【方歌】胁痈焮红高肿疼,疽坚塌漫冷不红,皆属肝胆怒火结,
迟溃败浆冷虚凶。
【注】此证生于软肋,有硬骨者为肋,肋下软肉处为季胁。痈
疽二证,皆由肝、胆怒火凝结而成,多生于体虚之人,
初如梅李,渐长如碗如盆,色红,焮痛,高肿,二七溃
破,脓稠为痈。若坚硬平塌,漫肿木痛,不红不热,月
余溃破稀脓为疽。若失治,届期不消,攻击成脓,肿如
鼓胀,破出败浆,腥臭脓者逆。痈疽二证,初肿时俱宜
急服柴胡清肝汤解郁泻火;如已成者,服托里透脓汤;
脓熟胀痛,俱用卧针开之;已溃,以排余脓、补气血为
要。余按痈疽溃疡门治法。投补不应者,难治。
方剂:柴胡清肝汤(见头部鬓疽)
托里透脓汤(见头部侵脑疽)
【方歌】肺痈肺热复伤风,肺脏生痈隐痛胸,状若伤寒燥欬甚,
稠浊痰涎腥臭脓。未溃射干麻黄汗,壅不得卧葶苈攻,
溃后脓稠能食吉,脓清兼血不食凶。
【注】此证系肺脏蓄热,复伤风邪,郁久成痈,以致胸内中府
穴隐隐疼痛,振寒脉数,状类伤寒,咽躁不渴,欬而喘
满,唾稠粘黄痰,兼臭秽脓血也。治之者于未溃时,乘
脓未成,风郁于表者,法宜疏散,用射干麻黄汤以汗之
。如气壅喘满,身不得卧者,急服葶苈大枣汤以泻之;
如欬有微热,烦满胸中,甲错,脓欲成者,宜千金苇茎
汤以吐之;若吐脓腥臭,形如米粥者,宜桔梗汤以排余
脓;若吐脓腥臭,欬而胸满者,宜外台桔梗白散,以开
瘀塞;若咯吐脓血,兼午后身热烦躁,宜金鲤汤主之,
兼饮童便。若溃后胸膈胁肋,隐痛不止,口燥咽干,烦
闷多渴,自汗盗汗,眠卧不得,欬吐稠痰腥臭,此系痈
脓不尽,而兼里虚,宜宁肺桔梗汤主之;若痈脓已溃,
喘满腥臭,浊痰俱退,惟欬嗽咽干,咯吐痰血,胁肋微
痛,不能久卧者,此属肺痈溃处未敛,宜紫苑茸汤清补
之,渴甚去半夏加石膏服之;若痈脓溃后,欬嗽无休,
脓痰不尽,形气虚赢者,宜清金宁肺丸主之。凡治此证
,惟以身温脉细,脓血交粘,痰色鲜明,饮食甘美,脓
血渐止便润者为吉;若手掌皮粗,溃后六脉洪数,气急
颧红,污脓白血,懒食及大便结燥者为凶。
中府穴又名肺募,在乳上第三根肋骨间。
方剂:射干麻黄汤
组成:射干(十三枚或三两) 麻黄
生姜(各四两) 细辛
紫苑 款冬花(各三两)
大枣(七枚) 五味子
半夏(洗,各半升)
水煎温服。
【方歌】射干麻黄欬上气,肺痈喉中水鸡声,射麻生姜辛苑夏,
五味大枣并款冬。
又方:葶苈大枣汤
组成:苦葶苈(轻者五钱,重者一两)
大枣(去核,轻者五枚,重者十枚)
以水三钟,煎至一钟,服之。
【方歌】葶苈大枣治肺壅,欬不得卧有痈脓,葶苈苦寒泻实热,
佐枣之甘和胃经。
又方:千金苇茎汤
组成:苇茎(二升) 薏苡仁(炒)
瓜瓣(即冬瓜仁,各半升)
桃仁(去皮、尖、炒、研,五十粒)
水煎服。
【方歌】千金苇茎肺痈欬,微热烦满吐败浊,皮肤甲错宜苇茎,
薏以桃仁瓜辨合。
又方:桔梗汤
组成:苦桔梗(一两) 甘草(生,二两)
水煎服。
【方歌】桔梗汤用排余脓,肺痈吐脓米粥形,清热解毒须甘草,
开湜肺气桔梗功。
又方:外台桔梗白散
组成:苦桔梗 贝母(各三分)
巴豆(去皮熬,研如脂,一分)
上三味为散。强人饮服半钱匕,羸者减之。病在膈
上者吐脓,在膈下者泻出。若下多不止,饮冷水一杯则
定。
【方歌】外台桔梗白散方,肺痈便秘服之良,桔梗贝母与巴豆,
药微方大功速强。
又方:金鲤汤
组成:金色活鲤鱼(约四两重,一尾)贝母(二钱)
先将鲤鱼连鳞剖去肚肠,勿经水气,用贝母细末掺
在鱼肚内,线扎之,用上白童子便半大碗,将鱼浸童便
内,重汤炖煮,鱼眼突出为度;少顷取出,去鳞骨,取
净肉,浸入童便内,炖热。肉与童便作二、三次,一日
食尽一枚,其功效甚捷。
【方歌】金鲤汤中效罕稀,法同贝母活鲤鱼,童使浸鱼重汤炖,
肺痈烦热善能医。
又方:宁肺桔梗汤
组成:苦桔梗 贝母(去心)
当归 栝蒌仁(研)
生黄耆 枳壳(麸炒)
甘草节 桑白皮(炒)
防己 百合(去心)
薏苡(炒,各八分) 五味子
地骨皮 知母(生)
杏仁(炒,研) 苦葶苈(各五分)
水二钟,姜三片,煎八分,不拘时服。
欬甚倍加百合。身热加柴胡、黄芩。大便不利,加
蜜炙大黄一钱。小水涩滞,加灯心、木通。烦躁痰血加
白茅根。胸痛加人参、白芷。
【方歌】宁肺桔梗肺痈耆,归蒌贝壳甘桑皮,防己百合葶五味,
杏知苡仁地骨宜。
又方:紫苑茸汤
组成:紫苑茸 犀角(末)
甘草(炙) 人参(各五分)
桑叶(用经霜者) 款冬花
百合(去心) 杏仁(炒,研)
阿胶(便润炒用,便燥生用)贝母(去心)
半夏(制) 蒲黄(生,各七分)
引姜三片,水二钟,煎八分,将犀角末调入,食后
服。
【方歌】紫苑茸汤参犀角,款冬桑叶杏百合,阿胶甘夏贝蒲黄,
专医肺痈不久卧。
又方:清金宁肺丸
组成:陈皮 白茯苓
苦桔梗 贝母(去心)
人参 黄芩(各五钱)
麦冬(去心) 地骨皮
银柴胡 川芎
白芍(炒) 胡黄连(各六钱)
五味子 天冬(去心)
生地(酒浸,捣膏) 熟地(捣膏)
归身 白术(炒,各一两)
甘草(炙,三钱)
上为细末,炼蜜为丸,如梧桐子大,每服七十丸。
食远白滚汤送下。
【方歌】清金宁肺丸肺痈,陈苓桔贝参二冬,柴芩归芍黄连草,
术味生熟地骨芎。
【方歌】胁部痈肿红肿高起疼痛,疽则坚硬塌陷、漫肿发冷且不红,二者皆因肝胆怒火郁结所致,
若溃破迟缓、流出败浊脓液且伴有虚寒症状则为凶险之兆。
【注】此证生于软肋部位,有硬骨支撑处称为“肋”,肋骨下方柔软肌肉处称为“季胁”。痈和疽两种病症,都是由肝、胆之火郁结凝结而成,多发生于体质虚弱之人。初期像梅子或李子大小,逐渐增大如碗如盆,颜色发红,灼热疼痛,高高肿起,十四天左右溃破,脓液稠厚者为痈。若肿块坚硬平塌,漫肿麻木疼痛,不红不热,一个月左右溃破,流出稀薄脓液者为疽。如果治疗不当,到期未消散,反而攻冲成脓,肿胀如鼓胀状,破溃后流出败浆样腥臭脓液,属于逆证(预后不良)。痈和疽在初起肿胀时,都应当立即服用柴胡清肝汤以解郁泻火;如果已经成形,服用托里透脓汤;脓液成熟胀痛时,都用卧针切开排脓;已经溃破后,以排出剩余脓液、补益气血为关键。我按:参考痈疽溃疡门的治疗方法。投用补益药无效者,难以治愈。
方剂:柴胡清肝汤(见头部鬓疽章节)
托里透脓汤(见头部侵脑疽章节)
【方歌】肺痈由肺热复感风邪引起,肺脏生痈导致胸部隐痛,症状类似伤寒但燥咳严重,
痰涎稠浊且带有腥臭脓血。未溃破时用射干麻黄汤发汗,气壅不得平卧时用葶苈大枣汤攻下,
溃破后脓稠且能进食为吉兆,脓清稀兼有血且不能进食为凶兆。
【注】此证系肺脏蓄积热邪,又感受风邪,郁久形成痈肿,导致胸内中府穴隐隐作痛,恶寒脉数,症状类似伤寒,咽干躁扰但不口渴,咳嗽气喘胸闷,吐出稠粘黄痰,兼有腥臭脓血。治疗时,在未溃破阶段,趁脓液未完全形成,风邪郁于体表,治法宜疏散,使用射干麻黄汤发汗。如果出现气壅喘满,身体无法平卧的情况,急服葶苈大枣汤以泻肺实;如果咳嗽伴有微热,心中烦闷,皮肤粗糙如鳞甲(肌肤甲错),脓液即将形成,宜用千金苇茎汤催吐排脓;如果吐出腥臭脓液,形状如米粥,宜用桔梗汤排出余脓;如果吐出腥臭脓液,咳嗽且胸部胀满,宜用外台桔梗白散以开通瘀塞;如果咯吐脓血,兼有午后身热烦躁,宜用金鲤汤主治,并饮用童便。如果溃破后胸膈胁肋隐痛不止,口燥咽干,烦闷多渴,自汗盗汗,睡眠不安,咳嗽吐出稠痰腥臭,这是痈脓未尽且兼有里虚,宜用宁肺桔梗汤主治;如果痈脓已溃破,喘满腥臭,浊痰全部退去,仅剩下咳嗽咽干,咯吐痰血,胁肋微痛,不能久卧,这属于肺痈溃破处尚未收敛,宜用紫苑茸汤清补,口渴严重时去掉半夏加入石膏服用;如果痈脓溃破后,咳嗽不停,脓痰不尽,形体气息虚弱消瘦,宜用清金宁肺丸主治。凡是治疗此证,只要身体温暖、脉象细弱、脓血交粘、痰色鲜明、饮食甘美、脓血逐渐停止且大便通畅的为吉兆;如果手掌皮肤粗糙,溃破后六脉洪大数急,气促颧红,脓液污秽带白血,食欲不振且大便干结的为凶兆。
中府穴又名肺募,位于乳头上第三根肋骨间。
方剂:射干麻黄汤
组成:射干(十三枚或三两) 麻黄
生姜(各四两) 细辛
紫菀 款冬花(各三两)
大枣(七枚) 五味子
半夏(洗净,各半升)
用水煎煮,温服。
【方歌】射干麻黄汤治疗咳嗽气逆,肺痈喉中有如水鸡叫声,方含射干、麻黄、生姜、细辛、紫菀、半夏,
加上五味子、大枣和款冬花。
又一方:葶苈大枣汤
组成:苦葶苈(轻症五钱,重症一两)
大枣(去核,轻症五枚,重症十枚)
用水三钟,煎至一钟,服用。
【方歌】葶苈大枣汤治疗肺气壅滞,咳嗽不得平卧且有痈脓,葶苈苦寒泻除实热,
佐以大枣之甘以调和胃经。
又一方:千金苇茎汤
组成:苇茎(二升) 薏苡仁(炒制)
瓜瓣(即冬瓜仁,各半升)
桃仁(去皮、尖,炒制,研碎,五十粒)
用水煎服。
【方歌】千金苇茎汤治疗肺痈咳嗽,伴有微热烦闷吐出败浊之物,皮肤粗糙如鳞甲者宜用苇茎,
配合薏苡仁、桃仁和瓜瓣。
又一方:桔梗汤
组成:苦桔梗(一两) 甘草(生用,二两)
用水煎服。
【方歌】桔梗汤用于排出余脓,肺痈吐出如米粥状的脓液,清热解毒需靠甘草,
宣通肺气全凭桔梗之功。
又一方:外台桔梗白散
组成:苦桔梗 贝母(各三分)
巴豆(去皮熬制,研如脂状,一分)
将以上三味药研为散剂。体强者每次服用半钱匕的量,体弱者减量。病位在膈上者通过呕吐排出脓液,病位在膈下者通过腹泻排出。如果泻下过多不止,喝一杯冷水即可止住。
【方歌】外台桔梗白散方,肺痈便秘者服用效果良好,方含桔梗、贝母与巴豆,
药力轻微而方效宏大,作用迅速且强劲。
又一方:金鲤汤
组成:金色活鲤鱼(约四两重,一条) 贝母(二钱)
先将鲤鱼连鳞剖开去除肚肠,注意不要接触生水,用贝母细末撒在鱼肚内,用线扎紧,取上半大碗童子便,将鱼浸在童子便中,隔水炖煮,直到鱼眼突出为止;稍后取出,去鳞骨,取净肉,再次浸入童子便中,炖热。鱼肉与童子便分二、三次,一天吃完一条鱼,其功效非常显著。
【方歌】金鲤汤疗效罕见,方法同贝母配活鲤鱼,童子便浸鱼隔水炖,
肺痈烦热善于医治。
又一方:宁肺桔梗汤
组成:苦桔梗 贝母(去心)
当归 栝蒌仁(研碎)
生黄芪 枳壳(麸炒)
甘草节 桑白皮(炒制)
防己 百合(去心)
薏苡(炒制,各八分) 五味子
地骨皮 知母(生用)
杏仁(炒制,研碎) 苦葶苈(各五分)
水二钟,生姜三片,煎至八分,不拘时间服用。
咳嗽严重者加倍加入百合。身体发热加柴胡、黄芩。大便不通利,加蜜炙大黄一钱。小便涩滞,加灯心草、木通。烦躁痰血加白茅根。胸痛加人参、白芷。
【方歌】宁肺桔梗汤治肺痈用黄芪,归蒌贝壳甘桑皮,防己百合葶五味,
杏知母苡仁地骨皮适宜。
又一方:紫菀茸汤
组成:紫菀茸 犀角(研末)
甘草(炙制) 人参(各五分)
桑叶(用经霜的) 款冬花
百合(去心) 杏仁(炒制,研碎)
阿胶(大便润者炒用,大便燥者生用)贝母(去心)
半夏(制过) 蒲黄(生用,各七分)
引药生姜三片,水二钟,煎至八分,将犀角末调入,饭后服用。
【方歌】紫菀茸汤含参犀角,款冬桑叶杏百合,阿胶甘夏贝蒲黄,
专治肺痈不能久卧之症。
又一方:清金宁肺丸
组成:陈皮 白茯苓
苦桔梗 贝母(去心)
人参 黄芩(各五钱)
麦冬(去心) 地骨皮
银柴胡 川芎
白芍(炒制) 胡黄连(各六钱)
五味子 天冬(去心)
生地(酒浸,捣膏) 熟地(捣膏)
归身 白术(炒制,各一两)
甘草(炙制,三钱)
以上药物研为细末,炼蜜为丸,如梧桐子大小,每次服用七十丸。
饭前用白开水送服。
[Prescription Verse] Carbuncle of the hypochondrium presents with redness, swelling, and pain; a carbuncle (ulcerative sore) is hard, sunken, diffuse, cold, and non-red. Both arise from the knotting of fire and anger in the Liver and Gallbladder. Delayed ulceration with foul pus and cold deficiency indicates a ominous prognosis.
[Annotation] This condition arises in the soft rib area; the part with hard bone is called "rib" (Lei), and the soft flesh below the ribs is called "hypochondrium" (Ji Xie). Both carbuncles (Yong) and ulcers (Ju) are caused by the condensation of Liver and Gallbladder fire, often occurring in individuals with weak constitutions. Initially, it resembles a plum or walnut, gradually growing to the size of a bowl or basin, with red color, burning pain, and high swelling. After fourteen days, it ulcerates with thick pus, which characterizes a carbuncle. If it is hard, flat, diffusely swollen, numb and painful, without redness or heat, and ulcerates after more than a month with thin pus, it is an ulcer. If mismanaged, failing to resolve by the expected time and instead attacking to form pus, with swelling like a drum and bursting to release foul-smelling, watery pus, it is a adverse sign (Ni). For both carbuncles and ulcers during the initial swelling stage, Chai Hu Qing Gan Tang (Bupleurum Liver-Clearing Decoction) should be taken urgently to relieve depression and purge fire. If already formed, Tuo Li Tou Nong Tang (Support Interior and Permeate Pus Decoction) should be taken. When pus is mature and causing distending pain, a lying needle should be used to open it. After ulceration, the key is to drain remaining pus and tonify Qi and Blood. Note: Refer to the treatment methods for ulcerated sores in the Carbuncle and Ulcer section. Cases where tonification fails are difficult to treat.
Prescriptions: Chai Hu Qing Gan Tang (See Head Section: Temporal Carbuncle); Tuo Li Tou Nong Tang (See Head Section: Brain-Infiltrating Ulcer).
[Prescription Verse] Lung abscess (Fei Yong) results from lung heat compounded by wind injury, causing hidden chest pain due to lung carbuncle. Symptoms resemble cold damage but with severe dry cough, thick turbid sputum, and foul-smelling pus. Before ulceration, She Gan Ma Huang Tang induces sweating; if qi stagnation prevents lying down, Ting Li Da Zao Tang attacks the excess. After ulceration, thick pus with ability to eat is auspicious; thin pus with blood and inability to eat is ominous.
[Annotation] This condition stems from heat accumulation in the lungs combined with wind pathogen invasion, leading to long-term stagnation and abscess formation. It causes hidden pain in the Zhongfu acupoint (LU-1) within the chest, chills, rapid pulse, symptoms resembling cold damage, throat dryness and irritability without thirst, cough with wheezing and chest fullness, and expectoration of thick, sticky yellow sputum mixed with foul-smelling pus and blood. During the pre-ulceration phase, while pus is not fully formed and wind is stagnant in the exterior, the method should be dispersing. Use She Gan Ma Huang Tang (Belamcanda and Ephedra Decoction) to induce sweating. If there is qi stagnation, wheezing, and inability to lie down, urgently take Ting Li Da Zao Tang (Descurainia Seed and Jujube Decoction) to purge. If cough is accompanied by slight fever, vexation, chest fullness, and skin roughness like scales (Jia Cuo), indicating impending pus formation, use Qian Jin Wei Jing Tang (Thousand-Gold Reed Stem Decoction) to induce vomiting/drainage. If foul-smelling pus resembling rice porridge is expectorated, use Jie Geng Tang (Platycodon Decoction) to drain residual pus. If foul-smelling pus is expectorated with cough and chest fullness, use Waitai Jie Geng Bai San (External Treasury Platycodon White Powder) to open blockages. If hemoptysis occurs with afternoon fever and restlessness, use Jin Li Tang (Golden Carp Decoction) as the main treatment, along with drinking child's urine. If after ulceration, there is persistent hidden pain in the chest, diaphragm, and hypochondrium, dry mouth and throat, vexation, excessive thirst, spontaneous and night sweats, insomnia, and coughing up thick foul sputum, this indicates incomplete abscess drainage with interior deficiency. Use Ning Fei Jie Geng Tang (Lung-Calming Platycodon Decoction). If the abscess has ulcerated, wheezing and foul smell cease, turbid sputum clears, but only cough, dry throat, hemoptysis, slight hypochondriac pain, and inability to lie long remain, this indicates the ulcerated site has not yet healed. Use Zi Yuan Rong Tang (Aster Root Decoction) for clearing and tonifying; remove Ban Xia and add Shi Gao if thirst is severe. If after ulceration, cough persists, pus-phlegm remains, and the body is emaciated with weak Qi, use Qing Jin Ning Fei Wan (Clear Metal Lung-Calming Pill). Generally, for this condition, warmth of the body, fine pulse, sticky pus and blood, bright sputum color, good appetite, cessation of pus/blood, and moist bowels indicate a good prognosis. Rough palms, surging and rapid pulses after ulceration, shortness of breath, malar flush, dirty pus with white blood, loss of appetite, and dry constipation indicate a bad prognosis.
Zhongfu Acupoint (LU-1), also known as the Front-Mu point of the Lung, is located between the third rib above the nipple.
Prescription: She Gan Ma Huang Tang
Composition: Belamcanda Rhizome (Shi Gan, 13 pieces or 3 liang), Ephedra Stem (Ma Huang), Fresh Ginger (Sheng Jiang, 4 liang each), Asarum Root (Xi Xin), Aster Root (Zi Yuan), Farflower Inula Flower (Kuan Dong Hua, 3 liang each), Jujube (Da Zao, 7 pieces), Schisandra Berry (Wu Wei Zi), Pinellia Tuber (Ban Xia, washed, 0.5 sheng each).
Decoct in water and take warm.
[Prescription Verse] She Gan Ma Huang treats cough and rebellious qi, lung abscess with sounds like a water frog in the throat. Contains She Gan, Ma Huang, Sheng Jiang, Xi Xin, Zi Yuan, Ban Xia, Wu Wei Zi, Da Zao, and Kuan Dong Hua.
Another Prescription: Ting Li Da Zao Tang
Composition: Descurainia Seed (Ting Li, 5 qian mild/1 liang severe), Jujube (Da Zao, pitted, 5 pieces mild/10 pieces severe).
Decoct in 3 zhong of water until 1 zhong remains, then take.
[Prescription Verse] Ting Li Da Zao treats lung obstruction, cough preventing lying down with abscess pus. Ting Li is bitter and cold to purge excess heat, assisted by Jujube's sweetness to harmonize the Stomach channel.
Another Prescription: Qian Jin Wei Jing Tang
Composition: Reed Stem (Wei Jing, 2 sheng), Coix Seed (Yi Yi Ren, stir-fried), Winter Melon Seeds (Gua Ban, i.e., Benincasa Semen, 0.5 sheng each), Peach Kernel (Tao Ren, peeled, tip removed, stir-fried, crushed, 50 grains).
Decoct in water and take.
[Prescription Verse] Qian Jin Wei Jing treats lung abscess cough, slight fever, vexation, expectoration of foul turbidity, and scaly skin. Combine Wei Jing with Yi Yi Ren, Tao Ren, and Gua Ban.
Another Prescription: Jie Geng Tang
Composition: Platycodon Root (Jie Geng, 1 liang), Licorice Root (Gan Cao, raw, 2 liang).
Decoct in water and take.
[Prescription Verse] Jie Geng Tang drains residual pus; lung abscess expectorates pus like rice porridge. Gan Cao clears heat and detoxifies, while Jie Geng opens and unblocks Lung Qi.
Another Prescription: Waitai Jie Geng Bai San
Composition: Platycodon Root (Jie Geng), Fritillaria Bulb (Bei Mu, 3 fen each), Croton Seed (Ba Dou, peeled, roasted, crushed to paste, 1 fen).
Grind the three ingredients into powder. Strong patients take half a qian bi dose with water; weak patients reduce the dose. If the disease is above the diaphragm, pus is vomited out; if below, it is discharged via diarrhea. If diarrhea is excessive and uncontrolled, drink one cup of cold water to stop it.
[Prescription Verse] Waitai Jie Geng Bai San is excellent for lung abscess with constipation. Contains Jie Geng, Bei Mu, and Ba Dou. Though the medicine is mild, the formula achieves great success quickly and strongly.
Another Prescription: Jin Li Tang
Composition: Golden Live Carp (approx. 4 liang, 1 fish), Fritillaria Bulb (Bei Mu, 2 qian).
First, scale and gut the carp, avoiding contact with tap water. Sprinkle finely ground Bei Mu inside the fish belly and tie securely. Place the fish in half a large bowl of child's urine (Tong Bian) and steam over boiling water until the fish eyes protrude. Remove shortly after, discard scales and bones, take the clean meat, and soak it again in child's urine, steaming until hot. Consume the meat and urine in two to three portions, finishing one fish per day. The effect is very swift.
[Prescription Verse] Jin Li Tang has rare efficacy, using the method of Bei Mu and live carp. Steamed in child's urine, it effectively treats lung abscess with vexation and heat.
Another Prescription: Ning Fei Jie Geng Tang
Composition: Platycodon Root (Jie Geng), Fritillaria Bulb (Bei Mu, heart removed), Angelica Root (Dang Gui), Trichosanthes Seed (Gua Lou Ren, crushed), Raw Astragalus Root (Sheng Huang Qi), Aurantium Fruit (Zhi Ke, bran-fried), Licorice Node (Gan Cao Jie), Mulberry Root Bark (Sang Bai Pi, fried), Stephania Root (Fang Ji), Lily Bulb (Bai He, heart removed), Coix Seed (Yi Yi, fried, 8 fen each), Schisandra Berry (Wu Wei Zi), Dendrobium Root (Di Gu Pi), Anemarrhena Rhizome (Zhi Mu, raw), Apricot Kernel (Xing Ren, fried, crushed), Descurainia Seed (Ting Li, 5 fen each).
Decoct 2 zhong of water with 3 slices of Ginger until 0.8 zhong remains. Take at any time.
Increase Bai He if cough is severe. Add Chai Hu and Huang Qin for fever. Add Honey-fried Rhubarb (1 qian) for constipation. Add Deng Xin Cao and Tong Cao for dysuria. Add Bai Mao Gen for restlessness and hemoptysis. Add Ren Shen and Bai Zhi for chest pain.
[Prescription Verse] Ning Fei Jie Geng uses Huang Qi for lung abscess, along with Dang Gui, Gua Lou, Bei Mu, Gan Cao, Sang Bai Pi, Fang Ji, Bai He, Ting Li, Wu Wei Zi, Xing Ren, Zhi Mu, Yi Yi Ren, and Di Gu Pi.
Another Prescription: Zi Yuan Rong Tang
Composition: Aster Root (Zi Yuan Rong), Rhinoceros Horn (Xi Jiao, powdered), Licorice Root (Gan Cao, honey-fried), Ginseng Root (Ren Shen, 5 fen each), Mulberry Leaf (Sang Ye, use those frosted by winter), Farflower Inula Flower (Kuan Dong Hua), Lily Bulb (Bai He, heart removed), Apricot Kernel (Xing Ren, fried, crushed), Donkey-hide Gelatin (E Jiao, stir-fry if bowels are moist, use raw if dry), Fritillaria Bulb (Bei Mu, heart removed), Pinellia Tuber (Ban Xia, processed), Cinnabar Barrenwort? No, Polygonatum? No, Poria? No, Safflower? No, Rhizoma Polygonati? No, It is Puhuang (Cattail Pollen, raw, 7 fen each).
Use 3 slices of Ginger as guide, decoct 2 zhong of water until 0.8 zhong remains. Mix in Xi Jiao powder and take after meals.
[Prescription Verse] Zi Yuan Rong Tang contains Ren Shen and Xi Jiao, Kuan Dong, Sang Ye, Xing, Bai He, E Jiao, Gan Cao, Ban Xia, Bei, and Pu Huang. It specifically treats lung abscess preventing long lying.
Another Prescription: Qing Jin Ning Fei Wan
Composition: Tangerine Peel (Chen Pi), Poria (Fu Ling), Platycodon Root (Jie Geng), Fritillaria Bulb (Bei Mu, heart removed), Ginseng Root (Ren Shen), Scutellaria Root (Huang Qin, 5 qian each), Ophiopogon Tuber (Mai Dong, heart removed), Dendrobium Root (Di Gu Pi), Silver Bupleurum (Yin Chai Hu), Ligusticum Rhizome (Chuan Xiong), White Peony Root (Bai Shao, fried, 6 qian each), Picrorhiza Rhizome (Hu Huang Lian), Schisandra Berry (Wu Wei Zi), Asparagus Tuber (Tian Dong, heart removed), Rehmannia Root (Sheng Di, wine-soaked, mashed into paste), Prepared Rehmannia (Shu Di, mashed into paste), Angelica Sinensis Root (Gui Shen), Atractylodes Macrocephala Rhizome (Bai Zhu, fried, 1 liang each), Licorice Root (Gan Cao, honey-fried, 3 qian).
Grind into fine powder, make pills with refined honey, size of Sophora seeds. Take 70 pills each time. Swallow with plain boiled water far from meals.
[Prescription Verse] Qing Jin Ning Fei Wan treats lung abscess, containing Chen Pi, Fu Ling, Jie Geng, Bei Mu, Ren Shen, Er Dong, Yin Chai Hu, Huang Qin, Gui, Bai Shao, Hu Huang Lian, Gan Cao, Bai Zhu, Wu Wei Zi, Sheng/Shu Di, Di Gu Pi, and Chuan Xiong.