寒热热寒结者散,上抑下举惊者平,喜以恐胜悲以喜,劳温短少补皆同。
【注】寒者热之,麻黄、理中是也。热者寒之,白虎、生脉是也。结者散之,越鞠解
郁是也。上者抑之,苏子降气是也。下者举之,补中益气是也。惊者平之,镇心、妙香
是也。喜以恐胜,悲以喜胜,以情治情是也。劳者温之,短气,少气者补之,保元、四君
是也。
木香流气饮
木香流气调诸气,快利三焦荣卫行,达表通里开胸膈,肿胀喘嗽气为疼,六君丁皮
沉木桂,白芷香附果苏青,大黄枳朴槟蓬术,麦冬大腹木瓜通。
【注】木香流气饮,调治一切诸气为病。其功能快利三焦,通行荣卫,外达表气,内
通里气,中开胸膈之气,其水肿胀满,气壅喘嗽,气痛走注,内外疼痛,并皆治之。即
人参、白术、茯苓、炙草、橘皮、半夏、丁皮、沉香、木香、中桂、白芷、香附、草果、
苏叶、青皮、大黄、枳壳、浓朴、槟榔、蓬术、麦冬、大腹皮、木瓜、木通也。
分心气饮
分心气饮治七情,气滞胸腹不流行,正减芷朴通木附,麦桂青桑槟壳蓬。
【注】分心气饮,治七情气滞,胸腹之病。正者,谓藿香正气散也。正减者,谓即藿香正
气散方减白芷、浓朴,加木通、木香、香附、麦冬、官桂、青皮、桑皮、槟榔、枳壳、蓬术也。
苏子降气汤 越鞠汤
苏子降气气上攻,下虚上盛气痰壅,喘咳涎嗽胸膈满,气秘气逆呕鲜红,橘半肉桂
南苏子,前朴沉归甘草同。郁食气血痰湿热,越鞠苍栀曲附芎。
【注】苏子降气汤,治下虚上盛,气壅上攻,喘咳涎嗽,胸膈满闷,气秘便难,气逆
呕血,即橘皮、半夏、肉桂、南苏子、前胡、浓朴、沉香、当归、甘草也。越鞠汤治六郁,
食郁、气郁、血郁、痰郁、湿郁、热郁,即苍术、山栀、神曲、香附,抚芎也。夫气郁
之病若久,必与血、痰、湿、热、饮、食相合,故治郁之方,可治气郁也。其气实者加
木香,气虚者加人参,血实者加红花,血虚者加当归,痰多者加半夏,湿多者加白术,热
多者加萸、连,饮多者加茯苓,食多者加麦 ,在临证者消息耳。
四七汤
四七七气郁生痰,梅核吐咯结喉间,调和诸气平和剂,半苓浓朴紫苏煎,快气橘草
香附入,妇人气病效如仙,恶阻更加芎归芍,气痰浊带送白丸。
【注】四七汤,治七情过节,七气病生,郁结生痰,如絮如膜,凝结喉间,咯之不尽,
咽之不下,名曰梅核气。日久不愈,变生噎膈,上吐涎沫,下秘二便也。宜用此平和之
剂,即半夏、茯苓、浓朴、紫苏叶也,胸腹中气不快,加橘皮、甘草、香附,亦治妇人
一切气病。妇人有孕喜吐者,名曰恶阻,更加川芎、当归、白芍。妇人肥白。多痰气郁,
有白浊带下者,亦以本方送青州白丸子可也。
镇心丹 妙香散
惊实镇心朱齿血,惊虚妙香木麝香,山药茯神参 草,朱砂桔梗远苓菖。
【注】心气实病惊者,宜用镇心丹,即朱砂、龙齿末等分,猪心血为芡实大丸,每服
三丸,麦冬汤下。心气虚病惊者,宜用妙香散加菖蒲,即木香、麝香、山药、茯神、人
参、黄 、炙草、朱砂、桔梗、远志、茯苓、石菖蒲也。
寒热错杂、冷热交替出现的病证,采用消散法治疗;气机上逆与下陷并见、伴有惊恐的病证,采用平抑法治疗;喜悦之情可以克制悲伤,悲伤之情可以用喜悦来化解;虚劳之证用温补法,短气、少气的病证用补益法,这些原则是相同的。
【注释】寒性病证用热性药物治疗,如麻黄汤、理中丸就是这类代表。热性病证用寒性药物治疗,如白虎汤、生脉散就是这类代表。气机郁结的病证用消散法治疗,如越鞠丸、解郁汤就是这类代表。气机上逆的病证用降逆法治疗,如苏子降气汤就是这类代表。气机下陷的病证用升提法治疗,如补中益气汤就是这类代表。惊恐不安的病证用镇惊安神法治疗,如镇心丹、妙香散就是这类代表。以喜胜悲、以恐胜喜,这是运用情志相胜原理进行心理治疗的方法。虚劳之证用温补法,短气、少气的病证用补益法,如保元汤、四君子汤就是这类代表。
木香流气饮
木香流气饮能调理各种气机病症,使三焦通畅,营卫之气运行无阻,既能通达体表又能疏通里部,还能开泄胸膈的气滞,主治因气机阻滞引起的肿胀、气喘咳嗽及气痛。方由六君子汤(人参、白术、茯苓、甘草)加丁香皮、陈皮、沉香、木香、肉桂、白芷、香附、草果、紫苏叶、青皮、大黄、枳壳、厚朴、槟榔、蓬莪术、麦冬、大腹皮、木瓜、木通组成。
【注释】木香流气饮,用于调治一切因气机失调引起的疾病。其功效在于畅通三焦,通行营卫,外达表气,内通里气,中开胸膈之气滞。对于水肿胀满、气壅喘嗽、气痛游走不定、内外疼痛等症状,均能治疗。该方包含人参、白术、茯苓、炙甘草、橘皮、半夏、丁香皮、沉香、木香、肉桂、白芷、香附、草果、紫苏叶、青皮、大黄、枳壳、厚朴、槟榔、蓬莪术、麦冬、大腹皮、木瓜、木通。
分心气饮
分心气饮治疗七情内伤引起的气机阻滞,导致胸腹部气机运行不畅。方由藿香正气散去白芷、厚朴,加木通、木香、香附、麦冬、官桂、青皮、桑白皮、槟榔、枳壳、蓬莪术组成。
【注释】分心气饮,用于治疗七情气滞引起的胸腹部病症。“正”指藿香正气散。“正减”指在藿香正气散的基础上减去白芷、厚朴,加入木通、木香、香附、麦冬、官桂、青皮、桑白皮、槟榔、枳壳、蓬莪术。
苏子降气汤 越鞠汤
苏子降气汤治疗气机上攻,症见下虚上盛,气痰壅塞,气喘咳嗽、吐涎沫,胸膈满闷,气秘便难,气逆呕血。方由橘皮、半夏、肉桂、南苏子、前胡、厚朴、沉香、当归、甘草组成。越鞠汤治疗六郁,即食郁、气郁、血郁、痰郁、湿郁、热郁,方由苍术、山栀、神曲、香附、抚芎组成。气郁之病若日久,必然与血、痰、湿、热、饮、食相互夹杂,因此治疗郁证的方剂也可以治疗气郁。若气实者加木香,气虚者加人参,血实者加红花,血虚者加当归,痰多者加半夏,湿多者加白术,热多者加吴茱萸、黄连,饮多者加茯苓,食多者加麦芽,具体应用需临证斟酌。
四七汤
四七汤治疗七情气郁生痰,症状如梅核堵塞咽喉,咳之不出,咽之不下。此为调和诸气的平和剂,由半夏、茯苓、厚朴、紫苏叶煎煮而成。若需快气,可加入橘皮、甘草、香附。此方对妇女气病疗效显著,如同神仙之药。若孕妇出现恶阻(妊娠呕吐),可再加川芎、当归、白芍。若妇人形体肥白,多痰气郁,且有白浊带下者,也可用本方送服青州白丸子。
【注释】四七汤,用于治疗七情过极,七气病发生,郁结生痰,痰凝如絮如膜,凝结于喉间,咯之不尽,咽之不下,名为梅核气。若日久不愈,可能演变为噎膈,出现上吐涎沫、下便秘尿难等症状。宜用此平和之剂,方含半夏、茯苓、厚朴、紫苏叶。若胸腹中气机不畅,可加橘皮、甘草、香附。此方也治疗妇女一切气病。妇女怀孕后喜欢呕吐的,称为恶阻,可再加川芎、当归、白芍。妇女形体肥胖面白,多痰且气郁,有白浊带下的,也可以用本方送服青州白丸子。
镇心丹 妙香散
惊实证用镇心丹,由朱砂、龙齿末、猪心血制成;惊虚证用妙香散,由木香、麝香、山药、茯神、人参、甘草、朱砂、桔梗、远志、茯苓、石菖蒲组成。
【注释】心气实而患惊悸病的,适宜用镇心丹,方由朱砂、龙齿末等量混合,用猪心血做成如芡实大小的丸药,每次服用三丸,用麦冬汤送服。心气虚而患惊悸病的,适宜用妙香散加石菖蒲,方由木香、麝香、山药、茯神、人参、黄芪、炙甘草、朱砂、桔梗、远志、茯苓、石菖蒲组成。
When cold and heat are intermingled or alternating, the method of dispersing is employed. When qi rebellion and sinking occur simultaneously accompanied by fright, the method of calming and regulating is used. Joy can overcome grief, and grief can be overcome by joy; for consumptive disorders, warming and tonifying methods are applied, while for shortness of breath and deficiency of qi, tonification is used; these principles are consistent.
[Annotation] Cold-pattern diseases are treated with hot-natured drugs, such as Mahuang Tang (Ephedra Decoction) and Lizhong Wan (Regulate the Middle Pill). Heat-pattern diseases are treated with cold-natured drugs, such as Baihu Tang (White Tiger Decoction) and Shengmai San (Generate the Pulse Powder). Qi stagnation and binding are treated with dispersing methods, such as Yueju Wan (Resolve Depression Pill) and Jieyu Tang (Relieve Depression Decoction). Qi rebelling upward is treated with descending methods, such as Suzi Jiangqi Tang (Perilla Seed Descending Qi Decoction). Qi sinking downward is treated with lifting methods, such as Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). Fright and anxiety are treated with calming and spirit-settling methods, such as Zhenxin Dan (Calming the Heart Pill) and Miaoxiang San (Wonderful Fragrance Powder). Using joy to overcome grief and fear to overcome joy constitutes psychotherapy based on the mutual overcoming of emotional factors. Consumptive disorders are treated with warming and tonifying methods; shortness of breath and deficiency of qi are treated with tonification, such as Baoyuan Tang (Preserve the Origin Decoction) and Sijunzi Tang (Four Gentlemen Decoction).
Muxiang Liuqi Yin (Aucklandia Flowing Qi Drink)
Muxiang Liuqi Yin regulates various qi disorders, unblocks the Triple Burner, promotes the smooth flow of Ying and Wei (Nutritive and Defensive) qi, reaches the exterior, penetrates the interior, opens the chest and diaphragm, and treats swelling, distension, asthma, cough, and pain caused by qi stagnation. It consists of Liujunzi Tang (Six Gentlemen Decoction: Renshen, Baizhu, Fuling, Gancao) plus Dingpiao (Cortex Erythrinae), Chenpi (Pericarpium Citri Reticulatae), Chenxiang (Lignum Aquilariae Resinatum), Muxiang (Radix Aucklandiae), Rougui (Cortex Cinnamomi), Baizhi (Radix Angelicae Dahuricae), Xiangfu (Rhizoma Cyperi), Caoguo (Fructus Tsaoko), Ziye (Folium Perillae), Qingpi (Pericarpium Citri Reticulatae Viride), Dahuang (Radix et Rhizoma Rhei), Zhike (Fructus Aurantii), Houpo (Cortex Magnoliae Officinalis), Binglang (Semen Arecae), Pengzhu (Rhizoma Curcumae Longae), Maidong (Radix Ophiopogonis), Dafupi (Pericarpium Benincasae), Mugua (Fructus Chaenomelis), Mutong (Caulis Akebiae).
[Annotation] Muxiang Liuqi Yin is used to treat all diseases caused by qi dysfunction. Its functions include unblocking the Triple Burner, promoting the circulation of Ying and Wei qi, reaching the exterior qi, penetrating the interior qi, and opening the qi stagnation in the chest and diaphragm. It treats edema, distension, qi congestion with asthma and cough, wandering qi pain, and internal and external pain. The formula contains Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Fuling (Poria), Zhigancao (Radix Glycyrrhizae Preparata), Chenpi (Pericarpium Citri Reticulatae), Banxia (Rhizoma Pinelliae), Dingpi (Cortex Erythrinae), Chenxiang (Lignum Aquilariae Resinatum), Muxiang (Radix Aucklandiae), Rougui (Cortex Cinnamomi), Baizhi (Radix Angelicae Dahuricae), Xiangfu (Rhizoma Cyperi), Caoguo (Fructus Tsaoko), Ziye (Folium Perillae), Qingpi (Pericarpium Citri Reticulatae Viride), Dahuang (Radix et Rhizoma Rhei), Zhike (Fructus Aurantii), Houpo (Cortex Magnoliae Officinalis), Binglang (Semen Arecae), Pengzhu (Rhizoma Curcumae Longae), Maidong (Radix Ophiopogonis), Dafupi (Pericarpium Benincasae), Mugua (Fructus Chaenomelis), Mutong (Caulis Akebiae).
Fenxin Qi Yin (Dividing Heart Qi Drink)
Fenxin Qi Yin treats qi stagnation in the chest and abdomen caused by the seven emotions (joy, anger, worry, pensiveness, sadness, fear, fright), leading to impaired circulation. It is composed of Huoxiang Zhengqi San (Agastache Regulating the Qi Decoction) minus Baizhi and Houpo, plus Mutong, Muxiang, Xiangfu, Maidong, Guigui (Cortex Cinnamomi Cassiae), Qingpi, Sangbai (Cortex Mori Radicis), Binglang, Zhike, and Pengzhu.
[Annotation] Fenxin Qi Yin treats chest and abdominal diseases caused by qi stagnation from the seven emotions. "Zheng" refers to Huoxiang Zhengqi San. "Zheng Jian" refers to Huoxiang Zhengqi San with Baizhi and Houpo removed, and Mutong, Muxiang, Xiangfu, Maidong, Guigui, Qingpi, Sangbai, Binglang, Zhike, and Pengzhu added.
Suzi Jiangqi Tang (Perilla Seed Descending Qi Decoction) & Yueju Tang (Resolve Depression Decoction)
Suzi Jiangqi Tang treats qi attacking upward, characterized by deficiency below and excess above, with qi and phlegm congestion, asthma, cough with salivation, chest and diaphragm fullness, constipation due to qi stagnation, and vomiting blood due to rebellious qi. It consists of Chenpi, Banxia, Rougui, Nan Su Zi (Semen Perillae), Qianhu (Radix Peucedani), Houpo, Chenxiang, Danggui (Radix Angelicae Sinensis), and Gancao. Yueju Tang treats six types of depression: food stagnation, qi stagnation, blood stasis, phlegm turbidity, dampness, and heat. It consists of Cangzhu (Rhizoma Atractylodis), Zhizi (Fructus Gardeniae), Shenqu (Massa Medicata Fermentata), Xiangfu, and Xiong (Rhizoma Chuanxiong). If qi stagnation persists for a long time, it inevitably combines with blood, phlegm, dampness, heat, fluid retention, and food. Therefore, formulas treating depression can also treat qi stagnation. For excess qi, add Muxiang; for deficient qi, add Renshen; for excess blood, add Honghua (Flos Carthami); for deficient blood, add Danggui; for excessive phlegm, add Banxia; for excessive dampness, add Baizhu; for excessive heat, add Yuzhu (Rhizoma Drynariae? Note: Text says Yu, likely referring to Evodia/Wu Zhu Yu or similar, but context implies clearing heat, possibly Yan Hu Suo or others, however standard text often cites Huanglian/Evodia pair for heat/damp. Given "Yu Lian", likely Wu Zhu Yu and Huanglian) and Huanglian (Radix Coptidis); for excessive fluid retention, add Fuling; for excessive food stagnation, add Maiya (Fructus Hordei Germinatus). Clinical judgment should guide modifications.
Siqi Tang (Four Seven Decoction)
Siqi Tang treats phlegm generated by qi stagnation from the seven emotions, manifesting as a plum-pit sensation in the throat, difficult to expectorate or swallow. This is a mild formula harmonizing qi, decocted from Banxia, Fuling, Houpo, and Zisu Ye (Folium Perillae). To promote qi movement, add Chenpi, Gancao, and Xiangfu. It is highly effective for women's qi disorders. For morning sickness (Ev Zu) in pregnant women, add Chuanxiong, Danggui, and Baishao (Radix Paeoniae Alba). For obese women with white complexion, prone to phlegm and qi stagnation with leukorrhea, this formula can be used to deliver Qingzhou Baiwanzi (Qingzhou White Pills).
[Annotation] Siqi Tang treats diseases arising from excessive seven emotions and seven qi pathologies, where stagnation generates phlegm. The phlegm condenses in the throat like cotton or membrane, causing the sensation of a plum pit that cannot be coughed out or swallowed. If untreated for a long time, it may transform into dysphagia (Ye Ge), presenting with vomiting saliva and difficulty in urination and defecation. This mild formula is indicated, containing Banxia, Fuling, Houpo, and Zisu Ye. For chest and abdominal qi discomfort, add Chenpi, Gancao, and Xiangfu. It also treats all qi disorders in women. Pregnant women who vomit frequently have a condition called "Ev Zu" (morning sickness); add Chuanxiong, Danggui, and Baishao. Obese women with white complexions, prone to phlegm and qi stagnation with leukorrhea, can take this formula with Qingzhou Baiwanzi.
Zhenxin Dan (Calming the Heart Pill) & Miaoxiang San (Wonderful Fragrance Powder)
For excess fright, use Zhenxin Dan, made from Cinnabaris (Zhusha) and Os Draconis (Longchi) powder mixed with pig heart blood. For deficient fright, use Miaoxiang San, composed of Muxiang, Moshe (Moschus), Shanyao (Rhizoma Dioscoreae), Fushen (Poria cum Radice Pinelli), Renshen, Gancao, Zhusha, Jiegeng (Radix Platycodonis), Yuanzhi (Radix Polygalae), Fuling, and Shichangpu (Rhizoma Acori Tatarinowii).
[Annotation] For heart qi excess causing fright, Zhenxin Dan is appropriate. It consists of equal parts Cinnabaris (Zhusha) and Os Draconis (Longchi) powder, formed into pills the size of Coicis Semen (Yiyiren) using pig heart blood. Take three pills per dose with Maidong decoction. For heart qi deficiency causing fright, Miaoxiang San plus Shichangpu is appropriate. It consists of Muxiang, Moschus, Shanyao, Fushen, Renshen, Huangqi (Radix Astragali), Zhigancao, Zhusha, Jiegeng, Yuanzhi, Fuling, and Shichangpu.