三因参苏饮治咳嗽发热
局方四七汤治咳而痰涎在喉嗌间不下
二陈汤治咳而胸膈不利
苏子降气汤治痰嗽喘促气不升降(方并见痰饮门)
东垣加减三奇汤治咳嗽上气喘促胸膈不利
桔梗 陈皮 甘草 青皮 人参 紫苏 桑白皮(各五钱) 半夏(七钱) 杏仁(三钱)
五味子(四钱)
上 咀每六七钱入姜煎
济生橘苏饮
前方减桔梗青皮人参加贝母白术
宝鉴人参款花膏治肺胃虚寒久嗽不已咽膈满闷咳嗽痰涎劳嗽
款冬花 人参 五味子(各八钱) 紫菀 桑白皮(各一两) 杏仁(八钱) 木香 槟榔
苏叶 半夏(汤泡数次各五钱)
上熬成膏入炼蜜丸如鸡头大每一丸食后细嚼淡姜汤下
按以上三方理气导痰之剂也皆本手太阴例比之前四方此则兼有滋补之意又当随脏气而用
之可也
局方人参清肺汤治喘嗽胸满烦热声喑自汗
地骨皮 知母 杏仁 人参 甘草 阿胶 桑白皮 乌梅 粟壳(各等分)
上 咀水煎
按此以甘寒降火兼酸收辛金之散凉而涩之也人参定喘汤治咳而上喘
人参 麻黄 半夏 阿胶 甘草 桑白皮 五味子(各一两半) 粟壳(二两)
上 咀入姜煎每半两或一两
按此以辛散之甘缓之酸收之本于寒邪者可用
宣明宁神散治咳嗽多年不已常自汗服药不效者
粟壳(一两醋炒) 乌梅(半两)
上为末每二三钱沸汤调下
按此劫剂也非虚脱者勿用故上涩之药似难例使
San Yin Rensu Yin (Three Causes Ginseng and Perilla Decoction) is indicated for cough accompanied by fever.
Ju Fang Siqi Tang (Bureau Formula Four-Seven Decoction) is indicated for cough with phlegm-rheum stuck in the throat unable to descend.
Er Chen Tang (Two-Aged Decoction) is indicated for cough with obstruction and discomfort in the chest and diaphragm.
Suzi Jiangqi Tang (Perilla Seed Descending Qi Decoction) is indicated for cough with phlegm, panting, rapid breathing, and dysfunction of Qi ascending and descending (See "Phlegm-Rheum Section" for formulas).
Dong Yuan Ji Jian Sanqi Tang (Dong Yuan's Modified Three-Uniques Decoction) is indicated for cough with upward rebellion, panting, rapid breathing, and chest/diaphragm discomfort.
Ingredients: Jiegeng (Platycodonis Radix), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Renshen (Ginseng Radix), Zisu (Perillae Folium), Sangbaipi (Mori Cortex), each 5 qian; Banxia (Pinelliae Rhizoma Praeparatum), 7 qian; Xingren (Prunus Armeniacae Semen), 3 qian; Wuweizi (Schisandrae Chinensis Fructus), 4 qian.
Preparation and Administration: Coarsely crush the herbs. Take 6–7 qian per dose, add fresh ginger, and decoct with water.
Jisheng Jusui Yin (Jisheng Tangerine and Perilla Decoction).
This formula is derived from the previous one by removing Jiegeng, Qingpi, and Renshen, and adding Beimu (Fritillariae Thunbergii Bulbus) and Baizhu (Atractylodis Macrocephalae Rhizoma).
Baojian Renshen Kuanhua Gao (Treasure Mirror Ginseng and Coltsfoot Paste) is indicated for chronic cough due to deficiency-cold of the Lung and Stomach, characterized by persistent cough, fullness and oppression in the throat and diaphragm, cough with phlegm-rheum, and consumptive cough.
Ingredients: Kuandonghua (Farfarae Flos), Renshen (Ginseng Radix), Wuweizi (Schisandrae Chinensis Fructus), each 8 qian; Ziwan (Asternatis Radix), Sangbaipi (Mori Cortex), each 1 liang; Xingren (Prunus Armeniacae Semen), 8 qian; Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Zisu (Perillae Folium), Banxia (Pinelliae Rhizoma Praeparatum) [soaked several times in boiling water], each 5 qian.
Preparation and Administration: Decoct into a paste, add refined honey, and form pills the size of a chicken egg. Take one pill after meals, chew thoroughly, and swallow with light ginger soup.
Commentary: The above three formulas are agents that regulate Qi and guide out phlegm, all following the principles of the Hand-Taiyin Lung meridian. Compared to the previous four formulas, these have a nourishing and tonifying aspect, and should be used according to the specific condition of the Zang organs.
Ju Fang Renshen Qingfei Tang (Bureau Formula Ginseng Lung-Clearing Decoction) is indicated for panting and cough, chest fullness, irritability and heat, hoarseness, and spontaneous sweating.
Ingredients: Digupi (Lycii Cortex), Zhimu (Anemarrhenae Rhizoma), Xingren (Prunus Armeniacae Semen), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Ejiao (Asini Corii Colla), Sangbaipi (Mori Cortex), Wumei (Mume Fructus), Suke (Papaveris Pericarpium), each in equal parts.
Preparation and Administration: Coarsely crush the herbs, add water, and decoct.
Commentary: This formula uses sweet-cold herbs to descend fire, combined with sour herbs to astringe and counteract the dispersing nature of metal (Lung), providing cooling and astringent effects.
Renshen Dingchuan Tang (Ginseng Panting-Stopping Decoction) is indicated for cough with upward rebellion and panting.
Ingredients: Renshen (Ginseng Radix), Mahuang (Ephedrae Herba), Banxia (Pinelliae Rhizoma Praeparatum), Ejiao (Asini Corii Colla), Gancao (Glycyrrhizae Radix et Rhizoma), Sangbaipi (Mori Cortex), Wuweizi (Schisandrae Chinensis Fructus), each 1.5 liang; Suke (Papaveris Pericarpium), 2 liang.
Preparation and Administration: Coarsely crush the herbs, add fresh ginger, and decoct. Take 0.5 or 1 liang per dose.
Commentary: This formula employs pungent dispersion, sweet moderation, and sour astringency, and is applicable when the cause is cold pathogenic factors.
Xuanming Ningshen San (Xuanming Spirit-Calming Powder) is indicated for chronic cough persisting for years, frequent spontaneous sweating, and cases where medication has been ineffective.
Ingredients: Suke (Papaveris Pericarpium) [stir-fried with vinegar], 1 liang; Wumei (Mume Fructus), 0.5 liang.
Preparation and Administration: Grind into powder. Take 2–3 qian per dose, mix with boiling water, and drink.
Commentary: This is a potent astringent agent (Jie Ji). It should not be used unless there is deficiency collapse. Therefore, such strong astringent drugs cannot simply be taken as standard examples for general use.