删繁论曰∶凡肝劳病者。补心气以益之。心旺则感于肝矣。人逆春气。则足少阳不生。
而肝
以肝
删繁疗肝劳实热闷怒。精神不守恐畏不能独卧。目视无明。气逆上不下。胸中满塞半夏
下气消闷。明目吐热。汤方。
半夏(洗破) 生姜(各八两) 麻黄(去节) 芍药 杜蘅 枳实(炙) 细辛 杏
仁(去皮
尖碎) 乌梅(擘各三两) 松萝(二两) 淡竹叶(切一升)
上十一味切。以水一斗。先煮麻黄去沫。下诸药。煮取三升。分为三服。忌羊肉饧生菜
(出第七卷中)
深师疗肝气实。目赤若黄。胁下急。小便难。泻肝汤方。
人参 甘草(各三两炙) 生姜(五两) 黄芩(二两) 半夏(一升洗) 大枣(十
四枚擘)
上六味切。以水五升。煮半夏三四沸。纳药最后纳姜。煎取二升。去滓。分为二服。
羸人三服。忌海藻菘菜羊肉饧。(出第十三卷中)
删繁疗肝劳虚热。两目为赤。闭塞不开。烦闷宛转。热气胸里炎炎。前胡泻肝除热汤方
前胡 干姜 大青 细辛 秦皮 决明子 栀子仁 子芩(各一两) 淡竹叶(切一升)
车前子(切一升) 石膏(八两碎绵裹)
上十一味切。以水一斗。煮取三升。去滓。平旦分为三服。须利加芒硝三两。忌生菜。
又疗肝劳热闷。关格不通。精神不守。气逆上胸。热炎炎不止。柴胡下热汤方。
柴胡 黄芩 泽泻 升麻 芒硝(各三两) 玄参(六两) 淡竹叶(切) 生地黄(切
各一
升) 干姜(二两)
上九味切。以水九升。煮取三升。去滓。下芒硝。平旦分三服。忌芜荑。
又疗肝劳热。恐畏不安。精神不守。闷怒不能独卧。感激惆怅。志气错越。不得安守。
茯苓安肝定精神丸方。
茯苓 远志(去心) 防风 人参 柏子仁(熬各五分) 龙骨(七分) 牡蛎(熬) 大
枣肉(
各八分) 甘草(四分炙)
上九味捣筛。白蜜和为丸如梧子。初服二十丸。加至三十丸为度。暖清白饮进之。日再
服。忌海藻菘菜大酢。
又扁鹊疗劳邪气热眼赤方。
灸当容百壮。两边各尔。当容在眼小 近后。在耳之前客主人。三阳三阴之会处。以手
按之。有上下行脉则是。与耳相对。(并出第七卷中)
The *Shanfan Lun* (Discourse on Eliminating Redundancy) states: For those suffering from Liver Labor disease, one should tonify Heart Qi to assist in treatment. When Heart Qi is robust, it can influence the Liver. If a person violates the generating energy of Spring, the Qi of Foot-Shaoyang Gallbladder channel fails to generate, thereby affecting the Liver... (Text fragment ends here).
*Shanfan* treats Liver Labor excess-heat syndrome characterized by chest oppression, irritability, inability of spirit to reside, fearfulness preventing solitary sleeping, blurred vision, rebellious Qi failing to descend, and fullness/stuffiness in the chest. The decoction promotes Qi descent, relieves oppression, brightens the eyes, and expels heat. Formula ingredients:
Banxia (Pinelliae Rhizoma, washed and broken) 8 liang, Shengjiang (Zingiberis Rhizoma Recens, Fresh Ginger Root) 8 liang, Mahuang (Ephedrae Herba, Ephedra Stem, nodes removed) 3 liang, Shaoyao (Paeoniae Radix Alba, White Peony Root) 3 liang, Duhen (Asarum Sieboldii, Asarum) 3 liang, Zhishi (Aurantii Fructus Immaturus, Immature Bitter Orange, roasted) 3 liang, Xixin (Asari Radix et Rhizoma, Asarum Root and Rhizome) 3 liang, Xingren (Armeniacae Semen Amarum, Bitter Apricot Seed, skin and tips removed, crushed) 3 liang, Wumei (Mume Fructus, Mume Fruit, split) 3 liang, Songluo (Dendrogracilaria, Dendrogracilaria) 2 liang, Danzhuyeqie (Bambusae Folium, Bamboo Leaf, cut) 1 sheng.
Chop the above eleven herbs. Boil in 10 dou of water. First boil Mahuang to remove foam, then add the remaining herbs. Decoct until 3 sheng remains. Divide into three doses. Avoid mutton, malt sugar, and raw vegetables. (From Volume VII)
*Shenshi Fang* treats Liver Qi excess syndrome with red or yellowish eyes, hypochondriac tightness, and difficult urination. Xiegan Tang (Liver Draining Decoction) formula:
Renshen (Ginseng Radix, Ginseng Root) 3 liang (roasted), Gancao (Glycyrrhizae Radix et Rhizoma, Licorice Root and Rhizome, roasted) 3 liang, Shengjiang (Zingiberis Rhizoma Recens, Fresh Ginger Root) 5 liang, Huangqin (Scutellariae Radix, Scutellaria Root) 2 liang, Banxia (Pinelliae Rhizoma, Pinellia Tuber) 1 sheng (washed), Dazao (Jujubae Fructus, Jujube Fruit, split) 14 pieces.
Chop the above six herbs. Boil in 5 sheng of water. First boil Banxia for three to four boils, then add the other herbs, adding Shengjiang last. Decoct until 2 sheng remains. Strain. Divide into two doses. For emaciated patients, divide into three doses. Avoid seaweed, Chinese cabbage, mutton, and malt sugar. (From Volume XIII)
*Shanfan* treats Liver Labor deficiency-heat syndrome with red eyes, eyelid swelling and closure, restlessness due to internal heat, and burning sensation in the chest. Qianhu Xiegan Chu Re Tang (Peucedanum Liver-Draining Heat-Removing Decoction) formula:
Qianhu (Peucedani Radix, Peucedanum Root) 1 liang, Ganjiang (Zingiberis Rhizoma, Dried Ginger Root) 1 liang, Daqing (Indici Folium, Indigo Leaf) 1 liang, Xixin (Asari Radix et Rhizoma, Asarum Root and Rhizome) 1 liang, Qinpi (Fraxini Cortex, Ash Bark) 1 liang, Juemingzi (Cassiae Semen, Cassia Seed) 1 liang, Zhiziren (Gardeniae Fructus, Gardenia Fruit, kernel) 1 liang, Ziqin (Scutellariae Radix, Scutellaria Root) 1 liang, Danzhuye (Bambusae Folium, Bamboo Leaf, cut) 1 sheng, Cheqianzi (Plantaginis Semen, Plantago Seed, cut) 1 sheng, Shigao (Gypsum Fibrosum, Gypsum, crushed and wrapped in muslin) 8 liang.
Chop the above eleven herbs. Boil in 10 dou of water. Decoct until 3 sheng remains. Strain. Take in three divided doses at dawn. If purgation is needed, add Mangxiao (Natrii Sulfas, Sodium Sulfate) 3 liang. Avoid raw vegetables.
Also treats Liver Labor heat with chest oppression, upper and lower blockage (Guan Ge), inability of spirit to reside, rebellious Qi rising to the chest, and persistent burning heat. Chaihu Xia Re Tang (Bupleurum Lowering Heat Decoction) formula:
Chaihu (Bupleuri Radix, Bupleurum Root) 3 liang, Huangqin (Scutellariae Radix, Scutellaria Root) 3 liang, Zexie (Alismatis Rhizoma, Alisma Rhizome) 3 liang, Shengma (Cimicifugae Rhizoma, Black Cohosh Rhizome) 3 liang, Mangxiao (Natrii Sulfas, Sodium Sulfate) 3 liang, Xuanshen (Scrophulariae Radix, Scrophularia Root) 6 liang, Danzhuye (Bambusae Folium, Bamboo Leaf, cut), Shengdihuang (Rehmanniae Radix Nova, Fresh Rehmannia Root, cut) each 1 sheng, Ganjiang (Zingiberis Rhizoma, Dried Ginger Root) 2 liang.
Chop the above nine herbs. Boil in 9 sheng of water. Decoct until 3 sheng remains. Strain. Add Mangxiao. Take in three divided doses at dawn. Avoid Yitui (Elsholtziae Herba, Elsholtzia Herb).
Also treats Liver Labor heat with fear and unease, inability of spirit to reside, irritability preventing solitary sleeping, emotional agitation and melancholy, chaotic will and qi exceeding normal limits, and inability to find peace. Fuling An Gan Ding Jing Shen Wan (Poria Calming Liver Stabilizing Spirit Pill) formula:
Fuling (Polyporus, Poria) 8 fen, Yuanzhi (Polygalae Radix, Polygala Root, heart removed) 8 fen, Fangfeng (Saposhnikoviae Radix, Saposhnikovia Root) 8 fen, Renshen (Ginseng Radix, Ginseng Root) 8 fen, Baiziren (Platycladi Semen, Platycladus Seed, roasted) 5 fen, Longgu (Fossilia Ossis Mastodi, Fossilized Mammal Bone) 7 fen, Muli (Concha Ostreae, Oyster Shell, roasted) 8 fen, Dzaorou (Jujubae Fructus, Jujube Flesh) 8 fen, Gancao (Glycyrrhizae Radix et Rhizoma, Licorice Root and Rhizome, roasted) 4 fen.
Pulverize the above nine herbs. Mix with white honey to form pills the size of wu zi (Chinese quince seeds). Initial dose: 20 pills, gradually increase to 30 pills. Administer with warm clear water. Twice daily. Avoid seaweed, Chinese cabbage, and vinegar.
Also Bian Que's formula for labor pathogen causing eye heat and redness:
Moxibustion at Dangrong point, 100 moxa cones per session. Apply to both sides equally. Dangrong is located posterior to the outer canthus of the eye, anterior to the Kerenman point in front of the ear, where the three Yang and three Yin channels intersect. Press with hand; if pulsation is felt moving up and down, the correct point is identified. It is opposite the ear. (All from Volume VII)