论曰虚劳咳嗽者，以肺伤胃弱，营卫衰微，气不温充故也，肺主气，为五脏之盖，其脉
环循胃口，肺脏劳伤，则令人咳嗽上气，或唾脓血，寒热潮作，面赤口干，偏卧喜汗，不能
饮食，肌肤消瘦是也。
治虚劳咳嗽，胸满气急，发热羸瘦，鳖甲汤方
鳖甲（去裙 醋炙黄） 柴胡（去苗） 杏仁（汤浸去皮尖双仁麸炒） 桃仁（汤浸去
皮尖双
仁麸炒） 款冬花 甘草（炙锉） 贝母（去心） 知母（焙各一两） 皂荚（去皮子酥炙
一分）
上九味，粗捣筛，每服三钱匕，水一盏，入小麦五十粒，乌梅一个，煎至七分，去滓温
服。
治虚劳咳嗽，日久不瘥，保命丸方
蛤蚧（一枚如丈夫患用雄者腰上一截女人患用雌者腰下一截酥炙） 皂荚（不 者酥炙
去
皮子两梃） 款冬花 杏仁（去皮尖童子小便浸一复时控干蜜炒） 木香 天麻 干地黄（熟
者
如黑饧研焙） 半夏（汤洗去滑二七遍焙） 五味子（各一分） 丁香（半分）
上一十味，捣罗为末，炼蜜丸梧桐子大，每服食后、生姜汤下十五丸，加至二十丸。
治虚劳咳嗽，痰唾不利，喘急胸满，呀呷有声，饮食不进，蛤蚧汤方
蛤蚧（酥炙去爪一对） 人参（一两） 杏仁（汤浸去皮尖研五两） 白茯苓（去黑皮
一两）
甘草（炙锉四两） 桑根白皮（米泔浸一宿锉焙一两）
上六味，粗捣筛，每服三钱匕，水一盏，入生姜三片，同煎至六分，去滓温服，空心夜
卧各一。
治虚劳咳嗽喘急，涕唾稠粘，心膈满闷，驱劳汤方
秦艽（去苗土） 柴胡（去苗） 白茯苓（去黑皮） 鳖甲（去裙 醋炙各半两） 贝
母（去心）
夏（姜汁浸三日
汤洗切焙各一分） 诃黎勒皮（三枚） 杏仁（汤洗去皮尖双仁研一两）
上一十四味，粗捣筛，每服五钱匕，水一盏半，入生姜五片，同煎至八分，去滓温服。
治虚劳喘嗽，寒热盗汗，秦艽汤方
秦艽（去苗土） 甘草（炙锉各一两） 桂（去粗皮） 柴胡（去苗） 当归（切焙各
半两）
上五味，粗捣筛，每服三钱匕，水一盏，入生姜二片，乌梅并枣各一枚劈破，同煎至七
分，去滓温服。
治虚劳咳嗽，白茯苓汤方
白茯苓（去黑皮） 五灵脂 白芷（微炒各一两） 黄明胶（两片重一两者炙令燥）
上四味，粗捣筛，每服三钱匕，水一盏，煎至八分，去滓入蜜少许，更煎两沸，放温细
呷服、不计时。
治虚劳咳嗽，肠鸣滑泄，紫菀汤方
紫菀（去土半两） 柴胡（去苗一两） 附子（炮裂去皮脐半两） 苍术（米泔浸一宿
切片焙
干） 赤芍药（各一两） 肉豆蔻（去壳） 人参（各半两）
上七味，锉如麻豆，每服三钱匕，水一盏，煎至六分，去滓不计时温服。
治虚劳咳嗽，气喘颊赤，心忪烦躁，两胁胀闷，肌瘦少力，不思饮食，柴胡饮方
柴胡（去苗半两） 白术 赤茯苓（去黑皮） 鳖甲（去裙 醋炙各一分半） 知母（切
焙）
上七味，粗捣筛，每服三钱匕，水一盏，煎至半盏，去滓温服，早晨日午夜卧，各一服
治虚劳发热咳嗽，七味汤方
柴胡（去苗） 浓朴（去粗皮姜汁炙各二两） 甘草（炙） 桂（去粗皮） 麻黄（去
根节） 陈
上七味，粗捣筛，每服三钱匕，水一盏，入生姜三片，枣二枚，同煎至七分，去滓温服
治虚劳咳嗽不止，时发寒热，涕唾稠浊，秦艽饮方
秦艽（去苗土） 柴胡（去苗） 贝母（去心焙） 桔梗（炒各一两） 甘草（炙锉三
分） 诃黎勒（煨去核一两半） 陈橘皮（汤浸去白焙） 麻黄（去根节各一两）
上八味，粗捣筛，每服三钱匕，用童子小便一盏，入乌梅一个，同煎至七分，去滓温服，
空心食前服。
治虚劳咳嗽，发热羸瘦，阿胶丸方
阿胶（炙令燥） 熟干地黄（焙） 山芋（各一两） 羚羊角屑 柏子仁（研） 茯神
（去木）
参（各三分） 蛤
上一十四味，捣罗为末，炼蜜和丸，弹子大，每服一丸，水八分，煎至六分，放温时时
细呷服，食后夜卧各一。
治虚劳咳嗽喘满，食少胁痛，时发寒热，地骨皮丸方
地骨皮 白槟榔（煨锉） 桔梗（炒） 麦门冬（去心焙各一两半） 茯神（去木） 百
合诃黎勒（煨取皮） 人参 甘草（炙锉各一两） 熟干地黄（焙） 赤芍药（各二两）
上一十一味，捣罗为末，炼蜜和丸，梧桐子大，每空腹煎黄 汤，下二十丸，日三服。
Discussion states: Consumption cough arises from damage to the Lung and weakness of the Stomach, leading to a decline in Ying (Nutrient) and Wei (Defensive) Qi, such that Yang Qi fails to warm and nourish. The Lung governs Qi and serves as the canopy over the five Zang organs; its meridian circles around the stomach opening. When the Lung is injured by consumption, it causes coughing and rebellious Qi ascending, or expectoration of pus and blood, alternating chills and fever, flushed face and dry mouth, preference for lying on one side with spontaneous sweating, inability to eat, and emaciation of skin and muscles. This is what constitutes consumption cough.
To treat consumption cough accompanied by chest fullness, shortness of breath, fever, and emaciation, use Biejia Tang (Turtle Shell Decoction):
Bie Jia (Tartaric Testudinis Carapax et Plastrum, removed skirt, vinegar-fried until yellow), 1 liang; Chai Hu (Bupleuri Radix, removed sprouts), 1 liang; Xing Ren (Armeniacae Semen Amarum, soaked in hot water, skin and tips removed, double-kernel bran-fried), 1 liang; Tao Ren (Persicae Semen, soaked in hot water, skin and tips removed, double-kernel bran-fried), 1 liang; Kuan Dong Hua (Farflos Farfarae), 1 liang; Gan Cao (Glycyrrhizae Radix et Rhizoma, fried and crushed), 1 liang; Bei Mu (Fritillariae Bulbus, removed heart), 1 liang; Zhi Mu (Anemarrhenae Rhizoma, baked), 1 liang; Zao Jiao (Gleditsiae Fructus, skin and seeds removed, fried with lard), 1 fen.
The above nine ingredients are coarsely pounded and sifted. Each dose consists of 3 qian bi, decocted with 1 zhan of water, 50 grains of Xiao Mai (Tritici Fructus Usitatus), and 1 Wu Mei (Mume Fructus), until reduced to 7/10 volume. Strain and take warm.
To treat consumption cough that persists for a long time without recovery, use Baoming Wan (Life-Preserving Pill):
Ge Jie (Gekkonis, one piece: if male patient, use male tail segment above waist; if female patient, use female tail segment below waist, fried with lard), 2 ting; Zao Jiao (Gleditsiae Fructus, sound pieces, fried with lard, skin and seeds removed, 2 ting), 2 ting; Kuan Dong Hua (Farflos Farfarae), 1 liang; Xing Ren (Armeniacae Semen Amarum, skin and tips removed, soaked in urine of young boy for one shi period, drained, honey-fried), 1 liang; Mu Xiang (Aucklandiae Radix), 1 fen; Tian Ma (Gastrodiae Rhizoma), 1 fen; Di Huang (Rehmanniae Radix Praeparata, ripe like black malt syrup, ground and baked), 1 fen; Ban Xia (Pinelliae Rhizoma, washed in hot water to remove slipperiness, washed seven times, baked), 1 fen; Wu Wei Zi (Schisandrae Fructus), 1 fen; Ding Xiang (Caryophylli Flos), 0.5 fen.
The above ten ingredients are pounded and sieved into powder. Mix with refined honey to make pills the size of paulownia seeds. Take 15 pills after meals with Sheng Jiang (Zingiberis Rhizoma Recens) decoction, increasing up to 20 pills.
To treat consumption cough with difficult expectoration, panting and urgency, chest fullness, audible wheezing sounds, and loss of appetite, use Ge Jie Tang (Gecko Decoction):
Ge Jie (Gekkonis, fried with lard, claws removed), 1 pair; Ren Shen (Ginseng Radix et Rhizoma), 1 liang; Xing Ren (Armeniacae Semen Amarum, soaked in hot water, skin and tips removed, ground), 5 liang; Bai Fu Ling (Poria, removed black skin), 1 liang; Gan Cao (Glycyrrhizae Radix et Rhizoma, fried and crushed), 4 liang; Sang Bai Pi (Mori Cortex, soaked in rice wash overnight, crushed and baked), 1 liang.
The above six ingredients are coarsely pounded and sifted. Each dose consists of 3 qian bi, decocted with 1 zhan of water and 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), until reduced to 6/10 volume. Strain and take warm, once on an empty stomach and once before sleep.
To treat consumption cough with panting and urgency, thick and sticky nasal discharge and saliva, and fullness/stuffiness in the heart and diaphragm, use Qulao Tang (Expel-Consumption Decoction):
Qin Jiao (Gentianae Macrophyllae Radix, removed sprouts and soil), 0.5 liang; Chai Hu (Bupleuri Radix, removed sprouts), 0.5 liang; Bai Fu Ling (Poria, removed black skin), 0.5 liang; Bie Jia (Tartaric Testudinis Carapax et Plastrum, removed skirt, vinegar-fried), 0.5 liang; Bei Mu (Fritillariae Bulbus, removed heart), 1 fen; Ban Xia (Pinelliae Rhizoma, soaked in ginger juice for three days, washed in hot water, cut, and baked), 1 fen; He Li Le (Terminaliae Chebulae Fructus, peel only), 3 pieces; Xing Ren (Armeniacae Semen Amarum, washed in hot water, skin and tips removed, double-kernel, ground), 1 liang.
The above fourteen ingredients are coarsely pounded and sifted. Each dose consists of 5 qian bi, decocted with 1.5 zhan of water and 5 slices of Sheng Jiang (Zingiberis Rhizoma Recens), until reduced to 8/10 volume. Strain and take warm.
To treat consumption with panting and cough, chills and fever, and night sweats, use Qin Jiao Tang (Qin Jiao Decoction):
Qin Jiao (Gentianae Macrophyllae Radix, removed sprouts and soil), 1 liang; Gan Cao (Glycyrrhizae Radix et Rhizoma, fried and crushed), 1 liang; Gui Zhi (Cinnamomi Ramulus, removed rough bark), 0.5 liang; Chai Hu (Bupleuri Radix, removed sprouts), 0.5 liang; Dang Gui (Angelicae Sinensis Radix, sliced and baked), 0.5 liang.
The above five ingredients are coarsely pounded and sifted. Each dose consists of 3 qian bi, decocted with 1 zhan of water, 2 slices of Sheng Jiang (Zingiberis Rhizoma Recens), 1 Wu Mei (Mume Fructus), and 1 Da Zao (Jujubae Fructus, split), until reduced to 7/10 volume. Strain and take warm.
To treat consumption cough, use Bai Fu Ling Tang (Poria Decoction):
Bai Fu Ling (Poria, removed black skin), 1 liang; Wu Ling Zhi (Trogopterori Faeces), 1 liang; Bai Zhi (Angelicae Dahuricae Radix, lightly fried), 1 liang; Huang Ming Jiao (Corii Asini Colla, two pieces weighing 1 liang, fried until dry).
The above four ingredients are coarsely pounded and sifted. Each dose consists of 3 qian bi, decocted with 1 zhan of water until reduced to 8/10 volume. Strain, add a small amount of honey, boil twice more, let cool to warm, and sip slowly. No fixed time.
To treat consumption cough with borborygmus and loose stools, use Zi Wan Tang (Aster Decoction):
Zi Wan (Asteris Radix, cleaned of soil), 0.5 liang; Chai Hu (Bupleuri Radix, removed sprouts), 1 liang; Fu Zi (Aconiti Lateralis Radix Praeparata, roasted, cracked, skin and navel removed), 0.5 liang; Cang Zhu (Atractylodis Rhizoma, soaked in rice wash overnight, sliced and baked dry), 1 liang; Chi Shao Yao (Paeoniae Radix Rubra), 1 liang; Rou Dou Kou (Myristicae Semen, shell removed), 0.5 liang; Ren Shen (Ginseng Radix et Rhizoma), 0.5 liang.
The above seven ingredients are chopped like hemp seeds. Each dose consists of 3 qian bi, decocted with 1 zhan of water until reduced to 6/10 volume. Strain and take warm at any time.
To treat consumption cough with panting, flushed cheeks, palpitations, irritability, distension and stuffiness in both hypochondria, emaciation, weakness, and lack of appetite, use Chai Hu Yin (Chai Hu Infusion):
Chai Hu (Bupleuri Radix, removed sprouts), 0.5 liang; Bai Zhu (Atractylodis Macrocephalae Rhizoma), 1.5 fen; Chi Fu Ling (Poria, removed black skin), 1.5 fen; Bie Jia (Tartaric Testudinis Carapax et Plastrum, removed skirt, vinegar-fried), 1.5 fen; Zhi Mu (Anemarrhenae Rhizoma, sliced and baked), 1.5 fen.
The above seven ingredients are coarsely pounded and sifted. Each dose consists of 3 qian bi, decocted with 1 zhan of water until reduced to half a zhan. Strain and take warm, once at midday and once at midnight.
To treat consumption with fever and cough, use Qi Wei Tang (Seven-Ingredient Decoction):
Chai Hu (Bupleuri Radix, removed sprouts), 2 liang; Hou Po (Magnoliae Officinalis Cortex, removed rough bark, ginger juice-fried), 2 liang; Gan Cao (Glycyrrhizae Radix et Rhizoma, fried), 2 liang; Gui Zhi (Cinnamomi Ramulus, removed rough bark), 2 liang; Ma Huang (Ephedrae Herba, removed roots and joints), 2 liang; Chen Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, baked), 2 liang; Sheng Jiang (Zingiberis Rhizoma Recens, sliced), 3 liang.
The above seven ingredients are coarsely pounded and sifted. Each dose consists of 3 qian bi, decocted with 1 zhan of water, 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), and 2 Da Zao (Jujubae Fructus), until reduced to 7/10 volume. Strain and take warm.
To treat persistent consumption cough with intermittent chills and fever, and thick turbid nasal discharge and saliva, use Qin Jiao Yin (Qin Jiao Infusion):
Qin Jiao (Gentianae Macrophyllae Radix, removed sprouts and soil), 1 liang; Chai Hu (Bupleuri Radix, removed sprouts), 1 liang; Bei Mu (Fritillariae Bulbus, removed heart and baked), 1 liang; Jie Geng (Platycodonis Radix, fried), 1 liang; Gan Cao (Glycyrrhizae Radix et Rhizoma, fried and crushed), 3 fen; He Li Le (Terminaliae Chebulae Fructus, baked, pit removed), 1.5 liang; Chen Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, baked), 1 liang; Ma Huang (Ephedrae Herba, removed roots and joints), 1 liang.
The above eight ingredients are coarsely pounded and sifted. Each dose consists of 3 qian bi, decocted with 1 zhan of urine from a young boy and 1 Wu Mei (Mume Fructus), until reduced to 7/10 volume. Strain and take warm, on an empty stomach or before meals.
To treat consumption cough with fever and emaciation, use Ejiao Wan (Donkey-Hide Gelatin Pill):
E Jiao (Corii Asini Colla, fried until dry), 1 liang; Shu Di Huang (Rehmanniae Radix Praeparata, baked), 1 liang; Shan Yu (Dioscoreae Rhizoma), 1 liang; Ling Yang Jiao (Saigae Tataricae Cornu), 3 fen; Bai Zi Ren (Biotae Semen, ground), 3 fen; Fu Shen (Poria cum Radice, removed wood), 3 fen; Ren Shen (Ginseng Radix et Rhizoma), 3 fen; Ge Jie (Gekkonis, fried with lard), 3 fen.
The above fourteen ingredients are pounded and sieved into powder. Mix with refined honey to make pills the size of a bullet. Take one pill each time, decocted with 8/10 zhan of water until reduced to 6/10 volume. Let cool to warm and sip slowly at intervals, once after meals and once before sleep.
To treat consumption cough with panting and chest fullness, poor appetite, hypochondriac pain, and intermittent chills and fever, use Digupi Wan (Digut皮的 Pill):
Di Gu Pi (Lycii Cortex), 2 liang; Bai Bing Lang (Arecae Betel Semen, baked and crushed), 1.5 liang; Jie Geng (Platycodonis Radix, fried), 1.5 liang; Mai Men Dong (Ophiopogonis Radix, removed heart and baked), 1.5 liang; Fu Shen (Poria cum Radice, removed wood), 1 liang; Bai He (Lilii Bulbus), 1 liang; He Li Le (Terminaliae Chebulae Fructus, baked, peel taken), 1 liang; Ren Shen (Ginseng Radix et Rhizoma), 1 liang; Gan Cao (Glycyrrhizae Radix et Rhizoma, fried and crushed), 1 liang; Shu Di Huang (Rehmanniae Radix Praeparata, baked), 2 liang; Chi Shao Yao (Paeoniae Radix Rubra), 2 liang.
The above eleven ingredients are pounded and sieved into powder. Mix with refined honey to make pills the size of paulownia seeds. Take 20 pills on an empty stomach with Huang Jiu (Yellow Wine), three times daily.