《古今录验》五脏六腑皆令人咳,肺居外而近,上合于皮毛,皮毛喜受邪,故肺独易为
嗽也。邪客于肺,则寒热上气,喘,汗出,咳动肩背,喉鸣,甚者唾血。肺咳经久不已,传
入大肠,其状咳则遗粪。肾咳者,其状引腰背,痛甚则咳涎。肾咳经久不已,传入膀胱,其
状咳则遗尿。肝咳者,其状左胁痛,甚者不得转侧。肝咳经久不已,传入胆,其状咳则清苦
汁出。心咳者,其状引心痛,喉仲介介如鲠状,甚者喉痹咽肿。心咳经久不已,传入小肠,
其状咳则失气。脾咳者,其状右胁痛,阴阴则引肩背,甚者不得动,动便咳剧。脾咳经久不
已,则传入胃,其状咳即呕,甚则长虫出。久咳不已,则三焦受之,三焦咳之状,咳而腹痛
,不能食饮,此皆聚于胃,关于肺,使人多涕唾,而面浮肿,气逆也。又非时有风寒冷,人
触冒解脱,伤皮毛间,入腑脏为咳上气,如此也。又非时忽然暴寒伤皮肤,中与肺合,则咳
嗽上气,或胸胁又痛,咳唾有血者,是其热得非时之寒暴薄之,不得渐散,伏结深喜肺痈也
。因咳服温药,咳尤剧,及壮热吐浓血,汗出恶寒是也,天有非时寒者,急看四时方也。
又疗咳嗽上气,时时呕白唾沫数十岁者方。
吴茱萸 五味子 大黄 桂心 甘草(炙) 细辛 人参 紫菀 款冬花各一两 大戟
竹茹各三分
上十一味,切,以水一斗,煮取三升,分为三服。亦疗阴冷咳,至良。忌海藻、菘菜、
生菜、生葱。(《深师》同,并出第十九卷中)
《深师》疗诸咳,心中逆气,气欲绝。杏仁煎方。
杏仁(四两去尖、皮,末) 猪膏(二斤) 白蜜(二升) 生姜汁(三升)
上四味,着铜器中,于微火上先煎姜汁,次纳蜜膏令如饧,置器着地,乃纳杏仁末,
复令得一沸,煎成。服如枣大一丸含之,日三,不知,稍稍增之。
又疗气上迫满,或气不通,烦闷喘呕。苏子汤方。
苏子(一升) 干姜(三两) 半夏(四两洗) 桂心 人参(各一两) 橘皮 茯苓
(各三两) 甘草(一两炙)
上八味,切,以水八升,煮取二升半,分为三服。若虚热,去干姜,用生姜六两,加黄
芩二两。忌海藻、菘菜、羊肉、饧、生葱、酢等物。(并出第十八卷中)
According to *Gu Jin Lu Yan* (Ancient and Modern Records of Verification), the five zang organs and six fu organs can all cause coughing. The lung is located superficially near the exterior, connecting with the skin and hair. Since the skin and hair are prone to pathogenic invasion, the lung is particularly susceptible to coughing. When pathogens invade the lung, symptoms include alternating chills and fever, rebellious qi ascending, panting, sweating, coughing that pulls on the shoulders and back, wheezing sounds in the throat, and in severe cases, hemoptysis (coughing up blood). If a lung cough persists without resolution, the pathology transmits to the large intestine; the manifestation is fecal incontinence during coughing. For kidney cough, the symptom involves pulling pain in the lower back and back, and in severe cases, expectoration of saliva. If a kidney cough persists, it transmits to the bladder, manifesting as urinary incontinence during coughing. For liver cough, the symptom is pain in the left hypochondrium, and in severe cases, inability to turn or change position. If a liver cough persists, it transmits to the gallbladder, manifesting as the discharge of bitter, clear fluid during coughing. For heart cough, the symptom involves pulling pain in the heart region, a sensation of obstruction in the throat as if a fishbone were stuck, and in severe cases, throat bi syndrome (obstruction) and pharyngeal swelling. If a heart cough persists, it transmits to the small intestine, manifesting as flatus during coughing. For spleen cough, the symptom is pain in the right hypochondrium, dull pain pulling to the shoulders and back, and in severe cases, inability to move; movement exacerbates the cough. If a spleen cough persists, it transmits to the stomach, manifesting as vomiting upon coughing, and in severe cases, expulsion of roundworms. If chronic cough persists, the sanjiao (Triple Burner) is affected. The manifestation of sanjiao cough includes coughing with abdominal pain and inability to eat or drink. These conditions generally involve pathogenic accumulation in the stomach and involvement of the lung, causing excessive nasal discharge and saliva, facial edema, and rebellious qi. Furthermore, non-seasonal cold wind can injure the interstices of the skin and hair when people are exposed to the elements or dress inadequately, allowing pathogens to enter the fu and zang organs, causing cough and rebellious qi. Additionally, sudden exposure to extreme cold injuring the skin, combining with the lung, causes cough, rebellious qi, chest and hypochondriac pain, or hemoptysis. This occurs because heat pathogens encounter non-seasonal cold, are abruptly constrained, fail to dissipate gradually, and become deeply lodged, potentially leading to lung abscess (Fei Yong). If warm herbs are taken for cough and the condition worsens, accompanied by high fever, expectoration of purulent blood, sweating, and aversion to cold, this indicates such a pattern. In times of non-seasonal cold, one should urgently consult formulas for the four seasons.
Furthermore, a formula for treating cough and rebellious qi, with frequent expectoration of white saliva over many years:
Wuzhuyu (Evodiae Fructus), Wuweizi (Schisandrae Chinensis Fructus), Dahuang (Rhei Radix et Rhizoma), Guixin (Cinnamomi Cortex), Gancao (Glycyrrhizae Radix et Rhizoma, prepared), Xixin (Asari Radix et Rhizoma), Renshen (Ginseng Radix), Ziwan (Asteris Radix), Kua Donghua (Farfarae Flos) each 1 liang, Daji (Euphorbiae Pekinensis Radix), Zhuru (Bambusae Caulis in Taenia) each 3 fen.
The above eleven ingredients are cut, boiled in 1 dou of water until reduced to 3 sheng, and divided into three doses. It also treats cold-type cough effectively. Avoid consuming Haizao (Sargassum), Songcai (Brassica rapa var. pekinensis), raw vegetables, and raw scallions. (Same as in *Shen Shi Fang*, both from Volume 19)
*Shen Shi Fang* treats various coughs with rebellious qi in the heart and impending suffocation. Xingren Jian (Apricot Kernel Decoction):
Xingren (Apricot Kernel, 4 liang, remove tips and skins, powdered), Zhigao (Pig Fat, 2 jin), Baimi (White Honey, 2 sheng), Shengjiang Zhi (Ginger Juice, 3 sheng).
Place the above four ingredients in a copper vessel. First, simmer the ginger juice over low heat. Then add the honey and pig fat, boiling until the consistency resembles maltose syrup. Place the vessel on the ground to cool slightly, then add the apricot kernel powder. Boil once more until complete. Take a pill-sized amount (size of a jujube) to be held in the mouth. Administer three times daily. If ineffective, gradually increase the dose.
Furthermore, Su Zi Tang (Perilla Seed Decoction) for treating oppressive fullness due to ascending qi, blocked qi, restlessness, panting, and vomiting:
Suzi (Perillae Fructus, 1 sheng), Ganjiang (Zingiberis Rhizoma, 3 liang), Banxia (Pinelliae Rhizoma, 4 liang, washed), Guixin (Cinnamomi Cortex), Renshen (Ginseng Radix) each 1 liang, Ju Pi (Citri Reticulatae Pericarpium), Fuling (Poria) each 3 liang, Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, prepared).
The above eight ingredients are cut, boiled in 8 sheng of water until reduced to 2.5 sheng, and divided into three doses. For deficiency-heat patterns, remove Ganjiang and use 6 liang of Shengjiang (Fresh Ginger), adding Huangqin (Scutellariae Radix) 2 liang. Avoid Haizao (Sargassum), Songcai (Brassica rapa var. pekinensis), mutton, Yi Tang (Maltose), raw scallions, and vinegar. (Both from Volume 18)