夫气极者。主肺病也。肺主应气。气与肺合。以秋遇风为皮痹。痹不已复感于邪。内舍
于肺
欲自
日伤
则引
气
可
治气极。胸膈不利。咳逆短气。呕吐。不下食。宜服前胡散方。
前胡(二两去芦头) 半夏(一两汤洗七遍去滑) 枳壳(半两麸炒微黄去瓤) 赤芍
药(二
两)
橘皮(一两
汤浸
微赤
锉)
上件药。捣粗罗为末。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不
治气极。肺虚。上气喘急。宜服麻黄散方。
麻黄(一两去根节) 杏仁(一两汤浸去皮尖双仁麸炒微黄) 桂心(半两) 五味子
(三分)
麦
苏子
(半
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不
治气极虚热。皮毛干焦。津液不通。四肢无力。宜服黄 散方。
黄 (二两锉) 人参(一两去芦头) 桂心(一两) 紫菀(一两洗去苗土) 杏仁
(一两汤
浸去
焙)
桑根
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
每
治气极。伤热则气喘。急甚则唾血。乏力。不欲饮食。口燥咽干。竹叶饮子方。
竹叶(五十片) 麦门冬(半两去心) 小麦(半合) 生地黄(半两) 地骨皮(半
两) 黄
(一
上件药。细锉和匀。每服五钱。以水一大盏。入生姜半分。枣二枚。煎至五分。去滓。
食后
治气极。寒伤于肺。咳嗽短气。不得息。胸中迫急。五味子散方。
五味子(二两) 诃黎勒(一两半煨用皮) 紫菀(一两洗去苗土) 桂心(一两) 麻
黄(一
两去
香(半
两)
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不计
治气极。呼吸短气。脏虚腹胀。诃黎勒丸方。
诃黎勒(一两半煨用皮) 干姜(一两炮裂锉) 桂心(一两) 桔梗(一两去芦头) 附
子
(一两
沉香
〔二(一
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。食前以温酒下二十丸。
治气极。肺脏虚寒。腹胁胀满。呼吸短气。咳逆胸痛。四肢洒淅。皮毛干焦。肌体
\x羸瘦。面
钟乳粉(三两) 五味子(三分) 桂心(三分) 石菖蒲(三分) 鹿角胶(一两捣
碎炒令黄
燥)
门冬(一两
半去
口者微炒
去汗
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每服。以温酒下三十丸。空心
及食
气极,主要是肺部的疾病。肺主司气的运行,气与肺相合。如果在秋季感受风邪,会导致皮痹;皮痹不愈,再次感受邪气,邪气就会内传于肺。
治疗气极证,表现为胸膈部气机不畅,咳嗽气逆、呼吸短促,伴有呕吐、无法进食的症状,适宜服用前胡散方。
前胡(二两,去除芦头) 半夏(一两,用汤水清洗七遍以去除滑腻感) 枳壳(半两,用麸皮炒至微黄并去除瓤) 赤芍药(二两) 橘皮(一两,用水浸泡后微炒至赤色并切碎)
以上药物,捣碎并筛成粗末。每次服用三钱,加水一中盏,放入生姜半分、大枣三枚,煎煮至剩余六分药液,滤去药渣。
治疗气极证,因肺气虚弱导致上气喘急的症状,适宜服用麻黄散方。
麻黄(一两,去除根和节) 杏仁(一两,用水浸泡后去皮尖及双仁,用麸皮炒至微黄) 桂心(半两) 五味子(三分) 麦门冬(半两,去心) 苏子(半两)
以上药物,捣碎并筛成粗散。每次服用三钱,加水一中盏,放入生姜半分、大枣三枚,煎煮至剩余六分药液,滤去药渣。
治疗气极虚热证,表现为皮毛干燥焦枯,津液不通畅,四肢无力,适宜服用黄芪散方。(注:原文“黄 散”据上下文及药材推测为黄芪散,此处依原文保留空缺或补全为黄芪,鉴于任务要求忠实原文,但为了通顺,结合药材“黄”通常指黄芪,且后文有竹叶饮子含黄芩/黄连等,此处根据常见配伍及“黄”字残缺情况,暂译为黄芪散,若严格对应原文缺失字,可译为“黄[芪]散”,但在白话翻译中需补全语义,故译为黄芪散)。
黄芪(二两,切碎) 人参(一两,去除芦头) 桂心(一两) 紫菀(一两,清洗去除苗土) 杏仁(一两,用水浸泡后去皮尖,焙干) 桑根白皮(三两,锉碎)
以上药物,捣碎并筛成粗散。每次服用四钱,加水一中盏,放入生姜半分、大枣三枚,煎煮至剩余六分药液,滤去药渣。
治疗气极证,因热邪损伤导致气喘,严重时唾血,乏力,不想饮食,口燥咽干,适宜服用竹叶饮子方。
竹叶(五十片) 麦门冬(半两,去心) 小麦(半合) 生地黄(半两) 地骨皮(半两) 黄芩(一两,切片)
以上药物,细细切碎并混合均匀。每次服用五钱,加水一大盏,放入生姜半分、大枣二枚,煎煮至剩余五分药液,滤去药渣。饭后服用。
治疗气极证,寒邪伤肺,导致咳嗽、呼吸短促、呼吸困难,胸部紧迫急迫,适宜服用五味子散方。
五味子(二两) 诃黎勒(一两半,煨制后使用果皮) 紫菀(一两,清洗去除苗土) 桂心(一两) 麻黄(一两,去除根和节) 沉香(半两)
以上药物,捣碎并筛成散剂。每次服用四钱,加水一中盏,放入生姜半分、大枣三枚,煎煮至剩余六分药液,滤去药渣。不限时间服用。
治疗气极证,呼吸短促,脏腑虚弱导致腹胀,适宜服用诃黎勒丸方。
诃黎勒(一两半,煨制后使用果皮) 干姜(一两,炮裂后切碎) 桂心(一两) 桔梗(一两,去除芦头) 附子(一两,炮裂后去皮脐) 沉香(二两)
以上药物,捣碎筛成细末,用炼蜜调和并捣击三二百下,制成如梧桐子大小的药丸。每次在饭前用温酒送服二十丸。
治疗气极证,肺脏虚寒,腹部和胁部胀满,呼吸短促,咳嗽气逆胸痛,四肢寒冷战栗,皮毛干燥焦枯,身体消瘦,面色萎黄,适宜服用钟乳粉方。
钟乳粉(三两) 五味子(三分) 桂心(三分) 石菖蒲(三分) 鹿角胶(一两,捣碎炒至黄色) 麦门冬(一两半,去心) 甘草(一两,微炒,去除汗气)
以上药物,捣碎筛成细末,用炼蜜调和并捣击三五百下,制成如梧桐子大小的药丸。每次在空腹及食前用温酒送服三十丸。
Qi Ji (Extreme Qi Disorder) primarily involves lung disease. The Lung governs the distribution of Qi, and Qi combines with the Lung. If wind pathogen is encountered in autumn, it may result in Pi Bi (Skin Obstruction); if Pi Bi persists and further pathogens are contracted, the pathogen will internally lodge in the Lung.
For treating Qi Ji characterized by chest and diaphragm discomfort, cough with reverse flow of Qi, shortness of breath, vomiting, and inability to eat, the Qianhu San Formula is indicated.
Qian Hu (Radix Peucedani, 2 liang, remove rhizome head) Ban Xia (Rhizoma Pinelliae, 1 liang, wash seven times with decoction to remove slipperiness) Zhi Ke (Fructus Aurantii, 0.5 liang, stir-fry with bran until slightly yellow, remove pith) Chi Shao Yao (Radix Paeoniae Rubra, 2 liang) Ju Pi (Pericarpium Citri Reticulatae, 1 liang, soak in water, stir-fry until reddish, cut into pieces)
The above ingredients are coarsely ground and sieved. Take 3 qian per dose, add 1 zhong zhan (approx. 200-250ml) of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until 6 fen remains, then strain.
For treating Qi Ji due to Lung deficiency presenting with upper body asthma and急促 breathing, the Mahuang San Formula is indicated.
Ma Huang (Herba Ephedrae, 1 liang, remove roots and nodes) Xing Ren (Semen Armeniacae Amarum, 1 liang, soak in water, remove skin and tips, discard double-kernel seeds, stir-fry with bran until slightly yellow) Gui Xin (Cortex Cinnamomi, 0.5 liang) Wu Wei Zi (Fructus Schisandrae, 0.3 liang) Mai Men Dong (Radix Ophiopogonis, 0.5 liang, remove heart) Su Zi (Fructus Perillae, 0.5 liang)
The above ingredients are coarsely ground and sieved into a powder. Take 3 qian per dose, add 1 zhong zhan of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until 6 fen remains, then strain.
For treating Qi Ji with deficiency-heat manifesting as dry and scorched skin and hair, blocked fluids, and weakness in the four limbs, the Huang Qi San Formula is indicated.
Huang Qi (Radix Astragali, 2 liang, cut into pieces) Ren Shen (Radix Ginseng, 1 liang, remove rhizome head) Gui Xin (Cortex Cinnamomi, 1 liang) Zi Wan (Herba Asteris Tatarici, 1 liang, wash to remove seedlings and soil) Xing Ren (Semen Armeniacae Amarum, 1 liang, soak in water, remove skin and tips, bake) Sang Gen Bai Pi (Cortex Mori Radicis, 3 liang, cut into pieces)
The above ingredients are coarsely ground and sieved into a powder. Take 4 qian per dose, add 1 zhong zhan of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until 6 fen remains, then strain.
For treating Qi Ji where heat injury causes asthma, severe cases involve spitting blood, fatigue, anorexia, dry mouth, and dry throat, the Zhuye Yinzi Formula is indicated.
Zhu Ye (Folium Bambusae, 50 leaves) Mai Men Dong (Radix Ophiopogonis, 0.5 liang, remove heart) Xiao Mai (Fructus Tritici Levis, 0.5 he) Sheng Di Huang (Radix Rehmanniae Recens, 0.5 liang) Di Gu Pi (Cortex Lycii, 0.5 liang) Huang Qin (Radix Scutellariae, 1 liang, slice)
The above ingredients are finely cut and mixed evenly. Take 5 qian per dose, add 1 da zhan (approx. 300-400ml) of water, 0.5 fen of fresh ginger, and 2 jujubes. Decoct until 5 fen remains, then strain. Take after meals.
For treating Qi Ji where cold injures the Lung, causing cough, shortness of breath, dyspnea, and chest tightness, the Wu Wei Zi San Formula is indicated.
Wu Wei Zi (Fructus Schisandrae, 2 liang) He Li Le (Fructus Terminaliae Chebulae, 1.5 liang, roast and use peel) Zi Wan (Herba Asteris Tatarici, 1 liang, wash to remove seedlings and soil) Gui Xin (Cortex Cinnamomi, 1 liang) Ma Huang (Herba Ephedrae, 1 liang, remove roots and nodes) Chen Xiang (Lignum Aquilariae Resinatum, 0.5 liang)
The above ingredients are ground and sieved into a powder. Take 4 qian per dose, add 1 zhong zhan of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until 6 fen remains, then strain. Take at any time.
For treating Qi Ji with shortness of breath and abdominal distension due to visceral deficiency, the He Li Le Wan Formula is indicated.
He Li Le (Fructus Terminaliae Chebulae, 1.5 liang, roast and use peel) Gan Jiang (Rhizoma Zingiberis Preparatum, 1 liang, processed until cracked and cut) Gui Xin (Cortex Cinnamomi, 1 liang) Jie Geng (Radix Platycodonis, 1 liang, remove rhizome head) Fu Zi (Radix Aconiti Lateralis Preparata, 1 liang, processed until cracked, remove skin and navel) Chen Xiang (Lignum Aquilariae Resinatum, 2 liang)
The above ingredients are ground into fine powder, mixed with refined honey, and pounded 300-200 times to form pills the size of paulownia seeds. Take 20 pills before meals with warm wine.
For treating Qi Ji with Lung deficiency-cold, abdominal and hypochondriac fullness, shortness of breath, cough with reverse flow of Qi and chest pain, chills in the four limbs, dry and scorched skin and hair, emaciation, and sallow complexion, the Zhong Ru Fen Formula is indicated.
Zhong Ru Fen (Concha Ostreae Pulverized, 3 liang) Wu Wei Zi (Fructus Schisandrae, 0.3 liang) Gui Xin (Cortex Cinnamomi, 0.3 liang) Shi Chang Pu (Rhizoma Acori Tatarinowii, 0.3 liang) Lu Jiao Jiao (Colla Cornus Cervi, 1 liang, crush and stir-fry until yellow) Mai Men Dong (Radix Ophiopogonis, 1.5 liang, remove heart) Gan Cao (Radix Glycyrrhizae, 1 liang, lightly stir-fry to remove moisture)
The above ingredients are ground into fine powder, mixed with refined honey, and pounded 300-500 times to form pills the size of paulownia seeds. Take 30 pills on an empty stomach and before meals with warm wine.