秋令天气下降。上焦先受燥化。其咳症最多。屡进肺药无功。按经云。久咳
不已。则三焦受之。是不专于理肺可知矣。六旬又三。形体虽充。而真气渐衰。古
人于有年久嗽。都从脾肾子母相生主治。更有咳久。气多发泄。亦必益气甘补
敛摄。实至理也。兹议摄纳下焦于早服。而纯甘清燥暮进。填实在下。清肃在上。
凡药味苦辛宜忌。为伤胃泄气预防也。
早服 水制熟地 白云苓乳蒸 五味子 建莲 淮山药 车前子 淮牛膝
紫衣胡桃肉霜 上为末用蒸熟猪脊髓去膜捣丸开水送下
晚服 真北沙参 生黄 薄皮 麦冬 生白扁豆 生甘草 南枣肉 上淡水煎汁滤清收
膏临成加真柿霜收开水化服
昨议上焦肺病。百日未痊。形肌消烁。悉由热化。久热无有不伤阴液。拟咸
补如阿胶鸡子黄。复入芩连苦寒。自上清气热以补下。虽为暂服之方。原非峻
克之剂。细思手经之病。原无剧入足经之理。但人身气机。合乎天地自然。肺气
从右而降。肝气从左而升。肺病主降日迟。肝横司升日速。咳呛未已。乃肝胆木
反刑金之兆。试言及久寐寤醒。左常似闪烁。嘈杂如饥。及至进食。未觉胃中安
适。此肝阳化风。旋扰不息。致呛无卒期。即倏热之来。升至左颊。其左升太过。足
为明验。倘升之不已。入春肝木司权。防有失血之累。故左右为阴阳之道路。阴
阳既造其偏以致病。所以清寒滋阴。不能奏其速功。
阿胶 鸡子黄 生地 天冬 女贞实 糯稻根须
向来阳气不充。得温补每每奏效。近因劳烦。令阳气弛张。致风温过肺卫
以扰心营。欲咳心中先痒。痰中偶带血点。不必过投沉降清散。以辛甘凉。理上
燥。清络热。疏食安闲。旬日可安。
冬桑叶 玉竹 大沙参 甜杏仁 生甘草 苡仁 糯米汤煎
外受风温郁遏。内因肝胆阳升莫制。斯皆肺失清肃。咳痰不解。经月来犹
觉气壅不降。进食颇少。大便不爽。津液已久乏上供。腑中之气亦不宣畅。议养
胃阴以和阳。不得泛泛治咳。
麦冬 沙参 玉竹 生白芍 扁豆 茯苓
冬季温邪咳嗽。是水亏热气内侵。交惊蛰节嗽减。用六味加阿胶麦冬秋
石。金水同治。是泻阳益阴方法。为调体治病兼方。近旬日前。咳嗽复作。纳食不
甘。询知夜坐劳形。当暮春地气主升。夜坐达旦。身中阳气亦有升无降。最有失
血之虑。况体丰肌柔。气易泄越。当暂停诵读。数日可愈。
桑叶 甜杏仁 大沙参 生甘草 玉竹 青蔗浆
脉右劲。因疥疮频以热汤沐浴。卫疏易伤冷热。皮毛内应乎肺。咳嗽气塞
痰多。久则食不甘。便燥结。胃津日耗。不司供肺。况秋冬天降。燥气上加。渐至老
年痰火之象。此清气热以润燥。理势宜然。倘畏虚。日投滞补。益就枯燥矣。
霜桑叶 甜杏仁 麦冬 玉竹 白沙参 天花粉 甘蔗浆 甜梨汁
形瘦色苍。体质偏热。而五液不充。冬月温暖。真气少藏。其少阴肾脏。先已
习习风生。乃阳动之化。不以育阴驱热。以却温气。泛泛乎辛散。为暴感风寒之
治。过辛泄肺。肺气散斯咳不已。苦味沉降。胃口戕而肾关伤。致食减气怯。行动
数武。气欲喘急。封藏纳固之司渐失。内损显然。非见病攻病矣。静养百日。犹冀其安。
麦冬 甜沙参 生甘草 南枣肉 青蔗浆
久咳三年。痰多食少。身动必息鸣如喘。诊脉左搏数。右小数。自觉内火燔
燎。乃五液内耗。阳少制伏。非实火也。常以琼玉膏滋水益气。暂用汤药。总以勿
损胃为上。治嗽之药。谅无益于体病。
北沙参 白扁豆 炒麦冬 茯神 川石斛 花粉
寡居烦劳。脉右搏左涩。气燥在上。血液暗亏。由思郁致五志烦煎。固非温
热补涩之症。晨咳吐涎。姑从胃治。以血海亦隶阳明耳。
生白扁豆 玉竹 大沙参 茯神 经霜柔叶 苡仁 用白糯米淘滤清入滚水泡一沸取清汤煎药
又 本虚在下。情怀悒郁。则五志之阳。上熏为咳。固非实火。但久郁必气结血
涸。延成干血劳病。经候涩少愆期。已属明征。当培肝肾之阴以治本。清养肺胃
气热以理标。刚热之补。畏其劫阴。非法也。
生扁豆 北沙参 茯神 炙草 南枣肉
丸方 熟地黄砂仁末拌炒 鹿角霜 当归小茴香拌炒 淮牛膝盐水炒炭 云茯苓 紫石英醋 水飞 青盐 另熬生
羊肉胶和丸
今年春季时疫。大半皆有咳嗽咽喉之患。乃邪自上干。肺气先伤耳。近日
身动气喘。声音渐不扬。着左眠卧。左胁上有牵掣之状。此肝肾阴亏。冲气上触。
冬藏失司。渐有侧眠音哑至矣。劳伤致损。非清邪治咳之病。
六味丸加淡秋石阿胶麦冬蜜丸
脉左弱右搏。久有虚损。交春不复。夜卧着枕。气冲咳甚。即行走亦气短喘
促。此乃下元根蒂已薄。冬藏不固。春升生气浅少。急当固纳摄下。世俗每以辛
凉理嗽。每致不救矣。
水制熟地 五味 湖莲 芡实 茯神 青盐 羊肉肾
久有痛经。气血不甚流畅。骤加暴怒。肝阳逆行。乘肺则咳。病家云。少腹冲
气上干。其咳乃作。则知清润肺药。非中窍之法。今寒热之余。咳不声扬。但胁中
拘急。不饥不纳。乃左升右降。不司旋转。而胃中遂失下行为顺之旨。古人以肝
病易于犯胃。然则肝用宜泄。胃腑宜通。为定例矣。
桑叶 丹皮 钩藤 茯苓 半夏 广皮 威喜丸
气郁单胀。中空无物。卧则气塞。浊饮上冲。渐有不得安卧之象。问其起病
之由。多是恼怒动肝。为肝木郁伤脾土。脾失健运。气阻成胀。延及百日正气愈
虚。浊更坚凝。逆走攻肺。上咳。气逆欲喘。脘中蕴热。咳出脓血。病根固在肝脾。今
已传及肺部。丹溪曰。养金制木。脾无贼邪之害。滋水制火。肺得清化之权。目下
至要。务在顺气。胸中开爽。寝食不废。便可从容论治。不然。春分节近。更属难调
矣。先用宣通上焦法。
紫菀 杏仁 蒌皮 郁金 浓朴 大腹皮 桑皮 茯苓皮 黑山栀
肾精下损。致阴气上乘。浮阳上灼。咽喉痛痹。有喉宣发现。咳嗽喘促。是下
焦元海不司收纳。冲脉之气上冲所致。故日进润剂。望其咳减。为庸医之良法。
实酿病之祸阶。现下胃弱便溏。则非治嗽可疗矣。劳怯不复。当以固真纳气。培
扶胃口。希冀加谷则吉。
人参 茯苓 芡实 坎 湘莲子 秋石 五味子 胡桃
凡忧愁思虑之内伤不足。必先上损心肺。心主营。肺主卫。二气既亏。不耐
烦劳。易于受邪。惟养正则邪自除。无麻桂大劫散之理。故内伤必取法乎东垣。
今血止脉 。形倦不食。呛咳不已。吐痰若粘涎。皆土败金枯之象。急与甘缓补法。
生黄 炒白芍 炙草 饴糖 南枣
秋季气候下降，上焦首先受到燥邪的影响。因此咳嗽病症最为多见。如果多次使用治肺的药物却不见功效，按照《内经》所说：“久咳不愈，则病及三焦。”这说明治疗不能仅仅局限于调理肺部。患者六十三岁，虽然形体充实，但真气逐渐衰退。古人对于年老且长期咳嗽的患者，都从脾肾“子母相生”的关系入手进行治疗。另外，咳嗽日久，气机容易耗散，也必然需要采用益气、甘温补益以及收敛固摄的方法，这是非常合理的道理。现在建议早晨服用药物以摄纳下焦之气，晚上服用纯甘清润燥热的药物，以此填补下部之虚，清肃上部之热。凡是药味苦辛的都要禁忌，这是为了防止损伤胃气和耗泄正气。
早服方：水制熟地黄、白云苓（经乳蒸）、五味子、建莲、淮山药、车前子、淮牛膝、紫衣胡桃肉霜。以上药物研为细末，用蒸熟的猪脊髓去膜后捣烂制成丸药，用开水送服。
晚服方：真北沙参、生黄芪、薄皮橘红、麦冬、生白扁豆、生甘草、南枣肉。以上药物用淡水煎煮取汁，过滤澄清后收膏，临成时加入真柿霜，用开水化开服用。
昨天讨论的上焦肺病，经过百日治疗仍未痊愈，肌肉消瘦，这都是由热邪转化所致。长期发热没有不损伤阴液的。拟用咸味滋补药物如阿胶、鸡子黄，再配合黄芩、黄连等苦寒药物，从上焦清除气分的热邪并补充下焦之虚。这虽然是暂时服用的方剂，原本也不是峻猛的攻伐之剂。仔细思考手太阴肺经的疾病，原本没有严重波及足经的道理。但是人身的气机运行符合天地自然的规律，肺气从右而降，肝气从左而升。肺病导致主降功能迟缓，而肝横逆导致主升功能迅速。咳嗽呛逆不止，是肝胆木气反侮肺金的征兆。试问夜间睡眠与醒来时，左侧常感觉闪烁不定，心中嘈杂如同饥饿感，等到进食时，并未觉得胃中舒适。这是肝阳化风，旋转扰动不息，导致呛咳没有停止的时候。即使突然发热的到来，上升至左颊，其左侧升发太过，足以作为明证。如果升发不止，到了春季肝木当令之时，恐怕会有失血的祸患。所以左右是阴阳运行的道路，阴阳既然偏颇导致疾病，那么单纯使用清寒滋阴的方法，就不能迅速见效。
向来阳气不充足，得到温补每每奏效。最近因为劳烦，导致阳气弛张，致使风温之邪越过肺卫以扰乱心营。想要咳嗽时心中先感到痒，痰中偶尔带有血点。不必过度投用沉降清散的药物，应用辛甘凉性的药物，调理上部的燥邪，清除络脉的热邪，饮食清淡安闲，旬日即可安宁。
方药：冬桑叶、玉竹、大沙参、甜杏仁、生甘草、苡仁，用糯米汤煎煮。
外受风温郁遏，内因肝胆阳气升发无法制约，这些都导致肺失清肃，咳嗽痰多不解。一个多月来仍然觉得气壅滞不降，进食很少，大便不爽利，津液已经缺乏上供于肺，腑中之气也不宣畅。议定养胃阴以调和阳气，不得泛泛地治疗咳嗽。
冬季温邪引起的咳嗽，是水亏热气内侵，到了惊蛰节气咳嗽减轻。使用六味地黄丸加阿胶、麦冬、秋石。金水同治，这是泻阳益阴的方法，属于调体治病兼用的方子。近十天日前，咳嗽再次发作，食欲不佳。询问得知是因为夜间久坐劳累形体，正值暮春地气主升，夜间久坐直到天亮，身体中的阳气只有升发没有潜降，最有失血的忧虑。况且体质丰腴肌肉柔嫩，气容易泄越，应当暂停诵读，数日可以痊愈。
脉象右侧劲急，因为疥疮频繁用热水沐浴，卫气疏泄容易受冷热侵袭。皮毛内应乎肺，咳嗽气塞痰多，久了则食物无味，大便干燥结块，胃津日渐消耗，不能供应给肺。何况秋冬天气下降，燥气叠加，渐渐出现老年痰火的征象。这是清气热以润燥，理势应该如此。如果畏惧虚证，每日投用滋腻补药，会更加枯燥。
方药：霜桑叶、甜杏仁、麦冬、玉竹、白沙参、天花粉、甘蔗浆、甜梨汁。
形体瘦弱面色苍老，体质偏热，而五液不充足。冬月温暖，真气少藏。其少阴肾脏，先已有习习风生的现象，这是阳气动的变化。如果不以育阴驱热的方法来消除温气，而泛泛地使用辛散药物，那是治疗暴感风寒的方法。过用辛散会泄肺气，肺气散则咳嗽不已；苦味沉降会戕害胃口并损伤肾关，导致食减气怯，行动几步就气欲喘急，封藏纳固的功能逐渐丧失，内损显然。这不是见病攻病的治法。静养百日，还希望他能平安。
久咳三年，痰多食少，身体一动必伴有喘息样的息鸣。诊脉左手搏动数，右手小数，自觉内火燔燎，这是五液内耗，阳气少能制伏，并非实火。常以琼玉膏滋水益气，暂时使用汤药，总以不损伤胃气为上策。治嗽的药，想来对体病无益。
寡居且烦劳，脉象右侧搏动左侧涩滞，气燥在上，血液暗中亏损，由思虑忧郁导致五志烦煎。这本来不是温热补涩的病症。晨起咳嗽吐涎，暂且从胃论治，因为血海也隶属于阳明经。
方药：生白扁豆、玉竹、大沙参、茯神、经霜柔叶、苡仁，用白糯米淘洗滤清，入滚水泡一沸取清汤煎药。
又案：本虚在下，情怀悒郁，则五志之阳上熏为咳，这本来不是实火。但久郁必然导致气结血涸，拖延成干血劳病。月经量少且延期，已经是明显的征象。应当培补肝肾之阴以治本，清养肺胃气热以理标。刚热性质的补药，畏惧其劫伤阴液，是不合法度的。
丸方：熟地黄用砂仁末拌炒，鹿角霜，当归用小茴香拌炒，淮牛膝用盐水炒炭，云茯苓，紫石英用醋水飞，青盐，另熬生羊肉胶和丸。
今年春季时疫，大半都有咳嗽咽喉的病患，这是邪气自上干犯，肺气先受伤的缘故。近日身体活动即气喘，声音逐渐不响亮，向左侧卧睡，左胁上有牵掣的感觉。这是肝肾阴亏，冲气上触，冬藏功能失职，渐渐出现侧卧音哑的情况了。这是劳伤导致的虚损，不是清邪治咳的病。
脉象左弱右搏，久有虚损，交春后不复原，夜卧着枕，气冲咳甚，即使行走也气短喘促。这是下元根蒂已薄，冬藏不固，春升生气浅少。急当固纳摄下。世俗人常用辛凉理嗽，每每导致病情加重甚至不救。
久有痛经，气血不甚流畅，骤然加上暴怒，肝阳逆行，乘袭肺脏则咳嗽。病家说少腹冲气上干，咳嗽才发作，就知道清润肺药，不是中窍的方法。如今在寒热之余，咳嗽声音不扬，只是胁中拘急，不饥不纳，这是左升右降，不能司旋转之职，而胃中遂失去下行为顺的宗旨。古人认为肝病易于犯胃，然而肝用宜泄，胃腑宜通，这是定例。
气郁单胀，中空无物，卧则气塞，浊饮上冲，渐渐有不得安卧的现象。问其起病的原因，多是恼怒动肝，为肝木郁伤脾土，脾失健运，气阻成胀，拖延到百日正气愈虚，浊邪更坚凝，逆走攻肺，上咳，气逆欲喘，脘中蕴热，咳出脓血。病根固在肝脾，现在已经传及肺部。丹溪说：“养金制木，脾无贼邪之害；滋水制火，肺得清化之权。”目下至要，务在顺气，胸中开爽，寝食不废，便可从容论治。不然，春分节近，更属难调矣。先用宣通上焦法。
方药：紫菀、杏仁、蒌皮、郁金、浓朴、大腹皮、桑皮、茯苓皮、黑山栀。
肾精下损，致阴气上乘，浮阳上灼，咽喉痛痹，有喉宣发现，咳嗽喘促，这是下焦元海不司收纳，冲脉之气上冲所致。所以日进润剂，望其咳减，这是庸医的良法，实际上是酿病之祸阶。现下胃弱便溏，则不是治嗽可疗的了。劳怯不复，当以固真纳气，培扶胃口，希冀加谷则吉。
凡忧愁思虑的内伤不足，必先上损心肺。心主营，肺主卫，二气既亏，不耐烦劳，易于受邪。惟养正则邪自除，没有麻桂大劫散之理。故内伤必取法乎东垣。今血止脉微，形倦不食，呛咳不已，吐痰若粘涎，都是土败金枯的征象。急与甘缓补法。
In autumn, the weather descends. The Upper Jiao (Upper Burner) is first affected by dryness transformation. Consequently, cough symptoms are most numerous. If repeated treatments with lung-regulating herbs prove ineffective, according to the Classic: "If chronic cough persists without resolution, it affects the Three Jiao." This indicates that treatment should not be exclusively focused on regulating the lungs. At sixty-three years old, although his physical form is full, his True Qi (Zhen Qi) is gradually declining. Ancients treated elderly patients with chronic cough primarily from the perspective of the mother-son generating relationship between the Spleen and Kidney. Furthermore, prolonged coughing causes Qi to dissipate; therefore, it is necessary to tonify Qi with sweet-warm tonics and employ astringent methods. This is sound reasoning. Here, we propose taking medication in the morning to grasp and secure the Lower Jiao, and pure-sweet, clear-drying formulas in the evening to fill the deficiency below and clear/descend above. Bitter and acrid flavors are contraindicated to prevent damage to the Stomach and leakage of Qi.
Morning Formula: Water-processed Rehmanniae Radix Praeparata (Shu Di Huang), Bai Yun Ling (Poria steamed with milk), Schisandrae Fructus (Wu Wei Zi), Jian Lian (Lotus Seed), Huai Shan Yao (Dioscoreae Rhizoma), Che Qian Zi (Plantaginis Semen), Huai Niu Xi (Achyranthis Bidentatae Radix), Zi Yi Tao Ren Shuang (Walnut Meat Frost). These are ground into powder, mixed with steamed pig spinal cord (membrane removed) and pounded into pills, taken with warm water.
Evening Formula: Zhen Bei Sha Shen (Glehniae Radix), Raw Astragali Radix (Huang Qi), Bo Pi (Tangerine Peel), Ophiopogonis Tuber (Mai Dong), Raw Amomi Fructus Rotundus (Bai Bian Dou), Raw Glycyrrhizae Radix et Rhizoma (Gan Cao), Nan Zao Rou (Jujube Flesh). Decocted in fresh water, filtered, and reduced to an extract. Just before completion, add genuine Persimmon Frost (Shi Shuang), dissolve in warm water, and take.
Yesterday's discussion concerned Upper Jiao Lung disease. After one hundred days, there has been no recovery; muscle wasting occurs due to heat transformation. Prolonged heat inevitably damages Yin fluids. We propose using salty-nourishing agents like Eclitae Fermentatum (E Jiao) and Gallus Domesticus Ovum (Ji Zi Huang), combined with Scutellariae Radix (Huang Qin) and Coptidis Rhizoma (Huang Lian) which are bitter-cold. This clears Qi-level heat from above and nourishes below. Although this is a temporary formula, it is not a harsh purgative. Carefully considering diseases of the Hand-Taiyin Lung Meridian, they originally do not severely affect the Foot meridians. However, human Qi mechanism follows the laws of nature: Lung Qi descends from the right, Liver Qi ascends from the left. Lung disease delays descent, while Liver stagnation accelerates ascent. Persistent coughing and wheezing indicate Wood (Liver/Gallbladder) insulting Metal (Lung). Consider sleep and waking: the left side often feels flickering, with epigastric discomfort resembling hunger. Upon eating, the Stomach does not feel comfortable. This is Liver Yang transforming into Wind, rotating and disturbing incessantly, causing coughing without respite. Even sudden heat rising to the left cheek confirms excessive left-side ascent. If ascent continues unchecked, when Liver Wood takes command in Spring, there is fear of hemorrhage. Thus, left and right are pathways of Yin and Yang. Since Yin and Yang have deviated causing disease, cold-clearing and Yin-nourishing methods alone cannot achieve rapid results.
Formula: Eclitae Fermentatum (E Jiao), Gallus Domesticus Ovum (Ji Zi Huang), Rehmanniae Radix (Sheng Di Huang), Asparagi Tuber (Tian Dong), Ligustri Lucidi Fructus (Nv Zhen Zi), Agri Graminis Rhizoma Cum Mycelio (Nuo Dao Gen Xu).
Previously, insufficient Yang responded well to warming tonics. Recently, due to mental fatigue, Yang has become lax, allowing Wind-Warmth pathogens to bypass the Lung and Wei defenses to disturb the Ying level of the Heart. Itching precedes coughing; sputum occasionally contains blood spots. Do not overuse descending/clearing dispersants. Use pungent-sweet-cool agents to regulate upper dryness and clear collateral heat. Maintain a light diet and rest; peace can be restored in ten days.
Formula: Mori Folium (Dong Sang Ye), Polygonati Odorati Rhizoma (Yu Zhu), Glehniae Radix (Da Sha Shen), Armeniacae Semen Amarum (Tian Xing Ren), Raw Glycyrrhizae Radix et Rhizoma (Sheng Gan Cao), Coicis Semen (Yi Yi Ren). Decocted in Rice Decoction.
Externally constrained by Wind-Warmth, internally driven by uncontrolled Liver-Gallbladder Yang ascent, the Lung loses its clearing and descending function. For over a month, Qi feels congested and fails to descend. Appetite is poor, bowel movements are unsatisfactory. Body fluids are depleted and fail to supply the Lung. Fu-organ Qi is also not smooth. We propose nourishing Stomach Yin to harmonize Yang, rather than treating cough generically.
Formula: Ophiopogonis Tuber (Mai Dong), Glehniae Radix (Sha Shen), Polygonati Odorati Rhizoma (Yu Zhu), Raw Paeoniae Radix Alba (Sheng Bai Shao), Amomi Fructus Rotundus (Bian Dou), Poria (Fu Ling).
Winter Warm-Evil cough stems from Water deficiency and internal Heat invasion. Cough subsides after Jingzhe (Awakening of Insects) solar term. Using Liuwei Dihuang Wan plus Eclitae Fermentatum (E Jiao), Ophiopogonis Tuber (Mai Dong), and Urini Hominis Praeparatus (Qiu Shi) treats Metal and Water simultaneously. This is a method of draining Yang and benefiting Yin, suitable for constitution regulation and disease treatment. Ten days ago, cough recurred with poor appetite. Inquiry revealed night sitting caused physical strain. In late spring, Earth Qi ascends; sitting until dawn causes body Yang to ascend without descending, raising concerns of hemorrhage. Moreover, a plump, soft physique implies Qi easily leaks. Reading should be paused; recovery in a few days is expected.
Formula: Mori Folium (Sang Ye), Armeniacae Semen Amarum (Tian Xing Ren), Glehniae Radix (Da Sha Shen), Raw Glycyrrhizae Radix et Rhizoma (Sheng Gan Cao), Polygonati Odorati Rhizoma (Yu Zhu), Saccharum Sinense Liquidum (Qing Zhe Jiang).
Right pulse is forceful. Frequent hot baths for scabies weakened the Defensive Qi (Wei Qi), making one susceptible to cold/heat. Skin/hair corresponds internally to the Lung. Cough, Qi obstruction, and profuse sputum occur. Long-term, food tastes bland, stool becomes dry and hard. Stomach fluids deplete daily, failing to supply the Lung. With autumn/winter weather descending and Dryness adding to it, signs of Phlegm-Fire in old age emerge. Clearing Heat and moistening dryness is appropriate. If one fears deficiency and uses cloying tonics daily, dryness will worsen.
Formula: Frost-treated Mori Folium (Shuang Sang Ye), Armeniacae Semen Amarum (Tian Xing Ren), Ophiopogonis Tuber (Mai Dong), Polygonati Odorati Rhizoma (Yu Zhu), Glehniae Radix (Bai Sha Shen), Trichosanthis Radix (Tian Hua Fen), Saccharum Sinense Liquidum (Gan Zhe Jiang), Pyri Fructus Juice (Tian Li Zhi).
Thin physique, dark complexion, constitutive heat, yet Five Fluids are insufficient. Winter warmth prevents proper storage of True Qi. The Shaoyin Kidney channel experiences wind generation, a sign of Yang movement. Without nourishing Yin to drive out heat, using generic acrid-dispersants treats acute Wind-Cold. Excessive acridity leaks Lung Qi, prolonging cough. Bitter-descending agents damage the Stomach and Kidney gate, reducing appetite and courage, causing panting after short walks. The function of storing and securing is lost; internal damage is evident. This is not treating the symptom directly. Rest for one hundred days may bring peace.
Formula: Ophiopogonis Tuber (Mai Dong), Sweet Glehniae Radix (Tian Sha Shen), Raw Glycyrrhizae Radix et Rhizoma (Sheng Gan Cao), Jujube Flesh (Nan Zao Rou), Saccharum Sinense Liquidum (Qing Zhe Jiang).
Chronic cough for three years, profuse sputum, poor appetite. Movement triggers wheezing sounds. Left pulse is rapid and bounding; right pulse is fine and slow. Internal fire feels blazing. This is consumption of Five Fluids, with insufficient Yang control, not Excess Fire. Usually use Qiongyu Gao to nourish Water and tonify Qi. Temporary decoctions must prioritize protecting the Stomach. Cough medicines likely benefit the body condition little.
Formula: Bei Sha Shen (Glehniae Radix), White Amomi Fructus Rotundus (Bai Bian Dou), Stir-fried Ophiopogonis Tuber (Chao Mai Dong), Poria Cum Radix (Fu Shen), Dendrobii Caulis (Chuan Shi Hu), Trichosanthis Radix (Hua Fen).
Living alone with mental labor, right pulse bounds while left is choppy. Dry Qi is above, Blood is secretly deficient. Thought and depression cause vexation of the Five Zang Fires. Morning cough with saliva expectoration suggests treating from the Stomach, as the Sea of Blood belongs to the Yangming channel.
Formula: Raw Amomi Fructus Rotundus (Sheng Bai Bian Dou), Polygonati Odorati Rhizoma (Yu Zhu), Glehniae Radix (Da Sha Shen), Poria Cum Radix (Fu Shen), Frost-treated Mori Folium (Jing Shuang Rou Ye), Coicis Semen (Yi Yi Ren). Decocted with clear rice water.
Another case: Deficiency originates below. Depressed emotions cause Yang of the Five Zang Fires to ascend and irritate, causing cough. This is not Excess Fire. However, long stagnation leads to Qi knotting and Blood drying, progressing to Dry Blood Consumption Disease. Menstruation is scanty, irregular, and delayed—clear evidence. Tonify Liver-Kidney Yin to treat the root; clear/nourish Lung-Stomach Qi Heat to treat the branch. Hot-acrid tonics are feared for injuring Yin, so they are improper.
Formula: Raw Amomi Fructus Rotundus (Sheng Bian Dou), Bei Sha Shen (Glehniae Radix), Poria Cum Radix (Fu Shen), Honey-fried Glycyrrhizae Radix et Rhizoma (Zhi Cao), Jujube Flesh (Nan Zao Rou).
Pill Formula: Rehmanniae Radix Praeparata (Shu Di Huang) stir-fried with Amomi Fructus (Sha Ren), Cornu Cervi Pantotrichum (Lu Jiao Shuang), Angelicae Sinensis Radix (Dang Gui) stir-fried with Foeniculum Fructus (Xiao Hui Xiang), Achyranthis Bidentatae Radix (Huai Niu Xi) charred with salt water, Cloud Poria (Yun Fu Ling), Psilum (Zi Shi Qing) prepared with vinegar, Green Salt (Qing Yan), and Bovine Osseum Colla (Sheng Yang Rou Jiao) melted together for pills.
This spring epidemic brought cough and throat issues to most. Pathogens attack from above, injuring Lung Qi first. Recently, movement causes panting, voice weakens. Sleeping on the left causes pulling sensation in the left hypochondrium. This is Liver-Kidney Yin deficiency with Chong Qi ascending. Winter storage failed. Hoarseness upon lateral sleeping is imminent. This is damage from overwork, not a disease treatable by clearing pathogens and stopping cough.
Formula: Liuwei Dihuang Wan plus Dan Qiu Shi, Eclitae Fermentatum (E Jiao), Ophiopogonis Tuber (Mai Dong), honey pills.
Left pulse is weak, right is bounding. Chronic deficiency persists into Spring. Night lying causes Qi rushing and severe cough. Walking causes shortness of breath. Root of Lower Yuan is thin; Winter storage is insecure; Spring ascending Qi is shallow. Urgently secure and grasp the lower. Secular doctors often use acrid-cool cough remedies, leading to failure.
Formula: Water-processed Rehmanniae Radix Praeparata (Shu Di), Schisandrae Fructus (Wu Wei), Lake Lotus Seeds (Hu Lian), Euryales Semen (Qian Shi), Poria Cum Radix (Fu Shen), Green Salt (Qing Yan), Lamb Kidney.
Chronic dysmenorrhea implies stagnant Qi and Blood. Sudden anger causes Liver Yang to reverse and attack the Lung, causing cough. Patient reports abdominal Qi rushing upward triggers cough. Clear/moisten Lung herbs are not the key method. Post-chills/fever, cough is hoarse, hypochondrium is tight, no appetite. Left ascent and Right descent fail to rotate; Stomach loses its downward flow. Liver disease easily invades Stomach; thus, soothing Liver and unblocking Stomach is the rule.
Formula: Mori Folium (Sang Ye), Moutan Cortex (Dan Pi), Uncariae Ramulus cum Uncis (Gou Teng), Poria (Fu Ling), Pinelliae Tuber (Ban Xia), Citri Reticulatae Pericarpium (Guang Pi), Weixi Wan.
Qi stagnation distension, hollow inside, lying down causes Qi blockage, turbid fluids rush up, preventing rest. Onset due to anger injuring Liver Wood and damaging Spleen Earth. Spleen fails to transport, Qi blocks causing distension. After 100 days, Zheng Qi is weaker, turbidity solidifies, attacks Lung, causing cough, panting, epigastric heat, purulent bloody sputum. Root in Liver/Spleen, now spread to Lung. Danxi said: "Nourish Metal to control Wood, Spleen free from thief evil; Nourish Water to control Fire, Lung gains clearing power." Priority is smoothing Qi. If chest opens and sleep/eating resume, treatment can proceed calmly. Otherwise, near Chunfen, it will be hard to regulate. First use method to ventilate Upper Jiao.
Formula: Astigmatos Radix (Zi Wan), Armeniacae Semen Amarum (Xing Ren), Benincasae Pericarpium (Lou Pi), Curcumae Radix (Yu Jin), Magnoliae Officinalis Cortex (Nong Po), Arecae Pericarpium (Da Fu Pi), Morus Cortex (Sang Pi), Poria Cocostele (Fu Ling Pi), Gardeniae Fructus (Hei Shan Zhi).
Kidney Essence damaged below, Yin Qi rises, Floating Yang scorches above. Throat pain/bi, throat swelling, cough/panting. Lower Yuan Sea fails to grasp; Chong Mai Qi rushes up. Daily moistening agents hope to reduce cough—this is a mediocre doctor's good method, but actually creates disaster. Currently weak Stomach and loose stools mean cough treatment is futile. Recovery from consumptive weakness requires securing True Qi, grasping Qi, supporting Stomach appetite. Hope for increased food intake brings luck.
Formula: Ginseng Radix et Rhizoma (Ren Shen), Poria (Fu Ling), Euryales Semen (Qian Shi), Canalis Ureteris (Kan Qi), Hunan Lotus Seeds (Xiang Lian Zi), Urini Hominis Praeparatus (Qiu Shi), Schisandrae Fructus (Wu Wei Zi), Walnut (Hu Tao).
Internal injury from worry/thought first damages Upper Heart/Lung. Heart governs Ying, Lung governs Wei. Both Qi deficient, intolerant of labor, susceptible to pathogens. Only by nourishing Righteousness is Evil removed. No need for Ma Huang/Gui Zhi drastic dispersants. Internal injuries follow Dong Yuan's methods. Now bleeding stopped, pulse faint, fatigue, no appetite, persistent cough, sticky sputum—all signs of Earth failure and Metal withering. Urgently use sweet-mild tonification.
Formula: Raw Astragali Radix (Sheng Huang), Stir-fried Paeoniae Radix Alba (Chao Bai Shao), Honey-fried Glycyrrhizae Radix et Rhizoma (Zhi Cao), Malt Sugar (Yi Tang), Jujube Flesh (Nan Zao).