则真气内振，而虚风可熄矣。遂与大剂玉屏风散加贝母、杏仁、苏子、桔梗，一剂而脉症渐和。再加人参三钱，
二剂诸症渐平。惟咳嗽未已，以六味汤加人参，调理一月全安。
顾芝岩夫人，喘嗽半载，卧不着枕，舌燥无津，屡治不应。诊之，右关尺虚涩无神，此标在肺，而本在肾
也。肺为出气之路，肾为纳气之府，今肾气亏乏，吸不归根，三焦之气出多入少，所以气聚于上，而为喘嗽，
口干不得安卧。《中藏经》云∶阴病不能吸者，此也。法当清气于上，纳气于下，使肺得清肃，肾复其蛰藏，则
气自纳，而喘嗽平矣。用苏子降气汤加人参五钱，肉桂一钱，连进三剂，症渐平。改用《金匮》肾气汤加人参
五钱，二十余剂，可以安枕。后因调护失宜，前症复作，乃委之庸手，纯用破气镇逆之剂，极诋人参为不可用。
病者自觉不支，求少参不与，遂气败而死。伤哉！
邱友痰喘发热，口渴胸满，身如被杖，时时恶寒，或与驱风化痰不效。诊之，弦数且涩，此情志郁结而肺
燥也。今之医者，但知散风清热治痰。风剂则辛，寒剂则苦，痰剂则燥。辛能耗液，苦能伤气，燥能动火，是
适助长而已。今欲治痰，必先清气，清气必先滋燥，使气得清肃下行，又何痰喘之有哉？（雄按∶论是药非。用蒌
仁、半夏曲、枳壳、秦艽、杏仁、苏子，少柴胡、桂枝，二剂症减半。再加生首乌，以滋阴燥，大便通而全愈。
缪仲淳治臧仪部静涵，患气喘自汗，昼夜不眠食，诸医以外感治之。缪诊之曰∶此肾虚气不归元，故火上
浮，喘汗交作，脾虚故不思食。亟以麦冬、五味、枸杞滋阴敛肺，以苏子、橘红降气消痰，以白芍、枣仁、茯
苓补脾敛汗，不数剂而愈。
叶都督患痰喘，诸医作胃虚治之不愈，后以导水丸利五六次而安。（《平治会萃》、《薛氏书》。）
薛仲芳曰∶周忠介夫人年六十余，患痰喘五六年，医药无效。士材先师诊之曰∶右寸浮洪，肺有实邪，须
用麻黄、石膏、半夏、防风、细茶、生姜等件，药虽峻而病当之，无畏也。投之果愈。但麻黄只可用二三分，
服后兼须避风耳。
吴桥治程参军汶年近耆，久病痰喘，秋冬递作，春夏浸平。顷归自留都，痰喘如昔。一医以为热也，剂以
石膏，再服而痰喘不除，加以泄泻。一医以为攻损而虚也，剂以人参峻补，一服而痰喘大作，喉壅塞不能言，
瞑而 。桥至诊之，寸口浮大，弦数搏指，然不任按。病得之郁怒而伤肝气，法当缓治，而二医以躁急乘之，
故甚。脉虽九死，犹可觊一生。乃以导痰汤为剂，加芩、连、麦冬，一服而吐结痰，有间稍寐。未尽二服，结
痰越出喉吻间不能吐，则以簪入口而衡引之，累累连棉，去如败絮者盈二缶，喘乃少定。瞑而 如前，僵卧
如尸，七日乃寤，寤则呻吟出息，目微开，始进勺饮。间日一剂，逾月而安。或以参军方赵简子云。（《太函集》。）
刘清江曰∶先君尝施喘药，盖用麻黄三两，不去根节，汤浴过，诃子二两，去核用肉，二味为尘末。每服
三大匕，水二盏，煎减一半，入腊茶一钱，再煎作八分，热服，无不验者。后于彭子寿侍郎处传一方，用新罗
参一两作细末，以生鸡子清和为丸如梧子大，阴干，每服百粒，温腊茶清下，一服立止。尝见知临江叶守端向
言其祖石林病此，专服大黄而愈。其尊人亦苦此疾，乃纯用附子，至某则非麻黄不可。然则又颧其所禀如何，
且自谓其女幼年已喘，传至四世，而用药皆不同。（刘昌诗，字与号清江。《芦浦笔记》。雄按∶一脉相传，病
情如此，世之执死方而治活病者，皆盲医也。）
魏玉横曰∶朱武章年三十八，客姚江，仲冬左额患疔，七八日微喘，疔溃后大喘，疔愈喘甚，坐不能卧。
医与降气清金不效，已二旬。归而渡江，比到岸，两脚赤肿如灯笼，不能 履矣。舁负至家，一月间更七医，
其宽胸者重投浓朴，泻肺者峻用葶苈，有谓表邪未清者，有谓香港脚上攻者，有谓水肿入腹者，有谓疔毒入肺者，
杂治肿渐及囊。一医谓其虚也，与八味反增谵语。诊之，两关模糊，左尺不应，余部微数而洪。面有红光，倚
息不寐，小便浓浊，掌心热炙，臀起映疮，以久坐也。其舌左边赤紫，四沿凸凹，而左为甚，鼻孔干燥，能俯
不能仰，曰∶此肝肾大伤之候。初时之疔亦肝火炽盛而作，治得其宜，数剂可愈。朴、苈既非，桂、附亦误。
今兼治药，必三十剂乃可。与生熟地、天麦冬、沙参、枸杞子、蒌仁、米仁，四剂肿渐消，谵亦止。十剂便清
肿退，可卧矣。惟仰卧及侧向右则喘嗽不宁，又三十剂已能应酬宾客。但卧仍宜向左，乃加熟地至一两，入五
味三分，蛤蚧一具，一剂而安，四剂全愈。
吴性全幼即病喘，儿医与枳、桔、橘、半、桑、杏、前、苏之属，伤其肺气，遂成痼疾。每发必沉绵床第，
淹旬浃月。年十七，余诊之，令服重剂肝肾药，加沙参、蒌仁、麦冬之类。自是发渐轻，或数月一次，仍以前
方加减，不过数剂即霍然，近则终年亦罕作。余治喘多矣，多以此法取效。盖虚喘者十之九，实喘者十之一也。
金太孺人四旬之外病喘，以攻伐之过，坐致痼疾，已近七旬。忽一医与三子汤加葶苈，服下胁痛，厥逆欲
脱，余以大剂杞子、地黄，入川楝一枚得瘳。兰亭其四君也，亦病喘，面色 白，发必数日卧床，与以滋水生
肝养金之剂，后发渐少而轻，自言得狗宝服之而愈。此症凡遇面夭白，皮急，痰腥秽，而小便点滴者，不可治。
盖症非肺痈，而肺叶坏也。肺为水源，既败则小便必少耳。
张司阍年六十余，嗜饮病喘，吐痰无算，动则 ，抬肩倚息。或与杏仁、枳壳、苏子、前胡之类，十余
剂喘益甚，枯瘠如鬼，辞不治矣。余与二地、二冬、米仁、蒌仁、沙参、杞子、枳 子、女贞子等，八剂全愈。
戒其勿饮，初稍节，久仍纵恣，年余复作。左脉如按琴瑟弦，此真脏见也，不与药，月余而殁。
张友樵治一酒客，夏月痰喘气喘，夜不得卧，服凉药及开气药不效。有议用《金匮》麦冬汤者。张诊之，
右寸数实，此肺实非肺虚也，投以人参则立毙矣。遂用葶苈五钱，焙研，滑石五钱，煎服立愈。明年复感客邪，
壅塞肺气，喘咳复作，医以葶苈进不效，反烦闷汗泄。张诊其右寸浮数，口渴恶热，冷汗自出，喘急烦闷，曰∶
此热邪内壅肺气郁极，是以逼汗外越，非气虚自汗也。服葶苈反烦闷者，肺热极盛，与苦寒相格拒也。夫肺苦
气上逆，本宜苦以泄之，而肺欲散，又当急食辛以散之。与麻杏甘石汤，一剂肺气得通，喘止汗敛，诸症悉平。
杏仁煎∶杏仁一斤，去皮、尖，捣熬作酪，白蜜五合，酥油五合，以牛乳煎成者，生姜汁三合，以水三
升，内杏仁酪煎搅可减半，入姜汁煎如稀糖，入酥蜜煎令如稠糖。每服一匙，日三服，夜一服，渐加至二
匙。一方加贝母八合，别筛末，苏子汁一升，以七小合苏子研和，水滤取汁。一方加生地汁三升、麦冬五
合。王晋三曰∶此润剂也，治劳役表疏，寒袭于肺，上气干咳，肺痿 哑。群复滑润之品，仍无肠泄之虞。
杏仁入肺，功专降逆定喘，臣以蜂蜜之利，酥油之滑，即佐以姜汁之上升，皆同气相求者。逼留中焦，和
脾胃，生肺津，而干咳自止。加苏子、贝母者，降气分之火。加地黄、麦冬者，清血分之火。审证取舍，
惟学人裁之。
黄锦芳治祝某病喘咳，日夜不宁，寒热交作，两边头痛，二便不通，两肩频耸，上气奔迫。脉则两尺甚弱，
两寸甚洪，乃气上升而不下降之候。用五味三十粒，故纸六分，沉香三分，远志肉五分，以安右部之肾；龙骨
一钱，牛膝一钱，车前四分，龟板一钱，以安左部之肾。使左右二肾之气皆归原宅而不上奔，故服一剂而喘咳
除，头痛寒热俱去。又服一剂而二便俱通，遂愈。
真气在体内振奋，虚风即可平息。于是给予大剂量的玉屏风散（益气固表止汗的方剂），加入贝母、杏仁、苏子、桔梗，服用一剂后脉象和症状逐渐调和。再加入人参三钱，服用两剂后各种症状逐渐平复。只有咳嗽没有停止，用六味地黄汤（滋补肾阴的方剂）加入人参，调理一个月后完全康复。
顾芝岩夫人，喘咳半年，睡觉时不能枕枕头，舌燥无津液，多次治疗无效。诊察发现，右关脉和右尺脉虚弱涩滞且无神气，这是病标在肺，而病本在肾。肺是呼气的路径，肾是纳气的脏腑，现在肾气亏乏，吸气不能归根，三焦之气出多入少，所以气聚集在上部，导致喘咳、口干、无法安卧。《中藏经》说：阴病导致不能吸气的，就是这种情况。治法应当清肃上部的肺气，收纳下部的肾气，使肺得到清肃，肾恢复其蛰藏功能，那么气自然能够纳入，喘咳就会平息。使用苏子降气汤（降气平喘的方剂）加入人参五钱，肉桂一钱，连续服用三剂，症状逐渐平复。改用《金匮要略》中的肾气汤（温补肾阳的方剂）加入人参五钱，服用二十多剂，就可以安稳入睡。后来因为调养护理不当，之前的病症复发，便委托给庸医，纯用破气镇逆的药物，极力贬低人参不可使用。病人自觉身体支撑不住，请求少量人参不给，最终气败而死。真是可悲啊！
邱友患有痰喘发热，口渴胸满，身体像被棍棒打过一样疼痛，时常恶寒，有人给予驱风化痰药但无效。诊察发现，脉象弦数且涩，这是情志郁结导致肺燥。现在的医生，只知道散风、清热、治痰。风药则辛，寒药则苦，化痰药则燥。辛能耗伤津液，苦能损伤正气，燥能引动火邪，这正好是助长病情罢了。现在想要治疗痰喘，必须先清肃肺气，清肃肺气必须先滋润肺燥，使气能够清肃下行，又怎么会有痰喘呢？（徐灵胎按语：论述是正确的，用药也不对。使用瓜蒌仁、半夏曲、枳壳、秦艽、杏仁、苏子，少量柴胡、桂枝，服用两剂症状减半。再加生首乌，以滋阴润燥，大便通畅后痊愈。）
缪仲淳治疗臧仪部静涵，患气喘自汗，昼夜不眠不食，其他医生当作外感病治疗。缪诊察后说：这是肾虚导致气不归元，所以火上浮，喘促出汗交替发作，脾虚所以不想吃东西。急需使用麦冬、五味子、枸杞子滋阴敛肺，使用苏子、橘红降气消痰，使用白芍、枣仁、茯苓补脾敛汗，没有几剂就痊愈了。
叶都督患痰喘，其他医生当作胃虚治疗未愈，后来使用导水丸利大小便五六次后安定。（出自《平治会萃》、《薛氏书》。）
薛仲芳说：周忠介夫人六十多岁，患痰喘五六年，医药无效。士材先师诊察后说：右寸脉浮洪，肺有实邪，必须使用麻黄、石膏、半夏、防风、细茶、生姜等药物，药性虽然峻猛但病证能承受，不必畏惧。投药后果然痊愈。但是麻黄只可用二三分，服用后还必须避风。
吴桥治疗程参军汶，年龄接近老年，久患痰喘，秋冬季节加重，春夏季节减轻。刚从留都回来，痰喘如旧。一位医生认为是热证，给予石膏，再服后痰喘不除，加上泄泻。另一位医生认为是攻伐过度导致虚证，给予人参峻补，一服后痰喘大作，喉头壅塞不能说话，闭目昏死。吴桥到达诊察，寸口脉浮大，弦数搏指，然而不耐按压。病得之于郁怒而伤肝气，治法应当缓治，而两位医生以急躁的方法乘势治疗，所以病情加重。脉象虽然九死一生，还可以希望有一线生机。于是以导痰汤为底方，加入黄芩、黄连、麦冬，一服后吐出凝结的痰，稍有好转并能小睡。还没服完两剂，凝结的痰涌出喉咙口不能吐出，就用簪子伸入口中牵引出来，连成串像棉花一样，倒出来装满两个罐子，喘才稍微平静。再次闭目昏死如前，僵卧如尸体，七天后才苏醒，醒来后呻吟呼吸，眼睛微开，开始进一勺饮水。隔天服药一剂，过了一个月才安定。有人拿程参军比作赵简子。（出自《太函集》。）
刘清江说：家父曾经施发喘药，大概是用麻黄三两，不去根节，用水汤浴过，诃子二两，去核只用果肉，两味药研成尘末。每次服用三大匙，水两盏，煎至减半，加入腊茶一钱，再煎至八分，热服，没有不验的。后来从彭子寿侍郎处传得一一方，用新罗参一两作细末，用生鸡蛋清调和做成梧桐子大小的丸药，阴干，每次服用一百粒，用温腊茶清送下，一服立即停止。曾见临江知府叶守端向前述说他的祖父石林患此病，专服大黄而痊愈。他的父亲也苦于这个疾病，乃纯用附子，到了某个人则非麻黄不可。然而这又取决于他们的禀赋如何，并且自称他的女儿幼年已喘，传到第四代，而用药都不同。（刘昌诗，字与号清江。出自《芦浦笔记》。徐灵胎按语：一脉相传，病情如此，世上那些拿着死方子治疗活病人的，都是盲医。）
魏玉横说：朱武章三十八岁，客居姚江，仲冬时节左额头患疔疮，七八天后微喘，疔疮溃烂后大喘，疔疮好了喘更厉害，坐立不能卧。医生给予降气清肺药无效，已经二十天。回家后渡江，等到上岸，双脚红肿像灯笼，不能走路了。抬回家中，一个月内换了七个医生，其中宽胸的用重剂厚朴，泻肺的用峻剂葶苈，有的说是表邪未清，有的说是脚气上攻，有的说是水肿入腹，有的说是疔毒入肺，杂治后肿逐渐波及阴囊。一个医生说是虚证，给予八味丸反而增加谵语。诊察发现，两关脉模糊，左尺脉不应，其余部位脉微数而洪。面部有红光，倚息不能寐，小便浓浊，掌心热烫，臀部因久坐而起映疮。舌头左边赤紫，四周凹凸不平，而左边更甚，鼻孔干燥，能俯不能仰，说：这是肝肾大伤的征候。起初的疔疮也是肝火炽盛所致，治疗得当，几剂可愈。厚朴、葶苈既然不对，肉桂、附子也是错误。现在兼治药物，必须三十剂才可以。给予生熟地、天冬麦冬、沙参、枸杞子、瓜蒌仁、薏苡仁，四剂后肿渐消，谵语也停止。十剂后便清肿退，可以卧睡了。只是仰卧及侧向右则喘嗽不宁，又三十剂后已能应酬宾客。但卧仍宜向左，于是加熟地至一两，入五味子三分，蛤蚧一具，一剂后安宁，四剂后全愈。
吴性全自幼即患喘，儿科医生给予枳壳、桔梗、橘皮、半夏、桑白皮、杏仁、前胡、苏叶之类，损伤了他的肺气，遂成顽固性疾病。每次发作必定缠绵床第，拖延十天半个月。十七岁时，我诊察他，令服用重剂补肝肾的药，加入沙参、瓜蒌仁、麦冬之类。从此发作逐渐减轻，或几个月一次，仍然以前方加减，不过几剂就霍然痊愈，近来终年也很少发作。我治疗喘症很多，大多以此法取效。大概虚喘占十分之九，实喘占十分之一。
金太孺人四十多岁病喘，因为攻伐太过，导致痼疾，已近七十岁。忽然一个医生给予三子养亲汤加葶苈，服下后胁痛，厥逆欲脱，我用大剂量枸杞子、地黄，加入川楝一枚得以缓解。兰亭是他的第四个儿子，也病喘，面色㿠白，发病必数日卧床，给予滋水生肝养金的药剂，后来发作逐渐减少而轻，自己说得到狗宝服用而痊愈。这个病症凡是遇到面㿠白，皮肤急，痰腥秽，而小便点滴者，不可治。因为症非肺痈，而是肺叶坏损。肺为水源，既败则小便必少。
张司阍六十多岁，嗜酒病喘，吐痰无数，动则喘息，抬肩倚息。有人给予杏仁、枳壳、苏子、前胡之类，十余剂后喘更厉害，枯瘦如鬼，推辞不治了。我给予生地熟地、天冬麦冬、薏苡仁、瓜蒌仁、沙参、枸杞子、枳棋子、女贞子等，八剂后全愈。告诫他不饮酒，起初稍微节制，久了仍放纵恣意，一年多后复发。左脉如按琴瑟弦，这是真脏脉出现，不给药，月余后去世。
张友樵治疗一个酒客，夏季痰喘气喘，夜间不得卧，服凉药及开气药无效。有人建议用《金匮要略》中的麦冬汤。张诊察后，右寸脉数实，这是肺实而非肺虚，投用人参则会立即死亡。于是使用葶苈五钱，焙干研粉，滑石五钱，煎服后立即痊愈。第二年再次感受客邪，壅塞肺气，喘咳复发，医生用葶苈进药无效，反而烦闷汗泄。张诊察其右寸脉浮数，口渴恶热，冷汗自出，喘急烦闷，说：这是热邪内壅肺气郁极，因此逼汗外越，并非气虚自汗。服用葶苈反烦闷的，是因为肺热极盛，与苦寒药相格拒。肺苦气上逆，本宜苦以泄之，而肺欲散，又当急食辛以散之。给予麻杏甘石汤，一剂后肺气得通，喘止汗敛，诸症悉平。
杏仁煎：杏仁一斤，去皮、尖，捣熬作酪，白蜜五合，酥油五合，用牛乳煎成的，生姜汁三合，用水三升，放入杏仁酪煎搅可减半，加入姜汁煎如稀糖，加入酥蜜煎令如稠糖。每次服用一匙，每日三次，夜间一次，逐渐加至二匙。一方加贝母八合，另筛成末，苏子汁一升，用七小合苏子研和，水滤取汁。一方加生地汁三升、麦冬五合。王晋三说：这是润剂，治疗劳役表疏，寒袭于肺，上气干咳，肺痿失音。群聚滑润之品，仍无肠泄的忧虑。杏仁入肺，功效专于降逆定喘，臣以蜂蜜的利，酥油的滑，即使佐以姜汁的上升，都是同气相求。逼迫留滞在中焦，调和脾胃，生肺津，而干咳自止。加苏子、贝母的，是降气分之火。加地黄、麦冬的，是清血分之火。审证取舍，惟学习的人裁断。
黄锦芳治疗祝某病喘咳，日夜不宁，寒热交作，两边头痛，二便不通，两肩频耸，上气奔迫。脉象则两尺甚弱，两寸甚洪，是气上升而不下降的征候。使用五味子三十粒，故纸（补骨脂）六分，沉香三分，远志肉五分，以安右部之肾；龙骨一钱，牛膝一钱，车前四分，龟板一钱，以安左部之肾。使左右二肾之气皆归原宅而不上奔，所以服一剂而喘咳除，头痛寒热俱去。又服一剂而二便俱通，遂愈。
The true Qi vibrates internally, and the deficiency wind can be extinguished. Therefore, a large dose of Yupingfeng San (Jade Windscreen Powder) was administered, added with Beimu (Fritillariae Bulbus), Xingren (Armeniacae Semen), Suzi (Perillae Fructus), and Jiegeng (Platycodonis Radix). After one dose, the pulse and symptoms gradually harmonized. Another three qian of Renshen (Ginseng Radix et Rhizoma) was added. After two doses, all symptoms gradually subsided. Only the cough persisted, so Liuyin Tang (Six-Ingredient Rehmannia Decoction) with Renshen was used for conditioning. After one month of treatment, full recovery was achieved.
Madam Gu Zhiyan suffered from wheezing and coughing for half a year, unable to rest her head on a pillow, with a dry tongue lacking saliva. Multiple treatments were ineffective. Upon diagnosis, the Right Guan and Right Chi pulses were deficient, choppy, and lacked spirit. This indicates that the branch manifestation is in the Lung, while the root cause lies in the Kidney. The Lung serves as the pathway for exhalation, and the Kidney is the residence for grasping Qi. Now, due to Kidney Qi deficiency, inhalation fails to return to its root. The Qi of the Triple Burner exits more than it enters, causing Qi to accumulate in the upper body, resulting in wheezing, coughing, dry mouth, and inability to lie down comfortably. The *Zhongzang Jing* states: "In Yin diseases, when inhalation is impaired, this is the case." The treatment method should clear the Qi in the upper body and grasp the Qi in the lower body, allowing the Lung to achieve clarity and descent, and the Kidney to restore its storing function. Thus, Qi will naturally be grasped, and wheezing and coughing will subside. Su Zi Jiang Qi Tang (Perilla Fruit Descending Qi Decoction) with five qian of Renshen and one qian of Rougui (Cinnamomi Cortex) was used. After three consecutive doses, symptoms gradually subsided. It was then changed to Shenqi Tang (Kidney Qi Decoction) from *Jinkui Yaolue*, with five qian of Renshen. After more than twenty doses, she could sleep peacefully. Later, due to improper care, the previous symptoms recurred. She entrusted herself to mediocre physicians who exclusively used Qi-breaking and downward-purging agents, severely criticizing the use of Renshen. The patient felt her vitality failing and requested a small amount of Renshen, which was denied. Consequently, her Qi collapsed, and she died. How tragic!
Qiu You suffered from Phlegm-Wheezing with fever, thirst, chest fullness, body pain as if beaten by a stick, and frequent aversion to cold. Treatments with wind-dispelling and phlegm-resolving herbs were ineffective. Diagnosis revealed a Wiry-Rapid and Choppy pulse. This is caused by emotional stagnation leading to Lung Dryness. Current physicians only know how to dispel wind, clear heat, and resolve phlegm. Wind-dispelling herbs are Acrid, Heat-clearing herbs are Bitter, and Phlegm-resolving herbs are Drying. Acrid herbs consume fluids, Bitter herbs damage Qi, and Drying herbs stir up Fire; thus, these treatments merely exacerbate the condition. To treat Phlegm-Wheezing now, one must first clear and purify the Lung Qi. Clearing Lung Qi requires moistening Dryness first, enabling Qi to descend clearly and purely. In that case, what need would there be for Phlegm-Wheezing? (Xu Lingtai's Note: The theory is correct, but the prescription is flawed. Using Louren (Trichosanthis Semen), Banxia Qu (Pinelliae Fermentatum), Zhike (Aurantii Fructus), Qinjiao (Gentianae Macrophyllae Radix), Xingren, and Suzi, with small amounts of Chaihu (Bupleuri Radix) and Guizhi (Cinnamomi Ramulus), resulted in halving the symptoms after two doses. Adding Sheng Shouwu (Polygoni Multiflori Radix) to nourish Yin and moisten Dryness, along with unblocking the bowels, led to complete recovery.)
Miao Zhongchun treated Zang Yibu Jinghan, who suffered from wheezing, spontaneous sweating, insomnia, and loss of appetite day and night. Other physicians treated it as an External Contraction. Miao diagnosed: "This is Kidney Deficiency causing Qi to fail to return to its origin, leading to Floating Fire. Wheezing and sweating occur alternately. Spleen Deficiency causes lack of appetite." He urgently prescribed Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), and Gouqizi (Lycii Fructus) to nourish Yin and astringe the Lung; Suzi and Juhong (Tangerini Pericarpium) to descend Qi and resolve phlegm; Baishao (Paeoniae Radix Alba), Suanzaoren (Ziziphi Spinosae Semen), and Fuling (Poria) to tonify the Spleen and arrest sweating. Within a few doses, he recovered.
Du Ye suffered from Phlegm-Wheezing. Other physicians treated it as Stomach Deficiency without success. Later, Daoshui Wan (Water-Guiding Pill) was used to promote urination and defecation five or six times, after which he stabilized. (From *Pingzhi Huicui* and *Xueshi Shu*.)
Xue Zhongfang stated: Madam Zhou Zhongjie, over sixty years old, had suffered from Phlegm-Wheezing for five or six years without effect from medicine. Master Shicai diagnosed: "The Right Cun pulse is Floating and Surging, indicating Excess Pathogen in the Lung. Mahuang (Ephedrae Herba), Shigao (Gypsum Fibrosum), Banxia, Fangfeng (Saposhnikoviae Radix), Xiacha (Fine Tea), and Shengjiang (Zingiberis Rhizoma Recens) must be used. Although the medication is potent, the disease can bear it; do not fear." Administration resulted in cure. However, Mahuang should only be used in doses of 2-3 fen, and wind avoidance is necessary after ingestion.
Wu Qiao treated Cheng Canjun Wen, nearing old age, suffering from chronic Phlegm-Wheezing that worsened in autumn and winter and improved in spring and summer. Having just returned from Liudu, his Phlegm-Wheezing was as before. One physician considered it a Heat syndrome and prescribed Shigao. After two doses, Phlegm-Wheezing persisted, accompanied by diarrhea. Another physician considered it Deficiency caused by excessive purgation and prescribed strong tonification with Renshen. After one dose, Phlegm-Wheezing intensified severely, throat obstruction prevented speech, and he fell into unconsciousness. Upon arrival, Wu Qiao diagnosed: The Cun pulse was Floating and Large, Wiry and Rapid, beating against the finger, but intolerant to pressure. The illness originated from anger injuring Liver Qi. The treatment method should be gradual, but the two physicians acted hastily, worsening the condition. Although the pulse indicated near-death, a chance of life remained. He prescribed Daotan Tang (Great Phlegm-Resolving Decoction) as the base, adding Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), and Maidong. After one dose, consolidated phlegm was vomited, providing slight relief and allowing brief sleep. Before finishing two doses, the consolidated phlegm surged to the throat but could not be expectorated. A hairpin was inserted to extract it, pulling out long strands resembling cotton, filling two jars with material like rotten wadding. Only then did the wheezing subside slightly. He fell unconscious again, lying stiffly like a corpse, waking only after seven days. Upon waking, he groaned and breathed, eyes slightly open, accepting spoonfuls of liquid. Medication was given every other day. After a month, he stabilized. Some compared Cheng Canjun to Zhao Jianzi. (From *Taihan Ji*.)
Liu Qingjiang said: My father once dispensed medicine for wheezing, using Mahuang three liang (not removing roots and nodes, boiled in water), and Hezi (Myristicae Semen, two liang, pitted flesh only). These two were ground into fine powder. Each dose was three large spoons, boiled in two cups of water until reduced by half, then one qian of Laicha (Preserved Tea) was added, and boiled again to eight-tenths. Taken hot, it was invariably effective. Later, he received a formula from Vice Minister Peng Zishou: Xinluoshen (Korean Ginseng, one liang) ground finely, mixed with raw egg white to form pills the size of mulberry seeds, dried in shade. Each dose was one hundred pills, taken with warm preserved tea broth, stopping wheezing immediately. I once heard Ye Shouduan, Prefect of Linjiang, say his ancestor Shilin cured this disease by taking only Dahuang (Rhei Radix et Rhizoma). His father also suffered from it and was cured solely using Fuzi (Aconiti Lateralis Radix Praeparata). For someone else, Mahuang was indispensable. Thus, it depends on individual constitution. He claimed his daughter had wheezing since childhood, passing through four generations, yet the medications differed each time. (Liu Changshi, courtesy name Yu, pseudonym Qingjiang. From *Lupu Biji*. Xu Lingtai's Note: With such transmission and varying conditions, those who apply rigid formulas to living patients are blind physicians.)
Wei Yuheng said: Zhu Wuzhang, aged thirty-eight, stayed in Yaojiang. In mid-winter, he developed a Ding sore (carbuncle/furuncle) on the left forehead. After seven or eight days, mild wheezing appeared. After the sore ulcerated, severe wheezing occurred. When the sore healed, wheezing worsened, preventing him from sitting or lying down. Physicians prescribed Qi-descending and Lung-cooling herbs without effect for twenty days. Upon returning and crossing the river, upon reaching the shore, both feet became red and swollen like lanterns, making walking impossible. Carried home, he saw seven physicians in one month. Those focusing on chest expansion used heavy doses of Houpo (Magnoliae Officinalis Cortex); those draining the Lung used harsh Tingli (Descurainiae Semen seu Lepidii Semen). Some cited unresolved Exterior Pathogen, others Foot Bi attacking upward, Edema entering the abdomen, or Ding toxin entering the Lung. Mixed treatments caused swelling to spread to the scrotum. One physician attributed it to Deficiency and prescribed Bawei Wan (Eight-Ingredient Pill), which increased delirium. Diagnosis: Both Guan pulses were indistinct, Left Chi was absent, remaining pulses were slightly Rapid and Surging. Face showed red glow, breathing labored preventing sleep, urine thick and turbid, palms hot to touch, buttocks had bedsores from prolonged sitting. Tongue left side was red-purple, edges convex and concave, worse on the left. Nostrils dry. Could bend forward but not backward. Diagnosis: This is a sign of severe Liver and Kidney injury. The initial Ding sore was also due to blazing Liver Fire. If treated appropriately, it would have healed in a few doses. Houpo and Tingli were incorrect; Rougui and Fuzi were also errors. Treating the complications requires thirty doses. Prescribed Shengdi (Rehmanniae Radix), Shudi (Rehmanniae Radix Preparata), Tian Dong (Asparagi Radix), Mai Dong, Shashen (Adenophorae Radix), Gouqizi, Louren, and Yiyiren (Coicis Semen). After four doses, swelling subsided, delirium stopped. After ten doses, urination cleared, swelling receded, and he could lie down. However, supine or right-lateral positions caused restless wheezing and coughing. After another thirty doses, he could entertain guests. Sleeping on the left was still preferred. Shudi was increased to one liang, Wuweizi three fen, and Gejie (Geckos) one piece. After one dose, stability was achieved; after four doses, full recovery.
Wu Xingquan suffered from wheezing since childhood. Pediatricians prescribed Zhike, Jiegeng, Ju Hong, Banxia, Sangbaipi, Xingren, Qianhu, and Suzu, damaging his Lung Qi, leading to a chronic ailment. Each episode lasted for days or weeks. At seventeen, I diagnosed him and prescribed heavy doses of Liver and Kidney tonics, including Shashen, Louren, and Maidong. Since then, episodes became milder, occurring every few months. Using modified prescriptions, he recovered quickly within a few doses. Recently, he rarely suffers attacks throughout the year. I have treated many wheezing cases, mostly successfully with this method. Approximately ninety percent of wheezing cases are Deficiency-type, and ten percent are Excess-type.
Lady Jin, over forty, suffered from wheezing due to excessive purgation, becoming a chronic ailment by nearly seventy. Suddenly, a physician prescribed Sanzi Yangqin Tang (Three-Seed Nourishing Elderly Decoction) with Tingli. After ingestion, she experienced hypochondriac pain, Cold limbs, and impending collapse. I used a large dose of Gouqizi and Dihuang, adding one Chuanlian (Toosendan Fructus), alleviating the condition. Lanting, her fourth son, also suffered from wheezing, with a pale complexion, requiring days in bed during attacks. He was given herbs to nourish Water, tonify Liver, and support Metal. Attacks became less frequent and severe. He claimed recovery after consuming Goubao (Dog Gallstone). For this syndrome, if the face is pale white, skin tight, phlegm foul-smelling, and urination scanty, it is incurable. This is not Lung Abscess, but destruction of Lung tissue. The Lung is the source of Water; once damaged, urination must be scant.
Zhang Simen, over sixty, addicted to alcohol, suffered from wheezing, profuse sputum, exertional dyspnea, shoulder shrugging, and gasping. Others prescribed Xingren, Zhike, Suzi, and Qianhu. After more than ten doses, wheezing worsened, leaving him emaciated as a ghost. He declined further treatment. I prescribed Shengdi, Shudi, Tiandong, Maidong, Yiyiren, Louren, Shashen, Gouqizi, Zhizi (Arctii Fructus), and Nvzhenzi (Ligustri Lucidi Fructus). After eight doses, full recovery. Advised abstinence from alcohol. Initially restrained, but later indulged. Relapse occurred after a year. Left pulse felt like plucking a lute string, indicating True Zang Pulse appearance. No medication was given; he died over a month later.
Zhang Youqiao treated a wine drinker suffering from summer Phlegm-Wheezing and dyspnea, unable to sleep at night. Cooling and Qi-opening herbs were ineffective. Some suggested Maidong Tang from *Jinkui Yaolue*. Zhang diagnosed: Right Cun pulse was Rapid and Solid, indicating Lung Excess, not Deficiency. Administering Renshen would cause immediate death. Instead, Tingli five qian (baked and powdered) and Huashi (Talcum) five qian were decocted and taken, resulting in immediate cure. The following year, re-infected by external pathogens, obstructing Lung Qi, wheezing and coughing recurred. Physicians used Tingli without effect, causing irritability and sweating. Zhang diagnosed: Right Cun pulse Floating and Rapid, thirst, aversion to heat, spontaneous cold sweat, urgent wheezing, and irritability. He stated: "This is Heat Pathogen obstructing internal Lung Qi, extreme stagnation forcing sweat outward. It is not Qi Deficiency spontaneous sweating. Irritability after Tingli is due to extreme Lung Heat rejecting Bitter-Cold herbs. The Lung dislikes Qi rebellion, ideally treated with Bitter to drain. But the Lung desires dispersion, requiring Acrid to disperse rapidly." He prescribed Maxing Shigan Tang (Ephedra, Apricot Kernel, Gypsum, and Licorice Decoction). After one dose, Lung Qi flowed freely, wheezing stopped, sweat ceased, and all symptoms resolved.
Xingren Jian (Apricot Kernel Decoction): Xingren one jin, peeled and cored, pounded and cooked into a paste. Baimi (White Honey) five he, Suyou (Butter Oil) five he, prepared with cow milk. Shengjiang汁 (Fresh Ginger Juice) three he. Add three sheng of water to the Xingren paste, boil and stir until reduced by half. Add ginger juice, boil to thin syrup consistency. Add butter and honey, boil to thick syrup. Take one spoon per dose, three times daily, once at night, gradually increasing to two spoons. Alternative: Add Beimu eight he, sifted into powder. Suzi汁 (Perilla Fruit Juice) one sheng, made from grinding seven small he of Suzi, filtered with water. Alternative: Add Shengdi汁 (Rehmannia Juice) three sheng, Maidong five he. Wang Jinsan stated: This is a Moistening Agent, treating fatigue with exterior laxity, Cold invading the Lung, upper Qi dry cough, and Lung萎 (Flaccidity) with aphonia. The combination of slippery and moistening substances avoids intestinal diarrhea. Xingren enters the Lung, specializing in descending rebellious Qi and stabilizing wheezing. Honey provides lubrication, butter oil provides slipperiness. Even with ginger juice ascending, they seek similar energies. It forces stagnation in the Middle Jiao, harmonizes Spleen and Stomach, generates Lung fluids, and stops dry cough. Adding Suzi and Beimu descends Fire in the Qi level. Adding Dihuang and Maidong clears Fire in the Blood level. Selection based on syndrome differentiation is left to the practitioner's discretion.
Huang Jinfang treated Zhu Mou suffering from wheezing and coughing, restlessness day and night, alternating chills and fever, bilateral headache, constipation and urinary retention, frequent shoulder shrugging, and rushing upward Qi. Pulses: Both Chi pulses very weak, both Cun pulses very Surging. This indicates Qi rising but not descending. Used Wuweizi thirty grains, Guzhi (Psoraleae Fructus) six fen, Chenxiang (Aquilariae Lignum Resinatum) three fen, Yuanzhi Rou (Polygalae Radix Flesh) five fen to calm the Right Kidney; Longgu (Fossil Bones) one qian, Niuxi (Achyranthis Bidentatae Radix) one qian, Cheqian (Plantaginis Semen) four fen, Guiban (Testudinis Carapax et Plastrum) one qian to calm the Left Kidney. This ensured Qi from both Kidneys returned to their origin without rushing upward. After one dose, wheezing and coughing ceased, headache and chills/fever disappeared. After another dose, bowel movements and urination normalized, leading to cure.