《延年》百部根饮 主肺气客热,暴伤风寒,因嗽不安方。
百部根(一两半) 天门冬(二两去心) 紫菀(一两半) 贝母 干葛 白前 橘皮
(各一
两) 生姜(二两) 葱白(切三合) 豉(三合)
上十味,切,以水六升,煮取一升七合,去滓,分温三服。疏数任情,亦可分为四服,
欲间食亦得。禁生冷、鲤鱼、蒜。(出第五卷中)
《古今录验》疗肺客热,并肝心家气。人参汤方。
桂心 甘草(炙各三两) 人参 干姜 防风(各二两) 白术(一两半)
上六味,切,以水八升,煮取三升,分三服,日三,宜温。忌桃、李、雀肉、生葱、海
藻、菘菜。(出第二十一卷中)
《删繁》疗肺热,气上咳,息奔喘。橘皮汤方。
橘皮 杏仁(四两去尖、皮) 柴胡 麻黄(去节各三两) 干苏叶(二两) 母姜(四
两去
尖) 石膏(八两)
上七味,切,以水九升,先煮麻黄两沸,除沫,下诸药,煮取三升,去滓,分三服。不
瘥,再服。(母姜,《千金》云宿姜,《千金》同,出第五卷中)
《千金》疗肺热闷不止,胸中喘急,惊悸,客热来去欲死,不堪服药,泄胸中喘气方。
桃皮(一斗) 芫花(一斗)
上二味,以水四斗,煮取一斗,去滓,以故布手巾纳汁中。薄胸,温四肢,不盈数日
即歇。
又凡右手寸口气口以前脉,阴实者,手太阴经也,病苦肺胀,汗出若露,上气喘逆,咽
中塞,如欲呕状,名肺热实也。
又疗肺热实,胸凭仰息,泄气除热汤方。
枸杞根皮(二升) 白前(三两) 石膏(八两碎,绵裹) 杏仁(三两去尖、皮,研)
橘皮
上七味,切,以水七升,煮取二升,去滓,下蜜更煮两三沸,分三服。忌桃、李、雀肉
等。
又疗肺热,言音喘息短气,好唾脓血方。
生地黄(切二升) 石膏(八两) 淡竹茹(如鸡子大一枚) 杏仁(四两去尖、皮,
研) 羚羊
角(屑三两) 芒硝(三两) 赤蜜(一升) 麻黄(五两去节) 升麻(三两)
上九味,以水七升,煮取二升,去滓,下蜜煮两沸,分三服。忌芜荑。(出第十七
卷中)
《延年》天门冬煎 主肺热兼咳,声不出方。
生天门冬(汁一升) 橘皮(二两) 生地黄(汁五升) 白蜜(五合) 牛酥(三合)
白糖(
五两) 杏仁(一升去尖、皮) 贝母 紫菀 通草(各三两) 百部根 白前 甘草(炙
各二两)
人参(
上十四味,切,以水六升,煮贝母等药,取二升五合,去滓,纳天门冬、地黄汁,煎可
减半,纳酥、蜜、生姜等,煎令可丸。稍强取如鸡子黄大含咽之,日四五度。忌鲤鱼、芜荑
、海藻、菘菜等。(张文仲处)
又地黄麦门冬煎 主肺热兼咳方。
生地黄汁(三升) 生麦门冬(三升) 生姜汁(一合) 酥(二合) 白蜜(二合)
上五味,先煎地黄、麦门冬、姜汁等,三分可减一分,纳酥、蜜,煎如稀饧,纳贝母末
八分、紫菀末四分,搅令调。一服一匙,日二服,夜一服。忌芜荑。
又天门冬煎 主肺间热咳,咽喉塞方。
天门冬(三两去心) 麦门冬(二两去心) 款冬花(一两) 贝母(一两) 紫菀(二
两) 茯
苓(二两) 升麻(二两) 生姜(汁三升) 蜜(一升) 酥(一合) 地黄(汁三升)
上十一味,切,以水八升,煮七物,取一升,去滓,纳生姜、地黄汁煮取一升,纳蜜、
酥于银器中,加汤上煎令成丸。一服如弹丸一枚,含咽,日夜三五丸。忌醋物、芜荑、鲤鱼
等。(颜仁楚处)
又羚羊角饮 主肺热,胸背痛,时时干咳,不能食方。
羚羊角(屑二两) 贝母 生姜 茯苓(各三两) 橘皮 人参 芍药(各二两)
上七味,切,以水五升,煮取一升八合,去滓,分温三服,每服如人行八九里久更服。
禁生冷、蒜、面、醋。(并出第五卷中)
《延年方》中的百部根饮,主治肺气受邪热侵袭,因突然遭受风寒而导致的咳嗽不安。
药材及用量:百部根(一两半)、天门冬(二两,去心)、紫菀(一两半)、贝母、干葛、白前、橘皮(各一两)、生姜(二两)、葱白(切三合)、豉(三合)。
以上十味药,切碎,用水六升,煎煮至一升七合,滤去药渣,分三次温服。服药间隔长短可根据病情需要调整,也可以分为四次服用,饭前饭后服用均可。忌食生冷食物、鲤鱼、大蒜。(出自第五卷中)
《古今录验》中治疗肺受邪热,并兼治肝心之气逆的人参汤方。
药材及用量:桂心、甘草(炙,各三两)、人参、干姜、防风(各二两)、白术(一两半)。
以上六味药,切碎,用水八升,煎煮至三升,分三次服用,每日三次,宜温服。忌食桃、李、雀肉、生葱、海藻、白菜。(出自第二十一卷中)
《删繁方》中治疗肺热,气逆上冲导致咳嗽,呼吸急促奔迫的橘皮汤方。
药材及用量:橘皮、杏仁(四两,去尖、皮)、柴胡、麻黄(去节,各三两)、干苏叶(二两)、母姜(四两,去尖)、石膏(八两)。
以上七味药,切碎,用水九升,先煮麻黄,煮沸两次后撇去浮沫,再加入其他药物,煎煮至三升,滤去药渣,分三次服用。若病未愈,可再次服用。(注:母姜,《千金方》称为宿姜,《千金方》与此相同,出自第五卷中)
《千金方》中治疗肺热闷塞不止,胸中喘促急迫,惊悸,邪热往来似有致死之危,且身体虚弱无法承受普通药物治疗,需宣泄胸中喘气的方剂。
药材及用量:桃皮(一斗)、芫花(一斗)。
以上两味药,用水四斗,煎煮至一斗,滤去药渣,用旧的布手巾浸入药汁中。敷于胸部,温暖四肢,不出数日即可痊愈。
另外,凡是右手寸口脉在关前以前部位,阴实者,属于手太阴肺经病变。病症表现为肺部胀满,出汗如淋浴状,上气喘逆,咽喉堵塞感,像要呕吐的样子,这称为肺热实证。
另外,治疗肺热实证,胸膈痞满需仰面呼吸,以泄气除热的汤方。
药材及用量:枸杞根皮(二升)、白前(三两)、石膏(八两,捣碎,用绵布包裹)、杏仁(三两,去尖、皮,研碎)、橘皮。
以上七味药(原文此处计数有误,列出的药材为五味,但按古医籍惯例及上下文可能隐含其他辅料或计数方式,此处依原文列出),切碎,用水七升,煎煮至二升,滤去药渣,加入蜂蜜再煎煮两三沸,分三次服用。忌食桃、李、雀肉等。
另外,治疗肺热,言语声音微弱,喘息短气,经常吐出脓血的方剂。
药材及用量:生地黄(切碎二升)、石膏(八两)、淡竹茹(如鸡蛋大一枚)、杏仁(四两,去尖、皮,研碎)、羚羊角(锉末三两)、芒硝(三两)、赤蜜(一升)、麻黄(五两,去节)、升麻(三两)。
以上九味药,用水七升,煎煮至二升,滤去药渣,加入蜂蜜再煎煮两沸,分三次服用。忌食芜荑。(出自第十七卷中)
《延年方》中的天门冬煎,主治肺热兼咳嗽,声音嘶哑不能发出的方剂。
药材及用量:生天门冬(取汁一升)、橘皮(二两)、生地黄(取汁五升)、白蜜(五合)、牛酥(三合)、白糖(五两)、杏仁(一升,去尖、皮)、贝母、紫菀、通草(各三两)、百部根、白前、甘草(炙,各二两)、人参。
以上十四味药,切碎,用水六升,先煎煮贝母等固体药材,取汁二升五合,滤去药渣,加入天门冬汁和地黄汁,煎煮至减半,再加入酥、蜜、生姜等,煎煮至可制成丸剂。体质稍强者,每次取如鸡蛋黄大小的药丸含咽,每日四五次。忌食鲤鱼、芜荑、海藻、白菜等。(张文仲提供)
另外,地黄麦门冬煎,主治肺热兼咳嗽的方剂。
药材及用量:生地黄汁(三升)、生麦门冬(三升)、生姜汁(一合)、酥(二合)、白蜜(二合)。
以上五味药,先煎煮地黄、麦门冬、姜汁等,煎至减少三分之一,加入酥、蜜,煎煮至稀饧状,加入贝母末八分、紫菀末四分,搅拌均匀。每次服用一匙,每日两次,夜间一次。忌食芜荑。
另外,天门冬煎,主治肺间热咳,咽喉堵塞感的方剂。
药材及用量:天门冬(三两,去心)、麦门冬(二两,去心)、款冬花(一两)、贝母(一两)、紫菀(二两)、茯苓(二两)、升麻(二两)、生姜(取汁三升)、蜜(一升)、酥(一合)、地黄(取汁三升)。
以上十一味药,切碎,用水八升,先煎煮前七味固体药材,取汁一升,滤去药渣,加入生姜汁和地黄汁再煎煮至一升,将蜜、酥放入银器中,隔水加热煎煮至成丸剂。每次服用如弹丸大小的一枚,含咽,白天黑夜共服用三五丸。忌食醋制食物、芜荑、鲤鱼等。(颜仁楚提供)
另外,羚羊角饮,主治肺热,胸背疼痛,时常干咳,不能进食的方剂。
药材及用量:羚羊角(锉末二两)、贝母、生姜、茯苓(各三两)、橘皮、人参、芍药(各二两)。
以上七味药,切碎,用水五升,煎煮至一升八合,滤去药渣,分三次温服。每次服药间隔约人行走八九里的时间再服下一次。忌食生冷、蒜、面食、醋。(均出自第五卷中)
The *Baibu Gen Yin* (Stemona Root Drink) from the *Yannian Fang* (Longevity Formulas) treats Lung Qi invaded by pathogenic heat, and restlessness due to coughing caused by sudden exposure to wind-cold.
Herbs and dosages: Stemona Radix (*Baibu*, 1.5 liang), Asparagus Cochinchinensis Rhizome (*Tianmendong*, 2 liang, heart removed), Aster Tataricus Root (*Ziwan*, 1.5 liang), Fritillaria Bulb (*Beimu*), Kudzu Root (*Gange*), Cynanchum Stauntonii Root (*Baiqian*), Citrus Reticulata Peel (*Jupi*) (each 1 liang), Fresh Ginger (*Shengjiang*, 2 liang), Scallion White (*Congbai*, cut 3 he), Fermented Soybean (*Chi*, 3 he).
The above ten herbs are chopped, boiled in six sheng of water until reduced to one sheng seven he, strained, and taken warm in three doses. The frequency can be adjusted according to the condition; it may also be divided into four doses. It can be taken before or after meals. Avoid cold/raw foods, carp, and garlic. (From Volume 5)
The *Renshen Tang* (Ginseng Decoction) from *Gujin Luyan* (Recorded Experiences of Past and Present) treats Lung invasion by pathogenic heat and qi rebellion of the Liver and Heart.
Herbs and dosages: Cassia Twig (*Guixin*), Licorice Root (*Gancao*, roasted, each 3 liang), Ginseng Root (*Renshen*), Dried Ginger (*Ganjiang*), Saposhnikovia Root (*Fangfeng*) (each 2 liang), Atractylodes Macrocephala Rhizome (*Baizhu*, 1.5 liang).
The above six herbs are chopped, boiled in eight sheng of water until reduced to three sheng, and taken in three doses, three times a day, preferably warm. Avoid peaches, plums, sparrow meat, raw scallions, seaweed, and Chinese cabbage. (From Volume 21)
The *Jupi Tang* (Citrus Reticulata Peel Decoction) from *Shanfan* (Eliminating Complexity) treats Lung heat causing qi rebellion with cough, and rapid, labored breathing.
Herbs and dosages: Citrus Reticulata Peel (*Jupi*), Apricot Seed (*Xingren*, 4 liang, tip and skin removed), Bupleurum Root (*Chaihu*), Ephedra Herb (*Mahuang*, nodes removed, each 3 liang), Dry Perilla Leaf (*Gansuye*, 2 liang), Mother Ginger (*Mujiang*, 4 liang, tip removed), Gypsum (*Shigao*, 8 liang).
The above seven herbs are chopped, boiled in nine sheng of water. First boil Ephedra for two boils, skim off the foam, then add the remaining herbs. Boil until reduced to three sheng, strain, and take in three doses. If not cured, take again. (Note: *Mujiang* is called *Sujiang* (aged ginger) in *Qianjin Fang*; same as *Qianjin Fang*. From Volume 5)
The formula from *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treats persistent chest oppression due to Lung heat, urgent panting in the chest, palpitations with fright, pathogenic heat coming and going resembling death, where the patient is too weak to tolerate ordinary medication, aiming to vent the panting qi from the chest.
Herbs and dosages: Peach Bark (*Taopi*, 1 dou), Genkwa Flower (*Yuanhua*, 1 dou).
The above two herbs are boiled in four dou of water until reduced to one dou. Strain the dregs. Soak an old cloth handkerchief in the juice. Apply to the chest to warm the limbs. Recovery occurs within a few days.
Furthermore, regarding pulse diagnosis: If the pulse at the Cun position on the right hand (before the Guan position) is Yin-solid, it indicates pathology of the Hand Taiyin Lung Meridian. Symptoms include lung distension, sweating profusely like a shower, upward rushing of qi with panting and reversal, throat obstruction, and a sensation of impending vomiting. This is named Lung Heat Excess Syndrome.
Another decoction for treating Lung Heat Excess Syndrome, characterized by chest fullness requiring supine breathing, aims to vent qi and remove heat.
Herbs and dosages: Lycium Root Bark (*Gouqigenpi*, 2 sheng), Cynanchum Stauntonii Root (*Baiqian*, 3 liang), Gypsum (*Shigao*, 8 liang, crushed, wrapped in silk), Apricot Seed (*Xingren*, 3 liang, tip and skin removed, pounded), Citrus Reticulata Peel (*Jupi*).
(Note: The text lists five ingredients but states "above seven flavors"; following the source text structure). Chop the herbs, boil in seven sheng of water until reduced to two sheng. Strain, add honey, and boil for two or three more boils. Take in three doses. Avoid peaches, plums, and sparrow meat.
Another formula for treating Lung heat, characterized by hoarseness, shortness of breath, and frequent expectoration of pus and blood.
Herbs and dosages: Raw Rehmannia Root (*Shengdihuang*, chopped 2 sheng), Gypsum (*Shigao*, 8 liang), Bamboo Shavings (*Danzhuru*, size of a chicken egg), Apricot Seed (*Xingren*, 4 liang, tip and skin removed, pounded), Antelope Horn (*Lingyangjiao*, powdered 3 liang), Mirabilite (*Mangxiao*, 3 liang), Red Honey (*Chimi*, 1 sheng), Ephedra Herb (*Mahuang*, nodes removed, 5 liang), Cimicifuga Rhizome (*Shengma*, 3 liang).
The above nine herbs are boiled in seven sheng of water until reduced to two sheng. Strain, add honey, and boil for two boils. Take in three doses. Avoid Myrobalan. (From Volume 17)
The *Tianmendong Jian* (Asparagus Decoction) from *Yannian Fang* (Longevity Formulas) treats Lung heat with accompanying cough and loss of voice.
Herbs and dosages: Juice of Raw Asparagus Cochinchinensis Rhizome (*Sheng Tianmendong jiazhi*, 1 sheng), Citrus Reticulata Peel (*Jupi*, 2 liang), Juice of Raw Rehmannia Root (*Sheng Dihuang jiazhi*, 5 sheng), White Honey (*Baimi*, 5 he), Beef Tallow/Suet (*Niusu*, 3 he), White Sugar (*Baitang*, 5 liang), Apricot Seed (*Xingren*, 1 sheng, tip and skin removed), Fritillaria Bulb (*Beimu*), Aster Tataricus Root (*Ziwan*), Tetrapanax Pith (*Tongcao*) (each 3 liang), Stemona Radix (*Baibu*), Cynanchum Stauntonii Root (*Baiqian*), Roasted Licorice Root (*Zhigancao*) (each 2 liang), Ginseng Root (*Renshen*).
The above fourteen herbs are chopped. Boil Beimu and other solid herbs in six sheng of water until reduced to two sheng five he. Strain. Add the juices of Tianmendong and Dihuang, and boil until reduced by half. Add suet, honey, and fresh ginger, and boil until it can form pills. For those with stronger constitutions, take a pill the size of a chicken yolk and let it dissolve in the mouth. Take four to five times a day. Avoid carp, myrobalan, seaweed, and Chinese cabbage. (Provided by Zhang Wenzhong)
Another formula, Dihuang Maimendong Jian (Rehmannia and Ophiopogon Decoction), treats Lung heat with accompanying cough.
Herbs and dosages: Juice of Raw Rehmannia Root (*Sheng Dihuang jiazhi*, 3 sheng), Juice of Raw Ophiopogon Tuber (*Sheng Maimendong jiazhi*, 3 sheng), Juice of Fresh Ginger (*Shengjiang jiazhi*, 1 he), Suet (*Su*, 2 he), White Honey (*Baimi*, 2 he).
The above five ingredients are first boiled. Reduce the volume by one-third. Add suet and honey, and boil until it resembles thin syrup. Add powdered Fritillaria Bulb (*Beimu mo*, 8 fen) and powdered Aster Tataricus Root (*Ziwan mo*, 4 fen), and stir well. Take one spoon per dose, twice daily and once at night. Avoid myrobalan.
Another *Tianmendong Jian* (Asparagus Decoction) treats heat in the lungs with cough and throat obstruction.
Herbs and dosages: Asparagus Cochinchinensis Rhizome (*Tianmendong*, 3 liang, heart removed), Ophiopogon Tuber (*Maimendong*, 2 liang, heart removed), Winter Flower Bud (*Kuaodonghua*, 1 liang), Fritillaria Bulb (*Beimu*, 1 liang), Aster Tataricus Root (*Ziwan*, 2 liang), Poria (*Fuling*, 2 liang), Cimicifuga Rhizome (*Shengma*, 2 liang), Juice of Fresh Ginger (*Shengjiang jiazhi*, 3 sheng), Honey (*Mi*, 1 sheng), Suet (*Su*, 1 he), Juice of Rehmannia Root (*Dihuang jiazhi*, 3 sheng).
The above eleven herbs are chopped. Boil the first seven solid herbs in eight sheng of water until reduced to one sheng. Strain. Add ginger juice and rehmannia juice, and boil until reduced to one sheng. Place honey and suet in a silver vessel and melt them over hot water until pills form. Take one pill the size of a bullet, letting it dissolve in the mouth. Take three to five pills during the day and night combined. Avoid vinegar-preserved foods, myrobalan, and carp. (Provided by Yanrenchu)
Another formula, *Lingyangjiao Yin* (Antelope Horn Drink), treats Lung heat, chest and back pain, frequent dry cough, and inability to eat.
Herbs and dosages: Antelope Horn (*Lingyangjiao*, powdered 2 liang), Fritillaria Bulb (*Beimu*), Fresh Ginger (*Shengjiang*), Poria (*Fuling*) (each 3 liang), Citrus Reticulata Peel (*Jupi*), Ginseng Root (*Renshen*), Peony Root (*Shaoyao*) (each 2 liang).
The above seven herbs are chopped, boiled in five sheng of water until reduced to one sheng eight he. Strain and take warm in three doses. Take each dose with an interval equivalent to walking eight or nine li. Avoid cold/raw foods, garlic, wheat products, and vinegar. (All from Volume 5)