治肺藏蕴热痰嗽,胸膈塞满。
栝蒌子(去壳,别研) 半夏(汤泡七次,焙,取末,各一两)
上件和匀,生姜自然汁打面糊为丸,如梧桐子大,每服五十丸,食后用姜汤送下。
治久嗽,语声不出。
呵子(去核,一两) 杏仁(泡,去皮尖,一两) 通草(二钱半)
上 咀,每服四钱,水一盏半,煨生姜切五片,煎至八分,去滓,温服,食后。
治喘嗽不已,或痰中有血。
款冬花 百合(蒸,焙)
上等分为细末,炼蜜为丸,如龙眼大,每服一丸,食后临卧细嚼,姜汤咽下,噙化尤佳。
素问云∶诸气者皆属于肺,诸喘者亦属于肺。是以人之一呼一吸谓之息,呼吸之间,脾
受其气通乎荣卫,合乎阴阳,周流一身,无过不及,然后权衡得其平矣。将理失宜,六淫所
伤,七情所感。或因坠堕惊恐,度水跌仆,饱食过伤,动作用力,遂使脏气不和,荣卫失其
常度,不能随阴阳出入以成息,促迫于肺,不得宣通而为喘也。诊其脉滑,手足温者生;脉
涩,四肢寒者死,数者亦死,谓其形损故也。更有产后喘急,为病尤亟,因产所下过多,荣
血暴竭,卫气无所主,独聚于肺,故令喘急,谓之孤阳绝阴,为难治。医疗之法,当推其所
感,详其虚实冷热而治之。如产后喘急已载于妇人产后十六论中矣,兹不再叙。亦有痰停胃
脘
又论∶夫喘者,上气也。嗽者古人所谓咳也。经云∶诸气者皆属于肺。肺主皮毛,皮毛
先受邪气,邪气以从其合也。则知喘嗽之疾,关系乎肺明矣。但久嗽不已,传于五脏六腑,
至于三焦,病之极也。前所载论治,洞究其源,兹举大略,不复再叙。临病之际,又当审订,
对证
治疗肺脏蕴积热痰引起的咳嗽,以及胸膈部堵塞胀满的症状。
栝蒌子(去掉外壳,单独研磨) 半夏(用热水浸泡七次,焙干,取粉末,各一两)
将上述药材混合均匀,用生姜自然汁调和面粉制成糊状,做成梧桐子大小的丸剂,每次服用五十丸,饭后用姜汤送服。
治疗长期咳嗽,导致声音无法发出。
诃子(去掉果核,一两) 杏仁(去皮尖,一两) 通草(二钱半)
将药材切碎,每次服用四钱,加水一盏半,放入切好的五片煨生姜,煎煮至剩余八分水量,滤去药渣,温热服用,饭后服用。
治疗喘息咳嗽不止,或者痰中带血。
款冬花 百合(蒸熟后焙干)
将上述药材等分研成细末,用炼蜜制成如龙眼大小的大丸,每次服用一丸,饭后及临睡前细细咀嚼,用姜汤咽下,含化效果更佳。
《素问》说:各种气机病变都归属于肺,各种喘息也都归属于肺。因此,人的一呼一吸称为“息”,在呼吸之间,脾气受纳气机并通达营卫,符合阴阳规律,周流全身,没有过多或不足,这样才能保持平衡。如果调理失当,受到六淫邪气伤害,或被七情所感。或者因为坠落惊恐、渡水跌倒、饱食过度损伤、运动用力不当,致使脏腑气机不和,营卫失去常度,不能随着阴阳出入来完成呼吸,气息急促逼迫于肺,不得宣通而导致喘息。诊察其脉象滑利,手足温暖者预后良好;脉象涩滞,四肢寒冷者预后不良,脉数者也会死亡,这是因为形体受损的缘故。更有产后喘息急促,病情尤为危急,因为生产时失血过多,营血突然枯竭,卫气无所依附,独自聚于肺,所以导致喘息急促,这被称为“孤阳绝阴”,属于难治之症。医疗的方法,应当推究其所感受的病因,详细辨别虚实冷热而进行治疗。如产后喘息急促已在妇人产后十六论中记载,此处不再赘述。也有痰停胃脘的情况。
又论述:所谓喘,是上气逆乱。所谓嗽,是古人所说的咳。经书说:各种气机病变都归属于肺。肺主皮毛,皮毛先受邪气,邪气随之传入肺脏。由此可知,喘息咳嗽的疾病,与肺的关系明确。但是长期咳嗽不止,会传变到五脏六腑,直到三焦,这是病情的极点。前面所载的论治,深入探究了根源,此处只列举大略,不再重复叙述。面对疾病时,又应当审慎订正,对症施治。
To treat cough due to heat-phlegm accumulation in the Lung organ, accompanied by a sensation of fullness and obstruction in the chest and diaphragm.
Gualouzi (Trichosanthis Fructus Seed, husked and ground separately) Banxia (Pinelliae Rhizoma, soaked in boiling water seven times, dried, powdered, each 1 liang).
Mix the above ingredients evenly. Use fresh ginger juice to make a paste with flour, form pills the size of Sophora japonica seeds. Take 50 pills per dose, administered after meals with ginger decoction.
To treat chronic cough resulting in loss of voice.
Hezi (Terminalia chebula Fruit, pitted, 1 liang) Xingren (Prunus armeniaca Seed, peeled and de-husked, 1 liang) Tongcao (Tetrapanacis Medulla, 2 qian 5 fen).
Coarsely crush the herbs. Take 4 qian per dose, add 1.5 sheng of water and 5 slices of simmered ginger. Decoct until 0.8 sheng remains, strain, and take warm after meals.
To treat persistent wheezing and cough, or hemoptysis (blood in sputum).
Kuaodonghua (Dendranthemi Flos) Baihe (Lilii Bulbus, steamed and dried).
Grind the above equal parts into fine powder. Form pills using refined honey, sized like longan fruits. Take one pill per dose. Chew thoroughly after meals and before sleep, swallow with ginger decoction; holding it in the mouth for gradual dissolution is even better.
The *Suwen* states: "All Qi disorders belong to the Lung, and all wheezing also belongs to the Lung." Therefore, one inhalation and one exhalation constitute a "breath" (Xi). Between breaths, Spleen Qi receives the Qi, connecting Ying and Wei (Nutritive and Defensive Qi), harmonizing with Yin and Yang, circulating throughout the body without excess or deficiency, thereby maintaining equilibrium. If management is improper, injury by the Six Excesses (Liu Yin) or emotional disturbances may occur. Alternatively, trauma from falls or fright, wading through water, stumbling, overeating, or excessive physical exertion can cause disharmony of Zang-Fu Qi, disrupting the normal function of Ying and Wei. This prevents the proper circulation of Yin and Yang required for respiration, leading to forced breathing that pressures the Lung, obstructs free flow, and results in wheezing. Palpating a slippery pulse with warm hands and feet indicates survival; a choppy pulse with cold limbs indicates death, as does a rapid pulse, due to severe depletion of the physical form. Furthermore, postpartum wheezing is particularly critical. Due to excessive blood loss during childbirth, Ying Blood suddenly exhausts, leaving Wei Qi unanchored and gathering solely in the Lung, causing acute wheezing. This is termed "Solitary Yang and Absolute Yin," representing a difficult-to-treat condition. Medical treatment should deduce the causative factors and treat based on detailed differentiation of deficiency/excess and cold/heat. Postpartum wheezing has already been discussed in the chapter on sixteen postpartum conditions, so it is not repeated here. There are also cases of phlegm retention in the stomach region.
Another discussion states: Wheezing refers to rebellious Upper Qi. Cough refers to what ancients called "Ke" (coughing sound). The classics state: "All Qi disorders belong to the Lung." The Lung governs the skin and hair. When pathogens first invade the skin and hair, they follow the interior connections to enter the Lung. Thus, it is clear that wheezing and coughing diseases are closely related to the Lung. However, if chronic cough persists, it transmits to the Five Zang and Six Fu organs, eventually reaching the San Jiao (Triple Burner), marking the extremity of the disease. The previous discussions have thoroughly explored the root causes; here we only outline the general principles and do not repeat them. In clinical practice, one must carefully examine and treat according to the specific syndrome.