钱氏曰∶有喘而咯脓血者，乃肺热，食后服甘桔汤。久嗽者，肺亡津液，阿
胶散主之。（即补肺散见前。）咳而痰实，不甚喘，而面赤饮水者，褊银丸下之。（方见前） 段
斋郎子四岁，病嗽，身热吐痰，数日而咯血。前医以桔梗汤及防己丸治之，不愈，
涎上攻，吐喘不止，请钱氏，下褊银丸一大服，复以补肺汤、补肺散、治之。或问
段氏子咯血肺虚，何以下之。钱曰肺虽咯血，有热故也，久则虚痿，今涎上潮而吐，
当下其涎，若不，吐涎则不甚便，盖吐涎能虚，又生惊也，痰实上攻，亦能发搐，
故根据法只宜先下痰而后补脾肺，必涎止而吐愈，为顺治也。若先补其肺为逆耳。
此所谓识病之轻重，先后为治也。
甘桔散
桔梗（米泔浸一宿，焙干） 甘草（炒。各二两）
上为细末，每服一大钱，水一大盏，入阿胶半两，炮，煎至五分，食后温服。
〔海〕甘桔汤，仲景少阴咽痛药也，孙真人治肺痈吐脓血，用生甘草加减二十余条。
《王氏手集》解肌丸 治外搏风邪，内挟痰饮，寒热往来，烦渴颊赤，心忪减食，热
在上焦，咳嗽有血方。
防风 地骨皮（各一分）
上件，烧沙糖为丸。每服一丸，食后、煎紫苏汤下。
团参丸 治嗽血。
阿胶 皂子黄 人参（各半两）
上除胶，为细末，汤少许，洋胶和鸡头大。白汤化下。
鸡清散（朱氏） 治咳嗽出血，下涎。
郁金（半两，用皂荚浆水一盏，或酸菜汁亦得，煮干为度） 滑石（半两，生） 雄黄（半两，醋煮，半干用）
上为细末，每服一字。常服，薄荷汤调下。止嗽，螺粉水下。嗽血，鸡子清调下。
Qian Yi stated: Patients presenting with wheezing and expectoration of pus and blood are suffering from Lung heat; Gan Jie Tang (Licorice and Platycodon Decoction) should be administered after meals. For chronic cough, which depletes the fluids of the Lung, E Jiao San (Donkey-Hide Gelatin Powder) is indicated. (This is the same as Bu Fei San [Lung-Supplementing Powder] mentioned previously.) If the patient coughs with phlegm accumulation and excess syndrome, but without severe wheezing, accompanied by a red face and thirst, Pian Yin Wan (Narrow Silver Pill) should be used to purge the pathogen. (Formula see previous section.)
The son of Duan Zhaolang, aged four, suffered from cough, fever, and expectoration of phlegm, which progressed to hemoptysis after several days. Previous physicians treated him with Jie Geng Tang (Platycodon Decoction) and Fang Ji Wan (Stephania Pill), but the condition did not improve. Instead, saliva surged upward, causing incessant vomiting and wheezing. Qian Yi was consulted and first administered a large dose of Pian Yin Wan for purgation, followed by treatment with Bu Fei Tang (Lung-Supplementing Decoction) and Bu Fei San. Someone asked, "Since the boy's hemoptysis indicates Lung deficiency, why use a purgative method?" Qian Yi replied, "Although there is hemoptysis due to the Lung, it is caused by heat. If left untreated for a long time, it will lead to deficiency and atrophy. Currently, the surging saliva causes vomiting; one must first purge the saliva. If this is not done, the vomiting of saliva will further weaken the body and may induce fright convulsions; excessive phlegm attacking upwards can also trigger spasms. Therefore, according to medical principles, one should first purge the phlegm and subsequently tonify the Spleen and Lung. Only when the saliva stops and vomiting ceases does this constitute a favorable treatment sequence. Tonifying the Lung first would be an adverse approach." This illustrates the principle of recognizing the severity and urgency of the disease to determine the order of treatment.
Gan Jie San (Licorice and Platycodon Powder)
Jie Geng (Platycodonis Radix, soaked in rice-washing water overnight, then dried by baking) and Gan Cao (Licorici Radix et Rhizoma, stir-fried). Each two liang.
Grind the above into a fine powder. Take one da qian (large coin measure) per dose, add one da zhan (large cup measure) of water and half a liang of processed E Jiao (Donkey-Hide Gelatin), decoct until five fen remain, and take warm after meals.
[Hai Zang] Gan Jie Tang is a formula from Zhang Zhongjing for treating Shaoyin throat pain. Sun Simiao used raw Gan Cao with modifications in over twenty prescriptions for treating lung abscess with expectoration of pus and blood.
Jie Ji Wan (Muscle-Relieving Pill) from *Wang Shi Shou Ji*: Treats external wind invasion combined with internal phlegm-fluid retention, alternating chills and fever, irritability and thirst, flushed cheeks, palpitations, reduced appetite, heat in the Upper Jiao, and cough with blood.
Fang Feng (Saposhnikoviae Radix) and Di Gu Pi (Lycii Cortex), each one fen.
Make pills using burnt rock sugar. Take one pill per dose after meals, washed down with Zi Su Tang (Perilla Leaf Decoction).
Tuan Shen Wan (Ginseng Round Pill): Treats cough with hemoptysis.
E Jiao (Donkey-Hide Gelatin), Zao Zi Huang (Yellow of Soapberry Seed), and Ren Shen (Ginseng Radix et Rhizoma), each half a liang.
Except for the gelatin, grind the others into a fine powder. Use a small amount of soup to dissolve the gelatin and mix with the powder to form pills the size of a chicken head. Dissolve and take with plain boiled water.
Ji Qing San (Chicken White Powder) by Zhu Shi: Treats cough with bleeding and reduces salivation.
Yu Jin (Curcumae Radix, half a liang, boiled in one zhan of soapberry juice or sour vegetable juice until dry), Hua Shi (Talcum, half a liang, raw), and Xiong Huang (Realgar, half a liang, boiled in vinegar until semi-dry).
Grind the above into a fine powder. Take one zi (a very small measure) per dose. For regular use, mix with Bo He Tang (Mint Decoction). To stop cough, take with Luo Fen Shui (Conch Shell Powder Water). To treat cough with blood, mix with Ji Zi Qing (Egg White).