面白气逆时咳嗽，毛发焦枯皮粟干，发热憎寒流清涕，鼻颊生疮号肺疳。疏散生地清肺效，清热
甘露饮为先，肺虚补肺散最妙，随证加减莫迟延。
【注】肺属金，色白主皮毛。故肺疳则见面白，气逆咳嗽，毛发枯焦，皮上生粟，肌
肤干燥，憎寒发热，常流清涕，鼻颊生疮也。先用生地清肺饮以疏解之，继用甘露饮清之。
日久肺虚者，当以补肺散主之。
生地清肺饮
桑皮（炒） 生地黄 天冬 前胡 桔梗 苏叶 防风 黄芩 生甘草 当归 连翘（去心） 赤
苓
引用生姜、红枣，水煎服。
【方歌】生地清肺用桑皮，生地天冬前桔齐，苏叶防风黄芩草，当归连翘赤苓宜。
甘露饮
生地黄 熟地黄 天冬 麦冬（去心） 枳壳（麸炒） 桔梗 黄芩 枇杷叶（蜜炙） 茵陈蒿 石
斛
引用红枣肉，水煎服。
【方歌】甘露饮治肺火壅，生熟地黄二门冬，枳桔黄芩枇杷叶，茵陈石斛共煎成。
补肺散
白茯苓 阿胶（蛤粉炒） 糯米 马兜铃 炙甘草 杏仁（炒，去皮尖）
水煎服。
【方歌】肺虚补肺散通仙，茯苓阿胶糯米攒，马兜铃配炙甘草，杏仁微炒去皮尖。
解颅鹤膝齿行迟，骨瘦如柴面黑黧，齿龈出血口臭气，足冷腹痛泻哭啼。肾疳先用金蟾治，九味地黄
继进宜，若逢禀赋气虚弱，调元散进莫迟疑。
【注】肾属水，色黑主骨。患此疳者，初必有解颅，鹤膝、齿迟、行迟、肾气不足等
证。更因甘肥失节，久则渐成肾疳，故见面色黧黑，齿龈出血，口中气臭，足冷如冰，腹
痛泄泻，啼哭不已之证。先用金蟾丸治其疳，继以九味地黄丸调补之。若禀赋不足者，调元散主之。
金蟾丸
干虾蟆（ ，五个） 胡黄连 黄连（各三钱） 鹤虱（二钱） 肉豆蔻（煨） 苦楝根白皮 雷
丸芦荟（生） 芜荑（各三钱）
上为末，面糊为丸，绿豆大，雄黄为衣，每服十五丸，米汤化下。
九味地黄丸
熟地 茱萸肉（各五钱） 赤茯苓 泽泻 牡丹皮 山药（炒） 当归 川楝子 使君子肉（各
三钱）
上为细末，炼白蜜为丸，如芡实大，用滚白水研化，食前服。
调元散
人参 茯苓 白术（土炒） 山药（炒） 川芎 当归 熟地黄 茯神 黄 （炙） 甘草（炙） 白
芍（炒）
引用姜、枣，水煎服。
【方歌】调元散治禀赋弱，参苓白术干山药，芎归熟地共茯神，黄 甘草同白芍。
Pale complexion, rebellious Qi, frequent coughing, scorched and withered hair, dry skin resembling millet grains, fever accompanied by aversion to cold, runny clear nasal discharge, sores on the nose and cheeks—this is termed Lung Gan (Lung Malnutrition). Treatment should involve dispersing pathogenic factors and nourishing Sheng Di Huang (Rehmanniae Radix) to clear the Lungs, which is effective; for clearing heat, Gan Lu Yin (Sweet Dew Decoction) is preferred; if it is a case of Lung deficiency, Bu Fei San (Lung-Supplementing Powder) is most excellent. Adjust according to symptoms without delay.
[Note] The Lung corresponds to Metal in the Five Elements, its color is white, and it governs the skin and hair. Therefore, patients with Lung Gan present with pale complexion, rebellious Qi and coughing, withered hair, skin eruptions resembling millet grains, dry skin, aversion to cold with fever, frequent clear nasal discharge, and sores on the nose and cheeks. Initially, use Sheng Di Qing Fei Yin (Sheng Di Huang Clearing Lung Decoction) to disperse and resolve the pathogen, followed by Gan Lu Yin (Sweet Dew Decoction) to clear heat. If the condition persists leading to Lung deficiency, Bu Fei San (Lung-Supplementing Powder) should be used as the primary treatment.
Sheng Di Qing Fei Yin (Sheng Di Huang Clearing Lung Decoction)
Sang Bai Pi (Cortex Mori Root Bark, stir-fried), Sheng Di Huang (Rehmanniae Radix), Tian Dong (Asparagi Rhizoma), Qian Hu (Peucedani Radix), Jie Geng (Platycodonis Radix), Su Ye (Perillae Folium), Fang Feng (Saposhnikoviae Radix), Huang Qin (Scutellariae Radix), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Lian Qiao (Forsythiae Fructus, heart removed), Chi Ling (Poria Cocos with Red Core).
Reference: Add fresh ginger and red dates, decoct in water and take orally.
[Fang Ge - Formula Verse]: Use Sang Bai Pi for Sheng Di Qing Fei Yin, combined with Sheng Di Huang, Tian Dong, Qian Hu, and Jie Geng; Su Ye, Fang Feng, Huang Qin, and Gan Cao are suitable, along with Dang Gui, Lian Qiao, and Chi Ling.
Gan Lu Yin (Sweet Dew Decoction)
Sheng Di Huang (Rehmanniae Radix), Shu Di Huang (Rehmanniae Radix Preparata), Tian Dong (Asparagi Rhizoma), Mai Dong (Ophiopogonis Rhizoma, heart removed), Zhi Ke (Aurantii Fructus, bran-fried), Jie Geng (Platycodonis Radix), Huang Qin (Scutellariae Radix), Pi Pa Ye (Loquat Leaf, honey-fried), Yin Chen Hao (Artemisiae Scopariae Herba), Shi Hu (Dendrobii Caulis).
Reference: Add red date flesh, decoct in water and take orally.
[Fang Ge - Formula Verse]: Gan Lu Yin treats lung fire congestion, composed of Sheng and Shu Di Huang, and the two Dong herbs; Zhi Ke, Jie Geng, Huang Qin, and Pi Pa Ye, along with Yin Chen and Shi Hu, are decocted together.
Bu Fei San (Lung-Supplementing Powder)
Bai Fu Ling (Poria Cocos), E Jiao (Colla Corii Asini, fried with clam powder), Nuo Mi (Glutinous Rice Oryzae Semen), Ma Dou Ling (Aristolochiae Fructus), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Xing Ren (Prunus Armeniacae Semen, stir-fried, skin and tips removed).
Decoct in water and take orally.
[Fang Ge - Formula Verse]: Bu Fei San effectively treats lung deficiency, gathering Fu Ling, E Jiao, and Nuo Mi; Ma Dou Ling pairs with Zhi Gan Cao, and Xing Ren is lightly stir-fried with skin and tips removed.
Cracked skull sutures (Jie Lu), crane-knee deformity, delayed tooth eruption, delayed walking, emaciation like firewood, dark and dull complexion, bleeding gums, foul breath, cold feet, abdominal pain, diarrhea, and incessant crying—these are manifestations of Kidney Gan (Kidney Malnutrition). For Kidney Gan, initially treat with Jin Chan Wan (Golden Toad Pill), followed suitably by Jiu Wei Di Huang Wan (Nine-Ingredient Rehmannia Pill); if congenital endowment is weak, Tiao Yuan San (Regulating Origin Powder) should be administered without hesitation.
[Note] The Kidney corresponds to Water in the Five Elements, its color is black, and it governs the bones. Patients suffering from this Gan condition initially exhibit signs such as cracked skull sutures (Jie Lu), crane-knee deformity, delayed teeth, delayed walking, and insufficient Kidney Qi. Furthermore, due to unregulated consumption of sweet and fatty foods, over time it gradually develops into Kidney Gan. Thus, symptoms include dark and dull complexion, bleeding gums, foul breath, icy cold feet, abdominal pain with diarrhea, and incessant crying. Initially, use Jin Chan Wan (Golden Toad Pill) to treat the Gan condition, followed by Jiu Wei Di Huang Wan (Nine-Ingredient Rehmannia Pill) for regulation and tonification. If there is congenital insufficiency, Tiao Yuan San (Regulating Origin Powder) is the primary treatment.
Jin Chan Wan (Golden Toad Pill)
Gan Xia Ma (Dry Toad, five pieces), Hu Huang Lian (Coptidis Rhizoma alternative), Huang Lian (Coptidis Rhizoma) (each 3 qian), He Shi (Hedysari Semen), Rou Dou Kou (Myristicae Semen, baked), Ku Lian Gen Bai Pi (Meliae Cortex), Lei Wan (Wormwood Fruit/other antiparasitic), Lu Hui (Aloe), Wu Yi (Terminalia Chebula Fruit) (each 3 qian).
Grind all ingredients into fine powder, form pills using wheat paste, size of mung beans, coat with Xiong Huang (Realgar), take 15 pills per dose, dissolved in rice soup.
Jiu Wei Di Huang Wan (Nine-Ingredient Rehmannia Pill)
Shu Di Huang (Rehmanniae Radix Preparata), Zhu Yu Rou (Corni Fructus) (each 5 qian), Chi Fu Ling (Poria Cocos with Red Core), Ze Xie (Alismatis Rhizoma), Mu Dan Pi (Moutan Cortex), Shan Yao (Dioscoreae Rhizoma, stir-fried), Dang Gui (Angelicae Sinensis Radix), Chuan Lian Zi (Toosendan Fructus), Shi Jun Zi Rou (Quisqualis Semen Endosperm) (each 3 qian).
Grind all ingredients into fine powder, form pills using refined white honey, size of Euryale Seed, dissolve in boiling water before meals.
Tiao Yuan San (Regulating Origin Powder)
Ren Shen (Ginseng Radix et Rhizoma), Fu Ling (Poria Cocos), Bai Zhu (Atractylodis Macrocephalae Rhizoma, soil-fried), Shan Yao (Dioscoreae Rhizoma, stir-fried), Chuan Xiong (Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Shu Di Huang (Rehmanniae Radix Preparata), Fu Shen (Poria Cocos with Hostwood), Huang Qi (Astragali Radix, honey-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Bai Shao (Paeoniae Radix Alba, stir-fried).
Reference: Add fresh ginger and red dates, decoct in water and take orally.
[Fang Ge - Formula Verse]: Tiao Yuan San treats weak congenital endowment, consisting of Ren Shen, Fu Ling, Bai Zhu, and dried Shan Yao; Chuan Xiong, Dang Gui, Shu Di Huang, and Fu Shen are combined, while Huang Qi, Gan Cao, and Bai Shao are used together.