治咳而上气。喉中水鸡声者主之。
射干（三两。） 麻黄 生姜（各四两。） 细辛 紫菀 款冬花（各三两。） 大枣（七
枚。）
上九味。以水一斗二升。先煮麻黄两沸。去上沫。内诸药。煮取三升。分温三服。
歌曰 喉中咳逆水鸡声。三两干辛款菀行。夏味半升枣七粒。姜麻四两破坚城。
上方主温。此方主散。
尤在泾云。咳而上气。肺有邪则气不降而反逆也。肺中寒饮上入喉间。为呼吸之气所激。
则
枣
治咳逆上气。时时吐浊。但坐不得眠者。此丸主之。
皂荚（八两。刮去皮。酥炙。）
上一味末之。蜜丸梧子大。以枣膏和汤服三丸。日三夜一服。
歌曰 浊痰上气坐难眠。痈势将成壅又坚。皂荚蜜丸调枣下。绸缪须在雨之前。
蔚按。痰有固而不拔之势。故用皂荚开其壅闭。涤其污垢。又以枣膏安其胃气。祛邪中
不离
治咳而脉浮者主之。
浓朴（五两。） 麻黄（四两。） 石膏（如鸡子大。） 杏仁（半升。） 半夏（半升。）
干
上九味。以水一斗二升。先煮小麦熟。去滓。内诸药。煮取三升。温服一升。日三服。
歌曰 杏仁夏味半升量。升（小）麦四麻五朴良。三两姜辛膏（鸡）蛋大。脉浮咳喘此
方当。（
元犀按。咳而脉浮者。内有饮而表有邪也。表邪激动内饮。饮气上凌。则心肺之阳为之
蒙蔽
黄解表出邪。干姜、五味、半夏、细辛化痰涤饮。小麦保护心君。然表邪得辛温而可散。内
饮
尤妙先煮小麦。
学人当细心体认。方得其旨焉。
治疗咳嗽并伴有气逆上冲，喉咙中发出像水鸡（青蛙）叫声的症状，用本方主治。
射干（三两）、麻黄、生姜（各四两）、细辛、紫菀、款冬花（各三两）、大枣（七枚）。
以上九味药，用水一斗二升，先煮麻黄，煮沸两次后，撇去上面的浮沫，再加入其他药物，煎煮至取药液三升，分三次温服。
歌诀说：喉咙中咳嗽气逆发出水鸡声，射干、细辛、款冬花、紫菀各三两行气化痰。半夏半升、大枣七粒，生姜、麻黄各四两以破除坚结之邪。
尤在泾说：咳嗽且气逆上冲，是因为肺中有邪气，导致肺气不能下降反而上逆。肺中的寒饮向上进入喉间，被呼吸之气所激荡，从而发出声音。
治疗咳嗽气逆上冲，经常吐出粘稠痰涎，只能坐着不能平卧的症状，用本丸剂主治。
皂荚（八两，刮去皮，用酥油炙烤）。
以上一味药研成细末，用蜂蜜制成梧桐子大小的丸剂，用枣膏调和汤水送服三丸，白天服三次，夜间服一次。
歌诀说：浊痰上逆导致气促，坐卧难眠，痈脓之势将成，壅塞又坚硬。用皂荚蜜丸配合枣膏送下，必须在雨前（比喻病势未盛时）绸缪预防。
按语：痰湿有坚固难以拔除的态势，所以使用皂荚来开通壅闭，涤除污垢，同时又用枣膏来安护胃气，祛邪的同时不伤正气。
治疗咳嗽且脉象浮的症状，用本方主治。
浓朴（五两）、麻黄（四两）、石膏（如鸡蛋大小）、杏仁（半升）、半夏（半升）、干姜、五味子、细辛、小麦（四升）。
以上九味药，用水一斗二升，先煮小麦至熟，去掉药渣，再加入其他药物，煎煮至取药液三升，每次温服一升，每天服三次。
歌诀说：杏仁、半夏各半升，小麦四升、麻黄四两、浓朴五两良效。生姜、细辛各三两，石膏如鸡蛋大，脉浮咳喘此方恰当。
元犀按语：咳嗽且脉浮，说明体内有饮邪而体表有外邪。表邪激动体内的饮邪，饮气上凌心肺，导致心肺之阳气被蒙蔽。麻黄解表祛除邪气，干姜、五味子、半夏、细辛化痰涤除饮邪，小麦保护心君。然而表邪得辛温之性即可发散，内饮亦随之化解。尤其妙在先煮小麦。
学者应当细心体会认识，才能掌握其中的旨意。
Treats cough accompanied by Qi rebellion (rebellious Qi) and a sound in the throat resembling that of a water chicken (frogs). This formula is indicated.
Shegan (Radix Belamcandae, 3 liang), Mahuang (Herba Ephedrae, 4 liang), Shengjiang (Rhizoma Zingiberis Recens, 4 liang), Xixin (Radix Asari, 3 liang), Ziwan (Herba Asteris Tatarici, 3 liang), Kuandonghua (Flos Farfarae, 3 liang), Dazao (Fructus Jujubae, 7 pieces).
The above nine ingredients are decocted with one dou two sheng of water. First, boil Mahuang for two boils, remove the foam on the surface, then add the remaining herbs. Decoct until three sheng of liquid remains. Divide into three warm doses.
Song says:
Cough and rebellious Qi with the sound of a water chicken in the throat;
Three liang each of Gan (Shegan), Xin (Xixin), Kuan (Kuandonghua), Wan (Ziwan) move the Qi.
Banxia (Rhizoma Pinelliae Preparata) half sheng, seven grains of Zao (Dazao);
Jiang (Shengjiang) and Ma (Mahuang) four liang each break the firm fortress.
The above formula primarily acts to Warm (Wen), while this formula primarily acts to Disperse (San).
You Zaijing states: Cough with rebellious Qi occurs because pathogens in the Lung prevent Qi from descending, causing it to rebel upwards. Cold-fluid retention in the Lung ascends into the throat and is agitated by respiratory Qi, producing the sound.
Treats cough with rebellious Qi, frequent expectoration of turbid phlegm, where the patient can only sit upright and cannot lie down. This pill is indicated.
Zaojiao (Fructus Gleditsiae Sinensis, 8 liang, scraped of skin, roasted with su [animal fat]).
The above single ingredient is powdered. Honey pills the size of wutong seeds are made. Take three pills per dose, harmonized with Zao Gao (Date Paste) and soup. Administer three times during the day and once at night.
Song says:
Turbid phlegm rebels upward, Qi surges, sitting makes sleep difficult;
The abscess tendency is about to form, obstruction is severe and hard.
Zaojiao honey pills adjusted with Zao (date paste) taken down;
Precautions must be taken before the rain (metaphor for early intervention).
Commentary: Phlegm has a solid and unyielding nature; therefore, Zaojiao is used to open obstructions and cleanse filth, while Zao Gao is used to calm Stomach Qi. Expelling pathogens does not detach from protecting the healthy Qi.
Treats cough with a floating pulse. This formula is indicated.
Noupu (Cortex Magnoliae Officinalis, 5 liang), Mahuang (Herba Ephedrae, 4 liang), Shigao (Gypsum Fibrosum, size of a chicken egg), Xingren (Semen Pruni Armeniacae, half sheng), Banxia (Rhizoma Pinelliae Preparata, half sheng), Ganjiang (Rhizoma Zingiberis, implied quantity based on context/standard text often matches others or specific ratio, here text cuts off but song implies standard composition), Wuweizi (Fructus Schisandrae Chinensis, implied), Xixin (Radix Asari, implied), Xiaomai (Fructum Tritici Levis, 4 sheng). *Note: The source text lists "Shang Jiu Wei" (Above nine flavors) but the list provided in the prompt snippet for this formula seems truncated or implicit in the song. Based on standard Shanghan Lun/Jin Gui Yao Lue text for Noup Mang Huang Shi Gao Tang, the ingredients are Noup, Mahuang, Shigao, Xingren, Banxia, Ganjiang, Wuweizi, Xixin, Xiaomai.*
The above nine ingredients are decocted with one dou two sheng of water. First, boil Xiaomai until cooked, remove the dregs, then add the other herbs. Decoct until three sheng of liquid remains. Take one sheng warm per dose, three times daily.
Song says:
Xingren and Banxia half sheng each;
Xiaomai four sheng, Mahuang four liang, Noup five liang are good.
Jiang (Shengjiang/Ganjiang mix implied or specific dosage), Xin (Xixin) three liang, Shigao (Gypsum) size of chicken egg;
Floating pulse, cough and wheezing, this formula is appropriate.
Yu Xi commentary: Cough with a floating pulse indicates internal fluid retention and external pathogens. External pathogens stir up internal fluids; fluid Qi rebels upward, covering the Yang of the Heart and Lung. Mahuang releases the exterior and expels pathogens; Ganjiang, Wuweizi, Banxia, and Xixin transform phlegm and clear fluids; Xiaomai protects the Heart Sovereign. However, external pathogens can be dispersed by acrid-warm herbs, and internal fluids are resolved accordingly. Especially wonderful is boiling Xiaomai first.
Students should carefully contemplate and recognize this, to grasp its essence.