丹溪云∶痈疽发于内者，肺痈、肝痈、肾痈、肠痈、囊内痈、附骨痈，惟肺痈须先解
表，今表而出之。
《千金》咳唾脓血，其脉数实者，为肺痈。若口中咳，即胸中隐痛，脉反滑数，此肺痈
也。问曰∶病者咳逆，何以知其肺痈，当有脓血，吐之则死，其脉何如？曰∶寸脉微而
数，微为风，数为热，微则汗出，数则恶寒，风中于卫，呼气不入，热逼于荣，吸气不出，
风伤皮毛，热伤血脉，风舍于卫，其人则咳，口干喘满，咽燥不渴，多吐浊沫。时时振寒，
热之所过，血为凝滞，蓄结痈脓，吐如米粥，始萌可救，脓成则死。问曰∶振寒发热，寸
脉滑数，其人饮食起居如故，此为痈肿。医反不知，以伤寒治之，不应。何以知有脓，脓
之所在，何以别知其处？师曰∶假令脓在胸中者，为肺痈，其脉数，咳吐有脓血。设脓
未成，其脉自数。紧去但数，为脓已成也。
〔薛〕 夫肺者五脏之华盖也，处于胸中，主于气，候于皮毛，劳伤气血，腠理不密，外
邪所乘，内感于肺；或入房过度，肾水亏损，虚火上炎；或醇酒炙爆，辛辣浓味，熏蒸于
肺；或咳唾痰涎，汗下过度，重亡津液之所致也。其候恶风咳嗽，鼻塞项强，胸胁胀满，
呼吸不利，咽燥作渴，甚则四肢微肿，咳唾脓血。若吐痰臭浊，脓血腥秽，胸中隐隐微
痛，右手寸口脉数而实者，为肺疽。若唾涎沫而无脓，脉数而虚者，为肺痿也。若咳嗽
喘急者，小青龙汤。咳嗽胸胀者，葶苈大枣泻肺汤。咳脓腥浊者，桔梗汤。咳喘短气，或
小便短少者，佐以参 补肺汤。体倦食少者，佐以参术补脾汤。咳唾痰壅者，肾虚水泛也，
六味地黄丸。口干咽燥者，虚火上炎也，加减八味丸。此症皆因脾土亏损，不能生肺金，
肺金不能生肾水，故始萌则可救，脓成则多死。若脉微紧而数者，未有脓也。紧甚而数
者，已有脓也。《内经》曰∶血热则肉败，荣卫不行，必将为脓。大凡肺疮咳唾脓血，久
久如粳米粥者难治。若唾脓而不止者，亦不可治也。其呕脓而自止者自愈。其脉短而涩
者自痊。面色当白而反赤者，此火之克金，皆不可治。苟能补脾肺，滋肾水，庶有生者。但
恐专攻其疮，脾胃益虚，鲜有不误者矣。
丹溪治一少妇，胸膺间，溃一窍，脓血与口中所咳相应而出，以参 、当归，加退
热排脓等药而愈。一云∶此因肺痿所致。项彦章治一人，病胸膈壅满，昏不知人，项以
杏仁、薏苡之剂，灌之立苏；继以升麻、桔梗、黄 ，消其脓，服之逾月瘳。项所以知
其病者，以阳明脉浮滑，阴脉不足也，浮为火而滑为血聚，始由风伤肺，故结聚客于肺，
阴脉之不足，则过于宣逐也，诸气本乎肺，肺气治则出入易，菀陈除，故行其肺气而病自
己。汪石山治一妇，年近三十，形色瘦白，素时或咳嗽一两声，月水或前或后，夏月取凉，
遂咳甚不能伏枕者月余，嗽痰中或带血，或兼脓，嗽急则吐食。医用芩连、二陈不效，复
用参 等补药病重。汪视左脉浮滑，右脉稍弱而滑，幼伤手腕，掌不能伸，右脉似难凭
矣。乃以左脉验之，恐妊兼肺痈也。遂以清肺泄肺之剂进之，三服而能着枕，痰不吐，脓
不咯，惟时或恶阻。汪曰∶此妊之常病也，教用薏苡仁、白术、茯苓、麦冬、黄芩、阿胶
煎服，病减。月余复为诊脉，皆稍缓而浮，曰∶
热已减矣，但吐红太多，未免伤胃，教用四君子加陈皮、黄芩、枳壳，煎服调理。妊至
六月，食鸡病作，却鸡而愈。至九月病又复作，声哑，令服童便犹安。汪曰∶产后病除，
乃是佳兆，病若复作，非吾所知。月足而产，脾胃病作加泄，竟不救。薛立斋治一儒者，患
肺痈，鼻流清涕，咳唾脓血，胸膈作胀，此风邪外伤也。先用消风散加乱发灰二服而鼻
利，又用四君加芎归，及桔梗汤而愈。后因劳役，咳嗽吐脓，小便滴沥，面色黄白，此
脾土不能生肺金，肺金不能生肾水也。用补中益气汤、六味地黄丸而愈。一儒者，原素
善饮，咳脓项强，皮肤不泽，此脾肺气虚，外邪所乘而成肺痈也。先用桔梗汤，后用人参
补肺汤而痊。一男子，咳唾痰脓，胸腹膨胀，两寸与右关脉皆洪数，此火不能生土，而土
不能生金也。用桔梗汤为主，佐以补中益气汤而愈，一人不时咳嗽，作渴自汗，发热便
数，自用清肺降火，理气渗利之剂，服之反小便不通，面目赤色，唇裂痰壅，脾肺肾三
脉浮大，按之而数，此足三阴亏损，不能相生，当滋化源，否则成痈矣。不信，仍用分
利之药，后果患肺痈，余用桔梗汤，及六味丸而愈。一男子面赤吐脓，发热作渴，烦躁
引饮，脉洪数而无伦次，先用加减八味丸加麦门，大剂一服，热渴顿止即熟睡。良久觉
而神爽索食，再剂诸症顿减，仍用前药更以人参五钱，麦门二钱五分，五味二钱，水煎
代茶饮，日一剂月余而安。此证面赤者，当补肺肾；面白者，当补脾肺，治者验之。一
妇，素血虚发热咳嗽，或用痰火之剂后，吐脓血面赤，脉数甚，势甚危，此脓成而血气
虚也，余用八珍汤以补元气，用桔梗汤以治肺症，脉症渐愈。一妇感冒风寒，或用发表
之剂，反咳嗽喘急，饮食少思，胸膈不利，大便不通，右寸关脉浮数，欲用通利之剂。余
曰∶此因脾土亏损，不能生肺金，若更利之，复耗津液，必患肺痈矣。不信，仍利之，虚
证悉至，后果吐脓。予朝用益气汤，夕用桔梗汤各数剂，吐脓渐止。又朝仍用前汤，夕
用十全大补汤，各五十余剂，喜其善调理获愈。一妇咳嗽吐痰，胸膈作痛，右寸关浮滑，
项下牵强，此脾胃积热成痰，非痈患也，以二陈汤加山栀、白术、桔梗，治之而痊。一
妇素血虚内热，时咳甲辰孟冬，两尺浮洪。余曰∶当防患肺症。丙午孟春，果咳嗽，左右
寸脉洪数，此心火刑克肺金而成肺痈也，脓已成矣，夏令可忧。余用壮水健脾之剂稍愈，
彼不慎调摄，果殁于仲夏。
小青龙汤 治肺受风寒，咳嗽喘急。
半夏（汤泡七次，二两半） 干姜（炮） 细辛 麻黄（去节） 肉桂 芍药 甘草（炙，各三两） 五
味子（蜜拌、炒，二两）
上每服五钱，姜水煎服。
葶苈大枣泻肺汤 治肺痈，喘不得卧。
葶苈（炒黄，研细，丸如弹大） 大枣（十二枚）
水三升，入枣先煮取二升。去枣入葶苈，又煮一升，顿服之。又曰∶治肺痈胸满胀，一
身并面目浮肿，鼻塞清涕出，不知香臭酸辛，咳逆上气，喘鸣迫塞，用前方三日一剂，可
至三四剂，须先与小青龙汤一剂，乃与之。
桔梗汤 治咳而胸满振寒，脉数咽干，不渴，时出浊唾腥臭，久久吐脓如粥者，肺痈
也。
桔梗 甘草（炙，各一两）
用水三升，煮取一升，去滓，分温再服，则吐脓血也。亦治喉痹。《三因》甘草倍之，
每四钱名四圣散。《千金》亦名桔梗汤，用桔梗三两，甘草二两，服后必吐脓血。
苇茎汤 治肺痈。又云∶一本，治咳有微热烦满，心胸甲错。
苇茎（三升，切） 薏苡仁（半升） 冬瓜仁（半升） 桃仁（五十枚，去皮）
用水一斗，先煮苇茎得五升，去滓，入诸仁煮取二升，分温五服，当吐如粥。（《千
金》云∶肺痈当吐脓血。苇茎即汀洲间，芦荻之粗种也。）
加味消风散 治吐脓血，如肺痈状，口
臭，他方不应者，宜消风散，入男子发灰，研细入和之，清米饮下，可除根，只两服。亦
治吐血。（消风散方∶荆芥、川芎、羌活、人参、茯苓、僵蚕、防风、藿香、蝉蜕各二钱，浓朴、陈皮各
半两，为末是也。）
韦宙独行方 治心胸甲错为肺痈，黄昏汤主之。
用夜合皮，掌大一片。水三升，煮取二升，分再服。（夜合树按∶《本草》即乌农树也。）
上肺痈证治要略，以小青龙汤先与一剂，乃行气取脓之药，将以解表之风寒邪气，此
治肿疡之例也，后以韦宙方终之者，将以补里之阴气，此治溃疡之例也。（以上六方，皆丹溪
所集。）
如圣丸（梅师） 治风热毒瓦斯上攻，咽喉痛痹，肿塞妨闷，及肺痈喘嗽唾脓血，胸满振
寒，咽干不渴，时出浊沫，气臭腥秽，久久咯脓，状如米粥。
樟脑（另研） 牛黄（另研） 桔梗 甘草（生用，各一钱）
为细末，炼蜜丸，每两作二十丸，每用一丸，噙化。
济生桔梗汤 治肺痈心胸气塞，咳嗽脓血，心神烦闷，咽干多渴，两足肿满，小便
赤黄，大便多涩。用桔梗、贝母、川归、栝蒌仁、枳壳、薏苡仁、桑白皮、防风，以上
各一两；生甘草、杏仁、蒸百合，各半两，黄 一两半。上修事 咀。每服四钱，水一碗
半，生姜五片。煎至八分，去滓服。若大便秘加大黄，小便秘加木通。
仲景桔梗白散 治咳而胸满振寒，脉数，咽干不渴，时出浊唾腥臭，久久吐脓如米粥
者，为肺痈。
桔梗 贝母（各三分） 巴豆（去皮，炒研如脂，一分）
上三味为散。强人饮服半钱匕，羸者减之。病在膈上者，吐脓血，膈下者泻出。若
下多不止，饮冷水一碗则定。（此亦要略方，丹溪不删采用之者，必有微意存焉。）
肺痈，《医垒元戎》搜风汤吐之。
牡丹散（《本事》） 治肺痈吐脓血作臭，胸乳间皆痛。
牡丹皮 赤芍药 地榆 苦梗 薏苡仁 川升麻 黄芩 生甘草（各一钱半）
上作一服，水二盅，煎至一盅，食远服。一方，无黄芩，加生姜煎，名升麻汤。
如金解毒散 治肺痈。
桔梗（一钱） 甘草（一钱半） 黄连（炒） 黄芩（炒） 黄柏（炒） 山栀（炒，各七分）
作一剂。水二盅，煎八分，作十余次呷之，勿急服。
〔薛〕 按∶此方乃降火解毒之剂也，发热烦渴，脉洪大者，用之俱效，若脉数咳痰
腥臭，或唾脓瘀，宜用桔梗汤。大抵肺痈之证，肺脉洪大，或吐脓不止者难治。脓自止，
脉短涩者自愈。面赤火克金也不治。
桔梗汤 治男妇咳而胸膈隐痛，两脚肿满，咽干口燥，烦闷多渴，时出浊唾腥臭，名
曰肺痈，小便赤黄，大便多涩。
桔梗 贝母 当归（酒浸） 栝蒌仁 枳壳（麸炒） 薏苡仁（微炒） 桑白皮 防己（去粗皮）
甘草节（各一两） 百合（蒸） 黄 （各一两半） 北五味子 甜葶苈 地骨皮 知母 杏仁（各半两）
上锉碎。每服四钱，水一盏半，生姜三片，煎七分，不拘时温服。咳者加百药煎，热
加黄芩，大便不利加煨大黄少许，小便涩甚加木通、车前子煎，烦燥加白茅根煎。咳而
疼甚，加人参、白芷煎。
四顺汤 治肺痈吐脓，五心烦热，壅闷咳嗽。
贝母（去心） 紫菀（去苗土） 桔梗（炒，各一两） 甘草（炙、锉，半两）
上捣筛。每服三钱，水一盏，煎五七沸，去滓，不拘时稍冷服。如咳嗽甚，加去皮尖、
杏仁三枚同煎，小儿量减。
治肺痈方
上用薏苡米为末，糯米饮调下，或入粥内煮吃亦可。一方，用水煎服，当下脓血便
愈。
泻白散 治肺痈。
桑白皮（炒，二钱） 地骨皮 甘草（炙） 贝母（去心） 紫菀 桔梗（炒） 当归（酒拌，各一钱） 栝
蒌仁（一钱半）
作一剂。水一盅，姜三片，煎八分，食远服。
〔薛〕 按∶此方乃泻肺邪消毒之剂也。若喘咳唾痰沫，肺脉浮数者，用之有效。如
脉大发热作渴，宜用解毒散解之，而后用此剂。其或唾脓之际宜排脓，如唾脓后及脉将
安宜补肺，初起胸膈胀满，喘急咳嗽，宜发散表邪。
济主排脓汤 治肺痈得吐脓后，以此排脓补肺。生绵黄 二两，细末。每二钱，水
一碗，煎五分服。肺痈收敛疮口，上有合欢树皮、白蔹，煎汤饮之。
排脓散 治肺痈吐脓后，宜服此补肺。
黄 （盐水，拌炒） 白芷 五味子（炒、杵） 人参（各等分）
为细末。每服三钱，食后，蜜汤调下。
宁肺汤 治咳嗽唾脓自汗，上气喘急，用此补肺及治荣卫俱虚，发热自汗。
人参 当归（酒拌） 白术 熟地黄 川芎 白芍药 甘草（炙） 五味子（捣） 麦门冬（去心）
桑白皮（炙） 阿胶（蛤粉炒，各一钱） 白茯苓（一钱）
作一剂。水二盅，姜三片，煎八分，食后服。
人参补肺汤 治肺症咳喘短气，或肾水不足，虚火上炎，痰涎涌盛，或吐脓血，发
热作渴，小便短涩。
人参 黄 白术 茯苓 陈皮 当归（各一钱） 山茱萸肉 山药（各二钱） 麦门冬（七分）
甘草（炙） 五味子（各五分） 熟地黄（自制，一钱半） 牡丹皮（八分）
上姜枣，水煎服。
人参平肺散 治心火克肺，传为疽痿，咳嗽喘呕，痰涎壅盛，胸膈痞满，咽嗌不利。若
因肝木太过而致，当补肺。若因肾水不足而患，当补脾肺。若因心火旺而自病，当利小
便。
人参 陈皮 甘草 地骨皮 茯苓（各一钱） 知母（炒，七分） 五味子（杵、炒，四分） 青皮
天门冬（去心，各五分） 桑白皮（炒，一钱）
上水煎服。
参 补脾汤 治肺疽脾气亏损，久咳吐脓涎，或中满不食，必服此药，补脾土以生
肺金，否则不治。
朱丹溪说：发生在体内的痈疽，包括肺痈、肝痈、肾痈、肠痈、阴囊内痈、附骨痈，只有肺痈需要先解除表邪，现在将其从体表发散出来。
《千金方》记载：咳嗽吐脓血，脉象数而实有力的，是肺痈。如果口中咳嗽，随即胸中隐痛，脉象反而滑数，这是肺痈。问：病人咳逆，怎么知道是肺痈？应当有脓血，吐出后就会死亡吗？它的脉象如何？答：寸脉微而数，微主风邪，数主热邪，脉微则汗出，脉数则恶寒。风邪伤及卫分，呼气不能入内；热邪逼迫营分，吸气不能外出。风邪损伤皮毛，热邪损伤血脉。风邪留舍于卫分，人就会咳嗽，口干、气喘胸闷，咽干但不想喝水，多吐出浑浊的泡沫。时常发冷颤抖，热邪经过的地方，血液凝滞，蓄积结聚成痈脓，吐出的像米粥一样。病初起时可救治，脓已成则难治（或致死）。问：发冷发热，寸脉滑数，病人的饮食起居如常，这是痈肿。医生不知道，用治疗伤寒的方法治疗，无效。怎么知道里面有脓？脓在什么位置？怎么辨别它的位置？老师说：假如脓在胸中，就是肺痈，脉数，咳嗽吐出脓血。假设脓未形成，脉自然数。紧脉消失仅见数脉，说明脓已成。
薛己按：肺是五脏的华盖，位于胸中，主管气，外候于皮毛。劳倦损伤气血，腠理不紧密，外邪乘虚而入，内感于肺；或者房事过度，肾水亏损，虚火上炎；或者饮用烈酒、食用炙烤爆炒及辛辣浓味食物，熏蒸肺部；或者咳嗽吐痰涎，发汗或攻下过度，严重耗伤津液所致。其症状表现为怕风咳嗽，鼻塞项强，胸胁胀满，呼吸不利，咽干作渴，严重时四肢轻微肿胀，咳唾脓血。如果吐出的痰臭浊，脓血腥秽，胸中隐隐微痛，右手寸口脉数而实有力，这是肺疽。如果唾出涎沫而没有脓，脉数而虚，这是肺痿。如果咳嗽喘急，用小青龙汤。咳嗽胸胀，用葶苈大枣泻肺汤。咳出脓腥浊物，用桔梗汤。咳喘短气，或者小便短少，佐以人参补肺汤。身体疲倦、食量减少，佐以参术补脾汤。咳唾痰壅盛，是肾虚水泛，用六味地黄丸。口干咽燥，是虚火上炎，用加减八味丸。这些病症都是因为脾土亏损，不能生养肺金，肺金不能生养肾水，所以病初起时可救，脓成则大多死亡。如果脉微紧而数，是没有脓。紧脉很甚且数，是有脓了。《内经》说：血热则肌肉败坏，营卫运行不畅，必将化为脓。大凡肺疮咳唾脓血，久久像粳米粥一样的难治。如果唾脓不止，也不可治。如果呕脓而自行停止，会自愈。脉短而涩的会痊愈。面色应当白而反赤的，这是火克金，都不可治。如果能补脾肺，滋肾水，或许还有生机。只怕专门攻伐疮毒，脾胃更加虚弱，很少有不误事的。
丹溪治疗一位少妇，胸膺间溃破一个孔窍，脓血与口中咳出的相应而出，用人参、当归，加入退热排脓等药而痊愈。另一人说：这是因为肺痿引起的。项彦章治疗一人，病证胸膈壅满，昏迷不知人事，项彦章用杏仁、薏苡仁的药剂灌服，立刻苏醒；接着用升麻、桔梗、黄芪，消除其脓，服用一个多月痊愈。项彦章之所以知道他的病，是因为阳明脉浮滑，阴脉不足。浮为火，滑为血聚，起初由风邪伤肺，所以结聚客居于肺。阴脉不足，则过于宣散逐邪。诸气本源于肺，肺气调理则出入容易，郁积陈腐得以去除，所以行其肺气而病自然痊愈。汪石山治疗一妇人，年近三十，形体瘦弱色白，平时偶尔咳嗽一两声，月经或提前或推后，夏天贪凉，于是咳嗽严重到不能伏枕一个月多月，嗽痰中有时带血，有时兼有脓，咳嗽剧烈则呕吐食物。医生用黄芩、黄连、二陈汤无效，又用人参等补药，病情加重。汪石山诊察左脉浮滑，右脉稍弱而滑，幼年手腕受伤，手掌不能伸直，右脉似乎难以凭信。于是以左脉来验证，恐怕是妊娠兼肺痈。于是用清肺泄肺的药剂进服，三服后能着枕，痰不吐，脓不咯，只是偶尔有妊娠反应。汪石山说：这是妊娠的常见病，教她用薏苡仁、白术、茯苓、麦冬、黄芩、阿胶煎服，病情减轻。一个多月后再诊脉，都稍微缓和而浮，说：热已经减轻了，但是吐血太多，难免损伤胃气，教用四君子汤加陈皮、黄芩、枳壳，煎服调理。妊娠到六月，吃鸡肉病发作，停吃鸡肉而愈。到九月病又复发，声音嘶哑，令服童便仍然安稳。汪石山说：产后病除，乃是好兆头，病若再发，就不是我所知了。足月生产，脾胃病发作加上腹泻，最终没能救活。薛立斋治疗一位儒者，患肺痈，鼻流清涕，咳唾脓血，胸膈作胀，这是风邪外伤。先用消风散加乱发灰两服而鼻窍通利，又用四君子汤加川芎、当归，以及桔梗汤而痊愈。后来因为劳累，咳嗽吐脓，小便滴沥，面色黄白，这是脾土不能生肺金，肺金不能生肾水。用补中益气汤、六味地黄丸而痊愈。一位儒者，原本素来喜欢饮酒，咳脓项强，皮肤无光泽，这是脾肺气虚，外邪乘虚而成肺痈。先用桔梗汤，后用参补肺汤而痊愈。一男子，咳唾痰脓，胸腹膨胀，两手寸脉与右关脉皆洪数，这是火不能生土，而土不能生金。用桔梗汤为主，佐以补中益气汤而痊愈。一人不时咳嗽，口渴自汗，发热便数，自己用清肺降火、理气渗利的药剂，服用后反而小便不通，面目赤色，唇裂痰壅，脾肺肾三脉浮大，按之而数，这是足三阴亏损，不能相生，应当滋生化之源，否则将成痈。不信，仍用分利之药，后果患肺痈，我用桔梗汤，及六味地黄丸而痊愈。一男子面赤吐脓，发热作渴，烦躁引饮，脉洪数而无伦次，先用加减八味丸加麦门冬，大剂一服，热渴顿止即熟睡。许久醒来精神清爽索食，再剂诸症顿减，仍用前药更以人参五钱，麦门冬二钱五分，五味子二钱，水煎代茶饮，每日一剂，月余而安。此证面赤者，当补肺肾；面白者，当补脾肺，医者验之。一妇人，素来血虚发热咳嗽，或用治痰火的药剂后，吐脓血面赤，脉数甚，势态危急，这是脓成而血气虚，我用八珍汤以补元气，用桔梗汤以治肺症，脉症渐愈。一妇人感冒风寒，或用发表之剂，反咳嗽喘急，饮食少思，胸膈不利，大便不通，右寸关脉浮数，想用通利之剂。我说：这是因为脾土亏损，不能生肺金，如果再利之，复耗津液，必患肺痈。不信，仍用利法，虚证悉至，后果吐脓。我早晨用益气汤，晚上用桔梗汤各数剂，吐脓渐止。又早晨仍用前汤，晚上用十全大补汤，各五十余剂，喜其善于调理获愈。一妇人咳嗽吐痰，胸膈作痛，右寸关浮滑，项下牵强，这是脾胃积热成痰，不是痈患，用二陈汤加山栀、白术、桔梗，治之而痊愈。一妇人素来血虚内热，时咳，甲辰年孟冬，两尺脉浮洪。我说：应当防患肺症。丙午年孟春，果然咳嗽，左右寸脉洪数，这是心火刑克肺金而成肺痈，脓已成，夏令可忧。我用壮水健脾的药剂稍愈，彼不慎调摄，果死于仲夏。
小青龙汤：治疗肺受风寒，咳嗽喘急。
半夏（汤泡七次，二两半） 干姜（炮） 细辛 麻黄（去节） 肉桂 芍药 甘草（炙，各三两） 五味子（蜜拌、炒，二两）
以上每服五钱，姜水煎服。
葶苈大枣泻肺汤：治疗肺痈，喘不得卧。
葶苈（炒黄，研细，丸如弹大） 大枣（十二枚）
水三升，放入枣先煮取二升。去枣入葶苈，又煮一升，顿服之。又说：治疗肺痈胸满胀，一身并面目浮肿，鼻塞清涕出，不知香臭酸辛，咳逆上气，喘鸣迫塞，用前方三日一剂，可至三四剂，须先与小青龙汤一剂，乃与之。
桔梗汤：治疗咳而胸满振寒，脉数咽干，不渴，时出浊唾腥臭，久久吐脓如粥者，是肺痈。
桔梗 甘草（炙，各一两）
用水三升，煮取一升，去滓，分温再服，则吐脓血也。亦治喉痹。《三因方》甘草倍之，每四钱名四圣散。《千金方》亦名桔梗汤，用桔梗三两，甘草二两，服后必吐脓血。
苇茎汤：治疗肺痈。又说：一本，治疗咳有微热烦满，心胸甲错。
苇茎（三升，切） 薏苡仁（半升） 冬瓜仁（半升） 桃仁（五十枚，去皮）
用水一斗，先煮苇茎得五升，去滓，入诸仁煮取二升，分温五服，当吐如粥。（《千金方》云：肺痈当吐脓血。苇茎即汀洲间，芦荻之粗种也。）
加味消风散：治疗吐脓血，如肺痈状，口臭，他方不应者，宜消风散，入男子发灰，研细入和之，清米饮下，可除根，只两服。亦治吐血。（消风散方：荆芥、川芎、羌活、人参、茯苓、僵蚕、防风、藿香、蝉蜕各二钱，浓朴、陈皮各半两，为末是也。）
韦宙独行方：治疗心胸甲错为肺痈，黄昏汤主之。
用夜合皮，掌大一片。水三升，煮取二升，分再服。（夜合树按：《本草》即乌农树也。）
上述肺痈证治要略，以小青龙汤先与一剂，乃行气取脓之药，将以解表之风寒邪气，此治肿疡之例也，后以韦宙方终之者，将以补里之阴气，此治溃疡之例也。（以上六方，皆丹溪所集。）
如圣丸（梅师）：治疗风热毒瓦斯上攻，咽喉痛痹，肿塞妨闷，及肺痈喘嗽唾脓血，胸满振寒，咽干不渴，时出浊沫，气臭腥秽，久久咯脓，状如米粥。
樟脑（另研） 牛黄（另研） 桔梗 甘草（生用，各一钱）
为细末，炼蜜丸，每两作二十丸，每用一丸，噙化。
济生桔梗汤：治疗肺痈心胸气塞，咳嗽脓血，心神烦闷，咽干多渴，两足肿满，小便赤黄，大便多涩。用桔梗、贝母、川归、栝蒌仁、枳壳、薏苡仁、桑白皮、防风，以上各一两；生甘草、杏仁、蒸百合，各半两，黄芪一两半。上修事 咀。每服四钱，水一碗半，生姜五片。煎至八分，去滓服。若大便秘加大黄，小便秘加木通。
仲景桔梗白散：治疗咳而胸满振寒，脉数，咽干不渴，时出浊唾腥臭，久久吐脓如米粥者，为肺痈。
桔梗 贝母（各三分） 巴豆（去皮，炒研如脂，一分）
上三味为散。强人饮服半钱匕，羸者减之。病在膈上者，吐脓血，膈下者泻出。若下多不止，饮冷水一碗则定。（此亦要略方，丹溪不删采用之者，必有微意存焉。）
牡丹散（《本事方》）：治疗肺痈吐脓血作臭，胸乳间皆痛。
牡丹皮 赤芍药 地榆 苦梗 薏苡仁 川升麻 黄芩 生甘草（各一钱半）
上作一服，水二盅，煎至一盅，食远服。一方，无黄芩，加生姜煎，名升麻汤。
如金解毒散：治疗肺痈。
桔梗（一钱） 甘草（一钱半） 黄连（炒） 黄芩（炒） 黄柏（炒） 山栀（炒，各七分）
作一剂。水二盅，煎八分，作十余次呷之，勿急服。
〔薛己〕按：此方乃降火解毒之剂也，发热烦渴，脉洪大者，用之俱效，若脉数咳痰腥臭，或唾脓瘀，宜用桔梗汤。大抵肺痈之证，肺脉洪大，或吐脓不止者难治。脓自止，脉短涩者自愈。面赤火克金也不治。
桔梗汤：治疗男妇咳而胸膈隐痛，两脚肿满，咽干口燥，烦闷多渴，时出浊唾腥臭，名叫肺痈，小便赤黄，大便多涩。
桔梗 贝母 当归（酒浸） 栝蒌仁 枳壳（麸炒） 薏苡仁（微炒） 桑白皮 防己（去粗皮） 甘草节（各一两） 百合（蒸） 黄芪（各一两半） 北五味子 甜葶苈 地骨皮 知母 杏仁（各半两）
上锉碎。每服四钱，水一盏半，生姜三片，煎七分，不拘时温服。咳者加百药煎，热加黄芩，大便不利加煨大黄少许，小便涩甚加木通、车前子煎，烦燥加白茅根煎。咳而疼甚，加人参、白芷煎。
四顺汤：治疗肺痈吐脓，五心烦热，壅闷咳嗽。
贝母（去心） 紫菀（去苗土） 桔梗（炒，各一两） 甘草（炙、锉，半两）
上捣筛。每服三钱，水一盏，煎五七沸，去滓，不拘时稍冷服。如咳嗽甚，加去皮尖、杏仁三枚同煎，小儿量减。
治肺痈方
上用薏苡米为末，糯米饮调下，或入粥内煮吃亦可。一方，用水煎服，当下脓血便愈。
泻白散：治疗肺痈。
桑白皮（炒，二钱） 地骨皮 甘草（炙） 贝母（去心） 紫菀 桔梗（炒） 当归（酒拌，各一钱） 栝蒌仁（一钱半）
作一剂。水一盅，姜三片，煎八分，食远服。
〔薛己〕按：此方乃泻肺邪消毒之剂也。若喘咳唾痰沫，肺脉浮数者，用之有效。如脉大发热作渴，宜用解毒散解之，而后用此剂。其或唾脓之际宜排脓，如唾脓后及脉将安宜补肺，初起胸膈胀满，喘急咳嗽，宜发散表邪。
济主排脓汤：治疗肺痈得吐脓后，以此排脓补肺。生绵黄芪二两，细末。每二钱，水一碗，煎五分服。肺痈收敛疮口，上有合欢树皮、白蔹，煎汤饮之。
排脓散：治疗肺痈吐脓后，宜服此补肺。
黄芪（盐水，拌炒） 白芷 五味子（炒、杵） 人参（各等分）
为细末。每服三钱，食后，蜜汤调下。
宁肺汤：治疗咳嗽唾脓自汗，上气喘急，用此补肺及治荣卫俱虚，发热自汗。
人参 当归（酒拌） 白术 熟地黄 川芎 白芍药 甘草（炙） 五味子（捣） 麦门冬（去心） 桑白皮（炙） 阿胶（蛤粉炒，各一钱） 白茯苓（一钱）
作一剂。水二盅，姜三片，煎八分，食后服。
人参补肺汤：治疗肺症咳喘短气，或肾水不足，虚火上炎，痰涎涌盛，或吐脓血，发热作渴，小便短涩。
人参 黄芪 白术 茯苓 陈皮 当归（各一钱） 山茱萸肉 山药（各二钱） 麦门冬（七分） 甘草（炙） 五味子（各五分） 熟地黄（自制，一钱半） 牡丹皮（八分）
上姜枣，水煎服。
人参平肺散：治疗心火克肺，传为疽痿，咳嗽喘呕，痰涎壅盛，胸膈痞满，咽嗌不利。若因肝木太过而致，当补肺。若因肾水不足而患，当补脾肺。若因心火旺而自病，当利小便。
人参 陈皮 甘草 地骨皮 茯苓（各一钱） 知母（炒，七分） 五味子（杵、炒，四分） 青皮 天门冬（去心，各五分） 桑白皮（炒，一钱）
上水煎服。
Zhu Danxi stated: For carbuncles and sores occurring internally, including lung abscess (Fei Yong), liver abscess, kidney abscess, intestinal abscess, intrascrotal abscess, and deep bone abscess, only lung abscess requires first resolving the exterior syndrome. Now, we disperse it from the exterior.
The *Qianjin Fang* records: Coughing up pus and blood with a rapid and excess pulse indicates lung abscess. If there is coughing in the mouth followed by dull pain in the chest, and the pulse is slippery and rapid, this is lung abscess. The question arises: How do we know a patient with coughing and counterflow is suffering from lung abscess? Is death inevitable once pus and blood are expectorated? What is the pulse like? The answer is: The cun (inch) pulse is faint and rapid. Faintness indicates wind, rapidity indicates heat. A faint pulse implies sweating; a rapid pulse implies aversion to cold. Wind pathogen injures the Wei (Defensive) level, preventing exhalation from entering; Heat pathogen forces the Ying (Nutritive) level, preventing inhalation from exiting. Wind injures the skin and hair pores; Heat injures the blood vessels. When wind lodges in the Wei level, the person will cough, experiencing dry mouth, asthma, and fullness, dry throat without thirst, and frequent expectoration of turbid froth. There may be periodic chills. Wherever heat passes, blood becomes stagnant, accumulating and forming an abscess. The expectorated material resembles rice porridge. In the early stage, it can be saved; once pus has formed, it is often fatal. Another question: Chills and fever with a slippery and rapid cun pulse, while the patient's diet and daily activities remain normal, indicate a swelling. If the physician does not recognize this and treats it as a Cold Damage (Shanghan) disease without effect, how can one know pus exists? How can its location be distinguished? The Master said: If pus is in the chest, it is lung abscess, characterized by a rapid pulse and expectoration of pus and blood. If pus has not yet formed, the pulse is naturally rapid. If the tight quality disappears leaving only rapidity, it indicates that pus has formed.
Xue Ji commented: The Lung is the canopy of the five Zang organs, located in the chest, governing Qi, and manifesting on the skin and hair pores. Laborious strain damages Qi and Blood, making the interstices (Cou Li) loose, allowing external pathogens to invade and affect the Lung internally. Alternatively, excessive sexual activity depletes Kidney Water, causing deficient Fire to flare upward. Consumption of strong wine, roasted/fried foods, and pungent or rich flavors steams and insults the Lung. Excessive coughing and expectoration of phlegm, or excessive sweating and purging, severely damage Body Fluids. Symptoms include aversion to wind, coughing, nasal congestion, neck stiffness, chest and hypochondriac distension, difficulty breathing, dry throat with thirst, and in severe cases, slight swelling of the four limbs, and expectoration of pus and blood. If the sputum is foul and turbid, the pus is bloody and fetid, accompanied by dull chest pain, and the right cun pulse is rapid and excess, it is termed Lung Abscess (Fei Ju). If only frothy saliva is expectorated without pus, and the pulse is rapid but deficient, it is Lung Flaccidity (Fei Fei). For coughing with asthma and urgency, use Xiao Qing Long Tang. For coughing with chest distension, use Ting Li Da Zao Xie Fei Tang. For expectoration of pus and foul matter, use Jie Geng Tang. For coughing, asthma, shortness of breath, or scanty urination, supplement with Ren Shen Bu Fei Tang. For fatigue and poor appetite, supplement with Shen Shu Pi Wei Tang. For copious phlegm obstruction due to Kidney deficiency with water overflowing, use Liu Wei Di Huang Wan. For dry mouth and throat due to deficient Fire flaring upward, use Jia Jian Ba Wei Wan. These conditions all stem from Spleen Earth deficiency failing to generate Lung Metal, and Lung Metal failing to generate Kidney Water. Thus, in the early stage, it can be saved; once pus forms, death is common. If the pulse is faint, tight, and rapid, there is no pus. If the pulse is very tight and rapid, pus has formed. The *Nei Jing* states: "When blood is hot, flesh decays; when Ying and Wei do not circulate, pus must form." Generally, for Lung sores with prolonged expectoration of pus and blood resembling millet porridge, treatment is difficult. If expectoration of pus continues indefinitely, it is incurable. If vomiting of pus stops spontaneously, recovery occurs. A short and choppy pulse indicates self-healing. A complexion that should be white but appears red indicates Fire overcoming Metal, which is incurable. However, if one tonifies the Spleen and Lung and nourishes Kidney Water, there may be hope. The danger lies in solely attacking the sore, further weakening the Spleen and Stomach, leading to many errors.
Danxi treated a young woman who had a fistula opening in her chest, discharging pus and blood corresponding to what she coughed up. She was cured using Ren Shen, Dang Gui, and herbs for clearing heat and expelling pus. Another opinion suggested this was caused by Lung Flaccidity. Xiang Yanzhang treated a man with chest oppression, coma, and unconsciousness. He administered a decoction of Xing Ren and Yi Yi Ren, restoring consciousness immediately. Subsequently, he used Sheng Ma, Jie Geng, and Huang Qi to resolve the pus, curing him after more than a month. Xiang diagnosed this based on a floating and slippery Yangming pulse and a deficient Yin pulse. Floating indicates Fire; slippery indicates blood accumulation. Initially, wind injured the Lung, causing stagnation to lodge in the Lung. The deficient Yin pulse indicated excessive dispersal. Since all Qi originates in the Lung, regulating Lung Qi facilitates respiration and removes stagnation, thus curing the disease. Wang Shishan treated a woman near thirty years old, thin and pale, who occasionally coughed and had irregular menstruation. After cooling herself in summer, she suffered severe coughing for over a month, unable to lie down. Her sputum sometimes contained blood or pus, and severe coughing induced vomiting. Treatment with Huang Qin, Huang Lian, and Er Chen Tang failed. Further administration of tonics like Ren Shen worsened the condition. Wang observed a floating and slippery left pulse and a slightly weak and slippery right pulse. Given her childhood wrist injury limiting hand extension, the right pulse was deemed unreliable. Relying on the left pulse, he suspected pregnancy complicated by lung abscess. He prescribed lung-clearing and draining formulas. After three doses, she could lie down, stopped coughing up phlegm and pus, though she experienced occasional morning sickness. Wang explained this was normal in pregnancy and prescribed Yi Yi Ren, Bai Zhu, Fu Ling, Mai Dong, Huang Qin, and E Jiao. The condition improved. A month later, pulses were slightly slower and floating, indicating reduced heat. Due to significant hemoptysis damaging the Stomach, he prescribed Si Jun Zi Tang with Chen Pi, Huang Qin, and Zhi Ke. At six months gestation, eating chicken triggered a relapse, which resolved upon cessation. At nine months, symptoms recurred with hoarseness, managed with child's urine. Wang predicted a good outcome postpartum unless recurrence occurred. She delivered at term, but developed spleen/stomach issues with diarrhea and died.
Xue Lizhai treated a scholar with lung abscess, clear nasal discharge, coughing up pus and blood, and chest distension, attributed to external wind pathogen. He first used Xiao Feng San with Luan Fa Hui (two doses) to clear the nose, then Si Jun Zi Tang with Xiong Gui, and finally Jie Geng Tang to cure him. Later, due to overwork, he coughed up pus, had dribbling urination, and a yellowish-white complexion, indicating Spleen Earth failing to generate Lung Metal, and Lung Metal failing to generate Kidney Water. He was cured with Bu Zhong Yi Qi Tang and Liu Wei Di Huang Wan. Another scholar, a heavy drinker, presented with coughing pus, neck stiffness, and dull skin, indicating Spleen-Lung Qi deficiency with external pathogen invasion. He was cured with Jie Geng Tang followed by Ren Shen Bu Fei Tang. A man with coughing pus, abdominal distension, and surging-rapid pulses at both cun and right guan positions (indicating Fire failing to generate Earth, and Earth failing to generate Metal) was cured with Jie Geng Tang supplemented by Bu Zhong Yi Qi Tang. Another patient with intermittent cough, thirst, spontaneous sweating, fever, and frequent stools self-medicated with lung-clearing and diuretic herbs, resulting in urinary retention, red face, cracked lips, and phlegm obstruction. Pulses at Spleen, Lung, and Kidney sites were floating-large and rapid upon pressure, indicating deficiency of the three Yin meridians failing to generate each other. He needed to nourish the source of transformation. Ignoring advice, he continued diuretics and developed lung abscess, cured by me using Jie Geng Tang and Liu Wei Di Huang Wan. A man with red face, pus expectoration, fever, thirst, restlessness, and chaotic surging-rapid pulse was treated with large doses of Jia Jian Ba Wei Wan plus Mai Men Dong. Heat and thirst ceased immediately, followed by sleep. Upon waking, he felt refreshed and hungry. Two more doses reduced symptoms significantly. Maintenance with Ren Shen, Mai Men Dong, and Wu Wei Zi tea brought peace after a month. Red face requires tonifying Lung and Kidney; pale face requires tonifying Spleen and Lung. A woman with chronic blood deficiency, fever, and cough, worsened by phlegm-fire clearing herbs, presented with pus/blood expectoration, red face, and very rapid pulse, indicating formed pus with Qi/Blood deficiency. I used Ba Zhen Tang to tonify Yuan Qi and Jie Geng Tang for the lung condition, achieving gradual recovery. A woman with wind-cold invasion, treated with exterior-releasing herbs, developed coughing, asthma, poor appetite, chest discomfort, and constipation. Right cun/guan pulses were floating-rapid. I advised against diuretics, warning that Spleen deficiency failing to generate Lung Metal would worsen with fluid depletion, leading to lung abscess. Ignoring this, she developed severe deficiency and expectorated pus. I treated mornings with Yi Qi Tang and evenings with Jie Geng Tang, stopping the pus. Then mornings with the former and evenings with Shi Quan Da Bu Tang for over fifty doses, leading to recovery due to her compliance. A woman with cough, phlegm, chest pain, floating-slippery right cun/guan pulses, and neck tension was diagnosed with Spleen-Stomach heat generating phlegm, not an abscess. Cured with Er Chen Tang plus Shan Zhi, Bai Zhu, and Jie Geng. A woman with blood deficiency and internal heat coughing in winter had floating-surging chi pulses. I warned of potential lung disease. In spring, she coughed with surging-rapid cun pulses, indicating Heart Fire insulting Lung Metal, forming lung abscess with pus already present. Summer posed a risk. I used water-nourishing and spleen-tonifying herbs for slight improvement. Neglecting care, she died in mid-summer.
Xiao Qing Long Tang: Treats Lung affected by wind-cold, causing coughing and asthma.
Ban Xia (soaked in boiling water seven times, 2.5 liang), Gan Jiang (roasted), Xi Xin, Ma Huang (deveined), Rou Gui, Shao Yao, Gan Cao (honey-fried, 3 liang each), Wu Wei Zi (honey-mixed, fried, 2 liang).
Take 5 qian per dose, decoct with ginger water.
Ting Li Da Zao Xie Fei Tang: Treats lung abscess with asthma preventing lying down.
Ting Li (fried yellow, ground fine, pills size of bullet), Da Zao (12 pieces).
Boil 3 sheng of water with dates until 2 sheng remains. Remove dates, add Ting Li, boil until 1 sheng remains. Take at once. Also treats lung abscess with chest fullness, whole-body and facial edema, nasal congestion with clear discharge, loss of smell/taste, counterflow qi, wheezing. Use this formula every three days, up to 3-4 doses. Must first administer one dose of Xiao Qing Long Tang.
Jie Geng Tang: Treats cough with chest fullness, chills, rapid pulse, dry throat, no thirst, occasional foul-smelling turbid sputum, and long-term expectoration of pus like porridge, indicating lung abscess.
Jie Geng, Gan Cao (honey-fried, 1 liang each).
Boil 3 sheng water to 1 sheng. Strain. Divide into two warm doses. Expectoration of pus/blood will occur. Also treats throat bi. *San Yin Fang* doubles Gan Cao, naming it Si Sheng San (4 qian/dose). *Qian Jin Fang* uses Jie Geng 3 liang, Gan Cao 2 liang; expectoration of pus/blood follows.
Wei Jing Tang: Treats lung abscess. Another version treats cough with slight fever, irritability, and "armor-like" chest texture.
Wei Jing (3 sheng, cut), Yi Yi Ren (0.5 sheng), Dong Gua Ren (0.5 sheng), Tao Ren (50 kernels, peeled).
Boil 1 dou water with Wei Jing until 5 sheng remains. Strain, add kernels, boil until 2 sheng remains. Divide into five warm doses. Expectoration of porridge-like material occurs. (*Qian Jin Fang*: Lung abscess expects pus/blood. Wei Jing is coarse reed/grass from marshes.)
Jia Wei Xiao Feng San: Treats expectoration of pus/blood resembling lung abscess, bad breath, unresponsive to other formulas. Use Xiao Feng San mixed with male hair ash, taken with clear rice drink. Removes root cause in two doses. Also treats hematemesis. (Formula: Jing Jie, Chuan Xiong, Qiang Huo, Ren Shen, Fu Ling, Jiang Can, Fang Feng, Huo Xiang, Chan Tui 2 qian each; Hou Po, Chen Pi 0.5 liang each, powdered.)
Wei Zhou Du Xing Fang: Treats lung abscess with "armor-like" chest texture, using Huang Hun Tang.
Ye He Pi (palm-sized piece). Boil 3 sheng water to 2 sheng. Divide into two doses. (*Ben Cao*: Ye He tree is Wunong tree.)
Summary of lung abscess treatment: Start with one dose of Xiao Qing Long Tang to resolve exterior wind-cold and promote qi/pus expulsion (treatment for swollen ulcer). Follow with Wei Zhou Fang to tonify interior yin (treatment for ulcerated sore). (These six formulas are collected by Danxi.)
Ru Sheng Wan (Mei Shi): Treats wind-heat toxin attacking upper orifices, causing throat pain/swelling, and lung abscess with asthma, coughing pus/blood, chest fullness, chills, dry throat/no thirst, foul turbid froth, and long-term expectoration of pus like porridge.
Zhang Nao (separately ground), Niu Huang (separately ground), Jie Geng, Gan Cao (raw, 1 qian each).
Powder, mix with refined honey, make 20 pills per liang. Dissolve one pill in mouth.
Ji Sheng Jie Geng Tang: Treats lung abscess with chest oppression, coughing pus/blood, mental restlessness, dry throat/thirst, swollen feet, dark yellow urine, and constipation. Uses Jie Geng, Bei Mu, Chuan Gui, Gua Lou Ren, Zhi Ke, Yi Yi Ren, Sang Bai Pi, Fang Feng (1 liang each); Sheng Gan Cao, Xing Ren, Zheng Bai He (0.5 liang each), Huang Qi (1.5 liang). Prepare and chop. Take 4 qian, decoct with 1.5 bowls water and 5 slices ginger until 80% remains. Strain. Add Da Huang for constipation, Mu Tong for scanty urine.
Zhong Jing Jie Geng Bai San: Treats cough with chest fullness, chills, rapid pulse, dry throat/no thirst, foul turbid sputum, and long-term expectoration of pus like porridge, indicating lung abscess.
Jie Geng, Bei Mu (3 fen each), Ba Dou (peeled, fried, ground to paste, 1 fen).
Make powder. Strong adults take half qian-bi with water; weak patients reduce dose. Lesions above diaphragm cause expectoration of pus/blood; below cause diarrhea. If diarrhea persists, drink one bowl cold water to stop. (This essential formula was adopted by Danxi for subtle reasons.)
*Liu Lei Yuan Rong* suggests Tou Zhi (expectorant) Sou Feng Tang for lung abscess.
Mu Dan San (*Benshi Fang*): Treats lung abscess with foul-smelling pus/blood expectoration and pain in chest/breast.
Mu Dan Pi, Chi Shao Yao, Di Yu, Ku Geng, Yi Yi Ren, Chuan Sheng Ma, Huang Qin, Sheng Gan Cao (1.5 qian each).
One dose, boil 2 zhong water to 1 zhong. Take away from meals. Alternative: Remove Huang Qin, add ginger, name Sheng Ma Tang.
Ru Jin Jie Du San: Treats lung abscess.
Jie Geng (1 qian), Gan Cao (1.5 qian), Huang Lian (fried), Huang Qin (fried), Huang Bo (fried), Shan Zhi (fried, 0.7 qian each).
One dose, boil 2 zhong water to 0.8. Sip slowly over ten+ doses, do not take quickly.
[Xue Ji] Comment: This formula clears fire and detoxifies. Effective for fever, irritability, thirst, and surging-large pulse. For rapid pulse, foul sputum, or pus/clots, use Jie Geng Tang. Generally, lung abscess with surging-large lung pulse or continuous pus expectoration is difficult to treat. Self-stopping pus with short/choppy pulse indicates healing. Red face (Fire overcoming Metal) is incurable.
Jie Geng Tang: Treats men/women with cough, dull chest pain, swollen feet, dry throat/mouth, irritability/thirst, foul turbid sputum, named lung abscess, with dark yellow urine and constipation.
Jie Geng, Bei Mu, Dang Gui (wine-soaked), Gua Lou Ren, Zhi Ke (bran-fried), Yi Yi Ren (lightly fried), Sang Bai Pi, Fang Ji (bark removed), Gan Cao Jie (1 liang each); Bai He (steamed), Huang Qi (1.5 liang each); Bei Wu Wei Zi, Tian Ting Li, Gu Pi, Zhi Mu, Xing Ren (0.5 liang each).
Chop. Take 4 qian, decoct with 1.5 bowls water and 3 slices ginger until 70% remains. Take warm anytime. Add Bai Yao Jian for cough, Huang Qin for heat, Wen Da Huang for constipation, Mu Tong/Che Qian Zi for difficult urination, Bai Mao Gen for irritability. Add Ren Shen, Bai Zhi for severe cough pain.
Si Shun Tang: Treats lung abscess with pus expectoration, five-palm heat, oppression, and cough.
Bei Mu (cored), Zi Wan (weeds/soil removed), Jie Geng (fried, 1 liang each), Gan Cao (fried/chopped, 0.5 liang).
Pound and sieve. Take 3 qian, decoct with 1 bowl water for 5-7 boils. Strain. Take slightly cool anytime. For severe cough, add 3 peeled Xing Ren. Reduce dose for children.
Formula for Treating Lung Abscess
Grind Yi Yi Mi into powder, mix with sticky rice drink, or cook in porridge. Alternative: Decoct in water to expel pus/blood and cure.
Xie Bai San: Treats lung abscess.
Sang Bai Pi (fried, 2 qian), Gu Pi, Gan Cao (fried), Bei Mu (cored), Zi Wan, Jie Geng (fried), Dang Gui (wine-mixed, 1 qian each), Gua Lou Ren (1.5 qian).
One dose, boil 1 zhong water with 3 slices ginger until 80%. Take away from meals.
[Xue Ji] Comment: This formula drains lung evil and detoxifies. Effective for asthma/cough with frothy sputum and floating-rapid lung pulse. For large pulse with fever/thirst, use Jie Du San first, then this. During pus expectoration, use pus-expelling methods; after expectoration and pulse stabilization, tonify lung. Early stage with chest fullness/asthma requires dispersing exterior evil.
Ji Zhu Pai Nong Tang: Treats lung abscess after pus expectoration, to expel remaining pus and tonify lung. Sheng Mian Huang Qi 2 liang, finely powdered. Take 2 qian, decoct with 1 bowl water until 50% remains. For closing sores, decoct He Huan Pi and Bai Lian.
Pai Nong San: Treats lung abscess after pus expectoration, to tonify lung.
Huang Qi (salt-water fried), Bai Zhi, Wu Wei Zi (fried/pounded), Ren Shen (equal parts).
Fine powder. Take 3 qian after meals, mix with honey water.
Ning Fei Tang: Treats coughing pus, spontaneous sweating, upper asthma urgency. Tonifies lung and treats Ying/Wei deficiency with fever/sweating.
Ren Shen, Dang Gui (wine-mixed), Bai Zhu, Shu Di Huang, Chuan Xiong, Bai Shao Yao, Gan Cao (fried), Wu Wei Zi (pounded), Mai Men Dong (cored), Sang Bai Pi (fried), E Jiao (clay-powder fried, 1 qian each), Bai Fu Ling (1 qian).
One dose, boil 2 zhong water with 3 slices ginger until 80%. Take after meals.
Ren Shen Bu Fei Tang: Treats lung symptoms with cough/asthma/shortness of breath, or Kidney Water deficiency with deficient Fire flaring, copious phlegm, pus/blood expectoration, fever/thirst, scanty urine.
Ren Shen, Huang Qi, Bai Zhu, Fu Ling, Chen Pi, Dang Gui (1 qian each); Shan Zhu Yu Rou, Shan Yao (2 qian each); Mai Men Dong (0.7 qian); Gan Cao (fried), Wu Wei Zi (0.5 qian each); Shu Di Huang (homemade, 1.5 qian); Mu Dan Pi (0.8 qian).
Decoct with ginger/jujube and water.
Ren Shen Ping Fei San: Treats Heart Fire insulting Lung, transmitting to abscess/flaccidity, with cough/asthma/vomiting, copious phlegm, chest fullness, throat obstruction. If due to Liver Wood excess, tonify Lung. If due to Kidney Water deficiency, tonify Spleen/Lung. If due to Heart Fire, promote urination.
Ren Shen, Chen Pi, Gan Cao, Gu Pi, Fu Ling (1 qian each); Zhi Mu (fried, 0.7 qian); Wu Wei Zi (pounded/fried, 0.4 qian); Qing Pi, Tian Men Dong (cored, 0.5 qian each); Sang Bai Pi (fried, 1 qian).
Decoct with water.
Shen Shu Pi Wei Tang: Treats lung abscess with Spleen Qi deficiency, chronic cough with pus/phlegm, abdominal fullness/anorexia. Must take to tonify Spleen Earth to generate Lung Metal, otherwise incurable.