丹溪治一人哮，十日一发。此病在上焦，不得汗泄，正当十月，遂以麻黄、黄芩各二钱，入姜汁煎服，临
卧进小胃丹三十粒而安。丹溪小胃丹∶芫花醋炒、甘遂、大黄、大戟、黄柏，内为末，白术膏丸。
圣济治一人，饮醋呛喉，喘哮不止，用粉甘草二两去皮，破开以猪胆六七枚取汁，浸三日，炙干为末蜜丸，
清茶下三四十丸渐愈。
王宇泰治一人盐哮，用白面二钱，沙糖搜和，以糖饼灰汁捏作饼子，放在炉内 干，铲出切作四块，以轻
粉四钱另炒，糁在饼内食之，吐痰而愈。（以上俱《大还》。）
龚子材治一人，哮喘十数年，发则上气喘促，咳嗽吐痰，自汗，四肢厥冷，六脉沉细。此气虚脾弱，与六
君子加黄 、五味、二冬、杏仁、姜、枣，煎服而愈。
一人自幼患哮喘之症，每遇寒即发，发则喘急咳嗽，痰涎上涌，久不瘥，已成痼疾。与甘、桔、芩、连、
栝蒌、贝母、二冬清肺，合六味补肾为方，名清上补下丸，服一料全愈。
孙文垣治查少川，夙有哮喘疾，每发则遍身如燎，上气短促，喉中痰声响若汤沸，每经七昼夜，汗出渐愈。
（七日来复之义。）居恒嗜饮纵欲，不避风寒，有教以石膏、麻黄、杏仁、枳壳、细茶各一两，作大剂饮之，名曰五虎
汤。喘至即以此御之，随饮而止，屡发屡进，应若桴鼓。凡三年饮五虎无算，因而腹大如覆箕，两腿光肿如柱，
内外 疮，清水不竭，腥气逼人，不能伏枕者五阅月。诊时长至后一日也，气高而喘，身热而烦，覆以棉被，
足纳火箱，环列火盆，绒帽貂套，束之以帕，鼻亦绒套笼之，坐重幔中，犹凛凛畏寒，今已十日。其脉浮大无
力，其色白中隐青。旧病由于气虚中满，新病由于寒邪在表而然，令先散之，以紫苏、马蹄、细辛、甘草、防
风、白蔻仁、苍术、陈皮、人参、羌活、生姜，一帖得微汗，畏寒之状已去。独鼻尚寒，用防风、黄 二两，
煎汤令熏其鼻，饭顷而止，日凡三熏，次日亦愈。呕恶不止，用人参温脾汤加丁香进之，一帖旋已。因欲利水，
自食鲤鱼数斤，夜胀极，以平胃散入橄榄肉一两，（能解鱼毒）两剂而定。独腹胀小水不利，不能伏枕为苦，以附
子理中汤加砂仁、补骨脂、赤小豆、桂心，连进四帖，小水略长。继以尊重丸，日三服之，每服五丸，五日后
小水通利，可以卧矣。守此调理，胀消而平。
李士材治顾文学，十年哮喘，百药无功。诊其两寸数而涩，曰∶涩者痰火风寒，久久盘踞根深蒂固矣。须
补养月余，行吐下之法。半年之间，凡吐下十次，服补剂百余遂愈。更以补中益气为丸，加鸡子、秋石，服年
许永不再发。（补中益气与此病不相登对，其愈者攻补兼施之力也。王说是也，盖虚家非补未易用攻。）
施沛然治阮二华室，患哮喘过用凉剂，痰上壅，面目浮黄而肿，每昏晕则形静若死，苏则 之声，闻于
外庭，医者望而却走。诊其六脉沉滑而弱兼紧，病得之冬伤于寒。经云∶形寒饮冷则伤肺。古人治此病，必用
麻黄轻清辛散之剂。若投以寒凉，则邪气闭痼而不得泄，痰日胶结，上焦之气壅而不宣。乃用通关散涌其痰涎，
凡三涌而痰气始清，喘息始定。后以三拗汤兼导痰汤出入调理，月余而安。《局方》三拗汤∶麻黄不去节、杏
仁、甘草各等分，生姜五片同煎。《局方》通关散∶川芎一两，细辛五钱，甘草、川乌、白芷、抚芎各二两，
龙脑、薄荷叶两半。上为细末，每服一钱，葱白、茶清调下，薄荷汤亦得。
钱国宾治金陵青衿赵艳 母，年六旬，得痰症，昼夜吼锯，呕痰数碗，初尚能行，后渐不起，幸胃不病，
饮食如常，多医罔效。脉之六部浮滑，右寸关更甚。浮主肺气虚弱，滑主脾经积痰，乃痰吼症也。用导痰加杏
仁、麻黄，二十剂，病势不减，辞去。又更二医，反重，复求治。曰∶吾技尽矣，容思之。忽悟吼痰属太阴肺
经之病症，肺乃清虚之脏，六叶两耳，四垂如盖。今胶痰固于肺缝中，呼吸而作吼锯之声。且胃主纳受，脾主
运化，今胃纳而脾不运，停饮作痰，此症非劫剂不可也。以三白丸方示彼，用白砒三分 黄，贝母、桔梗各三
分，捣饭为丸，黍米大，以冷茶临睡下七丸，七服痰止吼定。服理脾清肺药痊。大抵病危至此，不用客劫之味
弗愈也，此神明于七方十剂之意者也。古人学力深，今人学力浅，再思能用野狼虎劫夺之剂，学力方到。若迎夺
劫伏神兵，奇正当并用也。奚王道可以尽岐黄之技哉？如果见真，劫剂亦不妨暂用也。淡豆豉一两，白砒一钱
为末，用饭三钱研烂，入末为丸如莱菔子大，每服七粒，白汤下，治冷哮极效。（文田按∶王氏所附方，可以
治根深蒂固痰涎壅滞之症，曾见其效比比然。非万不得已不必用此。脏腑缘此致伤，他日亦终吐血，不可不慎也。）
Zhu Danxi treated a patient with asthma (a disease characterized by rapid breathing and rattling phlegm in the throat), which occurred once every ten days. The disease was located in the Upper Jiao (the area above the diaphragm, including the chest and lungs) and could not be resolved through sweating. It was the tenth month, so he used Ephedrae Herba (Mahuang, 麻黄) and Scutellariae Radix (Huangqin, 黄芩), each two qian, decocted with ginger juice for oral administration. At bedtime, he administered Xiaowei Wan (Small Stomach Pill) thirty pills, after which the condition stabilized. Xiaowei Wan of Danxi consists of Genkwa Flos (Yuanhua, 芫花) stir-fried with vinegar, Kansui Radix (Gansui, 甘遂), Rhei Radix et Rhizoma (Dahuang, 大黄), Euphorbiae Pekinensis Radix (Daji, 大戟), and Phellodendri Cortex (Huangbai, 黄柏), ground into fine powder, and formed into pills using Atractylodis Macrocephalae Rhizoma paste (Baizhu Gao).
The *Shengji Zonglu* records the treatment of a person who choked on vinegar, causing incessant wheezing and asthma. Two liang of peeled Glycyrrhizae Radix et Rhizoma (Fen Gancao, 粉甘草) were cracked open and soaked in the juice of six or seven pig gallbladders for three days. After being dried by roasting and ground into powder, honey pills were made. Thirty to forty pills were taken with clear tea, leading to gradual recovery.
Wang Yutai treated a patient with salt-induced asthma (asthma triggered by excessive salty food intake). He used two qian of white flour, kneaded with rock sugar, shaped into cakes using ash lye from sugar cakes, dried them in a stove, cut them into four pieces, and sprinkled them with four qian of Arsenic Sulfide (Qingfen, 轻粉) separately stir-fried. The patient ate this and recovered by vomiting phlegm. (All the above cases are from *Da Huan*.)
Gong Zicai treated a patient suffering from asthma for over ten years. Upon onset, there was upper airway wheezing, coughing with expectoration, spontaneous sweating, cold limbs, and deep, fine pulses in all six positions. This indicated Qi deficiency and Spleen weakness. He prescribed Liujunzi Tang (Six Gentlemen Decoction) augmented with Astragali Radix (Huangqi, 黄芪), Schisandrae Fructus (Wuweizi, 五味子), Asparagi Radix (Tandong, 天冬), Ophiopogonis Radix (Mandong, 麦冬), Pruni Semen (Xingren, 杏仁), Zingiberis Rhizoma (Jiangsheng, 生姜), and Jujubae Fructus (Zao, 枣), decocted and administered, resulting in recovery.
Another patient had suffered from asthma since childhood, triggered by cold exposure. Onset involved rapid wheezing, coughing, and surging phlegm-saliva. The condition persisted without cure, becoming chronic. He was prescribed Licorice Root (Gancao, 甘草), Platycodon Root (Jiegeng, 桔梗), Scutellaria Root (Huangqin, 黄芩), Coptis Rhizome (Lian, 黄连), Trichosanthes Fruit (Gualou, 瓜蒌), Fritillaria Bulb (Beimu, 贝母), Asparagus Root (Tandong, 天冬), and Ophiopogon Root (Mandong, 麦冬) to clear Lung heat, combined with Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) to tonify the Kidney. The formula was named Qing Shang Bu Xia Wan (Clear Upper Tonify Lower Pill). One course led to complete recovery.
Sun Wenyuan treated Cha Shaochuan, who had a long-standing history of asthma. Each attack caused his whole body to feel hot as if burning, shortness of breath, and loud rattling sounds in the throat like boiling water. Recovery typically took seven days and nights, ending with sweating. (This aligns with the principle of "recovery after seven days.") He habitually indulged in alcohol and sexual activity, exposing himself to wind and cold. Someone advised him to take a large dose of one ounce each of Gypsum Fibrosum (Shigao, 石膏), Ephedra Herb (Mahuang, 麻黄), Apricot Seed (Xingren, 杏仁), Aurantium Fruit (Zhike, 枳壳), and strong tea, decocted together. This was called Wuhu Tang (Five Tiger Decoction). Whenever asthma struck, he would drink this to counteract it, stopping immediately after drinking. It worked rapidly and effectively upon repeated use. Over three years, he consumed countless doses of Wuhu Tang, resulting in abdominal distension as large as an inverted basket, legs swollen and shiny like pillars, internal and external sores, continuous discharge of clear fluid, and a pungent odor. He could not lie flat for five months. When consulted on the day after Winter Solstice, his breathing was labored and wheezy, his body hot and restless. He wore heavy cotton quilts, placed his feet in a fire box, surrounded himself with fire basins, wore a velvet hat and muffs, bound his head with a cloth, covered his nose with a velvet sleeve, and sat within heavy curtains, yet still shivered with fear of cold for ten days. His pulse was floating, large, and powerless; his complexion was white with hints of blue. The old disease stemmed from Qi deficiency and central fullness; the new disease resulted from Cold pathogen in the exterior. He was instructed to first release the exterior using Perilla Leaf (Zisu, 紫苏), Water Chestnut (Matou, 荸荠), Asarum Root (Xixin, 细辛), Licorice Root (Gancao, 甘草), Saposhnikovia Root (Fangfeng, 防风), White Cardamom Seed (Baokourén, 白蔻仁), Atractylodes Rhizome (Cangzhu, 苍术), Tangerine Peel (Chenpi, 陈皮), Ginseng Root (Renshen, 人参), Notopterygium Root (Qianghuo, 羌活), and Fresh Ginger (Shengjiang, 生姜). After one dose, he sweated slightly, and the fear of cold disappeared. However, his nose remained cold. He used Saposhnikovia Root (Fangfeng, 防风) and Astragalus Root (Huangqi, 黄芪), two liang each, decocted to steam his nose. This was done for the duration of a meal, three times a day, and cured the next day. Persistent nausea and vomiting were treated with Renshen Weni Tang (Ginseng Warming Spleen Decoction) augmented with Clove (Dingxiang, 丁香). One dose stopped it. Wanting to promote urination, he ate several jin of carp at night, causing severe abdominal distension. Pingwei San (Pingwei Powder) with one liang of Olive Flesh (Ganlanrou, 橄榄肉) (which can resolve fish toxicity) was given for two doses, stabilizing the condition. However, abdominal distension and difficulty urinating prevented him from lying down. Fuzi Lizhong Tang (Aconite Regulate Middle Decoction) augmented with Amomum Fruit (Sharen, 砂仁), Psoralea Fruit (Buguzhi, 补骨脂), Adzuki Bean (Chixiaodou, 赤小豆), and Cinnamon Bark (Guixin, 桂心) was administered for four consecutive doses, slightly improving urination. Subsequently, Zunzhong Wan (Respectful Pill) was taken three times daily, five pills per dose. After five days, urination became smooth, allowing him to lie down. Maintaining this regimen resolved the distension.
Li Shicai treated Gu Wenxue, who had suffered from asthma for ten years with no effect from various medicines. Palpating the two Cun positions, he found them rapid and choppy. He said: "A choppy pulse indicates that Phlegm-Fire, Wind-Cold have lodged deeply and firmly for a long time. It is necessary to tonify for over a month, then employ emetic and purgative methods." Within half a year, he underwent emesis and purgation ten times and took over a hundred types of tonifying formulas before recovering. He then took Buzhong Yiqi Wan (Tonify the Middle and Augment the Qi Pill) augmented with Chicken Egg (Jizi, 鸡子) and Halitum (Qiushi, 秋石), taking it for about a year, preventing recurrence permanently. (Buzhong Yiqi Tang is not perfectly suited to this disease; its success was due to the combined effect of attacking and tonifying. Wang Ken-tang's view is correct: patients with deficiency cannot easily undergo attacking therapies without prior tonification.)
Shi Peiran treated the wife of Ruan Erhua, who suffered from asthma exacerbated by excessive use of cooling agents. Phlegm obstructed upwards, causing yellowish swelling of the face and eyes. During fainting spells, she appeared motionless as if dead; upon recovery, snoring sounds were audible in the outer courtyard. Physicians fled upon seeing her. Palpating the six pulses, they were deep, slippery, weak, and tight. The illness originated from winter Cold injury. The Classics state: "Cold exposure and cold drinks injure the Lung." Ancients treated this disease using light, clear, acrid, and dispersing agents containing Ephedra Herb (Mahuang, 麻黄). If cold-cooling agents were used, the pathogen would become sealed and unable to exit, causing phlegm to bind increasingly and obstructing the Qi of the Upper Jiao. Thus, Tongguan San (Pass the Gate Powder) was used to induce vomiting of phlegm-saliva. After three inductions, the phlegm-Qi cleared, and wheezing stabilized. Later, San'ao Tang (Three Unblocking Decoction) combined with Daotan Tang (Phlegm-Guiding Decoction) was adjusted for regulation, leading to peace within a month. *Ju Fang* San'ao Tang: Ephedra Herb (Mahuang, 麻黄) with stems intact, Apricot Seed (Xingren, 杏仁), Licorice Root (Gancao, 甘草) in equal parts, plus five slices of Fresh Ginger (Shengjiang, 生姜), decocted together. *Ju Fang* Tongguan San: Ligusticum Rhizome (Chuanxiong, 川芎) one liang, Asarum Root (Xixin, 细辛) five qian, Licorice Root (Gancao, 甘草), Aconite Root (Chuanwu, 川乌), Angelica Dahurica Root (Baizhi, 白芷), Ligusticum Chuanxiong (Fuxiong, 抚芎) each two liang, Borneol (Longnao, 龙脑), and Mint Leaf (Boheye, 薄荷叶) half liang. All ground into fine powder. Take one qian per dose, mixed with scallion white and tea liquor; mint decoction is also acceptable.
Qian Guobin treated the mother of Zhao Yan, a scholar from Jinling, aged sixty. She suffered from a Phlegm disorder, roaring like a saw day and night, vomiting several bowls of phlegm. Initially able to walk, she gradually became bedridden. Fortunately, her Stomach function remained intact, and her diet was normal. Many physicians failed. Palpating the six positions, the pulses were floating and slippery, more pronounced on the right Cun and Guan positions. Floating indicates Lung Qi deficiency; slippery indicates accumulated Phlegm in the Spleen meridian. This is Phlegm Roaring Syndrome. Daotan Tang (Phlegm-Guiding Decoction) augmented with Apricot Seed (Xingren, 杏仁) and Ephedra Herb (Mahuang, 麻黄) was given for twenty doses, but the condition did not improve, so he left. Two other physicians worsened the condition, and she sought him out again. He said: "My skills are exhausted; let me think." Suddenly realizing that roaring phlegm belongs to the Taiyin Lung meridian, he noted that the Lung is a clear and empty organ, with six lobes and two ears, hanging down like a canopy. Now, sticky phlegm is fixed in the lung fissures, producing roaring sounds during respiration. Since the Stomach governs reception and the Spleen governs transformation, now the Stomach receives but the Spleen fails to transform, causing fluid retention and phlegm formation. This condition requires a drastic "plundering" agent. He presented the Sanbai Wan (Three Whites Pill) formula: using Arsenic Trioxide (Baibi, 白砒) three fen calcined until yellow, Fritillaria Bulb (Beimu, 贝母), and Platycodon Root (Jiegeng, 桔梗) each three fen, pounded with rice paste into pills the size of mustard seeds. Seven pills were taken with cold tea before sleep. After seven doses, the phlegm stopped and roaring ceased. She recovered after taking Spleen-regulating and Lung-clearing medicines. Generally, when a disease is critical to this extent, only drastic plundering agents can cure it. This demonstrates mastery of the Seven Formulas and Ten Dosages. Ancients had deep learning; modern practitioners have shallow learning. Only by considering the use of wild, wolf-like, tiger-like plundering agents can one reach true expertise. One must combine odd and standard approaches. How can simple paths exhaust the skills of Qibo and Huangdi? If the insight is true, plundering agents may be temporarily used. Fermented Soybean (Dansudou, 淡豆豉) one liang and Arsenic Trioxide (Baibi, 白砒) one qian ground into powder, mixed with three qian of pounded rice into pills the size of radish seeds. Take seven pills with warm water. Extremely effective for Cold Asthma. (Wentian notes: The formula attached by Mr. Wang can treat conditions with deeply rooted and stubborn phlegm-saliva obstruction, and I have seen its efficacy frequently. It should not be used unless absolutely necessary. Organs and viscera may be damaged by it, potentially leading to hemoptysis later. Caution is essential.)