《病源论》云∶肝气盛,为血有余,则病目赤,两胁下痛引小腹,善怒。气逆则头眩,
耳聋
得太
《千金方》治肝虚寒,胁下痛,胀满气急;眼昏浊,视物不明,槟榔汤方∶
母姜(七两) 附子(七两) 槟榔(二十四枚) 茯苓(三两) 桔梗(四两) 橘
皮(三两) 白术
九味,以水九升,煮取三升,去滓,分温三服。
又云∶治肝实热,目痛,胸满气急塞,泻肝前胡汤方∶
前胡(三两) 秦皮(三两) 细辛(三两) 栀子仁(三分) 黄芩(三两) 蜀升
麻(三两) 蕤核
升) 芒硝(三两)
十一味,以水九升,煮取三升,去滓,下芒硝,分二服。
《录验方》补肝汤,治肝气不足,胁下满,筋急,不得太息,厥疝抢心,脚中痛,两目
不明
牛黄(一两) 乌头(四两) 柏子(四两) 大枣(二十枚) 龙胆(四两)
凡五物,切,以水五升,煮取一升,去滓,一服令尽。
《僧深方》泻肝汤,治肝气实,目赤若黄,胁下急,小便难方∶
人参(三两) 生姜(五两) 黄芩(二两) 半夏(一升,洗) 甘草(二两) 大
枣(十四枚)
凡六物,切,水五升,煮半夏令三四沸,纳药,后纳姜,煎取二升,去滓,分二服,羸
人三
《病源论》云∶心气盛,为神有余,则病胸内痛,胁支满。膺、背、 髀间痛,两臂内
痛,
恍惚,
《千金方》治心虚寒,心中满胀,悲忧,或梦山丘平泽半夏补心汤方∶
半夏(六两,洗) 宿姜(三两) 茯苓(三两) 白术(四两) 防风(二两) 桂
心(三两) 远志
九味,切,以水一斗,煮取三升,分三服。
《录验方》治心上虚热,胸中时痛,口生疮,四大羸乏少气方∶
茈胡(四两) 升麻(三两) 黄芩(三两) 生地黄(八两) 夕药(四两) 地骨
白皮(五两) 枳
凡九物,切,以水八升,煮取二升七合,分三服。
《耆婆方》治人心中热风,见鬼来亲合阴阳,旦便力乏,黄瘦不能食,日日转羸方∶
龙胆(三分) 苦参(三分)
上二味,为散,以白米饮一服一钱,日二服,忌猪肉酒面。
《诸病源候论》说:肝气亢盛,导致血分有余,就会发生眼睛发红、两侧胁肋下疼痛并牵引至小腹、容易发怒的病症。如果气机上逆,则会出现头晕目眩、耳聋的症状。
《千金方》中治疗肝虚寒证,症状为胁肋下疼痛、腹部胀满、气息急促;眼睛昏花浑浊、视物不清的槟榔汤方:
干姜(七两) 附子(七两) 槟榔(二十四枚) 茯苓(三两) 桔梗(四两) 陈皮(三两) 白术(三两) 桂心(三两) 人参(三两)
以上九味药,用水九升,煎煮取三升药液,去掉药渣,分三次温服。
又说:治疗肝实热证,症状为眼痛、胸部胀满、气息急促堵塞,使用泻肝前胡汤方:
前胡(三两) 秦皮(三两) 细辛(三两) 栀子仁(三分) 黄芩(三两) 蜀升麻(三两) 蕤仁(二两) 芒硝(三两)
以上十一味药,用水九升,煎煮取三升药液,去掉药渣,加入芒硝,分两次服用。
《录验方》中的补肝汤,治疗肝气不足,症状为胁肋下胀满、筋脉拘急、不能深长呼吸、厥疝之气冲撞心脏、脚部疼痛、两眼视力不明:
牛黄(一两) 乌头(四两) 柏子仁(四两) 大枣(二十枚) 龙胆(四两)
以上五味药,切碎,用水五升,煎煮取一升药液,去掉药渣,一次性服完。
《僧深方》中的泻肝汤,治疗肝气实证,症状为眼睛红赤或发黄、胁肋下拘急、小便困难:
人参(三两) 生姜(五两) 黄芩(二两) 半夏(一升,洗净) 甘草(二两) 大枣(十四枚)
以上六味药,切碎,用水五升,先煮半夏令其沸腾三四次,然后加入其他药物,最后加入生姜,煎煮取二升药液,去掉药渣,分两次服用,体弱之人分三次服用。
《诸病源候论》说:心气亢盛,导致神气有余,就会发生胸内疼痛、胁肋支撑胀满。膺部、背部、大腿内侧疼痛,双臂内侧疼痛,精神恍惚不定。
《千金方》治疗心虚寒证,症状为心中胀满、悲伤忧愁,或者梦见山丘平泽的半夏补心汤方:
半夏(六两,洗净) 干姜(三两) 茯苓(三两) 白术(四两) 防风(二两) 桂心(三两) 远志(二两) 人参(二两) 甘草(二两)
以上九味药,切碎,用水一斗,煎煮取三升药液,分三次服用。
《录验方》治疗心上焦虚热,症状为胸中时常疼痛、口腔生疮、身体极度虚弱疲乏、少气无力:
柴胡(四两) 升麻(三两) 黄芩(三两) 生地黄(八两) 芍药(四两) 地骨皮(五两) 枳实(二两)
以上九味药,切碎,用水八升,煎煮取二升七合药液,分三次服用。
《耆婆方》治疗人心中心中有风热,出现幻觉看见鬼神来亲近、产生阴阳交合之念,早晨起来便乏力,面色黄瘦不能进食,日渐消瘦的方剂:
龙胆(三分) 苦参(三分)
以上两味药,研成散剂,用白米饮送服一钱,每日服用两次,忌食猪肉、酒和面食。
The *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: When Liver Qi is excessive, resulting in an excess of Blood, symptoms include red eyes, pain in the hypochondriac regions radiating to the lower abdomen, and irritability. If Qi rebels upward, dizziness and deafness occur.
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) provides the Areca Nut Decoction for treating Liver Deficiency-Cold, characterized by pain in the hypochondriac region, abdominal distension, and shortness of breath; blurred vision and indistinct sight:
- Zingiberis Rhizoma Recens (Dried Ginger) (7 liang)
- Aconiti Lateralis Radix Praeparata (Prepared Root of Side-lateral Aconite) (7 liang)
- Arecae Semen (Areca Nut) (24 pieces)
- Poria (Poria Cocos) (3 liang)
- Platycodonis Radix (Balloon Flower Root) (4 liang)
- Citri Reticulatae Pericarpium (Tangerine Peel) (3 liang)
- Atractylodis Macrocephalae Rhizoma (Atractylodes Rhizome) (3 liang)
- Cinnamomi Ramulus (Cinnamon Twig) (3 liang)
- Ginseng Radix et Rhizoma (Ginseng Root) (3 liang)
These nine ingredients are decocted in 9 sheng of water until reduced to 3 sheng. The dregs are removed, and the liquid is divided into three warm doses.
It further states: For Liver Excess-Heat, characterized by eye pain, chest fullness, and obstructive shortness of breath, use the Peucedani Radix Decoction to Drain the Liver:
- Peucedani Radix (Peucedanum Root) (3 liang)
- Fraxini Cortex (Ash Bark) (3 liang)
- Asari Herba (Asarum Herb) (3 liang)
- Gardeniae Fructus (Gardenia Fruit) (3 fen)
- Scutellariae Radix (Scutellaria Root) (3 liang)
- Polygoni Cuspidati Rhizoma et Radix (Japanese Knotweed Rhizome) (3 liang) [Note: Shu Shengma usually refers to this or similar]
- Pruni Mume Semen (Apricot Seed) (2 liang) [Note: Rui He refers to Prunus mume seed]
- Natrii Sulfas (Mirabilite) (3 liang)
These eleven ingredients are decocted in 9 sheng of water until reduced to 3 sheng. The dregs are removed, Mirabilite is added, and it is divided into two doses.
The *Lu Yan Fang* (Recorded Verified Prescriptions) offers the Tonify Liver Decoction for Liver Qi Deficiency, characterized by hypochondriac fullness, tendon spasm, inability to take deep sighs, Jue Hernia qi rushing to the heart, foot pain, and unclear vision:
- Calculus Bovis (Calculus Bovis / Bezoar) (1 liang)
- Aconiti Radix (Aconite Root) (4 liang)
- Platycladi Semen (Biota Seed) (4 liang)
- Jujubae Fructus (Jujube Fruit) (20 pieces)
- Gentianae Radix (Gentian Root) (4 liang)
These five ingredients are sliced and decocted in 5 sheng of water until reduced to 1 sheng. The dregs are removed, and the entire dose is taken at once.
The *Seng Shen Fang* (Monk Shen's Prescriptions) provides the Drain Liver Decoction for Liver Qi Excess, characterized by red or yellow eyes, hypochondriac tension, and difficult urination:
- Ginseng Radix et Rhizoma (Ginseng Root) (3 liang)
- Zingiberis Rhizoma Recens (Fresh Ginger) (5 liang)
- Scutellariae Radix (Scutellaria Root) (2 liang)
- Pinelliae Tuber (Pinellia Tuber) (1 sheng, washed)
- Glycyrrhizae Radix et Rhizoma (Licorice Root) (2 liang)
- Jujubae Fructus (Jujube Fruit) (14 pieces)
These six ingredients are sliced. Water (5 sheng) is used to boil Pinellia for three to four boils first. Then other herbs are added, followed by ginger. It is decocted until 2 sheng remains. The dregs are removed, and it is divided into two doses (three doses for frail individuals).
The *Zhu Bing Yuan Hou Lun* states: When Heart Qi is excessive, resulting in an excess of Shen (Spirit), symptoms include internal chest pain, hypochondriac support-like fullness. Pain occurs in the anterior chest, back, and inner thighs, as well as the inner arms, accompanied by mental confusion and instability.
The *Qianjin Fang* provides the Pinellia Tonify Heart Decoction for Heart Deficiency-Cold, characterized by fullness in the heart region, sadness and worry, or dreams of hills and flatlands:
- Pinelliae Tuber (Pinellia Tuber) (6 liang, washed)
- Zingiberis Rhizoma Recens (Dried Ginger) (3 liang)
- Poria (Poria Cocos) (3 liang)
- Atractylodis Macrocephalae Rhizoma (Atractylodes Rhizome) (4 liang)
- Saposhnikoviae Radix (Ledebouriella Root) (2 liang)
- Cinnamomi Ramulus (Cinnamon Twig) (3 liang)
- Polygalae Radix (Polygala Root) (2 liang)
- Ginseng Radix et Rhizoma (Ginseng Root) (2 liang)
- Glycyrrhizae Radix et Rhizoma (Licorice Root) (2 liang)
These nine ingredients are sliced and decocted in 1 dou of water until reduced to 3 sheng. It is divided into three doses.
The *Lu Yan Fang* treats Upper Jiao Heart Deficiency-Heat, characterized by intermittent chest pain, oral ulcers, extreme physical weakness, fatigue, and shortness of breath:
- Bupleuri Radix (Bupleurum Root) (4 liang)
- Cimicifugae Rhizoma (Black Cohosh Rhizome) (3 liang)
- Scutellariae Radix (Scutellaria Root) (3 liang)
- Rehmanniae Radix Recens (Fresh Rehmannia Root) (8 liang)
- Paeoniae Radix Alba (White Peony Root) (4 liang)
- Lycii Cortex (Lycium Bark) (5 liang)
- Aurantii Fructus Immaturus (Immature Bitter Orange) (2 liang)
These nine ingredients are sliced and decocted in 8 sheng of water until reduced to 2 sheng and 7 he. It is divided into three doses.
The *Qipo Fang* (Qibo's Prescriptions) treats Wind-Heat in the human heart, manifesting as hallucinations of ghosts approaching, sexual delusions, morning fatigue, sallow emaciation, anorexia, and progressive wasting:
- Gentianae Radix (Gentian Root) (3 fen)
- Sophorae Flavescentis Radix (Sophora Root) (3 fen)
These two ingredients are ground into powder. One qian is administered with white rice broth, twice daily. Pork, alcohol, and wheat products are contraindicated.