秋凉燥气咳嗽。初病皮毛凛凛。冬月失音。至夏未愈。而纳食颇安。想屡经
暴冷暴暖之伤。未必是二气之馁。仿金实无声议治。
麻黄 杏仁 石膏 生甘草 射干 苡仁
劳损。气喘失音。全属下元无力。真气不得上注。纷纷清热治肺。致食减便
溏。改投热药。又是劫液。宜乎喉痛神疲矣。用补足三阴方法。
熟地 五味 炒山药 芡实 茯苓 建莲肉
肺象空悬。气窒声音不出。舌乃心苗。热灼则舌本不展。以唇口肺家之病。
乃辛热酒毒之痹。主以轻扬为治。乃无质之病。
羚羊角 连翘心 竹叶心 野赤豆皮 川贝母 金银花 威喜丸
溃疡流脓经年。脉细色夺。声嘶食减。咳嗽喉中梗痛。皆漏损脂液。阴失内
守。阳失外卫。肺痿之 。谅难全好。
人参 黄 苡仁 炙草 归身 白芨
肺痿顿吐涎沫。食物不下。并不渴饮。岂是实火。津液荡尽。二便日少。宗仲
景甘药理胃。乃虚则补母。仍佐宣通脘间之捍格。
人参 麦冬 熟半夏 生甘草 白粳米 南枣肉
劳烦经营。阳气弛张。即冬温外因咳嗽。亦是气泄邪侵。辛以散邪。苦以降
逆。希冀嗽止。而肺欲辛。过辛则正气散失。音不能扬。色消吐涎喉痹。是肺痿难
治矣。仿内经气味过辛。主以甘缓。
北沙参 炒麦冬 饴糖 南枣
凡外热入肺而咳嗽者。可用表散药。若内伤累及于肺而致咳者。必从内
伤治。汗之则泄阳气。肺痿音低。显然药误。
黄 黄精 枣仁 白芨
病患述上年五月住直隶白沟河。北方不比南地。湿蒸则热。夜坐仍凉。想
是时寒热。亦是轻邪。医用滚痰丸下夺。表邪闭结不出。肺痿音哑喉瘪。咽物艰
难。仿徐之才轻可去实。用有气无味之药。
射干 生甘草 大力子 麻黄炙 蝉衣 囫囵滑石 连皮杏仁
秋季凉燥之气导致咳嗽。初起时皮毛感到凛冽寒冷。冬季出现失音，直到夏季仍未痊愈，但饮食尚可。推测是屡次遭受暴冷暴暖的伤害，未必是正气虚弱所致。仿照“金实无声”的理论进行诊治。
麻黄、杏仁、石膏、生甘草、射干、苡仁
劳损导致气喘、失音，完全属于下元（肾）无力，真气不能上注于肺。纷纷采用清热治肺的方法，导致食欲减退、大便溏薄。改用热药，又会劫伤津液，难怪会出现喉痛、神疲乏力。宜用补足三阴（肝、脾、肾）的方法。
熟地、五味子、炒山药、芡实、茯苓、建莲肉
肺象空悬，气机窒塞导致声音不出。舌为心之苗窍，热邪灼烧则舌根僵硬不展。以唇口为肺家之病，乃是辛热酒毒之痹阻。主治以轻扬宣散为法。这是无实质病变的疾病。
羚羊角、连翘心、竹叶心、野赤豆皮、川贝母、金银花、威喜丸
溃疡流脓经年，脉象细弱、面色枯槁。声音嘶哑、食欲减退，咳嗽且喉中有梗塞疼痛感，都是漏损脂液，阴精失去内守，阳气失去外卫。肺痿之证，谅难完全治愈。
人参、黄芪、苡仁、炙甘草、归身、白芨
肺痿突然吐出涎沫，食物无法下咽，并不口渴饮水。这难道是实火吗？津液荡尽，二便日渐减少。遵循张仲景的甘温理胃之法，乃虚则补其母（培土生金），仍佐以宣通脘间痞塞的药物。
人参、麦冬、熟半夏、生甘草、白粳米、南枣肉
劳烦经营，阳气弛张。即使是冬温外因导致的咳嗽，也是气泄邪侵。辛味药可以散邪，苦味药可以降逆，希冀咳嗽停止。然而肺欲辛，过用辛味则正气散失，声音不能扬起，面色消减、吐涎、喉痹，这是肺痿难治的表现。仿照《内经》气味过辛，主治以甘缓之法。
北沙参、炒麦冬、饴糖、南枣
凡是外热入肺而咳嗽者，可用表散药。若内伤累及于肺而致咳者，必从内伤治疗。发汗则会泄耗阳气。肺痿音低，显然是用药错误。
黄芪、黄精、枣仁、白芨
患者叙述上年五月居住在直隶白沟河。北方不同于南方，湿蒸则热，夜坐仍凉。想是当时寒热交替，也是轻邪。医生使用滚痰丸攻下夺实，导致表邪闭结不出，肺痿音哑喉瘪，吞咽艰难。仿照徐之才“轻可去实”的理论，使用有气无味的药物。
射干、生甘草、大力子、麻黄炙、蝉衣、囫囵滑石、连皮杏仁
Cough caused by autumn coolness and dryness qi. Initially, the skin and hair felt chilly. Hoarseness occurred in winter and persisted until summer without resolution, although appetite remained quite good. It is presumed that repeated injuries from sudden cold and warmth are the cause, rather than a deficiency of the two qi (Yin and Yang). Treatment is modeled after the principle of "Metal Solid No Sound" (Hoarseness due to excess pathogenic factors obstructing the lungs).
Ephedrae Herba (Mahuang), Armeniacae Semen Amarum (Xingren), Gypsum Fibrosum (Shigao), Glycyrrhizae Radix et Rhizoma Preparata with Honey (Sheng Gancao), Belamcandae Rhizoma (Shegan), Coicis Semen (Yiren)
Consumptive disease leading to panting and hoarseness is entirely due to weakness of the lower origin (Kidney), where true qi fails to ascend and nourish the lungs. Frequent use of clearing heat and treating the lung has led to reduced appetite and loose stools. Switching to hot herbs would further deplete body fluids, hence the throat pain and mental fatigue. The method should be to tonify the Three Yin (Liver, Spleen, Kidney).
Rehmanniae Radix Preparata (Shudi), Schisandrae Fructus (Wuweizi), Dioscoreae Rhizoma Stir-fried (Chao Shanyao), Euryales Semen (Qianshi), Poria (Fuling), Nelumbinis Plumula Jianlianrou)
The Lung resembles an empty suspension; qi obstruction prevents sound production. The tongue is the sprout of the Heart; heat scorching causes the root of the tongue to stiffen and fail to extend. Treating the lips and mouth as diseases of the Lung family, which are actually obstructions from acrid-hot wine toxins, requires treatment with light and ascending herbs. This is a disease without substantial pathology.
Antelope Horn (Lingyangjiao), Forsythiae Flos Cor (Lianqiao Xin), Bambusae Folium Cor (Zhuyexin), Vigna umbellata Seed Coat (Ye Chidoupi), Fritillariae Thunbergii Bulbus (Chuan Beimu), Lonicerae Japonicae Flos (Jinyinhua), Weixi Wan)
Ulceration with pus discharge for years, fine pulse, and sallow complexion. Hoarse voice, reduced food intake, cough with sensation of obstruction and pain in the throat, all indicate leakage and damage of fatty fluids, with Yin failing to hold internally and Yang failing to guard externally. Pulmonary萎 (Fei Wei - Lung Atrophy/Withering) is unlikely to fully recover.
Ginseng Radix (Renshen), Astragali Radix (Huangqi), Coicis Semen (Yiren), Glycyrrhizae Radix et Rhizoma Preparated with Honey (Zhi Cao), Angelicae Sinensis Radix (Guishen), Bletillae Rhizoma (Baiji)
Sudden expectoration of saliva and foam in pulmonary atrophy, inability to swallow food, and no thirst for drinking. Could this be excess fire? Body fluids are exhausted, and urination and defecation decrease daily. Following Zhang Zhongjing's method of sweet-warm regulation of the stomach, since deficiency requires tonifying the mother (Earth generating Metal), accompanied by herbs to unblock stagnation in the epigastrium.
Ginseng Radix (Renshen), Ophiopogonis Tuber (Maidong), Pinelliae Rhizoma Preparated (Shu Banxia), Glycyrrhizae Radix et Rhizoma Preparated with Honey (Sheng Gancao), Oryza Sativa Var. Glutinosa Grain (Bai Jingsmi), Jujubae Fructus Flesh (Nanzao Rou)
Laborious management leads to flaccidity and expansion of Yang qi. Even if cough is caused by winter-warmth external pathogens, it is due to qi leakage and pathogen invasion. Acrid herbs disperse pathogens, bitter herbs direct rebellion downward, hoping to stop the cough. However, the Lung desires acridity; excessive acridity scatters healthy qi, causing voice to fail to project, complexion to fade, expectoration of saliva, and throat bi. This indicates difficult-to-treat pulmonary atrophy. Modeled after the Neijing principle that excessive acrid flavor requires sweet-moderating treatment.
Glehniae Radix (Beishashen), Ophiopogonis Tuber Stir-fried (Chao Maidong), Saccharum Indicum (Yitang), Jujubae Fructus (Nanzao)
For coughs caused by external heat entering the Lung, exterior-dispersing herbs can be used. If internal injury affects the Lung causing cough, it must be treated from the perspective of internal injury. Sweating will leak Yang qi. Low voice in pulmonary atrophy clearly indicates medication error.
Astragali Radix (Huangqi), Polygonati Odorati Rhizoma (Huangjing), Ziziphi Spinosae Semen (Zaoren), Bletillae Rhizoma (Baiji)
The patient stated staying in Baigou River, Zhili, last May. The North differs from the South; humid steaming brings heat, while night sitting remains cool. Presumably, alternating cold and heat then was also a mild pathogen. The physician used Guntan Wan to purge and drain, causing exterior pathogens to become closed and unable to exit. Pulmonary atrophy resulted in hoarseness, collapsed throat, and difficulty swallowing. Modeled after Xu Zhicai's "Light can remove solidity," using herbs with aroma but no strong taste.
Belamcandae Rhizoma (Shegan), Glycyrrhizae Radix et Rhizoma Preparated with Honey (Sheng Gancao), Arctii Fructus (Dali Zi), Ephedrae Herba Prepared with Honey (Mahuang Zhi), Bombyx Batryticatus (Chanyi), Talcum Granulosum with Skin (Hulun Huashi), Armeniacae Semen Amarum with Skin (Lianpi Xingren)