哮喘之症有二,不离痰火。
有卒感风寒而得者,有曾伤盐水而得者,有伤醋汤而得者,
至天阴则发,连绵不已。轻则用五虎汤一帖,重则葶苈丸治之。
此皆一时急解之法,若要断根,常服五圣丹,外用灸法。
天南星(煨)一两,半夏(泡七次),陈皮(去白盐水拌)
一两,甘草四钱,杏仁四十九粒(另研)。先以南星,半夏
二味研末,姜汁、皂角汁拌匀和作饼。又将甘草。陈皮
研末,取竹沥一碗,以药和成饼子;培干,又浸湿,又
焙干,以竹沥尽为度。再研杏仁泥,蒸蜜和为九。临时
噙化一丸,以薄荷汤送下。
取心穴(在背上)、足三里穴,各三壮,仍禁酸成辛热之物。
西 江 月
哮喘症虽有二,皆由痰火中藏,或被风寒袭外方,内被盐水
醋呛。亦有乳呛而得,致令攻腠为殃,用药调理法虽良,断根灸法
为上。
哮喘多成宿疾,天阴欲雨连绵,治时发表及行痰,九宝时常
灵验。表邪未除五虎,里实葶苈为先,不须砒时作成丸,误了孩儿
命短。
咳嗽治法有三、有发汗,有下泄,有清补。
如初起挟风寒外感者,轻则苏沉九宝汤,重则五虎场,一帖
即效。
如咳久,身热喘急,此肺中伏火也,以葶苈丸利之。
如咳久肺虚,连绵不已,即当补肺,阿胶散主之。
如咳久连声不已,口鼻出血者,茅根汤主之。
如夏月得咳嗽者,以加味白虎汤治之。不可汗下 (方见疟
门)。
如咳痰甚者,以利痰丸主之(方见惊门)。
如咳久成龟胸者,以葶苈丸主之。
如咳嗽吐血者,二陈汤加姜汁主之。
如咳嗽咽痛声嘎者。以甘桔汤主之。
哮喘这一病症主要有两种类型,其病机都不离“痰”和“火”。
有的是突然感受风寒而引发的,有的是因损伤盐水(指过食咸味或饮用不洁咸水)而引发的,有的是因损伤醋汤(指过食酸味或饮用不洁酸水)而引发的,
到了阴天就会发作,连绵不断。病情轻的服用一帖五虎汤,病情重的用葶苈丸治疗。
这些都是一时紧急缓解症状的方法,若要彻底根治,需常服五圣丹,并配合外用的灸法。
药材及制法:天南星(煨制)一两,半夏(用水浸泡七次),陈皮(去除白色内层,用盐水拌润)一两,甘草四钱,杏仁四十九粒(单独研磨)。先用天南星、半夏两味药研成粉末,加入姜汁、皂角汁拌匀,制成饼状。再将甘草、陈皮研成粉末,取竹沥水一碗,将药粉与竹沥混合制成饼子;晒干后,再浸湿,再晒干,直到竹沥水完全被吸收为止。最后研磨杏仁成泥,用蒸过的蜂蜜调和制成丸剂。使用时含化一丸,用薄荷汤送服。
选取心穴(位于背部)、足三里穴,各艾灸三壮,同时禁止食用酸味、咸味以及辛热性质的食物。
西江月词曰:
哮喘症虽然分为两类,皆由体内潜伏的痰火引起,或是被风寒侵袭体表,或是内部受到盐水、醋气的刺激。也有因乳汁呛入而得病的,导致邪气侵犯腠理造成祸殃。虽然用药调理的方法很好,但想要断根,灸法是上策。
哮喘多成为宿疾,每逢阴天欲雨便连绵发作。治疗时应先解表邪并祛除痰浊,九宝汤时常灵验。若表邪未除用五虎汤,若里实热证则葶苈丸为先,不必使用砒石制作丸剂,以免误害孩童性命短促。
咳嗽的治疗方法有三种:有发汗法,有泻下法,有清补法。
如果是初起伴有风寒外感的,病情轻的用苏沉九宝汤,病情重的用五虎汤,服用一帖即见效。
如果咳嗽日久,身体发热且气喘急促,这是肺中潜伏的火邪,用葶苈丸来通利泄热。
如果咳嗽日久导致肺虚,连绵不止,就应当补肺,以阿胶散为主方。
如果咳嗽日久连续不断,且口鼻出血的,以茅根汤为主方。
如果是夏季患咳嗽的,用加味白虎汤治疗。不可使用发汗或泻下法(方剂见疟疾门)。
如果咳痰严重的,以利痰丸为主方(方剂见惊风门)。
如果咳嗽日久形成龟胸(一种小儿畸形,胸骨前凸如龟背)的,以葶苈丸为主方。
如果咳嗽吐血的,用二陈汤加姜汁为主方。
如果咳嗽咽痛声音嘶哑的,以甘桔汤为主方。
Asthma presents in two main types, both involving Phlegm and Fire.
Some cases arise from sudden exposure to Wind-Cold, some from damage caused by salt water (excessive salty intake or consumption), and some from damage caused by vinegar soup (excessive sour intake or consumption).
These conditions flare up on cloudy days and persist continuously. For mild cases, one dose of Wuhu Tang (Five Tigers Decoction) is used; for severe cases, Tingli Wan (Descurainia Seed Pill) is prescribed.
These are all methods for immediate emergency relief. To eradicate the root cause, Wusheng Dan (Five Sages Pill) should be taken regularly, combined with external moxibustion therapy.
Ingredients and preparation: Nanxing (Prepared Arisaema Rhizome) 1 liang, Banxia (Pinellia Tuber, soaked seven times), Chenpi (Tangerine Peel, white pith removed, mixed with salt water) 1 liang, Gancao (Licorice Root) 4 qian, Xingren (Apricot Seed) 49 grains (separately ground). First, grind Nanxing and Banxia into powder, mix with Jiangzhi (Ginger Juice) and Zaojiao Zhi (Gleditsia Sinensis Juice) to form cakes. Then, grind Gancao and Chenpi into powder, take one bowl of Zhuli (Bamboo Sap), and mix the medicinal powders with the bamboo sap to form cakes; dry them, then re-moisten, and dry again until the bamboo sap is completely absorbed. Finally, grind Xingren into a paste, mix with steamed honey to form pills. When needed, dissolve one pill in the mouth and swallow with Bohe Tang (Mint Decoction).
Select Xinshu (Xin Shu, BL-15, located on the back) and Zusanli (ST-36), apply three moxa cones to each. Strictly avoid foods that are sour, salty, or pungent and hot in nature.
The poem "Xi Jiang Yue" states:
Although asthma has two types, it stems from latent Phlegm-Fire within, or is triggered by Wind-Cold attacking the exterior, or internal irritation from salt water and vinegar. It can also result from milk aspiration, causing pathogens to invade the interstices (Cou Li). Although medication regulation is beneficial, moxibustion is the superior method for eradication.
Asthma often becomes a chronic condition, flaring continuously when clouds gather before rain. Treatment requires releasing the exterior and resolving Phlegm; Jiubao Tang (Nine Treasures Decoction) is often effective. If exterior pathogens remain, use Wuhu Tang; if interior excess heat exists, Tingli Wan is primary. Do not use Pishi (Arsenic Pills), lest you shorten the child's life.
There are three treatment methods for cough: sweating (diaphoresis), purging (draining downward), and clearing and tonifying.
If the onset involves concurrent Wind-Cold exterior syndrome, mild cases are treated with Suchen Jiubao Tang (Perilla and Amber Nine Treasures Decoction), while severe cases use Wuhu Tang, showing effect after one dose.
If cough persists with fever and rapid breathing, this indicates latent Fire in the Lungs; treat with Tingli Wan to drain and relieve.
If prolonged cough leads to Lung Deficiency with continuous symptoms, tonify the Lungs using Ejiao San (Donkey-Hide Gelatin Powder) as the principal formula.
If prolonged cough is incessant accompanied by bleeding from the mouth and nose, treat with Maogen Tang (Imperata Rhizome Decoction).
If cough occurs in summer, treat with Jiawei Baihu Tang (Modified White Tiger Decoction). Sweating and purging methods are contraindicated (see Malaria Section for formula).
If phlegm production is severe, treat with Litang Wan (Phlegm-Resolving Pill) (see Convulsion Section for formula).
If prolonged cough results in Tortoise Chest (a deformity where the sternum protrudes like a turtle shell), treat with Tingli Wan.
If cough is accompanied by hemoptysis, treat with Erchen Tang (Two Aged Substances Decoction) added with Ginger Juice.
If cough is accompanied by sore throat and hoarseness, treat with Ganjie Tang (Licorice and Platycodon Decoction).