夫肺主于气。气为阳。阳盛则生热也。又脏腑气血充实。久积热毒在内。致胸膈烦满。
口舌干燥。卫气壅滞不通流。故令肺壅而生热也。
治肺脏壅热。心胸不利。少欲吃食。宜服枳壳散方。
枳壳(三分麸炒微黄去瓤) 前胡(半两去芦头) 川升麻(半两) 赤茯苓(半两) 子
芩(
半两
草(半两炙
微赤
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。竹叶二七片。煎至六分。去
滓。不计时候温服。忌炙爆猪鸡犬肉。
治肺脏壅热。胸膈烦闷。四肢疼痛。宜服柴胡散方。
柴胡(去苗) 桔梗(去芦头) 枳壳(麸炒微黄去瓤) 麦门冬(去心) 鳖甲(涂
醋炙令黄
去
微赤
锉
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。忌热面
炙爆苋菜等。
治肺脏壅热。心胸闷。嗽逆。食少。大肠不利。宜服紫菀散方。
紫菀(一两洗去苗土) 桔梗(一两去芦头) 茅(芦)根(二两锉) 甘草(半两炙
微赤锉)
川大黄(一两锉碎微炒) 川朴硝(一两) 木通(一两锉)
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候温服。
治肺脏壅热。烦躁喘粗。不思饮食。宜服汉防己散方。
汉防己(一两) 赤茯苓(一两) 白前(一两) 桔梗(一两去芦头) 川大黄(一
两锉碎微
炒)
两) 天
门冬(
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候温服。
治肺脏壅热。心胸不利。吃食全少。四肢烦疼。宜服黄 散方。
黄 (锉) 赤茯苓 人参(去芦头) 麦门冬(去心) 枳壳(麸炒微黄去瓤) 川
升麻 前
胡
各一两)
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候温服。
治肺脏壅热。喘促心烦。食少。宜服麦门冬散方。
麦门冬(一两去心) 柴胡(二两去苗) 杏仁(一两汤浸去皮尖双仁麸炒微黄) 石
膏(三
两)
草(半两炙
微赤
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。竹叶二七片。煎至六分。
去滓。不计时候温服。
治肺脏壅热。喘逆胸满。仰息不食。宜服赤茯苓散方。
赤茯苓(一两) 石膏(一两) 杏仁(三分汤浸去皮尖双仁麸炒微黄) 旋复花(半
两) 半
夏(半
节) 甘
草(半
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。竹叶二七片。煎至六分。去
滓。不计时候温服。
治肺脏壅热。喘促咳嗽。心神烦闷。宜服天门冬丸方。
天门冬(一两去心焙) 麦门冬(一两去心焙) 人参(一两去芦头) 赤茯苓(一两)
百合
(一
微黄)
贝
上件药。捣罗为末。炼蜜和捣三五百杵。丸如弹子大。每服食后。绵裹一丸含化咽津。
治肺脏壅热。久嗽。涕唾稠粘。气促不能食。宜服天门冬煎方。
天门冬(二两去心以水一升半煮令极烂候水尽细研) 紫菀(一两洗去苗土) 桔梗(一
两
去
锉)(以上
同
白
蜜(三
上件药。先下地黄麦门冬藕汁。煎六七沸。次下前散搅令匀。即下酥。缓火煎如饧。收
于盒中。每于食后。及夜间。含一茶匙。细细咽津。
治肺脏壅热。烦闷口干。宜服犀角丸方。
犀角屑(一两) 川升麻(三分) 黄连(三分去须) 赤茯苓(三分) 栀子仁(半
分) 木通
(一两锉) 子芩(三分) 玄参(三分) 天门冬(三分去心焙)
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食后。及夜临卧时。煎淡
竹叶汤下二十丸。
治肺脏壅热烦闷。宜服此方。
新百合(四两)
上用蜜半盏。拌和百合。蒸令软。时时含如枣大。咽津。
肺脏主管气的运行。气属于阳,阳气过盛则会产生热邪。此外,脏腑的气血充盈,若长期积聚热毒于体内,会导致胸膈部烦闷胀满,口舌干燥,卫气壅滞不通畅,从而导致肺脏壅塞而生热。
治疗肺脏壅热证,症见心胸不畅、食欲减退者,适宜服用枳壳散方。
药材组成:枳壳(三分,麸炒至微黄,去瓤)、前胡(半两,去芦头)、川升麻(半两)、赤茯苓(半两)、子芩(即黄芩,半两)、甘草(半两,炙至微赤)。
以上药物,捣碎并筛成散剂。每次服用三钱,加水一中盏,放入生姜半分、竹叶十四片,煎煮至剩余六分药液,滤去药渣。不分时候,温服。忌食烤炸的猪、鸡、狗肉。
治疗肺脏壅热证,症见胸膈烦闷、四肢疼痛者,适宜服用柴胡散方。
药材组成:柴胡(去苗)、桔梗(去芦头)、枳壳(麸炒至微黄,去瓤)、麦门冬(去心)、鳖甲(涂醋炙至黄色,去裙边,锉碎)。
以上药物,捣碎并筛成散剂。每次服用四钱,加水一中盏,煎煮至剩余六分药液,滤去药渣。不分时候,温服。忌食热面、烤炸的苋菜等食物。
治疗肺脏壅热证,症见心胸憋闷、咳嗽气逆、食欲不振、大肠传导不利者,适宜服用紫菀散方。
药材组成:紫菀(一两,洗去苗土)、桔梗(一两,去芦头)、茅根/芦根(二两,锉碎)、甘草(半两,炙至微赤,锉碎)、川大黄(一两,锉碎,微炒)、川朴硝(一两)、木通(一两,锉碎)。
以上药物,捣碎并筛成散剂。每次服用三钱,加水一中盏,煎煮至剩余六分药液,滤去药渣。不分时候,温服。
治疗肺脏壅热证,症见烦躁、呼吸粗重、不思饮食者,适宜服用汉防己散方。
药材组成:汉防己(一两)、赤茯苓(一两)、白前(一两)、桔梗(一两,去芦头)、川大黄(一两,锉碎,微炒)、天门冬(一两,去心)。
以上药物,捣碎并筛成散剂。每次服用三钱,加水一中盏,煎煮至剩余六分药液,滤去药渣。不分时候,温服。
治疗肺脏壅热证,症见心胸不畅、进食极少、四肢烦痛者,适宜服用黄芪散方(原文缺字,据方义补为黄芪)。
药材组成:黄芪(锉碎)、赤茯苓、人参(去芦头)、麦门冬(去心)、枳壳(麸炒至微黄,去瓤)、川升麻、前胡(各一两)。
以上药物,捣碎并筛成散剂。每次服用三钱,加水一中盏,煎煮至剩余六分药液,滤去药渣。不分时候,温服。
治疗肺脏壅热证,症见气喘急促、心烦、食欲少者,适宜服用麦门冬散方。
药材组成:麦门冬(一两,去心)、柴胡(二两,去苗)、杏仁(一两,汤浸去皮尖及双仁,麸炒至微黄)、石膏(三两)、甘草(半两,炙至微赤)。
以上药物,捣粗罗成散剂。每次服用三钱,加水一中盏,放入生姜半分、竹叶十四片,煎煮至剩余六分药液,滤去药渣。不分时候,温服。
治疗肺脏壅热证,症见喘逆、胸满、仰面呼吸、不能进食者,适宜服用赤茯苓散方。
药材组成:赤茯苓(一两)、石膏(一两)、杏仁(三分,汤浸去皮尖及双仁,麸炒至微黄)、旋复花(半两)、半夏(半两,姜制)、甘草(半两,炙)。
以上药物,捣碎并筛成散剂。每次服用三钱,加水一中盏,放入生姜半分、竹叶十四片,煎煮至剩余六分药液,滤去药渣。不分时候,温服。
治疗肺脏壅热证,症见气喘急促、咳嗽、心神烦闷者,适宜服用天门冬丸方。
药材组成:天门冬(一两,去心,焙干)、麦门冬(一两,去心,焙干)、人参(一两,去芦头)、赤茯苓(一两)、百合(一两,微黄)、贝母(一两,去心)。
以上药物,捣细罗成末,用炼蜜调和,捣杵三五百下,制成如弹子大小的丸药。每次饭后,用绵布包裹一丸含化,咽下津液。
治疗肺脏壅热证,症见久咳、鼻涕唾沫稠粘、气促不能进食者,适宜服用天门冬煎方。
药材组成:天门冬(二两,去心,用水一升半煮至极烂,待水尽后细研)、紫菀(一两,洗去苗土)、桔梗(一两,去芦头)、生地黄(一两,锉碎)、麦门冬(一两,去心)、藕汁(适量)、白蜜(三两)、酥(适量)。
以上药物,先加入地黄、麦门冬、藕汁,煎煮六七沸,然后加入前述药散搅匀,再加入酥,用慢火煎至如饴糖状,收存于盒中。每次饭后及夜间,含服一茶匙,细细咽下津液。
治疗肺脏壅热证,症见烦闷、口干者,适宜服用犀角丸方。
药材组成:犀角屑(一两)、川升麻(三分)、黄连(三分,去须)、赤茯苓(三分)、栀子仁(半分)、木通(一两,锉碎)、子芩(即黄芩,三分)、玄参(三分)、天门冬(三分,去心,焙干)。
以上药物,捣细罗成末,用炼蜜调和,捣杵三二百下,制成如梧桐子大小的丸药。每次饭后及夜间临卧时,用淡竹叶汤送服二十丸。
治疗肺脏壅热证引起的烦闷,适宜服用此方。
药材组成:新百合(四两)。
用法:用蜂蜜半盏,拌和百合,蒸至软熟,时时含服如枣大的一块,咽下津液。
The Lung governs Qi. Qi belongs to Yang; when Yang is excessive, heat arises. Furthermore, if the Qi and Blood of the Zang-Fu organs are abundant but heat toxins accumulate internally for a long time, it leads to vexation and fullness in the chest and diaphragm, dryness of the mouth and tongue, and stagnation of Wei Qi (Defensive Qi) preventing its smooth flow. This causes Lung congestion and the generation of heat.
For treating Lung congestion-heat syndrome, characterized by discomfort in the chest and heart, and reduced appetite, the Zhike San (Bitter Orange Powder) formula is suitable.
Ingredients: Zhike (Fructus Aurantii, 3 fen, stir-fried with bran until slightly yellow, pith removed), Qianhu (Radix Peucedani, 0.5 liang, radix removed), Chuan Shengma (Rhizoma Cimicifugae, 0.5 liang), Chi Fuling (Poria with Red Core, 0.5 liang), Ziqin (Radix Scutellariae, 0.5 liang), Gancao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly red).
Process these ingredients by crushing and sieving into a powder. Take 3 qian per dose, add one zhong zhan of water, half a fen of fresh ginger, and fourteen leaves of Zhu Ye (Bamboo Leaf), decoct until six parts remain, strain, and take warm at any time. Avoid roasted or fried pork, chicken, and dog meat.
For treating Lung congestion-heat syndrome, characterized by chest and diaphragmatic vexation and pain in the four limbs, the Chaihu San (Bupleurum Powder) formula is suitable.
Ingredients: Chaihu (Radix Bupleuri, radix removed), Jiegeng (Radix Platycodi, radix removed), Zhike (Fructus Aurantii, stir-fried with bran until slightly yellow, pith removed), Maimendong (Radix Ophiopogonis, core removed), Biejia (Carapax et Plastrum Testudinis, coated with vinegar, fried until yellow, apron removed, crushed).
Process these ingredients by crushing and sieving into a powder. Take 4 qian per dose, add one zhong zhan of water, decoct until six parts remain, strain, and take warm at any time. Avoid hot noodles, fried amaranth, etc.
For treating Lung congestion-heat syndrome, characterized by chest stuffiness, coughing with rebellious Qi, poor appetite, and irregular bowel movements, the Ziwan San (Aster Powder) formula is suitable.
Ingredients: Ziwan (Radix Asteris, 1 liang, washed to remove stems and soil), Jiegeng (Radix Platycodi, 1 liang, radix removed), Maogen/Lugen (Radix Imperatae/Rhizoma Phragmitis, 2 liang, crushed), Gancao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly red, crushed), Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang, crushed, lightly stir-fried), Chuan Puxiao (Natrii Sulfas, 1 liang), Mutong (Caulis Akebiae, 1 liang, crushed).
Process these ingredients by crushing and sieving into a powder. Take 3 qian per dose, add one zhong zhan of water, decoct until six parts remain, strain, and take warm at any time.
For treating Lung congestion-heat syndrome, characterized by restlessness, coarse breathing, and lack of desire for food, the Han Fangji San (Stephania Tetrandra Powder) formula is suitable.
Ingredients: Han Fangji (Radix Stephaniae Tetrandrae, 1 liang), Chi Fuling (Poria with Red Core, 1 liang), Baiqian (Herba Cynanchi Stauntoniae, 1 liang), Jiegeng (Radix Platycodi, 1 liang, radix removed), Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang, crushed, lightly stir-fried), Tianmendong (Radix Asparagi, 1 liang, core removed).
Process these ingredients by crushing and sieving into a powder. Take 3 qian per dose, add one zhong zhan of water, decoct until six parts remain, strain, and take warm at any time.
For treating Lung congestion-heat syndrome, characterized by discomfort in the chest and heart, very little food intake, and vexatious pain in the four limbs, the Huangqi San (Astragalus Powder) formula is suitable.
Ingredients: Huangqi (Radix Astragali, crushed), Chi Fuling (Poria with Red Core), Renshen (Radix Ginseng, radix removed), Maimendong (Radix Ophiopogonis, core removed), Zhike (Fructus Aurantii, stir-fried with bran until slightly yellow, pith removed), Chuan Shengma (Rhizoma Cimicifugae), Qianhu (Radix Peucedani) (each 1 liang).
Process these ingredients by crushing and sieving into a powder. Take 3 qian per dose, add one zhong zhan of water, decoct until six parts remain, strain, and take warm at any time.
For treating Lung congestion-heat syndrome, characterized by rapid panting, irritability, and poor appetite, the Maimendong San (Ophiopogon Powder) formula is suitable.
Ingredients: Maimendong (Radix Ophiopogonis, 1 liang, core removed), Chaihu (Radix Bupleuri, 2 liang, radix removed), Xingren (Semen Pruni Armeniacae, 1 liang, soaked in water, skin and tip removed, double-kernel, stir-fried with bran until slightly yellow), Shigao (Gypsum Fibrosum, 3 liang), Gancao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly red).
Process these ingredients by coarsely grinding into a powder. Take 3 qian per dose, add one zhong zhan of water, half a fen of fresh ginger, and fourteen leaves of Zhu Ye (Bamboo Leaf), decoct until six parts remain, strain, and take warm at any time.
For treating Lung congestion-heat syndrome, characterized by rebellious panting, chest fullness, orthopnea, and inability to eat, the Chi Fuling San (Poria with Red Core Powder) formula is suitable.
Ingredients: Chi Fuling (Poria with Red Core, 1 liang), Shigao (Gypsum Fibrosum, 1 liang), Xingren (Semen Pruni Armeniacae, 3 fen, soaked in water, skin and tip removed, double-kernel, stir-fried with bran until slightly yellow), Xuanjinhua (Flos Inulae, 0.5 liang), Banxia (Rhizoma Pinelliae, 0.5 liang, processed with ginger), Gancao (Radix Glycyrrhizae, 0.5 liang, honey-fried).
Process these ingredients by crushing and sieving into a powder. Take 3 qian per dose, add one zhong zhan of water, half a fen of fresh ginger, and fourteen leaves of Zhu Ye (Bamboo Leaf), decoct until six parts remain, strain, and take warm at any time.
For treating Lung congestion-heat syndrome, characterized by rapid panting, cough, and mental restlessness, the Tianmendong Wan (Asparagus Pill) formula is suitable.
Ingredients: Tianmendong (Radix Asparagi, 1 liang, core removed, baked), Maimendong (Radix Ophiopogonis, 1 liang, core removed, baked), Renshen (Radix Ginseng, 1 liang, radix removed), Chi Fuling (Poria with Red Core, 1 liang), Baihe (Bulbus Lilii, 1 liang, slightly yellow), Beimu (Bulbus Fritillariae Cirrhosae, 1 liang, core removed).
Process these ingredients by finely grinding into powder, mix with refined honey, and pound three to five hundred times. Form pills the size of a bullet. After meals, wrap one pill in silk, hold in the mouth to dissolve, and swallow the saliva.
For treating Lung congestion-heat syndrome, characterized by chronic cough, thick sticky sputum, shortness of breath, and inability to eat, the Tianmendong Jian (Asparagus Decoction/Paste) formula is suitable.
Ingredients: Tianmendong (Radix Asparagi, 2 liang, core removed, boiled in 1.5 sheng of water until extremely soft, water evaporated, then finely ground), Ziwan (Radix Asteris, 1 liang, washed to remove stems and soil), Jiegeng (Radix Platycodi, 1 liang, radix removed), Dihuang (Radix Rehmanniae, 1 liang, crushed), Maimendong (Radix Ophiopogonis, 1 liang, core removed), Oujiang (Jucini Sucus, appropriate amount), Baimi (Mel, 3 liang), Su (Butyrum, appropriate amount).
First, add Dihuang, Maimendong, and Oujiang, boil for six or seven boils. Then add the previously prepared powder, stir well, and add Su. Simmer over low heat until it resembles maltose syrup. Store in a box. After meals and at night, take one tea spoonful, hold in the mouth, and slowly swallow the saliva.
For treating Lung congestion-heat syndrome, characterized by vexation and dry mouth, the Xijiao Wan (Rhinoceros Horn Pill) formula is suitable.
Ingredients: Xijiao Xie (Cornu Rhinocerotis, 1 liang), Chuan Shengma (Rhizoma Cimicifugae, 3 fen), Huanglian (Rhizoma Coptidis, 3 fen, whiskers removed), Chi Fuling (Poria with Red Core, 3 fen), Zhizi Ren (Semen Gardeniae, 0.5 fen), Mutong (Caulis Akebiae, 1 liang, crushed), Ziqin (Radix Scutellariae, 3 fen), Xuanshen (Radix Scrophulariae, 3 fen), Tianmendong (Radix Asparagi, 3 fen, core removed, baked).
Process these ingredients by finely grinding into powder, mix with refined honey, and pound two to three hundred times. Form pills the size of Sophora seeds. After meals and before bed, take twenty pills with a light Zhu Ye Tang (Bamboo Leaf Decoction).
For treating vexation caused by Lung congestion-heat, this formula is suitable.
Ingredients: Xin Baihe (Bulbus Lilii, 4 liang).
Method: Mix with half a zhan of honey, steam until soft. Hold a piece the size of a jujube in the mouth from time to time and swallow the saliva.