（附论）
凡脉极者。主心也。心应脉。脉与心合。心有病从脉起。又曰。以夏遇病为脉痹。脉痹
不已
色。
脉气
为肌
虚实
善
脉绝不治。三日死。何以知之。脉气空虚。则颜焦发落。脉应手少阴。手少阴气绝。则脉不
通。血先死矣。
方
生地黄煎（出千金方）治脉热极。则血气脱。色白干燥不泽。食饮不为肌肤
。消热止极。清
生地黄汁 赤蜜 生麦门冬（各一升） 心（一升一作豉） 远志（二升） 甘草二
（三）两
人
以水一
斗二升。煮二升七合。去滓。下地黄汁及蜜。更煎取三升五合。分四服。
麻黄汤 治脉极热。伤风损脉为心风。状多汗。无滋润。消虚热极。止汗。
麻黄（去根节） 杏仁（汤浸去皮尖及双仁各二两） 栀子仁 黄芩（去黑心） 防风
（去叉）
紫
两） 桑
根
服。
早晚食后各一。
人参散（出圣惠方）治脉极。好忘。言语不快。精神恍惚。脉虚惊跳不定。
人参（去芦头） 薯蓣 铁粉 生干地黄 酸枣仁（微炒） 茯神（各一两） 牛黄（一
分细
研）
上为
散。入
半夏汤 治脉极虚寒。咳嗽。心痛。喉仲介介如哽。甚则咽肿喉痹。止痛益气。
半夏（汤洗去滑焙干三两） 芎 细辛（去苗叶） 附子（炮裂去皮脐） 干姜（炮）
人参
（
（去黑皮
一两
生
姜一片枣大。拍碎。煎一盏。去滓。分温二服。早晚食后各一。
补虚丸（一名人参丸出圣惠方）治脉极惊悸。乍安乍发。宜服。补虚安神。
人参（去芦头） 麦门冬（去心焙） 黄 （锉炒） 甘草（切焙） 石菖蒲 桂（去
粗皮各一
两）
各五钱）
上为
镇心丸（出圣惠方）治脉极惊悸。安五脏。镇心神。烦满恐畏。
丹砂（研） 铁粉（研） 远志（去心） 人参（各半两） 茯神（去木一两） 牛黄
（研） 龙脑
（研
捣研极细。
枣
石膏散（出圣惠方）治脉极伤风。损于心气。多汗。无润泽。虚烦。
石膏（二两） 栀子仁 黄 （锉） 防风（去芦头） 犀角屑 茯神 人参（去芦头）
桑根
白皮
心） 上
为散
地黄汤（出三因方）治脉实极。气衰。血焦发落。好怒。唇舌赤。甚则言语
不快。色不泽。
人参 茯苓 芍药（各三两） 葳蕤（四两） 石膏（六两） 远志（去心十两） 甘
草（炙二
两）
半。煎
至七分
麦门冬汤（出医方集成）治证同前。
麦门冬（去心） 远志（去心甘草水煮） 人参 黄芩 生地黄（洗） 茯神（去木） 石
膏
（各
服。
不
防风丸（出千金方）治脉虚极则咳。咳则心痛。喉仲介介如哽。甚则咽肿。
防风 桂心 通草 茯神（一作茯苓） 人参 远志（去心焙） 甘草（炙） 白石英 麦
门
冬（
茯苓汤 治脉极实热。血气伤心。好生嗔怒。口唇色变。言语不快。消热气。调
血脉理中。
赤茯苓（去黑皮） 黄芩（去黑心） 栀子仁（各一两半） 赤石脂 升麻 紫菀（去
苗土各
一两）
水一盏
半。入
地黄。
升麻汤（出圣惠方）治脉极热。遇风痹。痹感心。面脱色。白不润泽。脉空
虚。口唇色干。
升麻 射干 芎 人参（各一两半） 赤小豆（一合捣） 麦门冬（去心焙） 葳蕤
（各二
两） 生干地黄（焙三两） 甘草（一两炙锉） 上捣筛。每服五钱。以水一盏半。入生姜
一片
枣大。
人参散 治脉极好忘。言语错乱。精神不守。肩臂痛。虚惊不定。
人参 赤茯苓（去黑心） 牛黄（研） 铁粉（研） 麝香（研） 远志（去心） 蛇
黄（烧醋淬）
羚
茯苓散（出圣惠方）治脉极实热。血气伤心。好生嗔怒。口色变赤。语涩不
快。调脉理中。
赤茯苓 赤石脂 麦门冬（去心焙各二两） 黄芩 栀子仁 人参（去芦头） 远志（去
心）
犀
五十
粒
茯神汤 治脉虚极。咳则心痛。喉仲介介如哽状。甚则咽肿。惊悸不安。
茯神（去木） 人参 远志（去心甘草水煮） 通草 麦门冬（去心） 黄 （去芦） 桔
梗
（去芦
温服。
不拘时。
柏叶沐头丸 治脉极虚寒。鬓发堕落。
生柏叶（一两） 附子（生去皮脐半两） 猪膏（五两） 上将柏叶、附子为末。炼猪
膏和为
二十
治脉极。虚寒发堕落方。
麻子（研二升） 白桐叶（一把切） 上以米泔一斗。煮五六沸。去滓。沐头。则鬓发
不落
而长
桑白皮沐头方 治脉极虚寒。鬓发堕落。\x
用桑根白皮。锉一斤。以水浸渍一宿。煮五六沸。去滓。沐发数次为之。佳。
(Attached Discussion)
In cases of Mai Ji (Pulse Extremity), the pathology is primarily associated with the Heart. The Heart governs the blood vessels, and the vessels are harmonized with the Heart. If disease originates in the Heart, it often manifests through changes in the pulse. It is also said that contracting pathogenic factors during summer leads to Mai Bi (Pulse Bi Syndrome). If Mai Bi persists untreated, it results in alterations in complexion, abnormal pulse qi, muscle disorders, and patterns of deficiency and excess. If the pulse qi ceases, the condition is incurable, and death will occur within three days. How is this known? Because empty pulse qi leads to a withered complexion and hair loss. The pulse corresponds to the Hand-Shaoyin (Heart Meridian); if the Qi of the Hand-Shaoyin ceases, the vessel pathways become obstructed, and the blood perishes first.
Shengdi Huang Jian (Rehmannia Decoction, from *Qianjin Fang*) treats Mai Re Ji (Extreme Pulse Heat). Symptoms include exhaustion of Qi and Blood, pale and dry complexion lacking luster, and inability of food and drink to nourish the flesh and skin. This formula clears heat and resolves extremity conditions, clearing the Heart fire.
Ingredients: Sheng Di Huang Zhi (Fresh Rehmanniae Radix Juice) 1 sheng, Chi Mi (Red Honey) 1 sheng, Sheng Mai Men Dong (Fresh Ophiopogonis Tuber) 1 sheng, Yuan Zhi (Polygalae Radix) 2 sheng (or Chi Dou 1 sheng), Gan Cao (Licorice Root) 2 liang.
Preparation and Administration: Boil with 1 dou 2 sheng of water until reduced to 2 sheng 7 he. Strain. Add Sheng Di Huang Zhi and Chi Mi, and decoct again until 3 sheng 5 he remains. Divide into four doses.
Ma Huang Tang (Ephedra Decoction) treats Mai Ji Re (Extreme Pulse Heat) caused by Wind injury damaging the vessels, leading to Xin Feng (Heart Wind). Symptoms include profuse sweating and lack of moistening. It clears extreme deficiency heat and stops sweating.
Ingredients: Ma Huang (Ephedrae Herba, remove root and joints) 2 liang, Xing Ren (Armeniacae Semen, soak in hot water, remove skin and tips, double kernels removed) 2 liang, Zhi Zi Ren (Gardeniae Semen) 1 liang, Huang Qin (Scutellariae Radix, remove black heart) 1 liang, Fang Feng (Saposhnikoviae Radix, remove forked parts) 1 liang, Zi Su Ye (Perillae Folium) 1 liang, Sang Bai Pi (Mori Cortex) 1 liang.
Administration: Decoct in water. Take once after morning meal and once after evening meal.
Ren Shen San (Ginseng Powder, from *Sheng Hui Fang*) treats Mai Ji. Symptoms include forgetfulness, slow speech, mental trance, and a weak, jumping, unstable pulse.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma, remove rhizome) 1 liang, Shu Yu (Dioscoreae Rhizoma) 1 liang, Tie Fen (Ferrum Pulveratum) 1 liang, Sheng Gan Di Huang (Dried Rehmanniae Radix) 1 liang, Suan Zao Ren (Ziziphi Spinosae Semen, lightly stir-fried) 1 liang, Fu Shen (Poria with Hostwood) 1 liang, Niu Huang (Bovis Calculus) 1 fen (finely ground).
Administration: Grind all ingredients into powder. Take 2 qian bi each time, administered with Ban Xia Tang (Pinellia Decoction).
Ban Xia Tang (Pinellia Decoction) treats Mai Ji Xu Han (Extreme Pulse Deficiency-Cold). Symptoms include cough, heart pain, a sensation of obstruction in the throat as if choked, and in severe cases, sore throat and Bi syndrome. It relieves pain and tonifies Qi.
Ingredients: Ban Xia (Pinelliae Rhizoma, wash in hot water to remove slipperiness, bake dry) 3 liang, Xiong (Chuanxiong Rhizoma) 1 liang, Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves) 1 liang, Fu Zi (Aconiti Lateralis Radix Praeparata, roast until cracked, remove skin and umbilicus) 1 liang, Gan Jiang (Zingiberis Rhizoma Praeparatum) 1 liang, Ren Shen (Ginseng Radix et Rhizoma) 1 liang.
Preparation and Administration: Decoct with 1.5 zhan of water, add one slice of fresh ginger (size of a jujube, crushed), boil until 1 zhan remains. Strain. Divide into two warm doses. Take once after morning meal and once after evening meal.
Bu Xu Wan (Tonify Deficiency Pill, also known as Ren Shen Wan, from *Sheng Hui Fang*) treats Mai Ji Jing Ji (Extreme Pulse Palpitations/Startle), characterized by alternating periods of calm and agitation. It tonifies deficiency and calms the spirit.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma, remove rhizome) 1 liang, Mai Men Dong (Ophiopogonis Tuber, remove heart, bake) 1 liang, Huang Qi (Astragali Radix, cut and stir-fry) 1 liang, Gan Cao (Licorice Root, cut and bake) 1 liang, Shi Chang Pu (Acori Tatarinowii Rhizoma) 1 liang, Gui (Cinnamomi Ramulus, remove coarse bark) 1 liang.
Administration: Grind into powder, mix with refined honey to form pills the size of wutong seeds. Take 20 pills before meals with rice water.
Zhen Xin Wan (Settle Heart Pill, from *Sheng Hui Fang*) treats Mai Ji Jing Ji (Extreme Pulse Palpitations/Startle). It calms the five zang organs, settles the heart spirit, and addresses irritability, fullness, fear, and dread.
Ingredients: Dan Sha (Cinnabaris, ground) 0.5 liang, Tie Fen (Ferrum Pulveratum, ground) 0.5 liang, Yuan Zhi (Polygalae Radix, remove heart) 0.5 liang, Ren Shen (Ginseng Radix et Rhizoma) 0.5 liang, Fu Shen (Poria with Hostwood, remove wood) 1 liang, Niu Huang (Bovis Calculus, ground), Long Nao (Borneolum Syntheticum, ground).
Administration: Grind all ingredients extremely finely. Mix with refined honey to form pills the size of wutong seeds. Take 15 pills at any time with bamboo leaf decoction.
Shi Gao San (Gypsum Powder, from *Sheng Hui Fang*) treats Mai Ji Shang Feng (Extreme Pulse Wind Injury) damaging Heart Qi. Symptoms include profuse sweating, lack of moistening, and deficiency vexation.
Ingredients: Shi Gao (Gypsum Fibrosum) 2 liang, Zhi Zi Ren (Gardeniae Semen) 1 liang, Huang Qin (Scutellariae Radix) 1 liang, Fang Feng (Saposhnikoviae Radix, remove crown) 1 liang, Xi Jiao Xie (Rhinocerotis Cornu Cutis) 1 liang, Fu Shen (Poria with Hostwood) 1 liang, Ren Shen (Ginseng Radix et Rhizoma, remove rhizome) 1 liang, Sang Bai Pi (Mori Cortex) 1 liang.
Administration: Grind into powder. Take 3 qian bi each time. Decoct with 1 zhan of water until 0.6 zhan remains. Strain and take warm at any time.
Di Huang Tang (Rehmannia Decoction, from *San Yin Fang*) treats Mai Shi Ji (Extreme Pulse Excess). Symptoms include Qi deficiency, burnt blood causing hair loss, irritability, red lips and tongue, and in severe cases, slow speech and dull complexion.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma) 3 liang, Fu Ling (Poria) 3 liang, Shao Yao (Paeoniae Radix Alba) 3 liang, Wei Rui (Polygonati Odorati Rhizoma) 4 liang, Shi Gao (Gypsum Fibrosum) 6 liang, Yuan Zhi (Polygalae Radix, remove heart) 10 liang, Gan Cao (Licorice Root, honey-fried) 2 liang, Mai Men Dong (Ophiopogonis Tuber, remove heart) 3 liang.
Preparation and Administration: Decoct until 0.7 portion remains. Strain and take warm.
Mai Men Dong Tang (Ophiopogon Decoction, from *Yi Fang Ji Cheng*) treats the same symptoms as above.
Ingredients: Mai Men Dong (Ophiopogonis Tuber, remove heart), Yuan Zhi (Polygalae Radix, remove heart, boiled with Licorice), Ren Shen (Ginseng Radix et Rhizoma), Huang Qin (Scutellariae Radix), Sheng Di Huang (Rehmanniae Radix, washed), Fu Shen (Poria with Hostwood, remove wood), Shi Gao (Gypsum Fibrosum) (each 1 liang).
Administration: Grind into powder. Take 3 qian bi each time. Decoct with 1 zhan of water until 0.6 zhan remains. Strain and take warm at any time.
Fang Feng Wan (Saposhnikovia Pill, from *Qianjin Fang*) treats Mai Xu Ji (Extreme Pulse Deficiency) leading to cough; coughing causes heart pain and a sensation of obstruction in the throat. In severe cases, there is sore throat.
Ingredients: Fang Feng (Saposhnikoviae Radix), Gui Xin (Cinnamomi Ramulus), Tong Cao (Tetrapanacis Medulla), Fu Shen (Poria with Hostwood, or Fu Ling), Ren Shen (Ginseng Radix et Rhizoma), Yuan Zhi (Polygalae Radix, remove heart and bake), Gan Cao (Licorice Root, honey-fried), Bai Shi Ying (Barium Silicate), Mai Men Dong (Ophiopogonis Tuber) (equal parts).
Administration: Grind into powder, mix with refined honey to form pills the size of wutong seeds. Take 20 pills after meals with rice water.
Fu Ling Tang (Poria Decoction) treats Mai Shi Re (Extreme Pulse Excess-Heat) where Blood and Qi injure the Heart. Symptoms include irritability, change in lip color, and slow speech. It clears heat, regulates blood vessels, and harmonizes the middle.
Ingredients: Chi Fu Ling (Red Poria, remove black skin), Huang Qin (Scutellariae Radix, remove black heart), Zhi Zi Ren (Gardeniae Semen) (each 1.5 liang), Chi Shi Zhi (Halloysit Rubrum) 1 liang, Sheng Ma (Cimicifugae Rhizoma) 1 liang, Zi Wan (Adenophorae Radix, remove seedlings and soil) 1 liang.
Preparation and Administration: Decoct with 1.5 zhan of water, add one slice of fresh ginger, boil until 1 zhan remains. Strain and take warm.
Sheng Ma Tang (Cimicifuga Decoction, from *Sheng Hui Fang*) treats Mai Ji Re (Extreme Pulse Heat) complicated by Wind-Bi affecting the Heart. Symptoms include sallow complexion, pale and dry appearance, empty pulse, and dry lips.
Ingredients: Sheng Ma (Cimicifugae Rhizoma), She Gan (Belamcandae Rhizoma), Xiong (Chuanxiong Rhizoma), Ren Shen (Ginseng Radix et Rhizoma) (each 1.5 liang), Chi Xiao Dou (Phaseoli Semen Rubrum, 1 ge, crushed), Mai Men Dong (Ophiopogonis Tuber, remove heart and bake) 2 liang, Wei Rui (Polygonati Odorati Rhizoma) 2 liang, Sheng Gan Di Huang (Dried Rehmanniae Radix, baked) 3 liang, Gan Cao (Licorice Root, honey-fried and cut) 1 liang.
Administration: Crush and sieve. Take 5 qian each time. Decoct with 1.5 zhan of water, add one slice of fresh ginger (size of a jujube), boil until 1 zhan remains. Strain and take warm.
Ren Shen San (Ginseng Powder) treats Mai Ji Hao Wang (Extreme Pulse Forgetfulness), confused speech, unsettled spirit, shoulder and arm pain, and undefined palpitations.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Chi Fu Ling (Red Poria, remove black heart), Niu Huang (Bovis Calculus, ground), Tie Fen (Ferrum Pulveratum, ground), She Xiang (Moschus, ground), Yuan Zhi (Polygalae Radix, remove heart), She Huang (Calcar Bovis, roasted and quenched in vinegar), Ling Yang Jiao (Saigae Tataricae Cornu) (equal parts).
Administration: Grind into powder. Take 2 qian bi each time with Zhu Li (Bamboo Sap) decoction at any time.
Fu Ling San (Poria Powder, from *Sheng Hui Fang*) treats Mai Shi Re (Extreme Pulse Excess-Heat) where Blood and Qi injure the Heart. Symptoms include irritability, reddish mouth and tongue, and slow, difficult speech. It regulates pulses and harmonizes the middle.
Ingredients: Chi Fu Ling (Red Poria), Chi Shi Zhi (Halloysit Rubrum), Mai Men Dong (Ophiopogonis Tuber, remove heart and bake, each 2 liang), Huang Qin (Scutellariae Radix), Zhi Zi Ren (Gardeniae Semen), Ren Shen (Ginseng Radix et Rhizoma, remove rhizome), Yuan Zhi (Polygalae Radix, remove heart), Xi Jiao Xie (Rhinocerotis Cornu Cutis), Ling Yang Jiao (Saigae Tataricae Cornu) (each 1 liang).
Administration: Grind into powder. Take 3 qian bi each time. Decoct with 1 zhan of water until 0.6 zhan remains. Strain and take warm at any time.
Fu Shen Tang (Poria with Hostwood Decoction) treats Mai Xu Ji (Extreme Pulse Deficiency). Symptoms include cough causing heart pain, a sensation of obstruction in the throat, and in severe cases, sore throat, palpitations, and restlessness.
Ingredients: Fu Shen (Poria with Hostwood, remove wood), Ren Shen (Ginseng Radix et Rhizoma), Yuan Zhi (Polygalae Radix, remove heart, boiled with Licorice), Tong Cao (Tetrapanacis Medulla), Mai Men Dong (Ophiopogonis Tuber, remove heart), Huang Qi (Astragali Radix, remove rhizome), Jie Geng (Platycodonis Radix, remove crown), Gan Cao (Licorice Root, honey-fried) (equal parts).
Preparation and Administration: Decoct in water. Take warm at any time.
Bo Ye Mu Tou Wan (Cupressi Folium Head-Wash Pill) treats Mai Ji Xu Han (Extreme Pulse Deficiency-Cold) causing hair loss on the temples.
Ingredients: Sheng Bo Ye (Cupressi Cacumen) 1 liang, Fu Zi (Aconiti Lateralis Radix, raw, remove skin and umbilicus) 0.5 liang, Zhu Gao (Porci Adeps) 5 liang.
Administration: Grind Cupressi Cacumen and Aconiti Lateralis Radix into powder. Refine Porci Adeps and mix with the powder to form pills the size of wutong seeds. Take 20 pills with rice water, three times daily.
Formula for Treating Mai Ji Deficiency-Cold Hair Loss.
Ingredients: Ma Zi (Cannabis Fructus, ground) 2 sheng, Bai Tong Ye (Toosendan Folium, chopped) 1 ba.
Administration: Boil in 1 dou of rice washing water for five or six boils. Strain. Wash head with the liquid; hair will not fall out and will grow.
Sang Bai Pi Mu Tou Fang (Mori Cortex Head-Wash Formula) treats Mai Ji Xu Han (Extreme Pulse Deficiency-Cold) causing hair loss on the temples.
Administration: Use Sang Gen Bai Pi (Mori Cortex), cut into pieces weighing 1 jin. Soak in water overnight. Boil for five or six boils. Strain. Wash hair several times. This is effective.