咳呛脾泄，饮食日减，六脉软弱少力，土不生金之验，症非轻渺。
制于术 茯神 川贝母 归身 川石斛 北沙参 山药 新会皮 香附 红枣
久咳膈痛，右脉弦数，肺痿之渐，莫作轻视。
北沙参 川贝母 生 橘白 冬瓜子 紫菀 生蛤壳 米仁 云苓 桑叶
喘咳稠痰转剧，咽痛脉弱，此非有余之火克金，乃气虚肝液亏也。若再投凉剂，脾胃困败，须重剂滋补，图其奏效。
熟地 川贝 橘白 天竺黄 淮山药 于术 杞子 茯苓 焙麦冬 建莲肉
咳呛、秽痰、气喘，脉软中虚，肺络受伤也，殊非轻恙。
制于术 川百合 麦冬 茯苓 川贝 茅根 北沙参 生蛤壳 橘白 桑叶 知母
早寒暮热，脉数烦渴，呛咳不减，疑表虚火不潜根也。仍用生津止渴，稍佐降气法（服过凉剂未效，乃下虚上实。）
大熟地 橘红 牛膝 川贝母 米仁 生石膏 苏子 知母 北沙参 芦根
咽间碎痛，咳呛唾涎，六脉并不弦数，乃肝阴亏而脾不输津下布也。所以大便燥结，殊非轻恙。
制于术 川贝 杞子 橘白 枇杷叶 半夏曲 蛤壳 苁蓉 杏仁 人中白
脾肺两虚，畏风咳喘，暂用玉屏风法，然后进补奏效（女身热干呕三月，少痰，腹痛，食后胀，四肢麻木，中虚，
恐肿胀）
生黄 防风 苏子 旋复花 桑叶 鲜佛手 制于术 半夏 茯苓 代赭石 橘红
温邪留恋，咳呛秽痰，当此夏令，宜救肺涤饮主治。
生 皮 枇杷叶 橘红 知母 淮牛膝 阿胶 生米仁 桑叶 川贝 茅根
耳后结痰，溃脓已愈，现下腠理空疏，呛咳自汗，幸阳明气旺，不致大害。鄙拟固表润肠法，否则防复溃。
生 知母 麦冬 半夏曲 甜杏仁 米仁 川贝 蛤壳 橘红 枇杷叶
丸方，去蛤壳，加洋参、石决明、牛膝、胖海参，捣丸。
咳呛音哑，中虚木火烁金也。
生 北沙参 川百合 紫菀 橘红 丹皮 麦冬肉 川贝母 牛膝 桑叶
咳吐白沫，恶寒脉软，乃金寒不束津液，以和脾保肺佐降气治。
西党参 北沙参 杞子 人中白 生蛤壳 制于术 川百合 橘白 川贝母 沉香汁
寒热咳呛，气阴交虚，此非暴病，未许速痊。
真四党 北沙参 川百合 杞子 牡蛎 于术 大麦冬 淮山药 橘白
久嗽中虚，恶寒咽痛，气分不足，宜乎温补，无虞难许。
西党参 山药 大麦冬 杞子 橘白 炒熟地 牛膝 五味肉 于术 青盐
久呛中虚，气喘多痰，肝液有亏，咽间梗塞，病根深固，难许速痊。
真西党 北五味 川百合 橘白 生蛤壳 制于术 大麦冬 人中白 牛膝 枇杷叶
咳呛不止，色脉少神，气分亏也。从脾肺调治。
西党参 北沙参 枣仁 川贝 淮山药 制于术 大麦冬 茯神 橘白
咳沫音哑，中虚，肺气不清。宜轻剂疏理。
旋复花 米仁 冬瓜子 枇杷叶 炒苏子 紫菀茸 橘红 马兜铃 知母 冬桑叶
咳逆音哑，似属阴亏火动，然脉象未见虚数，可见蕴邪未得清彻，宜轻剂和理。
鲜石斛 杏仁 川贝 马兜铃 新会红 紫苑茸 蛤壳 麦冬 枇杷叶 川郁金
时疾后，饮食不慎，腹胀咳呛，此土不生金，殊非轻恙。
焦术（二钱） 炒苏子（三钱） 川石斛（三钱） 茯苓（二钱） 橘红（一钱） 冬瓜子（三钱） 法夏（一钱
五分） 白蔻壳（四分） 生米仁（三钱） 泽泻（一钱五分） 谷芽（四钱）
咳沫不止，气喘咽痛，并六脉虚数无力，可见中虚肝液竭也，殊非轻恙。兹拟填补保肝法，图其奏效。
炙绵 （二钱） 麦冬肉（二钱） 炒熟地（四钱） 橘白（一钱） 茯神（二钱） 川百合（三钱） 人中白（一
钱，漂） 淮山药（二钱） 杞子（二钱） 阿胶（二钱，烊冲）
胃痛干呛，肝络不和，恐有蓄血。以通络润燥，为暂用之剂。
当归须 淮牛膝 桃仁 瓦楞子 白茯苓 煨木香 炒苏子 蒌皮 川郁金 新绛屑
中气不舒，近兼咳呛，六脉弦紧，惟恐咯血。
炒苏子 旋复花 橘红 蛤壳 冬桑叶 法半夏 草郁金 茯苓 归须 新绛屑
元气素虚，疟后腠疏喘咳转剧，脉数无力，劳怯之渐，愈期未许。
炙 北沙参 麦冬 橘白 牡蛎 红枣 玉竹 川贝母 山药 茯神 冬桑叶
接服方
黄 北沙参 麦冬 橘白 牡蛎 杞子 熟地 川贝母 山药 茯神 款冬花 建莲
膏滋方
炙 五味 淡苁蓉 胡桃肉 熟地 牛膝 牡蛎
久嗽不止，中虚表弱也，以致盗汗，膈胀气喘，脉软，以健胃固表治，庶克奏效。
制于术 石斛 苏子 蛤壳 川贝 红枣 川百合 橘白 茯苓 米仁 桑叶
接服方
西党参 北沙参 山药 菟丝 茯苓 红枣 制于术 沙米仁 橘白 牛膝 桑叶
咳喘多痰，咽间梗塞，六脉无力。属中虚肝液亏也，殊非轻恙。
西党参（三钱） 北沙参（二钱） 蛤壳（三钱） 杞子（二钱） 人中白（一钱） 大熟地（四钱）
川百合（三钱） 杏仁（二钱） 橘白（一钱） 枇杷叶（一钱五分）
内热咳呛，痰中带血，此中焦热郁，非阴虚所发，不宜大补。
北沙参（三钱） 地骨皮（二钱） 元参（二钱） 橘红（一钱） 人中白（一钱） 麦冬肉（二钱） 生蛤壳（三
钱） 知母（一钱五分） 米仁（四钱） 冬桑叶（一钱）
水亏火动，干呛咯血，六脉无力。可见元气愈虚，恐交春病剧。
元生地（四钱） 北沙参（二钱） 麦冬（二钱） 山药（二钱） 茜草（一钱） 粉丹皮（一钱五分） 川百合
（三钱） 川贝（一钱五分） 茯神（二钱） 桑叶（一钱五分）
咳呛反复，中虚表弱也。宜从脾肺调治。
制于术 麦冬肉 炒苏子 橘白 海浮石 法半夏 北沙参 川贝母 茯苓 老桑叶
喘咳伤中，口干膈痛，以润肺健胃调治。
川石斛 法半夏 杏仁 麦冬 橘红 北沙参 炒苏子 蛤壳 米仁
先曾失血，由络伤所致。现患咳呛，脾泄痰多，肉削，中气不足之验。治宜涤痰健中。
舍此无策。
制于术 淮山药 桑叶 北沙参 橘白 川石斛 茯苓 款冬 川贝母 炙草
再诊，冲呛不止，比前减少，并脉象数势缓和，斯属佳境。但速愈不能。
炒生地 麦冬 川贝 元武板 丹皮 北沙参 橘红 杏仁 冬桑叶 青盐
久呛中虚，肢体困倦，肝胆气不舒也，频作呕吐，病在肝胃，腻补不合。
制于术 西党 川贝 石决明 姜汁焙竹茹 半夏曲 茯神 橘白 麦冬
【咳嗽医案】
咳呛伴脾虚泄泻，饮食日渐减少，六脉软弱无力，这是土不生金（脾虚不能养肺）的征象，病情并非轻微。
处方：制于术、茯神、川贝母、归身、川石斛、北沙参、山药、新会皮、香附、红枣。
久咳导致胸膈疼痛，右脉弦数，这是肺痿（肺部慢性萎缩性病变）的初期征兆，不可轻视。
处方：北沙参、川贝母、生橘白、冬瓜子、紫菀、生蛤壳、米仁、云苓、桑叶。
喘咳且痰液稠厚转剧，咽痛而脉弱，这并非有余之火克伐肺金，而是气虚兼肝阴液亏损所致。若再投用寒凉药剂，会导致脾胃困顿衰败，必须使用重剂滋补，以求奏效。
处方：熟地、川贝、橘白、天竺黄、淮山药、于术、杞子、茯苓、焙麦冬、建莲肉。
咳呛、吐出秽浊之痰、气喘，脉象软而中虚，这是肺络受伤的表现，绝非轻症。
处方：制于术、川百合、麦冬、茯苓、川贝、茅根、北沙参、生蛤壳、橘白、桑叶、知母。
早晨恶寒傍晚发热，脉数且心烦口渴，呛咳不减，怀疑是表虚火不潜藏于根底。仍用生津止渴之法，稍加降气法辅助（此前服用过寒凉药剂无效，属于下虚上实之证）。
处方：大熟地、橘红、牛膝、川贝母、米仁、生石膏、苏子、知母、北沙参、芦根。
咽间碎痛，咳呛吐涎，六脉并不弦数，这是肝阴亏虚而脾脏不能输布津液下行所致。因此大便燥结，绝非轻症。
处方：制于术、川贝、杞子、橘白、枇杷叶、半夏曲、蛤壳、苁蓉、杏仁、人中白。
脾肺两虚，畏风咳喘，暂时采用玉屏风散的方法治疗，然后再进补以奏效。（女性患者热干呕三月，少痰，腹痛，食后腹胀，四肢麻木，中气虚弱，恐出现肿胀）
处方：生黄芪、防风、苏子、旋复花、桑叶、鲜佛手、制于术、半夏、茯苓、代赭石、橘红。
温邪留恋不去，咳呛吐出秽浊之痰，正值夏令，宜救肺涤饮为主治方向。
处方：生皮（此处疑为笔误或特定炮制品，暂译原文）、枇杷叶、橘红、知母、淮牛膝、阿胶、生米仁、桑叶、川贝、茅根。
耳后结痰，溃脓已愈，现下腠理空疏，呛咳自汗，幸好阳明胃气旺盛，不至于造成大害。我拟定固表润肠之法，否则防止再次溃烂。
处方：生皮、知母、麦冬、半夏曲、甜杏仁、米仁、川贝、蛤壳、橘红、枇杷叶。
丸方：去掉蛤壳，加入洋参、石决明、牛膝、胖海参，捣制成丸。
咳呛音哑，是中气虚弱，木火刑金（肝火犯肺）所致。
处方：生皮、北沙参、川百合、紫菀、橘红、丹皮、麦冬肉、川贝母、牛膝、桑叶。
咳吐白沫，恶寒脉软，这是肺寒不能约束津液，以和脾保肺佐以降气法治疗。
处方：西党参、北沙参、杞子、人中白、生蛤壳、制于术、川百合、橘白、川贝母、沉香汁。
寒热交替，咳呛，气阴两虚，这不是突发急病，不允许迅速痊愈。
处方：真四党参、北沙参、川百合、杞子、牡蛎、于术、大麦冬、淮山药、橘白。
久嗽中气虚弱，恶寒咽痛，气分不足，适宜温补，无需担忧难以治愈。
处方：西党参、山药、大麦冬、杞子、橘白、炒熟地、牛膝、五味肉、于术、青盐。
久呛中气虚弱，气喘多痰，肝阴液有亏，咽间梗塞，病根深固，难以允许迅速痊愈。
处方：真西党参、北五味子、川百合、橘白、生蛤壳、制于术、大麦冬、人中白、牛膝、枇杷叶。
咳呛不止，面色与脉象缺少神采，是气分亏损。从脾肺调治。
处方：西党参、北沙参、枣仁、川贝、淮山药、制于术、大麦冬、茯神、橘白。
咳沫音哑，中气虚弱，肺气不清。宜用轻剂疏理。
处方：旋复花、米仁、冬瓜子、枇杷叶、炒苏子、紫菀茸、橘红、马兜铃、知母、冬桑叶。
咳逆音哑，似乎属于阴亏火动，然而脉象未见虚数，可见蕴藏的邪气未得清彻，宜用轻剂和缓调理。
处方：鲜石斛、杏仁、川贝、马兜铃、新会红、紫苑茸、蛤壳、麦冬、枇杷叶、川郁金。
时行疫病之后，饮食不慎，腹胀咳呛，这是土不生金，绝非轻症。
处方：焦术（二钱）、炒苏子（三钱）、川石斛（三钱）、茯苓（二钱）、橘红（一钱）、冬瓜子（三钱）、法夏（一钱五分）、白蔻壳（四分）、生米仁（三钱）、泽泻（一钱五分）、谷芽（四钱）。
咳沫不止，气喘咽痛，并见六脉虚数无力，可见中气虚弱肝阴液枯竭，绝非轻症。兹拟定填补保肝法，以求奏效。
处方：炙绵芪（二钱）、麦冬肉（二钱）、炒熟地（四钱）、橘白（一钱）、茯神（二钱）、川百合（三钱）、人中白（一钱，漂洗）、淮山药（二钱）、杞子（二钱）、阿胶（二钱，烊化冲服）。
胃痛干呛，肝络不和，恐怕有蓄血。以通络润燥为暂用之剂。
处方：当归须、淮牛膝、桃仁、瓦楞子、白茯苓、煨木香、炒苏子、蒌皮、川郁金、新绛屑。
中气不舒，近兼咳呛，六脉弦紧，惟恐咯血。
处方：炒苏子、旋复花、橘红、蛤壳、冬桑叶、法半夏、草郁金、茯苓、归须、新绛屑。
元气素来虚弱，疟疾之后腠理疏松，喘咳转剧，脉数无力，这是劳怯（虚劳肺痨）的初期征兆，痊愈期限未可预料。
处方：炙黄芪、北沙参、麦冬、橘白、牡蛎、红枣、玉竹、川贝母、山药、茯神、冬桑叶。
接服方：
黄芪、北沙参、麦冬、橘白、牡蛎、杞子、熟地、川贝母、山药、茯神、款冬花、建莲。
膏滋方：
炙黄芪、五味子、淡苁蓉、胡桃肉、熟地、牛膝、牡蛎。
久嗽不止，中气虚弱表卫不固，以致盗汗，膈胀气喘，脉软，以健胃固表法治疗，庶几能奏效。
处方：制于术、石斛、苏子、蛤壳、川贝、红枣、川百合、橘白、茯苓、米仁、桑叶。
接服方：
西党参、北沙参、山药、菟丝、茯苓、红枣、制于术、沙米仁、橘白、牛膝、桑叶。
咳喘多痰，咽间梗塞，六脉无力。属于中气虚弱肝阴液亏虚，绝非轻症。
处方：西党参（三钱）、北沙参（二钱）、蛤壳（三钱）、杞子（二钱）、人中白（一钱）、大熟地（四钱）、川百合（三钱）、杏仁（二钱）、橘白（一钱）、枇杷叶（一钱五分）。
内热咳呛，痰中带血，这是中焦热郁，非阴虚所发，不宜大补。
处方：北沙参（三钱）、地骨皮（二钱）、元参（二钱）、橘红（一钱）、人中白（一钱）、麦冬肉（二钱）、生蛤壳（三钱）、知母（一钱五分）、米仁（四钱）、冬桑叶（一钱）。
水亏火动，干呛咯血，六脉无力。可见元气愈虚，恐怕交春后病情加剧。
处方：元生地（四钱）、北沙参（二钱）、麦冬（二钱）、山药（二钱）、茜草（一钱）、粉丹皮（一钱五分）、川百合（三钱）、川贝（一钱五分）、茯神（二钱）、桑叶（一钱五分）。
咳呛反复，中气虚弱表卫不固。宜从脾肺调治。
处方：制于术、麦冬肉、炒苏子、橘白、海浮石、法半夏、北沙参、川贝母、茯苓、老桑叶。
喘咳伤及中气，口干膈痛，以润肺健胃调治。
处方：川石斛、法半夏、杏仁、麦冬、橘红、北沙参、炒苏子、蛤壳、米仁。
先前曾失血，由络脉损伤所致。现患咳呛，脾虚泄泻痰多，肌肉消瘦，这是中气不足的征象。治宜涤痰健中。
舍此无其他策略。
处方：制于术、淮山药、桑叶、北沙参、橘白、川石斛、茯苓、款冬、川贝母、炙甘草。
再诊，冲呛不止，比前减少，并且脉象数势缓和，这属于佳境。但迅速痊愈是不可能的。
处方：炒生地、麦冬、川贝、元武板（龟板）、丹皮、北沙参、橘红、杏仁、冬桑叶、青盐。
久呛中气虚弱，肢体困倦，肝胆气机不舒，频繁呕吐，病在肝胃，腻补不合宜。
处方：制于术、西党参、川贝、石决明、姜汁焙竹茹、半夏曲、茯神、橘白、麦冬。
[Cough Medical Cases]
Coughing with splenic deficiency diarrhea, food intake decreasing daily, six pulses are weak and forceless. This is a sign of Earth not generating Metal (Spleen deficiency failing to nourish the Lung); the condition is not trivial.
Prescription: Prepared Atractylodis Rhizoma (Zhi Baizhu), Poria (Fushen), Fritillariae Bulbus (Chuan Beimu), Angelicae Sinensis Radix (Guishen), Dendrobii Caulis (Chuan Shihu), Glehniae Radix (Beishashen), Dioscoreae Rhizoma (Shanyao), Citri Reticulatae Pericarpium (Xinhui Pi), Cyperi Rhizoma (Xiangfu), Jujubae Fructus (Hongzao).
Long-standing cough causing chest diaphragm pain, right pulse is wiry and rapid; this is the onset of Lung萎 (Fei Wei - chronic atrophic lung disease). Do not treat lightly.
Prescription: Glehniae Radix (Beishashen), Fritillariae Bulbus (Chuan Beimu), fresh Tangerine Peel (Sheng Ju Bai), Benincasae Semen (Dongguazi), Asteris Herba (Ziwan), fresh Arcaea Concha (Sheng Geqiao), Coicis Semen (Miren), Poria (Yunling), Mori Folium (Sangye).
Wheezing cough with thick sputum worsening, sore throat with weak pulse. This is not excess Fire overcoming Metal, but Qi deficiency combined with Liver Yin fluid depletion. If cold-natured medicines are administered again, the Spleen and Stomach will be trapped and ruined. Heavy tonic doses are required to achieve efficacy.
Prescription: Rehmanniae Radix Preparata (Shudi), Fritillariae Bulbus (Chuanbei), Tangerine Peel (Ju Bai), Hyacinth Bean Mucilage (Tianzhuhuang), Dioscoreae Rhizoma (Huai Shanyao), Atractylodis Rhizoma (Yuzhu), Lycii Fructus (Qizi), Poria (Fuling), Ophiopogonis Radix Roasted (Bai Maidong), Nelumbinis Plumula (Jian Lianrou).
Coughing, expectoration of foul sputum, wheezing, pulse is soft and middle-deficient. This indicates injury to the Lung collaterals; it is certainly not a mild ailment.
Prescription: Prepared Atractylodis Rhizoma (Zhi Baizhu), Lilii Bulbus (Chuan Baihe), Ophiopogonis Radix (Maidong), Poria (Fuling), Fritillariae Bulbus (Chuan Bei), Imperatae Rhizoma (Maogen), Glehniae Radix (Beishashen), fresh Arcaea Concha (Sheng Geqiao), Tangerine Peel (Ju Bai), Mori Folium (Sangye), Anemarrhenae Rhizoma (Zhimu).
Morning chills and evening fever, rapid pulse with irritability and thirst, coughing unrelieved. Suspect exterior deficiency with fire not rooted. Continue using fluids-generating and thirst-quenching methods, slightly assisting with Qi-descending method (Previous use of cold medicines was ineffective, indicating lower deficiency and upper excess).
Prescription: Large Rehmanniae Radix Preparata (Da Shudi), Tangerine Peel Red (Juhong), Achyranthis Bidentatae Radix (Niuxi), Fritillariae Bulbus (Chuan Beimu), Coicis Semen (Miren), Gypsum Fibrosum (Sheng Shigao), Perillae Fructus (Suzi), Anemarrhenae Rhizoma (Zhimu), Glehniae Radix (Beishashen), Imperatae Rhizoma (Lugen).
Fragmented pain in the throat, coughing with salivation, six pulses are not wiry or rapid. This is Liver Yin deficiency with Spleen failing to transport fluids downward. Hence, dry stool constipation; certainly not a mild ailment.
Prescription: Prepared Atractylodis Rhizoma (Zhi Baizhu), Fritillariae Bulbus (Chuan Bei), Lycii Fructus (Qizi), Tangerine Peel (Ju Bai), Loquat Leaf (Pipaye), Fermented Pinelliae Rhizoma Qu (Banxia Qu), Arcaea Concha (Geqiao), Cynomorii Herba (Rongrong), Pruni Semen (Xingren), Humanis Dentifricium Residuum (Renzhongbai).
Spleen and Lung dual deficiency, aversion to wind, coughing and wheezing. Temporarily use Yufeng San (Jade Windscreen Powder) method, then proceed with tonification to achieve efficacy. (Female patient: hot dry vomiting for three months, scanty sputum, abdominal pain, postprandial bloating, limb numbness, middle Qi deficiency, fear of edema).
Prescription: Raw Astragali Radix (Sheng Huang), Saposhnikoviae Radix (Fangfeng), Perillae Fructus (Suzi), Inulae Flos (Xuanjufhua), Mori Folium (Sangye), Fresh Bergamot Fruit (Xian Foshou), Prepared Atractylodis Rhizoma (Zhi Baizhu), Pinelliae Rhizoma (Banxia), Poria (Fuling), Gastrodiae Rhizoma Substitute (Daizheshi), Tangerine Peel Red (Juhong).
Warm pathogen lingering, coughing with foul sputum. During summer, the treatment should focus on rescuing the Lung and eliminating fluid retention.
Prescription: [Text error/Specific preparation], Loquat Leaf (Pipaye), Tangerine Peel Red (Juhong), Anemarrhenae Rhizoma (Zhimu), Achyranthis Bidentatae Radix (Huai Niuxi), Eburis Corium (Ejiao), fresh Coicis Semen (Sheng Miren), Mori Folium (Sangye), Fritillariae Bulbus (Chuan Bei), Imperatae Rhizoma (Maogen).
Phlegm nodule behind the ear, ulceration and pus healed. Currently, pores are loose, coughing with spontaneous sweating. Fortunately, Yangming Qi is robust, preventing major harm. I propose a method to consolidate the exterior and moisten the intestines; otherwise, prevent recurrence of ulceration.
Prescription: [Text error/Specific preparation], Anemarrhenae Rhizoma (Zhimu), Ophiopogonis Radix (Maidong), Fermented Pinelliae Rhizoma Qu (Banxia Qu), Sweet Pruni Semen (Tian Xingren), Coicis Semen (Miren), Fritillariae Bulbus (Chuan Bei), Arcaea Concha (Geqiao), Tangerine Peel Red (Juhong), Loquat Leaf (Pipaye).
Pill Formula: Remove Arcaea Concha, add American Ginseng (Yangshen), Halituss (Shijueming), Achyranthis Bidentatae Radix (Niuxi), Fat Sea Cucumber (Pang Haishen), pound into pills.
Coughing with hoarseness, due to middle Qi deficiency and Wood Fire scorching Metal.
Prescription: [Text error/Specific preparation], Glehniae Radix (Beishashen), Lilii Bulbus (Chuan Baihe), Asteris Herba (Ziwan), Tangerine Peel Red (Juhong), Moutan Cortex (Danpi), Ophiopogonis Medulla (Maidong Rou), Fritillariae Bulbus (Chuan Beimu), Achyranthis Bidentatae Radix (Niuxi), Mori Folium (Sangye).
Expectoration of white foam, aversion to cold with soft pulse. This is Metal Cold failing to bind fluids. Treat by harmonizing Spleen, protecting Lung, and assisting Qi descent.
Prescription: Codonopsis Radix (Xi Dangshen), Glehniae Radix (Beishashen), Lycii Fructus (Qizi), Humanis Dentifricium Residuum (Renzhongbai), fresh Arcaea Concha (Sheng Geqiao), Prepared Atractylodis Rhizoma (Zhi Baizhu), Lilii Bulbus (Chuan Baihe), Tangerine Peel (Ju Bai), Fritillariae Bulbus (Chuan Beimu), Aquilariae Lignum Resinatum (Chenxiang Zhi).
Alternating chills and fever, coughing, Qi and Yin both deficient. This is not an acute sudden illness; rapid recovery is not expected.
Prescription: Genuine Four-Party Codonopsis (Zhen Sidang), Glehniae Radix (Beishashen), Lilii Bulbus (Chuan Baihe), Lycii Fructus (Qizi), Ostreae Concha (Muli), Atractylodis Rhizoma (Yuzhu), Large Ophiopogonis Radix (Da Maidong), Dioscoreae Rhizoma (Huai Shanyao), Tangerine Peel (Ju Bai).
Long-term cough with middle Qi deficiency, aversion to cold, sore throat, insufficiency of Qi branch. Warm tonification is suitable; no need to worry about difficulty in curing.
Prescription: Codonopsis Radix (Xi Dangshen), Dioscoreae Rhizoma (Shanyao), Large Ophiopogonis Radix (Da Maidong), Lycii Fructus (Qizi), Tangerine Peel (Ju Bai), Stir-fried Rehmanniae Radix Preparata (Chao Shudi), Achyranthis Bidentatae Radix (Niuxi), Schisandrae Fructus Meat (Wuweirou), Atractylodis Rhizoma (Yuzhu), Green Salt (Qingyan).
Long-term coughing with middle Qi deficiency, wheezing with much phlegm, Liver Yin fluid depleted, blockage in throat. The disease root is deep and solid; rapid recovery is not expected.
Prescription: Genuine Western Codonopsis (Zhen Xi Dang), Northern Schisandrae Fructus (Bei Wuwei), Lilii Bulbus (Chuan Baihe), Tangerine Peel (Ju Bai), fresh Arcaea Concha (Sheng Geqiao), Prepared Atractylodis Rhizoma (Zhi Baizhu), Large Ophiopogonis Radix (Da Maidong), Humanis Dentifricium Residuum (Renzhongbai), Achyranthis Bidentatae Radix (Niuxi), Loquat Leaf (Pipaye).
Unremitting coughing, complexion and pulse lack spirit, indicating Qi branch deficiency. Regulate from Spleen and Lung.
Prescription: Codonopsis Radix (Xi Dangshen), Glehniae Radix (Beishashen), Ziziphi Spinosae Semen (Zaoren), Fritillariae Bulbus (Chuan Bei), Dioscoreae Rhizoma (Huai Shanyao), Prepared Atractylodis Rhizoma (Zhi Baizhu), Large Ophiopogonis Radix (Da Maidong), Poria (Fushen), Tangerine Peel (Ju Bai).
Expectorating foam with hoarseness, middle Qi deficiency, Lung Qi not clear. Use light agents to disperse and regulate.
Prescription: Inulae Flos (Xuanjufhua), Coicis Semen (Miren), Benincasae Semen (Dongguazi), Loquat Leaf (Pipaye), Stir-fried Perillae Fructus (Chao Suzi), Aster Root (Ziwan Rong), Tangerine Peel Red (Juhong), Aristolochiae Radix (Madouling), Anemarrhenae Rhizoma (Zhimu), Winter Mulberry Leaf (Dong Sangye).
Coughing reversal with hoarseness, seemingly due to Yin deficiency and fire movement. However, the pulse does not show deficiency-rapid qualities, indicating hidden pathogens are not thoroughly cleared. Use light agents to harmonize and regulate.
Prescription: Fresh Dendrobii Caulis (Xian Shihu), Pruni Semen (Xingren), Fritillariae Bulbus (Chuan Bei), Aristolochiae Radix (Madouling), Xin Hui Red (Xinhui Hong), Aster Root (Ziyuan Rong), Arcaea Concha (Geqiao), Ophiopogonis Radix (Maidong), Loquat Leaf (Pipaye), Curcumae Radix (Chuan Yujin).
After epidemic disease, dietary indiscretion causes abdominal distension and coughing. This is Earth not generating Metal; certainly not a mild ailment.
Prescription: Charred Atractylodis Rhizoma (2 qian), Stir-fried Perillae Fructus (3 qian), Dendrobii Caulis (3 qian), Poria (2 qian), Tangerine Peel Red (1 qian), Benincasae Semen (3 qian), Processed Pinelliae Rhizoma (1.5 qian), White Cardamom Shell (0.4 qian), fresh Coicis Semen (3 qian), Alismatis Rhizoma (1.5 qian), Setariae Fructum Germinatum (4 qian).
Unremitting expectoration of foam, wheezing, sore throat, and six pulses are deficiency-rapid and forceless. This shows middle Qi deficiency and Liver Yin fluid exhaustion; certainly not a mild ailment. Hereby propose filling and protecting Liver method to seek efficacy.
Prescription: Honey-fried Astragali Radix (2 qian), Ophiopogonis Medulla (2 qian), Stir-fried Rehmanniae Radix Preparata (4 qian), Tangerine Peel (1 qian), Poria (2 qian), Lilii Bulbus (3 qian), Humanis Dentifricium Residuum (1 qian, washed), Dioscoreae Rhizoma (2 qian), Lycii Fructus (2 qian), Eburis Corium (2 qian, melted and mixed).
Stomach pain with dry coughing, Liver collaterals disharmony, fear of blood stasis. Use collateral-unblocking and dryness-moistening as a temporary prescription.
Prescription: Angelicae Sinensis Radix Mustache (Danggui Xu), Achyranthis Bidentatae Radix (Huai Niuxi), Persicae Semen (Taoren), Arcae Testa (Walengzi), White Poria (Bai Fuling), Ginger-wrapped Costus Root (Wei Muxiang), Stir-fried Perillae Fructus (Chao Suzi), Trichosanthis Pericarpium (Lou Pi), Curcumae Radix (Chuan Yujin), New Crimson Fragments (Xinjiang Xie).
Middle Qi not smooth, recently accompanied by coughing, six pulses are wiry and tight, fearing hemoptysis.
Prescription: Stir-fried Perillae Fructus (Chao Suzi), Inulae Flos (Xuanjufhua), Tangerine Peel Red (Juhong), Arcaea Concha (Geqiao), Winter Mulberry Leaf (Dong Sangye), Processed Pinelliae Rhizoma (Fa Banxia), Grass Curcuma (Cao Yujin), Poria (Fuling), Angelicae Sinensis Radix Mustache (Guixu), New Crimson Fragments (Xinjiang Xie).
Original Yuan Qi always deficient, after malaria pores are loose, wheezing and coughing worsen, pulse is rapid and forceless. This is the onset of Lao Que (Consumptive Disease/Tuberculosis); recovery period is unpredictable.
Prescription: Honey-fried Astragali Radix, Glehniae Radix, Ophiopogonis Radix, Tangerine Peel, Ostreae Concha, Jujubae Fructus, Polygonati Odorati Rhizoma (Yuzhu), Fritillariae Bulbus, Dioscoreae Rhizoma, Poria, Winter Mulberry Leaf.
Follow-up Prescription:
Astragali Radix, Glehniae Radix, Ophiopogonis Radix, Tangerine Peel, Ostreae Concha, Lycii Fructus, Rehmanniae Radix Preparata, Fritillariae Bulbus, Dioscoreae Rhizoma, Poria, Farfarae Flos (Kuandonghua), Nelumbinis Plumula (Jianlian).
Paste Formula:
Honey-fried Astragali Radix, Schisandrae Fructus, Light Cynomorii Herba, Juglandis Semen, Rehmanniae Radix Preparata, Achyranthis Bidentatae Radix, Ostreae Concha.
Long-term cough unceasing, middle Qi deficiency and exterior weakness, leading to night sweats, diaphragmatic distension, wheezing, soft pulse. Treat by strengthening Stomach and consolidating exterior, so that efficacy may be achieved.
Prescription: Prepared Atractylodis Rhizoma, Dendrobii Caulis, Perillae Fructus, Arcaea Concha, Fritillariae Bulbus, Jujubae Fructus, Lilii Bulbus, Tangerine Peel, Poria, Coicis Semen, Mori Folium.
Follow-up Prescription:
Codonopsis Radix, Glehniae Radix, Dioscoreae Rhizoma, Cuscutae Semen, Poria, Jujubae Fructus, Prepared Atractylodis Rhizoma, Sand Coix Seed (Shami Ren), Tangerine Peel, Achyranthis Bidentatae Radix, Mori Folium.
Wheezing and coughing with much phlegm, blockage in throat, six pulses are forceless. Belongs to middle Qi deficiency and Liver Yin fluid depletion; certainly not a mild ailment.
Prescription: Codonopsis Radix (3 qian), Glehniae Radix (2 qian), Arcaea Concha (3 qian), Lycii Fructus (2 qian), Humanis Dentifricium Residuum (1 qian), Large Rehmanniae Radix Preparata (4 qian), Lilii Bulbus (3 qian), Pruni Semen (2 qian), Tangerine Peel (1 qian), Loquat Leaf (1.5 qian).
Internal heat coughing, blood in sputum. This is Middle Jiao heat stagnation, not caused by Yin deficiency; large tonification is inappropriate.
Prescription: Glehniae Radix (3 qian), Cortex Lycii (Digupi), Scrophulariae Radix (Yuanshen), Tangerine Peel Red (1 qian), Humanis Dentifricium Residuum (1 qian), Ophiopogonis Medulla (2 qian), fresh Arcaea Concha (3 qian), Anemarrhenae Rhizoma (1.5 qian), Coicis Semen (4 qian), Winter Mulberry Leaf (1 qian).
Water deficiency with Fire movement, dry coughing with hemoptysis, six pulses are forceless. Shows Yuan Qi becoming more deficient; fear of worsening upon entering Spring.
Prescription: Raw Rehmanniae Radix (4 qian), Glehniae Radix (2 qian), Ophiopogonis Radix (2 qian), Dioscoreae Rhizoma (2 qian), Rubia Cordifolia Radix (Qiancao), Powdered Moutan Cortex (1.5 qian), Lilii Bulbus (3 qian), Fritillariae Bulbus (1.5 qian), Poria (2 qian), Mori Folium (1.5 qian).
Repeated coughing, middle Qi deficiency and exterior weakness. Regulate from Spleen and Lung.
Prescription: Prepared Atractylodis Rhizoma, Ophiopogonis Medulla, Stir-fried Perillae Fructus, Tangerine Peel, Pumex (Haifushi), Processed Pinelliae Rhizoma, Glehniae Radix, Fritillariae Bulbus, Poria, Old Mulberry Leaf (Lao Sangye).
Wheezing and coughing injuring middle Qi, dry mouth, diaphragm pain. Treat by moistening Lung and strengthening Stomach.
Prescription: Dendrobii Caulis, Processed Pinelliae Rhizoma, Pruni Semen, Ophiopogonis Radix, Tangerine Peel Red, Glehniae Radix, Stir-fried Perillae Fructus, Arcaea Concha, Coicis Semen.
Previously suffered blood loss due to collateral injury. Now suffering coughing, splenic diarrhea with much phlegm, emaciation. This is a sign of insufficient middle Qi. Treatment should eliminate phlegm and strengthen the center.
No other strategy exists.
Prescription: Prepared Atractylodis Rhizoma, Dioscoreae Rhizoma, Mori Folium, Glehniae Radix, Tangerine Peel, Dendrobii Caulis, Poria, Farfarae Flos, Fritillariae Bulbus, Honey-fried Licorice Root (Zhigancao).
Second consultation: Rushing coughing continues but reduced compared to before, and pulse rapidity has eased. This is a favorable state. But rapid cure is impossible.
Prescription: Stir-fried Rehmanniae Radix, Ophiopogonis Radix, Fritillariae Bulbus, Chelonae Plastrum (Yuanwu Ban), Moutan Cortex, Glehniae Radix, Tangerine Peel Red, Pruni Semen, Winter Mulberry Leaf, Green Salt.
Long-term coughing with middle Qi deficiency, limb fatigue, Liver and Gallbladder Qi not smooth, frequent vomiting. Disease is in Liver and Stomach; greasy tonification is unsuitable.
Prescription: Prepared Atractylodis Rhizoma, Western Codonopsis, Fritillariae Bulbus, Halituss (Shijueming), Ginger-processed Bamboo Shavings (Jiangzhi Bei Zhuru), Fermented Pinelliae Rhizoma Qu, Poria, Tangerine Peel, Ophiopogonis Radix.