人有易于动怒,虽细微饮食,琐碎居处,家人父子之间,无不以盛气加之,往往两胁满
闷,其气不平,遂致头疼面热,胸膈胀痛。人以为肝气之盛,谁知是肝血之损乎。夫肝性最
急,得血以养,惟肝中无血,则肝气抑郁而不舒,遂易动怒矣。盖肝气最不能藏而喜泄,肝
气藏则肝血必然外越,肝血藏则肝气必然外疏,肝气泄则肝血必然内生,肝血泄则肝气必然
内郁,是二者原相反而相成者也。今易于动怒者,是肝血欲藏而不能藏,肝气欲泄而不能泄矣。
治法补肝血以使之藏,平肝气以使之泄而已。
方用逍遥散加味治之。
白芍(一两) 白术(五钱) 陈皮(五分) 甘草(五分) 茯苓 当归(各五钱) 柴胡(一钱) 炒栀子(三
钱) 半夏(一钱) 荆芥(炒黑,三钱)
水煎服。连服十剂,血藏于肝中,气摅于肝外,两得其宜也。
盖此方原善疏肝经之郁气,郁解而气自和。况清其火,血有宁静之气,引其经,血有返
还之思。重用白芍、当归以生其新血,轻用柴胡、半夏以解其逆气,所以两收其功也。
此症用加减生熟二地汤亦妙。
There are individuals who are prone to anger. Even regarding trivial matters of diet and daily life, or interactions among family members such as parents and children, they invariably adopt an aggressive and domineering attitude. This often results in distension and stuffiness in the hypochondriac regions, with qi mechanism failing to remain harmonious, subsequently leading to headache, facial heat, and distending pain in the chest and diaphragm. People generally attribute this to excess Liver Qi, yet little do they know that it is actually due to a deficiency of Liver Blood. The nature of the Liver is most urgent and requires blood for nourishment. Only when there is insufficient blood in the Liver does the Liver Qi become depressed and fail to diffuse freely, thereby becoming prone to anger. Generally speaking, Liver Qi finds it difficult to store and prefers to discharge; if Liver Qi stores, then Liver Blood must overflow outwardly; if Liver Blood stores, then Liver Qi must diffuse outwardly; if Liver Qi discharges, then Liver Blood must generate internally; if Liver Blood leaks, then Liver Qi must stagnate internally. These two aspects are originally opposite yet mutually complementary. In cases of being prone to anger, it is because Liver Blood desires to store but cannot, and Liver Qi desires to discharge but cannot. The treatment method involves tonifying Liver Blood to enable storage, and soothing Liver Qi to enable discharge.
The prescription used is Xiaoyao San (Rambling Powder) with modifications.
Bai Shao (White Peony Root), 1 liang; Bai Zhu (Atractylodes Macrocephala Rhizome), 5 qian; Chen Pi (Tangerine Peel), 5 fen; Gan Cao (Licorice Root), 5 fen; Fu Ling (Poria); Dang Gui (Angelica Sinensis Root), each 5 qian; Chai Hu (Bupleurum Root), 1 qian; Chao Zhizi (Gardenia Fruit stir-fried), 3 qian; Ban Xia (Pinellia Tuber), 1 qian; Jing Jie (Schizonepeta Herb, stir-fried until black), 3 qian.
Decoct in water and take orally. After taking ten doses continuously, the blood will be stored within the Liver, and the qi will be diffused outside the Liver, achieving a suitable balance between the two.
This formula is originally effective at resolving depression in the Liver Meridian; once the depression is resolved, the qi naturally harmonizes. Moreover, by clearing fire, the blood acquires a tranquil quality; by guiding the medicinal action to the meridian, the blood develops a tendency to return. By heavily using Bai Shao and Dang Gui to generate new blood, and lightly using Chai Hu and Ban Xia to resolve rebellious qi, both objectives are achieved simultaneously.
For this syndrome, using Jiajian Shengshu Erdi Tang (Modified Decoction of Raw and Prepared Rehmannia Roots) is also excellent.