【脾经咳嗽之症】咳而右肋下隐隐作痛，痛引心脾；神衰嗜卧，面色痿黄，腹胀黄肿
重不可以动，动则咳剧，此脾经咳嗽之症。脾咳不已，则胃受之。胃咳之状，咳而呕，甚则
【脾经咳嗽之因】或膏粱积热，湿热蒸酿，脾胃之火，上熏于肺；或土不生金，母虚
子病，则为脾虚脾损。二者乃脾经咳嗽之因也。
【脾经咳嗽之脉】右寸洪数，肺家有火；右关弦急，积热肠胃；寸口虚大，肺气不足
【脾经咳嗽之治】肺有热者，家秘泻白散。脾胃热积，栀连二陈汤。肺气不足，生脉
散。土不生金，四君子汤；有痰，六君子汤；虚热，加丹皮，山栀，热甚加栀、连。
家秘泻白散
桑白皮 地骨皮 甘草
加白芍、川连。若胃火加石膏。肝火加黄芩。心火加黄连。肾火加黄柏。
栀连二陈汤 见后痰症。
生脉散 见前章肺咳。
四君子汤
人参 白术 茯苓 甘草
加半夏、陈皮，名六君子汤。虚中有热，加丹皮、山栀。热甚加栀、连。
【心经咳嗽之症】咳则心痛，喉仲介介如梗状，甚则舌肿咽痛，此心咳之症也。心咳
不已，则小肠受之，小肠咳状，咳而失气，气与咳俱失。
【心经咳嗽之因】焦心劳思，心火妄动，金被火囚，肺叶焦满，为喘为咳；或心血不
足，心气亏损，心神不安，上为喘咳。二者乃心经咳嗽也。
【心经咳嗽之脉】左寸洪数，心经有热；右寸洪数，肺家有热；左寸细数，心经虚火
【心经咳嗽之治】左寸洪数，导赤各半汤、朱砂安神丸。右寸洪数，家秘泻白散。
导赤各半汤
生地 木通 甘草 黄连 麦冬 山栀 赤茯苓 车前子 加灯心。
朱砂安神丸
朱砂 黄连 甘草 生地 麦冬 当归 远志 白茯苓
家秘泻白散
桑白皮 地骨皮 甘草 石膏 黄芩 川连
人参平肺散
人参 桑白皮 甘草 地骨皮 拣冬 橘红 川贝母
【脾经咳嗽的症状】咳嗽且右肋下隐隐作痛，疼痛牵引至心部和脾部；精神萎靡嗜睡，面色萎黄，腹部胀满、身体发黄浮肿，沉重得不能活动，一动则咳嗽加剧，这是脾经咳嗽的症状。脾咳久治不愈，则会传变影响胃。胃咳的表现是，咳嗽并伴有呕吐，严重时……
【脾经咳嗽的病因】或是因过食肥甘厚味导致积热，湿热蒸腾酿生，脾胃之火上熏于肺；或是因土不生金（脾虚不能养肺），母脏虚弱导致子脏发病，从而形成脾虚脾损。这两种情况就是脾经咳嗽的病因。
【脾经咳嗽的脉象】右寸脉洪大数急，表明肺家有火；右关脉弦而急，表明肠胃有积热；寸口脉虚大，表明肺气不足。
【脾经咳嗽的治疗】肺有热者，使用家秘泻白散。脾胃热积者，使用栀连二陈汤。肺气不足者，使用生脉散。土不生金（脾虚）者，使用四君子汤；若有痰，使用六君子汤；若为虚热，加牡丹皮、山栀子，热势甚重者加栀子、黄连。
家秘泻白散
桑白皮 地骨皮 甘草
加白芍、川黄连。若胃火盛加石膏。肝火盛加黄芩。心火盛加黄连。肾火盛加黄柏。
栀连二陈汤 见后文痰症章节。
四君子汤
人参 白术 茯苓 甘草
加半夏、陈皮，名为六君子汤。虚证兼有热者，加牡丹皮、山栀子。热势甚重者加栀子、黄连。
【心经咳嗽的症状】咳嗽时伴有心痛，喉咙中有介介然如物梗阻的感觉，严重时舌体肿胀、咽喉疼痛，这是心咳的症状。心咳久治不愈，则会传变影响小肠。小肠咳的表现是，咳嗽并伴随失气（放屁），气和咳嗽同时排出。
【心经咳嗽的病因】过度焦躁忧虑劳神，导致心火妄动，金被火囚困，肺叶焦枯胀满，出现喘息和咳嗽；或是心血不足，心气亏损，心神不安，向上引发喘咳。这两种情况就是心经咳嗽的病因。
【心经咳嗽的脉象】左寸脉洪大数急，表明心经有热；右寸脉洪大数急，表明肺家有热；左寸脉细数，表明心经有虚火。
【心经咳嗽的治疗】左寸脉洪数者，使用导赤各半汤、朱砂安神丸。右寸脉洪数者，使用家秘泻白散。
[Symptoms of Splei Meridian Cough] Cough accompanied by dull pain in the right hypochondrium, radiating to the heart and spleen regions; mental fatigue with a desire to sleep, sallow complexion, abdominal distension, yellowish edema, heaviness preventing movement, and exacerbation of cough upon exertion. These are the symptoms of Splei Meridian Cough. If Splei Cough persists, it transmits to the Stomach. The presentation of Stomach Cough involves coughing with vomiting, and in severe cases...
[Etiology of Splei Meridian Cough] It may be caused by the accumulation of heat from excessive consumption of rich and sweet foods, where damp-heat steams and ferments, causing fire of the Spleen and Stomach to ascend and harass the Lungs. Or it may result from Earth failing to generate Metal (Splei deficiency failing to nourish the Lungs), where the mother organ's deficiency leads to disease in the child organ, resulting in Splei deficiency and damage. These two factors constitute the etiology of Splei Meridian Cough.
[Pulse Signs of Splei Meridian Cough] A surging and rapid pulse at the Right Cun position indicates Fire in the Lung house; a wiry and rapid pulse at the Right Guan position indicates accumulated heat in the intestines and stomach; a deficient and large pulse at the Cun Kou position indicates insufficiency of Lung Qi.
[Therapeutic Methods for Splei Meridian Cough] For Heat in the Lungs, use Jia Mi Xie Bai San (Secret Formula for Draining White). For Heat accumulation in the Spleen and Stomach, use Zhi Lian Er Chen Tang (Gardenia and Coptis Two-Chen Decoction). For insufficiency of Lung Qi, use Sheng Mai San (Generate Pulse Powder). For Earth failing to generate Metal, use Si Jun Zi Tang (Four Gentlemen Decoction); if phlegm is present, use Liu Jun Zi Tang (Six Gentlemen Decoction); for deficient heat, add Mu Dan Pi (Moutan Cortex) and Shan Zhi Zi (Gardeniae Fructus); if heat is severe, add Zhi Zi and Huang Lian.
Jia Mi Xie Bai San
Sang Bai Pi (Mori Cortex), Di Gu Pi (Lycii Cortex), Gan Cao (Licorice Root).
Add Bai Shao (Paeoniae Radix Alba), Chuan Lian (Coptidis Rhizoma). If Stomach Fire is present, add Shi Gao (Gypsum Fibrosum). If Liver Fire is present, add Huang Qin (Scutellariae Radix). If Heart Fire is present, add Huang Lian. If Kidney Fire is present, add Huang Bo (Phellodendri Cortex).
Zhi Lian Er Chen Tang See the section on Phlegm Syndromes later.
Sheng Mai San See the previous chapter on Lung Cough.
Si Jun Zi Tang
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Gan Cao (Licorice Root).
Add Ban Xia (Pinelliae Rhizoma) and Chen Pi (Citri Reticulatae Pericarpium), named Liu Jun Zi Tang. For deficiency with heat, add Mu Dan Pi and Shan Zhi Zi. If heat is severe, add Zhi Zi and Huang Lian.
[Symptoms of Heart Meridian Cough] Cough accompanied by heart pain, a sensation of obstruction in the throat as if something were stuck, and in severe cases, swelling of the tongue and sore throat. These are the symptoms of Heart Cough. If Heart Cough persists, it transmits to the Small Intestine. The presentation of Small Intestine Cough involves coughing with the loss of gas (flatus), where gas and cough are expelled simultaneously.
[Etiology of Heart Meridian Cough] Excessive anxiety, worry, and mental labor cause Heart Fire to move recklessly, imprisoning Metal, leading to dryness and fullness of the Lung lobes, resulting in wheezing and cough. Or it may be due to insufficiency of Heart Blood and depletion of Heart Qi, causing restlessness of the Heart Spirit, which ascends to induce wheezing and cough. These two factors constitute the etiology of Heart Meridian Cough.
[Pulse Signs of Heart Meridian Cough] A surging and rapid pulse at the Left Cun position indicates Heat in the Heart Meridian; a surging and rapid pulse at the Right Cun position indicates Heat in the Lung house; a fine and rapid pulse at the Left Cun position indicates Deficient Fire in the Heart Meridian.
[Therapeutic Methods for Heart Meridian Cough] For a surging and rapid pulse at the Left Cun, use Dao Chi Ge Ban Tang (Half-and-Half Decoction for Guiding Out Redness) and Zhu Sha An Shen Wan (Cinnabar Calming the Spirit Pill). For a surging and rapid pulse at the Right Cun, use Jia Mi Xie Bai San.
Dao Chi Ge Ban Tang
Sheng Di (Rehmanniae Radix), Mu Tong (Akebiae Caulis), Gan Cao (Licorice Root), Huang Lian (Coptidis Rhizoma), Mai Dong (Ophiopogonis Tuber), Shan Zhi Zi (Gardeniae Fructus), Chi Fu Ling (Poria with Red Mycelium), Che Qian Zi (Plantaginis Semen). Add Deng Xin Cao (Junci Medullia).
Zhu Sha An Shen Wan
Zhu Sha (Cinnabaris), Huang Lian (Coptidis Rhizoma), Gan Cao (Licorice Root), Sheng Di (Rehmanniae Radix), Mai Dong (Ophiopogonis Tuber), Dang Gui (Angelicae Sinensis Radix), Yuan Zhi (Polygalae Radix), Bai Fu Ling (Poria).
Jia Mi Xie Bai San
Sang Bai Pi (Mori Cortex), Di Gu Pi (Lycii Cortex), Gan Cao (Licorice Root), Shi Gao (Gypsum Fibrosum), Huang Qin (Scutellariae Radix), Chuan Lian (Coptidis Rhizoma).
Ren Shen Ping Fei San
Ren Shen (Ginseng Radix), Sang Bai Pi (Mori Cortex), Gan Cao (Licorice Root), Di Gu Pi (Lycii Cortex), Jian Dong (Selected Winter Flower/Adenophorae Radix - *Note: "Jian Dong" typically refers to selected Adenophorae or similar, kept as per source*), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Chuan Bei Mu (Fritillariae Cirrhosae Bulbus).