肺劳者,呼吸少气,咳嗽喘急,嗌干气极,则皮毛焦干,津枯力乏,腹胀喘鸣。由预事
而忧,或风邪久住而成,宜分邪正冷热而治之。
紫菀汤 治气极,皮毛焦枯,四肢无力,喘急短气不足以息。
紫菀茸(洗) 干姜(炮) 黄 人参 五味子 钟乳粉 杏仁(麸炒,去皮)
上 咀,每服四钱,水一盏,姜三片,枣一枚,煎服无时。
葛可久保和汤 治风寒久嗽成劳,及肺燥成痿者,服之决效。
知母 贝母 天冬 麦冬 款冬(各三钱) 花粉 薏仁 杏仁(炒,去皮尖
菀五味子 马兜铃 百合 桔梗(各一钱) 阿胶 生地黄 当归 紫苏
薄荷(各五分) 生姜(三片)
上水煎,入饴糖一匙服,三日三服,食后进。一方无地黄,有百部。若血盛,加薄黄,
茜根、藕节、大蓟、茅花根;痰盛,加半夏、橘红、茯苓、枳实(炒)、栝蒌;喘甚,加桑白皮、
陈皮、葶苈子、苏子;热盛,加山栀(炒黑)、黄连、黄芩、连翘;风热加防风、金沸草、甘
菊花;寒甚,加桂枝、五味子;腊月加干姜。
心劳者;恍惚惊悸,少颜色。热则烦心、口干、溺涩;寒则内栗、梦多恐怖。由曲运神
机而成。热则清之,寒则温之,养血安神则一也。
远志引子 治心劳虚寒,梦寐惊悸。
远志(去心) 茯神(去木) 肉桂 人参 枣仁(炒) 黄 当归(各一两)
甘草(炙,半两)
上 咀,每服四钱,水一盏,姜五片,煎服无时。
麦门冬汤 治心劳虚热,唇口赤,烦渴溺涩。
麦门冬(去心) 远志(甘草煮,去心) 人参 黄芩 生地黄 茯神 石膏(
煎服法同前。
肺劳,表现为呼吸短促、咳嗽气喘、咽喉干燥气逆至极,导致皮肤毛发焦枯干枯,津液枯竭、体力匮乏,腹部胀满且喘息有声。这是由于预先担忧某事,或者风邪长期滞留体内而形成的,治疗应当区分邪正、寒热来进行辨证施治。
紫菀汤:治疗气极(肺气极度虚弱),皮肤毛发焦枯干枯,四肢无力,气喘急促、呼吸短浅不足以接续。
药材组成:紫菀茸(洗净)、干姜(炮制)、黄芪、人参、五味子、钟乳粉、杏仁(用麦麸炒制,去皮)。
用法:将上述药物捣碎成粗末,每次服用四钱,加水一盏,生姜三片,大枣一枚,随时煎服。
葛可久保和汤:治疗因风寒久咳不愈转化为肺劳,以及肺燥形成痿证的患者,服用此方必定见效。
药材组成:知母、贝母、天冬、麦冬、款冬花(各三钱)、天花粉、薏苡仁、杏仁(炒制,去皮尖)、紫菀、五味子、马兜铃、百合、桔梗(各一钱)、阿胶、生地黄、当归、紫苏叶、薄荷(各五分)、生姜(三片)。
用法:用水煎煮,加入饴糖一匙服用,每日三次,饭后服用。另一版本没有生地黄,但有百部。如果血分热盛,加黄柏、茜草根、藕节、大蓟、白茅根;痰多,加半夏、橘红、茯苓、枳实(炒制)、瓜蒌;气喘严重,加桑白皮、陈皮、葶苈子、苏子;热盛,加山栀(炒黑)、黄连、黄芩、连翘;风热,加防风、金沸草、甘菊花;寒甚,加桂枝、五味子;腊月(冬季)加干姜。
心劳,表现为神志恍惚、易受惊吓心悸,面色无华。热证则心烦、口干、小便涩痛;寒证则内心战栗、多梦且伴有恐惧感。这是由于过度用心思、耗损心神而形成的。热证则用清热法,寒证则用温补法,但养血安神的原则是一致的。
远志饮子:治疗心劳虚寒,睡眠中惊悸不安。
药材组成:远志(去心)、茯神(去木心)、肉桂、人参、酸枣仁(炒制)、黄芪、当归(各一两)、甘草(炙制,半两)。
用法:将上述药物捣碎成粗末,每次服用四钱,加水一盏,生姜五片,随时煎服。
麦门冬汤:治疗心劳虚热,嘴唇口腔发红,心烦口渴、小便涩痛。
药材组成:麦门冬(去心)、远志(用甘草水煮,去心)、人参、黄芩、生地黄、茯神、石膏。
煎服方法同前。
Lung Consumption (Fei Lao) is characterized by shortness of breath, coughing and wheezing, dry throat with extreme Qi rebellion, leading to scorched and dry skin and hair, depletion of body fluids, lack of strength, abdominal distension, and wheezing sounds. It arises from excessive worry about future events or the prolonged retention of Wind pathogenic factors. Treatment should differentiate between pathogenic and healthy factors, as well as Cold and Heat patterns.
Ziwan Decoction (Cyclamen Root Decoction): Treats Qi Extremity (extreme deficiency of Lung Qi), scorched and dry skin and hair, weakness in the four limbs, rapid breathing, and shortness of breath where respiration is insufficient.
Ingredients: Radix Asteris (Ziwan Rong, washed); Rhizoma Zingiberis Preparatum (Ganjiang, processed); Radix Astragali (Huangqi); Radix Ginseng (Renshen); Fructus Schisandrae (Wuweizi); Spathularia Powder (Zhongru Fen); Semen Pruni Armeniacae (Xingren, bran-fried, peeled).
Usage: The above herbs are coarsely crushed. Each dose consists of 4 qian, decocted with one cup of water, three slices of fresh ginger, and one jujube. Take at any time.
Baohe Tang (Harmonizing Decoction) by Ge Kejiu: Treats chronic cough due to Wind-Cold transforming into Lung Consumption, and flaccidity syndrome caused by Lung Dryness. Administration of this formula yields decisive efficacy.
Ingredients: Radix Anemarrhenae (Zhimu); Bulbus Fritillariae Cirrhosae (Beimu); Tuber Asparagi (Tiangdong); Tuber Ophiopogonis (Maidong); Flos Dodecatheonis (Kuandonghua) (each 3 qian); Radix Bupleuri (Huafen); Semen Coicis (Yiren); Semen Pruni Armeniacae (Xingren, fried, peeled and core removed); Radix Asteris (Ziwan); Fructus Schisandrae (Wuweizi); Fructus Aristolochiae (Madouling); Bulbus Lilii (Baihe); Radix Platycodonis (Jiegeng) (each 1 qian); Colla Corii Asini (Ejiao); Radix Rehmanniae Preparata (Shengdihuang); Radix Angelicae Sinensis (Danggui); Herba Perillae (Zisu); Folium Menthae (Bohe) (each 5 fen); Rhizoma Zingiberis Recens (Shengjiang) (3 slices).
Usage: Decoct in water, add one spoonful of Malt Sugar (Yitang), and take. Three doses per day, taken after meals. Another version excludes Shengdihuang but includes Radix Stemonae (Baibu). If Blood heat is abundant, add Cortex Phellodendri (Huangbai), Radix Rubiae Cordifoliae (Qiangen), Node Nymphaeae Nelumbinis (Oujie), Radix Cirsii Japonici (Daji), and Radix Imperatae Cylindricae (Maohuagen); if Phlegm is abundant, add Rhizoma Pinelliae Preparatum (Banxia), Exocarpus Citri Reticulatae (Juhong), Poria (Fuling), Fructus Aurantii Immaturus (Zhishi, fried), and Fructus Trichosanthis (Gualou); if wheezing is severe, add Cortex Mori Albas (Sangbaipi), Pericarpium Citri Reticulatae (Chenpi), Semen Lepidii et Descurainiae (Tinglizi), and Fructus Viticis (Su Zi); if Heat is abundant, add Fructus Gardeniae (Shanzhi, charred), Radix Coptidis (Huanglian), Radix Scutellariae (Huangqin), and Flos Forsythiae (Lianqiao); if Wind-Heat is present, add Radix Saposhnikoviae (Fangfeng), Herba Filicis (Jinfecao), and Flos Chrysanthemi Indici (Ganjuahua); if Cold is severe, add Ramulus Cinnamomi (Guizhi), Fructus Schisandrae (Wuweizi); in the twelfth lunar month, add Rhizoma Zingiberis Preparatum (Ganjiang).
Heart Consumption (Xin Lao) manifests as mental confusion, palpitations with fright, and a sallow complexion. In Heat patterns, there is vexation in the heart, dry mouth, and dysuria; in Cold patterns, there is internal trembling, frequent dreams accompanied by fear. It results from overexertion of the mind and spirit. Heat patterns are cleared, Cold patterns are warmed, but the principle of nourishing Blood and calming the Spirit remains consistent.
Yuanzhi Yinzi (Polygala Decoction): Treats Heart Consumption with Deficiency-Cold, featuring nightmares and palpitations during sleep.
Ingredients: Radix Polygalae (Yuanzhi, core removed); Poria Cum Radice (Fushen, wood removed); Ramulus Cinnamomi (Guizhi); Radix Ginseng (Renshen); Semen Ziziphi Spinosae (Zaoren, fried); Radix Astragali (Huangqi); Radix Angelicae Sinensis (Danggui) (each 1 liang); Radix Glycyrrhizae Preparata (Gancao, honey-fried, half liang).
Usage: The above herbs are coarsely crushed. Each dose consists of 4 qian, decocted with one cup of water and five slices of fresh ginger. Take at any time.
Maimendong Tang (Ophiopogon Decoction): Treats Heart Consumption with Deficiency-Heat, red lips and mouth, vexation, thirst, and dysuria.
Ingredients: Tuber Ophiopogonis (Maimendong, core removed); Radix Polygalae (Yuanzhi, boiled with Gancao, core removed); Radix Ginseng (Renshen); Radix Scutellariae (Huangqin); Radix Rehmanniae Preparata (Shengdihuang); Poria Cum Radice (Fushen); Gypsum Fibrosum (Shigao).
Decoction and administration method are the same as above.