论曰虚劳上气者，肺气虚弱，邪气盛实也，气聚于肺，则肺布叶举，上焦不通，气满胸
中，故为上气之疾。
治虚劳上气，胸膈不利，喘急咳唾稠粘，不思饮食，五味子汤方
五味子 诃黎勒皮 前胡（去芦头） 麦门冬（去心焙各一两） 人参 枳壳（去瓤麸
炒）
紫苏茎叶 大腹皮 甘草（炙锉各三分） 陈橘皮（汤浸去白焙） 半夏（汤浸去滑七遍各
半两
上一十一味，粗捣筛，每服三钱匕，水一盏，入生姜半分，煎至七分，去滓温服，不拘
时候。
治虚劳上气咳嗽，兼肺劳涕唾稠粘，及有脓血，皮肤干焦，作则寒作热，饮食不下，喘
息不调，日渐瘦悴，坐卧不得，半夏汤方
半夏（汤洗去滑焙） 桔梗（锉各三分） 槟榔（二枚煨锉） 桑根白皮（炙锉） 百
部（焙）
贝母（去心炒） 甘草（炙锉） 款冬花 吴茱萸（水浸一宿焙干炒） 紫菀（去苗土各半
两） 泽
漆叶 旋复花（各一分）
上一十二味，粗捣筛，每服三钱匕，水一盏，入生姜半分拍碎，枣二枚劈，煎至七分，
去滓空腹温服，日午夜卧再服。
治虚劳上气，咳嗽喘息不得卧，桑根白皮饮方
桑根白皮（锉） 木通（锉） 桔梗（锉炒） 紫苏（各一两半） 槟榔（二枚锉） 款
冬花 郁
李仁（炒去皮研各一两）
上七味，粗捣筛，每服三钱匕，水一盏，煎至六分，去滓食后温服，日再。
治虚劳上气，喘息不得安卧，咳唾面目虚浮，小便不利，黄 汤方
黄 （三分） 桑根白皮（炙） 柴胡（去苗） 赤芍药（炒） 赤茯苓（去黑皮各半
两） 陈橘
皮（汤浸去白焙） 麦门冬（去心焙） 恶实（微炒） 甘草（炙各三分）
上九味，各锉如麻豆大，每服五钱匕，水一盏半，煎取八分，去滓食后温服，夜卧再服
治虚劳上气咳嗽，白茯苓丸方
白茯苓（去黑皮） 贝母（去心） 五味子 紫菀（去苗土） 白术 百部根 杜蘅 麦
门冬
（去心焙） 人参 麻黄（去根节汤煮掠去沫） 杏仁（汤浸去皮尖双仁熬） 陈橘皮（汤
浸去白
焙） 桂（去粗皮等分）
上一十三味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，空腹米饮下，加至三十
丸，日再服。
治虚劳上气喘息，语声嘶嗄，桑白皮汤方
桑根白皮（炙锉） 白茯苓（去黑皮各一两半） 麻黄（去根节汤煮掠去沫一两一分） 杏
仁
（汤浸去皮尖双仁别研） 甘草（炙锉各一两）
上五味，粗捣筛，每服三钱匕，水一盏，入生姜半分拍碎，煎至七分，去滓温服，不拘
时候顿服。
治虚劳上气，喘促坐卧不安，陈橘皮丸方
陈橘皮（汤浸去白焙二两） 紫苏子（三分） 防己（半两） 桑根白皮（锉） 赤茯
苓（去黑
皮） 木通（锉） 郁李仁（汤浸去皮尖微炒） 甜葶苈（微炒各一两）
上八味，捣罗为散，炼蜜和丸，如梧桐子大，每服二十丸，生姜枣汤下，不拘时候。
治虚劳上气，胸中烦满，寒热减食，不得安卧，紫菀汤方
紫菀（去苗土） 五味子 前胡（去芦头） 陈橘皮（汤浸去白焙） 人参 白术 麦
门冬（
去心焙各一两） 桂（去粗皮三分） 甘草（炙锉半两）
上九味，粗捣筛，每服三钱匕，水一盏，入生姜三片，枣二枚劈破，煎取七分，去滓温
服，日三服。
治虚劳上气，心腹气胀，不能饮食，呕吐酸水，白术汤方
白术 人参 白茯苓（去黑皮） 诃黎勒皮 浓朴（去粗皮生姜汁炙各一两） 陈橘皮
（汤
浸去白焙） 槟榔（锉） 紫苏茎叶 桂（去粗皮各三分） 半夏（汤洗七遍去滑） 木香
（各半两
）
上一十一味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓入生姜汁少许，再煎至六
分，稍热服不拘时候。
Commentary states: The condition of deficiency consumption with upward qi (Xu Lao Shang Qi) is caused by deficiency and weakness of Lung Qi, combined with excess pathogenic factors. When Qi accumulates in the Lungs, the pulmonary lobes expand and elevate, causing obstruction in the Upper Jiao (Upper Burner). Consequently, Qi fills the chest, resulting in the disease of upward qi.
To treat deficiency consumption with upward qi, discomfort in the chest and diaphragm, rapid panting, coughing with thick and sticky sputum, and loss of appetite, use the Wuweizi Tang (Schisandra Decoction):
Wuweizi (Fructus Schisandrae Chinensis), Helilepi (Pericarpium Terminaliae Chebulae), Qianhu (Radix Peucedani), Maimendong (Radix Ophiopogonis Japonici, core removed and roasted) each 1 liang; Renshen (Radix Ginseng), Zhike (Fructus Aurantii Immaturus, albedo removed and stir-fried with bran), Zisu Jingye (Caulis et Folium Perillae), Dafupi (Pericarpium Arecae Fructus), Gancao (Radix Glycyrrhizae Preparata, roasted and cut) each 3 qian; Chenjupi (Exocarpium Citri Reticulatae, soaked in water, white pith removed and roasted), Banxia (Rhizoma Pinelliae Preparata, soaked in water to remove slipperiness, seven times) each 0.5 liang.
The above eleven ingredients are coarsely crushed and sieved. For each dose, take 3 qianbi (approx. 9-10g), add 1 zhan (approx. 200ml) of water and 0.5 fen of sliced fresh ginger. Decoct until reduced to 0.7 zhan. Strain and take warm at any time.
To treat deficiency consumption with upward qi and cough, accompanied by pulmonary consumption with thick sticky nasal discharge and sputum, presence of pus and blood, dry and scorched skin, alternating chills and fever upon onset, inability to swallow food, irregular breathing, progressive emaciation, restlessness in sitting and lying, use the Banxia Tang (Pinellia Decoction):
Banxia (Rhizoma Pinelliae Preparata, washed in water to remove slipperiness and roasted), Jiegeng (Radix Platycodonis Grandiflori, cut) each 3 qian; Binglang (Semen Arecae, two pieces, roasted and cut); Sangbaipí (Cortex Morus Radicis, roasted and cut); Bubu (Herba Stemonae, roasted); Beimu (Bulbus Fritillariae Cirrhosae, core removed and roasted); Gancao (Radix Glycyrrhizae Preparata, roasted and cut); Kuandonghua (Flos Farfarae); Wuzhuyu (Fructus Evodiae Routeae, soaked in water overnight, dried, roasted); Ziwan (Radix Asteris Tatarici, weeds and soil removed) each 0.5 liang; Zeqiye (Folium Euphorbiae Humifusae), Xuanfuhua (Flos Inulae Japonicae) each 1 fen.
The above twelve ingredients are coarsely crushed and sieved. For each dose, take 3 qianbi, add 1 zhan of water, 0.5 fen of smashed fresh ginger, and two split jujubes. Decoct until reduced to 0.7 zhan. Strain and take warm on an empty stomach. Repeat doses at midnight and late night.
To treat deficiency consumption with upward qi, coughing and panting with inability to lie flat, use the Sangbaipi Yin (Mulberry Root Bark Drink):
Sangbaipi (Cortex Morus Radicis, cut), Mutong (Caulis Akebiae Trifolatae, cut), Jiegeng (Radix Platycodonis Grandiflori, cut and roasted), Zisu (Folium Perillae) each 1.5 liang; Binglang (Semen Arecae, two pieces, cut); Kuandonghua (Flos Farfarae), Yuliren (Semen Pruni Armeniacae, roasted, peeled and ground) each 1 liang.
The above seven ingredients are coarsely crushed and sieved. For each dose, take 3 qianbi, add 1 zhan of water. Decoct until reduced to 0.6 zhan. Strain and take warm after meals. Twice daily.
To treat deficiency consumption with upward qi, panting with inability to lie comfortably, coughing with sputum, facial edema, and difficult urination, use the Huang [Missing Character] Tang (Note: Text implies Huangqi or Huangqin, context suggests Huangqin/Coptis or Scutellaria due to heat signs, but strictly follows text 'Huang'). *Correction based on standard texts*: Likely Huangqin (Scutellaria Root).
Huang [Qin] (Radix Scutellariae Baicalensis) 3 qian; Sangbaipi (Cortex Morus Radicis, roasted); Chaihu (Radix Bupleuri, weeds removed); Chishao Yao (Radix Paeoniae Rubra, roasted); Chifuling (Poria Cocos with Black Skin Removed) each 0.5 liang; Chenjupi (Exocarpium Citri Reticulatae, soaked, white pith removed and roasted); Maimendong (Radix Ophiopogonis Japonici, core removed and roasted); Eshi (Fructus Arctii Lappaee, lightly roasted); Gancao (Radix Glycyrrhizae Preparata, roasted) each 3 qian.
The above nine ingredients are cut into sizes similar to hemp seeds. For each dose, take 5 qianbi, add 1.5 zhan of water. Decoct until reduced to 0.8 zhan. Strain and take warm after meals. Repeat dose before sleep.
To treat deficiency consumption with upward qi and cough, use the Bai Fuling Wan (White Poria Pill):
Bai Fuling (Poria Cocos with Black Skin Removed), Beimu (Bulbus Fritillariae Cirrhosae, core removed), Wuweizi (Fructus Schisandrae Chinensis), Ziwan (Radix Asteris Tatarici, weeds and soil removed), Baizhu (Rhizoma Atractylodis Macrocephalae), Baibu Gen (Radix Stemonae Tuberosae), Duheng (Herba Dichondrae Micranthae), Maimendong (Radix Ophiopogonis Japonici, core removed and roasted), Renshen (Radix Ginseng), Mahuang (Herba Ephedrae, roots and joints removed, boiled in water and scum removed), Xingren (Semen Pruni Armeniacae, soaked in water, peeled and tips removed, double-kernel ones roasted), Chenjupi (Exocarpium Citri Reticulatae, soaked, white pith removed and roasted), Gui (Cortex Cinnamomi, outer bark removed) in equal parts.
The above thirteen ingredients are pounded and sifted into powder. Mix with refined honey to form pills the size of paulownia seeds. Take 20 pills per dose, swallowed with rice water on an empty stomach. Dosage may increase to 30 pills. Twice daily.
To treat deficiency consumption with upward qi and panting, hoarseness of voice, use the Sangbaipi Tang (Mulberry Root Bark Decoction):
Sangbaipi (Cortex Morus Radicis, roasted and cut), Bai Fuling (Poria Cocos with Black Skin Removed) each 1.5 liang; Mahuang (Herba Ephedrae, roots and joints removed, boiled in water and scum removed) 1 liang 1 fen; Xingren (Semen Pruni Armeniacae, soaked in water, peeled, tips removed, double-kernel ones separately ground); Gancao (Radix Glycyrrhizae Preparata, roasted and cut) each 1 liang.
The above five ingredients are coarsely crushed and sieved. For each dose, take 3 qianbi, add 1 zhan of water and 0.5 fen of smashed fresh ginger. Decoct until reduced to 0.7 zhan. Strain and take warm. Take as a single dose at any time.
To treat deficiency consumption with upward qi, panting with restlessness in sitting and lying, use the Chenjupi Wan (Aged Tangerine Peel Pill):
Chenjupi (Exocarpium Citri Reticulatae, soaked, white pith removed and roasted) 2 liang; Zisu Zi (Fructus Perillae, 3 qian); Fangji (Radix Stephaniae Tetrandrae) 0.5 liang; Sangbaipi (Cortex Morus Radicis, cut); Chifuling (Poria Cocos with Black Skin Removed); Mutong (Caulis Akebiae Trifolatae, cut); Yuliren (Semen Pruni Armeniacae, soaked, peeled, tips removed, lightly roasted); Tingli Zi (Semen Lepidii seu Descurainiae, lightly roasted) each 1 liang.
The above eight ingredients are pounded and sifted into powder. Mix with refined honey to form pills the size of paulownia seeds. Take 20 pills per dose, swallowed with decoction of fresh ginger and jujube. At any time.
To treat deficiency consumption with upward qi, irritability and fullness in the chest, alternating chills and fever, decreased appetite, and inability to lie comfortably, use the Ziwan Tang (Aster Root Decoction):
Ziwan (Radix Asteris Tatarici, weeds and soil removed), Wuweizi (Fructus Schisandrae Chinensis), Qianhu (Radix Peucedani, rhizome removed), Chenjupi (Exocarpium Citri Reticulatae, soaked, white pith removed and roasted), Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Maimendong (Radix Ophiopogonis Japonici, core removed and roasted) each 1 liang; Gui (Cortex Cinnamomi, outer bark removed) 3 qian; Gancao (Radix Glycyrrhizae Preparata, roasted and cut) 0.5 liang.
The above nine ingredients are coarsely crushed and sieved. For each dose, take 3 qianbi, add 1 zhan of water, three slices of fresh ginger, and two split jujubes. Decoct until reduced to 0.7 zhan. Strain and take warm. Three times daily.
To treat deficiency consumption with upward qi, abdominal distension, inability to eat, and vomiting of sour fluid, use the Baizhu Tang (Atractylodes Macrocephala Decoction):
Baizhu (Rhizoma Atractylodis Macrocephalae), Renshen (Radix Ginseng), Bai Fuling (Poria Cocos with Black Skin Removed), Helilepi (Pericarpium Terminaliae Chebulae), Houpo (Cortex Magnoliae Officinalis, outer bark removed, roasted with ginger juice) each 1 liang; Chenjupi (Exocarpium Citri Reticulatae, soaked, white pith removed and roasted); Binglang (Semen Arecae, cut); Zisu Jingye (Caulis et Folium Perillae); Gui (Cortex Cinnamomi, outer bark removed) each 3 qian; Banxia (Rhizoma Pinelliae Preparata, washed seven times in water to remove slipperiness); Muxiang (Radix Aucklandiae) each 0.5 liang.
The above eleven ingredients are coarsely crushed and sieved. For each dose, take 3 qianbi, add 1 zhan of water. Decoct until reduced to 0.7 zhan. Add a small amount of fresh ginger juice to the strained liquid, and decoct again until reduced to 0.6 zhan. Take warm when slightly hot. At any time.