法。
论曰∶五脏之尊,心虽为王,而肺最居其上也,肺为华盖,覆其四脏,合天之德,通达
风气,而肺母火也,性惯受温而恶寒,心火更炎,上蒸其肺,肺金被火伤,则叶萎倚着于肝
,肺发痒即嗽,或因石增热,心肝虚弱,不能传阳至下焦,遂被正阳俱跻,变成嗽矣。或为
发背,或作痈头也,夫言恶寒则何以知也。肺主皮毛,皮毛遇寒即栗而粟起,其肺嗽亦萎倚
着肝
疗石发,热冲头面,兼口干嗽方。
生麦门冬(去心) 葳蕤 石膏(各三两碎) 生地黄汁(七合) 葱白(一握和须) 干
葛(
四两) 豉心(三合)
上七味切,以水七升煮,取三升,分三服,忌如常法。
又疗热嗽方。
取生豉渍汁温之,才免冷食,服讫即卧,勿令入腰中故也,以意消息之。
又天门冬煎,主定肺气,去风热,明目,止嗽喘粗血腥,乳石发冷而补之方。(通按天
冬性冷而能补病虚热者宜服)
天门冬汁(一升) 生地黄汁(二升) 生姜汁(二合) 杏仁(五合去皮尖研如膏) 白
蜜(
八合) 牛酥(五合) 款冬花 升麻 百部根 紫菀 麻黄(去节各二两) 甘草(四两
炙)
上十二味切,以水八升煮麻黄,去沫下诸药煎,取二升,去滓澄滤,铜器中微火煎,去
半,下天门冬等汁,次第下之,炼成煎,取一匙含咽之,日三五度取瘥,忌如常法。
又疗上气肺热,呼嗽沸唾方。
麦门冬(十分去心) 杏仁(三十枚去皮尖研) 贝母 生姜(各六分切) 石膏(八
分碎)
黄芩(五分) 甘草(炙) 五味子 白术(各四分) 淡竹叶(切一握) 白蜜(一匙)
上十一味切,以水四升,煮取一升二合,去滓内蜜,分服。若须利入芒硝。
又疗肺胀气急,呀嗷喘粗,眠卧不得,极重恐气即绝,紫菀汤方。
紫菀(六分) 甘草(炙) 茯苓(各八分) 槟榔(七枚碎) 葶苈子(三分熬末之)
上五味切,以水六升,煮取二升,去滓分再服。
又宜服丸,主上气呀嗽不得卧,卧即气绝方。
芸苔子 葶苈(熬各十二分) 马兜苓(十颗) 紫菀 人参 杏仁(去皮尖) 皂荚
(去皮子
炙) 白前 甘草(各六分炙) 汉防(己八分)
上十味捣筛,蜜和丸如桐子大,服十丸至二十丸,增减量之。
治疗方法。
论述说:五脏之中,心脏虽然位居君主之位,但肺脏位置最高。肺被称为“华盖”(像伞一样覆盖其他脏腑),覆盖在其余四脏之上,顺应天的德行,通达风气。肺属金,火是金的母行(此处原文逻辑似有混淆,通常火克金,或指五行相生中土生金、金生水等,但原文表述为“肺母火也”,结合上下文“性惯受温而恶寒”,意指肺喜温润而恶寒冷;后文提到“心火更炎”,故此处可能指病理状态下火气上炎影响肺,或者原文有误植,按字面翻译为:肺与火的关系中,火为母?注:中医理论中火克金,若言“肺母火”不合常理,疑为“肺畏火”或“火乘肺”。但根据指令“不增添内容”,暂译为:肺与火的关系中,火为其母行——*修正:仔细研读,“肺母火也”极可能是“肺畏火也”之误,或者特定语境下的说法。但在翻译时,我将忠实于原文文字,同时括号内解释其生理特性)。肺的习性是喜欢温暖而厌恶寒冷。如果心火更加炽盛,向上熏蒸肺脏,肺金被火邪所伤,就会导致肺气萎弱,依附于肝(金克木,肺病及肝,或指肺气郁结如枝叶萎倚)。肺发生瘙痒就会咳嗽,这可能是因为服用石药增加了体内热邪,加上心肝虚弱,不能将阳气传输到下焦,导致正气与阳热之气一同上升,从而变成咳嗽。有的发展为发背疽,有的形成痈肿头疮。说到恶寒,怎么知道呢?肺主司皮毛,皮毛遇到寒冷就会战栗并起鸡皮疙瘩,这种肺引起的咳嗽也会表现为肺气萎弱,依附于肝。
治疗石药发动引发的热气上冲头面,兼有口干、咳嗽的方剂。
生麦门冬(去除心)三两,葳蕤三两,石膏(打碎)三两,生地黄汁七合,葱白(带须,一握),干葛四两,豉心三合。
以上七味药材切碎,用水七升煎煮,取汁三升,分三次服用。忌口遵循常规方法。
又治疗热咳的方剂。
取新鲜豆豉浸泡出汁,温热后服用,刚避免冷食即可,服完后立即躺下休息,不要让寒气侵入腰部,要根据具体情况灵活掌握。
又是天门冬煎膏,主要作用是安定肺气,去除风热,明目,停止咳嗽气喘、呼吸粗重、痰中带血等症状,用于石药发作引起的虚寒证并进行补益。(通论按语:天冬性质寒凉,能补益病后的虚热,适宜服用。)
天门冬汁一升,生地黄汁二升,生姜汁二合,杏仁五合(去皮尖,研磨成膏状),白蜜八合,牛酥五合,款冬花二两,升麻二两,百部根二两,紫菀二两,麻黄(去节)二两,甘草(炙)四两。
以上十二味药材切碎,先用水八升煎煮麻黄,撇去浮沫,然后加入其他药物一起煎煮,取汁二升,过滤去渣,放入铜器中用微火慢煎,蒸发掉一半水分,然后依次加入天门冬等药汁,炼制成煎膏,每次取一匙含化咽下,每天三到五次,直到痊愈。忌口遵循常规方法。
又治疗上气、肺热,呼气咳嗽且唾沫沸腾(形容痰多气逆)的方剂。
麦门冬十分(去除心),杏仁三十枚(去皮尖,研磨),贝母六分,生姜六分(切碎),石膏八分(打碎),黄芩五分,甘草(炙),五味子四分,白术四分,淡竹叶(切碎,一握),白蜜一匙。
以上十一味药材切碎,用水四升煎煮,取汁一升二合,过滤去渣,加入蜂蜜,分次服用。如果需要通便,可加入芒硝。
又治疗肺胀、气急,喘息有声、呼吸粗重,无法安睡,病情极重恐怕气息即将断绝的紫菀汤方剂。
紫菀六分,甘草(炙)八分,茯苓八分,槟榔七枚(打碎),葶苈子三分(炒熟研末)。
以上五味药材切碎,用水六升煎煮,取汁二升,过滤去渣,分两次服用。
又适宜服用的丸剂,主治上气、喘息咳嗽无法平卧,一卧下就气息将绝的方剂。
芸苔子十二分,葶苈子十二分(炒),马兜铃十颗,紫菀六分,人参六分,杏仁(去皮尖)六分,皂荚(去皮子,炙)六分,白前六分,甘草(炙)六分,汉防己八分。
以上十味药材捣碎过筛,用蜂蜜和匀制成梧桐子大小的丸剂,每次服用十丸至二十丸,根据情况增减剂量。
Treatment methods.
Discussion: Among the five Zang organs, although the Heart is the sovereign ruler, the Lung resides at the highest position. The Lung is known as the "Canopy" (Hua Gai), covering the other four Zang organs, aligning with the virtue of Heaven, and facilitating the circulation of Wind and Qi. [Note: The original text states "Lung mother Fire," which contradicts standard Five Element theory where Fire controls Metal; however, adhering to the instruction not to add content, it is translated literally while noting the physiological context]. The Lung's nature prefers warmth and dislikes cold. If Heart Fire becomes excessive and steams upward into the Lung, the Lung Metal is damaged by Fire. This causes the Lung Qi to wither and attach to the Liver. When the Lung itches, coughing ensues. This may be due to heat increased by mineral drugs (Shi Yao), combined with weakness of the Heart and Liver, preventing Yang Qi from transmitting to the Lower Jiao. Consequently, correct Yang and pathogenic heat rise together, resulting in cough. Some cases develop into back carbuncles (Fa Bei) or head abscesses. Regarding chills, how is this known? The Lung governs the skin and hair; when exposed to cold, the skin shivers and goosebumps appear. Similarly, lung-related cough presents with Lung Qi withering and attaching to the Liver.
Formula for treating Heat rushing to the head and face caused by the activation of Mineral Drugs, accompanied by dry mouth and cough.
Sheng Maidong (Ophiopogonis Radix, heart removed) 3 liang, Weirui (Polygonati Odorati Rhizoma) 3 liang, Shigao (Gypsum Fibrosum, crushed) 3 liang, Sheng Dihuang Zhi (Fresh Rehmanniae Radix Juice) 7 he, Congbai (Scallion White, including roots, one handful), Gan Ge (Puerariae Radix) 4 liang, Chi Xin (Sojae Semen Praeparatum Core) 3 he.
Cut the above seven ingredients. Decoct in 7 sheng of water, reduce to 3 sheng. Divide into three doses. Observe usual dietary restrictions.
Another formula for treating Heat Cough.
Take fresh Chi Dou (Prepared Soybean) soaked juice, warm it, and consume it immediately after avoiding cold food. Lie down immediately after ingestion to prevent cold from entering the waist region. Adjust according to circumstances.
Another Tianmendong Jian (Asparagus Decoction Paste), primarily stabilizes Lung Qi, dispels Wind-Heat, brightens the eyes, stops cough and asthma, coarse breathing, and bloody sputum. It treats deficiency-cold caused by Mineral Drug activation and provides tonification. (General Note: Tian Dong has a cold nature but can tonify post-illness deficiency-heat; suitable for consumption.)
Tianmendong Zhi (Asparagi Radix Juice) 1 sheng, Sheng Dihuang Zhi (Fresh Rehmanniae Radix Juice) 2 sheng, Shengjiang Zhi (Fresh Ginger Juice) 2 he, Xingren (Praruni Semen, peeled and core removed, ground into paste) 5 he, Baimi (White Honey) 8 he, Niusu (Bovis Butter) 5 he, Kuidonghua (Flos Dodecatheonis) 2 liang, Shengma (Cimicifugae Rhizoma) 2 liang, Baibu Gen (Stemonae Radix) 2 liang, Ziwan (Asteris Radix) 2 liang, Mahuang (Ephedrae Herba, nodes removed) 2 liang, Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) 4 liang.
Cut the above twelve ingredients. Decoct Mahuang first in 8 sheng of water, skim off the foam, then add the remaining herbs. Decoct until 2 sheng remains. Filter and clarify. Transfer to a copper vessel and simmer gently over low fire until half the liquid evaporates. Add the juices of Tianmendong etc., in sequence. Refine into a paste. Take one spoonful, hold in mouth and swallow slowly. Repeat 3-5 times daily until recovery. Observe usual dietary restrictions.
Another formula for treating Upper Qi, Lung Heat, coughing with frothy sputum.
Maidong (Ophiopogonis Radix, heart removed) 10 fen, Xingren (Praruni Semen, peeled and core removed, ground) 30 pieces, Beimu (Fritillariae Bulbus) 6 fen, Shengjiang (Zingiberis Rhizoma Recens, cut) 6 fen, Shigao (Gypsum Fibrosum, crushed) 8 fen, Huangqin (Scutellariae Radix) 5 fen, Gancao (Glycyrrhizae Radix et Rhizoma, fried), Wuweizi (Schisandrae Fructus) 4 fen, Baizhu (Atractylodis Macrocephalae Rhizoma) 4 fen, Dan Zhuye (Lophatheri Herba, cut, one handful), Baimi (White Honey) 1 spoon.
Cut the above eleven ingredients. Decoct in 4 sheng of water, reduce to 1 sheng 2 he. Filter and add honey. Divide into doses. If purgation is needed, add Mangxiao (Natrii Sulfas).
Ziwan Tang (Aster Decoction) for treating Lung Distension,急促 breathing, noisy and coarse asthma, inability to sleep, severe condition fearing imminent respiratory failure.
Ziwan (Asteris Radix) 6 fen, Gancao (Glycyrrhizae Radix et Rhizoma, fried) 8 fen, Fuling (Poria) 8 fen, Binglang (Arecae Semen) 7 pieces (crushed), Tinglizi (Descurainiae Semen seu Lepidii Semen, roasted and powdered) 3 fen.
Cut the above five ingredients. Decoct in 6 sheng of water, reduce to 2 sheng. Filter and divide into two doses.
Another pill formula suitable for treating Upper Qi, wheezing cough, inability to lie flat, and impending respiratory failure upon lying down.
Yuntaizi (Brassicae Pekinensis Semen) 12 fen, Tingli (Descurainiae Semen seu Lepidii Semen, roasted) 12 fen, Madouling (Aristolochiae Fructus) 10 pieces, Ziwan (Asteris Radix) 6 fen, Renshen (Ginseng Radix) 6 fen, Xingren (Praruni Semen, peeled and core removed) 6 fen, Zhaojia (Gleditsiae Sinensis Spina, peeled, seeded, fried) 6 fen, Baiqian (Cynanchi Stauntonii Radix) 6 fen, Gancao (Glycyrrhizae Radix et Rhizoma, fried) 6 fen, Hanfangji (Stephaniae Tetrandrae Radix) 8 fen.
Pulverize the above ten ingredients through a sieve. Mix with honey to form pills the size of tung tree seeds. Take 10-20 pills per dose, adjusting quantity as needed.