肝火盛,木气实,有死血,有痰流注,肝急。
行血 轻者用桃仁红花、川芎。肝苦急,急食辛以散之,用抚芎、苍术。
下 龙会丸泻火之要药。木气实者承气。初痛脉气实者十枣汤。
和解 小柴胡加牡蛎。
导痰 二陈加南星、川芎、苍术、柴胡。
行气 咳而胁痛,二陈、南星、多加香附、青皮、青黛、姜汁。木气实,或血气两调
捷嚏 用不卧散吹之。
针 丘墟、中渎。
有风寒、气、血虚、食、郁热。
散寒 铁刷汤或草豆蔻丸。轻者五积散。脉伏者姜附。
调血 四物。有平日喜食热物,或有冲击,死血留于胃口作痛,用桃仁承气下之。
行气 木香、乳香、玄胡、益智、姜黄、砂仁。气虚加以二陈,中加炒姜以和之。实
者枳壳之类。
补 因虚而作,咸以软之,牡蛎丸。牡蛎一味,淬为末,水丸。
化虫 虫痛者,多面上白斑,唇红能食,治以苦楝根、锡灰之类。
清热 胃口有热而作,非栀子不可,佐以姜汁,此反佐也。金铃子散,见《活法机
要》。
针 太溪、然谷、尺泽、行间、建里、太都、太白、中脘、神门、涌泉。
消导 元戎浓朴丸、感应丸。
宣 铜青之类,萝卜子三大合炒,擂细滤之,空心茶汤和下,大钟渐渐浓服取吐。
下 大实满痛者,元戎浓朴丸、备急丹、大陷胸汤。虫痛,三因集效方。
肝火旺盛,木气亢盛,体内有瘀血停滞,痰湿流注经络,肝脉拘急。
活血化瘀:病情较轻者,使用桃仁、红花、川芎。肝喜辛散而恶燥急,故“肝苦急,急食辛以散之”,选用抚芎(川芎)、苍术。
攻下泻火:龙会丸是泻火的要药。木气亢盛者,用承气汤类方剂。初起疼痛且脉象实有力者,用十枣汤。
和解少阳:小柴胡汤加牡蛎。
化痰导滞:二陈汤加天南星、川芎、苍术、柴胡。
理气止痛:咳嗽伴胁痛者,用二陈汤、天南星,多加香附、青皮、青黛、姜汁。若木气亢盛,或需气血双调。
通关开窍:使用不卧散吹鼻取嚏。
针灸:取穴丘墟、中渎。
心痛病因包括风寒、气滞、血虚、食积、郁热。
散寒解表:铁刷汤或草豆蔻丸。病情轻者用五积散。脉伏者用干姜、附子。
调和血脉:四物汤。若平日喜食热物,或有外力冲击,导致瘀血停留于胃脘部引起疼痛,用桃仁承气汤攻下。
行气止痛:木香、乳香、玄胡索、益智仁、姜黄、砂仁。若兼气虚,加入二陈汤,中间加炒生姜以调和;实证则用枳壳之类。
补益虚损:因虚所致者,咸味药物可软坚散结,用牡蛎丸。单用牡蛎一味,淬烧后研为细末,水泛为丸。
驱虫止痛:虫痛患者,多见面部白斑,嘴唇红赤,食欲正常,治疗用苦楝根、锡灰之类。
清热泻火:胃脘有热所致者,非栀子不可,佐以姜汁,此为反佐法。金铃子散,见《活法机要》。
针灸:取穴太溪、然谷、尺泽、行间、建里、大都、太白、中脘、神门、涌泉。
消食导滞:元戎厚朴丸、感应丸。
宣吐催吐:铜青之类,萝卜子三大合炒熟,研磨细后过滤,空腹时以茶汤送服,待大钟(形容时间较长或程度深)渐渐浓服以取呕吐。
攻下逐邪:大实满痛者,用元戎厚朴丸、备急丹、大陷胸汤。虫痛,用三因集效方。
Liver fire is excessive, Wood qi is hyperactive, there is stagnant blood (stasis), phlegm flowing into collaterals, and Liver tension (spasm).
Promote Blood Circulation: For mild cases, use Tao Ren (Peach Seed), Hong Hua (Safflower), and Chuan Xiong (Ligusticum Rhizome). "The Liver dislikes urgency; urgently eat pungent substances to disperse it," use Fu Xiong (Chuan Xiong) and Cang Zhu (Atractylodes Rhizome).
Purgation: Long Hui Wan (Dragon Meeting Pill) is a key herb for purging fire. For hyperactive Wood qi, use Cheng Qi Tang (Order the Qi Decoction). For initial pain with excess pulse, use Shi Zao Tang (Ten Jujube Decoction).
Harmonize: Xiao Chai Hu Tang (Minor Bupleurum Decoction) plus Mu Li (Oyster Shell).
Guide Phlegm: Er Chen Tang (Two-Cured Decoction) plus Nan Xing (Arisaema Rhizoma Preparatum), Chuan Xiong, Cang Zhu, and Chai Hu (Bupleuri Radix).
Move Qi: For cough with hypochondriac pain, use Er Chen Tang, Nan Xing, plus extra Xiang Fu (Cyperus Rhizome), Qing Pi (Citrus Unripe Peel), Qing Dai (Indigo Naturalis), and Jiang Zhi (Ginger Juice). If Wood qi is hyperactive, or if both blood and qi need regulation.
Open Orifices: Use Bu Wo San (Not-Sleeping Powder) insufflated into the nose.
Acupuncture: Qiu Xu (GB40), Zhong Du (GB33).
Causes of Heart Pain include Wind-Cold, Qi stagnation, Blood deficiency, Food retention, and Stagnant Heat.
Dispel Cold: Tie Shua Tang (Iron Brush Decoction) or Cao Dou Kou Wan (Cardamomum Pilulae). For mild cases, Wu Ji San (Five Accumulations Powder). For hidden pulse, use Gan Jiang (Dried Ginger) and Fu Zi (Prepared Aconite Root).
Regulate Blood: Si Wu Tang (Four Substances Decoction). If one usually likes hot food, or has suffered impact, causing stagnant blood to remain in the stomach region causing pain, use Tao Ren Cheng Qi Tang (Peach Kernel Order the Qi Decoction) to purge.
Move Qi: Mu Xiang (Aucklandiae Radix), Ru Xiang (Frankincense), Yan Hu Suo (Corydalis Rhizome), Yi Zhi Ren (Alpinia Oxyphylla Fruit), Jiang Huang (Curcuma Longa Rhizome), Sha Ren (Amomi Fructus). If Qi deficient, add Er Chen Tang; add stir-fried Ginger in the middle to harmonize. For excess patterns, use Zhi Ke (Aurantii Fructus) etc.
Tonify: Caused by deficiency, salty substances soften hardness, use Mu Li Wan (Oyster Shell Pill). Single ingredient Mu Li, calcined and ground into powder, water-pill.
Expel Parasites: For parasitic pain, often white spots on face, red lips, able to eat, treat with Ku Lian Gen (Meliae Cortex) or Xi Hui (Tin Ash) etc.
Clear Heat: Caused by heat in the stomach region, only Gardenia (Zhi Zi) will do, assisted by Ginger Juice, this is counter-assistance. Jin Ling Zi San (Meliosma Powder), see *Huo Fa Ji Yao*.
Acupuncture: Tai Xi (KI3), Ran Gu (KI2), Chi Ze (LU5), Xing Jian (LR2), Jian Li (CV11), Da Du (SP4), Tai Bai (SP3), Zhong Wan (CV12), Shen Men (HT7), Yong Quan (KI1).
Digest and Guide: Yuan Rong Hou Po Wan (Yuan Rong Magnolia Bark Pill), Gan Ying Wan (Responsive Pill).
Ventilate and Induce Vomiting: Tong Qing (Copper Green) etc., Luo Bo Zi (Radish Seed) three large units stir-fried, ground fine and filtered, taken on an empty stomach with tea soup, gradually increasing dosage to induce vomiting.
Purge: For severe fullness and pain, use Yuan Rong Hou Po Wan, Bei Ji Dan (Emergency Pill), Da Xian Xiong Tang (Major Entangling Chest Decoction). For parasitic pain, use San Yin Ji Xiao Fang (Three Causes Collection Effect Formula).