侯（左） 先感风寒，既饮火酒，寒热互阻于肺，痰饮因而上升，致肺气不能下通于肾。气喘痰鸣，胸次窒
闷异常，卧着尤甚。脉象沉弦，左尺尚觉有神。尚非肾气不能仰吸肺气下行之劣症。时自汗出。拟开太
阳之表。弄斧班门，即请主裁。
川桂枝（八分） 淡干姜（五分） 煨石膏（三钱） 光杏仁（三钱） 甜葶苈（五分） 白茯苓（三钱）
制半夏（一钱五分） 生莱菔子（一钱五分） 生熟草（各一分） 枳壳（七分）
陈 向有痰饮，咳嗽痰多，习为常事。兹以感冒新风，肺气失肃，发热咳甚，兼以肝木郁结，风气通肝，肝
木从而勃动，腹痛泄泻。此初起之情形也。乃热减痛止泻定，转见神志摸糊，喉有痰声，而不得吐，气喘
不能着枕，四肢搐动，面色红亮，汗出溱溱。舌苔灰滞，而脉象濡滑。良由痰饮之邪，随外感所余之热，肝
经郁勃之气，蒸腾而上，迷蒙清窍，阻塞肺气。清窍被蒙，则神机不运，而神识模糊。肺气阻塞，则出纳失
常，而气喘不能着枕，肺气不能下通于肾，则肾气立见空虚，肾为封藏之本，肾虚则封固不密，而为汗
出。本虚标实，恐成必败之局。勉拟扶正化痰，降胃纳肾即请商裁。
吉林参（七分切小块开水吞） 旋复花（三钱包） 怀牛膝（盐水炒三钱） 陈胆星（一钱） 焦远志肉（五分）
炒苏子（三钱） 车前子（盐水炒二钱） 天竺黄（二钱） 磁石（四钱） 广蛤蚧尾（一对） 竹沥（姜汁五滴
冲） 白金丸（一钱包入煎）
又 补泻兼施，上下兼顾，如油如珠之汗已止，神志稍清，痰出较多，而稠腻如胶，牵丝不断，汗虽止而
不时懊烦。脉见歇止，舌苔浊腻灰滞。无形之气火，有形之浊痰，蕴聚胸中，肺出肾纳之道路，为之阻塞，
肾气虽欲仰吸肺气下行，而无路可通。此时欲降肺气，莫如治痰。标实本虚，元气能否胜任，实非人事
所能为也。勉再议方。
白前（三钱） 白茯苓（四钱） 炒苏子（三钱） 旋复花（三钱包） 蜜炙橘红（一钱） 陈胆星（一钱五分）
炒蒌皮（三钱） 竹沥半夏（三钱） 紫口蛤壳（一两） 白果肉（四粒打烂） 礞石滚痰丸（一钱开水先服） 雪羹
汤代水。
郭（左） 幼时即有痰喘之症，今年二十余，喘发复盛，痰聚胸膈，胸膈窒闷，欲吐不得，四肢少暖。投以小
青龙下控涎丹，不吐不泻。改投此方。
皂荚子（一分五厘） 明矾（三分） 黑丑（四分） 上湘军（三分） 四味研细，淡姜汤送下。
杨（右） 感邪失表，邪伏肺 ，以致稍一感触，辄作哮喘。除访择针灸好手按穴针灸外，进以梨膏，以开
通肺络，而润肺金。
蜜炙麻黄（五钱另煎去沫冲入） 川贝母（一两五钱去心） 冬瓜子（一两五钱） 云茯苓（四两） 光杏仁（三
两） 洋糖拌石膏（五两） 苏子（水浸打烂绞汁四两）
上药煎为浓汁，用秋梨四斤，去核切片绞汁，同以上诸药汁及苏子汁，炭火收膏，将成时加入白冰
糖三两，以滴水成珠为度，每服一调匙，晚间或临卧服。
Hou (Left) Initially contracted wind-cold, and subsequently consumed strong liquor. Cold and heat mutually obstructed the Lungs, causing phlegm-fluids to rise upward, preventing Lung Qi from descending to connect with the Kidneys. Symptoms include asthma with rhonchi in the throat, extreme oppression and stuffiness in the chest, which is particularly severe when lying down. The pulse is deep and wiry; however, the left Chi position still shows spirit (Shen), indicating this is not yet a critical condition where Kidney Qi is too deficient to inhale Lung Qi downward. Spontaneous sweating occurs. The proposed treatment is to release the exterior of the Taiyang channel. Presumptuously offering this suggestion for the attending physician's review.
Guizhi Tang (Cinnamon Twig Decoction) - Cinnamon Twig (8 fen), Pale Dried Ginger (5 fen), Calcined Gypsum (3 qian), Apricot Kernel (3 qian), Thladiantra Fruit (5 fen), Poria (3 qian), Processed Pinellia Tuber (1.5 qian), Raw Radish Seed (1.5 qian), Raw and Prepared Licorice Root (1 fen each), Bitter Orange (7 fen).
Chen Has long suffered from phlegm-fluids, with excessive coughing and sputum becoming a habitual occurrence. Recently, due to contracting new wind pathogens, Lung Qi lost its descending function, resulting in fever and aggravated cough. Additionally, Liver Wood was constrained; as wind corresponds to the Liver, Liver Qi became hyperactive, leading to abdominal pain and diarrhea. This describes the initial presentation. Subsequently, the heat subsided, pain ceased, and diarrhea stopped, but symptoms shifted to mental confusion, gurgling phlegm in the throat that could not be expectorated, severe asthma preventing supine positioning, twitching of the four limbs, a bright red complexion, and profuse sweating. The tongue coating is gray and stagnant, and the pulse is soggy and slippery. This is likely due to phlegm-fluid pathogens, combined with residual heat from the external contraction and the constrained, hyperactive Qi of the Liver Channel, steaming upward to confuse the clear orifices and obstruct Lung Qi. When clear orifices are confused, the Spirit mechanism fails to operate, causing mental confusion. When Lung Qi is obstructed, inhalation and excretion become abnormal, causing asthma preventing supine positioning. If Lung Qi cannot descend to the Kidneys, Kidney Qi becomes immediately deficient. Since the Kidney is the root of sealing and storing, deficiency leads to insecure containment, resulting in sweating. This is a case of root deficiency with branch excess, fearing it may develop into an incurable situation. Tentatively prescribing a formula to support the healthy Qi, resolve phlegm, descend Stomach Qi, and assist the Kidneys in grasping Qi, for your consideration.
Jilin Ginseng (7 fen, cut into small pieces, swallowed with boiling water), Inula Flower wrapped in cloth (3 qian), Achyranthes Root stir-fried with salt water (3 qian), Arisaema with Bile (1 qian), Scorched Polygala Root (5 fen), Stir-fried Perilla Fruit (3 qen), Plantago Seed stir-fried with salt water (2 qian), Hyacinth Bean Meal (2 qian), Magnetite (4 qian), Gecko Tail (1 pair), Bamboo Sap mixed with 5 drops of Ginger Juice, Platinum Pill wrapped in cloth (1 qian, decocted together).
Second Visit: Simultaneously tonifying and purging, addressing both upper and lower aspects. The cold sweat resembling oil and pearls has stopped, mental clarity has slightly improved, and more phlegm has been expectorated, though it remains thick, sticky like glue, and stringy. Although sweating has ceased, there is occasional restlessness and irritability. The pulse shows intermittent pauses, and the tongue coating is turbid, greasy, gray, and stagnant. Formless Qi-fire and tangible turbid phlegm accumulate in the chest, blocking the pathway of Lung exhalation and Kidney inhalation. Although Kidney Qi desires to ascend and draw Lung Qi downward, there is no path available. At this juncture, to descend Lung Qi, one should treat the phlegm first. With branch excess and root deficiency, whether the Yuan Qi can withstand the treatment depends on factors beyond human control. Tentatively proposing another prescription.
Cynanchum Root (3 qian), Poria (4 qian), Stir-fried Perilla Fruit (3 qian), Inula Flower wrapped in cloth (3 qian), Honey-fried Tangerine Peel (1 qian), Arisaema with Bile (1.5 qian), Stir-fried Trichosanthes Peel (3 qian), Bamboo Sap Processed Pinellia (3 qian), Purple Clam Shell (1 liang), White Walnut Meat (4 kernels, crushed), Mengshi Rolling Phlegm Pill (1 qian, taken first with boiling water), Xue Geng Tang used as water for decoction.
Guo (Left) Suffered from phlegm-asthma since childhood. Now over twenty years old, the asthma has recurred severely, with phlegm accumulating in the chest and diaphragm, causing oppression, inability to vomit, and slightly warm extremities. Administered Xiao Qing Long Tang combined with Kong Xian Dan, but neither vomiting nor diarrhea occurred. Changed to this prescription.
Gleditsia Sinensis Seed (1.5 li), Alum (3 fen), Morning Glory Seed (4 fen), Rhubarb (3 fen). Grind the four ingredients into fine powder, take with light Ginger Decoction.
Yang (Right) Failed to release the exterior upon contracting pathogens, causing evil to lie latent in the Lung collaterals. Thus, any slight exposure triggers asthma. Besides seeking skilled acupuncture practitioners for point-specific treatment, administered Pear Paste to open Lung collaterals and moisten Metal (Lung).
Honey-fried Ephedra Stem (5 qian, decocted separately, foam removed, added to mixture), Fritillaria Bulb (1.5 liang, heart removed), Winter Melon Seed (1.5 liang), Cloud Poria (4 liang), Apricot Kernel (3 liang), Rock Sugar mixed with Gypsum (5 liang), Perilla Fruit (soaked in water, crushed, juice extracted 4 liang).
Decoct the above medicines into a concentrated liquid. Use four jin of Autumn Pears, remove pits, slice, and extract juice. Mix with the aforementioned medicinal juices and Perilla juice. Reduce over charcoal fire to form a paste. Near completion, add three liang of white rock sugar. Stop when a drop forms a bead upon contact with water. Take one teaspoon per dose, in the evening or before bed.