治咳逆倚息不得卧（方见第九卷伤寒上。）
小青龙汤下已多唾口燥，寸脉沉，尺脉微，手足厥逆，气从小腹上冲胸咽，手足痹，其
面翕热如醉状，因复下流阴股，小便难时复冒者，与桂苓五味甘草汤，治其气冲方∶
茯苓（四两） 桂心 甘草（各三两） 五味子（半升）
上四味 咀，以水八升，煮取三升，去滓，温分三服。
冲气即低而反更咳胸满者，苓甘五味姜辛汤以治其咳满方∶
茯苓（四两） 甘草 干姜 细辛（各三两） 五味子（半升）
上五味 咀，以水八升，煮取三升，去滓，温服半升，日三。
咳满即止而更复渴冲气复发者，以细辛、干姜为热药也，服之当遂渴，而渴反止者，为
支饮也。支饮法当冒冒者必呕，呕者复纳半夏，以去其水。桂苓五味甘草去桂加姜辛半夏汤
方∶
半夏 五味子（各半升） 茯苓（四两） 细辛 干姜 甘草（各二两）
上六味 咀，以水一斗，煮取三升，去滓，温服半升，日三。
水去呕止，其人形肿者应用麻黄。以其人遂痹，故不纳麻黄，纳杏仁、茯苓、甘、五味
，加姜辛半夏杏仁汤方∶
杏仁 半夏 五味子（各半升） 茯苓（四两） 细辛 干姜 甘草（各三两）
上七味 咀，以水一斗，煮取三升，去滓，温服半升，日三。
若逆而纳麻黄，其人必厥，所以然者，以其人血虚，麻黄发其阳故也。
若面热如醉，此为胃热上冲熏其面，加大黄利之。芩甘五味加姜辛半杏大黄汤方∶
大黄 细辛 干姜 甘草（各三两） 茯苓（四两） 杏仁 半夏 五味子（各半升）
上八味 咀，以水一斗，煮取三升，去滓，温服半升，日三。
咳而上气肺胀，其脉浮，心下有水气，胁下痛引缺盆，设若有实者必躁，其人常倚伏，
小青龙加石膏汤主之方∶
石膏 干姜 桂心 细辛（各二两） 麻黄（四两） 芍药 甘草（各三两） 半夏（半
升）
五味
上九味 咀，以水一斗，先煮麻黄，减二升，去沫，下药，煮取二升半，强者服一升
。羸者减之，小儿服四合。（仲景治肺胀咳而上气，烦躁而喘，脉浮者，心下有水。《外台》
同）。
治疗咳嗽气逆、倚靠呼吸、无法平卧的病证（方剂见第九卷《伤寒上篇》）。
服用小青龙汤后，若出现多唾、口燥，寸脉沉，尺脉微，手足厥冷，气从小腹向上冲至胸咽，手足麻木痹痛，面部潮红发热如同醉酒之状，随后热气下行至大腿内侧，小便困难且时常头晕目眩者，给予桂苓五味甘草汤，以治疗其气上冲的症状。方如下：
茯苓（四两） 桂心 甘草（各三两） 五味子（半升）
以上四味药，捣碎，用水八升，煮取三升，去渣，分三次温服。
若气上冲之势降低，反而出现咳嗽、胸满者，用苓甘五味姜辛汤来治疗咳嗽和胸满。方如下：
茯苓（四两） 甘草 干姜 细辛（各三两） 五味子（半升）
以上五味药，捣碎，用水八升，煮取三升，去渣，每次温服半升，每日三次。
若咳嗽和胸满停止，却又出现口渴且气上冲复发的情况，这是因为细辛、干姜属于热性药物，服用后应当感到口渴；如果反而不渴，这是支饮（水饮停聚于胸膈）的表现。支饮通常会导致头晕，头晕者必然伴有呕吐，此时应加入半夏，以去除水饮。方为桂苓五味甘草去桂加姜辛半夏汤：
半夏 五味子（各半升） 茯苓（四两） 细辛 干姜 甘草（各二两）
以上六味药，捣碎，用水一斗，煮取三升，去渣，每次温服半升，每日三次。
若水饮已去、呕吐停止，但患者身体浮肿，本应用麻黄。但因患者已有手足痹痛，故不使用麻黄，而改用杏仁、茯苓、甘草、五味子，并加入干姜、细辛、半夏，组成加姜辛半夏杏仁汤。方如下：
杏仁 半夏 五味子（各半升） 茯苓（四两） 细辛 干姜 甘草（各三两）
以上七味药，捣碎，用水一斗，煮取三升，去渣，每次温服半升，每日三次。
如果违背上述原则误用麻黄，患者必定会出现四肢厥冷。之所以如此，是因为患者血虚，而麻黄会发散阳气所致。
如果面部发热如同醉酒，这是胃热上冲熏蒸面部所致，应加大黄以通利泄热。方为芩甘五味加姜辛半杏大黄汤：
大黄 细辛 干姜 甘草（各三两） 茯苓（四两） 杏仁 半夏 五味子（各半升）
以上八味药，捣碎，用水一斗，煮取三升，去渣，每次温服半升，每日三次。
若咳嗽伴气逆、肺胀，脉象浮，心下有停饮，胁下疼痛牵引缺盆穴，假设有实邪则必见烦躁，患者常需倚靠或伏卧休息，用小青龙加石膏汤主治。方如下：
石膏 干姜 桂心 细辛（各二两） 麻黄（四两） 芍药 甘草（各三两） 半夏（半升） 五味子
以上九味药，捣碎，用水一斗，先煮麻黄，减去二升水量，撇去浮沫，再加入其他药物，煮取二升半，体质强壮者服一升。体质虚弱者减量，小儿服四合。（张仲景治疗肺胀，咳嗽气逆，烦躁喘息，脉浮，心下有停饮。《外台秘要》记载相同）。
Treats cough with qi reversal, inability to lie flat relying on support for breathing (Formula see Volume 9, Shanghan Upper).
After administering Xiao Qing Long Tang (Minor Blue Dragon Decoction), if symptoms include excessive salivation, dry mouth, deep pulse at the Cun position, faint pulse at the Chi position, cold extremities, Qi rushing upward from the lower abdomen to the chest and throat, numbness and bi-syndrome in the hands and feet, facial flushing and heat resembling drunkenness, followed by heat flowing downward into the inner thighs, difficult urination, and occasional dizziness, administer Gui Ling Wu Wei Gan Cao Tang (Cinnamon Twig, Poria, Schisandra, and Licorice Decoction) to treat the rising Qi. Formula as follows:
Fuling (Poria, 4 liang) Guixin (Cinnamon Twig Heart) Gancao (Licorice Root, each 3 liang) Wuweizi (Schisandra Berry, half sheng)
The above four ingredients are crushed, boiled in 8 sheng of water until reduced to 3 sheng, strained, and taken warm in three divided doses.
If the rising Qi subsides but is replaced by cough and chest fullness, use Ling Gan Wu Wei Jiang Xin Tang (Poria, Licorice, Schisandra, Dried Ginger, and Asarum Decoction) to treat the cough and fullness. Formula as follows:
Fuling (Poria, 4 liang) Gancao (Licorice Root) Ganjiang (Dried Ginger) Xixin (Asarum, each 3 liang) Wuweizi (Schisandra Berry, half sheng)
The above five ingredients are crushed, boiled in 8 sheng of water until reduced to 3 sheng, strained, and taken warm, half sheng per dose, three times daily.
If the cough and fullness cease but thirst recurs along with the resurgence of rising Qi, this is due to the heating nature of Xixin (Asarum) and Ganjiang (Dried Ginger); taking them should cause thirst. If thirst does not occur, it indicates Zhi Yin (Fluid Retention in the Chest/Diaphragm). Zhi Yin typically causes dizziness, and those who dizzy often vomit; in such cases, Banxia (Pinellia Tuber) is added to eliminate fluid retention. The formula is Gui Ling Wu Wei Gan Cao Qu Gui Jia Jiang Xin Ban Xia Tang (Cinnamon Twig, Poria, Schisandra, Licorice Decoction minus Cinnamon Twig plus Dried Ginger, Asarum, and Pinellia):
Banxia (Pinellia Tuber) Wuweizi (Schisandra Berry, each half sheng) Fuling (Poria, 4 liang) Xixin (Asarum) Ganjiang (Dried Ginger) Gancao (Licorice Root, each 2 liang)
The above six ingredients are crushed, boiled in 1 dou of water until reduced to 3 sheng, strained, and taken warm, half sheng per dose, three times daily.
If fluid retention is eliminated and vomiting stops, but the patient presents with edema, Mahuang (Ephedra) should theoretically be used. However, because the patient already has numbness/bi-syndrome, Mahuang (Ephedra) is contraindicated. Instead, Xingren (Apricot Seed), Fuling (Poria), Gancao (Licorice Root), Wuweizi (Schisandra Berry), Ganjiang (Dried Ginger), Xixin (Asarum), and Banxia (Pinellia Tuber) are used. Formula: Jia Jiang Xin Ban Xia Xing Ren Tang (Decoction Plus Dried Ginger, Asarum, Pinellia, and Apricot Seed):
Xingren (Apricot Seed) Banxia (Pinellia Tuber) Wuweizi (Schisandra Berry, each half sheng) Fuling (Poria, 4 liang) Xixin (Asarum) Ganjiang (Dried Ginger) Gancao (Licorice Root, each 3 liang)
The above seven ingredients are crushed, boiled in 1 dou of water until reduced to 3 sheng, strained, and taken warm, half sheng per dose, three times daily.
If Mahuang (Ephedra) is incorrectly administered against this pattern, the patient will definitely experience cold extremities (Jue). This is because the patient has Blood deficiency, and Mahuang (Ephedra) disperses Yang Qi.
If the face is hot like drunkenness, this is caused by Stomach Heat rushing upward to flush the face; Da Huang (Rhubarb Root) should be added to promote purgation. Formula: Qin Gan Wu Wei Jia Jiang Xin Ban Xing Da Huang Tang (Note: Text says "Qin" likely referring to Huangqin or a typo for another herb, but strictly translating text provided: Huangqin/Ginseng/etc. Contextually usually implies adding Da Huang to the previous base. *Correction based on standard texts*: The text says "Qin Gan...", likely implying Huangqin or just a name variation, but I will translate literally as written "Qin Gan..." or assume standard modification. Given the list below includes Da Huang, Xixin, etc., I will translate the formula name as given). Formula: Qin Gan Wu Wei Jia Jiang Xin Ban Xing Da Huang Tang:
Da Huang (Rhubarb Root) Xixin (Asarum) Ganjiang (Dried Ginger) Gancao (Licorice Root, each 3 liang) Fuling (Poria, 4 liang) Xingren (Apricot Seed) Banxia (Pinellia Tuber) Wuweizi (Schisandra Berry, each half sheng)
The above eight ingredients are crushed, boiled in 1 dou of water until reduced to 3 sheng, strained, and taken warm, half sheng per dose, three times daily.
For cough with Qi reversal, Lung distension (Fei Zhang), floating pulse, fluid retention under the heart, hypochondriac pain radiating to the Qimen acupoint, and if excess pathogen causes irritability, with the patient often leaning or lying prone, Xiao Qing Long Jia Shi Gao Tang (Minor Blue Dragon Decoction plus Gypsum) is the primary treatment. Formula as follows:
Shigao (Gypsum) Ganjiang (Dried Ginger) Guixin (Cinnamon Twig Heart) Xixin (Asarum, each 2 liang) Mahuang (Ephedra, 4 liang) Shaoyao (Peony Root) Gancao (Licorice Root, each 3 liang) Banxia (Pinellia Tuber, half sheng) Wuweizi (Schisandra Berry)
The above nine ingredients are crushed, boiled in 1 dou of water. First boil Mahuang (Ephedra) to reduce volume by 2 sheng, skim off foam, then add remaining herbs. Boil until reduced to 2.5 sheng. Strong patients take 1 sheng. Weak patients take less. Children take 4 he. (Zhang Zhongjing treats Lung distension with cough and Qi reversal, irritability, panting, floating pulse, and fluid retention under the heart. Wai Tai Mi Yao records the same).