人参 白术（各二钱） 黄 （二钱五分） 茯苓 陈皮 当归（各一钱） 升麻（三分） 麦门冬（七分）
五味子（四分） 桔梗（六分） 甘草（炙，五分）
上姜枣，水煎服。
葶苈散 治肺痈咳嗽气急，睡卧不安，心胸胀满。
甜葶苈子（二两半，隔纸炒赤色） 百合（炒） 白附子 北五味子（炒） 甘草节 罗参 款冬
花百药煎 紫菀（去木，各一两） 大朱砂（半两另研）
上为末。每服二钱，灯心汤调下。
补肺散 治肺痈已吐出脓血，以此润护。
真钟乳粉（一两） 白滑石（二两）
上研细。每服三钱，米饮调下。
理肺膏 治肺痈正作咳唾不利，胸膈迫塞。
诃子（去核） 百药煎 五味子（微炒） 条参（去芦） 款冬花蕊 杏仁 知母 贝母 甜葶
苈子 紫菀 百合 甘草节（各五钱）
上为末。用白茅根净洗秤三斤，研取自然汁，入瓷石器中熬成膏，更添入好蜜二两，
再熬匀，候调和前药为丸，如梧子大。温水吞下。
五香白术散 宽中和气，滋益脾土，生肺金，进美饮食。
沉香 木香 明乳香 丁香 藿香叶（各半两） 白术 罗参 白茯苓 薏苡仁 山药 扁豆 桔梗 缩砂
白豆蔻 粉草 莲肉（各一两）
上为末。苏盐汤调，空心服，枣汤亦可。有汗加浮麦煎汤下。
肺痈已破，入风者不治。肺痈吐脓后，其脉短而涩者自痊，浮大者难治。其面色白而
反赤者，此火之克金，皆不可治。
《金匮·方论》曰∶热在上焦者，因咳为肺痿。肺痿之病，何从得之？或从汗出，或
从呕吐，或从消渴，小便利数，或从便难，又被快药下利，重亡津液。故寸口脉数，其人
咳，口中反有浊唾涎沫者，为肺痿之病。若口中辟辟燥，咳即胸中隐隐痛，脉反滑数，此
为肺痈咳唾脓血。脉数虚者，为肺痿，数实者，为肺痈。
〔娄〕 此言肺痿属热。如咳久肺伤，声哑声嘶咯血，此属阴虚火热，甚是也。本论
治肺痿吐涎沫而不咳者，其人不渴，必遗尿，小便数，以上虚不能制下故也，此为肺中冷，
必眩多涎唾，用炙甘草干姜，此属寒也。肺痿吐涎，多心中温液者，用炙甘草汤，此补
虚劳也，亦与补阴虚火热不同，是皆宜分治之。故肺痿又有寒热之异也。
〔精〕 劳伤血气，腠理虚而风邪乘之，内盛于肺也，则汗出，恶风，咳嗽短气，鼻
塞项强，胸胁胀满，久久不瘥，已成肺痿也。
〔保〕 肺痈者，由食啖辛热、炙爆，或酣饮热酒，燥热伤肺所致，治之宜早。
人参、白术（各二钱）、黄芪（二钱五分）、茯苓、陈皮、当归（各一钱）、升麻（三分）、麦门冬（七分）、五味子（四分）、桔梗（六分）、炙甘草（五分）。
以上药物加入生姜、大枣，用水煎煮后服用。
葶苈散：治疗肺痈引起的咳嗽气急，睡眠躺卧不安，心胸部位胀满。
甜葶苈子（二两半，隔纸炒至赤色）、百合（炒制）、白附子、北五味子（炒制）、甘草节、罗参、款冬花、百药煎、紫菀（去木质部分，以上各一两）、大朱砂（半两，单独研磨）。
以上药物制成粉末。每次服用二钱，用灯心草汤调服。
补肺散：治疗肺痈已经吐出脓血的情况，以此滋润保护肺部。
真钟乳粉（一两）、白滑石（二两）。
以上药物研成细末。每次服用三钱，用米饮调服。
理肺膏：治疗肺痈正在发作，咳嗽吐痰不利，胸膈部迫塞感。
诃子（去核）、百药煎、五味子（微炒）、条参（去芦头）、款冬花蕊、杏仁、知母、贝母、甜葶苈子、紫菀、百合、甘草节（各五钱）。
以上药物制成粉末。取洗净称量好的白茅根三斤，研磨提取自然汁液，放入瓷器或石器中熬制成膏，再加入好蜂蜜二两，再次熬匀，待冷却后调和前药粉末制成丸剂，大小如梧桐子。温水送服。
五香白术散：宽中和顺气机，滋益脾土，生养肺金，增进饮食美味。
沉香、木香、明乳香、丁香、藿香叶（各半两）、白术、罗参、白茯苓、薏苡仁、山药、扁豆、桔梗、缩砂、白豆蔻、粉草、莲肉（各一两）。
以上药物制成粉末。用苏叶盐水汤调服，空腹服用，枣汤也可以。如果有汗出情况，加浮小麦煎汤送服。
肺痈已经破溃，感受风邪的，属于不治之症。肺痈吐出脓血后，脉象短而涩的会自行痊愈，脉象浮大的难治。面色本应白反而发赤的，这是火克金的征象，都属于不可治疗的范畴。
《金匮要略·方论》说：热邪在上焦，因咳嗽导致肺痿。肺痿这种病，是怎么得来的呢？有的因为出汗过多，有的因为呕吐，有的因为消渴病导致小便频数，有的因为大便困难，又被峻下药强行通便，导致津液严重耗伤。所以寸口脉数，人咳嗽，口中反而有浑浊的唾沫涎沫的，是肺痿的病。如果口中感觉辟辟干燥，咳嗽时胸中隐隐作痛，脉象反而滑数，这是肺痈，会咳吐脓血。脉数而虚的，是肺痿；脉数而实的，是肺痈。
〔娄〕 这段话说明肺痿属于热证。如久咳损伤肺气，声音嘶哑咯血，这属于阴虚火热，是非常正确的。本论治疗肺痿吐涎沫但不咳嗽的，病人不口渴，必然遗尿，小便频数，这是因为上焦虚寒不能制约下焦的缘故，这属于肺中寒冷，必然头晕多涎唾，用炙甘草干姜汤治疗，这属于寒证。肺痿吐涎沫，心中感觉温热的，用炙甘草汤治疗，这是补虚劳的方法，这也与补阴虚火热不同，这些都应当区分治疗。所以肺痿又有寒热之分。
〔精〕 劳损伤及血气，腠理虚弱而风邪乘虚而入，内盛于肺，就会汗出，恶风，咳嗽短气，鼻塞项强，胸胁胀满，久久不愈，最终形成肺痿。
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (each 2 qian), Huang Qi (Astragali Radix) (2.5 qian), Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium), Dang Gui (Angelicae Sinensis Radix) (each 1 qian), Sheng Ma (Cimicifugae Rhizoma) (3 fen), Mai Men Dong (Ophiopogonis Tuber) (7 fen), Wu Wei Zi (Schisandrae Fructus) (4 fen), Jie Geng (Platycodonis Radix) (6 fen), Zhi Gan Cao (Prepared Licorice Root) (5 fen).
Add Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Jujubae Fructus), decoct in water, and take orally.
Ting Li San (Descurainiae Semen Decoction): Treats Fei Yong (Lung Abscess) presenting with cough,急促 breathing (Qi Ji), restlessness during sleep and lying down, and distension/fullness in the chest and heart region.
Tian Ting Li Zi (Descurainiae Semen) (2.5 liang, stir-fried between papers until reddish), Bai He (Lilii Bulbus) (stir-fried), Bai Fu Zi (Typhonii Rhizoma), Bei Wu Wei Zi (Schisandrae Fructus) (stir-fried), Gan Cao Jie (Licorice Root Joint), Luo Shen (Codonopsis Radix - *Note: Historical text variant*), Kuan Dong Hua (Farfarae Flos), Bai Yao Jian (Fermented Tea Cake), Zi Wan (Asteli Radix) (remove woody parts, each 1 liang), Da Zhu Sha (Cinnabaris) (0.5 liang, separately ground).
Grind all into powder. Take 2 qian per dose, mixed with Deng Xin Tang (Junci Medullae Decoction).
Bu Fei San (Lung-Nourishing Powder): Treats Fei Yong (Lung Abscess) after pus and blood have been expectorated, to moisten and protect the lungs.
Zhen Zhong Ru Fen (Stalactitum Pulveratum) (1 liang), Bai Hua Shi (Talcum) (2 liang).
Grind into fine powder. Take 3 qian per dose, mixed with Mi Yin (Rice Water).
Li Fei Gao (Lung-Regulating Paste): Treats active Fei Yong (Lung Abscess) presenting with difficult expectoration of cough and sputum, and oppression/stuffiness in the chest and diaphragm.
He Zi (Myrobalani Fructus) (remove pits), Bai Yao Jian (Fermented Tea Cake), Wu Wei Zi (Schisandrae Fructus) (lightly stir-fried), Tiao Shen (Codonopsis Radix) (remove rhizome ends), Kuan Dong Hua Rui (Farfarae Flos Stamen), Xing Ren (Armeniacae Semen Amarum), Zhi Mu (Anemarrhenae Rhizoma), Bei Mu (Fritillariae Bulbus), Tian Ting Li Zi (Descurainiae Semen), Zi Wan (Asteli Radix), Bai He (Lilii Bulbus), Gan Cao Jie (Licorice Root Joint) (each 5 qian).
Grind into powder. Wash and weigh 3 jin of clean Bai Mao Gen (Imperatae Rhizoma), grind to extract natural juice, boil in porcelain or earthenware vessels into a paste, add 2 liang of good honey, boil again until uniform. When cool, mix with the aforementioned powders to form pills the size of Wuzi (Sophora japonica seeds). Swallow with warm water.
Wu Xiang Bai Zhu San (Five-Aromatic Atractylodes Powder): Broadens and harmonizes qi, nourishes Spleen Earth, generates Lung Metal, and promotes appetite.
Chen Xiang (Aquilariae Lignum Resinatum), Mu Xiang (Aucklandiae Radix), Ming Ru Xiang (Olibanum), Ding Xiang (Caryophylli Flos), Huo Xiang Ye (Agastachis Folium) (each 0.5 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Luo Shen (Codonopsis Radix), Bai Fu Ling (Poria), Yi Yi Ren (Coicis Semen), Shan Yao (Dioscoreae Rhizoma), Bian Dou (Viciae Craccae Semen), Jie Geng (Platycodonis Radix), Suo Sha (Amomi Fructus Rotundus), Bai Dou Kou (Amomi Fructus), Fen Cao (Glycyrrhizae Radix et Rhizoma Preparata), Lian Rou (Nelumbinis Semen) (each 1 liang).
Grind into powder. Take with Su Yan Tang (Perillae Leaf and Salt Decoction) on an empty stomach; Zao Tang (Jujube Decoction) is also acceptable. If sweating occurs, use Fu Mai (Floating Wheat) decoction for administration.
When Fei Yong (Lung Abscess) has ruptured and wind pathogen invades, it is incurable. After expectorating pus from Fei Yong (Lung Abscess), if the pulse is short and choppy, spontaneous recovery occurs; if the pulse is floating and large, it is difficult to treat. If the complexion is white but turns red, this indicates Fire overcoming Metal, which is also incurable.
The *Jin Gui Fang Lun* states: "Heat in the Upper Jiao causes lung痿 (Fei Wei) due to coughing." How does one acquire Fei Wei (Lung Flaccidity)? It may arise from excessive sweating, vomiting, Xiao Ke (Wasting-Thirst disease) causing frequent urination, or constipation treated with harsh purgatives, leading to severe depletion of Jin Ye (Body Fluids). Thus, when the Cun Kou (Inch position) pulse is rapid, the person coughs, and there is instead turbid saliva and froth in the mouth, this is Fei Wei (Lung Flaccidity). If the mouth feels parched and dry, and coughing brings faint pain in the chest, while the pulse is slippery and rapid, this is Fei Yong (Lung Abscess) with expectoration of pus and blood. A rapid and deficient pulse indicates Fei Wei (Lung Flaccidity); a rapid and excess pulse indicates Fei Yong (Lung Abscess).
[Lou] This statement indicates that Fei Wei (Lung Flaccidity) belongs to Heat patterns. For example, chronic cough damaging the lungs, resulting in hoarseness and hemoptysis, belongs to Yin Deficiency with Fire Hyperactivity, which is correct. The original text treats Fei Wei (Lung Flaccidity) presenting with salivation without coughing, where the patient is not thirsty, inevitably experiences enuresis and frequent urination, because Upper Jiao deficiency fails to control the Lower Jiao; this is Cold in the Lungs, manifesting as dizziness and abundant saliva/sputum, treated with Zhi Gan Cao Gan Jiang Tang (Prepared Licorice and Dried Ginger Decoction), which belongs to Cold patterns. For Fei Wei (Lung Flaccidity) with salivation and a sensation of warmth in the heart, Zhi Gan Cao Tang (Prepared Licorice Decoction) is used, which tonifies Deficiency-Labor; this differs from tonifying Yin Deficiency with Fire Hyperactivity. All these require differentiated treatment. Therefore, Fei Wei (Lung Flaccidity) has both Cold and Heat variations.
[Jing] Labor injury damages Blood and Qi, making the Cou Li (interstices/pores) deficient, allowing Wind Pathogen to invade and accumulate internally in the Lungs. This presents with sweating, aversion to wind, coughing, shortness of breath, nasal congestion, neck stiffness, and chest/hypochondriac fullness. If prolonged and unresolved, it becomes Fei Wei (Lung Flaccidity).
[Bao] Fei Yong (Lung Abscess) is caused by consuming spicy, hot, roasted, or fried foods, or indulging in hot wine, leading to Dry-Heat injuring the Lungs. Treatment should be initiated early.