主肝气不足,两胁满,筋急不得太息,四肢厥,寒热偏 ,淋溺石沙,腰尻少腹痛,妇
人心腹四肢痛,乳痈,膝胫热,转筋遗溺,消渴,爪甲青枯,口噤面青,太息,疝瘕,上抢
心,腹中痛,两眼不明,悉主之方(后面注内二两字疑∶)
蕤仁 柏子仁(各一两) 茯苓(二两半) 乌头(炮,四枚,去皮) 大枣(三十枚,
擘)
牛黄 石胆 桂心(各一两) 细辛 防风 白术 甘草(炙,各三两)
上一十二味, 咀,以水一斗,煮取二升八合,分三服(一方用细辛二两、茯苓二两,
强人大枣二十枚,无牛黄,白术、石胆各一两。)
主肝气不足,两胁下满,筋急不得太息,四厥疝瘕,上抢心,腹痛,目不明方
茯苓(一两四铢) 乌头(四枚,炮,去皮) 大枣(二十四枚,擘) 蕤仁 柏子仁 防
风
上一十味, 咀,以水八升,煮取二升,分三服,常用。
主肝气不足,目暗,四肢沉重方∶
人参 半夏(洗) 白术(各三两) 生姜(六两,切) 细辛(一两) 茯苓 黄芩 前
胡
桂心 甘草(炙,各二两)
上一十味, 咀,以水八升,煮取三升,分三服,三五日后,次服后汤方∶
茯苓(三两) 吴茱萸(一两) 大枣(三十枚,擘) 桃仁(去皮尖及双仁者) 人
参防风
上一十一味, 咀,以水一斗煮取二升半,分三服(《千金》有细辛二两)。
第一个方剂主治肝气不足,表现为两胁胀满,筋脉拘急导致无法深长呼吸,四肢厥冷,寒热往来偏盛,小便淋沥且排出砂石,腰骶部及少腹部疼痛,妇女心腹及四肢疼痛,乳痈(乳腺脓肿),膝胫部发热,转筋(肌肉痉挛)及遗尿,消渴(糖尿病类症状),指甲青紫干枯,口噤(牙关紧闭)面色发青,频繁叹气,疝气与瘕积(腹部包块),气逆上冲心胸,腹中疼痛,两眼视物不明。此方统管上述所有症状。(注:原文此处“后面注内二两字”疑似衍文或误植)。
药材组成:蕤仁、柏子仁(各一两)、茯苓(二两半)、乌头(炮制,四枚,去皮)、大枣(三十枚,掰开)、牛黄、石胆、桂心(各一两)、细辛、防风、白术、甘草(炙,各三两)。
以上十二味药,切碎,用水一斗,煎煮至二升八合,分三次服用。(另一版本用法:细辛二两、茯苓二两,体质强壮者用大枣二十枚,无牛黄,白术和石胆各一两。)
第二个方剂主治肝气不足,表现为两胁下胀满,筋脉拘急无法深长呼吸,四肢厥冷、疝气与瘕积,气逆上冲心胸,腹痛,视力不明。
药材组成:茯苓(一两四铢)、乌头(四枚,炮制,去皮)、大枣(二十四枚,掰开)、蕤仁、柏子仁、防风。
以上十味药,切碎,用水八升,煎煮至二升,分三次服用,可常用。
药材组成:人参、半夏(洗净)、白术(各三两)、生姜(六两,切片)、细辛(一两)、茯苓、黄芩、前胡、桂心、甘草(炙,各二两)。
以上十味药,切碎,用水八升,煎煮至三升,分三次服用。服药三五日后,接着服用后一个汤剂方:
The first prescription treats Liver Qi deficiency, manifesting as fullness in both hypochondriac regions, tendon tension preventing deep sighing, cold extremities, alternating chills and fever with a predominance of one, dysuria with passage of gravel, pain in the lower back, sacrum, and lower abdomen, pain in the heart, abdomen, and limbs in women, breast abscess (Ru Yong), heat in the knees and shins, muscle spasms and enuresis, Xiao Ke (wasting-thirst syndrome), cyanotic and withered nails, trismus (lockjaw) with a greenish complexion, frequent sighing, hernia and Jia masses (abdominal lumps), Qi rushing upward to strike the heart, abdominal pain, and blurred vision. This prescription addresses all the aforementioned symptoms. (Note: The phrase "hou mian zhu nei" at the end is suspected to be an interpolation or error.)
Ingredients: Rui Ren (Buckthorn Fruit), Bai Zi Ren (Biota Seed) (each 1 liang); Fu Ling (Poria) (2.5 liang); Wu Tou (Aconite Root) (processed, 4 pieces, peeled); Da Zao (Jujube) (30 pieces, split); Niu Huang (Calculus Bovis); Shi Dan (Melanteritum); Gui Xin (Cinnamon Twig Heart) (each 1 liang); Xi Xin (Asarum); Fang Feng (Saposhnikovia Root); Bai Zhu (Atractylodes Macrocephala Rhizome); Gan Cao (Licorice Root) (processed, each 3 liang).
Crush the above twelve ingredients. Decoct in 1 dou (approx. 10 liters) of water until 2.8 sheng (approx. 2.8 liters) remains. Divide into three doses. (Another version uses Xi Xin 2 liang, Fu Ling 2 liang, 20 Da Zao for robust individuals, no Niu Huang, and Bai Zhu and Shi Dan each 1 liang.)
The second prescription treats Liver Qi deficiency, manifesting as fullness below both hypochondriac regions, tendon tension preventing deep sighing, cold extremities, hernia and Jia masses, Qi rushing upward to strike the heart, abdominal pain, and blurred vision.
Ingredients: Fu Ling (Poria) (1 liang 4 zhu); Wu Tou (Aconite Root) (4 pieces, processed, peeled); Da Zao (Jujube) (24 pieces, split); Rui Ren (Buckthorn Fruit); Bai Zi Ren (Biota Seed); Fang Feng (Sapothnikovia Root).
Crush the above ten ingredients. Decoct in 8 sheng (approx. 8 liters) of water until 2 sheng (approx. 2 liters) remains. Divide into three doses. It may be used routinely.
The third prescription treats Liver Qi deficiency, manifesting as dim vision and heavy limbs.
Ingredients: Ren Shen (Ginseng Radix); Ban Xia (Pinellia Tuber) (washed); Bai Zhu (Atractylodes Macrocephala Rhizome) (each 3 liang); Sheng Jiang (Fresh Ginger Rhizome) (6 liang, sliced); Xi Xin (Asarum) (1 liang); Fu Ling (Poria); Huang Qin (Scutellaria Root); Qian Hu (Peucedani Radix); Gui Xin (Cinnamon Twig Heart); Gan Cao (Licorice Root) (processed, each 2 liang).
Crush the above ten ingredients. Decoct in 8 sheng (approx. 8 liters) of water until 3 sheng (approx. 3 liters) remains. Divide into three doses. After taking this for three to five days, proceed to take the following decoction:
Subsequent Decoction Ingredients: Fu Ling (Poria) (3 liang); Wu Zhu Yu (Evodia Fruit); Da Zao (Jujube) (30 pieces, split); Tao Ren (Prunus Persica Seed) (peeled, remove tips and double kernels); Ren Shen (Ginseng Radix); Fang Feng (Sapothnikovia Root).
Crush the above eleven ingredients. Decoct in 1 dou (approx. 10 liters) of water until 2.5 sheng (approx. 2.5 liters) remains. Divide into three doses. (The original *Qian Jin Yao Fang* includes Xi Xin 2 liang.)