齐氏云∶肺痈肺痿，因脾肺气虚，腠理不密，外邪所乘；或母食辛辣浓味，遗热于儿；或儿有病过于汗下，内亡津
液，虚火烁肺；或服克伐之药，亏损脾胃，不能生肺金。其症恶风咳嗽，鼻塞项强，呼吸不利，甚则四肢微肿，咳唾脓
血。若吐臭秽，胸中隐痛，脉数而实者为肺痈；咳唾涎沫，脉数而虚者为肺痿。恶寒喘嗽者，寒邪内蕴也，小青龙汤。
咳唾脓秽者，肺痈内溃也，桔梗汤。窃谓前症若喘咳短气者，脾胃气虚也，五味异功散。咳唾脓痰，左尺脉数而无力者，
肾气虚也，六味地黄丸。咳唾脓痰，右关脉数而无力者，脾气虚也，七味白术散。若发热喘嗽，唾脓不食者，脾肺虚甚
也，难治。大要补脾肺、滋肾水为善。仍审五脏相胜，乳母七情。后症仿此。
一小儿感冒停食吐泻，用疏利之剂，咳嗽脓血，此中气复伤而变肺痈也，用桔梗汤而愈。后咳嗽吐血，仍用前药，
佐以异功散而痊。
一小儿停食，服泻药而变肺痈，余先用异功散以救脾肺，次用桔梗汤以治肺痈而瘥。
一小儿停食，服克伐之药，唾痰腥气，面赤气喘，此元气复伤而成肺痈也，用桔梗汤，脓痰顿止。翌日喘甚，此脾
气虚而不能生肺也，用异功散加杏仁、百合而愈。后小便涩滞，服八正散，小便愈涩，咳嗽吐痰，面赤盗汗，余谓肺气
虚热，前药亏损真阴，虚火烁肺金而然。用异功散以补脾土，地黄丸以滋肾水，遂愈。
一小儿肺痈，愈后咳嗽，面色白或痿黄，手足冷，小便频，此因脾虚不能生金也，服参苏饮之类，自汗盗汗，昏愦
发搐，遗尿下气，手足如冰，面色青白，此阳气脱而虚寒也，用人参一两、干姜二钱、大枣五枚，米泔煎沸，先灌一杯，
将熟又灌二杯，连用二剂而苏。更朝用补中益气汤，夕用异功散而愈。
一小儿十五岁，因劳伤元气而咳嗽，误用表散之剂，复伤肺气成痈，咳嗽脓血，用桔梗汤为主，佐以异功散，脓渐
少，专用异功散，脓止而愈。后因书课过劳，自汗时嗽，服外感药，咳嗽益甚，胸膈痞满，呼吸不利。余谓脾肺之气虚
甚而然，用参 补脾汤而痊。
一小儿咳嗽，服参苏饮而益甚，右寸之关脉浮散，余谓∶此风伤皮毛，热伤血脉，血气羁留蕴结于肺而成痈也。不
信，乃服表散，唾咳脓血。余曰∶此因肺虚不能摄气，脾虚不能摄涎耳，当补脾土以生肺金。又不信，果殁。
一小儿感冒咳嗽，发散过度，喘促不食，痰中有血，余用桔梗汤而愈。后元气未复，大便似痢，或用芩、连、枳实
之类，变慢脾风而卒。
小青龙汤 治伤风冒寒，咳嗽喘急，肺胀胸满，鼻塞流涕，或干呕热咳，或作喝，或作噎，或小便不利，或小
腹胀满。（此仲景之法，审有是症，用之及时，殊有良验。）
麻黄（去节） 赤芍药 半夏（各七钱） 细辛 干姜（炮） 甘草（炙） 桂枝（各三钱） 五味子（半两杵）
附子（二钱，脉浮不用）
上每服二钱，水煎。
桔梗汤 治咳嗽脓血腥秽，已成痈症。
桔梗（炒） 贝母（去心） 知母（炒） 桑白皮（炒） 枳壳（各二钱） 地骨皮 栝蒌仁 薏苡仁 杏仁（炒，
五分） 当归 黄 （炒。各一钱） 五味子（杵炒） 百合（炒。各一钱五分） 防己（一钱） 甜葶苈（炒，五分）
上每服二三钱，水煎。
升麻汤 治肺痈，脓血秽臭，胸乳皆痛。
升麻 桔梗（炒） 薏苡仁 地榆 条芩（炒） 牡丹皮 芍药（炒） 甘草（各等分）
上每服二三钱，水煎。
排脓散 治肺痈，此方排脓补肺。
黄 （盐水拌炒） 白芷 人参 五味子（炒研碎。各等分）
上为末，每服一二钱，蜜汤调下。
射干汤 治胃脘痈吐脓血。
射干（去毛） 栀子仁 赤茯苓 升麻 赤芍药（一两三钱） 白术（五钱）
上每服三五钱，水煎，入地黄汁少许，再煎服。
人参平肺散 治心火克肺金，传为肺痈，咳嗽喘呕，痰涎壅盛，胸膈痞满，咽嗌不利。
人参 陈皮 甘草 地骨皮 茯苓（各一钱） 知母（炒，七分） 五味子 青皮 天门冬（去心，四分） 桑白
皮（炒，一钱）
上每服二三钱。
参 补脾汤 治肺痈，脾气亏损，咳吐脓涎，或中满不食，必服此药，补脾土以生肺金，否则不治。
人参 白术（各二钱） 茯苓 陈皮 当归（各一钱） 黄 （炒，二钱五分） 升麻（三分） 麦门冬（七分）
五味子（杵，四分） 桔梗（炒，六分） 甘草（炙，五分）
上作三服，姜枣水煎。
人参补肺汤 治肺症咳喘短气，或肾水不足，虚火上炎，痰涎壅盛，或吐脓血发热，小便短涩。
人参 黄 （炒） 白术 茯苓 陈皮 当归（各一钱） 山茱萸 干山药 五味子（杵） 麦门冬（去心）
甘草（炙） 熟地黄（自制） 牡丹皮（各五分）
上每服五钱，水煎服。
五味异功散（方见用败毒之药）
七味白术散（方见发热不止）
齐氏说：肺痈和肺痿，是因为脾脏和肺脏的气虚，腠理（皮肤毛孔及肌肉间隙）不致密，导致外邪侵袭；或者是母亲食用辛辣厚味的食物，将热邪遗留给孩子；或者是孩子生病时发汗、攻下过度，体内津液耗亡，虚火灼烧肺部；或者是服用克伐损伤性的药物，亏损了脾胃，不能滋生肺金。其症状表现为怕风、咳嗽、鼻塞、项背强直、呼吸不畅，严重时四肢轻微肿胀，咳吐脓血。如果吐出臭秽之物，胸部隐痛，脉象数而有力的是肺痈；咳吐涎沫，脉象数而无力的则是肺痿。怕冷、气喘咳嗽的，是寒邪内蕴，用小青龙汤。咳吐脓秽物的，是肺痈内部溃破，用桔梗汤。我认为前述病症如果出现喘咳、气短的情况，是脾胃气虚，用五味异功散。咳吐脓痰，左尺脉数而无力的，是肾气虚，用六味地黄丸。咳吐脓痰，右关脉数而无力的，是脾气虚，用七味白术散。如果发热、气喘咳嗽，咳唾脓血且不能进食，是脾肺极度虚弱，难以治疗。大抵原则是补益脾肺、滋补肾水为好。还要审察五脏之间的相胜关系，以及乳母的情绪变化。后续病症仿照此法处理。
一个小孩感冒并伴有食积，出现呕吐腹泻，使用疏利药物治疗后，出现咳嗽脓血，这是中气再次受伤而变为肺痈，使用桔梗汤治愈。后来咳嗽吐血，仍然用前面的药，配合异功散而痊愈。
一个小孩因食积，服用泻药后变成肺痈，我先用异功散来挽救脾肺，再用桔梗汤治疗肺痈而病愈。
一个小孩因食积，服用克伐性质的药物，咳唾痰液有腥气，面色发红，气喘，这是元气再次受伤而成肺痈，使用桔梗汤，脓痰立刻停止。第二天气喘加重，这是脾气虚而不能生养肺金，用异功散加杏仁、百合而痊愈。后来小便涩滞，服用八正散，小便更加涩滞，咳嗽吐痰，面红盗汗，我认为这是肺气虚热，前面的药物亏损了真阴，虚火灼烧肺金所致。用异功散补脾土，地黄丸滋肾水，于是痊愈。
一个小孩患肺痈，痊愈后仍有咳嗽，面色苍白或萎黄，手脚冰冷，小便频繁，这是因为脾虚不能生金，服用参苏饮之类的药，出现自汗、盗汗，神志昏乱抽搐，遗尿，大便失禁，手脚像冰一样冷，面色青白，这是阳气脱失而呈现虚寒证，用人参一两、干姜二钱、大枣五枚，米泔水煎沸，先灌一杯，快煎好时再灌两杯，连续用两剂而苏醒。早晨服用补中益气汤，晚上服用异功散而痊愈。
一个十五岁的小孩，因劳累损伤元气而咳嗽，误用发散解表的药物，再次损伤肺气成痈，咳嗽脓血，以桔梗汤为主，配合异功散，脓血逐渐减少，专门用异功散，脓止而痊愈。后来因为读书功课过劳，自汗时常咳嗽，服用治外感的药，咳嗽更加严重，胸膈痞满，呼吸不畅。我认为这是脾肺之气极度虚弱所致，用参 补脾汤而痊愈。
一个小孩咳嗽，服用参苏饮后病情加重，右寸关脉浮散，我说：这是风邪伤了皮毛，热邪伤了血脉，气血滞留蕴结于肺而成痈。他不相信，反而服用发散药，咳唾脓血。我说：这是因为肺虚不能摄纳气，脾虚不能摄纳涎液，应当补脾土以生肺金。他又不相信，果然死亡。
一个小孩感冒咳嗽，发散过度，气喘急促不能进食，痰中带血，我用桔梗汤治愈。后来元气未恢复，大便似痢疾，有人用黄芩、黄连、枳实之类的药，变成了慢脾风而死。
小青龙汤：治疗伤风冒寒，咳嗽气喘急迫，肺胀胸满，鼻塞流涕，或者干呕热咳，或者作喝，或者作噎，或者小便不利，或小腹胀满。（这是张仲景的方法，审察到有这些症状，及时使用，确有良效。）
麻黄（去节） 赤芍药 半夏（各七钱） 细辛 干姜（炮制） 甘草（炙） 桂枝（各三钱） 五味子（半两捣碎） 附子（二钱，脉浮者不用）
以上每服二钱，水煎。
桔梗汤：治疗咳嗽脓血腥秽，已成痈症。
桔梗（炒） 贝母（去心） 知母（炒） 桑白皮（炒） 枳壳（各二钱） 地骨皮 栝蒌仁 薏苡仁 杏仁（炒，五分） 当归 黄芪（炒。各一钱） 五味子（捣碎炒） 百合（炒。各一钱五分） 防己（一钱） 甜葶苈（炒，五分）
以上每服二三钱，水煎。
升麻汤：治疗肺痈，脓血秽臭，胸乳皆痛。
升麻 桔梗（炒） 薏苡仁 地榆 条芩（炒） 牡丹皮 芍药（炒） 甘草（各等分）
以上每服二三钱，水煎。
排脓散：治疗肺痈，此方排脓补肺。
黄芪（盐水拌炒） 白芷 人参 五味子（炒研碎。各等分）
以上为末，每服一二钱，蜜汤调下。
射干汤：治疗胃脘痈吐脓血。
射干（去毛） 栀子仁 赤茯苓 升麻 赤芍药（一两三钱） 白术（五钱）
以上每服三五钱，水煎，加入少许地黄汁，再煎服。
人参平肺散：治疗心火克肺金，传变为肺痈，咳嗽喘呕，痰涎壅盛，胸膈痞满，咽嗌不利。
人参 陈皮 甘草 地骨皮 茯苓（各一钱） 知母（炒，七分） 五味子 青皮 天门冬（去心，四分） 桑白皮（炒，一钱）
以上每服二三钱。
参 补脾汤：治疗肺痈，脾气亏损，咳吐脓涎，或者中满不食，必须服用此药，补脾土以生肺金，否则不治。
人参 白术（各二钱） 茯苓 陈皮 当归（各一钱） 黄芪（炒，二钱五分） 升麻（三分） 麦门冬（七分） 五味子（捣碎，四分） 桔梗（炒，六分） 甘草（炙，五分）
以上分为三服，姜枣水煎。
人参补肺汤：治疗肺症咳喘短气，或者肾水不足，虚火上炎，痰涎壅盛，或者吐脓血发热，小便短涩。
人参 黄芪（炒） 白术 茯苓 陈皮 当归（各一钱） 山茱萸 干山药 五味子（捣碎） 麦门冬（去心） 甘草（炙） 熟地黄（自制） 牡丹皮（各五分）
以上每服五钱，水煎服。
Qi Shi said: Lung abscess (Fei Yong) and lung atrophy (Fei Wei) are caused by Qi deficiency of the Spleen and Lung, with loose interstices (skin pores and muscle intervals), allowing external pathogens to invade; or due to the mother consuming spicy and rich foods, transmitting heat to the child; or due to excessive sweating and purging during the child's illness, leading to internal loss of body fluids, with deficient fire scorching the lungs; or from taking harsh drugs that damage the Spleen and Stomach, preventing them from generating Lung Metal. The symptoms include aversion to wind, cough, nasal congestion, stiffness of the neck, difficult breathing, and in severe cases, slight swelling of the four limbs, and coughing up pus and blood. If foul-smelling sputum is expectorated, accompanied by dull chest pain and a rapid, forceful pulse, it is a lung abscess; if saliva-like foam is expectorated with a rapid, empty pulse, it is lung atrophy. Aversion to cold, wheezing, and cough indicate internal retention of cold pathogen, treated with Xiao Qing Long Tang (Minor Blue Green Dragon Decoction). Expectorating pus and foul matter indicates internal ulceration of the lung abscess, treated with Jie Geng Tang (Platycodon Decoction). I believe that for the aforementioned conditions, if there is wheezing, cough, and shortness of breath, it is Spleen-Stomach Qi deficiency, treated with Wu Wei Yi Gong San (Five-Ingredient Powder for Extraordinary Merit). Expectorating pus and phlegm with a rapid but weak left Chi pulse indicates Kidney Qi deficiency, treated with Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia). Expectorating pus and phlegm with a rapid but weak right Guan pulse indicates Spleen Qi deficiency, treated with Qi Wei Bai Zhu San (Seven-Ingredient Powder of Atractylodes Macrocephala). If fever, wheezing, cough, expectoration of pus and blood, and anorexia occur, it indicates extreme deficiency of Spleen and Lung, which is difficult to treat. Generally, tonifying Spleen and Lung and nourishing Kidney Water is beneficial. One must also examine the mutual overcoming relationships among the Five Zang organs and the emotional states of the nursing mother. Subsequent conditions should be handled similarly.
A child suffered from cold and food stagnation with vomiting and diarrhea. After using draining and regulating agents, he developed cough with pus and blood. This was due to further injury of Middle Qi transforming into lung abscess, cured with Jie Geng Tang. Later, cough with hemoptysis occurred; the previous medicine was used again, assisted by Yi Gong San, resulting in recovery.
A child had food stagnation and developed lung abscess after taking purgatives. I first used Yi Gong San to rescue Spleen and Lung, then used Jie Geng Tang to treat the lung abscess, leading to recovery.
A child had food stagnation and took harsh drugs, resulting in expectoration of fishy-smelling sputum, red face, and asthma. This was due to further injury of Yuan Qi forming lung abscess. Jie Geng Tang was used, and pus-phlegm stopped immediately. The next day, asthma worsened, indicating Spleen Qi deficiency failing to generate Lung Metal. Yi Gong San added with Xing Ren (Apricot Seed) and Bai He (Lily Bulb) cured him. Later, dysuria occurred. Ba Zheng San was taken, worsening the dysuria, accompanied by cough, sputum, red face, and night sweats. I diagnosed this as Lung Qi deficiency with heat, where previous drugs damaged True Yin, and deficient fire scorched Lung Metal. Yi Gong San was used to tonify Spleen Earth, and Di Huang Wan to nourish Kidney Water, leading to recovery.
A child recovered from lung abscess but continued to cough, with pale or sallow complexion, cold hands and feet, and frequent urination. This was due to Spleen deficiency failing to generate Metal. Taking Shen Su Yin led to spontaneous sweating, night sweats, dizziness, convulsions, enuresis, and fecal incontinence. Hands and feet became ice-cold, and the complexion turned blue-white, indicating Yang Qi collapse with deficiency cold. Ren Shen (Ginseng) 1 liang, Gan Jiang (Dried Ginger) 2 qian, and Da Zao (Jujube) 5 pieces were decocted in rice wash water. One cup was administered first, followed by two cups when nearly done. Two doses restored consciousness. Bu Zhong Yi Qi Tang was taken in the morning, and Yi Gong San in the evening, leading to recovery.
A fifteen-year-old child developed cough due to labor injuring Yuan Qi. Misuse of diaphoretic agents further injured Lung Qi, causing abscess with cough and pus-blood. Jie Geng Tang was used as the main formula, assisted by Yi Gong San. Pus decreased gradually. Using only Yi Gong San stopped the pus and cured the condition. Later, overwork from studying led to spontaneous sweating and occasional cough. External pathogen medicines were taken, worsening the cough, with chest oppression and difficult breathing. I diagnosed this as extreme deficiency of Spleen and Lung Qi. Can Shen Bu Pi Tang cured him.
A child coughed, and the condition worsened after taking Shen Su Yin. The Right Cun and Guan pulses were floating and scattered. I stated: Wind injured the skin and hair, heat injured the blood vessels, causing Qi and Blood to stagnate and accumulate in the Lung, forming an abscess. Disbelieving, he took diaphoretics, resulting in expectoration of pus and blood. I said: This is because Lung deficiency fails to grasp Qi, and Spleen deficiency fails to control saliva. Tonifying Spleen Earth to generate Lung Metal is required. Disbelieving again, he died.
A child had cold-induced cough. Over-diaphoresis led to panting, anorexia, and blood in sputum. Jie Geng Tang cured him. Later, with incomplete recovery of Yuan Qi, stool resembled dysentery. Someone used Huang Qin (Scutellaria Root), Huang Lian (Coptis Rhizome), and Zhi Shi (Immature Bitter Orange), leading to Man Pi Feng (Slow Spleen Wind) and sudden death.
Xiao Qing Long Tang treats wind-cold invasion, cough with urgent wheezing, lung distension and chest fullness, nasal congestion with runny nose, dry retching with hot cough, hiccups, choking, difficulty urinating, or lower abdominal fullness. (This is Zhang Zhongjing's method. When these symptoms are present and used timely, it yields excellent results.)
Mahuang (Ephedrae Herba, de-stemmed) 7 qian, Chishao Yao (Radix Paeoniae Rubra) 7 qian, Ban Xia (Rhizoma Pinelliae) 7 qian, Xixin (Asari Radix et Rhizoma) 3 qian, Ganjiang (Zingiberis Rhizoma Recens, processed) 3 qian, Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) 3 qian, Guizhi (Cinnamomi Ramulus) 3 qian, Wuweizi (Schisandrae Fructus, half liang, crushed) 0.5 liang, Fuzi (Aconiti Lateralis Radix Praeparata) 2 qian (omit if pulse is floating).
Take 2 qian per dose, decoct in water.
Jie Geng Tang treats cough with bloody, foul-smelling pus, indicating established abscess.
Jiegeng (Platycodonis Radix, fried) 2 qian, Beimu (Fritillariae Bulbus, heart removed) 2 qian, Zhimu (Anemarrhenae Rhizoma, fried) 2 qian, Sangbaipi (Mori Cortex, fried) 2 qian, Zhike (Aurantii Fructus Immaturus) 2 qian, Digupi (Lycii Cortex) 1 qian, Gualouren (Trichosanthis Semen) 1 qian, Yiyiren (Coicis Semen) 1 qian, Xingren (Armeniacae Semen Amarum, fried) 5 fen, Danggui (Angelicae Sinensis Radix) 1 qian, Huangqi (Astragali Radix, fried) 1 qian, Wuweizi (Schisandrae Fructus, crushed and fried) 1.5 qian, Baihe (Lilii Bulbus, fried) 1.5 qian, Fangji (Stephaniae Tetrandrae Radix) 1 qian, Tinglizi (Descurainiae Semen seu Lepidii et Descurainiae Semen, fried) 5 fen.
Take 2-3 qian per dose, decoct in water.
Shengma Tang treats lung abscess with foul-smelling pus and blood, pain in chest and breasts.
Shengma ( Cimicifugae Rhizoma), Jiegeng (fried), Yiyiren, Diyu (Sanguisorbae Radix), Tiaohuangqin (Scutellariae Radix, fried), Mudanpi (Moutan Cortex), Shaoyao (Paeoniae Radix, fried), Gancao (equal parts).
Take 2-3 qian per dose, decoct in water.
Pai Nong San treats lung abscess; this formula drains pus and tonifies Lung.
Huangqi (Astragali Radix, stir-fried with salt water), Baizhi (Angelicae Dahuricae Radix), Renshen (Ginseng Radix et Rhizoma), Wuweizi (Schisandrae Fructus, fried and ground) (equal parts).
Grind into powder. Take 1-2 qian per dose, mix with honey water.
Shegan Tang treats gastric abscess with expectoration of pus and blood.
Shegan (Belamcandae Rhizoma, remove hairs), Zhizi (Gardeniae Fructus), Chifuling (Poria cum Risus), Shengma, Chishao Yao (one liang three qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (five qian).
Take 3-5 qian per dose, decoct in water, add a little Dihuang juice, decoct again, and take.
Renshen Ping Fei San treats Heart Fire overcoming Lung Metal, transmitting to lung abscess, with cough, wheezing, vomiting, abundant phlegm-saliva, chest oppression, and throat discomfort.
Renshen, Chenpi (Citri Reticulatae Pericarpium), Gancao, Digupi, Fuling (Poria) (each one qian), Zhimu (fried, seven fen), Wuweizi, Qingpi (Citri Reticulatae Pericarpium Viride), Tianmendong (Asparagi Radix, remove heart, four fen), Sangbaipi (fried, one qian).
Take 2-3 qian per dose.
Can Shen Bu Pi Tang treats lung abscess with Spleen Qi deficiency, expectoration of pus-saliva, abdominal fullness, and anorexia. Must take this medicine to tonify Spleen Earth to generate Lung Metal, otherwise untreatable.
Renshen, Baizhu (each two qian), Fuling, Chenpi, Danggui (each one qian), Huangqi (fried, two qian five fen), Shengma (three fen), Maimendong (Ophiopogonis Radix, seven fen), Wuweizi (crushed, four fen), Jiegeng (fried, six fen), Gancao (honey-fried, five fen).
Divide into three doses, decoct with Ginger and Jujube water.
Renshen Bu Fei Tang treats lung symptoms with cough, wheezing, shortness of breath, or insufficient Kidney Water with deficient fire flaming upward, abundant phlegm-saliva, hemoptysis with fever, and scanty dark urine.
Renshen, Huangqi (fried), Baizhu, Fuling, Chenpi, Danggui (each one qian), Shanzhuyu (Corni Fructus), Gaoyao Yao (Dioscoreae Rhizoma), Wuweizi (crushed), Maimendong (remove heart), Gancao (honey-fried), Shudihuang (Rehmanniae Radix Praeparata, homemade), Mudanpi (each five fen).
Take five qian per dose, decoct in water and take.
Wu Wei Yi Gong San (Formula see "Using Antidote Drugs")
Qi Wei Bai Zhu San (Formula see "Unremitting Fever")