内经曰。脏真高于肺。又曰。真气夺则虚。今肺中冷则肺之真气不足。而其人上虚则无
以制下。故上为肺痿。下为小便数。以至吐涎沫而欲咳不能咳者。皆其证也。治法当以温药
和之。
方
白茯苓汤 治肺痿小便数甚者。吐涎沫欲咳不能者。
白茯苓（去黑皮） 桂（去粗皮） 附子（炮裂去皮脐） 白芍药（各三分） 补骨脂
（炒） 黄
（锉各一两） 蜀椒（去目及闭口者炒四十颗） 肉苁蓉（酒浸切焙一两半） 上捣筛如
麻豆
大。每服三钱。水一盏。煎至七分去滓。温服。食前临卧。日三。
黄 汤 治肺痿小便数。无力。不进饮食。
黄 （锉） 熟干地黄（焙各二两） 桂（去粗皮） 白芍药 当归（焙切各一两） 麦
门冬
（去心焙一两半） 白龙骨 甘草（炙锉各半两） 上捣筛。每服五钱。水一盏半。入生姜
五片。
大
龙骨汤 治肺痿小便数。渐觉气弱。
龙骨 黄 （锉） 肉苁蓉（酒浸切焙各一两） 白薇 牡蛎（ ） 附子（炮裂去皮
脐各三
分） 甘草（炙锉半两） 上捣筛如麻豆大。每服三钱。水一盏。入生姜三片。大枣二枚。
煎
至七分去滓。温服。空心食前。日三。
五味子汤 治肺痿小便数。
五味子 款冬花（去梗） 桂（去粗皮） 人参（各二两） 麦门冬（去心焙） 桑根
白皮（各
三两） 上捣筛如麻豆大。每服六钱。水二盏。入生姜和皮五片。大枣二枚。粳米三十粒。
煎至一
熟干地黄 治肺痿小便数。
熟干地黄（焙） 芎 （各五两） 桂（去粗皮） 人参（各三两） 桑根白皮（二两）
上捣碎
如
三味汤（出圣惠方）治肺痿多涎唾。小便数者。此肺中已冷。必多头眩。
甘草（四两） 干姜（炮） 白芍药（各二两） 上捣筛如麻豆大。每服五钱。水一盏
半。煎
至一
《黄帝内经》说：脏腑的真气中，肺的位置最高。又说：真气亏损就会虚弱。现在肺中寒冷，导致肺的真气不足，因此人体上部虚弱就无法制约下部，所以上部表现为肺痿，下部表现为小便频数。以至于出现吐涎沫、想咳嗽却咳不出来的症状，都是这一病证的表现。治疗方法应当用温性药物来调和。
方剂
白茯苓汤：治疗肺痿且小便频数严重的患者，伴有吐涎沫、想咳嗽却咳不出的症状。
药材：白茯苓（去除黑皮）、桂枝（去除粗皮）、附子（炮制后裂开，去除外皮和脐部）、白芍药（各三分）；补骨脂（炒制）、黄芪（锉碎，各一两）；蜀椒（去除目状突起及闭合的颗粒，炒制四十颗）；肉苁蓉（酒浸后切片焙干，一两半）。将上述药材捣碎筛成如麻豆大小的颗粒。每次服用三钱，加水一盏，煎煮至七分满，去渣，温热服用。饭前及临睡前服用，每日三次。
黄芪汤：治疗肺痿、小便频数、身体无力、食欲不振的症状。
药材：黄芪（锉碎）、熟地黄（焙干，各二两）；桂枝（去除粗皮）、白芍药、当归（焙干切段，各一两）；麦门冬（去除心，焙干，一两半）；白龙骨、甘草（炙烤后锉碎，各半两）。将上述药材捣碎筛匀。每次服用五钱，加水一盏半，放入生姜五片，煎煮后服用。（注：原文此处未写完煎服法，依惯例推断为去滓温服）
大龙骨汤：治疗肺痿、小便频数，逐渐感觉气虚微弱的症状。
药材：龙骨、黄芪（锉碎）、肉苁蓉（酒浸切焙，各一两）；白薇、牡蛎（煅制）；附子（炮制裂开，去皮脐，各三分）；甘草（炙烤锉碎，半两）。将上述药材捣碎筛成如麻豆大小。每次服用三钱，加水一盏，放入生姜三片、大枣二枚，煎煮至七分满，去渣，温热服用。空腹及饭前服用，每日三次。
五味子汤：治疗肺痿、小便频数。
药材：五味子、款冬花（去除梗）、桂枝（去除粗皮）、人参（各二两）；麦门冬（去心焙干）、桑根白皮（各三两）。将上述药材捣碎筛成如麻豆大小。每次服用六钱，加水二盏，放入带皮的生姜五片、大枣二枚、粳米三十粒，煎煮至一熟（即煎熟透）。
熟干地黄（单味或简方）：治疗肺痿、小便频数。
药材：熟地黄（焙干）、川芎（各五两）；桂枝（去除粗皮）、人参（各三两）；桑根白皮（二两）。将上述药材捣碎如麻豆大小。（注：原文此处未写完煎服法）
三味汤（出自《圣惠方》）：治疗肺痿多涎唾、小便频数的症状。这是肺中已经寒冷的表现，必定伴有头晕目眩。
药材：甘草（四两）、干姜（炮制）、白芍药（各二两）。将上述药材捣碎筛成如麻豆大小。每次服用五钱，加水一盏半，煎煮至一熟（即煎熟透）。（注：原文此处截断，未写完去渣温服等后续步骤）
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: Among the true qi of the zang-fu organs, the Lung is positioned highest. It also states: When true qi is depleted, deficiency occurs. Currently, cold in the Lung leads to insufficiency of the Lung's true qi. Consequently, upper-body deficiency fails to control the lower body, resulting in Lung萎 (Lung Flaccidity Syndrome) above and frequent urination below. Symptoms such as spitting out saliva and froth, and having the urge to cough but being unable to do so, are all manifestations of this syndrome. The treatment principle should be to harmonize with warm herbs.
Formulas
Baifuling Tang (White Poria Decoction): Treats severe cases of Lung Flaccidity Syndrome with frequent urination, accompanied by spitting saliva/froth and inability to cough.
Ingredients: Baifuling (Poria Cocos, removed black skin), Guizhi (Cinnamon Twig, removed coarse bark), Fuzi (Prepared Aconite Root Lateralis, cracked after processing, removed skin and umbilical scar), Baishaoyao (White Peony Root, each 3 fen); Buguzhi (Psoralea Fruit, stir-fried), Huangqi (Astragalus Root, cut into small pieces, each 1 liang); Shujiao (Sichuan Pepper, removed eye-like protrusions and closed seeds, stir-fried, 40 grains); Rongrongrou (Cistanche Stem, soaked in wine, sliced, and dried, 1.5 liang). Crush and sieve the ingredients until they resemble hemp seeds or beans. Take 3 qian per dose. Add 1 sheng of water, decoct until reduced to 7/10 volume, remove dregs, and take warm. Administer before meals and before bedtime, three times daily.
Huangqi Tang (Astragalus Decoction): Treats Lung Flaccidity Syndrome with frequent urination, weakness, and loss of appetite.
Ingredients: Huangqi (Astragalus Root, cut into small pieces), Shudihuang (Prepared Rehmannia Root, dried, each 2 liang); Guizhi (Cinnamon Twig, removed coarse bark), Baishaoyao (White Peony Root), Danggui (Angelica Sinensis Root, dried and sliced, each 1 liang); Maidong (Ophiopogon Tuber, removed heart, dried, 1.5 liang); Bailonggu (Fossilized Bone, calcined), Gancao (Licorice Root, honey-fried and cut, each 0.5 liang). Crush and sieve uniformly. Take 5 qian per dose. Add 1.5 sheng of water and 5 slices of fresh ginger. Decoct and take warm. (Note: Original text omits final administration instructions).
Dalonggu Tang (Large Fossilized Bone Decoction): Treats Lung Flaccidity Syndrome with frequent urination and progressive feeling of weak qi.
Ingredients: Longgu (Fossilized Bone), Huangqi (Astragalus Root, cut into small pieces), Rongrongrou (Cistanche Stem, soaked in wine, sliced, and dried, each 1 liang); Baiwei (Cynanchum Atratum Root), Muli (Oyster Shell, calcined); Fuzi (Prepared Aconite Root Lateralis, cracked after processing, removed skin and umbilical scar, each 3 fen); Gancao (Licorice Root, honey-fried and cut, 0.5 liang). Crush and sieve until resembling hemp seeds. Take 3 qian per dose. Add 1 sheng of water, 3 slices of fresh ginger, and 2 jujubes. Decoct until reduced to 7/10 volume, remove dregs, and take warm. Take on an empty stomach and before meals, three times daily.
Wuweizi Tang (Schisandra Decoction): Treats Lung Flaccidity Syndrome with frequent urination.
Ingredients: Wuweizi (Schisandra Fruit), Kudonghua (Winter Flower Bud, removed stems), Guizhi (Cinnamon Twig, removed coarse bark), Renshen (Ginseng Root, each 2 liang); Maidong (Ophiopogon Tuber, removed heart and dried), Sangbaipi (Mulberry Root Bark, each 3 liang). Crush and sieve until resembling hemp seeds. Take 6 qian per dose. Add 2 sheng of water, 5 slices of fresh ginger (with skin), 2 jujubes, and 30 grains of Jingmi (Rice Grain). Decoct until fully cooked.
Shugan Dihuang (Prepared Dry Rehmannia): Treats Lung Flaccidity Syndrome with frequent urination.
Ingredients: Shudihuang (Prepared Rehmannia Root, dried), Xiongqiong (Ligusticum Chuanxiong Rhizome, each 5 liang); Guizhi (Cinnamon Twig, removed coarse bark), Renshen (Ginseng Root, each 3 liang); Sangbaipi (Mulberry Root Bark, 2 liang). Crush into particles resembling hemp seeds. (Note: Original text omits decoction and administration instructions).
Sanwei Tang (Three-Ingredient Decoction, from *Shenghui Fang*): Treats Lung Flaccidity Syndrome with excessive saliva/sputum and frequent urination. This indicates cold in the Lung, inevitably accompanied by dizziness.
Ingredients: Gancao (Licorice Root, 4 liang), Jiangjiang (Dried Ginger, processed), Baishaoyao (White Peony Root, each 2 liang). Crush and sieve until resembling hemp seeds. Take 5 qian per dose. Add 1.5 sheng of water. Decoct until fully cooked. (Note: Original text cuts off here).