忧愁太过,忽忽不乐,洒淅寒热,痰气不清,萱草忘忧汤主之。
萱草忘忧汤(自制)
桂枝(五分) 白芍(一钱五分) 甘草(五分) 郁金(二钱) 合欢花(二钱) 广皮
(一钱) 半夏(一钱) 贝母(二钱) 茯神(二钱) 柏仁(二钱) 金针菜
(一两煎汤代水)
此方根据合欢蠲忿,萱草忘忧,《养生论》之启示而作。再以茯神、柏仁养其心,贝母、郁金
解其郁,桂枝、芍、草调营卫、橘、半利痰气,而诸证皆顾到矣。祖怡注。
思虑太过,心烦意乱,食少神疲,四肢倦怠,一志汤主之。
一志汤(自制)
人参(二钱) 茯神(二钱) 白术(一钱五分) 甘草(五分) 黄 (二钱) 益智
(一钱五分) 远志(五分) 柏仁(二钱) 广皮(一钱) 木香(五分) 大枣(二枚)
姜(三片)
《内经》不云乎,思则心有所存,神有所归(归字可作注字解),正气(可作心气解)留(可
作着字解)而不行,故气结矣。本方见证,气分重于血分,故用归脾汤法,去当归、枣仁、龙眼,
易以柏仁、益智、广皮,就是根据经文,不偏重心血少,而偏重于心气结。一经化裁,就另是一
样精神,可为不执古方之法。祖怡注。
悲则气逆,愤郁不舒,积久伤肺,清肃之令不能下行,加味参苏饮主之。
加味参苏饮(自制)
人参(二钱) 苏子(二钱) 沉香(五分) 桑皮(三钱) 蒌皮(三钱) 橘红
(一钱) 半夏(一钱) 丹参(二钱) 柏子仁(二钱) 苡仁(五钱) 姜(二片)
此方着重在经文悲则心系急,肺布叶举,而上焦不通,故立方以顾气血、降痰气为主。祖怡注。
忧愁过度,导致精神恍惚、心情抑郁,伴有忽冷忽热的症状,且体内痰气浑浊不清,应当使用萱草忘忧汤治疗。
萱草忘忧汤(自制方)
桂枝(五分) 白芍(一钱五分) 甘草(五分) 郁金(二钱) 合欢花(二钱) 广陈皮(一钱) 半夏(一钱) 贝母(二钱) 茯神(二钱) 柏子仁(二钱) 金针菜(一两,煎汤代替水煎药)
此方是根据《神农本草经》中“合欢蠲忿(消除愤怒),萱草忘忧”的记载,以及嵇康《养生论》的启示而制定的。再配合茯神、柏子仁来滋养心神,贝母、郁金来疏解郁结,桂枝、白芍、甘草来调和营卫之气,陈皮、半夏来理气化痰,这样各种证候都能兼顾到了。祖怡注。
思虑过度,导致心烦意乱,食欲减退,精神疲惫,四肢倦怠无力,应当使用一志汤治疗。
一志汤(自制方)
人参(二钱) 茯神(二钱) 白术(一钱五分) 甘草(五分) 黄芪(二钱) 益智仁(一钱五分) 远志(五分) 柏子仁(二钱) 广陈皮(一钱) 木香(五分) 大枣(两枚) 生姜(三片)
《黄帝内经》不是说过吗?思虑过度会使心神专注于某处,神气内守而不外散,正气(此处可理解为心气)停留(此处可理解为附着)在那里而不能运行,所以导致气机郁结。本方所对应的证候,气分的病变重于血分,因此采用归脾汤的方法,去掉当归、酸枣仁、龙眼肉,替换为柏子仁、益智仁、广陈皮,这就是依据经文,不侧重于心血不足,而侧重于心气郁结。经过这样的加减化裁,就呈现出另一种治疗思路,可以作为不拘泥于古方的典范。祖怡注。
悲伤过度会导致气机上逆,愤懑郁结不得舒展,日久损伤肺脏,使肺的清肃下降功能不能下行,应当使用加味参苏饮治疗。
加味参苏饮(自制方)
人参(二钱) 紫苏子(二钱) 沉香(五分) 桑白皮(三钱) 瓜蒌皮(三钱) 橘红(一钱) 半夏(一钱) 丹参(二钱) 柏子仁(二钱) 薏苡仁(五钱) 生姜(二片)
Excessive sorrow leads to a state of mental distraction and depression, accompanied by alternating chills and fever, and turbid phlegm-qi in the body. The *Xuancao Wangyou Decoction* (Daylily Forget-Sorrow Decoction) should be administered.
*Xuancao Wangyou Decoction* (Self-made Formula)
*Cassiae Ramulus* (Guizhi, 桂枝) - 5 fen
*Paeoniae Radix Alba* (Baishao, 白芍) - 1 qian 5 fen
*Licorice Root* (Gancao, 甘草) - 5 fen
*Turmeric Tuber* (Yujin, 郁金) - 2 qian
*Albizia Flower* (Hehuanhua, 合欢花) - 2 qian
*Aurantii Pericarpium* (Guangpi, 广皮) - 1 qian
*Pinellia Rhizoma* (Banxia, 半夏) - 1 qian
*Fritillaria Bulbus* (Beimu, 贝母) - 2 qian
*Poria* (Fushen, 茯神) - 2 qian
*Platycladi Seed* (Bairen, 柏仁) - 2 qian
*Hemerocallis Tuber* (Jinzhencai, 金针菜) - 1 liang (decocted separately to replace water for decocting other herbs)
This formula was formulated based on the inspiration from the *Shennong Bencao Jing* stating that "Albizia eliminates anger, and Daylily forgets sorrow," as well as insights from Ji Kang's *Yangsheng Lun* (Discourse on Nourishing Life). Furthermore, *Poria* and *Platycladi Seed* are used to nourish the Heart-Shen (Spirit); *Fritillaria Bulbus* and *Turmeric Tuber* to resolve depression; *Cassiae Ramulus*, *Paeoniae Radix Alba*, and *Licorice Root* to harmonize Ying (Nutritive) and Wei (Defensive) Qi; and *Aurantii Pericarpium* and *Pinellia Rhizoma* to promote Qi flow and resolve phlegm. Thus, all symptoms are addressed. Note by Zuyi.
Excessive rumination leads to restlessness and confusion, decreased appetite, mental fatigue, and lassitude of the four limbs. The *Yizhi Decoction* (Single-Mindedness Decoction) should be administered.
*Yizhi Decoction* (Self-made Formula)
*Ginseng Radix* (Renshen, 人参) - 2 qian
*Poria* (Fushen, 茯神) - 2 qian
*Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术) - 1 qian 5 fen
*Licorice Root* (Gancao, 甘草) - 5 fen
*Astragali Radix* (Huangqi, 黄芪) - 2 qian
*Alpinia Oxyphylla Fruit* (Yizhi, 益智) - 1 qian 5 fen
*Polygalae Radix* (Yuanzhi, 远志) - 5 fen
*Platycladi Seed* (Bairen, 柏仁) - 2 qian
*Aurantii Pericarpium* (Guangpi, 广皮) - 1 qian
*Amomi Fructus* (Muxiang, 木香) - 5 fen
*Jujube* (Dazao, 大枣) - 2 pieces
*Zingiberis Rhizoma Recens* (Jiang, 姜) - 3 slices
Does not the *Neijing* (Inner Canon) say? Excessive rumination causes the mind to dwell on one object and the Shen (Spirit) to return inward. Zheng Qi (Righteous Qi, here interpreted as Heart-Qi) remains attached and does not circulate, thus leading to Qi stagnation. In the manifestations of this formula, the pathology of Qi is heavier than that of Blood. Therefore, the method of *Guipi Tang* (Restore the Spleen Decoction) is adopted, but *Angelicae Sinensis Radix* (Danggui), *Ziziphi Spinosae Semen* (Suanzaoren), and *Longan Arillus* (Longyanrou) are removed and replaced with *Platycladi Seed*, *Alpinia Oxyphylla Fruit*, and *Aurantii Pericarpium*. This follows the canonical text, focusing not on the deficiency of Heart-Blood, but on the stagnation of Heart-Qi. Through such modification, it presents a different therapeutic spirit, serving as an example of not being rigidly bound to ancient formulas. Note by Zuyi.
Sorrow causes Qi to rebel upward, leading to resentment and depression that fails to diffuse. Over time, this injures the Lung, preventing the descending function of its clear and pure nature. The *Modified Shensu Yin* (Modified Ginseng and Perilla Drink) should be administered.
*Modified Shensu Yin* (Self-made Formula)
*Ginseng Radix* (Renshen, 人参) - 2 qian
*Perillae Fructus* (Suzi, 苏子) - 2 qian
*Aquilariae Lignum Resinatum* (Chenxiang, 沉香) - 5 fen
*Morus Cortex* (Sangpi, 桑皮) - 3 qian
*Trichosanthis Pericarpium* (Loupi, 萎皮) - 3 qian
*Citri Reticulatae Pericarpium Rubrum* (Juhong, 橘红) - 1 qian
*Pinellia Rhizoma* (Banxia, 半夏) - 1 qian
*Salviae Miltiorrhizae Radix* (Danshen, 丹参) - 2 qian
*Platycladi Seed* (Baizi Ren, 柏子仁) - 2 qian
*Coicis Semen* (Yiren, 苡仁) - 5 qian
*Zingiberis Rhizoma Recens* (Jiang, 姜) - 2 slices
This formula emphasizes the canonical statement: "Sorrow makes the Heart-Tie (connection of the Heart) tense, the Lung leaves expand, and the Upper Jiao becomes blocked." Therefore, the prescription focuses primarily on protecting Qi and Blood and descending Phlegm-Qi. Note by Zuyi.