治脏虚善恐怖如魇状及妇人产后余疾,月经不调方。
当归 防风 芎 附子 芍药 甘草 蜀椒 干姜 细辛 桂心 半夏 浓朴 大黄
猪苓(各一两) 茯苓(一作茯神) 远志(各二两)
上十六味为末,蜜丸如梧子大,酒服五丸,日三,不知加至十丸,冷加热药。
(论一首 方一首)
论曰∶心劳病者补脾气以益之,脾旺则感于心矣。人逆夏气则手太阳不长,而心气内洞
,顺之则生,逆之则死。顺之则治,逆之则乱,反顺为逆,是谓关格,病则生矣。
治心劳热,口为生疮,大便苦难,闭涩不通,心满痛,小肠热方。
大黄 泽泻 黄芩 芒硝 栀子仁(各三两) 桂心 通草 石膏(各二两) 甘草(一
两)
上十味 咀,用水九升,先以水一升别浸大黄一宿,余八升煮诸药取二升五合,去滓,
下大黄煮两沸去滓,下芒硝令烊,分三服。
(论一首 方一首 灸法二首)
论曰∶凡脉极者主心也。心应脉,脉与心合。心有病从脉起。又曰∶以夏遇病为脉痹,
脉痹不已,复感于邪,内舍于心,则饮食不为肌肤,咳脱血色白不泽,其脉空虚,口唇见赤
色。凡脉气衰,血焦发堕,以夏丙丁日得之于伤风,损脉为心风。心风之状,多汗恶风。若
脉气实则热,热则伤心,使人好怒,口为赤色,甚则言语不快,血脱色干燥不泽,饮食不为
肌肤。若脉气虚则寒,寒则咳,咳则心痛,喉仲介介如哽,甚则咽肿喉痹。故曰,心风虚实
候也。
治疗心脏虚弱、容易惊恐恐惧如同梦魇状态,以及妇女产后遗留疾病、月经不规律的方剂。
当归、防风、川芎、附子、芍药、甘草、蜀椒、干姜、细辛、桂心、半夏、厚朴、大黄、猪苓(各一两)、茯苓(一作茯神)、远志(各二两)。
以上十六味药研成粉末,用蜂蜜制成梧桐子大小的丸剂,酒送服五丸,每日三次,若无效可加至十丸,若服药后感觉寒冷则增加温热性质的药物。
(一篇论述 一个方剂)
论述说:患心劳损病的人,应补益脾气以滋养心脏,脾气旺盛就能感应并滋养心脏。人如果违背夏季的养生规律,则手太阳小肠经的气血不能正常生长,导致心气内部空虚,顺应规律则生存,违背规律则死亡。顺应规律则治理得当,违背规律则混乱,违反顺行变为逆行,这被称为关格(阴阳隔绝不通),生病就会发生。
治疗心劳热,口腔生疮,大便困难,闭塞不通,心中胀满疼痛,小肠热的方剂。
大黄、泽泻、黄芩、芒硝、栀子仁(各三两)、桂心、通草、石膏(各二两)、甘草(一两)。
以上十味药切碎,用水九升,先取一升水单独浸泡大黄一夜,其余八升水煮其他药物,取汁二升五合,滤去药渣,放入大黄煮两沸后滤去药渣,加入芒硝使其溶化,分三次服用。
(一篇论述 一个方剂 两个灸法)
论述说:凡是脉极的病主要归属于心脏。心与脉相应,脉与心相合。心有病往往从脉开始。又说:在夏天患病称为脉痹,脉痹如果不愈,再次感受邪气,内舍于心,就会导致饮食无法转化为肌肤营养,咳嗽且血色白而无光泽,脉象空虚,口唇呈现红色。凡是脉气衰弱,血液焦枯头发脱落,如果在夏日的丙丁日因伤风而得病,损伤脉气成为心风。心风的症状,是多汗且怕风。如果脉气实则发热,热则伤害心脏,使人容易发怒,口唇呈红色,严重时言语不利,血液耗脱面色干燥无光泽,饮食无法转化为肌肤营养。如果脉气虚则生寒,寒则引起咳嗽,咳嗽则心痛,喉咙中有异物感像被梗塞一样,严重时咽喉肿痛喉痹。所以说,这是心风虚实证的候象。
Treatment for Heart Deficiency with Susceptibility to Fear and Terror, Resembling Nightmares, as well as Postpartum Lingering Diseases and Irregular Menstruation in Women.
Angelicae Sinensis Radix (Danggui), Saposhnikoviae Radix (Fangfeng), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Aconiti Lateralis Radix Praeparata (Fuzi), Paeoniae Radix Alba (Shaoyao), Glycyrrhizae Radix et Rhizoma (Gancao), Zanthoxyli Pericarpium (Shujiao), Zingiberis Rhizoma Recens (Ganjiang), Asari Radix et Rhizoma (Xixin), Cinnamomi Ramulus (Guixin), Pinelliae Rhizoma Preparatum (Banxia), Magnoliae Officinalis Cortex (Houpo), Rheii Radix et Rhizoma (Dahuang), Polyporus (Zuling) [each 1 liang], Poria (Fuling) [or Fushen], Polygalae Radix (Yuanzhi) [each 2 liang].
Grind the above sixteen medicinal materials into powder, mix with honey to make pills the size of a wu zi (cherry seed). Take five pills with wine, three times a day. If ineffective, increase to ten pills. If feeling cold after taking medicine, add more warming herbs.
(One Treatise, One Formula)
The treatise states: For those suffering from Heart Exhaustion Disease, tonify Spleen Qi to benefit it; when Spleen Qi is robust, it can influence and nourish the Heart. If one goes against the Qi of Summer, the Hand-Taiyang (Small Intestine) channel will not grow properly, leading to an internal hollowness of Heart Qi. Following this leads to life, going against it leads to death. Following it leads to proper regulation, going against it leads to chaos. Reversing the natural order constitutes Guan Ge (Obstruction and Reflux, where Yin and Yang are severed), and disease arises.
Treatment for Heart Exhaustion Heat, Oral Ulcers, Difficulty with Bowel Movements, Obstruction and Inability to Pass Stool, Chest Fullness and Pain, and Small Intestine Heat.
Rheii Radix et Rhizoma (Dahuang), Alismatis Rhizoma (Zexie), Scutellariae Radix (Huangqin), Natrii Sulfas (Mangxiao), Gardeniae Semen (Zhizi Ren) [each 3 liang], Cinnamomi Ramulus (Guixin), Tetsii Herba (Tongcao), Gypsum Fibrosum (Shigao) [each 2 liang], Glycyrrhizae Radix et Rhizoma (Gancao) [1 liang].
Coarsely crush the above ten medicinal materials. Use nine sheng of water. First, take one sheng of water to soak Dahuang separately overnight. Boil the remaining eight sheng with the other herbs to obtain two sheng and five he of decoction. Strain out the dregs. Add the soaked Dahuang and boil for two boils, then strain out the dregs. Add Mangxiao and stir until dissolved. Divide into three doses.
(One Treatise, One Formula, Two Moxibustion Methods)
The treatise states: The condition of Mai Ji (Extreme Pulse) primarily concerns the Heart. The Heart corresponds to the vessels, and the vessels harmonize with the Heart. Heart diseases often originate from the vessels. It is also said: Illness contracted in summer is called Mai Bi (Pulse Bi Syndrome). If Mai Bi persists and one is again affected by pathogenic factors, they enter internally and lodge in the Heart. This results in food and drink failing to nourish the flesh and skin, coughing with pale and lusterless blood, empty pulse, and red lips. When Mai Qi declines, blood becomes scorched and hair falls out. Contracted on Bing-Ding days in summer due to Wind Strike, damaging the Mai, it becomes Xin Feng (Heart Wind). The presentation of Heart Wind includes excessive sweating and aversion to wind. If Mai Qi is excess, there is heat; heat damages the Heart, causing irritability, red mouth/lips, and in severe cases, slurred speech, blood depletion with dry and lusterless complexion, and failure of nutrition to nourish the body. If Mai Qi is deficient, there is cold; cold causes coughing, which leads to Heart pain, a sensation of obstruction in the throat as if something is stuck, and in severe cases, swollen throat and Bi syndrome. Thus, these are the signs of deficiency and excess in Heart Wind.