(散,罗谦甫)治风劳,地骨柴胡及青蒿。当归知母乌梅合,止嗽除蒸敛汗高。(鳖甲、
地骨皮、柴胡各一两,青蒿五钱,秦艽、当归、知母各五钱,乌梅五钱。治略同前,汗多倍
黄。此方加青蒿、乌梅,皆敛汗退蒸之义。)
(汤,《直指》)鳖甲柴,地骨当归紫菀偕。半夏人参兼炙草,肺劳蒸嗽服之谐。(治肺
痿骨蒸,劳嗽声嘎,自汗体倦∶柴胡二钱,秦艽、鳖甲、地骨、当归、人参各钱半,柴菀、
半夏、甘草炙各一钱,加姜、枣煎。按∶黄 鳖甲散盖本此方,除当归加余药,透肌解热,
柴胡、秦艽、干葛为要剂,故骨蒸方中多用之。此方虽表里交治,而以柴胡为君。)
(海藏)中知母贝,参苓五味阿胶偶。再加甘桔治肺伤,咳血吐痰劳热久。(治肺伤气
极,劳热咳嗽,吐痰吐血,肺痿肺痈∶紫菀、知母、贝母、阿胶各二钱,人参、茯苓、甘草、
桔梗各五分,五味十二粒,一方加莲肉。以保肺止嗽为君,故用阿胶、五味;以清火化痰为
臣,故用知母、贝母,佐以参、苓、甘草,扶土以生金;使以桔梗,上浮而利膈。气极,六
极之一。)
(汤,赵蕺庵)二地黄,玄参贝母桔甘藏。麦冬芍药当归配,喘咳痰血肺家伤。(生地
二钱,熟地三钱,麦冬钱半,贝母、百合、当归、白芍、甘草各一钱,玄参、桔梗各八分。
火旺则金伤,故以玄参、二地助肾滋水;麦冬、百合保肺安神,芍药、当归平肝养血,甘、
桔、贝母清金化痰,泻以甘草培本,不欲以苦寒伤生发之气也。)
(散剂,罗谦甫方)治疗风劳病,用药包括地骨皮、柴胡以及青蒿。当归、知母与乌梅配合使用,能够止咳、清除骨蒸潮热并收敛止汗。(鳖甲、地骨皮、柴胡各一两,青蒿五钱,秦艽、当归、知母各五钱,乌梅五钱。此方功效与前文所述略同,若汗出过多则加倍使用黄芩。本方加入青蒿、乌梅,都是取其收敛止汗、退除骨蒸之意的。)
(汤剂,《直指方》)用鳖甲、柴胡,配合地骨皮、当归和紫菀。再加上半夏、人参以及炙甘草,治疗肺劳引起的骨蒸潮热和咳嗽效果和谐适宜。(治疗肺痿伴骨蒸潮热,劳嗽声音嘶哑,自汗且身体疲倦:柴胡二钱,秦艽、鳖甲、地骨皮、当归、人参各一钱半,紫菀、半夏、炙甘草各一钱,加生姜、大枣煎服。按语:黄耆鳖甲散大概是以此方为基础,去掉了当归而增加了其他药物,旨在透达肌表解除热邪,柴胡、秦艽、干葛是主要药剂,所以在治疗骨蒸的方剂中多用这些药。此方虽然表里同治,但以柴胡为君药。)
(海藏方)知母、贝母,配合人参、茯苓、五味子和阿胶。再加甘草、桔梗治疗肺部损伤,适用于久治不愈的咳血、吐痰及劳热。(治疗肺脏受损气虚至极,劳热咳嗽,吐痰吐血,肺痿肺痈:紫菀、知母、贝母、阿胶各二钱,人参、茯苓、甘草、桔梗各五分,五味子十二粒,另一版本加莲子肉。以保肺止咳为君药,所以使用阿胶、五味子;以清火化痰为臣药,所以使用知母、贝母;佐以人参、茯苓、甘草,通过健脾(扶土)来生肺金;使以桔梗,药性上浮以利胸膈。气极,是六极病症之一。)
(汤剂,赵蕺庵方)生地、熟地,玄参、贝母、桔梗、甘草收藏其中。麦冬、芍药、当归配合,治疗气喘咳嗽、痰中带血等肺家损伤。(生地二钱,熟地三钱,麦冬一钱半,贝母、百合、当归、白芍、甘草各一钱,玄参、桔梗各八分。火旺则伤肺金,所以用玄参、生地、熟地辅助肾脏滋补水液;麦冬、百合保护肺脏并安神,芍药、当归平抑肝木并养血,甘草、桔梗、贝母清肃肺金并化痰,用甘草泻火以培补根本,不想用苦寒之药伤害生机之气。)
(Scattered powder, Luo Qianfu's formula) Treats wind-lao (chronic wasting syndrome due to wind pathogen). The herbs used are Gudupi (Cortex Lycii Radicis), Chaihu (Radix Bupleuri), and Qinghao (Herba Artemisiae Annuae). Danggui (Radix Angelicae Sinensis), Zhimu (Rhizoma Anemarrhenae), and Wumei (Fructus Mume) are combined to stop coughing, eliminate bone-steaming fever, and astringe sweat. (Biejia (Carapax et Plastrum Testudinis), Gudupi, and Chaihu each 1 liang; Qinghao 5 qian; Qinjiao (Radix Gentianae Macrophyllae), Danggui, and Zhimu each 5 qian; Wumei 5 qian. The efficacy is similar to the previous formula; if sweating is excessive, Huangqin (Radix Scutellariae) should be doubled. This formula adds Qinghao and Wumei, both serving the purpose of astringing sweat and reducing bone-steaming heat.)
(Decoction, *Zhizhi Fang*) Biejia (Carapax et Plastrum Testudinis) and Chaihu (Radix Bupleuri) are accompanied by Gudupi (Cortex Lycii Radicis), Danggui (Radix Angelicae Sinensis), and Ziwan (Radix Asteris). Banxia (Rhizoma Pinelliae), Renshen (Radix Ginseng), and Zhi Gancao (Radix Glycyrrhizae Preparata cum Melle) are also included. Taking this for lung-lao (pulmonary consumption) with bone-steaming and coughing yields harmonious results. (Treats feiwei (lung atrophy) with bone-steaming, lao sou (consumptive cough) with hoarseness, spontaneous sweating, and physical fatigue: Chaihu 2 qian; Qinjiao, Biejia, Gudupi, Danggui, and Renshen each 1.5 qian; Ziwan, Banxia, and Zhi Gancao each 1 qian. Decoct with Shengjiang (Rhizoma Zingiberis Recens) and Dazao (Fructus Jujubae). Note: Huangqi Biejia San (Astragalus and Turtle Shell Powder) is likely based on this formula, removing Danggui and adding other herbs to penetrate the muscle layer and resolve heat. Chaihu, Qinjiao, and Ge Gen (Radix Puerariae) are key agents, hence frequently used in formulas for bone-steaming. Although this formula treats both exterior and interior, Chaihu serves as the Jun (Emperor) herb.)
(Haizang's formula) Zhimu (Rhizoma Anemarrhenae) and Beimu (Bulbus Fritillariae Cirrhosae) are paired with Renshen (Radix Ginseng), Fuling (Sclerotium Poriae Cocos), Wuweizi (Fructus Schisandrae Chinensis), and Ejiao (Colla Corii Asini). Adding Gancao (Radix Glycyrrhizae) and Jiegeng (Radix Platycodonis) treats lung injury, suitable for chronic hemoptysis, expectoration, and heat from consumption. (Treats extreme qi deficiency due to lung injury, consumptive heat with coughing, expectoration, and hemoptysis, feiwei (lung atrophy), and feiyong (lung abscess): Ziwan, Zhimu, Beimu, and Ejiao each 2 qian; Renshen, Fuling, Gancao, and Jiegeng each 0.5 qian; Wuweizi 12 grains. Another version adds Lianrou (Endocarpus Nelumbinis). The strategy uses Ejiao and Wuweizi as Jun (Emperor) herbs to protect the lungs and stop coughing; Zhimu and Beimu as Chen (Minister) herbs to clear fire and transform phlegm; Renshen, Fuling, and Gancao as Zuo (Assistant) herbs to strengthen Spleen earth to generate Lung metal; and Jiegeng as Shi (Envoy) herb to ascend and benefit the diaphragm. "Ji ji" (extreme qi deficiency) is one of the Six Extremes.)
(Decoction, Zhao Jie'an's formula) Shengdi (Radix Rehmanniae Preparata) and Shudi (Radix Rehmanniae Preparata), Xuan Shen (Radix Scrophulariae), Beimu (Bulbus Fritillariae Cirrhosae), Jiegeng (Radix Platycodonis), and Gancao (Radix Glycyrrhizae) are stored together. Maidong (Radix Ophiopogonis), Shaoyao (Radix Paeoniae Alba), and Danggui (Radix Angelicae Sinensis) are matched to treat asthma, cough, hemoptysis, and lung injury. (Shengdi 2 qian, Shudi 3 qian, Maidong 1.5 qian; Beimu, Baihe (Bulbus Lilii), Danggui, Baishao, and Gancao each 1 qian; Xuan Shen and Jiegeng each 0.8 qian. Excessive fire injures Lung metal, so Xuan Shen, Shengdi, and Shudi are used to assist the Kidney in nourishing water. Maidong and Baihe protect the lungs and calm the spirit; Baishao and Danggui soothe the Liver and nourish blood; Gancao, Jiegeng, and Beimu clear Lung metal and transform phlegm. Gancao is used to drain fire and cultivate the root, avoiding the use of bitter-cold herbs that would damage the vitalizing qi.)