病者寸口脉数而虚,按之涩,身冷内烦,多唾唇燥,小便反难,大便如烂瓜豚脑状,欲
咳不咳,咳出干沫,唾中出血,心中温温液液,上气喘满,或燥而渴者,多因发汗利小便,
或呕吐消渴,数服快药,重亡津液,致热在上焦,故成肺痿。
治肺痿,多涎唾,小便数,肺中冷,必眩;不渴,不咳,必遗溺,所以然
者,上虚不能制下也。
甘草(炙,四两) 干姜(二两,炮)
上为锉散。每服四钱,水一盏半,枣三个,煎七分,去滓温服,不拘时候。
治肺痿咳唾涎沫不止,咽燥而渴。
人参(一两) 甘草(炙,一两三钱)
上为锉散。每服四钱,水一盏半,姜五片,枣三个,煎七分,去滓温服。
治肺痿涎唾多,出血,心中温温液液。
甘草(炙)
上为锉散。每服四钱,水一盏半,煎七分,去滓,温服。
病者寸口脉数而实,按之滑,咳唾脓血,口中辟辟燥,胸中隐隐痛,口干喘满,咽燥不
渴,多唾浊沫腥臭,时时振寒,热之所过,血为凝滞,蓄结痈脓,吐如米粥,故为肺痈。始
萌可救,脓成则难治。
治肺痈胸满胀,一身并面目浮肿,鼻塞,清涕出,不闻香臭酸辛,咳
逆上气,喘鸣迫塞。
葶苈(炒令黄,研细,丸如弹子大)
上一味,用水三盏,煮枣十枚至一盏,去枣入药,煎至七分,食后服。《金匮》令先投
小青龙汤三服,乃进此药。
小青龙汤 方见痰饮门
The patient's Cun Kou (radial artery pulse position) pulse is rapid and deficient; upon deep pressure, it feels choppy. The body is cold while the interior feels vexed, there is excessive salivation with dry lips, urination is difficult, and stool resembles rotten melon or pig brain in consistency. There is an urge to cough but inability to do so, producing dry froth, blood in saliva, a sensation of warmth and fluidity in the chest, wheezing and chest fullness, or dryness with thirst. This is often caused by excessive sweating, diuresis, vomiting, xiao ke (wasting-thirst syndrome), or frequent use of purgatives, leading to severe depletion of body fluids. Consequently, heat accumulates in the upper jiao (upper burner), resulting in fei wei (lung atrophy).
To treat fei wei (lung atrophy) characterized by excessive saliva, frequent urination, and coldness in the lungs, which inevitably leads to dizziness; if there is no thirst and no cough, enuresis (involuntary urination) will occur. The reason for this is that deficiency in the upper jiao fails to control the lower jiao.
Gancao (Licorice Root, roasted, 4 liang) Ganjiang (Dried Ginger, 2 liang, processed)
Grind the above ingredients into a coarse powder. Take 4 qian per dose, add 1.5 zhen of water and 3 dates, decoct until reduced to 0.7 volume, strain, and take warm. Administer without restriction on time.
To treat fei wei (lung atrophy) with incessant coughing and expectoration of frothy saliva, accompanied by dry throat and thirst.
Renshen (Ginseng Root, 1 liang) Gancao (Licorice Root, roasted, 1 liang 3 qian)
Grind the above ingredients into a coarse powder. Take 4 qian per dose, add 1.5 zhen of water, 5 slices of fresh ginger, and 3 dates, decoct until reduced to 0.7 volume, strain, and take warm.
To treat fei wei (lung atrophy) with excessive saliva, hemoptysis, and a sensation of warmth and fluidity in the chest.
Gancao (Licorice Root, roasted)
Grind the above ingredient into a coarse powder. Take 4 qian per dose, add 1.5 zhen of water, decoct until reduced to 0.7 volume, strain, and take warm.
The patient's Cun Kou pulse is rapid and excess/full; upon deep pressure, it feels slippery. There is coughing up of pus and blood, a prickling dryness in the mouth, dull pain in the chest, dry mouth with wheezing and fullness, dry throat without thirst, copious expectoration of turbid froth with a foul fishy odor, and occasional chills. This occurs where heat has passed, causing blood stagnation and accumulation, forming lung abscesses (fei ong). The expectoration resembles congee. Hence, it is termed fei ong (lung abscess). If treated at the initial stage, it can be saved; once pus is formed, it is difficult to treat.
To treat fei ong (lung abscess) presenting with chest fullness and distension, edema of the whole body including face and eyes, nasal congestion, clear rhinorrhea, loss of smell for fragrant, foul, sour, or pungent odors, cough with rebellious qi, wheezing with stridor, and airway obstruction.
Tingli (Descurainiae Semen / Lepidii Semen, stir-fried until yellow, ground fine, made into pills the size of a bullet)
Take the single herb. Use 3 zhen of water, boil 10 dates until reduced to 1 zhen, remove the dates, add the Tingli pill, decoct until reduced to 0.7 volume, and take after meals. *Jin Gui Yao Lue* states to first administer Xiao Qing Long Tang three doses, then proceed with this medicine.
Xiao Qing Long Tang (Minor Green Dragon Decoction) See formula under Phlegm-Fluids section.