治久咳不止，恐成劳瘵
贝母（去心） 知母 前胡 柴胡 杏仁（去皮尖及双仁者，各四钱） 大团鱼（重十二
两以上者，去肠，一个）
上药与鱼同煮熟，取肉连汁食之，将药渣焙干为末，用鱼骨煮汁一盏，和药为丸，如桐
子大，每服二十丸，麦冬汤下，日三服。
润肺止嗽，并治肺痿。
人参（五分） 紫菀 知母（蒸） 贝母（去心） 桔梗 茯苓 真阿胶（蛤粉炒成珠，各一钱）
五味子 甘草（炙，各三分
水煎服。
滋阴降火，消痰，祛瘀，止咳，定喘，保肺，平肝，消风热，杀尸虫，此阴虚
天冬（去心蒸） 麦冬（去心蒸） 生地（酒洗） 熟地（九蒸晒） 山药（乳蒸） 百部（蒸）
沙参（蒸） 川贝母（去心蒸） 真阿胶（各一两） 茯苓（乳蒸） 獭肝 广三七（各五钱）
用白菊花二两，去蒂，桑叶二两（经霜者）熬膏，将阿胶化入膏内，和药稍加炼蜜为丸，如
弹子大。每服一丸，噙化，日三服。
血虚火旺，加以醇酒炙爆之物，此乃热气腾沸，迫血妄行，名曰阳乘阴。法当清降，四
生丸等主之。吐止后，则用六味地黄丸补之。又如脉细沉迟，口舌清润，平素体质虚寒，或
兼受风冷之气，此谓天寒地冻，水凝成冰，名曰阴乘阳。法当温散，理中汤主之。凡治血症
不论阴阳，俱以照顾脾胃为收功良策。诚以脾胃者，吉凶之关也。书云∶自上损下者，一
损、损于肺，二损、损于肝，三损、损于脾，过于脾，则不可治。自下损上者，一损、损于
肾，二损、损于心，三损、损于胃，过于胃，则不可治。所谓过于脾胃者，吐泻是也。古人
有言，不问阴阳与冷热，先将脾胃与安和。丹溪云∶凡血症，须用四君子之类以收功。其言
深有至理。然而补脾养胃，不专在药，而在饮食之得宜。《难经》曰∶损其脾者，调其饮食
适其寒温。诚以饮食之补，远胜于药耳。世之治损者，亦可恍惚悟矣。
治疗久咳不止，担心发展成劳瘵（慢性消耗性疾病）。
贝母（去除心部） 知母 前胡 柴胡 杏仁（去除皮尖及双仁者，各四钱） 大团鱼（重量在十二两以上的，去除内脏，一只）
将上述药物与鱼一同煮熟，取鱼肉连同汤汁食用。将药渣焙干研成粉末，用鱼骨煮出一盏汁液，调和药粉制成丸剂，大小如梧桐子。每次服用二十丸，用麦冬汤送服，每日三次。
润肺止咳，并治疗肺痿（肺部萎弱不振的病证）。
人参（五分） 紫菀 知母（蒸制） 贝母（去除心部） 桔梗 茯苓 真阿胶（用蛤粉炒至成珠状，各一钱） 五味子 甘草（炙制，各三分）
加水煎煮后服用。
滋阴降火，消除痰浊，祛除瘀血，止咳，平喘，保护肺气，平抑肝阳，消散风热，杀灭尸虫（指引起虚劳的寄生虫或病邪），此方适用于阴虚证。
天冬（去除心部并蒸制） 麦冬（去除心部并蒸制） 生地（酒洗） 熟地（经过九次蒸晒） 山药（乳汁蒸制） 百部（蒸制） 沙参（蒸制） 川贝母（去除心部并蒸制） 真阿胶（各一两） 茯苓（乳汁蒸制） 獭肝 广三七（各五钱）
用白菊花二两（去蒂）、桑叶二两（经霜打的）熬制成膏，将阿胶溶化入膏中，混合药物并加入适量炼蜜制成丸剂，大小如弹子。每次服用一丸，含化咽下，每日三次。
血虚且火旺，加上饮用烈酒和食用油炸烧烤之物，导致热气沸腾，逼迫血液妄行，称为“阳乘阴”。治法应当清热降逆，以四生丸等为主进行治疗。吐血停止后，则使用六味地黄丸进行补益。如果脉象细、沉、迟，口舌清润，平时体质虚寒，或者兼受风寒之气，这被称为“天寒地冻，水凝成冰”，称为“阴乘阳”。治法应当温散寒邪，以理中汤为主进行治疗。凡是治疗血症，不论属于阴证还是阳证，都以顾护脾胃作为收功的良好策略。确实因为脾胃是决定病情吉凶的关键所在。医书说：从上往下损伤的，一损损伤于肺，二损损伤于肝，三损损伤于脾，如果损伤超过脾，就不可治愈。从下往上损伤的，一损损伤于肾，二损损伤于心，三损损伤于胃，如果损伤超过胃，就不可治愈。所谓损伤超过脾胃，指的是出现呕吐腹泻的症状。古人有句话说，不问是阴证还是阳证、冷证还是热证，先要将脾胃安顿调和。朱丹溪说：凡是血症，必须用四君子汤之类的方剂来收功。这话很有深意和道理。然而补脾养胃，不仅仅依靠药物，更在于饮食是否适宜。《难经》说：损伤脾脏的，要调理其饮食，适应其寒温。确实，饮食的补益作用远胜于药物。世上治疗虚损病的人，也可以由此恍惚领悟了。
To treat persistent cough that does not cease, fearing it may develop into Lao Zhai (chronic consumptive disease).
Beimu (Fritillariae Bulbus, removed heart) Zhimu (Anemarrhenae Rhizoma) Qianhu (Peucedani Radix) Chaihu (Bupleuri Radix) Xingren (Armeniacae Semen Amarum, removed skin, tip, and double kernels, each 4 qian) Da Tuanyu (Large soft-shelled turtle, weighing over 12 liang, internal organs removed, one whole)
Cook the above herbs together with the turtle until done. Consume the meat along with the broth. Dry the herb dregs by roasting, grind them into powder, boil the turtle bones in water to obtain one cup of liquid, mix with the powder to form pills, sized like paulownia seeds. Take 20 pills per dose, administered with Maidong Decoction (Ophiopogonis Decoction), three times daily.
Moisten the lungs and stop cough; also treats Fei Wei (lung atrophy/withering).
Renshen (Ginseng Radix et Rhizoma, 5 fen) Ziwan (Asternatis Herba) Zhimu (Anemarrhenae Rhizoma, steamed) Beimu (Fritillariae Bulbus, removed heart) Jiegeng (Platycodonis Radix) Fuling (Poria) Zhen Ejiao (Donkey-hide Gelatin, stir-fried with clam powder until granular, each 1 qian) Wuweizi (Schisandrae Fructus) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 3 fen)
Decoct in water and take orally.
Nourish yin and descend fire, resolve phlegm, remove blood stasis, stop cough, calm asthma, protect the lungs, soothe the liver, dissipate wind-heat, kill "corpse parasites" (pathogenic factors causing consumption); this is for Yin deficiency patterns.
Tiantong (Asparagi Radix, removed heart and steamed) Maidong (Ophiopogonis Tuber, removed heart and steamed) Shengdi (Rehmanniae Radix, washed with wine) Shudi (Rehmanniae Radix Preparata, steamed and sun-dried nine times) Shanyao (Dioscoreae Rhizoma, steamed with milk) Baibu (Stemonae Radix, steamed) Shashen (Adenophorae Radix or Glehniae Radix, steamed) Chuan Beimu (Fritillariae Cirrhosae Bulbus, removed heart and steamed) Zhen Ejiao (Donkey-hide Gelatin, each 1 liang) Fuling (Poria, steamed with milk) Ta Gan (Leporis Liver) Guang Sanqi (Notoginseng Radix et Rhizoma, each 5 qian)
Boil 2 liang of Baijuhua (Chrysanthemi Flos, peduncle removed) and 2 liang of Sangye (Mori Folium, frosted) into a paste. Dissolve the Ejiao into the paste, mix with the herbs, add a little refined honey, and form pills sized like marbles. Take one pill per dose, hold in mouth to dissolve and swallow, three times daily.
Blood deficiency with hyperactive fire, exacerbated by consuming strong alcohol and fried/roasted foods, causes heat qi to surge and force blood to move recklessly, termed Yang Cheng Yin (Yang invading Yin). The treatment method should be to clear heat and descend rebellious qi, primarily using Sisheng Wan (Four Raw Ingredients Pill) etc. After hematemesis stops, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) to tonify. If the pulse is fine, deep, and slow, with moist mouth and tongue, and the patient has a constitutionally cold and deficient body type, or has contracted wind-cold, this is described as "cold heaven and frozen earth, water congealing into ice," termed Yin Cheng Yang (Yin invading Yang). The treatment method should be to warm and disperse, primarily using Lizhong Tang (Regulate the Middle Decoction). In treating blood disorders, regardless of yin or yang patterns, protecting the spleen and stomach is the best strategy for successful recovery. Indeed, the spleen and stomach are the gateway to fortune or misfortune. Medical texts state: Damage descending from above involves one damage to the lung, two damages to the liver, three damages to the spleen; if damage exceeds the spleen, it is incurable. Damage ascending from below involves one damage to the kidney, two damages to the heart, three damages to the stomach; if damage exceeds the stomach, it is incurable. What is meant by damage exceeding the spleen and stomach is vomiting and diarrhea. The ancients said, "Regardless of yin/yang or cold/heat, first settle and harmonize the spleen and stomach." Danxi stated: "For all blood disorders, one must use formulas similar to Sijunzi Tang (Four Gentlemen Decoction) to conclude treatment." His words contain profound truth. However, tonifying the spleen and nourishing the stomach relies not solely on medicine, but on appropriate diet. The *Nan Jing* states: "For those damaged in the spleen, regulate their diet and adapt to temperature changes." Indeed, dietary nourishment far surpasses medicinal effects. Those who treat consumption diseases in the world can gain insight from this.