(附论)
内经云。有病如狂者。生于阳也。阳气者因暴折而难按。故善怒也。病名曰阳厥。夫
阴
阳不
狂。
阳。
方
赤茯苓汤(一名羚羊角汤出宣明论方)治阳气厥逆。多怒而狂。颈脉复动。
赤茯苓(去黑皮一两) 人参 羚羊角(镑各三两) 远志(去心) 大黄(锉炒各半
两)
甘草(
竹沥石膏汤(出圣济总录)治阳厥多怒。狂躁不安。上攻头颈。
竹沥(旋入) 石膏(一两半) 赤茯苓(去黑皮) 栀子仁 升麻 玄参 生地黄 知
母
(焙各
滓。
入
竹叶茯苓汤(出圣济总录)治阳厥气逆。胸膈烦闷。忿忿饶怒。如发狂状。
淡竹沥(一升) 赤茯苓(去黑皮二两) 生地黄(一升) 丹参 玄参(各二两) 干
姜
车前
一盏
半。去滓
犀角丸(出圣济总录)治阳气偏盛。气厥多怒。心胸烦满。状如狂邪。颈脉
皆
动者。
犀角梢 防风 升麻 葳蕤(各三两) 枳实(麸炒) 石膏(碎各半两) 甘草(炙
锉一分)
上
三
茯苓大黄汤(出圣济总录)治阳厥多怒。气逆发狂。胸膈躁闷。
赤茯苓(去黑皮) 大黄(锉微炒) 羚羊角(镑) 黄芩(去黑皮心) 甘草(微炙
锉) 枳壳
(去
片。
同煎
防风茯苓汤(出圣济总录)治阳厥怒狂。
防风(去皮) 赤茯苓(去黑皮) 葳蕤 白术 丹参 陈橘皮(汤浸去白焙各一两三
分)
细辛
枣仁
(三分
竹沥汤(出圣济总录)治气逆狂怒阳暴厥。
竹沥(一升) 麻黄(去根节三两) 石膏(二两) 生姜 芍药(各一两) 大青 栀
子仁 升
麻
豆大。
每服六钱。水二盏。煎至一盏。去滓下竹沥半合。再煎三沸。温服日二。
泄热汤(出圣济总录)治阳厥。怒狂气逆。
半夏(汤洗七次切焙) 麻黄(去根节煎掠去沫焙) 芍药 杜蘅 枳实(去瓤麸炒) 细
辛
(
锉如麻豆
大
定神丸(出圣济总录)治阳厥狂怒。
白茯苓(去黑皮) 远志(去心) 防风(去叉) 柏子仁(炒) 人参(各一两一分)
龙骨
(一两
蜜为丸。
如梧桐
羚羊角汤(出圣济总录)治阳气厥逆。善怒狂妄不常。
羚羊角(镑) 五味子 葳蕤 茯神(去木) 远志(去心) 沙参(去芦头) 酸枣
仁(微炒
各三
铁落饮(出指南方)治阳厥善怒。除烦下气。
用铁落染皂或铁浆是一味。每服用肉汤温一盏饮之。食后。一方生铁十斤煮浆。日饮一
盏。空心服。
(Attached Discussion)
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: Some diseases present with symptoms resembling mania, which arise from Yang pathogens. When Yang Qi is suddenly frustrated and difficult to soothe, it leads to irritability and anger. This disease is named "Yang Jue" (Yang Reversal).
Chifuling Tang (Red Poria Decoction), also known as Lingyangjiao Tang (Antelope Horn Decoction), from *Xuanming Lunfang*: Treats Yang Qi reversal. Symptoms include frequent anger and mania, with visible pulsation of the neck vessels.
Ingredients: Chifuling (Red Poria, remove black skin, 1 liang), Renshen (Ginseng), Lingyangjiao (Antelope Horn, shaved, each 3 liang), Yuanzhi (Polygala Root, remove heart), Dahuang (Rhubarb Root and Rhizome, cut and stir-fried, each half liang), Gancao (Licorice Root, dosage/preparation incomplete in source).
Zhuli Shigao Tang (Bamboo Sap and Gypsum Decoction), from *Shengji Zonglu*: Treats Yang Jue causing frequent anger, restlessness and agitation, with pathogenic heat attacking the head and neck.
Ingredients: Zhuli (Bamboo Sap, added immediately), Shigao (Gypsum Fibrosum, 1.5 liang), Chifuling (Red Poria, remove black skin), Zhizi Ren (Gardenia Seed), Shengma (Cimicifugae Rhizoma), Xuanshen (Scrophulariae Radix), Shengdihuang (Rehmanniae Radix), Zhimu (Anemarrhenae Rhizoma, baked, dosages incomplete in source). Decoct, remove dregs.
Zhuye Fuling Tang (Bamboo Leaf and Poria Decoction), from *Shengji Zonglu*: Treats Yang Jue with rebellious Qi, chest and diaphragm oppression, irritability and anger, resembling mania.
Ingredients: Danzhuli (Light Bamboo Sap, 1 sheng), Chifuling (Red Poria, remove black skin, 2 liang), Shengdihuang (Rehmanniae Radix, 1 sheng), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Xuanshen (Scrophulariae Radix, each 2 liang), Ganjiang (Dried Ginger), Cheqianzi (Plantaginis Semen, dosages/instructions incomplete in source). Decoct to 1.5 zhan, remove dregs.
Xijiao Wan (Rhino Horn Pill), from *Shengji Zonglu*: Treats excessive Yang Qi, Qi reversal causing frequent anger, chest and heart fullness and oppression, resembling madness, with pulsation of neck vessels.
Ingredients: Xijiao Shao (Horn of Rhinoceros, tip), Fangfeng (Saposhnikoviae Radix), Shengma (Cimicifugae Rhizoma), Weirui (Polygonati Odorati Rhizoma, each 3 liang), Zhishi (Aurantii Fructus Immaturus, bran-fried), Shigao (Gypsum Fibrosum, crushed, each half liang), Gancao (Licorice Root, honey-fried, cut into fine pieces, 1 fen). Process ingredients into powder... (instructions incomplete in source).
Fuling Dahuang Tang (Poria and Rhubarb Decoction), from *Shengji Zonglu*: Treats Yang Jue causing frequent anger, rebellious Qi leading to mania, chest and diaphragm restlessness and oppression.
Ingredients: Chifuling (Red Poria, remove black skin), Dahuang (Rhubarb Root and Rhizome, cut and lightly stir-fried), Lingyangjiao (Antelope Horn, shaved), Huangqin (Scutellariae Radix, remove black skin and heart), Gancao (Licorice Root, lightly honey-fried, cut), Zhike (Aurantii Fructus, remove pith... instructions incomplete in source). Decoct together.
Fangfeng Fuling Tang (Saposhnikovia and Poria Decoction), from *Shengji Zonglu*: Treats Yang Jue causing angry mania.
Ingredients: Fangfeng (Saposhnikoviae Radix, remove skin), Chifuling (Red Poria, remove black skin), Weirui (Polygonati Odorati Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Chenjupi (Tangerine Peel, soaked in water, white part removed, baked, each 1 liang 3 fen), Xixin (Asari Radix et Rhizoma), Zaoren (Ziziphi Spinosae Semen, 3 fen... dosages incomplete in source).
Zhuli Tang (Bamboo Sap Decoction), from *Shengji Zonglu*: Treats rebellious Qi causing angry mania and sudden Yang collapse.
Ingredients: Zhuli (Bamboo Sap, 1 sheng), Mahuang (Ephedrae Herba, remove root and joints, 3 liang), Shigao (Gypsum Fibrosum, 2 liang), Shengjiang (Zingiberis Rhizoma Recens), Shaoyao (Paeoniae Radix Alba, each 1 liang), Daqing (Isatidis Folium), Zhizi Ren (Gardenia Seed), Shengma (Cimicifugae Rhizoma... dosages/instructions incomplete in source). Form pills the size of soybeans. Take 6 qian per dose, with 2 zhan of water, decoct to 1 zhan, remove dregs, add half he of Zhuli (Bamboo Sap), boil three times more, take warm, twice daily.
Xi Re Tang (Draining Heat Decoction), from *Shengji Zonglu*: Treats Yang Jue, anger causing Qi rebellion.
Ingredients: Banxia (Pinelliae Rhizoma, washed seven times in water, sliced, baked), Mahuang (Ephedrae Herba, remove root and joints, boil to remove foam, bake), Shaoyao (Paeoniae Radix Alba), Dubheng (Duheng Herb), Zhishi (Aurantii Fructus Immaturus, remove pith, bran-fried), Xixin (Asari Radix et Rhizoma, cut like hemp or bean seeds... dosages/instructions incomplete in source).
Dingshen Wan (Calming Spirit Pill), from *Shengji Zonglu*: Treats Yang Jue causing angry mania.
Ingredients: Baifuling (White Poria, remove black skin), Yuanzhi (Polygala Root, remove heart), Fangfeng (Saposhnikoviae Radix, remove forked parts), Baiziren (Biota Seed, stir-fried), Renshen (Ginseng, each 1 liang 1 fen), Longgu (Fossilized Mammoth Tooth and Bone, 1 liang... dosage incomplete in source). Mix with honey to form pills the size of Chinese quince seeds.
Lingyangjiao Tang (Antelope Horn Decoction), from *Shengji Zonglu*: Treats Yang Qi reversal, frequent anger and erratic mania.
Ingredients: Lingyangjiao (Antelope Horn, shaved), Wuweizi (Schisandrae Chinensis Fructus), Weirui (Polygonati Odorati Rhizoma), Fushen (Poria with Hostwood, remove wood), Yuanzhi (Polygala Root, remove heart), Shashen (Glehniae Radix, remove rhizome head), Szaoren (Ziziphi Spinosae Semen, lightly stir-fried... dosages incomplete in source). Each 3... (dosage incomplete in source).
Tieluo Yin (Iron Falling Drink), from *Zhinan Fang*: Treats Yang Jue causing frequent anger, relieves vexation and directs Qi downward.
Usage: Use Tieluo (Iron filings used for dyeing soap) or Tiejiang (Iron slurry), a single ingredient. For each dose, take one zhan warmed with meat broth. Take after meals. Another method: Boil 10 jin of raw iron to make slurry, drink one zhan daily, on an empty stomach.