《四圣心源》论治咳喘病

Treatment of Couth and Asthma in Teachings of Four Sages

黄元御认为咳喘之发病责之肺胃,肺胃不降是其病机关键,扶中气、降肺气是治疗咳喘的最基本方法。黄元御重视以温阳补土为大法,"泻水补火,抑阴扶阳,使中气轮转,清浊复位",力倡温中补土,多用温阳燥湿,忌用清凉滋润。对于内伤杂病,立法重在温中健脾、和胃降逆、疏肝理气,用药多选茯苓、甘草、半夏、芍药、桂枝、人参、附子、干姜等,通过调整脾胃,维持人体阴阳平和。

Hnang Yuanyu hnlds that the altack of cough and asthma is due to the hmg and stomach and failure of deseent of lung and stomach qi is the key pathogenesis. Reinforcing the middle qi,descending the lung qi is the most basic method for treating cough and asthma. Huang Yuanyu s^ressed the method of warming yang and supplementing earth. ＂Purging water and supplementing fire and inhibiting yin and strengthening yang to make Ihe middle qi flow in a rotate way and restnre the lucid and turbid＂. He adw）cates wanning the middle energizer and tonifying earth with methods of warming yang and drying dampness,avoiding cooling and moistening. For internal injury and miscellaneous diseases,the methods include warming the middle energizer and strengthe- ning the spleen ,hannonizing the stomach and descending the reverse flow of qi ,dispersing the liver and regulating qi with herbs of Fuling （ Poria ） , Gancao （ Radix et Rhizoma Glycyrrhizae） , Banxia （ Rhizoma Pinelliae） , Shaoyao （ Radix Paeoniae Alba）, Guizhi （Ramulus Cinnamomi）, Renshen （Radix et Rhizuma Ginseng）,Fuzi （Radix Aeoniti Lateralis） and Ganjiang （Rhizoma Zingiberis） to rcgulale the spleen and stomach and maintain harmony between yin and yang.