脞闪瘀血腰痛。凝滞在内。加桃仁、红花、苏木(各一钱五分)、木香(五分)、麝香(一分
临服下)、酒煎服。
肾虚腰痛。宜补阴丸,加胡桃肉、杜仲、破故纸、人参、天门冬(各一两五钱)、砂仁、五味
(各七钱)、蜜丸服。
腰胯痛。乃湿热流注下焦。加黄柏、苍术、黑丑(各一钱)。
肾着属湿伤下焦。加白术、茯苓、甘草、干姜,去防风、羌活、柴胡。
腰软。乃肾肝伏热。加黄柏、防己(各一钱五分)。
肩背痛。皆因风热乘肺。加 本、蔓荆子、黄芩、山栀(各一钱)。
肩背因寒湿而痛。加干姜、熟附子(各八分)、甘草(五分)。
郁火作痛。加贝母、黄芩、山栀、香附、青皮(各等分),去独活。桑寄生
风寒湿三气所伤。体重腰冷。一身尽痛。如被杖加苍术、白术、茯苓(各一钱二分)、干姜、
甘草(各五分)。
气血不和。身体痛。加术香(七分)、紫荆皮、五加皮(各一钱)。
湿流关节。一身尽痛加五苓散(一半)。
湿痰流注经络。一身骨节痛。加南星、半夏(各一钱五分)、姜汁(半盏)、竹沥(一盏)、香附
(一钱五分)。
杨梅疮毒疼痛。自有本条。
伤寒后身体痛。有阳症阴症受湿。治各不同。详伤寒门。
脉 脉多沉滑。或浮紧而数。右寸沉实者。宜泻肺。左尺浮大而虚者。宜滋肾。右寸沉而紧
者。肺中有寒邪。脉滑手足温者生。四肢寒者死。脉数身热者不治。咳嗽脉诀云∶浮为风。
紧为寒。数为热。细为湿。此外因之邪。目外而感者。浮紧虚寒。沉数实热。洪滑多痰。弦
涩少血。此内因之邪。自内而得者。短涩者房劳。右关濡者伤脾。左关弦短伤肝。浮短而涩
伤肺。右寸微急为咳。吐脓血。浮直而濡者易治。喘逆上气。脉数有热不得卧者难治。咳而
弦急欲绝者死。
症 机要云∶喘者。促促气急。喝喝息数。张口抬肩。摇身撷肚。短气者。呼吸虽数而不能
接续。似喘而不摇肩。似呻吟而无痛苦。呼吸虽急而无痰声。逆气者。但气上而奔急。肺壅
而不下。宜详辨之。丹溪云∶喘急者。因气虚火入于肺。为火所郁而然。亦有火炎上者。有
痰者。有阴虚自小腹下起而上逆者。有气虚而致短气者。有水气乘肺者。皆令人喘急。治各
不同。咳嗽经云∶秋伤于湿。冬生咳嗽。机要云∶咳谓无痰而有声。肺气伤而不清也。嗽谓
无声而有痰。脾湿动而为痰也。咳嗽谓有声有痰。因伤肺气。动于脾湿。因咳而嗽也。若伤
风咳者憎寒。壮热。有汗。恶风口干。烦渴而燥。伤寒咳嗽者。HT 寒。发热恶寒。烦躁不渴
。火咳者。因火盛上炎燥肺金。遂成郁满。甚则咳嗽无痰。或吐血痰劳者。由好色肾虚。则
子能令母虚。气血俱虚。阴虚则生火。肺金耗散。而津液气血皆化为痰矣。痰者方碍清气升
降。滞气不行。遂成咳嗽。肺胀者。肺气因火伤极。遂成郁遏。胀满。或左右不得眠者。有
伤暑亦令人嗽。其症烦热引饮口燥。或吐沫,声嘶咯血。伤湿咳者。骨节烦疼。四肢重。着
洒淅寒热。大抵风寒为病。主乎肺。盖肺主皮毛而司于外。伤之则腠理不疏。风寒内郁于肺
。清萧之气不利。而生痰动嗽。又寒入胃。从脾脉上至于肺。则肺寒。肺寒则内外合邪壅而
为咳。学人必求其本而治之。无不效也。
治 丹溪云∶喘嗽须分虚实。急喘者。气实肺盛。呼吸不利。肺窍壅滞。右寸脉沉。实者宜
泻肺。桑白皮葶苈杏仁泻之。或用三拗汤。盖麻黄定喘最妙。甚者加黄芩、石膏。虚喘者肾
虚。先觉呼吸气短。两胁胀满。左尺脉大而无力。宜补肾。用阿胶、人参、五味子、补之。
痰者清痰。火者降火。二陈加芩、连、栝蒌、枳实主之。水气喘者不得卧。卧则喘愈甚。盖
火气上乘于肺。肺得水而浮。气壅滞而不得流通。宜神秘汤。又云∶治嗽最要分肺虚实新久
而治。久嗽肺虚。宜款冬花、紫菀、五味、马兜铃之数补之。若肺实有火邪者。黄芩、麦门冬、
杏仁、桑白皮、泻之。新病风寒。则发散之。麻黄、葱白、杏仁、前胡、金沸草、之类。火
热则清之。芩连、麦门冬、之类。湿热则泻之。半夏、贝
母、苍术、石膏、黄芩、山栀、之类。久病便属虚与郁。气虚则补气。血虚则补血。兼痰则
行痰。兼郁则开郁。滋之。润之。咳之。降之。此治嗽之大法也。
方 清肺饮子治喘治嗽。通用。根据症加减。
黄芩(一钱二分) 麦门冬(一钱二分) 贝母(一钱五分) 陈皮(去白一钱) 白茯苓(一钱)
甘草(三分) 桔梗(八分) 枳壳(七分) 杏仁(去皮尖一钱) 半夏(姜制一钱二分)
上作一服。姜三片。煎。食后服。
肺实而喘。加麻黄、桑白皮(各一钱五分)、石膏(二钱)、甚者。再加葶苈。
肺虚喘。加人参、阿胶、天门冬(各一钱)、五味子(五分),去枳壳、半夏。
食积喘。加山楂、神曲、麦芽(各一钱),去麦冬、杏仁。
痰盛而喘。加栝蒌仁、枳壳、苏子(各一钱)、姜汁、竹沥(各一盏)。
火盛而喘。加石膏(一钱五分)、黄连、栀子(各一钱)、甚者。酒蒸大黄。
水气喘者。加桑白皮、苏子、葶苈子、萝卜子(各一钱)。
肺胀嗽喘。加诃子(一钱五分)、五味(七分)、海蛤、香附、青黛、天花粉(各一钱)。
凡嗽春是春升之气。宜润肺抑肝。加知母(一钱)、五味(七分)、川芎、白芍药(各八分)。
秋是湿热伤肺。宜清热。泻湿。本方去半夏,加桑白皮、天门冬(各一钱)、五味子(七分)、
苍术、防风、山栀(各八分)。
冬是风寒外感。宜解利。加麻黄、桂枝、防风(各一钱)、干姜(八分)、如发热头疼。鼻塞声
重。再加 本、川芎、前胡、柴胡、苏叶(各一钱)。
清晨嗽者。此胃中有食积。至此时火气流入肺中。加栀子、知母、地骨皮、当归(各一钱)、
天门冬(一钱二分)、五味子(五分)。
上半日嗽多者。胃中有火。加石膏、知母(各一钱五分)。
午后嗽多者。属阴虚。加当归、白芍药、熟地黄、黄柏、知母(各一钱)。
黄昏嗽多者。本是火气浮于肺。不宜凉剂。本方去黄芩、半夏,加天门冬、百药煎诃子(
各一钱)、五味(七分)、敛而降之。
嗽而无声有痰。加白术(一钱)、五味(七分)、防风(八分)。
嗽而有声无痰。加防风(八分)、升麻、五味、生姜(各等分)。
嗽而有声有痰。加白术、阿胶(各一钱)、防风(八分)、五味(五分)。
嗽而寒热交作者。加柴胡、知母、地骨皮、挟虚再加人参、当归、白芍药(各一钱),去枳壳、杏仁。
气虚嗽。本方去半夏、杏仁、枳壳,加门君子汤(三钱)、款冬花、天门冬、阿胶(各一钱)、五味(五分)。
血虚嗽。本方去半夏、枳壳,加四物汤(四钱)、紫菀、阿胶、知母(各一钱)。
气血俱虚嗽。本方去半夏、枳壳,加八物汤(五钱)、款冬花、紫菀、阿胶、天门冬(各一钱)、五味(七分)。
冷嗽。右寸脉弦迟。本方去黄芩、麦门冬、杏仁,加干姜、细辛、白芍药、五味(各七分)。
喘嗽遇冬则发。此寒包热也。解表。热自除。加麻黄(一钱五分)、防风、紫苏叶、木通(各一钱)。
嗽而声哑。加天门冬、五味、乌梅(二个)、当归、阿胶(各二钱)。
属寒。加北细辛(五分)、生姜(五片)。
干咳嗽。乃火郁之甚。不得志者多有之。用苦梗、开之。上用本方。加山栀、香附、青皮、
(各等分)、下用补阴降火。不已则成劳。
劳嗽宜补阴清金。属血虚者。本方去半夏、枳壳,加川芎、生地(各一钱)、当归、白芍药、
(各一钱)、知母、天门冬、紫菀、阿胶(各一钱二分)、五味(七分)、玄参(八分)。
劳嗽属气虚者。本方去桔梗、枳壳、半夏,加人参、白术、百合、款冬花、阿胶、薏苡仁、
(各一钱)、黄柏(五分)。
阴虚喘嗽。或吐红者。加当归、白芍药、生地黄、知母、天门冬、紫菀、牡丹皮、地骨皮、
阿胶(各一钱),去半夏、枳壳、酒嗽。加葛根粉、栝蒌仁、黄连(各八分、酒嗽者、因酒多
伤肺也)。
夏月热嗽咽痛。加黄连、荆芥(各八分)。
肺痿。宜补血养肺滋阴。其症右寸脉数。咳而口中有浊唾涎沫者是。本方去半夏、枳壳,加
紫菀、知母、阿胶(各一钱)、五味、人参、当归、天门冬(各八分)、薏苡仁(一钱五分)、先
因咳而有痰者。咳为重。主在肺。麦门冬、黄芩、倍用。
因痰而致咳者。痰为重。主在脾。二陈倍用。
Lumbar pain caused by blood stasis. If blood stasis is stagnant inside, add Tao Ren (Peach Seed), Hong Hua (Safflower), Su Mu (Sappan Wood) (each 1.5 qian), Mu Xiang (Aucklandia Root) (0.5 qian), She Xiang (Musk) (0.1 qian, taken with the decoction just before administration), decocted in wine and taken orally.
Lumbar pain due to Kidney deficiency. It is suitable to use Bu Yin Wan (Nourish Yin Pill), adding Hu Tao Rou (Walnut Meat), Du Zhong (Eucommia Bark), Po Gu Zhi (Psoralea Fruit), Ren Shen (Ginseng), Tian Men Dong (Asparagus Root) (each 1.5 liang), Sha Ren (Amomum Fruit), Wu Wei Zi (Schisandra Berry) (each 7 qian), made into honey pills for oral administration.
Pain in the waist and hips. This is caused by damp-heat flowing into the lower jiao. Add Huang Bo (Phellodendron Bark), Cang Zhu (Atractylodes Rhizome), Hei Chou (Morning Glory Seed) (each 1 qian).
Shen Zhu disease belongs to dampness injuring the lower jiao. Add Bai Zhu (Atractylodes Macrocephala Rhizome), Fu Ling (Poria), Gan Cao (Licorice Root), Gan Jiang (Dried Ginger), remove Fang Feng (Saposhnikovia Root), Qiang Huo (Notopterygium Rhizome), Chai Hu (Bupleurum Root).
Waist softness. This is due to latent heat in the Liver and Kidney. Add Huang Bo (Phellodendron Bark), Fang Ji (Stephania Root) (each 1.5 qian).
Shoulder and back pain. All are caused by wind-heat attacking the Lung. Add Ben Cao (Ligusticum Wallichii Rhizome or similar aromatic herb depending on context, here kept as "Ben"), Man Jing Zi (Vernonia Fruit), Huang Qin (Scutellaria Root), Shan Zhi (Gardenia Fruit) (each 1 qian).
Shoulder and back pain due to cold-dampness. Add Gan Jiang (Dried Ginger), Shu Fu Zi (Prepared Aconite Root) (each 0.8 qian), Gan Cao (Licorice Root) (0.5 qian).
Pain caused by constrained fire. Add Bei Mu (Fritillaria Bulb), Huang Qin (Scutellaria Root), Shan Zhi (Gardenia Fruit), Xiang Fu (Cyperus Rhizome), Qing Pi (Citrus Peel) (each equal parts), remove Du Huo (Angelica Pubescens Root). Sang Ji Sheng (Taxillus Branch).
Injury by the three qi of wind, cold, and dampness. Heavy body, cold waist, whole body painful as if beaten by a stick. Add Cang Zhu (Atractylodes Rhizome), Bai Zhu (Atractylodes Macrocephala Rhizome), Fu Ling (Poria) (each 1.2 qian), Gan Jiang (Dried Ginger), Gan Cao (Licorice Root) (each 0.5 qian).
Disorder of Qi and Blood causing body pain. Add Shu Xiang (Agarwood or similar, text says "Shu Xiang") (0.7 qian), Zi Jing Pi (Bauhinia Bark), Wu Jia Pi (Acanthopanax Bark) (each 1 qian).
Dampness flowing into joints, whole body painful. Add Wu Ling San (Five-Ingredient Powder with Poria) (half dose).
Damp-phlegm flowing into meridians, whole body joint pain. Add Nan Xing (Arisaema Rhizome), Ban Xia (Pinellia Tuber) (each 1.5 qian), Jiang Zhi (Ginger Juice) (half zhan), Zhu Li (Bamboo Sap) (one zhan), Xiang Fu (Cyperus Rhizome) (1.5 qian).
Pain from Yangmei Chuang (Syphilis/Kaposi's sarcoma-like sores) toxin, has its own section.
Body pain after Shang Han (Cold Damage), there are differences between Yang syndrome and Yin syndrome with dampness, treatments differ. See Shang Han section for details.
Pulse: Pulses are mostly Chen (Deep) and Hua (Slippery), or Fu (Floating), Jin (Choppy/Tight), and Shu (Rapid). If the Right Cun pulse is Chen and Shi (Excess), it is suitable to drain the Lung. If the Left Chi pulse is Fu, Da (Large), and Xu (Deficient), it is suitable to nourish the Kidney. If the Right Cun pulse is Chen and Jin, there is cold pathogen in the Lung. If the pulse is Hua and hands/feet are warm, survival is indicated; if limbs are cold, death is indicated. If the pulse is Shu and body is hot, it is difficult to treat. The Cough Pulse Formula says: Fu indicates Wind, Jin indicates Cold, Shu indicates Heat, Xi (Fine) indicates Dampness. These are external pathogens, contracted from outside. Fu-Jin-Xu-Cold, Chen-Shu-Shi-Heat, Hong-Hua indicates much phlegm, Xian-Se indicates little blood. These are internal pathogens, obtained from within. Duan-Se indicates sexual exhaustion, Ruan (Soft) at Right Guan indicates Spleen injury, Xian-Duan at Left Guan indicates Liver injury, Fu-Duan-Se indicates Lung injury. Right Cun Wei-Ji indicates cough, vomiting pus and blood. Fu-Zhi-Ru indicates easy treatment. Chuan Ni (Wheezing and upward rushing Qi), pulse Shu with heat, unable to lie down, difficult to treat. Cough with Xian-Ji pulse about to vanish is a death sign.
Symptoms: *Ji Yao* says: Chuan (Wheezing) is characterized by rapid breathing, panting sounds, opening mouth and raising shoulders, shaking body and sucking in abdomen. Duan Qi (Shortness of breath) is frequent breathing but unable to continue, like wheezing but without shoulder shaking, like groaning but without pain, breathing is urgent but without phlegm sound. Ni Qi (Rebellious Qi) is simply Qi rushing upward urgently, Lung congestion preventing downward flow. Must distinguish carefully. Danxi said: Chuan Ji (Urgent wheezing) is due to Qi deficiency and Fire entering the Lung, constrained by Fire. There are also cases of Fire flaming upward, presence of Phlegm, Yin deficiency rising from lower abdomen, Qi deficiency causing shortness of breath, Water Qi attacking the Lung. All cause urgent wheezing, treatments vary. *Ke Sou Jing* says: Injury by dampness in Autumn leads to Ke Sou (Cough) in Winter. *Ji Yao* says: Ke (Cough without phlegm but with sound) is Lung Qi injury and unclear. Sou (Cough with phlegm but no sound) is Spleen dampness moving to generate phlegm. Ke Sou (Cough with both sound and phlegm) is due to Lung Qi injury and Spleen dampness movement, Sou follows Ke. If injured by Wind causing cough, there is aversion to cold, high fever, sweating, aversion to wind, dry mouth, irritability, thirst, and dryness. Shang Han cough involves aversion to cold, fever, aversion to cold, irritability, no thirst. Huo Ke (Fire cough) is due to excessive Fire flaming upward and drying Lung Metal, leading to constraint and fullness, even cough without phlegm. Or vomiting blood, Tan Lao (Phlegm Consumption) is due to lust causing Kidney deficiency, Child making Mother deficient, Qi and Blood both deficient, Yin deficiency generating Fire, Lung Metal exhausted, fluids, Qi, and Blood all transforming into Phlegm. Phlegm obstructs ascending/descending of clear Qi, stagnant Qi does not move, leading to cough. Fei Zhang (Lung Distension) is extreme Lung Qi injury by Fire, leading to constraint and distension, unable to sleep on either side. Shang Shu (Summerheat injury) also causes cough, symptoms include irritability, heat, desire to drink, dry mouth, vomiting foam, hoarseness, hemoptysis. Shang Shi (Dampness injury) cough involves bone/joint irritation/pain, heavy limbs, chills and fever. Generally, Wind-Cold diseases primarily affect the Lung, as Lung governs skin/hair and exterior. Injury causes pores not to open, Wind-Cold internally constrained in Lung, Clear Descending Qi unfavorable, generating phlegm and cough. Also Cold entering Stomach, traveling up Spleen meridian to Lung, causing Lung Cold, internal/external combined pathogens congesting to cause cough. Students must seek the root to treat, no failure expected.
Treatment: Danxi said: Chuan Sou must distinguish Xu/Shi. Ji Chuan (Urgent wheezing) is Qi Excess and Lung Prosperity, breathing difficulty, Lung orifice congestion, Right Cun pulse Chen-Shi, suitable to drain Lung, using Sang Bai Pi (Mulberry Root Bark), Ting Li Zi (Descurainia Seed), Xing Ren (Apricot Seed) to drain. Or use San Ao Tang (Three Unbinding Decoction), Ma Huang (Ephedra) is best for calming wheezing, severe cases add Huang Qin (Scutellaria Root), Shi Gao (Gypsum). Xu Chuan (Deficient wheezing) is Kidney deficiency, initially feeling shortness of breath, hypochondriac fullness, Left Chi pulse Da but weak, suitable to tonify Kidney, using E Jiao (Donkey-hide Gelatin), Ren Shen (Ginseng), Wu Wei Zi (Schisandra Berry) to tonify. For Phlegm, clear phlegm; for Fire, descend Fire, Er Chen Tang (Two-Aged Decoction) added with Qin, Lian (Coptis), Gua Lou (Trichosanthes Fruit), Zhi Shi (Immature Bitter Orange) is main treatment. Water Qi Chuan cannot lie down, lying down worsens wheezing, because Fire Qi ascends to Lung, Lung floats with Water, Qi congested and blocked, suitable for Shen Mi Tang. Also said: Treating Sou most importantly distinguishes Lung Xu/Shi and Xin/Jiu (New/Old) to treat. Jiu Sou (Old cough) Lung Xu, suitable to tonify with Kuan Dong Hua (Coltsfoot Flower), Zi Wan (Aster Root), Wu Wei Zi (Schisandra Berry), Ma Dou Ling (Aristolochia Stem). If Lung Shi with Fire pathogen, use Huang Qin (Scutellaria Root), Mai Men Dong (Ophiopogon Tuber), Xing Ren (Apricot Seed), Sang Bai Pi (Mulberry Root Bark) to drain. New disease Wind-Cold, then disperse, use Ma Huang (Ephedra), Cong Bai (Green Onion White), Xing Ren (Apricot Seed), Qian Hu (Peucedanum Root), Jin Fei Cao (Boehmeria Leaf) etc. Fire-Heat then clear, use Qin, Lian (Coptis), Mai Men Dong (Ophiopogon Tuber) etc. Damp-Heat then drain, use Ban Xia (Pinellia Tuber), Bei Mu (Fritillaria Bulb), Cang Zhu (Atractylodes Rhizome), Shi Gao (Gypsum), Huang Qin (Scutellaria Root), Shan Zhi (Gardenia Fruit) etc. Long-term disease belongs to Xu and Yu (Constraint), Qi deficiency then tonify Qi, Blood deficiency then tonify Blood, with Phlegm then move Phlegm, with Constraint then open Constraint, moisten, lubricate, stop cough, descend Qi. This is the general method for treating cough.
Formula: Qing Fei Yin Zi (Clear Lung Drink) treats Chuan and Sou, universal. Modify according to symptoms.
Huang Qin (Scutellaria Root) (1.2 qian) Mai Men Dong (Ophiopogon Tuber) (1.2 qian) Bei Mu (Fritillaria Bulb) (1.5 qian) Chen Pi (Tangerine Peel, remove white) (1 qian) Bai Fu Ling (Poria) (1 qian)
Gan Cao (Licorice Root) (0.3 qian) Jie Geng (Platycodon Root) (0.8 qian) Zhi Qiao (Immature Bitter Orange) (0.7 qian) Xing Ren (Apricot Seed, remove skin/spike) (1 qian) Ban Xia (Pinellia Tuber, ginger processed) (1.2 qian)
Make one dose, add 3 slices of Ginger, decoct, take after meals.
Lung Shi with Chuan, add Ma Huang (Ephedra), Sang Bai Pi (Mulberry Root Bark) (each 1.5 qian), Shi Gao (Gypsum) (2 qian), severe cases add Ting Li Zi (Descurainia Seed).
Lung Xu Chuan, add Ren Shen (Ginseng), E Jiao (Donkey-hide Gelatin), Tian Men Dong (Asparagus Root) (each 1 qian), Wu Wei Zi (Schisandra Berry) (0.5 qian), remove Zhi Qiao (Immature Bitter Orange), Ban Xia (Pinellia Tuber).
Shi Ji (Food accumulation) Chuan, add Shan Zha (Hawthorn Fruit), Shen Qu (Medicated Leaven), Mai Ya (Barley Sprout) (each 1 qian), remove Mai Dong (Ophiopogon Tuber), Xing Ren (Apricot Seed).
Tan Sheng (Excessive Phlegm) Chuan, add Gua Lou Ren (Trichosanthes Seed), Zhi Qiao (Immature Bitter Orange), Su Zi (Perilla Seed) (each 1 qian), Jiang Zhi (Ginger Juice), Zhu Li (Bamboo Sap) (each one zhan).
Huo Sheng (Excessive Fire) Chuan, add Shi Gao (Gypsum) (1.5 qian), Huang Lian (Coptis Rhizome), Zhi Zi (Gardenia Fruit) (each 1 qian), severe cases, wine-steamed Da Huang (Rhubarb Root).
Water Qi Chuan, add Sang Bai Pi (Mulberry Root Bark), Su Zi (Perilla Seed), Ting Li Zi (Descurainia Seed), Luo Bo Zi (Radish Seed) (each 1 qian).
Fei Zhang (Lung Distension) Sou Chuan, add He Zi (Chebula Fruit) (1.5 qian), Wu Wei Zi (Schisandra Berry) (0.7 qian), Hai Ge (Clam Shell), Xiang Fu (Cyperus Rhizome), Qing Dai (Indigo Naturalis), Tian Hua Fen (Trichosanthes Root) (each 1 qian).
All Sou in Spring is Spring Ascending Qi, suitable to moisten Lung and suppress Liver, add Zhi Mu (Anemarrhena Rhizome) (1 qian), Wu Wei Zi (Schisandra Berry) (0.7 qian), Chuan Xiong (Ligusticum Rhizome), Bai Shao Yao (White Peony Root) (each 0.8 qian).
Autumn is Damp-Heat injuring Lung, suitable to clear Heat, drain Damp, remove Ban Xia (Pinellia Tuber) from this formula, add Sang Bai Pi (Mulberry Root Bark), Tian Men Dong (Asparagus Root) (each 1 qian), Wu Wei Zi (Schisandra Berry) (0.7 qian), Cang Zhu (Atractylodes Rhizome), Fang Feng (Saposhnikovia Root), Shan Zhi (Gardenia Fruit) (each 0.8 qian).
Winter is Wind-Cold external contraction, suitable to resolve and benefit, add Ma Huang (Ephedra), Gui Zhi (Cinnamon Twig), Fang Feng (Saposhnikovia Root) (each 1 qian), Gan Jiang (Dried Ginger) (0.8 qian), if fever headache, nasal congestion and heavy voice, add Ben Cao (Ligusticum Wallichii Rhizome), Chuan Xiong (Ligusticum Rhizome), Qian Hu (Peucedanum Root), Chai Hu (Bupleurum Root), Su Ye (Perilla Leaf) (each 1 qian).
Qing Chen (Early morning) Sou, this is Food accumulation in Stomach, at this time Fire Qi flows into Lung, add Zhi Zi (Gardenia Fruit), Zhi Mu (Anemarrhena Rhizome), Di Gu Pi (Lycium Bark), Dang Gui (Angelica Sinensis) (each 1 qian), Tian Men Dong (Asparagus Root) (1.2 qian), Wu Wei Zi (Schisandra Berry) (0.5 qian).
Shang Ban Ri (First half of day) Sou more, Fire in Stomach, add Shi Gao (Gypsum), Zhi Mu (Anemarrhena Rhizome) (each 1.5 qian).
Wu Hou (Afternoon) Sou more, belongs to Yin Xu, add Dang Gui (Angelica Sinensis), Bai Shao Yao (White Peony Root), Shu Di Huang (Rehmannia Root), Huang Bo (Phellodendron Bark), Zhi Mu (Anemarrhena Rhizome) (each 1 qian).
Hun Hun (Twilight) Sou more, originally Fire Qi floating in Lung, not suitable for cooling agents, remove Huang Qin (Scutellaria Root), Ban Xia (Pinellia Tuber) from this formula, add Tian Men Dong (Asparagus Root), Bai Yao Jian (Fermented Tea Pill), He Zi (Chebula Fruit) (each 1 qian), Wu Wei Zi (Schisandra Berry) (0.7 qian), astringe and descend.
Sou without sound but with phlegm, add Bai Zhu (Atractylodes Macrocephala Rhizome) (1 qian), Wu Wei Zi (Schisandra Berry) (0.7 qian), Fang Feng (Saposhnikovia Root) (0.8 qian).
Sou with sound but no phlegm, add Fang Feng (Saposhnikovia Root) (0.8 qian), Sheng Ma (Cimicifuga Rhizome), Wu Wei Zi (Schisandra Berry), Sheng Jiang (Fresh Ginger) (each equal parts).
Sou with sound and phlegm, add Bai Zhu (Atractylodes Macrocephala Rhizome), E Jiao (Donkey-hide Gelatin) (each 1 qian), Fang Feng (Saposhnikovia Root) (0.8 qian), Wu Wei Zi (Schisandra Berry) (0.5 qian).
Sou with alternating cold and heat, add Chai Hu (Bupleurum Root), Zhi Mu (Anemarrhena Rhizome), Di Gu Pi (Lycium Bark), with Xu add Ren Shen (Ginseng), Dang Gui (Angelica Sinensis), Bai Shao Yao (White Peony Root) (each 1 qian), remove Zhi Qiao (Immature Bitter Orange), Xing Ren (Apricot Seed).
Qi Xu Sou, remove Ban Xia (Pinellia Tuber), Xing Ren (Apricot Seed), Zhi Qiao (Immature Bitter Orange) from this formula, add Men Jun Zi Tang (Menjunzi Decoction) (3 qian), Kuan Dong Hua (Coltsfoot Flower), Tian Men Dong (Asparagus Root), E Jiao (Donkey-hide Gelatin) (each 1 qian), Wu Wei Zi (Schisandra Berry) (0.5 qian).
Xue Xu (Blood Deficiency) Sou, remove Ban Xia (Pinellia Tuber), Zhi Qiao (Immature Bitter Orange) from this formula, add Si Wu Tang (Four Substance Decoction) (4 qian), Zi Wan (Aster Root), E Jiao (Donkey-hide Gelatin), Zhi Mu (Anemarrhena Rhizome) (each 1 qian).
Qi and Blood both Xu Sou, remove Ban Xia (Pinellia Tuber), Zhi Qiao (Immature Bitter Orange) from this formula, add Ba Wu Tang (Eight Substance Decoction) (5 qian), Kuan Dong Hua (Coltsfoot Flower), Zi Wan (Aster Root), E Jiao (Donkey-hide Gelatin), Tian Men Dong (Asparagus Root) (each 1 qian), Wu Wei Zi (Schisandra Berry) (0.7 qian).
Leng Sou (Cold Cough), Right Cun pulse Xian-Chi (Choppy-Slow), remove Huang Qin (Scutellaria Root), Mai Men Dong (Ophiopogon Tuber), Xing Ren (Apricot Seed) from this formula, add Gan Jiang (Dried Ginger), Xi Xin (Asarum Root), Bai Shao Yao (White Peony Root), Wu Wei Zi (Schisandra Berry) (each 0.7 qian).
Chuan Sou occurs in Winter, this is Cold wrapping Heat, release exterior, Heat self-eliminates, add Ma Huang (Ephedra) (1.5 qian), Fang Feng (Saposhnikovia Root), Zi Su Ye (Perilla Leaf), Mu Tong (Akebia Stem) (each 1 qian).
Sou with hoarse voice, add Tian Men Dong (Asparagus Root), Wu Wei Zi (Schisandra Berry), Wu Mei (Mume Fruit) (two pieces), Dang Gui (Angelica Sinensis), E Jiao (Donkey-hide Gelatin) (each 2 qian).
Belongs to Cold, add Bei Xi Xin (Northern Asarum) (0.5 qian), Sheng Jiang (Fresh Ginger) (five slices).
Gan Ke Sou (Dry Cough), is severe Fire Constraint, common in those frustrated, use Ku Jie Geng (Platycodon Root) to open. Use upper formula, add Shan Zhi (Gardenia Fruit), Xiang Fu (Cyperus Rhizome), Qing Pi (Citrus Peel) (each equal parts), use lower formula to tonify Yin and descend Fire, if not resolved becomes Lao (Consumption).
Lao Sou (Consumption Cough) suitable to tonify Yin and clear Metal, belongs to Blood Xu, remove Ban Xia (Pinellia Tuber), Zhi Qiao (Immature Bitter Orange) from this formula, add Chuan Xiong (Ligusticum Rhizome), Sheng Di Huang (Rehmannia Root) (each 1 qian), Dang Gui (Angelica Sinensis), Bai Shao Yao (White Peony Root) (each 1 qian), Zhi Mu (Anemarrhena Rhizome), Tian Men Dong (Asparagus Root), Zi Wan (Aster Root), E Jiao (Donkey-hide Gelatin) (each 1.2 qian), Wu Wei Zi (Schisandra Berry) (0.7 qian), Xuan Shen (Scrophularia Root) (0.8 qian).
Lao Sou belongs to Qi Xu, remove Jie Geng (Platycodon Root), Zhi Qiao (Immature Bitter Orange), Ban Xia (Pinellia Tuber) from this formula, add Ren Shen (Ginseng), Bai Zhu (Atractylodes Macrocephala Rhizome), Bai He (Lily Bulb), Kuan Dong Hua (Coltsfoot Flower), E Jiao (Donkey-hide Gelatin), Yi Yi Ren (Coix Seed) (each 1 qian), Huang Bo (Phellodendron Bark) (0.5 qian).
Yin Xu Chuan Sou, or vomiting red blood, add Dang Gui (Angelica Sinensis), Bai Shao Yao (White Peony Root), Sheng Di Huang (Rehmannia Root), Zhi Mu (Anemarrhena Rhizome), Tian Men Dong (Asparagus Root), Zi Wan (Aster Root), Mu Dan Pi (Moutan Bark), Di Gu Pi (Lycium Bark), E Jiao (Donkey-hide Gelatin) (each 1 qian), remove Ban Xia (Pinellia Tuber), Zhi Qiao (Immature Bitter Orange). Jiu Sou (Alcohol Cough), add Ge Gen Fen (Kudzu Root Powder), Gua Lou Ren (Trichosanthes Seed), Huang Lian (Coptis Rhizome) (each 0.8 qian, Alcohol Cough is due to excessive alcohol injuring Lung).
Xia Yue Re Sou Yan Tong (Summer month Hot Cough Sore Throat), add Huang Lian (Coptis Rhizome), Jing Jie (Schizonepeta Spike) (each 0.8 qian).
Fei Wei (Lung Atrophy), suitable to tonify Blood, nourish Lung, moisten Yin. Symptoms: Right Cun pulse Shu (Rapid), cough with turbid saliva and foam in mouth. Remove Ban Xia (Pinellia Tuber), Zhi Qiao (Immature Bitter Orange) from this formula, add Zi Wan (Aster Root), Zhi Mu (Anemarrhena Rhizome), E Jiao (Donkey-hide Gelatin) (each 1 qian), Wu Wei Zi (Schisandra Berry), Ren Shen (Ginseng), Dang Gui (Angelica Sinensis), Tian Men Dong (Asparagus Root) (each 0.8 qian), Yi Yi Ren (Coix Seed) (1.5 qian).
Previously having phlegm due to cough, cough is heavy, main site in Lung, Mai Men Dong (Ophiopogon Tuber), Huang Qin (Scutellaria Root) double dose.
Due to phlegm causing cough, phlegm is heavy, main site in Spleen, Er Chen Tang (Two-Aged Decoction) double dose.