(胃为水谷之海脏腑皆禀气于胃○五谷入胃其糟粕津液宗气分为三道上焦宗
津液下焦糟粕○大小肠出纳水谷转输津液而胃又为二经之总司○胃为燥土喜降喜柔润宜养津
液○阳明阳土得阴自安○腑宜通热则秘结用下药者亦所以救阴而存津液也)
治胃中血不足。(
胃中谷气传化精征为血)燥火用事。或心烦口渴。或呕吐黄水。(黄水属热清水属寒)
或噎食不下。(四干)或食下吐出。(皆是胃槁)或消谷善饥。(即消中属
胃热传于肺为上消传于肾为下消)或大呕吐血。(阳明多气多血为火所逼)或大便难。(津枯)
或食 。(大肠移热于胃善食而瘦谓之食 者易也胃移热于胆同)亦治肺燥
者肾热者。挟心肝火者。○粘贴中下三脘。(酌加煎抹之药)
生地(四两) 大麦冬 天花粉(各三两) 黄连 知母 当归 栝蒌仁 生白芍 石斛 天冬 干葛 生甘草(各
二两) 元
桔梗 连翘 川芎 柴胡 前胡 胆
皮黄柏
车前子 泽泻 木通 皂角 蓖麻仁 木鳖仁 羚羊角 镑犀角 山甲 大黄 芒硝(各
一两) 滑石(四两)
生姜(连皮) 竹茹(各三两) 石菖蒲(一两) 葱白 韭白 薤藿香(各
二两) 茅根 桑叶 芦根 枇杷叶(去毛) 芭蕉叶 竹叶(各四两) 槐枝 柳枝 桑枝
白菊花(各八两) 凤仙草(全株) 乌梅(三个)○两共享油二十斤。分熬丹收○再入生石膏(
八两) 寒水石(四两) 青黛(一两) 牡蛎粉 元明粉(各二两) 牛胶(四两酒蒸化如清阳膏下
法)
(胃是受纳水谷的脏腑,五脏六腑都依赖胃气来滋养。○五谷进入胃中,其糟粕、津液和宗气分为三条路径运行:上焦主要分布宗气和津液,下焦主要排泄糟粕。○大肠和小肠负责出纳水谷,转输津液,而胃又是这两条经脉的总主管。○胃属于燥土,性质喜欢下降,喜欢柔润,适宜养护津液。○阳明经属阳土,得到阴液的滋润就能安宁。○六腑宜保持通畅,若有热邪导致便秘,使用下药也是为了救阴并保存津液。)
治疗胃中血不足。(胃中的谷气转化精气生成血液)若燥火盛行。或者出现心烦口渴。或者呕吐黄水。(黄水属于热证,清水属于寒证)
或者吞咽困难,食物不下。(指干噎)或者进食后吐出。(都是胃体干枯所致)或者消谷善饥。(即消中证,属胃热;若传于肺则为上消,传于肾则为下消)或者大量呕吐鲜血。(阳明经多气多血,被火邪逼迫所致)或者大便困难。(津液枯竭)或者吃得多却身体消瘦。(大肠移热于胃,善于饮食却消瘦,称为“食亦”,易也;胃移热于胆同理)也治疗肺燥者、肾热者。兼有心肝火旺者。○将药膏粘贴在中脘、下脘及神阙穴。(酌情加入煎煮涂抹的药物)
生地(四两) 大麦冬 天花粉(各三两) 黄连 知母 当归 栝蒌仁 生白芍 石斛 天冬 干葛 生甘草(各二两) 元参 桔梗 连翘 川芎 柴胡 前胡 青黛 黄柏 车前子 泽泻 木通 皂角 蓖麻仁 木鳖仁 羚羊角 镑犀角 穿山甲 大黄 芒硝(各一两) 滑石(四两)
生姜(带皮) 竹茹(各三两) 石菖蒲(一两) 葱白 韭白 藿香(各二两) 白茅根 桑叶 芦根 枇杷叶(去毛) 芭蕉叶 竹叶(各四两) 槐枝 柳枝 桑枝 白菊花(各八两) 凤仙草(全株) 乌梅(三个)○用香油二十斤,分次熬制至滴水成丹,收膏○再加入生石膏(八两) 寒水石(四两) 青黛(一两) 牡蛎粉 玄明粉(各二两) 牛胶(四两,用酒蒸化,方法同清阳膏)
(Stomach is the sea of water and grain; all zang-fu organs derive their qi from the Stomach. ○ When five grains enter the Stomach, their dregs, fluids, and Zong Qi (Gathering Qi) are divided into three pathways: the Upper Jiao distributes Zong Qi and fluids, while the Lower Jiao excretes dregs. ○ The Large Intestine and Small Intestine manage the intake and discharge of water and grain, transferring fluids, with the Stomach acting as the general manager of these two meridians. ○ The Stomach belongs to Dry Earth; its nature prefers descending and softness/moisture, making it suitable for nourishing fluids. ○ Yangming Yang Earth finds peace when supported by Yin. ○ Fu organs should remain unobstructed; if heat causes constipation, using purgatives is also a method to rescue Yin and preserve fluids.)
Treats insufficiency of blood in the Stomach. (The谷物 Qi in the Stomach transforms essence to generate blood.) If dry-fire dominates. Or presents with vexation, restlessness, and thirst. Or vomiting yellow fluid. (Yellow fluid indicates Heat; clear fluid indicates Cold.)
Or dysphagia with food retention. (Refers to dry retching without vomiting). Or regurgitation after eating. (All indicate Stomach dryness/withering). Or polyphagia with rapid digestion. (This is Xiao Zhong syndrome, belonging to Stomach Heat; if transmitted to the Lung, it becomes Upper Xiao; if transmitted to the Kidney, it becomes Lower Xiao). Or massive hematemesis. (Yangming has abundant Qi and Blood, forced out by Fire pathogen). Or difficult defecation. (Fluid exhaustion). Or excessive eating yet emaciation. (Heat transferred from Large Intestine to Stomach leads to good appetite but thinness, called "Shi Yi" [Eating Easily]; similarly, heat transferred from Stomach to Gallbladder). Also treats cases of Lung Dryness, Kidney Heat. Or those complicated by Heart and Liver Fire. ○ Apply the plaster to Zhongwan (CV12), Xiawan (CV10), and Shenque (CV8). (Add decoction ingredients for topical application as appropriate).
Sheng Di Huang (Rehmanniae Radix Praeparata, 4 liang) Da Mai Dong (Ophiopogonis Tuber, 3 liang each) Tian Hua Fen (Trichosanthis Radix, 3 liang each) Huang Lian (Coptidis Rhizoma, 2 liang each) Zhi Mu (Anemarrhenae Rhizoma, 2 liang each) Dang Gui (Angelicae Sinensis Radix, 2 liang each) Gua Lou Ren (Trichosanthis Semen, 2 liang each) Sheng Bai Shao (Paeoniae Radix Alba, 2 liang each) Shi Hu (Dendrobii Caulis, 2 liang each) Tian Dong (Asparagi Radix, 2 liang each) Gan Ge (Puerariae Radix, 2 liang each) Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 liang each) Yuan Shen (Scrophulariae Radix, 1 liang each) Jie Geng (Platycodonis Radix, 1 liang each) Lian Qiao (Forsythiae Fructus, 1 liang each) Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1 liang each) Chai Hu (Bupleuri Radix, 1 liang each) Qian Hu (Peucedani Radix, 1 liang each) Qing Dai (Indigo Naturalis, 1 liang each) Huang Bo (Phellodendri Cortex, 1 liang each) Che Qian Zi (Plantaginis Semen, 1 liang each) Ze Xie (Alismatis Rhizoma, 1 liang each) Mu Tong (Akebiae Caulis, 1 liang each) Zao Jiao (Gleditsiae Spina, 1 liang each) Bi Ma Ren (Ricini Semen, 1 liang each) Mie Bie Ren (Strychni Semen, 1 liang each) Ling Yang Jiao (Antilope Cornu, 1 liang each) Bang Xi Jiao (Rhinocerotis Cornu, 1 liang each) Shan Jia (Manis Squama, 1 liang each) Da Huang (Rhei Radix et Rhizoma, 1 liang each) Mang Xiao (Natrii Sulfas, 1 liang each) Hua Shi (Talcum, 4 liang)
Sheng Jiang (Zingiberis Rhizoma Recens, with peel, 3 liang each) Zhu Ru (Bambusae Caulis in Taenia, 3 liang each) Shi Chang Pu (Acori Tatarinowii Rhizoma, 1 liang) Cong Bai (Allii Fistulosi Bulbus, 2 liang each) Jiu Bai (Allii Tuberosi Bulbus, 2 liang each) Huo Xiang (Agastaches Herba, 2 liang each) Mao Gen (Imperatae Rhizoma, 4 liang each) Sang Ye (Mori Folium, 4 liang each) Lu Gen (Phragmitis Rhizoma, 4 liang each) Pi Pa Ye (Loquasi Folium, de-haired, 4 liang each) Ba Jiao Ye (Musae Folium, 4 liang each) Zhu Ye (Bambusae Folium, 4 liang each) Huai Zhi (Sophorae Ramulus, 8 liang each) Liu Zhi (Salicis Ramulus, 8 liang each) Sang Zhi (Mori Ramulus, 8 liang each) Bai Ju Hua (Chrysanthemi Flos, 8 liang each) Feng Xian Cao (Impatiens Herb, whole plant) Wu Mei (Mume Fructus, 3 pieces) ○ Use 20 jin of Sesame Oil. Decoct in batches until dripping forms beads. Collect the paste. ○ Then add Sheng Shi Gao (Gypsum Fibrosum, 8 liang) Han Shui Shi (Halloysitum Rubrum, 4 liang) Qing Dai (Indigo Naturalis, 1 liang) Mu Li Fen (Concha Ostreae, 2 liang each) Yuan Ming Fen (Natrii Sulfas Exsiccatus, 2 liang each) Niu Jiao (Bovis Colla, 4 liang, steamed and melted in wine, following the method for Qing Yang Gao).