(附论)
夫热病邪热客于肺。则上焦烦壅。其人必饮水。水停心下则肺浮。肺主于嗽。水气乘之。
故咳嗽也。
方
前胡散(出圣惠方)治热病。壮热咳嗽。痛心闷。宜服。
前胡(去芦头) 川升麻 地骨皮 杏仁(汤浸去皮尖双仁麸炒微黄各一两) 贝母(煨
微
黄) 紫菀(洗去苗土各一两半) 石膏(三两半) 麦门冬(二两去心焙) 甘草(炙微
赤锉半
两) 上为粗散。每服五钱。以水一大盏。入竹叶三七片。煎至五分。去滓。不计时候。温
服。
麦门冬散(出圣惠方)治热病壮热。头痛咳嗽。宜服。
麦门冬(一两半去心焙) 葛根(锉) 贝母(煨微黄各三分) 柴胡(一两去苗) 百
合川
升麻(各半两) 栀子仁 甘草(炙令微赤锉各一分) 上为粗散。每服四钱。用水一中盏。
入
豉半合。葱白二茎。煎至六分。去滓。不计时候。温服。
生地黄饮子(出圣惠方)治热病。毒瓦斯攻肺咳嗽。喉中生疮。宜服。
生地黄(切) 柴胡(去苗各二两) 川升麻 玄参 川大黄(生用) 贝母(煨令微
黄) 麦
门冬(去苗) 百合 甘草(炙微赤锉各一两) 上细锉和匀。每服半两。以水一大盏。煎
至五
分。去滓。入蜜一小匙。更煎一沸。放温。不计时服。
郁李仁散(出圣惠方)治热病。心肺烦热。上气咳嗽。不得睡卧。时时渴欲
饮水。遍身浮肿。宜服。
郁李仁(汤浸去皮尖) 麻黄(去根节) 贝母(煨令微黄) 赤茯苓 杏仁(汤浸去
皮尖双
仁麸炒微黄) 猪苓(去黑皮) 栝蒌子仁 汉防己(各一两) 桑根白皮(一两半锉) 上
为
散。每服五钱。用水一大盏。煎至五分。去滓。不计时候。温服。
百合散(出圣惠方)治热病。心肺热盛。小便黄赤。上气咳嗽。宜服。
百合(一两半) 杏仁(汤浸去皮尖双仁麸炒微黄) 木通(锉) 黄芩(各一两) 麦
门冬
(去心) 甘草(炙微赤锉) 甜葶苈(炒令紫色各三分) 麻黄(去根节) 紫菀(洗去
苗土各半
两) 上为散。每服五钱。用水一大盏。煎至五分。去滓。不计时候。温服。
桑白皮散(出圣惠方)治热病。咳嗽喘息促。不得睡卧。宜服。
桑根白皮(锉) 天门冬(去心) 紫苏茎叶 款冬花 皂荚根皮(锉) 川大黄(锉
碎微炒
各一两) 木通(三分锉) 甘草(半两炙微赤锉) 上为散。每服五钱。以水一大盏。煎
至五
分。去滓。不计时候。温服之。
麻黄散(出圣惠方)治热病。咳嗽不止。心胸烦闷。上气喘促。宜服。
麻黄(去根节) 前胡(去芦头) 紫苏子(各三分) 大麻仁 桑根白皮(锉) 杏
仁(汤浸
去皮尖双仁麸炒微黄各一两) 麦门冬(一两半去心焙) 甘草(半两炙微赤锉) 上为粗
散。
每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
杏仁散(出圣惠方)治热病八九日。胸满喘促咳嗽。坐卧不安。宜服。
杏仁(汤浸去皮尖双仁) 天门冬(去心) 川大黄(锉碎微炒) 枳壳(麸炒微黄去
瓤) 大
腹皮(锉) 款冬花(各半两) 桑根白皮(锉) 甘草(炙微赤锉) 麻黄(去根节各三
分) 上为
散。每服五钱。水一大盏。入灯心一撮。煎至五分。去滓。不计时候。温服。
木通散(出圣惠方)治热病。胸中烦满。咳嗽不止。宜服。
木通(锉) 紫苏茎叶 赤茯苓 贝母(炒令微黄) 桑根白皮(锉各一两) 栀子仁 川
升
麻杏仁(汤浸去皮尖双仁麸炒微赤) 枳壳(麸炒微黄去瓤各三分) 上为散。每服五钱。
水
一大盏。煎至五分。去滓。不计时候。温服。
【附论】
热病的邪热侵袭肺部,就会导致上焦烦闷壅滞。患者必然想要饮水。如果水饮停滞在心下(胃脘部),就会使肺气上浮。肺主司咳嗽,水气侵犯肺脏,所以引发咳嗽。
方剂
前胡散(出自《圣惠方》):治疗热病,高热咳嗽,心痛胸闷,适宜服用。
前胡(去除芦头)、川升麻、地骨皮、杏仁(热水浸泡后去皮尖,保留双仁,麸炒至微黄,各一两)、贝母(煨至微黄)、紫菀(清洗去苗土,各一两半)、石膏(三两半)、麦门冬(二两,去心焙干)、甘草(炙至微红,锉碎,半两)。以上药物捣成粗散。每次服用五钱,用水一大盏,加入竹叶三十七片,煎煮至剩余五分水量,滤去药渣。不限时候,温服。
麦门冬散(出自《圣惠方》):治疗热病高热,头痛咳嗽,适宜服用。
麦门冬(一两半,去心焙干)、葛根(锉碎)、贝母(煨至微黄,各三分)、柴胡(一两,去苗)、百合、川升麻(各半两)、栀子仁、甘草(炙至微红,锉碎,各一分)。以上药物捣成粗散。每次服用四钱,用水一中盏,加入豆豉半合,葱白两根,煎煮至剩余六分水量,滤去药渣。不限时候,温服。
生地黄饮子(出自《圣惠方》):治疗热病,毒瓦斯攻冲肺部导致咳嗽,喉中生出疮疡,适宜服用。
生地黄(切片)、柴胡(去苗,各二两)、川升麻、玄参、川大黄(生用)、贝母(煨至微黄)、麦门冬(去苗)、百合、甘草(炙至微红,锉碎,各一两)。以上药物细锉并混合均匀。每次服用半两,用水一大盏,煎煮至剩余五分水量,滤去药渣,加入蜂蜜一小匙,再煮沸一次,放温。不限时候服用。
郁李仁散(出自《圣惠方》):治疗热病,心肺烦热,气逆咳嗽,无法躺卧睡觉,时常口渴想喝水,全身浮肿,适宜服用。
郁李仁(热水浸泡去皮尖)、麻黄(去根节)、贝母(煨至微黄)、赤茯苓、杏仁(热水浸泡去皮尖,保留双仁,麸炒至微黄)、猪苓(去黑皮)、栝蒌子仁、汉防己(各一两)、桑根白皮(一两半,锉碎)。以上药物制成散剂。每次服用五钱,用水一大盏,煎煮至剩余五分水量,滤去药渣。不限时候,温服。
百合散(出自《圣惠方》):治疗热病,心肺热盛,小便黄赤,气逆咳嗽,适宜服用。
百合(一两半)、杏仁(热水浸泡去皮尖,保留双仁,麸炒至微黄)、木通(锉碎)、黄芩(各一两)、麦门冬(去心)、甘草(炙至微红,锉碎)、甜葶苈(炒至紫色,各三分)、麻黄(去根节)、紫菀(清洗去苗土,各半两)。以上药物制成散剂。每次服用五钱,用水一大盏,煎煮至剩余五分水量,滤去药渣。不限时候,温服。
桑白皮散(出自《圣惠方》):治疗热病,咳嗽喘息急促,无法躺卧睡觉,适宜服用。
桑根白皮(锉碎)、天门冬(去心)、紫苏茎叶、款冬花、皂荚根皮(锉碎)、川大黄(锉碎微炒,各一两)、木通(三分,锉碎)、甘草(半两,炙至微红,锉碎)。以上药物制成散剂。每次服用五钱,用水一大盏,煎煮至剩余五分水量,滤去药渣。不限时候,温服。
麻黄散(出自《圣惠方》):治疗热病,咳嗽不止,心胸烦闷,气逆气喘急促,适宜服用。
麻黄(去根节)、前胡(去芦头)、紫苏子(各三分)、大麻仁、桑根白皮(锉碎)、杏仁(热水浸泡去皮尖,保留双仁,麸炒至微黄,各一两)、麦门冬(一两半,去心焙干)、甘草(半两,炙至微红,锉碎)。以上药物捣成粗散。每次服用五钱,用水一大盏,煎煮至剩余五分水量,滤去药渣。不限时候,温服。
杏仁散(出自《圣惠方》):治疗热病八九日,胸满气喘急促咳嗽,坐卧不安,适宜服用。
杏仁(热水浸泡去皮尖,保留双仁)、天门冬(去心)、川大黄(锉碎微炒)、枳壳(麸炒至微黄,去瓤)、大腹皮(锉碎)、款冬花(各半两)、桑根白皮(锉碎)、甘草(炙至微红,锉碎)、麻黄(去根节,各三分)。以上药物制成散剂。每次服用五钱,用水一大盏,加入灯心草一撮,煎煮至剩余五分水量,滤去药渣。不限时候,温服。
木通散(出自《圣惠方》):治疗热病,胸中烦闷胀满,咳嗽不止,适宜服用。
木通(锉碎)、紫苏茎叶、赤茯苓、贝母(炒至微黄)、桑根白皮(锉碎,各一两)、栀子仁、川升麻、杏仁(热水浸泡去皮尖,保留双仁,麸炒至微红)、枳壳(麸炒至微黄,去瓤,各三分)。以上药物制成散剂。每次服用五钱,用水一大盏,煎煮至剩余五分水量,滤去药渣。不限时候,温服。
[Supplementary Discussion]
When the pathogenic heat of a febrile disease (Re Bing) invades the Lung, it causes stagnation and oppression in the Upper Jiao. The patient will inevitably desire to drink water. If water retention occurs below the heart (epigastrium), it causes the Lung Qi to float upward. Since the Lung governs coughing, when Water Qi attacks the Lung, coughing ensues.
Prescriptions
Qianhu San (Antenium Root Powder) [from *Shenghui Fang*]: Treats febrile disease with high fever and cough, painful chest, and palpitations. Suitable for use.
Antenii Radix (Qianhu, 前胡) [deprived of rhizome], Cimicifugae Rhizoma (Chuan Shengma), Cortex Lycii (Digupi), Armeniacae Semen Amarum (Xingren) [soaked in hot water, skin and pointed end removed, retaining the double kernel, stir-fried with bran until slightly yellow, each 1 liang], Fritillariae Bulbus (Beimu) [roasted until slightly yellow], Asteris Radix et Rhizoma (Ziwan) [washed to remove seedlings and soil, each 1.5 liang], Gypsum Fibrosum (Shigao) [3.5 liang], Ophiopogonis Radix (Maimendong) [2 liang, deprived of heart and roasted], Glycyrrhizae Radix et Rhizoma (Gancao) [stir-fried until slightly red, cut into small pieces, 0.5 liang]. The above are processed into coarse powder. Each dose is 5 qian, decocted with one large bowl of water and 37 leaves of Bambusa vulgaris var. viridis (Zhuye). Decoct until only one-fifth of the liquid remains, strain, and take warm at any time.
Maimendong San (Ophiopogon Root Powder) [from *Shenghui Fang*]: Treats febrile disease with high fever, headache, and cough. Suitable for use.
Ophiopogonis Radix (Maimendong) [1.5 liang, deprived of heart and roasted], Puerariae Radix (Gegen) [cut into pieces], Fritillariae Bulbus (Beimu) [roasted until slightly yellow, each 3 fen], Bupleuri Radix (Chaihu) [1 liang, deprived of seedlings], Lilii Bulbus (Baihe), Cimicifugae Rhizoma (Chuan Shengma) [each 0.5 liang), Gardeniae Fructus (Zhizi Ren), Glycyrrhizae Radix et Rhizoma (Gancao) [stir-fried until slightly red, cut into small pieces, each 1 fen]. The above are processed into coarse powder. Each dose is 4 qian, decocted with one medium bowl of water, half he of Fabae Preparatio (Chi), and two stems of Allii Fistulosi (Congbai). Decoct until only six-tenths of the liquid remains, strain, and take warm at any time.
Shengdihuang Yinzi (Rehmannia Decoction) [from *Shenghui Fang*]: Treats febrile disease where toxic heat attacks the Lung causing cough, and sores in the throat. Suitable for use.
Rehmanniae Radix (Shengdihuang) [sliced], Bupleuri Radix (Chaihu) [deprived of seedlings, each 2 liang], Cimicifugae Rhizoma (Chuan Shengma), Scrophulariae Radix (Xuanshen), Rhei Radix et Rhizoma (Chuan Dahuang) [used raw], Fritillariae Bulbus (Beimu) [roasted until slightly yellow], Ophiopogonis Radix (Maimendong) [deprived of seedlings], Lilii Bulbus (Baihe), Glycyrrhizae Radix et Rhizoma (Gancao) [stir-fried until slightly red, cut into small pieces, each 1 liang]. The above are finely cut and mixed evenly. Each dose is 0.5 liang, decocted with one large bowl of water until one-fifth remains. Strain, add one small spoon of honey, boil once more, let cool to warm, and take at any time.
Yuliren San (Prunus Seed Powder) [from *Shenghui Fang*]: Treats febrile disease with vexatious heat in the Heart and Lung, rebellious Qi and cough, inability to lie down or sleep, frequent thirst and desire to drink, and generalized edema. Suitable for use.
Pruni Semen (Yuliren) [soaked in hot water, skin and pointed end removed], Ephedrae Herba (Mahuang) [deprived of roots and joints], Fritillariae Bulbus (Beimu) [roasted until slightly yellow], Polyporus (Chifuling), Armeniacae Semen Amarum (Xingren) [soaked in hot water, skin and pointed end removed, retaining the double kernel, stir-fried with bran until slightly yellow], Polyporus (Zuling) [black skin removed], Benincasae Semen (Gualou Ziren), Stephaniae Tetrandrae Radix (Han Fangji) [each 1 liang], Morus Albae Cortex (Sangbaipi) [1.5 liang, cut into pieces]. The above are processed into powder. Each dose is 5 qian, decocted with one large bowl of water until one-fifth remains. Strain and take warm at any time.
Baihe San (Lily Bulb Powder) [from *Shenghui Fang*]: Treats febrile disease with excessive heat in the Heart and Lung, yellow and dark urine, rebellious Qi and cough. Suitable for use.
Lilii Bulbus (Baihe) [1.5 liang], Armeniacae Semen Amarum (Xingren) [soaked in hot water, skin and pointed end removed, retaining the double kernel, stir-fried with bran until slightly yellow], Akebiae Caulis (Mutong) [cut into pieces], Scutellariae Radix (Huangqin) [each 1 liang], Ophiopogonis Radix (Maimendong) [deprived of heart], Glycyrrhizae Radix et Rhizoma (Gancao) [stir-fried until slightly red, cut into small pieces], Lepidii et Descurainiae Semen (Tian Tingli) [stir-fried until purple, each 3 fen], Ephedrae Herba (Mahuang) [deprived of roots and joints], Asteris Radix et Rhizoma (Ziwan) [washed to remove seedlings and soil, each 0.5 liang]. The above are processed into powder. Each dose is 5 qian, decocted with one large bowl of water until one-fifth remains. Strain and take warm at any time.
Sangbaipi San (Mulberry Root Bark Powder) [from *Shenghui Fang*]: Treats febrile disease with cough, wheezing, and shortness of breath, unable to lie down or sleep. Suitable for use.
Morus Albae Cortex (Sanggen Baipi) [cut into pieces], Asparagi Radix (Tianmendong) [deprived of heart], Perillae Folium (Zisu Jingye), Farfarae Flos (Kuandonghua), Gleditsiae Sinensis Spina (Zaojia Genpi) [cut into pieces], Rhei Radix et Rhizoma (Chuan Dahuang) [cut into pieces and lightly stir-fried, each 1 liang], Akebiae Caulis (Mutong) [3 fen, cut into pieces], Glycyrrhizae Radix et Rhizoma (Gancao) [0.5 liang, stir-fried until slightly red, cut into small pieces]. The above are processed into powder. Each dose is 5 qian, decocted with one large bowl of water until one-fifth remains. Strain and take warm at any time.
Mahuang San (Ephedra Powder) [from *Shenghui Fang*]: Treats febrile disease with persistent cough, vexatious heat in the chest and heart, and rebellious Qi with rapid breathing. Suitable for use.
Ephedrae Herba (Mahuang) [deprived of roots and joints], Antenii Radix (Qianhu) [deprived of rhizome], Perillae Fructus (Zisuzi) [each 3 fen], Cannabis Fructus (Dama Ren), Morus Albae Cortex (Sanggen Baipi) [cut into pieces], Armeniacae Semen Amarum (Xingren) [soaked in hot water, skin and pointed end removed, retaining the double kernel, stir-fried with bran until slightly yellow, each 1 liang], Ophiopogonis Radix (Maimendong) [1.5 liang, deprived of heart and roasted], Glycyrrhizae Radix et Rhizoma (Gancao) [0.5 liang, stir-fried until slightly red, cut into small pieces]. The above are processed into coarse powder. Each dose is 5 qian, decocted with one large bowl of water until one-fifth remains. Strain and take warm at any time.
Xingren San (Apricot Kernel Powder) [from *Shenghui Fang*]: Treats febrile disease after eight or nine days, characterized by chest fullness, rapid breathing, cough, and restlessness in sitting or lying. Suitable for use.
Armeniacae Semen Amarum (Xingren) [soaked in hot water, skin and pointed end removed, retaining the double kernel], Asparagi Radix (Tianmendong) [deprived of heart], Rhei Radix et Rhizoma (Chuan Dahuang) [cut into pieces and lightly stir-fried], Aurantii Fructus (Zhiqiao) [stir-fried with bran until slightly yellow, pulp removed], Arecae Pericarpium (Dafupi) [cut into pieces], Farfarae Flos (Kuandonghua) [each 0.5 liang], Morus Albae Cortex (Sanggen Baipi) [cut into pieces], Glycyrrhizae Radix et Rhizoma (Gancao) [stir-fried until slightly red, cut into small pieces], Ephedrae Herba (Mahuang) [deprived of roots and joints, each 3 fen]. The above are processed into powder. Each dose is 5 qian, decocted with one large bowl of water and a pinch of Junci Medulla (Dengxin). Decoct until one-fifth remains. Strain and take warm at any time.
Mutong San (Akebia Stem Powder) [from *Shenghui Fang*]: Treats febrile disease with vexatious fullness in the chest and persistent cough. Suitable for use.
Akebiae Caulis (Mutong) [cut into pieces], Perillae Folium (Zisu Jingye), Polyporus (Chifuling), Fritillariae Bulbus (Beimu) [stir-fried until slightly yellow], Morus Albae Cortex (Sanggen Baipi) [cut into pieces, each 1 liang], Gardeniae Fructus (Zhizi Ren), Cimicifugae Rhizoma (Chuan Shengma), Armeniacae Semen Amarum (Xingren) [soaked in hot water, skin and pointed end removed, retaining the double kernel, stir-fried until slightly red], Aurantii Fructus (Zhiqiao) [stir-fried with bran until slightly yellow, pulp removed, each 3 fen]. The above are processed into powder. Each dose is 5 qian, decocted with one large bowl of water until one-fifth remains. Strain and take warm at any time.