大意
气者。氤氲浩大之元气。当其和平之时。源出中焦。总统乎肺。(原病式)在外则护卫皮毛。充实腠理。在内则导
引血脉。升降阴阳。周流一身。营运不息。(指掌)脏腑之所以相养相生者。皆此气也。盛则盈。衰则虚。顺则平。
逆则病。(绳墨)
内因
百病皆生于气也。怒则气生。喜则气缓。悲则气消。恐则气下。寒则气收。热则气滞。惊则气乱。劳则气耗。思
则气结。忧则气沉。(内经)凡七情之交攻。五志之间发。乖戾失常。清者遽变而为浊。行者抑遏而反止。营运
渐远。肺失主持。气乃病焉。(原病式)
外候
气之为病。生痰动火。升降无穷。燔灼中外。稽留血液。为积为聚。为肿为毒。为疮为疡。为呕为咳。为痞塞。为
关格。为胀满。为喘呼。为淋沥。为便闭。(绳墨)为胸胁胀疼。为周身刺痛。久则凝结不散。或如梅核。窒碍于咽
喉之间。咯咽不下。或如积块。攻冲于心腹之内。发则痛绝。(汇补)
脉法
下手脉沉。便知是气。沉极则伏。涩弱难治。(玄要)大凡气病轻者。肺脉独沉。重者。六脉俱沉。又气病轻者。肝
脉独弦。重者。脾脉亦弦也。(汇补)
女人多气
男子属阳。得气易散。女子属阴。得气多郁。故男子气病少。女子气病多。(正传)况娇养纵妒。性偏见鄙。或孀
媳婢外家。志念不伸。恚愤疑忌。抑郁无聊。皆足致病。(汇补)
七情病异
喜怒惊恐。属心胆肾经。病则耗散正气。为怔忡失志。精伤痿厥。不足之病。怒忧思悲。属肺脾肝经。病则郁
结邪气。为颠狂噎膈。肿胀疼痛。有余之病。(玉册)
五志相胜
五志所伤。以所胜者平之。悲可以治怒。以怆恻苦楚之言感之。怒可以治思。以污辱欺罔之言触之。思可
以治恐。以虑彼忘此之言夺之。恐可以治喜以迫遽危亡之言怖之。喜可以治悲以谑浪亵狎之言娱之。
凡此法者。必诡诈谲怪。无所不至。然后可以动其耳目。易其视听也。又热可以治寒。寒可以治热。逸可以
治劳。习可以治惊。若徒事汤药。失所务矣。(子和)
气症总治
调气之法。结者散之。散者收之。损者益之。逸者行之。上之下之。摩之浴之。薄之劫之。开之发之。气虚者掣
引之。(素问)滞者导之。郁者扬之。热者清之。寒者温之。偏热偏寒者。反佐而行之。挟湿者。淡以渗之。挟虚者。
补而养之。(六要)虚甚者。补敛之。浮越者。镇坠之。(汇补)
气病变火
气本属阳。亢则成火。(六要)气有余。便是火也。(原病式)故滞气逆气上气。皆气得炎上之化。有升无降。蒸熏
清道。甚至上焦不纳。中焦不化。下焦不渗。宜清降气道。(化气丸加黄连山栀)若概用辛香燥热之剂。是以火济火矣。
(丹溪)
气病成痰
有寻常外冒四气。内着七情。或偏食浓味。致清浊相干。噫气少食。或痞或痛。此属气也。然有屡用辛温。暂
开复结。愈劫愈滞。蔓延日久。为吞酸。为嘈杂。此乃气生痰之症也。若徒用香燥。则津液枯涸。痰凝血瘀。结
成窠囊。为痛为呕。乃反胃噎膈之渐也。惟当平补调疏。使脾胃清和。则气道健行。痞塞自解。(六要)
气兼痰火
气与痰火。同出异名。三者凑合。重则卒暴眩仆。轻则胀痛痞塞。故治气者。不治其火则气不降。不治其痰
则气不行。故清痰降火。为治气之关节也。(汇补)
辛香暂用
辛香之剂。但治初起。郁结之气。借此暂行开发。稍久气郁成热。便宜辛凉以折之。最忌香燥助火。如明知
伤冷受寒而病者。方敢温散。亦暂法也。(丹溪)
气病和血
气主煦之。血主濡之。(难经)一切气病用气药不效者。乃气滞而血不能波澜也。宜少佐芎、归活血。血气流
通而愈。乃屡验者。故妇人宜调血以理气。男子宜调气以养血。(医鉴)
气虚补脾
气因于中。(内经)故中州为元气之母。俗云气无补法者。此为气实人言也。如脾虚正气不行。邪着为病。当
调理中州。复健运之职。则浊气降而痞满除。如不补气。气何由行。(丹溪)六君子汤加减之。
气虚和肝
上升之气。自肝而出。(原病式)故性躁多怒之人。肝木必旺。肝旺则乘脾。宜用伐肝之药。然克削太过。肝木未
平。而脾土先受其害。脾益虚矣。(准绳)况造物之理。太刚则折。肝气过旺。肝亦自伤。不但脾虚。而肝亦虚矣。
所以气病久而肝脾两虚者。宜调脾和肝。逍遥散出入治之。(汇补)
气虚补肾
肺为主气之标。肾为主气之本。肾虚气不归元。冲脉之火。主冲清道。为喘呼。为呃忒。为呕哕。为不得卧下。
皆当从下焦补敛之法。不知者泛用调气破气。而终不下降者。气之所藏。无以收敛也。必佐以补肾。而气
始归元。(入门)气喘。用观音应梦散。呃逆。用桂附理中汤。卧不下。用八味丸。大凡纳气归元。用砂仁、补骨脂、
五味、胡桃肉之类。
气症用药
主以宽中散。胸满。加苏梗、枳壳。心下满。加枳实。腹胀。加浓朴、大腹皮。胁痛。加柴胡、橘叶。腹痛。加乌
药、枳壳。小腹痛。加青皮。郁气。加抚芎、苍术。怒气。加木香、沉香。挟冷。加干姜、肉桂。挟热。加姜炒山栀。
挟虚。加人参。实满。加大黄。大约青皮破肝气。多用损真元之气。枳壳泻滞气。过服泻至高之气。香附散郁气。须制
过。木香调诸气。兼泻肺。橘红专泻。陈皮兼补。浓朴平胃气。前胡下气推陈。沉香降诸气。乌药、川芎、紫苏。俱能
散浊气从汗而散。槟榔、大腹皮。能使浊气下行而去后重。有积者宜之。莱菔子、苏子、杏仁。下气润燥。肺气滞于
大肠者宜之。豆蔻、沉香、丁香、檀香。辛热能散滞气。暴郁者宜用。稍久成火者忌用。须以姜炒山栀从治之。
以上皆疏肝有余气病要药。若兼痰火。兼积滞。兼血有余不足。各随加减。调气用木香。然木香性温上升。
如郁气不舒。固宜用之。若阴火上冲。胸喉似有气滞而非气者。则不可用木香以助火。当加黄柏、知母。少
佐枳壳。血虚气滞。四物汤加香附、陈皮。阴虚气滞。地黄汤加沉香、石斛、砂仁。阳虚气滞。四逆汤加肉桂、补
骨脂。气虚气滞。六君子汤加益智、苏梗。肥人气滞必挟痰。以二陈汤加香附、枳壳。燥以开之。甚者。加苍术、
白芥子。瘦人气滞必挟火。宜苏子、山栀、归、芍。降以润之。妇人性执属阴。易于动气。痞闷胀满而痛。上凑心
胸。或攻筑胁肋。腹中结块。月水不调。或眩晕呕吐。往来寒热。一切气候。正气天香散、四七汤酌用之。如气
不升降。痰涎壅盛者。苏子降气汤。气不归元。以补骨脂为主。取其壮肾气以收浊气归就膀胱。使气化而
出也。或白术亦可。以其能和胃。胃和则气自归元。此为脾肾两虚者立法也。若肺肾两虚。气不归元。喘促
不卧者。宜五味子、胡桃、人参之类。气郁久则中气伤。不宜克伐。宜归脾逍遥二方。佐以抚芎、香附、枳壳以
舒郁。胎产同法。
气症选方
宽中散 统治气症。
白豆蔻(二两) 甘草(炙五两) 木香(三两) 浓朴(一斤) 砂仁(三两) 丁香 青皮 陈皮(各四两) 香
附(三两)
为末。每服二钱。生姜水煎服。脾胃虚人。不可多用。当以六君子兼之。
四磨汤 治怒忧悲思。气滞于中。
乌药 枳壳 槟榔 沉香
四件。各磨半小杯。温服。和。一法。以二陈汤同用。或煎或磨入同服。更效。济生方中所载。内有人参。无枳壳。
正气天香散(河间) 治九气。
乌药(三两) 香附(八两) 陈皮 紫苏 干姜(各一两)
为末。每服一钱。淡盐汤调。
苏子降气汤(和剂) 治虚阳上攻。气不升降。痰涎壅盛。
苏子(二钱半) 浓朴(一钱) 陈皮(一钱) 半夏(二钱半) 前胡(二钱) 沉香(七分) 甘草(一钱)
生姜水煎服。虚冷人加肉桂五分。当归、黄 各一钱。
一法。去肉桂。加桑白皮、白术。治哮喘嗽症。愚意哮喘嗽症初起。不宜用白术。当以茯苓代之。若久而易
感常发者。丸方中竟用白术以治痰之源。
忿气饮 治忿怒太过。肝气上升。肺气不能降者。
紫苏 半夏 青皮 陈皮 大腹皮 赤苓 桑皮 白芍药 木通 甘草
四七汤(和剂) 治七情结成痰涎。状如破絮梅核。在咽喉之间。或中脘痞满。气不舒快。痰涎壅盛。上下喘
息。或呃逆恶心。兼治忧思过度。小便白浊者。以此药下青州白丸子。最效。
浓朴(九分) 茯苓(一钱二分) 半夏(一钱半) 紫苏(六分)
生姜。水煎服。治妇人恶阻。大效。
木香化滞汤 治气食湿面。结于中脘。腹内微痛。心下痞。不思食。
枳实(五分) 柴胡(四分) 木香(三分) 陈皮(五分) 甘草(一分) 半夏
草豆蔻(五分) 当归(二分) 红花(一分) 生姜
流气饮子 治心胸痞满。膨胀呕吐。面目四肢浮肿。二便闭塞。及忧思太过。郁结成疾。又治香港脚肿痛。上
喘作胀。大便不通。及气攻肩背胸胁。走注疼痛。
苏叶 青皮 当归 芍药 乌药 茯苓 桔梗 半夏 川芎 黄 枳实(各一钱) 甘草
陈皮 木香 大腹皮 槟榔 防风 枳壳(各五分)
生姜、枣子。水煎服。
木香流气饮(和剂) 治清浊不分。膨胀浮肿。二便不利。口苦咽干。但此方药味太多。似难执定。用者因时
制宜可也。
半夏(制二两) 青皮 浓朴(制) 紫苏 香附(炒) 甘草(炙各二斤) 陈皮(二斤) 肉桂 蓬术(煨) 丁
香槟榔 麦门冬(去心) 木香 草果(各六两) 木通(八两) 藿香 白芷 赤苓 白术 木瓜 人参 石菖蒲
(各四两) 大腹皮(制六两)
每服四钱。姜枣。水煎服。
四炒枳壳丸 治气血内滞。胸腹膨胀。
枳壳一斤。分四分。以苍术、茴香、莱菔子、干漆。各炒一分。令焦。拣去四味。止用枳壳。为末。将原四味煎汁。
打糊丸如桐子大。每服五十丸。白汤下。
推气散 平肝降气。
枳壳 肉桂 芍药 青皮
燔葱散(和剂) 治冷气不行。攻刺心腹。
延胡索(三两) 肉桂 干姜(炮二两) 苍术(炒八两) 甘草(炙八两) 砂仁
丁皮 槟榔(各四两) 三棱(煨) 蓬术(煨) 茯苓 青皮(各六两)
为末。每服二钱。葱白煎服。
盐煎散 治冷气攻冲。胸胁刺痛。及脾胃虚冷。呕吐泻利。
砂仁 甘草 茯苓 草果 肉果 川芎 茴香 澄茄 麦芽 槟榔 良姜 枳壳 浓朴 陈皮 羌活 苍术
入盐少许。煎服。
栀子解郁方 治气有余便是火之症。此药能解五脏结气。益少阴阴血。
栀子一味。炒黑为末。以姜汁入汤同煎。饮之。
凡郁热症药中。加姜炒山栀。其义实出于此。
沉香化气丸 治气郁久而成热。便闭不通。用此润下之。
坚大黄 黄芩 沉香 人参 白术
为末。入竹沥、姜汁少许。为丸。淡姜汤下一钱。
越鞠丸(丹溪) 治气郁久病。用此开郁清解。
茅山苍术(米泔炒) 抚芎 香附(各二两) 山栀(炒) 神曲(各一两五钱)
为末。滴水丸如绿豆大。白汤下百粒。
以上诸方。治气家有余实症。若虚弱者。以后法治之。
四君子汤 治气症脾胃虚而食少泻多。脉虚濡。不可克削破气者。
六君子汤 治气症脉虚。属脾虚挟痰者。(二方俱见中风)
生脉散 治气虚脉虚。(方见暑症)
归脾汤 治喜恐惊劳。气散于内。并治房劳后着气。厥逆不省。少顷复醒。而脉虚细者。用此养元。不可服破气药。
补中益气汤 治劳倦后着气。或久病后气逆不通。用此补气而气自行。(二方俱见中风)
观音应梦散(夷坚志) 治气虚脉弱。喘呼不卧者。
人参(一寸) 胡桃(二枚)
水煎服。一方。加五味子、杏仁。
理中汤 治中风虚寒。馁弱不振。虚胀虚泻。胸腹胀满。按之濡而不硬者。(方见中寒)
八味丸 治气虚属房劳伤肾。真火不能生脾土。因而腹胀足肿。腰痛溺短者。(方见中风)
养正丹(和剂) 治上盛下虚。气升不降。元阳亏损。气短身羸。及中风涎潮。不省人事。伤寒阴盛。自汗唇青。
妇人血气久冷。
水银 黑锡(去渣净秤与水银结砂子) 朱砂(研) 硫黄(研各一两)
用铁盏一只。火上熔黑铅成汁。下水银。以柳条搅。次下朱砂搅。令不见星。放下少时。方入硫黄末。急搅
成汁。和匀。如有焰起。以醋洒之。候冷取出。研极细。煮糯米糊丸绿豆大。每服三十丸。盐汤枣汤任下。
【大意】
气,是弥漫浩大的元气。当它处于平和状态时,源于中焦,由肺所统摄。(《原病式》)在体表则护卫皮毛,充实腠理;在体内则引导血脉,调节阴阳升降,周流全身,运行不息。(《指掌》)脏腑之间之所以能够相互滋养、相生,全靠这种气。气盛则充盈,气衰则虚弱,气顺则平安,气逆则生病。(《绳墨》)
【内因】
百病都产生于气机失调。愤怒使气上逆,喜悦使气舒缓,悲伤使气消减,恐惧使气下陷,寒冷使气收敛,炎热使气阻滞,惊吓使气紊乱,劳累使气耗散,思虑使气结聚,忧愁使气下沉。(《内经》)凡是七情互相攻伐,五志交替发作,导致性情乖戾失常,清气突然变为浊气,行气被抑制而停止,运行动力渐远,肺失去主持权,气便发生病变。(《原病式》)
【外候】
气作为致病因素,会生痰动火,升降无度,燔灼内外,稽留血液,形成积聚,造成肿胀毒邪,引发疮疡,导致呕吐咳嗽,出现痞塞,引起关格,产生胀满,发出喘息声,造成淋沥不尽,导致便秘。(《绳墨》)表现为胸胁胀痛,周身刺痛。日久则凝结不散,有的像梅核一样,窒碍于咽喉之间,咳之不出,咽之不下;有的像积块一样,攻冲于心腹之内,发作时疼痛剧烈甚至昏厥。(《汇补》)
【脉法】
诊脉时若见脉象沉,便可知道是气病。脉沉至极则为伏脉,涩弱难治。(《玄要》)大凡气病轻的,仅肺脉独沉;重的,六脉俱沉。另外,气病轻的,仅肝脉独弦;重的,脾脉也变弦。(《汇补》)
【女人多气】
男子属阳,得气病容易消散;女子属阴,得气病多郁结。所以男子气病少,女子气病多。(《正传》)况且娇生惯养、纵容嫉妒,性格偏激鄙陋,或是寡妇、儿媳、婢女、外家妇女,志向念头无法伸展,怨恨愤怒、怀疑忌妒,抑郁无聊,这些都足以导致疾病。(《汇补》)
【七情病异】
喜、怒、惊、恐,属于心、胆、肾经。发病时耗散正气,导致怔忡、失志、精伤、痿厥等不足之病。怒、忧、思、悲,属于肺、脾、肝经。发病时郁结邪气,导致癫狂、噎膈、肿胀、疼痛等有余之病。(《玉册》)
【五志相胜】
五志所伤,用能克制它的志来平复它。悲伤可以治疗愤怒,用凄惨苦楚的话语感动他;愤怒可以治疗思虑,用污辱欺骗的话语触动他;思虑可以治疗恐惧,用考虑此事忘记彼事的话语转移他;恐惧可以治疗喜悦,用紧迫危亡的话语吓唬他;喜悦可以治疗悲伤,用戏谑狎昵的话语娱乐他。
这些方法,必须诡诈奇特,无所不用其极,然后才能打动他的耳目,改变他的视听。此外,热可以治疗寒,寒可以治疗热,安逸可以治疗劳倦,习惯(适应)可以治疗惊恐。如果只依靠汤药,就失去了治疗的要务了。(张子和)
【气症总治】
调理气的方法:结聚的使之消散,涣散的使之收敛,亏损的予以补益,逸滞的使之运行,在上者使其下降,在下者使其提升,按摩它,洗浴它,迫近它,劫夺它,开通它,发散它。气虚者牵引引之。(《素问》)停滞的疏导它,郁结的发扬它,热的清解它,寒的温煦它,偏热偏寒的用反佐法配合治疗。挟湿的用淡味药渗利它,挟虚的补益滋养它。(《六要》)虚甚的用补敛法,浮越的用镇坠法。(《汇补》)
【气病变火】
气本属阳,亢盛则变成火。(《六要》)气有余,就是火。(《原病式》)所以滞气、逆气、上气,都是气具有炎上的变化,只有升没有降,蒸熏清道,甚至上焦不纳、中焦不化、下焦不渗,应当清降气道。(化气丸加黄连、山栀)如果一概使用辛香燥热的药物,那就是以火救火了。(朱丹溪)
【气病成痰】
有寻常外感四气,内伤七情,或者偏食浓味,导致清浊相干,嗳气少食,或者痞闷或者疼痛,这属于气病。然而有人屡用辛温药,暂时开通后又结聚,愈劫夺愈阻滞,蔓延日久,成为吞酸、嘈杂,这是气生痰的症状。如果只用香燥药,则津液枯涸,痰凝血瘀,结成窠囊,成为疼痛呕吐,这是反胃噎膈的开端。只应当平补调疏,使脾胃清和,则气道健行,痞塞自然解除。(《六要》)
【气兼痰火】
气与痰火,同出而异名。三者凑合,重则突然眩晕仆倒,轻则胀痛痞塞。所以治气的人,不治火则气不降,不治痰则气不行。因此清痰降火,是治气的关键。(《汇补》)
【辛香暂用】
辛香的药物,只适用于初起,郁结之气,借此暂时开发。稍久气郁成热,就应当用辛凉药折服它。最忌讳香燥助火。如明知是伤冷受寒而病的,才敢用温散法,这也是暂时之法。(朱丹溪)
【气病和血】
气主煦之,血主濡之。(《难经》)一切气病用气药无效的,是因为气滞而血不能波澜起伏。宜少佐川芎、当归活血,气血流通而痊愈,这是屡试不爽的。所以妇人宜调血以理气,男子宜调气以养血。(《医鉴》)
【气虚补脾】
气生于中焦。(《内经》)所以中州是元气的母亲。俗话说气无补法,这是对气实之人说的。如脾虚正气不行,邪气附着致病,应当调理中州,恢复健运之职,则浊气降而痞满除。如果不补气,气从哪里运行呢?(朱丹溪)用六君子汤加减。
【气虚和肝】
上升的气,从肝而出。(《原病式》)所以性躁多怒的人,肝木必旺。肝旺则乘脾,宜用伐肝的药。然而克削太过,肝木未平,而脾土先受其害,脾更虚了。(《准绳》)况且造物的道理,太刚则折。肝气过旺,肝亦自伤。不但脾虚,肝也虚了。所以气病久而肝脾两虚的,宜调脾和肝,逍遥散出入治之。(《汇补》)
【气虚补肾】
肺为主气之标,肾为主气之本。肾虚气不归元,冲脉之火,主冲清道,导致喘呼、呃忒、呕哕、不得卧下,都应当从下焦补敛的方法治疗。不知道的人泛用调气破气药,而终不下降的,是因为气之所藏,无以收敛。必须佐以补肾,气才归元。(《入门》)气喘,用观音应梦散;呃逆,用桂附理中汤;卧不下,用八味丸。大凡纳气归元,用砂仁、补骨脂、五味子、胡桃肉之类。
【气症用药】
主方用宽中散。胸满,加苏梗、枳壳;心下满,加枳实;腹胀,加厚朴、大腹皮;胁痛,加柴胡、橘叶;腹痛,加乌药、枳壳;小腹痛,加青皮;郁气,加抚芎、苍术;怒气,加木香、沉香;挟冷,加干姜、肉桂;挟热,加姜炒山栀;挟虚,加人参。实满,加大黄。大约青皮破肝气,多用损真元之气;枳壳泻滞气,过服泻至高之气;香附散郁气,须制过;木香调诸气,兼泻肺;橘红专泻,陈皮兼补;厚朴平胃气;前胡下气推陈;沉香降诸气;乌药、川芎、紫苏,俱能散浊气从汗而散;槟榔、大腹皮,能使浊气下行而去后重,有积者宜之;莱菔子、苏子、杏仁,下气润燥,肺气滞于大肠者宜之;豆蔻、沉香、丁香、檀香,辛热能散滞气,暴郁者宜用,稍久成火者忌用,须以姜炒山栀从治之。
以上皆疏肝有余气病要药。若兼痰火,兼积滞,兼血有余不足,各随加减。调气用木香,然木香性温上升,如郁气不舒,固宜用之。若阴火上冲,胸喉似有气滞而非气者,则不可用木香以助火,当加黄柏、知母,少佐枳壳。血虚气滞,四物汤加香附、陈皮;阴虚气滞,地黄汤加沉香、石斛、砂仁;阳虚气滞,四逆汤加肉桂、补骨脂;气虚气滞,六君子汤加益智、苏梗。肥人气滞必挟痰,以二陈汤加香附、枳壳,燥以开之,甚者,加苍术、白芥子。瘦人气滞必挟火,宜苏子、山栀、归、芍,降以润之。妇人性执属阴,易于动气,痞闷胀满而痛,上凑心胸,或攻筑胁肋,腹中结块,月水不调,或眩晕呕吐,往来寒热,一切气候,正气天香散、四七汤酌用之。如气不升降,痰涎壅盛者,苏子降气汤。气不归元,以补骨脂为主,取其壮肾气以收浊气归就膀胱,使气化而出也。或白术亦可,以其能和胃,胃和则气自归元,此为脾肾两虚者立法也。若肺肾两虚,气不归元,喘促不卧者,宜五味子、胡桃、人参之类。气郁久则中气伤,不宜克伐,宜归脾逍遥二方,佐以抚芎、香附、枳壳以舒郁。胎产同法。
【气症选方】
宽中散 统治气症。
白豆蔻(二两) 甘草(炙五两) 木香(三两) 厚朴(一斤) 砂仁(三两) 丁香 青皮 陈皮(各四两) 香附(三两)
研为末。每服二钱,生姜水煎服。脾胃虚人,不可多用,当以六君子汤兼之。
四磨汤 治怒忧悲思,气滞于中。
乌药 枳壳 槟榔 沉香
四味,各磨半小杯,温服。另一种方法,以二陈汤同用,或煎或磨入同服,更效。济生方中所载,内有人参,无枳壳。
正气天香散(河间) 治九气。
乌药(三两) 香附(八两) 陈皮 紫苏 干姜(各一两)
研为末。每服一钱,淡盐汤调服。
苏子降气汤(和剂局方) 治虚阳上攻,气不升降,痰涎壅盛。
苏子(二钱半) 厚朴(一钱) 陈皮(一钱) 半夏(二钱半) 前胡(二钱) 沉香(七分) 甘草(一钱)
生姜水煎服。虚冷人加肉桂五分,当归、黄芪各一钱。
另一种方法,去肉桂,加桑白皮、白术,治哮喘嗽症。愚意认为哮喘嗽症初起,不宜用白术,当以茯苓代之。若久而易感常发者,丸方中竟用白术以治痰之源。
忿气饮 治忿怒太过,肝气上升,肺气不能降者。
紫苏 半夏 青皮 陈皮 大腹皮 赤苓 桑皮 白芍药 木通 甘草
四七汤(和剂局方) 治七情结成痰涎,状如破絮梅核,在咽喉之间,或中脘痞满,气不舒快,痰涎壅盛,上下喘息,或呃逆恶心,兼治忧思过度,小便白浊者。以此药下青州白丸子,最效。
厚朴(九分) 茯苓(一钱二分) 半夏(一钱半) 紫苏(六分)
生姜,水煎服。治妇人恶阻,大效。
木香化滞汤 治气食湿面,结于中脘,腹内微痛,心下痞,不思食。
枳实(五分) 柴胡(四分) 木香(三分) 陈皮(五分) 甘草(一分) 半夏 草豆蔻(五分) 当归(二分) 红花(一分) 生姜
流气饮子 治心胸痞满,膨胀呕吐,面目四肢浮肿,二便闭塞,及忧思太过,郁结成疾。又治香港脚肿痛,上喘作胀,大便不通,及气攻肩背胸胁,走注疼痛。
苏叶 青皮 当归 芍药 乌药 茯苓 桔梗 半夏 川芎 黄芪 枳实(各一钱) 甘草 陈皮 木香 大腹皮 槟榔 防风 枳壳(各五分)
生姜、枣子,水煎服。
木香流气饮(和剂局方) 治清浊不分,膨胀浮肿,二便不利,口苦咽干。但此方药味太多,似难执定,用者因时制宜可也。
半夏(制二两) 青皮 厚朴(制) 紫苏 香附(炒) 甘草(炙各二斤) 陈皮(二斤) 肉桂 蓬术(煨) 丁香 槟榔 麦门冬(去心) 木香 草果(各六两) 木通(八两) 藿香 白芷 赤苓 白术 木瓜 人参 石菖蒲(各四两) 大腹皮(制六两)
每服四钱,姜枣,水煎服。
四炒枳壳丸 治气血内滞,胸腹膨胀。
枳壳一斤,分四分。以苍术、茴香、莱菔子、干漆,各炒一分,令焦,拣去四味,止用枳壳,为末。将原四味煎汁,打糊丸如桐子大。每服五十丸,白汤下。
燔葱散(和剂局方) 治冷气不行,攻刺心腹。
延胡索(三两) 肉桂 干姜(炮二两) 苍术(炒八两) 甘草(炙八两) 砂仁 丁皮 槟榔(各四两) 三棱(煨) 蓬术(煨) 茯苓 青皮(各六两)
研为末。每服二钱,葱白煎服。
盐煎散 治冷气攻冲,胸胁刺痛,及脾胃虚冷,呕吐泻利。
砂仁 甘草 茯苓 草果 肉果 川芎 茴香 澄茄 麦芽 槟榔 良姜 枳壳 厚朴 陈皮 羌活 苍术
入盐少许,煎服。
栀子解郁方 治气有余便是火之症。此药能解五脏结气,益少阴阴血。
栀子一味,炒黑为末,以姜汁入汤同煎,饮之。
凡郁热症药中,加姜炒山栀,其义实出于此。
沉香化气丸 治气郁久而成热,便闭不通,用此润下之。
坚大黄 黄芩 沉香 人参 白术
研为末,入竹沥、姜汁少许,为丸。淡姜汤下一钱。
越鞠丸(丹溪) 治气郁久病,用此开郁清解。
茅山苍术(米泔炒) 抚芎 香附(各二两) 山栀(炒) 神曲(各一两五钱)
研为末,滴水丸如绿豆大。白汤下百粒。
以上诸方,治气家有余实症。若虚弱者,以后法治之。
四君子汤 治气症脾胃虚而食少泻多,脉虚濡,不可克削破气者。
六君子汤 治气症脉虚,属脾虚挟痰者。(二方俱见中风)
生脉散 治气虚脉虚。(方见暑症)
归脾汤 治喜恐惊劳,气散于内,并治房劳后着气,厥逆不省,少顷复醒,而脉虚细者。用此养元,不可服破气药。
补中益气汤 治劳倦后着气,或久病后气逆不通,用此补气而气自行。(二方俱见中风)
观音应梦散(夷坚志) 治气虚脉弱,喘呼不卧者。
人参(一寸) 胡桃(二枚)
水煎服。一方,加五味子、杏仁。
理中汤 治中风虚寒,馁弱不振,虚胀虚泻,胸腹胀满,按之濡而不硬者。(方见中寒)
八味丸 治气虚属房劳伤肾,真火不能生脾土,因而腹胀足肿,腰痛溺短者。(方见中风)
养正丹(和剂局方) 治上盛下虚,气升不降,元阳亏损,气短身羸,及中风涎潮,不省人事,伤寒阴盛,自汗唇青,妇人血气久冷。
水银 黑锡(去渣净秤与水银结砂子) 朱砂(研) 硫黄(研各一两)
用铁盏一只,火上熔黑铅成汁,下水银,以柳条搅,次下朱砂搅,令不见星。放下少时,方入硫黄末,急搅成汁,和匀。如有焰起,以醋洒之。候冷取出,研极细,煮糯米糊丸绿豆大。每服三十丸,盐汤枣汤任下。
[General Principle]
Qi (Vital Energy) is the vast and pervasive Yuan Qi (Original Energy). When it is in a state of harmony, it originates from the Middle Jiao (Middle Burner) and is governed by the Lung. (Yuan Bing Shi) On the exterior, it protects the skin and hair and fills the interstices (Cou Li); on the interior, it guides the blood vessels, regulates the ascending and descending of Yin and Yang, circulates throughout the body, and operates ceaselessly. (Zhi Zhang) The reason why the Zang-Fu organs nourish and generate each other is all due to this Qi. When abundant, it is full; when deficient, it is empty; when smooth, there is peace; when rebellious, there is disease. (Sheng Mo)
[Internal Causes]
All diseases arise from Qi dysfunction. Anger causes Qi to rise; joy causes Qi to slacken; grief causes Qi to dissipate; fear causes Qi to sink; cold causes Qi to contract; heat causes Qi to stagnate; shock causes Qi to become chaotic; overexertion causes Qi to be consumed; excessive thinking causes Qi to knot; worry causes Qi to sink. (Nei Jing) Whenever the Seven Emotions attack each other, or the Five Wills erupt alternately, leading to abnormal behavior, clear Qi suddenly turns into turbid Qi, moving Qi is suppressed and stops, and its operational power gradually recedes. The Lung loses its control, and Qi becomes pathological. (Yuan Bing Shi)
[External Manifestations]
As a pathogenic factor, Qi generates phlegm and stirs fire, with unending ascending and descending, burning internally and externally, retaining blood, forming accumulations and masses, causing swelling and toxicity, inducing sores and ulcers, leading to vomiting and coughing, resulting in obstruction (Pi Se), Guan Ge syndrome (esophageal obstruction and gastric retention), distension and fullness, panting, dribbling urination, and constipation. (Sheng Mo) It manifests as distending pain in the chest and hypochondrium, stabbing pain throughout the body. Over time, it condenses and does not disperse; some feel like a plum pit obstructing the throat, impossible to expectorate or swallow; some feel like accumulated masses attacking the heart and abdomen, causing severe pain or fainting upon onset. (Hui Bu)
[Pulse Diagnosis]
If the pulse is deep upon palpation, one can know it is a Qi disease. If extremely deep, it becomes a Hidden Pulse (Fu Mai), which is difficult to treat if thready and weak. (Xuan Yao) Generally, for mild Qi disease, only the Lung pulse is deep; for severe cases, all six pulses are deep. Furthermore, for mild Qi disease, only the Liver pulse is wiry; for severe cases, the Spleen pulse also becomes wiry. (Hui Bu)
[Women Are Prone to Qi Disorders]
Men belong to Yang and tend to dissipate Qi easily; women belong to Yin and tend to have Qi stagnate. Therefore, men suffer less from Qi diseases, while women suffer more. (Zheng Chuan) Moreover, those who are pampered, indulgent, jealous, or possess biased and narrow-minded temperaments, such as widows, daughters-in-law, maidservants, or women from external families, whose aspirations cannot be fulfilled, harboring resentment, anger, suspicion, and jealousy, feeling depressed and bored, are all sufficient to cause disease. (Hui Bu)
[Differences in Diseases Caused by the Seven Emotions]
Joy, anger, fright, and fear belong to the Heart, Gallbladder, and Kidney meridians. When diseased, they dissipate righteous Qi, leading to palpitations, loss of will, essence injury, flaccidity, and collapse—deficiency diseases. Anger, worry, thinking, and sorrow belong to the Lung, Spleen, and Liver meridians. When diseased, they knot evil Qi, leading to mania, dysphagia, swelling, and pain—excess diseases. (Yu Ce)
[Five Wills Mutual Conquest]
Injuries caused by the Five Wills should be balanced by what conquers them. Sorrow can cure anger by moving him with words of pity and suffering; anger can cure thinking by provoking him with words of insult and deception; thinking can cure fear by diverting his attention with thoughts of other matters; fear can cure joy by frightening him with words of urgency and peril; joy can cure sorrow by entertaining him with playful and intimate words.
These methods must be eccentric and bizarre, going to any lengths, to move his ears and eyes and change his perceptions. Additionally, heat can cure cold, cold can cure heat, rest can cure fatigue, and habituation can cure fright. If one relies solely on decoctions, one misses the essential purpose. (Zhang Zi He)
[General Treatment of Qi Disorders]
The method of regulating Qi: scatter what is knotted, gather what is scattered, tonify what is damaged, promote movement in what is stagnant, lower what is above, raise what is below, massage it, bathe it, press it,劫夺 (seize/force) it, open it, and diffuse it. For Qi deficiency, draw and guide it. (Su Wen) Guide stagnation, elevate depression, clear heat, warm cold, use counter-assistance for mixed heat/cold, leach dampness with bland flavors, and tonify/nourish deficiency. (Liu Yao) For severe deficiency, tonify and astringe; for floating/dissipating Qi, sedate and sink. (Hui Bu)
[Qi Transforming into Fire]
Qi belongs to Yang; when hyperactive, it becomes Fire. (Liu Yao) Excess Qi is Fire. (Yuan Bing Shi) Therefore, stagnant Qi, rebellious Qi, and ascending Qi all undergo the transformation of rising and flaming upward, ascending without descending, steaming the clear passages, even causing the Upper Jiao to fail to receive, the Middle Jiao to fail to transform, and the Lower Jiao to fail to seep. One should clear and descend the Qi pathway. (Hua Qi Wan plus Huang Lian and Shan Zhi) If one indiscriminately uses acrid-aromatic drying-hot agents, it is using fire to save fire. (Zhu Dan Xi)
[Qi Disease Becoming Phlegm]
There are cases of ordinary external invasion by the Four Qi (Wind, Cold, Summer-heat, Dampness) and internal attachment of the Seven Emotions, or partial consumption of rich flavors, causing clear and turbid to interfere with each other, leading to belching, poor appetite, distension, or pain; this belongs to Qi. However, some repeatedly use acrid-warm medicines, temporarily opening but then knotting again, becoming more stagnant with each depletion, spreading over a long time, becoming acid regurgitation and stomach rumbling. This is a symptom of Qi generating Phlegm. If one only uses aromatic-drying drugs, fluids dry up, phlegm coagulates, and blood stasis forms, creating nests and sacs, leading to pain and vomiting, which is the beginning of regurgitation and dysphagia. One must only level-tonify and regulate-dredge, making the Spleen and Stomach clear and harmonious, so that the Qi pathway moves vigorously and obstruction resolves naturally. (Liu Yao)
[Qi Accompanied by Phlegm and Fire]
Qi, Phlegm, and Fire originate from the same source but have different names. When these three combine, severely it causes sudden dizziness and collapse; mildly it causes distending pain and obstruction. Therefore, in treating Qi, if one does not treat Fire, Qi will not descend; if one does not treat Phlegm, Qi will not move. Thus, clearing Phlegm and reducing Fire is the key link in treating Qi. (Hui Bu)
[Temporary Use of Acrid-Aromatic Agents]
Acrid-aromatic agents are only suitable for the initial stage to temporarily develop knotted Qi. After a short time, Qi stagnation turns into heat, and one should use acrid-cool agents to subdue it. One must strictly avoid aromatic-drying herbs that aid Fire. Only if one knows clearly that the disease is caused by cold injury or cold invasion should one dare to use warming-dispersing methods, which is also a temporary approach. (Zhu Dan Xi)
[Harmonizing Blood in Qi Disease]
Qi provides warmth; Blood provides moisture. (Nan Jing) In all Qi diseases, if Qi-regulating drugs are ineffective, it is because Qi stagnation prevents Blood from flowing freely. One should add small amounts of Xiong (Chuanxiong Rhizome) and Gui (Angelica Sinensis Root) to invigorate blood; when Qi and Blood flow smoothly, recovery occurs. This has been verified repeatedly. Therefore, women should regulate Blood to manage Qi, and men should regulate Qi to nourish Blood. (Yi Jian)
[Tonifying Spleen for Qi Deficiency]
Qi arises from the Middle. (Nei Jing) Therefore, the Central Region (Spleen/Stomach) is the mother of Original Qi. The common saying "there is no tonification method for Qi" applies only to people with Qi excess. If Spleen deficiency causes Righteous Qi to fail to move and Evil attaches causing disease, one should regulate the Central Region and restore its transportation function, so that Turbid Qi descends and distension/fullness disappears. If one does not tonify Qi, how can Qi move? (Zhu Dan Xi) Use Liu Jun Zi Tang modified.
[Harmonizing Liver for Qi Deficiency]
Ascending Qi emerges from the Liver. (Yuan Bing Shi) Therefore, people with irritable temper and frequent anger have hyperactive Liver Wood. Hyperactive Liver attacks the Spleen. One should use drugs to suppress the Liver. However, if suppression is too severe, before Liver Wood calms down, the Spleen Earth suffers first, making the Spleen more deficient. (Zhun Sheng) Moreover, the principle of creation dictates that too rigid breaks easily. If Liver Qi is too hyperactive, the Liver injures itself. Not only is the Spleen deficient, but the Liver also becomes deficient. Therefore, for Qi diseases lasting long enough to cause both Liver and Spleen deficiency, one should regulate the Spleen and harmonize the Liver, treating with Xiao Yao San modified. (Hui Bu)
[Tonifying Kidney for Qi Deficiency]
The Lung is the mark of Qi governance; the Kidney is the root of Qi governance. Kidney deficiency causes Qi to fail to return to its origin. Fire of the Chong Mai rushes through the clear passages, causing panting, hiccups, vomiting/wind, and inability to lie down. All should be treated with methods of tonifying and astringing from the Lower Jiao. Those who do not understand this indiscriminately use Qi-regulating and Qi-breaking drugs, yet Qi never descends, because there is no convergence for where Qi resides. One must assist with Kidney tonification for Qi to return to its origin. (Ru Men) For panting, use Guan Yin Ying Meng San; for hiccups, use Gui Fu Li Zhong Tang; for inability to lie down, use Ba Wei Wan. Generally, to gather Qi and return it to its origin, use Sha Ren, Gu Zhu Zhi, Wu Wei Zi, and Hu Tao Rou.
[Medicinal Usage for Qi Disorders]
The main formula is Kuan Zhong San. For chest fullness, add Su Geng and Zhi Qiao; for epigastric fullness, add Zhi Shi; for abdominal distension, add Hou Po and Da Fu Pi; for hypochondriac pain, add Chai Hu and Ju Ye; for abdominal pain, add Wu Yao and Zhi Qiao; for lower abdominal pain, add Qing Pi; for stagnant Qi, add Fu Xiong and Cang Zhu; for angry Qi, add Mu Xiang and Chen Xiang; for accompanying cold, add Gan Jiang and Rou Gui; for accompanying heat, add Jiang Chao Shan Zhi; for accompanying deficiency, add Ren Shen. For excess fullness, add Da Huang. Generally, Qing Pi breaks Liver Qi, but excessive use damages True Yuan Qi; Zhi Qiao drains stagnant Qi, but excessive use drains high Qi; Xiang Fu scatters stagnant Qi and must be processed; Mu Xiang regulates various Qi and also drains Lung Qi; Ju Hong specializes in draining, while Chen Pi supplements as well; Hou Po levels Stomach Qi; Qian Hu lowers Qi and pushes out old material; Chen Xiang lowers all Qi; Wu Yao, Chuan Xiong, and Zi Su can all scatter turbid Qi through sweat; Bin Lang and Da Fu Pi make turbid Qi descend and relieve tenesmus, suitable for those with accumulation; Lai Fu Zi, Su Zi, and Xing Ren lower Qi and moisten dryness, suitable for Lung Qi stagnation in the Large Intestine; Dou Kou, Chen Xiang, Ding Xiang, and Tan Xiang are acrid-hot and can disperse stagnant Qi, suitable for sudden stagnation, but contraindicated if it has turned into fire over time; one must use Jiang Chao Shan Zhi to treat it according to its nature.
All the above are important drugs for疏肝 (soothing the Liver) in excess Qi diseases. If accompanied by Phlegm-Fire, accumulation/stagnation, or Blood excess/deficiency, modify accordingly. To regulate Qi, use Mu Xiang. However, Mu Xiang is warm and ascending; if Qi is not comfortable, it is indeed suitable. But if Yin Fire rushes upward, and the chest/throat feels like Qi stagnation but is not actually Qi, one must not use Mu Xiang to aid Fire; instead, add Huang Bai and Zhi Mu, with a little Zhi Qiao. For Blood deficiency with Qi stagnation, Si Wu Tang plus Xiang Fu and Chen Pi; for Yin deficiency with Qi stagnation, Di Huang Tang plus Chen Xiang, Shi Hu, and Sha Ren; for Yang deficiency with Qi stagnation, Si Ni Tang plus Rou Gui and Gu Zhu Zhi; for Qi deficiency with Qi stagnation, Liu Jun Zi Tang plus Yi Zhi Ren and Su Geng. Fat people with Qi stagnation must have Phlegm; use Er Chen Tang plus Xiang Fu and Zhi Qiao to dry and open; if severe, add Cang Zhu and Bai Jie Zi. Thin people with Qi stagnation must have Fire; use Su Zi, Shan Zhi, Dang Gui, and Bai Shao to descend and moisten. Women's nature is Yin, prone to moving Qi; distension, fullness, and pain rising to the heart/chest, or attacking the hypochondrium, abdominal masses, irregular menstruation, dizziness/vomiting, alternating chills/fever—all climate-related issues, use Zheng Qi Tian Xiang San or Si Qi Tang酌情 (as appropriate). If Qi does not ascend/descend and Phlegm-Saliva is abundant, use Su Zi Jiang Qi Tang. If Qi does not return to its origin, use Gu Zhu Zhi as the main ingredient, taking advantage of strengthening Kidney Qi to collect Turbid Qi into the Bladder, allowing Qi transformation and excretion. Bai Zhu is also acceptable, as it harmonizes the Stomach; when the Stomach is harmonized, Qi returns to its origin. This establishes the law for Spleen-Kidney dual deficiency. If Lung-Kidney dual deficiency causes Qi not to return to origin, panting, and inability to lie down, use Wu Wei Zi, Hu Tao, and Ren Shen. Long-term Qi stagnation injures Middle Qi; one should not use attacking/draining methods; use Gui Pi Tang and Xiao Yao San, assisted by Fu Xiong, Xiang Fu, and Zhi Qiao to soothe stagnation. Pregnancy and postpartum follow the same method.
[Selected Formulas for Qi Disorders]
Kuan Zhong San Governs all Qi disorders.
Bai Dou Kou (2 liang), Gan Cao (Roasted 5 liang), Mu Xiang (3 liang), Hou Po (1 jin), Sha Ren (3 liang), Ding Xiang, Qing Pi, Chen Pi (4 liang each), Xiang Fu (3 liang).
Grind into powder. Take 2 qian per dose, decoct with Ginger water. People with Spleen-Stomach deficiency should not take much; combine with Liu Jun Zi Tang.
Si Mo Tang Treats anger, worry, sorrow, and thinking, with Qi stagnating in the middle.
Wu Yao, Zhi Qiao, Bin Lang, Chen Xiang.
Four ingredients, each ground into half a small cup, take warm. Another method: use together with Er Chen Tang, either decocted or ground together, more effective. The Ji Sheng Fang version contains Ren Shen but no Zhi Qiao.
Zheng Qi Tian Xiang San (He Jian) Treats Nine Qi.
Wu Yao (3 liang), Xiang Fu (8 liang), Chen Pi, Zi Su, Gan Jiang (1 liang each).
Grind into powder. Take 1 qian per dose, mix with light salt water.
Su Zi Jiang Qi Tang (He Ji Ju Fang) Treats deficient Yang attacking upward, Qi failing to ascend/descend, abundant Phlegm-Saliva.
Su Zi (2.5 qian), Hou Po (1 qian), Chen Pi (1 qian), Ban Xia (2.5 qian), Qian Hu (2 qian), Chen Xiang (0.7 qian), Gan Cao (1 qian).
Decoct with Ginger water. For deficient-cold types, add Rou Gui (0.5 qian), Dang Gui, and Huang Qi (1 qian each).
Another method: remove Rou Gui, add Sang Bai Pi and Bai Zhu, treat asthma/cough. In my opinion, Bai Zhu should not be used in the early stages of asthma/cough; replace with Fu Ling. For chronic, recurrent cases prone to infection, use Bai Zhu in pill form to treat the source of Phlegm.
Fen Qi Yin Treats excessive anger, Liver Qi rising, and Lung Qi failing to descend.
Zi Su, Ban Xia, Qing Pi, Chen Pi, Da Fu Pi, Chi Ling, Sang Pi, Bai Shao Yao, Mu Tong, Gan Cao.
Si Qi Tang (He Ji Ju Fang) Treats Phlegm-Saliva formed by the knotting of Seven Emotions, resembling broken cotton or a plum pit in the throat, or epigastric fullness, uncomfortable Qi, abundant Phlegm-Saliva, upper/lower panting, hiccups/nausea, and also treats excessive worry/thinking with white turbid urine. Most effective when followed by Qing Zhou Bai Wan Zi.
Hou Po (0.9 fen), Fu Ling (1.2 qian), Ban Xia (1.5 qian), Zi Su (0.6 fen).
Decoct with Ginger water. Highly effective for treating morning sickness in women.
Mu Xiang Hua Zhi Tang Treats Qi, food, dampness, and noodles knotting in the Zhong Wan, slight abdominal pain, epigastric obstruction, and loss of appetite.
Zhi Shi (0.5 fen), Chai Hu (0.4 fen), Mu Xiang (0.3 fen), Chen Pi (0.5 fen), Gan Cao (0.1 fen), Ban Xia, Cao Dou Kou (0.5 fen), Dang Gui (0.2 fen), Hong Hua (0.1 fen), Sheng Jiang.
Liu Qi Yin Zi Treats chest/heart oppression/fullness, distension/vomiting, facial/limb edema, urinary/fecal obstruction, and illness formed by excessive worry/thinking/knotting. Also treats gouty swelling/pain, upper panting/distension, constipation, Qi attacking shoulders/back/chest/hypochondrium with wandering pain.
Su Ye, Qing Pi, Dang Gui, Shao Yao, Wu Yao, Fu Ling, Jie Geng, Ban Xia, Chuan Xiong, Huang Qi, Zhi Shi (1 qian each), Gan Cao, Chen Pi, Mu Xiang, Da Fu Pi, Bin Lang, Fang Feng, Zhi Qiao (0.5 fen each).
Decoct with Ginger and Jujube.
Mu Xiang Liu Qi Yin (He Ji Ju Fang) Treats confusion of clear/turbid, distension/edema, urinary/fecal difficulty, bitter taste, dry throat. However, this formula has too many ingredients and is hard to fix; users should adapt to the times.
Ban Xia (Processed 2 liang), Qing Pi, Hou Po (Processed), Zi Su, Xiang Fu (Stir-fried), Gan Cao (Roasted 2 liang each), Chen Pi (2 liang), Rou Gui, Peng Ze (Baked), Ding Xiang, Bin Lang, Mai Men Dong (Heart removed), Mu Xiang, Cao Guo (6 liang each), Mu Tong (8 liang), Huo Xiang, Bai Zhi, Chi Ling, Bai Zhu, Mu Gua, Ren Shen, Shi Chang Pu (4 liang each), Da Fu Pi (Processed 6 liang).
Take 4 qian per dose, decoct with Ginger and Jujube.
Si Chao Zhi Qiao Wan Treats internal stagnation of Qi and Blood, chest/abdominal distension.
Zhi Qiao 1 jin, divided into four parts. Stir-fry Cang Zhu, Hui Xiang, Lai Fu Zi, Gan Xi separately with one part each until scorched, remove the four ingredients, keep only Zhi Qiao, grind into powder. Decoct the original four ingredients, make paste pills like wisteria seeds. Take 50 pills per dose with plain water.
Tui Qi San Levels Liver and descends Qi.
Zhi Qiao, Rou Gui, Shao Yao, Qing Pi.
Fan Cong San (He Ji Ju Fang) Treats failure of Cold Qi to move, attacking/stabbing heart/abdomen.
Yan Hu Suo (3 liang), Rou Gui, Gan Jiang (Pounded 2 liang), Cang Zhu (Stir-fried 8 liang), Gan Cao (Roasted 8 liang), Sha Ren, Ding Pi, Bin Lang (4 liang each), San Leng (Baked), Peng Ze (Baked), Fu Ling, Qing Pi (6 liang each).
Grind into powder. Take 2 qian per dose, decoct with Scallion White.
Yan Jian San Treats Cold Qi attacking/rushing, stabbing pain in chest/hypochondrium, and Spleen-Stomach deficient-cold with vomiting/diarrhea.
Sha Ren, Gan Cao, Fu Ling, Cao Guo, Rou Guo, Chuan Xiong, Hui Xiang, Cheng Qie, Mai Ya, Bin Lang, Liang Jiang, Zhi Qiao, Hou Po, Chen Pi, Qiang Huo, Cang Zhu.
Add a little salt, decoct and take.
Zhi Zi Jie Yu Fang Treats symptoms of "Excess Qi is Fire." This drug can resolve knotted Qi in the Five Zang and nourish Yin Blood of the Shaoyin.
Zhi Zi alone, stir-fried black, ground into powder. Decoct with Ginger juice in soup, drink.
In all formulas for Depressed Heat, adding Jiang Chao Shan Zhi derives its meaning from this.
Chen Xiang Hua Qi Wan Treats Qi stagnation turning into heat over time, constipation/blockage; use this to moisten and purge.
Jian Da Huang, Huang Qin, Chen Xiang, Ren Shen, Bai Zhu.
Grind into powder, add a little Bamboo Sap and Ginger juice, make pills. Take 1 qian with light Ginger soup.
Yue Ju Wan (Dan Xi) Treats long-term Qi stagnation; use this to open depression and clear/resolve.
Mao Shan Cang Zhu (Rice water fried), Fu Xiong, Xiang Fu (2 liang each), Shan Zhi (Stir-fried), Shen Qu (1.5 liang each).
Grind into powder, drop water to make pills like mung beans. Take 100 pills with plain water.
The above formulas treat excess/excess-type Qi disorders. For weakness, use the following methods.
Si Jun Zi Tang Treats Qi disorders with Spleen-Stomach deficiency, poor appetite, frequent diarrhea, deficiency/soft pulse, where attacking/draining Qi drugs are contraindicated.
Liu Jun Zi Tang Treats Qi disorders with deficiency pulse, belonging to Spleen deficiency with Phlegm. (Both formulas see Stroke)
Sheng Mai San Treats Qi deficiency with deficiency pulse. (Formula see Summer Heat)
Gui Pi Tang Treats joy/fright/shock/fatigue causing Qi to dissipate internally, and also treats Qi disorder after sexual exhaustion, syncope/unconsciousness, waking after a short while with deficiency-thready pulse. Use this to nourish Yuan; do not take Qi-breaking drugs.
Bu Zhong Yi Qi Tang Treats Qi disorder after labor/fatigue, or Qi rebellion/blockage after long illness. Use this to tonify Qi so Qi moves naturally. (Both formulas see Stroke)
Guan Yin Ying Meng San (Yi Jian Zhi) Treats Qi deficiency with weak pulse, panting, inability to lie down.
Ren Shen (1 cun), Hu Tao (2 pieces).
Decoct with water. Another prescription adds Wu Wei Zi and Xing Ren.
Li Zhong Tang Treats Stroke deficient-cold, weakness/lack of vigor, false distension/false diarrhea, chest/abdominal fullness, soft upon pressure but not hard. (Formula see Middle Cold)
Ba Wei Wan Treats Qi deficiency due to sexual exhaustion injuring Kidney, True Fire unable to generate Spleen Earth, leading to abdominal distension, foot swelling, back pain, short urination. (Formula see Stroke)
Yang Zheng Dan (He Ji Ju Fang) Treats excess above/deficiency below, Qi rising not descending, Yuan Yang deficiency, short breath/emaciation, Stroke with Phlegm tide/unconsciousness, Taiyin excess with spontaneous sweating/blue lips, women's long-standing cold Blood/Qi.
Shui Yin (Mercury), Hei Xi (Black Tin, cleaned and weighed equal to Mercury to form sand), Zhu Sha (Ground), Liu Huang (Ground, 1 liang each).
Use an iron cup, melt Black Lead over fire until liquid, add Mercury, stir with willow twig, then add Zhu Sha, stir until no stars visible. Let sit briefly, then add Liu Huang powder, stir quickly until liquid and mixed. If flames rise, sprinkle vinegar. Wait for cooling, remove, grind extremely fine, cook glutinous rice paste to make pills like mung beans. Take 30 pills per dose, with Salt Soup or Jujube Soup at will.