治阴虚火盛，咳而咽干，脉来弦长紧实，滑数有力，皆火郁内实不受补者，宜此主之。
麦门冬（去心，一钱五分，治肺虚火嗽，或单用亦可） 天门冬（去心皮，一钱五分，清
肺热保肺气，除痰咳者） 大甘草（生用，八分，治火热伤肺咳嗽） 沙参（一钱，益肺气，清
肺火，
气，利咽喉，为诸药之舟楫） 枯黄芩（蜜炒，一钱，泻肺火，消痰，利气滋化源，养阴退阳
）百部（去苗，一钱，除热咳，上气喘急） 鲜知母（去毛，蜜炒，一钱，忌铁，消痰润肺，
滋阴降火，治肺热
嗽） 天花粉（一钱
上十二味作一剂，用干柿五片，水煎，食远趁热，徐徐缓服。
若热盛喘咳，及痰多如涌泉者，加石膏火煨一钱。若久咳嗽唾不出，加五倍子五分。
若咳嗽声嘶者，此金为火烁之甚，加诃子肉五分，敛而降之。若久嗽不止，此肺气散而不收
，加北五味子五粒。嗽而有血，此肺窍伤损，加阿胶、犀角、藕汁、童便对服。
治阴虚劳嗽，脉来浮而芤濡虚大，迟缓无力，或沉而迟涩，弱细无力，皆虚而不足，宜
于补者，以此主之。
黄 （蜜炒，一钱，补虚泻火止痰嗽，自汗及咳脓血） 人参（五分，补肺气，降肺火及
肺虚久嗽） 北五味（十五粒，收肺气，止咳嗽，乃火热必用之药） 紫菀（制过，一钱，止咳
脓血，消痰益肺） 款冬花（八分，治肺热劳嗽连绵不绝，为温肺治嗽之要药） 生地黄（姜汁
蒸，一钱，止咳嗽吐血） 玄参（忌铁，一钱，治肾水受伤，真阴失守，孤阳无根，发为火病
咳嗽唾血证） 沙参（一钱，益心肺，清肺火，治久嗽肺痿） 天门冬（去心，皮，一钱，保
肺气，定喘促，为地黄之使） 麦门冬（去心，二钱，止劳嗽，定虚喘，除肺热，主心烦，治
阴虚及口渴） 知母（去毛，忌铁，蜜炒一钱，消痰止嗽，清心肺，疗骨热烦蒸）
上十一味，作一剂，水煎缓服。
若咳嗽痰结咽喉不利，肺燥喘咳，加炒栝蒌仁一钱。若劳嗽上气，胸胁不利，加贝母
八分。若嗽而失声，由火燥烁金，损伤肺窍，极为难治，加诃子肉八分。若胸胁痞满少食，
此肝木贼脾，加山药、白芍，醋炒青皮少许。若咳而多汗，加酸枣仁微炒五分，倍黄 。
若咳而有血，加阿胶八分，磨犀角、藕汁、童便对服。若咳而遗滑，加茯神、山茱萸肉各一
钱，间服六味丸。若咳而骨蒸，加地骨皮一钱。
For treating Yin deficiency with flourishing fire, characterized by cough and dry throat, with a pulse that is wiry, long, tight, solid, slippery, rapid, and forceful; these indicate internal fire stagnation and excess patterns that cannot tolerate tonification. This main formula is suitable.
*Ophiopogonis Radix* (remove the heart, 1 qian, treats lung deficiency fire cough, or can be used alone) *Asparagi Radix* (remove the heart and peel, 1 qian, clears lung heat to protect lung qi, eliminates phlegm and cough) *Glycyrrhizae Radix et Rhizoma* (raw use, 8 fen, treats cough caused by fire damaging the lung) *Glehniae Radix* (1 qian, benefits lung qi, clears lung fire, moistens the throat, serves as the carrier for other herbs) *Scutellariae Radix* (honey-fried, 1 qian, drains lung fire, resolves phlegm, regulates qi and nourishes the source of transformation, nourishes yin and subdues yang) *Stemonae Radix* (remove the sprouts, 1 qian, removes heat cough, relieves upper asthma and urgency) *Anemarrhenae Rhizoma* (fresh, remove hairs, honey-fried, 1 qian, avoid iron, resolves phlegm and moistens lungs, nourishes yin and descends fire, treats lung heat cough) *Trichosanthis Radix* (1 qian).
These twelve ingredients constitute one dose. Add five slices of dried persimmon, decoct in water, and take warm after meals, sipping slowly.
If heat is excessive causing asthma and cough, and phlegm is abundant like a gushing spring, add calcined *Gypsum Fibrosum* (fire-roasted) 1 qian. If chronic cough persists with inability to expectorate sputum, add *Galae Fructus* 5 fen. If the voice is hoarse due to severe fire scorching metal (lung), add *Terminaliae Fructus* flesh 5 fen to astringe and descend. If chronic cough does not cease, indicating lung qi dispersion without convergence, add *Schisandrae Fructus* (Northern) 5 grains. If blood appears in cough, indicating damage to lung orifices, add *Colla Corii Asini*, *Rhinocerotis Cornu*, lotus root juice, and child's urine taken together.
For treating Yin deficiency consumption cough, with a pulse that is floating and knotted, soft, deficient and large, slow and weak, or deep, slow, choppy, weak and fine; these indicate deficiency and insufficiency suitable for tonification. This formula is suitable.
*Astragali Radix* (honey-fried, 1 qian, tonifies deficiency, drains fire, stops phlegm cough, treats spontaneous sweating and coughing of pus and blood) *Ginseng Radix* (5 fen, tonifies lung qi, descends lung fire, treats chronic lung deficiency cough) *Schisandrae Fructus* (Northern, 15 grains, collects lung qi, stops cough, an essential herb for fire syndromes) *Asteris Radix* (processed, 1 qian, stops cough with pus and blood, resolves phlegm and benefits lung) *Farfarae Flos* (8 fen, treats continuous lung heat consumption cough, an important herb for warming the lung and treating cough) *Rehmanniae Radix* (steamed with ginger juice, 1 qian, stops cough and hematemesis/hemoptysis) *Scrophulariae Radix* (avoid iron, 1 qian, treats kidney water injury, loss of true yin, rootless solitary yang leading to fire disease cough and spitting blood) *Glehniae Radix* (1 qian, benefits heart and lung, clears lung fire, treats chronic cough and lung atrophy) *Asparagi Radix* (remove heart and peel, 1 qian, protects lung qi, calms panting, acts as the guide for *Rehmanniae Radix*) *Ophiopogonis Radix* (remove heart, 2 qian, stops consumption cough, calms deficiency panting, clears lung heat, governs mental restlessness, treats Yin deficiency and thirst) *Anemarrhenae Rhizoma* (remove hairs, avoid iron, honey-fried 1 qian, resolves phlegm and stops cough, clears heart and lung, treats bone-steaming fever and irritability).
These eleven ingredients constitute one dose. Decoct in water and take slowly.
If cough with phlegm obstruction causes throat discomfort and lung dryness with asthma and cough, add fried *Trichosanthis Semen* 1 qian. If consumption cough with upward rushing qi and chest/hypochondriac discomfort, add *Fritillariae Bulbus* 8 fen. If cough leads to loss of voice due to fire dryness scorching metal and damaging lung orifices, which is extremely difficult to treat, add *Terminaliae Fructus* flesh 8 fen. If there is chest/hypochondriac fullness and poor appetite, indicating liver wood invading spleen earth, add *Dioscoreae Rhizoma*, *Paeoniae Radix Alba*, and a small amount of vinegar-processed *Citri Reticulatae Pericarpium*. If cough with excessive sweating, add lightly fried *Ziziphi Spinosae Semen* 5 fen, and double the dosage of *Astragali Radix*. If cough with blood, add *Colla Corii Asini* 8 fen, ground *Rhinocerotis Cornu*, lotus root juice, and child's urine taken together. If cough with seminal emission/slippery discharge, add *Poria* and *Corni Fructus* flesh each 1 qian, taken intermittently with *Liuwei Wan* (Six-Ingredient Pill with Rehmannia). If cough with bone-steaming fever, add *Bark of Ground Cherry Root* (*Lycii Cortex*) 1 qian.