治肺气郁热, 咳嗽而喘, 面肿身热. 桑白皮 地骨皮 甘草水煎服.
【集注】季楚重曰: 经云: 肺苦气上逆. 上逆则上焦郁热, 气郁生涎
,火郁生热, 因而制节不行, 壅甚为喘满肿嗽. 白者肺之色, 泻白泻
肺气之有余也. 君以桑白皮, 质液而味辛, 液以润燥, 辛以泻肺. 臣
以地骨皮, 质轻而性寒, 轻以去实, 寒以胜热. 甘草生用泻火, 佐桑
皮,地骨皮泻诸肺实, 使今清气肃而喘嗽可平, 较之黄芩, 知母苦寒
伤胃则远矣. 夫火热伤气, 救肺之治有三: 实热伤肺, 用白虎汤以治
其标; 虚火刑金, 用生脉散以制其本; 若夫正气不伤, 郁火又甚, 则
泻白散之清肺调中, 标本兼治, 又补二方之不及也.
治肺虚有火, 嗽无津液, 咳而哽气者.
真阿胶一两 牛蒡子 ( 炒 ) 二钱半 马兜铃 ( 炒 ) 五钱 杏仁七
钱 甘草五钱 ( 炙 ) 糯米一合每服两许, 水煎服.
【集注】程应旄曰: 痰带红线, 嗽有血点, 日渐成痿, 缘肺处脏之最
高,叶间布有细窍, 气从此出入, 呼吸成液, 灌溉周身, 所谓水出高
源也. 一受火炎, 吸时徒引火升, 呼时并无液出, 久则肺窍俱闭, 喉
间或痒或疮, 六叶遂日焦枯矣. 今用阿胶为君者, 消窍瘀也. 用杏仁
,大力子, 宣窍道也. 马兜铃者, 清窍热也. 糯米以补脾母, 气到则
肺自轻清无碍矣.
治疗肺气郁结化热,咳嗽且气喘,面部浮肿、身体发热。用桑白皮、地骨皮、甘草,加水煎煮后服用。
【集注】季楚重说:医经记载:“肺脏厌恶气机上逆。”气机上逆会导致上焦郁结化热,气机郁滞产生痰涎,火邪郁结产生内热,从而导致肺的宣发肃降功能失常,壅滞严重而出现喘息、胸闷、肿胀和咳嗽。白色是肺的颜色,“泻白”即是清泻肺气有余之邪。方中以桑白皮为君药,其质地润泽而味辛,润泽可以润燥,辛味可以泻肺;以地骨皮为臣药,其质地轻浮而性寒,轻浮可以去实,寒性可以胜热;甘草生用可泻火,辅助桑白皮、地骨皮清泻肺部各种实邪,使得清气肃降,喘息和咳嗽得以平息,这比使用黄芩、知母等苦寒药物损伤胃气要好得多。火热之邪会耗伤正气,救治肺病的治法有三种:如果是实热伤肺,用白虎汤来治疗其标症;如果是虚火刑金(肺),用生脉散来制约其本原;如果正气未受损伤,但郁火又很严重,那么泻白散清肺调中,标本兼治,又弥补了上述两方的不足。
治疗肺虚有火,咳嗽无津液,咳嗽时伴有气逆哽咽感。用真阿胶一两、炒牛蒡子二钱半、炒马兜铃五钱、杏仁七钱、炙甘草五钱、糯米一合。每次服用约两许的量,加水煎煮后服用。
【集注】程应旄说:痰中带血丝,咳嗽有血点,日久逐渐形成痿证。这是因为肺位于五脏中最高的位置,肺叶间分布着细小的窍道,气息由此出入,呼吸化为津液,灌溉周身,这就是所谓的“水出高源”。一旦受到火邪熏灼,吸气时只引动火气上升,呼气时却无津液流出,久而久之肺窍全部闭塞,喉间或痒或生疮,六片肺叶便日渐焦枯。现在用阿胶作为君药,是为了消散窍道的瘀滞;用杏仁、牛蒡子,是为了宣通窍道;马兜铃,是为了清泄窍道的热邪;糯米用来补益脾土(脾为肺之母),脾气到达则肺自然轻清而无阻碍。
Treats lung qi stagnation transforming into heat, characterized by cough and wheezing, facial edema, and body fever. Use Sangbaipi (Morus Cortex), Digupi (Lycii Cortex), and Gancao (Licorice Root), decocted in water for oral administration.
[Collected Annotations] Ji Chuzhong stated: The Classics state: "The Lung dislikes upward reversal of qi." Upward reversal leads to stagnation and heat in the Upper Jiao; qi stagnation generates phlegm-fluids, and fire stagnation generates heat. Consequently, the Lung's regulation and descending function fail, leading to severe congestion manifesting as wheezing, chest fullness, swelling, and coughing. White is the color of the Lung; "Xie Bai" (Draining White) refers to draining the excess of Lung qi. The sovereign herb is Sangbaipi (Morus Cortex), which is moist in texture and pungent in flavor; its moisture moistens dryness, and its pungency drains the Lung. The minister herb is Digupi (Lycii Cortex), which is light in texture and cold in nature; its lightness removes excess, and its coldness overcomes heat. Raw Gancao (Licorice Root) drains fire, assisting Sangbaipi and Digupi to drain various Lung excesses, thereby allowing clear qi to descend and wheezing and coughing to subside. This is far superior to using bitter-cold herbs like Huangqin (Scutellaria Root) or Zhimu (Anemarrhenae Rhizoma) that damage the Stomach. When fire-heat injures qi, there are three treatments for rescuing the Lung: if excess heat injures the Lung, use Baihu Tang (White Tiger Decoction) to treat the branch/symptom; if deficient fire attacks Metal (Lung), use Shengmai San (Generate the Pulse Powder) to control the root/cause; if healthy qi is not injured but stagnant fire is severe, then Xiebai San (Drain the White Powder) clears the Lung and regulates the Middle Jiao, treating both root and branch, thereby supplementing the deficiencies of the aforementioned two formulas.
Treats Lung deficiency with fire, cough without fluid secretion, and cough accompanied by choking sensation or air reflux. Use Zhen Ejiao (Donkey-Hide Gelatin) 1 liang, Chao Niubangzi (Stir-fried Arctii Fructus) 2 qian 5 fen, Chao Madouling (Stir-fried Aristolochiae Fructus) 5 qian, Xingren (Apricot Seed) 7 qian, Zhi Gancao (Honey-fried Licorice Root) 5 qian, Nuomi (Glutinous Rice) 1 he. Take approximately 2 xu per dose, decocted in water for oral administration.
[Collected Annotations] Cheng Yingmao stated: Phlegm containing red threads, coughing up blood spots, gradually developing into flaccidity syndrome over time. This occurs because the Lung resides at the highest position among the Zang organs, with fine pores distributed between the lobes. Qi enters and exits through these pores, respiration transforms into fluids, and these fluids irrigate the whole body, known as "Water originating from the High Source." Once subjected to flaming heat, inhalation merely draws fire upward, while exhalation produces no fluid. Over time, all Lung pores close, the throat becomes itchy or develops sores, and the six lobes of the Lung become increasingly scorched and withered. Now, Ejiao (Donkey-Hide Gelatin) is used as the sovereign herb to dissolve obstructions in the pores; Xingren (Apricot Seed) and Niu Bang Zi (Arctii Fructus) are used to unblock the pore pathways; Madou Ling (Aristolochiae Fructus) is used to clear heat from the pores; Nuomi (Glutinous Rice) is used to tonify the Spleen (Earth, the Mother of Metal); when Spleen qi arrives, the Lung naturally becomes light, clear, and unobstructed.