夫腑脏皆受气于肺。肺主于气。气为阳。阳气平和则声通畅也。若形寒饮冷。两寒相感
则伤于肺。是以风冷为阴。阴邪搏于阳。阴阳不调。气道不通。故令声嘶不出也。
方
半夏散 治肺脏外伤风冷。声嘶言不能出。胸膈气滞。
半夏(半两汤浸七次去滑) 细辛(三分) 桔梗(半两去芦头) 桂心(二两) 杏
仁(三分
汤浸去皮尖双仁炒微黄) 陈皮(一两汤浸去白瓤焙) 麻黄(三分去根节) 前胡(半两
去芦
头) 紫菀(半两洗去苗土) 枳壳(半两麸炒去瓤微黄) 桑根白皮(半两锉) 木通(半
两锉)
贝母(半两煨令微黄) 柴胡(半两去苗) 甘草(一分炙微赤锉) 诃黎勒皮(半两) 上
为散。
每服四钱。水一中盏。入生姜半分。枣三枚。煎至六分去滓。不计时候。稍热服。忌生冷。
热面
生地黄煎 治肺脏气壅外伤风寒。语声嘶不出。咽喉干痛。
生地黄汁(一升) 生姜汁(二合) 生麦门冬汁(半斤) 牛酥(五两) 白蜜(半
斤) 枣肉
(三
桂心(一两) 贝母(一两煨令微黄) 细辛(一两) 菖蒲(一两) 皂荚子仁(一
两微炒)
杏仁(一两汤浸去皮尖双仁麸炒微黄研如膏) 上为细散。入前地黄煎中。搅令匀。不计时
候。
取
麻黄散 治肺脏伤风冷。语声嘶不出。喘促痰逆。
麻黄(三分去根节) 五味子(三分) 桂心(半两) 甘草(一分炙微赤锉) 半夏
(半两洗
去滑) 人参(三分去芦头) 干姜(半两炮制锉) 陈橘皮(三分汤浸去白) 杏仁(一
两汤浸去
皮尖双仁麸炒微黄) 上为散。每服三钱。水一中盏。入生姜半分。枣三枚。煎至六分去滓。
不
紫菀汤 治肺脏伤风冷。语声嘶不出。喘息不得。
紫菀(三分洗去苗土) 五味子(半两) 甘草(一分炙微赤锉) 麻黄(半两去根节)
赤茯
苓(三分) 木通(半两锉) 陈橘皮(三分洗去白) 杏仁(一两去皮尖双仁麸炒微黄) 上
为
散。每
贝母丸 治肺脏伤风冷。喘促咳嗽。言语声嘶。咽喉不利。
贝母(半两煨令微黄) 细辛(三分) 桂心(一两) 菖蒲(三分) 甘草(一分炙
锉) 百合
(半两) 紫菀(三分洗去苗土) 陈橘皮(一两汤浸去白) 杏仁(半两汤浸去皮尖双仁
麸炒微
黄) 上为末。炼蜜和丸。捣三二百杵。丸如梧桐子大。每服不计时候。以绵裹一丸。含化
咽津。
附子散(出圣惠方)治肺脏伤风冷。语声嘶不出。或吃食后虚喘。
附子(一两炮裂去皮脐) 麻黄(一两去根节) 甘草(一两炙微赤锉) 杏仁(一两
洗浸去
皮尖双仁麸炒微黄) 菖蒲(半两) 肉桂(一两去粗皮) 陈橘皮(一两汤浸去白瓤焙) 赤
茯
苓(三分) 上为散。每服三钱。水一中盏。生姜半分。枣三枚。煎至六分去滓。不计时候。
稍热
五味子散(出圣惠方)治肺脏风冷。背寒语声嘶不出。咳嗽气喘急。
五味子(半两) 桂心(一两) 附子(一两炮裂去皮脐) 款冬花(半两) 桔梗(半
两去苗)
鸡苏茎叶(一两) 干姜(半两炮制锉) 上为散。每服三钱。水一中盏。入枣三枚。煎至
六分
去滓。不计时候。稍热服。
菖蒲煎 治肺脏伤风冷。声嘶。宣肺顺气通声。
菖蒲(一两末) 桂心(一两末) 生姜(半斤绞取汁) 白蜜(十两) 上件药。先
以水一大
盏。煎菖蒲、桂心取五分。次入姜汁并蜜。炼成煎。不计时候。取一茶匙。含化咽津。
脏腑之气皆由肺所主。肺主管气机运行。气属于阳。当阳气平和调顺时,声音就能通畅发出。如果形体受寒或饮食生冷,两种寒邪相互感应,就会损伤肺部。因此风冷属于阴邪,阴邪与阳气相搏结,导致阴阳失调,气道阻塞不通,所以出现声音嘶哑甚至失音的症状。
方剂:半夏散
主治:肺部因外伤风冷导致的声嘶、言语不能出声,以及胸膈部位气机阻滞。
药材:半夏(半两,用汤浸泡七次以去除滑腻)、细辛(三分)、桔梗(半两,去掉芦头)、桂心(二两)、杏仁(三分,用汤浸泡后去皮尖及双仁,微炒至黄)、陈皮(一两,用汤浸泡去白瓤后焙干)、麻黄(三分,去掉根和节)、前胡(半两,去掉芦头)、紫菀(半两,洗净去苗土)、枳壳(半两,麸炒去瓤微黄)、桑根白皮(半两,锉碎)、木通(半两,锉碎)、贝母(半两,煨至微黄)、柴胡(半两,去苗)、甘草(一分,炙至微红并锉碎)、诃黎勒皮(半两)。
制法与用法:以上药物研为散剂。每次服用四钱,加水一中盏,放入生姜半分、大枣三枚,煎煮至六分,滤去药渣。不限时间,稍热时服用。忌食生冷及热面。
方剂:生地黄煎
主治:肺气壅滞且外伤风寒导致的语声嘶哑不出,咽喉干燥疼痛。
药材:生地黄汁(一升)、生姜汁(二合)、生麦门冬汁(半斤)、牛酥(五两)、白蜜(半斤)、枣肉(三两)、桂心(一两)、贝母(一两,煨至微黄)、细辛(一两)、菖蒲(一两)、皂荚子仁(一两,微炒)、杏仁(一两,汤浸去皮尖双仁,麸炒微黄,研如膏状)。
制法与用法:以上药物研为细散,加入前面的地黄煎中,搅拌均匀。不限时间,取适量含服咽津。
方剂:麻黄散
主治:肺部伤于风冷,语声嘶哑不出,气喘急促,痰气上逆。
药材:麻黄(三分,去根节)、五味子(三分)、桂心(半两)、甘草(一分,炙微赤锉)、半夏(半两,洗去滑)、人参(三分,去芦头)、干姜(半两,炮制锉)、陈橘皮(三分,汤浸去白)、杏仁(一两,汤浸去皮尖双仁,麸炒微黄)。
制法与用法:以上药物研为散剂。每次服用三钱,加水一中盏,放入生姜半分、大枣三枚,煎煮至六分,滤去药渣。不限时间,稍热服用。
方剂:紫菀汤
主治:肺部伤于风冷,语声嘶哑不出,喘息困难。
药材:紫菀(三分,洗去苗土)、五味子(半两)、甘草(一分,炙微赤锉)、麻黄(半两,去根节)、赤茯苓(三分)、木通(半两,锉)、陈橘皮(三分,洗去白)、杏仁(一两,去皮尖双仁,麸炒微黄)。
制法与用法:以上药物研为散剂。每次服用适量,用水煎服,滤去药渣,稍热服用。(注:原文此处略有残缺,依常规补全逻辑)
方剂:贝母丸
主治:肺部伤于风冷,气喘咳嗽,言语声嘶,咽喉不利。
药材:贝母(半两,煨令微黄)、细辛(三分)、桂心(一两)、菖蒲(三分)、甘草(一分,炙锉)、百合(半两)、紫菀(三分,洗去苗土)、陈橘皮(一两,汤浸去白)、杏仁(半两,汤浸去皮尖双仁,麸炒微黄)。
制法与用法:以上药物研为末,用炼蜜调和制成丸药,捣击三二百下,制成梧桐子大小的丸剂。每次服用不限时间,用绵裹一丸,含化咽津。
方剂:附子散(出自《圣惠方》)
主治:肺部伤于风冷,语声嘶哑不出,或在进食后出现虚喘。
药材:附子(一两,炮裂去皮脐)、麻黄(一两,去根节)、甘草(一两,炙微赤锉)、杏仁(一两,洗浸去皮尖双仁,麸炒微黄)、菖蒲(半两)、肉桂(一两,去粗皮)、陈橘皮(一两,汤浸去白瓤焙)、赤茯苓(三分)。
制法与用法:以上药物研为散剂。每次服用三钱,加水一中盏,生姜半分,大枣三枚,煎煮至六分,滤去药渣。不限时间,稍热服用。
方剂:五味子散(出自《圣惠方》)
主治:肺部风冷,背部发冷,语声嘶哑不出,咳嗽气喘急迫。
药材:五味子(半两)、桂心(一两)、附子(一两,炮裂去皮脐)、款冬花(半两)、桔梗(半两,去苗)、鸡苏茎叶(一两)、干姜(半两,炮制锉)。
制法与用法:以上药物研为散剂。每次服用三钱,加水一中盏,放入大枣三枚,煎煮至六分,滤去药渣。不限时间,稍热服用。
方剂:菖蒲煎
主治:肺部伤于风冷,声音嘶哑。宣通肺气,顺气开音。
药材:菖蒲(一两,研末)、桂心(一两,研末)、生姜(半斤,绞取汁)、白蜜(十两)。
制法与用法:以上药物,先用水一大盏,煎煮菖蒲、桂心至五分,然后加入姜汁和蜂蜜,炼制成煎剂。不限时间,取一茶匙,含化咽津。
The Qi of all fu and zang organs is derived from the Lung. The Lung governs Qi. Qi belongs to Yang. When Yang Qi is peaceful and harmonious, the voice is clear and unobstructed. If the body is exposed to cold or one consumes cold drinks and food, the two types of cold pathogenic factors interact and injure the Lung. Therefore, wind-cold is a Yin pathogen. When Yin pathogens contend with Yang, Yin and Yang become disharmonious, and the Qi mechanism becomes obstructed. This results in hoarseness or loss of voice.
Formula: Banxia San (Pinellia Powder)
Indications: Hoarseness and inability to speak due to external wind-cold injury to the Lung, accompanied by Qi stagnation in the chest and diaphragm.
Ingredients: Banxia (Pinelliae Rhizoma, 0.5 liang, soaked in boiling water seven times to remove acridity), Xixin (Asari Radix, 3 fen), Jiegeng (Platycodonis Radix, 0.5 liang, radix removed), Guixin (Cinnamomi Cortex, 2 liang), Xingren (Armeniacae Semen Amarum, 3 fen, soaked in boiling water, skin and pointed ends removed, stir-fried until slightly yellow), Chenpi (Citri Reticulatae Pericarpium, 1 liang, soaked in boiling water, white pith removed, dried), Mahuang (Ephedrae Herba, 3 fen, roots and joints removed), Qianhu (Peucedani Radix, 0.5 liang, radix removed), Ziwan (Asternis Radix, 0.5 liang, washed, stems and soil removed), Zhike (Aurantii Fructus Immaturus, 0.5 liang, stir-fried with bran, pith removed, slightly yellow), Sangbaipipi (Mori Cortex, 0.5 liang, sliced), Mutong (Akebiae Caulis, 0.5 liang, sliced), Beimu (Fritillariae Bulbus, 0.5 liang, roasted until slightly yellow), Chaihu (Bupleuri Radix, 0.5 liang, stems removed), Gancao (Glycyrrhizae Radix et Rhizoma, 1 fen, honey-fried until slightly red and sliced), Helilepi (Terminaliae Chebulae Pericarpium, 0.5 liang).
Preparation and Administration: Grind the above ingredients into powder. Take 4 qian per dose. Add 1 zhuan of water, 0.5 fen of Shengjiang (Zingiberis Rhizoma Recens), and 3 dates. Decoct until reduced to 0.6 zhuan, then strain. Take at any time, preferably warm. Avoid raw/cold foods and hot noodles.
Formula: Shengdihuang Jian (Rehmanniae Decoction)
Indications: Hoarseness and inability to speak due to Lung Qi obstruction and external wind-cold invasion, accompanied by dry and painful throat.
Ingredients: Shengdihuang Zhi (Rehmanniae Radix Juice, 1 sheng), Shengjiang Zhi (Zingiberis Rhizoma Recens Juice, 2 he), Sheng Maimendong Zhi (Ophiopogonis Radix Juice, 0.5 jin), Niusu (Bovini Butter, 5 liang), Baimi (Mel, 0.5 jin), Zaorou (Jujubae Mesocarp, 3 liang), Guixin (Cinnamomi Cortex, 1 liang), Beimu (Fritillariae Bulbus, 1 liang, roasted until slightly yellow), Xixin (Asari Radix, 1 liang), Changpu (Acori Tatarinowii Rhizoma, 1 liang), Zhaojia Ziren (Gleditsiae Sinensis Semen, 1 liang, lightly stir-fried), Xingren (Armeniacae Semen Amarum, 1 liang, soaked in boiling water, skin and pointed ends removed, stir-fried with bran until slightly yellow, ground into paste).
Preparation and Administration: Grind the solid ingredients into fine powder. Mix into the previously prepared Dihuang Jian. Stir well. Take as needed, holding in mouth to swallow saliva.
Formula: Mahuang San (Ephedra Powder)
Indications: Hoarseness and inability to speak, rapid breathing, and rebellious phlegm due to wind-cold injury to the Lung.
Ingredients: Mahuang (Ephedrae Herba, 3 fen, roots and joints removed), Wuweizi (Schisandrae Fructus, 3 fen), Guixin (Cinnamomi Cortex, 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 fen, honey-fried until slightly red and sliced), Banxia (Pinelliae Rhizoma, 0.5 liang, washed to remove acridity), Renshen (Ginseng Radix, 3 fen, radix removed), Ganjiang (Zingiberis Rhizoma, 0.5 liang, processed and sliced), Chenju pi (Citri Reticulatae Pericarpium, 3 fen, soaked in boiling water, white pith removed), Xingren (Armeniacae Semen Amarum, 1 liang, soaked in boiling water, skin and pointed ends removed, stir-fried with bran until slightly yellow).
Preparation and Administration: Grind the above ingredients into powder. Take 3 qian per dose. Add 1 zhuan of water, 0.5 fen of Shengjiang (Zingiberis Rhizoma Recens), and 3 dates. Decoct until reduced to 0.6 zhuan, then strain. Take at any time, preferably warm.
Formula: Ziwan Tang (Asternis Decoction)
Indications: Hoarseness and inability to speak, difficulty in breathing due to wind-cold injury to the Lung.
Ingredients: Ziwan (Asternis Radix, 3 fen, washed, stems and soil removed), Wuweizi (Schisandrae Fructus, 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 fen, honey-fried until slightly red and sliced), Mahuang (Ephedrae Herba, 0.5 liang, roots and joints removed), Chifuling (Poria Cocos with Red Skin, 3 fen), Mutong (Akebiae Caulis, 0.5 liang, sliced), Chenju pi (Citri Reticulatae Pericarpium, 3 fen, washed, white pith removed), Xingren (Armeniacae Semen Amarum, 1 liang, skin and pointed ends removed, stir-fried with bran until slightly yellow).
Preparation and Administration: Grind the above ingredients into powder. Take an appropriate amount, decoct in water, strain, and take while warm.
Formula: Beimu Wan (Fritillaria Pill)
Indications: Rapid breathing, cough, hoarseness, and throat discomfort due to wind-cold injury to the Lung.
Ingredients: Beimu (Fritillariae Bulbus, 0.5 liang, roasted until slightly yellow), Xixin (Asari Radix, 3 fen), Guixin (Cinnamomi Cortex, 1 liang), Changpu (Acori Tatarinowii Rhizoma, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 1 fen, honey-fried and sliced), Baihe (Lilii Bulbus, 0.5 liang), Ziwan (Asternis Radix, 3 fen, washed, stems and soil removed), Chenju pi (Citri Reticulatae Pericarpium, 1 liang, soaked in boiling water, white pith removed), Xingren (Armeniacae Semen Amarum, 0.5 liang, soaked in boiling water, skin and pointed ends removed, stir-fried with bran until slightly yellow).
Preparation and Administration: Grind the above ingredients into powder. Mix with refined honey to form pills, pounding 200-300 times. Shape into pills the size of Sophora japonica seeds. Take one pill wrapped in silk at any time, holding it in the mouth to dissolve and swallow the saliva.
Formula: Fuzi San (Aconite Powder) [From *Shenghui Fang*]
Indications: Hoarseness and inability to speak, or deficiency-type panting after eating, due to wind-cold injury to the Lung.
Ingredients: Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, roasted, cracked, skin and umbilicus removed), Mahuang (Ephedrae Herba, 1 liang, roots and joints removed), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried until slightly red and sliced), Xingren (Armeniacae Semen Amarum, 1 liang, soaked and washed, skin and pointed ends removed, stir-fried with bran until slightly yellow), Changpu (Acori Tatarinowii Rhizoma, 0.5 liang), Rougui (Cinnamomi Cortex, 1 liang, coarse bark removed), Chenju pi (Citri Reticulatae Pericarpium, 1 liang, soaked in boiling water, white pith removed, dried), Chifuling (Poria Cocos with Red Skin, 3 fen).
Preparation and Administration: Grind the above ingredients into powder. Take 3 qian per dose. Add 1 zhuan of water, 0.5 fen of Shengjiang (Zingiberis Rhizoma Recens), and 3 dates. Decoct until reduced to 0.6 zhuan, then strain. Take at any time, preferably warm.
Formula: Wuweizi San (Schisandra Powder) [From *Shenghui Fang*]
Indications: Back chills, hoarseness and inability to speak, rapid coughing and panting due to wind-cold in the Lung.
Ingredients: Wuweizi (Schisandrae Fructus, 0.5 liang), Guixin (Cinnamomi Cortex, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, roasted, cracked, skin and umbilicus removed), Kuandonghua (Farfarae Flos, 0.5 liang), Jiegeng (Platycodonis Radix, 0.5 liang, stems removed), Jisu Jingye (Elsholtziae Herba, 1 liang), Ganjiang (Zingiberis Rhizoma, 0.5 liang, processed and sliced).
Preparation and Administration: Grind the above ingredients into powder. Take 3 qian per dose. Add 1 zhuan of water and 3 dates. Decoct until reduced to 0.6 zhuan, then strain. Take at any time, preferably warm.
Formula: Changpu Jian (Acorus Decoction)
Indications: Hoarseness due to wind-cold injury to the Lung. Promotes Lung Qi, regulates Qi, and restores voice.
Ingredients: Changpu (Acori Tatarinowii Rhizoma, 1 liang, powdered), Guixin (Cinnamomi Cortex, 1 liang, powdered), Shengjiang (Zingiberis Rhizoma Recens, 0.5 jin, juice extracted), Baimi (Mel, 10 liang).
Preparation and Administration: First, add 1 large zhuan of water and decoct Changpu and Guixin until reduced to 0.5 zhuan. Then add the ginger juice and honey, and refine into a thick syrup. Take one tea spoon at any time, holding in the mouth to dissolve and swallow the saliva.