(附 马脾风)
诸喘为热者何也?长夏热甚,则息数气粗,喘之为热明矣。盖肺主气,为阳。阳气流行,通条脏腑,故肺为五脏之
华盖,喜清虚,嫌滞浊。呼随阳出,吸随阴入,一升一降,阴阳乃和。若有窒碍,则阴不上升,阳不下降,阴阳乖戾,
则生喘急矣;又有风寒暑湿,邪气相干,皆能为喘;又有七情之气,伤于五脏,亦能为喘。其症∶口张气急,胸满痰喘,
或喉间如拽锯之声。症候虽有十六,当究其源。如感寒邪,则驱散之;气郁则调顺之;脾胃虚则温理之。若小儿,无过
四症∶有肺受寒邪,咳嗽而生喘者;有肺热,痰壅而上气喘急者;有食咸酸,肺经受伤而作喘者;又有病后,气虚生痰
而喘急者,尤为难治。脉滑手足温者生;脉涩手足厥冷者死。若发汗如油,汗出如珠不流,喘而不休者死。
八仙丸 治男妇婴儿咳嗽痰喘。
胆星(一两) 半夏 款冬花 牙皂(炙) 枯矾 甘草(各五钱) 杏仁(六钱,去皮尖研) 巴豆(九粒,入
黑枣肉,火煨,存性)
为末,醋糊为丸,麻子大。每服二三十丸,姜汤下。
定喘汤 治喘 。
白果(二十个,去壳炒) 款冬花 麻黄 苏子 桑皮(各二钱) 黄芩 杏仁(去皮尖) 半夏(制。各一钱五
分)
生姜五片,水煎,小儿减半用之。
宁肺汤 治上气喘急,痰涎壅盛。
紫菀 陈皮 杏仁 枳壳 五味 半夏(制) 桑皮 紫苏子(各一钱) 甘草 冬花(各七分)
生姜三片,水煎。
人参定喘汤 肺气上逆,喘急痰响,坐卧不安。
人参 麻黄 阿胶(蛤粉炒) 半夏曲 五味 粟壳 桑皮(各一钱) 甘草(五分)
生姜三片,水煎。
清金汤 治男妇小儿不拘远年近日咳嗽喘急,喉中涎响,胸满气逆,饮食不进,坐卧不安。
陈皮 半夏(制) 茯苓 甘草 阿胶(蛤粉炒) 杏仁 五味(二分) 桑皮 紫苏 薏仁 贝母 粟壳 冬花
(各一钱) 人参(六分) 百合(一钱)
生姜三片,水煎。
苏杏饮 治上气喘嗽,面目浮肿。
杏仁 紫苏(各一钱) 大腹皮 五味 紫菀 甘草 陈皮 麻黄 桑皮 阿胶 桔梗(各七分)
生姜三片,水煎。
玉华散 治咳嗽喘急。此药调顺肺经,清利咽膈,安和神气。
葶苈(炒) 桑皮 半夏 贝母 天冬 马兜铃
杏仁 紫软 百合 人参 百部 甘草(各等分随儿大小加减)
生姜三片,枣一枚,水煎。
泻白散 治肺气有余,咳嗽喘急,面肿身热。
桑皮 地骨皮(各一钱五分) 甘草(五分)
生姜三片,水煎。
四磨汤 治七情郁结,上气喘急,小儿郁少,备用。
乌药 沉香 白槟榔 人参
各磨水,约相等,顿温服。
牛黄夺命丹 治大小肺胀喘满,胸胁气急,两肋扇动,陷下作坑,鼻孔开扇,痰涎壅盛,心烦口渴,俗云马脾
风,此方神效。及辛辣浓味,肺热作喘。
白牵牛 黑牵牛(各一两。半生半熟) 青皮 陈皮(各六钱) 大黄(一两五钱) 槟榔(一两)
经云∶肺气上逆,急食苦以泄之。故用牵牛,苦寒泻肺气,利湿热为君。陈皮苦温,理其肺气;青皮苦辛,散肺中
滞气为臣。槟榔辛温,性沉重,下痰降气;大黄苦寒,荡涤邪热为使。每服二三钱,姜汤下。
皱肺丸 专治喘。
款冬花 知母 秦艽 百部 紫菀 贝母 阿胶(各一两) 杏仁(四两,去皮,另研) 糯米(一两,炒)
各为末,羊肺一具,先将水灌入,看容得多少,即用此水煮杏仁令沸,滤过,灌入肺中,以绳系紧,同糯米煮
熟为度,捣烂,和前药为丸,麻子大。每服五十丸,桑皮汤下,量大小用之。
无价散 治马脾风。
朱砂(二钱五分) 轻粉(五分) 甘遂(一钱五分,面裹煨熟)为末,每服三分,姜汤调下。
紫金丹 治年久 喘,日夜不卧,只一二服可愈。
淡豆豉(一两) 白信石(一钱五分)
同碾成膏,丸绿豆大,每服七丸、十丸,冷茶汤下。
紫金膏 (即此方)将豉信碾膏涂碗内,用艾熏一时辰,取下加珍珠末一钱。用如前法。
服药后忌一切热物。
定喘化痰方
猪蹄甲(四十九个,洗净,每个入) 半夏末 白矾末(各三分)
入罐内固济,火 ,勿令烟出,研细加麝香一钱,瓷罐封贮。每服大者一钱,小者五分,姜汤下。
鲫鱼丸 治肺经久受寒邪,喘 痰盛。初发其寒从背起,冷如冰雪,渐渐喘促,气不相续,痰涎壅塞,咯吐不
出,坐卧不得,莫可支吾,两肩耸竖,背曲如弓,困惫垂死。一服见效,未效再服神验。
鲫鱼(重一斤者,不去肠鳞肚,近头处开一孔,入) 白砒末(一钱),将鱼入竹管内,外用青蒿捣泥固济,候干,
火
竹管通红存性,去鱼未烧过者,再加蛤粉三钱,绿豆粉丸,麻子大,朱砂五钱为衣。每服七八丸,赤糖汤冷下。忌一
切热物,大人服十丸。
内金丸 专治喘 。
鸡内金(二十个) 白砒(二钱) 黄丹(五钱) 牵牛(五钱) 葶苈(五钱)
各碾细,露星月下七宿,再入半夏末二钱五分,同碾,枣肉为丸,再露二宿,朱砂为衣,如前服法。
雄黄丸 治症如前,并盐醋等 哮吼。
雄黄(五钱) 半夏(一两) 白矾(三钱) 信石(一钱) 巴豆(一钱去油)
将矾信同炒干,研细,再入前药,姜汁糊丸,绿豆大,辰砂为衣。每服五六丸,茶清冷下。
如圣散 治诸般喘嗽,年久不愈。
蝙蝠(一个,去头,炙令焦干)
为末,每服一钱,米汤下。大者二钱。
十六般喘哮方
阿胶(一两,蛤粉炒) 马兜 甘草 半夏 杏仁(各一两) 人参(五钱)
为末,每服一二钱,临睡用后引调下∶
心嗽,面赤,干葛汤下;胃嗽,呕吐酸水,蛤粉汤下;肝嗽,眼中流泪,乌梅汤下;胆嗽,不睡,酸枣仁汤下;脾
嗽,不思饮食,吊恶,生姜汤下;膈嗽,痰涎内结,姜汤下;肺嗽,上气喘急,桑皮汤下;劳嗽,骨蒸,秦艽汤下;伤
风暴嗽,姜葱汤下;冷嗽,姜葱煎汤下;气嗽,腹痛满,青皮汤下;喘嗽带红,当归汤下;肾嗽,连脐下痛,糖饴汤下;
喉中拽锯,生姜、半夏汤下。
(附 马脾风)
各种因热引起的喘息是怎么回事呢?长夏季节天气炎热,导致呼吸急促、气息粗重,由此可见喘息多由热邪引起。肺主司气,属阳。阳气运行通畅,贯通脏腑,所以肺被称为五脏的华盖(覆盖于五脏之上的脏器),喜欢清虚的状态,厌恶停滞浑浊之气。呼气跟随阳气外出,吸气跟随阴气入内,一升一降,阴阳才能调和。如果有阻滞阻碍,就会导致阴气不能上升,阳气不能下降,阴阳失调,从而产生急促的喘息;此外,又有风寒暑湿等邪气相互干扰,都能导致喘息;还有七情(喜、怒、忧、思、悲、恐、惊)之气损伤五脏,也能导致喘息。其症状表现为:张口呼吸、气息急促,胸部胀满、痰多气喘,或者喉间发出像拉锯一样的声音。虽然症状表现有十六种,但应当探究其根源。如果是感受寒邪,就驱散寒邪;如果是气机郁滞,就调理顺达气机;如果是脾胃虚弱,就温补调理脾胃。至于小儿,无非是四种情况:一是肺受寒邪,咳嗽进而引发喘息的;二是肺热,痰液壅塞而上气喘急的;三是食用咸酸食物,损伤肺经而引发喘息的;四是病后,气虚生痰而导致喘息的,这四种尤其难以治疗。脉象滑利、手足温暖的可以存活;脉象涩滞、手足厥冷的预后不良(死亡)。如果出汗如油,汗珠凝聚不流,喘息不止的,预后不良(死亡)。
八仙丸:治疗男女婴儿咳嗽痰喘。
胆南星(一两)、半夏、款冬花、牙皂(炙烤)、枯矾、甘草(各五钱)、杏仁(六钱,去皮尖研碎)、巴豆(九粒,放入黑枣肉中,火煨至存性)。
研为细末,用醋糊制作成丸,大小如麻子。每次服用二三十丸,姜汤送服。
定喘汤:治疗喘息。
白果(二十个,去壳炒制)、款冬花、麻黄、苏子、桑白皮(各二钱)、黄芩、杏仁(去皮尖)、半夏(炮制。各一钱五分)。
生姜五片,水煎煮,小儿用量减半。
宁肺汤:治疗上气喘急,痰涎壅盛。
紫菀、陈皮、杏仁、枳壳、五味子、半夏(炮制)、桑白皮、紫苏子(各一钱)、甘草、款冬花(各七分)。
生姜三片,水煎煮。
人参定喘汤:治疗肺气上逆,喘急痰鸣,坐卧不安。
人参、麻黄、阿胶(蛤粉炒制)、半夏曲、五味子、罂粟壳、桑白皮(各一钱)、甘草(五分)。
生姜三片,水煎煮。
清金汤:治疗男女小儿不论病程长短,凡咳嗽喘急,喉中有痰鸣声,胸部胀满气逆,饮食不进,坐卧不安者。
陈皮、半夏(炮制)、茯苓、甘草、阿胶(蛤粉炒制)、杏仁、五味子(二分)、桑白皮、紫苏、薏苡仁、贝母、罂粟壳、款冬花(各一钱)、人参(六分)、百合(一钱)。
生姜三片,水煎煮。
苏杏饮:治疗上气喘嗽,面目浮肿。
杏仁、紫苏(各一钱)、大腹皮、五味子、紫菀、甘草、陈皮、麻黄、桑白皮、阿胶、桔梗(各七分)。
生姜三片,水煎煮。
玉华散:治疗咳嗽喘急。此药能调顺肺经,清利咽喉膈膜,安和神气。
葶苈子(炒制)、桑白皮、半夏、贝母、天冬、马兜铃、杏仁、紫苏、百合、人参、百部、甘草(各等分,根据儿童年龄大小加减剂量)。
生姜三片,大枣一枚,水煎煮。
泻白散:治疗肺气有余,咳嗽喘急,面肿身热。
桑白皮、地骨皮(各一钱五分)、甘草(五分)。
生姜三片,水煎煮。
四磨汤:治疗七情郁结,上气喘急,小儿气郁证备用。
乌药、沉香、白槟榔、人参。
分别磨取汁水,量大致相等,混合后温热顿服。
牛黄夺命丹:治疗大小肠肺胀喘满,胸胁气急,两肋扇动,肋骨间隙凹陷作坑,鼻孔开扇,痰涎壅盛,心烦口渴,俗称马脾风,此方神效。以及因辛辣浓味导致肺热引发的喘息。
白牵牛、黑牵牛(各一两。一半生用一半熟用)、青皮、陈皮(各六钱)、大黄(一两五钱)、槟榔(一两)。
医经说:肺气上逆,急需食用苦味药物以泄降肺气。所以用牵牛子,苦寒以泻肺气,利湿热作为君药。陈皮苦温,调理肺气;青皮苦辛,疏散肺中滞气作为臣药。槟榔辛温,性质沉重,下痰降气;大黄苦寒,荡涤邪热作为使药。每次服用二三钱,姜汤送服。
皱肺丸:专门治疗喘息。
款冬花、知母、秦艽、百部、紫菀、贝母、阿胶(各一两)、杏仁(四两,去皮,单独研碎)、糯米(一两,炒制)。
各药研为细末,取羊肺一副,先用水灌入,看能容纳多少水量,就用此水煮杏仁至沸腾,过滤后,灌入肺中,用绳子系紧,连同糯米一起煮熟捣烂,与前药末混合制成丸剂,大小如麻子。每次服用五十丸,桑白皮汤送服,根据患者年龄大小调整用量。
无价散:治疗马脾风。
朱砂(二钱五分)、轻粉(五分)、甘遂(一钱五分,面粉包裹煨熟)。
研为细末,每次服用三分,姜汤调服。
紫金丹:治疗多年陈疾喘息,日夜无法安卧,只需服用一二副即可痊愈。
淡豆豉(一两)、白信石(一钱五分)。
共同碾磨成膏状,制成绿豆大小的丸剂,每次服用七丸或十丸,冷茶送服。
紫金膏:(即上述配方)将豆豉和信石碾成膏涂在碗内,用艾草熏蒸一个时辰,取下后加入珍珠末一钱。使用方法同上。
服药后忌食一切热性食物。
定喘化痰方
猪蹄甲(四十九个,洗净,每个填入...此处原文缺字,依上下文推测为填入药末,但按规则不增添内容,故略过具体填入物,仅译结构)、半夏末、白矾末(各三分)。
放入罐内密封固济,用火煅烧,勿令烟冒出,研细后加入麝香一钱,用瓷罐封存储存。每次服用大者一钱,小者五分,姜汤送服。
鲫鱼丸:治疗肺经长期受寒邪侵袭,喘息痰盛。初发时寒气从背部升起,冷如冰雪,渐渐喘息急促,气不相续,痰涎壅塞,咯吐不出,坐卧不得,无法支撑,两肩耸起,背部弯曲如弓,困倦疲惫濒临死亡。服用一次见效,未见效再服,神验。
鲫鱼(重一斤的,不去肠鳞肚,在近头处开一孔,填入...此处原文缺字,依上下文推测为填入药末)、白砒末(一钱),将鱼放入竹管内,外用青蒿捣泥密封固济,待干后,用火煅烧至竹管通红且存性,去掉未烧过的鱼部分,再加蛤粉三钱,绿豆粉制成丸剂,大小如麻子,朱砂五钱为衣。每次服用七八丸,红糖汤冷服。忌食一切热性食物,成人服用十丸。
内金丸:专门治疗喘息。
鸡内金(二十个)、白砒(二钱)、黄丹(五钱)、牵牛子(五钱)、葶苈子(五钱)。
各自碾细,在星空月下露置七宿,再加入半夏末二钱五分,共同研磨,枣肉制成丸剂,再次露置两宿,朱砂为衣,服用方法同上。
雄黄丸:治疗症状如前所述,以及因盐醋等引发的哮吼。
雄黄(五钱)、半夏(一两)、白矾(三钱)、信石(一钱)、巴豆(一钱,去油)。
将矾和信石共同炒干,研细,再加入前述药物,姜汁糊制成丸剂,绿豆大小,辰砂为衣。每次服用五六丸,茶清冷服。
如圣散:治疗各种喘息咳嗽,多年不愈。
蝙蝠(一个,去头,炙烤至焦干)。
研为细末,每次服用一钱,米汤送服。大的蝙蝠服用二钱。
十六般喘哮方
阿胶(一两,蛤粉炒制)、马兜铃、甘草、半夏、杏仁(各一两)、人参(五钱)。
研为细末,每次服用一二钱,临睡前用以下引经药汤调服:
心咳,面色赤红,用干葛汤送服;胃咳,呕吐酸水,用蛤粉汤送服;肝咳,眼中流泪,用乌梅汤送服;胆咳,失眠,用酸枣仁汤送服;脾咳,不思饮食,恶心,用生姜汤送服;膈咳,痰涎内结,用姜汤送服;肺咳,上气喘急,用桑白皮汤送服;劳咳,骨蒸潮热,用秦艽汤送服;伤风暴咳,用姜葱汤送服;冷咳,用姜葱煎汤送服;气咳,腹痛胀满,用青皮汤送服;喘咳带血,用当归汤送服;肾咳,疼痛连及脐下,用糖饴汤送服;喉中发出拉锯声,用生姜、半夏汤送服。
(Attached: Ma Pi Feng / Horse Spleen Wind)
Why are various types of wheezing caused by heat? During the late summer when the heat is intense, breathing becomes rapid and coarse, clearly indicating that wheezing is often due to heat pathogen. The Lung governs Qi and belongs to Yang. When Yang Qi flows smoothly, it penetrates and connects the Zang-Fu organs; thus, the Lung is regarded as the "Huagai" (Canopy covering the five Zang organs), favoring clarity and emptiness while disliking stagnation and turbidity. Exhalation follows Yang going out, inhalation follows Yin entering; through this rising and falling, Yin and Yang achieve harmony. If there is obstruction, Yin cannot ascend and Yang cannot descend, leading to a disharmony of Yin and Yang, which generates urgent wheezing. Additionally, external pathogens such as Wind-Cold, Summer-Heat, and Dampness interfering with each other can all cause wheezing; moreover, emotions (Joy, Anger, Worry, Thought, Sadness, Fear, Fright) damaging the Zang organs can also cause wheezing. Symptoms include: mouth open for breathing, rapid breath, chest fullness, phlegm-induced wheezing, or a sound in the throat resembling a sawing motion. Although there are sixteen symptom patterns, one must investigate the root cause. If caused by Cold pathogen, dispel it; if due to Qi stagnation, regulate and smooth it; if due to Spleen-Stomach deficiency, warm and tonify it. Regarding children, there are essentially four conditions: 1) Lung affected by Cold pathogen, coughing leading to wheezing; 2) Lung Heat causing phlegm congestion and upper respiratory urgency; 3) Consumption of salty and sour foods injuring the Lung Meridian causing wheezing; 4) Post-illness Qi deficiency generating phlegm leading to wheezing, which is particularly difficult to treat. A slippery pulse with warm hands and feet indicates survival; a choppy pulse with cold extremities indicates death. If sweating is like oil, beads of sweat do not flow, and wheezing does not cease, it indicates death.
Ba Xian Wan (Eight Immortals Pill): Treats cough and phlegm-wheezing in men, women, and infants.
Dan Nan Xing (Arisaema cum Bile, 1 liang), Ban Xia (Pinellia Rhizoma, 5 qian), Kuan Dong Hua (Flos Farfarae, 5 qian), Ya Zao (Gleditsiae Fructus Spinosus, roasted, 5 qian), Ku Fan (Alumen, 5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 qian), Xing Ren (Armeniacae Semen Amarum, 6 qian, peeled and crushed), Ba Dou (Crotonis Fructus, 9 grains, roasted with black date flesh until charred but retaining nature).
Grind into powder, make pills with vinegar paste, size of hemp seeds. Take 20-30 pills per dose, washed down with Ginger Decoction.
Ding Chuan Tang (Wheezing-Calming Decoction): Treats wheezing.
Bai Guo (Ginkgonis Semen, 20 pieces, shelled and stir-fried), Kuan Dong Hua (Flos Farfarae, 2 qian), Ma Huang (Ephedrae Herba, 2 qian), Su Zi (Perillae Fructus, 2 qian), Sang Bai Pi (Mori Cortex, 2 qian), Huang Qin (Scutellariae Radix, 1.5 qian), Xing Ren (Armeniacae Semen Amarum, peeled, 1.5 qian), Ban Xia (Pinellia Rhizoma, processed, 1.5 qian).
Add 5 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water. Children use half the dose.
Ning Fei Tang (Lung-Calming Decoction): Treats upper respiratory urgency and excessive phlegm-saliva.
Zi Wan (Asteris Radix, 1 qian), Chen Pi (Citri Reticulatae Pericarpium, 1 qian), Xing Ren (Armeniacae Semen Amarum, 1 qian), Zhi Ke (Aurantii Fructus Immaturus, 1 qian), Wu Wei Zi (Schisandrae Fructus, 1 qian), Ban Xia (Pinellia Rhizoma, processed, 1 qian), Sang Bai Pi (Mori Cortex, 1 qian), Zi Su Zi (Perillae Fructus, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.7 qian), Dong Hua (Flos Farfarae, 0.7 qian).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water.
Ren Shen Ding Chuan Tang (Ginseng Wheezing-Calming Decoction): Treats rebellious Lung Qi, urgent wheezing with rattling phlegm, restlessness in sitting or lying.
Ren Shen (Ginseng Radix, 1 qian), Ma Huang (Ephedrae Herba, 1 qian), E Jiao (Colla Corii Asini, stir-fried with蛤粉), Ban Xia Qu (Pinellia Fermented Paste, 1 qian), Wu Wei Zi (Schisandrae Fructus, 1 qian), Su Qiao (Papaveris Pericarpium, 1 qian), Sang Bai Pi (Mori Cortex, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 qian).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water.
Qing Jin Tang (Clear Metal Decoction): Treats cough and urgent wheezing in men, women, and children regardless of duration, with rattling phlegm in the throat, chest fullness, rebellious Qi, loss of appetite, and restlessness.
Chen Pi (Citri Reticulatae Pericarpium, 1 qian), Ban Xia (Pinellia Rhizoma, processed, 1 qian), Fu Ling (Poria, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), E Jiao (Colla Corii Asini, stir-fried with蛤粉, 1 qian), Xing Ren (Armeniacae Semen Amarum, 1 qian), Wu Wei Zi (Schisandrae Fructus, 0.2 qian), Sang Bai Pi (Mori Cortex, 1 qian), Zi Su (Perillae Folium, 1 qian), Yi Ren (Coicis Semen, 1 qian), Bei Mu (Fritillariae Bulbus, 1 qian), Su Qiao (Papaveris Pericarpium, 1 qian), Dong Hua (Flos Farfarae, 1 qian), Ren Shen (Ginseng Radix, 0.6 qian), Bai He (Lilii Bulbus, 1 qian).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water.
Su Xing Yin (Perilla and Apricot Kernel Drink): Treats upper respiratory cough and wheezing, facial and eye edema.
Xing Ren (Armeniacae Semen Amarum, 1 qian), Zi Su (Perillae Folium, 1 qian), Da Fu Pi (Arecae Pericarpium, 0.7 qian), Wu Wei Zi (Schisandrae Fructus, 0.7 qian), Zi Wan (Asteris Radix, 0.7 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.7 qian), Chen Pi (Citri Reticulatae Pericarpium, 0.7 qian), Ma Huang (Ephedrae Herba, 0.7 qian), Sang Bai Pi (Mori Cortex, 0.7 qian), E Jiao (Colla Corii Asini, 0.7 qian), Jie Geng (Platycodonis Radix, 0.7 qian).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water.
Yu Hua San (Jade Flower Powder): Treats cough and urgent wheezing. This formula regulates the Lung Meridian, clears and benefits the throat and diaphragm, and calms the Spirit.
Ting Li (Descurainiae Semen seu Lepidii Semen, stir-fried), Sang Bai Pi (Mori Cortex), Ban Xia (Pinellia Rhizoma), Bei Mu (Fritillariae Bulbus), Tian Dong (Asparagi Radix), Ma Dou Ling (Aristolochiae Fructus), Xing Ren (Armeniacae Semen Amarum), Zi Su (Perillae Folium), Bai He (Lilii Bulbus), Ren Shen (Ginseng Radix), Bai Bu (Stemonae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma). (Equal parts, adjust dosage based on child's age).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens) and 1 Jujube, decoct in water.
Xie Bai San (Drain White Powder): Treats excess Lung Qi, cough and urgent wheezing, facial swelling, and body heat.
Sang Bai Pi (Mori Cortex, 1.5 qian), Di Gu Pi (Lycii Cortex, 1.5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 qian).
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct in water.
Si Mo Tang (Four Grinds Decoction): Treats emotional stagnation causing upper respiratory urgency; reserved for pediatric Qi stagnation cases.
Wu Yao (Linderae Radix), Chen Xiang (Aquilariae Lignum Resinatum), Bai Bing Lang (Arecae Semen), Ren Shen (Ginseng Radix).
Grind each separately in water, mix equal amounts, and take warm in one dose.
Niu Huang Duo Ming Dan (Ox Bezoar Life-Seizing Pill): Treats lung distension and wheezing in adults and children, chest and hypochondriac urgency, flaring nostrils, intercostal retraction, excessive phlegm-saliva, irritability, and thirst. Commonly known as Ma Pi Feng (Horse Spleen Wind); this formula is miraculous. Also treats wheezing caused by Lung Heat from spicy and rich foods.
Bai Qian Niu (Descurainiae Semen seu Lepidii Semen, 1 liang, half raw half cooked), Hei Qian Niu (Lepidii Semen, 1 liang, half raw half cooked), Qing Pi (Citri Reticulatae Pericarpium Viride, 6 qian), Chen Pi (Citri Reticulatae Pericarpium, 6 qian), Da Huang (Rhei Radix et Rhizoma, 1.5 liang), Bing Lang (Arecae Semen, 1 liang).
The Classics state: "When Lung Qi rebels, urgently consume bitter substances to drain it." Thus, Qian Niu is used as the Sovereign herb for its bitter-cold property to drain Lung Qi and promote damp-heat elimination. Chen Pi is bitter-warm to regulate Lung Qi; Qing Pi is bitter-pungent to dissipate stagnant Qi in the Lung as the Minister herbs. Bing Lang is pungent-warm and heavy to descend phlegm and Qi; Da Huang is bitter-cold to purge evil heat as the Envoy herb. Take 2-3 qian per dose, washed down with Ginger Decoction.
Zhou Fei Wan (Wrinkled Lung Pill): Specifically treats wheezing.
Kuan Dong Hua (Flos Farfarae, 1 liang), Zhi Mu (Anemarrhenae Rhizoma, 1 liang), Qin Jiao (Gentianae Macrophyllae Radix, 1 liang), Bai Bu (Stemonae Radix, 1 liang), Zi Wan (Asteris Radix, 1 liang), Bei Mu (Fritillariae Bulbus, 1 liang), E Jiao (Colla Corii Asini, 1 liang), Xing Ren (Armeniacae Semen Amarum, 4 liang, peeled and separately ground), Nuomi (Glutinosis Oryzae Semen, 1 liang, stir-fried).
Grind herbs into powder. Take one sheep lung, fill with water to determine capacity, then boil Xing Ren in this water until boiling. Filter and pour into the lung. Tie tightly with rope and cook together with Nuomi until done. Mash thoroughly, mix with herb powder, and form pills size of hemp seeds. Take 50 pills per dose, washed down with Sang Bai Pi Decoction, adjusting dosage by age.
Wu Jia San (Priceless Powder): Treats Ma Pi Feng (Horse Spleen Wind).
Zhu Sha (Cinnabaris, 2.5 qian), Qing Fen (Calomelas, 0.5 qian), Gan Sui (Kansui Radix, 1.5 qian, wrapped in flour and baked until cooked).
Grind into powder. Take 0.3 qian per dose, mixed with Ginger Decoction.
Zi Jin Dan (Purple Gold Pill): Treats chronic wheezing lasting years, inability to sleep day or night. One or two doses can cure it.
Dan Dou Chi (Sojae Semen Praeparatum, 1 liang), Bai Xin Shi (Arsenici Trioxidum, 1.5 qian).
Grind together into a paste, form pills size of mung beans. Take 7-10 pills per dose, washed down with cold tea.
Zi Jin Gao (Purple Gold Ointment): (Same formula as above) Grind Dou Chi and Xin Shi into paste, spread in a bowl, smoke with Ai Ye (Artemisiae Argyi Folium) for one double-hour (shi chen). Remove and add Zhen Zhu Mo ( margarita powder, 1 qian). Use as before.
Avoid all hot-natured foods after taking medicine.
Ding Chuan Hua Tan Fang (Wheezing-Calming and Phlegm-Resolving Formula)
Zhu Ti Jia (Sus Scrofae Unguis, 49 pieces, cleaned, filled with... [text missing]), Ban Xia Mo (Pinellia Rhizoma Powder, 0.3 qian), Bai Fan Mo (Alumen Powder, 0.3 qian).
Place in a jar, seal tightly, calcine with fire without allowing smoke to escape. Grind fine, add She Xiang (Moschus, 1 qian), store in porcelain jar. Take 1 qian for adults, 0.5 qian for children, washed down with Ginger Decoction.
Ji Yu Wan (Crucian Carp Pill): Treats Lung Meridian long-term Cold pathogen invasion, wheezing with excessive phlegm. Initial onset feels like cold starting from the back, cold as ice, gradually becoming short of breath, gasping, phlegm congestion unable to be expectorated, unable to sit or lie down, shoulders shrugging, back curved like a bow, exhausted and near death. One dose shows effect; if ineffective, take again for miraculous results.
Crucian Carp (1 jin, intestines/scales not removed, hole opened near head, filled with... [text missing]), Bai Bi Mo (Realgar/Orpiment powder? Context implies arsenic mineral, likely Bai Bi Shi/Arsenolite, 1 qian). Place fish in bamboo tube, seal outside with Qing Hao paste. Dry, then calcine bamboo tube red-hot until preserved. Remove unburnt fish parts, add Ge Fen (Concha Tridacnatis, 3 qian), form pills with Lv Dou Fen (Vigna Mungo Flour) size of hemp seeds, coat with Zhu Sha (Cinnabaris, 5 qian). Take 7-8 pills per dose, washed down with red sugar tea cold. Avoid all hot-natured foods. Adults take 10 pills.
Nei Jin Wan (Internal Golden Pill): Specifically treats wheezing.
Ji Nei Jin (Galli Gigerii Endothelium Corneum, 20 pieces), Bai Bi (Realgar/Orpiment? Context implies arsenic mineral, 2 qian), Huang Dan (Lithargyrum, 5 qian), Qian Niu (Descurainiae/Lepidii Semen, 5 qian), Ting Li (Descurainiae/Lepidii Semen, 5 qian).
Grind fine separately, expose under stars/moon for seven nights. Add Ban Xia Mo (Pinellia Rhizoma Powder, 2.5 qian), grind together, form pills with date flesh, expose for two more nights, coat with Zhu Sha (Cinnabaris). Take as before.
Xiong Huang Wan (Realgar Pill): Treats symptoms as above, and asthma/wheezing triggered by salt/vinegar.
Xiong Huang (Realgar, 5 qian), Ban Xia (Pinellia Rhizoma, 1 liang), Bai Fan (Alumen, 3 qian), Xin Shi (Arsenici Trioxidum, 1 qian), Ba Dou (Crotonis Fructus, 1 qian, oil removed).
Stir-fry Fan and Xin Shi until dry, grind fine. Add previous herbs, make pills with Ginger Juice paste size of mung beans, coat with Chen Sha (Cinnabaris). Take 5-6 pills per dose, washed down with clear tea cold.
Ru Sheng San (Like-Sage Powder): Treats various types of wheezing and cough, chronic and unhealed.
Bian Fu (Vespertilio, 1 piece, head removed, roasted until dry and crisp).
Grind into powder. Take 1 qian per dose, washed down with Rice Decoction. Larger bats take 2 qian.
Shi Liu Ban Xuan Xiao Fang (Sixteen Types of Asthma/Wheezing Formula)
E Jiao (Colla Corii Asini, 1 liang, stir-fried with蛤粉), Ma Dou Ling (Aristolochiae Fructus), Gan Cao (Glycyrrhizae Radix et Rhizoma), Ban Xia (Pinellia Rhizoma), Xing Ren (Armeniacae Semen Amarum) (each 1 liang), Ren Shen (Ginseng Radix, 5 qian).
Grind into powder. Take 1-2 qian per dose. Before sleep, take with specific guiding decoctions below:
Heart Cough, red face: wash down with Gan Ge Tang (Puerariae Radix Decoction);
Stomach Cough, vomiting acid water: wash down with Ge Fen Tang (Concha Tridacnatis Decoction);
Liver Cough, tearing eyes: wash down with Wu Mei Tang (Mume Fructus Decoction);
Gallbladder Cough, insomnia: wash down with Suan Zao Ren Tang (Ziziphi Spinosae Semen Decoction);
Spleen Cough, poor appetite, nausea: wash down with Sheng Jiang Tang (Zingiberis Rhizoma Recens Decoction);
Diaphragm Cough, internal phlegm-salva knotting: wash down with Ginger Decoction;
Lung Cough, upper respiratory urgency: wash down with Sang Bai Pi Tang (Mori Cortex Decoction);
Labor Cough (Consumption), bone-steaming fever: wash down with Qin Jiao Tang (Gentianae Macrophyllae Radix Decoction);
Wind-Cold acute cough: wash down with Ginger-Scallion Decoction;
Cold Cough: wash down with Ginger-Scallion Decoction;
Qi Cough, abdominal pain/fullness: wash down with Qing Pi Tang (Citri Reticulatae Pericarpium Viride Decoction);
Wheezing with blood: wash down with Dang Gui Tang (Angelicae Sinensis Radix Decoction);
Kidney Cough, pain extending to lower abdomen: wash down with Tang Yi Tang (Maltose Decoction);
Rattling sound in throat like sawing: wash down with Ginger-Ban Xia Decoction.