《千金》九种气咳嗽欲死,百病方。
干姜(二分) 半夏(洗) 细辛 紫菀 吴茱萸 芫花 茯苓 甘遂 防葵 甘草(炙)
人参 乌头(炮) 大黄 葶苈子(熬) 巴豆(去皮、心,熬) 浓朴(炙) 杏仁(去
皮、尖、
两仁者,熬各一分) 五味子 远志(去心) 枳实(炙) 皂角(去皮、子,炙) 当归 桂
心
前胡 菖蒲 大戟 蜀椒(各半分) 白薇(三分)
上二十八味,捣,合蜜丸。先食服如梧子二丸,日三,以知为度。不知,增之。忌海藻
、菘菜、羊肉、饧、生葱、酢物、野猪肉、芦笋。(一方无巴豆,有 虫半分。恐非,出第
十八卷中)
《病源》咳逆者,是咳嗽而气逆上也。气为阳,流行腑脏,宣发腠理,而气,肺之所主
也。咳病由肺虚感微寒所成,寒搏于气,气不得宣胃,逆聚还肺,肺则胀满,气逆不下,故
为咳逆。其状咳而胸满气逆,膊背痛,汗出,尻阴股膝 足皆痛也。其汤、熨、针、石,
别有正方补养宣导,今附于后。《养生方·导引法》云,先以鼻纳气,乃闭口咳,还复以鼻
纳气,咳则愈。向晨去枕,正偃卧,伸臂胫,瞑目闭口,无息,极胀腹两足,再息顷间吸,
腹仰,两足倍拳,欲自微息定,复为之,春三夏五,秋七冬九,荡涤五脏,津润六腑。又云
,还向反望侧望,不息七通。疗咳逆胸中病,寒热。(出第十四卷中)
《深师》疗咳嗽短气不得息,发热,胸苦满,不得饮食。五味子汤方。
五味子(二两) 桂心 甘草(炙) 细辛(各一两) 干姜(三两) 紫菀(二两一
方一两) 大枣(二十枚擘) 麻黄(二两去节)
上八味,切,以水八升,煮取三升,分三服。无干姜,生姜亦得。忌海藻、菘菜、生菜
、生葱。(出第十八卷中)
《千金》竹皮汤 主咳逆下血不息方。
生竹皮(三两) 紫菀(二两) 饴糖(一斤) 生地黄(汁一升)
上四味,切,以水六升,煮取三升,分三服。忌芜荑。(《深师》同)
又疗大逆上气,喉咽不利,止逆下气。麦门冬汤主之方。
麦门冬(二升去心) 半夏(一升洗) 人参 甘草(各二两炙) 粳米(三合) 大
枣(十四
枚)
上六味,切,以水一斗二升,煮取六升,服半升,日三夜一。忌羊肉、饧、海藻、菘菜
。(此本仲景《伤寒论》方,并出第十八卷中)
《古今录验》疗厥逆,脏气有余,寒气虚劳,忧气惊气,其人善悸,胸中或寒,上下无
常,多悲伤,流四肢,脐四边,常有核,游肿,大便不利。游气汤方。
浓朴(四两炙) 人参 甘草(炙) 牡蛎(各二两熬) 茯苓(四两) 桂心 半夏
(各一两
洗) 栀子(四枚) 生姜(八两) 黄芩(三两)
上十味,切,以水九升,煮取三升半,去滓,分服七合,日三夜再服。若腹痛,去黄芩
,加芍药(三两),良验。忌海藻、菘菜、生葱、羊肉、饧、醋物等。
又疗咳逆上气丸方
干姜(四两) 桂心 款冬花(各一两) 附子(四枚炮) 五味子(二两) 巴豆(六
十枚老
者三十枚,去皮、心,熬)
上六味,先捣上五味下筛,别捣巴豆如膏,纳药末,以蜜和丸如麻子。以一丸着牙上
咀,常暮卧时服亦可,日三服。忌生葱、猪肉、芦笋。
又小胡椒丸 疗寒冷咳逆,胸中有冷,咽中如有物状,吐之不出方。
胡椒(五分) 干姜(六分) 款冬花(三分)
上三味,捣筛,蜜和丸如梧子大。米饮服三丸,日再服,以知为度。禁如前法。(并出
第十九卷中)
The "Thousand Golden Formulas" contains a formula for hundred diseases treating severe cough caused by nine types of Qi stagnation, leading to extreme suffering.
Dried Ginger (2 fen) Pinellia Rhizoma (washed) Asarum Radix et Rhizoma Asther Sinensis Radix Evodiae Fructus Genkwa Flos Poria Sclerotium Akebiae Caulis Glycyrrhizae Radix et Rhizoma (roasted) Ginseng Radix Aconiti Lateralis Radix Preparata Rhei Radix et Rhizoma Lepidii Semen (fried) Croci Fructus (peeled, core removed, fried) Magnoliae Officinalis Cortex (roasted) Armeniaci Semen Amarum (peeled, tip removed, double-kernel ones removed, fried, each 1 fen) Schisandrae Fructus Polygala Radix (core removed) Immature Bitter Orange Fruit (roasted) Gleditsiae Sinensis Spina (peeled, seeds removed, roasted) Angelicae Sinensis Radix Cinnamomi Ramulus Peucedani Radix Acori Tatarinowii Rhizoma Euphorbiae Radix Zanthoxyli Pericarpium (each 0.5 fen) Cimicifugae Rhizoma (3 fen)
The above twenty-eight herbs are crushed, mixed with honey, and formed into pills. Take two pills the size of a loquat seed before meals, three times a day, adjusting dosage until efficacy is achieved. If ineffective, increase the dose. Avoid Conk seaweed, Chinese cabbage, mutton, maltose, raw green onion, vinegar products, wild boar meat, and asparagus. (Another version excludes Croci Fructus and includes Centipede 0.5 fen. This is likely incorrect, found in Volume 18.)
According to "Zhubing Yuanhou Lun," Ke Ni (cough with rebellious Qi) refers to cough accompanied by upward rebellion of Qi. Qi belongs to Yang, circulates through the Zang-Fu organs, and disseminates through the Cou Li (interstitial spaces). Qi is governed by the Lung.
Cough disease arises from Lung deficiency contracting mild cold. Cold condenses with Qi, preventing Qi from freely circulating in the Stomach; it rebels and gathers back in the Lung, causing Lung distension and failure of Qi to descend, thus termed Ke Ni. Symptoms include cough with chest fullness and rebellious Qi, shoulder and back pain, sweating, and pain in the buttocks, genitals, thighs, knees, and feet. Decoctions, moxibustion/ironing therapy, acupuncture, and stone therapy have separate specific formulas for nourishment and guidance, which are appended below. The "Yangsheng Fang · Daoyin Method" states: first inhale through the nose, then close the mouth and cough, then resume inhaling through the nose; the cough will heal. In the early morning, remove the pillow, lie flat on your back, extend arms and legs, close eyes and mouth, hold breath, inflate abdomen fully, press soles together, after a moment inhale, raise abdomen, clench fists tightly with feet, attempt to calm breathing slightly, then repeat. Spring: 3 times, Summer: 5 times, Autumn: 7 times, Winter: 9 times. This purges the Five Zang organs and moistens the Six Fu organs. Also stated: look back, look sideways, hold breath seven times. Treats Ke Ni chest pathology, alternating chills and fever. (Found in Volume 14.)
"Shen Shi Fang" treats cough, shortness of breath, difficulty breathing, fever, chest oppression/fullness, and inability to eat. Formula: Wuzi Zi Tang (Schisandra Decoction).
Schisandrae Fructus (2 liang) Cinnamomi Ramulus Glycyrrhizae Radix et Rhizoma (roasted) Asarum Radix et Rhizoma (each 1 liang) Dried Ginger (3 liang) Asther Sinensis Radix (2 liang; one version 1 liang) Jujubae Fructus (20 pieces, split) Ephedrae Herba (2 liang, nodes removed)
The above eight herbs are cut, boiled in 8 sheng of water to yield 3 sheng, divided into three doses. If Dried Ginger is unavailable, Fresh Ginger may be used. Avoid Conk seaweed, Chinese cabbage, raw vegetables, and raw green onion. (Found in Volume 18.)
"Thousand Golden Formulas" Zhupi Tang (Bamboo Bark Decoction) mainly treats Ke Ni with continuous hemoptysis.
Fresh Bamboo Bark (3 liang) Asther Sinensis Radix Yitang (Maltose, 1 jin) Rehmanniae Radix Recens (juice 1 sheng)
The above four herbs are cut, boiled in 6 sheng of water to yield 3 sheng, divided into three doses. Avoid Myrabolans. ("Shen Shi Fang" is identical.)
Also treats severe rebellious Qi ascending, throat discomfort, stopping rebellion and descending Qi. Main treatment: Maimendong Tang (Ophiopogon Decoction).
Ophiopogonis Radix (2 sheng, core removed) Pinellia Rhizoma (1 sheng, washed) Ginseng Radix Glycyrrhizae Radix et Rhizoma (each 2 liang, roasted) Oryza Sativa Germ (3 he) Jujubae Fructus (14 pieces)
The above six herbs are cut, boiled in 12 dou of water to yield 6 sheng. Take 0.5 sheng per dose, three times daily and once at night. Avoid mutton, maltose, Conk seaweed, and Chinese cabbage. (Originally from Zhang Zhongjing's "Shanghan Lun", also found in Volume 18.)
"Gujin Luyan Fang" treats Jue Ni (cold extremities/rebellious Qi), excess Zang Qi, cold-induced consumptive fatigue, worry-induced Qi, fright-induced Qi, palpitations, intermittent cold sensation in the chest, unpredictable symptoms, frequent sorrow, Qi flowing to limbs, lumps around the umbilicus, migratory swelling, and constipation. Formula: Youqi Tang (Wandering Qi Decoction).
Magnoliae Officinalis Cortex (4 liang, roasted) Ginseng Radix Glycyrrhizae Radix et Rhizoma (roasted) Ostreae Concha (each 2 liang, fried) Poria Sclerotium (4 liang) Cinnamomi Ramulus Pinellia Rhizoma (each 1 liang, washed) Gardeniae Fructus (4 pieces) Zingiberis Rhizoma Recens (8 liang) Scutellariae Radix (3 liang)
The above ten herbs are cut, boiled in 9 sheng of water to yield 3.5 sheng. Strain, take 7 he per dose, three times daily and twice at night. If abdominal pain occurs, remove Scutellariae Radix and add Paeoniae Radix Alba (3 liang); this yields excellent results. Avoid Conk seaweed, Chinese cabbage, raw green onion, mutton, maltose, and vinegar products.
Also treats Ke Ni with ascending Qi Pills.
Dried Ginger (4 liang) Cinnamomi Ramulus Farfarae Flos (each 1 liang) Aconiti Lateralis Radix Preparata (4 pieces, prepared) Schisandrae Fructus (2 liang) Croci Fructus (60 pieces; 30 pieces if old, peeled, core removed, fried)
The above six herbs: first crush the first five herbs and sieve them. Separately grind Croci Fructus into a paste, mix with the herb powder, and form pills the size of hemp seeds using honey. Place one pill on the teeth to chew, or take at bedtime. Take three times daily. Avoid raw green onion, pork, and asparagus.
Also Xiao Hujiao Wan (Small Pepper Pill) treats cold-induced Ke Ni, cold sensation in the chest, globus hystericus (feeling of a lump in the throat), inability to expectorate.
Piperis Longi Fructus (5 fen) Dried Ginger (6 fen) Farfarae Flos (3 fen)
The above three herbs are crushed and sieved, mixed with honey to form pills the size of loquat seeds. Take three pills with rice broth, twice daily, adjusting dosage until efficacy is achieved. Taboos are the same as above. (All found in Volume 19.)