柴胡(酒炒五分) 白芍(酒炒一钱) 归身(酒洗一钱半) 白术(一钱半) 茯苓
(一钱) 甘草(五分) 生地(二钱) 薄
荷(五分)
凡舌见青色而干燥,属肝脏血虚火旺者,逍遥散加丹皮、山栀主之。
柴胡(一钱) 白芍(二钱) 当归(三钱) 白术(二钱半) 茯苓(一
钱半) 甘草(一钱) 丹皮(一钱半) 山栀(一钱半)
按∶上原方主治肝胆两经郁火,以致胁痛头眩,或胃脘当心而痛,或肩胛绊痛,或两目赤痛,连及太
阳。(以上各症,皆肝火上冲也)及六经感症,凡见阳脉者,悉宜此方治之。妇女郁怒伤肝,致血妄行,赤白淫闭,沙淋
崩浊等症。(以上各症,皆肝火下流也)俱宜此方加减。易曰∶“风以散之。”此方是也。
凡舌见青色而润滑,属胆腑气怯,十味温胆汤去枳实主之。
陈皮(二钱去白) 半夏(二钱姜制) 茯苓(一钱半) 枣仁(钱半炒研)
远志(五分去心) 人参(五分) 熟地(二钱) 竹茹(一钱) 甘草(五分) 生姜(一钱) 大枣(三
枚) 酒煎
按∶上方主治心虚胆怯,气郁生涎,涎与气搏,变生诸症。触事易惊,或梦寐不祥,或短气悸怖,或自
汗虚烦,口苦呕涎,痰盛不眠,及梦遗惊惕等症。
凡舌见青色而滑润,属肝脏气虚者,当归建中汤去胶饴主之。
柴胡(用酒炒制五分) 白芍(用酒炒制一钱) 当归身(用酒洗一钱半) 白术(一钱半) 茯苓(一钱) 甘草(五分) 生地(二钱) 薄荷(五分)
凡是舌象呈现青色且干燥的,属于肝脏血虚火旺证候,主治方剂为逍遥散加牡丹皮、山栀。
柴胡(一钱) 白芍(二钱) 当归(三钱) 白术(二钱半) 茯苓(一钱半) 甘草(一钱) 丹皮(一钱半) 山栀(一钱半)
按语:上述原方主治肝胆两经郁结之火,导致胁肋疼痛、头晕目眩,或者胃脘部当心而痛,或者肩胛部牵引作痛,或者双眼红肿疼痛,牵连至太阳经。(以上各种症状,都是肝火上冲所致)以及六经受邪的病证,凡是见到阳脉的,都适宜用此方治疗。妇女因郁怒伤及肝脏,导致血液妄行,出现赤白带下、闭经、沙淋、崩漏、浊带等症状。(以上各种症状,都是肝火下流所致)都适宜用此方加减治疗。《易经》说:“风以散之。”指的就是这个方子。
凡是舌象呈现青色且润滑的,属于胆腑气怯证候,主治方剂为十味温胆汤去掉枳实。
陈皮(二钱,去白) 半夏(二钱,姜汁制) 茯苓(一钱半) 枣仁(一钱半,炒后研碎) 远志(五分,去心) 人参(五分) 熟地(二钱) 竹茹(一钱) 甘草(五分) 生姜(一钱) 大枣(三枚) 用酒煎服
按语:上方主治心气虚弱、胆气不足,气机郁结而生痰涎,痰涎与气机搏结,变生各种症状。遇事容易惊恐,或者梦中梦见不祥之事,或者气短心悸恐惧,或者自汗、虚烦,口苦、呕吐涎沫,痰多失眠,以及梦遗、惊惕等症状。
Chai Hu (Bupleuri Radix, stir-fried with wine, 2.5g) Bai Shao (Paeoniae Radix Alba, stir-fried with wine, 3g) Dang Gui Shen (Angelicae Sinensis Radix, the root body, washed with wine, 4.5g) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 4.5g) Fu Ling (Poria, 3g) Gan Cao (Glycyrrhizae Radix et Rhizoma, 2.5g) Sheng Di Huang (Rehmanniae Radix, 6g) Bo He (Menthae Haplocalycis Herba, 2.5g)
Whenever the tongue presents a bluish color and is dry, it indicates Liver Blood Deficiency with Hyperactive Fire; the governing formula is Xiao Yao San (Free and Easy Wanderer Powder) modified with Mu Dan Pi (Moutan Cortex) and Shan Zhi (Gardeniae Fructus).
Chai Hu (Bupleuri Radix, 3g) Bai Shao (Paeoniae Radix Alba, 6g) Dang Gui (Angelicae Sinensis Radix, 9g) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 7.5g) Fu Ling (Poria, 4.5g) Gan Cao (Glycyrrhizae Radix et Rhizoma, 3g) Dan Pi (Moutan Cortex, 4.5g) Shan Zhi (Gardeniae Fructus, 4.5g)
Note: The original prescription above treats Stagnant Fire in the Liver and Gallbladder meridians, resulting in hypochondriac pain, dizziness, epigastric pain centered at the heart region, radiating pain in the scapula, or redness and pain in both eyes extending to the Taiyang meridian. (All the aforementioned symptoms are caused by Liver Fire rushing upward.) It is also suitable for conditions involving the Six Meridians where Yang pulses are observed. For women whose Liver is injured by depression and anger, leading to reckless bleeding, leukorrhea or metrorrhagia with blood, sand-like dysuria, uterine bleeding, and turbid discharge, (all of which are caused by Liver Fire flowing downward), this formula should be used with modifications. The I Ching states: "Wind disperses it." This refers to this formula.
Whenever the tongue presents a bluish color and is slippery/moist, it indicates Qi Timidity of the Gallbladder organ; the governing formula is Shi Wei Wen Dan Tang (Ten-Ingredient Decoction to Warm the Gallbladder) without Zhi Shi (Aurantii Fructus Immaturus).
Chen Pi (Citri Reticulatae Pericarpium, 6g, white pith removed) Ban Xia (Pinelliae Rhizoma, 6g, processed with ginger juice) Fu Ling (Poria, 4.5g) Suan Zao Ren (Ziziphi Spinosae Semen, 4.5g, stir-fried and crushed) Yuan Zhi (Polygalae Radix, 2.5g, core removed) Ren Shen (Ginseng Radix et Rhizoma, 2.5g) Shu Di Huang (Rehmanniae Radix Praeparata, 6g) Zhu Ru (Bambusae Caulis in Taenia, 3g) Gan Cao (Glycyrrhizae Radix et Rhizoma, 2.5g) Sheng Jiang (Zingiberis Rhizoma Recens, 3g) Da Zao (Jujubae Fructus, 3 pieces) Decocted with wine.
Note: The above formula treats Heart Deficiency and Gallbladder Timidity, where Qi stagnation generates phlegm-saliva, and the phlegm-saliva contends with Qi, giving rise to various symptoms. These include being easily startled by events, dreaming of inauspicious things, shortness of breath with palpitations and fear, spontaneous sweating with deficiency vexation, bitter taste in the mouth with vomiting of saliva, excessive phlegm with insomnia, as well as nocturnal emission and startle dreams.
Whenever the tongue presents a bluish color and is slippery/moist, it indicates Liver Qi Deficiency; the governing formula is Dang Gui Jian Zhong Tang (Angelica Decoction to Establish the Middle) without Jiao Yi (Glutinous Rice Malt Paste).