疗病如桂枝证,头不痛,项不强,寸脉微浮,胸中痞硬,气上冲喉咽不得息者,此为胸
中有痰也。当吐之,宜服此。
瓜蒂(炒黄) 赤小豆(各半两)
上为细末,取一钱匕,豉一合,汤七合,先渍之,须臾煮作稀糜,去滓,取汁和散,温
、顿服。不吐,少少加,得快吐乃止。诸亡血、虚家不可与之。(脉微,大忌令人吐)
治痰饮及脾胃不和。
半夏 白茯苓 生姜(各一分)
上 咀,作一服。每遇膈间有寒痰,以水二盏,煎至一盏,去滓,临卧温呷。如有热痰
,加炙甘草一分。如脾胃不和,去甘草,加陈橘皮一分同煎。此即二陈汤加减得理。
治喜、怒、悲、思、忧、恐、惊之气结成痰涎,状如破絮,或如梅核在咽喉之间,咯不
出,咽不下,此七气所为也。或中脘痞满,气不舒快;或痰涎壅盛,上气喘急;或因痰饮中
节,呕逆恶心,并宜服之。妇人情性执着,不能宽解,多被七气所伤,遂致气填胸臆,或如
梅核上塞咽喉,甚者满闷欲绝,产妇尤多此证,宜服此剂,间以香附子药久服取效。切不可
谓紫苏耗气,且谓新产气血俱虚不肯多服。用之效验,不可具述。
紫苏叶(二两) 浓朴(三两) 茯苓(四两) 半夏(五两)
上 咀,每服四钱。水一盏半,姜七片,枣一个,煎至六分,去滓热服,无时候。若因
思忧过当,小便白浊,用此药吞青州白丸子极妙。
治疗症状类似桂枝汤证(太阳中风表虚证),但头部不痛,颈项不强硬,寸部脉搏微现浮象,胸中感觉痞塞坚硬,气逆上冲至喉咽导致呼吸不畅的,这是胸中有痰饮阻滞。应当采用涌吐法治疗,适宜服用此方。
将上述药材研成细末,取一钱匕的药粉,配淡豆豉一合,用七合沸水先浸泡药粉和豆豉,片刻后煮成稀粥状,滤去药渣,取汁液调和药散,温服,一次性服下。若未引起呕吐,可少量增加剂量,直到产生剧烈的呕吐为止。凡是失血患者、体质虚弱者不可服用。(脉象微弱者,大忌使用涌吐法)
将上述药材切碎,作为一剂服用。每当遇到膈间有寒痰时,用水两盏,煎煮至一盏,滤去药渣,睡前温热慢饮。如果有热痰,加入炙甘草一分。如果脾胃不和,去掉甘草,加入陈橘皮一分共同煎煮。这就是二陈汤加减得宜的用法。
治疗因喜、怒、悲、思、忧、恐、惊这七种情志之气凝结成痰涎,形状像破旧的棉絮,或者像梅核卡在咽喉之间,咳不出来,咽不下去,这是由“七气”所致。或者出现中脘部痞满,气机不舒畅;或者痰涎壅盛,上气喘急;或者因为痰饮停滞在中焦,呕吐恶心,都适宜服用此方。妇女性情执着,不能自我宽解,多被七情所伤,导致气机堵塞胸臆,或者感觉像梅核阻塞咽喉,严重的甚至感到胸闷欲绝,产妇尤其多见此证,适宜服用此剂,并配合香附子药物长期服用以取得疗效。切不可认为紫苏会耗损正气,且认为新产后气血俱虚而不肯多服。此药疗效显著,无法详尽描述。
将上述药材切碎,每次服用四钱。用水一盏半,生姜七片,大枣一个,煎煮至六分量的药液,滤去药渣,趁热服用,不限时间。如果是因思虑忧愁过度,导致小便白浊,用此药送服青州白丸子效果极佳。
Treats conditions resembling *Guizhi Tang* (Cinnamon Twig Decoction) syndrome, where the head is not painful, the neck is not stiff, the cun position of the pulse is slightly floating, there is a sensation of fullness and hardness in the chest, and qi rushes upward to the throat and pharynx causing difficulty in breathing. This indicates the presence of phlegm-fluid retention in the chest. The vomiting method should be employed, and this prescription is suitable.
*Gua Di* (Thistle Fruit), processed until yellow; *Chi Xiao Dou* (Red Adzuki Bean): each half liang.
Grind the above ingredients into a fine powder. Take one qian bi (a spoonful measure) of the powder, combine with one he of *Chi Shi* (Prepared Soybean), and seven he of boiling water. Soak first, then boil for a moment until it becomes a thin porridge. Strain to remove the dregs, take the decoction, mix with the powder, and take warm in one dose. If vomiting does not occur, increase the dose slightly until vigorous vomiting occurs, then stop. It is contraindicated for patients who have lost blood or are constitutionally deficient. (If the pulse is faint, vomiting is strictly prohibited.)
Treats phlegm-fluid retention and disharmony of the Spleen and Stomach.
*Ban Xia* (Pinelliae Rhizoma); *Bai Fu Ling* (Poria); *Sheng Jiang* (Zingiberis Rhizoma Recens): each one fen.
Cut the above ingredients into small pieces to constitute one dose. Whenever cold-phlegm is present in the diaphragm, use two zhan of water, decoct until one zhan remains, strain, and take warm slowly before retiring. If there is heat-phlegm, add one fen of *Zhi Gan Cao* (Honey-fried Licorice Root). If there is Spleen-Stomach disharmony, remove the Gan Cao and add one fen of *Chen Ju Pi* (Citri Reticulatae Pericarpium) to decoct together. This is an appropriate modification of *Er Chen Tang* (Two-Aged Phlegm-Resolving Decoction).
Treats phlegm-saliva formed by the condensation of Qi due to the Seven Emotions: joy, anger, sorrow, thought, worry, fear, and fright. The phlegm may resemble torn cotton wadding or feel like a plum pit stuck between the throat and pharynx, unable to be expectorated or swallowed. This is caused by "Seven Qi" (pathogenic factors related to emotions). Symptoms may also include fullness and distension in the Zhongwan region with uncomfortable Qi stagnation; excessive phlegm-saliva accumulation leading to upper body wheezing and急促 breathing; or nausea and vomiting due to phlegm-fluid retention in the middle Jiao. All these conditions are suitable for this prescription. Women often have stubborn temperaments and fail to relax themselves, making them susceptible to injury by the Seven Emotions. This leads to Qi blocking the chest and epigastrium, or a sensation like a plum pit obstructing the throat. In severe cases, there is extreme stuffiness and distress. Postpartum women particularly often suffer from this condition and should take this formula, combined with long-term administration of *Xiang Fu Zi* (Cyperus Rhizoma) medicine to achieve efficacy. One must not claim that *Zi Su Ye* (Perillae Folium) depletes Qi, nor refuse to administer it frequently under the pretext that Qi and Blood are both deficient after recent childbirth. The therapeutic effect is remarkable and cannot be fully described.
*Zi Su Ye* (Perillae Folium): two liang; *Hou Po* (Magnoliae Officinalis Cortex): three liang; *Fu Ling* (Poria): four liang; *Ban Xia* (Pinelliae Rhizoma): five liang.
Cut the above ingredients into small pieces. For each dose, use four qian. Add one and a half zhan of water, seven slices of fresh ginger, and one jujube. Decoct until six parts remain, strain, and take hot at any time. If excessive thinking and worry lead to turbid white urine, taking this medicine to swallow *Qingzhou Bai Wan Zi* (White Pills of Qingzhou) yields excellent results.