五脏积方
东垣肥气丸治肝之积在左胁下如覆杯有头足久不愈令人发咳逆 疟连岁不已
浓朴(半两) 黄连(七钱) 柴胡(二两) 椒(四钱) 巴豆霜(五分) 川乌头(炮去皮一
钱二
分) 干姜(炮半钱) 人参(二钱半) 白茯苓(一钱半) 昆布(二钱半) 甘草(炙三钱) 广
术(炮二钱半) 皂角(去皮弦煨一钱半)
上件除茯苓皂角豆霜另末外为极细末和匀炼蜜为丸如桐子大初服二丸一日加一丸二日加
二丸渐渐加至大便微溏再从二丸加服周而复始积减太半勿服
伏梁丸治心之积起脐上大如臂上至心下久不愈令人烦心
黄连(一两半) 浓朴(制) 人参(各半两) 黄芩(三钱) 干姜 菖蒲 巴豆霜(各五分)
桂(一钱) 红豆(二分) 川乌头(五分炮) 茯神 丹参(炒各一钱)
上件除巴豆霜外为细末另研豆霜旋旋入末炼蜜为丸如桐子大服如上法淡黄连汤下
痞气丸治脾之积在胃脘覆大如盘久不愈令人四肢不收发黄胆饮食不为肌肤
浓朴(四钱半) 黄连(八钱) 吴茱萸(三钱) 黄芩(二钱) 白茯苓 泽泻 人参(各一
钱)
川乌头(炮) 川椒(炒各半钱) 白术(二分) 巴豆霜(四分) 桂(四分) 茵陈(酒炒) 干姜
(泡) 砂仁(各一钱半)
上件除豆霜另研茯苓另末旋入外同为细末炼蜜为丸如桐子大淡甘草汤下服如上法
息贲丸治肺之积在右胁下覆大如杯久不已令人洒淅寒热喘咳发肺壅
浓朴(制八钱) 黄连(炒一两三钱) 干姜(泡) 白茯苓 川椒(炒) 紫菀(各一钱半)
桂
川乌头(炮) 桔梗 白豆蔻 陈皮 京三棱 天门冬(各一钱) 巴豆霜(四分) 人参(二钱)
青皮(五分)
上件除茯苓巴豆霜旋入外为末炼蜜丸如桐子大以淡姜汤送下服如上法以上四方秋冬加浓
朴减黄连四分之一
奔豚丸治肾之积发于小腹上至心下若豚状或下或上无时久不已令人喘逆骨痿少气及治男
子内结七疝女人瘕聚滞下
浓朴(制七钱) 黄连(五钱) 白茯苓 泽泻 菖蒲(各二钱) 川乌头 丁香(半钱) 桂
(二分) 巴豆霜(四分) 全蝎 附子 独活(各一钱) 玄胡索(一钱半) 苦楝(酒煮三钱)
上除巴豆霜茯苓另为末旋入外为细末炼蜜丸如桐子大淡盐汤下服如上法
按以上诸方宜随证加减用之所谓益元气泄阴火破滞气削其坚也
吐剂
瓜蒂散
方见痰饮门
按吐法意略具前宜兼看各门吐剂
五脏积方
东垣肥气丸：治疗肝之积，病位在左胁下，形状像倒扣的杯子，有头有脚。若久治不愈，会导致人发生咳嗽气逆、疟疾连年不断。
药材：浓朴（半两）、黄连（七钱）、柴胡（二两）、花椒（四钱）、巴豆霜（五分）、川乌头（炮制去皮，一钱二分）、干姜（炮制，半钱）、人参（二钱半）、白茯苓（一钱半）、昆布（二钱半）、甘草（炙，三钱）、广术（炮制，二钱半）、皂角（去皮弦，煨，一钱半）。
制法与服法：以上药物，除茯苓、皂角和巴豆霜单独研末外，其余药物共研为极细末并混合均匀。用炼蜜制成如梧桐子大小的药丸。初次服用二丸，第一天加一丸，第二天加二丸，逐渐增加剂量直到大便轻微溏泄为止。然后再从二丸开始服用，循环往复。当积聚消退大半时，停止服用。
伏梁丸：治疗心之积，起于脐上，大如手臂，向上延伸至心下。若久治不愈，会导致人心烦意乱。
药材：黄连（一两半）、浓朴（制）、人参（各半两）、黄芩（三钱）、干姜、菖蒲、巴豆霜（各五分）、桂枝（一钱）、红豆（二分）、川乌头（炮制，五分）、茯神、丹参（炒，各一钱）。
制法与服法：以上药物，除巴豆霜外，共研为细末，另将巴豆霜研细后徐徐混入药末中。用炼蜜制成如梧桐子大小的药丸。服用方法同上，用淡黄连汤送服。
痞气丸：治疗脾之积，在胃脘部，大如盘子。若久治不愈，会导致四肢无力、发黄、黄疸、饮食不能化为肌肉营养。
药材：浓朴（四钱半）、黄连（八钱）、吴茱萸（三钱）、黄芩（二钱）、白茯苓、泽泻、人参（各一钱）、川乌头（炮制）、川椒（炒，各半钱）、白术（二分）、巴豆霜（四分）、桂枝（四分）、茵陈（酒炒）、干姜（泡制）、砂仁（各一钱半）。
制法与服法：以上药物，除巴豆霜单独研细、茯苓单独研末外，其余药物共同研为细末，然后将上述两种粉末旋入混合。用炼蜜制成如梧桐子大小的药丸。用淡甘草汤送服，服用方法同上。
息贲丸：治疗肺之积，在右胁下，大如杯子。若久治不愈，会导致人体洒淅恶寒发热、气喘咳嗽，引发肺气壅滞。
药材：浓朴（制，八钱）、黄连（炒，一两三钱）、干姜（泡制）、白茯苓、川椒（炒）、紫菀（各一钱半）、桂枝、川乌头（炮制）、桔梗、白豆蔻、陈皮、京三棱、天门冬（各一钱）、巴豆霜（四分）、人参（二钱）、青皮（五分）。
制法与服法：以上药物，除茯苓和巴豆霜旋入外，共研为细末，用炼蜜制成如梧桐子大小的药丸。用淡姜汤送服，服用方法同上。以上四方剂，在秋冬季节使用时，需增加浓朴用量，减少黄连的四分之一。
奔豚丸：治疗肾之积，发于小腹，向上至心下，状如小猪奔跑。或向下或向上移动，无固定时间。若久治不愈，会导致人喘逆、骨痿、少气。也可用于治疗男子内结七疝、女人瘕聚及带下淋漓不尽。
药材：浓朴（制，七钱）、黄连（五钱）、白茯苓、泽泻、菖蒲（各二钱）、川乌头、丁香（半钱）、桂枝（二分）、巴豆霜（四分）、全蝎、附子、独活（各一钱）、玄胡索（一钱半）、苦楝（酒煮，三钱）。
制法与服法：以上药物，除巴豆霜和茯苓分别研为细末后旋入外，其余共研为细末。用炼蜜制成如梧桐子大小的药丸。用淡盐汤送服，服用方法同上。
按语：以上诸方应当根据证候进行加减使用，这就是所谓的补益元气、清泄阴火、破除滞气、削坚散结的方法。
吐剂
瓜蒂散
方剂见痰饮门。
按语：吐法的用意大致在前面已经具备，适宜兼看各门中的吐剂。
Formulas for Accumulations in the Five Zang Organs
Dongyuan Feiqi Wan (Fatty Qi Pill): Treats Liver Accumulation, located under the left hypochondrium, shaped like an inverted cup with a head and feet. If not cured for a long time, it causes coughing, counterflow of Qi, and malaria that persists year after year.
Herbs: Magnoliae Officinalis Cortex (Cinnamon Bark) (Ban Liang), Coptidis Rhizoma (Huanglian) (Qi Qian), Bupleuri Radix (Chaihu) (Liang Liang), Zanthoxyli Pericarpium (Jiao) (Si Qian), Crotonis Fructus Decoction Residue (Badou Shuang) (Wu Fen), Aconiti Lateralis Radix Preparata (Chuan Wutou) (Pao, peeled, Yi Qian Er Fen), Zingiberis Rhizoma Preparatum (Ganjiang) (Pao, Ban Qian), Ginseng Radix et Rhizoma (Renshen) (Er Qian Ban), Poria (Baifuling) (Yi Qian Ban), Sargassum (Kunbu) (Er Qian Ban), Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao) (Zhi, San Qian), Curcumae Aromatae Rhizoma (Guangzhu) (Pao, Er Qian Ban), Gleditsiae Sinensis Fructus (Zaojiao) (Peel and rind removed, roasted, Yi Qian Ban).
Preparation and Administration: For the above ingredients, except for Poria, Gleditsiae Sinensis Fructus, and Crotonis Fructus Decoction Residue which are separately ground into extremely fine powder and mixed evenly, grind the remaining herbs into extremely fine powder, mix evenly, and use refined honey to make pills the size of Sophora japonica seeds. Initially take two pills, add one pill on the first day, add two pills on the second day, gradually increasing the dose until the stool becomes slightly loose, then return to taking two pills per dose, cycling repeatedly. Stop taking the medicine when the accumulation has reduced by more than half.
Fuliang Wan (Beam Pill): Treats Heart Accumulation, starting above the navel, as large as an arm, extending upward to the region below the heart. If not cured for a long time, it causes mental restlessness.
Herbs: Coptidis Rhizoma (Huanglian) (Liang Qian Ban), Magnoliae Officinalis Cortex Preparata (Nongpu) (Zhi), Ginseng Radix et Rhizoma (Renshen) (Ge Ban Liang), Scutellariae Radix (Huangqin) (San Qian), Zingiberis Rhizoma (Ganjiang), Acori Tatarinowii Rhizoma (Changpu), Crotonis Fructus Decoction Residue (Badou Shuang) (Ge Wu Fen), Cinnamomi Ramulus (Gui) (Yi Qian), Vigna Angularis Seed (Hongdou) (Er Fen), Aconiti Lateralis Radix Preparata (Chuan Wutou) (Pao, Wu Fen), Polyporus (Fushen), Salviae Miltiorrhizae Radix (Danshen) (Chao, Ge Yi Qian).
Preparation and Administration: For the above ingredients, except for Crotonis Fructus Decoction Residue, grind the rest into fine powder, separately grind the Crotonis Fructus Decoction Residue, and gradually incorporate it into the powder. Use refined honey to make pills the size of Sophora japonica seeds. Administer as described above, taken down with light Coptidis Rhizoma decoction.
Piqi Wan (Stagnant Qi Pill): Treats Spleen Accumulation, located in the epigastrium, covering an area as large as a plate. If not cured for a long time, it causes weakness in the four limbs, yellowing of the skin, jaundice, and inability of food intake to nourish the muscles and skin.
Herbs: Magnoliae Officinalis Cortex (Nongpu) (Si Qian Ban), Coptidis Rhizoma (Huanglian) (Ba Qian), Evodiae Fructus (Wuzhuyu) (San Qian), Scutellariae Radix (Huangqin) (Er Qian), Poria (Baifuling), Alismatis Rhizoma (Zexie), Ginseng Radix et Rhizoma (Renshen) (Ge Yi Qian), Aconiti Lateralis Radix Preparata (Chuan Wutou) (Pao), Zanthoxyli Pericarpium (Chuanjiao) (Chao, Ge Ban Qian), Atractylodis Macrocephalae Rhizoma (Baizhu) (Er Fen), Crotonis Fructus Decoction Residue (Badou Shuang) (Si Fen), Cinnamomi Ramulus (Gui) (Si Fen), Capillaris Herba (Yinchen) (Jiu Chao), Zingiberis Rhizoma Preparatum (Ganjiang) (Pao), Amomi Fructus Rotundus (Sharen) (Ge Yi Qian Ban).
Preparation and Administration: For the above ingredients, except for Crotonis Fructus Decoction Residue which is separately ground and Poria which is separately ground into powder before being incorporated, grind all together into fine powder. Use refined honey to make pills the size of Sophora japonica seeds. Take down with light Glycyrrhizae Radix et Rhizoma decoction, administered as described above.
Xiben Wan (Resting Bronchus Pill): Treats Lung Accumulation, located under the right hypochondrium, covering an area as large as a cup. If not cured for a long time, it causes chills and fever, panting, coughing, and leads to Lung Qi obstruction.
Herbs: Magnoliae Officinalis Cortex Preparata (Nongpu) (Zhi, Ba Qian), Coptidis Rhizoma Preparata (Huanglian) (Chao, Yi Liang San Qian), Zingiberis Rhizoma Preparatum (Ganjiang) (Pao), Poria (Baifuling), Zanthoxyli Pericarpium (Chuanjiao) (Chao), Astagti Flos (Ziwan) (Ge Yi Qian Ban), Cinnamomi Ramulus (Gui), Aconiti Lateralis Radix Preparata (Chuan Wutou) (Pao), Platycodonis Radix (Jiegeng), Amomi Fructus Rotundus (Baidoukou), Citri Reticulatae Pericarpium (Chenpi), Sparganii Rhizoma (Jingsanleng), Asparagi Radix (Tianmendong) (Ge Yi Qian), Crotonis Fructus Decoction Residue (Badou Shuang) (Si Fen), Ginseng Radix et Rhizoma (Renshen) (Er Qian), Citri Reticulatae Pericarpium Viride (Qingpi) (Wu Fen).
Preparation and Administration: For the above ingredients, except for Poria and Crotonis Fructus Decoction Residue which are separately ground and incorporated, grind into powder. Use refined honey to make pills the size of Sophora japonica seeds. Take down with light Zingiberis Rhizoma decoction, administered as described above. For the above four formulas, during autumn and winter, increase the dosage of Magnoliae Officinalis Cortex and reduce Coptidis Rhizoma by one-quarter.
Ben Tun Wan (Running Piglet Pill): Treats Kidney Accumulation, originating in the lower abdomen and extending upward to the region below the heart, resembling a running piglet, moving up or down without fixed timing. If not cured for a long time, it causes panting, reverse flow of Qi, bone atrophy, and shortness of breath. It can also treat the seven types of hernia internal stagnation in men and leukorrhea stagnation due to mass accumulation in women.
Herbs: Magnoliae Officinalis Cortex Preparata (Nongpu) (Zhi, Qi Qian), Coptidis Rhizoma (Huanglian) (Wu Qian), Poria (Baifuling), Alismatis Rhizoma (Zexie), Acori Tatarinowii Rhizoma (Changpu) (Ge Er Qian), Aconiti Lateralis Radix (Chuan Wutou), Symplococarpi Fructus (Dingxiang) (Ban Qian), Cinnamomi Ramulus (Gui) (Er Fen), Crotonis Fructus Decoction Residue (Badou Shuang) (Si Fen), Scorpio (Quanxie), Aconiti Radix Preparata (Fuzi), Angelicae Pubescentis Radix (Duohuo) (Ge Yi Qian), Corydalis Rhizoma (Yanyhusuo) (Yi Qian Ban), Meliae Semen (Kulian) (Jiu Zhu, San Qian).
Preparation and Administration: For the above ingredients, except for Crotonis Fructus Decoction Residue and Poria which are separately ground into powder and incorporated, grind into fine powder. Use refined honey to make pills the size of Sophora japonica seeds. Take down with light salt water decoction, administered as described above.
Note: The above formulas should be modified according to the specific syndrome. Their intent is to tonify Yuan Qi, drain Yin Fire, break Qi stagnation, and dissipate hardness.
Emetic Agents
Gua Di San (Melon Pedicle Powder)
See the Phlegm-Fluids section for the formula.
Note: The principles of emetic therapy are roughly outlined in the preceding sections; refer to the emetic formulas in various categories.