朱砂安神丸 治热伤心胞。气浮心乱。虚烦不宁。
朱砂(水飞。五钱。一半为衣。) 甘草(五钱) 黄连(酒蒸。六钱) 当归(二钱五分)
生地黄(一钱五分)
除朱砂。共为细末。汤浸蒸饼为丸。黍米大。朱砂为衣。每服十五丸至三十丸。独参汤。或补
中益气汤送下。 凡言
心经药。都属心包。惟朱砂外禀离明。内含真汞。故能交合水火。直入心脏。但其性徐缓。无
迅扫阳焰之速效。是以更需黄连之苦寒以直折其势。甘草之甘缓以款启其微。俾膈上之实火虚火。
悉从小肠而降泄之。允为劳心伤神。动作伤气。扰乱虚阳之的方。岂特治热伤心包而已哉。然其奥
又在当归之辛温走血。地黄之濡润滋阴。以杜火气复炽之路。其动静之机。多寡之制。各有至理。
良工调剂之苦心。其可忽诸。
黄 建中汤(桂枝汤下) 补中益气汤(保元汤下) 小建中汤(桂枝汤下) 理中汤(方祖
)平胃散(方祖)
五苓散(方祖) 六君子汤(四君子汤下) 枳术丸(枳术汤下) 枳实理中汤(理中汤下)
崔氏八味丸(方祖)
当归补血汤(保元汤下) 调中益气汤(保元汤下) 升阳顺气汤(保元汤下) 升阳补气
汤(升麻汤下) 门冬清肺饮(生脉散下)
升阳益胃汤(保元汤下) 犀角地黄汤(伤寒门) 保元汤(方祖) 四君子汤(方祖) 八珍汤
(四君子汤下)
十全大补汤(保元汤下) 钱氏六味丸(崔氏八味丸下)
朱砂安神丸,用于治疗热邪损伤心包络。症状表现为气机浮越、心神慌乱、心中虚烦且坐卧不安。
处方组成:朱砂(经水飞法处理,用量五钱,其中一半用于作为药丸的外衣),甘草(五钱),黄连(用酒蒸制,六钱),当归(二钱五分),生地黄(一钱五分)。
制作与服用方法:除朱砂外,将其他药材共同研磨成细末。用米汤浸泡蒸饼制成丸剂,大小如黍米,外层包裹朱砂粉末。每次服用十五丸至三十丸,可用独参汤或补中益气汤送服。
方义解析:凡是提及治疗心经的药物,大多归属于心包络。唯独朱砂,外禀离火之光明,内含真阴之汞质,因此能够交通水火,直接入达心脏。但朱砂的药性较为徐缓,没有迅速清除阳热邪气的速效,所以需要配合黄连的苦寒之性来直接折降火热之势,以及甘草的甘缓之性来温和地疏导微弱的郁结。使得膈膜以上的实火和虚火,都能通过小肠向下排泄。这确实是治疗因劳心伤神、动作耗气导致扰乱虚阳的确切良方,岂止是治疗热邪损伤心包络那么简单呢?然而,此方的奥妙还在于使用当归的辛温以走散血分,以及地黄的濡润以滋养阴液,从而杜绝火气再次炽盛的路径。方中药物动静相宜的比例和剂量控制,各有其深刻的道理。高明医生在调配时的苦心,怎能忽视呢?
黄 建中汤(见桂枝汤下方) 补中益气汤(见保元汤下方) 小建中汤(见桂枝汤下方) 理中汤(方祖) 平胃散(方祖)
五苓散(方祖) 六君子汤(见四君子汤下方) 枳术丸(见枳术汤下方) 枳实理中汤(见理中汤下方)
崔氏八味丸(方祖)
当归补血汤(见保元汤下方) 调中益气汤(见保元汤下方) 升阳顺气汤(见保元汤下方) 升阳补气汤(见升麻汤下方) 门冬清肺饮(见生脉散下方)
升阳益胃汤(见保元汤下方) 犀角地黄汤(见伤寒门) 保元汤(方祖) 四君子汤(方祖) 八珍汤(见四君子汤下方)
十全大补汤(见保元汤下方) 钱氏六味丸(见崔氏八味丸下方)
Zhu Sha An Shen Wan (Cinnabar Calming the Spirit Pill) is used to treat heat damaging the Pericardium. Symptoms include floating Qi, chaotic heart-mind, mental restlessness due to deficiency, and agitation.
Ingredients: Zhu Sha (Cinnabar, processed by water levigation, 5 qian; half of this amount is used as the coating), Gan Cao (Licorice Root, 5 qian), Huang Lian (Coptis Rhizome, steamed with wine, 6 qian), Dang Gui (Angelica Sinensis Root, 2.5 qian), Sheng Di Huang (Rehmannia Root, prepared fresh, 1.5 qian).
Preparation and Administration: Excluding Zhu Sha, grind the remaining herbs into a fine powder. Mix with rice dough soaked in decoction and steamed bing (steamed cake) to form pills, sized like millet seeds. Coat the pills with Zhu Sha powder. Take 15 to 30 pills per dose, delivered with Du Shen Tang (Ginseng Decoction) or Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction).
Analysis of Formula Principles: Medicines said to treat the Heart Meridian generally belong to the Pericardium. Only Zhu Sha, receiving the brightness of Li Fire externally and containing true Yin Mercury internally, can communicate Water and Fire and enter the Heart directly. However, its nature is slow and lacks the rapid effect of swiftly sweeping away Yang flames. Therefore, it requires the bitter cold of Huang Lian to directly curb the pathogenic fire, and the sweet and緩 (soothing) nature of Gan Cao to gently guide the subtle stagnation. This allows both excess fire and deficient fire above the diaphragm to be drained downward via the Small Intestine. It is indeed an accurate formula for treating the disturbance of deficient Yang caused by mental labor injuring the spirit and physical exertion consuming Qi. Is it merely for treating heat damaging the Pericardium? The profundity of this formula also lies in the use of Dang Gui’s pungent and warm property to move blood, and Sheng Di Huang’s moistening property to nourish Yin, thereby blocking the path for fire to reignite. The dynamic balance between movement and stillness, and the precise proportions, each contain profound principles. How can one overlook the painstaking effort of skilled physicians in compounding this formula?
Huang Jian Zhong Tang (See under Gui Zhi Tang); Bu Zhong Yi Qi Tang (See under Bao Yuan Tang); Xiao Jian Zhong Tang (See under Gui Zhi Tang); Li Zhong Tang (Original Formula); Ping Wei San (Original Formula); Wu Ling San (Original Formula); Liu Jun Zi Tang (See under Si Jun Zi Tang); Zhi Zhu Wan (See under Zhi Zhu Tang); Zhi Shi Li Zhong Tang (See under Li Zhong Tang); Cui Shi Ba Wei Wan (Original Formula); Dang Gui Bu Xue Tang (See under Bao Yuan Tang); Tiao Zhong Yi Qi Tang (See under Bao Yuan Tang); Sheng Yang Shun Qi Tang (See under Bao Yuan Tang); Sheng Yang Bu Qi Tang (See under Sheng Ma Tang); Men Dong Qing Fei Yin (See under Sheng Mai San); Sheng Yang Yi Wei Tang (See under Bao Yuan Tang); Xi Jiao Di Huang Tang (See under Shang Han Men); Bao Yuan Tang (Original Formula); Si Jun Zi Tang (Original Formula); Ba Zhen Tang (See under Si Jun Zi Tang); Shi Quan Da Bu Tang (See under Bao Yuan Tang); Qian Shi Liu Wei Wan (See under Cui Shi Ba Wei Wan).