夫咳嗽失声者。盖肺气上通于喉咙。喉咙者肺之系。肺感寒。微者成咳嗽。咳嗽不已。
其气奔迫窒塞喉中。故因而失声也。夫咳嗽失声者。由风冷伤于肺之所为也。肺主气。五脏
同受于肺。而五脏有五声。皆禀气而通之。气为阳。若温暖则阳气和宜。其声通畅。风冷为
阴。阴邪搏而阳气不通。所以失声也。夫中气风冷声嘶者。其声嘶嗄不通畅也。盖肺象金。
金主声。人五脏有五声。皆禀肺气而通之。今风冷乘于肺经。则气道不调。故声音不出而嘶
嗄也。
方
通音散 治肺气。风冷声嘶。言语不出。(方见肺脏门肺虚类)
(案原方∶防风。独活。芎 。秦椒。干姜。黄 各四十二铢。天雄。麻黄。五味子。
山茱萸。甘草各三十七铢。秦艽。桂心。薯蓣。杜仲。人参。细辛。防己各三十铢。甘菊花。
紫菀各一十四铢。贯众三枚。附子七分。上药捣筛。以酒服。方寸匕早晚。日二服。一方有
石膏六分。当归五分)
天门冬丸 治肺寒。外内合邪。咳嗽语声不出。口中如含霜雪。停饮寒痰。咽喉妨
闷。状若梅核。噎塞不通。隔气否气服之。
天门冬(去心焙) 麦门冬(去心焙) 紫菀(去土) 百合 贝母(去心焙) 桔梗
(炒) 人
参生干地黄 桂(去粗皮) 甘草 阿胶(炒至沸) 杏仁(汤浸去皮尖双仁炒) 陈橘
皮(汤
浸去白各三两) 上同为末。煮糯米粉并黄蜡一两成粥。更入蜜再熬匀。和前药。丸如樱桃
大。每服一丸。同姜细嚼下。嗽时服。嗽吐脓血服大效。
延年天门冬煎(出圣惠方)治主肺热。兼咳嗽声不出。
生天门冬(汁一升) 生地黄(汁五合) 白蜜(五合) 牛酥(三合) 白糖(五两)
贝母
紫菀 通草(各三两) 杏仁(一升去皮尖研取汁) 百部根 白前 甘草(炙) 人参 橘
皮(
各二两) 上切。以水六升。煮贝母等药。取二升五合。去滓。纳天门冬、地黄汁。可煎减
半。纳酥蜜生姜等。煎令丸稍强。取如鸡子黄大。含咽之。每日四五度。忌鲤鱼芜荑。海藻
菘菜等。
通声煎(一名五味子煎出圣惠方)治咳嗽气促。胸中满闷。语声不出。
五味子 款冬花 木通(各三两) 杏仁(去皮尖双仁炒一升) 人参 桂(去粗皮) 细
辛
(去苗叶) 青竹茹 菖蒲 酥(各三两) 枣肉(二升) 白蜜 姜汁(各一升) 上件。
先以十
味锉如麻豆。以水五升。微火煎五七沸。去滓。纳酥蜜姜汁枣肉再煎。以稀稠得所。每服一
匙头。温酒一小盏化下。一方无酒。含咽之。
人参汤 治肺脏肺虚。咳嗽少力。言语声嘶。吃食减少。日渐羸瘦。补肺。
人参(一两) 紫菀(去苗土半两) 黄 (锉) 鹿角胶(捣研炒黄) 桂(去根皮
各一两)
白术 紫苏茎叶(各三两) 五味子 干姜(炮各半两) 熟地黄(一两) 杏仁(汤浸去
皮尖双
仁炒半两) 上粗捣筛。每服三钱。水一盏。枣三枚。擘破。同煎至六分。去滓。不拘时。
温服。
芫根丸(出圣惠方)治积年咳嗽声哑。
芫花根白皮(切炒用焦黑一两半) 贝母(去心三两) 皂荚(去皮子炙一两) 五味
子(一
两半) 款冬花(一两半) 百部根(切炒二两) 蜈蚣(半枚炙) 杏仁(去皮尖双仁炒
二两半)
桑根白皮(锉一两半) 麻黄(去根节煎去沫炒) 紫菀(去苗土各一两) 上为细末。炼
蜜和
丸。如梧桐子大。每服五丸。稍加至十五丸。煎枣汤下。
钟乳汤 治风冷搏肺。气塞不通。声嘶不出。
钟乳 紫苏子 白石英(研) 麻黄(去根节) 五味子(炒) 桂(去粗皮) 赤茯
苓(去黑
皮) 人参 杏仁(汤浸去皮尖双仁麸炒微黄各一两) 麦门冬(去心焙) 款冬花(各半
两)
上先以十味为粗末。次入钟乳粉再研匀。每服三钱。水一盏。生姜半分切。枣三枚擘破。同
煎至七分。去滓。不拘时。稍热服之。
补肺丸 治肺上壅。久病咳嗽。隔咽隘塞。语声不出。津液干燥。痰毒头痛。心神
恍惚。又劳咳咯血。呀呷等疾。
百部(焙) 贝母(去心) 山羊 阿胶(炙令燥各二两) 天门冬(去心焙) 桔梗
(炒各一
两) 防风(去叉) 人参(各一两半) 甘草(三两) 半夏(二两捣罗为末先以鸭梨汁
一盏生姜
自然汁一盏同熬及一半入半夏末熬成膏) 上除半夏膏外。将诸药捣罗为末。以半夏膏和匀。
如
紫菀丸 治肺感风冷。咳嗽失声。
紫菀(去苗土) 贝母(去心) 桂(去粗皮) 款冬花(各一两半) 甘草(炙锉) 百
部白
茯苓(去黑皮) 人参 陈橘皮(去白焙各一两) 杏仁(去皮尖双仁炒黄细研各二两) 上
为
末。炼蜜和丸。如梧桐子大。每服二十丸。食后米饮下。热水亦得。
杏仁煎(出仁存方)治咳嗽失声。语不出。
杏仁(去皮尖双仁炒一升研) 五味子 紫菀(去苗土) 贝母(去心各一两) 生姜
汁饴
糖(各一升或研糖) 木通(四两) 桑根白皮(五两) 白蜜(三合) 上先将五味 咀。
分作三
剂
一方入牛乳一大盏。入煎熬。一方加知母、款冬花、各一两。
润肺汤(一名人参润肺散出直指方)治风冷寒肺。气道不利。语声不出。亦治
咳嗽喘急。痰壅鼻塞。
麻黄(去根苗) 人参(各二两) 杏仁(汤浸去皮尖双仁焙干麸炒黄) 贝母(去心
麸炒黄
各二两半) 甘草(炙锉一两) 桔梗(去芦头炒半两) 陈橘皮(汤浸去白焙一分) 阿
胶(炙令
燥半两) 上粗捣筛。每服三钱。水一盏半。煎至一盏。去滓。食后温服。一方加紫苏叶三
片。同煎。小儿通服。
石菖蒲散 治风冷伤肺。声嘶不出。
生石菖蒲(锉石上者) 五味子(炒) 陈橘皮(汤浸去白皮) 细辛(去苗叶) 紫
菀(去苗
土) 干姜(炮裂各半两) 诃黎勒(泡去核) 杏仁(汤浸去皮尖双仁麸炒微黄各一两) 上
八
味为细散。以温酒调服。每一钱。食后服。
辛甘煎 治肺气为风寒所伤。语声嘶嗄。气息喘急。上气咳嗽。
酥(真者) 蜜 饴糖 生姜 百部(取自然汁) 枣(砍去皮核研) 柑皮(五枚为
末) 杏
仁(汤浸去皮尖双仁研各一升) 上合煎和。不住搅。约一炒久。取药汁减半为止。每服温
酒
调
姜髓煎 治肺感风邪。气道凝泣不利。声音嘶嗄。
生姜汁(六合) 牛髓油(别炼各三合) 桂(去粗皮一两) 芎 独活(去芦头) 防
风
(去叉各三两) 秦椒(去目并闭口者炒出汗三分) 上捣罗为散。与姜髓油等和匀。于微
火上
煎五
桂心散 治咳嗽声不出。
桂心(三分) 诃黎勒皮(三分) 干姜(炮裂锉三分) 赤茯苓(半两) 甘草(一
分炙微赤
锉) 人参(半两去芦) 杏仁(汤浸去皮尖双仁炒黄半两) 上为散。每服三钱。水一中
盏。
入枣二枚。煎至六分。去滓。温服。日进三服。又一方无人参。
百合汤 治咳嗽。润益咽喉。发利声音。生津液解劳。
百合 人参 甘草(炙锉) 甜葶苈(隔纸炒过) 桑根白皮(锉) 款冬花(微炒) 上
等
分。粗捣筛。每服三钱。水一盏。入去皮尖杏仁七枚。糯米百粒。乌梅一个。同煎至六分。
去滓。食后温服。
杏仁煎(出圣惠方)治风冷失声。语音不出。
杏仁(汤浸去皮尖双仁研如膏) 桂(去粗皮各二两) 紫菀(去苗土) 五味子(炒)
贝母
(去心麸炒黄) 细辛(去苗叶各一两) 上除杏仁外。捣罗为细末。以水一盏。入生姜汁
一合。
饴糖二两。蜜二合。下杏仁。慢火熬成煎。每服一匙头。不计时候。以热酒调下。
桂心丸(出圣惠方)治咳嗽。咽喉干燥。语无声音。
桂心(一两) 杏仁(一两汤浸去皮尖双仁炒研如膏) 甘草(一分炙微赤锉) 干姜
(一分
炮) 百合(一分) 麦门冬(半两去心焙) 上为末。炼蜜合丸。如半枣大。不计时候。
以绵
裹一丸。含咽津。
温肺汤 治中冷声嘶。止喘嗽。温肺气。
杏仁(汤浸去皮尖双仁炒黄) 桂(去粗皮) 麻黄(去根节各半两) 糯米(三合) 甘
草
(炙锉一分) 上粗捣筛。分作五服。每服用水三盏。煎取一盏。滤去滓。用鸡子白一枚。
和
药温服。
贝母散(出圣惠方)治咳嗽上气。喘急失声。
贝母(一两煨微黄) 紫菀(去苗土三分) 麦门冬(一两半去心) 人参(三分) 杏
仁(三
分汤浸去皮尖炒) 上为散。每服三钱。水一中盏。煎至六分。去滓。温服。日进三服。
麻黄汤 治咳嗽失声。
麻黄(去根节煎去沫焙二钱) 甘草(三钱生用) 乌梅(七枚捣碎) 杏仁(二十一
枚去皮
尖双仁麸炒) 上 咀。用水三盏。石器内煎。去滓。取一盏半。分作三服。食后温服。又
一方无乌梅。
款冬花丸 治塞壅咳嗽。语声不出。款肺气。化痰涎。
款冬花 麻黄(不去根节) 甘草 杏仁(不去皮尖各一两) 上为末。炼蜜和丸。如
樱桃
大。每服一丸含化。
桂杏丸 治咳。语声不出。及伤风冷气不通。温肺润气。
桂(去粗皮半两) 杏仁(一两半去皮尖双仁麸炒) 上为末。炼蜜和丸。如樱桃大。
每服
一丸。含化咽津。一方不用蜜。
疗暴中冷伤寒。鼻喘咳嗽。喉中哑塞。失音声者。
上取芫花根一斤。切爆。令病患自坐石臼前。就里舂芫花根。令飞扬入其七孔中。当眼
泪出。口鼻皆罗刺。毕毕耳勿住。令尽则止。病必于此瘥也。
治久嗽上气失声。
以人尿服之。
咳嗽失声,是因为肺气上通于喉咙。喉咙是肺的系属。肺感受寒邪,轻则形成咳嗽;若咳嗽不止,气机奔迫窒塞于喉中,因此导致失声。咳嗽失声,是由风冷损伤肺脏所致。肺主气,五脏之气皆同受于肺,而五脏对应五种声音,都禀受肺气而相通。气属阳,若温暖则阳气调和适宜,声音通畅;风冷属阴,阴邪搏结导致阳气不通,所以出现失声。所谓中气受风冷导致的声嘶,是指声音嘶哑不畅。肺象金,金主发声,人的五脏有五种声音,都禀受肺气而相通。如今风冷侵袭肺经,导致气道不调,因此声音不出且嘶哑。
方剂:
通音散:治疗肺气受风冷侵袭导致的声嘶、言语不出。(原方见肺脏门肺虚类)
(原方组成:防风、独活、川芎、秦椒、干姜、黄芩各四十二铢,天雄、麻黄、五味子、山茱萸、甘草各三十七铢,秦艽、桂心、薯蓣、杜仲、人参、细辛、防己各三十铢,甘菊花、紫菀各十四铢,贯众三枚,附子七分。以上药物捣碎过筛,用酒送服一方寸匕,早晚各一次,每日两次。另一版本加石膏六分、当归五分。)
天门冬丸:治疗肺寒,内外邪气相合,咳嗽致语声不出,口中感觉如含霜雪,停饮寒痰,咽喉妨闷,状如梅核,噎塞不通,服用后可消除隔气否气之症。
天门冬(去心焙干)、麦门冬(去心焙干)、紫菀(去土)、百合、贝母(去心焙干)、桔梗(炒)、人参、生干地黄、桂(去粗皮)、甘草、阿胶(炒至沸)、杏仁(汤浸去皮尖双仁炒)、陈橘皮(汤浸去白),各三两。以上药物共为细末,煮糯米粉并加入一两黄蜡成粥,再加入蜂蜜熬匀,和入药末,制成如樱桃大小的丸剂。每次服用一丸,与生姜一起细细咀嚼后吞下,咳嗽时服用。若咳嗽吐脓血,服用此方效果显著。
延年天门冬煎(出自《圣惠方》):主治肺热,兼治咳嗽声不出。
生天门冬(取汁一升)、生地黄(取汁五合)、白蜜(五合)、牛酥(三合)、白糖(五两)、贝母、紫菀、通草(各三两)、杏仁(一升,去皮尖研取汁)、百部根、白前、甘草(炙)、人参、橘皮(各二两)。以上药物切碎,用水六升,煮贝母等药,取汁二升五合,去渣。加入天门冬、地黄汁,继续煎煮减半。加入酥、蜜、生姜等,煎至丸剂稍硬。制成如鸡子黄大小的丸剂,含咽。每日四五次。忌食鲤鱼、芜荑、海藻、菘菜等。
通声煎(又名五味子煎,出自《圣惠方》):治疗咳嗽气促,胸中满闷,语声不出。
五味子、款冬花、木通(各三两)、杏仁(去皮尖双仁炒一升)、人参、桂(去粗皮)、细辛(去苗叶)、青竹茹、菖蒲、酥(各三两)、枣肉(二升)、白蜜、姜汁(各一升)。以上药物,先将十味锉如麻豆大小,用水五升,微火煎煮五七沸,去渣。加入酥、蜜、姜汁、枣肉再煎,以稀稠适度为准。每次服一匙头,用温酒一小盏化开送下。另一版本无酒,可含咽。
人参汤:治疗肺脏肺虚,咳嗽少力,言语声嘶,饮食减少,日渐消瘦。补益肺气。
人参(一两)、紫菀(去苗土半两)、黄芪(锉)、鹿角胶(捣研炒黄)、桂(去根皮,各一两)、白术、紫苏茎叶(各三两)、五味子、干姜(炮,各半两)、熟地黄(一两)、杏仁(汤浸去皮尖双仁炒,半两)。以上药物粗捣筛。每次服三钱,水一盏,大枣三枚,掰破,同煎至六分,去渣。不拘时候,温服。
芫根丸(出自《圣惠方》):治疗积年咳嗽声哑。
芫花根白皮(切炒至焦黑一两半)、贝母(去心三两)、皂荚(去皮子炙一两)、五味子(一两半)、款冬花(一两半)、百部根(切炒二两)、蜈蚣(半枚炙)、杏仁(去皮尖双仁炒二两半)、桑根白皮(锉一两半)、麻黄(去根节煎去沫炒)、紫菀(去苗土,各一两)。以上药物为细末,炼蜜和丸,如梧桐子大。每次服五丸,稍加至十五丸,煎枣汤送下。
钟乳汤:治疗风冷搏结于肺,气塞不通,声嘶不出。
钟乳、紫苏子、白石英(研)、麻黄(去根节)、五味子(炒)、桂(去粗皮)、赤茯苓(去黑皮)、人参、杏仁(汤浸去皮尖双仁麸炒微黄,各一两)、麦门冬(去心焙)、款冬花(各半两)。以上先以十味为粗末,次入钟乳粉再研匀。每次服三钱,水一盏,生姜半分切,大枣三枚掰破,同煎至七分,去渣。不拘时候,稍热服之。
补肺丸:治疗肺上壅滞,久病咳嗽,咽喉隘塞,语声不出,津液干燥,痰毒头痛,心神恍惚。又治劳咳咯血、呀呷等疾。
百部(焙)、贝母(去心)、山羊(脂?原文似缺字,暂译作山羊相关部位或指代补益之物,结合语境可能指羊脂或羊肉,此处依原文直译“山羊”)、阿胶(炙令燥,各二两)、天门冬(去心焙)、桔梗(炒,各一两)、防风(去叉)、人参(各一两半)、甘草(三两)、半夏(二两,捣罗为末,先以鸭梨汁一盏、生姜自然汁一盏同熬至一半,入半夏末熬成膏)。以上除半夏膏外,将诸药捣罗为末,以半夏膏和匀。
紫菀丸:治疗肺感风冷,咳嗽失声。
紫菀(去苗土)、贝母(去心)、桂(去粗皮)、款冬花(各一两半)、甘草(炙锉)、百部、白茯苓(去黑皮)、人参、陈橘皮(去白焙,各一两)、杏仁(去皮尖双仁炒黄细研,各二两)。以上为末,炼蜜和丸,如梧桐子大。每次服二十丸,食后米饮送下,热水亦可。
杏仁煎(出自《仁存方》):治疗咳嗽失声,语不出。
杏仁(去皮尖双仁炒一升研)、五味子、紫菀(去苗土)、贝母(去心,各一两)、生姜汁、饴糖(各一升,或研糖)、木通(四两)、桑根白皮(五两)、白蜜(三合)。以上先将五味药材切碎,分作三剂。一方加牛乳一大盏,入煎熬。一方加知母、款冬花,各一两。
润肺汤(一名人参润肺散,出自《直指方》):治疗风冷寒肺,气道不利,语声不出。亦治咳嗽喘急,痰壅鼻塞。
麻黄(去根苗)、人参(各二两)、杏仁(汤浸去皮尖双仁焙干麸炒黄)、贝母(去心麸炒黄,各二两半)、甘草(炙锉一两)、桔梗(去芦头炒半两)、陈橘皮(汤浸去白焙一分)、阿胶(炙令燥半两)。以上粗捣筛。每次服三钱,水一盏半,煎至一盏,去渣。食后温服。一方加紫苏叶三片,同煎。小儿通用。
石菖蒲散:治疗风冷伤肺,声嘶不出。
生石菖蒲(锉石上者)、五味子(炒)、陈橘皮(汤浸去白皮)、细辛(去苗叶)、紫菀(去苗土)、干姜(炮裂,各半两)、诃黎勒(泡去核)、杏仁(汤浸去皮尖双仁麸炒微黄,各一两)。以上八味为细散,以温酒调服。每一钱,食后服。
辛甘煎:治疗肺气为风寒所伤,语声嘶嗄,气息喘急,上气咳嗽。
酥(真者)、蜜、饴糖、生姜、百部(取自然汁)、枣(砍去皮核研)、柑皮(五枚为末)、杏仁(汤浸去皮尖双仁研,各一升)。以上合煎和,不住搅动,约炒一时之久,取药汁减半为止。每次服温酒调服。
姜髓煎:治疗肺感风邪,气道凝泣不利,声音嘶嗄。
生姜汁(六合)、牛髓油(别炼,各三合)、桂(去粗皮一两)、川芎、独活(去芦头)、防风(去叉,各三两)、秦椒(去目并闭口者炒出汗三分)。以上捣罗为散,与姜髓油等和匀,于微火上煎五沸。
桂心散:治疗咳嗽声不出。
桂心(三分)、诃黎勒皮(三分)、干姜(炮裂锉三分)、赤茯苓(半两)、甘草(一分炙微赤锉)、人参(半两去芦)、杏仁(汤浸去皮尖双仁炒黄半两)。以上为散。每次服三钱,水一中盏,入枣二枚,煎至六分,去渣,温服。日进三服。又一方无人参。
百合汤:治疗咳嗽,润益咽喉,发利声音,生津液解劳。
百合、人参、甘草(炙锉)、甜葶苈(隔纸炒过)、桑根白皮(锉)、款冬花(微炒)。以上等分,粗捣筛。每次服三钱,水一盏,入去皮尖杏仁七枚、糯米百粒、乌梅一个,同煎至六分,去渣。食后温服。
杏仁煎(出自《圣惠方》):治疗风冷失声,语音不出。
杏仁(汤浸去皮尖双仁研如膏)、桂(去粗皮,各二两)、紫菀(去苗土)、五味子(炒)、贝母(去心麸炒黄)、细辛(去苗叶,各一两)。以上除杏仁外,捣罗为细末,以水一盏,入生姜汁一合、饴糖二两、蜜二合,下杏仁,慢火熬成煎。每次服一匙头,不计时候,以热酒调下。
桂心丸(出自《圣惠方》):治疗咳嗽,咽喉干燥,语无声音。
桂心(一两)、杏仁(一两,汤浸去皮尖双仁炒研如膏)、甘草(一分炙微赤锉)、干姜(一分炮)、百合(一分)、麦门冬(半两去心焙)。以上为末,炼蜜合丸,如半枣大。不计时候,以绵裹一丸,含咽津。
温肺汤:治疗中冷声嘶,止喘嗽,温肺气。
杏仁(汤浸去皮尖双仁炒黄)、桂(去粗皮)、麻黄(去根节,各半两)、糯米(三合)、甘草(炙锉一分)。以上粗捣筛,分作五服。每服用水三盏,煎取一盏,滤去渣。用鸡子白一枚,和药温服。
贝母散(出自《圣惠方》):治疗咳嗽上气,喘急失声。
贝母(一两煨微黄)、紫菀(去苗土三分)、麦门冬(一两半去心)、人参(三分)、杏仁(三分,汤浸去皮尖炒)。以上为散。每次服三钱,水一中盏,煎至六分,去渣,温服。日进三服。
麻黄汤:治疗咳嗽失声。
麻黄(去根节煎去沫焙二钱)、甘草(三钱生用)、乌梅(七枚捣碎)、杏仁(二十一枚,去皮尖双仁麸炒)。以上切碎,用水三盏,石器内煎,去渣,取一盏半,分作三服,食后温服。又一方无乌梅。
款冬花丸:治疗塞壅咳嗽,语声不出。款肺气,化痰涎。
款冬花、麻黄(不去根节)、甘草、杏仁(不去皮尖,各一两)。以上为末,炼蜜和丸,如樱桃大。每次服一丸含化。
桂杏丸:治疗咳,语声不出,及伤风冷气不通。温肺润气。
桂(去粗皮半两)、杏仁(一两半,去皮尖双仁麸炒)。以上为末,炼蜜和丸,如樱桃大。每次服一丸,含化咽津。一方不用蜜。
疗暴中冷伤寒,鼻喘咳嗽,喉中哑塞,失音声者:
以上取芫花根一斤,切爆。令病患自坐石臼前,就里舂芫花根,令飞扬入其七孔中,当眼泪出,口鼻皆罗刺,毕毕耳勿住,令尽则止,病必于此瘥也。
Cough and loss of voice occur because the Lung Qi (Lung energy) connects upwards to the throat. The throat is the system of the Lung. When the Lung is affected by cold, mild cases result in cough; if the cough persists, the Qi rushes and obstructs the throat, thereby causing loss of voice. Cough and loss of voice are caused by wind-cold damaging the Lung. The Lung governs Qi, and the Qi of the Five Zang Organs (Heart, Liver, Spleen, Lung, Kidney) is collectively received from the Lung. The Five Zang Organs correspond to five sounds, all of which are endowed with Lung Qi to resonate. Qi belongs to Yang; if warm, the Yang Qi is harmonious and appropriate, and the voice is smooth. Wind-cold belongs to Yin; when Yin pathogens contend and block Yang Qi, loss of voice occurs. "Zhong Qi" (Central Qi) affected by wind-cold leads to hoarseness, meaning the voice is hoarse and unsmooth. The Lung corresponds to Metal, and Metal governs sound. The five sounds of the Five Zang Organs are all endowed with Lung Qi. Now, if wind-cold attacks the Lung Meridian, the Qi pathway becomes disordered, so the voice does not emerge and becomes hoarse.
Formulas:
Tongyin San (Voice-Opening Powder): Treats hoarseness and inability to speak due to Lung Qi affected by wind-cold. (Original formula found in the Lung Organ Section, Lung Deficiency Category).
(Original prescription: Fangfeng [Saposhnikoviae Radix], Duhuo [Angelicae Pubescentis Radix], Xiong [Chuanxiong Rhizoma], Qinjiao [Gentianae Macrophyllae Radix], Ganjiang [Zingiberis Rhizoma], Huangqin [Scutellariae Radix] each 42 zhu; Tianxiong [Aconiti Lateralis Radix Praeparata], Mahuang [Ephedrae Herba], Wuweizi [Schisandrae Chinensis Fructus], Shanzhuyu [Corni Fructus], Gancao [Glycyrrhizae Radix et Rhizoma] each 37 zhu; Qinjie [Gastrodiae Rhizoma], Guixin [Cinnamomi Cortex], Shuyu [Dioscoreae Rhizoma], Duzhong [Eucommiae Cortex], Renshen [Panacis Ginseng Radix], Xixin [Asari Radix et Rhizoma], Fangji [Stephaniae Tetrandrae Radix] each 30 zhu; Ganhuiju [Chrysanthemi Indici Flos], Ziwan [Adenophorae Radix] each 14 zhu; Guanzhong [Osmundae Rhizoma] 3 pieces; Fuzi [Aconiti Lateralis Radix Praeparata] 7 fen. The above herbs are crushed and sifted. Take one cunshi (square inch measure) with wine, morning and evening, twice daily. Another version adds Shigao [Gypsum Fibrosum] 6 fen and Danggui [Angelicae Sinensis Radix] 5 fen.)
Tianmendong Wan (Asparagi Pill): Treats Lung cold, where external and internal pathogens combine, causing cough and loss of voice, a sensation of frost and snow in the mouth, retention of fluid and cold phlegm, throat obstruction and stuffiness resembling a plum pit, and choking. It resolves Qi stagnation.
Tianmendong [Asparagi Radix] (remove heart, roast), Maimendong [Ophiopogonis Radix] (remove heart, roast), Ziwan [Adenophorae Radix] (remove soil), Baihe [Lilii Bulbus], Beimu [Fritillariae Cirrhosae Bulbus] (remove heart, roast), Jiegeng [Platycodonis Radix] (stir-fry), Renshen [Panacis Ginseng Radix], Sheng Dihuang [Rehmanniae Radix], Gui [Cinnamomi Cortex] (remove rough bark), Gancao [Glycyrrhizae Radix et Rhizoma], Ejiao [Colla Corii Asini] (stir-fry until boiling), Xingren [Pruni Semen] (soak in water, remove skin and pointed end, use double kernels, stir-fry), Chenjupi [Citri Reticulatae Pericarpium] (soak in water, remove white pith) each 3 liang. All ingredients are made into fine powder. Cook glutinous rice flour with 1 liang of Huangla [Beeswax] to make porridge, add honey and boil evenly, then mix with the herbal powder. Form pills the size of cherries. Take one pill at a time, chew thoroughly with fresh ginger, and swallow. Take during coughing. It is highly effective for coughing up pus and blood.
Yannian Tianmendong Jian (Longevity Asparagus Decoction) (from *Shenghui Fang*): Mainly treats Lung heat, and also cough with loss of voice.
Sheng Tianmendong [Asparagi Radix] (extract juice 1 sheng), Sheng Dihuang [Rehmanniae Radix] (extract juice 5 he), Baimi [Mellis] (5 he), Niusu [Butyrum Bovis] (3 he), Baintang [Saccharum] (5 liang), Beimu [Fritillariae Cirrhosae Bulbus], Ziwan [Adenophorae Radix], Tongcao [Tetrapanacis Medulla] (each 3 liang), Xingren [Pruni Semen] (1 sheng, remove skin and pointed end, grind to extract juice), Baibu [Stemonae Radix], Baiqian [Cynanchi Stauntonii Rhizoma et Radix], Gancao [Glycyrrhizae Radix et Rhizoma] (stir-fry with honey), Renshen [Panacis Ginseng Radix], Jupi [Citri Reticulatae Pericarpium] (each 2 liang). Cut the herbs. Boil Beimu and other herbs in 6 sheng of water to obtain 2.5 sheng. Remove dregs. Add Tianmendong and Dihuang juices, continue boiling until reduced by half. Add Susu [Butyrum Bovis], Baimi [Mellis], Shengjiang [Zingiberis Rhizoma Recens], etc., boil until the mixture forms firm pills. Shape like chicken egg yolks. Hold in mouth and swallow. 4-5 times daily. Avoid carp, Wuyi [Elsholtziae Spica], Haizao [Sargassum], Songcai [Brassicae Pekinensis Folium].
Tongsheng Jian (Voice-Unblocking Decoction) (also known as Wuweizi Jian, from *Shenghui Fang*): Treats cough with shortness of breath, chest fullness and oppression, and loss of voice.
Wuweizi [Schisandrae Chinensis Fructus], Kuandonghua [Farfarae Flos], Mutong [Akebiae Caulis] (each 3 liang), Xingren [Pruni Semen] (remove skin and pointed end, use double kernels, stir-fry, 1 sheng), Renshen [Panacis Ginseng Radix], Gui [Cinnamomi Cortex] (remove rough bark), Xixin [Asari Radix et Rhizoma] (remove seedlings and leaves), Qingzhuru [Bambusae Caulis in Taedia], Changpu [Acori Tatarinowii Rhizoma], Susu [Butyrum Bovis] (each 3 liang), Zaorou [Jujubae Mesocarp] (2 sheng), Baimi [Mellis], Jiangzhi [Zingiberis Rhizoma Recens Juice] (each 1 sheng). First, cut the ten ingredients into sizes similar to hemp seeds. Boil in 5 sheng of water over gentle fire for 5-7 boils. Remove dregs. Add Susu [Butyrum Bovis], Baimi [Mellis], Jiangzhi [Zingiberis Rhizoma Recens Juice], and Zaorou [Jujubae Mesocarp], and boil again until the consistency is appropriate. Take one spoonful, dissolve in a small cup of warm wine. Another version omits wine; hold in mouth and swallow.
Renshen Tang (Ginseng Decoction): Treats Lung deficiency, cough with weakness, hoarse voice, decreased appetite, and gradual emaciation. Tonifies the Lung.
Renshen [Panacis Ginseng Radix] (1 liang), Ziwan [Adenophorae Radix] (remove seedlings and soil, 0.5 liang), Huangqi [Astragali Membranacei Radix] (cut), Lu jiaojiao [Corp Cervi Cornu Colla] (crush, grind, stir-fry until yellow), Gui [Cinnamomi Cortex] (remove root and bark, each 1 liang), Baizhu [Atractylodis Macrocephalae Rhizoma], Zisu Jingye [Perillae Folium] (each 3 liang), Wuweizi [Schisandrae Chinensis Fructus], Ganjiang [Zingiberis Rhizoma] (processed, each 0.5 liang), Shu Dihuang [Rehmanniae Radix Praeparata] (1 liang), Xingren [Pruni Semen] (soak in water, remove skin and pointed end, use double kernels, stir-fry, 0.5 liang). Coarsely crush and sift. Take 3 qian per dose, with 1 sheng of water and 3 dates (split open). Boil until 0.6 sheng remains. Remove dregs. Take warm at any time.
Yuan Gen Wan (Genkwa Root Pill) (from *Shenghui Fang*): Treats chronic cough with hoarseness.
Yuanhua gen baipi [Genkwae Radicis Cortex] (cut, stir-fry until blackened, 1.5 liang), Beimu [Fritillariae Cirrhosae Bulbus] (remove heart, 3 liang), Saojiao [Gleditsiae Sinensis Spina] (remove skin and seeds, stir-fry, 1 liang), Wuweizi [Schisandrae Chinensis Fructus] (1.5 liang), Kuandonghua [Farfarae Flos] (1.5 liang), Baibu [Stemonae Radix] (cut, stir-fry, 2 liang), Wugong [Scolopendrae] (half piece, stir-fry), Xingren [Pruni Semen] (remove skin and pointed end, use double kernels, stir-fry, 2.5 liang), Sangbaipipi [Mori Cortex] (cut, 1.5 liang), Mahuang [Ephedrae Herba] (remove root and nodes, boil to remove foam, stir-fry), Ziwan [Adenophorae Radix] (remove seedlings and soil, each 1 liang). Make into fine powder. Mix with refined honey to form pills the size of paulownia seeds. Take 5 pills per dose, gradually increasing to 15 pills. Take with date decoction.
Zhongru Tang (Calcium Carbonate Decoction): Treats wind-cold contending with the Lung, Qi obstruction, hoarseness, and loss of voice.
Zhongru [Gypsum Fibrosum? No, Zhongru is Calcitum], Zisuzi [Perillae Fructus], Baishiying [Quartzum Rubrum] (grind), Mahuang [Ephedrae Herba] (remove root and nodes), Wuweizi [Schisandrae Chinensis Fructus] (stir-fry), Gui [Cinnamomi Cortex] (remove rough bark), Chifuling [Poria cum Rosa Sclerotium? No, Chifuling is Poria with Rosewood? Actually Chifuling is Poria with red color or specific variety, usually just Poria], Renshen [Panacis Ginseng Radix], Xingren [Pruni Semen] (soak in water, remove skin and pointed end, stir-fry with bran until slightly yellow, each 1 liang), Maimendong [Ophiopogonis Radix] (remove heart, roast), Kuandonghua [Farfarae Flos] (each 0.5 liang). First, make the ten ingredients into coarse powder. Then add Zhongru [Calcitum] powder and grind evenly. Take 3 qian per dose, with 1 sheng of water, 0.5 fen of sliced fresh ginger, and 3 split dates. Boil until 0.7 sheng remains. Remove dregs. Take warm at any time.
Bufei Wan (Lung-Tonifying Pill): Treats Lung congestion, chronic cough, throat obstruction, loss of voice, dry fluids, headache from phlegm-toxin, mental restlessness. Also treats labor-induced cough with hemoptysis and dyspnea.
Baibu [Stemonae Radix] (roast), Beimu [Fritillariae Cirrhosae Bulbus] (remove heart), Shan yang [Capra Hircus? Text says 'Shan Yang', likely referring to animal fat or meat for tonification, literal translation 'Wild Goat' or 'Mountain Goat'], Ejiao [Colla Corii Asini] (stir-fry until dry, each 2 liang), Tianmendong [Asparagi Radix] (remove heart, roast), Jiegeng [Platycodonis Radix] (stir-fry, each 1 liang), Fangfeng [Saposhnikoviae Radix] (remove forked roots), Renshen [Panacis Ginseng Radix] (each 1.5 liang), Gancao [Glycyrrhizae Radix et Rhizoma] (3 liang), Banxia [Pinelliae Rhizoma] (2 liang, grind to powder. First boil duck pear juice 1 sheng and fresh ginger juice 1 sheng until half remains, add Banxia powder and boil into paste). Except for the Banxia paste, grind all other herbs to powder. Mix evenly with the Banxia paste.
Ziwan Wan (Adenophora Pill): Treats Lung affected by wind-cold, cough, and loss of voice.
Ziwan [Adenophorae Radix] (remove seedlings and soil), Beimu [Fritillariae Cirrhosae Bulbus] (remove heart), Gui [Cinnamomi Cortex] (remove rough bark), Kuandonghua [Farfarae Flos] (each 1.5 liang), Gancao [Glycyrrhizae Radix et Rhizoma] (stir-fry with honey, cut), Baibu [Stemonae Radix], Baifuling [Poria cocos], Renshen [Panacis Ginseng Radix], Chenjupi [Citri Reticulatae Pericarpium] (remove white pith, roast, each 1 liang), Xingren [Pruni Semen] (remove skin and pointed end, use double kernels, stir-fry until yellow, finely grind, each 2 liang). Make into powder. Mix with refined honey to form pills the size of paulownia seeds. Take 20 pills after meals with rice drink. Hot water is also acceptable.
Xingren Jian (Almond Decoction) (from *Ren Cun Fang*): Treats cough with loss of voice and inability to speak.
Xingren [Pruni Semen] (remove skin and pointed end, use double kernels, stir-fry, 1 sheng, grind), Wuweizi [Schisandrae Chinensis Fructus], Ziwan [Adenophorae Radix] (remove seedlings and soil), Beimu [Fritillariae Cirrhosae Bulbus] (remove heart, each 1 liang), Shengjiangzhi [Zingiberis Rhizoma Recens Juice], Yitang [Mellis] (each 1 sheng, or grind sugar), Mutong [Akebiae Caulis] (4 liang), Sangbaipipi [Mori Cortex] (5 liang), Baimi [Mellis] (3 he). First, cut the five ingredients. Divide into three doses. One version adds 1 large cup of cow milk and boils. Another version adds Zhimu [Anemarrhenae Rhizoma] and Kuandonghua [Farfarae Flos], each 1 liang.
Runfei Tang (Moistening Lung Decoction) (also known as Renshen Runfei San, from *Zhi Zhi Fang*): Treats wind-cold chilling the Lung, obstructed Qi pathway, and loss of voice. Also treats cough with wheezing, phlegm congestion, and nasal obstruction.
Mahuang [Ephedrae Herba] (remove root and seedlings), Renshen [Panacis Ginseng Radix] (each 2 liang), Xingren [Pruni Semen] (soak in water, remove skin and pointed end, use double kernels, bake dry, stir-fry with bran until yellow), Beimu [Fritillariae Cirrhosae Bulbus] (remove heart, stir-fry with bran until yellow, each 2.5 liang), Gancao [Glycyrrhizae Radix et Rhizoma] (stir-fry with honey, cut, 1 liang), Jiegeng [Platycodonis Radix] (remove rhizome head, stir-fry, 0.5 liang), Chenjupi [Citri Reticulatae Pericarpium] (soak in water, remove white pith, roast, 1 fen), Ejiao [Colla Corii Asini] (stir-fry until dry, 0.5 liang). Coarsely crush and sift. Take 3 qian per dose, with 1.5 sheng of water. Boil until 1 sheng remains. Remove dregs. Take warm after meals. One version adds 3 slices of Zisu Ye [Perillae Folium] and boils together. Suitable for children.
Shichangpu San (Acorus Powder): Treats wind-cold damaging the Lung, hoarseness, and loss of voice.
Sheng Shichangpu [Acori Tatarinowii Rhizoma] (cut on stone), Wuweizi [Schisandrae Chinensis Fructus] (stir-fry), Chenjupi [Citri Reticulatae Pericarpium] (soak in water, remove white pith), Xixin [Asari Radix et Rhizoma] (remove seedlings and leaves), Ziwan [Adenophorae Radix] (remove seedlings and soil), Ganjiang [Zingiberis Rhizoma] (process until cracked, each 0.5 liang), Helile [Terminaliae Chebulae Fructus] (soak, remove core), Xingren [Pruni Semen] (soak in water, remove skin and pointed end, use double kernels, stir-fry with bran until slightly yellow, each 1 liang). Grind the eight ingredients into fine powder. Take 1 qian with warm wine after meals.
Xingan Jian (Acrid-Sweet Decoction): Treats Lung Qi damaged by wind-cold, hoarseness, rapid breathing, upper Qi cough.
Susu [Butyrum Bovis] (authentic), Baimi [Mellis], Yitang [Mellis], Shengjiang [Zingiberis Rhizoma Recens], Baibu [Stemonae Radix] (extract natural juice), Zao [Jujubae Fructus] (remove skin and pits, grind), Ganpi [Citri Reticulatae Pericarpium] (5 pieces, make into powder), Xingren [Pruni Semen] (soak in water, remove skin and pointed end, use double kernels, grind, each 1 sheng). Combine and boil, stirring constantly. Boil until the liquid is reduced by half. Take with warm wine.
Jiang Sui Jian (Ginger Marrow Decoction): Treats Lung affected by wind pathogen, stagnant and obstructed Qi pathway, hoarseness.
Shengjiangzhi [Zingiberis Rhizoma Recens Juice] (6 he), Niusuiyou [Bovis Medulla Oil] (separately refined, each 3 he), Gui [Cinnamomi Cortex] (remove rough bark, 1 liang), Xiong [Chuanxiong Rhizoma], Duhuo [Angelicae Pubescentis Radix] (remove rhizome head), Fangfeng [Saposhnikoviae Radix] (remove forked roots, each 3 liang), Qinjiao [Gentianae Macrophyllae Radix? No, Qinjiao here is likely Zanthoxyli Pericarpium or similar acrid spice, text says 'Qin Jiao' but context implies spice, actually Qin Jiao is Gentian, but Qin Jiao is listed earlier. Wait, text says 'Qin Jiao' in first formula, here 'Qin Jiao'? No, text says 'Qin Jiao' in first, here 'Qin Jiao' is likely a typo for 'Qin Jiao' or 'Qin Pi'? Actually 'Qin Jiao' is Gentian. But 'Qin Jiao' is not a spice. Let's look at 'Qin Jiao' vs 'Qin Jiao'. The text says 'Qin Jiao' (秦椒) which is Zanthoxylum. In the list: 'Qin Jiao' (秦椒) - Zanthoxylum. Remove eyes and closed ones, stir-fry until sweat appears, 3 fen. Grind into powder. Mix evenly with Jiang Sui You [Ginger Marrow Oil]. Boil over gentle fire for 5 boils.
Guixin San (Cinnamon Heart Powder): Treats cough with loss of voice.
Guixin [Cinnamomi Cortex] (3 fen), Helile pi [Terminaliae Chebulae Pericarpium] (3 fen), Ganjiang [Zingiberis Rhizoma] (process until cracked, cut, 3 fen), Chifuling [Poria] (0.5 liang), Gancao [Glycyrrhizae Radix et Rhizoma] (1 fen, stir-fry with honey until slightly red, cut), Renshen [Panacis Ginseng Radix] (0.5 liang, remove rhizome head), Xingren [Pruni Semen] (soak in water, remove skin and pointed end, use double kernels, stir-fry until yellow, 0.5 liang). Make into powder. Take 3 qian per dose, with 1 zhong sheng of water and 2 dates. Boil until 0.6 sheng remains. Remove dregs. Take warm. Three doses daily. Another version omits Renshen [Panacis Ginseng Radix].
Baihe Tang (Lily Decoction): Treats cough, moistens and benefits the throat, promotes voice, generates fluids, relieves fatigue.
Baihe [Lilii Bulbus], Renshen [Panacis Ginseng Radix], Gancao [Glycyrrhizae Radix et Rhizoma] (stir-fry with honey, cut), Tiantingli [Descurainiae Semen seu Fructus] (stir-fry through paper), Sangbaipipi [Mori Cortex] (cut), Kuandonghua [Farfarae Flos] (slightly stir-fry). Equal parts. Coarsely crush and sift. Take 3 qian per dose, with 1 sheng of water, 7 peeled almond kernels, 100 grains of glutinous rice, and 1 dark plum. Boil until 0.6 sheng remains. Remove dregs. Take warm after meals.
Xingren Jian (Almond Decoction) (from *Shenghui Fang*): Treats wind-cold loss of voice and inability to speak.
Xingren [Pruni Semen] (soak in water, remove skin and pointed end, use double kernels, grind into paste), Gui [Cinnamomi Cortex] (remove rough bark, each 2 liang), Ziwan [Adenophorae Radix] (remove seedlings and soil), Wuweizi [Schisandrae Chinensis Fructus] (stir-fry), Beimu [Fritillariae Cirrhosae Bulbus] (remove heart, stir-fry with bran until yellow), Xixin [Asari Radix et Rhizoma] (remove seedlings and leaves, each 1 liang). Except for Xingren [Pruni Semen], grind the rest into fine powder. With 1 sheng of water, add 1 he of Shengjiangzhi [Zingiberis Rhizoma Recens Juice], 2 liang of Yitang [Mellis], and 2 he of Baimi [Mellis]. Add Xingren [Pruni Semen]. Simmer slowly over low heat to make a syrup. Take one spoonful at any time, mixed with hot wine.
Guixin Wan (Cinnamon Heart Pill) (from *Shenghui Fang*): Treats cough, dry throat, and loss of voice.
Guixin [Cinnamomi Cortex] (1 liang), Xingren [Pruni Semen] (1 liang, soak in water, remove skin and pointed end, use double kernels, stir-fry, grind into paste), Gancao [Glycyrrhizae Radix et Rhizoma] (1 fen, stir-fry with honey until slightly red, cut), Ganjiang [Zingiberis Rhizoma] (1 fen, process), Baihe [Lilii Bulbus] (1 fen), Maimendong [Ophiopogonis Radix] (0.5 liang, remove heart, roast). Make into powder. Mix with refined honey to form pills the size of half a date. Take at any time. Wrap one pill in silk, hold in mouth, and swallow saliva.
Wenfei Tang (Warming Lung Decoction): Treats central cold causing hoarseness, stops wheezing and cough, warms Lung Qi.
Xingren [Pruni Semen] (soak in water, remove skin and pointed end, use double kernels, stir-fry until yellow), Gui [Cinnamomi Cortex] (remove rough bark), Mahuang [Ephedrae Herba] (remove root and nodes, each 0.5 liang), Nuomij [Oryza Glutinosa Semen] (3 he), Gancao [Glycyrrhizae Radix et Rhizoma] (stir-fry with honey, cut, 1 fen). Coarsely crush and sift. Divide into five doses. For each dose, use 3 sheng of water, boil to obtain 1 sheng. Filter to remove dregs. Mix with one egg white. Take warm.
Beimu San (Fritillaria Powder) (from *Shenghui Fang*): Treats cough with upper Qi rebellion, wheezing, and loss of voice.
Beimu [Fritillariae Cirrhosae Bulbus] (1 liang, simmer until slightly yellow), Ziwan [Adenophorae Radix] (remove seedlings and soil, 3 fen), Maimendong [Ophiopogonis Radix] (1.5 liang, remove heart), Renshen [Panacis Ginseng Radix] (3 fen), Xingren [Pruni Semen] (3 fen, soak in water, remove skin and pointed end, stir-fry). Make into powder. Take 3 qian per dose, with 1 zhong sheng of water. Boil until 0.6 sheng remains. Remove dregs. Take warm. Three doses daily.
Mahuang Tang (Ephedra Decoction): Treats cough with loss of voice.
Mahuang [Ephedrae Herba] (remove root and nodes, boil to remove foam, roast, 2 qian), Gancao [Glycyrrhizae Radix et Rhizoma] (3 qian, raw), Wumei [Mume Fructus] (7 pieces, crush), Xingren [Pruni Semen] (21 pieces, remove skin and pointed end, use double kernels, stir-fry with bran). Cut into pieces. Boil in 3 sheng of water in a stone pot. Remove dregs. Obtain 1.5 sheng. Divide into three doses. Take warm after meals. Another version omits Wumei [Mume Fructus].
Kuandonghua Wan (Farfara Pill): Treats congestive cough, loss of voice. Warms Lung Qi, transforms phlegm.
Kuandonghua [Farfarae Flos], Mahuang [Ephedrae Herba] (do not remove root and nodes), Gancao [Glycyrrhizae Radix et Rhizoma], Xingren [Pruni Semen] (do not remove skin and pointed end, each 1 liang). Make into powder. Mix with refined honey to form pills the size of cherries. Take one pill per dose, let it melt in the mouth.
Guixing Wan (Cinnamon-Almond Pill): Treats cough, loss of voice, and obstruction due to wind-cold. Warms Lung and moistens Qi.
Gui [Cinnamomi Cortex] (remove rough bark, 0.5 liang), Xingren [Pruni Semen] (1.5 liang, remove skin and pointed end, use double kernels, stir-fry with bran). Make into powder. Mix with refined honey to form pills the size of cherries. Take one pill per dose, let it melt in the mouth and swallow saliva. Another version omits honey.
Treatment for sudden central cold and cold damage, nasal wheezing, cough, laryngeal numbness and obstruction, loss of voice:
Take 1 jin of Yuanhua gen [Genkwae Radicis Cortex]. Cut and stir-fry. Have the patient sit in front of a stone mortar. Pound the Yuanhua gen [Genkwae Radicis Cortex] inside the mortar so that the dust flies into the patient's seven orifices (eyes, ears, nose, mouth). This should induce tearing. The nose and mouth will feel prickling. Do not stop until finished. The disease will surely heal here.
Treatment for chronic cough with upper Qi rebellion and loss of voice:
Take human urine and ingest it.