《内经》曰∶肠痹者数饮而出不得,中气喘争,时发飧泄。夫大肠者,传导之官。其所
以传导者,皆冲和之气。今风寒湿三气,乘虚客于肠间,则邪留而和气闭矣。故其证数饮而
气不
肠,
方
木香丸(出《圣济总录》)治肠痹腹胀满痛,时复飧泄,食不消化,小便秘
涩。
木香 白术 桂(去粗皮) 芜荑 高良姜(锉各一两) 诃黎勒(煨用皮一两半) 干
姜(炮三
皮生姜汁炙过二
汤下二十丸。
吴茱萸散 治肠痹寒湿内搏,腹肠满,气急大便飧泄。
吴茱萸(汤洗焙干炒) 肉豆蔻仁 干姜(炮) 甘草(炙各半两) 陈橘皮(汤去白
焙) 高良姜
一钱,稀粥饮调下
草豆蔻散(出《圣济方》)治肠痹,寒湿内攻,腹痛飧泄。
草豆蔻 陈橘皮(汤浸去白各一两) 桂(去皮) 木香 白术 当归(切焙) 白豆
蔻仁 高良
诃黎勒汤(出《圣济录》)治肠痹飧泄,腹胀气痛,饮食不化。
诃黎勒(煨用皮一两半) 附子(炮去皮脐一两) 木香(半两) 当归(切焙三分) 桔
梗(炒半
三分) 甘草(炙
分,去滓食前稍热
木香散(出《圣济录》)治肠痹,腹胀飧泄,小便不利。
杏仁(三两) 诃黎勒(焙皮半两) 附子(炮去皮脐一两) 干姜(炮一两) 浓朴
(去粗皮生姜
归(炒一两) 上
赤茯苓丸(出《圣济录》)治肠痹腹满喘急,小便不利,大便飧泄。
赤茯苓(去黑皮) 白术 桂(去粗皮各二两) 诃黎勒(煨去) 木香 陈橘皮(汤
去白焙) 浓
空心食前,日
诃黎勒丸(出《圣济录》)治肠痹飧泄,腹胁胀满。
诃黎勒(煨用皮) 当归(微炒) 黄连(去须) 白术 浓朴(去皮姜汁炙各一两) 干
姜(炮三
粥饮下,不
《黄帝内经》说:肠痹的症状是频繁饮水但小便排出不畅,腹部气机逆乱冲撞,时常发生完谷不化的泄泻。大肠,是负责传导糟粕的器官。它之所以能完成传导功能,全靠冲和之气的推动。如今风寒湿三气,趁人体正气虚弱侵袭停留在肠间,导致邪气滞留而冲和之气闭塞不通。因此其症状表现为频繁饮水但气机不畅(原文此处有缺漏,据理推测为“气不利”或类似含义),且伴有腹胀满痛等症状。
木香丸(出自《圣济总录》)治疗肠痹引起的腹胀满痛,时常反复出现完谷不化的泄泻,食物不能消化,小便短少涩滞。
药材组成:木香、白术、桂枝(去除粗皮)、芜荑、高良姜(锉碎,各一两)、诃黎勒(煨制,只用果皮一两半)、干姜(炮制,三枚,用生姜皮和生姜汁炙过)。用法:上药研为细末,炼蜜为丸,如梧桐子大。每次服用二十丸,空腹及饭前用米汤送服。
吴茱萸散 治疗肠痹因寒湿内盛搏结,腹部及肠道胀满,气急迫,大便呈完谷不化之泄泻。
药材组成:吴茱萸(用汤水洗净焙干炒制)、肉豆蔻仁、干姜(炮制)、甘草(炙制,各半两)、陈橘皮(用汤水去白后焙干)、高良姜(各半两)。用法:上药捣筛为散。每次服用一钱,用稀粥饮调下。
草豆蔻散(出自《圣济方》)治疗肠痹,寒湿内攻,腹痛伴完谷不化的泄泻。
药材组成:草豆蔻、陈橘皮(用汤水浸泡去白,各一两)、桂枝(去皮)、木香、白术、当归(切后焙干)、白豆蔻仁、高良姜(各一两)。用法:上药捣筛为散。每次服用二钱,用水一盏煎至六分,去渣,食前稍热服用。
诃黎勒汤(出自《圣济录》)治疗肠痹导致的完谷不化泄泻,腹胀气痛,饮食不化。
药材组成:诃黎勒(煨制,只用果皮一两半)、附子(炮制,去皮脐,一两)、木香(半两)、当归(切后焙干,三分)、桔梗(炒,半两)、人参(三分)、甘草(炙,一分)。用法:上药㕮咀(切碎)。每次服用三钱,加水一盏半,煎至八分,去渣,食前稍热服用。
木香散(出自《圣济录》)治疗肠痹,腹胀伴完谷不化泄泻,小便不利。
药材组成:杏仁(三两)、诃黎勒(焙制去皮,半两)、附子(炮制去皮脐,一两)、干姜(炮制,一两)、浓朴(去除粗皮,用生姜汁炙)、当归(炒制,一两)。用法:上药捣筛为散。每次服用二钱,用水一盏,煎至六分,去渣,食前温服。
赤茯苓丸(出自《圣济录》)治疗肠痹腹满喘急,小便不利,大便完谷不化泄泻。
药材组成:赤茯苓(去除黑皮)、白术、桂枝(去除粗皮,各二两)、诃黎勒(煨制去核)、木香、陈橘皮(用汤水去白后焙干)、浓朴(去皮,姜汁炙,各一两)。用法:上药研为细末,炼蜜为丸,如梧桐子大。每次服用三十丸,空心及饭前用米汤送服,每日三次。
诃黎勒丸(出自《圣济录》)治疗肠痹完谷不化泄泻,腹部及胁肋胀满。
药材组成:诃黎勒(煨制,用果皮)、当归(微炒)、黄连(去除须根)、白术、浓朴(去皮,姜汁炙,各一两)、干姜(炮制,三分)。用法:上药研为细末,炼蜜为丸,如梧桐子大。每次服用二十丸,空腹及饭前用稀粥饮送服。
According to the *Huangdi Neijing* (Yellow Emperor's Inner Canon): The symptoms of Changbi (Intestinal Bi Syndrome) include frequent drinking with inability to urinate, abdominal qi counterflow and clashing, and occasional occurrence of undigested stool diarrhea (Sunxie). The Large Intestine is the official responsible for conduction. Its ability to conduct relies entirely on the harmonious qi (Chonghe zhi qi). Currently, when the three pathogenic factors of Wind-Cold-Dampness invade and lodge in the intestines due to deficiency, evil qi remains stagnant while the harmonious qi becomes blocked. Therefore, its manifestations include frequent drinking but obstructed qi flow, accompanied by abdominal distension and pain.
Muxiang Wan (Cinnamon Twig and Costus Root Pill), sourced from *Shengji Zonglu* (Compendium of Holy Relief), treats intestinal distension, fullness, and pain caused by Changbi, recurrent undigested stool diarrhea, indigestion, and scanty, difficult urination.
Ingredients: Muxiang (Costi Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Guizhi (Cinnamomi Ramulus, bark removed), Wuyi (Myristicae Semen), Gaoliangjiang (Alpiniae Officinarum Rhizoma, chopped, each 1 liang), Helile (Terminalia Chebulae Fructus, roasted, peel only 1.5 liang), Ganjiang (Zingiberis Rhizoma Praeparatum, 3 pieces, processed with ginger skin and ginger juice). Usage: Grind the above herbs into fine powder, mix with honey to form pills the size of tung tree seeds. Take 20 pills per dose, with rice decoction, on an empty stomach and before meals.
Wuzhuyu San (Evodia Powder) treats Changbi where cold-dampness internally struggles, causing abdominal and intestinal fullness, urgent breathing, and undigested stool diarrhea.
Ingredients: Wuzhuyu (Evodiae Fructus, washed with water, dried, fried), Roudoukou (Myristicae Semen), Ganjiang (Zingiberis Rhizoma Praeparatum), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each half liang), Chenjupi (Citri Reticulatae Pericarpium, white pith removed with water, dried), Gaoliangjiang (Alpiniae Officinarum Rhizoma, each half liang). Usage: Grind the above herbs into powder. Take 1 qian per dose, mixed with thin porridge drink.
Caodoukou San (Cardamom Powder), sourced from *Shengji Fang*, treats Changbi where cold-dampness attacks internally, causing abdominal pain and undigested stool diarrhea.
Ingredients: Caodoukou (Alpiniae Katsumadai Semen), Chenjupi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, each 1 liang), Guizhi (Cinnamomi Ramulus, bark removed), Muxiang (Costi Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix, sliced and dried), Baidoukou (Amomi Fructus Rotundus), Gaoliangjiang (Alpiniae Officinarum Rhizoma, each 1 liang). Usage: Grind the above herbs into powder. Take 2 qian per dose, boil in 1 cup of water until reduced to 0.6 cup, strain, and take warm before meals.
Helile Tang (Terminalia Decoction), sourced from *Shengji Lu*, treats undigested stool diarrhea, abdominal distension and qi pain, and food indigestion caused by Changbi.
Ingredients: Helile (Terminalia Chebulae Fructus, roasted, peel only 1.5 liang), Fuzi (Aconiti Lateralis Radix Praeparata, peeled and de-navelled, 1 liang), Muxiang (Costi Radix, half liang), Danggui (Angelicae Sinensis Radix, sliced and dried, 3 fen), Jiegeng (Platycodonis Radix, fried, half liang), Renshen (Ginseng Radix, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 fen). Usage: Coarsely chop the above herbs. Take 3 qian per dose, add 1.5 cups of water, boil until reduced to 0.8 cup, strain, and take warm before meals.
Muxiang San (Costus Powder), sourced from *Shengji Lu*, treats Changbi with abdominal distension, undigested stool diarrhea, and difficult urination.
Ingredients: Xingren (Armeniacae Semen Amarum, 3 liang), Helile (Terminalia Chebulae Fructus, roasted, peeled, half liang), Fuzi (Aconiti Lateralis Radix Praeparata, peeled and de-navelled, 1 liang), Ganjiang (Zingiberis Rhizoma Praeparatum, 1 liang), Nongpo (Magnoliae Officinalis Cortex, bark removed, processed with ginger juice), Danggui (Angelicae Sinensis Radix, fried, 1 liang). Usage: Grind the above herbs into powder. Take 2 qian per dose, boil in 1 cup of water until reduced to 0.6 cup, strain, and take warm before meals.
Chifuling Wan (Red Poria Pill), sourced from *Shengji Lu*, treats Changbi with abdominal fullness, wheezing and urgency, difficult urination, and undigested stool diarrhea.
Ingredients: Chifuling (Poria cum Risu Rubrum, black skin removed), Baizhu (Atractylodis Macrocephalae Rhizoma), Guizhi (Cinnamomi Ramulus, bark removed, each 2 liang), Helile (Terminalia Chebulae Fructus, roasted, core removed), Muxiang (Costi Radix), Chenjupi (Citri Reticulatae Pericarpium, white pith removed with water, dried), Nongpo (Magnoliae Officinalis Cortex, bark removed, processed with ginger juice, each 1 liang). Usage: Grind the above herbs into fine powder, mix with honey to form pills the size of tung tree seeds. Take 30 pills per dose, on an empty stomach and before meals, with rice decoction, three times daily.
Helile Wan (Terminalia Pill), sourced from *Shengji Lu*, treats undigested stool diarrhea and abdominal and hypochondriac distension caused by Changbi.
Ingredients: Helile (Terminalia Chebulae Fructus, roasted, peel used), Danggui (Angelicae Sinensis Radix, lightly fried), Huanglian (Coptidis Rhizoma,须 removed), Baizhu (Atractylodis Macrocephalae Rhizoma), Nongpo (Magnoliae Officinalis Cortex, bark removed, processed with ginger juice, each 1 liang), Ganjiang (Zingiberis Rhizoma Praeparatum, 3 fen). Usage: Grind the above herbs into fine powder, mix with honey to form pills the size of tung tree seeds. Take 20 pills per dose, on an empty stomach and before meals, with thin porridge drink.