（附论）
岐伯曰。夜行则喘。出于肾。淫气病肺。有所堕恐。喘出于肝。淫气害脾。有所惊恐。
喘出
为病
阳
出
汤
肢
上气喘促。或咽喉不利者。此是本气极虚。内外挟寒冷所致。使阴寒内消。阳气得复。则愈
。宜返阴丹主之。大概诸脏同乘而喘者。以杏子散。如感寒伏热而喘者。以华盖散、九宝汤
。若暴寒覆衣被过当复热。肺实而喘促者。其状似有热证。宜洗心散。冷水调服。若因气血
不调。痰盛喘促者。宜四七汤。无官局桔梗汤姜煎服。若涎多而喘者。宜千缗汤、橘皮半夏
汤。若不卧。卧即喘者。此由水气逆行。上乘于胸膈。结在右胁。下大如杯。令人洒淅寒热
、喘。发痈疽。宜枣膏丸。若于肺。肺得水则浮而开。使气不得通流六脉。大宜神秘汤。肺
之积。名上气喘者。宜神授汤。若上盛下弱而喘促者。宜苏子降气汤。吞黑锡丹。若尊年之
人。素来禀赋大浓。不任热药者。不可轻投丹剂。乃诸热药。但以秘传降气汤、分心汤。气
饮论之梗概。不出于此。若素有香港脚而喘者。当作香港脚治之。又有骨蒸劳喘治之。别有法。
夫促者。脚病者。肺为之主。五脏六腑皆禀气于人。喜怒太过不节。肺气实则上喘。虚则气
短。然有娠者。经水不通。上荣于乳。下养于胎。若宿有停饮。与血搏后。冷热不调。动其
血。饮上达。故胸膈闷而嗽。产后喘者。荣血暴竭。卫气无主。攻肺。故喘促。过在产时。
满下太过。此名有阳绝患。难以喘论。宜作六合汤。若因去恶露发喘。先与琥珀散。后与喘
药服之。
方
九宝汤（出圣惠方）治感风伏热。一切咳嗽喘急。不问高年小儿。妇人室
女。
产前产后。皆
薄荷叶 紫苏 大腹皮（洗） 麻黄（去根节各四钱） 桑白皮 桂心 杏仁（去皮尖）
陈
橘皮
滓
温服
可坐
永不
神秘汤（出大全良方）治水气乘肺而喘。兼疗支饮而喘。
陈橘皮（洗去白） 紫苏叶 人参 桑白皮 生姜（各等分） 上 咀。每服半两。水
煎去
滓温
神授汤（出大全良方）治上气喘急不得卧。
橘皮 苦梗 紫苏 人参 北五味子 上各等分 咀。每服四钱。水一盏。煎至六分。
去滓
千缗汤（出大全良方）治痰喘。
齐川半夏（七个炮制四片炒之） 皂角（去皮尖一寸） 甘草（炙一寸） 生姜（如指
大） 上
药以
我曾如
枣膏丸（出大全良方）疗息贲。
葶苈（研细） 陈皮 苦梗 上后二味为末。入葶苈令煨煮肥枣内研为膏和丸如梧桐子
大。每
良验。
杏子散（出大全良方）治诸脏相乘喘急。
杏子仁（去皮尖双仁麸炒黄细研如膏） 麻黄根（为细末等分） 上和前橘皮汤调下二
钱。
无时
治妇人喘促虚肿。快利小便即瘥。
用生姜二两取汁。白面三两。以姜汁搜作小剂。大半夏十个打研入面中。作为饼。炙熟
令黄
天门冬丸（出杨氏家藏方）治妇人喘。手足烦热。骨蒸寝汗。口干饮水。面
目
浮肿。\x
天门冬（十两去心秤） 麦门冬（八两去心） 生地黄（三斤取汁为膏子） 上二味为
末。膏
子和
参荆
去大
治其
（附论）
岐伯说：夜间行走则气喘，病根在肾，邪气淫溢伤害肺脏。因坠落惊恐导致的气喘，病根在肝，邪气淫溢伤害脾脏。因惊恐导致的气喘……
上气喘促，或者咽喉不利的，这是本元之气极度虚弱，内外夹杂寒冷所致。使阴寒在内消散，阳气得以恢复，就能痊愈。适宜用返阴丹主治。大概各种脏腑相互乘袭而致喘的，用杏子散。如果是感受寒邪、伏热内郁而致喘的，用华盖散、九宝汤。如果是突然受寒，穿衣盖被过多又发热，肺气实盛而喘促的，症状看似有热证，适宜用洗心散，用冷水调服。如果是因气血不调，痰多而喘促的，适宜用四七汤。如果没有官方局方桔梗汤，可用姜汁煎服桔梗汤。如果涎沫多而喘的，适宜用千缗汤、橘皮半夏汤。如果不能平卧，一躺下就喘的，这是由于水气逆行，上乘于胸膈，结聚在右胁下，大如杯状，使人洒淅恶寒发热、气喘，甚至发为痈疽，适宜用枣膏丸。如果水气犯肺，肺得水则浮而开泄，导致气机不能通流六脉，非常适宜用神秘汤。肺部的积块，名为上气喘的，适宜用神授汤。如果是上盛下虚而喘促的，适宜用苏子降气汤，吞服黑锡丹。如果是年老之人，素来禀赋浓厚，不耐热药的，不可轻易投用丹剂，而是使用诸种热药，仅以秘传降气汤、分心汤、气饮等方论述的大概内容，不出于此范围。如果素有香港脚（脚气病）而喘的，应当当作香港脚治疗。又有骨蒸劳喘的治疗方法，另有专门法则。
所谓“促”者，是脚部疾病。肺为之主，五脏六腑都禀受气于人体。喜怒太过而不加节制，肺气实则上部气喘，肺气虚则气短。然而孕妇，经血不通，上荣养于乳房，下滋养于胎儿。如果宿有停饮，与血液搏结后，冷热不调，扰动其血，饮邪上达，所以胸膈闷塞而咳嗽。产后气喘的，是因为营血突然枯竭，卫气失去主宰，攻冲于肺，所以喘促。过错在于分娩时，泻下太过，这名叫作有阳绝之患，难以单纯按气喘论治，适宜用六合汤。如果是因排出恶露而引发气喘的，先给予琥珀散，然后再服用治喘药。
方剂
九宝汤（出自《圣惠方》），治疗感受风邪、伏热引起的一切咳嗽喘急，不问高龄老人还是小儿，妇人处女，产前产后皆适用。
薄荷叶、紫苏、大腹皮（洗净）、麻黄（去根节，各四钱）、桑白皮、桂心、杏仁（去皮尖）、陈皮。
上药切碎，水煎，去渣，温服。服药后可坐起，永不复发。（注：原文此处可能有脱漏或语意未完，依文直译）
神秘汤（出自《大全良方》），治疗水气乘肺而喘，兼治支饮而喘。
陈橘皮（洗净去白瓤）、紫苏叶、人参、桑白皮、生姜（各等分）。
上药切碎，每服半两，用水煎煮，去渣，温服。
神授汤（出自《大全良方》），治疗上气喘急不得卧。
橘皮、苦梗（即桔梗）、紫苏、人参、北五味子。
以上各等分，切碎，每服四钱，用水一盏，煎至六分，去渣，温服。
千缗汤（出自《大全良方》），治疗痰喘。
齐川半夏（七个，炮制，切四片炒）、皂角（去皮尖一寸）、甘草（炙，一寸）、生姜（如手指大）。
上药……（原文此处有缺漏：“药以我曾如”语意不明，推测为煎服法描述缺失）
枣膏丸（出自《大全良方》），治疗息贲。
葶苈（研细）、陈皮、苦梗（即桔梗）。
将后两味药研为末，加入葶苈，令其在煨煮的肥枣内研磨成膏，和丸如梧桐子大。每服……（原文此处有缺漏：“良验”前应有用法用量）
杏子散（出自《大全良方》），治疗诸脏相乘引起的喘急。
杏子仁（去皮尖，双仁者不用，麸炒黄，细研如膏）、麻黄根（为细末，与杏子仁膏等分）。
上将杏子仁膏与麻黄根末混合，用前橘皮汤调下二钱。无固定时间服用。
（此段疑似另一首方剂的开头，但方名缺失）
治疗妇人喘促虚肿，快利小便即愈。
用生姜二两取汁，白面三两，用姜汁调和做成小剂型。大半夏十个打碎研入面中，做成饼，炙熟令黄色……
天门冬丸（出自《杨氏家藏方》），治疗妇人喘，手足烦热，骨蒸盗汗，口干饮水，面目浮肿。
天门冬（十两，去心，秤量）、麦门冬（八两，去心）、生地黄（三斤，取汁熬成膏）。
将天门冬、麦门冬研为末，用生地黄膏和丸……（原文此处有缺漏：“子和参荆去大治其”语意混乱，推测为后续步骤或无关文字混杂）
(Attached Discussion)
Qibo said: Walking at night causes panting, the root of which lies in the Kidney; excessive pathogenic qi damages the Lungs. Panting resulting from falling and fear originates in the Liver, with excessive pathogenic qi harming the Spleen. Panting resulting from fright...
Upper body panting and shortness of breath, or obstruction in the throat, is caused by extreme deficiency of the original Qi, compounded by internal and external cold. If the Yin-cold dissipates internally and Yang-Qi recovers, recovery will occur. It is appropriate to use Fan Yin Dan (Return to Yin Pill) as the primary treatment. Generally, for panting caused by mutual overacting among various Zang organs, Xing Zi San (Apricot Kernel Powder) should be used. For panting due to cold invasion and latent heat, Hua Gai San (Flower Canopy Powder) and Jiu Bao Tang (Nine Treasures Decoction) are indicated. For sudden cold exposure where excessive clothing and bedding lead to heat, causing excess Lung Qi and panting, the presentation resembles a heat syndrome; Xi Xin San (Wash Heart Powder) is appropriate, administered with cold water. For panting and shortness of breath due to disharmony of Qi and Blood with abundant phlegm, Si Qi Tang (Four Seven Decoction) is suitable. If the official bureau's Jie Geng Tang (Platycodon Decoction) is unavailable, decoct Jie Geng (Platycodon Root) with ginger juice. For panting accompanied by excessive saliva, Qian Min Tang (Thousand Strings Decoction) and Ju Pi Ban Xia Tang (Tangerine Peel and Pinellia Decoction) are appropriate. For inability to lie flat, where panting occurs immediately upon lying down, this is due to rebellious Water Qi rising to the chest and diaphragm, knotting in the right hypochondrium, large as a cup, causing chills and fever, panting, and potentially carbuncles and sores; Zao Gao Wan (Date Paste Pill) is indicated. If Water Qi invades the Lungs, the Lungs become floating and open upon contact with water, preventing Qi from flowing freely through the six meridians; Shen Mi Tang (Mysterious Decoction) is highly appropriate. For lung accumulation named "Upper Body Panting," Shen Shou Tang (Divine Bestowal Decoction) is indicated. For panting and shortness of breath characterized by excess above and deficiency below, Su Zi Jiang Qi Tang (Perilla Seed Descending Qi Decoction) is suitable, taken with swallowing Hei Xi Dan (Black Tin Pill). For elderly individuals who naturally have a robust constitution and cannot tolerate hot medicines, Dan agents (mineral pills) should not be lightly administered; instead, various hot medicines such as Mi Chuan Jiang Qi Tang (Secretly Transmitted Descending Qi Decoction), Fen Xin Tang (Separate Heart Decoction), and Qi Yin (Qi Drink) may be discussed, the general principles of which do not extend beyond this scope. For those with pre-existing Hong Jiao Jiao (Beriberi/Foot Qi) who develop panting, it should be treated as Hong Jiao Jiao. There are also specific methods for treating Gu Zheng Lao Chuan (Bone-steaming Labor Panting).
The term "Cu" (rapid/shortened pulse or breathing) refers to foot diseases. The Lungs govern this; the five Zang and six Fu organs all receive Qi from the human body. Excessive anger or joy without restraint leads to Lung Qi excess, causing upper panting, and Lung Qi deficiency, causing shortness of breath. However, in pregnant women, menstrual blood ceases; it nourishes the breasts upwards and the fetus downwards. If there is pre-existing retained fluid that binds with blood, leading to disharmony of cold and heat, disturbing the blood and allowing fluid to rise upward, chest and diaphragm oppression and coughing result. Postpartum panting occurs because Ying Blood (Nutritive Blood) is suddenly depleted, and Wei Qi (Defensive Qi) loses its master, attacking the Lungs, thus causing panting and shortness of breath. The fault lies in excessive purgation during childbirth; this is termed a condition of Yang extinction, which cannot be discussed merely as panting; Liu He Tang (Six Harmonies Decoction) is appropriate. For panting triggered by the expulsion of lochia, Hu Po San (Amber Powder) should be given first, followed by anti-panting medicines.
Formulas
Jiu Bao Tang (Nine Treasures Decoction) [from *Sheng Hui Fang*]: Treats all types of coughing and urgent panting caused by wind invasion and latent heat, applicable to the elderly, children, women, virgins, before and after delivery.
Bo He Ye (Menthae Haplocalycis Folium), Zi Su (Perillae Folium), Da Fu Pi (Arecae Pericarpium, washed), Ma Huang (Ephedrae Herba, roots and joints removed, each 4 qian), Sang Bai Pi (Mori Cortex), Gui Xin (Cinnamomi Ramulus), Xing Ren (Armeniacae Semen Amarum, skin and tips removed), Chen Pi (Citri Reticulatae Pericarpium).
Crush the herbs, decoct in water, remove dregs, and take warm. After taking, one can sit up; it prevents recurrence forever. *(Note: Text appears incomplete)*
Shen Mi Tang (Mysterious Decoction) [from *Da Quan Liang Fang*]: Treats panting due to Water Qi invading the Lungs, and also treats panting due to Zhi Yin (Branch Fluid retention).
Chen Ju Pi (Citri Reticulatae Pericarpium, washed and white pith removed), Zi Su Ye (Perillae Folium), Ren Shen (Ginseng Radix et Rhizoma), Sang Bai Pi (Mori Cortex), Sheng Jiang (Zingiberis Rhizoma Recens, equal parts).
Crush the herbs. Take 0.5 liang per dose, decoct in water, remove dregs, and take warm.
Shen Shou Tang (Divine Bestowal Decoction) [from *Da Quan Liang Fang*]: Treats upper panting and urgency with inability to lie flat.
Ju Pi (Citri Reticulatae Pericarpium), Ku Jing (Platycodonis Radix, i.e., Jie Geng), Zi Su (Perillae Folium), Ren Shen (Ginseng Radix et Rhizoma), Bei Wu Wei Zi (Schisandrae Chinensis Fructus).
Equal parts. Crush. Take 4 qian per dose, decoct in one cup of water until reduced to 0.6 cups, remove dregs, and take warm.
Qian Min Tang (Thousand Strings Decoction) [from *Da Quan Liang Fang*]: Treats Phlegm panting.
Qi Chuan Ban Xia (Pinelliae Rhizoma Praeparatum, seven pieces, processed, cut into four slices and stir-fried), Zao Jiao (Gleditsiae Sinensis Spina, skin and tips removed, one cun), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, one cun), Sheng Jiang (Zingiberis Rhizoma Recens, size of a finger).
*(Text missing here: "Yao yi wo zeng ru" is unintelligible, likely describing decoction method)*
Zao Gao Wan (Date Paste Pill) [from *Da Quan Liang Fang*]: Treats Xi Ben (Lung Accumulation).
Ting Li (Descurainiae Semen seu Lepidii Semen, finely ground), Chen Pi (Citri Reticulatae Pericarpium), Ku Jing (Platycodonis Radix).
Grind the latter two ingredients into powder. Add Ting Li, and grind together inside roasted fat dates to form a paste. Form pills as large as Sophora seeds. Take ... *(Text missing dosage/administration)*. Good efficacy.
Xing Zi San (Apricot Kernel Powder) [from *Da Quan Liang Fang*]: Treats urgent panting caused by mutual overacting among Zang organs.
Xing Zi Ren (Armeniacae Semen Amarum, skin and tips removed, double-kernel ones excluded, stir-fried with bran until yellow, finely ground into paste), Ma Huang Gen (Ephedrae Radix et Rhizoma, ground into fine powder, equal parts to the paste).
Mix the Apricot Kernel paste with the Ma Huang Gen powder. Take 2 qian mixed with previous Ju Pi Tang (Tangerine Peel Decoction). Take at any time.
*(Formula name missing)*
Treats female panting, shortness of breath, and deficiency edema. Rapid promotion of urination leads to recovery.
Use 2 liang of fresh ginger juice and 3 liang of white flour. Knead into small dough portions. Grind ten Da Ban Xia (Pinelliae Rhizoma) and mix into the dough. Form into cakes, roast until yellow...
Tian Men Dong Wan (Asparagi Radix Pill) [from *Yang Shi Jia Cang Fang*]: Treats female panting, vexing heat in hands and feet, bone-steaming night sweats, dry mouth with desire to drink, and edema of face and eyes.
Tian Men Dong (Asparagi Radix, 10 liang, heart removed, weighed), Mai Men Dong (Ophiopogonis Radix, 8 liang, heart removed), Sheng Di Huang (Rehmanniae Radix, 3 jin, juice extracted and boiled into paste).
Grind Tian Men Dong and Mai Men Dong into powder. Mix with Sheng Di Huang paste to form pills... *(Text ends abruptly with confusing characters "zi he shen jing qu da zhi qi")*