(附论)
夫肺主气。上通于喉咙。寒客肺经。则喉咙不利。痰唾凝结。气道迫促。喘息有声。
声
如鸡
方
麻黄汤(出千金方)治上气。脉浮咳逆。喉中水鸡声。喘息不通。呼吸欲死
者。
麻黄(八两) 甘草(四两) 大枣(三枚) 射干(如博棋子二枚) 上 咀。以井
花水一斗。
半夏丸(出圣济总录)治上气喉中作声。坐卧不得。
半夏(汤浸去滑姜汁制切焙) 紫菀(去苗土) 桑根白皮(锉各一两) 款冬花 射
干陈皮(
黑皮) 贝母(焙去心
半) 上为末。炼蜜和杵数百
射干汤(名麻黄散出圣惠方)治咳而上气。喉中如水鸡声。
射干(二两) 麻黄(去节) 细辛(去芦叶各四两) 五味子(炒) 紫菀(去苗
土) 半夏(汤浸
每服五钱。水一盏半。
姜。
浓朴石膏汤(一名浓朴麻黄汤出圣济总录)治上气胸满。喉中如水鸡声。其
脉浮者。
浓朴(去粗皮姜炙五两) 石膏(锉一两) 杏仁(汤去皮尖双仁炒四两) 麻黄(去
根节) 细辛
上为散。每服五钱
前胡丸(出圣济总录)治上气咳嗽。喉中如水鸡声。
前胡(去苗一两一分) 葶苈(隔纸炒紫色研如膏) 巴豆(去皮心研各三分) 大黄
(锉炒一两一
炼蜜为丸。如梧桐
三日一服。
小投杯汤(一名麻黄石膏汤出千金方)治久逆上气。胸满喉中如水鸡声。
麻黄(去节四两) 浓朴(去粗皮姜汁炙五分) 石膏(四两碎) 杏仁(汤浸去皮尖
双仁三两)
煎至八分
钟乳丸 疗咳逆上气。喘息咳嗽。昼轻夜甚。喉中水鸡声鸣。
钟乳 人参 桂 干姜(各八分) 附子(炮) 款冬花 细辛(各六分) 紫菀(一
钱) 杏仁(
猪肉冷水生葱
麻黄汤 疗上气咳嗽。喉中水鸡鸣。唾脓血腥臭。
麻黄(六两去节) 桂心(一两) 甘草(炙) 杏仁(去皮炙各二两) 生姜(八两
一作干姜三两)
长将丸服。忌海
紫菀汤(一名清肺汤)治上气。脉浮咳逆。喉中如水鸡声。喘息不通。呼吸
欲绝者。
北紫菀 杏仁 诃子(煨去核各一两) 汉防己(半两) 上每服三钱。水一盏半。鸡
子白皮一
皂荚丸。疗喘息气急。喉中如水鸡声者。无问年月远近。(出圣惠方)
肥皂荚(两梃) 好酥(称一两) 上肥皂荚去火高一尺许。以酥油细涂之。数翻覆令
得所。酥
熟豆
投杯汤(出圣济总录)疗久咳嗽上气。胸中寒冷不得饮食。卧不安。每牵绳
而起。喉中如水
款冬花(四十两) 细辛(一两) 紫菀(三两) 甘草(炙) 桂心 广麻黄(去节)
干姜(各二
上切以水八升
方无五味子。
桂苓汤(出圣惠方)治上气不得喘息。喉中作水鸡声。
桂心(半两) 赤茯苓(一两) 半夏(一两汤洗七次去滑) 细辛(半两) 麻黄(三
两去根节)
温服。不计时候
又方(出圣惠方)
用腊月猪尾。烧为灰细研。每服以温水送下二钱。日三四服。
贝母汤(出圣济总录)治咳逆。喉中如水鸡声。
贝母(去心炒一两) 麻黄(去根节) 桂(去粗皮二两) 半夏(汤洗七次去滑姜汁
制焙干) 干
分。去滓温服日二
款花饮(出圣惠方)治上气肺壅。喘息不利。咽喉中如锯声。
款花 兜铃 北紫菀 赤茯苓(各三两) 杏仁 木通(各一两) 桔梗(二两炒) 上
每服三钱
白前汤(出本草方)疗久咳逆上气。体肿短气胀满。昼夜倚壁不得卧。喉中
常作水鸡声。\x
用白前二两。紫菀半夏各三两。大戟七合切。四物以水一斗渍一宿。明旦煮取三升。分
三
【附论】
肺主司气机,向上通达于喉咙。若寒邪侵袭肺经,则导致喉咙不畅,痰液与唾液凝结,气道紧迫急促,出现喘息且伴有声响。
声音如同鸡鸣。
【方剂】
麻黄汤(出自《千金方》):治疗上气病,脉象浮,咳嗽气逆,喉中发出如水鸡般的叫声,喘息不通畅,呼吸近乎停止的患者。
药材:麻黄(八两)、甘草(四两)、大枣(三枚)、射干(大小如博戏棋子二枚)。
制法:将药物切碎。用一斗井花水煎煮。
半夏丸(出自《圣济总录》):治疗上气病,喉中发出声响,坐卧不安的患者。
药材:半夏(经热水浸泡去除滑腻,姜汁炮制,切片焙干)、紫菀(去苗土)、桑根白皮(锉碎,各一两)、款冬花、射干、陈皮(保留黑皮)、贝母(焙干去心一半)。
制法:将上述药物研为细末,用炼蜜调和并杵捣数百下制成丸药。
射干汤(又名麻黄散,出自《圣惠方》):治疗咳嗽伴上气,喉中发出如水鸡般的叫声。
药材:射干(二两)、麻黄(去节)、细辛(去芦叶,各四两)、五味子(炒制)、紫菀(去苗土)、半夏(经热水浸泡……[原文此处有缺漏])。
用法:每服五钱,加水一盏半,生姜……[原文此处有缺漏]。
浓朴石膏汤(一名浓朴麻黄汤,出自《圣济总录》):治疗上气病,胸部胀满,喉中发出如水鸡般的叫声,脉象浮的患者。
药材:浓朴(去粗皮,姜炙,五两)、石膏(锉碎,一两)、杏仁(热水浸泡去皮尖及双仁,炒制,四两)、麻黄(去根节)、细辛……[原文此处有缺漏]。
制法:将药物研为散剂。每服五钱……[原文此处有缺漏]。
前胡丸(出自《圣济总录》):治疗上气咳嗽,喉中发出如水鸡般的叫声。
药材:前胡(去苗,一两一分)、葶苈(隔纸炒至紫色,研如膏状)、巴豆(去皮心,研,各三分)、大黄(锉碎炒制,一两一……[原文此处有缺漏])。
制法:用炼蜜制成丸药,大小如梧桐子……[原文此处有缺漏]。
用法:每隔三日服用一次。
小投杯汤(一名麻黄石膏汤,出自《千金方》):治疗久治不愈的上气病,胸部胀满,喉中发出如水鸡般的叫声。
药材:麻黄(去节,四两)、浓朴(去粗皮,姜汁炙,五分)、石膏(四两,捣碎)、杏仁(热水浸泡去皮尖及双仁,三两)……[原文此处有缺漏]。
制法:煎煮至八分……[原文此处有缺漏]。
钟乳丸:治疗咳嗽气逆上冲,喘息咳嗽,白天轻夜间重,喉中发出如水鸡般的鸣叫声。
药材:钟乳、人参、桂枝、干姜(各八分)、附子(炮制)、款冬花、细辛(各六分)、紫菀(一钱)、杏仁……[原文此处有缺漏]。
用法:配合猪肉、冷水、生葱……[原文此处有缺漏]。
麻黄汤:治疗上气咳嗽,喉中发出如水鸡般的鸣叫,咳吐脓血且气味腥臭。
药材:麻黄(六两,去节)、桂心(一两)、甘草(炙制)、杏仁(去皮炙制,各二两)、生姜(八两,一作干姜三两)……[原文此处有缺漏]。
用法:长期作为丸药服用。忌食海味……[原文此处有缺漏]。
紫菀汤(一名清肺汤):治疗上气病,脉象浮,咳嗽气逆,喉中发出如水鸡般的叫声,喘息不通畅,呼吸近乎停止的患者。
药材:北紫菀、杏仁、诃子(煨制去核,各一两)、汉防己(半两)。
用法:每服三钱,加水一盏半,鸡蛋清……[原文此处有缺漏]。
皂荚丸:治疗喘息气急,喉中发出如水鸡般叫声的患者,无论病程长短。(出自《圣惠方》)
药材:肥皂荚(两梃)、好酥(称取一两)。
制法:将肥皂荚在距离火高一尺许的地方烘烤,用酥油细细涂抹,反复翻转使其受热均匀,酥……[原文此处有缺漏]熟豆……[原文此处有缺漏]。
投杯汤(出自《圣济总录》):治疗久咳上气,胸中寒冷无法进食,睡眠不安,每次起身都牵拉绳索支撑身体,喉中发出如水鸡般的叫声。
药材:款冬花(四十两)、细辛(一两)、紫菀(三两)、甘草(炙制)、桂心、广麻黄(去节)、干姜(各二……[原文此处有缺漏])。
制法:将药物切碎,用水八升煎煮……[原文此处有缺漏]。
注:此方无五味子。
桂苓汤(出自《圣惠方》):治疗上气不能喘息,喉中发出水鸡般的叫声。
药材:桂心(半两)、赤茯苓(一两)、半夏(一两,热水洗七次去滑腻)、细辛(半两)、麻黄(三两,去根节)……[原文此处有缺漏]。
用法:温服,不拘时候。
又一方(出自《圣惠方》):
使用腊月里的猪尾巴,烧成灰后细细研磨。每服以温水送下二钱,每日三四次。
贝母汤(出自《圣济总录》):治疗咳嗽气逆,喉中发出如水鸡般的叫声。
药材:贝母(去心炒制,一两)、麻黄(去根节)、桂枝(去粗皮,二两)、半夏(热水洗七次去滑腻,姜汁炮制焙干)、干……[原文此处有缺漏]。
用法:分次,去渣温服,每日两次。
款花饮(出自《圣惠方》):治疗上气肺壅,喘息不利,咽喉中发出如锯木般的声响。
药材:款冬花、兜铃、北紫菀、赤茯苓(各三两)、杏仁、木通(各一两)、桔梗(二两,炒制)。
用法:每服三钱……[原文此处有缺漏]。
白前汤(出自《本草方》):治疗久咳气逆上冲,身体浮肿,短气胀满,昼夜倚靠墙壁无法躺卧,喉中常发出水鸡般的叫声。
用法:用白前二两,紫菀、半夏各三两,大戟七合切碎。将这四味药用水一斗浸泡一夜,次日清晨煮取三升,分三次……[原文此处截断]
[Attached Discussion]
The Lung governs Qi. It connects upward to the throat. When Cold pathogens invade the Lung Meridian, it leads to throat obstruction, condensation of phlegm and saliva, urgency and constriction of the airway, wheezing with audible sounds.
The sound is like that of a chicken.
[Formulas]
Mahuang Tang (Cinnamon Twig Decoction) [from *Qianjin Fang*]: Treats Shàngqì (rebellious Qi), floating pulse, cough with rebellious Qi, water-chicken-like sounds in the throat, obstructed wheezing, and breathing nearly ceasing.
Herbs: Ephedrae Herba (Mahuang, 麻黄) (8 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (4 liang), Zizyphi Fructus (Dazao, 大枣) (3 pieces), Belamcandae Rhizoma (Shéyè, 射干) (2 pieces, size like chess pieces).
Preparation: Cut the herbs. Decoct in one dou of well-water.
Banxia Wan (Pinellia Pill) [from *Shengji Zonglu*]: Treats Shàngqì (rebellious Qi) with sounds in the throat, causing inability to sit or lie comfortably.
Herbs: Pinelliae Rhizoma Preparatum (Banxia, 半夏) (soaked in hot water to remove slipperiness, processed with ginger juice, sliced, and dried), Asteris Radix (Zǐwǎn, 紫菀) (remove seedlings and soil), Cortex Morbid Radicis Albi (Sānggēnbáipí, 桑根白皮) (crushed, each 1 liang), Farfarae Flos (Kuǎndōnghuā, 款冬花), Belamcandae Rhizoma (Shéyè, 射干), Citri Reticulatae Pericarpium (Chénpí, 陈皮) (retain black peel), Fritillariae Bulbus (Bèimǔ, 贝母) (baked, remove heart, half portion).
Preparation: Grind into fine powder, mix with refined honey, and pound hundreds of times to form pills.
Shéyè Tang (Belamcanda Decoction, also known as Mahuang San) [from *Shenghui Fang*]: Treats cough with Shàngqì (rebellious Qi) and water-chicken-like sounds in the throat.
Herbs: Belamcandae Rhizoma (Shéyè, 射干) (2 liang), Ephedrae Herba (Mahuang, 麻黄) (remove joints), Asari Radix et Rhizoma (Xìxīn, 细辛) (remove rhizomes and leaves, each 4 liang), Schisandrae Fructus (Wǔwèizǐ, 五味子) (stir-fried), Asteris Radix (Zǐwǎn, 紫菀) (remove seedlings and soil), Pinelliae Rhizoma Preparatum (Banxia, 半夏) (soaked in hot water... [text missing]).
Usage: Take 5 qian per dose, add 1.5 zhan of water, ginger... [text missing].
Nòupò Shígāo Tang (Magnolia Bark and Gypsum Decoction, also known as Nòupò Máhuáng Tang) [from *Shengji Zonglu*]: Treats Shàngqì (rebellious Qi) with chest fullness, water-chicken-like sounds in the throat, and a floating pulse.
Herbs: Magnoliae Officinalis Cortex (Nòupò, 浓朴) (remove rough bark, stir-fried with ginger, 5 liang), Gypsum Fibrosum (Shígāo, 石膏) (crushed, 1 liang), Armeniacae Semen Amarum (Xìngrén, 杏仁) (soaked in hot water, remove skin and tips, double kernels removed, stir-fried, 4 liang), Ephedrae Herba (Mahuang, 麻黄) (remove roots and joints), Asari Radix et Rhizoma (Xìxīn, 细辛)... [text missing].
Preparation: Grind into powder. Take 5 qian per dose... [text missing].
Qiánhú Wan (Peucedani Radix Pill) [from *Shengji Zonglu*]: Treats Shàngqì (rebellious Qi) and cough with water-chicken-like sounds in the throat.
Herbs: Peucedani Radix (Qiánhú, 前胡) (remove seedlings, 1 liang 1 fen), Lepidii Semens (Tínglì, 葶苈) (stir-fried between papers until purple, ground into paste), Crotonis Fructus (Bādòu, 巴豆) (remove skin and heart, ground, each 3 fen), Rheii Radix et Rhizoma (Dàhuáng, 大黄) (crushed and stir-fried, 1 liang 1... [text missing]).
Preparation: Form pills with refined honey, size like paulownia seeds... [text missing].
Usage: Take every three days.
Xiǎotóubēi Tang (Small Cup Decoction, also known as Máhuáng Shígāo Tang) [from *Qianjin Fang*]: Treats chronic Shàngqì (rebellious Qi) with chest fullness and water-chicken-like sounds in the throat.
Herbs: Ephedrae Herba (Mahuang, 麻黄) (remove joints, 4 liang), Magnoliae Officinalis Cortex (Nòupò, 浓朴) (remove rough bark, stir-fried with ginger juice, 5 fen), Gypsum Fibrosum (Shígāo, 石膏) (4 liang, crushed), Armeniacae Semen Amarum (Xìngrén, 杏仁) (soaked in hot water, remove skin and tips, double kernels, 3 liang)... [text missing].
Preparation: Decoct until 80% remains... [text missing].
Zhōngrǔ Wan (Stalactite Pill): Treats cough with rebellious Qi, wheezing and coughing, lighter during the day and worse at night, and water-chicken-like sounds in the throat.
Herbs: Stalactitum (Zhōngrǔ, 钟乳), Ginseng Radix et Rhizoma (Rénshēn, 人参), Cinnamomi Ramulus (Guìzhī, 桂), Zingiberis Rhizoma Recens (Gānjiāng, 干姜) (each 8 fen), Aconiti Lateralis Radix Praeparata (Fùzǐ, 附子) (processed), Farfarae Flos (Kuǎndōnghuā, 款冬花), Asari Radix et Rhizoma (Xìxīn, 细辛) (each 6 fen), Asteris Radix (Zǐwǎn, 紫菀) (1 qian), Armeniacae Semen Amarum (Xìngrén, 杏仁)... [text missing].
Usage: With pork, cold water, green onion... [text missing].
Mahuang Tang (Ephedra Decoction): Treats Shàngqì (rebellious Qi) and cough with water-chicken-like sounds in the throat, expectoration of purulent blood with foul odor.
Herbs: Ephedrae Herba (Mahuang, 麻黄) (6 liang, remove joints), Cinnamomi Cortex (Guìxīn, 桂心) (1 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (stir-fried), Armeniacae Semen Amarum (Xìngrén, 杏仁) (remove skin, stir-fried, each 2 liang), Zingiberis Rhizoma Recens (Shēngjiāng, 生姜) (8 liang, alternatively Dried Ginger 3 liang)... [text missing].
Usage: Take long-term as pills. Avoid seafood... [text missing].
Zǐwǎn Tang (Aster Decoction, also known as Qīngfèi Tang): Treats Shàngqì (rebellious Qi), floating pulse, cough with rebellious Qi, water-chicken-like sounds in the throat, obstructed wheezing, and breathing nearly ceasing.
Herbs: Asteris Radix (Zǐwǎn, 紫菀), Armeniacae Semen Amarum (Xìngrén, 杏仁), Terminaliae Chebulae Fructus (Hēzǐ, 诃子) (baked, remove pits, each 1 liang), Stephaniae Tetrandrae Radix (Hàn Fángjǐ, 汉防己) (half liang).
Usage: Take 3 qian per dose, add 1.5 zhan of water, egg white... [text missing].
Zào Jiá Wan (Soap Pod Pill): Treats wheezing and rapid breathing with water-chicken-like sounds in the throat, regardless of duration. (From *Shenghui Fang*)
Herbs: Gleditsiae Sinensis Fructus (Zào Jiá, 皂荚) (2 pods), Good Butter (Sū, 酥) (weigh 1 liang).
Preparation: Roast the soap pods about one chi above fire, coat thinly with butter oil, flip repeatedly to ensure even heating, butter... [text missing] cooked beans... [text missing].
Tóubēi Tang (Cup-Throwing Decoction) [from *Shengji Zonglu*]: Treats chronic cough with Shàngqì (rebellious Qi), coldness in the chest preventing eating, restless sleep, needing to pull ropes to rise, and water-chicken-like sounds in the throat.
Herbs: Farfarae Flos (Kuǎndōnghuā, 款冬花) (40 liang), Asari Radix et Rhizoma (Xìxīn, 细辛) (1 liang), Asteris Radix (Zǐwǎn, 紫菀) (3 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (stir-fried), Cinnamomi Cortex (Guìxīn, 桂心), Guang Ephedrae Herba (Guǎng Máhuáng, 广麻黄) (remove joints), Zingiberis Rhizoma Recens (Gānjiāng, 干姜) (each 2... [text missing]).
Preparation: Cut herbs, decoct in 8 sheng of water... [text missing].
Note: This formula does not contain Wuweizi.
Guì Líng Tang (Cinnamon and Poria Decoction) [from *Shenghui Fang*]: Treats Shàngqì (rebellious Qi) with inability to breathe, and water-chicken-like sounds in the throat.
Herbs: Cinnamomi Cortex (Guìxīn, 桂心) (half liang), Poria Cum Radix Xyli (Chì Fúlíng, 赤茯苓) (1 liang), Pinelliae Rhizoma Preparatum (Banxia, 半夏) (1 liang, washed seven times in hot water to remove slipperiness), Asari Radix et Rhizoma (Xìxīn, 细辛) (half liang), Ephedrae Herba (Mahuang, 麻黄) (3 liang, remove roots and joints)... [text missing].
Usage: Take warm, at any time.
Another Formula (From *Shenghui Fang*):
Use pig tails from the twelfth lunar month, burn to ash, and grind finely. Take 2 qian per dose with warm water, 3-4 times daily.
Bèimǔ Tang (Fritillaria Decoction) [from *Shengji Zonglu*]: Treats cough with rebellious Qi and water-chicken-like sounds in the throat.
Herbs: Fritillariae Bulbus (Bèimǔ, 贝母) (remove heart, stir-fried, 1 liang), Ephedrae Herba (Mahuang, 麻黄) (remove roots and joints), Cinnamomi Ramulus (Guì, 桂) (remove rough bark, 2 liang), Pinelliae Rhizoma Preparatum (Banxia, 半夏) (washed seven times in hot water to remove slipperiness, processed with ginger juice, baked dry), Dried Ginger (Gānjiāng, 干)... [text missing].
Usage: Divide doses, remove dregs, take warm, twice daily.
Kuǎnhuā Yǐn (Farfara Drink) [from *Shenghui Fang*]: Treats Shàngqì (rebellious Qi) with Lung congestion, difficult wheezing, and sawing-like sounds in the throat.
Herbs: Farfarae Flos (Kuǎndōnghuā, 款冬花), Campanuli Radix (Dōulíng, 兜铃), Asteris Radix (Zǐwǎn, 紫菀), Poria Cum Radix Xyli (Chì Fúlíng, 赤茯苓) (each 3 liang), Armeniacae Semen Amarum (Xìngrén, 杏仁), Akebiae Caulis (Mùtōng, 木通) (each 1 liang), Platycodonis Radix (Jié Gěng, 桔梗) (2 liang, stir-fried).
Usage: Take 3 qian per dose... [text missing].
Báiqián Tang (Cynanchi Stauntonii Radix Decoction) [from *Bencao Fang*]: Treats chronic cough with rebellious Qi, body swelling, shortness of breath, abdominal distension, inability to lie down day or night leaning against the wall, and constant water-chicken-like sounds in the throat.
Usage: Use Cynanchi Stauntonii Radix (Báiqián, 白前) 2 liang, Asteris Radix (Zǐwǎn, 紫菀) and Pinelliae Rhizoma Preparatum (Banxia, 半夏) each 3 liang, Euphorbiae Humifusa Radix (Dàjǐ, 大戟) 7 hé, cut. Soak these four items in one dou of water overnight. Boil next morning to obtain 3 sheng, divide into three... [text cuts off]