(《准绳》。三方合论)
治肺胃虚寒,咳嗽喘急,坐卧不安。并治久年劳嗽,吐血腥臭。
人参 阿胶 骨皮 知母 乌梅 粟壳 炙草 杏仁 桑皮(等分) 枣子
水煎服。
(《准绳》)
治肺气上逆喘嗽,喉中有声,胸膈紧痛,及感寒邪,咳嗽声重。
人参 麻黄 阿胶 五味 粟壳 甘草 半夏曲(各一钱) 桑皮(二钱) 生姜(三片)
水煎服。
治肺经积热上喘,胸膈胀满,痰多,大便涩。
人参 黄芩 栀子 枳壳 薄荷 甘草 连翘 杏仁 桑皮 大黄 桔梗
水煎服。
王又原曰∶经曰∶邪之所凑,其气必虚。又肺为娇脏。其不堪破耗也明矣。自肺热伤肺
之
皆
司
之
余
知母、阿胶滋之,或乌梅、五味、罂粟壳敛之,或半夏曲、生姜降之,或杏仁、桑皮、枳壳
、桔梗利之,或栀子、黄芩、连翘凉之,或麻黄、薄荷发之,大黄下之,总恃人参之大力握
枢而运,已入之邪易出,而将来之邪无从入也。肺邪得诸药以俱出,而肺气不随诸药以俱出
也。然则人参亦何尝伤肺,乃畏而不敢用耶?
(《本事方》)
主治锢冷在肠胃间,泄泻腹痛,宜先取去,然后调治,不可畏虚以养病也。
浓朴 干姜 甘草 桂心 附子(各二两) 大黄(四钱)
上 咀,取一两,水二钟,煎六分,顿服。
喻嘉言曰∶许叔微制此方,深合仲景以温药下之之法。其大黄只用四钱,更为有见。夫
痼冷
于仲
黄、芍药者,宜减之,以其人胃气弱,易动故也。即是观之,肠胃痼冷之泄泻,而可恣用大
黄耶?不用则温药必不能下,而久留之邪非攻不去;多用则温药恐不能制,而洞下之势或至
转增。裁酌用之,真足法矣。(方妙矣,议更妙。)
(出自《医学纲目》。三方合论)
治疗肺胃虚寒,咳嗽气喘急促,坐卧不宁。同时也治疗多年的劳嗽,咳吐带血腥臭味的痰。
人参、阿胶、地骨皮、知母、乌梅、罂粟壳、炙甘草、杏仁、桑白皮(各等分),大枣。
用水煎服。
(出自《医学纲目》)
治疗肺气上逆导致的喘咳,喉咙中有痰鸣声,胸膈部紧缩疼痛,以及感受寒邪,咳嗽声音沉重。
人参、麻黄、阿胶、五味子、罂粟壳、甘草、半夏曲(各一钱)、桑白皮(二钱)、生姜(三片)。
用水煎服。
治疗肺经积热引起的上喘,胸膈胀满,痰多,大便干涩不通。
人参、黄芩、栀子、枳壳、薄荷、甘草、连翘、杏仁、桑白皮、大黄、桔梗。
用水煎服。
王又原说:经典中说:“邪气聚集的地方,正气必然虚弱。”况且肺是娇脏,它不能承受耗损是显而易见的。无论是用知母、阿胶来滋润,还是用乌梅、五味子、罂粟壳来收敛,或是用半夏曲、生姜来降逆,或者是用杏仁、桑白皮、枳壳、桔梗来宣利,亦或是用栀子、黄芩、连翘来清热,或者用麻黄、薄荷来发汗解表,用大黄来泻下,总是依靠人参的大力作用来把握枢纽并运化,使已经进入体内的邪气容易排出,而将来要入侵的邪气无从进入。肺部的邪气随着诸药的作用一起排出,而肺气不会随着诸药一起耗散。既然这样,那么人参又何曾伤害肺呢?为何还要畏惧而不敢使用呢?
(出自《本事方》)
主治肠胃间有顽固的冷邪,导致泄泻腹痛,应当先攻逐去除病邪,然后再进行调理,不可因为畏惧虚弱而养着疾病。
厚朴、干姜、甘草、桂心、附子(各二两)、大黄(四钱)。
将药材切碎,取一两,加水两钟,煎至六分,一次性服用。
喻嘉言说:许叔微制作这个方子,深深契合张仲景用温药配合泻下的治法。其中大黄只用四钱,更有见识。对于患有痼冷的人,如果伴有类似使用承气汤或芍药甘草汤的情况,应该减少用量,因为这类人胃气虚弱,容易受到药物影响而动荡。由此看来,肠胃有顽固冷邪导致的泄泻,怎么可以肆意使用大黄呢?如果不使用,温药必然无法发挥泻下的作用,而久留的邪气非攻逐不能去除;如果使用过多,温药恐怕不能制约大黄的寒性,导致洞泄不止的势头反而增加。斟酌用量,真是值得效法的。(方剂很妙,议论更加精妙。)
(From *Zhenshu*. Discussion of three formulas combined)
Treats deficiency-cold of the Lung and Stomach, characterized by coughing, wheezing, and rapid breathing, with restlessness in sitting or lying. It also treats chronic consumption cough (Lao Sou), expectoration of blood-tinged sputum with a foul odor.
Ren Shen (Ginseng Radix), E Jiao (Donkey-hide Gelatin), Gu Pi (Dendrobii Officinalis Caulis - *Note: Context suggests Di Gu Pi/Bark, but text says Gu Pi*), Zhi Mu (Anemarrhenae Rhizoma), Wu Mei (Mume Fructus), Su Qiao (Papaveris Pericarpium), Zhi Cao (Prepared Licorice Root), Xing Ren (Prunus Armeniaca Seed), Sang Pi (Morus Alba Root Bark) (equal parts), Zao Zi (Jujube).
Decoct in water and take orally.
(From *Zhenshu*)
Treats rebellious Qi of the Lung causing wheezing and coughing, with phlegm-rattling sounds in the throat, tightness and pain in the chest and diaphragm, as well as coughing with a heavy voice due to invasion of Cold pathogen.
Ren Shen (Ginseng Radix), Ma Huang (Ephedrae Herba), E Jiao (Donkey-hide Gelatin), Wu Wei Zi (Schisandrae Chinensis Fructus), Su Qiao (Papaveris Pericarpium), Gan Cao (Licorice Root), Ban Xia Qu (Fermented Pinellia Paste) (each 1 qian), Sang Pi (Morus Alba Root Bark) (2 qian), Sheng Jiang (Fresh Ginger Rhizome) (3 slices).
Decoct in water and take orally.
Treats upper wheezing caused by accumulated heat in the Lung meridian, distension and fullness in the chest and diaphragm, excessive phlegm, and dry, difficult defecation.
Ren Shen (Ginseng Radix), Huang Qin (Scutellariae Radix), Zhi Zi (Gardeniae Fructus), Zhi Ke (Aurantii Fructus), Bo He (Menthae Haplocalycis Herba), Gan Cao (Licorice Root), Lian Qiao (Forsythiae Fructus), Xing Ren (Prunus Armeniaca Seed), Sang Pi (Morus Alba Root Bark), Da Huang (Rhei Radix et Rhizoma), Jie Geng (Platycodonis Radix).
Decoct in water and take orally.
Wang Youyuan stated: The Classics say, "Where pathogenic factors gather, Qi must be deficient." Furthermore, the Lung is a delicate organ; its inability to withstand depletion is evident. Whether using Zhi Mu and E Jiao to moisten, or Wu Mei, Wu Wei Zi, and Su Qiao to astringe, or Ban Xia Qu and Sheng Jiang to direct Qi downward, or Xing Ren, Sang Pi, Zhi Ke, and Jie Geng to promote diffusion and drainage, or Zhi Zi, Huang Qin, and Lian Qiao to clear heat, or Ma Huang and Bo He to induce sweating and release the exterior, or Da Huang to purge downward, all rely on the powerful action of Ren Shen to grasp the pivot and facilitate movement. This allows pathogens that have already entered to exit easily, while preventing future pathogens from entering. The pathogenic factors in the Lung are expelled along with the herbs, without the Lung Qi being depleted by them. Thus, how has Ren Shen ever harmed the Lung? Why should one fear it and dare not use it?
(From *Ben Shi Fang*)
Primarily treats stubborn cold lodged between the Intestines and Stomach, causing diarrhea and abdominal pain. One should first remove the pathogen through purging, and then regulate the condition; one must not nurture the disease out of fear of deficiency.
Hou Po (Magnoliae Officinalis Cortex), Gan Jiang (Zingiberis Rhizoma), Gan Cao (Licorice Root), Gui Xin (Cinnamomi Ramulus), Fu Zi (Aconiti Lateralis Radix Praeparata) (each 2 liang), Da Huang (Rhei Radix et Rhizoma) (4 qian).
Cut the herbs into small pieces, take 1 liang, add two zhong of water, decoct until six-tenths remain, and take in one dose.
Yu Jiayan stated: Xu Shuwei's formulation of this prescription deeply aligns with Zhang Zhongjing's method of using warm medicines to purge. The use of only 4 qian of Da Huang demonstrates profound insight. For those with stubborn cold, if there are indications similar to the use of Chengqi Decoction or Shaoyao Gancao Decoction, the dosage should be reduced because such individuals have weak Stomach Qi and are prone to disturbance. From this, we can see that for diarrhea caused by stubborn cold in the Intestines and Stomach, how can Da Huang be used recklessly? If not used, the warm medicines cannot achieve the purgative effect, and the lingering pathogen cannot be removed by attack; if used excessively, the warm medicines may fail to control Da Huang's cold nature, potentially worsening the profuse watery diarrhea. Careful consideration of the dosage is truly worthy of emulation. (The formula is excellent; the commentary is even more brilliant.)