喘促症 治分门 气急而上奔，宜分别而治之。
卤莽辈 只贞元 贞元饮是治血虚而气无所附，以此饮济之、缓之。方中熟地、当归之
润，所以济之。甘草之甘，所以缓之。常服调养之剂，非急救之剂也。今医遇元气欲脱上奔
之症，每用此饮，以速其危，良可浩叹!
阴霾盛 龙雷奔 喘症多属饮病。饮为阴邪，非离照当空，群阴焉能退避。若地黄之类
，附和其阴，则阴霾冲逆肆空，饮邪滔天莫救，而龙雷之火，愈因以奔腾矣。
实喘者 痰饮援 喘症之实者，风寒不解，有痰饮而为之援，则咳嗽甚而喘症作矣。
葶苈饮 十枣汤 肺气实而气路闭塞为喘者，以葶苈大枣泻肺汤主之。咳嗽气喘，心下
停饮，两胁满痛者，以十枣汤主之。
青龙辈 撤其藩 此方解表，兼能利水，治内外合邪，以两撤之。
虚喘者 补而温 虚喘气促，不能接续，脉虚细无力，温补二字宜串看。有以温为补者
，有以补为温者，切不可走于贞元一路，留滞痰涎也。
桂苓类 肾气论 仲景云∶气短有微饮者，宜从小便去之，桂苓术甘汤主之，肾气丸亦主之。
平冲逆 泄奔豚 冲气上逆，宜小半夏加茯苓汤以降之。奔豚症初起，脐下动气，久则
上逆冲心，宜茯苓桂枝甘草大枣汤以安之。
真武剂 治其源 经云∶其标在肺，其本在肾。真武汤为治喘之源也。
金水母 主诸坤 肺属金而主上，肾属水而主下，虚喘为天水不交之危候，治病当求其
本。须知天水一气，而位乎天水之中者，坤土也。况乎土为金母，金为水母，危笃之症，必
以脾胃为主。
六君子 妙难言 六君子汤加五味、干姜、北细辛，为治喘神剂。面肿加杏仁；面热如
醉加大黄。此法时师闻之，莫不惊骇，能读《金匮》者，始知予言之不谬也。
他标剂 忘本根 唯黑锡丹镇纳元气，为喘症必用之剂。此外如苏子降气汤、定喘汤及
沉香黑铅丹，皆是害人之剂。
喘促症的治疗需要分门别类，气急上冲的症状，应当分别辨证施治。
粗疏的医生，只使用贞元饮。贞元饮是治疗血虚导致气无所依附的病证，用此方来滋养、缓和病情。方中熟地黄、当归的滋润作用，是用来滋养阴血的；甘草的甘缓作用，是用来缓和急迫的。这属于常服调养的方剂，并非急救之剂。现在的医生遇到元气欲脱、气机上奔的病症，常常使用此方，反而加速了危象的发生，实在令人浩叹！
当阴寒邪气盛极时，龙雷之火（肾中相火）就会奔越。喘症多属于饮邪为患。饮邪属于阴邪，若非阳光普照（阳气充足），群阴怎能退避？如果使用地黄之类的药物，附和其阴气，那么阴霾之气就会冲逆肆虐，饮邪滔天无法挽救，而龙雷之火，反而因此更加奔腾发作。
实证喘症，往往有痰饮作为援助。实证喘症，若风寒不解，又有痰饮作为内应，就会导致咳嗽剧烈而引发喘症。
葶苈大枣泻肺汤和十枣汤适用于肺气实盛、气道闭塞导致的喘症，以葶苈大枣泻肺汤为主治方。若咳嗽气喘，心下停聚饮邪，两胁胀满疼痛者，以十枣汤为主治方。
小青龙汤这类方剂，能解除表邪，兼能利水，治疗内外合邪的病症，从而内外双解。
虚证喘症，应当采用温补法。虚证喘促，气息不能接续，脉象虚细无力，“温”和“补”二字应当结合来看。有的通过温阳来达到补益的目的，有的通过补益来达到温煦的作用，切不可走上贞元饮那一套路线，以免留滞痰涎。
桂枝茯苓类方剂及肾气丸的论述：张仲景说：“气短伴有轻微饮邪者，宜从小便排出，以桂苓术甘汤主治，肾气丸也可主治。”
平抑冲逆之气，泄除奔豚症。冲气上逆，宜用小半夏加茯苓汤以降逆。奔豚症初起，脐下有动气感，日久则上逆冲心，宜用茯苓桂枝甘草大枣汤以安神定志。
真武汤制剂用于治其本源。经书云：“病标在肺，病本在肾。”真武汤是治疗喘症根本原因的方剂。
金水相生，以坤土为主宰诸脏。肺属金而主上部，肾属水而主下部，虚证喘症是天与水不交的危重证候，治病应当求其根本。须知天水一气，而位于天水之中起到枢纽作用的是坤土（脾胃）。况且土为金之母，金为水之母，危重病症，必须以调理脾胃为主。
六君子汤的妙用难以言尽。六君子汤加入五味子、干姜、北细辛，是治疗喘症的特效方。若面部浮肿加杏仁；若面部发热如醉酒状加大黄。这种方法，当时的医生听到后，无不惊骇，只有读过《金匮要略》的人，才知道我的话没有谬误。
其他针对标证的方剂，容易让人忘记根本。唯有黑锡丹能镇纳元气，是治疗喘症必用的方剂。此外如苏子降气汤、定喘汤以及沉香黑铅丹，都是害人的方剂。
The treatment of panting and shortness of breath (Chuan Cu Zheng) requires classification. For symptoms of rapid breathing with upward rushing Qi, differentiation and specific treatment are necessary.
Rough-and-ready practitioners only use Zhenyuan Yin (Nourishing Decoction). Zhenyuan Yin is indicated for conditions where Blood deficiency leads to Qi having no attachment; this decoction is used to nourish and soothe the condition. The moistening properties of Shu Di Huang (Prepared Rehmannia Root) and Dang Gui (Angelica Sinensis) in the formula serve to nourish; the sweet and relaxing nature of Gan Cao (Licorice Root) serves to relieve urgency. This is a tonic for daily maintenance, not an emergency rescue formula. Nowadays, when physicians encounter symptoms of impending collapse of Yuan Qi (Original Qi) with upward rushing Qi, they often prescribe this decoction, thereby hastening the crisis, which is truly lamentable!
When Yin pathogens prevail, Long Lei Fire (Ministerial Fire from the Kidney) rushes forth. Panting syndromes often belong to disorders of Fluid Retention (Yin Pathogen). Since Fluid Retention is a Yin pathogen, unless the sun shines brightly (Yang Qi is sufficient), how can the myriad Yins retreat? If one uses herbs like Di Huang (Rehmannia Root) to support and harmonize Yin, then Yin mist will rush and rebel unchecked, Fluid Retention will surge uncontrollably beyond salvation, and the fire of Long Lei will consequently gallop even more fiercely.
Excess-type panting is aided by Phlegm-Fluids. In excess-type panting, if Wind-Cold is not resolved and Phlegm-Fluids act as internal support, severe coughing ensues, leading to the onset of panting.
Ting Li Da Zao Xie Fei Tang (Descurainia Seed and Jujube Decoction to Drain the Lung) and Shi Zao Tang (Ten Date-Dates Decoction) are indicated. For panting caused by Excess of Lung Qi and obstruction of the Qi pathways, Ting Li Da Zao Xie Fei Tang is the primary formula. For coughing, panting, retention of fluids beneath the heart, and fullness/pain in both hypochondria, Shi Zao Tang is the primary formula.
Qing Long (Azure Dragon) type formulas, such as Xiao Qing Long Tang, resolve the exterior and simultaneously promote urination, treating combined interior-exterior pathogens by addressing them from both sides.
Deficiency-type panting requires tonification and warming. Deficiency-type panting involves shortness of breath with inability to sustain inhalation, and a deficient, fine, and weak pulse. The characters "Wen" (Warm) and "Bu" (Tonify) should be read together. Some achieve tonification through warming, while others achieve warming through tonification. One must absolutely avoid the approach of Zhenyuan Yin, which risks stagnating Phlegm-Saliva.
Gui Ling (Cinnamon and Poria) types and discussions on Shen Qi Wan (Kidney Qi Pill): Zhang Zhongjing stated: "For shortness of breath accompanied by slight fluid retention, it is appropriate to eliminate it via urination; Gui Ling Zhu Gan Tang (Poria, Cinnamon, Atractylodes, and Licorice Decoction) is the primary formula, and Shen Qi Wan is also indicated."
To calm rebellious Qi and drain Ben Tun (Running Piglet) syndrome: For rebellious Qi rushing upward, Xiao Ban Xia Jia Fu Ling Tang (Pinellia, Ginger, and Poria Decoction) is used to descend it. At the onset of Ben Tun syndrome, there is moving Qi below the umbilicus; if prolonged, it rushes upward to the heart. Fu Ling Gui Zhi Gan Cao Da Zao Tang (Poria, Cinnamon Twig, Licorice, and Jujube Decoction) is used to calm it.
Zhen Wu Ji (Zhen Wu Formulations) treat the root cause. The Classics state: "The branch is in the Lung, the root is in the Kidney." Zhen Wu Tang (True Warrior Decoction) treats the source of panting.
Jin Shui Mu (Mother of Metal and Water) governs all Kun (Earth/Spleen-Stomach). The Lung belongs to Metal and governs the upper; the Kidney belongs to Water and governs the lower. Deficiency-type panting is a critical sign of the failure of Heaven (Lung/Metal) and Water (Kidney/Water) to interact. Treating disease requires seeking its root. One must understand that Heaven and Water are one Qi, but situated within them is Kun Earth (Spleen/Stomach). Moreover, Earth is the mother of Metal, and Metal is the mother of Water. In critical conditions, the Spleen and Stomach must be the primary focus.
Liu Jun Zi Tang (Six Gentlemen Decoction) has wonders hard to describe. Liu Jun Zi Tang added with Wu Wei Zi (Schisandra Berry), Gan Jiang (Dried Ginger), and Bei Xi Xin (Asarum) is a miraculous agent for treating panting. Add Xing Ren (Apricot Seed) if facial edema is present; add Da Huang (Rhubarb) if the face is hot as if intoxicated. When contemporary physicians hear this method, they are invariably shocked. Only those who have studied the *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet) will know that my words are not erroneous.
Other branch-treating agents forget the root. Only Hei Xi Dan (Black Tin Pill) can anchor and grasp Yuan Qi; it is an essential formula for treating panting. Other formulas such as Su Zi Jiang Qi Tang (Perilla Fruit Descending Qi Decoction), Ding Chuan Tang (Calming Panting Decoction), and Chen Xiang Hei Qian Dan (Aloeswood and Black Lead Pill) are harmful agents.