《病源》咳嗽脓血者，损肺伤心故也。肺主气，心主血，肺感于寒，微者则成咳嗽，伤
于阴脉则有血，血与气相随而行，咳嗽极甚，伤血动气，俱乘于肺，以津液相搏，蕴结成脓
，故咳嗽而有脓血也。（出第十四卷中）
《广济》疗瘕 吐脓损肺方。
人参（二分） 瓜蒂（三分） 杜蘅（五分）
上三味，捣筛为散。平旦空腹以热汤服方寸匕，当吐痰水恶汁一二升。吐已，复煮白粥
食淡水未尽，停三日，更进一服。忌生冷、油腻、猪、鱼。（《肘后》、《古今录验》用杜
蘅三分、人参一分，服一钱匕，出第二卷中）
《深师》疗咳逆唾脓血。鸡子汤方。
鸡子（一枚） 甘草（二分炙） 甘遂（一分） 大黄（二分） 黄芩（二分）
上五味，切，以水六升，煮取二升，去滓，纳鸡子搅令调。尽饮之，良。忌海藻、菘菜
又疗伤肺唾血方
茅根
上一味，捣筛为散。服方寸匕，日三，亦可绞取汁饮之。主热渴。（出第四卷中）
《删繁》疗肺偏损、胸中应肺偏痛，唾血气咳。款冬花散方。
款冬花 当归（各六分） 桂心 芎 五味子 附子（炮各七分） 细辛 贝母（各
四分） 干姜 干地黄（各八分） 白术 甘草（炙） 杏仁（去尖、皮各五分） 紫菀（三
分）
上十四味，捣筛为散。清酒服方寸匕，日二服。忌生葱、生菜、桃、李、雀肉、海藻、
菘菜、猪肉、芜荑。（出第五卷中）
《千金》百部丸 主诸咳不得气息，唾脓血方。
百部根（二两） 升麻（半两） 桂心 五味子 甘草（炙） 紫菀 干姜（各一两）
上七味，捣筛，蜜和丸如梧子。服三丸，日三，以知为度。忌生葱、海藻、菘菜等物。
又疗肺伤，咳唾脓血，肠涩背气不欲食，恶风，目暗 ，足膝胫寒汤方。
干地黄（切半升） 桑白皮（切二升） 芎 （切一升） 白胶（五两） 桂心（二尺）
人参
紫菀（各二两） 大枣（二十枚擘） 生姜（五两） 饴糖（一升） 大麻仁（一升） 大
麦（三升）
上十二味，切，以水一斗五升煮麦，滤取一斗，去滓，纳药煎取三升，分三服。忌生葱
又疗肺病咳嗽脓血，及唾涕血出不止方。
好酥（五十斤）
上三遍炼，停凝，当出醍醐。服一合，日三，以瘥止。
又方
三遍炼酥如鸡子黄，适寒温。灌鼻中，日二夜一。
又疗咳嗽喘息、喉中如有物，唾血方。
杏仁（二升去尖、皮、两仁者） 猪脂（二合） 糖（一升） 生姜汁（二升） 蜜（一
升）
上五味，先以猪膏煎杏仁黄黑，出以纸拭令净，捣如膏，合煎五物，令可丸。服如杏核
，日夜六七，渐加之。（并出第十八卷中）
《古今录验》泻肺汤 疗肺中脓咳唾血，气急不安卧方。
芎 麻黄（去节） 细辛 椒（去目、闭口，汗） 当归（各一两）
上五味，切，以水七升，煮取三升，分为三服，日三，微汗或吐脓血。忌生菜。（
一方有生姜一两）
又羊肺汤 疗咳昼夜无闲，息气欲绝，肺伤唾血方。
钟乳（五两） 牡蛎（熬） 桂心（六两） 射干 桃仁（去尖、皮） 贝母 橘皮 百
部根
五味子（各三两） 生姜（六两） 白石英 半夏（洗各五两） 款冬花 甘草（炙） 浓
朴（炙各
二两） 羊肺（一具）
上十六味，切，先以水二斗三升，煮羊肺，取一斗，去肺，纳诸药，煮取三升，分四服
，日三夜一。忌海藻、菘菜、羊肉、饧、生葱。（出第十九卷中）
According to *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases), coughing with pus and blood results from damage to the Lung and injury to the Heart. The Lung governs Qi, and the Heart governs Blood. When the Lung is affected by Cold, mild cases result in cough; if the Yin meridians are injured, bleeding occurs. Blood and Qi travel together. When coughing becomes extremely severe, it injures the Blood and disturbs the Qi. Both ascend and invade the Lung, where they contend with Body Fluids (Jin-Ye). This accumulation and stagnation transform into pus, thus causing cough with pus and blood. (From Volume XIV)
*Guangji Fang* (Broad Rescue Formulas): Formula for treating abdominal masses (Jia), vomiting pus and blood, and lung injury.
*Ren Shen* (Ginseng Radix et Rhizoma) (2 fen)
*Gua Di* (Cucumeris Fructus) (3 fen)
*Du Heng* (Angelica dahurica root) (5 fen)
The above three herbs are crushed, sifted, and made into a powder. In the morning on an empty stomach, take one *cunbi* (a measure approx. 1 cubic inch) with hot water. One should expect to vomit phlegm, water, and foul fluid, about one to two *sheng*. After vomiting, resume eating plain white porridge until normal light diet is fully restored. Pause for three days, then administer another dose. Avoid raw/cold foods, greasy foods, pork, and fish. (*Zhouhou Beiji Fang* and *Gujin Luyan* use *Du Heng* 3 fen, *Ren Shen* 1 fen, taking one *qianbi*; From Volume II)
*Shenshi Fang* (Deep Master Formulas): Ji Zi Tang for treating rebellious Qi cough and spitting pus and blood.
*Ji Zi* (Galum Gallus) (1 egg)
*Gan Cao* (Licorice Root) (2 fen, honey-fried)
*Gan Sui* (Kansui Root) (1 fen)
*Da Huang* (Rhubarb Root and Rhizome) (2 fen)
*Huang Qin* (Scutellaria Root) (2 fen)
The above five herbs are sliced. Boil in six *sheng* of water until reduced to two *sheng*. Strain out the dregs, add the egg, and stir well. Drink the entire mixture. This is effective. Avoid *Hai Zao* (Sargassum) and *Song Cai* (Chinese Cabbage).
Another formula for lung injury causing hemoptysis:
*Mao Gen* (Imperata Rhizome)
The above single herb is crushed, sifted, and made into a powder. Take one *cunbi*, three times daily. Alternatively, juice may be extracted and drunk. It treats heat-induced thirst. (From Volume IV)
*Shanfan Fang*: Kuan Dong Hua San for treating unilateral lung damage, pain in the chest corresponding to the Lung, hemoptysis, and cough with rebellious Qi.
*Kuan Dong Hua* (Flos Farfarae)
*Dang Gui* (Angelica Sinensis Radix) (6 fen each)
*Gui Xin* (Cortex Cinnamomi)
*Xiong* (Ligusticum Chuanxiong Rhizome)
*Wu Wei Zi* (Schisandra Fruit)
*Fu Zi* (Aconiti Lateralis Radix Praeparata, processed) (7 fen each)
*Xi Xin* (Asari Root)
*Bei Mu* (Fritillaria Bulb) (4 fen each)
*Gan Jiang* (Zingiberis Rhizoma)
*Sheng Di Huang* (Rehmanniae Radix) (8 fen each)
*Bai Zhu* (Atractylodis Macrocephalae Rhizoma)
*Gan Cao* (Licorice Root, fried)
*Xing Ren* (Prunus Armeniaca Seed, remove tips and skins) (5 fen each)
*Zi Wan* (Asteris Radix) (3 fen)
The above fourteen herbs are crushed, sifted, and made into a powder. Take one *cunbi* with clear wine, twice daily. Avoid raw green onions, raw vegetables, peaches, plums, sparrow meat, *Hai Zao*, *Song Cai*, pork, and *Wu Yi*. (From Volume V)
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold): Bai Bu Wan for treating various coughs causing breathlessness and spitting pus and blood.
*Bai Bu* (Stemona Radix) (2 liang)
*Sheng Ma* (Cimicifugae Rhizoma) (0.5 liang)
*Gui Xin* (Cortex Cinnamomi)
*Wu Wei Zi* (Schisandra Fruit)
*Gan Cao* (Licorice Root, fried)
*Zi Wan* (Asteris Radix)
*Gan Jiang* (Zingiberis Rhizoma) (1 liang each)
The above seven herbs are crushed, sifted, and mixed with honey to form pills the size of wisteria seeds. Take three pills, three times daily, adjusting dosage until efficacy is observed. Avoid raw green onions, *Hai Zao*, *Song Cai*, etc.
Another formula for lung injury causing cough with pus and blood, intestinal dryness/stagnation, back Qi oppression, anorexia, aversion to wind, blurred vision, and coldness in feet, knees, and calves:
*Sheng Di Huang* (Rehmanniae Radix, sliced, 0.5 sheng)
*Sang Bai Pi* (Mori Cortex) (2 sheng)
*Xiong* (Ligusticum Chuanxiong Rhizome, sliced, 1 sheng)
*Bai Jiao* (Donkey-hide Gelatin) (5 liang)
*Gui Xin* (Cortex Cinnamomi) (2 chi)
*Ren Shen* (Ginseng Radix et Rhizoma)
*Zi Wan* (Asteris Radix) (2 liang each)
*Da Zao* (Jujubae Fructus, 20 pieces, split)
*Sheng Jiang* (Zingiberis Rhizoma Recens) (5 liang)
*Yi Tang* (Malt Sugar) (1 sheng)
*Da Ma Ren* (Cannabis Semen) (1 sheng)
*Da Mai* (Hordei Fructus Germinatus) (3 sheng)
The above twelve herbs are sliced. First, boil *Da Mai* in fifteen *sheng* of water. Filter to obtain one *dou* of liquid. Remove the grain dregs, add the remaining herbs, and decoct to obtain three *sheng*. Divide into three doses. Avoid raw green onions.
Another formula for lung disease causing cough with pus and blood, and continuous hemoptysis/hemoptysis in sputum and nasal discharge:
*Hao Su* (High-quality Butter/Ghee) (50 jin)
Refine the butter three times. Allow it to cool and solidify; this yields *Ti Hu* (Clarified Butter/Ghee). Take one *ge*, three times daily, stop when cured.
Another method:
Refine butter three times until it resembles chicken egg yolk in color. Adjust to a suitable temperature. Instill into the nose, twice daily and once at night.
Another formula for cough with wheezing, sensation of foreign body in throat, and hemoptysis:
*Xing Ren* (Prunus Armeniaca Seed, 2 sheng, remove tips, skins, and double-kernel ones)
*Zhi Shi* (Pig Fat) (2 he)
*Tang* (Sugar) (1 sheng)
*Sheng Jiang Zhi* (Fresh Ginger Juice) (2 sheng)
*Mi* (Honey) (1 sheng)
The above five herbs: First, fry *Xing Ren* in pig fat until yellow-black. Remove and wipe clean with paper. Crush into a paste. Combine with the other four substances and decoct until pillable. Take pills the size of apricot kernels, six or seven times day and night, gradually increasing the dose. (All from Volume XVIII)
*Gujin Luyan*: Xie Fei Tang for treating pulmonary purulent cough, hemoptysis, dyspnea, and inability to lie flat.
*Xiong* (Ligusticum Chuanxiong Rhizome)
*Mao Huang* (Ephedrae Herba, remove joints)
*Xi Xin* (Asari Root)
*Jiao* (Zanthoxyli Pericarpium, remove eyes and closed-mouth ones, sweat/process)
*Dang Gui* (Angelica Sinensis Radix) (1 liang each)
The above five herbs are sliced. Decoct in seven *sheng* of water until reduced to three *sheng*. Divide into three doses, three times daily. Mild sweating or expectoration of pus/blood may occur. Avoid raw vegetables. (One variant includes 1 liang of *Sheng Jiang*)
Another: Yang Fei Tang for treating ceaseless day-and-night cough, gasping as if dying, and lung injury with hemoptysis.
*Zhong Ru* (Gypsum Fibrosum) (5 liang)
*Muli* (Ostrea Shell, calcined)
*Gui Xin* (Cortex Cinnamomi) (6 liang)
*She Gan* (Belamcandae Rhizoma)
*Tao Ren* (Persicae Semen, remove tips and skins)
*Bei Mu* (Fritillaria Bulb)
*Ju Pi* (Citri Reticulatae Pericarpium)
*Bai Bu* (Stemona Radix)
*Wu Wei Zi* (Schisandra Fruit) (3 liang each)
*Sheng Jiang* (Zingiberis Rhizoma Recens) (6 liang)
*Bai Shi Ying* (Quartzum Album)
*Ban Xia* (Pinelliae Rhizoma Praeparatum, washed) (5 liang each)
*Kuan Dong Hua* (Flos Farfarae)
*Gan Cao* (Licorice Root, fried)
*Hou Po* (Magnoliae Officinalis Cortex, fried) (2 liang each)
*Yang Fei* (Ovis Pulmo) (one whole)
The above sixteen herbs are sliced. First, boil *Yang Fei* in twenty-three *sheng* of water until reduced to one *dou*. Remove the lungs, add all herbs, and decoct to obtain three *sheng*. Divide into four doses, three times daily and once at night. Avoid *Hai Zao*, *Song Cai*, mutton, malt sugar, and raw green onions. (From Volume XIX)