病者咳嗽，发作寒热，引腰背痛，或复喘满，此因房劳伤肾；病者中满腹胀，抢心痛，
不欲食，此因饥饱伤脾；病者咳嗽，左胁偏痛，引小腹并膝腕疼，此因疲极伤肝；病者咳
嗽，吐白涎，口燥声嘶，此因叫呼伤肺；病者咳嗽，烦热自汗，咽干咯血，此因劳神伤心。
并属不内外因。诊其脉，随其类。假如尺脉浮涩而数，则知伤肾；右关脉濡，则知饮食伤脾
；左关脉弦短，则知疲极伤肝。但不应人迎气口者，即是不内外因，皆类推。
治肺虚，或感风寒暑湿，及劳逸抑郁，忧思喜怒，饮食饥饱，致脏气不平，咳
唾脓血，渐成肺痿，憎寒发热，羸瘦困顿，皮肤甲错，将成劳瘵。
甜葶苈（半两） 苦葶苈（半两，并用纸隔炒) 茯苓 人参 细辛 干姜(炮) 桔梗(锉炒)
杏仁(去皮尖，麸炒) 紫菀 款冬花 甘草(炙) 陈皮（各一分）
上为细末，用羊肺一个心血不透者，切细研烂，旋旋入药掺肺内，再研匀，药尽为度，
泥土墙上，以湿纸七重盖覆，每日去纸一重，七日药就，候干刮下，再研，罗为细末。每服
二钱，温酒、盐汤调下；米饮亦得，空心日二服。
治秋冬之交，皮肤为寒湿所搏，寒气内折，咳嗽昼夜不已。
陈橘皮（二两） 麻黄(去节) 甘草(炙) 杏仁(去皮尖，麸炒) 五味子 白茯苓（各一两）
上为末。每服二钱，水一盏，煎七分，去滓带热服，食后临卧日三服。
患者出现咳嗽，伴有寒热交替发作，牵引腰背疼痛，或者再次出现气喘胸满，这是因房事过度损伤肾脏所致；患者出现脘腹痞满胀大，心胸部攻冲疼痛，不想进食，这是因饮食饥饱无常损伤脾脏所致；患者出现咳嗽，左侧胁肋部偏侧疼痛，牵引小腹部以及膝盖和手腕疼痛，这是因极度疲劳损伤肝脏所致；患者出现咳嗽，吐出白色涎沫，口干燥，声音嘶哑，这是因大声喊叫损伤肺脏所致；患者出现咳嗽，心烦发热，自汗出，咽喉干燥，咯血，这是因思虑劳神损伤心脏所致。这些情况都属于“不内外因”。诊察患者的脉象，根据其所属的类别进行判断。例如，尺脉浮涩且数，就知道是伤肾；右关脉濡软，就知道是饮食损伤脾脏；左关脉弦而短，就知道是极度疲劳损伤肝脏。只要人迎穴和气口穴的脉象没有异常变化（指不符合外感或内伤的典型脉象），就是属于不内外因，都可以以此类推。
治疗肺脏虚弱，或者感受风寒暑湿邪气，以及劳累安逸不当、情绪抑郁、忧思喜怒等，导致脏腑之气不平衡，咳嗽并唾出脓血，逐渐形成肺痿，憎恶寒冷且发热，身体消瘦困顿，皮肤粗糙如鳞甲交错，即将发展成虚劳痨瘵。
甜葶苈（半两） 苦葶苈（半两，均用纸张隔开炒制） 茯苓 人参 细辛 干姜（炮制） 桔梗（锉碎炒制） 杏仁（去皮尖，麦麸炒制） 紫菀 款冬花 甘草（炙烤） 陈皮（各一分）
将上述药物研成细末，取一个心血未透入的羊肺，切碎并研磨烂，随即把药粉掺入肺中，再次研磨均匀，直到药粉用完为止。将其放在泥土墙上，用七层湿纸覆盖，每天去掉一层纸，七天药物制成，待干燥后刮下，再次研磨，过筛成为细末。每次服用二钱，用温酒或盐汤调服；米饮也可以，空腹时每日服用两次。
治疗在秋冬交替之时，皮肤被寒湿邪气搏击，寒气向内折损，导致咳嗽昼夜不停止。
陈橘皮（二两） 麻黄（去节） 甘草（炙烤） 杏仁（去皮尖，麦麸炒制） 五味子 白茯苓（各一两）
将上述药物研成粉末。每次服用二钱，用水一盏，煎煮至七分，去除药渣，趁热服用，饭后临睡前每日服用三次。
The patient presents with cough, accompanied by alternating chills and fever, pain in the lower back and waist radiating from the cough, or recurrent wheezing and chest fullness; this is caused by kidney injury due to excessive sexual activity. The patient presents with epigastric and abdominal distension and fullness, stabbing pain in the heart region, and anorexia; this is caused by spleen injury due to irregular eating habits (hunger and satiety). The patient presents with cough, pain on the left side of the hypochondrium radiating to the lower abdomen, knees, and wrists; this is caused by liver injury due to extreme fatigue. The patient presents with cough, expectoration of white saliva, dry mouth, and hoarseness; this is caused by lung injury due to loud shouting. The patient presents with cough, irritability and heat sensation, spontaneous sweating, dry throat, and hemoptysis; this is caused by heart injury due mental exertion and overthinking. All these cases belong to the "neither internal nor external causes" category. When diagnosing the pulse, one should judge according to the specific category. For instance, if the chi (cun) pulse is floating, choppy, and rapid, it indicates kidney injury; if the right guan pulse is soggy, it indicates spleen injury due to dietary factors; if the left guan pulse is wiry and short, it indicates liver injury due to extreme fatigue. If the renying (carotid artery) and qikou (radial artery) pulses do not show abnormalities corresponding to external or internal causes, it belongs to neither internal nor external causes, and other cases can be deduced by analogy.
To treat lung deficiency, or when affected by wind-cold, summer-heat, and dampness, as well as improper劳逸 (work and rest), emotional depression, worry, thought, anger, and joy, and irregular diet, leading to imbalance of zang-fu qi, cough with expectoration of pus and blood, gradually developing into fei wei (lung atrophy/withered lung), aversion to cold with fever, emaciation and exhaustion, skin rough like scales (skin jia cuo), approaching lao zhai (consumptive disease/tuberculosis).
Tian Ting Li (Semen Lepidii Descurainiae, sweet type) (half liang) Ku Ting Li (Semen Lepidii Descurainiae, bitter type) (half liang, both stir-fried between papers) Fu Ling (Poria) Ren Shen (Radix Ginseng) Xi Xin (Herba Asari) Gan Jiang (Rhizoma Zingiberis Preparatum) Jie Geng (Radix Platycodonis) Xing Ren (Semen Pruni Armeniacae) Zi Wan (Herba Asteris) Kuan Dong Hua (Flos Farfarae) Gan Cao (Radix Glycyrrhizae Preparata) Chen Pi (Pericarpium Citri Reticulatae) (each one fen)
Grind the above herbs into a fine powder. Take one sheep lung that has not been penetrated by blood, cut it finely and grind it until mushy. Immediately sprinkle the herbal powder into the lung, grinding again until uniform, until all the powder is used up. Place it on a mud wall, cover with seven layers of wet paper, removing one layer each day. After seven days, the medicine is ready. Scrape it down when dry, grind again, and sieve into a fine powder. Take two qian per dose, mixed with warm wine or salt water; rice drink is also acceptable. Take twice daily on an empty stomach.
To treat cough that persists day and night during the transition between autumn and winter, where the skin is struck by cold-dampness, causing cold qi to fold inward.
Chen Ju Pi (Pericarpium Citri Reticulatae) Ma Huang (Herba Ephedrae) Gan Cao (Radix Glycyrrhizae Preparata) Xing Ren (Semen Pruni Armeniacae) Wu Wei Zi (Fructus Schisandrae) Bai Fu Ling (Poria) (each one liang)
Grind the above herbs into powder. Take two qian per dose, with one sheng of water, decoct to 0.7 sheng, remove the dregs, and take while hot. Take three times daily after meals and before bedtime.