论曰乳石之发,如火炎上,热气腾涌,熏蒸胸膈。入于肺中,气壅不散,使人胸满短气
,上喘咳嗽,不得安卧。
治乳石发,肺胀气急,呀嗽喘粗,不得安卧。紫菀汤方
紫菀(去苗土一两半) 甘草(炙半两) 赤茯苓(去黑皮一两半) 槟榔(锉五枚) 葶
苈子
(纸上炒一两)
上五味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓空心温服。
治乳石发,热冲头面,口干喘嗽。麦门冬汤方
生麦门冬(去心焙) 葳蕤(去根) 石膏(碎各二两) 葛根(锉三两)
上四味,粗捣筛,每服五钱匕,水一盏半,入葱白三茎切,同煎至一盏去滓。入生地黄
汁二合,更煎三两沸,食后分温二服,日再。
治乳石发,上气肺热,呀嗽多涕唾。贝母汤方
贝母(去心一两) 麦门冬(去心焙三两) 杏仁(汤浸去皮心双仁炒二十枚) 生姜
(切焙) 石膏(碎各一两) 黄芩(去黑心半两) 甘草(炙锉一两) 五味子 白术(锉
各半两) 淡竹
叶(一握切)
上一十味,粗捣筛,每服五钱匕,水一盏半,煎至一盏去滓,下蜜二钱搅匀,空心温服。
若取利,入芒硝一字,汤成下。
治乳石上气,呀嗽不得卧,卧即气绝。葶苈丸方
葶苈子(纸上微炒半两) 芸苔子(拣净) 马兜铃(锉) 紫菀(去苗土) 人参(各
一两)
杏仁(汤去皮尖双仁炒二十枚) 皂荚(酥炙去黑皮并子半两) 白前 甘草(炙锉) 防
己(各
一两)
上一十味,捣罗为末,炼蜜和捣令熟,丸如梧桐子大,空心米饮下二十丸。
治乳石发,定肺气,止喘嗽。天门冬煎方
天门冬(去心绞汁二两) 生地黄(绞汁四两) 生姜(去皮绞汁二两) 杏仁(汤去
皮尖双
仁研如膏二两) 白蜜(二两) 牛酥(三两) 百部 款冬花 紫菀(去苗土) 麻黄(去
根节别
捣各二两) 升麻(三两) 甘草(炙二两)
上一十二味,将后六味各捣为末,先以水五盏。煎麻黄末三钱匕去沫,下五药末五钱匕
,煎至四盏,绞去滓,澄滤于铜器中,以微火煎至三盏,次下天门冬汁地黄汁各二合,更煎
减至二盏,下姜汁二合更煎减至一盏,下杏仁膏酥蜜等各半合,搅令匀稠,置不津器中,每
服取半鸡子壳许,含化咽津,日四五服。
治乳石发热喘嗽。方
豉(二合)
上以水三盏,渍取汁,分温三服,早晨日午晡时各一服,服讫卧少时。
论述说:乳石药性发作,如同火焰向上燃烧,热气升腾涌动,熏蒸胸膈部位。热气进入肺中,导致气机壅滞不散,使人出现胸部胀满、呼吸短促,进而引发上逆喘息、咳嗽,无法安稳躺卧。
治疗乳石药性发作引起的肺胀、气息急促,伴有张口抬肩的剧烈咳嗽、喘息粗重,无法安稳躺卧的症状。紫菀汤方:
紫菀(去除苗土一两半) 甘草(炙制半两) 赤茯苓(去除黑皮一两半) 槟榔(锉碎五枚) 葶苈子(在纸上炒制一两)
以上五味药,捣碎并筛过,每次服用三钱匕,用水一盏,煎煮至七分水量,滤去药渣,空腹温服。
治疗乳石药性发作,热气冲撞头面部,口干、喘息、咳嗽的症状。麦门冬汤方:
生麦门冬(去除心焙干) 玉竹(即葳蕤,去除根) 石膏(打碎各二两) 葛根(锉碎三两)
以上四味药,捣碎并筛过,每次服用五钱匕,用水一盏半,加入切段的葱白三茎,一同煎煮至一盏水量,滤去药渣。加入新鲜地黄汁二合,再煎煮两三沸,饭后分两次温服,每日两次。
治疗乳石药性发作,气逆上冲、肺热,伴有张口抬肩的剧烈咳嗽、多涕唾的症状。贝母汤方:
贝母(去除心一两) 麦门冬(去除心焙干三两) 杏仁(热水浸泡去皮尖及双仁部分,炒制二十枚) 生姜(切片焙干) 石膏(打碎各一两) 黄芩(去除黑心半两) 甘草(炙制锉碎一两) 五味子 白术(锉碎各半两) 淡竹叶(一握切碎)
以上十味药,捣碎并筛过,每次服用五钱匕,用水一盏半,煎煮至一盏水量,滤去药渣,加入蜂蜜二钱搅匀,空腹温服。
如果需要通利大便,可加入芒硝一字量,在药汤煎成后加入。
治疗乳石药性引起的气逆上冲,张口抬肩的剧烈咳嗽且无法躺卧,一旦躺卧就感觉气息断绝的症状。葶苈丸方:
葶苈子(在纸上微炒半两) 芸苔子(拣选干净) 马兜铃(锉碎) 紫菀(去除苗土) 人参(各一两) 杏仁(热水去皮尖及双仁部分,炒制二十枚) 皂荚(用酥油炙制,去除黑皮及种子半两) 白前 甘草(炙制锉碎) 防己(各一两)
以上十味药,捣碎过筛成粉末,用炼蜜调和并捣熟,制成如梧桐子大小的丸剂,空腹时用米饮送服二十丸。
治疗乳石药性发作,平定肺气,停止喘息咳嗽。天门冬煎方:
天门冬(去除心绞取汁二两) 生地黄(绞取汁四两) 生姜(去皮绞取汁二两) 杏仁(热水去皮尖及双仁部分,研磨如膏状二两) 白蜜(二两) 牛酥(三两) 百部 款冬花 紫菀(去除苗土) 麻黄(去除根节,单独捣碎各二两) 升麻(三两) 甘草(炙制二两)
以上十二味药,将后六味药分别捣成粉末。先用水五盏,煎煮麻黄末三钱匕,撇去浮沫,加入其余五种药末五钱匕,煎煮至四盏水量,绞去药渣,澄清过滤到铜器中,用微火煎煮至三盏水量,接着加入天门冬汁和地黄汁各二合,再煎煮减少至二盏水量,加入姜汁二合继续煎煮减少至一盏水量,最后加入杏仁膏、酥、蜜等各半合,搅拌使其均匀浓稠,放入不渗水的容器中。每次服用半个鸡蛋壳量的药膏,含化咽下津液,每日四五次。
治疗乳石药性发热、喘息、咳嗽的方剂:
豆豉(二合)
以上药物用水三盏,浸泡取汁,分三次温服,分别在早晨、中午、傍晚时分各服一次,服完后躺卧片刻。
Discourse states: The eruption of Lu Shi (mineral drugs) acts like fire blazing upwards, with hot qi surging and steaming the chest and diaphragm. Entering the Lungs, it causes Qi stagnation and obstruction, leading to chest fullness and shortness of breath, upward rebellious wheezing, coughing, and an inability to lie down peacefully.
For treating Lu Shi eruption causing Lung distension, rapid breathing, open-mouthed coarse coughing and wheezing, and inability to lie down peacefully. Zi Wan Tang (Aster Decoction):
Zi Wan (Asteris Radix et Rhizoma, remove seedlings and soil, 1.5 liang) Gan Cao (Licorice Root, honey-fried, 0.5 liang) Chi Fu Ling (Red Poria, remove black skin, 1.5 liang) Bing Lang (Areca Seed, crushed, 5 pieces) Ting Li Zi (Descurainiae Semen Lepidii Semen, stir-fried on paper, 1 liang)
The above five herbs are coarsely pounded and sifted. Each dose consists of 3 qian bi, decocted in one zhan of water until reduced to 0.7 zhan. Strain the dregs and take warm on an empty stomach.
For treating Lu Shi eruption where heat rushes to the head and face, accompanied by dry mouth, wheezing, and coughing. Mai Men Dong Tang (Ophiopogon Decoction):
Sheng Mai Men Dong (Ophiopogonis Radix, remove heart and roast) Wei Rui (Polygonati Odorati Rhizoma, remove roots) Shi Gao (Gypsum Fibrosum, crushed, each 2 liang) Ge Gen (Puerariae Lobatae Radix, crushed, 3 liang)
The above four herbs are coarsely pounded and sifted. Each dose consists of 5 qian bi, decocted in 1.5 zhan of water with three cut stalks of Cong Bai (Allii Fistulosi Bulbus). Decoct until reduced to one zhan, strain the dregs. Add Sheng Di Huang Zhi (fresh juice of Rehmanniae Radix, 2 he), boil for two or three boils, and take warm in two doses after meals, twice daily.
For treating Lu Shi eruption causing upper Qi rebellion, Lung heat, open-mouthed severe coughing, and excessive phlegm and saliva. Bei Mu Tang (Fritillaria Decoction):
Bei Mu (Fritillariae Cirrhosae Bulbus, remove heart, 1 liang) Mai Men Dong (Ophiopogonis Radix, remove heart and roast, 3 liang) Xing Ren (Pruni Armeniaci Semen, soak in hot water, remove skin and tip, use twin kernels, stir-fry, 20 pieces) Sheng Jiang (Zingiberis Rhizoma Recens, slice and roast) Shi Gao (Gypsum Fibrosum, crushed, each 1 liang) Huang Qin (Scutellariae Radix, remove black heart, 0.5 liang) Gan Cao (Licorice Root, honey-fried and crushed, 1 liang) Wu Wei Zi (Schisandrae Chinensis Fructus) Bai Zhu (Atractylodis Macrocephalae Rhizoma, crushed, each 0.5 liang) Dan Zhu Ye (Bambusae Folium, one handful, cut)
The above ten herbs are coarsely pounded and sifted. Each dose consists of 5 qian bi, decocted in 1.5 zhan of water until reduced to one zhan. Strain the dregs, add 2 qian of Mi Feng (honey), mix well, and take warm on an empty stomach.
If purgation is desired, add Mang Xiao (Natrii Sulfas, one zi amount) when the decoction is ready.
For treating Lu Shi-induced upper Qi rebellion, open-mouthed severe coughing with inability to lie down, where lying down causes a sensation of breath cessation. Ting Li Wan (Descurainia Pill):
Ting Li Zi (Descurainiae Semen Lepidii Semen, lightly stir-fried on paper, 0.5 liang) Yun Tai Zi (Brassicae Pekinensis Semen, selected clean) Ma Dou Ling (Aristolochiae Radix, crushed) Zi Wan (Asteris Radix et Rhizoma, remove seedlings and soil) Ren Shen (Ginseng Radix et Rhizoma, each 1 liang) Xing Ren (Pruni Armeniaci Semen, remove skin and tip, use twin kernels, stir-fry, 20 pieces) Zao Jia (Gleditsiae Sinensis Fructus, fry in butter, remove black skin and seeds, 0.5 liang) Bai Qian (Cynanchi Stauntonii Rhizoma et Radix) Gan Cao (Licorice Root, honey-fried and crushed) Fang Ji (Stephaniae Tetrandrae Radix, each 1 liang)
The above ten herbs are pounded into powder using a mortar and sieve. Mix with refined honey, pound until smooth, and form pills the size of Sophora japonica seeds. Take 20 pills with Mi Yin (rice drink) on an empty stomach.
For treating Lu Shi eruption, calming Lung Qi, and stopping wheezing and coughing. Tian Men Dong Jian (Asparagus Decoction Paste):
Tian Men Dong (Asparagi Radix, remove heart, extract juice, 2 liang) Sheng Di Huang (Rehmanniae Radix, extract juice, 4 liang) Sheng Jiang (Zingiberis Rhizoma Recens, peel and extract juice, 2 liang) Xing Ren (Pruni Armeniaci Semen, remove skin and tip, use twin kernels, grind into paste, 2 liang) Bai Mi (white honey, 2 liang) Niu Su (Bovis Butter, 3 liang) Bai Bu (Stemona Radix) Kuan Dong Hua (Farfarae Flos) Zi Wan (Asteris Radix et Rhizoma, remove seedlings and soil) Ma Huang (Ephedrae Herba, remove root joints, pound separately, each 2 liang) Sheng Ma (Cimicifugae Rhizoma, 3 liang) Gan Cao (Licorice Root, honey-fried, 2 liang)
The above twelve herbs: Pound the latter six herbs into powder separately. First, use five zhan of water to decoct 3 qian bi of Ma Huang powder, skim off the foam. Add five qian bi of the other five herb powders. Decoct until reduced to four zhan. Strain and filter into a copper vessel. Simmer over low heat until reduced to three zhan. Then add 2 he each of Tian Men Dong juice and Di Huang juice. Decoct until reduced to two zhan. Add 2 he of Jiang Zhi (ginger juice) and decoct until reduced to one zhan. Finally, add 0.5 he each of Xing Ren Gao (almond paste), Niu Su, and Bai Mi. Stir until uniform and thick. Store in a non-leaking container. Each dose is half the volume of a chicken eggshell, held in the mouth to dissolve and swallow the saliva. Take four to five times daily.
Formula for treating Lu Shi fever, wheezing, and coughing:
Chi Dou (Fermented Soybean, 2 he)
Soak the above herb in three zhan of water to extract the juice. Divide into three warm doses. Take one dose at morning, noon, and dusk. Lie down for a short time after taking.