治诸气 郁,诸痿喘呕。
桑叶(三钱) 生石膏(二钱五分) 甘草(一钱) 胡麻仁(一钱) 阿胶(八分) 麦门冬(一钱二分) 杏
仁(七分) 人参(七分) 枇杷叶(一升)
诸气 郁之属于肺者,属于肺之燥也。而古来治气郁之方,多用辛香行气,绝无一方治肺之燥者。诸痿喘呕之属于
上者,亦属于肺之燥也。而古来治法,以痿呕属阳明,以喘属肺,是则呕与痿属之中下,而惟喘属上矣,所以亦无一方
及于肺之燥也。即喘之属于肺者,非表即下,非行气即泄气。间有一二用润剂者,又不得其肯綮。今此方名之为清燥救
肺,大约以胃为主。用人参、甘草,甘温以补气,气壮火自消。佐以石膏、麦冬、桑叶、阿胶、胡麻仁辈,使清肃令行,
而壮火亦化。又佐以杏仁、枇杷叶之苦以降气,气降火亦降,而制节有权,气行则不郁,诸痿喘呕自除矣。要知诸气
郁,则肺必大虚,若泥于肺热伤肺之说而不用人参,郁必不开,而火愈炽,皮聚毛落,咳不休而死矣。此名之救肺,凉
而能补之谓也。若谓实火可泻,而久服芩、连,苦从火化,亡可立待耳。
治疗各种气机郁滞,以及各类痿证、喘证和呕吐。
桑叶(三钱) 生石膏(二钱五分) 甘草(一钱) 胡麻仁(一钱) 阿胶(八分) 麦门冬(一钱二分) 杏仁(七分) 人参(七分) 枇杷叶(一升)
凡是气机郁滞属于肺脏的,是由于肺燥所致。然而自古以来治疗气郁的方剂,多使用辛香行气的药物,完全没有一方是针对肺燥治疗的。各种痿证、喘证、呕吐中属于上焦的,也是由于肺燥所致。而自古以来的治法,认为痿证和呕吐属于阳明经,喘证属于肺脏,这样看来,呕吐与痿证属于中下焦,只有喘证属于上焦了,因此也没有一方涉及肺燥的治疗。即使是属于肺脏的喘证,治疗方法不是解表就是攻下,不是行气就是泄气。偶尔有一两个使用润剂的,又未能抓住关键病机。现在这个方子命名为清燥救肺汤,大致以调理胃气为主。用人参、甘草,味甘性温以补益元气,气壮则邪火自消。辅以石膏、麦冬、桑叶、阿胶、胡麻仁等药,使肺气清肃的功能正常运行,而亢盛的火热也随之化解。再辅以杏仁、枇杷叶味苦以降逆气,气降则火亦降,从而恢复肺的治理调节功能,气行则不再郁滞,各种痿证、喘证、呕吐自然消除。要知道,各种气机郁滞,必然导致肺脏大虚,如果拘泥于“肺热伤肺”的说法而不使用人参,气郁必然无法解开,而火势会更加炽盛,导致皮毛枯槁脱落,咳嗽不止而死。这就是名为“救肺”的原因,指其既能清热凉润又能补益的特性。如果说实火可以泻除,而长期服用黄芩、黄连,苦寒之性会从火化热,死亡就在眼前了。
Treats various Qi stagnations, as well as various Wei syndromes (flaccidity syndromes), Chuan syndromes (asthma/wheezing), and Ou syndromes (vomiting).
Sang Ye (Folium Mori, 桑叶) (3 qian) Sheng Shi Gao (Gypsum Fibrosum, 生石膏) (2.5 qian) Gan Cao (Radix Glycyrrhizae, 甘草) (1 qian) Hu Ma Ren (Semen Sesami Nigrum, 胡麻仁) (1 qian) E Jiao (Colla Corii Asini, 阿胶) (8 fen) Mai Men Dong (Radix Ophiopogonis, 麦门冬) (1.2 qian) Xing Ren (Semen Armeniacae Amarum, 杏仁) (7 fen) Ren Shen (Radix Ginseng, 人参) (7 fen) Pi Pa Ye (Folium Eriobotryae, 枇杷叶) (1 sheng)
Various Qi stagnations pertaining to the Lung system are caused by Lung dryness. However, ancient formulas for treating Qi stagnation mostly employ acrid-aromatic Qi-moving herbs, with not a single formula dedicated to treating Lung dryness. Various Wei syndromes, Chuan syndromes, and Ou syndromes that pertain to the Upper Jiao are also due to Lung dryness. Yet, in ancient therapeutic methods, Wei syndromes and Ou syndromes were attributed to the Yangming channel, while Chuan syndromes were attributed to the Lung. Thus, Ou and Wei were considered to belong to the Middle and Lower Jiao, with only Chuan belonging to the Upper Jiao; consequently, no formula addressed Lung dryness. Even for Chuan syndromes pertaining to the Lung, treatments were either exterior-releasing or purgative, either Qi-moving or Qi-draining. Occasionally, one or two moistening agents were used, but they failed to hit the crucial point of the pathology. This current formula is named Qing Zao Jiu Fei Tang (Clear Dryness Rescue Lung Decoction), which roughly focuses on regulating Stomach Qi. It uses Ren Shen and Gan Cao, which are sweet and warm to tonify Yuan Qi; when Qi is robust, pathogenic Fire naturally subsides. It assists with Shi Gao, Mai Men Dong, Sang Ye, E Jiao, and Hu Ma Ren, allowing the Lung's function of clearing and descending to operate smoothly, thereby transforming excessive Fire. It further assists with Xing Ren and Pi Pa Ye, which are bitter to direct Qi downward; when Qi descends, Fire also descends, thus restoring the Lung's regulatory authority. When Qi flows freely, stagnation does not occur, and various Wei syndromes, Chuan syndromes, and Ou syndromes are naturally eliminated. One must understand that various Qi stagnations imply severe deficiency of the Lung. If one adheres strictly to the theory that "Lung heat injures the Lung" and omits Ren Shen, the stagnation will not resolve, and the Fire will become even more intense, leading to withered skin and hair loss, incessant coughing, and death. This formula is named "Rescuing the Lung" because it possesses both cooling/moistening and tonifying properties. If one argues that Excess Fire can be drained, long-term use of Huang Qin (Radix Scutellariae, 黄芩) and Lian Qiao (Fructus Forsythiae, 连翘/黄连 - *Note: Context implies Huang Lian/Coptis*) would cause the bitter nature to transform into Fire due to dryness, making death imminent.