治肝家血虚火旺。头痛目眩。颊赤口苦。倦怠烦渴。抑郁不乐。两胁作痛。寒热小腹重
坠。妇人经水不调。脉弦大而虚。
逍遥散用芍当归。术草柴苓慎勿违。(柴胡当归白芍白术茯苓各一钱。甘草炙五分。加
煨姜薄荷煎。)散郁除蒸功最捷。(医贯曰方中柴胡薄荷二味最妙。盖木喜风摇。寒即摧萎。
温即发生。木郁则火郁。火郁则土郁。土郁则金郁。金郁则水郁。五行相因。自然之理也。
余以一方治木郁。而诸郁皆解。逍遥散是也。)丹栀加入有元机。(如丹皮栀子。名八味逍遥
散。治肝伤血少经枯)赵羽皇曰。此治肝郁之病。而肝之所以郁者。其说有二。一为土虚。
不能升木也。一为血少。不能养肝也。盖肝为木气。全赖土以滋培。水以灌溉。若中土虚。
则木不升而郁。阴血少。则肝不滋而枯。方用白术茯苓者。助土德以升木也。当归芍药者。
益荣血以养肝也。薄荷解热。甘草和平。独柴胡一味。
一以为厥阴之报使。一以升发诸阳。经云。
木郁则达之。遂其曲直之性。故名之曰逍遥。
○通可行滞(火气郁滞。宜从小便利之。通为轻。泄为重也。)
治心热口糜舌疮。小便黄赤。茎中痛热急不通。
导赤原来地与通。草梢竹叶四般攻。口糜茎痛兼淋沥。泻火功归补水中。(等分煎。生
地凉心血。竹叶清心气。木通泻心火而入小肠。草梢达肾茎而止痛。)
季楚重曰。泻心汤用黄连。所以治实邪。实邪责木之有余。泻子以清母也。导赤散用地
黄。所以治虚邪。虚邪责水之不足。壮水以制火也。
Treats conditions of Liver Blood deficiency with hyperactive Fire. Symptoms include headache, dizziness and blurred vision, flushed cheeks, bitter taste in the mouth, fatigue, irritability, thirst, depression and unhappiness, pain in the hypochondrium, alternating chills and fever, a heavy and bearing-down sensation in the lower abdomen, and irregular menstruation in women. The pulse is wiry, large, and deficient.
Xiaoyao San (Free and Easy Wanderer Powder) utilizes Shaoyao (White Peony Root) and Danggui (Angelica Sinensis). Zhuru (Atractylodes Macrocephala Rhizome), Cao (Licorice Root), Chaihu (Bupleurum Root), and Ling (Poria) must not be neglected. (Dosage: Chaihu, Danggui, Baishao, Baizhu, Fuling each 1 qian; Zhi Gancao (Honey-fried Licorice Root) 0.5 qian; add Wei Jiang (Ginger baked in bran) and Bohe (Mint) for decoction.) It has the most rapid effect in dissipating stagnation and eliminating steaming bone disorder. (The *Yi Guan* states that Chaihu and Bohe in this formula are the most exquisite ingredients. Wood delights in wind shaking; cold causes withering, while warmth promotes growth. When Liver Wood is stagnant, Heart Fire becomes stagnant; when Heart Fire is stagnant, Spleen Earth becomes stagnant; when Spleen Earth is stagnant, Lung Metal becomes stagnant; when Lung Metal is stagnant, Kidney Water becomes stagnant. The Five Elements are interrelated, which is the natural principle. I use one formula to treat Liver Wood stagnation, thereby resolving all types of stagnation; Xiaoyao San is such a formula.) Adding Danpi (Moutan Cortex) and Zhizi (Gardeniae Fructus) contains profound mechanisms. (For instance, adding Moutan Cortex and Gardeniae Fructus creates Bawei Xiaoyao San (Eight-Ingredient Free and Easy Wanderer Powder), used to treat amenorrhea due to Liver injury and Blood deficiency.) Zhao Yuhuang stated: This treats diseases of Liver Qi stagnation. The reasons for Liver stagnation are explained in two ways: first, Spleen Earth deficiency fails to ascend Liver Wood; second, Blood deficiency fails to nourish the Liver. The Liver belongs to Wood Qi and relies entirely on Spleen Earth for nourishment and Kidney Water for irrigation. If Middle Jiao Earth is deficient, Wood cannot ascend and becomes stagnant; if Yin Blood is insufficient, the Liver loses nourishment and becomes withered. The formula uses Baizhu and Fuling to assist Earth virtue to ascend Wood; Danggui and Baishao to enrich Ying Blood to nourish the Liver. Bohe resolves heat, and Gancao harmonizes. Uniquely, Chaihu serves as the messenger herb for the Jueyin Liver channel and also ascends and develops Yang Qi. The Classics state: "When Wood is stagnant, vent it," following its nature of bending and straightening. Hence it is named Xiaoyao (Free and Easy Wanderer).
○ Tong (Unblocking) method can be used to move stagnation. (When Fire Qi is stagnant, it should be unblocked via urination. Tong is mild; Xie (Draining) is severe.)
Treats Heart Heat causing oral ulcers and tongue sores, yellow and red urine, burning pain and urgency in the urethra with difficulty in urination.
Daochi San (Guide Out Redness Powder) originally utilizes Shengdi (Rehmanniae Radix), Mutong (Akebiae Caulis), Caoshao (Licorice Root tip), and Zhuye (Bamboo Leaf) to attack the pathogen. For oral ulcers, penile pain, and dribbling, the fire-draining merit returns to "nourishing water" (tonifying Yin to subdue Fire). (Equal parts decocted. Shengdi cools Heart Blood; Zhuye clears Heart Qi; Mutong drains Heart Fire and enters the Small Intestine; Caoshao reaches the Kidney and penis to relieve pain.)
Ji Chuchong said: Xiexin Tang (Drain the Heart Decoction) uses Huanglian (Coptidis Rhizoma) to treat Excess pathogens. Excess pathogens are attributed to the surplus of Wood (Liver); draining the "child" (Heart/Fire) clears the "mother" (Liver/Wood). Daochi San uses Dihuang (Rehmanniae Radix Praeparata) to treat Deficiency pathogens. Deficiency pathogens are attributed to the insufficiency of Water (Kidney); strengthening Water controls Fire.