夫血脉充塞,荣卫不行,心气壅实,上焦烦热,即多汗也,心象于火,其液为汗。今阳
气发泄妄行,故令汗出也。
治心气壅热,手心头面多汗,胸中烦满,宜服犀角散方。
犀角屑(三分) 龙骨 麦门冬(去心) 黄 (锉) 地骨皮 茯神 人参(去芦头)
麻黄
根远志 甘草(炙微赤锉)(以上各三分)
上件药,捣筛为散。每服四钱,以水一中盏,入淡竹叶二七片,煎至六分,去滓,食后
温服。忌炙烤热面。
治心实热,血脉壅滞,口干心燥,常多汗出,宜服麦门冬散方。
麦门冬(一两去心焙) 寒水石(一两) 川升麻(半两) 犀角屑(半两) 生干地
黄(半
两) 天竺黄(半两细研) 麻黄根(半两) 甘草(一分炙微赤锉)
上件药,捣细罗为散。不计时候,以竹叶汤调下一钱。
治心脏壅滞,或时烦热,频多汗出,宜服地骨皮丸方。
地骨皮(三分) 柴胡(一两去苗) 子芩(一两) 生干地黄(一两) 麻黄根(一
两) 麦门
冬(半两
参(一
两去芦
上件药,捣罗为末,炼蜜和捣三、二百杵,丸如梧桐子大。每服不计时候,煎淡竹叶汤
下三十丸。
治心脏壅热,口舌干燥,常多汗出,宜服石膏丸方。
石膏(一两细研水飞过) 栝蒌根(一两) 乌梅肉(一两) 葛根(一两锉) 牡蛎
粉(一
两) 麦门冬(一两半去心焙) 天竺黄(一两细研) 麻黄根(一两) 甘草(半两炙微
赤锉)
上件药,捣细罗为末,入研了药令匀,炼蜜和丸,如梧桐子大。每服不计时候,以新
汲水下二十丸。
治心热汗出不止,宜服牡蛎散方。
牡蛎粉(一两) 寒水石(一两) 铅霜(半两细研) 朱砂(半两细研如面) 甘草
末(半分
生用) 故扇灰(半分)
上件药,同入乳钵,研令细。每服半钱,以新汲水调下,不计时候服。
When blood vessels are congested and obstructed, Ying (Nutrient) Qi and Wei (Defensive) Qi fail to circulate smoothly, Heart Qi becomes stagnant and excessive, and there is irritability and heat in the Upper Jiao (Upper Burner), leading to profuse sweating. The Heart corresponds to Fire, and its fluid is sweat. Now, because Yang Qi dissipates and acts recklessly, sweating occurs.
For treating Heart Qi stagnation transforming into heat, with profuse sweating on the palms, head, and face, along with irritability and fullness in the chest, the Xijiao San (Rhinoceros Horn Powder) formula is suitable.
Rhino Cornu (Xijiao) slices (3 fen) Longgu (Fossilized Bones) Ophiopogonis Radix (Maidong), dehearted Scutellariae Radix (Huangqin), crushed Cortex Lycii (Goubipi) Poria Cum Ramo Xylatis (Fushen) Ginseng Radix (Renshen), de-rhizome Ephedrae Radix et Rhizoma (Mahuanggen) Polygalae Radix (Yuanzhi) Glycyrrhizae Radix et Rhizoma (Gancao), roasted until slightly red and crushed (each of the above: 3 fen)
Crush and sieve the above ingredients to make a powder. Take 4 qian per dose, add one zhong zhan of water and fourteen leaves of Bambusa Dendrocaloidis Caulis (Dan Zhuye), decoct until six parts remain, filter out the dregs, and take warm after meals. Avoid roasted or hot wheat noodles.
For treating excess-heat in the Heart, with congestion and stasis in blood vessels, dry mouth, heart irritability, and frequent sweating, the Maidong San (Ophiopogon Powder) formula is suitable.
Ophiopogonis Radix (Maidong) (1 liang, dehearted and baked) Hanshui Shi (Calcitum) Cimicifugae Rhizoma (Chuan Shengma) Rhino Cornu (Xijiao) slices Rehmanniae Radix Preparata (Sheng Dihuang) (0.5 liang) Gypsum Rubrum (Tian Zhu Huang) (0.5 liang, finely ground) Ephedrae Radix et Rhizoma (Mahuanggen) (0.5 liang) Glycyrrhizae Radix et Rhizoma (Gancao) (1 fen, roasted until slightly red and crushed)
Crush and sieve the above ingredients finely to make a powder. Take 1 qian per dose, mixed with Decoctum Foliorum Bambusae (Zhuye Tang), at any time.
For treating stagnation in the Heart, occasional irritability and heat, and frequent sweating, the Goubipi Wan (Lycium Bark Pill) formula is suitable.
Cortex Lycii (Goubipi) (3 fen) Bupleuri Radix (Chaihu) (1 liang, de-sprout) Scutellariae Radix (Zi Qin) (1 liang) Rehmanniae Radix Preparata (Sheng Dihuang) (1 liang) Ephedrae Radix et Rhizoma (Mahuanggen) (1 liang) Ophiopogonis Radix (Maidong) (0.5 liang) Ginseng Radix (Renshen) (1 liang, de-rhizome)
Crush and sieve the above ingredients into powder. Mix with refined honey and pound for three to two hundred strokes to form pills the size of Sophora japonica seeds. Take 30 pills per dose, washed down with Decoctum Foliorum Bambusae (Dan Zhuye Tang), at any time.
For treating heat stagnation in the Heart, dry mouth and tongue, and frequent sweating, the Shigao Wan (Gypsum Pill) formula is suitable.
Gypsum Fibrosum (Shigao) (1 liang, finely ground and water-floated) Trichosanthis Radix (Gualougen) (1 liang) Pruni Mume Carnis (Wumei Rou) (1 liang) Puerariae Radix (Gegen) (1 liang, crushed) Ostrea Concha (Muli) powder (1 liang) Ophiopogonis Radix (Maidong) (1.5 liang, dehearted and baked) Gypsum Rubrum (Tian Zhu Huang) (1 liang, finely ground) Ephedrae Radix et Rhizoma (Mahuanggen) (1 liang) Glycyrrhizae Radix et Rhizoma (Gancao) (0.5 liang, roasted until slightly red and crushed)
Crush and sieve the above ingredients finely, mix evenly with the already ground ingredients, and bind with refined honey to form pills the size of Sophora japonica seeds. Take 20 pills per dose, washed down with fresh cold water, at any time.
For treating incessant sweating due to Heart-heat, the Muli San (Oyster Shell Powder) formula is suitable.
Ostrea Concha (Muli) powder (1 liang) Hanshui Shi (Calcitum) (1 liang) Qianshuang (Plumbum Nitratum) (0.5 liang, finely ground) Cinnabaris (Zhusha) (0.5 liang, ground as fine as flour) Glycyrrhizae Radix et Rhizoma (Gancao) powder (0.5 fen, raw) Gu Shan Hui (Ash from old fans) (0.5 fen)
Grind all the above ingredients together in a mortar until fine. Take 0.5 qian per dose, mixed with fresh cold water, at any time.