论曰∶若咽中如炙肉脔,咽之不下,吐之不出,由胃寒乘肺,肺胃寒,则津液聚而成
痰,致肺管不利,气与痰相搏,其脉涩,半夏浓朴汤主之。
半夏浓朴汤
半夏(汤洗七遍,五两) 浓朴(去皮,姜汁涂炙,三两) 茯苓 紫苏叶(各二两)
上为散。每服五钱,水二盏,生姜十片,同煎至一盏,去滓,食前温服。
若心下盘旋,欲吐不吐,由饮癖停留不散,枳术汤主之
枳术汤
白术(四两) 枳实(麸炒,去瓤,二两)
上为散。每服五钱,水二盏,煎至一盏,去滓,食前温服。
若腹满,按之没指,随手而起,余与正水皆同,但四肢聂聂动,其脉亦浮,由肺气久虚
为风邪所客,气不得运,百脉闭塞,气结阴聚成水,谓之皮水,亦宜发汗,先以防己汤,
以大豆散。
防己汤
防己(三两) 人参(四两) 桂心(二两) 茯苓(四两)
上为散。每服五钱,水二盏,煎至一盏,去滓温服。
大豆散(方缺。)
若咳嗽,喘不得卧,面浮肿,脉弦急或迟,由肺胃停寒,水聚成饮,支乘于心,气不得
下,谓之支饮,宜先用十枣汤泻之,后宜防己汤主之。
十枣汤
芫花(炒黑) 甘遂 大戟(各等分) 大枣(十枚)
上先煮枣去滓,内前药末。强人服一钱,虚人服五分。若病不除,再服,得快下利为度
后以糜粥自养。
防己汤(见前。)
Commentary states: If there is a sensation in the throat as if there were a piece of roasted meat, which cannot be swallowed down nor spat out, it is caused by stomach cold invading the lung. When both the lung and stomach are cold, body fluids condense to form phlegm (Tan, Phlegm), causing obstruction in the bronchial tubes. Qi and phlegm struggle against each other, resulting in a choppy pulse (Se Mai). Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction) is the primary treatment.
Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction)
Banxia (Pinelliae Rhizoma, washed seven times with decoction, five liang)
Houpo (Magnoliae Officinalis Cortex, bark removed, coated with ginger juice and roasted, three liang)
Fuling (Poria)
Zisu Ye (Perillae Folium) (each two liang)
Grind the above into a powder. Take five qian per dose, add two zhan of water and ten slices of fresh ginger, decoct together until one zhan remains, strain, and take warm before meals.
If there is a swirling discomfort below the heart, with an urge to vomit but inability to do so, it is due to the retention and non-dispersion of fluid accumulation (Yin, Fluid Retention) forming a mass (Pi, Accumulation). Zhizhu Tang (Immature Bitter Orange and Atractylodes Decoction) is the primary treatment.
Zhizhu Tang (Immature Bitter Orange and Atractylodes Decoction)
Baizhu (Atractodis Macrocephalae Rhizoma, four liang)
Zhishi (Immature Bitter Orange, stir-fried with bran, placenta removed, two liang)
Grind the above into a powder. Take five qian per dose, add two zhan of water, decoct until one zhan remains, strain, and take warm before meals.
If there is abdominal fullness, where pressing leaves an indentation that rises immediately upon releasing the hand, and other symptoms are identical to Zheng Shui (True Water Edema), but accompanied by slight tremors in the four limbs and a floating pulse, it is because long-term deficiency of lung Qi allows wind pathogen to lodge. Qi fails to circulate, hundred vessels become blocked, qi knots and gathers in the yin to form water, termed Pi Shui (Skin Water Edema). It is also suitable to induce sweating. First use Fangji Tang (Stephania Decoction), then Dadou San (Soybean Powder).
Fangji Tang (Stephania Decoction)
Fangji (Stephaniae Tetrandrae Radix, three liang)
Renshen (Ginseng Radix et Rhizoma, four liang)
Guixin (Cinnamomi Ramulus, two liang)
Fuling (Poria, four liang)
Grind the above into a powder. Take five qian per dose, add two zhan of water, decoct until one zhan remains, strain, and take warm.
Dadou San (Soybean Powder) (Formula missing.)
If there is coughing, wheezing preventing lying flat, facial edema, and a string-taut or slow pulse, it is due to cold stagnation in the lung and stomach, where water gathers to form Yin (Fluid Retention). This Yin supports and invades the heart, preventing Qi from descending, termed Zhi Yin (Supporting Fluid Retention). Initially, Shizao Tang (Ten Jujube Decoction) should be used to purge, followed by Fangji Tang (Stephania Decoction).
Shizao Tang (Ten Jujube Decoction)
Yuanhua (Genkwa Flos, stir-fried until black)
Gansui (Kansui Radix)
Daji (Euphorbiae Pekinensis Radix) (each equal parts)
Dazao (Jujubae Fructus, ten pieces)
First decoct the jujubes, strain, and add the powdered herbs mentioned above. For strong individuals, take one qian; for weak individuals, take half a qian. If the disease persists, administer again. The goal is rapid purgation (diarrhea), after which nourish the body with millet porridge.
Fangji Tang (Stephania Decoction) (See above.)