(论一首 方二十九首 灸法六首)
治肝虚寒,猝然喑哑不声、踞坐不得、面目青黑、四肢缓弱、遗失便利、
桂枝 川芎 独活 牛膝 薯蓣 甘草(各三两) 附子(二两) 防风 茯苓 天雄 茵
芋杜仲 蒴 根 白术(各四两) 干姜(五两) 踯躅(一升) 猪椒叶根皮(各一升)
大枣
(四十枚)
上十八味 咀,以酒四斗渍七日,每服四合,日二,加至五、六合。
肝风占候其口不能言,当灸鼻下人中。次灸大木椎次灸肝俞,第九椎下是,五十壮、余
处随年壮。眼暗灸之得明,二三百壮良。
治心虚寒风,半身不遂、骨节离解、缓弱不收,便利无度,口面 邪斜方。
干姜 附子(各八两) 桂心 麻黄(各四两) 川芎(三两)
上五味 咀,以水九升,煮取三升,分三服,三日后服一剂。
治猝中风,四肢不仁、善笑不息方。
芎 (一两半) 黄芩 石膏(一方用黄连) 当归 秦艽 麻黄 桂心 干姜 甘草
(各
一两) 杏仁(二十一枚)
上十味 咀,以水九升,煮取三升,分三服。
治心虚寒、阴气伤、寒损心惊掣悸,语声宽急混浊,口 冒昧,好自笑、
荆沥(三升) 母姜(取汁,一升) 麻黄 白术 川芎(各四两) 防风 桂心 升
麻茯
苓远志 人参 羌活 当归(各二两) 防己 甘草(各二两)
上十五味 咀,以水一斗五升煎麻黄两沸,去沫,次下诸药,煮取三升,去滓,下荆
沥、姜汁煎取四升。分四服,日三夜一。
(论述一篇,方剂二十九首,灸法六首)
治疗肝虚寒证,突然失音不能说话、只能蹲坐无法平卧、面色青黑、四肢软弱无力、大小便失禁。
桂枝、川芎、独活、牛膝、薯蓣(山药)、甘草(各三两),附子(二两),防风、茯苓、天雄、茵芋、杜仲、蒴藋根、白术(各四两),干姜(五两),踯躅花(一升),猪椒叶根皮(各一升),大枣(四十枚)。
以上十八味药,切碎,用酒四斗浸泡七天,每次服用四合,每日两次,剂量可逐渐增加至五合或六合。
肝风病占候诊断中,若患者口不能言,应当艾灸鼻下的人中穴。接着艾灸大椎穴(此处原文“大木椎”疑为“大椎”之误,按中医常规穴位名修正,但保留原意指代背部最高椎骨处),接着艾灸肝俞穴,第九胸椎棘突下是肝俞穴的位置,灸五十壮;其余部位根据患者年龄决定灸的壮数。眼睛昏暗者,艾灸后可复明,灸二三百壮效果良好。
治疗心气虚导致的心悸、恍惚不安的方剂。(详见第十六卷小肠腑篇中。)
治疗心虚受风寒,出现半身不遂、骨节松动分离感、肢体软弱松弛无法收持,大小便无节制,口眼歪斜的方剂。
干姜、附子(各八两),桂心、麻黄(各四两),川芎(三两)。
以上五味药,切碎,用水九升,煮取三升药液,分三次服用,三天后再服用一剂。
治疗心寒导致的时而发笑、呻吟、口角歪斜的方剂。(详见前七卷脚气病篇中。)
治疗猝然中风,四肢麻木无知觉、容易无故发笑的方剂。
川芎(一两半),黄芩、石膏(另一版本使用黄连),当归、秦艽、麻黄、桂心、干姜、甘草(各一两),杏仁(二十一枚)。
以上十味药,切碎,用水九升,煮取三升药液,分三次服用。
治疗心虚寒、阴气受损、寒邪损伤导致心惊悸掣痛,语声宽缓急促且浑浊不清,口中感觉昏昧不适,喜欢自笑的方剂。
荆沥(竹沥的一种,三升),生姜(取汁,一升),麻黄、白术、川芎(各四两),防风、桂心、升麻、茯苓、远志、人参、羌活、当归(各二两),防己、甘草(各二两)。
以上十五味药,切碎,用水一斗五升先煎麻黄,煮沸两次后撇去浮沫,然后加入其他药物,煮取三升药液,滤去药渣,再加入荆沥和姜汁,继续煎煮取四升药液。分四次服用,每日三次,夜间一次。
(One treatise, twenty-nine prescriptions, six moxibustion methods)
For treating Liver deficiency-cold syndrome, characterized by sudden aphonia (loss of voice), inability to lie flat and only able to squat, bluish-black complexion, flaccidity and weakness of the four limbs, and incontinence of urine and feces.
Guizhi Tang (Cinnamon Twig Decoction) components: Cinnamomi Ramulus (Guizhi), Chuanxiong Rhizome (Chuanxiong), Angelicae Pubescentis Radix (Duhuo), Achyranthis Bidentatae Radix (Niuxi), Dioscoreae Rhizoma (Shuyu), Licorice Root (Gancao) [each 3 liang]; Aconiti Lateralis Radix Preparata (Fuzi) [2 liang]; Saposhnikoviae Radix (Fangfeng), Poria (Fuling), Aconiti Kusnezoffii Radix (Tianxiong), Illicium Anisatum Fruit (Yinyu), Eucommiae Cortex (Duzhong), Dendrobii Nobile Caulis (Shuodi), Atractylodis Macrocephalae Rhizoma (Baizhu) [each 4 liang]; Zingiberis Rhizoma (Ganjiang) [5 liang]; Rhododendri Mollis Flos (Zhizhu) [1 sheng], Corni Fructus root bark (Zhujiao Yegenpi) [each 1 sheng], Jujubae Fructus (Dazao) [40 pieces].
The above eighteen herbs are coarsely crushed, soaked in 4 dou of wine for seven days. Take 4 he per dose, twice daily. The dosage may be gradually increased to 5 or 6 he.
In the prognostication of Liver Wind syndrome, if the patient cannot speak, moxibustion should be applied to the Renmai-26 (Renzhong) point located below the nose. Next, moxibustion should be applied to the Dazhui (GV14) point, followed by Ganshu (BL18). The Ganshu point is located below the spinous process of the ninth thoracic vertebra; apply fifty moxa cones (zhuang); for other areas, apply a number of moxa cones corresponding to the patient's age. For dim vision, moxibustion can restore sight; applying two to three hundred moxa cones is effective.
For treating Heart Qi deficiency causing palpitations and mental confusion. (See Volume XVI, Small Intestine Fu Organ section.)
For treating Heart deficiency with cold-wind invasion, manifesting as hemiplegia, sensation of joint separation, flaccid weakness and loss of motor control, uncontrolled urination and defecation, and facial paralysis with deviation of the mouth and eyes.
Zingiberis Rhizoma (Ganjiang), Aconiti Lateralis Radix Preparata (Fuzi) [each 8 liang]; Cinnamomi Cortex (Guixin), Ephedrae Herba (Mahuang) [each 4 liang]; Chuanxiong Rhizome (Chuanxiong) [3 liang].
The above five herbs are coarsely crushed, boiled in 9 sheng of water until reduced to 3 sheng. Divide into three doses. Administer one dose every three days.
For treating Heart cold causing intermittent laughter, groaning, and deviation of the mouth. (See previous Volume VII, Foot-Qi disease section.)
For treating sudden wind-stroke, characterized by numbness and insensitivity of the four limbs and uncontrollable laughter.
Chuanxiong Rhizome (1.5 liang), Scutellariae Radix (Huangqin), Gypsum Fibrosum (Shigao) [alternative version uses Coptidis Rhizoma (Huanglian)], Angelicae Sinensis Radix (Danggui), Gentianae Macrophyllae Radix (Qinjiao), Ephedrae Herba (Mahuang), Cinnamomi Cortex (Guixin), Zingiberis Rhizoma (Ganjiang), Glycyrrhizae Radix et Rhizoma (Gancao) [each 1 liang], Armeniacae Semen Amarum (Xingren) [21 pieces].
The above ten herbs are coarsely crushed, boiled in 9 sheng of water until reduced to 3 sheng. Divide into three doses.
For treating Heart deficiency-cold, injury to Yin Qi, and heart palpitations caused by cold damage, accompanied by hoarse and turbid speech, oral dullness, and spontaneous laughter.
Jingli (Bamboo Juice, 3 sheng), Ginger Juice (1 sheng), Ephedrae Herba (Mahuang), Atractylodis Macrocephalae Rhizoma (Baizhu), Chuanxiong Rhizome (Chuanxiong) [each 4 liang]; Saposhnikoviae Radix (Fangfeng), Cinnamomi Cortex (Guixin), Cimicifugae Rhizoma (Shengma), Poria (Fuling), Polygalae Radix (Yuanzhi), Ginseng Radix (Renshen), Notopterygii Rhizoma et Radix (Qianghuo), Angelicae Sinensis Radix (Danggui) [each 2 liang]; Podagricae Radix (Fangji), Glycyrrhizae Radix et Rhizoma (Gancao) [each 2 liang].
The above fifteen herbs are coarsely crushed. Boil Ephedrae Herba (Mahuang) in 1.5 dou of water for two boils, skim off the foam, then add the remaining herbs. Boil until reduced to 3 sheng, strain out the dregs, then add Jingli (Bamboo Juice) and Ginger Juice. Continue boiling until reduced to 4 sheng. Divide into four doses: three times during the day and once at night.