治肝邪热,出言反常,乍宽乍急。
远志 射干 杏仁 大青(各一两半) 茯神 葛根 甘草 麦门冬(各一两) 芍药
(二
两
上十三味治下筛,为粗散,以水二升五合煮竹叶一升,取汁用煮药一匕半,煎取八合
为一服,日二。以绵裹散煮之。
治邪热伤肝,好生悲怒,所作不定、自惊恐。
生地黄 淡竹叶 生姜 车前草 干蓝(各切一升) 丹参 玄参(各四两) 茯苓(二
两) 石膏(五两) 赤蜜(一升)
上十味 咀,以水九升,煮取三升,去滓停冷,下蜜
肝胆俱实∶
左手关上脉阴阳俱实者,足厥阴与少阳经俱实也,病苦胃胀呕逆,食不消,名曰肝胆俱
实
肝虚寒∶
左手关上脉阴虚者,足厥阴经也,病苦胁下坚、寒热,腹满、不欲饮食,腹胀悒悒不乐
,妇人月经不利,腰腹痛,名曰肝虚寒也。
治肝气不足,两胁下满,筋急不得大息,四肢厥冷,发抢心腹痛,目不明了,及妇人心
痛,乳痈,膝热,消渴,爪甲枯,口面青者。
甘草 桂心 山茱萸(各一两(《千金翼》作乌头) 细辛 桃仁(《千金翼》作蕤仁) 柏
子仁 茯苓 防风(各二两) 大枣(二十四枚)
上九味 咀,以水九升,煮取五升,去滓,分三服。
治左胁偏痛久,宿食不消,并目KT KT 昏,风泪出,见物不审,而逆风寒偏甚,消
食破气止泪方。
山茱萸 桂心 薯蓣 天雄 茯苓 人参(各五分) 川芎 白术 独活 五加皮 大
黄
(各七分) 防风 干姜 丹参 浓朴 细辛 桔梗(各一两半) 甘菊花 甘草(各一两)
贯
众(半两) 橘皮(三分) 陈麦曲 大麦 (各一升)
上二十三味治下筛,酒下方寸匕,日二,若食不消,食后服;若止痛,食前服之。
Treatment for Liver Evil-Heat, characterized by abnormal speech and behavior, with emotional states alternating between relaxation and tension.
Polygalae Radix (Yuanzhi), Belamcandae Rhizoma (Shegan), Armeniacae Semen Amarum (Xingren), Isatidis Radix (Daqing) (each 1.5 liang); Poria Cum Ramo Quercus (Fushen), Puerariae Radix (Gegen), Glycyrrhizae Radix et Rhizoma (Gancao), Ophiopogonis Tuber (Maimendong) (each 1 liang); Paeoniae Radix Alba (Shaoyao) (2 liang).
The above thirteen ingredients are processed and sifted to make a coarse powder. Boil one sheng of Bamboo Leaves (Zhuye) in two sheng five he of water, extract the juice, and use this juice to decoct one bi (a spoonful measure) of the coarse powder. Decoct until eight he remain as one dose, taken twice daily. Wrap the coarse powder in cotton cloth while decocting.
Treatment for Evil-Heat damaging the Liver, manifesting as frequent sorrow and anger, unstable actions, and spontaneous fright.
Rehmanniae Radix Recens (Shengdihuang), Lophatheri Herba (Danzhuye), Zingiberis Rhizoma Recens (Shengjiang), Plantaginis Herba (Cheqiancao), Isatidis Folium (Ganlan) (each cut into pieces measuring one sheng); Salviae Miltiorrhizae Radix (Danshen), Scrophulariae Radix (Xuanshen) (each 4 liang); Poria (Fuling) (2 liang); Gypsum Fibrosum (Shigao) (5 liang); Red Honey (Chimi) (1 sheng).
The above ten ingredients are chopped. Decoct in nine sheng of water to obtain three sheng of liquid. Remove the dregs, allow to cool, then add honey.
Liver and Gallbladder Excess Syndrome:
When the pulse at the Guan position on the left hand is excess in both Yin and Yang aspects, it indicates excess in both the Foot Jueyin Liver Meridian and the Foot Shaoyang Gallbladder Meridian. The patient suffers from stomach distension, vomiting and regurgitation, and indigestion. This is named "Liver and Gallbladder Excess."
Liver Deficiency-Cold Syndrome:
When the pulse at the Guan position on the left hand is deficient in Yin, it involves the Foot Jueyin Liver Meridian. The patient suffers from hardness under the hypochondrium, alternating chills and fever, abdominal fullness, loss of appetite, abdominal distension with depression and unhappiness, irregular menstruation in women, and pain in the waist and abdomen. This is named "Liver Deficiency-Cold."
Treatment for Liver Qi Deficiency, manifesting as fullness under both hypochondria, tendon spasm preventing deep breathing, cold extremities, sudden heart and abdominal pain, blurred vision, as well as heart pain in women, breast abscess (Ruyong), heat in the knees, Xiao Ke (Wasting and Thirsting syndrome), withered nails, and cyanosis of the mouth and face.
Glycyrrhizae Radix et Rhizoma (Gancao), Cinnamomi Cortex (Guixin), Corni Fructus (Shanzhuyu) (each 1 liang; *Qianjin Yifang* lists Aconiti Lateralis Radix Preparata (Wutou)); Asari Radix et Rhizoma (Xixin), Persicami Semen (Taoren) (*Qianjin Yifang* lists Pruni Mume Semen (Ruiren)); Biota Semen (Baiziren), Poria (Fuling), Saposhnikoviae Radix (Fangfeng) (each 2 liang); Jujubae Fructus (Dazao) (24 fruits).
The above nine ingredients are chopped. Decoct in nine sheng of water to obtain five sheng of liquid. Remove the dregs and divide into three doses.
Formula for treating chronic unilateral pain in the left hypochondrium, retention of undigested food, accompanied by dim and blurry vision, wind-induced tearing, poor visual acuity, exacerbated pathogenic Wind-Cold, which promotes digestion, breaks up Qi stagnation, and stops tearing.
Corni Fructus (Shanzhuyu), Cinnamomi Cortex (Guixin), Dioscoreae Rhizoma (Shuyu), Aconiti Radix Lateralis Preparata (Tianxiong), Poria (Fuling), Ginseng Radix (Renshen) (each 5 fen); Chuanxiong Rhizoma (Chuanxiong), Atractylodis Macrocephalae Rhizoma (Baizhu), Angelicae Dahuricae Radix (Duhuo), Acanthopanacis Cortex (Wujiaopi), Rhei Radix et Rhizoma (Dahuang) (each 7 fen); Saposhnikoviae Radix (Fangfeng), Zingiberis Rhizoma (Ganjiang), Salviae Miltiorrhizae Radix (Danshen), Magnoliae Officinalis Cortex (Houpo), Asari Radix et Rhizoma (Xixin), Platycodonis Radix (Jiegeng) (each 1.5 liang); Chrysanthemi Flos (Ganhua), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 liang); Cyathulae Radix (Guanzhong) (0.5 liang); Citri Reticulatae Pericarpium (Chenpi) (3 fen); Fermented Wheat Saccharum (Chenmai Qu), Hordeum Vulgare (Damai) (each 1 sheng).
The above twenty-three ingredients are processed and sifted. Administer one cunbi (square inch measure) with wine, twice daily. If for indigestion, take after meals; if for pain relief, take before meals.