(韩 )
治老人气实痰盛,喘满懒食(痰不自动,因火而动。气有余便是火。气盛上涌故喘,痰
火
紫苏子(沉水者) 白芥子 莱菔子。各微炒、研,煎服。或等分,或看病所主为君。
此手足太阴药也。白芥子除痰,紫苏子降气,莱菔子消食,然皆行气豁痰之药,气行则
火降而痰消矣(吴鹤皋曰∶治痰先理气,此治标耳,终不若二陈能健脾去湿,有治本之功也。
李士
气虚
(严氏)
治中风痰迷心窍,舌强不能言(心在窍为舌,心别脉系舌根,脾脉连舌本、散舌下,肾
脉侠舌本,三脉虚则痰涎乘虚闭其脉道,故舌不能转运言语也;若三脉亡血,不能荣养而喑
者,又当加补血药。风痰塞其经络,舌强不能言,其证为重;若壅热上攻,舌肿不能转者,
其证为
半夏(姜制) 胆星(三钱五分) 橘红 枳实 茯苓(二钱) 人参 菖蒲(一钱) 竹
茹(
此手少阴、足太阴药也。心脾不足,风邪乘之,而痰与火塞其经络,故舌本强而难语也
。人
枳实破痰利膈;竹茹清燥开郁,使痰消火降,则经通而舌柔矣(喻嘉言曰∶此证最急,此药
最缓,有两不相当之势。审其属实,用此汤调下牛黄丸;审其属虚,用此汤调下二丹丸,庶
足开痰
(附∶二丹丸∶丹参 熟地 天冬(两半) 麦冬 茯神 甘草(一两) 丹砂 人参 菖
蒲远志(五钱。蜜丸)。安神养血,清热息风,服之得睡。有风中心脾者,有痰塞心窍者,
有风寒壅滞者,致舌本木强;又有气虚、血虚、肾虚,及老人暴不能言者,宜十全大补汤加
菖蒲、远志)。
(From Han's Formula)
Treats elderly patients with excess Qi and abundant phlegm, presenting with panting, chest fullness, and poor appetite. (Note: Phlegm does not arise spontaneously but is stirred by fire. Excess Qi transforms into fire. When Qi surges upward, it causes panting, and phlegm moves with the fire.)
Perillae Fructus (Zisuzi) [preferably those that sink in water], White Mustard Seed (Baijiezhi), and Radish Seed (Laifuzi). Lightly stir-fry each, grind them, and decoct for oral administration. Use equal parts, or adjust the principal herb according to the specific condition.
This formula acts on the Hand-Taiyin Lung Meridian and Foot-Taiyin Spleen Meridian. White Mustard Seed eliminates phlegm; Perillae Fructus directs Qi downward; Radish Seed aids digestion. However, all are herbs that promote Qi circulation and resolve phlegm. When Qi flows smoothly, fire descends and phlegm dissipates. (Wu Hegao stated: To treat phlegm, one must first regulate Qi; this treats the branch/symptoms, but ultimately it is inferior to Erchen Tang [Two-Chen Decoction] which strengthens the Spleen and removes dampness, thereby addressing the root cause.) Li Shicai noted: In cases of Qi deficiency...
(From Yan's Formula)
Treats stroke where phlegm confounds the Heart orifice, resulting in a stiff tongue and inability to speak. (Note: The Heart opens into the tongue; its collateral vessels connect to the root of the tongue. The Spleen meridian connects to the base of the tongue and spreads under it. The Kidney meridian flanks the base of the tongue. When these three meridians are deficient, phlegm-saliva takes advantage of the deficiency to block the vessel pathways, causing the tongue to be immobile and speechless. If aphonia results from blood loss in these three meridians failing to nourish the tongue, blood-nourishing herbs should be added. When wind-phlegm blocks the collaterals causing a stiff tongue and inability to speak, the condition is severe; if heat accumulation attacks upward causing tongue swelling and immobility, the condition is...)
Pinelliae Rhizoma Preparatum (Banxia) [prepared with ginger juice], Arisaematis Cum Bile Rhizoma (Danningxing) [1.5 qian], Tangerine Peel (Juhong), Immature Bitter Orange (Zhishi), Poria (Fuling) [0.8 qian], Ginseng (Renshen), Acori Tatarinowii Rhizoma (Changpu) [0.3 qian], Bamboo Shavings (Zhuru) [...].
This formula acts on the Hand-Shaoyin Heart Meridian and Foot-Taiyin Spleen Meridian. Deficiency of the Heart and Spleen allows wind pathogens to invade; phlegm and fire block the collaterals, causing tongue stiffness and difficulty in speech. Human...
Immature Bitter Orange breaks up phlegm and benefits the diaphragm; Bamboo Shavings clears dryness and opens depression, allowing phlegm to dissipate and fire to descend, thus unblocking the collaterals and softening the tongue. (Yu Jiayan stated: This condition is most urgent, yet this formula acts relatively slowly, creating a mismatch. Carefully determine if it is an excess pattern; if so, use this decoction to administer Niuhuang Wan [Calculus Bovis Pill]; if it is a deficiency pattern, use this decoction to administer Erdan Wan [Two-Red Pills], sufficient to open the phlegm obstruction...)
(Attached Formula: Erdan Wan: Salviae Miltiorrhizae Radix (Danshen), Prepared Rehmanniae Radix (Shudihuang), Asparagi Radix (Tiangong) [1.5 liang], Ophiopogonis Radix (Maidong), Poria with Wood (Fushen), Licorice Root (Gancao) [1 liang], Cinnabar (Zhusha), Ginseng (Renshen), Acori Tatarinowii Rhizoma (Changpu), Polygalae Radix (Yuanzhi) [5 qian, formed into pills with honey]. Functions: Calms the Spirit, nourishes Blood, clears heat, and extinguishes wind. Promotes sleep. For cases where wind strikes the Heart and Spleen, phlegm obstructs the Heart orifice, or wind-cold stagnation causes tongue numbness and stiffness; also for Qi deficiency, Blood deficiency, Kidney deficiency, and sudden aphonia in the elderly, Shiquan Dabu Tang [Ten Complete Tonifying Decoction] with added Changpu and Yuanzhi is appropriate.)