久嗽肺痿。
知母 贝母 天门冬 款冬花（各三钱） 天花粉 薏苡仁 杏仁 五味子（各二钱） 甘
草兜铃 紫菀 百合 桔梗 阿胶 当归 地黄 紫苏 薄荷 百部（各一钱五分）
上以水二盏，生姜三片，煎一盏，入饴糖一匙调服，日三，食后各进一盅，与保真汤相
间服。
血盛，加炒蒲黄、茜根、藕节、大蓟、小蓟、茅花、当归。
痰盛，加南星、半夏、陈皮、茯苓、枳实、枳壳。
喘盛，加桑白皮、陈皮、萝卜子、葶苈子、苏子。
热甚，加山栀子、黄连、黄芩、黄柏、连翘、大黄、款冬花。
风甚，加荆芥、防风、菊花、细辛、香附子、旋覆花。
寒甚，加人参、桂枝、腊片、芍药。
知贝款天冬各三，二钱杏薏味天花，钱半二百阿归地，紫菀兜苏薄桔甘。
潘按∶与太平丸药品有十味同，既有宁嗽金丹，不必再服此汤。薏苡仁以及桔梗、贝母
，见《千金》、《外台》，治肺痿，甘草、干姜，《金匮》治肺冷之方。
紫菀、款冬、五味、百部、地黄、阿胶、兜铃、杏仁、甘草，亦从《外台》止嗽生津各
方采来，所谓复方是也。肺症生姜不可轻用。
归茅大小蓟蒲黄，藕节茜根血盛当，痰盛南星陈半入，茯苓枳实壳须将。喘加桑白陈皮
等，
寒甚加参兼牡桂，芍加蜡片不须言。
陈修园按∶此方治久嗽，不过类集顺气化痰，清火解郁之品，以多为贵，绝无把柄。抑
又思
所宜，百部、款冬苦温，非血后所宜，兜铃、花粉、杏仁亦为中虚所忌，知母、贝母、天门
冬、地黄、阿胶、百合性寒而滞，力亦轻微，其去市肆中之问症立方，摇铃辈之笼统配合以
零卖者几希耶！然此方屡见于大家之书，如明季龚太医各刻，及《万病回春》、《寿世葆元
》等本亦载之，但方名间有不同，药品偶有增减，村医用之，往往见效。余向以病患寿算未
终，总不归功于此方，亦随见而随忘之耳。今得此书，始知礼失而求诸野，沾体涂足中大有
人焉！转悔从前之肉眼也，究于此方未得其旨，大抵奇之弗去而偶之，一方不去而复之，如
韩信将兵，多多益善，且其轻重，大有法度。加生姜之辛温以润肺，饴糖之甘，培土以生金
，
久咳导致肺叶枯萎（肺痿）。
知母、贝母、天门冬、款冬花（各三钱），天花粉、薏苡仁、杏仁、五味子（各二钱），甘草、兜铃、紫菀、百合、桔梗、阿胶、当归、地黄、紫苏、薄荷、百部（各一钱五分）。
以上药材用两盏水，加入生姜三片，煎煮至一盏，加入饴糖一匙调和服用，每日三次，饭后各服一盅，与保真汤交替服用。
若血热妄行症状严重，加炒蒲黄、茜草根、藕节、大蓟、小蓟、茅花、当归。
若痰多症状严重，加天南星、半夏、陈皮、茯苓、枳实、枳壳。
若气喘症状严重，加桑白皮、陈皮、萝卜子、葶苈子、苏子。
若热邪炽盛，加山栀子、黄连、黄芩、黄柏、连翘、大黄、款冬花。
若风邪偏盛，加荆芥、防风、菊花、细辛、香附子、旋覆花。
若寒邪偏盛，加人参、桂枝、腊片（附子）、芍药。
（歌诀）：知母、贝母、款冬、天冬各三钱，杏仁、薏苡仁、五味子、天花粉各二钱，百部、阿胶、当归、地黄、紫菀、兜铃、苏叶、薄荷、桔梗、甘草各一钱五分。
潘氏按语：此方与太平丸有十味药相同，既然已有宁嗽金丹，不必再服用此汤。薏苡仁以及桔梗、贝母，见于《千金方》、《外台秘要》，用于治疗肺痿；甘草、干姜，出自《金匮要略》，是治疗肺冷的方剂。
紫菀、款冬、五味子、百部、地黄、阿胶、兜铃、杏仁、甘草，也是从《外台秘要》中治疗咳嗽生津的各首方剂中采集而来，这所谓的复方就是如此。肺系病症中生姜不可轻易使用。
（歌诀续）：归尾、茅根、大蓟、小蓟、蒲黄，藕节、茜草用于血热妄行时；痰盛时加入南星、陈皮、半夏，茯苓、枳实、枳壳必须用上。气喘加桑白皮、陈皮等，寒甚加人参兼用牡桂（肉桂），芍药加腊片（附子）就不必多言了。
陈修园按语：此方治疗久咳，不过是类集顺气化痰、清火解郁的药物，以数量多为贵，完全没有抓住病机关键。再思考其适宜之处，百部、款冬苦温，不适合阴虚血亏之后；兜铃、花粉、杏仁也忌讳用于中气虚弱者；知母、贝母、天门冬、地黄、阿胶、百合性寒而滋腻，药力也轻微，这与市面上那些问症开方、摇铃郎中笼统配合零卖药物的做法相差无几！然而此方屡见于名家著作，如明代龚太医的各种刻本，以及《万病回春》、《寿世葆元》等书也记载了它，只是方名间有不同，药品偶有增减，乡村医生使用，往往见效。我向来认为病患寿命未尽，总不归功于此方，也是见一次忘一次罢了。如今得到这本书，才知道礼失求诸野，在民间大有人才啊！转而后悔从前自己眼光浅陋。究其此方未得其精髓，大抵是奇方不去而用偶方，一方不行再复一方，如同韩信带兵，越多越好，而且其中轻重缓急，大有法度。加生姜的辛温来润肺，饴糖的甘味，培补脾胃以生肺气（土生金），
Prolonged cough leading to Lung萎 (Lung atrophy).
Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Bulbus), Tianmendong (Asparagi Radix), Kuandonghua (Adenophorae Flos) (each 3 qian), Tianhuafen (Trichosanthis Radix), Yiyiren (Coicis Semen), Xingren (Armeniacae Semen Amarum), Wuweizi (Schisandrae Fructus) (each 2 qian), Gancao (Glycyrrhizae Radix et Rhizoma), Douding (Campanulae Radix), Ziwan (Asteris Radix), Baihe (Lilii Bulbus), Jiegeng (Platycodonis Radix), Ejiao (Colla Corii Asini), Danggui (Angelicae Sinensis Radix), Dihuang (Rehmanniae Radix), Zisu (Perillae Folium), Bohe (Menthae Haplocalycis Herba), Baibu (Stemonae Radix) (each 1.5 qian).
Take the above herbs, add two zhan of water and three slices of Shengjiang (Fresh Ginger), decoct until one zhan remains, add one spoonful of Yitang (Malt Sugar) to mix and take orally, three times a day, one zhong after each meal, alternating with Baozhen Tang.
If blood heat is severe, add Chao Puhuang (Processed Lygodii Spora), Qiangengen (Rubiae Radix), Oujiie (Nelumbinis Nodus), Daji (Taraxaci Herba), Xiaoji (Cirsii Herba), Maohua (Imperatae Inflorescence), Danggui (Angelicae Sinensis Radix).
If phlegm is excessive, add Nanting (Arisaematis Rhizoma Preparatum), Banxia (Pinelliae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), Zhishi (Aurantii Fructus Immaturus), Zhiqiao (Aurantii Fructus).
If wheezing is severe, add Sangbaipi (Mori Cortex), Chenpi (Citri Reticulatae Pericarpium), Luobozhi (Raphani Semen), Tinglizi (Descurainiae Semen seu Lepidii Semen), Suzi (Perillae Fructus).
If heat is intense, add Shanzhizi (Gardeniae Fructus), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Huangbai (Phellodendri Cortex), Lianqiao (Forsythiae Fructus), Dahuang (Rhei Radix et Rhizoma), Kuandonghua (Adenophorae Flos).
If wind is predominant, add Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix), Juhua (Chrysanthemi Flos), Xixin (Asari Radix et Rhizoma), Xiangfu (Cyperi Rhizoma), Xuanfuhua (Inulae Flos).
If cold is severe, add Renshen (Ginseng Radix), Guizhi (Cinnamomi Ramulus), Lapian (Prepared Aconiti Lateralis Radix), Shaoyao (Paeoniae Radix).
(Pan's Note): This formula shares ten ingredients with Taiping Wan. Since Ning Sou Jin Dan is already available, there is no need to take this decoction. Yiyiren (Coicis Semen), along with Jiegeng (Platycodonis Radix) and Beimu (Fritillariae Bulbus), are found in *Qianjin Fang* and *Waitai Miyao*, used to treat Lung atrophy; Gancao (Glycyrrhizae Radix et Rhizoma) and Ganjiang (Zingiberis Rhizoma) are from *Jinkui Yaolue*, a formula for treating Lung cold.
Ziwan (Asteris Radix), Kuandonghua (Adenophorae Flos), Wuweizi (Schisandrae Fructus), Baibu (Stemonae Radix), Dihuang (Rehmanniae Radix), Ejiao (Colla Corii Asini), Douding (Campanulae Radix), Xingren (Armeniacae Semen Amarum), Gancao (Glycyrrhizae Radix et Rhizoma) are also collected from various formulas in *Waitai Miyao* that stop coughing and generate fluids; this is what is meant by compound formulas. In lung disorders, Shengjiang (Fresh Ginger) should not be used lightly.
(Chen Xiuyuan's Note): This formula treats prolonged cough merely by collecting herbs that promote qi circulation, resolve phlegm, clear fire, and relieve depression, valuing quantity over quality, without grasping the key pathogenesis. Considering its suitability, Baibu (Stemonae Radix) and Kuandonghua (Adenophorae Flos) are bitter and warm, unsuitable for post-blood deficiency; Douding (Campanulae Radix), Tianhuafen (Trichosanthis Radix), and Xingren (Armeniacae Semen Amarum) are also contraindicated for middle jiao deficiency; Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Bulbus), Tianmendong (Asparagi Radix), Dihuang (Rehmanniae Radix), Ejiao (Colla Corii Asini), and Baihe (Lilii Bulbus) are cold and cloying, with weak efficacy. How different are they from the indiscriminate combinations sold by street doctors? However, this formula appears frequently in major works, such as those by Imperial Physician Gong in the Ming Dynasty, and books like *Wanbing Huichun* and *Shoushi Baoyuan*. Although the names vary slightly and ingredients occasionally differ, village doctors often see results. I previously attributed patients' survival not to this formula but to their own vitality, forgetting it upon seeing it. Now, having obtained this book, I realize that "when rites are lost, seek them in the wild," finding great talent among the common people! I regret my previous narrow-mindedness. Ultimately, I did not grasp the essence of this formula. It seems to rely on even formulas rather than odd ones, repeating formulas when one fails, much like Han Xin leading troops: the more, the better. There is indeed method in its heaviness and lightness. The addition of Shengjiang (Fresh Ginger) provides acrid-warmness to moisten the lungs, and Yitang (Malt Sugar) provides sweetness to strengthen the spleen (earth) to generate metal (lungs),