Description of epigastric pain in ancient Chinese medicine books

The pulse condition is treated according to syndrome differentiation by various doctors, and the yin and yang rise and fall, so Wei Rong cycles; If qi goes against the current, it will still be carbuncle. Stomach pain is caused by cold leaving yang, heat gathering appetite, and cold and heat are not adjusted, so the flesh and blood are rotten. Qi goes against the stomach, so the stomach pulse is heavy and thin. Yang Qi can't pass it on, so her neck is very warm, which makes people feel cold and hot like malaria, with wrong skin and nails, or coughing or vomiting, or spitting pus and vomiting blood. Look at Fu Liang's illness. There are also chivalrous men who have carbuncle in their stomachs, covered with pus and blood, and live outside their stomachs. ("Sheng Ji")

There are few books about this disease, but Sun Zhenren said it (according to Biography of a Thousand Girls, I remember it wrong), and later I learned that stomach heat is the evil treatment (according to Surgical Collection, the treatment is also equivalent to intestinal carbuncle). At first, disinfecting Tori was a good way to relieve stomach heat. People who don't understand the disease can make mistakes, but they can also be careless. ("amazing effect")

Zhong Jingyun: There are abscesses and pus at home, which can't be cured, and the pus will heal itself. Regardless of the location of the abscess, the person who vomits pus knows that it is not a lung abscess but a stomach abscess because he vomits but does not cough. Neijing said: heat is concentrated in appetite, but not in action, and carbuncle is in the upper abdomen. Stomach cavity belongs to Yangming, whose qi is opposite, so pus is not coughed up by itself, but vomited out, and pus is not like lung abscess, but like rice porridge. This comes from the stomach cavity, which is humidified and condensed into pus, and some phlegm is like phlegm. It is said that vomiting cannot be cured, and it is forbidden to warm the stomach with spicy herbs to stop vomiting. If the pus is turbid, it will fumigate the grains, so vomiting will heal itself. If the husband's carbuncle is above the stomach cavity, it will be natural. If it is too much, under the diaphragm, the stool will produce pus, from Jingui Paipus Decoction to Dahuang Shaoyao Decoction and Geliang Powder. If pus is vomited from above, the pus soup should be slightly discharged from the golden chamber, and the dried soup should be heavier, or honeysuckle and forsythia should be added to the rhinoceros horn soup, which depends on the situation. After the purulent vomiting stops, take Taiyi ointment (suitable for "lung abscess") as a pill, and add eight treasures to tonify deficiency, such as yellow, honeysuckle and forsythia. If the tongue fetus persists for a long time, the color is black and dirty, the mouth is sweet, and the smell is foul and turbid, that is, the epigastrium is full of carbuncle, you can distinguish it clearly, and it can't be saved when it is finished. (Yitong)

There are two kinds of epigastric pain: in fact, it is easy to disappear. If it is pus, it is good to vomit pus and vomit blood; However, deficiency syndrome is even more incurable. First, the stomach hurts, but the heart gradually rises for a long time. Hard as a stone, or cold and hot, and the diet is not advanced. It hurts especially when pressed, and my body is thin. This is a disease that hurts the spleen by thinking, and it died before it was finished. Therefore, anyone who has certain abdominal pain, is tired from lying in the cold and can't eat should be examined to prevent carbuncle. Why not seek treatment for unknown people, let them fester for a long time and hurt themselves. (Origin and Development)

Stomach carbuncle, stomach yang inhibits disease. (Originally quoted from Shengji) If the pulse is heavy and the pus has been completed, a pus discharge agent is urgently needed. The pulse is late and tight, which belongs to blood stasis and needs to be discussed urgently. Otherwise, the poison gas will attack internally and the stomach will rot, which is very harmful. However, this disease is not easier to identify than lung abscess. There may be a mistake in not spitting purulent blood, but I don't know the principle of prescription and pulse-taking when choosing a doctor. According to this, the disease of stomach carbuncle is caused by stomach yang. However, it is suppressed for practical reasons, not just cold. People must have accumulated food first, or like to drink refined mash or eat fried food. A kind of heat-toxic gas accumulates in the middle, or the fire of seven emotions stagnates for a long time, which makes them feel cold again and fills the stomach cavity with heat-toxic gas. The clear gas in the stomach sinks, so the stomach pulse is deep and thin, but it is separated from the cold, so people are tight and prosperous. If there are these two veins, it is not gastric abscess. However, the success of the disease must be gradual, and the treatment methods cannot be mixed. ("Zunsheng Book")

The stomach carbuncle is also born in the abdomen, and it hurts on the navel. If there is redness and swelling under the chest, it is not carbuncle. Intestinal carbuncle pain is different between the left and right abdomen of the lower abdomen. All abscesses and pus are undeveloped and should be debrided. If it becomes pus, there will be pus. Stomach pain, some people vomit and go out, and some people are paralyzed in the anus. (medical level)

Wang Zhongyu's throat is swollen and his stomach is not hungry. He should spend the night in Jiangyan for treatment, but he should drink several cups of green tea every day and ask for rest. The diagnosis is that the mouth is tight, and this stomach carbuncle is also. The pus has become, so it should be drawn down. Give Geliang powder, slightly benefit one or two degrees, vomit purulent blood in the morning the next day, and then take one dose of Shegan soup, that is, eat when you are hungry, and six doses will be fully recovered. (collective case)

Stone is stubborn to Zhongan, and people are fat and good at drinking. Early summer, vomiting due to intense heat, dull pain in the left chest and diaphragm, inability to press hands, constipation, slippery tires on the tongue, pain after meals, thick phlegm, blood and blood gradually, and unsmooth pulse. Geliang powder is thick with Dendrobium and Forsythia suspensa. First, it is ineffective to choose a doctor to treat lung abscess, and it is said that lung abscess will cough and spit out foul-smelling sputum. But vomiting without coughing is undoubtedly a stomach problem. Four or five days later, I vomited as before, and then I adjusted the small dose. After three times, the situation was just even, and then it was adjusted with Baoyuan Lingju and resumed on the 20th. At first, people surnamed Li suffered from this disease, and they specialized in clearing away heat, resolving phlegm and detoxifying until the diaphragmatic side festered, purulent and dripping, lingering around the moon and died. A good reason is to play it by ear until your reputation is ruined. Regret is common. (Yitong)

A prescription for treating heat-induced epigastric pain, Liucarbuncle Forsythia Cimicifuga Decoction. ("Biotechnology") (Press: spiced forsythia soup. )

Rhinoceros horn decoction is used to treat excess heat of stomach fu-organs caused by carbuncle swelling, yang deficiency and thready pulse.

Rhinoceros horn (pound) Gardenia seed, Radix Paeoniae Rubra, Poria (black skin removed), Scutellariae Radix (black heart removed), Belamcanda rhizome (hair removed), and Radix et Rhizoma Rhei (one or two tablets each).

Roughly sift the seven ingredients, five yuan for each, half of water in Yi Deng, and fry until Yi Deng is removed, add a spoonful of honey, stir well, fry once or twice, and take it warmly after meals. (same as above)

Treat stagnation of honor and health, eating heat, rotten meat and blood, stomachache and dry soup.

Belamcanda (hair removal), Fructus Gardeniae, Poria (black skin removal), Cimicifuga rhizome (one or two each), Radix Paeoniae Alba and Atractylodis Rhizoma (one and a half each).

Serve six flavors, and the beans are big. Take five Bi Yuan and Yi Deng's water at a time. Stir-fry until medium-cooked, add the juice of Radix Rehmanniae and half of honey, and stir-fry for three times. Take it twice a day at any time.