〔《千》〕治暴热嗽方。
杏仁 紫苏子(一升) 陈皮(一两) 柴胡(四两)
上 咀,以水一斗,煮三升,分三服。
〔《山》〕暴嗽。白蚬壳洗净研细,粥饮下。
〔《本》〕治暴嗽。
砒霜(一钱) 白矾(一两,飞过,细研)
上先将砒霜安放茶盏内,却将白矾末铺盖,火 为末,乌梅肉丸,如绿豆大,朱砂为衣。每服二丸,紫苏
汤下。
〔《千》〕治暴嗽。百部藤根捣自然汁,和蜜等分,沸煎成膏,咽之。
〔丹〕肺受风寒久嗽,非此不能除。南星、款花、鹅管石、佛耳草、雄黄为末,拌艾。以姜一浓片留舌上,
次用艾上烧之,须令烟入喉中。一方无佛耳草,有郁金。又方。鹅管石、雄黄各一分半,另为末,款花、沸
耳草各一分半,另为末,却用纸一幅方,方阔四五寸,以鸡子清涂其中央,四旁各悬一寸许不涂,然后以鹅管
石、雄黄掺于鸡子清上,又以款花、佛耳草末掺其上覆之,又以一箭筋从不涂纸旁卷起为一纸筒,用糊粘牢其
旁,抽箭箸出焙干,用时将一纸筒含在口,一头火烧,以口吸烟,令满咽之,咽至烧筒尽为度,却吃茶二三口
压之。
〔崔〕疗久嗽熏法。每旦取款花、好鸡子少许,蜜拌花使润,纳一升铁铛中。又用一瓦碗钻一孔,孔内安小
竹筒,或笔管亦得,其筒稍长,置碗铛相合,及插筒处皆面糊涂之,勿令泄气。铛下着炭火,少时款冬烟自竹
管出,以口含筒,吸取咽之。如胸中稍闷,须举头,即将指头捻竹筒头,勿令漏烟气出,及烟尽止。凡如是五
日一为之,至六日则饱食羊肉馄饨一顿,永瘥。(一法不用铛碗,用有嘴瓦瓶烧药,盖住瓶口,却以口于瓶嘴
吸烟咽之,尤捷。)
〔洁〕枳壳汤 治久痰嗽,胸膈不利者,多上焦发热。
枳壳(炒,三两) 桔梗(二两) 黄芩(二两半)
上为细末,每早取二两半,水三盏,煎至一盏,日作三服,午时一服,申时一服,卧时一服。三日,七
两半服尽,又服半夏汤。
生半夏汤 用半夏姜制切片,每三钱半,水盏半,姜五片,煎至一盏,食后服,一日二三服,二三日服了,再
服枳壳丸,尽其痰为度。论曰∶先消胸中痰气,后去膈上痰。再与枳术丸,谓首尾合治,尽消其气,令痰不
复作也。
〔丹〕久嗽丸子
海蛤粉(研细) 胆星(臣) 杏仁(臣) 诃子(佐) 青黛(佐) 皂角荚(使)
上为末,姜汁丸,如桐子大,姜汤下。
久嗽乃积痰久留肺脘,粘滞如胶,气不能升降,或挟湿与酒而作。
香附(童便浸) 僵蚕(炒) 海蛤粉 栝蒌仁 蜂房 杏仁 姜汁 竹沥 神曲(各等分)
上为末,蜜调噙化。
谢老人形实,夏月无汗,成久嗽痰。
半夏(姜制) 紫苏叶(各一两)
上二味,入莎末、蚬壳末、神曲末,以栝蒌穣、桃仁半两和丸。先服三拗汤三帖,方服此丸子。
男子五十岁,旧年因暑月入冷水作劳,患疟,后得痰嗽。次年夏末,得弦脉而左手虚,叩之必汗少而有痰,
身时时发热,痰如稠黄胶,与下项方药,仍灸大椎、风门、肺俞、五处。
半夏(一两) 白术(七钱) 茯苓(六钱) 黄芩 陈皮 桔梗 枳壳 石膏( 。各半两) 僵蚕(炒,
二钱半) 五味子(一钱半)
上用神曲糊丸,姜汤下三十丸。先与三拗汤加黄芩、白术二帖,夜与小胃丹十丸,以搅其痰。
洁古款气丸治久嗽浮肿。罗氏紫参散用蛤蚧。《衍义》云∶蛤蚧治久嗽有功。
马兜铃丸 治多年喘嗽不止,大有神功。
马兜铃(去土) 半夏(汤洗七次,焙干) 杏仁(去皮尖,麸炒。各一两) 巴豆(二十一粒,去皮油,研)
以上除巴豆、杏仁另研外,余为细末,用皂角膏子为丸,如桐子大,雄黄为衣。每十丸临卧煎乌梅汤下,
以利为度。
〔《千》〕治三十年咳嗽,或饮或咳,寒气嗽虽不同,悉治之。
细辛 款冬花 防风 紫菀(各三两) 藜芦(二两) 川椒(五合)
上六味 咀,取藜芦先着铜器中,次紫菀,次细辛,次款冬花,次椒,以大枣百枚间在诸药中,以水一斗
二升,微火煮令汁尽,出枣曝令燥,鸡鸣时服半枣。不知,明旦服一枚,以胸中温温为度。若强人欲嗽吐者,
可少增服之,便吐脓裹结痰。吐后勿冷冻饮料食,咳愈止药。药势静乃食,不尔,令人吐不已。
治久嗽不瘥方。
兔屎(四十九粒) 砂(一分) 胡桐泪(一分)
上三味为末,蜜和丸,如桐子大。每服三丸,以粥饮下,日三,吐冷物尽即瘥。
〔丹〕蛤蚧丸治久嗽。(方见阳虚咳条。)
又方《衍义》治久咳脓血,胸膈噎痛。蛤蚧、阿胶、生犀角、鹿角胶、羚羊角各一两,除胶外皆为屑,次入胶,
河水三升,煮半升,临卧细呷,愈。(详见咳血。)
疗三十年嗽。以百部根二十斤,捣绞取汁,煎之如饴,服方寸匕,日三服,验。
〔《百一》〕治久咳嗽,上气十年,诸药治不瘥方。以蝙蝠除翅足,烧令焦,为末,饮服之。
【《千金方》】治疗突发热性咳嗽的方剂。
杏仁、紫苏子(一升)、陈皮(一两)、柴胡(四两)。
以上药物切碎,用水一斗,煎煮至三升,分三次服用。
【《山家清供》】突发咳嗽。将白蚬壳洗净研成细粉,用米粥汤送服。
【《本草衍义》】治疗突发咳嗽。
砒霜(一钱)、白矾(一两,经水飞处理,研细)。
先将砒霜放入茶盏中,再将白矾末覆盖在上面,用火煅烧成粉末,加入乌梅肉制成丸药,大小如绿豆,以朱砂为衣。每次服用二丸,用紫苏汤送下。
【《千金方》】治疗突发咳嗽。取百部藤根捣取自然汁,与蜂蜜等量混合,煮沸煎成膏状,含咽。
【朱丹溪】肺受风寒导致的久咳,不用此法不能消除。将天南星、款冬花、鹅管石、佛耳草、雄黄研成粉末,拌入艾绒。取一片厚姜片放在舌上,然后在艾绒上燃烧,必须让烟雾进入喉咙。另一版本没有佛耳草,改用郁金。又一方:鹅管石、雄黄各一分半,分别研成粉末;款冬花、佛耳草各一分半,也分别研成粉末。取一张方形纸,宽四五寸,在中央涂鸡蛋清,四周各留一寸不涂。然后将鹅管石、雄黄撒在鸡蛋清上,再撒上款冬花、佛耳草粉末覆盖其上。再用一根箭杆从没有涂纸边的地方卷起成一个纸筒,用浆糊粘牢旁边,抽出箭杆,焙干。使用时将纸筒含在口中,一头点燃,用口吸烟,令烟气充满咽喉后咽下,直到烧完纸筒为止,然后喝两三口茶压住烟气。
【崔氏】治疗久咳的熏蒸法。每天早晨取款冬花、好鸡蛋少许,用蜜拌湿花朵,放入一升容量的铁铛中。再用一个瓦碗钻一个孔,孔内安装小竹筒,或用笔管也可以。竹筒稍长一些,将碗和铛扣合,以及插筒的地方都用面糊涂抹密封,不要漏气。铛下放置炭火,一会儿款冬花的烟就会从竹管出来,用口含住竹筒,吸取并咽下。如果胸中稍微感到闷,须抬起头,立即用手指捏住竹筒头,不要让烟气漏出,等到烟气尽时停止。凡是像这样五天做一次,到第六天则饱吃一顿羊肉馄饨,即可彻底痊愈。(另一种方法不用铛碗,用有嘴的瓦瓶烧药,盖住瓶口,然后用口对着瓶嘴吸烟咽下,尤其快捷。)
【张洁古】枳壳汤 治疗久痰咳嗽,胸膈不畅者,多伴有上焦发热。
枳壳(炒,三两)、桔梗(二两)、黄芩(二两半)。
以上药物研成细末,每天早上取二两半,加水三盏,煎至一盏,每日分三次服用,中午一次,申时一次,睡前一次。三天后,七两半药服完,接着服用半夏汤。
生半夏汤 使用姜制半夏切片,每三钱半,加水一盏半,生姜五片,煎至一盏,饭后服用,一日二三次,二三天服完后,再服用枳壳丸,以痰消尽为度。论述说:先消除胸中的痰气,后去除膈上的痰。再给予枳术丸,称为首尾合治,完全消除气滞,使痰不再发作。
【朱丹溪】久咳丸子
海蛤粉(研细)、胆南星(臣药)、杏仁(臣药)、诃子(佐药)、青黛(佐药)、皂角荚(使药)。
以上研成粉末,用姜汁泛丸,大小如梧桐子,用姜汤送下。
久咳是积痰长期停留在肺脘,粘稠如胶,气机不能升降,或夹杂湿气与饮酒而发作。
香附(童便浸泡)、僵蚕(炒)、海蛤粉、瓜蒌仁、蜂房、杏仁、姜汁、竹沥、神曲(各等分)。
以上研成粉末,用蜜调匀含化。
谢老人形体壮实,夏季无汗,形成久咳痰证。
半夏(姜制)、紫苏叶(各一两)。
以上两味药,加入莎草根末、蚬壳末、神曲末,用瓜蒌瓤、桃仁半两和丸。先服用三拗汤三帖,然后服用此丸子。
男子五十岁,去年因暑月进入冷水劳作,患疟疾,后来患上痰嗽。次年夏末,出现弦脉且左手脉虚,叩诊必出汗少而有痰,身体时常发热,痰液如稠黄的胶状物,给予下方药,同时灸大椎、风门、肺俞、五处穴。
半夏(一两)、白术(七钱)、茯苓(六钱)、黄芩、陈皮、桔梗、枳壳、石膏(煅,各半两)、僵蚕(炒,二钱半)、五味子(一钱半)。
以上用神曲糊丸,姜汤送下三十丸。先给三拗汤加黄芩、白术二帖,夜间服小胃丹十丸,以搅动其痰。
洁古款气丸治疗久咳浮肿。罗氏紫参散使用蛤蚧。《本草衍义》说:蛤蚧治疗久咳有功。
马兜铃丸 治疗多年喘咳不止,大有神效。
马兜铃(去土)、半夏(汤洗七次,焙干)、杏仁(去皮尖,麸炒,各一两)、巴豆(二十一粒,去皮油,研)。
以上除巴豆、杏仁另研外,其余研成细末,用皂角膏子做丸,大小如梧桐子,以雄黄为衣。每次十丸,临睡前用乌梅汤煎服,以利下为度。
【《千金方》】治疗三十年咳嗽,或饮水即咳,或干咳,寒气引起的咳嗽虽不同,都治疗它。
细辛、款冬花、防风、紫菀(各三两)、藜芦(二两)、川椒(五合)。
以上六味药切碎,取藜芦先放入铜器中,其次放紫菀,其次放细辛,其次放款冬花,其次放花椒,以大枣一百枚间隔放在诸药中,用水一斗二升,微火煮至汁液耗尽,取出大枣晒干,鸡鸣时服用半个枣。如果不见效,第二天早上服用一枚,以胸中温暖舒适为度。如果是强壮的人想要咳嗽吐痰,可以稍微增加剂量,便会吐出包裹着脓液的结痰。吐后不要喝冷冻饮料食物,咳嗽停止后停药。药势平静后再进食,否则,会让人呕吐不停。
治疗久咳不愈的方剂。
兔屎(四十九粒)、砂(一分)、胡桐泪(一分)。
以上三味药研成粉末,用蜜和丸,大小如梧桐子。每次服用三丸,用粥汤送下,每日三次,吐出冷物尽即痊愈。
【朱丹溪】蛤蚧丸治疗久咳。(方剂见阳虚咳条。)
又一方《本草衍义》治疗久咳脓血,胸膈噎痛。蛤蚧、阿胶、生犀角、鹿角胶、羚羊角各一两,除胶以外都切成碎屑,其次加入胶,用河水三升,煮至半升,临睡前细细呷服,痊愈。(详见咳血。)
[Qian Jin Fang] Formula for treating sudden heat-induced cough.
Xingren (Apricot Seed), Zisuzi (Perilla Fruit, one sheng), Chenpi (Dried Tangerine Peel, one liang), Chaihu (Bupleurum Root, four liang).
The above herbs are cut into pieces, boiled in ten dou of water until reduced to three sheng, and divided into three doses.
[Shan Jia Qing Gong] For sudden cough. Clean white clam shells, grind into fine powder, and take with rice gruel broth.
[Bencao Yanyi] Treatment for sudden cough.
Pishuang (Realgar/Orpiment mixture, typically Orpiment in this context, one qian), BaiFan (Alum, one liang, processed by water flotation, finely ground).
First place the Pishuang in a tea cup, then cover it with the BaiFan powder. Calcine over fire into a powder, mix with Wumei (Mume Fruit) pulp to form pills the size of mung beans, coated with Zhusha (Cinnabar). Take two pills each time, washed down with Zisu Tang (Perilla Decoction).
[Qian Jin Fang] Treatment for sudden cough. Crush Baibu (Stemona Root) vines to extract natural juice, mix equally with honey, boil into a paste, and swallow slowly.
[Zhu Danxi] For chronic cough caused by wind-cold invading the lungs, this method is indispensable. Nanxing (Arisaema Rhizome), Kuanhua (Coltsfoot Flower), Eguan Shi (Gorgonian Coral Stone), Foer Cao (Petasites Leaf), Xionghuang (Realgar) are ground into powder and mixed with Ai Ye (Mugwort Floss). Place a thick slice of fresh ginger on the tongue, then burn the mugwort on top, ensuring the smoke enters the throat. Another version excludes Foer Cao and uses Yujin (Curcuma Radix) instead. Another prescription: Eguan Shi and Xionghuang, each one-and-a-half fen, ground separately; Kuanhua and Foer Cao, each one-and-a-half fen, ground separately. Take a square piece of paper, four or five cun wide. Apply egg white to the center, leaving one cun margin uncoated on all sides. Sprinkle the Eguan Shi and Xionghuang powder onto the egg white, then cover with the Kuanhua and Foer Cao powders. Roll the paper into a tube starting from the uncoated edge using an arrow shaft, secure the side with paste, remove the shaft, and dry. To use, hold the paper tube in the mouth, ignite one end, inhale the smoke, fill the throat, and swallow. Continue until the tube is burned out, then drink two or three sips of tea to suppress the sensation.
[Cui Shi] Moxibustion/fumigation method for chronic cough. Each morning, take Kuanhua (Coltsfoot Flower) and a few good eggs. Moisten the flowers with honey, place them in an iron pan with a capacity of one sheng. Drill a hole in a clay bowl, insert a small bamboo tube or pen tube into the hole. The tube should be slightly longer. Fit the bowl onto the pan, sealing the junction and insertion point with flour paste to prevent leakage. Place charcoal fire under the pan. After a short while, smoke from the Coltsfoot will emerge from the bamboo tube. Hold the tube in the mouth, inhale the smoke, and swallow. If chest discomfort occurs, lift the head and pinch the tube end with fingers to prevent smoke leakage. Stop when smoke is exhausted. Perform this once every five days. On the sixth day, eat a full meal of lamb wontons for a permanent cure. (Alternative method: Use a spouted clay pot to burn the medicine, cover the spout, and inhale smoke directly from the spout, which is even more effective.)
[Zhang Jiegu] Zhike Tang (Citrus Aurantium Decoction) treats chronic phlegm-cough with chest and diaphragm obstruction, often accompanied by upper jiao heat.
Zhike (Immature Bitter Orange, stir-fried, three liang), Jiegeng (Platycodon Root, two liang), Huangqin (Scutellaria Root, two-and-a-half liang).
Grind into fine powder. Each morning, take two-and-a-half liang, add three zhan of water, decoct to one zhan. Take three times daily: at noon, in the Shen hour (3-5 PM), and at bedtime. After three days, when seven-and-a-half liang are consumed, proceed to Banxia Tang.
Sheng Banxia Tang (Raw Pinellia Decoction). Use Jiangzhi Banxia (Ginger-processed Pinellia Rhizome) sliced. Take three-and-a-half qian per dose, add one-and-a-half zhan of water and five slices of ginger. Decoct to one zhan. Take after meals, two to three times daily. After two to three days, switch to Zhike Wan (Citrus Aurantium Pills) until phlegm is eliminated. Commentary: First eliminate phlegm-qi in the chest, then remove phlegm above the diaphragm. Follow with Zhizhu Wan (Atractylodes and Immature Bitter Orange Pills) to treat both beginning and end, completely resolving qi stagnation so phlegm does not recur.
[Zhu Danxi] Jiuke Wan (Chronic Cough Pills)
Haige Fen (Clam Shell Powder, finely ground), Danning (Processed Arisaema with Bile, Minister herb), Xingren (Apricot Seed, Minister herb), Hezi (Chebula Fruit, Assistant herb), Qingdai (Indigo Naturalis, Assistant herb), Saojiao Jia (Tamarisk Pod, Envoy herb).
Grind into powder, make pills with Ginger Juice, size of Sophora seeds. Take with Ginger Decoction.
Chronic cough is caused by accumulated phlegm lingering in the lung and stomach for a long time, sticky like glue, preventing qi ascent and descent, or triggered by dampness and alcohol consumption.
Xiangfu (Cyperi Rhizoma, soaked in child's urine), Jiangcan (Bombyx Batryticatus, stir-fried), Haige Fen (Clam Shell Powder), Gualou Ren (Trichosanthes Seed), Fengfang (Honeycomb), Xingren (Apricot Seed), Jiangzhi (Ginger Juice), Zhuli (Bamboo Sap), Shenqu (Medicated Leaven, equal parts).
Grind into powder, mix with honey to dissolve slowly in the mouth.
Elder Xie had a robust constitution, no sweating in summer, leading to chronic cough with phlegm.
Banxia (Ginger-processed Pinellia Rhizoma), Ziye (Perilla Leaf, one liang each).
Combine these two with Shamo (Sedge Rhizome powder), Xianqiao powder, and Shenqu powder. Mix with Gualou Rang (Trichosanthes Pulp) and Taoren (Apricot Seed, half liang) to form pills. First take San'ao Tang (Three Unbinding Decoction) for three doses, then take these pills.
A fifty-year-old man contracted malaria due to labor in cold water during summer last year, later developing phlegm-cough. In late summer the following year, he presented with a wiry pulse, deficient left hand pulse, scant sweating upon percussion, presence of phlegm, intermittent fever, and thick yellow gelatinous sputum. Prescribed the following formula, along with moxibustion at Dazhui (GV14), Fengmen (BL12), Feishu (BL13), and Wuchu (EX-HN1).
Banxia (Pinellia Rhizoma, one liang), Baizhu (Atractylodes Macrocephala Rhizoma, seven qian), Fuling (Poria, six qian), Huangqin (Scutellaria Root), Chenpi (Dried Tangerine Peel), Jiegeng (Platycodon Root), Zhike (Immature Bitter Orange), Shigao (Gypsum Fibrosum, calcined, half liang each), Jiangcan (Bombyx Batryticatus, stir-fried, two-and-a-half qian), Wuweizi (Schisandra Fruit, one-and-a-half qian).
Make pills with Shenqu paste. Take thirty pills with Ginger Decoction. First give San'ao Tang plus Huangqin and Baizhu for two doses. At night, give Xiaowei Dan (Minor Stomach Pill) ten pills to stir up phlegm.
Jiegu Kuangqi Wan (Jiegu Coltsfoot Qi-Calming Pill) treats chronic cough with edema. Luoshi Zican San (Luoshi Purple Ginseng Powder) uses Gejie (Gecko). Bencao Yanyi states: Gecko is effective for chronic cough.
Madouling Wan (Aristolochia Decoction Pill) treats persistent asthma and cough for many years, with great efficacy.
Madouling (Aristolochia Fructus, cleaned), Banxia (Pinellia Rhizoma, washed seven times in boiling water, dried), Xingren (Apricot Seed, peeled and split, bran-fried, one liang each), Badou (Croton Seed, twenty-one kernels, peeled, oil removed, ground).
Except for Badou and Xingren which are ground separately, grind the rest into fine powder. Make pills with Saojiao Gao (Tamarisk Gum), size of Sophora seeds, coated with Xionghuang (Realgar). Take ten pills before bed with Wumei Tang (Mume Decoction), stopping when bowel movement occurs.
[Qian Jin Fang] Treats thirty-year cough, whether triggered by drinking or spontaneous, including cold-induced cough.
Xixin (Asarum Root), Kuan Dong Hua (Coltsfoot Flower), Fangfeng (Saposhnikovia Root), Ziwan (Aster Root, three liang each), Lilu (Veratrum Root, two liang), Chuanjiao (Sichuan Pepper, five he).
Cut the six herbs. Place Lilu first in a copper vessel, then Ziwan, then Xixin, then Kuan Dong Hua, then Chuanjiao. Intersperse with one hundred large dates. Add twelve dou of water, simmer gently until liquid is exhausted. Remove dates, dry them. Take half a date at dawn. If ineffective, take one date the next morning. Stop when the chest feels warm. For strong individuals desiring expectoration, increase dosage slightly to induce vomiting of pus-bound phlegm. Do not consume cold drinks or food after vomiting. Stop medication when cough ceases. Resume eating only when the medicinal effect subsides; otherwise, it may cause continuous vomiting.
Formula for intractable chronic cough.
Toushi (Rabbit Excrement, forty-nine grains), Sha (Sand, one fen), Hutong Lei (Poplar Tears, one fen).
Grind into powder, mix with honey to form pills size of Sophora seeds. Take three pills with gruel broth, three times daily. Cure when cold matter is vomited out.
[Zhu Danxi] Gejie Wan (Gecko Pill) treats chronic cough. (See formula for Yang Deficiency Cough.)
Another formula from Bencao Yanyi treats chronic cough with pus and blood, chest oppression and pain. Gejie (Gecko), Ejiao (Donkey-hide Gelatin), Sheng Xijiao (Fresh Rhinoceros Horn - *Note: Substitute with Buffalo Horn in modern practice*), Lujiao Jiao (Deer Antler Gelatin), Lingyang Jiao (Antelope Horn), one liang each. Except for gelatins, grind others into flakes. Add gelatins, decoct in three sheng of river water to half a sheng. Sip slowly before bed. Cure. (See Hemoptysis for details.)
Treatment for thirty-year cough. Use twenty jin of Baibu (Stemona Root), crush and squeeze juice, boil into a syrup-like consistency. Take one fangcun bi (approx. 5ml) per dose, three times daily. Effective.
[Bai Yi Xuan Fang] Treatment for chronic cough with upward qi rebellion for ten years, unresponsive to other medicines. Remove wings and feet of a bat, burn until charred, grind into powder, take with drink.