(附论)
夫腑脏之气。皆上注于肺。肺乃气之所注也。若阴阳不调。肺气虚弱。邪之所攻。则
肺
胀气
方
诃黎勒皮散(出圣惠方)治上气咽喉窒塞。短气不得睡卧。腰背强痛。四肢
烦疼。腹满不能
诃黎勒皮(一两) 槟榔(三分) 桑根白皮(一两锉) 赤茯苓(一两) 麻黄(一
两去根节)
甘
汤洗七
次
分。
煎至五分。去滓温服。不拘时。
杏仁散(出圣惠方)治上气喘急。不得睡卧。腹胁有积气。
杏仁(半两汤浸去皮尖双仁麸炒微黄) 赤茯苓(一两) 木香(一两) 鳖甲(一两
涂醋炙
黄去
计
五味子散(出圣惠方)治上气喘促。不得睡卧。
五味子(三分) 陈橘皮(三分汤浸去白焙) 紫菀(一两洗去苗土) 贝母(三分煨
微黄)
赤茯
去心)
甘草(半两微炒赤锉) 柴胡(三分去苗) 上为散。每服五钱。水一盏。生姜半分。煎至
五分
。去滓温服。不拘时候。
治上气不得睡卧短气。(出千金方)
陈皮(一两汤去白焙) 人参(一两去芦) 五味子(一两) 紫苏茎叶(一两) 上
为散。每服五
枣。
半夏丸(一名钟乳丸出圣惠方)治上气胸满。昼夜不得卧。
半夏(汤洗去滑姜汁制焙干) 芎 (各半两) 附子(炮裂去皮脐半两) 蜀椒(去
目及闭口
辛(去苗叶各半两
(汤去皮尖双仁研细半两)
梧桐子大。每服三丸至五丸
杏仁散(出圣惠方)治上气喘急。不得睡卧。
杏仁(一两汤去皮尖双仁麸炒微黄) 甘草(半两炙微赤锉) 紫苏子(一两微炒) 麻
黄(一两
每服三钱。水一
桂心丸(出千金方)治发热气上冲。不得息。欲死不得卧。
桂心(半两) 白石英 麦门冬 枳实 白藓皮 贝母 茯神 槟榔仁 天门冬(各二
两半)
仁(五分)
竹叶饮(出千金方)
竹叶 紫苏子(各一升) 紫菀 白前(各二两) 百部 甘草 生姜(各三分) 上
咀。以
荜茇丸 治上气倚息不得卧。
荜茇 昆布(洗炒干) 吴茱萸(汤洗焙微炒) 葶苈(隔纸炒紫色) 杏仁(汤去皮
尖双仁炒研
空心服。
治上气急满。坐卧不得。
用鳖甲炙黄。细捣为散。灯心同煎。食前服一钱。食后蜜水下一钱。
三因神秘汤(出永类铃方)治上气喘急。不得卧者。
净陈皮 桔梗 紫苏 人参 五味子(各等分) 上 咀四钱。水煎服。直指加槟榔、
桑
根
治肺壅气喘急不得卧。\x
葶苈子(三两炒) 大枣(二十枚用水三升煮取二升汁) 上末将已炒葶苈子。入煮枣
汁一
处。
【附论】
脏腑之气,都向上灌注于肺。肺是气汇聚的地方。如果阴阳失调,肺气虚弱,邪气侵袭,就会导致肺胀气。
方剂:诃黎勒皮散(出自《圣惠方》)。治疗上气病,咽喉阻塞感,呼吸短促无法躺卧,腰背僵硬疼痛,四肢烦扰疼痛,腹部胀满不能……(原文此处似有缺漏或排版错误,依文意译为:腹部胀满,无法平卧等症)。
药材:诃黎勒皮(一两)、槟榔(三分)、桑根白皮(一两,锉碎)、赤茯苓(一两)、麻黄(一两,去根节)、甘草(……汤洗七次……分。煎至五分,去渣温服,不拘时候。)
杏仁散(出自《圣惠方》)。治疗上气喘急,无法躺卧,腹胁部有积气。
药材:杏仁(半两,汤浸去皮尖双仁,麸炒微黄)、赤茯苓(一两)、木香(一两)、鳖甲(一两,涂醋炙……计……五味子散(出自《圣惠方》)。治疗上气喘促,无法躺卧。
药材:五味子(三分)、陈橘皮(三分,汤浸去白焙)、紫菀(一两,洗去苗土)、贝母(三分,煨微黄)、赤茯……去心)、甘草(半两,微炒赤锉)、柴胡(三分,去苗)。以上为散剂。每次服用五钱,水一盏,生姜半分,煎至五分,去渣温服,不拘时候。
治疗上气不得睡卧、短气。(出自《千金方》)
药材:陈皮(一两,汤去白焙)、人参(一两,去芦)、五味子(一两)、紫苏茎叶(一两)。以上为散剂。每次服用……枣。
半夏丸(又名钟乳丸,出自《圣惠方》)。治疗上气胸满,昼夜无法躺卧。
药材:半夏(汤洗去滑,姜汁制焙干)、芎藭(各半两)、附子(炮裂去皮脐半两)、蜀椒(去目及闭口……辛(去苗叶各半两……(汤去皮尖双仁研细半两)。梧桐子大。每次服用三丸至五丸……
杏仁散(出自《圣惠方》)。治疗上气喘急,无法躺卧。
药材:杏仁(一两,汤去皮尖双仁,麸炒微黄)、甘草(半两,炙微赤锉)、紫苏子(一两,微炒)、麻黄(一两……每服三钱,水一……
桂心丸(出自《千金方》)。治疗发热气上冲,呼吸急促,痛苦欲死,无法躺卧。
药材:桂心(半两)、白石英、麦门冬、枳实、白鲜皮、贝母、茯神、槟榔仁、天门冬(各二两半)……仁(五分)。
竹叶饮(出自《千金方》)。
药材:竹叶、紫苏子(各一升)、紫菀、白前(各二两)、百部、甘草、生姜(各三分)。以上切碎。以……
荜茇丸。治疗上气倚息(依靠物体呼吸),无法躺卧。
药材:荜茇、昆布(洗炒干)、吴茱萸(汤洗焙微炒)、葶苈(隔纸炒紫色)、杏仁(汤去皮尖双仁炒研……空心服。
治疗上气急满,坐卧不得。
用鳖甲炙黄,细捣为散。灯心草同煎。食前服一钱,食后蜜水下一钱。
三因神秘汤(出自《永类铃方》)。治疗上气喘急,无法躺卧者。
药材:净陈皮、桔梗、紫苏、人参、五味子(各等分)。以上切碎四钱,水煎服。直指加槟榔、桑根……
[Supplementary Discussion]
The Qi of the fu and zang organs all ascends and pours into the Lung. The Lung is the gathering place of Qi. If Yin and Yang are disharmonious, Lung Qi is deficient, and pathogenic factors attack, it results in Lung distension and Qi rebellion.
Formula: Helile Pi San (Persimmon Peel Powder) (from *Shenghui Fang*). Treats Shangqi (Qi rebelling upward) with a sensation of obstruction in the throat, shortness of breath, inability to lie down, stiffness and pain in the waist and back, and vexing pain in the four limbs, abdominal fullness... [Text incomplete].
Herbs: Helile Pi (Persimmon Peel, 1 liang), Binglang (Areca Seed, 3 fen), Sanggen Baipi (Morus Root Bark, 1 liang, crushed), Chifuling (Red Poria, 1 liang), Mahuang (Ephedrae Herba, 1 liang, roots and nodes removed), Gancao (Licorice Root, ... washed seven times in decoction... divided. Decoct until five-fen remains, remove dregs, take warm, at any time.)
Xingren San (Apricot Kernel Powder) (from *Shenghui Fang*). Treats Shangqi with panting and urgency, inability to lie down, and accumulated Qi in the abdomen and hypochondrium.
Herbs: Xingren (Apricot Kernel, half liang, soaked in water, skin and tips removed, double-kernel, bran-fried until slightly yellow), Chifuling (Red Poria, 1 liang), Muxiang (Aucklandiae Radix, 1 liang), Biejia (Testudinis Carapax et Plastrum, 1 liang, brushed with vinegar and roasted)... Ji... Wuweizi San (Schisandra Powder) (from *Shenghui Fang*). Treats Shangqi with rapid breathing, inability to lie down.
Herbs: Wuweizi (Schisandrae Fructus, 3 fen), Chenjupi (Citri Reticulatae Pericarpium, 3 fen, soaked in water, white pith removed, dried), Ziwan (Asteris Radix, 1 liang, washed, seedlings and soil removed), Beimu (Fritillariae Bulbus, 3 fen, baked until slightly yellow), Chifu... Heart removed), Gancao (Licorice Root, half liang, lightly fried until red and crushed), Chaihu (Bupleuri Radix, 3 fen, seedlings removed). Grind into powder. Take 5 qian per dose, with one cup of water, half a piece of Shengjiang (Fresh Ginger), decoct until five-fen remains, remove dregs, take warm, at any time.
Treats Shangqi with inability to sleep or lie down and shortness of breath. (from *Qianjin Fang*)
Herbs: Chenpi (Citri Reticulatae Pericarpium, 1 liang, soaked in water, white pith removed, dried), Renshen (Ginseng Radix, 1 liang, rhizome removed), Wuweizi (Schisandrae Fructus, 1 liang), Zisu Jingye (Perillae Caulis et Folium, 1 liang). Grind into powder. Take per dose... Jujube.
Banxia Wan (Pinellia Pill) (also known as Zhonglu Wan, from *Shenghui Fang*). Treats Shangqi with chest fullness, unable to lie down day or night.
Herbs: Banxia (Pinelliae Rhizoma, washed in water to remove slipperiness, processed with Fresh Ginger Juice, dried), Xiongqiong (Ligustici Chuanxiong Rhizoma, half liang each), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, cracked, skin and navel removed, half liang), Shujiao (Zanthoxyli Pericarpium, remove eyes and closed-mouth ones... Xin... (remove seedlings and leaves, half liang each)... (soaked in water, remove skin and tips, double-kernel, ground finely, half liang). Size of Wutongzi seeds. Take 3 to 5 pills per dose...
Xingren San (Apricot Kernel Powder) (from *Shenghui Fang*). Treats Shangqi with panting and urgency, inability to lie down.
Herbs: Xingren (Apricot Kernel, 1 liang, soaked in water, skin and tips removed, double-kernel, bran-fried until slightly yellow), Gancao (Licorice Root, half liang, honey-fried until slightly red and crushed), Zisuzi (Perillae Fructus, 1 liang, lightly fried), Mahuang (Ephedrae Herba, 1 liang... Take 3 qian per dose, with one cup of water...
Guixin Wan (Cinnamon Heart Pill) (from *Qianjin Fang*). Treats fever with Qi rushing upward, difficulty breathing, extreme distress, and inability to lie down.
Herbs: Guixin (Cinnamomi Cortex, half liang), Baishiyin (Quartzum Album, 2.5 liang each), Maidong (Ophiopogonis Radix, 2.5 liang each), Zhishi (Aurantii Fructus Immaturus, 2.5 liang each), Baixianpi (Dictamni Cortex, 2.5 liang each), Beimu (Fritillariae Bulbus, 2.5 liang each), Fushen (Poria with Hostwood, 2.5 liang each), Binglangren (Arecae Semen, 2.5 liang each), Tiandong (Asparagi Radix, 2.5 liang each)... Ren (5 fen).
Zhuye Yin (Bamboo Leaf Drink) (from *Qianjin Fang*).
Herbs: Zhuye (Phyllostachys Viridis Folium, 1 sheng each), Zisuzi (Perillae Fructus, 1 sheng each), Ziwan (Asteris Radix, 2 liang each), Baiqian (Cynanchi Stauntonii Radix, 2 liang each), Bubu (Stemonae Radix, 3 fen each), Gancao (Licorice Root, 3 fen each), Shengjiang (Fresh Ginger, 3 fen each). Cut into pieces. Decoct with...
Bibo Wan (Long Pepper Pill). Treats Shangqi with reliance on sitting to breathe (Yixi), unable to lie down.
Herbs: Bibo (Long Pepper Fruit), Kunbu (Laminariae Thallus, washed, fried, dried), Wuzhuyu (Evodiae Fructus, washed in water, dried, lightly fried), Tingli (Descurainiae Semen seu Lepidii Semen, fried between papers until purple), Xingren (Apricot Kernel, soaked in water, skin and tips removed, double-kernel, fried and ground... Take on an empty stomach.
Treats Shangqi with urgency and fullness, unable to sit or lie down.
Use Biejia (Testudinis Carapax et Plastrum) roasted until yellow, ground finely into powder. Decoct together with Dengxincao (Junci Medulla). Take 1 qian before meals, and 1 qian after meals with honey water.
Sanyin Shenmi Tang (Three Causes Secret Mysterious Decoction) (from *Yonglei Lingfang*). Treats Shangqi with panting and urgency, unable to lie down.
Herbs: Jingchenpi (Net Citri Reticulatae Pericarpium), Jiegeng (Platycodonis Radix), Zisu (Perillae Folium), Renshen (Ginseng Radix), Wuweizi (Schisandrae Fructus) (equal parts). Cut into pieces, 4 qian per dose, decoct in water and take. Zhizhi adds Binglang (Areca Seed) and Sanggen...
Treats Fei Yong (Lung Obstruction) with panting, urgency, and inability to lie down.
Herbs: Tinglizi (Descurainiae Semen seu Lepidii Semen, 3 liang, fried), Dazao (Jujubae Fructus, 20 pieces, boiled in 3 sheng of water to obtain 2 sheng of juice). Grind the fried Tinglizi into powder, mix with the boiled Jujube juice in one place.