论曰肝在色为青,在志为怒,故其气逆则面青多怒,盖本藏气逆于内,干之而出,则多
怒而面青也。
治肝脏气逆,手足拘急,面青多怒,胁下苦满,或时眩冒。竹沥汤方
竹沥 甘草(炙锉) 秦艽(去苗土) 葛根(锉) 黄芩(去黑心) 麻黄(去根节)
防己 细辛(去苗叶) 桂(去粗皮) 干姜(炮各一两) 防风(去叉) 升麻(各一两
半) 赤茯苓(去黑皮三两) 附子(炮裂去皮脐二枚) 杏仁(去皮尖双仁五十枚)
上一十五味。除竹沥外。粗捣筛,每服五钱匕,水一盏,入竹沥半盏,煎至一中盏,去
滓温服,不计时候。
治肝气壅逆,肢体沉重,面色多青,时欲嗔怒,甚者恍惚狂言,心神不安。防风汤方
防风(去叉) 麻黄(去根节) 半夏(汤洗去滑七遍切焙) 秦艽(去苗土) 独活
(去芦头各二两) 当归(切焙) 远志(去心) 甘草(炙锉) 防己 人参 黄芩(去
黑心) 升麻 芍药(各一两) 石膏(碎半两
上一十四味。粗捣筛,每服五钱匕,水一盏半,入麝香末少许,姜一枣大拍碎,煎至
一盏,去滓温热服,不计时候。
治肝脏实热,血气壅滞,目视昏暗,常多嗔怒,头旋目运面色青,口多涎,小便黄赤。
荆芥汤方
荆芥穗 牡丹皮 芎 蔓荆实 柴胡(去苗) 羌活(去芦头) 秦艽(去苗土) 鳖
甲(醋炙去裙 ) 天灵盖(酥炙焦黑) 沉香(锉) 甘草(炙锉) 当归(切焙各一分)
连翘(半两)
上一十三味。粗捣筛,每服三钱匕,水一盏,先煎水令沸,后入药末,搅一次倾出,食
后临卧,去滓温服。
治邪热客于肝经,气逆烦躁,面青多怒,怒已胁痛。桔梗汤方
桔梗(炒五两) 白术(三两) 赤茯苓(去黑皮) 桂(去粗皮) 细辛(去苗叶各
二两) 当归(切焙) 吴
上九味。粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,早晚食前。
治肝气逆,面青多怒,身体不能屈伸,甚则头目眩晕。秦艽散方
秦艽(去苗土) 干姜(炮) 桔梗(炒) 附子(炮裂去皮脐各一两) 当归(切焙)
天门冬(去心焙) 人参 白术 蜀椒(去目并闭口者炒出汗各一两一分) 乌头(炮裂去
皮脐尖) 细辛(去苗叶各三分) 甘草(炙锉) 白芷 山茱萸 麻黄(去根节) 前胡
(去芦头) 防风(去叉) 五味子(各半两)
上一十八味。捣罗为散,每服一钱匕,温酒调下,日三,不拘时候。
治肝约血聚,使人多怒,面青胁痛。槐胶丸方
槐胶(以酒化为膏二两) 牛黄(别研) 麝香(别研各半两) 羚羊角(镑一两) 石
龙子(炙焦别研一枚) 蜈蚣(微炙别研五枚) 丹砂(研) 干蝎(微炒别研各半两) 蜚
蠊(炒焦别研) 芫青(炒焦别研各七枚) 虻虫(炒焦别研十四枚) 虫(炒焦别研七
枚) 巴豆(四十九粒用水煮紫色去皮膜心研如膏存油)
上一十三味。各为末拌匀,用糯米粥和槐胶巴豆成膏,以和诸药,丸如绿豆大,别以丹
砂为衣,每服三丸,木香汤下,甚者五丸,不计时候,如人行二十里再服,以知为度。
Commentary states: The Liver corresponds to the color blue (Qing) in the five colors, and to anger (Nu) in the five emotions. Therefore, when Liver Qi rebels upward, it manifests as a blue complexion and irritability. This is because the intrinsic Qi of the Zang organ rebels internally and forces its way outward, resulting in frequent anger and a blue facial hue.
Treatment for Liver Qi rebellion with spasmodic stiffness of the hands and feet, blue complexion, irritability, hypochondriac fullness and discomfort, or occasional dizziness and fainting. Zhu Li Tang (Bamboo Juice Decoction):
Zhu Li (Bamboo Juice), Gan Cao (Licorice Root, honey-fried and crushed), Qin Jiao (Gentian Root, cleaned of sprouts and soil), Ge Gen (Kudzu Root, crushed), Huang Qin (Scutellaria Root, cleaned of black heart), Ma Huang (Ephedra Herb, roots and nodes removed), Fang Ji (Stephania Root), Xi Xin (Asarum Root, cleaned of sprouts and leaves), Gui (Cinnamon Twig, coarse bark removed), Gan Jiang (Dried Ginger, processed, each 1 liang), Fang Feng (Saposhnikovia Root, forked parts removed), Sheng Ma (Cimicifuga Rhizome, each 1.5 liang), Chi Fu Ling (Red Poria, black skin removed, 3 liang), Fu Zi (Aconite Lateral Root, processed until cracked, skin and navel removed, 2 pieces), Xing Ren (Apricot Seed, skin and tips removed, double-kernel seeds, 50 pieces).
The above fifteen ingredients. Except for Zhu Li, coarsely pound and sieve. Take 5 qian bi per dose, add 1 zhan of water and half a zhan of Zhu Li, decoct until reduced to one zhong zhan, remove dregs, and take warm at any time.
Treatment for Liver Qi stagnation and rebellion with heavy limbs, predominantly blue complexion, frequent desire to be angry, and in severe cases, mental confusion, delirious speech, and restlessness of the mind and spirit. Fang Feng Tang (Saposhnikovia Decoction):
Fang Feng (Saposhnikovia Root, forked parts removed), Ma Huang (Ephedra Herb, roots and nodes removed), Ban Xia (Pinellia Tuber, washed in hot water to remove slipperiness seven times, sliced and dried), Qin Jiao (Gentian Root, cleaned of sprouts and soil), Du Huo (Angelica Pubescens Root, rhizome removed, each 2 liang), Dang Gui (Chinese Angelica Root, sliced and dried), Yuan Zhi (Polygala Root, heart removed), Gan Cao (Licorice Root, honey-fried and crushed), Fang Ji (Stephania Root), Ren Shen (Ginseng Root), Huang Qin (Scutellaria Root, cleaned of black heart), Sheng Ma (Cimicifuga Rhizome), Shao Yao (Peony Root, each 1 liang), Shi Gao (Gypsum Fibrosum, crushed, half liang).
The above fourteen ingredients. Coarsely pound and sieve. Take 5 qian bi per dose, add 1.5 zhan of water, a small amount of Moschus powder (She Xiang), and ginger the size of a jujube smashed, decoct until reduced to one zhan, remove dregs, and take warm at any time.
Treatment for Liver Excess Heat with blood and Qi stagnation, dim vision, frequent irritability, vertigo and dizziness, blue complexion, excessive salivation, and yellow-red urine. Jing Jie Tang (Schizonepeta Decoction):
Jing Jie Sui (Schizonepeta Spike), Mu Dan Pi (Moutan Cortex), Xiong (Ligusticum Chuanxiong Rhizome - *Note: Original text says "Xiong", likely referring to Chuanxiong*), Man Jing Shi (Vernonia Fruit), Chai Hu (Bupleurum Root, cleaned of sprouts), Qiang Huo (Notopterygium Rhizome, rhizome removed), Qin Jiao (Gentian Root, cleaned of sprouts and soil), Bie Jia (Tartar Testudinis, vinegar-processed, skirt removed), Tian Ling Gai (Human Skull Bone,酥-processed until black), Chen Xiang (Aquilaria Wood, crushed), Gan Cao (Licorice Root, honey-fried and crushed), Dang Gui (Chinese Angelica Root, sliced and dried, each 1 fen), Lian Qiao (Forsythia Fruit, half liang).
The above thirteen ingredients. Coarsely pound and sieve. Take 3 qian bi per dose, add 1 zhan of water, boil the water first, then add the herbal powder, stir once, pour out, and take warm after meals and before sleep.
Treatment for pathogenic heat lodging in the Liver Meridian, causing Qi rebellion, irritability, blue complexion, anger, and hypochondriac pain following anger. Jie Geng Tang (Platycodon Decoction):
Jie Geng (Platycodon Root, fried, 5 liang), Bai Zhu (Atractylodes Macrocephala Rhizome, 3 liang), Chi Fu Ling (Red Poria, black skin removed), Gui (Cinnamon Twig, coarse bark removed), Xi Xin (Asarum Root, cleaned of sprouts and leaves, each 2 liang), Dang Gui (Chinese Angelica Root, sliced and dried), Wu [Text Incomplete] ...
The above nine ingredients (Note: The original text lists incomplete names, specifically "Wu"). Coarsely pound and sieve. Take 3 qian bi per dose, add 1 zhan of water, decoct until three-tenths remain, remove dregs, and take warm morning and evening before meals.
Treatment for Liver Qi rebellion with blue complexion, irritability, inability to flex and extend the body, and severe vertigo. Qin Jiao San (Gentian Powder):
Qin Jiao (Gentian Root, cleaned of sprouts and soil), Gan Jiang (Dried Ginger, processed), Jie Geng (Platycodon Root, fried), Fu Zi (Aconite Lateral Root, processed until cracked, skin and navel removed, each 1 liang), Dang Gui (Chinese Angelica Root, sliced and dried), Tian Men Dong (Asparagus Root, heart removed and dried), Ren Shen (Ginseng Root), Bai Zhu (Atractylodes Macrocephala Rhizome), Shu Jiao (Sichuan Pepper, eyes and closed-mouth grains removed, fried until sweat appears, each 1 liang 1 fen), Wu Tou (Aconite Root, processed until cracked, skin, navel, and tip removed), Xi Xin (Asarum Root, cleaned of sprouts and leaves, each 3 fen), Gan Cao (Licorice Root, honey-fried and crushed), Bai Zhi (Angelica Dahurica Root), Shan Zhu Yu (Cornus Fruit), Ma Huang (Ephedra Herb, roots and nodes removed), Qian Hu (Peucedani Radix, rhizome removed), Fang Feng (Saposhnikovia Root, forked parts removed), Wu Wei Zi (Schisandra Fruit, each half liang).
The above eighteen ingredients. Pound and sieve into a powder. Take 1 qian bi per dose, mix with warm wine to swallow, three times daily, at any time.
Treatment for Liver constraint leading to blood accumulation, causing irritability, blue complexion, and hypochondriac pain. Huai Jiao Wan (Locust Gum Pill):
Huai Jiao (Locust Gum, dissolved in wine into paste, 2 liang), Niu Huang (Calculus Bovis, separately ground), She Xiang (Moschus, separately ground, each half liang), Ling Yang Jiao (Antelope Horn, shaved, 1 liang), Shi Long Zi (Shingle Lizard, roasted until black and separately ground, 1 piece), Wu Gong (Centipede, lightly roasted and separately ground, 5 pieces), Dan Sha (Cinnabar, ground), Gan Xie (Dry Scorpion, lightly fried and separately ground, each half liang), Fei Lian (Cockroach, roasted until black and separately ground), Yuan Qing (Blister Beetle, roasted until black and separately ground, each 7 pieces), Meng Chong (Blue Bottle Fly Larva, roasted until black and separately ground, 14 pieces), [Incomplete Character] Chong (Larva, roasted until black and separately ground, 7 pieces), Ba Dou (Croton Seed, 49 grains, boiled in water until purple, skin and membrane removed, core discarded, ground into paste retaining oil).
The above thirteen ingredients. Each made into powder and mixed evenly. Use glutinous rice porridge and Huai Jiao/Ba Dou paste to bind the herbs, forming pills the size of mung beans. Coat with Cinnabar. Take 3 pills per dose, downed with Mu Xiang (Costus Root) decoction; for severe cases, 5 pills. Take at any time. If necessary, repeat after walking twenty li, stopping when effective.