治肺气热盛,咳嗽而喘,面肿,身热。
桑白皮 地骨皮 甘草
水煎服。
季楚重曰∶经云∶肺苦气上逆。上逆则上焦郁热,气郁生涎,火郁生热,因而治节不行,
壅
白
滋肾子以清母;甘草益土和中,且生能泻火,补土母以食子,泻补交致,金元自正,于以佐
桑皮而行诸气之愤郁,鲜不达矣,较之黄芩、知母苦寒伤胃者远也。夫火热伤气,救肺之治
有三∶伤寒邪热侮肺,用白虎汤除烦,此治其标;内症虚火烁阴,用生脉散益阴,此治其本
;若夫正气不伤,郁火又甚,则泻白散之清肺调中,标本兼治,又补二方之不及也。
治阴虚火旺,骨蒸发热,日静夜剧者;妇人热入血室,胎前发热者。
四物汤加地骨皮 牡丹皮(各三钱)
水煎服。
柯韵伯曰∶阴虚者,阳必凑之,故热。仲景曰∶阴弱则发热。阳气下陷入阴中,必发热。
然
入
凉补
补其
与四
其性
治脾胃虚,怠惰嗜卧,四肢不收,时值湿热,体重节痛,口干舌燥,饮食无味,大便不
调,
羌活 独活 防风 柴胡 人参 白术 茯苓 甘草 黄 白芍 半夏 黄连 泽泻
陈皮
水煎服。
吴鹤皋曰∶脾土虚弱,不能制湿,故体重节痛;不能运化精微,故口干无味;中气既弱,
传
方
陈
古
Treats excess heat in the Lung Qi, characterized by coughing and wheezing, facial edema, and fever.
Sangbaipi (Mori Cortex), Digupi (Lycii Cortex), Gancao (Glycyrrhizae Radix et Rhizoma).
Decoct in water and take orally.
Ji Chuzhong stated: The *Classic of Internal Medicine* (*Huangdi Neijing*) records: "The Lung dislikes rebellious Qi." When Qi rebels upward, it causes stagnation and heat in the Upper Jiao. Qi stagnation generates phlegm-saliva, and fire stagnation generates heat. Consequently, the Lung's regulatory function fails.
(Note: The original text contains gaps/errors here. Based on context and formula principles, the logic implies nourishing Kidney Water to clear Lung Metal; Gancao tonifies Spleen Earth to harmonize the middle, and generates Qi to drain fire. By tonifying Spleen Earth (Mother of Metal) to nourish Lung Metal (Child), draining excess and tonifying deficiency are interwoven, allowing Metal Qi to correct itself. This assists Sangbaipi in resolving the stagnation of Qi, achieving unobstructed flow. This is far superior to using bitter-cold herbs like Huangqin (Scutellariae Radix) or Zhimu (Anemarrhenae Rhizoma) which damage the Stomach.) Regarding heat-fire damaging Qi, there are three approaches to treating the Lung: First, when pathogenic heat from Cold Damage insults the Lung, Baihu Tang (White Tiger Decoction) is used to relieve irritability; this treats the branch (symptoms). Second, in internal disorders where deficient fire scorches Yin, Shengmai San (Generate the Pulse Powder) is used to benefit Yin; this treats the root (cause). Third, if healthy Qi is not damaged but stagnant fire is severe, Xiebai San (Drain the White Powder) clears Lung heat and regulates the middle, treating both root and branch, thereby supplementing the deficiencies of the previous two formulas.
Treats Yin deficiency with hyperactive fire, bone-steaming tidal fever that is milder during the day and worse at night; women with heat entering the Blood Chamber, or fever occurring before pregnancy.
Siwu Tang (Four Substances Decoction) added with Digupi (Lycii Cortex) and Mudanpi (Moutan Cortex) (each 3 qian).
Decoct in water and take orally.
Ke Yunbo stated: In cases of Yin deficiency, Yang inevitably intrudes upon Yin, thus causing fever. Zhang Zhongjing said: "When Yin is weak, fever occurs." When Yang Qi sinks and enters into Yin, fever must occur.
(Note: The original text regarding Ke Yunbo's commentary contains significant gaps and garbled characters such as "ran ru liang bu bu qi yu si qi xing", making a complete translation impossible. Only the clear preceding part is translated.)
Treats Spleen-Stomach deficiency, lethargy and desire to lie down, inability to hold the limbs, occurring during damp-heat seasons, with heavy body and joint pain, dry mouth and tongue, loss of taste, and irregular bowel movements.
Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), Chaihu (Bupleuri Radix), Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Huangbo (Phellodendri Cortex), Baishao (Paeoniae Radix Alba), Banxia (Pinelliae Rhizoma), Huanglian (Coptidis Rhizoma), Zexie (Alismatis Rhizoma), Chenpi (Citri Reticulatae Pericarpium).
Decoct in water and take orally.
Wu Hegao stated: Spleen Earth is weak and cannot control dampness, hence the heavy body and joint pain; it cannot transform and transport essence, hence dry mouth and loss of taste; since Middle Qi is weak, the transmission...
(Note: The original text regarding Wu Hegao's commentary contains significant gaps and garbled characters such as "chuan fang chen gu", making a complete translation impossible. Only the clear preceding part is translated.)