治(服前药)咳满即止。而更复渴。冲气复发者。以细辛、干姜为热药
而渴反止者。为支饮也。支饮者法当冒。冒者必呕。呕者复内半夏以去其
茯苓(四两。) 甘草 细辛 干姜(各三两。) 半夏 五味(各半升。)
上六味。以水八升。煮取三升。去滓。温服半升。日三服。
歌曰 咳满平时(咳满之病。得姜辛而除。)渴又加。旋而不渴饮余邪。(渴者以辛姜之
热动
增
男元犀按。前言气冲。是真阳上奔。必用桂、苓招纳之。此言气冲。是热药鼓之。只用
半夏
治(服前药)水去呕止。其人形肿者。(肺气不行也。)加杏仁主之
其人遂痹。故不内之。若逆而内之者。必厥。所以然者。以其人血虚。麻黄发其阳故也。
茯苓(四两。) 甘草 干姜 细辛(各三两。) 五味 半夏 杏仁(各半升。)
上七味。以水一斗。煮取三升。去滓。温服半升。日三服。
歌曰 咳轻呕止肿添加。面肿须知肺气凝。前剂杏加半升煮。可知一味亦规绳。
男元犀按。形气肺也。肺主皮毛。为治节之官。形肿者。肺气不行。凝聚不通故也。加
杏仁
而重伤津液也。
治面热如醉。此为胃热上冲熏其面。以前方加大黄以利之。
茯苓(四两。) 甘草 干姜 细辛(各三两。) 五味 半夏 杏仁(各半升。) 大
黄(三两
上八味。以水一斗。煮取三升。去滓。温服半升。日三服。
歌曰 面热如醉火邪殃。(胃热上冲熏其面。)前剂仍增三两黄。驱饮辛温药一派。别能
攻热
利。滞于外而
(从咳逆倚
徐忠可云。以上数方。俱不去姜、辛。即面热如醉亦不去。何也。盖以二味最能泄满止
咳。
汤可
无比
治疗(服用前药后)咳嗽和胸满症状立即停止,但如果再次出现口渴,且冲气复发,这是因为细辛、干姜属于热性药物。如果服药后口渴反而停止,这是支饮证。支饮证患者依法应当出现头昏目眩的症状,头昏目眩者必然伴有呕吐,呕吐者应再加入半夏以祛除痰饮。
茯苓(四两),甘草,细辛,干姜(各三两),半夏,五味子(各半升)。
以上六味药,用水八升,煎煮至三升,滤去药渣,每次温服半升,每日三次。
歌诀曰:咳嗽胸满平时(咳嗽胸满之病,得姜、辛而除),口渴又加重,随即不再口渴是余邪未尽。(口渴是因为辛、姜的热性动……)
男元犀按语:前言的气冲,是真阳上奔,必须用桂枝、茯苓来招纳引火归元;此言的气冲,是热药鼓动所致,只用……
治疗(服用前药后)水饮去、呕吐止,但病人身体浮肿的。(这是肺气不行。)加杏仁主治。
如果病人出现四肢麻木痹痛,所以不加入麻黄。如果违背这一原则加入麻黄,必然导致手足厥冷。之所以这样,是因为病人血虚,麻黄会发散其阳气从而重伤津液。
茯苓(四两),甘草,干姜,细辛(各三两),五味子,半夏,杏仁(各半升)。
以上七味药,用水一斗,煎煮至三升,滤去药渣,每次温服半升,每日三次。
歌诀曰:咳嗽减轻呕吐停止浮肿添加,面部浮肿须知是肺气凝滞。前方剂中加入杏仁半升同煮,可知一味药也遵循法度规矩。
男元犀按语:形体之气属于肺。肺主皮毛,为治节之官。身体浮肿,是肺气不行,凝聚不通的缘故。加……
治疗面部发热如同醉酒状,这是胃热上冲熏蒸面部。用前方剂加大黄以利泄之。
茯苓(四两),甘草,干姜,细辛(各三两),五味子,半夏,杏仁(各半升),大黄(三两)。
以上八味药,用水一斗,煎煮至三升,滤去药渣,每次温服半升,每日三次。
歌诀曰:面部发热如醉酒是火邪作殃。(胃热上冲熏蒸其面。)前方剂仍增加三两大黄。驱除饮邪虽是一派辛温药,却能另外攻清热邪。
滞于外而……
徐忠可说:以上几个方剂,都不去掉干姜、细辛,即使是面部热如醉酒也不去掉。为什么呢?因为这两味药最能泄满止咳。
汤可……无比
Treat (after taking the previous medicine) cough and chest fullness stop immediately. If thirst recurs and the Qi rushing upward reappears, it is because Xixin (Asari Radix et Rhizoma) and Ganjiang (Zingiberis Rhizoma) are hot-natured herbs. If the thirst stops instead after taking them, it indicates Zhiyin (Subphrenic Fluid Retention). Patients with Zhiyin (Subphrenic Fluid Retention) typically experience dizziness; those who are dizzy must vomit. For vomiting, add Banxia (Pinelliae Rhizoma) to eliminate phlegm-fluids.
Fuling (Poria, 4 liang), Gancao (Glycyrrhizae Radix et Rhizoma), Xixin (Asari Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma) (each 3 liang), Banxia (Pinelliae Rhizoma), Wuweizi (Schisandrae Fructus) (each half sheng).
The above six herbs, decocted in eight sheng of water, until three sheng remain. Remove the dregs. Take half a sheng warm, three times daily.
Song says: Cough and fullness usually cease (the disease of cough and fullness is removed by Jiangxin [Ganjiang and Xixin]). Thirst adds on, then ceases without drinking due to residual pathogens. (Thirst is caused by the heat of Xinjiang [Xixin and Ganjiang] stirring...)
Male Yuanxi's commentary: The previously mentioned Qi rushing upward is True Yang surging up, requiring Guizhi (Cinnamomi Ramulus) and Fuling (Poria) to attract and guide it back. The Qi rushing mentioned here is stirred by hot herbs, using only...
Treat (after taking the previous medicine) fluid retention gone and vomiting stopped, but the patient has edema. (This is due to Lung Qi not flowing.) Add Xingren (Prunus armeniaca Seed) as the main treatment.
If the patient experiences numbness and bi-syndrome (obstruction), do not add Mahuang (Ephedrae Herba). If one violates this and adds Mahuang (Ephedrae Herba), it will inevitably cause cold extremities (Jue). The reason is that the patient has Blood deficiency, and Mahuang (Ephedrae Herba) disperses Yang Qi, thereby severely damaging Body Fluids.
Fuling (Poria, 4 liang), Gancao (Glycyrrhizae Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma), Xixin (Asari Radix et Rhizoma) (each 3 liang), Wuweizi (Schisandrae Fructus), Banxia (Pinelliae Rhizoma), Xingren (Prunus armeniaca Seed) (each half sheng).
The above seven herbs, decocted in ten sheng of water, until three sheng remain. Remove the dregs. Take half a sheng warm, three times daily.
Song says: Cough lightens, vomiting stops, swelling adds on. Facial swelling must be known as Lung Qi stagnation. The previous prescription adds half a sheng of Xingren (Prunus armeniaca Seed) for decoction; thus, one herb also follows the rules.
Male Yuanxi's commentary: Form and Qi belong to the Lung. The Lung governs skin and hair and serves as the official of regulation. Body swelling is due to Lung Qi not flowing, condensing and obstructing. Adding...
Treat facial heat resembling drunkenness. This is Stomach Heat rushing upward to fumigate the face. Use the previous formula plus Dahuang (Rhei Radix et Rhizoma) to drain it.
Fuling (Poria, 4 liang), Gancao (Glycyrrhizae Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma), Xixin (Asari Radix et Rhizoma) (each 3 liang), Wuweizi (Schisandrae Fructus), Banxia (Pinelliae Rhizoma), Xingren (Prunus armeniaca Seed) (each half sheng), Dahuang (Rhei Radix et Rhizoma) (3 liang).
The above eight herbs, decocted in ten sheng of water, until three sheng remain. Remove the dregs. Take half a sheng warm, three times daily.
Song says: Facial heat like drunkenness is caused by Fire Pathogen affliction. (Stomach Heat rushes upward to fumigate the face.) The previous prescription still adds three liang of Huanglian/Huangqin/Dahuang? (Context implies Dahuang based on text "Zeng san liang Huang"). Driving out fluid retention with a batch of acrid-warm herbs can separately attack heat and promote drainage.
Stagnating externally and...
Xu Zhongke said: The above several formulas all do not remove Ganjiang (Zingiberis Rhizoma) and Xixin (Asari Radix et Rhizoma); even for facial heat like drunkenness, they are not removed. Why? Because these two herbs best relieve fullness and stop cough.
Decoction can... incomparable