《千金》疗卒大醉,恐肠烂方
作汤着大器中渍之,冷复易之,酒自消,夏月亦用之佳。
又方 绞茅根汁饮二升。
又方 捣生葛汁饮之,无鲜者,干葛煎服亦佳。
又方 粳米一升,水五升,煮使极烂,漉去滓,饮之良。
葛花解酲汤 治酒病,呕逆心烦,胸满不食,小便不利。
青皮(三分) 木香(半钱) 橘红 人参 猪苓 茯苓(各一钱半) 神曲 泽
泻干姜 白术(各二钱) 白蔻仁 砂仁 葛花(各半两)
上为极细末,每服三钱,白汤调服,但得微汗,则酒病去矣。
罗谦甫云∶夫酒者大热有毒,气味俱阳,乃无形之物也。若伤之止当发散,使汗出则愈
,最妙法也。其次莫如利小便。二者乃上下分消其湿,何酒病之有?今之治此者,乃用酒 丸,
大热之剂下之。又用牵牛、大黄下之,是无形元气病,反伤有形阴血,乖误甚矣。
不能食者,胃中元气虚也,然有虚冷虚热之异,宜分别治之。
消食丸 治数年不能食。
麦 曲(各一升) 干姜(炮) 乌梅(焙,各四两)
上为末,蜜丸,每服十五丸,日再。加至四十丸,亦治反胃。
又方
神曲(炒黄二两) 麦 (炒黄,二两) 乌梅(四两) 干木瓜(半两) 茯苓 甘草
蜜丸樱桃大,每服一丸,不拘时细嚼,白汤下。一方无木瓜,有人参、干姜。
又方
豉心(一升,熬末) 麦芽 曲(各一两,熬) 川椒(一升,出汗) 干姜(一升,末)
上五味筛,以蜜拌,食后酒服方寸匕。
以上三方,并治胃虚冷不能食之剂。
资生丸 健脾开胃,消食止泻,调和脏腑,滋养营卫。
白术(米泔水浸,用山黄土拌,九蒸晒,去土切片焙干,用三两) 橘红(二两) 白茯苓
乳拌,饭上蒸,晒干,一两五钱) 人参(人乳浸透,饭锅上蒸透,三两) 山楂(蒸,二
两) 神曲(炒,二两) 白豆蔻(微炒,) 泽泻(炒,各三钱半) 川连(姜汁炒,三钱半)
炒) 藿香 甘草(蜜炙,各半两) 扁豆(炒,一两) 莲肉(去心,炒,一两)
麦芽面(炒) 山药(炒) 芡实(炒,各一两五钱) 薏仁(炒,三两)
上为末,炼蜜丸,每服二钱,细嚼淡盐汤下。
凝神散 收敛胃气,清凉肌表。
人参 白术 茯苓 山药(各一钱半) 扁豆 知母 生地黄 粳米 甘草
(各一钱) 淡竹叶 地骨皮 麦冬(各五钱)
上作一服,水二蛊,姜三片,红枣一枚,煎一盅,食远服。
高鼓峰云∶肾为胃之关,关门不利,升降息矣。关门即气交之中,天之枢也。故肾旺则
足,胃阴足则思食。若关门枯槁,肾水不能上达,当急以六味加归、芍养之。若血燥大肠干
枯,有黑屎积叠胃底,则当以熟地五钱,当归三钱,白芍、桃仁二钱,麻仁三钱,微微润之
。视其形体如常,气血尚足,即于前方内可加大黄二钱助血药。大肠一顺利,胃自开矣。一
开之后,大剂六味、左归等类,不数服之,方有济也。
以上治胃虚气热之剂。
范汪疗胃气虚,不能食,四肢重,短气,调和五脏,并疗诸疾,调中汤方
薤白(切,一升) 枳实(六枚,炙) 橘皮(三枚) 大枣(十二枚) 粳米(三合)
香豉(六合)
水六升,先煮薤白得四升,内诸药煮取一升半,适寒温服。一方有生姜一两。
延年无枳实,有茯苓、人参。
按∶此以辛甘气味,和畅胃阳,推扬谷气,虚者延年方较良。
《本事》治脾肾虚弱,全不进食,二神丸
破故纸(四两,炒) 肉豆蔻(二两,生用)
上为细末,用大肥枣四十九枚,生姜四两,切片同煮枣烂,去姜取枣,剥去皮核,用肉
膏,入药和杵丸,如梧子大,每服三十丸,盐汤下。有人全不进食,服补药皆不效,予授此
方服之,顿然能食。此病不全作脾虚,盖肾气虚弱,真元衰劣,譬如金鼎之中,置之米谷,
下无火力,虽终日不熟,其何能化。黄鲁直尝记服菟丝子,淘净酒浸晒干为末,日抄数匙以
酒下,十日外,饮啖如汤沃雪,亦此理也。
宽中进食丸 滋形气,喜饮食。
人参 炮姜 青皮(各一钱) 大麦牙(炒) 缩砂仁(炒) 炙甘草(各一钱半) 白茯苓 橘
红泽泻 白术(各三钱) 枳实(四钱) 豆蔻(五钱) 猪苓(七钱) 神曲(炒) 木香(各五分) 半夏(七
钱)
上为末,汤浸蒸饼为丸桐子大,每服三十丸,米汤送下。食前。
《千金方》治疗突然大醉,担心肠道腐烂的方子:
将药煎成汤剂倒入大容器中浸泡(身体),变冷后更换新的药液,酒毒自然消散,夏季使用效果更佳。
另一个方子:
绞取茅根汁饮用二升。
又一个方子:
捣碎生葛根取汁饮用,如果没有新鲜的,用干葛根煎服也很好。
又一个方子:
粳米一升,水五升,煮至极其烂熟,滤去渣滓,饮用此汤效果好。
葛花解酲汤:治疗饮酒过度引起的疾病,症状包括呕吐逆气、心烦意乱、胸中胀满、食欲不振、小便不通利。
青皮(三分) 木香(半钱) 橘红 人参 猪苓 茯苓(各一钱半) 神曲 泽泻 干姜 白术(各二钱) 白豆蔻仁 砂仁 葛花(各半两)
以上药物研成极细末,每次服用三钱,用白开水调服,只要微微出汗,酒病即可痊愈。
罗谦甫说:酒是大热且有毒的东西,气味都属于阳,是无形的物质。如果伤了酒,只应当用发散的方法,使汗出则痊愈,这是最妙的方法。其次不如通利小便。这两种方法是从上下分消体内的湿邪,哪里还会有酒病呢?现在治疗这种病的人,却用大热的酒丸来攻下。又用牵牛子、大黄来攻下,这是无形的元气生病,反而伤害了有形的阴血,错误非常严重。
不能进食的情况,是胃中元气虚弱所致,然而有虚冷和虚热的区别,应当分别治疗。
消食丸:治疗数年不能进食。
麦蘖(各一升) 干姜(炮制) 乌梅(焙干,各四两)
以上药物研成末,用蜂蜜制成丸药,每次服用十五丸,每天两次。加量至四十丸,也能治疗反胃。
又一个方子:
神曲(炒黄二两) 麦蘖(炒黄,二两) 乌梅(四两) 干木瓜(半两) 茯苓 甘草
制成如樱桃大小的蜜丸,每次服用一丸,不限时间,细细咀嚼,用白开水送下。另一版本没有木瓜,有人参、干姜。
又一个方子:
豉心(一升,熬成末) 麦芽 神曲(各一两,熬制) 川椒(一升,出汗处理) 干姜(一升,研末)
以上五味药筛过,用蜂蜜拌合,饭后用酒送服一方寸匕。
以上三个方子,都是治疗胃虚寒冷导致不能进食的药物。
资生丸:健脾开胃,消食止泻,调和脏腑,滋养营卫。
白术(用米泔水浸泡,用山黄土拌,九蒸九晒,去土切片焙干,用三两) 橘红(二两) 白茯苓(乳拌,饭上蒸,晒干,一两五钱) 人参(人乳浸透,饭锅上蒸透,三两) 山楂(蒸,二两) 神曲(炒,二两) 白豆蔻(微炒) 泽泻(炒,各三钱半) 黄连(姜汁炒,三钱半) 藿香 甘草(蜜炙,各半两) 扁豆(炒,一两) 莲肉(去心,炒,一两) 麦芽面(炒) 山药(炒) 芡实(炒,各一两五钱) 薏苡仁(炒,三两)
以上药物研成末,炼蜜为丸,每次服用二钱,细细咀嚼,用淡盐汤送下。
凝神散:收敛胃气,清凉肌表。
人参 白术 茯苓 山药(各一钱半) 扁豆 知母 生地黄 粳米 甘草(各一钱) 淡竹叶 地骨皮 麦冬(各五钱)
以上作为一服的量,用水二盅,生姜三片,红枣一枚,煎至一盅,饭后远时服用。
高鼓峰说:肾是胃的关口,关口不利,升降功能就停止了。关口即气交之中,是天之枢纽。所以肾气旺盛则充足,胃阴充足则思食。如果关口枯槁,肾水不能上达,应当紧急用六味地黄丸加当归、芍药来滋养。如果血燥大肠干枯,有黑屎积叠在胃底,则应当用熟地黄五钱,当归三钱,白芍、桃仁二钱,麻仁三钱,微微润下。观察其形体如常,气血尚足,就可以在前方中加入大黄二钱辅助血药。大肠一旦顺利,胃自然开通。一旦开通之后,大量使用六味地黄丸、左归丸等类方剂,不需多服,才有疗效。
以上治疗胃虚气热的药物。
范汪治疗胃气虚,不能进食,四肢沉重,短气,调和五脏,并治疗各种疾病,调中汤方:
薤白(切,一升) 枳实(六枚,炙烤) 橘皮(三枚) 大枣(十二枚) 粳米(三合) 香豉(六合)
水六升,先煮薤白得四升,加入其他药物煮取一升半,温度适宜时服用。另一版本有一两生姜。
延年方中没有枳实,有茯苓、人参。
按语:此方以辛甘气味,和畅胃阳,推扬谷气,对于虚证来说,延年方较好。
《本事方》治疗脾肾虚弱,完全不想进食,二神丸:
破故纸(四两,炒) 肉豆蔻(二两,生用)
以上研成细末,用大肥枣四十九枚,生姜四两,切片同煮至枣烂,去掉姜取枣,剥去皮核,用枣肉膏,入药混合捣成丸,如梧桐子大,每次服用三十丸,盐汤送下。有人完全不想进食,服用补药都无效,我传授这个方子给他服用,顿时就能进食。这个病不完全属于脾虚,大概是肾气虚弱,真元衰败,譬如金属鼎中,放入米谷,下面没有火力,虽然整天不熟,怎么能消化呢?黄鲁直曾记载服用菟丝子,淘净酒浸晒干研末,每天舀数匙用酒送下,十天后,饮食如雪遇热水般迅速消化,也是这个道理。
宽中进食丸:滋养形气,促进食欲。
人参 炮姜 青皮(各一钱) 大麦芽(炒) 缩砂仁(炒) 炙甘草(各一钱半) 白茯苓 橘红 泽泻 白术(各三钱) 枳实(四钱) 豆蔻(五钱) 猪苓(七钱) 神曲(炒) 木香(各五分) 半夏(七钱)
以上研成末,汤浸蒸饼为丸,如梧桐子大,每次服用三十丸,米汤送下。饭前服用。
The *Qianjin Fang* (Thousand Gold Formulas) treats sudden severe drunkenness, fearing intestinal rot:
Decoct the medicine into a soup and soak the body in a large vessel; when it cools, replace with fresh liquid. The alcohol will dissipate naturally; this is also excellent for use in summer.
Another formula:
Squeeze out the juice of *Imperatae Rhizoma* (Mao Gen, 茅根) and drink two sheng.
Another formula:
Crush fresh *Puerariae Radix* (Ge Gen, 葛根) to extract juice and drink it. If fresh ones are unavailable, decocting dried *Puerariae Radix* is also good.
Another formula:
Take one sheng of *Oryzae Fructus Preparatus* (Jing Mi, 粳米) and five sheng of water, boil until extremely soft, strain off the dregs, and drink the liquid; this is beneficial.
**Gehua Jiecheng Tang** (Kudzu Flower Decoction to Resolve Intoxication): Treats alcohol-induced diseases, characterized by vomiting and reflux, vexation and irritability, chest fullness, anorexia, and dysuria.
*Citri Reticulatae Pericarpium Viride* (Qing Pi, 青皮) - 3 fen
*Moschae Moschoides* (Mu Xiang, 木香) - 0.5 qian
*Citri Reticulatae Pericarpium* (Ju Hong, 橘红)
*Ginseng Radix et Rhizoma* (Ren Shen, 人参)
*Polyporus* (Zhu Ling, 猪苓)
*Poria* (Fu Ling, 茯苓) - each 1.5 qian
*Brewer's Saccharomyces* (Shen Qu, 神曲)
*Alismatis Rhizoma* (Ze Xie, 泽泻)
*Zingiberis Rhizoma Preparatum* (Gan Jiang, 干姜)
*Atractylodis Macrocephalae Rhizoma* (Bai Zhu, 白术) - each 2 qian
*Amomi Fructus Rotundus* (Bai Kou Ren, 白蔻仁)
*Amomi Fructus* (Sha Ren, 砂仁)
*Puerariae Flos* (Ge Hua, 葛花) - each 0.5 liang
Grind all ingredients into an extremely fine powder. Take 3 qian per dose, mixed with warm water. Once a slight sweat is achieved, the alcohol disease will be cured.
Luo Qianfu stated: Alcohol is highly hot and toxic; its flavor and nature are entirely Yang, constituting a formless substance. If injured by alcohol, one should only employ dispersing methods to induce sweating for cure; this is the most excellent approach. Secondly, promoting urination is preferable. These two methods eliminate dampness from above and below respectively; how could alcohol disease persist? Currently, practitioners treat this condition using hot wine pills to purge downwards, or using *Pharbitidis Semen* (Qian Niu, 牵牛) and *Rhei Radix et Rhizoma* (Da Huang, 大黄) to purge. This injures the tangible Yin blood while the disease affects the formless Yuan Qi, which is a grave error.
Inability to eat stems from deficiency of Yuan Qi in the Stomach. However, there are distinctions between cold deficiency and heat deficiency; treatment should differ accordingly.
**Xiaoshi Wan** (Digestive Pills): Treats inability to eat for several years.
*Bubali Semen* (Mai Ya, 麦芽) and *Saccharomyces* (Qu, 曲) - each 1 sheng
*Dried Ginger* (Gan Jiang, 干姜) - processed
*Pruni Mume Fructus* (Wu Mei, 乌梅) - roasted, each 4 liang
Grind into powder, mix with honey to make pills. Take 15 pills per dose, twice daily. Increase to 40 pills if necessary; this also treats regurgitation.
Another formula:
*Saccharomyces* (stir-fried yellow, 2 liang)
*Bubali Semen* (stir-fried yellow, 2 liang)
*Pruni Mume Fructus* (4 liang)
*Dried Chaenomelis Fructus* (Gan Mu Gua, 干木瓜) - 0.5 liang
*Poria* (Fu Ling, 茯苓)
*Licorice Root* (Gan Cao, 甘草)
Make honey pills the size of cherries. Take one pill at any time, chew thoroughly, and swallow with warm water. Another version excludes *Chaenomelis Fructus* but includes *Ginseng Radix et Rhizoma* (Ren Shen, 人参) and *Dried Ginger* (Gan Jiang, 干姜).
Another formula:
*Sojae Semen Preparatum* core (Chi Xin, 豉心) - 1 sheng, roasted and powdered
*Bubali Semen* (Mai Ya, 麦芽) and *Saccharomyces* (Qu, 曲) - each 1 liang, roasted
*Sichuan Pepper* (Chuan Jiao, 川椒) - 1 sheng, "sweated" (processed to reduce toxicity)
*Dried Ginger* (Gan Jiang, 干姜) - 1 sheng, powdered
Sift the five ingredients, mix with honey, and take one cun-bi after meals with wine.
The above three formulas are all agents for treating inability to eat due to Stomach deficiency and cold.
**Zisheng Wan** (Nourishing Life Pills): Strengthens Spleen, opens appetite, eliminates food stagnation, stops diarrhea, harmonizes Zang-Fu organs, and nourishes Ying and Wei Qi.
*Atractylodis Macrocephalae Rhizoma* (Bai Zhu, 白术) - soaked in rice wash water, mixed with mountain loess, steamed and sun-dried nine times, soil removed, sliced and baked dry (3 liang)
*Citri Reticulatae Pericarpium* (Ju Hong, 橘红) - 2 liang
*Poria* (Fu Ling, 茯苓) - mixed with milk, steamed over rice, sun-dried (1.5 liang)
*Ginseng Radix et Rhizoma* (Ren Shen, 人参) - soaked in human milk, steamed thoroughly over rice pot (3 liang)
*Crataegi Fructus* (Shan Zha, 山楂) - steamed (2 liang)
*Brewer's Saccharomyces* (Shen Qu, 神曲) - stir-fried (2 liang)
*Amomi Fructus Rotundus* (Bai Dou Kou, 白豆蔻) - lightly stir-fried
*Alismatis Rhizoma* (Ze Xie, 泽泻) - stir-fried, each 3.5 qian
*Coptidis Rhizoma* (Chuan Lian, 川连) - stir-fried with ginger juice (3.5 qian)
*Agastaches Herba* (Huo Xiang, 藿香)
*Licorice Root* (Gan Cao, 甘草) - honey-fried, each 0.5 liang
*Faba Faba Preparata* (Bian Dou, 扁豆) - stir-fried (1 liang)
*Lotus Seed* (Lian Rou, 莲肉) - heart removed, stir-fried (1 liang)
*Bubali Semen Farina* (Mai Ya Mian, 麦芽面) - stir-fried
*Dioscoreae Rhizoma* (Shan Yao, 山药) - stir-fried
*Euryales Semen* (Qian Shi, 芡实) - stir-fried, each 1.5 liang
*Coicis Semen* (Yi Yi Ren, 薏仁) - stir-fried (3 liang)
Grind into powder, make pills with refined honey. Take 2 qian per dose, chew thoroughly, and swallow with light salt water.
**Ningshen San** (Spirit-Calming Powder): Astringes Stomach Qi, clears heat from the muscle layer.
*Ginseng Radix et Rhizoma* (Ren Shen, 人参)
*Atractylodis Macrocephalae Rhizoma* (Bai Zhu, 白术)
*Poria* (Fu Ling, 茯苓)
*Dioscoreae Rhizoma* (Shan Yao, 山药) - each 1.5 qian
*Faba Faba Preparata* (Bian Dou, 扁豆)
*Anemarrhenae Rhizoma* (Zhi Mu, 知母)
*Rehmanniae Radix* (Sheng Di Huang, 生地黄)
*Oryzae Fructus Preparatus* (Jing Mi, 粳米)
*Licorice Root* (Gan Cao, 甘草) - each 1 qian
*Bamboo Leaf* (Dan Zhu Ye, 淡竹叶)
*Lyceii Cortex* (Di Gu Pi, 地骨皮)
*Ophiopogonis Radix* (Mai Dong, 麦冬) - each 5 qian
Take as one dose. Add two zhong of water, three slices of ginger, and one red date. Decoct to one zhong. Take well after meals.
Gao Gufeng said: The Kidney is the gate of the Stomach. If the gate is obstructed, ascending and descending functions cease. The gate is the center of Qi interaction, the pivot of Heaven. Thus, robust Kidney Qi ensures sufficiency; sufficient Stomach Yin induces desire to eat. If the gate is withered and Kidney Water cannot ascend, urgently nourish with *Liuwei Dihuang Wan* (Six-Ingredient Pill with Rehmannia) plus *Angelicae Sinensis Radix* (Dang Gui, 当归) and *Paeoniae Radix Alba* (Bai Shao, 白芍). If Blood dryness causes intestinal dryness with black stool accumulation at the stomach base, moisten gently with *Rehmanniae Radix Preparata* (Shu Di Huang, 熟地黄) 5 qian, *Angelicae Sinensis Radix* (Dang Gui, 当归) 3 qian, *Paeoniae Radix Alba* (Bai Shao, 白芍) and *Persicae Semen* (Tao Ren, 桃仁) 2 qian, *Cannabis Semen* (Ma Ren, 麻仁) 3 qian. Observe if the physique is normal and Qi/Blood are sufficient; then add *Rhei Radix et Rhizoma* (Da Huang, 大黄) 2 qian to assist the Blood-nourishing herbs. Once the Large Intestine is smooth, the Stomach opens naturally. After opening, administer large doses of *Liuwei Dihuang Wan* (Six-Ingredient Pill with Rehmannia) or *Zuogui Wan* (Left Restoring Pill) classes; not many doses are needed for efficacy.
The above are agents for treating Stomach deficiency and Qi heat.
Fan Wang treated Stomach Qi deficiency causing inability to eat, heavy limbs, shortness of breath, harmonizing the Five Zang organs, and treating various diseases, with **Tiaozhong Tang** (Regulate the Middle Decoction):
*Allii Macrostemonis Bulbus* (Xie Bai, 薤白) - sliced, 1 sheng
*Immature Bitter Orange* (Zhi Shi, 枳实) - six pieces, roasted
*Tangerine Peel* (Ju Pi, 橘皮) - three pieces
*Jujube* (Da Zao, 大枣) - twelve pieces
*Oryzae Fructus Preparatus* (Jing Mi, 粳米) - 3 he
*Prepared Soybean* (Xiang Chi, 香豉) - 6 he
Add six sheng of water. First decoct *Allii Macrostemonis Bulbus* until four sheng remain. Add other drugs and decoct to obtain 1.5 sheng. Take when temperature is suitable. Another version includes 1 liang of *Fresh Ginger* (Sheng Jiang, 生姜).
The *Yannian* formula excludes *Zhi Shi* but includes *Poria* (Fu Ling, 茯苓) and *Ginseng Radix et Rhizoma* (Ren Shen, 人参).
Note: This formula uses pungent and sweet flavors to harmonize Stomach Yang and promote Grain Qi. For deficiency patterns, the *Yannian* formula is superior.
The *Baoshi Fang* treats Spleen and Kidney weakness causing complete loss of appetite, with **Ershen Wan** (Two-Kidney Pills):
*Cassi Semen* (Po Gu Zhi, 破故纸) - 4 liang, stir-fried
*Myristicae Semen* (Rou Dou Kou, 肉豆蔻) - 2 liang, raw
Grind into fine powder. Use forty-nine large fat dates and four liang of ginger, sliced, boiled together until dates are soft. Remove ginger, take dates, peel skin and remove pits. Mix date pulp with medicine and pound into pills the size of *Koelreuteriae Fructus* (Wu Zi, 梧子). Take 30 pills per dose with salt water. Someone who completely lost appetite found tonics ineffective; I gave them this formula, and they immediately regained appetite. This disease is not solely Spleen deficiency; it involves weak Kidney Qi and depleted True Yuan. It is like placing grain in a metal tripod without fire below; although all day passes, it does not cook, let alone digest. Huang Luzhi once recorded taking *Cuscutae Semen* (Tu Si Zi, 菟丝子), washed, soaked in wine, dried, and powdered. Taking several spoons daily with wine resulted in digestion like snow melting in hot water after ten days. This illustrates the same principle.
**Kuanzhong Jinshi Wan** (Middle-Widening Appetite-Stimulating Pills): Nourishes form and Qi, promotes dietary intake.
*Ginseng Radix et Rhizoma* (Ren Shen, 人参)
*Processed Ginger* (Pao Jiang, 炮姜)
*Citri Reticulatae Pericarpium Viride* (Qing Pi, 青皮) - each 1 qian
*Hordei Fructus Germinatus* (Da Mai Ya, 大麦牙) - stir-fried
*Amomi Fructus* (Suo Sha Ren, 缩砂仁) - stir-fried
*Rosted Licorice Root* (Zhi Gan Cao, 炙甘草) - each 1.5 qian
*Poria* (Fu Ling, 茯苓)
*Citri Reticulatae Pericarpium* (Ju Hong, 橘红)
*Alismatis Rhizoma* (Ze Xie, 泽泻)
*Atractylodis Macrocephalae Rhizoma* (Bai Zhu, 白术) - each 3 qian
*Immature Bitter Orange* (Zhi Shi, 枳实) - 4 qian
*Amomi Fructus* (Dou Kou, 豆蔻) - 5 qian
*Polyporus* (Zhu Ling, 猪苓) - 7 qian
*Brewer's Saccharomyces* (Shen Qu, 神曲) - stir-fried
*Moschae Moschoides* (Mu Xiang, 木香) - each 5 fen
*Pinelliae Rhizoma Preparatum* (Ban Xia, 半夏) - 7 qian
Grind into powder. Soak in decoction, steam with leavened dough, and make pills the size of *Koelreuteriae Fructus* (Wu Zi, 梧子). Take 30 pills per dose with rice gruel. Take before meals.