典藏书目

Qingjin Disease (a disease characterized mainly by qi stagnation, blood stasis, and internal obstruction of dampness-phlegm). It presents with aversion to cold and fever, resembling Wind-Cold syndrome. However, it is accompanied by pain in the chest and abdomen, numbness all over the body, or numbness of the lips and mouth; this constitutes the symptoms of the disease. In the North, it is called "Qingjin," while in the South, it is referred to as "Wusha." This condition arises from depression and anger injuring the Liver, where Wood pathogenic factors encroach upon Earth, disturbing damp-phlegm within. Consequently, Qi rebels and Blood follows suit in rebellion, causing severe distending pain that is unbearable. If the pulse is surging and rapid, Huoxue Huatan Tang (Blood-Invigorating and Phlegm-Resolving Decoction) is appropriate. If the pulse is fine and slow, with cold extremities, Xiangsha Lizhong Tang (Amomum and Aucklandia Decoction to Regulate the Middle) is appropriate. Ancient formulas for treating this condition merely employed heat-clearing and food-resolving herbs, failing to utilize any herbs for soothing Qi and invigorating Blood. The *Neijing* states: "When there is free flow, there is no pain; when there is pain, there is no free flow." Because Qi and Blood fail to circulate freely, this disease eventually forms. Promoting the free circulation of Qi and Blood is the primary principle. However, since this rebellious Qi and Blood attack upwards, there are cases of sudden onset and sudden death, which must be known.

Huoxue Huatan Tang (Blood-Invigorating and Phlegm-Resolving Decoction):
Chenpi (Aged Tangerine Peel), Banxia (Pinellia Tuber), Baifu (White Poria), Gancao (Licorice Root), Dafupi (Areca Peel), Zhike (Bitter Orange Fruit), Muxiang (Aucklandia Root), Yuanhu (Corydalis Rhizome), Guiwei (Tail of Angelica Sinensis Root), Huangqin (Scutellaria Root).

Xiangsha Lizhong Tang (Amomum and Aucklandia Decoction to Regulate the Middle):
Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Paojiang (Prepared Ginger), Gancao (Licorice Root), Xiangfu (Cyperus Rhizome), Sharen (Amomum Fruit), Huoxiang (Patchouli Herb). (Additions: Yuanhu [Corydalis Rhizome], Banxia [Pinellia Tuber], Muxiang [Aucklandia Root]).

The Liver is regarded as the General Officer; it does not accept subjugation or constraint. Anger injures the Liver, causing its Qi to rush upward in rebellion, much like a General who cannot be offended, hence the name "General." In mild injuries, there is stabbing pain in both hypochondria and discomfort in the chest. In severe injuries, if the pathogenic factor is not vented, the Liver Qi attacks the Stomach Earth, leading to coma, muteness, and lockjaw. This occurs because phlegm exists in the Stomach; when Liver Qi enters the Stomach, it disturbs the phlegm-saliva. The collateral branches connecting to the Heart become obstructed, blocking the orifices through which Shen (Spirit) enters and exits, resulting in loss of recognition. The *Neijing* states: "Sudden aphonia as a disease need not necessarily require medication; after a short while, when Qi flows, the patient will recover." However, if phlegm accumulates in the chest, recovery depends on the restoration of Zhengqi (Upright Qi); if it does not restore, death ensues. One cannot sit idly by. Qingyu Erchen Tang (Clearing Depression and Two-Chen Decoction) is appropriate. Furthermore, after an episode of anger, if the patient is conscious but feels stabbing pain in the chest, restless panting, able to sit but unable to lie down, this indicates Qi rebellion at Danzhong (Conception Vessel 17) and blood stasis. Jiajian Chaiwu Tang (Modified Bupleurum and Magnolia Bark Decoction) is appropriate. If the pulse is deep, fine, and weak, and the chest pain is not severe, Guipi Ba Zhen Lei (Guipi Tang or Bazhen Tang-like formulas) is appropriate. One should not be confined solely to treating Qi stagnation. (Note: Bazhen Tang and Guipi Tang should be used as follow-up care after clearing depression and resolving phlegm. Using them while Qi stagnation has not yet been dispersed may cause further obstruction due to tonification, which is inadvisable.)

Qingyu Erchen Tang (Clearing Depression and Two-Chen Decoction):
Chenpi (Aged Tangerine Peel), Banxia (Pinellia Tuber), Baifu (White Poria), Gancao (Licorice Root), Chuanxiong (Ligusticum Rhizome), Xiangfu (Cyperus Rhizome), Zhike (Bitter Orange Fruit), Xingren (Apricot Seed), Baishao (White Peony Root), Huangqin (Scutellaria Root).

Jiajian Chaiwu Tang (Modified Bupleurum and Magnolia Bark Decoction):
Chaihu (Bupleurum Root), Huangqin (Scutellaria Root), Banxia (Pinellia Tuber), Gancao (Licorice Root), Danggui (Angelica Sinensis Root), Chuanxiong (Ligusticum Rhizome), Baishao (White Peony Root), Shudi (Rehmannia Root Prepared), Yuanhu (Corydalis Rhizome), Muxiang (Aucklandia Root), Maidong (Ophiopogon Tuber), Xingren (Apricot Seed).