论曰肝实之状，苦心下坚满，常两胁痛，或引小腹，忿忿如怒，头目眩痛， 赤生息
肉是也。其脉见于左手关上阴实者，乃足厥阴经有余之候。盖肝实则生热，热则阳气盛，故
其证如此。
治肝脏壅实，风热客搏经络，动干心肺，上膈痰壅，喉嗌干燥不利，四肢淫泺。或秘或
壅。犀角地黄汤方
犀角（镑屑一两一分） 熟干地黄（洗切焙三两） 羌活（去芦头） 独活（去芦头） 赤
箭石菖蒲 芎 本（洗焙） 没药（研） 威灵仙（洗焙） 黄 （锉） 乌药（锉）
甘草（炙锉） 木香 当归（切焙） 蝉蜕（洗焙） 防风（去叉各一两） 大黄（锉炒） 郁
李仁（去皮研各一两半）
上一十九味。粗捣筛，每服三钱匕，水一盏，薄荷五叶，煎至七分，去滓温服日三。如
膈有热，入生地黄汁少许；如大肠秘涩，加芒硝一钱匕。
治肝实风壅，眼目昏涩，上焦不利。羌活丸方
羌活（去芦头三分） 木香 蒺藜子（炒去角） 黄 青葙子 甘菊花 麦门冬（去
心） 枳壳（去
上一十味。为细末，炼蜜丸如梧桐子大。每服二十丸，空心日午临卧，煎竹叶汤下。
治肝脏壅热，头目不利，胸膈烦躁。体痛。羚羊角散方
羚羊角（镑） 柴胡（各一两去苗） 石膏（二两） 赤芍药 车前子 川大黄（锉微
炒） 甘草（炙微赤炒） 黄芩（各一两去腐）
上八味。捣筛为散，每服三钱，以水一中盏，煎至六分，去滓食后温服。
治肝脏壅热，心膈烦闷，头目不利。大黄丸方
川大黄（锉碎微炒） 枳壳（各一两麸炒微黄去瓤） 甘草（半两炙微赤锉） 麦门冬
（去心焙） 羚羊
上八味。捣罗为末，炼蜜和捣百余杵，丸如梧桐子大。每服二十丸，食前竹叶汤下，忌
酒热面等物。
治肝气壅塞，翳膜遮睛，瘾涩难视。甘菊花散方
甘菊花（一两） 白蒺藜 木贼 防风（去叉） 甘草（炙各半两） 木香（一分）
上六味。为细散，每服一钱匕，沸汤点服，不拘时。
治肝脏壅热上攻，头目不利，四肢拘倦。柴胡汤方
柴胡（去苗一两半） 石膏（碎二两） 黄芩（去黑皮） 赤芍药 甘草（炙各一两）
上五味，粗捣筛，每服三钱匕，水一盏，同煎至六分，去滓食后温服。
治肝脏壅热，三焦不利，胸膈满闷，睡卧不安。郁李仁散方
郁李仁（汤浸去皮尖） 大黄（锉炒各一两） 栀子仁 朴硝（研） 干荷叶 甘草（炙
锉） 荆芥穗（各
上七味。为细散，每服二钱匕，温熟水调下，食后服。
治肝气实壅上攻，头目筋脉拘急疼痛，大小便赤热。秦艽散方
秦艽（去土） 当归（切焙） 羌活（去芦头） 独活（去芦头） 荆芥穗 连翘 虎
杖芎 牡丹皮
上一十味。为细散，每服二钱匕，煎薄荷汤下，食后服。
治肝实两胁胀满气急，眼昏。洗肝汤方
柴胡（去苗） 鳖甲（醋炙去裙 各二两） 赤茯苓（去黑皮一两半） 桔梗 槟榔（锉）
桂（去粗皮） 甘草（炙锉） 五味子 陈橘皮（汤浸去白焙） 人参（各一两） 白术
（一两半） 半夏（汤浸七遍去滑三分）
上一十二味。粗捣筛，每服二钱匕，水一盏，入生姜五片，煎至六分，食前去滓温服。
治肝实热，两眼赤涩疼痛，头重心烦，上焦壅滞。驱风汤方
蔓荆实 羌活（去芦头） 防风（去叉） 升麻 决明子 黄芩（去黑心） 赤芍药 甘
草（炙） 车前子 羚羊角 甘菊花 麦门冬（去心各半两） 柴胡（去苗） 枳壳（去瓤
麸炒） 栀子仁（各一两）
上一十五味。粗捣筛，每服三钱匕，水一盏，煎至七分，去滓食后温服。
治肝脏实热，风气上攻烦渴。茯神汤方
茯神（去木） 黄 （锉） 麦门冬（去心） 栝蒌根（各一两） 生干地黄（洗切焙
三两） 酸枣仁（炒） 羌活（去芦头） 葛根（锉） 羚羊角（镑屑各半两）
上九味。粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓食后温服。
治肝脏实热上攻，头目昏眩，兼治风化痰，镇心安神。白茯苓丸方
白茯苓（去黑皮） 人参 麦门冬（去心） 酸枣仁（炒各一两） 甘草（炙锉） 丹
砂（别研各三分）
上七味。除别研外，为细末和匀，炼蜜丸如鸡头大。每服一丸，乳汁嚼下，食后临卧服
治肝气壅盛，胁下结块，腹内引痛，大小便赤涩，饮食减少。连翘散方
连翘 荆芥穗 鳖甲（酸炙去裙 ） 栀子仁 射干 羌活（去芦头） 独活（去芦头）
当归（切焙） 大黄生 恶实（各半两） 牵牛子（炒一分）
上一十一味。为细散，每服二钱匕，温熟水调下，食后临卧服。
治肝气壅实，热刑于脾，食已即吐，大便黄赤，忽觉背寒，唇皮焦赤。羌活散方
羌活（去芦头） 鸡苏（去梗） 独活（去芦头） 防风（去叉） 蒺藜（炒去角） 荆
芥穗 牡丹皮 木香 连翘 茵陈蒿（去梗） 麻黄（去根节） 羚羊角（镑屑各一两）
上一十二味。为细散，每服二钱匕，温熟水调下，加至三钱匕，早晚食后服。
治肝脏积热，气昏血涩，或因食酸物过多，肝中血积不散，气血俱病，两胁下非时气动
，每动左胁下有声，右胁相应，日渐胃脘结块，使人心腹满闷，上冲咽喉头目不利，睡卧不
安，如虫所啮。泻肝汤方
荆芥穗 连翘 羌活（去芦头） 牡丹皮 黄芩（去黑心） 杏仁（去皮尖双仁炒研） 当
归（切焙） 芍药 栀子仁 鸡苏（去梗） 虎杖 麻黄（去根节） 大黄（锉炒各半两）
上一十三味。粗捣筛，每服三钱匕，水一盏，生姜二片，煎至七分，去滓温服，服此药
数日后，如病势不减，却进后方射干散，肝中积血，从大便下，如腐烂瘀血之类。若服前药
已瘥，更不用服后方。射干散方
射干 桂（去粗皮） 牛膝（酒浸切焙） 牡丹皮 鳖甲（醋炙去裙 ） 牵牛子（炒）
大黄（锉炒各半两） 荆芥穗 细辛（去苗叶各一分） 半夏（为末用生姜汁和成饼） 野狼
毒芫花（与野狼毒同用醋炒焦色各一钱）
上一十二味。为细散，每服一钱匕，食后煎葱汤调下，一二服内如毒已下，即不用服。
治肝脏实热壅盛，利胸膈。四顺散方
石决明（蜜炙） 甘菊花（各一两） 附子（炮裂去皮脐） 防风（去叉） 蒺藜子（炒
去角） 羌活（去芦头）
上九味。为细散，每服二钱匕，用米泔水调下，早晚各一服，服药后仰卧少时。
Discussion states: The manifestations of Liver Excess syndrome include hardness and fullness in the epigastrium, frequent pain in both hypochondria, sometimes radiating to the lower abdomen, irritability resembling anger, dizziness, headache, red eyes with polyp formation. These are signs of Liver Excess. When the pulse appears as excess at the Yin position of the Guan (Cun Kou) on the left hand, it indicates an excess condition of the Foot Jueyin Liver Meridian. This is because Liver Excess generates heat; when heat prevails, Yang Qi becomes hyperactive, thus producing these symptoms.
Treatment for Liver Organ Stagnant Excess, where Wind-Heat pathogens lodge and contend in the meridians, disturbing the Heart and Lung, causing phlegm stagnation above the diaphragm, dryness and difficulty in the throat, heaviness and soreness in the four limbs, or constipation or obstruction. Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction)
Rhino Horn (sliced into fine pieces, 1 liang 1 fen) Shu Dihuang (Prepared Rehmanniae Radix, washed, cut, and dried, 3 liang) Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head) Duhuo (Angelicae Pubescentis Radix, remove rhizome head) Chi Jian (Achyranthis Bidentatae Radix), Shichangpu (Acori Tatarinowii Rhizoma), Xiongqiong (Ligusticum Chuanxiong Rhizoma), Bencao (Ligustici Wallichii Rhizoma, wash and dry) Moyao (Myrrha, grind) Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma, wash and dry) Huangqi (Astragali Membranacei Radix, chop) Wuyao (Litseae Fructus, chop) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chop) Muxiang (Aucklandiae Radix) Danggui (Angelicae Sinensis Radix, cut and dry) Chantui (Cicadae Periostracum, wash and dry) Fangfeng (Saposhnikoviae Radix, remove twigs, each 1 liang) Dahuang (Rhei Radix et Rhizoma, chop and stir-fry) Yuliren (Pruni Semen, remove skin and grind, each 1 liang 5 fen)
The above nineteen ingredients. Coarsely crush and sieve. Take 3 qianbi per dose, with one zhan of water, add five leaves of Bohe (Menthae Haplocalycis Herba), decoct until seven-tenths remain, filter and take warm, three times daily. If there is heat in the diaphragm, add a small amount of Sheng Dihuangzhi (Fresh Rehmanniae Radix Juice); if the large intestine is dry and constipated, add Mangxiao (Natrii Sulfas, 1 qianbi).
Treatment for Liver Excess with Wind Stagnation, causing blurry and dry eyes, and dysfunction of the Upper Jiao. Qianghuo Wan (Notopterygium Pill)
Qianghuo (remove rhizome head, 3 fen) Muxiang Ajili Zi (Tribuli Fructus, stir-fry and remove spines) Huangqi Qingxiangzi (Phytolaccae Semen) Ganjuhua (Chrysanthemi Flos) Maidong (Ophiopogonis Radix, remove heart) Zhike (Aurantii Fructus, remove pulp)
The above ten ingredients. Grind into fine powder, mix with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose, on an empty stomach, at noon, and before sleep, swallow with Zhu Ye Tang (Bamboo Leaf Decoction).
Treatment for Liver Organ Stagnant Heat, causing unclear head and eyes, chest and diaphragm irritability, and body pain. Lingyangjiao San (Antelope Horn Powder)
Lingyangjiao (Antelopes Cornu, sliced) Chaihu (Bupleuri Radix, each 1 liang, remove sprouts) Shigao (Gypsum Fibrosum, 2 liang) Chishao (Paeoniae Radix Rubra) Cheqianzi (Plantaginis Semen) Chuan Dahuang (Rhei Radix et Rhizoma, chop and lightly stir-fry) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red) Huangqin (Scutellariae Radix, each 1 liang, remove decay)
The above eight ingredients. Crush and sieve into powder. Take 3 qian per dose, with one zhong zhan of water, decoct until six-tenths remain, filter and take warm after meals.
Treatment for Liver Organ Stagnant Heat, causing chest and diaphragm vexation, and unclear head and eyes. Dahuang Wan (Rhubarb Pill)
Chuan Dahuang (chop and lightly stir-fry) Zhike (each 1 liang, bran-fried until slightly yellow, remove pulp) Gancao (half liang, honey-fried until slightly red and chopped) Maidong (remove heart and dry) Lingyangjiao (Antelopes Cornu)
The above eight ingredients. Grind into powder, mix with refined honey and pound over a hundred times to form pills the size of Sophora seeds. Take 20 pills per dose before meals with Zhu Ye Tang (Bamboo Leaf Decoction). Avoid alcohol and hot noodles.
Treatment for Liver Qi Stagnation, with nebula covering the pupils and difficult vision. Ganjuhua San (Chrysanthemum Powder)
Ganjuhua (Chrysanthemi Flos, 1 liang) Baijili (Tribuli Fructus) Muze (Equiseti Herba) Fangfeng (remove twigs) Gancao (honey-fried, each half liang) Muxiang (1 fen)
The above six ingredients. Make into fine powder. Take 1 qianbi per dose, mixed with boiling water, at any time.
Treatment for Liver Organ Stagnant Heat attacking upward, causing unclear head and eyes, and stiffness and fatigue in the four limbs. Chaihu Tang (Bupleurum Decoction)
Chaihu (remove sprouts, 1 liang 5 fen) Shigao (crushed, 2 liang) Huangqin (remove black skin) Chishao Gancao (honey-fried, each 1 liang)
The above five ingredients. Coarsely crush and sieve. Take 3 qianbi per dose, with one zhan of water, decoct together until six-tenths remain, filter and take warm after meals.
Treatment for Liver Organ Stagnant Heat, dysfunction of the Triple Burner, chest and diaphragm fullness, and restless sleep. Yuliren San (Prunus Seed Powder)
Yuliren (soak in hot water, remove skin and tip) Dahuang (chop and stir-fry, each 1 liang) Zhizi Ren (Gardeniae Semen) Poxiao (Natrii Sulfas, grind) Gan Heye (Dried Nelumbinis Folium) Gancao (honey-fried and chopped) Jingjie Sui (Schizonepetae Spica, each portion unspecified)
The above seven ingredients. Make into fine powder. Take 2 qianbi per dose, mixed with warm boiled water, after meals.
Treatment for Liver Qi Excess Stagnation attacking upward, causing stiffness and pain in the head, eyes, tendons, and vessels, and red-hot urination and defecation. Qinjiao San (Gentian Powder)
Qinjiao (Gentianae Macrophyllae Radix, remove soil) Danggui (cut and dry) Qianghuo (remove rhizome head) Duhuo (remove rhizome head) Jingjie Sui Lianqiao (Forsythiae Fructus) Zhangzhang (Polygoni Cuspidati Rhizoma et Radix) Xiongqiong (Ligustici Wallichii Rhizoma) Mudanpi (Moutan Cortex)
The above ten ingredients. Make into fine powder. Take 2 qianbi per dose, swallow with decocted Bohe Tang (Mint Decoction), after meals.
Treatment for Liver Excess causing distension and qi urgency in both hypochondria, and blurry vision. Xi Gan Tang (Wash Liver Decoction)
Chaihu (remove sprouts) Biejia (Testudinis Carapax et Plastrum, vinegar-fried and remove skirt edge, each 2 liang) Chifuling (Polyporus, remove black skin, 1 liang 5 fen) Jiegeng (Platycodonis Radix) Binglang (Arecae Semen, chop) Gui (Cinnamomi Ramulus, remove coarse bark) Gancao (honey-fried and chopped) Wuweizi (Schisandrae Chinensis Fructus) Chenjupi (Citri Reticulatae Pericarpium, soak in hot water, remove white pith and dry) Renshen (Ginseng Radix, each 1 liang) Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang 5 fen) Banxia (Pinelliae Rhizoma, soak in hot water seven times to remove slipperiness, 3 fen)
The above twelve ingredients. Coarsely crush and sieve. Take 2 qianbi per dose, with one zhan of water, add five slices of Shengjiang (Zingiberis Rhizoma Recens), decoct until six-tenths remain, filter and take warm before meals.
Treatment for Liver Excess Heat, causing red, dry, and painful eyes, heavy head, vexation, and Upper Jiao stagnation. Qu Feng Tang (Expel Wind Decoction)
Manjing Shi (Vittariae Fructus) Qianghuo (remove rhizome head) Fangfeng (remove twigs) Shengma (Cimicifugae Rhizoma) Juemingzi (Cassiae Semen) Huangqin (remove black heart) Chishao Gancao (honey-fried) Cheqianzi Lingyangjiao (Antelopes Cornu) Ganjuhua Maidong (remove heart, each half liang) Chaihu (remove sprouts) Zhike (remove pulp, bran-fried) Zhizi Ren (Gardeniae Semen, each 1 liang)
The above fifteen ingredients. Coarsely crush and sieve. Take 3 qianbi per dose, with one zhan of water, decoct until seven-tenths remain, filter and take warm after meals.
Treatment for Liver Organ Excess Heat, Wind Qi attacking upward causing vexation and thirst. Fushen Tang (Poria with Wood Decoction)
Fushen (Poria cum Radice, remove wood) Huangqi (chop) Maidong (remove heart) Gualou Gen (Trichosanthis Radix, each 1 liang) Sheng Gan Dihuang (Dried Fresh Rehmanniae Radix, wash, cut, and dry, 3 liang) Suanzaoren (Ziziphi Spinosae Semen, stir-fry) Qianghuo (remove rhizome head) Gegen (Puerariae Lobatae Radix, chop) Lingyangjiao (Antelopes Cornu, sliced into fine pieces, each half liang)
The above nine ingredients. Coarsely crush and sieve. Take 5 qianbi per dose, with one and a half zhan of water, decoct until one zhan remains, filter and take warm after meals.
Treatment for Liver Organ Excess Heat attacking upward, causing dizziness and vertigo, also treating Wind by resolving Phlegm, calming the Heart and calming the Spirit. Bai Fuling Wan (White Poria Pill)
Bai Fuling (Poria, remove black skin) Renshen Maidong (remove heart) Suanzaoren (stir-fried, each 1 liang) Gancao (honey-fried and chopped) Dansha (Cinnabar, separately ground, each 3 fen)
The above seven ingredients. Except for separately grinding Dansha, grind the rest into fine powder and mix evenly. Mix with refined honey to form pills the size of a cock's head. Take one pill per dose, chew with milk, after meals and before sleep.
Treatment for Liver Qi Excess Stagnation, masses under the hypochondria, abdominal pulling pain, red and difficult urination and defecation, and reduced appetite. Lianqiao San (Forsythia Powder)
Lianqiao Jingjie Sui Biejia (vinegar-fried and remove skirt edge) Zhizi Ren Shegan (Belamcandae Rhizoma) Qianghuo (remove rhizome head) Duhuo (remove rhizome head) Danggui (cut and dry) Sheng Dahuang (Raw Rhubarb) Eshi (Arctii Fructus, each half liang) Qianniuzi (Pharbitidis Semen, stir-fried, 1 fen)
The above eleven ingredients. Make into fine powder. Take 2 qianbi per dose, mixed with warm boiled water, after meals and before sleep.
Treatment for Liver Qi Excess Stagnation, Heat punishing the Spleen, vomiting immediately after eating, yellow-red stool, sudden feeling of cold in the back, and scorched red lips. Qianghuo San (Notopterygium Powder)
Qianghuo (remove rhizome head) Jisu (Elsholtziae Herba, remove stems) Duhuo (remove rhizome head) Fangfeng (remove twigs) Jili (Tribuli Fructus, stir-fry and remove spines) Jingjie Sui Mudanpi Muxiang Lianqiao Yichen Hao (Artemisiae Scopariae Herba, remove stems) Mahuang (Ephedrae Herba, remove roots and joints) Lingyangjiao (Antelopes Cornu, sliced into fine pieces, each 1 liang)
The above twelve ingredients. Make into fine powder. Take 2 qianbi per dose, mixed with warm boiled water, can increase to 3 qianbi, take morning and evening after meals.
Treatment for Liver Organ Accumulated Heat, confused Qi and stagnant Blood, or due to excessive consumption of sour foods causing blood accumulation in the Liver that does not dissipate, affecting both Qi and Blood. Non-time movement of Qi in both hypochondria, with sound in the left hypochondrium upon movement, corresponding to the right, gradually forming a mass in the epigastrium, causing chest and abdominal fullness, Qi rushing up to the throat, unclear head and eyes, restless sleep, and sensation like insect bites. Xie Gan Tang (Drain Liver Decoction)
Jingjie Sui Lianqiao Qianghuo (remove rhizome head) Mudanpi Huangqin (remove black heart) Xingren (Pruni Armeniaci Semen Amarum, remove skin and tips, double-kernel stir-fried and ground) Danggui (cut and dry) Shaoyao (Paeoniae Radix) Zhizi Ren Jisu (remove stems) Zhangzhang Mahuang (remove roots and joints) Dahuang (chop and stir-fry, each half liang)
The above thirteen ingredients. Coarsely crush and sieve. Take 3 qianbi per dose, with one zhan of water, two slices of Shengjiang, decoct until seven-tenths remain, filter and take warm. After taking this medicine for several days, if the disease condition does not subside, then administer the following Shegan San. The accumulated blood in the Liver will be discharged from the large intestine, resembling rotten bruised blood. If the previous medicine has cured the disease, do not take the following medicine. Shegan San (Belamcanda Powder)
Shegan (Belamcandae Rhizoma) Gui (Cinnamomi Ramulus, remove coarse bark) Niuxi (Achyranthis Bidentatae Radix, wine-soaked, cut, and dried) Mudanpi Biejia (vinegar-fried and remove skirt edge) Qianniuzi (stir-fried) Dahuang (chop and stir-fried, each half liang) Jingjie Sui Xixin (Asari Radix et Rhizoma, remove sprouts and leaves, each 1 fen) Banxia (ground into powder, mixed with Shengjiang juice to form cakes) Yelangdu (Radix Stellerae Chamaejasme) Yuanhua (Genkwa Flos, used together with Yelangdu, vinegar-fried until dark yellow, each 1 qian)
The above twelve ingredients. Make into fine powder. Take 1 qianbi per dose, mixed with Scallion Decoction after meals. If the toxin is discharged within one or two doses, stop taking it.
Treatment for Liver Organ Excess Heat Stagnation, benefiting the chest and diaphragm. Sishun San (Four Smoothness Powder)
Shijueming (Haliotidis Concha, honey-fried) Ganjuhua (Chrysanthemi Flos, each 1 liang) Fuzi (Aconiti Lateralis Radix Praeparata, roasted, cracked, peel removed, navel removed) Fangfeng (remove twigs) Jili Zi (Tribuli Fructus, stir-fry and remove spines) Qianghuo (remove rhizome head)
The above nine ingredients. Make into fine powder. Take 2 qianbi per dose, mixed with Rice Wash Water, once in the morning and once in the evening. Lie supine for a short time after taking the medicine.