治老人虚人风秘,乃大肠经有风,大便秘结宜服之。
皂角(炙,去子) 枳壳(去幅,麸炒)
上等分为细末,炼蜜和丸,或饭饮丸亦可,如梧桐子大,每服七十丸,不拘时米饮下。
治气滞腹急,大便秘涩。
沉香 木香 槟榔 乌药 枳壳 大黄(各等分)
上各件热汤磨服。
夫咳嗽者,古人所谓咳嗽是也。盖皮毛肺之合也,皮毛先受邪气,邪气以从其合也。
嗽非肺一脏受之,五脏六腑皆令人有嗽。经曰∶秋伤于湿,冬必咳嗽。大抵素秋之气,清肃
而反,动必气上冲。经曰∶逆秋气则太阴不收,肺气焦满,而为咳嗽之分。盖咳谓有声而无
痰,肺气伤而不清也;嗽谓无声而有痰,由脾湿动其痰也;咳嗽者,有声而有痰也,因邪伤
于肺,脾湿痰动,以致有声有痰。且肺五脏之华盖,专主于气,气之清浊既分,则无嗽,清
气不分,浊气上干于华盖,加以协水停饮,肺不得清,则为嗽矣。《素问·咳论》云∶五脏
各有其时,受以风寒而咳嗽,变病各异,嗽不以,乃移于六腑,腑既受之,亦以喘嗽,形证
各异。凡脏腑百脉,皆取气于肺,因而咳嗽,始自本经,且伤风为证,憎寒身热,自汗恶风
而咳。伤于寒者,憎寒身热,无汗恶寒而咳;伤于暑者,烦渴引饮而咳;伤于湿者,骨节烦
疼,四肢重着而咳。伤于心者,喉仲介介如梗状,甚则咽肿喉痹,谓之心咳;怒伤于肝,两
胁下痛,甚则两怯下满,谓之肝咳;思伤于脾者,右胁下痛,痛引肩背,甚则不可以动,动
则咳剧,谓之脾咳,恐伤于肾者,腰背相引而痛,甚则咳,谓之肾咳;忧伤于肺者,喘息有
音,甚则唾血,谓之肺咳。脏咳不已,则腑受之。心咳不已,小肠受之,咳与气俱失,肝咳
胆受之,咳呕胆汁,脾咳不已,胃受之,咳而呕,呕甚长虫出,肺咳不已,大肠受之,咳而
遗屎,肾咳不已,膀胱受之,咳而遗溺,久咳不已,三焦受之,咳而腹满,不欲食,此皆聚
于胃,关于肺,使人多涕唾而面浮肿气逆也。又况房劳过度,气体虚弱,形寒饮冷,最易得
寒,燥气郁蒸,最易生热,或伤风寒,或风热相搏。夫肺金生水,肾为肺之子,盖人不能保
养肾水,真元耗散,因子虚以泄母气而成嗽者。若脉浮缓为风,宜以散之,弦紧为寒,宜以
温解,沉涩为湿,当以燥之,弦滑在胃口者,以涤其痰,浮盛在气口者为气,则当疏之,微
细者为虚,则当补之,细数者为虚劳,宜以滋养血气,沉实有力为气实,实则当泻,濡弱无
力者,为肺气耗散,则当收敛,各从其类。医者详审,考证用药,则无差失,可为上工矣。
To treat constipation due to wind in the elderly and debilitated individuals, which arises from wind pathogen affecting the Large Intestine Meridian (Large Intestine Channel), causing dry stool. This formula is suitable for consumption.
Gleditsiae Fructus (Zaojiao) (roasted, seeds removed) Aurantii Fructus (Zhike) (pith removed, stir-fried with bran)
Grind the above ingredients into fine powder in equal proportions. Mix with refined honey to form pills, or use rice water to swallow pills. The size should be like Sophora japonica seeds (Wutongzi). Take 70 pills each time, at any time, washed down with rice water.
To treat abdominal urgency due to Qi stagnation and difficult, astringent defecation.
Aquilariae Lignum Resinatum (Chenxiang) Aucklandiae Radix (Muxiang) Arecae Semen (Binglang) Linderae Radix (Wuyao) Aurantii Fructus (Zhike) Rheum Palmatum Radix et Rhizoma (Dahuang) (all in equal parts)
Grind each of the above ingredients in hot boiled water and take the liquid.
The term "cough" refers to what the ancients called cough. The lungs combine with the skin and hair; when the skin and hair are first attacked by pathogens, the pathogens enter through this connection.
Sputum production (Sou) is not solely caused by the Lung organ; all Zang and Fu organs can cause it. The Classics state: "If dampness is injured in autumn, cough will inevitably occur in winter." Generally, the air of early autumn is clear and肃 (solemn/clear); if it is abnormal, movement causes Qi to rush upward. The Classics state: "Violating the Qi of autumn prevents Taiyin (Lung) from gathering, leading to scorched and full Lung Qi, resulting in cough." Broadly speaking, Ke (cough sound) refers to having sound but no sputum, indicating Lung Qi injury and lack of clarity; Sou (sputum sound) refers to having sputum but no sound, caused by Spleen dampness stirring phlegm; Cough (Ke Sou) refers to having both sound and sputum, caused by pathogens injuring the Lung and Spleen dampness stirring phlegm, resulting in both sound and sputum. Furthermore, the Lung is the canopy of the five Zang organs, specifically governing Qi. If the clear and turbid nature of Qi is distinguished, there will be no Sou; if clear Qi is not separated, turbid Qi attacks the canopy, combined with fluid retention, preventing the Lung from being clear, thus forming Sou. The *Suwen: Cough Discussion* states: "Each of the five Zang organs has its corresponding season; affected by wind and cold, they cause cough, with varying pathological changes. If Sou persists, it transfers to the six Fu organs. Once the Fu organs are affected, they also produce wheezing and cough, with different manifestations and symptoms." All Zang, Fu, and hundred vessels derive Qi from the Lung. Therefore, cough originates from the primary meridian. For example, Wind-Strike syndrome presents with aversion to cold and fever, spontaneous sweating, aversion to wind, and cough. Cold-Strike presents with aversion to cold and fever, anhidrosis, aversion to cold, and cough. Heat-Strike presents with irritability, thirst, desire to drink, and cough. Damp-Strike presents with painful joints, heavy limbs, and cough. Injury to the Heart manifests as a sensation of obstruction in the throat, severe cases with swollen throat and Bi-syndrome, called Heart Cough. Anger injuring the Liver manifests as pain under both hypochondria, severe cases with fullness under both hypochondria, called Liver Cough. Overthinking injuring the Spleen manifests as pain under the right hypochondrium, radiating to the shoulder and back, severe cases unable to move, movement exacerbates cough, called Spleen Cough. Fear injuring the Kidney manifests as pulling pain between waist and back, severe cases with cough, called Kidney Cough. Grief injuring the Lung manifests as wheezing with sound, severe cases with hemoptysis, called Lung Cough. If Zang cough persists, it affects the Fu organs. Persistent Heart cough affects the Small Intestine, accompanied by cough and passing gas. Persistent Liver cough affects the Gallbladder, accompanied by cough and vomiting bile. Persistent Spleen cough affects the Stomach, accompanied by cough and vomiting, severe cases expelling roundworms. Persistent Lung cough affects the Large Intestine, accompanied by cough and fecal incontinence. Persistent Kidney cough affects the Bladder, accompanied by cough and urinary incontinence. Long-term cough affects the Sanjiao (Triple Burner), accompanied by cough, abdominal fullness, and loss of appetite. These conditions gather in the Stomach and relate to the Lung, causing excessive saliva/phlegm, facial edema, and rebellious Qi. Moreover, excessive sexual activity leads to weak Qi and constitution; exposure to cold and drinking cold beverages easily induces Cold pathogen; stagnant dry heat easily generates Heat pathogen; or injury by Wind-Cold, or struggle between Wind and Heat. Metal of the Lung generates Water; the Kidney is the child of the Lung. If one cannot nourish Kidney Water, depleting True Yuan, deficiency in the child leaks Qi from the mother, resulting in cough. If the pulse is floating and slow, it indicates Wind, suitable for dispersing methods; wiry and tight indicates Cold, suitable for warming and resolving methods; deep and choppy indicates Dampness, requiring drying methods; wiry and slippery at the stomach area requires phlegm-clearing methods; floating and abundant at the Qi Kou (Radial Artery) indicates Qi stagnation, requiring regulation methods; minute and fine indicates Deficiency, requiring tonification methods; thin and rapid indicates Consumption (Xu Lao), requiring nourishment of Blood and Qi methods; deep, solid, and forceful indicates Excess of Qi, requiring purgation methods; soft, weak, and forceless indicates depletion of Lung Qi, requiring astringent methods. Each follows its respective category. Physicians must examine carefully, verify, and prescribe medication accordingly to avoid errors, thereby becoming excellent doctors.