〔痰饮提纲〕 胸中痰饮有由成,此病多因肺肾生,气水停留全不化,偶增喘嗽令人惊。
小半夏加茯苓汤
(证附) 痰饮停留胀满时,法宜姜夏茯苓施,填胸浊气全能治,用药无多效出奇。
姜苓半夏汤
(证同上 方见心腹痛)
小青龙证
(方见伤寒) 内停痰饮病非轻,咳嗽还兼喘逆生,此证须将何药治,小青龙用患能平。
射干麻黄汤
(证附) 麻黄达表可驱寒,紫菀款冬并射干,半夏更兼姜细味,因痰喘嗽治能安。
桂苓甘术汤
(证附) 水饮停留化作痰,治须术桂合苓甘,扶阳去湿惟求本,立法谁将奥义谙。
真武证
(方见伤寒) 肾阳不化水停时,上泛为痰势甚危,治法务当求病本,汤煎真武总相宜。
十枣汤
(方见伤寒) 水饮如停脏腑中,上居胸膈速宜攻,泄其气分真良法,十枣汤投大有功。
猪苓证
(方见伤寒) 积饮如停脐腹时,泄从水道法尤奇,猪苓汤用真神妙,奥义精微世莫知。
五苓证
(方见伤寒) 胸内素多水饮停,浸淫渐入络兼经,泄从汗孔须何药,对证偏宜用五苓。
瓜蒂证
(方见伤寒) 腹中痰饮有多端,在胃停留入食难,吐法须将瓜蒂用,一经服后遽然安。
〔咳嗽提纲〕 欲知咳嗽所由生,外感内伤辨要清,寒热实虚全识定,立方对证始能精。
二陈加苏叶杏仁贝母汤
(证附) 外感如须温散时,二陈汤用却能医,再加杏贝兼苏叶,去湿除
风治嗽宜。
小青龙证 小柴胡证
(二方俱见伤寒) 内停水饮郁难行,一感风寒嗽便生,汤用青龙温散妙,
柴胡清解患能平。
小建中证
(方见伤寒) 内伤咳嗽病难安,气血虚时并有寒,汤用建中原可治,补脾解表更舒肝。
麦门冬汤
(证附) 火逆伤津嗽病深,麦冬半夏共人参,再加粳米兼甘草,补气除邪更助阴。
千金麦门冬证
或感风寒或内伤,热多乘肺势难当,有时咳带痰中血,病重尤宜用此方。
千金麦门冬汤
柏桑二叶可同煎,夏杏生姜紫菀全,再入地黄兼麦桔,火多咳嗽定能痊。
【痰饮总纲】胸中的痰饮形成是有原因的,这种病多因肺、肾两脏功能失调而生,气机与水液停留体内完全无法运化,偶尔出现气喘咳嗽让人惊恐。
(证候附注)痰饮停留在体内导致胀满时,治法适宜使用生姜、半夏、茯苓施治,能全面消除填塞胸部的浊气,用药不多但疗效奇特。
(证候同上,方剂见“心腹痛”章节)
小青龙汤证
(方剂见《伤寒论》章节)体内停聚痰饮的病证并不轻浅,咳嗽还兼有气喘上逆的症状,此证须用什么药治疗?用小青龙汤服用后患者能平复。
(证候附注)麻黄能达表驱散寒邪,紫菀、款冬花并配合射干,半夏更兼生姜、细辛的味道,因痰致喘咳的治疗能使病情安宁。
(证候附注)水饮停留化作痰,治疗必须用白术、桂枝合茯苓、甘草,扶助阳气去除湿邪唯有求其根本,确立治法谁能精通其中的奥义。
真武汤证
(方剂见《伤寒论》章节)肾阳不化导致水液停聚时,水气上泛为痰形势非常危险,治疗法则应当寻求病本,煎服真武汤最为适宜。
(方剂见《伤寒论》章节)水饮如停滞在脏腑之中,向上居于胸膈部位应迅速攻逐,通过泄除气分是真正的好方法,投用十枣汤大有功效。
猪苓汤证
(方剂见《伤寒论》章节)积饮如停滞在脐腹部位时,从水道排泄的治法尤其奇妙,使用猪苓汤真是神妙,其中的奥义精微世人很少知晓。
五苓散证
(方剂见《伤寒论》章节)胸内素来多有水饮停聚,逐渐浸淫进入络脉和经脉,通过汗孔泄出需用什么药?对症特别适宜使用五苓散。
瓜蒂散证
(方剂见《伤寒论》章节)腹中的痰饮有多种情况,停留在胃中导致进食困难,吐法必须使用瓜蒂,一经服用后突然就安好了。
〔咳嗽总纲〕想要知道咳嗽产生的原因,外感与内伤必须辨别清楚,寒热虚实全部识别确定,制定方剂对证才能精准。
(证候附注)外感如果需要用温散的方法时,使用二陈汤却能医治,再加杏仁、贝母兼苏叶,去湿除风治疗咳嗽适宜。
(两方均见《伤寒论》章节)体内停聚的水饮郁结难以运行,一旦感受风寒咳嗽便产生,汤药使用青龙汤温散巧妙,柴胡汤清解患方能平复。
小建中汤证
(方剂见《伤寒论》章节)内伤咳嗽病难安宁,气血虚弱时并伴有寒象,汤药使用建中汤原本可以治疗,补脾解表更能舒缓肝气。
(证候附注)火逆损伤津液导致咳嗽病深重,麦冬、半夏共用人参,再加粳米兼甘草,补气除邪更助阴液。
[General Principles of Phlegm-Fluids] The formation of phlegm-fluids in the chest has its causes. This disease often arises from dysfunction of the Lung and Kidney organs. Qi and fluids stagnate within the body without being transformed, occasionally causing panting and coughing that startles the patient.
Xiao Ban Xia Jia Fu Ling Tang (Minor Pinellia Decoction with Added Poria)
(Attached Syndrome Description) When phlegm-fluids stagnate in the body causing distension and fullness, the treatment method should employ Sheng Jiang (Zingiberis Rhizoma Recens), Ban Xia (Pinelliae Rhizoma), and Fu Ling (Poria). These ingredients can comprehensively resolve the turbid qi filling the chest. With few medicinal ingredients, the efficacy is remarkable.
Jiang Ling Ban Xia Tang (Ginger, Poria, and Pinellia Decoction)
(Syndrome same as above; Formula see "Heart and Abdominal Pain" section)
Xiao Qing Long Tang Syndrome (Minor Green Dragon Decoction Syndrome)
(Formula see *Shanghan Lun* section) Internal retention of phlegm-fluids is a non-trivial condition. Coughing is accompanied by panting and rebellious Qi ascending. What medicine should be used for this syndrome? Administer Xiao Qing Long Tang to bring the patient to stability.
She Gan Ma Huang Tang (Belamcanda and Ephedra Decoction)
(Attached Syndrome Description) Ma Huang (Ephedrae Herba) reaches the exterior to dispel cold. Zi Wan (Asteris Radix), Kuan Dong Hua (Farfarae Flos), and She Gan (Belamcae Rhizoma) are combined. Ban Xia (Pinelliae Rhizoma) is further supplemented with Sheng Jiang (Zingiberis Rhizoma Recens) and Xi Xin (Asari Radix et Rhizoma). Treatment for panting and coughing due to phlegm brings peace to the condition.
Gui Ling Gan Zhu Tang (Cinnamon Twig, Poria, Licorice, and Atractylodes Macrocephala Decoction)
(Attached Syndrome Description) Stagnant water-fluids transform into phlegm. Treatment requires Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gui Zhi (Cinnamomi Ramulus), Fu Ling (Poria), and Gan Cao (Glycyrrhizae Radix et Rhizoma). To support Yang and eliminate dampness, one must seek the root. Who among legislators understands the profound principles?
Zhen Wu Tang Syndrome (True Warrior Decoction Syndrome)
(Formula see *Shanghan Lun* section) When Kidney Yang fails to transform and water stagnates, it rises upward as phlegm, creating a critical situation. The treatment principle must address the root cause. Decocting and administering Zhen Wu Tang is most suitable.
Shi Zao Tang (Ten Jujube Decoction)
(Formula see *Shanghan Lun* section) When water-fluids stagnate within the Zang-Fu organs and reside superiorly in the chest and diaphragm, rapid purgation is indicated. Draining the Qi level is a truly excellent method. Administering Shi Zao Tang yields great merit.
Zhu Ling Tang Syndrome (Polyporus Decoction Syndrome)
(Formula see *Shanghan Lun* section) When accumulated fluids stagnate in the umbilical and abdominal regions, draining via the water passages is a particularly ingenious method. Using Zhu Ling Tang is truly miraculous; its profound subtleties are rarely known by the world.
Wu Ling San Syndrome (Five-Ingredient Powder with Poria Syndrome)
(Formula see *Shanghan Lun* section) The chest inherently contains stagnant water-fluids, which gradually infiltrate the collaterals and meridians. To drain through the sweat pores, what medicine should be used? For matching syndromes, Wu Ling San is especially appropriate.
Gua Di San Syndrome (Melon Sepal Powder Syndrome)
(Formula see *Shanghan Lun* section) There are various types of phlegm-fluids in the abdomen. If they remain in the Stomach, eating becomes difficult. The vomiting method must utilize Gua Di (Cucumeris Fructus). After administration, relief comes suddenly.
[General Principles of Cough] To understand the origin of cough, one must clearly distinguish between external contraction and internal injury. One must fully identify cold, heat, excess, and deficiency. Only then can prescription formulation be precise and match the syndrome.
Er Chen Tang Plus Su Ye, Xing Ren, Bei Mu Tang (Two-Cured Decoction plus Perilla Leaf, Apricot Kernel, and Pinellia Ternata Bulb Decoction)
(Attached Syndrome Description) For external contractions requiring warm dispersal, Er Chen Tang can be used. Adding Xing Ren (Armeniacae Semen Amarum), Bei Mu (Fritillariae Cirrhosae Bulbus), and Su Ye (Perillae Folium) helps eliminate dampness and disperse wind, making it suitable for treating cough.
Xiao Qing Long Tang Syndrome & Xiao Chai Hu Tang Syndrome (Minor Green Dragon Decoction Syndrome & Minor Bupleurum Decoction Syndrome)
(Both formulas see *Shanghan Lun* section) Internal retention of water-fluids is depressed and difficult to circulate. Upon contracting wind-cold, cough immediately arises. Using Xiao Qing Long Tang for warm dispersal is effective; using Xiao Chai Hu Tang for clearing and resolving brings the patient to stability.
Xiao Jian Zhong Tang Syndrome (Minor Construct the Middle Decoction Syndrome)
(Formula see *Shanghan Lun* section) Internal injury cough is difficult to settle. When Qi and Blood are deficient and cold is present, Xiao Jian Zhong Tang can originally treat it. Tonifying the Spleen, releasing the exterior, and soothing the Liver provides comfort.
Mai Men Dong Tang (Ophiopogon Decoction)
(Attached Syndrome Description) Fire rebellion injures Body Fluids, leading to deep-seated cough. Mai Men Dong (Ophiopogonis Radix), Ban Xia (Pinelliae Rhizoma), and Ren Shen (Ginseng Radix et Rhizoma) are combined. Adding Jing Mi (Oryza Sativa) and Gan Cao (Glycyrrhizae Radix et Rhizoma) tonifies Qi, eliminates pathogens, and assists Yin.
Qian Jin Mai Men Dong Tang Syndrome (Thousand-Gold Ophiopogon Decoction Syndrome)
Whether contracted from wind-cold or caused by internal injury, heat often attacks the Lung with overwhelming force. Sometimes cough includes blood in sputum. In severe cases, this formula is especially appropriate.
Qian Jin Mai Men Dong Tang (Thousand-Gold Ophiopogon Decoction)
Bai Zi Ren (Biota Seed) and Sang Ye (Mori Folium) can be decocted together. Ban Xia (Pinelliae Rhizoma), Xing Ren (Armeniacae Semen Amarum), Sheng Jiang (Zingiberis Rhizoma Recens), Zi Wan (Asteris Radix), Di Huang (Rehmanniae Radix), Mai Dong (Ophiopogonis Radix), and Jie Geng (Platycodonis Radix) are included. Cough caused by excessive fire will surely heal.