论痰饮证候 诸痰饮不化,留滞胸脘,令头目昏眩,呕恶不快,腹中漉漉有声,可与
消饮丸、倍术丸、五苓散。有寒者,与理中丸、青州白丸子、俞山人降气汤。中酒渴及停饮
呕逆恶心者,及头痛或饮酒过多,背痛连腰痛,不思饮食,与新法半夏汤、消饮丸、倍术丸
、辰砂化痰丸、生气汤、快气汤、半夏丸、天南星丸、大养气丸、橘皮半夏汤、小降气汤。
论咳嗽喘急 大抵咳嗽皆从肺出,医家细论发药,大略有三∶有因寒者,有风者,有热
者。风、寒则从外至,热则从内起。风、寒则诸经自受其邪,热则诸经腑脏或熏乘而为病。
风则散之,寒则温之,热则调之。泻是泻肺经,非泻腑脏也,当用葶苈、桑白皮之类是也。
因风者,遇风则嗽甚;因寒者,值寒则嗽剧;因热者,过热则嗽即发。更有一验甚的,但问
遇夜饮酒时夜间如何?若吃酒后嗽甚,则有热也;吃酒了嗽减,则有寒也。涎青白者有寒,
稠黄者有热,随证发药。
凡感风寒暴嗽,咳唾稠粘,胸膈不利,可与金沸草散、半夏丸、款花膏、华盖散、五嗽
丸、润肺丸、款肺散、青金丸、小儿润肺散、款冬花散。论寒嗽,反复冷嗽,或吐青痰,遇
夜嗽甚者,可与细辛五味子汤、养中汤、五嗽丸、俞山人降气汤、人参藿香汤、胡椒理中丸
、温肺细辛汤、钟乳补肺汤、消饮丸、倍术丸、丁香半夏丸、分心气饮、参苓白术散。恶风
有寒者,与小青龙丸,兼服款肺散、人参款花膏。论热嗽,胸膈不快,气壅上盛,脸赤口舌
干者,可与金沸草散、大阿胶丸、人参养肺丸、清心饮子、人参款花膏、半夏丸、华盖散、
人参润肺丸。风痰,上膈壅热,咽干及吐血者,可与辰砂化痰丸、大阿胶丸、蜡煎丸、人参
养肺丸、金沸草散、青州白丸子、川芎丸、鸡苏丸。久病嗽,及虚、老人,宜与温肺丸、人
参补肺汤、丁香半夏丸,人参藿香汤、化痰丸。寒热相交,秋、冬之间多有此证,可与款冬
花散、半夏丸、华盖散、人参款花膏、人参润肺丸、小儿润肺丸、青金丸、润金散,一贴作
二服,老人尤宜服。喘急气促,睡卧不得者,与定喘汤、瑞应丸、蜡煎散、降气汤、款花散
、润金散、人参养肺丸、华盖散之类。唾脓血者,与款冬花散、九仙散。
论述痰饮的证候:各种痰饮不能运化,停滞在胸脘部,导致头部和眼睛昏眩,恶心呕吐且感觉不适,腹部中有漉漉的水声,可以使用消饮丸、倍术丸、五苓散。如果有寒象的,使用理中丸、青州白丸子、俞山人降气汤。饮酒后口渴以及停饮导致的呕逆恶心的人,还有头痛或者饮酒过多,背痛牵连腰痛,不想吃东西的,使用新法半夏汤、消饮丸、倍术丸、辰砂化痰丸、生气汤、快气汤、半夏丸、天南星丸、大养气丸、橘皮半夏汤、小降气汤。
论述咳嗽喘急:大概咳嗽都源于肺,医家详细论述发病用药,大致有三种:有因寒邪引起的,有因风邪引起的,有因热邪引起的。风邪、寒邪是从外部侵入,热邪是从内部产生。风邪、寒邪则是各条经络自行承受邪气,热邪则是各条经络和脏腑互相熏蒸乘袭而致病。风邪则用发散的方法治疗,寒邪则用温补的方法治疗,热邪则用调和的方法治疗。泻法是泻肺经的实邪,并不是泻腑脏,应当使用葶苈子、桑白皮之类的药物。因风邪引起的,遇到风则咳嗽加重;因寒邪引起的,遇到寒冷则咳嗽剧烈;因热邪引起的,过热则咳嗽立即发作。还有一个非常确切的验证方法,只要询问夜间饮酒时情况如何?如果吃完酒后咳嗽加重,说明体内有热;吃完酒后咳嗽减轻,说明体内有寒。痰涎颜色青白的属于有寒,稠黄颜色的属于有热,根据证候开具药物。
凡是感受风寒突然咳嗽,咳吐稠粘的痰液,胸膈部不顺畅的,可以使用金沸草散、半夏丸、款花膏、华盖散、五嗽丸、润肺丸、款肺散、青金丸、小儿润肺散、款冬花散。论述寒性咳嗽,反复冷咳,或者吐出青色痰液,夜间咳嗽加重的,可以使用细辛五味子汤、养中汤、五嗽丸、俞山人降气汤、人参藿香汤、胡椒理中丸、温肺细辛汤、钟乳补肺汤、消饮丸、倍术丸、丁香半夏丸、分心气饮、参苓白术散。怕风且有寒象的,使用小青龙丸,兼服款肺散、人参款花膏。论述热性咳嗽,胸膈部不舒服,气机壅盛向上,面色发红、口舌干燥的,可以使用金沸草散、大阿胶丸、人参养肺丸、清心饮子、人参款花膏、半夏丸、华盖散、人参润肺丸。风痰,上膈部壅滞发热,咽喉干燥及吐血的患者,可以使用辰砂化痰丸、大阿胶丸、蜡煎丸、人参养肺丸、金沸草散、青州白丸子、川芎丸、鸡苏丸。久病咳嗽,以及体虚者、老年人,适宜使用温肺丸、人参补肺汤、丁香半夏丸、人参藿香汤、化痰丸。寒热交杂,在秋季、冬季之间多有这种证候,可以使用款冬花散、半夏丸、华盖散、人参款花膏、人参润肺丸、小儿润肺丸、青金丸、润金散,一贴药分为两次服用,老年人尤其适宜服用。气喘急促,无法安睡躺卧的,使用定喘汤、瑞应丸、蜡煎散、降气汤、款花散、润金散、人参养肺丸、华盖散之类的方剂。咳吐脓血的,使用款冬花散、九仙散。
Discussion on the Manifestations of Phlegm-Fluid Retention: Various phlegm-fluids fail to transform and stagnate in the chest and epigastrium, causing dizziness of the head and eyes, nausea and vomiting with discomfort, and gurgling sounds in the abdomen. One may administer Xiaoyin Wan (Eliminate Fluid Pill), Beishu Wan (Double Turmeric Pill), or Wuling San (Five-Ling Powder). If there is cold, administer Lizhong Wan (Regulate the Middle Pill), Qingzhou Baiwanzi (Qingzhou White Pill), or Yushanren Jiangqi Tang (Dr. Yu's Qi-Descending Decoction). For those with thirst after drinking wine and retained fluids leading to regurgitation, nausea, and aversion to food, as well as for headache or excessive alcohol consumption causing back pain radiating to the waist and loss of appetite, administer Xinfa Banxia Tang (New Method Pinellia Decoction), Xiaoyin Wan, Beishu Wan, Chensha Huatan Wan (Cinnabar Phlegm-Resolving Pill), Shengqi Tang (Qi-Vitalizing Decoction), Kuaiqi Tang (Qi-Swiftening Decoction), Banxia Wan (Pinellia Pill), Tiannanxing Wan (Arisaema Pill), Dayangqi Wan (Great Qi-Nourishing Pill), Jupi Banxia Tang (Tangerine Peel and Pinellia Decoction), or Xiaojiangqi Tang (Minor Qi-Descending Decoction).
Discussion on Cough and Asthma: Generally, coughs originate from the Lung. Physicians discuss the etiology and medication broadly in three categories: those caused by Cold, those by Wind, and those by Heat. Wind and Cold enter from the exterior, while Heat arises from within. Wind and Cold affect the meridians directly, whereas Heat causes disease through mutual steaming and attacking among meridians and zang-fu organs. Wind is treated by dispersing, Cold by warming, and Heat by harmonizing. "Purging" refers to purging the Lung meridian, not the zang-fu organs themselves; one should use herbs such as Tinglizi (Descurainiae Semen) and Sangbaipi (Mori Cortex). Those caused by Wind cough severely when exposed to wind; those caused by Cold cough intensely in cold weather; those caused by Heat cough immediately when overheated. A very reliable diagnostic method is to ask about their condition during nighttime alcohol consumption. If cough worsens after drinking, there is Heat; if it improves, there is Cold. Clear and white sputum indicates Cold, while thick and yellow sputum indicates Heat. Prescribe medications according to the syndrome.
For acute cough due to Wind-Cold invasion, with thick and sticky sputum and chest diaphragm discomfort, administer Jinfeicao San (Boilweed Powder), Banxia Wan, Kuanhua Gao (Coltsfoot Paste), Huagai San (Huagai Powder), Wusou Wan (Five-Cough Pill), Runfei Wan (Moisten Lung Pill), Kunfei San (Moisten Lung Powder), Qingjin Wan (Blue Gold Pill), Xiaorunfei San (Children's Moisten Lung Powder), or Kundonghua San (Coltsflower Powder). Regarding Cold Cough, characterized by recurrent cold coughing, expectoration of green phlegm, and worsening at night, administer Xixin Wuweizi Tang (Asarum and Schisandra Decoction), Yangzhong Tang (Nourish Middle Decoction), Wusou Wan, Yushanren Jiangqi Tang, Renshen Huoxiang Tang (Ginseng and Agastache Decoction), Hujiao Lizhong Wan (Pepper Regulate-Middle Pill), Wenfei Xixin Tang (Warm Lung Asarum Decoction), Zhongru Bufei Tang (Stalactite Tonify Lung Decoction), Xiaoyin Wan, Beishu Wan, Dingxiang Banxia Wan (Clove and Pinellia Pill), Fenxin Qi Yin (Separate Heart Qi Drink), or Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder). For those averse to wind with Cold, administer Xiaoqinglong Wan (Minor Blue Dragon Pill), combined with Kunfei San and Renshen Kuanhua Gao (Ginseng Coltsfoot Paste). Regarding Heat Cough, characterized by chest discomfort, qi congestion and upward excess, red face, and dry mouth and tongue, administer Jinfeicao San, Da Ejiao Wan (Large Donkey-Hide Gelatin Pill), Renshen Yangfei Wan (Ginseng Nourish Lung Pill), Qingxin Yinzi (Clear Heart Infusion), Renshen Kuanhua Gao, Banxia Wan, Huagai San, or Renshen Runfei Wan (Ginseng Moisten Lung Pill). For Wind-Phlegm with upper jiao heat congestion, dry throat, and hemoptysis, administer Chensha Huatan Wan, Da Ejiao Wan, Jianwan (Wax-Fried Pill), Renshen Yangfei Wan, Jinfeicao San, Qingzhou Baiwanzi, Chuanxiong Wan (Ligusticum Pill), or Jisu Wan (Elsholtzia Pill). For chronic cough, deficiency syndromes, and the elderly, administer Wenfei Wan (Warm Lung Pill), Renshen Bufei Tang (Ginseng Tonify Lung Decoction), Dingxiang Banxia Wan, Renshen Huoxiang Tang, or Huatan Wan (Resolve Phlegm Pill). When Cold and Heat intermingle, this syndrome often occurs in autumn and winter; administer Kundonghua San, Banxia Wan, Huagai San, Renshen Kuanhua Gao, Renshen Runfei Wan, Xiaorunfei San, Qingjin Wan, or Runjin San (Moisten Gold Powder). Take one dose divided into two servings; this is especially suitable for the elderly. For asthma with rapid breathing and inability to lie down, administer Dingchuan Tang (Stop Asthma Decoction), Ruiying Wan (Auspicious Response Pill), Jian San (Wax-Fried Powder), Jiangqi Tang, Kuanhua San, Runjin San, Renshen Yangfei Wan, or Huagai San. For expectoration of pus and blood, administer Kundonghua San or Jiuxian San (Nine Immortals Powder).