(附论)
夫时气吐之后。或病新瘥。脾胃气皆虚。不能化于水谷。致有宿食难消。头目多疼。时
发寒热。或心腹烦满。大肠结燥。此皆是其候也。
方
枳实散(出圣惠方)治时气后脾胃气虚。心腹虚胀。吃食不消。
枳实(麸炒令黄) 人参(去芦一两) 干姜(炮制) 甘草(炙微赤锉) 半夏(汤
浸七次去
滑) 木香(各半两) 白术(三分) 桂心(三分) 桔梗(去芦三分) 上为散。每服
四钱。以
水一中盏。入生姜半分。枣三枚。煎至六分。去滓。食前服。
麦 散(出圣惠方)治时气后宿食不消。不思饮食。
麦 (微炒一两) 前胡(去芦头一两) 白术(一两) 槟榔(一两) 人参(去芦
头一两)
浓朴(去粗皮涂生姜汁炙令香熟一两) 甘草(半两炙微赤锉) 上为散。每服五钱。以水
一大
盏。入生姜半分。煎至五分。去滓。食前温服。
人参散(出圣惠方)治时气后胃虚。心膈壅闷。时有寒热。宿食不消。
人参(二两去芦头) 大腹皮(一两锉) 枳实(一两麸炒微黄) 赤茯苓(一两) 诃
黎勒
(用皮一两) 白术(一两) 桔梗(去芦头一两) 麦门冬(一两半去心焙) 甘草(半
两炙微赤
锉) 上为散。每服五钱。以水一大盏。煎至五分。去滓。食前温服。
白术散(出圣惠方)治时气后宿食不消。心胸壅滞。乍寒乍热。
白术(半两) 人参(去芦头半两) 陈橘皮(汤浸去白焙半两) 大腹皮(锉) 黄
(锉)
枳壳(麸炒微黄) 甘草(炙微赤锉各半两) 诃黎勒(用皮一两) 沉香(一两) 上为
散。每服
五钱。以水一大盏。煎至五分。去滓。食前温服。
大黄散(出圣惠方)治时气后宿食不消。不思饮食。
麦 (微炒一两) 前胡(去芦头一两) 白术(一两) 槟榔(一两) 人参(去芦
头一两)
浓朴(去粗皮涂生姜汁炙令香熟一两) 甘草(半两炙微赤锉) 上为散。每服五钱。以水
一大
盏。煎至五分。去滓。食前温服。
浓朴丸(出圣惠方)治时气后肠胃虚冷。食不消化。
浓朴(去粗皮涂生姜汁炙令香熟) 人参(去芦头) 枳壳(麸炒微黄去瓤) 神曲(炒
微黄)
大麦 (炒微黄) 杏仁(汤浸去皮尖双仁麸炒微黄各一两) 干姜(炮锉) 白术(各两
半) 甘
草(半两炙微赤锉) 茱萸(三分) 桂心(三分) 上为散。炼蜜和丸如梧桐子大。每服
食前以
枣汤下三十丸。
白豆蔻丸(出圣惠方)治时气后脾胃虚冷。食不消化。
白豆蔻(去皮) 草豆蔻(去皮) 白术 人参(去芦头) 陈橘皮(汤浸去白焙) 桂
心神
曲(炒黄三分) 干姜(炮锉) 甘草(炙微赤锉各半两) 上为末。炼蜜和丸如梧桐子大。
每服
食前以姜枣汤下三十丸。
木香丸(出圣惠方)治时气后脾胃虚冷。宿食不消。
木香(三分) 干姜(炮锉三分) 人参(去芦头) 枳壳(麸炒微黄去瓤) 麦 (炒
黄熟)
槟榔(各一两) 白术(一两半) 甘草(半两炙微赤锉) 上为散。炼蜜和丸如梧桐子大。
每服
食前以姜枣汤下三十丸。
黑神散(出活人书)治瘟疫时气有积食。
巴豆(新好者一两轻槌去皮以急流水两碗浸一宿然后更煮三五十沸候冷沥出去心膜以帛
拂去水然后研如膏用浓纸十数重压裹去油) 五灵脂(二分黑色者为上) 杏仁(半两烧过
后入
蒜煮研) 豆豉(二两新软者为妙不得令干与巴豆膏同细研) 大戟(半两生用去皮里面如
粉白
者妙) 三棱(半两生用) 上三味为极细末。入巴豆、豆豉研细。后入杏仁。更研细。别
入
飞罗面半匙。以井花水调如法。渐次和药。和得所。入臼中捣三二千下。丸如绿豆大。晾干
入瓶盒内。或微火焙亦得。如遇伤寒有食积者。脉沉。身体不热。即宜服之。量患人脏腑虚
实加减丸数服用。煎姜枣汤吞下。取微利为度。不可太过。溏泄身热。下之则为病气结胸。
若病在上可吐者。同生姜干嚼五丸。
(附论)
凡是感受时气邪毒呕吐之后,或者疾病刚刚痊愈,脾胃之气都虚弱,不能运化水谷,导致有宿食难以消化,头部和眼睛经常疼痛,时而发冷发热,或者心胸腹部烦闷胀满,大肠干燥结滞。这些都是其症状表现。
方剂
枳实散(出自《圣惠方》),治疗时气病后脾胃气虚,心胸腹部虚胀,进食不消化。
药材:枳实(麸皮炒至黄色)、人参(去芦头,一两)、干姜(炮制)、甘草(炙至微红并切碎)、半夏(用汤浸泡七次,去除滑腻物)、木香、白术、桂心、桔梗(去芦头)。以上药物研为散剂。每次服用四钱,用水一中盏,加入生姜半分,大枣三枚,煎煮至六分,滤去药渣,饭前服用。
麦蘖散(出自《圣惠方》),治疗时气病后宿食不消化,不想饮食。
药材:麦蘖(微炒,一两)、前胡(去芦头,一两)、白术(一两)、槟榔(一两)、人参(去芦头,一两)、厚朴(去粗皮,涂生姜汁炙至香熟,一两)、甘草(半两,炙至微红并切碎)。以上药物研为散剂。每次服用五钱,用水一大盏,加入生姜半分,煎煮至五分,滤去药渣,饭前温服。
人参散(出自《圣惠方》),治疗时气病后胃虚,心胸膈部壅塞闷痛,时有寒热,宿食不消化。
药材:人参(二两,去芦头)、大腹皮(一两,切碎)、枳实(一两,麸炒微黄)、赤茯苓(一两)、诃黎勒(只用皮,一两)、白术(一两)、桔梗(去芦头,一两)、麦门冬(一两半,去心焙干)、甘草(半两,炙至微红并切碎)。以上药物研为散剂。每次服用五钱,用水一大盏,煎煮至五分,滤去药渣,饭前温服。
白术散(出自《圣惠方》),治疗时气病后宿食不消化,心胸壅滞,忽冷忽热。
药材:白术(半两)、人参(去芦头,半两)、陈橘皮(汤浸去白瓤焙干,半两)、大腹皮(切碎)、黄芪(切碎)、枳壳(麸炒微黄)、甘草(炙至微红并切碎,各半两)、诃黎勒(只用皮,一两)、沉香(一两)。以上药物研为散剂。每次服用五钱,用水一大盏,煎煮至五分,滤去药渣,饭前温服。
大黄散(出自《圣惠方》),治疗时气病后宿食不消化,不想饮食。
药材:麦蘖(微炒,一两)、前胡(去芦头,一两)、白术(一两)、槟榔(一两)、人参(去芦头,一两)、厚朴(去粗皮,涂生姜汁炙至香熟,一两)、甘草(半两,炙至微红并切碎)。以上药物研为散剂。每次服用五钱,用水一大盏,加入生姜半分,煎煮至五分,滤去药渣,饭前温服。
厚朴丸(出自《圣惠方》),治疗时气病后肠胃虚冷,食物不消化。
药材:厚朴(去粗皮,涂生姜汁炙至香熟)、人参(去芦头)、枳壳(麸炒微黄去瓤)、神曲(炒微黄)、大麦蘖(炒微黄)、杏仁(汤浸去皮尖双仁,麸炒微黄,各一两)、干姜(炮制切碎)、白术(各一两半)、甘草(半两,炙至微红并切碎)、吴茱萸(三分)、桂心(三分)。以上药物研为细末,炼蜜调和制成如梧桐子大小的丸剂。每次饭前用枣汤送下三十丸。
白豆蔻丸(出自《圣惠方》),治疗时气病后脾胃虚冷,食物不消化。
药材:白豆蔻(去皮)、草豆蔻(去皮)、白术、人参(去芦头)、陈橘皮(汤浸去白瓤焙干)、桂心、神曲(炒黄,三分)、干姜(炮制切碎)、甘草(炙至微红并切碎,各半两)。以上药物研为细末,炼蜜调和制成如梧桐子大小的丸剂。每次饭前用姜枣汤送下三十丸。
木香丸(出自《圣惠方》),治疗时气病后脾胃虚冷,宿食不消化。
药材:木香(三分)、干姜(炮制切碎,三分)、人参(去芦头)、枳壳(麸炒微黄去瓤)、麦蘖(炒黄熟)、槟榔(各一两)、白术(一两半)、甘草(半两,炙至微红并切碎)。以上药物研为细末,炼蜜调和制成如梧桐子大小的丸剂。每次饭前用姜枣汤送下三十丸。
黑神散(出自《活人书》),治疗瘟疫时气伴有积食。
药材:巴豆(选用新好者一两,轻敲去皮,用急流水两碗浸泡一夜,然后再次煮沸三五十次,待冷却后沥干,去除心膜,用布擦拭去水分,然后研磨成膏状,用十数层浓纸包裹压去油质)、五灵脂(二分,以黑色者为上品)、杏仁(半两,烧过后加入蒜煮烂研磨)、豆豉(二两,以新软者为妙,不可令干,与巴豆膏一同细研)。以上三种药物研为极细末,加入巴豆、豆豉研细,再加入杏仁,继续研细。另外加入飞罗面半匙,用井花水调匀,逐渐和入药中,和得适宜,放入臼中捣三两千下,制成如绿豆大小的丸剂,晾干装入瓶盒内,或用微火焙干也可以。如果遇到伤寒有食积的患者,脉象沉,身体不发热,就应当服用此药。根据患者脏腑的虚实加减丸数服用,煎姜枣汤吞下,以轻微腹泻为度,不可太过。如果腹泻且身体发热,再用攻下法就会导致病气结胸。如果病邪在上部可以催吐的,同生姜干嚼五丸。
(Attached Discussion)
After vomiting due to seasonal pathogenic factors, or when a disease has just recovered, the Qi of the Spleen and Stomach is deficient. It fails to transform and transport water and grain, resulting in retained food that is difficult to digest. Symptoms include frequent pain in the head and eyes, alternating chills and fever, or irritability and fullness in the chest and abdomen, along with dryness and constipation in the Large Intestine. These are all characteristic manifestations.
Formulas
Zhishi San (Bitter Orange Decoction/Powder), from *Shenghui Fang* (Holy Wisdom Formulas). Treats deficiency of Spleen-Stomach Qi after seasonal diseases, empty distension in the chest and abdomen, and indigestion.
Ingredients: Zhishi (Fructus Aurantii Immaturus, stir-baked with bran until yellow), Renshen (Radix Ginseng, remove rhizome, 1 liang), Ganjiang (Rhizoma Zingiberis Preparatum, processed), Gancao (Radix Glycyrrhizae, honey-fried until slightly red and crushed), Banxia (Rhizoma Pinelliae, soaked in decoction seven times to remove slipperiness), Muxiang (Radix Aucklandiae), Baizhu (Rhizoma Atractylodis Macrocephalae), Guixin (Cortex Cinnamomi), Jiegeng (Radix Platycodi, remove rhizome). Grind the above into a powder. Take 4 qian per dose. Add 1 zhongzhan of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until 6 fen remains, filter dregs, and take before meals.
Maiya San (Hordeum Vulgare Sprout Powder), from *Shenghui Fang*. Treats retained food not digesting after seasonal diseases, loss of appetite.
Ingredients: Maiya (Sporocarps Hordei Vulgaris, lightly stir-baked, 1 liang), Qianhu (Radix Peucedani, remove rhizome, 1 liang), Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Binglang (Arecae Semen, 1 liang), Renshen (Radix Ginseng, remove rhizome, 1 liang), Houpo (Cortex Magnoliae Officinalis, remove rough bark, coat with fresh ginger juice, fry until fragrant and cooked, 1 liang), Gancao (Radix Glycyrrhizae, half liang, honey-fried until slightly red and crushed). Grind the above into a powder. Take 5 qian per dose. Add 1 large zhan of water and 0.5 fen of fresh ginger. Decoct until 5 fen remains, filter dregs, and take warm before meals.
Renshen San (Ginseng Powder), from *Shenghui Fang*. Treats Stomach deficiency after seasonal diseases, oppression and stuffiness in the chest and diaphragm, intermittent chills and fever, and indigestion of retained food.
Ingredients: Renshen (Radix Ginseng, 2 liang, remove rhizome), Dafupi (Pericarpium Arecae, 1 liang, crushed), Zhishi (Fructus Aurantii Immaturus, 1 liang, stir-baked with bran until slightly yellow), Chifuling (Poria Cocos with Red Bark, 1 liang), Helile (Fructus Chebulae, use peel only, 1 liang), Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Jiegeng (Radix Platycodi, 1 liang, remove rhizome), Maidong (Radix Ophiopogonis, 1.5 liang, remove heart and bake), Gancao (Radix Glycyrrhizae, half liang, honey-fried until slightly red and crushed). Grind the above into a powder. Take 5 qian per dose. Add 1 large zhan of water. Decoct until 5 fen remains, filter dregs, and take warm before meals.
Baizhu San (Atractylodes Macrocephala Powder), from *Shenghui Fang*. Treats retained food not digesting after seasonal diseases, chest and heart oppression and stagnation, alternating chills and heat.
Ingredients: Baizhu (Rhizoma Atractylodis Macrocephalae, half liang), Renshen (Radix Ginseng, half liang, remove rhizome), Chenpi (Pericarpium Citri Reticulatae, soak in water, remove white pith, bake, half liang), Dafupi (Pericarpium Arecae, crushed), Huangqi (Radix Astragali, crushed), Zhike (Fructus Aurantii, stir-baked with bran until slightly yellow), Gancao (Radix Glycyrrhizae, half liang each, honey-fried until slightly red and crushed), Helile (Fructus Chebulae, use peel only, 1 liang), Chenxiang (Lignum Aquilariae Resinatum, 1 liang). Grind the above into a powder. Take 5 qian per dose. Add 1 large zhan of water. Decoct until 5 fen remains, filter dregs, and take warm before meals.
Dahuang San (Rhubarb Powder), from *Shenghui Fang*. Treats retained food not digesting after seasonal diseases, loss of appetite.
Ingredients: Maiya (Sporocarps Hordei Vulgaris, lightly stir-baked, 1 liang), Qianhu (Radix Peucedani, 1 liang, remove rhizome), Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Binglang (Arecae Semen, 1 liang), Renshen (Radix Ginseng, 1 liang, remove rhizome), Houpo (Cortex Magnoliae Officinalis, 1 liang, remove rough bark, coat with fresh ginger juice, fry until fragrant and cooked), Gancao (Radix Glycyrrhizae, half liang, honey-fried until slightly red and crushed). Grind the above into a powder. Take 5 qian per dose. Add 1 large zhan of water and 0.5 fen of fresh ginger. Decoct until 5 fen remains, filter dregs, and take warm before meals.
Houpo Wan (Magnolia Officinalis Pill), from *Shenghui Fang*. Treats deficiency-cold of the intestines and stomach after seasonal diseases, indigestion of food.
Ingredients: Houpo (Cortex Magnoliae Officinalis, remove rough bark, coat with fresh ginger juice, fry until fragrant and cooked), Renshen (Radix Ginseng, remove rhizome), Zhike (Fructus Aurantii, stir-baked with bran until slightly yellow, remove pulp), Shenqu (Massa Medicata Fermentata, stir-baked until slightly yellow), Daimaiya (Sporocarps Hordei Vulgaris, stir-baked until slightly yellow), Xingren (Semen Pruni Armeniacae, soak in water, remove skin and pointed ends, double-kernel, stir-baked with bran until slightly yellow, 1 liang each), Ganjiang (Rhizoma Zingiberis Preparatum, processed and crushed), Baizhu (Rhizoma Atractylodis Macrocephalae, 1.5 liang each), Gancao (Radix Glycyrrhizae, half liang, honey-fried until slightly red and crushed), Zhuyu (Fructus Evodiae, 3 fen), Guixin (Cortex Cinnamomi, 3 fen). Grind the above into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take 30 pills before meals, washed down with jujube soup.
Baidoukou Wan (Cardamom Albus Pill), from *Shenghui Fang*. Treats deficiency-cold of the Spleen and Stomach after seasonal diseases, indigestion of food.
Ingredients: Baidoukou (Fructus Cardamomi Albi, remove peel), Caodoukou (Fructus Cardamomi, remove peel), Baizhu (Rhizoma Atractylodis Macrocephalae), Renshen (Radix Ginseng, remove rhizome), Chenpi (Pericarpium Citri Reticulatae, soak in water, remove white pith, bake), Guixin (Cortex Cinnamomi), Shenqu (Massa Medicata Fermentata, stir-baked until yellow, 3 fen), Ganjiang (Rhizoma Zingiberis Preparatum, processed and crushed), Gancao (Radix Glycyrrhizae, half liang each, honey-fried until slightly red and crushed). Grind the above into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take 30 pills before meals, washed down with ginger-jujube soup.
Muxiang Wan (Aucklandia Pill), from *Shenghui Fang*. Treats deficiency-cold of the Spleen and Stomach after seasonal diseases, indigestion of retained food.
Ingredients: Muxiang (Radix Aucklandiae, 3 fen), Ganjiang (Rhizoma Zingiberis Preparatum, processed and crushed, 3 fen), Renshen (Radix Ginseng, remove rhizome), Zhike (Fructus Aurantii, stir-baked with bran until slightly yellow, remove pulp), Maiya (Sporocarps Hordei Vulgaris, stir-baked until cooked and yellow), Binglang (Arecae Semen, 1 liang each), Baizhu (Rhizoma Atractylodis Macrocephalae, 1.5 liang), Gancao (Radix Glycyrrhizae, half liang, honey-fried until slightly red and crushed). Grind the above into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take 30 pills before meals, washed down with ginger-jujube soup.
Heishen San (Black Divine Powder), from *Huoren Shu* (Book of Saving People). Treats epidemic seasonal pathogens with accumulated food.
Ingredients: Badou (Semini Crotonis Tiglii, select fresh and good quality, 1 liang, lightly crush, remove peel, soak in fast-flowing water for two bowls overnight, then boil again for 30-50 boils, let cool, drain, remove heart membrane, wipe off water with cloth, then grind into paste. Wrap in ten layers of thick paper to press out oil), Wulingzhi (Trogopteri Dung, 2 fen, black color is superior), Xingren (Semen Pruni Armeniacae, half liang, roast, then cook with garlic and grind), Douchi (Faba Fermentata, 2 liang, fresh and soft is best, do not let it dry; grind finely together with Badou paste). Grind the above three ingredients into extremely fine powder. Add Badou and Douchi paste, grind fine. Then add Xingren, grind fine again. Separately add half a spoonful of Feiluo flour (fine sifted wheat flour). Mix with well-water to the proper consistency, gradually incorporating the medicine. Knead well, place in a mortar, pound 3,000-2,000 times. Form pills the size of mung beans. Dry them and store in bottles or boxes, or bake lightly over low fire. If encountering Taiyang disease with food accumulation, pulse is deep, body is not hot, this formula should be taken. Adjust the number of pills based on the deficiency or excess of the patient's internal organs. Swallow with ginger-jujube decoction. Aim for mild diarrhea as the limit; do not overdo it. If there is loose stool and fever, using purgatives will cause pathological Qi to knot in the chest (Jie Xiong). If the pathology is in the upper part and can be induced to vomit, chew 5 pills dry with fresh ginger.