治肺痈咳嗽,脓血咽干,便淋,咳而烦满,心胸甲错,食生豆不腥者,宜此主之。
桔梗(二钱,排脓养血,补内漏) 苇茎(即荻梗,二钱,治肺痈,咳嗽烦满,脓血臭秽)
薏苡仁(二钱,治痈脓血) 橘叶(五片,治肺痈,吐脓血) 柘黄(一钱,治肺痈) 夜合树
皮(一钱,治肺痈,吐浊水) 蛤蚧(炒,一钱,排脓血) 甘草(五分,痿痈,并宜冷) 麦门
冬(二钱,清肺热,止咳嗽,去心) 天门冬(二钱,去皮、心,止咳,清肺热) 紫菀(茸,
钱,止喘悸,疗咳,唾脓血) 升麻(五分,消热肿,解热毒,发散疮痍) 贝母(一钱,止咳
嗽,治肺痈,清脓血) 天花粉(一钱,止渴生津,清肺咳)
上十四味,皆治肺痈之专品,作一剂,水煎食后服。
若日久脓血吐多不愈者,属血虚,加熟地、当归、阿胶,久咳不愈,加五味子。
知母茯苓汤 治肺痿咳嗽,气喘不已,往来寒热,自汗。
知母(去毛,蜜炒,一钱) 茯苓(去皮,一钱) 五味子(二十粒) 人参(五分) 柴胡(
一钱) 甘草(五分) 薄荷(一钱) 阿胶(炒珠,一钱) 桔梗(一钱) 黄芩(蜜炒,一钱)
麦门冬(去心,一钱) 款冬花(八分)
原有白术、半夏、川芎,今摘之。
上十二味,姜引,水煎服。
人参养肺汤 治肺痿咳嗽,多痰有血,午后潮热声嘶。
人参(五分) 阿胶(炒,一钱) 贝母(一钱) 杏仁(去皮,八分) 桔梗(一钱) 茯苓(
去皮,一钱) 桑白皮(蜜炒,一钱) 枳实(土炒,八分) 甘草(五分) 柴胡(一钱) 五味
子(二十粒)
上十一味,作一剂,姜、枣引,水煎食后服。
人参平肺散 治心火克肺,传为肺痿,咳嗽喘呕,痰涎壅盛,胸膈满,咽嗌不利。
人参(五分) 青皮(一钱) 茯苓(一钱) 天门冬(去心、皮,一钱) 陈皮(去白,一钱)
地骨皮(一钱) 甘草(五分) 五味子(二十粒) 知母(去毛,蜜炒,一钱) 桑白皮(蜜炒
,一钱)
上十味,姜引,水煎,食远服。
桔梗汤 治肺痈,咳嗽脓血,咽干多渴,大便难,小便赤涩。
桔梗(一钱) 贝母(二钱) 薏苡仁(二钱) 桑白皮(蜜炒,一钱) 当归(一钱) 枳壳(
土炒,一钱) 栝蒌仁(炒,一钱) 防己(一钱) 黄 (蜜炒,一钱) 甘草(五分) 杏仁(去
皮、尖,八分)
上十二味,姜引,水煎,食后服。
治疗肺痈引起的咳嗽,咳出脓血,咽喉干燥,小便淋沥不畅,咳嗽伴心烦胸满,心胸部位皮肤粗糙如鳞甲交错,食用生豆类不觉得腥味的患者,适宜使用此方作为主方。
桔梗(二钱,具有排脓养血、补益内脏漏损的功效) 苇茎(即荻梗,二钱,治疗肺痈,缓解咳嗽烦满,改善脓血臭秽症状)
薏苡仁(二钱,治疗痈肿化脓及脓血) 橘叶(五片,治疗肺痈,止住吐脓血) 柘黄(一钱,治疗肺痈) 夜合树皮(一钱,治疗肺痈,止住吐出浊水) 蛤蚧(炒制,一钱,排出脓血) 甘草(五分,治疗痿证和痈肿,宜冷服) 麦门冬(二钱,清泄肺热,停止咳嗽,需去心) 天门冬(二钱,去皮和心,止咳,清泄肺热) 紫菀(带茸毛,一钱,平喘定悸,治疗咳嗽,止住唾脓血) 升麻(五分,消除热肿,解热毒,发散疮疡) 贝母(一钱,止咳,治疗肺痈,清理脓血) 天花粉(一钱,止渴生津,清肺止咳)
以上十四味药,都是治疗肺痈的专用药材,作为一剂,用水煎煮,饭后服用。
如果病程日久,咳吐脓血过多且久治不愈,属于血虚,加入熟地黄、当归、阿胶;久咳不愈,加入五味子。
知母茯苓汤 治疗肺痿引起的咳嗽,气喘不止,忽冷忽热,自汗。
知母(去毛,蜜炙,一钱) 茯苓(去皮,一钱) 五味子(二十粒) 人参(五分) 柴胡(一钱) 甘草(五分) 薄荷(一钱) 阿胶(炒成珠状,一钱) 桔梗(一钱) 黄芩(蜜炙,一钱) 麦门冬(去心,一钱) 款冬花(八分)
原方中有白术、半夏、川芎,现已去除。
以上十二味药,用生姜为引,用水煎服。
人参养肺汤 治疗肺痿引起的咳嗽,痰多带血,午后潮热,声音嘶哑。
人参(五分) 阿胶(炒制,一钱) 贝母(一钱) 杏仁(去皮,八分) 桔梗(一钱) 茯苓(去皮,一钱) 桑白皮(蜜炙,一钱) 枳实(土炒,八分) 甘草(五分) 柴胡(一钱) 五味子(二十粒)
以上十一味药,作为一剂,用生姜、大枣为引,用水煎煮,饭后服用。
人参平肺散 治疗心火克制肺金,传变为肺痿,咳嗽气喘呕吐,痰涎壅盛,胸膈胀满,咽喉不利。
人参(五分) 青皮(一钱) 茯苓(一钱) 天门冬(去心、皮,一钱) 陈皮(去白,一钱) 地骨皮(一钱) 甘草(五分) 五味子(二十粒) 知母(去毛,蜜炙,一钱) 桑白皮(蜜炙,一钱)
以上十味药,用生姜为引,用水煎煮,在饭前或饭后较长时间服用(食远服)。
桔梗汤 治疗肺痈,咳嗽咳出脓血,咽喉干燥且口渴多饮,大便困难,小便赤红涩痛。
桔梗(一钱) 贝母(二钱) 薏苡仁(二钱) 桑白皮(蜜炙,一钱) 当归(一钱) 枳壳(土炒,一钱) 栝蒌仁(炒制,一钱) 防己(一钱) 黄芪(蜜炙,一钱) 甘草(五分) 杏仁(去皮、尖,八分)
以上十二味药,用生姜为引,用水煎煮,饭后服用。
Treatment for Lung Abscess (Fei Yong) with cough, expectoration of pus and blood, dry throat, dysuria, cough accompanied by irritability and chest fullness, rough skin over the chest resembling scales, and insensitivity to the fishy smell when eating raw beans is best managed with this principal formula.
Jiegeng (Platycodonis Radix, 2 qian, expels pus, nourishes blood, supplements internal leakage) Weijing (Equiseti Herba, 2 qian, treats Lung Abscess, relieves cough and irritability, improves foul-smelling pus and blood) Yiyiren (Coicis Semen, 2 qian, treats abscesses, suppuration, and pus-blood) Juye (Citri Reticulatae Folium, 5 leaves, treats Lung Abscess, stops vomiting of pus and blood) Zhehuang (Ligni Santali Rubri, 1 qian, treats Lung Abscess) Yehe Shupi (Albiziae Cortex, 1 qian, treats Lung Abscess, stops discharge of turbid water) Hejie (Gekkonis, fried, 1 qian, expels pus and blood) Gancao (Licorice Root, 0.5 qian, treats flaccidity syndrome and carbuncles, preferably taken cold) Maimendong (Ophiopogonis Radix, 2 qian, clears Lung heat, stops cough, heart removed) Tianmendong (Asparagi Radix, 2 qian, peel and heart removed, stops cough, clears Lung heat) Ziwan (Asteris Radix, 1 qian, calms wheezing and palpitations, treats cough, stops expectoration of pus and blood) Shengma (Cimicifugae Rhizoma, 0.5 qian, reduces heat swelling, resolves heat toxicity, disperses sores) Beimu (Fritillariae Bulbus, 1 qian, stops cough, treats Lung Abscess, clears pus and blood) Tianhuafen (Trichosanthis Radix, 1 qian, stops thirst, generates fluids, clears Lung cough)
The above fourteen ingredients are all specific herbs for treating Lung Abscess. Prepare as one dose, decoct in water, and take after meals.
If the disease has persisted for a long time with excessive expectoration of pus and blood that does not heal, it indicates Blood deficiency; add Shudi (Rehmanniae Radix Preparata), Danggui (Angelicae Sinensis Radix), and Ejiao (Colla Corii Asini). If chronic cough persists, add Wuweizi (Schisandrae Fructus).
Zhimu Fuling Tang (Anemarrhenae and Poria Decoction) Treats Lung Flaccidity (Fei Fei) with cough, incessant asthma, alternating chills and fever, and spontaneous sweating.
Zhimu (Anemarrhenae Rhizoma, de-haired, honey-fried, 1 qian) Fuling (Poria, peeled, 1 qian) Wuweizi (Schisandrae Fructus, 20 grains) Renshen (Ginseng Radix, 0.5 qian) Chaihu (Bupleuri Radix, 1 qian) Gancao (Licorice Root, 0.5 qian) Bohe (Menthae Haplocalycis Herba, 1 qian) Ejiao (Colla Corii Asini, fried into beads, 1 qian) Jiegeng (Platycodonis Radix, 1 qian) Huangqin (Scutellariae Radix, honey-fried, 1 qian) Maimendong (Ophiopogonis Radix, heart removed, 1 qian) Kuandonghua (Farfarae Flos, 0.8 qian)
Baizhu (Atractylodis Macrocephalae Rhizoma), Banxia (Pinelliae Rhizoma), and Chuanyxiong (Ligustici Chuanxiong Rhizoma) were originally included but have been removed.
The above twelve ingredients, using fresh ginger as a guide, decoct in water and take.
Renshen Yangfei Tang (Ginseng Nourishing Lung Decoction) Treats Lung Flaccidity with cough, profuse phlegm with blood, afternoon tidal fever, and hoarseness.
Renshen (Ginseng Radix, 0.5 qian) Ejiao (Colla Corii Asini, fried, 1 qian) Beimu (Fritillariae Bulbus, 1 qian) Xingren (Armeniacae Semen Amarum, peeled, 0.8 qian) Jiegeng (Platycodonis Radix, 1 qian) Fuling (Poria, peeled, 1 qian) Sangbaipi (Mori Cortex, honey-fried, 1 qian) Zhishi (Aurantii Fructus Immaturus, earth-fried, 0.8 qian) Gancao (Licorice Root, 0.5 qian) Chaihu (Bupleuri Radix, 1 qian) Wuweizi (Schisandrae Fructus, 20 grains)
The above eleven ingredients, prepared as one dose, using fresh ginger and jujube as guides, decoct in water, and take after meals.
Renshen Pingfei San (Ginseng Leveling Lung Powder) Treats Heart Fire suppressing Lung Metal, progressing to Lung Flaccidity, with cough, asthma, vomiting, abundant salivary phlegm, chest and diaphragm fullness, and difficulty in the throat.
Renshen (Ginseng Radix, 0.5 qian) Qingpi (Citri Reticulatae Pericarpium Viride, 1 qian) Fuling (Poria, 1 qian) Tianmendong (Asparagi Radix, heart and peel removed, 1 qian) Chenpi (Citri Reticulatae Pericarpium, white part removed, 1 qian) Digupi (Lycii Cortex, 1 qian) Gancao (Licorice Root, 0.5 qian) Wuweizi (Schisandrae Fructus, 20 grains) Zhi mu (Anemarrhenae Rhizoma, de-haired, honey-fried, 1 qian) Sangbaipi (Mori Cortex, honey-fried, 1 qian)
The above ten ingredients, using fresh ginger as a guide, decoct in water, and take at a considerable distance from meals.
Jiegeng Tang (Platycodon Decoction) Treats Lung Abscess with cough and expectoration of pus and blood, dry throat with excessive thirst, difficult defecation, and red, scanty, or painful urination.
Jiegeng (Platycodonis Radix, 1 qian) Beimu (Fritillariae Bulbus, 2 qian) Yiyiren (Coicis Semen, 2 qian) Sangbaipi (Mori Cortex, honey-fried, 1 qian) Danggui (Angelicae Sinensis Radix, 1 qian) Zhike (Aurantii Fructus, earth-fried, 1 qian) Gualouren (Trichosanthis Semen, fried, 1 qian) Fangji (Stephaniae Tetrandrae Radix, 1 qian) Huangqi (Astragali Radix, honey-fried, 1 qian) Gancao (Licorice Root, 0.5 qian) Xingren (Armeniacae Semen Amarum, peel and tip removed, 0.8 qian)
The above twelve ingredients, using fresh ginger as a guide, decoct in water, and take after meals.