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Jingui Yaolue · Essentials from the Golden Cabinet
7. Lung Wilting, Lung Abscess, Cough and Upward Qi · Pulses, Signs and Treatment
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Question: Heat in Upper Burner causes cough and Lung wilting. How is it acquired?
The Master replies: From sweating, vomiting, wasting-thirst with frequent free urination, or difficult stool followed by drastic purgative diarrhea. Fluids are repeatedly lost, causing it.
Question: What if the cunkou pulse is rapid, the person coughs, yet turbid saliva and foam appear in the mouth?
The Master replies: Lung wilting. If the mouth is persistently dry, coughing causes dull chest pain and pulse is instead slippery and rapid, this is Lung abscess, coughing pus and blood. Rapid and deficient pulse means Lung wilting; rapid and replete Lung abscess.
Question: In counterflow cough, how does the pulse show Lung abscess, expected pus and blood, and death after vomiting them? What is the pulse?
The Master replies: Cunkou faint and rapid: faint means wind, rapid heat; faint sweating, rapid aversion to cold. Wind strikes defensive qi and exhaled qi does not enter; heat passes through nutritive qi and inhalation does not emerge. Wind harms skin and hair, heat blood vessels. Lodging in Lung, wind causes cough, dry mouth, panting fullness, dry throat without thirst, much turbid foam and repeated shivering. Heat congeals blood into accumulated abscess pus, vomited like rice gruel. At its beginning it can be rescued; when pus forms, the source predicts death.
Upward qi, swollen face, shoulder-assisted breathing and a floating, large pulse are not treatable; added diarrhea makes it worse.
Upward qi with panting and agitation belongs to Lung distention, about to become wind-water. Inducing sweating brings recovery.
Lung wilting with saliva and foam but no cough means no thirst, involuntary urination and frequent urine. Deficiency above cannot control below. This is cold in Lung, with certain dizziness and much saliva. Gancao Ganjiang Tang warms it. If thirst occurs after the decoction, it belongs to wasting-thirst.
Cough with upward qi and a water-fowl or frog-like sound in the throat is governed by Shegan Mahuang Tang.
Counterflow cough and upward qi, repeatedly expelling turbid matter, able only to sit and unable to sleep, are governed by Zaojia Wan.
Cough with a floating pulse is governed by Houpo Mahuang Tang.
A deep pulse is governed by Zeqi Tang.
Great counterflow and upward qi, an obstructed throat, requiring counterflow stopped and qi directed down: Maimendong Tang governs.
Lung abscess with panting and inability to lie down is governed by Tingli Dazao Xiefei Tang.
Cough and full chest, shivering, rapid pulse, dry throat without thirst, occasional rank, foul turbid sputum, and eventual pus like rice gruel constitute Lung abscess. Jiegeng Tang governs.
Cough and upward qi constitute Lung distention. Panting, eyes seeming to protrude or detach, and a floating, large pulse are governed by Yuebi Jia Banxia Tang.
Lung distention with cough, upward qi, vexation, agitation, panting and floating pulse has Water below Heart. Xiao Qinglong Jia Shigao Tang governs.
Xiao Qinglong Jia Shigao Tang Formula
Mahuang, Shaoyao, Guizhi, Xixin, Gancao and Ganjiang 3 liang each; Wuweizi and Banxia half a sheng each; Shigao 2 liang.
With 1 dou water first boil Mahuang and remove surface foam. Add the others and boil to obtain 3 sheng. A strong person takes 1 sheng, a weak person less, three times daily; a child 4 he.
Supplement · Passage 18
Supplement: Zhigancao Tang from Outer Terrace, for Lung wilting with much saliva and a warm, fluid-like unsettled sensation in the Heart region.
Supplement · Formula 19
Supplement: Gancao Tang from Thousand Gold.
Gancao, quantity not supplied.
Boil this single ingredient in 3 sheng water until reduced by half. Divide into three warm doses.
Supplement · Passage 21
Supplement: Shengjiang Gancao Tang from Thousand Gold, for Lung wilting with unceasing cough and saliva or foam, dry throat and thirst.
Supplement · Passage 22
Shengjiang 5 liang; Renshen 2 liang; Gancao 4 liang; Dazao 15 fruits.
Supplement · Passage 23
Boil the four ingredients in 7 sheng water to obtain 3 sheng, divided into three warm doses.
Supplement · Passage 24
Supplement: Guizhi Qu Shaoyao Jia Zaojia Tang from Thousand Gold, for Lung wilting with spitting of saliva and foam.
Supplement · Passage 25
Guizhi and Shengjiang 3 liang each; Gancao 2 liang; Dazao 10 fruits; Zaojia 2 pieces, peel and seeds removed, roasted until scorched.
Supplement · Passage 26
Boil the five ingredients in 7 sheng water, with the source's slight/great-boiling wording, to obtain 3 sheng. Divide into three warm doses.
Supplement · Passage 27
Supplement: Jiegeng Bai San from Outer Terrace, for cough and full chest, shivering, rapid pulse, dry throat without thirst, occasional rank, foul turbid sputum and eventual pus like rice gruel: Lung abscess.
Supplement · Passage 28
Jiegeng and Beimu 3 fen each; Badou 1 fen, peeled, roasted and ground to a fatty consistency.
Supplement · Passage 29
Powder the three. A strong person takes half a qianbi with a drink, a weak person less. Illness above the diaphragm expels pus and blood by vomiting; below by purging. If excessive purging does not stop, the historical text prescribes a cup of cold water.
Supplement · Passage 30
Supplement: Weijing Tang from Thousand Gold, for cough, slight heat, vexing fullness and armor-like scaling in the chest: Lung abscess.
Supplement · Passage 31
Weijing 2 sheng; Yiyiren half a sheng; Taoren 50 kernels; Guaban half a sheng. Guaban follows the supplied ingredient spelling without an invented botanical identification.
Supplement · Passage 32
With 1 dou water first boil Weijing to obtain 5 sheng and strain. Add the other ingredients and boil to obtain 2 sheng. Take 1 sheng, then another; pus-like matter should be vomited.
Supplement · Passage 33
Lung abscess with full, distended chest, swelling of body, face and eyes, blocked nose with clear discharge, inability to smell fragrance, odor, sour or acrid, counterflow cough, upward qi, panting sounds and oppressive blockage is governed by Tingli Dazao Xiefei Tang.
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