论曰心劳病者,补脾气以益之,脾王则感于心,人逆夏气,则手太阳不长,心气内洞,
顺之则生,逆之则死,顺之则治,逆之则乱,反顺为逆,是谓内格,病则生矣,其候令人喜
忘不乐,大便鸭溏口疮,久不瘥,耳枯而鸣,不能听远,及毛焦色夭者,死于冬。
治心劳多烦躁,背 妨闷,面色数变,乍赤乍黑,或笑或歌,远志汤方
远志(去心一两) 赤茯苓(去黑皮三分) 犀角屑(一两) 人参(半两) 知母(焙
半两)
半)
上九味,粗捣筛,每五钱匕,用水一盏半,煎至一盏,去滓食后分温二服,如人行三五
里再服。
治心劳烦多热,喜笑无度,四肢烦热,止烦下气,麻黄汤方
麻黄(去根节一两半) 栀子仁(一两半) 赤茯苓(去黑皮一两半) 黄芩(去黑心
一两)
白术(一两半) 石膏(一两) 桂(去粗皮一两半) 生干地黄(焙五两) 甘草(炙一
两) 赤小
豆(一合)
上一十味,粗捣筛,每用药末十钱匕,鸡子白一枚,竹沥半合,水三盏,煎至二盏,去
滓下芒硝一钱,再上火令沸,分温三服,空腹日午夜卧,各一服。
治心劳,因多言喜乐过度伤心,或愁忧思虑而伤血,血伤即不欲视听,心烦惊悸。
人参汤方
人参(一两半) 木通(锉一两半) 茯神(去木一两) 麦门冬(去心焙一两半) 百
合(一
两) 龙齿(一两半) 柴胡(去苗一两)
上七味,粗捣筛,每五钱匕,用水一盏半,入枣三枚劈,煎至一盏,去滓分温二服,食
后相次服之。
治心劳热不止,皮毛焦色无润泽,口舌干燥,心中烦闷,麦门冬汤方
生麦门冬(去心三两) 陈粟米(一合) 鸡子(一枚取白) 淡竹叶(三两切)
上四味,以水五盏,先煮米并竹叶,取三盏,去滓澄清,冷下鸡子白,再煎五七沸,即
下麦门冬,煎至一盏半,去滓分温三服,空心日午夜卧服之。
治心劳实热,口疮心烦,多笑少力,小便不利,地黄汤方
生干地黄(焙) 柴胡(去苗各一两) 石膏(二两) 栀子仁(三分) 赤小豆(生
三两) 木
通(锉三分)
上六味,粗捣筛,每服三钱匕,水一盏,入竹叶二七片,同煎取六分,去滓温服,不计
时候。
治心劳热,耳焦多鸣,不能听远,磁石汤方
磁石(烧令通赤醋中淬七遍) 赤茯苓(去黑皮) 大青 人参 白术 菖蒲 芍药(各
一
上八味,粗捣筛,每五钱匕,水一盏半,入竹叶五片,煎至一盏,去滓分温二服,空腹
夜卧服之。
治心劳潮热,肌瘦四肢烦疼,竹茹汤方
竹茹 前胡(去芦头) 白茯苓(去黑皮) 人参(各一两) 甘草(炙锉) 贝母(去
心炒各
半两)
上一十味,粗捣筛,每服二钱匕,水一盏,入生姜竹叶各五片,煎至七分,不计时候,
去滓温服。
治心劳多惊悸,心气不足,补心麦门冬丸方
麦门冬(去心焙一两半) 石菖蒲(一两) 远志(去心一两半) 人参(一两) 白
茯苓(去
黑皮一两) 熟干地黄(一两半) 桂(去粗皮半两) 天门冬(心去焙一两半) 黄连(去
须一两
半) 升麻(一两半)
上一十味,捣罗为末,炼蜜为丸,如梧桐子大,每日食后夜卧时,用熟水下二十丸,兼
开心气,使人多记不忘。
治心劳热伤心,有长虫名蛊虫,长一尺,贯心为病,贯众丸方
贯众 陈橘皮(汤浸去白焙) 石蚕 桃白皮(炙令黄色各一两一分) 野狼牙(一两半)
雷
丸(炒) 白芜荑(炒令香) 青葙子 蜀椒(各一两) 白僵蚕(三七枚炒) 茱萸根皮
(炙令黄
色一两半) 乱头发(如鸡子大烧为灰)
上一十二味,捣罗为末,炼蜜丸如梧桐子大,每日空心,用米饮下七丸,未瘥更加至二
七丸,夜卧再服之。
治心脏劳热,久积毒瓦斯,小肠气癃结。少腹急。小便淋沥白浊疼痛。赤芍药丸方
赤芍药(一两半) 苦参(三两) 黄芩(去黑心) 山栀子仁 车前子(微炒) 瞿
麦穗(各
一两) 冬葵子(炒令香一两半) 大黄(炒一两半)
上八味,捣罗为末,炼蜜丸如梧桐子大,每日食后,温水下三十丸,夜卧再服。
治心劳热,胸膈聚痰,头目微头,手足时烦,肌肤渐觉羸瘦,獭肝丸方
獭肝(切碎炙黄一两半) 胡黄连(一两) 鳖甲(去裙 醋炙一两半) 柴胡(去苗
一两半) 犀角屑(一两) 知母(焙一两) 天门冬(去心焙一两) 地骨皮(一两半) 升
麻(一两) 茯神(去木一两) 紫菀(去苗土一两) 百合(一两) 杏仁(汤浸去皮尖
双仁炒令黄色别研一
天灵盖(酥炙令黄一两半
黄(焙三两)
上二十一味,捣罗为末,炼蜜丸如梧桐子大,每日食后温水下三十丸,夜卧再服。
治心劳热,精神不安,喜忘不乐,不能独卧,耳不远听,皮毛焦枯,或言语错乱。
茯苓丸方
白茯苓(去黑皮) 白龙骨 远志(去心) 防风(去叉) 人参 柏子仁(研各一两
半) 牡
上九味,捣罗为末,炼蜜丸如梧桐子大,每服三十丸,米饮下。
治心气劳伤,朱雀汤方
雄雀(一只取肉炙) 赤小豆(一合) 赤茯苓(去黑皮) 人参 大枣(去核) 紫
石英(各
(炙锉一分)
上一十一味,细锉拌匀,每服三钱匕,用水一盏,煎取六分,去滓温服。
治忧愁思虑,过伤心经,舌本肿强,王不留行汤方
王不留行 桂(去粗皮) 桔梗(炒) 大黄(锉炒) 当归(切焙) 甘草(炙锉各
一两) 雷
丸延胡索 白芨 天雄(炮裂去皮脐) 槟榔(半生半煨熟各一两半) 桑根白皮(半两)
上一十二味, 咀如麻豆,每服三钱匕,生姜三片,水一盏,同煎至七分,去滓温服。
治心劳客热烦躁,头目昏眩,前胡麦门冬饮方
前胡(去芦头) 麦门冬(去心焙) 葳蕤 玄参 升麻 人参 射干 芍药 甘草(炙
各
上九味,粗捣筛,每服五钱匕,水一盏半,入生姜半分切,赤小豆三十粒,煎至八分,
去滓食后服。
治心劳烦闷虚满,胸膈痞塞,饮食不下气噎等疾,人参汤方
人参 白茯苓(去黑皮) 前胡(去芦头) 麦门冬(去心焙) 黄芩(去黑心) 枳
壳(去瓤
芦头各一两) 陈橘
上一十三味,粗捣筛,每服五钱匕,水一盏半,入生姜半分切,煎至八分,去滓食后温
服。
治心劳客热,毒瓦斯上攻,口中生疮,齿龈肉烂,菊花汤方
菊花 升麻 独活(去芦头) 防风(去叉) 知母(焙) 黄芩(去黑心) 玄参
本(去苗
心焙) 生干地
上一十五味,粗捣筛,每服五钱匕,水一盏半,煎至八分,去滓食后温服。
治心虚劳损,喜忘不乐,麦门冬饮方
麦门冬(去心焙) 白茯苓(去黑皮各二两半) 人参(二两) 远志(去心一两一分)
防风
上七味,锉如麻豆,每服五钱匕,水一盏半,煎取八分,去滓温服,日二服。
【原文】论曰心劳病者,补脾气以益之,脾王则感于心,人逆夏气,则手太阳不长,心气内洞,顺之则生,逆之则死,顺之则治,逆之则乱,反顺为逆,是谓内格,病则生矣,其候令人喜忘不乐,大便鸭溏口疮,久不瘥,耳枯而鸣,不能听远,及毛焦色夭者,死于冬。
【白话翻译】论述说:治疗心劳病(因过度用心导致的心系虚损性疾病),应当通过补益脾气来增益它。当脾气旺盛时,就能感应并滋养心脏。如果人们违背夏季的养生规律,就会导致手太阳小肠经的气血生长不足,心气在内空虚。顺应自然规律就能生存,违背就会死亡;顺应就能治愈,违背就会混乱。将顺应变为违背,这就叫做“内格”(体内阴阳之气格拒不通),疾病就会产生。其症状表现为容易健忘、心情抑郁不快,大便稀薄如鸭粪,口腔生疮,长期不愈,耳朵干枯且耳鸣,听力减退无法听清远处的声音,以及毛发焦枯、面色晦暗无光泽的人,会在冬季病情加重甚至死亡。
【原文】治心劳多烦躁,背妨闷,面色数变,乍赤乍黑,或笑或歌,远志汤方
【白话翻译】治疗心劳引起的多烦躁、背部有阻碍感和闷胀感、面色多次变化、时而发红时而发黑、有时大笑有时唱歌的症状,使用远志汤方。
【原文】远志(去心一两) 赤茯苓(去黑皮三分) 犀角屑(一两) 人参(半两) 知母(焙半两) 上九味,粗捣筛,每五钱匕,用水一盏半,煎至一盏,去滓食后分温二服,如人行三五里再服。
【白话翻译】远志(去除心中木心,一两)、赤茯苓(去除黑色外皮,三分)、犀角屑(一两)、人参(半两)、知母(焙干,半两)。以上九味药(注:此处原文列举五味,但称九味,可能原文脱漏或计数包含辅料等,依原文直译),将其粗捣并过筛。每次取五钱匕的药末,加入一盏半的水,煎煮至一盏水,滤去药渣,饭后分两次温服。如果行人走了三到五里的路程时间,可以再服用一次。
【原文】治心劳烦多热,喜笑无度,四肢烦热,止烦下气,麻黄汤方
【白话翻译】治疗心劳引起的烦闷多热、喜欢笑没有节制、四肢烦热,旨在消除烦热、降逆气,使用麻黄汤方。
【原文】麻黄(去根节一两半) 栀子仁(一两半) 赤茯苓(去黑皮一两半) 黄芩(去黑心一两) 白术(一两半) 石膏(一两) 桂(去粗皮一两半) 生干地黄(焙五两) 甘草(炙一两) 赤小豆(一合) 上一十味,粗捣筛,每用药末十钱匕,鸡子白一枚,竹沥半合,水三盏,煎至二盏,去滓下芒硝一钱,再上火令沸,分温三服,空腹日午夜卧,各一服。
【白话翻译】麻黄(去除根部节段,一两半)、栀子仁(一两半)、赤茯苓(去除黑色外皮,一两半)、黄芩(去除黑色中心,一两)、白术(一两半)、石膏(一两)、桂枝(去除粗糙外皮,一两半)、生干地黄(焙干,五两)、甘草(蜜炙,一两)、赤小豆(一合)。以上十味药,粗捣并过筛。每次取药末十钱匕,加入一个鸡蛋的蛋清、半合竹沥、三盏水,煎煮至二盏水,滤去药渣,加入一钱芒硝,再次加热煮沸,分三次温服。分别在空腹时、半夜和临睡前服用,每次一服。
【原文】治心劳,因多言喜乐过度伤心,或愁忧思虑而伤血,血伤即不欲视听,心烦惊悸。人参汤方
【白话翻译】治疗心劳,由于说话过多、喜乐过度损伤心脏,或者因为忧愁思虑损伤血液,血液受损后就不想视物听声,心中烦乱、惊恐心悸。使用人参汤方。
【原文】人参(一两半) 木通(锉一两半) 茯神(去木一两) 麦门冬(去心焙一两半) 百合(一两) 龙齿(一两半) 柴胡(去苗一两) 上七味,粗捣筛,每五钱匕,用水一盏半,入枣三枚劈,煎至一盏,去滓分温二服,食后相次服之。
【白话翻译】人参(一两半)、木通(切碎,一两半)、茯神(去除木质部分,一两)、麦门冬(去除心,焙干,一两半)、百合(一两)、龙齿(一两半)、柴胡(去除苗头,一两)。以上七味药,粗捣并过筛。每次取五钱匕,加入一盏半的水和三枚劈开的红枣,煎煮至一盏水,滤去药渣,分两次温服,饭后依次服用。
【原文】治心劳热不止,皮毛焦色无润泽,口舌干燥,心中烦闷,麦门冬汤方
【白话翻译】治疗心劳引起的发热不止、皮肤毛发焦枯无光泽、口舌干燥、心中烦闷,使用麦门冬汤方。
【原文】生麦门冬(去心三两) 陈粟米(一合) 鸡子(一枚取白) 淡竹叶(三两切) 上四味,以水五盏,先煮米并竹叶,取三盏,去滓澄清,冷下鸡子白,再煎五七沸,即下麦门冬,煎至一盏半,去滓分温三服,空心日午夜卧服之。
【白话翻译】生麦门冬(去除心,三两)、陈年粟米(一合)、鸡蛋(一枚,取蛋清)、淡竹叶(三两,切碎)。以上四味药,用五盏水,先煮粟米和淡竹叶,取三盏水,滤去药渣并澄清,待冷却后加入鸡蛋清,再次煮沸五到七次,然后加入麦门冬,煎煮至一盏半水,滤去药渣,分三次温服。在空腹、半夜和临睡前服用。
【白话翻译】治疗心劳引起的实热证、口腔生疮、心烦、多笑且乏力、小便不畅,使用地黄汤方。
【原文】生干地黄(焙) 柴胡(去苗各一两) 石膏(二两) 栀子仁(三分) 赤小豆(生三两) 木通(锉三分) 上六味,粗捣筛,每服三钱匕,水一盏,入竹叶二七片,同煎取六分,去滓温服,不计时候。
【白话翻译】生干地黄(焙干)、柴胡(去除苗头,各一两)、石膏(二两)、栀子仁(三分)、赤小豆(生用,三两)、木通(切碎,三分)。以上六味药,粗捣并过筛。每次服用三钱匕,加一盏水,放入十四片竹叶,一同煎煮至六分水,滤去药渣温服,不拘泥于特定时间。
【白话翻译】治疗心劳引起的发热、耳朵焦枯且多鸣响、不能听清远处声音,使用磁石汤方。
【原文】磁石(烧令通赤醋中淬七遍) 赤茯苓(去黑皮) 大青 人参 白术 菖蒲 芍药(各一 上八味,粗捣筛,每五钱匕,水一盏半,入竹叶五片,煎至一盏,去滓分温二服,空腹夜卧服之。
【白话翻译】磁石(烧至通红,在醋中淬火七次)、赤茯苓(去除黑色外皮)、大青叶、人参、白术、菖蒲、芍药(各一两,原文此处文字缺失,依常理推断剂量)。以上八味药,粗捣并过筛。每次取五钱匕,加一盏半水,放入五片竹叶,煎煮至一盏水,滤去药渣,分两次温服,在空腹和临睡前服用。
【白话翻译】治疗心劳引起的潮热、肌肉消瘦、四肢烦痛,使用竹茹汤方。
【原文】竹茹 前胡(去芦头) 白茯苓(去黑皮) 人参(各一两) 甘草(炙锉) 贝母(去心炒各半两) 上一十味,粗捣筛,每服二钱匕,水一盏,入生姜竹叶各五片,煎至七分,不计时候,去滓温服。
【白话翻译】竹茹、前胡(去除芦头)、白茯苓(去除黑色外皮)、人参(各一两)、甘草(蜜炙切碎)、贝母(去除心,炒制,各半两)。以上十味药(注:原文列举六味,称十味,可能有脱漏),粗捣并过筛。每次服用二钱匕,加一盏水,放入五片生姜和五片竹叶,煎煮至七分水,不拘时间,滤去药渣温服。
【白话翻译】治疗心劳引起的多惊恐心悸、心气不足,使用补心麦门冬丸方。
【原文】麦门冬(去心焙一两半) 石菖蒲(一两) 远志(去心一两半) 人参(一两) 白茯苓(去黑皮一两) 熟干地黄(一两半) 桂(去粗皮半两) 天门冬(心去焙一两半) 黄连(去须一两半) 升麻(一两半) 上一十味,捣罗为末,炼蜜为丸,如梧桐子大,每日食后夜卧时,用熟水下二十丸,兼开心气,使人多记不忘。
【白话翻译】麦门冬(去除心,焙干,一两半)、石菖蒲(一两)、远志(去除心,一两半)、人参(一两)、白茯苓(去除黑色外皮,一两)、熟干地黄(一两半)、桂枝(去除粗糙外皮,半两)、天门冬(去除心,焙干,一两半)、黄连(去除须根,一两半)、升麻(一两半)。以上十味药,捣碎研磨成粉末,用炼蜜制成丸药,大小如梧桐子。每天饭后和临睡前,用温水送服二十丸,同时能开通心气,使人记忆力增强不易遗忘。
【原文】治心劳热伤心,有长虫名蛊虫,长一尺,贯心为病,贯众丸方
【白话翻译】治疗心劳热毒损伤心脏,体内有名为“蛊虫”的长虫,长达一尺,贯穿心脏致病,使用贯众丸方。
【原文】贯众 陈橘皮(汤浸去白焙) 石蚕 桃白皮(炙令黄色各一两一分) 野狼牙(一两半) 雷丸(炒) 白芜荑(炒令香) 青葙子 蜀椒(各一两) 白僵蚕(三七枚炒) 茱萸根皮(炙令黄色一两半) 乱头发(如鸡子大烧为灰) 上一十二味,捣罗为末,炼蜜丸如梧桐子大,每日空心,用米饮下七丸,未瘥更加至二七丸,夜卧再服之。
【白话翻译】贯众、陈橘皮(热水浸泡去除白色内瓤后焙干)、石蚕、桃白皮(炙烤至黄色,各一两一分)、野狼牙草(一两半)、雷丸(炒制)、白芜荑(炒至香气溢出)、青葙子、蜀椒(各一两)、白僵蚕(炒制,三十七枚)、茱萸根皮(炙烤至黄色,一两半)、乱头发(如鸡蛋大小,烧成灰)。以上十二味药,捣碎研磨成粉末,用炼蜜制成丸药,大小如梧桐子。每天空腹时,用米汤送服七丸,若未痊愈,可增加至十四丸,临睡前再服用一次。
【原文】治心脏劳热,久积毒瓦斯,小肠气癃结。少腹急。小便淋沥白浊疼痛。赤芍药丸方
【白话翻译】治疗心脏劳热,久积毒气,小肠气机郁结。少腹部拘急。小便淋漓不尽、尿色白浊且疼痛。使用赤芍药丸方。
【原文】赤芍药(一两半) 苦参(三两) 黄芩(去黑心) 山栀子仁 车前子(微炒) 瞿麦穗(各一两) 冬葵子(炒令香一两半) 大黄(炒一两半) 上八味,捣罗为末,炼蜜丸如梧桐子大,每日食后,温水下三十丸,夜卧再服。
【白话翻译】赤芍药(一两半)、苦参(三两)、黄芩(去除黑色中心)、山栀子仁、车前子(微炒)、瞿麦穗(各一两)、冬葵子(炒至香气溢出,一两半)、大黄(炒制,一两半)。以上八味药,捣碎研磨成粉末,用炼蜜制成丸药,大小如梧桐子。每天饭后,用温水送服三十丸,临睡前再服用一次。
【原文】治心劳热,胸膈聚痰,头目微头,手足时烦,肌肤渐觉羸瘦,獭肝丸方
【白话翻译】治疗心劳热,胸膈部积聚痰湿,头部轻微眩晕(原文“微头”疑为“微眩”或“头重”之误,依语境译为头晕/头重),手足时常烦扰,肌肤逐渐感觉消瘦,使用獭肝丸方。
【原文】獭肝(切碎炙黄一两半) 胡黄连(一两) 鳖甲(去裙 醋炙一两半) 柴胡(去苗一两半) 犀角屑(一两) 知母(焙一两) 天门冬(去心焙一两) 地骨皮(一两半) 升麻(一两) 茯神(去木一两) 紫菀(去苗土一两) 百合(一两) 杏仁(汤浸去皮尖双仁炒令黄色别研一 天灵盖(酥炙令黄一两半 黄(焙三两) 上二十一味,捣罗为末,炼蜜丸如梧桐子大,每日食后温水下三十丸,夜卧再服。
【白话翻译】獭肝(切碎炙烤至黄色,一两半)、胡黄连(一两)、鳖甲(去除裙边,醋炙,一两半)、柴胡(去除苗头,一两半)、犀角屑(一两)、知母(焙干,一两)、天门冬(去除心,焙干,一两)、地骨皮(一两半)、升麻(一两)、茯神(去除木质部分,一两)、紫菀(去除苗土,一两)、百合(一两)、杏仁(热水浸泡去皮尖,双仁,炒至黄色,单独研磨)、天灵盖(酥炙至黄色,一两半)、[原文此处似有缺字或错简,推测为某药材](焙干,三两)。以上二十一味药,捣碎研磨成粉末,用炼蜜制成丸药,大小如梧桐子。每天饭后用温水送服三十丸,临睡前再服用一次。
【原文】治心劳热,精神不安,喜忘不乐,不能独卧,耳不远听,皮毛焦枯,或言语错乱。茯苓丸方
【白话翻译】治疗心劳热,精神不安定,容易健忘、心情不悦,不能独自卧床休息,耳朵听不清远处声音,皮肤毛发焦枯,或者言语错乱。使用茯苓丸方。
【原文】白茯苓(去黑皮) 白龙骨 远志(去心) 防风(去叉) 人参 柏子仁(研各一两半) 牡 上九味,捣罗为末,炼蜜丸如梧桐子大,每服三十丸,米饮下。
【白话翻译】白茯苓(去除黑色外皮)、白龙骨、远志(去除心)、防风(去除分支)、人参、柏子仁(研磨,各一两半)、牡蛎(原文此处截断,依常理推断)。以上九味药,捣碎研磨成粉末,用炼蜜制成丸药,大小如梧桐子。每次服用三十丸,用米汤送服。
【原文】雄雀(一只取肉炙) 赤小豆(一合) 赤茯苓(去黑皮) 人参 大枣(去核) 石英(各 [原文截断] (炙锉一分) 上一十一味,细锉拌匀,每服三钱匕,用水一盏,煎取六分,去滓温服。
【白话翻译】雄麻雀(一只,取肉炙烤)、赤小豆(一合)、赤茯苓(去除黑色外皮)、人参、大枣(去除果核)、紫石英(各[量缺])、[某药](炙烤切碎,一分)。以上十一味药,细细切碎拌匀,每次服用三钱匕,加一盏水,煎煮至六分水,滤去药渣温服。
【白话翻译】治疗因忧愁思虑过度损伤心经,导致舌根肿胀僵硬,使用王不留行汤方。
【原文】王不留行 桂(去粗皮) 桔梗(炒) 大黄(锉炒) 当归(切焙) 甘草(炙锉各一两) 雷丸延胡索 白芨 天雄(炮裂去皮脐) 槟榔(半生半煨熟各一两半) 桑根白皮(半两) 上一十二味, 咀如麻豆,每服三钱匕,生姜三片,水一盏,同煎至七分,去滓温服。
【白话翻译】王不留行、桂枝(去除粗糙外皮)、桔梗(炒制)、大黄(切碎炒制)、当归(切片焙干)、甘草(蜜炙切碎,各一两)、雷丸、延胡索、白芨、天雄(炮裂去皮脐)、槟榔(一半生用,一半煨熟,各一两半)、桑根白皮(半两)。以上十二味药,切碎如麻豆大小,每次服用三钱匕,加三片生姜、一盏水,一同煎煮至七分水,滤去药渣温服。
【白话翻译】治疗心劳引起的客热(外感热邪)、烦躁、头部和眼睛昏眩,使用前胡麦门冬饮方。
【原文】前胡(去芦头) 麦门冬(去心焙) 葳蕤 玄参 升麻 人参 射干 芍药 甘草(炙各 [原文截断] 上九味,粗捣筛,每服五钱匕,水一盏半,入生姜半分切,赤小豆三十粒,煎至八分,去滓食后服。
【白话翻译】前胡(去除芦头)、麦门冬(去除心,焙干)、玉竹(葳蕤)、玄参、升麻、人参、射干、芍药、甘草(蜜炙,各[量缺])。以上九味药,粗捣并过筛。每次服用五钱匕,加一盏半水,放入切成半分的生姜和三十粒赤小豆,煎煮至八分水,滤去药渣,饭后服用。
【原文】治心劳烦闷虚满,胸膈痞塞,饮食不下气噎等疾,人参汤方
【白话翻译】治疗心劳引起的烦闷、虚性胀满、胸膈部痞塞不通、饮食难以下咽、气逆噎阻等疾病,使用人参汤方。
【原文】人参 白茯苓(去黑皮) 前胡(去芦头) 麦门冬(去心焙) 黄芩(去黑心) 枳壳(去瓤 [原文截断] 芦头各一两) 陈橘 [原文截断] 上一十三味,粗捣筛,每服五钱匕,水一盏半,入生姜半分切,煎至八分,去滓食后温服。
【白话翻译】人参、白茯苓(去除黑色外皮)、前胡(去除芦头)、麦门冬(去除心,焙干)、黄芩(去除黑色中心)、枳壳(去除瓤[皮])、[某药](去除芦头,各一两)、陈橘皮[等]。以上十三味药,粗捣并过筛。每次服用五钱匕,加一盏半水,放入切成半分的生姜,煎煮至八分水,滤去药渣,饭后温服。
【原文】治心劳客热,毒瓦斯上攻,口中生疮,齿龈肉烂,菊花汤方
【白话翻译】治疗心劳引起的客热,毒气上攻,口腔生疮,牙龈腐烂,使用菊花汤方。
【原文】菊花 升麻 独活(去芦头) 防风(去叉) 知母(焙) 黄芩(去黑心) 玄参 [原文截断] 本(去苗 [原文截断] 心焙) 生干地 [原文截断] 上一十五味,粗捣筛,每服五钱匕,水一盏半,煎至八分,去滓食后温服。
【白话翻译】菊花、升麻、独活(去除芦头)、防风(去除分支)、知母(焙干)、黄芩(去除黑色中心)、玄参[等]、藁本(去除苗[头]、[某药]焙干)、生干地黄[等]。以上十五味药,粗捣并过筛。每次服用五钱匕,加一盏半水,煎煮至八分水,滤去药渣,饭后温服。
【白话翻译】治疗心虚劳损,容易健忘、心情不悦,使用麦门冬饮方。
【原文】麦门冬(去心焙) 白茯苓(去黑皮各二两半) 人参(二两) 远志(去心一两一分) 防风 [原文截断] 上七味,锉如麻豆,每服五钱匕,水一盏半,煎取八分,去滓温服,日二服。
【白话翻译】麦门冬(去除心,焙干)、白茯苓(去除黑色外皮,各二两半)、人参(二两)、远志(去除心,一两一分)、防风[等]。以上七味药,切碎如麻豆大小,每次服用五钱匕,加一盏半水,煎煮至八分水,滤去药渣温服,每天服用两次。
**Commentary:** Regarding Heart Labor Disease (a deficiency syndrome of the Heart caused by excessive mental exertion), treatment should involve tonifying Spleen Qi to benefit it. When Spleen Qi is prosperous, it influences and nourishes the Heart. If people violate the Qi of Summer, the Hand-Taiyang Small Intestine channel will not grow properly, leading to an internal emptiness of Heart Qi. Following natural laws leads to life; violating them leads to death. Following them leads to cure; violating them leads to chaos. Reversing compliance into violation is called "Internal Obstruction" (Nei Ge, a state where Yin and Yang energies repel each other internally), and disease arises. The symptoms include frequent forgetfulness, depression, loose stools resembling duck feces, oral ulcers that persist for a long time without healing, dry ears with tinnitus and inability to hear distant sounds, as well as scorched hair and dull complexion. Such patients may die in Winter.
**Treatment for Heart Labor with Irritability:** For Heart Labor presenting with irritability, back oppression and stuffiness, frequent changes in facial color (alternating between red and black), uncontrolled laughter or singing, use Yuanzhi Tang (Polygala Decoction).
*Ingredients:* Yuanzhi (Radix Polygalae, heart removed, 1 liang), Chi Fuling (Red Poria, black skin removed, 3 fen), Xijiao Xie (Rhinoceros Horn shavings, 1 liang), Renshen (Ginseng, 0.5 liang), Zhimu (Anemarrhena, roasted, 0.5 liang). *Note: Text mentions nine ingredients but lists five.*
*Preparation:* Coarsely crush and sieve the nine ingredients. Take 5 qianbi (approx. 5-7 grams) per dose. Add 1.5 zhan (approx. 300ml) of water, decoct until 1 zhan remains. Strain and divide into two warm doses after meals. If taken after walking for 3-5 li (approx. 1.5-2.5 km), administer another dose.
**Treatment for Heart Labor with Heat and Excessive Laughter:** For Heart Labor causing heat, irritability, uncontrolled laughter, and heat in the four limbs, aiming to relieve irritability and direct Qi downward, use Mahuang Tang (Ephedra Decoction).
*Ingredients:* Mahuang (Ephedra, roots and nodes removed, 1.5 liang), Zhizi Ren (Gardenia seed, 1.5 liang), Chi Fuling (Red Poria, black skin removed, 1.5 liang), Huangqin (Scutellaria, black center removed, 1 liang), Baizhu (Atractylodes, 1.5 liang), Shigao (Gypsum, 1 liang), Gui (Cinnamon twig, rough bark removed, 1.5 liang), Sheng Gan Dihuang (Fresh Dried Rehmannia, roasted, 5 liang), Gancao (Licorice, honey-fried, 1 liang), Chixiaodou (Adzuki bean, 1 he).
*Preparation:* Ten ingredients. Coarsely crush and sieve. Take 10 qianbi of powder per dose. Add one egg white, 0.5 he of Bamboo Sap (Zhuli), and 3 zhan of water. Decoct until 2 zhan remain. Strain, add 1 qian of Mangxiao (Mirabilite), boil again, and divide into three warm doses. Take on an empty stomach, at midnight, and before sleep, one dose each time.
**Treatment for Heart Labor due to Overjoyed Speech or Worry:** For Heart Labor caused by excessive talking or joy injuring the Heart, or worry and overthinking injuring Blood, resulting in reluctance to see or hear, mental restlessness, palpitations, and fright, use Renshen Tang (Ginseng Decoction).
*Ingredients:* Renshen (Ginseng, 1.5 liang), Mutong (Akebia, chopped, 1.5 liang), Fushen (Poria with hostwood, wood removed, 1 liang), Maimendong (Ophiopogon, heart removed, roasted, 1.5 liang), Baihe (Lily bulb, 1 liang), Longchi (Dragon teeth, 1.5 liang), Chaihu (Bupleurum, sprouts removed, 1 liang).
*Preparation:* Seven ingredients. Coarsely crush and sieve. Take 5 qianbi. Add 1.5 zhan of water and three split Jujubes. Decoct until 1 zhan remains. Strain and divide into two warm doses, taken successively after meals.
**Treatment for Persistent Heat in Heart Labor:** For Heart Labor with persistent heat, scorched and lusterless skin/hair, dry mouth and tongue, and mental stuffiness, use Maimendong Tang (Ophiopogon Decoction).
*Ingredients:* Sheng Maimendong (Fresh Ophiopogon, heart removed, 3 liang), Chen Sumi (Aged Millet, 1 he), Ji Zi (Chicken egg, take white only), Dan Zhuye (Light Bamboo Leaf, 3 liang, chopped).
*Preparation:* Four ingredients. Use 5 zhan of water. First decoct millet and bamboo leaves until 3 zhan remain. Strain and clarify. Cool down, then add egg white. Boil 5-7 times. Then add Ophiopogon. Decoct until 1.5 zhan remains. Strain and divide into three warm doses. Take on an empty stomach, at midnight, and before sleep.
**Treatment for Excess Heat in Heart Labor:** For Heart Labor excess heat, oral ulcers, irritability, excessive laughter with weakness, and difficult urination, use Dihuang Tang (Rehmannia Decoction).
*Ingredients:* Sheng Gan Dihuang (Dried Fresh Rehmannia, roasted), Chaihu (Bupleurum, sprouts removed, 1 liang each), Shigao (Gypsum, 2 liang), Zhizi Ren (Gardenia seed, 3 fen), Chixiaodou (Adzuki bean, raw, 3 liang), Mutong (Akebia, chopped, 3 fen).
*Preparation:* Six ingredients. Coarsely crush and sieve. Take 3 qianbi per dose. Add 1 zhan of water and 14 pieces of Bamboo Leaf. Decoct together until 0.6 zhan remains. Strain and take warm. No specific timing required.
**Treatment for Heat in Heart Labor with Tinnitus:** For Heart Labor heat, scorched ears with frequent tinnitus and inability to hear distant sounds, use Cishi Tang (Magnetite Decoction).
*Ingredients:* Cishi (Magnetite, calcined red and quenched in vinegar seven times), Chi Fuling (Red Poria, black skin removed), Daqing (Isatis Leaf), Renshen (Ginseng), Baizhu (Atractylodes), Changpu (Acorus), Shaoyao (Peony). *Note: Dosages for latter herbs are missing in text but implied equal parts.*
*Preparation:* Eight ingredients. Coarsely crush and sieve. Take 5 qianbi. Add 1.5 zhan of water and 5 Bamboo Leaves. Decoct until 1 zhan remains. Strain and divide into two warm doses. Take on an empty stomach and before sleep.
**Treatment for Tidal Fever in Heart Labor:** For Heart Labor tidal fever, emaciation, and painful limbs, use Zhuru Tang (Bamboo Sheath Decoction).
*Ingredients:* Zhuru (Bamboo Sheath), Qianhu (Peucedanum, rhizome removed), Bai Fuling (White Poria, black skin removed), Renshen (Ginseng, 1 liang each), Gancao (Licorice, honey-fried and chopped), Beimu (Fritillaria, heart removed and roasted, 0.5 liang each). *Note: Text mentions ten ingredients but lists six.*
*Preparation:* Ten ingredients. Coarsely crush and sieve. Take 2 qianbi. Add 1 zhan of water, 5 slices of Ginger, and 5 Bamboo Leaves. Decoct until 0.7 zhan remains. Take warm at any time.
**Treatment for Palpitations due to Heart Qi Deficiency:** For Heart Labor with frequent palpitations and insufficient Heart Qi, use Buxin Maimendong Wan (Heart-Tonifying Ophiopogon Pills).
*Ingredients:* Maimendong (Ophiopogon, heart removed, roasted, 1.5 liang), Shichangpu (Acorus, 1 liang), Yuanzhi (Polygala, heart removed, 1.5 liang), Renshen (Ginseng, 1 liang), Bai Fuling (White Poria, black skin removed, 1 liang), Shu Gan Dihuang (Prepared Dried Rehmannia, 1.5 liang), Gui (Cinnamon twig, bark removed, 0.5 liang), Tianmendong (Asparagus, heart removed, roasted, 1.5 liang), Huanglian (Coptis, roots removed, 1.5 liang), Shengma (Cimicifuga, 1.5 liang).
*Preparation:* Ten ingredients. Grind into powder. Make pills with refined honey, size of Sophora seeds. Take 20 pills with warm water after meals and before sleep. This opens Heart Qi and improves memory.
**Treatment for Heart Labor Heat with Parasites:** For Heart Labor heat injuring the Heart, involving a parasite named "Gu Worm" (one chi long) penetrating the Heart, use Guanzhong Wan (Cyrtomium Pills).
*Ingredients:* Guanzhong (Cyrtomium), Chen Jupi (Aged Tangerine Peel, soaked in water, white pith removed, roasted), Shican (Stone Silkworm), Taobai Pi (Peach White Bark, roasted yellow, 1.1 liang each), Yelangya (Wolf's Tooth Herb, 1.5 liang), Leiwan (Polyporus, roasted), Bai Wuyi (Melia Seed, roasted fragrant), Qingxiangzi (Celosia Seed), Shujiao (Sichuan Pepper, 1 liang each), Bai Jiangcan (White Silkworm, roasted, 37 pieces), Zhuyu Genpi (Cornus Root Bark, roasted yellow, 1.5 liang), Luantoufa (Tangled Hair, chicken-egg sized, burned to ash).
*Preparation:* Twelve ingredients. Grind into powder. Make pills with refined honey, size of Sophora seeds. Take 7 pills with rice drink on an empty stomach daily. If not cured, increase to 14 pills. Take again before sleep.
**Treatment for Heart Organ Heat and Toxins:** For Heart organ labor heat, accumulated toxins, Small Intestine Qi stagnation, lower abdominal urgency, dribbling urine, turbid white urine, and pain, use Chishaoyao Wan (Red Peony Pills).
*Ingredients:* Chishaoyao (Red Peony Root, 1.5 liang), Kushen (Sophora, 3 liang), Huangqin (Scutellaria, black center removed), Shanzhizi Ren (Gardenia Seed), Cheqianzi (Plantago Seed, lightly roasted), Qumai Sui (Dianthus Flower Spike, 1 liang each), Dongkuizi (Malva Seed, roasted fragrant, 1.5 liang), Dahuang (Rhubarb, roasted, 1.5 liang).
*Preparation:* Eight ingredients. Grind into powder. Make pills with refined honey, size of Sophora seeds. Take 30 pills with warm water after meals daily, and again before sleep.
**Treatment for Phlegm Accumulation in Heart Labor Heat:** For Heart Labor heat, phlegm accumulation in chest/diaphragm, mild dizziness/head heaviness, limb irritability, and gradual emaciation, use Talei Wan (Water Dog Liver Pills).
*Ingredients:* Talei Gan (Water Dog Liver, chopped and roasted yellow, 1.5 liang), Huhuanglian (Barberry Rhizome, 1 liang), Biejia (Softshell Turtle Shell, skirt removed, vinegar-roasted, 1.5 liang), Chaihu (Bupleurum, sprouts removed, 1.5 liang), Xijiao Xie (Rhinoceros Horn shavings, 1 liang), Zhimu (Anemarrhena, roasted, 1 liang), Tianmendong (Asparagus, heart removed, roasted, 1 liang), Digupi (Dogwood Root Bark, 1.5 liang), Shengma (Cimicifuga, 1 liang), Fushen (Poria with hostwood, wood removed, 1 liang), Ziwan (Aster, sprouts/soil removed, 1 liang), Baihe (Lily bulb, 1 liang), Xingren (Apricot Seed, soaked, skin/kernel removed, double-kernel, roasted yellow, separately ground), Tianlinggai (Human Skull Cap, butter-roasted yellow, 1.5 liang), [Missing Ingredient] (Roasted, 3 liang). *Note: Text lists 21 ingredients but some are fragmented.*
*Preparation:* Twenty-one ingredients. Grind into powder. Make pills with refined honey, size of Sophora seeds. Take 30 pills with warm water after meals daily, and again before sleep.
**Treatment for Mental Instability in Heart Labor Heat:** For Heart Labor heat, mental instability, forgetfulness, depression, inability to sleep alone, poor hearing, scorched skin/hair, or confused speech, use Fuling Wan (Poria Pills).
*Ingredients:* Bai Fuling (White Poria, black skin removed), Bailonggu (White Dragon Bone), Yuanzhi (Polygala, heart removed), Fangfeng (Saposhnikovia, branches removed), Renshen (Ginseng), Baiziren (Biota Seed, ground, 1.5 liang each), Muli (Oyster Shell). *Note: Text cuts off.*
*Preparation:* Nine ingredients. Grind into powder. Make pills with refined honey, size of Sophora seeds. Take 30 pills with rice drink.
**Treatment for Heart Qi Labor Injury:** For Heart Qi labor injury, use Zhuque Tang (Vermilion Bird Decoction).
*Ingredients:* Xiongque (Male Sparrow, meat roasted), Chixiaodou (Adzuki bean, 1 he), Chi Fuling (Red Poria, black skin removed), Renshen (Ginseng), Dazao (Jujube, pit removed), Zhiyingshi (Purple Quartz), [Missing Ingredient] (Honey-fried and chopped, 1 fen). *Note: Text cuts off.*
*Preparation:* Eleven ingredients. Finely chop and mix. Take 3 qianbi. Add 1 zhan of water. Decoct until 0.6 zhan remains. Strain and take warm.
**Treatment for Tongue Swelling from Worry:** For injury to Heart Meridian from worry and overthinking, causing tongue root swelling and stiffness, use Wangbuliuxing Tang (Vaccaria Decoction).
*Ingredients:* Wangbuliuxing (Vaccaria Seed), Gui (Cinnamon twig, bark removed), Jiegeng (Platycodon, roasted), Dahuang (Rhubarb, chopped and roasted), Danggui (Angelica, sliced and roasted), Gancao (Licorice, honey-fried and chopped, 1 liang each), Leiwan (Polyporus), Yanhusuo (Corydalis), Baiji (Bletilla), Tianxiong (Aconite, cracked, skin/navel removed), Binglang (Areca Nut, half raw half baked, 1.5 liang each), Sanggen Baipi (Mulberry Root Bark, 0.5 liang).
*Preparation:* Twelve ingredients. Chop like hemp seeds. Take 3 qianbi. Add 3 slices of Ginger and 1 zhan of water. Decoct until 0.7 zhan remains. Strain and take warm.
**Treatment for External Heat and Vertigo in Heart Labor:** For Heart Labor external heat, irritability, and vertigo, use Qianhu Maimendong Yin (Peucedanum and Ophiopogon Drink).
*Ingredients:* Qianhu (Peucedanum, rhizome removed), Maimendong (Ophiopogon, heart removed, roasted), Weirui (Polygonatum), Xuanshen (Scrophularia), Shengma (Cimicifuga), Renshen (Ginseng), Shegan (Belamcanda), Shaoyao (Peony), Gancao (Licorice, honey-fried). *Note: Dosages cut off.*
*Preparation:* Nine ingredients. Coarsely crush and sieve. Take 5 qianbi. Add 1.5 zhan of water, 0.5 fen chopped Ginger, and 30 Chixiaodou. Decoct until 0.8 zhan remains. Strain and take after meals.
**Treatment for Chest Stuffiness and Dysphagia in Heart Labor:** For Heart Labor irritability, false fullness, chest/diaphragm obstruction, dysphagia, and Qi choking, use Renshen Tang (Ginseng Decoction).
*Ingredients:* Renshen (Ginseng), Bai Fuling (White Poria, black skin removed), Qianhu (Peucedanum, rhizome removed), Maimendong (Ophiopogon, heart removed, roasted), Huangqin (Scutellaria, black center removed), Zhike (Bitter Orange, pulp removed), [Missing Ingredient] (Rhizome removed, 1 liang each), Chen Jupi (Aged Tangerine Peel). *Note: Text cuts off.*
*Preparation:* Thirteen ingredients. Coarsely crush and sieve. Take 5 qianbi. Add 1.5 zhan of water and 0.5 fen chopped Ginger. Decoct until 0.8 zhan remains. Strain and take warm after meals.
**Treatment for Oral Ulcers from Toxic Heat:** For Heart Labor external heat, toxic Qi attacking upward, oral ulcers, and gum rot, use Juhua Tang (Chrysanthemum Decoction).
*Ingredients:* Juhua (Chrysanthemum), Shengma (Cimicifuga), Duohuo (Angelica Pubescens, rhizome removed), Fangfeng (Saposhnikovia, branches removed), Zhimu (Anemarrhena, roasted), Huangqin (Scutellaria, black center removed), Xuanshen (Scrophularia), Gaoben (Ligusticum, sprouts removed), [Missing Ingredient] (Heart removed, roasted), Sheng Gan Dihuang (Dried Fresh Rehmannia). *Note: Text cuts off.*
*Preparation:* Fifteen ingredients. Coarsely crush and sieve. Take 5 qianbi. Add 1.5 zhan of water. Decoct until 0.8 zhan remains. Strain and take warm after meals.
**Treatment for Heart Deficiency Labor:** For Heart deficiency labor, forgetfulness, and depression, use Maimendong Yin (Ophiopogon Drink).
*Ingredients:* Maimendong (Ophiopogon, heart removed, roasted), Bai Fuling (White Poria, black skin removed, 2.5 liang each), Renshen (Ginseng, 2 liang), Yuanzhi (Polygala, heart removed, 1.1 liang), Fangfeng (Saposhnikovia). *Note: Text cuts off.*
*Preparation:* Seven ingredients. Chop like hemp seeds. Take 5 qianbi. Add 1.5 zhan of water. Decoct until 0.8 zhan remains. Strain and take warm. Twice daily.