茅先生歌云∶面青面白犹自可,黑色如青瓜一同,此是腹心生冷痛,须将温药里头攻。钱氏云∶胃虚冷,面 白色,
腹痛不思食当补,益脾益黄散主之。若不下利者,调中丸主之。(益黄散治下利而痛也,调中丸治不利而痛也)
曾氏脏寒痛,议附胎寒论后。益黄散(脾)
调中丸
白术 人参 甘草(炒各半两) 干姜(炮,四钱)
上为细末,蜜丸如绿豆大。每服五七丸至十五丸,食前、温水下。(海藏云∶仲景理中例也)
当归散 凡小儿夜啼者,脏寒而腹痛,面青手冷,不吐乳是也,宜此方服之效。
当归(去芦头) 白芍药 人参(各一钱) 甘草(炙五分) 桔梗 陈皮(各一钱)
上 咀。煎五分,时时少服,愈。
七气汤 治七气所伤,痰涎结聚,心腹亦痛,不能饮食。
半夏(制焙,五两) 人参 辣桂(去皮。各一两) 甘草(半两)
上锉细。每服三钱,水一大盏,姜五片,枣一枚煎,食前服。
《指迷》七气汤 治七情相干,阴阳不升降,气道壅滞,攻冲作疼。
青皮 陈皮 桔梗 蓬术 辣桂 益智仁(各一两) 香附子(一两半) 甘草 加半夏(制。各七钱半)
上锉细。每服三钱,水一盏,姜四片,枣一枚,煎至七分,不拘时服。
〔张涣〕宽中汤 治心腹疼痛,不可忍者。
高良姜 木香(各半两) 丁香 青橘皮(炒黄) 桔梗 甘草(炙。各一分)
上件捣,罗为细末。每服半钱,温酒调下。
蓬莪术丹
蓬莪术(炮制,乘热锉碎) 当归(洗,焙干。各一两) 木香 人参(去芦头) 桂心(各半
两) 黑牵牛(炒,微黄,一分)
上件捣,罗为末,细白面糊和丸,如黍米大。每服十粒,煎生姜汤下,量儿大小加减。
温胃丹 治腹痛啼哭不止。
人参(去芦头) 白术(炮。各一两) 五味子 当归(洗,焙干) 高良姜(各半两) 木香(一两)
上件,捣为细末,白面糊和丸,如黍米大。每服十粒,米饮下。
橘香散
青橘皮(炒) 吴茱萸 木香 当归(洗,焙干。各一两) 干姜(炮) 丁香(各半两)
上件捣,罗为末。每服一钱,水八分一盏,入生姜二片,煎五分,去滓放温热服,食前。
〔曾氏〕 香汤 利脾胃,进饮食,理腹痛,散邪气。
香(炒) 良姜(锉碎,用东壁土炒。各一两半) 苍术(米泔水、浸一宿,去粗皮,滤干,锉
片,炒至微黄色,二两) 甘草(炙,一两)
上,锉焙为末。每服一钱,烧盐汤空心调下。
茅先生歌诀说:面色青白尚且尚可,若面色黑得像青瓜一样,这是腹中脏腑生寒引起的冷痛,必须用温性药物从内部攻治。钱乙说:胃气虚寒,面色苍白,腹痛不想吃东西时应当补益,主方用益脾益黄散。如果不下利(腹泻),则主方用调中丸。(益黄散治疗下利且疼痛的情况,调中丸治疗不下利但疼痛的情况)曾氏关于脏寒痛的论述,参考附胎寒论之后。
益黄散(调理脾脏)
调中丸
药材:白术、人参、甘草(炒制,各半两)、干姜(炮制,四钱)。
将上述药材研为细末,用蜂蜜调和制成如绿豆大小的丸剂。每次服用五至七丸,最多十五丸,饭前用温水送服。(张元素海藏云:这是遵循张仲景理中汤的法则)
当归散 凡是小儿夜间啼哭的,是因为内脏虚寒导致腹痛,伴有面色发青、手脚冰冷、不吐乳的现象,适宜服用此方,效果显著。
药材:当归(去除芦头)、白芍药、人参(各一钱)、甘草(炙制,五分)、桔梗、陈皮(各一钱)。
将药材切碎。加水煎煮至剩余五分药液,不时少量服用,病愈即止。
七气汤 治疗因七情(喜、怒、忧、思、悲、恐、惊)所伤,导致痰涎结聚,心腹部疼痛,不能进食。
药材:半夏(制焙,五两)、人参、辣桂(去皮,各一两)、甘草(半两)。
将药材锉成细末。每次服用三钱,加水一大盏,生姜五片,大枣一枚,共同煎煮,饭前服用。
《指迷》七气汤 治疗七情相互干扰,导致阴阳之气升降失常,气道壅滞,气机攻冲引起疼痛。
药材:青皮、陈皮、桔梗、蓬莪术、辣桂、益智仁(各一两)、香附子(一两半)、甘草、加半夏(制,各七钱半)。
将药材锉成细末。每次服用三钱,加水一盏,生姜四片,大枣一枚,煎煮至剩余七分药液,不拘泥于固定时间服用。
〔张涣〕宽中汤 治疗心腹部疼痛,剧烈到无法忍受的程度。
药材:高良姜、木香(各半两)、丁香、青橘皮(炒至黄色)、桔梗、甘草(炙制,各一分)。
将上述药材捣碎,过筛成为细末。每次服用半钱,用温酒调服。
蓬莪术丹
药材:蓬莪术(炮制,趁热锉碎)、当归(洗净,焙干,各一两)、木香、人参(去芦头)、桂心(各半两)、黑牵牛(炒至微黄,一分)。
将上述药材捣碎,过筛成为细末,用细白面糊调和制成如黍米大小的丸剂。每次服用十粒,用煎好的生姜汤送服,根据患儿年龄大小酌情加减剂量。
温胃丹 治疗腹痛且啼哭不止。
药材:人参(去芦头)、白术(炮制,各一两)、五味子、当归(洗净,焙干)、高良姜(各半两)、木香(一两)。
将上述药材捣成细末,用白面糊调和制成如黍米大小的丸剂。每次服用十粒,用米饮(米汤)送服。
橘香散
药材:青橘皮(炒制)、吴茱萸、木香、当归(洗净,焙干,各一两)、干姜(炮制)、丁香(各半两)。
将上述药材捣碎,过筛成为细末。每次服用一钱,加水八分一盏,放入生姜两片,煎煮至剩余五分药液,去渣滓,放温热后服用,饭前服用。
〔曾氏〕香汤 调理脾胃,增进饮食,理顺腹痛,驱散邪气。
药材:香(炒制)、良姜(锉碎,用东壁土炒制,各一两半)、苍术(米泔水浸泡一夜,去除粗皮,滤干水分,锉成片,炒至微黄色,二两)、甘草(炙制,一两)。
将上述药材锉碎并焙干成为细末。每次服用一钱,用烧盐汤在空腹时调服。
Mao Xiansheng's song states: A blue or pale complexion is still manageable; however, if the face is black like a green melon, this indicates cold pain arising from the abdomen and internal organs, requiring the administration of warming medicines to treat from within. Qian Yi stated: In cases of stomach deficiency-cold, characterized by a pale white face, abdominal pain, and loss of appetite, tonification is indicated, primarily using Yipi Yihuang San (Benefit Spleen and Benefit Yellow Powder). If there is no diarrhea, Tiaozhong Wan (Regulate Middle Pill) is the primary formula. (Yihuang San treats conditions with diarrhea and pain, while Tiaozhong Wan treats conditions without diarrhea but with pain). Zeng Shi's discussion on cold-pain of the viscera refers to the section on fetal cold following the Treatise on Cold Damage.
Yihuang San (Tonifying the Spleen)
Tiaozhong Wan
Ingredients: Atractylodis Macrocephalae Rhizoma (Baizhu), Ginseng Radix et Rhizoma (Renshen), Glycyrrhizae Radix et Rhizoma (Gancao, stir-baked, each 0.5 liang), Zingiberis Rhizoma Recens (Ganjiang, processed, 4 qian).
Grind the above ingredients into a fine powder, mix with honey, and form pills the size of mung beans. Take 5 to 7 pills, up to 15 pills per dose, before meals, with warm water. (Zhang Yuansu [Haicang] noted: This follows the principle of Zhang Zhongjing's Lizhong Tang).
Danggui San (Angelica Sinensis Decoction): For infants who cry at night due to visceral cold causing abdominal pain, accompanied by a bluish face, cold hands, and inability to suckle milk, this formula is effective.
Ingredients: Angelicae Sinensis Radix (Danggui, remove rhizome), Paeoniae Radix Alba (Baishaoyao), Ginseng Radix et Rhizoma (Renshen, each 1 qian), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried, 5 fen), Platycodonis Radix (Jiegeng), Citri Reticulatae Pericarpium (Chenpi, each 1 qian).
Cut the herbs. Decoct with water until five parts remain. Administer small amounts frequently until recovery.
Qiqi Tang (Seven Qi Decoction): Treats injury caused by the Seven Emotions (joy, anger, worry, thought, grief, fear, fright), leading to accumulation of phlegm-fluids, heart and abdominal pain, and inability to eat.
Ingredients: Pinelliae Rhizoma Preparatum (Banxia, prepared and baked, 5 liang), Ginseng Radix et Rhizoma (Renshen), Cinnamomi Ramulus (Lagui, peeled, each 1 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 liang).
Cut the herbs finely. Take 3 qian per dose, decoct with one large cup of water, five slices of fresh ginger, and one jujube. Take before meals.
"Zhimi" Qiqi Tang (Seven Qi Decoction from Zhimi): Treats interference among the Seven Emotions, resulting in failure of Yin and Yang qi to ascend and descend, obstruction of the qi mechanism, and pain caused by qi attacking and rushing.
Ingredients: Citri Reticulatae Pericarpium Viride (Qingpi), Citri Reticulatae Pericarpium (Chenpi), Platycodonis Radix (Jiegeng), Curcumae Longae Rhizoma (Pengzhu), Cinnamomi Ramulus (Lagui), Alpiniae Oxyphyllae Fructus (Yizhiren, each 1 liang), Cyperi Rhizoma (Xiangfuzi, 1.5 liang), Glycyrrhizae Radix et Rhizoma (Gancao), plus Pinelliae Rhizoma Preparatum (Banxia, prepared, each 0.75 qian).
Cut the herbs finely. Take 3 qian per dose, decoct with one cup of water, four slices of fresh ginger, and one jujube, until seven parts remain. Take at any time.
[Zhang Huan] Kuanzhong Tang (Middle-Regulating Decoction): Treats unbearable heart and abdominal pain.
Ingredients: Alpiniae Officinarum Rhizoma (Gaoliangjiang), Aquilariae Lignum Resinatum (Muxiang, each 0.5 liang), Caryophylli Flos (Dingxiang), Citri Reticulatae Pericarpium (Qingjupi, stir-baked until yellow), Platycodonis Radix (Jiegeng), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried, each 1 fen).
Pound the above ingredients and sieve into a fine powder. Take half a qian per dose, mixed with warm wine.
Peng'zhu Dan (Curcuma Pill)
Ingredients: Curcumae Longae Rhizoma (Peng'zhu, processed, cut while hot), Angelicae Sinensis Radix (Danggui, washed and dried, each 1 liang), Aquilariae Lignum Resinatum (Muxiang), Ginseng Radix et Rhizoma (Renshen, remove rhizome), Cinnamomi Cortex (Guixin, each 0.5 liang), Pharbitidis Semen Nigrum (Heiqianniu, stir-fried until slightly yellow, 1 fen).
Pound the above ingredients and sieve into a fine powder. Mix with thin rice paste to form pills the size of millet seeds. Take ten pills per dose, with decocted fresh ginger soup. Adjust dosage according to the child's age and size.
Wenwei Dan (Stomach-Warming Pill): Treats continuous crying due to abdominal pain.
Ingredients: Ginseng Radix et Rhizoma (Renshen, remove rhizome), Atractylodis Macrocephalae Rhizoma (Baizhu, processed, each 1 liang), Schisandrae Chinensis Fructus (Wuweizi), Angelicae Sinensis Radix (Danggui, washed and dried), Alpiniae Officinarum Rhizoma (Gaoliangjiang, each 0.5 liang), Aquilariae Lignum Resinatum (Muxiang, 1 liang).
Pound the above ingredients into a fine powder. Mix with white flour paste to form pills the size of millet seeds. Take ten pills per dose, with rice drink (rice water).
Juxiang San (Orange and Fragrant Powder)
Ingredients: Citri Reticulatae Pericarpium Viride (Qingjupi, stir-baked), Evodiae Fructus (Wuzhuyu), Aquilariae Lignum Resinatum (Muxiang), Angelicae Sinensis Radix (Danggui, washed and dried, each 1 liang), Zingiberis Rhizoma Recens (Ganjiang, processed), Caryophylli Flos (Dingxiang, each 0.5 liang).
Pound the above ingredients and sieve into a fine powder. Take one qian per dose, decoct with eight-tenths of a cup of water and two slices of fresh ginger, until five parts remain. Strain, let cool to warm temperature, and take before meals.
[Zeng Shi] Xiang Tang (Fragrant Decoction): Benefits the spleen and stomach, promotes appetite, regulates abdominal pain, and disperses pathogenic factors.
Ingredients: Xiang (stir-baked), Alpiniae Officinarum Rhizoma (Liangjiang, cut and stir-fried with earth from the east wall, each 1.5 liang), Atractylodis Rhizoma (Cangzhu, soaked in rice washing water overnight, remove coarse skin, filter dry, cut into slices, stir-fried until slightly yellow, 2 liang), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried, 1 liang).
Cut and bake the above ingredients into a powder. Take one qian per dose, mixed with salted water on an empty stomach.