治肺经积热,上喘咳嗽胸膈胀满,痰多,大便涩。
人参 黄芩 栀子仁 枳壳 薄荷 甘草 连翘 杏仁(去皮尖) 桑白皮 大黄 桔
梗 按人参。肺热反能伤肺,此清肺经积热,以人参泻肺立名,可见泻其肺热,必不可伤
其肺气
(钱乙) 治肺火,皮肤蒸热。(肺主皮肤,轻按即得,重按全无,是热在皮毛。)洒
淅寒热。(邪在肤腠。)日晡尤甚。(申酉时燥金正旺之时。)喘嗽气急。(肺苦气上逆。)
桑白皮 地骨皮(各一钱) 甘草(五分) 粳米(百粒)
桑白皮甘辛而寒,行水降火,泻肺气之有余。除痰止嗽,能利二便,而疗热渴。地骨皮
寒泻
热从
火。
加人参五味茯苓青皮陈皮,名加减泻白散。(东垣)治咳嗽喘急。呕吐加知母黄芩桔梗
青皮陈
加黄芩知
嗌喉不利,
寒,治气出
为佐。桔梗
治脾肺大热,虚烦上壅,咽喉生疮。
鸡苏叶 荆芥穗 防风 桔梗 牛蒡子(炒) 人参 甘草等分为末。每服二钱,不拘
时沸汤
按此方清上焦热,全用辛凉轻清之气,不杂苦寒降下之味。其见甚超,较凉膈散诸方为
更胜
治怒气伤肝,而因气逆动火,致为烦热胁痛动血等证。
青皮 陈皮 白芍(二钱) 泽泻(如血见下部者以甘草代之。) 栀子(炒) 丹皮
(一钱五分)
分,如兼寒热者
多者,勿用芍药
【人参泻肺汤】治疗肺经积热,导致上气喘促、咳嗽、胸膈胀满、痰多、大便干涩不通。
方药组成:人参、黄芩、栀子仁、枳壳、薄荷、甘草、连翘、杏仁(去皮尖)、桑白皮、大黄、桔梗。
按语:关于人参的使用。肺热反而能损伤肺气,此方旨在清除肺经的积热,以“人参泻肺”命名,可见泻除肺热的同时,必不可损伤肺气。
【泻白散】(出自钱乙)治疗肺火,表现为皮肤蒸热。(肺主皮毛,轻按即得脉象,重按全无,说明热在皮毛。)恶寒发热。(邪气在肤腠之间。)日晡时(申酉时,即下午3点至7点)症状加重。(此时燥金之气当令旺盛。)喘促咳嗽、气急。(肺脏苦于气机上逆。)
方药组成:桑白皮、地骨皮(各一钱),甘草(五分),粳米(一百粒)。
解析:桑白皮味甘辛性寒,能行水降火,泻除肺气的有余之邪。可除痰止咳,通利二便,治疗热渴。地骨皮性寒,能泻热从火而出。
若加入人参、五味子、茯苓、青皮、陈皮,则名为加减泻白散。(出自李东垣)治疗咳嗽喘急。若呕吐,加知母、黄芩、桔梗、青皮、陈皮;若兼有寒热,加黄芩、知母为佐使。若咽喉不利,治气出……(原文此处有残缺或错简,难以完整对应,仅译可见部分)
【鸡苏散类方】治疗脾肺大热,虚烦上壅,咽喉生疮。
方药组成:鸡苏叶、荆芥穗、防风、桔梗、牛蒡子(炒)、人参、甘草等分为末。每次服用二钱,不拘时候,用沸水冲服。
按语:此方清上焦之热,全用辛凉轻清之气,不夹杂苦寒降下之药。其见解甚为高超,较之凉膈散诸方更为优越。
【化肝煎】治疗因怒气伤肝,导致气逆动火,引起烦热、胁痛、动血等症状。
方药组成:青皮、陈皮、白芍(二钱)、泽泻(若出血在下部者,以甘草代替)、栀子(炒)、丹皮(一钱五分)。
注:若兼有寒热者,多加……(原文此处有残缺);若……多者,勿用芍药。
[Ren Shen Xie Fei Tang (Ginseng Decoction to Drain the Lung)] Treats accumulated heat in the Lung Meridian, manifesting as upper asthma, cough, chest and diaphragm fullness, excessive phlegm, and constipation.
Ingredients: Ren Shen (Radix Ginseng), Huang Qin (Scutellariae Radix), Zhi Zi Ren (Gardeniae Semen), Zhi Qiao (Aurantii Fructus), Bo He (Menthae Haplocalycis Herba), Gan Cao (Glycyrrhizae Radix et Rhizoma), Lian Qiao (Forsythiae Fructus), Xing Ren (Armeniacae Semen Amarum, peeled and tip removed), Sang Bai Pi (Mori Cortex), Da Huang (Rhei Radix et Rhizoma), Jie Geng (Platycodonis Radix).
Note regarding Ren Shen: Lung heat can damage Lung Qi. This formula is named "Ren Shen Xie Fei" because it clears accumulated heat from the Lung Meridian. It demonstrates that draining Lung heat must not injure Lung Qi.
[Xie Bai San (Drain the White Powder)] (From Qian Yi) Treats Lung Fire, manifesting as steaming heat in the skin. (The Lung governs the skin and hair; a pulse felt lightly but disappearing with heavy pressure indicates heat in the skin and hair.) Chills and fever alternating. (Pathogenic factors are in the skin and interstices.) Symptoms worsen at dusk (Shen and You hours, 3 PM–7 PM, when Metal energy is strongest). Asthma, cough, and rapid breathing. (The Lung suffers from rebellious Qi.)
Ingredients: Sang Bai Pi (Mori Cortex), Di Gu Pi (Lycii Cortex) (each 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.5 qian), Jing Mi (Oryzae Fructus Glutinosa) (100 grains).
Analysis: Sang Bai Pi is sweet, pungent, and cold; it promotes water metabolism, descends fire, and drains excess Qi from the Lung. It eliminates phlegm, stops cough, benefits urination and defecation, and treats thirst due to heat. Di Gu Pi is cold and drains heat from the fire level.
If Ren Shen (Radix Ginseng), Wu Wei Zi (Schisandrae Fructus), Fu Ling (Poria), Qing Pi (Aurantii Fructus Immaturus), and Chen Pi (Aurantii Pericarpium) are added, it is named Jia Jian Xie Bai San (Modified Drain the White Powder). (From Li Dongyuan) Treats cough and asthma with rapid breathing. If vomiting occurs, add Zhi Mu (Anemarrhenae Rhizoma), Huang Qin (Scutellariae Radix), Jie Geng (Platycodonis Radix), Qing Pi (Aurantii Fructus Immaturus), and Chen Pi (Aurantii Pericarpium); if accompanied by chills and fever, add Huang Qin (Scutellariae Radix) and Zhi Mu (Anemarrhenae Rhizoma) as assistants. If there is throat obstruction... (Text fragmentary).
[Ji Su San Type Formula] Treats severe heat in the Spleen and Lung, causing empty vexation and upward congestion, and sores in the throat.
Ingredients: Ji Su Ye (Elsholtziae Spica/Perilla Leaf variant), Jing Jie Sui (Schizonepetae Spica), Fang Feng (Saposhnikoviae Radix), Jie Geng (Platycodonis Radix), Niu Bang Zi (Arctii Fructus, stir-fried), Ren Shen (Radix Ginseng), Gan Cao (Glycyrrhizae Radix et Rhizoma). Grind into powder. Take 2 qian per dose, at any time, mixed with boiling water.
Note: This formula clears heat from the Upper Jiao using purely acrid-cool and light-clearing properties, without mixing bitter-cold descending agents. Its insight is profound, surpassing formulas like Liang Ge San (Cool the Diaphragm Powder).
[Hua Gan Jian (Decoction to Transform the Liver)] Treats conditions caused by anger injuring the Liver, leading to Qi rebellion stirring fire, resulting in vexation, heat, hypochondriac pain, and bleeding disorders.
Ingredients: Qing Pi (Aurantii Fructus Immaturus), Chen Pi (Aurantii Pericarpium), Bai Shao (Paeoniae Radix Alba) (2 qian), Ze Xie (Alismatis Rhizoma) (if bleeding is in the lower part, replace with Gan Cao), Zhi Zi (Gardeniae Fructus, stir-fried), Dan Pi (Moutan Cortex) (1.5 qian).
Note: If accompanied by chills and fever, add more... (Text fragmentary); if [condition] is severe, do not use Bai Shao.