,因痰动也。心 动者,谓不怕惊而心自动也。惊恐亦曰心中 恐,谓怕惊而心亦动也。
其 自动之病,属二经。一属心主手厥阴病。经云∶心主手厥阴之脉是动,则病心中 大动,面赤目
黄,喜笑不休,视盛虚热寒,陷下取之,是刺灸之法也。又曰∶太阳司天,寒淫所胜,病心 大动,胸胁胃
脘不安,治以甘热。是运气之寒伤心主也。其二属少阳病。经云∶一阳发病,少气善咳善噫,其传为心掣是也。
(掣,尺制反,曳也。)
怒在阴阳,为阴闭遏其阳,而阳不得伸也。经云∶阴出之阳则怒。又云∶血并于上,气并于下,心烦冤善
怒。东垣云∶多怒者,风热陷下于地是也。怒在脏腑所属经,在脏为肝,在志为怒。又云∶肝藏血,血有余则
怒。又云∶胆为怒是也。
〔丹〕治怒方
香附末(六两) 甘草末(一两)
上和匀,白汤调服五钱。
运气 怒皆属木太过。经云∶木太过曰发生。发生之纪,其病怒。又云∶岁木太过,风气流行,甚则善怒。
又云∶岁土不及,风反大行,民病善怒是也。怒在禁忌,多生厥逆。经云∶阳气者,大怒则形气绝,而血菀于
上,使人薄厥。又云∶暴怒伤阳。又云∶怒则气逆,甚则呕血及餐泄是也。
运气 善太息皆属燥邪伤胆。经云∶阳明在泉,燥淫所胜,病善太息。又云∶阳明之胜,太息呕苦。又云∶
少阴司天,地乃燥,凄怆数至,胁痛善太息是也。
《内经》灸刺善太息,皆取心胆二经。经云∶黄帝曰∶人之太息者,何气使然?岐伯曰∶思忧则心系急,心
系急则气道约,约则不利,故太息以出之,补手少阴心主、足少阳留之也。又曰∶胆病者,善太息,口苦呕宿
汁,视足少阳脉之陷下者灸之。又云∶胆足少阳之脉是动,则病口苦善太息,视盛虚实寒热,陷下取之是也。
〔《甲》〕色苍苍然,太息如将死状,振寒,溲白便难,中封主之。脾虚,令人病寒不乐,好太息,商丘
主之。凡好太息,不嗜食,多寒热汗出,病至则善呕,呕已乃衰,即取公孙及井 。实则肠中切痛厥,头面肿
起,烦心,狂饮多不嗜卧;虚则腹胀,肠中气大满,热痛,不嗜食,霍乱,公孙主之。
Caused by the disturbance of phlegm (Tan, Phlegm). The term "Heart Palpitation" (Xin Dong) refers to a condition where the heart palpitates spontaneously without fear of fright. Fright is also called "Fear in the Heart" (Xin Zhong Kong), referring to being afraid of fright with the heart palpitating accordingly.
This spontaneous palpitation belongs to two meridians. One belongs to the Hand Jueyin Pericardium Meridian disease. The classics state: When the Hand Jueyin Pericardium Meridian moves, it causes severe palpitations in the heart, red face, yellow eyes, and incessant laughter; observing the excess or deficiency, heat or cold, if the pulse is sunken, acupuncture or moxibustion should be applied. This is the method of needling and moxibustion. It also states: When Taiyang governs the year, and Cold invades excessively, it causes severe heart palpitations and discomfort in the chest, hypochondrium, and epigastrium, treated with sweet and hot substances. This refers to Cold damaging the Pericardium due to climatic factors. The second belongs to Shaoyang disease. The classics state: When one Yang pathogen strikes, there is shortness of breath, frequent coughing, and belching; its transmission leads to Xin Che (pulling pain in the heart).
(Che, pronounced chi-zhi, means pulling or dragging.)
Anger, in terms of Yin and Yang, occurs when Yin obstructs Yang, preventing Yang from extending. The classics state: When Yin emerges into Yang, anger results. It also states: When Blood congregates above and Qi congregates below, it causes mental distress, grievance, and irritability. Li Dongyuan said: Those who are prone to anger have Wind-Heat sinking into the lower body. Anger is associated with the meridians of the Zang organs; in the Zang, it belongs to the Liver, and in the Emotions, it is Anger. It also states: The Liver stores Blood; when Blood is in excess, anger occurs. It also states: The Gallbladder is related to anger.
[Danxi] Formula for treating Anger
Cyperi Rhizoma Powder (Xiangfu, 6 liang) Glycyrrhizae Radix et Rhizoma Powder (Gancao, 1 liang)
Mix evenly, take 5 qian mixed with white boiled water.
From the perspective of Five Movements and Six Qi, anger all belongs to excessive Wood. The classics state: Excessive Wood is called Fa Sheng (Initiating Growth). In the Ji of Fa Sheng, the disease manifests as anger. It also states: When the annual Wood Qi is excessive, Wind prevails, and severe cases lead to irritability. It also states: When the annual Earth Qi is insufficient, Wind acts excessively, and the people suffer from irritability. Regarding contraindications for anger, it often generates Jue Ni (Reversal Cold/Stroke-like conditions). The classics state: The Yang Qi of humans, if angered greatly, causes the form and Qi to sever, and Blood stagnates above, causing Bo Jue (severe fainting due to blood rushing up). It also states: Violent anger damages Yang. It also states: Anger causes Qi to rebel upwards; in severe cases, it leads to hematemesis and diarrhea with undigested food.
From the perspective of Five Movements and Six Qi, frequent sighing (Shan Tai Xi) all belongs to Dryness pathogen damaging the Gallbladder. The classics state: When Yangming is in the lower position, and Dryness prevails excessively, the disease manifests as frequent sighing. It also states: When Yangming Qi wins, there is sighing, bitter taste, and vomiting of sour/bitter fluids. It also states: When Shaoyin governs the year, the earth becomes dry, the climate is chilling and frequent, and the disease manifests as hypochondriac pain and frequent sighing.
In the *Neijing*, acupuncture and moxibustion for frequent sighing all select the Heart and Gallbladder meridians. The classics state: Yellow Emperor asked: What makes people sigh? Qibo answered: Thinking and sorrow make the Xin Mai (Heart vessel) tight; when the Heart vessel is tight, the Qi pathway is constrained; when constrained, it is not smooth, so one sighs to release it. Tonify the Hand Shaoyin Heart Meridian, Hand Jueyin Pericardium Meridian, and Foot Shaoyang Gallbladder Meridian's Liu (retention/acupoints). It also states: Patients with Gallbladder disease sigh frequently, have a bitter taste, and vomit old fluid; observe the sunken areas of the Foot Shaoyang Meridian and apply moxibustion. It also states: When the Foot Shaoyang Gallbladder Meridian moves, it causes bitter taste and frequent sighing; observe the excess, deficiency, heat, cold, and sunken pulse, and treat by selecting points.
*[Jia Yi Jing]* If the complexion is dark green/cyan, the patient sighs frequently as if dying, has chills and tremors, white urine, and difficult defecation, Zhongfeng (LR4) is the primary point. Spleen deficiency causes cold intolerance, unhappiness, and frequent sighing; Shangqiu (SP5) is the primary point. Generally, those who sigh frequently, lack appetite, suffer from alternating chills and fever with sweating, vomit easily upon onset of illness, and recover after vomiting, should have Gongsun (SP4) and Jing (Well) points selected. Excess patterns involve cutting pain in the intestines, reversal cold, swelling of the head and face, mental restlessness, polydipsia, and insomnia; deficiency patterns involve abdominal distension, fullness of Qi in the intestines, hot pain, loss of appetite, and cholera-like symptoms; Gongsun (SP4) is the primary point.