治气虚脾弱,食少痰多。
人参 白术(土炒) 茯苓(各一钱) 半夏 橘红(各一钱五分) 甘草(炙,五分)
姜水煎服。
治有余痰饮。
甘遂(去心) 紫大戟(去皮) 白芥子(各等分) 为末,糊丸,桐子大,临卧淡
姜汤下七丸至十丸。加朱砂二钱,全蝎三钱,治惊痰极效。
青黛 括蒌 为末 姜蜜丸,噙化救肺。
一方
治痰嗽。
贝母 南星(各一两) 滑石 黄芩(酒洗,一两五钱) 白芥子(五钱) 风化硝(二钱五
分,取其轻浮速降) 为末,汤泡蒸饼,丸桐子大,每服五十丸,白汤下。
芫花(好醋浸一宿,瓦器炒令黑) 大戟(长流水煮一时,再水洗,晒干) 甘遂
(长流水浸半日,再水洗,晒干,各五钱) 黄柏(一两,焙) 大黄(湿纸裹煨,勿焦,
切,焙干,再酒洗,炒熟,焙干,一两五钱)
为末,糊丸麻子大,每服二三十丸,临卧津液吞之,或白汤一口送下,取其膈上
之湿痰热积,以意消息之,欲利则空心服。
二陈汤
见伤风门。
治中浣停痰,臂痛难举,手足不得转者。
半夏(四两) 茯苓(二两) 枳壳(一两) 风化硝(五钱) 为末,神曲、姜汁糊丸,桐子
大,每服三十丸,姜汤下。
治实热老痰,非此不化,功效若神。
大黄(酒略蒸) 黄芩(各八两) 青礞石(消 ,一两) 沉香(五钱) 为细末,水丸,
川椒大,量人强弱多少用之白汤下。
痰不自动,因气而动,气不自升,因火而升,积之既久,根据附肠胃,回簿曲折之
处,以为栖泊之窠臼,谓之老痰变现之症,莫可名状,非寻常药物可能疗也。故用大黄
为君,以开下行之路;黄芩为臣,以抑上僭之火;礞石剽悍之性,游行肠胃,踵其回薄
曲折之处,荡而涤之,故以为佐;奔驰于上午下焦,开飞门、魄门之窍者,沉香之力
也,故以为使。然必服之得法则效如附应,用水一口,送过咽即便仰卧,令药在咽隔间
徐徐而下,半日不可饮水,不可起身,行坐言语,直待药气除逐上焦痰滞,然后动作大
抵服罢,喉间稠粘壅塞不利者,乃痰气泛上药力相攻,故也。少顷药力既胜自然宁贴。
若欲速为利下者,再饮白汤催之。
治疗气虚脾弱,饮食减少且痰多。
人参、白术(土炒)、茯苓(各一钱)、半夏、橘红(各一钱五分)、甘草(炙,五分)。
用姜水煎服。
治疗体内有多余的痰饮。
甘遂(去心)、紫大戟(去皮)、白芥子(各等分)。研为细末,用糊剂制成丸药,大小如梧桐子,临睡前用淡姜汤送服七丸至十丸。若加入朱砂二钱、全蝎三钱,治疗惊风之痰效果极佳。
青黛、瓜蒌。研为细末,用姜蜜制成丸药,含化以救肺。
另一方:
治疗痰嗽。
贝母、南星(各一两)、滑石、黄芩(酒洗,一两五钱)、白芥子(五钱)、风化硝(二钱五分,取其质地轻浮、下降迅速的特性)。研为细末,用汤浸泡蒸饼,制成如梧桐子大的丸药,每次服用五十丸,用白开水送下。
芫花(用好醋浸泡一夜,在瓦器中炒至黑色)、大戟(用长流水煮一个时辰,再用水洗净,晒干)、甘遂(用长流水浸泡半天,再用水洗净,晒干,各五钱)、黄柏(一两,焙干)、大黄(用湿纸包裹煨熟,不要焦,切片,焙干,再用酒洗,炒熟,焙干,一两五钱)。
研为细末,用糊剂制成如麻子大的丸药,每次服用二三十丸,临睡前用津液吞服,或用一口白开水送下,以清除膈上的湿痰热积,根据具体情况调整剂量,若要通便则空腹服用。
二陈汤
参见伤风门。
治疗胸中停聚痰饮,手臂疼痛难以举起,手足不能转动的情况。
半夏(四两)、茯苓(二两)、枳壳(一两)、风化硝(五钱)。研为细末,用神曲和姜汁制成糊丸,大小如梧桐子,每次服用三十丸,用姜汤送下。
治疗实热形成的老痰,非此方不能化解,功效神奇。
大黄(略用酒蒸)、黄芩(各八两)、青礞石(煅烧,一两)、沉香(五钱)。研为极细粉末,用水泛丸,大小如川椒,根据患者体质的强弱决定用量,用白开水送下。
痰不会自行产生,是因气机运动而生成;气不会自行上升,是因火邪而上逆。积聚日久,依附于肠胃,停留在回旋曲折之处,形成栖息的巢穴,称为“老痰”。其表现出的症状,无法用言语形容,不是寻常药物所能治疗的。因此用大黄作为君药,以开通下行之路;黄芩作为臣药,以抑制上僭之火;礞石具有剽悍的性质,能在肠胃中游走,追踪到回旋曲折之处,荡涤痰浊,所以作为佐药;沉香能奔驰于上中下三焦,开启飞门(肛门)和魄门(口鼻或汗孔,此处指通利二便及气机出口)的窍道,所以作为使药。然而必须服药方法得当才能效如桴鼓,喝水一口,送过咽喉后立即仰卧,让药在咽隔间徐徐下行,半日内不可饮水,不可起身,行走坐卧说话,直到药气清除驱逐上焦的痰滞,然后才可活动。大致服药后,喉间感觉稠粘壅塞不利,这是痰气上泛与药力相互攻冲的缘故。过了一会儿,药力占据优势,自然就会安宁贴服。如果想要快速通过排便来泻下,可以再喝白开水催促它。
Treats Qi deficiency and Spleen weakness, characterized by poor appetite and excessive phlegm.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma stir-fried in soil), Fuling (Poria), Banxia (Pinelliae Tuber), Juhong (Citri Reticulatae Pericarpium Rubrum) (each 1 qian), Gancao (Licorice Root stir-fried with honey) (0.5 qian).
Decoct with ginger water and take orally.
Treats excess Phlegm-fluid retention.
Gansui (Kansui Radix, heart removed), Zida Ji (Euphorbiae Pekinensis Radix, peel removed), Baijiezi (Sinapis Semen) (equal parts). Grind into fine powder, make pills with paste, size of Sophora japonica seeds. Take 7 to 10 pills before bedtime with light ginger soup. Adding Zhusha (Cinnabar) 2 qian and Quanxie (Scorpio) 3 qian is extremely effective for treating Phlegm due to fright.
Qingdai (Indigo Naturalis), Gualou (Trichosanthis Fructus). Grind into powder, make pills with ginger and honey, hold in mouth to dissolve to benefit the Lung.
Another prescription:
Treats Phlegm-cough.
Beimu (Fritillariae Bulbus), Nanting (Arisomatis Tuber) (each 1 liang), Huashi (Talcum), Huangqin (Scutellariae Radix washed with wine) (1.5 liang), Baijiezi (Sinapis Semen) (5 qian), Fenghuaxiao (Natrii Sulfas efflorescens) (2.5 qian, to utilize its light and descending nature). Grind into powder, soak steamed bread cake in decoction, make pills size of Sophora japonica seeds. Take 50 pills each time with plain warm water.
Yuanhua (Genkwa Flos soaked in good vinegar overnight, stir-fried in a clay vessel until black), Daji (Euphorbiae Humifusae Radix boiled in running water for one shichen, washed again, dried in sun), Gansui (Kansui Radix soaked in running water for half a day, washed again, dried in sun, each 5 qian), Huangbai (Phellodendri Cortex) (1 liang, baked), Dahuang (Rhei Radix et Rhizoma wrapped in wet paper and roasted until not charred, sliced, dried, washed with wine, stir-fried until cooked, dried again, 1.5 liang).
Grind into powder, make pills with paste, size of hemp seeds. Take 20-30 pills each time, swallow with saliva before bedtime, or send down with a sip of plain warm water. This aims to clear damp-phlegm and heat accumulation in the diaphragm; adjust dosage according to condition. To promote bowel movement, take on an empty stomach.
Erchen Tang (Two-Cured Decoction)
See section on Wind-Cold.
Treats Phlegm stagnation in the middle jiao, arm pain making lifting difficult, and inability to move hands and feet.
Banxia (Pinelliae Tuber) (4 liang), Fuling (Poria) (2 liang), Zhike (Aurantii Fructus Immaturus) (1 liang), Fenghuaxiao (Natrii Sulfas efflorescens) (5 qian). Grind into powder, make pills with Shenqu (Massa Medicata Fermentata) and ginger juice paste, size of Sophora japonica seeds. Take 30 pills each time with ginger soup.
Treats old Phlegm caused by excess heat, which cannot be resolved without this formula; its efficacy is miraculous.
Dahuang (Rhei Radix et Rhizoma slightly steamed with wine), Huangqin (Scutellariae Radix) (each 8 liang), Qingmengshi (Lepidocrocitum) (calcined, 1 liang), Chenxiang (Aquilariae Lignum Resinatum) (5 qian). Grind into fine powder, make water pills, size of Sichuan pepper. Use varying amounts based on patient's strength, taken with plain warm water.
Phlegm does not arise spontaneously but moves with Qi; Qi does not ascend spontaneously but rises due to Fire. After long-term accumulation, it adheres to the intestines and stomach, settling in convoluted and tortuous areas, forming nests where it resides. This is called "Old Phlegm." Its manifested symptoms are indescribable and cannot be treated by ordinary medicines. Therefore, Dahuang is used as the Sovereign herb to open the pathway downward; Huangqin as the Minister herb to suppress the flaming-upward Fire; Mengshi, with its fierce nature, travels through the intestines and stomach, tracking down to convoluted areas to sweep and cleanse them, thus serving as the Assistant; Chenxiang, capable of traversing the upper, middle, and lower jiao, opening the apertures of Feimen (anus) and Pomen (mouth/nose or sweat pores, here referring to facilitating excretion and Qi flow), serves as the Guide. However, efficacy depends strictly on proper administration: take a mouthful of water to wash the pill down the throat, then lie supine immediately, allowing the medicine to descend slowly in the throat and diaphragm area. Do not drink water or get up for half a day; avoid walking, sitting, standing, or speaking until the medicinal qi clears and expels the upper jiao Phlegm stagnation, after which normal activity may resume. Generally, after taking the medicine, if there is a sensation of thick, sticky obstruction in the throat, it is due to Phlegm-Qi rising and clashing with the medicinal force. After a short while, once the medicinal force prevails, peace will naturally return. If rapid purgation is desired, drink more plain warm water to induce it.