治肺有劳病,薄受风寒即喘嗽,冬时益甚者。
生箭 (四钱) 生石膏(四钱捣细) 净蜂蜜(一两) 粉甘草(二钱细末)
生怀山药(三钱细末) 鲜茅根(四钱,锉碎如无鲜者可用干者二钱代之)
上药六味,先将黄 、石膏、茅根,煎十余沸去渣,澄取清汁二杯,调入甘草、山药末同煎,煎时以箸搅
之,勿令二末沉锅底,一沸其膏即成。再调入蜂蜜,令微似沸,分三次温服下,一日服完,如此服之,久而
自愈。然此乃预防之药,喘嗽未犯时,服之月余,能祓除病根。
肺胞之体,原玲珑通彻者也。为其玲珑通彻,故具 辟之机,而司呼吸之气。其 辟之机无碍,即呼吸之
气自如也。有时肺脏有所损伤,其微丝血管及肺胞涵津液之处,其气化皆湮淤凝滞,致肺失其玲珑之体,即有
碍于 辟之机,呼吸即不能自如矣。然当气候温和时,肺叶舒畅,呼吸虽不能自如,犹不至甚剧。有时薄受风寒,
及令届冱寒之时,肺叶收缩,则瘀者益瘀,能 而不能辟,而喘作矣。肺中之气化,瘀而且喘,痰涎壅滞,而
嗽亦作矣。故用黄 以补肺之阳,山药以滋肺之阴,茅根以通肺之窍,俾肺之阴阳调和,窍络贯通,其
辟之力自适均也。用石膏者,因其凉而能散,其凉也能调黄 之热,其散也能助茅根之通也。用甘草者,因其
味甘,归脾益土,即以生金也。用蜂蜜者,因其甘凉滑润,为清肺润肺,利痰宁嗽之要品也。
茅根禀初春少阳之气,升而能散,原肺脏对宫,肝家之药也。夫肺金主敛,肝木主散,此证因肺金之敛太
过,故用茅根导引肝木之气,入肺以宣散之,俾其 辟之机自若,而喘嗽均不作矣。
或问∶凡药之名膏者,皆用其药之原汁,久经熬炼而成膏。今仅取黄 、石膏、茅根之清汁,而调以山药、
甘草之末与蜜,以成膏者何也?答曰∶古人煎药,皆有火候,及药之宜先入后入,或浸水掺入;及药之宜汤、
宜膏、宜丸、宜散之区别,然今人不讲久矣。如此方黄 、茅根过炼,则宣通之力微,石膏过炼,
则清凉之力减,此三味所以不宜熬膏也。然犹恐药入胃之后,由中焦而直趋下焦,其力不能灌注于肺。故加山
药、蜂蜜之润而粘,甘草之和而缓者,调入成膏。使人服之,能留恋胃中不遽下,俾其由胃输脾,由脾达肺也。
或问∶调之成膏者,恃山药、蜂蜜也。至甘草何不与黄 、石膏同煎取汁,而亦为末调入?答曰∶西人谓,
甘草微有苛(苛即薄荷)辣之味,煎之则甘味减,而苛辣之味转增。是以西人润肺之甘草水,止以开水浸之,
取其味甘、且清轻之气上升也。此方将甘草调入汤中,止煎一沸,亦犹西人作甘草水之意也。
To treat **Lao Bing** (Consumptive Disease) of the Lung, where slight exposure to Wind-Cold immediately induces wheezing and coughing, with symptoms worsening in winter.
Sheng Huang Qi (Raw Radix Astragali, 4 qian), Sheng Shi Gao (Raw Gypsum Fibrosum, 4 qian, finely crushed), Jing Feng Mi (Pure Honey, 1 liang), Fen Gan Cao (Powdered Radix Glycyrrhizae, 2 qian, fine powder).
Sheng Huai Shan Yao (Raw Rhizoma Dioscoreae Hypoglaucae, 3 qian, fine powder), Xian Mao Gen (Fresh Rhizoma Imperatae, 4 qian, chopped; if fresh is unavailable, use 2 qian of dried herb as substitute).
Take the above six ingredients. First, decoct Huang Qi, Shi Gao, and Mao Gen for about ten boiling periods, then filter out the dregs. Clarify and obtain two cups of clear liquid. Add the fine powders of Gan Cao and Shan Yao into this liquid and continue decocting. Stir constantly with chopsticks during decoction to prevent the powders from settling at the bottom. Once it boils one more time, the "Gao" (electuary/paste) is formed. Then add the honey, heat until it simmers slightly, and divide into three doses for warm administration, completing the course within one day. With such administration, the disease will heal naturally over time. However, this serves as a preventive medicine. Taking it for over a month when wheezing and coughing have not yet occurred can eradicate the root cause of the disease.
The structure of the **Fei Pao** (Alveoli/Lung Vesicles) is originally delicate, transparent, and unobstructed. Precisely because of this delicacy and transparency, it possesses the mechanism of opening and closing (respiration), thereby governing the breath. If the mechanism of opening and closing is unimpeded, respiration proceeds freely. Occasionally, due to injury to the Lung organ, the microvascular network and the areas within the alveoli that contain body fluids suffer from stagnation and obstruction of Qi transformation. This causes the Lung to lose its delicate and transparent constitution, thereby hindering the opening-and-closing mechanism, making respiration difficult. However, during mild weather, the lung lobes are relaxed and comfortable; although respiration is not entirely free, it is not severe. When exposed to slight Wind-Cold, or during freezing cold seasons, the lung lobes contract. Consequently, the existing stasis worsens. The lungs become capable of closing but unable to open, resulting in wheezing. In the lungs, Qi transformation is stagnant accompanied by wheezing, and phlegm-saliva accumulates and obstructs, leading to coughing. Therefore, Huang Qi is used to tonify Lung Yang, Shan Yao to nourish Lung Yin, and Mao Gen to unblock Lung orifices. This harmonizes the Yin and Yang of the Lung and connects the orifices and collaterals, so that the power of opening and closing becomes balanced. Shi Gao is used because it is cool and dispersing; its coolness regulates the heat of Huang Qi, and its dispersing action assists the unblocking effect of Mao Gen. Gan Cao is used because its sweet flavor enters the Spleen to benefit Earth (Spleen), thereby generating Metal (Lung) via the principle of "Earth generating Metal." Honey is used because it is sweet, cool, slippery, and moistening, serving as a key herb for clearing and moistening the Lung, promoting expectoration, and calming cough.
Mao Gen inherits the Qi of Shaoyang (Lesser Yang) in early spring; it ascends and disperses. It is originally an herb associated with the Liver, which corresponds to the Lung. Metal of the Lung governs convergence/astringency, while Wood of the Liver governs dispersion. In this condition, the converging nature of Lung Metal is excessive. Thus, Mao Gen is used to guide the Qi of Liver Wood into the Lung to disperse it, restoring the normal mechanism of opening and closing, so that wheezing and coughing cease.
A question arises: All medicines named "Gao" (electuary) are made from the pure juice of the herbs, boiled for a long time until thickened. Why does this formula only take the clear juice of Huang Qi, Shi Gao, and Mao Gen, and mix them with powders of Shan Yao, Gan Cao, and honey to form the electuary? The answer is: Ancient practitioners paid great attention to fire control, the order of adding herbs (whether to add first or later), soaking methods, and the distinctions between decoctions, electuaries, pills, and powders. However, modern people have neglected these details for a long time. In this formula, if Huang Qi and Mao Gen are over-boiled, their dispersing and unblocking power diminishes; if Shi Gao is over-boiled, its cooling power decreases. Hence, these three herbs are unsuitable for being boiled down into a thick electuary. Nevertheless, there is a concern that after entering the stomach, the medicinal force might pass directly from the Middle Jiao to the Lower Jiao without reaching the Lung. Therefore, the moist and sticky properties of Shan Yao and honey, along with the harmonizing and moderating nature of Gan Cao, are added to form the electuary. This ensures that upon ingestion, the medicine lingers in the stomach rather than descending rapidly, allowing its effects to transmit from the Stomach to the Spleen, and from the Spleen to the Lung.
Another question: The formation of the electuary relies on Shan Yao and honey. Why is Gan Cao not decocted together with Huang Qi and Shi Gao to extract the juice, but instead added as a powder? The answer is: Western medicine notes that Gan Cao has a slight peppermint-like pungent/spicy taste. Decoction reduces its sweetness and increases this pungent quality. Therefore, Western physicians prepare Gan Cao water for moistening the lungs by simply steeping it in hot water, aiming to preserve its sweet flavor and allow its light, ascending Qi to rise. In this formula, Gan Cao is added to the decoction and boiled only once, following the same rationale as the Western method of preparing Gan Cao water.