大全云∶夫肺内主气，外司皮毛，皮毛不密，寒邪乘之，则咳嗽。秋则肺受之，冬则肾受
之，春则肝受之，夏则心受之。其嗽不已，则传于腑。妊娠嗽久不已，则伤胎也。
薛氏曰∶前证若秋间风邪伤肺，用金沸草散（杂咳嗽）；夏间火邪克金，用人参平肺散（杂喘）；
冬间寒邪伤肺，用人参败毒散（杂伤湿）；春间风邪伤肺，用参苏饮（杂发热）。若脾肺气虚，用六
君、芎、归、桔梗；若血虚，四物加桑白皮、杏仁、桔梗；肾火上炎，用六味丸加五味子煎服；
脾胃气虚，风寒所伤，用补中益气加桑皮、杏仁、桔梗。盖肺属辛金，生于己土，嗽久不愈
者，多因脾土虚，而不能生肺气，以致腠理不密，外邪复感，或因肺气虚不能生水，以致阴
火上炎所致。治法当壮土金，生肾水为善。
一妊妇嗽则便自出，此肺气不足，肾气亏损，不能司摄，用补中益气汤，以培土金，六味
丸加五味，以生肾水而愈。
一妊妇咳嗽，其痰上涌，日五六碗许，诸药不应，予以为此水泛为痰，用六味丸料及四
君子汤各一剂，稍愈，数剂而安。
一妊妇因怒咳嗽吐痰，两胁作痛，此肝火伤肺金，以小柴胡汤加山栀、炽壳、白术、茯
苓，治之而愈。但欲作呕，此肝侮脾也，用六君子加升麻、柴胡而愈。
桔梗散 治妊娠肺壅，咳嗽喘急，不食。
天门冬（去心） 赤茯苓（各一钱） 桑白皮 桔梗 紫苏（各五分） 麻黄（去节，三分） 贝母
人参 甘草（炙，各二分）
一方有杏仁，无贝母。
上锉，加生姜，水煎服。
马兜铃散 治妊娠气壅塞，咳嗽气喘。
马兜铃 苦梗 人参 甘草 贝母（各五分） 桑白皮 陈皮（去白） 大腹皮（黑豆水浸洗）
紫苏（各一钱） 五味子（二分半）
一方有枳壳，无人参、贝母、桑白皮三味。
上锉一服，加生姜三片，水煎服。
百合散 治妊娠风壅咳嗽，痰多喘满。
百合（蒸） 紫菀茸（洗） 贝母（去心） 白芍 前胡 赤茯苓 桔梗（炒，各一钱） 甘草
（炙，五分）
上作一服，水二盅，生姜五片，煎至一盅，温服。（风壅咳嗽，而用百合、白芍，恐非所宜，
必久嗽者方可）
紫菀汤 治妊娠咳嗽不止，胎动不安。
紫菀 天门冬（去心，各一两） 桔梗（半两） 杏仁 桑白皮 甘草（各一钱半）
一方有防风五分。
上 咀，每服三钱，加竹茹一块，水煎去滓，入蜜半匙，再煎一二沸，温服。（加蜜法妙）
《医宗必读》中说：肺在体内主管气，在体外统摄皮毛。如果皮毛不致密，寒邪就会趁机侵入，导致咳嗽。秋季时肺容易受邪，冬季时肾容易受邪，春季时肝容易受邪，夏季时心容易受邪。如果咳嗽久治不愈，病邪会传变到六腑。妊娠期间咳嗽长久不止，会损伤胎元。
薛己（薛氏）说：上述病症如果在秋季因风邪伤肺，使用金沸草散（出自杂病咳嗽篇）；夏季因火邪克伐肺金，使用人参平肺散（出自杂病喘证篇）；冬季因寒邪伤肺，使用人参败毒散（出自杂病伤湿篇）；春季因风邪伤肺，使用参苏饮（出自杂病发热篇）。如果是脾肺之气虚弱，使用六君子汤加川芎、当归、桔梗；如果是血虚，使用四物汤加桑白皮、杏仁、桔梗；如果是肾火上炎，使用六味地黄丸加五味子煎服；如果是脾胃气虚且被风寒所伤，使用补中益气汤加桑白皮、杏仁、桔梗。大概因为肺属辛金，由己土（脾土）所生，咳嗽长久不愈的人，多是因为脾土虚弱，不能滋生肺气，导致腠理不致密，外邪再次侵袭；或者因为肺气虚弱不能滋生肾水，导致阴火上炎所致。治疗方法应当以培补脾土和肺金，滋生肾水为善策。
有一个孕妇一咳嗽大便就自行流出，这是肺气不足，肾气亏损，不能固摄所致，使用补中益气汤来培补脾土和肺金，配合六味地黄丸加五味子来滋生肾水，从而痊愈。
有一个孕妇咳嗽，痰液上涌，每天约五六碗，各种药物无效，我认为这是水湿泛滥化为痰饮，使用六味地黄丸的药材和四君子汤各一剂，症状稍减，服用数剂后安顿下来。
有一个孕妇因愤怒导致咳嗽吐痰，两胁疼痛，这是肝火伤害肺金，用小柴胡汤加山栀、枳壳、白术、茯苓治疗而痊愈。但后来想呕吐，这是肝木反侮脾土的表现，使用六君子汤加升麻、柴胡而痊愈。
桔梗散 治疗妊娠期间肺壅塞，咳嗽气喘急促，食欲不振。
天门冬（去心） 赤茯苓（各一钱） 桑白皮 桔梗 紫苏（各五分） 麻黄（去节，三分） 贝母 人参 甘草（炙，各二分）
另一配方有杏仁，无贝母。
以上切碎，加生姜，用水煎服。
马兜铃散 治疗妊娠期间气机壅塞，咳嗽气喘。
马兜铃 苦梗 人参 甘草 贝母（各五分） 桑白皮 陈皮（去白） 大腹皮（黑豆水浸洗） 紫苏（各一钱） 五味子（二分半）
另一配方有枳壳，无人参、贝母、桑白皮三味药。
以上切碎为一服量，加生姜三片，用水煎服。
百合散 治疗妊娠期间风邪壅塞咳嗽，痰多气喘胸闷。
百合（蒸） 紫菀茸（洗） 贝母（去心） 白芍 前胡 赤茯苓 桔梗（炒，各一钱） 甘草（炙，五分）
以上作一服量，用水二盅，生姜五片，煎至一盅，温服。（注：风邪壅塞咳嗽却用百合、白芍，恐怕不太适宜，必须是久咳者才可以）
紫菀汤 治疗妊娠期间咳嗽不止，胎动不安。
紫菀 天门冬（去心，各一两） 桔梗（半两） 杏仁 桑白皮 甘草（各一钱半）
另一配方有防风五分。
以上切碎，每次服用三钱，加竹茹一块，用水煎煮去渣，加入蜂蜜半匙，再煮沸一两次，温服。（加入蜂蜜的方法很妙）
The *Yizong Bidu* states: The Lung internally governs Qi and externally controls the skin and hair. If the skin and hair are not dense, Cold Evil will take advantage of this to invade, resulting in cough. In autumn, the Lung is affected; in winter, the Kidney is affected; in spring, the Liver is affected; in summer, the Heart is affected. If the cough persists without cessation, it transmits to the Fu organs. During pregnancy, if coughing persists for a long time, it will damage the Fetus.
Xue Ji (Mr. Xue) said: For the aforementioned conditions, if Wind Evil injures the Lung in autumn, use Jineicao San (Golden Fern Grass Powder); if Fire Evil overcomes Metal (Lung) in summer, use Renshen Pingfei San (Ginseng Lung-Pacifying Powder); if Cold Evil injures the Lung in winter, use Renshen Baidu San (Ginseng Detoxifying Powder); if Wind Evil injures the Lung in spring, use Shensu Yin (Ginseng and Perilla Decoction). If Spleen and Lung Qi are deficient, use Liujunzi Tang (Six Gentlemen Decoction) plus Chuanxiong, Danggui, and Jiegeng; if Blood is deficient, use Siwu Tang (Four Substance Decoction) plus Sangbaipi, Xingren, and Jiegeng; if Kidney Fire flares upward, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) with Wuweizi decocted and taken. If Spleen and Stomach Qi are deficient and injured by Wind-Cold, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus Sangbaipi, Xingren, and Jiegeng. Generally, since the Lung belongs to Xin Metal and is born from Ji Earth (Spleen Earth), chronic coughs that do not heal are often due to Spleen Earth deficiency failing to generate Lung Qi, leading to loose pores and repeated external evil invasion; or because Lung Qi deficiency fails to generate Kidney Water, causing Yin Fire to flare upward. The treatment method should focus on strengthening Earth and Metal to generate Kidney Water.
One pregnant woman experienced involuntary defecation whenever she coughed. This was due to insufficiency of Lung Qi and depletion of Kidney Qi, failing to maintain control. She was treated with Buzhong Yiqi Tang to cultivate Earth and Metal, and Liuwei Dihuang Wan with Wuweizi to generate Kidney Water, resulting in recovery.
Another pregnant woman suffered from coughing with phlegm surging upward, amounting to about five or six bowls per day, to which various medicines were ineffective. I considered this to be water overflowing and transforming into phlegm. One dose of the ingredients of Liuwei Dihuang Wan and one dose of Sijunzi Tang (Four Gentlemen Decoction) were used, leading to slight improvement, and after several doses, she became stable.
A pregnant woman developed coughing and expectoration due to anger, accompanied by pain in both hypochondriac regions. This was Liver Fire injuring Lung Metal. She was treated with Xiaochaihu Tang (Minor Bupleurum Decoction) plus Zhizi, Zhike, Baizhu, and Fuling, resulting in recovery. Subsequently, she desired to vomit, indicating Liver Wood insulting Spleen Earth. She was treated with Liujunzi Tang plus Shengma and Chaihu, resulting in recovery.
Jiegeng San (Platycodon Powder) treats Lung congestion during pregnancy, characterized by cough, wheezing, urgency, and anorexia.
Tianmendong (Asparagi Radix, heart removed), Chi Fuling (Red Poria, each 1 qian); Sangbaipi (Morus Cortex), Jiegeng (Platycodon Root), Zisu (Perilla Leaf, each 5 fen); Mahuang (Ephedrae Herba, nodes removed, 3 fen); Beimu (Fritillariae Bulbus), Renshen (Ginseng Radix), Gancao (Licorice Root, honey-fried, each 2 fen).
An alternative formula contains Xingren but lacks Beimu.
Chop the ingredients, add fresh ginger, decoct in water, and take warm.
Madouling San (Aristolochiae Fructus Powder) treats Qi stagnation and obstruction during pregnancy, characterized by cough and wheezing.
Madouling (Aristolochiae Fructus), Kugeng (likely refers to Jiegeng/Platycodon Root here given context, or potentially a typo for another root, kept as Kugeng), Renshen (Ginseng Radix), Gancao (Licorice Root), Beimu (Fritillariae Bulbus, each 5 fen); Sangbaipi (Morus Cortex), Chenpi (Citrus Reticulatae Pericarpium, white pith removed), Dafupi (Arecae Pericarpium, washed in black soybean water), Zisu (Perilla Leaf, each 1 qian); Wuweizi (Schisandrae Fructus, 2.5 fen).
An alternative formula contains Zhike but lacks Renshen, Beimu, and Sangbaipi.
Chop for one dose, add three slices of fresh ginger, decoct in water, and take.
Baihe San (Lilii Bulb Powder) treats Wind congestion causing cough during pregnancy, with excessive phlegm, wheezing, and chest fullness.
Baihe (Lilii Bulb, steamed), Ziwan (Asteris Radix, washed), Beimu (Fritillariae Bulbus, heart removed), Baishao (Paeoniae Radix Alba), Qianhu (Peucedani Radix), Chi Fuling (Red Poria), Jiegeng (Platycodon Root, stir-fried, each 1 qian); Gancao (Licorice Root, honey-fried, 5 fen).
Prepare as one dose, decoct with two cups of water and five slices of fresh ginger until one cup remains, and take warm. (Note: Using Baihe and Baishao for wind-congestion cough may not be appropriate unless the cough has been chronic.)
Ziwan Tang (Aster Decoction) treats persistent cough during pregnancy with restless fetus.
Ziwan (Asteris Radix), Tianmendong (Asparagi Radix, heart removed, each 1 liang); Jiegeng (Platycodon Root, half liang); Xingren (Pruni Semen), Sangbaipi (Morus Cortex), Gancao (Licorice Root, each 1.5 qian).
An alternative formula contains Fangfeng 5 fen.
Chop the ingredients. Take 3 qian per dose, add a piece of Zhuru (Bambusa Textilis Caulis in succo), decoct in water, strain, add half a spoonful of honey, boil briefly, and take warm. (The method of adding honey is excellent.)