橘红（一钱） 白茯苓（三钱） 陈胆星（五分） 枳壳（一钱） 姜汁（二匙）
七诊 外感寒邪，寒饮复聚，咳嗽复盛，胸又窒闷。再辛润滑利以化痰降浊。
薤白头（三钱） 橘红（一钱） 制半夏（一钱五分） 郁金（一钱五分） 砂仁（五分） 栝蒌仁
（四钱生姜汁炒研） 茯苓（三钱） 炒枳壳（一钱） 干姜（三分） 佛手（一钱）
夏（左） 湿热熏蒸不解，化火伤阴，虚火挟浊上炎，咳嗽暮甚，痰色青绿，而其气甚秽。脉数，两关滑大，不
能重按。清化不应勉拟壮水以制阳光，以希造化。
北沙参 大麦冬 炙桑皮 大生地 冬瓜子 煨石膏 炙款冬 地骨皮 川贝母 川百合 肥知母
某 咳嗽日轻夜重，痰黄稠浓，便坚带黑。脉数，舌光。无非阴虚火炎，金水并损，惟痰浓而带黄色，胃中
必有湿热留恋。再从清养之中，兼导湿热下行。
北沙参 大麦冬 细生地 光杏仁 川贝母 冬瓜子 炙桑皮 青蛤散 地骨皮 青芦管 枇杷叶
陈（左） 肺痿之后，蕴热未清，咳嗽痰黄，时发时止。不易图愈。
地骨皮 茯苓 炙桑皮 郁金 生米仁 冬瓜子 煨石膏 肥知母 淡芩 杏桃仁 青芦管 枇杷叶
彭（左） 嗜饮伤肺，稍一感触，辄作咳逆，甚则带出粉红。此湿热之气，蒸于胃而注于肺也。恐致痿损。
冬瓜子 生薏仁 碧玉散 云茯苓 枇杷叶 水炒竹茹 葛花 栝蒌仁 青芦管
陈（左） 肝郁气滞，病从左胁作痛而起，加以火灸络热动血，屡进阴柔之药，阴分固赖以渐复，然湿热
由此而生，发为浊症。湿热逗留，风邪外触，遂致咳嗽。先以燥药伤气，致气虚不能鼓舞旋运，饮食悉化
为痰。又以柔药滋其阴，酸寒收涩，痰湿之气，尽行郁遏。以致痰带腥秽，色尽黄稠，黄为土色，是湿痰也
今内热咳嗽，痰仍腥秽。脉数濡弦，左部虚弦，舌苔薄白而滑。此气阴两亏，而湿热逗留之象，从实变虚，
从假变真，殊难措手。前人谓因虚致病者，补其虚而病自除，因病致虚者，去其病而阴自复。八年之病，
虽有成例可遵，恐鞭长之莫及耳。拟导其湿热下行，而不涉戕伐，俾得熏蒸之焰息，即所以保其阴气之消耗也。
光杏仁 冬瓜子 生薏仁 炙桑皮 枇杷叶 云茯苓
青蛤散 泽泻 青芦管
方（右） 咳嗽痰秽，内痈重症。遗毒已深，难遽言治。
冬瓜子 杏仁 茯苓 黑山栀 煨石膏 桔梗 生薏仁 枇杷叶 青芦管
先生问吐出之痰有如糊粥黄色者盈碗否。曰、然肺已成痈，而将穿破，咳痰臭甚，
吐出后秽味不退者，病尤深也。（正蒙附志）
顾（左） 引导湿热下行，效如桴鼓。邪气既尽，正气自复，少安而毋躁也。
广橘皮 生薏仁 制半夏 泽泻 枇杷叶 水炒竹茹 光杏仁 冬瓜子 茯苓 苇茎（煎汤代水）
某 咳痰臭秽，并兼粉红。肝火盛极，恐其成痿。
磨犀尖 丹皮 川贝母 青蛤散 冬瓜子 炒蒌仁 桔梗 炙桑皮 生薏仁 煨石膏 北沙参 芦根 枇杷叶
复诊 加杏桃仁。
彭（左） 咳嗽痰带秽臭。肝火蒸腾肺胃，将成内痈，不可轻视。
葶苈子 炒枳壳 冬瓜子 光杏仁 青芦管 赤白苓 白桔梗 生薏仁 橘红
服此方二剂而减，其效如神。按此症或起于酒，或由乎火，此人自谓气郁久闷，故致木火旺而刑及肺金
也。（正蒙志）
杨（左） 大病之后，湿热未清，熏蒸肺胃，咳嗽痰黄，不能着卧。恐成痈痿重症。
冬瓜子 枳实 栝蒌霜 光杏仁 旋复花 炒竹茹 生薏仁 郁金 制半夏 茯苓 枇杷叶 青芦管
复诊 泻肺之湿热，喘减能卧，痰稠转稀。但咳热未除。前法再冀应手。
杏仁泥 海浮石 生薏仁 栝蒌霜 冬瓜子 郁金 橘红（盐水炒） 茯苓 桔梗 水炒竹茹 枇杷叶 青芦管
左 咳嗽痰红，痰气腥浊，内热连绵。脉数而滑。此痰热内迫，势成痈痿，鞭长莫及。
冬瓜子（四钱） 生薏仁（四钱） 川贝母（二钱） 光杏仁（三钱） 炒丹皮（二钱） 青
蛤散（二钱） 款冬花（一钱五分） 竹茹（一钱） 炙桑白皮（二钱） 苇茎（一两）
顾（左） 咳嗽不退，甚则带血，右胸胁肋俱痛，秽臭之气，直冲而上。此由痰热郁滞肺络，萎损重症。姑导
其湿热下行。
冬瓜子 杏仁泥 海浮石 旋复花 丝瓜子 生薏仁 玉泉散 丹皮 磨郁金 青芦管
又 咳嗽痰秽吐血。脉象急数。湿热蒸腾伤肺，肺痿情形也。病在高年，难以许治。
南沙参 冬瓜子 杏桃仁 桑白皮 粉丹皮 川石斛 生薏仁 川贝母 款冬花 青芦管
姚（左） 血未复来，痰仍灰黑。还是湿郁热蒸。再为清化。
制半夏 茯苓 郁金 海蛤粉 冬瓜子 广橘红 栝蒌皮 杏仁 海浮石 生薏仁
Tangerine Peel (1 qian) White Poria (3 qian) Aged Pinellia Tuber with Alum (0.5 fen) Aurantium Fruit (1 qian) Ginger Juice (2 spoons)
Seventh Visit: External contraction of cold pathogen, accumulation of cold-fluid re-accumulating, cough worsening again, chest feeling stifled and stuffy. Again use pungent, smooth, and lubricating methods to resolve phlegm and descend turbidity.
Allii Macrostemonis Bulbus (3 qian) Tangerine Peel (1 qian) Prepared Pinellia Tuber (1.5 qian) Curcuma Aromatic Rhizome (1.5 qian) Amomum Fruit (0.5 fen) Trichosanthis Seed (4 qian, stir-fried with ginger juice and crushed) Poria (3 qian) Stir-fried Aurantium Fruit (1 qian) Dried Ginger (0.3 fen) Bergamot Fruit (1 qian)
Patient Xia (Left pulse): Damp-heat steaming and steaming unresolved, transforming into fire and injuring Yin, deficient fire carrying turbidity upward, cough worse in the evening, sputum greenish-yellow, odor extremely foul. Pulse rapid, both Guan positions slippery and large, cannot be pressed heavily. Clearing and resolving has not worked; tentatively attempt nourishing water (Yin) to control sunlight (deficient fire), hoping for nature's help.
Glehniae Radix (Bei Sha Shen) Ophiopogonis Tuber (Da Mai Dong) Prepared Lungwort Herb (Zhi Sang Pi) Large Rehmannia Root (Da Sheng Di) Benincasa Seed (Dong Gua Zi) Calcined Gypsum (Wei Shi Gao) Prepared Coltsfoot Flower (Zhi Kuan Dong) Lycii Cortex (Di Gu Pi) Fritillaria Cirrhosa Bulb (Chuan Bei Mu) Lilium Bulb (Chuan Bai He) Anemarrhena Rhizome (Fei Zhi Mu)
Certain Patient: Cough lighter by day, heavier at night, sputum yellow, thick and dense, stool hard with black color. Pulse rapid, tongue peeled. This is nothing but Yin deficiency with fire flaming up, damaging Metal (Lung) and Water (Kidney). However, since the sputum is thick and yellow, there must be damp-heat lingering in the Stomach. From clearing and nourishing, also guide damp-heat downward.
Glehniae Radix (Bei Sha Shen) Ophiopogonis Tuber (Da Mai Dong) Small Rehmannia Root (Xi Sheng Di) Apricot Seed (Guang Xing Ren) Fritillaria Cirrhosa Bulb (Chuan Bei Mu) Benincasa Seed (Dong Gua Zi) Prepared Lungwort Herb (Zhi Sang Pi) Qinghai Barley Powder (Qing Ge San) Lycii Cortex (Di Gu Pi) Reed Stem (Qing Lu Guan) Loquat Leaf (Pi Pa Ye)
Patient Chen (Left pulse): After Fei Wei (Lung Atrophy), latent heat not cleared, cough with yellow sputum, intermittent. Difficult to cure.
Lycii Cortex (Di Gu Pi) Poria Prepared Lungwort Herb (Zhi Sang Pi) Curcuma Aromatic Rhizome Coix Seed (Sheng Mi Yi Ren) Benincasa Seed Calcined Gypsum (Wei Shi Gao) Anemarrhena Rhizome (Fei Zhi Mu) Scutellaria Baicalensis Root (Dan Qin) Apricot and Peach Seeds (Xing Tao Ren) Reed Stem (Qing Lu Guan) Loquat Leaf (Pi Pa Ye)
Patient Peng (Left pulse): Habitual drinking injures the Lung; slight exposure to pathogens triggers cough and rebellious Qi, sometimes bringing out pinkish sputum. This is damp-heat vaporizing in the Stomach and pouring into the Lung. Fear it may lead to Fei Wei (Lung Atrophy).
Benincasa Seed Coix Seed (Sheng Yi Ren) Bi Yu San Cloud Poria (Yun Fu Ling) Loquat Leaf (Pi Pa Ye) Bamboo Shavings Stir-fried with Water (Shui Chao Zhu Ru) Kudzu Flower (Ge Hua) Trichosanthis Seed (Gua Lou Ren) Reed Stem (Qing Lu Guan)
Patient Chen (Left pulse): Liver Qi stagnation, disease started from pain in the left hypochondrium. Added moxibustion caused collateral heat and bleeding. Repeatedly taking yin-nourishing medicines allowed Yin to gradually recover, yet damp-heat arose from this, manifesting as turbid symptoms. Damp-heat lingers, external wind touches, leading to cough. Previously, drying medicines injured Qi, causing Qi deficiency unable to promote circulation, so all food transformed into phlegm. Then soft/yin-nourishing medicines were used; sour-cold astringents completely suppressed the Qi of phlegm-dampness. Thus sputum became fishy and foul, entirely yellow and thick. Yellow belongs to Earth, indicating Phlegm-Dampness. Now internal heat causes cough, sputum remains fishy and foul. Pulse rapid, soggy, and wiry; left position deficient and wiry; tongue coating thin white and slippery. This is dual deficiency of Qi and Yin, with lingering damp-heat, changing from excess to deficiency, from false to true, very difficult to handle. Predecessors said: if disease arises from deficiency, tonify deficiency and disease removes itself; if deficiency arises from disease, remove disease and Yin recovers itself. Eight years of illness, although precedents exist, fear strength is insufficient. Plan to guide damp-heat downward without damaging healthy Qi, extinguishing the steaming flame, thereby preserving Yin consumption.
Apricot Seed (Guang Xing Ren) Benincasa Seed Coix Seed (Sheng Yi Ren) Prepared Lungwort Herb (Zhi Sang Pi) Loquat Leaf (Pi Pa Ye) Cloud Poria (Yun Fu Ling)
Qinghai Barley Powder (Qing Ge San) Alisma Rhizome (Ze Xie) Reed Stem (Qing Lu Guan)
Patient Fang (Right pulse): Cough with foul sputum, severe internal abscess. Residual toxin deep, difficult to speak of immediate cure.
Benincasa Seed Apricot Seed Poria Black Gardenia Fruit (Hei Shan Zhi) Calcined Gypsum (Wei Shi Gao) Platycodon Root (Jie Geng) Coix Seed (Sheng Yi Ren) Loquat Leaf (Pi Pa Ye) Reed Stem (Qing Lu Guan)
The Master asked: Is the vomited sputum like yellow porridge paste, filling a bowl? Answered: Yes. The Lung has formed an abscess and is about to rupture; coughing sputum with strong odor, and the foul smell remaining after spitting indicates especially deep disease. (Zheng Meng Appendix)
Patient Gu (Left pulse): Guiding damp-heat downward, effect like drumbeat response. Pathogenic Qi exhausted, Healthy Qi naturally recovers; rest slightly and do not be impatient.
Broad Tangerine Peel (Guang Ju Pi) Coix Seed (Sheng Yi Ren) Prepared Pinellia Tuber (Zhi Ban Xia) Alisma Rhizome (Ze Xie) Loquat Leaf (Pi Pa Ye) Bamboo Shavings Stir-fried with Water (Shui Chao Zhu Ru) Apricot Seed (Guang Xing Ren) Benincasa Seed Poria (Fu Ling) Reed Stem (Wei Jing) Decoction代替Water (Jian Tang Dai Shui)
Certain Patient: Cough with foul sputum, mixed with pinkish sputum. Liver Fire extremely abundant, fear formation of Fei Wei (Lung Atrophy).
Ground Rhinoceros Horn (Mo Xi Jian) Moutan Cortex (Dan Pi) Fritillaria Cirrhosa Bulb (Chuan Bei Mu) Qinghai Barley Powder (Qing Ge San) Benincasa Seed Stir-fried Trichosanthis Seed (Chao Lou Ren) Platycodon Root (Jie Geng) Prepared Lungwort Herb (Zhi Sang Pi) Coix Seed (Sheng Yi Ren) Calcined Gypsum (Wei Shi Gao) Glehniae Radix (Bei Sha Shen) Reed Root (Lu Gen) Loquat Leaf (Pi Pa Ye)
Second Visit: Add Apricot and Peach Seeds (Xing Tao Ren).
Patient Peng (Left pulse): Cough with foul-smelling sputum. Liver Fire steaming Lung and Stomach, about to form internal abscess, do not underestimate.
Descurainia Seed (Ting Li Zi) Stir-fried Aurantium Fruit (Chao Zhi Qiao) Benincasa Seed Apricot Seed (Guang Xing Ren) Reed Stem (Qing Lu Guan) Red and White Poria (Chi Bai Ling) White Platycodon Root (Bai Jie Geng) Coix Seed (Sheng Yi Ren) Tangerine Peel (Ju Hong)
After two doses, symptoms reduced, efficacy miraculous. Note: This condition may originate from alcohol or fire. This patient claims long-standing Qi depression, thus Wood-Fire flares and attacks Metal (Lung). (Zheng Meng Record)
Patient Yang (Left pulse): After serious illness, damp-heat not cleared, steaming Lung and Stomach, cough with yellow sputum, unable to lie flat. Fear forming severe abscess/atrophy.
Benincasa Seed Immature Bitter Orange (Zhi Shi) Trichosanthis Powder (Gua Lou Shuang) Apricot Seed (Guang Xing Ren) Inula Flower (Xuan Fu Hua) Stir-fried Bamboo Shavings (Chao Zhu Ru) Coix Seed (Sheng Yi Ren) Curcuma Aromatic Rhizome Prepared Pinellia Tuber (Zhi Ban Xia) Poria (Fu Ling) Loquat Leaf (Pi Pa Ye) Reed Stem (Qing Lu Guan)
Second Visit: Draining damp-heat from Lung, wheezing reduced, able to lie down, thick sputum turned thin. But cough-heat not removed. Hope previous method works.
Apricot Paste (Xing Ren Ni) Floating Stone (Hai Fu Shi) Coix Seed (Sheng Yi Ren) Trichosanthis Powder (Gua Lou Shuang) Benincasa Seed Curcuma Aromatic Rhizome Tangerine Peel (Salt-water fried) (Ju Hong) Poria (Fu Ling) Platycodon Root (Jie Geng) Bamboo Shavings Stir-fried with Water (Shui Chao Zhu Ru) Loquat Leaf (Pi Pa Ye) Reed Stem (Qing Lu Guan)
Patient Zuo: Cough with red sputum, sputum Qi fishy and turbid, continuous internal heat. Pulse rapid and slippery. This is Phlegm-Heat pressing internally, trend toward abscess/atrophy, beyond reach.
Benincasa Seed (4 qian) Coix Seed (4 qian) Fritillaria Cirrhosa Bulb (2 qian) Apricot Seed (3 qian) Stir-fried Moutan Cortex (2 qian) Qinghai Barley Powder (2 qian) Coltsfoot Flower (1.5 qian) Bamboo Shavings (1 qian) Prepared Lungwort Bark (2 qian) Reed Stem (1 liang)
Patient Gu (Left pulse): Cough unrelenting, severe cases with blood, right chest/hypochondrium painful, foul odor rushing upward. This is Phlegm-Heat stagnating Lung collaterals, severe atrophy. Tentatively guide damp-heat downward.
Benincasa Seed Apricot Paste (Xing Ren Ni) Floating Stone (Hai Fu Shi) Inula Flower (Xuan Fu Hua) Luffa Seed (Si Gua Zi) Coix Seed (Sheng Yi Ren) Yu Quan San Moutan Cortex Ground Curcuma Aromatic Rhizome (Mo Yu Jin) Reed Stem (Qing Lu Guan)
Another Visit: Cough with foul sputum and hemoptysis. Pulse rapid and hurried. Damp-heat steaming injuring Lung, pattern of Fei Wei (Lung Atrophy). Disease in advanced age, difficult to promise cure.
Glehniae Radix (Nan Sha Shen) Benincasa Seed Apricot and Peach Seeds (Xing Tao Ren) Lungwort Bark (Sang Bai Pi) Pink Moutan Cortex (Fen Dan Pi) Chuanxi Starflower Rhizome (Chuan Shi Hu) Coix Seed (Sheng Yi Ren) Fritillaria Cirrhosa Bulb (Chuan Bei Mu) Coltsfoot Flower (Kuan Dong Hua) Reed Stem (Qing Lu Guan)
Patient Yao (Left pulse): Blood not recovered, sputum still gray-black. Still damp-stagnation and heat-steaming. Again clear and resolve.
Prepared Pinellia Tuber (Zhi Ban Xia) Poria (Fu Ling) Curcuma Aromatic Rhizome (Yu Jin) Clam Shell Powder (Hai Ge Fen) Benincasa Seed Broad Tangerine Peel (Guang Ju Hong) Trichosanthis Peel (Gua Lou Pi) Apricot Seed (Xing Ren) Floating Stone (Hai Fu Shi) Coix Seed (Sheng Yi Ren)