论曰肺主皮毛。皮毛易感于寒邪。寒邪伤于肺。则为咳嗽。五脏各以其时受之。为五脏
之咳。久不已，传于六腑。六腑不已，三焦受之。是为久咳，其人咳而腹满，不欲食。多唾
面肿气逆。乃其证也。
治久咳嗽。及劳嗽。阿胶散方
阿胶（二两如无以黄明胶四两代并炒燥） 人参（半两） 杏仁（二十粒去皮尖双仁炒）
黄蜀葵花
上六味。捣罗为散。每服二钱匕。空心热糯米饮调下。晚食前再服。
治积年咳嗽。人参煎方
人参（末一两） 栝蒌（取肉捣研） 酥 蜜（各二两）
上四味调匀。盏子盛。于饭上蒸九度。每服一匙。温水化下、日三。
治久咳嗽，贝母丸方
贝母（去心炒紫色四两） 款冬花（三两） 紫菀（去苗土二两）
上三味。捣罗为末，炼蜜和丸。如梧桐子大。每服二十丸。食后生姜汤下。日再。
治久咳嗽。异功散方
陈粳米（一升生姜半斤捣自然汁浸焙干） 浓朴（去粗皮涂生姜汁蜜炙二两） 诃黎勒
（煨三枚小
上五味。捣罗为散。每服一钱匕，米饮调下，食后日三。
治久咳嗽喘息。黑金散方
猪蹄（合子黑者四十九枚水浸洗净） 天南星（一枚大者锉） 款冬花（带蕊者末半两）
上三味。用瓶子一枚。铺猪蹄合子在内，上以天南星匀盖之。合了盐泥赤石脂。固济火
，白烟出为度，候冷取出。入款冬花末，并麝香一分，龙脑少许，同研，每服一钱匕，食
后煎桑根白皮汤调下，若年少即用生犀角，中年即用羚羊角末各半两，代猪蹄合子。
治久咳嗽。款冬花散方
款冬花（去梗） 阿胶（炒燥各一两） 天南星（锉炒三分） 恶实（炒一分） 甘草
（炙锉半两）
上五味。捣罗为散，每服三钱匕，水一盏，煎至六分，食后卧温服。
治久咳嗽。蛤蚧丸方
蛤蚧（一对雌雄头尾全者酥炙） 人参半两 半夏（汤洗七遍切焙一分） 杏仁（汤浸
去皮尖双仁蜜拌炒黄研一两） 栝蒌（大者二枚去皮子取肉蒸熟研） 阿胶（炙燥半两） 青
橘皮（汤浸去白焙一分
上八味。除研外，捣罗为末，合研匀，入生蜜少许和丸，如梧桐子大，每服十丸。糯米
饮或熟水下。空心临卧服。
治久咳嗽。阿胶散方
阿胶（炙燥） 人参 杏仁（汤浸去皮尖双仁炒） 甘草（炙锉） 黄 （半炙半生锉）
紫菀（去苗土
上八味。捣罗为散。每服用猪 一枚。葱白三寸细切。渗药二钱匕，入盐花少许，湿纸
裹煨熟。细嚼温酒下。空心服。
治久咳嗽。紫菀散方
紫菀（去苗土） 款冬花（各一两） 百部（半两）
上三味。捣罗为散。每服二钱匕，煎生姜乌梅汤调下。食后临卧服。
治久咳嗽。乳石散方
钟乳粉 款冬花（去梗） 甘草（炙锉各半两） 杏仁（汤浸去皮尖双仁麸炒研） 桂
（去粗皮各一两） 栝蒌（一枚去皮子用肉） 白矾枯（半两） 不蛀皂荚（一挺炙去皮子
以上三味同杵烂新瓦上摊曝干
上八味。先捣前五味。次捣研三味。同为细散。每服二钱匕，热汤调。温服。
治久咳嗽。款冬花散方
款冬花新者
上一味为细散。每用二钱匕，香饼子上烧烟。令病患吸烟咽之。食后日再。
治久咳嗽。阿胶饮方
阿胶（炙燥一两） 人参（二两）
上二味。捣罗为散。每服三钱匕。豉汤一盏，入葱白少许，同煎三沸放温。遇嗽时呷三
五呷。根据前温暖。备嗽时再呷之。
治久患气嗽。发即奔喘。坐卧不安。喉中气欲绝。八仙汤方
马兜铃 桑根白皮 桔梗（各二两半） 麻黄（去根节汤煮掠去沫焙） 白茯苓（去黑
皮） 柴胡（去
上八味。锉如麻豆。每服五钱匕，以水一盏半。煎取八分，去滓温服。频服三两剂瘥。
治久咳嗽。蒺藜贝母汤方
蒺藜子（炒去角） 贝母（去心） 紫菀（去苗土） 百合 麻黄（去根节） 天雄（炮
裂去皮脐） 枳壳（去
榆五味子 贯众 黄连（去须各一两
上一十六味。粗捣筛。每服五钱匕，水一盏半，入生姜三片，煎至八分，去滓温服。空
心食前。
治咳嗽久不瘥。柴胡汤方
柴胡（去苗） 延胡索 百合 枳壳（去瓤麸炒） 麻黄（去根节） 款冬花（炒） 天
雄（炮裂去皮脐各
一两） 黄芩（去黑心半两） 旋复花（炒三分） 杏仁（十五枚去皮尖双仁炒令黄）
上一十五味。锉如麻豆。每服三钱匕，以水一盏，煎取七分，去滓温服。
治久冷痰咳嗽。及多年劳嗽，服药无效者。药熏法
雄黄通明不夹石者一两 雌黄不夹石者半两二味同研极细 蜡三两
上三味。先熔蜡成汁。下药末搅匀。候凝刮下。用纸三五段。阔五寸，长一尺，熔药蜡。
涂其面令浓。以箭卷成筒子，令有药在里。斡令相着。乃拔去箭。临卧熨斗内盛火。然筒子
一头。令有烟。乃就筒子长引气吸取烟。陈米饮送下又吸，每三吸为一节。当大咳咯出冷涎。
即以衣复卧。良久汗出。若病三五年者。二三吸即瘥。十年以上嗽甚。咳声不绝，胸中常有
冷痰。服药寒温补泻。俱无效者，日一为之。不过五七日愈。昔有人病嗽，胸中常如冰雪，
三年治之莫愈。用此法即瘥。
【论述】肺主司皮毛。皮毛容易感受寒邪。寒邪侵袭肺脏，就会引发咳嗽。五脏在各自对应的季节受邪，会形成五脏之咳。如果久治不愈，病邪会传变至六腑。六腑的病证若也不愈，三焦就会受累。这就形成了久咳，患者会出现咳嗽伴腹部胀满、不想进食、多唾沫、面部浮肿、气机上逆等症状，这就是其临床表现。
治疗久咳及劳嗽的阿胶散方：
阿胶（二两，若无可用黄明胶四两代替，均需炒至干燥） 人参（半两） 杏仁（二十粒，去皮尖，双仁者，炒制） 黄蜀葵花
以上六味药，捣碎过筛制成散剂。每次服用二钱匕，空腹时用热糯米饮调服。晚饭后再次服用。
治疗积年咳嗽的人参煎方：
人参（研末一两） 栝蒌（取肉捣碎研磨） 酥 蜜（各二两）
以上四味药调匀，用盏子盛装，放在饭上蒸九次。每次服用一匙，用温水化开送服，每日三次。
治疗久咳的贝母丸方：
贝母（去心，炒至紫色四两） 款冬花（三两） 紫菀（去苗土二两）
以上三味药，捣碎过筛成粉末，用炼蜜和丸，如梧桐子大小。每次服用二十丸，食后用生姜汤送服，每日两次。
治疗久咳的异功散方：
陈粳米（一升，生姜半斤捣取自然汁浸泡后焙干） 浓朴（去粗皮，涂生姜汁、蜜炙二两） 诃黎勒（煨三枚，小者）
以上五味药，捣碎过筛制成散剂。每次服用一钱匕，用米饮调服，食后每日三次。
治疗久咳喘息的黑色金散方：
猪蹄（蹄壳为黑色的四十九个，用水浸泡洗净） 天南星（一个大者，切碎） 款冬花（带蕊者，研末半两）
以上三味药，用一个瓶子，将猪蹄壳铺在里面，上面均匀盖上切碎的天南星。合上瓶口，用盐泥和赤石脂密封固定，用火煅烧，直到冒出白烟为止，冷却后取出。加入款冬花末和一分麝香，少许龙脑，一同研磨。每次服用一钱匕，食后煎桑根白皮汤调服。若是年轻人，直接用生犀角；中年人直接用羚羊角末，各半两，用来代替猪蹄壳。
治疗久咳的款冬花散方：
款冬花（去梗） 阿胶（炒至干燥，各一两） 天南星（切碎炒制三分） 恶实（炒制一分） 甘草（炙制切碎半两）
以上五味药，捣碎过筛制成散剂。每次服用三钱匕，加水一盏，煎至六分，食后睡前温服。
治疗久咳的蛤蚧丸方：
蛤蚧（一对，雌雄头尾俱全者，用酥炙制） 人参半两 半夏（汤洗七遍，切片焙干一分） 杏仁（汤浸去皮尖，双仁，拌蜜炒黄，研细一两） 栝蒌（大者二枚，去皮子取肉，蒸熟研细） 阿胶（炙至干燥半两） 青橘皮（汤浸去白，焙干一分）
以上八味药，除需单独研磨的药外，其余捣碎过筛成粉末，混合研磨均匀，加入少许生蜜和丸，如梧桐子大小。每次服用十丸，用糯米饮或熟水送服。空腹及睡前服用。
治疗久咳的阿胶散方：
阿胶（炙至干燥） 人参 杏仁（汤浸去皮尖，双仁炒制） 甘草（炙制切碎） 黄芪（一半炙制，一半生用，切碎） 紫菀（去苗土）
以上八味药，捣碎过筛制成散剂。每次服用时取猪肚一枚，葱白三寸切细，渗入药粉二钱匕，加入少许盐花，用湿纸包裹煨熟。细细咀嚼，用温酒送下。空腹服用。
治疗久咳的紫菀散方：
紫菀（去苗土） 款冬花（各一两） 百部（半两）
以上三味药，捣碎过筛制成散剂。每次服用二钱匕，煎生姜乌梅汤调服。食后睡前服用。
治疗久咳的乳石散方：
钟乳粉 款冬花（去梗） 甘草（炙制切碎，各半两） 杏仁（汤浸去皮尖，双仁，麸炒研细） 桂枝（去粗皮，各一两） 栝蒌（一枚，去皮子取肉） 枯白矾（半两） 不蛀皂荚（一挺，炙制去皮子）
以上三味药同杵烂，摊在新瓦上曝晒干燥。
以上八味药，先捣前五味药，再捣研后三味药，共同成为细散。每次服用二钱匕，用热汤调服，温服。
治疗久咳的款冬花散方：
新鲜的款冬花
以上一味药，制成细散。每次用二钱匕，在香饼子上烧烟。让病人吸入烟雾并咽下，食后每日两次。
治疗久咳的阿胶饮方：
阿胶（炙至干燥一两） 人参（二两）
以上二味药，捣碎过筛制成散剂。每次服用三钱匕。用一盏豉汤，加入少许葱白，同煎三沸，放温。遇到咳嗽时，呷饮三五口。根据前述方法保暖，准备在咳嗽时再呷饮。
治疗久患气嗽，发作时奔喘，坐卧不安，喉中气息欲绝的八仙汤方：
马兜铃 桑根白皮 桔梗（各二两半） 麻黄（去根节，汤煮掠去浮沫，焙干） 白茯苓（去黑皮） 柴胡（去苗）
以上八味药，切碎如麻豆大小。每次服用五钱匕，用水一盏半，煎取八分，去渣温服。频繁服用，两三剂即可痊愈。
治疗久咳的蒺藜贝母汤方：
蒺藜子（炒去角刺） 贝母（去心） 紫菀（去苗土） 百合 麻黄（去根节） 天雄（炮裂去皮脐） 枳壳（去瓤） 榆白皮 五味子 贯众 黄连（去须，各一两）
以上十六味药，粗捣筛过。每次服用五钱匕，水一盏半，加入生姜三片，煎至八分，去渣温服。空腹及食前服用。
治疗咳嗽日久不愈的柴胡汤方：
柴胡（去苗） 延胡索 百合 枳壳（去瓤，麸炒） 麻黄（去根节） 款冬花（炒制） 天雄（炮裂去皮脐，各一两） 黄芩（去黑心半两） 旋复花（炒制三分） 杏仁（十五枚，去皮尖，双仁炒至黄色）
以上十五味药，切碎如麻豆大小。每次服用三钱匕，用水一盏，煎取七分，去渣温服。
治疗久冷痰咳嗽，以及多年劳嗽，服药无效者的药熏法：
雄黄（通明无夹杂石质者）一两 雌黄（无夹杂石质者）半两，二味药同研极细 蜡三两
以上三味药，先将蜡熔化成汁，加入药末搅匀。待凝固后刮下。用纸三五段，宽五寸，长一尺，熔化药物蜡，涂在纸面上使其浓厚。用箭杆卷成筒状，使药在内，旋转使其粘合，然后拔出箭杆。临睡前在熨斗内盛火，点燃筒子一头，产生烟雾。靠近筒子长引气吸取烟雾。用陈米饮送下，同时继续吸气，每三次吸气为一节。应当大口咳出冷涎。即用衣物覆盖身体躺下，许久后出汗。若患病三五年者，吸二三节即痊愈。十年以上咳嗽严重，咳声不绝，胸中常有冷痰，服用寒凉温热补泻药物均无效者，每日进行一次。不超过五七日即可痊愈。过去有人患咳嗽，胸中常感觉如冰雪般寒冷，三年治疗未愈。使用此法即痊愈。
[Discussion] The Lung governs the skin and hair (Pí Máo). The skin and hair are susceptible to Cold pathogenic factors (Hán Xié). When Cold invades the Lung, it causes coughing. Each of the Five Zang organs receives pathogenic factors in their respective seasons, resulting in Cough of the Five Zang Organs (Wǔ Zàng Zhī Ké). If prolonged and untreated, the condition transmits to the Six Fu organs. If the Fu organ conditions persist, the San Jiao (Triple Burner) is affected. This constitutes Chronic Cough (Jiǔ Ké), characterized by cough accompanied by abdominal fullness, anorexia, excessive salivation, facial edema, and rebellious Qi. These are its clinical manifestations.
**Ejiao Powder (Ē Jiāo Sǎn)** for treating chronic cough and consumptive cough:
Ejiao (2 liang; if unavailable, substitute with Huangming Jiao 4 liang, both stir-fried until dry) Renshen (Ban liang) Xingren (20 grains, peeled, core removed, twin kernels, stir-fried) Huangshu Kui Hua
The above six ingredients are crushed, sieved, and made into a powder. Take 2 qian bi per dose, mixed with hot rice gruel on an empty stomach. Take another dose before evening meal.
**Renshen Decoction (Rén Shēn Jiān)** for treating persistent cough over years:
Renshen (1 liang, powdered) Gualua (flesh extracted, crushed and ground) Su (Butter/Ghee) Mi (Honey) (each 2 liang)
The above four ingredients are mixed evenly, placed in a cup, and steamed over rice nine times. Take one spoon per dose, dissolved in warm water. Three times daily.
**Beimu Pills (Bèi Mǔ Wán)** for treating chronic cough:
Beimu (core removed, stir-fried until purple, 4 liang) Kuandonghua (3 liang) Ziwan (rhizomes and soil removed, 2 liang)
The above three ingredients are crushed, sieved into powder, and mixed with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose, taken after meals with ginger decoction. Twice daily.
**Yigong Powder (Yì Gōng Sǎn)** for treating chronic cough:
Chen Jingmi (1 sheng, soaked in natural juice of 0.5 jin fresh ginger, then dried and roasted) Nongpou (bark stripped, coated with ginger juice and honey-roasted, 2 liang) Helile (roasted, 3 small fruits)
The above five ingredients are crushed, sieved, and made into a powder. Take 1 qian bi per dose, mixed with rice gruel. Three times daily after meals.
**Heijin Powder (Hēi Jīn Sǎn)** for treating chronic cough with panting:
Zhuti (hooves from black pigs, 49 pieces, soaked in water and cleaned) Tiannanxing (one large piece, chopped) Kuandonghua (with stamen, powdered, 0.5 liang)
Place the pig hooves in a bottle, cover evenly with chopped Tiannanxing. Seal the bottle mouth with salt mud and Chishizhi. Fire-roast until white smoke appears. Cool and remove. Add Kuandonghua powder, 1 fen Muxiang, and a small amount of Longnao. Grind together. Take 1 qian bi per dose, mixed with Sanggenbaipi decoction after meals. For young people, use raw Xijiaojiao (Rhinoceros Horn); for middle-aged, use Lingyangjiaomo (Antelope Horn powder), each 0.5 liang, as a substitute for pig hooves.
**Kuandonghua Powder (Kuān Dōng Huā Sǎn)** for treating chronic cough:
Kuandonghua (stalks removed) Ejiao (stir-fried until dry, each 1 liang) Tiannanxing (chopped and stir-fried, 3 fen) Eshi (stir-fried, 1 fen) Gancao (honey-roasted and chopped, 0.5 liang)
The above five ingredients are crushed, sieved, and made into a powder. Take 3 qian bi per dose, add one zhan of water, boil to 0.6 zhan. Take warm after meals and before sleep.
**Gejie Pills (Gé Jié Wán)** for treating chronic cough:
Gejie (one pair, male and female, complete head and tail, roast with butter) Renshen (0.5 liang) Banxia (washed seven times in boiling water, sliced and dried, 1 fen) Xingren (soaked in water, peeled, core removed, twin kernels, mixed with honey and stir-fried until yellow, ground, 1 liang) Gualua (two large ones, peel and remove seeds, take flesh, steam until cooked and grind) Ejiao (roasted until dry, 0.5 liang) Qingju pi (soaked in water, white pith removed, dried, 1 fen)
The above eight ingredients, except those requiring separate grinding, are crushed, sieved into powder, mixed and ground evenly. Add a little raw honey to form pills the size of Sophora seeds. Take 10 pills per dose, with rice gruel or boiled water. Take on an empty stomach and before sleep.
**Ejiao Powder (Ē Jiāo Sǎn)** for treating chronic cough:
Ejiao (roasted until dry) Renshen Xingren (soaked in water, peeled, core removed, twin kernels, stir-fried) Gancao (roasted and chopped) Huangqi (half roasted, half raw, chopped) Ziwan (rhizomes and soil removed)
The above eight ingredients are crushed, sieved, and made into a powder. For each dose, take one Zhu Du (pig stomach), cut 3 cun of Congbai (green onion white) finely. Mix with 2 qian bi of medicine, add a little salt flower, wrap in wet paper, and bake until cooked. Chew thoroughly and swallow with warm wine. Take on an empty stomach.
**Ziwan Powder (Zǐ Wǎn Sǎn)** for treating chronic cough:
Ziwan (rhizomes and soil removed) Kuandonghua (each 1 liang) Bubu (0.5 liang)
The above three ingredients are crushed, sieved, and made into a powder. Take 2 qian bi per dose, mixed with decoction of fresh ginger and Wumei. Take after meals and before sleep.
**Rushi Powder (Rǔ Shí Sǎn)** for treating chronic cough:
Zhongru Fen Kuandonghua (stalks removed) Gancao (roasted and chopped, each 0.5 liang) Xingren (soaked in water, peeled, core removed, twin kernels, bran-roasted and ground) Guizhi (bark stripped, each 1 liang) Gualua (one piece, peel and remove seeds, take flesh) Kubai fan (0.5 liang) Buzhu Zhao jia (one stick, roasted, peel and remove seeds)
The above three ingredients [Note: Text implies mixing specific components, likely referring to the final processing step involving Zhao Jia and others mentioned previously or implied context] are pounded until rotten, spread on new tiles, and sun-dried.
First, pound the first five ingredients. Then, pound and grind the remaining three ingredients. Combine to make a fine powder. Take 2 qian bi per dose, mixed with hot water. Take warm.
**Kuandonghua Powder (Kuān Dōng Huā Sǎn)** for treating chronic cough:
Fresh Kuandonghua
The above single ingredient is made into a fine powder. Use 2 qian bi per application, burn on an incense cake. Let the patient inhale the smoke and swallow it. Twice daily after meals.
**Ejiao Drink (Ē Jiāo Yǐn)** for treating chronic cough:
Ejiao (roasted until dry, 1 liang) Renshen (2 liang)
The above two ingredients are crushed, sieved, and made into a powder. Take 3 qian bi per dose. Add a little Congbai to one zhan of Chi Tang (fermented soybean decoction), boil three times, and let cool to warm temperature. When cough occurs, sip 3-5 mouthfuls. Keep warm according to previous instructions. Prepare to sip again when coughing occurs.
**Baxian Decoction (Bā Xiān Tāng)** for treating chronic Qi-cough, characterized by sudden panting, restlessness sitting or lying, and sensation of suffocation in the throat:
Madouling Sanggenbaipi Jiegeng (each 2.5 liang) Mahuang (roots and joints removed, boiled in water, scum removed, dried) Baifuling (black skin removed) Chaihu (rhizomes removed)
The above eight ingredients are chopped like hemp seeds. Take 5 qian bi per dose, add 1.5 zhan of water, boil to 0.8 zhan. Remove dregs and take warm. Frequent administration; two to three doses will cure.
**Jili Beimu Decoction (Jí Lí Bèi Mǔ Tāng)** for treating chronic cough:
Jilizi (stir-fried, thorns removed) Beimu (core removed) Ziwan (rhizomes and soil removed) Baihe Mahuang (roots and joints removed) Tianxiong (pounded until cracked, skin and navel removed) Zhike (pulp removed) Yu Baipi Wuweizi Guanzhong Huanglian (roots removed, each 1 liang)
The above sixteen ingredients are coarsely crushed and sieved. Take 5 qian bi per dose, add 1.5 zhan of water and three slices of fresh ginger. Boil to 0.8 zhan. Remove dregs and take warm. Take on an empty stomach and before meals.
**Chaihu Decoction (Chái Hú Tāng)** for treating cough that persists for a long time without healing:
Chaihu (rhizomes removed) Yanhusuo Baihe Zhike (pulp removed, bran-roasted) Mahuang (roots and joints removed) Kuandonghua (stir-fried) Tianxiong (pounded until cracked, skin and navel removed, each 1 liang) Huangqin (black heart removed, 0.5 liang) Xuanjinhua (stir-fried, 3 fen) Xingren (15 grains, peeled, core removed, twin kernels, stir-fried until yellow)
The above fifteen ingredients are chopped like hemp seeds. Take 3 qian bi per dose, add one zhan of water, boil to 0.7 zhan. Remove dregs and take warm.
**Medicated Fumigation Method (Yào Xūn Fǎ)** for treating chronic cold-phlegm cough and multi-year consumptive cough unresponsive to medication:
Xionghuang (transparent, free of stone impurities, 1 liang) Cihuang (free of stone impurities, 0.5 liang). Grind these two ingredients extremely finely. La (Beeswax, 3 liang)
Melt the beeswax into liquid. Add the medicine powder and mix evenly. Allow to solidify and scrape off. Cut paper into 3-5 strips, 5 cun wide and 1 chi long. Melt the medicated wax and coat the paper thickly. Roll the paper around an arrow shaft to form a tube containing the medicine. Rotate to seal, then remove the arrow. At bedtime, place fire in a warming pan. Ignite one end of the tube to produce smoke. Inhale the smoke deeply through the tube. Swallow with aged rice gruel while continuing to inhale. Three inhalations constitute one session. Expect to cough out cold saliva in large amounts. Cover with clothing and lie down. Sweat will appear after a while. For illness lasting 3-5 years, 2-3 sessions will cure. For cough lasting over 10 years, severe coughing, incessant sound, and constant cold phlegm in the chest, where cold, warm, tonifying, and purging medicines have failed, perform this once daily. Cure within 5-7 days. Previously, a person suffered from cough with a sensation of ice and snow in the chest, untreated for three years. Using this method resulted in recovery.