【伤寒咳嗽之症】头痛身痛,恶寒发热,无汗喘咳,此寒邪咳嗽之症也。
【伤寒咳嗽之因】时令寒邪,外袭皮毛,内入于肺,不得外伸,郁而发热,则肺内生
痰,恶寒无汗,头痛喘咳,而为伤寒咳嗽之症矣。
【伤寒咳嗽之脉】若见浮紧,里未郁热;若见浮洪,肺已郁热;紧而带数,以寒包热
【伤寒咳嗽之治】脉浮紧,寒伤肺,未郁热者,冬月麻黄杏仁汤。若三时,恶寒身热
,前方加石膏、半夏。寒伤肺,郁而变热者,羌防泻白散。三时,寒伤肺者,通用此方。
麻黄杏仁汤
麻黄 杏仁 桔梗 甘草
肺热加石膏,头痛身痛加羌、防。
羌防泻白散
桑白皮 地骨皮 甘草 羌活 柴胡 葛根 防风
有痰加栝蒌、半夏。有热加黄芩、石膏。
【伤湿咳嗽之症】身重身痛,或发热有汗,或面目浮肿,或小便不利,骨节烦疼,气
促咳嗽,此伤湿咳嗽之症也。
【伤湿咳嗽之因】或时行雨湿,或坐卧湿所,或湿衣所侵,肺主皮毛,皮毛受湿,则
身重鼻塞之症作矣。
【伤湿咳嗽之脉】脉多濡软,浮缓风湿,沉紧寒湿,沉数湿热,沉涩湿郁。
【伤湿咳嗽之治】带表症,防风胜湿汤。湿热壅肺,神术泻肺汤。汗后兼利小便,通
苓散。古人有清肺则小便自利,此则利小便,而肺自清也。
防风胜湿汤 家秘治风湿咳嗽。
防风 荆芥 葛根 白芷 桔梗 甘草
神术泻肺汤 家秘治伤湿咳嗽
苍术 石膏 桑皮 地骨皮 桔梗 甘草
通苓散 利湿清肺之方
麦门冬 淡竹叶 车前草 赤茯苓 木通
【伤寒咳嗽的症状】头痛且身体疼痛,怕冷并伴有发热,无汗且出现气喘咳嗽,这是寒邪所致咳嗽的症状。
【伤寒咳嗽的病因】时令的寒邪,从外部侵袭皮毛,向内传入肺脏,无法向外发散,郁结而化热,导致肺内生痰,出现怕冷、无汗、头痛、气喘咳嗽等症状,从而形成伤寒咳嗽。
【伤寒咳嗽的脉象】如果脉象浮紧,说明体内尚未郁积热邪;如果脉象浮洪,说明肺中已经郁积热邪;如果脉象紧中带数,是因为寒邪包裹热邪(寒包热)。
【伤寒咳嗽的治疗】如果脉象浮紧,是寒邪伤肺且未郁积热邪的情况,适用冬季麻黄杏仁汤。如果是春、夏、秋三季,出现怕冷、身体发热,则在前方基础上加入石膏、半夏。如果是寒邪伤肺,郁结而化热的情况,适用羌防泻白散。在三季中,若是寒邪伤肺,通用此方。
麻黄杏仁汤
药材:麻黄、杏仁、桔梗、甘草
若肺热加重,加入石膏;若头痛、身体疼痛,加入羌活、防风。
羌防泻白散
药材:桑白皮、地骨皮、甘草、羌活、柴胡、葛根、防风
若有痰,加入瓜蒌、半夏。若有热,加入黄芩、石膏。
【伤湿咳嗽的症状】身体沉重且疼痛,或者发热且有汗,或者面目浮肿,或者小便不利,骨节烦扰疼痛,气促且咳嗽,这是伤湿所致咳嗽的症状。
【伤湿咳嗽的病因】或者是时行的雨湿之气,或者是坐卧于潮湿之处,或者是被湿衣服侵染。肺主皮毛,皮毛受湿邪侵袭,就会导致身体沉重、鼻塞等症状发作。
【伤湿咳嗽的脉象】脉象多表现为濡软。浮缓脉主风湿,沉紧脉主寒湿,沉数脉主湿热,沉涩脉主湿邪郁滞。
【伤湿咳嗽的治疗】伴有表证的,用防风胜湿汤。湿热壅塞于肺的,用神术泻肺汤。发汗后兼有利小便作用的,用通苓散。古人认为清肺则小便自然通利,这里则是通过利小便,使肺自然清净。
防风胜湿汤 家传秘方治疗风湿咳嗽。
药材:防风、荆芥、葛根、白芷、桔梗、甘草
[Symptoms of Cold Damage Cough] Headache and body pain, aversion to cold with fever, absence of sweating accompanied by panting and coughing; these are the symptoms of cough caused by cold pathogen.
[Etiology of Cold Damage Cough] Seasonal cold pathogen attacks externally from the skin and hair follicles, enters internally into the Lung, fails to disperse outward, becomes stagnant and generates heat, leading to phlegm formation within the Lung. With symptoms of aversion to cold, absence of sweating, headache, panting, and coughing, it constitutes the syndrome of Cold Damage Cough.
[Pulse of Cold Damage Cough] If the pulse is floating and tight, internal heat stagnation has not yet occurred; if the pulse is floating and surging, heat stagnation in the Lung has already occurred; if the pulse is tight with a rapid quality, it indicates "cold wrapping heat" (heat trapped by cold).
[Treatment of Cold Damage Cough] If the pulse is floating and tight, indicating cold injuring the Lung without heat stagnation, use Mahuang Xingren Tang (Ephedra and Apricot Seed Decoction) during winter months. For the other three seasons, if there is aversion to cold and body heat, add Shigao (Gypsum Fibrosum) and Banxia (Pinelliae Rhizoma) to the aforementioned formula. If cold injures the Lung and stagnates transforming into heat, use Qiangfang Xiebai San (Notopterygium and Saposhnikovia Powder for Draining the Lung). For cold injuring the Lung in the other three seasons, this formula is generally applicable.
Mahuang Xingren Tang (Ephedra and Apricot Seed Decoction)
Herbs: Ephedrae Herba (Mahuang), Armeniacae Semen Amarum (Xingren), Platycodonis Radix (Jiegeng), Glycyrrhizae Radix et Rhizoma (Gancao).
If Lung heat increases, add Gypsum Fibrosum (Shigao); if headache and body pain occur, add Notopterygii Radix (Qianghuo) and Saposhnikoviae Radix (Fangfeng).
Qiangfang Xiebai San (Notopterygium and Saposhnikovia Powder for Draining the Lung)
Herbs: Mori Cortex (Sangbaipi), Lycii Cortex (Digupi), Glycyrrhizae Radix et Rhizoma (Gancao), Notopterygii Radix (Qianghuo), Bupleuri Radix (Chaihu), Puerariae Radix (Gegen), Saposhnikoviae Radix (Fangfeng).
If phlegm is present, add Trichosanthis Fructus (Gualou) and Pinelliae Rhizoma (Banxia). If heat is present, add Scutellariae Radix (Huangqin) and Gypsum Fibrosum (Shigao).
[Symptoms of Dampness Injury Cough] Heaviness and pain in the body, or fever with sweating, or edema of the face and eyes, or difficulty in urination, vexing pain in the bone joints, shortness of breath with coughing; these are the symptoms of cough caused by dampness injury.
[Etiology of Dampness Injury Cough] It may be due to seasonal rain and dampness, sitting or lying in damp places, or invasion by damp clothes. The Lung governs the skin and hair follicles; when the skin and hair follicles are invaded by dampness, symptoms such as bodily heaviness and nasal congestion arise.
[Pulse of Dampness Injury Cough] The pulse is mostly soft and slippery (Ru). Floating and slow pulse indicates wind-dampness; deep and tight pulse indicates cold-dampness; deep and rapid pulse indicates damp-heat; deep and choppy pulse indicates dampness stagnation.
[Treatment of Dampness Injury Cough] For cases with exterior symptoms, use Fangfeng Shengshi Tang (Saposhnikovia Decoction for Overcoming Dampness). For damp-heat congesting the Lung, use Shenzhu Xiefei Tang (Atractylodes Decoction for Draining the Lung). After sweating, combined with promoting diuresis, use Tongling San (Tongling Powder). Ancients believed that clearing the Lung would naturally promote urination; here, promoting urination naturally clears the Lung.
Fangfeng Shengshi Tang (Sapothnikovia Decoction for Overcoming Dampness) - Family secret prescription for treating wind-damp cough.
Herbs: Saposhnikoviae Radix (Fangfeng), Schizonepetae Spica (Jingjie), Puerariae Radix (Gegen), Angelicae Dahuricae Radix (Baizhi), Platycodonis Radix (Jiegeng), Glycyrrhizae Radix et Rhizoma (Gancao).
Shenzhu Xiefei Tang (Atractylodes Decoction for Draining the Lung) - Family secret prescription for treating dampness injury cough.
Herbs: Atractylodis Rhizoma (Cangzhu), Gypsum Fibrosum (Shigao), Mori Cortex (Sangpi), Lycii Cortex (Digupi), Platycodonis Radix (Jiegeng), Glycyrrhizae Radix et Rhizoma (Gancao).
Tongling San (Tongling Powder) - Formula for promoting diuresis and clearing the Lung.
Herbs: Ophiopogonis Tuber (Maidong), Lophatheri Herba (Danzhuye), Plantaginis Herba (Cheqiancao), Poria (Chifuling), Akebia Caulis (Mutong).