治肝邪热,出言反常,乍宽乍急。
远志 射干 杏仁 大青(各一两半) 茯神 葛根 甘草 麦门冬(各一两) 芍药
(二
两
上十三味治下筛,为粗散,以水二升五合煮竹叶一升,取汁用煮药一匕半,煎取八合
为一服,日二。以绵裹散煮之。
治邪热伤肝,好生悲怒,所作不定、自惊恐。
生地黄 淡竹叶 生姜 车前草 干蓝(各切一升) 丹参 玄参(各四两) 茯苓(二
两) 石膏(五两) 赤蜜(一升)
上十味 咀,以水九升,煮取三升,去滓停冷,下蜜
肝胆俱实∶
左手关上脉阴阳俱实者,足厥阴与少阳经俱实也,病苦胃胀呕逆,食不消,名曰肝胆俱
实
肝虚寒∶
左手关上脉阴虚者,足厥阴经也,病苦胁下坚、寒热,腹满、不欲饮食,腹胀悒悒不乐
,妇人月经不利,腰腹痛,名曰肝虚寒也。
治肝气不足,两胁下满,筋急不得大息,四肢厥冷,发抢心腹痛,目不明了,及妇人心
痛,乳痈,膝热,消渴,爪甲枯,口面青者。
甘草 桂心 山茱萸(各一两(《千金翼》作乌头) 细辛 桃仁(《千金翼》作蕤仁) 柏
子仁 茯苓 防风(各二两) 大枣(二十四枚)
上九味 咀,以水九升,煮取五升,去滓,分三服。
治左胁偏痛久,宿食不消,并目KT KT 昏,风泪出,见物不审,而逆风寒偏甚,消
食破气止泪方。
山茱萸 桂心 薯蓣 天雄 茯苓 人参(各五分) 川芎 白术 独活 五加皮 大
黄
(各七分) 防风 干姜 丹参 浓朴 细辛 桔梗(各一两半) 甘菊花 甘草(各一两)
贯
众(半两) 橘皮(三分) 陈麦曲 大麦 (各一升)
上二十三味治下筛,酒下方寸匕,日二,若食不消,食后服;若止痛,食前服之。
治疗肝经邪热,导致言语行为反常,情绪时而宽松舒缓、时而紧张急促。
远志、射干、杏仁、大青(各一两半);茯神、葛根、甘草、麦门冬(各一两);芍药(二两)。
以上十三味药捣碎过筛,制成粗散剂。用二升五合水煮一升竹叶,取汁液,用药末一匕半放入汁中煎煮,取八合为一服剂量,每日服用两次。用绵布包裹药散进行煎煮。
治疗邪热损伤肝脏,患者容易产生悲伤愤怒的情绪,行为举止不定,自我感到惊恐。
生地黄、淡竹叶、生姜、车前草、干蓝(各切一升);丹参、玄参(各四两);茯苓(二两);石膏(五两);赤蜜(一升)。
以上十味药切碎,用九升水煎煮,取三升药液,滤去药渣,待冷却后加入蜂蜜。
肝胆俱实:
左手关部脉象阴阳皆实者,是足厥阴肝经与足少阳胆经均呈实证,病症表现为胃脘胀满、呕吐逆气、食物不消化,名为“肝胆俱实”。
肝虚寒:
左手关部脉象阴虚者,属足厥阴肝经病变,病症表现为胁下坚硬、寒热交替、腹部胀满、不想饮食、腹胀且心情抑郁不乐,妇女月经不畅,腰腹疼痛,名为“肝虚寒”。
治疗肝气不足,导致两侧胁下胀满,筋脉拘急不能深长呼吸,四肢厥冷,突发心腹痛,视力模糊不清,以及妇女心痛、乳痈(乳房脓肿)、膝部发热、消渴病、指甲枯槁、口唇面部发青等症状。
甘草、桂心、山茱萸(各一两,《千金翼方》作乌头);细辛、桃仁(《千金翼方》作蕤仁);柏子仁、茯苓、防风(各二两);大枣(二十四枚)。
以上九味药切碎,用九升水煎煮,取五升药液,滤去药渣,分三次服用。
治疗左胁偏痛日久,宿食不消化,并伴有眼睛昏花不明,迎风流泪,视物不清,且风寒之邪偏盛,具有消食、破气、止泪功效的方剂。
山茱萸、桂心、薯蓣、天雄、茯苓、人参(各五分);川芎、白术、独活、五加皮、大黄(各七分);防风、干姜、丹参、浓朴、细辛、桔梗(各一两半);甘菊花、甘草(各一两);贯众(半两);橘皮(三分);陈麦曲、大麦(各一升)。
以上二十三味药捣碎过筛,用酒送下方寸匕大小的药量,每日两次。如果是不消化,就在饭后服用;如果是为了止痛,就在饭前服用。
Treatment for Liver Evil-Heat, characterized by abnormal speech and behavior, with emotional states alternating between relaxation and tension.
Polygalae Radix (Yuanzhi), Belamcandae Rhizoma (Shegan), Armeniacae Semen Amarum (Xingren), Isatidis Radix (Daqing) (each 1.5 liang); Poria Cum Ramo Quercus (Fushen), Puerariae Radix (Gegen), Glycyrrhizae Radix et Rhizoma (Gancao), Ophiopogonis Tuber (Maimendong) (each 1 liang); Paeoniae Radix Alba (Shaoyao) (2 liang).
The above thirteen ingredients are processed and sifted to make a coarse powder. Boil one sheng of Bamboo Leaves (Zhuye) in two sheng five he of water, extract the juice, and use this juice to decoct one bi (a spoonful measure) of the coarse powder. Decoct until eight he remain as one dose, taken twice daily. Wrap the coarse powder in cotton cloth while decocting.
Treatment for Evil-Heat damaging the Liver, manifesting as frequent sorrow and anger, unstable actions, and spontaneous fright.
Rehmanniae Radix Recens (Shengdihuang), Lophatheri Herba (Danzhuye), Zingiberis Rhizoma Recens (Shengjiang), Plantaginis Herba (Cheqiancao), Isatidis Folium (Ganlan) (each cut into pieces measuring one sheng); Salviae Miltiorrhizae Radix (Danshen), Scrophulariae Radix (Xuanshen) (each 4 liang); Poria (Fuling) (2 liang); Gypsum Fibrosum (Shigao) (5 liang); Red Honey (Chimi) (1 sheng).
The above ten ingredients are chopped. Decoct in nine sheng of water to obtain three sheng of liquid. Remove the dregs, allow to cool, then add honey.
Liver and Gallbladder Excess Syndrome:
When the pulse at the Guan position on the left hand is excess in both Yin and Yang aspects, it indicates excess in both the Foot Jueyin Liver Meridian and the Foot Shaoyang Gallbladder Meridian. The patient suffers from stomach distension, vomiting and regurgitation, and indigestion. This is named "Liver and Gallbladder Excess."
Liver Deficiency-Cold Syndrome:
When the pulse at the Guan position on the left hand is deficient in Yin, it involves the Foot Jueyin Liver Meridian. The patient suffers from hardness under the hypochondrium, alternating chills and fever, abdominal fullness, loss of appetite, abdominal distension with depression and unhappiness, irregular menstruation in women, and pain in the waist and abdomen. This is named "Liver Deficiency-Cold."
Treatment for Liver Qi Deficiency, manifesting as fullness under both hypochondria, tendon spasm preventing deep breathing, cold extremities, sudden heart and abdominal pain, blurred vision, as well as heart pain in women, breast abscess (Ruyong), heat in the knees, Xiao Ke (Wasting and Thirsting syndrome), withered nails, and cyanosis of the mouth and face.
Glycyrrhizae Radix et Rhizoma (Gancao), Cinnamomi Cortex (Guixin), Corni Fructus (Shanzhuyu) (each 1 liang; *Qianjin Yifang* lists Aconiti Lateralis Radix Preparata (Wutou)); Asari Radix et Rhizoma (Xixin), Persicami Semen (Taoren) (*Qianjin Yifang* lists Pruni Mume Semen (Ruiren)); Biota Semen (Baiziren), Poria (Fuling), Saposhnikoviae Radix (Fangfeng) (each 2 liang); Jujubae Fructus (Dazao) (24 fruits).
The above nine ingredients are chopped. Decoct in nine sheng of water to obtain five sheng of liquid. Remove the dregs and divide into three doses.
Formula for treating chronic unilateral pain in the left hypochondrium, retention of undigested food, accompanied by dim and blurry vision, wind-induced tearing, poor visual acuity, exacerbated pathogenic Wind-Cold, which promotes digestion, breaks up Qi stagnation, and stops tearing.
Corni Fructus (Shanzhuyu), Cinnamomi Cortex (Guixin), Dioscoreae Rhizoma (Shuyu), Aconiti Radix Lateralis Preparata (Tianxiong), Poria (Fuling), Ginseng Radix (Renshen) (each 5 fen); Chuanxiong Rhizoma (Chuanxiong), Atractylodis Macrocephalae Rhizoma (Baizhu), Angelicae Dahuricae Radix (Duhuo), Acanthopanacis Cortex (Wujiaopi), Rhei Radix et Rhizoma (Dahuang) (each 7 fen); Saposhnikoviae Radix (Fangfeng), Zingiberis Rhizoma (Ganjiang), Salviae Miltiorrhizae Radix (Danshen), Magnoliae Officinalis Cortex (Houpo), Asari Radix et Rhizoma (Xixin), Platycodonis Radix (Jiegeng) (each 1.5 liang); Chrysanthemi Flos (Ganhua), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 liang); Cyathulae Radix (Guanzhong) (0.5 liang); Citri Reticulatae Pericarpium (Chenpi) (3 fen); Fermented Wheat Saccharum (Chenmai Qu), Hordeum Vulgare (Damai) (each 1 sheng).
The above twenty-three ingredients are processed and sifted. Administer one cunbi (square inch measure) with wine, twice daily. If for indigestion, take after meals; if for pain relief, take before meals.