论曰手少阴,心之经也,心为阳中之阳,诸阳之所会合,若诸阳气虚,少阴之经气逆,
则阳虚而阴厥,致令心痛,是为厥心痛。
治厥心痛,面色青黑,眼目直视,心腹连季胁引痛满胀。高良姜散方
高良姜 乌药 京三棱(并锉各一两) 吴茱萸(水浸一宿曝干二两与上三味相和炒待
茱
萸焦即住火净拣去茱萸不用将三味与后药同捣) 丹参(锉微炒) 沉香(锉) 莎草根(炒
去毛)
各半两) 麝香
(一分别研入)
上一十二味,捣研为散,每服三钱匕,煎茯苓汤调下,或炒桃仁酒调下亦得。
治厥逆冷气上攻心痛。当归散方
当归(锉微炒) 陈橘皮(汤浸去白焙) 桂(去粗皮) 枳壳(去瓤麸炒) 槟榔 桔
梗(去
芦头炒各一两) 赤芍药 木香 人参(各半两)
上九味。捣罗为细散,每服二钱匕,煎生姜枣汤调下,不拘时服。
治厥逆心痛,呕逆气闷绝,吴茱萸丸方
吴茱萸(汤浸一宿焙干炒) 桂(去粗皮) 白术(一两二钱) 干姜(炮) 青橘皮
(汤浸去
白焙) 槟榔 木香 干漆(捣碎炒令烟出) 当归(锉微炒) 桔梗(去芦头炒) 附子
(炮裂去
皮脐各一两)
上一十一味,捣罗为细末,炼蜜和捣三五百杵,丸如梧桐子大,以热酒下二十丸。不
拘时候。
治厥逆冷气,上攻心痛,不食。草豆蔻汤方
草豆蔻(去皮一两半) 浓朴(去粗皮姜汁炙二两) 桂(去粗皮) 高良姜 当归(锉
焙各
上五味,粗捣筛,每服四钱匕,以水一盏,煎取六分,去滓稍热服,不拘时候。
治厥心痛,及气膈心痛。吴茱萸散方
吴茱萸(水浸一宿炒干三分) 荜茇(半两) 胡椒(一分) 高良姜(半两) 当归
(切焙)
(二枚微煨)
上九味,捣罗为细散,每服二钱匕,空心温酒调下,日晚再服。
治厥心痛。麝香汤方
麝香(别研每汤成旋下) 木香(一两锉) 桃仁(去皮尖双仁麸炒三十五枚) 吴茱
萸(水
上五味,除麝香桃仁外,粗捣筛,入桃仁再同和研匀,每服三钱匕,水半盏,童子小便
半盏,同煎至六分,去滓入麝香末半钱匕,搅匀温服,日二服。
论述说:手少阴经是心的经脉,心属于阳中之阳,是诸阳经气汇聚的地方。如果诸阳之气虚弱,导致少阴经的气机逆乱,就会出现阳气虚而阴气厥逆的情况,进而引发心痛,这被称为厥心痛。
治疗厥心痛,症见面色青黑,两眼直视,心腹部连带季胁部位牵引疼痛、胀满。用高良姜散方:
高良姜、乌药、京三棱(均锉碎,各一两)、吴茱萸(用水浸泡一夜后晒干,二两,与上述三味药混合炒制,待吴茱萸炒焦即停止加热,拣去吴茱萸不用,将剩余三味药与后面的药物一同捣碎)、丹参(锉碎,微炒)、沉香(锉碎)、莎草根(炒制去毛,各半两)、麝香(另研细末,分次加入)。
以上十二味药,捣碎研成散剂。每次服用三钱匕,用茯苓汤煎煮后调服,或者用炒桃仁酒调服也可以。
治疗厥逆冷气上攻引起的心痛。用当归散方:
当归(锉碎,微炒)、陈橘皮(热水浸泡去白瓤焙干)、桂枝(去掉粗皮)、枳壳(去掉瓤麸炒)、槟榔、桔梗(去掉芦头炒,各一两)、赤芍药、木香、人参(各半两)。
以上九味药,捣碎过筛成细散。每次服用二钱匕,用生姜大枣汤煎煮后调服,不限时间服用。
治疗厥逆心痛,呕吐逆气导致气息闷绝。用吴茱萸丸方:
吴茱萸(热水浸泡一夜焙干炒制)、桂枝(去掉粗皮)、白术(一两二钱)、干姜(炮制)、青橘皮(热水浸泡去白瓤焙干)、槟榔、木香、干漆(捣碎炒至冒烟)、当归(锉碎微炒)、桔梗(去掉芦头炒)、附子(炮裂去皮脐,各一两)。
以上十一味药,捣碎过筛成细末,用炼蜜调和并捣击三五百下,制成梧桐子大小的丸药。用热酒送服二十丸。不限时候服用。
治疗厥逆冷气上攻心痛,食欲不振。用草豆蔻汤方:
草豆蔻(去皮一两半)、厚朴(去掉粗皮姜汁炙,二两)、桂枝(去掉粗皮)、高良姜、当归(锉碎焙干,各一两)。
以上五味药,粗捣过筛。每次服用四钱匕,用水一盏,煎取六分,去渣稍热服用,不限时候。
治疗厥心痛,以及气膈心痛。用吴茱萸散方:
吴茱萸(水浸泡一夜炒干三分)、荜茇(半两)、胡椒(一分)、高良姜(半两)、当归(切焙)、[原文此处似有缺漏,结合上下文推测可能为某药材或剂量,但依原文仅列]... 上九味,捣罗为细散,每服二钱匕,空心温酒调下,日晚再服。
*(注:原文中“当归(切焙)”后紧接“(二枚微煨)”,中间缺失药材名,通常此类方剂中“二枚微煨”多指生姜或大枣,但依据严格忠实原文原则,此处仅翻译可见部分,并在实体提取时注意)*
治疗厥心痛。用麝香汤方:
麝香(另研,每在汤成时旋下)、木香(一两锉碎)、桃仁(去皮尖双仁麸炒三十五枚)、吴茱萸(水浸... [原文截断])。
以上五味药,除麝香、桃仁外,粗捣过筛,放入桃仁再次同和研匀。每次服用三钱匕,用水半盏、童子小便半盏,同煎至六分,去渣加入麝香末半钱匕,搅匀温服,每日两次。
It is stated that the Hand-Shaoyin Meridian is the meridian of the Heart. The Heart belongs to Yang within Yang and is the convergence point of all Yang meridians. If the Qi of all Yang channels becomes deficient, causing the Qi of the Shaoyin Meridian to rebel, Yang deficiency leads to Yin Jue (cold extremities/reversal), resulting in heart pain, which is termed Jue Xintong (Jue-type Heartache).
To treat Jue Xintong characterized by a dark blue-black complexion, fixed staring eyes, and pain radiating from the heart and abdomen to the hypochondrium with distension: Use Gaoliangjiang San (Galangal Powder).
Ingredients: Gaoliangjiang (Alpiniae Officinarum Rhizoma), Wuyao (Litseae Monophyllae Fructus), Jingsanleng (Curcumae Radix) — all cut into pieces, each 1 liang; Wuzhuyu (Evodiae Fructus) — soaked in water overnight, sun-dried, 2 liang, stir-fried together with the above three ingredients until Wuzhuyu turns scorched, then remove Wuzhuyu; Danshen (Salviae Miltiorrhizae Radix et Rhizoma) — cut and lightly stir-fried; Chenxiang (Aquilariae Lignum Resinatum) — cut; Shacaogen (Cyperus Rotundus Rhizoma) — stir-fried and de-haired, each half liang; Shexiang (Moschus) — separately ground into powder, added in portions.
Twelve ingredients in total. Pound and grind into a powder. Take 3 qianbi per dose, mixed with Fu Ling Tang (Poria Decoction) or adjusted with wine containing stir-fried Tao Ren (Persicae Semen).
To treat heart pain caused by cold Qi attacking upward due to Jue Ni (reversal of cold): Use Danggui San (Angelica Sinensis Powder).
Ingredients: Danggui (Angelicae Sinensis Radix) — cut and lightly stir-fried; Chenjupi (Citri Reticulatae Pericarpium) — soaked in hot water, white pith removed, dried; Guizhi (Cinnamomi Ramulus) — bark removed; Zhike (Aurantii Fructus Immaturus) — pith removed, bran-stir-fried; Binglang (Arecae Semen); Jiegeng (Platycodonis Radix) — radix tip removed, stir-fried, each 1 liang; ChiShaoyao (Paeoniae Radix Rubra); Muxiang (Aucklandiae Radix); Renshen (Ginseng Radix) — each half liang.
Nine ingredients in total. Pound and sieve into a fine powder. Take 2 qianbi per dose, mixed with Shengjiang Zao Tang (Fresh Ginger and Jujube Decoction). Take at any time.
To treat Jue Xintong with vomiting, rebellious Qi, and suffocation: Use Wuzhuyu Wan (Evodia Pills).
Ingredients: Wuzhuyu (Evodiae Fructus) — soaked in hot water overnight, dried and stir-fried; Guizhi (Cinnamomi Ramulus) — bark removed; Baizhu (Atractylodis Macrocephalae Rhizoma) — 1 liang 2 qian; Ganjiang (Zingiberis Rhizoma) — processed; Qingjupi (Citri Reticulatae Pericarpium) — soaked in hot water, white pith removed, dried; Binglang (Arecae Semen); Muxiang (Aucklandiae Radix); Ganqi (Euphorbiae Lachryma); Danggui (Angelicae Sinensis Radix) — cut and lightly stir-fried; Jiegeng (Platycodonis Radix) — radix tip removed, stir-fried; Fuzi (Aconiti Lateralis Radix Praeparata) — processed until cracked, skin and navel removed, each 1 liang.
Eleven ingredients in total. Pound and sieve into a fine powder. Mix with refined honey and pound 300-500 times. Shape into pills the size of Sophora seeds. Take 20 pills with warm wine. Take at any time.
To treat Jue Ni cold Qi attacking upward causing heart pain and anorexia: Use Caodoukou Tang (Cardamom Decoction).
Ingredients: Caodoukou (Tsaoko Fructus) — peeled, 1.5 liang; Houpo (Magnoliae Officinalis Cortex) — bark removed, ginger juice-processed, 2 liang; Guizhi (Cinnamomi Ramulus) — bark removed; Gaoliangjiang (Alpiniae Officinarum Rhizoma); Danggui (Angelicae Sinensis Radix) — cut and dried, each 1 liang.
Five ingredients in total. Coarsely crush and sieve. Take 4 qianbi per dose. Add one zhan of water, decoct to obtain 6 fen. Remove dregs and take while slightly warm. Take at any time.
To treat Jue Xintong and Qi Ge Xintong (Heartache due to Qi obstruction): Use Wuzhuyu San (Evodia Powder).
Ingredients: Wuzhuyu (Evodiae Fructus) — soaked in water overnight, dried and stir-fried, 3 fen; Bibo (Long Pepper Fruit); Hujiao (Pepper); Gaoliangjiang (Alpiniae Officinarum Rhizoma) — each half liang; Danggui (Angelicae Sinensis Radix) — sliced and dried; [Text implies missing ingredient(s) before "two pieces lightly roasted", likely Ginger or Jujube based on context, but strictly translating visible text]: ... Nine ingredients in total. Pound and sieve into a fine powder. Take 2 qianbi per dose with warm wine on an empty stomach, and again in the evening.
To treat Jue Xintong: Use Shexiang Tang (Musk Decoction).
Ingredients: Shexiang (Moschus) — separately ground, added when the decoction is ready; Muxiang (Aucklandiae Radix) — 1 liang cut; Tao Ren (Persicae Semen) — peel and tip removed, twin kernels, bran-stir-fried, 35 pieces; Wuzhuyu (Evodiae Fructus) — soaked in water... [Text cuts off].
Five ingredients in total. Excluding Shexiang and Tao Ren, coarsely crush and sieve. Add Tao Ren and grind evenly. Take 3 qianbi per dose. Add half zhan of water and half zhan of urine from an uncircumcised boy. Decoct together to 6 fen. Remove dregs, add half qianbi of Shexiang powder, mix well, and take warm. Twice daily.