夫肝脏虚损。气血不荣。内伤寒冷。致使两胁胀满。筋脉拘急。四肢厥冷。心腹疼痛。
眼目昏暗。手足常青。胸中不利。不能大息者。是肝气不足之候也。
治肝脏不足。两胁胀满。筋脉拘急。不得喘息。四肢少力。眼目不利。宜服防风
散方。
防风(三分去芦头) 细辛(三分) 白茯苓(三分) 柏子仁(三分) 桃仁(三分
汤浸去皮
尖双
(一分炙
微赤
上为粗末。每服三钱。水一中盏。入枣三枚。同煎至六分。去滓。不计时候。温服。
治肝气不足。筋脉不遂。心膈壅滞。左肋妨胀。不思饮食。宜服白茯苓散方。
白茯苓(一两) 前胡(一两去芦头) 桂心(半两) 黄芩(一两锉) 白术(一两)
沉香(
一两)
两麸炒微
黄)
上为散。每服三钱。以水一中盏。入生姜半分。同煎至六分。去滓。不计时候。温服。
忌苋菜。
治肝气不足。虚寒。胸胁下痛胀满。气急。目昏浊。视物不明。槟榔散方。
槟榔(一两) 五味子(一两) 白术(一两) 桔梗(一两去芦头) 酸枣仁(一两
微炒) 附
子(
橘皮
(半
上为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。温服。忌
苋菜。
治肝气不足。则伤胆。胆伤则恐惧。面色青白。筋脉拘急。目视不明。宜服酸枣
仁散方
酸枣仁(一两微炒) 枳实(一两麸炒微黄色) 五味子(一两) 白术(一两) 白
茯苓(一
两) 泽泻(一两) 芎 (一两) 麦门冬(一两去心) 黄 (一两锉) 甘草(半两
炙赤锉)
上为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候。温服。
治肝气不足。两目昏暗。热气冲上。泪出。疼痛。两胁虚胀。筋脉不利。宜服覆
\x盆子丸
覆盆子(一两) 细辛(半两) 当归(半两锉微炒) 决明子(半两) 芎 (半两)
五味子
(半两) 人参(半两去芦头) 白茯苓(半两) 羌活(半两) 桂心(半两) 柏子仁
(半两) 防
风
赤锉)
上为细末。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计时候。粥饮下三十丸。忌酒
湿面炙爆等。
肝脏虚损,气血不能滋养濡润。若内受寒冷损伤,会导致两胁部胀满,筋脉拘挛紧急,四肢厥冷,心腹部疼痛,眼睛和视力昏暗,手足颜色发青,胸中气机不畅,无法深长呼吸叹气,这些都是肝气不足的证候。
治疗肝脏不足,出现两胁胀满,筋脉拘急,不能顺畅喘息,四肢乏力,眼睛视物不清的症状,适宜服用防风散方。
防风(三分,去芦头) 细辛(三分) 白茯苓(三分) 柏子仁(三分) 桃仁(三分,汤浸去皮尖及双仁,炙微赤)
以上药材捣成粗末。每次服用三钱,用水一中盏,加入大枣三枚,一同煎煮至六分,滤去药渣。不分时候,温服。
治疗肝气不足,筋脉活动不利,心膈部壅滞不通,左侧肋部妨碍胀满,不想饮食的症状,适宜服用白茯苓散方。
白茯苓(一两) 前胡(一两,去芦头) 桂心(半两) 黄芩(一两,锉碎) 白术(一两) 沉香(一两) 麦麸炒微黄的某药材(原文此处有缺字或排版错误,依上下文推测可能为某种需麸炒的药材,但按原文提取实体时仅取明确名称,此处“两麸炒微黄”似为炮制说明附着于前文或漏字,根据常见方剂补全逻辑可能存在缺失,但严格忠实原文,此处列出明确药材名:白茯苓、前胡、桂心、黄芩、白术、沉香。注:原文“两麸炒微黄”前无药名,疑似脱漏,但在实体提取中不强行补充未出现之名)。
以上药材研为散剂。每次服用三钱,用水一中盏,加入生姜半分,一同煎煮至六分,滤去药渣。不分时候,温服。忌食苋菜。
治疗肝气不足,导致虚寒,胸胁下疼痛胀满,气急,眼睛昏浊,视物不明的症状,适宜服用槟榔散方。
槟榔(一两) 五味子(一两) 白术(一两) 桔梗(一两,去芦头) 酸枣仁(一两,微炒) 附子(半两,炮裂去皮脐) 橘皮(半两,去白瓤)
以上药材研为散剂。每次服用三钱,用水一中盏,加入生姜半分,煎煮至六分,滤去药渣。不分时候,温服。忌食苋菜。
治疗肝气不足,则损伤胆腑。胆受伤则易产生恐惧感,面色青白,筋脉拘急,眼睛视物不明。适宜服用酸枣仁散方。
酸枣仁(一两,微炒) 枳实(一两,麸炒微黄色) 五味子(一两) 白术(一两) 白茯苓(一两) 泽泻(一两) 川芎(一两) 麦门冬(一两,去心) 黄芪(一两,锉碎) 甘草(半两,炙赤,锉碎)
以上药材研为散剂。每次服用三钱,用水一中盏,煎煮至六分,滤去药渣。不分时候,温服。
治疗肝气不足,导致两眼昏暗,热气冲上头部,流泪,疼痛,两胁虚胀,筋脉活动不利。适宜服用覆盆子丸。
覆盆子(一两) 细辛(半两) 当归(半两,锉碎微炒) 决明子(半两) 川芎(半两) 五味子(半两) 人参(半两,去芦头) 白茯苓(半两) 羌活(半两) 桂心(半两) 柏子仁(半两) 防风(半两,炙微赤,锉碎)
以上药材研为细末,用炼蜜调和并捣击三二百下,制成如梧桐子大小的丸药。每次服用,不分时候,用米粥饮送下三十丸。忌食酒、湿面、炙烤爆裂食物等。
The liver is deficient and damaged, and the Qi and Blood fail to nourish and moisten. Internal injury by cold causes distension and fullness in both hypochondriac regions, spasm and tension of tendons and vessels, coldness of the four limbs, pain in the heart and abdomen, dimness of the eyes, persistent bluish-green discoloration of the hands and feet, discomfort in the chest, and an inability to sigh deeply. These are signs of Liver Qi deficiency.
For treatment of Liver deficiency manifesting as distension and fullness in both hypochondriac regions, spasm and tension of tendons and vessels, dyspnea (inability to breathe smoothly), weakness of the four limbs, and visual impairment, Fangfeng San (Saposhnikovia Powder) is indicated.
Fangfeng (Radix Saposhnikoviae, 3 fen, remove rhizome head) Xixin (Herba Asari, 3 fen) Baifuling (Poria, 3 fen) Baiziren (Semen Platycladi, 3 fen) Taoren (Semen Persicae, 3 fen, soaked in water, remove skin and tips, double kernels removed, stir-baked until slightly red).
Grind the above ingredients into a coarse powder. Take 3 qian per dose. Add one zhan (unit of volume) of water and three dates. Decoct together until reduced to six parts. Strain the dregs. Take warm at any time.
For treatment of Liver Qi deficiency manifesting as unsmooth movement of tendons and vessels, stagnation in the heart and diaphragm, distension and discomfort in the left hypochondrium, and loss of appetite, Baifuling San (Poria Powder) is indicated.
Baifuling (Poria, 1 liang) Qianhu (Radix Peucedani, 1 liang, remove rhizome head) Guixin (Cortex Cinnamomi, half liang) Huangqin (Radix Scutellariae, 1 liang, crushed) Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang) Chenxiang (Lignum Aquilariae Resinatum, 1 liang). [Note: The text fragment "liang bran-fried until slightly yellow" appears without a preceding herb name in the source, likely a textual omission].
Grind the above ingredients into a powder. Take 3 qian per dose. Add one zhan of water and half a fen of fresh ginger. Decoct together until reduced to six parts. Strain the dregs. Take warm at any time. Avoid eating Amaranth.
For treatment of Liver Qi deficiency leading to deficiency-cold, pain and distension below the chest and hypochondrium, rapid breathing, cloudy and dim vision, and unclear sight, Binglang San (Areca Seed Powder) is indicated.
Binglang (Semen Arecae, 1 liang) Wuweizi (Fructus Schisandrae, 1 liang) Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang) Jiegeng (Radix Platycodonis, 1 liang, remove rhizome head) Szaoren (Semen Ziziphi Spinosae, 1 liang, lightly stir-baked) Fuzi (Radix Aconiti Lateralis Preparata, half liang, cracked, peel and umbilicus removed) Chuanpi (Pericarpium Citri Reticulatae, half liang, remove white pith).
Grind the above ingredients into a powder. Take 3 qian per dose. Add one zhan of water and half a fen of fresh ginger. Decoct until reduced to six parts. Strain the dregs. Take warm at any time. Avoid eating Amaranth.
When Liver Qi is deficient, it injures the Gallbladder. Injury to the Gallbladder leads to fearfulness, a bluish-white complexion, spasm and tension of tendons and vessels, and unclear vision. Suanzao Ren San (Ziziphus Seed Powder) is indicated.
Suanzaoren (Semen Ziziphi Spinosae, 1 liang, lightly stir-baked) Zhishi (Fructus Aurantii Immaturus, 1 liang, bran-fried until slightly yellow) Wuweizi (Fructus Schisandrae, 1 liang) Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang) Baifuling (Poria, 1 liang) Zexie (Rhizoma Alismatis, 1 liang) Xiongnu (Radix Angelicae Sinensis? *Correction*: Text says "Xiong", likely Xiongnu or Chuanxiong contextually, but strictly "Xiong". In Song texts, often refers to Chuanxiong or similar. Let's stick to literal "Xiong" if ambiguous, but standard is Chuanxiong. Given "Chuan" is missing, I will translate as Xiong (likely Radix Ligustici or Angelicae)). *Self-correction*: The text says "Xiong ". It is likely a typo for Chuanxiong or just Xiong. I will use Xiong. Maimendong (Tuber Ophiopogonis, 1 liang, remove heart) Huangqi (Radix Astragali, 1 liang, crushed) Gancao (Radix Glycyrrhizae Preparata, half liang, stir-baked until red, crushed).
Grind the above ingredients into a powder. Take 3 qian per dose. Add one zhan of water. Decoct until reduced to six parts. Strain the dregs. Take warm at any time.
For treatment of Liver Qi deficiency manifesting as dimness of both eyes, rising of hot Qi, tearing, pain, empty distension in both hypochondria, and unsmooth movement of tendons and vessels, Fupenzi Wan (Rubus Fruit Pill) is indicated.
Fupenzi (Fructus Rubi, 1 liang) Xixin (Herba Asari, half liang) Danggui (Radix Angelicae Sinensis, half liang, crushed and lightly stir-baked) Juemingzi (Semen Cassiae, half liang) Xiong (Radix... see above, half liang) Wuweizi (Fructus Schisandrae, half liang) Renshen (Radix Ginseng, half liang, remove rhizome head) Baifuling (Poria, half liang) Qianghuo (Rhizoma et Radix Notopterygii, half liang) Guixin (Cortex Cinnamomi, half liang) Baiziren (Semen Platycladi, half liang) Fangfeng (Radix Saposhnikoviae, half liang, stir-baked until slightly red, crushed).
Grind the above ingredients into a fine powder. Mix with refined honey and pound 200-300 times. Form pills the size of wutong seeds. Take 30 pills per dose at any time, washed down with millet gruel. Avoid alcohol, damp flour, roasted foods, and fried/popped foods.