病者咳嗽,发作寒热,引腰背痛,或复喘满,此因房劳伤肾;病者中满腹胀,抢心痛,
不欲食,此因饥饱伤脾;病者咳嗽,左胁偏痛,引小腹并膝腕疼,此因疲极伤肝;病者咳
嗽,吐白涎,口燥声嘶,此因叫呼伤肺;病者咳嗽,烦热自汗,咽干咯血,此因劳神伤心。
并属不内外因。诊其脉,随其类。假如尺脉浮涩而数,则知伤肾;右关脉濡,则知饮食伤脾
;左关脉弦短,则知疲极伤肝。但不应人迎气口者,即是不内外因,皆类推。
治肺虚,或感风寒暑湿,及劳逸抑郁,忧思喜怒,饮食饥饱,致脏气不平,咳
唾脓血,渐成肺痿,憎寒发热,羸瘦困顿,皮肤甲错,将成劳瘵。
甜葶苈(半两) 苦葶苈(半两,并用纸隔炒) 茯苓 人参 细辛 干姜(炮) 桔梗(锉炒)
杏仁(去皮尖,麸炒) 紫菀 款冬花 甘草(炙) 陈皮(各一分)
上为细末,用羊肺一个心血不透者,切细研烂,旋旋入药掺肺内,再研匀,药尽为度,
泥土墙上,以湿纸七重盖覆,每日去纸一重,七日药就,候干刮下,再研,罗为细末。每服
二钱,温酒、盐汤调下;米饮亦得,空心日二服。
治秋冬之交,皮肤为寒湿所搏,寒气内折,咳嗽昼夜不已。
陈橘皮(二两) 麻黄(去节) 甘草(炙) 杏仁(去皮尖,麸炒) 五味子 白茯苓(各一两)
上为末。每服二钱,水一盏,煎七分,去滓带热服,食后临卧日三服。
The patient presents with cough, accompanied by alternating chills and fever, pain in the lower back and waist radiating from the cough, or recurrent wheezing and chest fullness; this is caused by kidney injury due to excessive sexual activity. The patient presents with epigastric and abdominal distension and fullness, stabbing pain in the heart region, and anorexia; this is caused by spleen injury due to irregular eating habits (hunger and satiety). The patient presents with cough, pain on the left side of the hypochondrium radiating to the lower abdomen, knees, and wrists; this is caused by liver injury due to extreme fatigue. The patient presents with cough, expectoration of white saliva, dry mouth, and hoarseness; this is caused by lung injury due to loud shouting. The patient presents with cough, irritability and heat sensation, spontaneous sweating, dry throat, and hemoptysis; this is caused by heart injury due mental exertion and overthinking. All these cases belong to the "neither internal nor external causes" category. When diagnosing the pulse, one should judge according to the specific category. For instance, if the chi (cun) pulse is floating, choppy, and rapid, it indicates kidney injury; if the right guan pulse is soggy, it indicates spleen injury due to dietary factors; if the left guan pulse is wiry and short, it indicates liver injury due to extreme fatigue. If the renying (carotid artery) and qikou (radial artery) pulses do not show abnormalities corresponding to external or internal causes, it belongs to neither internal nor external causes, and other cases can be deduced by analogy.
To treat lung deficiency, or when affected by wind-cold, summer-heat, and dampness, as well as improper劳逸 (work and rest), emotional depression, worry, thought, anger, and joy, and irregular diet, leading to imbalance of zang-fu qi, cough with expectoration of pus and blood, gradually developing into fei wei (lung atrophy/withered lung), aversion to cold with fever, emaciation and exhaustion, skin rough like scales (skin jia cuo), approaching lao zhai (consumptive disease/tuberculosis).
Tian Ting Li (Semen Lepidii Descurainiae, sweet type) (half liang) Ku Ting Li (Semen Lepidii Descurainiae, bitter type) (half liang, both stir-fried between papers) Fu Ling (Poria) Ren Shen (Radix Ginseng) Xi Xin (Herba Asari) Gan Jiang (Rhizoma Zingiberis Preparatum) Jie Geng (Radix Platycodonis) Xing Ren (Semen Pruni Armeniacae) Zi Wan (Herba Asteris) Kuan Dong Hua (Flos Farfarae) Gan Cao (Radix Glycyrrhizae Preparata) Chen Pi (Pericarpium Citri Reticulatae) (each one fen)
Grind the above herbs into a fine powder. Take one sheep lung that has not been penetrated by blood, cut it finely and grind it until mushy. Immediately sprinkle the herbal powder into the lung, grinding again until uniform, until all the powder is used up. Place it on a mud wall, cover with seven layers of wet paper, removing one layer each day. After seven days, the medicine is ready. Scrape it down when dry, grind again, and sieve into a fine powder. Take two qian per dose, mixed with warm wine or salt water; rice drink is also acceptable. Take twice daily on an empty stomach.
To treat cough that persists day and night during the transition between autumn and winter, where the skin is struck by cold-dampness, causing cold qi to fold inward.
Chen Ju Pi (Pericarpium Citri Reticulatae) Ma Huang (Herba Ephedrae) Gan Cao (Radix Glycyrrhizae Preparata) Xing Ren (Semen Pruni Armeniacae) Wu Wei Zi (Fructus Schisandrae) Bai Fu Ling (Poria) (each one liang)
Grind the above herbs into powder. Take two qian per dose, with one sheng of water, decoct to 0.7 sheng, remove the dregs, and take while hot. Take three times daily after meals and before bedtime.