夫肺痈者。由寒伤于肺。其气结聚所成也。肺主气。候之皮毛。若劳伤血气。则腠理开
而
间
而实
不可
风中
口干
。脓成即死。又欲知有脓者。其脉微紧而数。脓为未成。其脉紧甚。但数。脓为已成。又肺病
当有咳嗽短气。唾出脓血。其脉当短涩而反浮大者。死。其色当白而反赤者。此是火之克金。
为逆不可治也。
治肺痈。心胸气壅。咳嗽脓血。肩背烦闷。小便赤黄。大便多涩。宜服黄 散方。
黄 （一两锉） 白蒺藜（三分） 枳壳（三分麸炒微黄去瓤） 紫苏茎叶（一两） 杏
仁（三
分汤
微炒）
天
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服。
治肺痈。喘急咳嗽脓血。心神烦闷。咽干多渴。汉防己散方。
汉防己（三分） 麦门冬（三分去心皮） 桑根白皮（一两锉） 赤茯苓（一两） 枳
壳（三分
麸
赤锉）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服。
治肺痈烦闷。咳嗽脓血。竹茹散方。
苦竹茹（一两） 生干地黄（一两） 茜根（半两） 百合（半两） 杏仁（半两汤浸
去皮尖双
仁麸炒微黄） 黄 （一两半） 甘草（半两炙微赤锉）
上件药。捣粗罗为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时
候温服。
治肺痈。吐脓血方。
薏苡仁（三合）
上捣碎。以水二大盏。煮取一大盏。去滓。分温二服。当下脓血便愈。
又方。
桔梗〔三分（两）去芦头〕 甘草（一两锉生用）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。温服。如人行八九里再
服。
治肺痈。得吐后。宜服补肺排脓散方。
黄 （二两锉）
上捣筛为散。每服四钱。以水一中盏。煎至六分。去滓温服。日三四服。
治肺痈。喘咳气急。眠卧不得方。
甜葶苈（二两半隔纸炒令紫色）
上捣筛为散。每服二（三）钱。以水一中盏。煎至六分。去滓。不计时候温服。
治肺痈。咳其声破嗄。体有微热。烦满。胸前皮甲错者。肺肿也。宜服此方。
夜合白皮（一两）
上锉。以水一大盏。煎至七分。去滓。不计时候。分温二服。
又方。
青苇（二茎锉） 薏苡仁（二合） 甜瓜子（二合） 桃仁（五十枚汤浸去皮尖）
上件药。捣碎。先以水三大盏。煎苇至一大盏。去滓。入薏苡仁等三味。同煎至七分。
不计时候。分温二服。
治肺痈。胸中满。振寒。脉数咽干。不渴。时出浊唾腥臭。久久吐脓如粳米粥者。
\x桔梗
桔梗（三分去芦头） 贝母（半两） 巴豆（一分去皮心纸裹压去油）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。强人粥饮下五丸。羸人三丸。若病在膈上
者吐出也。若在膈下者利出也。若下多不止者。食冷饭三两匙即止。
肺痈，是由于寒邪损伤肺部，导致肺气结聚而形成的疾病。肺主司气，其外候反映在皮毛。如果因劳倦耗伤气血，则腠理（皮肤纹理及汗孔）疏松，风邪容易侵入。若出现口干、脉象微紧且数，说明脓液尚未形成；若脉象紧而甚，仅见数象，说明脓液已经形成。此外，肺病应当伴有咳嗽、呼吸短促，咳出脓血，脉象应当短涩，如果反而出现浮大脉象，则为死证。面色本应白而反见赤色，这是火克金的逆证，难以治愈。
治疗肺痈，症见心胸气机壅滞，咳嗽伴脓血，肩背烦闷不适，小便赤黄，大便多艰涩者，适宜服用黄芪散方。
黄芪（一两，锉碎），白蒺藜（三分），枳壳（三分，麸炒至微黄，去瓤），紫苏茎叶（一两），杏仁（三分，汤浸后微炒）。
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，加入生姜半分，煎煮至六分，去渣滓。不拘时候，温服。
治疗肺痈，症见喘急咳嗽伴脓血，心神烦闷，咽干多渴者，服用汉防己散方。
汉防己（三分），麦门冬（三分，去心皮），桑根白皮（一两，锉碎），赤茯苓（一两），枳壳（三分，麸炒微黄，去瓤），赤芍（三分，锉碎）。
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，加入生姜半分，煎煮至六分，去渣滓。不拘时候，温服。
治疗肺痈，症见烦闷，咳嗽伴脓血者，服用竹茹散方。
苦竹茹（一两），生干地黄（一两），茜根（半两），百合（半两），杏仁（半两，汤浸去皮尖及双仁，麸炒微黄），黄芪（一两半），甘草（半两，炙至微赤，锉碎）。
以上药物，捣粗罗制成散剂。每次服用五钱，用水一大盏，加入生姜半分，煎煮至五分，去渣滓。不拘时候，温服。
治疗肺痈，吐脓血者，服用此方。
薏苡仁（三合）。
以上药物，捣碎。用水二大盏，煮取一大盏，去渣滓。分两次温服。当下出脓血即可痊愈。
又一方：
桔梗（三分，去芦头），甘草（一两，锉碎，生用）。
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，煎煮至六分，去渣滓，温服。如人行走八九里的时间后再服。
治疗肺痈，呕吐之后，适宜服用补肺排脓散方。
黄芪（二两，锉碎）。
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，煎煮至六分，去渣滓，温服。每日三四次。
治疗肺痈，症见喘咳气急，无法安眠者，服用此方。
甜葶苈（二两半，隔纸炒至紫色）。
以上药物，捣碎过筛制成散剂。每次服用二至三钱，用水一中盏，煎煮至六分，去渣滓。不拘时候，温服。
治疗肺痈，症见咳嗽声音破碎嘶哑，身体有微热，烦满，胸前皮肤粗糙如鳞甲交错者，此为肺肿。适宜服用此方。
夜合白皮（一两）。
以上药物，锉碎。用水一大盏，煎煮至七分，去渣滓。不拘时候，分两次温服。
又一方：
青苇（二茎，锉碎），薏苡仁（二合），甜瓜子（二合），桃仁（五十枚，汤浸去皮尖）。
以上药物，捣碎。先用水三大盏，煎煮芦苇至一大盏，去渣滓。加入薏苡仁等三味药，同煎至七分。不拘时候，分两次温服。
治疗肺痈，症见胸中胀满，恶寒战栗，脉数，咽干但不口渴，时常吐出浑浊唾沫且气味腥臭，久则吐出如粳米粥状的脓液者，服用此方。
桔梗（三分，去芦头），贝母（半两），巴豆（一分，去皮心，用纸包裹压去油）。
以上药物，捣罗成末，炼蜜和丸，如梧桐子大小。体质强者用粥饮送服五丸，体弱者服三丸。若病位在膈上，则通过呕吐排出；若病位在膈下，则通过腹泻排出。若泻下过多不止，吃三两匙冷饭即可停止。
Lung abscess (Fei Yong) is a condition formed by the accumulation of Qi in the lung due to injury by cold pathogens. The Lung governs Qi, and its manifestation is observed in the skin and hair. If labor and fatigue damage the Blood and Qi, the Cou Li (pores and interstices) become open, allowing wind pathogens to invade. If dry mouth occurs, and the pulse is slightly tight and rapid, it indicates that pus has not yet formed. If the pulse is very tight but only rapid, it indicates that pus has already formed. Furthermore, lung disease should present with coughing, shortness of breath, and expectoration of pus and blood; the pulse should be short and choppy. If the pulse is instead floating and large, it is a death sign. If the complexion should be white but appears red instead, this represents Fire overcoming Metal, which is a counterproductive pattern and is difficult to treat.
For treating lung abscess with symptoms of Qi stagnation in the chest and heart, coughing with pus and blood, irritability and oppression in the shoulders and back, dark yellow urine, and frequent constipation, Huangqi San (Astragalus Powder) is suitable.
Huangqi (Radix Astragali, 1 liang, sliced), Bijieli (Fructus Tribuli, 3 fen), Zhike (Pericarpium Citri Reticulatae, 3 fen, stir-baked with bran until slightly yellow, pith removed), Zisu Jingye (Herba Perillae, 1 liang), Xingren (Semen Pruni Armeniacae, 3 fen, soaked in water and lightly stir-fried).
The above herbs are crushed, sifted, and made into a powder. Take 4 qian per dose. Add 1 zhong of water and 0.5 fen of Shengjiang (Rhizoma Zingiberis Recens), decoct until 0.6 zhong remains. Strain and take warm at any time.
For treating lung abscess with symptoms of wheezing, urgent coughing with pus and blood, mental restlessness, dry throat, and excessive thirst, Hanfangji San (Stephania Powder) is used.
Hanfangji (Radix Stephaniae Tetrandrae, 3 fen), Maimendong (Radix Ophiopogonis, 3 fen, heart and peel removed), Sangbaipipi (Cortex Morii Radicis, 1 liang, sliced), Chifuling (Poria Cocos with Red Wood, 1 liang), Zhike (Pericarpium Citri Reticulatae, 3 fen, stir-baked with bran until slightly yellow, pith removed), Chishao (Radix Paeoniae Rubra, 3 fen, sliced).
The above herbs are crushed, sifted, and made into a powder. Take 4 qian per dose. Add 1 zhong of water and 0.5 fen of Shengjiang (Rhizoma Zingiberis Recens), decoct until 0.6 zhong remains. Strain and take warm at any time.
For treating lung abscess with irritability and coughing with pus and blood, Zhuru San (Bamboo Shavings Powder) is used.
Kuzhuru (Nodus Bambusae in Taeniam, 1 liang), Shenggan Dihuang (Radix Rehmanniae Preparata, 1 liang), Qigen (Radix Rubiae Cordifoliae, 0.5 liang), Baihe (Bulbus Lilii, 0.5 liang), Xingren (Semen Pruni Armeniacae, 0.5 liang, soaked in water, peel and tips removed, double kernels removed, stir-baked with bran until slightly yellow), Huangqi (Radix Astragali, 1.5 liang), Gancao (Radix Glycyrrhizae, 0.5 liang, honey-roasted until slightly red, sliced).
The above herbs are coarsely ground and sifted into a powder. Take 5 qian per dose. Add 1 da zhong of water and 0.5 fen of Shengjiang (Rhizoma Zingiberis Recens), decoct until 0.5 zhong remains. Strain and take warm at any time.
For treating lung abscess with expectoration of pus and blood:
Yiyiren (Semen Coicis, 3 he).
Crush the herb. Add 2 da zhongs of water, boil down to 1 da zhong. Strain and divide into two warm doses. Recovery occurs when pus and blood are discharged.
Another prescription:
Jiegeng (Radix Platycodonis, 3 fen, radix and lumen removed), Gancao (Radix Glycyrrhizae, 1 liang, sliced, raw).
The above herbs are crushed, sifted, and made into a powder. Take 4 qian per dose. Add 1 zhong of water, decoct until 0.6 zhong remains. Strain and take warm. Re-administer after walking for approximately eight or nine li.
After vomiting in lung abscess, Bufei Painong San (Lung-Nourishing Pus-Discharging Powder) is suitable.
Huangqi (Radix Astragali, 2 liang, sliced).
The above herb is crushed, sifted, and made into a powder. Take 4 qian per dose. Add 1 zhong of water, decoct until 0.6 zhong remains. Strain and take warm. Take three to four times daily.
For treating lung abscess with wheezing, coughing, urgency of Qi, and inability to sleep:
Tiantingli (Semen Lepidii et Descurainiae, 2.5 liang, stir-baked between papers until purple).
The above herb is crushed, sifted, and made into a powder. Take 2–3 qian per dose. Add 1 zhong of water, decoct until 0.6 zhong remains. Strain and take warm at any time.
For treating lung abscess with broken and hoarse coughing sounds, slight body heat, irritability and fullness, and rough, scaly skin on the anterior chest (indicating Lung swelling):
Yeha Baipi (Cortex Albiziae Julibrissinis, 1 liang).
Slice the herb. Add 1 da zhong of water, decoct until 0.7 zhong remains. Strain and divide into two warm doses. Take at any time.
Another prescription:
Qingwei (Caulis Phragmitis Communis, 2 stems, sliced), Yiyiren (Semen Coicis, 2 he), Tianguazi (Semen Benincasae, 2 he), Taoren (Semen Persicae, 50 seeds, soaked in water, peel and tips removed).
Crush the herbs. First, add 3 da zhongs of water and decoct the reed stems until 1 da zhong remains. Strain. Add the Yiyiren, Tianguazi, and Taoren. Decoct together until 0.7 zhong remains. Divide into two warm doses. Take at any time.
For treating lung abscess with chest fullness, chills, rapid pulse, dry throat without thirst, occasional expectoration of turbid saliva with a foul odor, and long-term expectoration of pus resembling congee:
Jiegeng (Radix Platycodonis, 3 fen, radix and lumen removed), Beimu (Bulbus Fritillariae Cirrhosae, 0.5 liang), Badou (Semen Crotonis, 1 fen, peel and heart removed, wrapped in paper and pressed to remove oil).
The above herbs are finely ground into powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Strong individuals take 5 pills with gruel drink; weak individuals take 3 pills. If the pathogen is above the diaphragm, it will be expelled via vomiting; if below the diaphragm, it will be expelled via diarrhea. If diarrhea is excessive and uncontrolled, eating 3 spoons of cold rice will stop it.