夫肺实则生热。热则阳气盛。阳气盛则胸膈烦满。口赤鼻张。饮水无度。上气咳逆。咽
中不利。体背生疮。尻阴股膝 胫足皆痛。诊其脉滑实者。是肺实之候也。
治肺实气实。心胸壅闷。咳嗽烦喘。大肠不利。宜服泻肺大麻仁散方。
大麻仁（二两） 桑根白皮（三分锉） 槟榔〔二（一）两〕 天门冬（二分去心） 赤
茯苓（
三分） 枳壳（三分麸炒微黄去瓤） 汉防己（三分） 甘草（半两炙微赤锉）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候温服。忌炙爆热面大蒜。
治肺脏气实。上焦痰滞。不下饮食。宜服泻肺散方。
枳壳（三分麸炒微黄去瓤） 旋复花（半两） 川芒硝（一两） 前胡（三分去芦头） 川
大黄
（一两锉碎微炒）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至五（六）分。去滓。
不
计时候温服。
治肺脏气实。心胸烦壅。咳嗽喘促。大肠气滞。宜服泻肺大黄煎方。
川大黄（二两锉碎微炒） 生地黄汁（三合） 杏仁（一两汤浸去皮尖双仁生研） 枳
壳（一
两麸炒微黄去瓤） 牛蒡根汁（二合） 郁李仁（二两汤浸去皮尖微炒）
上件药。捣细罗为散。用蜜四两。酥二两。入前二味汁。同于银锅子内入诸药末。搅令
匀。慢火煎令成膏。收于瓷盒内。每服。不计时候。以清粥饮调下一茶匙。
治肺脏气实。心胸壅闷。喘促咳嗽。面目浮肿。宜服泻肺丸方。
马兜铃（一两） 款冬花（半两） 甜葶苈（三分隔纸炒令紫色） 赤茯苓（一两） 杏
仁（一
两汤
浸去白
瓤焙
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计时候。以温水下三
十丸。
治肺脏气实。胸膈壅滞。大肠不利。宜服牵牛子丸方。
牵牛子（一分生用） 马牙硝（一两炼令汁尽） 鸡 （半两生用阴干） 甜葶苈〔半
两隔
纸炒令黄（紫）色〕 杏仁（半两汤浸去皮尖双仁麸炒微黄）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服。不计时候。以温酒下三十丸。
治肺脏气实。心胸壅闷。咳嗽喘促。大肠气滞。葶苈丸方。
甜葶苈（三分隔纸炒令紫色） 杏仁（三七枚汤浸去皮尖双仁麸炒微黄） 牵牛子（一
两微
炒） 汉防己（一两） 陈橘皮（半两汤浸去白瓤焙）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服。不计时候。煎桑根白皮汤下二十丸
又方。
川大黄（一两锉碎微炒） 五味子（一两） 车前子（一两）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计时候。以温水下三
十丸。
肺脏实证会产生热邪。热邪会导致阳气亢盛。阳气亢盛则出现胸膈部烦闷胀满、口唇发红、鼻孔张开、饮水无节制、气逆上冲、咳嗽气喘、咽喉中感觉不利、背部生疮、尻阴、大腿、膝盖、小腿及足部均疼痛的症状。诊察其脉象滑而有力的，这是肺实证的征候。
治疗肺脏气实，心胸壅塞闷痛，咳嗽烦躁气喘，大肠传导不利，适宜服用泻肺大麻仁散方。
药材：大麻仁（二两）、桑根白皮（三分，锉碎）、槟榔（二两，注：原文有异文“一”）、天门冬（二分，去心）、赤茯苓（三分）、枳壳（三分，麸炒至微黄，去瓤）、汉防己（三分）、甘草（半两，炙至微红，锉碎）。
制法与用法：将上述药物捣碎并过粗罗筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至剩余六分药液，滤去药渣。不拘时候，温服。忌食烤炸、油炸、热性面食及大蒜。
治疗肺脏气实，上焦痰浊停滞，导致饮食难下，适宜服用泻肺散方。
药材：枳壳（三分，麸炒至微黄，去瓤）、旋复花（半两）、川芒硝（一两）、前胡（三分，去芦头）、川大黄（一两，锉碎，微炒）。
制法与用法：将上述药物捣碎并过粗罗筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至剩余五至六分药液，滤去药渣。不拘时候，温服。
治疗肺脏气实，心胸烦闷壅滞，咳嗽气喘急促，大肠气机阻滞，适宜服用泻肺大黄煎方。
药材：川大黄（二两，锉碎，微炒）、生地黄汁（三合）、杏仁（一两，汤浸去皮尖，双仁者生研）、枳壳（一两，麸炒至微黄，去瓤）、牛蒡根汁（二合）、郁李仁（二两，汤浸去皮尖，微炒）。
制法与用法：将上述药物捣细并过细罗筛制成散剂。用蜂蜜四两、酥油二两，加入前述两种汁液，一同放入银锅子内，加入诸药末，搅拌均匀。用慢火煎煮成膏状，收于瓷盒内。每次服用时，不拘时候，用清粥饮调服一茶匙。
治疗肺脏气实，心胸壅闷，气喘咳嗽，面目浮肿，适宜服用泻肺丸方。
药材：马兜铃（一两）、款冬花（半两）、甜葶苈（三分，隔纸炒至紫色）、赤茯苓（一两）、杏仁（一两，汤浸去皮尖，焙干）。
制法与用法：将上述药物捣碎过罗筛制成粉末。用炼蜜调和，捣杵三二百次，制成如梧桐子大小的丸剂。每次服用时，不拘时候，用温水送服三十丸。
治疗肺脏气实，胸膈壅滞，大肠传导不利，适宜服用牵牛子丸方。
药材：牵牛子（一分，生用）、马牙硝（一两，炼至汁尽）、鸡屎䴵（半两，生用，阴干）、甜葶苈（半两，隔纸炒至黄色或紫色）、杏仁（半两，汤浸去皮尖，双仁者，麸炒微黄）。
制法与用法：将上述药物捣碎过罗筛制成粉末。用炼蜜调和制成丸剂，大小如梧桐子。每次服用时，不拘时候，用温酒送服三十丸。
治疗肺脏气实，心胸壅闷，咳嗽气喘急促，大肠气机阻滞，使用葶苈丸方。
药材：甜葶苈（三分，隔纸炒至紫色）、杏仁（三七枚，汤浸去皮尖，双仁者，麸炒微黄）、牵牛子（一两，微炒）、汉防己（一两）、陈橘皮（半两，汤浸去白瓤，焙干）。
制法与用法：将上述药物捣碎过罗筛制成粉末。用炼蜜调和制成丸剂，大小如梧桐子。每次服用时，不拘时候，煎煮桑根白皮汤送服二十丸。
又一方。
药材：川大黄（一两，锉碎，微炒）、五味子（一两）、车前子（一两）。
制法与用法：将上述药物捣碎过罗筛制成粉末。用炼蜜调和，捣杵三二百次，制成如梧桐子大小的丸剂。每次服用时，不拘时候，用温水送服三十丸。
When the Lung is in a state of excess, heat is generated. Heat causes an abundance of Yang Qi. An abundance of Yang Qi leads to vexation and fullness in the chest and diaphragm, redness of the mouth, distension of the nasal passages, excessive drinking of water, rebellious Qi with coughing and counterflow, discomfort in the throat, sores on the back, and pain in the sacrum, yin region, thighs, knees, shins, and feet. If the pulse is slippery and excess (full), this indicates the syndrome of Lung Excess.
For treating Lung Qi excess, characterized by chest and heart oppression and stuffiness, coughing with vexation and panting, and unfavorable bowel movements, it is appropriate to take Xiefei Daren San (Cannabis Seed Powder for Draining the Lung).
Herbs: Cannabis Fructus (Damaoren, 大麻仁) [2 liang], Mulberry Root Bark (Sanggenbaipi, 桑根白皮) [3 fen, crushed], Areca Seed (Binglang, 槟榔) [2 liang], Asparagus Tuber (Tianmendong, 天门冬) [2 fen, heart removed], Red Poria (Chifuling, 赤茯苓) [3 fen], Aurantium Fruit (Zhiqiao, 枳壳) [3 fen, stir-fried with bran until slightly yellow, albedo removed], Stephania Root (Hanfangji, 汉防己) [3 fen], Licorice Root (Gancao, 甘草) [0.5 liang, honey-fried until slightly red, crushed].
Preparation and Administration: The above herbs are coarsely ground and sieved to make a powder. Each dose consists of 3 qian, decocted with one zhong of water and half a qian of fresh ginger until reduced to six-tenths of the original volume. Strain and administer warm at any time. Avoid roasted, fried, hot-natured wheat products, and garlic.
For treating Lung organ Qi excess, characterized by stagnation of phlegm in the upper jiao leading to inability to ingest food, it is appropriate to take Xiefei San (Powder for Draining the Lung).
Herbs: Aurantium Fruit (Zhiqiao, 枳壳) [3 fen, stir-fried with bran until slightly yellow, albedo removed], Inula Flower (Xuanjinhua, 旋复花) [0.5 liang], Mirabilite (Chuanmangxiao, 川芒硝) [1 liang], Peucedanum Root (Qianhu, 前胡) [3 fen, radix removed], Rhubarb (Chuan Dahuang, 川大黄) [1 liang, crushed, slightly stir-fried].
Preparation and Administration: The above herbs are coarsely ground and sieved to make a powder. Each dose consists of 3 qian, decocted with one zhong of water and half a qian of fresh ginger until reduced to five or six-tenths of the original volume. Strain and administer warm at any time.
For treating Lung organ Qi excess, characterized by vexation and oppression in the chest and heart, coughing with rapid panting, and stagnation of Qi in the large intestine, it is appropriate to take Xiefei Dahuang Jian (Rhubarb Decoction for Draining the Lung).
Herbs: Rhubarb (Chuan Dahuang, 川大黄) [2 liang, crushed, slightly stir-fried], Fresh Rehmannia Juice (Shengdihuangzhi, 生地黄汁) [3 he], Apricot Seed (Xingren, 杏仁) [1 liang, soaked in water, skin and pointed ends removed, double-kernel seeds raw and ground], Aurantium Fruit (Zhiqiao, 枳壳) [1 liang, stir-fried with bran until slightly yellow, albedo removed], Arctium Root Juice (Niubanggenzhi, 牛蒡根汁) [2 he], Prunus Slender-scale Pit Seed (Yuliren, 郁李仁) [2 liang, soaked in water, skin and pointed ends removed, slightly stir-fried].
Preparation and Administration: The above herbs are finely ground and sieved to make a powder. Using 4 liang of honey and 2 liang of butter, add the two aforementioned juices. Combine all herb powders in a silver pot and stir evenly. Simmer over low heat until a paste forms. Store in a porcelain box. Each dose is administered at any time, mixed with clear rice soup and taken as one tea spoonful.
For treating Lung organ Qi excess, characterized by chest and heart oppression, rapid panting with coughing, and edema of the face and eyes, it is appropriate to take Xiefei Wan (Pill for Draining the Lung).
Herbs: Aristolochia Root (Madouling, 马兜铃) [1 liang], Winter Flower Bud (Kuandonghua, 款冬花) [0.5 liang], Lepidium Seed (Tiantingli, 甜葶苈) [3 fen, stir-fried between papers until purple], Red Poria (Chifuling, 赤茯苓) [1 liang], Apricot Seed (Xingren, 杏仁) [1 liang, soaked in water, skin and white albedo removed, dried].
Preparation and Administration: The above herbs are ground into powder. Mix with refined honey and pound three to two hundred times. Form pills the size of sophora seeds. Each dose is administered at any time, taken with warm water, thirty pills per dose.
For treating Lung organ Qi excess, characterized by stagnation in the chest and diaphragm and unfavorable bowel movements, it is appropriate to take Qianniuzi Wan (Pharbitis Seed Pill).
Herbs: Pharbitis Seed (Qianniuzi, 牵牛子) [1 fen, raw use], Niter (Mayaxiao, 马牙硝) [1 liang, refined until liquid evaporates], Chicken Droppings (Jishibai, 鸡屎䴵) [0.5 liang, raw use, shade-dried], Lepidium Seed (Tiantingli, 甜葶苈) [0.5 liang, stir-fried between papers until yellow or purple], Apricot Seed (Xingren, 杏仁) [0.5 liang, soaked in water, skin and pointed ends removed, double-kernel seeds, stir-fried with bran until slightly yellow].
Preparation and Administration: The above herbs are ground into powder. Mix with refined honey and form pills the size of sophora seeds. Each dose is administered at any time, taken with warm wine, thirty pills per dose.
For treating Lung organ Qi excess, characterized by chest and heart oppression, coughing with rapid panting, and stagnation of Qi in the large intestine, use Tingli Wan (Lepidium Pill).
Herbs: Lepidium Seed (Tiantingli, 甜葶苈) [3 fen, stir-fried between papers until purple], Apricot Seed (Xingren, 杏仁) [37-70 seeds, soaked in water, skin and pointed ends removed, double-kernel seeds, stir-fried with bran until slightly yellow], Pharbitis Seed (Qianniuzi, 牵牛子) [1 liang, slightly stir-fried], Stephania Root (Hanfangji, 汉防己) [1 liang], Aged Tangerine Peel (Chenjuapi, 陈橘皮) [0.5 liang, soaked in water, white albedo removed, dried].
Preparation and Administration: The above herbs are ground into powder. Mix with refined honey and form pills the size of sophora seeds. Each dose is administered at any time, taken with decoction of Mulberry Root Bark, twenty pills per dose.
Another prescription.
Herbs: Rhubarb (Chuan Dahuang, 川大黄) [1 liang, crushed, slightly stir-fried], Schisandra Berry (Wuweizi, 五味子) [1 liang], Plantago Seed (Cheqianzi, 车前子) [1 liang].
Preparation and Administration: The above herbs are ground into powder. Mix with refined honey and pound three to two hundred times. Form pills the size of sophora seeds. Each dose is administered at any time, taken with warm water, thirty pills per dose.