（附论）
岐伯曰。夜行则喘。出于肾。淫气病肺。有所堕恐。喘出于肝。淫气害脾。有所惊恐。
喘出
为病
阳
出
汤
肢
上气喘促。或咽喉不利者。此是本气极虚。内外挟寒冷所致。使阴寒内消。阳气得复。则愈
。宜返阴丹主之。大概诸脏同乘而喘者。以杏子散。如感寒伏热而喘者。以华盖散、九宝汤
。若暴寒覆衣被过当复热。肺实而喘促者。其状似有热证。宜洗心散。冷水调服。若因气血
不调。痰盛喘促者。宜四七汤。无官局桔梗汤姜煎服。若涎多而喘者。宜千缗汤、橘皮半夏
汤。若不卧。卧即喘者。此由水气逆行。上乘于胸膈。结在右胁。下大如杯。令人洒淅寒热
、喘。发痈疽。宜枣膏丸。若于肺。肺得水则浮而开。使气不得通流六脉。大宜神秘汤。肺
之积。名上气喘者。宜神授汤。若上盛下弱而喘促者。宜苏子降气汤。吞黑锡丹。若尊年之
人。素来禀赋大浓。不任热药者。不可轻投丹剂。乃诸热药。但以秘传降气汤、分心汤。气
饮论之梗概。不出于此。若素有香港脚而喘者。当作香港脚治之。又有骨蒸劳喘治之。别有法。
夫促者。脚病者。肺为之主。五脏六腑皆禀气于人。喜怒太过不节。肺气实则上喘。虚则气
短。然有娠者。经水不通。上荣于乳。下养于胎。若宿有停饮。与血搏后。冷热不调。动其
血。饮上达。故胸膈闷而嗽。产后喘者。荣血暴竭。卫气无主。攻肺。故喘促。过在产时。
满下太过。此名有阳绝患。难以喘论。宜作六合汤。若因去恶露发喘。先与琥珀散。后与喘
药服之。
方
九宝汤（出圣惠方）治感风伏热。一切咳嗽喘急。不问高年小儿。妇人室
女。
产前产后。皆
薄荷叶 紫苏 大腹皮（洗） 麻黄（去根节各四钱） 桑白皮 桂心 杏仁（去皮尖）
陈
橘皮
滓
温服
可坐
永不
神秘汤（出大全良方）治水气乘肺而喘。兼疗支饮而喘。
陈橘皮（洗去白） 紫苏叶 人参 桑白皮 生姜（各等分） 上 咀。每服半两。水
煎去
滓温
神授汤（出大全良方）治上气喘急不得卧。
橘皮 苦梗 紫苏 人参 北五味子 上各等分 咀。每服四钱。水一盏。煎至六分。
去滓
千缗汤（出大全良方）治痰喘。
齐川半夏（七个炮制四片炒之） 皂角（去皮尖一寸） 甘草（炙一寸） 生姜（如指
大） 上
药以
我曾如
枣膏丸（出大全良方）疗息贲。
葶苈（研细） 陈皮 苦梗 上后二味为末。入葶苈令煨煮肥枣内研为膏和丸如梧桐子
大。每
良验。
杏子散（出大全良方）治诸脏相乘喘急。
杏子仁（去皮尖双仁麸炒黄细研如膏） 麻黄根（为细末等分） 上和前橘皮汤调下二
钱。
无时
治妇人喘促虚肿。快利小便即瘥。
用生姜二两取汁。白面三两。以姜汁搜作小剂。大半夏十个打研入面中。作为饼。炙熟
令黄
天门冬丸（出杨氏家藏方）治妇人喘。手足烦热。骨蒸寝汗。口干饮水。面
目
浮肿。\x
天门冬（十两去心秤） 麦门冬（八两去心） 生地黄（三斤取汁为膏子） 上二味为
末。膏
子和
参荆
去大
治其
(Attached Discussion)
Qibo said: Walking at night causes panting, the root of which lies in the Kidney; excessive pathogenic qi damages the Lungs. Panting resulting from falling and fear originates in the Liver, with excessive pathogenic qi harming the Spleen. Panting resulting from fright...
Upper body panting and shortness of breath, or obstruction in the throat, is caused by extreme deficiency of the original Qi, compounded by internal and external cold. If the Yin-cold dissipates internally and Yang-Qi recovers, recovery will occur. It is appropriate to use Fan Yin Dan (Return to Yin Pill) as the primary treatment. Generally, for panting caused by mutual overacting among various Zang organs, Xing Zi San (Apricot Kernel Powder) should be used. For panting due to cold invasion and latent heat, Hua Gai San (Flower Canopy Powder) and Jiu Bao Tang (Nine Treasures Decoction) are indicated. For sudden cold exposure where excessive clothing and bedding lead to heat, causing excess Lung Qi and panting, the presentation resembles a heat syndrome; Xi Xin San (Wash Heart Powder) is appropriate, administered with cold water. For panting and shortness of breath due to disharmony of Qi and Blood with abundant phlegm, Si Qi Tang (Four Seven Decoction) is suitable. If the official bureau's Jie Geng Tang (Platycodon Decoction) is unavailable, decoct Jie Geng (Platycodon Root) with ginger juice. For panting accompanied by excessive saliva, Qian Min Tang (Thousand Strings Decoction) and Ju Pi Ban Xia Tang (Tangerine Peel and Pinellia Decoction) are appropriate. For inability to lie flat, where panting occurs immediately upon lying down, this is due to rebellious Water Qi rising to the chest and diaphragm, knotting in the right hypochondrium, large as a cup, causing chills and fever, panting, and potentially carbuncles and sores; Zao Gao Wan (Date Paste Pill) is indicated. If Water Qi invades the Lungs, the Lungs become floating and open upon contact with water, preventing Qi from flowing freely through the six meridians; Shen Mi Tang (Mysterious Decoction) is highly appropriate. For lung accumulation named "Upper Body Panting," Shen Shou Tang (Divine Bestowal Decoction) is indicated. For panting and shortness of breath characterized by excess above and deficiency below, Su Zi Jiang Qi Tang (Perilla Seed Descending Qi Decoction) is suitable, taken with swallowing Hei Xi Dan (Black Tin Pill). For elderly individuals who naturally have a robust constitution and cannot tolerate hot medicines, Dan agents (mineral pills) should not be lightly administered; instead, various hot medicines such as Mi Chuan Jiang Qi Tang (Secretly Transmitted Descending Qi Decoction), Fen Xin Tang (Separate Heart Decoction), and Qi Yin (Qi Drink) may be discussed, the general principles of which do not extend beyond this scope. For those with pre-existing Hong Jiao Jiao (Beriberi/Foot Qi) who develop panting, it should be treated as Hong Jiao Jiao. There are also specific methods for treating Gu Zheng Lao Chuan (Bone-steaming Labor Panting).
The term "Cu" (rapid/shortened pulse or breathing) refers to foot diseases. The Lungs govern this; the five Zang and six Fu organs all receive Qi from the human body. Excessive anger or joy without restraint leads to Lung Qi excess, causing upper panting, and Lung Qi deficiency, causing shortness of breath. However, in pregnant women, menstrual blood ceases; it nourishes the breasts upwards and the fetus downwards. If there is pre-existing retained fluid that binds with blood, leading to disharmony of cold and heat, disturbing the blood and allowing fluid to rise upward, chest and diaphragm oppression and coughing result. Postpartum panting occurs because Ying Blood (Nutritive Blood) is suddenly depleted, and Wei Qi (Defensive Qi) loses its master, attacking the Lungs, thus causing panting and shortness of breath. The fault lies in excessive purgation during childbirth; this is termed a condition of Yang extinction, which cannot be discussed merely as panting; Liu He Tang (Six Harmonies Decoction) is appropriate. For panting triggered by the expulsion of lochia, Hu Po San (Amber Powder) should be given first, followed by anti-panting medicines.
Formulas
Jiu Bao Tang (Nine Treasures Decoction) [from *Sheng Hui Fang*]: Treats all types of coughing and urgent panting caused by wind invasion and latent heat, applicable to the elderly, children, women, virgins, before and after delivery.
Bo He Ye (Menthae Haplocalycis Folium), Zi Su (Perillae Folium), Da Fu Pi (Arecae Pericarpium, washed), Ma Huang (Ephedrae Herba, roots and joints removed, each 4 qian), Sang Bai Pi (Mori Cortex), Gui Xin (Cinnamomi Ramulus), Xing Ren (Armeniacae Semen Amarum, skin and tips removed), Chen Pi (Citri Reticulatae Pericarpium).
Crush the herbs, decoct in water, remove dregs, and take warm. After taking, one can sit up; it prevents recurrence forever. *(Note: Text appears incomplete)*
Shen Mi Tang (Mysterious Decoction) [from *Da Quan Liang Fang*]: Treats panting due to Water Qi invading the Lungs, and also treats panting due to Zhi Yin (Branch Fluid retention).
Chen Ju Pi (Citri Reticulatae Pericarpium, washed and white pith removed), Zi Su Ye (Perillae Folium), Ren Shen (Ginseng Radix et Rhizoma), Sang Bai Pi (Mori Cortex), Sheng Jiang (Zingiberis Rhizoma Recens, equal parts).
Crush the herbs. Take 0.5 liang per dose, decoct in water, remove dregs, and take warm.
Shen Shou Tang (Divine Bestowal Decoction) [from *Da Quan Liang Fang*]: Treats upper panting and urgency with inability to lie flat.
Ju Pi (Citri Reticulatae Pericarpium), Ku Jing (Platycodonis Radix, i.e., Jie Geng), Zi Su (Perillae Folium), Ren Shen (Ginseng Radix et Rhizoma), Bei Wu Wei Zi (Schisandrae Chinensis Fructus).
Equal parts. Crush. Take 4 qian per dose, decoct in one cup of water until reduced to 0.6 cups, remove dregs, and take warm.
Qian Min Tang (Thousand Strings Decoction) [from *Da Quan Liang Fang*]: Treats Phlegm panting.
Qi Chuan Ban Xia (Pinelliae Rhizoma Praeparatum, seven pieces, processed, cut into four slices and stir-fried), Zao Jiao (Gleditsiae Sinensis Spina, skin and tips removed, one cun), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, one cun), Sheng Jiang (Zingiberis Rhizoma Recens, size of a finger).
*(Text missing here: "Yao yi wo zeng ru" is unintelligible, likely describing decoction method)*
Zao Gao Wan (Date Paste Pill) [from *Da Quan Liang Fang*]: Treats Xi Ben (Lung Accumulation).
Ting Li (Descurainiae Semen seu Lepidii Semen, finely ground), Chen Pi (Citri Reticulatae Pericarpium), Ku Jing (Platycodonis Radix).
Grind the latter two ingredients into powder. Add Ting Li, and grind together inside roasted fat dates to form a paste. Form pills as large as Sophora seeds. Take ... *(Text missing dosage/administration)*. Good efficacy.
Xing Zi San (Apricot Kernel Powder) [from *Da Quan Liang Fang*]: Treats urgent panting caused by mutual overacting among Zang organs.
Xing Zi Ren (Armeniacae Semen Amarum, skin and tips removed, double-kernel ones excluded, stir-fried with bran until yellow, finely ground into paste), Ma Huang Gen (Ephedrae Radix et Rhizoma, ground into fine powder, equal parts to the paste).
Mix the Apricot Kernel paste with the Ma Huang Gen powder. Take 2 qian mixed with previous Ju Pi Tang (Tangerine Peel Decoction). Take at any time.
*(Formula name missing)*
Treats female panting, shortness of breath, and deficiency edema. Rapid promotion of urination leads to recovery.
Use 2 liang of fresh ginger juice and 3 liang of white flour. Knead into small dough portions. Grind ten Da Ban Xia (Pinelliae Rhizoma) and mix into the dough. Form into cakes, roast until yellow...
Tian Men Dong Wan (Asparagi Radix Pill) [from *Yang Shi Jia Cang Fang*]: Treats female panting, vexing heat in hands and feet, bone-steaming night sweats, dry mouth with desire to drink, and edema of face and eyes.
Tian Men Dong (Asparagi Radix, 10 liang, heart removed, weighed), Mai Men Dong (Ophiopogonis Radix, 8 liang, heart removed), Sheng Di Huang (Rehmanniae Radix, 3 jin, juice extracted and boiled into paste).
Grind Tian Men Dong and Mai Men Dong into powder. Mix with Sheng Di Huang paste to form pills... *(Text ends abruptly with confusing characters "zi he shen jing qu da zhi qi")*