夫肝虚则生寒。寒则苦胁下坚胀。寒热。腹满。不欲饮食。悒悒情不乐。如人将捕之。
视物
诊其
治肝气虚寒。两胁胀满。筋脉拘急。腰膝小腹痛。面青。口噤。宜服补肝柏子仁
散方。
柏子仁(三分) 细辛(三分) 防风(三分去芦头) 茯神(三分) 鳖甲(二两涂
醋炙令黄
去裙
心(半
两)
上为细末。每服三钱。以水一中盏。入枣三枚。煎至六分。去滓。不计时候。温服。
治肝气虚寒。两胁下满。筋急。不得大息。四肢厥逆。心腹痛。宜服补肝白茯苓
散方。
白茯苓(三分) 防风(三分去芦头) 柏子仁(三分) 细辛(三分) 当归(半两
锉微炒)
槟榔
壳(三分
去瓤
上为细末。每服三钱。以水一中盏。入生姜半分。枣三枚。同煎至六分。去滓。不计时
候。温服。忌生冷油腻。
治肝脏虚寒。胸膈气滞。四肢厥逆。两胁疼痛。宜服补肝细辛散方。
细辛(一分) 桃仁(三分汤浸去皮尖双仁麸炒微黄) 前胡(三分去芦头) 当归(三
分锉
微炒) 附子(三分炮裂去皮脐) 陈橘皮(三分汤浸去白瓤焙) 人参(三分去芦头) 柏
子仁
(半分)
焙) 桂心
(三分)
上为散。每服三钱。以水一中盏。入生姜半分。枣三枚。同煎至六分。去滓。不计时候
温服。
治肝脏虚寒。头目昏疼。四肢不利。胸膈虚烦。宜服补肝防风散方。
防风(一两去芦头) 芎 (三分) 黄 (三分锉) 五味子(三分) 人参(三分
去芦头)
茯神
枣仁(半
两微
上为散。每服三钱。以水一中盏。入枣三枚。同煎至六分。去滓。不计时候。温服。
治肝脏风虚。胸膈不利。视物不明。心烦头眩。宜服补肝薯蓣散方。
薯蓣(三分) 防风〔一(三)分去芦头〕 山茱萸(半两) 枳壳(半两麸炒微黄去
瓤) 甘
菊花
头) 熟干
地黄
脑(半两)
麝
上为细末。研入龙脑麝香令匀。每服不计时候。以清粥饮。调下一钱。忌酒湿面等。
治肝虚。头目不利。心膈多烦。筋脉急痛。宜服补肝菊花散方。
甘菊花(三分) 前胡(三分去芦头) 防风(三分去芦头) 决明子(三分) 黄
(三分锉)
沙
杞子
(三
上为散。每服不计时候。以粥饮调下一钱。
治肝虚寒。面色青黄。胸胁胀满。筋脉不利。背膊酸疼。羸瘦无力。补肝柏子仁
\x丸方。
柏子仁(一两) 黄 (一两锉) 白茯苓(一两) 赭实(一两) 覆盆子(一两) 五
味子(
一两
去毛涂醋
炙令
黄(一两)
上为细末。炼蜜和捣三二百杵。为丸如梧桐子大。每服三十丸。以温酒下。空心及晚食
前服。忌生冷油腻。
肝气虚弱则易生寒邪。出现寒邪时,患者会感到胁下坚硬胀满,伴有寒热往来、腹部胀满、食欲不振、情绪抑郁不乐,甚至感觉像被人追捕一样惊恐不安。
观察视力情况,诊察脉象(原文此处文字残缺,意指通过视物与诊脉来辨证)。
治疗肝气虚寒证,症见两胁胀满、筋脉拘挛紧急、腰膝及小腹部疼痛、面色发青、口噤不开者,适宜服用补肝柏子仁散方。
【处方】:柏子仁(三分)、细辛(三分)、防风(三分,去芦头)、茯神(三分)、鳖甲(二两,涂醋炙至黄色,去裙边)。
【制法与用法】:将上述药材研为细末。每次服用三钱,加水一中盏,放入大枣三枚,煎煮至剩余六分药液,滤去药渣。不限服药时间,温服。
治疗肝气虚寒证,症见两胁下胀满、筋脉拘急、不能深呼吸(大息)、四肢厥冷、心腹疼痛者,适宜服用补肝白茯苓散方。
【处方】:白茯苓(三分)、防风(三分,去芦头)、柏子仁(三分)、细辛(三分)、当归(半两,锉碎后微炒)、槟榔壳(三分,去瓤)。
【制法与用法】:将上述药材研为细末。每次服用三钱,加水一中盏,放入生姜半分、大枣三枚,一同煎煮至剩余六分药液,滤去药渣。不限服药时间,温服。忌食生冷油腻食物。
治疗肝脏虚寒证,症见胸膈气机阻滞、四肢厥冷、两胁疼痛者,适宜服用补肝细辛散方。
【处方】:细辛(一分)、桃仁(三分,汤浸去皮尖及双仁,麸炒至微黄)、前胡(三分,去芦头)、当归(三分,锉碎后微炒)、附子(三分,炮裂去皮脐)、陈橘皮(三分,汤浸去白瓤焙干)、人参(三分,去芦头)、柏子仁(半分)、桂心(三分)。
【制法与用法】:将上述药材研为散剂。每次服用三钱,加水一中盏,放入生姜半分、大枣三枚,一同煎煮至剩余六分药液,滤去药渣。不限服药时间,温服。
治疗肝脏虚寒证,症见头目昏痛、四肢活动不利、胸膈虚烦者,适宜服用补肝防风散方。
【处方】:防风(一两,去芦头)、川芎(三分)、黄芪(三分,锉碎)、五味子(三分)、人参(三分,去芦头)、茯神、酸枣仁(半两,微炒)。
【制法与用法】:将上述药材研为散剂。每次服用三钱,加水一中盏,放入大枣三枚,一同煎煮至剩余六分药液,滤去药渣。不限服药时间,温服。
治疗肝脏风虚证,症见胸膈不适、视物不明、心烦头晕者,适宜服用补肝薯蓣散方。
【处方】:薯蓣(三分)、防风(三分,去芦头)、山茱萸(半两)、枳壳(半两,麸炒至微黄,去瓤)、甘菊花(三分,去芦头)、熟干地黄(半两)、龙脑(少许)、麝香(少许)。
【制法与用法】:将上述药材研为细末,加入龙脑和麝香研磨均匀。每次不限服药时间,用清粥饮调服一钱。忌饮酒、湿面等。
治疗肝虚证,症见头目不清利、心膈多烦、筋脉急痛者,适宜服用补肝菊花散方。
【处方】:甘菊花(三分)、前胡(三分,去芦头)、防风(三分,去芦头)、决明子(三分)、黄芪(三分,锉碎)、枸杞子(三分)。
【制法与用法】:将上述药材研为散剂。每次不限服药时间,用粥饮调服一钱。
治疗肝虚寒证,症见面色青黄、胸胁胀满、筋脉不利、背膊酸痛、身体消瘦无力者,适宜服用补肝柏子仁丸方。
【处方】:柏子仁(一两)、黄芪(一两,锉碎)、白茯苓(一两)、蒺藜实(一两)、覆盆子(一两)、五味子(一两,去毛,涂醋炙至黄色)、甘草(一两)。
【制法与用法】:将上述药材研为细末,用炼蜜调和,捣杵三二百下,制成如梧桐子大小的丸药。每次服用三十丸,用温酒送下。空腹及晚饭前服用。忌食生冷油腻食物。
When the Liver Qi is deficient, cold pathogenic factors arise. The presence of cold leads to symptoms such as hardness and distension in the hypochondriac region, alternating chills and fever, abdominal fullness, loss of appetite, depressive mood with unhappiness, and a sense of fear as if being pursued.
Observation of vision and pulse diagnosis are employed (the original text here is fragmented, implying differentiation through visual inspection and palpation).
For the treatment of Liver Qi deficiency and cold syndrome, characterized by distension and fullness in both hypochondria, spasm and tension of tendons and vessels, pain in the lower back, knees, and lower abdomen, bluish complexion, and locked jaw, the *Buzhu Gan Baiziren San* (Supplementing the Liver with Biota Seed Powder) formula is indicated.
[Ingredients]: *Biota Semen* (Baiziren, 3 fen), *Asarum Herba* (Xixin, 3 fen), *Saposhnikovia Radix* (Fangfeng, 3 fen, remove radicle), *Poria* (Fushen, 3 fen), *Testudinis et Chelydrae Carapax et Plastrum* (Biejia, 2 liang, coated with vinegar and roasted until yellow, remove skirt edge).
[Preparation and Administration]: Grind the above ingredients into a fine powder. Take 3 qian per dose. Add one zhongzhan of water and three jujubes. Decoct until the volume reduces to six-tenths. Strain the dregs. Take warm at any time.
For the treatment of Liver Qi deficiency and cold syndrome, characterized by fullness under both hypochondria, tendon tension, inability to take deep breaths (da xi), cold extremities, and heart/abdominal pain, the *Buzhu Gan Bai Fuling San* (Supplementing the Liver with White Poria Powder) formula is indicated.
[Ingredients]: *White Poria* (Bai Fuling, 3 fen), *Saposhnikovia Radix* (Fangfeng, 3 fen, remove radicle), *Biota Semen* (Baiziren, 3 fen), *Asarum Herba* (Xixin, 3 fen), *Angelicae Sinensis Radix* (Danggui, half liang, sliced and lightly stir-fried), *Aurantii Fructus Immaturus* (Binglang Qiao, 3 fen, remove pulp).
[Preparation and Administration]: Grind the above ingredients into a fine powder. Take 3 qian per dose. Add one zhongzhan of water, half a ban of fresh ginger, and three jujubes. Decoct together until the volume reduces to six-tenths. Strain the dregs. Take warm at any time. Avoid raw, cold, and greasy foods.
For the treatment of Liver organ deficiency and cold syndrome, characterized by stagnation of qi in the chest and diaphragm, cold extremities, and pain in both hypochondria, the *Buzhu Gan Xixin San* (Supplementing the Liver with Asarum Powder) formula is indicated.
[Ingredients]: *Asarum Herba* (Xixin, 1 fen), *Persicae Semen* (Taoren, 3 fen, soaked in hot water, peel and remove tips and double kernels, lightly stir-fried with bran until slightly yellow), *Peucedani Radix* (Qianhu, 3 fen, remove radicle), *Angelicae Sinensis Radix* (Danggui, 3 fen, sliced and lightly stir-fried), *Aconiti Lateralis Radix Praeparata* (Fuzi, 3 fen, processed until cracked, peel and remove umbilicus), *Citri Reticulatae Pericarpium* (Chen Jupi, 3 fen, soaked in hot water, remove white pith and dried), *Ginseng Radix* (Renshen, 3 fen, remove radicle), *Biota Semen* (Baiziren, half ban), *Cinnamomi Cortex* (Guixin, 3 fen).
[Preparation and Administration]: Grind the above ingredients into a powder. Take 3 qian per dose. Add one zhongzhan of water, half a ban of fresh ginger, and three jujubes. Decoct together until the volume reduces to six-tenths. Strain the dregs. Take warm at any time.
For the treatment of Liver organ deficiency and cold syndrome, characterized by dizziness and headache, impaired movement of the four limbs, and empty irritability in the chest and diaphragm, the *Buzhu Gan Fangfeng San* (Supplementing the Liver with Saposhnikovia Powder) formula is indicated.
[Ingredients]: *Saposhnikovia Radix* (Fangfeng, 1 liang, remove radicle), *Ligustici Chuanxiong Rhizoma* (Chuanxiong, 3 fen), *Astragali Membranacei Radix* (Huangqi, 3 fen, sliced), *Schisandrae Chinensis Fructus* (Wuweizi, 3 fen), *Ginseng Radix* (Renshen, 3 fen, remove radicle), *Poria* (Fushen), *Ziziphi Spinosae Semen* (Suanzaoren, half liang, lightly stir-fried).
[Preparation and Administration]: Grind the above ingredients into a powder. Take 3 qian per dose. Add one zhongzhan of water and three jujubes. Decoct together until the volume reduces to six-tenths. Strain the dregs. Take warm at any time.
For the treatment of Liver wind-deficiency syndrome, characterized by discomfort in the chest and diaphragm, blurred vision, mental restlessness, and dizziness, the *Buzhu Gan Shuyu San* (Supplementing the Liver with Yam Powder) formula is indicated.
[Ingredients]: *Dioscoreae Hypoglaucae Rhizoma* (Shuyu, 3 fen), *Saposhnikovia Radix* (Fangfeng, 3 fen, remove radicle), *Corni Officinalis Fructus* (Shanzhuyu, half liang), *Aurantii Fructus* (Zhike, half liang, lightly stir-fried with bran until slightly yellow, remove pulp), *Chrysanthemi Indici Flos* (Gan Juhua, 3 fen, remove radicle), *Rehmanniae Radix Praeparata* (Shu Dihuang, half liang), *Borneolum Syntheticum* (Longnao, small amount), *Moschus* (Shexiang, small amount).
[Preparation and Administration]: Grind the above ingredients into a fine powder. Mix in Borneolum Syntheticum and Moschus evenly. Take at any time without restriction. Administer 1 qian mixed with clear millet gruel broth. Avoid alcohol and damp wheat products.
For the treatment of Liver deficiency, characterized by unclear head and eyes, excessive irritability in the heart and diaphragm, and painful tendon tension, the *Buzhu Gan Juhua San* (Supplementing the Liver with Chrysanthemum Powder) formula is indicated.
[Ingredients]: *Chrysanthemi Indici Flos* (Gan Juhua, 3 fen), *Peucedani Radix* (Qianhu, 3 fen, remove radicle), *Saposhnikovia Radix* (Fangfeng, 3 fen, remove radicle), *Cassiae Semen* (Juemingzi, 3 fen), *Astragali Membranacei Radix* (Huangqi, 3 fen, sliced), *Lycii Fructus* (Gouqizi, 3 fen).
[Preparation and Administration]: Grind the above ingredients into a powder. Take at any time without restriction. Administer 1 qian mixed with gruel broth.
For the treatment of Liver deficiency-cold syndrome, characterized by bluish-yellow complexion, chest and hypochondriac distension, impaired tendon mobility, soreness and pain in the back and shoulders, emaciation, and weakness, the *Buzhu Gan Baiziren Wan* (Supplementing the Liver with Biota Seed Pill) formula is indicated.
[Ingredients]: *Biota Semen* (Baiziren, 1 liang), *Astragali Membranacei Radix* (Huangqi, 1 liang, sliced), *White Poria* (Bai Fuling, 1 liang), *Tribuli Fructus* (Jili Shi, 1 liang), *Rubi Ching-Shanii Fructus* (Fupenzi, 1 liang), *Schisandrae Chinensis Fructus* (Wuweizi, 1 liang, remove hairs, coat with vinegar and roast until yellow), *Glycyrrhizae Radix et Rhizoma* (Gancao, 1 liang).
[Preparation and Administration]: Grind the above ingredients into a fine powder. Mix with refined honey and pound for three to two hundred strikes. Form pills the size of paulownia seeds. Take 30 pills per dose, washed down with warm wine. Take on an empty stomach and before evening meal. Avoid raw, cold, and greasy foods.