（附论）
内经曰。肺之痈喘而两 满。盖肺主气。而合于息。其脉反别者。从肺系横出腋下。故
邪气蕴积于肺。则上为喘急。下连两 满。治宜泻其肺脏之邪毒也。
肺痈病咳嗽脓血。其脉数实者属肺痈。虚者属肺痿。咳而口中自有津液。舌上胎滑。此
为浮寒。非肺痿。若口中辟辟燥。咳即胸中隐隐痛。脉极滑数。此为肺痈也。问曰。病者咳
逆。师脉之何以知为肺痈。当有脓血。吐之则死。后竟吐脓死。其脉何类何以别之。师曰。
寸口脉微而数（三因云寸口脉数而实按之滑）微则为风。数则为热。微则汗出。数则恶寒。
风
中于卫。呼气不入。热过于营。吸而不出。风伤皮毛。热伤血脉。风舍于肺。其人口干喘满。
咽燥不渴。多唾浊。时时振寒。热气之所过。血为凝滞。蓄结痈脓。吐如米粥。始萌可救。
脓已成则难治。寸口脉数。趺阳脉紧。寒热相搏。故振寒而咳。趺阳脉浮缓。胃气如经。此
为肺痈。师曰。振寒发热。寸口脉滑而数。其又饮食起居如故。此为痈肿病。医者不知。而
以伤寒治之。不应愈也。何以知有脓。脓之所在何以别知其处。师曰。假令脓在胸中者为肺
痈。其脉数。咳唾有脓血。设脓未成。其脉自紧数。若但数脓已成也。
凡病肺痈。脉来短涩顺。浮大者死。其色当白。而多赤者亦死。
中府隐而微痛者肺疽也。上肉微起者肺疮也。中府者穴也。在云门下一寸六分。乳肋间
动脉应手陷中也。是以候。始萌则可救。脓成则多死。若欲知有脓者。但诊其脉。若微紧而
数者。未有脓也。紧甚而数者。已有脓也。
肺痈肺痿二证。皆为难治。肺痈者出于上焦。客热停于肺腑。咳嗽胸膈内痛。致使肺烂
成痈。唾脓如败糊臭秽。此难治。脉关前紧后微小。下虚上盛也。古人以黄 为主。甘桔汤
为佐。然罕有安者。以肺穿故。
儒门事亲书云。舞水有一富家二子。长者年十三。幼者十一岁。皆好顿食紫樱一二斤。
每岁须食半月。后一二年幼者发肺痈。长者发肺痿。相继而殁。戴人常曰。人之死者命耶天
耶。
方
生南星汤。治肺有痈脓。腥气上冲。呕而咳嗽。
生南星（一两） 知母 贝母（去心炒） 生地黄 阿胶（炒） 川芎 桑白皮（炒） 甘
草
（炙各三两） 防风 射干 桔梗 天门冬（去心） 脑荷 杏仁（不去皮） 半夏（治） 上
锉
散。每四钱姜七片。乌梅一个。食后煎服。（紫苏叶及白芷白芨各半两）
桔梗汤（出危氏方）治男妇人咳。而胸膈隐痛。两脚肿满。咽干口燥。烦闷多
渴。时出浊唾。腥臭。名肺痈。小便赤黄。大便多涩实者。先投参苏饮四服。虚者先投
小青龙汤四服。并用生姜枣子煎却服之。
桔梗（去芦） 贝母（去心） 大当归（酒浸） 栝蒌仁 枳壳（去瓤炒） 薏苡仁（微
炒） 桑
白皮（炒） 甘草节 防己（去粗皮各一两） 百合（蒸半两） 黄 （一两半） 正地骨
皮知母
杏仁 北五味子 甜葶苈（各半两） 上锉散。每服四钱。水一盏半。生姜五片煎。不拘时
温
服。咳不渴加百药煎。热加黄芩。大便不利加煨大黄少许。小便涩甚。加木通、车前子煎。
烦燥加白茅根。咳而疼甚。加人参、白芷。
桔梗汤（出济生方）治肺痈心胸气壅。咳嗽脓血。心神烦闷。咽干多渴。两脚
肿满。小便赤黄。大便多涩。
桔梗（去芦） 贝母（去心膜） 当归（去芦酒浸） 栝蒌子 枳壳（去瓤麸炒） 薏
苡仁（炒）
桑白皮（蜜水炙） 防己（各一两） 甘草节（生用） 杏仁（去皮尖麸炒） 百合（蒸各
半两） 黄
（去芦两半） 上 咀。每服四钱。水一盏半。姜五片。煎至八分。去滓温服。不拘时候。
若大便闭者加大黄。小便闭者加木通。
理肺膏（出危氏方）治肺痈正作。咳唾不利。胸膈迫塞。
诃子去核百药煎 五味子（微炒） 条参（去芦） 款冬花蕊 杏仁 知母 贝母 甜
葶苈
子紫菀 百合 甘草节（各五钱） 上为末。用白茅根净洗称三斤。研取自然汁。入瓷石
器
中。熬成膏。更添入好蜜二斤。再熬匀候冷。调和前药为丸。如梧桐子大。温水吞下。
黄 散（出圣惠方）治肺痈心胸气塞。咳嗽脓血。心神烦闷。小便赤。大便多
涩。
黄 （一两） 白蒺藜（三分） 枳壳（三分麸炒微黄去瓤） 紫苏茎叶 赤茯苓（各
一两）
杏仁（三分汤浸去皮尖双仁麸炒微黄） 桑根白皮（锉） 天门冬（去心） 川大黄（锉碎
微炒各
一两） 当归 甘草（各半两） 生干地黄（一两） 上为散。每服四钱。水一中盏。入生
姜半
分。煎至六分。去滓。不计时候温服。
葶苈散（出危氏方）治肺痈咳嗽气急。睡卧不安。心胸胀满。
甜葶苈子（一两半） 百合 白附子 北五味子（炒） 甘草节 罗参 款冬花 百药
煎
（各一两） 紫菀（去木一两） 大朱砂（五钱别研） 上为末。每服二钱。灯心汤调下。
升麻白蔹膏 疗肠痈肺痈方
升麻 白蔹 漏芦 芒硝（各一两） 黄芩 枳实（炒） 连翘 蛇衔（各三两） 栀
子（二
十枚擘） 蒴 根（四两） 上捣令细。以水三升。渍经半日。以猪脂五斤。煎令水竭。去
滓
敷之。日三。若胶紧合水煎。
汉防己散（出圣惠方）治肺痈喘急。咳嗽脓血。心神烦闷。咽干多渴。
汉防己（三分） 麦门冬（三分去心） 桑根白皮（一两锉） 赤茯苓（一两） 枳壳
（三分麸
炒微黄） 地骨皮（三分） 前胡（一两去芦） 黄 （一两锉） 甘草（半两炙微赤锉） 上
为
散。每服四钱。水一中盏。入生姜半分。煎至六分。去滓。不拘时温服。
牡丹散 治肺痈胸乳间皆痛。口吐脓血。气作腥臭。
川升麻 苦梗 薏苡仁 地榆 黄芩 赤芍药 牡丹皮 北甘草（各等分） 上锉散。
每
一两水一升半。煎五合。温服。日三。
桔梗白术汤 治肺痈吐脓。经时不瘥。
桔梗（锉三升） 白术 生地黄（焙） 薏苡仁 甘草（炙） 败酱 当归（切焙一两）
桑根
白皮（锉一升） 上锉如麻豆。以水一斗五升。煮大豆四升。取七升。去豆。内清酒三升。
合
诸药煮之。去滓。取三升。每服一盏。日三夜二。
升麻汤（出经验良方）治肺痈吐脓血作臭气。胸乳间皆痛。
升麻 桔梗 薏米（即苡仁） 地榆 黄芩 牡丹皮 芍药（各五钱） 甘草（七钱半）
生地黄汤 治肺痈。
生地黄（汁一升） 当归（切焙） 甘草（炙） 白石英（碎绵裹） 人参（各一两） 附
子（炮
制去皮脐一两） 白豆（小者十粒） 白鸡（一双男用雌女用雄制如食法一作雄） 上除地
黄汁
鸡外。锉如麻豆。以水一斗五升。先煎鸡取七升汁。去鸡内地黄汁诸药等。煮取三升。去滓。
每服一盏。日三夜二服。
平肺汤 治肺痈气逆喘咳。
紫菀（去土） 人参 紫苏（去梗各一两） 杏仁（去皮尖双仁麸炒） 橘皮（汤浸去
白焙各
一两） 黄 （一两锉） 沉香（半两） 上 咀如麻豆。每服五钱。水一盏半。煎至八分。
去
滓温服。日三为效。
竹茹散（出圣惠方）治肺痈烦闷。咳嗽脓血。
苦竹茹（一两） 生干地黄（一两） 茜根（半两） 百合（半两） 杏仁（半两汤浸
去皮尖双
仁麸炒） 黄 （一两锉） 甘草（半两炒微赤锉） 上为粗散。每服五钱。水一大盏。入
生姜
半分。煎至五分。去滓。不拘时温服。
内护排脓散（出危氏方）理肺痈吐脓后宜服。排脓补肺。
嫩黄 （二两） 川白芷 北五味子（炒） 人参（各一两） 上为末。炼蜜丸。如小
指头大。
偃仰入口含化。旋旋咽下。食后临卧服。专治肺痈证。始萌易治。脓成难治。诊其脉数而实。
症已成而脓清渐愈。面色白。呕脓而止者自愈。有脓而呕食。面色赤。吐脓如糯米粥者不治。
男子以气为主。得之十愈二三。妇女以血为主。得之十愈七八。
青苇散（出圣惠方）治肺痈咳。其声破嗄。体有微热。烦满。胸前皮甲错者
肺肿也。
青苇（二茎） 薏苡仁（一合） 甜瓜子（二合） 桃仁（五十枚汤浸去皮尖） 上捣
碎。先以
水三大盏。煎苇至一大盏。去滓。入薏苡仁等二味。同煎至七分。去滓。不计时候。分温二
服。
四顺汤 治肺痈吐脓。五心烦热壅闷。咳嗽。
贝母（去心） 桔梗（炒） 紫菀（去苗土各一两） 甘草（炙锉半两） 上捣筛。每
服三钱。
水一盏。煎五七沸。去滓。不拘时候稍冷服。如咳嗽甚。入去皮尖杏仁二枚同煎。小儿量减。
华盖散 治肺痈上喘咳嗽。胸膈满闷。口干烦热及吐血。
赤茯苓（去黑皮） 甜葶苈（隔纸炒） 桑根白皮（锉各一两） 大黄（半两湿纸裹煨
热） 上
捣罗为散。每服二钱。姜水调下。食后临卧服。
苇叶汤（出三因方）治肺痈。
薏苡仁 瓜瓣仁 桃仁（去皮尖各一两） 上为锉散。每服四钱。水二盏。先以苇叶一
握。
煎取一盏。去滓。入药六分。食后服。或吐脓血勿疑。
葶苈丸 治肺痈。
甜葶苈（隔纸炒别研细罗过） 杏仁（去皮尖双仁麸炒别研如膏各一两） 贝母（煨令
黄色
去心别捣再研半两） 上先使不蛀皂荚肥者二两。生捶碎。入在无灰酒半升内。熟 。滤去
滓。入净铫子中。慢火熬成膏。次将前三味药拌匀。旋入皂荚膏。和丸如梧桐子大。每服二
十丸。温水下。如肺气喘急。浓煎桑白皮汤下。不拘时候服。
防己葶苈丸 治肺痈。
防己（一两） 葶苈（隔纸炒三分） 杏仁（去皮尖双仁麸炒研如脂一分） 上先捣前
三味。
细罗为末。与杏仁同研令匀。取枣肉和丸。如梧桐子大。每日空心服。煎桑白皮汤下二十丸。
日三服。
麦门冬汤 治肺痈。涕唾涎沫。吐脓如粥。
麦门冬（去心焙二两） 桔梗（去芦头五两） 甘草（炙锉三分） 上粗捣筛。每服三
钱。水
一盏。青蒿叶十片。同煎至七分。去滓温服。稍轻者粥饮调下亦得。不计时候。
杏仁丸 治肺痈喘急。
杏仁（去皮尖双仁麸炒研入） 上捣罗为末。炼蜜和丸。如梧桐子大。生姜蜜汤下十丸
至
二十丸。食后临卧服。
枣膏丸（出医方集成）治肺积。在右胁下大如杯。发为痈疽。
陈皮 桔梗 葶苈（研各二两） 上前二味为末。入葶苈研匀。煮枣肉和丸。如梧桐子
大。
每服五七丸。米汤送下。
薏苡汤 治肺痈。唾吐脓血。
薏苡仁（二合） 黑豆（百粒） 乌梅（一个） 上水二盏。煎至一盏。入透明阿胶、
生蒲黄
各一钱。再煎沸。食后服。日二。
桔梗白散（一名桔梗丸出圣惠方）治咳。胸中满而振寒。脉数咽干不渴。时出
浊唾腥臭。久久吐脓如粳米粥者肺痈也。
桔梗（三分） 贝母（三分） 巴豆（一分去心皮熬研作脂） 上捣筛。强人服半钱。
羸人减
之。若病在膈上者必吐。膈下者必利。若利不止者。饮冷水一杯则定。忌猪肉芦笋等。
葶苈汤 治肺痈咳嗽。上喘气急。不得卧。涕唾稠粘。胸膈不利。
葶苈（隔纸后炒紫色别研如膏） 桑根白皮（微火细锉） 大枣（拣洗去核） 上用水
三盏。
先煎桑白皮一两。枣十二枚。取一盏半。去滓。入葶苈膏一弹子大。搅化。煎取八分。温服。
良久当吐恶物。或微利三两行。其疾减后。宜服补肺药。七日外病未退。量人加减。更一服。
一方泻肺汤无大枣。
薏苡仁汤 治肺痈。心胸甲错者。
薏苡仁（一升） 苦酒（三升） 上同煮取一升。去滓。微温顿服。有脓血吐出验。
补肺散 治肺痈已吐出脓血。以此润护。
真钟乳粉（一两） 白滑石 上为末。每服三钱。米饮调下。
夜合汤（一名黄昏汤出圣惠方）治肺痈咳嗽。体有微热。烦满。胸前皮甲错者
。
用夜合白皮（一两锉） 以水三盏。煎取一盏半。分温二服。
排脓散（出圣惠方）治肺痈得吐脓血喘急。此药排脓补肺。
用绵黄 去芦二两。生用为细末。每服二钱。水一盏。煎至六分。温服。吐脓后。用甜
葶苈二两半。隔纸炒令紫色为末。每钱煎六分。温服。
治肺痈方（出圣惠方）
薏苡为末。糯米饮调下。又粥内煮吃亦可。一方水煎服。当下脓血便愈。
葶苈大枣泻肺汤（出圣惠方）治肺痈胸胀满。一身并面目浮肿。鼻塞清涕出。
不闻香臭酸辛。咳逆上气。喘鸣迫塞。饮不得息。
以葶苈炒令黄。研细。丸如弹子大。用水三盏。煮枣十枚。至一盏去枣。入药煎至七分。
食后服。金匮令先投小青龙汤三服。乃进此药。一方去枣水煎服。
治上隔壅热而成肺痈。兼感风寒重出。
用加味败毒散。入黄芩、栝蒌仁、薄荷、当归、川白芷、半夏、乌梅、桑白皮。半料各
五钱。生姜、生地黄、灯心、白茅根煎。热甚加大黄。
（附论）
《内经》说：肺痈的症状是气喘且两侧胁肋部胀满。这是因为肺主气，与呼吸功能相合。其经脉分支从肺系横出腋下。所以邪气蕴积在肺，就会向上导致气喘急促，向下牵连两侧胁肋部胀满。治疗应当泻除肺脏中的邪毒。
肺痈病的症状是咳嗽、咳脓血，脉象数而实的属于肺痈；脉虚的属于肺痿。如果咳嗽但口中自然有津液，舌苔滑润，这是浮寒证，不是肺痿。如果口中感觉干燥，咳嗽时胸中隐隐作痛，脉象极滑数，这才是肺痈。问：病人咳嗽气逆，医生诊脉后怎么知道是肺痈？应该会有脓血，吐出来就会死，后来果然吐脓而死。这种脉象像什么？如何辨别？医生说：寸口脉微而数（《三因方》说寸口脉数而实，按之滑）。微代表风邪，数代表热邪。微则汗出，数则恶寒。风邪侵犯卫分，呼气不能深入；热邪侵入营分，吸气不能呼出。风邪损伤皮毛，热邪损伤血脉。风邪留舍于肺，人口干、气喘胀满，咽燥但不想喝水，多唾浊沫，时时发冷。热气经过的地方，血液凝滞，蓄结形成痈脓，吐出物像米粥一样。病初起时可以救治，脓已形成就难治了。寸口脉数，趺阳脉紧，寒热相互搏结，所以发冷颤抖并咳嗽。趺阳脉浮缓，说明胃气正常。这属于肺痈。医生说：发冷发热，寸口脉滑而数，饮食起居如常，这是痈肿病。医生不知道，却用治疗伤寒的方法治疗，不会痊愈。怎么知道有脓？脓在哪里？如何辨别其位置？医生说：假如脓在胸中，就是肺痈，脉数，咳嗽唾出脓血。假设脓未形成，脉自紧数；如果只数，说明脓已成。
凡是患肺痈的病，脉来短涩为顺，脉浮大的预后不良（死）。面色应当白，若多赤色也预后不良（死）。
中府穴处隐痛的是肺疽。上肉微微隆起的是肺疮。中府是穴位名，在云门穴下一寸六分，乳肋间动脉应手凹陷处。以此作为诊断依据。病初起时可救，脓成则大多死亡。如果想确认是否有脓，只需诊察脉象。如果脉微紧而数，说明还没有脓；如果脉紧甚而数，说明已有脓。
肺痈和肺痿两种证候，都难以治疗。肺痈出于上焦，客热停留于肺腑，引起咳嗽、胸膈内部疼痛，致使肺烂成痈，唾出的脓像败糊一样臭秽，这很难治。脉象关前紧、关后微小，这是下虚上盛的表现。古人以黄芪为主药，甘桔汤为辅佐，然而很少能治愈的，因为肺部穿孔的缘故。
《儒门事亲》记载：舞水有一个富家有两个儿子，哥哥十三岁，弟弟十一岁，都喜欢每天吃紫樱桃一两斤，每年必须吃半个月。过了一两年，弟弟发了肺痈，哥哥发了肺痿，相继去世。戴人常说：人的死亡是命呢还是天意呢？
生南星汤，治疗肺中有痈脓，腥气上冲，呕吐并咳嗽。
药材：生南星（一两）、知母、贝母（去心炒）、生地黄、阿胶（炒）、川芎、桑白皮（炒）、甘草（炙，各三两）、防风、射干、桔梗、天门冬（去心）、脑荷、杏仁（不去皮）、半夏（炮制）。以上锉散。每次四钱，加姜七片、乌梅一个，饭后煎服。（另有紫苏叶及白芷、白芨各半两的配方）
桔梗汤（出自危氏方），治疗男女咳嗽，胸膈隐痛，双脚肿胀胀满，咽干口燥，烦闷多渴，时常吐出浊唾，气味腥臭，名为肺痈，小便赤黄，大便多涩实者。先服用参苏饮四次，体虚者先服用小青龙汤四次，均用生姜、大枣煎煮后服用。
药材：桔梗（去芦）、贝母（去心）、大当归（酒浸）、栝蒌仁、枳壳（去瓤炒）、薏苡仁（微炒）、桑白皮（炒）、甘草节、防己（去粗皮，各一两）、百合（蒸，半两）、黄芪（一两半）、地骨皮、知母、杏仁、北五味子、甜葶苈（各半两）。以上锉散。每次四钱，水一盏半，生姜五片煎煮，不拘时候温服。咳嗽不渴加百药煎，热重加黄芩，大便不利加少许煨大黄，小便涩甚加木通、车前子煎煮，烦躁加白茅根，咳嗽疼痛剧烈加人参、白芷。
桔梗汤（出自济生方），治疗肺痈心胸气壅，咳嗽脓血，心神烦闷，咽干多渴，双脚肿胀胀满，小便赤黄，大便多涩。
药材：桔梗（去芦）、贝母（去心膜）、当归（去芦酒浸）、栝蒌子、枳壳（去瓤麸炒）、薏苡仁（炒）、桑白皮（蜜水炙）、防己（各一两）、甘草节（生用）、杏仁（去皮尖麸炒）、百合（蒸，各半两）、黄芪（去芦，两半）。以上切碎。每次四钱，水一盏半，姜五片，煎至八分，去渣温服，不拘时候。若大便闭结加大黄，小便闭结加木通。
理肺膏（出自危氏方），治疗肺痈发作，咳唾不利，胸膈迫塞。
药材：诃子（去核）、百药煎、五味子（微炒）、条参（去芦）、款冬花蕊、杏仁、知母、贝母、甜葶苈子、紫菀、百合、甘草节（各五钱）。以上为末。用白茅根洗净称三斤，研取自然汁，放入瓷石器中，熬成膏，再加入好蜜二斤，再熬匀冷却，调和前药制成丸，如梧桐子大，温水吞服。
黄芪散（出自圣惠方），治疗肺痈心胸气塞，咳嗽脓血，心神烦闷，小便赤，大便多涩。
药材：黄芪（一两）、白蒺藜（三分）、枳壳（三分麸炒微黄去瓤）、紫苏茎叶、赤茯苓（各一两）、杏仁（三分汤浸去皮尖双仁麸炒微黄）、桑根白皮（锉）、天门冬（去心）、川大黄（锉碎微炒，各一两）、当归、甘草（各半两）、生干地黄（一两）。以上为散。每次四钱，水一中盏，入生姜半分，煎至六分，去渣，不计时候温服。
葶苈散（出自危氏方），治疗肺痈咳嗽气急，睡卧不安，心胸胀满。
药材：甜葶苈子（一两半）、百合、白附子、北五味子（炒）、甘草节、罗参、款冬花、百药煎（各一两）、紫菀（去木，一两）、大朱砂（五钱别研）。以上为末。每次二钱，灯心汤调下。
升麻白蔹膏，治疗肠痈、肺痈的方剂。
药材：升麻、白蔹、漏芦、芒硝（各一两）、黄芩、枳实（炒）、连翘、蛇衔（各三两）、栀子（二十枚掰开）、蒴藋根（四两）。以上捣细。用水三升，浸泡半天，用猪脂五斤，煎至水尽，去渣敷患处，每日三次。若胶紧可加水煎。
汉防己散（出自圣惠方），治疗肺痈喘急，咳嗽脓血，心神烦闷，咽干多渴。
药材：汉防己（三分）、麦门冬（三分去心）、桑根白皮（一两锉）、赤茯苓（一两）、枳壳（三分麸炒微黄）、地骨皮（三分）、前胡（一两去芦）、黄芪（一两锉）、甘草（半两炙微赤锉）。以上为散。每次四钱，水一中盏，入生姜半分，煎至六分，去渣，不拘时温服。
牡丹散，治疗肺痈胸乳间皆痛，口吐脓血，气作腥臭。
药材：川升麻、苦梗、薏苡仁、地榆、黄芩、赤芍药、牡丹皮、北甘草（各等分）。以上锉散。每两药加水一升半，煎取五合，温服，每日三次。
桔梗白术汤，治疗肺痈吐脓，经时不愈。
药材：桔梗（锉三升）、白术、生地黄（焙）、薏苡仁、甘草（炙）、败酱、当归（切焙，一两）、桑根白皮（锉一升）。以上锉如麻豆大小。用水一斗五升，煮大豆四升，取七升，去豆，加入清酒三升，合诸药煮之，去渣，取三升。每次一盏，日三夜二服。
升麻汤（出自经验良方），治疗肺痈吐脓血作臭气，胸乳间皆痛。
药材：升麻、桔梗、薏米（即苡仁）、地榆、黄芩、牡丹皮、芍药（各五钱）、甘草（七钱半）。
生地黄汤，治疗肺痈。
药材：生地黄（汁一升）、当归（切焙）、甘草（炙）、白石英（碎绵裹）、人参（各一两）、附子（炮制去皮脐，一两）、白豆（小者十粒）、白鸡（一双，男用雌鸡女用雄鸡，制作如食用方法，一作雄鸡）。以上除地黄汁和鸡外，锉如麻豆大小。用水一斗五升，先煎鸡取七升汁，去鸡，入地黄汁及诸药等，煮取三升，去渣。每次一盏，日三夜二服。
平肺汤，治疗肺痈气逆喘咳。
药材：紫菀（去土）、人参、紫苏（去梗，各一两）、杏仁（去皮尖双仁麸炒）、橘皮（汤浸去白焙，各一两）、黄芪（一两锉）、沉香（半两）。以上切碎如麻豆大小。每次五钱，水一盏半，煎至八分，去渣温服，每日三次见效。
竹茹散（出自圣惠方），治疗肺痈烦闷，咳嗽脓血。
药材：苦竹茹（一两）、生干地黄（一两）、茜根（半两）、百合（半两）、杏仁（半两汤浸去皮尖双仁麸炒）、黄芪（一两锉）、甘草（半两炒微赤锉）。以上为粗散。每次五钱，水一大盏，入生姜半分，煎至五分，去渣，不拘时温服。
内护排脓散（出自危氏方），理肺痈吐脓后宜服。排脓补肺。
药材：嫩黄芪（二两）、川白芷、北五味子（炒）、人参（各一两）。以上为末，炼蜜丸，如小指头大。仰卧入口含化，慢慢咽下，食后临卧服。专治肺痈证。始萌易治，脓成难治。诊其脉数而实，症已成而脓清渐愈，面色白，呕脓而止者自愈。有脓而呕食，面色赤，吐脓如糯米粥者不治。男子以气为主，得此方十分能愈二三；妇女以血为主，得此方十分能愈七八。
青苇散（出自圣惠方），治疗肺痈咳嗽，声音破哑，身体有微热，烦满，胸前皮肤甲错者是肺肿。
药材：青苇（二茎）、薏苡仁（一合）、甜瓜子（二合）、桃仁（五十枚汤浸去皮尖）。以上捣碎。先以水三大盏，煎苇至一大盏，去渣，入薏苡仁等二味，同煎至七分，去渣，不计时候，分温二服。
四顺汤，治疗肺痈吐脓，五心烦热壅闷，咳嗽。
药材：贝母（去心）、桔梗（炒）、紫菀（去苗土，各一两）、甘草（炙锉，半两）。以上捣筛。每次三钱，水一盏，煎五七沸，去渣，不拘时候稍冷服。如咳嗽甚，入去皮尖杏仁二枚同煎，小儿减量。
华盖散，治疗肺痈上喘咳嗽，胸膈满闷，口干烦热及吐血。
药材：赤茯苓（去黑皮）、甜葶苈（隔纸炒）、桑根白皮（锉，各一两）、大黄（半两湿纸裹煨热）。以上捣罗为散。每次二钱，姜水调下，食后临卧服。
苇叶汤（出自三因方），治疗肺痈。
药材：薏苡仁、瓜瓣仁、桃仁（去皮尖，各一两）。以上为锉散。每次四钱，水二盏，先以苇叶一握，煎取一盏，去渣，入药六分，食后服。或吐脓血勿疑。
葶苈丸，治疗肺痈。
药材：甜葶苈（隔纸炒别研细罗过）、杏仁（去皮尖双仁麸炒别研如膏，各一两）、贝母（煨令黄色去心别捣再研，半两）。以上先用不蛀皂荚肥者二两，生捶碎，入在无灰酒半升内，煮熟，滤去渣，入净铫子中，慢火熬成膏。其次将前三味药拌匀，旋入皂荚膏，和丸如梧桐子大。每次二十丸，温水下。如肺气喘急，浓煎桑白皮汤下，不拘时候服。
防己葶苈丸，治疗肺痈。
药材：防己（一两）、葶苈（隔纸炒三分）、杏仁（去皮尖双仁麸炒研如脂一分）。以上先捣前三味，细罗为末，与杏仁同研令匀。取枣肉和丸，如梧桐子大。每日空心服，煎桑白皮汤下二十丸，日三服。
麦门冬汤，治疗肺痈，涕唾涎沫，吐脓如粥。
药材：麦门冬（去心焙，二两）、桔梗（去芦头，五两）、甘草（炙锉，三分）。以上粗捣筛。每次三钱，水一盏，青蒿叶十片，同煎至七分，去渣温服。稍轻者粥饮调下亦得，不计时候。
杏仁丸，治疗肺痈喘急。
药材：杏仁（去皮尖双仁麸炒研入）。以上捣罗为末，炼蜜和丸，如梧桐子大。生姜蜜汤下十丸至二十丸，食后临卧服。
枣膏丸（出自医方集成），治疗肺积，在右胁下大如杯，发为痈疽。
药材：陈皮、桔梗、葶苈（研，各二两）。上前二味为末，入葶苈研匀，煮枣肉和丸，如梧桐子大。每次五七丸，米汤送下。
薏苡汤，治疗肺痈，唾吐脓血。
药材：薏苡仁（二合）、黑豆（百粒）、乌梅（一个）。以上水二盏，煎至一盏，入透明阿胶、生蒲黄各一钱，再煎沸，食后服，日二。
桔梗白散（一名桔梗丸，出自圣惠方），治疗咳嗽，胸中满而振寒，脉数咽干不渴，时出浊唾腥臭，久久吐脓如粳米粥者是肺痈。
药材：桔梗（三分）、贝母（三分）、巴豆（一分去心皮熬研作脂）。以上捣筛。强人服半钱，羸人减之。若病在膈上者必吐，膈下者必利。若利不止者，饮冷水一杯则定。忌猪肉、芦笋等。
葶苈汤，治疗肺痈咳嗽，上喘气急，不得卧，涕唾稠粘，胸膈不利。
药材：葶苈（隔纸后炒紫色别研如膏）、桑根白皮（微火细锉）、大枣（拣洗去核）。以上用水三盏，先煎桑白皮一两，枣十二枚，取一盏半，去渣，入葶苈膏一弹子大，搅化，煎取八分，温服。良久当吐恶物，或微利三两行，其疾减后，宜服补肺药。七日外病未退，量人加减，更一服。一方泻肺汤无大枣。
薏苡仁汤，治疗肺痈，心胸甲错者。
药材：薏苡仁（一升）、苦酒（三升）。以上同煮取一升，去渣，微温顿服。有脓血吐出验。
补肺散，治疗肺痈已吐出脓血，以此润护。
药材：真钟乳粉（一两）、白滑石。以上为末，每次三钱，米饮调下。
夜合汤（一名黄昏汤，出自圣惠方），治疗肺痈咳嗽，体有微热，烦满，胸前皮甲错者。
药材：用夜合白皮（一两锉），以水三盏，煎取一盏半，分温二服。
排脓散（出自圣惠方），治疗肺痈得吐脓血喘急。此药排脓补肺。
药材：用绵黄芪去芦二两，生用为细末，每次二钱，水一盏，煎至六分，温服。吐脓后，用甜葶苈二两半，隔纸炒令紫色为末，每钱煎六分，温服。
治肺痈方（出自圣惠方）
薏苡为末，糯米饮调下。又粥内煮吃亦可。一方水煎服。当下脓血便愈。
葶苈大枣泻肺汤（出自圣惠方），治疗肺痈胸胀满，一身并面目浮肿，鼻塞清涕出，不闻香臭酸辛，咳逆上气，喘鸣迫塞，饮不得息。
药材：以葶苈炒令黄，研细，丸如弹子大。用水三盏，煮枣十枚，至一盏去枣，入药煎至七分，食后服。金匮要略令先投小青龙汤三服，乃进此药。一方去枣水煎服。
治上隔壅热而成肺痈，兼感风寒重出。
药材：用加味败毒散，入黄芩、栝蒌仁、薄荷、当归、川白芷、半夏、乌梅、桑白皮。半料各五钱，生姜、生地黄、灯心、白茅根煎。热甚加大黄。
(Attached Discussion)
The *Neijing* (Classic of Internal Medicine) states: The symptoms of Lung Abscess (Fei Yong, 肺痈) include panting and distension in both hypochondriac regions. This is because the Lung governs Qi and is associated with respiration. Its collateral branches emerge horizontally from the Lung system to the axilla. Therefore, when pathogenic factors accumulate in the Lung, they cause upward panting and urgency, and downward distension in both hypochondriac regions. Treatment should aim to drain the pathogenic toxins from the Lung organ.
Lung Abscess presents with coughing and expectoration of pus and blood. A rapid and excess pulse indicates Lung Abscess; a deficient pulse indicates Lung Flaccidity Syndrome (Fei Wei, 肺痿). If there is coughing but natural saliva in the mouth, and a slippery tongue coating, this is Floating Cold (Fu Han, 浮寒), not Lung Flaccidity Syndrome. If the mouth feels dry, coughing causes hidden pain in the chest, and the pulse is extremely slippery and rapid, this is Lung Abscess. Question: When a patient coughs and has rebellious Qi, how does the physician know it is Lung Abscess through pulse diagnosis? There should be pus and blood; if vomited, death ensues. Later, indeed, pus was vomited and the patient died. What does the pulse resemble? How to differentiate it? The physician says: The Cun (Inch) position pulse is faint and rapid (according to *San Yin Fang*, the Cun position pulse is rapid and excess, slippery upon pressure). Faint indicates Wind; rapid indicates Heat. Faint leads to sweating; rapid leads to aversion to cold. Wind invades the Ying (Defensive) level, so exhalation cannot enter deeply; Heat penetrates the Xue (Nutritive) level, so inhalation cannot exit. Wind damages the skin and hair; Heat damages the blood vessels. Wind lodges in the Lung, causing dry mouth, panting, and distension, dry throat without desire to drink, copious turbid saliva, and intermittent chills. Where the Heat passes, blood coagulates and stagnates, accumulating to form an abscess and pus. The expectorated material resembles rice porridge. In the early stage, it can be saved; once pus is formed, it is difficult to treat. The Cun position pulse is rapid, and the Zu Yang (Foot-Yangming) position pulse is tight. Cold and Heat struggle against each other, causing chills, trembling, and coughing. The Zu Yang position pulse is floating and slow, indicating normal Stomach Qi. This belongs to Lung Abscess. The physician says: Chills and fever, with a slippery and rapid Cun position pulse, while diet and daily activities remain normal, indicate an abscess or swelling disease. Physicians who do not recognize this may treat it as Cold Damage (Shang Han, 伤寒), which will not lead to recovery. How to know there is pus? Where is the pus located? How to distinguish its location? The physician says: If the pus is in the chest, it is Lung Abscess. The pulse is rapid, and coughing produces pus and blood. Assuming the pus has not yet formed, the pulse is naturally tight and rapid; if only rapid, the pus has already formed.
Generally, for Lung Abscess, a short and choppy pulse is favorable (Shun, 顺); a floating and large pulse indicates a poor prognosis (Si, 死). The complexion should be white; if excessively red, it also indicates a poor prognosis (Si, 死).
Hidden pain at the Zhongfu (LU-1) acupoint indicates Lung Carbuncle (Fei Ju, 肺疽). Slight elevation of the flesh above indicates Lung Ulcer (Fei Chuang, 肺疮). Zhongfu is an acupoint located 1.6 cun below Yunmen (LU-2), where the arterial pulse can be felt in the depression between the breast and ribs. This serves as a diagnostic indicator. In the early stage, it can be saved; once pus forms, most cases are fatal. To determine if pus exists, simply examine the pulse. If the pulse is faintly tight and rapid, no pus has formed; if the pulse is very tight and rapid, pus has formed.
Both Lung Abscess and Lung Flaccidity Syndrome are difficult to treat. Lung Abscess originates from the Upper Jiao, with guest heat lingering in the Lung organs, causing coughing and internal pain in the chest and diaphragm, leading to lung tissue necrosis and abscess formation. The expectorated pus resembles spoiled paste and is foul-smelling; this is difficult to treat. The pulse is tight before the Guan (Bar) position and faint/small after it, indicating deficiency below and excess above. Ancient practitioners used Huangqi (Astragalus Root) as the principal herb and Ganjie Tang (Licorice and Platycodon Decoction) as an assistant. However, few patients recovered, likely due to lung perforation.
*Rumen Shiqin* records: In Wushui, a wealthy family had two sons, the elder thirteen and the younger eleven. Both enjoyed eating one to two jin of purple cherries daily, consuming them for half a month each year. After one or two years, the younger son developed Lung Abscess, and the elder son developed Lung Flaccidity Syndrome; they died successively. Dairen often said: Is human death determined by fate or heaven?
Sheng Nanting Tang (Fresh Arisaema Decoction) treats Lung Abscess with pus, where a fishy odor rushes upward, accompanied by vomiting and coughing.
Ingredients: Sheng Nanting (Fresh Arisaema Rhizome, 1 liang), Zhi Mu (Anemarrhenae Rhizoma, 1 liang), Beimu (Fritillariae Bulbus, heart removed and stir-fried, 1 liang), Sheng Dihuang (Rehmanniae Radix, 1 liang), Ejiao (Colla Corii Asini, stir-fried, 1 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 liang), Sangbaipi (Mori Cortex, stir-fried, 1 liang), Gancao (Licorice Root, honey-fried, 3 liang), Fangfeng (Saposhnikoviae Radix, 3 liang), Shegan (Belamcandae Rhizoma, 3 liang), Jiegeng (Platcodonis Radix, 3 liang), Tiandongmen (Asparagi Radix, heart removed, 3 liang), Naohe (Camphora, 3 liang), Xingren (Armeniacae Semen, skin not removed, 3 liang), Banxia (Pinelliae Rhizoma, processed, 3 liang). All ingredients are cut into pieces. Take 4 qian per dose, add 7 slices of fresh ginger and 1 dark plum, decoct and take after meals. (Alternative formula includes Zisuye (Perillae Folium), Baizhi (Angelicae Dahuricae Radix), and Baiji (Bletillae Rhizoma), each 0.5 liang).
Jiegeng Tang (Platycodon Decoction, from Weishi's Formulas) treats coughing in men and women, with hidden pain in the chest and diaphragm, swelling and distension in both legs, dry throat and mouth, irritability, excessive thirst, occasional expectoration of turbid saliva with a fishy odor, named Lung Abscess. Urine is red and yellow, stool is dry and hard. First administer Shenru Yin (Ginseng and Pericarpium Citri Reticulatae Drink) four doses; for deficient patients, first administer Xiao Qinglong Tang (Minor Blue Dragon Decoction) four doses. All are decocted with fresh ginger and jujubes and taken warm.
Ingredients: Jiegeng (Platycodon Radix, rhizome removed, 1 liang), Beimu (Fritillariae Bulbus, heart removed, 1 liang), Da Danggui (Angelicae Sinensis Radix, wine-soaked, 1 liang), Gualouren (Trichosanthis Semen, 1 liang), Zhiqiao (Aurantii Fructus, pulp removed and stir-fried, 1 liang), Yiyiren (Coicis Semen, slightly stir-fried, 1 liang), Sangbaipi (Mori Cortex, stir-fried, 1 liang), Gancaojie (Licorice Root nodes, 1 liang), Fangji (Stephaniae Tetrandrae Radix, coarse bark removed, 1 liang), Baihe (Lilii Bulbus, steamed, 0.5 liang), Huangqi (Astragali Radix, 1.5 liang), Digupi (Lycii Cortex, 0.5 liang), Zhi Mu (Anemarrhenae Rhizoma, 0.5 liang), Xingren (Armeniacae Semen, 0.5 liang), Bei Wuweizi (Schisandrae Fructus, 0.5 liang), Tiantili (Descurainiae Semen et Herba, 0.5 liang). All ingredients are cut into pieces. Take 4 qian per dose, add 1.5 sheng of water and 5 slices of fresh ginger, decoct and take warm at any time. For cough without thirst, add Baiyaojian (Pyrrosiae Folium extract); for severe heat, add Huangqin (Scutellariae Radix); for constipation, add a small amount of Wei Dahuang (Rhei Radix et Rhizoma, baked); for severe urinary difficulty, add Mutong (Akebiae Caulis) and Cheqianzi (Plantaginis Semen), decoct together; for irritability, add Baimaogen (Imperatae Rhizoma); for severe coughing pain, add Renshen (Ginseng Radix) and Baizhi (Angelicae Dahuricae Radix).
Jiegeng Tang (Platycodon Decoction, from Jisheng Fang) treats Lung Abscess with Qi stagnation in the chest and heart, coughing with pus and blood, mental restlessness, dry throat with excessive thirst, swelling and distension in both legs, red and yellow urine, and dry/hard stool.
Ingredients: Jiegeng (Platycodon Radix, rhizome removed, 1 liang), Beimu (Fritillariae Bulbus, membrane removed, 1 liang), Danggui (Angelicae Sinensis Radix, rhizome removed and wine-soaked, 1 liang), Gualouzi (Trichosanthis Fructus, 1 liang), Zhiqiao (Aurantii Fructus, pulp removed and bran-stir-fried, 1 liang), Yiyiren (Coicis Semen, stir-fried, 1 liang), Sangbaipi (Mori Cortex, honey-water roasted, 1 liang), Fangji (Stephaniae Tetrandrae Radix, 1 liang), Gancaojie (Licorice Root nodes, raw, 1 liang), Xingren (Armeniacae Semen, skin and tip removed, bran-stir-fried, 0.5 liang), Baihe (Lilii Bulbus, steamed, 0.5 liang), Huangqi (Astragali Radix, rhizome removed, 1.5 liang). All ingredients are cut. Take 4 qian per dose, add 1.5 sheng of water and 5 slices of fresh ginger, decoct until 0.8 sheng remains, strain, and take warm at any time. For constipation, add Dahuang (Rhei Radix et Rhizoma); for urinary retention, add Mutong (Akebiae Caulis).
Lifei Gao (Lung-Nourishing Paste, from Weishi's Formulas) treats active Lung Abscess with difficult expectoration and oppressive sensation in the chest and diaphragm.
Ingredients: Hezi (Arecae Semen, pitted, 5 qian), Baiyaojian (Pyrrosiae Folium extract, 5 qian), Wuweizi (Schisandrae Fructus, slightly stir-fried, 5 qian), Tiaoshen (Codonopsis Radix, rhizome removed, 5 qian), Kuandonghua (Farfarae Flos, 5 qian), Xingren (Armeniacae Semen, 5 qian), Zhi Mu (Anemarrhenae Rhizoma, 5 qian), Beimu (Fritillariae Bulbus, 5 qian), Tiantili (Descurainiae Semen et Herba, 5 qian), Ziwan (Asternis Radix, 5 qian), Baihe (Lilii Bulbus, 5 qian), Gancaojie (Licorice Root nodes, 5 qian). All are powdered. Wash 3 jin of Baimaogen (Imperatae Rhizoma) cleanly, grind to extract natural juice, boil in a porcelain vessel into a paste. Add 2 jin of good honey, boil evenly, cool, and mix with the powder to form pills the size of Sophora seeds. Swallow with warm water.
Huangqi San (Astragalus Powder, from Shenghui Fang) treats Lung Abscess with Qi obstruction in the chest and heart, coughing with pus and blood, mental restlessness, red urine, and dry/hard stool.
Ingredients: Huangqi (Astragali Radix, 1 liang), Baijili (Tribuli Fructus, 3 fen), Zhiqiao (Aurantii Fructus, bran-stir-fried until slightly yellow, pulp removed, 3 fen), Zisujingye (Perillae Caulis and Folium, 1 liang), Chifuling (Polyporus, 1 liang), Xingren (Armeniacae Semen, water-soaked, skin and tip removed, double-kernel, bran-stir-fried until slightly yellow, 3 fen), Sanggenbaipi (Mori Radicis Cortex, cut, 1 liang), Tiandongmen (Asparagi Radix, heart removed, 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, cut and slightly stir-fried, 1 liang), Danggui (Angelicae Sinensis Radix, 0.5 liang), Gancao (Licorice Root, honey-fried until slightly red and cut, 0.5 liang), Sheng Gan Dihuang (Dried Rehmanniae Radix, 1 liang). All are powdered. Take 4 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until 0.6 sheng remains, strain, and take warm at any time.
Tingli San (Descurainia Powder, from Weishi's Formulas) treats Lung Abscess with coughing, rapid breathing, restlessness during sleep, and chest/heart distension.
Ingredients: Tian Tingli (Descurainiae Semen et Herba, 1.5 liang), Baihe (Lilii Bulbus, 1 liang), Baifu Zi (Aconiti Kusnezoffii Radix, 1 liang), Bei Wuweizi (Schisandrae Fructus, stir-fried, 1 liang), Gancaojie (Licorice Root nodes, 1 liang), Luoshen (Codonopsis Radix, 1 liang), Kuandonghua (Farfarae Flos, 1 liang), Baiyaojian (Pyrrosiae Folium extract, 1 liang), Ziwan (Asternis Radix, wood removed, 1 liang), Dashazhu (Cinnabar, 5 qian, separately ground). All are powdered. Take 2 qian per dose, mix with Dengxin Tang (Junci Medulla Decoction).
Shengma Bailian Gao ( Cimicifugae and Ampelopsis Paste) treats Intestinal Abscess and Lung Abscess.
Ingredients: Shengma (Cimicifugae Rhizoma, 1 liang), Bailian (Ampelopsis Radix, 1 liang), Loulu (Euphorbiae Humifusae Herba, 1 liang), Mangxiao (Natrii Sulfas, 1 liang), Huangqin (Scutellariae Radix, 3 liang), Zhishi (Aurantii Fructus Immaturus, stir-fried, 3 liang), Lianqiao (Forsythiae Fructus, 3 liang), She Xian (Agastaches Herba, 3 liang), Zhizi (Gardeniae Fructus, 20 fruits, broken), Shuobi Gen (Polygoni Multiflori Caulis, 4 liang). All are finely pounded. Soak in 3 sheng of water for half a day. Boil in 5 jin of lard until the water is exhausted. Strain and apply externally three times daily. If the paste becomes too thick, add water and boil.
Hanfangji San (Stephania Powder, from Shenghui Fang) treats Lung Abscess with rapid panting, coughing with pus and blood, mental restlessness, dry throat, and excessive thirst.
Ingredients: Han Fangji (Stephaniae Tetrandrae Radix, 3 fen), Maimendong (Ophiopogonis Radix, heart removed, 3 fen), Sanggenbaipi (Mori Radicis Cortex, cut, 1 liang), Chifuling (Polyporus, 1 liang), Zhiqiao (Aurantii Fructus, bran-stir-fried until slightly yellow, 3 fen), Digupi (Lycii Cortex, 3 fen), Qianhu (Peucedani Radix, rhizome removed, 1 liang), Huangqi (Astragali Radix, cut, 1 liang), Gancao (Licorice Root, honey-fried until slightly red and cut, 0.5 liang). All are powdered. Take 4 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until 0.6 sheng remains, strain, and take warm at any time.
Mudan San (Peony Powder) treats Lung Abscess with pain in the chest and breasts, expectoration of pus and blood, and fishy odor.
Ingredients: Chuan Shengma (Cimicifugae Rhizoma, equal parts), Kugeng (Platycodon Radix, equal parts), Yiyiren (Coicis Semen, equal parts), Diyu (Sanguisorbae Radix, equal parts), Huangqin (Scutellariae Radix, equal parts), Chi Shaoyao (Paeoniae Radix Rubra, equal parts), Mudanpi (Moutan Cortex, equal parts), Bei Gancao (Licorice Root, equal parts). All are cut into pieces. For every 1 liang of herbs, add 1.5 sheng of water, decoct to obtain 0.5 sheng. Take warm, three times daily.
Jiegeng Baizhu Tang (Platycodon and Atractylodes Decoction) treats Lung Abscess with expectoration of pus that persists over time.
Ingredients: Jiegeng (Platycodon Radix, cut, 3 sheng), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 sheng), Sheng Dihuang (Rehmanniae Radix, dried, 1 sheng), Yiyiren (Coicis Semen, 1 sheng), Gancao (Licorice Root, honey-fried, 1 sheng), Baijiang Cao (Patriniae Herba, 1 sheng), Danggui (Angelicae Sinensis Radix, cut and dried, 1 liang), Sanggenbaipi (Mori Radicis Cortex, cut, 1 sheng). All are cut like hemp seeds. Use 1.5 dou of water, boil 4 sheng of soybeans, reduce to 7 sheng, remove beans, add 3 sheng of clear wine, then add all herbs. Boil, strain, and obtain 3 sheng. Take 1 cup per dose, three times during the day and twice at night.
Shengma Tang (Cimicifuga Decoction, from Jingyan Liangfang) treats Lung Abscess with expectoration of pus and blood with a foul odor, and pain in the chest and breasts.
Ingredients: Shengma (Cimicifugae Rhizoma, 5 qian), Jiegeng (Platcodonis Radix, 5 qian), Yimi (Coicis Semen, 5 qian), Diyu (Sanguisorbae Radix, 5 qian), Huangqin (Scutellariae Radix, 5 qian), Mudanpi (Moutan Cortex, 5 qian), Shaoyao (Paeoniae Radix, 5 qian), Gancao (Licorice Root, 7.5 qian).
Shengdihuang Tang (Rehmannia Decoction) treats Lung Abscess.
Ingredients: Sheng Dihuang (Rehmanniae Radix, juice 1 sheng), Danggui (Angelicae Sinensis Radix, cut and dried, 1 liang), Gancao (Licorice Root, honey-fried, 1 liang), Baishiying (Quartz, crushed and wrapped in silk, 1 liang), Renshen (Ginseng Radix, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, peeled and umbilicus removed, 1 liang), Baidou (White Beans, small ones, 10 grains), Baiji (White Chicken, one pair; use female for men, male for women, prepared as food; alternatively use male). Except for the Rehmannia juice and chicken, cut the rest like hemp seeds. Use 1.5 dou of water, first boil the chicken to obtain 7 sheng of juice, remove the chicken, add the Rehmannia juice and other herbs. Boil to obtain 3 sheng, strain. Take 1 cup per dose, three times during the day and twice at night.
Pingfei Tang (Lung-Calming Decoction) treats Lung Abscess with rebellious Qi, panting, and coughing.
Ingredients: Ziwan (Asternis Radix, soil removed, 1 liang), Renshen (Ginseng Radix, 1 liang), Zisu (Perillae Folium, stems removed, 1 liang), Xingren (Armeniacae Semen, skin and tip removed, double-kernel, bran-stir-fried, 1 liang), Chuanpi (Citri Reticulatae Pericarpium, water-soaked, white part removed, dried, 1 liang), Huangqi (Astragali Radix, cut, 1 liang), Chenxiang (Aquilariae Lignum Resinatum, 0.5 liang). All are cut like hemp seeds. Take 5 qian per dose, add 1.5 sheng of water, decoct until 0.8 sheng remains, strain, and take warm. Three times daily until effective.
Zhuru San (Bamboo Shavings Powder, from Shenghui Fang) treats Lung Abscess with restlessness, coughing, and expectoration of pus and blood.
Ingredients: Ku Zhuru (Bitter Bamboo Shavings, 1 liang), Sheng Gan Dihuang (Dried Rehmanniae Radix, 1 liang), Qiangen (Rubiae Radix, 0.5 liang), Baihe (Lilii Bulbus, 0.5 liang), Xingren (Armeniacae Semen, water-soaked, skin and tip removed, double-kernel, bran-stir-fried, 0.5 liang), Huangqi (Astragali Radix, cut, 1 liang), Gancao (Licorice Root, stir-fried until slightly red and cut, 0.5 liang). All are made into a coarse powder. Take 5 qian per dose, add 1 da zhong of water and 0.5 fen of fresh ginger, decoct until 0.5 sheng remains, strain, and take warm at any time.
Neihu Paimai San (Internal Protection and Pus-Draining Powder, from Weishi's Formulas) should be taken after expectorating pus in Lung Abscess. It drains pus and tonifies the Lung.
Ingredients: Nen Huangqi (Young Astragali Radix, 2 liang), Chuan Baizhi (Angelicae Dahuricae Radix, 1 liang), Bei Wuweizi (Schisandrae Fructus, stir-fried, 1 liang), Renshen (Ginseng Radix, 1 liang). All are powdered, mixed with refined honey to form pills the size of a little finger. Hold in the mouth while lying down or sitting up, dissolve slowly, and swallow gradually. Take after meals and before bed. Specifically treats Lung Abscess. Early stage is easy to treat; late stage with pus is difficult. Pulse is rapid and excess. If symptoms persist but pus clears and improves, and the complexion is white, stopping after vomiting pus indicates spontaneous recovery. If there is pus, vomiting food, red complexion, and expectoration of pus resembling glutinous rice porridge indicates untreatable condition. Men rely on Qi; ten recover two or three. Women rely on Blood; ten recover seven or eight.
Qingwei San (Green Reed Powder, from Shenghui Fang) treats Lung Abscess with coughing, hoarse voice, slight body heat, irritability, and rough skin on the chest (indicating Lung Swelling).
Ingredients: Qingwei (Green Reed Stem, 2 stalks), Yiyiren (Coicis Semen, 1 he), Tian Guazi (Benincasae Semen, 1 he), Taoren (Pruni Semen, 50 grains, water-soaked, skin and tip removed). All are pounded. First, decoct reeds in 3 da zhans of water until reduced to 1 zhan. Strain, add Yiyiren and Guazi, decoct until 0.7 remains. Strain, divide into two warm doses, take at any time.
Sishun Tang (Four Harmonies Decoction) treats Lung Abscess with expectoration of pus, five-palm heat, oppression, and coughing.
Ingredients: Beimu (Fritillariae Bulbus, heart removed, 1 liang), Jiegeng (Platcodonis Radix, stir-fried, 1 liang), Ziwan (Asternis Radix, buds and soil removed, 1 liang), Gancao (Licorice Root, honey-fried and cut, 0.5 liang). All are pounded and sifted. Take 3 qian per dose, add 1 zhan of water, boil for 5-7 boils, strain, and take warm when slightly cool. For severe coughing, add 2 Xingren (Armeniacae Semen, skin and tip removed) to decoct together. Reduce dose for children.
Huagai San (Canopy Powder) treats Lung Abscess with upper panting, coughing, chest/diaphragm fullness, dry mouth, irritability, and hemoptysis.
Ingredients: Chifuling (Polyporus, black skin removed, 1 liang), Tian Tingli (Descurainiae Semen et Herba, stir-fried between papers, 1 liang), Sanggenbaipi (Mori Radicis Cortex, cut, 1 liang), Dahuang (Rhei Radix et Rhizoma, wrapped in wet paper and baked hot, 0.5 liang). All are pounded and sifted. Take 2 qian per dose, mix with Ginger Water, take after meals and before bed.
Weiyetang (Reed Leaf Decoction, from San Yin Fang) treats Lung Abscess.
Ingredients: Yiyiren (Coicis Semen, 1 liang), Guabanren (Melonis Semen, 1 liang), Taoren (Pruni Semen, skin and tip removed, 1 liang). All are cut into pieces. Take 4 qian per dose, add 2 zhans of water. First decoct a handful of Weiyetang (Reed Leaves) in water to obtain 1 zhan. Strain, add the herbal mixture, decoct until 0.6 remains. Take after meals. Do not doubt if pus and blood are vomited.
Tingli Wan (Descurainia Pill) treats Lung Abscess.
Ingredients: Tian Tingli (Descurainiae Semen et Herba, stir-fried between papers, separately ground fine and sifted, 1 liang), Xingren (Armeniacae Semen, skin and tip removed, double-kernel, bran-stir-fried, separately ground like paste, 1 liang), Beimu (Fritillariae Bulbus, baked until yellow, heart removed, separately pounded and ground again, 0.5 liang). First, take 2 liang of un-worm-eaten, plump Gaojiao (Gleditsiae Sinensis Fructus), crush raw, soak in 0.5 sheng of non-gray wine, cook thoroughly, filter dregs, and boil the liquid slowly in a clean pot until it becomes a paste. Mix the first three herbs evenly, add the Gaojiao paste, and form pills the size of Sophora seeds. Take 20 pills per dose with warm water. For rapid Lung Qi panting, take with thick Sangbaipi (Mori Cortex) decoction. Take at any time.
Fangji Tingli Wan (Stephania and Descurainia Pill) treats Lung Abscess.
Ingredients: Fangji (Stephaniae Tetrandrae Radix, 1 liang), Tingli (Descurainiae Semen et Herba, stir-fried between papers, 3 fen), Xingren (Armeniacae Semen, skin and tip removed, double-kernel, bran-stir-fried, ground like fat, 1 fen). First pound the three herbs, grind fine and sift. Grind together with Xingren until uniform. Mix with date meat to form pills the size of Sophora seeds. Take on an empty stomach daily, 20 pills with Sangbaipi (Mori Cortex) decoction, three times daily.
Maimendong Tang (Ophiopogon Decoction) treats Lung Abscess with nasal discharge, saliva, and expectoration of pus like porridge.
Ingredients: Maimendong (Ophiopogonis Radix, heart removed and dried, 2 liang), Jiegeng (Platcodonis Radix, rhizome removed, 5 liang), Gancao (Licorice Root, honey-fried and cut, 3 fen). All are coarsely pounded and sifted. Take 3 qian per dose, add 1 zhan of water and 10 leaves of Qinghao Ye (Artemisiae Annuae Folium), decoct until 0.7 remains. Strain and take warm. For milder cases, mix with congee water. Take at any time.
Xingren Wan (Armeniacae Seed Pill) treats Lung Abscess with rapid panting.
Ingredients: Xingren (Armeniacae Semen, skin and tip removed, double-kernel, bran-stir-fried, ground). All are pounded and sifted. Mix with refined honey to form pills the size of Sophora seeds. Take 10-20 pills with Ginger-Honey Water after meals and before bed.
Zaogao Wan (Date Paste Pill, from Yifang Jicheng) treats Lung Accumulation (Fei Ji, 肺积), a mass the size of a cup under the right hypochondrium, developing into carbuncles and ulcers.
Ingredients: Chenpi (Citri Reticulatae Pericarpium, 2 liang), Jiegeng (Platcodonis Radix, 2 liang), Tingli (Descurainiae Semen et Herba, ground, 2 liang). Powder the first two ingredients, mix with ground Tingli. Boil date meat and mix with the powder to form pills the size of Sophora seeds. Take 5-7 pills per dose with Rice Water.
Yiyi Tang (Coix Decoction) treats Lung Abscess with expectoration of pus and blood.
Ingredients: Yiyiren (Coicis Semen, 2 he), Heidou (Black Soybean, 100 grains), Wumei (Dark Plum, 1 fruit). Add 2 zhans of water, decoct until 1 zhan remains. Add 1 qian of Touming Ejiao (Transparent Colla Corii Asini) and 1 qian of Sheng Puhuang (Raw Typhae Pollen), boil again. Take after meals, twice daily.
Jiegeng Bai San (Platycodon White Powder, also known as Jiegeng Wan, from Shenghui Fang) treats coughing, chest fullness with chills, rapid pulse, dry throat without thirst, occasional expectoration of turbid saliva with fishy odor, and long-term expectoration of pus like millet porridge, indicating Lung Abscess.
Ingredients: Jiegeng (Platcodonis Radix, 3 fen), Beimu (Fritillariae Bulbus, 3 fen), Badou (Crotonis Fructus, heart and skin removed, baked and ground into fat, 1 fen). All are pounded and sifted. Strong adults take 0.5 qian; weak patients reduce the dose. If the disease is above the diaphragm, vomiting will occur; if below, diarrhea will occur. If diarrhea does not stop, drink one cup of cold water to settle it. Avoid pork, Lu Sun (Asparagus Fern Shoots), etc.
Tingli Tang (Descurainia Decoction) treats Lung Abscess with coughing, upper panting and rapid breathing, inability to lie flat, thick sticky sputum, and chest/diaphragm discomfort.
Ingredients: Tingli (Descurainiae Semen et Herba, stir-fried between papers until purple, separately ground like paste), Sanggenbaipi (Mori Radicis Cortex, finely cut with mild fire), Dazao (Jujubae Fructus, selected, washed, pitted). Use 3 zhans of water. First decoct 1 liang of Sangbaipi and 12 Dazao until 1.5 sheng remains. Strain, add a pill-sized amount of Tingli paste, stir to dissolve, decoct until 0.8 sheng remains. Take warm. After a while, bad substances will be vomited, or there will be mild diarrhea 2-3 times. After the illness subsides, take Lung-tonifying medicines. If the illness does not recede after 7 days, adjust the dose according to the patient and take another dose. One variation of Xiefei Tang omits Dazao.
Yiyiren Tang (Coix Seed Decoction) treats Lung Abscess with rough skin on the chest and heart.
Ingredients: Yiyiren (Coicis Semen, 1 sheng), Kujiu (Bitter Wine/Vinegar, 3 sheng). Boil together until 1 sheng remains. Strain, take warm in one dose. Verification: expectoration of pus and blood confirms efficacy.
Bufei San (Lung-Tonifying Powder) treats Lung Abscess after expectoration of pus and blood, to moisten and protect.
Ingredients: Zhen Zhongru Fen (True Gypsum Powder, 1 liang), Bai Huashi (Talcum, 1 liang). All are powdered. Take 3 qian per dose, mix with Rice Drink.
Yehe Tang (Night-Blooming Magnolia Decoction, also known as Huanghun Tang, from Shenghui Fang) treats Lung Abscess with coughing, slight body heat, irritability, and rough skin on the chest.
Ingredients: Yehe Baipi (Magnolia Officinalis Bark, cut, 1 liang). Decoct in 3 zhans of water until 1.5 sheng remains. Divide into two warm doses.
Paimai San (Pus-Draining Powder, from Shenghui Fang) treats Lung Abscess with expectoration of pus and blood and rapid panting. This formula drains pus and tonifies the Lung.
Ingredients: Mian Huangqi (Astragali Radix, rhizome removed, 2 liang, raw, finely powdered). Take 2 qian per dose, add 1 zhan of water, decoct until 0.6 sheng remains, take warm. After expectorating pus, take Tian Tingli (Descurainiae Semen et Herba, 2.5 liang), stir-fry between papers until purple, powder. Take 1 qian per dose, decoct until 0.6 sheng remains, take warm.
Treatment for Lung Abscess (from Shenghui Fang)
Powder Yiyiren (Coicis Semen), mix with Nuomi Yin (Glutinous Rice Drink) and take. Alternatively, cook in congee and eat. Another method: decoct in water and take. Expectoration of pus and blood indicates cure.
Tingli Dazao Xiefei Tang (Descurainia and Jujube Lung-Draining Decoction, from Shenghui Fang) treats Lung Abscess with chest fullness, whole-body and facial edema, nasal congestion with clear runny nose, loss of smell for fragrant/foul/sour/spicy odors, rebellious Qi coughing, wheezing and suffocation, inability to drink or breathe freely.
Ingredients: Stir-fry Tingli (Descurainiae Semen et Herba) until yellow, grind fine, form pills the size of a bullet. Use 3 zhans of water, boil 10 Dazao (Jujubae Fructus) until reduced to 1 zhan. Remove dates, add the pill, decoct until 0.7 remains. Take after meals. *Jinkui Yaolue* instructs to first administer Xiao Qinglong Tang (Minor Blue Dragon Decoction) three doses, then administer this medicine. Another variation: decoct without dates in water.
Treatment for Lung Abscess caused by Upper Jiao heat obstruction, complicated by severe wind-cold invasion.
Ingredients: Use Jiawei Baidu San (Modified Detoxification Powder), add Huangqin (Scutellariae Radix), Gualouren (Trichosanthis Semen), Bohe (Menthae Haplocalycis Herba), Danggui (Angelicae Sinensis Radix), Chuan Baizhi (Angelicae Dahuricae Radix), Banxia (Pinelliae Rhizoma), Wumei (Dark Plum), Sangbaipi (Mori Cortex). Half portion of each ingredient is 5 qian. Decoct with Shengjiang (Fresh Ginger), Sheng Dihuang (Rehmanniae Radix), Dengxin (Junci Medulla), and Baimaogen (Imperatae Rhizoma). For severe heat, add Dahuang (Rhei Radix et Rhizoma).