咳逆咽痛音哑，脉象紧数，乃肺虚肝液亏也，甚为棘手。
川黄连 枇杷叶 橘白 人中白 知母 陈阿胶 紫菀 麦冬 生米仁 鸡子黄（生冲）
肾水不能制火，必致克金，阴精不能化气，必致咳病燥，所以咳逆音哑，脉动无神，此木郁水亏，虚火上炎之象。
鄙拟滋纳法，以视动静。
青盐炒熟地 牡蛎 川贝 川郁金 云茯神 盐水炒广皮 淮膝 龟板 川百合 鸡子黄
邪未透泄，音哑咽痛，为患未久，无所大害。
旋复花 马兜铃 麻黄 象贝母 桑叶 紫菀茸 杏仁 桔梗 人中黄
接服方
紫菀 人中黄 牛膝 北沙参 桑叶 杏仁 生蛤壳 米仁 天花粉
咳呛音哑，中虚木火烁金。
生 北沙参 橘红 牛膝 川百合 丹皮 麦冬肉 紫菀 川贝 冬桑叶
咳沫音哑，中虚肺气不清，宜轻剂疏理。
旋复花 生米仁 枇杷叶 冬瓜子 知母 紫菀茸 炒苏子 马兜铃 冬桑叶 橘红
咳逆音哑，似属阴亏火动，然脉象未见虚数，可见蕴邪未得清彻。宜轻剂和理。
鲜石斛 生蛤壳 麦冬 橘红 川郁金汁 紫菀茸 甜杏仁 川贝 兜铃 鲜枇杷叶
上膈及臂（膀）胀痛不仁，六脉弦数，坐卧不宁，此温邪入络，恐肺气痿伤，须用清通法（近时稍有痰喘。）
旋复花 羚羊角 法半夏 当归 白蒺藜 橘叶 代赭石 川郁金 炒苏子 秦艽 生米仁 桑枝
络不通气，痹右胸肋高肿，右寸关脉大，恐肺气痿伤，鄙拟通络化痰佐理气法，以图松解（痰黑带腥稍咳。）
旋复花 枇杷叶 牛膝炭 当归 钩钩 桑枝 炒苏子 半夏曲 瓦愣子 橘叶 郁金
咳呛秽痰带血，右脉弦数，由气郁络伤，肺金受克，冬至节已近，须宽怀调理。
陈阿胶 丹参 米仁 麦冬肉 炒苏子 藕节 北沙参 茜草 橘红 枇杷叶 淮牛膝
患疟时失于表理，肺气不宣，膀痿咳血，延久不痊，表虚自汗，并神色光白，症属肺痿，不宜过用凉剂（痰腥大失
血。）
生 枇杷叶 橘红 蛤粉炒阿胶 藕汁 米仁 淮牛膝 茜草 川百合 冬瓜子
吞食噎逆，痰喘动血，乃肝郁刑金肺气痿伤也。恐盛暑病剧，慎之慎之。
陈阿胶 甜杏仁 麦冬 冬桑叶 冬瓜子 茅根 生米仁 川贝母 橘红 生蛤壳 枇杷叶
肺气素虚，又感温邪，身热咳血，肺络伤也。所以咯痰胶腻，六脉数大，正气虽虚，温补不合。
生洋参（一钱五分） 生米仁（四钱） 川百合（三钱） 茅柴根（四钱） 陈阿胶（二钱） 橘红（一钱） 沙
参（二钱） 枇杷叶（一钱五分，刷） 茜草（一钱） 淮膝炭（一钱五分）
Cough with rebellious Qi, sore throat, and hoarseness, with a tight and rapid pulse, indicate deficiency of the Lung and depletion of Liver Yin fluids; this is quite difficult to treat.
Chuan Lianlian (Coptidis Rhizoma), Pipa Ye (Loquat Leaf), Ju Bai (Tangerine Albedo), Ren Zhong Bai (Calculus Bovis or similar antler ash depending on context, here likely referring to processed mineral/herbal mix), Zhi Mu (Anemarrhenae Rhizoma), Chen E Jiao (Aged Donkey-Hide Gelatin), Zi Wan (Asteris Radix), Mai Dong (Ophiopogonis Tuber), Sheng Yi Yi Ren (Coicis Semen raw), Ji Zi Huang (Egg Yolk, taken raw and mixed).
Kidney Water fails to control Fire, inevitably leading to Fire insulting Metal [Lung]; when Yin essence cannot transform into Qi, it inevitably leads to coughing disease characterized by dryness. Hence, there is rebellious cough and hoarseness, and the pulse beats without spirit. This is a manifestation of Liver Qi stagnation, Kidney Water deficiency, and deflection of deficient Fire upward.
I propose using the Nourishing and Grasping Method (Zi Na Fa) to observe the dynamic changes of the condition.
Qing Yan Chao Shu Di (Rehmanniae Radix prepared with green salt), Mu Li (Ostreae Concha), Chuan Bei (Fritillariae Cirrhosae Bulbus), Chuan Yu Jin (Curcumae Radix), Yun Fu Shen (Poria with Hostwood), Yan Shui Chao Guang Pi (Chenpi prepared with salt water), Huai Xi (Achyranthis Bidentatae Radix), Gui Ban (Testudinis Carapax et Plastrum), Chuan Bai He (Lilii Bulbus), Ji Zi Huang (Egg Yolk).
The pathogenic factor has not yet been vented and released; hoarseness and sore throat, having existed for a short time, pose no major harm.
Xuan Fu Hua (Inulae Flos), Ma Dou Ling (Aristolochiae Fructus), Ma Huang (Ephedrae Herba), Xiang Bei Mu (Fritillariae Thunbergii Bulbus), Sang Ye (Mori Folium), Zi Wan Rong (Asteris Radix fluffy part), Xing Ren (Armeniacae Semen Amarum), Jie Geng (Platycodonis Radix), Ren Zhong Huang (Hominis Excrementum purificated).
Follow-up prescription:
Zi Wan (Asteris Radix), Ren Zhong Huang (Hominis Excrementum purificated), Niu Xi (Achyranthis Bidentatae Radix), Bei Sha Shen (Glehniae Radix), Sang Ye (Mori Folium), Xing Ren (Armeniacae Semen Amarum), Sheng Ge Qiao (Tridacnidae Concha raw), Mi Ren (Coicis Semen), Tian Hua Fen (Trichosanthis Radix).
Coughing with urgency and hoarseness indicates Middle Jiao deficiency, where Wood-Fire scorches Metal [Lung].
Sheng Bei Sha Shen (Glehniae Radix raw), Ju Hong (Tangerine Peel red layer), Niu Xi (Achyranthis Bidentatae Radix), Chuan Bai He (Lilii Bulbus), Dan Pi (Moutan Cortex), Mai Dong Rou (Ophiopogonis Tuber flesh), Zi Wan (Asteris Radix), Chuan Bei (Fritillariae Cirrhosae Bulbus), Dong Sang Ye (Mulberry Leaf in winter).
Coughing up froth and hoarseness indicate Middle Jiao deficiency and unclear Lung Qi; light agents should be used to disperse and regulate.
Xuan Fu Hua (Inulae Flos), Sheng Mi Ren (Coicis Semen raw), Pipa Ye (Loquat Leaf), Dong Gua Zi (Benincasae Semen), Zhi Mu (Anemarrhenae Rhizoma), Zi Wan Rong (Asteris Radix fluffy part), Chao Su Zi (Perillae Fructus fried), Ma Dou Ling (Aristolochiae Fructus), Dong Sang Ye (Mulberry Leaf in winter), Ju Hong (Tangerine Peel red layer).
Rebellious cough and hoarseness seem to belong to Yin deficiency and stirring of Fire; however, the pulse does not show deficiency-heat characteristics, indicating that accumulated pathogens have not been thoroughly cleared. Light and harmonizing agents should be used for regulation.
Xian Shi Hu (Dendrobii Caulis fresh), Sheng Ge Qiao (Tridacnidae Concha raw), Mai Dong (Ophiopogonis Tuber), Ju Hong (Tangerine Peel red layer), Chuan Yu Jin Zhi (Curcumae Radix juice), Zi Wan Rong (Asteris Radix fluffy part), Tian Xing Ren (Armeniacae Semen Amarum sweet), Chuan Bei (Fritillariae Cirrhosae Bulbus), Dou Ling (Aristolochiae Fructus), Xian Pipa Ye (Loquat Leaf fresh).
Distending pain and numbness in the upper diaphragm and arms, with wiry and rapid pulses in all six positions, and restlessness in sitting and lying down, indicate Warm Pathogens invading the collaterals. There is fear of Lung Qi flaccidity and injury; the Clearing and Unblocking Method must be used (recently slight phlegm-wheezing occurred).
Xuan Fu Hua (Inulae Flos), Ling Yang Jiao (Saiga Tataricae Cornu), Fa Ban Xia (Pinelliae Rhizoma prepared), Dang Gui (Angelicae Sinensis Radix), Bai Ji Li (Tribuli Fructus), Ju Ye (Citri Reticulatae Folium), Dai Zhe Shi (Haematitum), Chuan Yu Jin (Curcumae Radix), Chao Su Zi (Perillae Fructus fried), Qin Jiao (Gentiana Macrophyllae Radix), Sheng Mi Ren (Coicis Semen raw), Sang Zhi (Mori Ramulus).
Collateral blockage prevents Qi flow, causing bi-syndrome with high swelling in the right chest and hypochondrium; the Right Cun and Guan pulses are large. There is fear of Lung Qi flaccidity and injury. I propose using an Unblocking Collaterals and Resolving Phlegm method assisted by Qi-regulating agents to seek relief (phlegm is black with a fishy smell, accompanied by slight cough).
Xuan Fu Hua (Inulae Flos), Pipa Ye (Loquat Leaf), Niu Xi Tan (Achyranthis Bidentatae Radix charred), Dang Gui (Angelicae Sinensis Radix), Gou Gou (Uncariae Ramulus cum Uncis), Sang Zhi (Mori Ramulus), Chao Su Zi (Perillae Fructus fried), Ban Xia Qu (Pinelliae Rhizoma fermented), Wa Leng Zi (Unio Concha), Ju Ye (Citri Reticulatae Folium), Yu Jin (Curcumae Radix).
Coughing with urgency, expelling foul bloody sputum, with a wiry and rapid Right pulse, results from Qi stagnation damaging collaterals and Metal [Lung] being insulted. The Winter Solstice is approaching; one must maintain a broad-minded state for regulation.
Chen E Jiao (Aged Donkey-Hide Gelatin), Dan Shen (Salviae Miltiorrhizae Radix), Mi Ren (Coicis Semen), Mai Dong Rou (Ophiopogonis Tuber flesh), Chao Su Zi (Perillae Fructus fried), Ou Jie (Nelumbinis Node), Bei Sha Shen (Glehniae Radix), Qian Cao (Rubiae Cordifoliae Radix et Rhizoma), Ju Hong (Tangerine Peel red layer), Pipa Ye (Loquat Leaf), Huai Niu Xi (Achyranthis Bidentatae Radix).
When suffering from malaria, failure to address the exterior led to unventilated Lung Qi, bladder flaccidity, hemoptysis, prolonged non-healing, spontaneous sweating due to exterior deficiency, and a bright, pale complexion. The syndrome belongs to Fei Wei (Lung Flaccidity); cool agents should not be overused (phlegm is fishy-smelling, massive blood loss).
Sheng Pipa Ye (Loquat Leaf raw), Ju Hong (Tangerine Peel red layer), Ge Fen Chao E Jiao (Donkey-Hide Gelatin fried with clam powder), Ou Zhi (Nelumbinis Rhizoma juice), Mi Ren (Coicis Semen), Huai Niu Xi (Achyranthis Bidentatae Radix), Qian Cao (Rubiae Cordifoliae Radix et Rhizoma), Chuan Bai He (Lilii Bulbus), Dong Gua Zi (Benincasae Semen).
Swallowing obstruction with regurgitation, phlegm-wheezing triggering bleeding, indicates Liver Qi stagnation insulting Metal [Lung] and Lung Qi flaccidity and injury. Fear that the illness will worsen during the peak of summer; caution is essential.
Chen E Jiao (Aged Donkey-Hide Gelatin), Tian Xing Ren (Armeniacae Semen Amarum sweet), Mai Dong (Ophiopogonis Tuber), Dong Sang Ye (Mulberry Leaf in winter), Dong Gua Zi (Benincasae Semen), Mao Gen (Imperatae Rhizoma), Sheng Mi Ren (Coicis Semen raw), Chuan Bei Mu (Fritillariae Cirrhosae Bulbus), Ju Hong (Tangerine Peel red layer), Sheng Ge Qiao (Tridacnidae Concha raw), Pipa Ye (Loquat Leaf).
Lung Qi has always been deficient, and now Warm Pathogens have been contracted. Body heat and hemoptysis indicate damage to Lung collaterals. Hence, the expectorated phlegm is sticky and tenacious, and the six pulses are rapid and large. Although Zheng Qi (Upright Qi) is deficient, warm-toning methods are inappropriate.
Sheng Yang Shen (American Ginseng raw, 1 qian 5 fen), Sheng Mi Ren (Coicis Semen raw, 4 qian), Chuan Bai He (Lilii Bulbus, 3 qian), Mao Chai Gen (Imperatae Rhizoma or similar root, 4 qian), Chen E Jiao (Aged Donkey-Hide Gelatin, 2 qian), Ju Hong (Tangerine Peel red layer, 1 qian), Sha Shen (Glehniae Radix or Adenophorae Radix, 2 qian), Pipa Ye (Loquat Leaf, 1 qian 5 fen, brushed), Qian Cao (Rubiae Cordifoliae Radix et Rhizoma, 1 qian), Huai Xi Tan (Achyranthis Bidentatae Radix charred, 1 qian 5 fen).