三品一条枪(见痔疮门)
人参养荣汤(见瘰 门)
补中益气汤 八味丸 十全大补汤(俱见痈疽溃疡门)
寒食面(注末卷)
夫肺痈者,金受火刑之症也。盖肺为五脏华盖,其位至高,其质至清,内主乎气,中主声音,外司皮毛,
又兼主乎寿夭。金清而气管深长者,其音自清∶其韵自高,其声自洪,此三者主寿,亦主通达;如金浊而气管
短细者,其音自焦,其韵自低,其声自小,此三者主夭,亦主蹇滞。故肺金独旺于秋者,应其轻清之候也,倘
有所克,其病自生。致患肺痈者,先因感受风寒,未经发越,停留肺中,初则其候毛耸恶风,咳嗽声重,胸膈
隐痛,项强不能转侧者,是其真候也;久则鼻流清涕,咳吐脓痰,黄色腥秽,甚则胸胁胀满,呼吸不利,饮食
减少,脉洪自汗。法当清金甘桔汤主之,麦冬清肺饮调之。又久嗽劳伤,咳吐痰血,寒热往来,形体消削,咯
吐瘀脓,声哑咽痛,其候传为肺痿,如此者百死一生之病也。治宜知母茯苓汤主之,人参五味子汤调之。又有
七情、饥饱、劳役损伤脾肺者,麦冬平肺饮主之,紫菀葺汤调之。又有房欲劳伤,丹石补药消铄肾水者,宜肾
气丸主之,金液戊土丹调之。又劳力内伤,迎风响叫,外寒侵入,未经解散致生肺痈者,初起脉浮微数,胸热
气粗,寒热往来,咳嗽生痰者,当以小青龙汤主之,麦冬清肺饮调之。通用金鲤汤、蜡矾丸、太乙膏相间服之
亦效,如手掌皮粗,六脉洪数,气急颧红,污脓白血,呕哕HT 水,鼻煽,不餐饮食者,俱为不治。此症以身凉
脉细,脓血交流,痰色鲜明,饮食知味,脓血渐止者俱为无妨,反此则死。
三品一条枪(参见痔疮章节)
人参养荣汤(参见瘰疬章节)
补中益气汤、八味丸、十全大补汤(均参见痈疽溃疡章节)
寒食面(注见末卷)
所谓肺痈,是金受火刑的病症。肺作为五脏的华盖,位置最高,质地最清,内部主管气,中间主管声音,外部主管皮毛,又兼管寿命的长短。如果肺金清澈且气管深长,那么声音自然清脆,韵调自然高亢,声响自然洪亮,这三种表现主长寿,也主通达;如果肺金浑浊且气管短细,那么声音自然焦枯,韵调自然低沉,声响自然微弱,这三种表现主夭折,也主蹇滞不顺。所以肺金独旺于秋季,是顺应其轻清的时令特点,倘若受到克制,疾病自然产生。导致患肺痈的原因,先是感受风寒,未能发散,停留在肺中,起初的症状是毛发耸立、恶风、咳嗽声重、胸膈隐痛、项强不能转侧,这是其真实的症状;日久则鼻流清涕,咳吐脓痰,颜色黄且气味腥秽,甚至胸胁胀满,呼吸不利,饮食减少,脉象洪大且自汗。治法应当用清金甘桔汤为主方,麦冬清肺饮调理。又有久嗽劳伤,咳吐痰血,寒热往来,形体消瘦,咯吐瘀脓,声哑咽痛,这种症状传变为肺痿,像这样的病是百死一生的重症。治疗适宜用知母茯苓汤为主方,人参五味子汤调理。又有因七情、饥饱、劳役损伤脾肺的,用麦冬平肺饮为主方,紫菀葺汤调理。又有因房事劳伤,服用丹石补药消铄肾水的,适宜用肾气丸为主方,金液戊土丹调理。又有因劳力内伤,迎风响叫,外寒侵入,未能解散导致生肺痈的,初起时脉浮微数,胸部发热,气息粗重,寒热往来,咳嗽生痰,应当用小青龙汤为主方,麦冬清肺饮调理。通用金鲤汤、蜡矾丸、太乙膏交替服用也有效,如果出现手掌皮肤粗糙,六脉洪数,气急颧红,吐出污脓和白血,呕吐哕逆清水,鼻翼煽动,不进饮食的,都属于不治之症。此症如果身体凉爽,脉象细弱,脓血交流,痰色鲜明,饮食知味,脓血逐渐停止的,都属于无妨,反之则会死亡。
Sanpin Yitiao Qiang (see Hemorrhoids section)
Renshen Yangrong Tang (Ginseng Decoction for Nourishing Harmony; see Scrofula section)
Buzhong Yiqi Tang (Decoction to Boost the Middle and Augment Qi), Bawei Wan (Eight-Ingredient Pill), Shiquan Dabu Tang (Great Tenfold Tonifying Decoction) (all see Carbuncle and Ulceration section)
Hanshi Mian (Cold Food Noodle; note in the last volume)
The so-called Lung Abscess (Fei Yong) is a syndrome where Metal suffers from Fire punishment. The Lung serves as the Canopy of the Five Zang Organs, positioned at the highest level, with the purest quality. Internally it governs Qi, centrally governs voice, externally controls skin and hair, and also governs longevity. When Lung Metal is clear and the air passages are deep and long, the voice is naturally crisp, the resonance high, and the sound resonant; these three indicate longevity and smoothness. If Lung Metal is turbid and the air passages short and thin, the voice is naturally parched, the resonance low, and the sound faint; these three indicate premature death and stagnation. Therefore, Lung Metal thrives uniquely in autumn, responding to its light and clear seasonal nature; if suppressed, disease arises. Those suffering from Lung Abscess first contract Wind-Cold which fails to disperse, remaining in the Lung. Initially, symptoms include bristling hair, aversion to wind, cough with heavy voice, hidden pain in the chest and diaphragm, and neck stiffness preventing turning; these are the true signs. Over time, clear nasal discharge occurs, pus and sputum are expectorated, yellow and foul-smelling, even with chest and hypochondriac distension, difficult breathing, reduced appetite, surging pulse, and spontaneous sweating. The method should employ Qingjin Ganjie Tang (Clear Metal Licorice and Platycodon Decoction) as the main formula, regulated by Maidong Qingfei Yin (Ophiopogon Lung-Clearing Infusion). There are also cases of chronic cough due to labor injury, expectorating blood-stained sputum, alternating chills and fever, emaciation, spitting of stasis-pus, hoarseness, and sore throat; this condition transmits into Lung Flaccidity (Fei Wei), a disease with only one chance of survival out of a hundred. Treatment suits Zhimu Fuling Tang (Anemarrhena and Poria Decoction) as the main formula, regulated by Renshen Wuweizi Tang (Ginseng and Schisandra Decoction). There are also cases where Seven Emotions, hunger/fullness, or labor injure the Spleen and Lung, treated with Maidong Pingfei Yin (Ophiopogon Level-Lung Infusion) as the main formula, regulated by Ziwan Ru Tang (Aster and Asarum Decoction). There are also cases of sexual exhaustion injuring the Kidney Water via Dan-Shi tonics, suited for Shenqi Wan (Kidney Qi Pill) as the main formula, regulated by Jinye Wutu Dan (Golden Fluid Earth-Earth Pill). There are also cases of internal injury from labor, whistling in the wind, external Cold invasion failing to resolve leading to Lung Abscess; initially presenting with floating and slightly rapid pulse, chest heat, coarse breath, alternating chills and fever, cough with phlegm, treated with Xiaoqinglong Tang (Minor Green Dragon Decoction) as the main formula, regulated by Maidong Qingfei Yin. Generally, Jinyi Tang (Gold Carp Decoction), Lafan Wan (Beeswax and Alum Pill), and Taiyi Gao (Supreme Paste) taken alternately are also effective. However, if palm skin becomes rough, six pulses are surging and rapid, breath急促 with malar flush, expectoration of foul pus and white blood, vomiting of clear water, nasal flaring, and refusal to eat, all are incurable. This condition, if body temperature is cool, pulse is fine, pus and blood flow freely, sputum color is bright, appetite returns, and pus/blood gradually cease, are all harmless; the reverse indicates death.