寸口脉数而虚者。肺痿也。
肺痿之证。久咳不已。汗下过度。重亡津液。大便如烂瓜。如豕脂。小便数而不渴。渴者自愈。欲饮者欲瘥。此由
肺多唾涎沫而无脓者。肺痿也。
一论肺痿咳嗽。其证辟辟燥咳。胸中隐隐而痛。脉弱无力。
薏苡仁散
当归 白芍 黄 人参 五味子 麦门冬 桑白皮 黄芩 百部 薏苡仁
上锉。生姜煎服。
一论胸前心口有孔。常出血水者。谓心漏也。
鹿子丸
嫩鹿茸（去毛酥炙微黄） 大附子（炮去皮脐） 盐花（各等分）
上为末。枣为丸。空心。酒送下。每三十丸。
一论胁下生漏疮。如牛眼状。脓水不止。用盐少许。安牛乳内。后取牛耳中垢以敷疮
上。
即瘥。如不用盐。即牛耳不痒。难取其垢。其诸漏疮。外用蒜切片放疮上。将艾灸之。不过
数次。即愈。
一论漏疮。血水出不止。
蛇皮（烧灰三钱） 五倍子 龙骨（各五钱） 川续断（五钱） 乳香（三分）
上为末。津唾调敷患处。立止。
夫妇人乃众阴所集。性情温淳。荣卫和平。诸病无由而生。荣卫虚弱。则百病生焉。经
云。
二七而天癸至。任脉通。太冲脉盛。月事以时下。交感则有子矣。夫其天癸者。天一生水也
任脉通者。阴用之道泰也。太冲脉盛者。血气俱盛也。何谓之月经。月者。阴也。经者经
络也
过期而行经者。血寒也。未期而先行者。血热也。经行作痛者。气之滞也。来后或作痛者
气之虚也。其色紫者为风。黑者多热。淡者多痰。如烟尘水者血不足。余考古方。耗其气
以调其经。则以为人之正气。不宜耗也。夫冲脉气也。任脉血也。气升则升。气降则降。血
随气行。无有暂息。若独耗其气。血无所施。正气既虚。邪气必胜。故百病生焉。其经安得
调乎。况心生血。脾统血。脉为之元也。养其心则血生。实其脾则血足。气盛则血行矣。安
得独耗其气哉。此调经之要法也。行经之时。保如产母。一失其宜。为病不浅。当戒暴怒。
莫损于冲任。远色欲。莫损于血海。一有抑郁。宿血必停。走于腰胁。注于腿胯。遇新血击
搏。则疼痛不已。散于四肢。则麻木不仁。入于血室。则寒热不定。或怔忡而烦闷。或入室
而狂言。或涌上出。或归大肠。皆因七情之气所致也。余考产后一科。胎前血气。用药温暖
于理最当。产后治法。至于子和。论产后出血数斗世人皆以血气两虚。妄用温热之剂养
血补虚。止作寒治。举世皆然。故有误者。殊不知妊孕如天地之孕物。阴阳和合。人物俱生
阴阳偏胜。岂得孕乎。譬如瓜果值水旱。花实萎落。故立秋后十日。寸草不结。乃寒不发
生也。今妇人终于十月而产者。反为寒治。则非理矣。若子和之法。当行温凉。温热之剂。
实所禁也。以余常用和暖之剂。使血得暖以流通。其恶露自尽。故无后患耳。况生产有难易
血气有盛衰。岂可偏执一法。能尽产后无穷之变乎。余每经历新产。月里用温暖治效者
十多八九。用温凉治效者。百无二三。尝考子和之法。施于月外。蕴热自甚。阴虚潮热往
来。当行温凉之剂。故无禁耳。其月里可不慎哉。人之受胎。虽是阳精所得。实赖母血而成
亦若瓜果。赖枝叶所荫也。今妇人于十月而产者。即瓜熟蒂落脱壳之意。虽冒寒暑伤食。
调理不宜急迫。则随手而愈。间有失珍重。不满十月而动胎产者。犹若枝蔓瓜果。有所伤也
胞系腐烂。胎始堕落。故此得病则难愈矣。昔人所谓小产伤如大产者此也。凡妇人新产。
荣卫俱虚。腠理不密。或冒风寒。或伤饮食。或恶露不通。或血行过度。如此四者。俱能发
寒热。身疼腹痛。又不可相类而用药也。又如产后脾胃既虚。或多食鸡子冷物。所伤脾胃。
遂成伤食。以致身热。气口脉盛。当行消食之药。世人多因身热。便为外感。遂行温凉之药
发汗退热。胃气转伤。岂无死者。产后半月之前。难去内外之邪。亦当生血行气。若过半
月以后。倘有杂症。不可偏执产后一门治疗。又当各类中求之。庶不耽误病体矣。
肺痿的症状是：久咳不止，因发汗或攻下过度，导致津液严重耗伤。大便像烂瓜一样，或者像猪油一样稀薄；小便频数但不口渴。如果感到口渴，说明病情即将自愈；如果想喝水，说明病情将要好转。这是因为肺中多唾涎沫而没有脓液的原因，属于肺痿。
另一篇论述肺痿咳嗽：症状为干咳无痰（辟辟燥咳），胸部隐隐作痛，脉象弱而无力。
薏苡仁散
当归、白芍、黄（此处原文缺字，通常指黄芪或黄芩，依方义推测可能为黄芪以补气，或黄芩以清热，保留原名）、人参、五味子、麦门冬、桑白皮、黄芩、百部、薏苡仁。
以上药物切碎，用生姜煎服。
鹿子丸
嫩鹿茸（去毛，用酥炙至微黄）、大附子（炮制，去皮和脐）、盐花（各等分）。
以上研成细末，用枣肉制成丸药。空腹时，用酒送服。每次三十丸。
另一篇论述胁下生漏疮，形状像牛眼，脓水不止。用少许盐，放入牛乳中，然后取牛耳中的垢物敷在疮上。
这样就能痊愈。如果不加盐，牛耳就不会痒，难以取得垢物。对于各种漏疮，外用蒜切片放在疮上，用艾灸灼它，不超过几次，就能痊愈。
另一篇论述漏疮，血水流出不止。
蛇皮（烧成灰三钱）、五倍子、龙骨（各五钱）、川续断（五钱）、乳香（三分）。
以上研成细末，用唾液调和后敷在患处，立即止血。
妇女是众阴汇聚之处，性情温和淳厚，营卫气血平和，各种疾病无从产生。如果营卫虚弱，那么百病就会发生。经书说：
女子十四岁（二七）时，天癸（促进生殖机能成熟的物质）到来，任脉通畅，太冲脉旺盛，月经按时来潮，进行房事就能怀孕。所谓天癸，是天一生水的道理。
任脉通畅，是阴气运用的道路通达。太冲脉旺盛，是血气都充沛。什么叫月经？月，代表阴；经，代表经络。
月经过期才来的，是血寒。未到经期先来的，是血热。行经时疼痛的，是气滞。月经结束后疼痛的，是气虚。经血色紫的是受风，色黑的是多热，色淡的是多痰，像烟尘水一样的，是血不足。我考察古代医方，往往通过耗损正气来调理月经，认为这是人的正气，不应该耗损。冲脉主气，任脉主血。气升则血升，气降则血降，血随着气运行，没有片刻停息。如果单独耗损气，血就无处施展。正气既然虚弱，邪气必然战胜，所以百病产生。月经怎么能调好呢？况且心生血，脾统血，脉是血的源头。养心则血生，健脾则血足，气盛则血行。怎么能单独耗损气呢？这是调理月经的关键方法。行经的时候，保养要像产妇一样小心。一旦失宜，造成的病患不浅。应当戒除暴怒，不要损伤冲脉和任脉；远离色欲，不要损伤血海。一旦有抑郁情绪，宿血必然停滞，流注于腰胁，注入腿胯，遇到新血冲击搏结，就会疼痛不已；散于四肢，就会麻木不仁；进入血室，就会寒热不定；或者怔忡烦闷，或者入室狂言胡语；或者涌出上部，或者归入大肠，这都是因为七情之气所致。我考察产后这一科，胎前的血气，用药温暖从道理上讲是最恰当的。产后的治法，至于张子和，论述产后出血数斗，世人都认为是气血两虚，妄用温热药剂养血补虚，只当作寒证治疗，举世皆然，所以有误。殊不知妊娠如同天地孕育万物，阴阳和合，人物才能生成。如果阴阳偏胜，怎么能受孕呢？譬如瓜果遇到水旱灾害，花实枯萎掉落，所以立秋后十天，寸草不结果，是因为寒气不发生作用。现在妇人怀胎十月生产，反而用寒凉法治之，就不合理了。如果按照张子和的方法，应当实行温凉之法，温热药剂实际上是禁忌的。以我常用的和暖药剂，使血液得到温暖而流通，恶露自然排尽，所以没有后患。况且生产有难易，血气有盛衰，怎么能偏执一种方法，能穷尽产后无穷的变化呢？我每次经历新产，一个月内用温暖疗法见效的十有八九，用温凉疗法见效的，一百个里面不到二三个。曾经考察张子和的方法，适用于满月之后，蕴热自甚，阴虚潮热往来，应当实行温凉药剂，所以没有禁忌。但满月前能不谨慎吗？人受胎，虽然是阳精所得，实际上依赖母血而成，也如同瓜果，依赖枝叶荫蔽一样。现在妇人怀胎十月生产，就是瓜熟蒂落脱壳的意思。虽然冒犯寒暑或饮食受伤，调理不宜急迫，则随手而愈。间或有不知珍重，不满十月而动胎生产的，就像枝蔓上的瓜果有所损伤，胞系腐烂，胎儿才堕落，所以因此得病就很难痊愈了。这就是古人所说的“小产伤如大产”的意思。凡是妇人新产，营卫都虚弱，腠理不致密，或者冒犯风寒，或者饮食受伤，或者恶露不通，或者血行过度。这四种情况，都能引发寒热、身疼腹痛，又不可以混淆同类而用药。又如产后脾胃既已虚弱，如果多吃鸡蛋冷物，所伤的脾胃，遂成伤食，以致身体发热，气口脉盛，应当实行消食的药物。世人多因为身体发热，就认为是外感，于是使用温凉药剂发汗退热，胃气转而受伤，难道没有死亡的例子吗？产后半个月之前，难以去除内外的邪气，也应当生血行气。如果过了半个月以后，倘若有其他杂症，不可偏执产后一门治疗，又应当在各类病症中寻求治疗方法，这样才不会耽误病情。
The pulse at the Cun Kou (inch position) is rapid and deficient, indicating Lung Wei (Lung Atrophy).
The symptoms of Lung Wei include: persistent cough for a long time, excessive sweating or purgation leading to severe depletion of body fluids. The stool resembles rotten melon or pig fat; urination is frequent but without thirst. If the patient feels thirsty, it indicates spontaneous recovery; if the patient desires to drink, it indicates improvement. This is due to the presence of abundant saliva and frothy sputum in the lungs without pus, which characterizes Lung Wei.
Another discussion on Lung Wei with cough: the symptoms are dry, barking cough (Pi Pi Zao Ke), dull pain in the chest, and a weak, powerless pulse.
Yiyiren San (Coix Seed Powder)
Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Huang [Character missing in original text, likely Huangqi or Huangqin], Renshen (Ginseng Radix), Wuweizi (Schisandrae Fructus), Maimendong (Ophiopogonis Radix), Sangbaipi (Mori Cortex), Huangqin (Scutellariae Radix), Bubu (Stemonae Radix), Yiyiren (Coicis Semen).
Crush the herbs above, decoct with fresh ginger, and take orally.
Another discussion on a hole appearing in the chest or heart region, frequently discharging bloody fluid, termed Xin Lou (Heart Fistula).
Luzi Wan (Deer Antler Pill)
Nen Lurong (Cervi Cornu Pantotrichum, tender deer antler without hair, roasted with butter until slightly yellow), Da Fuzi (Aconiti Lateralis Radix Praeparata, large prepared aconite root, skin and umbilicus removed), Yanhua (Sal Flor, flower salt) (all in equal parts).
Grind into powder, form pills with jujube flesh. Take on an empty stomach, washed down with wine. Thirty pills per dose.
Another discussion on Lou Chuang (Fistula Sores) developing under the hypochondrium, resembling a cow's eye, with continuous discharge of pus and fluid. Apply a small amount of salt into cow's milk, then take the debris from inside the cow's ear and apply it to the sore.
It will heal. Without salt, the cow's ear does not itch, making it difficult to obtain the debris. For various fistula sores externally, place slices of garlic on the sore and moxa-burn it. It heals within a few applications.
Another discussion on Lou Chuang where bloody fluid flows incessantly.
Shepi (Serpentis Cutis, snake skin, burnt to ash, 3 qian), Wubeizi (Galae Chinensis, Chinese gallnut), Longgu (Os Draconis et Mammutis, fossilized bones), Chuanxuduan (Dipsaci Radix, all 5 qian), Ruxiang (Olibanum, frankincense, 3 fen).
Grind into powder, mix with saliva, and apply to the affected area. Bleeding stops immediately.
Women are the gathering place of Yin energies. Their temperament is gentle and pure, Ying and Wei (Nutritive and Defensive Qi) are harmonious, so diseases do not arise. If Ying and Wei are deficient, then myriad diseases occur. The Classics state:
At age fourteen (two sevens), Tian Gui (heavenly water, referring to reproductive essence) arrives, the Ren Mai (Conception Vessel) becomes unobstructed, and the Chong Mai (Penetrating Vessel) becomes vigorous. Menstruation occurs regularly, and intercourse leads to pregnancy. What is Tian Gui? It follows the principle that "Heaven generates Water."
Ren Mai being unobstructed means the pathway for Yin function is smooth. Chong Mai being vigorous means both Qi and Blood are abundant. What is menstruation? "Yue" (Moon) represents Yin; "Jing" (Channel/Menstruation) represents meridians.
Menstruation occurring after its due date indicates Cold in the Blood. Menstruation occurring before its due date indicates Heat in the Blood. Pain during menstruation indicates Qi Stagnation. Pain after menstruation ends indicates Qi Deficiency. A purple color indicates Wind; black indicates excess Heat; pale indicates Phlegm-Dampness; cloudy like smoke and dust indicates Blood Deficiency. I have examined ancient prescriptions that often deplete Zheng Qi (Upright Qi) to regulate menstruation, considering it unnecessary to deplete one's upright energy. The Chong Mai governs Qi, and the Ren Mai governs Blood. When Qi rises, Blood rises; when Qi descends, Blood descends. Blood follows Qi and never rests. If Qi alone is depleted, Blood has no medium to flow. Once Zheng Qi is deficient, Pathogenic Qi inevitably prevails, causing myriad diseases. How can menstruation be regulated then? Moreover, the Heart generates Blood, the Spleen controls Blood, and vessels are the source. Nourishing the Heart generates Blood; strengthening the Spleen ensures sufficient Blood; abundant Qi promotes Blood circulation. How can one solely deplete Qi? This is the essential method for regulating menstruation. During menstruation, care must be taken as if postpartum. Any negligence causes significant harm. One must guard against violent anger to protect the Chong and Ren vessels, and avoid sexual desire to protect the Sea of Blood. Depression causes old blood to stagnate, flowing into the waist and hypochondrium, or lodging in the thighs and hips. When struck by new blood, it causes unceasing pain; if scattered to the limbs, it causes numbness and insensitivity; if entering the Blood Chamber, it causes alternating chills and fever; or palpitations and irritability, delirium, vomiting blood, or bleeding via the large intestine. All these are caused by the Qi of the Seven Emotions. Regarding obstetrics, for prenatal conditions, warming agents are most appropriate according to principles. For postpartum treatment, Zhang Hezi argued that massive postpartum hemorrhage indicates dual deficiency of Qi and Blood, advocating warm and hot agents to nourish blood and tonify deficiency, treating it as a cold syndrome. This universal practice leads to errors. Pregnancy is like Heaven and Earth nurturing life; Yin and Yang must harmonize for conception. If Yin or Yang is excessive, conception cannot occur. Just as fruits wither due to drought or flood, and nothing bears fruit ten days after Start of Autumn due to lack of warmth, treating postpartum women with cold methods after ten months of gestation is unreasonable. Zhang Hezi’s method advocates cooling agents, prohibiting warm/hot ones. However, I commonly use mild-warming agents to keep blood circulating warmly, ensuring lochia clears without sequelae. Childbirth varies in difficulty, and Qi/Blood vary in abundance; how can one rigid method cover all postpartum variations? In my experience, among new mothers, warming treatments succeed in 80-90% of cases within the first month, while cooling treatments succeed in less than 2-3%. Zhang Hezi’s methods are suitable for after the first month when latent heat is strong and Yin deficiency with tidal fever occurs, requiring cooling agents. But caution is vital during the first month. Conception relies on maternal blood as much as paternal essence, like fruit relying on branches for shade. Birth at ten months is like a ripe melon falling. Even if exposed to cold/heat or dietary injury, gentle regulation brings quick recovery. Neglect leading to premature labor damages the placenta and membranes, causing miscarriage, which is hard to cure—hence the saying "miscarriage hurts as much as full-term birth." New mothers have deficient Ying/Wei and loose pores, susceptible to wind-cold, dietary injury, obstructed lochia, or excessive blood loss. These four factors cause fever, body ache, and abdominal pain, and must not be treated identically. Postpartum Spleen/Stomach are weak; eating eggs or cold foods causes food retention, leading to fever and a full Qi-kou pulse, requiring digestive herbs. Laypeople often mistake fever for exterior contraction and use cooling/sweating agents, damaging Stomach Qi, sometimes fatally. Within half a month postpartum, pathogenic factors are hard to expel; focus should be on generating blood and moving Qi. After half a month, if other syndromes appear, do not restrict treatment to postpartum categories but seek them in general disease classifications to avoid delaying proper care.