论曰肺主气,上通于喉咙,肺经客寒,则喉咙不利,痰唾凝结,气道奔迫,喘息有声,
如水鸡。
治上气咳嗽,喉中作声,坐卧不得,半夏丸方
半夏(汤浸去滑生姜汁制切焙) 紫菀(去苗土) 桑根白皮(锉各一两) 款冬花 射
干陈橘皮(汤浸去白焙) 百部 五味子(各三分) 细辛(去苗叶半两) 赤茯苓(去
黑皮) 贝母(炒去心各三分) 皂荚(酥炙黄去皮子三分) 杏仁(汤浸去皮尖双仁一两
半)
上一十三味,捣罗为末。炼蜜和杵数百下。丸如梧桐子大,每服三十丸。食后前灯心生
姜枣汤下。日再服。
治咳逆上气,胸中痞塞,卧不安席,咽中如水鸡声,投杯汤方
款冬花 甘草(炙锉各一两) 桂(去粗皮) 麻黄(去节各二两) 干姜(炮三两) 紫
菀(去苗土) 细辛(去苗叶各一两) 半夏(生姜汁一宿汤洗切焙二两) 杏仁(汤浸去
皮尖双仁炒半两)
上九味,粗捣筛,每服五钱匕,水一盏半,入大枣五枚去核,同煎至八分,去滓温服,
日再,服讫卧,令汗出,数日内勿饱食。
治咳而上气,喉中如水鸡声。射干汤方
射干(二两) 麻黄(去节) 细辛(去苗叶各四两) 五味子(炒) 紫菀(去苗土)
半夏(汤洗七遍生姜
上八味。粗捣筛,每服五钱匕,水一盏半,入大枣三枚去核,同煎至八分,去滓温服、
日三。
治上气胸满,喉中不利,如水鸡声,其脉浮者,浓朴石膏汤方
浓朴(去节四两) 杏仁(汤浸去皮尖双仁炒四两) 细辛(去苗叶) 半夏(汤洗七
遍生姜制炒干) 干姜(炮各二两) 五味子(二两半炒)
上八味,粗捣筛,每服五钱匕,水一盏,更用水研小麦,取汁一小盏,同煎至一盏。去
滓温服、日二。
治上气呀嗽,喉中如水鸡声,前胡丸方
前胡(去苗一两一分) 葶苈(隔纸炒紫色研如膏) 巴豆(去皮心研各三分) 大黄
(锉炒一两一
上六味,除葶苈巴豆外,捣罗为末,再研匀,炼蜜和丸,如梧桐子。每日空腹粥饮下三
丸,吐利痰涎为度,若吐利多,即减九数,三日一服。
治咳逆喉中如水鸡声,贝母汤方
贝母(去心炒一两) 麻黄(去节锉二两) 桂(去粗皮二两) 半夏(汤洗七遍去滑
生姜汁制炒干
上六味,粗捣筛,每服三钱匕,水一盏,煎至六分,去滓温服。日三。
治上气脉浮咳逆,喉中如水鸡声。喘息不通呼吸,状甚危者。麻黄汤方
麻黄(去节煮掠去沫焙八两) 甘草(微炙四两) 大枣(三十枚去核) 射干(二两)
上四味, 咀,每服五钱匕,井华水一盏半,煎至八分。去滓温服,日三夜一。
治久逆上气,胸满,喉中如水鸡声。小投杯汤方
麻黄(去节四两) 浓朴(去粗皮生姜汁炙五两) 石膏(四两碎) 杏仁(汤浸去皮
尖双仁三两)
上四味, 咀,每服五钱匕,水一盏半,先入小麦半合,煎候小麦熟,即去麦,入药末,
煎至八分,去滓温服。日三夜一,咳嗽甚者,加五味子半夏各三两。干姜二两。
论述说:肺主司气,向上通达于喉咙。若肺经受寒邪侵袭,则会导致喉咙不利,痰液与唾液凝结,气道急促紧迫,出现喘息并伴有声响,声音如同水鸡(青蛙)鸣叫。
治疗上气咳嗽,喉中发出声响,坐卧不安的半夏丸方:
半夏(用热水浸泡去除滑腻,用生姜汁炮制,切片焙干)一两,紫菀(去根和泥土)一两,桑白皮(锉碎)一两,款冬花一两,射干一两,陈橘皮(热水浸泡去白瓤后焙干)一两,百部一两,五味子各三分,细辛(去根叶)半两,赤茯苓(去黑皮)一两,贝母(炒去心)各三分,皂荚(用酥油炙至黄色,去皮去籽)三分,杏仁(热水浸泡去皮尖及双仁者)一两半。
以上十三味药,捣碎过筛成粉末。用炼蜜调和,杵击数百下。制成梧桐子大小的丸剂,每次服用三十丸。饭后用前胡、生姜、大枣煎汤送服。每日服用两次。
治疗咳逆上气,胸中痞塞感,躺卧不安,咽喉中有如水鸡声的投杯汤方:
款冬花一两,甘草(炙后锉碎)一两,桂枝(去粗皮)二两,麻黄(去节)二两,干姜(炮制)三两,紫菀(去根土)一两,细辛(去根叶)一两,半夏(用生姜汁浸泡一夜,热水洗净切片焙干)二两,杏仁(热水浸泡去皮尖及双仁,炒制)半两。
以上九味药,粗捣筛过,每次取五钱匕的药量,加水一盏半,放入五枚去核的大枣,一同煎煮至八分满,滤去药渣,温服。每日两次,服药后卧床休息,令其出汗,数日内不要吃得过饱。
治疗咳嗽且上气,喉中发出如水鸡声的射干汤方:
射干二两,麻黄(去节),细辛(去根叶)四两,五味子(炒制),紫菀(去根土),半夏(热水洗七遍,用生姜汁制)。
以上八味药,粗捣筛过,每次取五钱匕的药量,加水一盏半,放入三枚去核的大枣,一同煎煮至八分满,滤去药渣,温服。每日三次。
治疗上气胸满,喉咙不利,声音如水鸡声,脉象浮大的浓朴石膏汤方:
厚朴(去粗皮)四两,杏仁(热水浸泡去皮尖及双仁,炒制)四两,细辛(去根叶),半夏(热水洗七遍,用生姜汁制炒干),干姜(炮制)各二两,五味子(炒制)二两半。
以上八味药,粗捣筛过,每次取五钱匕的药量,加水一盏,另用水研磨小麦,取汁一小盏,与药同煎至一盏满。滤去药渣,温服。每日两次。
治疗上气呀嗽(气喘伴咳嗽),喉中发出如水鸡声的前胡丸方:
前胡(去根)一两一分,葶苈子(隔纸炒至紫色,研如膏状),巴豆(去皮心,研)各三分,大黄(锉碎炒制)一两一钱。
以上六味药,除葶苈子和巴豆外,其余捣碎过筛成粉末,再均匀研磨。用炼蜜调和制成梧桐子大小的丸剂。每日空腹时,用米粥饮送服三丸,以吐出或泻出痰涎为度。如果吐利过多,则减少剂量,每三天服用一次。
治疗咳逆喉中发出如水鸡声的贝母汤方:
贝母(去心炒制)一两,麻黄(去节锉碎)二两,桂枝(去粗皮)二两,半夏(热水洗七遍去滑腻,用生姜汁制炒干)。
以上六味药,粗捣筛过,每次取三钱匕的药量,加水一盏,煎煮至六分满,滤去药渣,温服。每日三次。
治疗上气脉浮、咳逆,喉中发出如水鸡声,喘息不通呼吸,情况危急的麻黄汤方:
麻黄(去节,煮去浮沫,焙干)八两,甘草(微炙)四两,大枣(三十枚,去核),射干二两。
以上四味药,切碎,每次取五钱匕的药量,用井华水(清晨第一次汲取的井水)一盏半,煎煮至八分满。滤去药渣,温服。每日三次,夜间一次。
治疗久病逆气上冲,胸满,喉中发出如水鸡声的小投杯汤方:
麻黄(去节)四两,厚朴(去粗皮,用生姜汁炙)五两,石膏(打碎)四两,杏仁(热水浸泡去皮尖及双仁)三两。
以上四味药,切碎,每次取五钱匕的药量,加水一盏半,先放入半合小麦,煎至小麦熟透,即去掉小麦,加入药末,煎煮至八分满,滤去药渣,温服。每日三次,夜间一次。若咳嗽严重,可加五味子、半夏各三两,干姜二两。
Commentary states: The Lung governs Qi and connects upward to the throat. When pathogenic Cold invades the Lung meridian, it causes obstruction in the throat, condensation of phlegm and saliva, urgency and compression of the airway, resulting in panting with sounds resembling those of a water chicken (frog).
Banxia Wan Formula for treating Upper Qi coughing, sounds in the throat, and inability to sit or lie comfortably:
Banxia (Pinelliae Rhizoma) one liang, processed by soaking in hot water to remove slipperiness, then prepared with Shengjiang juice (Zingiberis Recens Juice), sliced and dried; Ziwan (Asternae Radix) one liang, roots and soil removed; Sangbaipí (Mori Cortex) one liang, chopped; Kuandonghua (Farflos Flos) one liang; Shaygan (Belamcandae Rhizoma) one liang; Chenjupi (Citri Reticulatae Pericarpium) one liang, soaked in hot water, white pith removed, then dried; Bubu (Stemonae Radix) one liang; Wuweizi (Schisandrae Fructus) three fen each; Xixin (Asari Radix et Rhizoma) half a liang, roots and leaves removed; Chifuling (Poria cum Ligno Rubrum) one liang, black skin removed; Beimu (Fritillariae Cirrhosae Bulbus) three fen each, stir-fried and heart removed; Zaojia (Gleditsiae Spina) three fen, roasted with Su (lard) until yellow, skin and seeds removed; Xingren (Armeniacae Semen Amarum) one liang and half a qian, soaked in hot water, skin and tips removed, using double-kernel ones.
The above thirteen ingredients are crushed, sifted into powder. Mixed with refined honey and pounded for hundreds of strokes. Formed into pills the size of Sophora seeds. Take thirty pills per dose. Administer after meals with a decoction of Qianhu (Peucedani Radix), Shengjiang (Zingiberis Rhizoma), and Dazao (Jujubae Fructus). Take twice daily.
Toube Tang Formula for treating rebellious Qi and coughing, chest oppression, restlessness in lying down, and sounds in the throat like a water chicken:
Kuandonghua (Farflos Flos) one liang; Gancao (Glycyrrhizae Radix et Rhizoma) one liang, roasted and chopped; Gui (Cinnamomi Ramulus) two liang, coarse bark removed; Mahuang (Ephedrae Herba) two liang, joints removed; Ganjiang (Zingiberis Rhizoma) three liang, processed; Ziwan (Asternae Radix) one liang, roots and soil removed; Xixin (Asari Radix et Rhizoma) one liang, roots and leaves removed; Banxia (Pinelliae Rhizoma) two liang, soaked overnight in Shengjiang juice, washed in hot water, sliced and dried; Xingren (Armeniacae Semen Amarum) half a liang, soaked in hot water, skin and tips removed, double-kernel ones used, stir-fried.
The above nine ingredients are coarsely crushed and sieved. Take five qianbi (a measure of weight) per dose, add one dan and a half of water, five dates (Dazao) pitted, and decoct together until reduced to eight parts. Strain and take warm. Take twice daily. After taking, lie down to induce sweating. Avoid overeating for several days.
Shegan Tang Formula for treating cough with rebellious Qi and sounds in the throat like a water chicken:
Shegan (Belamcandae Rhizoma) two liang; Mahuang (Ephedrae Herba), joints removed; Xixin (Asari Radix et Rhizoma) four liang, roots and leaves removed; Wuweizi (Schisandrae Fructus), stir-fried; Ziwan (Asternae Radix), roots and soil removed; Banxia (Pinelliae Rhizoma), washed seven times in hot water, prepared with Shengjiang juice.
The above eight ingredients are coarsely crushed and sieved. Take five qianbi per dose, add one dan and a half of water, three dates (Dazao) pitted, and decoct together until reduced to eight parts. Strain and take warm. Take three times daily.
Houpo Shigao Tang Formula for treating Upper Qi with chest fullness, throat obstruction, sounds like a water chicken, and a floating pulse:
Houpo (Magnoliae Officinalis Cortex) four liang, coarse bark removed; Xingren (Armeniacae Semen Amarum) four liang, soaked in hot water, skin and tips removed, double-kernel ones used, stir-fried; Xixin (Asari Radix et Rhizoma), roots and leaves removed; Banxia (Pinelliae Rhizoma), washed seven times in hot water, prepared with Shengjiang juice and stir-fried dry; Ganjiang (Zingiberis Rhizoma) two liang each, processed; Wuweizi (Schisandrae Fructus) two liang and half a qian, stir-fried.
The above eight ingredients are coarsely crushed and sieved. Take five qianbi per dose, add one dan of water. Separately, grind Xiaomai (Tritici Fructus) with water to obtain a small dan of juice. Add this juice to the medicine and decoct until reduced to one dan. Strain and take warm. Take twice daily.
Qianhu Wan Formula for treating Upper Qi with wheezing cough and sounds in the throat like a water chicken:
Qianhu (Peucedani Radix) one liang and one fen, roots removed; Tinglizi (Descurainiae Semen seu Lepidii Semen) one portion, stir-fried between papers until purple, ground into paste; Badou (Crotonis Fructus) three fen, skin and heart removed, ground; Dahuang (Rhei Radix et Rhizoma) one liang and one qian, chopped and stir-fried.
The above six ingredients, excluding Tinglizi and Badou, are crushed, sifted into powder, and ground uniformly. Mixed with refined honey to form pills the size of Sophora seeds. Take three pills on an empty stomach daily with porridge drink. Continue until phlegm and saliva are vomited or purged. If vomiting or purging is excessive, reduce the dosage. Take once every three days.
Beimu Tang Formula for treating rebellious Qi and coughing with sounds in the throat like a water chicken:
Beimu (Fritillariae Cirrhosae Bulbus) one liang, heart removed and stir-fried; Mahuang (Ephedrae Herba) two liang, joints removed and chopped; Gui (Cinnamomi Ramulus) two liang, coarse bark removed; Banxia (Pinelliae Rhizoma), washed seven times in hot water to remove slipperiness, prepared with Shengjiang juice and stir-fried dry.
The above six ingredients are coarsely crushed and sieved. Take three qianbi per dose, add one dan of water, and decoct until reduced to six parts. Strain and take warm. Take three times daily.
Mahuang Tang Formula for treating Upper Qi with floating pulse, rebellious Qi and coughing, sounds in the throat like a water chicken, panting with breathing difficulty, in a critical condition:
Mahuang (Ephedrae Herba) eight liang, joints removed, boiled to skim off foam, then dried; Gancao (Glycyrrhizae Radix et Rhizoma) four liang, slightly roasted; Dazao (Jujubae Fructus) thirty pieces, pitted; Shegan (Belamcandae Rhizoma) two liang.
The above four ingredients are cut into pieces. Take five qianbi per dose, use Jinghua Shui (well water drawn at dawn) one dan and a half, and decoct until reduced to eight parts. Strain and take warm. Take three times daily and once at night.
Xiao Toube Tang Formula for treating chronic rebellious Qi rising, chest fullness, and sounds in the throat like a water chicken:
Mahuang (Ephedrae Herba) four liang, joints removed; Houpo (Magnoliae Officinalis Cortex) five liang, coarse bark removed, roasted with Shengjiang juice; Shigao (Gypsum Fibrosum) four liang, crushed; Xingren (Armeniacae Semen Amarum) three liang, soaked in hot water, skin and tips removed, double-kernel ones used.
The above four ingredients are cut into pieces. Take five qianbi per dose, add one dan and a half of water. First add half he of Xiaomai (Tritici Fructus), decoct until the wheat is cooked, then remove the wheat. Add the herbal powder and decoct until reduced to eight parts. Strain and take warm. Take three times daily and once at night. If coughing is severe, add Wuweizi (Schisandrae Fructus) and Banxia (Pinelliae Rhizoma) three liang each, and Ganjiang (Zingiberis Rhizoma) two liang.