3 pieces).
Grind the above into powder, make into a paste with refined honey. Each dose is rolled into a pill the size of a soap bean. Dissolve one pill in decoction of Uncariae Ramulus cum Uncis (Gouteng Tang), taken three times a day.
Weixiang San from Mr. Wang of Handong's *Jiabao*, treating Pan Chang Qi:
Zhen Awei (Asafoetida, 1 qian), Peng'ezhu (Curcumae Zedoariae Rhizoma, 0.5 liang).
First dissolve Asafoetida in warm water, soak Curcumae Zedoariae Rhizoma for one day and night, bake dry, and grind into fine powder. Each dose is 1 zi or half a qian, taken on an empty stomach mixed with decoction of Perillae Folium and rice drink.
Thirty-six types of treatments for Pan Chang Qi pain. Xuanlian Wan Formula:
Xuanlian (Scutellariae Radix), Leiwan (Wormseeds, each 1 fen), Muxiang (Aucklandiae Radix, 2 qian, stir-fried).
Grind the above into powder, mix with millet rice flour to form pills the size of hemp seeds. Each dose is ten pills, taken with rice drink.
Yue Tao San from the *Fengsui Jing*, treating pediatric Pan Chang Qi pain:
Yuetao (Prunus mume fruit, shelled, 0.5 liang, stir-fried with a little Caowu [Aconiti Radix], remove Caowu], Baizhi (Angelicae Dahuricae Radix, 1 qian, sliced).
Grind the above into fine powder. Each dose is half a qian or one qian, taken with stir-fried Fennel and white wine with green onion.
Binglang Wan from the *Liu Family Collection* for treating pediatric Pan Chang Qi:
Mayi Binglang (Arecae Semen), Dafuzi (Arecae Pericarpium), Hongdan (Cinnabaris, measured with incense spoon).
Take equal parts, grind into powder, form pills with wheat paste the size of large hemp seeds (smaller for children under three years old). Each dose is ten pills. Take with radish decoction for three days, then with Centelli Herba (Dengxincao) decoction for three days, then with Pili Tang (Thunderbolt Decoction) for three days. To make Pili Tang, use ten slices of ginger and one cup of water, heat a scale weight until red, immerse it in the water until boiling stops, remove the weight, and use this water as the decoction for the medicine, called Pili Tang.
Anshixiang Gao from the *Zhuang Family Collection*, regulating Pan Chang Qi, internal hernia, worm pain, external hernia, treating all kinds of heart and abdominal pain.
Anshixiang (Benzoin Resin), Taoren (Persicae Semen, blanched, skin and tip removed, stir-fried with bran until yellow), Peng'ezhu (Curcumae Zedoariae Rhizoma, wrapped in wet paper and baked), Shijunzi (Quisqualis Fructus, flesh taken, sliced, baked and weighed. Above each 0.5 liang), Ganxie (Dry Scorpion, 1 fen), Awei (Asafoetida, 1 qian), Huixiang (Foeniculum Vulgare Fruit, 3 qian, stir-fried).
Of the above seven ingredients, except for Persicae Semen which is ground separately, next take Asafoetida and Benzoin Resin, add a little wine, steam over the spout of a kettle covered with a bowl, dig up earth/sand, put in Persicae Semen and grind together. Grind remaining herbs into powder, mix together, refine honey to make a paste the size of a soap bean. Dissolve in Ginger and Mint decoction, adjust dosage according to child's age.
Kong Family Collection treats pediatric Pan Chang Qi. The cause is that when the mother was pregnant, she either ate too much cold food, or impurities from the fetus entered the child's abdomen. Whenever night falls, yin qi becomes abundant and oppressive, causing stagnation in the infant's abdomen, leading to incessant crying, hence named Pan Chang Qi.
Da Fuzi Jian (Tip of Aconiti Lateralis Radix Praeparata, not longer than half cun, peeled, processed until cracked, ground to powder), Badou (Crotonis Fructus, one seed, remove heart, membrane, and shell, pound in mortar into paste, wrap in one sheet of bamboo paper, press with bamboo stick until oil is absorbed onto paper, until all oil from Crotonis Fructus is extracted), Banmao (Mylabris, one piece, remove head, legs, and wings, use only flesh, first stir-fried with wheat flour until cooked).
Grind the above three ingredients together for half a day, form pills with wheat paste the size of millet grains. Each dose is five pills, swallow with a little Fennel to borrow its qi, do not use too much. Swallow with Changpu Huixiang Tang (Acori Tatarinowii Rhizoma and Fennel Decoction), take before bed, allow only one bowel movement. Newly prepared medicine cannot be used immediately; generally usable after about one hundred days of preparation. This medicine improves with age of storage, being best for pediatric Pan Chang Qi.
Ji Family Collection formula for treating pediatric Pan Chang Qi:
Luobozhong (Brassicae Napus Semen, any amount, stir-fried until yellow).
Grind into fine powder. Each dose is half a qian, taken with warm wine, stop after three doses.