此症因气逆而血不行，并恶血上攻于心也。多由怒气相冲，或忧郁气结不散，或恼怒复伤生
冷，或房劳后受寒湿，以致精神恍惚，心慌气喘，噎塞上壅，呕哕恶心，头目昏眩，胸膈痞满，心
腹刺痛，胁肋腰背痛，头痛脑痛，口苦舌干，面青唇黑，四肢沉困，百节酸痛，或憎寒壮热，遍
身麻痹，手足厥冷，颤掉，默默不语，不思饮食等症，皆恶血攻心所致。古无治法，惟刺两手曲
池上青筋，出瘀血可愈。或屡患屡刺，莫之能除。夫人以气血为主，故丹溪曰∶气血和，百疾不
生。此病先伤于外，而复损其血，兹制一方，名白虎丸。白虎西方肺金之谓，青筋乃东方肝木
之象，以白虎而治青筋，金能平木，有至理存焉。能代针砭之苦，且免后之复发。兼治男子久痢
便血，妇人崩漏带下，并一切打扑内损，血不能散，心腹痛欲死者，服之神效。
白虎丸
千年锻石，不拘多少，刮外杂色泥土，研细水飞，糊丸如梧子大。每用烧酒送五十丸，看轻
重加减。初觉一剂取效，过三五日病已老，宜多服。
松峰按∶原方下注云，此药能顺气散血，化痰消滞。则凡霍乱痧挣，皆可以通融治之。惟烧
酒送，独于青筋为宜。盖青筋，多生冷寒湿所致。至热症或用冷水冷茶送，气滞用陈皮，食积用
麦芽水送，随症变通可耳。
这种病症是由于气机逆乱导致血液运行不畅，以及恶血上冲侵犯心脏所致。多由愤怒情绪相冲，或忧郁导致气机郁结不散，或恼怒后又损伤生冷食物，或房事劳累后感受寒湿之气，从而导致精神恍惚、心慌气喘、咽喉噎塞气机上壅、呕吐呃逆恶心、头目昏眩、胸膈部痞闷胀满、心腹部刺痛、胁肋腰背部疼痛、头痛脑痛、口苦舌干、面色青紫嘴唇发黑、四肢沉重困倦、全身关节酸痛，或者憎恶寒冷且高热、遍身麻痹、手足厥冷、颤抖动摇、沉默不语、不思饮食等症状，这些都是恶血攻心所导致的。古代没有专门的治疗方法，只是针刺两手曲池穴上方的青色静脉，放出瘀血即可痊愈。但如果屡次患病屡次针刺，仍无法根除。人是以气血为主的，所以朱丹溪说：气血调和，百病不生。此病先受外邪损伤，进而又损耗其血，因此制定一方剂，名为白虎丸。白虎是指西方肺金，青筋是东方肝木的象征，用白虎来治疗青筋，是因为金能克木，其中蕴含深刻的道理。此方能代替针砫之苦，并且避免日后复发。兼治男子久痢便血、妇人崩漏带下，以及一切跌打扑损造成的内伤，血液不能消散，心腹痛欲死者，服用后神效。
白虎丸
千年锻石（一种矿物药），数量不拘，刮去外层杂色泥土，研细后用水飞法处理，用糊剂制成梧桐子大小的丸药。每次用烧酒送服五十丸，根据病情轻重加减剂量。初觉症状时一剂即可见效，过了三五天病势已衰，宜多服用。
松峰按语：原方下方注解说，此药能顺气散血、化痰消滞。那么凡是霍乱痧证，都可以通融使用此法治之。只有用烧酒送服，唯独对于青筋症最为适宜。因为青筋症，多由生冷寒湿所致。至于热症可用冷水或冷茶送服，气滞者用陈皮水送服，食积者用麦芽水送服，随症状变化灵活变通即可。
This syndrome is caused by rebellious Qi leading to stagnant blood, and the upward attack of foul blood on the Heart. It mostly arises from clashing anger, or melancholy causing Qi stagnation that fails to disperse, or injury from raw and cold food after rage, or contraction of cold-dampness after sexual exertion. This results in symptoms such as mental confusion, palpitations with shortness of breath, throat obstruction with Qi rebellion, vomiting and hiccups with nausea, dizziness of head and eyes, fullness and stuffiness in the chest and diaphragm, stabbing pain in the heart and abdomen, pain in the hypochondrium, lower back, and back, headache and brain pain, bitter taste in the mouth and dry tongue, cyanosis of the face and black lips, heaviness and fatigue of the four limbs, soreness and pain in all joints, aversion to cold with high fever, numbness of the whole body, cold extremities, tremors, silence without speaking, and loss of appetite. All these symptoms are caused by foul blood attacking the Heart. In ancient times, there was no specific treatment method; only needling the blue veins above the Quchi (LI11) acupoint on both hands to release stasis could cure it. However, if one suffers repeatedly and needles repeatedly, it cannot be eradicated. Humans rely primarily on Qi and Blood; therefore, Zhu Danxi said: When Qi and Blood are harmonious, hundred diseases do not arise. This disease first injures externally, and subsequently damages the Blood. Therefore, a formula is formulated, named Baihu Wan (White Tiger Pill). "Baihu" refers to the Metal of the West Lung, while "blue veins" represent the Wood of the East Liver. Using Baihu to treat blue veins relies on the principle that Metal controls Wood, which contains profound logic. It can replace the suffering of acupuncture and prevent recurrence. It also treats chronic dysentery with bloody stools in men, metrorrhagia and leukorrhea in women, and all kinds of internal injuries from falls and blows where blood cannot dissipate, causing severe heart and abdominal pain nearly causing death; taking it yields miraculous effects.
Baihu Wan (White Tiger Pill)
Qiannian Duanshi (Millennium Calcined Stone), any amount. Scrape off the outer impure soil, grind into fine powder, process by water flotation, and make pills with paste the size of sesame seeds. Take fifty pills each time, delivered with distilled liquor (Shaojiu), adjusting dosage according to severity. If taken at the initial stage, one dose will take effect. After three to five days when the pathogen has weakened, it is advisable to take more.
Songfeng's Note: The original prescription notes that this medicine can regulate Qi, dissipate blood stasis, resolve phlegm, and eliminate stagnation. Thus, it can be used flexibly for Huoluan (Cholera-like disorder) and Sha Zheng (Sand Syndrome). However, delivering it with Shaojiu (distilled liquor) is uniquely suitable for Blue Vein Syndrome. This is because Blue Vein Syndrome is mostly caused by raw, cold, and damp pathogens. For heat syndromes, it can be delivered with cold water or cold tea; for Qi stagnation, with Chenpi (Citri Reticulatae Pericarpium) water; for food stagnation, with Maiya (Hordei Fructus Germinatus) water. One should adapt flexibly according to the symptoms.