（附肺痿肺痈）
咳嗽有风寒、痰饮、火、劳嗽、肺胀。春作是春升之气，用清凉药，二陈加薄、
荆之类；
夏是火气炎上，最重用芩、连；秋是湿热伤肺；冬是风寒外来，以药发散之后，用
半夏逐痰，必不再来。风寒，行痰开腠理，用二陈汤加麻黄、桔梗、杏仁，逐痰饮，降痰，
随证加药。火主清金，化痰降火。劳嗽，宜四物汤加竹沥、姜汁，补阴为主。干咳嗽难治，此系火
郁
不已
生姜佐之。大概有痰加痰药。上半日多嗽者，此属胃中有火，用贝母、石膏降胃火；午后
嗽
宜五味子、五倍子敛而降之；五更嗽多者，此胃中有食积，至此时，火气流入肺，以知母、
地骨皮降肺火；肺胀而嗽，或左或右，不得眠，此痰挟瘀血碍气而病，宜养血以流动乎气，
降火
青皮挟痰药，实者白芥子之类。在后，以二陈汤加南星、香附、青黛、青皮、姜汁。血碍气作嗽者，
桃仁去皮尖、大黄酒炒，姜汁丸服。治嗽多用生姜，以其辛散故也。痰因火动逆上作嗽者
，先
要先去病根，此乃收后药也。治痢亦同。劳嗽即火郁嗽，用诃子能治肺气，因火伤极，遂成
郁遏胀满不得眠一边。取其味酸苦，有收敛降火之功，佐以海石童便浸、香附、栝蒌、青黛
、杏仁、半夏曲之类，姜蜜调，噙化，必以补阴为主。治嗽灸天突穴、肺 穴，大泻肺气
。肺 穴在三推骨下两傍各一寸五分。
师云∶阴分嗽者，多属阴虚治之。有嗽而肺胀壅遏不得眠者，难治。肺痿，专主养肺气
，养
足
辛以散之；肺虚者，人参膏、阿胶为主；阴不足者，六味地黄丸为要药，或知母茯苓汤为妙；
阴虚气喘，四物汤加陈皮、甘草些少以降其气，补其阴，白芍药须用酒浸晒干。湿痰带风
喘嗽者，不可一味苦寒折之，如千缗汤、坠痰丸。更以皂角、萝卜子、杏仁、百药煎，姜汁丸
噙化。湿痰带风，以千缗汤、坠痰丸，固捷。痰积嗽，非青黛、栝蒌不除。有食积人，面青
黄色不常，面上有如蟹爪路，一黄一白者是。咳逆嗽，非蛤粉、青黛、栝蒌、贝母不除。
燥咽干有痰者，不用半夏、南星，用栝蒌、贝母；饮水者不用栝蒌，恐泥膈不松快。知母止
嗽清肺，滋阴降火。杏仁泻肺气，气虚久嗽者，一二服劫止。治酒嗽，青黛、栝蒌，姜蜜
丸，噙救肺。食积痰作嗽发热者，半夏、南星为君，栝蒌、萝卜子为臣，青黛、石碱为使。
戴云∶风寒者，鼻塞声重恶寒者是也；火者，有声痰少面赤者是也；劳者，盗汗出；兼
，多作寒热；肺胀者，动则喘满，气急息重，痰者嗽动，便有痰声，痰出嗽止。五者大概
耳。亦当明其是否也。
入方
治痰嗽。
杏仁（去皮尖） 萝卜子（各半两）
上为末，粥丸服。
清化丸 治肺郁痰喘嗽，睡不安宁。
贝母 杏仁 青黛
上为末，沙糖入姜汁泡蒸饼，丸如弹大。噙化。
又方 治久嗽风入肺。
鹅管石 雄黄 郁金 款花
上为末，和艾中。以生姜一片安舌上，灸之。以烟入喉中为度。
饮酒伤肺痰嗽，以竹沥煎紫苏，入韭汁，就吞栝蒌杏连丸。
又方 治咳嗽劫药。
五味子（五钱） 甘草（二钱半） 五倍子 风化硝（各四钱）
上为末，蜜丸。噙化，又云干噙。
又方 治咳嗽声嘶者，此血虚火多。
青黛 蛤粉
上为末。蜜调，噙化。
又方 治嗽喘，去湿痰。
白术 半夏 苍术 贝母 香附（各一两） 杏仁（去皮尖，炒） 黄芩（各半两）
上为末。姜汁打糊丸。
治妇人形瘦，有时夜热痰嗽，月经不调。
青黛 栝蒌仁 香附（童便浸晒干）
上为末。姜蜜调噙化。
治一人风热痰嗽。
南星 海粉（各二两） 半夏（一两） 青黛 黄连 栝蒌子 石碱 萝卜子（各半两） 皂角炭
防风（各三钱）
上为末，神曲糊丸服。
治劳嗽吐红。
人参 白术 茯苓 百合 红花 细辛 五味 官桂 阿胶 黄 半夏 杏仁 甘草
白芍 天门冬
上锉。水煎。若热，去桂、 ，用桑白皮、麻黄不去节、杏仁不去皮同煎。
又方 治嗽血。
红花 杏仁（去皮尖） 枇杷叶（去毛） 紫草茸 鹿茸（炙） 木通
桑白皮（又云加大黄）
上为末，炼蜜丸。含化。
嗽烟筒 治痰嗽久远者。
佛耳草 款花（二钱） 鹅管石 雄黄（半钱）
上为末。铺艾上，卷起，烧烟吸入口内，细茶汤送下。
定嗽劫药。
诃子 百药煎 荆芥穗
上为末，姜蜜丸。噙化。
又方 治心烦咳嗽等证。
六一散加辰砂服。
清金丸 治食积火郁嗽劫药。
贝母 知母（各半两，为末） 巴豆（去油膜，半钱）
上为末，姜泥丸，辰砂为衣。食后服，每五丸，白汤下。一云青黛为衣。
清金丸，一名与点丸，与清化丸同用，泻肺火，降膈上热痰。
片子黄芩（炒）
上为末，糊丸，或蒸饼丸，梧子大。服五十丸。
清化丸 与清金丸同用，专治热嗽及咽痛，故苦能燥湿热，轻能治上。
灯笼草（炒）
上为末，蒸饼丸。又细末，醋调敷咽喉间痛。
又方 治痰嗽。
礞石（半两， ） 风化硝（二钱半） 半夏（二两） 白术（一两） 茯苓 陈皮（各七钱半） 黄芩（半两
上为末，粥丸。
又方 治咳嗽气实，无虚热者可服，汗多者亦用之。
粟壳（四两，蜜炒去蒂膜） 乌梅（一两） 人参（半两） 款花（半两） 桔梗（半两） 兜铃（一两） 南星
（姜制，一两）
上为末，蜜丸弹子大。噙化。
苍莎丸 调中散郁。
苍术 香附（各四两） 黄芩（二两）
上为末，蒸饼丸梧子大。每服五十丸，食后姜汤下。
人参清肺散 治痰嗽咽干，声不出。
人参（一钱半） 陈皮（一钱半） 半夏（一钱） 桔梗（一钱） 麦门冬（半钱） 五味（十个） 茯苓（一钱）
甘草（半钱） 桑白皮（一钱） 知母（一钱） 地骨皮（一钱） 枳壳（一钱） 贝母（一钱半）
杏仁（一钱） 款花（七分
上水煎，生姜三片。
六味地黄丸 见诸虚。
千缗汤 坠痰丸 见痰类。
肺痿治法，在乎养血、养肺、养气、清金。曾治一妇人，二十余岁，胸膺间一窍，口中
所咳脓血，与窍相应而出，以人参、黄 、当归，补气血之剂，加退热排脓等药而愈。
〔附录〕《金匮方论》曰∶热在上焦者，因咳为肺痿，得之或从汗出，或从呕吐，或消
渴小便
利数，或从便难，又被快药下利，重亡津液，故寸口脉数，其人咳，口中有浊唾涎沫者，为
肺痿之病，其人脉数虚者是。
附方
海藏紫菀散 治咳中有血，虚劳肺痿。
人参（一钱） 紫菀（半钱） 知母（一钱半） 贝母（钱半） 桔梗（一钱） 甘草（半钱） 五味
（十五个） 茯
上 咀。水煎。
知母茯苓汤 治咳嗽不已，往来寒热，自汗肺痿。
甘草 茯苓（各一两） 知母 五味 人参 薄荷 半夏 柴胡 白术 款花 桔梗 麦门
冬黄芩（各半两） 川芎（二钱） 阿胶（三钱）
上水煎，生姜三片。
肺痈已破，入风者不治，用《医垒元戎》搜风汤吐之，或用太乙膏成丸，食后服。收敛疮口
，欢树皮白敛煎饮之。合欢，即槿树皮也，又名夜合。
〔附录〕肺痈为何？口中辟辟燥，咳即胸中隐隐痛，脉反滑数或数实者，此为肺痈也。
附方
桔梗汤 治肺痈咳嗽脓血，咽干多渴，大小便赤涩。
桔梗 贝母 当归（酒洗） 栝蒌仁 枳壳（炒） 桑白（蜜炙） 薏苡仁（炒） 防己（一两）
甘草节（生） 杏仁（炒） 百合（炙，各半两） 黄 （两半）
上 咀。每服五钱，生姜五片，水煎。大便秘，加大
黄；小便秘，加木通。
团参饮子 治七情及饥饱失宜，致伤脾肺，咳嗽脓血，渐成劳瘵。
人参 紫菀 阿胶（蛤粉炒） 百合 细辛 款花 经霜桑叶 杏仁（炒） 天门冬（去心）
半夏 五味（各一两） 甘草（半两）
上每服四钱，水煎，生姜五片。气嗽，加木香；唾血而热，加生地黄；唾血而寒，加钟
乳粉；疲极咳嗽，加黄 ；损肺咳血，加没药、藕节；呕逆腹满不食，加白术；咳而小便多者，加
益智；咳而面浮气逆，加沉香、橘皮。
咳嗽分为风寒、痰饮、火邪、劳嗽、肺胀五种。春季发作，是由于春升之气，应使用清凉药物，如二陈汤加入薄荷、荆芥之类；夏季是火气炎上，最重用黄芩、黄连；秋季是湿热伤肺；冬季是风寒外袭，先用发散药，再用半夏逐痰，病必不再复发。对于风寒咳嗽，需行痰开腠理，用二陈汤加麻黄、桔梗、杏仁，以逐痰饮、降痰，随证加减药物。火邪所致者，主清金（清肺热），化痰降火。劳嗽，宜用四物汤加竹沥、姜汁，以补阴为主。干咳嗽难治，此系火郁不已，佐以生姜。大概有痰则加化痰药。上半日多咳者，属胃中有火，用贝母、石膏降胃火；午后咳嗽，宜用五味子、五倍子收敛而降火；五更时分咳嗽多者，此因胃中有食积，此时火气流入肺，用知母、地骨皮降肺火；肺胀而咳，或左或右，不得安眠，此乃痰挟瘀血碍气而致病，宜养血以流动气机，降火，用青皮挟带化痰药，实证用白芥子之类。后期，用二陈汤加天南星、香附、青黛、青皮、姜汁。血碍气作咳者，用桃仁去皮尖、大黄酒炒，姜汁为丸服用。治咳多用生姜，因其辛散故也。痰因火动逆上作咳者，先要去病根，此为收后之药。治痢亦同此理。劳嗽即火郁嗽，用诃子能治肺气，因火伤极，遂成郁遏胀满不得安眠。取其味酸苦，有收敛降火之功，佐以海浮石童便浸、香附、瓜蒌、青黛、杏仁、半夏曲之类，姜蜜调匀，噙化，必以补阴为主。治咳灸天突穴、肺俞穴，大泻肺气。肺俞穴在第三椎骨下两旁各一寸五分处。
老师说：阴分咳嗽者，多属阴虚，治之。有咳而肺胀壅遏不得安眠者，难治。肺痿，专主养肺气，养足则……（原文此处似有脱漏，依文意推测为“养足则愈”或类似含义，但严格按原文翻译）……辛以散之；肺虚者，以人参膏、阿胶为主；阴不足者，六味地黄丸为要药，或知母茯苓汤为妙；阴虚气喘，用四物汤加陈皮、甘草少许以降其气，补其阴，白芍药须用酒浸晒干。湿痰带风喘咳者，不可一味苦寒折之，如千缗汤、坠痰丸。更以皂角、萝卜子、杏仁、百药煎，姜汁为丸噙化。湿痰带风，用千缗汤、坠痰丸，确实快捷。痰积咳嗽，非青黛、瓜蒌不除。有食积之人，面色青黄无常，面上有如蟹爪路，一黄一白者是。咳逆嗽，非蛤粉、青黛、瓜蒌、贝母不除。燥咽干有痰者，不用半夏、天南星，用瓜蒌、贝母；饮水者不用瓜蒌，恐泥膈不松快。知母止嗽清肺，滋阴降火。杏仁泻肺气，气虚久咳者，一二服可劫止。治酒嗽，用青黛、瓜蒌，姜蜜为丸，噙救肺。食积痰作咳发热者，半夏、天南星为君，瓜蒌、萝卜子为臣，青黛、石碱为使。
戴元礼说：风寒者，鼻塞声重恶寒者是也；火者，有声痰少面赤者是也；劳者，盗汗出；兼……（原文此处似有脱漏，结合下文“多作寒热”，可能指兼感外邪或多变），多作寒热；肺胀者，动则喘满，气急息重，痰者嗽动，便有痰声，痰出嗽止。这五种情况大概如此。亦当明其是否也。
入方（进入方剂部分）
清化丸 治肺郁痰喘嗽，睡不安宁。
贝母 杏仁 青黛
上为末，沙糖入姜汁泡蒸饼，丸如弹大。噙化。
又方 治久嗽风入肺。
鹅管石 雄黄 郁金 款花（款冬花）
上为末，和艾中。以生姜一片安舌上，灸之。以烟入喉中为度。
又方 治咳嗽劫药（强力止咳药）。
五味子（五钱） 甘草（二钱半） 五倍子 风化硝（各四钱）
上为末，蜜丸。噙化，又云干噙。
又方 治咳嗽声嘶者，此血虚火多。
青黛 蛤粉
上为末。蜜调，噙化。
又方 治嗽喘，去湿痰。
白术 半夏 苍术 贝母 香附（各一两） 杏仁（去皮尖，炒） 黄芩（各半两）
上为末。姜汁打糊丸。
治妇人形瘦，有时夜热痰嗽，月经不调。
青黛 栝蒌仁 香附（童便浸晒干）
上为末。姜蜜调噙化。
治一人风热痰嗽。
南星 海粉（各二两） 半夏（一两） 青黛 黄连 栝蒌子 石碱 萝卜子（各半两） 皂角炭 防风（各三钱）
上为末，神曲糊丸服。
治劳嗽吐红。
人参 白术 茯苓 百合 红花 细辛 五味子 官桂 阿胶 黄芪 半夏 杏仁 甘草 白芍 天门冬
上锉。水煎。若热，去桂、黄芪，用桑白皮、麻黄不去节、杏仁不去皮同煎。
又方 治嗽血。
红花 杏仁（去皮尖） 枇杷叶（去毛） 紫草茸 鹿茸（炙） 木通 桑白皮（又云加大黄）
上为末，炼蜜丸。含化。
嗽烟筒 治痰嗽久远者。
佛耳草 款花（二钱） 鹅管石 雄黄（半钱）
上为末。铺艾上，卷起，烧烟吸入口内，细茶汤送下。
清金丸 治食积火郁嗽劫药。
贝母 知母（各半两，为末） 巴豆（去油膜，半钱）
上为末，姜泥丸，辰砂为衣。食后服，每五丸，白汤下。一云青黛为衣。
清金丸，一名与点丸，与清化丸同用，泻肺火，降膈上热痰。
片子黄芩（炒）
上为末，糊丸，或蒸饼丸，梧子大。服五十丸。
清化丸 与清金丸同用，专治热嗽及咽痛，故苦能燥湿热，轻能治上。
灯笼草（炒）
上为末，蒸饼丸。又细末，醋调敷咽喉间痛。
又方 治痰嗽。
礞石（半两，煅） 风化硝（二钱半） 半夏（二两） 白术（一两） 茯苓 陈皮（各七钱半） 黄芩（半两）
上为末，粥丸。
又方 治咳嗽气实，无虚热者可服，汗多者亦用之。
粟壳（四两，蜜炒去蒂膜） 乌梅（一两） 人参（半两） 款花（半两） 桔梗（半两） 兜铃（一两） 南星（姜制，一两）
上为末，蜜丸弹子大。噙化。
苍莎丸 调中散郁。
苍术 香附（各四两） 黄芩（二两）
上为末，蒸饼丸梧子大。每服五十丸，食后姜汤下。
人参清肺散 治痰嗽咽干，声不出。
人参（一钱半） 陈皮（一钱半） 半夏（一钱） 桔梗（一钱） 麦门冬（半钱） 五味子（十个） 茯苓（一钱） 甘草（半钱） 桑白皮（一钱） 知母（一钱） 地骨皮（一钱） 枳壳（一钱） 贝母（一钱半） 杏仁（一钱） 款花（七分）
上水煎，生姜三片。
肺痿治法，在乎养血、养肺、养气、清金。曾治一妇人，二十余岁，胸膺间一窍，口中所咳脓血，与窍相应而出，以人参、黄芪、当归，补气血之剂，加退热排脓等药而愈。
〔附录〕《金匮方论》曰∶热在上焦者，因咳为肺痿，得之或从汗出，或从呕吐，或消渴小便利数，或从便难，又被快药下利，重亡津液，故寸口脉数，其人咳，口中有浊唾涎沫者，为肺痿之病，其人脉数虚者是。
附方
海藏紫菀散 治咳中有血，虚劳肺痿。
人参（一钱） 紫菀（半钱） 知母（一钱半） 贝母（钱半） 桔梗（一钱） 甘草（半钱） 五味子（十五个） 茯苓
上 咀。水煎。
知母茯苓汤 治咳嗽不已，往来寒热，自汗肺痿。
甘草 茯苓（各一两） 知母 五味子 人参 薄荷 半夏 柴胡 白术 款花 桔梗 麦门冬 黄芩（各半两） 川芎（二钱） 阿胶（三钱）
上水煎，生姜三片。
肺痈已破，入风者不治，用《医垒元戎》搜风汤吐之，或用太乙膏成丸，食后服。收敛疮口，欢树皮白敛煎饮之。合欢，即槿树皮也，又名夜合。
〔附录〕肺痈为何？口中辟辟燥，咳即胸中隐隐痛，脉反滑数或数实者，此为肺痈也。
附方
桔梗汤 治肺痈咳嗽脓血，咽干多渴，大小便赤涩。
桔梗 贝母 当归（酒洗） 栝蒌仁 枳壳（炒） 桑白皮（蜜炙） 薏苡仁（炒） 防己（一两） 甘草节（生） 杏仁（炒） 百合（炙，各半两） 黄芪（两半）
上 咀。每服五钱，生姜五片，水煎。大便秘，加大黄；小便秘，加木通。
团参饮子 治七情及饥饱失宜，致伤脾肺，咳嗽脓血，渐成劳瘵。
人参 紫菀 阿胶（蛤粉炒） 百合 细辛 款花 经霜桑叶 杏仁（炒） 天门冬（去心） 半夏 五味子（各一两） 甘草（半两）
上每服四钱，水煎，生姜五片。气嗽，加木香；唾血而热，加生地黄；唾血而寒，加钟乳粉；疲极咳嗽，加黄芪；损肺咳血，加没药、藕节；呕逆腹满不食，加白术；咳而小便多者，加益智；咳而面浮气逆，加沉香、橘皮。
(Attached: Lung Abscess and Lung Withering)
Cough is categorized into five types: Wind-Cold (Wind-Cold), Phlegm-Fluid Retention (Phlegm-Fluid), Fire (Fire), Labor Cough (Labor Cough), and Lung Distension (Lung Distension). Spring onset is due to the ascending Qi of spring; use cooling herbs, such as Er Chen Tang (Two-Aged Decoction) added with Bohe (Menthae Haplocalycis Herba) and Jingjie (Schizonepetae Spica). Summer onset is due to Fire Qi flaring upward; heavily use Huangqin (Scutellariae Radix) and Lian (Coptidis Rhizoma). Autumn onset is due to Damp-Heat injuring the Lung. Winter onset is due to external Wind-Cold; after using dispersing herbs, use Banxia (Pinelliae Rhizoma) to expel phlegm, ensuring recurrence does not happen. For Wind-Cold cough, move phlegm and open the interstices; use Er Chen Tang (Two-Aged Decoction) added with Mahuang (Ephedrae Herba), Jiegeng (Platycodonis Radix), and Xingren (Armeniacae Semen Amarum) to expel phlegm-fluids and descend phlegm, adding herbs according to the syndrome. For Fire, clear the Metal (Lung), transform phlegm, and descend Fire. For Labor Cough, use Si Wu Tang (Four Substance Decoction) added with Zhuli (Bambusae Caulis in Taenia) and Jiangzhi (Zingiberis Juice), focusing on nourishing Yin. Dry cough is difficult to treat; this is due to persistent Fire Stagnation, assisted by Shengjiang (Zingiberis Rhizoma Recens). Generally, if there is phlegm, add phlegm-transforming herbs. Cough occurring mostly in the first half of the day belongs to Fire in the Stomach; use Beimu (Fritillariae Bulbus) and Shigao (Gypsum Fibrosum) to descend Stomach Fire. Afternoon cough should be treated with Wuweizi (Schisandrae Fructus) and Wubeizi (Gallae Chinensis) to astringe and descend. Early morning (Wugeng) cough is mostly due to Food Stagnation in the Stomach; at this time, Fire Qi flows into the Lung; use Zhimu (Anemarrhenae Rhizoma) and Digupi (Lycii Cortex) to descend Lung Fire. Lung distension with cough, affecting either left or right side, preventing sleep, is caused by Phlegm obstructing Qi with Blood Stasis; nourish Blood to move Qi, descend Fire, use Qingpi (Aurantii Fructus Pericarpium) with phlegm-transforming herbs; for Excess patterns, use Baijiezhi (Brassicae Semis Albus). Later stage, use Er Chen Tang (Two-Aged Decoction) added with Nanting (Arisaematis Rhizoma Preparatum), Xiangfu (Cyperi Rhizoma), Qingdai (Indigo Naturalis), Qingpi (Aurantii Fructus Pericarpium), and Jiangzhi (Zingiberis Juice). When Blood obstruction causes cough, use Tao Ren (Persicae Semen) peeled and deseeded, and Dahuang (Rhei Radix et Rhizoma) stir-fried with wine, made into pills with Jiangzhi (Zingiberis Juice). Treating cough often uses Shengjiang (Zingiberis Rhizoma Recens) because of its acrid-dispersing nature. When Phlegm moves due to Fire and rebels upward causing cough, first remove the root cause; this is a follow-up treatment. Treatment for Dysentery is similar. Labor Cough is essentially Fire Stagnation Cough; use Hezi (Terminalia Chebulae Fructus) to treat Lung Qi. Due to extreme Fire injury, it leads to stagnation, distension, and inability to sleep. Utilize its sour and bitter taste for its astringing and descending Fire effects; assist with Haishi (Pteropoditum) soaked in Tongbian (Child's Urine), Xiangfu (Cyperi Rhizoma), Gualou (Trichosanthis Fructus), Qingdai (Indigo Naturalis), Xingren (Armeniacae Semen Amarum), Banxiaqu (Pinelliae Fermentum), etc., mixed with Ginger and Honey, held in the mouth to dissolve. Must focus on nourishing Yin. Treat cough by moxibustion on Tiantu (CV22) and Feishu (BL13) acupoints to greatly drain Lung Qi. Feishu (BL13) is located 1.5 cun lateral to the lower border of the spinous process of the third thoracic vertebra.
The Master said: Yin-type cough mostly belongs to Yin Deficiency; treat accordingly. Cough with Lung distension, obstruction, and inability to sleep is difficult to treat. Lung Withering focuses on nourishing Lung Qi. [Text gap] Acrid herbs disperse it; for Lung Deficiency, use Renshen Gao (Ginseng Paste) and Ejiao (Asini Corii Colla) as main treatments; for Yin insufficiency, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) is essential, or Zhimu Fuling Tang (Anemarrhena and Poria Decoction) is excellent; for Yin Deficiency with Asthma, use Si Wu Tang (Four Substance Decoction) added with Chenpi (Citri Reticulatae Pericarpium) and Gancao (Glycyrrhizae Radix et Rhizoma) in small amounts to descend Qi and nourish Yin; Baishao (Paeoniae Radix Alba) must be soaked in wine and sun-dried. For Wet-Phlegm with Wind causing Asthma and Cough, do not use purely bitter-cold herbs to suppress it, such as Qianmin Tang (Thousand-Silk Decoction) or Zhuidan Wan (Phlegm-Descending Pill). Further use Zaorao (Sinapis Albi Semen), Luobozhong (Raphani Semen), Xingren (Armeniacae Semen Amarum), Baiyaojian (Fermented Tea Brick), made into pills with Jiangzhi (Zingiberis Juice) to hold in the mouth. Wet-Phlegm with Wind, using Qianmin Tang (Thousand-Silk Decoction) and Zhuidan Wan (Phlegm-Descending Pill) is indeed rapid. Phlegm Accumulation Cough cannot be cured without Qingdai (Indigo Naturalis) and Gualou (Trichosanthis Fructus). People with Food Stagnation have irregular green-yellow facial complexion, with crab-claw-like lines on the face, alternating yellow and white. Rebellious Cough cannot be cured without Hafan (Concha Meretricis et Cyclinae), Qingdai (Indigo Naturalis), Gualou (Trichosanthis Fructus), and Beimu (Fritillariae Bulbus). For Dryness with Throat Dryness and Phlegm, do not use Banxia (Pinelliae Rhizoma) or Nanting (Arisaematis Rhizoma Preparatum); use Gualou (Trichosanthis Fructus) and Beimu (Fritillariae Bulbus); for those drinking water, do not use Gualou (Trichosanthis Fructus), fearing it will obstruct the chest and cause discomfort. Zhimu (Anemarrhenae Rhizoma) stops cough, clears Lung, nourishes Yin, and descends Fire. Xingren (Armeniacae Semen Amarum) drains Lung Qi; for Qi Deficiency with chronic cough, one or two doses can arrest it. For Alcohol-induced Cough, use Qingdai (Indigo Naturalis) and Gualou (Trichosanthis Fructus), made into pills with Ginger and Honey, held in the mouth to rescue the Lung. For Food Stagnation and Phlegm causing Cough and Fever, Banxia (Pinelliae Rhizoma) and Nanting (Arisaematis Rhizoma Preparatum) are Sovereign herbs; Gualou (Trichosanthis Fructus) and Luobozhong (Raphani Semen) are Minister herbs; Qingdai (Indigo Naturalis) and Shijian (Alkali) are Envoy herbs.
Dai Yun said: Wind-Cold presents with nasal congestion, heavy voice, and aversion to cold; Fire presents with audible phlegm but little sputum and red face; Labor presents with night sweats; [Text gap], often presenting with alternating chills and fever; Lung Distension presents with panting and fullness upon movement, urgent breathing, and heavy respiration; Phlegm presents with sound of phlegm during cough, stopping when phlegm is expelled. These five are the general cases. One must also clarify their validity.
Formulas for Entry
Treating Phlegm Cough.
Xingren (Armeniacae Semen Amarum) (peeled and deseeded) Luobozhong (Raphani Semen) (each 0.5 liang)
Grind into powder, make pills with congee, take orally.
Qinghua Wan (Clearing and Transforming Pill) Treating Lung Stagnation, Phlegm-Asthma Cough, restless sleep.
Beimu (Fritillariae Bulbus) Xingren (Armeniacae Semen Amarum) Qingdai (Indigo Naturalis)
Grind into powder, mix Sha Tang (Rock Sugar) with Jiangzhi (Zingiberis Juice), soak steamed biscuit dough, make pills the size of a bullet. Hold in mouth to dissolve.
Another Formula Treating Chronic Cough with Wind entering the Lung.
Eguanshi (Calcareum Tubulus) Xionghuang (Realgar) Yujin (Curcumae Radix) Kuanhua (Farfarae Flos)
Grind into powder, mix with Ai Ye (Artemisiae Argyi Folium). Place a slice of Shengjiang (Zingiberis Rhizoma Recens) on the tongue, moxa upon it. Continue until smoke enters the throat.
Alcohol injuring Lung causing Phlegm Cough: decoct Zisu (Perillae Folium) in Zhuli (Bambusae Caulis in Taenia), add Jiuzhi (Allii Fistulosi Juice), swallow Gualou Xinglian Wan (Trichosanthus, Apricot Kernel, and Coptis Pill).
Another Formula Treating Cough with Strong Arresting Herbs.
Wuweizi (Schisandrae Fructus) (5 qian) Gancao (Glycyrrhizae Radix et Rhizoma) (2.5 qian) Wubeizi (Gallae Chinensis) Fenghua Xiao (Natrii Sulfas Efflorescens) (each 4 qian)
Grind into powder, make honey pills. Hold in mouth to dissolve, also known as dry holding.
Another Formula Treating Hoarse Voice from Cough, due to Blood Deficiency and excess Fire.
Qingdai (Indigo Naturalis) Hafan (Concha Meretricis et Cyclinae)
Grind into powder. Mix with honey, hold in mouth to dissolve.
Another Formula Treating Cough-Asthma, removing Wet-Phlegm.
Baizhu (Atractylodis Macrocephalae Rhizoma) Banxia (Pinelliae Rhizoma Preparatum) Cangzhu (Atractylodis Rhizoma) Beimu (Fritillariae Bulbus) Xiangfu (Cyperi Rhizoma) (each 1 liang) Xingren (Armeniacae Semen Amarum) (peeled, deseeded, stir-fried) Huangqin (Scutellariae Radix) (each 0.5 liang)
Grind into powder. Make pills with paste formed by Jiangzhi (Zingiberis Juice).
Treating thin women with occasional night fever, Phlegm Cough, and irregular menstruation.
Qingdai (Indigo Naturalis) Gualou Ren (Trichosanthis Semen) Xiangfu (Cyperi Rhizoma) (soaked in child's urine, sun-dried)
Grind into powder. Mix with Ginger and Honey, hold in mouth to dissolve.
Treating a case of Wind-Heat Phlegm Cough.
Nanting (Arisaematis Rhizoma Preparatum) Haifen (Concha Meretricis et Cyclinae) (each 2 liang) Banxia (Pinelliae Rhizoma Preparatum) (1 liang) Qingdai (Indigo Naturalis) Huanglian (Coptidis Rhizoma) Gualou Zi (Trichosanthis Semen) Shijian (Alkali) Luobozhong (Raphani Semen) (each 0.5 liang) Zaorao Tan (Carbonized Sinapis Albi Semen) Fangfeng (Saposhnikoviae Radix) (each 3 qian)
Grind into powder, make pills with Shenqu (Medicated Leaven) paste. Take orally.
Treating Labor Cough with Hemoptysis.
Renshen (Ginseng Radix et Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma) Fuling (Poria) Baihe (Lilii Bulbus) Honghua (Carthami Flos) Xixin (Asari Radix et Rhizoma) Wuwei Zi (Schisandrae Fructus) Guanzi Gui (Cinnamomi Ramulus) Ejiao (Asini Corii Colla) Huangqi (Astragali Radix) Banxia (Pinelliae Rhizoma Preparatum) Xingren (Armeniacae Semen Amarum) Gancao (Glycyrrhizae Radix et Rhizoma) Baishao (Paeoniae Radix Alba) Tiandong (Asparagi Radix)
Cut into pieces. Decoct in water. If heat is present, remove Guizhi (Cinnamomi Ramulus) and Huangqi (Astragali Radix), use Sangbaipi (Mori Cortex), Mahuang (Ephedrae Herba) with nodes intact, and Xingren (Armeniacae Semen Amarum) with skin intact for decoction.
Another Formula Treating Cough with Blood.
Honghua (Carthami Flos) Xingren (Armeniacae Semen Amarum) (peeled and deseeded) Pipaye (Loquat Leaf) (de-haired) Zicao Rong (Arnebiae Radix et Rhizoma) Lurong (Cervi Cornu Pantotrichum) (roasted) Mutong (Akebiae Caulis) Sangbaipi (Mori Cortex) (also said to add Dahuang (Rhei Radix et Rhizoma))
Grind into powder, make pills with refined honey. Hold in mouth to dissolve.
Cough Smoke Tube Treating long-standing Phlegm Cough.
Foer Cao (Petasitae Japonicae Flos) Kuanhua (Farfarae Flos) (2 qian) Eguanshi (Calcareum Tubulus) Xionghuang (Realgar) (0.5 qian)
Grind into powder. Spread on Ai Ye (Artemisiae Argyi Folium), roll up, burn smoke, inhale into mouth, wash down with weak tea soup.
Cough Arresting Pills.
Hezi (Terminalia Chebulae Fructus) Baiyaojian (Fermented Tea Brick) Jingjisui (Schizonepetae Spica)
Grind into powder, make Ginger-Honey pills. Hold in mouth to dissolve.
Another Formula Treating Heart Restlessness, Cough, etc.
Take Liuyi San (Six-to-One Powder) added with Chensha (Cinnabaris).
Qingjin Wan (Clearing Metal Pill) Treating Food Stagnation, Fire Stagnation Cough Arresting Pills.
Beimu (Fritillariae Bulbus) Zhimu (Anemarrhenae Rhizoma) (each 0.5 liang, ground) Badou (Crotonis Fructus) (oil removed, membrane removed, 0.5 qian)
Grind into powder, make Ginger Paste pills, coat with Chensha (Cinnabaris). Take after meals, 5 pills each time, washed down with warm water. Another version says coat with Qingdai (Indigo Naturalis).
Qingjin Wan (Clearing Metal Pill), also named Yudian Wan (Touch Point Pill), used together with Qinghua Wan (Clearing and Transforming Pill), drains Lung Fire, descends Heat-Phlegm above the diaphragm.
Pianzi Huangqin (Stir-fried Scutellariae Radix)
Grind into powder, make pills with paste or steamed biscuit dough, size of wu zi (walnut seed). Take 50 pills.
Qinghua Wan (Clearing and Transforming Pill) Used together with Qingjin Wan (Clearing Metal Pill), specifically treats Heat Cough and Sore Throat; thus bitter herbs dry Damp-Heat, light herbs treat upper jiao.
Denglong Cao (Herba Siegesbeckiae) (stir-fried)
Grind into powder, make pills with steamed biscuit dough. Also grind finely, mix with vinegar, apply to painful throat area.
Another Formula Treating Phlegm Cough.
Mengshi (Calcitum) (0.5 liang, calcined) Fenghua Xiao (Natrii Sulfas Efflorescens) (2.5 qian) Banxia (Pinelliae Rhizoma Preparatum) (2 liang) Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang) Fuling (Poria) Chenpi (Citri Reticulatae Pericarpium) (each 7.5 qian) Huangqin (Scutellariae Radix) (0.5 liang)
Grind into powder, make pills with congee.
Another Formula Treating Cough with Qi Excess, suitable for those without Deficiency-Heat, also used for those with excessive sweating.
Suqiao (Papaveris Pericarpium) (4 liang, honey-roasted, remove stem and membrane) Wumei (Mume Fructus) (1 liang) Renshen (Ginseng Radix et Rhizoma) (0.5 liang) Kuanhua (Farfarae Flos) (0.5 liang) Jiegeng (Platycodonis Radix) (0.5 liang) Doulou (Campanulae Radix) (1 liang) Nanting (Arisaematis Rhizoma Preparatum) (ginger-processed, 1 liang)
Grind into powder, make honey pills the size of a bullet. Hold in mouth to dissolve.
Cangsha Wan (Atractylodes and Cyperi Pill) Regulates Middle, disperses Stagnation.
Cangzhu (Atractylodis Rhizoma) Xiangfu (Cyperi Rhizoma) (each 4 liang) Huangqin (Scutellariae Radix) (2 liang)
Grind into powder, make pills with steamed biscuit dough, size of wu zi (walnut seed). Take 50 pills each time, washed down with Ginger Soup after meals.
Renshen Qingfei San (Ginseng Lung-Clearing Powder) Treating Phlegm Cough with Dry Throat and loss of voice.
Renshen (Ginseng Radix et Rhizoma) (1.5 qian) Chenpi (Citri Reticulatae Pericarpium) (1.5 qian) Banxia (Pinelliae Rhizoma Preparatum) (1 qian) Jiegeng (Platycodonis Radix) (1 qian) Maimendong (Ophiopogonis Radix) (0.5 qian) Wuweizi (Schisandrae Fructus) (10 berries) Fuling (Poria) (1 qian) Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian) Sangbaipi (Mori Cortex) (1 qian) Zhimu (Anemarrhenae Rhizoma) (1 qian) Digupi (Lycii Cortex) (1 qian) Zhike (Aurantii Fructus Immaturus) (1 qian) Beimu (Fritillariae Bulbus) (1.5 qian) Xingren (Armeniacae Semen Amarum) (1 qian) Kuanhua (Farfarae Flos) (0.7 fen)
Decoct in water, add 3 slices of Shengjiang (Zingiberis Rhizoma Recens).
Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) See under Various Deficiencies.
Qianmin Tang (Thousand-Silk Decoction) Zhuidan Wan (Phlegm-Descending Pill) See under Phlegm Category.
Treatment for Lung Withering lies in nourishing Blood, nourishing Lung, nourishing Qi, and clearing Metal. I once treated a woman, over twenty years old, who had an opening between her chest and sternum, from which pus and blood coughed from the mouth emerged correspondingly. Using Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), formulas to tonify Qi and Blood, plus herbs to reduce fever and discharge pus, she recovered.
[Appendix] "Jinkui Fanglun" states: Heat in the Upper Jiao causes cough leading to Lung Withering. It arises from sweating, vomiting, Xiao Ke (Wasting-Thirst) with frequent urination, or constipation followed by harsh purgatives, causing severe loss of body fluids. Thus, the Cun Kou (Inch Pulse) is rapid, the person coughs, has turbid saliva and foam in the mouth; this is the disease of Lung Withering, characterized by a rapid and deficient pulse.
Attached Formulas
Haizang Ziwan San (Haizang Pulsatilla Powder) Treating Cough with blood, Consumptive Lung Withering.
Renshen (Ginseng Radix et Rhizoma) (1 qian) Ziwan (Pulsatillae Radix) (0.5 qian) Zhimu (Anemarrhenae Rhizoma) (1.5 qian) Beimu (Fritillariae Bulbus) (1.5 qian) Jiegeng (Platycodonis Radix) (1 qian) Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian) Wuweizi (Schisandrae Fructus) (15 berries) Fuling (Poria)
Cut into pieces. Decoct in water.
Zhimu Fuling Tang (Anemarrhena and Poria Decoction) Treating persistent cough, alternating chills and fever, spontaneous sweating, Lung Withering.
Gancao (Glycyrrhizae Radix et Rhizoma) Fuling (Poria) (each 1 liang) Zhimu (Anemarrhenae Rhizoma) Wuweizi (Schisandrae Fructus) Renshen (Ginseng Radix et Rhizoma) Bohe (Menthae Haplocalycis Herba) Banxia (Pinelliae Rhizoma Preparatum) Chaihu (Bupleuri Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Kuanhua (Farfarae Flos) Jiegeng (Platycodonis Radix) Maimendong (Ophiopogonis Radix) Huangqin (Scutellariae Radix) (each 0.5 liang) Chuanxiong (Ligustici Chuanxiong Rhizoma) (2 qian) Ejiao (Asini Corii Colla) (3 qian)
Decoct in water, add 3 slices of Shengjiang (Zingiberis Rhizoma Recens).
Lung Abscess that has ruptured and exposed to Wind is untreatable. Use Soufeng Tang (Wind-Searching Decoction) from "Yilei Yuanrong" to induce vomiting, or use Taiyi Gao (Great One Ointment) made into pills, taken after meals. To contract the wound, decoct Huan Pi (Albiziae Cortex) and Bai Lian (Moutan Cortex? Note: Text says 'Huan Pi... Hehuan is Hibiscus bark', likely referring to Albiziae Cortex or similar astringent bark) and drink. Hehuan is Hibiscus bark, also called Yehe.
[Appendix] What is Lung Abscess? Dryness in the mouth, coughing causes hidden pain in the chest, pulse is slippery-rapid or rapid-solid; this is Lung Abscess.
Attached Formulas
Jiegeng Tang (Platycodon Decoction) Treating Lung Abscess Cough with Pus and Blood, dry throat, excessive thirst, red and scanty urination and defecation.
Jiegeng (Platycodonis Radix) Beimu (Fritillariae Bulbus) Danggui (Angelicae Sinensis Radix) (wine-washed) Gualou Ren (Trichosanthis Semen) Zhike (Aurantii Fructus Immaturus) (stir-fried) Sangbai (Mori Cortex) (honey-roasted) Yiyiren (Coicis Semen) (stir-fried) Fangji (Stephaniae Tetrandrae Radix) (1 liang) Gancao Jie (Glycyrrhizae Radix et Rhizoma Node) (raw) Xingren (Armeniacae Semen Amarum) (stir-fried) Baihe (Lilii Bulbus) (roasted, each 0.5 liang) Huangqi (Astragali Radix) (1.5 liang)
Cut into pieces. Each dose 5 qian, 5 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct in water. For large intestine constipation, add Dahuang (Rhei Radix et Rhizoma); for small intestine/urinary constipation, add Mutong (Akebiae Caulis).
Tuan Shen Yinzi (Round Ginseng Drink) Treating emotional disturbance and irregular eating/drinking damaging Spleen and Lung, coughing pus and blood, gradually becoming Lao Zhai (Consumption).
Renshen (Ginseng Radix et Rhizoma) Ziwan (Pulsatillae Radix) Ejiao (Asini Corii Colla) (fried with Hafan powder) Baihe (Lilii Bulbus) Xixin (Asari Radix et Rhizoma) Kuanhua (Farfarae Flos) Jingshuang Sangye (Mulberry Leaf after Frost) Xingren (Armeniacae Semen Amarum) (stir-fried) Tiandong (Asparagi Radix) (decored) Banxia (Pinelliae Rhizoma Preparatum) Wuweizi (Schisandrae Fructus) (each 1 liang) Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang)
Each dose 4 qian, decoct in water, 5 slices of Shengjiang (Zingiberis Rhizoma Recens). For Qi Cough, add Muxiang (Aucklandiae Radix); for hemoptysis with heat, add Shengdi Huang (Rehmanniae Radix); for hemoptysis with cold, add Zhongru Fen (Stalactitum Pulvis); for extreme fatigue cough, add Huangqi (Astragali Radix); for damaged Lung with hemoptysis, add Moyao (Myrrha) and Ou Jie (Nelumbinis Node); for retching, abdominal fullness, and anorexia, add Baizhu (Atractylodis Macrocephalae Rhizoma); for cough with frequent urination, add Yizhi (Alpiniae Oxyphyllae Fructus); for cough with facial edema and rebellious Qi, add Chenxiang (Aquilariae Lignum Resinatum) and Ju Pi (Citri Reticulatae Pericarpium).