夫左手关上脉阳虚者。足少阳经也。为胆虚寒。盖胆虚则生寒。寒则其病恐畏不能独卧。
口
不
也。
薯蓣丸(出圣惠方)治胆虚冷。精神不守。心多恐惧。目暗头昏。四肢不利。
薯蓣(一两) 白茯苓(二两) 决明子(三分) 菟丝子(一两酒浸三日焙干别研为
末) 天
雄(
茱萸(三
分)
三十
丸。温
中正汤(出圣惠方)治胆气不足。常多恐惧。头眩痿厥。四肢不利。僵仆。目
黄失精。一名
茯苓(去皮) 酸枣仁 黄 羌活(各一两) 甘菊花 熟地黄 柏子仁 防风(各
一两)
人
服。
不拘时。忌生冷、猪、鱼。
远志汤(一名茯神散)治胆经虚冷不能独卧。心下 如人将捕。头昏。痿
厥。目黄失精。
远志(去心) 熟地黄(各一两) 防风 人参 甘菊花 白术 桂(去粗皮) 茯神 前
胡
(去
去
滓。
茯苓汤(永类钤方)治胆气虚冷。头眩痛。心神恐畏。遇事多惊。不能独睡。
胸中满闷。口
茯神(去木) 酸枣仁 黄 白芍药 五味子 柏子仁(各一两) 桂心 熟地黄(酒
洗)
人
时
服。
天雄丸 治胆虚生寒。气溢胸膈。头眩口苦。善太息。呕宿水。
天雄(炮去皮脐) 人参 山芋 桂(去粗皮) 黄 白茯苓(去皮) 防风 柏子
仁(研)
山
桐
子
黄 汤 治肝虚胆寒。心神不安。卧即惊觉。目昏心燥。四肢不利。多恐。
黄 (锉三分) 人参 槟榔(锉) 白术 百合 酸枣仁(炒) 白茯苓(去皮) 麦
门冬
(去心)
一盏
去滓。
沉香汤 治足少阳经不足。目眩痿厥。口苦呕水。多唾。
沉香 白茯苓(去皮) 黄 白术(各一两) 芎 熟地黄 五味子(各三分) 枳
实
(去
拘
时服。
犀角饮 治胆受冷。精神不安。眼昏目暗。卧起不定。
犀角(镑屑一两) 羌活(去苗一两) 酸枣仁(炒二分) 茯神(去木三分) 甘菊
花(一两)
防
人参汤(一名酸枣仁汤) 治胆虚烦劳。精神不守。奔气在胸。眠卧不起。多恐。(方
见
酸枣仁汤)
决明子丸(出圣惠方)治胆虚冷。神思昏沉。头目昏暗。
决明子 天雄(炮去皮脐) 柏子仁 菟丝子(酒浸三日焙干别研为末) 熟地黄 枸
杞子
(各
左手关部脉象阳气虚弱,对应足少阳胆经,属于胆虚寒证。因为胆气虚弱则内生寒气,寒气导致病症表现为恐惧畏缩、不能独自安卧。
薯蓣丸(出自《圣惠方》)治疗胆虚冷证。症状包括精神不守舍、心中多恐惧、视力昏暗、头晕、四肢活动不利。
药材组成:薯蓣(一两)、白茯苓(二两)、决明子(三分)、菟丝子(一两,用酒浸泡三天后焙干,单独研成细末)、天雄(炮制去皮脐)、吴茱萸(三分)。以上药物制成三十丸,温开水送服。
中正汤(出自《圣惠方》)治疗胆气不足。症状包括经常感到恐惧、头晕、肢体痿软厥冷、四肢活动不利、突然僵倒昏仆、目黄、遗精失精。又名某方(原文此处可能有脱漏或别名未全录)。
药材组成:茯苓(去皮)、酸枣仁、黄芪、羌活(各一两)、甘菊花、熟地黄、柏子仁、防风(各一两)、人参(一两)。以上药物水煎去渣,不拘时候服用。忌食生冷食物以及猪肉、鱼肉。
远志汤(又名茯神散)治疗胆经虚冷导致的不能独自安卧。症状包括心下悸动不安如被人追捕、头晕、肢体痿软厥冷、目黄、遗精失精。
药材组成:远志(去心)、熟地黄(各一两)、防风、人参、甘菊花、白术、桂枝(去粗皮)、茯神、前胡(去芦头)。以上药物水煎去渣,温服。
茯苓汤(出自《永类钤方》)治疗胆气虚冷。症状包括头晕痛、心神恐惧畏缩、遇事容易受惊、不能独自睡觉、胸中满闷、口苦。
药材组成:茯神(去木)、酸枣仁、黄芪、白芍药、五味子、柏子仁(各一两)、桂心、熟地黄(酒洗)。以上药物水煎去渣,不拘时候服用。
天雄丸 治疗胆虚生寒。症状包括气逆溢于胸膈、头晕、口苦、喜欢长叹气、呕吐隔宿之水。
药材组成:天雄(炮制去皮脐)、人参、山芋(即山药)、桂枝(去粗皮)、黄芪、白茯苓(去皮)、防风、柏子仁(研碎)。以上药物制成丸剂,梧桐子大小,温水送服。
黄芪汤 治疗肝虚胆寒。症状包括心神不安、睡眠中惊醒、眼睛昏花、心中烦躁、四肢活动不利、多恐惧。
药材组成:黄芪(锉碎三分)、人参、槟榔(锉碎)、白术、百合、酸枣仁(炒)、白茯苓(去皮)、麦门冬(去心)。以上药物水煎取一盏,去渣温服。
沉香汤 治疗足少阳胆经不足。症状包括目眩、肢体痿软厥冷、口苦、呕吐清水、唾液多。
药材组成:沉香、白茯苓(去皮)、黄芪、白术(各一两)、川芎、熟地黄、五味子(各三分)、枳实(去瓤)。以上药物水煎去渣,不拘时候服用。
犀角饮 治疗胆受寒冷侵袭。症状包括精神不安、眼睛昏花视物昏暗、睡眠和起床时间不定。
药材组成:犀角(镑成屑一两)、羌活(去苗一两)、酸枣仁(炒二分)、茯神(去木三分)、甘菊花(一两)、防风(一两)。以上药物水煎去渣,温服。
人参汤(又名酸枣仁汤) 治疗胆虚烦劳。症状包括精神不守舍、奔豚之气在胸中作祟、睡眠困难不起、多恐惧。(具体方剂见“酸枣仁汤”条下)
决明子丸(出自《圣惠方》)治疗胆虚冷。症状包括神思昏沉、头目昏暗。
药材组成:决明子、天雄(炮制去皮脐)、柏子仁、菟丝子(酒浸三天焙干另研为末)、熟地黄、枸杞子(各等分)。
The pulse at the Guan position on the left hand, characterized by deficiency of Yang Qi, corresponds to the Foot-Shaoyang Gallbladder Meridian. This condition is known as Deficiency-Cold of the Gallbladder. Since the Gallbladder is deficient, Cold generates internally. The manifestation of this Cold includes fearfulness and an inability to sleep alone.
Shuyu Wan (Dioscorea Pill) [from *Shenghui Fang*] treats Deficiency-Cold of the Gallbladder. Symptoms include unsettled spirit, frequent fear in the heart, dim vision, dizziness, and impediment in the four limbs.
Ingredients: Dioscoreae Rhizoma (1 liang), Poria (2 liang), Cassiae Semen (3 fen), Cuscutae Semen (1 liang, soaked in wine for three days, dried, and separately ground into powder), Aconiti Lateralis Radix Praeparata (processed, skin and umbilicus removed), Evodiae Fructus (3 fen). Formed into thirty pills, taken with warm water.
Zhongzheng Tang (Upright Decoction) [from *Shenghui Fang*] treats insufficiency of Gallbladder Qi. Symptoms include frequent fear, vertigo, flaccidity and coldness of the limbs, impediment in the four limbs, sudden collapse or fainting, yellow eyes, and loss of essence (spermatorrhea).
Ingredients: Poria (skin removed), Zizyphi Spinosomi Semen, Astragali Radix, Notopterygii Rhizoma et Radix (each 1 liang), Chrysanthemi Flos, Rehmanniae Radix Praeparata, Platycodi Semen, Saposhnikoviae Radix (each 1 liang), Ginseng Radix et Rhizoma (1 liang). Decoct in water, remove dregs, take at any time. Avoid raw/cold foods, pork, and fish.
Yuanzhi Tang (Polygalae Radix Decoction) [also known as Fushen San/Poria Powder] treats inability to sleep alone due to Deficiency-Cold of the Gallbladder Meridian. Symptoms include palpitations and fear as if being hunted, dizziness, flaccidity and coldness of the limbs, yellow eyes, and loss of essence.
Ingredients: Polygalae Radix (heart removed), Rehmanniae Radix Praeparata (each 1 liang), Saposhnikoviae Radix, Ginseng Radix et Rhizoma, Chrysanthemi Flos, Atractylodis Macrocephalae Rhizoma, Cinnamomi Ramulus (bark removed), Fushen (Poria with hostwood removed), Bupleuri Radix (rhizome removed). Decoct in water, remove dregs, take warm.
Fuling Tang (Poria Decoction) [from *Yonglei Qianfang*] treats Deficiency-Cold of Gallbladder Qi. Symptoms include vertigo and headache, fearful spirit, startle easily upon encountering events, inability to sleep alone, fullness and oppression in the chest, and bitter taste in the mouth.
Ingredients: Fushen (hostwood removed), Zizyphi Spinosomi Semen, Astragali Radix, Paeoniae Radix Alba, Schisandrae Fructus, Platycodi Semen (each 1 liang), Guixin (Cinnamon Heart), Rehmanniae Radix Praeparata (washed with wine). Decoct in water, remove dregs, take at any time.
Tianxiong Wan (Aconite Pill) treats Cold generated by Gallbladder Deficiency. Symptoms include Qi overflowing into the chest and diaphragm, vertigo, bitter taste in the mouth, frequent sighing, and vomiting of old water.
Ingredients: Tianxiong (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed), Ginseng Radix et Rhizoma, Dioscoreae Rhizoma, Cinnamomi Ramulus (bark removed), Astragali Radix, Poria (skin removed), Saposhnikoviae Radix, Platycodi Semen (ground). Formed into pills the size of Sophora seeds, taken with warm water.
Huangqi Tang (Astragalus Decoction) treats Liver Deficiency and Gallbladder Cold. Symptoms include uneasy spirit, waking up startled during sleep, dim vision, dry and irritable heart, impediment in the four limbs, and excessive fear.
Ingredients: Huangqi (Astragali Radix, cut into small pieces, 3 fen), Ginseng Radix et Rhizoma, Arecae Semen (cut), Atractylodis Macrocephalae Rhizoma, Lilii Bulbus, Zizyphi Spinosomi Semen (stir-fried), Poria (skin removed), Ophiopogonis Radix (heart removed). Decoct to obtain one cup, remove dregs, take warm.
Chenxiang Tang (Aquilaria Decoction) treats insufficiency of the Foot-Shaoyang Gallbladder Meridian. Symptoms include vertigo, flaccidity and coldness of the limbs, bitter taste in the mouth, vomiting of clear fluid, and excessive salivation.
Ingredients: Aquariae Lignum, Poria (skin removed), Astragali Radix, Atractylodis Macrocephalae Rhizoma (each 1 liang), Ligustici Chuanxiong Rhizoma, Rehmanniae Radix Praeparata, Schisandrae Fructus (each 3 fen), Aurantii Fructus Immaturus (pith removed). Decoct in water, remove dregs, take at any time.
Xijiao Yin (Rhinoceros Horn Drink) treats Cold invading the Gallbladder. Symptoms include uneasy spirit, dim vision, irregular sleep and wake times.
Ingredients: Rhinocerotis Cornu (shaved into flakes, 1 liang), Notopterygii Rhizoma et Radix (roots removed, 1 liang), Zizyphi Spinosomi Semen (stir-fried, 2 fen), Fushen (hostwood removed, 3 fen), Chrysanthemi Flos (1 liang), Saposhnikoviae Radix (1 liang). Decoct in water, remove dregs, take warm.
Renshen Tang (Ginseng Decoction) [also known as Szaoren Tang/Zizyphi Seed Decoction] treats Gallbladder Deficiency with vexation and fatigue. Symptoms include unsettled spirit, Rushing Qi (Ben-Qi) in the chest, difficulty sleeping and rising, and excessive fear. (See formula under "Szaoren Tang").
Juemingzi Wan (Cassia Seed Pill) [from *Shenghui Fang*] treats Deficiency-Cold of the Gallbladder. Symptoms include dull mental thoughts, and dimness of the head and eyes.
Ingredients: Cassiae Semen, Tianxiong (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed), Platycodi Semen, Cuscutae Semen (soaked in wine for three days, dried, and separately ground into powder), Rehmanniae Radix Praeparata, Lycii Fructus (equal parts).