论曰肺胀者手太阴经是动病也，邪客于肺，脉气先受之，其证气胀满，膨膨而喘咳，缺
盆中痛，甚则交两手而瞀，是为肺胀也，脉经谓肺胀者，虚而满，喘咳逆倚息，目如脱，其
脉浮是也。
治肺胀咳逆倚息，喘目如脱，脉浮大，越婢加半夏汤方
半夏（半升汤洗七遍去滑） 麻黄（去根节汤煮掠去沫六两） 石膏（碎半斤） 甘
草（炙二两）
上四味， 咀如麻豆，每服五钱匕，水二盏，入生姜五片，枣二枚劈破，同煎至一
盏，去滓温服，日三。
治肺胀，咳而上气，咽燥而喘，脉浮者，心下有水，麻黄汤方
麻黄（去根节汤煮掠去沫焙） 细辛（去苗叶） 芍药 桂（去粗皮各三两） 半夏（汤
洗七遍去滑）
上七味， 咀如麻豆，每服五钱匕，水二盏，入生姜五片，同煎取一盏，去滓温服。
治肺胀咳而上气，烦躁而喘，脉浮心下有水，小青龙加石膏汤方
石膏（碎二两） 麻黄（去根节汤煮掠去沫） 芍药 桂（去粗皮） 细辛（去苗叶） 甘
草（炙锉） 干
上九味， 咀如麻豆，每服五钱匕，水二盏，煎至一盏，去滓温服，日三，小儿量减
治肺气胀满，咳嗽痰壅，四肢萎弱，积渐虚羸，半夏饮方
半夏（生姜汤洗七遍去滑） 麦门冬（去心焙一两半） 升麻 前胡（去芦头各一两） 槟
榔（锉二枚） 陈橘皮（汤浸去白焙） 大黄（蒸三度炒各半两） 竹叶（三十斤水洗） 生
地黄（三两）
上九味， 咀如麻豆大，每服五钱匕，水二盏，入生姜一枣大拍碎，同煎至一盏，去
滓温服日再。
治肺气胀，心腹满闷，槟榔汤方
槟榔（两枚锉） 诃黎勒（两枚去核） 陈橘皮（汤浸去白焙三分） 甘草（炙半两） 桑
根白皮（一两
上六味， 咀如麻豆大，每服五钱匕，水二盏，入生姜一枣大拍碎，葱白五寸切，同
浸一宿，次日煎至一盏半，去滓温服。
治嗽喘肺胀，不得眠卧，气急欲绝，紫菀汤方
紫菀（去苗土焙干一两半） 甘草（炙锉二两） 槟榔（七枚锉） 赤茯苓（去黑皮二
两） 葶苈子（炒一
上五味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，日三，以快利为度。
治肺胀，石膏汤方
石膏 麻黄（去根节汤煮掠去沫） 桑根白皮（锉炒） 甘草（炙锉） 款冬花（去梗
焙） 熟干地黄（炒
上八味，粗捣筛，每服三钱匕，入竹叶少许，水一盏，煎至七分，去滓温服，日三夜一
治肺胀，皱肺丸方
五灵脂（研二两） 柏子仁（半两） 胡桃（八枚去壳研）
上三味，研成膏，滴水为丸，如小豆大，煎木香甘草汤下十五丸
治肺乘风邪，气胀不利，上气逆喘，杏仁丸方
杏仁（汤浸去皮尖双仁炒） 马兜铃 蝉蜕（各半两） 砒霜（研一分）
上四味，捣研为末，煮枣二十枚，去皮核烂研和丸，如梧桐子大，每服一丸至二丸，空
心薄荷汤下。
论述说：肺胀，是手太阴肺经发生病变的证候。邪气侵袭肺部，脉气首先受到病邪影响，其症状表现为气机胀满，胸部膨隆且伴有气喘咳嗽，缺盆部位疼痛，严重时会出现双手交叉按于胸前、视物昏花或神志恍惚的情况，这就是肺胀。《脉经》中说肺胀的症状是虚而胀满，气喘咳嗽，呼吸急促需倚靠物体休息，眼睛突出如要脱出，脉象浮大，正是这种情况。
治疗肺胀引起的咳嗽气逆、呼吸急促需倚靠物体休息、眼睛突出如欲脱出、脉象浮大的方剂：越婢加半夏汤方
半夏（半升，用热水清洗七遍以去除滑腻） 麻黄（六两，去掉根和节，用热水煮并撇去浮沫） 石膏（半斤，捣碎） 甘草（二两，炙烤）
以上四味药，切碎如麻豆大小，每次服用五钱匕，加水两盏，放入生姜五片、大枣两枚掰开，一同煎煮至一盏，滤去药渣，温服，每日三次。
治疗肺胀，咳嗽伴气逆，咽喉干燥且气喘，脉象浮，胃脘部有水饮停聚的方剂：麻黄汤方
麻黄（去掉根和节，用热水煮并撇去浮沫后焙干） 细辛（去掉苗和叶） 芍药 桂枝（去掉粗皮，各三两） 半夏（用热水清洗七遍以去除滑腻）
以上七味药，切碎如麻豆大小，每次服用五钱匕，加水两盏，放入生姜五片，一同煎煮取一盏，滤去药渣，温服。
治疗肺胀咳嗽伴气逆，烦躁且气喘，脉象浮，胃脘部有水饮停聚的方剂：小青龙加石膏汤方
石膏（捣碎，二两） 麻黄（去掉根和节，用热水煮并撇去浮沫） 芍药 桂枝（去掉粗皮） 细辛（去掉苗和叶） 甘草（炙烤并锉碎） 干姜（原文此处似有缺字，结合方名推测为干姜，但原文仅列“上九味”且前文未列全，依原文转录）
以上九味药，切碎如麻豆大小，每次服用五钱匕，加水两盏，煎煮至一盏，滤去药渣，温服，每日三次，小儿酌情减量。
治疗肺气胀满，咳嗽痰多壅盛，四肢萎软无力，逐渐消瘦虚弱的方剂：半夏饮方
半夏（用生姜水清洗七遍以去除滑腻） 麦门冬（去掉心，焙干，一两半） 升麻 前胡（去掉芦头，各一两） 槟榔（锉碎，两枚） 陈橘皮（用热水浸泡，去掉白色内瓤后焙干） 大黄（蒸三次后炒制，各半两） 竹叶（三十斤水洗） 生地黄（三两）
以上九味药，切碎如麻豆大小，每次服用五钱匕，加水两盏，放入生姜一块如枣大拍碎，一同煎煮至一盏，滤去药渣，温服，每日两次。
治疗肺气胀，心腹部胀满闷痛的方剂：槟榔汤方
槟榔（两枚，锉碎） 诃黎勒（两枚，去掉核） 陈橘皮（用热水浸泡，去掉白色内瓤后焙干，三分） 甘草（炙烤，半两） 桑根白皮（一两）
以上六味药，切碎如麻豆大小，每次服用五钱匕，加水两盏，放入生姜一块如枣大拍碎，葱白五寸切段，一同浸泡一夜，次日煎煮至一盏半，滤去药渣，温服。
治疗咳嗽气喘肺胀，无法躺卧，气急近乎断绝的方剂：紫菀汤方
紫菀（去掉苗土，焙干，一两半） 甘草（炙烤并锉碎，二两） 槟榔（七枚，锉碎） 赤茯苓（去掉黑皮，二两） 葶苈子（炒制，一...[原文此处截断]
以上五味药，粗捣筛过，每次服用三钱匕，加水一盏，煎煮至七分，滤去药渣，温服，每日三次，以大便通畅为度。
治疗肺胀的方剂：石膏汤方
石膏 麻黄（去掉根和节，用热水煮并撇去浮沫） 桑根白皮（锉碎炒制） 甘草（炙烤并锉碎） 款冬花（去掉梗，焙干） 熟干地黄（炒制...[原文此处截断]
以上八味药，粗捣筛过，每次服用三钱匕，放入少许竹叶，加水一盏，煎煮至七分，滤去药渣，温服，每日三次，夜间一次。
治疗肺胀的方剂：皱肺丸方
五灵脂（研细，二两） 柏子仁（半两） 胡桃（八枚，去壳研碎）
以上三味药，研成膏状，滴入水制成丸药，如小豆大小，用木香甘草汤送服十五丸。
治疗肺受风邪，气机胀满不利，气逆上冲气喘的方剂：杏仁丸方
杏仁（热水浸泡，去皮尖，双仁者炒制） 马兜铃 蝉蜕（各半两） 砒霜（研细，一分）
以上四味药，捣碎研为粉末，煮二十枚大枣，去皮核烂研，混合制成丸药，如梧桐子大小，每次服用一至二丸，空腹时用薄荷汤送服。
Discussion states: Lung distension (Lung Distension) is a disease arising from the hand-Taiyin meridian. When pathogenic factors invade the lung, the qi of the pulse is affected first. The symptoms include distension and fullness of qi, chest swelling with panting and coughing, pain in the supraclavicular fossa (Quepen point), and in severe cases, crossing both hands over the chest accompanied by blurred vision or confusion; this is termed Lung distension. The *Mai Jing* (Pulse Classic) states that Lung distension presents as emptiness with fullness, panting and coughing, dyspnea requiring leaning for support, eyes protruding as if to fall out, and a floating pulse.
Formula for treating Lung distension with cough, rebellious qi, dyspnea requiring leaning for support, eyes protruding as if to fall out, and a floating-large pulse: Yuespi Jia Banxia Tang (Ephedra Decoction with Pinellia)
Banxia (Pinelliae Rhizoma, half sheng, washed seven times in hot water to remove slipperiness) Mahuang (Ephedrae Herba, six liang, roots and nodes removed, boiled in water and scum skimmed off) Shigao (Gypsum Fibrosum, half jin, crushed) Gancao (Licorice Root, two liang, honey-fried)
The above four ingredients are chopped like hemp seeds. Each dose consists of five qianbi, boiled with two zhan of water, five slices of fresh ginger, and two cracked dates. Simmer until one zhan remains, strain, and take warm. Administer three times daily.
Formula for treating Lung distension with cough and rebellious qi, dry throat with panting, floating pulse, and fluid retention in the epigastrium: Mahuang Tang (Ephedra Decoction)
Mahuang (Ephedrae Herba, roots and nodes removed, boiled in water, scum skimmed, and dried) Xixin (Asari Radix et Rhizoma, seedlings and leaves removed) Shaoyao (Paeoniae Radix) Guizhi (Cinnamomi Ramulus, bark removed, each three liang) Banxia (Pinelliae Rhizoma, washed seven times in hot water to remove slipperiness)
The above seven ingredients are chopped like hemp seeds. Each dose consists of five qianbi, boiled with two zhan of water and five slices of fresh ginger. Simmer until one zhan remains, strain, and take warm.
Formula for treating Lung distension with cough and rebellious qi, irritability with panting, floating pulse, and fluid retention in the epigastrium: Xiao Qinglong Jia Shigao Tang (Minor Blue Green Dragon Decoction plus Gypsum)
Shigao (Gypsum Fibrosum, crushed, two liang) Mahuang (Ephedrae Herba, roots and nodes removed, boiled in water, scum skimmed) Shaoyao (Paeoniae Radix) Guizhi (Cinnamomi Ramulus, bark removed) Xixin (Asari Radix et Rhizoma, seedlings and leaves removed) Gancao (Licorice Root, honey-fried and chopped) Ganjiang (Zingiberis Rhizoma, implied by formula name though text fragmentary)
The above nine ingredients are chopped like hemp seeds. Each dose consists of five qianbi, boiled with two zhan of water until one zhan remains, strained, and taken warm. Administer three times daily; reduce dosage for children.
Formula for treating lung qi distension and fullness, cough with profuse phlegm obstruction, flaccidity of the four limbs, and gradual emaciation: Banxia Yin (Pinellia Drink)
Banxia (Pinelliae Rhizoma, washed seven times in ginger juice to remove slipperiness) Maimendong (Ophiopogonis Radix, heart removed, dried, one and a half liang) Shengma (Bupleuri Radix) Qianhu (Peucedani Radix, rhizome removed, each one liang) Binglang (Arecae Semen, chopped, two fruits) Chenpi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried) Dahuang (Rhei Radix et Rhizoma, steamed three times and stir-fried, each half liang) Zhuye (Bambusae Folium, washed with thirty jin of water) Shengdihuang (Rehmanniae Radix, three liang)
The above nine ingredients are chopped like hemp seeds. Each dose consists of five qianbi, boiled with two zhan of water and a piece of fresh ginger the size of a date (crushed). Simmer until one zhan remains, strain, and take warm. Administer twice daily.
Formula for treating lung qi distension with abdominal fullness and oppression: Binglang Tang (Areca Seed Decoction)
Binglang (Arecae Semen, two fruits, chopped) Helile (Chebulae Fructus, two fruits, pits removed) Chenpi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried, three fen) Gancao (Licorice Root, honey-fried, half liang) Sangbaipipi (Mori Cortex, one liang)
The above six ingredients are chopped like hemp seeds. Each dose consists of five qianbi, boiled with two zhan of water, a piece of fresh ginger the size of a date (crushed), and five cun of scallion white (cut). Soak overnight, simmer the next day until one and a half zhan remain, strain, and take warm.
Formula for treating cough, panting, Lung distension, inability to lie down, and critical shortness of breath: Ziwan Tang (Aster Decoction)
Ziwan (Asteris Radix, seedlings and soil removed, dried, one and a half liang) Gancao (Licorice Root, honey-fried and chopped, two liang) Binglang (Arecae Semen, seven fruits, chopped) Chifuling (Poria with Red Host, black skin removed, two liang) Tinglizi (Descurainiae Semen seu Lepidii Semen, stir-fried...)
The above five ingredients are coarsely ground and sifted. Each dose consists of three qianbi, boiled with one zhan of water until seventy percent remains, strained, and taken warm. Administer three times daily. Stop when bowel movement becomes smooth.
Formula for treating Lung distension: Shigao Tang (Gypsum Decoction)
Shigao (Gypsum Fibrosum) Mahuang (Ephedrae Herba, roots and nodes removed, boiled in water, scum skimmed) Sangbaipipi (Mori Cortex, chopped and stir-fried) Gancao (Licorice Root, honey-fried and chopped) Kuandonghua (Farfarae Flos, stems removed, dried) Shudihuang (Prepared Rehmanniae Radix, stir-fried...)
The above eight ingredients are coarsely ground and sifted. Each dose consists of three qianbi, with a small amount of bamboo leaves added, boiled with one zhan of water until seventy percent remains, strained, and taken warm. Administer three times daily and once at night.
Formula for treating Lung distension: Zhoufei Wan (Wrinkled Lung Pill)
Wulingzhi (Trogopterori Faeces, ground, two liang) Baiziren (Platycladi Semen, half liang) Hetao (Juglandis Semen, eight fruits, shell removed and ground)
The above three ingredients are ground into a paste, mixed with water to form pills the size of small beans. Take fifteen pills with a decoction of Muxiang and Gancao.
Formula for treating Lung affected by wind pathogen, resulting in qi distension and obstruction, rebellious qi with upward panting: Xingren Wan (Apricot Kernel Pill)
Xingren (Armeniacae Semen Amarum, soaked in hot water, skin and tips removed, double-kernel ones stir-fried) Madouling (Aristolochiae Fructus) Chantui (Cicadae Periostracum, each half liang) Pishuang (Arsenicum Rubrum, ground, one fen)
The above four ingredients are pounded and ground into powder. Boil twenty jujubes, remove skins and pits, mash thoroughly, and mix with the powder to form pills the size of wutong seeds. Take one to two pills on an empty stomach with mint water.