论曰内经谓阳气者大怒则形气绝,而血菀于上,使人薄厥,夫苍天之气清净,则志意治
。顺之则阳气固,若乃物或触之,怒而气上,则形气不属,血与之俱,故其证胸中菀结,与
气薄而厥逆也。
治暴怒气逆,胸中不便,甚则呕血。赤茯苓汤方
赤茯苓(去黑皮) 人参(各二两) 桔梗(去芦头炒) 陈橘皮(汤浸去白焙各一两)
麦门冬(去心焙) 芍药 槟榔(各半两)
上七味。粗捣筛,每服五钱匕,水一盏半,入生姜三片,煎至八分,去滓温服,不拘时
候。
治恚怒气逆,上而不下,则伤肝,血菀胸中,使人薄厥,甚则呕血烦闷者。黄 汤方
黄 (二两锉) 茯神(去木) 麦门冬(去心焙) 桂(去粗皮) 陈橘皮(汤浸去
白焙) 当归(切焙) 天门冬(去心焙) 五味子 生干地黄(焙) 甘草(炙锉各一两)
上一十味。粗捣筛,每服五钱匕,水一盏半,入生姜三片,大枣二枚劈破,同煎至八分
,去滓温服,空心顿服。
治恚怒伤肝,胸中菀结,或至呕血者,盖气血相薄而厥逆,宜服大枣汤方
大枣(五十枚去核焙别捣) 生干地黄(半斤切焙) 阿胶(炙令燥) 甘草(炙锉各
三两)
上四味。除大枣外,粗捣筛,再作一处捣匀,每服五钱匕,水一盏半,煎至八分,去滓
温服,日二夜一,不计时。
论述说:《内经》中提到,阳气在极度愤怒时会导致形体之气断绝,血液郁积于上部,使人发生薄厥。天的清气是清净的,人的意志就能调顺。顺应这种规律则阳气坚固;如果受到外物刺激而发怒,气机上逆,那么形体与气机就会不相隶属,血液随之上涌,所以症状表现为胸中郁结,以及气机阻滞导致的厥逆。
治疗暴怒导致气机上逆,胸中不适,严重到呕吐血液的方剂:赤茯苓汤方
赤茯苓(去除黑皮) 人参(各二两) 桔梗(去除芦头并炒制) 陈橘皮(用汤浸泡后去除白色内皮并焙干,各一两)
麦门冬(去除心并焙干) 芍药 槟榔(各半两)
以上七味药。粗捣筛碎,每次服用五钱匕,加水一盏半,放入生姜三片,煎煮至八分满,滤去药渣,温服,不限时候。
治疗因愤恨愤怒导致气机上逆而不能下行,从而损伤肝脏,血液郁积在胸中,使人发生薄厥,严重到呕吐血液、心烦闷乱的方剂:黄耆汤方
黄耆(二两锉碎) 茯神(去除木质部分) 麦门冬(去除心并焙干) 桂枝(去除粗糙外皮) 陈橘皮(用汤浸泡后去除白色内皮并焙干) 当归(切片并焙干) 天门冬(去除心并焙干) 五味子 生干地黄(焙干) 甘草(炙烤后锉碎,各一两)
以上十味药。粗捣筛碎,每次服用五钱匕,加水一盏半,放入生姜三片、大枣二枚劈破,一同煎煮至八分满,滤去药渣,空腹顿服温药。
治疗因愤恨愤怒损伤肝脏,胸中郁结,甚至出现呕吐血液的情况,这是因为气血相互搏结而导致厥逆,适宜服用的方剂:大枣汤方
大枣(五十枚去核焙干后单独捣碎) 生干地黄(半斤切片焙干) 阿胶(炙烤至干燥) 甘草(炙烤后锉碎,各三两)
以上四味药。除大枣外,其余药物粗捣筛碎,再放在一起捣匀,每次服用五钱匕,加水一盏半,煎煮至八分满,滤去药渣,温服,白天两次夜间一次,不限时间。
It is stated in the discussion: The *Neijing* (Inner Canon) mentions that when Yang Qi (vital energy associated with warmth and activity) is subjected to extreme anger, the formative Qi (nutritive energy) becomes severed, causing Blood (the physical substance nourishing the body) to stagnate in the upper part of the body, leading to a condition known as Bo Jue (sudden fainting or collapse due to upward rushing of Qi and Blood). The pure Qi of Heaven is clear and tranquil; when one aligns with this, the mind and will are regulated. Following this principle consolidates Yang Qi. However, if provoked by external stimuli into anger, Qi rushes upward, causing the form and Qi to become disconnected, and Blood follows suit. Consequently, the symptoms manifest as stagnation and knotting in the chest, along with cold limbs and loss of consciousness (Jue Ni) caused by the obstruction of Qi.
Formula for treating sudden anger-induced upward reversal of Qi, discomfort in the chest, and severe hematemesis: Chifuling Tang (Red Poria Decoction)
Chifuling (Poria Cocos, removed black skin) [2 liang]
Renshen (Ginseng Radix et Rhizoma) [2 liang]
Jiegeng (Platycodonis Radix, removed radicle and stir-fried) [1 liang]
Chenju pi (Aged Tangerine Peel, soaked in water, white pith removed, dried) [1 liang]
Maimendong (Ophiopogonis Radix, removed heart and dried) [0.5 liang]
Shaoyao (Paeoniae Radix) [0.5 liang]
Binglang (Arecae Semen) [0.5 liang]
The above seven herbs are coarsely crushed and sifted. For each dose, take five qianbi (approx. 5-7 grams), add one dan and half zhang of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), and decoct until eight parts remain. Strain and take warm, at any time.
Formula for treating resentment and anger causing upward reversal of Qi that fails to descend, thereby injuring the Liver, with Blood stagnating in the chest, leading to Bo Jue, and severe cases involving hematemesis and mental restlessness: Huangqi Tang (Astragalus Decoction)
Huangqi (Astragali Radix, cut into pieces) [2 liang]
Fushen (Poria Cocos with Hostwood) [1 liang]
Maimendong (Ophiopogonis Radix, removed heart and dried) [1 liang]
Guizhi (Cinnamomi Ramulus, removed rough bark) [1 liang]
Chenju pi (Aged Tangerine Peel, soaked in water, white pith removed, dried) [1 liang]
Danggui (Angelicae Sinensis Radix, sliced and dried) [1 liang]
Tianmendong (Asparagi Radix, removed heart and dried) [1 liang]
Wuweizi (Schisandrae Chinensis Fructus) [1 liang]
Shenggandihuang (Rehmanniae Radix, dried) [1 liang]
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut) [1 liang]
The above ten herbs are coarsely crushed and sifted. For each dose, take five qianbi, add one dan and half zhang of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), and two Dazao (Ziziphi Jujubae Fructus) split open. Decoct together until eight parts remain. Strain and take warm on an empty stomach in one dose.
Formula for treating Liver injury due to resentment and anger, with stagnation and knotting in the chest, or even hematemesis, which arises from the conflict between Qi and Blood leading to Jue Ni (cold limbs and unconsciousness): Dazao Tang (Jujube Decoction)
Dazao (Ziziphi Jujubae Fructus, fifty fruits, pits removed, dried, and separately pounded) [50 units]
Shenggandihuang (Rehmanniae Radix, dried, half jin, sliced and dried) [0.5 jin]
Ejiao (Colla Corii Asini, heated until dry) [3 liang]
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut) [3 liang]
Except for the Dazao (Jujube), the remaining four herbs are coarsely crushed and sifted, then pounded together uniformly. For each dose, take five qianbi, add one dan and half zhang of water, and decoct until eight parts remain. Strain and take warm, twice during the day and once at night, without specific timing restrictions.