肺主喘 实则闷乱喘促。好饮水。有不饮水者。虚则哽气长出气。
实则泻白散。葶苈丸泻之。虚则阿胶散。生脉散合甘桔汤补之。
泻白散 治咳嗽而微喘。面肿身热。
桑白皮（蜜炒） 地骨皮（各等分） 甘草（减半） 入粳米。水煎服。
阿胶散 治久嗽肺无津液。
阿胶（两半粉炒） 大力子（二钱五分） 马兜铃（半两） 甘草（钱半） 杏仁（七个去皮尖）
粳米 上为末。每服量加减。水煎服。
生脉散合甘桔汤 久嗽肺虚。
人参（一钱） 麦门冬（二钱） 五味子（十粒） 苦梗（一钱） 上锉分五剂。每剂入阿胶五
分。水煎。
诸气喘促。上气咳嗽。面肿。皆肺脏之本病也。加味泻白散主之。桔梗防风各二钱。甘
草一钱。地骨皮一钱二分。
兼见肝证。由中风得之。鼻流清涕。恶风喘嗽。宜发散。加减参苏饮主之。
如久咳嗽变风疾不治。如钱氏所谓三泻肝而肝病不退。三补肺而肺证尤虚。是也。
一小儿二岁久病嗽。时十月初。请予治之。予曰。不可治矣。父问其故。予曰。嗽者。
也。四时之病。将来者进。成功者退。十月建亥。金气已衰。木气始生。吾观令郎面色 白
。肺之衰也。头摇手摆。肝之风也。肺衰风生。作搐而死。果不治。
兼见心证。发热饮水。喘嗽闷乱。此心火胜也。宜凉膈散加知母石膏主之。
久嗽不止。黄连阿胶丸 黄连赤茯苓能抑心火。肝得其清。
兼见脾证。咳则吐。此伤乳食。而喘嗽不安。宜葶苈丸。小陷胸加大黄主之。
一儿泄泻后。病咳而喘。上气急。予用芎蝎散。效。
一女子脾胃素弱。一日啖生枣。病腹胀而喘。其母忧甚。恐夫知食以生冷也。予曰勿忧
。乃作钱氏异功散加藿香叶以去脾经之湿。紫苏叶以去肺经之风。一大剂而胀消喘止。
一女子素有喘病。发则多痰。予用补肾地黄丸服之。或怪而问曰。喘者肺腑也。今补肾
。予曰。肺生气。肾则纳而藏之。痰涎者。肾之津液所生也。哮喘吐涎。乃气不归元。津液
无所受也。果服此丸而安。
加味泻白散
古泻白散。加苏叶桔梗是也。
参苏饮 治伤风咳嗽。
古参苏饮紫苏叶陈皮前胡枳壳桔梗半夏茯苓干葛甘草人参木香众药皆等分。甘草减半。
东垣凉膈散 治心肺热。
甘草 栀子 薄荷 桔梗 连翘。乃河间凉膈散去硝黄加桔梗是也。
黄连阿胶丸 治肺热或咯唾血。
黄连（三钱） 赤茯苓（二钱） 阿胶（炒一钱） 上以莲肉为末。水调胶和。众手丸。麻子
大。米饮下。
小陷胸加大黄汤 治痰壅喘促。以代葶苈丸。
黄连 半夏 枳实 栝蒌（和皮用） 甜葶苈 大黄（各等分） 上锉。先以水煎栝蒌一沸
。入药煎七分。食后服。
芎蝎散 治脾虚上气喘促急。呕吐痰涎。足胫冷者。
川芎 荜茇（各一钱） 蝎梢（去毒三分） 半夏（酒浸一宿水洗七次焙干） 细辛（各二分）
上为极细末。热汤调。稍热服。
The Lung governs wheezing. In excess conditions, there is chest oppression, restlessness, and rapid breathing; the patient may desire to drink water, though some do not. In deficiency conditions, there is sighing and long exhalations.
For excess conditions, use Xiebai San (White-Draining Powder) or Tingli Wan (Descurainia Seed Pill) to drain the excess. For deficiency conditions, use Ejiao San (Donkey-Hide Gelatin Powder) or combine Shengmai San (Generate the Pulse Powder) with Ganjie Tang (Licorice and Platycodon Decoction) to tonify.
Xiebai San: Treats cough with slight wheezing, facial edema, and body heat.
Ingredients: Sangbaipi (Bark of Mulberry Root, honey-fried), Digupi (Bark of Ground Cherry Root, equal parts), Gancao (Licorice Root, halved amount). Add Jingmi (Rice Grain). Decoct in water and take orally.
Ejiao San: Treats prolonged cough leading to depletion of Lung fluids.
Ingredients: Ejiao (Donkey-Hide Gelatin, half tael, stir-fried with clam powder), Dali Zi (Arctii Fructus, 2.5 qian), Madouling (Aristolochiae Fructus, half tael), Gancao (Licorice Root, 1.5 qian), Xingren (Prunus Armeniaca Seed, seven seeds, skin and tips removed).
Preparation: Grind into fine powder. Take an appropriate dose adjusted according to the condition, decoct in water, and take orally.
Shengmai San combined with Ganjie Tang: Treats Lung deficiency caused by prolonged cough.
Ingredients: Renshen (Ginseng Root, 1 qian), Maimendong (Ophiopogon Tuber, 2 qian), Wuweizi (Schisandra Fruit, ten grains), Jiegeng (Platycodon Root, 1 qian).
Preparation: Cut into pieces and divide into five doses. Add Ejiao (0.5 qian) to each dose. Decoct in water and take orally.
Various forms of wheezing, rapid breathing, upper Qi rebellion with cough, and facial edema are all primary diseases of the Lung organ. The main treatment is Jiawei Xiebai San (Modified White-Draining Powder).
Formula: Jiegeng (Platycodon Root) and Fangfeng (Saposhnikovia Root), each 2 qian; Gancao (Licorice Root), 1 qian; Digupi (Bark of Ground Cherry Root), 1.2 qian.
If accompanied by Liver symptoms, resulting from Wind-stroke, there is clear nasal discharge, aversion to wind, wheezing, and cough. It is suitable to use dispersing methods. The main treatment is Jiashen Su Yin (Modified Ginseng and Perilla Decoction).
If prolonged cough transforms into a Wind disease, it becomes incurable. As Qian Yi stated: "Three times draining the Liver while the Liver disease does not recede, three times tonifying the Lung while the Lung condition becomes even more deficient," refers to this situation.
A two-year-old child suffered from chronic cough for a long time. It was early October when I was invited to treat him. I said, "It cannot be cured." The father asked why. I said, "Cough... [text missing]. Diseases of the four seasons follow the principle that advancing Qi enters and successful Qi retreats. In the tenth month (Hai month), Metal Qi has declined, and Wood Qi begins to generate. I observe your son's pale complexion, which indicates the decline of Lung Qi. His head shaking and hand waving indicate internal Wind of the Liver. With declining Lung Qi generating Wind, convulsions will occur leading to death." Indeed, he could not be cured.
If accompanied by Heart symptoms, manifesting as fever, thirst, wheezing, cough, chest oppression, and restlessness, this is due to Hyperactive Heart Fire. It is suitable to use Liangge San (Cooling the Diaphragm Powder) plus Zhimu (Anemarrhena Rhizome) and Shigao (Gypsum Fibrosum).
Prolonged cough that does not cease can be treated with Huanglian Ejiao Wan (Coptis and Donkey-Hide Gelatin Pill). Huanglian (Coptis Rhizome) and Chifuling (Red Poria) can suppress Heart Fire, allowing the Liver to obtain clarity.
If accompanied by Spleen symptoms, coughing with vomiting indicates injury from milk and food, leading to restless wheezing and cough. Tingli Wan (Descurainia Seed Pill) or Xiaoxianxiong Tang (Minor Stagnation in the Chest Decoction) plus Dahuang (Rhubarb Root) should be used.
A child developed cough and wheezing after diarrhea, with urgent upper Qi rebellion. I used Xiongxie San (Chuanxiong and Scorpion Powder), and it was effective.
A woman with inherently weak Spleen and Stomach ate raw dates one day, resulting in abdominal distension and wheezing. Her mother was very worried, fearing her husband would know she ate cold/raw foods. I told her, "Do not worry." I prescribed Qianshi Yigong San (Qian's Modified Extraordinary Efficacy Powder) plus Huoxiangye (Patchouli Leaf) to remove Dampness from the Spleen channel, and Zisuye (Perilla Leaf) to remove Wind from the Lung channel. After one large dose, the distension subsided and wheezing stopped.
A woman had a chronic history of wheezing, producing much phlegm during attacks. I administered Bushen Dihuang Wan (Kidney-Tonifying Rehmannia Pill). Someone questioned strangely, saying, "Wheezing is a disease of the Lung and Fu organs; why tonify the Kidney now?" I replied, "The Lung generates Qi, while the Kidney receives and stores it. Phlegm and saliva are generated from the fluids of the Kidney. Asthma with expectoration of saliva occurs because Qi fails to return to its origin, and fluids have nowhere to be received." Indeed, taking this pill brought relief.
Jiawei Xiebai San (Modified White-Draining Powder): This is the ancient Xiebai San added with Ziyeh (Perilla Leaf) and Jiegeng (Platycodon Root).
Shen Su Yin (Ginseng and Perilla Decoction): Treats Wind-cold cough.
Ancient Shen Su Yin ingredients: Zisuye (Perilla Leaf), Chenpi (Citrus Reticulata Peel), Qianhu (Peucedani Radix), Zhike (Aurantii Fructus Immaturus), Jiegeng (Platycodon Root), Banxia (Pinellia Tuber), Fuling (Poria), Gange (Kudzu Root), Gancao (Licorice Root), Renshen (Ginseng Root), Muxiang (Aucklandiae Radix). All herbs are equal in weight, except Gancao which is halved.
Dongyuan Liangge San (Dongyuan's Cooling the Diaphragm Powder): Treats Heat in the Heart and Lung.
Ingredients: Gancao (Licorice Root), Zhizi (Gardenia Fruit), Bohe (Mentha Haplocalyx), Jiegeng (Platycodon Root), Lianqiao (Forsythia Fruit). This is Hejian's Liangge San minus Xiaoshi (Mirabilite) and Dahuang (Rhubarb Root), plus Jiegeng (Platycodon Root).
Huanglian Ejiao Wan (Coptis and Donkey-Hide Gelatin Pill): Treats Lung Heat or hemoptysis.
Ingredients: Huanglian (Coptis Rhizome, 3 qian), Chifuling (Red Poria, 2 qian), Ejiao (Donkey-Hide Gelatin, stir-fried 1 qian).
Preparation: Grind Lotus Seeds (Lianrou) into powder. Mix with gelatin using water. Roll into pills the size of hemp seeds. Take with rice water.
Xiaoxianxiong Jada Huang Tang (Minor Stagnation in the Chest Decoction Plus Rhubarb): Treats wheezing and rapid breathing due to Phlegm obstruction, used as a substitute for Tingli Wan.
Ingredients: Huanglian (Coptis Rhizome), Banxia (Pinellia Tuber), Zhishi (Aurantii Fructus Immaturus), Gualou (Trichosanthes Fruit, used with peel), Tian Tingli (Sweet Descurainia Seed), Dahuang (Rhubarb Root). All equal parts.
Preparation: Cut into pieces. First decoct Gualou (Trichosanthes Fruit) in water for one boil. Then add other herbs and decoct until reduced to 70%. Take after meals.
Xiongxie San (Chuanxiong and Scorpion Powder): Treats urgent upper Qi wheezing due to Spleen deficiency, vomiting of phlegm and saliva, and cold lower legs and shins.
Ingredients: Chuanxiong (Ligusticum Rhizome), Bibai (Long Pepper Fruit), each 1 qian; Xeshao (Scorpion Tail, detoxified 3 fen); Banxia (Pinellia Tuber, soaked in wine overnight, washed seven times, dried); Xixin (Asarum Root), each 2 fen.
Preparation: Grind into extremely fine powder. Mix with hot water and take while slightly warm.