麻后久嗽不止。时吐白沫如米糊者。名肺痿。火盛而金消也。宜养血补气保肺清火。初用加
味二冬汤。后用门冬清肺饮。久嗽痛引胸胁。或吐脓血或吐如米粥者。此肺内生毒也。名肺
痈。宜泻热豁痰。开提升散。解毒排脓。宁肺桔梗汤主之。痿为正虚。痈为外邪。不可误治
。脉诀云。寸数而实。肺痈已成。寸数虚涩肺痿之形。
加味二冬汤
天冬 麦冬 熟地 生地
桔梗 款冬花 贝母 米仁
蒌仁 沙参 紫菀 甘草
门冬清肺饮
麦冬 天冬 知母 贝母 桔梗
粘子 杏仁 冬花 桑皮 地骨皮
马兜铃 甘草 加晚米百粒
宁肺桔梗汤
桔梗 贝母 枳壳 杏仁 栝蒌根 生 防风 桑皮 米仁 知母 地骨皮 甘草节 葶苈子 五味子 加姜引
初起加防风。去黄 。五味子。咳甚加百合。身热加柴胡。黄芩。小水不利。加木通。灯心
。大便不利。加制军。烦躁痰血加茅草根。胸痛甚。加人参。白芷。
白芨末 治肺叶烂去。用白芨净末一两。分作三服。白汤送下一服止痛。
二服全长三服完后。用猪肺一个。加花椒一两在内。煮食之。忌铁器。如痰火咳嗽。每猪肺
一个。加白芨二两。煮食三个。自愈。
皂荚丸 治肺痈百药无效者。括去皮弦酥炙为末。蜜丸。以枣膏和汤服三丸。
麻疹痊愈后,长期咳嗽不止。时常吐出像米糊一样的白色泡沫,这称为肺痿(肺部组织萎缩、功能减退的病证),是由于火邪旺盛导致肺金受损所致。治疗应当养血补气以保护肺脏并清除火邪。初期使用加味二冬汤,后期使用门冬清肺饮。如果久咳疼痛牵引胸胁,或者吐出脓血,或吐出像米粥一样的物质,这是肺内生毒,称为肺痈(肺部化脓性病变)。治疗应当泻热、豁痰、开提升散、解毒排脓,以宁肺桔梗汤为主方。肺痿属于正气虚弱,肺痈属于外邪侵袭,不可误治。《脉诀》说:寸口脉数而有力,是肺痈已经形成的征象;寸口脉数而虚涩,是肺痿的形态。
加味二冬汤
天冬 麦冬 熟地黄 生地黄
桔梗 款冬花 贝母 薏苡仁
瓜蒌仁 沙参 紫菀 甘草
门冬清肺饮
麦冬 天冬 知母 贝母 桔梗
粘子 杏仁 冬花 桑白皮 地骨皮
马兜铃 甘草 加入晚米一百粒
宁肺桔梗汤
桔梗 贝母 枳壳 杏仁 栝蒌根(生) 防风 桑白皮 薏苡仁 知母 地骨皮 甘草节 葶苈子 五味子 加生姜为引
初起时加防风,去掉黄芩和五味子。咳嗽剧烈加百合。身体发热加柴胡、黄芩。小便不利加木通、灯心草。大便不通加制大黄。烦躁、痰中带血加茅草根。胸痛严重加人参、白芷。
白芨末 治疗肺叶腐烂脱落。用纯净的白芨粉末一两,分三次服用。用白开水送服一服可止痛。
第二服之后全长(原文疑为衍文或特定语境词,此处依原文直译保留“全长”之意,实指后续疗程),第三服服完后。用一个猪肺,加入一两花椒在内,煮熟食用。忌用铁器。如果是痰火引起的咳嗽,每个猪肺加入二两白芨,煮熟吃三个,自然痊愈。
After the recovery from measles, chronic cough persists without cessation. When white foam resembling rice paste is expectorated from time to time, it is named Fei Wei (Lung萎/Atrophy, a condition characterized by lung tissue atrophy and functional decline), caused by excessive fire damaging the Metal (Lung). The treatment should nourish blood, tonify qi, protect the Lung, and clear fire. Initially, Jiawei Erdong Tang (Modified Two Asparagus Decoction) is used, followed by Mendong Qingfei Yin (Asparagus Lung-Clearing Decoction). If chronic cough causes pain radiating to the chest and hypochondrium, or if pus and blood are expectorated, or material resembling rice porridge is vomited, this indicates internal toxicity in the Lung, named Fei Yong (Lung Abscess). The treatment should purge heat, resolve phlegm, open and ascend to dissipate, detoxify, and expel pus, with Ningfei Jiegeng Tang (Lung-Calming Platycodon Decoction) as the primary formula. Fei Wei belongs to deficiency of righteous Qi, while Fei Yong belongs to invasion of external pathogens; they must not be treated erroneously. The Maijue (Pulse Classic) states: "If the Cun position pulse is rapid and full, the Lung Abscess has formed; if the Cun position pulse is rapid, deficient, and choppy, it is the form of Lung Atrophy."
Jiawei Erdong Tang (Modified Two Asparagus Decoction)
Tian Dong (Asparagi Radix)
Mai Dong (Ophiopogonis Radix)
Shu Di Huang (Prepared Rehmanniae Radix)
Sheng Di Huang (Rehmanniae Radix)
Jie Geng (Platycodonis Radix)
Kuan Dong Hua (Sonchus Flos)
Bei Mu (Fritillariae Cirrhosae Bulbus)
Yi Yi Ren (Coicis Semen)
Gua Lou Ren (Trichosanthis Semen)
Sha Shen (Glehniae Radix)
Zi Wan (Asteris Radix)
Gan Cao (Glycyrrhizae Radix et Rhizoma)
Mendong Qingfei Yin (Asparagus Lung-Clearing Decoction)
Mai Dong (Ophiopogonis Radix)
Tian Dong (Asparagi Radix)
Zhi Mu (Anemarrhenae Rhizoma)
Bei Mu (Fritillariae Cirrhosae Bulbus)
Jie Geng (Platycodonis Radix)
Nian Zi (Lepidii Semen)
Xing Ren (Armeniacae Semen Amarum)
Dong Hua (Sonchus Flos)
Sang Bai Pi (Mori Cortex)
Di Gu Pi (Lycii Cortex)
Ma Dou Ling (Aristolochiae Fructus)
Gan Cao (Glycyrrhizae Radix et Rhizoma)
Add 100 grains of late rice
Ningfei Jiegeng Tang (Lung-Calming Platycodon Decoction)
Jie Geng (Platycodonis Radix)
Bei Mu (Fritillariae Cirrhosae Bulbus)
Zhi Ke (Aurantii Fructus Immaturus)
Xing Ren (Armeniacae Semen Amarum)
Gua Lou Gen (Trichosanthis Radix, raw)
Fang Feng (Saposhnikoviae Radix)
Sang Bai Pi (Mori Cortex)
Yi Yi Ren (Coicis Semen)
Zhi Mu (Anemarrhenae Rhizoma)
Di Gu Pi (Lycii Cortex)
Gan Cao Jie (Glycyrrhizae Radix et Rhizoma with nodes)
Ting Li Zi (Lepidii Fructus)
Wu Wei Zi (Schisandrae Chinensis Fructus)
Add fresh ginger as a guide
In the initial stage, add Fang Feng, remove Huang Qin and Wu Wei Zi. If cough is severe, add Bai He. If body heat is present, add Chai Hu and Huang Qin. If urination is difficult, add Mu Tong and Deng Xin Cao. If defecation is difficult, add Zhi Jun (prepared Rheum palmatum root and rhizome). If irritability and hemoptysis occur, add Mao Cao Gen. If chest pain is severe, add Ren Shen and Bai Zhi.
Bai Ji Mo (Polygonati Rhizoma Powder) for treating rotting and shedding of lung lobes. Use one liang of pure, clean Polygonati Rhizoma powder, divided into three doses. Take one dose with warm water to relieve pain.
After the second dose and throughout the course until the third dose is completed, use one pig lung, add one liang of Sichuan pepper inside, cook and eat it. Avoid iron vessels. For cough due to phlegm-fire, use one pig lung with two liang of Polygonati Rhizoma, cook and eat three times, and it will heal spontaneously.
Zao Jia Wan (Gleditsiae Sinensis Pill) for treating Lung Abscess when all other medicines fail. Scrape off the skin and strings of Gleditsiae Sinensis, roast with butter, grind into powder, make pills with honey, and take three pills mixed with jujube paste in decoction.