夫《经》言风寒湿三气杂至,合而为痹。又日以秋遇此者为皮痹,皮痹不已,复感于邪,
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方
橘皮丸(出《圣济总录》)治肺痹,上下痞塞,不能喘息。
陈橘皮(汤浸去白焙) 桔梗(锉炒) 浓朴(去粗皮姜汁炙) 干姜(炮制) 枳实
(去瓤面炒)
各二两) 荜茇(二
胡(去芦) 防葵 芎 (各一
洗炒各一两半焙干) 大黄(湿纸裹煨
苏子(炒二两) 上为末,炼蜜丸如梧桐
之。
杏仁丸(出《圣济总录》)治肺痹,复感风邪,胸膈胁满急。
杏仁(汤去皮尖双仁炒) 赤茯苓(去黑皮) 防葵(各二两) 桂(去粗皮) 吴茱
萸(洗焙炒)
子(炒) 芍药 枳实(
大,每服十丸,食前温酒下
当归汤(出《圣济总录》)治肺痹上气,闭塞胸中,胁下支满,乍作乍止,
不得饮食,唇干
当归(切焙) 防风(去梢) 黄 (细锉各二两) 柴胡(去节八两) 细辛(去苗
叶) 麻黄(去
(去粗皮三两) 半夏(
盏,姜七片,枣二枚擘开,
五味子汤(出《圣济总录》)治肺痹,上气发咳。
五味子(三两) 紫苏子(炒八两) 麻黄(去根节) 细辛(去苗叶) 紫菀(去苗
土) 黄芩(去
夏(汤洗七次三两) 上
计时候。上气病可单煮紫
紫苏子汤(出《圣济总录》)治肺痹,胸心满塞,上气不止。\x
紫苏子(炒八两) 半夏(汤洗七次五两) 陈橘皮(汤浸去白焙) 桂(去皮各三两)
甘草(炙)
六分,去滓
《黄帝内经》中说,风、寒、湿三种邪气混杂侵袭人体,结合而形成痹证。又说在秋季遇到这种邪气引起的称为皮痹,如果皮痹不愈,再次感受邪气,病邪就会内传。
橘皮丸(出自《圣济总录》):治疗肺痹,症见上下痞塞不通,不能喘息。
药材组成:陈橘皮(用汤浸泡后去掉白色橘络,焙干)、桔梗(切碎炒制)、浓朴(去掉粗皮,用姜汁炙烤)、干姜(炮制)、枳实(去掉瓤,用面粉炒)、荜茇、胡(此处原文可能有缺字或通假,通常指胡椒或类似温里药,依原文保留“胡”)、防葵、芎䓖(各一两半,洗净炒制后焙干)、大黄(用湿纸包裹煨熟)、苏子(炒制,各二两)。以上药物研为细末,用炼蜜制成梧桐子大小的丸剂。每次服用十丸,饭前用温酒送服。
杏仁丸(出自《圣济总录》):治疗肺痹,再次感受风邪,症见胸膈及胁部胀满紧急。
药材组成:杏仁(用汤烫后去掉皮尖,双仁者炒制)、赤茯苓(去掉黑皮)、防葵(各二两)、桂(去掉粗皮)、吴茱萸(洗净焙干炒制)、子(此处原文可能有缺字,结合上下文推测可能为某种子类药材,依原文保留“子”)、芍药、枳实(处理同上)。以上药物制成丸剂,大小如梧桐子大,每次服用十丸,饭前用温酒送服。
当归汤(出自《圣济总录》):治疗肺痹引起的上气逆乱,胸中闭塞,胁下支撑胀满,症状时作时止,无法进食,嘴唇干燥。
药材组成:当归(切片焙干)、防风(去掉梢头)、黄(此处原文可能有缺字,通常为黄芪,依原文保留“黄”)、柴胡(去掉节,八两)、细辛(去掉苗叶)、麻黄(去掉根节)、(此处原文可能有缺字,通常为甘草或其他,依原文保留空缺或根据常见配伍推测,但严格依原文)、半夏(用汤洗七次三两)、(此处原文可能有缺字,通常为生姜等,依原文保留)、五味子(去粗皮三两)。煎煮方法:用水一盏,加入生姜七片,大枣二枚掰开,煎至一定量,去渣取汁。
五味子汤(出自《圣济总录》):治疗肺痹,上气发作咳嗽。
药材组成:五味子(三两)、紫苏子(炒制,八两)、麻黄(去掉根节)、细辛(去掉苗叶)、紫菀(去掉苗土)、黄芩(去掉心)、半夏(用汤洗七次三两)。以上药物合计按时辰煎煮。治疗上气病可以单独煮紫苏子。
紫苏子汤(出自《圣济总录》):治疗肺痹,胸心部位满塞,上气不止。
药材组成:紫苏子(炒制,八两)、半夏(用汤洗七次,五两)、陈橘皮(用汤浸泡去掉白色橘络,焙干)、桂(去掉皮,各三两)、甘草(炙制)。煎煮方法:加水六分,去渣取汁。
The *Classic* (Huangdi Neijing) states that the mixed invasion of wind, cold, and dampness pathogens combines to form Bi syndrome. It further states that contracting this in autumn results in Pi Bi (Skin Bi); if Pi Bi is not resolved and the body is re-exposed to pathogens, the disease may transmit internally.
Jupi Wan (Orange Peel Pill) [from *Shengji Zonglu*]: Treats Fei Bi (Lung Bi), characterized by obstruction and blockage in the upper and lower jiao, and inability to breathe.
Ingredients: Chen Jupi (Tangerine Peel, soaked in water, white pith removed, dried), Jiegeng (Platycodon Root, chopped and stir-fried), Houpo (Magnolia Bark, coarse bark removed, stir-baked with ginger juice), Ganjiang (Dried Ginger, processed), Zhishi (Immature Bitter Orange, placenta removed, stir-fried with flour), Bibai (Long Pepper Fruit), Hu (Pepper, text possibly incomplete), Fangkui (Adenophora Root), Xiongqiong (Sichuan Lovage Rhizome, each 1.5 liang, washed, stir-fried, and dried), Dahuang (Rhubarb Root and Rhizome, wrapped in wet paper and baked), Suzi (Perilla Seed, stir-fried, each 2 liang). Process all ingredients into a fine powder, mix with refined honey to form pills the size of paulownia seeds. Take 10 pills per dose, administered before meals with warm wine.
Xingren Wan (Apricot Kernel Pill) [from *Shengji Zonglu*]: Treats Fei Bi complicated by re-infection with wind pathogens, presenting with distension and tightness in the chest, diaphragm, and hypochondrium.
Ingredients: Xingren (Apricot Seed, blanched, skin and tip removed, double-kernel ones stir-fried), Chifuling (Red Poria, black skin removed), Fangkui (Adenophora Root, each 2 liang), Gui (Cinnamon Twig, coarse bark removed), Wuzhuyu (Evodia Fruit, washed, dried, and stir-fried), Zi (Seed, text possibly incomplete), Shaoyao (Peony Root), Zhishi (Immature Bitter Orange, prepared as above). Form into pills the size of paulownia seeds. Take 10 pills per dose, administered before meals with warm wine.
Danggui Tang (Angelica Decoction) [from *Shengji Zonglu*]: Treats Fei Bi with rebellious Qi ascending, chest oppression, hypochondriac fullness and distension, intermittent symptoms, anorexia, and dry lips.
Ingredients: Danggui (Angelica Sinensis Root, sliced and dried), Fangfeng (Saposhnikovia Root, tips removed), Huang (Astragalus Root, text possibly incomplete, likely Huangqi), Chaihu (Bupleurum Root, joints removed, 8 liang), Xixin (Asarum Root, seedlings and leaves removed), Mahuang (Ephedra Stem, roots and joints removed), Banxia (Pinellia Tuber, washed seven times in water, 3 liang), Wuweizi (Schisandra Fruit, coarse bark removed, 3 liang). Decoct with one cup of water, adding seven slices of Shengjiang (Fresh Ginger) and two broken Zao (Jujube Dates), reduce to the appropriate volume, strain, and take the decoction.
Wuweizi Tang (Schisandra Decoction) [from *Shengji Zonglu*]: Treats Fei Bi with rebellious Qi and cough.
Ingredients: Wuweizi (Schisandra Fruit, 3 liang), Zisu Zi (Perilla Seed, stir-fried, 8 liang), Mahuang (Ephedra Stem, roots and joints removed), Xixin (Asarum Root, seedlings and leaves removed), Ziwan (Aster Root, seedlings and soil removed), Huangqin (Scutellaria Root, heart removed), Banxia (Pinellia Tuber, washed seven times in water, 3 liang). Decoct according to standard timing. For rebellious Qi conditions, Zisu Zi (Perilla Seed) may be decocted alone.
Zisu Zi Tang (Perilla Seed Decoction) [from *Shengji Zonglu*]: Treats Fei Bi with fullness and obstruction in the chest and heart, and persistent rebellious Qi.
Ingredients: Zisu Zi (Perilla Seed, stir-fried, 8 liang), Banxia (Pinellia Tuber, washed seven times in water, 5 liang), Chen Jupi (Tangerine Peel, soaked in water, white pith removed, dried), Gui (Cinnamon Twig, bark removed, each 3 liang), Gancao (Licorice Root, honey-fried). Add six parts water, boil, strain, and take the decoction.