夫伤寒毒瓦斯不退。上焦烦热。则伤于肺。肺主于气。邪热壅滞。则肺乘虚胀。卫气不行
。故令上气也。
治伤寒。心肺气壅。涕唾稠粘。胸胁胀满。上气喘促。宜服麦门冬散方。
麦门冬(一两去心) 甘草(半两炙微赤锉) 半夏(三分汤洗七遍去滑) 紫菀(三
分洗去
苗土
橘皮(半
两汤
上件药。捣筛为散。每服五钱。用水一大盏。入生姜半分。淡竹茹一分。煎至五分。去
滓。不计时候温服。
治伤寒。上气喘促。眠卧不得。宜服此方。
麻黄(二两去根节) 甘草(半两炙微赤锉) 紫菀(一两洗去苗土) 贝母(一两半
煨令微
黄) 杏仁(一两汤浸去皮尖双仁麸炒微黄) 紫苏子(一两微炒)
上件药。捣筛为散。每服五钱。用水一大盏。入生姜半分。煎至五分。去滓。不计时候
温服。
治伤寒。腹胁虚胀。上气咽燥。脉浮者。心下有水气。宜服赤茯苓散方。
赤茯苓(一两) 麻黄(一两半去根节) 赤芍药(一两) 半夏〔一(半)两汤浸(洗)
七遍去
滑〕 细辛(三分) 桂心(三分) 五味子(一两) 诃黎勒子(一两) 桑根白皮(一
两半锉)
上件药。捣筛为散。每服五钱。用水一大盏。入生姜半分。煎至五分。去滓。不计时候
温服。
治伤寒。痰唾无恒。上气喘急。胸中满闷。坐卧不安。面目微肿。宜服桑白皮散方
。
桑根白皮(一两锉) 赤茯苓(三分) 半夏(三分汤洗七遍去滑) 旋复花(一两) 陈
橘皮
(三
菀(三
分洗
上件药。捣筛为散。每服五钱。用水一大盏。入生姜半分。枣三枚。煎至五分。去滓。
不计时候温服。
治伤寒。上气喘急。心胸满闷。宜服此方。
紫苏子(一合微炒) 麻黄(一两去根节) 槟榔(一两) 陈橘皮(一两汤浸去白瓤
焙) 杏
仁(一两汤浸去皮尖双仁麸炒微黄) 甘草(半两炙微赤锉)
上件药。捣筛为散。每服五钱。用水一大盏。入生姜半分。煎至五分。去滓。不计时候
温服。
治伤寒。气壅。心腹不利。上气咳嗽。腹胁妨闷。宜服诃黎勒丸方。
诃黎勒皮(一两) 大腹皮(一两锉) 半夏(一两汤洗七遍去滑) 桑根白皮(一两
锉) 前
胡(
土) 杏
仁(
上件药。捣罗为末。入杏仁葶苈。更研令匀。炼蜜和捣三二百杵。丸如梧桐子大。每服
。不计时候。以生姜汤下二十丸。
治伤寒。心胸不利。上气喘促。腹胁妨闷。宜服槟榔丸方。
槟榔(一两) 木香(半两) 诃黎勒皮(一两) 桂心(三分) 木通(半两锉) 枳
壳(半两
麸炒微黄去瓤) 人参(半两去芦头) 赤芍药(三分) 半夏(半两汤洗七遍去滑)
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计时候。以生姜汤下
二十丸。
伤寒的毒邪未能消退,上焦出现烦热,就会损伤肺脏。肺主司气机运行,邪热壅滞,导致肺气乘虚而胀满,卫气运行不畅,因此导致上气喘逆。
治疗伤寒所致的心肺气机壅滞,症见鼻涕和唾液稠厚粘腻,胸胁部胀满,上气喘促,适宜服用麦门冬散方。
麦门冬(一两,去心) 甘草(半两,炙至微红并切碎) 半夏(三分,用汤水洗七遍以去除滑腻感) 紫菀(三分,洗去苗土) 橘皮(半两,用汤水浸泡后处理)
以上药物,捣碎过筛制成散剂。每次服用五钱,用水一大盏,加入生姜半分、淡竹茹一分,煎煮至剩余五分药液,滤去药渣,不分时候温服。
麻黄(二两,去根节) 甘草(半两,炙至微红并切碎) 紫菀(一两,洗去苗土) 贝母(一两半,煨至微黄) 杏仁(一两,汤浸去皮尖及双仁,麸炒至微黄) 紫苏子(一两,微炒)
以上药物,捣碎过筛制成散剂。每次服用五钱,用水一大盏,加入生姜半分,煎煮至剩余五分药液,滤去药渣,不分时候温服。
治疗伤寒所致腹胁虚胀,上气喘逆伴咽喉干燥,脉象浮者,此为心下有水气停留,适宜服用赤茯苓散方。
赤茯苓(一两) 麻黄(一两半,去根节) 赤芍药(一两) 半夏(一两半,汤浸洗七遍去滑) 细辛(三分) 桂心(三分) 五味子(一两) 诃黎勒子(一两) 桑根白皮(一两半,切碎)
以上药物,捣碎过筛制成散剂。每次服用五钱,用水一大盏,加入生姜半分,煎煮至剩余五分药液,滤去药渣,不分时候温服。
治疗伤寒所致痰唾无定形,上气喘急,胸中满闷,坐卧不安,面目轻微浮肿,适宜服用桑白皮散方。
桑根白皮(一两,切碎) 赤茯苓(三分) 半夏(三分,汤洗七遍去滑) 旋复花(一两) 陈橘皮(三两...此处原文有缺漏,依文意补全为常规剂量或保留原意) 紫菀(三分,洗去苗土...)
以上药物,捣碎过筛制成散剂。每次服用五钱,用水一大盏,加入生姜半分、大枣三枚,煎煮至剩余五分药液,滤去药渣,不分时候温服。
紫苏子(一合,微炒) 麻黄(一两,去根节) 槟榔(一两) 陈橘皮(一两,汤浸去白瓤焙干) 杏仁(一两,汤浸去皮尖及双仁,麸炒微黄) 甘草(半两,炙微红切碎)
以上药物,捣碎过筛制成散剂。每次服用五钱,用水一大盏,加入生姜半分,煎煮至剩余五分药液,滤去药渣,不分时候温服。
治疗伤寒所致气机壅滞,心腹部不适,上气喘咳,腹胁胀闷,适宜服用诃黎勒丸方。
诃黎勒皮(一两) 大腹皮(一两,切碎) 半夏(一两,汤洗七遍去滑) 桑根白皮(一两,切碎) 前胡(...原文缺漏) 杏仁(...原文缺漏)
以上药物,捣罗成末,加入杏仁、葶苈子,再次研磨均匀,用炼蜜调和,捣杵三二百次,制成如梧桐子大小的丸剂。每次服用二十丸,不分时候,用生姜汤送服。
治疗伤寒所致心胸不畅,上气喘促,腹胁胀闷,适宜服用槟榔丸方。
槟榔(一两) 木香(半两) 诃黎勒皮(一两) 桂心(三分) 木通(半两,切碎) 枳壳(半两,麸炒微黄去瓤) 人参(半两,去芦头) 赤芍药(三分) 半夏(半两,汤洗七遍去滑)
以上药物,捣罗成末,用炼蜜调和,捣杵三二百次,制成如梧桐子大小的丸剂。每次服用二十丸,不分时候,用生姜汤送服。
The toxic pathogenic factors of Cold Damage (Shanghan) fail to dissipate. Heat and irritability in the Upper Jiao (Upper Burner) injure the Lung. The Lung governs Qi; when evil heat stagnates, the Lung becomes distended due to deficiency, and the Defensive Qi (Wei Qi) fails to circulate freely. Thus, upper Qi rebellion (asthma/wheezing) occurs.
For Cold Damage complicated by Qi stagnation in the Heart and Lungs, presenting with thick and sticky nasal discharge and saliva, chest and hypochondriac fullness, and upper Qi rebellion with panting, the Maidong San (Ophiopogon Powder) is indicated.
Maidong (Radix Ophiopogonis), 1 liang, heart removed; Gancao (Radix Glycyrrhizae), 0.5 liang, honey-fried until slightly red and crushed; Banxia (Rhizoma Pinelliae), 3 qian, washed seven times with decoction to remove slipperiness; Ziwan (Herba Asteris Tatarici), 3 qian, washed to remove seedlings and soil; Chenpi (Pericarpium Citri Reticulatae), 0.5 liang, soaked in water and processed.
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 large cup of water, 0.5 fen of Shengjiang (Rhizoma Zingiberis Recens), and 1 fen of Danzhuru (Caulis Bambusae in Taeniam). Decoct until 0.5 cup remains, strain, and take warm at any time.
For Cold Damage causing upper Qi rebellion with panting and inability to sleep, this formula is suitable.
Mahuang (Herba Ephedrae), 2 liang, root nodes removed; Gancao (Radix Glycyrrhizae), 0.5 liang, honey-fried until slightly red and crushed; Ziwan (Herba Asteris Tatarici), 1 liang, washed to remove seedlings and soil; Beimu (Bulbus Fritillariae Cirrhosae), 1.5 liang, roasted until slightly yellow; Xingren (Semen Armeniacae Amarum), 1 liang, soaked in water, skin and tips removed, double-kernel bran-fried until slightly yellow; Zisuzi (Fructus Perillae), 1 liang, lightly fried.
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 large cup of water and 0.5 fen of Shengjiang (Rhizoma Zingiberis Recens). Decoct until 0.5 cup remains, strain, and take warm at any time.
For Cold Damage causing empty distension in the abdomen and hypochondrium, upper Qi rebellion with dry throat, and a floating pulse, indicating Water-Qi accumulation below the Heart, the Chifuling San (Red Poria Powder) is indicated.
Chifuling (Poria Cum Radice), 1 liang; Mahuang (Herba Ephedrae), 1.5 liang, root nodes removed; Chishaoyao (Radix Paeoniae Rubra), 1 liang; Banxia (Rhizoma Pinelliae), 1.5 liang, soaked in water and washed seven times to remove slipperiness; Xixin (Radix et Rhizoma Asari), 3 qian; Guixin (Cortex Cinnamomi), 3 qian; Wuweizi (Fructus Schisandrae Chinensis), 1 liang; Helilezi (Fructus Chebulae Retardatae), 1 liang; Sangbaipi (Cortex Mori Radicis), 1.5 liang, crushed.
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 large cup of water and 0.5 fen of Shengjiang (Rhizoma Zingiberis Recens). Decoct until 0.5 cup remains, strain, and take warm at any time.
For Cold Damage causing variable phlegm and saliva, upper Qi rebellion with急促 panting, chest fullness, restlessness in sitting or lying, and slight swelling of the face and eyes, the Sangbaipi San (Mulberry Root Bark Powder) is indicated.
Sangbaipi (Cortex Mori Radicis), 1 liang, crushed; Chifuling (Poria Cum Radice), 3 qian; Banxia (Rhizoma Pinelliae), 3 qian, washed seven times with decoction to remove slipperiness; Xuanfuhua (Capitium Inulae), 1 liang; Chenpi (Pericarpium Citri Reticulatae), 3 liang [text incomplete]; Ziwan (Herba Asteris Tatarici), 3 qian, washed to remove seedlings [text incomplete].
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 large cup of water, 0.5 fen of Shengjiang (Rhizoma Zingiberis Recens), and 3 dates. Decoct until 0.5 cup remains, strain, and take warm at any time.
For Cold Damage causing upper Qi rebellion with急促 panting and chest/heart fullness, this formula is suitable.
Zisuzi (Fructus Perillae), 1 he, lightly fried; Mahuang (Herba Ephedrae), 1 liang, root nodes removed; Binglang (Semen Arecae), 1 liang; Chenpi (Pericarpium Citri Reticulatae), 1 liang, soaked in water, white pith removed, dried; Xingren (Semen Armeniacae Amarum), 1 liang, soaked in water, skin and tips removed, double-kernel bran-fried until slightly yellow; Gancao (Radix Glycyrrhizae), 0.5 liang, honey-fried until slightly red and crushed.
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 large cup of water and 0.5 fen of Shengjiang (Rhizoma Zingiberis Recens). Decoct until 0.5 cup remains, strain, and take warm at any time.
For Cold Damage causing Qi stagnation, discomfort in the heart and abdomen, upper Qi rebellion with cough, and abdominal/hypochondriac oppression, the Helile Wan (Chebula Pill) is indicated.
Helilepi (Exocarpium Chebulae), 1 liang; Dafupi (Pericarpium Arecae Fructus), 1 liang, crushed; Banxia (Rhizoma Pinelliae), 1 liang, washed seven times with decoction to remove slipperiness; Sangbaipi (Cortex Mori Radicis), 1 liang, crushed; Qianhu (Radix Peucedani), [text incomplete]; Xingren (Semen Armeniacae Amarum), [text incomplete].
Grind the above ingredients into powder. Add Xingren (Semen Armeniacae Amarum) and Tinglizi (Semen Lepidii seu Descurainiae), and grind again until uniform. Mix with refined honey and pound 200-300 times. Form pills the size of Sophora seeds. Take 20 pills per dose at any time, washed down with Ginger Decoction.
For Cold Damage causing poor circulation in the heart and chest, upper Qi rebellion with panting, and abdominal/hypochondriac oppression, the Binglang Wan (Areca Nut Pill) is indicated.
Binglang (Semen Arecae), 1 liang; Muxiang (Radix Aucklandiae), 0.5 liang; Helilepi (Exocarpium Chebulae), 1 liang; Guixin (Cortex Cinnamomi), 3 qian; Mutong (Caulis Akebiae seu Trichosanthis), 0.5 liang, crushed; Zhike (Fructus Aurantii), 0.5 liang, bran-fried until slightly yellow, pith removed; Renshen (Radix Ginseng), 0.5 liang, radicle removed; Chishaoyao (Radix Paeoniae Rubra), 3 qian; Banxia (Rhizoma Pinelliae), 0.5 liang, washed seven times with decoction to remove slipperiness.
Grind the above ingredients into powder. Mix with refined honey and pound 200-300 times. Form pills the size of Sophora seeds. Take 20 pills per dose at any time, washed down with Ginger Decoction.