苏子降气汤 治上盛下虚，气喘等证。
紫苏子（二钱，微炒) 前胡 当归 半夏 陈皮 浓朴（各一钱） 沉香 炙草（各五分）
加生姜三片，大枣二枚，水二杯，煎八分服。
葶苈大枣泻肺汤(《金匮》) 治支饮满而肺气闭，气闭则呼吸不能自如，用此苦降，以泄实邪。
葶苈子(隔纸炒研如泥，二钱二分)
水一杯半，大枣十二枚，煎七分，入葶苈子服之。
十枣汤
方见《心腹痛》。
小青龙汤
方见《伤寒》。
贞元饮(景岳) 阴血为阳气之根据归，血虚则气无所根据，时或微喘，妇人血海常虚，多有
此症。景岳方意在济之缓之四字。济之以归、地，缓之以甘草，颇有意义。今人加紫石英、
黑铅之重镇，则失缓之之义；加沉香、白芥子之辛香，则失济之之义矣。且此方非为元气奔
脱而设，时医每遇大喘之症，必以此方大剂与服。气升则火升，偶得濡润之药，气亦渐平一
晌，旋而阴柔之性与饮水混为一家，则胸膈间纯是阴霾之气，其人顷刻归阴矣。吾乡潘市医
倡此法以局人神智，无一人悟及，诚可痛恨!
熟地黄（五七钱或一二两） 当归身（三四钱） 炙草（一二三钱）
水三四杯，煎八分服。
苓桂术甘汤(《金匮》) 治气短。喻嘉言云∶此治呼气短。
茯苓（四钱） 白术 桂枝（各二钱） 炙草（一钱五分）
水二杯，煎八分服。
肾气丸(《金匮》) 治气短。喻嘉言云∶此治吸气短，即八味地黄丸，但原方系干生地黄、桂枝。
茯苓甘草大枣汤(仲景) 治气喘脐下动气，欲作奔豚。
茯苓（六钱） 桂枝 甘草(炙，各二钱） 大枣（四枚）
用甘澜水三杯半，先煎茯苓至二杯，入诸药，煎七分服。作甘澜水法∶取长流水扬之数
百遍，或千遍愈妙。
真武汤(仲景) 镇水逆，定痰喘之神剂。
茯苓 芍药 生姜(切，各三两） 白术（二两） 附子（一枚炮，去皮，破八片)
上五味，以水八升，煮取三升，去滓，温服七合，日三服。宜倍茯苓。咳嗽甚者，去生
姜，加干姜一钱五分，五味、细辛各一钱。
黑锡丹 治脾肾虚冷，上实下虚，奔豚，五种水气，中风痰潮危急。
喻嘉言曰∶凡遇阴火逆冲，真阳暴脱，气喘痰鸣之急症，舍此方再无他法可施。予每用
小囊佩带随身，恐遇急症不及取药，且欲吾身元气温养其药，借手效灵，厥功历历可纪。即
痘症倒塌逆候，服此亦可回生。
沉香 附子(炮) 胡芦巴 肉桂（各一钱） 小茴香 补骨脂 肉豆蔻 木香 金铃子(去
核，各一两） 硫黄 黑铅(与硫黄炒成砂子，各三两）
上为末，酒煮面糊丸梧子大，阴干，以布袋擦令光莹。每服四五十丸，姜汤送下。
苏子降气汤：治疗上盛下虚、气喘等证候。
紫苏子（二钱，微炒）前胡当归半夏陈皮厚朴（各一钱）沉香炙甘草（各五分）
加生姜三片，大枣二枚，水两杯，煎至八分服。
葶苈大枣泻肺汤（出自《金匮要略》）：治疗支饮导致胸满、肺气闭阻，气机闭塞则呼吸不能自如，用此方苦味降泄，以泻除实邪。
葶苈子（隔纸炒后研成泥状，二钱二分）
水一杯半，大枣十二枚，煎至七分，加入葶苈子服用。
十枣汤
方剂见《心腹痛》篇。
小青龙汤
方剂见《伤寒》篇。
贞元饮（张景岳方）：阴血是阳气的根基，血虚则气无所依附，时常出现轻微气喘，妇女血海常处于虚损状态，多有此类症状。张景岳的方义在于“济”和“缓”四个字。用当归、地黄来滋补（济），用甘草来缓和，颇有深意。今人加上紫石英、黑铅等重镇之品，就失去了“缓”的含义；加上沉香、白芥子等辛香之品，就失去了“济”的含义。而且此方并非为元气脱失而设，时医每每遇到大喘的症状，必定用此方大剂量给患者服用。气机上逆则火气上升，偶尔得到濡润药物的作用，气机暂时平息片刻，随即阴柔的药性与饮水混为一体，则胸膈间全是阴霾之气，此人顷刻间就会死亡。我家乡潘市的医生提倡这种方法来迷惑世人神智，没有一个人醒悟，实在令人痛恨！
熟地黄（五七钱或一二两）当归身（三四钱）炙甘草（一二三钱）
水三四杯，煎至八分服。
苓桂术甘汤（出自《金匮要略》）：治疗气短。喻嘉言说：这是治疗呼气短促。
茯苓（四钱）白术桂枝（各二钱）炙甘草（一钱五分）
水两杯，煎至八分服。
肾气丸（出自《金匮要略》）：治疗气短。喻嘉言说：这是治疗吸气短促，即八味地黄丸，但原方使用的是干生地黄、桂枝。
茯苓甘草大枣汤（张仲景方）：治疗气喘伴有脐下动气，欲作奔豚病。
茯苓（六钱）桂枝甘草（炙，各二钱）大枣（四枚）
用甘澜水三杯半，先煎茯苓至两杯，加入其他药物，煎至七分服。制作甘澜水的方法：取长流水扬数百遍，或千遍更好。
真武汤（张仲景方）：镇伏水气逆乱，安定痰喘的神效方剂。
茯苓芍药生姜（切，各三两）白术（二两）附子（一枚炮制，去皮，破成八片）
以上五味药，用水八升，煮取三升，去渣，温服七合，每日三次。宜加倍使用茯苓。咳嗽严重的，去掉生姜，加干姜一钱五分，五味子、细辛各一钱。
黑锡丹：治疗脾肾虚冷，上实下虚，奔豚病，五种水气病，中风痰潮危急重症。
喻嘉言说：凡是遇到阴火逆冲，真阳暴脱，气喘痰鸣的急症，除了此方再无其他办法可施。我每次用小囊佩带在身上，恐怕遇到急症来不及取药，并且想让我身体的元气温养这些药物，借我的手发挥灵验功效，其功劳历历可数。即使是痘症塌陷逆候，服用此方也可以起死回生。
沉香附子（炮制）胡芦巴肉桂（各一钱）小茴香补骨脂肉豆蔻木香金铃子（去核，各一两）硫黄黑铅（与硫黄炒成砂子，各三两）
以上药物研为末，酒煮面糊制成梧桐子大小的丸药，阴干，用布袋摩擦使其光莹。每次服用四五十丸，姜汤送下。
Su Zi Jiang Qi Tang (Perilla Seed Decoction for Descending Qi): Treats conditions of excess in the upper jiao and deficiency in the lower jiao, such as asthma.
Perillae Fructus (Zisuzi) (2 qian, lightly stir-fried), Peucedani Radix (Qianhu), Angelicae Sinensis Radix (Danggui), Pinelliae Rhizoma Preparatum (Banxia), Citri Reticulatae Pericarpium (Chenpi), Magnoliae Officinalis Cortex (Houpo) (each 1 qian), Aucklandiae Radix (Chenxiang), Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao) (each 5 fen).
Add three slices of Zingiberis Rhizoma Recens (Shengjiang) and two Jujubae Fructus (Dazao), with two cups of water, decoct until eight-tenths remain, and take orally.
Ting Li Da Zao Xie Fei Tang (Descurainia Seed and Jujube Decoction to Drain the Lungs) (from *Jin Gui Yao Lue*): Treats fluid retention (Zhi Yin) causing chest fullness and closure of Lung Qi; when Qi is closed, breathing cannot be free and easy. This bitter-descending formula is used to drain pathogenic excess.
Descurainiae Semen (Tinglizi) (stir-fried between papers and ground into a paste, 2.2 qian).
With one and a half cups of water and twelve Jujubae Fructus (Dazao), decoct until seven-tenths remain, add Descurainiae Semen, and take orally.
Shi Zao Tang (Ten Jujubes Decoction)
See the section on Heart and Abdominal Pain for the prescription.
Xiao Qing Long Tang (Minor Green Dragon Decoction)
See the section on Cold Damage for the prescription.
Zhen Yuan Yin (True Origin Infusion) (by Zhang Jingyue): Yin Blood serves as the foundation for Yang Qi. When Blood is deficient, Qi has no foundation, occasionally leading to slight asthma. Women often have deficiency in the Sea of Blood and frequently present with this syndrome. The intent of Zhang Jingyue's formula lies in the characters "nourish" (Ji) and "soothe" (Huan). Nourish with Angelicae Sinensis Radix (Gui) and Rehmanniae Radix Preparata (Di); soothe with Glycyrrhizae Radix et Rhizoma Preparata (Gancao), which is quite meaningful. Today, physicians add heavy sedatives like Pyritum (Zishiying) and Plumbum (Qieian), thereby losing the meaning of "soothing"; they add pungent-aromatic herbs like Aucklandiae Radix (Chenxiang) and Sinapis Albae Semen (Baijiezi), thereby losing the meaning of "nourishing." Moreover, this formula was not designed for the escape of Primordial Qi. Contemporary physicians often administer large doses of this formula whenever they encounter severe asthma. As Qi rises, Fire rises. Occasionally, moistening herbs may temporarily calm the Qi, but soon the yin-nourishing nature of the herbs mixes with the ingested water, filling the chest and diaphragm with pure Yin-Cold Qi, leading to the patient's death within moments. Physicians in Pan Shi, my hometown, advocated this method to delude people's minds; no one realized the truth, which is truly lamentable!
Rehmanniae Radix Preparata (Shudihuang) (5-7 qian or 1-2 liang), Angelicae Sinensis Radix (Dangguishen) (3-4 qian), Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao) (1-3 qian).
With three to four cups of water, decoct until eight-tenths remain, and take orally.
Ling Gui Zhu Gan Tang (Poria, Cinnamon Twig, Atractylodes Macrocephala and Licorice Decoction) (from *Jin Gui Yao Lue*): Treats shortness of breath. Yu Jiayan stated: This treats shortness of breath during exhalation.
Poria (Fuling) (4 qian), Atractylodis Macrocephalae Rhizoma (Baizhu), Cinnamomi Ramulus (Guizhi) (each 2 qian), Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao) (1.5 qian).
With two cups of water, decoct until eight-tenths remain, and take orally.
Shen Qi Wan (Kidney Qi Pill) (from *Jin Gui Yao Lue*): Treats shortness of breath. Yu Jiayan stated: This treats shortness of breath during inhalation. It is the same as Ba Wei Di Huang Wan (Eight-Ingredient Pill with Rehmannia), but the original formula uses dried Shengdi Huang and Guizhi.
Fuling Gancao Dazao Tang (Poria, Licorice and Jujube Decoction) (by Zhang Zhongjing): Treats asthma accompanied by palpitations below the navel, indicating impending Ben Tun (Running Piglet) syndrome.
Poria (Fuling) (6 qian), Cinnamomi Ramulus (Guizhi), Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao) (each 2 qian), Jujubae Fructus (Dazao) (4 pieces).
Use San Lan Shui (Ganlan Water / Agitated Water) (3.5 cups). First decoct Poria until two cups remain, then add the other herbs, decoct until seven-tenths remain, and take orally. Method for making Ganlan Water: Take flowing water from a long stream and agitate it several hundred times, or even a thousand times for better effect.
Zhen Wu Tang (True Warrior Decoction) (by Zhang Zhongjing): A divine agent to subdue rebellious Water and settle Phlegm-Asthma.
Poria (Fuling), Paeoniae Radix (Shaoyao), Zingiberis Rhizoma (Shengjiang) (sliced, each 3 liang), Atractylodis Macrocephalae Rhizoma (Baizhu) (2 liang), Aconiti Lateralis Radix Preparata (Fuzi) (one piece, processed, peeled, broken into eight pieces).
The above five ingredients are boiled in eight sheng of water to obtain three sheng. Strain the dregs, warm, and take seven ge orally, three times a day. It is advisable to double the amount of Poria. If cough is severe, remove Zingiberis Rhizoma, add Zingiberis Rhizoma Siccum (Ganjiang) 1.5 qian, Schisandrae Fructus (Wuweizi) and Asari Radix et Rhizoma (Xixin) each 1 qian.
Hei Xi Dan (Black Tin Pill): Treats Spleen and Kidney deficiency-cold, excess in the upper and deficiency in the lower, Ben Tun, five types of Water Qi disorders, and critical conditions of Wind-Stroke with Phlegm-Turbidity.
Yu Jiayan said: Whenever encountering urgent conditions such as counterflow of Yin-Fire, sudden collapse of True-Yang, asthma with phlegm-rattle, there is no other method besides this formula. I always carry it in a small pouch close to my body, fearing that urgent cases may arise before medicine can be fetched, and hoping that the warming nourishment of my own Yuan Qi will activate the efficacy of the medicine through my hand, its merits being clearly recordable. Even in adverse conditions of smallpox collapse, taking this formula can restore life.
Aucklandiae Radix (Chenxiang), Aconiti Lateralis Radix Preparata (Fuzi) (processed), Psoraleae Fructus (Huluba), Cinnamomi Cortex (Rougui) (each 1 qian), Foeniculi Fructus (Xiaohuixiang), Psoraleae Fructus (Buguzhi), Myristicae Semen (Roudoukou), Aquilariae Lignum Resinatum (Muxiang), Meliae Fructus (Jinlingzi) (pitted, each 1 liang), Sulphur (Huang), Plumbum (Qieian) (stir-fried with Sulphur until granular, each 3 liang).
Grind all into powder. Make pills the size of wutong seeds using wheat paste boiled in wine. Dry in the shade. Rub with a cloth bag until smooth and glossy. Take 40-50 pills each time, washed down with Ginger Decoction.