稀涎散
元戎胜金丸
并见痰饮门
谨按诸气郁或七情所滞最宜宣导正木郁达之之意也大抵是证中夹火热者多以上诸方恐未
合宜用者自临时通变可也
局方苏合香丸治气中或卒暴气逆心痛鬼魅恶气
沉香 麝香 诃子 丁香 青木香 安息香 香附 荜茇 白术 白檀(各二两) 薰陆
香苏合油 龙脑(各一两) 朱砂 乌犀角(各制)
上为末入研极匀用安息膏并炼蜜丸如梧子大温水化四丸
按此足手太阳足阳明手足太阴足三阴药也
杂方
严氏四磨汤治七情伤感上气喘息妨闷不食
人参 槟榔 沉香 天台乌药
上四味各浓磨水和作七分煎三五沸温服
绀珠正气天香汤治一切上气凑心心胸筑痛
方见妇人门
内经厥论云阳明厥逆喘咳身热善惊衄吐血 温淫汗出鼽衄 生气通天论云阳气者大怒则
形气
绝而血菀于上气厥论云脾移热于肝则为惊衄胞移热于膀胱则癃溺血 举痛论云怒则气逆甚则
呕血故气
上矣 阴阳别论云结阴者便血(云云见下) 针经云厥气生足 生胫寒后则血(云云见积聚
门)脉经云下血先见血后见便此近血也先见便后见血此远血也
内经云脉来悬钩为衄血常脉脉至而搏血衄身热者死 肠癖下脓血脉弦绝则死滑大则生
血温身
热者死 脉经曰脉得诸涩濡弱为亡血 脉来轻轻在肌肉尺中自浮目睛晕黄衄必未止 太阳脉
大而浮必衄吐血 病患面无血色无寒热脉沉沉弦衄也 脉浮弱手按之绝者下血 脉芤为失血
涩为少血 尺脉滑而疾为血虚 脉弦而紧胁痛脏伤有瘀血 吐血唾血脉滑小弱者生实大者
死唾血脉紧强者死滑者生 肾脉小搏沉为肠癖下血心肝癖亦下血
Xixian San (Frothy Saliva Powder) and Yuanrong Shengjin Wan (Yuanrong Golden-Beating Pill) are both recorded in the Phlegm-Rheum Section.
It is noted that for conditions caused by Qi stagnation or obstruction due to the Seven Emotions, the most appropriate treatment is to use dispersing and guiding methods, aiming to soothe the Liver Wood Qi. Generally, these conditions often involve internal Heat-Fire; therefore, the aforementioned formulas may not be entirely suitable. Practitioners should adapt them flexibly according to specific circumstances.
Ju Fang Suhe Xiang Wan (Prescription Bureau's Ambergris Pill) treats Qi disorders (disruption of Qi mechanism due to emotional or external factors), sudden Qi rebellion with heart pain, or symptoms resembling demonic influence/malicious Qi (sudden psychiatric abnormalities or toxic-like states).
Herbs: Chenxiang (Aquilariae Lignum Resinatum), Shexiang (Moschus), Hezi (Terminalia Chebulae Fructus), Dingxiang (Caryophylli Flos), Qingmuxiang (Aucklandiae Radix), Anshixiang (Styrax), Xiangfu (Cyperi Rhizoma), Bibo (Piperis Kadsurae Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma), Baitan (Santalum Album Lignum), Xunluxiang (Olibanum), Suheyóu (Styrax Oil), Longnao (Borneolum Syntheticum) (each 2 liang); Zhusha (Cinnabaris), Wuxijiao (Rhinocerotis Cornu processed) (each processed).
The above herbs are ground into fine powder, mixed thoroughly with Anshi Gao (Styrax Paste) and refined honey, and formed into pills the size of a white mustard seed. Take four pills dissolved in warm water.
Note: This formula contains herbs corresponding to the Foot-Taiyang, Hand-Taiyang, Foot-Yangming, Hand-Taiyin, and Foot-Sanyin meridians.
Miscellaneous Formulas:
Yan Shi Simo Tang (Dr. Yan's Four-Marrow Decoction) treats upper Qi rebellion, panting, chest oppression, and loss of appetite caused by emotional injury.
Herbs: Renshen (Ginseng Radix et Rhizoma), Binglang (Arecae Semen), Chenxiang (Aquilariae Lignum Resinatum), Tiantai Wuyao (Illicii Mesocarpii Fructus).
Grind each of the four herbs separately with concentrated water, mix, decoct to obtain seven-tenths volume, boil for three to five times, and take warm.
Jinzhu Zhengqi Tianxiang Tang (Jinzhu's Righteous Qi Heavenly Fragrance Decoction) treats all conditions where Qi rushes upward to the heart and chest, causing stabbing pain in the chest.
Formula is found in the Women's Diseases Section.
Neijing Jue Lun (Treatise on Rebellious Qi in the Inner Canon) states: When Yangming Qi rebels, there is panting, coughing, body heat, susceptibility to fright, epistaxis, or hematemesis. When Warm-Yin (Warm pathogenic factor) is excessive, there is sweating, nasal congestion, and epistaxis. Shengqi Tongtian Lun (Treatise on Vital Energy Connecting to Heaven) states: In individuals with Yang Qi, great anger causes the form and Qi to separate, blood stasis accumulates at the upper part, leading to Qi rebellion. Jue Lun also states: If Spleen transfers Heat to the Liver, it results in fright and epistaxis; if the Bao Organ (Uterus/Bladder area) transfers Heat to the Bladder, it results in strangury and hematuria. Juzhong Lun (Treatise on Painful Disorders) states: Anger causes Qi to rebel; severely, it leads to vomiting blood, thus Qi moves upward. YinYang Bie Lun (Treatise on Differences of Yin and Yang) states: Jie Yin (Knotted Yin) manifests as hematochezia (see below). Zhen Jing (Needle Classic) states: Rebellious Qi originates in the feet, leading to coldness in the calves, followed by blood disorders (see Accumulation Section). Mai Jing (Pulse Classic) states: Lower bleeding where blood appears before stool is Jin Xue (Near Blood); where stool appears before blood is Yuan Xue (Far Blood).
Neijing states: A pulse coming like a suspended hook indicates epistaxis. If the normal pulse beats strongly, accompanied by epistaxis and body heat, death ensues. In Chang Pi (Dysentery) with pus and blood in stool, if the pulse is Xuan Jue (Wiry and Cut-off), death ensues; if Hua Da (Slippery and Large), survival is indicated. If blood is warm and body heat persists, death ensues. Mai Jing states: Pulses presenting as various forms of Se (Choppy), Ru (Soggy), and Ruo (Weak) indicate loss of blood. A pulse that is light and floating in the muscle layer, with the Chi position naturally floating, and yellow halos around the eyes, indicates epistaxis has not yet stopped. Taiyang pulse being Large and Floating indicates inevitable epistaxis or hematemesis. Patients with no color in the face, without chills or fever, having a deep and wiry pulse, suffer from epistaxis. A Floating and Weak pulse that feels cut off upon pressure indicates lower bleeding. Kou (Hollow) pulse indicates blood loss; Se (Choppy) pulse indicates scant blood. Chi pulse Slippery and Rapid indicates blood deficiency. Xuan (Wiry) and Jin (Tight) pulses with hypochondriac pain indicate organ injury and blood stasis. For hematemesis and spitting blood, if the pulse is Hua Xiao Ruo (Slippery, Small, and Weak), survival is indicated; if Shi Da (Excessively Large), death ensues. For spitting blood, if the pulse is Jin Qiang (Tight and Strong), death ensues; if Hua (Slippery), survival is indicated. Shen (Kidney) pulse being Xiao Bo Chen (Small, Beating, and Deep) indicates Chang Pi with lower bleeding; Xin Gan Pi (Heart and Liver Dysentery) also presents with lower bleeding.