黄橘皮(四两) 白术(二两)
上为细末酒糊和丸如桐子大煎木香汤下三十丸食前
若心腹满旦食暮不能食此由脾元虚弱不能克制于水水气上行浸渍于土土湿则不能运化水
谷
食其脉沉实而滑病名谷胀宜鸡矢醴三棱丸
鸡矢白(半升)
上以好酒一斗渍七日温服一盏温酒调漱尽净为佳
京三棱 蓬莪术 青橘皮 陈橘皮(各等分)
上为细末白面糊和丸梧桐子大姜汤下二十丸未知加三十丸
若腹胀时发时止发则肠间漉漉有声痛引胁下或时目眩头痛大便秘涩心胸痞闷欲呕者喜渴
此由
后宜此
附子(半两) 枳实(一两)
上为细末炼蜜和捣三百下丸梧桐子大饮下三十丸食前若腹胀如鼓腹脉起甚苍黄以指弹之
壳壳然坚按之不陷此由脾肾久虚气结不散气道闭塞水气横
小者难治脐凸者难治大便利者为逆亦有身肿大者本起于水
丹大小便涩宜商陆丸
商陆 木香 丁香 橘皮 附子 槟榔(各半两)
上为细末白面糊和丸如桐子大椒仁汤下三十丸大小便涩烦躁者去附子加瞿麦木通各半两
炼熟硫黄(一两) 银朱(一分)
上以水浸蒸饼和丸如桐子大饮下三十丸食前服
病患觉腹内胀外视如常大便黑小便赤此由风冷客搏于血血蓄而不行其脉沉涩多生于女
人
桃仁(二十个) 虻虫 水蛭(各五十个) 当归(三两)
上为细末炼蜜和丸如豌豆大米饮下二十丸以知为度
黄橘皮(四两) 白术(二两)
将上述药材研成细末,用酒调制的面糊和药粉制成丸剂,大小如梧桐子。在饭前服用,每次三十丸,用木香汤送服。
如果心腹部胀满,早晨能进食而晚上不能进食,这是由于脾元虚弱,不能制约水气,导致水气上行,浸渍于脾土,脾土湿气重则无法运化水谷。
此时脉象沉实而滑,病名叫做谷胀,适宜使用鸡矢醴和三棱丸治疗。
鸡矢白(半升)
用一斗好酒浸泡七天,温服一盏,以温酒漱口并漱净为佳。
京三棱、蓬莪术、青橘皮、陈橘皮(各等分)
将上述药材研成细末,用白面糊和药粉制成丸剂,大小如梧桐子。用姜汤送服,每次二十丸;若无效则增至三十丸。
如果腹胀时发时止,发作时肠间漉漉有声,疼痛牵引至胁下,有时出现目眩、头痛,大便秘结涩滞,心胸痞闷,想呕吐,喜欢口渴。
这是由于……(原文此处有缺漏)……适宜使用此方。
附子(半两) 枳实(一两)
将上述药材研成细末,用炼蜜调和并捣击三百下,制成丸剂,大小如梧桐子。用水送服,每次三十丸,饭前服用。如果腹胀如鼓,腹壁脉络突起,面色苍黄,用手指弹击腹部发出壳壳然的坚实声音,按压后不凹陷,这是由于脾肾长期虚弱,气机郁结不散,气道闭塞,水气横溢。
这种情况较小的难治,脐部凸出的难治,大便通利的为逆证。也有身体肿大的情况,原本起因于水气。
丹(原文可能有误,指水肿或相关病症),大小便涩滞,适宜使用商陆丸。
商陆、木香、丁香、橘皮、附子、槟榔(各半两)
将上述药材研成细末,用白面糊和药粉制成丸剂,大小如梧桐子。用椒仁汤送服,每次三十丸。如果大小便涩滞且烦躁,去掉附子,加入瞿麦、木通各半两。
炼熟硫黄(一两) 银朱(一分)
用水浸泡蒸饼,与药粉和匀制成丸剂,大小如梧桐子。用水送服,每次三十丸,饭前服用。
患者感觉腹内胀满,但外表看起来正常,大便黑色,小便赤色。这是由于风冷之邪客居并搏结于血分,导致血液蓄积而不行,脉象沉涩。这种病多发生于女性。
桃仁(二十个) 虻虫、水蛭(各五十个) 当归(三两)
将上述药材研成细末,用炼蜜和药粉制成丸剂,大小如豌豆或大米。用水送服,每次二十丸,以见效为度。
Huangjupi (Exocarpium Citri Grandis, four liang) Baizhu (Atractylodis Macrocephalae Rhizoma, two liang)
Grind the above ingredients into a fine powder. Mix with a paste made from wine and flour to form pills the size of *Cotinus coggygria* seeds. Take thirty pills before meals, administered with Mugwort Decoction (Muxiang Tang).
If there is fullness in the heart and abdomen, where one can eat in the morning but not in the evening, this is due to the deficiency of Spleen Yuan (the fundamental energy of the Spleen), which fails to control Water Qi (fluid metabolism). Consequently, Water Qi ascends and infiltrates the Earth (Spleen/Stomach). When the Earth is damp, it cannot transform and transport water and grain.
The pulse is deep, solid, and slippery. The disease is named Gu Zhang (Grain Distension). It is suitable to use Jishi Li (Chicken Dropping Fermented Liquid) and Sanleng Wan (Burreed Pill).
Jishibai (White excrement of Gallus gallus domesticus, half sheng)
Soak in ten dou of good wine for seven days. Take one zhan warm. It is best to rinse the mouth thoroughly with warm wine after taking.
Jingsanleng (Rhizoma Sparganii Stoloniferi), Peng'ezhu (Rhizoma Curcumae Phaeocaulis), Qingjupi (Exocarpium Citri Reticulatae Viride), Chenjupi (Exocarpium Citri Reticulatae) (each in equal parts)
Grind the above ingredients into a fine powder. Mix with a white flour paste to form pills the size of *Cotinus coggygria* seeds. Take twenty pills with Ginger Decoction; if ineffective, increase to thirty pills.
If abdominal distension occurs intermittently, accompanied by gurgling sounds in the intestines during attacks, pain radiating to the hypochondrium, occasional dizziness and headache, constipation with dry stools, chest and epigastric stuffiness, nausea, and thirst.
This is caused by... [text missing in original] ...it is suitable to use this prescription.
Fuzi (Prepared Radix Aconiti Lateralis, half liang) Zhishi (Fructus Aurantii Immaturus, one liang)
Grind the above ingredients into a fine powder. Mix with refined honey, pound three hundred times, and form pills the size of *Cotinus coggygria* seeds. Take thirty pills with water before meals. If the abdomen is distended like a drum, with prominent abdominal veins, sallow complexion, and a hollow sound upon percussion that does not indent upon pressure, this is due to long-term deficiency of the Spleen and Kidney, stagnation of Qi that fails to disperse, obstruction of the Qi pathway, and transverse flooding of Water Qi.
Cases with mild symptoms are difficult to treat; cases with umbilical protrusion are difficult to treat; cases with free stool are adverse. There are also cases of generalized edema, originally originating from Water Qi.
Dan (likely referring to edema or related condition), with difficulty in urination and defecation, is suitable for Shanglu Wan (Phytolacca Root Pill).
Shanglu (Radix Phytolaccae Acinospermae), Muxiang (Radix Aucklandiae), Dingxiang (Flos Caryophylli), Jupi (Exocarpium Citri Reticulatae), Fuzi (Prepared Radix Aconiti Lateralis), Binglang (Semen Arecae) (each half liang)
Grind the above ingredients into a fine powder. Mix with a white flour paste to form pills the size of sesame seeds. Take thirty pills with Pepper Kernel Decoction. If there is difficulty in urination and defecation accompanied by irritability, remove Fuzi and add Qumai (Herba Dianthi) and Mutong (Caulis Akebiae) each half liang.
Lianshu Liu Huang (Refined Sulfur, one liang) Yinzhu (Vermilion, one fen)
Soak in water, mix with steamed dough, and form pills the size of *Cotinus coggygria* seeds. Take thirty pills with water before meals.
The patient feels internal abdominal distension, but externally appears normal. The stool is black, and the urine is red. This is caused by Wind-Cold pathogenic factors invading and binding with Blood, leading to Blood stasis and stagnation. The pulse is deep and choppy. This disease often occurs in women.
Taoren (Semen Persicae, twenty kernels) Mengchong (Bloodsucking Fly), Shuizhi (Hirudo) (each fifty units) Danggui (Radix Angelicae Sinensis, three liang)
Grind the above ingredients into a fine powder. Mix with refined honey to form pills the size of mung beans or rice grains. Take twenty pills with water. Continue until therapeutic effect is achieved.