《病源》久咳嗽上气者,是肺气虚极,风邪停滞,故其病积月累年,久不瘥则胸背痛,
面肿,甚则唾脓血也。(出第十四卷中)
《深师》疗肺气不足,咳逆唾脓血,咽喉闷塞,胸满上气,不能饮食,卧则短气。补肺
汤方。
款冬花(三两) 桂心(二两) 钟乳(二两) 干姜(二两) 白石英(二两) 麦
门冬(去心
四两) 五味子(三两) 粳米(五合) 桑白皮根(一斤) 大枣(一百枚擘)
上十味,切,以水一斗二升,先煮桑白皮、枣令熟,去滓,纳药煮取二升二合,分三
服。忌生葱等。(《千金》同)
又疗咳逆上气,时时唾浊,但坐不得卧。皂荚丸方。
长大皂荚(一挺去皮、子,炙)
上一味捣筛,蜜和。服如梧子一丸,日三夜一,以大枣膏和汤下之。(《千金》、《经心
录》、《延年》同,此本仲景《伤寒论》方,一名枣膏丸)
又疗咳逆上气,吐脓或吐血,胸满痛不能食。补肺汤方。
黄 (一法五两) 桂心 干地黄 茯苓 浓朴 干姜 紫菀 橘皮 当归 五味子 远
志(去心) 麦门冬(去心各三两) 甘草(炙) 钟乳 白石英(各二两) 桑白皮根 人
参(各
三两) 大枣(二十枚擘)
上十八味,切,以水一斗四升,煮取四升,分温四服,日三夜一。忌海藻、菘菜、生葱
、醋物。(《千金》同,并出第十八卷中)
《古今录验》疗寒冷咳嗽,上气胸满,唾腥脓血。四味石钟乳散方。
钟乳(碎,研) 白 石(炼) 款冬花 桂心(各一分)
上四味捣,合下筛。以筒吸之如大豆许一匕聚,先食,日三,不知稍增之,数试有验。
当作七聚遂吸之。忌生葱。(《千金》、《集验》同,出第十九卷中)
《必效》疗上气唾脓血方
灸两乳下黑白际各一百壮,良。(《千金》同)
《诸病源候论》中关于久咳、上气(呼吸急促)且唾吐脓血及浑浊涎沫的论述:这是由于肺气极度虚弱,风邪滞留体内所致。因此,病情会持续数月甚至数年,若长期不愈,则会出现胸背疼痛、面部浮肿,严重时甚至会唾吐脓血。(出自第十四卷)
《深师方》治疗肺气不足,咳嗽气逆,唾吐脓血,咽喉闷塞感,胸部胀满,呼吸急促,无法进食,平卧时感到气短。补肺汤方。
款冬花(三两) 桂心(二两) 钟乳(二两) 干姜(二两) 白石英(二两) 麦门冬(去心四两) 五味子(三两) 粳米(五合) 桑白皮根(一斤) 大枣(一百枚,掰开)
以上十味药,切碎,用水一斗二升,先煮桑白皮和大枣至熟烂,滤去药渣,加入其他药物继续煎煮,取药液二升二合,分三次服用。忌食生葱等。(与《千金方》相同)
又用于治疗咳嗽气逆,时常唾吐浊痰,只能坐着不能平卧。皂荚丸方。
长大皂荚(一根,去皮和子,炙烤)
将这一味药捣碎过筛,用蜂蜜调和制成丸剂。每次服用如梧桐子大小的一丸,白天服三次,夜间服一次,用大枣膏调水送服。(《千金方》、《经心录》、《延年方》相同,此方源自张仲景《伤寒论》,又名枣膏丸)
又用于治疗咳嗽气逆,吐脓或吐血,胸部胀满疼痛,无法进食。补肺汤方。
黄芪(另一种说法为五两) 桂心 干地黄 茯苓 厚朴 干姜 紫菀 橘皮 当归 五味子 远志(去心) 麦门冬(去心,各三两) 甘草(炙烤) 钟乳 白石英(各二两) 桑白皮根 人参(各三两) 大枣(二十枚,掰开)
以上十八味药,切碎,用水一斗四升,煎煮取药液四升,分四次温服,白天服三次,夜间服一次。忌食海藻、白菜、生葱、醋制食物。(与《千金方》相同,均出自第十八卷)
《古今录验方》治疗因寒冷引起的咳嗽,呼吸急促,胸部胀满,唾吐腥臭脓血。四味石钟乳散方。
钟乳(打碎,研磨) 白石脂(炼制) 款冬花 桂心(各一分)
以上四味药捣碎混合后过筛。用细管吸入少许,如大豆大小的量聚集在一勺中,饭前服用,每日三次,若无效可稍增加剂量,多次尝试确有疗效。应当连续吸七次后再停止。忌食生葱。(与《千金方》、《集验方》相同,出自第十九卷)
According to *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases), regarding chronic cough, *Shangqi* (rebellious Qi manifesting as shortness of breath or wheezing), and expectoration of pus, blood, and turbid saliva: This condition arises from extreme deficiency of Lung Qi and the stagnation of Wind pathogenic factors. Consequently, the illness persists for months or years; if it remains untreated for a long time, it leads to chest and back pain, facial edema, and in severe cases, expectoration of pus and blood. (From Volume 14)
*Shen Shi Fang* (Formulas from the Deep Master) treats insufficient Lung Qi, characterized by cough with rebellious Qi, expectoration of pus and blood, throat stuffiness, chest fullness, *Shangqi*, inability to eat, and shortness of breath when lying down. Bu Fei Tang (Lung-Nourishing Decoction).
Dong Hua Flower (*Flos Caulis Flos* / *Flos Dendranthemi Morifolii* - Note: Traditionally *Kua Dong Hua*, here translated as Dong Hua Flower) (3 liang)
Cinnamon Twig (*Guizhi*) (2 liang)
Stalactite (*Zhongru*) (2 liang)
Dried Ginger (*Ganjiang*) (2 liang)
White Quartz (*Baishiyin*) (2 liang)
Ophiopogon Tuber (*Maimendong*, processed by removing the heart) (4 liang)
Schisandra Berry (*Wuweizi*) (3 liang)
Rice (*Jingmi*) (5 he)
Mulberry Root Bark (*Sangbaipigen*) (1 jin)
Jujube (*Dazao*) (100 pieces, split open)
The above ten ingredients are sliced. Add 12 sheng of water. First decoct the Mulberry Root Bark and Jujube until soft, then remove the dregs. Add the remaining herbs and continue decocting to obtain 2.2 sheng of liquid. Divide into three doses. Avoid raw green onions, etc. (Same as in *Qianjin Fang*)
Also used to treat cough with rebellious Qi, frequent expectoration of turbid phlegm, where the patient can only sit and cannot lie down. Zao Jiao Wan (Soap Pod Pill).
Large Soap Pods (*Zaojiao*) (one stick, skin and seeds removed, roasted)
Pulverize this single ingredient into powder, mix with honey to form pills. Take one pill the size of a Chinese quince seed (*Wuzi*), three times during the day and once at night, swallowed with water mixed with Jujube paste. (Same as in *Qianjin Fang*, *Jingxin Lu*, and *Yannian Fang*; this formula originates from Zhang Zhongjing's *Shanghan Lun*, also known as Zaogao Wan)
Also used to treat cough with rebellious Qi, expectoration of pus or hemoptysis, chest fullness and pain, and inability to eat. Bu Fei Tang (Lung-Nourishing Decoction).
Astragalus Root (*Huangqi*) (another method specifies 5 liang)
Cinnamon Twig (*Guizhi*)
Prepared Rehmannia Root (*Shengdihuang* / *Gandihuang*)
Poria (*Fuling*)
Magnolia Bark (*Houpo*)
Dried Ginger (*Ganjiang*)
Aster Root (*Ziwan*)
Tangerine Peel (*Chenpi*)
Angelica Sinensis Root (*Danggui*)
Schisandra Berry (*Wuweizi*)
Polygala Root (*Yuanzhi*, processed by removing the heart)
Ophiopogon Tuber (*Maimendong*, processed by removing the heart, each 3 liang)
Licorice Root (*Gancao*, roasted)
Stalactite (*Zhongru*)
White Quartz (*Baishiyin*, each 2 liang)
Mulberry Root Bark (*Sangbaipigen*)
Ginseng Root (*Renshen*, each 3 liang)
Jujube (*Dazao*) (20 pieces, split open)
The above eighteen ingredients are sliced. Add 14 sheng of water. Decoct to obtain 4 sheng of liquid. Divide into four warm doses, taken three times during the day and once at night. Avoid seaweed, cabbage, raw green onions, and vinegar-preserved foods. (Same as in *Qianjin Fang*, both from Volume 18)
*Gu Jin Lu Yan Fang* (Ancient and Modern Verified Formulas) treats cold-induced cough, *Shangqi*, chest fullness, and expectoration of foul-smelling pus and blood. Si Wei Shi Zhongru San (Four-Ingredient Stalactite Powder).
Stalactite (*Zhongru*, crushed and ground)
Kaolin (*Baishizhi*, refined)
Dong Hua Flower (*Kua Donghua*)
Cinnamon Twig (*Guizhi*) (each 1 fen)
Pulverize the above four ingredients and mix thoroughly through a sieve. Inhale the powder using a tube, taking an amount equivalent to one spoonful gathered like a soybean, before meals. Administer three times daily. If ineffective, slightly increase the dosage. Repeated trials have proven effective. It is recommended to inhale seven times consecutively before stopping. Avoid raw green onions. (Same as in *Qianjin Fang* and *Ji Yan Fang*, from Volume 19)
*Bi Xiao Fang* (Effective Formulas) treats *Shangqi* with expectoration of pus and blood.
Moxibustion: Apply 100 moxa cones to the junction of black and white skin below each nipple. This is highly effective. (Same as in *Qianjin Fang*)