脉辨咳嗽所因。浮风紧寒。数热细湿。房劳虚涩。右关濡者。饮食伤脾。左关弦短。疲
极肝
衰。浮短肺伤。法当咳嗽。五脏之嗽。各视本部。浮紧虚寒。沉数实热。洪滑多痰。弦涩少
血。形盛脉细。不足以息。沉小伏匿。皆是死脉。惟有浮大而嗽者生。夫咳谓有声。肺气伤
而不清。嗽谓有痰。脾湿动而生痰。咳嗽者。因伤肺气。而动脾湿也。病本须分六气五脏之
殊。而其要皆主于肺。盖肺主气而声出也。戴云。因风寒者。鼻塞声重恶寒者是也。因火者
有声痰少面赤者是也。因劳者盗汗出。兼痰者多作恶热。肺胀者动则喘满。气急息重。痰
者。嗽动便有痰声。痰出嗽止。五者大概耳。亦当明其是否也。治法须分新久虚实。新病风
寒则散之。火热则清之。痰涎则化之。湿热则泻之。久病便属虚属郁。气虚则补气。血虚则
补血。兼郁则开郁。滋之润之。敛之降之。则治虚之法也。
一论四时感冒。发热头痛。咳嗽声重。涕唾稠粘。中脘痞满。呕吐痰水。宽中快膈。不
致伤脾。此药大解肌热。将欲成劳。痰嗽喘热并效用。
参苏饮
紫苏叶 前胡 桔梗 枳壳（去穣） 干葛 陈皮 半夏（汤泡） 白茯苓（去皮各一钱
）甘草（三分） 人参（五分） 木香（三分初病热嗽去之）
上锉一剂。姜、枣煎服。若天寒感冒。恶寒无汗。咳嗽喘急。或伤风无汗。鼻塞声重。
加麻黄一钱、杏仁一钱、金沸草一钱以汗散之。若初感冒。肺多有热。加杏仁、桑皮、黄芩
、乌梅。胸满痰多。加栝蒌仁。气促喘嗽。加知母、贝母。肺寒咳嗽。加五味、干姜。心
下痞闷。烦热嘈杂恶心。停酒不散。加姜炒黄连。枳实、干葛、陈皮倍用之。鼻衄。加乌梅
、麦门冬、白茅根。火盛发热。加柴胡、黄芩。头痛。加川芎、细辛。咳嗽吐血。加升麻、
牡丹皮、生地黄。心热咳嗽久不愈。加知母、麦门冬。见血。加阿胶、生地黄、乌梅、赤芍
、牡丹皮。吐血痰嗽。加四物汤。名茯苓补心汤。妊娠伤寒。去半夏。加香附。
一论上气喘逆。咽喉不利。痰滞咳嗽。口舌干渴。
二母清顺汤
天门冬（去心一钱） 麦门冬（去心一钱） 知母（姜汤浸二钱） 贝母（甘草汤洗二钱） 人
参（五分） 当归身（一钱） 枯芩（一钱） 元参（一钱） 山栀子（炒一钱） 桔梗（一钱） 天花
粉（一钱） 薄荷（七分） 生甘草（三分）
上锉。水煎服。
清热宁嗽化痰定喘丸
橘红（五钱） 青黛（三钱） 贝母（七钱） 胆星（一两） 天花粉（七钱） 桑白皮（七钱）
杏仁（去皮尖七钱） 桔梗（七钱） 黄芩（五钱） 前胡（七钱） 甘草（三钱）
上为细末。炼蜜为丸。如龙眼大。每服一丸。淡姜汤化下。
一论痰嗽。服前方不效者。多属气血虚弱。四肢沉困。宜八物汤。加黄柏、知母、贝母
、门冬、五味、栝蒌、紫苏、陈皮等分。姜枣煎服。
一论咳嗽。早间吐痰甚多。夜间喘急不寐。然早间多痰。乃脾虚饮食
所化。夜间喘急。乃肺虚阴火上冲。以后方服之。
补中益气汤（方见内伤） 根据本方加麦门冬、五味子。
六味地黄丸（方见补益） 根据本方加麦门冬、五味子。
一论伤风寒鼻流清涕。寒噤喷嚏。此脾肺气虚。不能实腠理。以补中益气汤主之。
一论咳嗽面白。鼻流清涕。此肺气虚而兼外邪。补中益气汤加茯苓、半夏、五味而愈。
一论咳嗽吐痰。失音声哑。此元气虚弱而致也。补中益气汤加黄柏、知母、天门冬、麦
门冬、五味、杏仁、黄芩、栝蒌仁。
一论咳嗽吐痰。手足时冷。此脾肺虚寒。以补中益气汤加炮姜、半夏。
一论声音不出。用新槐花不拘多少。瓦上慢火炒焦。置怀中袖中。时时将一二粒。口中
咀嚼咽之。使喉中常有味。久声自出。
一治言语不出。用
诃子（三个） 真苏子（二钱） 杏仁（二十个） 百药煎（二两）
上为末。每服二钱。热汤调服。
一治久嗽。语音不出。
诃子（去核一两） 杏仁（泡去皮尖一两） 通草（二钱）
上锉。每服四钱。煨姜五片。水煎。食后温服。
一论年老人。日久咳嗽。不能卧者。多年不愈。用
猪板油（四两） 蜂蜜（四两） 米糖（四两）
上三味。熬化成膏。时刻挑一匙。口中噙化。三五日其嗽自止。
一论久年咳嗽吐痰。
银杏膏
陈细茶（四两略焙为细末） 白果肉（四两一半去白膜一半去红膜擂烂） 核桃肉（四两擂）
家蜜（半斤）
上药。入锅内炼成膏。不拘时服。
一治久咳不瘥。并虚劳喘嗽。
紫菀（去芦头） 款冬花（各二两） 百部（五钱）
上为末。每服三钱。生姜三片。乌梅一个。同煎汤调下。食后卧睡时各一服。
一论久嗽。并连嗽四五十声者。用连皮生姜自然汁一勺。加白蜜二茶匙。同放茶碗内。
煎一滚。温服三四次即止。
一切咳嗽上气者。一道士专卖此药。不拘新久皆效。
干姜 桂心（紫色辛辣者去皮） 皂荚（泡去皮子肥大无孔者）
上三味。并另捣。下筛了。各秤分两和合。后更捣筛一遍。炼白蜜搜和。又捣一二千杵
每服三丸。如梧桐子大。不限食之先后。嗽发即服。日进三五服。忌葱蒜油腻面食。
一论年久近日咳嗽哮吼喘急等症。
神吸散 国子博士颜心吾传。
鹅管石（火 醋淬七次一钱） 余粮石（火 醋淬七次一钱） 粉草（三分） 枯白矾（五分）
石膏（ 五分） 款冬花（五分）
上为细末。每服三分二厘。准秤。至夜食后。静坐片时。将药放纸上。以竹筒五寸长。
直插
喉内。用力吸药。速亦不怕。吸药令尽为度。以细茶一口。漱而咽之。忌鸡鱼羊鹅一切动风
发物。并生冷诸物。惟食白煮猪肉鸡子。戒三七日。宜用公猪肺一副。加肉半斤。栀子一岁
多少用之。同炒至熟烂。去药。至五更。病患不要开口言。
语。令人将汤肺喂之。病患嚼吃任用。余者过时再食效。
一论久嗽痰喘。百药不效。并年久不瘥者。或能饮酒人。久嗽尤效。
清金膏 曲阜令孔桂窗传。
天门冬（去心八两） 麦门冬（去心四两） 贝母（四两） 杏仁（去皮四两） 半夏（姜制四
两
）
上五味切片。水熬去渣。取汁五碗。入白粉葛末四两。蜜一斤。共煎汁入坛内。重汤煮
一日。成膏取出。每日无时。频频服之。
一人时唾痰涎。内热作渴。肢体倦怠。劳而足热。用清气化痰。益甚。余曰。此肾水泛
而为
痰。法当补肾。不信。另进滚痰丸一服。吐泻不上。饮食不入。头晕眼闭。始信余。用六君
子汤数剂。胃气渐复。却用六味丸。月余诸症悉愈。
一人咳嗽气喘。鼻塞流涕。余用参苏饮一剂。以散寒邪。更用补中益气。以实腠理而愈
后因
劳怒。仍作。自用前饮。益甚。加黄连、枳实。腹胀不食。小便短少。二陈四苓。前症愈剧
小便不通。余曰。腹胀不食。脾胃虚。小便短少。肺肾虚也。悉因攻伐所致。投以六君子
加黄 、炮姜、五味二剂。诸症顿退。再用补中益气。加炮姜、五味。数剂全愈。
一治咳嗽秘方
款冬花（三钱） 石膏（三钱） 硼砂（七厘） 甘草（三钱）
上为末。吹入喉内。用细茶漱下。即好。
辨别咳嗽的脉象以明确病因。脉浮主风邪，脉紧主寒邪，脉数主热邪，脉细主湿邪，脉涩主房劳导致的虚损。右关脉濡软，是饮食损伤脾胃所致；左关脉弦而短，是疲劳过度、肝气衰竭的表现。脉浮短提示肺脏受伤，应当出现咳嗽症状。五脏引起的咳嗽，需分别观察其对应脏腑部位的脉象。脉浮紧且虚为寒证，脉沉数为实热证，脉洪滑多伴有痰湿，脉弦涩提示血少。形体壮盛但脉象细弱，呼吸微弱不足以接续，脉象沉小隐伏匿藏，这些都是死脉。唯有脉象浮大且伴有咳嗽的，尚有生机。所谓“咳”，是指有声无痰，是肺气受损而不清肃所致；所谓“嗽”，是指有痰无声（或声轻），是脾湿运化失常而生痰所致。咳嗽并见，是因为伤及肺气，进而触动脾湿。治疗疾病本源，必须区分六淫外感和五脏内伤的不同，但其关键都在于肺。因为肺主气，声音由此发出。戴云指出：因风寒引起的，表现为鼻塞、声音重浊、恶寒；因火邪引起的，表现为有声、痰少、面赤；因劳倦引起的，表现为盗汗；兼有痰湿的，多表现为厌恶燥热；肺胀的，表现为活动后气喘胸闷、气急息重；痰证的，表现为咳嗽时即有痰声，痰出则咳嗽停止。这五种情况是大致的分类，但也应当明辨其是否准确。治疗方法必须区分新病与久病、实证与虚证。新病由风寒引起则用发散法，火热引起则用清热法，痰涎引起则用化痰法，湿热引起则用泻下法。久病多属虚证或郁证，气虚则补气，血虚则补血，兼有郁结则疏解郁结，滋润收敛降逆，这就是治疗虚证的方法。
论述四季感冒。症状包括发热、头痛、咳嗽声音重浊、鼻涕唾液粘稠、中脘部痞闷胀满、呕吐痰水。此方能宽中快膈，不致损伤脾胃。此药能大力解除肌表之热，对于将成虚劳的痰嗽喘热均有疗效。
参苏饮
紫苏叶、前胡、桔梗、枳壳（去瓤）、干葛、陈皮、半夏（汤泡）、白茯苓（去皮，各一钱）、甘草（三分）、人参（五分）、木香（三分，初病热嗽者去掉）。
以上药材锉碎为一剂，加生姜、大枣煎服。若天气寒冷感冒，恶寒无汗，咳嗽喘急，或伤风无汗，鼻塞声重，加麻黄一钱、杏仁一钱、金沸草一钱以发汗散邪。若初次感冒，肺部多有热，加杏仁、桑白皮、黄芩、乌梅。胸满痰多，加瓜蒌仁。气促喘嗽，加知母、贝母。肺寒咳嗽，加五味子、干姜。心下痞闷，烦热嘈杂恶心，饮酒后停滞不散，加姜炒黄连，枳实、干葛、陈皮加倍使用。鼻出血，加乌梅、麦门冬、白茅根。火盛发热，加柴胡、黄芩。头痛，加川芎、细辛。咳嗽吐血，加升麻、牡丹皮、生地黄。心热咳嗽久不愈，加知母、麦门冬。见血，加阿胶、生地黄、乌梅、赤芍、牡丹皮。吐血伴痰嗽，加四物汤，名为茯苓补心汤。孕妇患伤寒，去掉半夏，加香附。
二母清顺汤
天门冬（去心一钱）、麦门冬（去心一钱）、知母（姜汤浸二钱）、贝母（甘草汤洗二钱）、人参（五分）、当归身（一钱）、枯芩（一钱）、元参（一钱）、山栀子（炒一钱）、桔梗（一钱）、天花粉（一钱）、薄荷（七分）、生甘草（三分）。
以上药材锉碎，水煎服。
清热宁嗽化痰定喘丸
橘红（五钱）、青黛（三钱）、贝母（七钱）、胆星（一两）、天花粉（七钱）、桑白皮（七钱）、杏仁（去皮尖七钱）、桔梗（七钱）、黄芩（五钱）、前胡（七钱）、甘草（三钱）。
以上研为细末，炼蜜为丸，如龙眼大小。每服一丸，淡姜汤送服。
论述痰嗽，服用前方无效者，多属于气血虚弱，四肢沉重困倦，宜用八物汤，加黄柏、知母、贝母、门冬、五味子、瓜蒌、紫苏、陈皮等分。加生姜、大枣煎服。
论述咳嗽，早晨吐痰很多，夜间喘急不能入睡。然而早晨多痰，是由于脾虚饮食所化生；夜间喘急，是由于肺虚阴火上冲。服用后方治疗。
补中益气汤（方见内伤篇）根据本方加麦门冬、五味子。
六味地黄丸（方见补益篇）根据本方加麦门冬、五味子。
论述伤风寒导致鼻流清涕，寒战喷嚏，这是脾肺气虚，不能固密腠理，以补中益气汤为主治。
论述咳嗽面色白，鼻流清涕，这是肺气虚兼受外邪，用补中益气汤加茯苓、半夏、五味子可治愈。
论述咳嗽吐痰，失音声哑，这是元气虚弱所致。用补中益气汤加黄柏、知母、天门冬、麦门冬、五味子、杏仁、黄芩、瓜蒌仁。
论述咳嗽吐痰，手足时常发冷，这是脾肺虚寒，用补中益气汤加炮姜、半夏。
论述声音不出，用新槐花不拘多少，在瓦上用慢火炒焦，放在怀中袖中，时时取一二粒，在口中咀嚼咽下，使喉中常有味，时间久了声音自然恢复。
一治言语不出，用诃子（三个）、真苏子（二钱）、杏仁（二十个）、百药煎（二两）。
以上研为末，每服二钱，热汤调服。
一治久嗽，语音不出，用诃子（去核一两）、杏仁（泡去皮尖一两）、通草（二钱）。
以上锉碎，每服四钱，煨姜五片，水煎，食后温服。
论述老年人，日久咳嗽，不能平卧，多年不愈，用猪板油（四两）、蜂蜜（四两）、米糖（四两）。
以上三味，熬化成膏，时刻挑一匙，含在口中慢慢化开，三五日咳嗽自止。
论述长年咳嗽吐痰，用银杏膏。
陈细茶（四两略焙为细末）、白果肉（四两一半去白膜一半去红膜捣烂）、核桃肉（四两捣烂）、家蜜（半斤）。
以上药物，放入锅内炼成膏，不拘时候服用。
一治久咳不愈，以及虚劳喘嗽，用紫菀（去芦头）、款冬花（各二两）、百部（五钱）。
以上研为末，每服三钱，生姜三片、乌梅一个，同煎汤调下，食后和睡觉时各服一次。
论述久嗽，以及连续咳嗽四五十声的情况，用带皮生姜自然汁一勺，加白蜜二茶匙，同放茶碗内，煮沸，温服三四次即可停止。
一切咳嗽上气的患者，有一位道士专卖此药，无论新久皆有效。
干姜、桂心（紫色辛辣者去皮）、皂荚（泡去皮子肥大无孔者）。
以上三味，分别捣碎，过筛后，称好分量混合，再捣筛一遍，用炼白蜜调和，再捣一二千杵。每服三丸，如梧桐子大小，不限饭前饭后，咳嗽发作即服，每日进服三到五次。忌食葱蒜、油腻面食。
论述年久近日咳嗽、哮吼、喘急等症状。
神吸散，由国子博士颜心吾传授。
鹅管石（火醋淬七次一钱）、余粮石（火醋淬七次一钱）、粉草（三分）、枯白矾（五分）、石膏（五分）、款冬花（五分）。
以上研为细末，每服三分二厘，用准秤称量。到了晚上饭后，静坐片刻，将药放在纸上，用五寸长的竹筒，直插喉内，用力吸入药物，速度快也不怕，以吸尽药物为度。用一口细茶漱口并咽下。忌食鸡鱼羊鹅一切动风发物，以及生冷诸物。只吃白煮猪肉和鸡蛋，戒口三七日。宜用公猪肺一副，加肉半斤，栀子按一岁用量多少加入，同炒至熟烂，去掉药物。到了五更天，病人不要开口说话，让人用汤喂肺给病人吃，病人嚼吃随意，剩下的过时再吃也有效。
论述久嗽痰喘，百药不效，以及年久不愈者，或者能饮酒的人，久嗽尤其有效。
清金膏，由曲阜令孔桂窗传授。
天门冬（去心八两）、麦门冬（去心四两）、贝母（四两）、杏仁（去皮四两）、半夏（姜制四两）。
以上五味切片，水熬去渣，取汁五碗，入白粉葛末四两，蜜一斤，共煎汁入坛内，隔水蒸煮一日，成膏取出。每日随时，频频服用。
一人时常唾吐痰涎，内热作渴，肢体倦怠，劳累后足部发热，用清气化痰法，病情反而加重。我说，这是肾水泛滥而为痰，法当补肾。他不信，另服滚痰丸一剂，导致吐泻不止，饮食不入，头晕眼闭，这才相信我的话。我用六君子汤数剂，胃气渐复，却用六味丸，月余诸症悉愈。
一人咳嗽气喘，鼻塞流涕，我用参苏饮一剂，以散寒邪，更用补中益气汤，以固密腠理而痊愈。后因劳累发怒，旧病复发，自用前药，病情加重，加黄连、枳实，导致腹胀不食，小便短少，用二陈汤合四苓散，前症加剧，小便不通。我说，腹胀不食，是脾胃虚；小便短少，是肺肾虚。全因攻伐太过所致。投以六君子汤加黄芪、炮姜、五味子二剂，诸症顿退，再用补中益气汤加炮姜、五味子，数剂全愈。
Differentiate the pulse of cough to identify the cause. A floating pulse indicates wind, a tight pulse indicates cold, a rapid pulse indicates heat, a fine pulse indicates dampness, and a choppy pulse indicates deficiency due to sexual exhaustion. A soggy pulse at the right Guan position indicates spleen injury from diet; a wiry and short pulse at the left Guan position indicates liver depletion from extreme fatigue. A floating and short pulse indicates lung injury, which should manifest as cough. Coughs originating from the five zang organs should be viewed according to their respective organ positions. A floating and tight pulse with deficiency indicates cold; a deep and rapid pulse with excess indicates heat; a surging and slippery pulse often involves phlegm; a wiry and choppy pulse indicates blood deficiency. If the body is robust but the pulse is fine, and breathing is insufficient to sustain itself, or if the pulse is deep, small, and hidden, these are all death pulses. Only those with a floating and large pulse accompanied by cough have a chance of survival. "Ke" (cough) refers to sound without phlegm, caused by lung qi injury and lack of clarity. "Sou" (phlegmy cough) refers to phlegm production, caused by spleen dampness generating phlegm. Coughing together results from lung qi injury stirring up spleen dampness. The root of the disease must distinguish between the six qi pathogens and the five zang organs, but the key lies in the lungs, as the lungs govern qi and voice. Dai Yun stated: Caused by wind-cold, symptoms include nasal congestion, heavy voice, and aversion to cold; caused by fire, symptoms include sound, little phlegm, and red face; caused by labor, symptoms include night sweats; combined with phlegm, symptoms often include aversion to heat; lung distension manifests as panting and fullness upon movement,急促 breathing and heavy respiration; phlegm syndrome manifests as phlegm sounds upon coughing, stopping when phlegm is expelled. These are general categories, but one must clarify their accuracy. Treatment methods must distinguish between new and old diseases, and excess and deficiency. New diseases caused by wind-cold are dispersed; those caused by fire-heat are cleared; those with phlegm-saliva are transformed; those with damp-heat are purged. Old diseases belong to deficiency or stagnation; qi deficiency is tonified, blood deficiency is nourished, stagnation is opened, moistened, collected, and descended; this is the method for treating deficiency.
Discuss seasonal common cold. Symptoms include fever, headache, cough with heavy voice, thick sticky sputum, epigastric fullness, vomiting of phlegm-water. This formula relaxes the middle and pleases the diaphragm, preventing spleen injury. This medicine greatly resolves muscle-layer heat and is effective for phlegm-cough, panting, and heat that may develop into consumptive disease.
Shen Su Yin (Ginseng and Perilla Decoction)
Perillae Folium (Zisuye), Peucedani Radix (Qianhu), Platycodonis Radix (Jiegeng), Aurantii Fructus (Zhike, remove pith), Puerariae Radix (Gange), Citri Reticulatae Pericarpium (Chenpi), Pinelliae Rhizoma Preparatum (Banxia, soaked in water), Poria (Fuling, peeled), each 1 qian; Glycyrrhizae Radix et Rhizoma (Gancao), 3 fen; Ginseng Radix (Renshen), 5 fen; Aquilariae Lignum Resinatum (Muxiang), 3 fen (remove if initial illness involves hot cough).
Crush these into one dose, decoct with ginger and jujube. If cold weather causes common cold with aversion to cold, no sweat, cough, and急促 breathing, or wind-strike with no sweat, nasal congestion, and heavy voice, add Ephedrae Herba (Mahuang) 1 qian, Armeniacae Semen Amarum (Xingren) 1 qian, and Tussilaginis Flos (Feilicao) 1 qian to induce sweating and disperse pathogen. If initial common cold involves lung heat, add Armeniacae Semen Amarum (Xingren), Morus Cortex (Sangbai), Scutellariae Radix (Huangqin), and Mume Fructus (Wumei). For chest fullness and much phlegm, add Trichosanthis Fructus (Gualouren). For急促 breathing and cough, add Anemarrhenae Rhizoma (Zhimu) and Fritillariae Bulbus (Beimu). For lung cold cough, add Schisandrae Fructus (Wuweizi) and Zingiberis Rhizoma (Ganjiang). For subcardiac fullness, vexation, heat,嘈杂 nausea, and retained alcohol, add Coptidis Rhizoma (Huanglian) stir-fried with ginger, and double the dosage of Aurantii Fructus (Zhishi), Puerariae Radix (Gange), and Citri Reticulatae Pericarpium (Chenpi). For epistaxis, add Mume Fructus (Wumei), Ophiopogonis Radix (Maidong), and Imperatae Rhizoma (Baimaogen). For excessive fire and fever, add Bupleuri Radix (Chaihu) and Scutellariae Radix (Huangqin). For headache, add Ligustici Chuanxiong Rhizoma (Chuanxiong) and Asari Radix et Rhizoma (Xixin). For cough with hemoptysis, add Cimicifugae Rhizoma (Shengma), Moutan Cortex (Mudanpi), and Rehmanniae Radix Preparata (Shengdihuang). For persistent heart-heat cough, add Anemarrhenae Rhizoma (Zhimu) and Ophiopogonis Radix (Maidong). For bleeding, add Donkey-hide Gelatin (Ejiao), Rehmanniae Radix Preparata (Shengdihuang), Mume Fructus (Wumei), Red Peony Root (Chishao), and Moutan Cortex (Mudanpi). For hemoptysis with phlegm-cough, add Siwu Tang, named Fuling Buxin Tang. For pregnant women with typhoid, remove Pinelliae Rhizoma (Banxia) and add Cyperi Rhizoma (Xiangfu).
Discuss upper qi rushing against, throat obstruction, phlegm-stasis cough, dry mouth and tongue.
Er Mu Qing Shun Tang (Two Mother Clearing and Smoothing Decoction)
Asparagi Radix (Tianmendong, remove heart, 1 qian), Ophiopogonis Radix (Maimendong, remove heart, 1 qian), Anemarrhenae Rhizoma (Zhimu, soaked in ginger water, 2 qian), Fritillariae Bulbus (Beimu, washed in licorice water, 2 qian), Ginseng Radix (Renshen, 5 fen), Angelicae Sinensis Radix (Dangguishen, 1 qian), Scutellariae Radix (Kuhuang, 1 qian), Scrophulariae Radix (Yuanshen, 1 qian), Gardeniae Fructus (Shanzhizi, stir-fried, 1 qian), Platycodonis Radix (Jiegeng, 1 qian), Trichosanthis Radix (Tianhuafen, 1 qian), Menthae Haplocalycis Herba (Bohe, 7 fen), Glycyrrhizae Radix et Rhizoma (Shenggancao, 3 fen).
Crush these, decoct in water, and take orally.
Qing Re Ning Sou Hua Tan Ding Chuan Wan (Clear Heat, Calm Cough, Resolve Phlegm, and Stop Panting Pill)
Citri Reticulatae Pericarpium (Juhong, 5 qian), Indigo Naturalis (Qingdai, 3 qian), Fritillariae Bulbus (Beimu, 7 qian), Arisaema cum Bile (Danning, 1 liang), Trichosanthis Radix (Tianhuafen, 7 qian), Mori Cortex (Sangbaipi, 7 qian), Armeniacae Semen Amarum (Xingren, remove skin and tip, 7 qian), Platycodonis Radix (Jiegeng, 7 qian), Scutellariae Radix (Huangqin, 5 qian), Peucedani Radix (Qianhu, 7 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 3 qian).
Grind into fine powder, mix with refined honey to form pills the size of longan seeds. Take one pill per dose, dissolved in light ginger tea.
Discuss phlegm-cough where previous formulas failed, mostly indicating qi and blood deficiency, heavy and tired limbs. Use Bawu Tang, adding Phellodendri Cortex (Huangbai), Anemarrhenae Rhizoma (Zhimu), Fritillariae Bulbus (Beimu), Ophiopogonis Radix (Mendong), Schisandrae Fructus (Wuweizi), Trichosanthis Fructus (Gualou), Perillae Folium (Zisu), and Citri Reticulatae Pericarpium (Chenpi) in equal parts. Decoct with ginger and jujube.
Discuss cough with much morning sputum and night急促 breathing insomnia. Morning phlegm stems from spleen deficiency transforming food; night急促 breathing stems from lung deficiency with yin fire rushing upward. Use the following formulas.
Buzhong Yiqi Tang (Middle-Boosting Qi-Enhancing Decoction - see Internal Injury section), modified by adding Ophiopogonis Radix (Maidong) and Schisandrae Fructus (Wuweizi).
Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia - see Tonification section), modified by adding Ophiopogonis Radix (Maidong) and Schisandrae Fructus (Wuweizi).
Discuss wind-cold injury causing clear nasal discharge, chills, and sneezing, due to spleen-lung qi deficiency failing to secure the interstices. Treat primarily with Buzhong Yiqi Tang.
Discuss cough with pale face and clear nasal discharge, due to lung qi deficiency combined with external pathogens. Cure with Buzhong Yiqi Tang plus Poria (Fuling), Pinelliae Rhizoma (Banxia), and Schisandrae Fructus (Wuweizi).
Discuss cough with sputum expectoration and loss of voice/hoarseness, due to yuan qi weakness. Use Buzhong Yiqi Tang plus Phellodendri Cortex (Huangbai), Anemarrhenae Rhizoma (Zhimu), Asparagi Radix (Tianmendong), Ophiopogonis Radix (Maidong), Schisandrae Fructus (Wuweizi), Armeniacae Semen Amarum (Xingren), Scutellariae Radix (Huangqin), and Trichosanthis Fructus (Gualouren).
Discuss cough with sputum expectoration and cold hands and feet, due to spleen-lung deficiency-cold. Use Buzhong Yiqi Tang plus Prepared Ginger (Paojiang) and Pinelliae Rhizoma (Banxia).
Discuss loss of voice. Use fresh Sophora Flower (Huaihua) in any amount, stir-fry until charred on a tile over slow fire, keep in pocket or sleeve. Chew one or two grains occasionally and swallow, keeping flavor in throat. Voice will return after time.
One treatment for inability to speak:
Terminalia Chebula Retzii Fructus (Hezi, 3), Perillae Fructum (Zisuzi, 2 qian), Armeniacae Semen Amarum (Xingren, 20), Baiyaojian (2 liang).
Grind into powder. Take 2 qian per dose, mixed with hot water.
One treatment for chronic cough with loss of voice:
Terminalia Chebula Retzii Fructus (Hezi, remove pit, 1 liang), Armeniacae Semen Amarum (Xingren, soak, remove skin and tip, 1 liang), Tetrapanacis Medulla (Tongcao, 2 qian).
Crush. Take 4 qian per dose, with 5 slices of baked ginger, decoct in water. Take warm after meals.
Discuss elderly people with long-term cough unable to lie down, persisting for years. Use Pig Back Fat (Zhubanyou, 4 liang), Honey (Fengmi, 4 liang), Rice Sugar (Mitang, 4 liang).
Simmer these three ingredients into a paste. Take one spoonful occasionally, holding it in the mouth to dissolve. Cough stops in 3-5 days.
Discuss long-term cough with sputum. Yinxing Gao (Ginkgo Paste).
Aged Fine Tea (Chenxicha, 4 liang, slightly roasted and ground), White Ginkgo Nuts (BaiGuorong, 4 liang, half remove white membrane, half remove red membrane, pounded), Walnut Meat (Hetaorou, 4 liang, pounded), Family Honey (Jiami, half jin).
Refine these medicines in a pot into paste. Take anytime.
One treatment for chronic cough not healing, and consumptive panting-cough:
Asterae Radix (Zouwan, remove rhizome head), Daphne Genkwa Flower (Kuandonghua, each 2 liang), Stemona Radix (Baibu, 5 qian).
Grind into powder. Take 3 qian per dose, with 3 slices of ginger and 1 mume fruit, decoct in water to mix. Take once after meal and once before sleep.
Discuss chronic cough and continuous coughing 40-50 times. Use natural juice of fresh ginger with peel (1 spoon), add 2 teaspoons of white honey. Place in tea bowl, boil once, take warm 3-4 times to stop.
For all coughs with upper qi, a Daoist sells this medicine, effective for both new and old cases.
Zingiberis Rhizoma (Ganjiang), Cinnamomi Cortex (Guixin, purple spicy ones, remove skin), Gleditsiae Sinensis Spina (Zaojiao, soaked, remove skin and seeds, plump without holes).
These three ingredients are crushed separately, sifted, weighed, and mixed. Crush and sift again. Mix with refined white honey, then pound 1000-2000 times. Take 3 pills per dose, size of paulownia seeds. Take whenever cough starts, regardless of meals. Take 3-5 times daily. Avoid scallions, garlic, greasy foods, and wheat products.
Discuss long-term recent cough, asthma, panting急促, etc.
Shen Xi San (Spirit Absorbing Powder), transmitted by Yan Xinwu, Doctor of the Imperial Academy.
Steleophthalmus Tubulus (Guanguanshi, fired and quenched in vinegar 7 times, 1 qian), Kaolinite (Yuliangshi, fired and quenched in vinegar 7 times, 1 qian), Licorice Root (Fengcao, 3 fen), Alum (Kubai fan, 5 fen), Gypsum Fibrosum (Shigao, 5 fen), Daphne Genkwa Flower (Kuandonghua, 5 fen).
Grind into fine powder. Weigh 3 fen 2 li accurately. After evening meal, sit quietly for a moment. Place medicine on paper. Insert a 5-inch bamboo tube straight into the throat. Inhale forcefully. Speed does not matter. Inhale until finished. Rinse and swallow with a sip of fine tea. Avoid chicken, fish, lamb, goose, and all wind-moving stimulating foods, and raw/cold foods. Eat only boiled pork and eggs. Abstain for 21 days. Use one male pig lung, add half jin meat, and gardenia fruits (one per year of age). Stir-fry until soft. Remove medicine. At wugeng (3-5 AM), patient should not speak. Have someone feed the soup-soaked lung to the patient. Patient chews and eats as desired. Remaining can be eaten later with effect.
Discuss chronic cough with phlegm-panting, unresponsive to hundred medicines, and long-term non-healing. Especially effective for drinkers with chronic cough.
Qing Jin Gao (Clear Metal Paste), transmitted by Kong Guichuang, Magistrate of Qufu.
Asparagi Radix (Tianmendong, remove heart, 8 liang), Ophiopogonis Radix (Maimendong, remove heart, 4 liang), Fritillariae Bulbus (Beimu, 4 liang), Armeniacae Semen Amarum (Xingren, remove skin, 4 liang), Pinelliae Rhizoma (Banxia, ginger-processed, 4 liang).
Slice these five herbs, decoct in water, remove dregs, collect 5 bowls of juice. Add 4 liang of white kudzu powder and 1 jin of honey. Boil juice in jar, steam in water bath for one day. Extract paste. Take frequently anytime daily.
One person constantly spat phlegm-saliva, internal heat causing thirst, limb fatigue, foot heat after labor. Used Qingqi Huatan (Clear Qi Transform Phlegm), condition worsened. I said this is kidney water flooding creating phlegm, method requires tonifying kidney. He did not believe, took Guntan Wan (Rolling Phlegm Pill) once, resulting in vomiting/diarrhea, inability to eat, dizziness, closed eyes. Then believed me. Used Liujunzi Tang (Six Gentlemen Decoction) for several doses, stomach qi gradually recovered. Then used Liuwei Wan (Six-Ingredient Pill). Over a month, all symptoms healed.
One person coughed and panted, nasal congestion, runny nose. I used Shen Su Yin (Ginseng and Perilla Decoction) for one dose to disperse cold pathogen, then Buzhong Yiqi Tang (Middle-Boosting Qi-Enhancing Decoction) to solidify interstices, cured. Later due to labor and anger, relapsed. Self-used previous decoction, condition worsened. Added Coptidis Rhizoma (Huanglian) and Aurantii Fructus (Zhishi), leading to abdominal fullness, anorexia, scanty urine. Used Erchen Tang (Two-Aged Decoction) combined with Siling San (Four-Ling Powder), previous symptoms worsened, urinary retention. I said abdominal fullness/anorexia is spleen-stomach deficiency; scanty urine is lung-kidney deficiency. All caused by attacking/purging. Administered Liujunzi Tang (Six Gentlemen Decoction) plus Astragali Radix (Huangqi), Prepared Ginger (Paojiang), Schisandrae Fructus (Wuweizi) for two doses, symptoms receded instantly. Then used Buzhong Yiqi Tang plus Prepared Ginger (Paojiang), Schisandrae Fructus (Wuweizi) for several doses, fully cured.
Secret Formula for Treating Cough
Daphne Genkwa Flower (Kuandonghua, 3 qian), Gypsum Fibrosum (Shigao, 3 qian), Borax (Pengsha, 7 li), Glycyrrhizae Radix et Rhizoma (Gancao, 3 qian).
Grind into powder. Blow into throat, rinse and swallow with fine tea. Immediately cured.