(附论)
内经云。有病如狂者。生于阳也。阳气者因暴折而难按。故善怒也。病名曰阳厥。夫
阴
阳不
狂。
阳。
方
赤茯苓汤(一名羚羊角汤出宣明论方)治阳气厥逆。多怒而狂。颈脉复动。
赤茯苓(去黑皮一两) 人参 羚羊角(镑各三两) 远志(去心) 大黄(锉炒各半
两)
甘草(
竹沥石膏汤(出圣济总录)治阳厥多怒。狂躁不安。上攻头颈。
竹沥(旋入) 石膏(一两半) 赤茯苓(去黑皮) 栀子仁 升麻 玄参 生地黄 知
母
(焙各
滓。
入
竹叶茯苓汤(出圣济总录)治阳厥气逆。胸膈烦闷。忿忿饶怒。如发狂状。
淡竹沥(一升) 赤茯苓(去黑皮二两) 生地黄(一升) 丹参 玄参(各二两) 干
姜
车前
一盏
半。去滓
犀角丸(出圣济总录)治阳气偏盛。气厥多怒。心胸烦满。状如狂邪。颈脉
皆
动者。
犀角梢 防风 升麻 葳蕤(各三两) 枳实(麸炒) 石膏(碎各半两) 甘草(炙
锉一分)
上
三
茯苓大黄汤(出圣济总录)治阳厥多怒。气逆发狂。胸膈躁闷。
赤茯苓(去黑皮) 大黄(锉微炒) 羚羊角(镑) 黄芩(去黑皮心) 甘草(微炙
锉) 枳壳
(去
片。
同煎
防风茯苓汤(出圣济总录)治阳厥怒狂。
防风(去皮) 赤茯苓(去黑皮) 葳蕤 白术 丹参 陈橘皮(汤浸去白焙各一两三
分)
细辛
枣仁
(三分
竹沥汤(出圣济总录)治气逆狂怒阳暴厥。
竹沥(一升) 麻黄(去根节三两) 石膏(二两) 生姜 芍药(各一两) 大青 栀
子仁 升
麻
豆大。
每服六钱。水二盏。煎至一盏。去滓下竹沥半合。再煎三沸。温服日二。
泄热汤(出圣济总录)治阳厥。怒狂气逆。
半夏(汤洗七次切焙) 麻黄(去根节煎掠去沫焙) 芍药 杜蘅 枳实(去瓤麸炒) 细
辛
(
锉如麻豆
大
定神丸(出圣济总录)治阳厥狂怒。
白茯苓(去黑皮) 远志(去心) 防风(去叉) 柏子仁(炒) 人参(各一两一分)
龙骨
(一两
蜜为丸。
如梧桐
羚羊角汤(出圣济总录)治阳气厥逆。善怒狂妄不常。
羚羊角(镑) 五味子 葳蕤 茯神(去木) 远志(去心) 沙参(去芦头) 酸枣
仁(微炒
各三
铁落饮(出指南方)治阳厥善怒。除烦下气。
用铁落染皂或铁浆是一味。每服用肉汤温一盏饮之。食后。一方生铁十斤煮浆。日饮一
盏。空心服。
(附论)
《黄帝内经》说:有的病表现为像发狂一样的症状,这是由阳邪引起的。阳气因为突然受到挫折而难以疏泄,所以容易发怒。这种病叫做“阳厥”。
赤茯苓汤(又名羚羊角汤,出自《宣明论方》):治疗阳气厥逆。症状为多怒且发狂,颈部动脉搏动明显。
处方组成:赤茯苓(去除黑色外皮,一两)、人参、羚羊角(镑成薄片,各三两)、远志(去除心)、大黄(锉碎并炒制,各半两)、甘草(未显示完整剂量或炮制说明,原文此处可能有缺漏,依原文翻译)。
竹沥石膏汤(出自《圣济总录》):治疗阳厥导致的多怒、狂躁不安,气火上攻头颈。
处方组成:竹沥(随时加入)、石膏(一两半)、赤茯苓(去除黑色外皮)、栀子仁、升麻、玄参、生地黄、知母(焙干,各...原文此处有缺漏,依原文翻译)。煎煮后去渣。
竹叶茯苓汤(出自《圣济总录》):治疗阳厥气机逆乱,胸膈烦闷,愤怒易怒,状如发狂。
处方组成:淡竹沥(一升)、赤茯苓(去除黑色外皮,二两)、生地黄(一升)、丹参、玄参(各二两)、干姜、车前子(原文此处有缺漏,依原文翻译)。煎至一盏半,去渣。
犀角丸(出自《圣济总录》):治疗阳气偏盛,气机厥逆导致的多怒,心胸烦满,状如狂邪,颈部动脉皆跳动者。
处方组成:犀角梢、防风、升麻、葳蕤(各三两)、枳实(麸炒)、石膏(捣碎,各半两)、甘草(炙,锉成细末,一分)。上药研为细末...(原文此处有缺漏,依原文翻译)。
茯苓大黄汤(出自《圣济总录》):治疗阳厥导致的多怒,气逆发狂,胸膈躁闷。
处方组成:赤茯苓(去除黑色外皮)、大黄(锉碎微炒)、羚羊角(镑成薄片)、黄芩(去除黑色外皮和心)、甘草(微炙,锉)、枳壳(去除瓤...原文此处有缺漏,依原文翻译)。同煎。
防风茯苓汤(出自《圣济总录》):治疗阳厥导致的怒狂。
处方组成:防风(去皮)、赤茯苓(去除黑色外皮)、葳蕤、白术、丹参、陈橘皮(汤浸去白焙干,各一两三分)、细辛、枣仁(三分...原文此处有缺漏,依原文翻译)。
竹沥汤(出自《圣济总录》):治疗气逆狂怒,阳气暴厥。
处方组成:竹沥(一升)、麻黄(去除根节,三两)、石膏(二两)、生姜、芍药(各一两)、大青、栀子仁、升麻(原文此处有缺漏,依原文翻译)。制成梧桐子大小的丸剂。每次服用六钱,用水二盏,煎至一盏,去渣后加入竹沥半合,再煮沸三次,温服,每日两次。
泄热汤(出自《圣济总录》):治疗阳厥,因怒致气逆。
处方组成:半夏(用汤洗七次,切,焙干)、麻黄(去除根节,煎掠去沫,焙干)、芍药、杜蘅、枳实(去瓤,麸炒)、细辛(锉如麻豆大小...原文此处有缺漏,依原文翻译)。
定神丸(出自《圣济总录》):治疗阳厥狂怒。
处方组成:白茯苓(去除黑色外皮)、远志(去除心)、防风(去除叉枝)、柏子仁(炒)、人参(各一两一分)、龙骨(一两...原文此处有缺漏,依原文翻译)。用蜜制成丸剂,如梧桐子大小。
羚羊角汤(出自《圣济总录》):治疗阳气厥逆,善怒狂妄无常。
处方组成:羚羊角(镑成薄片)、五味子、葳蕤、茯神(去除木心)、远志(去除心)、沙参(去除芦头)、酸枣仁(微炒...原文此处有缺漏,依原文翻译)。各三...(剂量原文缺漏)。
铁落饮(出自《指南方》):治疗阳厥善怒,除烦下气。
用法:使用铁落染皂或铁浆,仅这一味药。每次服用时,用肉汤温热一盏送服。饭后服用。另一说法是用生铁十斤煮成浆,每日饮用一盏,空腹服用。
(Attached Discussion)
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: Some diseases present with symptoms resembling mania, which arise from Yang pathogens. When Yang Qi is suddenly frustrated and difficult to soothe, it leads to irritability and anger. This disease is named "Yang Jue" (Yang Reversal).
Chifuling Tang (Red Poria Decoction), also known as Lingyangjiao Tang (Antelope Horn Decoction), from *Xuanming Lunfang*: Treats Yang Qi reversal. Symptoms include frequent anger and mania, with visible pulsation of the neck vessels.
Ingredients: Chifuling (Red Poria, remove black skin, 1 liang), Renshen (Ginseng), Lingyangjiao (Antelope Horn, shaved, each 3 liang), Yuanzhi (Polygala Root, remove heart), Dahuang (Rhubarb Root and Rhizome, cut and stir-fried, each half liang), Gancao (Licorice Root, dosage/preparation incomplete in source).
Zhuli Shigao Tang (Bamboo Sap and Gypsum Decoction), from *Shengji Zonglu*: Treats Yang Jue causing frequent anger, restlessness and agitation, with pathogenic heat attacking the head and neck.
Ingredients: Zhuli (Bamboo Sap, added immediately), Shigao (Gypsum Fibrosum, 1.5 liang), Chifuling (Red Poria, remove black skin), Zhizi Ren (Gardenia Seed), Shengma (Cimicifugae Rhizoma), Xuanshen (Scrophulariae Radix), Shengdihuang (Rehmanniae Radix), Zhimu (Anemarrhenae Rhizoma, baked, dosages incomplete in source). Decoct, remove dregs.
Zhuye Fuling Tang (Bamboo Leaf and Poria Decoction), from *Shengji Zonglu*: Treats Yang Jue with rebellious Qi, chest and diaphragm oppression, irritability and anger, resembling mania.
Ingredients: Danzhuli (Light Bamboo Sap, 1 sheng), Chifuling (Red Poria, remove black skin, 2 liang), Shengdihuang (Rehmanniae Radix, 1 sheng), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Xuanshen (Scrophulariae Radix, each 2 liang), Ganjiang (Dried Ginger), Cheqianzi (Plantaginis Semen, dosages/instructions incomplete in source). Decoct to 1.5 zhan, remove dregs.
Xijiao Wan (Rhino Horn Pill), from *Shengji Zonglu*: Treats excessive Yang Qi, Qi reversal causing frequent anger, chest and heart fullness and oppression, resembling madness, with pulsation of neck vessels.
Ingredients: Xijiao Shao (Horn of Rhinoceros, tip), Fangfeng (Saposhnikoviae Radix), Shengma (Cimicifugae Rhizoma), Weirui (Polygonati Odorati Rhizoma, each 3 liang), Zhishi (Aurantii Fructus Immaturus, bran-fried), Shigao (Gypsum Fibrosum, crushed, each half liang), Gancao (Licorice Root, honey-fried, cut into fine pieces, 1 fen). Process ingredients into powder... (instructions incomplete in source).
Fuling Dahuang Tang (Poria and Rhubarb Decoction), from *Shengji Zonglu*: Treats Yang Jue causing frequent anger, rebellious Qi leading to mania, chest and diaphragm restlessness and oppression.
Ingredients: Chifuling (Red Poria, remove black skin), Dahuang (Rhubarb Root and Rhizome, cut and lightly stir-fried), Lingyangjiao (Antelope Horn, shaved), Huangqin (Scutellariae Radix, remove black skin and heart), Gancao (Licorice Root, lightly honey-fried, cut), Zhike (Aurantii Fructus, remove pith... instructions incomplete in source). Decoct together.
Fangfeng Fuling Tang (Saposhnikovia and Poria Decoction), from *Shengji Zonglu*: Treats Yang Jue causing angry mania.
Ingredients: Fangfeng (Saposhnikoviae Radix, remove skin), Chifuling (Red Poria, remove black skin), Weirui (Polygonati Odorati Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Chenjupi (Tangerine Peel, soaked in water, white part removed, baked, each 1 liang 3 fen), Xixin (Asari Radix et Rhizoma), Zaoren (Ziziphi Spinosae Semen, 3 fen... dosages incomplete in source).
Zhuli Tang (Bamboo Sap Decoction), from *Shengji Zonglu*: Treats rebellious Qi causing angry mania and sudden Yang collapse.
Ingredients: Zhuli (Bamboo Sap, 1 sheng), Mahuang (Ephedrae Herba, remove root and joints, 3 liang), Shigao (Gypsum Fibrosum, 2 liang), Shengjiang (Zingiberis Rhizoma Recens), Shaoyao (Paeoniae Radix Alba, each 1 liang), Daqing (Isatidis Folium), Zhizi Ren (Gardenia Seed), Shengma (Cimicifugae Rhizoma... dosages/instructions incomplete in source). Form pills the size of soybeans. Take 6 qian per dose, with 2 zhan of water, decoct to 1 zhan, remove dregs, add half he of Zhuli (Bamboo Sap), boil three times more, take warm, twice daily.
Xi Re Tang (Draining Heat Decoction), from *Shengji Zonglu*: Treats Yang Jue, anger causing Qi rebellion.
Ingredients: Banxia (Pinelliae Rhizoma, washed seven times in water, sliced, baked), Mahuang (Ephedrae Herba, remove root and joints, boil to remove foam, bake), Shaoyao (Paeoniae Radix Alba), Dubheng (Duheng Herb), Zhishi (Aurantii Fructus Immaturus, remove pith, bran-fried), Xixin (Asari Radix et Rhizoma, cut like hemp or bean seeds... dosages/instructions incomplete in source).
Dingshen Wan (Calming Spirit Pill), from *Shengji Zonglu*: Treats Yang Jue causing angry mania.
Ingredients: Baifuling (White Poria, remove black skin), Yuanzhi (Polygala Root, remove heart), Fangfeng (Saposhnikoviae Radix, remove forked parts), Baiziren (Biota Seed, stir-fried), Renshen (Ginseng, each 1 liang 1 fen), Longgu (Fossilized Mammoth Tooth and Bone, 1 liang... dosage incomplete in source). Mix with honey to form pills the size of Chinese quince seeds.
Lingyangjiao Tang (Antelope Horn Decoction), from *Shengji Zonglu*: Treats Yang Qi reversal, frequent anger and erratic mania.
Ingredients: Lingyangjiao (Antelope Horn, shaved), Wuweizi (Schisandrae Chinensis Fructus), Weirui (Polygonati Odorati Rhizoma), Fushen (Poria with Hostwood, remove wood), Yuanzhi (Polygala Root, remove heart), Shashen (Glehniae Radix, remove rhizome head), Szaoren (Ziziphi Spinosae Semen, lightly stir-fried... dosages incomplete in source). Each 3... (dosage incomplete in source).
Tieluo Yin (Iron Falling Drink), from *Zhinan Fang*: Treats Yang Jue causing frequent anger, relieves vexation and directs Qi downward.
Usage: Use Tieluo (Iron filings used for dyeing soap) or Tiejiang (Iron slurry), a single ingredient. For each dose, take one zhan warmed with meat broth. Take after meals. Another method: Boil 10 jin of raw iron to make slurry, drink one zhan daily, on an empty stomach.