治 羸少气，劳热咳嗽，肺痿失音，频吐痰涎，一切肺金虚损之病。
生黄 （三钱） 生地黄（五钱） 知母（三钱） 粉甘草（三钱） 玄参（三钱） 沙参（三钱）
川贝母（二钱去心） 牛蒡子（三钱炒捣）
一妇人，年四十，上焦发热，咳吐失音，所吐之痰自觉腥臭，渐渐羸瘦，其脉弦而有力。投以清火润肺之
药，数剂不效。为制此汤，于大队清火润肺药中，加生黄 一味以助元气，数剂见轻，十余剂后，病遂全愈。
或问∶脉既有力矣，何以复用补气之药？答曰∶脉之有力，有真有假。凡脉之真有力者，当于敦浓和缓中
见之，此脾胃之气壮旺，能包括诸脏也（脾胃属土能包括金木水火诸脏腑）。其余若脉象洪而有力，多系外
感之实热。若滑而有力，多系中焦之热痰。若弦而有力，多系肝经之偏盛，尤为有病之脉，此证之脉是也。
盖肺属金、肝属木，金病不能镇木，故脉现弦而有力之象。此肝木横恣，转欲侮金之象也。凡肺痿、肺痈之病，
多有胁下疼者，亦系肝木偏胜所致。
一人，年三十余，肺中素郁痰火，又为外感拘束，频频咳嗽，吐痰腥臭。恐成肺痈，求为延医。其脉浮而
有力，关前兼滑。遂先用越婢汤，解其外感，咳嗽见轻，而吐痰腥臭如故。次用葶苈（生者三钱纱袋装之）大
枣（七枚擘开）汤，泻其肺中壅滞之痰，间日一服。又用三七、川贝、粉甘草、金银花为散，鲜地骨皮煎汤，
少少送服，日三次。即用葶苈大枣汤之日，亦服一次。如此调治数日，葶苈大枣汤用过三次，痰涎顿少，亦不
腥臭。继用清金益气汤、贝母、牛蒡子各加一钱，连服十余剂，以善其后。
治疗身体消瘦、气短，劳热咳嗽，肺痿失音，频繁吐出痰涎，以及一切肺金虚损的疾病。
生黄芪（三钱） 生地黄（五钱） 知母（三钱） 粉甘草（三钱） 玄参（三钱） 沙参（三钱）
川贝母（二钱，去心） 牛蒡子（三钱，炒后捣碎）
有一位四十岁的女性患者，上焦发热，咳嗽且失音，吐出的痰自觉有腥臭味，身体逐渐消瘦，脉象弦而有力。服用清火润肺的药物，数剂后无效。于是为她配制此汤，在大队清火润肺药中加入一味生黄芪以辅助元气，服用数剂后病情减轻，十余剂后疾病痊愈。
有人问：脉象既然有力，为什么还要再用补气的药？回答说：脉象的“有力”，有真有假。凡是真正有力的脉，应当在敦厚、浓重、和缓中体现出来，这是脾胃之气壮旺，能够统摄诸脏的表现（脾胃属土，能包括金、木、水、火诸脏腑）。其余如脉象洪大而有力，多属于外感实热。如果滑而有力，多属于中焦的热痰。如果弦而有力，多属于肝经偏盛，这更是病态的脉象，本证的脉象就是这种情况。因为肺属金、肝属木，肺金有病不能制约肝木，所以脉象呈现弦而有力的表现。这是肝木横逆，反而要侮犯肺金的征象。大凡肺痿、肺痈这类疾病，多有胁下疼痛的症状，也是由于肝木偏胜所致。
另有一位三十多岁的男性患者，肺中素有痰火郁结，又受外感束缚，频频咳嗽，吐出的痰有腥臭味。担心形成肺痈，请求诊治。其脉象浮而有力，关前兼见滑象。于是先用越婢汤，解除外感，咳嗽减轻，但吐出的痰腥臭依旧。接着用葶苈大枣汤，泻除肺中壅滞的痰，隔日服用一次。又用三七、川贝母、粉甘草、金银花研为散剂，用鲜地骨皮煎汤，少量送服，每日三次。在使用葶苈大枣汤的那天，也服用一次散剂。这样调理数日后，葶苈大枣汤用了三次，痰涎顿时减少，也不再腥臭。继而又用清金益气汤，并在方中加入贝母、牛蒡子各一钱，连续服用十余剂，以巩固疗效善后。
Treats emaciation, shortness of breath, heat from deficiency with coughing, lung atrophy (Fei Wei) with loss of voice, frequent expectoration of phlegm and saliva, and all diseases caused by deficiency and damage of the Lung Metal.
Raw Huangqi (3 qian) Raw Dihuang (5 qian) Zhi Mu (3 qian) Fen Gancao (3 qian) Xuanshen (3 qian) Shashen (3 qian)
Chuan Beimu (2 qian, heart removed) Niubangzi (3 qian, stir-fried and crushed)
A female patient, aged forty, suffered from heat in the upper jiao, coughing with loss of voice, and her expectorated sputum had a fishy odor. Her body gradually became emaciated, and her pulse was wiry and forceful. She took medicines for clearing fire and moistening the lungs, but after several doses there was no effect. Therefore, this decoction was prepared for her. In the large group of medicines for clearing fire and moistening the lungs, one dose of Raw Huangqi was added to assist Yuan Qi (Primordial Qi). After several doses, the condition improved; after more than ten doses, the disease was completely cured.
Someone asked: Since the pulse is forceful, why use qi-tonifying medicine again? The answer is: The "forcefulness" of the pulse can be either real or false. A truly forceful pulse should be seen within a solid, substantial, and gentle quality; this indicates robust Spleen-Stomach Qi that can encompass all other zang-fu organs (The Spleen and Stomach belong to Earth and can encompass the organs of Metal, Wood, Water, and Fire). Other types, such as a pulse that is surging and forceful, are mostly due to excess heat from external contraction. If it is slippery and forceful, it is mostly due to hot-phlegm in the middle jiao. If it is wiry and forceful, it is mostly due to hyperactivity of the Liver channel, which is particularly a pathological pulse, as in this case. Since the Lung belongs to Metal and the Liver to Wood, when Lung Metal is diseased and cannot control Liver Wood, the pulse presents as wiry and forceful. This is a sign of Liver Wood acting recklessly and counter-attacking Lung Metal. In diseases such as lung atrophy (Fei Wei) and lung abscess (Fei Yong), pain under the hypochondrium is common, also caused by the hyperactivity of Liver Wood.
Another male patient, over thirty years old, had chronic phlegm-fire stagnation in the lungs, compounded by external constraints. He suffered from frequent coughing and expectorated sputum with a fishy odor. Fearing the development of lung abscess (Fei Yong), he sought medical treatment. His pulse was floating and forceful, with a slippery quality anterior to the guan position. Initially, Yuespi Tang (Yue Bi Decoction) was used to resolve the external contraction; the cough improved, but the sputum remained fishy-smelling. Subsequently, Tingli Dazao Tang (Descurainia Seed and Jujube Decoction) was used to drain the obstructive phlegm in the lungs, administered every other day. Additionally, Sanqi, Chuan Beimu, Fen Gancao, and Yinhua were ground into a powder, taken with small amounts of decoction made from fresh Digupi, three times daily. On days when Tingli Dazao Tang was administered, the powder was also taken once. After several days of such regulation, having used Tingli Dazao Tang three times, the phlegm and saliva decreased significantly and lost its fishy odor. Finally, Qingjin Yiqi Tang (Clear Metal and Boost Qi Decoction) was used, with additional Bei Mu and Niubangzi (1 qian each), taken continuously for over ten doses to consolidate the recovery.