夫病有腹胀而泄者。为胃寒肠热。胃受寒则气收不行而为胀满。肠客热则水谷不聚而为
泄注
大腹木香汤(出圣济总录)治胃寒肠热。腹胀泄利。
大腹皮 前胡 木香 半夏(各二两) 白术 白芷 肉桂 陈皮 前胡 玄胡索 当
归
旋
水一
盏
香橘丸(出圣济总录)治胃寒肠热。腹胀泄利。
丁香(六钱) 青皮(五钱) 砂(细研水飞一分) 木香 京三棱 蓬莪术 缩砂 陈
皮
桂
大。每
服
温胃丸(出圣济总录)治胃寒肠热。腹胀泄利。调气。
半夏(汤浸七次二两) 肉豆蔻 桂(去皮) 人参(各五钱) 诃子 良姜(各一钱)
木香
陈
枣膏
丸
诃黎勒汤(出圣济总录)治胃寒肠热。腹胀满闷。泄泻不止。
诃黎勒(一两五钱) 大黄(五钱) 青皮(五钱) 良姜(五钱) 甘草(一分) 防
风(一分)
枳
一盏半。
姜枣煎七分去滓。温服。不拘时。
浓朴丸(出圣济总录)治胃寒肠热。腹胀泄利。
浓朴(姜汁制一两五钱) 龙骨 诃子 干姜 附子(炮去皮脐) 黄连 白石脂 吴
茱萸
(各
日三
当归黄连丸(出圣济总录)治胃寒肠热。腹胀泄利。
当归 黄连(二两) 木香 吴茱萸(炒) 赤茯苓 浓朴(姜汁炙) 诃黎勒(各一
两) 上
为末
和胃丸(出圣济总录)治胃寒肠热。腹胀泄利。
半夏 牵牛(炒各五钱) 生姜(一两) 人参(去芦) 矾蝴蝶 藿香(各五钱) 丁
香(二
钱)
用生姜
妙应丸(出宣明论)治胃寒肠热。腹胀泄利。水谷不化。痞满不已。
乌头(去皮脐生用五钱) 栀子(去皮一两) 干姜(生用一分) 上为末。用生姜自
然汁丸
如梧
益肠胃(出本草)
用越瓜和饮作 。并薤菹亦得。
疾病中有表现为腹部胀满且伴有腹泻的,这是胃寒肠热的证候。胃受到寒邪侵袭,则气机收敛而不能正常运行,从而导致腹部胀满;肠道受邪热干扰,则水谷精微不能正常聚化,从而引起急迫的泄泻。
大腹木香汤(出自《圣济总录》),用于治疗胃寒肠热引起的腹胀和泄利。
药材包括:大腹皮、前胡、木香、半夏(各二两)、白术、白芷、肉桂、陈皮、前胡、玄胡索、当归。
煎服法:用水一盏煎煮。
香橘丸(出自《圣济总录》),用于治疗胃寒肠热引起的腹胀和泄利。
药材包括:丁香(六钱)、青皮(五钱)、砂仁(细研后水飞一分)、木香、京三棱、蓬莪术、缩砂、陈皮、桂枝。
用法:每次服用适量。
温胃丸(出自《圣济总录》),用于治疗胃寒肠热引起的腹胀泄利,并调理气机。
药材包括:半夏(经热水浸泡七次,二两)、肉豆蔻、桂枝(去皮)、人参(各五钱)、诃子、良姜(各一钱)、木香、陈皮、枣膏。
制法与用法:制成丸剂。
诃黎勒汤(出自《圣济总录》),用于治疗胃寒肠热引起的腹部胀满闷痛、泄泻不止。
药材包括:诃黎勒(一两五钱)、大黄(五钱)、青皮(五钱)、良姜(五钱)、甘草(一分)、防风(一分)、枳壳。
煎服法:用水一盏半煎至七分,去渣,温服,不拘时间。
浓朴丸(出自《圣济总录》),用于治疗胃寒肠热引起的腹胀泄利。
药材包括:厚朴(姜汁制,一两五钱)、龙骨、诃子、干姜、附子(炮制,去皮脐)、黄连、白石脂、吴茱萸(各等分)。
用法:每日三次服用。
当归黄连丸(出自《圣济总录》),用于治疗胃寒肠热引起的腹胀泄利。
药材包括:当归、黄连(二两)、木香、吴茱萸(炒)、赤茯苓、厚朴(姜汁炙)、诃黎勒(各一两)。
制法与用法:上药研为末,制成丸剂。
和胃丸(出自《圣济总录》),用于治疗胃寒肠热引起的腹胀泄利。
药材包括:半夏、牵牛子(炒,各五钱)、生姜(一两)、人参(去芦头)、矾蝴蝶、藿香(各五钱)、丁香(二钱)。
制法与用法:用生姜自然汁制作丸剂。
妙应丸(出自《宣明论》),用于治疗胃寒肠热引起的腹胀泄利、水谷不消化、痞满症状持续不愈。
药材包括:乌头(去皮脐,生用,五钱)、栀子(去皮,一两)、干姜(生用,一分)。
制法与用法:上药研为末,用生姜自然汁制作丸剂,大小如梧桐子。
Diseases manifesting as abdominal distension accompanied by diarrhea are characterized as Cold of the Stomach and Heat of the Intestines. When the Stomach is invaded by Cold, Qi becomes constrained and fails to circulate freely, resulting in abdominal fullness; when the Intestines are affected by Heat, water and grain cannot be properly metabolized and gathered, leading to urgent diarrhea (Xiezhu).
Da Fu Mu Xiang Tang (Great Betel Nut and Costus Root Decoction) [from *Shengji Zonglu*] treats abdominal distension and diarrhea due to Cold of the Stomach and Heat of the Intestines.
Ingredients: Da Fu Pi (Arecae Pericarpium), Qian Hu (Peucedani Radix), Mu Xiang (Aucklandiae Radix), Ban Xia (Pinelliae Rhizoma Preparatum) (each 2 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Zhi (Angelicae Dahuricae Radix), Rou Gui (Cinnamomi Cortex), Chen Pi (Citri Reticulatae Pericarpium), Qian Hu (Peucedani Radix), Yan Hu Suo (Corydalis Rhizoma), Dang Gui (Angelicae Sinensis Radix).
Preparation: Decoct with one zhen of water.
Xiang Ju Wan (Fragrant Tangerine Pill) [from *Shengji Zonglu*] treats abdominal distension and diarrhea due to Cold of the Stomach and Heat of the Intestines.
Ingredients: Ding Xiang (Caryophylli Flos) (6 qian), Qing Pi (Citri Reticulatae Pericarpium Viride) (5 qian), Sha Ren (Amomi Fructus) (finely ground and washed with water, 1 fen), Mu Xiang (Aucklandiae Radix), Jing San Leng (Sparganii Rhizoma), Peng E Zhu (Curcumae Phaeocaulis Rhizoma), Suo Sha (Amomi Fructus), Chen Pi (Citri Reticulatae Pericarpium), Gui Zhi (Cinnamomi Ramulus).
Usage: Take an appropriate amount per dose.
Wen Wei Wan (Warm the Stomach Pill) [from *Shengji Zonglu*] treats abdominal distension and diarrhea due to Cold of the Stomach and Heat of the Intestines, and regulates Qi.
Ingredients: Ban Xia (Pinelliae Rhizoma Preparatum) (soaked in hot water seven times, 2 liang), Rou Dou Kou (Myristicae Semen), Gui Zhi (Cinnamomi Ramulus) (peeled), Ren Shen (Ginseng Radix et Rhizoma) (each 5 qian), He Zi (Chebulae Fructus), Liang Jiang (Alpiniae Officinarum Rhizoma) (each 1 qian), Mu Xiang (Aucklandiae Radix), Chen Pi (Citri Reticulatae Pericarpium), Zao Gao (Jujubae Puls).
Preparation: Form into pills.
He Li Le Tang (Terminalia Chebula Decoction) [from *Shengji Zonglu*] treats abdominal distension and stuffiness, and incessant diarrhea due to Cold of the Stomach and Heat of the Intestines.
Ingredients: He Li Le (Terminaliae Chebulae Fructus) (1.5 liang 5 qian), Da Huang (Rhei Radix et Rhizoma) (5 qian), Qing Pi (Citri Reticulatae Pericarpium Viride) (5 qian), Liang Jiang (Alpiniae Officinarum Rhizoma) (5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 fen), Fang Feng (Saposhnikoviae Radix) (1 fen), Zhi Ke (Aurantii Fructus).
Preparation: Decoct with 1.5 zhen of water until reduced to 0.7 zhen, strain, and take warm at any time without restriction.
Nong Po Wan (Magnolia Bark Pill) [from *Shengji Zonglu*] treats abdominal distension and diarrhea due to Cold of the Stomach and Heat of the Intestines.
Ingredients: Hou Po (Magnoliae Officinalis Cortex) (processed with ginger juice, 1.5 liang 5 qian), Long Gu (Fossilia Ossis Mastodi et Scapulae), He Zi (Chebulae Fructus), Gan Jiang (Zingiberis Rhizoma Preparatum), Fu Zi (Aconiti Lateralis Radix Preparata) (processed, peeled, navel removed), Huang Lian (Coptidis Rhizoma), Bai Shi Zhi (Halloysit Alba), Wu Zhu Yu (Evodiae Fructus) (equal parts).
Usage: Take three times daily.
Dang Gui Huang Lian Wan (Angelica and Coptis Pill) [from *Shengji Zonglu*] treats abdominal distension and diarrhea due to Cold of the Stomach and Heat of the Intestines.
Ingredients: Dang Gui (Angelicae Sinensis Radix), Huang Lian (Coptidis Rhizoma) (2 liang), Mu Xiang (Aucklandiae Radix), Wu Zhu Yu (Evodiae Fructus) (stir-fried), Chi Fu Ling (Poria with Red Core), Hou Po (Magnoliae Officinalis Cortex) (processed with ginger juice), He Li Le (Terminaliae Chebulae Fructus) (each 1 liang).
Preparation: Grind the above herbs into powder and form into pills.
He Wei Wan (Harmonize the Stomach Pill) [from *Shengji Zonglu*] treats abdominal distension and diarrhea due to Cold of the Stomach and Heat of the Intestines.
Ingredients: Ban Xia (Pinelliae Rhizoma Preparatum), Qian Niu Zi (Pharbitidis Semen) (stir-fried, each 5 qian), Sheng Jiang (Zingiberis Rhizoma Recens) (1 liang), Ren Shen (Ginseng Radix et Rhizoma) (rhizome tip removed), Fan Hu Die (alum-treated butterfly/pupa?), Huo Xiang (Pogostemonis Herba) (each 5 qian), Ding Xiang (Caryophylli Flos) (2 qian).
Preparation: Use fresh ginger juice to form pills.
Miao Ying Wan (Miraculous Efficacy Pill) [from *Xuanming Lun*] treats abdominal distension and diarrhea due to Cold of the Stomach and Heat of the Intestines, indigestion of food and fluids, and persistent epigastric fullness.
Ingredients: Wu Tou (Aconiti Radix) (peeled, navel removed, raw use, 5 qian), Zhi Zi (Gardeniae Fructus) (peeled, 1 liang), Gan Jiang (Zingiberis Rhizoma Preparatum) (raw use, 1 fen).
Preparation: Grind the above herbs into powder and use fresh ginger juice to form pills, sized like wutong seeds.
Yi Chang Wei (Benefit the Intestines and Stomach) [from *Bencao*]
Dietary Therapy: Consume soup made from Yue Gua (Trichosanthes cucumeroides fruit), or pickled Allium macrostemon (Xie) is also acceptable.