朱砂滚痰丸 治膈间痰饮及肥盛人宜此,则滚痰丸以朱砂为衣,每服五、七十丸,白汤下。
(方见痰饮门。)
一方∶治惊悸九窍溢血。用新屠羊血,热饮二升,愈。
一方∶治卒惊九窍出血。以井花水 面即止。
大惑论帝曰∶人之善忘者,何气使然?岐伯曰∶上气不足,下气有余,肠胃实而心气虚,
则荣卫留于下,久之不以时上,故善忘也。
《病源》云∶健忘者,谓事有始无终,言谈不知首尾。又健忘者,陡然而忘其事也。此证
皆由忧思过度,损
其心胞,以致神舍不清,遇事多忘。然过思伤脾,亦能令人健忘。治之须兼理心脾,神凝意定,
其证能自除矣。
脉涩为血少。滑主有痰在膈间。心脉洪大而散主有火,宜清之。脾胃脉或微而涩,或弦细,
皆不足也。
健忘由劳心血耗,神不内守,故卒然而遂忘。宜养血,则心气自足而神自安,何健忘之
有?过思伤脾,痰涎郁滞,虑愈深而忘愈健,宜理脾寡欲,则痰涎既豁而神斯清,何健忘之有?
归脾汤 治思虑过度,劳伤心脾,健忘怔忡。
人参 黄 (蜜炙) 茯神 白术(各一钱) 酸枣仁(泡,去皮,八分) 木香(三分) 甘草
(三分)
上水盏半、龙眼肉七枚、灯心二十根,煎七分。食后服。
定志丸 治心气不足,脾思过度,恍惚健忘,惊悸怔忡。无时服此,益心强志,令人不忘。
人参 白茯苓(各二两) 远志(去心) 石菖蒲(各二两)
上为末,炼蜜丸,弹子大,朱砂为衣。每服三、四十丸,临卧米饭下。
加味茯苓汤 治伤脾涎滞,痰迷心窍,失事健忘。
半夏曲 陈皮(各八分) 甘草(五分) 白茯苓 人参(各一钱) 益智仁 香附子(炒。各五分)
上水盏半、姜三片、乌梅一个,煎八分,食远温服。
二丹丸 治健忘。安神,定志,和血。
丹砂 丹参 茯苓 远志 人参(各半两) 甘草 天门冬 麦门冬 熟地黄(各一两)
上为细末,炼蜜丸,梧桐子大。每服三十丸至五十丸,米汤下。
赛心汤 宁志膏 朱雀丸 并治健忘。(三方俱见惊悸门。)
(《圣惠》)人参远志丸 治神思不定,健忘惊悸。
人参 远志 白茯苓 天门冬 黄 酸枣仁 石菖蒲 桔梗(各一两) 丹砂(半两) 官桂(二钱)
上为末,炼蜜丸,绿豆大。每服二十丸至三十丸,米汤下。
大归神丹 治健忘。镇心安神。
人参 当归 酸枣仁 白茯苓 远志(姜汁炒。各一两) 龙齿(半两) 琥珀(半两)
金银箔(各二十片)
上为细末,酒煮稀糊丸,如小豆大。每服二十丸,日用麦门冬汤下,夜以酸枣仁汤下。
寿星丸 治痰迷心窍,健忘惊悸。
天南星(一斤,每个打作三、四块,先以炭火二十斤烧地坑通红,取出火,以酒五升倾坑内,
候酒尽,下南星于内,以盆覆之,勿令走气,次日取出南星,研末) 朱砂(三两,另研)
琥珀(一两,另研)
上末和匀,姜汁打糊丸,小豆大。每服三十丸,人参汤下。
读书丸 治健忘,能除百病,日记万言。
人参 远志 石菖蒲 菟丝子 生地黄 地骨皮 五味子 酸枣仁 当归 川芎(各等分)
上为细末,炼蜜丸,梧桐子大。每服三十丸,空心枣汤下。
三神散 治健忘不记事者,
白茯神 远志(制) 石菖蒲(去毛。各三两)
上为细末。每服四钱,食后空心各一服,水一盏,煎八分,和渣服。十日后则不忘,久久
服之,能日记千言。
巴戟天丸 治健忘。服此令人聪明善记。
巴戟天(去心,半两) 石菖蒲 地骨皮 白茯苓(为末,作糊) 远志(制) 白茯神(各一两)
人参(三钱)
上为末,粘米粉同茯苓末作糊,以菖蒲汤调为丸,梧桐子大。每服三十丸,酒、白汤任下,
日三服。
丹参饮子 治健忘。辛苦勤读之士宜服此。
丹参 当归(酒洗) 白术(炒) 天门冬(去心) 麦门冬(去心。各一钱半) 贝母 陈皮
知母 甘草(各七分) 石菖蒲(一钱) 黄连(姜汁炒,五分) 五味子(九粒)
上水盏半、姜一片,煎八分,不拘时温服。
朱砂滚痰丸:治疗胸膈间的痰饮,以及体型肥胖之人适宜使用此方。该滚痰丸以朱砂为衣,每次服用五、七十丸,用白开水送服。(方剂详情见“痰饮”章节。)
瓜蒂散、三圣散:均用于治疗痰盛引起的惊悸。(这两个方剂详情见“中风”章节。)
一方:治疗因惊悸导致九窍出血。使用新鲜屠宰的羊血,趁热饮用二升,即可痊愈。
一方:治疗突然受惊导致九窍出血。饮用井中上层清水(井花水),面颊处的出血即止。
《大惑论》中黄帝问:人之所以容易健忘,是什么气机导致的?岐伯回答:上部之气不足,下部之气有余,肠胃充实而心气虚弱,则营卫之气滞留于下,长时间不能按时上行,所以容易健忘。
《诸病源候论》说:所谓健忘,是指做事有始无终,说话不知首尾。又一种健忘,是突然忘记了自己的事情。这种病症都是由忧思过度,损伤了心包络,导致神志居所不清爽,遇事多遗忘。然而过度思虑也会伤脾,同样能使人健忘。治疗时必须兼顾调理心脾,使神志凝定,意念专注,此证自然能消除。
脉象涩表示血少。滑脉主胸膈间有痰。心脉洪大而散,主内有火,宜用清热法。脾胃脉若微而涩,或弦细,均属不足之象。
健忘是由于劳伤心血耗损,神气不能内守,所以突然就忘记了。宜养血,则心气自然充足而神志安宁,哪里还会有健忘呢?过度思虑伤脾,痰涎郁滞,忧虑越深反而忘得越厉害,宜调理脾胃、减少欲望,则痰涎既已豁除而神志清明,哪里还会有健忘呢?
归脾汤:治疗思虑过度,劳伤心脾,导致健忘和怔忡。
人参、黄芪(蜜炙)、茯神、白术(各一钱)、酸枣仁(泡,去皮,八分)、木香(三分)、甘草(三分)。
以上药材加水一盏半、龙眼肉七枚、灯心草二十根,煎至七分,饭后服用。
定志丸:治疗心气不足,思虑过度,导致恍惚健忘、惊悸怔忡。随时服用此药,可补益心气、增强意志,使人不忘事。
人参、白茯苓(各二两)、远志(去心)、石菖蒲(各二两)。
以上研为末,炼蜜为丸,如弹子大小,朱砂为衣。每次服用三、四十丸,临睡前用米饭送服。
加味茯苓汤:治疗伤脾致涎液停滞,痰迷心窍,失事健忘。
半夏曲、陈皮(各八分)、甘草(五分)、白茯苓、人参(各一钱)、益智仁、香附子(炒,各五分)。
以上加水一盏半、生姜三片、乌梅一个,煎至八分,饭后稍久温服。
二丹丸:治疗健忘。安神,定志,和血。
丹砂、丹参、茯苓、远志、人参(各半两)、甘草、天门冬、麦门冬、熟地黄(各一两)。
以上研为细末,炼蜜为丸,如梧桐子大小。每次服用三十丸至五十丸,米汤送服。
赛心汤、宁志膏、朱雀丸:均治疗健忘。(这三个方剂均在“惊悸”章节中记载。)
《太平圣惠方》人参远志丸:治疗神思不定,健忘惊悸。
人参、远志、白茯苓、天门冬、黄芪、酸枣仁、石菖蒲、桔梗(各一两)、丹砂(半两)、官桂(二钱)。
以上研为末,炼蜜为丸,如绿豆大小。每次服用二十丸至三十丸,米汤送服。
大归神丹:治疗健忘。镇心安神。
人参、当归、酸枣仁、白茯苓、远志(姜汁炒,各一两)、龙齿(半两)、琥珀(半两)、金银箔(各二十片)。
以上研为细末,用酒煮稀糊为丸,如小豆大小。每次服用二十丸,白天用麦门冬汤送服,夜晚用酸枣仁汤送服。
寿星丸:治疗痰迷心窍,健忘惊悸。
天南星(一斤,每个打作三、四块,先用炭火烧地坑通红,取出火,将酒五升倒入坑内,待酒尽,放入南星,用盆覆盖,勿令漏气,次日取出南星,研末)、朱砂(三两,另研)、琥珀(一两,另研)。
以上粉末混合均匀,用姜汁打糊为丸,如小豆大小。每次服用三十丸,人参汤送服。
读书丸:治疗健忘,能除百病,每日记诵万言。
人参、远志、石菖蒲、菟丝子、生地黄、地骨皮、五味子、酸枣仁、当归、川芎(各等分)。
以上研为细末,炼蜜为丸,如梧桐子大小。每次服用三十丸,空腹时枣汤送服。
三神散:治疗健忘不记事者。
白茯神、远志(制)、石菖蒲(去毛,各三两)。
以上研为细末。每次服用四钱,饭后及空腹各服一次,用水一盏,煎至八分,连同药渣一起服用。十日后则不忘,长期服用,能每日记诵千言。
巴戟天丸:治疗健忘。服用此药令人聪明善记。
巴戟天(去心,半两)、石菖蒲、地骨皮、白茯苓(研末,作糊)、远志(制)、白茯神(各一两)、人参(三钱)。
以上研为末,用粘米粉同茯苓末作糊,以菖蒲汤调为丸,如梧桐子大小。每次服用三十丸,酒或白开水任取一种送服,每日三次。
丹参饮子:治疗健忘。辛苦勤读之士适宜服用此方。
丹参、当归(酒洗)、白术(炒)、天门冬(去心)、麦门冬(去心,各一钱半)、贝母、陈皮、知母、甘草(各七分)、石菖蒲(一钱)、黄连(姜汁炒,五分)、五味子(九粒)。
以上加水一盏半、生姜一片,煎至八分,不拘时间温服。
Zhusha Gutan Wan (Cinnabar Rolling Phlegm Pill): Treats phlegm-fluid retention in the chest and diaphragm, and is suitable for obese individuals. This Gutan Wan is coated with Zhusha (Cinnabar). Take 50–70 pills per dose, swallowed with warm water. (See the "Phlegm-Fluid" section for the formula details.)
Gudi San (Melon Spicule Powder) and Sansheng San (Three Sages Powder): Both treat palpitations caused by excessive phlegm. (These two formulas are detailed in the "Stroke" section.)
Another prescription: Treats bleeding from the nine orifices due to palpitations. Use fresh sheep's blood from a newly slaughtered sheep; drink two sheng (approx. 400ml) while hot, and it will cure the condition.
Another prescription: Treats sudden bleeding from the nine orifices due to fright. Drink well-water (Jinghua Shui), and the bleeding on the face will stop immediately.
In the *Da Huo Lun* (Treatise on Great Confusion), the Yellow Emperor asked: What qi mechanism causes people to be prone to forgetfulness? Qibo answered: Insufficiency of upper qi and excess of lower qi; fullness in the intestines and stomach with deficiency of heart qi. When Ying and Wei (nutritive and defensive qi) remain stagnant below and fail to ascend to the upper body in time, forgetfulness occurs.
The *Bingyuan* (Source of Diseases) states: Forgetfulness refers to starting tasks without finishing them, or speaking without knowing the beginning or end. Another form of forgetfulness is suddenly forgetting one's own affairs. These conditions arise from excessive worry and overthinking, which damage the Pericardium, causing the residence of the Shen (Spirit) to become unclear, leading to frequent forgetting when encountering events. However, excessive thinking also damages the Spleen, which can likewise cause forgetfulness. Treatment must simultaneously regulate the Heart and Spleen; when the Shen is concentrated and the Yi (Intellect) is settled, the condition will resolve spontaneously.
A choppy pulse indicates blood deficiency. A slippery pulse indicates phlegm in the chest and diaphragm. A large, surging, and scattered Heart pulse indicates internal heat/fire, which should be cleared. If the Spleen and Stomach pulses are faint and choppy, or wiry and thin, they all indicate insufficiency.
Forgetfulness results from the depletion of Heart blood due to overwork, causing the Shen to fail to remain within. Thus, one suddenly forgets. Nourishing the blood will naturally restore Heart qi and calm the Shen, eliminating forgetfulness. Excessive thinking damages the Spleen, causing stagnation of phlegm-saliva; the deeper the anxiety, the more severe the forgetfulness. Regulating the Spleen and reducing desires will clear the phlegm-saliva and clarify the Shen, thereby eliminating forgetfulness.
Guipi Tang (Restore the Spleen Decoction): Treats forgetfulness and panic (Zhengchong) caused by overthinking that injures the Heart and Spleen.
Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix, honey-fried), Fushen (Poria with Hostwood), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 1 qian); Suanzaoren (Ziziphi Spinosae Semen, soaked, peeled) (8 fen); Muxiang ( Aucklandiae Radix) (3 fen); Gancao (Glycyrrhizae Radix et Rhizoma) (3 fen).
Add 1.5 cups of water, 7 Longan fruits, and 20 roots of Dengxin (Junci Medulla). Decoct until 0.7 cup remains. Take after meals.
Dingzhi Wan (Stabilize the Will Pill): Treats insufficient Heart qi and excessive mental labor, resulting in trance-like forgetfulness, palpitations, and panic. Take this at any time to benefit the Heart, strengthen the will, and prevent forgetfulness.
Renshen (Ginseng Radix et Rhizoma), Bai Fuling (Poria) (each 2 liang); Yuanzhi (Polygalae Radix, remove heart), Shichangpu (Acori Tatarinowii Rhizoma) (each 2 liang).
Grind into powder, mix with refined honey to make pills the size of a bullet, coated with Zhusha (Cinnabar). Take 30–40 pills before bed, swallowed with rice.
Jiawei Fuling Tang (Modified Poria Decoction): Treats forgetfulness due to Spleen injury causing saliva stagnation and phlegm confusing the Heart orifice.
Banxiaqu (Pinelliae Fermentatae Fructus), Chenpi (Citri Reticulatae Pericarpium) (each 8 fen); Gancao (Glycyrrhizae Radix et Rhizoma) (5 fen); Baifuling (Poria), Renshen (Ginseng Radix et Rhizoma) (each 1 qian); Yizhiren (Alpiniae Oxyphyllae Fructus), Xiangfuzi (Cyperi Rhizoma, stir-fried) (each 5 fen).
Add 1.5 cups of water, 3 slices of Shengjiang (Zingiberis Rhizoma Recens), and 1 Wumei (Mume Fructus). Decoct until 0.8 cup remains. Take warm long after meals.
Er Dan Wan (Two Cinnabars/Reds Pill): Treats forgetfulness. Calms the Spirit, stabilizes the will, and harmonizes the blood.
Dansha (Cinnabar), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Fuling (Poria), Yuanzhi (Polygalae Radix), Renshen (Ginseng Radix et Rhizoma) (each 0.5 liang); Gancao (Glycyrrhizae Radix et Rhizoma), Tianmendong (Asparagi Radix), Maidong (Ophiopogonis Radix), Shudihuang (Rehmanniae Radix Preparata) (each 1 liang).
Grind into fine powder, mix with refined honey to make pills the size of Sophora seeds. Take 30–50 pills per dose, swallowed with rice soup.
Saixin Tang (Match the Heart Decoction), Ningzhi Gao (Calming the Spirit Paste), and Zhuque Wan (Vermilion Bird Pill): All treat forgetfulness. (All three formulas are found in the "Palpitations" section.)
Taiping Shenghui Fang Renshen Yuanzhi Wan (Ginseng and Polygala Pill from *Taiping Shenghui Fang*): Treats unsettled mind, forgetfulness, and palpitations.
Renshen (Ginseng Radix et Rhizoma), Yuanzhi (Polygalae Radix), Bai Fuling (Poria), Tianmendong (Asparagi Radix), Huangqi (Astragali Radix), Suanzaoren (Ziziphi Spinosae Semen), Shichangpu (Acori Tatarinowii Rhizoma), Jiegeng (Platycodonis Radix) (each 1 liang); Dansha (Cinnabar) (0.5 liang); Guanzi Gui (Cinnamomi Cortex) (2 qian).
Grind into powder, mix with refined honey to make pills the size of mung beans. Take 20–30 pills per dose, swallowed with rice soup.
Da Guishen Dan (Great Return to Spirit Elixir): Treats forgetfulness. Anchors the Heart and calms the Spirit.
Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Suanzaoren (Ziziphi Spinosae Semen), Bai Fuling (Poria), Yuanzhi (Polygalae Radix, stir-fried with ginger juice) (each 1 liang); Longchi (Draconis Os) (0.5 liang), Hupo (Electrum) (0.5 liang); Jin Yinbo (Gold and Silver Leaf) (20 pieces each).
Grind into fine powder, use wine-boiled thin paste to make pills the size of adzuki beans. Take 20 pills per dose. During the day, swallow with Maidong Tang (Ophiopogon Decoction); at night, swallow with Suanzaoren Tang (Ziziphus Decoction).
Shouxing Wan (Longevity Star Pill): Treats phlegm confusing the Heart orifice, forgetfulness, and palpitations.
Tiannanxing (Arisaematis Rhizoma) (1 jin, broken into 3–4 pieces each; first, burn charcoal to redden a pit in the ground, remove fire, pour 5 sheng of wine into the pit, wait until wine is absorbed, then place Nanxing inside, cover with a basin to prevent gas escape; next day, take out Nanxing and grind into powder); Zhusha (Cinnabar) (3 liang, separately ground); Hupo (Electrum) (1 liang, separately ground).
Mix powders evenly, use ginger juice to make a paste for pills the size of adzuki beans. Take 30 pills per dose, swallowed with Renshen Tang (Ginseng Decoction).
Dushu Wan (Reading Pill): Treats forgetfulness, eliminates hundred diseases, and enables memorizing ten thousand words daily.
Renshen (Ginseng Radix et Rhizoma), Yuanzhi (Polygalae Radix), Shichangpu (Acori Tatarinowii Rhizoma), Tusizi (Cuscutae Semen), Shengdihuang (Rehmanniae Radix), Digupi (Lycii Cortex), Wuweizi (Schisandrae Chinensis Fructus), Suanzaoren (Ziziphi Spinosae Semen), Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma) (equal parts).
Grind into fine powder, mix with refined honey to make pills the size of Sophora seeds. Take 30 pills per dose, swallowed with jujube soup on an empty stomach.
Sanshen San (Three Spirits Powder): Treats forgetfulness and inability to record memories.
Baifushen (Poria with Hostwood), Yuanzhi (Polygalae Radix, processed), Shichangpu (Acori Tatarinowii Rhizoma, remove fibers) (each 3 liang).
Grind into fine powder. Take 4 qian per dose, once after meals and once on an empty stomach. Add 1 cup of water, decoct until 0.8 cup remains, and consume with the dregs. After ten days, memory will be retained; long-term use enables memorizing a thousand words daily.
Bajitian Wan (Morinda Officinalis Pill): Treats forgetfulness. Taking this makes one intelligent and good at remembering.
Bajitian (Morindae Officinalis Radix, remove heart) (0.5 liang), Shichangpu (Acori Tatarinowii Rhizoma), Digupi (Lycii Cortex), Baifuling (Poria, ground into powder for paste), Yuanzhi (Polygalae Radix, processed), Baifushen (Poria with Hostwood) (each 1 liang); Renshen (Ginseng Radix et Rhizoma) (3 qian).
Grind into powder, use glutinous rice flour mixed with Poria powder as paste, adjust with Changpu Tang (Acorus Decoction) to make pills the size of Sophora seeds. Take 30 pills per dose, swallowed with wine or warm water as preferred, three times daily.
Danshen Yinzi (Salvia Infusion): Treats forgetfulness. Suitable for scholars who study hard and diligently.
Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix, washed with wine), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Tianmendong (Asparagi Radix, remove heart), Maidong (Ophiopogonis Radix, remove heart) (each 1.5 qian); Beimu (Fritillariae Thunbergii Bulbus), Chenpi (Citri Reticulatae Pericarpium), Zhimu (Anemarrhenae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each 7 fen); Shichangpu (Acori Tatarinowii Rhizoma) (1 qian); Huanglian (Coptidis Rhizoma, stir-fried with ginger juice) (5 fen); Wuweizi (Schisandrae Chinensis Fructus) (9 grains).
Add 1.5 cups of water and 1 slice of Shengjiang (Zingiberis Rhizoma Recens). Decoct until 0.8 cup remains. Take warm at any time.