王 受寒哮喘。痰阻气。不能着枕。（寒）
川桂枝（一钱） 茯苓（三钱） 淡干姜（一钱） 五味（一钱同姜捣） 杏仁（一钱半）
炙草（四分） 白芍（一钱） 制麻黄（五分）
卜（十九） 哮喘。当暴凉而发。诊脉左大右平。此新邪引动宿邪。议逐伏邪饮气。小青龙法。
徐（四一） 宿哮廿年沉痼之病。无奏效之药。起病由于惊忧受寒。大凡忧必伤肺。寒入背俞。内合肺
系。宿邪阻气阻痰。病发喘不得卧。譬之宵小。潜伏里 。若不行动犯窃。难以强执。虽治当于
病发。投以搜逐。而病去必当养正。今中年谅无大害。精神日衰。病加剧矣。肾气去桂膝
病发时。葶苈大枣汤或皂荚丸。
陈（四八） 哮喘不卧。失血后。胸中略爽。苇茎汤加葶苈大枣。
某（十三） 哮喘久咳。
桂枝木 杏仁 橘红 浓朴 炒半夏 炒白芥子
马（三二） 宿哮痰喘频发。（哮兼痰饮） 真武丸。
朱（五一） 宿哮咳喘。遇劳发。小青龙去麻辛加糖炒石膏。
邹（七岁） 宿哮肺病。久则气泄汗出。脾胃阳微。痰饮留着。有食入泛呕之状。夏三月。热伤正气。宜常
进四君子汤以益气。不必攻逐痰饮。（气虚）
人参 茯苓 白术 炙草
哮与喘。微有不同。其症之轻重缓急。亦微各有异。盖哮症多有兼喘。而喘有不兼哮者。要
知喘症之因。若由外邪壅遏而致者。邪散则喘亦止。后不复发。此喘症之实者也。若因根
本有亏。肾虚气逆。浊阴上冲而喘者。此不过一二日之间。势必危笃。用药亦难奏功。此喘
症之属虚者也。若夫哮症。亦由初感外邪。失于表散。邪伏于里。留于肺俞。故频发频止。淹
缠岁月。更有痰哮咸哮醋哮。过食生冷。及幼稚天哮诸症。案虽未备。阅先生之治法。大概
以温通肺脏。下摄肾真为主。久发中虚。又必补益中气。其辛散苦寒豁痰破气之剂。在所
不用。此可谓治病必求其本者矣。此症若得明理针灸之医。按穴灸治。尤易除根。噫。然则
难遇其人耳。（华玉堂）
王姓患者。因受寒引发哮喘。痰浊阻滞气机。无法平卧。（属寒证）
川桂枝（一钱） 茯苓（三钱） 淡干姜（一钱） 五味子（一钱，与干姜同捣） 杏仁（一钱半）
炙甘草（四分） 白芍（一钱） 制麻黄（五分）
卜姓患者（十九岁）。哮喘发作于突遇寒冷之时。诊察脉象左大右平。此为新的外邪引动了体内潜伏的旧邪。建议驱逐潜伏之邪，调理气机。采用小青龙汤的法度。
徐姓患者（四十一岁）。宿疾哮喘二十年，属于沉疴痼疾，没有见效的药物。发病起因于惊恐忧虑且感受寒邪。大凡忧愁必定损伤肺脏。寒邪侵入背部腧穴，内合于肺系。宿邪阻滞气机，阻碍痰液。病发时喘息严重，不能安卧。这就好比宵小之徒，潜伏在内部。如果不行动犯窃，难以强行抓捕。虽然治疗应当在病发时，投以搜逐邪气的药物；但病邪去除后，必须调养正气。如今患者正值中年，料想无大碍，但精神日渐衰败，病情加剧了。肾气丸去掉肉桂和牛膝。病发时，葶苈大枣泻肺汤或皂荚丸。
陈姓患者（四十八岁）。哮喘不能平卧。失血之后，胸中略微清爽。苇茎汤加葶苈大枣。
某姓患者（十三岁）。哮喘久咳。
桂枝木 杏仁 橘红 浓朴 炒半夏 炒白芥子
马姓患者（三十二岁）。宿疾哮喘，痰喘频繁发作。（哮症兼有痰饮）真武丸。
朱姓患者（五十一岁）。宿疾哮喘咳嗽气喘。遇劳累则发作。小青龙汤去掉麻黄、细辛，加入糖炒石膏。
邹姓患者（七岁）。宿疾哮喘，肺部疾病。日久则气泄汗出。脾胃阳气微弱。痰饮留滞不去。有进食后泛恶呕吐的症状。夏季三个月，热邪损伤正气。适宜常服四君子汤以益气。不必攻逐痰饮。（属气虚证）
人参 茯苓 白术 炙甘草
哮症与喘症，微有不同。其症状的轻重缓急，也各自略有差异。大概哮症多兼有喘症，而喘症有不兼哮症的。要知道喘症的成因，若是由外邪壅遏所致者，邪气散去则喘症亦止，之后不再复发。这是喘症中的实证。若因根本亏虚，肾虚气逆，浊阴上冲而致喘者，这不过在一二日之间，势必危重笃急。用药也难以奏效。这是喘症中的虚证。至于哮症，也是由于初感外邪，失于表散，邪气潜伏于里，留滞于肺俞。所以频发频止，拖延缠延岁月。更有痰哮、咸哮、醋哮，过食生冷，以及幼稚天哮等各种病症。医案虽未详尽，阅读先生的治法，大概以温通肺脏，下摄肾真为主。久病发作导致中焦虚弱，又必须补益中气。那些辛散、苦寒、豁痰、破气的药剂，都在不用之列。这可以说是治病必求其本了。此症若能得到明理针灸的医生，按穴位灸治，更容易除根。唉，然而这样的人很难遇到啊。（华玉堂评注）
Patient Wang. Asthma triggered by cold pathogen. Phlegm obstructs Qi mechanism, inability to lie flat. (Cold pattern)
Guizhi Tang (Cinnamon Twig Decoction) components: Cinnamomi Ramulus (Guizhi, 桂枝) 1 qian; Poria (Fuling, 茯苓) 3 qian; Dried Ginger (Ganjiang, 干姜) 1 qian; Schisandra Fructus (Wuweizi, 五味子) 1 qian (pounded together with ginger); Apricot Seed (Xingren, 杏仁) 1.5 qian; Honey-fried Licorice Root (Zhigancao, 炙甘草) 0.4 fen; White Peony Root (Baishao, 白芍) 1 qian; Prepared Ephedra Herba (Zhimahuang, 制麻黄) 0.5 fen.
Patient Bu (19 years old). Asthma attacks upon sudden exposure to cold. Pulse diagnosis: left side large, right side level. This indicates new external pathogen activating latent old pathogen. Proposal: expel latent pathogen, regulate Qi. Adopt the method of Xia Qing Long Tang (Minor Blue Dragon Decoction).
Patient Xu (41 years old). Chronic asthma for twenty years, a deep-seated stubborn disease, no medicine has been effective. Onset due to fright, worry, and cold invasion. Generally, worry injures the Lung. Cold enters the Back-Shu points, internally combining with the Lung system. Latent pathogen obstructs Qi and impedes phlegm. Upon attack, wheezing is severe, unable to lie down. It is like thieves hiding inside; unless they act and steal, it is hard to forcibly capture them. Although treatment should employ searching and expelling drugs during the attack, after the pathogen is removed, one must nourish Zheng Qi (Upright Qi). Now in middle age, presumably no major harm, but spirit declines daily, condition worsens. Shen Qi Wan (Kidney Qi Pill) minus Rougui (Cinnamon Bark) and Nuxi (Achyranthes Root). During attacks, Tingli Dazao Xie Fei Tang (Descurainia Seed and Jujube Decoction to Drain the Lung) or Zaojiao Wan (Soap Pod Pill).
Patient Chen (48 years old). Asthma preventing lying flat. After blood loss, chest feels slightly clear. Weijing Tang (Reed Rhizome Decoction) plus Tingli (Descurainia Seed) and Dazao (Jujube).
Patient [Surname Unknown] (13 years old). Chronic asthma with cough.
Guizhi Mu (Cinnamon Twig Wood), Xingren (Apricot Seed), Juhong (Tangerine Peel), Houpo (Magnolia Bark), Chao Banxia (Stir-fried Pinellia Tuber), Chao Baijiezi (Stir-fried White Mustard Seed).
Patient Ma (32 years old). Chronic asthma, frequent phlegm-wheezing. (Asthma combined with Phlegm-Fluid retention) Zhen Wu Wan (True Warrior Pill).
Patient Zhu (51 years old). Chronic asthma with cough and wheezing. Attacks upon exertion. Xiao Qing Long Tang (Minor Blue Dragon Decoction) minus Mahuang (Ephedra) and Xixin (Asarum), add Tang Chao Shigao (Sugar-roasted Gypsum Fibrosum).
Patient Zou (7 years old). Chronic asthma, Lung disease. Long-term leads to Qi leakage and sweating. Spleen and Stomach Yang are weak. Phlegm-fluids remain stagnant. Symptoms include regurgitation/vomiting after eating. In the three months of summer, Heat injures Zheng Qi (Upright Qi). Suitable to frequently take Si Jun Zi Tang (Four Gentlemen Decoction) to benefit Qi. No need to attack and expel phlegm-fluids. (Qi deficiency pattern)
Ren Shen (Ginseng Radix), Fuling (Poria), Baizhu (Atractylodes Macrocephala Rhizome), Zhigancao (Honey-fried Licorice Root).
Asthma (Xiao) and Wheezing (Chuan) are slightly different. The severity and urgency of their symptoms also vary slightly. Generally, asthma often accompanies wheezing, whereas wheezing may not accompany asthma. One must understand the causes of wheezing: if caused by external pathogens blocking and constraining, once the pathogen disperses, wheezing stops and does not recur. This is the Excess type of wheezing. If due to root deficiency, Kidney Qi deficiency with rebellious Qi, and turbid Yin rushing upward causing wheezing, this will likely become critical within one or two days. Medication is difficult to be effective. This is the Deficiency type of wheezing. As for asthma, it is also caused by initial external pathogen invasion, failure to release via the exterior, pathogen lying latent inside, remaining in the Lung-Shu points. Thus, it occurs frequently and stops frequently, lingering over years. There are also Phlegm-Asthma, Salty-Asthma, Vinegar-Asthma, from excessive consumption of raw/cold foods, and Infantile Congenital Asthma among other conditions. Although the cases are not exhaustive, reviewing Mr.'s treatment methods, generally focusing on warming and unblocking the Lung, and grasping Kidney Essence from below. For long-term attacks leading to Middle Jiao deficiency, one must supplement Middle Qi. Agents that are acrid-dispersing, bitter-cold, resolving phlegm, or breaking Qi are all avoided. This can be called treating the disease by seeking its root. If this condition could be treated by a physician knowledgeable in acupuncture and moxibustion, applying moxibustion according to acupoints, it would be easier to eradicate the root. Alas, such people are hard to find. (Commentary by Hua Yutang)