清肺饮

 ◎方  名：清肺饮（除痰之剂）

   总  结：痰嗽                                                                   

   编  号：006                                                                    

   组  成：五味子、桔梗、橘红、茯苓、贝母、杏仁、甘草                             

   主  治：治痰湿气逆而咳嗽。                                                     

   加  减：(1)若春时伤风咳嗽，鼻流清涕，宜清解，加薄荷、防风、紫苏、炒芩。        

           (2)夏多火热，宜清降，加桑皮、麦冬、黄芩、知母、石膏。                  

           (3)秋多湿热，宜清热利湿，加苍朮、桑皮、防风、栀、芩。                  

           (4)冬多风寒，宜解表行痰，加麻黄、桂枝、干姜、生姜、半夏、防风。        

           (5)火嗽加清黛、栝蒌、海石。                                            

           (6)食积痰加香附、山楂、枳实。                                          

           (7)湿痰除贝母，加半夏、南星。　(8)燥谈痰加栝蒌、知母、天冬。           

           (9)午前嗽属胃火，宜清胃，加石膏、黄连。                                

           (10)午后嗽属阴虚，宜滋阴降水，加芎、归、芍、地、知、柏、二冬、竹沥、   

           姜汁传送。                                                             

           (11)黄昏嗽为火浮于肺，不可用凉药，宜五倍、五味、诃子、，敛而降之。     

           (12)劳嗽见血，多是肺受热邪，宜加归、芍、阿胶、天冬、知母、款冬、紫苑   

           之类。                                                                 

           (13)久嗽肺虚，加参、耆。如肺热，去人参，用沙参可也。                   

   归  经：此手太阴之药，治肺之通剂。                                             

   方  义：(1)杏仁解肌散寒，降气润燥。                                            

           (2)贝母清火散结，润肺化痰。                                            

           (3)五味敛肺而宁嗽。                                                    

           (4)茯苓除湿而理脾。                                                    

           (5)橘红行气。                                                          

           (6)甘草和中。                                                          

           (7)桔梗清肺利膈，载药上浮，而又能开壅发表也。                          

   煎服法：加姜煎。食远服。