治痰气嗽。
陈皮(一钱) 苍术(八分) 茯苓(一钱) 甘草(二分) 白术(四分) 枳壳(二
分) 枳实(五分) 桔梗(五分) 紫苏(三分) 薄荷(二分) 香附(七分) 菖蒲
(一钱) 荆芥(一分) 木通(四分) 川芎(一钱) 麦冬(三分) 姜三片,水煎服。
方见脾胃门。
专主瘀痰,宜用吐法,亦有虚而不可吐者,此乃寒包乎热,须当带表散。
白果(二十一个,去壳切碎,炒黄色) 麻黄(三钱) 苏子(炒,三钱) 甘草(一
钱) 款冬花(三钱) 杏仁(去皮尖,一钱半) 桑白皮(蜜炒,二钱) 黄芩(炒,一
钱半) 法制半夏(三
上可取胸膈之痰,下可行肠胃之痰。
甘遂(面裹,煮令透,晒干用) 大戟(长流水煮一两,晒干用) 芫花(醋拌经宿,
炒黑勿焦,各一两) 大黄(酒纸裹,煨焙干,再以酒炒熟,一两五钱) 黄柏(炒褐色,
一两)
上为末,粥丸麻子大。每十丸,以二陈汤加苍术、黄芩煎汤送。
治七情作郁,上气喘急。
人参 槟榔 沉香 天台 乌药
用四味,各磨浓汁,取七分,煎三沸,温服。
脉滑而手足温者生,脉涩而手足寒者死。气为火所郁,而为痰在肺胃也。有痰者,有火
炎者,有阴虚者,凡喘未发时,以补正气为主;已发时,以攻邪为主。痰喘者,喘则便有痰
声。声喘者,呼吸急促,而无痰声。有胃气虚而喘者,抬肩撷项,喘而不休。火喘者,乍进
乍退,得食则减,食已则喘。
治疗痰气咳嗽。
陈皮(一钱) 苍术(八分) 茯苓(一钱) 甘草(二分) 白术(四分) 枳壳(二分) 枳实(五分) 桔梗(五分) 紫苏(三分) 薄荷(二分) 香附(七分) 石菖蒲(一钱) 荆芥(一分) 木通(四分) 川芎(一钱) 麦冬(三分),生姜三片,水煎服。
此方见脾胃门。
专门主治瘀滞之痰,适宜使用涌吐法;也有因体质虚弱而不宜涌吐的情况,这属于寒邪包裹热邪,应当配合解表散邪的方法。
白果(二十一个,去壳切碎,炒至黄色) 麻黄(三钱) 苏子(炒,三钱) 甘草(一钱) 款冬花(三钱) 杏仁(去皮尖,一钱半) 桑白皮(蜜炒,二钱) 黄芩(炒,一钱半) 法制半夏(三钱)。
以上药物可上取胸膈之痰,下行肠胃之痰。
甘遂(面粉包裹,煮透,晒干后使用) 京大戟(长流水煮一两,晒干后使用) 芫花(醋拌过夜,炒黑但不焦,各一两) 大黄(酒纸包裹,煨焙干,再用酒炒熟,一两五钱) 黄柏(炒至褐色,一两)。
以上药物研为细末,用米粥制成如麻子大小的丸剂。每次十丸,用二陈汤加苍术、黄芩煎汤送服。
治疗七情所致的气郁,导致上气喘促急促。
人参 槟榔 沉香 天台乌药
取这四味药,分别磨成浓汁,取七分量,煎煮三沸,温服。
脉象滑利且手足温暖的预后良好,脉象涩滞且手足寒冷的预后不良。气被火邪郁结,导致痰停滞在肺和胃中。有的有痰,有的有火炎上,有的属阴虚。凡是喘息未发作时,以补益正气为主;已发作时,以攻逐邪气为主。痰喘的症状是喘息时伴有痰鸣声。纯喘的症状是呼吸急促,但没有痰鸣声。有因胃气虚而喘息者,表现为耸肩缩颈,喘息不止。火喘的症状是病情忽轻忽重,进食后减轻,食后即喘息。
To treat cough due to phlegm and qi stagnation.
Chenpi (Citri Reticulatae Pericarpium, 1 qian) Cangzhu (Atractylodis Rhizoma, 8 fen) Fuling (Poria, 1 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 2 fen) Baizhu (Atractylodis Macrocephalae Rhizoma, 4 fen) Zhike (Aurantii Fructus Immaturus, 2 fen) Zhishi (Aurantii Fructus Immaturus, 5 fen) Jiegeng (Platycodonis Radix, 5 fen) Zisu (Perillae Folium, 3 fen) Bohe (Menthae Haplocalycis Herba, 2 fen) Xiangfu (Cyperi Rhizoma, 7 fen) Changpu (Acori Tatarinowii Rhizoma, 1 qian) Jingjie (Schizonepetae Spica, 1 fen) Mutong (Akebiae Caulis, 4 fen) Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 qian) Maidong (Ophiopogonis Radix, 3 fen), with three slices of Shengjiang (Zingiberis Rhizoma Recens), decocted in water and taken orally.
This formula is listed under the Spleen and Stomach section.
Specifically for treating stagnant phlegm, the emetic method is suitable; however, there are cases of deficiency where emesis is contraindicated. This condition is characterized by cold enveloping heat, requiring treatment that combines exterior-releasing methods.
Baiguo (Ginkgo Semen, 21 pieces, shell removed, chopped, stir-fried until yellow) Mahuang (Ephedrae Herba, 3 qian) Suzi (Perillae Fructum, stir-fried, 3 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian) Kua Donghua (Farfarae Flos, 3 qian) Xingren (Armeniacae Semen Amarum, skin and tip removed, 1.5 qian) Sangbaipi (Mori Cortex, honey-fried, 2 qian) Huangqin (Scutellariae Radix, stir-fried, 1.5 qian) Fazhi Banxia (Pinelliae Rhizoma Praeparatum, 3 qian).
The above ingredients can extract phlegm from the chest and diaphragm upwards and promote the movement of phlegm in the intestines and stomach downwards.
Gansui (Kansui Radix, wrapped in flour, boiled thoroughly, dried) Daji (Euphorbiae Pekinensis Radix, boiled in running water for one liang, dried) Yuanhua (Genkwa Flos, mixed with vinegar and left overnight, stir-fried until black but not burnt, each one liang) Dahuang (Rhei Radix et Rhizoma, wrapped in wine-soaked paper, baked dry, then stir-fried with wine until cooked, 1.5 liang) Huangbai (Phellodendri Cortex, stir-fried until brown, one liang).
Grind the above into powder, form pills with congee the size of hemp seeds. Take ten pills per dose, delivered with a decoction of Erchen Tang (Two-Aged Phlegm Decoction) added with Cangzhu (Atractylodis Rhizoma) and Huangqin (Scutellariae Radix).
To treat dyspnea and rapid breathing caused by emotional depression (qi stagnation).
Renshen (Ginseng Radix et Rhizoma) Binglang (Arecae Semen) Chenxiang (Aquilariae Lignum Resinatum) Tiantai Wuyao (Linderae Radix).
Take these four herbs, grind them separately into thick juices, take 0.7 portions, boil for three boils, and take warm.
If the pulse is slippery and the hands and feet are warm, the prognosis is good; if the pulse is choppy and the hands and feet are cold, the prognosis is fatal. Qi is constrained by fire, leading to phlegm accumulation in the lungs and stomach. There are cases with phlegm, cases with flaming fire, and cases of yin deficiency. Generally, when wheezing has not yet occurred, the primary approach is to tonify healthy qi; once it occurs, the primary approach is to attack the pathogenic factor. In phlegm-wheezing, wheezing is accompanied by phlegm sounds. In pure wheezing, breathing is rapid without phlegm sounds. In cases of wheezing due to stomach qi deficiency, the patient lifts their shoulders and draws in their neck, with continuous wheezing. In fire-wheezing, symptoms fluctuate, improving after eating and worsening immediately after eating.