补心志定气。治心虚寒,气性反常,心手不随,语声冒昧。其疾源疠风损心,具如前方
所说无穷。
白术(切) 地骨皮 荆实(各三升) 菊花(二斗)
上四味,以水三石,煮取一石五斗,去滓澄清取汁,酿米二石,用曲如常法。酒熟随能
饮之,常取半醉,勿令至吐。
治心风寒方∶
灸心俞各五十壮,第五节两边各一寸半是。
治脾虚寒疠风所伤,举体消瘦,语音沉涩如破鼓声,舌强不转而好咽唾,口噤唇黑,四
肢不举,身重如山,便利无度方。(见别卷中。)
温中下气治脾寒,语声忧惧,舌本卷缩,嗔喜无度, 闷恍惚胀满方。
半夏 大麻仁(熬研为脂) 生姜(各一升) 芍药 茯苓 五味子 桂心 橘皮(各
三两)
上十二味 咀,以水一斗二升,煮取三升,去滓,下大麻仁脂,更上火一沸,分三服
补脾安胃、调气止痛。治脾虚寒身重不举、语音沉鼓、疠风伤痛、便利无度
当归 酸枣仁 干姜(各八两) 川芎 干地黄 天雄(各六两) 黄 地骨皮(各
七两)
大枣(二十枚) 吴茱萸(五合) 甘草 秦椒叶 浓朴 秦艽(各四两) 桂心 防风 附
子
白术(各五两)
上十八味为末,蜜丸如梧子,酒服三十丸加至四十丸,日再服。
脾风占候声不出或上下手,当灸手十指头,次灸人中。次灸大椎。次灸两耳门前脉,去
耳门上下行一寸是。次灸两大指节上下各七壮。
治脾风方(脾风者,总呼为八风。)
灸脾俞挟脊两边各五十壮。凡人脾俞无定,所随四季月应病,即灸藏输是脾穴,此法甚
妙。
补益心志,安定气机。治疗心气虚弱兼有寒邪,导致性情反常,手足运动不灵活,言语声音模糊不清。这种疾病的根源是疠风损伤心脏,具体详情如同前文所述,无穷无尽。
以上四味药,用水三石,煎煮至剩余一石五斗,滤去药渣,澄清后取汁液,用此汁液酿造米二石,使用酒曲按照常规方法酿酒。酒酿熟后,根据身体承受能力饮用,通常保持半醉状态,不要喝到呕吐。
治疗心部受风寒的方剂:
治疗脾脏虚弱受寒及疠风所伤,全身消瘦,语音低沉涩滞如破鼓声,舌体僵硬不能转动且喜欢吞咽唾液,口噤唇黑,四肢无法抬起,身体沉重如山,大小便失禁的方剂。(见其他卷中。)
温中散寒,降逆下气,治疗脾寒,表现为言语带有忧惧之色,舌根卷缩,喜怒无常,胸闷恍惚、腹胀满的方剂。
半夏 大麻仁(熬制后研成脂状) 生姜(各一升) 芍药 茯苓 五味子 桂心 橘皮(各三两)
以上十二味药,切碎,用水一斗二升,煎煮至剩余三升,滤去药渣,加入大麻仁脂,再上火煮沸一次,分三次服用。
补益脾气,安宁胃腑,调理气机,缓解疼痛。治疗脾虚寒冷导致身体沉重无法抬起、语音沉闷如击鼓、疠风引起的伤痛、大小便失禁。
当归 酸枣仁 干姜(各八两) 川芎 干地黄 天雄(各六两) 黄芩 地骨皮(各七两)
大枣(二十枚) 吴茱萸(五合) 甘草 秦椒叶 厚朴 秦艽(各四两) 桂心 防风 附子 白术(各五两)
以上十八味药研为细末,用蜂蜜制成梧桐子大小的丸剂,每次用酒送服三十丸,逐渐增加至四十丸,每日服用两次。
脾风病的占候诊断:若声音不出或上下肢活动异常,应当先灸双手十个指尖,其次灸人中穴,再次灸大椎穴,接着灸双耳门前脉(距离耳门上下各一寸处),然后灸两大脚趾节上下各七壮。
在脾俞穴(脊柱两旁)各灸五十壮。凡人的脾俞穴位置没有固定标准,随四季月份对应病症变化,即灸相应的脏腑输穴作为脾穴,这种方法非常奇妙。
Tonify the Heart spirit (Shen) and stabilize Qi. Treats Heart deficiency with cold, abnormal temperament, incoordination of the hands and feet, and indistinct speech. The etiology of this disease is Leprosy Wind (Lifeng) damaging the Heart, as described endlessly in the preceding text.
Baizhu (Atractylodis Macrocephalae Rhizoma, sliced) Digupi (Lycii Cortex), Jingshi (Schisandrae Chinensis Fructus), Juhua (Chrysanthemi Flos) (each 3 sheng).
Take the above four herbs, add 3 shi of water, decoct until 1.5 shi remains, remove the dregs, clarify the liquid, and collect the juice. Use this juice to ferment 2 shi of rice, using Qu (yeast starter) according to the usual method. When the wine is ready, drink it according to one's capacity, usually aiming for a state of mild intoxication, without inducing vomiting.
Formula for treating Heart Wind-Cold:
Moxibustion on Xinshu (BL-15, Heart Shu) point, 50 moxa cones on each side. This point is located 1.5 cun lateral to the lower border of the spinous process of the fifth thoracic vertebra.
Formula for treating Spleen deficiency with cold and injury from Leprosy Wind, characterized by emaciation of the whole body, hoarse and low voice like a broken drum, stiff tongue unable to turn with excessive swallowing of saliva, trismus (lockjaw) with black lips, inability to raise the limbs, heaviness of the body as if weighted down, and uncontrolled bowel movements and urination. (See other volumes.)
Formula for warming the Middle and descending rebellious Qi, treating Spleen Cold, manifested by fearful speech, curled tongue base, extreme mood swings (anger or joy), chest oppression, mental confusion, and abdominal distension.
Banxia (Pinelliae Rhizoma), Dama Ren (Cannabis Semen, roasted and ground into paste), Shengjiang (Zingiberis Rhizoma Recens) (each 1 sheng); Shaoyao (Paeoniae Radix), Fuling (Poria), Wuweizi (Schisandrae Chinensis Fructus), Guixin (Cinnamomi Ramulus), Juapi (Citri Reticulatae Pericarpium) (each 3 liang).
Crush the above twelve herbs, add 1.2 dou of water, decoct until 3 sheng remains, remove the dregs, add the Cannabis paste, boil once more over fire, and divide into three doses.
Tonify the Spleen, calm the Stomach, regulate Qi, and relieve pain. Treats Spleen deficiency with cold causing heaviness and inability to move, dull voice like drumming, pain from Leprosy Wind, and uncontrolled bowel movements and urination.
Danggui (Angelicae Sinensis Radix), Suanzaoren (Ziziphi Spinosae Semen), Ganjiang (Zingiberis Rhizoma) (each 8 liang); Chuanxiong (Ligustici Chuanxiong Rhizoma), Dihuang (Rehmanniae Radix), Tianxiong (Aconiti Lateralis Radix Praeparata) (each 6 liang); Huangqi (Astragali Membranacei Radix), Digupi (Lycii Cortex) (each 7 liang); Dazao (Jujubae Fructus) (20 pieces); Wuzhuyu (Evodiae Fructus) (5 he); Gancao (Glycyrrhizae Radix et Rhizoma), Qinjiaoye (Zanthoxyli Folium), Houpo (Magnoliae Officinalis Cortex), Qinjiao (Gentianae Macrophyllae Radix) (each 4 liang); Guixin (Cinnamomi Ramulus), Fangfeng (Saposhnikoviae Radix), Fuzi (Aconiti Lateralis Radix Praeparata), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 5 liang).
Grind the above eighteen herbs into powder, make pills with honey the size of mulberry seeds. Take 30 pills initially with wine, increasing to 40 pills, taken twice daily.
Prognosis and acupuncture/moxibustion indications for Spleen Wind: If there is loss of voice or dysfunction of the upper and lower limbs, first moxa-bust the tips of all ten fingers, then Renzhong (GV-26), then Dazhui (GV-14), then the vessels anterior to both ears (1 cun above and below Ermen, TE-21), then seven cones on the upper and lower joints of both great toes.
Formula for treating Spleen Wind (Spleen Wind is collectively referred to as Eight Winds):
Moxibustion on Pishu (BL-20, Spleen Shu) point, 50 moxa cones on each side of the spine. The location of Pishu varies among individuals; it corresponds to the season and month of the illness. Therefore, moxa-bust the corresponding Shu point of the Zang organ identified as the Spleen point. This method is very effective.