内经云。久咳不已。则三焦受之。三焦咳状。咳嗽腹满。不欲食饮。此皆聚于胃。关于
肺。
今咳
方
藿香汤 治久咳传三焦。腹满不欲食。
藿香叶 人参 赤茯苓(去黑皮) 青橘皮(汤浸去瓤焙) 细辛(去苗叶) 益智子
(去皮
微炒)
为
散。每
黄 汤 调脾肺养气。治三焦咳嗽。减食息高。
黄 (锉) 人参 白术 当归(切焙各三分) 赤茯苓(去黑皮) 百合 糯米 桔
梗(锉
炒)
苏五
叶。同
半夏汤 治三焦咳。腹满不欲饮食。
半夏(汤洗七遍去滑焙) 木通(锉各四两) 前胡(去芦头) 白术 赤茯苓(去黑
皮) 陈
橘皮
萼各一
两一
干姜汤 治三焦咳。腹满。心胸不利。不思食。
干姜(炮裂) 桂(去粗皮) 款冬花(各半两) 细辛(去苗叶) 白术 甘草(炙
锉) 五味
子(
入枣二
枚
胡椒理中丸 治三焦咳。肺胃虚寒。咳逆呕吐。腹胁胀满。不能饮食。
人参汤 治三焦咳。心胸滞闷。四肢不和。
人参(一两) 杏仁(汤浸去皮尖双仁麸炒) 麻黄(去根节煮去沫焙干) 桂(去粗
皮) 干
姜(
为散。
每
半夏汤 治三焦咳。腹满不欲食。
紫苏子汤 治三焦咳。心胸不利。不思饮食。
紫苏子(微炒) 陈橘皮(汤浸去白焙各一两) 甘草(炙半两) 干姜(炮) 桔梗
(锉炒)
杏仁
七
分。
五味子丸 治三焦咳。腹满不欲食。顺气。
五味子(炒) 复盆子(去蒂) 仙灵脾(各一两) 上为末。炼蜜和丸。如梧桐子大。
每服
二十
玉液散 治久咳传三焦。腹满不思饮食。及胃虚有痰。
半夏(汤浸去滑七遍焙一两) 生姜(去皮切焙) 陈粟米(拣净各二两) 上为散。
每服一
钱。
《黄帝内经》说:久咳不愈,病邪就会传入三焦。三焦咳嗽的症状是:咳嗽伴有腹部胀满,不想饮食。这些病症的根源都在于胃气聚集,并影响及肺脏。
现在列出治疗咳嗽的方剂:
藿香汤:治疗久咳传变至三焦,出现腹部胀满、不想进食的症状。
药材:藿香叶、人参、赤茯苓(去除黑色外皮)、青橘皮(用热水浸泡后去除瓤焙干)、细辛(去除苗和叶)、益智子(去除外皮,微炒)。
用法:将上述药材研为散剂。每次服用适量,用黄汤调服。
黄汤:调理脾肺,滋养正气。治疗三焦咳嗽,食欲减退,呼吸短促。
药材:黄(锉碎)、人参、白术、当归(切片焙干,各三分)、赤茯苓(去除黑色外皮)、百合、糯米、桔梗(锉碎炒制)、苏五叶。
用法:同上,同煮半夏汤。
半夏汤:治疗三焦咳嗽,腹部胀满,不想饮食。
药材:半夏(用热水清洗七遍,去除滑腻感后焙干)、木通(锉碎,各四两)、前胡(去除芦头)、白术、赤茯苓(去除黑色外皮)、陈橘皮、萼各一两一、干姜。
用法:同上。
干姜汤:治疗三焦咳嗽,腹部胀满,心胸不畅,不思饮食。
药材:干姜(炮裂)、桂枝(去除粗皮)、款冬花(各半两)、细辛(去除苗和叶)、白术、甘草(炙烤后锉碎)、五味子(加入大枣二枚)。
用法:同上。
胡椒理中丸:治疗三焦咳嗽,肺胃虚寒,咳嗽气逆呕吐,腹胁胀满,不能进食。
人参汤:治疗三焦咳嗽,心胸痞闷不适,四肢不和顺。
药材:人参(一两)、杏仁(热水浸泡后去皮尖,双仁者用麸炒)、麻黄(去除根节,煮沸去沫,焙干)、桂枝(去除粗皮)、干姜。
用法:研为散剂。每次服用适量。
紫苏子汤:治疗三焦咳嗽,心胸不畅,不思饮食。
药材:紫苏子(微炒)、陈橘皮(热水浸泡后去除白色内皮焙干,各一两)、甘草(炙烤,半两)、干姜(炮制)、桔梗(锉碎炒制)、杏仁。
用法:共七味药,煎煮服用。
五味子丸:治疗三焦咳嗽,腹部胀满,不想饮食,顺气。
药材:五味子(炒制)、复盆子(去除蒂)、仙灵脾(各一两)。
用法:上药研为末,炼蜜和丸,如梧桐子大小。每次服用二十丸。
玉液散:治疗久咳传变至三焦,腹部胀满,不思饮食,以及胃虚有痰。
药材:半夏(热水浸泡去除滑腻感七遍后焙干,一两)、生姜(去皮切片焙干)、陈粟米(拣选干净,各二两)。
用法:上药研为散剂。每次服用一钱。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: If chronic cough persists without resolution, the pathogenic factor will transmit to the Sanjiao (Triple Burner). The presentation of Sanjiao cough includes cough accompanied by abdominal fullness and anorexia. The root of these conditions lies in the accumulation of pathogens in the Stomach, which then affects the Lung.
The following formulas are listed for treating cough:
**Huoxiang Tang (Agastache Decoction)**: Treats chronic cough transmitting to the Sanjiao, presenting with abdominal fullness and anorexia.
Ingredients: Huoxiang Ye (Leaf of Agastache rugosa), Renshen (Radix Ginseng), Chi Fuling (Poria cocos with dark skin removed), Qing Jupi (Green Tangerine Peel, soaked in hot water, pith removed, and dried), Xixin (Herba Asari, radix and leaves removed), Yizhi Zi (Fructus Alpiniae oxyphyllae, husk removed, lightly stir-fried).
Usage: Grind into powder. Take appropriate amount, mixed with Huang Tang.
**Huang Tang**: Regulates Spleen and Lung, nourishes healthy Qi. Treats Sanjiao cough, decreased appetite, and shortness of breath.
Ingredients: Huang (likely Huangqi or similar, sliced), Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis macrocephalae), Danggui (Radix Angelicae sinensis, sliced and dried, each 3 fen), Chi Fuling (Poria cocos with dark skin removed), Baihe (Bulbus Lilii), Nuomi (Semen Oryzae glutinosum), Jiegeng (Radix Platycodonis, sliced and stir-fried), Su Wu Ye (Leaves of Perilla frutescens).
Usage: Same as above, cooked together with Banxia Tang.
**Banxia Tang (Pinellia Decoction)**: Treats Sanjiao cough, abdominal fullness, and anorexia.
Ingredients: Banxia (Rhizoma Pinelliae, washed seven times in hot water to remove slipperiness, then dried), Mutong (Caulis Akebiae, sliced, each 4 liang), Qianhu (Radix Peucedani, rhizome removed), Baizhu (Rhizoma Atractylodis macrocephalae), Chi Fuling (Poria cocos with dark skin removed), Chen Jupi (Aged Tangerine Peel), E (Calyx, unspecified source, 1 liang 1 qian), Ganjiang (Rhizoma Zingiberis).
Usage: Same as above.
**Ganjiang Tang (Dried Ginger Decoction)**: Treats Sanjiao cough, abdominal fullness, chest and heart discomfort, and anorexia.
Ingredients: Ganjiang (Rhizoma Zingiberis, roasted until cracked), Gui (Ramulus Cinnamomi, bark removed), Kuandonghua (Flos Farfarae, each half liang), Xixin (Herba Asari, radix and leaves removed), Baizhu (Rhizoma Atractylodis macrocephalae), Gancao (Radix Glycyrrhizae, honey-fried and sliced), Wubeizi (Fructus Schisandrae, added with two dates).
Usage: Same as above.
**Hujiao Lizhong Wan (Pepper Regulate Middle Pill)**: Treats Sanjiao cough due to deficiency-cold of Lung and Stomach, cough with rebellious Qi and vomiting, abdominal and hypochondriac fullness, and inability to eat.
**Renshen Tang (Ginseng Decoction)**: Treats Sanjiao cough, chest and heart stagnation and oppression, and disharmony of the four limbs.
Ingredients: Renshen (Radix Ginseng, 1 liang), Xingren (Semen Pruni armeniaceae, soaked in hot water, skin and pointed kernels removed, double-kernel ones stir-fried with bran), Mahuang (Herba Ephedrae, roots and joints removed, boiled to remove foam, then dried), Gui (Ramulus Cinnamomi, bark removed), Ganjiang (Rhizoma Zingiberis).
Usage: Grind into powder. Take appropriate amount.
**Banxia Tang (Pinellia Decoction)**: Treats Sanjiao cough, abdominal fullness, and anorexia.
**Zisuzi Tang (Perilla Seed Decoction)**: Treats Sanjiao cough, chest and heart discomfort, and anorexia.
Ingredients: Zisuzi (Semen Perillae, lightly stir-fried), Chen Jupi (Aged Tangerine Peel, soaked in hot water, white pith removed and dried, each 1 liang), Gancao (Radix Glycyrrhizae, honey-fried, half liang), Ganjiang (Rhizoma Zingiberis, roasted), Jiegeng (Radix Platycodonis, sliced and stir-fried), Xingren (Semen Pruni armeniaceae).
Usage: Seven ingredients combined, decocted and taken.
**Wubeizi Wan (Schisandra Pill)**: Treats Sanjiao cough, abdominal fullness, anorexia, and regulates Qi.
Ingredients: Wubeizi (Fructus Schisandrae, stir-fried), Fupenzi (Fructus Rubi, calyx removed), Xianlingpi (Herba Epimedii, each 1 liang).
Usage: Grind into powder, mix with refined honey to form pills the size of paulownia seeds. Take 20 pills per dose.
**Yuye San (Jade Fluid Powder)**: Treats chronic cough transmitting to the Sanjiao, abdominal fullness, anorexia, and phlegm due to Stomach deficiency.
Ingredients: Banxia (Rhizoma Pinelliae, soaked in hot water to remove slipperiness seven times, dried, 1 liang), Shengjiang (Rhizoma Zingiberis recens, peeled, sliced, and dried), Chensumi (Fructus Setariae italicae aged, selected clean, each 2 liang).
Usage: Grind into powder. Take 1 qian per dose.