(附论)
夫中气者。虽不见于方书。然暴喜伤阳。暴怒伤阴。忧愁不常。气多厥逆。往往多得
此
疾。
合香
者。
当推
之证
气则
当治
气分
不利
身
挟
气
方
桂附汤(出鲍氏方)治心下坚大如盘。边如旋盘。水饮所作。名曰气分。
桂心 甘草(炙) 麻黄(去节焙干称) 细辛(去苗各二两) 附子(四枚炮去皮脐)
上为
散。
枳术汤(出鲍氏方)治心下坚大如盘。边如旋盘。水饮所作。名曰气分。
枳实(一两半) 白术(三两) 上锉为散。每服四钱。水一盏半。煎至七分。去滓温
服。
腹中
独香汤(出危氏方)治中气闭目不语。四肢不收。精神昏困。
用南木香。不以多少为末。冬瓜子煎汤下。
术附汤(出危氏方)治中寒中气之候。四肢厥逆。口噤牙紧急。痰涎壅盛。
如
中风状者。
白术(四两去芦) 甘草(炙二两) 绵附子(炮去皮脐薄切片一两半) 上锉散。
每服三
钱。水
未退者
回阳汤(出澹寮方)治中寒脉弱。大段虚怯等证。
川乌(去皮脐) 附子(生去皮脐各半两) 干姜(炮二钱) 青皮(去瓤一两) 益
智仁(去
壳二
苏合香丸 治中气。如遇此证。急化四五粒灌之便醒。然后随宜调理。(方见尸
疰
门尸注 类)
治中气已死。
用理中丸二丸。浓煎橘皮汤送下。若或口噤便捏了病患鼻。斡开牙关,令吞下药。病者
即苏
调气丸(出卫生家宝方)治中气如中风状。中气而以风药治之。十无一愈。
中
风而以气药治
槟榔 木香 川芎 羌活 肉桂(去皮) 麻仁(各半两) 枳壳(一两去瓤麸炒) 沉
香
(一分)
每服三
十丸。
治中贼风口偏不语者。\x(出本草)
取食茱萸子一升。美豉三升。好酒五升。和煮四五沸。冷服半升。日三四服。得汗便瘥。
(附论)
所谓中气,虽然在医方书籍中没有专门记载,但是过度喜悦会损伤阳气,过度愤怒会损伤阴气,忧愁不断会导致气机逆乱,往往容易患上这种疾病。
桂附汤(出自鲍氏方),治疗心下坚硬胀大如盘状,边缘像旋转的盘子一样,由水饮所致,病名叫做气分。
药材:桂心、甘草(炙)、麻黄(去节焙干称量)、细辛(去苗,各二两)、附子(四枚,炮制后去皮脐)。
将上述药材制成散剂。
枳术汤(出自鲍氏方),治疗心下坚硬胀大如盘状,边缘像旋转的盘子一样,由水饮所致,病名叫做气分。
药材:枳实(一两半)、白术(三两)。
将药材切碎制成散剂。每次服用四钱,用水一盏半,煎煮至七分满,去渣温服。
独香汤(出自危氏方),治疗中气导致闭目不语,四肢无力无法收持,精神昏沉困倦。
使用南木香,用量不限,研为末。用冬瓜子煎汤送服。
术附汤(出自危氏方),治疗中寒和中气的症状,表现为四肢厥冷逆乱,牙关紧闭牙齿紧急,痰涎壅盛,如同中风的样子。
药材:白术(四两,去芦头)、甘草(炙二两)、绵附子(炮制后去皮脐,薄切片一两半)。
将药材切碎成散剂。每次服用三钱,用水……(原文此处有缺漏,未退者指药力未退或症状未退),回阳汤(出自澹寮方),治疗中寒脉象微弱,身体极度虚弱怯弱等症状。
药材:川乌(去皮脐)、附子(生用,去皮脐,各半两)、干姜(炮制二钱)、青皮(去瓤一两)、益智仁(去壳二……(原文此处有缺漏)。
苏合香丸,治疗中气。如果遇到这种证候,立即化开四五粒灌服,病人就会苏醒。然后根据实际情况进行调理。(方剂见尸疰门尸注类)。
治疗中气导致已经死亡的情况。
使用理中丸两丸,用浓煎的橘皮汤送下。如果牙关紧闭,就捏住病人的鼻子,撬开牙关,让病人吞下药。病人随即苏醒。
调气丸(出自卫生家宝方),治疗中气症状如同中风。中气如果用治风的方法治疗,十人中没有一个人能痊愈;中风如果用治气的药物治疗……(原文此处有缺漏)。
药材:槟榔、木香、川芎、羌活、肉桂(去皮)、麻仁(各半两)、枳壳(一两,去瓤麸炒)、沉香(一分)。
每次服用三十丸。
治疗中贼风导致口眼歪斜不能说话的情况。(出自本草)
取食茱萸子一升,优质豆豉三升,好酒五升,混合煮四五沸。冷却后服用半升,每日三四次,出汗后病情即可痊愈。
(Attached Discussion)
The condition of "Zhong Qi" (Qi Obstruction/Strike), although not explicitly recorded in medical formularies, arises from excessive joy damaging Yang Qi, excessive anger damaging Yin Qi, and constant worry causing Qi rebellion. Such conditions are frequently encountered.
Guifu Tang (Cinnamon Twig and Aconite Decoction, from Bao's Formula): Treats hardness and distension in the epigastrium as large as a plate, with edges resembling a rotating dish, caused by fluid retention. This is named "Qi Fen" (Qi Division/Level).
Ingredients: Rougui Xin (Cortex Cinnamomi), Gancao (Radix Glycyrrhizae Preparata, honey-fried), Mahuang (Herba Ephedrae, nodes removed and dried), Xixin (Radix Asari, roots removed, each 2 liang), Fuzi (Rhizoma Aconiti Lateralis Preparatus, four pieces, processed, skin and umbilicus removed).
Process into powder.
Zhi Zhu Tang (Immature Bitter Orange and Atractylodes Macrocephala Decoction, from Bao's Formula): Treats hardness and distension in the epigastrium as large as a plate, with edges resembling a rotating dish, caused by fluid retention. This is named "Qi Fen".
Ingredients: Zhishi (Fructus Aurantii Immaturus, 1.5 liang), Baizhu (Rhizoma Atractylodis Macrocephalae, 3 liang).
Cut into pieces and process into powder. Take 4 qian per dose, decoct with 1.5 sheng of water until reduced to 0.7 sheng, strain, and take warm.
Duxiang Tang (Single Musk Fragrance Decoction, from Wei's Formula): Treats Zhong Qi presenting with closed eyes and inability to speak, flaccidity of the four limbs, and mental confusion with lethargy.
Use Nanmuxiang (Lignum Aquilariae Resinatum or related aromatic wood), amount unspecified, grind into powder. Take with decoction of Dongguazi (Semen Benincasae).
Shu Fu Tang (Atractylodes and Aconite Decoction, from Wei's Formula): Treats symptoms of Zhong Han (Cold Strike) and Zhong Qi, manifesting as cold extremities and reversal, locked jaw with tight teeth, and profuse phlegm-saliva, resembling stroke.
Ingredients: Baizhu (Rhizoma Atractylodis Macrocephalae, 4 liang, rhizome base removed), Gancao (Radix Glycyrrhizae Preparata, honey-fried, 2 liang), Mian Fuzi (Rhizoma Aconiti Lateralis Preparatus, processed, skin and umbilicus removed, sliced thinly, 1.5 liang).
Cut into pieces and process into powder. Take 3 qian per dose... [Text fragment missing regarding dosage instructions].
Huiyang Tang (Restore Yang Decoction, from Danliao's Formula): Treats Zhong Han with weak pulse, and severe deficiency and timidity syndromes.
Ingredients: Chuanwu (Radix Aconiti Kusnezoffii, skin and umbilicus removed), Fuzi (Rhizoma Aconiti Lateralis Preparatus, raw, skin and umbilicus removed, each 0.5 liang), Ganjiang (Rhizoma Zingiberis Preparatum, processed, 2 qian), Qingpi (Pericarpium Citri Reticulatae Viride, pith removed, 1 liang), Yizhiren (Semen Alpiniae Oxyphyllae, shell removed, 2 ... [Text fragment missing]).
Suhe Xiang Wan (Styrax Pill): Treats Zhong Qi. Upon encountering this syndrome, immediately dissolve 4-5 pills and administer orally; the patient will regain consciousness. Subsequently, regulate according to circumstances. (See Shizhu Men/Shi Zhu Category for formula details).
Treats Zhong Qi leading to apparent death.
Administer two Li Zhong Wan (Regulate the Middle Pills) delivered with thickly decocted Chenpi (Pericarpium Citri Reticulatae) soup. If the jaw is locked, pinch the patient's nose, pry open the mouth, and allow swallowing. The patient will revive.
Tiaoqi Wan (Regulate Qi Pill, from Weisheng Jiabao Fang): Treats Zhong Qi presenting like stroke. Treating Zhong Qi with wind-dispelling herbs results in no cures out of ten; treating stroke with Qi-regulating herbs... [Text fragment missing].
Ingredients: Binglang (Arecae Semen), Muxiang (Radix Aucklandiae), Chuanxiong (Rhizoma Chuanxiong), Qianghuo (Rhizoma et Radix Notopterygii), Rougui (Cortex Cinnamomi, bark removed), Haren (Semen Cannabis), Zhike (Fructus Aurantii, pith removed, stir-fried with bran, 1 liang), Chenxiang (Lignum Aquilariae Resinatum, 1 fen).
Take 30 pills per dose.
Treats facial deviation and inability to speak due to Zhong Zeifeng (Thief Wind Strike). [From Bencao]
Take 1 sheng of Shizhuyu (Fructus Corni), 3 sheng of Meichi (Fermented Soybean), and 5 sheng of good wine. Boil together for 4-5 boils. Cool and take 0.5 sheng. Administer 3-4 times daily. Recovery occurs upon sweating.