制半夏 胆南星(各一斤) 陈皮(去白) 香附(制) 苏子(沉水者) 青皮(去
穣,炒)
神曲(炒) 萝卜子(生用) 棠球肉(炒) 麦 (炒) 杏仁(去皮尖) 葛根(各一
两)
酒食生痰,五更咳嗽,胸膈膨闷者,此方主之。
痰之原,生于湿,故用半夏、南星以燥之;痰之滞,原于气,故用香附以开之,杏仁以
利之,青皮、陈皮以快之,苏子、卜子以降之;食痰原于酒食,故用葛根以解酒,神曲、麦
、棠球以磨食。
生地黄(四斤) 白茯苓(十三两) 人参(六两) 白蜜(二斤)
四共熬膏。
干咳嗽者,此方主之。
干咳嗽者,有声无痰之名也。火乘于肺,喉咙淫淫而痒,故令有声。病原于脾者有痰,
病不由脾,故无痰也。《易》曰∶燥万物者,莫 乎火。相火一 ,则五液皆涸。此干咳之
理也。生地黄能滋阴降火,白蜜能润肺生津;损其肺者益其气,故用人参;虚则补其母,故
用茯苓。又地黄、白蜜皆润,铢两又多,茯苓甘而属土,用之以佐二物,此水位之下,土气
乘之之义,乃立方之道也。他如火门阿胶散,主此证亦良。
诃子 五味子 五倍子 黄芩 甘草
咳而失声音,此方主之。
咳而失声,危证也,有肺绝之兆。酸者能收,涩者能固,三子酸而涩,则能收其肺气而
固其脱矣,故此方用之。黄芩能清肺热。甘草能调肺气。此方乃劫嗽之剂也。
【顺气消食化痰丸】
制半夏、胆南星(各一斤)、陈皮(去除白色部分)、香附(经过炮制)、苏子(以沉入水中的为佳)、青皮(去除内部瓤,炒制)、神曲(炒制)、萝卜子(生用)、棠球肉(即海棠果核,炒制)、麦麸(炒制)、杏仁(去皮和尖端)、葛根(各一两)。
因饮酒和饮食不当而生痰,导致五更时分咳嗽,胸膈部胀满憋闷的病症,此方主治。
痰的根源,产生于湿,所以使用半夏、南星来燥湿;痰的阻滞,源于气机不畅,所以使用香附来开郁,杏仁来利气,青皮、陈皮来行气快膈,苏子、萝卜子来降气;食积与痰浊源于酒食,所以使用葛根来解酒毒,神曲、麦麸、棠球肉来消食磨积。
【琼玉膏】
生地黄(四斤)、白茯苓(十三两)、人参(六两)、白蜜(二斤)。
以上四味共同熬制成膏。
干咳无痰者,此方主治。
所谓干咳,是指有咳嗽的声音但没有痰液排出。火邪侵犯肺部,喉咙感到瘙痒不适,因此发出声音。病因若源于脾脏则有痰,病因若不源于脾脏则无痰。《易经》说:“使万物干燥的,没有比火更厉害的了。”相火一旦妄动,五种体液都会枯竭。这就是干咳产生的原理。生地黄能够滋阴降火,白蜜能够润肺生津;肺受损则需补益其气,所以用人参;虚证则补益其母脏(土生金,脾为肺之母),所以用茯苓。另外,地黄和白蜜都具有滋润之性,且用量较大,茯苓味甘且属土,用它来辅助这两味药,这体现了“水位之下,土气乘之”的道理,这正是立方的法则。其他如火门阿胶散,治疗此证也很好。
【润肺汤】
诃子、五味子、五倍子、黄芩、甘草。
咳嗽导致失声者,此方主治。
咳嗽而失声,属于危重证候,有肺气将绝的征兆。酸味药物能收敛,涩味药物能固摄,诃子、五味子、五倍子这三味药既酸又涩,因此能够收敛肺气并固摄防止脱失,所以此方使用它们。黄芩能够清泻肺热。甘草能够调和肺气。此方属于强力镇咳的药剂。
[Shunqi Xiaoshi Huatan Wan (Regulating Qi, Digesting Food, and Resolving Phlegm Pill)]
Prepared Banxia (Pinelliae Rhizoma), Danningxing (Arisaematis Cum Bile), each one jin; Chenpi (Citri Reticulatae Pericarpium) with the white pith removed; Xiangfu (Cyperi Rhizoma) processed; Suzi (Perillae Fructus) selected for those that sink in water; Qingpi (Citri Reticulatae Pericarpium Viride) with the albedo removed and stir-fried; Shenqu (Medicated Leaven) stir-fried; Luobozijie (Brassicae Semens) used raw; Tangqiu Rou (Endocarp of Crataegus cuneata or similar fruit seed) stir-fried; Maixie (Triticum Semen prepared by removing husks) stir-fried; Xingren (Prunus Armeniacae Semen) peeled and tips removed; Gegen (Puerariae Lobatae Radix), each one liang.
For conditions caused by phlegm generated from alcohol and food intake, characterized by coughing at dawn (five watches), and distension and oppression in the chest and diaphragm, this formula is indicated.
The origin of phlegm lies in dampness; therefore, Banxia and Nanningxing are used to dry it. The stagnation of phlegm originates from qi obstruction; therefore, Xiangfu is used to open it, Xingren to facilitate it, Qingpi and Chenpi to move qi rapidly, Suzi and Luobozijie to descend it. Food-phlegm originates from alcohol and food; therefore, Gegen is used to resolve alcohol toxicity, while Shenqu, Maixie, and Tangqiu Rou are used to digest food accumulation.
[Jiongyu Gao (Jade Essence Paste)]
Shengdihuang (Rehmanniae Radix Preparata) four jin; Baifuling (Poria) thirteen liang; Renshen (Ginseng Radix et Rhizoma) six liang; Baimi (Melle) two jin.
Boil these four ingredients together to make a paste.
For dry cough without sputum, this formula is indicated.
Dry cough refers to a condition with sound but no sputum. Fire pathogenic factors invade the Lung, causing itching in the throat, thus producing sound. If the disease originates from the Spleen, there is sputum; if not originating from the Spleen, there is no sputum. The *I Ching* states: "Nothing dries things more than fire." When Ministerial Fire (Xianghuo) flares up, the fluids of the five zang organs become depleted. This is the principle behind dry cough. Shengdihuang can nourish yin and descend fire; Baimi can moisten the Lung and generate fluids. Since damage to the Lung requires tonifying its qi, Renshen is used. Since deficiency requires tonifying the mother organ (Earth generates Metal, so the Spleen is the mother of the Lung), Fuling is used. Furthermore, both Dihuang and Baimi are moistening and are used in large quantities. Fuling is sweet and belongs to Earth; it is used to assist these two substances, embodying the principle of "Earth qi overcoming below Water level," which is the method of formulating prescriptions. Other formulas, such as Ejiao San, are also effective for this syndrome.
[Runtu Tang (Moistening Lung Decoction)]
Hezi (Terminalia Chebulae Fructus), Wuweizi (Schisandrae Chinensis Fructus), Wubeizi (Galla Chinensis), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma).
For cough resulting in loss of voice, this formula is indicated.
Cough accompanied by aphonia is a critical syndrome, indicating signs of Lung exhaustion. Sour substances can astringe, and astringent substances can consolidate. The three astringent herbs (Hezi, Wuweizi, Wubeizi) are sour and astringent, thereby able to astringe Lung qi and consolidate against collapse; hence they are used in this formula. Huangqin can clear Lung heat. Gancao can harmonize Lung qi. This formula is a potent antitussive agent.