张子和云∶夫富贵贫贱之人，不可一途而治。富贵之人，一切痰涎咳嗽，乃是浓味饮食，
热痰之致然也。先用独圣散吐之，吐讫可服人参散、通圣散加半夏，以此止嗽，更服大人参半
夏丸以化痰也。忌酸咸油腻生硬热物也。
贫难之人咳嗽，内外感风寒湿之致然也。《内经》曰∶秋伤于湿，冬生咳嗽。可服宁神散、
宁肺散加白术之类则愈矣。（忌法同前。）
子和治一妇人病嗽，时已十月。戴人处方六味∶陈皮、当归、甘草、白术、枳壳、桔梗。
其夫疑其不类嗽药。戴人笑曰∶君怪无乌梅、罂粟乎？夫冬嗽乃秋之湿也，湿上逆而为嗽。此
方皆散气除湿，解急和经。三服帖然效矣。
一男子年四十，病劳嗽咯血，唾吐粘臭不可闻，秋冬稍缓，春夏则甚，寒热往来，日晡发
作，状如 疟，寝汗如水。累服麻黄根败蒲扇而汗自若，又服宁神散、宁肺散而嗽自如。戴人
先以独圣散涌其痰，状如鸡黄汁，随涌出，昏愦三日不省，时时饮以凉水，精神稍开，饮食
加进。又与人参半夏丸、桂苓甘露散，不数服乃愈。
《衍义》有人患气痰将塞，或教以陈皮生姜焙干，神曲等分为末，丸梧桐子大，食后临
卧以米饮服五十丸，兼旧患膀胱气，缘此皆愈。
一妇人患肺热久嗽，身如炙，肌瘦将成劳。以枇杷叶、木通、款冬花、紫菀、杏仁、桑
白皮各等分，大黄减半为细末，蜜丸樱桃大，食后夜卧各噙一丸，未终一剂而愈。
张子和说：富贵与贫贱之人，不可用同一种方法治疗。富贵之人所患的一切痰涎咳嗽，是由于食用浓味饮食，导致热痰产生的结果。治疗时先用独圣散催吐，吐完后可以服用人参散、通圣散加半夏，以此止咳，再服用大人参半夏丸来化痰。同时需忌食酸咸、油腻、生冷坚硬及热性食物。
贫苦之人患咳嗽，是由于外感风寒湿邪所致。《内经》说：“秋季受湿气侵袭，冬季产生咳嗽。”可以服用宁神散、宁肺散加白术之类药物，病即可痊愈。（禁忌方法与前述相同。）
张子和曾治疗一位患有咳嗽的妇人，当时已是十月。戴人（张子和号）开具处方包含六味药：陈皮、当归、甘草、白术、枳壳、桔梗。她的丈夫怀疑这些药不像治咳嗽的药。戴人笑着说：“您奇怪没有乌梅、罂粟吗？冬季的咳嗽乃是秋季湿气所致，湿气上逆引发咳嗽。此方皆能行气除湿，缓解急症，调和经络。服用三剂后症状平息，见效了。”
又有一男子四十岁，患虚劳咳嗽并咯血，唾出的痰粘稠恶臭难闻，秋冬季节稍缓，春夏季节加重，寒热往来，每日傍晚发作，症状像疟疾，睡觉时出汗如水。多次服用麻黄根、败蒲扇后汗仍不止，又服用宁神散、宁肺散后咳嗽依旧。戴人先用独圣散涌吐其痰，吐出的痰状如鸡黄汁，随着呕吐排出，患者昏迷三天不省人事，期间不时喂以凉水，精神逐渐清醒，饮食也增加了。随后给予人参半夏丸、桂苓甘露散，没过几服药便痊愈了。
《衍义》中记载有人患气痰即将阻塞，有人教他用陈皮、生姜焙干，与神曲等分为末，制成梧桐子大小的药丸，饭后临睡前用米汤送服五十丸，连同旧有的膀胱气病，因此都痊愈了。
又有一妇人患肺热久咳，身体像被火烤一样，肌肉消瘦快要形成虚劳。用枇杷叶、木通、款冬花、紫菀、杏仁、桑白皮各等分，大黄减半，研为细末，蜂蜜炼丸如樱桃大，饭后和夜间卧床前各含化一丸，未服完一剂便痊愈了。
Zi He (Zhang Zihé) stated: The treatment for the wealthy and the poor cannot follow a single path. For the wealthy, all phlegm-rheum coughs are caused by consuming rich and flavorful foods, leading to the formation of heat-phlegm. Initially, Dusheng San (Single Sovereign Powder) should be used to induce vomiting. After vomiting, Renshen San (Ginseng Powder) or Tongsheng San (Supreme Unity Powder) with added Banxia (Pinellia Rhizome) can be taken to stop the cough, followed by Dafuren Shen Banxia Wan (Large Ginseng Pinellia Pill) to resolve phlegm. One must avoid sour, salty, greasy, raw, hard, and hot-natured foods.
For the poor, coughs are caused by external contraction of wind-cold-dampness. The *Neijing* states: "Injury by dampness in autumn leads to cough in winter." Ning Shen San (Spirit-Calming Powder) or Ning Fei San (Lung-Calming Powder) with added Baizhu (Atractylodes Rhizome) can be taken to achieve recovery. (The dietary restrictions are the same as mentioned above.)
Zi He once treated a woman suffering from cough; it was already the tenth month. Dai Ren (Zhang Zihé's courtesy name) prescribed six herbs: Chenpi (Tangerine Peel), Danggui (Angelica Sinensis Root), Gancao (Licorice Root), Baizhu (Atractylodes Rhizome), Zhike (Bitter Orange Fruit), and Jiegeng (Platycodon Root). Her husband suspected these were not typical cough medicines. Dai Ren smiled and said, "Are you surprised that there is no Wumei (Mume Fruit) or Ying Su Ke (Poppy Capsule)? Winter cough is due to autumn dampness; dampness rises upward causing cough. This formula moves qi, removes dampness, relieves urgency, and harmonizes the meridians. After three doses, the symptoms subsided, and it was effective."
Another case involved a forty-year-old man suffering from consumptive cough with hemoptysis. His sputum was sticky, foul-smelling, and unbearable. Symptoms eased slightly in autumn and winter but worsened in spring and summer. He experienced alternating chills and fever, occurring daily at dusk, resembling malaria (Nue, 疟疾), and suffered from night sweats profuse as water. Repeated use of Mahuang Gen (Ephedra Root) and Bai Pu Shan (Withered Cattail Leaves) failed to stop the sweating, and Ning Shen San and Ning Fei San failed to stop the cough. Dai Ren first used Dusheng San to vomit out his phlegm. The expelled phlegm resembled chicken yolk juice. Following the vomiting, he remained comatose and unconscious for three days. During this time, cool water was administered intermittently, after which his spirit gradually cleared and his appetite improved. Subsequently, Renshen Banxia Wan (Ginseng Pinellia Pill) and Guiling Ganlu San (Cassia-茯苓 Sweet Dew Powder) were given. Within a few doses, he recovered.
The book *Yanyi* records a case where a person suffered from qi-phlegm nearly causing obstruction. Someone advised roasting Chenpi (Tangerine Peel) and Shengjiang (Fresh Ginger), mixing them with Shenqu (Medicated Leaven) in equal parts, grinding into powder, and forming pills the size of Sophora seeds. Taken with rice water after meals and before bed, fifty pills per dose, both this condition and his pre-existing bladder qi disorder were cured.
Another case involved a woman with chronic cough due to lung heat. Her body felt as if roasted by fire, and she was emaciated, approaching consumption. She was treated with Pipa Ye (Loquat Leaf), Mutong (Akebia Stem), Kuandonghua (Coltsfoot Flower), Ziwan (Aster Root), Xingren (Apricot Seed), Sangbaipi (Mulberry Root Bark) in equal proportions, and half the amount of Dahuang (Rhubarb Root and Rhizome). These were ground into fine powder and formed into honey pills the size of cherries. One pill was held in the mouth to dissolve slowly after meals and before sleep. She recovered before finishing one course of treatment.