黄 建中汤,加半夏曲、生干姜、五味子同煎,空心吞安肾丸,治肾经虚寒,咳嗽痰唾,面色黧黑,小腹动
气作痛。(《直指》)
真武汤,凡年高气弱久嗽通用,仍间服养正丹(同上)
治肺胃俱虚,咳嗽涎沫,间有血丝,不能食,四味理中汤,浓煎北五味子汤调下。久嗽痰饮去多,肺故虚损,
若用补肺药,反伤脾胃,不如干姜等助脾,使土旺生金,肺气安妥也。(《澹寮》)
加味理中汤,治肺胃俱寒,咳嗽。
人参 白术 干姜(不炒) 甘草(炙) 半夏 茯苓 橘红 细辛 北五味子(等分)
上细锉,每服二钱半,姜枣煎,食前服,曾经解利者通用。(同上)
治冷嗽方,寒嗽痰薄,呷热汤暂止者,宜理中汤加五味子。(《朱氏》)
吾乡沈方伯良臣,患痰嗽,昼夜不能安寝,屡易医,或曰风曰火曰热曰气曰湿,汤药杂投,形羸食减,几
至危殆,其子恳求治于张致和。张脉之,乃曰∶脉沉而濡,湿痰生寒,复用寒凉,脾家所苦,宜用理中汤加附子。
其夜遂得贴枕,徐进调理之剂果安。或曰∶痰证用附子何也?殊不知痰多者,戴原礼常用附子疗治之,出《证治
要诀》。(《续医说》)
乌梅丸,治气血不充,胃中虚寒,遏大便湿热于内而作咳嗽者。盖大肠与肺相为表里,治宜益气血、散胃寒
为主。(《原理》)
治寒嗽如神。
川姜(一两) 人参(半两)
上并为末,溶软饧为丸,如弹子大,每用一丸,含化咽津。(《卫生十全》)
治咳,喉如鼾声为虚,与独参汤一、二服自退,多服数十剂痊愈。(《痰火 门》)
清肺诸方 治热嗽方,热嗽痰浓,鼻热腥气,饮冷水而暂止者,宜以小柴胡汤治之。(《朱氏》)治一
妇人时行感寒咳嗽,遂用小柴胡汤去人参、姜、枣,只加北五味子煎服愈。(《妇人良方》)
清镇丸,治热嗽。
小柴胡汤内,加人参一倍。青黛(半两)
上为细末,面糊丸,如桐子大,每服五十丸,生姜汤下。(《保命集》)《宝鉴》人参清镇丸,治热止咳,
消痰止喘,于本方去大枣,加麦门冬、陈皮、五味子。
黄连解毒汤,治咳而喘急,面赤潮热,脉洪大。(《病机汇论》)
若咳而属胃火有痰,宜竹叶石膏汤。(《内科摘要》)(互见前诸嗽证治中。)
石膏散,治热嗽喘甚者。
石膏(二两) 甘草(半两炙)
上为末,每服三钱,新汲水下,又生姜汁、蜜调下。(《宣明》)《神效名方》加人参半两去芦。
二母宁嗽汤,治因伤酒食,胃火上炎,冲逼肺金,以致咳嗽吐痰,经旬不愈,一服即瘥。
知母(去毛钱半) 贝母(去心钱半) 黄芩(一钱二分) 山栀仁(一钱二分) 石膏(二钱) 桑白皮(一钱)
茯苓(一钱) 栝蒌仁(一钱) 陈皮(一钱) 枳实(七分) 五味子(十粒) 生甘草(三分)
上锉一剂,生姜三片,水煎,临卧时,细细逐口服。(《医鉴》)
清金化痰汤,因火者,咽喉干痛,面赤,鼻出热气,其痰嗽而难出,色黄且浓,或带血丝,或出腥臭。
黄芩 山栀(各一钱半) 桔梗(二钱) 麦门冬(去心) 桑皮 贝母知母 栝蒌仁(炒) 橘红 茯苓(各一
钱) 甘草(四分)
水二钟,煎八分,食后服。如痰带血丝,加天门冬、阿胶各一钱。(《统旨》)《济世全书》清火宁嗽汤,
于本方去山栀、知母、栝蒌仁、橘红,加枳实、前胡。《回春》清肺汤,于本方去知母、栝蒌仁,加当归、天门冬、
杏仁、五味子。
梅青丸,平肺气,止咳嗽,利咽膈,化痰涎。
青黛(二钱半) 半夏(四两汤洗七次) 硝石(三两) 桔梗 天南星(生) 蛤粉(各一两) 白矾
上件捣罗为末,水浸 饼为丸,如豌豆大,每服五、六十丸,食后温生姜汤下。(《御药院方》)(按∶丹
溪治咳嗽声嘶,此血虚火多,用青黛、蛤粉为末,蜜丸含化,盖其所本。俱系本于《医说》引《类编》痰嗽不寐
而脉浮,用蚌粉炒红,拌青黛少许,淡齑水滴麻油数点调服者,宜参阅。)
碧玉丹,治顿嗽无时,连声不已,与食吐出而后止。
白嫩天花粉(六钱) 南星(姜矾牙皂汤煮熟) 九制胆南星(各四钱) 熟石膏(六钱) 青黛(二钱)
冰片(六厘)
共为极细末,白蜜调,每服三、四岁者一钱五分,周岁者钱许。第一服用玄明粉三分,枳壳一分,同白姜、
萝卜汤送下,伤风身热姜汤下,服后仰卧片时,忌食油醋、葱韭、咸辣等物。(《医意商》)(按∶《本草汇言》
引《方脉正宗》治顿呛,用枇杷叶、前胡、防风、薄荷、杏仁、桑皮、蒌仁、桔梗、甘草、升麻,水煎。又有龚
云子方。并宜考。)
豁痰诸方 陷胸汤,专治郁热咳嗽,痰吐不出。(《诸证辨疑》)(按∶此盖小陷胸汤。)
三子养亲汤,治高年咳嗽,气逆痰痞。(《韩氏医通》)(方见《喘》门)
六安煎,治风寒咳嗽,及非风初感,痰滞气逆等证。
陈皮(一钱半) 半夏(二、三钱) 茯苓(二钱) 甘草(一钱) 杏仁(一钱去皮尖切) 白芥子(五、
七分老年气弱者不用)
水一钟半,加生姜三。五、七片,煎七分,食远服。(《景岳》)
二妙丹,治男子妇人因思虑之极,喘满痰涎作声,生姜汁调苏合香丸,仍用二陈汤加枳壳、木香煎,调苏合
香丸,下养正丹五十粒。(梁国佐取效方)(《朱氏》)
泻肺诸方 一人形长色苍瘦,年逾四十,每遇秋凉,病
咳嗽气喘不能卧,春暖即安,病此十余年矣。医用紫苏、薄荷、荆芥、麻黄等以发表,用桑白皮、石膏、滑石、
半夏以疏内,暂虽轻快,不久复作。汪诊之,脉颇洪滑,此内有郁热也。秋凉则皮肤致密,内热不能发泄,故病
作矣。内热者,病本也。今不治其本,乃用发表,徒虚其外,愈不能当风寒,疏内徒耗其津,愈增郁热之势。遂
以三补丸,加大黄酒炒三次、贝母、栝蒌丸服,仍令每年立秋以前,服滚痰丸三、五十粒,病渐向安。(《类
按》)(按∶三补丸系黄芩、黄连、黄柏三味。)
清中含化丸,治咳嗽吐臭痰。
大黄(一两) 石膏(六钱) 薄荷(二钱)
生蜜丸如弹子大,徐徐含化。(《大还》)
《博济方》治大人小儿咳嗽大妙,犀灰散。
巴豆 杏仁(去尖) 半夏(各等分)
上用一合子盛之,以赤石脂闭缝了,用三斤炭火 令透赤,即取出放冷,细研如粉,小儿半字,淡姜汤调
下。大人咳嗽,姜汤下。(《幼幼》)
治诸般嗽疾。
天南星 半夏(各一两各使姜汁浸一宿) 猪牙皂角(去黑皮并子) 杏仁(去皮尖面炒黄) 青黛(各半两)
焰硝(三钱) 巴豆(二十一粒去壳生用)
上一处为末,姜糊丸,如绿豆大,每服七丸,临卧姜汤下,小儿五丸。(《本事续集》)(按∶《宝鉴》透
罗丹,治痰实咳嗽,用皂角、黑牵牛、半夏、大黄、杏仁、巴豆。其意相似,宜参。)
治痰涎壅结,咳嗽咽痛,硝矾丸。
白矾 焰硝(各等分)
上为细末,入锅子内捺实,以生茶叶数片盖之,火 通红,伏火为度,茶叶旋添,直待伏火后,却连锅子
入地坑一宿,取出为细末,糯米粥为丸,如梧桐子大,朱砂为衣,每服三丸,姜汤送下,食后临卧服。(《卫生
家宝》)
收涩方法 治嗽多用粟壳,不必疑,但要先去病根,此乃收后药也,治痢亦同。(《丹溪》)
多年久咳嗽,先嚼哑芙蓉,只用一分许,后即服神功。久年咳嗽用神功,枸杞、苁蓉及款冬,各秤一两分四
剂,苦参减半水煎同。(四味分四剂,水煎服后,用烟筒散熏之,连熏五、六次即愈。)(《云林神彀》)
熏法 《古今录验》疗咳,腹胀,气上不得卧,身体水肿,长孙振熏法。
蜡纸一张,熟艾薄布遍纸上。熏黄(末三分) 款冬花(末二分)
上三味并遍布艾上,着一苇筒卷之,寸别以绳系之,烧下头, 烟,咽之亦可,三十咽, 讫则瘥,欲尽
三剂,一百日断盐醋,日一,每 三寸,三日尽一剂。(《外台》)又崔氏疗久咳不瘥熏法,用款冬花一味。有
人病久嗽,肺虚生寒热,以款冬花焚三、两芽,俟烟出,以笔管吸其烟满口,则咽之,至倦则已。凡数日之间,
五、七作,瘥。(《本事衍义》)久嗽不应,可用熏法,款冬花将蜜拌润焙干,入有嘴壶中烧,吸烟咽之。若
胸中闷,举起头,以指掩定烟,稍间再吸。(《医通》)
灸法 久嗽,最宜灸膏肓穴,其次则宜灸肺俞等穴,各随证治之。若暴嗽则不必灸也。(《资生经》)
治嗽,灸天突穴、肺俞,大泻肺气。(《丹溪》)
黄建中汤,加入半夏曲、生干姜、五味子一同煎煮,空腹服用安肾丸,治疗肾经虚寒引起的咳嗽痰多,面色黧黑,小腹有动气且疼痛。(出自《直指方》)
真武汤(真武汤),凡是年老体弱、长期咳嗽者通用,同时间歇服用养正丹(同上)。
治疗肺胃俱虚,咳嗽伴有涎沫,偶尔带血丝,不能进食的情况,用四味理中汤,用浓煎的北五味子汤送服。长期咳嗽导致痰饮排出过多,肺部因此虚损,如果使用补肺药,反而会损伤脾胃,不如用干姜等药物辅助脾土,使土气旺盛从而滋生肺气(培土生金),这样肺气才能安稳。(出自《澹寮方》)
加味理中汤,治疗肺胃俱寒引起的咳嗽。
人参、白术、干姜(不炒)、甘草(炙)、半夏、茯苓、橘红、细辛、北五味子(各等分)。
以上药材切碎,每次服用二钱半,加生姜、大枣煎煮,饭前服用,曾经经过发散解表治疗过的患者通用。(同上)
治疗冷嗽(寒性咳嗽)的方子,寒性咳嗽痰液稀薄,喝热汤能暂时缓解的,适宜用理中汤加五味子。(出自《朱氏集验方》)
我同乡沈良臣方伯,患有痰嗽,昼夜无法安睡,多次更换医生,有的说是风,有的说是火,有的说是热,有的说是气滞,有的说是湿邪,汤药杂乱投用,导致身体消瘦、食欲减退,几乎危及生命。他的儿子恳求张致和治疗。张致和诊脉后说:“脉象沉而濡软,这是湿痰生寒,又用了寒凉药物,伤害了脾脏,应当使用理中汤加附子。”当天晚上他就能够贴枕安睡了,随后慢慢进服调理的药物,果然痊愈。有人问:“痰证为什么要用附子?”殊不知痰多的情况,戴原礼常用附子来治疗,这出自《证治要诀》。(出自《续医说》)
乌梅丸,治疗气血不足,胃中虚寒,遏制大肠湿热于内而引发的咳嗽。因为大肠与肺互为表里,治疗应以补益气血、散除胃寒为主。(出自《医学原理》)
治疗寒嗽如神效。
川姜(一两)、人参(半两)。
以上研为细末,用融化的麦芽糖制成丸剂,如弹子大小,每次取一丸,含在口中化咽津液。(出自《卫生十全方》)
治疗咳嗽,喉咙发出像打鼾一样的声音属于虚证,服用独参汤一到两剂自然消退,多服几十剂可痊愈。(出自《痰火门》)
清肺各类方剂 治疗热嗽方,热嗽痰液浓稠,鼻中有热气腥臭味,喝冷水能暂时缓解的,适宜用小柴胡汤治疗。(出自《朱氏集验方》)治疗一位妇人时行感寒咳嗽,于是用小柴胡汤去掉人参、生姜、大枣,只加北五味子煎服而愈。(出自《妇人大全良方》)
清镇丸,治疗热嗽。
在小柴胡汤基础上,人参用量加倍。青黛(半两)。
以上研为细末,用面糊制成丸剂,如梧桐子大小,每次服用五十丸,生姜汤送下。(出自《保命集》)《宝鉴》中的人参清镇丸,治疗热咳止咳,消痰止喘,在本方基础上去掉大枣,加麦门冬、陈皮、五味子。
黄连解毒汤,治疗咳嗽且气喘急促,面部发红,潮热,脉象洪大。(出自《病机汇论》)
如果咳嗽属于胃火且有痰,适宜用竹叶石膏汤。(出自《内科摘要》)(参见前文诸嗽证治中。)
石膏散,治疗热嗽气喘严重的。
石膏(二两)、甘草(半两,炙)。
以上研为细末,每次服用三钱,新汲水送下,也可以用生姜汁、蜂蜜调服。(出自《宣明论方》)《神效名方》中加入人参半两,去芦头。
二母宁嗽汤,治疗因饮酒饮食不当,胃火上炎,冲逼肺金,以致咳嗽吐痰,持续十多天不愈,服用一剂即好转。
知母(去毛,半钱)、贝母(去心,半钱)、黄芩(一钱二分)、山栀仁(一钱二分)、石膏(二钱)、桑白皮(一钱)、茯苓(一钱)、栝蒌仁(一钱)、陈皮(一钱)、枳实(七分)、五味子(十粒)、生甘草(三分)。
以上锉成一剂,加生姜三片,水煎,临睡前细细分次口服。(出自《医鉴》)
清金化痰汤,因火邪所致,咽喉干痛,面部发红,鼻孔出热气,痰嗽难以咳出,痰色黄且浓稠,或带血丝,或气味腥臭。
黄芩、山栀(各一钱半)、桔梗(二钱)、麦门冬(去心)、桑白皮、贝母、知母、栝蒌仁(炒)、橘红、茯苓(各一钱)、甘草(四分)。
水两钟,煎至八分,饭后服用。如果痰中带血丝,加天门冬、阿胶各一钱。(出自《统旨方》)《济世全书》中的清火宁嗽汤,在本方基础上去掉山栀、知母、栝蒌仁、橘红,加枳实、前胡。《回春》中的清肺汤,在本方基础上去掉知母、栝蒌仁,加当归、天门冬、杏仁、五味子。
梅青丸,平降肺气,停止咳嗽,利咽膈,化痰涎。
青黛(二钱半)、半夏(四两,汤洗七次)、硝石(三两)、桔梗、天南星(生)、蛤粉(各一两)、白矾。
以上捣碎过筛为细末,用水浸透的饼屑制成丸剂,如豌豆大小,每次服用五六十丸,饭后温生姜汤送下。(出自《御药院方》)(按:丹溪治疗咳嗽声嘶,认为是血虚火旺,用青黛、蛤粉为末,蜜丸含化,大概以此为本。都源于《医说》引用的《类编》中痰嗽不寐而脉浮,用蚌粉炒红,拌少许青黛,淡齑水滴几滴麻油调服的方法,宜参阅。)
碧玉丹,治疗顿嗽(百日咳样症状)无定时,连声不断,直到吐出食物后才停止。
白嫩天花粉(六钱)、南星(姜、矾、牙皂汤煮熟)、九制胆南星(各四钱)、熟石膏(六钱)、青黛(二钱)、冰片(六厘)。
共研为极细末,用白蜜调和,每次服用量:三四岁儿童一钱五分,周岁婴儿约一钱。第一服用玄明粉三分,枳壳一分,同白姜、萝卜汤送下;伤风身热用姜汤送下;服药后仰卧片刻,忌食油醋、葱韭、咸辣等物。(出自《医意商》)(按:《本草汇言》引用《方脉正宗》治疗顿呛,用枇杷叶、前胡、防风、薄荷、杏仁、桑白皮、蒌仁、桔梗、甘草、升麻,水煎。还有龚云子的方子。并宜考证。)
豁痰各类方剂 陷胸汤,专门治疗郁热咳嗽,痰吐不出来。(出自《诸证辨疑》)(按:这大概是小陷胸汤。)
三子养亲汤,治疗老年人咳嗽,气逆痰痞。(出自《韩氏医通》)(方见《喘》门)
六安煎,治疗风寒咳嗽,以及非风初感,痰滞气逆等证候。
陈皮(一钱半)、半夏(二、三钱)、茯苓(二钱)、甘草(一钱)、杏仁(一钱,去皮尖切)、白芥子(五、七分,老年气弱者不用)。
水一钟半,加生姜三、五、七片,煎至七分,饭后远时服用。(出自《景岳全书》)
二妙丹,治疗男女因思虑过度,喘满痰涎作声,用生姜汁调服苏合香丸,仍用二陈汤加枳壳、木香煎煮,调服苏合香丸,再下养正丹五十粒。(梁国佐取效方)(出自《朱氏集验方》)
泻肺各类方剂 一人形体修长、肤色苍瘦,年过四十,每逢秋凉,便患咳嗽气喘不能卧倒,春暖则平安,得此病十余年了。医生用紫苏、薄荷、荆芥、麻黄等发表,用桑白皮、石膏、滑石、半夏以疏内,暂时虽然轻快,不久又发作。汪医生诊断,脉象颇洪滑,这是内有郁热。秋凉则皮肤致密,内热不能发泄,所以病发作了。内热是病的根本。现在不治其本,反而用发表药,徒然虚其外表,更不耐受风寒;疏内药徒然耗损津液,更增加郁热的势头。于是用三补丸,加大黄酒炒三次、贝母、栝蒌制成丸剂服用,仍令每年立秋以前,服用滚痰丸三、五十粒,病情逐渐安定。(出自《类案》)(按:三补丸系黄芩、黄连、黄柏三味。)
清中含化丸,治疗咳嗽吐臭痰。
大黄(一两)、石膏(六钱)、薄荷(二钱)。
生蜜制成如弹子大小的丸剂,徐徐含化。(出自《大还指南》)
《博济方》治疗大人小儿咳嗽大妙,犀灰散。
巴豆、杏仁(去尖)、半夏(各等分)。
以上放在一个盒子里,用赤石脂封住缝隙,用三斤炭火煅烧至通红,取出放冷,细研如粉,小儿用半字量,淡姜汤调下。大人咳嗽,姜汤送下。(出自《幼幼新书》)
治疗各种咳嗽疾病。
天南星、半夏(各一两,分别用姜汁浸泡一夜)、猪牙皂角(去黑皮及子)、杏仁(去皮尖,面炒黄)、青黛(各半两)、焰硝(三钱)、巴豆(二十一粒,去壳生用)。
以上一处研为细末,姜糊制成丸剂,如绿豆大小,每次服用七丸,临卧时用姜汤送下,小儿五丸。(出自《本事方续集》)(按:《宝鉴》中的透罗丹,治疗痰实咳嗽,用皂角、黑牵牛、半夏、大黄、杏仁、巴豆。其意相似,宜参考。)
治疗痰涎壅结,咳嗽咽痛,硝矾丸。
白矾、焰硝(各等分)。
以上研为细末,放入锅子内捺实,上面盖几片生茶叶,用火煅烧至通红,控制火力为度,茶叶随时添加,直待伏火后,连同锅子埋入地坑一夜,取出研为细末,糯米粥制成丸剂,如梧桐子大小,朱砂为衣,每次服用三丸,姜汤送下,饭后临卧时服用。(出自《卫生家宝方》)
收涩方法 治疗咳嗽多用粟壳(罂粟壳),不必怀疑,但要先去除病根,这是收涩后的药物,治疗痢疾也相同。(出自《丹溪心法》)
多年久咳嗽,先嚼哑芙蓉,只用一分左右,然后服用神功散。长年咳嗽用神功散,枸杞、肉苁蓉及款冬花,各称一两分为四剂,苦参减半,水煎同服。(四味分四剂,水煎服后,用烟筒散熏之,连熏五、六次即愈。)(出自《云林神彀》)
熏法 《古今录验》治疗咳嗽,腹胀,气上不得卧,身体水肿,长孙振熏法。
蜡纸一张,熟艾铺在纸上。熏黄(末三分)、款冬花(末二分)。
以上三味并遍布在艾上,用苇管卷起来,寸寸用绳子系好,烧下端,吸入烟气,咽下也可以,三十咽,完毕则病愈,欲尽三剂,一百日断盐醋,每日一剂,每剂三寸,三日尽一剂。(出自《外台秘要》)又崔氏治疗久咳不愈的熏法,只用一味款冬花。有人患久嗽,肺虚生寒热,用款冬花焚烧三、两芽,等烟出来,用笔管吸其烟满口,则咽之,到疲倦为止。凡数日之间,做五、七次,病愈。(出自《本事方衍义》)久嗽不应,可用熏法,款冬花将蜜拌润焙干,放入有嘴壶中烧,吸烟咽之。若胸中闷,举起头,用手指掩定烟口,稍停再吸。(出自《医宗必读》)
Huangjian Zhongtang (Yellow Cinnamon Twig Decoction), added with Banxiaqu (Pinellia Paste), Sheng Ganjiang (Raw Dried Ginger), and Wuweizi (Schisandra Berry), decocted together. Swallow Anshen Wan (Kidney-Nourishing Pill) on an empty stomach to treat cough with sputum, dark complexion, and qi movement pain in the lower abdomen caused by deficiency-cold of the Kidney channel. (From *Zhizhi Fang*)
Zhenwu Tang (True Warrior Decoction) is generally applicable for elderly individuals with weak constitution and chronic cough. Intermittently take Yangzheng Dan (Righteousness-Nourishing Pill) (ibid.).
Treating deficiency of both Lung and Stomach, cough with saliva and foam, occasional blood streaks, and inability to eat. Take Siwei Lizhong Tang (Four-Ingredient Spleen-Regulating Decoction), taken down with thickly decocted Bei Wuweizi (North Schisandra) decoction. In cases of chronic cough where excessive phlegm-fluid has been expelled, the Lung becomes deficient. Using Lung-tonifying herbs may damage the Spleen and Stomach; it is better to use herbs like Ganjiang (Dried Ginger) to assist the Spleen, thereby strengthening Earth to generate Metal (Spleen to nourish Lung), ensuring the Lung Qi is stable. (From *Danliao Fang*)
Jiawei Lizhong Tang (Modified Spleen-Regulating Decoction) treats cough due to cold in both Lung and Stomach.
Renshen (Ginseng Root), Baizhu (Atractylodes Rhizome), Ganjiang (Dried Ginger, not stir-fried), Gancao (Licorice Root, honey-fried), Banxia (Pinellia Tuber), Fuling (Poria), Juhong (Tangerine Red Peel), Xixin (Asarum), Bei Wuweizi (North Schisandra Berry) [equal parts].
Finely chop the above. Take 2.5 qian per dose, decoct with Shengjiang (Fresh Ginger) and Dazao (Jujube). Take before meals. Universally applicable for those who have previously undergone dispersing treatments. (Ibid.)
Formula for Cold Cough: For cold cough with thin sputum, temporarily relieved by drinking hot water, Lizhong Tang (Spleen-Regulating Decoction) added with Wuweizi (Schisandra Berry) is suitable. (From *Zhu Shi Ji Yan Fang*)
My fellow townsman Shen Liangchen suffered from phlegm-cough, unable to sleep day or night. After changing doctors repeatedly, diagnoses ranged from Wind, Fire, Heat, Qi stagnation, to Dampness, leading to chaotic herbal prescriptions. His condition deteriorated to emaciation and loss of appetite, nearly fatal. His son pleaded for treatment from Zhang Zhihe. Zhang palpated the pulse and said: "The pulse is deep and soggy, indicating damp-phlegm generating cold. The use of cold-cooling herbs has harmed the Spleen. One should use Lizhong Tang (Spleen-Regulating Decoction) added with Fuzi (Prepared Aconite Root)." That night he slept peacefully, and subsequent conditioning remedies brought recovery. Some asked: "Why use Fuzi for phlegm?" It is unknown that Dai Yuanli often used Fuzi to treat excessive phlegm, as stated in *Zhengzhi Yaojue*. (From *Xu Yi Shuo*)
Wumei Wan (Mume Pill) treats cough caused by insufficient Qi and Blood, deficiency-cold in the Stomach, which traps damp-heat in the Large Intestine internally. Since the Large Intestine and Lung are exterior-interior partners, treatment should focus on tonifying Qi and Blood and dispersing Stomach cold. (From *Yuanli*)
Miraculous cure for Cold Cough.
Chuanjiang (River Ginger, 1 liang), Renshen (Ginseng Root, 0.5 liang).
Grind into fine powder, mix with melted malt sugar to form pills the size of a bullet. Take one pill at a time, dissolve in mouth and swallow saliva. (From *Weisheng Shiquan*)
Treating Cough: Hoarse sounds like snoring indicate deficiency. Take Dushen Tang (Single Ginseng Decoction) one or two doses for spontaneous relief; taking dozens of doses leads to complete recovery. (From *Tan Huo Men*)
Clearing Lung Formulas: Formula for Hot Cough. For hot cough with thick sputum, nasal heat and fishy odor, temporarily relieved by drinking cold water, Xiaochaihu Tang (Minor Bupleurum Decoction) is suitable. (From *Zhu Shi Ji Yan Fang*). Treating a woman with epidemic cold-induced cough, Xiaochaihu Tang (Minor Bupleurum Decoction) was used, removing Renshen (Ginseng Root), Shengjiang (Fresh Ginger), and Dazao (Jujube), adding only Bei Wuweizi (North Schisandra Berry), decocted and taken to cure. (From *Furen Liangfang*)
Qingzhen Wan (Clearing and Settling Pill) treats hot cough.
In Xiaochaihu Tang (Minor Bupleurum Decoction), double the amount of Renshen (Ginseng Root). Qingdai (Indigo Naturalis, 0.5 liang).
Grind into fine powder, bind with wheat paste to form pills the size of sesame seeds. Take 50 pills per dose, wash down with Shengjiang (Fresh Ginger) decoction. (From *Baoming Ji*). *Baojian*'s Renshen Qingzhen Wan (Ginseng Clearing and Settling Pill) treats hot cough, stops cough, resolves phlegm, and relieves wheezing. Remove Dazao (Jujube) from this formula, add Maidong (Ophiopogon Tuber), Chenpi (Aged Tangerine Peel), and Wuweizi (Schisandra Berry).
Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity) treats cough with panting and urgency, red face, tidal fever, and surging-large pulse. (From *Bingji Huilun*)
If cough is due to Stomach fire with phlegm, Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) is suitable. (From *Neike Yaoyuan*) (See previous cough syndromes and treatments.)
Shigao San (Gypsum Powder) treats severe hot cough with wheezing.
Shigao (Gypsum Fibrosum, 2 liang), Gancao (Licorice Root, 0.5 liang, honey-fried).
Grind into powder. Take 3 qian per dose, wash down with fresh well water, or mix with Shengjiang juice (Fresh Ginger juice) and honey. (From *Xuanming Lun*) *Shenxiao Mingfang* adds Renshen (Ginseng Root) 0.5 liang, removing the rhizome node.
Ermu Ningsou Tang (Two Mothers' Calming Cough Decoction) treats cough and expectoration lasting over ten days due to alcohol and food injury causing Stomach fire to flare upward and harass the Lung Metal. One dose brings improvement.
Zhimu (Anemarrhena Rhizome, de-haired, 0.5 qian), Beimu (Fritillaria Bulb, de-core, 0.5 qian), Huangqin (Scutellaria Root, 1.2 qian), Shanzhiren (Gardenia Seed, 1.2 qian), Shigao (Gypsum Fibrosum, 2 qian), Sangbaipi (Mulberry Root Bark, 1 qian), Fuling (Poria, 1 qian), Gualouren (Trichosanthes Seed, 1 qian), Chenpi (Aged Tangerine Peel, 1 qian), Zhishi (Immature Bitter Orange, 0.7 qian), Wuweizi (Schisandra Berry, 10 grains), Sheng Gancao (Raw Licorice Root, 0.3 qian).
Cut into one dose, add three slices of Shengjiang (Fresh Ginger), decoct in water. Sip slowly before bed. (From *Yijian*)
Qingjin Huatan Tang (Clearing Metal and Resolving Phlegm Decoction) for fire-induced symptoms: dry and painful throat, red face, hot air from nose, difficult expectoration of yellow and thick sputum, possibly with blood streaks or foul odor.
Huangqin (Scutellaria Root), Shanzhi (Gardenia Fruit) [each 1.5 qian], Jiegeng (Platycodon Root, 2 qian), Maidong (Ophiopogon Tuber, de-core), Sangpi (Mulberry Root Bark), Beimu (Fritillaria Bulb), Zhimu (Anemarrhena Rhizome), Gualouren (Trichosanthes Seed, stir-fried), Juhong (Tangerine Red Peel), Fuling (Poria) [each 1 qian], Gancao (Licorice Root, 0.4 qian).
Decoct 2 zhong of water to 0.8 zhong. Take after meals. If sputum contains blood streaks, add Tianmendong (Asparagus Tuber) and Ejiao (Donkey-hide Gelatin) each 1 qian. (From *Tongzhi Fang*). *Jishi Quanshu*'s Qinghuo Ningsou Tang (Clearing Fire and Calming Cough Decoction) removes Shanzhi (Gardenia Fruit), Zhimu (Anemarrhena Rhizome), Gualouren (Trichosanthes Seed), and Juhong (Tangerine Red Peel) from this formula, adding Zhishi (Immature Bitter Orange) and Qianhu (Peucedanum Root). *Huichun*'s Qingfei Tang (Clearing Lung Decoction) removes Zhimu (Anemarrhena Rhizome) and Gualouren (Trichosanthes Seed), adding Danggui (Angelica Sinensis), Tianmendong (Asparagus Tuber), Xingren (Apricot Seed), and Wuweizi (Schisandra Berry).
Meiqing Wan (Plum and Indigo Pill) pacifies Lung Qi, stops cough, benefits throat and diaphragm, resolves phlegm-saliva.
Qingdai (Indigo Naturalis, 2.5 qian), Banxia (Pinellia Tuber, 4 liang, washed seven times in boiling water), Xiaoshi (Niter), Jiegeng (Platycodon Root), Tiannanxing (Arisaema Rhizome, raw), Ge Fen (Clam Shell Powder) [each 1 liang], Bai Fan (Alum).
Pound and sieve into fine powder. Soak in water, bind with biscuit dough to form pills the size of pea seeds. Take 50-60 pills per dose, wash down with warm Shengjiang (Fresh Ginger) decoction after meals. (From *Yuyao Yuanfang*) (Note: Danxi treated hoarse cough due to blood deficiency and hyperactive fire using Qingdai (Indigo Naturalis) and Ge Fen (Clam Shell Powder) ground into powder, bound with honey for sucking. This likely originates from here. All derive from *Yi Shuo* citing *Leibian*: for phlegm-cough with insomnia and floating pulse, use clam shell powder stir-fried red, mixed with a little Qingdai (Indigo Naturalis), diluted vinegar water, and a few drops of sesame oil. Refer to this.)
Biyu Dan (Jasper Pill) treats paroxysmal cough without fixed timing, continuous barking until vomiting occurs, then stopping.
Baitianhua Fen (Trichosanthes Root, tender white, 6 qian), Nanxing (Arisaema Rhizome, cooked in ginger-alum-toothpick soap decoction), Jiuzhi Dantanxing (Nine-Processed Gall-Arisaema) [each 4 qian], Shu Shigao (Calcined Gypsum, 6 qian), Qingdai (Indigo Naturalis, 2 qian), Bingpian (Borneol, 6 li).
Grind into extremely fine powder. Mix with white honey. Dosage: 1.5 qian for 3-4 year olds, approx. 1 qian for 1-year-olds. First dose: take 0.3 qian Xuanningfen (Mirabilite) and 0.1 qian Zhike (Immature Bitter Orange) together with white ginger-radish decoction. For wind-cold with fever, take with ginger decoction. Lie supine for a moment after taking. Avoid oil, vinegar, scallion, leek, salty, and spicy foods. (From *Yiyi Shang*) (Note: *Bencao Huiyan* cites *Fangmai Zhengzong* treating pertussis with Pipaye (Loquat Leaf), Qianhu (Peucedanum Root), Fangfeng (Saposhnikovia Root), Bohe (Mint), Xingren (Apricot Seed), Sangpi (Mulberry Root Bark), Louren (Trichosanthes Seed), Jiegeng (Platycodon Root), Gancao (Licorice Root), Shengma (Cimicifuga Rhizome), decocted in water. There is also Gong Yunzi's formula. Investigate these.)
Resolving Phlegm Formulas: Xiantang Tang (Depression-Chest Decoction) specifically treats stagnant-heat cough with inability to expectorate phlegm. (From *Zhuzheng Bianyi*) (Note: This is likely Xiao Xiantang Tang (Minor Depression-Chest Decoction).)
Sanzi Yangqin Tang (Three Seeds Nourishing the Elderly Decoction) treats cough in the elderly with rebellious Qi and phlegm-fullness. (From *Han Shi Yi Tong*) (Formula seen in *Chuan* section)
Liu'an Jian (Six-Safe Decoction) treats wind-cold cough, initial non-stroke external contraction, phlegm-stagnation, and rebellious Qi.
Chenpi (Aged Tangerine Peel, 1.5 qian), Banxia (Pinellia Tuber, 2-3 qian), Fuling (Poria, 2 qian), Gancao (Licorice Root, 1 qian), Xingren (Apricot Seed, 1 qian, de-husked, de-pitted, cut), Baijiezi (White Mustard Seed, 0.5-0.7 qian, omit for elderly with weak Qi).
Decoct 1.5 zhong of water with 3-5-7 slices of Shengjiang (Fresh Ginger) to 0.7 zhong. Take far from meals. (From *Jingyue Quanshu*)
Er Miao Dan (Two Wonders Pill) treats men and women suffering from extreme worry, panting, fullness, and noisy phlegm-saliva. Wash Suhe Xiang Wan (Styrax Pill) with Shengjiang juice (Fresh Ginger juice). Also decoct Erchen Tang (Two-Chen Decoction) with Zhike (Immature Bitter Orange) and Muxiang (Costus Root), wash Suhe Xiang Wan (Styrax Pill) with it, then take 50 pills of Yangzheng Dan (Righteousness-Nourishing Pill). (Liang Guozuo's Effective Formula) (From *Zhu Shi Ji Yan Fang*)
Draining Lung Formulas: A person, tall, dark-skinned, and thin, over forty years old, suffers from cough and wheezing every autumn cool, unable to lie down, recovering in spring warmth. This has persisted for over ten years. Doctors used Zisu (Perilla Leaf), Bohe (Mint), Jingjie (Schizonepeta), Mahuang (Ephedra) to release the exterior, and Sangbaipi (Mulberry Root Bark), Shigao (Gypsum Fibrosum), Huashi (Talcum), Banxia (Pinellia Tuber) to drain the interior. Although temporarily relieved, it recurred soon. Dr. Wang diagnosed a surging-slippery pulse, indicating internal stagnant heat. Autumn coolness makes skin dense, preventing internal heat from venting, thus triggering illness. Internal heat is the root. Treating the root now, instead using exterior-releasing herbs merely empties the exterior, making one more susceptible to wind-cold; draining interior herbs merely consume fluids, increasing stagnant heat. Thus, Sanbu Wan (Three-Yellow Pill) was used, adding Da Huang (Rhubarb Rhizome, wine-fried three times), Beimu (Fritillaria Bulb), and Gualou (Trichosanthes Fruit) as pills. He was also instructed to take Tun Tan Wan (Rolling Phlegm Pill) 30-50 pills before Liqiu (Start of Autumn) annually. The condition gradually stabilized. (From *Lei An*) (Note: Sanbu Wan (Three-Yellow Pill) consists of Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark).)
Qingzhong Hanhua Wan (Clearing Center Dissolving Pill) treats cough with foul-smelling sputum.
Da Huang (Rhubarb Rhizome, 1 liang), Shigao (Gypsum Fibrosum, 6 qian), Bohe (Mint, 2 qian).
Form pills the size of bullets with raw honey. Slowly suck and dissolve. (From *Da Hai*)
*Boji Fang* treats adult and pediatric cough excellently: Xihui San (Rhino Ash Powder).
Badou (Croton Seed), Xingren (Apricot Seed, de-pitted), Banxia (Pinellia Tuber) [equal parts].
Place in a small container, seal seams with Chishizhi (Red Halloysite). Roast over 3 jin of charcoal fire until red-hot. Remove, cool, grind to fine powder. Pediatric dose: half zi (approx. 0.1-0.2 g), wash down with light ginger decoction. Adult cough: wash down with ginger decoction. (From *Youyou Xinshu*)
Treating various cough diseases.
Tiannanxing (Arisaema Rhizome), Banxia (Pinellia Tuber) [each 1 liang, soaked overnight in ginger juice], Zhuya Zaojiao (Toothpick Soap Pod, de-black skin and seeds), Xingren (Apricot Seed, de-husked, de-pitted, stir-fried in flour until yellow), Qingdai (Indigo Naturalis) [each 0.5 liang], Yanxiao (Saltpeter, 3 qian), Badou (Croton Seed, 21 grains, de-husked, raw).
Grind all together into powder. Bind with ginger paste to form pills the size of mung beans. Take 7 pills per dose, wash down with ginger decoction before bed. Pediatric dose: 5 pills. (From *Benshi Fang Xuji*) (Note: *Baojian*'s Tuoluo Dan (Penetrating Mesh Pill) treats phlegm-excess cough using Zaojiao (Soap Pod), Heiqian Niu (Black Morning Glory Seed), Banxia (Pinellia Tuber), Da Huang (Rhubarb Rhizome), Xingren (Apricot Seed), Badou (Croton Seed). Similar intent, refer to it.)
Treating phlegm-saliva congestion, cough, and sore throat: Xiaofan Wan (Alum-Niter Pill).
Baifan (Alum), Yanxiao (Saltpeter) [equal parts].
Grind into fine powder, press firmly into a pot. Cover with several fresh tea leaves. Roast until red-hot, controlling fire. Add tea leaves as needed until fire subsides. Then bury the pot in a pit overnight. Remove, grind to fine powder. Bind with rice porridge to form pills the size of paulownia seeds. Coat with Zhusha (Cinnabar). Take 3 pills per dose, wash down with ginger decoction. Take after meals and before bed. (From *Weisheng Jiabao*)
Astringent Methods: Treating cough often uses Suké (Poppy Shell). Do not doubt, but remove the disease root first; this is a post-treatment astringent. Same for dysentery. (From *Danxi Xinfa*)
For long-term chronic cough, first chew Yafurong (Silken Cotton Tree Flower), only about 1 fen. Then take Shengong San (Divine Merit Powder). For long-standing cough, use Shengong San: Gouqi (Goji Berry), Congrong (Cistanche Stem), Kuaodong (Winter Flower) each 1 liang, divided into four doses. Kushen (Sophora Root) halved. Decoct in water. (Take four ingredients divided into four doses, decoct in water. After taking, fumigate with Yantong San (Smoke Tube Powder). Fumigate 5-6 times consecutively for cure.) (From *Yunlin Shengou*)
Fumigation Method: *Gujin Lu Yan* treats cough, abdominal distension, Qi rebellion preventing lying down, body edema. Changsun Zhen's fumigation method.
One sheet of wax paper, spread cooked Aiye (Mugwort Leaf) thinly on it. Xunhuang (Realgar, 3 fen powder), Kuaodonghua (Winter Flower, 2 fen powder).
Spread the three ingredients evenly on the mugwort. Roll tightly in a reed tube, tying each inch with string. Burn the lower end. Inhale the smoke; swallowing is also acceptable. Thirty swallows, then the disease heals. To finish three doses, abstain from salt and vinegar for 100 days, one dose daily. Each dose is 3 cun long, finishing one dose in three days. (From *Waitai Mi Yao*) Cui Shi's fumigation method for chronic cough: use only Kuaodonghua (Winter Flower). Someone with chronic cough, Lung deficiency generating cold-heat, burned 3-2 sprigs of Kuaodonghua (Winter Flower). When smoke appeared, inhaled through a brush tube until the mouth was full, then swallowed. Stop when tired. Do this 5-7 times over several days for cure. (From *Benshi Fang Yanyi*) For unresponsive chronic cough, fumigation can be used. Mix Kuaodonghua (Winter Flower) with honey, moisten and bake dry. Place in a spouted pot, burn, inhale smoke and swallow. If chest feels stuffy, raise head, block smoke with finger, pause, then inhale again. (From *Yizong Bidu*)
Moxibustion Method: For chronic cough, moxa on Gaohuang (BL43) is most suitable, followed by Feishu (BL13) and other points, treating according to syndrome. Acute cough does not require moxibustion. (From *Zisheng Jing*)
Treating cough, moxa Tiantu (CV22) and Feishu (BL13), strongly draining Lung Qi. (From *Danxi Xinfa*)