(金匮) 治火气上逆,咽喉不利。
麦门冬(七升) 半夏(一升) 人参(三两) 甘草(二两) 大枣(十二枚) 粳
米(三合) 水一
喻嘉言曰∶此胃中津液干枯,虚火上炎之证。用寒凉药而火反升,徒知与火相争,知母
贝母
队中
之奇
(仲景) 治伤寒脉结代,心动悸。及肺痿,咳唾多,心中温温液液者。(脉动而中
能自还者曰结,不能自还曰代。气血虚衰,不能相续也。心中动悸,真气内虚也。肺痿
多者,以胃中之津液上供,悉从燥热化为涎沫也。)宝鉴用治呃逆。
甘草(炙四两) 生姜 桂枝 人参 阿胶(蛤粉炒二两) 生地黄(一斤) 麦冬(去
心) 麻仁
人参麦冬甘草大枣,益中气而复脉。生地阿胶,助营血而宁心。麻仁润滑,以缓脾胃。
姜桂
湿剂
门中
在
肺
咳
制
用炙甘草汤,此补虚劳也。与补阴虚火热不同,故肺痿有寒热之异。)
治诸气 郁,诸痿喘呕。
二桑叶(经霜者。得金气而柔顺不凋,取之为君,去枝梗。三钱。) 石膏(禀清肃之
气,极
胡麻仁(
枇杷叶(一
生地黄,热
喻嘉言曰∶诸气 郁之属于肺者,属于肺之燥也。而古今治气郁之方,用辛香行气,绝
无一
以喘
也。
内经
即
约
不
肺
仿
(出自《金匮要略》)治疗火气上逆,导致咽喉部感觉不顺畅。
麦门冬(七升) 半夏(一升) 人参(三两) 甘草(二两) 大枣(十二枚) 粳米(三合) 用水一斗煮。
喻嘉言说:这是胃中津液干枯,虚火上炎的证候。如果使用寒凉药物,火势反而上升,只知道与火相争,(在方剂中加入知母、贝母等药作为奇兵)。
(出自张仲景)治疗伤寒病中出现脉象结代,以及心中悸动不安。以及肺痿病,咳嗽吐沫多,心中感觉温温然有液体流动感。(脉搏跳动中途停顿能自行恢复的称为“结”,不能自行恢复的称为“代”。这是因为气血虚衰,不能相互接续。心中悸动,是因为真气内部虚弱。肺痿病人吐沫多,是因为胃中的津液向上供给,全部被燥热化为涎沫。)《宝鉴》用此方治疗呃逆。
炙甘草(四两) 生姜 桂枝 人参 阿胶(用蛤粉炒制,二两) 生地黄(一斤) 麦冬(去心) 麻仁
人参、麦冬、甘草、大枣,能够补益中气并恢复脉象。生地、阿胶,能够资助营血并宁心安神。麻仁润滑,用来缓和脾胃。
姜、桂(加入方中,作为辛温之剂),在肺咳方面起到制约作用。
使用炙甘草汤,这是为了补益虚劳。这与补益阴虚火热的方法不同,所以肺痿有寒证和热证的差异。
治疗各种气机郁滞,以及各种痿证、喘证、呕吐。
霜桑叶(经过霜降的。禀受金气而柔顺不凋谢,选取它作为君药,去掉枝梗,三钱。) 石膏(禀受清肃之气,极……) 胡麻仁(……) 枇杷叶(一……) 生地黄,热……
喻嘉言说:属于肺的气机郁滞,是由于肺的燥邪所致。而古今治疗气郁的方剂,多用辛香行气的药物,绝对没有……以治疗喘证。
《内经》即……约……不……肺……仿……
(From *Jin Gui Yao Lue*) Treats the condition of fire qi rebelling upward, causing discomfort in the throat.
Mai Men Dong (Ophiopogonis Radix, seven sheng) Ban Xia (Pinelliae Rhizoma, one sheng) Ren Shen (Ginseng Radix, three liang) Gan Cao (Licorice Root, two liang) Da Zao (Jujubae Fructus, twelve pieces) Jing Mi (Oriza Sativa Semen, three he) Cook with one dou of water.
Yu Jiayan stated: This is a syndrome where the fluids of the stomach are dried up, and deficient fire flares upward. If cold-natured medicines are used, the fire may rise further; merely knowing to contend with the fire by adding Zhi Mu (Anemarrhenae Rhizoma) and Bei Mu (Fritillariae Bulbus) as auxiliary agents.
(From Zhang Zhongjing) Treats Tai Yang disease presenting with knotted or intermittent pulse (Jie Dai Mai) and palpitations (Xin Dong Ji). Also treats Fei Wei (Lung Atrophy), characterized by copious coughing and spitting of saliva, and a sensation of warmth and fluid movement in the chest. (A pulse that pauses but recovers spontaneously is called Jie [Knotted]; one that does not recover spontaneously is called Dai [Intermittent]. This indicates deficiency and decline of Qi and Blood, unable to sustain each other. Palpitations indicate internal deficiency of True Qi. In Fei Wei, excessive spitting occurs because the fluids from the Stomach ascend but are transformed into saliva by dryness-heat.) The *Bao Jian* uses this formula to treat hiccups.
Zhi Gan Cao (Honey-fried Licorice Root, four liang) Sheng Jiang (Fresh Ginger) Gui Zhi (Cinnamon Twig) Ren Shen (Ginseng Radix) E Jiao (Donkey-hide Gelatin, stir-fried with clam powder, two liang) Sheng Di Huang (Rehmanniae Radix Recens, one jin) Mai Dong (Ophiopogonis Radix, heart removed) Ma Ren (Semen Cannabis)
Ren Shen, Mai Dong, Gan Cao, and Da Zao benefit Middle Qi and restore the pulse. Sheng Di Huang and E Jiao nourish Ying Blood and calm the Heart. Ma Ren provides lubrication to ease the Spleen and Stomach.
Sheng Jiang and Gui Zhi (added as acrid-warm agents) help regulate Lung cough.
Using Zhi Gan Cao Tang is for tonifying deficiency and wasting conditions. This differs from treating Yin deficiency with empty heat; thus, Fei Wei presents with both cold and heat variations.
Treats various Qi stagnations, various Wei syndromes (atrophy), panting, and vomiting.
Shuang Sang Ye (Mulberry Leaf after frost. Acquires Metal Qi, becoming soft and supple without withering; selected as the Sovereign herb, stems and branches removed, three qian.) Shi Gao (Gypsum Fibrosum. Acquires pure and descending Qi...) Hu Ma Ren (Semen Sesami Nigri...) Pi Pa Ye (Loquat Leaf...) Sheng Di Huang... Yu Jiayan stated: Qi stagnation belonging to the Lung is due to Lung dryness. Ancient and modern formulas for Qi stagnation mostly use acrid-aromatic Qi-moving herbs, absolutely lacking... to treat panting.
The *Nei Jing* implies... concise... not... Lung... imitates...