《千金》论曰，寸口脉数，其人病咳，口中反有浊唾涎沫出，何也？师曰，此为肺痿之
病。肺痿之病，何从得之？师曰，病热在上焦，因咳为肺痿，或从汗出，或从呕吐，或从消
渴，小便利数，或从便难，被快药下利，重亡津液，故得肺痿。又寸口脉不出，而反发汗，
阳脉早索，阴脉不涩，三焦踟蹰，入而不出，身体反冷，其内反烦，多唾唇燥，小便反难，
此为肺痿，伤于津液便如烂瓜，亦如豚脑，但坐发汗故也。其病欲咳不得咳，咳则出干沫，
久久小便不利，甚则脉浮弱，肺痿吐涎沫而不咳者，其人不渴，必遗溺，小便数，所以然者
，上虚不能制下故也，此为肺中冷，必眩。师曰，肺痿咳唾，咽燥欲饮水者，自愈；自张口
者，短气也。（出第十七卷中）
仲景《伤寒论》疗肺痿吐涎唾不咳者，其人不渴，必遗溺，小便数，所以然者，以上虚
不能制下故也，此为肺冷，必眩，甘草干姜汤主之，以温其脏方。
甘草（四两炙） 干姜（二两）
上二味，切，以水三升，煮取一升半，分温二服，服汤已，小温覆之，若渴者属消渴。
忌海藻、菘菜。
又疗肺痿涎唾多，心中温温液液者。炙甘草汤方。
甘草（四两炙） 生姜（三两去皮） 人参（二两） 地黄（一斤） 阿胶（三两炙） 大
麻子
仁（半升） 大枣（四十枚） 麦门冬（半斤去心） 桂心（二两）
上九味，切，以美酒七升，水八升，相和，先煮八味，取四升，绞去滓，纳胶上，微火
烊销。温服七合，日三夜一。（并出第八卷中）
《肘后》疗肺痿咳嗽吐涎沫，心中温温，咽燥而渴者方。（一云不渴）
生天门冬（捣取汁一升） 酒（一升） 饴糖（一斤） 紫菀（末四合）
上四味，合铜器中，于汤上煎可丸。服如杏仁一丸，日三。忌鲤鱼。（《范汪》、《经心
录》同，出第一卷中）
《集验》疗肺痿咳唾涎沫不止，咽燥而渴方。（一云不渴）
生姜（五两） 人参（二两） 甘草（二两炙） 大枣（十二枚擘）
上四味，切，以水五升，煮取一升半，分再服。忌海藻、菘菜。（仲景《伤寒论》、《备
急
又疗肺痿，咳嗽涎沫，心中温温，咽燥而渴方。（一云不渴）
生姜（五两） 甘草（二两炙） 大枣（十二枚擘）
上三味，切，以水五升，煮取一升半，分再服。一方干姜三两，代生姜。忌海藻、菘
菜。（文仲、《千金》、《古今录验》同，《深师》云温脾汤，《范汪》亦同）
又疗肺痿，时时寒热，两颊赤，气急方。
童子小便，每日晚取之，去初末少许小便，可有五合，取上好甘草，量病患中指节，男
左女右，长短截之，炙令熟，破作四片，纳小便中，置于闲净处露一宿，器上横一小刀，明
日平旦去甘草。顿服之，每日一剂。其童子勿令吃五辛。忌海藻、菘菜、热面。（并出第四
卷中）
《删繁》疗虚寒喘鸣多饮，逆气呕吐。半夏肺痿汤方。
半夏（一升汤洗） 母姜（一斤） 橘皮（一斤） 白术（八两） 桂心（四两）
上五味，切，以水九升，煮取三升，去滓，分温三服。忌羊肉、饧、桃、李、雀肉、生
葱。（一方有桑白皮切一升）
又疗凡虚寒肺痿喘气。干地黄煎方。
干地黄（五两） 桑根白皮（切二升） 芎 （五两） 桂心 人参（各三两） 大麻
仁（一升
炒）
上六味，切，以水九升，先煮五味，取三升，去滓，纳大麻仁煎数沸，分三服。忌生葱
、芜荑。（并出第二卷中）
《千金》疗肺痿，涎唾多出，心中温温液液。甘草汤方。
甘草（二两炙）
上一味，切，以水三升，煮取一升半，分温三服。忌海藻、菘菜。（《范汪》同）
又疗肺痿吐涎沫。桂枝去芍药加皂荚汤方。
桂心（三两） 甘草（二两炙） 大皂荚（一挺去皮、子，炙） 生姜（三两） 大枣
（十二枚
擘）
上五味，切，以水七升，微火煮取三升，分三服。忌生葱、海藻、菘菜。（《范汪》、
《经心录》同，并出第十七卷中）
《千金方》论述说，寸口脉象数（脉搏跳动快），病人咳嗽，口中反而有浑浊的唾液和涎沫流出，这是为什么呢？老师说，这是肺痿病。肺痿病，是怎么得来的呢？老师说，热邪在上焦，因为咳嗽导致肺痿，或者因为发汗过度，或者因为呕吐，或者因为消渴病（以多饮、多食、多尿、身体消瘦为特征的疾病）导致小便频数，或者因为大便困难，被峻下泻药强行通便，严重耗伤津液，所以得肺痿。另外，如果寸口脉微弱不出，反而发汗，阳脉早先已虚弱，阴脉不涩滞，三焦运行迟缓，气机入而不出，身体反而发冷，体内反而烦闷，多唾且嘴唇干燥，小便反而困难，这是肺痿，损伤了津液，排出的痰液像烂瓜一样，也像猪脑浆一样，这都是因为误用发汗法造成的。病人想咳却咳不出来，咳出的是干沫，时间久了小便不利，严重时脉浮弱。肺痿吐涎沫却不咳嗽的病人，口不渴，必然遗尿，小便频数，之所以这样，是因为上焦虚寒不能制约下焦的缘故，这属于肺中寒冷，必然伴有眩晕。老师说，肺痿咳嗽，咽干想喝水的，会自愈；张口呼吸的，是短气。（出自第十七卷）
张仲景《伤寒论》治疗肺痿吐涎唾但不咳嗽的，口不渴，必然遗尿，小便频数，之所以这样，是因为上焦虚寒不能制约下下的缘故，这属于肺冷，必然眩晕，用甘草干姜汤主治，以温补脏腑。
以上两味药，切碎，用水三升，煮取一升半，分两次温服，服药后稍微覆盖保暖，如果口渴则属于消渴病。忌食海藻、菘菜（白菜）。
甘草（四两，炙） 生姜（三两，去皮） 人参（二两） 地黄（一斤） 阿胶（三两，炙） 火麻仁（半升） 大枣（四十枚） 麦门冬（半斤，去心） 桂心（二两）
以上九味药，切碎，用美酒七升，水八升，混合，先煮前八味，取汁四升，过滤去渣，加入阿胶，用微火加热至融化。温服七合，每天三次，夜间一次。（均出自第八卷）
《肘后备急方》治疗肺痿咳嗽吐涎沫，心中温热不适，咽干而渴的方子。（一说口不渴）
生天门冬（捣取汁一升） 酒（一升） 饴糖（一斤） 紫菀（研末四合）
以上四味药，放入铜器中，在沸水上煎煮至可制成丸剂。每次服用如杏仁大小的丸药，每天三次。忌食鲤鱼。（《范汪方》、《经心录》相同，出自第一卷）
《集验方》治疗肺痿咳吐涎沫不止，咽干而渴的方子。（一说口不渴）
生姜（五两） 人参（二两） 甘草（二两，炙） 大枣（十二枚，掰开）
以上四味药，切碎，用水五升，煮取一升半，分两次服用。忌食海藻、菘菜。（出自张仲景《伤寒论》、《备急千金要方》等）
又治疗肺痿，咳嗽涎沫，心中温热不适，咽干而渴的方子。（一说口不渴）
以上三味药，切碎，用水五升，煮取一升半，分两次服用。一方用干姜三两代替生姜。忌食海藻、菘菜。（文仲、《千金方》、《古今录验》相同，《深师方》称为温脾汤，《范汪方》也相同）
童子尿，每天傍晚收集，去掉开头和结尾少许尿液，取中间部分约五合，取上等甘草，根据病患中指节的长度（男左女右）截取一段，炙烤至熟透，破成四片，放入尿中，放在干净处露天放置一夜，第二天清晨取出甘草。一次性服下，每日一剂。童子不要食用五辛（葱、蒜、韭、薤、兴渠）。忌食海藻、菘菜、热面。（均出自第四卷）
半夏（一升，汤洗） 生姜（一斤） 橘皮（一斤） 白术（八两） 桂心（四两）
以上五味药，切碎，用水九升，煮取三升，去渣，分三次温服。忌食羊肉、饴糖、桃、李、雀肉、生葱。（一方加桑白皮切一升）
干地黄（五两） 桑根白皮（切二升） 川芎（五两） 桂心 人参（各三两） 火麻仁（一升，炒）
以上六味药，切碎，用水九升，先煮前五味，取汁三升，去渣，加入火麻仁煎煮数沸，分三次服用。忌食生葱、芜荑。（均出自第二卷）
甘草（二两，炙）
以上一味药，切碎，用水三升，煮取一升半，分三次温服。忌食海藻、菘菜。（《范汪方》相同）
桂心（三两） 甘草（二两，炙） 大皂荚（一根，去皮、子，炙） 生姜（三两） 大枣（十二枚，掰开）
以上五味药，切碎，用水七升，微火煮取三升，分三次服用。忌食生葱、海藻、菘菜。（《范汪方》、《经心录》相同，均出自第十七卷）
*Qianjin Fang* states: If the pulse at the Cun Kou (Cun Kou, the radial artery pulse position) is rapid (Shu, rapid), and the patient suffers from coughing with turbid saliva and froth coming out of the mouth, what is the reason? The Master said, this is a disease of Lung萎 (Fei Wei, Lung Flaccidity). How does one contract Lung Flaccidity? The Master said, heat in the Upper Jiao (Upper Burner), caused by coughing, leads to Lung Flaccidity. It may also result from excessive sweating, vomiting, or Xiao Ke (Xiao Ke, Wasting-Thirst syndrome characterized by polydipsia, polyphagia, and polyuria) causing frequent urination. Or, due to constipation treated with harsh purgatives, leading to severe depletion of Body Fluids (Jin Ye, fluids in the body), thus contracting Lung Flaccidity. Furthermore, if the pulse at Cun Kou is faint or absent, yet sweating is induced, the Yang pulse becomes depleted early, while the Yin pulse is not choppy. The San Jiao (Triple Burner) moves sluggishly; Qi enters but does not exit. The body feels cold, yet internally there is vexation. There is excessive salivation, dry lips, and difficulty urinating. This is Lung Flaccidity, where Jin Ye are damaged. The expectorated phlegm resembles rotten melon or pig brain. This is solely due to improper sweating therapy. The patient desires to cough but cannot; when coughing, only dry froth is produced. Over time, urination becomes difficult. In severe cases, the pulse is floating and weak. In Lung Flaccidity, if there is expectoration of froth without coughing, the patient is not thirsty, inevitably suffers from enuresis (bedwetting/involuntary urination), and has frequent urination. The reason for this is that deficiency in the Upper Jiao fails to control the Lower Jiao. This belongs to Cold in the Lungs, inevitably accompanied by dizziness. The Master said, in Lung Flaccidity with coughing and expectoration, if the throat is dry and the patient desires water, they will recover spontaneously; if they breathe with an open mouth, it indicates Shortness of Breath (Duan Qi). (From Volume 17)
Zhang Zhongjing's *Shanghan Lun* treats Lung Flaccidity with expectoration of froth/saliva but no coughing, where the patient is not thirsty, inevitably suffers from enuresis, and has frequent urination. The reason is that Upper Jiao deficiency fails to control the Lower Jiao. This is Cold in the Lungs, inevitably accompanied by dizziness. It is primarily treated with Gancao Ganjiang Tang (Licorice and Dried Ginger Decoction) to warm the Zang organs.
Gancao (Licorice Root, 4 liang, processed with honey/hot) Ganjiang (Dried Ginger, 2 liang)
The above two ingredients are sliced. Add 3 sheng of water, decoct to obtain 1.5 sheng. Divide into two warm doses. After taking the decoction, cover slightly to keep warm. If thirst occurs, it indicates Xiao Ke. Avoid Haizao (Sargassum) and Songcai (Chinese Cabbage/Bok Choy).
Also treats Lung Flaccidity with excessive froth/saliva and a sensation of warmth and stickiness in the heart/chest. Formula: Zhigancao Tang (Processed Licorice Decoction).
Gancao (Licorice Root, 4 liang, processed) Shengjiang (Fresh Ginger, 3 liang, peeled) Renshen (Ginseng Root, 2 liang) Dihuang (Rehmannia Root, 1 jin) Ejiao (Donkey-hide Gelatin, 3 liang, processed) Huomaren (Hemp Seed, 0.5 sheng) Dazao (Jujube, 40 pieces) Maimendong (Ophiopogon Tuber, 0.5 jin, core removed) Guixin (Cinnamon Twig Heart, 2 liang)
The above nine ingredients are sliced. Mix with 7 sheng of fine wine and 8 sheng of water. First decoct the first eight ingredients to obtain 4 sheng. Strain to remove dregs. Add Ejiao and melt over low heat. Take 7 ge warm, three times daily and once at night. (All from Volume 8)
*Zhouhou Beiji Fang* treats Lung Flaccidity with coughing, expectoration of froth, warmth in the chest, dry throat, and thirst. (Some say no thirst).
Shengtianmendong (Fresh Asparagus Tuber, crushed to yield 1 sheng of juice) Jiu (Wine, 1 sheng) Yitang (Malt Sugar, 1 jin) Ziwan (Aster Root, powdered, 4 he)
The above four ingredients are combined in a copper vessel and boiled over hot water until suitable for making pills. Take one pill the size of an apricot kernel, three times daily. Avoid Carp. (*Fan Wang Fang*, *Jingxin Lu* are identical; from Volume 1)
*Jiyan Fang* treats Lung Flaccidity with continuous expectoration of froth, dry throat, and thirst. (Some say no thirst).
Shengjiang (Fresh Ginger, 5 liang) Renshen (Ginseng Root, 2 liang) Gancao (Licorice Root, 2 liang, processed) Dazao (Jujube, 12 pieces, split)
The above four ingredients are sliced. Add 5 sheng of water, decoct to obtain 1.5 sheng. Divide into two doses. Avoid Haizao and Songcai. (From Zhang Zhongjing's *Shanghan Lun*, *Beiji Qianjin Yaofang*, etc.)
Also treats Lung Flaccidity with coughing, froth, warmth in the chest, dry throat, and thirst. (Some say no thirst).
Shengjiang (Fresh Ginger, 5 liang) Gancao (Licorice Root, 2 liang, processed) Dazao (Jujube, 12 pieces, split)
The above three ingredients are sliced. Add 5 sheng of water, decoct to obtain 1.5 sheng. Divide into two doses. One variation uses 3 liang of Ganjiang (Dried Ginger) instead of Shengjiang. Avoid Haizao and Songcai. (Identical to Wen Zhong, *Qianjin Fang*, *Gujin Luyan*; *Shenshi Fang* calls it Wenpi Tang; *Fan Wang Fang* is also identical).
Also treats Lung Flaccidity with alternating chills and fever, red cheeks, and急促 breathing (Qi Ji).
Collect urine from a healthy boy every evening. Discard the initial and final portions, retaining approximately 5 ge of the middle portion. Select high-quality Gancao (Licorice Root). Measure the length of the patient's middle finger joint (left for males, right for females), cut the licorice to that length, roast until thoroughly cooked, break into four pieces, and place in the urine. Leave uncovered in a clean place overnight. The next morning at dawn, remove the licorice. Take the entire dose at once, one dose per day. The boy should avoid Wu Xin (Five Pungent Spices: garlic, chives, leeks, scallions, and asafoetida). Avoid Haizao, Songcai, and hot noodles. (All from Volume 4)
*Shanfan Fang* treats deficiency-cold with wheezing, excessive drinking, and rebellious Qi with vomiting. Formula: Banxia Feiwei Tang (Pinellia Lung Flaccidity Decoction).
Banxia (Pinellia Tuber, 1 sheng, washed with boiling water) Mujiang (Mother Ginger/Original Ginger, 1 jin) Jupi (Tangerine Peel, 1 jin) Baizhu (Atractylodes Macrocephala Rhizome, 8 liang) Guixin (Cinnamon Twig Heart, 4 liang)
The above five ingredients are sliced. Add 9 sheng of water, decoct to obtain 3 sheng. Strain and divide into three warm doses. Avoid mutton, malt sugar, peaches, plums, sparrow meat, and raw green onions. (One variation adds Sangbaipi [Mulberry Root Bark], sliced, 1 sheng).
Also treats all cases of deficiency-cold Lung Flaccidity with panting. Formula: Gan Dihuang Jian (Dry Rehmannia Decoction).
Gan Dihuang (Dry Rehmannia Root, 5 liang) Sanggen Baipi (Mulberry Root Bark, sliced, 2 sheng) Xiongqiong (Ligusticum Chuanxiong Rhizome, 5 liang) Guixin (Cinnamon Twig Heart) Renshen (Ginseng Root) (Each 3 liang) Huomaren (Hemp Seed, 1 sheng, stir-fried)
The above six ingredients are sliced. Add 9 sheng of water. First decoct the first five ingredients to obtain 3 sheng. Strain. Add Huomaren and boil briefly. Divide into three doses. Avoid raw green onions and Elaeagnus fruit (Wuyi). (All from Volume 2)
*Qianjin Fang* treats Lung Flaccidity with excessive froth/saliva and a sensation of warmth and stickiness in the chest. Formula: Gancao Tang (Licorice Decoction).
Gancao (Licorice Root, 2 liang, processed)
The above single ingredient is sliced. Add 3 sheng of water, decoct to obtain 1.5 sheng. Divide into three warm doses. Avoid Haizao and Songcai. (*Fan Wang Fang* is identical).
Also treats Lung Flaccidity with expectoration of froth. Formula: Guizhi Qu Shaoyao Jia Zaojiao Tang (Cinnamon Twig Decoction minus Peony plus Gleditsia Sinensis Fruit).
Guixin (Cinnamon Twig Heart, 3 liang) Gancao (Licorice Root, 2 liang, processed) Da Zaojiao (Large Gleditsia Sinensis Fruit, one pod, skin and seeds removed, roasted) Shengjiang (Fresh Ginger, 3 liang) Dazao (Jujube, 12 pieces, split)
The above five ingredients are sliced. Add 7 sheng of water. Simmer over low heat to obtain 3 sheng. Divide into three doses. Avoid raw green onions, Haizao, and Songcai. (*Fan Wang Fang*, *Jingxin Lu* are identical; all from Volume 17).