（脉四首 方二十首 灸法三首）
肺实热
右手寸口气口以前脉阴实者，手太阴经也，病苦肺胀汗出若露，上气喘逆咽中塞如欲呕
状，名曰肺实热也。
治肺实热，胸凭仰息泄气除热方∶
石膏（八两） 白前 杏仁（各三两） 白术 橘皮（各五两） 枸杞根皮（切二升），
赤蜜（七
合）
上七味 咀，以水七升，煮取二升，去滓下蜜，煮三沸，分三服。
治肺热闷不止，胸中喘急惊悸，客热来去，欲死不堪，服药泄胸中喘气方∶
桃皮 芫花（各一升）
上二味 咀，以水四斗，煮取一斗五升，去滓，以故布手巾纳汁中，敷胸温四肢，不盈
数日即歇。
治肺热气上咳息奔喘方。
橘皮 麻黄 柴胡 干紫苏（《删繁》作干兰，各三两） 杏仁 宿姜（各四两） 石
膏（八
两）
上七味 咀，以水九升煮麻黄两沸，去沫，下药，煮取三升，去滓，分三服。不瘥与
两剂。
治肺热喘息鼻衄血方∶
羚羊角 元参 射干 鸡苏 芍药 升麻 柏皮（各三两） 生地（切一升） 栀子仁
（四
两） 淡竹茹（鸡子大一枚）
上十味 咀，以水九升，煮取三升，分三服。须利者下芒硝三两，更煮三沸。
治肺热饮酒当风，风入肺，胆气妄泄，目青气喘者方∶
麻黄（四两） 甘草 五味子（各三两） 杏仁（五十粒） 母姜（五两） 淡竹叶（切，
一升
上六味 咀，以水七升，先煮麻黄，去沫，下诸药，煮取三升，去滓，分三服。
（脉诊四首 方剂二十首 灸法三首）
肺实热证
右手寸口脉的“气口”部位以前（即寸部），若脉象表现为阴实，属于手太阴肺经病变。患者痛苦于肺部胀满、出汗如淋浴状，呼吸急促且气息上逆，咽喉中有堵塞感，似欲呕吐之状，此病名为肺实热证。
治疗肺实热证，胸膺部支撑感、仰面呼吸以泄除体内邪热的方剂：
石膏（八两） 白前 杏仁（各三两） 白术 橘皮（各五两） 枸杞根皮（切碎二升），
赤蜜（七合）
以上七味药，捣碎，用水七升，煎煮至取汁二升，滤去药渣后加入蜂蜜，再煮沸三次，分三次服用。
治疗肺热胸闷不止，胸中喘急、惊悸不安，客热往来不定，痛苦不堪欲死，服药以宣泄胸中喘气的方剂：
桃皮 芫花（各一升）
以上两味药，捣碎，用水四斗，煎煮至取汁一斗五升，滤去药渣，用旧布巾浸透药汁敷于胸部并温熨四肢，不到数日即可痊愈。
治疗肺热气机上逆导致咳嗽、喘息奔迫的方剂。
橘皮 麻黄 柴胡 干紫苏（《删繁》版本作干兰，各三两） 杏仁 宿姜（各四两） 石
膏（八两）
以上七味药，捣碎，用水九升先煎煮麻黄两次沸腾，撇去浮沫，再加入其他药物，煎煮至取汁三升，滤去药渣，分三次服用。若未痊愈，可再服两剂。
治疗肺热喘息伴鼻出血的方剂：
羚羊角 元参 射干 鸡苏 芍药 升麻 柏皮（各三两） 生地（切碎一升） 栀子仁
（四两） 淡竹茹（鸡蛋大小一枚）
以上十味药，捣碎，用水九升，煎煮至取汁三升，分三次服用。若需要通便泻下，则加入芒硝三两，再煮沸三次。
治疗因肺热饮酒当风，风邪入肺，胆气妄泄，出现目青、气喘症状的方剂：
麻黄（四两） 甘草 五味子（各三两） 杏仁（五十粒） 母姜（五两） 淡竹叶（切碎，
一升）
以上六味药，捣碎，用水七升，先煎煮麻黄，撇去浮沫，再加入其余药物，煎煮至取汁三升，滤去药渣，分三次服用。
(Four sections on pulse diagnosis, Twenty prescriptions, Three sections on moxibustion)
Lung Excess-Heat Syndrome
If the pulse at the "Qikou" (pulse-taking area) prior to the cun position of the right hand's Cun Kou is Yin-Shi (Excess), it indicates a disease of the Hand-Taiyin Lung Meridian. The patient suffers from lung distension, sweating profusely as if in a shower, rapid breathing with qi rebellion, a sensation of obstruction in the throat, and a state resembling the urge to vomit. This condition is named Lung Excess-Heat.
Prescription for treating Lung Excess-Heat, chest oppression requiring supine respiration, to vent qi and eliminate heat:
Shigao (Gypsum Fibrosum, 8 liang) Baiqian (Cynanchi Stauntonii Radix) Xingren (Armeniacae Semen Amarum, each 3 liang) Baizhu (Atractylodis Macrocephalae Rhizoma) Chupi (Citri Reticulatae Pericarpium, each 5 liang) Gouqigenpi (Phellodendri Cortex or Lycii Cortex, cut into pieces, 2 sheng),
Chimi (Red Honey, 7 he)
The above seven ingredients are crushed. Boil in 7 sheng of water until reduced to 2 sheng. Remove the dregs, add honey, boil for three more boils, and divide into three doses.
Prescription for treating persistent lung heat with chest stuffiness, rapid panting in the chest, palpitations, wandering external heat, extreme suffering, and medication to vent chest qi and panting:
Taopi (Pruni Persicae Cortex) Yuanhua (Genkwa Flos, each 1 sheng)
The above two ingredients are crushed. Boil in 4 dou of water until reduced to 1.5 dou. Remove the dregs. Soak an old cloth towel in the decoction, apply it to the chest to warm the limbs. Recovery will occur within a few days.
Prescription for treating lung heat causing qi rebellion, coughing, and rushing panting.
Chupi (Citri Reticulatae Pericarpium) Mahuang (Ephedrae Herba) Chaihu (Bupleuri Radix) Gan Zisu (Perillae Folium dried, each 3 liang; note: "Shanfan" version uses Gan Lan) Xingren (Armeniacae Semen Amarum) Sujiang (Old Ginger, each 4 liang) Shigao (Gypsum Fibrosum, 8 liang)
The above seven ingredients are crushed. Boil Mahuang in 9 sheng of water for two boils, remove the foam, then add the remaining herbs. Boil until 3 sheng remains. Remove dregs and divide into three doses. If not cured, administer two additional doses.
Prescription for treating lung heat with panting and epistaxis:
Lingyangjiao (Saiga Tataricae Cornu) Yuanshen (Scrophulariae Radix) Shegan (Belamcandae Rhizoma) Jisu (Elsholtziae Herba) Shaoyao (Paeoniae Radix) Shengma ( Cimicifugae Rhizoma) Bapi (Platycladi Cacumen, each 3 liang) Shengdi (Rehmanniae Radix Praeparata, cut into pieces, 1 sheng) Zhizi Ren (Gardeniae Semen, 4 liang) Danzhuru (Bambusae Caulis in Taeniam, size of one chicken egg)
The above ten ingredients are crushed. Boil in 9 sheng of water until reduced to 3 sheng. Divide into three doses. If purgation is required, add Mangxiao (Natrii Sulfas, 3 liang) and boil for three more boils.
Prescription for treating lung heat caused by drinking alcohol while exposed to wind, where wind enters the lung, gallbladder qi leaks recklessly, resulting in bluish eyes and panting:
Mahuang (Ephedrae Herba, 4 liang) Gancao (Glycyrrhizae Radix et Rhizoma) Wuweizi (Schisandrae Fructus, each 3 liang) Xingren (Armeniacae Semen Amarum, 50 grains) Mujiang (Mother Ginger, 5 liang) Danzhuye (Bambusae Folium, cut into pieces, 1 sheng)
The above six ingredients are crushed. Boil Mahuang in 7 sheng of water first, remove the foam, then add the other herbs. Boil until 3 sheng remains. Remove dregs and divide into three doses.