证
夫青筋之证，原气逆而血不行，俾恶血上攻于心也。多由一切怒气相冲，或忧郁气结不散，或恼怒复
伤生冷，或房劳后受寒湿，以致精神恍惚，心忡气喘，噎塞上壅，呕哕恶心，头目昏眩，胸膈痞满，心腹绞
刺，胁肋腰背头脑疼痛，口苦舌干，面青唇黑，四肢沉困，百节酸疼。或憎寒壮热，遍身麻痹不仁，手足厥冷
颤掉，默默不已，不思饮食等症，皆恶血攻心而致之也。自古以来，无人论此，但有患此疾者，无方可治。惟
以砭针于两手曲池青筋上刺之，出紫血不胜其数，而疾有即愈者，有不愈者而变为大患者。常惯病此者，或有
一月一次，或两三次者，屡患屡刺，莫之能愈。愚惟虑人之生命以气血为主。故丹溪曰∶气血和，一疾不生；
亏则百病生焉。况此病先伤于气，而后复损其血，不致于夭枉者，盖亦鲜矣。虽然未有退血之法，又不得
不刺，不刺则恶血攻心，须臾不救。
治
予制一方，屡获效验，名白虎丸。白虎者，西方肺金之谓也；青筋者，东方肝木之属也。以白虎而治青
筋，是金能克木故耳，何病之不愈哉。此方之妙，不惟代刺青筋之苦，愈青筋之病，而亦
免后日之患，其惠也，不亦大乎。此方兼治男子久患痢疾、便血，
妇人崩漏、带下，并一切打扑内损，血不能散，心腹痛欲死者，服
之，其效不啻桴鼓之影响也。（按∶此青筋之病，北人多患之，南方有即痧症也）
方
白虎丸（云林制） 歌曰∶
白虎丸丹古锻石，谷神子制救人灾，柏中为末水飞过，手上成丸日晒来。引宜烧酒一二盏，
每服须吞五十枚。保全世患青筋证，广积阴功遍九垓。
千年古锻石（不拘多少，刮去杂色泥土，杵为末，水飞过）
上晒，勿令太燥，量可丸即收，丸如梧桐子大。每服五十丸，看轻重加减，烧酒送下。此药能顺气散血，
化痰消滞。治青筋初觉头疼恶心，或腹痛，或腰痛，或遍身作痛，不思饮食，即进一服，当时血散。若过三五
日，青筋已老，多服取效。又治心腹痛，及妇人崩漏带下，或因气恼致病，或久患赤白痢疾，或打扑内损，
血不能散，服之大效。
大公丸（宋杏川传） 治紧阴青筋，心腹疼痛。
干姜（二两） 白矾（枯过，二两）
上为末，用糯米糊为丸，如绿豆大。每服三十丸，滚水下。如不止，再饮滚水三口。
治妇人因气打青筋，后即心慌发热，口干腹胀，恶心呕哕等症。宜服分心气饮，加麦门冬、黄连、生地。
[Pathogenesis]
The syndrome of "Green Veins" (Qingjin) originates from rebellious Qi causing blood stasis, allowing evil blood to attack the Heart. It is mostly caused by clashes of anger, or depression leading to stagnant Qi that fails to disperse, or injury from cold and raw foods after anger, or contraction of cold-dampness after sexual exhaustion. This results in mental confusion, palpitations and panting, throat obstruction with Qi rebelling upward, vomiting, hiccups, nausea, dizziness of the head and eyes, fullness and stuffiness in the chest and diaphragm, stabbing pain in the heart and abdomen, pain in the hypochondrium, lower back, and head, bitter taste in the mouth and dry tongue, bluish complexion and black lips, heavy and tired limbs, and soreness and pain in all joints. Or there may be aversion to cold with high fever, numbness and insensibility over the whole body, cold extremities with tremors, silent muttering without cessation, and loss of appetite. All these symptoms are caused by evil blood attacking the Heart. Since ancient times, no one has discussed this disease; although people suffer from it, there are no effective prescriptions to treat it. The only method is to use a bi needle to prick the green veins on the Quchi (LI11) acupoints of both hands, releasing an innumerable amount of purple blood. Some diseases heal immediately, while others do not heal but turn into severe illnesses. Those who frequently suffer from this may have attacks once a month or two or three times; repeated pricking cannot cure it. I am concerned that human life depends primarily on Qi and Blood. Therefore, Zhu Danxi said: When Qi and Blood are harmonious, no disease arises; when deficient, hundreds of diseases emerge. Moreover, this disease first injures Qi and then damages Blood; those who do not die prematurely from it are rare. Although there is no method to eliminate blood stasis other than needling, we must resort to pricking; otherwise, evil blood will attack the Heart, and rescue will be impossible within moments.
[Treatment]
I formulated a prescription that has repeatedly proven effective, named Baihu Wan (White Tiger Pill). "Baihu" refers to the Metal of the West Lung; "Green Veins" belong to Wood of the East Liver. Using Metal to treat Wood follows the principle that Metal controls Wood; how could any disease fail to heal? The brilliance of this formula lies not only in replacing the suffering of pricking green veins and curing the disease, but also in preventing future afflictions. Is its benefit not great? This formula also treats men with chronic dysentery and hematochezia, women with metrorrhagia and leukorrhea, and all cases of internal injury from falls and blows where blood cannot disperse, causing severe heart and abdominal pain nearly fatal. Taking it yields effects as immediate as the echo of a drumbeat. (Note: This Green Vein disease is common in the North; in the South, it is known as Sha Syndrome.)
[Prescription and Usage]
Baihu Wan (Prepared by Yunlin)
Verse:
Baihu Wan consists of Cinnabar and Ancient Calcined Iron Ore, prepared by Gushenzi to save people from disaster. Powdered from Cypress, washed with water, rolled into pills by hand and dried in the sun. Take one or two cups of distilled liquor as a guide, swallowing fifty pills per dose. Preserving the world from Green Vein syndrome, accumulate merit throughout the nine heavens.
Ancient Calcined Iron Ore (Quantity unrestricted, scrape off impure colored soil, pound into powder, wash with water)
Dry above, do not let it become too dry. Collect when suitable for pill-making. Make pills the size of Sophora seeds. Take fifty pills per dose, adjusting according to severity, taken with distilled liquor. This medicine can regulate Qi, dissipate blood stasis, resolve phlegm, and eliminate stagnation. Treat early signs of Green Vein such as headache, nausea, abdominal pain, lower back pain, generalized pain, and loss of appetite. Take one dose immediately, and blood will disperse at once. If three to five days pass and the condition becomes chronic ("old"), take more doses for effect. Also treats heart and abdominal pain, metrorrhagia and leukorrhea in women, diseases caused by anger, chronic bloody and white dysentery, or internal injuries from trauma where blood cannot disperse. Great efficacy upon taking.
Da Gong Wan (Transmitted by Song Xingchuan)
Treats tight Yin Green Veins with heart and abdominal pain.
Gingeris Rhizoma (Dried Ginger) (2 liang)
Alumini Sulfas (Calcined Alum) (2 liang, calcined)
Pound into powder, make pills with rice paste, size of Mung Bean. Take thirty pills per dose with boiling water. If symptoms persist, drink three more mouthfuls of boiling water.
Treats women whose Green Veins are caused by emotional distress, followed by palpitations, fever, dry mouth, abdominal distension, nausea, and vomiting. Suitable to take Fenxin Qi Yin (Divided Heart Qi Decoction), added with Ophiopogonis Radix (Maidong), Coptidis Rhizoma (Huanglian), and Rehmanniae Radix Preparata (Shengdi).