消积丸 方见卷三呕吐门。
木香槟榔丸 方见卷三伤食门。
六君子汤 方见卷二类搐门。此加莪术、木香。
消积丸 消食、消水、消气、消痞、消胀、消肿、消积,其功甚捷,惟久病虚羸者不宜用。此比前消
积丸药力轻缓,不甚峻厉。
香附米(酒炒,一两) 五灵脂(淘净,一两) 黑牵牛(炒,去头末,二两)
共为细末,醋打面糊丸绿豆大。每服一二十丸,食远姜汤送下。
治伤冷食及难化之物,用生姜、紫苏煎浓汤,置浴盆内,令患者乘热坐汤内,以手揉其腹胸,以热汤淋之,
气通即化矣。
又方 以生姜捣烂,紫苏捣烂,炒热布包,熨胸腹;如冷,再炒再熨,神效。
治伤食停积不消,用白酒曲,即酿酒小曲。炒二两,老麦芽取净末一两,共为细末,每服二钱,白汤调下。
治粽伤及糯米所伤,更妙。
治饮食停滞,饱闷不消。以糯米一升炒热,以布包之,分作二包,于脐腹上轮换熨之,助其脾气转运也,立
消。
因食肉停滞不消,用山楂子三十粒,捶碎,煎浓汤饮之,自化。
因食犬肉成积,不治则杀人。用山楂肉二十四粒,杏仁去皮尖二十四粒,煎浓汤饮,自化。
因食牛肉腹胀不消,用干稻草一把,煎浓汤滚热饮之,自消。
因面食腹胀,生姜捣汁,冲好酒热服,即消,又方,以生萝卜取汁,温热服,神应。
凡食面必用醋,断不作胀。
因食菱角腹痛作胀,生姜捣取自然汁,以滚汤冲服,立消。
因食瓜果生冷太多,以致腹胀气急,用真青化桂去粗皮,取肉研细末,以饭捣和为丸绿豆大。小儿每服五
丸,稍长者十丸,水送,病愈药停。
凡小儿病,医认证不确,错用反药,或烦躁不宁,或呕泻不止。欲与解去,其药用黑豆一杯,甘草三钱,
煎浓汤服之,自解。倘无黑豆,绿豆亦好。
六君子汤(由人参、白术、茯苓、甘草、陈皮、半夏组成,具有益气健脾、燥湿化痰功效的方剂):该方剂详见卷二类“搐门”(指小儿惊风抽搐类病症)。此处所述为在原方基础上加入莪术和木香。
消积丸:具有消除食积、消除水饮、消除气滞、消除痞块、消除胀满、消除肿胀、消除积聚的功效,作用非常迅速快捷。但久病体虚消瘦者不宜使用。此方相比前文提到的消积丸,药力较为轻缓,不十分峻猛猛烈。
配方:香附米(用酒炒制,一两)、五灵脂(淘洗干净,一两)、黑牵牛(炒制,去掉头末,二两)。
以上药物共同研磨成细粉,用醋调和面粉制成糊状,再制成如绿豆大小的丸剂。每次服用一二十丸,在饭后较长时间用姜汤送服。
治疗因受冷饮食及难以消化的食物导致的积滞,可用生姜、紫苏煎煮浓汤,倒入浴盆中,让患者趁热坐在汤内,用手揉按腹部和胸部,并用热汤淋浇,气机通畅后积滞即可化解。
又一方:将生姜捣烂,紫苏捣烂,炒热后用布包裹,熨烫胸腹部;如果变冷,再次炒热再次熨烫,效果极佳。
治疗伤食停积不消化,用白酒曲(即酿酒用的小曲),炒制二两,老麦芽取净末一两,共同研磨成细粉,每次服用二钱,用白开水调服。
治疗粽子损伤以及糯米造成的损伤,此法更为巧妙。
治疗饮食停滞,饱闷不消化。将一升糯米炒热,用布包好,分成两包,在脐腹部轮换熨烫,以助脾气转运,积滞立刻消除。
因食用肉类导致停滞不消化,用山楂子三十粒,捶碎,煎煮浓汤饮用,积滞自然化解。
因食用犬肉形成积滞,若不治疗则会致死。用山楂肉二十四粒,杏仁去皮尖二十四粒,煎煮浓汤饮用,积滞自然化解。
因食用牛肉导致腹胀不消化,用一把干稻草,煎煮浓汤滚热后饮用,积滞自消。
因食用面食导致腹胀,将生姜捣取汁液,冲入优质热酒中服用,积滞即消。另一方法,用生萝卜取汁,温热服用,效果神奇。
凡是吃面食必须配合醋,绝不会造成胀气。
因食用菱角导致腹痛作胀,将生姜捣取自然汁,用滚开水冲服,积滞立消。
因食用瓜果生冷太多,导致腹胀气急,用真正的青化桂(一种肉桂),去掉粗皮,取肉研成细末,用米饭捣和制成如绿豆大小的丸剂。小儿每次服用五丸,稍大儿童服用十丸,用水送服,病愈即停药。
凡是小儿患病,医生辨证不准确,错误使用了相反的药物,或者出现烦躁不安,或者呕吐腹泻不止。想要解除这种药毒,药用黑豆一杯,甘草三钱,煎煮浓汤服用,药毒自然解除。如果没有黑豆,绿豆也可以。
Xiaoji Wan (Accumulation-Dissolving Pill): Refer to the "Vomiting Section" in Volume III for this formula.
Muxiang Binglang Wan (Aucklandia and Areca Nut Pill): Refer to the "Food Injury Section" in Volume III for this formula.
Liu Junzi Tang (Six Gentlemen Decoction): Refer to the "Convulsion Section" in Volume III for this formula. The version mentioned here is modified by adding Ezhu (Curcuma Zedoaria Rhizome) and Muxiang (Aucklandiae Radix).
Xiaoji Wan: It has the functions of resolving food accumulation, resolving fluid retention, resolving Qi stagnation, resolving epigastric fullness, resolving abdominal distension, reducing swelling, and dissipating accumulations. Its effects are very rapid. However, it should not be used for patients with chronic illness who are emaciated and deficient. Compared to the Xiaoji Wan mentioned earlier, this formula has a milder and less harsh action.
Prescription: Xiangfu Mi (Cyperi Rhizoma, stir-fried with wine, 1 liang), Wulingzhi (Trogopterori Faeces, washed clean, 1 liang), Hei Qianniu (Pharbitidis Semen Nigrum, stir-fried, head ends removed, 2 liang).
Grind all ingredients into a fine powder. Use vinegar and wheat flour paste to make pills the size of mung beans. Take 10–20 pills per dose, administered with ginger decoction well after meals.
For accumulation caused by cold food or indigestible substances: Boil fresh ginger and Perilla leaves to make a strong decoction, pour it into a bath basin, and let the patient sit in the warm liquid. Rub the abdomen and chest with hands, and pour hot liquid over the body. Once Qi circulation is restored, the accumulation will dissolve.
Another method: Mash fresh ginger and Perilla leaves separately, stir-fry them until hot, wrap in cloth, and apply as a compress to the chest and abdomen. If it cools down, reheat and compress again. This is highly effective.
For food stagnation that fails to digest: Stir-fry 2 liang of Jiuniuqu (Baijiu Qu, small yeast cakes for brewing Baijiu). Mix with 1 liang of fine powder from Laomaiya (Hordei Fructus Germinatus, old malt). Grind into a fine powder. Take 2 qian per dose, mixed with plain boiled water. This is particularly effective for injuries caused by zongzi (sticky rice dumplings) and glutinous rice.
For food stagnation causing fullness and inability to digest: Stir-fry 1 sheng of glutinous rice until hot. Wrap in cloth, divide into two packs, and alternately apply to the umbilical and abdominal area to assist Spleen Qi transformation. The stagnation will resolve immediately.
For meat stagnation that fails to digest: Crush 30 Hanzhaizi (Crataegi Fructus, hawthorn seeds), boil in water to make a strong decoction, and drink. The accumulation will naturally dissolve.
For accumulation caused by eating dog meat, which can be fatal if untreated: Boil 24 pieces of Shanzharon (Crataegi Fructus flesh) and 24 kernels of Xingren (Prunus Armeniaca Seed, peeled and cored) in water to make a strong decoction, and drink. The accumulation will naturally dissolve.
For abdominal distension and indigestion caused by beef consumption: Boil a handful of Gandaocao (Dry Rice Straw) in water to make a boiling hot decoction, and drink. The accumulation will resolve on its own.
For abdominal distension caused by consuming wheat products: Extract juice from fresh ginger, mix with good-quality hot wine, and drink. The distension will resolve. Alternatively, extract juice from raw radish and drink it while warm; this is also highly effective. When consuming wheat products, one must always consume vinegar to prevent bloating entirely.
For abdominal pain and distension caused by eating water caltrops: Extract natural juice from fresh ginger, mix with boiling water, and drink. The symptoms will resolve immediately.
For abdominal distension and shortness of breath caused by excessive consumption of raw fruits and vegetables: Use Zhen Qinghuagui (Cinnamomi Cortex, specifically high-quality Qinghua variety), remove the rough bark, grind the inner bark into a fine powder. Mix with rice paste to form pills the size of mung beans. Children take 5 pills per dose, slightly older children take 10 pills, administered with water. Stop medication once the disease is cured.
In pediatric cases where misdiagnosis leads to the incorrect use of incompatible herbs, resulting in restlessness or incessant vomiting and diarrhea: To detoxify, decoct 1 cup of Heidou (Sojae Semen Nigrum, black soybeans) and 3 qian of Gancao (Glycyrrhizae Radix et Rhizoma) in water to make a strong decoction, and drink. The toxicity will naturally resolve. If black soybeans are unavailable, green soybeans (Lvdou) are also suitable.