治肺经积热上喘, 胸膈胀满痰多, 大便涩.
人参 黄芩 栀子 栱壳 薄荷 甘草 连翘 杏仁 桑皮 大黄
桔梗水煎服.
【集注】王又原曰: 经云: 邪之所凑, 其气必虚. 又肺为娇脏, 其不
堪破耗也明矣. 自肺热伤肺之说行, 曰保肺补肺, 众共哗之; 曰清肺
泻肺, 乐与和之. 岂知古人清肺, 泻肺等汤, 而必皆以人参立名, 夫
亦可晓然于肺气之不可耗, 而人参之在所必用也. 肺体清而法天, 下
济而司降令, 一切浑浊不得上干者, 皆胸中之气健运行而不息也. 若
肺气稍弛, 则降下失令, 浑浊之气遂逆上行, 此为咳嗽为喘急, 肺叶
胀举, 胸膈紧痛, 移热大肠, 大便艰涩, 种种显有余之象, 实种种为
不足之征. 故不问内伤外感, 为热为寒, 要以人参保定肺气为主. 或
佐骨皮, 知母, 阿胶滋之, 鸟梅, 五味, 罂粟壳敛之, 半夏??, 生姜
降之, 杏仁, 桑皮, 枳壳, 桔梗利之, 栀子, 黄芩, 连翘凉之, 麻黄
,薄荷发之, 大黄下之, 总恃人参之大力, 握枢而运, 已入之邪易出
,而将来之邪无从入也. 肺邪得诸药以俱出, 而肺气不随诸药以俱出
也.然则人参亦何尝伤肺, 乃畏而不敢用耶? 又谓风寒咳嗽, 忌用五
味子; 嗽用粟壳, 止嗽如神, 切肺如刀. 然此无本之言, 不知始自何
出, 皆因不读本草, 不知药之性味功能, 以讹传讹也. 近世之医,
亦不能辨, 惟识者察之.
Treats upper wheezing caused by accumulated heat in the Lung meridian, chest and diaphragm distension with abundant phlegm, and dry, difficult defecation.
Ren Shen (Ginseng Radix), Huang Qin (Scutellariae Radix), Zhi Zi (Gardeniae Fructus), Zhi Ke (Aurantii Fructus), Bo He (Menthae Haplocalycis Herba), Gan Cao (Glycyrrhizae Radix et Rhizoma), Lian Qiao (Forsythiae Fructus), Xing Ren (Armeniacae Semen Amarum), Sang Bai Pi (Mori Cortex), Da Huang (Rhei Radix et Rhizoma).
Decoct these herbs in water and take orally.
[Collected Annotations] Wang Youyuan stated: The Classics say: "Where pathogenic factors gather, the healthy Qi must be deficient." Furthermore, the Lung is a delicate organ, and it is evident that it cannot withstand excessive depletion or attack. Since the theory of "Lung heat injuring the Lung" became prevalent, people have loudly opposed the idea of "preserving and tonifying the Lung," while readily agreeing with "clearing and purging the Lung." How could they know that ancient formulas for clearing and purging the Lung invariably featured Ren Shen (Ginseng Radix) in their names? This should make it clear that Lung Qi must not be depleted, and thus Ren Shen (Ginseng Radix) is indispensable. The Lung's substance is pure and follows the Heavenly Dao; it descends to assist and governs the descending function. The reason turbid pathogens do not ascend to interfere is due to the vigorous and ceaseless movement of Qi in the chest. If Lung Qi becomes slightly lax, the descending function fails, and turbid Qi rebels upward. This leads to cough, wheezing, distension and elevation of the lung lobes, tight pain in the chest and diaphragm, heat transferring to the Large Intestine, and difficult defecation. These various manifestations appear as excess (Shi patterns), but are actually signs of deficiency (Xu patterns). Therefore, regardless of whether the cause is internal injury or external contraction, heat or cold, the primary principle must be to use Ren Shen (Ginseng Radix) to stabilize Lung Qi. One may add Gu Pi (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma), and E Jiao (Colla Corii Asini) to moisten it; Wu Mei (Mume Fructus), Wu Wei Zi (Schisandrae Fructus), and Ying Su Qiao (Papaveris Pericarpium) to astringe it; Ban Xia (Pinelliae Rhizoma) and Sheng Jiang (Zingiberis Rhizoma Recens) to direct rebellious Qi downward; Xing Ren (Armeniacae Semen Amarum), Sang Bai Pi (Mori Cortex), Zhi Ke (Aurantii Fructus), and Jie Geng (Platycodonis Radix) to benefit Qi flow; Zhi Zi (Gardeniae Fructus), Huang Qin (Scutellariae Radix), and Lian Qiao (Forsythiae Fructus) to cool it; Ma Huang (Ephedrae Herba) and Bo He (Menthae Haplocalycis Herba) to induce sweating and release the exterior; Da Huang (Rhei Radix et Rhizoma) to purge downwards. All rely on the powerful force of Ren Shen (Ginseng Radix) to grasp the pivot and regulate, allowing existing pathogens to exit easily and preventing future pathogens from entering. The Lung pathogens exit together with the action of the various herbs, while Lung Qi does not dissipate along with them. In this case, how has Ren Shen (Ginseng Radix) ever injured the Lung, yet people fear it and dare not use it? Others claim that for wind-cold cough, Wu Wei Zi (Schisandrae Fructus) is contraindicated; and that using Ying Su Qiao (Papaveris Pericarpium) for cough stops it miraculously, but constricting the Lung like a knife cut. However, these are baseless statements of unknown origin, resulting from not studying Materia Medica and not understanding the properties, flavors, and functions of drugs, thereby spreading errors. Physicians of recent times also fail to distinguish right from wrong; only those with insight can perceive the truth.