治咳而上气, 此为肺胀, 其人喘, 目如脱状, 脉浮大者.
麻黄六两 石膏半斤 生姜三两 甘草二两 半夏半升 大枣十五枚
,右六味, 以水六升, 先煮麻黄, 去沫, 纳药, 取三升, 分温三服.
治肺胀, 咳而上气, 烦躁而喘, 脉浮者, 心下有水气.
麻黄三两 桂枝三两 细辛三两 芍药三两 半夏半升 石膏三两
干姜三两 五味子半升 甘草三两, 右九味, 以水一斗, 煮麻黄, 去
沫,纳诸药, 取三升. 强人服一升, 羸者减之, 日三服. 小儿服四合
.
【集注】喻昌曰: 前一方, 麻黄汤中以桂, 杏易石膏, 以脉大有热而
加姜, 枣, 则发散之力微而且缓也. 后一方, 小青龙汤中加入石膏,
以证兼烦躁, 虽宜汗散寒饮, 犹防助热伤津也. 越婢方中有石膏, 半
夏二物, 协力建功. 石膏清热, 借辛热亦能豁痰, 半夏豁痰 , 借辛
凉亦能清热. 前麦冬汤方中下气止逆, 全藉半夏入生津药中. 此二方
又藉半夏入清温剂中, 仲景加减成方, 无非化裁后学矣.
桑叶 ( 经霜者 ) 三钱 石膏 ( 炒 ) 二钱五分 甘草一钱 胡麻仁
(炒, 研 ) 一钱 真阿胶八分 人参七分 麦冬一钱二分 杏仁 (
去皮, 尖, 炒黄 ) 七分 枇杷叶 ( 去毛, 蜜炙 ) 一片,, 右九味,
以水一碗, 煎六分, 频频二, 三次, 滚热服. 痰多加贝母, 栝蒌. 血
枯加生地. 热甚加犀角, 羚羊角, 或加牛黄.
【集注】喻昌曰: 按诸气膹郁之属于肺者, 属于肺之燥也, 而古今治
气郁之方, 用辛香行气, 绝无一方治肺之燥者. 诸痿, 喘, 呕之属于
上者, 亦属于肺之燥也. 而古今治法, 以痿, 呕属阳明, 以喘属肺,
是则呕与痿属之中, 下, 而惟喘属上矣, 所以亦无一方及于肺之燥也
.即喘之属于肺者, 非表即下, 非行气即泄气, 间有一二用润剂者,
又不得其肯綮. 今拟此方名清燥救肺, 大约以胃为主, 胃土为肺金之
母也. 其天冬, 知母能清金滋水, 以苦寒而不用, 至如苦寒降火之药
,尤在所忌. 盖肺金自至于燥, 所存阴气不过一线耳. 倘更以苦寒下
其气, 伤其胃, 其人尚有生理乎? 诚仿此增减以救肺燥变生诸证, 庶
克有济. 柯琴曰: 古方用香燥之品以治气郁, 不获奏效者, 以火就燥
也.惟缪仲醇知之, 故用甘凉滋润之品以清金保肺立法. 喻昌宗其旨
,集诸润剂, 而制清燥救肺汤, 用意深, 取药当, 无遗蕴矣.
【按】经云: 损其肺者益其气. 肺主诸气故也. 然火与元气不两立,
故用人参, 甘草甘温而补气, 气壮火自消, 是用少火生气之法也. 若
夫火燥膹郁于肺, 非佐甘寒多液之品, 不足以滋肺燥, 而肺气反为壮
火所食, 益助其燥矣. 故佐以石膏, 麦冬, 桑叶, 阿胶, 胡麻仁辈,
使清肃令行, 而壮火亦从气化也. 经曰: 肺苦气上逆, 急食苦以降之
.故又佐以杏仁, 枇杷叶之苦以降气. 气降火亦降, 而制节有权; 气
行则不郁, 诸痿, 喘, 呕自除矣. 要知诸膹郁, 则肺气必大虚, 若泥
于肺热伤肺之说而不用人参, 郁必不开, 而火愈炽, 皮聚毛落, 喘咳
不休而死矣. 此名之救肺, 凉而能补之谓也. 若谓实火可泻, 而久服
芩,连, 苦从火化, 亡可立待耳.
Treats cough with upward rushing of Qi, which is Lung distension (Fei Zhang). The patient wheezes, eyes protrude as if falling out, and the pulse is floating and large.
Ephedrae Herba (Mahuang) 6 liang, Gypsum Fibrosum (Shigao) 0.5 jin, Zingiberis Rhizoma Recens (Shengjiang) 3 liang, Glycyrrhizae Radix et Rhizoma (Gancao) 2 liang, Pinelliae Rhizoma (Banxia) 0.5 sheng, Jujubae Fructus (Dazao) 15 pieces.
The above six herbs are boiled in 6 sheng of water. First boil Ephedrae Herba, remove the foam, then add the remaining herbs. Decoct to obtain 3 sheng of liquid, divide into three warm doses.
Treats Lung distension (Fei Zhang), cough with upward rushing of Qi, irritability with wheezing, floating pulse, and fluid retention in the epigastrium (Xin Xia You Shui Qi).
Ephedrae Herba (Mahuang) 3 liang, Cinnamomi Ramulus (Guizhi) 3 liang, Asari Radix et Rhizoma (Xixin) 3 liang, Paeoniae Radix Alba (Shaoyao) 3 liang, Pinelliae Rhizoma (Banxia) 0.5 sheng, Gypsum Fibrosum (Shigao) 3 liang, Zingiberis Rhizoma (Ganjiang) 3 liang, Schisandrae Fructus (Wuweizi) 0.5 sheng, Glycyrrhizae Radix et Rhizoma (Gancao) 3 liang.
The above nine herbs are boiled in 1 dou of water. First boil Ephedrae Herba, remove the foam, then add all other herbs. Decoct to obtain 3 sheng of liquid. Robust individuals take 1 sheng per dose; frail individuals reduce the dose. Take three times a day. Children take 4 ge per dose.
[Collected Annotations] Yu Chang stated: The former formula (Yuebi Jia Banxia Tang) modifies Maxing Shigan Tang by replacing Guizhi and Xingren with Shigao, because the large pulse indicates heat. Adding Shengjiang and Dazao makes the dispersing action mild and slow. The latter formula (Xiao Qinglong Jia Shigao Tang) adds Shigao to Xiao Qinglong Tang because the syndrome includes irritability. Although sweating to disperse cold-fluid is appropriate, one must guard against assisting heat and damaging fluids. Yuebi Tang contains both Shigao and Banxia, working together. Shigao clears heat; assisted by its acrid-warm nature, it also resolves phlegm. Banxia resolves phlegm; assisted by its acrid-cool nature, it also clears heat. In the previous Maidong Tang formula, descending Qi and stopping rebellion relies entirely on Banxia entering fluid-generating medicines. These two formulas also utilize Banxia entering clear-warming agents. Zhang Zhongjing's modifications of established formulas are nothing but adaptations for teaching later generations.
Sambucus Folium (Sangye) [frosted] 3 qian, Gypsum Fibrosum (Shigao) [stir-fried] 2.5 qian, Glycyrrhizae Radix et Rhizoma (Gancao) 1 qian, Sesami Semen Nigrum (Huma Ren) [stir-fried, ground] 1 qian, Ecorum Corii Asini Colla (Ejiao) 8 fen, Ginseng Radix (Renshen) 7 fen, Ophiopogonis Radix (Maidong) 1.2 qian, Armeniacae Semen Amarum (Xingren) [skin removed, tip removed, stir-fried until yellow] 7 fen, Loquat Folium (Pipaye) [hairs removed, honey-fried] 1 piece.
The above nine herbs are boiled in 1 bowl of water until reduced to 0.6 parts. Take frequently, divided into two or three doses, while hot. If there is much phlegm, add Fritillariae Bulbus (Beimu) and Trichosanthis Radix (Gualou). If blood deficiency, add Rehmanniae Radix (Shengdi). If heat is severe, add Rhinocerotis Cornu (Xijiao) or Saiga Tataricae Cornu (Lingyangjiao), or Niuhuang.
[Collected Annotations] Yu Chang stated: Regarding Qi stagnation and fullness belonging to the Lung, it belongs to Lung dryness. Yet ancient and modern formulas for Qi stagnation use acrid-aromatic Qi-moving drugs, with not a single one treating Lung dryness. Atrophy (Wei), wheezing (Chuan), and vomiting (Ou) belonging to the upper jiao also belong to Lung dryness. However, ancient and modern treatments attribute Wei and Ou to Yangming, and Chuan to the Lung. Thus, Ou and Wei belong to the middle and lower jiao, while only Chuan belongs to the upper jiao. Hence, no formula addresses Lung dryness. Even for Lung-related Chuan, treatments are either exterior-releasing or purgative, Qi-moving or Qi-draining. Occasionally, moistening agents are used, but they miss the key point. Now, this formula is named Qingzao Jiufei Tang, focusing primarily on the Stomach, as Stomach Earth is the mother of Lung Metal. Tiandong and Zhimu can clear Metal and nourish Water, but due to their bitter-cold nature, they are not used. Bitter-cold fire-descending drugs are especially contraindicated. Since Lung Metal has reached dryness, the remaining Yin Qi is but a thread. If bitter-cold drugs are used to drain Qi and damage the Stomach, will the patient survive? Indeed, modifying this formula to save from Lung dryness and its resulting syndromes may yield results. Ke Qin stated: Ancient formulas using aromatic-dry drugs for Qi stagnation fail because "fire follows dryness." Only Miu Zhongchun understood this, establishing principles using sweet-cool moistening drugs to clear Metal and protect the Lung. Yu Chang followed this principle, collecting various moistening agents to create Qingzao Jiufei Tang. Its intent is profound, herb selection apt, leaving no depth unexplored.
[Commentary] The Classic states: "Damage to the Lung requires tonifying Qi," because the Lung governs all Qi. However, Fire and Original Qi cannot coexist. Therefore, Renshen and Gancao are used for their sweet-warm properties to tonify Qi; when Qi is strong, Fire dissipates naturally. This is the method of using "minor fire" to generate Qi. Regarding Fire-Dryness Fullness-Stagnation in the Lung, without assisting with sweet-cold, fluid-rich herbs, Lung dryness cannot be nourished. Instead, Lung Qi is consumed by vigorous Fire, exacerbating dryness. Thus, Shigao, Maidong, Sangye, Ejiao, and Huma Ren are added to facilitate clear-descent functions, allowing vigorous Fire to dissipate through Qi transformation. The Classic says: "The Lung dislikes upward rushing of Qi; urgently eat bitter substances to descend it." Therefore, Xingren and Pipaye are added for their bitter taste to descend Qi. When Qi descends, Fire descends, and regulation is effective; when Qi moves, stagnation ceases, and Atrophy, Wheezing, and Vomiting are eliminated. One must know that in cases of Fullness-Stagnation, Lung Qi is severely deficient. If one adheres strictly to the theory of "Heat damaging the Lung" and omits Renshen, stagnation will not open, Fire will blaze, skin and hair will fall, and death will result from incessant Wheezing and Cough. This is called "saving the Lung," meaning cooling while tonifying. If one believes Excess Fire can be purged and uses Huangqin and Huanglian for long periods, the bitter nature transforms into Fire, and death awaits immediately.