治中风痰盛,体肥不渴者。
胆星(八钱) 木香(二钱) 为末服,或加全蝎。
南星燥痰之品,制以牛胆,以杀其毒。且胆有益肝胆之功,(肝胆之经属风木。)佐以木
香,
肝风
治风痫迷闷,涎潮抽掣。(风暑湿,或感风寒者,或饮食不节,逆于脏气,郁而生
闭塞诸经,厥而乃成。或数日一发,或一日数发。发则眩仆倒地,昏不知人,螈 抽掣
目斜,或随脏气作六畜之声。)
胆星 全蝎(去足焙) 蝉蜕(二钱五分) 牛黄 白附子 僵蚕(洗焙) 防风 天
麻(钱半)
牛黄清心解热,开窍利痰。天麻防风南星全蝎,辛散之味。僵蚕蝉蜕,清化之品。白附
头面
逐风
麝牛
之,
消痰热,润肺止嗽,或肺痈肺痿,乃治标之妙剂。
贝母(一两) 为末,用砂糖或蜜和丸,龙眼大。或噙化,或嚼服之。若欲劫止久嗽,
每贝母
或粟
治痰湿气逆而咳嗽。(肺受火伤,则气逆而为咳。脾有停湿,则生痰而作嗽。病有
六腑之殊,而其要皆归于肺。以肺为五脏华盖,下通膀胱,外达皮毛,为气之主,而出
大法新嗽脉浮为表邪,宜发散。脉实为内热,宜清利。脉濡散为肺虚,宜温补。久嗽
利,以致肺胃俱虚,饮食不进,宜温中助胃,兼治嗽药。素问曰∶肺之令人咳,何也
五脏六腑,俱令人咳,非独肺也。皮毛者,肺之合也。皮毛先受邪气,邪气以从其合
脏各以其时受病,非其时,各传以与之。有自外得者,肺主皮毛。风寒暑湿之邪,自
内传脏腑,而为嗽也。有自内发者,七情饥饱,内有所伤,则邪气上逆。肺为气出
故五脏之邪,上蒸于肺,而为嗽也。然风寒暑湿,有不为嗽者,盖所感者重。不留
径伤脏腑,而成伤寒温热诸病。七情亦有不为嗽者,盖病尚浅。只在本脏,未传入
伤寒以有嗽为轻,而七情饥饱之嗽,必久而后发也。)
杏仁(去皮尖) 贝母 茯苓(一钱) 桔梗 甘草 五味子 橘红(五分) 加姜煎。
火嗽加青
天冬。午
二冬,竹
见血,多
用沙参。
此治嗽之通剂也。杏仁解肌散寒,降气润燥。贝母清火散结,润肺化痰。五味敛肺而宁
嗽,
治疗中风痰湿壅盛,身体肥胖且不口渴的患者。
胆南星(八钱) 木香(二钱) 研为细末服用,或者加入全蝎。
天南星是燥湿化痰的药物,用牛胆汁炮制,以消除其毒性。而且牛胆有益肝胆的功效,(肝胆的经络属于风木。)配合木香,
治疗肝风内动引起的风痫神志昏迷、痰涎上涌、肢体抽搐。(因感受风暑湿邪,或感受风寒,或饮食不节制,导致脏气逆乱,郁结而生痰,闭塞诸条经络,气机厥逆而发病。有的几天发作一次,有的每天发作数次。发作时头晕跌倒,昏迷不省人事,肢体抽搐,眼睛斜视,或者随着不同脏腑的病气发出类似六畜的叫声。)
胆南星 全蝎(去掉足,焙干) 蝉蜕(二钱五分) 牛黄 白附子 僵蚕(洗净焙干) 防风 天麻(一钱半)
牛黄能清心解热,开窍利痰。天麻、防风、南星、全蝎,都是辛散的药物。僵蚕、蝉蜕,是清热化浊的药物。白附子
头面部
祛风
麝香、牛黄
消除痰热,润肺止咳,或者是肺痈、肺痿,这是治标的妙方。
贝母(一两) 研为细末,用砂糖或蜂蜜调和做成丸药,大小如龙眼核。或者含服,或者嚼服。如果想要强力止住久咳,
每用贝母
或者粟米
治疗痰湿气逆导致的咳嗽。(肺受到火热损伤,则气机上逆而咳嗽。脾有停滞的湿气,则生痰而作嗽。疾病虽然涉及六腑的不同,但其关键都归于肺。因为肺是五脏的华盖,下通膀胱,外达皮毛,是气的主宰,而出入呼吸。
新近咳嗽脉浮表示有表邪,宜发散。脉实表示有内热,宜清利。脉濡散表示肺虚,宜温补。久咳导致肺胃俱虚,饮食不进,宜温中助胃,兼治咳嗽药。《素问》说:肺让人咳嗽,为什么呢?
五脏六腑都能让人咳嗽,不仅仅是肺。皮毛是肺的外合。皮毛先受邪气,邪气顺着肺的外合而入。
各脏腑在其所主的时令受病,如果不是其所主的时令,其他脏腑的病会传给它。有从外部感受的,肺主皮毛。风寒暑湿之邪,自
内部传入脏腑,从而成为咳嗽。有从内部引发的,七情饥饱,内部有所损伤,则邪气上逆。肺是气出入的门户,
所以五脏的邪气,上蒸于肺,从而成为咳嗽。然而风寒暑湿,也有不引起咳嗽的,这是因为感受的邪气重,直
径伤脏腑,而成伤寒温热诸病。七情也有不引起咳嗽的,这是因为病尚浅,只在本脏,未传入
伤寒以有咳嗽为轻症,而七情饥饱引起的咳嗽,必须日久后才发作。)
杏仁(去皮尖) 贝母 茯苓(一钱) 桔梗 甘草 五味子 橘红(五分) 加生姜煎服。
火嗽加青黛、
天冬。午时
二冬,竹茹
见血,多
用沙参。
这是治疗咳嗽的通治方剂。杏仁解肌散寒,降气润燥。贝母清火散结,润肺化痰。五味子收敛肺气而宁
咳,
Treats stroke with excessive phlegm, in patients who are obese and have no thirst.
Danxing (Arisaema cum Bile, 8 qian) Muxiang (Costi Rhizome, 2 qian) Ground into powder for oral administration, or add Quanxie (Whole Scorpion).
Nanxing (Arisaema Cum Glareola) is a drying agent for resolving phlegm; processed with ox bile to reduce its toxicity. Moreover, Dan (Ox Gallbladder) has the function of benefiting the Liver and Gallbladder. (The meridians of the Liver and Gallbladder belong to Wind-Wood.) Assisted by Muxiang (Costi Rhizome),
to treat Liver Wind [internal stirring of wind].
Treats wind-epilepsy with confusion and obstruction, with tidal phlegm and convulsions. (Caused by contracting Wind, Summerheat, or Dampness, or contracting Wind-Cold, or irregular diet leading to rebellion of Zang-Qi, stagnation generating phlegm, blocking the meridians, resulting in Jue [reversal] syndrome. It may occur once every few days, or several times a day. Upon onset, there is dizziness and falling, unconsciousness, convulsions, strabismus, or sounds resembling six domestic animals depending on the affected Zang-Qi.)
Danxing (Arisaema cum Bile) Quanxie (Whole Scorpion, feet removed and roasted) Chantui (Cicada Slough, 2.5 qian) Niuhuang (Calculus Bovis) Baifuzi (Typhonii Rhizoma) Jiangcan (Bombyx Batryticatus, washed and roasted) Fangfeng (Saposhnikoviae Radix) Tianma (Gastrodiae Rhizoma, 1.5 qian)
Niuhuang (Calculus Bovis) clears Heat from the Heart, opens the orifices, and benefits phlegm resolution. Tianma (Gastrodiae Rhizoma), Fangfeng (Saposhnikoviae Radix), Nanxing (Arisaema Cum Glareola), and Quanxie (Whole Scorpion) are pungent and dispersing agents. Jiangcan (Bombyx Batryticatus) and Chantui (Cicada Slough) are clearing and transforming agents. Baifuzi (Typhonii Rhizoma)
targets the head and face.
Expels Wind.
Shexiang (Moschus) and Niuhuang (Calculus Bovis)
eliminate Phlegm-Heat, moisten the Lung, and stop coughing; it is also effective for Fei Yong (Lung Abscess) and Fei Wei (Lung Atrophy), serving as an excellent symptomatic treatment.
Beimu (Fritillariae Bulbus, 1 liang) Ground into powder, mixed with rock sugar or honey to form pills the size of a longan seed. Can be held in the mouth to dissolve or chewed and swallowed. If one wishes to forcefully arrest chronic cough,
use Beimu (Fritillariae Bulbus)
or millet.
Treats cough caused by Phlegm-Dampness and rebellious Qi. (When the Lung is injured by Fire, Qi rebels causing cough. When the Spleen retains Dampness, Phlegm is generated causing cough. Although diseases differ among the Six Fu organs, the key lies in the Lung. The Lung is the canopy of the Five Zang organs, connects downward to the Bladder, extends outward to the skin and hair, governs Qi, and controls respiration.
For new-onset cough with a floating pulse, indicating exterior pathogenic factors, dispersing methods are appropriate. For a solid pulse, indicating internal Heat, clearing and draining methods are appropriate. For a soggy and scattered pulse, indicating Lung deficiency, warming and tonifying methods are appropriate. Chronic cough leading to deficiency of both Lung and Stomach, with loss of appetite, requires warming the middle and assisting the Stomach, combined with anti-cough herbs. The *Suwen* states: Why does the Lung cause cough?
All Five Zang and Six Fu organs can cause cough, not just the Lung. The skin and hair are the exterior correspondence of the Lung. Pathogenic factors first invade the skin and hair, then enter via this correspondence.
Each Zang organ contracts disease during its associated season; if not its season, disease transmits from other organs. External contraction involves the Lung governing the skin and hair. Wind, Cold, Summerheat, and Dampness pathogens, from
internal transmission to the Zang-Fu organs, result in cough. Internal origin involves Seven Emotions and dietary irregularities causing internal injury and rebellious Qi. The Lung is the gate for Qi entry and exit;
thus, pathogenic factors from the Five Zang organs steam upward to the Lung, resulting in cough. However, not all Wind, Cold, Summerheat, and Dampness invasions cause cough, because severe pathogens directly injure the Zang-Fu organs, leading to Shanghan (Cold Damage) and Wenre (Warm Disease) syndromes. Not all Seven Emotions cause cough, because the pathology is shallow, remaining in the primary Zang organ without transmitting.
In Shanghan, cough is considered a mild symptom, whereas cough from Seven Emotions or dietary irregularities develops only after a long time.)
Xingren (Apricot Seed, peeled and tips removed) Beimu (Fritillariae Bulbus) Fuling (Poria, 1 qian) Jiegeng (Platycodonis Radix) Gancao (Glycyrrhizae Radix et Rhizoma) Wuweizi (Schisandrae Fructus) Juhong (Citri Reticulatae Pericarpium Rubrum, 0.5 qian) Decoct with fresh ginger.
For Fire-cough, add Qingdai (Indigo Naturalis);
Tian Dong (Asparagi Radix). At noon,
Dong Dong (Asparagi Radix and Ophiopogonis Radix), Zhuru (Bambusae Caulis in Taenia).
If blood is present, use more Shashen (Glehniae Radix).
This is a general formula for treating cough. Xingren (Apricot Seed) releases the muscle layer and dispels Cold, descends Qi, and moistens dryness. Beimu (Fritillariae Bulbus) clears Fire, dissipates nodules, moistens the Lung, and transforms Phlegm. Wuweizi (Schisandrae Fructus) astringes Lung Qi and calms
cough,