论曰咳嗽唾脓血者,由肺感寒气,咳嗽,伤于阳脉也,心主血,肺主气,血随气行。气
上逆故咳而有血。寒邪壅热,与肺间津液相搏,凝滞蕴结,故又为脓,因咳而咯唾脓血也。
治肺寒外内合邪,咳嗽,语声不出,口中如含霜雪,停饮寒痰。咽喉妨闷,状若梅核,
噎塞不通,膈气痞气服之并效,相敷丸方
天门冬(去心焙) 麦门冬(去心焙) 贝母(去心焙) 紫菀(去土) 百合 桔梗
炒人参 杏仁(汤浸去皮尖双仁炒) 生干地黄(焙) 桂(去粗皮) 半夏(汤煮软切
焙干) 甘草(炙) 阿胶(炒至沸) 陈橘
上一十四味,同捣罗为末,煮糯米粉,并黄蜡一两成粥。更入蜜再熬匀,和前药如樱桃
大。每服一丸,同生姜细嚼下,嗽时服,咳嗽脓血,服之大效。
治积年咳嗽,唾脓血。喘急不得卧。款冬花丸方
款冬花 石斛(去根) 紫菀(去苗土) 细辛(去苗叶) 防风(去叉) 芎 人
参当归(切焙) 本(去苗土) 甘草(炙锉) 蜀椒(去目并闭口炒出汗) 白术(锉)
天雄(炮裂去皮脐) 菖蒲(切) 麻黄(去根节汤煮掠出沫各二两) 半夏(汤洗七遍去
滑焙生姜汁制二两) 桂(去粗皮) 独活(去芦头锉各半两) 芫花(醋浸炒干) 钟乳
粉(研) 桃仁(汤浸去皮尖双仁研各二两)
上二十一味,除别研外,捣罗为末和匀,炼蜜和丸,如梧桐子大,每服二十丸,煎桑根
白皮汤下。日三夜一。
治咳嗽唾脓血。及肺痿羸瘦。涎涕稠粘。蛤蚧丸方
蛤蚧(二对涂酥炙) 人参 芸苔子 桔梗(炒) 知母(焙) 紫苏茎叶 猪牙皂荚
(酥炙) 鳖甲(去裙 醋炙) 槟榔(锉) 白前(各一两半) 柴胡(去苗二两) 防
己杏仁汤(去皮尖双仁炒) 羚羊角(镑) 郁李仁(炒去皮) 紫菀(去苗土) 猪苓
(去黑皮各一两半) 甜葶苈(隔纸炒半两)
上一十八味。捣罗为末,炼蜜和丸,如梧桐子大,每服十丸至十五丸。食后煎人参汤下、
日三。
治咳嗽上喘唾脓血,胸膈不利。咽喉肿痛。百部丸方
百部焙 款冬花去梗 天门冬切焙 贝母去心 桔梗炒 紫菀去苗土各半两
上六味,捣罗为末,炼蜜和丸,如梧桐子大,每服二十丸,甘草乌梅汤下,食后临卧服
治咳唾脓血。款冬花汤方
款冬花(一两) 不 皂荚一挺(去黑皮酥炙) 杏仁(汤浸去皮尖双仁麸炒二两) 黄
明胶(炙令燥一片) 甘草(炙锉) 贝母(去心各一两) 知母(焙半两) 麻黄(去根
节汤煮掠去沫三两)
上八味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,日三夜一。
治咳逆唾脓血。咽喉闷寒,胸满上气,不能饮食。卧则短气,补肺汤方
款冬花(三两) 桂(去粗皮) 钟乳粉(研) 干姜(炮裂) 白石英(各三两) 麦
门冬(去心焙四两) 五
上八味,除研者外,粗捣筛,每服五钱匕,水一盏半,入枣二枚劈,粳米数十粒,煎至
一盏,去滓温服。日二夜一。
治年深咳嗽唾脓血。贯众汤方
贯众(锉) 苏枋木(锉各一两)
上二味。粗捣筛,每服三钱匕,水一盏,入生姜二片,同煎至七分,去滓温服,日三。
治咳嗽唾脓血痰涎。桑白皮汤方
桑根白皮(炙锉) 麦门冬(去心焙) 款冬花(各一两) 贝母(去心) 甘草(炙
锉) 黄明胶(炙令燥各
上六味。粗捣筛,每服三钱匕,水一盏,煎至八分,去滓温服、日三。
治咳嗽多痰,上喘唾脓血。莱菔子煎方
莱菔子(烂研半两) 桃仁(去皮尖双仁研如膏) 杏仁(去皮尖双仁研如膏) 蜜酥 饧
(各一两)
上六味,慢火同煎。如稀饧。每服半匙,沸汤化下,不拘时候。
治咳嗽咯脓血。蛤蚧汤方
蛤蚧(酒浸酥炙) 知母(焙) 贝母(炮) 鹿角胶(炙令燥) 甘草(炙锉) 杏
仁(汤浸去皮尖双仁炒)
上一十味。粗捣筛,每服三钱匕,水一盏半,煎至八分,去滓不拘时候温服。
治咳嗽唾脓血,连胸膈痛,五味子汤方
五味子(炒) 生干地黄(焙) 桑根白皮(炙锉各一两) 桔梗(炒) 紫菀(去苗
土) 续断 甘草(炙锉
上八味。粗捣筛,每服三钱匕,入竹茹少许,水一盏半,煎至八分,去滓温服,日三夜
一。
治咳嗽唾脓血,百部丸方
百部(炒三两) 升麻 桂(去粗皮) 五味子(炒) 甘草(炙锉) 紫菀(去苗土)
桑根白皮(炙锉各一
上七味,捣罗为末,炼蜜和丸,如梧桐子大,每服二十丸,粥饮下,日三夜一。
治久患咳嗽,肺虚吐血,将成劳瘵,薤白汤方
鳖甲(去裙 醋炙) 阿胶(炙令燥各二两) 鹿角胶(炙令燥) 甘草(炙锉各一两)
上四味,粗捣筛,每服二钱匕,水一盏,入薤白二寸,同煎至七分,去滓食后临卧服。
治咳嗽咯血,喘满肺痿,栝蒌汤方
栝蒌(一枚取瓤入蛤粉一匙同炒黄) 马兜铃(炒) 防己 葛根(锉) 贝母(去心)
甘草 杏仁(汤
上八味。粗捣筛,每服三钱匕,水一盏,蜜半匙,煎至七分,去滓温服,日三夜一。
治咳嗽脓血,胸膈满痞,全不思食,紫菀汤方
紫菀(去苗土) 款冬花(去梗) 杏仁(去皮尖双仁炒令黄) 生干地黄 麻黄(去
节) 甘草(炙锉) 秦艽(去苗土) 桑根白皮(炙锉) 黄明胶(炒燥) 马兜铃 糯
米
上一十一味,等分,粗捣筛,每服五钱匕,水一盏半,入枣三枚劈,同煎至八分,去滓
食后温服。
治肺气壅热,咳嗽上气,或吐脓血,杏仁汤方
杏仁(去皮尖双仁炒黄) 桑根白皮(炙锉) 柴胡(去苗各三分) 甘草(炙锉) 麻
黄(去根节) 桔梗(去芦头炒) 款冬花(去梗) 紫菀(去苗土) 半夏(汤洗去滑生
姜汁制焙) 茜根(锉) 黄连(去须各半两
上一十一味,粗捣筛,每服五钱匕,水一盏半,生姜三片,煎至八片,去滓温服。
论述:咳嗽并吐出脓血的症状,是由于肺部感受寒气所致。咳嗽损伤了阳脉,心主司血液,肺主司气,血液随着气的运行而流动。当气机上逆时,就会引发咳嗽并伴有出血。寒邪郁结化热,与肺中的津液相互搏结,凝滞蕴积,从而形成脓液,因此在咳嗽时会咯吐脓血。
治疗因肺寒导致内外邪气相合,出现咳嗽、声音嘶哑甚至失声,口中感觉像含着霜雪,体内停聚饮邪和寒痰,咽喉部有阻塞感,状如梅核,噎塞不通,以及膈气、痞气等症状,服用此方均有效。即“相敷丸”方:
天门冬(去除心部,焙干) 麦门冬(去除心部,焙干) 贝母(去除心部,焙干) 紫菀(去除泥土) 百合 桔梗 炒人参 杏仁(用汤浸泡,去皮尖,保留双仁,炒制) 生干地黄(焙干) 桂枝(去除粗皮) 半夏(用汤煮软后切片,焙干) 甘草(炙制) 阿胶(炒至沸腾) 陈橘皮
以上十四味药,共同捣碎过筛成粉末,煮糯米粉,加入一两黄蜡制成粥状。再加入蜂蜜熬匀,与前药混合制成如樱桃大小的丸剂。每次服用一丸,配合生姜细嚼后送服,在咳嗽时服用,对咳嗽脓血疗效显著。
治疗多年慢性咳嗽,咯吐脓血,气喘急促无法平卧。即“款冬花丸”方:
款冬花 石斛(去除根部) 紫菀(去除苗土) 细辛(去除苗叶) 防风(去除叉枝) 川芎 人参 当归(切片焙干) 藁本(去除苗土) 甘草(炙制锉碎) 蜀椒(去除目及闭口,炒至出汗) 白术(锉碎) 天雄(炮裂,去皮脐) 石菖蒲(切片) 麻黄(去除根节,用汤煮撇去浮沫,各二两) 半夏(用汤洗七遍去除滑腻,焙干,用生姜汁炮制,二两) 桂枝(去除粗皮) 独活(去除芦头,锉碎,各半两) 芫花(醋浸,炒干) 钟乳粉(研细) 桃仁(用汤浸泡,去皮尖,保留双仁,研碎,各二两)
以上二十一味药,除需单独研磨的药材外,其余捣碎过筛混合均匀,用炼蜜调和制成丸剂,大小如梧桐子。每次服用二十丸,煎桑根白皮汤送服。每日三次,夜间一次。
治疗咳嗽咯吐脓血,以及肺痿导致的身体消瘦,涎涕粘稠。即“蛤蚧丸”方:
蛤蚧(两对,涂酥炙烤) 人参 芸苔子 桔梗(炒制) 知母(焙干) 紫苏茎叶 猪牙皂荚(酥炙) 鳖甲(去除裙边,醋炙) 槟榔(锉碎) 白前(各一两半) 柴胡(去除苗,二两) 防己 杏仁(用汤浸泡,去皮尖,保留双仁,炒制) 羚羊角(镑片) 郁李仁(炒制,去皮) 紫菀(去除苗土) 猪苓(去除黑皮,各一两半) 甜葶苈(隔纸炒制,半两)
以上十八味药,捣碎过筛成粉末,用炼蜜调和制成丸剂,大小如梧桐子。每次服用十丸至十五丸。饭后煎人参汤送服,每日三次。
治疗咳嗽上喘,咯吐脓血,胸膈不适,咽喉肿痛。即“百部丸”方:
百部(焙干) 款冬花(去除梗) 天门冬(切片焙干) 贝母(去除心) 桔梗(炒制) 紫菀(去除苗土,各半两)
以上六味药,捣碎过筛成粉末,用炼蜜调和制成丸剂,大小如梧桐子。每次服用二十丸,用甘草乌梅汤送服,饭后临睡前服用。
治疗咳唾脓血。即“款冬花汤”方:
款冬花(一两) 皂荚一根(去除黑皮,酥炙) 杏仁(用汤浸泡,去皮尖,保留双仁,麸炒,二两) 黄明胶(炙烤至干燥,一片) 甘草(炙制锉碎) 贝母(去除心,各一两) 知母(焙干,半两) 麻黄(去除根节,用汤煮撇去浮沫,三两)
以上八味药,粗捣筛过,每次服用三钱匕,加水一盏,煎至七分,去渣温服,每日三次,夜间一次。
治疗咳逆咯吐脓血,咽喉闷寒,胸满气逆,不能饮食。躺下时呼吸短促。即“补肺汤”方:
款冬花(三两) 桂枝(去除粗皮) 钟乳粉(研细) 干姜(炮裂) 白石英(各三两) 麦门冬(去除心,焙干,四两)
以上八味药(原文此处数字有误,实为七味或漏列一味,依原文列出),除需研磨者外,粗捣筛过,每次服用五钱匕,加水一盏半,放入劈开的红枣两枚,粳米数十粒,煎至一盏,去渣温服。每日两次,夜间一次。
治疗年久咳嗽,咯吐脓血。即“贯众汤”方:
贯众(锉碎) 苏枋木(锉碎,各一两)
以上两味药,粗捣筛过,每次服用三钱匕,加水一盏,放入生姜两片,同煎至七分,去渣温服,每日三次。
治疗咳嗽咯吐脓血痰涎。即“桑白皮汤”方:
桑根白皮(炙制锉碎) 麦门冬(去除心,焙干) 款冬花(各一两) 贝母(去除心) 甘草(炙制锉碎) 黄明胶(炙烤至干燥,各...原文此处字数缺失,依常理推测为等分或特定剂量,按原文处理)
以上六味药,粗捣筛过,每次服用三钱匕,加水一盏,煎至八分,去渣温服,每日三次。
治疗咳嗽多痰,上喘咯吐脓血。即“莱菔子煎”方:
莱菔子(烂研,半两) 桃仁(去皮尖,保留双仁,研如膏状) 杏仁(去皮尖,保留双仁,研如膏状) 蜜酥 饴糖(各一两)
以上六味药,用慢火同煎。呈稀饴糖状。每次服用半匙,用沸水化开送服,不限时候。
治疗咳嗽咯吐脓血。即“蛤蚧汤”方:
蛤蚧(酒浸,酥炙) 知母(焙干) 贝母(炮制) 鹿角胶(炙烤至干燥) 甘草(炙制锉碎) 杏仁(用汤浸泡,去皮尖,保留双仁,炒制)
以上十味药(原文此处数字有误,实为六味,依原文列出),粗捣筛过,每次服用三钱匕,加水一盏半,煎至八分,去渣,不限时候温服。
治疗咳嗽咯吐脓血,牵连胸膈疼痛。即“五味子汤”方:
五味子(炒制) 生干地黄(焙干) 桑根白皮(炙制锉碎,各一两) 桔梗(炒制) 紫菀(去除苗土) 续断 甘草(炙制锉碎)
以上八味药,粗捣筛过,每次服用三钱匕,放入少许竹茹,加水一盏半,煎至八分,去渣温服,每日三次,夜间一次。
治疗咳嗽咯吐脓血。即“百部丸”方:
百部(炒制,三两) 升麻 桂枝(去除粗皮) 五味子(炒制) 甘草(炙制锉碎) 紫菀(去除苗土) 桑根白皮(炙制锉碎,各...原文此处字数缺失,依常理推测为等分或特定剂量,按原文处理)
以上七味药,捣碎过筛成粉末,用炼蜜调和制成丸剂,大小如梧桐子。每次服用二十丸,用粥饮送服,每日三次,夜间一次。
治疗长期患咳嗽,肺虚吐血,即将发展为劳瘵(肺结核类疾病)。即“薤白汤”方:
鳖甲(去除裙边,醋炙) 阿胶(炙烤至干燥,各二两) 鹿角胶(炙烤至干燥) 甘草(炙制锉碎,各一两)
以上四味药,粗捣筛过,每次服用二钱匕,加水一盏,放入二寸长的薤白,同煎至七分,去渣,饭后临睡前服用。
治疗咳嗽咯血,喘满肺痿。即“栝蒌汤”方:
栝蒌(一枚,取瓤,加入一匙蛤粉同炒至黄) 马兜铃(炒制) 防己 葛根(锉碎) 贝母(去除心) 甘草 杏仁(用汤...原文此处字数缺失,依常理推测为处理步骤,按原文处理)
以上八味药,粗捣筛过,每次服用三钱匕,加水一盏,蜂蜜半匙,煎至七分,去渣温服,每日三次,夜间一次。
治疗咳嗽咯吐脓血,胸膈满闷痞塞,完全不想进食。即“紫菀汤”方:
紫菀(去除苗土) 款冬花(去除梗) 杏仁(去皮尖,保留双仁,炒至黄色) 生干地黄 麻黄(去除节) 甘草(炙制锉碎) 秦艽(去除苗土) 桑根白皮(炙制锉碎) 黄明胶(炒燥) 马兜铃 糯米
以上十一味药,等分,粗捣筛过,每次服用五钱匕,加水一盏半,放入劈开的红枣三枚,同煎至八分,去渣,饭后温服。
治疗肺气壅滞发热,咳嗽气逆,或吐脓血。即“杏仁汤”方:
杏仁(去皮尖,保留双仁,炒黄) 桑根白皮(炙制锉碎) 柴胡(去除苗,各三分) 甘草(炙制锉碎) 麻黄(去除根节) 桔梗(去除芦头,炒制) 款冬花(去除梗) 紫菀(去除苗土) 半夏(用汤洗去滑腻,生姜汁炮制焙干) 茜根(锉碎) 黄连(去除须,各半两)
以上十一味药,粗捣筛过,每次服用五钱匕,加水一盏半,生姜三片,煎至八分(原文误作八片),去渣温服。
Commentary: The symptom of coughing and expectorating pus and blood is caused by the lung contracting cold pathogenic qi. Coughing damages the yang meridians; the Heart governs blood, and the Lung governs qi; blood flows following the movement of qi. When qi rebels upward, it causes coughing accompanied by bleeding. Cold pathogenic factors stagnate and transform into heat, interacting with the body fluids in the lung, leading to coagulation, stagnation, and accumulation, thereby forming pus. Consequently, pus and blood are expectorated during coughing.
Treatment for conditions where external and internal pathogens combine due to lung cold, manifesting as cough, hoarseness or loss of voice, a sensation of frost and snow in the mouth, retention of fluid and cold phlegm, throat obstruction feeling like a plum pit, dysphagia, and diaphragmatic qi or epigastric fullness. This formula is effective for all such conditions. It is the Xiangfu Wan (Mutual Lubrication Pill) formula:
Asparagi Radix (Tianmendong, 天门冬) [remove heart, roast] Ophiopogonis Radix (Mendong, 麦门冬) [remove heart, roast] Fritillariae Bulbus (Beimu, 贝母) [remove heart, roast] Asteris Radix et Rhizoma (Ziwan, 紫菀) [remove soil] Lilii Bulbus (Baihe, 百合) Platycodonis Radix (Jiegeng, 桔梗) Fried Ginseng Radix et Rhizoma (Chao Renshen, 炒人参) Armeniacae Semen Amarum (Xingren, 杏仁) [soak in water, remove skin and pointed end, keep twin kernels, stir-fry] Raw Rehmanniae Radix (Sheng Digan Di Huang, 生干地黄) [roast] Cinnamomi Ramulus (Gui, 桂枝) [remove rough bark] Pinelliae Tuber (Banxia, 半夏) [boil in water until soft, slice, dry-roast] Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [stir-fry with honey] Colla Corii Asini (Ejiao, 阿胶) [stir-fry until bubbling] Aurantii Fructus Pericarpium (Chenpi, 陈橘皮)
The above fourteen ingredients are crushed, sifted into powder. Glutinous rice flour is boiled, mixed with one tael of beeswax to form a porridge-like consistency. Honey is added and boiled evenly, then mixed with the medicinal powder to form pills the size of cherries. Take one pill each time, chewing finely with fresh ginger before swallowing. Take when coughing occurs; this is highly effective for coughing up pus and blood.
For chronic cough lasting years, expectoration of pus and blood, asthma and urgency making lying down impossible. It is the Kuandonghua Wan (Coltsfoot Flower Pill) formula:
Farflos Flos (Kuandonghua, 款冬花) Dendrobii Caulis (Shihu, 石斛) [remove roots] Asteris Radix et Rhizoma (Ziwan, 紫菀) [remove stems and soil] Asari Radix et Rhizoma (Xixin, 细辛) [remove stems and leaves] Saposhnikoviae Radix (Fangfeng, 防风) [remove forked parts] Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎) Ginseng Radix et Rhizoma (Renshen, 人参) Angelicae Sinensis Radix (Danggui, 当归) [slice and roast] Libostemonis Radix (Gaoben, 藁本) [remove stems and soil] Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [stir-fry and chop] Zanthoxyli Fructus (Shujiao, 蜀椒) [remove eyes and closed mouths, stir-fry until sweat appears] Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) [chop] Aconiti Lateralis Radix Praeparata (Tianxiong, 天雄) [pao-cracked, remove skin and navel] Acori Tatarinowii Rhizoma (Changpu, 石菖蒲) [slice] Ephedrae Herba (Mahuang, 麻黄) [remove root and nodes, boil in water, skim foam, two taels each] Pinelliae Tuber (Banxia, 半夏) [wash seven times in water to remove slipperiness, dry-roast, process with ginger juice, two taels] Cinnamomi Ramulus (Gui, 桂枝) [remove rough bark] Achyranthis Bidentatae Radix (Duhuo, 独活) [remove rhizome head, chop, half a tael each] Genkwa Flos (Yuanhua, 芫花) [soak in vinegar, stir-fry dry] Gypsum Fibrosum (Zhongru Fen, 钟乳粉) [grind fine] Persicae Semen (Taoren, 桃仁) [soak in water, remove skin and pointed end, keep twin kernels, grind, two taels each]
The above twenty-one ingredients, except those requiring separate grinding, are crushed, sifted, and mixed uniformly. Combine with refined honey to form pills the size of phoenix tree seeds. Take twenty pills each time, decocted with Mulbai Decoction (Sanggen Baipi Tang). Three times daily, once at night.
For coughing and expectorating pus and blood, and pulmonary consumptive disease (Fei Wei) resulting in emaciation, thick and sticky saliva and nasal discharge. It is the Gejie Wan (Gecko Pill) formula:
Gekkonis Sanguis (Gejie, 蛤蚧) [two pairs, coat with butter, roast] Ginseng Radix et Rhizoma (Renshen, 人参) Brassicae Pekinensis Semen (Yuntaizi, 芸苔子) Platycodonis Radix (Jiegeng, 桔梗) [stir-fry] Anemarrhenae Rhizoma (Zhimu, 知母) [roast] Perillae Caulis et Folium (Zisu Jingye, 紫苏茎叶) Gleditsiae Sinensis Spina (Zhuyazaojia, 猪牙皂荚) [butter-roast] Testudinis et Carapax et Plastrum (Biejia, 鳖甲) [remove skirt, vinegar-roast] Arecae Semen (Binglang, 槟榔) [chop] Petasitis Radix (Baiqian, 白前) [one and a half taels each] Bupleuri Radix (Chaihu, 柴hu) [remove stems, two taels] Stephaniae Tetrandrae Radix (Fangji, 防己) Armeniacae Semen Amarum (Xingren, 杏仁) [soak in water, remove skin and pointed end, keep twin kernels, stir-fry] Saigae Tataricae Cornu (Lingyangjiao, 羚羊角) [shave] Pruni Semen (Yuliren, 郁李仁) [stir-fry, remove skin] Asteris Radix et Rhizoma (Ziwan, 紫菀) [remove stems and soil] Polypori Parabolica (Zhuling, 猪苓) [remove black skin, one and a half taels each] Thladianthae Fructus (Tinglili, 甜葶苈) [stir-fry between papers, half a tael]
The above eighteen ingredients are crushed, sifted into powder. Combine with refined honey to form pills the size of phoenix tree seeds. Take ten to fifteen pills each time. After meals, take with Ginseng Decoction. Three times daily.
For coughing with upward rebellion of qi, expectoration of pus and blood, chest and diaphragm discomfort, and sore throat and swelling. It is the Baibu Wan (Stemona Pill) formula:
Stemonae Radix (Baibu, 百部) [roast] Farflos Flos (Kuandonghua, 款冬花) [remove stems] Asparagi Radix (Tianmendong, 天门冬) [slice and roast] Fritillariae Bulbus (Beimu, 贝母) [remove heart] Platycodonis Radix (Jiegeng, 桔梗) [stir-fry] Asteris Radix et Rhizoma (Ziwan, 紫菀) [remove stems and soil, half a tael each]
The above six ingredients are crushed, sifted into powder. Combine with refined honey to form pills the size of phoenix tree seeds. Take twenty pills each time, taken with Licorice and Mume Decoction (Gancao Wumei Tang) after meals and before bed.
For coughing and expectorating pus and blood. It is the Kuandonghua Tang (Coltsfoot Flower Decoction) formula:
Farflos Flos (Kuandonghua, 款冬花) [one tael] Gleditsiae Sinensis Spina (Zaojia, 皂荚) [one pod, remove black skin, butter-roast] Armeniacae Semen Amarum (Xingren, 杏仁) [soak in water, remove skin and pointed end, keep twin kernels, bran-stir-fry, two taels] Gelatinum Corii Bovini (Huangming Jiao, 黄明胶) [roast until dry, one piece] Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [stir-fry and chop] Fritillariae Bulbus (Beimu, 贝母) [remove heart, one tael each] Anemarrhenae Rhizoma (Zhimu, 知母) [roast, half a tael] Ephedrae Herba (Mahuang, 麻黄) [remove root and nodes, boil in water, skim foam, three taels]
The above eight ingredients are coarsely crushed and sieved. Take three qianbi (approx. 4.5g) each time, add one sheng (approx. 200ml) of water, decoct to seven-tenths volume, strain, and take warm. Three times daily, once at night.
For coughing with upward rebellion, expectoration of pus and blood, stuffy and cold throat, chest fullness and rebellious qi, inability to eat. Shortness of breath when lying down. It is the Bufei Tang (Tonify Lung Decoction) formula:
Farflos Flos (Kuandonghua, 款冬花) [three taels] Cinnamomi Ramulus (Gui, 桂枝) [remove rough bark] Gypsum Fibrosum (Zhongru Fen, 钟乳粉) [grind fine] Zingiberis Rhizoma Recens (Ganjiang, 干姜) [pao-cracked] Quartzum Album (Baishiyin, 白石英) [three taels each] Ophiopogonis Radix (Mendong, 麦门冬) [remove heart, roast, four taels]
(The text mentions eight ingredients but lists seven here; proceed with listed items). Except for those to be ground, coarsely crush and sieve. Take five qianbi each time, add one and a half sheng of water, two split jujubes, and dozens of japonica rice grains. Decoct to one sheng volume, strain, and take warm. Twice daily, once at night.
For long-standing cough and expectoration of pus and blood. It is the Guanzhong Tang (Cyathulae Root Decoction) formula:
Cyathulae Radix (Guanzhong, 贯众) [chop] Lignum Sappan (Sufangmu, 苏枋木) [chop, one tael each]
The above two ingredients are coarsely crushed and sieved. Take three qianbi each time, add one sheng of water and two slices of fresh ginger. Decoct together to seven-tenths volume, strain, and take warm. Three times daily.
For coughing with profuse phlegm and sputum, expectoration of pus and blood. It is the Sangbaipi Tang (Mulberry Root Bark Decoction) formula:
Mori Cortex Radicis (Sangbaipi, 桑根白皮) [roast and chop] Ophiopogonis Radix (Mendong, 麦门冬) [remove heart, roast] Farflos Flos (Kuandonghua, 款冬花) [one tael each] Fritillariae Bulbus (Beimu, 贝母) [remove heart] Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [stir-fry and chop] Gelatinum Corii Bovini (Huangming Jiao, 黄明胶) [roast until dry]
(The text cuts off dosage for Huangming Jiao, assuming equal parts based on context). The above six ingredients are coarsely crushed and sieved. Take three qianbi each time, add one sheng of water, decoct to eight-tenths volume, strain, and take warm. Three times daily.
For coughing with much phlegm, upward asthma, and expectoration of pus and blood. It is the Laifuzi Jian (Radish Seed Electuary) formula:
Raphani Fructus (Laifuzi, 莱菔子) [mashed, half a tael] Persicae Semen (Taoren, 桃仁) [remove skin and pointed end, keep twin kernels, grind into paste] Armeniacae Semen Amarum (Xingren, 杏仁) [remove skin and pointed end, keep twin kernels, grind into paste] Mel Butter (Misuxie, 蜜酥) Malto Saccharum (Yitang, 饴糖) [one tael each]
The above six ingredients are slowly decocted together until resembling thin maltose syrup. Take half a spoon each time, dissolve in boiling water, at any time.
For coughing and expectorating pus and blood. It is the Gejie Tang (Gecko Decoction) formula:
Gekkonis Sanguis (Gejie, 蛤蚧) [soak in wine, butter-roast] Anemarrhenae Rhizoma (Zhimu, 知母) [roast] Fritillariae Bulbus (Beimu, 贝母) [pao-processed] Cervi Cornus Colla (Lujiaojiao, 鹿角胶) [roast until dry] Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [stir-fry and chop] Armeniacae Semen Amarum (Xingren, 杏仁) [soak in water, remove skin and pointed end, keep twin kernels, stir-fry]
(The text states ten ingredients but lists six; proceed with listed items). Coarsely crush and sieve. Take three qianbi each time, add one and a half sheng of water, decoct to eight-tenths volume, strain, and take warm at any time.
For coughing and expectorating pus and blood, extending to chest and diaphragm pain. It is the Wuweizi Tang (Schisandra Decoction) formula:
Schisandrae Fructus (Wuweizi, 五味子) [stir-fry] Raw Rehmanniae Radix (Sheng Digan Di Huang, 生干地黄) [roast] Mori Cortex Radicis (Sangbaipi, 桑根白皮) [roast and chop, one tael each] Platycodonis Radix (Jiegeng, 桔梗) [stir-fry] Asteris Radix et Rhizoma (Ziwan, 紫菀) [remove stems and soil] Dipsaci Radix (Xuduan, 续断) Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [stir-fry and chop]
The above eight ingredients are coarsely crushed and sieved. Take three qianbi each time, add a small amount of bamboo shavings (Zhuru, 竹茹), add one and a half sheng of water, decoct to eight-tenths volume, strain, and take warm. Three times daily, once at night.
For coughing and expectorating pus and blood. It is the Baibu Wan (Stemona Pill) formula:
Stemonae Radix (Baibu, 百部) [stir-fry, three taels] Cimicifugae Rhizoma (Shengma, 升麻) Cinnamomi Ramulus (Gui, 桂枝) [remove rough bark] Schisandrae Fructus (Wuweizi, 五味子) [stir-fry] Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [stir-fry and chop] Asteris Radix et Rhizoma (Ziwan, 紫菀) [remove stems and soil] Mori Cortex Radicis (Sangbaipi, 桑根白皮) [roast and chop]
(The text states seven ingredients but cuts off dosages; assume equal parts or standard processing). The above seven ingredients are crushed, sifted into powder. Combine with refined honey to form pills the size of phoenix tree seeds. Take twenty pills each time, taken with gruel drink. Three times daily, once at night.
For long-term cough, lung deficiency with hemoptysis, approaching consumption disease (Lao Zhai). It is the Xiebai Tang (Allium Macrostemon Decoction) formula:
Testudinis et Carapax et Plastrum (Biejia, 鳖甲) [remove skirt, vinegar-roast] Colla Corii Asini (Ejiao, 阿胶) [roast until dry, two taels each] Cervi Cornus Colla (Lujiaojiao, 鹿角胶) [roast until dry] Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [stir-fry and chop, one tael each]
The above four ingredients are coarsely crushed and sieved. Take two qianbi each time, add one sheng of water and two cun lengths of Allium macrostemon bulb (Xiebai, 薤白). Decoct together to seven-tenths volume, strain, and take after meals and before bed.
For coughing and hemoptysis, asthma and fullness due to pulmonary consumptive disease. It is the Gualou Tang (Trichosanthes Decoction) formula:
Trichosanthis Fructus (Gualou, 栝蒌) [one fruit, take pulp, mix with one spoon of Concha Meretricis et Cydoniae (Gefen, 蛤粉), stir-fry until yellow] Aristolochiae Fructus (Madouling, 马兜铃) [stir-fry] Stephaniae Tetrandrae Radix (Fangji, 防己) Puerariae Radix (Gegen, 葛根) [chop] Fritillariae Bulbus (Beimu, 贝母) [remove heart] Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) Armeniacae Semen Amarum (Xingren, 杏仁) [soak in water...]
(The text cuts off processing details for Xingren; assume standard preparation). The above eight ingredients are coarsely crushed and sieved. Take three qianbi each time, add one sheng of water and half a spoon of honey. Decoct to seven-tenths volume, strain, and take warm. Three times daily, once at night.
For coughing and expectorating pus and blood, chest and diaphragm fullness and oppression, complete loss of appetite. It is the Ziwan Tang (Aster Decoction) formula:
Asteris Radix et Rhizoma (Ziwan, 紫菀) [remove stems and soil] Farflos Flos (Kuandonghua, 款冬花) [remove stems] Armeniacae Semen Amarum (Xingren, 杏仁) [remove skin and pointed end, keep twin kernels, stir-fry until yellow] Raw Rehmanniae Radix (Sheng Digan Di Huang, 生干地黄) Ephedrae Herba (Mahuang, 麻黄) [remove nodes] Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [stir-fry and chop] Gentianae Macrophyllae Radix et Rhizoma (Qinjiao, 秦艽) [remove stems and soil] Mori Cortex Radicis (Sangbaipi, 桑根白皮) [roast and chop] Gelatinum Corii Bovini (Huangming Jiao, 黄明胶) [stir-fry dry] Aristolochiae Fructus (Madouling, 马兜铃) Oryza Sativa Glutinosa (Nuomi, 糯米)
The above eleven ingredients are in equal proportions, coarsely crushed and sieved. Take five qianbi each time, add one and a half sheng of water and three split jujubes. Decoct together to eight-tenths volume, strain, and take warm after meals.
For lung qi stagnation and heat, coughing with upward rebellion of qi, or expectoration of pus and blood. It is the Xingren Tang (Apricot Kernel Decoction) formula:
Armeniacae Semen Amarum (Xingren, 杏仁) [remove skin and pointed end, keep twin kernels, stir-fry until yellow] Mori Cortex Radicis (Sangbaipi, 桑根白皮) [roast and chop] Bupleuri Radix (Chaihu, 柴hu) [remove stems, three fen each] Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [stir-fry and chop] Ephedrae Herba (Mahuang, 麻黄) [remove root and nodes] Platycodonis Radix (Jiegeng, 桔梗) [remove rhizome head, stir-fry] Farflos Flos (Kuandonghua, 款冬花) [remove stems] Asteris Radix et Rhizoma (Ziwan, 紫菀) [remove stems and soil] Pinelliae Tuber (Banxia, 半夏) [wash in water to remove slipperiness, process with ginger juice, dry-roast] Rubiae Radix et Rhizoma (Qiangen, 茜根) [chop] Coptidis Rhizoma (Huanglian, 黄连) [remove whiskers, half a tael each]
The above eleven ingredients are coarsely crushed and sieved. Take five qianbi each time, add one and a half sheng of water and three slices of fresh ginger. Decoct to eight-tenths volume, strain, and take warm.