(附论)
夫肺者通行脏腑之气。以荣华于经络也。若肺虚而为邪所乘。则气道不利。诸脏之气。
上冲
方
马兜铃散 治上气喘急不止。
马兜铃(一两) 人参(去芦一两) 贝母(一两炒微黄) 甘草(一两炒微赤锉) 杏
仁(一
两汤
子(一
两)
荚(一两
去皮
紫苏散(圣惠方)治上气喘促。润通胸膈。
紫苏茎叶(一两) 人参(一两去芦头) 陈橘皮(一两汤浸去白瓤焙) 甘草(半两
炒微黄
锉)
五钱。
以水一
治上气喘急。发即坐卧不安。(圣惠方)
紫苏(三两微炒) 桔梗(去芦二两) 桂(二两) 上为散。每服三钱。以水一大盏。
入生
姜半
治上气喘促。有时咳嗽。(圣惠方)
麻黄(二两去根节) 百合(一两) 杏仁(一两汤浸去皮尖双仁麸炒微黄) 上为散。
每服
三钱
又方(圣惠方)
芥子(二两) 百合(二两) 上为细末。炼蜜和丸。如梧桐子大。不计时候。以新汲
水下
七丸
双仁丸(出圣济总录)治上气喘急。
桃仁 杏仁(并去皮尖双仁炒各半两) 上为细末。水调生面少许。和丸如梧子大。每
服
十丸
诃黎勒汤(圣济总录)治上气喘急。
诃黎勒皮(半两) 五味子(炒一两) 麻黄(去根节) 甘草(炙锉各一分) 杏仁
(汤浸去
皮尖
时。
马兜铃散(出圣济总录)治上气喘急。
马兜铃根(一两) 木香 楝实(微炮各三两) 上为散。每服二钱。浓煎乌梅蜜汤调
下。食后
款气丸(出圣济总录)治上气喘促。涕唾稠粘。久不瘥。
防己 甜葶苈(隔纸炒各半两) 黑牵牛(炒香熟一两) 上为细末。炼蜜和丸。如梧
桐子
大。
疗咳上气。喘息便欲绝方。
用人参末方寸匕服之。日五六服。
降气汤(一名青皮散出圣济总录)治上气喘急。心胸满闷。及治五脏气。
青橘皮(汤浸去白焙半两) 巴豆(十四枚) 上同一处炒。令巴豆焦赤。取青橘皮捣
为细
末。
吴茱萸(出保生方)
上用吴茱萸干姜各半两。切姜作片。水五盏。煮三盏。分五服。
治上气喘急。(出保生方)
上用蓬术。酒研服。
黄散子 治诸气不顺。胸满喘急。可使饮食。大解伤寒胀满。阴症不可服。
槟榔(半两) 桂(一两) 大黄(半两煨) 木香(一两) 益智(二两) 茴香 郁
金当归(各
两) 萝卜子(二
一盏。木瓜、紫苏、
九宝饮(出如宜方)治气粗开口。抬肩吐气。气喘满促。因有外邪。治外邪
。其喘自定。
麻黄(制) 薄荷 陈皮(制各一两) 肉桂 紫苏 杏仁 桑白皮 甘草 大腹皮(各
半两)
脱气丸(出本草)主下气。
用赤小豆和通草煮食之。
下气(出本草)
用 鲈鱼作羹食之。
下气温中消谷。(出本草)
用蒜齑着酱捣食之。或蒜苗作羹。煮食亦得。
补下气(出本草)
用 和杂鲈鱼作羹服之。 性寒而滑。亦逐水。不可多啖。
治下气。消宿食。(出本草)
以苦茶加茱萸葱姜作饮食。
韭汁饮 治上气喘急便欲绝。
上用韭捣绞汁饮一盏。立愈。
主结气瘤痛上气气急。(出本草)
以门荆水煮服之。
令人受气生津液。(出本草)
常含枣核。受气令口有津液。佳。
(附论)
肺是通行脏腑之气的器官,通过经络展现其荣华。如果肺气虚弱而被邪气侵袭,就会导致气道不畅,各脏器的之气上冲。
方剂:
马兜铃散:治疗上气喘急不止。
马兜铃(一两)、人参(去芦头,一两)、贝母(一两,炒至微黄)、甘草(一两,炒至微赤,锉碎)、杏仁(一两,汤浸去皮尖双仁,麸炒微黄)、紫苏子(一两)。
上药为散。每服三钱,以水一大盏,煎至五钱,温服。
紫苏散(出自《圣惠方》):治疗上气喘促。润通胸膈。
紫苏茎叶(一两)、人参(一两,去芦头)、陈橘皮(一两,汤浸去白瓤焙干)、甘草(半两,炒微黄,锉碎)。
上药为散。每服三钱,以水一盏,煎至五分,去滓,温服。
又一方(出自《圣惠方》):治疗上气喘急,发作时坐卧不安。
紫苏(三两,微炒)、桔梗(去芦,二两)、桂(二两)。
上药为散。每服三钱,以水一大盏,入生姜半分,煎至五分,去滓,温服。
又一方(出自《圣惠方》):治疗上气喘促,有时咳嗽。
麻黄(二两,去根节)、百合(一两)、杏仁(一两,汤浸去皮尖双仁,麸炒微黄)。
上药为散。每服三钱,以水一中盏,煎至六分,去滓,温服。
又一方(出自《圣惠方》):
芥子(二两)、百合(二两)。
上药为细末,炼蜜和丸,如梧桐子大。不计时候,以新汲水下七丸。
双仁丸(出自《圣济总录》):治疗上气喘急。
桃仁、杏仁(并去皮尖双仁,炒,各半两)。
上药为细末,水调生面少许,和丸如梧子大。每服十丸,温水送下。
诃黎勒汤(出自《圣济总录》):治疗上气喘急。
诃黎勒皮(半两)、五味子(炒,一两)、麻黄(去根节)、甘草(炙锉,各一分)、杏仁(汤浸去皮尖,麸炒微黄,一两)。
上药为散。每服三钱,以水一中盏,煎至六分,去滓,温服。
马兜铃散(出自《圣济总录》):治疗上气喘急。
马兜铃根(一两)、木香、楝实(微炮,各三两)。
上药为散。每服二钱,浓煎乌梅蜜汤调下,食后服。
款气丸(出自《圣济总录》):治疗上气喘促,涕唾稠粘,久不瘥。
防己、甜葶苈(隔纸炒,各半两)、黑牵牛(炒香熟,一两)。
上药为细末,炼蜜和丸,如梧桐子大。每服十丸,温水送下。
降气汤(一名青皮散,出自《圣济总录》):治疗上气喘急,心胸满闷。及治五脏气。
青橘皮(汤浸去白焙,半两)、巴豆(十四枚)。
上同一处炒,令巴豆焦赤。取青橘皮捣为细末。每服一钱,温水调下。
吴茱萸(出自《保生方》):
上用吴茱萸、干姜各半两,切姜作片,水五盏,煮三盏,分五服。
黄散子:治诸气不顺,胸满喘急。可使饮食。大解伤寒胀满。阴症不可服。
槟榔(半两)、桂(一两)、大黄(半两,煨)、木香(一两)、益智(二两)、茴香、郁金、当归(各一两)、萝卜子(二两)。
上药为散。每服三钱,以水一盏,煎至七分,去滓,温服。加木瓜、紫苏更佳。
九宝饮(出自《如宜方》):治气粗开口,抬肩吐气,气喘满促。因有外邪,治外邪,其喘自定。
麻黄(制)、薄荷、陈皮(制,各一两)、肉桂、紫苏、杏仁、桑白皮、甘草、大腹皮(各半两)。
上药为散。每服三钱,水一盏,煎至七分,去滓,温服。
下气温中消谷(出自《本草》):
用蒜齑着酱捣食之。或蒜苗作羹,煮食亦得。
(Attached Discussion)
The Lung (Fei) is the organ that circulates Qi through the Zang-Fu organs, manifesting its prosperity through the meridians. If Lung Qi is deficient and invaded by pathogenic factors, the airway becomes obstructed, causing Qi from all Zang-Fu organs to rush upward.
Prescriptions:
Madouling San (Aristolochia Powder): Treats persistent upper jiao wheezing and急促 breathing (Shangchuan).
Aristolochiae Radix (Madouling, 1 liang), Ginseng Radix et Rhizoma (Renshen, degermed, 1 liang), Fritillariae Bulbus (Beimu, stir-fried until slightly yellow, 1 liang), Glycyrrhizae Radix et Rhizoma (Gancao, stir-fried until slightly red, chopped, 1 liang), Armeniacae Semen (Xingren, soaked in water, skin and tip removed, double-kernel, stir-fried with bran until slightly yellow, 1 liang), Perillae Fructus (Zisuzi, 1 liang).
Powder these ingredients. Take 3 qian per dose, decoct with 1 large bowl of water until reduced to 5 qian, take warm.
Zisu San (Perilla Decoction, from *Taiping Shenghui Fang*): Treats upper jiao panting. Moistens and unblocks the chest and diaphragm.
Perillae Caulis et Folium (Zisujingye, 1 liang), Ginseng Radix et Rhizoma (Renshen, degermed, 1 liang), Citri Reticulatae Pericarpium (Chenpi, soaked in water, white pith removed, dried, 1 liang), Glycyrrhizae Radix et Rhizoma (Gancao, stir-fried until slightly yellow, chopped, 0.5 liang).
Powder these ingredients. Take 3 qian per dose, decoct with 1 bowl of water until reduced to 20% volume, strain, take warm.
Another Prescription (from *Taiping Shenghui Fang*): Treats upper jiao wheezing, with restlessness in sitting or lying during attacks.
Perillae Folium (Zisu, lightly stir-fried, 3 liang), Platycodonis Radix (Jiegeng, degermed, 2 liang), Cinnamomi Ramulus (Gui, 2 liang).
Powder these ingredients. Take 3 qian per dose, decoct with 1 large bowl of water plus half a slice of fresh ginger until reduced to 20% volume, strain, take warm.
Another Prescription (from *Taiping Shenghui Fang*): Treats upper jiao panting, accompanied by occasional coughing.
Ephedrae Herba (Mahuang, root and joints removed, 2 liang), Lilii Bulbus (Baihe, 1 liang), Armeniacae Semen (Xingren, soaked in water, skin and tip removed, double-kernel, stir-fried with bran until slightly yellow, 1 liang).
Powder these ingredients. Take 3 qian per dose, decoct with 1 medium bowl of water until reduced to 60% volume, strain, take warm.
Another Prescription (from *Taiping Shenghui Fang*):
Brassicae Semenis Albi (Jiezi, 2 liang), Lilii Bulbus (Baihe, 2 liang).
Grind into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take at any time, swallow 7 pills with fresh well water.
Shuangren Wan (Double Kernel Pill, from *Shengji Zonglu*): Treats upper jiao wheezing.
Persicae Semen (Taoren), Armeniacae Semen (Xingren) (both remove skin, tip, keep double kernels, stir-fry, each 0.5 liang).
Grind into fine powder, mix with a little raw flour paste made with water to form pills the size of paulownia seeds. Take 10 pills per dose, swallow with warm water.
Helile Tang (Terminalia Decoction, from *Shengji Zonglu*): Treats upper jiao wheezing.
Terminaliae Chebulae Pericarpium (Helilepi, 0.5 liang), Schisandrae Fructus (Wuweizi, stir-fried, 1 liang), Ephedrae Herba (Mahuang, root and joints removed), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried and chopped, each 1 fen), Armeniacae Semen (Xingren, soaked in water, skin and tip removed, stir-fried with bran until slightly yellow, 1 liang).
Powder these ingredients. Take 3 qian per dose, decoct with 1 medium bowl of water until reduced to 60% volume, strain, take warm.
Madouling San (Aristolochia Root Powder, from *Shengji Zonglu*): Treats upper jiao wheezing.
Aristolochiae Radix (Madoulinggen, 1 liang), Aucklandiae Radix (Muxiang), Meliae Fructus (Lianshi) (lightly roasted, each 3 liang).
Powder these ingredients. Take 2 qian per dose, mix with thick decoction of dark plum and honey, take after meals.
Kuanqi Wan (Soothing Qi Pill, from *Shengji Zonglu*): Treats upper jiao panting, thick and sticky sputum, chronic non-healing.
Stephaniae Tetrandrae Radix (Fangji), Lepidii Semen et Descurainiae Semen (Tinglizi, stir-fried between papers, each 0.5 liang), Sesami Indici Fructus Niger (Qianqiu, stir-fried until fragrant and cooked, 1 liang).
Grind into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take 10 pills per dose, swallow with warm water.
Prescription for Cough with Upper Jiao Qi Reversal and Suffocating Wheezing:
Take 1 cubic inch of Ginseng Radix et Rhizoma powder, take 5-6 times daily.
Jiangqi Tang (Descending Qi Decoction, also known as Qingpi San, from *Shengji Zonglu*): Treats upper jiao wheezing, chest fullness and oppression. Also treats Qi disorders of the Five Zang organs.
Citri Reticulatae Pericarpium Viride (Qingpi, soaked in water, white pith removed, dried, 0.5 liang), Crotonis Fructus (Badou, 14 seeds).
Stir-fry together until Badou turns scorched red. Remove Badou, grind Qingpi into fine powder. Take 1 qian per dose, mix with warm water.
Wuzhuyu (Evodia Fruit, from *Baosheng Fang*):
Use Evodiae Fructus (Wuzhuyu) and Zingiberis Rhizoma (Ganjiang), each 0.5 liang. Slice ginger, add 5 bowls of water, boil down to 3 bowls, divide into 5 doses.
Treats upper jiao wheezing (from *Baosheng Fang*):
Use Curcumae Longae Rhizoma (Pzhu), grind with wine and take.
Huang Sanzi (Yellow Powder): Treats stagnation of various Qis, chest fullness and wheezing. Promotes digestion. Greatly resolves cold-induced abdominal distension. Contraindicated in Yin syndromes.
Arecae Semen (Binglang, 0.5 liang), Cinnamomi Ramulus (Gui, 1 liang), Rheii Radix et Rhizoma (Dahuang, baked, 0.5 liang), Aucklandiae Radix (Muxiang, 1 liang), Alpiniae Oxyphyllae Fructus (Yizhi, 2 liang), Foeniculi Fructus (Huixiang), Curcumae Aromatica Rhizoma (Yujin), Angelicae Sinensis Radix (Danggui) (each 1 liang), Raphani Semen (Luobozzi, 2 liang).
Powder these ingredients. Take 3 qian per dose, decoct with 1 bowl of water until reduced to 70% volume, strain, take warm. Adding Chaenomelis Fructus (Mu Gua) and Perillae Folium (Zisu) is better.
Jiubao Yin (Nine Treasures Drink, from *Ruyi Fang*): Treats rough breathing, open-mouth respiration, shoulder lifting, wheezing and chest fullness. Caused by external pathogens; treat the external pathogen, and the wheezing will settle naturally.
Ephedrae Herba (Mahuang, processed), Menthae Haplocalycis Herba (Bohe), Citri Reticulatae Pericarpium (Chenpi, processed, each 1 liang), Cinnamomi Cortex (Rougui), Perillae Folium (Zisu), Armeniacae Semen (Xingren), Morus Albae Cortex (Sangbaipi), Glycyrrhizae Radix et Rhizoma (Gancao), Arecae Pericarpium (Dafupi) (each 0.5 liang).
Powder these ingredients. Take 3 qian per dose, decoct with 1 bowl of water until reduced to 70% volume, strain, take warm.
Tuoqi Wan (Expelling Qi Pill, from *Bencao*): Primarily descends Qi.
Cook Adzuki Bean (Chixiaodou) with Polyporus (Tongcao) and eat.
Xiashi (Descends Qi, from *Bencao*):
Make soup with Lateolabrax japonicus (Luyu) and eat.
Xiashi, Warms Middle, Digests Grain (from *Bencao*):
Eat garlic paste with sauce mashed together. Or make soup with garlic sprouts and cook/eat.
Bu Xiashi (Supplements Descending Qi, from *Bencao*):
Mix Snapper (Guayu) with Lateolabrax japonicus (Luyu) to make soup and take. Cold and slippery in nature, also promotes water elimination, do not eat excessively.
Treats Descending Qi, Resolves Retained Food (from *Bencao*):
Use bitter tea with Evodiae Fructus (Zhuyu), green onion, and ginger as food/drink.
Jiu Zhi Yin (Leek Juice Drink): Treats upper jiao wheezing with impending suffocation.
Crush fresh leeks, squeeze juice, drink 1 bowl, immediate recovery.
Treats Knotting Qi, Tumor Pain, Upper Jiao Qi Reversal, and急促 Breathing (from *Bencao*):
Decoct Portulaca oleracea (Menjing) in water and take.
Promotes Qi Reception and Generates Body Fluids (from *Bencao*):
Constantly hold a date pit in the mouth to promote Qi reception and generate saliva, which is beneficial.