独活(黄色如鬼眼者,去芦,洗,焙,秤) 羌活(去芦) 防风(去钗股) 人参(去
芦)
前胡(去苗,净洗) 细辛(华阴者去叶) 五味子(拣) 沙参 白茯苓(去皮) 半夏
曲酸枣
仁(微炒,去皮,研) 甘草(各一两,炙)
上为粗末。每服四大钱,水一盏半,生姜三片,乌梅半个,同煎至八分去滓,不拘时候
绍兴癸丑,予待次四明,有董生者,患神气不宁,每卧则魂飞扬,觉身在床而神魂离体
惊悸多魇,通夕无寐,更数医而不效,予为诊视。询之,曰∶医作何病治?董曰∶众皆以
心病。予曰∶以脉言之,肝经受邪,非心病也。肝经因虚,邪气袭之,肝藏魂者也,游魂
变。平人肝不受邪,故卧则魂归于肝,神静而得寐。今肝有邪,魂不得归,是以卧则魂扬若
离体也。肝主怒,故小怒则剧。董欣然曰∶前此未之闻,虽未服药,已觉沉 去体矣,愿求
药法。予曰∶公且持此说与众医议所治之方,而徐质之,阅旬日复至,云∶医遍议古今方书
,无与病相对者,故予处此二方以赠,服一月而病悉除。此方大抵以真珠母为君,龙齿佐之
,真珠母入肝经为第一,龙齿与肝相类故也。龙齿虎睛,今人例作镇心药,殊不知龙齿安魂
,虎睛定魄,各言类也。东方苍龙木也,属肝而藏魂,西方白虎金也,属肺而藏魄。龙能变
化,故魂游而不定;虎能专静,故魄止而有守。予谓治魄不宁者,宜以虎睛,治魂飞扬者,
宜以龙齿。万物有成理而不说亦在夫人达之而已。
独活(选用黄色如鬼眼状的,去除芦头,洗净,焙干,称量) 羌活(去除芦头) 防风(去除类似钗股的硬梗) 人参(去除芦头)
前胡(去除苗头,净洗) 细辛(华阴产的去叶) 五味子(挑选干净) 沙参 白茯苓(去除外皮) 半夏曲 酸枣仁(微炒,去皮,研碎) 甘草(以上药材各一两,炙过)
将上述药材捣成粗末。每次服用四大钱,加水一盏半,生姜三片,乌梅半个,一同煎煮至剩余八分药液,去渣滓,不分早晚随时服用。
绍兴癸丑年,我在四明等待任职期间,有一位董姓书生,患神气不宁之症,每次睡觉时魂魄飞扬,感觉身体在床上而神魂离体,惊悸多梦魇,整夜无法入睡,更换多位医生治疗均无效,我为他诊视。询问他道:“医生们当作什么病来治?”董生说:“大家都认为是心病。”我说:“从脉象来看,是肝经受邪,并非心病。肝经因虚损,邪气侵袭,肝是藏魂的脏器,游动的魂魄会发生变化。普通人肝不受邪,所以睡觉时魂归于肝,神志安静就能入睡。现在肝有邪气,魂不能归位,所以睡觉时魂飞扬好像离开身体一样。肝主怒,所以稍微发怒病情就会加重。”董生高兴地说:“以前没听人说过这种说法,虽然还没服药,已经觉得沉重感离体了,希望求得药方。”我说:“您先拿着这个观点与其他医生讨论治疗方案,再慢慢请教他们,过了十天他又来了,说:‘医生们遍查古今医书,没有与病症相对应的方子,所以我给您开了这两个方子赠送,服用一个月后病全部消除。’这个方子大致以真珠母为君药,龙齿为佐药,真珠母入肝经效果第一,因为龙齿与肝同类。龙齿和虎睛,现在人们通常作为镇心安神的药物,却不知道龙齿安魂,虎睛定魄,这是取类比象的道理。东方苍龙属木,对应肝而藏魂;西方白虎属金,对应肺而藏魄。龙能变化,所以魂游动而不定;虎能专静,所以魄静止而有守。我认为治疗魄不宁的,适宜用虎睛;治疗魂飞扬的,适宜用龙齿。万物都有固有的规律,只是在于人能否通达理解罢了。”
Duhuo (Radix Angelicae Pubescentis, select those yellow like ghost eyes, remove the rhizome head, wash, dry by baking, weigh) Qianghuo (Radix Notopterygii, remove the rhizome head) Fangfeng (Radix Saposhnikoviae, remove the wire-like hard stem) Renshen (Radix Ginseng, remove the rhizome head)
Qianhu (Radix Peucedani, remove the sprout, clean and wash) Xixin (Herba Asari, from Huayin, remove leaves) Wuweizi (Fructus Schisandrae, pick clean) Shashen (Radix Adenophorae or Radix Glehniae) Baifuling (Poria Cocos with exocarp removed) Banxia (Rhizoma Pinelliae prepared with alum and ginger juice) Suanzaoren (Semen Ziziphi Spinosae, lightly stir-fried, remove skin, grind) Gancao (Radix Glycyrrhizae, each one liang, honey-fried)
Grind the above herbs into a coarse powder. For each dose, take four qian (approx. 12-15g), add one dan and a half of water, three slices of fresh ginger, and half a smoked plum. Decoct together until only eight parts remain, strain to remove dregs, and take at any time regardless of meals.
In the Gui Chou year of the Shaoxing era, while I was waiting for an official appointment in Siming, there was a scholar named Dong who suffered from restlessness of the spirit (Shen Qi Bu Ning). Whenever he slept, his Hun (Ethereal Soul) would fly about; he felt his body was in bed but his spirit had left it. He experienced palpitations, frequent nightmares, and could not sleep all night. Several physicians treated him without effect, so I examined him. I asked, "What disease do the doctors say you have?" Dong replied, "Everyone considers it a Heart disease." I said, "Judging by the pulse, this is an invasion of pathogenic factors into the Liver Meridian, not a Heart disease. The Liver Meridian is deficient, allowing pathogenic factors to invade. The Liver stores the Hun. In healthy individuals, when the Liver is free from pathogens, the Hun returns to the Liver during sleep, the Shen (Spirit) becomes calm, and sleep is achieved. Now, because there are pathogens in the Liver, the Hun cannot return, causing it to fly about as if leaving the body during sleep. The Liver governs anger, so slight anger exacerbates the condition." Dong joyfully said, "I have never heard this before. Although I haven't taken medicine yet, I already feel the heaviness leaving my body. I wish to obtain the prescription." I said, "Hold onto this theory and discuss the treatment plan with other physicians, then consult them slowly." Ten days later, he returned and said, "Physicians searched through ancient and modern medical texts but found no formula matching this illness. Therefore, I prescribed these two formulas for you. After taking them for one month, the illness was completely cured." This formula generally uses Zhenzhumu (Mother of Pearl) as the Sovereign herb, with Longchi (Dragon Teeth) as the Assistant. Zhenzhumu enters the Liver Meridian with the highest efficacy because Longchi is similar to the Liver. Currently, people commonly use Longchi and Hujing (Tiger Eye) as heart-calming agents, unaware that Longchi calms the Hun and Hujing stabilizes the Po (Corporeal Soul), based on the principle of correspondence. The Eastern Azure Dragon belongs to Wood, corresponds to the Liver, and stores the Hun; the Western White Tiger belongs to Metal, corresponds to the Lung, and stores the Po. The Dragon can transform, hence the Hun wanders and is unstable; the Tiger is steadfast and quiet, hence the Po remains still and has control. I believe that for treating instability of the Po, Hujing is suitable; for treating flying of the Hun, Longchi is suitable. All things have inherent principles, which depend on human understanding.