(附论)
夫妇人两胁胀痛者。由脏腑虚弱。气血不调。风冷之气。客于腹胃。复于胞络之间。与
气血
方
三脘散 治中焦虚痞。两胁气痛。面目手浮足肿。大便秘涩。兼治香港脚。
大腹皮 紫苏 藿香 干木瓜 独活(各一两) 白术 川芎 木香 甘草 陈皮 槟
榔
(各
方
云。
数剂
诃黎勒皮 治妇人心腹气滞。两胁胀痛。四肢无力。不思饮食。
诃黎勒(一两煨用皮) 槟榔 桂心 木香(各半两微焙) 白术 赤芍药 桔梗(去
芦头)
当
黄去裙
)
枳壳丸 治妇人心腹气滞。两胁胀痛。不能饮食。
枳壳(三分麸炒黄去瓤) 槟榔(一两) 桂心(三分) 木香(半两) 鳖甲(一两
涂醋炙黄
去裙
(一两锉
碎微
杵。
丸如
草豆蔻散 治妇人脾胃虚气攻。两胁胀痛。
草豆蔻 诃子肉(各一两) 桂心 桔梗 浓朴(各三分) 甘草(一分) 川芎 当
归干
姜
子散 治妇人脏腑虚冷宿食气攻。两胁胀痛。坐卧不安。
子 延胡索 桃仁 桂心 琥珀 当归 赤芍药 木香 没药(各半两) 上为末。
每服
木香散 治妇人气血攻心。两胁胀痛。背膊壅闷。手足烦疼。不能饮食。
木香(三分) 白术(一两) 桂心 诃黎勒皮(三分) 鳖甲(一两半涂醋炙令黄去
裙)
赤芍
每服
四
木香散 治妇人胸膈气壅。两胁胀闷。不欲饮食。
木香(半两) 枳壳(一两麸炒微黄去瓤) 川大黄(一两锉碎微炒) 白术(半两) 前
胡
(一两
皮) 上
为散。
木通散 治胁肋苦痛。
木通 青皮(去白) 川楝子(去皮核各一两以上三味用巴豆同炒黄去豆) 萝卜子(炒)
舶上
甚
者不过
木香散 治妇人虚冷气攻。两胁胀痛。不能饮食。
木香(二两) 吴茱萸(半两汤浸七次焙干微炒) 芎 (三分) 桂心(三分) 高
良姜(半
两锉)
热
酒调下
灵宝散 治妇人气攻刺痛引两胁。并治 癖冷气。
丁香 木香 乳香(各钱半) 当归 延胡索 白芍药(各半两) 上为末。每服一钱。
食
前温
芍药汤(出危氏方)治冷证胁痛。诸药不效。
香附子(四两黄米醋二升盐一两煮干为度) 肉桂 延胡索(炒) 白芍药(各一两) 上
为
末。
气针丸(出大全良方)治久积风壅。疏利滞气。空胸膈。止刺痛。
黑牵牛(二两半生半炒) 木香 青皮(去白) 大黄(炮) 槟榔(各一两) 上为
末。炼蜜
丸如
大全良方云。昔有邓安人。年五十。忽然气痛。投神保丸愈。不一二日。再痛。再服神
保丸
则筑
问诊
数日
大实
痛。
和。
可便
虚作
荆布
手不
柴胡
(附论)
妇女出现两胁胀痛的症状,是由于脏腑虚弱,气血不调,风冷之气侵入腹胃,并滞留于胞络之间,与气血相互搏结所致。
方剂:
三脘散:治疗中焦虚痞,两胁气痛,面目及手足浮肿,大便秘结涩滞。兼治脚气病。
药材:大腹皮、紫苏、藿香、干木瓜、独活(各一两)、白术、川芎、木香、甘草、陈皮、槟榔。
(原文此处有缺漏,据文意推测为煎服法或剂量说明,如“水煎服”等,但原文仅存“数剂”字样,故译为:服用数剂。)
诃黎勒皮:治疗妇人心腹气滞,两胁胀痛,四肢无力,不思饮食。
药材:诃黎勒皮(一两,煨用)、槟榔、桂心、木香(各半两,微焙)、白术、赤芍药、桔梗(去芦头)。
(原文此处有缺漏,推测为煎服法,译文略去不明部分,保留主治和药材。)
枳壳丸:治疗妇人心腹气滞,两胁胀痛,不能进食。
药材:枳壳(三分,麸炒黄,去瓤)、槟榔(一两)、桂心(三分)、木香(半两)、鳖甲(一两,涂醋炙黄,去裙襕)。
(原文此处有缺漏,推测为制作丸剂的辅料或方法,如“杵为末,炼蜜为丸”,译文略去不明部分。)
草豆蔻散:治疗妇人脾胃虚气攻冲,两胁胀痛。
药材:草豆蔻、诃子肉(各一两)、桂心、桔梗、浓朴(各三分)、甘草(一分)、川芎、当归、干姜。
(原文此处有缺漏,推测为煎服法,译文略去不明部分。)
延胡索散(原文误作“子 散”,据药材延胡索推断):治疗妇人脏腑虚冷,宿食气攻冲,两胁胀痛,坐卧不安。
药材:延胡索、桃仁、桂心、琥珀、当归、赤芍药、木香、没药(各半两)。上药研为细末。
(原文此处有缺漏,推测为每次服用量,译文略去不明部分。)
木香散:治疗妇人气血攻心,两胁胀痛,背膊壅闷,手足烦疼,不能进食。
药材:木香(三分)、白术(一两)、桂心、诃黎勒皮(三分)、鳖甲(一两半,涂醋炙令黄,去裙襕)、赤芍药。
(原文此处有缺漏,推测为煎服法,译文略去不明部分。)
四逆木香散(原文误作“四 木香散”,据方义推测可能为四逆汤加减或类似名,暂译作木香散类):治疗妇人胸膈气壅,两胁胀闷,不欲进食。
药材:木香(半两)、枳壳(一两,麸炒微黄,去瓤)、川大黄(一两,锉碎,微炒)、白术(半两)、前胡、(原文缺味,推测为其他理气药)、(原文缺味,推测为其他理气药)。上药研为散剂。
(原文此处有缺漏,译文略去不明部分。)
木通散:治疗胁肋苦痛。
药材:木通、青皮(去白)、川楝子(去皮核,各一两;以上三味用巴豆同炒黄,去豆)、萝卜子(炒)。
(原文此处有缺漏,推测为煎服法,译文略去不明部分。)
木香散:治疗妇人虚冷气攻冲,两胁胀痛,不能进食。
药材:木香(二两)、吴茱萸(半两,汤浸七次,焙干,微炒)、川芎(三分)、桂心(三分)、高良姜(半两,锉)。
(原文此处有缺漏,推测为煎服法,如“热酒调下”,译文略去不明部分。)
灵宝散:治疗妇人气攻刺痛牵引两胁。并治癖块冷气。
药材:丁香、木香、乳香(各钱半)、当归、延胡索、白芍药(各半两)。上药研为细末。每服一钱。
(原文此处有缺漏,推测为服用时间,如“食前温服”,译文略去不明部分。)
芍药汤(出自危氏方):治疗冷证胁痛,诸药不效者。
药材:香附子(四两,用黄米醋二升、盐一两煮干为度)、肉桂、延胡索(炒)、白芍药(各一两)。上药研为细末。
(原文此处有缺漏,推测为服用方法,译文略去不明部分。)
气针丸(出自大全良方):治疗久积风壅,疏利滞气,空胸膈,止刺痛。
药材:黑牵牛(二两半,生半炒)、木香、青皮(去白)、大黄(炮)、槟榔(各一两)。上药研为细末,炼蜜为丸。
(原文此处有缺漏,推测为丸剂大小,如“丸如梧桐子大”,译文略去不明部分。)
《大全良方》记载:昔日有邓安人,年五十岁,忽然气痛,服用神保丸后痊愈。不一二日,疼痛复发,再服神保丸,则疼痛加剧如捣击般剧烈。
(原文后续内容残缺不全,涉及问诊、虚实辨证等片段,如“数日”、“大实痛”、“和”、“可便”、“虚作”、“荆布”、“手不”、“柴胡”等,因语义断裂,无法构成完整句子,故仅提取关键词汇,不作连贯翻译。)
(Attached Discussion)
When women suffer from distending pain in both hypochondria, it is caused by the weakness of the Zang-Fu organs and the disharmony of Qi and Blood. The pathogenic factors of Wind-Cold invade the abdomen and Stomach, and lodge between the Chong and Ren vessels (Chong Mai and Ren Mai), where they interact with Qi and Blood.
Prescriptions:
Sanwan Powder (Three Abdomen Powder): Treats deficiency-type fullness in the Middle Jiao, Qi pain in both hypochondria, edema of the face, eyes, hands, and feet, constipation with dry stools. It also treats Jiaogqi (Foot-rot disease).
Ingredients: Arecae Pericarpium (Dafupi), Perilla Leaf (Zisu), Agastache Herb (Huoxiang), Dried Papaya (Gan Mugua), Notopterygium Rhizome (Duhuo) (each 1 liang), Atractylodes Macrocephala Rhizome (Baizhu), Szechuan Lovage Rhizome (Chuanxiong), Aucklandiae Root (Muxiang), Licorice Root (Gancao), Tangerine Peel (Chenpi), Areca Seed (Binglang).
(Take several doses.)
Helilei Pi (Pericarp of Chebula Fructus): Treats Qi stagnation in the heart and abdomen of women, distending pain in both hypochondria, weakness in the four limbs, and loss of appetite.
Ingredients: Pericarp of Chebula Fructus (Helilei Pi) (1 liang, roasted for use of the peel), Areca Seed (Binglang), Cinnamon Twig (Guixin), Aucklandiae Root (Muxiang) (each half liang, lightly roasted), Atractylodes Macrocephala Rhizome (Baizhu), Red Peony Root (Chishao), Platycodon Root (Jiegeng) (remove the root head).
Zhike Pill (Immature Bitter Orange Pill): Treats Qi stagnation in the heart and abdomen of women, distending pain in both hypochondria, and inability to eat.
Ingredients: Immature Bitter Orange (Zhike) (3 fen, stir-fried with bran until yellow, remove pith), Areca Seed (Binglang) (1 liang), Cinnamon Twig (Guixin) (3 fen), Aucklandiae Root (Muxiang) (half liang), Turtle Carapace (Biejia) (1 liang, coated with vinegar, roasted until yellow, remove the skirt-like edges).
Caodoukou San (Cardamom Powder): Treats attacking deficiency-Qi of the Spleen and Stomach in women, causing distending pain in both hypochondria.
Ingredients: Greater Cardamom Fruit (Caodoukou), Flesh of Chebula Fructus (Hezi Rou) (each 1 liang), Cinnamon Twig (Guixin), Platycodon Root (Jiegeng), Magnolia Bark (Nanpiao/Nanpu - note: text says Nongpo, likely Magnolia officinalis bark), Licorice Root (Gancao) (1 fen), Szechuan Lovage Rhizome (Chuanxiong), Angelica Sinensis Root (Danggui), Dried Ginger (Ganjiang).
Yanshusan (Pulse-Root Powder - inferred name from ingredients): Treats deficiency-cold of the Zang-Fu organs and attacking Qi from retained food in women, causing distending pain in both hypochondria, restlessness in sitting and lying down.
Ingredients: Corydalis Rhizome (Yanhusuo), Peach Kernel (Taoren), Cinnamon Twig (Guixin), Amber (Hupo), Angelica Sinensis Root (Danggui), Red Peony Root (Chishao), Aucklandiae Root (Muxiang), Myrrh (Moyao) (each half liang). Grind into powder.
(Take appropriate dose.)
Muxiang San (Aucklandia Powder): Treats Qi and Blood attacking the Heart in women, causing distending pain in both hypochondria, oppression in the back and shoulders, vexing pain in the hands and feet, and inability to eat.
Ingredients: Aucklandiae Root (Muxiang) (3 fen), Atractylodes Macrocephala Rhizome (Baizhu) (1 liang), Cinnamon Twig (Guixin), Pericarp of Chebula Fructus (Helilei Pi) (3 fen), Turtle Carapace (Biejia) (1.5 liang, coated with vinegar, roasted until yellow, remove skirt), Red Peony Root (Chishao).
(Take appropriate dose.)
Sini Muxiang San (Four Reversals Aucklandia Powder - inferred name): Treats Qi obstruction in the chest and diaphragm of women, distending oppression in both hypochondria, and lack of desire to eat.
Ingredients: Aucklandiae Root (Muxiang) (half liang), Immature Bitter Orange (Zhike) (1 liang, stir-fried with bran until slightly yellow, remove pith), Rhubarb (Dahuang) (1 liang, cut into pieces, lightly stir-fried), Atractylodes Macrocephala Rhizome (Baizhu) (half liang), Peucedanum Root (Qianhu), [Missing Ingredient], [Missing Ingredient]. Grind into powder.
Mutong San (Akebia Powder): Treats severe pain in the costal region.
Ingredients: Akebia Stem (Mutong), Green Citrus Peel (Qingpi) (remove white pith), Chinese Quince Fruit (Chuanlianzi) (remove skin and seeds, each 1 liang; these three ingredients are stir-fried together with Croton Seed (Badou) until yellow, then remove Badou), Radish Seed (Luobozhi) (stir-fried).
(Take appropriate dose.)
Muxiang San (Aucklandia Powder): Treats attacking deficiency-Cold Qi in women, causing distending pain in both hypochondria and inability to eat.
Ingredients: Aucklandiae Root (Muxiang) (2 liang), Evodia Fruit (Wuzhuyu) (half liang, soaked in water seven times, dried, lightly stir-fried), Szechuan Lovage Rhizome (Xiongqiong/Chuanxiong) (3 fen), Cinnamon Twig (Guixin) (3 fen), Galangal Rhizome (Gaoliangjiang) (half liang, cut into pieces).
(Mix with hot wine and take.)
Lingbao San (Spirit Treasure Powder): Treats stabbing pain in women caused by attacking Qi radiating to both hypochondria. Also treats Pi masses (accumulations) due to Cold Qi.
Ingredients: Clove (Dingxiang), Aucklandiae Root (Muxiang), Frankincense (Ruxiang) (each 1 qian half), Angelica Sinensis Root (Danggui), Corydalis Rhizome (Yanhusuo), White Peony Root (Baishao) (each half liang). Grind into powder. Take 1 qian per dose.
(Take warm before meals.)
Shaoyao Tang (Peony Decoction - from Wei Shi's Formulas): Treats hypochondriac pain due to Cold patterns that have not responded to other medicines.
Ingredients: Cyperus Rhizome (Xiangfuzi) (4 liang, boiled with 2 sheng of yellow rice vinegar and 1 liang of salt until dry), Cinnamon Bark (Rougui), Corydalis Rhizome (Yanhusuo) (stir-fried), White Peony Root (Baishao) (each 1 liang). Grind into powder.
Qizhen Wan (Qi Needle Pill - from Daquan Liangfang): Treats long-standing accumulation of Wind obstruction, promoting the flow of stagnant Qi, clearing the chest and diaphragm, and stopping stabbing pain.
Ingredients: Black Morning Glory Seed (Heiqianniu) (2.5 liang, half raw, half stir-fried), Aucklandiae Root (Muxiang), Green Citrus Peel (Qingpi) (remove white pith), Rhubarb (Dahuang) (processed), Areca Seed (Binglang) (each 1 liang). Grind into powder, mix with refined honey to make pills.
(Pills size unspecified in text fragment.)
Daquan Liangfang records: In the past, there was a woman surnamed Deng, aged fifty, who suddenly suffered from Qi pain. After taking Shenbao Wan, she recovered. However, one or two days later, the pain recurred. Upon taking Shenbao Wan again, the pain became severe, feeling like being beaten.
(The remaining text fragments include terms related to inquiry, differentiation of excess/deficiency, and herbs like Chaihu, but do not form complete sentences.)