论曰气极之病，本于肺，肺主气，以应皮毛，若肺有病，则发于气，故气为之极，所谓
气极者，五脏内虚，邪气多，正气少，不欲言是也，然气有极实热，有极虚寒，皆因肺受邪
气，阴伤则虚寒，虚寒故咳逆短气，昼瘥暮甚，阳伤则实热，实热故气喘胸满不得息，甚则
唾血，治法宜以阳调阴，以阴调阳，治其微为善。
治气极虚寒，咳逆短气，昼瘥暮甚，兼治百病，令人强壮，能食饮，去风冷，钟乳散方
钟乳（研） 干姜（炮） 桔梗（炒） 白茯苓（去黑皮） 细辛（去苗叶） 桂（去
粗皮） 附子（炮裂去皮脐） 人参（各一两一分） 白术 防风（去叉） 牡蛎（ 研如
粉） 栝蒌根（各二两半）
上一十二味，捣研为细散，每服二钱匕，食前温酒调下、日三。
治气极虚寒，皮毛焦，津液不通，虚劳百病，气力损乏，黄 汤方
黄 （锉二两） 人参 白术 桂（去粗皮各一两）
上四味，粗捣筛，每服三钱匕，水一盏，入生姜半枣大拍碎，枣二枚去核，煎至七分，
去滓温服，空腹夜卧各一，一方加附子一枚，炮裂去皮脐。
治气极寒，喘咳短气，胸中迫急，五味子汤方
五味子（炒） 甘草（炙锉） 紫菀（去苗土） 桂（去粗皮） 麻黄（去根节） 干
姜（炮） 芎
上八味，粗捣筛 每服五钱匕，水一盏半，枣二枚去核，同煎至一盏，去滓空腹夜卧，
各一服。
治气极热，肺虚多汗，咳唾上气喘急，麻黄汤方
麻黄（去根节二两） 甘草（生锉） 桂（去粗皮） 芎 （各一两） 杏仁（十五枚
汤去皮尖
上五味，粗捣筛四味，入研杏仁拌匀，每用五钱匕，以水一盏半，煎至一盏，去滓分温
二服，空腹夜卧各一。
治气极伤热，气喘唾血，气短不欲食，口燥咽干，麦冬竹叶汤方
麦门冬（去心三两） 小麦（一合） 麻黄（去根节一两半） 甘草（锉一两） 石膏
（碎三分）
上五味，粗捣筛，每用五钱匕，水一盏半，入生姜一枣大拍碎，枣二枚去核，竹叶五片，
生地黄半分锉碎，同煎至一盏，去滓分温二服，空腹夜卧各一。
治气极伤热，喘息冲胸，常欲恚怒，心腹满痛，内外有热，烦呕不安，前胡汤方
前胡（去芦头一两） 半夏（汤洗去滑焙） 麻黄（去根节） 芍药（各半两） 枳实
（去瓤麸
上六味，粗捣筛，每服五钱匕，水一盏半，入生姜一枣大拍碎，枣二枚去核，煎至八分，
去滓温服，日三，不计时候。
治肺脏气极，风热所伤，津液不通，甘露丸方
甘草（炙锉） 地黄金粉 大黄（蒸锉焙） 天门冬（去心焙各一两） 防风（去叉） 远
志（
参羚羊角
上一十三味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，食后姜蜜汤下。
治气极虚寒，皮毛枯燥，津液不通，黄 汤方
黄 （锉炒） 人参 白术（炒） 桂（去粗皮） 赤茯苓（去黑皮） 附子（炮裂去
皮脐） 麻黄（去节） 柴胡（去苗） 半夏（汤洗去滑焙） 甘草（炙锉） 桔梗（锉炒
各一两）
上一十一味，锉如麻豆，每服五钱匕，以水一盏半，入生姜五片，煎取八分，去滓温服
治气极虚寒皮痹，天麻丸方
天麻（酒炙锉焙） 干姜（炮） 桂（去粗皮） 桔梗（切焙） 附子（炮裂去皮脐各
一两） 木
辛（去苗叶各半
上一十一味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，薄荷茶下。
Discourse states: The disease of Qi Extreme (Qi Ji) originates in the Lung. The Lung governs Qi and corresponds to the skin and hair. If the Lung is diseased, it manifests as an abnormality of Qi, thus causing Qi to reach its extreme. What is referred to as Qi Extreme is characterized by internal deficiency of the five Zang organs, abundant pathogenic factors, and deficient righteous Qi, presenting as a reluctance to speak. However, Qi Extreme can be either extreme excess-heat or extreme deficiency-cold. Both result from the Lung being invaded by pathogenic factors. Damage to Yin fluids leads to deficiency-cold, manifesting as cough with counterflow Qi, shortness of breath, symptoms that improve during the day and worsen at night; damage to Yang Qi leads to excess-heat, manifesting as panting, chest fullness, and dyspnea, and in severe cases, hemoptysis. The treatment method should employ Yang to regulate Yin and Yin to regulate Yang; treating when the condition is mild is optimal.
For treating Qi Extreme deficiency-cold, cough with counterflow Qi, shortness of breath, symptoms improving during the day and worsening at night, and for managing various diseases to strengthen the body, promote appetite and drinking, and dispel wind-cold, Zhongru San (Stalactite Powder) formula:
Zhongru (Stalactite, pulverized), Ganjiang (Dried Ginger, processed), Jiegeng (Platycodon Root, stir-fried), Baifuling (Poria, black skin removed), Xixin (Asarum, seedlings and leaves removed), Gui (Cinnamon Twig, coarse bark removed), Fuzi (Prepared Aconite Root, processed, cracked, skin and umbilicus removed), Renshen (Ginseng Root) [each 1 liang 1 fen], Baizhu (Atractylodes Macrocephala Rhizome), Fangfeng (Saposhnikovia Root, forked parts removed), Muli (Oyster Shell, ground into powder), Gualougen (Trichosanthes Root) [each 2 liang 5 qian].
The above twelve ingredients are pounded and ground into a fine powder. Each dose consists of 2 qian bi (approx. 6g), taken before meals mixed with warm wine, three times daily.
For treating Qi Extreme deficiency-cold, scorched skin and hair, blocked fluid metabolism, consumptive disorders with various ailments, loss of strength and vitality, Huangqi Tang (Astragalus Decoction):
Huangqi (Astragalus Root, cut into pieces, 2 liang), Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Gui (Cinnamon Twig, coarse bark removed) [each 1 liang].
The above four ingredients are coarsely crushed and sifted. Each dose consists of 3 qian bi (approx. 9g), decocted with one zhan (approx. 200ml) of water, half a date-sized piece of Shengjiang (Fresh Ginger, smashed), and two Zao (Jujube Dates, pitted). Decoct until reduced to 70%, strain, and take warm. Take on an empty stomach and before sleep. An alternative prescription adds one Fuzi (Prepared Aconite Root), processed, cracked, skin and umbilicus removed.
For treating Qi Extreme cold syndrome, panting, cough, shortness of breath, and chest tightness/worry, Wuweizi Tang (Schisandra Decoction):
Wuweizi (Schisandra Fruit, stir-fried), Gancao (Licorice Root, honey-fried and cut), Ziwan (Aster Root, seedlings and soil removed), Gui (Cinnamon Twig, coarse bark removed), Mahuang (Ephedra Stem, roots and nodes removed), Ganjiang (Dried Ginger, processed), Xiong (Ligusticum Chuanxiong Rhizome).
The above eight ingredients are coarsely crushed and sifted. Each dose consists of 5 qian bi (approx. 15g), decocted with 1.5 zhan (approx. 300ml) of water and two Zao (Jujube Dates, pitted). Decoct until reduced to one zhan, strain, and take on an empty stomach and before sleep.
For treating Qi Extreme heat syndrome, Lung deficiency with excessive sweating, cough with expectoration, upper body panting and urgency, Mahuang Tang (Ephedra Decoction):
Mahuang (Ephedra Stem, roots and nodes removed, 2 liang), Gancao (Licorice Root, raw and cut), Gui (Cinnamon Twig, coarse bark removed), Xiong (Ligusticum Chuanxiong Rhizome) [each 1 liang], Xingren (Apricot Seed, fifteen seeds, blanched and skin/point removed).
The above five ingredients: coarsely crush and sift four ingredients, mix evenly with ground Xingren (Apricot Seed). Use 5 qian bi (approx. 15g) per dose, decoct with 1.5 zhan (approx. 300ml) of water until reduced to one zhan, strain, and divide into two warm doses. Take on an empty stomach and before sleep.
For treating Qi Extreme injuring heat, panting, hemoptysis, shortness of breath, anorexia, dry mouth and throat, Maidong Zhuye Tang (Ophiopogon and Bamboo Leaf Decoction):
Maidong (Ophiopogon Tuber, heart removed, 3 liang), Xiaomai (Common Wheat, one he), Mahuang (Ephedra Stem, roots and nodes removed, 1.5 liang), Gancao (Licorice Root, cut, 1 liang), Shigao (Gypsum Fibrosum, crushed, 3 fen).
The above five ingredients are coarsely crushed and sifted. Use 5 qian bi (approx. 15g) per dose, decoct with 1.5 zhan (approx. 300ml) of water, add one date-sized piece of Shengjiang (Fresh Ginger, smashed), two Zao (Jujube Dates, pitted), five Zhu Ye (Bamboo Leaves), and Banfen (approx. 1.5g) of Shengdihuang (Rehmannia Root, cut and crushed). Decoct until reduced to one zhan, strain, and divide into two warm doses. Take on an empty stomach and before sleep.
For treating Qi Extreme injuring heat, panting rushing to the chest, frequent irritability, abdominal fullness and pain, internal and external heat, restlessness, vomiting, and insecurity, Qianhu Tang (Peucedanum Decoction):
Qianhu (Peucedanum Root, rhizome removed, 1 liang), Banxia (Pinellia Tuber, washed in hot water to remove slipperiness and baked), Mahuang (Ephedra Stem, roots and nodes removed), Shaoyao (Peony Root) [each banliang approx. 0.5 liang], Zhishi (Immature Bitter Orange, pulp and bran removed).
The above six ingredients are coarsely crushed and sifted. Each dose consists of 5 qian bi (approx. 15g), decocted with 1.5 zhan (approx. 300ml) of water, one date-sized piece of Shengjiang (Fresh Ginger, smashed), and two Zao (Jujube Dates, pitted). Decoct until reduced to 80%, strain, and take warm. Three times daily, regardless of meal times.
For treating Lung organ Qi Extreme, injured by wind-heat, with blocked fluid metabolism, Ganlu Wan (Sweet Dew Pill) formula:
Gancao (Licorice Root, honey-fried and cut), Dihuang (Rehmannia Root, powdered), Dahuang (Rhubarb Root and Rhizome, steamed, cut, and baked), Tiandongmen (Asparagus Tuber, heart removed and baked) [each 1 liang], Fangfeng (Saposhnikovia Root, forked parts removed), Yuanzhi (Polygala Root), Renshen (Ginseng Root), Lingyangjiao (Antelope Horn).
The above thirteen ingredients are pounded, sieved into powder, and mixed with refined honey to form pills the size of Sophora seeds. Each dose consists of 20 pills, taken after meals with ginger-honey water.
For treating Qi Extreme deficiency-cold, dry and rough skin and hair, blocked fluid metabolism, Huangqi Tang (Astragalus Decoction):
Huangqi (Astragalus Root, cut and stir-fried), Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome, stir-fried), Gui (Cinnamon Twig, coarse bark removed), Chifuling (Red Poria, black skin removed), Fuzi (Prepared Aconite Root, processed, cracked, skin and umbilicus removed), Mahuang (Ephedra Stem, nodes removed), Chaihu (Bupleurum Root, seedlings removed), Banxia (Pinellia Tuber, washed in hot water to remove slipperiness and baked), Gancao (Licorice Root, honey-fried and cut), Jiegeng (Platycodon Root, cut and stir-fried) [each 1 liang].
The above eleven ingredients are cut like hemp seeds. Each dose consists of 5 qian bi (approx. 15g), decocted with 1.5 zhan (approx. 300ml) of water and five slices of Shengjiang (Fresh Ginger). Decoct until reduced to 80%, strain, and take warm.
For treating Qi Extreme deficiency-cold with Pi Bi (Skin Obstruction), Tianma Wan (Gastrodia Pill) formula:
Tianma (Gastrodia Rhizome, wine-processed, cut and baked), Ganjiang (Dried Ginger, processed), Gui (Cinnamon Twig, coarse bark removed), Jiegeng (Platycodon Root, sliced and baked), Fuzi (Prepared Aconite Root, processed, cracked, skin and umbilicus removed) [each 1 liang], Muxiang (Aucklandia Root), Xixin (Asarum, seedlings and leaves removed) [each banliang approx. 0.5 liang].
The above eleven ingredients are pounded, sieved into powder, and mixed with refined honey to form pills the size of Sophora seeds. Each dose consists of 20 pills, taken with mint tea.