论曰内经曰、藏真高于肺，又曰，真气夺则虚，今肺中冷，则肺之真气不足，而其人上
虚矣，虚则无以制下，故上为肺痿，下为小便数，以至吐涎沫而欲咳不能者，皆其证也，治
法当以温药和之。
治肺痿小便数，甚者吐涎沫，欲咳不能，白茯苓汤方白茯苓（去黑皮） 桂（去粗皮） 附
子（炮裂去皮脐） 白芍药（各三分） 补骨脂（炒） 黄 （锉各一两） 蜀椒（去目及
闭口炒四十粒） 肉苁蓉（酒浸切焙一两半）
上八味， 咀如麻豆，每服三钱匕，水一盏，煎至七分，去滓温服，食前临卧，日三。
治肺痿吐涎沫，欲咳不能，小便数，甘草干姜汤方甘草炙四两 干姜炮二两
上二味， 咀如麻豆大，每服三钱匕，水一盏，煎至七分，去滓温服，服已小温复之
，若渴者属消渴。
治肺痿多涎唾，小便数，三味汤方甘草炙四两 干姜炮 白芍药各二两
上三味， 咀如麻豆大，每服五钱匕，水一盏半，煎至一盏，去滓温服。
治肺痿小便数，无力，不进食，黄 汤方
黄 （锉） 熟干地黄（焙各二两） 桂（去粗皮） 白芍药 当归（切焙各一两） 麦
门冬（去心焙一
上八味，粗捣筛，每服五钱匕，水一盏半，入生姜五片，大枣二枚劈破，煎至八分，去
滓温服，空心食前日三。治肺痿小便数，熟干地黄汤方
熟干地黄（焙） 芎 （各五两） 桂（去粗皮） 人参（各三两） 桑根白皮（二两）
上五味， 咀如麻豆大，每服五钱匕，水一盏半，煎至八分，去滓温服。
治肺痿小便数，渐觉气弱，龙骨汤方
龙骨 黄 （锉） 肉苁蓉（酒浸切焙各一两） 白薇 牡蛎（ ） 附子（炮裂去皮
脐各三分） 甘草
上七味， 咀如麻豆大，每服三钱匕，水一盏，入生姜三片，大枣二枚劈破，煎至七分
，去滓温服，空心食前，日三。
治肺痿小便数，五味子汤方
五味子 款冬花（去梗） 桂（去粗皮） 人参（各二两） 麦门冬（去心焙） 桑根
白皮（各三两）
上六味， 咀如麻豆大，每服六钱匕，水二盏，入生姜和皮五片，大枣二枚劈破，粳米
三十粒，同煎至一盏，去滓温服，空心食前日三。
论述说：《内经》记载：“脏真高于肺”，又说：“真气亏损则导致虚证”。如今肺中寒冷，致使肺的真气不足，从而使人上焦虚弱。上焦虚弱则无法制约下焦，因此出现上部为肺痿、下部为小便频数的症状，甚至伴有吐涎沫且想咳嗽却咳不出的情况，这些都是该病的证候表现。治疗方法应当使用温性药物来调和。
治疗肺痿伴小便频数，严重者吐涎沫，想咳嗽却咳不出，用白茯苓汤方：白茯苓（去除黑皮）、桂枝（去除粗皮）、附子（炮制后裂开，去除外皮和脐部）、白芍药（各三分）、补骨脂（炒制）、黄芪（锉碎，各一两）、蜀椒（去除目及闭口者，炒制四十粒）、肉苁蓉（酒浸后切片焙干，一两半）。
以上八味药，切碎如麻豆大小，每次服用三钱匕，加水一盏，煎煮至七分满，去渣后温服，饭前及临睡前服用，每日三次。
治疗肺痿吐涎沫，想咳嗽却咳不出，小便频数，用甘草干姜汤方：炙甘草四两，炮干姜二两。
以上两味药，切碎如麻豆大小，每次服用三钱匕，加水一盏，煎煮至七分满，去渣后温服。服药后稍加保暖以取微汗，如果出现口渴，则属于消渴病范畴。
治疗肺痿多涎唾，小便频数，用三味汤方：炙甘草四两，炮干姜、白芍药各二两。
以上三味药，切碎如麻豆大小，每次服用五钱匕，加水一盏半，煎煮至一盏满，去渣后温服。
治疗肺痿伴小便频数，无力，食欲不振，用黄芪汤方：黄芪（锉碎）、熟干地黄（焙干，各二两）、桂枝（去除粗皮）、白芍药、当归（切后焙干，各一两）、麦门冬（去心焙干）。
以上八味药（注：原文此处列举药材数量与“上八味”不符，但依原文翻译），粗捣筛过，每次服用五钱匕，加水一盏半，加入生姜五片、大枣二枚劈破，煎煮至八分满，去渣后温服，空腹及饭前服用，每日三次。
治疗肺痿伴小便频数，用熟干地黄汤方：熟干地黄（焙干）、川芎（各五两）、桂枝（去除粗皮）、人参（各三两）、桑根白皮（二两）。
以上五味药，切碎如麻豆大小，每次服用五钱匕，加水一盏半，煎煮至八分满，去渣后温服。
治疗肺痿伴小便频数，逐渐感觉气弱，用龙骨汤方：龙骨、黄芪（锉碎）、肉苁蓉（酒浸切后焙干，各一两）、白薇、牡蛎（煅制）、附子（炮制后裂开，去皮脐，各三分）、甘草。
以上七味药，切碎如麻豆大小，每次服用三钱匕，加水一盏，加入生姜三片、大枣二枚劈破，煎煮至七分满，去渣后温服，空腹及饭前服用，每日三次。
治疗肺痿伴小便频数，用五味子汤方：五味子、款冬花（去梗）、桂枝（去除粗皮）、人参（各二两）、麦门冬（去心焙干）、桑根白皮（各三两）。
以上六味药，切碎如麻豆大小，每次服用六钱匕，加水二盏，加入带皮生姜五片、大枣二枚劈破、粳米三十粒，同煎至一盏满，去渣后温服，空腹及饭前服用，每日三次。
It is stated in the discussion: The *Neijing* (Classic of Internal Medicine) records, "The Zang-True Qi resides highest in the Lung," and further states, "When True Qi is depleted, deficiency ensues." Currently, cold in the Lung causes insufficiency of the Lung's True Qi, leading to weakness in the Upper Jiao (Upper Burner). Due to this deficiency, there is an inability to control the Lower Jiao (Lower Burner), resulting in Lung萎 (Lung Flaccidity Syndrome) above and frequent urination below. This may even manifest as spitting of saliva and froth accompanied by a desire to cough but an inability to do so; all these are symptomatic manifestations of this condition. The treatment principle should be to harmonize using warm herbs.
For treating Lung Flaccidity Syndrome with frequent urination, where severe cases involve spitting of saliva and froth and a desire to cough but inability to do so, use Bai Fu Ling Tang (White Poria Decoction): Bai Fu Ling (Poria, *Polyporus umbellatus*) [remove black skin], Gui Zhi (Cinnamon Twig, *Cinnamomi Ramulus*) [remove coarse bark], Fu Zi (Aconite Root, *Aconiti Lateralis Radix Praeparata*) [process until cracked, remove skin and navel], Bai Shao Yao (White Peony Root, *Paeoniae Radix Alba*) [each 3 fen], Bu Gu Zhi (Psoralea Fruit, *Psoraleae Fructus*) [stir-fry], Huang Qi (Astragalus Root, *Astragali Radix*) [crush, each 1 liang], Shu Jiao (Sichuan Pepper, *Zanthoxyli Pericarpium*) [remove eyes and closed ones, stir-fry, 40 grains], Rou Cong Rong (Cistanche Stem, *Cistanches Herba*) [soak in wine, slice, dry-roast, 1.5 liang].
The above eight ingredients are crushed like hemp or bean seeds. Each dose consists of 3 qian bi, decocted in one zhan of water until reduced to 7/10 volume. Strain and take warm, before meals and before retiring, three times daily.
For treating Lung Flaccidity Syndrome with spitting of saliva and froth, desire to cough but inability to do so, and frequent urination, use Gan Cao Gan Jiang Tang (Licorice and Dried Ginger Decoction): Zhi Gan Cao (Honey-fried Licorice Root, *Glycyrrhizae Radix et Rhizoma Praeparata cum Melle*) [4 liang], Pao Gan Jiang (Processed Dried Ginger, *Zingiberis Rhizoma干燥*) [2 liang].
The above two ingredients are crushed like hemp or bean seeds. Each dose consists of 3 qian bi, decocted in one zhan of water until reduced to 7/10 volume. Strain and take warm. After taking, apply slight warmth to induce mild sweating. If thirst occurs, it belongs to Xiao Ke (Wasting-Thirst Syndrome).
For treating Lung Flaccidity Syndrome with excessive saliva and sputum, and frequent urination, use San Wei Tang (Three-Ingredient Decoction): Zhi Gan Cao (Honey-fried Licorice Root, *Glycyrrhizae Radix et Rhizoma Praeparata cum Melle*) [4 liang], Pao Gan Jiang (Processed Dried Ginger, *Zingiberis Rhizoma干燥*) [2 liang], Bai Shao Yao (White Peony Root, *Paeoniae Radix Alba*) [2 liang].
The above three ingredients are crushed like hemp or bean seeds. Each dose consists of 5 qian bi, decocted in 1.5 zhan of water until reduced to 1 zhan volume. Strain and take warm.
For treating Lung Flaccidity Syndrome with frequent urination, weakness, and loss of appetite, use Huang Qi Tang (Astragalus Decoction): Huang Qi (Astragalus Root, *Astragali Radix*) [crush], Shu Di Huang (Prepared Rehmannia Root, *Rehmanniae Radix Praeparata*) [dry-roast, each 2 liang], Gui Zhi (Cinnamon Twig, *Cinnamomi Ramulus*) [remove coarse bark], Bai Shao Yao (White Peony Root, *Paeoniae Radix Alba*), Dang Gui (Angelica Sinensis Root, *Angelicae Sinensis Radix*) [slice and dry-roast, each 1 liang], Mai Men Dong (Ophiopogon Tuber, *Ophiopogonis Tuber*) [remove heart, dry-roast].
The above eight ingredients [note: text lists fewer than eight distinct items here but says 'eight'] are coarsely ground and sifted. Each dose consists of 5 qian bi, decocted in 1.5 zhan of water with five slices of Sheng Jiang (Fresh Ginger, *Zingiberis Rhizoma Recens*) and two broken Da Zao (Jujube Fruit, *Ziziphi Jujubae Fructus*). Decoct until reduced to 8/10 volume. Strain and take warm, on an empty stomach and before meals, three times daily.
For treating Lung Flaccidity Syndrome with frequent urination, use Shu Di Huang Tang (Prepared Rehmannia Decoction): Shu Di Huang (Prepared Rehmannia Root, *Rehmanniae Radix Praeparata*) [dry-roast], Xiong Qiong (Szechwan Lovage Rhizome, *Ligustici Chuanxiong Rhizoma*) [each 5 liang], Gui Zhi (Cinnamon Twig, *Cinnamomi Ramulus*) [remove coarse bark], Ren Shen (Ginseng Root, *Panacis Ginseng Radix*), Sang Gen Bai Pi (Mulberry Root Bark, *Mori Radicis Cortex*) [each 3 liang for Ginseng, 2 liang for Mulberry Root Bark].
The above five ingredients are crushed like hemp or bean seeds. Each dose consists of 5 qian bi, decocted in 1.5 zhan of water until reduced to 8/10 volume. Strain and take warm.
For treating Lung Flaccidity Syndrome with frequent urination and gradually perceived Qi weakness, use Long Gu Tang (Dragon Bone Decoction): Long Gu (Fossilized Bones, *Dinosauria Ossis Femoris*) [text implies processed], Huang Qi (Astragalus Root, *Astragali Radix*) [crush], Rou Cong Rong (Cistanche Stem, *Cistanches Herba*) [soak in wine, slice, dry-roast, each 1 liang], Bai Wei (Cynanchum Root, *Cynanchi Atrati Radix*), Mu Li (Oyster Shell, *Concha Ostreae*) [calcined], Fu Zi (Aconite Root, *Aconiti Lateralis Radix Praeparata*) [process until cracked, remove skin and navel, each 3 fen], Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*).
The above seven ingredients are crushed like hemp or bean seeds. Each dose consists of 3 qian bi, decocted in one zhan of water with three slices of Sheng Jiang (Fresh Ginger, *Zingiberis Rhizoma Recens*) and two broken Da Zao (Jujube Fruit, *Ziziphi Jujubae Fructus*). Decoct until reduced to 7/10 volume. Strain and take warm, on an empty stomach and before meals, three times daily.
For treating Lung Flaccidity Syndrome with frequent urination, use Wu Wei Zi Tang (Schisandra Decoction): Wu Wei Zi (Schisandra Fruit, *Schisandrae Chinensis Fructus*), Kuan Dong Hua (Coltsfoot Flower, *Farfarae Flos*) [remove stems], Gui Zhi (Cinnamon Twig, *Cinnamomi Ramulus*) [remove coarse bark], Ren Shen (Ginseng Root, *Panacis Ginseng Radix*) [each 2 liang], Mai Men Dong (Ophiopogon Tuber, *Ophiopogonis Tuber*) [remove heart, dry-roast], Sang Gen Bai Pi (Mulberry Root Bark, *Mori Radicis Cortex*) [each 3 liang].
The above six ingredients are crushed like hemp or bean seeds. Each dose consists of 6 qian bi, decocted in two zhan of water with five slices of Sheng Jiang (Fresh Ginger, *Zingiberis Rhizoma Recens*) with skin, two broken Da Zao (Jujube Fruit, *Ziziphi Jujubae Fructus*), and thirty grains of Jing Mi (Rice, *Oryza Sativa*). Decoct together until reduced to one zhan volume. Strain and take warm, on an empty stomach and before meals, three times daily.