(附论)
夫癖结者。此由饮水停聚不散。复与饮食相搏。致使结聚在于胁下。时有弦 或起或
胀
痛
方
桃仁散(出圣惠方)治癖结。气积聚不散。
桃仁(一两汤浸去皮尖双仁麸炒微黄) 防葵(一两) 枳壳(三分麸炒微黄去瓤) 赤
茯苓
(一
草(半两炙
微赤
(三
分)
去滓
鳖甲丸(出圣惠方)治癖结。胁肋弦急疼痛。喘息短气。
鳖甲(三两涂醋炙令黄去裙 ) 川大黄(二两锉碎微炒) 赤芍药(半两) 京三棱
(一两
半
(三分去
芦头
微黄去
瓤)
于
食前。
槟榔散(出圣惠方)治癖结。腹胀满。喘促。大小便难。宜服。
槟榔(一两) 木香(半两) 白术(三分) 陈橘皮(三分汤浸去白瓤焙) 赤芍药
(三分)
桑根
件药为散
每服
曾青丸 疗久寒积聚。留饮宿食。天行伤寒者。服之二十日愈。久服令人延年益寿
。浩仲堪
久病羸瘦。老
曾青 朴硝 巴豆(去心皮熬各二分) 寒水石 茯苓 川大黄 附子(各三分) 上
各异
捣筛
曾青
子一
霍
大黄散(出圣惠方)治癖结。两胁胀痛。
川大黄(一两锉碎微炒) 京三棱(一两微煨锉) 鳖甲(一两涂醋炙令黄去裙 ) 槟
榔
(一
药为散。
每服三
半夏丸(一名野狼毒丸出圣惠方)治癖结。坚固。久不瘥。令人食少。
半夏(一两汤洗七遍去滑) 杏仁(一两汤浸去皮尖双仁麸炒微黄) 野狼毒(一两微煨
锉)
桂心
两) 上
件药
中候姜黑丸(出肘后方)疗诸癖结。痰饮等。大良。
桔梗 桂心(各四分) 巴豆(去皮心熬八分) 芫花(熬十二分) 杏仁(去皮尖两
仁者熬
五分)
胡豆大
快。体
枳实散(出圣惠方)治癖结。不能饮食。心下虚满如水者。
枳实(一两半麸炒微黄) 半夏(一两汤洗七遍去滑) 白术(一两半) 上件药为散。
每服
三钱
三圣丸(一名巴豆丸出圣惠方)治癖结心下硬痛。
巴豆(五枚去皮心研纸裹压去油) 杏仁(二十枚汤浸去皮尖双仁麸炒微黄) 川大黄
(一
两锉
五丸
七丸
心温
木香分气丸(出宣明论方)治积气。癖块不消。心腹痞结。疼痛抢刺。如覆
杯
状。
陈皮(去白) 槟榔(各一两) 破故纸(二两炒) 木香(一两半) 黑牵牛(十二
两炒香熟
取五
服。
磨积食劳丸 治食劳黄病。瘦弱年深。嗜食生味米麦。及盐土不正之食。积久虫多
\x。便生癖
寒食面(半斤) 巴豆霜(二钱半) 雄黄(三钱半另研) 白牵牛 南青皮 陈皮(各
半斤)
上
【附论】
所谓癖结,是由于饮水停滞积聚不散,又与饮食相互搏结,导致气结聚在胁下。时常出现弦急感,有时发作,有时胀满疼痛。
桃仁散(出自《圣惠方》),治疗癖结。气机积聚不散。
药材:桃仁(一两,用热水浸泡,去皮尖,保留双仁,麸炒至微黄)、防葵(一两)、枳壳(三分,麸炒至微黄,去瓤)、赤茯苓(一两)、甘草(半两,炙至微赤)。
上药捣筛为散。每服三钱,用水一中盏,加生姜半分,煎至六分,去滓,温服,不拘时候。
鳖甲丸(出自《圣惠方》),治疗癖结。胁肋部弦急疼痛,喘息短气。
药材:鳖甲(三两,涂醋炙至黄色,去裙边)、川大黄(二两,锉碎,微炒)、赤芍药(半两)、京三棱(一两半,微煨,锉)、桂心(三分,去芦头,微黄,去瓤)。
上药捣罗为末,炼蜜和丸,如梧桐子大。每服二十丸,食前用温粥饮送下。
槟榔散(出自《圣惠方》),治疗癖结。腹部胀满,喘促,大小便困难。适宜服用。
药材:槟榔(一两)、木香(半两)、白术(三分)、陈橘皮(三分,热水浸泡去白瓤,焙干)、赤芍药(三分)、桑根白皮(三分,锉,微炒)。
上药捣筛为散。每服三钱,用水一中盏,煎至六分,去滓,温服,不拘时候。
曾青丸,治疗久寒积聚,留饮宿食。感受天行时气或伤寒者,服用二十日可愈。长期服用可使人延年益寿。
记载者:浩仲堪。
症状背景:久病身体羸瘦,年老体弱。
药材:曾青、朴硝、巴豆(去心皮,熬制,各二分)、寒水石、茯苓、川大黄、附子(各三分)。
上药捣筛为末,炼蜜和丸,如梧桐子大。每服五丸,温水送下,不拘时候。
大黄散(出自《圣惠方》),治疗癖结。两胁胀痛。
药材:川大黄(一两,锉碎,微炒)、京三棱(一两,微煨,锉)、鳖甲(一两,涂醋炙至黄色,去裙边)、槟榔(一两,锉)、桂心(三分,去芦头,微黄,去瓤)。
上药捣筛为散。每服三钱,用水一中盏,加生姜半分,煎至六分,去滓,温服,不拘时候。
半夏丸(又名野狼毒丸,出自《圣惠方》),治疗癖结。结块坚固,久不痊愈。使人食欲减少。
药材:半夏(一两,热水洗七遍去滑腻)、杏仁(一两,热水浸泡去皮尖,保留双仁,麸炒至微黄)、野狼毒(一两,微煨,锉)、桂心(三分,去芦头,微黄,去瓤)。
上药捣罗为末,炼蜜和丸,如梧桐子大。每服十丸,食前用温粥饮送下。
中候姜黑丸(出自《肘后方》),治疗各种癖结、痰饮等。效果很好。
药材:桔梗、桂心(各四分)、巴豆(去皮心,熬制,八分)、芫花(熬制,十二分)、杏仁(去皮尖,双仁者,熬制,五分)。
上药捣罗为末,炼蜜和丸,如胡豆大。每服一丸,温水送下,不拘时候。若感觉不适,喝热粥缓解。
枳实散(出自《圣惠方》),治疗癖结。不能饮食,心下虚满,感觉像有水一样。
药材:枳实(一两半,麸炒至微黄)、半夏(一两,热水洗七遍去滑腻)、白术(一两半)。
上药捣筛为散。每服三钱,用水一中盏,加生姜半分,煎至六分,去滓,温服,不拘时候。
三圣丸(又名巴豆丸,出自《圣惠方》),治疗癖结心下硬痛。
药材:巴豆(五枚,去皮心,研烂用纸包裹压去油)、杏仁(二十枚,热水浸泡去皮尖,保留双仁,麸炒至微黄)、川大黄(一两,锉碎,微炒)。
上药捣罗为末,炼蜜和丸,如梧桐子大。每服五丸,食前用温粥饮送下。若未见效,增至七丸。服药后心中温暖为宜。
木香分气丸(出自《宣明论方》),治疗积气。癖块不消,心腹痞结,疼痛如针刺牵引。感觉像倒扣的杯子状。
药材:陈皮(去白)、槟榔(各一两)、破故纸(二两,炒)、木香(一两半)、黑牵牛(十二两,炒香熟,取末)。
上药除黑牵牛末外,其余捣罗为末,与前药末拌匀,炼蜜和丸,如梧桐子大。每服二十丸,食前用温米汤送下。
磨积食劳丸,治疗食劳黄病。身体瘦弱日久,嗜食生味、米麦及盐土不正之食。积久虫多,便生癖结。
药材:寒食面(半斤)、巴豆霜(二钱半)、雄黄(三钱,另研)、白牵牛、南青皮、陈皮(各半斤)。
上药捣罗为末,炼蜜和丸,如梧桐子大。每服十丸,食前用温米汤送下。
[Attached Discussion]
The condition known as "Pi Jie" (Pleural Mass/Abdominal Lump) arises from the stagnation and accumulation of water intake that fails to disperse, which then interacts and combats with food. This results in the formation of a knot or mass located under the hypochondrium. Patients may experience periodic tension or wiriness, with episodes of onset, distension, and pain.
Taoren San (Peach Kernel Powder) [Source: *Shenghui Fang*]: Treats Pi Jie characterized by stagnant Qi accumulation that does not disperse.
Ingredients: Taoren (Peach Seed, *Prunus persica* seed), 1 liang, soaked in hot water, skin and pointed end removed, retaining the double kernel, stir-fried with bran until slightly yellow; Fangkui (Adenophorae Radix), 1 liang; Zhike (Aurantii Fructus Immaturus), 3 fen, stir-fried with bran until slightly yellow, placenta removed; Chi Fuling (Red Poria), 1 liang; Gancao (Licorice Root, *Glycyrrhiza uralensis* root), 0.5 liang, honey-fried until slightly red.
Preparation: The above herbs are crushed and sieved into a powder.
Dosage: Take 3 qian per dose. Add half a qian of fresh ginger to one zhong zhan (approx. 200ml) of water, decoct until reduced to six-tenths. Strain and take warm. No specific timing required.
Biejia Wan (Softshell Turtle Pill) [Source: *Shenghui Fang*]: Treats Pi Jie presenting with tense and painful hypochondrium, panting, and shortness of breath.
Ingredients: Biejia (Softshell Turtle Shell, *Trionyx sinensis* carapace), 3 liang, coated with vinegar and fried until yellow, skirt edge removed; Chuan Dahuang (Rhubarb Root, *Rheum palmatum* root), 2 liang, cut into small pieces and slightly stir-fried; Chi Shaoyao (Red Peony Root, *Paeonia lactiflora* root), 0.5 liang; Jing Sanleng (Sparganii Rhizoma), 1.5 liang, slightly roasted and cut; Guixin (Cinnamon Twig, *Cinnamomum cassia* twig), 3 fen, rhizome removed, slightly yellow, placenta removed.
Preparation: The above herbs are pulverized into fine powder and mixed with refined honey to form pills the size of Chinese quince seeds (*Wutongzi*).
Dosage: Take 20 pills per dose before meals, swallowed with warm millet gruel.
Binglang San (Betel Nut Powder) [Source: *Shenghui Fang*]: Treats Pi Jie accompanied by abdominal distension and fullness, panting, and difficulty in urination and defecation. Suitable for use.
Ingredients: Binglang (Areca Seed, *Areca catechu* seed), 1 liang; Muxiang (Costus Root, *Saussurea costus* root), 0.5 liang; Baizhu (Atractylodis Macrocephalae Rhizoma), 3 fen; Chenjupi (Tangerine Peel, *Citrus reticulata* peel), 3 fen, soaked in hot water, white pith removed, dried; Chi Shaoyao (Red Peony Root, *Paeonia lactiflora* root), 3 fen; Sanggenbaipi (Morus Root Bark, *Morus alba* root bark), 3 fen, cut into pieces and slightly stir-fried.
Preparation: The above herbs are crushed and sieved into a powder.
Dosage: Take 3 qian per dose. Add one zhong zhan of water, decoct until reduced to six-tenths. Strain and take warm. No specific timing required.
Zengqing Wan (Chrysocolla Pill): Treats long-standing cold accumulation, retained fluid, and leftover food. For those suffering from epidemic febrile diseases or cold damage, taking this medicine for twenty days leads to recovery. Long-term use promotes longevity and health.
Recorded by: Hao Zhongkan.
Clinical Context: Chronic illness resulting in emaciation and frailty in the elderly.
Ingredients: Zengqing (Chrysocolla); Xiaoxiao (Natrii Sulfas); Badou (Croton Seed, *Croton tiglium* seed), heart and skin removed, roasted, 2 fen each; Hanshuishi (Halloysitum Rubrum); Fuling (Poria); Chuan Dahuang (Rhubarb Root, *Rheum palmatum* root); Fuzi (Aconiti Lateralis Radix Praeparata), 3 fen each.
Preparation: The above herbs are crushed and sieved into powder, mixed with refined honey to form pills the size of Chinese quince seeds.
Dosage: Take 5 pills per dose with warm water. No specific timing required.
Dahuang San (Rhubarb Powder) [Source: *Shenghui Fang*]: Treats Pi Jie with distending pain in both hypochondria.
Ingredients: Chuan Dahuang (Rhubarb Root, *Rheum palmatum* root), 1 liang, cut into pieces and slightly stir-fried; Jing Sanleng (Sparganii Rhizoma), 1 liang, slightly roasted and cut; Biejia (Softshell Turtle Shell, *Trionyx sinensis* carapace), 1 liang, coated with vinegar and fried until yellow, skirt edge removed; Binglang (Areca Seed, *Areca catechu* seed), 1 liang, cut; Guixin (Cinnamon Twig, *Cinnamomum cassia* twig), 3 fen, rhizome removed, slightly yellow, placenta removed.
Preparation: The above herbs are crushed and sieved into a powder.
Dosage: Take 3 qian per dose. Add half a qian of fresh ginger to one zhong zhan of water, decoct until reduced to six-tenths. Strain and take warm. No specific timing required.
Banxia Wan (Pinellia Pill), also known as Yelangdu Wan [Source: *Shenghui Fang*]: Treats Pi Jie where the mass is firm and stubborn, persisting for a long time without healing, leading to poor appetite.
Ingredients: Banxia (Pinelliae Rhizoma Praeparatum), 1 liang, washed seven times in hot water to remove slipperiness; Xingren (Apricot Seed, *Prunus armeniaca* seed), 1 liang, soaked in hot water, skin and pointed end removed, retaining the double kernel, stir-fried with bran until slightly yellow; Yelangdu (Stellerae Radix), 1 liang, slightly roasted and cut; Guixin (Cinnamon Twig, *Cinnamomum cassia* twig), 3 fen, rhizome removed, slightly yellow, placenta removed.
Preparation: The above herbs are pulverized into fine powder and mixed with refined honey to form pills the size of Chinese quince seeds.
Dosage: Take 10 pills per dose before meals, swallowed with warm millet gruel.
Zhonghou Jianghei Wan (Middle-Posterior Ginger Black Pill) [Source: *Zhouhou Fang*]: Treats various forms of Pi Jie and phlegm-fluid retention. Highly effective.
Ingredients: Jiegeng (Platycodon Root, *Platycodon grandiflorus* root); Guixin (Cinnamon Twig, *Cinnamomum cassia* twig), 4 fen each; Badou (Croton Seed, *Croton tiglium* seed), skin and heart removed, roasted, 8 fen; Yuanhua (Genkwa Flower, *Daphne genkwa* flower), roasted, 12 fen; Xingren (Apricot Seed, *Prunus armeniaca* seed), skin and pointed end removed, double-kernelled, roasted, 5 fen.
Preparation: The above herbs are pulverized into fine powder and mixed with refined honey to form pills the size of broad bean seeds.
Dosage: Take 1 pill per dose with warm water. No specific timing required. If discomfort occurs, drink hot millet gruel to alleviate it.
Zhishi San (Immature Bitter Orange Powder) [Source: *Shenghui Fang*]: Treats Pi Jie characterized by inability to eat and a sensation of empty fullness in the epigastrium, as if water were present.
Ingredients: Zhishi (Immature Bitter Orange Fruit, *Citrus aurantium* fruit), 1.5 liang, stir-fried with bran until slightly yellow; Banxia (Pinelliae Rhizoma Praeparatum), 1 liang, washed seven times in hot water to remove slipperiness; Baizhu (Atractylodis Macrocephalae Rhizoma), 1.5 liang.
Preparation: The above herbs are crushed and sieved into a powder.
Dosage: Take 3 qian per dose. Add half a qian of fresh ginger to one zhong zhan of water, decoct until reduced to six-tenths. Strain and take warm. No specific timing required.
Sansheng Wan (Three Sages Pill), also known as Badou Wan [Source: *Shenghui Fang*]: Treats Pi Jie with hardness and pain in the epigastrium.
Ingredients: Badou (Croton Seed, *Croton tiglium* seed), 5 seeds, skin and heart removed, ground and pressed between paper to remove oil; Xingren (Apricot Seed, *Prunus armeniaca* seed), 20 seeds, soaked in hot water, skin and pointed end removed, retaining the double kernel, stir-fried with bran until slightly yellow; Chuan Dahuang (Rhubarb Root, *Rheum palmatum* root), 1 liang, cut into pieces and slightly stir-fried.
Preparation: The above herbs are pulverized into fine powder and mixed with refined honey to form pills the size of Chinese quince seeds.
Dosage: Take 5 pills per dose before meals, swallowed with warm millet gruel. If ineffective, increase to 7 pills. The desired effect is a warming sensation in the heart region.
Muxiang Fenqi Wan (Costus Qi-Distributing Pill) [Source: *Xuanming Lun Fang*]: Treats accumulated Qi. Specifically for unresolving Pi masses, epigastric and abdominal stuffiness and knots, and pain resembling needle pricks or pulling sensations, feeling like an inverted cup.
Ingredients: Chenpi (Tangerine Peel, *Citrus reticulata* peel), white pith removed; Binglang (Areca Seed, *Areca catechu* seed), 1 liang each; Poguzhi (Psoraleae Fructus), 2 liang, stir-fried; Muxiang (Costus Root, *Saussurea costus* root), 1.5 liang; Hei Qianniu (Black Morning Glory Seed, *Ipomoea nil* seed), 12 liang, stir-fried until fragrant and ripe, powder extracted.
Preparation: Except for the Hei Qianniu powder, the remaining herbs are pulverized into fine powder and mixed with the Hei Qianniu powder. Refined honey is added to form pills the size of Chinese quince seeds.
Dosage: Take 20 pills per dose before meals, swallowed with warm rice soup.
Moji Shilao Wan (Grinding Accumulation Food-Labor Pill): Treats "Food-Labor Yellow Disease." Characterized by chronic emaciation, craving raw flavors, rice, wheat, and improper foods such as salt or soil. Long-term accumulation leads to excessive parasites and the formation of Pi masses.
Ingredients: Hanshimian (Cold-Eating Flour, *Triticum aestivum* flour prepared after fasting), 0.5 jin; Badoushuang (Croton Frost, processed Croton Seed, *Croton tiglium* seed), 2.5 qian; Xionghuang (Realgar, *As2S2*), 3.5 qian, separately ground; Bai Qianniu (White Morning Glory Seed, *Ipomoea batatas* seed? Note: Usually *Ipomoea nil* var. alba or similar); Nan Qingpi (Southern Aurantii Fructus Immaturus); Chenpi (Tangerine Peel, *Citrus reticulata* peel), 0.5 jin each.
Preparation: The above herbs are pulverized into fine powder and mixed with refined honey to form pills the size of Chinese quince seeds.
Dosage: Take 10 pills per dose before meals, swallowed with warm rice soup.