人有少逢拂意之事,便觉怒气填胸,不能自遣,嗔恼不已,人以为肝气之逆也,谁知肝
血之少乎。夫肝性急,宜顺不宜逆,恼怒之事,正拂抑之事也。拂抑必致动怒,怒极必致伤
肝,轻则飧泄,重则呕血者甚多。然此乃猝然而至,肝经因怒而成病者也。若肝血少者,不
必有可怒之事而遇之大怒,不必有可恼之人而见之甚恼。
盖血少则肝燥,肝燥则气逆也。故同一气恼之症,须分虚实以治之。前症乃实,后症乃虚
也。虽然,实者火实,非血之实也;虚者血虚,非火之虚也。所以虚实之症,前后若有异,
治虚、治实之法,实彼此无有殊耳。方用解怒补肝汤∶
白芍(一两) 当归(五钱) 泽泻(一钱) 柴胡(一钱) 荆芥(一钱) 甘草(
一钱) 枳壳(三分) 丹皮(三钱) 天花粉(二钱)水煎服。一剂气平,连服数剂,自
然不易怒也。
此方全是平肝之药,非泻肝之品也。肝得补而血生,郁得血而易散,肝气不郁,恼怒何能
动乎。即或天性多乖,平时无病,尚多气恼,安得恼怒之不生哉。然多服此药,亦可免呕血、
飧泄之症也。
此症用加味归芍汤亦效。
当归 白芍(各一两) 生地 麦冬(各五钱) 天花粉 炒栀子(各二钱)水煎服。
人有晨夕之间,时多怒气,不必有可怒之事而心烦意躁,不能自遣,至夜则口干舌燥,
止有一更睡熟,余则终夜常醒,人以为肝血之少也,谁知是肾水之匮涸乎。夫肝为肾子,肝子
不足,由于肾母之不足也。盖肝属木,而木必得水以灌溉,则枝叶敷荣。今肾水日日耗去,肾
且自顾不遑,则肝木零仃,势所不免,况有境遇之拂抑,
自然肝益加燥,无津液以养心,此卧之所以不安也。治法必须大滋肾水,甘霖大降,则田畴
渥,槁者立苏,萌芽条达,无非快心之景也。自然心火取给于肾,肾水足济夫心,而肝木
之气,往来相通,而顺适矣。方用润肝汤∶
熟地(一两) 山茱萸(四钱) 白芍(五钱) 当归(五钱) 五味子(一钱) 玄
参(三钱) 丹皮(三钱) 炒栀子(一钱)水煎服。十剂夜卧安,又十剂而怒气息,又十
剂,虽遇可怒之事亦且不怒矣。
是方补肾者六,补肝者四也。绝不去治心,而心气自交于肾者,因肾水之足,则心不畏
木火之炎,可通其交肾之路也。
此症用萸芍熟地汤亦效。
熟地(二两) 山茱萸(一两) 白芍(一两)水煎服。
一个人只要稍微遇到不顺心的事,就觉得怒气充满胸膛,无法自我排解,恼怒不停。人们认为这是肝气上逆,却不知其实是肝血不足所致。肝的特性是急躁,适宜顺其性而不宜逆其性。恼怒之事,正是违背心意、压抑情绪的事。压抑必然导致动怒,愤怒到了极点必然会损伤肝脏,轻则导致完谷不化的泄泻(飧泄),重则导致呕血的情况非常多见。然而,这些情况都是突然发生的,是因为愤怒导致肝经生病。如果是肝血少的人,不一定有值得生气的事却遭遇大怒,不一定有值得恼恨的人却见到后非常恼火。
因为血少则肝燥,肝燥则气机上逆。所以同样是气恼的症状,必须区分虚实来治疗。前面的症状属于实证,后面的症状属于虚证。虽然如此,实证是火实,并非血实;虚证是血虚,并非火虚。所以虚实两种病症,前后虽有不同,但治疗虚证和治疗实证的方法,实际上彼此并没有太大差异。方剂使用解怒补肝汤:白芍(一两)、当归(五钱)、泽泻(一钱)、柴胡(一钱)、荆芥(一钱)、甘草(一钱)、枳壳(三分)、丹皮(三钱)、天花粉(二钱)。水煎服。服用一剂后气息平和,连续服用数剂,自然就不会容易发怒了。
这个方子全是平抑肝气的药物,不是泻肝的药物。肝脏得到滋补而血液生成,郁结得到血液滋养而易于消散,肝气不再郁结,恼怒又怎么能发生呢?即使有的人天性乖张,平时没有病,也常常气恼,怎么能让恼怒不生发呢?然而长期服用此药,也可以避免呕血、飧泄等症状。
这种病症使用加味归芍汤也有效。当归、白芍(各一两)、生地、麦冬(各五钱)、天花粉、炒栀子(各二钱)。水煎服。
有人在早晨和傍晚之间,时常产生很多怒气,不一定有值得生气的事却心烦意乱,无法自我排解,到了晚上就口干舌燥,只有一更时分能睡熟,其余时间整夜经常清醒。人们认为是肝血少,却不知这是肾水枯竭所致。肝是肾之子,肝子不足,是由于肾母不足造成的。肝属木,而木必须得到水的灌溉,枝叶才能茂盛繁荣。现在肾水每天都在消耗,肾脏自身都顾不过来,那么肝木零落凋零,是势所难免的,何况还有境遇的违背心意,自然使肝更加干燥,没有津液来养心,这就是睡眠不安的原因。治疗方法必须大滋补肾水,甘霖大雨降下,田地肥沃,枯槁的植物立刻复苏,萌芽舒展通达,无非是令人心情舒畅的景象。自然心火从肾中获取供给,肾水充足以济助心,而肝木之气,往来相通,也就顺适了。方剂使用润肝汤:熟地(一两)、山茱萸(四钱)、白芍(五钱)、当归(五钱)、五味子(一钱)、玄参(三钱)、丹皮(三钱)、炒栀子(一钱)。水煎服。服用十剂夜间睡眠安稳,再服用十剂怒气平息,再服用十剂,即使遇到值得生气的事也不会发怒了。
这个方子补肾的有六味,补肝的有四味。完全不去治疗心,而心气自然与肾相交,是因为肾水充足,心就不畏惧木火的炎灼,可以打通通往肾的路径。
An individual, upon encountering even minor unfavorable events, feels anger filling the chest and is unable to dispel it, remaining incessantly irritable. People attribute this to rebellious Liver Qi (Liver Qi Rebelliousness), yet little do they know that it stems from a deficiency of Liver Blood (Liver Blood Deficiency). The nature of the Liver is impatient; it should be smoothed rather than opposed. Events causing irritation are precisely those that suppress and thwart one's will. Suppression inevitably leads to anger, and extreme anger inevitably damages the Liver. Mild cases result in undigested food diarrhea (Suxie), while severe cases often lead to hematemesis (vomiting blood). However, these conditions arise suddenly due to anger causing disease in the Liver Meridian. In contrast, those with deficient Liver Blood may become extremely angry without provocation or feel intense irritation towards people without cause.
This occurs because blood deficiency leads to Liver dryness, and Liver dryness causes Qi rebellion. Therefore, although both present as Qi-related irritability symptoms, treatment must distinguish between excess and deficiency. The former condition is an excess pattern, while the latter is a deficiency pattern. Although, the excess pattern involves Fire Excess rather than Blood Excess; the deficiency pattern involves Blood Deficiency rather than Fire Deficiency. Thus, while the symptoms differ, the methods for treating deficiency and excess are essentially similar. The formula used is Jieniu Bogan Tang (Resolve Anger and Nourish Liver Decoction): Baishao (Caulis Paeoniae Albae Radix, 1 liang), Danggui (Radix Angelicae Sinensis, 5 qian), Zexie (Rhizoma Alismatis, 1 qian), Chaihu (Radix Bupleuri, 1 qian), Jingjie (Fructus Schizonepetae, 1 qian), Gancao (Radix Glycyrrhizae, 1 qian), Zhike (Pericarpium Citri Reticulatae Viride, 3 fen), Danpi (Cortex Moutan, 3 qian), Tianhuafen (Radix Trichosanthis, 2 qian). Decoct in water and take orally. After one dose, the Qi calms down; after several doses, irritability naturally subsides.
This formula consists entirely of herbs that soothe the Liver, not herbs that purge the Liver. When the Liver is nourished, Blood is generated; when Blood is sufficient, stagnation disperses easily. If Liver Qi does not stagnate, how can anger arise? Even if one has a naturally erratic temperament and suffers no illness but frequently experiences irritability, how can anger fail to arise? However, long-term use of this medicine can also prevent symptoms such as hematemesis and undigested food diarrhea.
For this condition, Jiawei Guishao Tang (Modified Angelica and White Peony Decoction) is also effective: Danggui (Radix Angelicae Sinensis), Baishao (Caulis Paeoniae Albae Radix) (each 1 liang), Shengdi (Radix Rehmanniae Preparata, 5 qian), Maidong (Radix Ophiopogonis, 5 qian), Tianhuafen (Radix Trichosanthis, 2 qian), Chao Zhizi (Fructus Gardeniae Praeparatus, 2 qian). Decoct in water and take orally.
Some individuals experience frequent anger in the morning and evening without specific triggers, feeling restless and unable to calm themselves. At night, they suffer from dry mouth and tongue, sleeping soundly only during the first watch (Yi Geng), while remaining awake throughout the rest of the night. People attribute this to deficient Liver Blood, yet little do they know it is due to exhaustion of Kidney Water (Kidney Yin Deficiency). The Liver is the child of the Kidney; insufficiency of the Liver (child) stems from insufficiency of the Kidney (mother). The Liver belongs to Wood, which requires Water irrigation to flourish. Now, as Kidney Water is consumed daily, the Kidneys cannot even attend to themselves, leading inevitably to the withering of Liver Wood. Furthermore, with unfavorable circumstances exacerbating the situation, Liver dryness increases. Without fluids to nourish the Heart, sleep becomes uneasy. The treatment method must greatly nourish Kidney Water. Like abundant rain falling on fertile fields, withered plants revive instantly, shoots grow vigorously, creating a scene of mental satisfaction. Naturally, Heart Fire draws support from the Kidney; when Kidney Water is sufficient to assist the Heart, and Liver Qi circulates freely and smoothly, harmony is achieved. The formula used is Run Gan Tang (Moisten Liver Decoction): Shudi (Radix Rehmanniae Preparata, 1 liang), Shanzhuyu (Fructus Corni, 4 qian), Baishao (Caulis Paeoniae Albae Radix, 5 qian), Danggui (Radix Angelicae Sinensis, 5 qian), Wuweizi (Fructus Schisandrae, 1 qian), Xuanshen (Radix Scrophulariae, 3 qian), Danpi (Cortex Moutan, 3 qian), Chao Zhizi (Fructus Gardeniae Praeparatus, 1 qian). Decoct in water and take orally. After ten doses, nighttime sleep stabilizes; after another ten doses, anger subsides; after another ten doses, even when facing provoking events, anger does not arise.
This formula contains six herbs tonifying the Kidney and four tonifying the Liver. It does not directly treat the Heart, yet Heart Qi naturally communicates with the Kidney because sufficient Kidney Water prevents the Heart from fearing the blazing of Wood and Fire, thereby opening the pathway to the Kidney.
For this condition, Yushao Shudi Tang (Cornus, White Peony, and Prepared Rehmannia Decoction) is also effective: Shudi (Radix Rehmanniae Preparata, 2 liang), Shanzhuyu (Fructus Corni, 1 liang), Baishao (Caulis Paeoniae Albae Radix, 1 liang). Decoct in water and take orally.