夫咳嗽者。由肺感于寒。而成咳嗽也。肺主气。合于皮毛。邪之初伤。先客于皮毛。故
肺先
感于
有音
乘春
嗽之状。嗽则右胁下痛。阴阴引于背膊。甚则不可动。动则嗽。冬则肾受之
则腰背相引而痛。甚则嗽而唾。此五脏之嗽也。五脏嗽久不已。则传与六腑。
受之。胃嗽之状。嗽而呕。甚则长虫出。肝嗽不已则胆受之。胆嗽之状。嗽即
嗽不已大肠受之。大肠嗽之状。嗽而大肠利也。心嗽不已则小肠受之。小肠嗽
气。气与嗽俱出。肾嗽不已膀胱受之。膀胱嗽之状。嗽而遗溺。久嗽不已。则三焦受之。三
焦嗽之状。嗽而腹满。不欲食饮。此皆寒气聚于胃。开于肺。使人多涕唾而面
又有十种嗽。一曰风嗽。因语便嗽。语不得终。是也。二曰寒嗽。因饮冷食
从肺脉上气内外合。因之而嗽。是也。三曰支
四曰肝嗽。嗽而引胁下痛。是也。五曰心嗽。
涎出。续续不止。引于腹胃。是也。七曰肺嗽。嗽
耳聋无所闻。引腰脐中。是也。九曰胆嗽。嗽而引
血。是也。诊其右手寸口脉浮。则为阳。阳实者。病
引小腹也。咳嗽脉浮大者生。沉小伏慝者死。
夫久咳嗽者。由肺虚极故也。肺气既虚。为风寒所搏。连滞岁月而嗽也。此皆阴阳不调。
气
治久咳嗽。胸中气不利。宜服百合散方。
百合(一两) 紫苏子(三分微炒) 桑根白皮(一两锉) 紫菀(三分去苗土) 甘
草(半两
炙微赤锉) 款冬花(三分) 汉防己(三分) 贝母(三分煨微黄) 杏仁(半两汤浸去
皮尖双仁
麸炒
芦头)
上件药。捣。粗罗为散。每服五钱。以水一大盏。入生姜半分。枣三枚煎至五分。去滓。
不
治久咳嗽不瘥。木乳散方。
皂荚树白皮(二两涂酥炙微黄) 贝母(一两煨微黄) 枳壳(一两麸炒微黄去瓤) 麻
黄
(一两去根节) 百合(一两) 甘草(半两炙微赤锉)
上件药。捣。粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。温服。
日
治久嗽不止。紫菀散方。
紫菀(三两去苗土) 款冬花(三两)
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。温服。
日三四服。
治久肺气咳嗽。涕唾稠粘。上气喘急。蛤蚧丸方。
蛤蚧(一对头尾全者涂酥炙令微黄) 汉防己(半两) 贝母(半两煨令微黄) 甜葶
苈(半
两隔
两)
陈橘皮
味子(半
两)
上件药。捣罗为末。炼蜜和捣五七百杵。丸如梧桐子大。每于食后。以温粥饮下三十丸。
治久咳嗽。上气不瘥。宜服紫苏子丸方。
紫苏子(一两) 五味子(一两) 萝卜子(一两微炒) 桑根白皮(一两锉) 皂荚
(三两去
黑皮
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。以枣煮粥饮。下二十丸。
日
治久咳嗽不瘥方。
兔粪(一两干者) 硼砂(三分) 胡桐律(一分)
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服。以粥饮下三十丸。日三四服。
治一切咳嗽久不瘥。甜葶苈丸方。
甜葶苈(一两隔纸炒令紫色) 人参(三分去芦头) 赤茯苓(三分) 蛤蚧(一对头
尾全者
涂
上件药。捣罗为末。以枣肉和丸。如梧桐子大。每服。以粥饮下三十丸。日三四服。
治久咳嗽。肌体虚羸。不思食饮。宜服此方。
柏子仁〔一(二)两〕 五灵脂(一两) 甜葶苈(一两隔纸炒令紫色) 虾蟆头 杏
仁(一
两汤
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服。以温粥饮下二十丸。日三四服。
治久肺气咳嗽。鹿角胶煎方。
鹿角胶(四两捣碎炒令黄燥) 赤茯苓(一两) 紫菀(一两去苗土) 紫苏子(二两
微炒)
贝母
黄研
如膏
上件药。都一处。与地黄汁等相和。搅令匀。于银器中。以慢火煎成膏。每于食后。含
半枣
又方。
百部根(五斤生者)
上件药。捣绞取汁。入蜜一斤。煎之如饧。每服一匙。以温粥饮调服。日三四服。
又方。
款冬花(一两)
上件药。捣罗为末。炼蜜和丸。如半枣大。以绵裹一丸。含咽津。日四五服。
治咳嗽久不瘥。神验方。
皂荚(五挺不 者去黑皮涂酥炙令黄焦去子)
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每于食后。以桑白皮汤下十丸。
Cough is a condition caused by the lung contracting cold pathogenic factors. The Lung governs Qi and corresponds to the skin and hair (Pí Máo). When an external pathogen initially injures the body, it first lodges in the skin and hair; therefore, the Lung is affected first.
The manifestations of cough arising from the five Zang organs are as follows:
In spring, if the Liver is affected, coughing is accompanied by pain in the right hypochondrium, radiating faintly to the back and shoulders. In severe cases, movement is restricted, and any movement triggers coughing. In winter, if the Kidney is affected, there is mutual pulling pain between the lower back and waist. In severe cases, coughing produces sputum. This is referred to as "Five Zang Cough."
If cough originating from the Five Zang organs persists without healing, it transmits to the Six Fu organs:
When the Stomach is affected (transmitted from the Spleen), the symptom of Stomach cough is coughing accompanied by vomiting; in severe cases, roundworms may be expelled.
When the Gallbladder is affected (transmitted from the Liver), the symptom of Gallbladder cough is vomiting bile upon coughing.
When the Large Intestine is affected (transmitted from the Lung), the symptom of Large Intestine cough is fecal incontinence during coughing.
When the Small Intestine is affected (transmitted from the Heart), the symptom of Small Intestine cough is passing flatus simultaneously with coughing.
When the Bladder is affected (transmitted from the Kidney), the symptom of Bladder cough is urinary incontinence during coughing.
When the San Jiao (Triple Burner) is affected (due to prolonged coughing), the symptom of San Jiao cough is abdominal fullness accompanied by coughing and loss of appetite.
All these conditions result from cold qi accumulating in the Stomach and opening up at the Lung, causing rebellious Lung Qi, leading to excessive phlegm and saliva, and facial edema.
Additionally, there are ten types of cough:
1. Wind Cough: Triggered by speaking, preventing the completion of sentences.
2. Cold Cough: Caused by drinking cold water or eating cold food; cold qi rebels upward along the Lung meridian, combining internally and externally to induce cough.
3. Branch Cough (Zhi Sou): Coughing accompanied by distending pain in the chest and diaphragm.
4. Liver Cough: Coughing with pulling pain in the hypochondrium.
5. Heart Cough: Coughing with tearing and fluid secretion, pulling towards the abdomen and stomach.
6. Spleen Cough: Continuous flow of saliva.
7. Lung Cough: Deafness during coughing, pulling pain in the waist and umbilicus.
8. Kidney Cough: Pulling pain in the lower abdomen.
9. Gallbladder Cough: Hemoptysis (coughing up blood).
(Note: The original text contains formatting errors or omissions for the tenth type, but the visible entities are translated above.)
Diagnosis: Palpating the Cun Kou pulse on the right hand, a floating pulse indicates a Yang syndrome. If the pulse is floating and large, the prognosis is good (survival); if the pulse is deep, small, hidden, or concealed, the prognosis is poor (death).
Chronic cough arises because Lung Qi is extremely deficient. Once Lung Qi is deficient, it is constrained by wind-cold pathogens, resulting in persistent coughing over months or years. This is due to disharmony of Yin and Yang.
To treat chronic cough with obstructive Qi sensation in the chest, Baihe San (Lily Bulb Powder) is indicated.
Ingredients: Baihe (Bulbus Lilii, 1 liang), Zisuzi (Fructus Perillae, 3 fen, slightly stir-fried), Sangbaipí (Cortex Morus Radicis, 1 liang, sliced), Ziwan (Radix Asteris, 3 fen, radix removed), Gancao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly red and sliced), Kuandonghua (Flos Farfarae, 3 fen), Hanfangji (Radix Stephaniae Tetrandrae, 3 fen), Beimu (Bulbus Fritillariae Cirrhosae, 3 fen, roasted until slightly yellow), Xingren (Semen Armeniacae Amarum, 0.5 liang, soaked in hot water, skin and pointed ends removed, double-kernel seeds avoided, bran-roasted, rhizome removed).
Preparation: Crush the ingredients and sieve into a coarse powder. Take 5 qian per dose. Add 1 large cup of water, 0.5 fen of fresh Ginger (Shengjiang), and 3 dates. Decoct until reduced to 0.5 cup. Strain and take warm.
For chronic cough that does not resolve, Mulur San (Morus Alba Bark Powder) is indicated.
Ingredients: Zaogai Baipi (Cortex Mori Albas, 2 liang, coated with butter and roasted until slightly yellow), Beimu (Bulbus Fritillariae Cirrhosae, 1 liang, roasted until slightly yellow), Zhike (Fructus Aurantii, 1 liang, bran-roasted until slightly yellow, placenta removed), Mahuang (Herba Ephedrae, 1 liang, roots and nodes removed), Baihe (Bulbus Lilii, 1 liang), Gancao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly red and sliced).
Preparation: Crush and sieve into a coarse powder. Take 3 qian per dose. Add 1 medium cup of water and 0.5 fen of fresh Ginger. Decoct until reduced to 0.6 cup. Strain and take warm.
For persistent chronic cough, Ziwan San (Aster Root Powder) is indicated.
Ingredients: Ziwan (Radix Asteris, 3 liang, radix removed), Kuandonghua (Flos Farfarae, 3 liang).
Preparation: Crush and sieve into a coarse powder. Take 3 qian per dose. Add 1 medium cup of water and 0.5 fen of fresh Ginger. Decoct until reduced to 0.6 cup. Strain and take warm. Take 3-4 times daily.
For chronic Lung Qi cough with thick, sticky phlegm and saliva, and急促 upper Qi (asthma/dyspnea), Gejie Wan (Gecko Pill) is indicated.
Ingredients: Gejie ( Gecko, 1 pair, head and tail intact, coated with butter and roasted until slightly yellow), Hanfangji (Radix Stephaniae Tetrandrae, 0.5 liang), Beimu (Bulbus Fritillariae Cirrhosae, 0.5 liang, roasted until slightly yellow), Tiantingli (Semen Lepidii et Descurainiae, 0.5 liang, stir-fried between papers until purple), Renshen (Radix Ginseng, 3 fen, rhizome removed), Chifuling (Poria Cocos with Red Cortex, 3 fen), Chenpi (Pericarpium Citri Reticulatae, 0.5 liang), Wuweizi (Fructus Schisandrae, 0.5 liang).
Preparation: Grind into fine powder. Mix with refined honey and pound 500-700 times. Form pills the size of Sophora seeds. Take 30 pills after meals with warm rice broth.
For chronic cough with rebellious Qi that does not resolve, Zisuzi Wan (Perilla Fruit Pill) is indicated.
Ingredients: Zisuzi (Fructus Perillae, 1 liang), Wuweizi (Fructus Schisandrae, 1 liang), Luobozǐ (Semen Raphani, 1 liang, slightly stir-fried), Sangbaipí (Cortex Morus Radicis, 1 liang, sliced), Zaogao (Fructus Gleditsiae Sinensis, 3 liang, black skin removed, coated with butter, roasted until yellow and charred, seeds removed).
Preparation: Grind into fine powder. Mix with refined honey and pound 200-300 times. Form pills the size of Sophora seeds. Take 20 pills after meals with date-boiled rice broth.
Another formula for chronic cough that does not resolve:
Ingredients: Tuifen (Leporis Faeces, 1 liang, dried), Pengsha (Borax, 3 fen), Hutonglü (Trogopteri Dung, 1 fen).
Preparation: Grind into fine powder. Mix with refined honey to form pills the size of Sophora seeds. Take 30 pills with rice broth. Take 3-4 times daily.
For all chronic coughs that do not resolve, Tiantingli Wan (Lepidium Seed Pill) is indicated.
Ingredients: Tiantingli (Semen Lepidii et Descurainiae, 1 liang, stir-fried between papers until purple), Renshen (Radix Ginseng, 3 fen, rhizome removed), Chifuling (Poria Cocos with Red Cortex, 3 fen), Gejie (Gecko, 1 pair, head and tail intact, coated with butter and roasted until slightly yellow).
Preparation: Grind into fine powder. Mix with date flesh to form pills the size of Sophora seeds. Take 30 pills with rice broth. Take 3-4 times daily.
For chronic cough with emaciation and loss of appetite:
Ingredients: Baiziren (Semen Biotae, 1 liang), Wulingzhi (Trogopteri Dung, 1 liang), Tiantingli (Semen Lepidii et Descurainiae, 1 liang, stir-fried between papers until purple), Xiamatou (Bufo Head), Xingren (Semen Armeniacae Amarum, 1 liang, soaked in hot water, skin and pointed ends removed).
Preparation: Grind into fine powder. Mix with refined honey to form pills the size of Sophora seeds. Take 20 pills with warm rice broth. Take 3-4 times daily.
For chronic Lung Qi cough, Lujiaojiao Jian (Deer Antler Glue Decoction/Paste) is indicated.
Ingredients: Lujiaojiao (Corpus Cornu Cervi, 4 liang, crushed and roasted until yellow and dry), Chifuling (Poria Cocos with Red Cortex, 1 liang), Ziwan (Radix Asteris, 1 liang, radix removed), Zisuzi (Fructus Perillae, 2 liang, slightly stir-fried), Beimu (Bulbus Fritillariae Cirrhosae, 1 liang, roasted until slightly yellow), Dihuangzhi (Jugulum Rehmanniae Recens, adequate amount).
Preparation: Combine all ingredients except Dihuangzhi. Mix equally with Dihuangzhi juice. Stir well. Simmer slowly in a silver vessel until it becomes a paste. After meals, hold half a date-sized piece in the mouth to dissolve.
Another prescription:
Ingredients: Baibugen (Radix Stemona, 5 jin, fresh).
Preparation: Crush and press to extract juice. Add 1 jin of honey. Simmer until it resembles maltose syrup. Take 1 spoonful per dose, mixed with warm rice broth. Take 3-4 times daily.
Another prescription:
Ingredients: Kuandonghua (Flos Farfarae, 1 liang).
Preparation: Grind into fine powder. Mix with refined honey to form pills the size of half a date. Wrap one pill in silk, hold in the mouth, and swallow the saliva. Take 4-5 times daily.
Miraculous effective formula for chronic cough that does not resolve:
Ingredients: Zaogao (Fructus Gleditsiae Sinensis, 5 tings, non-borer, black skin removed, coated with butter, roasted until yellow and charred, seeds removed).
Preparation: Grind into fine powder. Mix with refined honey to form pills the size of Sophora seeds. Take 10 pills after meals with Sangbaipi (Morus Root Bark) decoction.