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Luo Qianfu treated the wife of Marshal Bu Jidai. She was over fifty years old and had a robust, obese physique. During the mid-autumn season, continuous heavy rains persisted. Due to excessive consumption of alcohol and Tongru (a type of dairy product), she developed abdominal distension, fullness, wheezing, and chest oppression. The sound of her wheezing could be heard outside, and she could not lie down comfortably. Her urination and defecation were obstructed and sluggish. The Qi Kou pulse was large, twice as strong as the Ying Chou pulse; the Guan pulse was deep, slow, yet forceful. Luo reflected that the dampness from the prolonged rain combined with the heat from dietary excess resulted in an overwhelming accumulation of damp-heat attacking the Lung upwards, which is what is meant by "excess leads to wheezing." When pathogenic factors are exuberant, it constitutes an Excess syndrome; Excess syndromes should be treated with purgation. Therefore, he formulated Pingqi San (Calming Qi Powder). As stated in the *Neijing* (Inner Canon): "The Lung dislikes rebellious Qi; urgently consume bitter substances to drain it." Bai Qianniu (Bitter Morning Glory Seed) is bitter and cold, capable of draining damp-heat from the Qi level that attacks upward causing wheezing and fullness; thus, two liang were used, half raw and half processed, as the Sovereign herb. Chenpi (Aged Tangerine Peel) is bitter and warm, with a light and floating nature, able to regulate Lung Qi; five qian were used. Qingpi (Green Tangerine Peel) is bitter and acrid, neutral in nature, able to disperse stagnant Qi in the Lung; three qian were used. These two served as Minister herbs. Binglang (Areca Seed) is acrid and warm, with a heavy nature, able to descend phlegm and Qi; three qian were also used. Dahuang (Rhubarb Root) is bitter and cold, capable of scouring away accumulated fullness and excess; seven qian were used as the Envoy herb. The herbs were powdered, and three qian were taken each time, mixed with ginger decoction. After two doses, the wheezing ceased. Only chest and diaphragmatic discomfort remained, accompanied by irritability, heat sensation, dry mouth, and occasional coughing. Subsequently, Xiebai San (Draining White Powder) was administered with additions of Zhimu (Anemarrhena Rhizome), Huangqin (Scutellaria Root), Jiegeng (Platycodon Root), and Qingpi (Green Tangerine Peel), resulting in complete recovery.

Cheng Mingyou treated Zhang Bing's middle-fullness and wheezing. Other physicians prescribed Fenxin Qi Yin (Dividing Heart Qi Decoction) and Zhouche Wan (Boat Cart Pill), but the wheezing worsened. Another physician diagnosed it as Qi deficiency and treated it with Ginseng and other tonics, leading to critical wheezing and near-death state. Cheng examined the pulse, finding it deep and slippery, and said, "This is a Phlegm disease." Phlegm stagnates in the meridians, causing organ blockage, leading to distension and wheezing. He administered Gutan Wan (Rolling Phlegm Pill). Upon the first dose, thunderous sounds were heard in the abdomen. After the second dose, several egg-sized masses of phlegm were expelled. After the third dose, the wheezing stabilized and breathing normalized. Subsequently, Shenling Pingwei San (Ginseng, Poria, and Stomach-Calming Powder) was modified and administered. Within thirty days, the patient recovered.

A wealthy merchant, who was usually robust, suddenly suffered from wheezing and fullness without coughing or expectorating phlegm. Over time, his legs, feet, and scrotum became severely edematous. He could only sit leaning against something to breathe, exhausted and extremely fatigued. Wang Zhongyang stated, "This is not a Water syndrome." It is merely败痰 (decayed phlegm) in the chest and diaphragm, suitable for treatment with Gutan Wan (Rolling Phlegm Pill). The patient did not believe this and opted for acupuncture drainage of water, enduring much suffering. More than a year later, he suddenly vomited foul-smelling phlegm and visited Wang again. Wang prescribed Longnao Gao (Borneol Paste). The patient recovered before finishing the course.

Yu Zhen commented: Distension accompanied by wheezing indicates a severe and urgent Heat pathology. It certainly cannot be treated with mild agents. These three cases illustrate the treatment of Excess syndromes. If it were a Deficiency-Cold syndrome, one should heavily use Guizhi (Cinnamon Twig) and Fuzi (Prepared Aconite Root). Formulas such as Tianzhen Wan (True Origin Pill), Heixi Dan (Black Tin Elixir), and Jin Ye Dan (Golden Fluid Elixir) can be inferred analogously. One must not consider Wuzi Wupi San (Five Seeds and Five Skins Powder), Chenxiang (Agarwood), or Jiaomu (Zanthoxylum Seed) as safe or standard methods.

Shen Zongchang treated a patient from Luling who suffered from distension and wheezing, unable to swallow food for three days. The pulse showed no other abnormalities. Asking about diet, the patient replied that he had recently consumed sheep fat. Shen said, "The cause is identified." Fat congeals when cold; it requires warming and moxibustion/irrigation to resolve. By applying warmth, the patient achieved free movement of bowels and recovered.

Yu Zhen commented: This case, compared to Shen Chengzhuang's treatment of the Prince of Su who fell ill due to excessive consumption of milk and cheese, cured by frequent drinking of strong tea, differs in style. Shen Chengzhang's approach was like Zhaowen playing the lute—subtle and refined; Shen Zongchang's approach was like Shikuang using his cane—keen and insightful.