柏子仁汤
人参 半夏 白茯苓 陈皮 柏子仁 甘草(炙) 麝香(少许,另研)
上生姜煎,入麝香调匀和服。加郁李仁更妙。
人参散
人参 麝香 片脑(各少许)
上末,甘草汤调服。
既济丸(《会编》) 治关格,脉沉细,手足厥冷者。
熟附子(童便浸) 人参(各一钱) 麝香(少许)
上末,糊丸如桐子大,麝香为衣。每服七丸,灯芯汤下。
槟榔益气汤(《会编》) 治关格劳后,气虚不运者。
槟榔(多用) 人参 白术 当归 黄 陈皮 升麻 甘草 柴胡 枳壳
上生姜煎服。
木通二陈汤(《会编》) 治心脾疼后,小便不通,皆是痰隔于中焦,气滞于下焦。
木通 陈皮(去白) 白茯苓 半夏(姜制) 甘草 枳壳
上生姜煎服,服后探吐。更不通,加味小胃丹,加味控痰丸。
导气清利汤(《会编》) 治关格吐逆,大小便不通。
猪苓 泽泻 白术 人参 藿香 柏子仁 半夏(姜制) 陈皮 白茯苓 甘草 木通
栀子 黑牵牛 槟榔 枳壳 大黄 浓朴(姜制) 麝香(少许)
上生姜煎服,兼服木香和中丸。吐不止,灸气海、天枢;如又不通,用蜜导。
加味麻仁丸(《会编》) 治关格大小便不通。
大黄(一两) 白芍药 浓朴(姜汁炒) 当归 杏仁(去皮尖) 麻仁 槟榔 南木香 枳壳
(各五钱) 麝香(少许)
上为末,蜜丸。熟水下。
皂角散(《会编》) 治大小便关格不通,经三五日者。
大皂角(烧存性)
上为末,米汤调下。又以猪脂一两煮熟,以汁及脂俱食之。又服八正散加槟榔、枳壳、
朴硝、桃仁、灯芯草、茶根。
大承气汤(见伤寒潮热。)
柏子仁汤
人参、半夏、白茯苓、陈皮、柏子仁、甘草(炙)、麝香(少许,单独研磨)
以上药材加生姜煎煮,加入麝香调匀后服用。加入郁李仁效果更佳。
人参散
人参、麝香、片脑(各少许)
以上药材研为细末,用甘草汤调服。
既济丸(出自《会编》) 治疗关格证,脉象沉细,手足厥冷的患者。
熟附子(用童便浸泡)、人参(各一钱)、麝香(少许)
以上药材研为细末,用糊剂制成如梧桐子大小的丸药,以麝香为衣。每次服用七丸,用灯芯草汤送服。
槟榔益气汤(出自《会编》) 治疗关格证在劳累后,气虚导致气机运行不畅的患者。
槟榔(多用)、人参、白术、当归、黄芪、陈皮、升麻、甘草、柴胡、枳壳
以上药材加生姜煎服。
木通二陈汤(出自《会编》) 治疗心脾疼痛之后,小便不通,这都是因为痰浊阻隔于中焦,气机滞塞于下焦所致。
木通、陈皮(去白)、白茯苓、半夏(姜制)、甘草、枳壳
以上药材加生姜煎服,服药后探吐催吐。如果仍然不通,使用加味小胃丹或加味控痰丸。
导气清利汤(出自《会编》) 治疗关格证引起的呕吐逆乱,大小便均不通畅。
猪苓、泽泻、白术、人参、藿香、柏子仁、半夏(姜制)、陈皮、白茯苓、甘草、木通、栀子、黑牵牛、槟榔、枳壳、大黄、浓朴(姜制)、麝香(少许)
以上药材加生姜煎服,同时服用木香和中丸。如果呕吐不止,灸气海穴、天枢穴;如果仍然不通,使用蜜导法。
加味麻仁丸(出自《会编》) 治疗关格证引起的大小便不通。
大黄(一两)、白芍药、浓朴(姜汁炒)、当归、杏仁(去皮尖)、麻仁、槟榔、南木香、枳壳(各五钱)、麝香(少许)
以上药材研为细末,用蜂蜜制成丸药。用熟水送服。
皂角散(出自《会编》) 治疗大小便关格不通,持续三五天的情况。
大皂角(烧至存性)
以上药材研为细末,用米汤调下。另外取猪脂一两煮熟,将汤汁和油脂一起食用。再服用八正散,并加入槟榔、枳壳、朴硝、桃仁、灯芯草、茶根。
Bai Zi Ren Tang (Biota Seed Decoction)
Ren Shen (Ginseng Radix et Rhizoma), Ban Xia (Pinelliae Tuber), Bai Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium), Bai Zi Ren (Biota Semen), Gan Cao (Licorice Root and Rhizoma, honey-fried), She Xiang (Musk). (She Xiang is used in a small amount and ground separately.)
Decoct the above herbs with fresh ginger. Add She Xiang, mix well, and take orally. Adding Yu Li Ren (Prunus japonica seed) yields better results.
Ren Shen San (Ginseng Powder)
Ren Shen (Ginseng Radix et Rhizoma), She Xiang (Musk), Pian Nao (Borneol). (Each in a small amount.)
Grind the above herbs into powder. Take orally with Gan Cao decoction.
Ji Ji Wan (Ji Ji Pill) (from *Hui Bian*)
Indicated for Guan Ge syndrome (obstruction and regurgitation) with deep and fine pulse, and cold extremities.
Shu Fu Zi (Prepared Aconite Lateralis Radix, soaked in child's urine), Ren Shen (Ginseng Radix et Rhizoma). (Each 1 qian). She Xiang (Musk) (small amount).
Grind the above herbs into powder, make pills with paste, size of Sophora seeds. Coat with She Xiang. Take 7 pills per dose, washed down with Deng Xin Cao (Junci Medullia) decoction.
Bing Lang Yi Qi Tang (Areca Nut Qi-Boosting Decoction) (from *Hui Bian*)
Indicated for Guan Ge syndrome after exertion, where qi deficiency leads to impaired qi movement.
Bing Lang (Arecae Semen) (use in large amount), Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Dang Gui (Angelicae Sinensis Radix), Huang Qi (Astragali Radix), Chen Pi (Citri Reticulatae Pericarpium), Sheng Ma (Cimicifugae Rhizoma), Gan Cao (Licorice Root and Rhizoma), Chai Hu (Bupleuri Radix), Zhi Ke (Aurantii Fructus Immaturus).
Decoct the above herbs with fresh ginger and take orally.
Mu Tong Er Chen Tang (Akebia Two-Aged Phlegm Decoction) (from *Hui Bian*)
Indicated for urinary retention following heart-spleen pain, caused by phlegm obstruction in the middle jiao and qi stagnation in the lower jiao.
Mu Tong (Akebiae Caulis), Chen Pi (Citri Reticulatae Pericarpium, white pith removed), Bai Fu Ling (Poria), Ban Xia (Pinelliae Tuber, processed with ginger), Gan Cao (Licorice Root and Rhizoma), Zhi Ke (Aurantii Fructus Immaturus).
Decoct the above herbs with fresh ginger and take orally. After taking, induce vomiting by stimulating the throat. If still obstructed, use Jia Wei Xiao Wei Dan (Modified Small Stomach Pill) or Jia Wei Kong Tan Wan (Modified Phlegm-Controlling Pill).
Dao Qi Qing Li Tang (Qi-Guiding Clearing-and-Draining Decoction) (from *Hui Bian*)
Indicated for Guan Ge syndrome with vomiting and regurgitation, and complete obstruction of both urination and defecation.
Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ren Shen (Ginseng Radix et Rhizoma), Huo Xiang (Pogostemonis Herba), Bai Zi Ren (Biota Semen), Ban Xia (Pinelliae Tuber, processed with ginger), Chen Pi (Citri Reticulatae Pericarpium), Bai Fu Ling (Poria), Gan Cao (Licorice Root and Rhizoma), Mu Tong (Akebiae Caulis), Zhi Zi (Gardeniae Fructus), Hei Qian Niu (Black Morning Glory Seed), Bing Lang (Arecae Semen), Zhi Ke (Aurantii Fructus Immaturus), Da Huang (Rhei Radix et Rhizoma), Hou Po (Magnoliae Officinalis Cortex, processed with ginger), She Xiang (Musk) (small amount).
Decoct the above herbs with fresh ginger and take orally. Concurrently take Mu Xiang He Zhong Wan (Costus Harmonizing-the-Middle Pill). If vomiting persists, moxa Qi Hai (CV6) and Tian Shu (ST25); if still obstructed, use honey suppository method.
Jia Wei Ma Ren Wan (Modified Hemp Seed Pill) (from *Hui Bian*)
Indicated for Guan Ge syndrome causing obstruction of both urination and defecation.
Da Huang (Rhei Radix et Rhizoma) (1 liang), Bai Shao Yao (Paeoniae Radix Alba), Hou Po (Magnoliae Officinalis Cortex, stir-fried with ginger juice), Dang Gui (Angelicae Sinensis Radix), Xing Ren (Armeniacae Semen Amarum, skin and tip removed), Ma Ren (Cannabis Semen), Bing Lang (Arecae Semen), Nan Mu Xiang (Aquilariae Lignum Resinatum), Zhi Ke (Aurantii Fructus Immaturus). (Each 5 qian). She Xiang (Musk) (small amount).
Grind the above herbs into powder, make pills with honey. Take orally with warm water.
Zao Jiao San (Soap Pod Powder) (from *Hui Bian*)
Indicated for Guan Ge obstruction of both urination and defecation lasting three to five days.
Da Zao Jiao (Gleditsiae Sinensis Fructus) (burned until carbonized but retaining nature).
Grind into powder. Take orally mixed with rice soup. Additionally, cook 1 liang of pig lard until ripe; consume both the broth and the fat. Also take Ba Zheng San (Eight-Herb Rectification Powder) added with Bing Lang (Arecae Semen), Zhi Ke (Aurantii Fructus Immaturus), Piao Xiao (Natrii Sulfas), Tao Ren (Persicae Semen), Deng Xin Cao (Junci Medullia), and Cha Gen (Camelliae Sinensis Root).
Da Cheng Qi Tang (Major Order the Qi Decoction) (See Shang Han Tai Yang Disease with tidal fever section.)