Cough is a common clinical symptom, and there are often patients who do not achieve good results despite treatment by Chinese and Western medicine, becoming chronic coughs for a long time. The Chinese medical text Huang Di Nei Jing states, “All five viscera and six internal organs cause cough, not only the lungs.” We were guided by this theory. We have treated some coughs that are difficult to cure according to the five viscera. Satisfactory results have been achieved. Lung cough is the most common, and can be divided into two categories: cough without phlegm and cough with phlegm. In the case of cough without phlegm, the patient has a dry cough for many days with no phlegm at all or little phlegm and a tickling throat. If the patient has a red tongue with little tongue coating, he can use Baihegujin Tang with reduction to nourish Yin and moisten the lung to stop the cough. Patients with pulmonary tuberculosis are often treated according to this treatment. Patients with this type of evidence are not very common in clinical practice. The common dry cough is in patients with acute or chronic bronchitis, and there may be no dry rales in both lungs, and the x-ray chest film may be normal. Some patients receive oral or intravenous antibiotics. The effect of central cough suppressants is not good. The mouth is dry and the throat is dry, and the tongue coating is thick and greasy. In such patients, if we use Yin nourishing and moistening drugs alone, the moss will become thicker and the cough will not decrease; if we use dampness-drying and phlegm-dissolving drugs alone, it will hurt the lung yin, and the dry throat will become more itchy and the cough will not stop. We combine phlegm and lung moistening with drugs that can clear heat and dispel phlegm and dampness, and moisten the lung to produce fluid. For example, mother-of-pearl, guahu, bupleurum, smallpox powder, ming dong, rhizome, ziyuan, and dong hua. The prescription can be added and subtracted with Bayberry and Guaou Piper. This method has been used to treat patients with dry cough with satisfactory results. Coughs with phlegm should be treated with drugs with better expectorant and dampness-drying effects, and a distinction should be made between hot and cold. For hot coughs, Qian Hu, Zhu Ru, Zhu Li, Dong Gua Ren, Loquat leaf, Mandarin, as well as Bei Mu and Gua Gua Pou can be used. For cold cough, Fa Xia, Bai Qian, almonds and San Zi Nourishing Parent Soup can be used. According to our experience, the treatment effect is generally better for simple pulmonary cough with more sputum, but more difficult to treat if combined with heart, spleen or kidney deficiency. Spleen cough is mostly a phlegm-damp cough caused by spleen deficiency, with the main symptoms being coughing with more phlegm, poor appetite, and bitter, thick and greasy. Many elderly patients with chronic bronchitis belong to this type. In this type of patients, a lot of phlegm is an important cause of cough. The use of sufficient amounts of western drugs such as antibiotics and expectorant combinations, together with lung-clearing and phlegm-suppressing herbs to stop coughing sometimes still cannot solve the problem of excessive phlegm, so the patient coughs for a long time. The spleen is the source of phlegm production, and if spleen deficiency is not corrected, it is difficult to reduce the amount of phlegm. To treat a cough with spleen deficiency, we must add herbs that strengthen the spleen and dispel dampness, such as Coix Seed, Huai Shan, Fu Ling, Atractylodes Macrocephala, Gorgonian and Atractylodes Macrocephala. The prescription can be added to Chen Xia Liu Jun Zi Tang. As the patient’s appetite improves and spleen deficiency is alleviated, the amount of sputum decreases and the cough gradually heals. In addition, in pediatric bronchitis and pneumonia, spleen deficiency often occurs after the cough is reduced by the use of Chinese and Western medicines. This can be seen as poor appetite, sputum, and prolonged cough. A case of a pediatric patient with high fever and cough after a cold was diagnosed as bronchitis. The condition improved significantly with penicillin and other drugs, and the fever subsided, but the cough persisted. It was changed to ampicillin, vincristine V, and virazole intravenously. Treated for 1 month before and after. Still could not eliminate the cough. The sick child was weak and sweaty. His appetite was very poor and his sputum was white in color. According to the principle of treating the lung and spleen together, we used Chen Xia Liu Jun Zi Tang with cough suppressant and phlegm dissolver to nourish the spleen and stomach, dispel dampness and resolve phlegm, and the cough was relieved after 7 doses. C. Kidney cough According to Chinese medicine, the kidney is the master of water and qi. Deficiency of kidney qi and imbalance of water metabolism can produce dampness and phlegm, which can be reversible in the lung, resulting in cough with phlegm. If the kidney does not receive qi, the lung qi does not descend, which can lead to asthma and cough. A deficiency of Kidney Yin can lead to a dry mouth and dry cough due to Yin deficiency and fire. Patients with kidney cough tend to have a long history of illness. Patients with kidney cough tend to have a longer history of illness, are in poorer health, are more severe, and have both cough and asthma. This condition is often seen in patients with chronic obstructive pulmonary disease. In the case of acute exacerbation of phlegm and heat, the use of cough suppressant and phlegm calming drugs, together with the addition of kidney nourishing Chinese medicine to correct kidney deficiency, can improve the efficacy. The patient also had signs of kidney deficiency such as tinnitus, nocturnal urination, lumbar and knee weakness, and a pale and dark tongue. After the addition of kidney tonics (pecan meat, mealybug and bone marrow), the cough and asthma were gradually eliminated with the improvement of kidney deficiency. For patients with COPD in remission, continued treatment has positive significance and is directly related to the reduction of the number of attacks and prognosis. For patients with kidney deficiency, treating the cough and wheezing while tonifying the kidney qi and treating both the symptoms and the root cause is an important rule to cure the cough and wheezing. We use our self-developed formula for strengthening the kidney and strengthening the spleen, resolving blood stasis and dispelling phlegm, and have the patient take one dose on 2-3 days with our self-developed formula for relieving cough (pecan meat, mealybug, northern astragalus, rehmannia, dogwood, peach kernel, almond and green peel). Long-term use (especially in autumn and winter) can increase the patient’s constitution, prevent colds and reduce the number of attacks. Fourth, liver cough “Nei Jing” has a discussion: the symptoms of liver cough, coughing is pain under the two hypochondrium. According to the diagnosis of Western medicine, liver cough is not a disease of the liver. Chinese medicine identifies it as liver fire or liver yin deficiency. A female patient with a cough of more than two months, a dry throat with thick sputum, an irritable mouth, poor sleep, pain in both hypochondrium when coughing, early menstruation, more menstrual blood, a red tongue, and a stringent pulse. There is no abnormality in both lungs on auscultation and no lesion in both lungs on X-ray. The diagnosis is liver cough, which is caused by liver qi stagnation and liver fire offending the lung. We used Dan Gardenia Prosperity San to remove Angelica sinensis and ginger, and added Fructus Lycii, Scutellaria baicalensis, Rhizoma smallpox and Almond. The cough was eliminated with 7 doses and the menstrual disorder was also corrected. V. Heart cough Heart cough is mostly caused by deficiency of heart qi and stagnation of heart blood at the same time as cough. This symptom is often seen in chronic bronchitis, pulmonary heart disease, and rheumatic heart disease. The condition is more severe, with a cough with more phlegm, shortness of breath when moving, and a dark tongue with green lips. This patient is treated with anti-inflammatory, asthma, cough, diuretic and other western drugs, which can relieve the symptoms, but the root of the disease of phlegm stasis blocking the lung and deficiency of heart qi still cannot be eliminated, so the symptoms recur. It is advisable to benefit qi, invigorate blood, resolve phlegm and stop cough, using reed stem soup with added flavor (reed stem, coix seed, winter melon seed, peach kernel, Chuanxiong, Di Long, Dan Shen, prunus seed and green peel). In the remission period, it can gradually change the patient’s condition of phlegm stagnation and stagnation, so that the cough and asthma can be reduced. In addition to using the above in the acute attack period, Chuanxiongzin injection can be added intravenously, which, together with western medicine, can better improve the state of pulmonary stasis, reduce the right heart afterload and control the symptoms more quickly. This article was published in: Journal of the First Military Medical University 1993, Volume 13, Issue 4, Page 354