治心虚烦热,夜卧不宁,及病后虚烦。
远志(去心) 黄 当归 麦冬 石斛 酸枣仁(炒,各一钱二分) 人参 茯神
(各七分) 甘草(五分)水煎。烦甚者,加竹叶、知母。
治思虑伤脾,不能摄血,健忘怔忡,惊悸不寐,心脾作痛,嗜卧少食,大便不调,
身痛盗汗,月经不调。
人参 白术(土炒) 茯苓 龙眼肉(去核) 酸枣仁(炒,各二钱) 远志去骨
归身(各一钱) 木香(生用) 甘草(炙,各五分) 黄 (炙,一钱五分) 姜水煎服。
心藏神而生血,脾藏意而统血,思虑太过则两脏受伤,而血不归经,心血不足则健
忘、怔忡,惊悸不寐,脾血不足则嗜队少食,体倦肢痛,不能统血遂致妄行,甚则气
郁而心脾作痛,在女人则带下而月经不调,兹取参、苓、 、术、炙草,甘温可以补
脾,龙眼、枣仁、归身、远志,濡润可以养心,佐以木香者,盖思虑所伤三焦气阻,藉
其宣畅调气舒脾,则气和而血和,且平肝可以实脾,而血之散于外者,悉归中州而听太
阴所摄矣,故命之曰归脾汤。
常服令人聪明。
龟甲 龙骨 远志 菖蒲(等分) 为末,酒服方寸匕,日三服。
龟者,介虫之长阴物之至灵者也。龙者鳞虫之长阳物之至灵者也,借二物之阴阳,
以补吾身之阴阳,假二物之灵气,以助吾心之灵气也。又人之精与志皆藏于肾,肾精不
足则志气衰,不能上通于心,远志苦泄热而辛散郁,能通肾气上达于心,菖蒲辛散肝而
香舒脾,能开心孔而利九窍,去湿除痰,龟能补肾,龙能镇肝,使痰火散而心肝宁,则
聪明开而记忆强矣。
治疗胆腑实证导致的嗜睡,病机为热证。将生酸枣仁研成粉末,用茶水和姜汁调服。
治疗胆腑虚证导致的不失眠,病机为寒证。将炒过的酸枣仁研成粉末,用竹叶汤调服。
治疗心气虚弱导致的烦热,夜间睡眠不安稳,以及病后出现的虚烦症状。
药材:远志(去除木质心)、黄芩、当归、麦冬、石斛、酸枣仁(炒制,各一钱二分)、人参、茯神(各七分)、甘草(五分)。用水煎煮服用。如果烦躁严重的,加入竹叶、知母。
治疗思虑过度损伤脾脏,导致不能统摄血液,出现健忘、心慌、惊悸失眠,心脾部位疼痛,嗜睡且食欲减退,大便不调,身体疼痛、盗汗,女性月经不调等症状。
药材:人参、白术(土炒)、茯苓、龙眼肉(去核)、酸枣仁(炒制,各二钱)、远志(去骨)、当归身(各一钱)、木香(生用)、甘草(炙制,各五分)、黄芪(炙制,一钱五分)。用生姜和水煎煮服用。
心脏藏神并生成血液,脾脏藏意并统摄血液。思虑过度会同时损伤这两个脏腑,导致血液不循常道运行。心血不足则出现健忘、心慌、惊悸失眠;脾血不足则出现嗜睡、食欲减退、身体疲倦、肢体疼痛,因不能统摄血液而导致出血妄行。严重时气机郁结导致心脾疼痛。在女性身上则表现为带下病和月经不调。此处选取人参、茯苓、黄芪、白术、炙甘草,利用其甘温之性可以补益脾气;选取龙眼肉、酸枣仁、当归身、远志,利用其濡润之性可以滋养心神;佐以木香,是因为思虑过度会导致三焦气机阻滞,借助木香的宣畅作用来调理气机、舒缓脾脏,使得气机和顺而血液调和。并且平抑肝气可以实益脾土,使得散逸于体外的血液全部回归中焦,听从太阴脾经的统摄。因此命名为归脾汤。
经常服用能够使人聪明。
药材:龟甲、龙骨、远志、石菖蒲(等量)。研成粉末,用酒送服一方寸匕的量,每天服用三次。
龟是介壳类动物的首领,属于至阴之物,最为灵验。龙是鳞甲类动物的首领,属于至阳之物,最为灵验。借用这两种生物的阴阳属性,来补益我们身体的阴阳;借助这两种生物的灵气,来辅助我们心灵的灵气。另外,人的精气和意志都储藏于肾脏。肾精不足则意志衰退,不能向上通达于心。远志味苦能泄热,味辛能疏散郁结,能够引导肾气上达于心;石菖蒲味辛能疏散肝气,香气能舒缓脾气,能够开通心窍并通利九窍,去除湿气、排除痰浊。龟甲能补肾,龙骨能镇潜肝气,使得痰火消散而心肝安宁,那么聪明就会开启,记忆力就会增强。
Treats excessive sleepiness due to excess syndrome of the Gallbladder, which is caused by heat. Raw Suanzaoren (Ziziphi Spinosae Semen) is ground into powder and taken with tea water and ginger juice.
Treats insomnia due to deficiency syndrome of the Gallbladder, which is caused by cold. Fried Suanzaoren (Ziziphi Spinosae Semen) is ground into powder and taken with Zhuyetang (Bamboo Leaf Decoction).
Treats restlessness and heat due to Heart Qi deficiency, restless sleep at night, and lingering vexation after illness.
Herbs: Yuanzhi (Polygalae Radix) (remove woody core), Huangqin (Scutellariae Radix), Danggui (Angelicae Sinensis Radix), Maidong (Ophiopogonis Radix), Shihu (Dendrobii Caulis), Suanzaoren (Ziziphi Spinosae Semen) (fried, 1 qian 2 fen each), Renshen (Ginseng Radix et Rhizoma), Fushen (Poria cum Radix Pini) (each 7 fen), Gancao (Glycyrrhizae Radix et Rhizoma) (5 fen). Decoct in water. If vexation is severe, add Zhuyezhu (Bamboo Leaves) and Zhimu (Anemarrhenae Rhizoma).
Treats injury to the Spleen due to overthinking, leading to failure to control blood, resulting in forgetfulness, palpitations, fright, insomnia, pain in the Heart and Spleen regions, lethargy with poor appetite, irregular bowel movements, body pain, night sweats, and irregular menstruation in women.
Herbs: Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma) (stir-fried with soil), Fuling (Poria), Longyanrou (Longan Aril) (remove pit), Suanzaoren (Ziziphi Spinosae Semen) (fried, each 2 qian), Yuanzhi (Polygalae Radix) (remove bone), Dangguishen (Angelicae Sinensis Radix) (each 1 qian), Muxiang (Aucklandiae Radix) (used raw), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, each 5 fen), Huangqi (Astragali Radix) (roasted, 1 qian 5 fen). Decoct with fresh ginger and water for oral administration.
The Heart houses the Spirit (Shen) and generates Blood; the Spleen houses the Intellect (Yi) and controls Blood. Excessive thinking injures both organs, causing Blood to fail to follow its normal pathways. Deficiency of Heart Blood leads to forgetfulness, palpitations, fright, and insomnia; deficiency of Spleen Blood leads to lethargy, poor appetite, fatigue, limb pain, and inability to control Blood, resulting in spontaneous bleeding. In severe cases, Qi stagnation causes pain in the Heart and Spleen regions. In women, this manifests as leukorrhea and irregular menstruation. Here, Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), and roasted Gancao (Glycyrrhizae Radix et Rhizoma) are selected; their sweet and warm nature can tonify Spleen Qi. Longyanrou (Longan Aril), Suanzaoren (Ziziphi Spinosae Semen), Dangguishen (Angelicae Sinensis Radix), and Yuanzhi (Polygalae Radix) are used for their moistening properties to nourish Heart Shen. Muxiang (Aucklandiae Radix) is added as an assistant because overthinking obstructs Qi in the Sanjiao (Triple Burner); its dispersing and unblocking action regulates Qi and soothes the Spleen, so that Qi becomes harmonious and Blood becomes harmonious. Furthermore, soothing the Liver strengthens the Spleen, allowing Blood scattered externally to return to the Middle Jiao and be controlled by the Taiyin Spleen channel. Therefore, it is named Guipi Tang (Return to the Spleen Decoction).
Regular consumption enhances intelligence.
Herbs: Guijia (Testudinis Carapax et Plastrum), Longgu (Fossilia Ossis Mammi) (equal parts). Grind into powder, take one fangcunbi (a measure equivalent to a square inch spoonful) with wine, three times daily.
The turtle is the leader of shelled creatures, belonging to extreme Yin, and is extremely spiritual. The dragon is the leader of scaled creatures, belonging to extreme Yang, and is extremely spiritual. Borrowing the Yin and Yang of these two creatures supplements the Yin and Yang of our own bodies; borrowing their spiritual energy assists the spiritual energy of our Heart. Moreover, human Essence (Jing) and Will (Zhi) are stored in the Kidney. Insufficiency of Kidney Essence leads to decline of Will, preventing it from ascending to connect with the Heart. Yuanzhi (Polygalae Radix) is bitter and clears heat, pungent and disperses stagnation, capable of guiding Kidney Qi to ascend to the Heart. Changpu (Acori Tatarinowii Rhizoma) is pungent and disperses Liver Qi, aromatic and soothes the Spleen, capable of opening the orifices of the Heart and benefiting the nine orifices, removing dampness and resolving phlegm. Guijia (Testudinis Carapax et Plastrum) tonifies the Kidney, while Longgu (Fossilia Ossis Mammi) anchors the Liver. This dissipates phlegm-fire and calms the Heart and Liver, thereby opening intelligence and strengthening memory.