苏游凤髓汤 治肺燥咳嗽。用松子仁一两,胡桃仁二两,研膏和熟蜜收之,每二钱,食后沸汤点服
又方 治虚热咳嗽,口干涕唾。用甘蔗汁一升半,青粱米四合,煮粥,日食二次
,极润心肺。
又方 治咳嗽吐血。人参、黄 、飞面各一两,百合五钱,为末,水丸梧子大,
每五十丸,食前茅根汤下。
又方 用人参、朱砂等分为末,乌梅肉丸弹大,每白汤下一丸,日一服。
又方 治肺热咳嗽。沙参五钱,水煎服。
一童子年十三岁,患咳盗汗,遂请幼科治之,乃曰小儿汗,不必服药。一月后,两目顿
赤,少食,痰中带血丝,余诊其脉,左手微而无力,右手大而洪数。此火症也。想已有外务
,其父母力为分解,再三私询,乃曰前学中隔壁,窥见一女子,觉慕之不遂,后得此疾。余
以当归、地黄、茯神、远志、牡丹皮、酸枣仁、白术、甘草、桔梗,数十剂全愈。
一人咳嗽短气,余以黄 为君,当归、阿胶、陈皮、天冬、桑白皮、知母、黄柏,数服
夫血者,气之配也。人之一身五脏六腑,四体百骸,靡不藉其营养也。然附气以行,气
畅则畅,气逆则逆,有夫妇随唱之义。一或阴亏阳胜,偏而为火,气得火而行健。譬则男
女偕行,男得附而迈往,女必迷途而暂 矣。所以火载血上,错经妄行,越出上窍而为吐
衄咳唾等候,第始焉之作,正气未虚,犹水溢于都,固当洁理其源,亦必溢土以御,不尔而
任其流,则涓涓之势,其可遏乎?非江海之源,宁不竭乎!况失血既久,则真阴已亏,相火
自炽,必见潮汗遗滑等证。当此之际,法当君以益阳,佐以滋阴养血,使以清金,洁源,令
生阴长,源洁流清,庶无后虑矣。然所谓益阳者,参 独参汤之类是也。所谓滋阴养血者
,
陈
藕汁,或童便一物是也。要之痰火失血,皆由阴火上炎所致,然谓之阴火者,龙雷之火也,
不可以水伏,不可以直折,岂苦寒之可遏耶?倘恣用苦寒以伤其脾,则饮食日减,肌肉日
消。节斋云∶服寒者,百无一生,服溲溺者,百无一死之论,正此谓也。
圣按∶失血之证,其类非一,有阳乘阴者,谓血热而妄行也。有阴乘阳者,以阳虚而阴
所附,妄溢而不循经也。有血越清道而出于鼻者,有血溢浊道而出于口者,呕血者,出于肝
,吐血者,出于胃,衄血者,出于肺,耳出血曰 ,肤腠出血曰血汗,口鼻并出曰
窍俱出曰大衄,由固不一,总之火病俱多,倘不溯其源而以治,宁毋岐路亡羊之失
Su You Feng Sui Decoction: Treats cough caused by Lung dryness. Use 1 liang of Pine Seed Kernel (Song Ren) and 2 liang of Walnut Kernel (Hetao Ren), grind into a paste, mix with cooked honey to preserve. Take 2 qian each time, administered after meals by dissolving in boiling water.
Another prescription: Treats cough due to deficiency-heat, accompanied by dry mouth, sticky nasal discharge, and saliva. Use 1.5 sheng of Sugarcane Juice and 4 he of Green Millet (Qingliang Mi), cook into porridge. Consume twice daily. It has excellent effects in moistening the Lungs and nourishing the Heart.
Another prescription: Treats cough with hemoptysis. Use 1 liang of Ginseng Root (Renshen), 1 liang of Astragalus Root (Huangqi - inferred from context as "Huang" is incomplete), 1 liang of Prepared Wheat Flour (Feimian), and 5 qian of Lily Bulb (Baihe). Grind into fine powder, make pills with water the size of Sophora seeds. Take 50 pills each time, swallowed with Mugwort Root Decoction (Maogen Tang).
Another prescription: Use equal parts of Ginseng Root (Renshen) and Cinnabar (Zhusha), grind into fine powder. Form pills using Flesh of Mume Fruit (Wumei Rou) the size of a bullet. Swallow one pill with plain warm water once daily.
Another prescription: Treats cough due to Lung heat. Use 5 qian of Glehnia Root (Shashen), decoct in water and take orally.
A thirteen-year-old boy suffered from cough and night sweats. He consulted a pediatrician, who stated it was merely childhood sweating and required no medication. One month later, his eyes suddenly turned red, his appetite decreased, and blood streaks appeared in his sputum. I palpated his pulse: the left side was faint and weak, while the right side was large, surging, and rapid. This indicates a Fire syndrome. I suspected he had engaged in sexual activity or had unfulfilled desires. Despite his parents' denials and repeated private inquiries, he finally admitted that he had seen a girl living next door to his schoolhouse, felt attracted to her but could not obtain her, and thus fell ill. I prescribed Angelica Root (Danggui), Rehmannia Root (Dihuang), Poria (Fushen), Polygala Root (Yuanzhi), Tree Peony Bark (Mudanpi), Ziziphus Seed (Suanzaoren), Atractylodes Rhizome (Baizhu), Licorice Root (Gancao), and Platycodon Root (Jiegeng). After dozens of doses, he was completely cured.
Another patient suffered from cough and shortness of breath. I used Astragalus Root (Huangqi) as the sovereign herb, combined with Angelica Root (Danggui), Donkey-hide Gelatin (Ejiao), Tangerine Peel (Chenpi), Asparagus Tuber (Tiantong), Mulberry Root Bark (Sangbaipi), Anemarrhena Rhizome (Zhimu), and Phellodendron Bark (Huangbo). After several doses... [Text cuts off]
Blood is the companion of Qi. The five zang organs, six fu organs, four limbs, and hundred bones of the human body all rely on blood for nourishment. Blood moves attached to Qi; when Qi flows smoothly, blood flows smoothly; when Qi rebels, blood rebels, just as husband and wife follow each other and harmonize. If Yin fluid is deficient and Yang qi prevails, the excess transforms into Fire. Qi, empowered by Fire, moves vigorously. This is like a man and woman walking together; if the man gains strength, he strides forward, but if the woman loses her way, she strays temporarily. Therefore, Fire carries Blood upward, causing chaotic and reckless movement, leading to bleeding from the upper orifices, manifesting as vomiting blood, epistaxis, coughing, and expectoration. In the early stage, when Zheng Qi (Upright Qi) is not yet deficient, it is like water overflowing in the capital. One must clean the source and also build dikes to control the flow. Otherwise, if allowed to flow freely, the trickle will become a torrent, which cannot be stopped? If the source is not like the rivers and seas, will it not dry up? Moreover, if hemorrhage persists, True Yin is already depleted, and Ministerial Fire (Xiang Huo) naturally blazes, inevitably presenting symptoms such as tidal fever, night sweats, and seminal emission/slippery discharge. At this juncture, the treatment method should employ tonifying Qi (Note: Text says "Yi Yang", but context implies tonifying Qi/Blood via Duzhen Tang) as the sovereign, assist with nourishing Yin and Blood, and use clearing Metal (Lung) herbs to cleanse the source, allowing Yin to grow. When the source is clean, the flow is clear, ensuring no future worries. However, what is meant by "tonifying Yang/Qi" refers to formulas like Ginseng Single Herb Decoction (Duzhen Tang). What is meant by "nourishing Yin and Blood" refers to aged Lotus Rhizome Juice (Ou Zhi) or Child's Urine (Tongbian) alone. In summary, hemorrhage due to Phlegm-Fire is caused by the flaming up of Yin Fire. This Yin Fire is referred to as Dragon-Lei Fire. It cannot be subdued by water, nor can it be directly suppressed by bitter-cold herbs. How can bitter-cold herbs suppress it? If one recklessly uses bitter-cold herbs to damage the Spleen, food intake will decrease day by day, and muscles will waste away day by day. Jiezhai said: "Those who take cold herbs have one survivor out of a hundred; those who take urine have none who die." This statement precisely applies here.
Saint's Commentary: Hemorrhagic syndromes are of various types. There is Yang invading Yin, where Heat in Blood causes reckless movement. There is Yin invading Yang, where Yang deficiency leaves Yin unattached, causing reckless overflow without following the meridians. There is blood exiting through the clear pathway (respiratory tract) manifesting as epistaxis, and blood exiting through the turbid pathway (digestive tract) manifesting as hematemesis. Vomiting blood originates from the Liver; spitting blood originates from the Stomach; epistaxis originates from the Lungs. Bleeding from the ears is called Ear Epistaxis (Er Nu); bleeding from the skin pores is called Blood Sweat (Xue Han); simultaneous bleeding from mouth and nose is called "All Orifices Bleeding"; massive bleeding is called Great Epistaxis (Da Nu). Although causes vary, they mostly belong to Fire diseases. If one does not trace the source and treat accordingly, is it not a mistake akin to losing sheep on a divergent path?