治形实有痰喘热
杏仁 麻黄 石膏 桑皮 陈皮 青皮 甘草
细茶一撮煎服
治痰嗽喘急
杏仁 紫苏 陈皮 青皮 枳壳 甘草 麻黄 知母 桔梗 前胡 黄芩 半夏 桑皮
姜三片细茶一撮煎服
治火气作喘
桑皮 知母 青皮 杏仁 地骨皮 甘草
姜三片煎服
治胃气虚邪
人参 茯苓 阿胶 白术 甘草 杏仁 陈皮 桑皮 五味子 薄桂
水二钟姜三片枣一枚煎服
方见寒门 治同上
治同苏子降气汤
麻黄 杏仁 半夏 片芩 桑白皮 款冬花 甘草 白菜
治同杏苏散
紫苏 桑白皮 麻黄 半夏 杏仁 五味子 甘草 乌梅 大腹皮 干姜 薄荷 陈皮
附哮喘
宜薄滋味治痰为主不用寒凉须带发散此寒包热也
寒包热作喘
麻黄 杏仁 甘草 半夏 桔梗 紫苏 枳壳 桑皮 薄桂
水二钟姜三片煎服
用猪胆七个 硫黄(一两) 取胆汁同黄熬干后用慢火煮待硫黄中清汁出倾于瓷器内冷
定
为末
夫痨瘵之病治疗最难盖起自于心传变五脏非一朝一夕之所成也古有传尸一症种类甚多因
虫啮脏腑患者身发寒热盗汗遗精发干肤燥肠中有块脑后结核咳嗽痰涎咯血肺萎羸瘦困乏或吐
或泻此皆阴虚火动而作也如此多致不救更相传染发作皆因前人相似至于灭门者多有之或有不
染者何盖邪之伤人壮者气盛不能为害怯者则着而成病也由乎人之不谨色欲过度损伤精血必生
阴虚火动之病为害匪轻然欲求生须爱命坚心绝房室息妄想戒恼怒节饮食自培其根尚宜早治或
有生焉者否则肌肉消烁困乏着床虽良医不能治也或问童男室女有患痨病多不救者何也答曰夫
人以气血为本人之病未有不先伤其气血者多因积想在心思虑过当以致损伤心气盖忧愁思虑则
伤心心伤则血逆竭血逆竭则神色先散月水先闭也火既病而不能营养其土故不嗜食脾既病则金
气亏而生嗽嗽久则水气绝而肢体干肾水既枯木无所营养肝气不充故多怒发焦筋痿是病大抵起
自于心传遍五脏故药力不能及以致不救留连岁月虽不遽死亦终必亡而已矣
治疗形体壮实且伴有痰多、气喘、发热的病症:
杏仁、麻黄、石膏、桑白皮、陈皮、青皮、甘草。
取细茶一撮,加水煎煮后服用。
治疗因痰引起的咳嗽和气喘急促:
杏仁、紫苏、陈皮、青皮、枳壳、甘草、麻黄、知母、桔梗、前胡、黄芩、半夏、桑白皮。
加生姜三片、细茶一撮,加水煎煮后服用。
治疗因火气上逆引起的气喘:
桑白皮、知母、青皮、杏仁、地骨皮、甘草。
加生姜三片,加水煎煮后服用。
治疗胃气虚弱兼感外邪:
人参、茯苓、阿胶、白术、甘草、杏仁、陈皮、桑白皮、五味子、薄桂(肉桂)。
加水两钟,生姜三片,大枣一枚,煎煮后服用。
此方见于“咳嗽”门类,用于治疗感冒引起的鼻塞、声音沉重、咳嗽气喘。
此方见于“寒证”门类,治疗同上。
治疗同上:
麻黄、杏仁、甘草。
加水两钟,生姜三片,葱白,煎煮后温服,以出汗为度。
此方同于苏子降气汤:
麻黄、杏仁、半夏、片芩(黄芩)、桑白皮、款冬花、甘草、白菜。
此方同于杏苏散:
紫苏、桑白皮、麻黄、半夏、杏仁、五味子、甘草、乌梅、大腹皮、干姜、薄荷、陈皮。
附注关于哮喘:
宜饮食清淡,以治痰为主,不使用寒凉药物,需配合发散之法,此属寒包热证。
治疗寒包热所致的气喘:
麻黄、杏仁、甘草、半夏、桔梗、紫苏、枳壳、桑白皮、薄桂(肉桂)。
加水两钟,生姜三片,煎煮后服用。
用猪胆七个,硫黄一两。取胆汁与硫黄一同熬干,然后用慢火煮,待硫黄中的清汁析出后,倾倒在瓷器内冷却。
研成粉末。
痨瘵(肺结核)这种疾病,治疗最为困难。它起于心,传变至五脏,并非一朝一夕所能形成。古代有“传尸”这一病症,种类很多。因虫蚀脏腑,患者身体出现寒热交替、盗汗、遗精、毛发干枯、皮肤干燥、肠中有肿块、脑后淋巴结肿大、咳嗽、咳痰涎、咯血、肺萎弱、身体消瘦困乏,或呕吐或腹泻。这些都是由于阴虚火旺所致。如此多的症状往往导致无法救治,且互相传染。发作皆因前人相似之病所致,甚至导致灭门的有很多。也有不染病的,这是因为邪气伤人,正气盛者不能受害,正气怯弱者则受邪致病。这是由于人们不谨慎,色欲过度,损伤精血,必然产生阴虚火旺的疾病,危害不小。然而想要生存必须爱惜生命,坚定心志,断绝房事,平息妄想,戒除恼怒,节制饮食,自我培补根本,尚且适宜早治,或许还有生机。否则肌肉消烁,困乏卧床,即使是良医也不能治愈。有人问:童男室女患痨病多无法救治,为什么呢?回答说:人以气血为本,人的疾病没有不先损伤气血的。多因积想在心,思虑过度,以致损伤心气。忧愁思虑则伤心,心伤则血液逆行枯竭,血液枯竭则神色先散,月经先闭。火既生病而不能滋养脾土,故食欲不振;脾既生病则肺气亏损而生咳嗽;咳嗽久了则肾水枯竭而肢体干枯;肾水既枯,肝木无所营养,肝气不充,故易怒、头发焦枯、筋脉痿软。这种病大致起自于心,传遍五脏,所以药力不能到达,导致无法救治。拖延岁月,虽然不会立即死亡,但最终必定死亡。
To treat conditions characterized by a robust physique accompanied by phlegm, wheezing (asthma), and heat:
Xingren (Apricot Seed), Mahuang (Ephedrae Herba), Shigao (Gypsum Fibrosum), Sangbai Pi (Mori Cortex), Chenpi (Citri Reticulatae Pericarpium), Qingpi (Citri Reticulatae Pericarpium Viride), Gancao (Glycyrrhizae Radix et Rhizoma).
Add one pinch of fine tea (Camelliae Sinensis Folium), decoct in water, and take.
To treat cough and acute wheezing caused by phlegm:
Xingren (Apricot Seed), Zisu (Perillae Folium), Chenpi (Citri Reticulatae Pericarpium), Qingpi (Citri Reticulatae Pericarpium Viride), Zhike (Aurantii Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Mahuang (Ephedrae Herba), Zhimu (Anemarrhenae Rhizoma), Jiegeng (Platycodonis Radix), Qianhu (Peucedani Radix), Huangqin (Scutellariae Radix), Banxia (Pinelliae Rhizoma), Sangbai Pi (Mori Cortex).
Add three slices of fresh ginger (Zingiberis Rhizoma Recens) and one pinch of fine tea (Camelliae Sinensis Folium), decoct in water, and take.
To treat wheezing caused by fire qi ascending:
Sangbai Pi (Mori Cortex), Zhimu (Anemarrhenae Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Xingren (Apricot Seed), Digupi (Lycii Cortex), Gancao (Glycyrrhizae Radix et Rhizoma).
Add three slices of fresh ginger (Zingiberis Rhizoma Recens), decoct in water, and take.
To treat deficiency of stomach qi with external pathogenic factors:
Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Ejiao (Colla Corii Asini), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Xingren (Apricot Seed), Chenpi (Citri Reticulatae Pericarpium), Sangbai Pi (Mori Cortex), Wuweizi (Schisandrae Chinensis Fructus), Bo Gui (Cinnamomi Ramulus).
Add two cups of water, three slices of fresh ginger (Zingiberis Rhizoma Recens), and one jujube (Zizyphi Fructus), decoct, and take.
This formula is found in the "Cough" section, treating nasal congestion, heavy voice, cough, and wheezing due to cold damage (common cold).
This formula is found in the "Cold" section, treating the same as above.
Treating the same as above:
Mahuang (Ephedrae Herba), Xingren (Apricot Seed), Gancao (Glycyrrhizae Radix et Rhizoma).
Add two cups of water, three slices of fresh ginger (Zingiberis Rhizoma Recens), and scallion white (Allii Fistulosi Bulbus), decoct, take warm, until sweating occurs.
This formula is identical to Qianmin Tang (Thousand Silk Decoction):
Gualou Ren (Trichosanthis Semen), Banxia (Pinelliae Rhizoma), Beimu (Fritillariae Cirrhosae Bulbus).
This formula is identical to Suzi Jiangqi Tang (Perilla Fruit Descending Qi Decoction):
Mahuang (Ephedrae Herba), Xingren (Apricot Seed), Banxia (Pinelliae Rhizoma), Pian Qin (Scutellariae Radix), Sangbaipi (Mori Cortex), Kuandonghua (Farfarae Flos), Gancao (Glycyrrhizae Radix et Rhizoma), Baicai (Brassicae Pekinensis Folium).
This formula is identical to Xingsu San (Apricot and Perilla Powder):
Zisu (Perillae Folium), Sangbaipi (Mori Cortex), Mahuang (Ephedrae Herba), Banxia (Pinelliae Rhizoma), Xingren (Apricot Seed), Wuweizi (Schisandrae Chinensis Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Wumei (Mume Fructus), Dafupi (Arecae Catechu Pericarpium), Ganjiang (Zingiberis Rhizoma), Bohe (Menthae Haplocalycis Herba), Chenpi (Citri Reticulatae Pericarpium).
Appendix on Asthma (Wheezing):
Diet should be light; treatment should focus on resolving phlegm. Do not use cold-natured herbs; dispersing methods are required. This is a case of cold wrapping heat.
To treat wheezing caused by cold wrapping heat:
Mahuang (Ephedrae Herba), Xingren (Apricot Seed), Gancao (Glycyrrhizae Radix et Rhizoma), Banxia (Pinelliae Rhizoma), Jiegeng (Platycodonis Radix), Zisu (Perillae Folium), Zhike (Aurantii Fructus), Sangbai Pi (Mori Cortex), Bo Gui (Cinnamomi Ramulus).
Add two cups of water, three slices of fresh ginger (Zingiberis Rhizoma Recens), decoct, and take.
Use seven pig gallbladders and one liang (approx. 37g) of Liuhuang (Realgar or Sulfur? Note: In this context, usually Sulfur/Liu Huang). Extract the bile and boil it together with sulfur until dry. Then simmer slowly over low heat until the clear juice of sulfur emerges. Pour into a porcelain vessel and let cool.
Grind into powder.
The disease of Laozai (Consumption/Tuberculosis) is the most difficult to treat. It originates in the Heart and spreads to the Five Viscera; it does not form overnight. In ancient times, there was a condition called "Chuan Shi" (Transmitting Corpse), with many varieties. Due to worms devouring the viscera, patients exhibit alternating chills and fever, night sweats, seminal emission, dry hair, dry skin, abdominal masses, posterior neck lymphadenopathy, cough, sputum, hemoptysis, lung atrophy, emaciation, fatigue, vomiting, or diarrhea. All these arise from Yin deficiency with hyperactive fire. Such numerous symptoms often lead to untreatable conditions, and they are contagious. Outbreaks occur due to similar preceding illnesses, sometimes leading to the extinction of entire families. Some do not contract it because when pathogens attack, those with strong Qi are unaffected, while those with weak Qi succumb. This results from imprudence, excessive sexual desire, and damage to essence and blood, inevitably causing Yin deficiency with hyperactive fire, which is severely harmful. However, to survive, one must cherish life, strengthen resolve, abstain from sexual intercourse, extinguish delusions, avoid anger, regulate diet, and cultivate the root. Early treatment is advisable; perhaps there is still hope. Otherwise, muscles waste away, fatigue sets in, bedridden states ensue, and even excellent physicians cannot cure them. Someone asked: Why are young men and unmarried women suffering from consumption rarely saved? The answer is: Humans rely on Qi and Blood as their foundation. Diseases invariably damage Qi and Blood first. Often, persistent thoughts and excessive mental labor damage Heart Qi. Worry and anxiety injure the Heart; Heart injury leads to retrograde flow and depletion of blood. When blood is depleted, spirit luster fades first, and menstruation ceases. Fire pathology fails to nourish Earth (Spleen), leading to poor appetite. Spleen pathology depletes Metal (Lung) Qi, causing cough. Prolonged cough exhausts Water (Kidney) Qi, leading to dry limbs. With Kidney Water exhausted, Wood (Liver) lacks nourishment; Liver Qi is insufficient, causing irritability, brittle hair, and flaccid sinews. This disease generally originates in the Heart and spreads through all Five Viscera; thus, medicinal efficacy cannot reach the source, leading to untreatability. Lingering for years, although death is not immediate, eventual demise is certain.