论曰伤寒上气者,肺主气,手太阴是其经也,病患肺气夙有不调,又遇寒热邪气。伤于
其经,则胀而气逆不下,故令上气。
治伤寒后上气,喉咽不利,胸膈多痰气逆。半夏汤方
半夏(汤洗七遍炒干一两) 桂(去粗皮半两) 甘草(炙一分) 槟榔(锉三分) 陈
橘皮(汤浸去白焙) 枳壳(去瓤麸炒各半两)
上六味,粗捣筛,每服五钱匕,用水一盏半,生姜一分拍碎,同煎至八分,去滓食后温
服。
治伤寒后上气烦满,客热在脏,干呕,口中生疮,不得饮食。竹茹汤方
青竹茹 葛根(各一两) 半夏(汤洗七遍焙干) 麦门冬(去心焙各三分) 甘草 陈
橘皮(汤洗去白焙各半两)
上六味,粗捣筛,每服五钱匕,水一盏半,生姜一分拍碎,同煎至八分,去滓食后温服。
治伤寒后饮水多,卒上气发热。贝母汤方
贝母(炮去心) 桑根白皮(锉) 款冬花(各一两) 甘草(炙一分) 陈橘皮(汤
浸去白焙半两)
上五味,粗捣筛,每服五钱匕,水一盏半,竹叶三七片,同煎至八分,去滓食后温服。
治伤寒后上气咳嗽。止嗽丸方
干姜(炮) 皂荚(涂酥炙令黄去皮子) 桂(去粗皮)
上三味,等分,捣罗为末,炼蜜和杵三五百下,丸如梧桐子大,每服二十丸,食后米饮
下,日二。
治伤寒后上气,咳嗽多痰,腹胁虚胀。大腹皮丸方
大腹皮 杏仁(汤浸去皮尖双仁炒研如膏各一两半) 桑根白皮 诃黎勒皮 半夏(汤
洗七遍炒干) 葶苈(隔纸炒) 前胡(去芦头各一两) 枳实(麸炒) 防己(各半两) 紫
菀(去苗土三分)
上一十味,捣罗九味为末,入杏仁膏同研令匀,炼蜜和杵三五百下,丸如梧桐了大。每
服食后,煎生姜枣汤,下十五丸,日二服。
治伤寒肺壅,上气多痰。葶苈丸方
葶苈(隔纸微炒一两) 杏仁(汤浸去皮尖双仁炒黄别研一两) 防己(一两半) 赤
茯苓(去黑皮一两) 甘草(炙半两)
上五味,捣罗四味为末,入杏仁同研匀,以枣肉和丸,如梧桐子大,每服二十丸。食后
煎桑白皮汤下,日二,微利即止。
治伤寒后上气咳嗽。白前丸方
白前 贝母(炮去心) 人参 紫菀(去苗土各一两) 款冬花(三分) 桑根白皮(炙
锉) 葶苈(隔纸微炒) 杏仁(汤浸去皮尖双仁炒黄别研如膏各一两半)
上八味,捣罗七味为末,入杏仁同研匀,炼蜜和杵三五百下,丸如梧桐子大,每服十五
丸,食后米饮下,渐加至二十丸。
治伤寒后,心肺热,上气喘逆。天门冬丸方
天门冬(去心焙) 白茯苓(去黑皮) 杏仁(汤浸去皮尖双仁炒黄别研各一两) 贝
母(去心) 生干地黄(焙) 甘草(炙锉) 人参 乌梅肉(炒各半两)
上八味,捣罗七味为末,入杏仁研令匀,炼蜜和,更杵三五百下,丸如弹子大,食后含
化一丸,咽津,日可三五丸。
治伤寒后上气喘粗,身面肿,小便涩。葶苈汤方
葶苈(隔纸微炒半两) 大枣(去核五枚)
上二味,用水一大盏,煎至半盏去滓,不计时候温服。
治伤寒后伤肺,咳唾有血,胸胁胀满,上气羸瘦。麦门冬汤方
麦门冬(去心焙) 桑根白皮(炙锉) 生干地黄(各一两) 半夏(汤洗七遍焙干) 紫
菀(去苗土) 桔梗(炒)淡竹茹 麻黄(去根节各三分) 五味子 甘草(炙各半两)
上一十味,粗捣筛,每服五钱匕,水一盏半,生姜一分拍碎,枣三枚劈破,同煎至七分,
去滓食后温服。
治伤寒心肺有热,咳嗽上气,喉中作声,痰涕口干。贝母丸方
贝母(去心二两) 甘草(炙三分) 旋复花(半两) 杏仁(汤浸去皮尖双仁研如膏
四两) 天门冬(去心焙一两)
上五味,捣罗四味为末,入杏仁同研匀,炼蜜和杵三五百下,丸如弹子大,每食后含化
一丸,津咽。
治伤寒后脾胃气不和,食饮无味,上气壅闷。诃黎勒丸方
诃黎勒(炮去核) 半夏(汤洗七遍焙干炒) 白术(各一两) 槟榔锉 枳壳(去瓤
麸炒各半两) 人参 芍药 桂(去粗皮各三分)
上八味,捣罗为末,炼蜜和杵三五百下,丸如梧桐子大,每服二十丸,食后生姜汤下、
日
论述说:伤寒导致上气(呼吸急促、气逆)的机理,是因为肺主司一身之气,手太阴肺经是其所属经脉。如果患者肺气素来不调,又遭遇寒热邪气侵袭其经脉,就会导致肺部胀满,气机逆乱而不能下行,从而引发上气症状。
治疗伤寒后出现上气、咽喉不利、胸膈多痰且气逆的半夏汤方:
半夏(用汤水洗七遍,炒干,一两)、桂枝(去除粗皮,半两)、甘草(炙制,一分)、槟榔(锉碎,三分)、陈皮(用汤浸泡,去白瓤,焙干)、枳壳(去瓤,麸炒,各半两)。
以上六味药,捣碎并筛成粗末,每次服用五钱匕,用水一盏半,生姜一分拍碎,一同煎煮至八分,去渣,饭后温服。
治疗伤寒后出现上气烦闷、客热在脏、干呕、口中生疮、不能饮食的竹茹汤方:
青竹茹、葛根(各一两)、半夏(用汤水洗七遍,焙干)、麦门冬(去心,焙,各三分)、甘草、陈皮(用汤洗去白瓤,焙,各半两)。
以上六味药,捣碎并筛成粗末,每次服用五钱匕,用水一盏半,生姜一分拍碎,一同煎煮至八分,去渣,饭后温服。
治疗伤寒后因饮水过多,突然发作上气并伴有发热的贝母汤方:
贝母(炮制,去心)、桑根白皮(锉碎)、款冬花(各一两)、甘草(炙制,一分)、陈皮(用汤浸泡,去白瓤,焙,半两)。
以上五味药,捣碎并筛成粗末,每次服用五钱匕,用水一盏半,竹叶三十七片,一同煎煮至八分,去渣,饭后温服。
治疗伤寒后出现上气咳嗽的止嗽丸方:
干姜(炮制)、皂荚(涂酥炙至黄色,去皮子)、桂枝(去除粗皮)。
以上三味药,等分,捣罗成细末,用炼蜜调和,杵捣三五百下,制成梧桐子大小的丸剂,每次服用二十丸,饭后用米饮送下,每日两次。
治疗伤寒后出现上气、咳嗽多痰、腹胁虚胀的大腹皮丸方:
大腹皮、杏仁(用汤浸泡,去皮尖双仁,炒研如膏,各一两半)、桑根白皮、诃黎勒皮、半夏(用汤水洗七遍,炒干)、葶苈子(隔纸炒)、前胡(去芦头,各一两)、枳实(麸炒)、防己(各半两)、紫菀(去苗土,三分)。
以上十味药,将除杏仁外的九味药捣罗成细末,加入杏仁膏同研均匀,用炼蜜调和,杵捣三五百下,制成梧桐子大小的丸剂。每次饭后,煎生姜枣汤,送服十五丸,每日两次。
治疗伤寒导致肺壅塞、上气多痰的葶苈丸方:
葶苈子(隔纸微炒,一两)、杏仁(用汤浸泡,去皮尖双仁,炒黄,另研,一两)、防己(一两半)、赤茯苓(去黑皮,一两)、甘草(炙制,半两)。
以上五味药,将除杏仁外的四味药捣罗成细末,加入杏仁同研均匀,以枣肉和丸,制成梧桐子大小的丸剂,每次服用二十丸。饭后煎桑白皮汤送服,每日两次,若出现轻微腹泻即停药。
治疗伤寒后出现上气咳嗽的白前丸方:
白前、贝母(炮制,去心)、人参、紫菀(去苗土,各一两)、款冬花(三分)、桑根白皮(炙制,锉碎)、葶苈子(隔纸微炒)、杏仁(用汤浸泡,去皮尖双仁,炒黄,另研如膏,各一两半)。
以上八味药,将除杏仁外的七味药捣罗成细末,加入杏仁同研均匀,用炼蜜调和,杵捣三五百下,制成梧桐子大小的丸剂,每次服用十五丸,饭后用米饮送下,逐渐加量至二十丸。
治疗伤寒后心肺有热、上气喘逆的天门冬丸方:
天门冬(去心,焙)、白茯苓(去黑皮)、杏仁(用汤浸泡,去皮尖双仁,炒黄,另研,各一两)、贝母(去心)、生干地黄(焙)、甘草(炙制,锉碎)、人参、乌梅肉(炒,各半两)。
以上八味药,将除杏仁外的七味药捣罗成细末,加入杏仁研匀,用炼蜜调和,再杵捣三五百下,制成弹子大小的丸剂,饭后含化一丸,咽下津液,每日可服用三到五丸。
治疗伤寒后出现上气喘促、身面浮肿、小便涩滞的葶苈汤方:
葶苈子(隔纸微炒,半两)、大枣(去核,五枚)。
以上两味药,用水一大盏,煎至半盏,去渣,不拘时候温服。
治疗伤寒后伤肺,咳唾带血,胸胁胀满,上气消瘦的麦门冬汤方:
麦门冬(去心,焙)、桑根白皮(炙制,锉碎)、生干地黄(各一两)、半夏(用汤水洗七遍,焙干)、紫菀(去苗土)、桔梗(炒)、淡竹茹、麻黄(去根节,各三分)、五味子、甘草(炙制,各半两)。
以上十味药,捣碎并筛成粗末,每次服用五钱匕,用水一盏半,生姜一分拍碎,大枣三枚劈破,一同煎煮至七分,去渣,饭后温服。
治疗伤寒后心肺有热,咳嗽上气,喉中作声,痰涕口干,口舌生疮的贝母丸方:
贝母(去心,二两)、甘草(炙制,三分)、旋复花(半两)、杏仁(用汤浸泡,去皮尖双仁,研如膏,四两)、天门冬(去心,焙,一两)。
以上五味药,将除杏仁外的四味药捣罗成细末,加入杏仁同研均匀,用炼蜜调和,杵捣三五百下,制成弹子大小的丸剂,每餐后含化一丸,咽下津液。
治疗伤寒后脾胃气机不和,饮食无味,上气壅闷的诃黎勒丸方:
诃黎勒(炮制,去核)、半夏(用汤水洗七遍,焙干,炒)、白术(各一两)、槟榔(锉碎)、枳壳(去瓤,麸炒,各半两)、人参、芍药、桂枝(去除粗皮,各三分)。
以上八味药,捣罗成细末,用炼蜜调和,杵捣三五百下,制成梧桐子大小的丸剂,每次服用二十丸,饭后用生姜汤送服,每日两次。
Commentary states: The mechanism of Shangqi (upper qi / dyspnea with qi rebellion) caused by Shanghan (cold damage) lies in the fact that the Lung governs Qi, and the Hand-Taiyin Lung Meridian is its associated channel. If a patient's Lung Qi has been chronically disordered, and they are subsequently exposed to cold or heat pathogenic factors invading this meridian, it leads to pulmonary distension and rebellious Qi that fails to descend, thereby causing Shangqi symptoms.
Banxia Tang (Pinellia Decoction), for treating Shangqi, throat obstruction, excessive phlegm in the chest and diaphragm, and Qi rebellion after Shanghan:
Banxia (Pinelliae Rhizoma, washed seven times with decoction, stir-fried until dry, 1 liang); Guizhi (Cinnamomi Ramulus, remove coarse bark, 0.5 liang); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 fen); Binglang (Arecae Semen, crushed, 3 fen); Chenpi (Citri Reticulatae Pericarpium, soaked in water, peel removed, dried); Zhike (Aurantii Fructus Immaturus, pulp removed, bran-fried, each 0.5 liang).
The above six herbs are coarsely pounded and sifted. Each dose consists of 5 qianbi (approx. 5-7 grams), boiled with 1.5 zhan (approx. 300 ml) of water and 1 fen of smashed fresh ginger. Decoct until reduced to 0.8 zhan, strain, and take warm after meals.
Zhuru Tang (Bamboo Shavings Decoction), for treating Shangqi, vexation and fullness, latent heat in the viscera, dry retching, oral ulcers, and inability to eat after Shanghan:
Qingzhuru (Bambusa Textilis var. Multiplex Caulis internodium, green bamboo shavings); Gegen (Puerariae Lobatae Radix, each 1 liang); Banxia (Pinelliae Rhizoma, washed seven times with decoction, baked dry); Maimendong (Ophiopogonis Radix, core removed, baked, each 3 fen); Gancao (Glycyrrhizae Radix et Rhizoma); Chenpi (Citri Reticulatae Pericarpium, washed in water, white pith removed, dried, each 0.5 liang).
The above six herbs are coarsely pounded and sifted. Each dose consists of 5 qianbi, boiled with 1.5 zhan of water and 1 fen of smashed fresh ginger. Decoct until reduced to 0.8 zhan, strain, and take warm after meals.
Beimu Tang (Fritillaria Decoction), for treating sudden onset of Shangqi and fever due to excessive water intake after Shanghan:
Beimu (Fritillariae Cirrhosae Bulbus, processed, core removed); Sangbaipipi (Mori Cortex, crushed); Kuandonghua (Farfarae Flos, each 1 liang); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 fen); Chenpi (Citri Reticulatae Pericarpium, soaked in water, peel removed, dried, 0.5 liang).
The above five herbs are coarsely pounded and sifted. Each dose consists of 5 qianbi, boiled with 1.5 zhan of water and 37 leaves of Zhu Ye (Bambusa Textilis var. Multiplex Folium). Decoct until reduced to 0.8 zhan, strain, and take warm after meals.
Zhisou Wan (Stop Cough Pill), for treating Shangqi and cough after Shanghan:
Ganjiang (Zingiberis Rhizoma, processed); Zhaojiao (Gleditsiae Sinensis Spina, coated with butter, fried until yellow, skin and seeds removed); Guizhi (Cinnamomi Ramulus, remove coarse bark).
The above three herbs are used in equal proportions, pounded into fine powder, mixed with refined honey, and pounded 300-500 times. Form pills the size of Sophora japonica seeds. Take 20 pills per dose, swallowed with rice drink after meals, twice daily.
Dafupi Wan (Aquilariae Stipe Pill), for treating Shangqi, cough with excessive phlegm, and deficiency-type distension in the abdomen and hypochondrium after Shanghan:
Dafupi (Aquilariae Stipes); Xingren (Armeniacae Semen Amarum, soaked in water, skin and pointed ends removed, double-kernel, stir-fried, ground into paste, each 1.5 liang); Sangbaipipi (Mori Cortex); Helilepi (Terminaliae Chebulae Pericarpium); Banxia (Pinelliae Rhizoma, washed seven times with decoction, stir-fried until dry); Tinglizi (Descurainiae Semen seu Lepidii Semen, stir-fried between papers); Qianhu (Peucedani Radix, remove rhizome, each 1 liang); Zhishi (Aurantii Fructus Immaturus, bran-fried); Fangji (Stephaniae Tetrandrae Radix, each 0.5 liang); Ziwan (Asternis Radix, remove seedlings and soil, 3 fen).
The above ten herbs: Pound nine herbs (excluding Xingren) into fine powder, mix evenly with Xingren paste, combine with refined honey, and pound 300-500 times. Form pills the size of Sophora japonica seeds. After meals, swallow 15 pills with a decoction of fresh ginger and jujube, twice daily.
Tinglizi Wan (Descurainia Seed Pill), for treating Lung congestion and excessive phlegm with Shangqi after Shanghan:
Tinglizi (Descurainiae Semen seu Lepidii Semen, lightly stir-fried between papers, 1 liang); Xingren (Armeniacae Semen Amarum, soaked in water, skin and pointed ends removed, double-kernel, stir-fried until yellow, separately ground, 1 liang); Fangji (Stephaniae Tetrandrae Radix, 1.5 liang); Chifuling (Poria Cocos with Red Skin, remove black skin, 1 liang); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 liang).
The above five herbs: Pound four herbs (excluding Xingren) into fine powder, mix evenly with Xingren, and form pills using date flesh, sized like Sophora japonica seeds. Take 20 pills per dose. Swallow with a decoction of Sangbaipipi (Mori Cortex) after meals, twice daily. Stop if mild diarrhea occurs.
Baiqian Wan (Cynanchi Stauntonii Radix Pill), for treating Shangqi and cough after Shanghan:
Baiqian (Cynanchi Stauntonii Radix); Beimu (Fritillariae Cirrhosae Bulbus, processed, core removed); Renshen (Ginseng Radix et Rhizoma); Ziwan (Asternis Radix, remove seedlings and soil, each 1 liang); Kuandonghua (Farfarae Flos, 3 fen); Sangbaipipi (Mori Cortex, honey-fried, crushed); Tinglizi (Descurainiae Semen seu Lepidii Semen, lightly stir-fried between papers); Xingren (Armeniacae Semen Amarum, soaked in water, skin and pointed ends removed, double-kernel, stir-fried until yellow, separately ground into paste, each 1.5 liang).
The above eight herbs: Pound seven herbs (excluding Xingren) into fine powder, mix evenly with Xingren, combine with refined honey, and pound 300-500 times. Form pills the size of Sophora japonica seeds. Take 15 pills per dose, swallowed with rice drink after meals, gradually increasing to 20 pills.
Tianmendong Wan (Asparagi Radix Pill), for treating heat in the Heart and Lung, and rebellious Qi with panting after Shanghan:
Tianmendong (Asparagi Radix, core removed, baked); Baifuling (Poria Cocos, remove black skin); Xingren (Armeniacae Semen Amarum, soaked in water, skin and pointed ends removed, double-kernel, stir-fried until yellow, separately ground, each 1 liang); Beimu (Fritillariae Cirrhosae Bulbus, core removed); Shenggan Dihuang (Rehmanniae Radix Preparata, baked); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, crushed); Renshen (Ginseng Radix et Rhizoma); Wumei Rou (Mume Fructus Pulpa, stir-fried, each 0.5 liang).
The above eight herbs: Pound seven herbs (excluding Xingren) into fine powder, mix evenly with Xingren, combine with refined honey, and pound 300-500 times. Form pills the size of a bullet. Let one pill melt in the mouth after meals, swallowing the saliva; take 3-5 pills daily.
Tinglizi Tang (Descurainia Seed Decoction), for treating rapid breathing with Shangqi, edema of the body and face, and difficult urination after Shanghan:
Tinglizi (Descurainiae Semen seu Lepidii Semen, lightly stir-fried between papers, 0.5 liang); Dazao (Jujubae Fructus, pits removed, 5 pieces).
The above two herbs are boiled in 1 zhan of water until reduced to 0.5 zhan. Strain and take warm at any time.
Maimendong Tang (Ophiopogon Decoction), for treating Lung injury after Shanghan, characterized by hemoptysis, chest and hypochondriac fullness, Shangqi, and emaciation:
Maimendong (Ophiopogonis Radix, core removed, baked); Sangbaipipi (Mori Cortex, honey-fried, crushed); Shenggan Dihuang (Rehmanniae Radix Preparata, baked, each 1 liang); Banxia (Pinelliae Rhizoma, washed seven times with decoction, baked dry); Ziwan (Asternis Radix, remove seedlings and soil); Jiegeng (Platycodonis Radix, stir-fried); Danzhuru (Bambusa Textilis var. Multiplex Caulis internodium, pale bamboo shavings); Mahuang (Ephedrae Herba, remove root joints, each 3 fen); Wuweizi (Schisandrae Chinensis Fructus); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 0.5 liang).
The above ten herbs are coarsely pounded and sifted. Each dose consists of 5 qianbi, boiled with 1.5 zhan of water, 1 fen of smashed fresh ginger, and 3 cracked jujubes. Decoct until reduced to 0.7 zhan, strain, and take warm after meals.
Beimu Wan (Fritillaria Pill), for treating heat in the Heart and Lung after Shanghan, characterized by cough, Shangqi, stridor in the throat, phlegm, nasal discharge, dry mouth, and oral ulcers:
Beimu (Fritillariae Cirrhosae Bulbus, core removed, 2 liang); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 fen); Xuanjinhua (Inulae Flos, 0.5 liang); Xingren (Armeniacae Semen Amarum, soaked in water, skin and pointed ends removed, double-kernel, ground into paste, 4 liang); Tianmendong (Asparagi Radix, core removed, baked, 1 liang).
The above five herbs: Pound four herbs (excluding Xingren) into fine powder, mix evenly with Xingren, combine with refined honey, and pound 300-500 times. Form pills the size of a bullet. Let one pill melt in the mouth after each meal, swallowing the saliva.
Helile Wan (Terminalia Chebula Pill), for treating disharmony of Spleen and Stomach Qi, loss of taste in food and drink, and Qi stagnation with oppression after Shanghan:
Helile (Terminaliae Chebulae Fructus, processed, pit removed); Banxia (Pinelliae Rhizoma, washed seven times with decoction, baked dry, stir-fried); Baizhu (Atractylodis Macrocephalae Rhizoma, each 1 liang); Binglang (Arecae Semen, crushed); Zhike (Aurantii Fructus Immaturus, pulp removed, bran-fried, each 0.5 liang); Renshen (Ginseng Radix et Rhizoma); Shaoyao (Paeoniae Radix Alba); Guizhi (Cinnamomi Ramulus, remove coarse bark, each 3 fen).
The above eight herbs are pounded into fine powder, combined with refined honey, and pounded 300-500 times. Form pills the size of Sophora japonica seeds. Take 20 pills per dose, swallowed with fresh ginger decoction after meals, twice daily.