病源七气者,寒气热气怒气恚气喜气忧气愁气凡七种,气积聚坚,大如杯若 ,(一作
盘蒲官切)在心下腹中,疾痛欲死,饮食不能,时来时去,每发欲死,如有祸祟,此皆七气
所生,寒气则呕吐恶心,热气则说物不竟言而迫,(一云恍惚不章)怒气则上气不可忍,
热痛上抢心,短气欲死,不得气息,恚气则积聚在心下,心满不得饮食,喜气则不可疾行,
不能久立,忧气则不可剧作,暮卧不安席,愁气则喜忘不识人语,置物四方,还取不得去处,
若闻急则四肢手足筋挛不能举,状如得病,此是七气所生,男子卒得饮食不时所致,妇人则
产中风余疾。(千金同出第十三卷中)
千金七气丸方。
乌头(七分炮) 紫菀 前胡 半夏(洗) 细辛 丹参 茯苓 芎 桃仁(去尖皮)
吴茱萸 桂心 桔梗 石膏(各三分研) 人参 甘草 防葵(各四分千金作防风) 大黄
(七
分) 干姜
上二十味捣筛为末,蜜和丸,酒服如梧子三丸,日三,加至十丸一方去半夏加甘遂三分
。忌海藻菘菜羊肉饧猪肉冷水生葱大酢生菜。(一方有芍药无菖蒲)
又七气丸,主七气,七气者,寒气热气怒气恚气喜气忧气愁气,此七气为病,皆生积聚
,坚牢如杯,心腹绞痛,不能饮食,时去时来,发则欲死,凡寒气状,吐逆心满热气状,恍
惚眩冒失精,怒气状,上气不可当热,痛上荡心,短气欲绝,不得喘息,恚气状,积聚心满,
不
四肢跗肿,不得举止,亦疗产后中风余疾方。
大黄(十分) 椒(二分) 人参 半夏(洗) 芎 柴胡 甘草(炙) 桔梗 石
膏菖蒲
上十五味捣筛,蜜和丸如梧子。酒服三丸,日三,加至十丸。忌羊肉饧生葱海藻菘菜猪
肉生菜酢物。
又七气汤,疗虚冷上气劳气方。
半夏(一升洗) 生姜(十两) 人参 桂心 甘草(炙各一两)
上五味切,以水一斗,煮取三升,分为三服,日三。忌羊肉饧生葱海藻菘菜。(并出第
十七卷中)
疾病的根源在于七种气:寒气、热气、怒气、恚气(愤恨之气)、喜气、忧气、愁气,共七种。这些气积聚凝结,坚硬如杯或盘(“盘”音蒲官切),位于心下腹中,引起剧烈疼痛甚至濒死感,导致无法饮食,症状时发时止,每次发作都令人痛苦欲死,仿佛遭遇邪祟作怪。这些都是由七种气所引发的。其中,寒气会导致呕吐和恶心;热气会导致说话急促且言语不清(一说为神志恍惚不清晰);怒气会导致气逆上冲难以忍受,热痛向上冲击心脏,呼吸短促几乎致死,气息不畅;恚气会导致气结聚在心下,心中胀满无法进食;喜气会导致不能快速行走,不能久站;忧气会导致不能从事剧烈活动,傍晚卧床不安稳;愁气会导致容易遗忘,听不懂别人的话,放置物品到各处,再去取却找不到地方,如果听到紧急消息,四肢手足筋脉痉挛无法抬起,状态如同生病一样。这是七种气所导致的疾病,男子突然患病多因饮食不规律所致,妇人则多为产后中风留下的余疾。(此内容出自《千金方》第十三卷)
《千金方》中的七气丸方剂组成如下:
乌头(七分,炮制)、紫菀、前胡、半夏(洗净)、细辛、丹参、茯苓、川芎、桃仁(去掉尖部和皮)、吴茱萸、桂心、桔梗、石膏(以上各三分,研碎)、人参、甘草、防葵(各四分,《千金方》中作防风用)、大黄(七分)、干姜。
以上二十味药捣碎过筛成粉末,用蜂蜜调和制成丸药,用酒送服,每次三丸(大小如梧桐子),每日三次,剂量可增加至十丸。另一版本去掉半夏,加入甘遂三分。禁忌食物包括海藻、白菜、羊肉、饴糖、猪肉、冷水、生葱、醋及生菜。(另一版本含有芍药而无石菖蒲)
另一种七气丸,主治七气病。所谓七气,即寒气、热气、怒气、恚气、喜气、忧气、愁气。这七种气致病,都会产生积聚,坚硬牢固如杯子,引起心腹绞痛,无法饮食,症状时好时坏,发作时痛苦欲死。各种气的具体表现如下:寒气的症状是呕吐逆气、心中胀满;热气的症状是神志恍惚、眩晕冒昧、遗精;怒气的症状是气逆上冲不可抵挡,热痛震荡心脏,呼吸短促几乎断绝,无法喘息;恚气的症状是气结聚、心中胀满;此外还有四肢浮肿,无法行动,也可用于治疗产后中风余疾。
方剂组成:大黄(十分)、花椒(二分)、人参、半夏(洗净)、川芎、柴胡、甘草(炙烤)、桔梗、石膏、石菖蒲。
以上十五味药捣碎过筛,用蜂蜜调和制成如梧桐子大小的丸药。用酒送服,每次三丸,每日三次,剂量可增加至十丸。禁忌食物包括羊肉、饴糖、生葱、海藻、白菜、猪肉、生菜及醋制品。
又一种七气汤,治疗虚冷引起的上气及劳气病证。
方剂组成:半夏(一升,洗净)、生姜(十两)、人参、桂心、甘草(炙烤,以上各一两)。
以上五味药切碎,用水一斗,煎煮取汁三升,分三次服用,每日三次。禁忌食物包括羊肉、饴糖、生葱、海藻、白菜。
(以上内容均出自第十七卷)
The root causes of disease lie in seven types of Qi: Cold Qi, Heat Qi, Anger Qi, Resentment Qi (Qi of indignation), Joy Qi, Worry Qi, and Sorrow Qi. These pathogenic factors accumulate and condense, becoming hard like a cup or plate (the character "pan" is pronounced as Pu-guan), located below the heart and in the abdomen. They cause severe pain bordering on death, prevent eating and drinking, and come and go intermittently. Each attack brings suffering akin to dying, as if haunted by evil spirits. All these conditions arise from the seven Qi. Specifically, Cold Qi induces vomiting and nausea; Heat Qi causes rapid speech with unclear articulation (alternatively described as mental confusion and lack of clarity); Anger Qi leads to rebellious Qi rising uncontrollably, with hot pain rushing upward to strike the heart, resulting in shortness of breath nearly causing death and difficulty breathing; Resentment Qi causes Qi accumulation below the heart, leading to chest fullness and inability to eat; Joy Qi prevents rapid walking and prolonged standing; Worry Qi inhibits strenuous activity and causes restlessness at night when lying down; Sorrow Qi leads to forgetfulness and an inability to understand spoken language, misplacing items and being unable to find them later. Upon hearing urgent news, the tendons and sinews of the four limbs may spasm, rendering the extremities immobile, resembling illness. These are diseases generated by the seven Qi. In men, sudden onset is often due to irregular diet; in women, it is often residual pathology from wind-stroke after childbirth. (This content is cited from Volume 13 of *Qianjin Fang*)
**Qiqi Wan Formula from *Qianjin Fang***
Ingredients:
Aconiti Lateralis Radix Praeparata (Wutou, 7 fen, prepared), Asteris Radix (Ziwan), Peucedani Radix (Qianhu), Pinelliae Rhizoma Preparatum (Banxia, washed), Asari Radix et Rhizoma (Xixin), Salviae Miltiorrhizae Radix (Danshen), Poria (Fuling), Ligustici Chuanxiong Rhizoma (Chuanxiong), Persicae Semen (Taoren, remove tips and skin), Evodiae Fructus (Wuzhuyu), Cinnamomi Cortex (Guixin), Platycodonis Radix (Jiegeng), Gypsum Fibrosum (Shigao) [each 3 fen, ground], Ginseng Radix et Rhizoma (Renshen), Glycyrrhizae Radix et Rhizoma (Gancao), Polygoni Multiflori Radix? No, Fangkui (Fangkui) [each 4 fen; *Qianjin Fang* uses Saposhnikoviae Radix (Fangfeng) instead], Rheum Palmatum Radix et Rhizoma (Dahuang, 7 fen), Zingiberis Rhizoma Recens (Ganjiang).
Process: Grind the above twenty ingredients into powder. Mix with honey to form pills the size of wu-tzu seeds (approx. 6-9mm). Administer orally with wine, 3 pills per dose, three times daily. Dosage may be increased up to 10 pills. An alternative version excludes Banxia and adds Kansui Radix (Gansui, 3 fen).
Dietary restrictions: Avoid Alaria Japonica (Haizao), Chinese Cabbage (Songcai), mutton, malt sugar (Yitang), pork, cold water, raw scallions, vinegar, and raw vegetables. (Another version contains Paeoniae Radix Alba (Shaoyao) but lacks Acori Tatarinowii Rhizoma (Changpu)).
**Another Qiqi Wan**
Indications: Treats diseases caused by the seven Qi (Cold, Heat, Anger, Resentment, Joy, Worry, Sorrow). These pathogenic factors cause accumulation, hard and firm like a cup, resulting in colicky pain in the heart and abdomen, inability to eat, intermittent symptoms, and attacks that feel fatal.
Specific manifestations:
- Cold Qi: Vomiting, rebellious Qi, chest fullness.
- Heat Qi: Mental confusion, dizziness, seminal emission.
- Anger Qi: Uncontrollable rebellious Qi, hot pain shaking the heart, extreme shortness of breath, inability to breathe.
- Resentment Qi: Qi accumulation, chest fullness.
- Additional indications: Edema of the four limbs, immobility, and residual wind-stroke postpartum.
Ingredients:
Rheum Palmatum Radix et Rhizoma (Dahuang, 10 fen), Zanthoxyli Fructus (Jiao, 2 fen), Ginseng Radix et Rhizoma (Renshen), Pinelliae Rhizoma Preparatum (Banxia, washed), Ligustici Chuanxiong Rhizoma (Chuanxiong), Bupleuri Radix (Chaihu), Glycyrrhizae Radix et Rhizoma (Gancao, roasted), Platycodonis Radix (Jiegeng), Gypsum Fibrosum (Shigao), Acori Tatarinowii Rhizoma (Changpu).
Process: Grind the above fifteen ingredients into powder. Mix with honey to form pills the size of wu-tzu seeds. Administer orally with wine, 3 pills per dose, three times daily. Dosage may be increased up to 10 pills.
Dietary restrictions: Avoid mutton, malt sugar, raw scallions, Alaria Japonica (Haizao), Chinese Cabbage (Songcai), pork, raw vegetables, and vinegar products.
**Another Qiqi Tang**
Indications: Treats rebellious Qi and labor-induced Qi deficiency/cold patterns.
Ingredients:
Pinelliae Rhizoma Preparatum (Banxia, 1 sheng, washed), Zingiberis Rhizoma Recens (Shengjiang, 10 liang), Ginseng Radix et Rhizoma (Renshen), Cinnamomi Cortex (Guixin), Glycyrrhizae Radix et Rhizoma (Gancao, roasted) [each 1 liang].
Process: Cut the above five ingredients. Decoct in 1 dou (approx. 10 liters) of water until reduced to 3 sheng (approx. 3 liters). Divide into three doses, taken three times daily.
Dietary restrictions: Avoid mutton, malt sugar, raw scallions, Alaria Japonica (Haizao), and Chinese Cabbage (Songcai).
(All contents cited from Volume 17)