某 肺受冬温，蕴而成热，脉洪搏指，痰阻喉痒，呛咳失音。与苦辛泄降痰火，清音自出，所谓金
空则鸣也。用杏仁、桑皮、蒌皮、川贝、麦冬、橘红、竹叶。三服呛嗽平，惟溺赤，间有寒热，前方加香豉、
栀皮、赤苓、灯心。二服寒热除，膈间觉燥，去桑皮、香豉，加白蜜三匙和服，二剂音渐复。
族弟 怯症嗽久吐血，曾用熟地黄、阿胶、淡秋石、燕窝等药获愈。经十数载，至今秋寒热宵嗽，劳则
喉痛欲裂，气急声哑，呼吸有音，气不归源，实水亏火炎，金畏火灼重症。古云∶金碎不鸣，务滋肾阴，俾金
水相涵，冀龙焰稍熄而已。仿大补元煎，熟地黄（八钱）、山药、白芍、百合（各三钱）、牛膝（蒸）、五味
（焙。各八分）、洋参、枣仁、阿胶（水煨）、贝母（各二钱）、龟板（炙）、女贞子（各三钱）。三十剂后，
精神稍复。兼服人乳数月，喜其胃纳颇健，调理如法，可望延年。
族子 因惊遗泄，呛嗽声哑，继乃寒热喉痛，梗碍妨食，口干，脉细数。医与清金降火，屡服不效。予谓水
涸于下，火炎于上，心肾诸脉，挟咽循喉，既非肺痹梅核，无清肺降痰之理。宜滋填镇摄，俾龙焰伏潜，喉痛
息，寒热渐止。方用熟地（四钱）、山药、龙齿、杞子（炭）、天冬、元参、女贞子（各二钱）、茯神（三钱）、
丹皮、
柏子仁（各八分）、五味（四分）、淡菜（三钱），煎服甚适。时用白蜜及猪肤汤润喉，喉痛寒热若失。若精关
扃固，月余不泄，即用原方去元参，加牡蛎、莲子，炼蜜丸。竹叶汤下，庶望音复。后将煎剂去淡菜，加龟甲
心、石斛、淡秋石，煎丸并服，渐效。乃误信喉科铁烙喉，大痛晕绝，遂成不救，惜夫！
王氏室女 久嗽失音，呼吸痰响，劳则发热颊红，干饭稍纳，粥入随出。肺气既失肃降，痰火升逆，扰
及中宫，胃土运纳不安，然胃虚谷少，脉来微数，非火涤痰所得效。治以平气降逆，兼培胃气，倘痰火一清，
声音可出。海浮石、苏子、贝母、前胡、茯苓、山药、炙草、姜汁、竹沥和服。呼吸利，痰嗽平。再去前胡，
加诃子、蛤粉，数服哮止而音渐复。
患者：肺受冬季温邪侵袭，郁结化热，脉象洪大搏指，痰浊阻滞咽喉致痒，引发呛咳失音。采用苦辛泄降之法以清化痰火，声音自然恢复，此即所谓“金空则鸣”（金属中空才能发声）。处方用杏仁、桑白皮、瓜蒌皮、川贝母、麦冬、橘红、竹叶。服用三剂后，呛咳平息，仅见小便色赤，间有寒热往来，前方加入淡豆豉、栀子皮、赤茯苓、灯心草。再服两剂，寒热消除，胸膈间感觉干燥，去掉桑白皮、淡豆豉，加入白蜜三匙调和服用，又经两剂，声音逐渐恢复。
族弟：患有怯症（虚劳），咳嗽日久且吐血，曾用熟地黄、阿胶、淡秋石、燕窝等药治愈。经过十余年，今年秋季出现寒热夜间咳嗽，劳累时喉咙痛如撕裂，气急声哑，呼吸有声，气不归元，实为肾水亏虚、虚火上炎，肺金畏惧火灼的重症。古语说：“金碎不鸣”，务必滋补肾阴，使金水相生互涵，期望龙雷之火稍息而已。仿照大补元煎方意，用熟地黄（八钱）、山药、白芍、百合（各三钱）、牛膝（蒸制）、五味子（焙干，各八分）、西洋参、酸枣仁、阿胶（水烊化）、贝母（各二钱）、龟板（炙）、女贞子（各三钱）。服用三十剂后，精神稍复。兼服人乳数月，庆幸其胃纳颇佳，调理得当，有望延年益寿。
族子：因惊恐导致遗精滑泄，呛咳声哑，继而出现寒热喉痛，咽喉梗碍妨碍进食，口干，脉细数。医生给予清金降火之药，屡服无效。我认为这是下焦肾水枯竭，上焦虚火上炎，心肾经脉挟咽循喉，既然不是肺痹梅核气，就没有清肺降痰的道理。宜用滋填镇摄之法，使龙雷之火潜伏潜藏，喉痛自止，寒热渐消。方用熟地黄（四钱）、山药、龙齿、枸杞子（炭制）、天冬、玄参、女贞子（各二钱）、茯神（三钱）、丹皮、柏子仁（各八分）、五味子（四分）、淡菜（三钱），煎服甚为适宜。时常饮用白蜜及猪肤汤润喉，喉痛寒热消失。若精关坚固，一月不再泄精，即用原方去掉玄参，加牡蛎、莲子，炼蜜为丸。用竹叶汤送服，庶几希望声音恢复。后来将煎剂去掉淡菜，加龟甲心、石斛、淡秋石，煎剂与丸药并服，逐渐见效。却误信喉科医生使用铁烙烫喉，剧痛晕厥，遂成不治之症，可惜啊！
王氏室女：久咳失音，呼吸痰响，劳累则发热面颊潮红，吃干饭勉强能进，喝粥随即吐出。肺气已失肃降功能，痰火升逆，扰乱中焦脾胃，胃土运化纳受不安，然而胃虚谷少，脉来微数，非清热涤痰所能奏效。治疗以平气降逆为主，兼培补胃气，倘若痰火一清，声音即可发出。用海浮石、苏子、贝母、前胡、茯苓、山药、炙甘草、姜汁、竹沥和服。呼吸通畅，痰嗽平息。再去掉前胡，加诃子、蛤粉，数服后哮鸣停止而声音逐渐恢复。
Patient: The lungs were invaded by winter-warmth pathogenic factors, stagnating and transforming into heat. The pulse was surging and forceful against the finger (Hong Bo Zhi), phlegm obstructed the throat causing itching, triggering retching cough and loss of voice. Treatment employed bitter and acrid methods to drain and descend phlegm-fire; once cleared, the voice would naturally return, following the principle that "metal rings when hollow" (Jin Kong Ze Ming). Prescription used Xingren (Apricot Seed), Sangbai Pi (Morus Root Bark), Gualou Pi (Trichosanthes Peel), Chuanbeimu (Fritillaria Cirrhosa Bulb), Maidong (Ophiopogon Tuber), Juhong (Citrus Reticulata Red Peel), and Zhuye (Bamboo Leaf). After three doses, the retching cough subsided, only urine remained red, with intermittent chills and fever. The original prescription added Danshi (Fermented Soybean), Zhipi (Gardenia Cortex), Chifuling (Polyporus with Mycelium), and Dengxincao (Juncus Effusus Pith). After two more doses, chills and fever disappeared, but dryness was felt in the chest diaphragm. Sangbai Pi and Danshi were removed, and Sanqi (Three spoons of White Honey) were added for mixing. After two additional doses, the voice gradually recovered.
Clan younger brother: Suffered from Quezheng (Consumption/Deficiency syndrome) with long-term coughing and hemoptysis, previously cured using Shudihuang (Rehmannia Glutinous Root), Ejiao (Donkey-hide Gelatin), Dan Qiushi (Lapis Urinae), and Yanwo (Swallow's Nest). After more than ten years, this autumn he developed chills, fever, night coughs, severe sore throat tearing upon exertion, shortness of breath, hoarseness, audible breathing sounds, and qi failing to root. This is a severe condition of Kidney Yin deficiency with flaming fire, where Metal fears Fire scorching. As the ancients said: "Broken metal does not ring." It is imperative to nourish Kidney Yin, allowing Metal and Water to support each other, hoping to subdue the Dragon Fire slightly. Imitating the Dabu Yuanjian Decoction, the prescription included Shudihuang (8 qian), Shanyao (Dioscorea Rhizome), Baishao (White Peony Root), Baihe (Lily Bulb) [each 3 qian], Niuxi (Achyranthes Root, steamed), Wuweizi (Schisandra Berry, roasted) [each 8 fen], Yangshen (American Ginseng), Zaoren (Sour Jujube Seed), Ejiao (water-melted), Beimu (Fritillaria Bulb) [each 2 qian], Guiban (Tortoise Shell, calcined), Nvzhenzi (Ligustrum Lucidum Fruit) [each 3 qian]. After thirty doses, spirit slightly recovered. Concurrently taking human milk for several months; fortunately, gastric appetite was good, and with proper regulation, longevity could be expected.
Clan nephew: Due to fright leading to seminal emission and leakage, followed by retching cough and hoarseness, subsequently developing chills, fever, sore throat, throat obstruction hindering food intake, dry mouth, and a fine-rapid pulse. Physicians administered Qingjin Jianghuo (Clearing Lung and Descending Fire) formulas, but repeated use was ineffective. I reasoned that water is depleted below, while fire flares above. The Heart and Kidney meridians follow the throat and larynx. Since this was neither Feibi (Lung Bi) nor Meihe (Plum-pit Qi), there was no rationale for clearing Lung phlegm and descending it. Instead, tonification, filling, and calming/subduing methods should be used to make the Dragon Fire latent. Thus, throat pain would cease, and chills/fever would gradually stop. The formula used Shudihuang (4 qian), Shanyao, Longchi (Dragon Teeth), Qizi (Goji Berry, charred), Tiandong (Asparagus Tuber), Yuanshen (Scrophularia Root), Nvzhenzi [each 2 qian], Fushen (Poria with Pine Root), Danpi (Moutan Cortex), Baiziren (Biota Seed) [each 8 fen], Wuwei [4 fen], Danshai (Sea Mussel) [3 qian]. Decoction was very suitable. Occasionally using White Honey and Zhufu Tang (Pig Skin Decoction) to moisten the throat, the throat pain and chills/fever vanished. If the essence gate were secured and no emission occurred for a month, the original formula minus Yuanshen, plus Muli (Oyster Shell) and Lianzi (Lotus Seed), refined with honey into pills, taken with Zhuye Tang (Bamboo Leaf Decoction), might hope for voice recovery. Later, Danshai was removed from the decoction, adding Guijiaxin (Tortoise Plastron Heart), Shihu (Dendrobium Stem), and Dan Qiushi, with both decoctions and pills taken together, showing gradual efficacy. However, trusting mistakenly in an ENT specialist's iron cauterization of the throat, causing severe pain and fainting, it became incurable. What a pity!
Wang family maiden: Long-term coughing led to loss of voice, rattling phlegm during respiration, fever and flushed cheeks upon exertion. Could barely swallow dry rice, but vomited immediately after drinking porridge. Lung Qi had lost its descending function; phlegm-fire rose rebelliously, disturbing the Middle Jiao (Central Palace). Spleen/Stomach Earth transport and reception were unsettled. However, due to deficient Stomach Qi and scant grain intake, the pulse was slightly rapid. Clearing heat and washing away phlegm would not yield results. Treatment focused on regulating Qi and descending rebellion, while simultaneously cultivating Stomach Qi. If phlegm-fire were cleared, the voice could emerge. Formula used Haifushi (Flintstone), Suzi (Perilla Fruit), Beimu (Fritillaria Bulb), Qianhu (Peucedanum Root), Fuling (Poria), Shanyao, Zhigancao (Licorice Root, honey-fried), Jiangzhi (Ginger Juice), Zhuli (Bamboo Sap) mixed and taken. Respiration became smooth, phlegm-cough subsided. Qianhu was then removed, Hezi (Chebula Fruit) and Hafens (Melissa Powder/Glass Powder) added. After several doses, asthma ceased, and voice gradually returned.