消痰热,润肺止咳,或肺痈肺痿,乃治标之妙剂。
贝母一两,为末,用沙糖或蜜,和丸龙眼大,或噙化,或嚼服之。若欲劫止久嗽,每
两,宜加百药煎、蓬砂、天竺黄各一钱,佐之尤妙。如无百药煎,即炒醋文蛤一钱亦可,或
粟壳亦可酌用。若治肺痈,宜加白矾一钱,同贝母丸服,如前最妙。
一为水数,从寒散也。凡感四时不正之气,或为发热,或为寒热,或因劳因
妇人热入血室,或产后经后,因冒风寒,以致寒热如疟等症,但外有邪而内兼火者,须从凉
散,宜此主之。
柴胡(二三钱) 黄芩(钱半) 芍药(二钱) 生地 陈皮(各钱半) 甘草(八分)
水一盅半,煎七八分,温服。如内热甚者,加连翘一二钱随宜。如外邪甚者,加防风
之。如邪结在胸而痞满者,去生地,加枳实一二钱。如热在阳明而兼渴者,加天花粉或葛根
一二钱,热甚者,加知母、石膏亦可。
二为火数,从温散也。凡遇四时外感,或其人元气充实,脏气素平无火,或
时逢寒胜之令,本无内热等症者,皆不宜妄投凉药,以致寒滞不散,宜此主之。
陈皮(一钱五分) 半夏(二钱) 细辛(一二钱) 浓朴(钱五分) 生姜(三五七片) 柴
胡(一钱半或二三钱) 甘草(八分)
水一盅半,煎七八分,温服。如邪盛者,可加羌活、白芷、防风、紫苏之属,择而用
头痛不止者,加川芎一二钱。如多湿者,加苍术。如阴寒气胜,必加麻黄一二钱,或兼桂枝
。不必疑也。
消除痰热,滋润肺部以止咳,对于肺痈(肺部化脓性感染)和肺痿(肺部萎弱不用之病),是治疗症状的巧妙方剂。
贝母一两,研成粉末,用砂糖或蜂蜜调和,制成如龙眼核大小的丸药,可以含服,也可以嚼服。如果想要强力止住久咳不愈,每两贝母中,宜加入百药煎、蓬砂、天竺黄各一钱,辅助使用尤其奇妙。如果没有百药煎,可以用炒醋文蛤一钱代替,或者酌情使用粟壳。如果是治疗肺痈,宜加入白矾一钱,同贝母丸一起服用,像前面说的那样效果最好。
“一柴胡饮”属于水数,性质偏寒,用于发散寒邪。凡是感受四时不正之气,或者出现发热,或者出现寒热往来,或者因为劳累,或者因妇女热邪陷入血室,或者在产后、经期之后,因冒受风寒,导致出现类似疟疾的寒热等症状,只要外有邪气而内兼有火(热),必须从凉散的方法治疗,适宜用此方作为主方。
柴胡(二三钱) 黄芩(钱半) 芍药(二钱) 生地 陈皮(各钱半) 甘草(八分)
用水一盅半,煎煮至七八分,温服。如果体内热邪严重,酌情加连翘一二钱。如果外部邪气严重,加防风。如果邪气结聚在胸部导致痞满,去掉生地,加枳实一二钱。如果热邪在阳明经且伴有口渴,加天花粉或葛根一二钱,热邪严重的,加知母、石膏也可以。
“二柴胡饮”属于火数,性质偏温,用于发散温邪。凡是遇到四时外感,或者其人元气充实,脏腑之气素来平和无火,或者当时正值寒气胜行的时令,本身没有内热等症状的人,都不宜妄自投用凉药,以免导致寒邪停滞不散,适宜用此方作为主方。
陈皮(一钱五分) 半夏(二钱) 细辛(一二钱) 浓朴(钱五分) 生姜(三五七片) 柴胡(一钱半或二三钱) 甘草(八分)
用水一盅半,煎煮至七八分,温服。如果邪气盛,可加羌活、白芷、防风、紫苏之类,选择使用。如果头痛不止,加川芎一二钱。如果湿气多,加苍术。如果阴寒气胜,必须加麻黄一二钱,或者兼加桂枝。不必怀疑。
Eliminates phlegm-heat, moistens the Lung to stop coughing; for lung abscess (pulmonary suppurative infection) and lung flaccidity (atrophy of the lung), it is an excellent agent for treating symptoms.
Fritillariae Bulbus (Beimu) one tael, ground into powder, mixed with rock sugar or honey, formed into pills the size of a longan seed. These can be held in the mouth to dissolve or chewed and swallowed. If the intention is to forcibly stop chronic cough, for every tael of Fritillariae Bulbus, add Baiyaojian (a traditional preparation), Pengsha (borax), and Tianzhuhuang (Bambusae Spongia) each one qian; this auxiliary addition is particularly effective. If Baiyaojian is unavailable, Vinegar-processed Arcae Concha (Wenge) one qian fried in vinegar may be used instead, or Poppy Capsule (Suke) may be used at discretion. For treating lung abscess, add Alum (Baifan) one qian, taken together with the Fritillariae Bulbus pills as described above, which is most effective.
The First Bupleurum Decoction corresponds to the Water number, acting through cold to disperse. Whenever one contracts the irregular qi of the four seasons, resulting in fever, or alternating chills and fever, or due to overexertion, or due to heat entering the blood chamber in women, or after childbirth or menstruation, contracting wind-cold, leading to symptoms such as chills and fever resembling malaria: provided there is external pathogenic factor combined with internal fire (heat), treatment must employ cooling dispersion. This formula is suitable as the principal prescription.
Chaihu (2–3 qian) Huangqin (1.5 qian) Shaoyao (2 qian) Shengdi Chenpi (each 1.5 qian) Gancao (0.8 fen)
Add one and a half zhang of water, decoct until reduced to seven or eight parts, and take warm. If internal heat is severe, add Lianqiao 1–2 qian as appropriate. If external pathogenic factors are severe, add Fangfeng. If pathogenic factors are knotted in the chest causing fullness and obstruction, remove Shengdi and add Zhishi 1–2 qian. If heat is in the Yangming channel accompanied by thirst, add Tianhuafen or Gegen 1–2 qian; if heat is severe, adding Zhimu and Shigao is also acceptable.
The Second Bupleurum Decoction corresponds to the Fire number, acting through warmth to disperse. Whenever encountering exogenous pathogens of the four seasons, or if the person’s Yuanqi (primordial qi) is substantial, and the organ qi is naturally balanced without fire, or if the current season features prevailing cold conditions where there are no inherent internal heat symptoms: in such cases, one should not recklessly administer cooling medicines, lest cold stagnation fail to dissipate. This formula is suitable as the principal prescription.
Chenpi (1.5 qian) Banxia (2 qian) Xixin (1–2 qian) Houpo (1.5 qian) Shengjiang (3–7 slices) Chaihu (1.5 qian or 2–3 qian) Gancao (0.8 fen)
Add one and a half zhang of water, decoct until reduced to seven or eight parts, and take warm. If pathogenic factors are abundant, one may add Qianghuo, Baizhi, Fangfeng, Zisu, etc., selecting as appropriate. If headache persists, add Chuanxiong 1–2 qian. If dampness is excessive, add Cangzhu. If yin-cold is dominant, Mahuang 1–2 qian must be added, or Guizhi may be combined. There is no need to doubt.