治阴虚久嗽。噙化三冬橘贝杷,柿霜甘桔味天花,桑皮部菀元参薄,炼蜜丸如弹子夸
麦冬(去心,三两) 天冬(火灼肺燥,则喉中淫痒为咳嗽,故以二冬滋阴润燥,清金降
火。
开豁,却不助火,三两) 贝母(去心,二两) 百部(润燥清热,兼能杀虫,去心,三两)
薄荷叶(辛能散热,凉能清利,三两) 柿霜(一两) 花粉(治嗽以理痰为要,故以贝母、柿
霜润肺中燥痰,花粉治膈上之热痰。二两) 橘红(一两) 枇杷叶(蜜炙,二两) 紫菀茸(治
痰以理气为先,二味皆下气,气降则火清,痰顺而嗽自止。一两) 元参(治胸中氤氲之气,
无根之火,一两) 五味(咳久必耗气,用五味酸收之品,蜜炙,一两) 桔梗(一两) 甘草(
咳属上焦,故用甘,桔为舟楫之济。炙,一两)
共十六味,蜜丸如弹子大,不时噙化,临卧更佳,亦可作膏服。
此润燥清金,降气消痰而兼收敛之剂。仲淳所制,用治阴虚咳嗽不止者立应。愚谓世
人患阴虚者多,如伤风咳嗽外邪已解,久而不愈,服之甚效。
治忧愁思虑伤心,(心为君主,心伤则神去,顷刻云亡。凡云心病皆包络受病,)心血
不足,
,故血虚则心生火,火则生痰,痰动心包,故惊跳及梦寐不宁。怔忡者,心中惕惕,恍惚不
安,如人将捕之状也。)虚烦无寐,(肾水不上交,心火无所制,亦心血少之故,仲淳云∶不
寐,清心火为主。)大便不利,(心主血,心伤则血燥,而便难。)小便短赤,(心与小肠为表
里,藏移热于府。)咽干口渴,(津液被灼,)口舌生疮等症。(心火上炎。)
人参(补心气,五钱,虚者量加也) 当归(养心血,一两) 枣仁(炒,四两) 五味(收
心液
麦冬(益心津,二两) 天冬(二两) 元参(壮肾水,一两) 桔梗(引诸药停留上焦,不使速
下也。五钱) 十三味,蜜丸如弹子大,加朱砂(护心,一两五钱),研细为衣。一方用黄连
,心火甚者加之亦可。食远临卧时,竹叶灯心汤或桂圆汤化服,噙化更佳。
此生津养血,清热安神,镇心之剂。劳心之人所宜服之。昔志公禅师日夕诵经,邓天
王悯其
、辰砂、益元散;豁痰则有竹沥、贝母、天竺黄、胆星、牛黄;镇惊则有金箔、代赭石。皆
可随症选用。愚按∶经文心为五脏六腑之大主,而总统魂魄,兼该志意。故忧动于心则肺应
,思动于心则脾应,怒动于心则肝应,恐动于心则肾应。凡喜、怒、忧、恐、悲、思、惊、
七情,虽分属五脏,然无不从心而发。经云∶心主一身之脉。又云∶心生血,是心者,血之
原。故心不妄役,则其血日生,惟劳心过度,心血日耗,由是脏腑无所润,筋脉无所养,营
气衰少,邪热随作,所谓阴虚生内热者是也。若肾水不虚,犹能上交,心火不至灼肺为害,
虚则心火无制,亢甚刑金为咳而喘,肺阴消灼,身体羸瘦,而危亡可立待矣。此症不得志者
多有之,故治斯症者,必兼壮水为主,又须顾虑中气为重。大凡虚劳之人,无论何脏受伤,
非内热骨蒸,即不谓之虚劳;非食少泄泻,肌肉消瘦,尚不至死地。所以,孙思邈谓补脾不
如补肾,许学士谓补肾不如补脾。二先生深知二脏为生人之根本,故凡病皆宜脾肾,不独虚
劳为然也。
Treats chronic cough caused by Yin deficiency. Use "Qin Hua San Dong Ju Bei Pa" (Throat Lozenges of Three Winters, Citrus Peel, and Loquat Leaf), which consists of Diospyri Fructus Cum Melle (Persimmon Frost), Glycyrrhizae Radix et Rhizoma (Licorice), Platycodonis Radix (Platycodon), Schisandrae Fructus (Schisandra), Glehniae Radix (Glehnia Root), Folium Mori Cortex (Mulberry Bark), Stemona Radix (Stemona), Asteris Radix (Aster), Scrophulariae Radix (Scrophularia), and Menthae Haplocalycis Herba (Mint), processed with refined honey into pills the size of a bullet.
* **Ophiopogonis Radix** (Ophiopogon Root, *Mai Dong*): Remove the heart. [Note: Tian Dong is also used here for its properties.]
* **Asparagi Radix** (Asparagus Root, *Tian Dong*): Fire scorching Lung dryness causes itching in the throat leading to cough; therefore, use Ophiopogon and Asparagus to nourish Yin, moisten dryness, clear Metal (Lung), and descend fire. They open and resolve phlegm without aiding fire. (3 liang each).
* **Fritillariae Bulbus** (Fritillaria Bulb, *Bei Mu*): Remove the heart. (2 liang).
* **Stemonae Radix** (Stemona Root, *Bai Bu*): Moistens dryness, clears heat, and can kill parasites. Remove the heart. (3 liang).
* **Menthae Haplocalycis Herba** (Mint, *Bo He Ye*): Pungent nature disperses heat, cool nature clears and benefits the throat. (3 liang).
* **Diospyri Fructus Cum Melle** (Persimmon Frost, *Shi Shuang*): (1 liang).
* **Glehniae Radix** (Glehnia Root, *Hua Fen*): Treating cough requires managing phlegm. Thus, Fritillaria and Persimmon Frost moisten dry phlegm in the Lungs, while Glehnia Root treats hot phlegm above the diaphragm. (2 liang).
* **Citri Reticulatae Pericarpium** (Tangerine Peel, *Ju Hong*): (1 liang).
* **Eriobotryae Folium** (Loquat Leaf, *Pi Pa Ye*): Honey-fried. (2 liang).
* **Asteris Radix** (Aster Root, *Zi Wan*): Treating phlegm prioritizes regulating Qi. These two herbs (referring to Zi Wan and Bai Bu) descend Qi; when Qi descends, fire clears, phlegm flows smoothly, and cough stops. (1 liang).
* **Scrophulariae Radix** (Scrophularia Root, *Yuan Shen*): Treats misty Qi in the chest and rootless fire. (1 liang).
* **Schisandrae Fructus** (Schisandra Berry, *Wu Wei Zi*): Chronic cough consumes Qi; use Schisandra, an astringent herb, honey-fried. (1 liang).
* **Platycodonis Radix** (Platycodon Root, *Jie Geng*): (1 liang).
* **Glycyrrhizae Radix et Rhizoma** (Licorice Root, *Gan Cao*): Cough belongs to the Upper Jiao, so sweet herbs are used. Platycodon acts as a boat/pilot to guide the medicine. Honey-fried. (1 liang).
Sixteen ingredients in total. Processed with refined honey into pills the size of a bullet. Hold in the mouth and dissolve slowly at any time; taking it before bed is better. It can also be taken as an electuary.
This is a formula that moistens dryness, clears Metal (Lung), descends Qi, eliminates phlegm, and has astringent properties. Formulated by Zhong Chun, it produces immediate results for persistent cough due to Yin deficiency. I believe many people suffer from Yin deficiency. For example, after the exterior pathogen of a wind-cold cough has resolved but the cough persists for a long time, this formula is very effective.
Treats Heart injury caused by worry and overthinking. (The Heart is the Sovereign; if the Heart is injured, Spirit departs, and life ends instantly. Any mention of Heart disease usually refers to the Pericardium suffering.) When Heart Blood is insufficient, blood deficiency generates internal fire, fire generates phlegm, and phlegm disturbs the Pericardium, causing palpitations and restless sleep. *Zheng Tong* (Palpitations/Anxiety) refers to a feeling of terror and unease in the heart, confusion, and restlessness, as if being chased by someone. Empty irritability and insomnia occur because Kidney Water does not ascend to interact with the Heart, leaving Heart Fire uncontrolled, which is also due to deficient Heart Blood. Zhong Chun stated: Insomnia should be treated primarily by clearing Heart Fire. Constipation occurs because the Heart governs Blood; Heart injury leads to dry Blood and difficult defecation. Short, red urine occurs because the Heart and Small Intestine are interior-exterior related, and heat transfers from the Zang to the Fu. Dry throat and thirst occur because body fluids are scorched. Mouth and tongue ulcers occur due to Heart Fire flaring upward.
* **Ginseng Radix** (Ginseng Root, *Ren Shen*): Tonifies Heart Qi. (5 qian; increase dosage for deficiency).
* **Angelicae Sinensis Radix** (Dong Quai Root, *Dang Gui*): Nourishes Heart Blood. (1 liang).
* **Ziziphi Spinosae Semen** (Jujube Seed, *Zao Ren*): Stir-fried. (4 liang).
* **Schisandrae Fructus** (Schisandra Berry, *Wu Wei Zi*): Astringes Heart fluid.
* **Ophiopogonis Radix** (Ophiopogon Root, *Mai Dong*): Benefits Heart Jin (fluids). (2 liang).
* **Asparagi Radix** (Asparagus Root, *Tian Dong*): (2 liang).
* **Scrophulariae Radix** (Scrophularia Root, *Yuan Shen*): Strengthens Kidney Water. (1 liang).
* **Platycodonis Radix** (Platycodon Root, *Jie Geng*): Guides the other herbs to remain in the Upper Jiao, preventing them from descending too quickly. (5 qian).
These thirteen ingredients are processed with refined honey into pills the size of a bullet. Add **Cinnabar** (Zhu Sha, 1.5 liang) to protect the Heart, grind finely, and use as a coating. Another prescription uses **Rhizoma Coptidis** (Huang Lian); add it if Heart Fire is severe. Take far after meals and before bedtime, dissolved in Bamboo Leaf and Nymphicae Nelumbinis Placenta & Juncus Effusus Decoction or Longan Decoction. Holding in the mouth and dissolving is better.
This is a formula that generates fluids, nourishes Blood, clears heat, calms the Spirit, and anchors the Heart. It is suitable for those who labor with their minds. In the past, Chan Master Zhigong chanted scriptures day and night... [Text fragment missing] ... To resolve phlegm, one may use Bamboo Sap, Fritillaria, Hyacinth Bean, Phelodendron Bark, and Calculus Bovis; to calm fright, one may use Gold Foil and Haematitum. All can be selected according to symptoms. I note: The Classics state that the Heart is the great master of the five Zang and six Fu organs, commanding the Hun and Po, and encompassing Zhi and Yi. Therefore, worry moving in the Heart causes the Lung to respond; thinking moving in the Heart causes the Spleen to respond; anger moving in the Heart causes the Liver to respond; fear moving in the Heart causes the Kidney to respond. Although the Seven Emotions (Joy, Anger, Worry, Fear, Sadness, Thought, Fright) are distributed among the five Zang organs, they all originate from the Heart. The Classics say: The Heart governs the vessels of the whole body. It also says: The Heart generates Blood; thus, the Heart is the source of Blood. If the Heart is not overworked, its Blood increases daily. Only through excessive mental labor is Heart Blood consumed daily. Consequently, the Zang and Fu lose moisture, sinews and vessels lose nourishment, Ying Qi becomes deficient, and pathogenic heat arises. This is what is meant by "Yin deficiency generating internal heat." If Kidney Water is not deficient, it can still ascend to control the Heart, and Heart Fire will not scorch the Lung to cause harm. If deficient, Heart Fire is uncontrolled, becomes hyperactive, attacks Metal (Lung), causing cough and asthma, consuming Lung Yin, leading to emaciation, and death may follow immediately. This condition is common among those who are frustrated. Therefore, treating this condition must prioritize strengthening Water (Kidney), while also paying attention to Middle Qi (Spleen/Stomach). Generally, for patients with Xu Lao (Consumptive Disease), regardless of which organ is injured, if there is no internal heat with bone-steaming fever, it is not called Xu Lao; if there is no poor appetite, diarrhea, and muscle wasting, death is not imminent. Therefore, Sun Simiao said tonifying the Spleen is inferior to tonifying the Kidney, and Scholar Xu said tonifying the Kidney is inferior to tonifying the Spleen. These two masters deeply understood that the Spleen and Kidney are the foundation of human life. Thus, for all diseases, one should regulate the Spleen and Kidney, not just for Xu Lao.