深师消饮丸治停饮胸满呕逆腹中水声不思饮食
白术(二两) 枳实(炒) 干姜(各七钱) 茯苓(半两)
上细末蜜丸桐子大温水下三十丸
宝鉴温胃化痰丸治膈内有寒脾胃伤饮胸膈不快痰涎不已
陈皮 干姜 白术(各一两) 半夏(三两)
上为末姜汁糊丸桐子大姜汤下二十丸
局方温中化痰丸治停痰留饮
青皮 良姜 干姜 陈皮
上主治修合见本方
局方丁香五套丸治脾胃虚弱不能宣行水谷故为痰饮结聚胸膈呕吐不食(方见本方)
按以上诸方乃温胃燥湿治寒痰温里之药也若久痰凝滞内蕴湿热误服燥热多成吞酸膈噎等
病用者审之
发明半夏温肺汤治中脘痰水冷气心下汪洋嘈杂多唾清水胁胀不食此胃虚冷所致其脉沉弦
细迟
旋复花 细辛 桂心 人参 甘草 陈皮 桔梗 芍药 半夏(各半两) 赤茯苓(三分)
上咀四钱姜七片煎
丁香半夏丸治心下停饮冷痰
槟榔(三分) 丁香 半夏(各一两) 细辛 干姜 人参(各半两)
上细末姜汁糊为丸每服三十丸姜汤下
机要姜桂丸治寒痰
南星 半夏 官桂(各一两)
上细末糊丸桐子大每服五七十丸姜汤下
按以上三方治寒燥痰温中散表寒之药也
局方四七汤治七情气郁结聚痰涎状如破絮或如梅核在咽喉之间咯不出咽不下并治中脘痞
满痰涎
壅盛上气喘急
紫苏叶(二两) 浓朴(三两) 茯苓(四两) 半夏(五两)
上锉生姜枣煎服
百一选方三仙丸治中脘气滞痰涎不利
南星 半夏(各五两用姜汁作面) 香附(五两)
上末糊丸桐子大每服四十丸姜汤下
机要去香附加橘皮名玉粉丸治气痰
指迷茯苓丸治中脘留伏痰饮臂痛难举
半夏(二两) 茯苓(一两) 枳壳(炒半两) 风化硝(二钱半)
上末姜汁糊丸姜汤下三十丸
按以上三方用南星半夏所以胜痰而兼用诸气药即严氏顺气则痰自下之意然紫苏枳壳肺气
药也浓朴脾胃气药也香附肝气药也随脏气而用不可不分
深师消饮丸:治疗水饮停滞于胸中导致的胸满、呕吐逆气、腹中有水声、不思饮食。
白术(二两)、枳实(炒制)、干姜(各七钱)、茯苓(半两)。
将上述药材研成细末,用蜂蜜制成如梧桐子大小的丸剂,每次服用三十丸,温开水送服。
宝鉴温胃化痰丸:治疗膈间有寒邪、脾胃受损导致的水饮内停,表现为胸膈不适、痰涎不断。
陈皮、干姜、白术(各一两)、半夏(三两)。
将上述药材研为细末,用姜汁调糊制成如梧桐子大小的丸剂,每次服用二十丸,姜汤送服。
局方温中化痰丸:治疗痰饮停滞留积。
青皮、良姜、干姜、陈皮。
具体的炮制和合药方法见原方书。
局方丁香五套丸:治疗因脾胃虚弱,不能正常运化水谷,从而导致痰饮结聚于胸膈,出现呕吐、不能进食的症状。(具体方剂内容见原方书)
按语:以上各方均为温胃燥湿、治疗寒痰、温补里寒的药物。如果是久病痰凝滞,体内蕴藏湿热,误服这些燥热药物,多会导致吞酸、噎膈等疾病。使用者务必审慎辨别。
发明半夏温肺汤:治疗中脘部痰冷水气,心下感觉汪洋般动荡不安、嘈杂、多唾清水、胁肋胀满、不能进食。这是由胃虚冷所致,其脉象沉弦、细迟。
旋复花、细辛、桂心、人参、甘草、陈皮、桔梗、芍药、半夏(各半两)、赤茯苓(三分)。
将药材切碎,取四钱药量,加生姜七片,煎煮后服用。
丁香半夏丸:治疗心下部停聚的冷痰和水饮。
槟榔(三分)、丁香、半夏(各一两)、细辛、干姜、人参(各半两)。
将上述药材研成细末,用姜汁调糊制成丸剂,每次服用三十丸,姜汤送服。
机要姜桂丸:治疗寒痰。
南星、半夏、官桂(各一两)。
将上述药材研成细末,用糊状物制成如梧桐子大小的丸剂,每次服用五七十丸,姜汤送服。
按语:以上三方是治疗寒燥痰、温中散表寒的药物。
局方四七汤:治疗因七情气郁结聚导致的痰涎,症状如同破絮或梅核卡在咽喉之间,咳不出来也咽不下去。同时治疗中脘痞满、痰涎壅盛、上气喘急。
紫苏叶(二两)、浓朴(三两)、茯苓(四两)、半夏(五两)。
将药材切碎,加生姜、大枣煎煮后服用。
百一选方三仙丸:治疗中脘气滞、痰涎不利。
南星、半夏(各五两,用姜汁制作成药面)、香附(五两)。
将上述药材研为细末,用糊状物制成如梧桐子大小的丸剂,每次服用四十丸,姜汤送服。
机要去香附加橘皮名玉粉丸:治疗气痰。
指迷茯苓丸:治疗中脘留伏的痰饮,以及手臂疼痛难以举起。
半夏(二两)、茯苓(一两)、枳壳(炒制,半两)、风化硝(二钱半)。
将上述药材研为细末,用姜汁调糊制成丸剂,每次服用三十丸,姜汤送服。
按语:以上三方使用南星、半夏是为了战胜痰邪,兼用各种理气药,这正是严氏“顺气则痰自下”的意思。然而,紫苏、枳壳是调理肺气的药物,浓朴是调理脾胃之气的药物,香附是调理肝气的药物。应根据脏腑之气的作用来选用,不可不加区分。
Shenshi Xiaoyin Wan (Deep Teacher's Decoction-Dispersing Pill): Treats chest fullness, vomiting and regurgitation, borborygmus in the abdomen, and loss of appetite caused by fluid retention stagnating in the chest.
Baizhu (Atractylodis Rhizoma, 2 liang), Zhishi (Immature Bitter Orange, stir-fried, 7 qian each), Ganjiang (Dried Ginger, 7 qian each), Fuling (Poria, 0.5 liang).
Grind the above ingredients into a fine powder, mix with honey to make pills the size of paulownia seeds. Take 30 pills per dose, washed down with warm water.
Baojian Wenwei Huatan Wan (Treasure Mirror's Stomach-Warming Phlegm-Resolving Pill): Treats cold in the diaphragm, damage to the spleen and stomach causing fluid retention, discomfort in the chest and diaphragm, and incessant salivary phlegm.
Chenpi (Tangerine Peel, 1 liang), Ganjiang (Dried Ginger, 1 liang), Baizhu (Atractylodis Rhizoma, 1 liang), Banxia (Pinelliae Tuber, 3 liang).
Grind the above ingredients into a powder, mix with ginger juice paste to make pills the size of paulownia seeds. Take 20 pills per dose, washed down with ginger decoction.
Jufang Wenzhong Huatan Wan (Formulary's Middle-Warming Phlegm-Resolving Pill): Treats retained phlegm and lingering fluid retention.
Qingpi (Green Tangerine Peel), Liangjiang (Galangal), Ganjiang (Dried Ginger), Chenpi (Tangerine Peel).
For specific preparation and compounding methods, refer to the original formula book.
Jufang Dingxiang Wu Tao Wan (Formulary's Clove Five-Sleeve Pill): Treats vomiting and inability to eat due to spleen and stomach deficiency failing to transform and transport food and fluids, leading to phlegm-fluid accumulation in the chest and diaphragm. (See the original formula book for details.)
Note: The above formulas are all warming-stomach, drying-dampness, cold-phlegm-resolving, and interior-warming medicines. If phlegm has been stagnant for a long time and damp-heat is internally accumulated, taking these drying-hot medicines may lead to diseases such as acid regurgitation and dysphagia. Users must exercise caution.
Faming Banxia Wenfei Tang (Invention's Pinellia Lung-Warming Decoction): Treats cold-water phlegm and qi in the Zhongwan region, feeling of turbulence and acidity below the heart, excessive clear saliva, distension in the hypochondrium, and inability to eat. This is caused by cold deficiency of the stomach, presenting with a deep, wiry, thin, and slow pulse.
Xuanfuhua (Inula Flower), Xixin (Asarum), Guixin (Cinnamon Twig Heart), Renshen (Ginseng Root), Gancao (Licorice Root), Chenpi (Tangerine Peel), Jiegeng (Platycodon Root), Shaoyao (Peony Root), Banxia (Pinelliae Tuber) (each 0.5 liang), Chifuling (Red Poria, 3 fen).
Cut the herbs into pieces, take 4 qian of the mixture, add 7 slices of fresh ginger, and decoct for administration.
Dingxiang Banxia Wan (Cloves and Pinellia Pill): Treats cold phlegm and fluid retention stagnating below the heart.
Binglang (Areca Seed, 3 fen), Dingxiang (Clove, 1 liang each), Banxia (Pinelliae Tuber, 1 liang each), Xixin (Asarum, 0.5 liang each), Ganjiang (Dried Ginger, 0.5 liang each), Renshen (Ginseng Root, 0.5 liang each).
Grind the above ingredients into a fine powder, mix with ginger juice paste to make pills. Take 30 pills per dose, washed down with ginger decoction.
Jiyao Jianggui Wan (Essentials' Ginger and Cinnamon Pill): Treats cold phlegm.
Nanxing (Arisaema Cum Bile, 1 liang), Banxia (Pinelliae Tuber, 1 liang), Guangui (Cinnamon Bark, 1 liang).
Grind the above ingredients into a fine powder, mix with paste to make pills the size of paulownia seeds. Take 50-70 pills per dose, washed down with ginger decoction.
Note: The above three formulas are medicines for treating cold-dry phlegm and dispersing exterior cold while warming the middle.
Jufang Siqi Tang (Formulary's Four-Seven Decoction): Treats phlegm-saliva aggregation caused by emotional qi stagnation, manifesting as a sensation like a broken wad or a plum pit stuck in the throat, impossible to cough out or swallow. It also treats epigastric stuffiness, abundant phlegm-saliva, and upper body asthma/shortness of breath.
Zisuye (Perilla Leaf, 2 liang), Nongpo (Magnolia Bark, 3 liang), Fuling (Poria, 4 liang), Banxia (Pinelliae Tuber, 5 liang).
Cut the herbs, decoct with fresh ginger and jujube, and administer.
Baiyi Xuanfang Sanxian Wan (Hundred-One Selected Formulas' Three Immortals Pill): Treats qi stagnation in the Zhongwan region and obstructed phlegm-saliva flow.
Nanxing (Arisaema Cum Bile, 5 liang), Banxia (Pinelliae Tuber, 5 liang, made into dough using ginger juice), Xiangfu (Cyperus Rhizome, 5 liang).
Grind the above ingredients into a powder, mix with paste to make pills the size of paulownia seeds. Take 40 pills per dose, washed down with ginger decoction.
Jiyao Qu Xiangfu Jia Ju Pi Ming Yufen Wan (Essentials' Removing Cyperus Adding Tangerine Peel Named Jade Powder Pill): Treats qi-phlegm.
Zhimi Fuling Wan (Fascination-Dispelling Poria Pill): Treats latent phlegm-fluid retention in the Zhongwan region and arm pain making it difficult to lift the arm.
Banxia (Pinelliae Tuber, 2 liang), Fuling (Poria, 1 liang), Zhiqiao (Bitter Orange Fruit, stir-fried, 0.5 liang), Fenghua Xiao (Weathered Nitre, 2.5 qian).
Grind the above ingredients into a powder, mix with ginger juice paste to make pills. Take 30 pills per dose, washed down with ginger decoction.
Note: The above three formulas use Nanxing and Banxia to overcome phlegm, combined with various qi-regulating herbs. This embodies Yan's principle that "regulating qi causes phlegm to descend." However, Zisu and Zhiqiao are lung qi-regulating herbs; Nongpo is a spleen-stomach qi-regulating herb; Xiangfu is a liver qi-regulating herb. They should be selected according to the qi functions of the respective zang-organs and cannot be used indiscriminately.