(严氏)
治七情气逆,上气喘急,妨闷不食(怒则气上,思则气结,忧愁不已,气多厥逆,重则
眩
槟榔 沉香 乌药 人参。等分,浓磨煎三四沸,温服。一方人参易枳壳。一方去人
参,加枳实、木香,白酒磨服,名五磨饮子∶治暴怒卒死,名曰气厥。
此手太阴药也。气上宜降之,故用槟榔、沉香(槟榔性如铁石,沉香入水独沉,故皆能
下气);气逆宜顺之,故用乌药;加人参者,降中有升,泻中带补,恐伤其气也。大实者仍
宜枳壳
(丹溪)
统治六郁,胸膈痞闷,吞酸呕吐,饮食不消(六郁∶气郁、血郁、痰郁、火郁、湿郁、
食郁也。六者之中,以气为主,气行则郁散矣。吞酸呕吐,由于痰火;饮食不消,由气不运
行。丹溪曰∶气升则食自降,六郁不言风寒者,风寒郁则为热也。滑伯仁曰∶郁者,结聚而
不得发越,当升者不得升。当降者不得降,当变化者不得变化,所以传化失常而病见矣。气
郁者,胸膈痛;湿郁者,周身痛,遇阴寒即发;痰郁者,动则气喘,寸口沉滑;热郁者,昏
瞀便赤,脉沉数;血郁者,四肢无力,能食;食郁者,嗳酸腹饱,不能食,寸口紧盛。经曰∶
木郁
香附(醋炒) 苍术(泔浸。炒) 抚芎 神曲(炒) 栀子(炒黑。等分,)曲糊为
丸。如湿
花;气郁加木香、槟榔
参,冬加吴茱萸,经所
此手足太阴、手少阳药也。吴鹤皋曰∶越鞠者,发越鞠郁之谓也。香附开气郁,苍术燥
湿郁,抚芎调血郁,栀子解火郁,神曲消食郁。陈来章曰∶皆理气也,气畅而郁舒矣(朱丹
溪曰∶郁为燥淫,燥乃阳明秋金之位,肺属金,主气,主分布阴阳,伤则失职,不能升降,
故经曰
四脏
之,
阴中
下
既
诀
诸
口
(严氏)
治疗七情导致的气机逆乱,出现上气喘促急促,胸膈满闷、食欲不振的症状。(怒则气机上逆,思虑则气机郁结,忧愁不止,多导致气机厥逆,严重时会出现眩晕。)
槟榔、沉香、乌药、人参。以上四味药等量,用浓磨法研磨后煎煮三四沸,温服。另一版本用人参替换枳壳。另一版本去掉人参,加入枳实、木香,用白酒研磨送服,名为五磨饮子:治疗因暴怒导致的突然昏死,病名叫做气厥。
这是手太阴肺经的药物。气机上逆应当降逆,所以使用槟榔、沉香(槟榔质地坚硬如铁石,沉香入水独沉,因此都能下气);气机逆乱应当顺气,所以使用乌药;加入人参,是为了在降逆中带有升提之意,在泻实中带有补益之功,担心损伤正气。如果是大实证,仍然适宜使用枳壳。
(丹溪)
统治六郁证,症状包括胸膈痞塞闷痛,吞酸呕吐,饮食不消化。(六郁是指:气郁、血郁、痰郁、火郁、湿郁、食郁。在这六种郁滞中,以气郁为主,气机运行通畅则郁滞消散。吞酸呕吐,是由于痰火所致;饮食不消化,是由于气机不能正常运行。朱丹溪说:气机上升则食物自然下降。六郁没有提及风寒的原因,是因为风寒郁滞就会化热。滑伯仁说:所谓郁,就是结聚而不能发散,该升的不能升,该降的不能降,该变化的不能变化,所以传导功能失常而病症出现。气郁者,胸膈疼痛;湿郁者,周身疼痛,遇到阴寒天气即发作;痰郁者,活动后气喘,寸口脉沉滑;热郁者,头昏目眩,小便赤黄,脉象沉数;血郁者,四肢无力,但能进食;食郁者,嗳气有酸腐味,腹部饱胀,不能进食。《内经》说:木郁……)
香附(醋炒)、苍术(淘米水浸泡后炒)、抚芎(川芎的一种)、神曲(炒)、栀子(炒黑)。以上五味药等分,用曲糊制作成丸剂。如果湿气重……;气郁加重木香、槟榔……;人参……,冬季加吴茱萸,经期所……
这是手太阴肺经、手少阳三焦经的药物。吴鹤皋说:越鞠,意思是发越解除郁结。香附开解气郁,苍术燥湿除湿郁,抚芎调和血郁,栀子清解火郁,神曲消食除食郁。陈来章说:这些都是调理气机的药物,气机畅达则郁滞舒展。(朱丹溪说:郁属于燥淫,燥对应阳明秋金之位,肺属金,主气,主管分布阴阳,受损则失职,不能升降,所以《内经》说……四脏……之,阴中……下……既……诀……诸……口……)
(Yan's Formula)
Treats qi rebellion caused by the seven emotions, presenting with rapid upper jiao panting, chest fullness and stifling sensation, and loss of appetite. (Anger causes qi to rise upward; excessive thinking causes qi to knot; persistent worry leads to frequent qi reversal; in severe cases, dizziness occurs.)
Betel Nut (Arecae Semen), Agarwood (Aquilariae Lignum), Peucedanum Root (Peucedani Radix), Ginseng Root (Ginseng Radix). Equal parts, ground into a thick paste and decocted for three or four boils, taken warm. Another prescription replaces Ginseng with Bitter Orange (Aurantii Fructus). Another prescription removes Ginseng and adds Immature Bitter Orange (Aurantii Fructus Immaturus) and Costus Root (Saussureae Radix), taken with white wine as a grinding medium, named Wu Mo Yin Zi (Five Grinds Decoction): treats sudden death/coma due to violent anger, known as Qi Jue (Qi Reversal).
This is a formula for the Hand-Taiyin Lung Meridian. When qi rebels upward, it should be directed downward; thus, Arecae Semen and Aquilariae Lignum are used (Arecae Semen is hard like ironstone, Aquilariae Lignum sinks alone in water, so both can direct qi downward); when qi is rebellious, it should be smoothed; thus, Peucedani Radix is used; Ginseng Radix is added to provide ascending action within descending action, and tonification within purgation, fearing damage to healthy qi. In cases of excess syndrome, Aurantii Fructus is still appropriate.
(Danxi's Formula)
Universally treats the six types of Yu (stagnation), presenting with chest diaphragm stuffiness and oppression, acid regurgitation, vomiting, and indigestion. (The six Yu refer to: Qi Yu [Qi Stagnation], Xue Yu [Blood Stagnation], Tan Yu [Phlegm Stagnation], Huo Yu [Fire Stagnation], Shi Yu [Dampness Stagnation], and Shi Yu [Food Stagnation]. Among these six, Qi Yu is primary; when qi moves freely, stagnation dissipates. Acid regurgitation and vomiting are due to phlegm-fire; indigestion is due to qi failing to move. Zhu Danxi said: When qi ascends, food naturally descends. The six Yu do not mention wind-cold because wind-cold stagnation transforms into heat. Hua Borun said: Yu means clustering and inability to vent; what should ascend cannot ascend, what should descend cannot descend, what should transform cannot transform, leading to abnormal transmission and manifestation of disease. Qi Yu presents with chest/diaphragm pain; Shi Yu presents with whole-body pain, triggered by yin-cold; Tan Yu presents with panting upon movement, deep and slippery pulse at Cun Kou; Huo Yu presents with dizziness/blurred vision, red urine, deep and rapid pulse; Xue Yu presents with limb weakness but ability to eat; Shi Yu presents with belching with sour odor, abdominal fullness, inability to eat. The Classic says: Wood Yu...)
Cyperus Rhizome (Cyperi Rhizoma, stir-fried with vinegar), Atractylodes Rhizome (Atractylodis Rhizoma, soaked in rice water, stir-fried), Chuanxiong Rhizome (Chuanxiong Rhizoma), Medicated Leaven (Medicated Massae Medicatae), Gardenia Fruit (Gardeniae Fructus, stir-fried until black). Equal parts, made into pills using medicated leaven paste. If dampness is heavy...; if Qi Yu is prominent, add Costus Root and Betel Nut...; Ginseng...; in winter add Evodia Fruit...; during menstruation...
This is a formula for the Hand-Taiyin Lung Meridian and Hand-Shaoyang Sanjiao Meridian. Wu Hegao said: Yue Ju means to vent and resolve stagnation. Cyperi Rhizoma opens Qi Yu, Atractylodis Rhizoma dries out Shi Yu, Chuanxiong Rhizoma regulates Xue Yu, Gardeniae Fructus clears Huo Yu, Medicated Massae Medicatae digests Shi Yu. Chen Laizhang said: These all regulate qi; when qi flows smoothly, stagnation relaxes. (Zhu Danxi said: Yu belongs to dryness invasion; dryness corresponds to the Yangming Autumn Metal position. The Lung belongs to Metal, governs qi, and distributes yin and yang. Injury leads to loss of function, inability to ascend and descend, hence the Classic says... Four Zang... of, yin inside... lower... already... resolution... various... mouth...)