苏游凤髓汤 治肺燥咳嗽。用松子仁一两，胡桃仁二两，研膏和熟蜜收之，每二钱，食后沸汤点服
又方 治虚热咳嗽，口干涕唾。用甘蔗汁一升半，青粱米四合，煮粥，日食二次
，极润心肺。
又方 治咳嗽吐血。人参、黄 、飞面各一两，百合五钱，为末，水丸梧子大，
每五十丸，食前茅根汤下。
又方 用人参、朱砂等分为末，乌梅肉丸弹大，每白汤下一丸，日一服。
又方 治肺热咳嗽。沙参五钱，水煎服。
一童子年十三岁，患咳盗汗，遂请幼科治之，乃曰小儿汗，不必服药。一月后，两目顿
赤，少食，痰中带血丝，余诊其脉，左手微而无力，右手大而洪数。此火症也。想已有外务
，其父母力为分解，再三私询，乃曰前学中隔壁，窥见一女子，觉慕之不遂，后得此疾。余
以当归、地黄、茯神、远志、牡丹皮、酸枣仁、白术、甘草、桔梗，数十剂全愈。
一人咳嗽短气，余以黄 为君，当归、阿胶、陈皮、天冬、桑白皮、知母、黄柏，数服
夫血者，气之配也。人之一身五脏六腑，四体百骸，靡不藉其营养也。然附气以行，气
畅则畅，气逆则逆，有夫妇随唱之义。一或阴亏阳胜，偏而为火，气得火而行健。譬则男
女偕行，男得附而迈往，女必迷途而暂 矣。所以火载血上，错经妄行，越出上窍而为吐
衄咳唾等候，第始焉之作，正气未虚，犹水溢于都，固当洁理其源，亦必溢土以御，不尔而
任其流，则涓涓之势，其可遏乎？非江海之源，宁不竭乎！况失血既久，则真阴已亏，相火
自炽，必见潮汗遗滑等证。当此之际，法当君以益阳，佐以滋阴养血，使以清金，洁源，令
生阴长，源洁流清，庶无后虑矣。然所谓益阳者，参 独参汤之类是也。所谓滋阴养血者
，
陈
藕汁，或童便一物是也。要之痰火失血，皆由阴火上炎所致，然谓之阴火者，龙雷之火也，
不可以水伏，不可以直折，岂苦寒之可遏耶？倘恣用苦寒以伤其脾，则饮食日减，肌肉日
消。节斋云∶服寒者，百无一生，服溲溺者，百无一死之论，正此谓也。
圣按∶失血之证，其类非一，有阳乘阴者，谓血热而妄行也。有阴乘阳者，以阳虚而阴
所附，妄溢而不循经也。有血越清道而出于鼻者，有血溢浊道而出于口者，呕血者，出于肝
，吐血者，出于胃，衄血者，出于肺，耳出血曰 ，肤腠出血曰血汗，口鼻并出曰
窍俱出曰大衄，由固不一，总之火病俱多，倘不溯其源而以治，宁毋岐路亡羊之失
苏游凤髓汤：治疗肺燥引起的咳嗽。使用松子仁一两，胡桃仁二两，研磨成膏状，与熟蜂蜜混合收存。每次服用二钱，饭后用沸水冲服。
又一方：治疗虚热引起的咳嗽、口干、鼻涕和唾液粘稠。使用甘蔗汁一升半，青粱米四合，煮成粥，每天食用两次，具有极佳的润肺养心功效。
又一方：治疗咳嗽吐血。用人参、黄芪（原文“黄”后缺字，据方义补为黄芪）、飞面各一两，百合五钱，研为细末，用水泛丸如梧桐子大。每次服用五十丸，以茅根汤送服。
又一方：用人参、朱砂等分研为细末，用乌梅肉制成如弹丸大小的药丸。每次用白开水送服一丸，每日一次。
有一个十三岁的童子，患有咳嗽和盗汗，于是请儿科医生诊治，医生说这是小儿汗症，不必服药。一个月后，他的双眼突然变红，食欲减退，痰中带血丝。我诊察他的脉象，左手脉微细而无力，右手脉大而洪数。这是火证。推测他可能已有房事或情欲方面的困扰，其父母极力辩解并再三私下询问，他才说前学塾隔壁住着一位女子，他见色起意却求之不得，因此得了此病。我用当归、地黄、茯神、远志、牡丹皮、酸枣仁、白术、甘草、桔梗，服用数十剂后完全痊愈。
另有一人咳嗽且气短，我以黄芪为君药，配合当归、阿胶、陈皮、天冬、桑白皮、知母、黄柏，服用数剂后……（原文此处中断）
血，是气的配偶。人体五脏六腑、四肢百骸，无不依赖血的滋养。血依附于气而行，气通畅则血流畅，气逆乱则血逆乱，如同夫妇相随、唱和一致。一旦阴液亏损而阳气偏胜，偏盛之气化为火，气得火势而运行健急。这就好比男女同行，男子得到助力便大步向前，女子若迷失方向便会暂时偏离正道。所以火载着血上行，导致血液错乱妄行，从上部孔窍溢出，出现吐血、衄血、咳嗽吐痰等症状。在发病初期，正气尚未虚弱，就像河水泛滥于都城，应当清理源头，同时也必须筑堤防水，否则任由水流泛滥，涓涓细流汇成洪流，难道还能遏制吗？如果不是江海之源，难道不会枯竭吗？况且失血时间长久，真阴已经亏损，相火自然炽盛，必然出现潮热、盗汗、遗精滑泄等症状。在这个时候，治法应当以益气温阳为主（注：此处原文“益阳”疑为“益气”或指补气摄血，结合下文独参汤，实指补气），辅以滋阴养血，佐以清金润肺，清理源头，使阴液生长，源头清洁则水流清澈，这样才没有后顾之忧。然而所谓“益阳”，指的是人参独参汤之类的方剂。所谓“滋阴养血”，指的是陈藕汁，或者童便单味药。总之，痰火导致的失血，都是由阴火上炎所致。所谓的阴火，就是龙雷之火，不能用水去压制，也不能直接用苦寒药物折损，难道可以用苦寒药来遏制吗？如果恣意使用苦寒药物损伤脾胃，那么饮食日渐减少，肌肉日渐消瘦。节斋曾说：“服用寒凉药的，百无一人生还；服用尿液的，百无一死”，正是这个意思。
圣按：失血的病症，类别不止一种。有阳乘阴的，即血热而妄行；有阴乘阳的，因阳虚而阴无所附，妄溢而不循经脉。有血从清道（呼吸道）而出表现为鼻衄的，有血从浊道（消化道）而出表现为呕血的。呕血出自肝，吐血出自胃，衄血出自肺。耳出血称为“耳衄”，皮肤腠理出血称为“血汗”，口鼻同时出血称为“窍俱出”，大量出血称为“大衄”。原因固然不一，总之多属火病。如果不追溯根源而进行治疗，岂不是会有歧路亡羊的错误吗？
Su You Feng Sui Decoction: Treats cough caused by Lung dryness. Use 1 liang of Pine Seed Kernel (Song Ren) and 2 liang of Walnut Kernel (Hetao Ren), grind into a paste, mix with cooked honey to preserve. Take 2 qian each time, administered after meals by dissolving in boiling water.
Another prescription: Treats cough due to deficiency-heat, accompanied by dry mouth, sticky nasal discharge, and saliva. Use 1.5 sheng of Sugarcane Juice and 4 he of Green Millet (Qingliang Mi), cook into porridge. Consume twice daily. It has excellent effects in moistening the Lungs and nourishing the Heart.
Another prescription: Treats cough with hemoptysis. Use 1 liang of Ginseng Root (Renshen), 1 liang of Astragalus Root (Huangqi - inferred from context as "Huang" is incomplete), 1 liang of Prepared Wheat Flour (Feimian), and 5 qian of Lily Bulb (Baihe). Grind into fine powder, make pills with water the size of Sophora seeds. Take 50 pills each time, swallowed with Mugwort Root Decoction (Maogen Tang).
Another prescription: Use equal parts of Ginseng Root (Renshen) and Cinnabar (Zhusha), grind into fine powder. Form pills using Flesh of Mume Fruit (Wumei Rou) the size of a bullet. Swallow one pill with plain warm water once daily.
Another prescription: Treats cough due to Lung heat. Use 5 qian of Glehnia Root (Shashen), decoct in water and take orally.
A thirteen-year-old boy suffered from cough and night sweats. He consulted a pediatrician, who stated it was merely childhood sweating and required no medication. One month later, his eyes suddenly turned red, his appetite decreased, and blood streaks appeared in his sputum. I palpated his pulse: the left side was faint and weak, while the right side was large, surging, and rapid. This indicates a Fire syndrome. I suspected he had engaged in sexual activity or had unfulfilled desires. Despite his parents' denials and repeated private inquiries, he finally admitted that he had seen a girl living next door to his schoolhouse, felt attracted to her but could not obtain her, and thus fell ill. I prescribed Angelica Root (Danggui), Rehmannia Root (Dihuang), Poria (Fushen), Polygala Root (Yuanzhi), Tree Peony Bark (Mudanpi), Ziziphus Seed (Suanzaoren), Atractylodes Rhizome (Baizhu), Licorice Root (Gancao), and Platycodon Root (Jiegeng). After dozens of doses, he was completely cured.
Another patient suffered from cough and shortness of breath. I used Astragalus Root (Huangqi) as the sovereign herb, combined with Angelica Root (Danggui), Donkey-hide Gelatin (Ejiao), Tangerine Peel (Chenpi), Asparagus Tuber (Tiantong), Mulberry Root Bark (Sangbaipi), Anemarrhena Rhizome (Zhimu), and Phellodendron Bark (Huangbo). After several doses... [Text cuts off]
Blood is the companion of Qi. The five zang organs, six fu organs, four limbs, and hundred bones of the human body all rely on blood for nourishment. Blood moves attached to Qi; when Qi flows smoothly, blood flows smoothly; when Qi rebels, blood rebels, just as husband and wife follow each other and harmonize. If Yin fluid is deficient and Yang qi prevails, the excess transforms into Fire. Qi, empowered by Fire, moves vigorously. This is like a man and woman walking together; if the man gains strength, he strides forward, but if the woman loses her way, she strays temporarily. Therefore, Fire carries Blood upward, causing chaotic and reckless movement, leading to bleeding from the upper orifices, manifesting as vomiting blood, epistaxis, coughing, and expectoration. In the early stage, when Zheng Qi (Upright Qi) is not yet deficient, it is like water overflowing in the capital. One must clean the source and also build dikes to control the flow. Otherwise, if allowed to flow freely, the trickle will become a torrent, which cannot be stopped? If the source is not like the rivers and seas, will it not dry up? Moreover, if hemorrhage persists, True Yin is already depleted, and Ministerial Fire (Xiang Huo) naturally blazes, inevitably presenting symptoms such as tidal fever, night sweats, and seminal emission/slippery discharge. At this juncture, the treatment method should employ tonifying Qi (Note: Text says "Yi Yang", but context implies tonifying Qi/Blood via Duzhen Tang) as the sovereign, assist with nourishing Yin and Blood, and use clearing Metal (Lung) herbs to cleanse the source, allowing Yin to grow. When the source is clean, the flow is clear, ensuring no future worries. However, what is meant by "tonifying Yang/Qi" refers to formulas like Ginseng Single Herb Decoction (Duzhen Tang). What is meant by "nourishing Yin and Blood" refers to aged Lotus Rhizome Juice (Ou Zhi) or Child's Urine (Tongbian) alone. In summary, hemorrhage due to Phlegm-Fire is caused by the flaming up of Yin Fire. This Yin Fire is referred to as Dragon-Lei Fire. It cannot be subdued by water, nor can it be directly suppressed by bitter-cold herbs. How can bitter-cold herbs suppress it? If one recklessly uses bitter-cold herbs to damage the Spleen, food intake will decrease day by day, and muscles will waste away day by day. Jiezhai said: "Those who take cold herbs have one survivor out of a hundred; those who take urine have none who die." This statement precisely applies here.
Saint's Commentary: Hemorrhagic syndromes are of various types. There is Yang invading Yin, where Heat in Blood causes reckless movement. There is Yin invading Yang, where Yang deficiency leaves Yin unattached, causing reckless overflow without following the meridians. There is blood exiting through the clear pathway (respiratory tract) manifesting as epistaxis, and blood exiting through the turbid pathway (digestive tract) manifesting as hematemesis. Vomiting blood originates from the Liver; spitting blood originates from the Stomach; epistaxis originates from the Lungs. Bleeding from the ears is called Ear Epistaxis (Er Nu); bleeding from the skin pores is called Blood Sweat (Xue Han); simultaneous bleeding from mouth and nose is called "All Orifices Bleeding"; massive bleeding is called Great Epistaxis (Da Nu). Although causes vary, they mostly belong to Fire diseases. If one does not trace the source and treat accordingly, is it not a mistake akin to losing sheep on a divergent path?