火喘燥渴红面唇，肺胃凉膈白虎清，泻心宜用导赤散，阴虚如蘖地黄灵。
[注]
火邪刑金作喘者，多口干舌燥作渴，面赤唇红也，
因于肺热者，以凉膈散主之，
胃热者，凉膈白虎汤主之，
心火刑金者，导赤散主之，
肾虚火来烁金者，宜知蘖地黄汤主之，
医者果能审察精详，按证调治，庶几用药如响，而不致有虚实之误矣。
(凉膈散) 方见急惊风。
(凉膈白虎汤) 大黄生 朴硝 甘草生 连翘去心 栀子 黄芩生
薄荷叶 石膏生 知母生 引用粳米水煎，温服。
(方歌)
凉膈白虎肺胃热，栀子连翘薄荷叶，黄芩大黄朴硝草，知母石膏粳米列。
(导赤散) 方见不小便。
(知蘖地黄汤) 干生地黄 山茱萸肉 山药炒 知母炒 黄蘖盐炒 牡丹皮
泽泻 茯苓 水煎服。
(方歌)
知蘖地黄阴虚热，知母黄蘖牡丹皮，干生地黄并泽泻，茯苓山药共茱萸。
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喘证门
虚喘气乏声短涩，洁古黄耆汤效捷，百合固金化虚痰，本事黄耆清虚热。
[注]
虚喘之证，气乏声音短鴙，以洁古黄耆汤主之，
若喘促夹痰者，以百合固金汤主之，
夹热者，以本事黄耆汤主之。
(洁古黄耆汤) 人参 黄耆炙 甘草炙 地骨皮 桑白皮炒 水煎温服。
(方歌)
洁古黄耆汤，虚喘最为良，人参黄耆共，甘草地骨桑。
(百合固金汤)
百合 天门冬 麦门冬去心 生地黄 熟地黄 当归 白芍药炒
甘草生 贝母去心 元参 桔梗 水煎服。
(方歌)
百合固金虚痰喘，百合二冬二地黄，当归白芍生甘草，贝母元参桔梗良。
(本事黄耆汤)
五味子 白芍药 天门冬 麦门冬去心 人参 黄耆炙
熟地黄 甘草炙 茯苓引用乌梅姜枣水煎服。
(方歌)
本事黄耆虚热喘，五味芍药二门冬，参耆熟地炙甘草，乌梅姜枣茯苓功。
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喘证门
**Asthma due to Fire, Dryness, Thirst, and Red Face/Lips:**
For asthma accompanied by dryness-thirst, red face, and red lips caused by fire pathogen: if due to Lung heat, use Liangge San (Cool the Diaphragm Powder); if due to Stomach heat, use Liangge Baihu Tang (Cool the Diaphragm combined with White Tiger Decoction) to clear heat; if due to Heart fire insulting Metal (Heart fire damaging the Lung), use Daochi San (Drain the Bladder Powder); if due to Kidney Yin deficiency with empty fire scorching Metal, use Zhibai Dihuang Wan (Anemarrhena, Phellodendron, and Rehmannia Pill).
[Note]
Asthma caused by fire pathogen suppressing Lung Metal often presents with dry mouth, dry tongue, thirst, red face, and red lips.
If caused by Lung heat, treat primarily with Liangge San (Cool the Diaphragm Powder).
If caused by Stomach heat, treat primarily with Liangge Baihu Tang (Cool the Diaphragm combined with White Tiger Decoction).
If caused by Heart fire insulting Metal, treat primarily with Daochi San (Drain the Bladder Powder).
If caused by Kidney deficiency fire scorching Lung Metal, treat primarily with Zhibai Dihuang Wan (Anemarrhena, Phellodendron, and Rehmannia Pill).
If physicians can carefully examine and precisely differentiate the syndrome, and regulate treatment according to the pattern, medication will act as swiftly as an echo, avoiding errors of confusing excess and deficiency.
(Liangge San / Cool the Diaphragm Powder) See section on Acute Convulsive Disorder (Ji Jing Feng).
(Liangge Baihu Tang / Cool the Diaphragm combined with White Tiger Decoction): Da Huang (Rhubarb Radix et Rhizoma, raw), Piao Xiao (Natrii Sulfas), Gan Cao (Licorice Root, raw), Lian Qiao (Forsythiae Fructus, heart removed), Zhi Zi (Gardeniae Fructus), Huang Qin (Scutellariae Radix, raw), Bo He Ye (Menthae Haplocalycis Folium), Shi Gao (Gypsum Fibrosum, raw), Zhi Mu (Anemarrhenae Rhizoma, raw). Add Jing Mi (Oryza Sativa Japonica Group Semen), decoct in water, take warm.
(Verse Formula):
Liangge Baihu clears Lung and Stomach heat,
Zhi Zi, Lian Qiao, and Bo He Ye are used.
Huang Qin, Da Huang, Piao Xiao, and Gan Cao,
Along with Zhi Mu, Shi Gao, and Jing Moo.
(Daochi San / Drain the Bladder Powder) See section on Difficulty in Urination (Bu Xiao Bian).
(Zhibai Dihuang Wan / Anemarrhena, Phellodendron, and Rehmannia Pill): Gan Sheng Di Huang (Rehmanniae Radix Preparata or Raw, dried), Shan Zhu Yu (Corni Fructus), Shan Yao (Dioscoreae Rhizoma, stir-fried), Zhi Mu (Anemarrhenae Rhizoma, stir-fried), Huang Bo (Phellodendri Cortex, salt-stir-fried), Mu Dan Pi (Moutan Cortex), Ze Xie (Alismatis Rhizoma), Fu Ling (Poria). Decoct in water and take.
(Verse Formula):
Zhibai Dihuang treats Yin-deficiency heat,
Zhi Mu, Huang Bo, and Mu Dan Pei.
Gan Sheng Di Huang and Ze Xie together,
Fu Ling, Shan Yao, and Shan Zhu Yu agree.
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Chapter on Asthma Syndrome
**Deficient Asthma:**
Deficient asthma is characterized by Qi deficiency, shortness of breath, and hoarse/short voice. Jiegu Huangqi Tang (Jiegu Astragalus Decoction) is highly effective; Baihe Gujin Tang (Lily Preserving Metal Decoction) resolves deficient phlegm; Benshi Huangqi Tang (Benshi Astragalus Decoction) clears deficient heat.
[Note]
In cases of deficient asthma, where Qi is weak and voice is short and hesitant, treat primarily with Jiegu Huangqi Tang (Jiegu Astragalus Decoction).
If asthma is accompanied by panting and phlegm, treat primarily with Baihe Gujin Tang (Lily Preserving Metal Decoction).
If accompanied by heat, treat primarily with Benshi Huangqi Tang (Benshi Astragalus Decoction).
(Jiegu Huangqi Tang / Jiegu Astragalus Decoction): Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix, honey-fried), Gan Cao (Licorice Root, honey-fried), Di Gu Pi (Lycii Cortex), Sang Bai Pi (Mori Cortex, stir-fried). Decoct in water, take warm.
(Verse Formula):
Jiegu Huangqi Tang, best for deficient asthma,
Ren Shen and Huang Qi together,
With Gan Cao, Di Gu Pi, and Sang Bai Pi.
(Baihe Gujin Tang / Lily Preserving Metal Decoction): Bai He (Lilii Bulbus), Tian Men Dong (Asparagi Radix), Mai Men Dong (Ophiopogonis Radix, heart removed), Sheng Di Huang (Rehmanniae Radix), Shu Di Huang (Rehmanniae Radix Preparata), Dang Gui (Angelicae Sinensis Radix), Bai Shao Yao (Paeoniae Radix Alba, stir-fried), Gan Cao (Licorice Root, raw), Bei Mu (Fritillariae Cirrhosae Bulbus, heart removed), Yuan Shen (Scrophulariae Radix), Jie Geng (Platycodonis Radix). Decoct in water and take.
(Verse Formula):
Baihe Gujin treats deficient phlegm and asthma,
Bai He, two Dong herbs, and two Di Huangs.
Dang Gui, Bai Shao, raw Gan Cao,
Bei Mu, Yuan Shen, and Jie Geng are good.
(Benshi Huangqi Tang / Benshi Astragalus Decoction): Wu Wei Zi (Schisandrae Chinensis Fructus), Bai Shao Yao (Paeoniae Radix Alba), Tian Men Dong (Asparagi Radix), Mai Men Dong (Ophiopogonis Radix, heart removed), Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix, honey-fried), Shu Di Huang (Rehmanniae Radix Preparata), Gan Cao (Licorice Root, honey-fried), Fu Ling (Poria). Add Wu Mei (Mume Fructus), Sheng Jiang (Zingiberis Rhizoma Recens), Da Zao (Jujubae Fructus), decoct in water and take.
(Verse Formula):
Benshi Huangqi treats deficient heat and asthma,
Wu Wei Zi, Shao Yao, and two Dong herbs.
Ren Shen, Huang Qi, Shu Di, and honey-fried Gan Cao,
Wu Mei, Sheng Jiang, Da Zao, and Fu Ling show merit.
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Chapter on Asthma Syndrome