甜瓜蒂七枚(为末)
大豆煎汤调下五分。
凡病 ,气塞不通者,此方三吐之。
苦能涌泄,故用瓜蒂以吐之;甘能调胃,故用大豆以和之。
白果(二十一枚,炒黄色) 黄芩(炒) 杏仁(去皮尖,各一钱五分) 桑白皮(五
钱,蜜
炙) 苏子(二钱) 甘草(一钱) 麻黄(去节) 半夏(法制) 款冬花(各三钱)
肺虚感寒,气逆膈热,作哮喘者,此方主之。
声粗者为哮,外感有余之疾也,宜用表药。气促者为喘,肺虚不足之证也,宜用里药。
寒束于表,阳气不得泄越,故上逆;气并于膈。为阳中之阳,故令热。是方也,麻黄、杏仁、
甘草,辛甘发散之物也,可以疏表而定哮;白果、款花、桑皮,清金保肺之物也,可以安里
而定喘;苏子能降气,半夏能散逆,黄芩能去热。
五味子(半两,炒) 人参(去芦) 麦门冬(去心) 杏仁(去皮尖) 陈皮(去白)
生姜(
各二钱)
肺虚作喘,脉大者,此方主之。
喘则气耗,五味子所以收之;虚则喘促,人参所以补之;肺喜润,故用麦冬、杏仁;气
喜利,故用陈皮、生姜。
人参 甘草(炙) 附子(制) 干姜(炒) 白术(炒,各一钱)
脾肺虚寒,痰涎壅塞,少有动作,喘嗽频促,脉来迟细者,此方主之。
此证为虚而脉为寒也。虚则宜补,参、术、甘草所以补虚;寒则宜温,干姜、附子所以
温寒。
甜瓜蒂七枚(研为细末),用大豆煎煮的汤液调服五分。
凡是患有气机闭塞不通的病证,此方通过三次催吐来治疗。
苦味能涌泄,所以使用瓜蒂来催吐;甘味能调和胃气,所以使用大豆来中和它。
白果(二十一枚,炒至黄色) 黄芩(炒制) 杏仁(去皮和尖端,各一钱五分) 桑白皮(五钱,用蜜炙) 苏子(二钱) 甘草(一钱) 麻黄(去节) 半夏(经法制炮制) 款冬花(各三钱)
肺脏虚弱感受寒邪,气机上逆伴有膈间郁热,发作哮喘的,此方主治。
呼吸声音粗重的是哮,属于外感邪气有余的疾病,适宜使用解表药。气息短促的是喘,属于肺脏虚损不足的证候,适宜使用治里药。
寒邪束缚于体表,阳气不能宣泄越出,所以上逆;气机并聚于膈部。膈部属阳中之阳,所以导致发热。这个方剂中,麻黄、杏仁、甘草,是辛甘发散的药物,可以疏解表邪而平息哮证;白果、款冬花、桑白皮,是清肃肺气保护肺脏的药物,可以安固里气而平息喘证;苏子能降气,半夏能散逆气,黄芩能清热。
五味子(半两,炒制) 人参(去芦头) 麦门冬(去心) 杏仁(去皮和尖端) 陈皮(去白瓤) 生姜(各二钱)
肺脏虚弱导致喘息,脉象大的,此方主治。
喘息会导致气耗散,五味子用来收敛正气;虚损导致气喘急促,人参用来补益正气;肺脏喜欢滋润,所以使用麦冬、杏仁;气机喜欢通畅,所以使用陈皮、生姜。
人参 甘草(炙制) 附子(炮制) 干姜(炒制) 白术(炒制,各一钱)
脾肺虚寒,痰涎壅塞,稍微有些动作,就喘息咳嗽频繁急促,脉象迟而细的,此方主治。
这个证候是虚证,脉象表现为寒象。虚证适宜补益,人参、白术、甘草用来补虚;寒证适宜温煦,干姜、附子用来温寒。
Seven seeds of *Cucumis melo* var. *makuwa* (ground into powder), taken with a decoction of soybean (*Glycine max*), adjusted to five fen.
For any disease characterized by Qi obstruction and blockage, this formula induces vomiting three times.
Bitter flavor promotes surging and draining; therefore, *Cucumis melo* var. *makuwa* is used to induce vomiting; sweet flavor harmonizes the Stomach; therefore, soybean is used to moderate it.
White Ginkgo Seeds (*Ginkgo biloba*, 21 pieces, stir-fried until yellow) Huangqin (*Scutellariae Radix*, stir-fried) Xingren (*Prunus armeniaca*, peeled and tips removed, each 1.5 qian) Sangbaipi (*Mori Cortex*, 5 qian, honey-fried) Su Zi (*Perillae Fructus*, 2 qian) Gancao (*Glycyrrhizae Radix et Rhizoma*, 1 qian) Mahuang (*Ephedrae Herba*, nodes removed) Banxia (*Pinelliae Tuber*, processed by legal method) Kuandonghua (*Farfarae Flos*, each 3 qian).
This formula is indicated for asthma caused by Lung deficiency combined with cold invasion, rebellious Qi, and heat in the diaphragm.
Rough breathing sounds indicate "Xiao" (wheezing), which is a disease of excess due to external pathogens, suitable for exterior-releasing medicines. Shortness of breath indicates "Chuan" (panting), which is a syndrome of insufficiency due to Lung deficiency, suitable for interior-treating medicines.
Cold binding the exterior prevents Yang Qi from venting and dispersing, causing it to rebel upward; Qi converges at the diaphragm. The diaphragm belongs to Yang within Yang, thus generating heat. In this formula, Mahuang, Xingren, and Gancao are pungent and sweet substances that disperse outward, capable of releasing the exterior and settling Xiao; White Ginkgo Seeds, Kuandonghua, and Sangbaipi are substances that clear Metal and protect the Lung, capable of stabilizing the interior and settling Chuan; Su Zi descends Qi, Banxia scatters rebellion, and Huangqin clears heat.
Wuweizi (*Schisandrae Chinensis Fructus*, half liang, stir-fried) Renshen (*Ginseng Radix*, rhizome removed) Maimendong (*Ophiopogonis Radix*, heart removed) Xingren (*Prunus armeniaca*, peeled and tips removed) Chenpi (*Citri Reticulatae Pericarpium*, white pith removed) Shengjiang (*Zingiberis Rhizoma Recens*, each 2 qian).
This formula is indicated for panting due to Lung deficiency accompanied by a large pulse.
Panting consumes Qi; Wuweizi is used to astringe it; deficiency causes panting and urgency; Renshen is used to tonify it; the Lung prefers moisture; therefore, Maimendong and Xingren are used; Qi prefers free flow; therefore, Chenpi and Shengjiang are used.
Renshen (*Ginseng Radix*) Gancao (*Glycyrrhizae Radix et Rhizoma*, honey-fried) Fuzi (*Aconiti Lateralis Radix Praeparata*, processed) Ganjiang (*Zingiberis Rhizoma*, stir-fried) Baizhu (*Atractylodis Macrocephalae Rhizoma*, stir-fried, each 1 qian).
This formula is indicated for frequent and urgent panting and coughing upon slight movement, with a slow and fine pulse, caused by Spleen and Lung deficiency-cold and phlegm-saliva congestion.
This syndrome is deficiency, and the pulse indicates cold. Deficiency requires tonification; Renshen, Baizhu, and Gancao are used to tonify deficiency; Cold requires warming; Ganjiang and Fuzi are used to warm cold.