局方青州白丸子(方见小儿门)
按此足太阴经药出厥阴例治风痰行经通痹之热药也
局方玉壶丸
南星 半夏 天麻 白面
辰砂化痰丸
南星 半夏 辰砂 白矾
上主治修制并见本方
易老水煮金花丸治风痰脉弦咳嗽
南星 半夏(各一两生用) 天麻(五钱) 白面(三两) 雄黄(一钱) 寒水石(一两烧存
性)
上为细末滴水为丸小豆大每服五七十丸至百丸煎浆水沸下药煮浮为度漉出淡浆水浸另用
生姜
汤下或通圣加半夏局方川芎丸防风丸皆可用也按以上三方并出太阴呕哕例治痰挟风之凉药也
良方天南星丸治妇人风疾
半夏曲(一两) 天南星(一两炮) 晋矾(半两枯) 白附子(炮) 皂角仁(炒黄各一两)
按此足太阴厥阴经药也
仲景小陷胸汤
半夏 黄连 栝蒌实
上先以水二盏煎栝蒌实至一盏半下诸药煎八分温服未利再服
严氏半夏丸治肺热痰嗽
栝蒌仁(另研) 半夏(汤洗焙各一两)
上件和匀姜汁打糊丸
按此小陷胸加减法也
机要小黄丸治热痰
人参 黄芩 南星 半夏 生姜
上姜汁糊为丸 一方南星半夏黄芩只三味宣明茯苓半夏汤治风热痰涎
二陈汤中加黄芩
按此手足太阴经药也
人参半夏丸化痰治涎止咳定嗽诸痰不可尽述
人参 茯苓 南星(各半两) 半夏 干生姜 生白矾 寒水石(各一两) 薄荷叶(半两)
蛤粉(二两) 藿香叶(一分) 一法加黄连(半两) 黄柏(二两)
上为末面糊丸如小豆姜汤下二三十丸食后
局方青州白丸子(该方剂详见小儿科章节)
按语:此药属于足太阴脾经药物,出自厥阴肝经的用药规律,是治疗风痰、疏通经络、通利痹阻的热性药物。
辰砂化痰丸
组成:天南星、半夏、辰砂、白矾。
以上药物的主治功效及炮制方法均见各本方记载。
易老水煮金花丸,用于治疗风痰引起的脉象弦紧及咳嗽症状。
组成:天南星、半夏(各一两,生用)、天麻(五钱)、白面(三两)、雄黄(一钱)、寒水石(一两,烧至存性)。
制作与服用方法:将上述药材研为细末,滴水制成如小豆大小的丸剂。每次服用五七十丸至一百丸,在浆水煮沸后下入药丸,待药丸煮至浮起为度,捞出后用淡浆水浸泡,另用生姜汤送服。或者使用防风通圣散加半夏、局方川芎丸、防风丸等也均可应用。按语:以上三方均出自太阴脾经呕吐呃逆的证治范畴,属于治疗痰挟风邪的凉性药物。
良方天南星丸,用于治疗妇女的风疾。
组成:半夏曲(一两)、天南星(一两,炮制)、晋矾(半两,枯矾)、白附子(炮制)、皂角仁(炒黄,各一两)。
按语:此药属于足太阴脾经和厥阴肝经的药物。
仲景小陷胸汤
组成:半夏、黄连、栝蒌实。
煎服法:先用水二盏,煎煮栝蒌实至一盏半,然后加入其他药物,煎至八分,温服。若大便未通利,可再服。
严氏半夏丸,用于治疗肺热引起的痰嗽。
组成:栝蒌仁(另研)、半夏(汤洗后焙干,各一两)。
制作与服用方法:将上述药材混合均匀,用姜汁打糊制成丸剂。
按语:这是小陷胸汤的加减变法。
机要小黄丸,用于治疗热痰。
组成:人参、黄芩、天南星、半夏、生姜。
制作与服用方法:用姜汁糊制成丸剂。另一版本中,天南星、半夏、黄芩仅这三味药。
宣明茯苓半夏汤,用于治疗风热痰涎。
组成:在二陈汤基础上加入黄芩。
按语:此药属于手太阴肺经和足太阴脾经的药物。
人参半夏丸,具有化痰、治疗涎多、止咳定喘的功效,各种痰证的详细论述不可尽述。
组成:人参、茯苓、天南星(各半两)、半夏、干生姜、生白矾、寒水石(各一两)、薄荷叶(半两)、蛤粉(二两)、藿香叶(一分)。另一种方法加入黄连(半两)、黄柏(二两)。
制作与服用方法:将上述药材研为细末,用面糊制成如小豆大小的丸剂,用姜汤送服,每次二三十丸,饭后服用。
Qingzhou Baiwanzi (White Pill of Qingzhou) from the Bureau Formulary (see the section on pediatrics for the formula).
Commentary: This medication belongs to the Foot-Taiyin Splein meridian, following the pattern of Jueyin Liver meridian prescriptions. It is a heat-natured drug used to treat wind-phlegm, unblock meridians, and relieve bi-syndrome (obstruction syndrome).
Yuhu Wan (Jade Pot Pill) from the Bureau Formulary.
Ingredients: Arisaema Cum Bile (Nanxing), Pinellia Rhizoma Preparatum (Banxia), Gastrodiae Rhizoma (Tianma), Triticum Aestivum Farina (Baifan).
Chensha Huatan Wan (Cinnabar Phlegm-Resolving Pill).
Ingredients: Arisaema Cum Bile (Nanxing), Pinellia Rhizoma Preparatum (Banxia), Cinnabar (Chensha), Alum (Baifan).
The indications and preparation methods for the above are detailed in their respective original formulas.
Shui Zhu Jinhua Wan (Water-Boiled Golden Flower Pill) by Yi Lao, indicated for wind-phlegm presenting with wiry pulse and cough.
Ingredients: Arisaema Cum Bile (Nanxing), Pinellia Rhizoma Preparatum (Banxia) (each 1 liang, raw use); Gastrodiae Rhizoma (Tianma) (5 qian); Triticum Aestivum Farina (Baifan) (3 liang); Realgar (Xionghuang) (1 qian); Metastone (Han Shui Shi) (1 liang, calcined until the nature remains).
Preparation and Administration: Grind the above into fine powder, add drops of water to form pills the size of small beans. Take 50–70 pills or up to 100 pills per dose. Boil Jiangshui (fermented grain water), drop the pills in, and cook until they float. Remove, soak in light Jiangshui, and take with fresh ginger decoction. Alternatively, Fangfeng Tongsheng San added with Banxia, Ju Fang Chuanxiong Wan, or Fangfeng Wan may also be used. Commentary: The above three formulas originate from the Taiyin spleen-stomach category of vomiting and hiccups; they are cool-natured drugs treating phlegm complicated by wind.
Tian Nan Xing Wan (Arisaema Pill) from Liang Fang, indicated for wind disorders in women.
Ingredients: Fermented Pinellia Qu (Banxia Qu) (1 liang); Arisaema Cum Bile (Nanxing) (1 liang, processed); Jin Fan (alum from Jin) (0.5 liang, calcined); Typhonii Rhizoma (Baifuzi) (processed); Gleditsiae Sinensis Fructus Semen (Zaojiao Ren) (stir-fried until yellow, each 1 liang).
Commentary: These are medicines acting on the Foot-Taiyin Spleen and Jueyin Liver meridians.
Xiao Xian Zhong Tang (Minor Intra-thoracic Decoction) by Zhang Zhongjing.
Ingredients: Pinellia Rhizoma Preparatum (Banxia), Scutellariae Radix (Huanglian), Trichosanthis Fructus (Gualou Shi).
Administration: First, boil Trichosanthis Fructus (Gualou Shi) in two cups of water until reduced to one and a half cups. Then add the other herbs and boil until reduced to eight-tenths. Take warm. If bowel movement is not relieved, take again.
Banxia Wan (Pinellia Pill) by Yan Shi, indicated for lung-heat phlegm-cough.
Ingredients: Trichosanthis Semen (Gualou Ren) (separately ground); Pinellia Rhizoma Preparatum (Banxia) (washed in boiling water, dried, each 1 liang).
Preparation: Mix evenly and make pills using ginger juice as a binder.
Commentary: This is a modification of Xiao Xian Zhong Tang.
Xiao Huang Wan (Little Yellow Pill) from Ji Yao, indicated for heat-phlegm.
Ingredients: Ginseng Radix et Rhizoma (Renshen), Scutellariae Radix (Huangqin), Arisaema Cum Bile (Nanxing), Pinellia Rhizoma Preparatum (Banxia), Zingiberis Rhizoma Recens (Shengjiang).
Preparation: Make pills using ginger juice paste. Another version contains only three ingredients: Arisaema Cum Bile (Nanxing), Pinellia Rhizoma Preparatum (Banxia), and Scutellariae Radix (Huangqin).
Fuling Banxia Tang (Poria and Pinellia Decoction) from Xuan Ming, indicated for wind-heat phlegm-fluids.
Composition: Er Chen Tang (Two-Aged Decoction) added with Scutellariae Radix (Huangqin).
Commentary: These are medicines acting on the Hand-Taiyin Lung and Foot-Taiyin Spleen meridians.
Renshen Banxia Wan (Ginseng and Pinellia Pill) resolves phlegm, treats excessive saliva, stops cough, and calms wheezing. Various phlegm conditions cannot be fully described here.
Ingredients: Ginseng Radix et Rhizoma (Renshen), Poria (Fuling), Arisaema Cum Bile (Nanxing) (each 0.5 liang); Pinellia Rhizoma Preparatum (Banxia), Dried Ginger (Gan Shengjiang), Raw Alum (Sheng Baifan), Metastone (Han Shui Shi) (each 1 liang); Menthae Haplocalycis Herba (Bohe Ye) (0.5 liang); Concha Meretricis et Cyclinae (Ge Fen) (2 liang); Pogostemonis Herba (Huoxiang Ye) (1 fen). Alternative method: Add Scutellariae Radix (Huanglian) (0.5 liang) and Phellodendri Cortex (Huangbai) (2 liang).
Preparation and Administration: Grind into powder, make pills with flour paste the size of small beans. Take 20–30 pills with ginger decoction after meals.