喘之病。方书皆名哮吼。为其声之恶也。此因误啖盐酱咸物。抟结津液。熬煎成痰。胶粘固结。聚于肺络。
不容呼吸出入。而呼吸正气反触其痰。所以喘声不止也。肺有痰热。毛窍常开。热气得以外泄。所以伏而不发。
一遇秋冬寒气外束。邪热不得宣通。故令发喘。脉来浮数。滑大者。宜用定喘汤。发去标邪。再用加减鸡鸣丸。
常常服之。自可除根。每日饮食只宜清淡。不宜浓浓。盖人身之痰。不能自动。必随脾之健运。贮于肺络。结为窠
囊积饮。如蜂子之穴于房中。莲实之嵌于蓬内。生长则易。而剥落则难。全要胃气清虚。则痰之上注者。得以返还
于胃。然后可从口而上越。或从肠而下达。今人肥甘浓味。日不绝口。兼之饮食不节。虽有医药。庸有济乎。此乃气分
之病。或有传于血分。而为喘急失血者。先吐痰后见血。犹为积热。先吐血后吐痰者。阴虚火动。照根据怯症调治。
一切燥药。毫不可尝。推而广之。 病属热者固多。而肺寒者亦有。不可泥定是热。凡脾胃虚寒。气不能运。积成
冷痰。上注于肺。亦成 喘。其人四肢厥冷。脉沉细缓。按之无力。即其候也。
宜用六君子汤。加款冬金沸杏仁炮姜治之。但热者多。而寒者少。又不可不察耳。
喘之病。痰火为本。而外感内伤之因。所触不同。未可以一端尽也。寒伤肺喘。脉必数大。可用定喘汤散风伤肺
喘脉必细缓。自汗恶风。宜用参苏饮解之。因于气者。其脉必沉。因于食者。脉必弦滑。因于色者。脉沉细数。治
之又有不同。今人一遇是症。便以定喘为主。何致胶固若此耶。
定喘汤
半夏 杏仁 冬花 苏子 桑皮 麻黄 甘草 黄芩 白果 青铅 生姜
加减鸡鸣丸
陈皮（一两） 半夏（四钱） 白茯（一两） 甘草（五钱） 贝母（一两） 栝蒌霜（一两）
冬花（一两） 天冬（二两） 黄芩（一两） 知母（一两） 桔梗（一两） 枇杷叶（五钱） 玄明粉（三钱）
炼蜜为丸。
The disease of panting (Chuan) is named "Xiao Hou" (wheezing and roaring) in medical formularies because of its unpleasant sound. This condition arises from mistakenly consuming salty foods such as salt and soy sauce, which causes body fluids to congeal and be scorched into phlegm. The phlegm becomes sticky and firmly consolidated, accumulating in the lung collaterals. It obstructs the entry and exit of respiration, and the righteous qi of respiration instead touches the phlegm, causing the sound of panting to ceaselessly continue. When there is phlegm-heat in the lungs, the hair follicles are often open, allowing heat qi to dissipate outward; thus, the pathogen remains latent and does not manifest. Once exposed to cold air in autumn or winter that binds the exterior, the internal pathogenic heat cannot be vented and unblocked, thereby triggering an attack of panting. If the pulse is floating, rapid, slippery, and large, Ding Chuan Tang (Stabilize Panting Decoction) should be used to dispel the superficial pathogenic factors, followed by regular administration of Jianding Jiming Wan (Modified Rooster-Crowing Pill) to eradicate the root cause. Daily diet should be light and bland, not rich and heavy. Phlegm in the human body cannot move on its own; it must follow the spleen's robust transportation function, be stored in the lung collaterals, and form nests and accumulated fluid retention, similar to bees nesting in a hive or lotus seeds embedded in a lotus pod. These are easy to grow but difficult to remove. This entirely depends on the stomach qi remaining clear and empty, so that phlegm pouring upward into the lungs can return to the stomach, and then be vomited out through the mouth or discharged downward through the intestines. Nowadays, people constantly consume rich, sweet, and fatty foods and lack dietary moderation. Even with medical treatment, what use would it be? This is a disease of the qi level. Some may transmit to the blood level, resulting in urgent panting and hemorrhage. If phlegm is expectorated first and then blood appears, it still belongs to accumulated heat. If blood is vomited first and then phlegm, it indicates yin deficiency with fire hyperactivity, and treatment should follow the principles for treating consumptive diseases (Qie Zheng). All drying drugs must be strictly avoided. Extending this logic, while many cases belong to heat, lung cold also exists; one must not rigidly assume all cases are heat. Whenever spleen and stomach deficiency-cold occurs, qi fails to transport, leading to the accumulation of cold-phlegm that pours upward into the lungs, also forming panting. Such patients present with cold extremities, a deep, fine, slow pulse that is powerless upon pressure, which are their signs. Liujunzi Tang (Six Gentlemen Decoction) added with Kuandonghua (Adenophora Flower), Jinfeicao (Boiling Boil Herb), Xingren (Apricot Seed), and Paojiang (Prepared Ginger) should be used for treatment. However, since heat cases are more common than cold cases, this distinction must not be overlooked.
In the disease of panting, phlegm-fire is the root, but the causes triggered by external contraction or internal injury differ, so it cannot be summarized by a single aspect. For panting caused by cold injuring the lungs, the pulse must be rapid and large; Ding Chuan Tang can be used to disperse wind and treat lung injury. For panting caused by wind injuring the lungs, the pulse must be fine and slow, accompanied by spontaneous sweating and aversion to wind; Shen Su Yin (Ginseng and Perilla Drink) should be used to resolve the exterior. For those caused by qi stagnation, the pulse must be deep. For those caused by food stagnation, the pulse must be wiry and slippery. For those caused by sexual excess, the pulse is deep, fine, and rapid. The treatments differ accordingly. Nowadays, when people encounter this symptom, they insist on using Ding Chuan Tang as the primary formula; why are they so rigid?
Ding Chuan Tang (Stabilize Panting Decoction)
Banxia (Pinelliae Rhizoma)
Xingren (Armeniacae Semen Amarum)
Donghua (Adenophorae Flos)
Suzi (Perillae Fructus)
Sangpi (Mori Cortex)
Mahuang (Ephedrae Herba)
Gancao (Glycyrrhizae Radix et Rhizoma)
Huangqin (Scutellariae Radix)
Baiguo (Ginkgonis Semen)
Qingqian (Lapis Plumbi)
Shengjiang (Zingiberis Rhizoma Recens)
Jianding Jiming Wan (Modified Rooster-Crowing Pill)
Chenpi (Citri Reticulatae Pericarpium, 1 liang)
Banxia (Pinelliae Rhizoma, 4 qian)
Baifu (Poria, 1 liang)
Gancao (Glycyrrhizae Radix et Rhizoma, 5 qian)
Beimu (Fritillariae Cirrhosae Bulbus, 1 liang)
Gualu Shuang (Trichosanthis Fructus Pulvis, 1 liang)
Donghua (Adenophorae Flos, 1 liang)
Tiantong (Asparagi Radix, 2 liang)
Huangqin (Scutellariae Radix, 1 liang)
Zhimu (Anemarrhenae Rhizoma, 1 liang)
Jiegeng (Platycodonis Radix, 1 liang)
Pipaye (Eriobotryae Folium, 5 qian)
Xuanmingfen (Natrii Sulfas Exsiccatus, 3 qian)
Made into pills with refined honey.