论曰内经谓久咳不已，则三焦受之，三焦咳状，咳嗽腹满，不欲食饮，此皆聚于胃，关
于肺，使人多涕唾而面浮气逆也。盖三焦之气，以胃气为本，水谷之道路，气之所终始也，
今咳而久者，以寒气蕴结，关播胃中，故腹满不食，气逆上行，涕唾多而面目虚浮也。
治三焦咳，腹满心胸不利，不思食，干姜汤方
干姜（炮裂） 桂（去粗皮） 款冬花（各半两） 细辛（去苗叶） 白术 甘草（炙
锉） 五味
子（炒） 木香（各三分） 附子（炮裂去皮脐一两）
上九味，锉如麻豆，每服三钱匕，水一盏，入枣二枚劈破，煎至七分，去滓温服、日
三。
治三焦咳，肺胃虚寒，咳逆呕吐，腹胁胀满，不能饮食。胡椒理中丸方
胡椒 荜茇 干姜（炮裂） 款冬花 甘草（炙锉） 陈橘皮（汤浸去白焙） 高良姜 细
辛
（去苗叶各二两） 白术（二两半）
上九味。捣罗为末，炼蜜丸如梧桐子大，每服十五丸，温水下日再服，不拘时候。
治三焦咳，腹满不欲食。半夏汤方
半夏（汤洗去滑七遍焙二两半） 干姜（炮二两） 麻黄（去根节煮去沫焙） 枳实（去
瓤麸
炒） 前胡（去芦头） 泽泻（锉） 杏仁（去皮尖双仁炒各一两半） 细辛（去苗叶一两）
上八味，粗捣筛，每服三钱匕，入竹叶少许，水一盏半，煎至八分，去滓温服日三。不
拘时候。
治三焦咳嗽，减食息高，调脾肺养气。黄 汤方
黄 （锉） 人参 白术 当归（切焙各三分） 赤茯苓（去黑皮） 百合糯米 桔梗
（锉炒）
上一十味，粗捣筛，每服三钱匕，水一盏，紫苏五叶，同煎至七分，去滓食后稍热服。
治三焦咳，心胸滞闷，四肢不和，人参汤方
人参（一两） 杏仁（汤浸去皮尖双仁麸炒） 干姜（炮） 麻黄（去根节煮去沫焙干）
桂（
去粗皮） 甘草（炙锉） 五味子（炒） 紫菀（去苗土） 陈橘皮（汤浸去白焙各三分）
上九味，粗捣筛，每服四钱匕，水一盏半，枣二枚劈破，煎至七分，去滓温服日三。
治三焦咳，腹满不欲饮食。半夏汤方
半夏（汤洗去滑七遍焙） 木通（锉各四两） 前胡（去芦头） 白术 赤茯苓（去黑
皮） 陈
橘皮（汤浸去白焙） 槟榔（锉各一两半） 桂（去粗皮） 枳壳（去瓤麸炒） 旋复花（去
萼各一
两一分）
上一十味，粗捣筛，每服三钱匕，水一大盏，生姜三片，煎至八分，去滓温服，不拘
时候。
治三焦咳，心胸不利，不思饮食。紫苏子汤方
紫苏（微炒） 陈橘皮（汤浸去白焙各一两） 甘草（炙半两） 干姜（炮） 桔梗（锉
炒） 杏
仁（汤浸去皮尖双仁炒各三分）
上六味，粗捣筛，每服四钱匕，水一盏半，入枣二枚劈破，煎至七分，去滓温服。日三
治三焦咳，腹满不欲食，顺气五味子丸方
五味子（炒） 覆盆子（去蒂） 仙灵脾（各一两）
上三味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，生姜腊茶下，加至三十丸。空心
食前服。
治久咳传三焦，腹满不欲饮食。藿香汤方
藿香（叶） 人参 赤茯苓（去黑皮） 青橘皮（汤浸去白焙） 细辛（去苗叶） 益
智子（去
皮微炒） 缩砂仁 陈橘皮（汤浸去白焙） 甘草（炙各一两） 木香 白芷（微炒各半两）
上一十一味，粗捣筛，每服三钱匕，水一盏，入生姜木瓜各三片，同煎至七分，去滓稍
热服，不拘时候。
治久咳传三焦，腹满不思饮食。及胃虚有痰。玉液散方
半夏（汤浸去滑七遍焙一两） 生姜（去皮切焙） 陈粟米（拣净各二两）
上三味，捣研同罗为散，每服一钱匕，水一盏，煎至六分温服。
《黄帝内经》中说：久咳不愈，病邪会传入三焦。三焦咳嗽的症状是咳嗽伴有腹部胀满，不想进食饮水。这些症状都是因为病邪聚集在胃，关联于肺，导致人体多涕唾且面部浮肿、气机上逆。大概三焦之气以胃气为根本，是水谷运行的道路，也是气机终结和起始的地方。如今咳嗽日久，是因为寒气蕴结，波及胃中，所以出现腹部胀满、不思饮食，气逆上行，导致涕唾增多且面目虚浮。
治疗三焦咳嗽，腹部胀满、心胸不畅、不想吃东西的干姜汤方：
干姜（炮制裂开）半两，桂枝（去掉粗皮）半两，款冬花半两，细辛（去掉苗叶）半两，白术半两，甘草（炙后锉碎）半两，五味子（炒）三分，木香三分，附子（炮制裂开，去掉皮和脐）一两。
以上九味药，锉碎得像麻豆大小，每次服用三钱匕，用水一盏，加入两枚劈破的大枣，煎煮至七分满，去渣滓，温服，每日三次。
治疗三焦咳嗽，肺胃虚寒，咳嗽气逆呕吐，腹部胁肋胀满，不能进食的胡椒理中丸方：
胡椒二两，荜茇二两，干姜（炮制裂开）二两，款冬花二两，甘草（炙后锉碎）二两，陈橘皮（用汤浸泡，去掉白色内瓤后焙干）二两，高良姜二两，细辛（去掉苗叶）二两，白术二两半。
以上九味药，捣碎过筛成粉末，用炼蜜制成梧桐子大小的丸剂，每次服用十五丸，温水送下，每日两次，不限时候。
治疗三焦咳嗽，腹部胀满不想吃东西的半夏汤方：
半夏（用汤洗去滑腻七遍后焙干）二两半，干姜（炮制）二两，麻黄（去掉根节，煮去沫后焙干），枳实（去掉瓤，麸炒），前胡（去掉芦头），泽泻（锉碎），杏仁（去皮尖，双仁，炒）各一两半，细辛（去掉苗叶）一两。
以上八味药，粗捣筛，每次服用三钱匕，加入少许竹叶，用水一盏半，煎煮至八分满，去渣滓，温服，每日三次，不限时候。
治疗三焦咳嗽，食欲减退，呼吸急促，调理脾肺，滋养气的黄芪汤方：
黄芪（锉碎），人参，白术，当归（切后焙干）各三分，赤茯苓（去掉黑皮），百合糯米，桔梗（锉碎后炒）。
以上十味药，粗捣筛，每次服用三钱匕，用水一盏，加紫苏叶五片，同煎至七分满，去渣滓，饭后稍热时服用。
治疗三焦咳嗽，心胸滞闷，四肢不和的人参汤方：
人参一两，杏仁（用汤浸泡，去皮尖，双仁，麸炒），干姜（炮制），麻黄（去掉根节，煮去沫后焙干），桂枝（去掉粗皮），甘草（炙后锉碎），五味子（炒），紫菀（去掉苗土），陈橘皮（用汤浸泡，去掉白色内瓤后焙干）各三分。
以上九味药，粗捣筛，每次服用四钱匕，用水一盏半，加入两枚劈破的大枣，煎煮至七分满，去渣滓，温服，每日三次。
治疗三焦咳嗽，腹部胀满不想吃东西的半夏汤方：
半夏（用汤洗去滑腻七遍后焙干），木通（锉碎）各四两，前胡（去掉芦头），白术，赤茯苓（去掉黑皮），陈橘皮（用汤浸泡，去掉白色内瓤后焙干），槟榔（锉碎）各一两半，桂枝（去掉粗皮），枳壳（去掉瓤，麸炒），旋复花（去掉花萼）各一两一分。
以上十味药，粗捣筛，每次服用三钱匕，用水一大盏，加入生姜三片，煎煮至八分满，去渣滓，温服，不限时候。
治疗三焦咳嗽，心胸不畅，不想吃东西的紫苏子汤方：
紫苏（微炒），陈橘皮（用汤浸泡，去掉白色内瓤后焙干）各一两，甘草（炙）半两，干姜（炮制），桔梗（锉碎后炒），杏仁（用汤浸泡，去皮尖，双仁，炒）各三分。
以上六味药，粗捣筛，每次服用四钱匕，用水一盏半，加入两枚劈破的大枣，煎煮至七分满，去渣滓，温服，每日三次。
治疗三焦咳嗽，腹部胀满不想吃东西，顺气的五味子丸方：
五味子（炒），覆盆子（去掉蒂），仙灵脾（淫羊藿）各一两。
以上三味药，捣碎过筛成粉末，用炼蜜制成梧桐子大小的丸剂，每次服用二十丸，用生姜腊茶送下，可加至三十丸。空腹饭前服用。
治疗久咳传变至三焦，腹部胀满不想吃东西的藿香汤方：
藿香（叶），人参，赤茯苓（去掉黑皮），青橘皮（用汤浸泡，去掉白色内瓤后焙干），细辛（去掉苗叶），益智子（去掉皮，微炒），缩砂仁，陈橘皮（用汤浸泡，去掉白色内瓤后焙干），甘草（炙）各一两，木香，白芷（微炒）各半两。
以上十一味药，粗捣筛，每次服用三钱匕，用水一盏，加入生姜三片、木瓜三片，同煎至七分满，去渣滓，稍热时服用，不限时候。
治疗久咳传变至三焦，腹部胀满不想吃东西，以及胃虚有痰的玉液散方：
半夏（用汤浸泡，去滑腻七遍后焙干）一两，生姜（去皮切后焙干），陈粟米（拣选干净）各二两。
以上三味药，捣碎研磨过筛成散剂，每次服用一钱匕，用水一盏，煎煮至六分满，温服。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: If chronic cough persists without resolution, the disease pathogen will transmit to the Sanjiao (Triple Burner). The presentation of Sanjiao cough includes coughing accompanied by abdominal fullness and a lack of desire to eat or drink. These symptoms arise because the pathogenic factors gather in the Stomach and affect the Lung, causing excessive phlegm and saliva, facial edema, and rebellious Qi movement. Generally, the Qi of the Sanjiao is rooted in Stomach Qi; it serves as the pathway for water and grain and is the beginning and end of Qi circulation. Now, if coughing persists for a long time, it is due to the accumulation and knotting of Cold pathogens, which spread to the Middle Jiao (Stomach), resulting in abdominal fullness and anorexia. The rebellious Qi moves upward, leading to increased phlegm and saliva and puffy face and eyes.
**Ganjiang Tang (Dried Ginger Decoction)** for treating Sanjiao cough with abdominal fullness, chest and heart discomfort, and anorexia:
Pao Lie Ganjiang (Prepared Dried Ginger Rhizome, split) 1.5 g, Gui Zhi (Cinnamon Twig, bark removed) 1.5 g, Kuandonghua (Farfolae Flos) 1.5 g, Xixin (Asari Root, roots and leaves removed) 1.5 g, Baizhu (Atractylodis Macrocephalae Rhizoma) 1.5 g, Zhigancao (Prepared Licorice Root, crushed after roasting) 1.5 g, Wuweizi (Schisandrae Fructus, stir-fried) 0.9 g, Muxiang (Aucklandiae Radix) 0.9 g, Fuzi (Prepared Aconiti Lateralis Radix, skin and umbilicus removed) 3 g.
These nine ingredients are crushed to the size of hemp seeds. Each dose consists of 9 g (three qianbi), decocted with one cup of water and two cracked dates until reduced to 70%. Strain and take warm, three times daily.
**Hujiao Lizhong Wan (Pepper Regulate the Middle Pill)** for treating Sanjiao cough with deficiency-cold of the Lung and Stomach, coughing with vomiting, abdominal and hypochondriac distension, and inability to eat:
Hujiao (Piperis Fructus) 6 g, Bibo (Long Pepper Fruit) 6 g, Ganjiang (Dried Ginger Rhizome, prepared) 6 g, Kuandonghua (Farfolae Flos) 6 g, Zhigancao (Prepared Licorice Root, crushed after roasting) 6 g, Chenjupi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried) 6 g, Gaoliangjiang (Galangal Rhizome) 6 g, Xixin (Asari Root, roots and leaves removed) 6 g, Baizhu (Atractylodis Macrocephalae Rhizoma) 7.5 g.
These nine ingredients are pounded into powder and mixed with refined honey to form pills the size of paulownia seeds. Take 15 pills per dose with warm water, twice daily, at any time.
**Banxia Tang (Pinellia Decoction)** for treating Sanjiao cough with abdominal fullness and anorexia:
Banxia (Pinelliae Rhizoma, washed in hot water seven times to remove slipperiness, dried) 7.5 g, Ganjiang (Dried Ginger Rhizome, prepared) 6 g, Mahuang (Ephedrae Herba, roots and nodes removed, boiled to remove foam, dried), Zhishi (Aurantii Fructus Immaturus, placenta removed, stir-fried with bran), Qianhu (Peucedani Radix, rhizome removed), Zexie (Alismatis Rhizoma, crushed), Xingren (Prunus Armeniacae Semen, peel and tips removed, twin kernels, stir-fried) each 4.5 g, Xixin (Asari Root, roots and leaves removed) 3 g.
These eight ingredients are coarsely crushed and sifted. Each dose consists of 9 g, with a small amount of Bamboo Leaves (Zhuye), decocted with one and a half cups of water until reduced to 80%. Strain and take warm, three times daily, at any time.
**Huangqi Tang (Astragalus Decoction)** for treating Sanjiao cough with reduced appetite and rapid breathing, regulating Spleen and Lung, and nourishing Qi:
Huangqi (Astragali Radix, crushed), Ren Shen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix, sliced and dried) each 0.9 g, Chifuling (Polyporus with Red Skin, black skin removed), Baihe (Lilii Bulbus), Nuomi (Glutinous Rice), Jiegeng (Platycodonis Radix, crushed and stir-fried).
These ten ingredients are coarsely crushed and sifted. Each dose consists of 9 g, decocted with one cup of water and five leaves of Zisu (Perilla Leaf) until reduced to 70%. Strain and take warm shortly after meals.
**Renshen Tang (Ginseng Decoction)** for treating Sanjiao cough with stagnation and oppression in the chest and heart, and disharmony of the four limbs:
Renshen (Ginseng Radix et Rhizoma) 3 g, Xingren (Prunus Armeniacae Semen, soaked in water, peel and tips removed, twin kernels, stir-fried with bran), Ganjiang (Dried Ginger Rhizome, prepared), Mahuang (Ephedrae Herba, roots and nodes removed, boiled to remove foam, dried), Guizhi (Cinnamon Twig, bark removed), Zhigancao (Prepared Licorice Root, crushed after roasting), Wuweizi (Schisandrae Fructus, stir-fried), Ziwan (Asteli Radix, roots and soil removed), Chenjupi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried) each 0.9 g.
These nine ingredients are coarsely crushed and sifted. Each dose consists of 12 g, decocted with one and a half cups of water and two cracked dates until reduced to 70%. Strain and take warm, three times daily.
**Banxia Tang (Pinellia Decoction)** for treating Sanjiao cough with abdominal fullness and anorexia:
Banxia (Pinelliae Rhizoma, washed in hot water seven times to remove slipperiness, dried), Mutong (Akebiae Caulis, crushed) each 12 g, Qianhu (Peucedani Radix, rhizome removed), Baizhu (Atractylodis Macrocephalae Rhizoma), Chifuling (Polyporus with Red Skin, black skin removed), Chenjupi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried), Binglang (Arecae Semen, crushed) each 4.5 g, Guizhi (Cinnamon Twig, bark removed), Zhike (Aurantii Fructus, placenta removed, stir-fried with bran), Xuanjinhua (Inulae Flos, calyx removed) each 3.3 g.
These ten ingredients are coarsely crushed and sifted. Each dose consists of 9 g, decocted with one large cup of water and three slices of Shengjiang (Fresh Ginger Rhizome) until reduced to 80%. Strain and take warm, at any time.
**Zisuzi Tang (Perilla Seed Decoction)** for treating Sanjiao cough with chest discomfort and anorexia:
Zisu (Perilla Folium, lightly stir-fried), Chenjupi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried) each 3 g, Zhigancao (Prepared Licorice Root, roasted) 1.5 g, Ganjiang (Dried Ginger Rhizome, prepared), Jiegeng (Platycodonis Radix, crushed and stir-fried), Xingren (Prunus Armeniacae Semen, soaked in water, peel and tips removed, twin kernels, stir-fried) each 0.9 g.
These six ingredients are coarsely crushed and sifted. Each dose consists of 12 g, decocted with one and a half cups of water and two cracked dates until reduced to 70%. Strain and take warm, three times daily.
**Wuweizi Wan (Schisandra Pill)** for treating Sanjiao cough with abdominal fullness and anorexia, promoting smooth Qi flow:
Wuweizi (Schisandrae Fructus, stir-fried), Fupenzi (Rubigen Fructus, calyx removed), Xianlingpi (Epimedii Folium) each 3 g.
These three ingredients are pounded into powder and mixed with refined honey to form pills the size of paulownia seeds. Take 20 pills per dose with tea made from Shengjiang (Fresh Ginger Rhizome) and Laicha (Winter Tea); the dose may be increased to 30 pills. Take on an empty stomach before meals.
**Huoxiang Tang (Patchouli Decoction)** for treating chronic cough transmitted to the Sanjiao, with abdominal fullness and anorexia:
Huoxiang (Agastaches Herba/Leaf), Ren Shen (Ginseng Radix et Rhizoma), Chifuling (Polyporus with Red Skin, black skin removed), Qingjupi (Green Tangerine Peel, soaked in water, white pith removed, dried), Xixin (Asari Root, roots and leaves removed), Yizhiren (Alpiniae Oxyphyllae Fructus, peeled and lightly stir-fried), Suosharen (Amomi Fructus Rotundus), Chenjupi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried), Zhigancao (Prepared Licorice Root, roasted) each 3 g, Muxiang (Aucklandiae Radix), Baizhi (Angelicae Dahuricae Radix, lightly stir-fried) each 1.5 g.
These eleven ingredients are coarsely crushed and sifted. Each dose consists of 9 g, decocted with one cup of water, three slices of Shengjiang (Fresh Ginger Rhizome), and three slices of Mugua (Chaenomelis Fructus) until reduced to 70%. Strain and take warm, at any time.
**Yuye San (Jade Fluid Powder)** for treating chronic cough transmitted to the Sanjiao, with abdominal fullness and anorexia, as well as Phlegm due to Stomach deficiency:
Banxia (Pinelliae Rhizoma, soaked in water, washed seven times to remove slipperiness, dried) 3 g, Shengjiang (Fresh Ginger Rhizome, peeled, sliced, and dried), Chensumi (Fermented Glutinous Rice, selected clean) each 6 g.
These three ingredients are pounded, ground, and sifted together into a powder. Each dose consists of 3 g, decocted with one cup of water until reduced to 60%, and taken warm.