治喘急痰气咳嗽,坐卧不宁。
麻黄(七钱) 杏仁(去皮尖及双仁,一钱) 甘草四分 细茶(炒,八分) 石膏(一
钱半)水煎热服。
一方 清火化痰,止喘定嗽,及痰唾稠粘。
贝母(去心,钱半) 知母(去毛蜜炒,一钱半) 桑白皮(炒,一钱) 橘红(一钱)
栝蒌仁(炒研,一钱) 茯苓(一钱) 甘草(三分) 五味子(十粒) 石膏(研二钱) 黄
芩(一钱) 枳实(八分) 栀子(一钱) 半夏(一钱)
上水一钟半,生姜三片,水煎热服。渣再煎。
咳嗽,所因浮风,紧寒,数热,细湿,房劳,涩难。右关濡者,饮食伤脾,左关弦短,
疲极肝衰,浮短肺伤,法当咳嗽。五脏之嗽,各视本部。浮紧风寒,沉数实热,洪滑多痰,
弦涩少血,形盛脉细,不是以息,沉少伏匿,皆是死脉。惟有浮大而嗽者生,外症内脉,参
者称停。春是上升之气,夏是火炎上最重,秋是湿热伤肺,冬是风寒外来。
一方 治痰嗽。嗽动有痰,痰出而嗽止者是。
陈皮 半夏 茯苓 甘草 桔梗 栝蒌仁 杏仁(炒。各等) 春加薄荷、荆芥,夏加
芩连,
上水二钟,生姜三片,煎服。
一方 治感寒则嗽,此膈上有痰。声哑者亦属寒,此乍寒而嗽,宜加细辛、半夏、生姜
以开之。
陈皮 半夏 茯苓 甘草 枳壳 片芩(炒) 桔梗 苍术 麻黄 木通(各等)
上水一钟半,生姜五片,水煎,食远热服。
一方 治风寒郁于肺,夜嗽者用。
三拗汤加知母,取痰清,止肺火。肺浮有热加黄芩。见喘门。
一方 治火嗽。夏月嗽者是也。
黄芩 山栀 桑白皮 杏仁 甘草 知母 贝母 桔梗 天花粉 有痰加姜制半夏。
上水一钟半,生姜三片煎。
一方 治阴虚咳嗽。午后嗽者是也。
川芎 当归 芍药 生地 麦冬 黄柏 知母 五味子(十二粒) 桑白皮
一方 治伤力嗽兼有痰。
知母 白术 茯苓 甘草 当归 芍药 麦冬 款冬花 贝母 天花粉
一方 治干咳嗽。乃痰郁火邪在肺,必用苦梗以开之提之,滋阴降火为宜。此不得志者
有此疾。
当归 芍药 熟地 桔梗 川芎 黄柏 竹沥 知母
水煎,通口服。
治疗气喘急促、痰气上逆引起的咳嗽,导致坐卧不安。
麻黄(七钱) 杏仁(去皮尖及双仁,一钱) 甘草四分 细茶(炒制,八分) 石膏(一钱半) 用水煎煮,热服。
另一首方剂:清泻火热、化痰,止喘定咳,以及治疗痰液稠厚粘腻。
贝母(去心,一钱半) 知母(去毛后用蜜炒,一钱半) 桑白皮(炒制,一钱) 橘红(一钱) 栝蒌仁(炒后研碎,一钱) 茯苓(一钱) 甘草(三分) 五味子(十粒) 石膏(研末,二钱) 黄芩(一钱) 枳实(八分) 栀子(一钱) 半夏(一钱)
以上药材加水一钟半,生姜三片,用水煎煮,热服。药渣再次煎煮服用。
咳嗽,其成因有浮风、紧寒、数热、细湿、房劳过度、涩难等。右关脉濡弱的,是饮食损伤脾胃;左关脉弦短的,是疲劳至极导致肝气衰败;脉浮短的,是肺脏受伤,按照医理应当出现咳嗽症状。五脏之咳,各自观察其所属的本部脉象。脉浮紧为风寒,脉沉数为实热,脉洪滑多痰,脉弦涩为血少,形体盛壮但脉细,呼吸急促困难,脉沉少或伏匿,这些都是死脉。只有脉浮大且伴有咳嗽的才能生存,外症与内脉相互参合,判断病情轻重相当。春季是上升之气,夏季是火炎向上最为严重,秋季是湿热损伤肺脏,冬季是风寒从外侵入。
另一首方剂:治疗痰咳。咳嗽时伴有痰液,痰出则咳嗽停止的属于此类。
陈皮 半夏 茯苓 甘草 桔梗 栝蒌仁 杏仁(炒制。各等量) 春季加薄荷、荆芥,夏季加黄芩、黄连,
以上药材加水二钟,生姜三片,煎服。
另一首方剂:治疗感受寒气则咳嗽,这是膈上有痰。声音嘶哑的也属于寒证,这是突然受寒而咳嗽,适宜加入细辛、半夏、生姜以宣散寒邪。
陈皮 半夏 茯苓 甘草 枳壳 片芩(炒制) 桔梗 苍术 麻黄 木通(各等量)
以上药材加水一钟半,生姜五片,用水煎煮,饭后稍久热服。
另一首方剂:治疗风寒郁结于肺,夜间咳嗽者使用。
三拗汤(San'ao Tang, Three Unblocking Decoction)加知母,取痰液清稀,止肺火。如果肺部浮大有热,加黄芩。见喘证门。
另一首方剂:治疗火咳。夏季发生的咳嗽属于此类。
黄芩 山栀 桑白皮 杏仁 甘草 知母 贝母 桔梗 天花粉 有痰加姜制半夏。
以上药材加水一钟半,生姜三片煎煮。
另一首方剂:治疗阴虚咳嗽。午后发生的咳嗽属于此类。
川芎 当归 芍药 生地 麦冬 黄柏 知母 五味子(十二粒) 桑白皮
另一首方剂:治疗因用力过度导致的咳嗽兼有痰。
知母 白术 茯苓 甘草 当归 芍药 麦冬 款冬花 贝母 天花粉
另一首方剂:治疗干咳。这是痰郁火邪在肺,必须用桔梗来开提肺气,滋阴降火为宜。此病多见于不得志之人。
当归 芍药 熟地 桔梗 川芎 黄柏 竹沥 知母
用水煎煮,一次性口服。
Treats wheezing urgency, cough caused by phlegm and qi rebellion, resulting in restlessness when sitting or lying down.
Mahuang (Ephedrae Herba, 7 qian) Xingren (Prunus Armeniaca Seed, peeled of skin, tips, and double kernels, 1 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 4 fen) Xicha (Fine Tea, stir-fried, 8 fen) Shigao (Gypsum Fibrosum, 1.5 qian). Decoct with water and take hot.
Another prescription: Clears fire, transforms phlegm, stops wheezing and cough, and treats thick, sticky sputum.
Beimu (Fritillariae Bulbus, heart removed, 1.5 qian) Zhimu (Anemarrhenae Rhizoma, hairs removed, honey-fried, 1.5 qian) Sangbaipi (Mori Cortex, stir-fried, 1 qian) Juhong (Citri Reticulatae Pericarpium Rubrum, 1 qian) Gualouren (Trichosanthis Semen, stir-fried and crushed, 1 qian) Fuling (Poria, 1 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen) Wuweizi (Schisandrae Fructus, 10 grains) Shigao (Gypsum Fibrosum, powdered, 2 qian) Huangqin (Scutellariae Radix, 1 qian) Zhishi (Aurantii Fructus Immaturus, 8 fen) Zhizi (Gardeniae Fructus, 1 qian) Banxia (Pinelliae Rhizoma, 1 qian).
Add 1.5 zhong of water and 3 slices of fresh ginger to the above herbs. Decoct with water and take hot. Re-decoct the dregs.
Cough may arise from floating wind, tight cold, rapid heat, fine dampness, sexual exhaustion, or obstruction/difficulty. A soft-rheum pulse at the right guan position indicates spleen injury due to dietary damage; a wiry-short pulse at the left guan position indicates liver decline due to extreme fatigue; a floating-short pulse indicates lung injury, which according to medical principles should present as cough. For coughs of the five zang organs, observe the corresponding local pulse positions. Floating-tight pulses indicate wind-cold; deep-rapid pulses indicate excess heat; surging-slippery pulses indicate much phlegm; wiry-choppy pulses indicate blood deficiency; a robust physique with a thin pulse, inability to breathe normally, and deep-rare or hidden pulses are all signs of death. Only those with a floating-large pulse accompanied by cough have a chance of survival. External symptoms and internal pulses must be correlated to assess the balance of the condition. Spring is characterized by ascending qi; summer features fire blazing upward most severely; autumn involves damp-heat injuring the lungs; winter involves external invasion of wind-cold.
Another prescription: Treats phlegm-cough. This refers to cases where cough is accompanied by phlegm, and the cough ceases once the phlegm is expectorated.
Chenpi (Citri Reticulatae Pericarpium) Banxia (Pinelliae Rhizoma) Fuling (Poria) Gancao (Glycyrrhizae Radix et Rhizoma) Jiegeng (Platycodonis Radix) Gualouren (Trichosanthis Semen) Xingren (Prunus Armeniaca Seed, stir-fried). Use equal amounts for all. In spring, add Bohe (Menthae Haplocalycis Herba) and Jingjie (Schizonepetae Spica); in summer, add Huangqin (Scutellariae Radix) and Lianhua (Nelumbinis Nuciferae Flos) or Lianzi (Nelumbinis Nuciferae Plumula) - *Note: 'Qin Lian' usually refers to Huangqin and Huanglian, but context implies clearing summer heat/fire*.
Add 2 zhong of water and 3 slices of fresh ginger to the above herbs. Decoct and take.
Another prescription: Treats cough triggered by cold exposure, indicating phlegm above the diaphragm. Hoarseness also belongs to cold patterns; this is sudden cold-induced cough, suitable for adding Xixin (Asari Radix et Rhizoma), Banxia (Pinelliae Rhizoma), and Shengjiang (Zingiberis Rhizoma Recens) to disperse it.
Chenpi (Citri Reticulatae Pericarpium) Banxia (Pinelliae Rhizoma) Fuling (Poria) Gancao (Glycyrrhizae Radix et Rhizoma) Zhike (Aurantii Fructus) Pianqin (Scutellariae Radix, stir-fried) Jiegeng (Platycodonis Radix) Cangzhu (Atractylodis Rhizoma) Mahuang (Ephedrae Herba) Mutong (Akebiae Caulis). Use equal amounts for all.
Add 1.5 zhong of water and 5 slices of fresh ginger to the above herbs. Decoct with water and take hot, well after meals.
Another prescription: Treats wind-cold stagnating in the lungs, used for night coughs.
San'ao Tang (Three Unblocking Decoction) added with Zhi mu (Anemarrhenae Rhizoma) to clear phlegm and extinguish lung fire. If there is floating heat in the lungs, add Huangqin (Scutellariae Radix). See the Wheezing section.
Another prescription: Treats fire-cough. This refers to coughs occurring in summer.
Huangqin (Scutellariae Radix) Shanzhi (Gardeniae Fructus) Sangbaipi (Mori Cortex) Xingren (Prunus Armeniaca Seed) Gancao (Glycyrrhizae Radix et Rhizoma) Zhi mu (Anemarrhenae Rhizoma) Beimu (Fritillariae Bulbus) Jiegeng (Platycodonis Radix) Tianhuafen (Trichosanthis Radix). If there is phlegm, add Jiangzhi Banxia (Pinelliae Rhizoma processed with ginger).
Add 1.5 zhong of water and 3 slices of fresh ginger to the above herbs. Decoct.
Another prescription: Treats yin-deficiency cough. This refers to coughs occurring in the afternoon.
Chuanxiong (Ligustici Chuanxiong Rhizoma) Danggui (Angelicae Sinensis Radix) Shaoyao (Paeoniae Radix Alba) Shengdi (Rehmanniae Radix) Maidong (Ophiopogonis Radix) Huangbai (Phellodendri Cortex) Zhi mu (Anemarrhenae Rhizoma) Wuweizi (Schisandrae Fructus, 12 grains) Sangbaipi (Mori Cortex).
Another prescription: Treats cough due to strain/injury accompanied by phlegm.
Zhi mu (Anemarrhenae Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma) Fuling (Poria) Gancao (Glycyrrhizae Radix et Rhizoma) Danggui (Angelicae Sinensis Radix) Shaoyao (Paeoniae Radix Alba) Maidong (Ophiopogonis Radix) Kuaandonghua (Farfarae Flos) Beimu (Fritillariae Bulbus) Tianhuafen (Trichosanthis Radix).
Another prescription: Treats dry cough. This is caused by phlegm stagnation and fire pathogen in the lungs. It is necessary to use Jiegeng (Platycodonis Radix) to open and lift the qi; nourishing yin and descending fire is appropriate. This ailment often affects those who are frustrated or unsuccessful.
Danggui (Angelicae Sinensis Radix) Shaoyao (Paeoniae Radix Alba) Shudi (Rehmanniae Radix Preparata) Jiegeng (Platycodonis Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma) Huangbai (Phellodendri Cortex) Zhuli (Bambusa Textilis Sap) Zhi mu (Anemarrhenae Rhizoma).
Decoct with water and take orally in one dose.