夫《经》言风寒湿三气杂至,合而为痹。又日以秋遇此者为皮痹,皮痹不已,复感于邪,
内
方
橘皮丸(出《圣济总录》)治肺痹,上下痞塞,不能喘息。
陈橘皮(汤浸去白焙) 桔梗(锉炒) 浓朴(去粗皮姜汁炙) 干姜(炮制) 枳实
(去瓤面炒)
各二两) 荜茇(二
胡(去芦) 防葵 芎 (各一
洗炒各一两半焙干) 大黄(湿纸裹煨
苏子(炒二两) 上为末,炼蜜丸如梧桐
之。
杏仁丸(出《圣济总录》)治肺痹,复感风邪,胸膈胁满急。
杏仁(汤去皮尖双仁炒) 赤茯苓(去黑皮) 防葵(各二两) 桂(去粗皮) 吴茱
萸(洗焙炒)
子(炒) 芍药 枳实(
大,每服十丸,食前温酒下
当归汤(出《圣济总录》)治肺痹上气,闭塞胸中,胁下支满,乍作乍止,
不得饮食,唇干
当归(切焙) 防风(去梢) 黄 (细锉各二两) 柴胡(去节八两) 细辛(去苗
叶) 麻黄(去
(去粗皮三两) 半夏(
盏,姜七片,枣二枚擘开,
五味子汤(出《圣济总录》)治肺痹,上气发咳。
五味子(三两) 紫苏子(炒八两) 麻黄(去根节) 细辛(去苗叶) 紫菀(去苗
土) 黄芩(去
夏(汤洗七次三两) 上
计时候。上气病可单煮紫
紫苏子汤(出《圣济总录》)治肺痹,胸心满塞,上气不止。\x
紫苏子(炒八两) 半夏(汤洗七次五两) 陈橘皮(汤浸去白焙) 桂(去皮各三两)
甘草(炙)
六分,去滓
The *Classic* (Huangdi Neijing) states that the mixed invasion of wind, cold, and dampness pathogens combines to form Bi syndrome. It further states that contracting this in autumn results in Pi Bi (Skin Bi); if Pi Bi is not resolved and the body is re-exposed to pathogens, the disease may transmit internally.
Jupi Wan (Orange Peel Pill) [from *Shengji Zonglu*]: Treats Fei Bi (Lung Bi), characterized by obstruction and blockage in the upper and lower jiao, and inability to breathe.
Ingredients: Chen Jupi (Tangerine Peel, soaked in water, white pith removed, dried), Jiegeng (Platycodon Root, chopped and stir-fried), Houpo (Magnolia Bark, coarse bark removed, stir-baked with ginger juice), Ganjiang (Dried Ginger, processed), Zhishi (Immature Bitter Orange, placenta removed, stir-fried with flour), Bibai (Long Pepper Fruit), Hu (Pepper, text possibly incomplete), Fangkui (Adenophora Root), Xiongqiong (Sichuan Lovage Rhizome, each 1.5 liang, washed, stir-fried, and dried), Dahuang (Rhubarb Root and Rhizome, wrapped in wet paper and baked), Suzi (Perilla Seed, stir-fried, each 2 liang). Process all ingredients into a fine powder, mix with refined honey to form pills the size of paulownia seeds. Take 10 pills per dose, administered before meals with warm wine.
Xingren Wan (Apricot Kernel Pill) [from *Shengji Zonglu*]: Treats Fei Bi complicated by re-infection with wind pathogens, presenting with distension and tightness in the chest, diaphragm, and hypochondrium.
Ingredients: Xingren (Apricot Seed, blanched, skin and tip removed, double-kernel ones stir-fried), Chifuling (Red Poria, black skin removed), Fangkui (Adenophora Root, each 2 liang), Gui (Cinnamon Twig, coarse bark removed), Wuzhuyu (Evodia Fruit, washed, dried, and stir-fried), Zi (Seed, text possibly incomplete), Shaoyao (Peony Root), Zhishi (Immature Bitter Orange, prepared as above). Form into pills the size of paulownia seeds. Take 10 pills per dose, administered before meals with warm wine.
Danggui Tang (Angelica Decoction) [from *Shengji Zonglu*]: Treats Fei Bi with rebellious Qi ascending, chest oppression, hypochondriac fullness and distension, intermittent symptoms, anorexia, and dry lips.
Ingredients: Danggui (Angelica Sinensis Root, sliced and dried), Fangfeng (Saposhnikovia Root, tips removed), Huang (Astragalus Root, text possibly incomplete, likely Huangqi), Chaihu (Bupleurum Root, joints removed, 8 liang), Xixin (Asarum Root, seedlings and leaves removed), Mahuang (Ephedra Stem, roots and joints removed), Banxia (Pinellia Tuber, washed seven times in water, 3 liang), Wuweizi (Schisandra Fruit, coarse bark removed, 3 liang). Decoct with one cup of water, adding seven slices of Shengjiang (Fresh Ginger) and two broken Zao (Jujube Dates), reduce to the appropriate volume, strain, and take the decoction.
Wuweizi Tang (Schisandra Decoction) [from *Shengji Zonglu*]: Treats Fei Bi with rebellious Qi and cough.
Ingredients: Wuweizi (Schisandra Fruit, 3 liang), Zisu Zi (Perilla Seed, stir-fried, 8 liang), Mahuang (Ephedra Stem, roots and joints removed), Xixin (Asarum Root, seedlings and leaves removed), Ziwan (Aster Root, seedlings and soil removed), Huangqin (Scutellaria Root, heart removed), Banxia (Pinellia Tuber, washed seven times in water, 3 liang). Decoct according to standard timing. For rebellious Qi conditions, Zisu Zi (Perilla Seed) may be decocted alone.
Zisu Zi Tang (Perilla Seed Decoction) [from *Shengji Zonglu*]: Treats Fei Bi with fullness and obstruction in the chest and heart, and persistent rebellious Qi.
Ingredients: Zisu Zi (Perilla Seed, stir-fried, 8 liang), Banxia (Pinellia Tuber, washed seven times in water, 5 liang), Chen Jupi (Tangerine Peel, soaked in water, white pith removed, dried), Gui (Cinnamon Twig, bark removed, each 3 liang), Gancao (Licorice Root, honey-fried). Add six parts water, boil, strain, and take the decoction.