方见伤饮门 治酒痰
逐水枳实丸 消痰导滞逐饮
枳实 半夏 陈皮(各二两) 黑牵牛(头末三两)
上为末面糊为丸如桐子大每服五十丸姜汤送下
治脾胃宿冷停痰呕吐
肉豆蔻 木香 丁香 人参 陈皮(各二钱五分) 藿香(五钱) 半夏(汤泡三钱)
上为末姜汁糊丸如桐子大每服三四十丸姜汤送下
清气化痰丸 清头目凉膈化痰
陈皮 半夏 茯苓 甘草
上为末姜汁糊丸如桐子大每服五六十丸姜汤送下
黄芩利膈丸 除胸中之热利膈上之痰
煮黄芩(二两) 半夏 泽泻 黄连(各五钱) 南星(煨) 枳壳 陈皮(各三钱) 白
术
(二钱)
上为末姜汁浸蒸饼和丸如桐子大每服五六十丸姜汤送下
方见中风门 治寒痰
治喉中壅碍咯不出咽不下结塞不利
桔梗 寒水石 香附 蒌仁 杏仁 陈皮 茯苓 半夏 青皮
水二钟姜三片煎八分食远服
治痰气
紫苏子 白芥子 萝卜子
上三味每用一两碾碎用绢袋盛煎汤不拘时服
治胯臂重疼脉沉呕吐
南星 橘皮 半夏 甘草 茯苓 白芥子 苍术 竹茹 黄芩(酒炒)
水二钟姜三片煎八分不拘时服
治风痰
半夏(汤泡七次) 皂角(一寸) 甘草(炙)
水二钟姜三片煎服
有风寒 有痰饮 有火郁 有劳嗽 有肺胀
夫咳者伤于肺气有声而无痰嗽者动于脾湿无声而有痰咳嗽谓有声有痰因伤肺气而动于脾
湿以致之也夫肺为五脏之华盖声音之所出合于皮毛而司乎腠理故风寒先能伤之若腠理不密外
为四气所感则令人咳嗽伤于风者则脉浮鼻塞声重清涕恶寒发热自汗伤于寒者则脉紧无汗恶寒
烦躁不渴伤于热者则脉数烦渴引饮咽干唾涕伤于湿者则脉细四肢沉重骨节烦痛此四气之所伤
也或有七情干于五脏六腑传于肺经亦能令人咳嗽弗独肺经也治疗之法审其寒热辨其虚实寒者
温之热者清之虚者补之实者泻之至如停饮咳嗽则当清而逐之其或不谨日久多成劳瘵虚损之病
凡此诸症在于临时消息则了然无不瘳矣
The formula is found in the "Shang Yin" (Injury by Fluid Retention) section. Treating alcohol-induced phlegm.
Zhushui Zhishi Wan (Water-Expelling Immature Bitter Orange Pill): Eliminates phlegm, guides out stagnation, and expels fluid retention.
Ingredients: Zhi Shi (Immature Bitter Orange), Ban Xia (Pinellia Rhizome), Chen Pi (Aged Tangerine Peel) (each 2 liang), Hei Qian Niu (Black Morning Glory Seed) (taking the first extraction powder, 3 liang).
Preparation and Administration: Grind the above ingredients into fine powder, bind with wheat paste to form pills the size of paulownia seeds. Take 50 pills per dose, washed down with ginger decoction.
Treating vomiting caused by chronic cold in the Spleen and Stomach and retained phlegm.
Ingredients: Rou Dou Kou (Nutmeg), Mu Xiang (Costus Root), Ding Xiang (Clove), Ren Shen (Ginseng Root), Chen Pi (Aged Tangerine Peel) (each 2.5 qian), Huo Xiang (Patchouli Herb), Ban Xia (Pinellia Rhizome) (soaked in boiling water, 3 qian).
Preparation and Administration: Grind the above ingredients into fine powder, bind with ginger juice paste to form pills the size of paulownia seeds. Take 30-40 pills per dose, washed down with ginger decoction.
Qingqi Huatan Wan (Clearing Qi and Resolving Phlegm Pill): Clears the head and eyes, cools the diaphragm, and resolves phlegm.
Ingredients: Chen Pi (Aged Tangerine Peel), Ban Xia (Pinellia Rhizome), Fu Ling (Poria), Gan Cao (Licorice Root).
Preparation and Administration: Grind the above ingredients into fine powder, bind with ginger juice paste to form pills the size of paulownia seeds. Take 50-60 pills per dose, washed down with ginger decoction.
Huangqin Lige Wan (Scutellaria Diaphragm-Clearing Pill): Removes heat from the chest and clears phlegm from the upper diaphragm.
Ingredients: Zhu Huang Qin (Boiled Scutellaria Root) (2 liang), Ban Xia (Pinellia Rhizome), Ze Xie (Alisma Rhizome), Huang Lian (Coptis Rhizome) (each 5 qian), Nan Xing (Arisaema Rhizome) (roasted), Zhi Ke (Bitter Orange Fruit), Chen Pi (Aged Tangerine Peel) (each 3 qian), Bai Zhu (Atractylodes Macrocephala Rhizome) (2 qian).
Preparation and Administration: Grind the above ingredients into fine powder, mix with steamed bread soaked in ginger juice to form pills the size of paulownia seeds. Take 50-60 pills per dose, washed down with ginger decoction.
The formula is found in the "Zhong Feng" (Wind Stroke) section. Treating cold-phlegm.
Treating obstruction in the throat, inability to expectorate or swallow, feeling of blockage and discomfort.
Ingredients: Jie Geng (Platycodon Root), Han Shui Shi (Halloysitum Rubrum), Xiang Fu (Cyperus Rhizome), Lou Ren (Melon Seed), Xing Ren (Apricot Seed), Chen Pi (Aged Tangerine Peel), Fu Ling (Poria), Ban Xia (Pinellia Rhizome), Qing Pi (Green Tangerine Peel).
Preparation and Administration: Decoct with 2 zhong of water and 3 slices of fresh ginger until reduced to 8 fen. Take after meals.
Treating phlegm-Qi disorder.
Ingredients: Zi Su Zi (Perilla Fruit), Bai Jie Zi (White Mustard Seed), Luo Bo Zi (Radish Seed).
Preparation and Administration: For each of the three herbs, take 1 liang, crush finely, place in a silk bag, decoct in water, and drink at any time.
Treating heaviness and pain in the hips and arms, deep pulse, and vomiting.
Ingredients: Nan Xing (Arisaema Rhizome), Ju Pi (Tangerine Peel), Ban Xia (Pinellia Rhizome), Gan Cao (Licorice Root), Fu Ling (Poria), Bai Jie Zi (White Mustard Seed), Cang Zhu (Atractylodes Lancea Rhizome), Zhu Ru (Bamboo Shavings), Huang Qin (Scutellaria Root) (stir-fried with wine).
Preparation and Administration: Decoct with 2 zhong of water and 3 slices of fresh ginger until reduced to 8 fen. Drink at any time.
Treating wind-phlegm.
Ingredients: Ban Xia (Pinellia Rhizome) (soaked in boiling water seven times), Zao Jiao (Gleditsia Sinensis Fruit), Gan Cao (Licorice Root) (honey-fried).
Preparation and Administration: Decoct with 2 zhong of water and 3 slices of fresh ginger. Drink.
Etiologies of cough include: injury by wind-cold, retention of fluid-retention, fire depression, labor-induced cough, and lung distension.
"Cough" (Ke) refers to injury to Lung Qi, characterized by sound but no sputum. "Sputtering" (Sou) refers to disturbance by Spleen dampness, characterized by no sound but with sputum. "Coughing and Sputtering" (Ketan) refers to both sound and sputum, caused by injury to Lung Qi combined with disturbance by Spleen dampness.
The Lung is the canopy of the five Zang organs, the source of voice, externally connects with the skin and hair, and governs the couli (pores). Therefore, wind and cold can easily injure it first. If the couli are not tight and are affected by the four external pathogens (wind, cold, summerheat, dampness), it causes coughing.
Injury by Wind: floating pulse, nasal congestion, heavy voice, clear rhinorrhea, aversion to cold, fever, spontaneous sweating.
Injury by Cold: tight pulse, no sweating, aversion to cold, restlessness, absence of thirst.
Injury by Heat: rapid pulse, vexation and thirst with desire to drink, dry throat, sticky rhinorrhea and sputum.
Injury by Dampness: fine pulse, heaviness of the four limbs, painful and heavy joints.
These are injuries caused by the four external pathogens.
Alternatively, internal injury by the Seven Emotions affecting the Five Zang and Six Fu organs, transmitting to the Lung Meridian, can also cause coughing; it is not limited solely to the Lung Meridian.
The treatment method requires examining cold and heat, and distinguishing deficiency and excess. Cold is treated with warming methods; heat is treated with clearing methods; deficiency is treated with tonifying methods; excess is treated with draining methods.
For cough caused by retained fluid retention, one should clear heat and expel the fluid.
If negligence persists for a long time, it often develops into Lao Zhai (consumption disease) or Xu Sun (deficiency damage).
Regarding all these syndromes, careful consideration during clinical practice ensures clarity and complete cure.