治酒客劳倦或出当风,喜怒气舍于肺,面目黄肿,起即头眩,咳逆上气,时忽忽欲绝,
心下弦急不能饮食,或吐脓血,胸痛引背,支满欲呕方。
五味子 百部(各二两半) 茯苓 附子 肉苁蓉 石斛 当归 远志 川续断(各一
两)
细辛 甘草(各七分) 防风 川椒 紫菀 桂心 干姜 款冬花(各一两半) 桃仁(六
十枚)
杏仁(
上十九味治,下筛,酒服方寸匕,日三,后稍加至二匕。
灸法∶肺胀气抢胁下热痛,灸阴都,随年壮,穴在挟胃脘两边相去一寸,胃脘在心下三
寸。肺胀胁满,呕吐上气等病,灸大椎并两乳上第三肋间各七壮。
肺与大肠俱实
右手寸口气口以前脉阴阳俱实者,手太阴与阳明经俱实也。病苦头痛,目眩惊狂,喉痹
痛,手臂卷,唇吻不收,名曰肺与大肠俱实也。
煮散∶治肺与大肠俱实,令人气凭满方。
麻黄 茯苓(各六分) 黄 大青 桂心(各三分) 细辛 杏仁(各五分) 石膏
(二两)
丹参(半两) 五味子 甘草 橘皮 贝母 川芎(各一两) 枳实(三枚)
上十五味治,下筛为粗散,帛裹一方寸匕半,以井花水一升五合,煮取七合,为三服,
日再。
肺虚冷
右手寸口气口以前脉阴虚者,手太阴经也。病苦少气,不足以息,咽干不津液,名曰肺
虚冷也。
治肺虚冷声嘶伤,语言用力战掉缓弱,虚瘠风入肺方∶
防风 独活 川芎 秦椒 干姜 黄 (各四十二铢) 天雄 麻黄 山萸肉 五味子
(各三十八铢) 甘草(三十六铢) 秦艽 桂心 山药 杜仲 人参 细辛 防己(各三
十铢)
菊花
上二十二味治,下筛,以酒服方寸匕,日二服。(一方有石膏六分,当归五分。
治疗长期饮酒者因劳累疲倦,或外出时直接吹受风邪,导致喜怒之气郁结于肺,出现面目黄肿,起身时头晕目眩,咳嗽气逆,时常感到恍惚欲死,心下部拘急弦紧不能进食,或者吐出脓血,胸痛牵引背部,胸胁胀满想要呕吐的方剂。
五味子、百部(各二两半);茯苓、附子、肉苁蓉、石斛、当归、远志、川续断(各一两);细辛、甘草(各七分);防风、川椒、紫菀、桂心、干姜、款冬花(各一两半);桃仁(六十枚);杏仁(未注明剂量,依古法通常同前或略减,此处原文缺失具体量,按原文直译)。
以上十九味药捣碎,过筛,用酒送服一方寸匕,每日三次,之后逐渐增加至两方寸匕。
灸法:肺胀气逆抢痛至胁下且伴有热痛,灸阴都穴,壮数随患者年龄而定,穴位在胃脘两旁,距离胃脘一寸处,胃脘位于心下三寸处。肺胀、胁肋胀满、呕吐、气逆等疾病,灸大椎穴以及两侧乳头上第三肋间各七壮。
右手寸口脉“气口”以前部位,脉象阴阳俱实的,是手太阴肺经与手阳明大肠经俱实。病症表现为头痛、目眩、惊狂、喉痹疼痛、手臂卷曲不能伸展、嘴唇和嘴角无法闭合,这叫做肺与大肠俱实。
麻黄、茯苓(各六分);大黄、大青、桂心(各三分);细辛、杏仁(各五分);石膏(二两);丹参(半两);五味子、甘草、橘皮、贝母、川芎(各一两);枳实(三枚)。
以上十五味药捣碎,过筛制成粗散,用丝绸包裹一方寸匕半的量,用井水一升五合,煎煮取汁七合,分三次服用,每日两次。
右手寸口脉“气口”以前部位,脉象阴虚的,属于手太阴肺经病变。病症表现为气短,呼吸不足,咽喉干燥无津液,这叫做肺虚冷。
治疗肺虚冷导致的声嘶损伤,说话用力时颤抖软弱,身体虚弱消瘦且风邪入肺的方剂:
防风、独活、川芎、秦椒、干姜、黄芪(各四十二铢);天雄、麻黄、山萸肉、五味子(各三十八铢);甘草(三十六铢);秦艽、桂心、山药、杜仲、人参、细辛、防己(各三十铢);菊花(未注明剂量,依原文顺序列出)。
Translation of the text from *Beiji Qianjin Yaofang* (Essential Prescriptions Worth a Thousand Gold for Emergencies) by Sun Simiao.
**Formula for Treating Liver and Lung Qi Stagnation in Chronic Drinkers due to Fatigue and Wind Exposure**
This formula treats chronic drinkers who, due to fatigue or exposure to wind while outdoors, suffer from the stagnation of anger and joy qi in the lungs. Symptoms include yellowish swelling of the face and eyes, dizziness upon rising, coughing with rebellious qi, occasional feelings of faintness or near-death, tightness and urgency in the epigastrium preventing eating, expectoration of pus and blood, chest pain radiating to the back, chest fullness, and nausea.
**Ingredients:**
* Wuweizi (Schisandrae Fructus), Bubai (Stemonae Radix): 2 liang 5 qian each
* Fuling (Poria), Fuzi (Aconiti Lateralis Radix Praeparata), Rongshengrou (Cynomorii Folii), Shihu (Dendrobii Caulis), Danggui (Angelicae Sinensis Radix), Yuanzhi (Polygalae Radix), Chuanxuduan (Dipsaci Radix): 1 liang each
* Xixin (Asari Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma): 7 fen each
* Fangfeng (Saposhnikoviae Radix), Chuanjiao (Zanthoxyli Pericarpium), Ziwan (Asternatis Radix), Guixin (Cinnamomi Ramulus), Ganjiang (Zingiberis Rhizoma), Kuandonghua (Farfarae Flos): 1 liang 5 qian each
* Taoren (Persicae Semen): 60 seeds
* Xingren (Armeniacae Semen Amarum): [Dosage missing in original text]
**Preparation and Administration:**
Grind the above nineteen ingredients and sieve them. Take one *cunbi* (a square inch measure) with wine, three times daily. Gradually increase the dose to two *cunbi*.
**Moxibustion Method:**
For lung distension with qi rushing to the hypochondrium causing heat and pain, moxa the Yindu (ST15) acupoint. The number of moxa cones should correspond to the patient's age. The Yindu point is located on either side of the epigastrium, one *cun* away from it; the epigastrium is located three *cun* below the heart region. For conditions such as lung distension, hypochondriac fullness, vomiting, and rebellious qi, moxa the Dazhui (GV14) acupoint and the third intercostal space above both nipples, seven cones each.
**Excess Syndrome of the Lung and Large Intestine**
If the pulse at the "Qikou" (radial artery) position before the cun (inch) position on the right hand shows excess in both yin and yang aspects, it indicates excess in both the Hand-Taiyin Lung Meridian and the Hand-Yangming Large Intestine Meridian. The patient suffers from headache, dizziness,惊狂 (startle and mania), bi-syndrome of the throat with pain, curling of the arms and hands, and inability to close the lips and corners of the mouth. This is termed "Excess of the Lung and Large Intestine."
**Decoction Powder for Excess of Lung and Large Intestine**
This formula treats lung and large intestine excess causing qi oppression and fullness.
**Ingredients:**
* Mahuang (Ephedrae Herba), Fuling (Poria): 6 fen each
* Huangqin (Scutellariae Radix), Daqing (Isatidis Folium), Guixin (Cinnamomi Ramulus): 3 fen each
* Xixin (Asari Radix et Rhizoma), Xingren (Armeniacae Semen Amarum): 5 fen each
* Shigao (Gypsum Fibrosum): 2 liang
* Danshen (Salviae Miltiorrhizae Radix et Rhizoma): 0.5 liang
* Wuweizi (Schisandrae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Jupi (Citri Reticulatae Pericarpium), Beimu (Fritillariae Cirrhosae Bulbus), Chuanxiong (Ligustici Chuanxiong Rhizoma): 1 liang each
* Zhishi (Aurantii Fructus Immaturus): 3 pieces
**Preparation and Administration:**
Grind the above fifteen ingredients and sieve them into a coarse powder. Wrap half a *cunbi* in silk. Boil in 1.5 sheng of well water until reduced to 0.7 sheng. Divide into three doses, taken twice daily.
**Deficiency-Cold Syndrome of the Lung**
If the pulse at the "Qikou" position before the cun position on the right hand shows deficiency in yin, it belongs to the Hand-Taiyin Lung Meridian. The patient suffers from shortness of breath, insufficient respiration, dry throat without saliva. This is termed "Deficiency-Cold of the Lung."
**Formula for Treating Voice Loss and Weakness due to Lung Deficiency-Cold and Wind Invasion**
This formula treats voice loss caused by lung deficiency-cold, trembling and weakness when speaking forcefully, emaciation, and wind invading the lungs.
**Ingredients:**
* Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Qinjiao (Gentianae Macrophyllae Radix), Ganjiang (Zingiberis Rhizoma), Huangqi (Astragali Radix): 42 zhu each
* Tianxiong (Aconiti Radix), Mahuang (Ephedrae Herba), Shanyurou (Corni Fructus), Wuweizi (Schisandrae Fructus): 38 zhu each
* Gancao (Glycyrrhizae Radix et Rhizoma): 36 zhu
* Qinjiao (Gentianae Macrophyllae Radix), Guixin (Cinnamomi Ramulus), Shanyao (Dioscoreae Rhizoma), Duzhong (Eucommiae Cortex), Renshen (Ginseng Radix), Xixin (Asari Radix et Rhizoma), Fangji (Stephaniae Tetrandrae Radix): 30 zhu each
* Juhua (Chrysanthemi Flos): [Dosage not specified in this list]
**Preparation and Administration:**
Grind the above twenty-two ingredients and sieve them. Take one *cunbi* with wine, twice daily. (Another version includes Shigao 6 fen and Danggui 5 fen.)