凡人气喘〔而〕不能卧，吐痰如涌泉者，舌不燥而喘不止，一卧即喘，此非外感之寒邪，乃肾中之寒气也。盖
肾中无火，则水无所养，乃泛上而为痰，方用六味地黄汤加肉桂、附子、大剂饮之。盖人之卧，必肺气与肾气相
安，而居河车之路，平安而无奔越也。
凡人肾火之逆，扶肝气而上冲，以致作喘，甚有吐红粉痰者，此〔乃〕肾火炎上以烧肺金，肺热不能克肝，
而龙雷之火升腾矣。龙雷火，相火也。方用∶
地骨皮（一两） 沙参（一两） 丹参（三钱） 麦冬（五钱） 白芍（五钱） 白芥子（二钱） 桔梗（五分） 甘
草（三分）
水煎服。
此方妙在地骨皮清骨髓中之火，沙参、丹皮以养阴，白芍平肝，麦冬清肺，甘草、桔梗引入肺经，则痰喘除而气喘
定矣。
人有喘而嗽者，人以为气虚而有风痰也，谁知是气虚不能归源于肾，而肝木挟之作，祟乎？法当峻补其肾，
少助以引火之品，则气自归源于肾，而喘嗽自止矣。方用∶
人参（一两） 熟地（二两） 麦冬（五钱） 五味子（一钱） 牛膝（一钱） 枸杞（一钱） 菟丝子（一钱） 茯
苓（三钱） 白术（一钱）
水煎服。
连服几剂，必有奇功。倘以四磨、四七汤治之，必不效矣。
人有假热气喘吐痰者，人以为热，而非热也，乃下元寒极，逼其火而上喘也。此最危急之症，苟不急补其肾与命门
之火，则一线之微，必然断绝。方用∶
熟地（四两） 山药（三两） 麦冬（三两） 五味子（一两） 牛膝（一两） 附子（一钱） 肉桂（一钱）
水煎冷服，一剂而愈。
凡是人出现气喘且不能平卧，吐痰如涌泉般多，舌苔不干燥但喘息不止，一躺下就喘，这不是外感寒邪所致，而是肾中的寒气作祟。因为肾中阳气不足（无火），导致水液失去温煦滋养，泛滥上行化为痰饮，治疗方剂用六味地黄汤加入肉桂、附子，大剂量服用。人在睡眠时，必须肺气与肾气相互协调，安居于河车（指任督二脉或气血运行通道）之路，平安而不奔逸上冲。
凡是人的肾火逆乱，扶持肝气向上冲撞，从而导致气喘，甚至有吐出粉红色痰液的，这是肾火炎上灼烧肺金，肺热无法制约肝木，导致龙雷之火升腾。龙雷火，即相火。治疗方剂用：地骨皮（一两）、沙参（一两）、丹参（三钱）、麦冬（五钱）、白芍（五钱）、白芥子（二钱）、桔梗（五分）、甘草（三分）。水煎服。此方的妙处在于地骨皮清除骨髓中的虚火，沙参、牡丹皮（注：原文此处列丹参，后文解析称丹皮，依原文提取实体为丹参，但解析逻辑似指丹皮，此处忠实翻译原文药物名）以滋养阴液，白芍平抑肝气，麦冬清润肺脏，甘草、桔梗引导药力进入肺经，这样痰喘消除而气喘平息。
有人气喘兼有咳嗽，人们认为是气虚且有风痰，谁知道这是因为气虚不能归根于肾，而肝木挟持作祟呢？治法应当峻补肾脏，稍加引火归元的药物，那么气自然能归根于肾，喘咳自然停止。治疗方剂用：人参（一两）、熟地黄（二两）、麦冬（五钱）、五味子（一钱）、牛膝（一钱）、枸杞子（一钱）、菟丝子（一钱）、茯苓（三钱）、白术（一钱）。水煎服。连续服用几剂，必有奇效。如果用四磨汤、四七汤来治疗，必然无效。
有人出现假热气喘并吐痰，人们以为是热证，其实并非热证，而是下元极度寒冷，逼迫虚阳上浮而导致气喘。这是最危急的病症，如果不紧急补肾与命门之火，那么仅存的一线生机必然断绝。治疗方剂用：熟地黄（四两）、山药（三两）、麦冬（三两）、五味子（一两）、牛膝（一两）、附子（一钱）、肉桂（一钱）。水煎后冷服，一剂即可痊愈。
In general, when a person suffers from asthma (asthma) and cannot lie flat, expectorating sputum like a gushing spring, with a non-dry tongue but unceasing wheezing, which worsens immediately upon lying down, this is not caused by external cold pathogen (external cold syndrome), but by cold qi in the Kidney. Since there is no fire (Yang Qi) in the Kidney, water lacks nourishment and warms, thus flooding upward to form phlegm. The prescription used is Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill) added with Rougui (Cinnamon Twig) and Fuzi (Prepared Aconite Root), administered in large doses. When a person lies down, Lung Qi and Kidney Qi must be at peace, residing safely along the Heche pathway (River Chariot, referring to the circulation of Qi and Blood), without rushing or overflowing.
When a person's Kidney Fire rebels, supporting Liver Qi to rush upward, resulting in asthma, and even expectorating pinkish sputum, this is due to Kidney Fire flaming upward and burning Lung Metal. The Lung Heat fails to control Liver Wood, causing Dragon-Lei Fire (Ministerial Fire) to surge. Dragon-Lei Fire refers to Xianghuo (Ministerial Fire). The prescription is as follows: Digupi (Cortex Lycii Radicis), Shashen (Radix Glehniae), Danshen (Radix Salviae Miltiorrhizae), Maidong (Rhizoma Ophiopogonis), Baishao (Radix Paeoniae Alba), Baijiezi (Semen Sinapis Albae), Jiegeng (Radix Platycodonis), Gancao (Radix Glycyrrhizae). Decoct in water and take orally. The brilliance of this formula lies in Digupi clearing fire from the bone marrow, Shashen and Danshen nourishing Yin, Baishao calming the Liver, Maidong clearing the Lungs, and Gancao and Jiegeng guiding the herbs into the Lung Meridian, thereby eliminating phlegm and asthma and stabilizing breathing.
Some people suffer from asthma accompanied by coughing. People assume it is Qi deficiency with wind-phlegm, who knows that it is actually Qi deficiency failing to return to its source in the Kidney, while Liver Wood joins in to cause disturbance? The method should be to vigorously tonify the Kidney, with a small amount of herbs that guide fire back to its source, so that Qi naturally returns to the Kidney, and asthma and cough will cease. The prescription is: Renshen (Radix Ginseng), Shudihuang (Radix Rehmanniae Preparata), Maidong (Rhizoma Ophiopogonis), Wuweizi (Fructus Schisandrae), Niuxi (Radix Achyranthis Bidentata), Gouqi (Fructus Lycii), Tusizi (Semen Cuscutae), Fuling (Poria), Baizhu (Rhizoma Atractylodis Macrocephalae). Decoct in water and take orally. After taking several doses, miraculous effects are expected. If treated with Simo Tang (Four-Monk Decoction) or Siqi Tang (Four-Seven Decoction), it will certainly be ineffective.
Some people present with false heat asthma and expectoration of sputum. People consider it a heat syndrome, but it is not heat; rather, extreme cold in the Lower Yuan forces the fire to float upward, causing asthma. This is a critical condition. If one does not urgently tonify the Kidney and Mingmen (Gate of Life) fire, the last thread of vitality will inevitably be severed. The prescription is: Shudihuang (Radix Rehmanniae Preparata), Shanyao (Rhizoma Dioscoreae), Maidong (Rhizoma Ophiopogonis), Wuweizi (Fructus Schisandrae), Niuxi (Radix Achyranthis Bidentata), Fuzi (Radix Aconiti Lateralis Preparata), Rougui (Cortex Cinnamomi). Decoct in water, cool before drinking, and one dose brings recovery.