久嗽肺痿。
知母 贝母 天门冬 款冬花(各三钱) 天花粉 薏苡仁 杏仁 五味子(各二钱) 甘
草兜铃 紫菀 百合 桔梗 阿胶 当归 地黄 紫苏 薄荷 百部(各一钱五分)
上以水二盏,生姜三片,煎一盏,入饴糖一匙调服,日三,食后各进一盅,与保真汤相
间服。
血盛,加炒蒲黄、茜根、藕节、大蓟、小蓟、茅花、当归。
痰盛,加南星、半夏、陈皮、茯苓、枳实、枳壳。
喘盛,加桑白皮、陈皮、萝卜子、葶苈子、苏子。
热甚,加山栀子、黄连、黄芩、黄柏、连翘、大黄、款冬花。
风甚,加荆芥、防风、菊花、细辛、香附子、旋覆花。
寒甚,加人参、桂枝、腊片、芍药。
知贝款天冬各三,二钱杏薏味天花,钱半二百阿归地,紫菀兜苏薄桔甘。
潘按∶与太平丸药品有十味同,既有宁嗽金丹,不必再服此汤。薏苡仁以及桔梗、贝母
,见《千金》、《外台》,治肺痿,甘草、干姜,《金匮》治肺冷之方。
紫菀、款冬、五味、百部、地黄、阿胶、兜铃、杏仁、甘草,亦从《外台》止嗽生津各
方采来,所谓复方是也。肺症生姜不可轻用。
归茅大小蓟蒲黄,藕节茜根血盛当,痰盛南星陈半入,茯苓枳实壳须将。喘加桑白陈皮
等,
寒甚加参兼牡桂,芍加蜡片不须言。
陈修园按∶此方治久嗽,不过类集顺气化痰,清火解郁之品,以多为贵,绝无把柄。抑
又思
所宜,百部、款冬苦温,非血后所宜,兜铃、花粉、杏仁亦为中虚所忌,知母、贝母、天门
冬、地黄、阿胶、百合性寒而滞,力亦轻微,其去市肆中之问症立方,摇铃辈之笼统配合以
零卖者几希耶!然此方屡见于大家之书,如明季龚太医各刻,及《万病回春》、《寿世葆元
》等本亦载之,但方名间有不同,药品偶有增减,村医用之,往往见效。余向以病患寿算未
终,总不归功于此方,亦随见而随忘之耳。今得此书,始知礼失而求诸野,沾体涂足中大有
人焉!转悔从前之肉眼也,究于此方未得其旨,大抵奇之弗去而偶之,一方不去而复之,如
韩信将兵,多多益善,且其轻重,大有法度。加生姜之辛温以润肺,饴糖之甘,培土以生金
,
Prolonged cough leading to Lung萎 (Lung atrophy).
Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Bulbus), Tianmendong (Asparagi Radix), Kuandonghua (Adenophorae Flos) (each 3 qian), Tianhuafen (Trichosanthis Radix), Yiyiren (Coicis Semen), Xingren (Armeniacae Semen Amarum), Wuweizi (Schisandrae Fructus) (each 2 qian), Gancao (Glycyrrhizae Radix et Rhizoma), Douding (Campanulae Radix), Ziwan (Asteris Radix), Baihe (Lilii Bulbus), Jiegeng (Platycodonis Radix), Ejiao (Colla Corii Asini), Danggui (Angelicae Sinensis Radix), Dihuang (Rehmanniae Radix), Zisu (Perillae Folium), Bohe (Menthae Haplocalycis Herba), Baibu (Stemonae Radix) (each 1.5 qian).
Take the above herbs, add two zhan of water and three slices of Shengjiang (Fresh Ginger), decoct until one zhan remains, add one spoonful of Yitang (Malt Sugar) to mix and take orally, three times a day, one zhong after each meal, alternating with Baozhen Tang.
If blood heat is severe, add Chao Puhuang (Processed Lygodii Spora), Qiangengen (Rubiae Radix), Oujiie (Nelumbinis Nodus), Daji (Taraxaci Herba), Xiaoji (Cirsii Herba), Maohua (Imperatae Inflorescence), Danggui (Angelicae Sinensis Radix).
If phlegm is excessive, add Nanting (Arisaematis Rhizoma Preparatum), Banxia (Pinelliae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), Zhishi (Aurantii Fructus Immaturus), Zhiqiao (Aurantii Fructus).
If wheezing is severe, add Sangbaipi (Mori Cortex), Chenpi (Citri Reticulatae Pericarpium), Luobozhi (Raphani Semen), Tinglizi (Descurainiae Semen seu Lepidii Semen), Suzi (Perillae Fructus).
If heat is intense, add Shanzhizi (Gardeniae Fructus), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Huangbai (Phellodendri Cortex), Lianqiao (Forsythiae Fructus), Dahuang (Rhei Radix et Rhizoma), Kuandonghua (Adenophorae Flos).
If wind is predominant, add Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix), Juhua (Chrysanthemi Flos), Xixin (Asari Radix et Rhizoma), Xiangfu (Cyperi Rhizoma), Xuanfuhua (Inulae Flos).
If cold is severe, add Renshen (Ginseng Radix), Guizhi (Cinnamomi Ramulus), Lapian (Prepared Aconiti Lateralis Radix), Shaoyao (Paeoniae Radix).
(Pan's Note): This formula shares ten ingredients with Taiping Wan. Since Ning Sou Jin Dan is already available, there is no need to take this decoction. Yiyiren (Coicis Semen), along with Jiegeng (Platycodonis Radix) and Beimu (Fritillariae Bulbus), are found in *Qianjin Fang* and *Waitai Miyao*, used to treat Lung atrophy; Gancao (Glycyrrhizae Radix et Rhizoma) and Ganjiang (Zingiberis Rhizoma) are from *Jinkui Yaolue*, a formula for treating Lung cold.
Ziwan (Asteris Radix), Kuandonghua (Adenophorae Flos), Wuweizi (Schisandrae Fructus), Baibu (Stemonae Radix), Dihuang (Rehmanniae Radix), Ejiao (Colla Corii Asini), Douding (Campanulae Radix), Xingren (Armeniacae Semen Amarum), Gancao (Glycyrrhizae Radix et Rhizoma) are also collected from various formulas in *Waitai Miyao* that stop coughing and generate fluids; this is what is meant by compound formulas. In lung disorders, Shengjiang (Fresh Ginger) should not be used lightly.
(Chen Xiuyuan's Note): This formula treats prolonged cough merely by collecting herbs that promote qi circulation, resolve phlegm, clear fire, and relieve depression, valuing quantity over quality, without grasping the key pathogenesis. Considering its suitability, Baibu (Stemonae Radix) and Kuandonghua (Adenophorae Flos) are bitter and warm, unsuitable for post-blood deficiency; Douding (Campanulae Radix), Tianhuafen (Trichosanthis Radix), and Xingren (Armeniacae Semen Amarum) are also contraindicated for middle jiao deficiency; Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Bulbus), Tianmendong (Asparagi Radix), Dihuang (Rehmanniae Radix), Ejiao (Colla Corii Asini), and Baihe (Lilii Bulbus) are cold and cloying, with weak efficacy. How different are they from the indiscriminate combinations sold by street doctors? However, this formula appears frequently in major works, such as those by Imperial Physician Gong in the Ming Dynasty, and books like *Wanbing Huichun* and *Shoushi Baoyuan*. Although the names vary slightly and ingredients occasionally differ, village doctors often see results. I previously attributed patients' survival not to this formula but to their own vitality, forgetting it upon seeing it. Now, having obtained this book, I realize that "when rites are lost, seek them in the wild," finding great talent among the common people! I regret my previous narrow-mindedness. Ultimately, I did not grasp the essence of this formula. It seems to rely on even formulas rather than odd ones, repeating formulas when one fails, much like Han Xin leading troops: the more, the better. There is indeed method in its heaviness and lightness. The addition of Shengjiang (Fresh Ginger) provides acrid-warmness to moisten the lungs, and Yitang (Malt Sugar) provides sweetness to strengthen the spleen (earth) to generate metal (lungs),