是证气结而成。 者,腹之左右,各有一条,大者如臂,小者如指,亦名弦气。癖者,肋之
两旁,有块作痛。二者遇风冷怒气则发,脉多沉涩。治法须久服丸药消之,兼积聚门治。
主方 当归 槟榔 蓬术 三棱 芫花(醋炒) 桃仁 五灵脂 木香 没药(另研)
肉桂(各三钱) 阿魏(一钱) 麝香(五分) 上为末,入没药、麝香、阿魏(醋研化入,)
饭丸桐子大。每服十丸,淡醋汤下。
是证由七情时动,饮食失节,寒温不调,气血凝滞而成。故 者,脏腑气结有形可征也。瘕
者,痛处无定,浮假可移也。发则气壅腹痛,相引两胁,烦闷。滞于经络,月水不通,亦当丸药
治之。
主方 当归 川芎 干漆(炒烟尽) 木香 芫花(醋炒) 肉桂 赤芍药 琥珀(各五
钱) 大黄 牛膝(各三钱) 桃仁(一两) 麝香(五分) 上为末或丸,每服一钱,空心,
热好酒送下。
流气散 脏腑虚弱,气血不调,或兼外邪,成形作痛,攻注上下。
当归 延胡索 川芎 乌药 肉桂 桃仁 木香 赤芍药 枳壳 蓬术 青皮(等分) 为
末,二钱酒下。
妇人小腹为冲任之脉,血之海。忽感严凝之寒,客于脉络则气血留滞,激搏而痛;得温暖则
气血和通而痛止。内服温散之药,外炒盐熨,或烧热物熨之。脉多沉紧。如临经时腹痛,调经门
捡方治。
主方 玄胡索 五灵脂 吴茱萸(汤泡) 肉桂 木香 茴香 陈皮(各一两) 白豆蔻(
五钱) 上为末,每服一钱,空心,酒下。
这种病证是由气机郁结而形成的。[注:原文此处缺字,根据上下文及后文“者”、“瘕者”推断,此处应指“瘕”或泛指此类积聚,结合下文“二者”,此处特指前文提到的某种类型,通常古籍中“癖”与“瘕”常并列,但此处第一句描述的是腹之左右有条状物,名为弦气,实为“癖”的一种表现或相关证候,但原文排版似将“癖”的定义拆分为两段或存在脱漏。根据中医常识,“癖”指胁下痞块,“瘕”指聚散无常。原文第一段描述“腹之左右...亦名弦气”,这通常指“癖”或“奔豚”等,但后文紧接“癖者...”。让我们仔细看原文结构:“是证气结而成。 [缺失主语] 者,腹之左右... 亦名弦气。癖者,肋之两旁...”。这里可能存在文本断句问题。通常《简明医彀》中,“癖”指两胁间有块,“瘕”指腹中聚散无常。原文第一段描述的“腹之左右,各有一条...亦名弦气”实际上是对“癖”的另一种描述或者是指“奔豚”?不,看后文“二者遇风冷怒气则发”,说明前面提到了两种病。第一种是“腹之左右...”,第二种是“癖者...”。但在中医术语中,通常“癖”在胁下,“瘕”在腹中。让我们再读一遍:“是证气结而成。 [?] 者,腹之左右... 亦名弦气。癖者,肋之两旁...”。这里可能原文漏了一个字,比如“瘕”或者“癖”被重复定义了。但根据后文“主方...消之”,以及第二段明确讲“瘕者...痛处无定”,我们可以推断第一段主要讲的是“癖”(或包括弦气)。为了忠实于原文翻译,我将按字面意思翻译,并指出其定义。
修正理解:原文可能是“癖者,腹之左右...”。但后面又有一句“癖者,肋之两旁...”。这可能是版本差异或排版错误。通常“癖”指胁下痞块。让我们假设第一段是在定义“癖”(或包含弦气的癖),第二段定义“瘕”。
第一段:这种病证是由气机郁结而形成的。所谓[癖/弦气],是指在腹部左右两侧,各有一条状物,大的像手臂一样粗,小的像手指一样细,也叫做弦气。所谓癖,是指在肋骨两旁,有肿块并且疼痛。这两种病证遇到风寒、寒冷或愤怒情绪时就会发作,脉象多表现为沉涩。治疗方法需要长期服用丸药来消除它,可以参考“积聚”门中的方法进行治疗。
主方:当归、槟榔、蓬术(莪术)、三棱、芫花(用醋炒制)、桃仁、五灵脂、木香、没药(单独研磨成粉)、肉桂(以上各三钱)、阿魏(一钱)、麝香(五分)。将上述药材(除没药、麝香、阿魏外)研成细末,将没药、麝香、阿魏用醋研磨化开,拌入药末中,做成如梧桐子大小的丸药。每次服用十丸,用淡醋汤送服。
这种病证是由于七情(喜、怒、忧、思、悲、恐、惊)时常波动,饮食没有节制,寒温调节不当,导致气血凝滞而形成的。所以,[瘕]的特点是脏腑气机郁结,有形质可以验证。所谓瘕,是指疼痛的位置不固定,浮浅虚假,可以移动。发作时气机壅塞导致腹痛,牵引两侧胁肋部,感到烦闷。如果病邪阻滞于经络,会导致月经不通,也应当用丸药治疗。
主方:当归、川芎、干漆(炒至烟尽)、木香、芫花(用醋炒制)、肉桂、赤芍药、琥珀(以上各五钱)、大黄、牛膝(以上各三钱)、桃仁(一两)、麝香(五分)。将上述药材研成细末或制成丸药,每次服用一钱,空腹时,用热的好酒送服。
流气散:适用于脏腑虚弱,气血不调,或者兼感外邪,形成有形之物并引起疼痛,疼痛攻窜上下部位的情况。
配方:当归、延胡索、川芎、乌药、肉桂、桃仁、木香、赤芍药、枳壳、蓬术(莪术)、青皮(以上等分)。研成细末,每次服用二钱,用酒送服。
妇女的小腹部是冲脉和任脉所在,也是血的海洋。如果突然感受严寒之邪,寒气客居在脉络中,就会导致气血留滞,相互激荡而引起疼痛;得到温暖后,气血调和通畅,疼痛就会停止。内服具有温通发散作用的药物,外用炒热的盐熨烫,或者用烧热的物体熨烫患处。脉象多表现为沉紧。如果在行经期间出现腹痛,请参考“调经”门中的选方进行治疗。
主方:玄胡索(延胡索)、五灵脂、吴茱萸(用汤泡过)、肉桂、木香、茴香、陈皮(以上各一两)、白豆蔻(五钱)。将上述药材研成细末,每次服用一钱,空腹时,用酒送服。
This syndrome is formed by the stagnation of Qi. The so-called [Pi (Piyi, a type of abdominal mass)] refers to strip-like masses on either side of the abdomen; the larger ones are as thick as an arm, and the smaller ones as thin as a finger, also known as "Xian Qi" (Stringy Qi). Pi also refers to lumps in the flanks accompanied by pain. Both conditions are triggered by exposure to wind-cold or emotional anger, and the pulse is often deep and choppy. The treatment requires long-term administration of pill medicines to dissipate the accumulation, and reference should be made to the section on Accumulation and Mass (Ji Ju).
Principal Formula: Dang Gui (Angelicae Sinensis Radix), Bing Lang (Arecae Semen), Peng Zhen (Curcumae Longae Rhizoma), San Leng (Sparganii Rhizoma), Yuan Hua (Genkwa Flos, stir-fried with vinegar), Tao Ren (Persicae Semen), Wu Ling Zhi (Trogopteri Dung), Mu Xiang (Aucklandiae Radix), Mo Yao (Myrrha, separately ground), Rou Gui (Cinnamomi Cortex) (each 3 qian); A Wei (Ferulae Resina, 1 qian); She Xiang (Moschus, 5 fen). Grind the herbs (except Mo Yao, She Xiang, and A Wei) into powder. Dissolve Mo Yao, She Xiang, and A Wei in vinegar, mix with the powder, and form pills the size of tung tree seeds. Take 10 pills per dose, washed down with weak vinegar soup.
This syndrome arises from frequent fluctuations in the Seven Emotions (Qi Qing), irregular diet, improper regulation of cold and warmth, leading to the coagulation and stagnation of Qi and Blood. Therefore, Jia (a type of movable abdominal mass) is characterized by the knotting of Zang-Fu Qi, presenting with tangible signs. Jia is defined by pain that has no fixed location, appearing superficial and false, and is movable. Upon onset, Qi obstruction causes abdominal pain radiating to both hypochondriac regions, accompanied by irritability and stifling sensation. If stagnation occurs in the collaterals, it may lead to amenorrhea; this should also be treated with pill medicines.
Principal Formula: Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Gan Qi (Drynariae Rhizoma? No, Gan Qi usually refers to Canarium Resin or Drynaria, here likely Canarium Resin/Gan Qi used for breaking blood stasis, stir-fried until smoke ceases), Mu Xiang (Aucklandiae Radix), Yuan Hua (Genkwa Flos, stir-fried with vinegar), Rou Gui (Cinnamomi Cortex), Chi Shao Yao (Paeoniae Radix Rubra), Hu Po (Amber) (each 5 qian); Da Huang (Rhei Radix et Rhizoma), Niu Xi (Achyranthis Bidentatae Radix) (each 3 qian); Tao Ren (Persicae Semen, 1 liang); She Xiang (Moschus, 5 fen). Grind into powder or make into pills. Take 1 qian per dose, on an empty stomach, taken with hot fine wine.
Liu Qi San (Flowing Qi Powder): Indicated for weakness of the Zang-Fu organs, disharmony of Qi and Blood, or concurrent external pathogens, resulting in formed masses causing pain that attacks and moves up and down.
Formula: Dang Gui (Angelicae Sinensis Radix), Yan Hu Suo (Corydalis Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Wu Yao (Linderae Radix), Rou Gui (Cinnamomi Cortex), Tao Ren (Persicae Semen), Mu Xiang (Aucklandiae Radix), Chi Shao Yao (Paeoniae Radix Rubra), Zhi Ke (Aurantii Fructus Immaturus), Peng Zhen (Curcumae Longae Rhizoma), Qing Pi (Citri Reticulatae Pericarpium Viride) (equal parts). Grind into powder. Take 2 qian per dose, washed down with wine.
The lower abdomen of women is the pathway of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel), and is the sea of Blood. Sudden exposure to severe cold allows the pathogen to lodge in the collaterals, causing Qi and Blood to stagnate and struggle against each other, resulting in pain; upon warming, Qi and Blood harmonize and flow freely, and the pain ceases. Internally administer warming and dispersing herbs; externally apply hot salt packs or heated objects to the area. The pulse is often deep and tight. If abdominal pain occurs during menstruation, refer to the Menstrual Regulation section for selected formulas.
Principal Formula: Yan Hu Suo (Corydalis Rhizoma), Wu Ling Zhi (Trogopteri Dung), Wu Zhu Yu (Evodiae Fructus, soaked in water), Rou Gui (Cinnamomi Cortex), Mu Xiang (Aucklandiae Radix), Hui Xiang (Foeniculi Fructus), Chen Pi (Citri Reticulatae Pericarpium) (each 1 liang); Bai Dou Kou (Amomi Fructus Rotundus, 5 qian). Grind into powder. Take 1 qian per dose, on an empty stomach, washed down with wine.