（附哮）
【脉证】 实喘，气实肺盛，呼吸不利，肺窍壅滞，右寸脉沉实者是，宜泻肺。
邪喘，由肺感寒邪，伏于肺经，关窍不通，呼吸不利，右寸脉沉而紧，亦有六部俱伏者
。宜发散，则身热而喘定。
《三因》状虚实 肺实者，肺必胀，上气喘逆，咽中塞如呕状，自汗。肺虚者，
必咽干无津，少气不足以息也。
【因】 气虚入于肺；阴虚火起冲上；有痰；有水气乘肺。
【治】 喘年深，时作时止。雄猪肚一个，治如食法，入杏仁四五两，线缝，醋
三碗，煮干取出。先食肚，次以杏仁新瓦焙，捻去皮，旋食，永不发。
气虚方 治气虚。
人参 黄柏（蜜炙） 麦冬 地骨皮
血虚方 治阴虚有痰。
四物 黄连 枳壳 半夏
导痰千缗汤
半夏 南星 陈皮 茯苓 皂角 枳实
劫药方 治喘不止；甚，不可用苦寒药，可温劫之。
椒目（二钱），为末，姜汤下。莱菔子（蒸）、皂角（烧存性）。姜汁丸，噙。大黄（煨）、牵
牛（各二两，炒。）各为末，蜜水下二钱。治热痰暴喘欲死。
泻白散 治阴气在下，阳气在上，咳喘呕逆。
桑白皮（一两） 青皮 五味 甘草 茯苓 人参 杏仁 半夏 桔梗（上二味，痰涎呕逆
加之） 地骨皮（七钱）
姜煎。
神秘汤 治水气逆行乘肺，肺得水而浮，使气不通流。脉沉大。此人不得卧，卧
则喘者是。
紫苏 陈皮 桑白皮 生姜 人参（各五钱） 木香 茯苓（二钱）
哮
【因】 哮喘主于内，痰宜吐之。
【治】 哮积丹 鸡子略敲不损膜，浸尿缸内四五日夜，吃之有效。盖鸡子能去
风痰。萝卜子丸，姜汤送下妙。
(Attached: Asthma)
[Pulse and Symptoms] Excess-type panting (Shi Chuan, panting due to excess pathogenic factors) is characterized by abundant Qi in the Lung and hyperactivity of Lung pathogens, with unsmooth respiration and obstruction of the Lung orifices. The pulse at the right Cun position is deep and forceful; this type is suitable for treatment via purging the Lung.
Pathogen-induced panting arises from the Lung contracting cold pathogens, which lie dormant in the Lung meridian, causing blockage of the orifices and unsmooth respiration. The pulse at the right Cun position is deep and tight, and there are cases where all six positions exhibit a hidden pulse. Treatment via dispersing the exterior will resolve body heat and calm the panting.
The *San Yin Fang* describes the manifestations of excess and deficiency: In Lung excess, the Lung must be distended, with Qi counterflow and panting, a sensation of blockage in the throat resembling vomiting, accompanied by spontaneous sweating. In Lung deficiency, there must be dryness of the throat without fluids, shortness of Qi, and insufficient breath.
[Etiology] Deficient Qi invading the Lung; Yin deficiency leading to rising fire; presence of phlegm; water qi assaulting the Lung.
[Therapy] For chronic panting that comes and goes intermittently: Take one stomach of a male pig, clean it according to culinary methods, insert four to five taels of Xingren (Apricot Seed), sew it shut with thread, add three bowls of vinegar, and boil until the vinegar is dry, then remove. Eat the stomach first, then bake the Xingren on a new tile, rub off the skin, and eat immediately; this prevents recurrence forever.
Qi-Deficiency Formula: Treats Qi deficiency.
Renshen (Ginseng Root) Huangbai (Phellodendron Bark, honey-fried) Maidong (Ophiopogon Tuber) Digupi (Lycium Cortex)
Blood-Deficiency Formula: Treats Yin deficiency with phlegm.
Siwu Tang (Four Substances Decoction) Huanglian (Coptis Rhizome) Zhike (Aurantium Fruit) Banxia (Pinellia Tuber)
Daotan Qianmin Tang (Phlegm-Guiding Thousand-Silk Decoction)
Banxia (Pinellia Tuber) Nanxing (Arisaema Tuber) Chenpi (Citrus Reticulata Peel) Fuling (Poria) Zaojiao (Gleditsia Sinensis Spine) Zhishi (Aurantii Fructus Immaturus)
Jieyao Fang (Emergency Medication Formula): Treats persistent panting; if severe, bitter-cold medicines should not be used; warm medications should be used to seize the pathogen.
Jiaomu (Zanthoxylum Seed, 2 qian), powdered, taken with ginger decoction. Laifuzi (Radish Seed, steamed), Zaojiao (Gleditsia Sinensis Spine, charred but retaining nature). Formed into pills with ginger juice, held in the mouth to dissolve. Dahuang (Rhubarb Rhizome, roasted), Qianniu (Morning Glory Seed, each 2 liang, stir-fried). Each powdered, taken with honey water, 2 qian per dose. Treats sudden violent panting due to hot phlegm approaching death.
Xiebai San (Drain White Powder): Treats Yin qi below and Yang qi above, with coughing, panting, vomiting, and counterflow.
Sangbaipi (Morus Bark, 1 liang) Qingpi (Citrus Reticulata Green Peel) Wuwei Zi (Schisandra Fruit) Gancao (Licorice Root) Fuling (Poria) Renshen (Ginseng Root) Xingren (Apricot Seed) Banxia (Pinellia Tuber) Jiegeng (Platycodon Root) [Add these two herbs if there is phlegm-drool, vomiting, and counterflow] Digupi (Lycium Cortex, 7 qian)
Decoct with fresh ginger.
Shenmi Tang (Mysterious Decoction): Treats water qi counterflowing to assault the Lung; the Lung becomes buoyant upon receiving water, causing Qi flow to stagnate. The pulse is deep and large. This condition applies to those who cannot lie flat and experience panting when supine.
Zisu (Perilla Leaf) Chenpi (Citrus Reticulata Peel) Sangbaipi (Morus Bark) Shengjiang (Fresh Ginger) Renshen (Ginseng Root, each 5 qian) Muxiang (Aucklandia Root) Fuling (Poria, 2 qian)
Asthma
[Etiology] Asthma originates internally; phlegm should be expelled via emesis.
[Therapy] Xiaoji Dan (Asthma-Accumulation Pill): Crack an egg slightly without damaging the membrane, soak it in a urine jar for four to five days and nights, then consume it; this is effective. Eggs can dispel wind-phlegm. Luobozizi Wan (Radish Seed Pills), taken with ginger decoction, yield wonderful results.