（自制） 治阴虚咳嗽，或多痰，或干咳，或痰血红，或纯血。
麦冬（三四钱） 天冬（润肺，二钱） 白花百合（保肺，一两，有血倍用） 桑皮（泻火，
蜜炙
）茯苓（补脾，二钱） 贝母（二钱，痰多痰红倍用） 枇杷叶（降火，蜜炙，三大片，咳甚
加） 米仁（补肺热，燥脾湿，五钱，食少有血倍用）
入人乳、牛乳（各一杯妙），煎成，加炼蜜或饴糖数匙，薄荷、贝母研细亦和匀其内，
频频
此润燥清金降气消痰之剂。凡阴虚咳嗽，酒客病最宜服之。若热甚痰多，大便燥结者
，加梨
以人补人，其妙无加。
治症同。
生地（补阴，四两，酒拌略蒸） 麦冬（四两） 白花百合（八两，晒干、四两） 桑白皮（
蜜炙
消痰，三两） 山药（蒸熟，六两，以上三味研细入膏） 桔梗（一两） 枇杷叶（蜜炙，八两）
橘红（一两） 米仁（炒，八两，泄泻加四两） 茯苓（二两） 白芍（酒炒，三两） 炙甘草（一
两） 圆眼肉（四两） 大枣（补脾，六两）
十六味煎成膏，加饴糖白蜜（各一斤），俱煎极熟收之，俟冷入薄荷、贝母、山药末拌
匀，时
回生之属。
此方补阴清肺，益脾降气，消痰之剂。士材云∶虚劳之所难者。如脾喜温燥，清肺则
碍脾；
少泄多，虽喘嗽不宁，但以补脾为要，清润之品，所宜斟酌。以脾有生肺之能，肺无扶脾之
力，故制清宁膏一方而兼补脾阴之药。注云∶润肺不碍脾，补脾不碍肺，以肺属金而法天，
脾属土而法地。曰清宁者，脾肺兼理，取天清地宁之义也。愚以此方另添数味，投之辄效。
用方者，弗以品多而去之可也。按经言肾病而谓诸阳气浮，无所根据从，故呕逆上气喘。盖阳
根于阴，肾阴虚则阳无根据，而上升为呕嗳喘逆诸症。沈氏谓虚劳咳嗽，皆由阴虚阳盛，气为
阳，气有余便是火。火性上炎，势必刑金。肝木挟心相二火上逆，反侮肺金，故咳嗽无度，
至于黄昏肺气不能归纳肾间，夜咳愈甚，但肺为娇脏，咳伤肺膜，则痰中见血，火蒸精液，
化为痰涎，痰火交结，咳逆无休，肺阴日衰，以致音哑声嘶，则不治矣。故初病之时，急宜
降气消痰，调养脾胃，以生营卫，清润肺金，以生肾水，俾心火有制，不刑于肺，金水相生
，阴火退伏，而咳自宁矣。古方治干咳嗽有琼玉膏，用生地（四两）、茯苓（十二两）、人参（
六两）、白蜜（二斤）， 仙加琥珀、沉香（各五钱），同参茯为末，隔汤再煮，自云神效异常
。此虽以滋阴药为君，然人参乃肺热所忌，宜酌用之。
（自制方）治疗阴虚咳嗽，或者痰多，或者干咳无痰，或者痰中带血，或者纯为咯血。
麦冬（三到四钱） 天冬（润肺功效，二钱） 白花百合（保肺功效，一两，若有出血症状加倍使用） 桑白皮（泻火功效，蜜炙） 茯苓（补脾功效，二钱） 贝母（二钱，若痰多或痰中带血则加倍使用） 枇杷叶（降火功效，蜜炙，三大片，咳嗽剧烈时加入） 薏苡仁（补肺热、燥脾湿功效，五钱，若饮食减少且伴有出血则加倍使用）
加入人乳、牛乳（各一杯，效果奇妙），煎煮成汤后，加入炼蜜或饴糖数匙，将薄荷、贝母研成细末也混合在其中，频频服用。
这是润燥、清金（清肺）、降气、消痰的方剂。凡是阴虚咳嗽，嗜酒之人患病最适合服用。如果热势严重、痰多、大便干燥结滞者，加梨汁。
以人补人的方法，其妙处无可复加。
治疗的病症相同。
生地黄（补阴功效，四两，用酒拌略蒸） 麦冬（四两） 白花百合（八两，晒干取四两） 桑白皮（蜜炙，消痰功效，三两） 山药（蒸熟，六两，以上三味研成细末入膏） 桔梗（一两） 枇杷叶（蜜炙，八两） 橘红（一两） 薏苡仁（炒制，八两，若泄泻则加四两） 茯苓（二两） 白芍（酒炒，三两） 炙甘草（一两） 桂圆肉（四两） 大枣（补脾功效，六两）
十六味药煎煮成膏，加入饴糖和白蜜（各一斤），都煎至极熟后收膏，待冷却后加入薄荷、贝母、山药末拌匀，时时服用。
属于起死回生的类别。
此方是补阴、清肺、益脾、降气、消痰的方剂。士材（明代医家何梦瑶的字）说：虚劳病难治之处在于，如脾喜温燥，清肺则会妨碍脾；若患者腹泻多而便秘少，虽然喘息咳嗽不停，但以补脾为要务，清润的药物，应当斟酌使用。因为脾有生养肺的功能，肺没有扶持脾的力量，所以制定清宁膏一方，兼用补脾阴的药物。注释说：润肺不碍脾，补脾不碍肺，因为肺属金而效法天，脾属土而效法地。称为“清宁”，是因为脾肺兼理，取天清地宁的意义。我认为在此方中另外添加几味药，投药辄有效。使用此方的人，不要因为药味多就去除它们。按《内经》所言，肾病导致诸阳气浮越，无所依附跟随，所以出现呕逆、上气、气喘。盖因阳根于阴，肾阴虚则阳无所依，而上升表现为呕嗳、喘逆等症状。沈氏认为虚劳咳嗽，皆由阴虚阳盛引起，气属于阳，气有余便是火。火性炎上，势必灼伤肺金。肝木挟带心包与三焦之火上逆，反侮肺金，所以咳嗽无度。到了黄昏时分，肺气不能归纳于肾间，夜间咳嗽更加严重。但肺为娇脏，咳嗽损伤肺膜，则痰中带血，火热煎熬精液，化为痰涎，痰火交结，咳逆不止，肺阴日渐衰败，以致声音嘶哑失音，这就不可治愈了。所以在初病之时，急宜降气消痰，调养脾胃，以生成营卫之气，清润肺金，以滋生肾水，使得心火有制约，不灼伤肺金，金水相生，阴火退伏，咳嗽自然平息。古方治疗干咳嗽有琼玉膏，用地黄（四两）、茯苓（十二两）、人参（六两）、白蜜（二斤），仙加琥珀、沉香（各五钱），同参、茯为末，隔水再煮，自称神效异常。此方虽以滋阴药为主药，然而人参乃肺热所忌，应当斟酌使用。
(Self-made prescription) Treats Yin deficiency cough, or excessive phlegm, or dry cough without sputum, or blood-streaked sputum, or pure hemoptysis.
*Ophiopogonis Radix* (3 to 4 qian) *Asparagi Radix* (Moistens the Lung, 2 qian) *Lilii Bulbus* (Nourishes the Lung, 1 liang, double dose if bleeding is present) *Mori Cortex* (Drains fire, honey-fried) *Poria* (Tonifies the Spleen, 2 qian) *Fritillariae Bulbus* (2 qian, double dose if excessive phlegm or blood-streaked sputum) *Eriobotryae Folium* (Descends fire, honey-fried, three large slices, add if cough is severe) *Coicis Semen* (Tonifies Lung heat, dries Spleen dampness, 5 qian, double dose if poor appetite with bleeding)
Add human milk and bovine milk (one cup each, for wonderful effect), decoct into liquid, then add several spoons of refined honey or malt sugar. Grind *Menthae Haplocalycis Herba* and *Fritillariae Bulbus* into fine powder and mix evenly into the decoction. Take frequently.
This is a formula that moistens dryness, clears Metal (clears the Lung), descends Qi, and resolves phlegm. It is most suitable for those with Yin deficiency cough, especially wine drinkers. If heat is severe, phlegm is excessive, and stool is dry and constipated, add pear juice.
Using humans to supplement humans, its efficacy is unparalleled.
The symptoms treated are the same.
*Rehmanniae Radix* (Nourishes Yin, 4 liang, mixed with wine and slightly steamed) *Ophiopogonis Radix* (4 liang) *Lilii Bulbus* (8 liang, sun-dried, use 4 liang) *Mori Cortex* (Honey-fried, resolves phlegm, 3 liang) *Dioscoreae Rhizoma* (Steamed until cooked, 6 liang; grind the above three ingredients finely for the paste) *Platycodonis Radix* (1 liang) *Eriobotryae Folium* (Honey-fried, 8 liang) *Citri Reticulatae Pericarpium* (1 liang) *Coicis Semen* (Stir-fried, 8 liang, add 4 liang if diarrhea occurs) *Poria* (2 liang) *Paeoniae Radix Alba* (Wine-fried, 3 liang) *Glycyrrhizae Radix et Rhizoma Praeparata cum Melle* (1 liang) *Longan Arillus* (4 liang) *Jujubae Fructus* (Tonifies the Spleen, 6 liang)
Decoct the sixteen ingredients into a paste. Add malt sugar and white honey (one jin each), boil until thoroughly cooked and collect the paste. After cooling, mix in powders of *Menthae Haplocalycis Herba*, *Fritillariae Bulbus*, and *Dioscoreae Rhizoma*. Take regularly.
It belongs to the category of restoring life.
This formula nourishes Yin, clears the Lung, benefits the Spleen, descends Qi, and resolves phlegm. Shitai (referring to He Mengyao, a Ming Dynasty physician) said: The difficulty in treating Consumption lies in the fact that the Spleen prefers warmth and dryness; clearing the Lung may hinder the Spleen. If the patient has frequent diarrhea and infrequent constipation, although wheezing and coughing are restless, the priority should be tonifying the Spleen. Moistening and clearing agents should be used with caution. Because the Spleen has the ability to generate the Lung, but the Lung lacks the power to support the Spleen, this Qingning Paste was formulated to include herbs that tonify Spleen Yin. The annotation states: Moistening the Lung does not hinder the Spleen, tonifying the Spleen does not hinder the Lung. This is because the Lung belongs to Metal and follows the pattern of Heaven, while the Spleen belongs to Earth and follows the pattern of Earth. It is called "Qingning" (Clear and Tranquil) because it regulates both Spleen and Lung, taking the meaning of "Heaven is Clear and Earth is Tranquil." I believe adding a few more ingredients to this formula yields immediate results. Users of this formula should not discard it due to the large number of ingredients. According to the Classics, Kidney disease causes Yang Qi to float upwards without root, leading to vomiting, retching, upward rushing of Qi, and asthma. Since Yang is rooted in Yin, Kidney Yin deficiency means Yang has no foundation, rising up to cause symptoms like vomiting, belching, and wheezing. Shen stated that Consumption cough is caused by Yin deficiency and Yang excess. Qi belongs to Yang; excess Qi becomes Fire. Fire nature rises upward, inevitably damaging Lung Metal. Liver Wood, carrying the ministerial fire of the Heart and Sanjiao, rebels against and insults Lung Metal, causing incessant coughing. By dusk, Lung Qi cannot descend into the Kidneys, so night coughs are worse. However, the Lung is a delicate organ; coughing damages the lung membranes, resulting in blood in sputum. Heat steams essence fluids, transforming them into phlegm-saliva. Phlegm and Fire knot together, causing unceasing coughing and rebellion. As Lung Yin declines daily, hoarseness and loss of voice occur, which indicates an untreatable condition. Therefore, at the onset of illness, it is urgent to descend Qi, resolve phlegm, regulate the Spleen and Stomach to generate Ying and Wei, clear and moisten Lung Metal to generate Kidney Water, thereby restraining Heart Fire so it does not damage Lung Metal. Metal and Water generate each other, Yin Fire retreats, and cough naturally subsides. An ancient formula for dry cough is Qiongyu Paste, using *Rehmanniae Radix* (4 liang), *Poria* (12 liang), *Ginseng Radix* (6 liang), and white honey (2 jin). Xian added *Amber* and *Aquilariae Lignum Resinatum* (5 qian each). Grind Ginseng and Poria into powder, cook again over water bath, claiming extraordinary divine efficacy. Although this formula uses Yin-nourishing drugs as the sovereign, Ginseng is contraindicated for Lung heat and should be used with discretion.