治水气乘肺而喘,兼疗支饮而喘。
陈橘皮(洗,去白) 紫苏叶 人参 桑白皮 生姜(等分)
上 咀,每服半两。水煎,去滓温服。
治诸脏相乘喘急。
杏仁(去皮尖、双仁,麸炒黄,细研如膏) 麻黄根(为细末,等分)
上和煎,橘皮汤调下二钱,无时候。
齐州半夏(七枚,炮制四片,破之) 皂角(去皮,炙,一寸) 甘草(炙,一寸) 生
姜(如指大)
上同以水一碗,煮去半,顿服。沈兴宗待制,尝病痰喘不能卧。人扶而坐数日,客有
见之曰∶我曾如此,得良药一服瘥,我以千缗酬之,谓之千缗汤,可试为之。兴宗得汤,一
服而瘥。
疗息贲。
葶苈(研细) 陈皮 苦梗(各等分)
上后二味为末,入葶苈令停,煮肥枣肉,研为膏,和丸如梧子大。每服五、七丸,饮下。
许学士云∶余尝患停饮,水积肺经,食已必嚏,渐喘,觉肺系急,服此良验。
治上气喘急,不得卧。
橘红 苦梗 紫苏 人参 北五味子(等分)
上 咀,每服四钱。水一盏,煎至六分,去滓,食后服。
治感风伏热,一切咳嗽喘息,不问高年、小儿、室女、产前、产后皆可服,惟虚劳自汗
不可服。
薄荷叶 紫苏 大腹皮(洗) 麻黄(去根节,各四两) 桑白皮 桂心 杏仁(去皮
尖) 陈橘皮 甘草(各二两)
上 咀,每服半两。水一盏半,姜十片,乌梅一个,煎至六分,去滓温服,食后。
有两浙张大夫,病喘二十年,每至秋冬辄剧,不可坐卧,百方不瘥。后得临平僧法本方
,服之遂瘥。法本凡病三十年,服此药半年,乃绝根本,永不复发。凡服此药,须久乃瘥。
官局桔梗汤、橘皮半夏汤、洗心散、华盖散(并见《局方》,不复赘录)、四七汤(见本
卷、二十卷)。
仆尝疗罗安人,年近六十。遇秋冬之交,上气喘促,不能坐卧,六脉洪实,服诸药无效
。问疾之源,少年自川中任所服饵丹砂,又恐是丹毒为害。遂服洗心散,皆无效。仆以华盖
散数服而愈,谩记之。
治疗水气侵犯肺脏导致的喘息,兼治支饮引起的喘息。
陈皮(洗净,去掉白色部分) 紫苏叶 人参 桑白皮 生姜(以上药材等量)
将药材切碎,每次服用半两。用水煎煮,去渣后温服。
治疗五脏相互乘侮导致的喘息急促。
杏仁(去皮尖、双仁,用麦麸炒至微黄,细研成膏状) 麻黄根(研为细末,以上药材等量)
混合均匀后煎煮,用橘皮汤调服二钱,不拘时间服用。
齐州产的半夏(七枚,炮制时切成四片,掰开) 皂角(去掉外皮,炙烤,一寸长) 甘草(炙烤,一寸长) 生姜(如手指大小)
以上药材一同用水一碗,煮至剩半碗,一次性服下。沈兴宗待制,曾经患痰喘病无法躺卧。被人扶着坐了几日,有位客人见到他说:“我曾经也这样,得到一种良药,服一次就好了,我酬谢他一千贯钱,这药叫千缗汤,你可以试试。”沈兴宗得到此汤,服一次病就好了。
治疗息贲。
葶苈子(研细) 陈皮 桔梗(以上药材各等量)
将后两种药材研为细末,加入葶苈子使其混合均匀,煮肥枣肉,研成膏状,和药丸做成梧桐子大小。每次服用五到七丸,用温水送服。
许学士说:“我曾经患有停饮证,水湿积聚在肺经,吃完饭后必定打喷嚏,逐渐出现喘息,感觉肺系拘急,服用此方非常有效。”
治疗上气喘促,无法平卧。
橘红 桔梗 紫苏 人参 北五味子(以上药材等量)
将药材切碎,每次服用四钱。用水一盏,煎至六分,去渣,饭后服用。
治疗感受风邪伏热引起的一切咳嗽喘息,不论高龄老人、小儿、未婚女子、产前产后皆可服用,唯独虚劳自汗者不可服用。
薄荷叶 紫苏 大腹皮(洗净) 麻黄(去掉根节,以上药材各四两) 桑白皮 桂心 杏仁(去皮尖) 陈橘皮 甘草(以上药材各二两)
将药材切碎,每次服用半两。用水一盏半,生姜十片,乌梅一个,煎至六分,去渣温服,饭后服用。
有两浙地区的张大夫,患喘病二十年,每到秋冬季节病情加重,无法坐卧,用各种方法治疗都不见效。后来得到临平僧人法本的方子,服用后病就好了。法本患病三十年,服用此药半年,便断绝了病根,永不复发。凡是服用此药,必须久服才能痊愈。
官局桔梗汤、橘皮半夏汤、洗心散、华盖散(均见于《太平惠民和剂局方》,不再赘述)、四七汤(见本卷、二十卷)。
我曾经治疗罗安人,年龄近六十岁。遇到秋冬交替之时,上气喘促,不能坐卧,六脉洪实,服用各种药物无效。询问疾病的根源,年轻时在四川任职期间服用过丹砂,又担心是丹毒为害。于是服用洗心散,都无效。我用华盖散服用几次就治愈了,随意记录下来。
Treats wheezing caused by water qi invading the lungs, and also treats wheezing due to branch fluid retention (Zhi Yin).
Chenpi (Citri Reticulatae Pericarpium, washed, white pith removed) Zisuye (Perillae Folium) Renshen (Ginseng Radix et Rhizoma) Sangbaipi (Morus Albae Cortex) Shengjiang (Zingiberis Rhizoma Recens) (equal parts)
Crush the herbs. For each dose, take half a liang. Decoct in water, remove the dregs, and take warm.
Treats sudden and urgent wheezing caused by the mutual overacting of the five zang organs.
Xingren (Prunus Armeniaca Seed, skin and tip removed, twin kernels removed, stir-fried with bran until yellow, finely ground into paste) Mahuanggen (Ephedrae Radix et Rhizoma, ground into fine powder) (equal parts)
Mix well and decoct. Take two qian mixed with Chenpi Tang (Tangerine Peel Decoction), at any time.
Banxia from Qizhou (seven pieces, processed into four slices each, broken apart) Zaorou (Gleditsiae Sinensis Fructus, skin removed, roasted, one cun long) Gancao (Licorice Root, roasted, one cun long) Shengjiang (Zingiberis Rhizoma Recens, size of a finger)
Decoct all together in one bowl of water until half remains. Take in one dose. Shen Xingzong, a Daizhi official, once suffered from phlegm-wheezing so severe he could not lie down. He was supported to sit for several days. A guest who saw him said: "I once had this condition; I obtained a good medicine that cured me after one dose, and I rewarded the provider with one thousand guan coins. It is called Qianmin Tang. You may try it." Shen Xingzong obtained the decoction and was cured after one dose.
Treats Xiben (a type of abdominal mass or lung pathology characterized by breathing difficulty).
Tinglizi (Lepidii Semen, finely ground) Chenpi (Citri Reticulatae Pericarpium) Jiegeng (Platycodonis Radix) (equal parts each)
Grind the latter two herbs into powder, mix with Tinglizi to ensure even distribution. Boil flesh of large jujubes, grind into paste, and mix with the powder to form pills the size of mulberry seeds. Take five to seven pills per dose, swallowed with water.
Academician Xu stated: "I once suffered from fluid retention, where water accumulated in the Lung meridian. After eating, I would inevitably sneeze, gradually developing wheezing and a sensation of tightness in the lung system. This prescription proved highly effective."
Treats upper body wheezing and urgency, inability to lie flat.
Juhong (Citri Reticulatae Pericarpium Rubrum) Jiegeng (Platycodonis Radix) Zisu (Perillae Folium) Renshen (Ginseng Radix et Rhizoma) Beiwuzi (Schisandrae Chinensis Fructus) (equal parts)
Crush the herbs. For each dose, take four qian. Decoct in one cup of water until reduced to six-tenths. Remove dregs and take after meals.
Treats cough and wheezing caused by wind pathogen and latent heat. Suitable for all cases regardless of age (elderly, children), marital status (virgins), or physiological state (pre- or postpartum). Contraindicated for those with deficiency-cold sweating (Xu Lao Zi Han).
Boheyie (Menthae Haplocalycis Herba) Zisu (Perillae Folium) Dafupi (Arecae Pericarpium, washed) Mahuang (Ephedrae Herba, root and joints removed, four liang each) Sangbaipi (Morus Albae Cortex) Guixin (Cinnamomi Ramulus) Xingren (Prunus Armeniaca Seed, skin and tip removed) Chenpi (Citri Reticulatae Pericarpium) Gancao (Licorice Root, two liang each)
Crush the herbs. For each dose, take half a liang. Decoct in one and a half cups of water with ten slices of ginger and one Chinese plum (Wumei) until reduced to six-tenths. Remove dregs, take warm, after meals.
Doctor Zhang from Liangzhe suffered from wheezing for twenty years. The condition worsened every autumn and winter, making sitting and lying impossible. Various treatments failed. Later, he obtained a prescription from Monk Faben of Linping and was cured. Monk Faben had been ill for thirty years; after taking this medicine for half a year, the root cause was eliminated, and it never recurred. To be effective, this medicine must be taken for a prolonged period.
Ju Geng Tang (Platycodon Decoction), Ju Pi Ban Xia Tang (Tangerine Peel and Pinellia Decoction), Xi Xin San (Heart-Washing Powder), Hua Gai San (Flower Canopy Powder) (all found in *Tai Ping Hui Min He Ji Ju Fang*, not repeated here), Si Qi Tang (Four Seven Decoction) (see this volume and Volume 20).
I once treated Lady Luo, nearly sixty years old. During the transition between autumn and winter, she experienced upper body wheezing and urgency, unable to sit or lie down. Her six pulses were surging and solid. Various medicines were ineffective. Upon asking about the origin of the disease, she revealed that in her youth, while serving in Sichuan, she had ingested Cinnabar (Dansha), and feared damage from cinnabar toxicity. She then took Xi Xin San, but it was ineffective. I used Hua Gai San for a few doses, and she recovered. I record this casually.