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，是因为肺中津液耗竭，应使用阿胶散治疗。（即前文提到的补肺散。）咳嗽且痰涎壅盛实证，但喘息不严重，同时面红、想喝水的，应用褊银丸攻下泄热。（方剂见前文）
段斋郎的儿子四岁，患病咳嗽，身体发热并吐痰，几天后开始咯血。之前的医生用桔梗汤和防己丸治疗，病情没有好转，反而出现涎沫上逆攻冲，呕吐喘息不止，于是请钱乙诊治。钱乙先用一大服量的褄银丸攻下，随后再用补肺汤、补肺散进行治疗。有人问：“段氏之子咯血说明肺气虚弱，为什么还要用攻下法？”钱乙说：“肺部虽然咯血，但这是因为有热邪的缘故。如果拖延日久，会导致虚损痿弱。现在涎沫上潮导致呕吐，应当先攻下其涎沫。如果不这样做，呕吐涎沫会使正气更虚，并且容易引发惊风；痰涎实证上攻，也能引起抽搐。所以根据医理，只应该先攻下痰涎，然后再补益脾肺。必须等到涎沫停止、呕吐痊愈，这才是顺应的治法。如果先补益肺气，就是逆乱的治法了。”这就是所说的识别病情的轻重缓急，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，使用生甘草加减制定了二十多条方剂。
《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，用烧红的沙子糖制成丸剂。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，取少量汤汁将阿胶溶化，调和成鸡头大小的丸剂。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，用一盏皂荚浆水，或者酸菜汁也可以，煮干为止） 滑石（半两，生用） 雄黄（半两，醋煮，煮至半干时使用）
以上药物研为细末，每次服用“一字”的量。常服时，用薄荷汤调服。若为了止咳，用螺粉水送服。若为了治疗嗽血，用鸡蛋清调服。
Qian Yi stated: Patients presenting with wheezing and expectoration of pus and blood are suffering from Lung heat; Gan Jie Tang (Licorice and Platycodon Decoction) should be administered after meals. For chronic cough, which depletes the fluids of the Lung, E Jiao San (Donkey-Hide Gelatin Powder) is indicated. (This is the same as Bu Fei San [Lung-Supplementing Powder] mentioned previously.) If the patient coughs with phlegm accumulation and excess syndrome, but without severe wheezing, accompanied by a red face and thirst, Pian Yin Wan (Narrow Silver Pill) should be used to purge the pathogen. (Formula see previous section.)
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 Jie Geng Tang (Platycodon Decoction) and Fang Ji Wan (Stephania Pill), but the condition did not improve. Instead, saliva surged upward, causing incessant vomiting and wheezing. Qian Yi was consulted and first administered a large dose of Pian Yin Wan for purgation, followed by treatment with Bu Fei Tang (Lung-Supplementing Decoction) and Bu Fei San. Someone asked, "Since the boy's hemoptysis indicates Lung deficiency, why use a purgative method?" Qian Yi replied, "Although there is hemoptysis due to the Lung, it is caused by heat. If left untreated for a long time, it will lead to deficiency and atrophy. Currently, the surging saliva causes vomiting; one must first purge the saliva. If this is not done, the vomiting of saliva will further weaken the body and may induce fright convulsions; excessive phlegm attacking upwards can also trigger spasms. Therefore, according to medical principles, one should first purge the phlegm and subsequently tonify the Spleen and Lung. Only when the saliva stops and vomiting ceases does this constitute a favorable treatment sequence. Tonifying the Lung first would be an adverse approach." This illustrates the principle of recognizing the severity and urgency of the disease to determine the order of treatment.
Gan Jie San (Licorice and Platycodon Powder)
Jie Geng (Platycodonis Radix, soaked in rice-washing water overnight, then dried by baking) and Gan Cao (Licorici Radix et Rhizoma, stir-fried). Each two liang.
Grind the above into a fine powder. Take one da qian (large coin measure) per dose, add one da zhan (large cup measure) of water and half a liang of processed E Jiao (Donkey-Hide Gelatin), decoct until five fen remain, and take warm after meals.
[Hai Zang] Gan Jie Tang is a formula from Zhang Zhongjing for treating Shaoyin throat pain. Sun Simiao used raw Gan Cao with modifications in over twenty prescriptions for treating lung abscess with expectoration of pus and blood.
Jie Ji Wan (Muscle-Relieving Pill) from *Wang Shi Shou Ji*: Treats external wind invasion combined with internal phlegm-fluid retention, alternating chills and fever, irritability and thirst, flushed cheeks, palpitations, reduced appetite, heat in the Upper Jiao, and cough with blood.
Fang Feng (Saposhnikoviae Radix) and Di Gu Pi (Lycii Cortex), each one fen.
Make pills using burnt rock sugar. Take one pill per dose after meals, washed down with Zi Su Tang (Perilla Leaf Decoction).
Tuan Shen Wan (Ginseng Round Pill): Treats cough with hemoptysis.
E Jiao (Donkey-Hide Gelatin), Zao Zi Huang (Yellow of Soapberry Seed), and Ren Shen (Ginseng Radix et Rhizoma), each half a liang.
Except for the gelatin, grind the others into a fine powder. Use a small amount of soup to dissolve the gelatin and mix with the powder to form pills the size of a chicken head. Dissolve and take with plain boiled water.
Ji Qing San (Chicken White Powder) by Zhu Shi: Treats cough with bleeding and reduces salivation.
Yu Jin (Curcumae Radix, half a liang, boiled in one zhan of soapberry juice or sour vegetable juice until dry), Hua Shi (Talcum, half a liang, raw), and Xiong Huang (Realgar, half a liang, boiled in vinegar until semi-dry).
Grind the above into a fine powder. Take one zi (a very small measure) per dose. For regular use, mix with Bo He Tang (Mint Decoction). To stop cough, take with Luo Fen Shui (Conch Shell Powder Water). To treat cough with blood, mix with Ji Zi Qing (Egg White).