夫上喘中满,醋心腹胀,时时作声,痞气上下,不能宣畅。叔和云∶气壅三焦不
得昌是也。可用独圣散吐之;吐讫,次用导水禹功,轻泻药三、五行;不愈,更以利膈丸泻之
,使上下宣通,不能壅滞;后服平胃散、五苓散、益元散、桂苓甘露散、三和散,分阴阳、利
水道之药则愈。
夫富贵之人,一切涎嗽,是饮食浓味,热痰之致然也。先用独圣散吐之;吐讫,
可服人参散、通圣散加半夏,以此止嗽;更服大人参半夏丸,以之化痰也。大忌酸咸油腻生硬热物也。
夫贫难之人咳嗽,内外感风冷寒湿之致然也。《内经》曰∶秋伤于湿,冬生咳嗽
。可服宁神散宁肺散加白术之类则愈矣,忌法同前。
夫男子妇人咳逆,俗呼曰呃忒,乃阴阳不和也。乃伤寒亦有咳逆者,并可用既济
散治之。忌寒热物,宜食温淡物,以养胃气耳。
夫风痰酒痰,或热在膈上,头目不清,涕唾稠粘,或咳嗽上喘,时发潮热,可用
独圣散吐之;吐讫,可服搜风丸、凉膈散之类。《内经》曰∶流湿润燥是也。
夫男子妇人,咯血、衄血、嗽血、咳脓血,可服三黄丸、黄连解毒汤、凉膈散,
加桔梗、当归,大煎剂料,时时呷之。《内经》曰∶治心肺之病最近,药剂不厌频而少,时时呷之者是也。
For patients who have been ill for many days and suffer from deficiency and weakness, administration of Wubi Shanyao Wan (Incomparable Yam Pill) will lead to recovery.
Regarding cases presenting with upper dyspnea, middle abdominal fullness, acid regurgitation, epigastric and abdominal distension, frequent audible sounds, qi stagnation moving up and down without smooth flow, and inability to diffuse and circulate freely: Wang Shuhe stated, "Qi congestion in the Triple Burner prevents its flourishing." This condition can be treated with Dusheng San (Solely Holy Powder) via emesis; after vomiting, administer mild purgatives such as Dao Shui Yu Gong San (Water-Dredging Yu Gong Powder) three or five times. If not cured, further purge using Lige Wan (Diaphragm-Opening Pill) to ensure unimpeded circulation above and below, preventing stagnation. Subsequently, administer Pingwei San (Stomach-Pacifying Powder), Wuling San (Five-Ling Powder), Yiyuan San (Benefiting Origin Powder), Guiling Ganlu San (Cinnamon Twig and Poria Sweet Dew Powder), and Sanhe San (Three-Harmonizing Powder)—medications that differentiate Yin and Yang and promote water passage—to achieve recovery.
For wealthy individuals, all phlegm-drool and coughs are caused by rich and heavy dietary habits leading to Phlegm-Heat. First, induce vomiting with Dusheng San (Solely Holy Powder); after vomiting, administer Renshen San (Ginseng Powder) or Tongsheng San (Unobstructed Holiness Powder) added with Banxia (Pinellia Rhizome) to stop coughing; subsequently take Darenshen Banxia Wan (Great Ginseng Pinellia Pill) to resolve phlegm. Strictly avoid sour, salty, greasy, raw, hard, and hot foods.
For impoverished individuals, coughing is caused by external contraction of Wind-Cold and Cold-Dampness. The *Neijing* states: "Injury by Dampness in Autumn leads to Cough in Winter." Administration of Ningshen San (Spirit-Calming Powder) or Ningfei San (Lung-Pacifying Powder) added with Baizhu (Atractylodes Macrocephala Rhizome) will lead to recovery; the contraindications are the same as mentioned above.
Whether male or female, hiccups (colloquially referred to as 'e te') result from disharmony between Yin and Yang. Hiccups also occur in Shanghan (Cold Damage) diseases and can be treated with Jiji San (Crossed-Fire Powder). Avoid cold and hot foods; consume warm and bland foods to nourish Stomach Qi.
For Wind-Phlegm or Wine-Phlegm, or Heat located in the Upper Jiao (Triple Burner) causing unclear head and eyes, thick and sticky nasal discharge and saliva, or cough with dyspnea and periodic tidal fever, induce vomiting with Dusheng San (Solely Holy Powder); after vomiting, administer Sofeng Wan (Wind-Searching Pill) or Liangge San (Cooling Diaphragm Powder). As stated in the *Neijing*: "Moisten by draining and dry by moistening" applies here.
Whether male or female, presenting with hemoptysis (spitting blood), epistaxis (nosebleed), bloody sputum, or expectoration of pus and blood, administer Sanhuang Wan (Three-Yellow Pill), Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity), or Liangge San (Cooling Diaphragm Powder), added with Jiegeng (Platycodon Root) and Danggui (Angelica Sinensis), prepared as a large-decoction dosage, taken frequently in small sips. The *Neijing* states: "For diseases of the Heart and Lung, there is no objection to frequent, small-dose medication; taking it in frequent small sips is the correct approach."