治风痰不下,喉中声如牵锯,或中湿肿满。
半夏(大者,十四枚) 猪牙皂角(一挺,炙) 甘草(一钱) 白矾(二钱)
上四味研末,用生姜自然汁少许,冲温水一盏,调末一钱,灌之,得吐痰涎,即醒。
柯韵伯曰∶攻邪有汗、吐、下三法。仲景于吐剂立栀豉、瓜蒂二方,所以导热邪之外出,
逐
气
也
之
进
吐
(《金匮》)
火逆上气,咽喉不利,止逆下气者主之。
麦门冬(七升) 半夏(一升) 人参(三两) 甘草(二两) 粳米(三合) 大枣
(十
二枚)
上六味,以水一二斗,煮取六升,温服一升,日三夜一服。
喻嘉言曰∶此方治胃中津液干枯,虚火上炎,治本之良法也。夫用降火之药而火反升,
用寒
凡肺病,有胃气则生,无胃气则死。胃气者,肺之母气也。本草有知母之名者,谓肺藉其清
凉,知清凉为肺之母也。有贝母之名者,谓肺藉其豁痰,豁痰为肺之母也。然屡施于火逆上
气,咽喉不利之症,而屡不应,名不称矣。孰知仲景妙法,于麦冬、人参、甘草、大枣、粳
米,大补中气以生津液,津液队中,又增入半夏辛温之味,以开胃行津而助润肺,岂特用其
利咽下气哉?顾其利咽下气,非半夏之功,实善用半夏
(合论)
九味羌活汤(一名冲和汤) 四时发散之通剂(合论一条)
羌活 防风 川芎 白芷 细辛 苍术 黄芩 甘草 生地
加生姜三片,葱白三茎,水煎服。
治疗风痰壅盛无法排出,喉间发出如拉锯般的声响,或者因中湿导致身体肿胀满闷。
半夏(大的十四枚) 猪牙皂角(一挺,炙烤) 甘草(一钱) 白矾(二钱)
以上四味药研成粉末,用少许生姜自然汁,冲入温水一盏,调取药末一钱,灌服患者,若能吐出痰涎,患者即可苏醒。
柯韵伯说:攻逐邪气有汗、吐、下三种治法。张仲景在吐剂中设立了栀子豉汤和瓜蒂散两个方子,用来引导热邪向外排出,从而驱逐气机逆乱。
《金匮要略》记载:
火邪上逆导致气机上冲,咽喉干燥不利,以本方为主进行治疗。
麦门冬(七升) 半夏(一升) 人参(三两) 甘草(二两) 粳米(三合) 大枣(十二枚)
以上六味药,用水一二斗,煮取六升药液,每次温服一升,白天服三次,夜间服一次。
喻嘉言说:这个方子是治疗胃中津液干枯、虚火上炎的根本良法。使用降火的药物而火反而上升,使用寒凉的药物……凡是肺病,有胃气则生,无胃气则死。胃气,是肺的母气。本草中有知母这个名字,是说肺借助它的清凉特性,知道清凉是肺的母气来源。有贝母这个名字,是说肺借助它豁除痰浊的作用,认为豁痰是肺的母气来源。然而,对于火逆上气、咽喉不利的病症,屡次使用这些药物却屡次无效,名实不符。哪里知道张仲景的妙法在于,用麦冬、人参、甘草、大枣、粳米大补中气以生津液,在生津液的队伍中,又加入半夏辛温的味道,来开胃行津并辅助润肺,这难道仅仅是利用它利咽下气的功效吗?看它利咽下气的作用,并非半夏本身的功劳,而是善于运用半夏的结果。
九味羌活汤(又名冲和汤) 四季发散通用的方剂(合论一条)
羌活 防风 川芎 白芷 细辛 苍术 黄芩 甘草 生地
加生姜三片,葱白三茎,水煎后服用。
Treats wind-phlegm obstruction where phlegm cannot be expelled, with a sawing sound in the throat, or swelling and fullness due to dampness invasion.
Banxia (Pinelliae Rhizoma, large ones, 14 pieces) Zhuya Zaojiao (Gleditsiae Sinensis Fructus Spina, one stick, roasted) Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian) Baifan (Alumen, 2 qian).
The above four herbs are ground into powder. Mix a small amount of fresh ginger juice with one cup of warm water, add one qian of the powder, and administer by gavage. If the patient vomits phlegm and saliva, they will regain consciousness.
Ke Yunbo stated: To attack pathogenic factors, there are three methods: sweating, vomiting, and purging. Zhang Zhongjing established two formulas for emetic therapy—Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) and Gouti San (Melon Seed Powder)—to guide heat pathogens outwards and rectify qi stagnation.
*Jin Gui Yao Lue* records:
For fire-ni (rebellious qi) causing upward rushing of qi and unsmoothness of the throat, this formula is the primary treatment.
Maimendong (Ophiopogonis Radix, 7 sheng) Banxia (Pinelliae Rhizoma, 1 sheng) Renshen (Ginseng Radix, 3 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang) Jingmi (Oryza Sativa Semen, 3 he) Dazao (Ziziphi Jujubae Fructus, 12 pieces).
The above six herbs are boiled in one to two dou of water until six sheng remain. Take one sheng warm each time, three times during the day and once at night.
Yu Jiayan stated: This formula is an excellent method for treating dryness of stomach fluids and defluxion of deficient fire. Using fire-descending drugs causes fire to rise further; using cold drugs... For all lung diseases, life depends on Stomach Qi, and death occurs without it. Stomach Qi is the mother Qi of the Lung. The herb Zhimu (Anemarrhenae Rhizoma) implies that the Lung relies on its cooling nature, recognizing cooling as the mother of the Lung. Beimu (Fritillariae Bulbus) implies that the Lung relies on its ability to resolve phlegm, recognizing phlegm-resolution as the mother of the Lung. However, repeatedly applying these to cases of fire-ni with upward qi rush and throat unsmoothness yields no effect, making their names inappropriate. Who would know that Zhang Zhongjing's brilliant method lies in using Maimendong, Renshen, Gancao, Dazao, and Jingmi to greatly tonify Middle Qi to generate fluids. Within this fluid-generating group, Banxia (Pinelliae Rhizoma) with its acrid-warm nature is added to open the stomach, move fluids, and assist moistening the lungs. Is this merely using its ability to soothe the throat and descend rebellious qi? Regarding its ability to soothe the throat and descend qi, this is not actually Banxia's merit, but rather the skillful application of Banxia.
Jiuwei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction) (Also known as Chonghe Tang): A universal formula for dispersing pathogens in all four seasons (Combined discussion, one entry).
Qianghuo (Notopterygii Rhizoma et Radix) Fangfeng (Saposhnikoviae Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma) Baizhi (Angelicae Dahuricae Radix) Xixin (Asari Radix et Rhizoma) Cangzhu (Atractylodis Rhizoma) Huangqin (Scutellariae Radix) Gancao (Glycyrrhizae Radix et Rhizoma) Shengdi (Rehmanniae Radix).
Add three slices of Shengjiang (Zingiberis Rhizoma Recens) and three stalks of Congbai (Allii Fistulosi Bulbus), decoct in water, and take orally.