钱氏曰∶有喘而咯脓血者，乃肺热，食后服甘桔汤。久嗽者，肺亡津液，阿
胶散主之。（即补肺散见前。）咳而痰实，不甚喘，而面赤饮水者，褊银丸下之。（方见前） 段
斋郎子四岁，病嗽，身热吐痰，数日而咯血。前医以桔梗汤及防己丸治之，不愈，
涎上攻，吐喘不止，请钱氏，下褊银丸一大服，复以补肺汤、补肺散、治之。或问
段氏子咯血肺虚，何以下之。钱曰肺虽咯血，有热故也，久则虚痿，今涎上潮而吐，
当下其涎，若不，吐涎则不甚便，盖吐涎能虚，又生惊也，痰实上攻，亦能发搐，
故根据法只宜先下痰而后补脾肺，必涎止而吐愈，为顺治也。若先补其肺为逆耳。
此所谓识病之轻重，先后为治也。
甘桔散
桔梗（米泔浸一宿，焙干） 甘草（炒。各二两）
上为细末，每服一大钱，水一大盏，入阿胶半两，炮，煎至五分，食后温服。
〔海〕甘桔汤，仲景少阴咽痛药也，孙真人治肺痈吐脓血，用生甘草加减二十余条。
《王氏手集》解肌丸 治外搏风邪，内挟痰饮，寒热往来，烦渴颊赤，心忪减食，热
在上焦，咳嗽有血方。
防风 地骨皮（各一分）
上件，烧沙糖为丸。每服一丸，食后、煎紫苏汤下。
团参丸 治嗽血。
阿胶 皂子黄 人参（各半两）
上除胶，为细末，汤少许，洋胶和鸡头大。白汤化下。
鸡清散（朱氏） 治咳嗽出血，下涎。
郁金（半两，用皂荚浆水一盏，或酸菜汁亦得，煮干为度） 滑石（半两，生） 雄黄（半两，醋煮，半干用）
上为细末，每服一字。常服，薄荷汤调下。止嗽，螺粉水下。嗽血，鸡子清调下。
钱乙说：有喘息且咯出脓血的患者，这是肺热所致，应在饭后服用甘桔汤。久咳不愈者，因肺中津液耗损，以阿胶散主治。（即前文提到的补肺散。）咳嗽且痰涎壅盛实证，气喘不明显，但面红、想喝水的，用褊银丸攻下治疗。（方剂见前文）
段斋郎之子四岁，患病咳嗽，身体发热并吐痰，数日后咯血。之前的医生用桔梗汤及防己丸治疗，未能痊愈，导致涎沫上逆攻冲，呕吐喘息不止，于是请钱乙诊治。钱乙先用一大服量的褊银丸攻下，随后再用补肺汤、补肺散进行治疗。有人问：“段氏之子咯血属肺虚，为何还要用攻下法？”钱乙说：“肺部虽然咯血，是因为有热邪的缘故，若久病则会导致肺虚痿弱。如今涎沫上潮而呕吐，应当先攻下其涎沫。如果不这样做，呕吐涎沫会使病情更加不便，因为呕吐涎沫会进一步耗伤正气，且易引发惊风。痰涎实证上攻，也能引起抽搐，所以根据医理，只宜先攻下痰涎，然后再补益脾肺。必须等到涎沫停止、呕吐痊愈，这才是顺证的治疗法则。如果先补益肺气，则是逆治。”这就是所说的识别疾病的轻重缓急，从而决定治疗的先后顺序。
甘桔散
桔梗（用米泔水浸泡一夜，焙干） 甘草（炒制。各二两）
以上药物研为细末，每次服用一大钱，加水一大盏，放入半两炮制的阿胶，煎煮至五分量，饭后温服。
〔海藏〕甘桔汤，是张仲景治疗少阴经咽痛的药方，孙思邈治疗肺痈吐脓血时，使用生甘草加减共二十余条方剂。
《王氏手集》解肌丸：治疗外感风邪，内挟痰饮，寒热往来，烦躁口渴，脸颊发红，心悸食欲减退，热邪在上焦，咳嗽带血的方剂。
防风 地骨皮（各一分）
以上药材，烧熔红糖为丸。每次服用一丸，饭后用紫苏汤送服。
团参丸：治疗咳嗽咯血。
阿胶 皂子黄 人参（各半两）
以上除阿胶外，研为细末，取少量开水将阿胶化开，调和成如鸡头大小的丸剂。用白开水化开服用。
鸡清散（朱氏方）：治疗咳嗽出血，降下涎沫。
郁金（半两，用皂荚浆水一盏，或用酸菜汁也可以，煮干为止） 滑石（半两，生用） 雄黄（半两，醋煮，煮至半干时使用）
以上研为细末，每次服用一字。常服时，用薄荷汤调下。止嗽时，用螺粉水送下。治嗽血时，用鸡蛋清调下。
Qian Yi stated: For patients presenting with wheezing and expectoration of pus and blood, this is due to Lung Heat. Ganjie Tang (Glycyrrhizae Radix et Platycodi Decoction) should be administered after meals. For chronic coughs resulting in the depletion of Lung fluids, Ejiao San (Donkey-hide Gelatin Powder) is the primary treatment. (This refers to the Bufeisan mentioned earlier.) In cases of cough with phlegm-accumulation excess syndrome, without severe wheezing but accompanied by a red face and thirst, Pianyin Wan (Pianyin Pill) should be used to purge the pathogen. (The formula is cited earlier.)
The son of Duan Zhaolang, aged four, suffered from cough, fever, and expectoration of phlegm, which progressed to hemoptysis after several days. Previous physicians treated him with Jiegeng Tang (Platycodon Decoction) and Fangji Wan (Stephania Pill), but the condition did not improve. Saliva rose upward causing continuous vomiting and wheezing. Qian Yi was consulted and first administered a large dose of Pianyin Wan to purge, followed by treatment with Bufei Tang (Tonify Lung Decoction) and Bufeisan (Tonify Lung Powder). Someone asked, "The boy's hemoptysis indicates Lung deficiency; why use purgation?" Qian Yi replied, "Although there is hemoptysis, it is caused by heat. If prolonged, it leads to deficiency and flaccidity. Currently, saliva is surging upward causing vomiting; one must first purge the saliva. If not done, the vomiting of saliva will worsen the condition, as vomiting saliva further depletes healthy qi and may induce convulsions. Phlegm-heat excess attacking upward can also trigger spasms. Therefore, according to medical principles, one must first purge the phlegm-saliva and then tonify the Spleen and Lung. Only when the saliva stops and vomiting ceases does the treatment follow the favorable course (Shun). Tonifying the Lung first would be contrary to the proper order (Ni)." This illustrates the principle of recognizing the severity and priority of the disease to determine the sequence of treatment.
Ganjie San (Ganjie Powder)
Jiegeng (Platycodonis Radix, soaked in rice-washing water overnight, dried by baking)
Gancao (Licorice Root, stir-fried). Each two liang.
Grind into fine powder. Take one da qian per dose, add one da zhan of water and half a liang of processed Ejiao (Donkey-hide Gelatin), decoct until five fen remains. Take warm after meals.
[Hai Zang] Ganjie Tang is a formula from Zhang Zhongjing for treating Shaoyin throat pain. Sun Simiao treated lung abscesses with expectoration of pus and blood using raw Gancao with over twenty variations.
Wangshi Shouji Jiexi Wan (Exterior-Releasing Pill from Wang's Hand Collection): Treats external wind-pathogen invasion combined with internal phlegm-fluid retention, alternating chills and fever, irritability and thirst, red cheeks, palpitations, reduced appetite, heat in the Upper Jiao, and cough with blood.
Fangfeng (Saposhnikoviae Radix)
Digupi (Lycii Cortex). Each one fen.
Melt brown sugar to form pills. Take one pill per dose after meals, washed down with Perilla Decoction.
Tuan Shen Wan (Round Ginseng Pill): Treats cough with blood.
Ejiao (Donkey-hide Gelatin)
Zaozi Huang (Yellow part of Gleditsia Sinensis Fruit)
Renshen (Ginseng Root). Each half a liang.
Except for Ejiao, grind the others into fine powder. Use a small amount of boiling water to dissolve the Ejiao, mix to form pills the size of a chicken head. Dissolve in white water and take.
Jiqing San (Chicken White Powder, Zhu's Formula): Treats cough with bleeding and reduces saliva.
Yujin (Curcumae Radix, half a liang, boiled in soap-pod brine or sour vegetable juice until dry)
Huashi (Talcum, half a liang, raw)
Xionghuang (Realgar, half a liang, boiled in vinegar until semi-dry).
Grind into fine powder. Take one zi per dose. For regular use, mix with Mint Decoction. To stop cough, wash down with Snail Powder Water. To treat cough with blood, mix with Egg White.