治肺痈喘不得卧者主之。
葶苈（熬令黄色。捣。丸如鸡子大。） 大枣（十二枚。）
上先以水三升煮枣。取二升。去枣。内葶苈。煮取一升。顿服。
歌曰 喘而不卧肺痈成。口燥（口中辟辟干燥。） 胸疼（胸中隐隐痛。）数实呈。（肺
痿脉数
尤在泾云。葶苈苦寒。入肺泄气闭。加大枣甘温以和药力。与皂荚丸之饮以枣膏同法。
治肺痈咳而胸满。振寒脉数。咽干不渴。时出浊唾腥臭。久久吐脓如米粥者。此汤
桔梗（一两。） 甘草（二两。）
上以水三升。煮取一升。分温再服。则吐脓血也。
歌曰 脓如米粥肺须清。毒溃难支药要轻。甘草二兮桔一两。土金合化得生生。
元犀按。肺痈尚未成脓。用葶苈泻之。今已溃后。用此汤排脓解毒。宜缓治。不可峻攻
也。余解见长沙方歌括。
治咳而上气。此为肺胀。其人喘。目如脱状。脉浮大者。此汤主之。
麻黄（六两。） 石膏（半斤。） 生姜（三两。） 大枣（十二枚。） 甘草（二两。） 半
夏（
上六味。以水六升。先煮麻黄。去上沫。内诸药。煮取三升。分温三服。
歌曰 风水多兮气亦多。水风相搏浪滔滔。全凭越婢平风水。加夏半升奠巨波。
元犀按。此肺胀。原风水相搏。热气奔腾。上蒸华盖。走入空窍。故咳而上气喘目如脱
状证
脉浮大者。风为阳邪。鼓荡于其间故也。方用麻黄、生姜直攻外邪。石膏以清内热。甘
草、
Treats patients with lung abscess (Lung Abscess) presenting with wheezing and inability to lie flat.
Tingli (Periplocae Semen, Tinglizi), roasted until yellow, pounded into pills the size of a chicken egg. Dazao (Jujubae Fructus, Dazao), twelve pieces.
First, boil the jujubes in three sheng of water, reduce to two sheng, remove the dregs, add Tingli, and boil to obtain one sheng of decoction. Take all at once.
The song states: Wheezing with inability to lie flat indicates Lung Abscess has formed. The mouth feels parched dry. Chest pain is dull. The pulse is rapid and excess.
You Zaijing says: Tingli is bitter and cold, entering the Lung to drain Qi obstruction. Adding Dazao, which is sweet and warm, harmonizes the medicinal power. This is similar to the method of using jujube paste with Zaoying Wan.
Treats lung abscess manifesting as cough with chest fullness, chills, rapid pulse, dry throat without thirst, frequent expectoration of turbid saliva with a foul odor, and long-term expectoration of pus resembling rice porridge. This decoction is indicated.
Jiegeng (Platycodonis Radix, Jiegeng), one liang. Gancao (Glycyrrhizae Radix et Rhizoma, Gancao), two liang.
Boil these ingredients in three sheng of water, reduce to one sheng, and take half warm each time. Pus and blood will be expelled.
The song states: When pus resembles rice porridge, the Lung must be cleared. As the toxin breaks out and support is difficult, medication should be mild. Two parts Gancao and one part Jiegeng allow Earth and Metal to transform and generate life continuously.
Yuansi notes: When Lung Abscess has not yet formed pus, Tingli is used to purge it. Now that it has ruptured, this decoction is used to discharge pus and detoxify. Treatment should be gradual; harsh attack is contraindicated. For other explanations, see Changsha Fang Ge Kuo.
Treats cough with rebellious Qi, known as Lung Distension. The patient wheezes, eyes appear protruding as if about to fall out, and the pulse is floating and large. This decoction is indicated.
Mahuang (Ephedrae Herba, Mahuang), six liang. Shigao (Gypsum Fibrosum, Shigao), half a jin. Shengjiang (Zingiberis Rhizoma Recens, Shengjiang), three liang. Dazao (Jujubae Fructus, Dazao), twelve pieces. Gancao (Glycyrrhizae Radix et Rhizoma, Gancao), two liang. Banxia (Pinelliae Rhizoma Preparatum, Banxia).
Take the above six herbs, boil in six sheng of water. First boil Mahuang, remove the foam on the surface, then add the remaining herbs. Boil to obtain three sheng. Divide into three warm doses.
The song states: Wind-Water pathogen is abundant, so Qi is also abundant. Wind and Water contend like surging waves. Yuebi Tang alone pacifies Wind-Water. Adding Banxia stabilizes the great waves.
Yuansi notes: This Lung Distension originates from Wind-Water contention, with hot Qi surging upward to steam the Huagai (Lungs) and enter the orifices. Hence symptoms include cough, rebellious Qi, wheezing, and eyes protruding. The floating and large pulse occurs because Wind is a Yang pathogen, agitating within. The formula uses Mahuang and Shengjiang to directly attack external pathogens, Shigao to clear internal heat, Gancao...