宜浮滑，忌短涩。
景岳曰∶微弱细涩者，阴中之阳虚也；浮大弦芤，按之全虚者，阳中之阴虚也。微弱者顺
而易医，浮空者险而难治。
《圣济总录》曰∶呷嗽者，咳而胸中多痰，结于喉间，与气相系，随其呼吸，呀呷有声
，故名呷嗽。宜调顺肺经，仍加消痰破饮之剂。
次男元犀按∶痰饮咳嗽喘证，俱宜参看。
射干丸(方见前用)
治久呷嗽，喉中作声，发即偃卧不得。
杏仁丸（《圣济》）
治呷嗽有声。
杏仁（去皮尖，炒） 甘草（炙，各一两） 大黄（蒸） 牙硝（熬，各五钱）
共为末，炼蜜丸如桐子大，空心姜汤送下二十丸。
紫菀杏仁煎（《圣济》）
治肺脏气积，呷嗽不止，因肺虚损，致劳疾相侵，或胃冷膈上热者。
紫菀 酥（各二两） 贝母 姜汁（各三两） 大枣（去皮核，半斤） 五味 人参 茯苓 甘草 桔梗 地骨皮
（洗，各一两） 白蜜（一斤） 生地汁（六两）
共末，与蜜生地汁同煎，器盛三五次，成饴煎，仰卧含化一匙，日二服。
有所触而动曰惊，无所触而动曰悸，凡怔忡 惕，皆其类也。高鼓峰曰∶此心血少也
。起于肾水不足，不能上升，以致心火不能下降。大剂归脾汤去木香，加麦冬、五味、枸杞
，吞都气丸，（杨乘六云∶治怔忡大法。无逾此旨。）如怔忡而实，挟包络一种有余之火，兼痰者，
则加生地、川贝母、黄连之类以清之。
胡念斋曰∶虽缘心血不足，然亦有胃络不能上通者，有脾脉不能入心者，有宗气虚而虚
里穴动者，有水气凌心者，有奔豚上乘者，治法不甚相远。惟水气与奔豚，当另法治之。
孙男心典按∶水气凌心，轻则用小半夏加茯苓汤以泄之，重则用茯苓甘草汤安之，再重
则用真武汤镇之。奔豚用桂枝汤加桂主之，或以茯苓桂枝甘草大枣汤主之。
The pulse should be floating and slippery; a short and choppy pulse is contraindicated.
Zhang Jingyue stated: A weak, fine, and choppy pulse indicates deficiency of Yang within Yin; a floating, large, wiry, or hollow pulse that feels completely empty upon deep pressure indicates deficiency of Yin within Yang. A weak pulse is a favorable sign and easy to treat; a floating and empty pulse is dangerous and difficult to treat.
The *Shengji Zonglu* (General Records of the Holy Emergency) states: "Xiao cough" (cough with wheezing sound) refers to coughing accompanied by excessive phlegm in the chest, which accumulates in the throat, binds with the Qi, and produces a whistling or rattling sound during respiration, hence the name Xiao cough. It is appropriate to regulate the Lung meridian and add formulas that resolve phlegm and break up fluid retention.
My second son, Chen Yuanxi, noted: Phlegm-fluid retention, cough, and asthma syndromes should all be consulted together.
*Shegan Wan* (Formula seen previously)
Treats chronic Xiao cough with sounds in the throat, where attacks cause the patient to lie stiffly unable to move.
*Xingren Wan* (from *Shengji Zonglu*)
Treats Xiao cough with audible sounds.
*Xingren* (Almond, peeled and tipped, stir-fried) *Gancao* (Licorice Root, honey-fried, each 1 liang) *Dahuang* (Rhubarb Root and Rhizome, steamed) *Yaxiao* (Natrii Sulfas, boiled, each 5 qian)
Grind into fine powder, mix with refined honey to make pills the size of paulownia seeds. Take 20 pills on an empty stomach with ginger decoction.
*Ziwan Xingren Jian* (from *Shengji Zonglu*)
Treats accumulation of Qi in the Lungs causing incessant Xiao cough, resulting from Lung deficiency allowing consumptive diseases to invade, or cold in the Stomach with heat above the Diaphragm.
*Ziwan* (Asarum Root) *Su* (Butter/Ghee, each 2 liang) *Beimu* (Fritillaria Bulb) *Jiangzhi* (Ginger Juice, each 3 liang) *Dazao* (Jujube Fruit, peeled and pitted, half a jin) *Wuweizi* (Schisandra Berry) *Renshen* (Ginseng Root) *Fuling* (Poria) *Gancao* (Licorice Root) *Jiegeng* (Platycodon Root) *Digupi* (Lycium Bark, washed, each 1 liang) *Baimi* (White Honey, 1 jin) *Shengdiye* (Rehmannia Juice, 6 liang)
Grind into powder, decoct together with honey and Rehmannia juice. Store in vessels and heat repeatedly until it becomes a maltose-like syrup. While lying supine, dissolve one spoonful in the mouth. Take twice daily.
Palpitations triggered by external stimuli are called "Jing" (Fright); spontaneous palpitations without external stimuli are called "Ji" (Palpitation). All cases of Zhengchong (constant anxiety and palpitation) and Ti (fearfulness) belong to this category. Gao Gufeng stated: This is due to insufficient Heart Blood. The origin lies in insufficient Kidney Water failing to ascend, thereby preventing Heart Fire from descending. Use a large dose of *Guipi Tang* (Restore the Spleen Decoction) removing *Muxiang*, adding *Maidong* (Ophiopogon Tuber), *Wuweizi* (Schisandra Berry), and *Gouqi* (Goji Berry), swallowed with *Duqi Wan* (Eight-Ingredient Pill with Cornus). (Yang Chengliu said: This is the general principle for treating Zhengchong, nothing surpasses this guideline.) If Zhengchong presents as excess syndrome, accompanied by an excess fire in the Pericardium and phlegm, then add *Shengdi* (Rehmannia Root), *Chuanbeimu* (Sichuan Fritillaria Bulb), *Huanglian* (Coptis Rhizome), etc., to clear the heat.
Hu Nianzhai stated: Although originating from insufficient Heart Blood, there are also cases where the Stomach collaterals fail to connect upwards, where the Spleen pulse fails to enter the Heart, where Zong Qi (Gathering Qi) is deficient causing movement at the Xuli acupoint, where Water Qi overcomes the Heart, and where Ben Tun (Running Piglet) ascends. The treatment methods are not vastly different. However, Water Qi and Ben Tun require separate treatment approaches.
My grandson, Chen Xindian, noted: For Water Qi overcoming the Heart, mild cases use *Xiao Banxia Jia Fuling Tang* (Minor Pinellia Decoction plus Poria) to drain it; severe cases use *Fuling Gancao Tang* (Poria and Licorice Decoction) to calm it; even more severe cases use *Zhenwu Tang* (True Warrior Decoction) to suppress it. For Ben Tun, use *Guizhi Jia Gu Tang* (Cinnamon Twig Decoction plus Cinnamon) as the main formula, or alternatively use *Fuling Guizhi Gancao Dazao Tang* (Poria, Cinnamon Twig, Licorice, and Jujube Decoction) as the main formula.