治肺劳实气喘鼻张,面目苦肿方。
麻黄 杏仁 生姜 半夏(各五分) 紫苏(四分) 白前 细辛 桂心(各三分) 橘
皮
(二分) 石膏(八两) 竹叶(切一升)
上十一味 咀,以水一斗,煮取三升,去滓,分三服。
治肺劳虚寒,心腹冷气逆游气,胸胁气满,从胸达背痛,忧气往来,呕逆饮食即吐,
虚乏不足方。
半夏(一升) 生姜(一斤) 桂心(四两) 甘草 浓朴(各二两) 人参 橘皮 麦
冬(各
三两)
上八味 咀,以水一斗,煮取四升,分四服。腹痛加当归二两。
治肺劳风虚冷痰 水气,昼夜不得卧,头不得近枕,上气胸满,喘息气绝,此痰水盛
溢方。
浓朴 麻黄 桂心 黄芩 石膏 大戟 橘皮(各二两) 枳实 甘草 秦艽 杏仁 茯
苓(各三两) 细辛(二两) 半夏(一升) 生姜(十两) 大枣(十五枚)
上十六味 咀,以水一斗三升,煮取四升,去滓,分五服。
治喉痹气逆咳嗽口中唾涎方∶
灸肺俞七壮,亦可随年壮至百壮。
(论一首 方六首 灸法二首)
论曰∶凡气极者,主肺也。肺应气,气与肺合。又曰∶以秋遇病为皮痹,皮痹不已,复
感于邪,内舍于肺,则寒湿之气客于六腑也。若肺有病则先发气,气上冲胸,常欲自恚。以
秋庚辛日伤风邪之气为肺风,肺风之状多汗。若阴伤则寒,寒则虚,虚则气逆咳,咳则短气,
暮则甚。阴气至,湿气生,故甚阴畏阳气,昼日则瘥。若阳伤则热,热则实,实则气喘息上
胸噫,甚则唾血也。然阳病治阴,阴是其里。阴病治阳,阳是其表。是以阴阳表里衰旺之源。
故知以阳调阴,以阴调阳。阳气实则决,阴气虚则引。善治病者,初入皮毛,肌肤筋脉则治
之。若至六腑五脏,半死矣。
扁鹊曰∶气绝不治,喘(一作奔)而冷汗出,二日死。气应手太阴,太阴气绝,则皮毛
焦,
气先死矣。
治疗肺劳实证引起的喘息气促、鼻孔张开,以及面目严重浮肿的方剂。
麻黄、杏仁、生姜、半夏(各五分)、紫苏(四分)、白前、细辛、桂心(各三分)、橘皮(二分)、石膏(八两)、竹叶(切开后一升)。
以上十一味药,切碎,用水一斗,煎煮至三升,滤去药渣,分三次服用。
治疗肺劳虚寒证,心腹部冷气逆乱游走,胸胁部气满,疼痛从胸部延伸至背部,忧思之气往来不定,呕吐逆气,饮食后即吐出,身体虚弱乏力的方剂。
半夏(一升)、生姜(一斤)、桂心(四两)、甘草、浓朴(各二两)、人参、橘皮、麦冬(各三两)。
以上八味药,切碎,用水一斗,煎煮至四升,分四次服用。若腹痛,加当归二两。
治疗肺劳风虚冷痰与水气病,昼夜无法平卧,头部不能靠近枕头,气逆上冲胸满,喘息气绝,这是痰水盛溢的方剂。
浓朴、麻黄、桂心、黄芩、石膏、大戟、橘皮(各二两)、枳实、甘草、秦艽、杏仁、茯苓(各三两)、细辛(二两)、半夏(一升)、生姜(十两)、大枣(十五枚)。
以上十六味药,切碎,用水一斗三升,煎煮至四升,滤去药渣,分五次服用。
治疗喉痹气逆咳嗽、口中流涎的方剂:
灸肺俞穴七壮,也可以根据患者年龄决定壮数,最多可达百壮。
(共一篇论述,六个方剂,两种灸法)
论述说:凡是气极的病,主要责之于肺。肺主气,气与肺相合。又说:在秋季患病称为皮痹,如果皮痹不愈,再次感受邪气,内舍于肺,那么寒湿之气就会客居于六腑。如果肺有病,首先表现为气机异常,气向上冲撞胸部,常常想要发怒。如果在秋日的庚辛日伤受风邪之气成为肺风,肺风的症状是多汗。如果阴气受伤则生寒,寒则导致虚,虚则引起气逆咳嗽,咳嗽则短气,傍晚时加重。阴气到来,湿气滋生,所以特别畏惧阳气,白天症状减轻。如果阳气受伤则生热,热则导致实,实则气喘息上冲胸部并伴有嗳气,严重时唾血。然而阳病治阴,阴是其里;阴病治阳,阳是其表。这是阴阳表里盛衰的根本原因。因此知道用阳来调和阴,用阴来调和阳。阳气实则决断,阴气虚则牵引。善于治病的人,在病邪初入皮毛、肌肤、筋脉时就进行治疗。如果病邪深入六腑五脏,就有一半死亡的危险了。
扁鹊说:气绝是不治之症,喘息且出冷汗,两天后死亡。气脉应手太阴经,手太阴气绝,则皮毛干枯焦裂,气先死去了。
Prescription for treating lung consumption with excess syndrome, characterized by panting, shortness of breath, flaring of the nostrils, and severe swelling of the face and eyes.
Ephedrae Herba (Mahuang), Prunus Armeniaca Seed (Xingren), Zingiberis Rhizoma Recens (Shengjiang), Pinelliae Rhizoma Preparatum (Banxia) [each 5 fen], Perillae Folium (Zisu) [4 fen], Cynanchum Atratum Root (Baiqian), Asari Radix (Xixin), Cinnamomi Ramulus (Guixin) [each 3 fen], Citri Reticulatae Pericarpium (Chenpi) [2 fen], Gypsum Fibrosum (Shigao) [8 liang], Bambusae Leaves (Zhuye) [1 sheng, sliced].
The above eleven ingredients are chopped, boiled in one dou of water until three sheng remain, the dregs are removed, and the decoction is divided into three doses.
Prescription for treating lung consumption with deficiency-cold syndrome, characterized by cold qi counterflow wandering in the heart and abdomen, fullness of qi in the chest and hypochondrium, pain extending from the chest to the back, fluctuating qi due to worry, vomiting and regurgitation of food immediately after eating, and general weakness and insufficiency.
Pinelliae Rhizoma Preparatum (Banxia) [1 sheng], Zingiberis Rhizoma Recens (Shengjiang) [1 jin], Cinnamomi Ramulus (Guixin) [4 liang], Glycyrrhizae Radix et Rhizoma (Gancao), Magnoliae Officinalis Bark (Houpo) [each 2 liang], Ginseng Radix (Renshen), Citri Reticulatae Pericarpium (Chenpi), Ophiopogonis Radix (Maidong) [each 3 liang].
The above eight ingredients are chopped, boiled in one dou of water until four sheng remain, and the decoction is divided into four doses. If abdominal pain occurs, add Angelica Sinensis Radix (Danggui) 2 liang.
Prescription for treating lung consumption with wind-deficiency, cold phlegm, and fluid retention, characterized by inability to lie down day or night, head unable to rest on the pillow, counterflow of qi causing chest fullness, panting and impending suffocation, indicating excessive overflow of phlegm and fluid.
Magnoliae Officinalis Bark (Houpo), Ephedrae Herba (Mahuang), Cinnamomi Ramulus (Guixin), Scutellariae Radix (Huangqin), Gypsum Fibrosum (Shigao), Euphorbiae Pekinensis Radix (Daji), Citri Reticulatae Pericarpium (Chenpi) [each 2 liang], Immature Bitter Orange (Zhishi), Glycyrrhizae Radix et Rhizoma (Gancao), Gentianae Macrophyllae Radix (Qinjiao), Prunus Armeniaca Seed (Xingren), Poria (Fuling) [each 3 liang], Asari Radix (Xixin) [2 liang], Pinelliae Rhizoma Preparatum (Banxia) [1 sheng], Zingiberis Rhizoma Recens (Shengjiang) [10 liang], Jujubae Fructus (Dazao) [15 pieces].
The above sixteen ingredients are chopped, boiled in one dou and three sheng of water until four sheng remain, the dregs are removed, and the decoction is divided into five doses.
Prescription for treating throat obstruction (Houbi), counterflow of qi, cough, and salivation:
Moxibustion on Feishu (BL13) acupoint, seven moxa cones; alternatively, according to the patient's age, up to one hundred moxa cones.
(One treatise, six prescriptions, two moxibustion methods)
Treatise says: Generally, disorders of "Qi Extreme" primarily involve the Lung. The Lung governs Qi, and Qi combines with the Lung. It is also said: Illness contracted in autumn is called Skin Bi (Pib). If Skin Bi does not resolve, and the pathogen is contracted again, it enters internally and resides in the Lung, causing Cold-Dampness to lodge in the Six Fu organs. If the Lung is diseased, Qi disorder manifests first, with Qi rushing upward to the chest, often accompanied by irritability. Contracting Wind-Pathogen on Geng-Xin days in autumn leads to Lung Wind; symptoms of Lung Wind include profuse sweating. If Yin is injured, Cold arises; Cold leads to Deficiency, which causes Qi counterflow and cough; coughing results in shortness of breath, worsening at dusk. When Yin Qi arrives, Dampness generates, hence there is extreme aversion to Yang Qi, and symptoms improve during the day. If Yang is injured, Heat arises; Heat leads to Excess, which causes panting, Qi rushing to the chest, belching, and in severe cases, hemoptysis. However, Yang diseases are treated by addressing Yin, as Yin is the interior; Yin diseases are treated by addressing Yang, as Yang is the exterior. This explains the source of decline and prosperity in Yin-Yang and Exterior-Interior relationships. Thus, one knows to use Yang to harmonize Yin, and Yin to harmonize Yang. When Yang Qi is Excess, it leads to resolution/opening; when Yin Qi is Deficient, it leads to drawing/pulling. A skilled healer treats the disease when it initially enters the skin, hair, muscles, and meridians. If it reaches the Six Fu and Five Zang organs, half of the patients will die.
Bian Que said: Qi exhaustion is incurable; if accompanied by panting and cold sweat, death occurs within two days. The Qi pulse corresponds to the Hand-Taiyin Lung Meridian. When Hand-Taiyin Qi exhausts, the skin and hair become dry and brittle, and Qi dies first.