(有火郁。分气虚、血虚)
【排逐】〔草谷〕鸡苏(肺痿吐血咳嗽,研末米饮服。) 防己(肺痿咯血,同葶苈末,
糯米汤服。肺痿喘咳,浆水煎呷。) 桔梗(肺痈,排脓养血,补内漏。仲景治胸满振寒,
咽干吐浊唾,久久吐脓血,同甘草煎服,吐尽脓血愈。
,同桃仁、瓜瓣、薏苡煎服,吐脓血愈。) 芦根(骨蒸肺痿,不能食,同麦门冬、地骨皮、
茯苓、橘皮、生姜煎服。) 甘草(去肺痿之脓血。久咳肺痿,寒热烦闷,多唾,每以童尿
调服一钱。肺痿吐涎沫,头眩,小便数而不咳,肺中冷也,同干姜煎服。) 王瓜子(肺痿
吐血,炒研服。) 升麻 紫菀 贝母 败酱(并主肺痈,排脓破血。) 知母 黄芩(并主
肺痿,咳嗽喉腥。) 薏苡仁(肺痈,咳脓血,水煎入酒服。煮醋服,当吐血出。)〔果木〕
橘叶(肺痈,捣汁一盏服,吐出脓血愈。) 柘黄(肺痈不问已成未成,以一两,同百草霜
二
钱,糊丸,米饮服三十丸,甚捷。) 夜合皮(肺痈唾浊水,煎服。) 竹沥(老小肺痿,咳
臭脓,日服三、五次。) 淡竹茹 茯苓 〔人部〕人尿(肺痿寒热,气急面赤,调甘草
服。) 人中
【补益】〔草部〕人参(消痰,治肺痿,鸡子清调服。) 天门冬(肺痿,咳涎不渴,捣
汁
入饴、酒、紫菀末丸含。) 栝蒌(肺痿咳血,同乌梅、杏仁末,猪肺蘸食。) 款冬花(劳
咳
肺痿,同百合末服。) 麦门冬(肺痿肺痈,咳唾脓血。)
菀沙参 〔果石〕白柿(并润肺止咳。) 白石英(肺痿唾脓。) 〔鳞兽〕鲫鱼(肺
痿
咳血,同羊肉、莱菔煮服。) 蛤蚧(久咳,肺痿,肺痈,咯血。) 羊柿(久咳肺痿,同杏
仁
、柿霜、豆粉、真酥、白蜜炙食。) 羊脂髓(肺痿骨蒸,同生 汁、姜汁、白蜜炼服。) 猪
肺(肺痿嗽血,蘸薏苡食。) 猪胰(和枣浸酒服。) 鹿血(酒服。) 阿胶 醍醐 鹿角
胶黄明胶(肺痿唾血,同花桑叶末服。)
【排逐脓毒类】
【草谷部】鸡苏:治疗肺痿引起的吐血、咳嗽,研成粉末后用米汤送服。防己:治疗肺痿咯血,与葶苈子末同用,糯米汤送服;治疗肺痿喘咳,用浆水煎煮后小口频饮。桔梗:治疗肺痈,能排出脓液、养血、补益内脏漏损。张仲景治疗胸满、寒战、咽干、吐出浑浊唾液,久病后吐出脓血,将桔梗与甘草同煎服用,待脓血吐尽则痊愈。(若伴有其他症状),与桃仁、瓜瓣、薏苡仁同煎服用,吐出脓血则痊愈。芦根:治疗骨蒸劳热型的肺痿,患者不能进食,与麦门冬、地骨皮、茯苓、橘皮、生姜同煎服用。甘草:去除肺痿中的脓血。对于久咳导致的肺痿,伴有寒热、烦闷、多唾沫,每次用童便调服一钱。对于肺痿吐涎沫、头晕、小便频数但不咳嗽的情况,这是肺中寒冷,与干姜同煎服用。王瓜子:治疗肺痿吐血,炒熟后研末服用。升麻、紫菀、贝母、败酱草:均主治肺痈,能排脓破血。知母、黄芩:均主治肺痿,症状为咳嗽、喉间腥臭。薏苡仁:治疗肺痈,咳嗽出脓血,用水煎煮后加入酒服用;或用醋煮服用,会促使吐出瘀血。
【果木部】橘叶:治疗肺痈,捣取汁液一盏服用,吐出脓血则痊愈。柘黄:治疗肺痈,无论脓已成或未成,取一两,与百草霜二钱混合,制成糊丸,用米汤送服三十丸,效果极快。夜合皮:治疗肺痈唾吐浊水,煎煮后服用。竹沥:治疗老人和儿童的肺痿,咳嗽出臭脓,每日服用三至五次。淡竹茹、茯苓。
【人部】人尿:治疗肺痿寒热、气急面赤,用其调服甘草。人中白。
【补益类】
【草部】人参:消除痰浊,治疗肺痿,用鸡蛋清调服。天门冬:治疗肺痿,咳嗽吐涎但不口渴,捣汁后加入饴糖、酒和紫菈末,制成丸药含服。栝蒌:治疗肺痿咳血,与乌梅、杏仁末混合,蘸猪肺食用。款冬花:治疗劳嗽型肺痿,与百合末同服。麦门冬:治疗肺痿肺痈,咳唾脓血。沙参。
【鳞兽部】鲫鱼:治疗肺痿咳血,与羊肉、莱菔同煮服用。蛤蚧:治疗久咳、肺痿、肺痈、咯血。羊柿:治疗久咳肺痿,与杏仁、柿霜、豆粉、真酥、白蜜炙烤后食用。羊脂髓:治疗肺痿骨蒸,与生汁、姜汁、白蜜炼合服用。猪肺:治疗肺痿嗽血,蘸薏苡仁食用。猪胰:与大枣浸泡在酒中服用。鹿血:用酒送服。阿胶、醍醐、鹿角胶、黄明胶:治疗肺痿唾血,与桑叶末同服。
(Causes include stagnation of fire, which must be differentiated as either Qi deficiency or Blood deficiency.)
[Methods to Expel and Discharge]
[Herbs and Grains Section]
*Heterocephalus glaber* (Jisu): Treats hemoptysis and cough due to Lung Empyema (Lung Wei, a condition characterized by wasting and dryness of the lung); grind into powder and take with rice water. *Stephania tetrandra* (Fangji): Treats hemoptysis in Lung Empyema; combine with *Thladianthae Fructus* (Tingli) powder and take with glutinous rice soup; for wheezing and cough in Lung Empyema, decoct with fermented grain water and sip slowly. *Platycodonis Radix* (Jiegeng): Treats Lung Abscess (Fei Yong), expels pus, nourishes blood, and repairs internal leakage. Zhang Zhongjing treated chest fullness, chills, dry throat, and expulsion of turbid saliva, followed by long-term expulsion of pus and blood, by decocting Jiegeng with Licorice Root (Gancao); cure is achieved when pus and blood are fully expelled. [In cases of], combined with Peach Kernel (Taoren), melon seeds, and Coix Seed (Yiyi), decocted and taken; cure is achieved upon expulsion of pus and blood. *Phragmitis Rhizoma* (Lugen): Treats bone-steaming Lung Empyema where the patient cannot eat; decoct with Ophiopogonis Radix (Maidong), Groundsel Root (Dugupi), Poria (Fuling), Tangerine Peel (Chenpi), and Ginger (Shengjiang). *Glycyrrhizae Radix et Rhizoma* (Gancao): Removes pus and blood from Lung Empyema. For chronic cough leading to Lung Empyema with alternating chills and fever, restlessness, and excessive salivation, take one qian adjusted with child's urine. For Lung Empyema with spitting of frothy saliva, dizziness, frequent urination but no cough, indicating cold in the lung, decoct with Dried Ginger (Ganjiang). *Cucumis melo var. makuwa* seed (Wagua Zi): Treats hemoptysis in Lung Empyema; stir-fry, grind, and take. *Bupleuri Radix* (Shengma), *Astrotidis Herba* (Zouwan), *Fritillariae Bulbus* (Beimu), *Patriniae Herba* (Baijiang): All primarily treat Lung Abscess, expelling pus and breaking blood stasis. *Anemarrhenae Rhizoma* (Zhimu) and *Scutellariae Radix* (Huangqin): Both primarily treat Lung Empyema with symptoms of cough and foul smell in the throat. *Coicis Semen* (Yiyiren): Treats Lung Abscess with coughing up pus and blood; decoct in water, add wine, and take; or decoct in vinegar, which will induce vomiting of blood clots.
[Fruits and Trees Section]
*Tangerine Leaf* (Juye): Treats Lung Abscess; crush to extract juice, take one cup, cure is achieved upon expulsion of pus and blood. *Torreya grandis* bark (Zhehuang): Treats Lung Abscess regardless of whether abscess has formed or not; take one liang, combine with two qian of *Carbonized Herb* (Baicaoshuang), make into pills with paste, take thirty pills with rice water; effect is very rapid. *Albiziae Cortex* (Yehépi): Treats Lung Abscess with spitting of turbid water; decoct and take. *Arundinis Concretio Silicea* (Zhuli): Treats Lung Empyema in elderly and children with coughing of foul-smelling pus; take three to five times daily. *Bambusae Caulis in Taeniam* (Danzhuru), *Poria* (Fuling).
[Human Section]
*Urine of Child* (Ren Niao): Treats Lung Empyema with chills/fever, shortness of breath, and flushed face; adjust with Gancao and take. *Natrii Sulfas et Carbonis Asini Corii* (Renzhongbai).
[Nourishing and Tonifying Methods]
[Herbs Section]
*Ginseng Radix* (Renshen): Eliminates phlegm, treats Lung Empyema; take adjusted with egg white. *Asparagi Radix* (Tianmendong): Treats Lung Empyema with coughing of saliva without thirst; crush to extract juice, add maltose (Yi), wine, and Astrotis powder (Zouwan), make into pills for holding in mouth. *Trichosanthis Fructus* (Gualou): Treats Lung Empyema with hemoptysis; combine with Mume Fruit (Wumei) and Apricot Seed (Xingren) powder, dip pig lung and eat. *Adenophorae Radix* (Kuantonghua - Note: Text says Kuantonghua which is Adenophora, often used interchangeably or confused with Aster in ancient texts, but strictly Kuantonghua is Adenophorae): Treats labor-induced cough and Lung Empyema; take with Lily Bulb (Baihe) powder. *Ophiopogonis Radix* (Maimendong): Treats Lung Empyema and Lung Abscess with coughing and spitting of pus and blood. *Codonopsis Radix* (Shashen).
[Fruits and Minerals Section]
*Dried Persimmon* (Baishi): Both moisten lungs and stop cough. *Fluorite* (Baishuiying): Treats Lung Empyema with spitting of pus.
[Fish and Beasts Section]
*Crucian Carp* (Jiyu): Treats Lung Empyema with hemoptysis; boil with mutton and radish and take. *Gecko* (Hejie): Treats chronic cough, Lung Empyema, Lung Abscess, and hemoptysis. *Dried Persimmon (Sheep type?)* (Yangshi - likely referring to a specific preparation or fruit variant): Treats chronic cough and Lung Empyema; roast and eat with apricot kernel, persimmon frost, bean flour, true su (clarified butter/ghee), and white honey. *Sheep Fat Marrow* (Yangzhi Sui): Treats Lung Empyema with bone-steaming; refine and take with raw juice, ginger juice, and white honey. *Porcine Lung* (Zhu Fei): Treats Lung Empyema with bloody cough; dip in Coix seed and eat. *Porcine Pancreas* (Zhu Yi): Soak in wine with dates and take. *Deer Blood* (Lu Xue): Take with wine. *Colla Corii Asini* (Ejiao), *Butyrum Clarificatum* (Tihu), *Colla Cornis Cervi* (Lujiaojiao), *Colla Corii Bovini* (Huangmingjiao): Treat Lung Empyema with spitting of blood; take with powdered Mulberry Leaf (Sangye).