上为末,拌匀,用姜汁浸蒸饼丸,如萝卜子大。每服三十粒,慢咽下。一方劫喘,用姜汁蜜炼丸,桐子大。
每七八十丸,噙下,止之。
〔瑞〕化痰丸 快脾顺气,化痰消食,治久喘或作或止者,甚妙。
半夏(洗) 南星(去皮膜) 白矾 皂角(切碎) 生姜
上各一斤,用水煮南星,无白点为度,拣去皂角不用,将生姜切作片,同半夏、南星晒干,无日色火焙。
再加∶
青皮(去穣) 陈皮(去白) 紫苏子(炒) 萝卜子(炒,另研) 干葛 杏仁(去皮尖,另研)
神曲(炒) 麦 (炒) 山楂 香附子(去毛)
上各半斤,净与前药合和一处,研为细末,生姜汁浸蒸饼打糊为丸,如桐子大。每服五七十丸,临卧食后
茶汤送下。
〔仲〕病患饮水多,必暴喘满。
〔洁〕白术散 治夏月饮冷酒,生痰膈满。(方见咳脾肺条。)
〔丹〕喘而心痛。油炒半夏为末,粥丸,姜汤下三十丸。
哮嗽必用吐法。吐药中用醋多,不用凉药。
子和稀涎散(方见治法门上实条。)
〔世〕治喘。用古文钱七个,盐梅七个,水一盏,同浸二宿,每服一呷,空心,良久吐出恶痰而效。
〔垣〕病机云∶诸痿喘呕,皆属于上。辨云∶伤寒家论喘呕,以为火热者,是明有余之邪中于外,寒变而为
热,心火太旺攻肺,故属于上。又云∶膏粱之人,奉养太过,及过爱小儿,亦能积热于上而为喘咳,宜以甘寒之
剂治之。《脉经》又云∶肺盛有余,则咳嗽上气,喘渴烦心,胸满短气,皆冲脉之火行于胸中而作也。系在下焦,
非属上也。盖杂病不足之邪,起于有余病机之邪,自是标本病传,多说饮食劳役,喜怒不节,水谷之寒热,感
则害人六腑,皆由中气不足,其 胀腹满,咳喘呕,食不下,皆以大甘辛热之剂治之,则立已。令立热喘、寒喘
二方于后。
人参平肺散 治心火刑肺,传为肺痿,咳嗽喘呕,痰涎壅盛,胸膈痞闷,咽嗌不利。
桑白皮(一钱) 知母(七分) 甘草(炙,五分) 茯苓(四分) 地骨皮(五分) 天门冬(四分)
青皮(三分) 五味子(三十粒) 陈皮(三分) 人参(五分)
上 咀,只作一服,水煎,食后温服。如热甚加黄芩四分,紫苏叶、半夏各五分。
参苏温肺汤 治形寒饮冷则伤肺,喘,烦心,胸满短气不能宣畅。
人参 肉桂 甘草 木香 五味子 陈皮 半夏(制) 桑白皮 白术 紫苏茎叶(各二两)
白茯苓(一两)
上 咀,每服五钱,水一盏半,生姜三片,煎至七分,去渣,食后温服。如冬寒每服不去节麻黄半分,
先煎去沫,下诸药。
〔丹〕喘有阴虚自小腹下火起而上者,亦有痰火冲上者,宜四物汤加青黛、竹沥、陈皮,入童便煎服。
〔垣〕调中益气汤加减法。(方见治虚实条。)
如秋冬月胃脉四道为冲脉所逆,并胁下少阳脉二道而反上行,病名曰厥逆,其证气上冲咽不得息,而喘息
有音不得卧,加茱萸五分或一钱,汤洗去苦,观厥气多少而用之。如夏月有此证,为大热也,盖此证随四时
为寒热温凉,宜以酒黄连、酒黄柏、酒知母各等分为细末,熟汤丸如桐子大,每服二百丸,白汤送下,空心
服,仍多饮热汤,服毕少时,便以美食压之,使不得胃中停留,直至下元以泻冲脉之邪也。大抵治饮食劳倦
所得之病,乃虚劳七损证也,当用温平甘多辛少之药治之,是其本法也。如时上见寒热病,四时症也。又或
将理不如法,或酒食过多,或辛热之食作病,或寒冷之食作病,或居大寒大热之处益其病,当临时制宜,暂
用大寒大热治法而取效,此从权也,不可以得效之故而久用之,必致夭横矣。《黄帝针经》曰∶从下上者,引
而去之。上气不足,推而扬之。盖上气者,心肺上焦之气,阳病在阴,从阴引阳,宜以入肾肝下焦之药引甘
多辛少之药,使升发脾胃之气,又从而去邪气于腠理皮毛也。又曰∶视前痛者,当先取之。是先以缪刺泻其
经络之壅塞者,为血凝而不流,故先取之而后治他病。
加减泻白散 治阴气在下,阳气在上,咳呕喘促。
桑白皮(一两) 青皮(二两) 茯苓(三钱) 地骨皮(七钱) 甘草 陈皮 五味 人参(各五分)
上 咀,每服四钱,水一盏半,入粳米数十粒同煎,去渣温服,食后。
平居则气平和,行动则气促而喘者,亦冲脉之火。予族兄六旬有余,素有喘证,或唾吐血痰,平居时则不
喘,稍行动则气促喘急。以黄柏知母滋肾丸,空心服七八十丸,其证大减。此黄柏、知母能泄冲脉之火者,如
此效也。
〔丹〕治卒上气喘鸣息便欲死者,研韭汁饮一升,瘥。盖韭去胸中恶血滞气。
〔《食》〕主上气咳嗽,胸膈妨满气喘。桃仁二两去皮尖,以水一升,研取汁,和粳米二合,煮粥食之。
诸气愤郁,皆属于肺。(全文见诊 王注云∶愤,谓愤郁奔迫也。)
〔《简》〕治肺气喘嗽。马兜铃二两,只用里面子,去壳,秋石半两,入碗内和匀,慢火炒干,甘草一两
炙,二味为末一钱,水一盏,煎六分,温呷,以药末含,咽津亦得。(《衍义》云∶治肺气愈。)
〔垣〕加减三奇汤 治咳气喘上气,痰涎喘促,胸膈不利。
桔梗 半夏 陈皮 甘草 青皮 杏仁 人参 五味子(各等分)
上 咀,每服四钱,水二盏,姜二片,煎至一盏,去渣,通口食后服。
〔罗〕紫参散 治形寒饮冷伤肺,喘促痰涎,不得安卧。
粟壳(一两,蜜炒黄色) 麻黄 桔梗 紫参 甘草(炙) 五味(各五钱)
上 咀,每服四钱,水二盏,姜三片,同煎去渣,食后服。
〔云〕清金汤 治男妇不拘远近肺气咳嗽,上气喘急,喉中涎声,胸满气逆,坐卧不安,饮食不下。
粟壳(蜜炙) 人参 甘草(各半两) 陈皮 茯苓 杏仁 阿胶(炒) 五味子 桑白皮 薏苡仁
紫苏 百合 贝母(去心) 半夏曲 款冬花(各一两)
上 咀,每服五钱,姜三片,枣二枚,乌梅一个,水煎,临卧服。
肺虚则少气而喘。经云∶秋脉者肺也。秋脉不及,则喘,呼吸少气而咳,上气见血,下闻病音。其治法则
门冬、五味、人参之属是也。肺痹肺积,则久喘而不已。经云∶淫气喘息,痹聚在肺。又云∶肺痹者,烦满喘
而呕,是肺痹而喘。治法或表之,或吐之,使气宣通而愈也。《难经》又云∶肺之积名息贲,在右胁下如杯,久
不已,令人喘咳,发肺痈。治法则息贲丸能磨其积是也。
胃喘则身热而烦。经云∶胃为气逆。又云∶犯贼风虚邪者阳受之,阳受之则入六腑,入六腑则身热不时卧,
上为喘呼。又云∶阳明厥则喘而 , 则恶人,或喘而死者,或喘而生者,何也?厥逆连脏则死,连经则生是
也。 ,王注谓热内郁而烦。凡此胃喘治法,宜加减白虎汤之类是也。
肾喘则呕咳。经云∶少阴所谓呕咳上气喘者,阴气在下,阳气在上,诸阳气浮,无所根据从,故呕咳上气喘
也。东垣治以泻白散是也。
运气 喘者有三∶
一曰金助肺盛而喘。经云∶岁金太过,病甚则喘咳气逆,肩背痛。又云∶岁金太过曰坚成,坚成之纪,其
病喘喝,胸凭仰息。治以温剂是也。
二曰火攻肺虚而喘。经云∶岁火太过,炎暑流行,肺金受邪,民病少气咳喘,上临少阴少阳,咳喘息鸣。
又云∶少阴司天,热淫所胜,病寒热喘咳,甚则肺胀,大腹满膨膨而喘咳。又云∶少阴在泉,热淫所胜,病气
上冲胸,喘不能久立。治以咸寒是也。
三曰风火为气逆。经云∶木太过曰发生,发生之纪,上微则其气逆是也。
〔《灵》〕黄帝曰∶卫气之留于腹中,搐积不行,苑蕴不得常所,使人肢胁胃中满,喘呼逆息者,何以去
之?伯高曰∶其气积于胸中者,上取之;积于腹中者,下取之;上下皆满者,傍取之。黄帝曰∶取之奈何?伯
高对曰∶积于上,泻大迎天突、喉中;积于下者,泻三里与气冲;上下皆满者,上下取之,与季胁之下一寸。
重者,鸡足取之。诊视其脉大而弦急,及绝不至者,及腹皮急甚者,不可刺也。(卫气失常论 难足取之者,正入一针,
左右斜
入二针,如鸡之足三爪也。东垣云,大不可刺者宜灸也,一则沉寒痛冷,二则无脉知阳绝也,三则腹皮急而阳陷也,
舍此三者,余皆不得灸。若病在两寸者及腹皮急甚者,当从阴引阳取穴于腹募,五脏病取五脏募,六腑病取六腑募。
若病在两尺脉者,当从阳引阴,取穴于背 ,五脏病取五脏 ,六腑病取六腑 。元气病取六腑 募,筋骨有形
病者取五 募。其病不在天之阳,不在地之阴,在腹中者,故取季胁下一寸。元气病取之右,筋骨病取之左,
故在中者旁取之。此其理也,灸者认取之。)
〔《灵》〕黄帝曰∶刺节言振埃,夫子乃言刺外经,去阳病,余不知其所谓也,愿卒闻之。岐伯曰∶振埃者,
阳气大逆,上满于胸中,愤 肩息,大气逆上,喘喝坐伏,病恶埃烟,KT ,不得息,请言振埃,尚疾于振埃。黄
帝曰∶善。取之何如?岐伯曰,取之天容。黄帝曰∶其咳上气,穷 胸痛者,取之奈何?岐伯曰∶取之廉泉。
黄帝曰∶取之有数乎?岐伯曰∶取天容者,无过一里,取廉泉者,血变而止。帝曰∶善哉(刺节真邪篇KT ,于结反。
阳迎头痛,胸满不得息,取之人迎。(寒热病篇阳迎,阳逆也。)气逆上,刺膺中陷者与下胸动脉。(杂病篇)
刺灸喘 满有六法∶
其一取阳气,上四节经文所言者是也。
其二取肺。经云∶肺手太阴之脉,是动则病肺胀满膨膨而喘咳,缺盆中痛,甚则交两手而瞀。所生病者,
咳上气喘渴,烦心,胸满,视盛虚热寒陷下取之也。又云∶邪在肺则皮肤痛,寒热上气喘,汗出咳动肩背,
取之膺中外 背三节五椎之傍,以手疾按之,快乃刺之,取之缺盆之中以越之。又云∶肺病者,喘咳逆气,肩
背痛,取其经太阴足太阳之外,厥阴内血者。王注谓内外之间,是足少阴经也。又云∶肺藏气,气有余则喘咳
上气,泻其经隧,无伤其经,无出其血,无出其气。杨注谓经隧为列缺穴也。又云∶气乱于肺,则俯仰喘喝,
接手以呼取之,手太阴荥足少阴输是也。
其三取大肠。经云∶腹中常鸣,气上冲胸,喘不能久立,邪在大肠,刺肓之原巨虚上廉三里。又云∶邪客
手阳明之络,令人气满,胸中喘息而支 ,胸中热,刺手大指次指爪甲上去端如韭叶各一 ,左取右,右取左,
如食顷已是也。
其四取肾。经云∶肾病者,喘咳身重,寝汗出,憎风,取其经少阴太阳血者是也。
其五取脾。经云∶气满胸中喘急,取足太阴大指之端,去爪甲如韭叶,寒则留之,热则疾之,气下乃止。
其六取脾喘。《内经》详文具痹。
〔《千》〕灸嗽。两乳黑白际二穴,脊后三穴。尝灸族侄喘,灸后一月,喘发,大吐痰一桶许而安。(见效针
灸条下。)
〔《玉》〕治喘哮∶天突(针入向下五分,泻五吸) 中(三分,三呼) 旋玑(三分,泻三吸)
气海 府(一分,沿皮向外一寸半,泻六吸) 乳根(一分,沿皮向外一寸半,泻一吸)
〔《摘》〕五膈气喘息不止∶中脘(八分) 期门(凡剌腹部,气虚人内息六七口,下入丹田,闭气剌之)
〔《集》〕哮喘,灸刺上穴不愈者,可选用之∶膏肓 关元 中脘 三里 百劳 肾 (各灸之。) 支沟
大陵
〔东阳〕哮喘,诸穴选用之∶天容 噫嘻 气舍 扶突 太白(剌) 魄户 中府 大包 中 云门 石门
期门(各灸之)
〔《怪穴》〕气喘∶乳中(在乳下肋中针入一分,沿皮向后一寸半,泻之)
〔桑〕哮喘∶丰隆(三寸半)
〔洁〕喘满痰实,口中如胶∶太溪
〔《甲》〕喘少气不足以息,腹满,大便难,时上走,胃中鸣,胀满,口舌干,口中吸吸,善惊,
咽中痛,不可内食,善怒恐不乐,大钟主之。咳,肠下积聚而喘逆,卧不安席,时寒热,期门主之。
〔《流注》〕气促喘∶天突
〔《甲》〕喘逆鼽衄,肩胛内廉痛,不可俯仰, 季胁引少腹而痛胀,噫嘻主之。
〔《怪穴》〕妇人血弱气喘∶气中(在气海旁一寸半,针入二寸半,先补后泻。)
〔成〕喘者,肺主气,形寒饮冷则伤肺,故其气逆而上行,冲急喝喝而息数,张口抬肩,摇身滚肚,
是为喘也。
喘鸣肩息者,脉实大也,缓则生,急则死。(全文见小儿喘 王注云∶缓谓纵缓,急谓弦急,非来
往之缓急也。)
〔《脉》〕上气喘息低昂,其脉滑,手足温者生,脉涩,四肢寒者死。
〔丹〕哮喘必用薄滋味。
凡下痰走喘诸方,施之形实有痰者,神效。若阴虚而脉浮大按之涩者,不可下,下之必反剧而死也。
将药物研成细末,搅拌均匀,用姜汁浸泡蒸饼制成丸药,大小如萝卜子。每次服用三十粒,慢慢咽下。另一法治疗急喘,用姜汁和蜂蜜炼制成丸,大小如梧桐子。每次服用七八十丸,含化咽下,以止住喘息。
〔李杲〕化痰丸:能健脾顺气,化痰消食,治疗久喘时发时止者,效果极佳。
半夏(洗净) 天南星(去皮膜) 白矾 皂角(切碎) 生姜
以上各一斤,用水煮天南星,直到没有白点为止,拣去皂角不用,将生姜切成片,与半夏、天南星一起晒干,若无阳光则用火焙干。
再加:
青皮(去瓤) 陈皮(去白) 紫苏子(炒) 萝卜子(炒,另研碎) 干葛 杏仁(去皮尖,另研碎)
神曲(炒) 麦芽(炒) 山楂 香附子(去毛)
以上各半斤,干净地与前药混合在一起,研为细末,用生姜汁浸蒸饼打糊制丸,大小如梧桐子。每次服用五七十丸,临睡前饭后用茶汤送服。
〔李东垣〕白术散:治疗夏季饮用冷酒,生痰导致膈间痞满。(方剂见咳脾肺条。)
〔朱丹溪〕气喘伴心痛。将油炒半夏研为细末,用米粥制丸,姜汤送服三十丸。
哮嗽必须使用吐法。吐药中多用醋,不用凉药。
子和稀涎散(方剂见治法门上实条。)
〔世传〕治疗气喘。用古文钱七个,盐梅七个,水一盏,共同浸泡两个夜晚,每次喝一口,空腹服用,良久吐出恶痰而见效。
〔李东垣〕《病机》云:“诸痿喘呕,皆属于上。”辨析说:伤寒家论述喘呕,认为是火热之邪,这是明言有余的邪气侵犯体表,寒邪变为热,心火太旺攻伐肺脏,所以属于上焦。又说:膏粱之人,供养太过,以及过分溺爱小儿,也能使积热在上焦而引发喘咳,宜用甘寒的药剂治疗。《脉经》又说:“肺盛有余,则咳嗽上气,喘渴烦心,胸满短气”,这都是冲脉之火行于胸中所致,病根在下焦,不属于上焦。大概杂病不足之邪,起于有余的病机之邪,本是标本病传,多说是饮食劳役、喜怒不节、水谷寒热,感邪则伤害六腑,皆由中气不足所致,其腹胀腹满、咳喘呕、食不下,都用大甘辛热的药剂治疗,即可立即痊愈。现立下热喘、寒喘二方在后面。
人参平肺散:治疗心火刑克肺金,传变为肺痿,咳嗽喘呕,痰涎壅盛,胸膈痞闷,咽喉不利。
桑白皮(一钱) 知母(七分) 甘草(炙,五分) 茯苓(四分) 地骨皮(五分) 天门冬(四分)
青皮(三分) 五味子(三十粒) 陈皮(三分) 人参(五分)
以上锉咀,只作一服,水煎,饭后温服。若热甚加黄芩四分,紫苏叶、半夏各五分。
参苏温肺汤:治疗形寒饮冷损伤肺脏,气喘,心烦,胸满短气不能宣畅。
人参 肉桂 甘草 木香 五味子 陈皮 半夏(制) 桑白皮 白术 紫苏茎叶(各二两)
白茯苓(一两)
以上锉咀,每次服用五钱,水一盏半,生姜三片,煎至七分,去渣,饭后温服。若冬季寒冷,每服不去节麻黄半分,先煎去沫,再下诸药。
〔朱丹溪〕气喘有阴虚自小腹下火起而上者,也有痰火冲上者,宜用四物汤加青黛、竹沥、陈皮,加入童便煎服。
〔李东垣〕调中益气汤加减法。(方剂见治虚实条。)
如秋冬月胃脉四道被冲脉所逆,并胁下少阳脉二道而反上行,病名曰厥逆,其证气上冲咽喉不得呼吸,而喘息有声不能卧,加吴茱萸五分或一钱,汤洗去苦味,观察厥气多少而使用。如夏月有此证,为大热也,盖此证随四时为寒热温凉,宜用酒黄连、酒黄柏、酒知母各等分为细末,熟汤制丸如梧桐子大,每次服用二百丸,白开水送下,空腹服,仍多饮热汤,服毕稍后,便以美食压之,使其不得在胃中停留,直至下元以泻冲脉之邪。大体治疗饮食劳倦所得之病,乃是虚劳七损证,当用温平甘多辛少的药物治疗,是其本法。如时令上见寒热病,是四时症。又或者调理不如法,或酒食过多,或辛热之食致病,或寒冷之食致病,或居大寒大热之处加重病情,应当临时制宜,暂用大寒大热治法而取效,这是从权之计,不可以得效的缘故而久用之,必致夭折横死。《黄帝针经》说:“从下上者,引而去之。上气不足,推而扬之。”盖上气者,是心肺上焦之气,阳病在阴,从阴引阳,宜用入肾肝下焦的药物引导甘多辛少的药物,使升发脾胃之气,又从而祛除腠理皮毛之邪气。又说:“视前痛者,当先取之。”是先以缪刺法泻其经络之壅塞者,因为血凝而不流,所以先取之而后治他病。
加减泻白散:治疗阴气在下,阳气在上,咳呕喘促。
桑白皮(一两) 青皮(二两) 茯苓(三钱) 地骨皮(七钱) 甘草 陈皮 五味子 人参(各五分)
以上锉咀,每次服用四钱,水一盏半,入粳米数十粒同煎,去渣温服,饭后。
平时气机平和,行动则气促而喘者,也是冲脉之火。我的族兄六十多岁,素有喘证,有时唾吐血痰,平时不喘,稍行动则气促喘急。用黄柏知母滋肾丸,空腹服七八十丸,其证大减。这黄柏、知母能泄冲脉之火,效果如此显著。
〔朱丹溪〕治疗突然上气喘鸣气息欲死者,研韭汁饮一升,痊愈。盖韭菜能去胸中恶血滞气。
〔《食疗本草》〕主治上气咳嗽,胸膈妨满气喘。桃仁二两去皮尖,用水一升,研取汁,和粳米二合,煮粥食之。
诸气愤郁,皆属于肺。(全文见诊 王冰注云:“愤,谓愤郁奔迫也。”)
〔《简要济众方》〕治疗肺气喘嗽。马兜铃二两,只用里面子,去壳,秋石半两,入碗内和匀,慢火炒干,甘草一两炙,二味为末一钱,水一盏,煎六分,温呷,以药末含,咽津亦得。(《衍义》云:“治肺气愈。”)
〔李东垣〕加减三奇汤:治疗咳气喘上气,痰涎喘促,胸膈不利。
桔梗 半夏 陈皮 甘草 青皮 杏仁 人参 五味子(各等分)
以上锉咀,每次服用四钱,水二盏,姜二片,煎至一盏,去渣,通口饭后服。
〔罗天益〕紫参散:治疗形寒饮冷伤肺,喘促痰涎,不得安卧。
粟壳(一两,蜜炒黄色) 麻黄 桔梗 紫参 甘草(炙) 五味子(各五钱)
以上锉咀,每次服用四钱,水二盏,姜三片,同煎去渣,饭后服。
〔云岐子〕清金汤:治疗男女不拘远近肺气咳嗽,上气喘急,喉中涎声,胸满气逆,坐卧不安,饮食不下。
粟壳(蜜炙) 人参 甘草(各半两) 陈皮 茯苓 杏仁 阿胶(炒) 五味子 桑白皮 薏苡仁
紫苏 百合 贝母(去心) 半夏曲 款冬花(各一两)
以上锉咀,每次服用五钱,姜三片,枣二枚,乌梅一个,水煎,临卧服。
肺虚则少气而喘。经云:“秋脉者肺也。秋脉不及,则喘,呼吸少气而咳,上气见血,下闻病音。”其治法则门冬、五味、人参之属是也。肺痹肺积,则久喘而不已。经云:“淫气喘息,痹聚在肺。”又云:“肺痹者,烦满喘而呕”,是肺痹而喘。治法或表之,或吐之,使气宣通而愈也。《难经》又说:“肺之积名息贲,在右胁下如杯,久不已,令人喘咳,发肺痈。”治法则息贲丸能磨其积是也。
胃喘则身热而烦。经云:“胃为气逆。”又云:“犯贼风虚邪者阳受之,阳受之则入六腑,入六腑则身热不时卧,上为喘呼。”又云:“阳明厥则喘而 [缺字],[缺字] 则恶人,或喘而死者,或喘而生者,何也?厥逆连脏则死,连经则生是也。”[缺字],王冰注谓热内郁而烦。凡此胃喘治法,宜加减白虎汤之类是也。
肾喘则呕咳。经云:“少阴所谓呕咳上气喘者,阴气在下,阳气在上,诸阳气浮,无所根据从,故呕咳上气喘也。”东垣治以泻白散是也。
运气方面,喘者有三:
一曰金助肺盛而喘。经云:“岁金太过,病甚则喘咳气逆,肩背痛。”又云:“岁金太过曰坚成,坚成之纪,其病喘喝,胸凭仰息。”治以温剂是也。
二曰火攻肺虚而喘。经云:“岁火太过,炎暑流行,肺金受邪,民病少气咳喘,上临少阴少阳,咳喘息鸣。”又云:“少阴司天,热淫所胜,病寒热喘咳,甚则肺胀,大腹满膨膨而喘咳。”又云:“少阴在泉,热淫所胜,病气上冲胸,喘不能久立。”治以咸寒是也。
三曰风火为气逆。经云:“木太过曰发生,发生之纪,上微则其气逆是也。”
〔《灵枢》〕黄帝曰:卫气留于腹中,搐积不行,苑蕴不得常所,使人肢胁胃中满,喘呼逆息者,何以去之?伯高曰:其气积于胸中者,上取之;积于腹中者,下取之;上下皆满者,傍取之。黄帝曰:取之奈何?伯高对曰:积于上,泻大迎、天突、喉中;积于下者,泻三里与气冲;上下皆满者,上下取之,与季胁下一寸。重者,鸡足取之。诊视其脉大而弦急,及绝不至者,及腹皮急甚者,不可刺也。(卫气失常论 难足取之者,正入一针,左右斜入二针,如鸡之足三爪也。东垣云,大不可刺者宜灸也,一则沉寒痛冷,二则无脉知阳绝也,三则腹皮急而阳陷也,舍此三者,余皆不得灸。若病在两寸者及腹皮急甚者,当从阴引阳取穴于腹募,五脏病取五脏募,六腑病取六腑募。若病在两尺脉者,当从阳引阴,取穴于背腧,五脏病取五脏腧,六腑病取六腑腧。元气病取六腑腧募,筋骨有形病者取五脏募。其病不在天之阳,不在地之阴,在腹中者,故取季胁下一寸。元气病取之右,筋骨病取之左,故在中者旁取之。此其理也,灸者认取之。)
〔《灵枢》〕黄帝曰:刺节言振埃,夫子乃言刺外经,去阳病,余不知其所谓也,愿卒闻之。岐伯曰:振埃者,阳气大逆,上满于胸中,愤 [缺字] 肩息,大气逆上,喘喝坐伏,病恶埃烟,KT [缺字],不得息,请言振埃,尚疾于振埃。黄帝曰:善。取之何如?岐伯曰,取之天容。黄帝曰:其咳上气,穷 [缺字] 胸痛者,取之奈何?岐伯曰:取之廉泉。黄帝曰:取之有数乎?岐伯曰:取天容者,无过一里,取廉泉者,血变而止。帝曰:善哉(刺节真邪篇 KT [缺字],于结反。阳迎头痛,胸满不得息,取之人迎。(寒热病篇阳迎,阳逆也。)气逆上,刺膺中陷者与下胸动脉。(杂病篇)
刺灸喘满有六法:
其一取阳气,上四节经文所言者是也。
其二取肺。经云:“肺手太阴之脉,是动则病肺胀满膨膨而喘咳,缺盆中痛,甚则交两手而瞀。”所生病者,咳上气喘渴,烦心,胸满,视盛虚热寒陷下取之也。又云:“邪在肺则皮肤痛,寒热上气喘,汗出咳动肩背,取之膺中外 [缺字] 背三节五椎之傍,以手疾按之,快乃刺之,取之缺盆之中以越之。”又云:“肺病者,喘咳逆气,肩背痛,取其经太阴足太阳之外,厥阴内血者。”王冰注谓内外之间,是足少阴经也。又云:“肺藏气,气有余则喘咳上气,泻其经隧,无伤其经,无出其血,无出其气。”杨注谓经隧为列缺穴也。又云:“气乱于肺,则俯仰喘喝,接手以呼取之,手太阴荥足少阴输是也。”
其三取大肠。经云:“腹中常鸣,气上冲胸,喘不能久立,邪在大肠,刺肓之原巨虚上廉三里。”又云:“邪客手阳明之络,令人气满,胸中喘息而支 [缺字],胸中热,刺手大指次指爪甲上去端如韭叶各一 [缺字],左取右,右取左,如食顷已是也。”
其四取肾。经云:“肾病者,喘咳身重,寝汗出,憎风,取其经少阴太阳血者是也。”
其五取脾。经云:“气满胸中喘急,取足太阴大指之端,去爪甲如韭叶,寒则留之,热则疾之,气下乃止。”
其六取脾喘。《内经》详文具痹。
〔《千金方》〕灸嗽。两乳黑白际二穴,脊后三穴。曾灸族侄喘,灸后一月,喘发,大吐痰一桶许而安。(见效针灸条下。)
〔《玉机微义》〕治喘哮:天突(针入向下五分,泻五吸) 中府(三分,三呼) 旋玑(三分,泻三吸)
气海 府(一分,沿皮向外一寸半,泻六吸) 乳根(一分,沿皮向外一寸半,泻一吸)
〔《摘玄方》〕五膈气喘息不止:中脘(八分) 期门(凡剌腹部,气虚人内息六七口,下入丹田,闭气剌之)
〔《集验方》〕哮喘,灸刺上穴不愈者,可选用之:膏肓 关元 中脘 三里 百劳 肾俞(各灸之。) 支沟 大陵
〔东阳〕哮喘,诸穴选用之:天容 噫嘻 气舍 扶突 太白(剌) 魄户 中府 大包 中府 云门 石门 期门(各灸之)
〔《怪穴》〕气喘:乳中(在乳下肋中针入一分,沿皮向后一寸半,泻之)
〔《甲乙经》〕喘少气不足以息,腹满,大便难,时上走,胃中鸣,胀满,口舌干,口中吸吸,善惊,咽中痛,不可内食,善怒恐不乐,大钟主之。咳,肠下积聚而喘逆,卧不安席,时寒热,期门主之。
〔《甲乙经》〕喘逆鼽衄,肩胛内廉痛,不可俯仰, [缺字] 季胁引少腹而痛胀,噫嘻主之。
〔《怪穴》〕妇人血弱气喘:气中(在气海旁一寸半,针入二寸半,先补后泻。)
〔成无己〕喘者,肺主气,形寒饮冷则伤肺,故其气逆而上行,冲急喝喝而息数,张口抬肩,摇身滚肚,是为喘也。
喘鸣肩息者,脉实大也,缓则生,急则死。(全文见小儿喘 王冰注云:“缓谓纵缓,急谓弦急,非来往之缓急也。”)
Powder the herbs, mix evenly, soak steamed bread in ginger juice to make pills, sized like radish seeds. Take thirty pills each time, swallow slowly. Another method for arresting asthma uses ginger juice and honey refined pills, sized like sophora seeds. Take seventy to eighty pills, hold in mouth to dissolve and swallow, to stop the asthma.
[Li Gao] Huatan Wan (Phlegm-Resolving Pill): Strengthens spleen, regulates qi, resolves phlegm, and digests food; treats chronic asthma that comes and goes, with excellent effect.
Banxia (Pinelliae Rhizoma, washed) Nanting (Arisaematis Rhizoma, peeled and membrane removed) Baifan (Alumen) Zaojiao (Gleditsiae Fructus, chopped) Shengjiang (Zingiberis Rhizoma Recens)
Each of the above one jin, boil Nanting in water until no white spots remain, discard Zaojiao, slice Shengjiang, dry together with Banxia and Nanting in sun or bake over fire.
Add:
Qingpi (Citri Reticulatae Pericarpium Viride, pith removed) Chenpi (Citri Reticulatae Pericarpium, albedo removed) Zisuzi (Perillae Fructus, stir-fried) Luobozhi (Brassicae Semen, stir-fried, separately ground) Gan Ge (Puerariae Radix) Xingren (Armeniacae Semen Amarum, skin and tip removed, separately ground)
Shenqu (Massa Medicata Fermentata, stir-fried) Maiya (Hordei Fructus Germinatus, stir-fried) Shanzha (Crataegi Fructus) Xiangfuzi (Cyperi Rhizoma, hair removed)
Each of the above half a jin, mix cleanly with previous herbs, grind into fine powder, use ginger juice soaked steamed bread paste to form pills, sized like sophora seeds. Take fifty to seventy pills each time, after meals before sleep, taken down with tea water.
[Zhang Zhongjing] If a patient drinks much water, sudden asthma and chest fullness will occur.
[Li Dongyuan] Baizhu San (Atractylodis Macrocephalae Powder): Treats drinking cold wine in summer, generating phlegm and diaphragmatic fullness. (Formula see Cough Spleen Lung section.)
[Zhu Danxi] Asthma with heart pain. Stir-fry Banxia in oil, grind into powder, make pills with congee, take thirty pills with ginger water.
Xiao sou (Wheezing cough) must use vomiting method. In vomiting medicines, use more vinegar, do not use cooling medicines.
He Xian San (Mild Saliva Dispersing Powder) by Zihe (see Treatment Method Upper Excess section.)
[Worldly Transmission] Treating asthma. Use seven ancient coins, seven salt plums, one cup of water, soak together for two nights, drink one sip each time, on empty stomach, after a long while vomit out bad phlegm and it is effective.
[Li Dongyuan] Bing Ji (Pathogenesis) says: "All atrophy syndromes, asthma, and vomiting belong to the Upper." Analysis says: Taiyang disease experts discuss asthma and vomiting as heat-fire, this clearly states excess pathogen attacking from outside, cold transforming into heat, heart fire too strong attacking lung, thus belonging to Upper Jiao. Also says: People consuming rich foods, over-nourished, and those who overly dote on children, can also accumulate heat in Upper Jiao causing asthma and cough, should be treated with sweet-cold agents. Mai Jing (Pulse Classic) also says: "Lung excess leads to cough, upward qi, asthma, thirst, vexation, chest fullness, shortness of breath," all caused by Chong Mai (Penetrating Vessel) fire moving in chest, root in Lower Jiao, not belonging to Upper Jiao. Generally, deficiency pathogens in miscellaneous diseases arise from excess pathogenesis, originally root-branch transmission, mostly said to be diet, labor, unregulated emotions, cold/heat of food/water, pathogen harms Six Fu organs, all due to Middle Qi deficiency, abdominal distension/fullness, cough/asthma/vomiting, inability to eat, all treated with large sweet-acrid-hot agents, immediately cured. Now establish two formulas for Heat Asthma and Cold Asthma below.
Renshen Pingfei San (Ginseng Peace-Lung Powder): Treats Heart Fire punishing Lung, transmitting to Fei Wei (Lung Atrophy), cough, asthma, vomiting, abundant phlegm-saliva, chest-diaphragm stuffiness, throat obstruction.
Sangbaipi (Mori Cortex, one qian) Zhimu (Anemarrhenae Rhizoma, seven fen) Gancao (Licorice Root, roasted, five fen) Fuling (Poria, four fen) Digupi (Lycii Cortex, five fen) Tianmendong (Asparagi Radix, four fen)
Qingpi (three fen) Wuweizi (Schisandrae Fructus, thirty grains) Chenpi (three fen) Renshen (Panacis Ginseng Radix, five fen)
Chop into pieces, make one dose, decoct in water, warm take after meal. If heat severe add Huangqin (Scutellariae Radix) four fen, Zisuye (Perillae Folium), Banxia each five fen.
Renshen Suwen Feitang (Ginseng & Perilla Warming-Lung Decoction): Treats body cold and drinking cold injuring Lung, asthma, vexation, chest fullness, shortness of breath unable to diffuse smoothly.
Renshen (Panacis Ginseng Radix) Rougui (Cinnamomi Cortex) Gancao (Licorice Root) Muxiang (Aucklandiae Radix) Wuweizi (Schisandrae Fructus) Chenpi (Citri Reticulatae Pericarpium) Banxia (Pinelliae Rhizoma, processed) Sangbaipi (Mori Cortex) Baizhu (Atractylodis Macrocephalae Rhizoma) Zisu Jingye (Perillae Caulis et Folium) (each two liang)
Baifuling (Poria, one liang)
Chop into pieces, take five qian each time, one and a half cups water, three slices ginger, decoct to seven tenths, remove dregs, warm take after meal. If winter cold, each time add Mahuang (Ephedrae Herba) without joints half fen, decoct first to remove foam, then add other herbs.
[Zhu Danxi] Asthma includes Yin Deficiency where fire rises from lower abdomen upwards, and Phlegm-Fire rushing up. Use Siwu Tang (Four Substances Decoction) added Qingdai (Indigo Naturalis), Zhuli (Bambusa Textilis Caulis Succus), Chenpi, decoct with Tongbian (Child's Urine) and take.
[Li Dongyuan] Tiaozhong Yiqi Tang (Regulate-Middle Boost-Qi Decoction) modification methods. (Formula see Treat Deficiency-Excess section.)
If in autumn/winter, Stomach pulse channels are reversed by Chong Mai, along with Shaoyang pulse channels under ribs rising upwards, disease named Jue Ni (Reversal Cold), symptoms qi rushing to throat unable to breathe, asthma with sound unable to lie down, add Zhuyu (Euodiae Fructus) five fen or one qian, wash with water to remove bitterness, observe amount of Jue Qi and use accordingly. If summer has this symptom, it is Great Heat, this symptom follows four seasons' cold/heat/warm/cool, use Jiu Huanglian (Huanglian soaked in wine), Jiu Huangbai (Huangbai soaked in wine), Jiu Zhimu (Zhimu soaked in wine) equal parts ground to fine powder, hot water pills sized like sophora seeds, take two hundred pills each time, plain water delivery, empty stomach take, still drink much hot water, after taking briefly press with good food, prevent staying in Stomach, reaching Lower Yuan to drain Chong Mai pathogen. Generally treating diseases from diet/labor fatigue, these are Xu Lao Seven Damages syndromes, should use warm-ping sweet-many acrid-few drugs to treat, this is standard method. If seasonal cold/heat diseases appear, these are Four Seasons syndromes. Or if care is improper, or alcohol/food excessive, or acrid-hot food causes disease, or cold food causes disease, or living in extreme cold/heat worsens disease, should adapt temporarily, temporarily use great cold/great heat treatment methods to gain effect, this is flexibility, cannot use long-term just because effective, must lead to premature death. Huangdi Zhenjing (Yellow Emperor's Needle Classic) says: "From below upwards, draw and disperse it. Upper Qi insufficient, push and raise it." Upper Qi refers to Heart/Lung Upper Jiao Qi, Yang disease in Yin, draw from Yin to Yang, should use Kidney/Liver Lower Jiao drugs to guide sweet-many acrid-few drugs, to raise Spleen/Stomach Qi, and subsequently expel pathogen from Cou Li (interstices) and skin/hair. Also says: "View previous pain, should first select points." First use Miu Ci (Mis-sticking) to drain meridian blockage, because blood coagulates and does not flow, so select first then treat other diseases.
Jiajian Xiebai San (Modified Draining-White Powder): Treats Yin Qi below, Yang Qi above, cough/vomit/asthma urgency.
Sangbaipi (Mori Cortex, one liang) Qingpi (Citri Reticulatae Pericarpium Viride, two liang) Fuling (Poria, three qian) Digupi (Lycii Cortex, seven qian) Gancao (Licorice Root) Chenpi (Citri Reticulatae Pericarpium) Wuwei (Schisandrae Fructus) Renshen (Panacis Ginseng Radix) (each five fen)
Chop into pieces, take four qian each time, one and a half cups water, add dozens of Jingsmi (Oryza Sativa Granum), decoct together, remove dregs, warm take, after meal.
When resting, Qi is peaceful; when moving, Qi is rushed and asthmatic, this is also Chong Mai fire. My clan brother over sixty years old, has chronic asthma syndrome, sometimes spits blood-phlegm, when resting does not asthmatic, slightly moving then Qi rushed and asthma urgent. Use Huangbai Zhimu Zishui Wan (Phellodendron & Anemarrhena Nourishing-Kidney Pill), take seventy to eighty pills empty stomach, symptoms greatly reduced. This Huangbai (Phellodendri Cortex) and Zhimu (Anemarrhenae Rhizoma) can drain Chong Mai fire, such efficacy.
[Zhu Danxi] Treat sudden upper asthma wheezing breath wanting to die, grind Jiuzhi (Allii Tuberosi Juice) drink one sheng, recovered. Because Ji removes chest bad blood and stagnant Qi.
[Shiliao] Mainly treats Shang Qi (Upper Qi) cough, chest-diaphragm obstructive fullness asthma. Taoren (Persicae Semen) two liang skin/tip removed, use one sheng water, grind to get juice, mix with Erge Jingsmi (Oryza Sativa Granum) two he, cook porridge and eat.
All Qi anger/stagnation belongs to Lung. (Full text see Diagnosis Wang Note says: "Fen, means angry stagnation rushing.")
[Jianyao Jizhong Fang] Treats Lung Qi asthma cough. Madouling (Aristolochiae Fructus) two liang, only use inner seeds, remove shell, Qiushi (Halotum) half liang, put in bowl mix evenly, slow fire stir-fry dry, Gancao (Licorice Root) one liang roasted, two ingredients ground to powder one qian, one cup water, decoct six tenths, warm sip, hold medicine powder in mouth, swallow saliva is also okay. (Yanyi says: "Treats Lung Qi better.")
[Li Dongyuan] Jiajian Sanqi Tang (Modified Three-Awesome Decoction): Treats cough/asthma/upward Qi, phlegm-saliva asthma urgency, chest-diaphragm unfavorable.
Jiegeng (Platycodonis Radix) Banxia (Pinelliae Rhizoma) Chenpi (Citri Reticulatae Pericarpium) Gancao (Licorice Root) Qingpi (Citri Reticulatae Pericarpium Viride) Xingren (Armeniacae Semen Amarum) Renshen (Panacis Ginseng Radix) Wuweizi (Schisandrae Fructus) (equal parts)
Chop into pieces, take four qian each time, two cups water, two slices ginger, decoct to one cup, remove dregs, pass mouth after meal take.
[Luo Tianyi] Zishen San (Purple Root Powder): Treats body cold drinking cold injuring Lung, asthma urgency phlegm-saliva, unable to rest lying down.
Suke (Papaveris Pericarpium, one liang, honey roast yellow) Mahuang (Ephedrae Herba) Jiegeng (Platycodonis Radix) Zishen (Scrophulariae Radix) Gancao (Licorice Root, roasted) Wuwei (Schisandrae Fructus) (each five qian)
Chop into pieces, take four qian each time, two cups water, three slices ginger, decoct together remove dregs, after meal take.
[Yun Qizi] Qingjin Tang (Clear-Gold Decoction): Treats men/women regardless of duration Lung Qi cough, upper asthma urgency, throat phlegm sound, chest fullness Qi reversal, sitting/lying uneasy, eating/drinking unable.
Suke (Papaveris Pericarpium, honey roast) Renshen (Panacis Ginseng Radix) Gancao (Licorice Root) (each half liang) Chenpi (Citri Reticulatae Pericarpium) Fuling (Poria) Xingren (Armeniacae Semen Amarum) Ejiao (Asini Corii Colla, stir-fried) Wuweizi (Schisandrae Fructus) Sangbaipi (Mori Cortex) Yiyiren (Coicis Semen)
Zisu (Perillae Folium) Baihe (Lilii Bulbus) Beimu (Fritillariae Cirrhosae Bulbus, heart removed) Banxia Qu (Pinelliae Rhizoma Fermentatum) Kuandonghua (Farfarae Flos) (each one liang)
Chop into pieces, take five qian each time, three slices ginger, two dates, one wumei (Mume Fructus), decoct in water, before sleep take.
Lung deficiency leads to little Qi and asthma. Classic says: "Autumn pulse is Lung. Autumn pulse insufficient, then asthma, breathing little Qi and cough, Shang Qi seeing blood, below hear disease sound." Its treatment method is Mendong (Asparagi Radix), Wuwei (Schisandrae Fructus), Renshen (Panacis Ginseng Radix) etc. Fei Bi (Lung Obstruction) Fei Ji (Lung Accumulation), then chronic asthma not stopping. Classic says: "Excessive Qi wheezing, Bi gathers in Lung." Also says: "Fei Bi, vexation/fullness asthma and vomiting," this is Fei Bi and asthma. Treatment method either release exterior, or induce vomiting, make Qi diffuse smooth and cure. Nan Jing (Classic of Difficult Issues) also says: "Lung accumulation named Xi Ben, under right hypochondrium like cup, long time not stopping, makes people cough/asthma, develop Fei Yong (Lung Abscess)." Treatment method Xi Ben Wan can grind its accumulation.
Wei Asthma then body heat and vexation. Classic says: "Stomach is Qi reversal." Also says: "Invaded by thief wind/empty pathogen Yang receives it, Yang receives it then enters Six Fu organs, enters Six Fu organs then body heat not sleeping often, above becomes asthma/calling." Also says: "Yangming Jueze then asthma and [missing char], [missing char] then hates people, or asthma dying, or asthma living, why? Jue Ni connecting Zang dies, connecting Jing lives is it." [Missing char], Wang Note says heat internally depressed and vexation. All this Wei Asthma treatment method, should use Jiajian Baihu Tang (Modified White Tiger Decoction) etc.
Shen Asthma then vomiting/cough. Classic says: "Shaoyin called vomiting/cough/Shang Qi/Asthma, Yin Qi below, Yang Qi above, all Yang Qi floating, no basis/following, thus vomiting/cough/Shang Qi/Asthma." Dongyuan treats with Xiebai San is it.
Yun Qi (Luck/Qi Movement), Asthma has three:
One is Metal assisting Lung excess and asthma. Classic says: "Year Metal excessive, disease severe then asthma/cough Qi reversal, shoulder back pain." Also says: "Year Metal excessive named Jian Cheng, Jian Cheng era, its disease asthma drinking, chest leaning仰息 (looking up to breathe)." Treatment with warm agents is it.
Two is Fire attacking Lung deficiency and asthma. Classic says: "Year Fire excessive, hot summer flowing, Lung Metal receiving pathogen, people disease little Qi cough/asthma, above approaching Shaoyin Shaoyang, cough/asthma/wheezing sound." Also says: "Shaoyin ruling Heaven, Heat excessive winning, disease cold/heat asthma/cough, severe then Lung swelling, big abdomen full bloating and asthma/cough." Also says: "Shaoyin ruling Earth, Heat excessive winning, disease Qi rushing to chest, asthma unable to stand long." Treatment with salty-cold is it.
Three is Wind/Fire becoming Qi reversal. Classic says: "Wood excessive named Fa Sheng, Fa Sheng era, above slight then its Qi reversal is it."
[Lingshu] Yellow Emperor says: Wei Qi staying in abdomen, accumulating not moving, stored not getting normal place, making people limbs/hypochondrium Stomach middle full, asthma/calling/reverse breath, how to remove it? Bo Gao says: Qi accumulating in chest, take above; accumulating in abdomen, take below; both above/below full, take side. Yellow Emperor says: How to take? Bo Gao answers: Accumulating above, drain Daying, Tiantu, throat middle; accumulating below, drain Sanli and Qichong; both above/below full, take above/below, and one cun below costal margin. Heavy ones, chicken-foot take. Diagnose pulse big and string-tense, and absent arriving, and abdominal skin very tight, cannot needle. (Wei Qi Chang Lun Hard to take correctly, straight insert one needle, left/right slant insert two needles, like chicken foot three claws. Dongyuan says, big cannot needle suitable for moxibustion, one is deep cold pain cold, two is no pulse know Yang absolute, three is abdominal skin tight and Yang sinking, abandon these three, rest all cannot moxa. If disease in two Cun positions and abdominal skin very tight, should draw from Yin to Yang take points on Abdomen Mu, Five Zang disease take Five Zang Mu, Six Fu disease take Six Fu Mu. If disease in two Chi pulses, should draw from Yang to Yin take points on Back Shu, Five Zang disease take Five Zang Shu, Six Fu disease take Six Fu Shu. Yuan Qi disease take Six Fu Shu/Mu, Jin Gu tangible disease take Five Zang Mu. Disease not in Heaven Yang, not in Earth Yin, in abdomen, thus take one cun below costal margin. Yuan Qi disease take right, Jin Gu disease take left, thus in middle take side. This is principle, moxa practitioners recognize taking.)
[Lingshu] Yellow Emperor says: Ci Jie (Needle Sections) says Zhen Ai (Shaking Dust), Master says Ci Wai Jing (Outer Meridians), remove Yang disease, I don't know what it means, wish to hear completely. Qibo says: Zhen Ai, Yang Qi great reversal, above full in chest, Fen [missing char] shoulder breath, Da Qi (Great Qi) reverses up, asthma drinking sit/lie, disease hates dust/smoke, KT [missing char], unable to breathe, please say Zhen Ai, still faster than shaking dust. Yellow Emperor says: Good. How to take? Qibo says, take Tianrong. Yellow Emperor says: His cough/Shang Qi, Qiong [missing char] chest pain, how to take? Qibo says: Take Lianquan. Yellow Emperor says: Taking have number? Qibo says: Take Tianrong, no over one li, take Lianquan, blood change and stop. Emperor says: Excellent (Ci Jie Zhenxie Pian KT [missing char], reverse at jie. Yang Ying head pain, chest full unable to breathe, take Renying. (Hanre Bing Pian Yang Ying, Yang reversal.) Qi reverses up, Ci Ying middle depression and lower chest artery. (Zabing Pian)
Ci/Jiu Asthma Fullness has six methods:
First take Yang Qi, above four sections of classic text speak of is it.
Second take Lung. Classic says: "Lung Hand Taiyin Meridian, is move then disease Lung swelling full bloating and asthma/cough, Quepen middle pain, severe then cross two hands and Mao (blurred vision). Generated disease, cough/Shang Qi/asthma/thirst, vexation, chest full, view excess/deficiency heat/cold depression take." Also says: "Pathogen in Lung then skin pain, cold/heat/Shang Qi/asthma, sweat/cough move shoulder/back, take Ying Zhong Wai [missing char] Back three segments fifth vertebra beside, with hand fast press, fast then Ci, take Quepen middle to vent it." Also says: "Lung disease, asthma/cough/reverse Qi, shoulder/back pain, take its meridian Taiyin Foot Taiyang outside, Jueyin inside blood." Wang Note says inside/outside between, is Foot Shaoyin Meridian. Also says: "Lung stores Qi, Qi excess then asthma/cough/Shang Qi, drain its Jing Sui (Meridian Tunnel), do not injure its Jing, do not exit its blood, do not exit its Qi." Yang Note says Jing Sui is Lieque point. Also says: "Qi chaotic in Lung, then bend/stretch asthma drinking, receive hand to call take, Hand Taiyin Ying Foot Shaoyin Shu is it."
Third take Large Intestine. Classic says: "Abdomen usually ringing, Qi rushes to chest, asthma unable to stand long, pathogen in Large Intestine, Ci Huang Zhi Yuan Ju Xu Shang Lian Sanli." Also says: "Pathogen guest Hand Yangming Luo, makes people Qi full, chest middle asthma and Zhi [missing char], chest middle heat, Ci Hand Big Finger Second Finger Nail Plate go end like Leek Leaf each one [missing char], Left take Right, Right take Left, like meal time already is it."
Fourth take Kidney. Classic says: "Kidney disease, asthma/cough body heavy, night sweat out, hate wind, take its meridian Shaoyin Taiyang blood is it."
Fifth take Spleen. Classic says: "Qi full chest middle asthma urgent, take Foot Taiyin Big Finger end, away nail like Leek Leaf, cold then leave it, heat then quick it, Qi down then stop."
Sixth take Spleen Asthma. Neijing detailed text complete Bi.
[Qianjin Fang] Jiu Sou (Moxa Cough). Two breasts black/white boundary two points, spine back three points. Once moxa clan nephew asthma, moxa after one month, asthma flare, great vomit phlegm one bucket roughly and safe. (Effective acupuncture/moxa section below.)
[Yuji Wei Yi] Treat Asthma Xiao: Tiantu (Needle enter down five fen, drain five inhales) Zhongfu (three fen, three exhales) Xuanji (three fen, drain three inhales)
Qihai Fu (one fen, along skin outward one cun half, drain six inhales) Rugen (one fen, along skin outward one cun half, drain one inhale)
[Zhai Xuan Fang] Wu Ge Qi Asthma Not Stop: Zhongwan (eight fen) Qimen (凡剌腹部, Qi deficient person internal breath six/seven mouths, down enter Dantian, close breath Ci it)
[Ji Yan Fang) Xiao Shuan, moxa/Ci above points not cured, can select use: Gaohuang Guanyuan Zhongwan Sanli Bailao Shenshu (each moxa.) Zhigou Daling
[Dongyang] Xiao Shuan, various points select use: Tianrong Yixi Qishe Futu Taibai (Ci) Pohu Zhongfu Dabao Zhongfu Yunmen Shimen Qimen (each moxa)
[Guai Xue] Qi Chuan: Ruzhong (Under breast rib middle needle enter one fen, along skin backward one cun half, drain it)
[Sang] Xiao Shuan: Fenglong (three cun half)
[Jiegu] Chuan Man Tan Shi, mouth like glue: Taixi
[Jia Yi Jing] Chuan Shao Qi Bu Zu Yi Xi, Fu Man, Da Bian Nan, Shi Shang Zou, Wei Zhong Ming, Zhang Man, Kou She Gan, Kou Zhong Xi Xi, Shan Jing, Yan Zhong Tong, Bu Ke Nei Shi, Shan Nu Kong Bu Le, Dazhong Zhu Zhi. Ke, Chang Xia Ji Ju Er Chuan Ni, Wo Bu An Xi, Shi Han Re, Qimen Zhu Zhi.
[Liu Zhu] Qi Cu Chuan: Tiantu
[Jia Yi Jing] Chuan Ni Qiu Nu, Jian Jia Nei Lian Tong, Bu Ke Fu Yang, [Missing Char] Ji Xie Yin Shao Fu Er Tong Zhang, Yixi Zhu Zhi.
[Guai Xue] Fu Ren Xue Ruo Qi Chuan: Qizhong (In Qihai side one cun half, needle enter two cun half, first tonify then drain.)
[Cheng Wuji] Chuan Zhe, Lung main Qi, Xing Han Yin Leng Ze Shang Fei, thus its Qi reverse and go up, Chong Ji He He Er Xi Shu, Zhang Kou Tai Jian, Yao Shen Gun Du, Shi Wei Chuan Ye.
Chuan Ming Jian Xi Zhe, Mai Shi Da Ye, Huan Ze Sheng, Ji Ze Si. (Full text see Pediatric Asthma Wang Note says: "Huan means loose/relaxed, Ji means string-tense, not coming/going huan/ji.")
[Mai Jing] Shang Qi Xuan Di Ang, Qi Mai Hua, Shou Zu Wen Zhe Sheng, Mai Se, Si Zhi Han Zhe Si.
[Zhu Danxi] Xiao Shuan must use thin flavors.
All Xia Tan Zou Chuan various formulas, apply to Xing Shi You Tan (Body solid having phlegm) ones, divine effect. If Yin Xu and Mai Fu Da An Zhi Se Zhe, cannot Xia (Drain/Purge), Xia Zhi Bi Fan Ju Er Si Ye.