脉沉细缓，外腴内虚，饮多谷少。恙经三载。发时脘痞嗳噫，小便欠利，年来戒饮，其
疾虽
平，然精神起居，未能如昔。饮食稍有失调，脘中犹觉不快，虑其病根复萌，商图善后之策
，此不治已病而治未病也。夫脾胃清和，始能生化气血。酒者熟谷之液，其气 悍，入于胃
中则胃胀气上逆，满于胸中，故致患若此。今病虽愈，而仓廪之官，未得骤反清和之旧。计
惟调养脾胃，以资运化。考古治病，有煎膏丸散之别，心肺病在上焦，宜用煎膏。肝肾病在
下焦，宜用丸。脾胃病在中焦，宜用散，审其致疾之因，投药自中肯矣。
岐伯虽言五脏六腑，皆令人咳，然其所重，全在于肺。盖皮毛者。肺之合也。皮毛先受
邪气
，邪气以从，其合其寒，饮食入胃，从胃脉上至于肺则肺寒。肺寒则内外合，邪因而客之，
则为肺咳。是咳之不离乎肺，犹疟之不离乎少阳。据谕病缘夏热，晓起感冒凉风，更兼饮冷
，始而微咳，渐至咳甚，服药月余，咳仍不已。经云∶形寒饮冷则伤肺。此致病之大端。医
者只知天时之气热，不察人身之脏寒，频投滋润，希冀清火止咳，适燕指南，无怪药愈服而
咳愈频也。盖肺为娇脏，性虽畏热，然尤畏寒，金被火刑固为咳，金寒水冷亦为咳。五行之
理，生中有克，克中有生，金固生水者也。然金寒则水冷，使非火克金，则金不能生水矣。
譬诸水冰地坼，犹以霜雪压之，其能堪乎?诊脉沉细，口不干渴，时当盛暑，背犹怯风，使
非温中涤邪，何以春回 谷。倘再因循贻误，寒邪不解，久咳肺伤，更难为计，拟温肺汤一
法。
安波按∶咳嗽一症，治之最难。昔徐灵胎医究三十年，始能治嗽，难怪庸流一见咳症
，就以沙参麦冬从事，贻害良深，可欢可恨。
脉象沉细而缓，外表丰腴但内在虚弱，饮食中酒水多而谷物少。疾病已持续三年。发作时胃脘部痞塞胀满、嗳气，小便不够通畅。近年来戒酒，虽然病情暂时平稳，但精神和起居状态，仍不如从前。饮食稍有不当，胃脘中仍感觉不适，担心病根再次复发，因此商讨善后调理的策略，这是“不治已病而治未病”的理念。脾胃功能清和，才能化生气血。酒是熟谷酿造的液体，其气性剽悍，进入胃中会导致胃胀、气机上逆，充满胸中，所以导致患此病。现在病虽痊愈，但作为“仓廪之官”的脾胃，未能迅速恢复清和的本状。打算通过调养脾胃，来资助运化功能。考察古代治病的方法，有煎剂、膏剂、丸剂、散剂的区别：心肺疾病在上焦，宜用煎膏；肝肾疾病在下焦，宜用丸剂；脾胃疾病在中焦，宜用散剂。审察致病的原因，用药自然能切中要害。
岐伯虽然说过五脏六腑都能让人咳嗽，但他所重视的，全在于肺。因为皮毛是肺的外合，皮毛先受邪气侵袭，邪气随之传入，如果加上寒邪，饮食入胃后，顺着胃脉上至于肺，就会导致肺寒。肺寒则内外邪气相合，邪气因而客居其中，就形成肺咳。咳嗽离不开肺，就像疟疾离不开少阳经一样。据所述病因，夏季炎热，早晨起床感受凉风，再加上饮用冷饮，起初轻微咳嗽，逐渐加重至剧烈咳嗽，服药月余，咳嗽仍未停止。《内经》说：“形寒饮冷则伤肺。”这是致病的主要原因。医生只知道天气炎热，不察人体内脏寒冷，频繁投用滋润药物，希望清热降火以止咳，这如同燕国人在南方指南针指北一样方向错误，难怪药越吃咳嗽越频繁。肺是娇脏，性质虽然怕热，但也特别怕寒，金（肺）被火克固然会咳，金寒水冷同样会咳。五行的道理，生中有克，克中有生，金确实能生水。但如果金寒，水就会冷，如果不是火来克金，金就不能生水了。这就好比水结冰、地裂开，再用霜雪压在上面，怎么能承受得住呢？诊脉沉细，口不干渴，正值盛夏，背部仍然怕风，如果不是温中散寒、涤除邪气，怎么能让生机如春回大地般恢复？如果再因循守旧延误治疗，寒邪不解，久咳伤肺，就更难处理了。拟定温肺汤一法。
安波按语：咳嗽这一病症，治疗起来最难。过去徐灵胎钻研医学三十年，才学会治疗咳嗽，难怪平庸的医生一见咳嗽症状，就用沙参、麦冬等药物处理，造成的危害很深，令人既感叹又愤恨。
The pulse is deep, fine, and slow; the exterior appears plump but the interior is deficient, with excessive consumption of alcohol and insufficient intake of grains. The ailment has persisted for three years. During episodes, there is epigastric fullness and belching, along with inadequate urination. Although abstaining from alcohol in recent years has kept the disease in check, mental vitality and daily routines have not returned to their former state. Any slight dietary imbalance causes discomfort in the epigastrium, raising concern about the recurrence of the root cause; thus, strategies for post-illness care are discussed, embodying the principle of "treating the disease before it arises" rather than after it has manifested. Only when the Spleen and Stomach are clear and harmonious can Qi and Blood be generated. Wine, being the liquid of fermented grains, has a fierce nature; upon entering the Stomach, it causes gastric distension and counterflow of Qi, filling the chest, thereby leading to such ailments. Although the disease has now resolved, the "Official of the Granary" (Spleen and Stomach) has not yet quickly reverted to its original state of clarity and harmony. The plan is to nourish and regulate the Spleen and Stomach to support transformation and transportation. Examining ancient methods of treatment, there are distinctions among decoctions, pastes, pills, and powders: diseases of the Heart and Lungs in the Upper Jiao are suitable for decoctions and pastes; diseases of the Liver and Kidneys in the Lower Jiao are suitable for pills; diseases of the Spleen and Stomach in the Middle Jiao are suitable for powders. By examining the cause of the disease, medication will naturally hit the mark.
Although Qibo stated that all Zang and Fu organs can cause cough, his emphasis lies entirely on the Lung. The skin and hair are the external correspondence of the Lung. When pathogenic factors first invade the skin and hair, they follow this connection inward; if combined with cold, and food enters the Stomach, traveling up via the Stomach meridian to the Lung, it induces Lung cold. Lung cold leads to the convergence of internal and external pathogens, which then lodge within, resulting in Lung cough. Cough is inseparable from the Lung, just as malaria is inseparable from the Shaoyang channel. According to the account, the onset occurred during summer heat, when exposure to cool wind in the morning was compounded by drinking cold liquids. Initially, there was mild coughing, which gradually worsened despite taking medicine for over a month without cessation. The Classic states: "Cold affecting the body and cold drinks injure the Lung." This is the primary cause of the illness. Physicians only recognized the hot weather but failed to observe the internal cold of the viscera, frequently administering moistening agents in hopes of clearing heat and stopping cough. This approach is as misguided as using a compass pointing south while in Yan; no wonder the more medicine is taken, the more frequent the cough becomes. The Lung is a delicate organ; although it fears heat, it fears cold even more. Metal (Lung) being punished by Fire certainly causes cough, but cold Metal and cold Water also cause cough. In the principles of the Five Elements, generation contains restriction, and restriction contains generation. Metal does generate Water. However, if Metal is cold, Water becomes cold; unless Fire restricts Metal, Metal cannot generate Water. It is like water freezing and earth cracking, yet still being pressed down by frost and snow—how could it endure? The pulse is deep and fine, the mouth is not dry or thirsty, and despite the height of summer, the back still feels aversion to wind. Unless the middle is warmed and pathogens are cleared, how can vitality return like spring? If one continues to delay and neglect, the cold pathogen will not resolve, prolonged coughing will damage the Lung, and the situation will become difficult to manage. Therefore, the method of Wenshen Tang (Warming Lung Decoction) is proposed.
Note by Anbo: Treating cough is perhaps the most difficult of symptoms. Xu Lingtai studied medicine for thirty years before mastering the treatment of cough. No wonder mediocre physicians, upon seeing a cough, immediately resort to Shashen Maimen Dong Tang (Glehnia and Ophiopogon Decoction), causing significant harm, which is both lamentable and infuriating.