论曰肺脏虚弱,为风邪所伤,则清冷之气上攻,而鼻流清涕,盖肺开窍于鼻,在液为涕
故也。
治肺感风冷多涕,麻黄汤方
麻黄(去根节先煮掠去沫焙一两) 前胡(去芦头) 白前(去苗各三分) 桑根白皮
(锉炒一两) 甘
上七味,粗捣筛,每服三钱匕,水一盏,入葱白三茎,煎至七分,去滓食后温服,日三
治肺伤风冷,鼻中多涕,四肢疼倦,不思饮食,当归人参汤方
当归 人参 干姜(炮) 白术 白茯苓(去黑皮) 甘草(炙锉) 芎 陈橘皮(汤
浸去白焙) 细
上一十一味,粗捣筛,每服三钱匕,水一盏,入生姜一枣大拍碎,枣三枚劈,煎至七分
,去滓不计时候,稍热服。
治肺冷多涕,杏仁麻黄汤方
杏仁(汤浸去皮尖双仁炒一两) 麻黄(去根节先煮掠去沫半两) 甘草(炙锉) 五
味子(炒各一两
上四味,粗捣筛,每服三钱匕,水一盏,入生姜一枣大拍碎,煎至七分,去滓温服。
治肺寒内外合邪,清涕多,语声不出,桂辛丸方
桂(去粗皮) 细辛(去苗叶) 白芷 防风(去叉) 干姜(炮) 甘草(炙) 芎
(各一两)
上七味,捣罗为末,炼蜜和丸,如梧桐子大,每服三十丸,温米饮下,食后服。
治肺寒痰逆,鼻多清涕,紫菀汤方
紫菀(去土) 升麻 天门冬(去心焙) 贝母(麸炒黄各一两)
上四味,粗捣筛,每服三钱匕,水一盏,入生姜三片,大枣二枚,同煎至七分,去滓温
服,不计时候。
论述:肺脏虚弱,被风邪所伤,则清冷之气上逆攻冲,导致鼻流清涕。这是因为肺开窍于鼻,在体液表现上对应为涕的缘故。
治疗肺感受风冷而多涕的方剂:麻黄汤(Mahuang Tang, Ephedra Decoction)
药材:麻黄(去除根和节,先煎煮并撇去浮沫,焙干,一两)、前胡(去除芦头)、白前(去除苗茎,各三分)、桑根白皮(锉碎炒制,一两)、甘草(炙制锉碎)。
以上七味药,粗捣筛过,每次服用三钱匕,加水一盏,放入葱白三茎,煎至七分量,滤去药渣,饭后温服,每日三次。
治疗肺受风冷,鼻中多涕,四肢疼痛倦怠,不思饮食的方剂:当归人参汤(Danggui Renshen Tang, Angelica Sinensis and Ginseng Decoction)
药材:当归、人参、干姜(炮制)、白术、白茯苓(去除黑皮)、甘草(炙制锉碎)、川芎、陈橘皮(汤浸后去除白色内瓤焙干)、细辛。
以上十一味药,粗捣筛过,每次服用三钱匕,加水一盏,放入生姜一块如枣大小拍碎,大枣三枚劈开,煎至七分量,滤去药渣,不限时候,稍热时服用。
治疗肺冷多涕的方剂:杏仁麻黄汤(Xingren Mahuang Tang, Apricot Kernel and Ephedra Decoction)
药材:杏仁(汤浸后去皮尖双仁炒制,一两)、麻黄(去除根节先煎煮撇去浮沫,半两)、甘草(炙制锉碎)、五味子(炒制,各一两)。
以上四味药,粗捣筛过,每次服用三钱匕,加水一盏,放入生姜一块如枣大小拍碎,煎至七分量,滤去药渣温服。
治疗肺寒内外合邪,清涕多,声音不出(失音)的方剂:桂辛丸(Guixin Wan, Cinnamon Twig and Asarum Pill)
药材:桂枝(去除粗皮)、细辛(去除苗叶)、白芷、防风(去除叉枝)、干姜(炮制)、甘草(炙制)、川芎(各一两)。
以上七味药,捣碎罗制成粉末,用炼蜜调和做成丸药,如梧桐子大小,每次服用三十丸,用温米饮送下,饭后服用。
治疗肺寒痰逆,鼻多清涕的方剂:紫菀汤(Ziwan Tang, Aster Root Decoction)
药材:紫菀(去除泥土)、升麻、天门冬(去除心焙干)、贝母(麸炒至微黄,各一两)。
以上四味药,粗捣筛过,每次服用三钱匕,加水一盏,放入生姜三片,大枣二枚,同煎至七分量,滤去药渣温服,不限时候。
Commentary: When the Lung organ is deficient and injured by Wind pathogen, clear-cold Qi attacks upward, resulting in a runny nose with clear mucus. This is because the Lung opens into the nose, and its fluid manifestation is mucus (Ti).
Formula for treating Lung affected by Wind-Cold with excessive mucus: Mahuang Tang (Ephedra Decoction)
Herbs: Ephedrae Herba (Mahuang, 麻黄) [remove roots and nodes, decoct first, skim off foam, dry-roast, 1 liang], Peucedani Radix (Qianhu, 前胡) [remove rhizome head], Cynanchi Stauntonii Caulis et Folium (Baiqian, 白前) [remove seedlings, each 3 fen], Mori Cortex (Sangbaipipi, 桑根白皮) [cut into pieces, stir-fry, 1 liang], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [honey-fried, cut].
The above seven ingredients are coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water and three stalks of Allii Fistulosi Bulbus (Congbai, 葱白), decoct until reduced to 70%, remove dregs, and take warm after meals, three times daily.
Formula for treating Lung injury from Wind-Cold with excessive nasal mucus, pain and fatigue in four limbs, and loss of appetite: Danggui Renshen Tang (Angelica Sinensis and Ginseng Decoction)
Herbs: Angelicae Sinensis Radix (Danggui, 当归), Ginseng Radix (Renshen, 人参), Zingiberis Rhizoma Preparatum (Ganjiang, 干姜) [processed], Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Poria (Baifuling, 白茯苓) [remove black skin], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [honey-fried, cut], Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Citri Reticulatae Pericarpium (Chenjuapi, 陈橘皮) [soak in hot water, remove white pith, dry-roast], Asari Radix et Rhizoma (Xixin, 细辛).
The above eleven ingredients are coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water, one piece of fresh ginger root (Shengjiang, 生姜) the size of a jujube (crushed), and three jujubes (Da Zao, 大枣) split open. Decoct until reduced to 70%, remove dregs, and take slightly warm at any time.
Formula for treating Cold-Lung with excessive mucus: Xingren Mahuang Tang (Apricot Kernel and Ephedra Decoction)
Herbs: Armeniacae Semen Amarum (Xingren, 杏仁) [soak in hot water, remove skin and pointed ends, use double kernels, stir-fry, 1 liang], Ephedrae Herba (Mahuang, 麻黄) [remove roots and nodes, decoct first, skim off foam, 0.5 liang], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [honey-fried, cut], Schisandrae Fructus (Wuweizi, 五味子) [stir-fry, each 1 liang].
The above four ingredients are coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water and one piece of fresh ginger root (Shengjiang, 生姜) the size of a jujube (crushed). Decoct until reduced to 70%, remove dregs, and take warm.
Formula for treating Lung Cold with internal and external combined pathogens, excessive clear mucus, and aphonia: Guixin Wan (Cinnamon Twig and Asarum Pill)
Herbs: Cinnamomi Ramulus (Guizhi, 桂枝) [remove rough bark], Asari Radix et Rhizoma (Xixin, 细辛) [remove seedlings and leaves], Angelicae Dahuricae Radix (Baizhi, 白芷), Saposhnikoviae Radix (Fangfeng, 防风) [remove forked parts], Zingiberis Rhizoma Preparatum (Ganjiang, 干姜) [processed], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [honey-fried], Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎) [each 1 liang].
The above seven ingredients are pounded and sieved into powder. Mix with refined honey to make pills the size of Sophora japonica seeds. Take thirty pills per dose, swallow with warm rice drink, after meals.
Formula for treating Lung Cold with Phlegm rebellion and excessive nasal clear mucus: Ziwan Tang (Aster Root Decoction)
Herbs: Asteris Radix (Ziwan, 紫菀) [remove soil], Cimicifugae Rhizoma (Shengma, 升麻), Asparagi Radix (Tianmendong, 天门冬) [remove heart, dry-roast], Fritillariae Thunbergii Bulbus (Beimu, 贝母) [stir-fry with bran until yellow, each 1 liang].
The above four ingredients are coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water, three slices of fresh ginger root (Shengjiang, 生姜), and two jujubes (Da Zao, 大枣). Decoct together until reduced to 70%, remove dregs, and take warm at any time.