五脏之尊。心虽为王。而肺最居其上也。肺为华盖。覆其四脏。合天之德。通达风气。
而肺
即
痈
成
如火
卧也
方
天门冬煎(出圣济总录)治乳石发动。肺气上喘嗽。
生地黄(绞汁四两) 生姜(去皮绞汁二两) 白蜜(二两) 天门冬(去心绞汁二两)
牛酥
升
仁(汤浸
去
煎麻黄末三钱。去沫。下五味药末五钱。煎至四钱。去滓。澄滤于铜器中。微煎至三盏。下
天门冬地黄汁各二合。煎减至二盏。下姜汁二合。更煎减至一盏。下杏仁膏酥蜜各半合。匀
稠置不津器中。每服取半鸡子壳许。含化咽津。日四五服。
贝母汤(出圣济总录)治乳石发。上气肺热。呀嗽多涕唾。
贝母(去心) 生姜(切焙) 石膏(碎各一两) 麦门冬(去心焙三两) 黄芩(去
黑心) 五
味子
炒二十
枚)
取利。
葶苈丸(出圣济总录)治乳石上气。呀嗽不得卧。卧即气绝。
葶苈子(纸上微炒) 皂荚(酥炙去黑皮并子各半两) 芸苔子(拣净) 马兜铃(锉)
紫菀
(去
枚) 上
为
紫菀汤(出圣济总录)治乳石发。肺胀气急。呀嗽喘粗不得安卧。
紫菀(去苗土) 赤茯苓(去黑皮各一两半) 甘草(炙半两) 槟榔(锉五枚) 葶
苈子(纸
上炒
麦门冬汤(出圣济总录)治乳石发。热冲头面。口干喘嗽。
麦门冬(生去心焙) 葳蕤(去根) 石膏(碎各一两) 葛根(锉三两) 上粗捣筛。
每服五
钱。
后分
治乳石发热嗽喘方(出圣济总录)
用豉二合。以水三盏。渍取汁。分温三服。早晨日午晡时。各一服。服讫。卧少时。外
台秘
五脏之中,心虽然被称为君主之官,但肺的位置最为高上。肺被称为“华盖”,覆盖在其余四脏之上,顺应天的德行,主管通调风气。
如果服用石药(乳石)后导致痈肿形成,身体发热,无法平卧,可以使用天门冬煎(出自《圣济总录》)。该方主治因服用石药引发的肺气上逆、气喘咳嗽。
药材及用量:生地黄(榨汁四两)、生姜(去皮榨汁二两)、白蜜(二两)、天门冬(去心榨汁二两)、牛酥、杏仁(用汤浸泡后去皮尖,研末)。
煎服法:先将麻黄末三钱放入锅中,去除浮沫,然后加入上述五味药的药末五钱,煎煮至剩余四钱药液,滤去药渣。将药液澄清过滤到铜器中,微火煎煮至三盏量。接着加入天门冬汁和生地黄汁各二合,继续煎煮减少至两盏量。再加入生姜汁二合,进一步煎煮减少至一盏量。最后加入杏仁膏、牛酥和白蜜各半合,搅拌均匀。将药膏置于不吸水的容器中保存。每次服用时取约半个鸡蛋壳大小的药量,含在口中慢慢化开咽下津液,每日服用四到五次。
贝母汤(出自《圣济总录》)主治因服用石药引发的上气、肺热,表现为张口呼吸样咳嗽、鼻涕和唾液多。
药材及用量:贝母(去心)、生姜(切片焙干)、石膏(打碎,各一两)、麦门冬(去心焙干三两)、黄芩(去掉黑色中心部分)、五味子(炒二十枚)。
煎服法:[原文此处缺失具体煎服细节,仅列药材]。
葶苈丸(出自《圣济总录》)主治因服用石药引发的上气,张口呼吸样咳嗽且不能平卧,一旦平卧即感觉气息断绝。
药材及用量:葶苈子(在纸上轻微炒制)、皂荚(用酥油炙烤,去掉黑皮和种子,各半两)、芸苔子(拣选干净)、马兜铃(锉碎)、紫菀(去苗土)。
[原文此处缺失具体制作丸剂及煎服方法]。
紫菀汤(出自《圣济总录》)主治因服用石药引发的肺胀、气急,张口呼吸样咳嗽、喘息粗重,无法安稳躺卧。
药材及用量:紫菀(去苗土)、赤茯苓(去掉黑皮,各一两半)、甘草(炙制半两)、槟榔(锉碎五枚)、葶苈子(在纸上炒制)。
[原文此处缺失具体煎服方法]。
麦门冬汤(出自《圣济总录》)主治因服用石药引发的热邪冲撞头面,口干、气喘咳嗽。
药材及用量:麦门冬(生用,去心焙干)、葳蕤(去根)、石膏(打碎,各一两)、葛根(锉碎三两)。
煎服法:将药材粗捣筛匀。每次服用五钱。
[原文此处缺失具体煎服水量及次数]。
治疗因服用石药引发发热、咳嗽、喘息的方子(出自《圣济总录》):
使用豆豉二合,用水三盏浸泡提取汁液。分三次温服。分别在早晨、中午、傍晚时分服用,每次一服。服完后,躺卧片刻。外台秘要...
Among the five zang organs, although the Heart is regarded as the sovereign ruler, the Lung occupies the highest position. The Lung is known as the "Canopy" (Hua Gai), covering the other four zang organs, aligning with the virtue of Heaven, and governing the unimpeded flow of wind and qi.
If taking mineral drugs (Ru Shi) leads to the formation of abscesses, fever, and an inability to lie flat, one may use Tianmendong Decoction (Tianmen Dong Jian) [from *Shengji Zonglu*]. This formula treats lung qi rebelling upward causing asthma and cough due to the activation of mineral drugs.
Ingredients: Shengdihuang (Fresh Rehmanniae Radix, expressed juice 4 liang), Shengjiang (Fresh Zingiberis Rhizoma, peeled and expressed juice 2 liang), Baimi (White honey, 2 liang), Tianmendong (Asparagi Radix, dehearted and expressed juice 2 liang), Niusu (Bovis Butter), Xingren (Armeniacae Semen, soaked in water, skin and tip removed, ground into powder).
Preparation and Administration: First, add Mahuang end (Ephedrae Herba powder) 3 qian to the pot, remove the foam. Then add the powders of the aforementioned five ingredients (5 qian total). Decoct until 4 qian of liquid remains. Filter out the dregs. Clarify and filter the liquid into a copper vessel. Simmer gently until it reduces to 3 zhan. Add Tianmendong juice and Shengdihuang juice, 2 he each. Continue simmering until it reduces to 2 zhan. Add Shengjiang juice 2 he. Further simmer until it reduces to 1 zhan. Finally, add Xingren paste, Niusu, and Baimi, 0.5 he each. Mix evenly. Store the ointment in a non-absorbent container. For each dose, take an amount roughly half the size of a chicken eggshell, hold it in the mouth to dissolve slowly, and swallow the saliva. Take 4-5 times daily.
Beimu Tang (Fritillariae Bulbus Decoction) [from *Shengji Zonglu*] treats upper qi rebellion and lung heat caused by mineral drugs, characterized by gasping cough (Ya Sou) and excessive sputum and nasal discharge.
Ingredients: Beimu (Fritillariae Bulbus, dehearted), Shengjiang (Fresh Zingiberis Rhizoma, sliced and dried over fire), Shigao (Gypsum Fibrosum, crushed, each 1 liang), Maimendong (Ophiopogonis Radix, dehearted and dried over fire, 3 liang), Huangqin (Scutellariae Radix, remove black center), Wuweizi (Schisandrae Fructus, stir-fried, 20 pieces).
[Specific preparation instructions are missing in the original text].
Tingli Wan (Descurainiae Semen Pill) [from *Shengji Zonglu*] treats upper qi rebellion caused by mineral drugs, gasping cough (Ya Sou) with inability to lie down; lying down results in a sensation of breath cessation.
Ingredients: Tinglizi (Descurainiae Semen, lightly stir-fried on paper), Zaojiao (Gleditsiae Fructus, stir-fried with butter, remove black skin and seeds, each 0.5 liang), Yuntaizi (Brassicae Napus Seed, selected and cleaned), Madouling (Aristolochiae Radix, chopped), Ziwan (Asteris Radix, remove roots and soil).
[Specific pill-making and administration instructions are missing in the original text].
Ziwan Tang (Asteris Radix Decoction) [from *Shengji Zonglu*] treats lung distension and urgent qi, gasping cough (Ya Sou), coarse wheezing, and inability to lie peacefully caused by mineral drugs.
Ingredients: Ziwan (Asteris Radix, remove roots and soil), Chifuling (Poria Cocos with Red Cortex, remove black skin, each 1.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 liang), Binglang (Arecae Semen, chopped, 5 pieces), Tinglizi (Descurainiae Semen, stir-fried on paper).
[Specific preparation instructions are missing in the original text].
Maimendong Tang (Ophiopogonis Radix Decoction) [from *Shengji Zonglu*] treats heat rushing to the head and face, dry mouth, asthma, and cough caused by mineral drugs.
Ingredients: Maimendong (Ophiopogonis Radix, raw, dehearted and dried over fire), Weirui (Polygonati Odorati Rhizoma, remove roots), Shigao (Gypsum Fibrosum, crushed, each 1 liang), Gegen (Puerariae Radix, chopped, 3 liang).
Preparation and Administration: Coarsely crush and sieve the herbs. Each dose is 5 qian.
[Specific water volume and frequency are missing in the original text].
Formula for treating fever, cough, and asthma caused by mineral drugs [from *Shengji Zonglu*]:
Use Douchi (Fermented Soybean) 2 he. Soak in 3 zhan of water to extract the juice. Divide into three warm doses. Take one dose each at morning, noon, and evening (Bu shi). After taking the medicine, lie down for a short while. *Waitai Mi Yao*...