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1. The syndrome of excess-type panting (Shi Chuan) is caused by pathogenic factors stagnating in the Lung. The excess pathogens in the Lung are none other than Wind-Cold or Fire-Heat. Wind-Cold pathogens must enter from the skin and hair, thereby entering the Lung to cause panting; when Fire-Heat is blazing, Metal (the Lung) inevitably suffers injury, thus also causing panting due to Lung pathology. For treating excess panting caused by Wind-Cold, warm dispersing methods should be used; for treating excess panting caused by Fire-Heat, cold-cooling methods should be employed. There is also the concept of phlegm-induced panting. Predecessors often stated that one treats the phlegm, not realizing that phlegm itself does not directly cause panting, but rather there must be a root cause for the generation of phlegm. In such cases, one must seek the root cause and treat it accordingly.

2. Whenever external Wind-Cold invades, with pathogens exuberant in the Lung and coughing and panting occurring simultaneously, Liu An Decoction (Six-Safe Decoction) added with Asarum Root (Xi Xin) or Perilla Leaf (Su Ye) is appropriate as the main prescription. If the contraction of Wind-Cold during winter is particularly severe, Ephedra Stem (Ma Huang) may be added to this base formula, or alternatively, Xiao Qing Long Tang (Minor Blue Dragon Decoction), Hua Gai San (Flower Canopy Powder), or San Ao Tang (Three Unbinding Decoction) may be used as the main prescription.

3. When there is external Wind-Cold combined with internal mild Fire-Heat leading to panting, Huang Qin Ban Xia Tang (Scutellaria and Pinellia Decoction) is appropriate as the main prescription. If there is concurrent excessive Fire-Heat in the Yangming channel, presenting as "Cold Enveloping Heat" (external cold with internal heat), a method that is both cooling and dispersing should be used, primarily with Da Qing Long Tang (Major Blue Dragon Decoction), or Hu Wu Tang (Five Tiger Decoction), or Yue Bi Jia Ban Xia Tang (Yue Bi Decoction plus Pinellia).

4. When there is no external Wind-Cold, but panting is caused solely by excessive Fire-Heat, or although slight cold is present, the focus is on Fire-Heat, Sang Bai Pi Tang (Morus Bark Decoction) or Chou Xin Yin (Fire-Withdrawing Drink) are appropriate as the main prescriptions.

5. For panting caused by excessive phlegm, although treating phlegm is indicated, formulas such as Er Chen Tang (Two-Aged Decoction), Liu An Decoction, Dao Tan Tang (Phlegm-Guiding Decoction), Qian Min Tang (Thousand Strings Decoction), Gun Tan Wan (Rolling Phlegm Pill), and Bao Long Wan (Embracing Dragon Pill) can all be used to treat panting caused by excess phlegm; Liu Jun Zi Tang (Six Gentlemen Decoction) and Jin Shui Liu Jun Jian (Metal-Water Six Gentlemen Decoction) can be used to treat panting caused by deficiency-phlegm. However, phlegm as a pathological product is merely the branch manifestation of disease; there must necessarily be a root cause for its generation. Therefore, whenever phlegm is stirred by Fire, the Fire must first be treated; whenever phlegm is generated by Cold, the Cold must first be treated. Furthermore, whether due to Qi rebellion, Wind pathogens, Dampness stagnation, or Spleen-Kidney deficiency, any one of these conditions can generate phlegm. If one attempts to treat phlegm without addressing the cause of its generation, the phlegm will never be cured, and how can the panting heal?

6. When the Qi aspect is affected by pathogens, resulting in upper Jiao Qi excess and panting, or when anger and depression injure the Liver, and the patient is robust with fullness and an excess pulse, simply breaking the Qi stagnation will allow the panting to resolve spontaneously. Kuang Qing Yin (Clearing Drink), Si Mo Yin (Four Grindings Drink), Si Qi Tang (Four Seven Decoction), Luo Bo Zi Tang (Radish Seed Decoction), or Su Zi Jiang Qi Tang (Perilla Seed Descending Qi Decoction) are appropriate as main prescriptions. Alternatively, if Yangming Qi obstruction leads to fullness, mild purgation may be applied.

7. Panting with a chronic root, triggered by cold or exertion, is also called Asthma (Xiao Chuan). During remission, the primary approach is to support healthy Qi (Zheng Qi); during exacerbation, the primary approach is to attack pathogenic factors. When supporting healthy Qi, Yin and Yang must be differentiated: those with Yin deficiency benefit from nourishing Yin, and those with Yang deficiency benefit from tonifying Yang. When attacking pathogenic factors, severity must be distinguished: dispersing Wind, warming Cold, or clearing Phlegm-Fire. However, in long-standing cases, Qi is invariably deficient. Therefore, while dispersing pathogens, warm-tonifying herbs should be酌情 (discretionarily) added; conversely, while tonifying, dispersing herbs should be moderately included. For such syndromes, consideration must always be given to Yuan Qi (Original Qi). Only by ensuring the gradual replenishment of Original Qi can gradual recovery be hoped for. If attack methods are too aggressive, the condition will inevitably worsen daily, leading to danger.