治咳而上气。喉中水鸡声者主之。
射干(三两。) 麻黄 生姜(各四两。) 细辛 紫菀 款冬花(各三两。) 大枣(七
枚。)
上九味。以水一斗二升。先煮麻黄两沸。去上沫。内诸药。煮取三升。分温三服。
歌曰 喉中咳逆水鸡声。三两干辛款菀行。夏味半升枣七粒。姜麻四两破坚城。
上方主温。此方主散。
尤在泾云。咳而上气。肺有邪则气不降而反逆也。肺中寒饮上入喉间。为呼吸之气所激。
则
枣
治咳逆上气。时时吐浊。但坐不得眠者。此丸主之。
皂荚(八两。刮去皮。酥炙。)
上一味末之。蜜丸梧子大。以枣膏和汤服三丸。日三夜一服。
歌曰 浊痰上气坐难眠。痈势将成壅又坚。皂荚蜜丸调枣下。绸缪须在雨之前。
蔚按。痰有固而不拔之势。故用皂荚开其壅闭。涤其污垢。又以枣膏安其胃气。祛邪中
不离
治咳而脉浮者主之。
浓朴(五两。) 麻黄(四两。) 石膏(如鸡子大。) 杏仁(半升。) 半夏(半升。)
干
上九味。以水一斗二升。先煮小麦熟。去滓。内诸药。煮取三升。温服一升。日三服。
歌曰 杏仁夏味半升量。升(小)麦四麻五朴良。三两姜辛膏(鸡)蛋大。脉浮咳喘此
方当。(
元犀按。咳而脉浮者。内有饮而表有邪也。表邪激动内饮。饮气上凌。则心肺之阳为之
蒙蔽
黄解表出邪。干姜、五味、半夏、细辛化痰涤饮。小麦保护心君。然表邪得辛温而可散。内
饮
尤妙先煮小麦。
学人当细心体认。方得其旨焉。
Treats cough accompanied by Qi rebellion (rebellious Qi) and a sound in the throat resembling that of a water chicken (frogs). This formula is indicated.
Shegan (Radix Belamcandae, 3 liang), Mahuang (Herba Ephedrae, 4 liang), Shengjiang (Rhizoma Zingiberis Recens, 4 liang), Xixin (Radix Asari, 3 liang), Ziwan (Herba Asteris Tatarici, 3 liang), Kuandonghua (Flos Farfarae, 3 liang), Dazao (Fructus Jujubae, 7 pieces).
The above nine ingredients are decocted with one dou two sheng of water. First, boil Mahuang for two boils, remove the foam on the surface, then add the remaining herbs. Decoct until three sheng of liquid remains. Divide into three warm doses.
Song says:
Cough and rebellious Qi with the sound of a water chicken in the throat;
Three liang each of Gan (Shegan), Xin (Xixin), Kuan (Kuandonghua), Wan (Ziwan) move the Qi.
Banxia (Rhizoma Pinelliae Preparata) half sheng, seven grains of Zao (Dazao);
Jiang (Shengjiang) and Ma (Mahuang) four liang each break the firm fortress.
The above formula primarily acts to Warm (Wen), while this formula primarily acts to Disperse (San).
You Zaijing states: Cough with rebellious Qi occurs because pathogens in the Lung prevent Qi from descending, causing it to rebel upwards. Cold-fluid retention in the Lung ascends into the throat and is agitated by respiratory Qi, producing the sound.
Treats cough with rebellious Qi, frequent expectoration of turbid phlegm, where the patient can only sit upright and cannot lie down. This pill is indicated.
Zaojiao (Fructus Gleditsiae Sinensis, 8 liang, scraped of skin, roasted with su [animal fat]).
The above single ingredient is powdered. Honey pills the size of wutong seeds are made. Take three pills per dose, harmonized with Zao Gao (Date Paste) and soup. Administer three times during the day and once at night.
Song says:
Turbid phlegm rebels upward, Qi surges, sitting makes sleep difficult;
The abscess tendency is about to form, obstruction is severe and hard.
Zaojiao honey pills adjusted with Zao (date paste) taken down;
Precautions must be taken before the rain (metaphor for early intervention).
Commentary: Phlegm has a solid and unyielding nature; therefore, Zaojiao is used to open obstructions and cleanse filth, while Zao Gao is used to calm Stomach Qi. Expelling pathogens does not detach from protecting the healthy Qi.
Treats cough with a floating pulse. This formula is indicated.
Noupu (Cortex Magnoliae Officinalis, 5 liang), Mahuang (Herba Ephedrae, 4 liang), Shigao (Gypsum Fibrosum, size of a chicken egg), Xingren (Semen Pruni Armeniacae, half sheng), Banxia (Rhizoma Pinelliae Preparata, half sheng), Ganjiang (Rhizoma Zingiberis, implied quantity based on context/standard text often matches others or specific ratio, here text cuts off but song implies standard composition), Wuweizi (Fructus Schisandrae Chinensis, implied), Xixin (Radix Asari, implied), Xiaomai (Fructum Tritici Levis, 4 sheng). *Note: The source text lists "Shang Jiu Wei" (Above nine flavors) but the list provided in the prompt snippet for this formula seems truncated or implicit in the song. Based on standard Shanghan Lun/Jin Gui Yao Lue text for Noup Mang Huang Shi Gao Tang, the ingredients are Noup, Mahuang, Shigao, Xingren, Banxia, Ganjiang, Wuweizi, Xixin, Xiaomai.*
The above nine ingredients are decocted with one dou two sheng of water. First, boil Xiaomai until cooked, remove the dregs, then add the other herbs. Decoct until three sheng of liquid remains. Take one sheng warm per dose, three times daily.
Song says:
Xingren and Banxia half sheng each;
Xiaomai four sheng, Mahuang four liang, Noup five liang are good.
Jiang (Shengjiang/Ganjiang mix implied or specific dosage), Xin (Xixin) three liang, Shigao (Gypsum) size of chicken egg;
Floating pulse, cough and wheezing, this formula is appropriate.
Yu Xi commentary: Cough with a floating pulse indicates internal fluid retention and external pathogens. External pathogens stir up internal fluids; fluid Qi rebels upward, covering the Yang of the Heart and Lung. Mahuang releases the exterior and expels pathogens; Ganjiang, Wuweizi, Banxia, and Xixin transform phlegm and clear fluids; Xiaomai protects the Heart Sovereign. However, external pathogens can be dispersed by acrid-warm herbs, and internal fluids are resolved accordingly. Especially wonderful is boiling Xiaomai first.
Students should carefully contemplate and recognize this, to grasp its essence.