论曰咳嗽失声者,盖肺气上通于喉咙,喉咙者、肺之系,肺感寒,微者成咳嗽。咳嗽不
已,其气奔迫,窒塞喉中,故因而失声也。
治咳嗽失声,语不出。杏仁煎方
杏仁(去皮尖双仁炒一升研) 紫菀(去苗土) 五味子 贝母(去心各一两) 生姜
汁饴糖(各一
上八味,先将五味 咀,分作三剂,每剂以水四盏,煎取一盏半,去滓入研杏仁姜汁饴
糖各三分之一,更煎成煎。每服一匙含化。
治咳嗽,润益咽喉,发利声音,生津液,解烦劳。百合汤方
百合 人参 甘草(炙锉) 甜葶苈(隔纸炒过) 桑根白皮(锉) 款冬花(微炒)
上六味等分,粗捣筛,每服三钱匕,水一盏,入去皮尖杏仁七枚。糯米百粒,乌梅一枚,
同煎至六分,去滓食后温服。
治肺脏气虚,咳嗽少力,言语声嘶,吃食减少,日渐羸瘦。补肺人参汤方
人参(一两) 紫菀(去苗土半两) 黄 (锉) 鹿角胶(捣碎炒黄) 桂(去粗
皮各一两) 白术 紫苏茎叶(各三分) 五味子 干姜(炮各半两) 熟干地黄(一两)
杏仁(汤浸去皮尖双仁炒半两)
上一十一味,粗捣筛,每服三钱匕,水一盏。枣三枚劈破,同煎六分,去滓不计时温服
治咳嗽声不出。通声煎方
五味子 款冬花 木通(各三两) 杏仁(去皮尖双仁炒一升) 人参 桂(去粗皮) 细
辛(去苗叶
上一十三味,先以九味,锉如麻豆,以水五升,微火煎五七沸,去滓内酥蜜姜汁枣肉。
再煎令稀稠得所。每服一匙头,温酒一小盏化下。
治肺气上壅,久病咳嗽,咽膈隘塞,语声不出,津液干燥,痰毒头痛。心神恍惚。及劳
嗽咯血呀呷等疾。补肺丸方
百部(焙) 贝母(去心) 山芋 阿胶(炙令燥各二两) 天门冬(去心焙) 桔梗
(炒各一两) 防风(去叉) 人参(各一两半) 甘草(三两生) 半夏(二两捣罗为末
先以鹅梨汁一盏生姜自然汁一盏同熬及
上一十味,除半夏膏外,捣罗为末,以膏和,如干更入炼蜜少许。丸如鸡头实大。每服
一丸。食后临卧含化。
治咳嗽声嘶。麻黄汤方
麻黄(去根节煎去沫焙二钱) 甘草(三钱生用) 杏仁(二十一枚去皮尖双仁麸炒) 乌
梅(七枚椎碎)
上四味 咀。用水三盏。石器内煎去滓。取一盏半,分三服。食后温服。
治积年咳嗽声哑。芫根丸方
芫花根白皮(切熬令焦黑一两半) 贝母(去心三两) 皂荚(去皮子炙一两) 五味
子(一两半) 款冬花(一两半) 百部根(切炒二两) 杏仁(去皮尖双仁炒二两半) 蜈
蚣(半枚炙) 桑根白皮(锉一两半
上一十一味。捣罗为末,炼蜜和丸,如梧桐子大。每服五丸,稍加至十五丸,煎枣汤下、
日再服。
治寒壅咳嗽。语声不出,款肺气。化痰涎。款冬丸方
款冬花 麻黄(不去根节) 甘草(生) 杏仁(不去皮尖各一两)
上四味。捣罗为末,炼蜜和丸,樱桃大,每服一丸、含化。
治咳嗽。语声不出。桂杏丸方
桂(去粗皮半两) 杏仁(一两半去皮尖双仁麸炒)
上二味。捣罗为末,炼蜜和丸,樱桃大,每服一丸、含化咽津。
治肺感风冷,咳嗽失声,紫菀丸方
紫菀(去苗土) 贝母(去心) 桂(去粗皮) 款冬花(各一两半) 百部 白茯苓
(去黑皮) 人参 陈橘皮(去白焙各一两) 甘草(炙锉) 杏仁(去皮尖双仁炒黄细研
各二两)
上一十味。捣研为末,炼蜜和丸,如梧桐子大,每服二十丸,至三十丸,食后米饮下。
论述说:咳嗽且失声的成因,是因为肺气上通于喉咙,而喉咙是肺系的组成部分。肺感受寒邪,轻则导致咳嗽。如果咳嗽不止,气机奔迫,阻塞于喉中,因此导致失声。
治疗咳嗽失声、说话不出声音的杏仁煎方:
杏仁(去皮尖、双仁、炒制、一升、研碎)、紫菀(去苗土)、五味子、贝母(去心,各一两)、生姜汁、饴糖(各适量)。
以上八味药,先将前五味药切碎,分成三剂。每剂用水四盏,煎取一盏半,滤去药渣,加入研碎的杏仁、姜汁和饴糖各三分之一,再煎制成膏状。每次服用一匙,含化咽下。
治疗咳嗽,滋润咽喉,恢复声音,生津液,解除烦劳的百合汤方:
百合、人参、甘草(炙后锉碎)、甜葶苈(隔纸炒过)、桑根白皮(锉碎)、款冬花(微炒)。
以上六味药等分,粗捣筛过。每次服用三钱匕,用水一盏,加入去皮尖的杏仁七枚、糯米百粒、乌梅一枚,同煎至六分,滤去药渣,饭后温服。
治疗肺脏气虚,咳嗽无力,言语声音嘶哑,饮食减少,日渐消瘦的补肺人参汤方:
人参(一两)、紫菀(去苗土半两)、黄芪(锉碎)、鹿角胶(捣碎炒黄)、桂枝(去粗皮,各一两)、白术、紫苏茎叶(各三分)、五味子、干姜(炮制,各半两)、熟干地黄(一两)、杏仁(汤浸去皮尖、双仁、炒制、半两)。
以上十一味药,粗捣筛过。每次服用三钱匕,用水一盏,加劈破的大枣三枚,同煎至六分,滤去药渣,不拘时候温服。
治疗咳嗽声音出不来的通声煎方:
五味子、款冬花、木通(各三两)、杏仁(去皮尖、双仁、炒制、一升)、人参、桂枝(去粗皮)、细辛(去苗叶)。
以上十三味药,先取前九味药,锉如麻豆大小,用水五升,微火煎煮五到七沸,滤去药渣,加入酥油、蜂蜜、姜汁和枣肉。再煎至稀稠适宜。每次服用一匙头,用一小盏温酒送服化下。
治疗肺气上壅,久病咳嗽,咽喉膈部隘塞,说话不出声,津液干燥,痰毒头痛,心神恍惚,以及劳嗽咯血、呼吸有声等疾病的补肺丸方:
百部(焙干)、贝母(去心)、山芋、阿胶(炙令干燥,各二两)、天门冬(去心焙干)、桔梗(炒制,各一两)、防风(去叉刺)、人参(各一两半)、甘草(生用,三两)、半夏(二两,捣罗为末,先用鹅梨汁一盏、生姜自然汁一盏同熬及成膏)。
以上十味药,除半夏膏外,其余捣罗为末,用膏调和,如果太干可加入少许炼蜜。制成如鸡头实大小的丸药。每次服用一丸,饭后临睡前含化。
治疗咳嗽声音嘶哑的麻黄汤方:
麻黄(去根节、煎去沫、焙干、二钱)、甘草(三钱生用)、杏仁(二十一枚、去皮尖、双仁、麸炒)、乌梅(七枚、椎碎)。
以上四味药切碎。用水三盏,在石器内煎煮,滤去药渣,取一盏半,分三次服用。饭后温服。
治疗多年咳嗽声音嘶哑的芫根丸方:
芫花根白皮(切后熬至焦黑、一两半)、贝母(去心、三两)、皂荚(去皮子、炙制、一两)、五味子(一两半)、款冬花(一两半)、百部根(切后炒制、二两)、杏仁(去皮尖、双仁、炒制、二两半)、蜈蚣(半枚、炙制)、桑根白皮(锉碎、一两半)。
以上十一味药,捣罗为末,用炼蜜和丸,如梧桐子大小。每次服用五丸,逐渐增加至十五丸,用煎大枣汤送下,每日两次。
治疗寒邪壅滞咳嗽,说话不出声,宽利肺气的款冬丸方:
款冬花、麻黄(不去根节)、甘草(生用)、杏仁(不去皮尖,各一两)。
以上四味药,捣罗为末,用炼蜜和丸,如樱桃大小。每次服用一丸,含化。
治疗咳嗽,说话不出声的桂杏丸方:
桂枝(去粗皮半两)、杏仁(一两半、去皮尖、双仁、麸炒)。
以上两味药,捣罗为末,用炼蜜和丸,如樱桃大小。每次服用一丸,含化并咽下津液。
治疗肺感风冷,咳嗽失声的紫菀丸方:
紫菀(去苗土)、贝母(去心)、桂枝(去粗皮)、款冬花(各一两半)、百部、白茯苓(去黑皮)、人参、陈橘皮(去白焙干,各一两)、甘草(炙后锉碎)、杏仁(去皮尖、双仁、炒黄细研,各二两)。
以上十味药,捣研为末,用炼蜜和丸,如梧桐子大小。每次服用二十至三十丸,饭后用米饮送下。
Discourse states: The cause of cough accompanied by loss of voice is that the Lung Qi connects upwards to the throat, and the throat is the system (connection) of the Lung. When the Lung is affected by Cold, mild cases result in cough. If the cough persists, the Qi rushes and obstructs the throat, thereby leading to loss of voice.
Xingren Decoction (Almond Decoction) for treating cough with loss of voice and inability to speak:
Ephedrae Herba (Mahuang, 麻黄) [Note: Text says Xingren but formula name implies Almond, ingredient list starts with Apricot Kernel], Semen Armeniacae Amarum (Xingren, 杏仁) (remove skin and pointed ends, twin kernels, stir-fried, one sheng, ground), Asteris Radix et Rhizoma (Ziwan, 紫菀) (remove seedlings and soil), Schisandrae Fructus (Wuweizi, 五味子), Fritillariae Bulbus (Beimu, 贝母) (remove heart, each one liang), Zingiberis Recens Juice (Shengjiangzhi, 生姜汁), Malt Sugar (Yitang, 饴糖) (appropriate amount).
The above eight ingredients: First, coarsely chop the first five ingredients and divide into three doses. For each dose, use four cups of water, decoct to obtain one and a half cups, filter out the dregs, add one-third of the ground Apricot Kernel, Ginger Juice, and Malt Sugar respectively, and decoct again until it becomes a thick paste. Take one spoonful per dose, hold in the mouth and swallow slowly.
Baihe Decoction (Lily Decoction) for treating cough, moistening the throat, restoring voice, generating body fluids, and relieving fatigue:
Lilii Bulbus (Baihe, 百合), Ginseng Radix et Rhizoma (Renshen, 人参), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (roasted and chopped), Descurainiae Semen seu Lepidii Semen (Tinglizi, 葶苈子) (stir-fried over paper), Morb Cortex Radicis (Sangbaip, 桑根白皮) (chopped), Farfarae Flos (Kuandonghua, 款冬花) (lightly stir-fried).
The above six ingredients in equal parts, coarsely crush and sieve. Take three qianbi per dose, with one cup of water, add seven Apricot Kernels (removed skin and pointed ends), one hundred grains of Oryza Glutinica Semen (Nuomi, 糯米), and one Phyllanthi Fructus (Wumei, 乌梅). Decoct together until reduced to sixty percent, filter out the dregs, and take warm after meals.
Bufei Renshen Tang (Tonify Lung Ginseng Decoction) for treating Lung Qi deficiency, weak cough, hoarse voice, decreased appetite, and progressive emaciation:
Ginseng Radix et Rhizoma (Renshen, 人参) (one liang), Asteris Radix et Rhizoma (Ziwan, 紫菀) (remove seedlings and soil, half liang), Astragali Radix (Huangqi, 黄芪) (chopped), Cornu Cervi Colla (Lujiujiao, 鹿角胶) (crushed and stir-fried until yellow), Cinnamomi Ramulus (Guizhi, 桂枝) (remove rough bark, each one liang), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Perillae Caulis et Folium (Zisujingye, 紫苏茎叶) (each three fen), Schisandrae Fructus (Wuweizi, 五味子), Zingiberis Radix Preparata (Ganjiang, 干姜) (processed, each half liang), Rehmanniae Radix Preparata (Shudihuang, 熟干地黄) (one liang), Semen Armeniacae Amarum (Xingren, 杏仁) (soaked in water, remove skin and pointed ends, twin kernels, stir-fried, half liang).
The above eleven ingredients, coarsely crush and sieve. Take three qianbi per dose, with one cup of water, add three Jujubae Fructus (Dazao, 大枣) split open. Decoct together until reduced to sixty percent, filter out the dregs, and take warm at any time.
Tongsheng Decoction (Voice-Opening Decoction) for treating cough with inability to produce voice:
Schisandrae Fructus (Wuweizi, 五味子), Farfarae Flos (Kuandonghua, 款冬花), Akebiae Caulis (Mutong, 木通) (each three liang), Semen Armeniacae Amarum (Xingren, 杏仁) (remove skin and pointed ends, twin kernels, stir-fried, one sheng), Ginseng Radix et Rhizoma (Renshen, 人参), Cinnamomi Ramulus (Guizhi, 桂枝) (remove rough bark), Asari Radix et Rhizoma (Xixin, 细辛) (remove seedlings and leaves).
The above thirteen ingredients: First, take the first nine ingredients, chop them like hemp seeds, use five sheng of water, and simmer gently for five to seven boils. Filter out the dregs, add butter, honey, Ginger Juice, and Jujube pulp. Simmer again until the consistency is appropriate. Take one spoonful head per dose, dissolve in a small cup of warm wine.
Bufei Wan (Tonify Lung Pill) for treating Lung Qi stagnation upward, chronic cough, obstruction in the throat and diaphragm, inability to speak, dryness of body fluids, phlegm-toxin headache, mental restlessness, as well as laborious cough with hemoptysis and wheezing:
Stemonae Radix (Baibu, 百部) (baked), Fritillariae Bulbus (Beimu, 贝母) (remove heart), Dioscoreae Rhizoma (Shanyu, 山芋), Ecoris Bovis ad Colla (Ejiao, 阿胶) (roasted until dry, each two liang), Asparagi Radix (Tiangmendong, 天门冬) (remove heart and baked), Platycodonis Radix (Jiegeng, 桔梗) (stir-fried, each one liang), Saposhnikoviae Radix (Fangfeng, 防风) (remove fork-like roots), Ginseng Radix et Rhizoma (Renshen, 人参) (each one and a half liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (raw, three liang), Pinelliae Rhizoma (Banxia, 半夏) (two liang, pounded into powder; first decoct one cup of Pyri Fructus Juice and one cup of fresh Ginger Juice until concentrated).
The above ten ingredients: Except for the Banxia paste, pound and sieve the rest into powder. Mix with the paste. If too dry, add a little refined honey. Form pills the size of chicken heads. Take one pill per dose, hold in the mouth and swallow slowly after meals and before sleep.
Mahuang Tang (Ephedra Decoction) for treating cough with hoarse voice:
Ephedrae Herba (Mahuang, 麻黄) (remove root and nodes, boil to remove foam, bake, two qian), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (three qian, raw use), Semen Armeniacae Amarum (Xingren, 杏仁) (twenty-one pieces, remove skin and pointed ends, twin kernels, bran-stir-fried), Phyllanthi Fructus (Wumei, 乌梅) (seven pieces, crushed).
The above four ingredients, coarsely chop. Use three cups of water, decoct in a stone vessel, filter out the dregs, obtain one and a half cups, divide into three doses. Take warm after meals.
Yuangen Wan (Kadsura Root Bark Pill) for treating chronic cough with hoarse voice:
Kadsurae Radicis Cortex (Yuanhuagenbaipi, 芫花根白皮) (cut and roasted until black, one and a half liang), Fritillariae Bulbus (Beimu, 贝母) (remove heart, three liang), Gleditsiae Sinensis Fructus (Zaojiao, 皂荚) (remove skin and seeds, roast, one liang), Schisandrae Fructus (Wuweizi, 五味子) (one and a half liang), Farfarae Flos (Kuandonghua, 款冬花) (one and a half liang), Stemonae Radix (Baibugen, 百部根) (cut and stir-fried, two liang), Semen Armeniacae Amarum (Xingren, 杏仁) (remove skin and pointed ends, twin kernels, stir-fried, two and a half liang), Scolopendra (Wugong, 蜈蚣) (half piece, roasted), Morb Cortex Radicis (Sangbaip, 桑根白皮) (chopped, one and a half liang).
The above eleven ingredients, pound and sieve into powder. Mix with refined honey and form pills the size of Sophora seeds. Take five pills per dose, gradually increase to fifteen pills, take with Jujube decoction. Take twice daily.
Kuandong Wan (Farfara Pill) for treating Cold obstruction cough, inability to speak, and benefiting Lung Qi:
Farfarae Flos (Kuandonghua, 款冬花), Ephedrae Herba (Mahuang, 麻黄) (do not remove root and nodes), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (raw), Semen Armeniacae Amarum (Xingren, 杏仁) (do not remove skin and pointed ends, each one liang).
The above four ingredients, pound and sieve into powder. Mix with refined honey and form pills the size of cherries. Take one pill per dose, hold in the mouth and swallow slowly.
Guixing Wan (Cinnamon and Almond Pill) for treating cough with inability to speak:
Cinnamomi Ramulus (Guizhi, 桂枝) (remove rough bark, half liang), Semen Armeniacae Amarum (Xingren, 杏仁) (one and a half liang, remove skin and pointed ends, twin kernels, bran-stir-fried).
The above two ingredients, pound and sieve into powder. Mix with refined honey and form pills the size of cherries. Take one pill per dose, hold in the mouth and swallow saliva.
Ziwan Wan (Aster Pill) for treating Lung affected by Wind-Cold, cough with loss of voice:
Asteris Radix et Rhizoma (Ziwan, 紫菀) (remove seedlings and soil), Fritillariae Bulbus (Beimu, 贝母) (remove heart), Cinnamomi Ramulus (Guizhi, 桂枝) (remove rough bark), Farfarae Flos (Kuandonghua, 款冬花) (each one and a half liang), Stemonae Radix (Baibu, 百部), Poria (Baifuling, 白茯苓) (remove black skin), Ginseng Radix et Rhizoma (Renshen, 人参), Citri Reticulatae Pericarpium (Chenjuapi, 陈橘皮) (remove white pith and bake, each one liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (roasted and chopped), Semen Armeniacae Amarum (Xingren, 杏仁) (remove skin and pointed ends, twin kernels, stir-fried until yellow and finely ground, each two liang).
The above ten ingredients, pound and grind into powder. Mix with refined honey and form pills the size of Sophora seeds. Take twenty to thirty pills per dose, take with rice drink after meals.