枳实(三枚) 大枣(十四枚) 半夏(五两) 附子(二枚) 人参 甘草 白术 干姜 浓朴(各二两)
上九味 咀,以水七升,煮取二升半,一服八合,日三。(同上)
治七气,脏腑虚冷,心胸气上,劳乏,不能饮食,宜服半夏散方。
半夏 人参 白术 桂心(各一两) 浓朴(二两) 陈橘皮(三分) 附子 沉香(各一两)
上件药捣筛为散,每服五钱,以水一中盏,入生姜半分,煎至六分去滓,每于食前稍热服。(《圣惠》)
八磨汤,治一切气,补一切虚。(用水八分,各磨三百下。)
附子 沉香 木香 乌药 槟榔 甘草 白术 人参
上等分,入乳钵内磨三百下,入大枣三个,煎至一、二分服。(《家宝》)《叶氏》增损磨气汤,治一切气
滞,胸膈痞痛,胁肋刺痛,于本方去甘草,加生姜、橘皮。(修制法宜参。)
大正气散,治男子妇人,补虚快气,散腹胁疼痛。
当归 香附子(炒) 陈皮(去白各半两) 甘草(炙) 木香(各二钱) 白姜 白术 缩砂仁 桂心(各
三钱) 大附子(一枚炮)
上 咀,每服三钱,水一盏半,生姜五片,枣一枚,煎
至八分,去滓空心热服。陈必胜方。(《朱氏》)
顺气沉附汤,升降诸气,暖则宣流。
大附子(一只炮作二服)
上水一盏煎,别用水磨沉香,临熟时入药内,热服。(《大成》)降气汤,老人虚气上壅,当以生附子加生姜
煎,临熟以药汁,浓磨沉香水,再煎一沸服之,尤为稳当。(《寿亲养老书》)(按∶此方亦出《水气》中。)
化气汤,治一切气逆,胸膈噎闷,偏胀膨满。又治心脾疼痛,呕吐酸水。
沉香 胡椒(各一两) 缩砂(去壳) 桂心(去粗皮) 木香(各二两) 陈皮(去穣麸炒) 干姜(炮)
甘草(炙) 茴香(炒) 青皮(去白麸炒) 蓬莪术(煨) 丁皮(各四两)
上为细末,每服二钱,姜苏盐汤调下,妇人淡醋汤下。(《和剂》)
疏肝诸方 理气平肝散,治七情所伤发痉。
乌药 香附(各一钱半) 青皮 枳壳(麸壳拌炒) 芍药(煨) 川芎 柴胡 木香(各一钱) 甘草(五分)
水二钟,姜三片,煎八分,入木香磨水二匙,食前服。(《统旨》)(按∶此所谓七情发痉,盖是情志郁结,
卒尔气冲证,非真痉病,故叙于此。)
退热清气汤,治气逆身热,中脘痞满。
柴胡 橘皮 茯苓(各一钱) 枳壳 半夏(各八分) 木香 甘草(各三分) 香附子(七分) 川芎(五分)
缩砂仁(七枚) 生姜(五片)
食远服。(《原病集》)
黄鹤丹,治一切病属气滞者。(主治从《观聚方》录)
香附(气失其平则为疾,此为君,此为用矣。) 黄连(凡疾之所在为邪火,单用生用即非泻心火例矣。)
二味,香附为主,黄连减半,俱洗择净料,共制为极细末,水糊为丸,梧子大,血病酒下,气病木香汤下,
痰病姜汤下。(《韩氏医通》)
柴胡青黛汤,治怒气伤肝,泻肝火。
柴胡(五分) 青黛(五分) 香附(一钱) 川芎(一钱) 青皮(八分) 黄连(八分酒炒) 栀子(八分
姜汁炒黑) 甘草(八分)
上水二钟,煎一钟温服。(《粹言》)
治七情过极,结滞不行,痞闷壅塞日久,服此即效。
栀子仁(一钱) 香附 小芎 乌药(各八分) 木香 槟榔(各二分) 陈皮 黄连(各四分) 枳实(六分)
甘草(三分)
生姜煎。(《士林余业》)
解郁诸方 越鞠丸,解诸郁,又名芎术丸。
苍术 香附 抚芎 神曲 栀子(炒各等分)
上为末,水丸如绿豆大。(《丹溪》)(按∶又曰∶苍术、抚芎,总解诸郁,随证加入诸药。)
六郁汤,解诸郁。
陈皮(去白一钱) 半夏(汤泡七次) 苍术(米泔浸) 抚芎(各一钱) 赤茯苓 栀子(炒各七分)
香附(二分) 甘草(炙半钱) 砂仁(研细五分)
上细切,作一服,加生姜三片,水二盏,煎至一盏温服。(《正传》)
情志须移遣 九者《内经》有治法,但以五行相胜之理治之(按∶九者即九气)。悲可以治怒,以怆恻
苦楚之言感之。喜可以治悲,以谑浪狎亵之言娱之。恐可以治喜,以迫遽死亡之言怖之。怒可以治思,以污辱欺罔
之言触之。思可以治恐,以虑彼思此之言夺之。凡此五者,必诡诈谲怪,无所不至,然后可以动人耳目,易入视听。
若胸中无材器之人,亦不能用此五法也云云。惟逸可以治劳,经曰劳者温之,
温谓温存而养之,今之医者以温为温之药,差之久矣。岐伯曰以救俯仰(按∶一本作以平为期),亦谓休息之
也。惟习可以治惊,经曰惊者平之,平谓平常也。夫惊以其忽然而遇之也,使习见习闻,则不惊矣。此九者,
《内经》自有至理,庸工废而不行。今代刘河间治五志,独得言外之意,谓五志所发,皆从心造,故凡见喜怒悲
恐思之证,皆以平心火为主。至于劳者伤于动,动便属阳,惊者骇于心,心便属火,二者亦以平心为主。(《儒
门事亲》)
夫喜怒忧思悲恐惊七者,皆发于情者也。情即神识,有知不定,无迹可寻,触境乃发,滞而难通,药石无
知,焉能消其妄执,纵通其已滞之气,活其已伤之血,其默默绵绵之意物而不化者,能保无将来复结之痛乎。只
宜以识遣识,以理遣情,此即心病还将心药医之之谓也。如是庶可使滞者通,结者化,情与境离,不为所转,常
处寂然,心君泰定,其何七情之为累哉。(《本草经疏》)
夫气证固当因病而药,尤当以平怒为先,胸襟洒落,怀抱宽舒,庶有其效。苟藏怒蓄怨,不能平其怒,药亦
何济。(《医圣阶梯》)
Zhi Shi (Immature Bitter Orange Fruit, 3 pieces), Da Zao (Jujube, 14 pieces), Ban Xia (Pinellia Tuber, 5 liang), Fu Zi (Aconite Lateral Root, 2 pieces), Ren Shen (Ginseng Root), Gan Cao (Licorice Root), Bai Zhu (Atractylodes Macrocephala Rhizome), Gan Jiang (Dried Ginger), Hou Po (Magnolia Bark, 2 liang each).
The above nine ingredients are cut into small pieces, decocted in seven sheng of water until two and a half sheng remain. Take eight ge per dose, three times a day. (Ibid.)
Treats Qi disorders caused by the Seven Emotions (Qi stagnation due to emotional imbalance), deficiency-cold of the Zang-Fu organs, rebellious Qi rising in the chest and heart, fatigue and weakness, inability to eat. The Ban Xia San formula is suitable.
Ban Xia (Pinellia Tuber), Ren Shen (Ginseng Root), Bai Zhu (Atractylodes Macrocephala Rhizome), Gui Xin (Cinnamon Twig Heart, 1 liang each), Hou Po (Magnolia Bark, 2 liang), Chen Pi (Aged Tangerine Peel, 3 fen), Fu Zi (Aconite Lateral Root), Chen Xiang (Agarwood, 1 liang each).
The above medicines are pounded and sifted into a powder. Take five qian per dose with one zhong of water, add half a fen of Sheng Jiang (Fresh Ginger), decoct until six fen remains, remove the dregs, and take it slightly warm before meals. (*Taiping Shenghui Fang*)
Ba Mo Tang (Eight-Grinding Decoction) treats all Qi disorders and tonifies all deficiencies. (Each ingredient is ground three hundred times using eight fen of water.)
Fu Zi (Aconite Lateral Root), Chen Xiang (Agarwood), Mu Xiang (Costus Root), Wu Yao (Lindera Root), Bing Lang (Areca Seed), Gan Cao (Licorice Root), Bai Zhu (Atractylodes Macrocephala Rhizome), Ren Shen (Ginseng Root).
The above ingredients are divided equally, placed in a mortar, and ground three hundred times. Add three Da Zao (Jujubes), decoct until one or two fen remains, and take. (*Jia Bao*) Ye Shi's Modified Qi-Grinding Decoction treats all Qi stagnation, chest and diaphragm stuffiness and pain, stabbing pain in the hypochondrium. Remove Gan Cao (Licorice Root) from this formula and add Sheng Jiang (Fresh Ginger) and Ju Pi (Tangerine Peel). (Preparation methods should be consulted in relevant texts.)
Da Zheng Qi San (Great Upright Qi Powder) treats men and women, tonifying deficiency and regulating Qi, dispersing abdominal and hypochondriac pain.
Dang Gui (Angelica Sinensis Root), Xiang Fu (Cyperus Rhizome, stir-fried), Chen Pi (Aged Tangerine Peel, pith removed, half liang each), Zhi Gan Cao (Honey-fried Licorice Root), Mu Xiang (Costus Root, 2 qian each), Bai Jiang (White Ginger), Bai Zhu (Atractylodes Macrocephala Rhizome), Suo Sha Ren (Amomum Fruit), Gui Xin (Cinnamon Twig Heart, 3 qian each), Da Fu Zi (Large Aconite Lateral Root, 1 piece, processed).
The above are cut into small pieces. Take three qian per dose with one and a half zhong of water, five slices of Sheng Jiang (Fresh Ginger), and one Jujube. Decoct until eight fen remains, remove dregs, and take hot on an empty stomach. Formula by Chen Bisheng. (*Zhu Shi Ji Yan Fang*)
Shun Qi Chen Fu Tang (Regulating Qi Agarwood and Aconite Decoction) regulates the ascending and descending of various Qi; warmth promotes free flow.
Da Fu Zi (Large Aconite Lateral Root, 1 piece, processed, divided into two doses).
Decoct in one zhong of water. Separately grind Chen Xiang (Agarwood) in water, and add the liquid to the medicine when nearly finished. Take hot. (*Pu Ji Fang*) Jiang Qi Tang (Descending Qi Decoction) for elderly patients with deficient Qi rebelling upward: use raw Fu Zi (Aconite Lateral Root) plus Sheng Jiang (Fresh Ginger) to decoct. When nearly finished, use the medicinal liquor to heavily grind Chen Xiang (Agarwood) into water, boil once more, and take. This is particularly safe and appropriate. (*Shou Qin Yang Lao Shu*) (Note: This formula also appears in the *Shui Qi* chapter.)
Hua Qi Tang (Transforming Qi Decoction) treats all rebellious Qi, chest and diaphragm choking and stuffiness, unilateral distension and bloating. Also treats heart and spleen pain, vomiting sour fluid.
Chen Xiang (Agarwood), Hu Jiao (Black Pepper, 1 liang each), Suo Sha (Amomum Fruit, husked), Gui Xin (Cinnamon Twig Heart, pith removed), Mu Xiang (Costus Root, 2 liang each), Chen Pi (Aged Tangerine Peel, pulp removed, stir-fried with bran), Gan Jiang (Dried Ginger, processed), Zhi Gan Cao (Honey-fried Licorice Root), Hui Xiang (Fennel Fruit, stir-fried), Qing Pi (Green Tangerine Peel, pith removed, stir-fried with bran), Peng E Zhu (Curcuma Rhizome, baked), Ding Pi (Clove Bark, 4 liang each).
The above are made into a fine powder. Take two qian per dose, mixed with a soup of Sheng Jiang (Fresh Ginger), Zi Su (Perilla Leaf), and salt. For women, mix with light vinegar soup. (*Tai Ping Hui Min He Ji Ju Fang*)
Formulas for Soothing the Liver Li Qi Ping Gan San (Regulating Qi and Calming the Liver Powder) treats spasms caused by injury from the Seven Emotions.
Wu Yao (Lindera Root), Xiang Fu (Cyperus Rhizome, 1.5 qian each), Qing Pi (Green Tangerine Peel), Zhi Ke (Bitter Orange Fruit, stir-fried with bran husk), Shao Yao (Peony Root, baked), Chuan Xiong (Sichuan Lovage Rhizome), Chai Hu (Bupleurum Root), Mu Xiang (Costus Root, 1 qian each), Gan Cao (Licorice Root, 0.5 qian).
Decoct two zhong of water with three slices of Sheng Jiang (Fresh Ginger) until eight fen remains. Add two spoons of water ground from Mu Xiang (Costus Root). Take before meals. (*Yi Zong Tong Zhi*) (Note: The so-called "Seven Emotions causing spasms" here refers to sudden Qi rushing due to emotional depression, not true spasm disease, hence included here.)
Tui Re Qing Qi Tang (Clearing Heat and Purifying Qi Decoction) treats rebellious Qi with body heat and epigastric stuffiness and fullness.
Chai Hu (Bupleurum Root), Ju Pi (Tangerine Peel), Fu Ling (Poria, 1 qian each), Zhi Ke (Bitter Orange Fruit), Ban Xia (Pinellia Tuber, 0.8 qian each), Mu Xiang (Costus Root), Gan Cao (Licorice Root, 0.3 qian each), Xiang Fu Zi (Cyperus Rhizome, 0.7 qian), Chuan Xiong (Sichuan Lovage Rhizome, 0.5 qian), Suo Sha Ren (Amomum Fruit, 7 seeds), Sheng Jiang (Fresh Ginger, 5 slices).
Take long after meals. (*Yuan Bing Ji*)
Huang He Dan (Yellow Crane Pill) treats all diseases belonging to Qi stagnation. (Main indications recorded from *Guan Ju Fang Yao Bu*)
Xiang Fu (Cyperus Rhizome): When Qi loses its balance, it becomes disease; this is the Sovereign herb, representing its function. Huang Lian (Coptis Rhizome): Wherever disease exists, there is pathogenic fire; using it raw alone is not the standard method for draining Heart Fire.
These two herbs: Xiang Fu is primary, Huang Lian is halved. Both are washed and selected clean, ground into an extremely fine powder, bound with water paste into pills the size of Wutong seeds. For Blood disorders, take with wine; for Qi disorders, take with Mu Xiang (Costus Root) decoction; for Phlegm disorders, take with Ginger decoction. (*Han Shi Yi Tong*)
Chai Hu Qing Dai Tang (Bupleurum and Indigo Decoction) treats Liver injury from anger, draining Liver Fire.
Chai Hu (Bupleurum Root, 0.5 fen), Qing Dai (Indigo Naturalis, 0.5 fen), Xiang Fu (Cyperus Rhizome, 1 qian), Chuan Xiong (Sichuan Lovage Rhizome, 1 qian), Qing Pi (Green Tangerine Peel, 0.8 fen), Huang Lian (Coptis Rhizome, 0.8 fen, wine-fried), Zhi Zi (Gardenia Fruit, 0.8 fen, blackened with Ginger juice), Gan Cao (Licorice Root, 0.8 fen).
Decoct two zhong of water until one zhong remains. Take warm. (*Yi Xue Cui Yan*)
Treats excessive Seven Emotions, stagnation and obstruction, chronic stuffiness and blockage. Effective upon taking this formula.
Zhi Zi Ren (Gardenia Seed, 1 qian), Xiang Fu (Cyperus Rhizome), Xiao Xiong (Small Sichuan Lovage), Wu Yao (Lindera Root, 0.8 qian each), Mu Xiang (Costus Root), Bing Lang (Areca Seed, 0.2 qian each), Chen Pi (Aged Tangerine Peel), Huang Lian (Coptis Rhizome, 0.4 qian each), Zhi Shi (Immature Bitter Orange Fruit, 0.6 qian), Gan Cao (Licorice Root, 0.3 qian).
Decoct with Sheng Jiang (Fresh Ginger). (*Shi Lin Yu Ye*)
Formulas for Resolving Depression Yue Ju Wan (Soaring Dragon Pill) resolves all depressions, also known as Xiong Shu Wan.
Cang Zhu (Atractylodes Rhizome), Xiang Fu (Cyperus Rhizome), Fu Xiong (Nanchong Lovage Rhizome), Shen Qu (Medicated Leaven), Zhi Zi (Gardenia Fruit, stir-fried, equal parts).
Make into powder, form water pills the size of mung beans. (*Dan Xi Xin Fa*) (Note: It is also said: Cang Zhu (Atractylodes Rhizome) and Fu Xiong (Nanchong Lovage Rhizome) generally resolve all depressions; add other herbs according to symptoms.)
Liu Yu Tang (Six Stagnations Decoction) resolves all depressions.
Chen Pi (Aged Tangerine Peel, pith removed, 1 qian), Ban Xia (Pinellia Tuber, soaked in boiling water seven times), Cang Zhu (Atractylodes Rhizome, soaked in rice wash water), Fu Xiong (Nanchong Lovage Rhizome, 1 qian each), Chi Fu Ling (Red Poria), Zhi Zi (Gardenia Fruit, stir-fried, 0.7 qian each), Xiang Fu (Cyperus Rhizome, 0.2 qian), Zhi Gan Cao (Honey-fried Licorice Root, 0.5 qian), Sha Ren (Amomum Fruit, finely ground, 0.5 qian).
Cut finely, prepare as one dose. Add three slices of Sheng Jiang (Fresh Ginger), two zhong of water, decoct until one zhong remains. Take warm. (*Zheng Chuan*)
Emotional Disposition Methods The *Nei Jing* has treatment methods, treating based on the principle of mutual overcoming among the Five Elements (Note: The Nine refer to the Nine Qi). Sorrow can treat Anger, by moving him with words of grief and bitterness. Joy can treat Sorrow, by entertaining him with playful and frivolous words. Fear can treat Joy, by frightening him with words of imminent death. Anger can treat Overthinking, by provoking him with words of insult and deception. Overthinking can treat Fear, by distracting him with thoughts of other matters. All these five methods must be bizarre and strange, going to extremes, to move the senses and enter the hearing and sight. Those without talent and capacity in their hearts cannot use these five methods. Only Rest can treat Labor. The Classic says: "For labor, warm it." Warm means to nurture with care. Modern physicians mistake "warm" for warming drugs, which is a great error. Qibo says "to save up and down" (one version says "to achieve balance"), meaning rest. Only Habituation can treat Fright. The Classic says: "For fright, calm it." Calm means making it ordinary. Fright arises from sudden encounters; if one becomes accustomed to seeing and hearing it, there will be no fright. These nine cases have profound principles in the *Nei Jing*, which incompetent doctors neglect and do not practice. In modern times, Liu Hejian treated the Five Emotions, grasping the meaning beyond words, stating that the Five Emotions originate from the Heart. Therefore, for any syndrome of Joy, Anger, Sorrow, Fear, or Overthinking, the main approach is to calm Heart Fire. As for Labor, injury comes from movement, which belongs to Yang; Fright startles the Heart, which belongs to Fire. Both also focus on calming the Heart. (*Ru Men Shi Qin*)
Anger, Joy, Worry, Overthinking, Sorrow, Fear, and Fright—the Seven Emotions—all arise from feelings. Feelings are consciousness, uncertain in knowledge, traceless, triggered by circumstances, stagnant and difficult to unblock. Drugs are unaware; how can they eliminate delusions? Even if stagnant Qi is unblocked and injured Blood is revitalized, can the silent, lingering intent that does not transform be guaranteed against future re-knotting pain? One should only use consciousness to dispel consciousness, and reason to dispel emotion. This is what is meant by "Heart disease requires heart medicine." Thus, stagnation may become unblocked, knots may dissolve, emotion separates from circumstance, one is not turned by it, remaining in tranquility, with the Heart Monarch stable. How then would the Seven Emotions be a burden? (*Ben Cao Jing Shu*)
Qi syndromes should indeed be treated with medicine according to the disease, but especially prioritizing the calming of Anger. With a clear mind and broad胸怀, efficacy may be achieved. If one harbors anger and resentment, unable to calm Anger, what help can medicine provide? (*Yi Sheng Ti Jie*)