(主痈。出《素问·病能论》)
胃脉沉细,阳气不得下通,寒痈,阳热聚于胃口,腐坏成脓。
射干汤 主之∶治胃脘痈,人迎脉逆而甚,嗽脓血,营卫不流,热聚胃口成痈。
射干(去毛) 栀子仁 赤茯苓(去皮) 升麻(各一两) 赤芍药(一两半) 白术(半两)
上为末,每服五钱,水二盏,煎至一盏,去滓,入地黄汁一合、蜜半合,再煎,温服,
不计时候。
(主诸气。出《素问·病能论》)
怒狂者,生于阳也,阳胜则气逆,狂怒上气,夺食即已。食入阴,善于阳,则平其气。
若阳胜,气逆多怒。
羚羊角汤 主之∶治阳厥,气逆多怒,而颈脉复动。已食阴养于阳,平其气。
羚羊角 人参(各三两) 赤茯苓(二两,去皮) 远志(去心) 大黄(炒。各半两)
甘草(一分,炙)
上为末,每服三钱,水一盏,煎至八分,去滓,温服,不计时候。
新补,又方 治阳厥,若除烦下气,铁落为饮,铁浆汤饮之,食后并服。
(主心腹。出《素问·奇病论》)
病胁下满,逆气不已,气逆胁下,息而不消,积而不散,气元在胃,妨饮食。不可针灸,
宜导引服药尔。
白术丸 治息积,胁下气逆,妨闷喘息不便,呼吸引痛不已。
白术 枳实 官桂(各一两半) 人参(二两) 陈皮 桔梗(醋炒) 甘草(各一钱)
上为末,炼蜜为丸,如桐子大,每服二十丸,温酒下,日三服。
(Indicated for carbuncles. From *Suwen: Bingneng Lun*)
The stomach pulse is deep and fine; yang qi fails to descend and circulate, resulting in a cold carbuncle; yang-heat gathers at the epigastrium, causing tissue corruption and suppuration.
Shegan Tang (Kadsura Vine Decoction) is indicated for: treating epigastric carbuncle, with the Renying pulse (ST9) showing reversal and severe pulsation, coughing up pus and blood, stagnation of Ying (Nutrient) and Wei (Defensive) qi circulation, and heat gathering at the epigastrium forming a carbuncle.
Ingredients: Shegan (Belamcandae Rhizoma, de-haired), Zhizi Ren (Gardeniae Semen, removed husk), Chi Fuling (Poria Cocos with Red Skin, peeled), Shengma (Cimicifugae Rhizoma), each 1 liang; Chi Shaoyao (Paeoniae Radix Rubra), 1.5 liang; Baizhu (Atractylodis Macrocephalae Rhizoma), 0.5 liang.
Preparation and Administration: Grind the above herbs into powder. Take 5 qian per dose, add 2 zhan of water, decoct until 1 zhan remains, strain the dregs, add 1 he of Dihuang juice (Rehmanniae Radix Juice) and 0.5 he of honey, decoct again, and take warm. No specific time restriction.
(Indicated for various Qi disorders. From *Suwen: Bingneng Lun*)
Manic rage originates from excessive Yang; when Yang is excessive, Qi rebels, leading to manic anger and upward rushing of Qi. Ceasing food intake resolves it. Food enters and becomes Yin, which controls Yang, thereby calming the Qi.
If Yang is excessive, Qi rebels, causing frequent anger.
Lingyangjiao Tang (Antelope Horn Decoction) is indicated for: treating Yang Jue (Yang Reversal), characterized by rebellious Qi, frequent anger, and visible pulsation of the neck vessels. Eating nourishes Yin to support Yang, thereby calming the Qi.
Ingredients: Lingyangjiao (Saigae Tataricae Cornu), Renshen (Ginseng Radix et Rhizoma), each 3 liang; Chi Fuling (Poria Cocos with Red Skin, peeled), 2 liang; Yuanzhi (Polygalae Radix, removed heart); Dahuang (Rhei Radix et Rhizoma, stir-fried), each 0.5 liang; Gancao (Glycyrrhizae Radix et Rhizoma, roasted), 1 fen.
Preparation and Administration: Grind the above herbs into powder. Take 3 qian per dose, add 1 zhan of water, decoct until 0.8 zhan remains, strain the dregs, and take warm. No specific time restriction.
Newly added alternative prescription: For treating Yang Jue, if the goal is to relieve irritability and direct Qi downward, use Tie Luo (Iron Filings) as a drink, or administer Tie Jiang Tang (Ferrous Sulfate Decoction), taken together after meals.
(Indicated for Heart and Abdominal disorders. From *Suwen: Qibing Lun*)
The condition presents with fullness under the hypochondrium, continuous rebellious Qi, Qi rebellion in the hypochondrium, rapid breathing without dissipation, accumulation without dispersion, with Qi yuan located in the Stomach, obstructing food intake. Acupuncture and moxibustion are contraindicated; Dao Yin (qigong guidance and physical exercises) combined with herbal medicine is appropriate.
Baizhu Wan (Atractylodes Pill) is indicated for Xi Ji (Breathing Accumulation), characterized by rebellious Qi under the hypochondrium, chest stuffiness, dyspnea, difficulty in breathing, and pain triggered by respiration.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Zhishi (Aurantii Fructus Immaturus), Guanzi Gui (Cinnamomi Cortex), each 1.5 liang; Renshen (Ginseng Radix et Rhizoma), 2 liang; Chenpi (Citri Reticulatae Pericarpium); Jiegeng (Platycodonis Radix, vinegar-stir-fried); Gancao (Glycyrrhizae Radix et Rhizoma), each 1 qian.
Preparation and Administration: Grind the above herbs into powder, mix with refined honey to form pills the size of tung seeds. Take 20 pills per dose, washed down with warm wine, three times daily.