〔仲〕支饮不得息,用葶苈大枣泻肺汤卞之。(方见肺痈。此方效验甚捷,但虚人忌服。)
〔丹〕紫金丹 治哮喘遇冷发者用之。
精猪肉(三十两) 砒霜(明亮者一两,研细)
上将肉切如骰子大,用砒末入肉内拌匀,分肉为六分,每分用纸筋黄泥包之,用火烘令泥干,又用白炭火
于无人处 ,青烟出尽为度,放地上一宿,研极细,用汤浸蒸饼丸,如绿豆大,用清茶吞下,大人二十丸,
小儿十丸,量虚实用之。
哮喘遇冷则发者有二证。
其一属中外皆寒。治法乃东垣参苏温肺汤、调中益气加茱萸汤及此方紫金丹劫寒痰者是也。其二属寒包热。
治法乃仲景、丹溪用越婢加半夏汤等发表诸方之类,及预于八九月未寒之时,先用大承气汤下其热,至冬寒时
无热可包,自不发者是也。
〔丹〕清金丹 治哮嗽遇浓味发者用之。
萝菔子(淘净,蒸令熟,晒干为末,一两) 猪牙皂角(火烧过,以碗覆地上,作灰末,三钱)
[张仲景] 支饮(水饮停聚胸膈,阻碍呼吸)导致呼吸急促困难,使用葶苈大枣泻肺汤来治疗。(该方剂见“肺痈”章节。此方疗效非常迅速,但体质虚弱者忌服。)
[朱丹溪] 紫金丹:用于治疗因受寒而发作的哮喘。
精猪肉(三十两),砒霜(选用色泽明亮的,一两,研磨成细粉)。
先将肉切成骰子大小的块,将砒霜粉末拌入肉中,将肉分为六份,每份用纸筋和黄泥包裹,用火烘烤直至泥土变干,再用白炭火在无人之处焚烧,直到青烟散尽为止,放置在地上过夜,研磨至极细,用热汤浸泡蒸饼制成丸药,大小如绿豆,用清茶送服,成人每次二十丸,小儿每次十丸,根据患者虚实情况酌情使用。
因受寒而发作的哮喘有两种证型。
第一种属于内外皆寒。治疗方法是东垣的参苏温肺汤、调中益气加吴茱萸汤以及本方紫金丹以劫除寒痰。第二种属于寒包热(外有寒邪束表,内有郁热)。治疗方法是张仲景、朱丹溪使用的越婢加半夏汤等发表类方剂,以及在农历八九月天气尚暖未冷时,预先使用大承气汤攻下其内热,等到冬季寒冷时,体内无热可被外寒包裹,自然就不会发作了。
[朱丹溪] 清金丹:用于治疗因食用浓味食物而发作的哮嗽。
萝卜子(淘洗干净,蒸熟后晒干研成粉末,一两),猪牙皂角(火烧过后,用碗扣在地上使其成为灰烬粉末,三钱)。
[Zhang Zhongjing] For *Zhi Yin* (fluid retention in the chest and diaphragm causing dyspnea) resulting in inability to breathe comfortably, use Tingli Dazao Xiefei Tang (Thladiantra and Jujube Decoction to Drain the Lungs). (This formula is described under "Lung Abscess". This formula acts very swiftly, but it is contraindicated for patients with deficiency.)
[Zhu Danxi] Zijin Dan (Purple Gold Pill): Used to treat asthma that is triggered by cold exposure.
Lean pork (30 liang), Arsenic Trioxide (Pishuang, 1 liang of bright quality, ground into fine powder).
First, cut the meat into dice-sized pieces, mix the arsenic powder into the meat, divide the meat into six portions, wrap each portion in paper筋 (paper strips) and yellow mud, bake over fire until the mud is dry, then burn using white charcoal fire in an uninhabited place until all blue smoke has dissipated. Leave on the ground overnight, grind to an extremely fine powder, mix with steamed dough soaked in hot water to form pills the size of mung beans. Swallow with clear tea: adults take 20 pills, children take 10 pills, adjusting dosage according to the patient's deficiency or excess condition.
Asthma triggered by cold presents in two patterns.
The first belongs to cold in both interior and exterior. The treatment method involves Dongyuan's Rensu Wenfei Tang (Ginseng and Perilla Warming Lung Decoction), Tiaozhong Yiqi Tang with Evodia added, and this formula Zijin Dan to seize and eliminate cold-phlegm. The second belongs to cold wrapping heat (exterior cold binding with interior heat). The treatment method involves formulas such as Yuebi Jia Banxia Tang (Mahuang and Gypsum Decoction with Pinellia) used by Zhang Zhongjing and Danxi to release the exterior, and preemptively using Dachengqi Tang (Major Order the Qi Decoction) to purge heat during the eighth and ninth lunar months when it is not yet cold; by winter, when there is no heat to be wrapped by cold, it will naturally not manifest.
[Zhu Danxi] Qingjin Dan (Clear Metal Pill): Used to treat wheezing cough triggered by rich or strong-flavored foods.
Radish seed (Luobozi, thoroughly washed, steamed until cooked, dried and ground into powder, 1 liang), Pig Tooth Soap Pod (Zhuya Zaojiao, burned, covered with a bowl on the ground to turn into ash powder, 3 qian).