紫菀（洗净，炒） 阿胶（蛤粉炒） 知母 贝母二钱 桔梗 人参 茯苓 甘草五
分五味子十二粒
此方治气极、久咳、失血极佳。若肺痈，盒饭去五味子，以肺气壅塞成痈，不宜收敛也。
柴胡二钱 秦艽 人参 当归 鳖甲（炙） 地骨皮钱半 紫菀 半夏 甘草（炙）一
钱
姜、枣煎。
所载见症乃阴阳两虚、碎金不鸣之候，并无表症，且体虚自汗，元气更伤。柴胡、秦艽、
半夏、生姜乃辛散之品，重伤其阴，吾恐危亡随之矣。
黄 （蜜炙） 鳖甲（炙） 天冬五钱 秦艽 柴胡 地骨皮三钱 桑白皮 紫菀 半
夏二钱五分 茯苓三钱 芍药 生地黄 知母 甘草（炙）三钱五分 人参 桔梗 肉桂一
钱五分
姜煎。
此方过于繁杂不足法也。
鳖甲（炙）一两 秦艽 知母 当归 柴胡 地骨皮一两 乌梅一个 青蒿五叶
风为天之气，中人最速，郁而为热，固当清散，但深入骨里者，千万中无一二，盖骨蒸
乃阴虚，非外风在骨也
黄 人参五钱 葛根 蔓荆子三钱 白芍 黄柏二钱（如有热烦乱，春月渐加，交夏
倍之。如脾虚去之，热淋少用） 升麻钱半 炙甘草一钱
临卧服。
此方重脾胃而兼治肝肾，立意最精，但升麻似乎过重，酌减其半亦可以升清开窍矣。
Radix Asteris (Ziwan, 紫菀) (washed and stir-fried) Colla Corii Asini (Ejiao, 阿胶) (stir-fried with clam powder) Radix Anemarrhenae (Zhimu, 知母) Bulbus Fritillariae (Beimu, 贝母) 2 qian Radix Platycodi (Jiegeng, 桔梗) Radix Ginseng (Renshen, 人参) Poria (Fuling, 茯苓) Radix Glycyrrhizae (Gancao, 甘草) 5 fen Fructus Schisandrae (Wuweizi, 五味子) 12 grains
This formula is extremely effective for treating Qi exhaustion, chronic cough, and hemoptysis. In cases of Lung Abscess (Feiong, 肺痈), Wuweizi should be removed because when Lung Qi is obstructed leading to abscess formation, astringent herbs are contraindicated.
Radix Bupleuri (Chaihu, 柴胡) 2 qian Rhizoma Gentianae Macrophyllae (Qinjiao, 秦艽) Radix Ginseng (Renshen, 人参) Radix Angelicae Sinensis (Danggui, 当归) Carapax et Plastrum Testudinis (Biejia, 鳖甲) (stir-fried) Cortex Lycii (Digupi, 地骨皮) 1.5 qian Radix Asteris (Ziwan, 紫菀) Rhizoma Pinelliae (Banxia, 半夏) Radix Glycyrrhizae (Gancao, 甘草) (stir-fried) 1 qian
Decoct with slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜) and Fructus Jujubae (Dazao, 大枣).
The symptoms recorded in the text indicate a syndrome of deficiency of both Yin and Yang, and "broken metal failing to sound" (a metaphor for loss of voice or weak cough due to Lung-Kidney Yin deficiency). There are no exterior syndromes present, and the patient suffers from spontaneous sweating due to weakness, further injuring Yuan Qi. Chaihu, Qinjiao, Banxia, and Shengjiang are acrid and dispersing herbs that would severely damage Yin fluids; I fear this would lead to critical danger and death.
Radix Astragali (Huangqi, 黄芪) (honey-fried) Carapax et Plastrum Testudinis (Biejia, 鳖甲) (stir-fried) Herba Asparagi (Tiangdong, 天冬) 5 qian Rhizoma Gentianae Macrophyllae (Qinjiao, 秦艽) Radix Bupleuri (Chaihu, 柴胡) Cortex Lycii (Digupi, 地骨皮) 3 qian Cortex Mori Radicis (Sangbaipi, 桑白皮) Radix Asteris (Ziwan, 紫菀) Rhizoma Pinelliae (Banxia, 半夏) 2.5 qian Poria (Fuling, 茯苓) 3 qian Radix Paeoniae Alba (Shaoyao, 白芍) Radix Rehmanniae Preparata (Shengdihuang, 生地黄) Radix Anemarrhenae (Zhimu, 知母) Radix Glycyrrhizae (Gancao, 甘草) (stir-fried) 3.5 qian Radix Ginseng (Renshen, 人参) Radix Platycodi (Jiegeng, 桔梗) Ramulus Cinnamomi (Rougui, 肉桂) 1.5 qian
Decoct with slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜).
This formula is overly complex and not worthy of emulation.
Carapax et Plastrum Testudinis (Biejia, 鳖甲) (stir-fried) 1 liang Rhizoma Gentianae Macrophyllae (Qinjiao, 秦艽) Radix Anemarrhenae (Zhimu, 知母) Radix Angelicae Sinensis (Danggui, 当归) Radix Bupleuri (Chaihu, 柴胡) Cortex Lycii (Digupi, 地骨皮) 1 liang Fructus Mume (Wumei, 乌梅) 1 piece Folium Artemisiae Annuae (Qinghao, 青蒿) 5 leaves
Wind is the Qi of Heaven, invading the human body most rapidly; when constrained, it transforms into heat, which indeed should be cleared and dispersed. However, cases where pathogenic factors penetrate deeply into the bone marrow are rare, one or two in ten thousand. Generally, bone-steaming fever (Gu Zheng, 骨蒸) is caused by Yin deficiency, not by external Wind residing in the bones.
Radix Astragali (Huangqi, 黄芪) Radix Ginseng (Renshen, 人参) 5 qian Radix Puerariae Lobatae (Gegen, 葛根) Fructus Viticis (Manjingzi, 蔓荆子) 3 qian Radix Paeoniae Alba (Baishao, 白芍) Cortex Phellodendri (Huangbai, 黄柏) 2 qian (If there is heat with restlessness and confusion, gradually increase the dose in spring, and double it when entering summer. If Spleen deficiency exists, remove Huangbai; use sparingly for hot strangury.) Rhizoma Cimicifugae (Shengma, 升麻) 1.5 qian Radix Glycyrrhizae (Gancao, 甘草) (stir-fried) 1 qian
Take before retiring to bed.
This formula emphasizes the Spleen and Stomach while simultaneously treating the Liver and Kidneys, demonstrating exquisite intent. However, the dosage of Shengma appears too heavy; reducing it by half would suffice to raise clear Yang and open the orifices.