属热、气虚、血虚。
凉荣 四物加生地、牛膝,或四物加黄连、棕灰,六味地黄丸切要。
补气 茎痛用甘草梢,血药中少佐以地榆、陈皮、白芷、棕灰。
劫 瑞竹堂方蒲黄散∶
蒲黄(炒) 古锻石(炒) 破故纸(炒) 为末调服。或单用蒲黄,或葱白汤调郁金末服之
,文蛤灰入煎剂妙。
肠风多在胃与大肠病。
清热补血 四物加炒栀子、炒黄连、秦艽、升麻、阿胶、棕皮、下槐角丸。
温 因寒致者,当温散,四物加升麻、炮姜、棕灰。或肠胃受寒湿毒,宜当归四逆、
平胃之类。
灸 三里。
针 隐白。
解络脉之结 或单用枳壳一味。
一方∶黄连(一两) 枳壳(二两) 槐花(八两)
上以槐花炒上二味,去花不用,止以二味煎,进,立效。
劫 一方用百药煎一两,取一半烧为灰,作末,糊丸梧桐子大,每五六十丸空心服之
。一法用血余灰、棕榈皮灰、鞋底灰,猪牙皂角灰,酒服半两。
怒则气上,惊则气乱,恐则气下,劳则气耗,悲则气消,喜则气缓,思则气结。
升散 寒气郁于中作痛,七气汤、盐煎散、参苏饮、东垣升阳顺气汤。
降抑 逆者抑之,木香流气饮、降气汤。有热者,须加凉剂抑之,所谓从阴引阳也。
下 木香槟榔丸、导气丸、小承气汤。
针 针以导气。
调理 沉香降气汤、分心气饮、紫沉通气汤。
补 炅则气泄,宜清暑益气汤。
宣 木郁则达之。
捷嚏 搐鼻。
消导 局方异香散。
导痰 散郁和中,二陈、四七、苏子降气之类。
理血 气逆血从,济生归脾汤。
属于热证、气虚证、血虚证。
凉血荣阴:使用四物汤加入生地黄、牛膝,或者四物汤加入黄连、棕榈灰,六味地黄丸是关键方剂。
补气:茎部疼痛使用甘草梢,在补血药中少量佐用地榆、陈皮、白芷、棕榈灰。
止血(劫):瑞竹堂方的蒲黄散:
蒲黄(炒制)、古锻石(炒制)、破故纸(炒制),研为细末调服。或者单用蒲黄,或用葱白汤调服郁金末,文蛤灰加入煎剂效果奇妙。
肠风病多发生在胃与大肠的疾病中。
清热补血:四物汤加入炒栀子、炒黄连、秦艽、升麻、阿胶、棕榈皮,或服用槐角丸。
温法:因寒邪导致的,应当温散,四物汤加入升麻、炮姜、棕榈灰。或者是肠胃受寒湿毒邪侵袭,适宜使用当归四逆汤、平胃散之类。
灸法:足三里穴。
针法:隐白穴。
解除络脉的瘀结:或者单用枳壳一味药。
一方:黄连(一两)、枳壳(二两)、槐花(八两)。
将上述药材中的槐花炒制另外两味药,去掉槐花不用,只用这两味药煎煮服用,立即见效。
止血(劫):一方使用百药煎一两,取一半烧成灰,研为细末,用糊剂制成梧桐子大小的丸药,每次空腹服用五六十丸。另一种方法使用血余灰、棕榈皮灰、鞋底灰、猪牙皂角灰,用酒送服半两。
愤怒则气机上逆,惊恐则气机紊乱,恐惧则气机下陷,劳累则气机耗损,悲伤则气机消散,喜悦则气机舒缓,思虑则气机郁结。
升散:寒邪郁结于中焦引起疼痛,使用七气汤、盐煎散、参苏饮、东垣升阳顺气汤。
降抑:气逆者予以抑制,使用木香流气饮、降气汤。有热邪的,必须加入凉性药剂以抑制它,这就是所谓的“从阴引阳”。
攻下:木香槟榔丸、导气丸、小承气汤。
针法:针刺以引导气机。
调理:沉香降气汤、分心气饮、紫沉通气汤。
补益:火热则气泄,适宜使用清暑益气汤。
宣发:肝气郁结则应疏达之。
催嚏:搐鼻法。
消食导滞:局方异香散。
化痰导滞:疏散郁结、调和脾胃,使用二陈汤、四七汤、苏子降气汤之类。
理血:气逆导致出血,使用济生归脾汤。
Belongs to Heat syndrome, Qi deficiency syndrome, and Blood deficiency syndrome.
Cooling and Nourishing Yin: Use Siwu Tang (Four Substances Decoction) added with Shengdi Huang (Rehmanniae Radix Preparata), Niuxi (Achyranthis Bidentatae Radix); or Siwu Tang added with Huanglian (Coptidis Rhizoma), Zonghui (Livistonae Folii Cinis); Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) is essential.
Tonifying Qi: For pain in the penis, use Gancao Shao (Glycyrrhizae Radix et Rhizoma tip); in blood-nourishing formulas, add small amounts of Diyü (Sanguisorbae Radix), Chenpi (Citri Reticulatae Pericarpium), Baizhi (Angelicae Dahuricae Radix), and Zonghui (Livistonae Folii Cinis).
Hemostasis (Astringent): Ruizhutang Fang Puhuang San (Pollen Typhae Powder from Ruizhu Hall):
Chao Puhuang (Stir-fried Pollen Typhae), Chao Guduan Shi (Stir-fried Haematitum), Chao Pogostemonis Patchouli Folium (Stir-fried Pogostemonis Cablinis Folium, here referring to Guozhi/Buguzhi - Semen Cnidii), ground into powder and taken with water. Or use Puhuang alone; or take Yujin (Curcumae Radix) powder mixed with Congbai Tang (Scallion White Decoction); Wenge Hui (Arcae Concha Cinis) added to the decoction is excellent.
Changfeng (Intestinal Wind) mostly occurs in diseases of the Stomach and Large Intestine.
Clearing Heat and Nourishing Blood: Siwu Tang added with Chao Zhizi (Stir-fried Gardeniae Fructus), Chao Huanglian (Stir-fried Coptidis Rhizoma), Qinjiao (Gentianae Macrophyllae Radix), Shengma (Bupleuri Radix), Ejiao (Asini Corii Colla), Zongpi (Livistonae Folii Cortex), or administer Huaijiao Wan (Sophorae Flavescentis Cortex Pill).
Warming Method: If caused by Cold, it should be dispersed with warmth; Siwu Tang added with Shengma (Bupleuri Radix), Pao Jiang (Zingiberis Rhizoma Preparatum), and Zonghui (Livistonae Folii Cinis). Or if the intestines and stomach are affected by Cold-Dampness toxicity, Danggui Sini Tang (Tangkuei Decoction for Frigid Extremities) or Pingwei San (Peaceful Stomach Powder) are suitable.
Moxibustion: Zusanli (ST36).
Acupuncture: Yinbai (SP1).
Resolving Collateral Knots: Or use only Zhike (Aurantii Fructus Immaturus) as a single herb.
Another Formula: Huanglian (Coptidis Rhizoma, 1 liang), Zhike (Aurantii Fructus Immaturus, 2 liang), Huaihua (Sophorae Flos, 8 liang).
Stir-fry the first two herbs with Huaihua, remove the flowers, and decoct only the remaining two herbs; taking this yields immediate effect.
Hemostasis (Astringent): One formula uses Baiyaojian (Fermented Medicinal Leaven, 1 liang); burn half of it to ash, grind into powder, make pills with paste size of Sophorae Flos seeds, take 50-60 pills on an empty stomach. Another method uses Xueyu Hui (Capilli Cinis), Zongpi Hui (Livistonae Folii Cortex Cinis), Xiedi Hui (Solea Cinis), Zhuya Zaojiao Hui (Gleditsiae Sinensis Spina Cinis), taken with wine, half liang.
Anger causes Qi to ascend; Fright causes Qi to become chaotic; Fear causes Qi to sink; Labor causes Qi to be depleted; Grief causes Qi to dissipate; Joy causes Qi to relax; Thought causes Qi to knot.
Ascending and Dispersing: When Cold pathogen stagnates in the Middle Jiao causing pain, use Qiqi Tang (Seven-Qi Decoction), Yanjian San (Salt-Fried Powder), Shen Su Yin (Ginseng and Bupleurum Drink), or Dongyuan Shengyang Shunqi Tang (Dongyuan's Ascending Yang and Regulating Qi Decoction).
Descending and Suppressing: For rebellious Qi, suppress it; use Muxiang Liqi Yin (Costus Regulating Qi Drink) or Jiangqi Tang (Descending Qi Decoction). If there is Heat, coolants must be added to suppress it, which is called "drawing Yang from Yin."
Purgation: Muxiang Binglang Wan (Costus and Areca Nut Pill), Daoqi Wan (Guiding Qi Pill), Xiao Chengqi Tang (Minor Order the Yellow Decoction).
Acupuncture: Needle to guide Qi.
Regulation: Chenxiang Jiangqi Tang (Aquilaria Descending Qi Decoction), Fenxin Qi Yin (Dividing Heart Qi Drink), Zichen Tongqi Tang (Purple Agarwood Unblocking Qi Decoction).
Tonification: When heat causes Qi leakage, use Qingshu Yiqi Tang (Clear Summerheat and Tonify Qi Decoction).
Ventilating: When Wood (Liver) Qi is stagnant, it should be reached/dispersed.
Inducing Sneezing: Nasal insufflation.
Digestion Promotion: Ju Fang Yixiang San (Bureau Formula Fragrant Powder).
Phlegm Guidance: Disperse stagnation and harmonize the Middle Jiao; use Erchen Tang (Two-Aged Decoction), Siqi Tang (Four-Sevenths Decoction), Suzi Jiangqi Tang (Perilla Descending Qi Decoction), etc.
Regulating Blood: When Qi rebellion leads to bleeding, use Jisheng Guipi Tang (Jisheng's Restore the Spleen Decoction).