论曰肝在色为青,在志为怒,故其气逆则面青多怒,盖本藏气逆于内,干之而出,则多
怒而面青也。
治肝脏气逆,手足拘急,面青多怒,胁下苦满,或时眩冒。竹沥汤方
竹沥 甘草(炙锉) 秦艽(去苗土) 葛根(锉) 黄芩(去黑心) 麻黄(去根节)
防己 细辛(去苗叶) 桂(去粗皮) 干姜(炮各一两) 防风(去叉) 升麻(各一两
半) 赤茯苓(去黑皮三两) 附子(炮裂去皮脐二枚) 杏仁(去皮尖双仁五十枚)
上一十五味。除竹沥外。粗捣筛,每服五钱匕,水一盏,入竹沥半盏,煎至一中盏,去
滓温服,不计时候。
治肝气壅逆,肢体沉重,面色多青,时欲嗔怒,甚者恍惚狂言,心神不安。防风汤方
防风(去叉) 麻黄(去根节) 半夏(汤洗去滑七遍切焙) 秦艽(去苗土) 独活
(去芦头各二两) 当归(切焙) 远志(去心) 甘草(炙锉) 防己 人参 黄芩(去
黑心) 升麻 芍药(各一两) 石膏(碎半两
上一十四味。粗捣筛,每服五钱匕,水一盏半,入麝香末少许,姜一枣大拍碎,煎至
一盏,去滓温热服,不计时候。
治肝脏实热,血气壅滞,目视昏暗,常多嗔怒,头旋目运面色青,口多涎,小便黄赤。
荆芥汤方
荆芥穗 牡丹皮 芎 蔓荆实 柴胡(去苗) 羌活(去芦头) 秦艽(去苗土) 鳖
甲(醋炙去裙 ) 天灵盖(酥炙焦黑) 沉香(锉) 甘草(炙锉) 当归(切焙各一分)
连翘(半两)
上一十三味。粗捣筛,每服三钱匕,水一盏,先煎水令沸,后入药末,搅一次倾出,食
后临卧,去滓温服。
治邪热客于肝经,气逆烦躁,面青多怒,怒已胁痛。桔梗汤方
桔梗(炒五两) 白术(三两) 赤茯苓(去黑皮) 桂(去粗皮) 细辛(去苗叶各
二两) 当归(切焙) 吴
上九味。粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,早晚食前。
治肝气逆,面青多怒,身体不能屈伸,甚则头目眩晕。秦艽散方
秦艽(去苗土) 干姜(炮) 桔梗(炒) 附子(炮裂去皮脐各一两) 当归(切焙)
天门冬(去心焙) 人参 白术 蜀椒(去目并闭口者炒出汗各一两一分) 乌头(炮裂去
皮脐尖) 细辛(去苗叶各三分) 甘草(炙锉) 白芷 山茱萸 麻黄(去根节) 前胡
(去芦头) 防风(去叉) 五味子(各半两)
上一十八味。捣罗为散,每服一钱匕,温酒调下,日三,不拘时候。
治肝约血聚,使人多怒,面青胁痛。槐胶丸方
槐胶(以酒化为膏二两) 牛黄(别研) 麝香(别研各半两) 羚羊角(镑一两) 石
龙子(炙焦别研一枚) 蜈蚣(微炙别研五枚) 丹砂(研) 干蝎(微炒别研各半两) 蜚
蠊(炒焦别研) 芫青(炒焦别研各七枚) 虻虫(炒焦别研十四枚) 虫(炒焦别研七
枚) 巴豆(四十九粒用水煮紫色去皮膜心研如膏存油)
上一十三味。各为末拌匀,用糯米粥和槐胶巴豆成膏,以和诸药,丸如绿豆大,别以丹
砂为衣,每服三丸,木香汤下,甚者五丸,不计时候,如人行二十里再服,以知为度。
论述说:肝在五色中对应青色,在五志中对应怒,所以肝气上逆就会出现面色发青、容易发怒的症状。这是因为肝脏的本脏之气在内逆行,冲激于外,从而导致多怒和面色发青。
治疗肝脏气机逆乱,手足拘挛紧急,面色发青且易怒,胁下感觉胀满不适,或者时常出现头晕目眩甚至昏厥。竹沥汤方:
竹沥、甘草(炙后锉碎)、秦艽(去除苗和泥土)、葛根(锉碎)、黄芩(去除黑心部分)、麻黄(去除根和节)、防己、细辛(去除苗和叶)、桂(去除粗皮)、干姜(炮制,各一两)、防风(去除叉枝状部分)、升麻(各一两半)、赤茯苓(去除黑皮三两)、附子(炮裂后去皮和脐,二枚)、杏仁(去皮尖的双仁杏仁五十枚)。
以上十五味药。除竹沥外,将其他药物粗捣筛过,每次服用五钱匕,用水一盏,加入竹沥半盏,煎煮至一中盏,去渣温服,不限定具体时间。
治疗肝气壅滞逆乱,肢体沉重,面色多呈青色,时常想要发怒,严重的出现神志恍惚、胡言乱语,心神不安。防风汤方:
防风(去除叉枝状部分)、麻黄(去除根和节)、半夏(用汤洗去滑腻七遍后切片焙干)、秦艽(去除苗和泥土)、独活(去除芦头,各二两)、当归(切片焙干)、远志(去除心)、甘草(炙后锉碎)、防己、人参、黄芩(去除黑心部分)、升麻、芍药(各一两)、石膏(打碎,半两)。
以上十四味药。粗捣筛过,每次服用五钱匕,用水一盏半,加入少许麝香末,生姜一块如枣大拍碎,煎煮至一盏,去渣温热服,不限定具体时间。
治疗肝脏实热,血气壅滞,视物昏暗,经常容易发怒,头晕眼花,面色发青,口中多涎,小便黄赤。荆芥汤方:
荆芥穗、牡丹皮、川芎、蔓荆实、柴胡(去除苗)、羌活(去除芦头)、秦艽(去除苗和泥土)、鳖甲(醋炙后去除裙边)、天灵盖(酥炙至焦黑)、沉香(锉碎)、甘草(炙后锉碎)、当归(切片焙干,各一分)、连翘(半两)。
以上十三味药。粗捣筛过,每次服用三钱匕,用水一盏,先煎水令其沸腾,然后加入药末,搅拌一次后倒出,饭后临睡前,去渣温服。
治疗邪热客居于肝经,气机逆乱烦躁,面色发青且易怒,发怒后胁肋疼痛。桔梗汤方:
桔梗(炒,五两)、白术(三两)、赤茯苓(去除黑皮)、桂(去除粗皮)、细辛(去除苗和叶,各二两)、当归(切片焙干)、吴茱萸(原文此处截断,依常理推测为吴茱萸,但严格按原文提取实体时需注意,原文仅显示“吴”,结合上下文及常见配伍,此处可能指代吴茱萸或其他含吴字药材,但鉴于原文缺失完整名称,暂不列入具体药材名或视为残缺。*注:根据提供的原文片段,“吴”字后无内容,故在实体提取中若无法确定全名则不强行补全,但在翻译中需体现语境。此处原文确实只有“吴”字,可能是排版错误。为了忠实原文,翻译中保留“吴”或指出原文不全。考虑到任务要求准确流畅,且通常此类方剂含吴茱萸,但作为AI应严格基于文本。此处原文确实只有“吴”。* 修正:仔细看图/文,原文是“吴 \n 上九味”,说明漏了一个字。根据《圣济总录》原书,此方通常包含吴茱萸。但既然指令是“不增添内容”,我将翻译为“吴[原文缺]”或仅列出可见部分。然而,为了通顺,我将在翻译中注明原文此处有缺损,但在实体提取中只提取明确出现的词。实际上,原文中“吴”单独成行,极大概率是“吴茱萸”被截断。为了严谨,我在翻译中处理为“吴[字缺]”,在实体中提取时因不完整而不列入标准药材名,或若必须提取则留空。*再审视*:通常这种OCR或复制会有遗漏。如果必须翻译,我会写“吴...”。但在实体提取中,没有完整名字不能瞎编。不过,看下一句“上九味”,前面列了:桔梗、白术、赤茯苓、桂、细辛、当归、吴... 这里明显少了一味。让我们假设它是吴茱萸以便理解,但在输出中保持谨慎。*最终决定*:在翻译中,对于不完整的“吴”,我将译为“吴[原文未完]”,在实体列表中不添加不确定的药材。)*
更正:重新检查原文,“吴”后面直接换行了。在《圣济总录》卷六十八中,此方名为桔梗汤,组成包括:桔梗、白术、赤茯苓、桂、细辛、当归、吴茱萸、甘草、大黄?不对,看剂量和后续。算了,严格按照给定文本。文本中只有“吴”。
*自我纠正*:为了保证翻译的可用性,通常这类古籍整理会补全。但作为AI,我不能随意补全未显示的字符。我将把“吴”视为一个不完整的实体提及,或在翻译中略过并提示。但在本任务的上下文中,用户可能希望得到连贯的翻译。观察其他方剂,都有完整药名。这里“吴”显然是截断。我将翻译为“吴[原文此处文字缺失]”。
*再次检查原文*:
"桔梗(炒五两) 白术(三两) 赤茯苓(去黑皮) 桂(去粗皮) 细辛(去苗叶各 二两) 当归(切焙) 吴 \n 上九味。"
这里列出了7个明确的药名+1个残缺的“吴”。如果算上“吴”,那就是8个?或者“吴”代表一味药。如果是9味,还缺一味。这显然是文本损坏。
*策略*:在翻译中,我将如实反映这一情况,译为“吴[原文残缺]”。在实体提取中,由于“吴”不是完整的药材名,我不将其放入herbs列表,除非能确定。但为了用户体验,我会在翻译中尽量通顺。
*继续翻译剩余部分*:
以上九味药(注:原文列举似乎不足九味或存在残缺,按原文计数)。粗捣筛过,每次服用三钱匕,用水一盏,煎煮至七分,去渣温服,早晚饭前服用。
治疗肝气上逆,面色发青且易怒,身体不能屈伸,严重时出现头目眩晕。秦艽散方:
秦艽(去除苗和泥土)、干姜(炮制)、桔梗(炒制)、附子(炮裂后去皮和脐,各一两)、当归(切片焙干)、天门冬(去除心焙干)、人参、白术、蜀椒(去除目并闭口者,炒至出汗,各一两一分)、乌头(炮裂后去皮、脐和尖)、细辛(去除苗和叶,各三分)、甘草(炙后锉碎)、白芷、山茱萸、麻黄(去除根和节)、前胡(去除芦头)、防风(去除叉枝状部分)、五味子(各半两)。
以上十八味药。捣碎过筛制成散剂,每次服用一钱匕,用温酒调服,每日三次,不限定具体时间。
治疗肝气约束导致血聚,使人多怒,面色发青且胁肋疼痛。槐胶丸方:
槐胶(用酒化为膏,二两)、牛黄(另研)、麝香(另研,各半两)、羚羊角(镑片,一两)、石龙子(炙焦后另研,一枚)、蜈蚣(微炙后另研,五枚)、丹砂(研)、干蝎(微炒后另研,各半两)、蜚蠊(炒焦后另研)、芫青(炒焦后另研,各七枚)、虻虫(炒焦后另研,十四枚)、蛴螬(原文为“虫”,结合上下文“炒焦别研七枚”及常用虫类药,应为蛴螬或类似,但原文仅显示“虫”字前可能有缺字,或者是“土鳖虫”等。原文显示:“...虻虫(炒焦别研十四枚) 虫(炒焦别研七 枚)”。这里第二个“虫”前面缺字。根据《圣济总录》,此方通常含“蛴螬”。同样,这是文本残缺。我将翻译为“[缺字]虫”或仅译“虫”。为了准确,译为“[原文残缺]虫”。)*
*再次检查*:原文是“虫(炒焦别研七枚)”。前面没有修饰字。这可能是“地龙”、“土鳖”等的误植或缺失。我将忠实翻译为“虫”。
巴豆(四十九粒,用水煮至紫色,去皮膜和心,研如膏,存油)。
以上十三味药。分别制成粉末拌匀,用糯米粥和槐胶、巴豆做成膏,用来调和诸药,制成如绿豆大小的丸剂,另外用丹砂为衣,每次服用三丸,木香汤送下,严重的服用五丸,不限定具体时间,如人行走二十里后再服,以见效为度。
Commentary states: The Liver corresponds to the color blue (Qing) in the five colors, and to anger (Nu) in the five emotions. Therefore, when Liver Qi rebels upward, it manifests as a blue complexion and irritability. This is because the intrinsic Qi of the Zang organ rebels internally and forces its way outward, resulting in frequent anger and a blue facial hue.
Treatment for Liver Qi rebellion with spasmodic stiffness of the hands and feet, blue complexion, irritability, hypochondriac fullness and discomfort, or occasional dizziness and fainting. Zhu Li Tang (Bamboo Juice Decoction):
Zhu Li (Bamboo Juice), Gan Cao (Licorice Root, honey-fried and crushed), Qin Jiao (Gentian Root, cleaned of sprouts and soil), Ge Gen (Kudzu Root, crushed), Huang Qin (Scutellaria Root, cleaned of black heart), Ma Huang (Ephedra Herb, roots and nodes removed), Fang Ji (Stephania Root), Xi Xin (Asarum Root, cleaned of sprouts and leaves), Gui (Cinnamon Twig, coarse bark removed), Gan Jiang (Dried Ginger, processed, each 1 liang), Fang Feng (Saposhnikovia Root, forked parts removed), Sheng Ma (Cimicifuga Rhizome, each 1.5 liang), Chi Fu Ling (Red Poria, black skin removed, 3 liang), Fu Zi (Aconite Lateral Root, processed until cracked, skin and navel removed, 2 pieces), Xing Ren (Apricot Seed, skin and tips removed, double-kernel seeds, 50 pieces).
The above fifteen ingredients. Except for Zhu Li, coarsely pound and sieve. Take 5 qian bi per dose, add 1 zhan of water and half a zhan of Zhu Li, decoct until reduced to one zhong zhan, remove dregs, and take warm at any time.
Treatment for Liver Qi stagnation and rebellion with heavy limbs, predominantly blue complexion, frequent desire to be angry, and in severe cases, mental confusion, delirious speech, and restlessness of the mind and spirit. Fang Feng Tang (Saposhnikovia Decoction):
Fang Feng (Saposhnikovia Root, forked parts removed), Ma Huang (Ephedra Herb, roots and nodes removed), Ban Xia (Pinellia Tuber, washed in hot water to remove slipperiness seven times, sliced and dried), Qin Jiao (Gentian Root, cleaned of sprouts and soil), Du Huo (Angelica Pubescens Root, rhizome removed, each 2 liang), Dang Gui (Chinese Angelica Root, sliced and dried), Yuan Zhi (Polygala Root, heart removed), Gan Cao (Licorice Root, honey-fried and crushed), Fang Ji (Stephania Root), Ren Shen (Ginseng Root), Huang Qin (Scutellaria Root, cleaned of black heart), Sheng Ma (Cimicifuga Rhizome), Shao Yao (Peony Root, each 1 liang), Shi Gao (Gypsum Fibrosum, crushed, half liang).
The above fourteen ingredients. Coarsely pound and sieve. Take 5 qian bi per dose, add 1.5 zhan of water, a small amount of Moschus powder (She Xiang), and ginger the size of a jujube smashed, decoct until reduced to one zhan, remove dregs, and take warm at any time.
Treatment for Liver Excess Heat with blood and Qi stagnation, dim vision, frequent irritability, vertigo and dizziness, blue complexion, excessive salivation, and yellow-red urine. Jing Jie Tang (Schizonepeta Decoction):
Jing Jie Sui (Schizonepeta Spike), Mu Dan Pi (Moutan Cortex), Xiong (Ligusticum Chuanxiong Rhizome - *Note: Original text says "Xiong", likely referring to Chuanxiong*), Man Jing Shi (Vernonia Fruit), Chai Hu (Bupleurum Root, cleaned of sprouts), Qiang Huo (Notopterygium Rhizome, rhizome removed), Qin Jiao (Gentian Root, cleaned of sprouts and soil), Bie Jia (Tartar Testudinis, vinegar-processed, skirt removed), Tian Ling Gai (Human Skull Bone,酥-processed until black), Chen Xiang (Aquilaria Wood, crushed), Gan Cao (Licorice Root, honey-fried and crushed), Dang Gui (Chinese Angelica Root, sliced and dried, each 1 fen), Lian Qiao (Forsythia Fruit, half liang).
The above thirteen ingredients. Coarsely pound and sieve. Take 3 qian bi per dose, add 1 zhan of water, boil the water first, then add the herbal powder, stir once, pour out, and take warm after meals and before sleep.
Treatment for pathogenic heat lodging in the Liver Meridian, causing Qi rebellion, irritability, blue complexion, anger, and hypochondriac pain following anger. Jie Geng Tang (Platycodon Decoction):
Jie Geng (Platycodon Root, fried, 5 liang), Bai Zhu (Atractylodes Macrocephala Rhizome, 3 liang), Chi Fu Ling (Red Poria, black skin removed), Gui (Cinnamon Twig, coarse bark removed), Xi Xin (Asarum Root, cleaned of sprouts and leaves, each 2 liang), Dang Gui (Chinese Angelica Root, sliced and dried), Wu [Text Incomplete] ...
The above nine ingredients (Note: The original text lists incomplete names, specifically "Wu"). Coarsely pound and sieve. Take 3 qian bi per dose, add 1 zhan of water, decoct until three-tenths remain, remove dregs, and take warm morning and evening before meals.
Treatment for Liver Qi rebellion with blue complexion, irritability, inability to flex and extend the body, and severe vertigo. Qin Jiao San (Gentian Powder):
Qin Jiao (Gentian Root, cleaned of sprouts and soil), Gan Jiang (Dried Ginger, processed), Jie Geng (Platycodon Root, fried), Fu Zi (Aconite Lateral Root, processed until cracked, skin and navel removed, each 1 liang), Dang Gui (Chinese Angelica Root, sliced and dried), Tian Men Dong (Asparagus Root, heart removed and dried), Ren Shen (Ginseng Root), Bai Zhu (Atractylodes Macrocephala Rhizome), Shu Jiao (Sichuan Pepper, eyes and closed-mouth grains removed, fried until sweat appears, each 1 liang 1 fen), Wu Tou (Aconite Root, processed until cracked, skin, navel, and tip removed), Xi Xin (Asarum Root, cleaned of sprouts and leaves, each 3 fen), Gan Cao (Licorice Root, honey-fried and crushed), Bai Zhi (Angelica Dahurica Root), Shan Zhu Yu (Cornus Fruit), Ma Huang (Ephedra Herb, roots and nodes removed), Qian Hu (Peucedani Radix, rhizome removed), Fang Feng (Saposhnikovia Root, forked parts removed), Wu Wei Zi (Schisandra Fruit, each half liang).
The above eighteen ingredients. Pound and sieve into a powder. Take 1 qian bi per dose, mix with warm wine to swallow, three times daily, at any time.
Treatment for Liver constraint leading to blood accumulation, causing irritability, blue complexion, and hypochondriac pain. Huai Jiao Wan (Locust Gum Pill):
Huai Jiao (Locust Gum, dissolved in wine into paste, 2 liang), Niu Huang (Calculus Bovis, separately ground), She Xiang (Moschus, separately ground, each half liang), Ling Yang Jiao (Antelope Horn, shaved, 1 liang), Shi Long Zi (Shingle Lizard, roasted until black and separately ground, 1 piece), Wu Gong (Centipede, lightly roasted and separately ground, 5 pieces), Dan Sha (Cinnabar, ground), Gan Xie (Dry Scorpion, lightly fried and separately ground, each half liang), Fei Lian (Cockroach, roasted until black and separately ground), Yuan Qing (Blister Beetle, roasted until black and separately ground, each 7 pieces), Meng Chong (Blue Bottle Fly Larva, roasted until black and separately ground, 14 pieces), [Incomplete Character] Chong (Larva, roasted until black and separately ground, 7 pieces), Ba Dou (Croton Seed, 49 grains, boiled in water until purple, skin and membrane removed, core discarded, ground into paste retaining oil).
The above thirteen ingredients. Each made into powder and mixed evenly. Use glutinous rice porridge and Huai Jiao/Ba Dou paste to bind the herbs, forming pills the size of mung beans. Coat with Cinnabar. Take 3 pills per dose, downed with Mu Xiang (Costus Root) decoction; for severe cases, 5 pills. Take at any time. If necessary, repeat after walking twenty li, stopping when effective.