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Shen, left side (February): Wind-phlegm disturbs the Lung, causing failure of Lung Qi to diffuse and descend. The Lung is the gate of voice; there is coughing with hoarseness and indistinct voice. The pulse is wiry and rapid. Treatment should aim to clear and purify the Upper and Middle Jiao.
Scrophulariae Radix (Xuanshen), Armeniacae Semen Amarum (Xingren), Thunbergiae Caulis (Tongcao), Cicadae Periostracum (Jinchan Yi), Fried Loranthi Fructus (Chao Doulou), Inulae Flos (Xuanfu Hua), Fritillariae Cirrhosae Bulbus (Xiangbei), Fresh Phragmitis Rhizoma (Huoshui Lugeng), Fried Bursae Fructus (Chao Niuxiang), Univalve Concha (Sheng Geqiao), Fresh Bambusae Descendens Succus (Xian Zhuru).

Certain patient: Sudden severe cough with aphonia, accompanied by rebellious Qi. This is due to Lung constraint by Cold.
San'ao Decoction (Three Unrestrained Decoction) plus Platycodonis Radix (Jiegeng) and Cynanchi Stauntonii Caulis (Baiqian).

Song (February): Last summer, Summer-heat and Wind pathogens invaded the Lung, failing to be cleared and resolved in time. Lung heat steams fluids into phlegm, phlegm obstructs Lung Qi, resulting in persistent coughing. The voice is heavy, turbid, and indistinct. This is what is referred to as "Metal being solid results in no sound" (loss of voice due to excess pathogen in the Lung). The pulse is wiry, slippery, and soggy. Treatment should aim to clear and purify the Upper and Middle Jiao.
See the formula for dampness constraining the Lung from the Wang family at Daitou in the Cough section, adding Loranthi Fructus (Doulou), Cicadae Periostracum (Chan Yi), and Phragmitis Rhizoma (Lugen).

Yin, left side (33 years old, November): Long-term cough previously accompanied by hemoptysis. The Lung has lost its clarity and descending function, leading to hoarseness and indistinct voice. This is primarily due to Kidney Water failing to nourish Liver Wood, causing Liver Fire to attack Metal (Wood-Fire punishing Metal). The pulse is wiry and rapid. Treatment should aim to clear Metal and calm Wood (clear Lung and pacify Liver).
See the formula for the Shi family in the Cough section, removing Yan Gen (Swallow's Nest root/herb - retain original name), Inulae Flos (Xuanfu Hua), adding Adenophorae Radix (Donghua) and Ovipellis Periostracum (Fenghuang Yi) in equal parts.

Yang, left side (May): Dual deficiency of Lung Metal and Kidney Water. Pharyngitis with hoarseness. This is what is referred to as "Metal broken results in no sound" (loss of voice due to Lung tissue damage). The pulse form is wiry and rapid. Treatment should aim to nourish Yin and descend Fire.
See the formula for the Shi family in the Cough section, removing Perillae Fructus (Suzi) and Pear Paste (Ligao), adding Belamcandae Rhizoma (Shegan), Akebiae Fructus (Jinguolan), Pig Lung Extract (Zhufei Lu), and Green Phragmitis Rhizoma (Qing Lugeng).

Wu: Lung abscess (Fei Yong) has formed. Coughing up pus and blood, rebellious Qi, thick phlegm, pain radiating from the right hypochondrium. The right pulse is wiry, slippery, and rapid. Treatment should aim to clear and purify the Upper and Middle Jiao.
Coicis Semen (Sheng Yiren), Sichuan Fritillaria Bulb (Zhen Chuanbei), Forsythiae Fructus (Lianqiao), Green Phragmitis Node (Qing Lugeng), Benincasae Semen (Tian Guaren; if unavailable, replace with Benincasae Semen Dongguazi), Honey-fried Asteris Radix (Zhi Ziwan), Mulberry Leaf after Frost (Jingshuang Sangye), Aged Mustard Seed Brine (Chennian Jiecailu), White Armeniacae Semen (Bai Xingren), Honey-fried Adenophorae Radix (Zhi Donghua), Lonicerae Flos Dew (Yinhua Lu), Winter Melon decocted water substitute.
If in the initial stage, remove Chuanbei, Ziwan, Donghua, Lugeng, and Jiecailu; add Persicae Semen (Taoren), Platycodonis Radix (Kujiegeng), Curcumae Radix (Chuan Yujin), Trichosanthis Fructus (Quangualu), and Phragmitis Rhizoma (Lugen).
Lung flaccidity (Fei Wei) should be treated according to the method for dual deficiency of Lung and Kidney.