治咳胸中满而振寒,脉数咽干而不渴,时时出浊唾腥臭,久久吐脓如米粥,是为肺痈
方。
桔梗(三两,《集验方》用二两,《古今录验方》用一两) 甘草(二两)
上二味 咀,以水三升,煮取一升,去滓,分二服,必吐脓血也。(一方有款冬花一两
半。
治肺痈喘不得卧方。
葶苈(三两为末) 大枣(二十枚)
上二味 咀,以水二升先煮枣,取二升,去枣纳葶苈二方寸匕,煮取七合,顿服,令
尽,三日服一剂,可至三四剂。治肺痈胸胁胀,一身面目浮肿,鼻塞清涕出,不闻香臭,咳
逆上气,喘鸣迫塞,宜先进小青龙汤,却服前药。(小青龙汤方见前第九卷伤寒门。)
治肺痈初起,咳逆上气,时时浊唾,但坐不得卧方。
皂荚八两为末,蜜丸如梧子大,以大枣膏和汤,服三丸,日三服,夜一服。(《必效方》
以酥炙皂荚。)
治咳有微热烦满,胸心甲错,是为肺痈者方。
黄昏手掌大一块,是合昏皮也。 咀,以水三升煮取一升,分二服。
薏苡仁 瓜瓣(各半升) 桃仁(三十枚) 苇茎(切二升,水二斗,煮取五升,去
上四味 咀,纳苇汁中煮取二升,服一升,当有所见吐脓血。
治肺痈吐涎沫不止方。
桂枝 生姜(各三两) 甘草(二两) 皂荚(一两) 大枣(十五枚)
上五味 咀,以水七升,煮取三升,去滓,分三服。
Treats cough with chest fullness and aversion to cold, rapid pulse with dry throat but no thirst, frequent expectoration of turbid saliva with a fishy odor, and long-standing expectoration of pus resembling rice porridge; this is Lung Abscess (Fei Yong).
Formula:
Jiegeng (Platycodonis Radix, 3 liang; *Jiyan Fang* uses 2 liang; *Gujin Luyuan Fang* uses 1 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang)
Crush the above two ingredients. Boil in 3 sheng of water until reduced to 1 sheng. Strain the dregs. Divide into two doses. Pus and blood will inevitably be vomited. (Another version includes Kuandonghua (Adenophorae Radix), 1.5 liang.)
Treats Lung Abscess causing panting and inability to lie down.
Tinglizi (Lepidii Fructus, 3 liang, powdered) Dazao (Ziziphi Jujubae Fructus, 20 pieces)
Crush the above two ingredients. First boil the dates in 2 sheng of water to obtain 2 sheng of liquid. Remove the dates. Add Tinglizi powder equivalent to two "fangcun bi" (a square-inch scoop). Boil until 7 he remains. Take all at once. Take one dose every three days; up to three or four doses may be taken. This treats Lung Abscess with distension in the chest and hypochondrium, edema of the whole body and face, nasal congestion with clear discharge, loss of smell, rebellious Qi with upward rushing, wheezing with airway obstruction. It is advisable to first administer Xiao Qinglong Tang (Minor Blue Dragon Decoction), then take the previous medicine. (Xiao Qinglong Tang formula is seen in Volume 9, Shanghan Section.)
Treats early-stage Lung Abscess with cough, rebellious Qi, frequent turbid saliva, where the patient can only sit and cannot lie down.
Zaojiao (Gleditsiae Fructus, 8 liang, powdered). Make pills the size of wutong seeds using honey. Take 3 pills mixed with date paste and water, three times daily and once at night. (*Bixiao Fang* uses Zaojiao roasted with butter.)
Treats cough with slight fever, irritability, and fullness, and rough skin on the chest like scales; this indicates Lung Abscess.
Hehuanpi (Albiziae Cortex, one piece the size of a palm at dusk). Crush it. Boil in 3 sheng of water until reduced to 1 sheng. Divide into two doses.
Yiyiren (Coicis Semen, half sheng each) Gaban (likely Trichosanthis Semen or similar, half sheng each) Taoren (Persicae Semen, 30 pieces) Weijing (Phragmitis Rhizoma, cut 2 sheng). Boil Weijing in 2 dou of water until reduced to 5 sheng. Remove the scum.
Crush the above four ingredients. Add to the Weijing juice. Boil until 2 sheng remains. Take 1 sheng. Pus and blood should be expectorated after taking this.
Treats Lung Abscess with incessant expectoration of salivary foam.
Guizhi (Cinnamomi Ramulus, 3 liang each) Shengjiang (Zingiberis Rhizoma Recens, 3 liang each) Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang) Zaojiao (Gleditsiae Fructus, 1 liang) Dazao (Ziziphi Jujubae Fructus, 15 pieces)
Crush the above five ingredients. Boil in 7 sheng of water until reduced to 3 sheng. Strain the dregs. Divide into three doses.