干咳无痰、久咳不愈:百合固金丸

文摘   2024-11-02 15:02   重庆  

吾等尝言百合固金丸,其为滋养肺阴之善药。In the past, Baihe Gujin Pills were discussed as a superior medicine for nourishing lung yin.

若口燥、目干、鼻干、肌肤燥,此燥气实乃示吾等体内津液匮乏,即阴虚之证也。If a patient has a dry mouth and tongue, dry and sore eyes, a dry nose, and dry skin, this sign of dryness indicates a lack of body fluid and is a sign of yin deficiency.

于此时服一剂百合固金丸,可润周身。Taking Baihe Gujin Pills at the right time can moisten the whole body.

且其可疗咳嗽,即痰少之干咳。此亦为肺阴虚之征一也。Moreover, it can treat coughs, especially dry coughs with little phlegm, which is also a manifestation of lung yin deficiency.

干咳者,无痰,或仅有少许,且黏而难咯。There is no phlegm in dry coughs, or there is only a very small amount, and it is sticky and difficult to expectorate.

无痰之因,大抵为肺阴虚或肺肾阴虚所致。The reason for no phlegm is mostly due to lung yin deficiency or lung-kidney yin deficiency.

且久咳伤肺阴亦损肾阴,致喘嗽气紧,中医谓之“母病及子”。And prolonged coughs that damage lung yin will definitely affect kidney yin, leading to shortness of breath and rapid coughing. In traditional Chinese medicine, this is called "a diseased mother organ affecting its child organ".

阴虚者,血与津少,无水液之载体以吸附毒素化为痰而咳出,故干咳无痰。Yin deficiency means less blood and body fluid. There is not enough fluid carrier to absorb toxins and turn them into phlegm and cough them out. Therefore, there is dry cough without phlegm.

百合固金丸,适用于肺肾阴虚、燥咳少痰、痰中带血、咽干喉痛之证。Baihe Gujin Pills are suitable for lung-kidney yin deficiency, dry cough with little phlegm, bloody phlegm, and dry throat and sore throat.

方中,百合、麦冬清润润肺,滋养肺阴,亦清肺中之火;熟地、生地、玄参三味中药,有滋补肾阴之效。In the prescription, lilies and ophiopogonis are cool and moistening to the lungs, nourishing lung yin, and also clearing lung heat. Prepared rehmannia root, raw rehmannia root, and scrophularia root nourish kidney yin.

医家以为肾主水,调身体水液代谢,肾水足,方送水液于肝,以保水液输送畅达。The kidney is the organ related to water and is in charge of fluid metabolism. When there is sufficient kidney fluid, it can transport water to the liver to ensure the smooth flow of body fluid.

其中生地黄兼能凉血止血,玄参兼治咽喉燥痛,二者合为臣药。Raw rehmannia root also has the function of cooling blood and stopping bleeding. Scrophularia root also treats dry and sore throat. Together, they are adjuvant medicines.

当归、白芍养肝阴且养血;川贝母润肺化痰止咳;桔梗引药入肺化痰利咽,此四味皆为佐药。Angelica sinensis and white peony root nourish liver yin and nourish blood. Fritillaria cirrhosa moistens the lungs, resolves phlegm and stops coughing. Platycodon grandiflorum leads the medicine into the lungs and resolves phlegm and soothes the throat. These four are all adjuvants.

甘草调和诸药,兼能清热,以为使药。Licorice harmonizes all the medicines and also clears heat. It is the guiding medicine.

由是,成一养肺良方,自肝养至肾,自肾养至肺。Thus, it forms a good prescription for nourishing the lungs, from the liver to the kidney and from the kidney to the lung.

养肝即减肾之负,养肾即减肺之负,终至肝肾肺皆无负担,人身周全安宁,元气无损。Nourishing the liver reduces the burden on the kidney. Nourishing the kidney reduces the burden on the lung. Eventually, the liver, kidney, and lungs are all free from burden. The human body is in a state of peace and stability, and the vitality is not damaged.

临床,用百合固金丸之时甚多。Baihe Gujin Pills are widely used in clinical practice.

凡痰少干咳、鼻孔燥、全身皮肤燥、大便燥者,皆肺阴虚之征,皆可用百合固金丸调养。Dry cough with little phlegm, dry nostrils, dry skin, and dry stools are all signs of lung yin deficiency and can all be regulated with Baihe Gujin Pills.

于今,其可治肺结核、慢性支气管炎、支气管扩张咯血、慢性咽喉炎等疾。Nowadays, it can also be used to treat diseases such as tuberculosis, chronic bronchitis, hemoptysis due to bronchiectasis, and chronic pharyngitis.

但辨证属肺肾阴虚、虚火上炎即可。But it must be diagnosed as lung-kidney yin deficiency and excessive fire flaring up.

百合固金片、百合固金颗粒、百合固金口服液等皆可选用,于临床选用甚便。Baihe Gujin Tablets, Baihe Gujin Granules, Baihe Gujin Oral Liquid, etc. can all be selected, which is very convenient for clinical use.

阴虚体质者,当保阴潜阳,食宜清淡,少食油腻、油炸之物,肉可食,然量宜适。People with yin deficiency constitution should nourish yin and suppress yang. The diet should be light, with less greasy and fried foods. Meat can be eaten in moderation.

起居必有常,不可熬夜。Keep a regular daily routine and avoid staying up late.

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