合导痰汤好,合苏子降气汤亦好。俱见痰气门。
又方 气郁痰壅作喘。
南星(炮) 半夏(姜制) 杏仁(炒) 栝蒌仁(炒) 香附 陈皮 萝卜子(炒)
各等末,神曲糊丸梧子大。每六七十丸,姜汤下。
治一切痰疾,为滚痰丸相副。盖以小柴胡为主,合前胡半夏汤,以南星、紫苏、陈皮、
浓朴之类,出入加减。素抱痰及肺气壅塞者,以此为主,并去前胡、柴胡。
柴胡(四钱) 半夏(四钱) 黄芩(三钱) 人参(二钱,风壅者不用) 甘草(二
钱) 陈皮(二钱) 枳壳(一钱) 紫苏连梗(一钱) 浓朴(姜炒,二钱) 南星(二
钱) 薄荷(一钱半) 羌活(一钱) 中风者去陈皮加独活。胸膈不利去陈皮,加枳实炒、
赤茯苓。内外无热去黄芩,虚热、有内热者勿去,加南木香。一切痰无出其右者。
喘嗽遇寒则发,此寒包热也,解表热自除,喘嗽自止。
枳壳 桔梗 麻黄 陈皮 黄芩 木通 紫苏 杏仁 半夏 防风
上水一钟半,生姜三片,水煎,稍热服。渣再煎服。
治气实人因服黄 过多而喘者。
麻黄(不去根节) 甘草(生) 杏仁(不去皮尖) 加知母治风寒郁于肺而夜喘嗽者。
上水二钟,姜五片,枣二枚,煎至一钟,食远热服。
一方 治上气喘满,胸膈闷痛。用桃仁一两,去皮尖及双仁者,研如泥,以水三碗,加
大米泡透者半合,生姜二钱,切碎同煮成粥,空腹食之。有汗,能开遍身结滞,胸中瘀血。
配合导痰汤使用效果良好,配合苏子降气汤也同样适宜。这些方剂均记载于“痰气门”章节中。
又一方:治疗因气机郁滞、痰浊壅盛引起的喘息。
制南星、姜制半夏、炒杏仁、炒瓜蒌仁、香附、陈皮、炒莱菔子,各等分研为细末,用神曲糊制成梧桐子大小的丸剂。每次服用六七十丸,用生姜汤送服。
治疗各种痰疾,可与滚痰丸相辅相成。此方以小柴胡汤为主,合上前胡半夏汤,并根据情况加减南星、紫苏、陈皮、厚朴等药物。对于素有痰疾及肺气壅塞的患者,以此方为主,并去掉前胡、柴胡。
柴胡(四钱)、半夏(四钱)、黄芩(三钱)、人参(二钱,若属风邪壅盛者不用)、甘草(二钱)、陈皮(二钱)、枳壳(一钱)、连梗紫苏(一钱)、姜炒厚朴(二钱)、制南星(二钱)、薄荷(一钱半)、羌活(一钱)。若属中风患者,去掉陈皮,加独活;若胸膈不利,去掉陈皮,加炒枳实、赤茯苓;若内外无热象,去掉黄芩;若有虚热或内热,不要去掉黄芩,可加木香。这是治疗一切痰疾的极佳方剂。
喘咳遇寒冷则发作,这是寒邪包束热邪(寒包热),解除表热后,喘咳自然停止。
枳壳、桔梗、麻黄、陈皮、黄芩、木通、紫苏、杏仁、半夏、防风。
以上药物加水一钟半,生姜三片,水煎,稍热时服用。药渣再煎一次服用。
治疗体质壮实之人因服用黄芪过多而导致气喘的情况。
麻黄(不去根节)、生甘草、杏仁(不去皮尖)。若属风寒郁闭于肺导致夜间喘咳者,加知母。
以上药物加水二钟,生姜五片,大枣二枚,煎至一钟,饭后较远时热服。
又一方:治疗上气喘促胀满,胸膈闷痛。用桃仁一两,去皮尖及双仁者,研成泥状,用水三碗,加入泡透的大米半合,生姜二钱,切碎同煮成粥,空腹食用。此方能发汗,能疏通全身结滞,消除胸中瘀血。
It is beneficial to combine it with Dao Tan Tang (Phlegm-Draining Decoction), and combining it with Su Zi Jiang Qi Tang (Perilla Seed Decoction for Descending Qi) is also good. Both are recorded in the chapter on "Diseases of Phlegm".
Another prescription: For wheezing caused by Qi stagnation and phlegm obstruction.
Prepared Arisaema Cum Bile (Nanxing, Rhizoma Arisaematis Preparatum), Ginger-processed Pinellia (Banxia, Rhizoma Pinelliae Preparatum), Stir-fried Apricot Kernel (Xingren, Semen Armeniacae Amarum), Stir-fried Trichosanthis Seed (Gualou Ren, Semen Trichosanthis), Cyperus (Xiangfu, Rhizoma Cyperi), Tangerine Peel (Chenpi, Pericarpium Citri Reticulatae), Stir-fried Radish Seed (Luobozi, Semen Raphani). Grind each ingredient into fine powder equally, make pills with dough from Massae Medicamentosa Fermentata (Shenqu) the size of a Chinese bayberry seed. Take 60–70 pills each time, washed down with ginger decoction.
To treat all kinds of phlegmatic diseases, it complements Gun Tan Wan (Rolling Phlegm Pill). This formula takes Xiao Chai Hu Tang (Minor Bupleurum Decoction) as the main base, combined with Qian Hu Ban Xia Tang (Peucedani and Pinellia Decoction), with modifications such as Nanxing, Zisu, Chenpi, Houpo, etc. For those who chronically suffer from phlegm and have lung Qi obstruction, this serves as the primary formula; remove Qianhu and Chaihu.
Bupleurum Root (Chaihu, Radix Bupleuri, 4 qian), Pinellia (Banxia, Rhizoma Pinelliae, 4 qian), Scutellaria Root (Huangqin, Radix Scutellariae, 3 qian), Ginseng Root (Renshen, Radix Ginseng, 2 qian; omit if wind-phlegm obstruction prevails), Licorice Root (Gancao, Radix Glycyrrhizae, 2 qian), Tangerine Peel (Chenpi, Pericarpium Citri Reticulatae, 2 qian), Aurantium (Zhiqiao, Fructus Aurantii, 1 qian), Perilla Stem and Leaf (Zisu, Folium et Caulis Perillae, 1 qian), Ginger-processed Magnolia Bark (Houpo, Cortex Magnoliae Officinalis, 2 qian), Prepared Arisaema (Nanxing, Rhizoma Arisaematis Preparatum, 2 qian), Mint (Bohe, Herba Menthae, 1.5 qian), Notopterygium Root (Qianghuo, Rhizoma et Radix Notopterygii, 1 qian). For stroke patients, remove Chenpi and add Angelica Pubescens Root (Duhuo, Radix Angelicae Pubescentis). For chest and diaphragm discomfort, remove Chenpi and add stir-fried Aurantium Fruit (Zhishi, Fructus Aurantii Immaturus) and Red Poria (Chifuling, Sclerotium Poriae Cum Ligno Rubrum). If there is no heat inside or outside, remove Huangqin; if there is deficiency-heat or internal heat, do not remove Huangqin, and add Aromatic Tuber (Nanmuxiang, Radix Aucklandiae). This is unparalleled among formulas treating all types of phlegm.
Wheezing and cough triggered by cold indicate "Cold Wrapping Heat" (Han Bao Re); once the exterior heat is resolved, the wheezing and cough will cease naturally.
Aurantium (Zhiqiao, Fructus Aurantii), Platycodon Root (Jiegeng, Radix Platycodi), Ephedra Stem (Mahuang, Caulis Ephedrae), Tangerine Peel (Chenpi, Pericarpium Citri Reticulatae), Scutellaria Root (Huangqin, Radix Scutellariae), Akebia Stem (Mutong, Caulis Aristolochiae Manshuriensis), Perilla Leaf (Zisu, Folium Perillae), Apricot Kernel (Xingren, Semen Armeniacae Amarum), Pinellia (Banxia, Rhizoma Pinelliae), Saposhnikovia Root (Fangfeng, Radix Saposhnikoviae).
Add one and a half cups of water and three slices of fresh ginger. Decoct, take warm when slightly cooled. Decoct the dregs again and take.
For robust individuals suffering from wheezing due to excessive consumption of Astragalus Root (Huangqi, Radix Astragali).
Ephedra Stem (Mahuang, Caulis Ephedrae, without roots and joints), Raw Licorice Root (Sheng Gancao, Radix Glycyrrhizae Preparata), Apricot Kernel (Xingren, Semen Armeniacae Amarum, without skin and tips). Add Anemarrhena Rhizome (Zhimu, Rhizoma Anemarrhenae) to treat night-time wheezing and cough caused by wind-cold stagnating in the lungs.
Add two cups of water, five slices of ginger, and two jujubes. Decoct until one cup remains. Take hot after meals, at a considerable distance from eating.
Another prescription: For upper body wheezing, distension, fullness, and chest/diaphragm oppression and pain. Use Peach Kernel (Taoren, Semen Persicae) one liang, remove skin, tips, and double-kernel ones, grind into paste. Add three bowls of water, half he of well-soaked rice, two qian of chopped fresh ginger. Cook together into porridge. Eat on an empty stomach. It induces sweating, opens blockages throughout the body, and removes blood stasis in the chest.