(附论)
夫霍乱而心腹筑悸者。由吐下之后。三焦五脏不和。而水气上乘于心故也。肾主水。其
气通
故起
方
草豆蔻散 治霍乱吐泻。脐下气筑悸烦闷。
草豆蔻(去皮) 木香 陈橘皮(汤浸去白焙) 人参(去芦头以上各一两) 桂心 甘
草(炙微
至六
分。去
干姜汤(出圣济总录)治霍乱洞泄不止。脐上筑悸。
干姜(炮) 人参 甘草 白茯苓(去粗皮) 陈橘皮(汤浸去白焙各四两) 桂(去
粗皮)
黄
理中汤 治霍乱吐泻。心烦筑悸。
人参(一两去芦头) 白术(三分) 甘草(炙制赤锉) 干姜(炮) 赤茯苓 麦门
冬(去心
各半
人参散 治霍乱吐痢过下。脐下气筑悸。
人参(去芦头) 附子(炮裂去皮脐各一两) 甘草(炙微赤锉) 干姜(炮制锉各半
两) 桂
心
服。
附子汤(出圣济总录)治霍乱。心腹筑悸。
附子(炮裂去皮脐一两) 白茯苓(去黑皮) 人参 甘草(炙) 干姜(炮各二两) 陈
橘皮(汤
皮三两)
浓
(米泔浸
一
瓶
盛
服。
吴茱萸汤 治霍乱。呕吐酸水。结气在心下。
吴茱萸(汤浸焙炒二两) 白术 赤茯苓(去黑皮各三两) 陈橘皮(汤浸去白焙一两
半)
荜茇
(锉焙二
两)
茯苓汤 治霍乱。心下结气。连胸背痛。及吐酸水。日夜不止。
赤茯苓(去黑皮) 浓朴(去粗皮生姜汁炙) 吴茱萸(汤浸焙炒各一两) 人参 陈
橘皮(汤浸
煎至
八分。
半夏橘皮汤 治霍乱。心下痞满。饮米吐逆。水谷不化。
半夏(汤浸七次去滑切焙一两) 陈橘皮(汤浸去白焙一两) 人参(半两) 浓朴(去
粗皮
姜汁
枣
二枚
半夏汤(出圣济总录)治霍乱心下痞满。
半夏(汤洗七次去滑切焙三两) 人参(二两) 赤茯苓(去黑皮四两一方用白茯苓) 上
咀如
浓朴汤(出肘后方)治霍乱心下痞满。烦呕不止。
浓朴(去粗皮生姜汁炙四两) 桂(去粗皮) 枳实(麸炒去瓤各三两) 上捣筛。每
服三钱
匕。
(附论)
凡是霍乱病出现心腹部悸动不安的症状,是因为在呕吐和腹泻之后,三焦与五脏功能失调,导致水气上逆侵犯心脏的缘故。肾主司水液代谢,其气机通畅……(原文此处有缺漏/断裂)……方剂如下:
草豆蔻散:治疗霍乱引起的呕吐和腹泻,以及脐下气机冲筑、悸动烦闷。
药材:草豆蔻(去皮)、木香、陈橘皮(用汤浸泡后刮去白瓤焙干)、人参(去除芦头,以上各一两)、桂心、甘草(炙至微黄……原文此处有缺漏/断裂)……分。去渣。
干姜汤(出自《圣济总录》):治疗霍乱导致的剧烈泄泻不止,以及脐上部位的气机冲筑、悸动。
药材:干姜(炮制)、人参、甘草、白茯苓(去除粗皮)、陈橘皮(用汤浸泡后刮去白瓤焙干,各四两)、桂(去除粗皮)……黄……
理中汤:治疗霍乱引起的呕吐和腹泻,心烦意乱及悸动不安。
药材:人参(一两,去除芦头)、白术(三分)、甘草(炙制并切成红色碎块)、干姜(炮制)、赤茯苓、麦门冬(去除心……原文此处有缺漏/断裂)……各半……
人参散:治疗霍乱引起的呕吐和痢疾,因过度攻下导致脐下气机冲筑、悸动。
药材:人参(去除芦头)、附子(炮裂后去皮去脐,各一两)、甘草(炙至微红并切碎)、干姜(炮制并切碎,各半两)、桂心……服用。
附子汤(出自《圣济总录》):治疗霍乱,心腹部悸动不安。
药材:附子(炮裂后去皮去脐,一两)、白茯苓(去除黑皮)、人参、甘草(炙)、干姜(炮制,各二两)、陈橘皮(用汤……皮三两)……浓……(米泔水浸泡……一……瓶……盛……服用。
吴茱萸汤:治疗霍乱,呕吐酸水,气结于胃脘部。
药材:吴茱萸(用汤浸泡、焙干、炒制,二两)、白术、赤茯苓(去除黑皮,各三两)、陈橘皮(用汤浸泡后刮去白瓤焙干,一两半)……荜茇……(切碎焙干,二两)……
茯苓汤:治疗霍乱,胃脘部气机郁结,牵连胸部和背部疼痛,以及呕吐酸水,日夜不停。
药材:赤茯苓(去除黑皮)、浓朴(去除粗皮,用生姜汁炙制)、吴茱萸(用汤浸泡、焙干、炒制,各一两)、人参、陈橘皮(用汤浸泡……煎至八分。
半夏橘皮汤:治疗霍乱,胃脘部痞塞胀满,饮水即吐,食物不消化。
药材:半夏(用汤浸泡七次,去除滑腻感,切碎焙干,一两)、陈橘皮(用汤浸泡后刮去白瓤焙干,一两)、人参(半两)、浓朴(去除粗皮……姜汁……枣……二枚)。
半夏汤(出自《圣济总录》):治疗霍乱,胃脘部痞塞胀满。
药材:半夏(用汤清洗七次,去除滑腻感,切碎焙干,三两)、人参(二两)、赤茯苓(去除黑皮,四两;一方使用白茯苓)……上药捣碎如……
浓朴汤(出自《肘后方》):治疗霍乱,胃脘部痞塞胀满,烦闷呕吐不止。
药材:浓朴(去除粗皮,用生姜汁炙制,四两)、桂(去除粗皮)、枳实(麸炒后去瓤,各三两)……上药捣筛。每次服用三钱匕。
(Attached Discussion)
When Huoluan (acute gastrointestinal disorder with vomiting and diarrhea) is accompanied by palpitations and a sensation of qi rushing in the heart and abdomen, it is due to the disharmony of the Sanjiao (Triple Burner) and the five Zang organs following vomiting and purging, causing water Qi (pathogenic factor) to ascend and invade the Heart. The Kidney governs water; its Qi connects... [text fragment] ...The prescriptions are as follows:
Caodoukou San (Cardamomum Fructus Powder): Treats Huoluan with vomiting and diarrhea, and qi rushing/palpitations with irritability below the umbilicus.
Ingredients: Caodoukou (Cardamomi Fructus Rotundus, peeled), Muxiang (Aucklandiae Radix), Chenju pi (Citri Reticulatae Pericarpium, soaked in decoction, white pith removed, dried), Renshen (Ginseng Radix et Rhizoma, radix removed, each 1 liang), Guixin (Cinnamomi Ramulus/Cortex), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried)... [text fragment] ...fen. Remove dregs.
Ganjiang Tang (Dried Ginger Decoction) [from Shengji Zonglu]: Treats Huoluan with incessant profuse diarrhea and qi rushing/palpitations above the umbilicus.
Ingredients: Ganjiang (Zingiberis Rhizoma, processed), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Baifuling (Poria, coarse skin removed), Chenju pi (Citri Reticulatae Pericarpium, soaked in decoction, white pith removed, dried, each 4 liang), Gui (Cinnamomi Cortex, coarse skin removed)... Huang...
Lizhong Tang (Regulate the Middle Decoction): Treats Huoluan with vomiting and diarrhea, mental restlessness, and palpitations.
Ingredients: Renshen (Ginseng Radix et Rhizoma, 1 liang, radix removed), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, fried, cut into red fragments), Ganjiang (Zingiberis Rhizoma, processed), Chifuling (Poria, red variety), Maidong (Ophiopogonis Radix, heart removed)... [text fragment] ...each half...
Renshen San (Ginseng Powder): Treats Huoluan with vomiting and dysentery, caused by excessive purging, resulting in qi rushing/palpitations below the umbilicus.
Ingredients: Renshen (Ginseng Radix et Rhizoma, radix removed), Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and navel removed, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, fried until slightly red, cut), Ganjiang (Zingiberis Rhizoma, processed, cut, each half liang), Guixin (Cinnamomi Ramulus/Cortex)... Take orally.
Fuzi Tang (Aconite Decoction) [from Shengji Zonglu]: Treats Huoluan with palpitations in the heart and abdomen.
Ingredients: Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and navel removed, 1 liang), Baifuling (Poria, black skin removed), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, fried), Ganjiang (Zingiberis Rhizoma, processed, each 2 liang), Chenju pi (Citri Reticulatae Pericarpium, soaked in decoction... pi 3 liang)... Nong... (Soaked in rice wash water... one... bottle... contain... Take orally.
Wuzhuyu Tang (Evodiae Fructus Decoction): Treats Huoluan with vomiting of sour fluid and stagnation of Qi in the epigastrium.
Ingredients: Wuzhuyu (Euodiae Fructus, soaked in decoction, dried, fried, 2 liang), Baizhu (Atractylodis Macrocephalae Rhizoma), Chifuling (Poria, red variety, black skin removed, each 3 liang), Chenju pi (Citri Reticulatae Pericarpium, soaked in decoction, white pith removed, dried, 1.5 liang)... Bibo (Longani Arillus? Or Piperis Longi Fructus? Context suggests spice, likely Bibo/Piperis Longi Fructus)... [text fragment] ...cut, dried, 2 liang)...
Fuling Tang (Poria Decoction): Treats Huoluan with stagnation of Qi in the epigastrium, radiating pain to the chest and back, and vomiting of sour fluid ceaselessly day and night.
Ingredients: Chifuling (Poria, red variety, black skin removed), Houpo (Magnoliae Officinalis Cortex, coarse skin removed, fried with ginger juice), Wuzhuyu (Euodiae Fructus, soaked in decoction, dried, fried, each 1 liang), Renshen (Ginseng Radix et Rhizoma), Chenju pi (Citri Reticulatae Pericarpium, soaked in decoction... Decoct until 8 fen.
Banxia Jupi Tang (Pinellia and Citrus Peel Decoction): Treats Huoluan with fullness and obstruction in the epigastrium, regurgitation after drinking, and indigestion of food and grain.
Ingredients: Banxia (Pinelliae Tuber, soaked in decoction seven times to remove acridity, cut, dried, 1 liang), Chenju pi (Citri Reticulatae Pericarpium, soaked in decoction, white pith removed, dried, 1 liang), Renshen (Ginseng Radix et Rhizoma, half liang), Houpo (Magnoliae Officinalis Cortex, coarse skin removed)... Ginger juice... Zao (Jujubae Fructus)... 2 pieces).
Banxia Tang (Pinellia Decoction) [from Shengji Zonglu]: Treats Huoluan with fullness and obstruction in the epigastrium.
Ingredients: Banxia (Pinelliae Tuber, washed with decoction seven times to remove acridity, cut, dried, 3 liang), Renshen (Ginseng Radix et Rhizoma, 2 liang), Chifuling (Poria, red variety, black skin removed, 4 liang; one formula uses Baifuling)... The herbs are crushed...
Houpo Tang (Magnolia Bark Decoction) [from Zhouhou Fang]: Treats Huoluan with fullness and obstruction in the epigastrium, incessant irritability and vomiting.
Ingredients: Houpo (Magnoliae Officinalis Cortex, coarse skin removed, fried with ginger juice, 4 liang), Gui (Cinnamomi Cortex, coarse skin removed), Zhishi (Immature Bitter Orange Fruit, bran-fried, pith removed, each 3 liang)... The herbs are pounded and sifted. Each dose is 3 qian bi.