治肾虚肺热,喘嗽烦渴,咯血肺痿。
人参(一两) 天冬 麦冬 生地 熟地(各四两) 以二冬二地熬成膏,以人参细末和
匀,时时挑少许口中噙化。
天一生水,故肾为万物之元,乃人身之本也。奈人自伐其元,则本不固而劳热作
矣。热则火刑于金,而喘嗽生焉。二地补肾为君,精不足者,补之以味也。二冬保肺为
臣,虚则补其母也。火刑金而肺气衰,非人参莫可救援,东垣所谓无阳,则阴无以生
也。况肺主气,气根于丹田,人参大补元气,气者,水之母也。人参之用,无所不
宜,以气药引之则补阳,以血药引之则补阴,倘泥于肺热伤肺之说,则孤阴不长,不
几坐而待毙耶。
肺痈者,劳伤气血,内有积热,外受风寒,胸中满急,隐隐作痛,咽干口燥,时出
浊唾腥臭。若吐脓如米粥者,死。脉滑数,或实大,凡患者右胁按之必痛,但服此汤,
未成即消,已成即溃,已溃即愈,屡用屡验者也。
桔梗 金银花 黄 (炒) 白芨(各一钱) 薏苡仁(五钱) 甘草节 陈皮(各一钱二分)
贝母(一钱六分) 甜葶苈(八分,微炒) 姜水煎,食后徐徐服。新起加防风一钱,去
黄;溃后加人参一钱;久不敛加合欢皮,一名夜合即槿树皮一钱。
治痨症吐咯嗽血,用此止之。
大蓟 小蓟 柏叶 荷叶 茅根 茜根 大黄 山枝 丹皮 棕榈皮(各等分) 各烧
灰,存性,研细,用纸包碗,盖地上一夕,出火毒,用时将白藕捣汁,或萝卜汁,
磨京墨半碗,调服五钱,食后下,如病势轻用此立止,如血出成升斗者,用花蕊石散止之。
血属阴,反从火化,故其色赤为阳所动则血菀于上,使人薄厥,黑属壬癸,见黑则
止者,火见水而伏也。故用灰与墨汁,苦涩之味,苦能胜火,涩可固脱,更得童便引之
下行尤尽折服之妙,胜于萝卜藕汁也。
治疗肾虚肺热,气喘咳嗽,心烦口渴,咯血及肺痿病。
人参(一两) 天冬 麦冬 生地 熟地(各四两) 将天冬、麦冬、生地、熟地熬制成膏状,加入人参细粉调和均匀,时常取少许含在口中慢慢化服。
天一之水生肾,所以肾是万物的本源,也是人体的根本。无奈人们自己损伤这个本源,导致根本不固而虚劳发热产生。发热则火邪克制肺金,从而产生气喘咳嗽。熟地黄和生地黄补肾作为君药,精髓不足的人,用味厚的药物来补益。天冬和麦冬保肺作为臣药,肺气虚弱时,通过补其母脏(肾)来治疗。火邪克制肺金导致肺气衰弱,除了人参没有谁能救援,正如李东垣所说“没有阳气,阴精就无法生成”。况且肺主气,气根源于丹田,人参大补元气,气是水之母。人参的功用,无所不宜,用气药引导它则补阳,用血药引导它则补阴,如果拘泥于肺热伤肺的说法,就会导致孤阴不生,岂不是坐以待毙吗?
肺痈病,是由于劳损气血,体内积热,外受风寒,胸中胀满急迫,隐隐作痛,咽喉干燥口舌燥渴,时常吐出浑浊且带有腥臭味的唾液。如果吐出像米粥一样的脓液,预后不良。脉象滑数,或实大,凡是患者右侧胁部按压必定疼痛,只要服用此汤剂,未成脓即可消散,已成脓即可溃破,已溃破即可痊愈,屡试屡验。
桔梗 金银花 黄芪(炒制) 白芨(各一钱) 薏苡仁(五钱) 甘草节 陈皮(各一钱二分) 贝母(一钱六分) 甜葶苈子(八分,微炒) 用姜水煎煮,饭后徐徐服用。新发病加防风一钱,去掉黄芪;溃破后加人参一钱;久不愈合加合欢皮,又名夜合树即木槿树皮一钱。
治疗虚劳病症导致的吐血、咯血、嗽血,使用此方止血。
大蓟 小蓟 侧柏叶 荷叶 白茅根 茜草根 大黄 山栀子 牡丹皮 棕榈皮(各等分) 分别烧成炭灰,保留药性,研成细末,用纸包裹碗,扣在地上过夜以去除火毒,用时将白藕捣汁,或用萝卜汁,磨京墨半碗,调服五钱,饭后服用。如果病情轻,用此方可立即止血;如果出血量达升斗之多,使用花蕊石散来止血。
血属于阴,反而从火化,所以血色赤红是因为被阳热扰动,导致血液郁结于上部,使人发生薄厥证。黑色属于壬癸水,见到黑色就能止血,是因为火遇到水就会潜伏。所以使用炭灰和墨汁,具有苦涩的味道,苦能胜火,涩可固脱收敛,再加上童便引导药力下行,更是折服火势的妙法,胜过萝卜和藕汁。
Treats Kidney deficiency with Lung heat, wheezing and cough, vexation and thirst, hemoptysis, and lung atrophy (Fei Wei).
Renshen (Ginseng Radix et Rhizoma) (1 liang), Tiantong (Asparagi Radix), Maitong (Ophiopogonis Radix), Shengdi (Rehmanniae Radix), Shudi (Rehmanniae Radix Preparata) (each 4 liang). Decoct the two Tongs and two Dis to make a paste, mix evenly with fine powder of Renshen, and take small amounts frequently to hold in the mouth and dissolve slowly.
The water of Tianyi generates the Kidney; thus, the Kidney is the origin of all things and the root of the human body. However, people often damage their own root, causing the foundation to become unstable and consumption fever to arise. Heat causes Fire to injure Metal (Lung), leading to wheezing and cough. The two Dis (Shengdi and Shudi) tonify the Kidney as Sovereign drugs; for insufficiency of essence, one tonifies with flavor-rich substances. The two Tongss (Tiantong and Maitong) protect the Lung as Minister drugs; when there is deficiency, one tonifies the mother organ (Kidney). When Fire injures Metal and Lung Qi declines, only Renshen can provide rescue, as Li Dongyuan stated: "Without Yang, Yin cannot be generated." Moreover, the Lung governs Qi, and Qi roots in the Dantian. Renshen greatly tonifies Yuan Qi. Qi is the mother of Water. The use of Renshen is suitable for all situations; guided by Qi-invigorating herbs, it tonifies Yang; guided by Blood-nourishing herbs, it tonifies Yin. If one sticks rigidly to the theory that Lung heat injures the Lung, isolated Yin will not grow, which would be akin to waiting passively for death.
Lung abscess (Fei Yong) results from laborious injury to Qi and Blood, internal accumulation of heat, and external contraction of Wind-Cold. There is fullness and urgency in the chest, hidden pain, dry throat and mouth, and frequent expectoration of turbid, foul-smelling saliva. If pus resembling congee is expectorated, the prognosis is fatal. The pulse is slippery and rapid, or solid and large. In all patients, pressing the right hypochondrium causes pain. Taking this decoction alone will cause unformed abscesses to dissipate, formed abscesses to rupture, and ruptured abscesses to heal; it has proven effective repeatedly.
Jiegeng (Platycodonis Radix), Jinyinhua (Lonicerae Japonicae Flos), Huangqi (Astragali Radix) (stir-fried), Baiji (Bletillae Rhizoma) (each 1 qian), Yiyiren (Coicis Semen) (5 qian), Gancao Jie (Glycyrrhizae Radix et Rhizoma node), Chenpi (Citri Reticulatae Pericarpium) (each 1.2 qian), Beimu (Fritillariae Cirrhosae Bulbus) (1.6 qian), Tinglizi (Descurainiae Semen Lepidii seu Lepidii Semen) (0.8 qian, slightly stir-fried). Decoct with ginger water, and take slowly after meals. For newly onset cases, add Fangfeng (Saposhnikoviae Radix) 1 qian and remove Huangqi; after rupture, add Renshen 1 qian; if healing is delayed, add Hehuanpi (Albiziae Cortex) 1 qian, also known as Yehe or Jingshu Pi (Moutan Cortex? Note: Text says Jinshu Pi, likely Hibiscus mutabilis bark, but standard TCM uses Albizia. Sticking to text: Jinshu Pi).
Treats hemorrhage from vomiting, spitting, and coughing due to consumptive diseases (Lao Zheng); use this to stop bleeding.
Daji (Cirsii Japonici Herba), Xiaoji (Cirsii Herba), Baye (Platycladi Cacumen), Heye (Nelumbinis Folium), Maogen (Imperatae Rhizoma), Qiangen (Rubiae Radix et Rhizoma), Dahuang (Rhei Radix et Rhizoma), Shanzhi (Gardeniae Fructus), Danpi (Moutan Cortex), Zonglupi (Palmii Folium Carbonisatum) (equal parts). Each herb is burned to ash while preserving its nature, ground into fine powder, wrapped in paper with a bowl placed upside down on the ground overnight to eliminate fire toxicity. To administer, crush fresh white lotus root to extract juice, or use radish juice, grind half a bowl of Beijing ink, mix with the powder, and take 5 qian after meals. If the condition is mild, this stops bleeding immediately. If blood loss amounts to sheng or dou units, use Huaruishi San (Mineral Ochre Powder) to stop bleeding.
Blood belongs to Yin but transforms under Fire influence; thus, its red color indicates disturbance by Yang heat, causing blood to stagnate upward and leading to Bo Jue syndrome. Black corresponds to Ren and Gui (Water elements); seeing black stops bleeding because Fire subdues itself upon encountering Water. Therefore, ashes and ink juice are used, possessing bitter and astringent flavors. Bitterness overcomes Fire, and astringency consolidates and prevents collapse. Furthermore, using child's urine as a guide to direct the medicine downward enhances the ability to subdue the pathogenic factors, surpassing the efficacy of radish and lotus root juices.