（脉四首 方二十首 灸法三首）
肺实热
右手寸口气口以前脉阴实者，手太阴经也，病苦肺胀汗出若露，上气喘逆咽中塞如欲呕
状，名曰肺实热也。
治肺实热，胸凭仰息泄气除热方∶
石膏（八两） 白前 杏仁（各三两） 白术 橘皮（各五两） 枸杞根皮（切二升），
赤蜜（七
合）
上七味 咀，以水七升，煮取二升，去滓下蜜，煮三沸，分三服。
治肺热闷不止，胸中喘急惊悸，客热来去，欲死不堪，服药泄胸中喘气方∶
桃皮 芫花（各一升）
上二味 咀，以水四斗，煮取一斗五升，去滓，以故布手巾纳汁中，敷胸温四肢，不盈
数日即歇。
治肺热气上咳息奔喘方。
橘皮 麻黄 柴胡 干紫苏（《删繁》作干兰，各三两） 杏仁 宿姜（各四两） 石
膏（八
两）
上七味 咀，以水九升煮麻黄两沸，去沫，下药，煮取三升，去滓，分三服。不瘥与
两剂。
治肺热喘息鼻衄血方∶
羚羊角 元参 射干 鸡苏 芍药 升麻 柏皮（各三两） 生地（切一升） 栀子仁
（四
两） 淡竹茹（鸡子大一枚）
上十味 咀，以水九升，煮取三升，分三服。须利者下芒硝三两，更煮三沸。
治肺热饮酒当风，风入肺，胆气妄泄，目青气喘者方∶
麻黄（四两） 甘草 五味子（各三两） 杏仁（五十粒） 母姜（五两） 淡竹叶（切，
一升
上六味 咀，以水七升，先煮麻黄，去沫，下诸药，煮取三升，去滓，分三服。
(Four sections on pulse diagnosis, Twenty prescriptions, Three sections on moxibustion)
Lung Excess-Heat Syndrome
If the pulse at the "Qikou" (pulse-taking area) prior to the cun position of the right hand's Cun Kou is Yin-Shi (Excess), it indicates a disease of the Hand-Taiyin Lung Meridian. The patient suffers from lung distension, sweating profusely as if in a shower, rapid breathing with qi rebellion, a sensation of obstruction in the throat, and a state resembling the urge to vomit. This condition is named Lung Excess-Heat.
Prescription for treating Lung Excess-Heat, chest oppression requiring supine respiration, to vent qi and eliminate heat:
Shigao (Gypsum Fibrosum, 8 liang) Baiqian (Cynanchi Stauntonii Radix) Xingren (Armeniacae Semen Amarum, each 3 liang) Baizhu (Atractylodis Macrocephalae Rhizoma) Chupi (Citri Reticulatae Pericarpium, each 5 liang) Gouqigenpi (Phellodendri Cortex or Lycii Cortex, cut into pieces, 2 sheng),
Chimi (Red Honey, 7 he)
The above seven ingredients are crushed. Boil in 7 sheng of water until reduced to 2 sheng. Remove the dregs, add honey, boil for three more boils, and divide into three doses.
Prescription for treating persistent lung heat with chest stuffiness, rapid panting in the chest, palpitations, wandering external heat, extreme suffering, and medication to vent chest qi and panting:
Taopi (Pruni Persicae Cortex) Yuanhua (Genkwa Flos, each 1 sheng)
The above two ingredients are crushed. Boil in 4 dou of water until reduced to 1.5 dou. Remove the dregs. Soak an old cloth towel in the decoction, apply it to the chest to warm the limbs. Recovery will occur within a few days.
Prescription for treating lung heat causing qi rebellion, coughing, and rushing panting.
Chupi (Citri Reticulatae Pericarpium) Mahuang (Ephedrae Herba) Chaihu (Bupleuri Radix) Gan Zisu (Perillae Folium dried, each 3 liang; note: "Shanfan" version uses Gan Lan) Xingren (Armeniacae Semen Amarum) Sujiang (Old Ginger, each 4 liang) Shigao (Gypsum Fibrosum, 8 liang)
The above seven ingredients are crushed. Boil Mahuang in 9 sheng of water for two boils, remove the foam, then add the remaining herbs. Boil until 3 sheng remains. Remove dregs and divide into three doses. If not cured, administer two additional doses.
Prescription for treating lung heat with panting and epistaxis:
Lingyangjiao (Saiga Tataricae Cornu) Yuanshen (Scrophulariae Radix) Shegan (Belamcandae Rhizoma) Jisu (Elsholtziae Herba) Shaoyao (Paeoniae Radix) Shengma ( Cimicifugae Rhizoma) Bapi (Platycladi Cacumen, each 3 liang) Shengdi (Rehmanniae Radix Praeparata, cut into pieces, 1 sheng) Zhizi Ren (Gardeniae Semen, 4 liang) Danzhuru (Bambusae Caulis in Taeniam, size of one chicken egg)
The above ten ingredients are crushed. Boil in 9 sheng of water until reduced to 3 sheng. Divide into three doses. If purgation is required, add Mangxiao (Natrii Sulfas, 3 liang) and boil for three more boils.
Prescription for treating lung heat caused by drinking alcohol while exposed to wind, where wind enters the lung, gallbladder qi leaks recklessly, resulting in bluish eyes and panting:
Mahuang (Ephedrae Herba, 4 liang) Gancao (Glycyrrhizae Radix et Rhizoma) Wuweizi (Schisandrae Fructus, each 3 liang) Xingren (Armeniacae Semen Amarum, 50 grains) Mujiang (Mother Ginger, 5 liang) Danzhuye (Bambusae Folium, cut into pieces, 1 sheng)
The above six ingredients are crushed. Boil Mahuang in 7 sheng of water first, remove the foam, then add the other herbs. Boil until 3 sheng remains. Remove dregs and divide into three doses.