专主于痰,宜用吐法,亦有虚而不可吐者。治吼必使薄滋味,不可纯用凉药,必兼发散。哮吼者,肺窍中有
痰气也。
五虎二陈汤 治哮吼喘急痰盛。
麻黄 杏仁(各一钱) 石膏(二钱) 陈皮(一钱) 半夏(一钱,姜汁炒) 茯苓(去皮,二钱)
人参(八分) 细茶(一撮) 沉香 木香(各五分,另水磨入)
上锉一剂,生姜三片、葱白三根,水煎服。
定喘汤 治哮吼喘急。
麻黄(三钱) 杏仁(去皮尖,一钱半) 片芩(去朽) 半夏(姜制) 桑白皮(蜜炙) 苏子(水洗,去土)
款冬花蕊(各二钱) 甘草(一钱) 白果(二十一个,去壳,切碎炒黄)
上锉一剂,水煎服。
紫金丹 凡遇天气欲作雨便发 喘,甚至坐卧不得,饮食不进,此乃肺窍中积有冷痰,乘天阴寒气从背、口、
鼻而入,则肺胀作声。此病有苦至终身者,亦有子母相传者。每发即服,不过七八次,觉痰腥臭,吐出白色,是绝其根
也。
白砒(一钱,生用) 枯矾(三钱,另研) 淡豆豉(出江西者一两,水润其皮,蒸研如泥,旋加二味末合匀)
上捻作丸,如绿豆大,但觉举发,用冷茶送下七丸。甚者九丸,以不喘为愈,再不必多增丸数,慎之慎之!小儿服
一二丸殊效。
竹沥化痰丸 治哮吼十数年不愈,宜久久服之奏效(方见痰饮。)
三白丸 治诸般咳嗽吼气。
白大半夏(一两,生用) 白砒(三钱) 白矾(三钱) 雄黄(通明,三钱) 巴豆仁(去油,三钱)
上将白矾熔化入砒末在矾内,焙干取出擂烂,再炒成砂,同前药为细末,面糊为丸,如粟米大。大人服十丸,小儿
三五丸,咳嗽茶下;吼气桑白皮汤送下。
治吼积方 用鸡子一个,略敲碎损,膜不损,浸尿缸内三四日,夜取出煮熟,食之神效。盖鸡子能去风痰。
青金丸 治哮喘,用浓味发者用之。
萝卜子淘净蒸熟晒干为末,姜汁浸,蒸饼为细丸。每服二十粒,津送下。
哮吼(哮喘)的病机主要在于痰,适宜采用涌吐法治疗,但也有体质虚弱而不宜使用涌吐法的情况。治疗吼证必须饮食清淡,不可单纯使用寒凉药物,必须兼用发散邪气的药物。所谓哮吼,是因为肺窍中有痰气阻滞所致。
五虎二陈汤:治疗哮吼、气喘急促、痰液壅盛。
麻黄一钱、杏仁一钱、石膏二钱、陈皮一钱、半夏一钱(用姜汁炒)、茯苓去皮二钱、人参八分、细茶一撮、沉香五分、木香五分(另用水磨成汁兑入)。
以上药材锉碎为一剂,加生姜三片、葱白三根,水煎服。
定喘汤:治疗哮吼、气喘急促。
麻黄三钱、杏仁去皮尖一钱半、黄芩去朽坏部分、半夏(姜制)、桑白皮(蜜炙)、苏子(水洗去土)、款冬花和花蕊各二钱、甘草一钱、白果二十一个(去壳,切碎后炒至微黄)。
以上药材锉碎为一剂,水煎服。
紫金丹:凡是遇到天气将要下雨时便发作气喘,甚至坐卧不安,饮食不进,这是因为肺窍中积聚有冷痰,趁着天阴寒气从背部、口、鼻侵入,导致肺胀而发出声音。此病有的痛苦终身,也有母子相传的。每次发作即服用此药,不过七八次,感觉到痰液腥臭,吐出白色痰液,即可断绝病根。
白砒一钱(生用)、枯矾三钱(另研细)、淡豆豉一两(出自江西者,水润其皮,蒸熟研如泥状,随即加入前两种药末混合均匀)。
上药捻制成丸,大小如绿豆。只要感觉即将发作,用冷茶送下七丸。病情严重者服九丸,以喘息停止为痊愈,此后不必再增加丸数,务必谨慎!小儿服用一二丸效果显著。
竹沥化痰丸:治疗哮吼十数年不愈,宜长期服用以见效(方剂见“痰饮”章节)。
三白丸:治疗各种咳嗽和气喘。
白大半夏一两(生用)、白砒三钱、白矾三钱、雄黄(透明优质者)三钱、巴豆仁(去油)三钱。
先将白矾熔化,将砒末放入矾液中,焙干取出捣烂,再炒成砂状,与前药一起研为细末,用面糊制成丸,大小如粟米。成人服用十丸,小儿服用三五丸,咳嗽时用茶送服;气喘时用桑白皮汤送服。
治吼积方:用一个鸡蛋,轻轻敲碎外壳但不弄破内膜,浸泡在尿缸内三四天,夜间取出煮熟食用,神效。因为鸡蛋能去除风痰。
青金丸:治疗哮喘,适用于因食用浓味食物诱发者。
萝卜子淘洗干净,蒸熟晒干研为细末,用姜汁浸透,用蒸饼制成小丸。每次服用二十粒,用津液送服。
The pathogenesis of Asthma and Stridor (Xiao Hou) is primarily due to Phlegm, and the Vomiting Method (Tou Fa) is suitable for treatment; however, there are cases of deficiency where vomiting is contraindicated. In treating Stridor, one must adhere to a bland diet, avoid using purely cold-natured herbs, and must incorporate herbs that disperse pathogens. "Asthma and Stridor" refers to the obstruction of Lung Qi by phlegm in the orifices of the Lung.
Wuhu Erchen Tang (Five Tigers and Two Aged Peel Decoction): Treats asthma, stridor, rapid breathing, and copious phlegm.
Ephedrae Herba (Mahuang, 麻黄), 1 qian; Armeniacae Semen Amarum (Xingren, 杏仁), 1 qian; Gypsum Fibrosum (Shigao, 石膏), 2 qian; Citri Reticulatae Pericarpium (Chenpi, 陈皮), 1 qian; Pinelliae Rhizoma Preparatum (Banxia, 半夏), 1 qian (stir-fried with ginger juice); Poria (Fuling, 茯苓), 2 qian (peeled); Ginseng Radix et Rhizoma (Renshen, 人参), 8 fen; Fine Tea (Xicha), a pinch; Aquilariae Lignum Resinatum (Chenxiang, 沉香), 5 fen; Aucklandiae Radix (Muxiang, 木香), 5 fen (ground separately in water and added).
Crush these ingredients into one dose. Add three slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜) and three stalks of Allii Fistulosi Bulbus (Congbai, 葱白). Decoct in water and take orally.
Dingchuan Tang (Calming Wheezing Decoction): Treats asthma, stridor, and rapid breathing.
Ephedrae Herba (Mahuang, 麻黄), 3 qian; Armeniacae Semen Amarum (Xingren, 杏仁), 1.5 qian (skin and tip removed); Scutellariae Radix (Huangqin, 黄芩), remove rotten parts; Pinelliae Rhizoma Preparatum (Banxia, 半夏) (prepared with ginger); Mori Cortex (Sangbaipi, 桑白皮) (honey-fried); Perillae Fructus (Suzi, 苏子) (washed to remove soil); Farfarae Flos (Kuandonghua, 款冬花) and its stamen, each 2 qian; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), 1 qian; Ginkgo Semen (Baiguo, 白果), 21 pieces (shelled, chopped, and stir-fried until yellow).
Crush these ingredients into one dose. Decoct in water and take orally.
Zijin Dan (Purple Gold Pill): Whenever weather changes indicating impending rain trigger wheezing attacks, leading to inability to sit or lie down comfortably and loss of appetite, this indicates cold-phlegm accumulated in the Lung orifices. The cold qi from cloudy weather enters through the back, mouth, and nose, causing Lung distension and producing sounds. This disease may cause suffering for life or be transmitted from mother to child. Take this pill at every onset. After no more than seven or eight doses, when the sputum becomes fishy-smelling and turns white upon expectoration, the root of the disease is eradicated.
Realgar (Baipi, 白砒) [Note: Arsenic trioxide], 1 qian (used raw); Alum (Kufan, 枯矾), 3 qian (ground separately); Fermented Soybean (Dandouchi, 淡豆豉), 1 liang (from Jiangxi province; moisten skin, steam, grind into paste, then mix with the powders of the previous two ingredients).
Roll into pills the size of mung beans. At the first sign of an attack, take seven pills with cold tea. For severe cases, take nine pills. Discontinue when wheezing ceases; do not increase the dosage further. Exercise extreme caution! For children, one or two pills are highly effective.
Zhuli Huatan Wan (Bamboo Juice Phlegm-Resolving Pill): Treats asthma lasting ten or more years without cure; long-term administration yields results (see formula under "Phlegm-Fluid Retention").
Sanbai Wan (Three Whites Pill): Treats various types of cough and asthmatic breathing.
Pinelliae Tuber (Banxia, 半夏) [White variety], 1 liang (used raw); Realgar (Baipi, 白砒) [Arsenic trioxide], 3 qian; Alum (Baifan, 白矾), 3 qian; Realgar (Xionghuang, 雄黄) (transparent and high quality), 3 qian; Crotonis Fructus Kernel (Badou Ren, 巴豆仁) (oil removed), 3 qian.
First, melt the Alum, add the Realgar powder into the molten Alum, bake dry, remove, and grind thoroughly. Then stir-fry until it resembles sand. Mix with the other medicines into a fine powder. Use wheat paste to form pills the size of millet seeds. Adults take ten pills; children take three to five pills. For cough, take with tea; for asthmatic breathing, take with Mulberry Bark Decoction (Sangbaipi Tang).
Formula for Treating Accumulated Stridor: Take one chicken egg, gently crack the shell slightly without damaging the inner membrane, and soak it in a urine chamber for three to four days. Remove at night, cook thoroughly, and eat. This is extremely effective because chicken eggs can dispel wind-phlegm.
Qingjin Wan (Blue Gold Pill): Treats asthma, specifically those triggered by rich and strong flavors.
Brassicae Semenis Albi Radish Seed (Luobozhi, 萝卜子) washed clean, steamed, dried, and ground into powder. Soak in ginger juice, use steamed bread dough to form small pills. Take twenty pills per dose, swallowed with saliva.