(附论)
夫热病毒瓦斯攻于心肺。烦热壅于胸膈。而渴引饮水。必致喘粗。汗下之后。胃气尚虚。
热毒不退。渴饮水过多。水停心下。故令喘急也。
方
前胡散(出圣惠方)治热病气喘。心膈烦闷。或痰壅不能食。宜服。
前胡(去芦头) 赤茯苓 紫菀(去根土) 大腹皮(锉) 桔梗(去芦头) 枳壳(麸
炒微黄
去瓤各一两) 麦门冬(一两去心焙) 甘草(炙微赤锉) 陈橘皮(汤浸去白瓤焙各三分)
上
为粗散。每服五钱。水一大中盏。煎至五分。去滓。不计时候。温服。
大腹皮散(出圣惠方)治热病。肺壅气喘。膈中不利。宜服。
大腹皮(锉) 人参(去芦头各一两) 赤茯苓 枳实(麸炒微黄) 柴胡(去苗) 桑
根白皮
(锉各三分) 上为散。每服四钱。以水一大盏。煎至五分。去滓。不计时候。温服之。
杏仁散(出圣惠方)治热病。胸膈烦闷。喘息奔急。宜服。
杏仁(汤浸去皮尖双仁麸炒微黄) 前胡(去芦头) 甘草(炙微赤锉) 麦门冬(去
心) 桑
根白皮(锉各一两) 木通(半两锉) 上为散。每服五钱。水一大盏。煎至五分。去滓。
不计
时候。温服。
治热病。心膈烦热。肺壅喘急。宜服此方。
杏仁(汤浸去皮尖双仁麸炒微黄) 麦门冬(去心各一两) 马兜铃(半两) 麻黄(去
根节)
五味子(各一两半) 桑门冬(三分) 上为散。每服五钱。水一大盏。煎至五分。去滓。
不计
时候。温服。
柴胡散(出圣惠方)治热病肺热。上气奔喘。宜服。
柴胡(去苗) 紫苏茎叶 桑根白皮(锉) 杏仁(汤浸去皮尖双仁麸炒微黄一两) 陈
橘皮
(一两半汤浸去瓤焙) 石膏(二两) 麻黄(半两去根节) 上为散。每服五钱。水一大
盏。煎
至五分。去滓。不计时候。温服。
半夏散(出圣惠方)治热病。客热在脏。干呕。口中多痰。喘急烦闷。不能
饮食。宜服。
半夏(汤洗七次去滑) 麦门冬(去心) 青竹茹 葛根(各一两) 甘草(炙微赤锉)
陈橘
皮(汤浸去白焙各半两) 上为散。每服五钱。水一大盏。入生姜半分。煎至五分。去滓。
不
计时候。温服。
治热饮水多。卒上气喘急方。(出圣惠方)
淡竹叶(一两半) 陈橘皮(半两汤浸去白瓤焙) 桑根白皮(锉一两) 上为细锉和
匀。分
为五服。每服以水一大盏。煎至五分。去滓。不计时候。温服。
皂荚丸(出圣惠方)治热病。肺壅喘急。宜服。
皂荚(一两去黑皮涂酥炙微黄) 郁李仁(汤浸去皮尖研如膏) 甘草(炙微赤锉) 麻
黄
(去根节各三分) 甜葶苈(一两炒令黑捣如泥) 上为末。用郁李仁、葶苈。同研令匀。
炼蜜
和丸。如梧桐子大。每服不计时候。以粥饮下十丸。
杏仁煎(出圣惠方)治热病。气喘咳嗽。宜服。
杏仁(五两汤浸去皮尖双仁) 黄牛酥(二两) 白蜜(半斤) 生姜汁(二合) 上
以酥拌杏
仁。炒令黄熟。捣如膏。入蜜姜汁。同煎如稠饧。每服三钱。含咽津。不计时候服。
陷胸散(出圣惠方)兼治心胸闷结。喘不定。服之自汗出。
大黄(一两半) 甘草(半两) 枳实(半两去瓤) 上为末。每服三钱。水七分。一
盏煎三
两沸。温温和滓服。汗出为度。六日内多使此散。如无证不用。
[Supplementary Discussion]
The pathogenic factor of Heat-Toxin attacks the Heart and Lungs. Irritating heat stagnates in the chest and diaphragm, causing thirst and a desire to drink water, inevitably leading to coarse and rapid breathing. After sweating or purging treatments, the Stomach Qi remains deficient. If the Heat-Toxin is not resolved and excessive drinking occurs, fluid retention in the epigastrium (Heart-Xia) causes acute asthma.
Formulas
Qianhu San (Antenatal Powder, from *Shenghui Fang*) treats asthma due to febrile disease, irritability and oppression in the heart and diaphragm, or phlegm obstruction preventing eating. It is suitable for consumption.
* Qian Hu (Peucedani Radix, remove rhizome)
* Chi Fu Ling (Red Poria)
* Zi Wan (Asteris Radix, remove roots and soil)
* Da Fu Pi (Arecae Pericarpium, sliced)
* Jie Geng (Platycodonis Radix, remove rhizome)
* Zhi Ke (Aurantii Fructus, bran-fried until slightly yellow, pith removed, each 1 liang)
* Mai Men Dong (Ophiopogonis Radix, 1 liang, remove heart, baked)
* Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red, sliced)
* Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, baked, each 3 qian)
Grind into a coarse powder. Take 5 qian per dose. Add 1 large bowl of water. Decoct until 0.5 bowl remains. Strain. Take warm at any time.
Da Fu Pi San (Arecae Pericarpium Powder, from *Shenghui Fang*) treats febrile disease with lung congestion and asthma, and discomfort in the diaphragm. It is suitable for consumption.
* Da Fu Pi (Arecae Pericarpium, sliced)
* Ren Shen (Ginseng Radix, remove rhizome, each 1 liang)
* Chi Fu Ling (Red Poria)
* Zhi Shi (Aurantii Fructus Immaturus, bran-fried until slightly yellow)
* Chai Hu (Bupleuri Radix, remove sprouts)
* Sang Gen Bai Pi (Mori Cortex, sliced, each 3 qian)
Grind into a powder. Take 4 qian per dose. Add 1 large bowl of water. Decoct until 0.5 bowl remains. Strain. Take warm at any time.
Xing Ren San (Apricot Kernel Powder, from *Shenghui Fang*) treats febrile disease with chest/diaphragm irritability and rapid asthma. It is suitable for consumption.
* Xing Ren (Armeniacae Semen, soaked in water, skin and tip removed, double-kernel, bran-fried until slightly yellow)
* Qian Hu (Peucedani Radix, remove rhizome)
* Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red, sliced)
* Mai Men Dong (Ophiopogonis Radix, remove heart)
* Sang Gen Bai Pi (Mori Cortex, sliced, each 1 liang)
* Mu Tong (Akebiae Caulis, 0.5 liang, sliced)
Grind into a powder. Take 5 qian per dose. Add 1 large bowl of water. Decoct until 0.5 bowl remains. Strain. Take warm at any time.
Treats febrile disease with heart/diaphragm irritating heat and lung congestion causing acute asthma. This formula is suitable.
* Xing Ren (Armeniacae Semen, soaked in water, skin and tip removed, double-kernel, bran-fried until slightly yellow)
* Mai Men Dong (Ophiopogonis Radix, remove heart, each 1 liang)
* Ma Dou Ling (Aristolochiae Radix, 0.5 liang)
* Ma Huang (Ephedrae Herba, remove roots and joints)
* Wu Wei Zi (Schisandrae Fructus, each 1.5 liang)
* Sang Bai Pi (Mori Cortex, 3 qian) *[Note: Original text "Sang Men Dong" is interpreted as Sang Bai Pi based on context and standard formula variations]*
Grind into a powder. Take 5 qian per dose. Add 1 large bowl of water. Decoct until 0.5 bowl remains. Strain. Take warm at any time.
Chai Hu San (Bupleuri Radix Powder, from *Shenghui Fang*) treats febrile disease with lung heat and rebellious Qi causing asthma. It is suitable for consumption.
* Chai Hu (Bupleuri Radix, remove sprouts)
* Zi Su Jing Ye (Perillae Caulis et Folium)
* Sang Gen Bai Pi (Mori Cortex, sliced)
* Xing Ren (Armeniacae Semen, soaked in water, skin and tip removed, double-kernel, bran-fried until slightly yellow, 1 liang)
* Chen Ju Pi (Citri Reticulatae Pericarpium, 1.5 liang, soaked in water, pith removed, baked)
* Shi Gao (Gypsum Fibrosum, 2 liang)
* Ma Huang (Ephedrae Herba, 0.5 liang, remove roots and joints)
Grind into a powder. Take 5 qian per dose. Add 1 large bowl of water. Decoct until 0.5 bowl remains. Strain. Take warm at any time.
Ban Xia San (Pinelliae Tuber Powder, from *Shenghui Fang*) treats febrile disease with external heat in the zang organs, dry heaving, excessive phlegm in the mouth, acute asthma, irritability, and inability to eat. It is suitable for consumption.
* Ban Xia (Pinelliae Rhizoma, washed seven times in water to remove slipperiness)
* Mai Men Dong (Ophiopogonis Radix, remove heart)
* Qing Zhu Ru (Bambusae Caulis in Taenia, green)
* Ge Gen (Puerariae Radix, each 1 liang)
* Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red, sliced)
* Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, baked, each 0.5 liang)
Grind into a powder. Take 5 qian per dose. Add 1 large bowl of water and 0.5 piece of Sheng Jiang (Zingiberis Rhizoma Recens). Decoct until 0.5 bowl remains. Strain. Take warm at any time.
Formula for treating sudden acute asthma caused by excessive drinking of water. (From *Shenghui Fang*)
* Dan Zhu Ye (Lophatheri Folium, 1.5 liang)
* Chen Ju Pi (Citri Reticulatae Pericarpium, 0.5 liang, soaked in water, white pith removed, baked)
* Sang Gen Bai Pi (Mori Cortex, sliced, 1 liang)
Finely slice and mix evenly. Divide into five doses. For each dose, add 1 large bowl of water. Decoct until 0.5 bowl remains. Strain. Take warm at any time.
Zao Jiao Wan (Gleditsiae Sinensis Fruit Pill, from *Shenghui Fang*) treats febrile disease with lung congestion and acute asthma. It is suitable for consumption.
* Zao Jiao (Gleditsiae Sinensis Fructus, 1 liang, remove black skin, coat with butter, fry until slightly yellow)
* Yu Li Ren (Pruni Semen, soaked in water, skin and tip removed, ground into paste)
* Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red, sliced)
* Ma Huang (Ephedrae Herba, remove roots and joints, each 3 qian)
* Tian Ting Li (Descurainiae Semen seu Lepidii Semen, 1 liang, fried until black, ground into paste)
Grind into fine powder. Mix Yu Li Ren and Ting Li thoroughly. Combine with refined honey to form pills the size of Sophora seeds. Take 10 pills at any time, washed down with rice broth.
Xing Ren Jian (Apricot Kernel Decoction/Paste, from *Shenghui Fang*) treats febrile disease with asthma and cough. It is suitable for consumption.
* Xing Ren (Armeniacae Semen, 5 liang, soaked in water, skin and tip removed, double-kernel)
* Huang Niu Su (Butyrum Bovis, 2 liang)
* Bai Mi (Mel, 0.5 jin)
* Sheng Jiang Zhi (Jucoris Zingiberis Recens Juice, 2 he)
Mix Xing Ren with butter. Stir-fry until yellow and cooked. Grind into paste. Add honey and ginger juice. Simmer together until thick like syrup. Take 3 qian per dose. Hold in mouth and swallow saliva. Take at any time.
Xian Xiong San (Sunken Chest Powder, from *Shenghui Fang*) also treats chest oppression and binding, irregular asthma. Sweating after taking it indicates efficacy.
* Da Huang (Rhei Radix et Rhizoma, 1.5 liang)
* Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang)
* Zhi Shi (Aurantii Fructus Immaturus, 0.5 liang, remove pith)
Grind into powder. Take 3 qian per dose. Add 0.7 bowl of water. Boil three times. Take warm with dregs. Stop when sweating occurs. Use this powder frequently within six days. Do not use if symptoms are absent.