删繁论曰∶凡肝劳病者。补心气以益之。心旺则感于肝矣。人逆春气。则足少阳不生。
而肝
以肝
删繁疗肝劳实热闷怒。精神不守恐畏不能独卧。目视无明。气逆上不下。胸中满塞半夏
下气消闷。明目吐热。汤方。
半夏(洗破) 生姜(各八两) 麻黄(去节) 芍药 杜蘅 枳实(炙) 细辛 杏
仁(去皮
尖碎) 乌梅(擘各三两) 松萝(二两) 淡竹叶(切一升)
上十一味切。以水一斗。先煮麻黄去沫。下诸药。煮取三升。分为三服。忌羊肉饧生菜
(出第七卷中)
深师疗肝气实。目赤若黄。胁下急。小便难。泻肝汤方。
人参 甘草(各三两炙) 生姜(五两) 黄芩(二两) 半夏(一升洗) 大枣(十
四枚擘)
上六味切。以水五升。煮半夏三四沸。纳药最后纳姜。煎取二升。去滓。分为二服。
羸人三服。忌海藻菘菜羊肉饧。(出第十三卷中)
删繁疗肝劳虚热。两目为赤。闭塞不开。烦闷宛转。热气胸里炎炎。前胡泻肝除热汤方
前胡 干姜 大青 细辛 秦皮 决明子 栀子仁 子芩(各一两) 淡竹叶(切一升)
车前子(切一升) 石膏(八两碎绵裹)
上十一味切。以水一斗。煮取三升。去滓。平旦分为三服。须利加芒硝三两。忌生菜。
又疗肝劳热闷。关格不通。精神不守。气逆上胸。热炎炎不止。柴胡下热汤方。
柴胡 黄芩 泽泻 升麻 芒硝(各三两) 玄参(六两) 淡竹叶(切) 生地黄(切
各一
升) 干姜(二两)
上九味切。以水九升。煮取三升。去滓。下芒硝。平旦分三服。忌芜荑。
又疗肝劳热。恐畏不安。精神不守。闷怒不能独卧。感激惆怅。志气错越。不得安守。
茯苓安肝定精神丸方。
茯苓 远志(去心) 防风 人参 柏子仁(熬各五分) 龙骨(七分) 牡蛎(熬) 大
枣肉(
各八分) 甘草(四分炙)
上九味捣筛。白蜜和为丸如梧子。初服二十丸。加至三十丸为度。暖清白饮进之。日再
服。忌海藻菘菜大酢。
又扁鹊疗劳邪气热眼赤方。
灸当容百壮。两边各尔。当容在眼小 近后。在耳之前客主人。三阳三阴之会处。以手
按之。有上下行脉则是。与耳相对。(并出第七卷中)
《删繁论》说:凡是患有肝劳病的人,应当补益心气来辅助治疗。心气旺盛,就能感应并制约肝脏(注:此处原文逻辑似有脱漏或特殊语境,通常五行中木生火,心为肝之子,实则“子能令母实”或借子气以制邪,但依字面直译)。如果人违背了春季的生发之气,那么足少阳胆经的气机就不能正常生发,从而导致肝脏……(原文此处中断)
《删繁》治疗肝劳实证、热盛、胸闷易怒、精神不能守舍、恐惧害怕不能独自卧床、视物不明、气逆上冲不下、胸中胀满堵塞的方剂:用于下气消闷、明目、吐热。汤方组成如下:
半夏(洗净掰开)八两,生姜八两,麻黄(去节)三两,芍药三两,杜蘅三两,枳实(炙)三两,细辛三两,杏仁(去皮尖捣碎)三两,乌梅(掰开)三两,松萝二两,淡竹叶(切)一升。
以上十一味药切碎,用水一斗,先煮麻黄,去掉浮沫,再加入其他药物,煮取三升药液,分三次服用。忌食羊肉、饴糖、生菜。(出自第七卷)
《深师方》治疗肝气实证,眼睛红赤甚至发黄,胁肋部拘急,小便困难。泻肝汤方组成如下:
人参三两(炙),甘草三两(炙),生姜五两,黄芩二两,半夏一升(洗),大枣十四枚(掰开)。
以上六味药切碎,用水五升,先煮半夏,煮沸三四次后,加入其余药物,最后加入生姜,煎取二升药液,滤去药渣,分两次服用。身体虚弱者可分三次服用。忌食海藻、白菜、羊肉、饴糖。(出自第十三卷)
《删繁》治疗肝劳虚热,两眼发红,眼睑肿胀闭塞难以睁开,烦闷辗转反侧,胸中热气灼烧感强烈。前胡泻肝除热汤方组成如下:
前胡一两,干姜一两,大青一两,细辛一两,秦皮一两,决明子一两,栀子仁一两,黄芩(子芩)一两,淡竹叶(切)一升,车前子(切)一升,石膏八两(捣碎,用绵布包裹)。
以上十一味药切碎,用水一斗,煮取三升药液,滤去药渣,清晨时分分三次服用。如果需要通便,加芒硝三两。忌食生菜。
又治疗肝劳热盛胸闷,上下格拒不通,精神不能守舍,气逆上冲至胸部,热势灼烧不止。柴胡下热汤方组成如下:
柴胡三两,黄芩三两,泽泻三两,升麻三两,芒硝三两,玄参六两,淡竹叶(切),生地黄(切)各一升,干姜二两。
以上九味药切碎,用水九升,煮取三升药液,滤去药渣,加入芒硝,清晨时分分三次服用。忌食荑。
又治疗肝劳热盛,恐惧不安,精神不能守舍,烦闷易怒不能独自卧床,情绪激动惆怅,志气错乱超越常态,不得安宁。茯苓安肝定精神丸方组成如下:
茯苓八分,远志(去心)八分,防风八分,人参八分,柏子仁(炒)五分,龙骨七分,牡蛎(炒)八分,大枣肉八分,甘草(炙)四分。
以上九味药捣碎过筛,用白蜜调和制成梧桐子大小的丸药。初次服用二十丸,逐渐增加至三十丸为止。用温热的清白水送服,每日两次。忌食海藻、白菜、醋。
又扁鹊治疗劳邪气引起的眼热红赤方:
在“当容”穴艾灸一百壮,两侧穴位各灸此数。“当容”穴位于眼小角后方,耳前的客主人穴前方,是三阳经和三阴经交汇之处。用手按压该处,若有上下走行的脉搏跳动即为正确穴位,该位置与耳朵相对。(均出自第七卷)
The *Shanfan Lun* (Discourse on Eliminating Redundancy) states: For those suffering from Liver Labor disease, one should tonify Heart Qi to assist in treatment. When Heart Qi is robust, it can influence the Liver. If a person violates the generating energy of Spring, the Qi of Foot-Shaoyang Gallbladder channel fails to generate, thereby affecting the Liver... (Text fragment ends here).
*Shanfan* treats Liver Labor excess-heat syndrome characterized by chest oppression, irritability, inability of spirit to reside, fearfulness preventing solitary sleeping, blurred vision, rebellious Qi failing to descend, and fullness/stuffiness in the chest. The decoction promotes Qi descent, relieves oppression, brightens the eyes, and expels heat. Formula ingredients:
Banxia (Pinelliae Rhizoma, washed and broken) 8 liang, Shengjiang (Zingiberis Rhizoma Recens, Fresh Ginger Root) 8 liang, Mahuang (Ephedrae Herba, Ephedra Stem, nodes removed) 3 liang, Shaoyao (Paeoniae Radix Alba, White Peony Root) 3 liang, Duhen (Asarum Sieboldii, Asarum) 3 liang, Zhishi (Aurantii Fructus Immaturus, Immature Bitter Orange, roasted) 3 liang, Xixin (Asari Radix et Rhizoma, Asarum Root and Rhizome) 3 liang, Xingren (Armeniacae Semen Amarum, Bitter Apricot Seed, skin and tips removed, crushed) 3 liang, Wumei (Mume Fructus, Mume Fruit, split) 3 liang, Songluo (Dendrogracilaria, Dendrogracilaria) 2 liang, Danzhuyeqie (Bambusae Folium, Bamboo Leaf, cut) 1 sheng.
Chop the above eleven herbs. Boil in 10 dou of water. First boil Mahuang to remove foam, then add the remaining herbs. Decoct until 3 sheng remains. Divide into three doses. Avoid mutton, malt sugar, and raw vegetables. (From Volume VII)
*Shenshi Fang* treats Liver Qi excess syndrome with red or yellowish eyes, hypochondriac tightness, and difficult urination. Xiegan Tang (Liver Draining Decoction) formula:
Renshen (Ginseng Radix, Ginseng Root) 3 liang (roasted), Gancao (Glycyrrhizae Radix et Rhizoma, Licorice Root and Rhizome, roasted) 3 liang, Shengjiang (Zingiberis Rhizoma Recens, Fresh Ginger Root) 5 liang, Huangqin (Scutellariae Radix, Scutellaria Root) 2 liang, Banxia (Pinelliae Rhizoma, Pinellia Tuber) 1 sheng (washed), Dazao (Jujubae Fructus, Jujube Fruit, split) 14 pieces.
Chop the above six herbs. Boil in 5 sheng of water. First boil Banxia for three to four boils, then add the other herbs, adding Shengjiang last. Decoct until 2 sheng remains. Strain. Divide into two doses. For emaciated patients, divide into three doses. Avoid seaweed, Chinese cabbage, mutton, and malt sugar. (From Volume XIII)
*Shanfan* treats Liver Labor deficiency-heat syndrome with red eyes, eyelid swelling and closure, restlessness due to internal heat, and burning sensation in the chest. Qianhu Xiegan Chu Re Tang (Peucedanum Liver-Draining Heat-Removing Decoction) formula:
Qianhu (Peucedani Radix, Peucedanum Root) 1 liang, Ganjiang (Zingiberis Rhizoma, Dried Ginger Root) 1 liang, Daqing (Indici Folium, Indigo Leaf) 1 liang, Xixin (Asari Radix et Rhizoma, Asarum Root and Rhizome) 1 liang, Qinpi (Fraxini Cortex, Ash Bark) 1 liang, Juemingzi (Cassiae Semen, Cassia Seed) 1 liang, Zhiziren (Gardeniae Fructus, Gardenia Fruit, kernel) 1 liang, Ziqin (Scutellariae Radix, Scutellaria Root) 1 liang, Danzhuye (Bambusae Folium, Bamboo Leaf, cut) 1 sheng, Cheqianzi (Plantaginis Semen, Plantago Seed, cut) 1 sheng, Shigao (Gypsum Fibrosum, Gypsum, crushed and wrapped in muslin) 8 liang.
Chop the above eleven herbs. Boil in 10 dou of water. Decoct until 3 sheng remains. Strain. Take in three divided doses at dawn. If purgation is needed, add Mangxiao (Natrii Sulfas, Sodium Sulfate) 3 liang. Avoid raw vegetables.
Also treats Liver Labor heat with chest oppression, upper and lower blockage (Guan Ge), inability of spirit to reside, rebellious Qi rising to the chest, and persistent burning heat. Chaihu Xia Re Tang (Bupleurum Lowering Heat Decoction) formula:
Chaihu (Bupleuri Radix, Bupleurum Root) 3 liang, Huangqin (Scutellariae Radix, Scutellaria Root) 3 liang, Zexie (Alismatis Rhizoma, Alisma Rhizome) 3 liang, Shengma (Cimicifugae Rhizoma, Black Cohosh Rhizome) 3 liang, Mangxiao (Natrii Sulfas, Sodium Sulfate) 3 liang, Xuanshen (Scrophulariae Radix, Scrophularia Root) 6 liang, Danzhuye (Bambusae Folium, Bamboo Leaf, cut), Shengdihuang (Rehmanniae Radix Nova, Fresh Rehmannia Root, cut) each 1 sheng, Ganjiang (Zingiberis Rhizoma, Dried Ginger Root) 2 liang.
Chop the above nine herbs. Boil in 9 sheng of water. Decoct until 3 sheng remains. Strain. Add Mangxiao. Take in three divided doses at dawn. Avoid Yitui (Elsholtziae Herba, Elsholtzia Herb).
Also treats Liver Labor heat with fear and unease, inability of spirit to reside, irritability preventing solitary sleeping, emotional agitation and melancholy, chaotic will and qi exceeding normal limits, and inability to find peace. Fuling An Gan Ding Jing Shen Wan (Poria Calming Liver Stabilizing Spirit Pill) formula:
Fuling (Polyporus, Poria) 8 fen, Yuanzhi (Polygalae Radix, Polygala Root, heart removed) 8 fen, Fangfeng (Saposhnikoviae Radix, Saposhnikovia Root) 8 fen, Renshen (Ginseng Radix, Ginseng Root) 8 fen, Baiziren (Platycladi Semen, Platycladus Seed, roasted) 5 fen, Longgu (Fossilia Ossis Mastodi, Fossilized Mammal Bone) 7 fen, Muli (Concha Ostreae, Oyster Shell, roasted) 8 fen, Dzaorou (Jujubae Fructus, Jujube Flesh) 8 fen, Gancao (Glycyrrhizae Radix et Rhizoma, Licorice Root and Rhizome, roasted) 4 fen.
Pulverize the above nine herbs. Mix with white honey to form pills the size of wu zi (Chinese quince seeds). Initial dose: 20 pills, gradually increase to 30 pills. Administer with warm clear water. Twice daily. Avoid seaweed, Chinese cabbage, and vinegar.
Also Bian Que's formula for labor pathogen causing eye heat and redness:
Moxibustion at Dangrong point, 100 moxa cones per session. Apply to both sides equally. Dangrong is located posterior to the outer canthus of the eye, anterior to the Kerenman point in front of the ear, where the three Yang and three Yin channels intersect. Press with hand; if pulsation is felt moving up and down, the correct point is identified. It is opposite the ear. (All from Volume VII)