赵养葵曰∶喘，经云诸喘皆属于上，又谓诸逆冲上，皆属于火。故河间叙喘病在于热条下，华佗云肺气
盛为喘，《活人书》云气有余则喘。后代集症类方，不过遵此而已。独王海藏辨云∶气盛当作气衰，有余当
认作不足。肺气果盛，有余则清者下行，岂复为喘？以其火入于肺，炎烁真阴，衰与不足而为喘焉。海藏
之辨，超出前人，惜乎未竟火之所由。愚谓火之有余，水之不足也；阳之有余，阴之不足也。凡诸逆冲上之
火，皆下焦冲任相火，出于肝肾者也。肾水虚衰，相火偏胜，壮火食气，销烁肺金，乌得而不喘焉。
丹溪云喘有阴虚，自少腹下，火起而上，宜四物加青黛、竹沥、陈皮，入童便煎服。如挟痰者，四物加
枳壳、半夏，补阴以化痰。夫谓阴虚发喘，丹溪实发前人所未发，但治法实流弊于后人。盖阴虚者，肾中之
真阴虚也，讵四物补阴血之
谓乎？其火起者，下焦龙雷之火也，讵寒凉所能降乎？其间有有痰者有无痰者，有痰者，水挟木火而上也
，岂竹沥、枳、半之能化乎？须用六味地黄加麦冬、五味，大剂煎饮，以壮
水之主，则水升火降，而喘自定矣。
又有一等似火而非火，似喘而非喘者。经曰∶少阴所至，呕咳上气。喘者阴气在下，阳气在上，诸阳气
浮，无所根据归，故上气喘也。黄帝《针经》云∶胃络不和，喘出于阳明之气逆。阳明之气下行，今逆而上
行，故喘。真元耗损，喘出于肾气之上奔，是非气喘，乃气不归元也。其外症，或四肢厥逆，面赤而烦躁恶
热。非火也，乃命门真元之火，离其宫而不归也。察其脉，两寸虽浮大而数，两尺微而无力，或似有
而无为辨耳。不知者，以其有火也，用凉药以清之。以其喘急难禁也，佐以四磨之类以宽之，岂知宽一分，
更耗一分。若寒凉快气之剂屡进，去死不远矣。惟善治者能求其绪，而以助元接真镇坠之药，俾其反本归原，
或可回生，然亦不可峻补也。宜先以八味丸，安肾丸、养正丹之类，煎人参生脉散之类送下，觉气稍定，然
后以参 补剂，如破故纸、阿胶、牛膝等以镇于下。又以八味加河车为丸，遇饥吞服。然须远房帏、绝色欲，
方可保全，不然终亦必亡矣。
又有一等火郁之证，六脉俱涩，甚至沉伏，四肢悉寒，甚至厥逆。拂拂气促而喘，却似有余。欲作阴虚，
而按尺鼓指。此为蓄郁已久，阳气拂遏，不能营运于表，以致身冷脉微，而闷气喘急。然不可以寒药下之，
又不可以热药投之，惟逍遥散加茱、连之类，宣散蓄热，得汗而愈。此谓火郁发之，木郁达之，即《金匮》云
六脉沉伏，宜发散则热退而喘定是也。后仍以六味养阴和阳方佳。以上详阴虚发喘之例，若阳虚致喘，东垣已
详尽矣；外感发喘，仲景已详尽矣。
王节斋曰∶喘与胀二症相因，必皆小便不利，喘则必生胀，胀则必生喘。
但要识中标本先后∶先喘而后胀者主于肺，先胀而后喘者主于脾。何则？
肺金司降，外主皮毛。经曰∶肺朝百脉，通调水道，下输膀胱。又曰∶膀胱者州都之官，津液藏焉，
气化则能出矣。是小便之行，由于肺气之降下而输化也。若肺受邪而上喘则失降下之令，故小便渐短，以致
水溢皮肤，而生肿满焉。此则喘为本，胀则为标，治当清金降火为主，而行水次之。
脾土恶湿，外主肌肉，土能克水。若脾土受伤，不能制水，则水湿妄行，浸渍肌肉。水既上行，则邪反
侵肺，气不得降而生喘矣。此则胀为本而喘为标，治当实脾行水为主，而清金次之，苟肺病而用燥脾之药，
则金得燥而喘愈加；脾病而用清金之药，则脾得寒而胀愈甚。近世治喘胀，但知行水，而不知分别脾肺，故
发明之。
李士材曰∶《内经》论喘，其因众多，究不外于火逆上而气不降也。丹溪曰实火可泻，虚火可补。而世
俗一遇喘家，纯行破气，不知喘症因虚而死者十九，因实而死者十一。实者攻之即效。无所难治；虚者补之未
必即效，须悠久成功。其间转相进退，良非易也。故辨症不可不急，而辨喘症为尤急。顾巢氏、严氏止言实
热，独王海藏谓肺气衰、肺中之火盛，创出前见。但惜其未能缕析立方，为后人窠白，请得而详之。
气虚而火入于肺者，补气为先，六君子汤、补中益气汤。阴虚而火来乘金者，壮水为亟，六味地黄丸。
风寒者，解其邪，三拗汤、华盖散。湿气者，利其水，渗湿汤。暑邪者，涤其烦，白虎汤、香薷饮，肺热者，
清其上，二冬、二母、甘桔、栀、芩。痰壅者消之，二陈汤。气郁者疏之，四七汤。饮停者吐之，吐之不愈，
白术防己汤主之，火实者清之，白虎
汤加栝蒌仁、枳壳、黄芩。肺痈而喘，保金化毒，杏仁、甘草节、桔梗、贝母、防风、银花、橘红、麦冬、
肺胀而喘，利水散邪。肺胀之状，喘而烦躁，目如脱状，脉浮大者，越婢加半夏汤；脉浮者，心下有水，
小青龙汤加石膏主之。肾虚火不归经，导龙入海，八味丸主之。肾虚水邪泛滥，逐水下流，金匮肾气丸。
薛立斋曰∶喘症，若肺中伏热，不能生水而喘且渴者，用黄芩清肺饮以治肺，用五淋散以清小便。若肺
脾虚弱，不能通调水道者，宜用补中益气汤以培元气，用六味地黄丸以补肾水，若膏粱浓味，脾肺积热而
喘者，宜清胃散以治胃，用滋肾丸以利小便。若心火克肺金，而不能生肾水者，用人参平肺散以治肺，用滋
肾丸以滋小便。若肾经阴亏，火烁肺金而小便不生者，用六味地黄丸以补肾水，用补中益气以培脾土。若脾
气虚弱，不能相制而喘者，用补中益气以培元气，六味地黄丸以生肾水。若肝木克脾土，不能相制而喘者，
用六君、柴胡、升麻以培元气，六味丸以补肾。若脾肾虚寒，不能相制而喘且胀者，用八味丸以补脾肺、生肾
水。若肺肾虚寒，不能通调水道而喘且胀者，宜用《金匮》加味肾气丸补脾肺、生肾水。若酒色过度，亏损
足三阴，而致喘胀痰涌，二便不调，或大小便通，相牵作痛者，宜用前丸，多有生者。
赵养葵说：《内经》记载，各种喘证都归属于上焦；又说各种气逆冲上的症状，都归属于火。因此，刘河间在论述热病时叙述喘病，华佗说肺气盛实会导致喘，《活人书》说气有余就会喘。后代汇集症状分类方剂，不过是遵循这些观点罢了。唯独王海藏辨析说：气盛应当理解为气衰，有余应当认作不足。如果肺气真的盛实、有余，那么清轻之气就会下行，怎么会反而发生喘呢？这是因为火邪侵入肺部，灼烧真阴，导致肺气衰弱和不足而发生喘。王海藏的辨析，超出了前人，可惜他没有进一步探究火的来源。我认为，火的有余，是因为水的不足；阳的有余，是因为阴的不足。凡是各种逆冲向上的火，都是下焦冲任二脉的相火，出于肝肾。肾水虚衰，相火偏胜，壮火食气，销烁肺金，怎么能不喘呢？
丹溪说：喘有阴虚型，自觉有一股火从少腹下方向上冲起，宜用四物汤加青黛、竹沥、陈皮，加入童便煎服。如果夹杂痰湿，用四物汤加枳壳、半夏，通过补阴来化痰。所谓阴虚发喘，是丹溪实际上阐发了前人未曾发现的问题，但治疗方法实在给后人带来了流弊。因为所谓的阴虚，是肾中的真阴虚，哪里是四物汤所能补充阴血的含义呢？那股往上起的火，是下焦龙雷之火，哪里是寒凉药物所能降伏的呢？其中有的有痰，有的无痰。有痰的，是水挟带木火而上行，哪里是竹沥、枳壳、半夏所能化解的呢？必须使用六味地黄丸加麦冬、五味子，大剂量煎饮，以壮大水之主（肾水），则水升火降，喘自然平息。
又有一类似火而非火，似喘而非喘的情况。《内经》说：少阴经气异常，会出现呕吐、咳嗽、气逆上冲。喘证是阴气在下，阳气在上，诸阳气浮越，无所依附回归，所以上气喘促。黄帝《针经》说：胃络不和，喘源于阳明之气逆乱。阳明之气本应下行，现在逆乱上行，所以发生喘。真元耗损，喘源于肾气之上奔，这不是气喘，而是气不归元。其外在症状，有时四肢厥冷，面赤而烦躁恶热。这不是火，而是命门真元之火，离开其宫位而不归位。诊察其脉象，两寸脉虽然浮大而数，但两尺脉微而无力，或者似有似无，以此辨别。不知情的人，认为是有火，用凉药来清热。因为喘急难以忍受，辅以四磨汤之类来宽胸理气，哪里知道宽一分，更耗散一分正气。如果屡次进用寒凉快气之剂，离死就不远了。只有善于治疗的人能探求病根，使用助元接真、镇坠收敛的药物，使其反本归原，或许可以挽回生命，但也不可峻补。宜先用八味丸、安肾丸、养正丹之类，用人参生脉散煎汁送服，感觉气息稍定，然后用人参等补剂，如破故纸、阿胶、牛膝等以镇摄于下。又以八味丸加紫河车制成丸药，饥饿时吞服。然而必须远离房事、断绝色欲，才可以保全性命，否则最终必然死亡。
又有一类火郁之证，六脉皆涩，甚至沉伏，四肢全部寒冷，甚至厥逆。气息急促而喘，却看似有余。想当作阴虚治疗，但按尺部脉搏鼓指有力。这是因为蓄郁已久，阳气被拂遏，不能营运于体表，以致身体冰冷、脉微细，而胸闷气喘急。此时不可以用寒药攻下，也不可以用热药投治，只宜用逍遥散加吴茱萸、黄连之类，宣散蓄积之热，得汗而愈。这叫做“火郁发之，木郁达之”，即《金匮要略》所说六脉沉伏，宜发散则热退而喘定的道理。之后仍以六味地黄丸养阴和阳为佳。以上详细阐述了阴虚发喘的例子，至于阳虚致喘，李东垣已经详尽论述了；外感发喘，张仲景已经详尽论述了。
王节斋说：喘与胀两种症状互为因果，必定都伴有小便不利。喘则必然产生胀，胀则必然产生喘。但要识别其中的标本先后：先喘而后胀的，病主在肺；先胀而后喘的，病主在脾。为什么呢？肺金主管肃降，外合皮毛。《内经》说：肺朝百脉，通调水道，向下输注膀胱。又说：膀胱是州都之官，津液藏存于此，气化功能正常才能排出尿液。所以小便是由于肺气肃降而下输化生的。如果肺受邪气侵袭而上喘，就失去了肃降的命令，所以小便逐渐短少，以致水液溢于皮肤，产生肿满。这是喘为本，胀为标，治疗当以清金降火为主，利水为辅。
脾土厌恶湿气，外主肌肉，土能克水。如果脾土受伤，不能制约水湿，则水湿妄行，浸渍肌肉。水既上行，则邪气反而侵肺，气不得下降而产生喘。这是胀为本而喘为标，治疗当以实脾行水为主，清金为辅。如果肺病而用燥脾的药物，则肺金得到燥性而喘更加严重；脾病而用清金的药物，则脾土得到寒性而胀更加厉害。近代治疗喘胀，只知道利水，而不知道分别脾肺，所以我对此加以阐明。
李士材说：《内经》论述喘证，原因众多，究其根本不外乎火逆向上而气不下降。丹溪说：实火可泻，虚火可补。而世俗之人一遇到喘证患者，纯用破气之法，不知道喘证因虚而死的患者占十分之九，因实而死的占十分之一。实证攻伐即可见效，没有什么难治的；虚证补益未必立即见效，需要长久才能成功。其间病情进退变化，确实不容易。所以辨证不可不急切，而辨喘证更为急切。顾巢氏、严氏只言实热，唯独王海藏提出肺气衰、肺中火盛的观点，创出了前人的见解。可惜他未能详细分析并列出方剂，成为后人的窠臼，请允许我详细说明。
气虚而火入于肺的，以补气为先，用六君子汤、补中益气汤。阴虚而火来乘金的，以壮水为急，用六味地黄丸。风寒袭肺的，解其邪气，用三拗汤、华盖散。湿气重的，利其水湿，用渗湿汤。暑邪为患的，涤除烦热，用白虎汤、香薷饮。肺热的，清其上焦，用二冬、二母、甘桔、栀、芩。痰壅盛的，消之，用二陈汤。气郁结的，疏之，用四七汤。饮停聚的，吐之，吐之不愈，用白术防己汤主治。火实盛的，清之，用白虎汤加栝蒌仁、枳壳、黄芩。肺痈而喘的，保金化毒，用杏仁、甘草节、桔梗、贝母、防风、银花、橘红、麦冬。肺胀而喘的，利水散邪。肺胀的症状，喘而烦躁，眼睛像要脱出一样，脉浮大的，用越婢加半夏汤；脉浮的，心下有水气，用小青龙汤加石膏主治。肾虚火不归经的，导龙入海，用八味丸主治。肾虚水邪泛滥的，逐水下流，用金匮肾气丸。
薛立斋说：喘症，如果是肺中伏热，不能生水而喘且渴的，用黄芩清肺饮以治肺，用五淋散以清小便。如果是肺脾虚弱，不能通调水道的，宜用补中益气汤以培元气，用六味地黄丸以补肾水。如果是膏粱厚味，脾肺积热而喘的，宜用清胃散以治胃，用滋肾丸以利小便。如果是心火克肺金，而不能生肾水的，用人参平肺散以治肺，用滋肾丸以滋小便。如果是肾经阴亏，火烁肺金而小便不生的，用六味地黄丸以补肾水，用补中益气汤以培脾土。如果是脾气虚弱，不能相制而喘的，用补中益气汤以培元气，六味地黄丸以生肾水。如果是肝木克脾土，不能相制而喘的，用六君子汤、柴胡、升麻以培元气，六味丸以补肾。如果是脾肾虚寒，不能相制而喘且胀的，用八味丸以补脾肺、生肾水。如果是肺肾虚寒，不能通调水道而喘且胀的，宜用《金匮要略》加味肾气丸补脾肺、生肾水。如果是酒色过度，亏损足三阴经，而导致喘胀痰涌，二便不调，或大小便通畅但相互牵引作痛的，宜用前面的丸药，多有生还者。
Zhao Yangkui stated: The Classics state that all panting (asthma) belongs to the Upper Jiao; it is also said that all rebellious Qi rushing upward belongs to Fire. Therefore, Liu Hejian discussed panting under the category of heat diseases, Hua Tuo said that excess Lung Qi causes panting, and the *Ren Shu* (Book of Life) stated that excess Qi leads to panting. Later generations compiled formulas based on symptoms, merely following these views. Only Wang Haizang differentiated this, stating that "excess Qi" should be understood as Qi deficiency, and "excess" should be recognized as insufficiency. If Lung Qi were truly in excess, clear Qi would descend naturally, how could it result in panting? It is because Fire pathogen enters the Lung, scorching True Yin, leading to weakness and insufficiency, thereby causing panting. Wang Haizang's differentiation surpassed predecessors, but unfortunately, he did not fully explore the origin of the Fire. I believe that excess Fire stems from insufficient Water; excess Yang stems from insufficient Yin. All rebellious Fire rushing upward originates from the Ministerial Fire of the Chong and Ren vessels in the Lower Jiao, arising from the Liver and Kidney. When Kidney Water is deficient and weak, Ministerial Fire becomes hyperactive, consuming Qi through vigorous Fire, and melting Lung Metal, how can one not pant?
Danxi stated: There is a type of panting due to Yin deficiency, where one feels Fire rising from the lower abdomen upward. One should use Si Wu Tang (Four Substances Decoction) with Qing Dai (Indigo Naturalis), Zhu Li (Bamboo Sap), and Chen Pi (Tangerine Peel), decocted with Tong Bian (Child's Urine). If accompanied by Phlegm, use Si Wu Tang with Zhi Ke (Aurantium Fructus) and Ban Xia (Pinellia Rhizome), tonifying Yin to resolve Phlegm. Danxi was the first to propose panting due to Yin deficiency, which was an insight into issues previously unaddressed by predecessors. However, his treatment methods have led to detrimental practices among later practitioners. For what is termed Yin deficiency refers to the True Yin within the Kidney, not merely the Yin Blood supplemented by Si Wu Tang. The Fire rising is the Dragon-Lei Fire of the Lower Jiao, which cannot be subdued by cold and bitter herbs. Among cases, some have Phlegm, some do not. In those with Phlegm, it is Water carrying Wood-Fire ascending; can Zhu Li, Zhi Ke, and Ban Xia resolve this? One must use Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) plus Mai Dong (Ophiopogon Radix) and Wu Wei Zi (Schisandra Fruit), decocted in large doses to strengthen the Master of Water (Kidney Water). Then Water ascends and Fire descends, and panting will subside.
There is another category that resembles Fire but is not Fire, and resembles panting but is not panting. The Classics state: When Shaoyin is affected, vomiting, coughing, and rebellious Qi occur. Panting occurs when Yin Qi is below and Yang Qi is above; various Yang Qi floats without root or return, causing upper body panting. The Yellow Emperor's *Zhen Jing* (Needle Classic) states: Disharmony in the stomach collaterals causes panting due to rebellion of Yangming Qi. Yangming Qi should descend, but now rebels and ascends, causing panting. Consumption of True Yuan causes panting due to rebellion of Kidney Qi; this is not Lung panting, but Qi failing to return to its source. External symptoms may include cold limbs, red face, irritability, and aversion to heat. This is not Fire, but the True Yuan Fire of the Mingmen leaving its palace and failing to return. Pulse examination reveals floating, large, and rapid pulses at both Cun positions, but faint and powerless pulses at both Chi positions, or pulses that seem present yet are elusive. Those unaware, believing it to be Fire, use cooling herbs to clear heat. Due to severe panting difficult to bear, they assist with Si Mo Tang (Four-Mortar Decoction) to widen the chest. Little do they know that widening by one part consumes another part of Qi. If cold and Qi-moving agents are repeatedly administered, death is near. Only skilled physicians can trace the origin and use herbs that assist Yuan, connect True Qi, and anchor/subdue, allowing the body to return to its origin. Recovery may be possible, but strong tonification must be avoided. Initially, use Ba Wei Wan (Eight-Ingredient Pill), An Shen Wan (Peace the Kidney Pill), or Yang Zheng Dan (Nourish Righteousness Pellet), taken with decoctions of Ren Shen Sheng Mai San (Ginseng Generating the Pulse Powder). Once Qi stabilizes, then use tonics like Ren Shen (Ginseng), Po Gu Zhi (Cibotii Rhizoma), E Jiao (Donkey-hide Gelatin), Niu Xi (Achyranthes Root) to anchor downward. Further, make pills from Ba Wei Wan plus He Che Da Zao (Placenta Hominis), taken when hungry. However, one must abstain from sexual activity and desires to preserve life; otherwise, death is inevitable.
Another type is Fire Stagnation syndrome. The six pulses are all choppy, even deep and hidden. Limbs are completely cold, even cold to the extremities. Breath is short and panting, seemingly excessive. Attempting to treat as Yin deficiency, pressing the Chi position reveals a drum-like pulse. This is due to long-standing stagnation, where Yang Qi is suppressed and cannot circulate to the exterior, resulting in cold body, faint pulse, chest oppression, and urgent panting. Cold purgatives should not be used, nor hot tonics. Instead, use Xiao Yao San (Free and Easy Wanderer Powder) plus Zhu Yu (Evodia Fruit) and Lian Zi (Lotus Plumule) to ventilate and disperse accumulated heat. Recovery comes with sweating. This is called "Ventilate Fire Stagnation, Reach Wood Stagnation," consistent with the *Jin Gui* saying that for deep-hidden pulses, dispersion resolves heat and stops panting. Afterwards, using Liu Wei Di Huang Wan to nourish Yin and harmonize Yang is appropriate. The above details examples of panting due to Yin deficiency. Regarding panting due to Yang deficiency, Dongyuan has elaborated extensively; regarding external contraction-induced panting, Zhongjing has elaborated extensively.
Wang Jiezhai stated: Panting and distension are causally related, always accompanied by difficult urination. Panting leads to distension, and distension leads to panting. One must identify the root and branch, and the sequence: Panting preceding distension indicates the Lung as the primary organ; distension preceding panting indicates the Spleen as the primary organ. Why? Lung Metal governs descending, and externally connects to skin and hair. The Classics state: The Lung directs all vessels, regulates water passages, and transports fluids downward to the Bladder. It is also said: The Bladder is the official of the capital, storing fluids; only through Qi transformation can they be excreted. Thus, urination depends on the descending and transforming function of Lung Qi. If the Lung is invaded by pathogens and pants, losing its descending command, urine becomes scant, leading to water overflowing into the skin and causing edema and fullness. Here, panting is the root, and distension is the branch. Treatment should focus on clearing Metal and descending Fire, with promoting urination as secondary.
Spleen Earth dislikes dampness and externally governs muscles; Earth controls Water. If Spleen Earth is injured and cannot control Water, dampness runs wild, soaking the muscles. As water ascends, pathogens invade the Lung, preventing Qi descent and causing panting. Here, distension is the root, and panting is the branch. Treatment should focus on strengthening the Spleen and promoting urination, with clearing Metal as secondary. If Lung disease is treated with drying Spleen herbs, Lung Metal becomes dry and panting worsens; if Spleen disease is treated with clearing Metal herbs, Spleen Earth becomes cold and distension worsens. Modern practitioners treating panting and distension only promote urination without distinguishing between Spleen and Lung, so I clarify this point.
Li Shicai stated: The *Neijing* discusses many causes of panting, ultimately revolving around Fire rebelling upward and Qi failing to descend. Danxi said: Excess Fire can be drained, Deficient Fire can be tonified. Yet laypeople encountering panting patients purely use Qi-breaking methods, unaware that nine out of ten deaths from panting are due to deficiency, while only one out of ten is due to excess. Excess cases respond quickly to attack and are easy to treat; deficiency cases require slow tonification and take time to succeed. The progression and regression of symptoms are difficult to manage. Therefore, differentiation is urgent, especially for panting. Gu Chaoshi and Yan Shi only mentioned excess heat. Only Wang Haizang proposed Lung Qi deficiency and Lung Fire excess, offering new insights. Unfortunately, he did not provide detailed prescriptions, creating rigid patterns for later generations. Allow me to elaborate.
For Qi deficiency with Fire entering the Lung, tonify Qi first: Liu Jun Zi Tang (Six-Gentleman Decoction) or Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). For Yin deficiency with Fire attacking Metal, strengthen Water urgently: Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia). For Wind-Cold, release the pathogen: San Ao Tang (Three Unbinding Decoction) or Hua Gai San (Flower Canopy Powder). For Dampness, promote urination: Shen Shi Tang (Dampness Percolating Decoction). For Summerheat, clear vexation: Bai Hu Tang (White Tiger Decoction) or Xiang Ru Yin (Elsholtzia Drink). For Lung Heat, clear the upper burner: Er Dong (Winter and Summer Anemones), Er Mu (Fritillaria and Adenophora), Gan Jiang (Licorice and Platycodon), Zhi Zi (Gardenia), Huang Qin (Scutellaria). For Phlegm obstruction, resolve it: Er Chen Tang (Two-Aged Decoction). For Qi stagnation, soothe it: Si Qi Tang (Seven-Word Decoction). For Fluid retention, induce vomiting; if ineffective, use Bai Zhu Fang Ji Tang (Atractylodes and Stephania Decoction). For Excess Fire, clear it: Bai Hu Tang plus Gua Lou Ren (Trichosanthes Seed), Zhi Ke (Aurantium Fructus), Huang Qin (Scutellaria). For Lung Abscess with panting, protect Metal and transform toxins: Xing Ren (Apricot Seed), Gan Cao Jie (Licorice Joint), Jie Geng (Platycodon Root), Bei Mu (Fritillaria Bulb), Fang Feng (Saposhnikovia Root), Yin Hua (Honeysuckle Flower), Ju Hong (Tangerine Pith), Mai Dong (Ophiopogon Radix). For Lung Distension with panting, promote urination and scatter pathogens. Symptoms of Lung Distension include panting, irritability, eyes protruding, and floating-large pulse: Yue Bi Jia Ban Xia Tang (Yuebi Decoction plus Pinellia); if pulse is floating and there is fluid under the heart, use Xiao Qing Long Tang (Minor Green Dragon Decoction) plus Shi Gao (Gypsum). For Kidney deficiency with Fire not returning to its channel, guide the Dragon to the sea: Ba Wei Wan (Eight-Ingredient Pill). For Kidney deficiency with flooding Water evil, drain water downward: Jin Gui Shen Qi Wan (Kidney Qi Pill from the Golden Cabinet).
Xue Lizhai stated: For panting due to latent Heat in the Lung failing to generate Water, causing panting and thirst, use Huang Qin Qing Fei Yin (Scutellaria Clearing Lung Decoction) to treat the Lung, and Wu Lin San (Five-Difficulty Powder) to clear the bladder. For Lung-Spleen deficiency failing to regulate water passages, use Bu Zhong Yi Qi Tang to cultivate Original Qi, and Liu Wei Di Huang Wan to tonify Kidney Water. For panting due to accumulation of Heat in Lung-Spleen from rich foods, use Qing Wei San (Clear Stomach Powder) to treat the Stomach, and Zi Shui Wan (Nourish Water Pill) to promote urination. for Heart Fire overcoming Lung Metal failing to generate Kidney Water, use Ren Shen Ping Fei San (Ginseng Calming Lung Powder) to treat the Lung, and Zi Shui Wan to nourish the bladder. For Kidney Yin deficiency with Fire scorching Lung Metal and no urine production, use Liu Wei Di Huang Wan to tonify Kidney Water, and Bu Zhong Yi Qi Tang to cultivate Spleen Earth. For Spleen Qi deficiency failing to control and causing panting, use Bu Zhong Yi Qi Tang to cultivate Original Qi, and Liu Wei Di Huang Wan to generate Kidney Water. for Liver Wood overcoming Spleen Earth failing to control and causing panting, use Liu Jun Zi Tang, Chai Hu (Bupleurum Root), and Sheng Ma (Cimicifuga Rhizome) to cultivate Original Qi, and Liu Wei Wan to tonify the Kidney. For Spleen-Kidney Yang deficiency failing to control and causing panting and distension, use Ba Wei Wan to tonify Lung-Spleen and generate Kidney Water. For Lung-Kidney Yang deficiency failing to regulate water passages and causing panting and distension, use Jin Gui Jia Wei Shen Qi Wan (Modified Kidney Qi Pill from the Golden Cabinet) to tonify Lung-Spleen and generate Kidney Water. For excessive alcohol and sex damaging the three Yin meridians of the foot, leading to panting, distension, surging Phlegm, and irregular urination/defecation, or pain radiating between them, use the aforementioned pills; many survive.