(见肺痈。) 支饮不得息。此主之。
犀按。肺主气。为出入之路。师云。支饮不得息者。乃饮邪壅肺。填塞气路矣。方用葶
苈泄
治呕家本渴。渴者为欲解。今反不渴。心下有支饮故也。此汤主之。
半夏(一升。) 生姜(半斤。)
上二味。以水七升。煮取一升半。分温再服。
歌曰 呕家见渴饮当除。(饮从呕去故渴。)不渴应知支饮居。(饮能制燥。今以不渴。
知心
男元犀按。神农本草经载半夏之功治甚大。仲师各方。无不遵法用之。凡呕者。必加此
味。
醋浸
切片
姜汁
而不
涤饮
治腹满口舌干燥。此肠间有水气。此方主之。
防己 椒目 葶苈 大黄(各一两。)
上四味末之。蜜丸如梧子大。先食饮。服一丸。日三服。稍增。口中有津液渴者。加芒
硝半
歌曰 肠中有水口带干。(水既聚于下。则无复润于上后。即水饮之入。皆趋于下。不
能滋
为
程氏曰。防己、椒目导饮于前。大黄、葶苈推饮于后。前后分消。则腹满减而水饮行。
脾气
治卒呕吐。心下痞。膈间有水。眩悸者主之。
半夏(一升。) 生姜(半斤。) 茯苓(四两。)
上三味。以水七升。煮取一升五合。分温再服。
歌曰 呕吐悸眩痞又呈。四苓升夏八姜烹。膈间有水金针度。澹渗而辛得病情。
男元犀按。水滞于心下则为痞。水凌于心则眩悸。水阻胸膈则阴阳升降之机不利为呕吐。
方用半夏降逆。生姜利气。茯苓导水。合之为涤痰定呕之良方。
(See Lung Abscess.) Wheezing and dyspnea due to fluid retention in the chest (Zhi Yin). This is treated with Tingli Dazao Xiefei Decoction.
Xu Dachun comments: The Lung governs Qi and serves as the pathway for its entry and exit. Master Zhang Zhongjing stated that wheezing and dyspnea caused by Zhi Yin result from pathogenic fluid obstructing the Lung, blocking the Qi pathways. The formula uses Tinglizi to drain...
In patients who vomit, thirst is expected; if they are thirsty, it indicates the condition is resolving. If they are not thirsty now, it is because fluid retention (Zhi Yin) exists below the heart. This decoction treats this condition.
Banxia (1 sheng) Shengjiang (0.5 jin)
Take the above two ingredients, add seven sheng of water, boil to obtain one and a half sheng, and divide into two warm doses.
Song says: When a vomiting patient becomes thirsty, drinking should remove the fluid. (Fluid is expelled with vomit, hence thirst.) If not thirsty, know that Zhi Yin resides. (Fluid can restrain dryness; now, due to lack of thirst...)
Xu Dachun comments: The *Shennong Bencao Jing* records great efficacy for Banxia. In all formulas of Zhang Zhongjing, its use follows these principles. For any vomiting case, this herb must be added.
Vinegar-soaked
Sliced
Ginger juice
And not
Draining fluid
Treat abdominal fullness and dry mouth and tongue, indicating water qi between the intestines. This formula treats it.
Fangji Jiumu Tingli Dahuang (each 1 liang)
Grind the above four herbs into powder, mix with honey to make pills the size of wutong seeds. Take before meals, one pill per dose, three times daily. Gradually increase the dose. If saliva appears in the mouth and thirst occurs, add Mangxiao half...
Song says: Water in the intestines leads to dry lips. (Since fluid gathers below, it no longer moistens the upper part; later, even if fluid enters, it tends downward and cannot nourish...)
Cheng said: Fangji and Jiumu guide fluid out anteriorly, while Dahuang and Tingli push fluid out posteriorly. Anterior and posterior dispersion reduces abdominal fullness and moves fluid. Spleen Qi...
Treat sudden vomiting, epigastric stuffiness (Pi), intercostal fluid retention, dizziness, and palpitations. This formula treats it.
Banxia (1 sheng) Shengjiang (0.5 jin) Fuling (4 liang)
Take the above three ingredients, add seven sheng of water, boil to obtain one and five tenths sheng, and divide into two warm doses.
Song says: Vomiting, palpitations, dizziness, and stuffiness present again. Cook Siling, Banxia, and eight liang of Shengjiang. Intercostal fluid requires the golden needle technique; mild diuresis combined with acrid dispersal captures the disease's nature.
Xu Dachun comments: Fluid stagnating below the heart causes Pi; fluid overwhelming the heart causes dizziness and palpitations; fluid obstructing the thoracic diaphragm impedes the ascending and descending mechanism of Yin and Yang, leading to vomiting. The formula uses Banxia to direct rebellious Qi downward, Shengjiang to promote Qi movement, and Fuling to guide out water. Together, they form an excellent formula for draining phlegm and stopping vomiting.