证
夫青筋之证，原气逆而血不行，俾恶血上攻于心也。多由一切怒气相冲，或忧郁气结不散，或恼怒复
伤生冷，或房劳后受寒湿，以致精神恍惚，心忡气喘，噎塞上壅，呕哕恶心，头目昏眩，胸膈痞满，心腹绞
刺，胁肋腰背头脑疼痛，口苦舌干，面青唇黑，四肢沉困，百节酸疼。或憎寒壮热，遍身麻痹不仁，手足厥冷
颤掉，默默不已，不思饮食等症，皆恶血攻心而致之也。自古以来，无人论此，但有患此疾者，无方可治。惟
以砭针于两手曲池青筋上刺之，出紫血不胜其数，而疾有即愈者，有不愈者而变为大患者。常惯病此者，或有
一月一次，或两三次者，屡患屡刺，莫之能愈。愚惟虑人之生命以气血为主。故丹溪曰∶气血和，一疾不生；
亏则百病生焉。况此病先伤于气，而后复损其血，不致于夭枉者，盖亦鲜矣。虽然未有退血之法，又不得
不刺，不刺则恶血攻心，须臾不救。
治
予制一方，屡获效验，名白虎丸。白虎者，西方肺金之谓也；青筋者，东方肝木之属也。以白虎而治青
筋，是金能克木故耳，何病之不愈哉。此方之妙，不惟代刺青筋之苦，愈青筋之病，而亦
免后日之患，其惠也，不亦大乎。此方兼治男子久患痢疾、便血，
妇人崩漏、带下，并一切打扑内损，血不能散，心腹痛欲死者，服
之，其效不啻桴鼓之影响也。（按∶此青筋之病，北人多患之，南方有即痧症也）
方
白虎丸（云林制） 歌曰∶
白虎丸丹古锻石，谷神子制救人灾，柏中为末水飞过，手上成丸日晒来。引宜烧酒一二盏，
每服须吞五十枚。保全世患青筋证，广积阴功遍九垓。
千年古锻石（不拘多少，刮去杂色泥土，杵为末，水飞过）
上晒，勿令太燥，量可丸即收，丸如梧桐子大。每服五十丸，看轻重加减，烧酒送下。此药能顺气散血，
化痰消滞。治青筋初觉头疼恶心，或腹痛，或腰痛，或遍身作痛，不思饮食，即进一服，当时血散。若过三五
日，青筋已老，多服取效。又治心腹痛，及妇人崩漏带下，或因气恼致病，或久患赤白痢疾，或打扑内损，
血不能散，服之大效。
大公丸（宋杏川传） 治紧阴青筋，心腹疼痛。
干姜（二两） 白矾（枯过，二两）
上为末，用糯米糊为丸，如绿豆大。每服三十丸，滚水下。如不止，再饮滚水三口。
治妇人因气打青筋，后即心慌发热，口干腹胀，恶心呕哕等症。宜服分心气饮，加麦门冬、黄连、生地。
【病症论述】
所谓青筋之证，其根源在于气机逆乱导致血液运行不畅，使得瘀血上攻于心。这种病多由各种怒气冲撞引起，或因忧郁导致气机郁结不散，或因恼怒后又损伤生冷食物，或在房事劳累后感受寒湿之气，从而导致精神恍惚、心悸气喘、咽喉噎塞气机上壅、呕吐呃逆恶心、头目昏眩、胸膈部痞闷胀满、心腹部如绞刺般疼痛、胁肋腰背及头脑疼痛、口苦舌干、面色发青嘴唇发黑、四肢沉重困倦、全身关节酸痛。或者出现怕冷高热、全身麻痹无知觉、手足厥冷颤抖、沉默不语不止、不思饮食等症状，这些都是瘀血攻心所导致的。自古以来，没有人论述过此病，虽然有患此病的人，却没有有效的方药可以治疗。只能用砭针在两手曲池穴处的青筋上刺破，放出数量众多的紫黑色血液，有的疾病立即痊愈，有的未能痊愈反而演变成严重的疾病。经常患病的人，有时一个月发作一次，有时两三次，屡次患病屡次针刺，都不能治愈。我唯独担忧人的生命以气血为主。所以朱丹溪说：气血调和，一种疾病都不会产生；气血亏损，百病就会由此而生。况且此病先伤气，而后又损伤血，能不因此早逝的，大概很少了。虽然没有退除瘀血的方法，但又不得不进行针刺，不针刺则瘀血攻心，片刻之间就无法挽救。
【治疗方法】
我配制了一个方剂，多次获得疗效，命名为白虎丸。白虎，指的是西方肺金；青筋，属于东方肝木。用白虎（金）来治疗青筋（木），是因为金能克木的道理，有什么病不能痊愈呢？这个方剂的妙处，不仅替代了针刺青筋的痛苦，治愈了青筋的病，而且免除了日后的祸患，它的恩惠，不是很广大吗？此方兼治男子长期患有痢疾、便血，妇人崩漏、带下，以及一切跌打内伤，血液无法消散，心腹剧痛欲死的情况，服用它，效果快得像鼓槌击鼓产生的回响一样显著。（按语：这种青筋的病，北方人容易患，南方称为痧症。）
【方剂组成与用法】
白虎丸（云林配制） 歌诀曰：
白虎丸由丹砂和古锻石组成，谷神子制作以救人灾难，柏树中取药研为细末用水飞法处理，在手上搓成丸剂日晒而成。引药宜用烧酒一二盏，每次服用须吞服五十枚。保全世人患青筋证，广积阴德遍洒九垓。
千年古锻石（数量不拘，刮去杂色泥土，捣碎为粉末，用水飞法处理）
上面晒干，不要令其太干燥，量到可以制丸时就收存，丸剂大小如梧桐子大。每次服用五十丸，根据病情轻重加减用量，用烧酒送服。此药能顺气散血，化痰消滞。治疗青筋初起时感觉头疼恶心，或腹痛，或腰痛，或全身疼痛，不思饮食，立即服用一剂，当时血液即可消散。如果过了三五天，青筋已经“老”（病程较长），多服几次可取得疗效。又治疗心腹痛，以及妇人崩漏带下，或因气恼致病，或长期患有赤白痢疾，或跌打内伤，血液无法消散，服用有大效。
大公丸（宋杏川传授） 治疗紧阴青筋，心腹疼痛。
干姜（二两） 白矾（枯过，二两）
以上研为粉末，用糯米糊制成丸剂，大小如绿豆大。每次服用三十丸，用滚开水送服。如果症状不止，再喝三口滚开水。
治疗妇人因气恼导致青筋，随后出现心慌发热、口干腹胀、恶心呕哕等症状。适宜服用分心气饮，加入麦门冬、黄连、生地。
[Pathogenesis]
The syndrome of "Green Veins" (Qingjin) originates from rebellious Qi causing blood stasis, allowing evil blood to attack the Heart. It is mostly caused by clashes of anger, or depression leading to stagnant Qi that fails to disperse, or injury from cold and raw foods after anger, or contraction of cold-dampness after sexual exhaustion. This results in mental confusion, palpitations and panting, throat obstruction with Qi rebelling upward, vomiting, hiccups, nausea, dizziness of the head and eyes, fullness and stuffiness in the chest and diaphragm, stabbing pain in the heart and abdomen, pain in the hypochondrium, lower back, and head, bitter taste in the mouth and dry tongue, bluish complexion and black lips, heavy and tired limbs, and soreness and pain in all joints. Or there may be aversion to cold with high fever, numbness and insensibility over the whole body, cold extremities with tremors, silent muttering without cessation, and loss of appetite. All these symptoms are caused by evil blood attacking the Heart. Since ancient times, no one has discussed this disease; although people suffer from it, there are no effective prescriptions to treat it. The only method is to use a bi needle to prick the green veins on the Quchi (LI11) acupoints of both hands, releasing an innumerable amount of purple blood. Some diseases heal immediately, while others do not heal but turn into severe illnesses. Those who frequently suffer from this may have attacks once a month or two or three times; repeated pricking cannot cure it. I am concerned that human life depends primarily on Qi and Blood. Therefore, Zhu Danxi said: When Qi and Blood are harmonious, no disease arises; when deficient, hundreds of diseases emerge. Moreover, this disease first injures Qi and then damages Blood; those who do not die prematurely from it are rare. Although there is no method to eliminate blood stasis other than needling, we must resort to pricking; otherwise, evil blood will attack the Heart, and rescue will be impossible within moments.
[Treatment]
I formulated a prescription that has repeatedly proven effective, named Baihu Wan (White Tiger Pill). "Baihu" refers to the Metal of the West Lung; "Green Veins" belong to Wood of the East Liver. Using Metal to treat Wood follows the principle that Metal controls Wood; how could any disease fail to heal? The brilliance of this formula lies not only in replacing the suffering of pricking green veins and curing the disease, but also in preventing future afflictions. Is its benefit not great? This formula also treats men with chronic dysentery and hematochezia, women with metrorrhagia and leukorrhea, and all cases of internal injury from falls and blows where blood cannot disperse, causing severe heart and abdominal pain nearly fatal. Taking it yields effects as immediate as the echo of a drumbeat. (Note: This Green Vein disease is common in the North; in the South, it is known as Sha Syndrome.)
[Prescription and Usage]
Baihu Wan (Prepared by Yunlin)
Verse:
Baihu Wan consists of Cinnabar and Ancient Calcined Iron Ore, prepared by Gushenzi to save people from disaster. Powdered from Cypress, washed with water, rolled into pills by hand and dried in the sun. Take one or two cups of distilled liquor as a guide, swallowing fifty pills per dose. Preserving the world from Green Vein syndrome, accumulate merit throughout the nine heavens.
Ancient Calcined Iron Ore (Quantity unrestricted, scrape off impure colored soil, pound into powder, wash with water)
Dry above, do not let it become too dry. Collect when suitable for pill-making. Make pills the size of Sophora seeds. Take fifty pills per dose, adjusting according to severity, taken with distilled liquor. This medicine can regulate Qi, dissipate blood stasis, resolve phlegm, and eliminate stagnation. Treat early signs of Green Vein such as headache, nausea, abdominal pain, lower back pain, generalized pain, and loss of appetite. Take one dose immediately, and blood will disperse at once. If three to five days pass and the condition becomes chronic ("old"), take more doses for effect. Also treats heart and abdominal pain, metrorrhagia and leukorrhea in women, diseases caused by anger, chronic bloody and white dysentery, or internal injuries from trauma where blood cannot disperse. Great efficacy upon taking.
Da Gong Wan (Transmitted by Song Xingchuan)
Treats tight Yin Green Veins with heart and abdominal pain.
Gingeris Rhizoma (Dried Ginger) (2 liang)
Alumini Sulfas (Calcined Alum) (2 liang, calcined)
Pound into powder, make pills with rice paste, size of Mung Bean. Take thirty pills per dose with boiling water. If symptoms persist, drink three more mouthfuls of boiling water.
Treats women whose Green Veins are caused by emotional distress, followed by palpitations, fever, dry mouth, abdominal distension, nausea, and vomiting. Suitable to take Fenxin Qi Yin (Divided Heart Qi Decoction), added with Ophiopogonis Radix (Maidong), Coptidis Rhizoma (Huanglian), and Rehmanniae Radix Preparata (Shengdi).