桑白皮(二钱蜜炙) 地骨皮(二钱) 甘草(一钱)
按∶上方主治,凡属肺热咳嗽,皆当加减用之。嗽加桔梗、百合,痰加贝母,如面赤咳嗽属心火刑金者,
加人参、茯苓、青皮、陈皮、五味、麦冬、知母,为人参平肺散,以泻金中之贼邪。如咳嗽而鼻塞身重者,风
寒伤肺也,参苏饮或金沸草散以散之。
凡舌见白色而浮胖娇嫩者,肺与大肠精气虚也,补肺汤主之。
人参(一钱) 黄 (一钱炙) 五味(一钱) 熟地(二钱)
紫菀(一钱) 桑皮(一钱蜜炙) 水煎入蜜少许和服。
按∶上方主治肺金气虚,不能生水,以致水不制火,虚阳上炎而生咳嗽等症。
凡舌见白色而干燥,属大肠血虚火盛者,润肠滋水饮加生地、当归主之。
熟地(四钱或八钱) 山药(二钱) 萸肉(二钱) 枸杞(四钱)
归身(三钱) 生地(三钱) 苁蓉(三钱酒洗) 甘草(一钱)
按∶上方主治大肠无血、大便燥结,其应甚捷。
凡舌见白色而干燥,属肺脏火旺者,生金滋水饮加柴胡、黄芩主之。
熟地(四钱) 白芍(二钱) 当归(二钱) 丹皮(钱半) 麦冬(钱
半糯米拌炒) 人参(一钱半) 白术(二钱半土炒) 甘草(一钱炙) 柴胡(一钱) 黄芩(一钱)
按∶上原方主治,凡伤寒热退后,有难补之阴,有易动之阳,皆当养之。此以其见症,或汗后烦燥未
除,口干微热,大便艰涩,小水短赤即是。又有一种少阳阳明症,手足肿痛,系火燥生风,风淫末疾,不必俟
其汗后,当即以本方加柴、芩与之,无不效也。
凡舌见白色而滑润,属大肠阳虚气汤者,补中益气汤送固肠散主之,补中益气汤见前。
桑白皮(二钱,用蜂蜜炙烤) 地骨皮(二钱) 甘草(一钱)
按语:上述方剂主治凡属肺热咳嗽者,均应当根据具体情况进行加减使用。咳嗽剧烈者加桔梗、百合;有痰者加贝母;如果面赤且咳嗽属于心火克制肺金(心火刑金)的情况,加入人参、茯苓、青皮、陈皮、五味子、麦冬、知母,即为人参平肺散,用以泻除肺中的贼邪。如果咳嗽伴有鼻塞、身体沉重,是风寒伤及肺脏所致,可用参苏饮或金沸草散来发散表邪。
凡是舌象呈现白色且浮胖娇嫩的,是肺与大肠精气虚损的表现,主用补肺汤治疗。
人参(一钱) 黄芪(一钱,炙) 五味子(一钱) 熟地黄(二钱)
紫菀(一钱) 桑白皮(一钱,蜜炙) 用水煎煮,加入少许蜂蜜调和服用。
按语:上述方剂主治肺金气虚,不能滋生肾水,导致水不能制约火,虚阳上炎而产生咳嗽等症状。
凡是舌象呈现白色且干燥的,属于大肠血虚火盛,主用润肠滋水饮加生地黄、当归治疗。
熟地黄(四钱或八钱) 山药(二钱) 山茱萸(二钱) 枸杞子(四钱)
当归身(三钱) 生地黄(三钱) 肉苁蓉(三钱,酒洗) 甘草(一钱)
按语:上述方剂主治大肠无血、大便燥结,疗效应该非常迅速。
凡是舌象呈现白色且干燥的,属于肺脏火旺,主用生金滋水饮加柴胡、黄芩治疗。
熟地黄(四钱) 白芍(二钱) 当归(二钱) 牡丹皮(一钱半) 麦冬(一钱半,用糯米拌炒) 人参(一钱半) 白术(二钱半,土炒) 甘草(一钱,炙) 柴胡(一钱) 黄芩(一钱)
按语:原方主治,凡是伤寒热退之后,存在难以滋补的阴液和容易浮动的阳气,都应当进行调养。此方针对出现的症状,如发汗后烦躁未除、口干微热、大便艰涩、小便短赤等即是适用情况。又有一种少阳阳明合病,手足肿痛,这是火燥生风,风邪侵袭四肢导致的疾病,不必等待发汗之后,当即以本方加柴胡、黄芩给予治疗,没有不奏效的。
凡是舌象呈现白色且滑润的,属于大肠阳虚气陷(原文“气汤”疑为“气陷”之误,此处依字面翻译但意译为气陷/气虚下陷之意,结合语境补中益气汤治气陷),主用补中益气汤送服固肠散治疗,补中益气汤见前文。
Fritillariae Thunbergii Bulbus (Huangjing, 2 qian, honey-fried) [Note: Text says Sangbaipi, corrected to Fritillariae Thunbergii Bulbus contextually or kept as Mulberry Root Bark if strictly literal. Given "Sangbaipi" is explicitly written, I will use Mulberry Root Bark]. Mulberry Root Bark (Sangbaipi, 2 qian, honey-fried) Osteae Cortex (Digupi, 2 qian) Glycyrrhizae Radix et Rhizoma (Gancao, 1 qian)
Commentary: The above formula is indicated for all cases of lung-heat cough; modifications should be made according to the specific symptoms. For severe cough, add Platycodonis Radix (Jiegeng) and Liliis Bulbus (Baihe); for phlegm, add Fritillariae Cirrhosae Bulbus (Beimu). If facial flushing and cough are due to heart-fire insulting metal (xin huo xing jin), add Ginseng Radix (Renshen), Poria (Fuling), Aurantii Fructus (Qingpi), Citri Reticulatae Pericarpium (Chenpi), Schisandrae Fructus (Wuweizi), Ophiopogonis Radix (Maidong), and Anemarrhenae Rhizoma (Zhimu), forming Ren Shen Ping Fei San, to drain the pathogenic factors from the lung. If cough is accompanied by nasal congestion and heaviness of the body, it is caused by wind-cold injuring the lung; Can Shu Yin or Jin Fei Cao San can be used to disperse the pathogen.
Whenever the tongue appears white, swollen, and tender, it indicates deficiency of qi and essence in the lung and large intestine; Bu Fei Tang is the primary treatment.
Ginseng Radix (Renshen, 1 qian) Astragali Radix (Huangqi, 1 qian, fried) Schisandrae Fructus (Wuweizi, 1 qian) Rehmanniae Radix Praeparata (Shudi, 2 qian)
Asteris Radix (Ziwan, 1 qian) Fritillariae Thunbergii Bulbus? No, text says Sangpi again. Mulberry Root Bark (Sangpi, 1 qian, honey-fried) Decoct in water with a small amount of honey mixed for administration.
Commentary: The above formula treats deficiency of lung-metal qi, which fails to generate kidney-water, resulting in water's inability to control fire, leading to deficient yang flaming upward and causing coughs and other symptoms.
Whenever the tongue appears white and dry, it belongs to blood deficiency and excess fire in the large intestine; Run Chang Zi Shui Yin added with Rehmanniae Radix Recens (Shengdi) and Angelicae Sinensis Radix (Danggui) is the primary treatment.
Rehmanniae Radix Praeparata (Shudi, 4 qian or 8 qian) Dioscoreae Rhizoma (Shanyao, 2 qian) Corni Fructus (Yurou, 2 qian) Lycii Fructus (Gouqi, 4 qian)
Angelicae Sinensis Radix (Guishen, 3 qian) Rehmanniae Radix Recens (Shengdi, 3 qian) Cistanches Herba (Congrong, 3 qian, wine-washed) Glycyrrhizae Radix et Rhizoma (Gancao, 1 qian)
Commentary: The above formula treats lack of blood in the large intestine and dry stool constipation; its effect should be very rapid.
Whenever the tongue appears white and dry, it belongs to excessive fire in the lung organ; Sheng Zi Zi Shui Yin added with Bupleuri Radix (Chaihu) and Scutellariae Radix (Huangqin) is the primary treatment.
Rehmanniae Radix Praeparata (Shudi, 4 qian) Paeoniae Radix Alba (Baishao, 2 qian) Angelicae Sinensis Radix (Danggui, 2 qian) Moutan Cortex (Danpi, 1.5 qian) Ophiopogonis Radix (Maidong, 1.5 qian, stir-fried with sticky rice) Ginseng Radix (Renshen, 1.5 qian) Atractylodis Macrocephalae Rhizoma (Baizhu, 2.5 qian, earth-fried) Glycyrrhizae Radix et Rhizoma (Gancao, 1 qian, fried) Bupleuri Radix (Chaihu, 1 qian) Scutellariae Radix (Huangqin, 1 qian)
Commentary: The original formula is indicated for post-febrile disease after heat subsides, where there is yin that is difficult to tonify and yang that is prone to disturbance; both require nourishment. This formula addresses symptoms such as restlessness remaining after sweating, dry mouth with slight fever, difficult defecation, and short, dark urine. Additionally, in cases of Shaoyang-Yangming syndrome presenting with swelling and pain in the hands and feet, caused by fire-dryness generating wind and wind invading the extremities, one need not wait for sweating to occur; administering this formula with added Chaihu and Huangqin immediately will invariably be effective.
Whenever the tongue appears white and slippery, it belongs to yang deficiency and qi sinking in the large intestine; Bu Zhong Yi Qi Tang administered with Gu Chang San is the primary treatment. See Bu Zhong Yi Qi Tang in the preceding section.