治久患翻胃,及小儿惊吐,《诸吐并医》。
好硫黄(半两细研) 水银(一分与硫黄再研无星)
上同研如黑煤色,每服三钱,生姜四两取汁,酒一盏同姜汁煎,熟调药,空心服,衣被
盖覆,当自足指间汗出,迤逦遍身,汗出即瘥。常有人病反胃,食辄吐出,午后即发,经三
年不瘥。国医如孙兆辈,皆治疗百端无验,消羸殆尽,枯黑骨立。有守库卒季吉者见之,曰
此易治也,一服药可瘥,始都不信之。一日试令合药,与少钱市药,仆次日持药至,止一服,
如
用此药,量儿长少,服一钱至一字,冷水调下,吐立定。此散极浮,难调,须先滴少水,以
至缓缓研杀,稍稍增汤,使令调和。若顿入汤酒,尽浮泛不可服。又予旧官属陈宣德之妻,
病翻胃,亦弥年,得一乌头散服之,一服瘥。又楚人孙生,有一茱萸丸,亦疗翻胃,其人自
有传,今皆附于此。予校此三方,惟田季有阴阳,理自胜捷,乌头茱萸二方,皆性热,用者
,更量其脏寒温投之。
乌头(三两炮去皮) 川楝子(一两半) 槟榔 木香(各一两)
上为末,每服二钱,水一盏,煎至七分,盐一捻,温服。
《孙生传》曰∶年深膈气翻胃。饮食之物至晚皆吐出悉皆生存不化,鬲上常有痰涎,时
时呕血,胸中多酸水,吐清水,无时夜,吐辄至晚,日渐羸瘦,腹中痛楚,时复冷滑,或即
闭结,候状不可尽述。自患此疾六年,日可吐及五七度,百方无验,因遇此法,服及两月,
诸疾悉瘥。尝愿流传救人,其方如下。
茱萸(三分瓦上出油) 胡椒 人参 当归(各五钱) 甘草(半两,一半生,一半纸
裹五七重醋浸,令透火内慢煨干,又浸如此七遍) 半夏(一两,用姜四两,研汁入砂罐子
内,用姜汁
上为末,半夏膏丸,如稍梗,添姜汁,丸如梧桐子大,每服七丸,桑柳条各入最上等银
器内,煎汤吞下,日三服,忌诸毒物。惟可食油猪胰脾软饭,此孙生自叙如此。
治疗长期患有翻胃(指饮食入胃后,朝食暮吐或暮食朝吐,宿谷不化之证),以及小儿因受惊引起的呕吐,出自《诸吐并医》。
取优质硫黄(半两,细研)和水银(一分,与硫黄再次研磨至不见水银星点)。
将上述药物共同研磨成黑煤般的颜色。每次服用三钱,用生姜四两榨取汁液,加入一盏酒,同姜汁一起煎煮,待药熟后调匀,空腹服用。服药后用衣被覆盖身体,应当会从脚趾间开始出汗,逐渐蔓延至全身,汗出后病即痊愈。
曾经有人患反胃病,进食后立即吐出,午后发作,病程长达三年未愈。当时的国医如孙兆等人,虽然尝试了各种治疗方法都无效,患者消瘦得几乎殆尽,干枯黝黑,骨瘦如柴。有一位守库的士兵季吉看见这种情况,说:“这病容易治,吃一服药就能好。”起初大家都不相信。有一天试着让他配药,给他少量钱财去买药,仆人第二天带着药来了,只服了一剂,(病就好了)。如果用此药治疗小儿,根据孩子的大小,服用一钱到一字,用冷水调服,呕吐立即停止。此散剂极轻浮,难以调和,必须先滴入少量水,然后慢慢研磨使其变重,再逐渐增加汤液,使其调和均匀。如果一次性倒入汤或酒中,全部漂浮在水面上,无法服用。
另外,我以前的下属陈宣德的妻子,患有翻胃病,也有一年多,得到乌头散服用,一服药后病愈。还有楚地人孙生,有一方茱萸丸,也能治疗翻胃,这是他自己传承下来的方子,现在一并附在这里。我比较这三个方子,只有田季散含有阴阳调和之理,自然见效迅速;乌头散和茱萸丸两个方子,药性都偏热,使用者需根据患者脏腑寒热的情况酌情投用。
乌头(三两,炮制去皮) 川楝子(一两半) 槟榔 木香(各一两)
将上述药物研为末。每次服用二钱,用水一盏,煎至七分,加入一捻盐,温服。
《孙生传》记载:多年膈气翻胃。食物到了晚上都会全部吐出,且食物完整未消化,膈上常有痰涎,不时呕血,胸中多酸水,吐出清水,不分昼夜,呕吐往往持续到晚上,日渐消瘦,腹中疼痛,时而冷滑,有时又闭结不通,症状难以尽述。自患病六年,每天可呕吐五七次,各种方法都无效,因为遇到这个方法,服用两个月,所有疾病都痊愈了。曾希望流传此法救人,其方如下。
吴茱萸(三分,在瓦上加热去油) 胡椒 人参 当归(各五钱) 甘草(半两,一半生用,一半用纸包裹五七层,用醋浸透,放入火内慢煨干,再浸如此反复七遍) 半夏(一两,用生姜四两,研汁,放入砂罐内,用姜汁浸泡)
将上述药物研为末,制成半夏膏丸,如果稍硬,添加姜汁,制成梧桐子大小的丸剂。每次服用七丸,用桑枝和柳枝各一段,放入最上等的银器中,煎汤送服,每日三次,忌食各种毒物。只能吃油脂、猪胰、脾脏软饭,这是孙生自己叙述的情况。
Treats long-standing Fanwei (regurgitation, characterized by vomiting undigested food from the previous day) and infantile vomiting due to fright, as recorded in *Zhu Tu Bing Yi*.
Take high-quality Liu Huang (Sulfur, 0.5 liang, finely ground) and Shui Yin (Mercury, 1 fen, repeatedly ground with Sulfur until no mercury particles are visible).
Grind these substances together until they resemble black coal powder. For each dose, take 3 qian. Extract juice from 4 liang of fresh ginger, add one zhan of wine, and decoct together with the ginger juice. Once cooked, mix well and take on an empty stomach. Cover the body with clothing and blankets; sweating should begin from the toes and gradually spread over the entire body. The disease will be cured once sweating occurs.
There was once a patient suffering from Fanwei who vomited immediately after eating, with symptoms starting in the afternoon, lasting for three years without cure. Imperial physicians such as Sun Zhao tried various treatments without success. The patient became extremely emaciated, dry, dark, and skeletal. A guard named Ji Ji saw this and said, "This is easy to treat; one dose will cure it." Initially, no one believed him. One day, he was allowed to prepare the medicine, given some money to buy ingredients, and his servant brought the medicine the next day. After taking just one dose, the condition resolved. When using this powder for children, adjust the dosage according to the child's size, administering 1 qian to 1 zi, mixed with cold water. Vomiting will stop immediately. This powder is extremely light and difficult to mix; first, add a few drops of water and grind slowly to increase its weight, then gradually add liquid to ensure uniform mixing. If poured directly into soup or wine, it will float entirely on the surface and cannot be taken.
Additionally, the wife of my former subordinate Chen Xuande suffered from Fanwei for over a year. She took Wutou San (Aconite Powder) and was cured after one dose. Also, Sun Sheng from Chu had a formula called Zhuyu Wan (Evodia Pill), which also treats Fanwei. This was passed down by him personally and is included here. Comparing these three formulas, only Tianji San contains principles of balancing Yin and Yang, ensuring rapid efficacy. Both Wutou San and Zhuyu Wan have hot properties; users should administer them based on the patient's organ coldness or heat.
Wutou (Aconiti Lateralis Radix Praeparata, 3 liang, processed and peeled) Chuanlianzi (Toosendan Fructus, 1.5 liang) Binglang (Arecae Semen) Muxiang (Vladimiriae Root, 1 liang each)
Grind all into powder. Take 2 qian per dose, decoct in one zhan of water until reduced to 0.7 zhan, add a pinch of salt, and take warm.
*Sun Sheng's Record*: Chronic Geqi (diaphragmatic qi stagnation) and Fanwei. Food eaten during the day is completely vomited up at night, undigested. There is often phlegm-saliva above the diaphragm, occasional hematemesis (vomiting blood), excessive sour fluid in the chest, and vomiting of clear water. Vomiting occurs day and night, often continuing until evening. The patient becomes increasingly emaciated, suffers from abdominal pain, sometimes experiences cold diarrhea, and sometimes constipation. Symptoms are too numerous to describe fully. Having suffered for six years, vomiting five to seven times daily, with no other method effective, upon encountering this method and taking it for two months, all diseases were cured. I wished to disseminate this method to save others. The formula is as follows:
Zhuyu (Evodiae Fructus, 3 fen, heated on tile to remove oil) Hujiao (Piperis Longi Fructus) Renshen (Ginseng Radix et Rhizoma) Danggui (Angelicae Sinensis Radix, 5 qian each) Gancao (Licorice Radix et Rhizoma, 0.5 liang; half raw, half wrapped in paper five to seven layers, soaked in vinegar, slow-roasted in fire until dry, repeated seven times) Banxia (Pinelliae Tuber, 1 liang, soaked in juice of 4 liang fresh ginger in a clay pot)
Grind all into powder. Make pills using Banxia paste. If too hard, add ginger juice. Shape into pills the size of paulownia seeds. Take 7 pills per dose, decocted in water prepared from Sangzhi (Muli) and Liuzhi (Willow Twig) in a fine silver vessel. Swallow with the decoction, three times daily. Avoid toxic foods. Only consume oily pork pancreas, spleen, and soft rice, as narrated by Sun Sheng.