治痰之法,不可徒去其湿,必以补为先,而佐以化痰之品,〔乃克有效〕。方用∶
人参(二钱) 茯苓(三钱) 薏苡仁(五钱) 半夏(三钱) 陈皮(一钱) 神曲
(一
此方之中用神曲,人多不识其意,谓神曲乃消食之圣药,非化痰之神品也。殊不知,痰
之积
然虽
能
更有气虚痰热者,不可用此方,当用∶
麦冬(二钱) 白芍(二钱) 花粉(一钱) 陈皮(一钱) 白芥子(一钱) 当归
(三
肾中之水,有火则安,无火则泛。倘人过于入房,则水去而火亦去,久之则水虚而火亦
虚;
于补
上泛
熟地(三两) 山萸(一两) 肉桂(二钱) 北五味(一钱五分) 牛膝(三钱) 水
煎服。
一剂而痰下行,二剂而痰无不消矣。
凡人久有痰病不愈,用猪肺一个,萝卜子五钱,研碎,白芥子一两,五味调和,饭锅蒸
熟。
古人所立治痰之方,皆是治痰之标,而不能治痰之本也。如二陈汤,上、中、下久暂之
痰通治之,而无实效也。今立三方,痰病总不出其范围也∶
伤风咳嗽吐痰是也。方用∶
半夏(一钱) 陈皮(一钱) 花粉(一钱) 茯苓(一钱) 苏子(一钱) 甘草(一
钱) 水煎服
二剂而痰可消矣。此方去上焦之痰,上焦之痰,原在胃中,而不在肺;去其胃中之痰,
而肺
治疗痰病的方法,不能仅仅去除湿气,必须以补益为先,再辅以化痰的药物,这样才能见效。方剂组成如下:
人参(二钱) 茯苓(三钱) 薏苡仁(五钱) 半夏(三钱) 陈皮(一钱) 神曲(一钱)
此方中使用神曲,许多人不了解其用意,认为神曲是消食导滞的圣药,并非化痰的神品。殊不知,痰的积聚往往与脾胃运化功能有关,神曲能助消化,从而断绝生痰之源。
对于气虚且伴有寒痰的患者,只需在前方基础上,加入肉桂三钱、干姜五分即可。
对于气虚且伴有热痰的患者,则不能使用此方,应当使用以下方剂:
麦冬(二钱) 白芍(二钱) 花粉(一钱) 陈皮(一钱) 白芥子(一钱) 当归(三钱)
肾中的阴水,有命门之火温煦则安守原位,无火则泛滥上溢。如果人过度房事,则肾水耗损,命门之火也随之消散,久而久之,水虚而火亦虚;此时若只补水而不补火,或只补火而不固本,均难以奏效。应当通过补肾填精、引火归元的方法来治疗,使水上泛之势得以平息。方用:熟地黄(三两) 山茱萸(一两) 肉桂(二钱) 北五味子(一钱五分) 牛膝(三钱) 用水煎服。
服用一剂后,痰液下行;服用两剂后,痰症无不消除。
凡是患有慢性痰病久治不愈的人,可用猪肺一个,萝卜子五钱,研碎,再加入白芥子一两,五味调和,放在饭锅上蒸熟食用。
古人所制定的治疗痰病的方剂,大多只是治疗痰病的表象(标),而不能治疗痰病的根本(本)。例如二陈汤,虽然通治上、中、下三焦久暂不同的痰证,但缺乏实效。如今制定这三个方剂,痰病总不出这三方的范围:
伤风咳嗽吐痰属于此类。方剂组成如下:
半夏(一钱) 陈皮(一钱) 花粉(一钱) 茯苓(一钱) 苏子(一钱) 甘草(一钱) 用水煎服。
服用两剂后,痰症即可消除。此方旨在清除上焦之痰,上焦之痰,原本源于胃中,而非肺中;清除胃中之痰,则肺气自降。
The method for treating phlegm (Tan) should not merely focus on eliminating dampness (Shi), but must prioritize tonification, supplemented by herbs that resolve phlegm, to achieve effectiveness. The prescription is as follows:
Ren Shen (Ginseng Radix et Rhizoma, 2 qian) Fu Ling (Poria, 3 qian) Yi Yi Ren (Coicis Semen, 5 qian) Ban Xia (Pinelliae Rhizoma, 3 qian) Chen Pi (Citri Reticulatae Pericarpium, 1 qian) Shen Qu (Massa Medicata Fermentata, 1 qian)
Many people do not understand the intention behind using Shen Qu in this formula. They consider Shen Qu to be a supreme medicine for digesting food, not a divine product for resolving phlegm. However, they fail to realize that the accumulation of phlegm is often related to the spleen and stomach's transformation and transportation functions; Shen Qu aids digestion, thereby cutting off the source of phlegm production.
For patients with Qi deficiency accompanied by cold-phlegm, it suffices to add Rou Gui (Cinnamomi Cortex, 3 qian) and Gan Jiang (Zingiberis Rhizoma, 0.5 qian) to the aforementioned formula.
For patients with Qi deficiency accompanied by heat-phlegm, this formula should not be used. Instead, the following prescription should be employed:
Mai Dong (Ophiopogonis Radix, 2 qian) Bai Shao (Paeoniae Radix Alba, 2 qian) Hua Fen (Trichosanthis Radix, 1 qian) Chen Pi (Citri Reticulatae Pericarpium, 1 qian) Bai Jie Zi (Sinapis Semen, 1 qian) Dang Gui (Angelicae Sinensis Radix, 3 qian)
The Yin water in the Kidneys remains stable when warmed by the Fire of the Gate of Life (Ming Men); without fire, it overflows. If one engages in excessive sexual activity, kidney water is depleted, and the fire of the Gate of Life dissipates along with it. Over time, both water and fire become deficient. Treatment requires tonifying the kidneys and anchoring the floating fire to prevent the upward overflow of fluids. The prescription is: Shu Di Huang (Rehmanniae Radix Praeparata, 3 liang) Shan Yu (Corni Fructus, 1 liang) Rou Gui (Cinnamomi Cortex, 2 qian) Bei Wu Wei Zi (Schisandrae Chinensis Fructus, 1.5 qian) Niu Xi (Achyranthis Bidentatae Radix, 3 qian). Decoct in water and take orally.
After one dose, the phlegm moves downward; after two doses, the phlegm pathology will be completely eliminated.
For those suffering from chronic phlegm disease that has not healed for a long time, use one pig lung, 5 qian of Luobo Zi (Radish Seed), crushed, mixed with 1 liang of Bai Jie Zi (Sinapis Semen). Blend well with five flavors, steam until cooked over rice, and consume.
The formulas established by ancient physicians for treating phlegm mostly address the branch (biao/symptoms) of phlegm disease rather than its root (ben/cause). For instance, Er Chen Tang treats phlegm of various durations in the upper, middle, and lower jiao, yet lacks substantial efficacy. The three formulas established here cover the scope of all phlegm diseases:
Wind-attack cough with expectoration belongs to this category. The prescription is:
Ban Xia (Pinelliae Rhizoma, 1 qian) Chen Pi (Citri Reticulatae Pericarpium, 1 qian) Hua Fen (Trichosanthis Radix, 1 qian) Fu Ling (Poria, 1 qian) Su Zi (Perillae Fructus, 1 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian). Decoct in water and take orally.
After two doses, the phlegm can be eliminated. This formula aims to clear phlegm from the Upper Jiao. Phlegm in the Upper Jiao originally originates from the Stomach, not the Lung; by clearing the phlegm from the Stomach, the Lung qi descends naturally.