精神短少者多,亦有痰者,随证治之。
清热养血
安神丸、小黄丸合服之。
顺气清神 补中益气加石膏、荆芥、芎。
大抵属血虚,有虑便动属虚,时作时止者,痰逐火动。瘦人是血少,肥是痰。
补 补中益气汤加生地、石膏、荆芥穗。
宣气实者,用倒仓法,见积聚门(《玉机微义》)。
导痰清神 调中益气丹方∶
人参 归身 茯神 远志 干山药 生地 酸枣仁 辰砂 陈皮(各一两) 白术(一两
半) 牡蛎( ,二两) 麦门冬 黄连(各半两) 生甘草(一两) 枳实(炒,七钱) 半夏(制,
八钱)
上为末,酒糊丸,如梧桐子大,每服四五十丸,食远白汤下。
疏风 疼者,用五倍末、全蝎末,绵裹塞之。茶调散、人乳和蓖麻子肉、枣作膏
,塞耳中。
清热开痰 清神散合二陈。
宣 萝卜子半两,炒,为末,调白汤,作三二次空心服而吐之。
解郁 有因七情致者,随气治之。
风、寒、湿。
发散 风寒湿三气,合为行痹,上下左右无定,宣明防风汤。
温经 寒胜为痛痹,四肢疼而浮肿,宣明茯苓汤。湿胜为着痹,四肢麻、筋挛、肿,
茯苓川芎汤。
润肤滋肾 在血脉之中,随上下不通。
摩擦 姜汁、葱泥,周身擦之。
灸
疏风养血 通圣散去硝、黄,加白芷、羌活,为末服之。
导痰饮 有因支饮手足麻痹、多唾、眩冒。守田、赤茯苓、陈皮、枳实、桔梗、甘草
,名茯苓汤。
精神短少(精力不足)的人很多,也有因痰湿引起的,需根据具体证候进行治疗。
大抵属于血虚;有思虑则动者属虚证;时发时止者,为痰随火动。瘦人多血少,肥人多痰湿。
导痰清神 调中益气丹方:
人参、当归身、茯神、远志、干山药、生地、酸枣仁、辰砂、陈皮(各一两)、白术(一两半)、牡蛎(二两)、麦门冬、黄连(各半两)、生甘草(一两)、枳实(炒,七钱)、半夏(制,八钱)。
以上药物研为细末,用酒糊制作丸剂,如梧桐子大小,每次服用四五十丸,饭后用白开水送下。
疏风:疼痛者,用五倍子末、全蝎末,用棉包裹塞入患处。茶调散、人乳调和蓖麻子肉、枣制成膏状,塞入耳中。
宣通:萝卜子半两,炒后研为细末,调白开水,分两三次空腹服用以催吐。
解郁:有因七情(喜、怒、忧、思、悲、恐、惊)所致者,根据气机失调情况治疗。
温经:寒邪盛者为痛痹,四肢疼痛且浮肿,宣明茯苓汤。湿邪盛者为着痹,四肢麻木、筋脉拘挛、肿胀,茯苓川芎汤。
摩擦:姜汁、葱泥,全身擦拭。
灸法。
Individuals with shortness of spirit (insufficient vitality) are common; some cases involve phlegm, which should be treated according to the specific syndrome.
Clear heat and nourish blood: Administer Anshen Wan (Calming Spirit Pill) and Xiao Huang Wan together.
Smooth qi and clear the mind: Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with added Shigao (Gypsum Fibrosum), Jingjie (Schizonepetae Herba), and Xiong (Ligustici Chuanxiong Rhizoma).
Generally, this belongs to blood deficiency; agitation triggered by worry indicates deficiency; intermittent onset and cessation suggest phlegm stirred by fire. Thin individuals tend to have less blood, while obese individuals tend to have more phlegm.
Tonification: Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with added Shengdi (Rehmanniae Radix), Shigao (Gypsum Fibrosum), and Jingjie Sui (Schizonepetae Spica).
For those with excess qi stagnation, use the Dao Cang Fa (Stomach Purging Method); see the section on Accumulation and Masses (Yuji Wei Yi).
Guide out phlegm and clear the mind: Tiaozhong Yiqi Dan Formula:
Renshen (Ginseng Radix et Rhizoma), Danggui Shen (Angelicae Sinensis Radix), Fushen (Poria cum Radice), Yuanzhi (Polygalae Radix), Gan Shanyao (Dioscoreae Rhizoma), Shengdi (Rehmanniae Radix), Suanzaoren (Ziziphi Spinosae Semen), Chen Sha (Cinnabaris), Chenpi (Citri Reticulatae Pericarpium) (each 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (1.5 liang), Muli (Ostreae Concha) (2 liang), Maimendong (Ophiopogonis Radix), Huanglian (Coptidis Rhizoma) (each 0.5 liang), Sheng Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang), Zhishi (Aurantii Fructus Immaturus) (stir-fried, 7 qian), Banxia (Pinelliae Rhizoma Praeparatum) (processed, 8 qian).
Grind the above into powder, bind with wine paste into pills the size of paulownia seeds. Take 40-50 pills per dose, washed down with plain warm water after meals.
This belongs to blood deficiency, phlegm, or heat; treat according to the syndrome.
Dispel wind: For pain, use Wubeizi powder (Galae Chinensis) and Quanxie powder (Scorpio), wrapped in cotton and inserted into the affected area. Chatiao San (Tea Regulating Powder), mixed with human milk, Ricinus communis seed pulp, and dates to form a paste, inserted into the ear.
Clear heat and resolve phlegm: Qingshen San (Spirit Clearing Powder) combined with Erchen Tang (Two-Aged Decoction).
Unblock: Luobozzi (Brassicae Semenis) 0.5 liang, stir-fried and ground into powder, mixed with plain water. Take two to three times on an empty stomach to induce vomiting.
Resolve depression: Cases caused by seven emotions (joy, anger, worry, thought, sadness, fear, fright) should be treated by regulating qi.
Wind, cold, dampness.
Disperse exterior: When wind, cold, and dampness combine to form Xingbi (Wandering Bi Syndrome), characterized by wandering pain without fixed location, use Xuanming Fangfeng Tang (Xuanming Saposhnikoviae Decoction).
Warm meridians: Cold predominance causes Tongbi (Painful Bi Syndrome), with limb pain and edema; use Xuanming Fuling Tang (Xuanming Poria Decoction). Dampness predominance causes Zhuobi (Fixed Bi Syndrome), with limb numbness, tendon spasm, and swelling; use Fuling Chuanxiong Tang (Poria and Ligusticum Decoction).
Moisten skin and nourish kidney: Pathology lies within the blood vessels, obstructed up and down.
Friction: Rub the whole body with ginger juice and scallion paste.
Moxibustion.
Dispel wind and nourish blood: Tongsheng San (Universal Salvation Powder) without Mangxiao (Natrii Sulfas) and Dahuang (Rhei Radix et Rhizoma), added with Baizhi (Angelicae Dahuricae Radix) and Qianghuo (Notopterygii Rhizoma et Radix), ground into powder and taken orally.
Guide out phlegm-fluid retention: Cases involving Zhiyin (Supporting Fluid Retention) causing limb numbness/paralysis, excessive salivation, and dizziness/dizziness. Shoutian (not specified, likely a local herb or typo for another herb, kept as is), Chi Fuling (Red Poria), Chenpi (Citri Reticulatae Pericarpium), Zhishi (Aurantii Fructus Immaturus), Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), named Fuling Tang (Poria Decoction).