心受燥热,渴而烦冤,养心润燥汤主之。
养心润燥汤(自制)
松子仁(二钱) 柏子仁(二钱) 天冬(二钱) 丹参(二钱) 当归(二钱)
犀角(五分) 生地(五钱) 人参(一钱) 茯神(二钱) 甘草(四分) 藕汁(半杯冲服)
此方重在渴而烦冤。心主生血,心受燥热,则不能生血,而心失养。渴而烦冤者,心不得受邪,一受邪则
如衔冤而无门可诉,形容心之痛苦,呼之欲出矣。以丹参、茯神、柏仁、当归、人参养心;以松仁、天冬、甘草、
藕汁,润其燥,止其渴而缓其急。当归心家要药,性虽温而质特润,又为血中气药,在天冬、犀角、生地、藕
汁大剂凉润中,借以通心气而舒心神,则燥郁解而生血作用可恢复正常矣。祖怡注。
心受燥凉,心烦而膈上喘满,清燥解郁汤主之。
清燥解郁汤(自制)
人参(一钱) 丹参(三钱) 茯神(二钱) 半夏(一钱) 柏仁(二钱)
当归(二钱) 郁金(二钱) 广皮(二钱) 沉香(四分人乳磨冲)
此方与上第三方,同用丹参、茯神、柏仁、当归、人参,皆补血养心,润燥除烦主药也。心肺同居膈上,气血
别有一小循环,关系特为密切。心病而肺亦喘满,肺本恶凉,亦遭波及而肺气郁,故以沉香、郁金舒其
气;郁必有痰,以橘、半化其痰。沉香以人乳磨冲,不独润燥,且以护血。不用肺受燥凉上第二方之法者
(只有郁金一味相同),彼重于咳,此重在喘满也。祖怡注。
When the Heart is affected by dryness-heat, presenting with thirst and a sensation of vexation and grievance, Yangxin Runzao Tang (Nourishing Heart and Moistening Dryness Decoction) is the primary formula.
Yangxin Runzao Tang (Self-made Formula)
Songziren (Pine Seed Kernel, 2 qian) Baiziren (Platycladi Semen, 2 qian) Tiandong (Asparagi Radix, 2 qian) Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 2 qian) Danggui (Angelicae Sinensis Radix, 2 qian)
Xijiao (Rhinocerotis Cornu, 5 fen) Shengdi (Rehmanniae Radix, 5 qian) Renshen (Ginseng Radix, 1 qian) Fushen (Poria with Hostwood, 2 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 4 fen) Ouji (Lotus Rhizome Juice, half cup, taken by dissolving)
This formula focuses on treating thirst and the sensation of vexation and grievance. The Heart governs the generation of blood. When the Heart is injured by dryness-heat, it fails to generate blood, leading to a lack of nourishment for the Heart. The description "thirst and vexation/grievance" implies that the Heart normally does not accept pathogenic factors; once invaded, it feels as if bearing a grievance with no avenue for appeal, vividly describing the suffering of the Heart, which cries out in distress. Danshen, Fushen, Baiziren, Danggui, and Renshen are used to nourish the Heart; Songren, Tiandong, Gancao, and Ouji are used to moisten dryness, stop thirst, and relieve urgency. Danggui is an essential herb for the Heart; although its nature is warm, its substance is particularly moistening, and it acts as a Qi-moving agent within the Blood. Within the large dose of cooling and moistening herbs such as Tiandong, Xijiao, Shengdi, and Ouji, it is employed to unblock Heart Qi and soothe the Heart Spirit, thereby resolving dryness-stagnation and restoring normal blood-generating functions. Note by Zuyi.
When the Heart is affected by dryness-cold, presenting with mental restlessness and wheezing and distending fullness above the diaphragm, Qingzao Jieyu Tang (Clearing Dryness and Resolving Stagnation Decoction) is the primary formula.
Qingzao Jieyu Tang (Self-made Formula)
Renshen (Ginseng Radix, 1 qian) Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 3 qian) Fushen (Poria with Hostwood, 2 qian) Banxia (Pinelliae Rhizoma, 1 qian) Baren (Platycladi Semen, 2 qian)
Danggui (Angelicae Sinensis Radix, 2 qian) Yujin (Curcumae Radix, 2 qian) Guangpi (Citri Reticulatae Pericarpium, 2 qian) Chenxiang (Aquilariae Lignum Resinatum, 4 fen, ground with human milk and taken by dissolving)
This formula shares Danshen, Fushen, Baiziren, Danggui, and Renshen with the third formula mentioned above; these are all main herbs for tonifying blood, nourishing the Heart, moistening dryness, and relieving vexation. The Heart and Lung reside together above the diaphragm, and there is a small circulation of Qi and Blood between them, making their relationship particularly close. Heart disease leads to wheezing and fullness in the Lung; since the Lung naturally dislikes cold, it is also affected, causing stagnation of Lung Qi. Therefore, Chenxiang and Yujin are used to soothe the Qi; Qi stagnation inevitably involves phlegm, so Citrus peel (Guangpi) and Pinellia (Banxia) are used to transform phlegm. Chenxiang is ground with human milk before being taken by dissolving; this not only moistens dryness but also protects the Blood. The method of the second formula for Lung affected by dryness-cold is not adopted here (only Yujin is common), because that formula focuses on cough, whereas this one focuses on wheezing and distending fullness. Note by Zuyi.