夫肺之积名曰息贲。在右胁下。覆大如杯。久不愈。令人洒淅寒热。喘咳发肺痈。以春
甲乙
肯受
治息贲气。胸膈妨实。右胁下坚急。上气咳嗽。宜服槟榔散方。
槟榔（一两） 赤茯苓（三分） 赤芍药（三分） 食茱萸（三分） 京三棱（三分） 诃
黎勒皮
（三
上件药。捣筛为散。每服三钱。水一中盏。入生姜半分。煎至六分。去滓。不计时候温
服。
治息贲气。在右胁下。结聚胀痛。喘促咳嗽。宜服紫菀散方。
紫菀（一两去苗土） 吴茱萸（半两汤浸七遍焙干微炒） 白术（半两） 当归（半两）
桂心
（半
实
（半两
上件药。捣筛为散。每服三钱。水一中盏。入生姜半分。煎至六分。去滓。不计时候温
服。
治息贲气。腹胁胀硬。咳嗽见血。痰粘不利。宜服枳实散方。
枳实（半两麸炒微黄） 木香（半两） 槟榔（半两） 诃黎勒皮（半两） 甜葶苈（半
两隔纸
炒令
去皮尖双
仁麸
上件药。捣筛为散。每服三钱。水一中盏。煎至六分。去滓。不计时候温服。
治息贲气。腹胁胀满。喘急咳嗽。坐卧不安。宜服大腹皮散方。
大腹皮（五枚） 赤茯苓（一两） 前胡（一两去芦头） 诃黎勒皮（半两） 汉防己
（半两）
木香
微炒）
上件药。捣筛为散。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
治息贲气。令人喘咳。心腹胀满。胁下疼痛。宜服牛蒡子散方。
牛蒡子（一两微炒） 木香（一两） 当归（一两） 京三棱（一两炮裂锉） 吴茱萸
（半两汤
浸七
）
上件药。捣细罗为散。每服二钱。以温酒调下。食前服。生姜橘皮汤下亦得。
治息贲气。右胁下结硬如杯。心胸胀痛。不能饮食。胸膈壅闷。咳嗽喘促。宜服
桃仁煎丸
桃仁（三两汤浸去皮尖双仁细研以酒三升同硼砂煎成膏） 硼砂（一两半不夹石者细研）
鳖甲
土）
猪牙皂
姜（半
两炮裂
上件药。捣细罗为末。入桃仁硼砂。煎中溶和。丸如梧桐子大。每服食前。以生姜汤下
十五
治息贲气。右胁下结聚成块。喘咳胸痛。呕吐痰涎。面黄体瘦。宜服三棱丸方。
京三棱（一两炮锉碎醋拌炒令黄） 川大黄（二两锉碎微炒） 附子〔二（一）两炮裂
去皮
脐〕
仁（一
两汤浸
上件药。捣细罗为末。以醋煮面糊。和捣三二百杵。丸如梧桐子大。每服食前。生姜汤
下二
治息贲气。胸膈闷。腹胁坚急。四肢不和。食少无力。宜服木香丸方。
木香（一两半） 鳖甲（一两半涂醋炙令黄去裙 ） 桂心（一两半） 吴茱萸（一两
半汤浸
七遍
牛子（三
两微炒
上件药。捣细罗为末。以酒煮面糊。和丸如梧桐子大。每日空心。温酒下三十丸。
治息贲气。结块在右胁下。疼痛。芫花煎丸方。
芫花（一两半醋拌炒令干为末） 硼砂（一两不夹石者细研用米醋三升同芫花末熬成膏）
京三
上件药。捣细罗为末。入芫花硼砂煎。中入少蒸饼。和溶为丸。如梧桐子大。每服食前。
以
治息贲气。喘咳。心膈不利方。\x
诃黎勒皮（一两） 郁李仁（一两汤浸去皮微炒研入） 木香（一两）
上件药。捣细罗为末。入郁李仁研令匀。每服。不计时候。以生姜汤调下一（二）钱。
肺部的积气病名为息贲。病灶位于右侧胁下，形状像倒扣的杯子一样大。如果久治不愈，会导致患者出现忽冷忽热的症状，并引发气喘咳嗽，甚至发展为肺痈（肺部化脓性病变）。
治疗息贲气证，症见胸膈部痞塞胀满、右侧胁下坚硬拘急、气逆上冲、咳嗽者，适宜服用槟榔散方。
槟榔（一两） 赤茯苓（三分） 赤芍药（三分） 食茱萸（三分） 京三棱（三分） 诃黎勒皮（三分）
以上药物，捣碎过筛制成散剂。每次服用三钱，加水一中盏，放入生姜半分，煎煮至剩余六分药液，滤去药渣。不分时候，温服。
治疗息贲气证，病灶在右侧胁下，结聚导致胀痛，伴有气喘急促、咳嗽者，适宜服用紫菀散方。
紫菀（一两，去苗土） 吴茱萸（半两，用汤浸泡七遍后焙干微炒） 白术（半两） 当归（半两） 桂心（半两） [注：原文此处有缺漏，依常规补全] 实 [注：原文残缺，疑似“枳实”或类似药名，依原文保留] （半两）
以上药物，捣碎过筛制成散剂。每次服用三钱，加水一中盏，放入生姜半分，煎煮至剩余六分药液，滤去药渣。不分时候，温服。
治疗息贲气证，症见腹部和胁部胀硬，咳嗽带血，痰液粘稠不利者，适宜服用枳实散方。
枳实（半两，麸炒至微黄） 木香（半两） 槟榔（半两） 诃黎勒皮（半两） 甜葶苈（半两，隔纸炒令...去皮尖双仁麸...[注：原文此处有残缺，依常规理解为炮制方法]）
以上药物，捣碎过筛制成散剂。每次服用三钱，加水一中盏，煎煮至剩余六分药液，滤去药渣。不分时候，温服。
治疗息贲气证，症见腹部和胁部胀满，气喘急促咳嗽，坐卧不安者，适宜服用大腹皮散方。
大腹皮（五枚） 赤茯苓（一两） 前胡（一两，去芦头） 诃黎勒皮（半两） 汉防己（半两） 木香（半两，微炒）
以上药物，捣碎过筛制成散剂。每次服用三钱，加水一中盏，放入生姜半分，煎煮至剩余六分药液，滤去药渣。不分时候，温服。
治疗息贲气证，症见气喘咳嗽，心腹胀满，胁下疼痛者，适宜服用牛蒡子散方。
牛蒡子（一两，微炒） 木香（一两） 当归（一两） 京三棱（一两，炮裂锉碎） 吴茱萸（半两，汤浸七遍...[注：原文残缺]）
以上药物，捣细罗制成散剂。每次服用二钱，用温酒调服。饭前服用。用生姜橘皮汤送服也可以。
治疗息贲气证，右胁下结块坚硬如杯，心胸胀痛，不能饮食，胸膈壅闷，咳嗽气喘急促者，适宜服用桃仁煎丸方。
桃仁（三两，汤浸去皮尖双仁，细研，用酒三升同硼砂煎成膏） 硼砂（一两半，不夹杂石头的，细研） 鳖甲（...土...[注：原文残缺，通常指醋炙去裙边]） 猪牙皂（...姜...半两炮裂...[注：原文残缺]）
以上药物，捣细罗成末，加入桃仁、硼砂，在煎液中溶和均匀，制成梧桐子大小的丸剂。每次饭前，用生姜汤送服十五丸。
治疗息贲气证，右胁下结聚成块，气喘咳嗽胸痛，呕吐痰涎，面色萎黄身体消瘦者，适宜服用三棱丸方。
京三棱（一两，炮锉碎，醋拌炒令黄） 川大黄（二两，锉碎微炒） 附子〔二（一）两，炮裂去皮脐〕 仁（一两，汤浸...[注：原文残缺，可能为其他药材]）
以上药物，捣细罗成末，用醋煮面糊调和，捣三四百杵，制成梧桐子大小的丸剂。每次饭前，用生姜汤送服二丸。
治疗息贲气证，症见胸膈闷胀，腹部和胁部坚硬拘急，四肢不适，食欲减退无力者，适宜服用木香丸方。
木香（一两半） 鳖甲（一两半，涂醋炙令黄，去裙边） 桂心（一两半） 吴茱萸（一两半，汤浸七遍...[注：原文残缺]） 牛子（三两，微炒...[注：原文残缺，可能为牵牛子]）
以上药物，捣细罗成末，用酒煮面糊调和，制成梧桐子大小的丸剂。每天空腹时，用温酒送服三十丸。
治疗息贲气证，结块在右胁下，疼痛者，适用芫花煎丸方。
芫花（一两半，醋拌炒令干为末） 硼砂（一两，不夹杂石头的，细研，用米醋三升同芫花末熬成膏） 京三...[注：原文残缺]
以上药物，捣细罗成末，加入芫花、硼砂煎液，放入少许蒸饼，调和溶化为丸，制成梧桐子大小。每次饭前，以...[注：原文残缺]
治疗息贲气证，气喘咳嗽，心膈不利方。
诃黎勒皮（一两） 郁李仁（一两，汤浸去皮微炒研入） 木香（一两）
以上药物，捣细罗成末，加入郁李仁研匀。每次服用，不分时候，用生姜汤调下一（二）钱。
The accumulation of Qi in the Lung is named Xiben (Asthma Burden). The lesion is located under the right hypochondrium, covering an area as large as a cup. If it persists for a long time without healing, it causes chills and fever (shivering colds and hot flashes), wheezing, coughing, and may develop into Feiyong (Lung Abscess).
For treating Xiben Qi syndrome characterized by fullness and obstruction in the chest and diaphragm, hardness and tension under the right hypochondrium, rebellious Qi with coughing, the Binglang San (Areca Seed Powder) formula is suitable.
Binglang (Arecae Semen, 1 liang) Chifuling (Poria Cocos with Red Bark, 3 fen) Chishao Yao (Radix Paeoniae Rubra, 3 fen) Shizhuyu (Fructus Evodiae, 3 fen) Jingsanleng (Rhizoma Sparganii, 3 fen) Helile Pi (Pericarpium Terminaliae Chebulae, 3 fen)
Crush and sieve the above herbs to make a powder. Take 3 qian per dose, add 1 zhong of water and half a fen of Shengjiang (Zingiberis Rhizoma Recens), decoct until 6 fen remains, remove the dregs, and take warm at any time.
For treating Xiben Qi syndrome where the lesion is under the right hypochondrium, presenting with nodular accumulation causing distending pain, shortness of breath, and coughing, the Ziwan San (Asterae Radix Powder) formula is suitable.
Ziwan (Asterae Radix, 1 liang, remove seedlings and soil) Wuzhuyu (Evodiae Fructus, 0.5 liang, soak in boiling water seven times, dry, and lightly stir-fry) Baizhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang) Danggui (Angelicae Sinensis Radix, 0.5 liang) Guixin (Cinnamomi Cortex Ramulus, 0.5 liang) [Note: Text incomplete] Shi [Note: Text incomplete] (0.5 liang)
Crush and sieve the above herbs to make a powder. Take 3 qian per dose, add 1 zhong of water and half a fen of Shengjiang (Zingiberis Rhizoma Recens), decoct until 6 fen remains, remove the dregs, and take warm at any time.
For treating Xiben Qi syndrome characterized by abdominal and hypochondriac distension and hardness, hemoptysis during coughing, and sticky and difficult-to-expectorate sputum, the Zhishi San (Immature Bitter Orange Powder) formula is suitable.
Zhishi (Immaturus Citri Grandis Fructus, 0.5 liang, stir-fried with bran until slightly yellow) Muxiang (Vladimiriae Radix, 0.5 liang) Binglang (Arecae Semen, 0.5 liang) Helile Pi (Pericarpium Terminaliae Chebulae, 0.5 liang) Tingli Zi (Semen Lepidii seu Descurainiae, 0.5 liang, stir-fried between paper...) [Note: Text incomplete]
Crush and sieve the above herbs to make a powder. Take 3 qian per dose, add 1 zhong of water, decoct until 6 fen remains, remove the dregs, and take warm at any time.
For treating Xiben Qi syndrome characterized by abdominal and hypochondriac distension, urgent shortness of breath with coughing, and restlessness in sitting or lying down, the Dafupi San (Arecae Pericarpium Powder) formula is suitable.
Dafupi (Arecae Pericarpium, 5 pieces) Chifuling (Poria Cocos with Red Bark, 1 liang) Qianhu (Peucedani Radix, 1 liang, remove rhizome head) Helile Pi (Pericarpium Terminaliae Chebulae, 0.5 liang) Hanfangji (Stephaniae Tetrandrae Radix, 0.5 liang) Muxiang (Vladimiriae Radix, 0.5 liang, lightly stir-fried)
Crush and sieve the above herbs to make a powder. Take 3 qian per dose, add 1 zhong of water and half a fen of Shengjiang (Zingiberis Rhizoma Recens), decoct until 6 fen remains, remove the dregs, and take warm at any time.
For treating Xiben Qi syndrome characterized by wheezing and coughing, abdominal fullness in the heart region, and pain under the hypochondrium, the Niubangzi San (Arctii Fructus Powder) formula is suitable.
Niubangzi (Arctii Fructus, 1 liang, lightly stir-fried) Muxiang (Vladimiriae Radix, 1 liang) Danggui (Angelicae Sinensis Radix, 1 liang) Jingsanleng (Rhizoma Sparganii, 1 liang, processed, cracked, and sliced) Wuzhuyu (Evodiae Fructus, 0.5 liang, soak in boiling water seven times...) [Note: Text incomplete]
Grind the above herbs finely through a sieve to make a powder. Take 2 qian per dose, mix with warm wine and swallow. Take before meals. Taking with Shengjiang (Zingiberis Rhizoma Recens) and Jupi (Citri Reticulatae Pericarpium) decoction is also acceptable.
For treating Xiben Qi syndrome where the right hypochondrium has a hard nodule like a cup, chest and heart distending pain, inability to eat, chest and diaphragmatic congestion, and coughing with urgent wheezing, the Taoren Jian Wan (Peach Kernel Decoction Pill) formula is suitable.
Taoren (Persicae Semen, 3 liang, soak in boiling water, remove skin and pointed ends, use double kernels, grind finely; decoct with 3 sheng of wine and Pengsha (Borax) into a paste) Pengsha (Borax, 1.5 liang, pure without stone impurities, grind finely) Biejia (Testudinis Carapax et Plastrum, ...soil... [Note: Text incomplete, usually vinegar-processed]) Zhuyazao (Gleditsiae Spina, ...Jiang... 0.5 liang, processed, cracked...) [Note: Text incomplete]
Grind the above herbs finely through a sieve into powder. Add Taoren (Persicae Semen) and Pengsha (Borax), dissolve and mix in the decoction. Form pills the size of Sophora seeds. Take 15 pills before meals, washed down with Shengjiang (Zingiberis Rhizoma Recens) decoction.
For treating Xiben Qi syndrome where the right hypochondrium has a nodular mass, accompanied by wheezing, coughing, chest pain, vomiting of phlegm-saliva, sallow complexion, and emaciation, the Sanleng Wan (Sparganium Pill) formula is suitable.
Jingsanleng (Rhizoma Sparganii, 1 liang, processed, cracked, mixed with vinegar and stir-fried until yellow) Chuan Dahuang (Rhei Radix et Rhizoma, 2 liang, cracked and lightly stir-fried) Fuzi (Aconiti Lateralis Radix Praeparata, 1-2 liang, processed, cracked, remove skin and umbilicus) Ren (...1 liang, soak in boiling water...) [Note: Text incomplete]
Grind the above herbs finely through a sieve into powder. Use vinegar-boiled flour paste to bind, pound 300-400 times. Form pills the size of Sophora seeds. Take 2 pills before meals, washed down with Shengjiang (Zingiberis Rhizoma Recens) decoction.
For treating Xiben Qi syndrome characterized by chest and diaphragmatic oppression, hardness and tension in the abdomen and hypochondrium, discomfort in the four limbs, poor appetite, and weakness, the Muxiang Wan (Vladimiria Pill) formula is suitable.
Muxiang (Vladimiriae Radix, 1.5 liang) Biejia (Testudinis Carapax et Plastrum, 1.5 liang, coated with vinegar, roasted until yellow, remove skirt edges) Guixin (Cinnamomi Cortex Ramulus, 1.5 liang) Wuzhuyu (Evodiae Fructus, 1.5 liang, soak in boiling water seven times...) [Note: Text incomplete] Niu Zi (...3 liang, lightly stir-fried...) [Note: Text incomplete]
Grind the above herbs finely through a sieve into powder. Use wine-boiled flour paste to bind and form pills the size of Sophora seeds. Take 30 pills daily on an empty stomach, washed down with warm wine.
For treating Xiben Qi syndrome with a nodule in the right hypochondrium causing pain, the Yuanhua Jian Wan (Kerria Decoction Pill) formula is suitable.
Yuanhua (Genkwa Flos, 1.5 liang, mixed with vinegar, stir-fried until dry, made into powder) Pengsha (Borax, 1 liang, pure without stone impurities, grind finely; decoct with 3 sheng of rice vinegar and Yuanhua powder into a paste) Jingsan... [Note: Text incomplete]
Grind the above herbs finely through a sieve into powder. Add Yuanhua (Genkwa Flos) and Pengsha (Borax) paste. Add a little steamed cake dough, mix and dissolve to form pills the size of Sophora seeds. Take before meals... [Note: Text incomplete]
For treating Xiben Qi syndrome with wheezing, coughing, and disharmony in the heart and diaphragm.
Helile Pi (Pericarpium Terminaliae Chebulae, 1 liang) Yuliren (Pruni Semen, 1 liang, soak in boiling water, remove skin, lightly stir-fried, grind and add) Muxiang (Vladimiriae Radix, 1 liang)
Grind the above herbs finely through a sieve into powder. Mix in the ground Yuliren (Pruni Semen) evenly. Take at any time, mix with Shengjiang (Zingiberis Rhizoma Recens) decoction and swallow 1-2 qian.