夫热在上焦。因咳为肺痿。其脉则口寸数。其证则咳而口中有浊唾涎沫。甚者咽中干燥。
盖
方
地黄汤 治肺痿咽燥。咳嗽吐脓血。胸胁胀满短气。羸不思饮食。
生干地黄(切焙) 赤茯苓(去黑皮) 柴胡(去苗各一两) 射干 甘草(炙锉) 麦
门冬
(去心焙各半两) 紫菀(去苗土) 半夏(汤洗七次) 麻黄(去节) 黄芩(去黑皮) 桑
根白皮
(锉) 五味子(各三分) 上捣筛。每服三钱。水一盏。生姜一片。大枣二枚。煎至七分
去滓。
温
天门冬丸 治肺痿咽干烦燥。痰壅咳嗽。小便赤涩。眠卧不安。咽喉肿痛。
天门冬(去心焙一两) 甘草(炙锉一两) 人参(三分) 杏仁(汤浸去皮尖双仁炒
一两)
贝母(去心焙) 五味子 阿胶(炙令燥) 桑根白皮(炙锉各半两) 上为末。炼蜜和丸
如鸡头
大。每服一丸。食后临卧时。温人参汤嚼下。含化。咽液亦得。
地黄紫苏煎 治肺痿喘嗽。涕唾稠粘。咽膈不利。
生地黄(切焙用三两) 生姜(二两与地黄和研绞取汁) 生天门冬(去心半斤) 生
玄参
(一斤) 生麦门冬(去心一斤) 杏仁(去皮尖双仁三两研别入) 紫苏子(炒研二两) 生
牛蒡
(四两细切与玄参至紫苏子四味燥研以水少许拌匀布绞取汁) 上将两等药汁并杏仁和匀。
于
银石器中慢火煎令稍稠。停火入白蜜五两。真酥二两和匀。于饭甑蒸少时。候冷。以净器盛。
每服一小匙。含化。不拘时。日三。一方久服大益心肺。滑润肌肤。补助荣卫。忌生冷、猪
肉。
柴胡汤 治肺痿久嗽不已。四肢烦热。颊赤。咽燥。
柴胡(去苗) 竹茹 桔梗 紫菀(去土) 贝母(去心焙各一两) 诃黎勒皮(一两)
知母
(炒
滓。
温服。日再夜一。
天门冬煎 治肺痿咳嗽吐涎沫。咽燥而渴者。
生天门冬(去心捣汁取) 醇酒(各一升) 紫菀(去土为末四两) 饧糖 上同入银
石器
中。重
热邪位于上焦,因咳嗽而发展为肺痿。其脉象表现为寸部数急。其症状表现为咳嗽且口中吐出浑浊的唾液和涎沫。严重的会出现咽喉干燥。
地黄汤:治疗肺痿引起的咽喉干燥、咳嗽并咳吐脓血、胸胁胀满短气、身体消瘦不想进食。
处方组成:生干地黄(切片焙干)一两,赤茯苓(去除黑皮)一两,柴胡(去除苗)一两,射干半两,甘草(炙后锉碎)半两,麦门冬(去心焙干)半两,紫菀(去除苗土),半夏(用热水清洗七次),麻黄(去除节),黄芩(去除黑皮),桑根白皮(锉碎),五味子(以上各三分)。将上述药材捣碎过筛。每次服用三钱,加水一盏,生姜一片,大枣两枚,煎煮至七分满,滤去药渣。温热服用。
天门冬丸:治疗肺痿引起的咽喉干燥烦躁、痰多壅盛咳嗽、小便赤红涩痛、睡眠不安、咽喉肿痛。
处方组成:天门冬(去心焙干)一两,甘草(炙后锉碎)一两,人参三分,杏仁(热水浸泡去皮尖双仁炒制)一两,贝母(去心焙干),五味子,阿胶(炙至干燥),桑根白皮(炙后锉碎,以上各半两)。将上述药材研为细末,用炼蜜调和制成如鸡头米大小的丸剂。每次服用一丸,饭后及临睡前,用温人参汤送服或嚼服,也可含化,吞咽津液亦可。
地黄紫苏煎:治疗肺痿引起的喘促咳嗽、鼻涕唾液稠粘、咽喉膈部不利。
处方组成:生地黄(切片焙干,用三两),生姜(二两与地黄一起研磨绞取汁液),生天门冬(去心半斤),生玄参(一斤),生麦门冬(去心一斤),杏仁(去皮尖双仁三两,单独研磨另入),紫苏子(炒后研磨二两),生牛蒡(四两细切,与玄参至紫苏子这四味药一起干燥研磨,加少量水拌匀,布绞取汁液)。将上述两种药汁与杏仁混合均匀,放入银石器中用慢火煎至稍稠,停火加入白蜜五两、真酥二两混合均匀,放在饭甑中蒸片刻,待冷却后,用干净的容器盛装。每次服用一小匙,含化,不限时间,每日三次。另一说法认为长期服用对心肺大有益处,能滑润肌肤,补助营卫之气。忌食生冷食物和猪肉。
柴胡汤:治疗肺痿久咳不止、四肢烦热、脸颊发红、咽喉干燥。
处方组成:柴胡(去苗),竹茹,桔梗,紫菀(去土),贝母(去心焙干,以上各一两),诃黎勒皮(一两),知母(炒)。[原文此处缺失部分煎服法描述] 温热服用,每日两次,夜间一次。
天门冬煎:治疗肺痿咳嗽吐涎沫、咽喉干燥且口渴者。
处方组成:生天门冬(去心捣汁取用),醇酒(各一升),紫菀(去土研为末四两),饴糖。[原文此处截断] 一同放入银石器中,重...
Heat pathogen resides in the Upper Jiao (Upper Burner). Due to coughing, it develops into Lung Asthma (Fei Wei, a chronic wasting disease of the lung characterized by dryness and weakness). The pulse is rapid at the Cun (inch) position. The symptoms include coughing with turbid saliva and frothy sputum in the mouth. In severe cases, there is dryness in the throat.
Di Huang Tang (Rehmannia Decoction): Treats Lung Asthma with dry throat, coughing with expectoration of pus and blood, distension and fullness in the chest and hypochondrium, shortness of breath, emaciation, and loss of appetite.
Ingredients: Sheng Gan Di Huang (Radix Rehmanniae Preparata, dried and sliced) 1 liang, Chi Fu Ling (Poria Cocos with black skin removed) 1 liang, Chai Hu (Bupleuri Radix, herbs removed) 1 liang, She Gan (Belamcandae Rhizoma) 0.5 liang, Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed) 0.5 liang, Mai Men Dong (Ophiopogonis Tuber, heart removed and dried) 0.5 liang, Zi Wan (Asteris Radix, herbs and soil removed), Ban Xia (Pinelliae Tuber, washed seven times in hot water), Ma Huang (Ephedrae Herba, joints removed), Huang Qin (Scutellariae Radix, black skin removed), Sang Bai Pi (Mori Cortex, crushed), Wu Wei Zi (Schisandrae Fructus) — each 3 fen.
Preparation: Pound and sieve the ingredients. Take 3 qian per dose, add one zhan of water, one slice of fresh ginger, and two jujubes. Decoct until reduced to 7/10 volume, strain, and drink warm.
Tian Men Dong Wan (Asparagus Pill): Treats Lung Asthma with dry throat and irritability, phlegm obstruction with coughing, red and scanty urine, restlessness during sleep, and sore and swollen throat.
Ingredients: Tian Men Dong (Asparagi Tuber, heart removed and dried) 1 liang, Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed) 1 liang, Ren Shen (Ginseng Radix) 3 fen, Xing Ren (Armeniacae Semen Amarum, soaked in hot water, skin and pointed ends removed, double-kernel, fried) 1 liang, Bei Mu (Fritillariae Bulbus, heart removed and dried), Wu Wei Zi (Schisandrae Fructus), E Jiao (Colla Corii Asini, fried until dry), Sang Bai Pi (Mori Cortex, honey-fried and crushed) — each 0.5 liang.
Preparation: Grind into powder, mix with refined honey to form pills the size of chicken heads. Take one pill after meals and before bedtime, chewed down with warm Ginseng decoction, or allowed to dissolve slowly in the mouth; swallowing saliva is also acceptable.
Di Huang Zi Su Jian (Rehmannia and Perilla Decoction): Treats Lung Asthma with wheezing and coughing, thick and sticky nasal discharge and sputum, and discomfort in the throat and diaphragm.
Ingredients: Sheng Di Huang (Radix Rehmanniae Recens, dried and sliced) 3 liang, Sheng Jiang (Zingiberis Rhizoma Recens) 2 liang (ground together with Di Huang to extract juice), Sheng Tian Men Dong (Asparagi Tuber, heart removed) 0.5 jin, Sheng Xuan Shen (Scrophulariae Radix) 1 jin, Sheng Mai Men Dong (Ophiopogonis Tuber, heart removed) 1 jin, Xing Ren (Armeniacae Semen Amarum, skin and pointed ends removed, double-kernel) 3 liang (ground separately), Zi Su Zi (Perillae Fructus, fried and ground) 2 liang, Sheng Niu Bang (Arctii Fructus) 4 liang (finely chopped, combined with Xuan Shen, Zi Su Zi, and these four dried and ground together, mixed with a little water, squeezed through cloth to extract juice).
Preparation: Mix the two juices with the ground almonds evenly. Slowly decoct in a silver or earthenware vessel until slightly thick. Remove from heat, add 5 liang of white honey and 2 liang of true butter (Su), mix well. Steam in a rice steamer for a short time. Cool and store in a clean container. Take one small spoonful per dose, allow to dissolve slowly in the mouth, at any time, three times daily. Another view states that long-term use greatly benefits the Heart and Lungs, moistens the skin, and supports Ying (Nutrient) and Wei (Defensive) Qi. Avoid cold/raw foods and pork.
Chai Hu Tang (Bupleurum Decoction): Treats Lung Asthma with chronic persistent cough, vexatious heat in the four limbs, flushed cheeks, and dry throat.
Ingredients: Chai Hu (Bupleuri Radix, herbs removed), Zhu Ru (Bambusae Caulis in Taeniam), Jie Geng (Platycodonis Radix), Zi Wan (Asteris Radix, soil removed), Bei Mu (Fritillariae Bulbus, heart removed and dried) — each 1 liang, He Li Le Pi (Terminaliae Chebulae Pericarpium) 1 liang, Zhi Mu (Anemarrhenae Rhizoma, fried). [Note: Original text missing specific preparation instructions here]. Drink warm, twice daily and once at night.
Tian Men Dong Jian (Asparagus Decoction): Treats Lung Asthma with coughing and expectoration of frothy sputum, dry throat, and thirst.
Ingredients: Sheng Tian Men Dong (Asparagi Tuber, heart removed, pounded to extract juice), Chun Jiu (Strong Wine) — each 1 sheng, Zi Wan (Asteris Radix, soil removed, ground into powder) 4 liang, Yi Tang (Saccharum Stipitis Mollis Extract). [Text cuts off]: Combine and place in a silver or earthenware vessel, re-...