上三味。调和。分温频频服。哕家体羸血燥。脉沉而细。此为阴阳失顺摄也。问曰。咳嗽其别如何。答曰。浮风紧
寒。数热。细湿。虚劳。俱为肺气不利也。风寒所袭。其人若胸间有水气。若干呕。必脉数而咳。宜小青龙汤主之。
小青龙汤方
麻黄（五分） 芍药（五分） 半夏（五分） 五味子（三分） 干姜（三分） 桂枝（三分） 细辛（三分） 甘
草（二分）
上八味。以水一升五合。先煮麻黄。减五合。去上沫。内诸药。煮取七合。去滓。分温服。咳家夜间更剧。引日难
解者。宜敛肺饮。兼 方主之。
敛肺饮方
射干（一钱） 白芥子（一钱） 生姜（三分） 罂粟壳（炒一钱）
上四味以水二升。煮取一升。去滓。分温服。
方
木鳖子（一两） 款冬花（一两）
上二味。作莫。每三钱焚烟。以鼻吸。少顷当涎出仍服生姜汤。儿骨露血燥。咳喘而乏气力。此为疳咳。宜苦酒鸡
子之。榧实蜜灸亦佳。
苦酒鸡子方
鸡子（一个）
上瀹熟去壳。以苦酒再煮 之。咳家体瘦血燥其脉细数。必致咯血。此为虚极也。鳖枸汤主之。论曰。病有喘有哮。
短气息迫。名曰喘也。喉内致响声。名曰哮也。宜茯杏甘橘枳姜汤主之。
茯杏甘橘枳姜汤方
茯苓（一钱） 杏仁（七个） 甘草（三分） 橘皮（五分） 枳实（三分） 生姜（三分）
上六味。 咀。以水一升。煮取七合。去滓。分温服。喘家多以暑月寒月。必发动。此为肺脏久蓄浊气所致也。茶
实饮主之。
茶实饮方
茶实（炒五分） 蒂苈（五分） 桑白皮（三分） 干姜（三分） 大枣（二枚） 甘草（二分）
上六味。以水一升。煮取七合。去滓。分温服。喘咳气逆。痰息烦动。其脉沉弦者。泽漆汤主之。
泽漆汤方
泽漆（一钱） 半夏（五分） 紫参（五分） 白前（三分） 生姜（三分）
上五味。以水一升。煮取七合。去滓分温服。病患动躁。汗出而喘。无大热者。可与麻黄杏仁甘草石膏汤主之。
麻黄杏仁甘草石膏汤方
麻黄（四分） 杏仁（七个） 甘草（二分） 石膏（一钱）
上四味。以水一升。先煮麻黄。减二合去上沫。内诸药。煮取六合。去滓。分温服。咳喘交作。短息而动躁其脉浮
大。眼如脱状。此为肺胀也。越婢加半夏汤主之。体瘦肌燥。喘哮休作。若痰咳咯血。夜卧不安者。薯蓣膏主之。
薯蓣膏方
薯蓣（去上皮一颗） 白糖（一两）
上二味。捣如泥。每服弹丸大。日四五次。肺胀息迫。四肢厥。额汗流。脉沉结者死。问曰。热在上焦者。因咳为
肺痿。肺痿之病。何从得之。师曰或从汗出。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。故得
之曰脉数其人咳。口中反有浊唾涎沫者何师曰。为肺痿之病。若口中辟辟燥。咳即脐中隐隐痛。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。桔梗汤主之。
桔梗汤方
桔梗（二钱） 甘草（五分）
上二味。以水二升煮取一升。去滓。分温服。肺痿。吐涎沫。而不咳者。其人不渴。必遗尿小便数。所以然者。以
上虚不能制下故也。此为肺中冷。必眩多甘草干姜汤以温之。肺痈喘不得卧。蒂苈大枣泻肺汤主之。
蒂苈大枣泻肺汤方
蒂苈（炒一钱） 大枣（三枚） 白芥子（五分）
上三味。以水一升。煮取七合。去滓分温服。咳而胸满。振寒脉数。时出痰血。腥臭。此为肺痈之渐也。肺痈。吐
脓血不息。一身蒸。热脉细而数。自汗若盗汗者。不可治。问曰。骨鲠何以所治。答曰。鱼骨为恙。急 胶饴。无验者。
再三 而愈。人误为鱼骨所害。金凤实服之。金凤实三个研末。以冷水调服。更以热汤嗽之。人 饼。误胶其喉。烦闷
而欲死者。急苦酒白糖搅调服萝卜汁。频服亦佳。儿误吞稻笔咽嗌不利。而烦乱者。急食胶饴。无验者。再三食之。儿
误吞金银。若铜铁。宜缩砂饮。
缩砂饮方
缩砂（一钱） 生姜（五分）
上二味。以烧酒一升。煮取七合去滓分温纳白糖。搅调服。问曰。胸痹心痛何谓也。答曰。胸痛。其人脉滑者。痰
饮所
致也。腹满而胸痛脉实紧者。谷饪所致也。胸胁挛拘。其痛休作有时。此为虫动也。伤寒脉浮。反攻之。遂胸痞而痛。
名曰结胸。但满而不痛。此为痞。宜半夏泻心汤。
半夏泻心汤方
半夏（五分） 黄芩（三分） 干姜（三分） 人参（二分） 黄连（三分） 大枣（三枚） 甘草（二分）
上七味。以水一升。煮取七合。去滓分温服。胸痞按之濡。其脉开上浮者。大黄黄连泻心汤主之。
大黄黄连泻心汤方
大黄（五分） 黄连（五分）
上二味。以麻沸汤一升。渍之须臾。绞去滓。分温再服。胸痞干噫食臭。胁间有水气。腹中雷鸣下利者。生姜泻心
汤主之。支饮胸满者。浓朴大黄汤主之。
浓朴大黄汤方
浓朴（一钱） 大黄（五分） 枳实（三分）
上三味。以水一升。煮取七合。去滓。分温再服。心下痞。而复恶寒。汗出者。附子泻心汤主之。心胸中有停痰宿
水。自吐出水。后心胸间。虚气满。不能食。茯苓饮主之。大阳病。外证未除。而数下之。遂协热而利。利下不止。心
下
痞硬。表里不解者。桂枝人参汤主之。胸痞剧则致痛。痛剧则彻背。遂动躁。而脉沉伏。宜鬼箭汤。
鬼箭汤方
鬼箭（二钱） 人中白（五分） 芒硝（三分） 甘草（二分）
上四味。以水一升。煮取七合。去滓。分温服。大寒痛。呕不能饮食。皮粟起。宜大建中汤主之。
大建中汤方
蜀椒（五分） 干姜（四分） 人参（三分）
上三味。以水二升。煮取一升。去滓内胶饴二钱微微火煎。取一升。分温再服。蛔虫之为病。令人吐涎。心痛发作
有时。毒药不止。甘草粉蜜汤主之。
甘草粉蜜汤方
甘草（五分） 粉（三分） 蜜（一钱）
上三味。以水一升。先煮甘草。取七合。去滓内粉蜜。搅令和。煎如薄粥。温服。胸间虚气满。若疼痛。其脉细弦
者。熊胆饮主之。
熊胆饮方
熊胆（三分） 石决明（浸醋烧去火毒五分）
上二味。以烧酒。先解熊胆。更内石决明。搅调。分温服。潮热。胸满而痛。不可近者。大陷胸汤主之。
大陷胸汤方
大黄（五分） 芒硝（五分） 甘遂（五分）
上三味。以水二升。先煮大黄。取一升。去滓。内芒硝。煮一两沸。内甘遂末。温服。得快利。止后服。支饮家。
咳烦胸中大痛。宜十枣汤主之。
十枣汤方
芫花 甘遂 大戟大枣
上三味等分。各别捣为散。以水一升半。煮大枣肥者十枚。取八合。去滓。内药末。强人服三分。羸人服二分。温
服之。利后糜粥自养。胸腹急痛。若噫息。其脉滑动。急与食盐汤。仍以鹅翎探其喉。当暴吐而愈。胸腹硬满而大痛。
其脉滑数。急与浓朴三物汤。胸腹硬满卒痛。身厥脉伏。急与紫霜丸。胸腹疼痛。脉乍数。乍迟。当吐蛔也。胸痛反复
动转。面颜失色。额汗如流。身厥脉结。名曰真心痛。朝发者暮死。暮发者朝死。
以上三味药，调和均匀，分次温服。素有呃逆（哕）的人，身体消瘦，血液枯燥，脉象沉而细，这是阴阳之气失去顺接和摄纳的表现。问：咳嗽的辨证分类是怎样的？答：脉浮主风邪，脉紧主寒邪，脉数主热邪，脉细主湿邪，此外虚劳病也常伴有咳嗽，这些情况都属于肺气不利所致。若被风寒之邪侵袭，患者胸间有水气停留，出现干呕，必然脉数且咳嗽，适宜用小青龙汤主治。
小青龙汤方
麻黄（五分） 芍药（五分） 半夏（五分） 五味子（三分） 干姜（三分） 桂枝（三分） 细辛（三分） 甘草（二分）
以上八味药，用水一升五合，先煮麻黄，水量减少五合，撇去水面上的浮沫，加入其余药物，煮取七合药液，滤去药渣，分次温服。
咳嗽在夜间加重的患者，病程迁延难以治愈的，适宜用敛肺饮兼以此方主治。（注：原文此处“兼 方”似有脱漏或指代前文未列全之方，依文意译为兼以此方）。
敛肺饮方
射干（一钱） 白芥子（一钱） 生姜（三分） 罂粟壳（炒制一钱）
以上四味药，用水二升，煮取一升药液，滤去药渣，分次温服。
（注：原文此处有一方名缺失，仅列出药材，推测为外用熏鼻方）
木鳖子（一两） 款冬花（一两）
以上两味药，制成粉末状（莫），每次取三钱点燃吸烟，用鼻子吸入烟雾，片刻后应当会有痰涎排出，随后再服用生姜汤。
小儿骨骼显露，血液枯燥，咳嗽气喘且乏力，这属于疳咳（因营养不良或寄生虫等引起的慢性咳嗽），适宜用苦酒鸡蛋法治疗，或用榧实蜜炙法也很好。
苦酒鸡蛋方
鸡蛋（一个）
将鸡蛋煮熟去壳，再用醋（苦酒）重新煮它。
咳嗽患者身体消瘦，血液枯燥，脉象细数，必然导致咯血，这是极度虚损的表现，适宜用鳖枸汤主治。论述说：疾病中有喘证和哮证的区别。呼吸短促、气息紧迫，称为喘证；喉咙里有响声，称为哮证。适宜用茯杏甘橘枳姜汤主治。
茯杏甘橘枳姜汤方
茯苓（一钱） 杏仁（七个） 甘草（三分） 橘皮（五分） 枳实（三分） 生姜（三分）
以上六味药，切碎（咀），用水一升，煮取七合药液，滤去药渣，分次温服。
患有喘证的人，多在暑天或寒月发作，这是因为肺脏长期蓄积浊气所致，适宜用茶实饮主治。
茶实饮方
茶实（炒制五分） 葶苈（五分） 桑白皮（三分） 干姜（三分） 大枣（二枚） 甘草（二分）
以上六味药，用水一升，煮取七合药液，滤去药渣，分次温服。
咳嗽气喘，气机上逆，痰多气息烦动，脉象沉弦的，适宜用泽漆汤主治。
泽漆汤方
泽漆（一钱） 半夏（五分） 紫参（五分） 白前（三分） 生姜（三分）
以上五味药，用水一升，煮取七合药液，滤去药渣，分次温服。
病人躁动不安，出汗且喘息，体表没有大热的，可以用麻黄杏仁甘草石膏汤主治。
麻黄杏仁甘草石膏汤方
麻黄（四分） 杏仁（七个） 甘草（二分） 石膏（一钱）
以上四味药，用水一升，先煮麻黄，水量减少二合，撇去浮沫，加入其余药物，煮取六合药液，滤去药渣，分次温服。
咳嗽与气喘交替发作，呼吸短促且躁动，脉象浮大，眼睛突出如脱出状，这属于肺胀病，适宜用越婢加半夏汤主治。身体瘦弱，肌肤干燥，哮喘时发时止，若有痰咳、咯血、夜间睡眠不安的，适宜用薯蓣膏主治。
薯蓣膏方
山药（去皮一颗） 白糖（一两）
以上两味药，捣烂成泥状，每次服用弹丸大小，每日四五次。
肺胀病，呼吸紧迫，四肢厥冷，额头出汗，脉象沉结的，预后不良，属死证。
问：热邪在上焦，因咳嗽导致肺痿，肺痿这个病，是怎么得来的呢？老师说：有的因为发汗过多，有的因为呕吐，有的因为消渴病，小便频数，或者因为大便困难又被峻下药攻下导致腹泻，严重耗伤津液，所以得此病。如果说脉数，其人咳嗽，口中反而有浑浊的唾沫和涎沫，这是什么原因？老师说：这是肺痿病的表现。如果口中感觉干燥，咳嗽时脐中隐隐作痛，脉象反见滑数，这是肺痈病，会咳吐脓血。脉数而虚的是肺痿，脉数而实的是肺痈。适宜用桔梗汤主治。
桔梗汤方
桔梗（二钱） 甘草（五分）
以上两味药，用水二升，煮取一升药液，滤去药渣，分次温服。
肺痿病，吐涎沫，但不咳嗽，病人不口渴，必然遗尿且小便频数。之所以这样，是因为上焦虚寒不能制约下焦的缘故。这属于肺中寒冷，必然头晕目眩，适宜用甘草干姜汤来温补。
葶苈大枣泻肺汤方
葶苈（炒制一钱） 大枣（三枚） 白芥子（五分）
以上三味药，用水一升，煮取七合药液，滤去药渣，分次温服。
咳嗽且胸部满闷，恶寒战栗，脉数，时常吐出带血的痰，气味腥臭，这是肺痈的初期征兆。肺痈病，吐脓血不止，全身蒸蒸发热，脉细而数，自汗或盗汗的，属于难治之症。
问：鱼骨卡喉该如何治疗？答：若是鱼骨造成的困扰，急用胶饴（麦芽糖）吞咽，若无效果，反复多次吞咽即可痊愈。有人误以为被鱼骨所害，服用金凤实（即无花果）。金凤实三个研成粉末，用冷水调服，再用热汤漱口。有人误食面饼，粘胶在喉咙里，感到烦闷快要死去，急用醋和白糖搅拌调匀，服用萝卜汁，频繁服用也很好。
小儿误吞稻笔（稻谷壳或类似异物），咽喉不利，烦躁混乱的，急吃胶饴，若无效果，反复食用。小儿误吞金银或铜铁等金属，适宜用缩砂饮主治。
缩砂饮方
缩砂仁（一钱） 生姜（五分）
以上两味药，用烧酒一升，煮取七合药液，滤去药渣，分次调入白糖搅匀服用。
问：什么是胸痹心痛？答：胸痛，脉象滑的，是痰饮所致。腹部胀满且胸痛，脉象实紧的，是饮食不节（谷饪）所致。胸胁部拘挛疼痛，疼痛时发时止，这是虫动所致。伤寒病脉浮，错误地使用了攻下法，于是导致胸痞且痛，称为结胸。只是胀满而不痛的，称为痞证，适宜用半夏泻心汤。
半夏泻心汤方
半夏（五分） 黄芩（三分） 干姜（三分） 人参（二分） 黄连（三分） 大枣（三枚） 甘草（二分）
以上七味药，用水一升，煮取七合药液，滤去药渣，分次温服。
大黄黄连泻心汤方
大黄（五分） 黄连（五分）
以上两味药，用滚开的沸水一升，浸泡片刻，绞去药渣，分两次温服。
胸痞伴干噫（打嗝）、食物腐臭味，胁间有水气，腹中雷鸣且下利的，适宜用生姜泻心汤主治。支饮导致胸满的，适宜用浓朴大黄汤主治。
浓朴大黄汤方
厚朴（一钱） 大黄（五分） 枳实（三分）
以上三味药，用水一升，煮取七合药液，滤去药渣，分两次温服。
心下痞满，又伴有恶寒、出汗的，适宜用附子泻心汤主治。心胸中有停痰宿水，自行吐出清水后，心胸间虚气胀满，不能进食的，适宜用茯苓饮主治。太阳病，表证未除，却多次使用下法，于是导致协热利，下利不止，心下痞硬，表里同病不解的，适宜用桂枝人参汤主治。
胸痞严重则导致疼痛，疼痛剧烈则放射至背部，随即躁动不安，脉象沉伏的，适宜用鬼箭汤主治。
鬼箭汤方
鬼箭羽（二钱） 人中白（五分） 芒硝（三分） 甘草（二分）
以上四味药，用水一升，煮取七合药液，滤去药渣，分次温服。
大寒疼痛，呕吐不能饮食，皮肤起鸡皮疙瘩的，适宜用大建中汤主治。
大建中汤方
蜀椒（五分） 干姜（四分） 人参（三分）
以上三味药，用水二升，煮取一升药液，滤去药渣，加入胶饴二钱，用微火煎煮，取一升药液，分两次温服。
蛔虫病，使人吐涎沫，心痛发作有时，用一般毒药无效的，适宜用甘草粉蜜汤主治。
甘草粉蜜汤方
甘草（五分） 铅粉（三分） 蜂蜜（一钱）
以上三味药，用水一升，先煮甘草，取七合药液，滤去药渣，加入铅粉和蜂蜜，搅拌调和，煎成稀粥状，温服。
熊胆饮方
熊胆（三分） 石决明（浸醋烧去火毒五分）
以上两味药，用烧酒先将熊胆溶解，再加入石决明，搅拌调匀，分次温服。
大陷胸汤方
大黄（五分） 芒硝（五分） 甘遂（五分）
以上三味药，用水二升，先煮大黄，取一升药液，滤去药渣，加入芒硝，煮一两沸，加入甘遂末，温服。得到通畅的大便后，停止服用。
十枣汤方
芫花 甘遂 大戟 大枣
以上三味药（芫花、甘遂、大戟）等分，分别捣碎过筛成散剂。用水一升半，煮肥大红枣十枚，取八合药液，滤去药渣，加入药末。体质强壮的人服三分之一，体弱的人服三分之二，温服。服药后若腹泻，喝米粥自我调养。
胸腹急痛，若有噫气叹息，脉象滑动的，急服食盐汤，并用鹅毛探喉催吐，应当突然呕吐而痊愈。胸腹硬满且剧痛，脉象滑数的，急服浓朴三物汤。胸腹硬满突然疼痛，身体厥冷，脉伏的，急服紫霜丸。
胸腹疼痛，脉象忽快忽慢的，应当是吐蛔虫。胸痛反复发作，辗转反侧，面色改变，额头出汗如流，身体厥冷，脉结代的，称为真心痛。早晨发病的晚上死亡，晚上发病的早晨死亡。
The above three ingredients are mixed evenly and taken in divided doses, warmed. For those with a chronic hiccough (Yue), who are emaciated and have dry blood, with a deep and fine pulse, this indicates a loss of smooth flow and control between Yin and Yang. Question: How is the differentiation of coughs conducted? Answer: A floating pulse indicates Wind, a tight pulse indicates Cold, a rapid pulse indicates Heat, a fine pulse indicates Dampness; additionally, consumptive disease (Xu Lao) often involves coughing. All these conditions belong to the category of impaired Lung Qi movement. If attacked by Wind-Cold, and there is fluid retention in the chest, accompanied by dry retching, the pulse will be rapid and coughing present. Xiao Qing Long Tang (Minor Blue Dragon Decoction) is indicated.
Xiao Qing Long Tang Formula
Ephedrae Herba (Mahuang, 5 fen) Paeoniae Radix Alba (Shaoyao, 5 fen) Pinelliae Rhizoma Preparatum (Banxia, 5 fen) Schisandrae Fructus (Wuweizi, 3 fen) Zingiberis Rhizoma Recens (Ganjiang, 3 fen) Cinnamomi Ramulus (Guizhi, 3 fen) Asari Radix et Rhizoma (Xixin, 3 fen) Glycyrrhizae Radix et Rhizoma (Gancao, 2 fen)
Take the above eight ingredients, add one sheng five he of water, boil Ephedrae Herba first until the volume decreases by five he, skim off the foam on the surface, then add the remaining herbs. Boil until seven he remains, strain, and take in divided warm doses.
For patients whose cough worsens at night and persists for a long time, Lian Fei Yin (Lung-Astringing Decoction) combined with other formulas is indicated.
Lian Fei Yin Formula
Belamcandae Rhizoma (Shegan, 1 qian) Mustard Seed (Baijiezi, 1 qian) Zingiberis Rhizoma Recens (Shengjiang, 3 fen) Pericarpium Papaveris (Yangsuke, stir-fried 1 qian)
Take the above four ingredients, add two sheng of water, boil until one sheng remains, strain, and take in divided warm doses.
(Monbrilla Fructus formula omitted in source text structure, but ingredients listed below):
Monbrillae Fructus (Mubiezi, 1 liang) Farflos Flos (Kuandonghua, 1 liang)
Grind the above two ingredients into powder. Burn three qian per dose, inhale the smoke through the nose. After a short while, phlegm should be expectorated, followed by taking Ginger Soup.
In children with exposed bones and dry blood, presenting with cough, wheezing, and lack of strength, this is termed Gan Cough (consumptive cough). Ku Jiu Ji Zi (Vinegar and Egg) method is indicated, or roasted Fig Fruit with honey is also good.
Ku Jiu Ji Zi Formula
Gallus Gallus Domesticus Ovum (Jizi, one egg)
Boil the egg熟 (cooked thoroughly), remove the shell, and boil again in vinegar (Ku Jiu).
For coughers who are emaciated with dry blood and a fine-rapid pulse, hemoptysis is inevitable, indicating extreme deficiency. Die Gou Tang (Turtle and Goji Decoction) is indicated. It is said that among diseases, there are Chuan (Asthma/Dyspnea) and Xiao (Wheezing). Shortness of breath and urgency of breathing are called Chuan. Noises within the throat are called Xiao. Fu Xing Gan Ju Zhi Jiang Tang (Poria, Apricot Kernel, Licorice, Tangerine Peel, Immature Bitter Orange, and Fresh Ginger Decoction) is indicated.
Fu Xing Gan Ju Zhi Jiang Tang Formula
Poria (Fuling, 1 qian) Armeniacae Semen Amarum (Xingren, 7 seeds) Glycyrrhizae Radix et Rhizoma (Gancao, 3 fen) Citri Reticulatae Pericarpium (Chenpi, 5 fen) Aurantii Fructus Immaturus (Zhishi, 3 fen) Zingiberis Rhizoma Recens (Shengjiang, 3 fen)
Chop the above six ingredients, add one sheng of water, boil until seven he remains, strain, and take in divided warm doses.
Patients with Chuan often have attacks during hot or cold months due to long-term accumulation of turbid Qi in the Lung. Cha Shi Yin (Tea Seed Decoction) is indicated.
Cha Shi Yin Formula
Camelliae Sinensis Fructus (Chashi, stir-fried 5 fen) Lepidii Fructus (Tingli, 5 fen) Morus Cortex (Sangbaipi, 3 fen) Zingiberis Rhizoma Recens (Ganjiang, 3 fen) Jujubae Fructus (Dazao, 2 pieces) Glycyrrhizae Radix et Rhizoma (Gancao, 2 fen)
Add one sheng of water to the above six ingredients, boil until seven he remains, strain, and take in divided warm doses.
For cough and wheezing with rebellious Qi, excessive phlegm, restless breathing, and a deep-wiry pulse, Ze Qi Tang (Phytolacca Decoction) is indicated.
Ze Qi Tang Formula
Phytolaccae Radix (Zeqi, 1 qian) Pinelliae Rhizoma Preparatum (Banxia, 5 fen) Psoraleae Fructus (Zishen, 5 fen) Cynanchi Stauntonii Radix (Baiqian, 3 fen) Zingiberis Rhizoma Recens (Shengjiang, 3 fen)
Add one sheng of water to the above five ingredients, boil until seven he remains, strain, and take in divided warm doses.
For patients who are agitated, sweating, and wheezing without significant external heat, Ma Huang Xing Ren Gan Cao Shi Gao Tang (Ephedra, Apricot Kernel, Licorice, and Gypsum Decoction) may be used.
Ma Huang Xing Ren Gan Cao Shi Gao Tang Formula
Ephedrae Herba (Mahuang, 4 fen) Armeniacae Semen Amarum (Xingren, 7 seeds) Glycyrrhizae Radix et Rhizoma (Gancao, 2 fen) Gypsum Fibrosum (Shigao, 1 qian)
Add one sheng of water to the above four ingredients, boil Ephedrae Herba first until the volume decreases by two he, skim off the foam, add the remaining herbs, boil until six he remains, strain, and take in divided warm doses.
When cough and wheezing alternate, with shortness of breath, agitation, a floating-large pulse, and eyes protruding like dislocated, this is Fei Zhang (Lung Distension). Yue Bi Jia Ban Xia Tang (Yuebi plus Pinellia Decoction) is indicated. For those who are thin with dry skin, where wheezing comes and goes, accompanied by phlegm-cough, hemoptysis, and insomnia at night, Shu Yu Gao (Dioscorea Paste) is indicated.
Shu Yu Gao Formula
Dioscoreae Rhizoma (Shuyu, peeled, one piece) White Sugar (Baitang, 1 liang)
Pound the above two ingredients into a paste. Take a size equivalent to a bullet pellet each time, four to five times daily.
If Fei Zhang presents with urgent breathing, cold limbs, sweating on the forehead, and a deep-knotted pulse, it is a death sign.
Question: When Heat is in the Upper Jiao, causing cough leading to Fei Wei (Lung Flaccidity), how is this disease acquired? The Master says: It may arise from excessive sweating, vomiting, Xiao Ke (Wasting-Thirst) with frequent urination, or constipation treated with harsh purgatives causing diarrhea, leading to severe loss of body fluids. If the pulse is rapid, the patient coughs, and the mouth produces turbid saliva and froth, what is this? The Master says: This is Fei Wei. If the mouth feels dry, coughing causes dull pain in the umbilical region, and the pulse is slippery-rapid, this is Fei Yong (Lung Abscess), characterized by expectoration of pus and blood. A rapid-deficient pulse indicates Fei Wei; a rapid-excess pulse indicates Fei Yong. Jie Geng Tang (Platycodon Decoction) is indicated.
Jie Geng Tang Formula
Platcodonis Radix (Jiegeng, 2 qian) Glycyrrhizae Radix et Rhizoma (Gancao, 5 fen)
Add two sheng of water to the above two ingredients, boil until one sheng remains, strain, and take in divided warm doses.
Fei Wei presents with spitting of saliva and froth but no cough; the patient is not thirsty and inevitably has enuresis and frequent urination. This is because upper deficiency fails to control the lower. This is Cold in the Lung, likely causing dizziness. Gan Cao Gan Jiang Tang (Licorice and Dried Ginger Decoction) is used to warm it.
Fei Yong presents with wheezing and inability to lie down. Ting Li Da Zao Xie Fei Tang (Lepidium and Jujube Lung-Draining Decoction) is indicated.
Ting Li Da Zao Xie Fei Tang Formula
Lepidii Fructus (Tingli, stir-fried 1 qian) Jujubae Fructus (Dazao, 3 pieces) Mustard Seed (Baijiezi, 5 fen)
Add one sheng of water to the above three ingredients, boil until seven he remains, strain, and take in divided warm doses.
Cough with chest fullness, chills, rapid pulse, occasional bloody sputum, and foul odor indicates the onset of Fei Yong. If Fei Yong progresses to incessant expectoration of pus and blood, whole-body steaming heat, fine-rapid pulse, spontaneous or night sweats, it is incurable.
Question: How is a fishbone lodged in the throat treated? Answer: If caused by a fishbone, immediately swallow Glucose Syrup (Jiao Yi). If ineffective, repeat until cured. Some mistakenly believe they are harmed by fishbones and consume Jin Feng Shi (Fig Fruit). Three Fig Fruits ground into powder, taken with cold water, followed by rinsing the mouth with hot water. If someone accidentally swallows dough that sticks in the throat, causing suffocation and distress, immediately mix Vinegar and White Sugar, take Radish Juice frequently.
If a child accidentally swallows rice husks, causing throat obstruction and restlessness, immediately eat Glucose Syrup; if ineffective, repeat. If a child swallows gold, silver, copper, or iron, Suo Sha Yin (Amomum Decoction) is indicated.
Suo Sha Yin Formula
Amomi Fructus (Suosha, 1 qian) Zingiberis Rhizoma Recens (Shengjiang, 5 fen)
Add one sheng of distilled liquor to the above two ingredients, boil until seven he remains, strain, mix in White Sugar, and take.
Question: What is Xiong Bi Xin Tong (Chest Bi and Heart Pain)? Answer: Chest pain with a slippery pulse is caused by Phlegm-Fluid retention. Abdominal fullness with chest pain and a tight-excess pulse is caused by improper diet. Cramping pain in the chest and hypochondrium that comes and goes intermittently is caused by intestinal parasites. In Taiyang disease, if the floating pulse is incorrectly treated with purgatives, it leads to chest oppression and pain, called Jie Xiong (Knotted Chest). If there is fullness without pain, it is called Pi (Obstruction). Ban Xia Xie Xin Tang (Pinellia Decoction for Draining the Epigastrium) is indicated.
Ban Xia Xie Xin Tang Formula
Pinelliae Rhizoma Preparatum (Banxia, 5 fen) Scutellariae Radix (Huangqin, 3 fen) Zingiberis Rhizoma Recens (Ganjiang, 3 fen) Ginseng Radix et Rhizoma (Renshen, 2 fen) Coptidis Rhizoma (Huanglian, 3 fen) Jujubae Fructus (Dazao, 3 pieces) Glycyrrhizae Radix et Rhizoma (Gancao, 2 fen)
Add one sheng of water to the above seven ingredients, boil until seven he remains, strain, and take in divided warm doses.
If chest obstruction is soft upon pressure and the pulse is superficial-floating, Da Huang Huang Lian Xie Xin Tang (Rhubarb and Coptis Decoction for Draining the Heart) is indicated.
Da Huang Huang Lian Xie Xin Tang Formula
Rhei Radix et Rhizoma (Dahuang, 5 fen) Coptidis Rhizoma (Huanglian, 5 fen)
Add one sheng of boiling water to the above two ingredients, steep for a moment, squeeze out the dregs, and take in two divided warm doses.
If chest obstruction is accompanied by belching with food odor, fluid retention in the hypochondrium, borborygmus, and diarrhea, Sheng Jiang Xie Xin Tang (Fresh Ginger Decoction for Draining the Epigastrium) is indicated. For Zhi Yin (Supporting Fluid) causing chest fullness, Hou Po Da Huang Tang (Magnolia Bark and Rhubarb Decoction) is indicated.
Hou Po Da Huang Tang Formula
Magnoliae Officinalis Cortex (Houpo, 1 qian) Rhei Radix et Rhizoma (Dahuang, 5 fen) Aurantii Fructus Immaturus (Zhishi, 3 fen)
Add one sheng of water to the above three ingredients, boil until seven he remains, strain, and take in two divided warm doses.
If epigastric obstruction is accompanied by aversion to cold and sweating, Fu Zi Xie Xin Tang (Aconite Decoction for Draining the Epigastrium) is indicated. If there is retained phlegm and old water in the heart and chest, leading to vomiting of clear fluid, followed by fullness of empty Qi in the chest and inability to eat, Fu Ling Yin (Poria Decoction) is indicated.
In Taiyang disease, if the exterior syndrome remains but multiple purgations are used, it leads to Xi Re Li (Collateral Heat Diarrhea) with unceasing diarrhea, hard epigastric obstruction, and unresolved exterior-interior conflict. Gui Zhi Ren Shen Tang (Cinnamon Twig and Ginseng Decoction) is indicated.
If chest obstruction becomes severe, it causes pain radiating to the back, agitation, and a deep-hidden pulse. Gui Jian Tang (Arrowwood Decoction) is indicated.
Gui Jian Tang Formula
Euonymi Ramus Cum Spina (Guijian, 2 qian) Nisum Humanum (Renzhongbai, 5 fen) Natrii Sulfas (Mangxiao, 3 fen) Glycyrrhizae Radix et Rhizoma (Gancao, 2 fen)
Add one sheng of water to the above four ingredients, boil until seven he remains, strain, and take in divided warm doses.
For severe Cold pain, vomiting, inability to eat, and gooseflesh, Da Jian Zhong Tang (Major Construct the Middle Decoction) is indicated.
Da Jian Zhong Tang Formula
Zanthoxyli Fructus (Shujiao, 5 fen) Zingiberis Rhizoma Recens (Ganjiang, 4 fen) Ginseng Radix et Rhizoma (Renshen, 3 fen)
Add two sheng of water to the above three ingredients, boil until one sheng remains, strain, add two qian of Glucose Syrup, simmer gently over low heat until one sheng remains, and take in two divided warm doses.
Ascaris disease causes salivation, intermittent heart pain, and resistance to toxic drugs. Gan Cao Fen Mi Tang (Licorice, Powder, and Honey Decoction) is indicated.
Gan Cao Fen Mi Tang Formula
Glycyrrhizae Radix et Rhizoma (Gancao, 5 fen) Lead Powder (Fen, 3 fen) Honey (Mi, 1 qian)
Add one sheng of water to the above three ingredients, boil Licorice first until seven he remains, strain, add the powder and honey, mix well, and simmer until it resembles thin porridge. Take warm.
If there is fullness of empty Qi in the chest, possibly with pain, and a fine-wiry pulse, Xiong Dan Yin (Bear Bile Decoction) is indicated.
Xiong Dan Ursi Bile Formula
Ursi Bile (Xiongdan, 3 fen) Arcofa Concha (Shijueming, soaked in vinegar, fired to remove fire toxicity, 5 fen)
Dissolve Bear Bile in distilled liquor first, add Arcofa Concha, mix well, and take in divided warm doses.
For tidal fever, chest fullness and pain that cannot be touched, Da Xian Xiong Tang (Major Infiltrate the Chest Decoction) is indicated.
Da Xian Xiong Tang Formula
Rhei Radix et Rhizoma (Dahuang, 5 fen) Natrii Sulfas (Mangxiao, 5 fen) Kansui Radix (Gansui, 5 fen)
Add two sheng of water to the above three ingredients, boil Rhubarb first until one sheng remains, strain, add Natrii Sulfas, boil for one or two boils, add powdered Kansui Radix, and take warm. Stop taking after obtaining loose stools.
For patients with Zhi Yin, cough, restlessness, and severe chest pain, Shi Zao Tang (Ten Date Decoction) is indicated.
Shi Zao Tang Formula
Kansui Radix (Yuanhua) Kansui Radix (Gansui) Euphorbiae Pekinensis Radix (Daji) Jujubae Fructus (Dazao)
Equal parts of Yuanhua, Gansui, and Daji are separately ground into powder. Add one and a half sheng of water, boil ten large Jujubae Fructus until eight he remains, strain, add the medicinal powders. Strong persons take one-third, weak persons take two-thirds, taken warm. After purging, nourish oneself with millet porridge.
For acute chest and abdominal pain with belching and a sliding pulse, immediately administer Salt Water Soup and induce vomiting by tickling the throat with a goose feather. Violent vomiting should lead to recovery. For hard, full, and severely painful chest and abdomen with a slippery-rapid pulse, immediately administer Hou Po San Wu Tang (Magnolia Bark Three-Ingredient Decoction). For sudden hard, full, and painful chest and abdomen with cold limbs and hidden pulse, immediately administer Zi Shuang Wan (Purple Frost Pill).
For chest and abdominal pain with alternating rapid and slow pulses, expulsion of roundworms is expected. For recurrent chest pain, tossing and turning, pallor, profuse forehead sweating, cold limbs, and knotted pulse, this is called Zhen Xin Tong (True Heart Pain). Death occurs in the evening if onset is in the morning, and in the morning if onset is in the evening.