〔丹〕咳血，痰盛，身热，多是血虚。
〔丹〕七伤散治劳嗽吐血痰。
黄药子 白药子（各一两半） 赤芍药（七钱半） 知母 玄胡索（各半两） 郁金（二钱半）
当归（半两） 山药 乳香 没药 血竭（各二钱）
上为末，每服二钱，茶汤下。（《本草》云∶黄药子、白药子治肺热有功。一法，红花当归
煎汤下。）
〔罗〕恩袍散治咯血吐血，及治烦躁。
真生蒲黄 薄荷（各一两）
上研匀细，每服三钱，浓煎桑白皮汤调下。
地黄散治一切吐血咯血，能解一切毒，及诸热烦躁。
茜草根（四钱） 大豆子 黄药子 甘草（各二两）
上为细末，每服二钱，新汲水调下。加人参二两，治痰嗽有血。
〔丹〕痰带血丝出，童便、竹沥主之。又方，用韭汁、童便二物合和，加郁金细研入内，服之
其血自消。经血逆行，或血腥，吐血，唾血。韭汁服立效。咯血用姜汁、童便、青黛，入血药中。
加四物汤、牛膝膏、地黄膏之类。
〔《千》〕治一切肺病，咳嗽脓血，及唾脓血不止方。好酥三十斤，炼取凝当中醍醐，服一合，
日三升，即止。一切药皆不及此方。
〔海〕甘桔加阿胶紫菀汤 治肺痿唾脓血。（方见伤寒咽痛门。）
〔梅〕肺疾脓血。取薏苡仁十两，杵碎，以水三升，煎取一升，入酒少许服之。（《本草》云∶
薏苡仁下气，利肠胃，
消水肿。）
〔罗〕大阿胶丸治嗽血唾血。
阿胶（微炒） 卷柏 生地 熟地 大蓟（独根者，晒干） 鸡苏叶 五味子（各一两）
柏子仁（另研） 茯苓 百部 远志 人参 麦门冬 防风（各半两） 干山药（一两）
上为细末，炼蜜丸，如弹子大。煎小麦、麦门冬汤，嚼下一丸，食后。
上方，保养精血，纯补剂也，血虚者宜之。
〔丹〕治上气喘息，咳嗽、吐血、咯血。人参细末，鸡子清调三钱，五更初服，便去枕睡仰卧，
只一服愈。年深再服。忌酸咸酢酱面等物，及过醉饱。须好将息。
一男子三十岁，因连夜劳倦不得睡，成一痰嗽，出白黄脓，嗽声不出。时初春大寒，医与
青龙汤四帖，遂觉咽喉有血丝，腥气逆上。两日后，血腥气多，遂有血线一条，自口中右边出直
上，如此每昼夜十余次。诊其脉，弦大而散弱，左大为甚，人倦而苦于嗽。予作劳倦感寒，强以
甘辛燥热之剂，以动其血，不宜急治，恐成肺痿。遂与人参、黄 、当归身、白术、芍药、陈皮、
炙甘草、生甘草、不去节麻黄，煎熟入藕汁与之，两日而病减嗽止。却于前药去麻黄，又与四日，
而血症除。脉之散大者，未收敛，人亦倦甚，遂于前药中除藕汁，加黄芩、缩砂、半夏，至半月
而安。
〔《大》〕劫劳散治肺痿痰嗽，痰中有红线，盗汗发热，热过即冷，饮食减少。
白芍药（六两） 黄 甘草 人参 当归 半夏 白茯苓 熟地 五味子 阿胶（炒。各二两）
上 咀，每服三钱，水盏半，生姜二片，枣三枚，煎九分，无时温服，日三。陈日华云∶
有女及笄，病甚危，一岁之间，百药无效，偶得此方，只一料除根。
〔罗〕五味子黄 散治嗽，咯血成劳，眼睛疼，四肢困倦，脚膝无力。
麦门冬 熟地 黄 桔梗（各半两） 甘草（一分） 白芍药 五味子（二分） 人参（二钱）
上为粗末，每服四钱，水煎，日三服。
云岐子芩散凉心肺，解劳热。
黄 （一两） 白芍药 黄芩 人参 白茯苓 麦门冬 桔梗 生地（各半两）
上为粗末，先用竹叶一握，小麦七十粒，水三盏，姜三片，煎一盏半。入药末三钱，煎七分，
去滓温服。
席延赏治虚中有热，咳嗽脓血，口苦咽干，又不可服凉药。好黄 四两，甘草一两，为末，
每服三钱。如茶点羹粥中，亦可服。
上参 例，纯补剂也。丹溪云∶脉大发热为气虚，此气血俱虚者宜之，若血虚而气不虚者
不宜，当用前阿胶丸之类及污血条求之。
〔丹〕妇人五十六岁，盛夏吐红痰，有一二声嗽。
人参（一钱） 防风（五分） 白术（钱半） 陈皮 茯苓（各二钱） 干姜（三分） 生甘草（一分）
桔梗（半钱）
上煎二之一，入藕汁二大蛤再煎，带热下三黄丸。
王二十四丈发热胁痛，咳嗽红痰，口渴，大便秘，倦怠，脉稍数而虚。询之，发热曾饮水一碗，
病因饮食不节，成积痰，发又饮冷水，伤胃成虚，伤肺成痰。
白术（一钱半） 人参 陈皮 川芎（各一钱） 芍药 茯苓 桔梗 甘草（各五分，炙）
上作二帖，煎取八分，入竹沥二分，再煎沸，热饮，下龙荟丸二十丸。如嗽，三十丸。
上丹溪参、术、藕汁、竹沥法也。
脉大发热，喉中痛者，是气虚。用参、 、蜜炙黄柏、荆芥、地黄、当归、韭汁、童便、姜
汁，磨郁金饮之，其血自消。
上参、 加郁金、韭汁、童便，补中解郁也。
〔罗〕黄 鳖甲散治虚劳客热，肌肉消瘦，四肢倦怠，五心烦热，口燥咽干，颊赤心忡，日
晚潮热，夜有盗汗，
胸胁不利，食减多渴，咳嗽稠粘，时有脓血。
黄 （一两） 桑白皮 半夏 黄芩 甘草（炙） 知母 赤芍药 紫菀（各五钱） 秦艽
白茯苓（焙） 生地 柴胡 地骨皮（各六钱六分） 肉桂 人参 桔梗（各三钱二分） 鳖甲（去裙，
酥炙） 天门冬（去心，焙。各一两）
上为粗末，每服二大钱，水一大盏，食后煎服。
人参黄 散治虚劳客热，肌肉消瘦，四肢倦怠，五心烦热，咽干颊赤，心忡潮热，盗汗减食，咳嗽脓血。
人参（一两） 秦艽 茯苓（各二两） 知母（二钱半） 桑白皮（一两半） 桔梗（一两） 紫菀
柴胡（二两半） 黄 （三两半） 半夏（汤洗，一两半） 鳖甲（去裙，酥炙，二两）
上为粗末，每服三钱，去渣服。
上参、 、鳖甲例，补中有通也。
〔罗〕人参蛤蚧散治三二年间，肺气上喘咳嗽，咯唾脓血，满面生疮，遍身黄肿。
蛤蚧（一对，全者河水浸五宿，逐日换水，洗去腥气，酥炙黄色） 杏仁（去皮尖，炒，五两）
甘草（炙三两） 人参 茯苓 贝母 知母 桑白皮（各二两）
上为细末，瓷器内盛，每日如茶点服，神效。
〔海〕蛤蚧补肺劳虚嗽有功，治久嗽不愈，肺间积虚热，久则成疮，故嗽出脓血，晓夕不止，喉
中气塞，胸膈噎痛。用蛤蚧、阿胶、生犀角、鹿角胶、羚羊角各一两，除胶外，皆为屑，次入胶，
分四服。每服用河水三升，于银石器内慢火煮至半升，滤去渣，临卧，微温细细呷之。其渣候服
尽再捶，都作一服，以水三升，煎至半升，如前服。病患久虚，不喜水，当减水。
上蛤蚧例，亦补中有通，久嗽不愈者宜之。
麦门冬汤治伤寒后伤肺，咳唾脓血，胸胁胀满，上气羸瘦。
麦门冬（去心） 桑白皮 生地（各一两） 半夏（汤洗七次） 紫菀 桔梗（炒） 淡竹茹
麻黄（去根节。各七钱五分） 五味子 甘草
（炙。各半两）
上为粗末，每服五钱，水二盏，生姜二钱半，枣三枚，掰破同煎，去渣，食后温服。
〔罗〕续断散治骨蒸劳热，传尸瘦病，潮热烦躁，喘嗽气急，身疼盗汗，兼治咳嗽唾脓血。
续断 紫菀 桔梗 青竹茹 五味子（各三钱） 生地 桑白皮（各五两） 甘草（炙，二两）
赤小豆（半升）
上为粗末，每服三钱，入小麦五十粒，水煎去渣，日三服。
〔海〕紫菀散治咳嗽唾血虚劳症，肺痿变痈。
紫菀 人参 知母 贝母 桔梗 甘草 五味子 茯苓 阿胶
上为粗末，生姜水煎服。
上门冬、五味例，亦补中有通也。
〔《外》〕疗伤唾血方。用茅根一味，服方寸匕，日三服，亦可绞汁饮之，主热渴。
〔丹〕治劳疗传尸，寒热交攻，久嗽咯血，日渐羸瘦，先服三拗汤与莲心散，万不失一。
三拗汤
麻黄（不去节） 甘草（生） 杏仁（不去皮尖）
上锉碎，姜枣煎服。
莲心散
当归 黄芩 甘草（炙） 枳壳（炒） 鳖甲（醋炙） 前胡 柴胡 防己 阿胶 莲肉（去心）
南星（各一钱） 川芎（一两） 芫花（醋炒十分干黑）
上十三味， 咀，合和，独芫花另包。每服二钱半，水一小盏半，生姜三片，枣一枚，入芫花
一撮，煎八分，服无时。须吐有异物后，芫花渐减，盖芫花反甘草，多之所以杀虫，少之所以
去寒热，妙处在此。（方与《纂要》不同，宜考之。）
〔《本》〕治劳疗吐血损肺，及血妄行，神传膏。
用剪草一斤，婺、台州皆有，惟婺州者可用，状如茜草，又如细辛，每用一斤，净洗为末，
加入生蜜一斤，和为膏，以器盛之，不得犯铁，九蒸九曝，日一蒸曝。病患五更起，面东坐，不
得语，用匙挑药，如粥服，每服四两。良久，用稀粟米饭压之。药冷服，粥饮亦不可太热，或吐
或下，皆不妨，如久病肺损咯血，只一服愈。寻常咳嗽，血妄行，每服一两可也。
有一贵人其国封病瘵，其尊人常以此方畀之，九日而药成。前一夕，病者梦人戒令，翌日勿
乱服药，次日将服之，为屋上土坠器中，不可服。再合既成，又将服之，为猫覆器，又不得服。
又再合未就，而是人卒矣。此药之异如是，若小小血妄行，一啜而愈，或云是陆农师夫人乡人艾
孚先，尝亲说此事，渠后作《大观本草》，亦收入集中，但人未识，不肯信尔。
〔《外》〕疗咳逆，唾脓血，鸡子汤。
鸡子（一个 甘草（炙，二分） 甘遂（一分） 大黄（二分） 黄芩（二分）
上用水六升，煮取二升，去渣，纳鸡子搅令调，尽饮之良。忌海藻、菘菜。
〔子和〕HT 阳刘氏一男子，年二十余岁，病劳嗽咯血，吐唾粘臭，近不可闻，秋冬少缓，春
夏则甚，寒热往来，日晡发作，状如 疟，寝汗如水。累服麻黄根、败蒲扇止汗，汗自若也。
又服宁神散、宁肺散止嗽，嗽自若也。戴人先以独圣散涌其痰，痰状如鸡黄，汗随涌出，昏愦
三日不省，时时饮以凉水，精神稍开，饮食加进。又与人参半夏丸、桂苓甘露散服之，不数日愈。
〔丹〕台州林德方，年二十余岁，得嗽而咯血发热，肌体渐瘦，众医以补药调治数年，其
症愈甚。予诊其六脉皆涩。予曰∶此好色而多怒，精血耗少，又因补塞药太多，荣卫不行，
污血内积，肺气壅遏，不能下降。治肺壅，非吐不可；精血耗少，非补不可。惟倒仓二者俱备，
但使之吐多于泻耳，兼灸肺俞五次而愈。
〔云〕鸡苏丸治虚热，昏愦倦怠，下虚上壅，嗽血衄血。
鸡苏叶（半斤） 黄 （一两） 甘草 川芎（各半两） 防风（一两） 桔梗（半两） 荆芥（二两）
甘菊（三钱） 生地（半两） 脑子（半钱）
上为细末，炼蜜丸如弹子大。每服一丸，麦门冬去心煎汤嚼下。若肺损吐血，日渐乏力瘦弱，行步
不得，喘嗽痰涎，或发寒热，小便赤涩，加车前子二钱，用桑枝锉炒香，煎汤嚼下。
脉浮大者作虚治，宜虚条下参 诸方主之。若浮大而上壅甚者。宜此鸡苏丸方。脉沉滑有力
者作实治，宜实条诸方主之。
〔丹〕先痰嗽，后见红，多是痰积热，降痰火为急。痰涎带血出，此胃口热血蒸而出，重则山
栀，轻则蓝实。荆芥能散喉管痰血。
咳血方
青黛 栝蒌实 诃子 海石 山栀
上为末，姜汁蜜调噙服。嗽甚，加杏仁。后以八物汤加减调理。
〔垣〕郑仲本年二十三岁，因心痛，服丹附等药，得上气病膈，两胁急迫，胀触不快，便时
嗽咯出血，病形渐瘦，大便燥而难，脉弦数，夜间略热，食稍减，因与灯笼草和节麻黄细末，
以白术、桔梗、木通、甘草汤调下，十余服，病减半。又与通圣散去石膏为丸，以桃仁汤下之。
〔《经》〕治咯血。黄药子、汉防己各一两，为末，每服一钱匕，水一盏，小麦二十粒同煎，
食后温服。
〔罗〕珠砂膏镇心安神解热，及肺损嗽血等疾。
苍术（二钱半） 朱砂（另研） 生犀 人参 玳瑁 甘草（炙） 珍珠（末。各一两）
牛黄 麝香 龙脑 南硼砂 琥珀（另研） 羚羊角 安息香（醋煮，另研） 赤茯苓（去皮）
远志（去心。各半两） 铁粉 苏合香油（和药亦得。各一两）
上为末，炼蜜，破苏合香油剂诸药为小锭子，更以金箔裹之。瓷器收贮。每服一皂子大，
食后噙化。卫尉叶丞得效，并阿胶丸相杂服。此药治血安神，更胜至宝丹。每两作五锭子。
肺热咳唾血，惟七伤散用黄药子、白药子最有效。方见血郁血污条。又脉浮数，忌灸，若
误灸之，必唾血。仲景云∶脉浮热甚，反灸之，必咽燥唾血是也。
孙兆因博士王 患咽喉噎塞，胸膈不利，时发寒热，夜多盗汗，忽心胸塞闷，咳血三数日即
止，晚后脉数，口干，涎唾稠粘，咳嗽一二声不透，肩背微痛，尝于关元、气海、中脘、三里
等穴着艾，不详病得之肺虚，其状中客热症，皆因误灸服暖药所致。遂与《外台》第一广济紫菀
汤，为丸合服之，立效。（方未考。）
〔《千》〕百部丸主诸咳不得气息唾血方。
【朱丹溪】咳血，痰多，身热，多是血虚。
【朱丹溪】七伤散治疗劳嗽吐血、咯血。
黄药子 白药子（各一两半） 赤芍药（七钱半） 知母 玄胡索（各半两） 郁金（二钱半）
当归（半两） 山药 乳香 没药 血竭（各二钱）
以上药物研为细末，每次服用二钱，用茶汤送服。（《本草》记载：黄药子、白药子治疗肺热有功效。另一种方法，用红花、当归煎汤送服。）
【罗天益】恩袍散治疗咯血、吐血，以及治疗烦躁。
真生蒲黄 薄荷（各一两）
以上药物研匀细，每次服用三钱，浓煎桑白皮汤调服。
地黄散治疗各种吐血、咯血，能解各种毒，以及各种热引起的烦躁。
茜草根（四钱） 大豆子 黄药子 甘草（各二两）
以上药物研为细末，每次服用二钱，用新汲取的冷水调服。加入人参二两，治疗痰嗽带血。
【朱丹溪】痰中带血丝吐出，童便、竹沥为主治。又一方，用韭汁、童便两物混合，加入细研的郁金，服用后其血自消。经血逆行，或血腥气上逆，吐血，唾血。服用韭汁立即见效。咯血用姜汁、童便、青黛，加入活血药中。配合四物汤、牛膝膏、地黄膏之类。
【《千金方》】治疗各种肺病，咳嗽脓血，以及吐脓血不止的方子。好酥油三十斤，炼制得到凝固如醍醐的部分，每次服用一合，每天三次，即可停止。所有药物都不及此方。
【张元素】甘桔加阿胶紫菀汤 治疗肺痿吐脓血。（方剂见伤寒咽痛门。）
【梅彪】肺疾脓血。取薏苡仁十两，捣碎，用水三升，煎取一升，加入少许酒服用。（《本草》记载：薏苡仁下气，利肠胃，消水肿。）
【罗天益】大阿胶丸治疗嗽血、唾血。
阿胶（微炒） 卷柏 生地 熟地 大蓟（独根者，晒干） 鸡苏叶 五味子（各一两）
柏子仁（另研） 茯苓 百部 远志 人参 麦门冬 防风（各半两） 干山药（一两）
以上药物研为细末，炼蜜为丸，如弹子大小。煎小麦、麦门冬汤，饭后嚼服一丸。
上述方剂，保养精血，是纯补剂，适合血虚者。
【朱丹溪】治疗上气喘急，咳嗽、吐血、咯血。人参细末，用鸡蛋清调服三钱，五更初服用，随即去枕仰卧睡，只需一次即愈。多年老病再服。忌食酸咸醋酱面等物，以及过醉过饱。必须好好调养。
一名三十岁男子，因连夜劳累不得睡眠，形成痰嗽，吐出白黄脓液，咳嗽声出不来。当时初春大寒，医生给予青龙汤四帖，随后觉得咽喉有血丝，腥气逆上。两天后，血腥气增多，遂有一条血线，从口中右边直接向上冲出，如此每昼夜十余次。诊其脉，弦大而散弱，左脉尤为明显，人疲倦且苦于咳嗽。我认为是劳倦感寒，强行使用甘辛燥热的药剂，导致动血，不宜急于止血，恐怕形成肺痿。于是给予人参、黄芪、当归身、白术、芍药、陈皮、炙甘草、生甘草、不去节麻黄，煎熟后加入藕汁给他喝，两天后病情减轻咳嗽停止。随后在前药中去掉麻黄，又服用四天，血症消除。脉象散大未收敛，人也十分疲倦，于是在前药中去掉藕汁，加入黄芩、缩砂、半夏，半个月后痊愈。
【《太平惠民和剂局方》】劫劳散治疗肺痿痰嗽，痰中有红线，盗汗发热，热退后即冷，饮食减少。
白芍药（六两） 黄芪 甘草 人参 当归 半夏 白茯苓 熟地 五味子 阿胶（炒。各二两）
以上切碎，每次服用三钱，水一盏半，生姜二片，枣三枚，煎至九分，随时温服，每天三次。陈日华说：有一位女子成年，病势危重，一年间百药无效，偶然得到此方，只服一料除根。
【罗天益】五味子黄芪散治疗咳嗽，咯血成劳损，眼睛疼，四肢困倦，脚膝无力。
麦门冬 熟地 黄芪 桔梗（各半两） 甘草（一分） 白芍药 五味子（二分） 人参（二钱）
以上为粗末，每次服用四钱，水煎，每天三次服用。
云岐子芩散凉心肺，解劳热。
黄芪（一两） 白芍药 黄芩 人参 白茯苓 麦门冬 桔梗 生地（各半两）
以上为粗末，先用竹叶一把，小麦七十粒，水三盏，姜三片，煎至一盏半。加入药末三钱，煎至七分，去渣温服。
席延赏治疗虚中有热，咳嗽脓血，口苦咽干，又不可服凉药。好黄芪四两，甘草一两，研为末，每次服用三钱。像茶一样点入羹粥中，也可以服用。
上述参、芪类方例，是纯补剂。丹溪说：脉大发热为气虚，这是气血俱虚者适宜用的，若血虚而气不虚者不适宜，应当用前阿胶丸之类及污血条求之。
【朱丹溪】妇人五十六岁，盛夏吐红痰，有一二声咳嗽。
人参（一钱） 防风（五分） 白术（钱半） 陈皮 茯苓（各二钱） 干姜（三分） 生甘草（一分）
桔梗（半钱）
以上煎取三分之一，加入藕汁两大蛤蜊壳量再煎，趁热服用，送服三黄丸。
王二十四丈发热胁痛，咳嗽红痰，口渴，大便秘结，倦怠，脉稍数而虚。询问得知，发热时曾饮水一碗，病因饮食不节，形成积痰，发病又饮冷水，伤胃成虚，伤肺成痰。
白术（一钱半） 人参 陈皮 川芎（各一钱） 芍药 茯苓 桔梗 甘草（各五分，炙）
以上作两帖，煎取八分，加入竹沥二分，再煎沸，热饮，送服龙荟丸二十丸。如果咳嗽，三十丸。
上述是丹溪参、术、藕汁、竹沥法。
脉大发热，喉中痛者，是气虚。用人参、黄芪、蜜炙黄柏、荆芥、地黄、当归、韭汁、童便、姜汁，磨郁金饮之，其血自消。
上述参、芪加郁金、韭汁、童便，是补中解郁的方法。
【罗天益】黄芪鳖甲散治疗虚劳客热，肌肉消瘦，四肢倦怠，五心烦热，口燥咽干，颊赤心忡，日晚潮热，夜有盗汗，胸胁不利，食减多渴，咳嗽稠粘，时有脓血。
黄芪（一两） 桑白皮 半夏 黄芩 甘草（炙） 知母 赤芍药 紫菀（各五钱） 秦艽
白茯苓（焙） 生地 柴胡 地骨皮（各六钱六分） 肉桂 人参 桔梗（各三钱二分） 鳖甲（去裙，酥炙） 天门冬（去心，焙。各一两）
以上为粗末，每次服用两大钱，水一大盏，饭后煎服。
人参黄芪散治疗虚劳客热，肌肉消瘦，四肢倦怠，五心烦热，咽干颊赤，心忡潮热，盗汗减食，咳嗽脓血。
人参（一两） 秦艽 茯苓（各二两） 知母（二钱半） 桑白皮（一两半） 桔梗（一两） 紫菀
柴胡（二两半） 黄芪（三两半） 半夏（汤洗，一两半） 鳖甲（去裙，酥炙，二两）
以上为粗末，每次服用三钱，去渣服。
上述参、芪、鳖甲类方例，是补中有通。
【罗天益】人参蛤蚧散治疗二三年间，肺气上喘咳嗽，咯唾脓血，满面生疮，遍身黄肿。
蛤蚧（一对，全者河水浸五宿，逐日换水，洗去腥气，酥炙黄色） 杏仁（去皮尖，炒，五两）
甘草（炙三两） 人参 茯苓 贝母 知母 桑白皮（各二两）
以上为细末，瓷器内盛，每日像茶一样点服，神效。
【张元素】蛤蚧补肺劳虚嗽有功，治疗久嗽不愈，肺间积虚热，久则成疮，故嗽出脓血，早晚不止，喉中气塞，胸膈噎痛。用蛤蚧、阿胶、生犀角、鹿角胶、羚羊角各一两，除胶外，皆为屑，次入胶，分四服。每服用河水三升，在银石器内慢火煮至半升，滤去渣，临卧，微温细细呷之。其渣候服尽再捶，都作一服，以水三升，煎至半升，如前服。病患久虚，不喜水，当减水。
上述蛤蚧类方例，也是补中有通，久嗽不愈者适宜用。
麦门冬汤治疗伤寒后伤肺，咳唾脓血，胸胁胀满，上气羸瘦。
麦门冬（去心） 桑白皮 生地（各一两） 半夏（汤洗七次） 紫菀 桔梗（炒） 淡竹茹
麻黄（去根节。各七钱五分） 五味子 甘草
（炙。各半两）
以上为粗末，每次服用五钱，水二盏，生姜二钱半，枣三枚，掰破同煎，去渣，饭后温服。
【罗天益】续断散治疗骨蒸劳热，传尸瘦病，潮热烦躁，喘嗽气急，身疼盗汗，兼治咳嗽唾脓血。
续断 紫菀 桔梗 青竹茹 五味子（各三钱） 生地 桑白皮（各五两） 甘草（炙，二两）
赤小豆（半升）
以上为粗末，每次服用三钱，加入小麦五十粒，水煎去渣，每天三次服用。
【张元素】紫菀散治疗咳嗽唾血虚劳症，肺痿变痈。
紫菀 人参 知母 贝母 桔梗 甘草 五味子 茯苓 阿胶
以上为粗末，生姜水煎服。
上述麦冬、五味子类方例，也是补中有通。
【《外台秘要》】治疗伤唾血方。用茅根一味，服用方寸匕，每天三次，也可绞汁饮用，主治热渴。
【朱丹溪】治疗劳疗传尸，寒热交攻，久嗽咯血，日渐羸瘦，先服三拗汤与莲心散，万不失一。
三拗汤
麻黄（不去节） 甘草（生） 杏仁（不去皮尖）
以上锉碎，姜枣煎服。
莲心散
当归 黄芩 甘草（炙） 枳壳（炒） 鳖甲（醋炙） 前胡 柴胡 防己 阿胶 莲肉（去心）
南星（各一钱） 川芎（一两） 芫花（醋炒十分干黑）
以上十三味，切碎，混合，唯独芫花另包。每次服用二钱半，水一小盏半，生姜三片，枣一枚，加入芫花一撮，煎至八分，随时服用。须吐有异物后，芫花渐减，盖芫花反甘草，多之所以杀虫，少之所以去寒热，妙处在此。（方与《纂要》不同，宜考之。）
【《本草纲目》】治疗劳疗吐血损肺，及血妄行，神传膏。
用剪草一斤，婺、台州皆有，惟婺州者可用，状如茜草，又如细辛，每用一斤，净洗为末，加入生蜜一斤，和为膏，以器盛之，不得犯铁，九蒸九曝，日一蒸曝。病患五更起，面东坐，不得语，用匙挑药，如粥服，每服四两。良久，用稀粟米饭压之。药冷服，粥饮亦不可太热，或吐或下，皆不妨，如久病肺损咯血，只一服愈。寻常咳嗽，血妄行，每服一两可也。
有一位贵人封国患病瘵，其尊长常以此方给他，九天药成。前一晚，病人梦见有人告诫，次日勿乱服药，次日将要服用时，被屋上土坠入器中，不可服。再合既成，又将服用时，被猫覆盖器皿，又不得服。又再合未就，而是人卒矣。此药之异如是，若小小血妄行，一啜而愈，或云是陆农师夫人乡人艾孚先，尝亲说此事，渠后作《大观本草》，亦收入集中，但人未识，不肯信尔。
【《外台秘要》】治疗咳逆，唾脓血，鸡子汤。
鸡子（一个 甘草（炙，二分） 甘遂（一分） 大黄（二分） 黄芩（二分）
以上用水六升，煮取二升，去渣，纳鸡子搅令调，尽饮之良。忌海藻、菘菜。
【张子和】阳刘氏一男子，年二十余岁，病劳嗽咯血，吐唾粘臭，近不可闻，秋冬少缓，春夏则甚，寒热往来，日晡发作，状如疟，寝汗如水。累服麻黄根、败蒲扇止汗，汗自若也。
又服宁神散、宁肺散止嗽，嗽自若也。戴人先以独圣散涌其痰，痰状如鸡黄，汗随涌出，昏愦三日不省，时时饮以凉水，精神稍开，饮食加进。又与人参半夏丸、桂苓甘露散服之，不数日愈。
【朱丹溪】台州林德方，年二十余岁，得嗽而咯血发热，肌体渐瘦，众医以补药调治数年，其症愈甚。予诊其六脉皆涩。予曰：此好色而多怒，精血耗少，又因补塞药太多，荣卫不行，污血内积，肺气壅遏，不能下降。治肺壅，非吐不可；精血耗少，非补不可。惟倒仓二者俱备，但使之吐多于泻耳，兼灸肺俞五次而愈。
【云岐子】鸡苏丸治疗虚热，昏愦倦怠，下虚上壅，嗽血衄血。
鸡苏叶（半斤） 黄芪（一两） 甘草 川芎（各半两） 防风（一两） 桔梗（半两） 荆芥（二两）
甘菊（三钱） 生地（半两） 脑子（半钱）
以上为细末，炼蜜丸如弹子大。每服一丸，麦门冬去心煎汤嚼下。若肺损吐血，日渐乏力瘦弱，行步不得，喘嗽痰涎，或发寒热，小便赤涩，加车前子二钱，用桑枝锉炒香，煎汤嚼下。
脉浮大者作虚治，宜虚条下参芪诸方主之。若浮大而上壅甚者。宜此鸡苏丸方。脉沉滑有力者作实治，宜实条诸方主之。
【朱丹溪】先痰嗽，后见红，多是痰积热，降痰火为急。痰涎带血出，此胃口热血蒸而出，重则山栀，轻则蓝实。荆芥能散喉管痰血。
咳血方
青黛 栝蒌实 诃子 海石 山栀
以上为末，姜汁蜜调噙服。嗽甚，加杏仁。后以八物汤加减调理。
【李杲】郑仲本年二十三岁，因心痛，服丹附等药，得上气病膈，两胁急迫，胀触不快，便时嗽咯出血，病形渐瘦，大便燥而难，脉弦数，夜间略热，食稍减，因与灯笼草和节麻黄细末，以白术、桔梗、木通、甘草汤调下，十余服，病减半。又与通圣散去石膏为丸，以桃仁汤下之。
【《内经》】治疗咯血。黄药子、汉防己各一两，为末，每服一钱匕，水一盏，小麦二十粒同煎，食后温服。
【罗天益】珠砂膏镇心安神解热，及肺损嗽血等疾。
苍术（二钱半） 朱砂（另研） 生犀 人参 玳瑁 甘草（炙） 珍珠（末。各一两）
牛黄 麝香 龙脑 南硼砂 琥珀（另研） 羚羊角 安息香（醋煮，另研） 赤茯苓（去皮）
远志（去心。各半两） 铁粉 苏合香油（和药亦得。各一两）
以上为末，炼蜜，破苏合香油剂诸药为小锭子，更以金箔裹之。瓷器收贮。每服一皂子大，饭后噙化。卫尉叶丞得效，并阿胶丸相杂服。此药治血安神，更胜至宝丹。每两作五锭子。
肺热咳唾血，惟七伤散用黄药子、白药子最有效。方见血郁血污条。又脉浮数，忌灸，若误灸之，必唾血。仲景云：脉浮热甚，反灸之，必咽燥唾血是也。
孙兆因博士王患咽喉噎塞，胸膈不利，时发寒热，夜多盗汗，忽心胸塞闷，咳血三数日即止，晚后脉数，口干，涎唾稠粘，咳嗽一二声不透，肩背微痛，尝于关元、气海、中脘、三里等穴着艾，不详病得之肺虚，其状中客热症，皆因误灸服暖药所致。遂与《外台》第一广济紫菀汤，为丸合服之，立效。（方未考。）
【《千金方》】百部丸主诸咳不得气息唾血方。
[Zhu Danxi] Hemoptysis with abundant phlegm and fever is mostly due to blood deficiency.
[Zhu Danxi] Qi Shang San (Seven Injuries Powder) treats labor-induced cough with hemoptysis and sputum.
Rhizoma Dioscoreae Hypoglaucae (Huang Yao Zi), Rhizoma Dioscoreae Hypoglaucae alba (Bai Yao Zi) (each 1 liang 5 qian), Radix Paeoniae Rubra (Chi Shao Yao) (7 qian 5 fen), Radix Anemarrhenae (Zhi Mu), Rhizoma Corydalis (Xuan Hu Suo) (each 0.5 liang), Rhizoma Curcumae (Yu Jin) (2 qian 5 fen), Radix Angelicae Sinensis (Dang Gui) (0.5 liang), Rhizoma Dioscoreae (Shan Yao), Resina Olibani (Ru Xiang), Resina Frankincense (Mo Yao), Sanguis Draconis (Xue Jie) (each 2 qian).
Grind the above into powder. Take 2 qian each time, washed down with tea water. (*Bencao* states: Huang Yao Zi and Bai Yao Zi are effective for treating lung heat. Another method: wash down with decoction of Hong Hua and Dang Gui.)
[Luo Tianyi] En Pao San treats hematemesis, hemoptysis, and irritability.
Raw Pollen Typhae (Pu Huang), Folium Menthae (Bo He) (each 1 liang).
Grind evenly and finely. Take 3 qian each time, mixed with thick decoction of Cortex Morus Radicis (Sang Bai Pi).
Di Huang San treats all types of hematemesis and hemoptysis, can resolve all toxins, and heat-induced irritability.
Radix Rubiae Cordifoliae (Qian Cao Gen), Semen Sojae Preparatum (Da Dou Zi), Rhizoma Dioscoreae Hypoglaucae (Huang Yao Zi), Radix Glycyrrhizae (Gan Cao) (each 2 liang).
Grind into fine powder. Take 2 qian each time, mixed with fresh cold water. Add 2 liang of Ren Shen to treat cough with blood in sputum.
[Zhu Danxi] For sputum with blood streaks, Tong Bian (Child's urine) and Zhu Li (Bamboo juice) are primary treatments. Another prescription: mix Jiu Zhi (Leek juice) and Tong Bian, add finely ground Yu Jin, take it, and the bleeding will stop spontaneously. Retrograde menstrual blood, or bloody odor rising up, hematemesis, spitting blood. Drinking Jiu Zhi brings immediate relief. For hemoptysis, use Jiang Zhi (Ginger juice), Tong Bian, Qing Dai (Indigo naturalis), added to blood-invigorating herbs. Combine with Si Wu Tang (Four Substances Decoction), Niu Xi Gao (Achyranthes Bidentata Paste), Di Huang Gao (Rehmannia Paste), etc.
*[Qian Jin Fang]* Prescription for treating all lung diseases, cough with purulent blood, and continuous spitting of purulent blood. Use 30 jin of high-quality butter, refine it to obtain the solidified part like *tihu* (clarified butter). Take 1 he every time, three times a day, and it will stop. No other medicine compares to this prescription.
[Zhang Yuansu] Gan Jie Plus E Jiao and Zi Wan Decoction treats lung atrophy with spitting of purulent blood. (Prescription seen in the Shaoyang Throat Pain section.)
[Mei Biao] For lung disease with purulent blood. Take 10 liang of Fructus Coicis (Yi Yi Ren), crush it, decoct with 3 sheng of water until 1 sheng remains, add a little wine, and take it. (*Bencao* states: Yi Yi Ren directs qi downward, benefits the intestines and stomach, and reduces edema.)
[Luo Tianyi] Da E Jiao Wan treats coughing blood and spitting blood.
E Jiao (lightly fried), Caulis Polystachyae (Juan Bai), Radix Rehmanniae Preparata (Shu Di), Radix Rehmanniae Recens (Sheng Di), Herba Leonuri (Da Ji - single root, sun-dried), Folium Elsholtziae (Ji Su Ye), Fructus Schisandrae (Wu Wei Zi) (each 1 liang), Semen Platycladi (Bai Zi Ren - separately ground), Poria (Fu Ling), Radix Stemonae (Bai Bu), Radix Polygala (Yuan Zhi), Radix Ginseng (Ren Shen), Folium Ophiopogonis (Mai Men Dong), Ramulus Cinnamomi (Fang Feng) (each 0.5 liang), Rhizoma Dioscoreae Dry (Gan Shan Yao) (1 liang).
Grind into fine powder, make pills with refined honey, size of a bullet. Decoct Tririce (Xiao Mai) and Folium Ophiopogonis (Mai Men Dong), chew one pill after meals.
The above prescriptions nourish essence and blood; they are pure tonics, suitable for blood deficiency.
[Zhu Danxi] Treat upper jiao qi rebellion with panting, cough, hematemesis, hemoptysis. Fine powder of Ren Shen, mixed with egg white (Ji Zi Qing), take 3 qian. Take at dawn (wugeng), then sleep supine without a pillow. One dose cures it. Repeat for chronic cases. Avoid sour, salty, vinegar, soy sauce, noodles, excessive drunkenness, and overeating. Must rest well.
A 30-year-old man, due to overnight fatigue and lack of sleep, developed phlegm-cough, expelling white-yellow pus, unable to produce cough sound. It was early spring with severe cold. The doctor gave Qing Long Tang (Green Dragon Decoction) for four doses. He then felt blood streaks in the throat and a bloody odor rising up. Two days later, the bloody odor increased, and a thread of blood shot straight up from the right side of his mouth, occurring more than ten times a day and night. His pulse was wiry, large, scattered, and weak, especially on the left. He was fatigued and suffered from cough. I diagnosed it as fatigue combined with cold invasion. I forcibly used sweet, acrid, dry, and hot agents, which moved the blood. It was not appropriate to treat urgently with hemostatics, lest it become lung atrophy. So I gave Ren Shen, Huang Qi, Dang Gui Shen, Bai Zhu, Shao Yao, Chen Pi, Zhi Gan Cao, Sheng Gan Cao, Ma Huang (with nodes), decocted, added Ou Zhi (Lotus root juice), and gave it to him. After two days, the illness decreased and cough stopped. Then, removing Ma Huang from the previous formula, he took it for another four days, and the blood symptoms were eliminated. The scattered and large pulse had not converged, and he was very tired. So, removing Ou Zhi from the previous formula, adding Huang Qin, Suo Sha, Ban Xia, he recovered in half a month.
*[Tai Ping Hui Min He Ji Ju Fang]* Jie Lao San treats lung atrophy with phlegm-cough, red lines in sputum, night sweats, fever, feeling cold after fever subsides, and reduced appetite.
Radix Paeoniae Alba (Bai Shao Yao) (6 liang), Radix Astragali (Huang Qi), Radix Glycyrrhizae (Gan Cao), Radix Ginseng (Ren Shen), Radix Angelicae Sinensis (Dang Gui), Rhizoma Pinelliae (Ban Xia), Poria (Bai Fu Ling), Radix Rehmanniae Preparata (Shu Di), Fructus Schisandrae (Wu Wei Zi), E Jiao (fried. Each 2 liang).
Chop coarsely. Take 3 qian each time, with 1.5 cups of water, 2 slices of Sheng Jiang, 3 dates, decoct to 90%, take warm anytime, three times a day. Chen Rihua said: A girl past puberty was critically ill, ineffective with hundreds of medicines in a year. Accidentally getting this prescription, one dose cured her root.
[Luo Tianyi] Wu Wei Zi Huang Qi San treats cough, hemoptysis leading to consumption, eye pain, limb fatigue, and weak knees/feet.
Folium Ophiopogonis (Mai Men Dong), Radix Rehmanniae Preparata (Shu Di), Radix Astragali (Huang Qi), Radix Platycodi (Jie Geng) (each 0.5 liang), Radix Glycyrrhizae (Gan Cao) (1 fen), Radix Paeoniae Alba (Bai Shao Yao), Fructus Schisandrae (Wu Wei Zi) (2 fen), Radix Ginseng (Ren Shen) (2 qian).
Make coarse powder. Take 4 qian each time, decoct in water, three times a day.
Yun Qi Zi Qin San cools heart and lungs, resolves labor-heat.
Radix Astragali (Huang Qi) (1 liang), Radix Paeoniae Alba (Bai Shao Yao), Radix Scutellariae (Huang Qin), Radix Ginseng (Ren Shen), Poria (Bai Fu Ling), Folium Ophiopogonis (Mai Men Dong), Radix Platycodi (Jie Geng), Radix Rehmanniae Recens (Sheng Di) (each 0.5 liang).
Make coarse powder. First decoct a handful of Zhu Ye (Bamboo leaf), 70 grains of Xiao Mai (Wheat), 3 cups of water, 3 slices of Sheng Jiang, until 1.5 cups remain. Add 3 qian of herb powder, decoct to 70%, remove dregs, take warm.
Xi Yanshang treats deficiency with internal heat, cough with purulent blood, bitter taste in mouth, dry throat, where cooling medicines are contraindicated. Use 4 liang of good Huang Qi, 1 liang Gan Cao, grind to powder. Take 3 qian each time. Mix into soup or porridge like tea.
The above Shen and Qi examples are pure tonics. Danxi said: Large pulse with fever indicates qi deficiency. This is suitable for those with both qi and blood deficiency. If blood deficient but qi not deficient, do not use it; instead, use the previous E Jiao Wan or seek methods from the "Stagnant Blood" section.
[Zhu Danxi] A 56-year-old woman, in midsummer, vomited red phlegm, with one or two coughs.
Radix Ginseng (Ren Shen) (1 qian), Ramulus Saposhnikoviae (Fang Feng) (5 fen), Radix Atractylodis Macrocephalae (Bai Zhu) (1.5 qian), Pericarpium Citri Reticulatae (Chen Pi), Poria (Fu Ling) (each 2 qian), Rhizoma Zingiberis Preparatum (Gan Jiang) (3 fen), Radix Glycyrrhizae Recens (Sheng Gan Cao) (1 fen), Radix Platycodi (Jie Geng) (0.5 qian).
Decoct to one-third volume, add 2 large clam-shell measures of Ou Zhi (Lotus root juice), decoct again, take warm, followed by San Huang Wan (Three Yellows Pill).
Wang Sizhang (24th senior) had fever, hypochondriac pain, cough with red phlegm, thirst, constipation, fatigue. Pulse slightly rapid and deficient. Inquiry revealed he drank a bowl of water during fever. Etiology: irregular diet led to accumulated phlegm; drinking cold water upon onset injured stomach (deficiency) and lung (phlegm).
Radix Atractylodis Macrocephalae (Bai Zhu) (1.5 qian), Radix Ginseng (Ren Shen), Pericarpium Citri Reticulatae (Chen Pi), Radix Chuanxiong (Chuan Xiong) (each 1 qian), Radix Paeoniae (Shao Yao), Poria (Fu Ling), Radix Platycodi (Jie Geng), Radix Glycyrrhizae (Gan Cao) (each 5 fen, fried).
Make two doses, decoct to 80%, add 2 fen of Zhu Li (Bamboo juice), boil again, drink warm, followed by Long Hui Wan (Dragon Gallbladder Pill) 20 pills. If coughing, 30 pills.
This is Danxi's method using Shen, Zhu, Ou Zhi, and Zhu Li.
Large pulse with fever and throat pain indicates qi deficiency. Use Ren Shen, Huang Qi, Mi Zhi Huang Bo (Honey-fried Phellodendron), Jing Jie, Di Huang, Dang Gui, Jiu Zhi (Leek juice), Tong Bian (Child's urine), Jiang Zhi (Ginger juice), grind Yu Jin (Curcuma) and drink. Bleeding stops spontaneously.
The above Shen and Qi plus Yu Jin, Jiu Zhi, Tong Bian method tonifies middle and resolves stagnation.
[Luo Tianyi] Huang Qi Bie Jia San treats deficiency-labor with guest-heat, muscle wasting, limb fatigue, five-palm heat, dry mouth/throat, red cheeks, palpitations, evening tidal fever, night sweats, chest/hypochondriac discomfort, reduced appetite/thirst, sticky cough, occasional purulent blood.
Radix Astragali (Huang Qi) (1 liang), Cortex Mori Radicis (Sang Bai Pi), Rhizoma Pinelliae (Ban Xia), Radix Scutellariae (Huang Qin), Radix Glycyrrhizae (Gan Cao, fried), Radix Anemarrhenae (Zhi Mu), Radix Paeoniae Rubra (Chi Shao Yao), Flos Asteris (Zi Wan) (each 5 qian), Radix Gentianae Macrophyllae (Qin Jiao), Poria (Bai Fu Ling, baked), Radix Rehmanniae Recens (Sheng Di), Radix Bupleuri (Chai Hu), Cortex Lycii (Di Gu Pi) (each 6 qian 6 fen), Ramulus Cinnamomi (Rou Gui), Radix Ginseng (Ren Shen), Radix Platycodi (Jie Geng) (each 3 qian 2 fen), Carapax et Plastrum Testudinis (Bie Jia - skirt removed, fried with butter), Folium Asparagi (Tian Men Dong - heart removed, baked. Each 1 liang).
Make coarse powder. Take 2 large qian each time, 1 cup of water, decoct after meals.
Ren Shen Huang Qi San treats deficiency-labor with guest-heat, muscle wasting, limb fatigue, five-palm heat, dry throat/red cheeks, palpitations/tidal fever, night sweats/reduced appetite, cough with purulent blood.
Radix Ginseng (Ren Shen) (1 liang), Radix Gentianae Macrophyllae (Qin Jiao), Poria (Fu Ling) (each 2 liang), Radix Anemarrhenae (Zhi Mu) (2 qian 5 fen), Cortex Mori Radicis (Sang Bai Pi) (1.5 liang), Radix Platycodi (Jie Geng) (1 liang), Flos Asteris (Zi Wan), Radix Bupleuri (Chai Hu) (2.5 liang), Radix Astragali (Huang Qi) (3.5 liang), Rhizoma Pinelliae (Ban Xia - washed in boiling water, 1.5 liang), Carapax et Plastrum Testudinis (Bie Jia - skirt removed, fried with butter, 2 liang).
Make coarse powder. Take 3 qian each time, remove dregs and take.
The above Shen, Qi, Bie Jia examples represent tonification with unblocking.
[Luo Tianyi] Ren Shen Ge Jie San treats two-to-three-year history of lung qi rebellion with panting/cough, spitting purulent blood, facial sores, generalized yellow edema.
Ge Jie (Gecko pair, whole, soaked in river water for 5 nights, changing water daily to remove fishy smell, fried with butter to yellow), Fructus Armeniacae (Xing Ren - skin/pit removed, fried, 5 liang), Radix Glycyrrhizae (Gan Cao - fried, 3 liang), Radix Ginseng (Ren Shen), Poria (Fu Ling), Rhizoma Pinelliae (Bei Mu), Radix Anemarrhenae (Zhi Mu), Cortex Mori Radicis (Sang Bai Pi) (each 2 liang).
Grind to fine powder, store in porcelain. Take like tea daily, miraculous effect.
[Zhang Yuansu] Ge Jie is effective for tonifying lung labor-deficiency cough, treating persistent cough not healing, empty heat accumulating in lung, forming sores over time, thus coughing purulent blood morning and evening, throat obstruction, chest/diaphragm choking pain. Use Ge Jie, E Jiao, Cornu Rhinocerotis Recens (Sheng Xi Jiao), Cornu Cervi Colla (Lu Jiao Jiao), Cornu Saigae Tataricae (Ling Yang Jiao) each 1 liang. Except for glues, grind all to powder, then mix in glues. Divide into four doses. Each dose decoct with 3 sheng river water in silver/copper vessel over slow fire until 0.5 sheng remains, filter dregs, sip warm slowly before bed. Grind residue again after finishing, combine as one dose, decoct with 3 sheng water until 0.5 sheng, take as before. For chronically deficient patients who dislike water, reduce water amount.
The above Ge Jie example also represents tonification with unblocking, suitable for persistent cough.
Mai Men Dong Tang treats post-Shanghan lung injury, cough/spitting purulent blood, chest/hypochondriac fullness, upper jiao qi rebellion with emaciation.
Folium Ophiopogonis (Mai Men Dong - heart removed), Cortex Mori Radicis (Sang Bai Pi), Radix Rehmanniae Recens (Sheng Di) (each 1 liang), Rhizoma Pinelliae (Ban Xia - washed 7 times in boiling water), Flos Asteris (Zi Wan), Radix Platycodi (Jie Geng - fried), Caulis Bambusae in Taenia (Dan Zhu Ru), Ramulus Ephedrae (Ma Huang - roots/nodes removed. Each 7 qian 5 fen), Fructus Schisandrae (Wu Wei Zi), Radix Glycyrrhizae (Gan Cao - fried. Each 0.5 liang).
Make coarse powder. Take 5 qian each time, 2 cups water, 2.5 qian Sheng Jiang, 3 dates (broken), decoct together, remove dregs, take warm after meals.
[Luo Tianyi] Xu Duan San treats bone-steaming labor-fever, corpse-transmission wasting disease, tidal fever/irritability, panting/cough/shortness of breath, body pain/night sweats, also treats cough with spitting purulent blood.
Radix Dipsaci (Xu Duan), Flos Asteris (Zi Wan), Radix Platycodi (Jie Geng), Caulis Bambusae in Taenia (Qing Zhu Ru), Fructus Schisandrae (Wu Wei Zi) (each 3 qian), Radix Rehmanniae Recens (Sheng Di), Cortex Mori Radicis (Sang Bai Pi) (each 5 liang), Radix Glycyrrhizae (Gan Cao - fried, 2 liang), Semen Phaseoli Radiati (Chi Xiao Dou) (0.5 sheng).
Make coarse powder. Take 3 qian each time, add 50 grains of Xiao Mai (Wheat), decoct in water, remove dregs, three times a day.
[Zhang Yuansu] Zi Wan San treats cough with spitting blood, deficiency-labor syndrome, lung atrophy turning into abscess.
Flos Asteris (Zi Wan), Radix Ginseng (Ren Shen), Radix Anemarrhenae (Zhi Mu), Rhizoma Pinelliae (Bei Mu), Radix Platycodi (Jie Geng), Radix Glycyrrhizae (Gan Cao), Fructus Schisandrae (Wu Wei Zi), Poria (Fu Ling), E Jiao.
Make coarse powder, decoct in ginger-water.
The above Mai Dong and Wu Wei Zi examples also represent tonification with unblocking.
*[Wai Tai Mi Yao]* Prescription for treating injury-spitting blood. Use only Mao Gen (Imperata Rhizome), take 1 fang cun bi (measure), three times a day. Can also squeeze juice and drink. Treats heat-thirst.
[Zhu Danxi] Treat labor-abscess corpse-transmission, alternating chills/fever, persistent cough/hemoptysis, gradual emaciation. First take San Ao Tang and Lian Xin San, failure rate is zero.
San Ao Tang
Ramulus Ephedrae (Ma Huang - with nodes), Radix Glycyrrhizae Recens (Sheng Gan Cao), Fructus Armeniacae (Xing Ren - with skin/pit).
Chop coarsely, decoct with Sheng Jiang and Da Zao.
Lian Xin San
Radix Angelicae Sinensis (Dang Gui), Radix Scutellariae (Huang Qin), Radix Glycyrrhizae (Gan Cao - fried), Fructus Aurantii (Zhi Ke - fried), Carapax et Plastrum Testudinis (Bie Jia - vinegar-fried), Radix Peucedani (Qian Hu), Radix Bupleuri (Chai Hu), Radix Stephaniae Tetrandrae (Fang Ji), E Jiao, Semen Nelumbinis (Lian Rou - heart removed), Rhizoma Arisaematis (Nan Xing) (each 1 qian), Radix Chuanxiong (Chuan Xiong) (1 liang), Radix Genkwa (Yuan Hua - vinegar-fried until very dry/black).
Thirteen ingredients, chop coarsely, mix. Yuan Hua wrapped separately. Take 2.5 qian each time, 1.5 small cups water, 3 slices Sheng Jiang, 1 date, add a pinch of Yuan Hua, decoct to 80%, take anytime. Must vomit foreign matter first, then gradually reduce Yuan Hua. Because Yuan Hua opposes Gan Cao, more kills parasites, less removes chills/fever. This is the subtlety. (Formula differs from *Zong Yao*, should verify.)
*[Ben Cao Gang Mu]* Treat labor-abscess hematemesis damaging lung, and reckless blood flow, Shen Chuan Gao.
Use Jian Cao (Persicaria) 1 jin. Available in Wu and Tai Zhou, only Wu Zhou type usable. Looks like Qian Cao Gen, also like Xi Xin. Use 1 jin each time, clean wash, grind to powder, add 1 jin raw honey, mix into paste, store in vessel, do not touch iron. Nine steamings and nine exposures, once a day. Patient rises at wugeng, sits facing east, no talking. Use spoon to take medicine like porridge, 4 liang per dose. After a while, press with thin millet rice porridge. Medicine taken cold, porridge drink not too hot. Vomiting or purging is acceptable. For chronic lung damage hemoptysis, one dose cures. For ordinary cough/reckless blood, 1 liang per dose is sufficient.
A nobleman's fiefdom patient had tuberculosis. His elder often gave him this prescription. Medicine made in 9 days. Eve before, patient dreamed warning not to take medicine randomly next day. Next day, about to take, dirt fell from roof into vessel, could not take. Made again, about to take, cat covered vessel, could not take. Made again, not finished, person died. Medicine's anomaly is such. For minor reckless blood, one sip cures. Or say Lu Nongshi's wife's villager Ai Fuxian personally told this story. He later wrote *Da Guan Ben Cao*, included it in collection, but people didn't recognize it, refused to believe.
*[Wai Tai Mi Yao]* Treat cough reversal, spitting purulent blood, Ji Zi Tang.
Ji Zi (Egg, 1), Radix Glycyrrhizae (Gan Cao - fried, 2 fen), Radix Kansui (Gan Sui, 1 fen), Radix Rhei (Da Huang, 2 fen), Radix Scutellariae (Huang Qin, 2 fen).
Use 6 sheng water, boil to 2 sheng, remove dregs, add Ji Zi, stir well, drink all. Good. Avoid Hai Zao (Seaweed) and Song Cai (Chinese Cabbage).
[He Zhizheng/Zi He] Yang Liu Shi's man, 20+ years old, labor-cough hemoptysis, spitting sticky/foul saliva, unbearable proximity. Autumn/winter mild, spring/summer severe. Alternating chills/fever, afternoon onset, resembling malaria, night sweat like water. Repeatedly used Ma Huang Gen (Ephedra Root) and Bai Pu Shan (Old Mat Grass Fan) to stop sweat, sweat continued.
Also used Ning Shen San and Ning Fei San to stop cough, cough continued. Dai Ren (He Zhizheng) first used Du Sheng San to induce vomiting of phlegm. Phlegm like chicken yolk. Sweat flowed out with vomiting. Unconscious for 3 days, not regaining consciousness. Occasionally given cold water, spirit slightly opened, diet increased. Then given Ren Shen Ban Xia Wan and Gui Ling Gan Lu San. Recovered in not many days.
[Zhu Danxi] Lin Defang from Tai Zhou, 20+ years old, got cough with hemoptysis/fever, body gradually wasted. Many doctors treated with tonics for years, symptoms worsened. I diagnosed six pulses all choppy. I said: This is lustful and angry much, essence/blood depleted. Also because too many tonic/sealing medicines, Ying/Wei circulation blocked, stagnant blood accumulated internally, lung qi obstructed, cannot descend. Treating lung obstruction requires vomiting; depleting essence/blood requires tonification. Only Dao Cang (Organ Purging) has both, but make vomiting exceed purging. Also moxa Fei Shu (BL13) five times, then cured.
[Yun Qi Zi] Ji Su Wan treats deficiency-heat, unconsciousness/fatigue, lower deficiency/upper obstruction, coughing blood/epistaxis.
Folium Elshortziae (Ji Su Ye) (0.5 jin), Radix Astragali (Huang Qi) (1 liang), Radix Glycyrrhizae (Gan Cao), Radix Chuanxiong (Chuan Xiong) (each 0.5 liang), Ramulus Saposhnikoviae (Fang Feng) (1 liang), Radix Platycodi (Jie Geng) (0.5 liang), Herba Schizonepetae (Jing Jie) (2 liang), Flos Chrysanthemi Indici (Gan Ju) (3 qian), Radix Rehmanniae Recens (Sheng Di) (0.5 liang), Borneolum Syntheticum (Nao Zi) (0.5 qian).
Grind to fine powder, make pills with refined honey, size of bullet. Take one pill each time, chew with Mai Men Dong (heart removed) decoction. If lung damage hemoptysis, gradual weakness/emaciation, inability to walk, panting/cough/phlegm, or chills/fever, red/scanty urine, add Che Qian Zi (Plantago Seed) 2 qian, use Sang Zhi (Mulberry Twig) chopped/fried fragrant, decoct, chew with pill.
Floating-large pulse treat as deficiency, suitable for Shen/Qi formulas under deficiency section. If floating-large with severe upper obstruction, suitable for this Ji Su Wan. Deep-slippery-strong pulse treat as excess, suitable for formulas under excess section.
[Zhu Danxi] First phlegm-cough, then seeing red, mostly phlegm-accumulation-heat. Lowering phlegm-fire is urgent. Sputum with blood comes out, this is stomach heat steaming blood out. Severe case uses Shan Zhi (Gardenia), mild case uses Lan Shi (Isatis Seed). Jing Jie can disperse throat tube phlegm-blood.
Ke Xue Fang (Cough Blood Formula)
Radix Indigo Naturalis (Qing Dai), Fructus Trichosanthis (Gua Lou Shi), Fructus Terminaliae Chebulae (He Zi), Lapillus Calcitri (Hai Shi), Fructus Gardeniae (Shan Zhi).
Grind to powder, mix with Jiang Zhi (Ginger juice) and honey, hold in mouth and swallow. If cough severe, add Xing Ren (Apricot Seed). Later regulate with Ba Wu Tang (Eight Substance Decoction) modifications.
[Li Gao] Zheng Zhongben, age 23, due to heart pain, took Dan Fu (Realgar/Aconite) etc., got upper jiao qi rebellion, diaphragm disease, hypochondriac urgency, distension/discomfort, defecation caused coughing blood, body shape wasted, stool dry/difficult, pulse wiry-rapid, slight night heat, food slightly reduced. Given Deng Long Cao (Scutellaria Barbata?) and Jie Ma Huang (Ma Huang with nodes) fine powder, mixed with Bai Zhu, Jie Geng, Mu Tong, Gan Cao decoction, swallowed. Over ten doses, illness halved. Then given Tong Sheng San (Great Salvation Powder) minus Shi Gao (Gypsum), made into pills, taken with Tao Ren (Peach Kernel) decoction.
*[Nei Jing]* Treat hemoptysis. Huang Yao Zi (Rhizoma Dioscoreae Hypoglaucae), Han Fang Ji (Stephania Tetrandra) each 1 liang, grind to powder. Take 1 qian bi each time, 1 cup water, 20 grains Xiao Mai (Wheat), decoct together, take warm after meal.
[Luo Tianyi] Zhu Sha Gao calms heart, settles spirit, resolves heat, and lung damage coughing blood etc.
Radix Atractylodis (Cang Zhu) (2.5 qian), Cinnabaris (Zhu Sha - separately ground), Cornu Rhinocerotis Recens (Sheng Xi), Radix Ginseng (Ren Shen), Testudo Carapax (Dai Mao), Radix Glycyrrhizae (Gan Cao - fried), Pearl (Zhen Zhu - powder. Each 1 liang), Bovis Calculus (Niu Huang), Moschus (She Xiang), Borneolum Syntheticum (Long Nao), Borax Nan (Nan Peng Sha), Succinum (Hu Po - separately ground), Cornu Saigae Tataricae (Ling Yang Jiao), Benzoin Resin (An Xi Xiang - boiled in vinegar, separately ground), Poria Rubra (Chi Fu Ling - peeled), Radix Polygala (Yuan Zhi - heart removed. Each 0.5 liang), Ferrum Depuratum (Tie Fen), Oleum Styracis (Su He Xiang You) (mix with medicine ok. Each 1 liang).
Grind to powder, refine honey, break Su He Xiang You, mix with powders into small ingots, wrap in Gold Foil. Store in porcelain. Take size of soap bean each time, dissolve in mouth after meal. Wei Wei Ye Cheng effective, mix with E Jiao Wan. This medicine treats blood/calms spirit, better than Zhi Bao Dan. Each liang makes 5 ingots.
Lung heat coughing/spitting blood, only Qi Shang San using Huang Yao Zi, Bai Yao Zi is most effective. Formula seen in Blood Stagnation/Stained Blood section. Also, floating-rapid pulse, avoid moxibustion. If mistakenly moxa, must spit blood. Zhongjing said: Floating pulse with severe heat, if moxa, must have dry throat/spit blood.
Sun Zhao, Doctor Wang, suffered throat choking, chest/diaphragm discomfort, intermittent chills/fever, night sweats. Suddenly chest/heart stuffiness, coughing blood stopped after 3-4 days. Evening pulse rapid, dry mouth, sticky saliva, cough 1-2 sounds not clear, shoulder/back slight pain. Previously applied moxa on Guan Yuan (CV4), Qi Hai (CV6), Zhong Wan (CV12), Zu San Li (ST36) etc. Did not know disease came from lung deficiency, appearance was guest-heat syndrome, all due to mistaken moxa and warm medicines. Then gave *Wai Tai* First Guang Ji Zi Wan Tang, made into pills, taken together, immediate effect. (Formula not verified.)
*[Qian Jin Fang]* Bai Bu Wan governs all coughs unable to breathe, spitting blood.