论曰气之在人,得温则舒,遇寒则涩,肺主气者也,若为寒邪所伤,则涩而不通。故气
逆上行,发为咳嗽,肺乃虚弱,呼吸之间,不能报息,故谓之咳逆短气。
治逆气咳嗽,胸中寒热,短气不足。前胡汤方
前胡(去芦头) 陈橘皮(去白炒) 桂(去粗皮) 甘草(炙锉) 人参 紫菀(去
苗土) 五味子(炒各一
上七味,粗捣筛,每服三钱匕,生姜二片,大枣一枚劈,水一盏,煎至七分, 去滓温
服、日三。
治咳逆短气。款肺汤方
人参 半夏(汤洗五遍去滑炒干各半两) 甘草(炙锉一两) 陈橘皮(去白焙二两)
上四味,粗捣筛,每服三钱匕,水一盏,生姜三片,煎至七分,去滓温服,日三。
治逆气咳嗽,胸膈中寒热。短气不足。五味子汤方
五味子(炒一两) 前胡(去芦头三两) 紫菀(去苗土) 甘草(炙锉) 桂(去粗
皮各二两) 山
上六味,粗捣筛,每服三钱匕,水一盏,入生姜五片,枣二枚劈,煎至七分,去滓温服,
日二夜一。
治咳逆短气。润肺汤方
人参 生姜切与半夏(同炒各一两) 半夏(汤洗七遍焙切同生姜炒半两) 甘草(锉
炙) 陈橘皮
上六味,粗捣筛,每服三钱匕,水一盏半,生姜五片,煎至七分,去滓温服,日三夜一
治咳逆,殊效汤方
干柿(细切炒令焦黑) 干薄荷叶 陈橘皮(去白焙各一两)
上三味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服、日三。
治咳嗽短气,肠中时痛,留饮厥逆,宿食不消,寒热邪癖,五内不调。肉苁蓉汤方
肉苁蓉(切焙五两) 生干地黄(焙四两) 乌头(炮裂去皮脐一两) 甘草(炙锉) 桂
(去粗皮)
上九味,粗捣筛,每服五钱匕,水一盏半,入大枣二枚劈,生姜半分切,煎至七分,去
滓温服,日三夜二。
治年深喘嗽,春秋发动,痞满短气。痰涕如胶,睡卧不宁。人参丸方
人参(一两) 蛤蚧(一对全者净洗酥炙) 百部切 紫菀(去苗土各一两) 大黄(锉
炒半两) 葶苈(隔纸炒一分) 款冬花 百合 贝母(去心) 知母(焙) 白前(各半
两) 山芋 半夏(汤洗十遍焙) 桑
上一十五味,捣罗为末,炼蜜和丸,如梧桐子大,每服二十丸,糯米饮下,橘皮汤亦得
治肺脏气虚,胸中短气,咳嗽声微,四肢无力。阿胶散方
阿胶(炒令燥) 山芋 甘草(炙锉) 人参 五味子(炒) 麦门冬(去心焙各一两)
干姜(半两炮)
上一十味,捣罗为散,每服二钱匕,用粥饮调下,不计时候。
治咳逆短气,喘息气不相续。玉液饮方
甘草(炙锉) 杏仁(去皮尖双仁研) 人参 陈橘皮(汤浸去白焙) 五味子(炒各
一两)
上五味,粗捣筛,每服五钱匕,用水二盏,生姜三片,大枣一枚劈,同煎至一盏,去滓
温服,不拘时候。
治咳逆痰喘气促。紫苏知母汤方
紫苏连茎叶 知母(焙) 贝母(去心) 款冬花 五味子(炒) 人参 桑根白皮(锉
各一两) 浓朴(去粗皮生姜汁炙) 甘草(炙锉各半两)
上九味,粗捣筛,每服三钱匕,水一盏半,入生姜三片,煎至七分,去滓温服,不计时
候。
治卒短气。紫苏汤方
紫苏(锉二两) 陈橘皮(去白焙半两)
上二味,粗捣筛,每服三钱匕,水一盏,枣二枚劈,煎至七分,去滓温服,日三。
治卒短气。姜麦汤方
生姜(半两薄切片) 小麦(二合净淘)
上二味,水三盏,煎至一盏半,去滓温分三服,一日令尽。
治咳逆短气。紫苏汤方
紫苏茎叶(锉一两) 人参(半两)
上二味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服、日再。
治卒短气。枸杞汤方
枸杞叶焙干不以多少
上一味切碎,每服三钱匕,水一盏,生姜三片,枣一枚劈,煎至七分,去滓温服。日三
止咳逆短气,羌活煮散方
羌活(去芦头) 附子(炮裂去皮脐) 香子(微炒各半两) 木香 干姜(炮各一
钱)
上五味,捣罗为散,每服二钱匕,水一盏,盐一捻,同煎一二十沸,乘热服,一服止。
论述说:气存在于人体之中,得到温煦则舒展通畅,遇到寒冷则凝滞涩阻。肺是主管气的脏腑,如果受到寒邪的侵袭,就会导致气机涩滞而不通。因此气逆乱上行,引发咳嗽;若肺气虚弱,在呼吸之间无法充分回纳气息(即吸气困难),所以称为咳逆短气。
治疗气逆咳嗽,胸中寒热交错,短气不足的前胡汤方:
前胡(去除芦头)、陈橘皮(去除白色部分并炒制)、桂枝(去除粗糙外皮)、甘草(炙烤后锉碎)、人参、紫菀(去除苗和泥土)、五味子(炒制,各一两)。
以上七味药,粗捣筛过,每次服用三钱匕,加入生姜两片,大枣一枚劈开,用水一盏,煎煮至七分满,去渣后温服,每日三次。
治疗咳逆短气的款冬花润肺汤方:
人参、半夏(用汤水洗五遍去滑腻后炒干,各半两)、甘草(炙烤后锉碎一两)、陈橘皮(去除白色部分焙干二两)。
以上四味药,粗捣筛过,每次服用三钱匕,用水一盏,加入生姜三片,煎煮至七分满,去渣后温服,每日三次。
治疗气逆咳嗽,胸膈间寒热交错,短气不足的五味子汤方:
五味子(炒制一两)、前胡(去除芦头三两)、紫菀(去除苗和泥土)、甘草(炙烤后锉碎)、桂枝(去除粗糙外皮,各二两)、山茱萸(原文此处似有缺字,依上下文推测为药材名,但根据“上六味”及常见配伍,此处仅列前五味加山芋或类似,原文显示不全,按原文提取实体)。
*注:原文此处“山”字后内容缺失,但根据“上六味”推断应有第六味。依据现有文本提取。*
以上六味药,粗捣筛过,每次服用三钱匕,用水一盏,加入生姜五片,大枣二枚劈开,煎煮至七分满,去渣后温服,每日两次,夜间一次。
治疗咳逆短气的润肺汤方:
人参、生姜切块与半夏(同炒,各一两)、半夏(用汤水洗七遍焙干切块,同生姜炒半两)、甘草(锉碎炙烤)、陈橘皮(原文此处似有缺字,依“上六味”推断)。
*注:原文此处列举药材数量与“上六味”不符,且部分药材描述重复或残缺。依据可见文本翻译。*
以上六味药,粗捣筛过,每次服用三钱匕,用水一盏半,加入生姜五片,煎煮至七分满,去渣后温服,每日三次,夜间一次。
治疗咳逆,殊效显著的殊效汤方:
干柿(细切炒至焦黑)、干薄荷叶、陈橘皮(去除白色部分焙干,各一两)。
以上三味药,粗捣筛过,每次服用三钱匕,用水一盏,煎煮至七分满,去渣后温服,每日三次。
治疗咳嗽短气,肠中时常疼痛,留饮厥逆,宿食不消,寒热邪癖,五脏不调的肉苁蓉汤方:
肉苁蓉(切块焙干五两)、生干地黄(焙干四两)、乌头(炮裂去皮脐一两)、甘草(炙烤后锉碎)、桂枝(去除粗糙外皮)...(原文此处药材列举中断,但根据“上九味”推断共有九味)。
以上九味药,粗捣筛过,每次服用五钱匕,用水一盏半,加入大枣二枚劈开,生姜半分切,煎煮至七分满,去渣后温服,每日三次,夜间二次。
治疗年久喘嗽,春秋季节发作,痞满短气,痰涕如胶状,睡卧不安的人参丸方:
人参(一两)、蛤蚧(一对完整的,洗净后用酥油炙烤)、百部(切)、紫菀(去除苗和泥土,各一两)、大黄(锉碎炒制半两)、葶苈子(隔纸炒一分)、款冬花、百合、贝母(去除心)、知母(焙干)、白前(各半两)、山芋、半夏(用汤水洗十遍焙干)、桑白皮(原文此处似有缺字,依“上一十五味”推断)。
以上十五味药,捣碎过罗成末,用炼蜜调和制成丸药,大小如梧桐子大,每次服用二十丸,用糯米饮送下,用橘皮汤送下也可以。
治疗肺脏气虚,胸中短气,咳嗽声音微弱,四肢无力的人参丸方(原文误写为散,实为丸或散,据方名阿胶散应为散剂,但前文人参丸为丸剂,此处依原文“阿胶散方”及“捣罗为散”判断为散剂):
阿胶(炒至干燥)、山芋、甘草(炙烤后锉碎)、人参、五味子(炒制)、麦门冬(去除心焙干,各一两)、干姜(半两炮制)。
以上十味药,捣碎过罗成散剂,每次服用二钱匕,用粥饮调服,不限时候。
治疗咳逆短气,喘息气不相接续的玉液饮方:
甘草(炙烤后锉碎)、杏仁(去除皮尖双仁研碎)、人参、陈橘皮(汤浸去除白色部分焙干)、五味子(炒制,各一两)。
以上五味药,粗捣筛过,每次服用五钱匕,用水二盏,加入生姜三片,大枣一枚劈开,共同煎煮至一盏,去渣后温服,不限时候。
治疗咳逆痰喘气促的紫苏知母汤方:
紫苏(连茎叶)、知母(焙干)、贝母(去除心)、款冬花、五味子(炒制)、人参、桑根白皮(锉碎,各一两)、浓朴(去除粗糙外皮,用生姜汁炙烤)、甘草(炙烤后锉碎,各半两)。
以上九味药,粗捣筛过,每次服用三钱匕,用水一盏半,加入生姜三片,煎煮至七分满,去渣后温服,不限时候。
治疗突然短气的紫苏汤方:
紫苏(锉碎二两)、陈橘皮(去除白色部分焙干半两)。
以上两味药,粗捣筛过,每次服用三钱匕,用水一盏,大枣二枚劈开,煎煮至七分满,去渣后温服,每日三次。
治疗突然短气的姜麦汤方:
生姜(半两薄切片)、小麦(二合净淘)。
以上两味药,用水三盏,煎煮至一盏半,去渣后分三次温服,一日内服完。
治疗咳逆短气的紫苏汤方:
紫苏茎叶(锉碎一两)、人参(半两)。
以上两味药,粗捣筛过,每次服用三钱匕,用水一盏,煎煮至七分满,去渣后温服,每日两次。
治疗突然短气的枸杞汤方:
枸杞叶(焙干,用量不限)。
以上一味药,切碎,每次服用三钱匕,用水一盏,加入生姜三片,大枣一枚劈开,煎煮至七分满,去渣后温服,每日三次。
止咳逆短气的羌活煮散方:
羌活(去除芦头)、附子(炮裂去皮脐)、香子(微炒,各半两)、木香、干姜(炮制,各一钱)。
以上五味药,捣碎过罗成散剂,每次服用二钱匕,用水一盏,盐一捻,共同煎煮一二十沸,趁热服用,服一次即可停止。
Commentary states: Qi within the human body expands and flows smoothly when warmed, but becomes stagnant and obstructed when exposed to cold. The Lung governs Qi; if injured by Cold pathogenic factors, Qi flow becomes stagnant and blocked. Consequently, Qi rebels and moves upward, manifesting as cough. If Lung Qi is deficient, respiration fails to fully return (inhalation difficulty), hence termed "Ke Ni Duan Qi" (Rebellious Cough with Shortness of Breath).
Qianhu Tang (Peucedani Radix Decoction) for treating rebellious Qi cough, alternating cold and heat in the chest, and shortness of breath due to deficiency:
Peucedani Radix (Qian Hu, 前胡) [remove rhizome head], Exocarpium Citri Reticulatae (Chen Pi, 陈皮) [remove white pith and stir-fry], Cinnamon Twig (Gui Zhi, 桂枝) [remove rough bark], Licorice Root (Zhi Gan Cao, 炙甘草) [roast and chop], Ginseng Radix (Ren Shen, 人参), Aster Root (Zi Wan, 紫菀) [remove seedlings and soil], Schisandra Fruit (Wu Wei Zi, 五味子) [stir-fry, each 1 liang].
The above seven herbs are coarsely crushed and sieved. For each dose of 3 qian bi, add 2 slices of Fresh Ginger (Sheng Jiang, 生姜) and 1 Jujube (Da Zao, 大枣) split open. Decoct with 1 sheng of water until reduced to 70%. Strain and take warm, three times daily.
Kuanfei Tang (Andrographis/Inula? Note: Kuan Dong Hua is Inula Flower, likely a typo in source or specific local name, translating as Inula Flower based on context of lung moistening) Decoction for treating rebellious cough and shortness of breath:
Ginseng Radix (Ren Shen, 人参), Pinellia Tuber (Ban Xia, 半夏) [wash five times with decoction to remove slipperiness, dry and stir-fry, each half liang], Licorice Root (Zhi Gan Cao, 炙甘草) [roast and chop, 1 liang], Exocarpium Citri Reticulatae (Chen Pi, 陈皮) [remove white pith and bake, 2 liang].
The above four herbs are coarsely crushed and sieved. For each dose of 3 qian bi, add 3 slices of Fresh Ginger (Sheng Jiang, 生姜). Decoct with 1 sheng of water until reduced to 70%. Strain and take warm, three times daily.
Wuweizi Tang (Schisandra Decoction) for treating rebellious Qi cough, alternating cold and heat in the chest and diaphragm, and shortness of breath due to deficiency:
Schisandra Fruit (Wu Wei Zi, 五味子) [stir-fry, 1 liang], Peucedani Radix (Qian Hu, 前胡) [remove rhizome head, 3 liang], Aster Root (Zi Wan, 紫菀) [remove seedlings and soil], Licorice Root (Zhi Gan Cao, 炙甘草) [roast and chop], Cinnamon Twig (Gui Zhi, 桂枝) [remove rough bark, each 2 liang], Cornus Fruit (Shan Zhu Yu, 山茱萸 - inferred from context "Shan") [text incomplete].
The above six herbs are coarsely crushed and sieved. For each dose of 3 qian bi, add 5 slices of Fresh Ginger (Sheng Jiang, 生姜) and 2 Jujubes (Da Zao, 大枣) split open. Decoct with 1 sheng of water until reduced to 70%. Strain and take warm, twice daily and once at night.
Runfei Tang (Lung-Moistening Decoction) for treating rebellious cough and shortness of breath:
Ginseng Radix (Ren Shen, 人参), Fresh Ginger (Sheng Jiang, 生姜) cut and stir-fried with Pinellia Tuber (Ban Xia, 半夏) [each 1 liang], Pinellia Tuber (Ban Xia, 半夏) [wash seven times with decoction, bake, cut, stir-fried with Fresh Ginger, half liang], Licorice Root (Zhi Gan Cao, 炙甘草) [chop and roast], Exocarpium Citri Reticulatae (Chen Pi, 陈皮) [text incomplete].
The above six herbs are coarsely crushed and sieved. For each dose of 3 qian bi, add 5 slices of Fresh Ginger (Sheng Jiang, 生姜). Decoct with 1.5 sheng of water until reduced to 70%. Strain and take warm, three times daily and once at night.
Shuxiao Tang (Extraordinary Efficacy Decoction) for treating rebellious cough:
Dried Persimmon (Gan Shi, 干柿) [finely cut and stir-fried until charred black], Dried Mint Leaf (Gan Bo He Ye, 干薄荷叶), Exocarpium Citri Reticulatae (Chen Pi, 陈皮) [remove white pith and bake, each 1 liang].
The above three herbs are coarsely crushed and sieved. For each dose of 3 qian bi, decoct with 1 sheng of water until reduced to 70%. Strain and take warm, three times daily.
Roucongrong Tang (Cistanche Decoction) for treating cough and shortness of breath, intermittent intestinal pain, retention of fluids with reversal cold, undigested food, cold-heat pathological masses, and disharmony of the Five Viscera:
Cistanche Stem (Rou Cong Rong, 肉苁蓉) [cut and bake, 5 liang], Raw Dried Rehmannia Root (Sheng Gan Di Huang, 生干地黄) [bake, 4 liang], Aconite Lateral Root Preparatum (Wu Tou, 乌头) [pounded, cracked, skin and umbilicus removed, 1 liang], Licorice Root (Zhi Gan Cao, 炙甘草) [roast and chop], Cinnamon Twig (Gui Zhi, 桂枝) [remove rough bark]... [text incomplete, total nine herbs].
The above nine herbs are coarsely crushed and sieved. For each dose of 5 qian bi, add 2 Jujubes (Da Zao, 大枣) split open and half a slice of Fresh Ginger (Sheng Jiang, 生姜). Decoct with 1.5 sheng of water until reduced to 70%. Strain and take warm, three times daily and twice at night.
Renshen Wan (Ginseng Pill) for treating chronic wheezing and cough exacerbating in spring and autumn, epigastric fullness and shortness of breath, phlegm and nasal discharge like glue, and restless sleep:
Ginseng Radix (Ren Shen, 人参) [1 liang], Gecko (Ge Jie, 蛤蚧) [one pair whole, clean and roast with rendered fat], Stemona Root (Bai Bu, 百部) [cut], Aster Root (Zi Wan, 紫菀) [remove seedlings and soil, each 1 liang], Rhubarb (Da Huang, 大黄) [chop and stir-fry, half liang], Lepidium Seed (Ting Li Zi, 葶苈子) [stir-fry between papers, 1 fen], Inula Flower (Kuan Dong Hua, 款冬花), Lily Bulb (Bai He, 百合), Fritillaria Bulb (Bei Mu, 贝母) [remove heart], Anemarrhena Rhizome (Zhi Mu, 知母) [bake], Peucedani Radix (Bai Qian, 白前) [each half liang], Yam (Shan Yao, 山芋), Pinellia Tuber (Ban Xia, 半夏) [wash ten times with decoction and bake], Mulberry Root Bark (Sang Bai Pi, 桑白皮) [text incomplete, total fifteen herbs].
The above fifteen herbs are pounded and sifted into powder. Mix with refined honey to form pills the size of paulownia seeds. Take 20 pills per dose, swallowed with Rice Porridge Drink (Nuomi Yin, 糯米饮); Exocarpium Citri Reticulatae Drink is also acceptable.
Ejiao San (Donkey-Hide Gelatin Powder) for treating Lung Qi deficiency, shortness of breath in the chest, weak cough voice, and weakness in the four limbs:
Donkey-Hide Gelatin (E Jiao, 阿胶) [stir-fry until dry], Yam (Shan Yao, 山芋), Licorice Root (Zhi Gan Cao, 炙甘草) [roast and chop], Ginseng Radix (Ren Shen, 人参), Schisandra Fruit (Wu Wei Zi, 五味子) [stir-fry], Ophiopogon Tuber (Mai Men Dong, 麦门冬) [remove heart and bake, each 1 liang], Dried Ginger (Gan Jiang, 干姜) [pounded, half liang].
The above ten herbs are pounded and sifted into powder. Take 2 qian bi per dose, mixed with porridge drink, at any time.
Yuye Yin (Jade Fluid Drink) for treating rebellious cough and shortness of breath, panting with discontinuous breath:
Licorice Root (Zhi Gan Cao, 炙甘草) [roast and chop], Apricot Seed (Xing Ren, 杏仁) [remove skin and tip, double-kernel ground], Ginseng Radix (Ren Shen, 人参), Exocarpium Citri Reticulatae (Chen Pi, 陈皮) [soak in decoction, remove white pith and bake], Schisandra Fruit (Wu Wei Zi, 五味子) [stir-fry, each 1 liang].
The above five herbs are coarsely crushed and sieved. For each dose of 5 qian bi, add 3 slices of Fresh Ginger (Sheng Jiang, 生姜) and 1 Jujube (Da Zao, 大枣) split open. Decoct with 2 sheng of water until reduced to 1 sheng. Strain and take warm, at any time.
Zisu Zhimu Tang (Perilla and Anemarrhena Decoction) for treating rebellious cough, phlegm-wheezing, and rapid breathing:
Perilla Leaf and Stem (Zi Su Ye, 紫苏叶), Anemarrhena Rhizome (Zhi Mu, 知母) [bake], Fritillaria Bulb (Bei Mu, 贝母) [remove heart], Inula Flower (Kuan Dong Hua, 款冬花), Schisandra Fruit (Wu Wei Zi, 五味子) [stir-fry], Ginseng Radix (Ren Shen, 人参), Mulberry Root Bark (Sang Bai Pi, 桑白皮) [chop, each 1 liang], Magnolia Bark (Hou Po, 厚朴) [remove rough bark, roast with Fresh Ginger juice], Licorice Root (Zhi Gan Cao, 炙甘草) [roast and chop, each half liang].
The above nine herbs are coarsely crushed and sieved. For each dose of 3 qian bi, add 3 slices of Fresh Ginger (Sheng Jiang, 生姜). Decoct with 1.5 sheng of water until reduced to 70%. Strain and take warm, at any time.
Zisu Tang (Perilla Decoction) for treating sudden shortness of breath:
Perilla Leaf and Stem (Zi Su, 紫苏) [chop, 2 liang], Exocarpium Citri Reticulatae (Chen Pi, 陈皮) [remove white pith and bake, half liang].
The above two herbs are coarsely crushed and sieved. For each dose of 3 qian bi, add 2 Jujubes (Da Zao, 大枣) split open. Decoct with 1 sheng of water until reduced to 70%. Strain and take warm, three times daily.
Jiang Mai Tang (Ginger and Wheat Decoction) for treating sudden shortness of breath:
Fresh Ginger (Sheng Jiang, 生姜) [half liang, thinly sliced], Common Wheat (Xiao Mai, 小麦) [2 he, cleaned].
The above two herbs are decocted with 3 sheng of water until reduced to 1.5 sheng. Strain and divide into three warm doses, consumed within one day.
Zisu Tang (Perilla Decoction) for treating rebellious cough and shortness of breath:
Perilla Leaf and Stem (Zi Su Ye, 紫苏叶) [chop, 1 liang], Ginseng Radix (Ren Shen, 人参) [half liang].
The above two herbs are coarsely crushed and sieved. For each dose of 3 qian bi, decoct with 1 sheng of water until reduced to 70%. Strain and take warm, twice daily.
Gouqi Tang (Goji Berry Leaf Decoction) for treating sudden shortness of breath:
Goji Berry Leaf (Gou Qi Ye, 枸杞叶) [baked dry, quantity not specified].
The above single herb is chopped. For each dose of 3 qian bi, add 3 slices of Fresh Ginger (Sheng Jiang, 生姜) and 1 Jujube (Da Zao, 大枣) split open. Decoct with 1 sheng of water until reduced to 70%. Strain and take warm, three times daily.
Qianghuo Zhusan (Notopterygium Decoction Powder) for stopping rebellious cough and shortness of breath:
Notopterygium Rhizome and Root (Qiang Huo, 羌活) [remove rhizome head], Prepared Aconite Root (Fu Zi, 附子) [pounded, cracked, skin and umbilicus removed], Amomum Fruit (Xiang Zi, 香子) [lightly stir-fry, each half liang], Aucklandia Root (Mu Xiang, 木香), Dried Ginger (Gan Jiang, 干姜) [pounded, each 1 qian].
The above five herbs are pounded and sifted into powder. Take 2 qian bi per dose, add 1 pinch of Salt (Yan, 盐). Decoct with 1 sheng of water for 10-20 boils. Take hot; one dose stops the symptoms.