（自加）
治肿病初起。两目下如卧蚕状。身重微喘者。当以芳香疏气。得微汗可解也
制香附 苏叶 防风（各一钱五分） 杏仁泥（三钱） 甘草 陈皮（各五分）去杏仁
防风。即香苏饮本方。
治肿病水行皮肤者。
陈皮 茯苓皮 姜皮 桑白皮 大腹皮（各等分）
水煎服。
（自制）
治胀症将起。胸腹微满。食物不运。身重足重。不耐走动。早间肿
虚不行于脾也。温以和其气。气行湿去。其肿自除。并治木乘土而作胀
淡附子（二钱） 元党参（三钱） 炮姜（八分） 制香附（二钱） 泽泻（三钱） 白
芍（一钱五分）
忌食生冷水果等物。
（自制）
治水泻脾胃俱虚。并治霍乱。
藿香梗（三钱） 川连（一钱） 淡吴萸（一钱） 茯神（三钱） 苍术（一钱） 浓
朴（一钱）
天仙
水煎。如口渴。加乌梅一枚。如腹痛。更加桂枝（三分）
人参 白术 黄 川连 姜半夏 甘草 陈皮 茯苓 泽泻 防风 羌活 独活 柴
胡
茯苓 白术 木瓜 炙甘草 木香 浓朴 大腹皮 草豆蔻 淡附子 干姜
加枣煎。
治水肿泄泻。
猪苓 茯苓 泽泻 白术 桂枝 六一散 橘皮 木香 槟榔
加姜煎。
治湿热黄胆。
绵茵陈 大黄 栀子
如阴黄内症发黄者。本方加淡附片干姜之类。
脉候脾虚之症。脉忌沉微。缓者易治涩小多违。形如泻漆。脾败且危。弦而强劲
之机。温中为的。寒冷则非。
肺病 咳嗽 肺痈 肺痿 喘 哮 失音 喉症方治四首
肺者相传之官。治节出焉。其气清。其性脆。其体轻浮。在时为秋。在卦属兑。禀西方
之气
谓喘症与哮症微有不同。喘症在肺为实。在肾为虚。哮症因感邪失表。邪伏于里。而留于肺
俞。二症之治。不外开纳二法。开者青龙之品。纳者都气之属。至于邪留不去。酿成肺痈。
火灼金伤。致发肺痿。若夫失音之候。皆火克金伤之症也。当以虚实二字消息之。虚火刑金
而致者。金破无声也。邪热烁金而致者。金实无声也。实者泄之。虚者补之。又有土衰不能
生金者。当培其土而金自生也。总之治咳嗽宜肃肺气。治喘症当开其肺而安其脾。纳其肾也。
治哮症者宜温养其气。以搜逐其邪也。至于肺痈之治。宜解毒以保肺也。肺痿之治。宜滋其
肾以清其肺也。要皆不外乎虚则补母。实则泻子之道。有邪者清之。无邪者补之而已也。又
内经之言咳嗽者。分十二经之形状。有脾嗽心嗽肺嗽肝嗽肾嗽之辨。又有小肠嗽大肠嗽胃嗽
膀胱嗽胆嗽三焦嗽之说。又云久咳不已。则三焦受之。可知三焦一言。已赅十二经矣。考内
经自知详细。故不具论。所言肺痈之治。莫妙于彭钟龄之加味甘桔汤。肺痿之治。莫妙于彭
氏之保和汤也。而失音之辨。必以宫商角征羽五音。以明脾肺肝心肾五脏之病耳。又以歌属
脾。哭属肺。呼属肝。笑属心。呻吟属肾之音。以参乎其中。称法之密治之简者。莫如叶氏
之指南也。其治案中。如有邪者开达肺气。无邪者。填实足三阴经为主。其治肺痿者。宗金
匮麦门
（自拟方）
治疗水肿病初起。双眼下方浮肿如卧蚕状。身体沉重且伴有轻微气喘的。应当使用芳香药物疏通气机。通过微微出汗即可解除病症。
制香附、苏叶、防风（各一钱五分）、杏仁泥（三钱）、甘草、陈皮（各五分）。去掉杏仁。
防风。即是香苏饮的本方。
治疗水肿病水湿流行于皮肤之间的。
陈皮、茯苓皮、姜皮、桑白皮、大腹皮（各等分）。
用水煎服。
（自制方）
治疗胀症即将发作。胸腹部轻微胀满。食物难以运化。身体沉重双脚沉重。不耐行走。早晨浮肿。
这是脾虚不能行水所致。用温性药物调和气机。气行则湿气去除。浮肿自然消除。同时也治疗肝木乘脾土而导致的胀症。
淡附子（二钱）、党参（三钱）、炮姜（八分）、制香附（二钱）、泽泻（三钱）、白芍（一钱五分）。
忌食生冷水果等物。
（自制方）
治疗因脾胃俱虚导致的水样腹泻。同时也治疗霍乱。
藿香梗（三钱）、黄连（一钱）、吴茱萸（一钱）、茯神（三钱）、苍术（一钱）、厚朴（一钱）。
用水煎煮。如果口渴，加乌梅一枚。如果腹痛，再加桂枝（三分）。
人参、白术、黄芪、黄连、姜半夏、甘草、陈皮、茯苓、泽泻、防风、羌活、独活、柴胡。
茯苓、白术、木瓜、炙甘草、木香、厚朴、大腹皮、草豆蔻、淡附子、干姜。
加红枣一起煎煮。
治疗水肿伴泄泻。
猪苓、茯苓、泽泻、白术、桂枝、六一散、橘皮、木香、槟榔。
加生姜一起煎煮。
治疗湿热黄疸。
绵茵陈、大黄、栀子。
如果是阴黄内症发黄的，本方加入淡附片、干姜之类。
脉象显示脾虚的症状。脉象忌讳沉微。缓脉容易治疗，涩小脉多难治。脉形如泻漆之状，说明脾败且危险。弦而强劲的脉象，温中是确切的治疗方法。寒冷则不对。
肺病 咳嗽 肺痈 肺痿 喘 哮 失音 喉症方治四首
肺是相传之官。治理节律由此产生。肺气清肃。肺性脆弱。肺体轻浮。在季节对应秋天。在八卦属兑卦。禀受西方之气。
说喘症与哮症略有不同。喘症在肺为实证，在肾为虚证。哮症是因为感受邪气未能解表，邪气潜伏于体内，停留在肺俞穴。这两种病症的治疗，不外乎开宣和纳摄两种方法。开宣用的是青龙汤类的药物。纳摄用的是都气丸类的药物。至于邪气停留不去，酿成肺痈。火热灼伤肺金。导致发生肺痿。至于失音的情况，都是火克金损伤的病症。应当根据虚实来斟酌处理。虚火刑金导致的。是金破无声。邪热烁金导致的。是金实无声。实证用泻法。虚证用补法。又有土衰不能生金的。应当培补脾土而肺金自然生成。总之治疗咳嗽宜肃降肺气。治疗喘症应当开宣肺气并安顿脾脏。纳摄肾脏。治疗哮症宜温养其气。以搜逐邪气。至于肺痈的治疗。宜解毒以保肺。肺痿的治疗。宜滋补肾阴以清肺热。这些都不外乎虚则补母、实则泻子的道理。有邪气的清解它。无邪气的补益它罢了。另外《内经》关于咳嗽的说法。区分了十二经的形状。有脾嗽、心嗽、肺嗽、肝嗽、肾嗽的区别。又有小肠嗽、大肠嗽、胃嗽、膀胱嗽、胆嗽、三焦嗽的说法。又说久咳不止。则三焦受之。可知“三焦”一词。已经涵盖十二经了。考证《内经》自知详细。所以不详尽论述。所说的肺痈的治疗。没有比彭钟龄的加味甘桔汤更妙的。肺痿的治疗。没有比彭氏的保和汤更妙的。而失音的辨别。必须以宫商角徵羽五音。来明确脾肺肝心肾五脏的疾病。又以歌属脾。哭属肺。呼属肝。笑属心。呻吟属肾的声音。来参考其中。称法度严密治疗简便的。莫过于叶天士的指南。他的医案中。如果有邪气就开达肺气。如果没有邪气。就以填补充实足三阴经为主。他治疗肺痿。遵循《金匮要略》麦门冬汤……
(Self-prescribed Formula)
Treating the initial stage of edema. With puffiness under both eyes resembling a lying silkworm, heavy body, and slight asthma (wheezing/shortness of breath). One should use aromatic herbs to diffuse qi. Relief can be achieved through slight sweating.
Prepared Cyperi Rhizoma (Zhi Xiangfu), Perilla Leaf (Su Ye), Saposhnikovia Root (Fang Feng) (each 1.5 qian), Almond Paste (Xingren Ni) (3 qian), Licorice Root (Gancao), Tangerine Peel (Chenpi) (each 0.5 qian). Remove Almond.
Fang Feng is the base formula of Xiangsu Yin.
Treating edema where water flows within the skin.
Tangerine Peel (Chenpi), Poria Skin (Fuling Pi), Ginger Skin (Jiang Pi), Mulberry Root Bark (Sangbaipi), Areca Seed (Dafupi) (equal parts).
Decoct in water and take orally.
(Self-made Formula)
Treating distension syndrome about to arise. With slight fullness in the chest and abdomen, inability to transport food, heavy body and heavy feet, intolerance to walking, morning edema.
This is due to Spleen deficiency failing to move water. Use warm agents to harmonize qi. When qi moves, dampness is removed, and edema naturally disappears. Also treats distension caused by Liver Wood overacting on Spleen Earth.
Light Aconite Root (Dan Fuzi) (2 qian), Codonopsis Root (Yuan Dangshen) (3 qian), Roasted Ginger (Pao Jiang) (0.8 fen), Prepared Cyperi Rhizoma (Zhi Xiangfu) (2 qian), Alisma Tuber (Zexie) (3 qian), White Peony Root (Baishao) (1.5 qian).
Avoid eating raw, cold fruits, etc.
(Self-made Formula)
Treating watery diarrhea due to dual deficiency of Spleen and Stomach. Also treats Huoluan (cholera-like syndrome).
Agastache Stem (Huoxiang Geng), Coptis Rhizome (Chuanlian), Evodia Fruit (Dan Wuyu), Poria with Hostwood (Fushen), Atractylodes Macrocephala Rhizome (Cangzhu), Magnolia Bark (Noupu) (each 1 qian).
Decoct in water. If thirsty, add one Mume Fruit (Wumei). If abdominal pain, add more Cinnamon Twig (Guizhi) (0.3 fen).
Ginseng Radix (Renshen), Atractylodes Macrocephala Rhizome (Baizhu), Astragalus Root (Huangqi), Coptis Rhizome (Chuanlian), Pinellia Tuber prepared with Ginger (Jiang Banxia), Licorice Root (Gancao), Tangerine Peel (Chenpi), Poria (Fuling), Alisma Tuber (Zexie), Saposhnikovia Root (Fangfeng), Notopterygium Rhizome (Qianghuo), Angelica Dahurica Root (Duhuo), Bupleurum Root (Chaihu).
Poria (Fuling), Atractylodes Macrocephala Rhizome (Baizhu), Quince (Mugua), Honey-fried Licorice Root (Zhi Gancao), Costus Root (Muxiang), Magnolia Bark (Noupu), Areca Seed (Dafupi), Black Cardamom Seed (Caodoukou), Light Aconite Root (Dan Fuzi), Dried Ginger (Ganjiang).
Decoct with Jujube (Zao).
Treating edema with diarrhea.
Polyporus (Zhuling), Poria (Fuling), Alisma Tuber (Zexie), Atractylodes Macrocephala Rhizome (Baizhu), Cinnamon Twig (Guizhi), Liuyisan Powder, Tangerine Peel (Jupi), Costus Root (Muxiang), Betel Nut (Binglang).
Decoct with Ginger.
Treating damp-heat jaundice.
Yinchen Artemisia Herb (Mian Yichen), Rhubarb Root (Dahuang), Gardenia Fruit (Zhizi).
If it is Yin Jaundice with internal symptoms of yellowing, add Light Aconite Slice (Dan Fupian) and Dried Ginger (Ganjiang) to this formula.
Pulse signs of Spleen deficiency: The pulse forbids sinking and minute qualities. A slow pulse is easy to treat; a choppy and small pulse is often difficult. Pulse shape like pouring lacquer indicates Spleen failure and danger. A string-taut and strong pulse indicates that warming the Middle is the precise method. Cold is incorrect.
Lung Disease, Cough, Lung Abscess, Lung Flaccidity, Asthma, Wheezing, Aphonia, Throat Syndrome: Four Formulas for Treatment
The Lung is the official of transmission. Governance and regulation emerge from it. Its qi is clear. Its nature is fragile. Its structure is light and floating. In seasons, it corresponds to Autumn. In Bagua, it belongs to Dui. It inherits the qi of the West.
It states that Asthma (Chuan Zheng) and Wheezing (Xiao Zheng) are slightly different. Asthma in the Lung is Excess, in the Kidney is Deficiency. Wheezing occurs because pathogenic factors were contracted but not released via the exterior; the pathogen lies hidden internally and remains at the Shu-stream point of the Lung. Treatment of these two syndromes does not exceed two methods: Opening and Grasping. Opening uses agents of Qinglong (Green Dragon Decoction type). Grasping uses agents of Duqi (Duqi Pill type). As for pathogen lingering without departing, brewing into Lung Abscess. Fire scorching Metal injury, leading to Lung Flaccidity. As for Aphonia, all are syndromes of Fire overcoming Metal injury. One must consider Deficiency and Excess. Caused by Deficient Fire punishing Metal: Broken Metal makes no sound. Caused by Pathogenic Heat scorching Metal: Solid Metal makes no sound. Excess is drained. Deficiency is tonified. There is also Earth decline failing to generate Metal. One should cultivate Earth so Metal generates itself. In summary, treating Cough requires descending Lung Qi. Treating Asthma requires opening Lung Qi and calming the Spleen, grasping the Kidney. Treating Wheezing requires warming and nourishing Qi to search out and expel pathogens. Regarding Lung Abscess treatment, detoxification to protect the Lung is suitable. Regarding Lung Flaccidity treatment, nourishing the Kidney to clear the Lung is suitable. All do not exceed the principles of tonifying the Mother when Deficient, draining the Child when Excess. With pathogen: clear it. Without pathogen: tonify it. Furthermore, the *Neijing* regarding cough distinguishes the shapes of the twelve meridians. There are distinctions of Spleen Cough, Heart Cough, Lung Cough, Liver Cough, Kidney Cough. There are also Small Intestine Cough, Large Intestine Cough, Stomach Cough, Bladder Cough, Gallbladder Cough, Sanjiao Cough. It also says prolonged cough unceasingly then Sanjiao receives it. Thus knowing "Sanjiao" already encompasses the twelve meridians. Examining *Neijing* reveals details clearly, so not discussed fully. Regarding Lung Abscess treatment, nothing is better than Peng Zhongling's Modified Glycyrrhiza and Platycodon Decoction (Jiegeng Tang). Regarding Lung Flaccidity treatment, nothing is better than Peng's Baohe Tang. And distinguishing Aphonia must use Gong, Shang, Jue, Zhi, Yu five tones to clarify diseases of Spleen, Lung, Liver, Heart, Kidney. Also, singing belongs to Spleen, crying belongs to Lung, calling belongs to Liver, laughing belongs to Heart, groaning belongs to Kidney sounds, to refer to among them. Praising strict methods and simple treatments, none surpasses Ye Tianshi's Guide. In his medical cases, if there is pathogen, open and diffuse Lung Qi; if no pathogen, primarily fill and solidify the Foot Three Yin Meridians. His treatment of Lung Flaccidity follows the *Jinkui Yaolue* Mai Men Dong...