凡肺虚胸热,咳嗽气急,烦闷,咽喉燥渴,欲饮冷水,体倦肌瘦,发热减食,喉咙音嘶
不出。用黄蜡溶沥极净,用酸浆水者过八两,入铜器内化溶,作一百二十丸。蛤粉四两为衣
养药,每服一丸,核桃半个细嚼温水下,静卧,闭口不语,日服二丸,渐渐平愈。忌食鸡半
年。造酸浆水法∶用清水入饭少许,浸四五日即酸。或用隔一二日米泔水代之,亦可。
凡感受风寒,停留肺中,或劳力内伤,以致咳嗽声重,胸膈隐痛,颈项强硬,不能转侧
,此肺痈也。久则鼻流清涕,咳吐脓痰,黄色腥秽,重则胸胁胀满,呼吸不及,饮食减少,
脉洪,自汗,渐至咳吐痰血,寒热往来,形体消瘦,声哑喉痈,转为肺痿,此危症也。用大
栝蒌一个,开一孔,内有子多少粒,用杏仁(去皮尖)照数配入,封好,外用黄泥包裹,烧
红,烧至无烟取出,用物盖住,候冷去泥。又用川贝母,照栝蒌子粒数配入,共研细末,临
卧
涎唾中有少血散漫者,此肾经相火炎上之血也。若血如红缕从痰中咳出者,此脉络受热
伤之血也。若咳出白血浅红色似肉似肺者必死。又咯出痰中有血丝属肾经,咳嗽有血属肺经
,呕吐成盆成碗者属胃经,自两胁逆上吐出属肝经,溺血属小肠经,下血属大肠经,牙宣出
血属胃肾虚火。
真青黛、栝蒌仁(去油)、海石(炒黑)、山栀(炒黑)、诃子肉各等分,蜜为丸,噙化,
嗽
又方∶款冬花,百合蒸焙等分为末,蜜丸龙眼大,每卧时嚼一丸,姜汤下。
又方∶大柿饼一个,去子,入真青黛一钱,绵扎紧,饭上蒸熟,临睡时食,薄荷汤下,
极效。
独圣散∶治多年咳嗽,肺萎咯血,红痰,用白芨三两为末,每服二钱,临卧糯米汤下。
台州狱吏悯一重囚,囚感之云∶吾七犯死罪,遭刑拷,肺皆伤损,得一方,用白芨末,米饮
调服,其效如神。后日凌迟,剖其胸,见肺间窍穴数十,皆白及填补,色犹未变也。
凡是肺虚伴有胸中烦热,咳嗽气促,心烦闷乱,咽喉干燥口渴,想要喝冷水,身体疲倦肌肉消瘦,发热且食欲减退,喉咙声音嘶哑甚至失音不出。使用黄蜡熔化过滤得极干净,用酸浆水八两以上,放入铜器内加热熔化,制成一百二十丸药丸。用蛤粉四两作为药衣包裹药物,每次服用一丸,配合半个核桃仁细细咀嚼,用温水送服,服药后静卧,闭口不说话,每天服用两丸,病情会逐渐平复痊愈。忌食鸡肉半年。制作酸浆水的方法:用清水加入少许米饭,浸泡四五天后即变酸。或者用放置了一两天的淘米水代替,也可以。
凡是感受风寒邪气,停留在肺中,或者因劳累用力导致内伤,从而引起咳嗽声音沉重,胸膈部隐隐作痛,颈项僵硬,不能转动侧身,这是肺痈病。时间久了则鼻孔流出清涕,咳嗽吐出脓痰,颜色黄色且有腥臭味,严重时胸胁胀满,呼吸急促困难,饮食减少,脉象洪大,自汗出,逐渐发展到咳嗽吐出血痰,寒热往来交替,形体消瘦,声音嘶哑喉咙生疮,转变为肺痿病,这是危重的病症。用一个大的栝蒌(瓜蒌),开一个孔,根据里面有多少粒种子,用杏仁(去皮和尖)按数量配入,封好孔,外面用黄泥包裹,烧至发红,烧到没有烟冒出时取出,用物体盖住,等冷却后去掉泥土。再用川贝母,按照栝蒌种子的数量配入,共同研成细末,临睡前服用。
唾液中带有少量散在血丝的,这是肾经相火炎上导致的出血。如果血像红线一样从痰中咳出的,这是脉络受热损伤导致的出血。如果咳出白色带浅红色的血,看起来像肉又像肺组织,必定死亡。另外,咯出的痰中有血丝属于肾经病变,咳嗽有血属于肺经病变,呕吐出血成盆成碗状属于胃经病变,血液从两胁逆上吐出属于肝经病变,尿血属于小肠经病变,便血属于大肠经病变,牙龈出血(牙宣)属于胃肾虚火。
取真青黛、栝蒌仁(去油)、海浮石(炒黑)、山栀(炒黑)、诃子肉各等分,用蜂蜜制成丸药,含化咽下,治疗咳嗽。
又一方:款冬花、百合蒸熟焙干,等分为末,用蜂蜜制成如龙眼大小的丸药,每次睡觉前嚼服一丸,姜汤送下。
又一方:一个大柿饼,去掉籽,放入真青黛一钱,用棉线扎紧,在饭上蒸熟,临睡时吃下,薄荷汤送下,效果极好。
独圣散:治疗多年的咳嗽,肺萎咯血,红痰,用白芨三两研为末,每次服用二钱,临睡前用糯米汤送下。
台州监狱的狱吏怜悯一名重刑犯,囚犯感激他说:“我七次犯死罪,遭受刑拷打,肺部都受到损伤,得到一个方子,用白芨末,米饮调服,效果神奇。”后来他被凌迟处死,剖开胸膛,看见肺间有数十个窍穴,都被白及填补,颜色还没有改变。
For cases of Lung deficiency with heat in the chest, coughing with rapid breathing, irritability and oppression, dryness and thirst in the throat, desire to drink cold water, physical fatigue and emaciation, fever with reduced appetite, hoarseness or loss of voice: Melt pure beeswax (Laricae Cera) until extremely clean. Use over eight taels of sour rice water (Suanjiangshui), place in a copper vessel, melt together, and form into 120 pills. Coat these pills with four taels of Ariciae Pulvis (Clam Shell Powder). Take one pill per dose, chew thoroughly with half a walnut kernel, and swallow with warm water. Lie quietly afterwards, keep the mouth closed and do not speak. Take two pills daily; the condition will gradually improve and recover. Avoid eating chicken for half a year. Method for making sour rice water: Add a small amount of cooked rice to clear water, soak for four to five days until it becomes sour. Alternatively, rice washing water left for one or two days can be used as a substitute.
When wind-cold pathogens are contracted and remain in the Lungs, or when internal injury results from overexertion, leading to heavy-sounding cough, dull pain in the chest and diaphragm, stiffness of the neck and nape preventing turning or bending, this is Lung Abscess (Fei Yong). If prolonged, clear fluid runs from the nose, and purulent sputum with a yellow, foul, fishy odor is coughed up. In severe cases, there is distension and fullness in the chest and hypochondrium, difficulty in breathing, reduced food intake, a surging pulse, spontaneous sweating, progressing to hemoptysis, alternating chills and fever, emaciation, hoarseness, and throat sores, transforming into Lung Withering (Fei Wei), which is a critical condition. Take one large Trichosanthis Fructus (Gualou), make an opening, and insert Almondae Semen (Xingren) [peeled and de-husked] according to the number of seeds inside the Gualou. Seal the opening, wrap externally with yellow mud, and roast until red. Roast until no smoke emerges, then remove and cover with a cloth to cool before removing the mud. Then add Fritillariae Bulbus (Chuanbeimu) in a quantity matching the number of Gualou seeds. Grind both into a fine powder. Take before retiring.
If saliva contains scattered traces of blood, this is bleeding caused by Ministerial Fire flaring upward from the Kidney channel. If blood appears like red threads coughed up from phlegm, this is bleeding due to heat damaging the collaterals. If white blood with a light red hue, resembling flesh or lung tissue, is coughed up, death is certain. Furthermore, blood streaks in expectorated phlegm belong to the Kidney channel; hemoptysis belongs to the Lung channel; vomiting blood in basins or bowls belongs to the Stomach channel; blood vomited rising counterflow from the hypochondrium belongs to the Liver channel; hematuria belongs to the Small Intestine channel; hematochezia belongs to the Large Intestine channel; gingival bleeding (Yaxuan) belongs to Deficient Fire of the Stomach and Kidney.
Take equal parts of Indigo Naturalis (Qingdai), Trichosanthis Semen (Gualou Ren) [oil removed], Spongiosa (Haishi) [stir-fried black], Gardeniae Fructus (Zhizi) [stir-fried black], and Terminalia Chebula Retocarpa (Hezi Rou). Form into pills with honey, and dissolve slowly in the mouth to treat coughing.
Another prescription: Equal parts of Dendrobii Flos (Kuandonghua) and Lilii Bulbus (Baihe) [steamed and dried], ground into powder. Form into pills the size of a longan fruit. Chew one pill before sleep, taken down with ginger decoction.
Another prescription: One large dried persimmon (Shibing), remove seeds, insert one qian of Indigo Naturalis (Qingdai), tie tightly with cotton thread, steam on rice until cooked. Consume before sleep, taken down with mint decoction. Extremely effective.
Dusheng San: Treats chronic cough, Lung Withering with hemoptysis, and red sputum. Use three taels of Bletillae Rhizoma (Baiji) ground into powder. Take two qian per dose, swallowed with glutinous rice decoction before retiring.
A jailer in Taizhou pitied a heavy prisoner, who expressed gratitude saying, "I have committed capital offenses seven times and endured torture, causing damage to my lungs. I obtained a prescription using Bletillae Rhizoma (Baiji) powder mixed with rice water, which was miraculously effective." Later, when he was sentenced to lingchi (death by a thousand cuts), his chest was opened, revealing dozens of cavities in the lungs filled with Baiji, the color unchanged.