有短气、有火炎、有痰、有阴火上逆。凡久喘未发，以扶正气为要；已发，以攻邪为主；气短者，参 补
之；火炎上者，降心火，清肺金；有痰者，降痰下气为主；阴火上逆者，补阴降火；有气虚短气而喘，有痰亦短气而
喘；有阴虚自小腹下火起而上者。喘急而有风痰者，《妇人大全良方》∶千缗汤加导痰汤。阴虚挟痰喘急者，补阴降
火，四物汤加半夏、枳壳。气虚者，人参（蜜炙）、黄柏、麦门冬、地骨皮之类。大概喘急者，不可用苦药、凉药，火
气盛故也，导痰汤合千缗汤妙。诸喘不止者，用劫法，只一二服则止。气虚人少用。劫定之后，因痰治痰，因火治
火，用椒目研极细末，用二钱生姜汤调下止之。丸、末皆
可用。又法萝卜子蒸熟为君，皂角烧灰分为末，生姜汁蜜为丸，如小桐子大，每服用五七十丸，噙化止之。元气虚
而喘，喘而气短者生脉散。上气喘而躁者，属肺胀；欲作风水，发汗即愈。秋冬之间，风痰作喘，搜风化痰丸。
肺湿作喘，以甜葶苈研细末，枣肉为丸服之。人卧则气浮于肺，凡上升之气，大概用香附、黄连、黄芩、山栀、青
皮、以降之。戴云∶有痰喘者、有气急喘者、有胃虚喘者、有火炎上喘者。夫痰喘者，乍进乍退，喘便有痰声；气
急喘者，呼吸急促而无痰声；火炎上喘者，乍进乍退，得食则减，食已则喘，大概胃中有实火，膈上有稠痰，得食
入咽，坠下稠痰，喘即止，稍久，食已入胃，反助其火痰再升上，喘反大作，俗不知此，作胃虚治，用燥热之药，以
火济火，昔叶都督患此，诸医作胃虚治之，不愈，后以导水丸利五七次而安。又有胃虚喘者，抬肩撷肚，喘而不休是
也。治气逆气喘上气，紫金丹可用，须三年后者乃可，忌猪肉并酒。一子二岁患痰喘，见其精神昏倦，病气深，决
非外感，此胎毒也。盖其母孕时，喜辛辣热物所致，勿与解利药，因处以人参、连翘、芎、连、生甘草、陈皮、芍
药、木通煎，入竹沥，数日安。一妇人，六七个月痰嗽喘急不卧，专主肺∶北柴胡（一钱） 麻黄（二钱） 石膏（二
钱） 桑白皮（一钱） 甘草（半钱） 黄芩（一钱半） 一汗而愈。后服五味子、甘草、桑皮、人参、黄芩。
有短气、有火炎、有痰、有阴火上逆。凡久喘未发，以扶正气为要；已发，以攻邪为主；气短者，参补之；火炎上者，降心火，清肺金；有痰者，降痰下气为主；阴火上逆者，补阴降火；有气虚短气而喘，有痰亦短气而喘；有阴虚自小腹下火起而上者。喘急而有风痰者，《妇人大全良方》∶千缗汤加导痰汤。阴虚挟痰喘急者，补阴降火，四物汤加半夏、枳壳。气虚者，人参（蜜炙）、黄柏、麦门冬、地骨皮之类。大概喘急者，不可用苦药、凉药，火气盛故也，导痰汤合千缗汤妙。诸喘不止者，用劫法，只一二服则止。气虚人少用。劫定之后，因痰治痰，因火治火，用椒目研极细末，用二钱生姜汤调下止之。丸、末皆可用。又法萝卜子蒸熟为君，皂角烧灰分为末，生姜汁蜜为丸，如小桐子大，每服用五七十丸，噙化止之。元气虚而喘，喘而气短者生脉散。上气喘而躁者，属肺胀；欲作风水，发汗即愈。秋冬之间，风痰作喘，搜风化痰丸。肺湿作喘，以甜葶苈研细末，枣肉为丸服之。人卧则气浮于肺，凡上升之气，大概用香附、黄连、黄芩、山栀、青皮、以降之。戴云∶有痰喘者、有气急喘者、有胃虚喘者、有火炎上喘者。夫痰喘者，乍进乍退，喘便有痰声；气急喘者，呼吸急促而无痰声；火炎上喘者，乍进乍退，得食则减，食已则喘，大概胃中有实火，膈上有稠痰，得食入咽，坠下稠痰，喘即止，稍久，食已入胃，反助其火痰再升上，喘反大作，俗不知此，作胃虚治，用燥热之药，以火济火，昔叶都督患此，诸医作胃虚治之，不愈，后以导水丸利五七次而安。又有胃虚喘者，抬肩撷肚，喘而不休是也。治气逆气喘上气，紫金丹可用，须三年后者乃可，忌猪肉并酒。一子二岁患痰喘，见其精神昏倦，病气深，决非外感，此胎毒也。盖其母孕时，喜辛辣热物所致，勿与解利药，因处以人参、连翘、芎、连、生甘草、陈皮、芍药、木通煎，入竹沥，数日安。一妇人，六七个月痰嗽喘急不卧，专主肺∶北柴胡（一钱） 麻黄（二钱） 石膏（二钱） 桑白皮（一钱） 甘草（半钱） 黄芩（一钱半） 一汗而愈。后服五味子、甘草、桑皮、人参、黄芩。
译文：
喘息症状可由短气、火炎、痰阻、阴火上逆引起。凡是长期喘息但未发作时，以扶助正气为主要原则；已经发作时，以祛除邪气为主要原则。出现短气的，用人参来补益；火炎向上的，降低心火，清泻肺金；有痰的，以下降痰浊、顺降肺气为主要原则；阴火上逆的，滋补阴液、下降虚火。有因气虚导致短气而喘的，有因有痰导致短气而喘的，有因阴虚导致从小腹下方有火气向上冲逆的。喘息急促且伴有风痰的，参考《妇人大全良方》：使用千缗汤加入导痰汤。阴虚兼夹痰浊导致喘息急促的，滋补阴液、下降虚火，使用四物汤加入半夏、枳壳。气虚的，使用人参（蜜炙）、黄柏、麦门冬、地骨皮之类的药物。一般来说，喘息急促的，不能使用苦寒药、凉性药，因为火热之气旺盛的缘故，使用导痰汤配合千缗汤效果奇妙。各种喘息不止的，使用“劫法”（强力截断病势的方法），只需服用一两剂就能停止。气虚的人要少量使用。劫法平息之后，根据痰浊治疗痰浊，根据火热治疗火热，使用椒目研磨成极细粉末，用二钱生姜汤调服来停止喘息。丸剂、散剂都可以使用。另一种方法：将萝卜子蒸熟作为主药，皂角烧成灰烬研成粉末，用生姜汁和蜂蜜制成丸剂，大小如小桐子，每次服用五七十丸，含化以停止喘息。元气虚弱而喘息，喘息且气短的，使用生脉散。气逆上冲而烦躁的，属于肺胀；想要发展为风水（水肿病的一种），发汗即可痊愈。在秋冬季节，风痰引发喘息，使用搜风化痰丸。肺湿引发喘息，使用甜葶苈研磨成细末，用枣肉制成丸剂服用。人躺下时，气机浮越于肺，凡是上升的气机，一般使用香附、黄连、黄芩、山栀、青皮等药物来降泄。戴元礼说：有痰喘、有气急喘、有胃虚喘、有火炎上喘。所谓痰喘，时轻时重，喘息时就有痰鸣声；气急喘，呼吸急促但没有痰鸣声；火炎上喘，时轻时重，进食后减轻，吃完饭后反而喘息加重，大概是因为胃中有实火，膈膜上有粘稠痰涎，食物进入咽喉，压下了粘稠痰涎，喘息就停止，过一会儿，食物进入胃中，反而助长火邪和痰浊再次升上，喘息反而加剧，世俗之人不懂这个道理，当作胃虚来治疗，使用燥热性质的药物，这是以火救火，从前叶都督患有此病，众医生当作胃虚治疗，没有痊愈，后来使用导水丸通利大便五六次才安定。又有胃虚导致的喘息，表现为耸肩收腹，喘息不停息。治疗气逆、气喘、上气，可以使用紫金丹，但必须使用存放三年以上的药材才可以，禁忌食用猪肉和饮酒。有一个两岁的孩子患痰喘，看到其精神昏沉疲倦，病邪深重，绝对不是外感，这是胎毒。大概是因为其母亲怀孕时，喜欢吃辛辣热性食物所致，不要给予解表发散的药物，因此处方为人参、连翘、川芎、黄连、生甘草、陈皮、芍药、木通煎煮，加入竹沥，几天后安宁。有一位妇人，怀孕六七个月时痰嗽喘息急促不能平卧，专门针对肺部治疗：北柴胡（一钱） 麻黄（二钱） 石膏（二钱） 桑白皮（一钱） 甘草（半钱） 黄芩（一钱半），发一次汗就好了。后来服用五味子、甘草、桑白皮、人参、黄芩。
There are cases of shortness of breath, flaming fire, phlegm, and counterflow of yin-fire. For chronic asthma that has not yet manifested, the priority is to support healthy qi (Zheng Qi); once it manifests, the priority is to attack pathogenic factors. For shortness of breath, use Ginseng Radix et Rhizoma (Renshen) to tonify; for flaming fire ascending, descend Heart Fire and clear Lung Metal; for phlegm, the main approach is to descend phlegm and lower qi; for counterflow of yin-fire, tonify yin and descend fire. There are cases of shortness of breath and asthma due to qi deficiency, shortness of breath and asthma due to phlegm, and rising of fire from the lower abdomen due to yin deficiency. For urgent asthma with wind-phlegm, according to *Fu Ren Da Quan Liang Fang*: Qianmin Decoction (Qianmin Tang) combined with Dao Tan Decoction (Dao Tan Tang). For yin deficiency with phlegm causing urgent asthma, tonify yin and descend fire, using Siwu Decoction (Siwu Tang) added with Pinellia Tuber (Banxia) and Aurantium Fructus (Zhiqiao). For qi deficiency, use preparations such as Honey-fried Ginseng Radix et Rhizoma (Renshen), Phellodendri Cortex (Huangbai), Ophiopogonis Radix (Maidong), and Lycii Cortex (Digupi). Generally, for urgent asthma, bitter and cool medicines should not be used because the fire-qi is abundant; combining Dao Tan Decoction with Qianmin Decoction is excellent. For various asthmas that do not stop, use the "Jie method" (a drastic method to arrest symptoms), which stops after one or two doses. Use sparingly in people with qi deficiency. After the Jie method stabilizes the condition, treat phlegm according to phlegm and fire according to fire. Use Zanthoxylum Pericarpium Seed (Jiaomu) ground into an extremely fine powder, taken with ginger decoction to stop asthma. Both pills and powders can be used. Another method: steam Radish Seed (Luobozi) as the chief ingredient, burn Sophora Flavescens Pod (Zaojiao) to ash and grind into powder, make pills with ginger juice and honey, size like small paulownia seeds, take 50-70 pills per dose, dissolve in mouth to stop asthma. For yuan qi deficiency causing asthma and shortness of breath, use Shengmai San (Shengmai Powder). For upward rushing of qi with restlessness, it belongs to Lung Distension (Fei Zhang); if developing into Fengshui (Wind Water edema), sweating will cure it. Between autumn and winter, when wind-phlegm causes asthma, use Soufeng Huatan Wan (Soufeng Huatan Pill). When lung dampness causes asthma, grind Sweet Descurainia Seed (Tiantingli) into fine powder, make pills with jujube flesh. When lying down, qi floats to the lung; generally, for ascending qi, use Cyperi Rhizoma (Xiangfu), Coptis Rhizoma (Huanglian), Scutellariae Radix (Huangqin), Gardeniae Fructus (Shanzhi), and Aurantii Fructus (Qingpi) to descend. Dai Yun said: there is phlegm asthma, urgent breathing asthma, stomach deficiency asthma, and flaming fire asthma. Phlegm asthma comes and goes, with phlegm sounds during asthma; urgent breathing asthma has rapid breathing without phlegm sounds; flaming fire asthma comes and goes, decreases after eating, but worsens after eating. This is generally because there is excess fire in the stomach and thick phlegm above the diaphragm. When food enters the throat, it pushes down the thick phlegm, and asthma stops. After a while, food enters the stomach, further assisting fire and phlegm to rise again, causing asthma to worsen. Laypeople do not understand this and treat it as stomach deficiency, using drying and hot medicines, adding fire to fire. Formerly, General Ye suffered from this. Various doctors treated it as stomach deficiency and failed to cure him. Later, he was stabilized by using Daoshui Wan (Daoshui Pill) to promote urination five or seven times. There is also stomach deficiency asthma, characterized by lifting shoulders and sucking in the belly, with continuous asthma. To treat rebellious qi, asthma, and upward rushing qi, Zijin Dan (Zijin Pill) can be used, but it must be stored for three years or more. Avoid pork and alcohol. A two-year-old child suffered from phlegm asthma. Seeing his dull spirit and fatigue, and deep disease qi, it was definitely not an external contraction, but fetal toxin. This was likely caused by his mother's preference for spicy and hot foods during pregnancy. Do not give resolving and dispersing medicines. Prescribed Ginseng Radix et Rhizoma (Renshen), Forsythiae Fructum (Lianqiao), Ligusticum Chuanxiong Rhizome (Chuanxiong), Coptis Rhizoma (Lian), Raw Licorice Root (Sheng Gancao), Chenpi, Paeoniae Radix (Shaoyao), and Akebia Caulis (Mutong) decocted, with Bamboo Sap (Zhuli) added. He recovered after several days. A woman, at six or seven months of pregnancy, suffered from phlegm cough and urgent asthma unable to lie down. Focus on the lungs: Northern Bupleuri Radix (Beichaihu, 1 qian), Ephedrae Herba (Mahuang, 2 qian), Gypsum Fibrosum (Shigao, 2 qian), Morus Alba Bark (Sangbaipi, 1 qian), Licorice Root (Gancao, half qian), Scutellariae Radix (Huangqin, 1.5 qian). One sweat cured it. Afterwards, she took Schisandrae Fructus (Wuweizi), Licorice Root (Gancao), Morus Alba Bark (Sangpi), Ginseng Radix et Rhizoma (Renshen), and Scutellariae Radix (Huangqin).