产后喘急有二∶乃一以阴虚之极，一以寒邪在肺。盖产后既以大虚，焉得气实而喘？若肺无寒邪而见喘促
者，此以血去阴虚，孤阳无主，故气穷短促而浮脱于上，此实肝肾不接，无根将脱之兆，最为危候。经曰∶
“肝苦急，急食甘以缓之。”正此类也。惟贞元饮为治此之神剂。若气虚兼寒者，宜大补元煎或理阴煎。若风
寒外感，邪气入肺而喘急者，此必气粗胸胀或多咳嗽，自与气短似喘、上下不接者不同治。当以疏散兼补为
主，宜金水六君煎或六君子汤。若单以寒邪入肺，气实气壅而本无虚者，宜六安煎或二陈汤加苏叶之类主之。
贞元饮（见《新方八阵·补阵》）治气短似喘，呼吸促急，提不能升，咽不能降，气道噎塞，势
剧垂危者。世人但知为气急，其病在上，而不知元海无根，亏损肝肾，此子午不交，气脱证也。尤为妇人血
海常亏者，最多此证。宜急用此饮以济之、缓之，敢云神剂。凡诊此证，脉必微细无神，若微而兼紧，尤为可
畏。倘庸众不知，妄云痰逆气滞，用牛黄、苏合及青（皮）、陈（皮）、枳壳破气等剂，则速其危矣。
熟地（七、八钱甚者一、二两） 炙甘草（一至三钱） 当归（二、三钱）
水二钟，煎八分，温服。如兼呕恶或恶寒者，加煨姜三、五片。如气虚脉微至极者，急加人参随宜。如肝
肾阴虚，手足厥冷，加肉桂一钱。
大补元煎（见血热经早）
理阴煎（见血寒经迟）
金水六君煎（见《新方八阵·和阵》）治肺肾虚
寒，水泛为痰，或年迈阴虚，血气不足，外受风寒，咳嗽、呕恶、多痰、喘急等证，神效。
当归（二钱） 熟地（三五钱） 陈皮（一钱半） 半夏（二钱） 茯苓（二钱） 炙甘草（一钱）
水二钟，生姜三、五、七片，煎七、八分，食远温服。如大便不实而多湿者，去当归加山药。如痰盛气
滞，胸胁不快者，加白芥子七、八分。如阴寒盛而嗽不愈者，加细辛五、七分。如兼表邪寒热者，加柴胡一、二钱。
六君子汤（见经期腹痛）
六安煎（见《新方八阵·和阵》）治风寒咳嗽，及非风初感，痰滞气逆等证。
陈皮（一钱半） 半夏（二、三钱） 茯苓（二钱） 甘草（一钱） 杏仁（一钱，去皮尖切） 白芥子
（五七分，老年气弱者不用）
水一钟半，加生姜三、五、七片，煎七分，食远服。凡外感风邪咳嗽而寒气盛者，多不易散，宜加北细
辛七八分或一钱。若冬月严寒邪甚者，加麻黄、桂枝亦可。若风胜而邪不甚者，加防风一钱，或苏叶亦可。若
头痛鼻塞者，加川芎、白芷、蔓荆子皆可。若兼寒热者，加柴胡、苏叶。若风邪咳嗽不止而兼肺胃之火者，
加黄芩一、二钱，甚者再加知母、石膏，所用生姜只宜一片。凡寒邪咳嗽，痰不利者，加当归二、三钱，老年
者尤宜。若气血不足者，当以金水六君煎与此参用。凡非风初感，痰胜而气不顺者，加藿香一钱五分，兼胀满
者，加浓朴一钱，暂开痰气，然后察其寒热虚实而调补之。若气虚猝倒及气平无痰者，皆不可用此方。
二陈汤（见安胎）
Postpartum panting and urgency arise from two causes: one is extreme Yin deficiency, and the other is cold pathogen in the Lung. Since the postpartum state is characterized by great deficiency, how can there be panting due to Qi excess? If panting and urgency occur without cold pathogen in the Lung, this is due to blood loss causing Yin fluid deficiency, leaving isolated Yang without a master. Consequently, Qi becomes exhausted, short, and floats upward in a state of collapse. This actually indicates that the Liver and Kidney Qi are not connecting, representing a sign of rootless Qi about to detach, which is a critical condition. The Classic states: "The Liver dislikes tension; urgently use sweet flavors to relax it." This precisely applies to such cases. Only Zhenyuan Yin (True Origin Decoction) is the miraculous formula for treating this. If Qi deficiency is accompanied by cold, Dabu Yuan Jian (Great Tonification of the Original Decoction) or Liyin Jian (Regulating Yin Decoction) should be used. If external wind-cold invades and the pathogen enters the Lung causing panting and urgency, this must present with coarse breathing, chest distension, or frequent coughing, which differs significantly in treatment from shortness of breath resembling panting with disconnected upper and lower Qi. The treatment should focus on dispersing pathogens while tonifying, using Jinshui Liu Jun Jian (Metal-Water Six Gentlemen Decoction) or Liujunzi Tang (Six Gentlemen Decoction). If it is solely due to cold pathogen entering the Lung, causing Qi excess and stagnation without underlying deficiency, Liu'an Jian (Six Peace Decoction) or Erchen Tang (Two Aged Decoction) added with Perillae Folium (Suye, 紫苏叶) should be used.
Zhenyuan Yin (See *New Formulas Eight Arrays · Tonifying Array*) treats shortness of breath resembling panting, urgent respiration, inability to lift Qi upward, inability to swallow downward, airway obstruction, and critical conditions nearing death. People generally know this as Qi urgency with pathology located above, but do not realize it is due to the Yuan Sea lacking roots, with Liver and Kidney depletion. This is a case of Zi-Wu non-intersection and Qi detachment syndrome. It is particularly common in women whose Blood Sea is chronically deficient. One should urgently use this decoction to rescue and relieve, daring to call it a miraculous formula. In diagnosing this condition, the pulse must be faint, fine, and spiritless. If faint and tight, it is especially fearsome. If ignorant practitioners mistakenly attribute it to Phlegm rebellion and Qi stagnation, using formulas containing Realgar (Niuhuang, 牛黄), Styrax (Suhe, 苏合香), Green Tangerine Peel (Qingpi, 青皮), Aged Tangerine Peel (Chenpi, 陈皮), or Aurantium Fructus (Zhike, 枳壳) to break Qi, they will hasten the patient's demise.
Prepared Rehmannia Root (Shudi, 熟地) (7-8 qian, up to 1-2 liang in severe cases)
Roasted Licorice Root (Zhigancao, 炙甘草) (1-3 qian)
Angelica Sinensis Root (Danggui, 当归) (2-3 qian)
Boil in 2 zhong of water until reduced to 0.8 zhong, take warm. If accompanied by vomiting/nausea or aversion to cold, add 3-5 slices of baked ginger. If Qi deficiency and pulse are extremely faint, urgently add Ginseng Radix et Rhizoma (Renshen, 人参) as appropriate. If Liver-Kidney Yin deficiency with cold extremities, add Cinnamon Bark (Rougui, 肉桂) 1 qian.
Dabu Yuan Jian (Great Tonification of the Original Decoction) (See Early Menstruation due to Blood Heat)
Liyin Jian (Regulating Yin Decoction) (See Late Menstruation due to Blood Cold)
Jinshui Liu Jun Jian (Metal-Water Six Gentlemen Decoction) (See *New Formulas Eight Arrays · Harmonizing Array*) treats Lung-Kidney deficiency-cold, water overflowing into Phlegm, or elderly Yin deficiency with insufficient Qi and Blood, combined with external wind-cold invasion, presenting with cough, vomiting/nausea, excessive phlegm, panting and urgency, etc., with miraculous effects.
Angelica Sinensis Root (Danggui, 当归) (2 qian)
Prepared Rehmannia Root (Shudi, 熟地) (3-5 qian)
Aged Tangerine Peel (Chenpi, 陈皮) (1.5 qian)
Pinellia Tuber (Banxia, 半夏) (2 qian)
Poria (Fuling, 茯苓) (2 qian)
Roasted Licorice Root (Zhigancao, 炙甘草) (1 qian)
Boil in 2 zhong of water with 3-7 slices of fresh ginger until reduced to 0.7-0.8 zhong, take warm well after meals. If loose stools and dampness prevail, remove Angelica Sinensis Root and add Chinese Yam (Shanyao, 山药). If excessive phlegm and Qi stagnation cause chest/hypochondriac discomfort, add White Mustard Seed (Baijiezhi, 白芥子) 0.7-0.8 fen. If severe Yin-cold persists with cough, add Asarum Root (Xixin, 细辛) 0.5-0.7 fen. If accompanied by exterior pathogen with chills and fever, add Bupleurum Root (Chaihu, 柴胡) 1-2 qian.
Liujunzi Tang (Six Gentlemen Decoction) (See Abdominal Pain during Menstruation)
Liu'an Jian (Six Peace Decoction) (See *New Formulas Eight Arrays · Harmonizing Array*) treats wind-cold cough, initial onset of non-stroke conditions, Phlegm stagnation, and Qi rebellion.
Aged Tangerine Peel (Chenpi, 陈皮) (1.5 qian)
Pinellia Tuber (Banxia, 半夏) (2-3 qian)
Poria (Fuling, 茯苓) (2 qian)
Licorice Root (Gancao, 甘草) (1 qian)
Apricot Seed (Xingren, 杏仁) (1 qian, peeled and tips removed)
White Mustard Seed (Baijiezhi, 白芥子) (0.5-0.7 fen, avoid in elderly with weak Qi)
Boil in 1.5 zhong of water with 3-7 slices of fresh ginger until reduced to 0.7 zhong, take well after meals. For external wind-pathogen cough with severe cold, which is difficult to disperse, add Northern Asarum Root (Beixixin, 北细辛) 0.7-0.8 fen or 1 qian. In severe winter cold with strong pathogens, Ephedra Herb (Mahuang, 麻黄) and Cinnamon Twig (Guizhi, 桂枝) may also be added. If wind predominates and pathogens are mild, add Saposhnikovia Root (Fangfeng, 防风) 1 qian, or Perillae Folium (Suye, 紫苏叶) is also acceptable. For headache and nasal congestion, Chuanxiong Rhizome (Chuanxiong, 川芎), Angelica Dahurica Root (Baizhi, 白芷), or Vitex Fruit (Manjingzi, 蔓荆子) are all suitable. If accompanied by chills and fever, add Bupleurum Root (Chaihu, 柴胡) and Perillae Folium (Suye, 紫苏叶). If wind-pathogen cough persists with Lung-Stomach fire, add Scutellaria Root (Huangqin, 黄芩) 1-2 qian; if severe, add Anemarrhena Rhizome (Zhimu, 知母) and Gypsum (Shigao, 石膏); only one slice of fresh ginger should be used. For cold-pathogen cough with difficult expectoration, add Angelica Sinensis Root (Danggui, 当归) 2-3 qian, especially suitable for the elderly. If Qi and Blood are insufficient, Jinshui Liu Jun Jian should be used in conjunction with this formula. For initial non-stroke conditions with excessive Phlegm and unsmooth Qi, add Agastache Herbs (Huoxiang, 藿香) 1.5 qian; if accompanied by distension, add Magnolia Bark (Houpo, 厚朴) 1 qian to temporarily open Phlegm-Qi, then observe cold/heat and deficiency/excess to tonify and regulate. This formula is contraindicated for sudden collapse due to Qi deficiency and for cases where Qi is calm and free of Phlegm.
Erchen Tang (Two Aged Decoction) (See Fetus Protection)