(三因方名四七汤) 治七情气郁,痰涎结聚。咯不出,咽不下,胸满喘急,或咳或喘
,或攻冲作痛。(七情者,喜怒忧思悲恐惊也。七情之病令人气结痰聚,阴阳不得升降,故
有痞满喘咳冲攻等证。)
半夏(姜汁炒五钱) 浓朴姜(汁炒三钱) 茯苓(四钱) 紫苏(二钱) 加姜枣煎。
气郁则痰聚,故散郁必以行气化痰为先。半夏辛温,除痰开郁。浓朴苦温,降气散满。
紫苏
而
加白芍陈皮人参桂心,亦名七气汤。(三因)治七情郁结,阴阳反戾,吐利交作,寒热
眩晕,
(局方 亦名七气汤。) 治七情郁,痰涎结聚。虚冷上气,或心腹绞痛,或膨胀喘急
。(针经云∶胃络不和,喘出于阳明之上逆。真元耗散,喘出于肾气之上奔。)
人参 官桂 半夏(一钱) 甘草(五分) 加姜煎。心腹痛,加延胡索。(能行血中
气滞,气
李士材曰∶夫七情过极,皆伤其气。丹溪以越鞠丸主之,而此独异者。盖郁久则浊气闭
塞,
谋虑之
国老
(
治癫狂失心。(癫多喜笑,尚知畏惧,证属不足。狂多忿怒,人莫能制,证属为阴。此
病多因惊忧,痰血塞于心窍所致。难经云∶诸阳为狂。诸阴为癫。)
白矾(三两) 郁金(七两) 薄荷糊丸。
白矾酸咸,能软顽痰。郁金苦辛,能去恶血。痰血去,则心窍开而疾已矣。
(《三因方》中的四七汤)治疗七情气机郁滞,痰涎凝结。感觉喉咙中有异物感,咳不出来,咽不下去,胸部胀满,呼吸急促,或者咳嗽,或者气喘,或者气逆攻冲引起疼痛。(所谓七情,是指喜、怒、忧、思、悲、恐、惊这七种情绪。七情致病会导致人体气机郁结、痰湿凝聚,使得阴阳之气无法正常升降,因此会出现痞闷胀满、气喘咳嗽、气逆攻冲等症状。)
半夏(用姜汁炒制五钱),厚朴(用姜汁炒制三钱),茯苓(四钱),紫苏叶(二钱)。煎服时加入生姜和大枣。气机郁滞则导致痰湿凝聚,所以疏散郁滞必须以行气化痰为首要任务。半夏性味辛温,能消除痰饮、开通郁结;厚朴性味苦温,能降泄气机、消散胀满。
如果在此基础上加入白芍、陈皮、人参、桂心,也称为七气汤。(出自《三因方》)治疗七情郁结,导致阴阳之气逆乱,呕吐与腹泻同时发作,忽冷忽热,头晕目眩。
(出自《局方》,也称为七气汤)治疗七情郁结,痰涎凝结。虚寒之气上逆,或者心腹部绞痛,或者腹部膨胀、呼吸急促。(《灵枢·经脉》记载:胃络不和,喘逆出于阳明经之上逆;真元耗散,喘逆出于肾气之上奔。)
人参,官桂(肉桂),半夏(一钱),甘草(五分)。煎服时加入生姜。若有心腹疼痛,可加入延胡索。(延胡索能行血中之气滞,气中之血滞。)
李士材说:七情过度,都会损伤人体的气机。朱丹溪主张用越鞠丸来治疗,而此方之所以独特,是因为郁结日久会导致浊气闭塞……(原文此处有缺漏或排版错误,推测为谋虑过度等导致的郁证)。
治疗癫狂、神志失常。(癫证多表现为喜笑不休,但仍知道畏惧,属于正气不足的证候;狂证多表现为忿怒暴躁,无人能制约,属于阴盛或阳亢的证候。这种病多因惊恐忧愁,导致痰浊和瘀血阻塞心窍所致。《难经》记载:诸阳之邪盛则为狂,诸阴之邪盛则为癫。)
(Siqi Tang in *San Yin Fang*) Treats Qi stagnation due to the Seven Emotions, with accumulation of phlegm and saliva. The patient feels a foreign body sensation in the throat that cannot be coughed out or swallowed down, accompanied by chest fullness and rapid breathing, or coughing, or wheezing, or pain caused by Qi counterflow attacking upwards. (The Seven Emotions refer to Joy, Anger, Worry, Thought, Sorrow, Fear, and Fright. Diseases caused by the Seven Emotions lead to Qi knotting and Phlegm gathering, preventing the ascending and descending of Yin and Yang, thus resulting in syndromes such as stuffiness, fullness, wheezing, coughing, and counterflow attacks.)
Banxia (Pinelliae Rhizoma), stir-fried with Ginger Juice (5 qian); Houpo (Magnoliae Officinalis Cortex), stir-fried with Ginger Juice (3 qian); Fuling (Poria), 4 qian; Zisu Ye (Perillae Folium), 2 qian. Decoct with added Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus). When Qi is stagnant, Phlegm gathers; therefore, to dissipate stagnation, promoting Qi movement and resolving Phlegm must be the priority. Banxia is acrid and warm, eliminating Phlegm and opening stagnation. Houpo is bitter and warm, directing Qi downward and dispersing fullness.
If Baishao (Paeoniae Radix Alba), Chenpi (Citri Reticulatae Pericarpium), Renshen (Ginseng Radix et Rhizoma), and Guixin (Cinnamomi Ramulus) are added, it is also called Qi Qi Tang. (*San Yin Fang*) Treats Qi knotting due to the Seven Emotions, causing reversal of Yin and Yang, simultaneous vomiting and diarrhea, alternating chills and fever, and dizziness.
(Ju Fang, also called Qi Qi Tang) Treats Qi stagnation due to the Seven Emotions, with accumulation of phlegm and saliva. Deficient cold Qi rising upward, or severe colic pain in the heart and abdomen, or abdominal distension and rapid breathing. (*Ling Shu* states: Disharmony of the Stomach collaterals causes wheezing arising from the reversal of Yangming Qi upward; depletion of True Yuan causes wheezing arising from the rushing up of Kidney Qi.)
Renshen (Ginseng Radix et Rhizoma), Guixin (Cinnamomi Ramulus), Banxia (Pinelliae Rhizoma, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian). Decoct with added Shengjiang (Zingiberis Rhizoma Recens). If there is heart and abdominal pain, add Yanshusuo (Cyperi Rhizoma). (Yanshusuo can move Qi stagnation in Blood and Blood stagnation in Qi.)
Li Shicai said: Excessive Seven Emotions all damage Qi. Zhu Danxi advocates using Yueju Wan for this, but this formula is unique because prolonged stagnation leads to blockage by turbid Qi... [Text fragment] ...planning and deliberation excess.
Guolao (Old Man, an alias for Gancao/Citizens of the State, here referring to Licorice or related composition).
Treats Dian (Manic-Depressive Disorder) and Kuang (Mania) with loss of mind. Dian syndrome often manifests as excessive laughter while still knowing fear, belonging to deficiency syndromes. Kuang syndrome often manifests as anger and rage, uncontrollable by others, belonging to Yin excess syndromes. This disease is mostly caused by fright and sorrow, leading to Phlegm and Blood stasis blocking the Heart orifices. *Nan Jing* states: Excess of Yang leads to Kuang; Excess of Yin leads to Dian.
Bai Fan (Alumen), 3 liang; Yujin (Curcumae Longae Radix), 7 liang. Make pills with Bohe Hu (Menthae Haplocalycis paste).
Bai Fan is sour and salty, capable of softening stubborn Phlegm. Yujin is bitter and acrid, capable of removing foul Blood. Once Phlegm and Blood stasis are removed, the Heart orifices open, and the disease resolves.