干姜 桂心 踯躅花 芎 紫菀 芫花根皮（各二分） 蜈蚣（一枚，去头、足，炙）
细辛 甘草（炙） 鬼督邮 人参 半夏（洗，各一分）
上十二味为细末，炼蜜丸如大豆许。每服五丸，米饮下，日三。未知加至七、八丸，
服此药无不瘥。忌羊肉、饧、生葱、生菜、海藻、菘菜。
疗五嗽。一气嗽，二痹嗽，三燥嗽，四邪嗽，五冷嗽，悉疗之方。
蜈蚣（二枚，炙） 芫花根（五分，熬） 踯躅花（炒） 干姜 芎 桂心（各四分）
人参 细辛（各二分）
上为末，炼蜜丸如梧桐子大。米饮下一十丸，日三服，加至十五丸。忌生葱、生菜。
夫喘之为病，黄帝问岐伯，岐伯对曰∶夜行则喘出于肾，淫气病肺。有所堕恐，喘出于
肝，淫气害脾。有所惊恐，喘出于肺，淫气伤心。度水跌扑，喘出于肾与骨，当是之时，勇
者气行则已，怯者则着而为病也。原疾之由，虽曰皆本于肺与气，然感外邪，则有太阳证，
脉浮无汗而喘者，宜麻黄汤。阳明病，汗出不恶寒，腹满而喘有潮热者，宜承气汤。若表
邪未解，误服下利药不止，脉促，喘而汗出者，宜葛根黄连黄芩汤。若微喘者，桂枝浓朴杏
子汤。汗出而喘，若无大热者，宜麻黄杏子甘草石膏汤。若表邪未解，心下停水，发热而喘
或呕者，小青龙汤去麻黄加杏仁主之。若阴证喘促者，四肢逆冷，脉息沉细，或寸大尺小
，或六脉促疾；或心下胀满结硬，或冷汗自出，或大便频数、上气喘促，或咽喉不利者，此
是本气极虚，内外挟寒冷所致。使阴寒内消、阳气得复则愈，宜返阴丹主之（以上方并见
《百问》，不复录）。仆且以大概而言之，诸脏相乘而喘者，以杏子散。如感寒伏热而喘者，
以华盖散、九宝汤。若暴寒、向火覆衣被过当，伤热肺实而喘促者，其状多有热证，宜洗心
散，冷水调服。若因气宇不调，痰盛喘促者，宜四七汤兼官局桔梗汤，姜煎服。若涎多而喘
者，宜千缗汤、橘皮半夏汤。若不得卧，卧即喘者，此由水气逆行，上乘于肺，肺得水则浮
而升，使气不得通流，其脉沉大，宜神秘汤。肺之积，名曰息贲，在右胁下，大如杯，令人
洒淅恶寒，喘咳，发痈疽，宜枣膏丸。若上气喘者，神授汤。若上盛下弱而喘促者，宜苏子
降气汤吞黑锡丹。若尊年之人，素来禀赋太浓，不任热药者，不可轻投丹剂及诸热药，但
以秘传降气汤、分心气饮论之，梗概不出于此矣。若素有香港脚而喘者，当作香港脚治之。又有
骨蒸劳喘，自有专门，不敢滥及。
干姜、桂心、踯躅花、川芎、紫菀、芫花根皮（各二分），蜈蚣（一枚，去掉头、足，炒炙）。
细辛、甘草（炒炙）、鬼督邮、人参、半夏（洗过，各一分）。
以上十二味药研成细末，用炼蜜制成如大豆大小的丸剂。每次服用五丸，米汤送服，每日三次。如果效果不明显，可加至七到八丸。服用此药没有不好的疗效。忌食羊肉、饴糖、生葱、生菜、海藻、白菜。
治疗五种咳嗽：气嗽、痹嗽、燥嗽、邪嗽、冷嗽，这是治疗所有这几种咳嗽的方子。
蜈蚣（二枚，炒炙）、芫花根（五分，熬制）、踯躅花（炒制）、干姜、川芎、桂心（各四分），人参、细辛（各二分）。
以上药物研成细末，用炼蜜制成如梧桐子大小的丸剂。米汤送服十丸，每日三次，可加至十五丸。忌食生葱、生菜。
关于喘证这种疾病，《黄帝内经》中黄帝问岐伯，岐伯回答说：夜间行走则气喘源于肾，淫溢之气伤肺。如果有坠落或惊恐之事，气喘源于肝，淫溢之气伤害脾。如果有突然的惊恐，气喘源于肺，淫溢之气伤害心。渡水或跌打损伤，气喘源于肾与骨。在这个时候，勇敢的人气机运行通畅病就好了，怯懦的人则邪气留着成为疾病。追溯疾病的起因，虽然都说根本在于肺和气，但如果感受外邪，出现太阳病证候，脉浮、无汗而喘的，适宜用麻黄汤。阳明病，出汗且不恶寒，腹部胀满而喘且有潮热的，适宜用承气汤。如果表邪未解，误服泻下药导致不止，脉促，喘且出汗的，适宜用葛根黄连黄芩汤。如果轻微喘息的，用桂枝加厚朴杏子汤。出汗且喘息，如果没有大热的，适宜用麻黄杏仁甘草石膏汤。如果表邪未解，胃脘部有水饮停留，发热而喘或呕吐的，用小青龙汤去掉麻黄加上杏仁为主治之。如果是阴证导致的喘促，四肢逆冷，脉象沉细，或者寸脉大尺脉小，或者六脉急促疾速；或者胃脘部胀满结硬，或者冷汗自出，或者大便频数、上气喘促，或者咽喉不利的，这是本气极度虚弱，内外夹杂寒冷所致。使阴寒内消、阳气恢复就会痊愈，适宜用返阴丹主治（以上方剂均见于《百问》，不再重复收录）。我姑且概括地说，诸脏相乘导致喘证的，用杏子散。如感受寒邪伏热导致喘证的，用华盖散、九宝汤。如果是暴受寒邪，对着火取暖或覆盖衣被过多，导致热伤肺实而喘促的，其症状多有热证，适宜用洗心散，用冷水调服。如果是因气机不调，痰多导致喘促的，适宜用四七汤兼服官局桔梗汤，加生姜煎服。如果是痰涎多而喘的，适宜用千缗汤、橘皮半夏汤。如果不能平卧，一躺下就喘的，这是由于水气逆行，上乘于肺，肺得水则上浮而升，导致气机不得通流，其脉象沉大，适宜用神秘汤。肺部的积块，名叫息贲，在右胁下，大小如杯，使人洒淅恶寒，喘咳，发为痈疽，适宜用枣膏丸。如果是上气喘逆的，用神授汤。如果是上盛下虚而喘促的，适宜用苏子降气汤吞服黑锡丹。如果是年老之人，素来禀赋浓厚，不能耐受热药的，不可轻易投用丹剂及各种热药，只需用秘传降气汤、分心气饮来讨论，大概不出于此了。如果素有脚气病而喘的，应当按脚气病治疗。又有骨蒸劳喘，自有专门论述，不敢随意涉及。
Dried Ginger (Ganjiang), Cinnamon Twig (Guixin), Rhododendron Flower (Zhi Zhu Hua), Ligusticum Wallichii Root (Xiong), Aster Tataricus Root (Zi Wan), Genkwa Flower Bark (Yuanhua Genpi) (each 2 fen); Centipede (Wugong) (one piece, remove head and feet, roast).
Asarum (Xixin), Licorice Root (Gancao) (roasted), Aristolochia Manshuriensis Stem (Guidu You), Ginseng Root (Renshen), Pinellia Tuber (Banxia) (washed, each 1 fen).
The above twelve ingredients are ground into a fine powder. Honey is refined to make pills the size of soybeans. Take five pills per dose, with rice water, three times a day. If the effect is not obvious, increase to seven or eight pills. There is no case where this medicine fails to cure. Avoid mutton, malt sugar, raw green onion, raw vegetables, kelp, and cabbage.
Treats five types of cough: Qi cough, Bi cough, Zao cough, Xie cough, and Leng cough. This is the formula for treating all of them.
Centipede (Wugong) (two pieces, roasted), Genkwa Root (Yuanhua Gen) (5 fen, boiled), Rhododendron Flower (Zhi Zhu Hua) (stir-fried), Dried Ginger (Ganjiang), Ligusticum Wallichii Root (Xiong), Cinnamon Twig (Guixin) (each 4 fen), Ginseng Root (Renshen), Asarum (Xixin) (each 2 fen).
The above ingredients are ground into a powder. Honey is refined to make pills the size of Chinese walnut seeds. Take ten pills per dose with rice water, three times a day, increasing to fifteen pills. Avoid raw green onions and raw vegetables.
Regarding the disease of panting/wheezing (Chuan), Huangdi asked Qibo in the *Huangdi Neijing*. Qibo replied: Walking at night causes panting originating from the Kidney, with excessive pathogenic qi damaging the Lung. Falling or fear causes panting originating from the Liver, with excessive pathogenic qi harming the Spleen. Sudden fright causes panting originating from the Lung, with excessive pathogenic qi damaging the Heart. Wading through water or falling/injury causes panting originating from the Kidney and bones. At such times, courageous people recover as their Qi flows smoothly, while timid people retain the pathogen and become ill. Tracing the origin of the disease, although it is said that all stem from the Lung and Qi, if external pathogens are contracted presenting with Taiyang syndrome (Taiyang Disease - a pattern of exterior excess cold), characterized by floating pulse, absence of sweating, and panting, Mahuang Tang (Ephedra Decoction) is appropriate. For Yangming disease (Yangming Syndrome - interior heat excess), characterized by sweating, aversion to cold absent, abdominal fullness, panting, and tidal fever, Chengqi Tang (Bowel-Purging Decoction) is appropriate. If the exterior pathogen has not resolved, and purgatives were mistakenly taken causing unceasing diarrhea, with a rapid/intermittent pulse, panting, and sweating, Gegen Huanglian Huangqin Tang (Kudzu, Coptis, and Scutellaria Decoction) is appropriate. For mild panting, Guizhi Houpo Xizi Tang (Cinnamon Twig, Magnolia Bark, and Apricot Seed Decoction) is used. For sweating and panting without significant heat, Mahuang Xingzi Gancao Shigao Tang (Ephedra, Apricot Seed, Licorice, and Gypsum Decoction) is appropriate. If the exterior pathogen has not resolved, fluid retention in the epigastrium exists, accompanied by fever, panting, or vomiting, Xiao Qinglong Tang (Minor Blue Dragon Decoction) with Ephedra removed and Apricot Seed added is the primary treatment. For panting due to Yin syndrome (Cold-Excess pattern), characterized by cold limbs, deep/thin pulse, or large cun/small chi pulse, or rapid/hurried six-pulse positions; or epigastric distension and hardness, spontaneous cold sweat, frequent bowel movements, upper body panting, or throat obstruction, this is due to extreme deficiency of original Qi and internal/external cold-dampness. Restoring Yang and dissipating internal Yin-cold will lead to recovery; Fanyin Dan (Return to Yin Pill) is appropriate (the above formulas are found in *Baiwen*, so they are not repeated here). I will speak generally: For panting caused by mutual overacting of the Zang organs, Xingzi San (Apricot Seed Powder) is used. For panting due to cold constraint and latent heat, Huagai San (Canopy Powder) and Jiubao Tang (Nine Treasures Decoction) are used. For acute cold exposure, excessive warming by fire or heavy clothing covering, leading to heat injuring the Lung causing excess panting, which presents with many heat symptoms, Xixin San (Mind-Washing Powder) mixed with cold water is appropriate. For panting due to disharmony of Qi mechanism and profuse phlegm, Siqi Tang (Four Seven Decoction) combined with Official Bureau Jiegeng Tang (Platycodon Decoction), decocted with ginger, is appropriate. For panting with excessive saliva/phlegm, Qianmin Tang (Thousand String Decoction) and Chuanpi Banxia Tang (Tangerine Peel and Pinellia Decoction) are appropriate. For inability to lie flat, with panting upon lying down, this is due to reverse flow of Water-Qi ascending to the Lung. The Lung floats and rises when receiving water, preventing smooth Qi flow; the pulse is deep and large; Shenmi Tang (Mysterious Secret Decoction) is appropriate. The accumulation in the Lung is named Xiben (Breath-Rising Accumulation), located under the right hypochondrium, the size of a cup, causing shivering aversion to cold, panting and cough, and potentially carbuncles/fistulas; Zaogao Wan (Jujube Paste Pill) is appropriate. For upper body Qi rebellion causing panting, Shenshou Tang (Divine Bestowal Decoction) is used. For upper excess and lower deficiency causing panting, Suzi Jiangqi Tang (Perilla Seed Descending Qi Decoction) taken with swallowing Heixi Dan (Black Tin Pill) is appropriate. For elderly people who naturally have a robust constitution and cannot tolerate hot medicines, do not lightly administer Dan agents or various hot medicines. Instead, discuss using Michuan Jiangqi Tang (Secret Transmission Descending Qi Decoction) and Fenxin Qi Yin (Separate Heart Qi Drink); the general principles do not exceed these. If one has chronic gout (Hongjiao - often referring to severe leg swelling/pain or metabolic disorder in ancient texts) accompanied by panting, it should be treated as gout. Furthermore, bone-steaming consumptive panting (Guzheng Laochuan) has its own specialized discussions, so I dare not indiscriminately cover it.