(肺属金或受心火刑克肝木亢害则病又外感久则郁热内伤久则火炎并宜清○
有杏胶饮又有三鸡鸣丸皆通治咳喘亦有清肺汤清金汤贝母散黄连阿胶等方此本其法)
治一切
。(长夏火铄金宜清热)燥热。(秋金燥烈之气宜清燥)伤肺咳喘上气。(上气宜苏子杏仁前胡
枳壳等)或酒爆过度邪火伤肺致咳喘者。(用黄连枳实栝蒌青黛○膏皆贴胸口及背心看症加药
○方书云晨咳是食积火流肺宜地骨皮桑皮知母午前多胃火冲肺宜知母贝母栝蒌枳实醋 石膏
午后多阴虚宜四物加麦冬知柏二陈黄昏多火浮于肺宜五倍五味敛而降之风寒郁热夜咳三拗汤
加知母黄芩干咳无痰火郁也久则成痨宜桔梗开之再滋阴降火或用贝母栝蒌青黛姜汁白蜜文中
有擦颈项擦背等方可以仿用口渴气逆者用知母贝母天冬麦冬当归枯芩黑山栀元参化粉桔梗薄
荷沙参甘草之属即清顺汤也带血加紫菀阿胶治火咳火喘不外此○喘当先引其痰宜桔梗栝蒌枳
壳杏仁苏叶前胡热加寒水石石膏水喘宜苏子葶苈肺虚久喘宜炙桑皮五味阿胶阴虚阳无所附而
上奔者四物倍芍药加人参五味收之下之则死○以上皆参用清阳膏清胃膏滋阴膏○一切喘咳劫
药知母贝母各一两巴豆十粒同炒黄加黄连白矾白芨各三钱姜蜜丸安膏上贴或巴豆炒后去之但
借其气更善一用五味五倍芒硝蜜丸安膏上贴同可酌用)衄血。(肺火参清阳膏)消渴。(上消属
肺火宜黄连花粉乌梅)肺胀。(咳而上气烦躁而喘宜敛本草白芍治肺胀又古方有杏仁青黛诃子
肉佐以海粉半夏便香附栝蒌加姜汁白蜜调者可以擦胸背如脉浮心下有水气或欲作风水者用仲
景越婢加半夏汤或小青龙加石膏汤煎抹)肺积。(在右胁咳喘名息贲参用金仙膏)肺痿肺痈。(
心火刑肺喘咳兼唾脓血脉虚为痿实为痈虚用桑皮知母党参黄 地骨皮天冬陈皮甘草青皮五味
姜汁萝卜汁梨汁桔梗紫菀煎抹实用桑皮桔梗栝蒌葶苈子青橘皮汁陈芥菜卤○兼贴清阳膏)咽
喉(肺系)大肠(肺府枳壳能利大肠)诸火症。○贴喉中央(连天突穴)胸口(膻中穴)背后(第三
骨节肺俞)脐上(脾为肺母)脐下(肾为肺子)或患处。○凡用加药者须照医书审症立方之意。
而以文中外治之法运之。则精切而有效。此膏所注亦可例推。
生黄芩(三两) 南薄荷 桑白皮 地骨皮 知母 贝母 天冬 麦冬 连翘 苏子 花
葶苈 芫花(各二两) 桔梗 橘红 郁金 香附 荆穗 枳壳 牛子 山豆根 栝蒌 旋复
花(即金沸草) 苦杏仁 川芎 白芷 马兜铃 前胡 蒲黄 防风 苏梗 青皮 胆南星
己射干 白前 白槟榔 白丑头 款冬花 五倍子 元参 生地 生甘草 忍冬藤 归尾
白芍 赤芍 丹皮 木通 车前子 枳实 黄连 黄柏 黑山栀 白芨 白蔹 大黄 芒
硝木鳖仁 蓖麻仁 山甲(各一两) 滑石(四两) 生姜(连皮) 葱白(各二两) 冬桑叶
白菊花(连根) 槐枝 柳枝 桑枝(各八两) 枇杷叶(四两) 竹叶 柏叶 橘叶(各二两)
凤仙(全株) 百合 莱菔子(各一两) 花椒 乌梅(各五钱)○两共享油二十斤分熬丹收○
再入生石膏(四两) 青黛 海石 蛤粉 硼砂 明矾 真轻粉(各一两) 牛胶(四两酒蒸化
如清阳膏下法)
(肺在五行中属金,若受到心火的克制或肝木的过度侵害就会生病;此外,外感病日久会导致郁热内生,内伤病久则导致火气上炎,这些情况都适宜采用清热的方法。○
有杏胶饮、三鸡鸣丸,这些都是通治咳嗽气喘的方剂;也有清肺汤、清金汤、贝母散、黄连阿胶汤等方子,本文是依据这些方法制定的。)
治疗一切……(长夏时节火气灼伤肺金,适宜清热)燥热。(秋季金气燥烈,适宜清燥)伤肺引起的咳嗽气喘、气逆。(气逆适宜用苏子、杏仁、前胡、枳壳等药)或者是因饮酒过量,邪火伤肺导致咳嗽气喘的。(使用黄连、枳实、栝蒌、青黛○膏药均贴敷于胸口及背心部位,根据症状加减药物○方书中说:早晨咳嗽多是食积或火流注于肺,适宜用地骨皮、桑白皮、知母;午前多因胃火冲肺,适宜用知母、贝母、栝蒌、枳实、醋炒石膏;午后多属阴虚,适宜用四物汤加麦冬、知母、黄柏;黄昏多因火浮于肺,适宜用五倍子、五味子收敛降气;风寒郁热导致的夜间咳嗽,用三拗汤加知母、黄芩;干咳无痰是火郁所致,日久会形成肺痨,适宜用桔梗宣开,再滋阴降火;或者用贝母、栝蒌、青黛、姜汁、白蜜。文中有擦颈项、擦背等方,可以仿照使用。口渴气逆者,用知母、贝母、天冬、麦冬、当归、枯芩、黑山栀、元参化粉,加入桔梗、薄荷、沙参、甘草之类,即清顺汤也。带血者加紫菀、阿胶。治疗火咳、火喘不外乎此范围○对于气喘,应当先引导排出痰液,适宜用桔梗、栝蒌、枳壳、杏仁、苏叶、前胡;热盛加寒水石、石膏;水喘适宜用苏子、葶苈子;肺虚久喘适宜用炙桑白皮、五味子、阿胶;阴虚阳无所依附而上奔者,用四物汤加倍芍药加人参、五味子收敛;如果误用攻下法则会致死○以上皆参考使用清阳膏、清胃膏、滋阴膏○治疗一切喘咳的劫药:知母、贝母各一两,巴豆十粒同炒至黄色,加入黄连、白矾、白芨各三钱,姜蜜为丸,安放在膏药上贴敷;或者巴豆炒后去掉,只借其气味更好;另一种用法是用五味子、五倍子、芒硝蜜丸,安放在膏药上贴敷,也可酌情使用)鼻出血。(肺火参用清阳膏)消渴。(上消属于肺火,适宜用黄连、花粉、乌梅)肺胀。(咳嗽且气逆,烦躁而喘,适宜收敛,本草记载白芍可治肺胀;另外古方有用杏仁、青黛、诃子肉,佐以海粉、半夏、便香附、栝蒌,加姜汁、白蜜调匀的可以擦胸背;如果脉浮、心下有停饮,或者想要发展成风水病的,用张仲景的越婢加半夏汤或小青龙加石膏汤煎煮后涂抹)肺积。(位于右胁部,咳嗽气喘名为息贲,参考使用金仙膏)肺痿和肺痈。(心火刑克肺金,气喘咳嗽兼吐脓血,血脉虚弱者为肺痿,实证为肺痈。虚证用桑白皮、知母、党参、黄芪、地骨皮、天冬、陈皮、甘草、青皮、五味子、姜汁、萝卜汁、梨汁、桔梗、紫菀煎煮涂抹;实证用桑白皮、桔梗、栝蒌、葶苈子、青橘皮汁、陈芥菜卤○兼贴清阳膏)咽喉(肺系)大肠(肺之府邸,枳壳能利大肠)各种火症。○贴敷喉中央(连接天突穴)、胸口(膻中穴)、背后(第三胸椎棘突下的肺俞穴)、脐上(脾为肺之母)、脐下(肾为肺之子)或患处。○凡是用药者,必须依照医书审察病症立方的原则,运用文中的外治法,就能精切而有效。这种膏药的注治方法也可以类推。
生黄芩(三两) 南薄荷 桑白皮 地骨皮 知母 贝母 天冬 麦冬 连翘 苏子 花葶苈 芫花(各二两) 桔梗 橘红 郁金 香附 荆穗 枳壳 牛蒡子 山豆根 栝蒌 旋复花(即金沸草) 苦杏仁 川芎 白芷 马兜铃 前胡 蒲黄 防风 苏梗 青皮 胆南星 射干 白前 白槟榔 白丑头 款冬花 五倍子 元参 生地 生甘草 忍冬藤 归尾 白芍 赤芍 丹皮 木通 车前子 枳实 黄连 黄柏 黑山栀 白芨 白蔹 大黄 芒硝 木鳖仁 蓖麻仁 穿山甲(各一两) 滑石(四两) 生姜(连皮) 葱白(各二两) 冬桑叶 白菊花(连根) 槐枝 柳枝 桑枝(各八两) 枇杷叶(四两) 竹叶 柏叶 橘叶(各二两) 凤仙(全株) 百合 莱菔子(各一两) 花椒 乌梅(各五钱)○每两药材共用油二十斤,分次熬制,滴水成丹后收膏○再加入生石膏(四两) 青黛 海浮石 蛤粉 硼砂 明矾 真轻粉(各一两) 牛胶(四两,酒蒸化,如清阳膏的下法)
(Lung belongs to Metal in the Five Elements. Disease occurs if it is restricted by Heart Fire or overacted upon by Liver Wood. Additionally, prolonged external contraction leads to stagnant heat internally, and prolonged internal injury leads to flaming fire; all these situations are suitable for clearing [heat]. ○
There are Xingjiao Yin (Apricot Glue Drink) and San Jiming Wan (Three Rooster-Crow Pill), which are general treatments for cough and asthma. There are also Qingfei Tang (Lung-Clearing Decoction), Qingjin Tang (Metal-Clearing Decoction), Beimu San (Fritillaria Powder), Huanglian Ejiao Tang (Coptis and Donkey-Hide Gelatin Decoction), etc. This text formulates its methods based on these prescriptions.)
Treats all... (In late summer, Fire scorches Metal, so clearing heat is appropriate) Dryness-Heat. (In autumn, the Qi of Metal is dry and fierce, so clearing dryness is appropriate) Lung-injury causing cough, asthma, and rebellious Qi. (Rebellious Qi is suitable for treating with Su Zi, Xing Ren, Qian Hu, Zhi Ke, etc.) Or cases where excessive alcohol consumption causes pathogenic Fire to injure the Lung, resulting in cough and asthma. (Use Huang Lian, Zhi Shi, Gua Lou, Qing Dai ○ The plaster should be applied to the chest and back, adding/removing herbs according to symptoms ○ Medical texts state: Morning cough is due to food stagnation or Fire flowing into the Lung, suitable for Di Gu Pi, Sang Bai Pi, Zhi Mu; Forenoon cough is often due to Stomach Fire rushing to the Lung, suitable for Zhi Mu, Bei Mu, Gua Lou, Zhi Shi, Vinegar-processed Shi Gao; Afternoon cough is mostly due to Yin deficiency, suitable for Si Wu Tang added with Mai Dong, Zhi Mu, Huang Bo; Dusk cough is due to Fire floating in the Lung, suitable for Wu Bei Zi, Wu Wei Zi to astringe and descend; Night cough due to Wind-Cold and stagnant heat uses San Ao Tang added with Zhi Mu, Huang Qin; Dry cough without sputum indicates Fire stagnation, which may become Lung Lao (consumption) over time, suitable for Jie Geng to open, followed by nourishing Yin and descending Fire; or use Bei Mu, Gua Lou, Qing Dai, Jiang Zhi, Bai Mi. The text contains methods for rubbing the neck and back, which can be imitated. For thirst and rebellious Qi, use Zhi Mu, Bei Mu, Tian Dong, Mai Dong, Dang Gui, Ku Qin, Hei Shan Zhi, Yuan Shen powdered, plus Jie Geng, Bo He, Sha Shen, Gan Cao, etc., which constitutes Qingshun Tang. If blood is present, add Zi Wan, E Jiao. Treating Fire Cough and Fire Asthma does not go beyond this ○ For asthma, one should first guide out the phlegm, suitable for Jie Geng, Gua Lou, Zhi Ke, Xing Ren, Su Ye, Qian Hu; add Han Shui Shi, Shi Gao for heat; for Water Asthma, use Su Zi, Ting Li Zi; for chronic asthma due to Lung deficiency, use Zhi Sang Bai Pi, Wu Wei Zi, E Jiao; for Yin deficiency with Yang having no root and rushing upward, use Si Wu Tang with doubled Shao Yao added with Ren Shen and Wu Wei Zi to astringe; using purgatives would be fatal ○ All the above refer to the use of Qingyang Gao, Qingwei Gao, Ziyin Gao ○ For all types of asthma and cough, "Jie" drugs: Zhi Mu and Bei Mu each 1 liang, Ba Dou 10 grains stir-fried until yellow, added with Huang Lian, Bai Fan, Bai Ji each 3 qian, formed into pills with Ginger and Honey, placed on plaster for application; or stir-fry Ba Dou and remove it, borrowing only its aroma is better; another method uses Wu Wei Zi, Wu Bei Zi, Mang Xiao honey pills placed on plaster for application, which can also be used as appropriate) Epistaxis. (Lung Fire refers to using Qingyang Gao) Xiao Ke (Wasting and Thirsting). (Upper Xiao belongs to Lung Fire, suitable for Huang Lian, Hua Fen, Wu Mei) Fei Zhang (Lung Distension). (Cough with rebellious Qi, irritability and asthma, suitable for astringing; Ben Cao records that Bai Zhi treats Lung Distension; additionally, ancient formulas use Xing Ren, Qing Dai, He Zi Rou, assisted by Hai Fen, Ban Xia, Bian Xiang Fu, Gua Lou, mixed with Jiang Zhi and Bai Mi for rubbing chest and back; if pulse is floating and there is water Qi under the heart, or if Feng Shui is developing, use Zhang Zhongjing's Yuebi Jia Banxia Tang or Xiao Qinglong Jia Shigao Tang decocted and applied) Fei Ji (Lung Accumulation). (Located in the right hypochondrium, cough and asthma named Xi Ben, refer to using Jin Xian Gao) Fei Wei (Lung Flaccidity) and Fei Yong (Lung Abscess). (Heart Fire punishing Lung causes asthma and cough with pus and blood; deficiency of blood vessels leads to Fei Wei, excess leads to Fei Yong. Deficiency type uses Sang Bai Pi, Zhi Mu, Dang Shen, Huang Qi, Di Gu Pi, Tian Dong, Chen Pi, Gan Cao, Qing Pi, Wu Wei Zi, Jiang Zhi, Luo Bo Zhi, Li Zhi, Jie Geng, Zi Wan decocted and applied; Excess type uses Sang Bai Pi, Jie Geng, Gua Lou, Ting Li Zi, Qing Ju Pi Zhi, Chen Jie Cai Lu ○ combined with applying Qingyang Gao) Yan Hou (Throat and Voice Box - Lung Channel) Da Chang (Large Intestine - Mansion of Lung, Zhi Ke can benefit Large Intestine) Various Fire syndromes. ○ Apply to throat center (connecting Tiantu acupoint), chest center (Danzhong acupoint), back (Feishu acupoint at the third thoracic vertebra), above navel (Spleen is Mother of Lung), below navel (Kidney is Child of Lung), or affected area. ○ When adding herbs, one must follow the principle of examining symptoms and prescribing from medical books, and apply the external treatment methods described in the text. This will be precise and effective. The application of this plaster can be inferred by analogy.
Sheng Huang Qin (Raw Scutellaria Root, 3 liang) Nan Bo He (Southern Mint) Sang Bai Pi (Mulberry Root Bark) Di Gu Pi (Dogwood Root Bark) Zhi Mu (Anemarrhena Rhizome) Bei Mu (Fritillaria Bulb) Tian Dong (Asparagus Root) Mai Dong (Ophiopogon Tuber) Lian Qiao (Forsythia Fruit) Su Zi (Perilla Seed) Hua Ting Li (Flowering Lepidium Seed) Yuan Hua (Genkwa Flower) (each 2 liang) Jie Geng (Platycodon Root) Ju Hong (Citrus Reticulata Peel) Yu Jin (Curcuma Aromatica Rhizome) Xiang Fu (Cyperus Rotundus Rhizome) Jing Sui (Schizonepeta Spike) Zhi Ke (Aurantium Fructus Immaturus) Niu Zi (Arctium Fruit) Shan Dou Gen (Sophora Tonkinensis Root) Gua Lou (Trichosanthes Fruit) Xuan Fu Hua (Inula Flower, i.e., Jin Fei Cao) Ku Xing Ren (Bitter Apricot Seed) Chuan Xiong (Ligusticum Rhizome) Bai Zhi (Angelica Dahurica Root) Ma Dou Ling (Aristolochia Root) Qian Hu (Peucedanum Root) Pu Huang (Typha Pollen) Fang Feng (Saposhnikovia Root) Su Geng (Perilla Stem) Qing Pi (Aurantii Fructus Immaturus Pericarpium) Dan Nan Xing (Pinellia Preparata) She Gan (Belamcanda Rhizome) Bai Qian (Cynanchum Stauntonii Rootstock) Bai Bing Lang (Areca Seed) Bai Chou Tou (White Morning Glory Seed) Kuan Dong Hua (Farfara Flower) Wu Bei Zi (Galla Chinensis) Yuan Shen (Scrophularia Root) Sheng Di (Rehmannia Root) Sheng Gan Cao (Raw Licorice Root) Ren Dong Teng (Honeysuckle Stem) Gui Wei (Angelica Sinensis Tail) Bai Shao (White Peony Root) Chi Shao (Red Peony Root) Dan Pi (Moutan Cortex) Mu Tong (Akebia Stem) Che Qian Zi (Plantago Seed) Zhi Shi (Aurantium Fructus Immaturus) Huang Lian (Coptis Rhizome) Huang Bo (Phellodendron Bark) Hei Shan Zhi (Black Gardenia Fruit) Bai Ji (Bletilla Rhizome) Bai Lian (Paeonia Mlokosewitschii Root) Da Huang (Rhubarb Root) Mang Xiao (Mirabilite) Mu Bie Ren (Momordica Seed) Bi Ma Ren (Castor Bean Seed) Shan Jia (Pangolin Scale) (each 1 liang) Hua Shi (Talcum, 4 liang) Sheng Jiang (Fresh Ginger, with skin) Cong Bai (Green Onion White) (each 2 liang) Dong Sang Ye (Winter Mulberry Leaf) Bai Ju Hua (Chrysanthemum Flower, with roots) Huai Zhi (Locust Branch) Liu Zhi (Willow Branch) Sang Zhi (Mulberry Branch) (each 8 liang) Pi Pa Ye (Loquat Leaf, 4 liang) Zhu Ye (Bamboo Leaf) Bai Ye (Biota Top) Ju Ye (Citrus Leaf) (each 2 liang) Feng Xian (Impatiens Whole Plant) Bai He (Lily Bulb) Lai Fu Zi (Radish Seed) (each 1 liang) Hua Jiao (Sichuan Pepper) Wu Mei (Mume Fruit) (each 5 qian) ○ Use 20 jin of oil per liang of herbs, boil in batches, collect when drops form beads ○ Then add Sheng Shi Gao (Raw Gypsum Fibrosum, 4 liang) Qing Dai (Indigo Naturalis) Hai Shi (Floating Limestone) Ge Fen (Clam Shell Powder) Peng Sha (Borax) Ming Fan (Alumen) Zhen Qing Fen (Calomel, each 1 liang) Niu Jiao (Donkey-Hide Gelatin, 4 liang, steamed and melted in wine, as per the method for Qingyang Gao)