一男子五十余岁,病伤寒咳嗽,喉中声如鼾,与独参汤一服而鼾声除,至二三帖咳嗽亦渐退,凡服二三斤
病始全愈。
〔梅〕治久患 呷咳嗽,喉中作声不得眠,取白前捣为末,温酒调二钱匕。(《衍义》云∶白前保定肺气。)
〔仲〕咳而上气,喉中水鸡声,射干麻黄汤主之。
射干(三两) 麻黄 生姜(各四两) 细辛 紫菀 款冬花(各三两) 大枣(七枚) 五味子 半夏(各半升)
上九味,以水一斗二升,先煮麻黄两沸,去上沫,纳诸药,煮取三升,分温三服。
〔《千》〕白前汤 咳逆上气,身体浮肿,短气肿满,旦夕倚壁不得卧,喉中水鸡鸣。
白前 紫菀 半夏 大戟(各三两)
上 咀,以水一斗,浸一宿,明旦煮取三升,分三服。
〔《素》〕阴争于内,阳扰于外,魄汗未藏,四逆而起,起则熏肺,使人喘鸣。(阴阳别论)起居如故而息有
音者,此肺之络脉逆也。脉络不得随经上下,故留经而不行。络脉之病患也微,故起居如故而息有音也。(逆调论)
督脉生病,其上气有音,治其喉中央在缺盆中者。(天突穴也。)其病上冲喉者,治其渐,渐者上侠颐也。(王
注谓天迎穴。)
〔《甲》〕咳,喉中鸣,唾血,大钟主之。胸胁支满,不得俯仰, 痈咳逆上气,喉咽喝喝有声,太溪主
之。咳逆上气,咽喉喝喝喘息,扶突主之。
A man over fifty years old suffered from cold damage (Shanghan) with coughing, and his throat made sounds like snoring. After taking one dose of Dushen Tang (Ginseng Decoction), the snoring sound ceased; after two or three more doses, the cough gradually subsided; only after consuming two to three jin (approx. 1-1.5 kg) of medicine did the illness fully resolve.
[Mei] To treat chronic Xieke (cough with wheezing sound) where the throat makes noise preventing sleep, take Baiqian (Cymbopterygium Root) pounded into powder, mixed with warm wine for a dose of two qianbi (approx. 6-9 grams). ([Bencao Yan Yi / Elucidation of Materia Medica] states: Baiqian stabilizes Lung Qi.)
[Zhang Zhongjing] For cough with upward rushing of Qi, and a sound in the throat resembling that of a water chicken (frog), Shegan Mahuang Tang (Thoroughwort and Ephedra Decoction) is the primary treatment.
Shegan (3 liang) Mahuang (Ephedrae Herba) Shengjiang (Fresh Ginger Root) (each 4 liang) Xixin (Asari Radix et Rhizoma) Ziwan (Asteris Radix) Kuandonghua (Farfarae Flos) (each 3 liang) Dazao (Jujubae Fructus) (7 pieces) Wuweizi (Schisandrae Fructus) Banxia (Pinelliae Rhizoma) (each half sheng)
The above nine ingredients are decocted in 12 sheng of water. First, boil Mahuang until it boils twice, skim off the foam on the surface, then add the remaining herbs. Boil until 3 sheng of liquid remains. Divide into three warm doses.
[Qianjin Fang] Baiqian Tang: Treats rebellious Qi rising with cough, bodily edema, shortness of breath and abdominal fullness, inability to lie down day or night even while leaning against a wall, and a sound in the throat like a water chicken.
Baiqian Ziwan Banxia Daji (Euphorbiae Pekinensis Radix) (each 3 liang)
The herbs are cut into small pieces, soaked in 10 sheng of water overnight, and boiled the next morning until 3 sheng of liquid remains. Divide into three doses.
[Su Wen / Basic Questions] Yin contends within, Yang disturbs without; Pohan (sweat associated with the Po soul) is not stored; four extremities become cold (Sini). When this cold rises, it steams the Lungs, causing panting and wheezing. (From "Treatise on Differentiating Yin and Yang") If daily activities remain normal but respiration produces sound, this indicates reversal of the collateral vessels of the Lung. The collateral Qi cannot follow the meridians up and down, thus stagnating in the main channels without flowing. Since the pathology of the collaterals is slight, daily activities remain normal despite respiratory sounds. (From "Treatise on Reversed Regulation") When the Du Mai (Governor Vessel) is diseased, there is upward rushing Qi with sound; treat the point in the center of the throat located in the depression of the collarbone. (This is Tiantu [CV-22]). When the pathological Qi rushes upward to the throat, treat Jian; Jian is located above, flanking the chin. (Wang Bing’s commentary identifies this as Tianrong [SI-17]).
[Jia Yi Jing / Acupuncture and Moxibustion Classic] For cough, throat鸣 (wheezing/ringing), and spitting blood, Da Zhong (KI-4) is indicated. For chest and hypochondriac distension and fullness, inability to bend forward or backward, Yongke (painful cough) with rebellious Qi, and hoarse sounds in the throat and pharynx, Tai Xi (KI-3) is indicated. For rebellious Qi with cough, and hoarse panting in the throat, Fu Tu (ST-12) is indicated.