夫咳嗽者。内经以为肺感微寒而所作也。若七八月之间。肺气旺盛之时。病嗽者。其病必实。非久病也。其
证面赤痰盛而身热。治当下之。钱乙用葶苈丸。若病久者。不可下。若十一月十二月嗽者。
乃伤风寒嗽者。风寒从背第三椎肺俞穴入。其证烦闷恶风憎寒。昼轻夜甚。治当汗之。钱乙用麻黄汤。若有热
证。则面赤饮水。涎壅咽喉不利。钱乙兼用甘桔汤。若嗽于五六月间。其病身热痰盛唾粘。或痰盛不甚喘。面
赤或时饮水。钱乙并以褊银丸下之。若肺盛。嗽而后喘。身热闷乱而肿。或饮水不饮水者。钱乙用泻白散。昔钱
乙治张氏孙儿九岁。病肺热咳嗽。前医以珠犀龙麝牛黄药治之。一月不愈。其证咳嗽喘急闷乱。饮水不止。全不
能食。召乙治之。乙用使君子丸益黄散。张曰。本有热。何又行温药。他医用凉药攻之。一月尚无效。乙曰。凉
药久则胃寒不能食。小儿虚不能食。当与补脾。候饮食如故。即泻肺经。病必愈矣。服补脾药二日。其子欲饮
食。以泻白散泻肺遂愈。张曰。何以不虚。乙曰。先实其脾。然后泻肺。故不虚也。
又伤风寒咳嗽。无热证而但嗽者。钱乙用麻黄汤。及化痰药治之。若肺虚。而嗽有哽气。时时长出。喉中有
声者。此久病当补也。钱乙用阿胶散。昔钱乙治杜氏子五岁。自十一月病嗽,至三月未止。始得嗽而吐痰。乃风
寒入肺也。风在肺中。故嗽而吐痰。宜以麻黄辈发散。后用凉药压之。即愈。他医却以诸药下之。其肺即虚而嗽
甚。至春三月间尚未愈。乃召钱氏看之。其候面青而光。嗽而喘促哽气。又时长出气。钱曰。病困十已八九矣。
所以然者。面青而光。乃肝气旺也。春三月者。肝之位。肺衰之时也。嗽者肺之病。自十一月至三月久。即肺虚
痿。又曾下之。脾肺子母俱虚。复为之所胜。此为逆也。故嗽而喘促哽气。长出气也。乙急与泻青丸泻肝后。
与阿胶散实肺。次日面青而不光。乙又与补肺。其嗽如前。又与泻肝。未已。而又加肺虚。唇白如练。乙曰。此
病必死。不可治也。何者。肝大旺而肺虚绝。肺病不得时。而肝胜之。今三泻其肝。而肝病证不退。三补其肺。
而肺病尤虚。此不久生。故言死也。此证病于秋者。十救三四。病于春夏者。十难救一。果大喘而死。
又肺气不足。谓寒邪所干。咳嗽喘满短气者。治补肺。昔钱乙治李转运孙八岁。病嗽而喘满短气。他医以为
肺经有热。用竹叶汤牛黄膏治之。三日加喘。召乙治之。乙曰。此肺气不足。复有寒邪。即便喘满。当补肺脾。
勿服凉药。李曰。已服竹叶汤牛黄膏。乙曰。何治也。前医至曰。退热退涎。乙曰。何热所作,医曰。肺经热而
生嗽。嗽久不除生涎。乙曰。本虚而风寒所作。何热也。若作肺热。何不治肺。而反调心也。竹叶汤牛黄膏皆治心药也。
医有惭色。乙根据所论而治愈。
又咳嗽咯脓血者。肺热也。钱乙用甘桔汤。若嗽而吐痰涎喘者。先实其脾。钱乙用益黄散。后微下之。钱乙
用褊银丸。涎退即补肺。乙用阿胶散。昔乙治段斋郎子四岁。病嗽身热。吐痰数日咯血。前医以桔梗汤防己丸治
之。不愈。涎上攻。吐喘不止。请乙治之。乙下褊银丸一大服。复以补脾药治之。或问此子咯血肺虚。何以下
之。乙曰。肺虽咯血。有热故也。久则虚痿。今涎上潮而吐。当下其涎。若使不吐涎。便为甚。盖吐涎能虚。又
生惊也。痰实上攻。亦使发搐。故根据法只宜先下其痰为顺。此治先下后补。与前论先补后下。其意相反者。经以
谓病有缓急。治有先后也。治病证如钱乙。所以得圣人之旨趣,学人宜为法耳。嗽而吐青白绿水者。此胃冷有停
饮也。乙用百祥丸下之。嗽而吐痰涎乳食者。此有伤宿滞不化也。乙用白饼子下之。
若久嗽肺虚亡津液者。乙用阿胶散补之。治嗽大法。盛则下之。久则补之。风则散之。更量大小虚实。以意
施治。是以慎护小儿。须常着夹背心。虽夏月热时。于单背心上当背更添衬一重。盖肺俞在背上。恐风寒伤而为
嗽。嗽久不止。亦令生惊。若百 内儿病嗽者。十中一二得全。亦非小疾也。
又有停饮作痰者。由儿乳饮失宜。致脾胃不和。停滞其饮不散。留结成痰。若随气上干于肺而嗽者。此为痰
嗽。若不嗽者。则肺壅不利。咽塞唾涎。胁腹膈滞。
又脾胃冷热不调。涎不归胃。致涎流口角。而无休止。冷者鼻上色青。及大便青白。热者鼻上赤色。及大便
赤黄。以上除钱乙所用方。本集载之外。今叙诸方于后。
金华散
治婴小咳嗽。
郁金(半两) 防风(去芦及叉枝一分) 半夏(一分) 巴豆(二十一粒) 皂角(一挺)
上以水一升。于银器用煮诸药。至水干。去巴豆皂角不用。外三味别用温汤洗净。焙干为细末。每婴孩一
字。二三岁半钱。四五岁上者一钱。薄荷蜜水调下。不拘时候。
藿香散
治不因风寒所得。肺胃气不和而咳嗽。
藿香(去土二十一叶) 枳壳(二片去穣湿纸裹煨令熟) 蚌粉(枳壳大一块)
上为细末。婴小服一字。二三岁半钱。蜜水调下。不过二三服安。儿大以意加之。无时。
紫金丸
治诸咳嗽。坠化痰涎。以叶子雌黄不拘多少。研细。入锅子内。微火中烧令成汁。候冷取出。再研细软。饮
和丸萝卜子大。熟水下丸二个。临睡。
杏仁煎
治小儿咳嗽上气。以去皮尖炒黄杏仁一升熟捣。用蜜三合。先入一合。捣令强。次入一合捣如膏。
又入一合捣熟。每食后用少许。顿儿口中。含化咽之。日三次。无时。
生姜煎
治小儿咳嗽。
生姜(一两) 干姜(六钱炮) 桂心(一分) 甘草(四钱炙) 杏仁(去皮梢炒黄一两) 款冬花(去
枝梗) 紫菀(各四钱)
上为末。以蜜一两。入药在内。微火上煎之如饴。量大小多少与含化咽。百日儿如枣核大。甚效。
款冬花丸
治小儿咳嗽。日瘥夜甚。初不得息。不能复啼。
款冬花 紫菀(各一两半) 桂心(半两) 伏龙肝(一分)
上同为细末。炼蜜和如泥。每取枣核大。敷乳上。令儿吮之。渐渐令儿饮。一日三次。
麦门冬汤
治初生儿十日上至五十日。卒得謦咳吐乳。呕逆暴嗽。昼夜不息。
麦门冬(去心一两) 紫菀(去芦三分) 甘草(二钱半) 桂枝(半两)
上为末。每服二钱,水一盏。煎至七分。以绵蘸。滴儿口中。昼夜四五遍。仍节乳
哺。
五味子汤
治小儿风冷入肺。咳嗽气逆。面青喘迫。昼夜不息。饮食不下。
五味子(去枝梗) 当归(去芦各半两) 麻黄(去节) 干姜(炮) 桂心 人参(去芦) 紫菀 甘草
(各一分) 细辛(去苗半分) 大枣(三枚)
上为粗末。每服二钱。水一盏。煎至半盏。去滓温服。量儿大小。
人参半夏汤
治小儿痰逆。咳嗽不止。
人参(去芦) 半夏曲 白芷(各半两) 藿香叶(去土一分) 丁香 杏仁霜(各半分)
上为细末。每服二钱。水一钟。生姜五片。陈粟米五十粒。煎至七分。去滓。时时呷服。日三四。忌醋咸炙
爆生冷。
款肺散
治小儿风壅痰盛。咳嗽气急。壮热颊赤。昏愦呕吐。面目浮肿。乳食减少。
白僵蚕(五两净洗去丝头足焙干) 玄胡索(去皮三两)
上为末。每服一字或半钱。澹韭汁温调服之。无时。婴孩只乳汁调半字。
治小儿咳嗽。声不出。
杏仁(一两汤浸去皮尖及双仁者以水一钟捣取汁) 紫菀(去芦半两洗去土为末)
上将紫菀末入杏仁汁中。更入蜜一合。同煎成膏。每服半茶匙。清粥饮调下。无时。
皂荚豉汤
治小儿咳嗽。以皂荚烧灰。研细末。每服半钱或一钱。豉汤调下。无时。
露蜂房散
治如前。以露蜂房二两净洗。去蜂粪尘土。以快火烧为灰。研末。每服一字。米饮下。无时。
葶苈散
治如前。
甜葶苈(半两炒) 麻黄(去根节一分) 甘草(一分炙) 贝母(去心炒一分) 杏仁(去皮尖一分炒黄
研)
上为细末。每服半钱。水半盏。煎至三分。去渣温服。无时。
诃子膏
治如前。以诃子一两。每个分作两片。甘草一分。水一大盏。煮至水尽为度。焙干为末。炼蜜和膏鸡头子
大。每用一大豆许。薄荷熟水化下。无时。
生姜浴汤
治如前。以生姜四两。煎汤沐浴。
一捻金散
治风痰咳嗽。颊赤痰盛。喘促气急。吐呕浮肿。乳食减少。
白僵蚕(直者去丝嘴一两) 甘草(半两炙) 玄胡索(去皮一分)
上为细末。每服一捻。齑汁调下。婴孩只乳汁调下半字。食后。
惺惺散
治伤寒风热。痰壅咳嗽。
桔梗(去芦) 细辛(去叶) 人参(去芦) 甘草(锉炒) 白茯苓(去皮) 白术
栝蒌根(各半两)
上为细末。每服二钱。水一盏。薄荷五叶。煎至半盏。温服。如要和气。更入生姜三片同煎。一方更有防
风一分。
保肺丸
治肺胃受风热。痰盛咳嗽喘吐。连声不止。及治久嗽不愈。
白僵蚕(去丝嘴炒二两) 山药(半两) 白茯苓(去皮一两) 紫苏叶(一两) 藿香(去土一两) 百
部(半两) 黄芩(一两) 防风(去芦一两) 杏仁(去皮尖麸炒一两) 百合(半两) 五味子(去枝梗一
两)
上为细末。炼蜜和丸鸡头大。每服半丸一丸。煎桔梗汤化下。食后临卧服。
贝母汤
治肺感风邪。咳嗽喘满。
贝母(去心一两炙黄) 半夏(一两白矾汤洗七次焙干) 干姜(半两炮) 麻黄(去根节半两) 款冬花
(去枝梗半两) 甘草(半两炙)
上为细末。每服一钱。水一小盏。生姜三片。杏仁二个。去皮尖。同煎五分。去渣温服。不拘时。
菖蒲煎
治肺中风邪。肩息喘鸣。或发咳嗽。
石菖蒲(一两一寸九节者良) 款冬花(去枝梗一两) 紫菀(去土净洗焙干一两) 人参(去芦一两)
桂心(一两)
上为细末。炼蜜和剂。入石臼中。杵一二百下。丸皂子大。每服一粒。煎糯米饮化下。食后临卧服。
绛朱丹
治惊风涎痰。咳嗽喘满。
天南星(二两炮) 半夏(二两汤洗七次去滑) 枯白矾(一两半) 滑石(二两火 通赤) 铅白霜(一
分)
上为细末。面糊和丸麻子大。朱砂为衣。每服十粒。姜汤送下。食后临卧服。
人参犀角散
治时气塞壅。咳嗽痰逆。喘满惊悸。风热。
前胡(去芦八钱) 桔梗(五钱) 人参(去芦三钱) 甘草(三钱炙黄) 杏仁(浸去皮尖晒干为末五
钱)
上先将前四味为末。入杏仁末拌匀。粗罗筛过。每服二钱。水一盏,煎至七分。去渣温服。食后。亦能调
和五脏六腑。进美乳食。又治一切风热。服寻常凉药即泻减食者。尤宜与服。
油滚丸
治痰盛咳嗽。亦治乳嗽。
五灵脂(末一钱) 雷丸(末一钱) 巴豆(三十个去皮膜取霜)
上为细末。滴水丸芥子大。每服三五丸。油滚井水送下。临卧而服。
龙爪散
治涎喘咳嗽。以猪蹄甲四十九个。洗净控干。每个猪甲内入半夏白矾末各一字。入一罐子内封闭。不透烟
火。 通赤放冷。为细末。入研细麝香一钱拌匀。每服半钱。糯米饮调下。空腹。
辰砂半夏丸
治寒痰咳嗽。
栝蒌根(蜜炙) 天南星(汤洗) 半夏(汤洗七次) 干姜(炮各半两)
上为末。生姜自然汁和丸麻子大。朱砂为衣。每服十丸。生姜汤下。不拘时候。
玉珠丸
治诸涎嗽。半夏一两。汤洗十次。硝石一分。为细末。滴水丸麻子大。每服三五丸。生姜汤送下。不拘时
候。
百部丸
治肺寒咳嗽微喘。
百部(焙干秤三分) 麻黄(去根节秤三分二味先为末) 杏仁(四十个去皮尖微炒更煮三五沸焙干研细)
上同匀细末。炼蜜和丸皂子大。温水化下二三丸。日三服。钱乙加松子仁五个。糖和丸。含化大妙。
露蜂房丸
治肺胃虚寒。咳嗽喘满。呕逆不食。
露蜂房(二钱炒) 蝉壳(去土二钱炒) 蛤蚧(一只重四钱酥涂炙干) 丁香 木香 人参(去芦) 地黄 麻
黄(去节根)
马兜铃子 五倍子(去虫各二钱) 五味子(去枝梗) 贝母(去心焙) 杏仁(童子小便浸二宿去皮尖炒)
半夏曲(各二钱半) 款冬花(去枝梗半两)
上为细末。炼蜜和丸绿豆大。每服二三十丸。生姜汤下。日三四服。食后。
缓息汤
治风伤肺气虚喘。咳嗽上气。
桑白皮(一两半) 白茯苓(半两) 白僵蚕(半两去丝炒) 甘草(一分炙) 杏仁(半两去皮尖研
后入) 人参(去芦一分) 桔梗(去芦半两) 白术(半两) 陈皮(半两去白)
上为细末。每服一钱。水一盏。生姜三片。杏仁二个。煎至六分。
去滓。时时温服。
白术五味汤
治气逆上喘咳嗽。
白术 五味子(去枝梗炒) 人参(去芦) 款冬花(去枝梗各半两) 细辛(去土叶一分)
上为细末。每服一钱。生姜三片。煎至四分。去滓放温。时时服。
桔梗汤
治咳嗽痰壅。呀呷。咽膈不痢。
咳嗽,在《内经》中被认为是肺感受微寒所致。如果在七八月之间,这是肺气旺盛的时期,此时患咳嗽的病,其病势必然属实证,并非久病。症状表现为面红、痰多且身体发热,治疗应当采用攻下法。钱乙使用葶苈丸。如果是久病咳嗽,则不可用攻下法。如果在十一月、十二月咳嗽,这是伤风寒引起的咳嗽。风寒从背部第三椎骨的肺俞穴侵入,症状表现为烦闷、怕风、畏寒,白天轻晚上重,治疗应当采用发汗法。钱乙使用麻黄汤。如果伴有热证,则见面红、想喝水、咽喉部痰涎壅盛不利。钱乙兼用甘桔汤。如果在五六月间咳嗽,病症表现为身体发热、痰多唾液粘稠,或者痰多但喘息不严重,面红或偶尔想喝水。钱乙都用褊银丸进行攻下。如果肺气过盛,咳嗽之后出现喘息,身体发热、烦乱并伴有浮肿,无论是否想喝水,钱乙都使用泻白散。
从前钱乙治疗张氏九岁的孙子,患有肺热咳嗽。之前的医生用珍珠、犀角、龙骨、麝香、牛黄等凉药治疗,一个月未愈。症状表现为咳嗽、喘息急促、烦乱,不停喝水,完全不能进食。请钱乙诊治。钱乙使用使君子丸和益黄散。张氏说:“本来就有热证,为什么又用温补药?”其他医生用凉药攻伐,一个月还无效。钱乙说:“凉药久服会导致胃寒而不能进食。小儿体虚不能进食,应当先补脾。等到饮食恢复正常,再泻肺经之热,病一定会好。”服用补脾药两天后,孩子想要吃东西了,再用泻白散泻肺热,于是痊愈。张氏问:“为什么没有导致虚弱?”钱乙说:“先充实其脾,然后泻肺,所以不会虚弱。”
又有伤风寒咳嗽,没有热证只是咳嗽的,钱乙用麻黄汤及化痰药治疗。如果肺气虚,咳嗽时有气哽塞感,时常长出气,喉中有声音的,这是久病应当补益。钱乙使用阿胶散。从前钱乙治疗杜氏五岁的儿子,从十一月咳嗽到三月未止。刚开始咳嗽吐痰,是风寒入肺。风在肺中,所以咳嗽吐痰,宜用麻黄之类发散。后来用凉药压制,就好了。其他医生却用各种下药攻下,导致肺气虚而咳嗽加重。到了春季三个月间仍未愈,于是请钱乙诊治。脉候见面色青而光亮,咳嗽气喘急促有气哽塞感,又时常长出气。钱乙说:“病情已经很危重了,十成病势已去八九。之所以这样,是因为面色青而光亮,是肝气旺盛的表现。春季三个月,是肝当令之时,也是肺衰弱的时期。咳嗽是肺的病,从十一月到三月时间久,导致肺虚痿弱。又曾被下药攻伐,脾肺母子两脏俱虚,又被肝木所克,这是逆证。所以咳嗽气喘急促、气哽塞、长出气。”钱乙急用泻青丸泻肝,后用阿胶散实肺。第二天面色青而不光亮了。钱乙又给补肺,咳嗽如前。又给泻肝,病未止,反而更加肺虚,嘴唇白如绢帛。钱乙说:“这病必死,不可治了。为什么呢?肝太旺而肺虚绝。肺病不得时(不当令),而肝胜之。现在三次泻肝,肝病证不退;三次补肺,肺病更虚。这不久于人世,所以说死。”此证若在秋季患病,十分可救三四;若在春夏季患病,十分难救一。果然大喘而死。
又有肺气不足,被寒邪所干,咳嗽、气喘、胸满、短气的,治疗应补肺。从前钱乙治疗李转运的八岁孙子,病咳嗽、气喘、胸满、短气。其他医生认为肺经有热,用竹叶汤、牛黄膏治疗。三天后喘息加重。请钱乙诊治。钱乙说:“这是肺气不足,又有寒邪,立刻就会气喘胸满。应当补肺脾,不要服凉药。”李氏说:“已经服用了竹叶汤和牛黄膏。”钱乙问:“怎么治疗的?”之前的医生说:“退热退涎。”钱乙问:“是什么热?”医生说:“肺经热而生咳嗽,咳嗽久了不除生涎。”钱乙说:“本是虚证,由风寒引起,有什么热呢?如果是肺热,为什么不治肺,反而调心呢?竹叶汤和牛黄膏都是治心的药。”医生脸上露出惭愧的神色。钱乙根据所论治愈了病。
又有咳嗽咯脓血的,是肺热。钱乙用甘桔汤。如果咳嗽吐痰涎且喘的,先实其脾,钱乙用益黄散。然后轻微攻下,钱乙用褊银丸。涎退后再补肺,钱乙用阿胶散。从前钱乙治疗段斋郎的四岁儿子,病咳嗽身热,吐痰数日后咯血。前医用桔梗汤、防己丸治疗,未愈。涎上攻,吐喘不止。请钱乙诊治。钱乙用一大服褊银丸攻下,再用补脾药治疗。有人问:“这孩子咯血肺虚,为什么要攻下?”钱乙说:“肺虽然咯血,是有热的原因。久了会虚痿。现在涎上潮而吐,应当攻下其涎。如果不让吐涎,病情会更重。因为吐涎能致虚,又易生惊。痰实上攻,也会引起抽搐。所以依法只宜先下其痰为顺。这是治疗先下后补,与前文论述的先补后下,意思相反。经典说病有缓急,治有先后。治病像钱乙这样,所以能得圣人的旨趣,学人应当效法。”咳嗽吐出青白绿水的,这是胃冷有停饮。钱乙用百祥丸攻下。咳嗽吐痰涎乳食的,这是有宿食停滞不化。钱乙用白饼子攻下。
如果久咳肺虚亡失津液的,钱乙用阿胶散补益。治疗咳嗽的大法:实证则攻下,久病则补益,风邪则发散。更要衡量大小、虚实,用心施治。因此要谨慎护理小儿,须常穿夹背心,即使在夏天热的时候,也在单背心的背部再加衬一层。因为肺俞在背上,恐怕风寒侵袭而致咳嗽。咳嗽久了不止,也会引发惊风。如果百日内的婴儿患咳嗽,十个里面一二个能保全,也不是小病。
又有停饮化作痰的,由于小儿乳饮失调,导致脾胃不和,停滞的饮水不散,留结成为痰。如果随气上干于肺而咳嗽的,这叫痰嗽。如果不咳嗽,则肺壅滞不利,咽塞唾涎,胁腹膈滞。
又有脾胃冷热不调,涎不归胃,导致涎流口角而无休止。冷的,鼻子上色青,大便青白;热的,鼻子上赤色,大便赤黄。以上除了钱乙所用的方剂,本集另有记载外,现将诸方叙述如下。
金华散
治疗婴幼儿咳嗽。
郁金(半两) 防风(去芦及叉枝一分) 半夏(一分) 巴豆(二十一粒) 皂角(一挺)
以上用水一升,在银器中煮诸药,至水干,去掉巴豆、皂角不用。其余三味另外用温水洗净,焙干研为细末。每个婴幼儿服一字,二三岁服半钱,四五岁以上服一钱。薄荷蜜水调下,不限时候。
藿香散
治疗不因风寒所得,肺胃气不和而咳嗽。
藿香(去土二十一叶) 枳壳(二片去穣湿纸裹煨令熟) 蚌粉(与枳壳等大的一块)
以上研为细末。婴幼儿服一字,二三岁服半钱,蜜水调下。不过二三服即安。儿大者酌情加量,不限时候。
紫金丸
治疗各种咳嗽,坠化痰涎。以叶子雌黄不拘多少,研细,放入锅子内,微火中烧令成汁,候冷取出,再研细软,饮水和丸如萝卜子大。熟水送下二丸,临睡时服。
杏仁煎
治疗小儿咳嗽上气。用去皮尖炒黄的杏仁一升,熟捣。用蜜三合,先入一合,捣令稠厚。次入一合捣如膏。又入一合捣熟。每食后用少许,顿在儿口中,含化咽之。日三次,不限时候。
生姜煎
治疗小儿咳嗽。
生姜(一两) 干姜(六钱炮) 桂心(一分) 甘草(四钱炙) 杏仁(去皮梢炒黄一两) 款冬花(去枝梗) 紫菀(各四钱)
以上研为末。用蜜一两,入药在内,微火上煎之如饴糖状。量大小多少给予含化咽下。百日儿如枣核大,甚效。
款冬花丸
治疗小儿咳嗽,日轻夜重,初起呼吸不畅,不能复啼。
款冬花 紫菀(各一两半) 桂心(半两) 伏龙肝(一分)
以上同为细末,炼蜜和如泥。每取枣核大,敷在乳上,令儿吮之,渐渐令儿饮下。一日三次。
麦门冬汤
治疗初生儿十日至五十日,突然得咳嗽吐乳,呕逆暴嗽,昼夜不息。
麦门冬(去心一两) 紫菀(去芦三分) 甘草(二钱半) 桂枝(半两)
以上研为末。每服二钱,水一盏,煎至七分。用棉蘸,滴儿口中,昼夜四五遍。仍节制乳哺。
五味子汤
治疗小儿风冷入肺,咳嗽气逆,面青喘迫,昼夜不息,饮食不下。
五味子(去枝梗) 当归(去芦各半两) 麻黄(去节) 干姜(炮) 桂心 人参(去芦) 紫菀 甘草(各一分) 细辛(去苗半分) 大枣(三枚)
以上为粗末。每服二钱,水一盏,煎至半盏,去滓温服。量儿大小调整。
人参半夏汤
治疗小儿痰逆,咳嗽不止。
人参(去芦) 半夏曲 白芷(各半两) 藿香叶(去土一分) 丁香 杏仁霜(各半分)
以上为细末。每服二钱,水一钟,生姜五片,陈粟米五十粒,煎至七分,去滓,时时呷服,日三四次。忌醋、咸、炙、爆、生冷。
款肺散
治疗小儿风壅痰盛,咳嗽气急,壮热颊赤,昏愦呕吐,面目浮肿,乳食减少。
白僵蚕(五两净洗去丝头足焙干) 玄胡索(去皮三两)
以上为末。每服一字或半钱,澹韭汁温调服之,不限时候。婴孩只用乳汁调半字。
治疗小儿咳嗽,声不出。
杏仁(一两汤浸去皮尖及双仁者,以水一钟捣取汁) 紫菀(去芦半两洗去土为末)
上将紫菀末入杏仁汁中,更入蜜一合,同煎成膏。每服半茶匙,清粥饮调下,不限时候。
皂荚豉汤
治疗小儿咳嗽。以皂荚烧灰,研细末。每服半钱或一钱,豉汤调下,不限时候。
露蜂房散
治疗同上。以露蜂房二两净洗,去蜂粪尘土,以快火烧为灰,研末。每服一字,米饮下,不限时候。
葶苈散
治疗同上。
甜葶苈(半两炒) 麻黄(去根节一分) 甘草(一分炙) 贝母(去心炒一分) 杏仁(去皮尖一分炒黄研)
以上为细末。每服半钱,水半盏,煎至三分,去渣温服,不限时候。
诃子膏
治疗同上。以诃子一两,每个分作两片,甘草一分,水一大盏,煮至水尽为度,焙干为末,炼蜜和膏如鸡头子大。每用一大豆许,薄荷熟水化下,不限时候。
一捻金散
治疗风痰咳嗽,颊赤痰盛,喘促气急,吐呕浮肿,乳食减少。
白僵蚕(直者去丝嘴一两) 甘草(半两炙) 玄胡索(去皮一分)
以上为细末。每服一捻,齑汁调下。婴孩只用乳汁调下半字,食后服。
惺惺散
治疗伤寒风热,痰壅咳嗽。
桔梗(去芦) 细辛(去叶) 人参(去芦) 甘草(锉炒) 白茯苓(去皮) 白术 栝蒌根(各半两)
以上为细末。每服二钱,水一盏,薄荷五叶,煎至半盏,温服。如要和气,更入生姜三片同煎。一方更有防风一分。
保肺丸
治疗肺胃受风热,痰盛咳嗽喘吐,连声不止。及治久嗽不愈。
白僵蚕(去丝嘴炒二两) 山药(半两) 白茯苓(去皮一两) 紫苏叶(一两) 藿香(去土一两) 百部(半两) 黄芩(一两) 防风(去芦一两) 杏仁(去皮尖麸炒一两) 百合(半两) 五味子(去枝梗一两)
以上为细末,炼蜜和丸如鸡头大。每服半丸一丸,煎桔梗汤化下,食后临卧服。
贝母汤
治疗肺感风邪,咳嗽喘满。
贝母(去心一两炙黄) 半夏(一两白矾汤洗七次焙干) 干姜(半两炮) 麻黄(去根节半两) 款冬花(去枝梗半两) 甘草(半两炙)
以上为细末。每服一钱,水一小盏,生姜三片,杏仁二个,去皮尖,同煎五分,去渣温服,不拘时。
菖蒲煎
治疗肺中风邪,肩息喘鸣,或发咳嗽。
石菖蒲(一两一寸九节者良) 款冬花(去枝梗一两) 紫菀(去土净洗焙干一两) 人参(去芦一两) 桂心(一两)
以上为细末,炼蜜和剂,入石臼中,杵一二百下,丸如皂子大。每服一粒,煎糯米饮化下,食后临卧服。
绛朱丹
治疗惊风涎痰,咳嗽喘满。
天南星(二两炮) 半夏(二两汤洗七次去滑) 枯白矾(一两半) 滑石(二两火通赤) 铅白霜(一分)
以上为细末,面糊和丸如麻子大,朱砂为衣。每服十粒,姜汤送下,食后临卧服。
人参犀角散
治疗时气塞壅,咳嗽痰逆,喘满惊悸,风热。
前胡(去芦八钱) 桔梗(五钱) 人参(去芦三钱) 甘草(三钱炙黄) 杏仁(浸去皮尖晒干为末五钱)
上先将前四味为末,入杏仁末拌匀,粗罗筛过。每服二钱,水一盏,煎至七分,去渣温服,食后。亦能调和五脏六腑,进美乳食。又治一切风热,服寻常凉药即泻减食者,尤宜与服。
油滚丸
治疗痰盛咳嗽,亦治乳嗽。
五灵脂(末一钱) 雷丸(末一钱) 巴豆(三十个去皮膜取霜)
以上为细末,滴水丸如芥子大。每服三五丸,油滚井水送下,临卧而服。
龙爪散
治疗涎喘咳嗽。以猪蹄甲四十九个,洗净控干。每个猪甲内入半夏白矾末各一字,入一罐子内封闭,不透烟火,烧通红放冷,为细末,入研细麝香一钱拌匀。每服半钱,糯米饮调下,空腹服。
辰砂半夏丸
治疗寒痰咳嗽。
栝蒌根(蜜炙) 天南星(汤洗) 半夏(汤洗七次) 干姜(炮各半两)
以上为末,生姜自然汁和丸如麻子大,朱砂为衣。每服十丸,生姜汤下,不拘时候。
玉珠丸
治疗诸涎嗽。半夏一两,汤洗十次。硝石一分,为细末,滴水丸如麻子大。每服三五丸,生姜汤送下,不拘时候。
百部丸
治疗肺寒咳嗽微喘。
百部(焙干秤三分) 麻黄(去根节秤三分,二味先为末) 杏仁(四十个去皮尖微炒更煮三五沸焙干研细)
以上同匀细末,炼蜜和丸如皂子大,温水化下二三丸,日三服。钱乙加松子仁五个,糖和丸,含化大妙。
露蜂房丸
治疗肺胃虚寒,咳嗽喘满,呕逆不食。
露蜂房(二钱炒) 蝉壳(去土二钱炒) 蛤蚧(一只重四钱酥涂炙干) 丁香 木香 人参(去芦) 地黄 麻黄(去节根) 马兜铃子 五倍子(去虫各二钱) 五味子(去枝梗) 贝母(去心焙) 杏仁(童子小便浸二宿去皮尖炒) 半夏曲(各二钱半) 款冬花(去枝梗半两)
以上为细末,炼蜜和丸如绿豆大。每服二三十丸,生姜汤下,日三四服,食后服。
缓息汤
治疗风伤肺气虚喘,咳嗽上气。
桑白皮(一两半) 白茯苓(半两) 白僵蚕(半两去丝炒) 甘草(一分炙) 杏仁(半两去皮尖研后入) 人参(去芦一分) 桔梗(去芦半两) 白术(半两) 陈皮(半两去白)
以上为细末。每服一钱,水一盏,生姜三片,杏仁二个,煎至六分,去滓,时时温服。
白术五味汤
治疗气逆上喘咳嗽。
白术 五味子(去枝梗炒) 人参(去芦) 款冬花(去枝梗各半两) 细辛(去土叶一分)
以上为细末。每服一钱,生姜三片,煎至四分,去滓放温,时时服。
Cough, as described in the *Neijing* (Classic of Internal Medicine), is caused by the Lung channel being affected by slight cold. If coughing occurs between the seventh and eighth months, a time when Lung Qi is flourishing, the disease must be excess type, not a chronic condition. The symptoms include red face, abundant phlegm, and fever; treatment should involve purgation. Qian Yi used Tingli Wan (Descurainia Seed Pill). For chronic cough, purgation is contraindicated. If coughing occurs in the eleventh or twelfth month, it is due to injury by wind-cold. Wind-cold enters through the Feishu (BL13) acupoint at the third thoracic vertebra on the back. Symptoms include restlessness, aversion to wind, and chills, with symptoms lighter during the day and heavier at night; treatment should involve diaphoresis (sweating). Qian Yi used Mahuang Tang (Ephedra Decoction). If accompanied by heat signs, there is a red face, desire for water, and phlegm-saliva obstructing the throat causing difficulty; Qian Yi combined this with Ganjie Tang (Licorice and Platycodon Decoction). If coughing occurs in the fifth or sixth month, symptoms include fever, abundant sticky saliva/phlegm, or abundant phlegm without severe wheezing, red face, or occasional desire for water. Qian Yi used Pianyin Wan (Bitter Silver Pill) for purgation in all these cases. If Lung Qi is excessive, coughing is followed by wheezing, fever, restlessness, and edema, regardless of desire for water, Qian Yi used Xiebai San (White Herb Powder) to drain the Lung.
Previously, Qian Yi treated the nine-year-old grandson of Mr. Zhang, who suffered from Lung-heat cough. Previous physicians had treated him with cooling medicines such as Pearl, Rhinoceros Horn, Dragon Bone, Musk, and Realgar for one month without success. Symptoms included coughing, rapid wheezing, restlessness, incessant drinking, and complete inability to eat. Qian Yi prescribed Shijunzi Wan (Quince Seed Pill) and Yihuang San (Yellow Protecting Powder). Mr. Zhang asked, "There was originally heat; why use warming medicines?" Other doctors had used cooling medicines to attack the pathogen for a month with no effect. Qian Yi said, "Long-term use of cooling medicines causes Stomach cold and inability to eat. Since the child is deficient and cannot eat, we must tonify the Spleen first. Once eating returns to normal, we will drain the Lung meridian, and the illness will surely heal." After two days of taking Spleen-tonifying medicine, the child desired food. Then, using Xiebai San to drain Lung heat, he recovered. Mr. Zhang asked, "Why did this not cause deficiency?" Qian Yi replied, "By first solidifying the Spleen and then draining the Lung, there is no deficiency."
In cases of wind-cold injury causing cough without heat signs, only coughing, Qian Yi used Mahuang Tang (Ephedra Decoction) along with phlegm-resolving medicines. If Lung Qi is deficient, and coughing is accompanied by gasping and frequent deep sighs with sounds in the throat, this is a chronic condition requiring tonification. Qian Yi used Ejiao San (Donkey-Hide Gelatin Powder). Previously, Qian Yi treated the five-year-old son of Mr. Du, who had been coughing from November to March without cessation. Initially, coughing with expectoration indicated wind-cold entering the Lung. With wind in the Lung, coughing and expectoration occurred; dispersal with Ephedra-type medicines was appropriate. Later, cooling medicines suppressed it, and it healed. However, other doctors used various purgatives, causing Lung deficiency and worsening cough. By the third month of spring, it had not healed. Upon consultation, the pulse showed a bright green complexion, coughing with rapid wheezing, gasping, and frequent deep sighs. Qian Yi said, "The condition is critical; eight or nine out of ten parts of the disease are already lost. This is because a bright green complexion indicates flourishing Liver Qi. The three months of spring correspond to the Liver's domain and the time of Lung decline. Cough is a Lung disease; lasting from November to March leads to Lung deficiency and flaccidity. Having been purged, both Spleen and Lung (mother and child organs) are deficient, and they are overcome by Wood (Liver). This is a counter-indication (Ni), hence the coughing, rapid wheezing, gasping, and deep sighs." Qian Yi urgently administered Xieqing Wan (Draining Green Pill) to drain the Liver, followed by Ejiao San to solidify the Lung. The next day, the complexion was green but not bright. Qian Yi then tonified the Lung, but the cough persisted. He drained the Liver again, but the disease did not cease, and Lung deficiency worsened, with lips white as silk. Qian Yi said, "This disease is fatal and incurable. Why? The Liver is excessively flourishing while the Lung is exhausted. The Lung disease does not occur at its proper time, yet the Liver overcomes it. Now, after draining the Liver three times, the Liver pathology remains; after tonifying the Lung three times, the Lung pathology becomes even more deficient. Life will not last long, hence I say death." For this syndrome, if contracted in autumn, three or four out of ten can be saved; if contracted in spring or summer, fewer than one out of ten can be saved. Indeed, the patient died of severe asthma.
Regarding insufficient Lung Qi, affected by cold evil, manifesting as cough, wheezing, chest fullness, and shortness of breath, treatment should tonify the Lung. Previously, Qian Yi treated the eight-year-old grandson of Transport Commissioner Li, who suffered from cough, wheezing, chest fullness, and shortness of breath. Other doctors believed there was heat in the Lung meridian and treated him with Zhuye Tang (Bamboo Leaf Decoction) and Niuhuang Gao (Calculus Bovis Ointment). After three days, wheezing worsened. Qian Yi diagnosed: "This is insufficient Lung Qi with cold evil, immediately causing wheezing and chest fullness. Tonify Lung and Spleen; do not take cooling medicines." Mr. Li said, "We have already taken Zhuye Tang and Niuhuang Gao." Qian Yi asked, "How were they treated?" The previous doctor said, "To reduce heat and resolve saliva." Qian Yi asked, "What heat?" The doctor said, "Heat in the Lung meridian generates cough; prolonged cough generates saliva." Qian Yi said, "It is originally deficiency caused by wind-cold, what heat is there? If it were Lung heat, why not treat the Lung, but instead regulate the Heart? Zhuye Tang and Niuhuang Gao are both Heart-treating medicines." The doctor looked ashamed. Qian Yi cured the disease based on his discussion.
For coughing up pus and blood, it is Lung heat. Qian Yi used Ganjie Tang (Licorice and Platycodon Decoction). For coughing with phlegm-saliva and wheezing, first solidify the Spleen (Qian Yi used Yihuang San), then mildly purge (Qian Yi used Pianyin Wan). After saliva recedes, tonify the Lung (Qian Yi used Ejiao San). Previously, Qian Yi treated the four-year-old son of Duan Zhaolang, who had cough, fever, expectoration for several days, and hemoptysis. Previous doctors used Jiegeng Tang (Platycodon Decoction) and Fangji Wan (Stephania Pill) without success. Saliva attacked upward, causing incessant vomiting and wheezing. Qian Yi administered a large dose of Pianyin Wan to purge, then treated with Spleen-tonifying medicine. Someone asked, "This child has hemoptysis and Lung deficiency; why purge?" Qian Yi said, "Although the Lung hemoptysis is due to heat, prolonged heat leads to deficiency and flaccidity. Now saliva surges upward with vomiting; we must purge the saliva. If we do not allow vomiting of saliva, the condition will worsen. Vomiting saliva causes deficiency and may generate fright. Phlegm-excess attacking upward can also cause convulsions. Therefore, according to the method, it is appropriate to first purge the phlegm. This treatment of 'purge first, tonify later' contrasts with the earlier discussion of 'tonify first, purge later.' The Classics state that diseases have urgency, and treatments have sequence. Treating like Qian Yi allows one to grasp the intent of the Sages; students should emulate this." Coughing up green-white watery fluid indicates Cold Stomach with retained fluid retention. Qian Yi used Baixiang Wan (Hundred Auspicious Pills) to purge. Coughing up phlegm-saliva and milk/food indicates undigested old stagnation. Qian Yi used Baibing Zi (White Cake Pill) to purge.
For chronic cough with Lung deficiency and loss of Jin-Ye (Body Fluids), Qian Yi used Ejiao San (Donkey-Hide Gelatin Powder) to tonify. The general principle for treating cough: Excess requires purging; chronic conditions require tonifying; Wind requires dispersing. One must assess age, size, and deficiency/excess to apply treatment wisely. Therefore, care for children must be cautious; they should always wear padded vests. Even in hot summer months, add an extra layer to the back of the single vest. Since Feishu (BL13) is on the back, we fear wind-cold injuring it and causing cough. Prolonged cough may also induce fright. For infants under one hundred days with cough, only one or two out of ten survive; it is not a minor illness.
Another type is retained fluid transforming into phlegm. Due to improper feeding, Spleen and Stomach harmony is disrupted, retained fluids fail to disperse, and remain to form phlegm. If this rises with Qi to disturb the Lung causing cough, it is called Phlegm-Cough. If there is no cough, the Lung is congested and unsmooth, causing throat obstruction with saliva, and stagnation in the hypochondrium, abdomen, and diaphragm.
If Spleen and Stomach cold and heat are imbalanced, saliva fails to return to the Stomach, flowing from the mouth corner ceaselessly. Cold type presents with blue color on the nose and green-white stool; Heat type presents with red color on the nose and red-yellow stool. Besides the formulas used by Qian Yi recorded elsewhere in this collection, the following formulas are listed.
Jinhua San (Golden Flower Powder)
Treats infant cough.
Yujin (Curcuma Rhizome, half liang) Fangfeng (Saposhnikovia Root, one fen, remove rhizome and branched branches) Banxia (Pinellia Tuber, one fen) Badou (Croton Seed, twenty-one grains) Zaojiao (Gleditsia Fruit, one piece)
Boil all herbs in one sheng of water in a silver vessel until water is dry. Remove Badou and Zaojiao. Wash the remaining three herbs separately with warm water, dry, and grind to fine powder. Infants take one zi (a small measure); 2-3 years old take half qian; 4-5 years and older take one qian. Mix with mint honey water, take anytime.
Huoxiang San (Agastache Powder)
Treats cough due to Lung-Stomach Qi disharmony, not caused by wind-cold.
Huoxiang (Agastache Herb, twenty-one leaves, remove soil) Zhike (Aurantii Fructus, two slices, remove pulp, wrap in wet paper and roast until cooked) Bangfen (Concha Tridacnae, a piece the size of Zhike)
Grind to fine powder. Infants take one zi; 2-3 years old take half qian. Mix with honey water. Usually settles within 2-3 doses. Increase dosage for older children as needed, anytime.
Zijin Wan (Purple Gold Pill)
Treats various coughs, descends and resolves phlegm-saliva. Use Yezi Cihuang (Leaf-shaped Orpiment) as needed, grind fine, place in a pot, burn over low fire until melted. Cool, remove, grind fine again. Mix with water to make pills the size of radish seeds. Take two pills with cooked water before sleep.
Xingren Jian (Apricot Kernel Decoction/Paste)
Treats pediatric cough with Qi rebellion. Use one sheng of Apricot Kernels (Xingren), peeled, cored, fried yellow, and熟-beaten. Use three he of honey. Add one he of honey first, beat until thick. Add another he, beat until paste-like. Add the final he, beat until cooked. After each meal, take a small amount, place in the child's mouth, dissolve and swallow. Three times daily, anytime.
Shengjiang Jian (Fresh Ginger Paste)
Treats pediatric cough.
Shengjiang (Fresh Ginger, one liang) Ganjiang (Dried Ginger, six qian, processed) Guixin (Cinnamon Twig Heart, one fen) Gancao (Licorice Root, four qian, honey-fried) Xingren (Apricot Kernel, one liang, peel, tip, fry yellow) Kudonghua (Flos Dodecatemonis, remove stems) Ziwan (Radix Asteris, four qian each)
Grind to powder. Mix with one liang of honey, cook over low fire until like maltose syrup. Give appropriate amount to suck and swallow based on age/size. For infants under 100 days, size of a jujube pit; very effective.
Kudonghua Wan (Flos Dodecatemonis Pill)
Treats pediatric cough, worse at night, initial difficulty breathing, unable to cry.
Kudonghua (Flos Dodecatemonis) Ziwan (Radix Asteris, one liang half each) Guixin (Cinnamon Twig Heart, half liang) Fulonggan (Dragon's House Earth, one fen)
Grind together to fine powder. Mix with refined honey like mud. Take size of jujube pit, apply to breast milk, let child suck. Gradually let child drink. Three times daily.
Maimendong Tang (Ophiopogon Decoction)
Treats newborns from 10 to 50 days old suffering sudden cough, vomiting milk, violent cough, day and night without rest.
Maimendong (Radix Ophiopogonis, one liang, remove heart) Ziwan (Radix Asteris, three fen, remove rhizome) Gancao (Licorice Root, two qian half) Guizhi (Ramulus Cinnamomi, half liang)
Grind to powder. Take two qian per dose, one sheng of water, boil to seven tenths. Dip cotton in decoction, drip into child's mouth, 4-5 times day and night. Regulate breastfeeding.
Wuweizi Tang (Schisandra Decoction)
Treats pediatric wind-cold entering Lung, cough, Qi rebellion, blue face, forced breathing, day and night without rest, inability to eat/drink.
Wuweizi (Fructus Schisandrae, remove stems) Danggui (Radix Angelicae Sinensis, half liang each, remove rhizome) Mahuang (Herba Ephedrae, remove joints) Ganjiang (Dried Ginger, processed) Guixin (Cinnamon Twig Heart) Renshen (Radix Ginseng, remove rhizome) Ziwan (Radix Asteris) Gancao (Licorice Root, one fen each) Xixin (Herba Asari, half fen, remove seedlings) Dazao (Fructus Jujubae, three pieces)
Coarsely grind. Take two qian per dose, one sheng of water, boil to half sheng. Strain, take warm. Adjust based on child's size.
Renshen Banxia Tang (Ginseng and Pinellia Decoction)
Treats pediatric Phlegm-Rebellion, incessant cough.
Renshen (Radix Ginseng, remove rhizome) Banxiaqu (Pinellia Fermented Curd) Baizhi (Radix Angelicae Dahuricae, half liang each) Huoxiangye (Folium Agastaches, one fen, remove soil) Dingxiang (Flos Caryophylli) Xingrenshuang (Apricot Kernel Frost, half fen each)
Fine powder. Take two qian per dose, one zhong of water, five slices of fresh ginger, fifty grains of aged millet. Boil to seven tenths. Strain. Sip frequently, 3-4 times daily. Avoid vinegar, salt, roasted, fried, raw/cold foods.
Kuanyeisan (Lung-Calming Powder)
Treats pediatric wind-congestion with abundant phlegm, cough, rapid breathing, high fever, red cheeks, confusion/vomiting, facial/eye edema, reduced milk intake.
Baijiangcan (Bombyx Batryticatus, five liang, clean wash, remove silk heads/legs, dry roast) Yuanhusuo (Rhizoma Corydalis, three liang, peel)
Grind to powder. Take one zi or half qian per dose, mix with weak leek juice warm, take anytime. Infants mix half zi with breast milk only.
Treats pediatric cough with voice loss.
Xingren (Apricot Kernel, one liang, soak in water, peel, core, remove double kernels,捣 with one zhong water to extract juice) Ziwan (Radix Asteris, half liang, remove rhizome, wash, remove soil, grind to powder)
Mix Ziwan powder into Xingren juice, add one he of honey, simmer into paste. Take half tea spoon per dose, mix with clear porridge drink, take anytime.
Zaojiao Chi Tang (Gleditsia and Soybean Decoction)
Treats pediatric cough. Burn Gleditsia Fruit to ash, grind fine. Take half qian or one qian per dose, mix with Soybean Decoction, take anytime.
Lufengfang San (Dew Honeycomb Powder)
Treats as above. Clean two liang of Dew Honeycomb, remove bee feces/dust. Burn quickly to ash, grind fine. Take one zi per dose, mix with rice drink, take anytime.
Tingli San (Descurainia Powder)
Treats as above.
Tian Tingli (Seed Descurainiae, half liang, fried) Mahuang (Herba Ephedrae, one fen, remove roots/joints) Gancao (Licorice Root, one fen, honey-fried) Beimu (Bulbus Fritillariae, one fen, remove heart, fried) Xingren (Apricot Kernel, one fen, peel, core, fry yellow, grind)
Fine powder. Take half qian per dose, half sheng of water, boil to three tenths. Strain, take warm, take anytime.
Hezi Gao (Myrobalan Paste)
Treats as above. Take one liang of Myrobalan, split each into two pieces. Add one fen of Licorice. Boil in one large sheng of water until water is gone. Dry, grind to powder. Mix with refined honey into paste the size of a corn kernel. Take one soybean-sized amount per dose, dissolve in mint cooked water, take anytime.
Shengjiang Yu Tang (Fresh Ginger Bath Decoction)
Treats as above. Boil four liang of Fresh Ginger in water for bathing.
Yinianjin San (One Pinch of Gold Powder)
Treats wind-phlegm cough, red cheeks, abundant phlegm, rapid wheezing, vomiting/edema, reduced milk intake.
Baijiangcan (Bombyx Batryticatus, one liang, straight ones, remove silk mouths) Gancao (Licorice Root, half liang, honey-fried) Yuanhusuo (Rhizoma Corydalis, one fen, peel)
Fine powder. Take one pinch per dose, mix with vinegar juice. Infants mix half zi with breast milk only. Take after meals.
Xingxing San (Awakening Powder)
Treats wind-cold/heat injury, phlegm congestion cough.
Jiegeng (Radix Platycodonis, remove rhizome) Xixin (Herba Asari, remove leaves) Renshen (Radix Ginseng, remove rhizome) Gancao (Licorice Root, cut/fried) Baifuling (Poria, remove skin) Baizhu (Rhizoma Atractylodis Macrocephalae) Gualougen (Radix Trichosanthis, half liang each)
Fine powder. Take two qian per dose, one sheng of water, five mint leaves. Boil to half sheng. Take warm. To harmonize Qi, add three slices of fresh ginger to boil. Another formula adds one fen of Fangfeng.
Baofei Wan (Lung-Protecting Pill)
Treats wind-heat affecting Lung/Stomach, abundant phlegm cough/wheezing/vomiting, continuous sound. Also treats chronic cough not healing.
Baijiangcan (Bombyx Batryticatus, two liang, remove silk mouths, fried) Shanyao (Rhizoma Dioscoreae, half liang) Baifuling (Poria, one liang, remove skin) Zisuye (Folium Perillae, one liang) Huoxiang (Agastache Herb, one liang, remove soil) Bubu (Radix Stemona, half liang) Huangqin (Radix Scutellariae, one liang) Fangfeng (Saposhnikovia Root, one liang, remove rhizome) Xingren (Apricot Kernel, one liang, peel, core, bran-fried) Baihe (Bulbus Lilii, half liang) Wuweizi (Fructus Schisandrae, one liang, remove stems)
Fine powder. Mix with refined honey into pills the size of corn kernels. Take half to one pill per dose, dissolve in Jiegeng Decoction. Take after meals and before bed.
Beimu Tang (Fritillaria Decoction)
Treats wind-pathogen affecting Lung, cough, wheezing, chest fullness.
Beimu (Bulbus Fritillariae, one liang, remove heart, honey-fried yellow) Banxia (Pinellia Tuber, one liang, wash seven times in Alum Water, dry roast) Ganjiang (Dried Ginger, half liang, processed) Mahuang (Herba Ephedrae, half liang, remove roots/joints) Kudonghua (Flos Dodecatemonis, half liang, remove stems) Gancao (Licorice Root, half liang, honey-fried)
Fine powder. Take one qian per dose, one small sheng of water, three slices of fresh ginger, two Apricot Kernels (peeled/cored). Simmer to five tenths. Strain, take warm, anytime.
Changpu Jian (Acorus Paste)
Treats wind-pathogen in Lung, shoulder-lifting breathing, wheezing sounds, or cough.
Shichangpu (Rhizoma Acori Tatarinowii, one liang, nine-jointed is best) Kudonghua (Flos Dodecatemonis, one liang, remove stems) Ziwan (Radix Asteris, one liang, clean wash, dry roast) Renshen (Radix Ginseng, one liang, remove rhizome) Guixin (Cinnamon Twig Heart, one liang)
Fine powder. Mix with refined honey, pound in mortar 100-200 times. Make pills the size of soap nuts. Take one pill per dose, dissolve in glutinous rice drink. Take after meals and before bed.
Jiangzhu Dan (Crimson Cinnabar Pill)
Treats fright-phlegm, cough, wheezing, chest fullness.
Tiannanxing (Rhizoma Arisaematis, two liang, processed) Banxia (Pinellia Tuber, two liang, wash seven times in water to remove slipperiness) Kubaijian (Alumen Exsiccatum, one liang half) Huashi (Talcum, two liang, fired red) Qianbaishuang (Plumbum Subcarbonate, one fen)
Fine powder. Mix with wheat paste into pills the size of hemp seeds. Coat with Cinnabar. Take ten pills per dose, send down with Ginger Decoction. Take after meals and before bed.
Renshen Xijiao San (Ginseng and Rhinoceros Horn Powder)
Treats epidemic Qi congestion, cough, Phlegm-Rebellion, wheezing, palpitations, wind-heat.
Qianhu (Radix Peucedani, eight qian, remove rhizome) Jiegeng (Radix Platycodonis, five qian) Renshen (Radix Ginseng, three qian, remove rhizome) Gancao (Licorice Root, three qian, honey-fried yellow) Xingren (Apricot Kernel, five qian, soaked, peeled, cored, dried, ground)
First grind the first four ingredients to powder, mix with Apricot Kernel powder, blend well, sieve coarsely. Take two qian per dose, one sheng of water, boil to seven tenths. Strain, take warm after meals. It also harmonizes the Five Zang and Six Fu organs, improves milk/food intake. Also treats all wind-heat; especially suitable for those who experience diarrhea/appetite loss with ordinary cooling medicines.
Yougun Wan (Oil-Rolling Pill)
Treats abundant phlegm cough, also treats milk-cough.
Wulingzhi (Resina Trogopterori, one qian powder) Leiwan (Helminthospermum Seed, one qian powder) Badou (Croton Seed, thirty grains, peel membrane, take frost)
Fine powder. Drop water to make pills the size of mustard seeds. Take 3-5 pills per dose, send down with oil-boiled well water. Take before bed.
Longzhao San (Dragon Claw Powder)
Treats phlegm-wheezing cough. Take forty-nine Pig Trotter Nails, clean and dry. Put one zi each of Banxia and Baifan powder into each nail. Seal in a jar, prevent smoke/fire penetration. Fire until red hot, cool, grind to fine powder. Mix with one qian of finely ground Musk. Take half qian per dose, mix with glutinous rice drink, take on empty stomach.
Chensha Banxia Wan (Cinnabar and Pinellia Pill)
Treats cold-phlegm cough.
Gualougen (Radix Trichosanthis, honey-fried) Tiannanxing (Rhizoma Arisaematis, water-washed) Banxia (Pinellia Tuber, water-washed seven times) Ganjiang (Dried Ginger, processed, half liang each)
Grind to powder. Mix with fresh Ginger juice to make pills the size of hemp seeds. Coat with Cinnabar. Take ten pills per dose, send down with Ginger Decoction, anytime.
Yuzhu Wan (Jade Pearl Pill)
Treats various phlegm-cough. Banxia one liang, washed ten times in water. Xiaoshi (Niter) one fen. Grind to fine powder. Drop water to make pills the size of hemp seeds. Take 3-5 pills per dose, send down with Ginger Decoction, anytime.
Baibu Wan (Stemona Pill)
Treats Lung-cold cough with slight wheezing.
Baibu (Radix Stemona, three fen, dry roast) Mahuang (Herba Ephedrae, three fen, remove roots/joints; grind these two to powder first) Xingren (Apricot Kernel, forty grains, peel, core, lightly fry, boil 3-5 boils, dry roast, grind fine)
Mix uniformly to fine powder. Mix with refined honey into pills the size of soap nuts. Dissolve 2-3 pills in warm water. Take three times daily. Qian Yi added five Pine Nut Kernels, mixed with sugar into pills; sucking them is excellent.
Lufengfang Wan (Dew Honeycomb Pill)
Treats Lung-Stomach deficiency-cold, cough, wheezing, chest fullness, vomiting, inability to eat.
Lufengfang (Dew Honeycomb, two qian, fried) Chanke (Periostracum Cicadae, two qian, remove soil, fried) Gejie (Gecko, one piece weighing four qian, coated with butter, roasted dry) Dingxiang (Flos Caryophylli) Muxiang (Radix Aucklandiae) Renshen (Radix Ginseng, remove rhizome) Dihuang (Radix Rehmanniae) Mahuang (Herba Ephedrae, remove joints/roots) Madoulingzi (Fructus Aristolochiae) Wubeizi (Galla Chinensis, remove insects, two qian each) Wuweizi (Fructus Schisandrae, remove stems) Beimu (Bulbus Fritillariae, remove heart, dry roast) Xingren (Apricot Kernel, soak in boy's urine for two nights, peel, core, fry) Banxiaqu (Pinellia Fermented Curd, two qian half each) Kudonghua (Flos Dodecatemonis, half liang, remove stems)
Fine powder. Mix with refined honey into pills the size of mung beans. Take 20-30 pills per dose, send down with Ginger Decoction. Take 3-4 times daily after meals.
Huansi Tang (Relaxing Breath Decoction)
Treats wind-injury to Lung Qi deficiency wheezing, cough with Qi rebellion.
Sangbaipi (Cortex Mori Radicis, one liang half) Baifuling (Poria, half liang) Baijiangcan (Bombyx Batryticatus, half liang, remove silk, fried) Gancao (Licorice Root, one fen, honey-fried) Xingren (Apricot Kernel, half liang, peel, core, grind, add later) Renshen (Radix Ginseng, one fen, remove rhizome) Jiegeng (Radix Platycodonis, half liang, remove rhizome) Baizhu (Rhizoma Atractylodis Macrocephalae, half liang) Chenpi (Pericarpium Citri Reticulatae, half liang, remove white pith)
Fine powder. Take one qian per dose, one sheng of water, three slices of fresh ginger, two Apricot Kernels. Boil to six tenths. Strain. Take warm frequently.
Baizhu Wuwei Tang (Atractylodes and Schisandra Decoction)
Treats Qi rebellion, upper wheezing, cough.
Baizhu (Rhizoma Atractylodis Macrocephalae) Wuweizi (Fructus Schisandrae, remove stems, fried) Renshen (Radix Ginseng, remove rhizome) Kudonghua (Flos Dodecatemonis, half liang each, remove stems) Xixin (Herba Asari, one fen, remove soil/leaves)
Fine powder. Take one qian per dose, three slices of fresh ginger. Boil to four tenths. Strain, cool slightly. Take frequently.
Jiegeng Tang (Platycodon Decoction)
Treats cough with phlegm congestion, noisy breathing (Ya-Xia), throat/diaphragm obstruction.