脉偏弦为饮，或沉弦滑，或结芤伏，痰饮中节，又脉多滑，有弦滑、沉滑、微滑。火痰黑色老痰胶，湿痰白
色寒痰清。
王隐君曰∶痰之为病难明，或头晕目眩耳鸣，或口眼蠕动、眉棱骨痛、耳叶俱痒，或四肢游风肿硬，或齿
浮而痛痒，或噫气吞酸、心下嘈杂，或痛或哕，或咽嗌不利，咯之不出、咽之不下。其痰似黑，有如破絮桃胶
蚬肉之状，或心下如停冰，心气冷痛，或梦寐奇怪之状，或足腕酸软，或腰肾骨节卒痛，或四肢筋骨疼痛，或
手足麻痹、臂痛状若风湿，或脊上每日一条如线红起，或浑身习习如卧芒刺，或眼粘涩痒、口噤喉痹，或绕项
结核，或胸腹间如有二气结纽，噎塞烦闷，或失志癫狂、中风瘫痪，或风毒香港脚，或心下怔忡如畏人捕，或喘
嗽呕吐，或吐冷涎绿水黑汁，甚为肺痈疡毒者，恶心痞膈、泄泻寒热便脓，或胸间辘辘有声，或背心一点常如
冰冷，皆痰所致。百病中多有兼痰者，世所不知也。诸病以化痰为先。善治痰者，兼治气，气顺则痰利。痰脉
浮滑者宜降。浮实者宜吐，沉小者不宜吐，恐虚故也。凡治痰症，不可全用利药，过使脾气虚弱，则痰反易生
而多；若脾虚生痰者，用健脾燥湿，便要利补兼用，陈皮、白术为佐也。痰乃秽浊之物，宜吐不宜泻，则反加
别症矣。
痰者属湿，乃津液所化也。
二陈汤 治一切痰饮化为百病，此药主之。
陈皮（去白） 半夏（姜制） 白茯苓（去皮） 甘草
上锉一剂，生姜三片，水煎服。
咳嗽白痰者，肺感风寒也，（以后诸痰为病，悉根据前方加减。）风痰加南星、桔梗、防风、枳实；寒痰加干
姜、官桂。
食积痰者，多餐饮食，郁久成痰也。（小儿多有此症。）加山楂、神曲、香附。
咳嗽线痰者，脾胃有湿也。加苍术、白术、山楂、砂仁。
痰气者，胸膈有痰气胀痛也。（痰在咽喉间，有如绵絮，有如梅核，吐之不出，咽之不下，或升或降，塞
碍不通，亦痰气也，后成膈噎病。）加砂仁、香附、栝蒌、枳实、苏子、桔梗、当归、贝母，去半夏。
痰饮者，痰在胸膈间，痛而有声也。加苍术、栝蒌、枳实、木香、砂仁、当归、川芎、香附、青皮、白芥
子，治痰饮极效。
痰涎症者，浑身胸背胁痛不可忍也。（牵引钓痛、手足冷痹，是痰涎在胸膈也。）加白芥子、砂仁、木香、
茴香、香附、枳实、当归、酒炒黄芩。
痰湿流注者，浑身有肿块也。（凡人骨体串痛，或作寒热，都是湿痰流注经络也。）加栝蒌、枳壳、苍术、
酒芩、羌活、防风、连翘、当归、香附、砂仁、木香、红花、竹沥、姜汁少许；有热加柴胡；上痛加川芎、白芷；
下痛加黄柏、牛膝，块痛加乳香、没药；头项痛加威灵仙；肿块痛，外加五倍子、朴硝、大黄、南星，四味为细
末，醋调敷肿块上，渐渐自消，不散则成脓矣。
痰核者，人身上下结核不散也。（或发肿块者，是痰块也。大凡治痰块、流注结核，俱与湿痰流注同治法。）
俱加皂刺，引药至毒所。湿痰加苍术、白术、砂仁、香附、枳壳、桔梗；热痰加黄芩、山栀、贝母、枳实、桔梗
、麦门冬、竹沥，去半夏；痰火加炒黄连、竹沥、贝母，去半夏。
痰呃者，咳嗽气逆发痰呃也，加砂仁；酒痰加炒黄连、砂仁、干葛、乌梅，枳实、桔梗、贝母，去半夏。
项背骨节疼痛者，皆是痰气风热也。老痰加枳实、栝蒌、海石、连翘、香附、黄芩、桔梗、贝母，去半夏。
咳嗽咯吐黄痰者，脾胃有热也。（久不愈成肺痿，口吐痈脓，或
痰血作腥臭，难治也。）加栝蒌、枳实、桔梗、片芩、山栀、天门冬、桑白皮、杏仁、苏子、竹沥。
咯吐黑痰成块者，劳伤心肾也。皆是久郁老痰，同治法。
脾虚生痰加白术、人参、白芍、枳实、砂仁、桔梗。
痰喘气急加苏子、砂仁、木香、茴香、白芥子、栝蒌、枳实、酒炒枯芩、羌活、苍术、当归、竹沥、川芎、
姜汁少许，去半夏。
痰症发热咳嗽生痰加片芩、麦门冬、五味子、贝母、知母、桑白皮、当归、桔梗、竹沥、姜汁少许，去半夏。
如饮酒呕哕吐痰加砂仁、乌梅。（前二陈汤加减止此。）
不能言语者，是痰迷心窍也。咯痰不出者，是痰结也。胸膈有痰不化，元气虚弱，津液干燥，咯不得出，喘
嗽身热，痛难转侧者，是痰结也。胁下有痰，作寒热咳嗽、气急作痛者，亦痰结也。喉中漉漉有声，喘急，咯痰
不出者，难治也。气郁发喘不得睡者，难治也。服药后，若咯吐痰出为效；若咯痰不出者，亦难治也。（以上六
条，俱宜后方。）
栝蒌枳实汤 治痰结咯吐不出，胸膈作痛、不能转侧，或痰结胸膈满闷作寒热气急，并痰迷心窍不能言
语者，并皆治之。
栝蒌（去壳） 枳实（麸炒） 桔梗（去芦） 茯苓（去皮） 贝母（去心） 陈皮 片芩（去朽） 山栀
（各一钱） 当归（六分） 砂仁 木香（各五分） 甘草（三分）
上锉一剂，生姜煎，入竹沥、姜汁少许，同服。痰迷心窍不能言语，加石菖蒲，去木香，气喘加桑白皮、苏
子。外用姜渣揉擦痛处。
痰燥者，痰火作热烦躁也。痰话者，痰火作热惊惕不安、错语失神也。痰迷心窍，神不守舍，因思忧郁结，
惊恐伤心，
心不自安，神出舍空，使人烦乱，悲歌叫骂，奔走不识人也。（以上诸条俱宜后方。）
加减温胆汤 治痰燥、痰话、惊惕失志、神不守舍。
茯神（去皮木，一钱） 半夏（姜汁制，一钱） 陈皮（一钱） 枳实（麸炒，一钱） 当归（八分）
酸枣仁（炒，八分） 山栀（炒，一钱） 竹茹（八分） 人参（六分） 白术（去芦，一钱） 麦门冬 辰砂
（五分，为末，临服调入） 黄连（姜汁炒，一钱） 竹沥（半盏，临服加入） 甘草（三分）
上锉姜、枣，乌梅煎，调辰砂末温服
千般怪症者，多兼痰火也。
滚痰丸
大黄（酒拌，蒸，晒干） 黄芩（去朽，各八两） 沉香（五钱） 金星礞石（一两，捶碎焰硝一两，和匀
入砂罐内，铁线扎，盐泥封固、晒干、碳火 过） ─方加朱砂（二两，研极细末为衣）
上为细末，水丸如绿豆大。每服三五十九，量虚实加减服之，各随引子送下。一切失心丧志，或癫或狂等症
，每服百丸。人壮盛气实能饮食狂甚者，服百二十丸以上三百丸，以效为度。一切中风瘫痪，痰涎壅塞、大便或
通或闭者，每服八九十丸。人壮盛实者，一百丸。常服二三十丸，无大便不利之患，自然上清下润之妙。一切阳
症风毒，香港脚，遍身游走疼痛，每服八九十丸；未效，更加十丸。一切走刺气痛，每服七八十丸；未效，再加十
丸。一切无病之人，遍身筋骨平白疼痛，不能名状者，每服七八十丸，以效为度。一切头痛非头风症，牙疼或浮
或痒非风疰牙疼者，每服八九十丸。一切噫气吞酸，至于嗳逆呃气及胸闭，或从胸中气块冲上，呕吐涎饮状如翻
胃者，每服七八十丸；未效再服。一切心中怔忡如畏人捕，怵惕不安，阴阳关格，变生怪症，每服七八十丸。一
切失饥伤饱，忧思过虑至于心下嗜杂，或呕或哕，
昼夜饮食无度，或只虚饱，腹中稍饥，并不喜食，每服七八十丸。一切新久痰气喘嗽，或呕吐涎沫，或痰结实
热，或头目眩晕，每服八九十丸；虚老羸瘦者，五六十丸；未便再加十丸。一切急慢喉闭赤眼，每服八九十丸
；腮颌肿硬，绕项结核若瘰 者，正宜服之；若年深，多次服之；口糜舌烂、咽喉生疮者，每服五六十丸，
、用蜜少许，口嚼碎噙睡，徐徐咽下些小。口疮如此，噙三四夜即瘥也。一切遍身无故游走疼痛，或肿或挛
，或无常处，痛无定所，不肿在一处及酸软沉滞者，每服七八十丸，量大小轻重加减服之。一切心气疼
痛如停冰块，或动身散入腹中绞痛，上攻头面肿硬，遍身四肢去处肿起软浮，或痛或痒，或穿或不穿，或穿
而复闭，或消或长，渐成笃疾，皆系痰毒内攻，或使烂痰臭，或作肠痈内疽，服之，打下恶物。日浅脓近者，克日
全安。一切男妇，久患心疼下连小腹，面黄羸瘦。痛阵日发，必呕绿水、黑汁，冷涎、乃致气绝，心下温暖者，
每服八九十丸，立见生意。然后陆续服之，以瘥为度。兼服生津化痰，温中理脾之药，唯豁痰汤加减为妙。一切
痢疾，不问杂色，或带血块恶物者，不问曾经推挨，但是新久不已者，或热、或不进饮食，每服八九十丸。次日
热退，再进三二十九，即服止痢药，万无一失。若兼寒热痰涎者，并用仓廪散。一切荏苒之疾日久，男妇之
患，非伤寒内外之症，或酒色吐血，或月水过期，心烦志乱，或腹胀胁痛劳痛、耳聩鼻窒、骨节酸痛、干呕哕恶
心，百药无效，痛者不能喻其状，方书未尝载其疾，医者不能辨其症，并根据前法加减服之，无不效之理也。
大凡服药必须临睡卧床之时，用熟水一口只送过咽喉即便仰卧，令药在咽膈之间徐徐而下，要半日不可饮食汤水及
不可起身行坐言语。直候药丸徐逐上焦，痰滞恶物过膈入
腹，然后动作，方能中病。每次须当连进两夜，先夜所服，次日痰物既下三五次者，次夜减十丸。上两次者，仍
服前数；下五七次或只二三次而疾势顿已者，次夜减二十丸，头夜所服，并不下恶物者，次夜加十丸，壮人病实
者，多至百丸。唯狂疾劲实及暴卒恶候，多服无效。其或服罢卧倒，咽喉稠滞，壅塞不利者，乃痰气从上，药病相
攻之故也。少顷，药力既胜，自然宁贴。又或百中有一，稍稍腹痛、腰背拘急者，盖有一种顽痰。恶物滞壅，闭
气滑肠、里急后重者，状如痢病，片晌即已。若其痰涎易下者，其为快利，不可胜言，顿然满口生津，百窍爽快。
间有片时倦怠者，盖连日病苦不安，一时为药所胜，肌体暂和，如醉得醒，如浴方出，如睡方起，即非虚倦。此药
并不洞泻、刮肠大泻，但能取痰积恶物自胸胃次第穿凿而下，腹中嗜杂并不相伤。唯下部粘肠之粪，乃药力不到之
处，是故先去其余。余不备述耳。
竹沥化痰丸 上可取上之湿痰，下可取肠胃之积痰。一名导痰小胃丹。
南星 半夏（二药用皂矾姜水浸煮，干。各二两） 陈皮 枳实（二药用皂矾水泡半日，炒。各二两）
白术（去芦，二两） 苍术（用米泔、皂矾水浸一宿，去黑皮，切，晒干炒，二两） 桃仁（去皮） 杏仁（用皂
矾水泡去皮尖。各一两） 红花（酒蒸，一两） 白芥子（炒，一两） 大戟（长流水煮一时，晒干，一两）
芫花（醋拌湿，过一宿，炒黑，一两） 甘遂（面裹煨过，一两） 黄柏（炒褐色，一两） 大黄（酒湿纸包煨过，
再以酒炒，一两半）
上为末，姜汁、竹沥打蒸饼糊为丸，如绿豆大。每服三二十丸。极甚者，五七十丸。量人虚实加减，再不可多，
恐伤胃气也。一切痰饮，临卧时白汤送下，一日一服，最能化痰，化痞、化积，治中风喉痹极有神效。
一中风不语、瘫痪初起，用浓姜汤送下三五十丸，少时
即能说话。
一头风头痛，多是湿痰上攻，临卧时姜汤下二十丸。
一眩晕，多属痰火，食后姜汤下二十五丸；然后以二陈汤合四物汤加柴胡、黄芩、苍术、白芷，倍用川芎；
热多加石膏、知母。
一痰痞积块，临卧白汤送下三十丸，一日一服，虽数十年，只五七服见效。
一哮吼，乃痰火在膈上，临卧姜汤下二十五丸，每夜服一次，久服自效。
一喉痹肿痛，食后白汤送下。
调理痰火之疾者，宜消补兼济也。
清气化痰丸 化痰顺气、开郁清火、宁嗽止喘，妙不可言。
橘红（盐水洗，去白，二两） 香附米（盐水浸炒，三两） 青黛（四钱） 半夏（温水洗七次，姜汁浸炒，
二两） 片芩（酒炒，一两） 贝母（去心，二两） 天门冬（水泡，去心，二两） 栝蒌（去壳，微炒，另研，
二两） 桔梗（去芦，二两） 杏仁（水泡，去皮尖，微炒，二两） 枳实（去瓤，麸炒，二两） 山楂肉（蒸，
去钱，二两） 黄连（去毛，姜汁炒，二两） 白茯苓（去皮，二两） 白术（不油者二两） 苏子（微炒、二两）
连翘（去梗，一两） 海石（一两，另研） 皂角（火炮，去皮弦子。一两熬膏）
上为细末，用神曲、竹沥打糊为丸，如梧桐子大。每服五十丸，食后白汤下，清茶亦可。
千金化痰丸 健脾理胃、清火化痰，顽痰能软、结痰能开、疏风养血，清上焦之火，除胸膈之痰，清头目、
止眩晕如神。
胆星（四两） 半夏（姜矾同煮半日，四两） 陈皮（去白，二两） 白茯苓（去皮，二两） 枳实（去瓤，
麸炒，一两） 海石（火 。一两） 天花粉（二两）
片芩（酒炒，二两） 黄柏（酒炒，一两） 知母（酒炒，一两） 当归（酒洗，一两） 天麻（火锻，二两）
防风（去芦，二两） 白附子（煨，二两） 白术（米泔浸，炒，二两） 大黄（酒拌蒸九次，五两） 甘草（生
，三钱） 气虚加人参（八钱）
上为细末，神曲二两打糊为丸，如梧桐子大。每服六七十丸，清茶任下。
The pulse being predominantly wiry indicates fluid retention (Yin), or it may present as deep-wiry-slippery, knotted-thready-hidden. When phlegm-fluids reside in the middle jiao (Spleen and Stomach), the pulse is often slippery, manifesting as wiry-slippery, deep-slippery, or slightly slippery. Fire-phlegm is black; old phlegm is sticky and difficult to resolve; dampness-phlegm is white; cold-phlegm is clear and thin.
Wang Yinjun stated: "Diseases caused by phlegm are difficult to clarify. They may cause dizziness, vertigo, and tinnitus; twitching of the mouth and eyes, pain in the supraorbital ridge, and itching of the auricle; wandering wind-like swelling and hardness in the four limbs; floating and painful/itchy teeth; belching with acid regurgitation; epigastric discomfort; pain or hiccups; difficulty in the throat, where phlegm cannot be expectorated nor swallowed. The phlegm may appear black, resembling broken cotton wadding, peach gum, or clam meat. One may feel as if ice is lodged in the epigastrium, with cold heart-pain, or experience strange dreams. Symptoms may include soreness and weakness of the ankles, sudden pain in the lower back, kidneys, and joints, or pain in the four limbs and tendons/bones. There may be numbness in the hands and feet, arm pain resembling wind-dampness, a red line rising daily along the spine, or a whole-body prickling sensation like lying on thorns. Eyes may feel sticky, dry, and itchy; the mouth may lock up, or there may be throat obstruction. Neck lymph node swellings may occur. A sensation of two qi streams knotting in the chest and abdomen may cause choking, stifling, and oppression. Mental confusion, mania, stroke, and paralysis may ensue. Wind-toxic Hong Kong foot (chronic ulcer of the lower limbs) may develop. Palpitations may feel as if one fears being hunted. Wheezing, coughing, and vomiting may occur, with expulsion of cold saliva, green water, or black juice. Severe cases may develop lung abscesses or sores, nausea, epigastric fullness, diarrhea with alternating chills and fever, and pus in the stool. Rumbling sounds may be heard in the chest. A specific point on the back may feel constantly cold. All these are caused by phlegm. In many diseases, phlegm is a concurrent pathogen, though this is unknown to the world. Treating various diseases should prioritize resolving phlegm. Those skilled in treating phlegm also regulate Qi; when Qi flows smoothly, phlegm is facilitated. For phlegm pulses that are superficial and slippery, descending methods are appropriate. For superficial and excess pulses, emetic methods are suitable; for deep and small pulses, emetics are contraindicated to avoid damaging healthy Qi. In treating phlegm syndromes, one must not rely entirely on diuretic/drainage herbs, as excessive use weakens Spleen Qi, causing phlegm to generate more easily and abundantly. If phlegm is generated due to Spleen deficiency, Spleen-fortifying and dampness-drying methods should be used, combining draining and tonifying effects, with Chenpi (Citri Reticulatae Pericarpium) and Baizhu (Atractylodis Macrocephalae Rhizoma) as adjuncts. Phlegm is turbid filth; it is better to induce vomiting than purging, otherwise other symptoms may arise.
Phlegm belongs to Dampness and is transformed from body fluids.
Erchen Tang (Two-Aged Decoction) treats all diseases arising from phlegm-fluids transforming into various ailments; this formula is indicated.
Chenpi (Citri Reticulatae Pericarpium, white pith removed), Banxia (Pinelliae Rhizoma, processed with ginger), Baifuling (Poria Cocos, skin removed), Gancao (Glycyrrhizae Radix et Rhizoma).
Grind one dose, add three slices of fresh ginger, decoct in water, and take orally.
For cough with white phlegm, it is due to Lung invasion by Wind-Cold. (For subsequent phlegm-related diseases, modify the above formula accordingly.) For Wind-phlegm, add Tianxing (Arisaematis Cum Bile), Jiegeng (Platycodonis Radix), Fangfeng (Saposhnikoviae Radix), Zhishi (Aurantii Fructus Immaturus). For Cold-phlegm, add Ganjiang (Zingiberis Rhizoma), Guongui (Cinnamomi Cortex).
For Food-stagnation phlegm, caused by overeating leading to long-term stagnation and phlegm formation (common in children), add Shanzha (Crataegi Fructus), Shenqu (Massa Medicata Fermentata), Xiangfu (Cyperi Rhizoma).
For cough with thread-like phlegm, it is due to Dampness in the Spleen and Stomach. Add Cangzhu (Atractylodis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Shanzha (Crataegi Fructus), Sharen (Amomi Fructus Rotundus).
For Phlegm-Qi stagnation, characterized by distending pain in the chest and diaphragm due to phlegm-Qi (phlegm in the throat feels like cotton wadding or a plum pit, cannot be expectorated or swallowed, moves up and down, causing obstruction, eventually leading to dysphagia/Jieye disease), add Sharen (Amomi Fructus Rotundus), Xiangfu (Cyperi Rhizoma), Gualou (Trichosanthis Fructus), Zhishi (Aurantii Fructus Immaturus), Suzi (Perillae Fructus), Jiegeng (Platycodonis Radix), Danggui (Angelicae Sinensis Radix), Beimu (Fritillariae Bulbus), remove Banxia (Pinelliae Rhizoma).
For Phlegm-Fluids, where phlegm resides in the chest and diaphragm causing pain with sound, add Cangzhu (Atractylodis Rhizoma), Gualou (Trichosanthis Fructus), Zhishi (Aurantii Fructus Immaturus), Muxiang (Aucklandiae Radix), Sharen (Amomi Fructus Rotundus), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xiangfu (Cyperi Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Baijiezi (Sinapis Semen). This is highly effective for phlegm-fluids.
For Phlegm-Saliva syndrome, characterized by unbearable pain throughout the chest, back, and hypochondrium (pulling pain, cold numbness in hands and feet indicates phlegm-saliva in the chest and diaphragm), add Baijiezi (Sinapis Semen), Sharen (Amomi Fructus Rotundus), Muxiang (Aucklandiae Radix), Huixiang (Foeniculi Fructus), Xiangfu (Cyperi Rhizoma), Zhishi (Aurantii Fructus Immaturus), Danggui (Angelicae Sinensis Radix), Jiuhuangqin (Scutellariae Radix stir-fried with wine).
For Phlegm-Dampness flowing and depositing, characterized by lumps throughout the body (wandering bone/joint pain or alternating chills and fever indicate damp-phlegm flowing into meridians), add Gualou (Trichosanthis Fructus), Zhiqiao (Aurantii Fructus), Cangzhu (Atractylodis Rhizoma), Jiuqin (Scutellariae Radix stir-fried with wine), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Lianqiao (Forsythiae Fructus), Danggui (Angelicae Sinensis Radix), Xiangfu (Cyperi Rhizoma), Sharen (Amomi Fructus Rotundus), Muxiang (Aucklandiae Radix), Honghua (Carthami Flos), Zhuli (Bambusae Sap), Jiangzhi (Zingiberis Succus); for heat, add Chaihu (Bupleuri Radix); for upper pain, add Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix); for lower pain, add Huangbai (Phellodendri Cortex), Niuxi (Achyranthis Bidentatae Radix); for lump pain, add Rushxiang (Olibanum), Moyao (Myrrha); for head/neck pain, add Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma). For lump pain externally, add Wubeizi (Gallae Chinensis), Xiaoyan (Natrii Sulfas), Dahuang (Rhei Radix et Rhizoma), Nanxing (Arismae Rhizoma); grind these four into fine powder, mix with vinegar, apply to the lump to gradually dissipate; if it does not dissipate, it will suppurate.
For Phlegm Nuclei (Tanhe), lymph node swellings anywhere in the body that do not resolve (lumps are phlegm masses; treatment for phlegm masses, flowing deposits, and nuclei is similar to damp-phlegm flowing deposits), add Zaocili (Gleditsiae Spina) to guide herbs to the toxic site. For damp-phlegm, add Cangzhu (Atractylodis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Sharen (Amomi Fructus Rotundus), Xiangfu (Cyperi Rhizoma), Zhiqiao (Aurantii Fructus), Jiegeng (Platycodonis Radix); for heat-phlegm, add Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), Beimu (Fritillariae Bulbus), Zhishi (Aurantii Fructus Immaturus), Jiegeng (Platycodonis Radix), Maidong (Ophiopogonis Radix), Zhuli (Bambusae Sap), remove Banxia (Pinelliae Rhizoma); for Phlegm-Fire, add Chao Huanglian (Coptidis Rhizoma stir-fried), Zhuli (Bambusae Sap), Beimu (Fritillariae Bulbus), remove Banxia (Pinelliae Rhizoma).
For Phlegm-Hiccups, caused by cough and rebellious Qi generating phlegm-hiccups, add Sharen (Amomi Fructus Rotundus); for Wine-phlegm, add Chao Huanglian (Coptidis Rhizoma stir-fried), Sharen (Amomi Fructus Rotundus), Genge (Puerariae Lobatae Radix), Wumei (Mume Fructus), Zhishi (Aurantii Fructus Immaturus), Jiegeng (Platycodonis Radix), Beimu (Fritillariae Bulbus), remove Banxia (Pinelliae Rhizoma).
For neck, back, and joint pain, it is due to Phlegm-Qi and Wind-Heat. For old phlegm, add Zhishi (Aurantii Fructus Immaturus), Gualou (Trichosanthis Fructus), Haishi (Arcae Concha), Lianqiao (Forsythiae Fructus), Xiangfu (Cyperi Rhizoma), Huangqin (Scutellariae Radix), Jiegeng (Platycodonis Radix), Beimu (Fritillariae Bulbus), remove Banxia (Pinelliae Rhizoma).
For cough with yellow phlegm expectoration, it is due to Heat in the Spleen and Stomach (if prolonged, it becomes Feiwei/Lung萎 [atrophy], with expectoration of pus or bloody phlegm with foul odor, which is difficult to treat). Add Gualou (Trichosanthis Fructus), Zhishi (Aurantii Fructus Immaturus), Jiegeng (Platycodonis Radix), Pianqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), Tiandong (Asparagi Radix), Sangbaipi (Mori Cortex), Xingren (Armeniacae Semen Amarum), Suzi (Perillae Fructus), Zhuli (Bambusae Sap).
For expectoration of black phlegm in clumps, it is due to exhausting the Heart and Kidneys. It is all old phlegm from long-term stagnation; treat similarly.
For Spleen-deficiency generating phlegm, add Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix et Rhizoma), Baishao (Paeoniae Radix Alba), Zhishi (Aurantii Fructus Immaturus), Sharen (Amomi Fructus Rotundus), Jiegeng (Platycodonis Radix).
For Phlegm-Wheezing and rapid breathing, add Suzi (Perillae Fructus), Sharen (Amomi Fructus Rotundus), Muxiang (Aucklandiae Radix), Huixiang (Foeniculi Fructus), Baijiezi (Sinapis Semen), Gualou (Trichosanthis Fructus), Zhishi (Aurantii Fructus Immaturus), Jiukuhuangqin (Scutellariae Radix stir-fried with wine until dry), Qianghuo (Notopterygii Rhizoma et Radix), Cangzhu (Atractylodis Rhizoma), Danggui (Angelicae Sinensis Radix), Zhuli (Bambusae Sap), Chuanxiong (Ligustici Chuanxiong Rhizoma), Jiangzhi (Zingiberis Succus), remove Banxia (Pinelliae Rhizoma).
For Phlegm syndrome with fever, cough, and phlegm generation, add Pianqin (Scutellariae Radix), Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), Beimu (Fritillariae Bulbus), Zhimu (Anemarrhenae Rhizoma), Sangbaipi (Mori Cortex), Danggui (Angelicae Sinensis Radix), Jiegeng (Platycodonis Radix), Zhuli (Bambusae Sap), Jiangzhi (Zingiberis Succus), remove Banxia (Pinelliae Rhizoma).
If vomiting and hiccups with phlegm occur after drinking alcohol, add Sharen (Amomi Fructus Rotundus), Wumei (Mume Fructus). (Modifications of the preceding Erchen Tang end here.)
Inability to speak is due to Phlegm confusing the Heart Orifice. Inability to expectorate phlegm is due to Phlegm knotting. Phlegm in the chest/diaphragm that fails to transform, combined with deficient Yuan Qi, dry body fluids, inability to expectorate, wheezing/cough with body heat, and pain making turning difficult, is Phlegm knotting. Phlegm under the ribs causing alternating chills/fever, cough, rapid breathing, and pain is also Phlegm knotting. Bubbling sound in the throat, rapid breathing, and inability to expectorate phlegm is difficult to treat. Qi stagnation causing wheezing and insomnia is difficult to treat. After taking medicine, expectorating phlegm indicates efficacy; inability to expectorate phlegm is also difficult to treat. (The above six conditions are suitable for the following formulas.)
Gualou Zhishi Tang (Trichosanthes and Immature Bitter Orange Decoction) treats Phlegm knotting with inability to expectorate, chest/diaphragm pain, inability to turn, or Phlegm knotting in chest/diaphragm causing fullness, chills/fever, rapid breathing, and Phlegm confusing the Heart Orifice causing inability to speak; it treats all these.
Gualou (Trichosanthis Fructus, shell removed), Zhishi (Aurantii Fructus Immaturus, bran-fried), Jiegeng (Platycodonis Radix, radix tip removed), Fuling (Poria Cocos, skin removed), Beimu (Fritillariae Bulbus, heart removed), Chenpi (Citri Reticulatae Pericarpium), Pianqin (Scutellariae Radix, rotten parts removed), Zhizi (Gardeniae Fructus) (each 1 qian), Danggui (Angelicae Sinensis Radix) (6 fen), Sharen (Amomi Fructus Rotundus), Muxiang (Aucklandiae Radix) (each 5 fen), Gancao (Glycyrrhizae Radix et Rhizoma) (3 fen).
Grind one dose, decoct with fresh ginger, add a little Zhuli (Bambusae Sap) and Jiangzhi (Zingiberis Succus), and take together. For Phlegm confusing the Heart Orifice causing inability to speak, add Shichangpu (Acori Tatarinowii Rhizoma), remove Muxiang (Aucklandiae Radix); for asthma, add Sangbaipi (Mori Cortex), Suzi (Perillae Fructus). Externally, rub the painful area with ginger residue.
Phlegm-Dryness refers to irritability and restlessness caused by Phlegm-Fire generating heat. Phlegm-Talk refers to fright, unease, confused speech, and loss of spirit caused by Phlegm-Fire generating heat. Phlegm confusing the Heart Orifice, Spirit failing to reside in its mansion, due to sorrowful depression knotting, fright injuring the Heart, Heart insecurity, Spirit leaving the empty mansion, causing mental confusion, sad singing, cursing, running about without recognizing people. (All the above conditions are suitable for the following formulas.)
Jiajian Wendan Tang (Modified Warm the Gallbladder Decoction) treats Phlegm-Dryness, Phlegm-Talk, fright, loss of will, and Spirit failing to reside in its mansion.
Fushen (Poria Cocos with wood removed, 1 qian), Banxia (Pinelliae Rhizoma, processed with ginger juice, 1 qian), Chenpi (Citri Reticulatae Pericarpium, 1 qian), Zhishi (Aurantii Fructus Immaturus, bran-fried, 1 qian), Danggui (Angelicae Sinensis Radix) (8 fen), Suanzaoren (Ziziphi Spinosae Semen, stir-fried, 8 fen), Zhizi (Gardeniae Fructus, stir-fried, 1 qian), Zhuru (Bambusae Caulis in Taenia, 8 fen), Renshen (Ginseng Radix et Rhizoma) (6 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, radix tip removed, 1 qian), Maidong (Ophiopogonis Radix), Chen Sha (Cinnabar, 5 fen, ground to powder, mixed in before taking), Huanglian (Coptidis Rhizoma, stir-fried with ginger juice, 1 qian), Zhuli (Bambusae Sap, half cup, added before taking), Gancao (Glycyrrhizae Radix et Rhizoma) (3 fen).
Grind with ginger and dates, decoct with Wumei (Mume Fructus), mix with Chen Sha (Cinnabar) powder, and take warm.
Thousands of strange symptoms are mostly accompanied by Phlegm-Fire.
Gun Tan Wan (Rolling Phlegm Pill)
Dahuang (Rhei Radix et Rhizoma, mixed with wine, steamed, sun-dried), Huangqin (Scutellariae Radix, rotten parts removed, each 8 liang), Chenxiang (Aquilariae Lignum Resinatum) (5 qian), Jin Xing Meng Shi (Calcar Oligoclasi, 1 liang, crushed, mixed with 1 liang Yan Xiao/Natrii Nitras, evenly mixed in a clay pot, tied with iron wire, sealed with salt mud, sun-dried, calcined over charcoal fire). This formula adds Zhu Sha (Cinnabar, 2 liang, ground to extremely fine powder for coating).
Grind into fine powder, make pills with water the size of mung beans. Take 30-90 pills per dose, adjusting according to deficiency/excess, taken with specific guiding herbs. For all cases of lost mind and will, mania, or madness, take 100 pills per dose. For robust individuals with strong Qi, good appetite, and severe madness, take 120 to 300 pills, stopping when effective. For all stroke paralysis, phlegm-saliva congestion, with bowel movements either open or closed, take 80-90 pills per dose. For robust and excess individuals, take 100 pills. Daily maintenance dose is 20-30 pills, avoiding constipation, naturally clearing the upper and moistening the lower. For all Yang syndrome wind-toxins, Hong Kong foot, wandering pain throughout the body, take 80-90 pills; if ineffective, add 10 pills. For all piercing Qi pain, take 70-80 pills; if ineffective, add 10 pills. For healthy individuals with unexplained bone/joint pain throughout the body, take 70-80 pills, stopping when effective. For all headaches not due to Head-Wind syndrome, toothache that is floating or itchy not due to Wind-Zhu toothache, take 80-90 pills. For all belching with acid regurgitation, up to belching/hiccups and chest closure, or gas blocks rushing up from the chest, vomiting saliva/fluid resembling Fanwei (reverse stomach), take 70-80 pills; if ineffective, take again. For all palpitations fearing being hunted, fearfulness and unease, Yin-Yang blockage, generating strange symptoms, take 70-80 pills. For all hunger/fullness imbalance, excessive worry/thought leading to epigastric discomfort, or vomiting/hiccups, eating/drinking day and night without limit, or only feeling falsely full, slight hunger in abdomen but no desire to eat, take 70-80 pills. For all new/old phlegm asthma/cough, or vomiting saliva foam, or phlegm knotting with excess heat, or dizziness/vertigo, take 80-90 pills; for deficient, old, emaciated individuals, take 50-60 pills; if inconvenient, add 10 pills. For all acute/chronic throat closure, red eyes, take 80-90 pills; for swollen/hard cheeks/jaw, neck lymph nodes resembling Luoli (scrofula), it is exactly suitable to take; if chronic, take multiple times; for mouth ulcers, tongue rot, throat sores, take 50-60 pills, with a little honey, chew finely, hold in mouth while sleeping, slowly swallow a little. Mouth ulcers heal in 3-4 nights of holding. For all unexplained wandering pain throughout the body, or swelling/spasm, or no fixed location, pain without fixed place, not swelling in one place and not sore/weak/heavy/stagnant, take 70-80 pills, adjusting according to size/severity. For all Heart-Qi pain like ice blocks, or moving/scattering into abdominal cramping pain, attacking head/face causing swelling/hardness, swelling/soft-floating in limbs/body, or pain/itching, or perforating/not perforating, or perforating then closing, or dissipating/growing, gradually becoming serious illness, all are internal attack of Phlegm-Toxin, or rotting smelly phlegm, or intestinal abscess/internal carbuncle; taking it expels evil matter. If pus is recent/shallow, complete recovery is expected soon. For all men/women suffering long-term heart pain extending to lower abdomen, sallow complexion, emaciation, daily paroxysmal pain, necessarily vomiting green water/black juice, cold saliva, leading to Qi exhaustion, with warm epigastrium, take 80-90 pills, immediately showing signs of life. Then take successively until cured. Concurrently take drugs that generate fluids, resolve phlegm, warm the middle, and regulate Spleen; Huotan Tang (Resolve Phlegm Decoction) modifications are best. For all dysentery, regardless of color, or with blood clots/evil matter, regardless of previous purging, whether new/old persistent, with heat or anorexia, take 80-90 pills. Next day when heat subsides, take 30-90 pills more, then take anti-dysentery drugs, absolutely safe. If accompanied by chills/fever/phlegm-saliva, use Canglin San (Granary Powder) concurrently. For all lingering diseases of long duration, men/women's ailments, not Shanghan external/internal syndromes, or alcohol/lust-induced hematemesis, or delayed menstruation, mental distress/confusion, or abdominal distension/hypochondriac pain/labor pain, deafness/nasal congestion, bone/joint soreness/pain, dry retching/hiccups/nausea, where hundred medicines fail, pain cannot be described, medical books do not record such diseases, physicians cannot differentiate such syndromes, follow the previous method with modifications, there is no reason for ineffectiveness.
Generally, taking medicine must be done when going to bed, using one mouthful of warm water to send it past the throat, then lie supine immediately, letting the medicine descend slowly between the pharynx and diaphragm. Do not eat/drink or get up/move/speak for half a day. Wait until the pill slowly reaches the Upper Jiao, phlegm stagnation and evil matter pass the diaphragm into the abdomen, then move. Each course requires two consecutive nights. If the first night's dose results in 3-5 evacuations of phlegm/evil matter the next day, reduce the next night's dose by 10 pills. If 2 evacuations, keep the previous number; if 5-7 or only 2-3 evacuations and disease势头 suddenly stops, reduce the next night's dose by 20 pills. If the first night's dose produces no evacuation of evil matter, increase the next night's dose by 10 pills. Robust individuals with excess disease may take up to 100 pills. Only severe mania/excess and sudden critical conditions are ineffective with high doses. If after taking medicine and lying down, the throat feels thick/stagnant and obstructed, it is due to Phlegm-Qi ascending and medicine/pathogen attacking each other. Soon, as medicine power prevails, it naturally settles. Or one in a hundred may have slight abdominal pain, back stiffness, due to stubborn phlegm. Evil matter stagnation blocking Qi, slippery intestines, tenesmus, resembling dysentery, resolves quickly. If phlegm-saliva is easy to evacuate, the relief is indescribable, saliva fills the mouth instantly, all orifices feel refreshed. Occasionally, there is momentary fatigue, due to days of sickness and unrest, temporarily overcome by medicine, body temporarily harmonized, like waking from drunkenness, like just bathing, like just waking from sleep, not true deficiency/fatigue. This drug does not cause severe diarrhea or scraping the intestines, but only takes phlegm accumulation and evil matter from chest/stomach sequentially downward, not harming epigastric discomfort. Only lower sticky feces are where medicine power does not reach, hence remove the rest first. I do not elaborate further.
Zhuli Huatan Wan (Bamboo Sap Resolving Phlegm Pill) can extract upper damp-phlegm and lower gastrointestinal accumulated phlegm. Also known as Daotan Xiaowei Dan (Guide Phlegm Small Stomach Pill).
Nanxing (Arismae Rhizoma), Banxia (Pinelliae Rhizoma) (these two herbs soaked/cooked in Zao Fan/Sideritis Vitriolite and ginger water, dried. Each 2 liang), Chenpi (Citri Reticulatae Pericarpium), Zhishi (Aurantii Fructus Immaturus) (these two herbs soaked in Zao Fan water for half a day, fried. Each 2 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, radix tip removed, 2 liang), Cangzhu (Atractylodis Rhizoma) (soaked overnight in rice wash/Zao Fan water, remove black skin, slice, sun-dry, stir-fry, 2 liang), Taoren (Persicae Semen, skin removed), Xingren (Armeniacae Semen Amarum) (soaked in Zao Fan water, remove skin/pit. Each 1 liang), Honghua (Carthami Flos) (wine-steamed, 1 liang), Baijiezi (Sinapis Semen, stir-fried, 1 liang), Daji (Euphorbiae Pekinensis Radix) (boiled in running water for one hour, sun-dried, 1 liang), Yuanhua (Genkwa Flos) (mixed with vinegar, wet, overnight, stir-fried until black, 1 liang), Gansui (Kansui Radix) (wrapped in flour, baked, 1 liang), Huangbai (Phellodendri Cortex, stir-fried until brown, 1 liang), Dahuang (Rhei Radix et Rhizoma) (wrapped in wine-moist paper, baked, then stir-fried with wine, 1.5 liang).
Grind into powder, make pills with Steamed Bun Paste using Ginger Juice and Bamboo Sap, size of mung beans. Take 30-20 pills per dose. Extremely severe cases, 50-70 pills. Adjust according to deficiency/excess, do not exceed, lest it damage Stomach Qi. For all phlegm-fluids, take with plain water before bed, once a day. It best resolves phlegm, dissipates痞 (fullness masses), resolves accumulations, and has miraculous effect for stroke aphasia and throat obstruction.
One case of stroke aphasia/early paralysis, take 30-50 pills with strong ginger soup, able to speak shortly after.
One case of Head-Wind headache, mostly damp-phlegm attacking upward, take 20 pills with ginger soup before bed.
One case of vertigo, mostly Phlegm-Fire, take 25 pills with ginger soup after meals; then use Erchen Tang (Two-Aged Decoction) combined with Siwu Tang (Four Substances Decoction) plus Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Cangzhu (Atractylodis Rhizoma), Baizhi (Angelicae Dahuricae Radix), double Chuanxiong (Ligustici Chuanxiong Rhizoma); for more heat, add Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma).
One case of Phlegm-fullness mass, take 30 pills with plain water before bed, once a day. Even if decades old, effective after 5-7 doses.
One case of Asthma/Roar, Phlegm-Fire in upper diaphragm, take 25 pills with ginger soup before bed, once nightly, effective with long-term use.
One case of Throat Obstruction swelling/pain, take with plain water after meals.
To regulate Phlegm-Fire diseases, one should combine resolving and tonifying.
Qingqi Huatan Wan (Clear Qi Resolve Phlegm Pill) resolves phlegm, smooths Qi, opens depression, clears fire, calms cough, stops wheezing, wonderful beyond words.
Juhong (Citri Reticulatae Pericarpium, washed with salt water, white pith removed, 2 liang), Xiangfumie (Cyperi Rhizoma, soaked in salt water, stir-fried, 3 liang), Qingdai (Indigo Naturalis) (4 qian), Banxia (Pinelliae Rhizoma, washed seven times in warm water, soaked in ginger juice, stir-fried, 2 liang), Pianqin (Scutellariae Radix, wine-stir-fried, 1 liang), Beimu (Fritillariae Bulbus, heart removed, 2 liang), Tiandong (Asparagi Radix, soaked in water, heart removed, 2 liang), Gualou (Trichosanthis Fructus, shell removed, lightly stir-fried, separately ground, 2 liang), Jiegeng (Platycodonis Radix, radix tip removed, 2 liang), Xingren (Armeniacae Semen Amarum, soaked in water, skin/pit removed, lightly stir-fried, 2 liang), Zhishi (Aurantii Fructus Immaturus, pulp removed, bran-fried, 2 liang), Shanzhourou (Crataegi Fructus flesh, steamed, core removed, 2 liang), Huanglian (Coptidis Rhizoma, hairs removed, ginger juice-stir-fried, 2 liang), Baifuling (Poria Cocos, skin removed, 2 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, non-oily, 2 liang), Suzi (Perillae Fructus, lightly stir-fried, 2 liang), Lianqiao (Forsythiae Fructus, stems removed, 1 liang), Haishi (Arcae Concha, 1 liang, separately ground), Zaojiao (Gleditsiae Fructus, fire-roasted, remove skin/strings. 1 liang boiled into paste).
Grind into fine powder, make pills with Shenqu (Massa Medicata Fermentata) paste and Bamboo Sap, size of paulownia seeds. Take 50 pills per dose, with plain water after meals, clear tea is also acceptable.
Qianjin Huatan Wan (Thousand Gold Resolve Phlegm Pill) fortifies Spleen, regulates Stomach, clears fire, resolves phlegm, softens stubborn phlegm, opens knotted phlegm, dispels wind, nourishes blood, clears Upper Jiao fire, removes chest/diaphragm phlegm, clears head/eyes, stops vertigo miraculously.
Danxing (Arismae Cum Bile, 4 liang), Banxia (Pinelliae Rhizoma, cooked with ginger/alum for half a day, 4 liang), Chenpi (Citri Reticulatae Pericarpium, white pith removed, 2 liang), Baifuling (Poria Cocos, skin removed, 2 liang), Zhishi (Aurantii Fructus Immaturus, pulp removed, bran-fried, 1 liang), Haishi (Arcae Concha, fire-calcined, 1 liang), Tianhuafen (Trichosanthis Radix, 2 liang), Pianqin (Scutellariae Radix, wine-stir-fried, 2 liang), Huangbai (Phellodendri Cortex, wine-stir-fried, 1 liang), Zhimu (Anemarrhenae Rhizoma, wine-stir-fried, 1 liang), Danggui (Angelicae Sinensis Radix, wine-washed, 1 liang), Tianma (Gastrodiae Rhizoma, fire-calcined, 2 liang), Fangfeng (Saposhnikoviae Radix, radix tip removed, 2 liang), Baifuzi (Gastrodiae Rhizoma? No, Typhonii Rhizoma, baked, 2 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, soaked in rice wash, stir-fried, 2 liang), Dahuang (Rhei Radix et Rhizoma, mixed with wine, steamed nine times, 5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, raw, 3 qian). For Qi deficiency, add Renshen (Ginseng Radix et Rhizoma) (8 qian).
Grind into fine powder, make pills with 2 liang Shenqu (Massa Medicata Fermentata) paste, size of paulownia seeds. Take 60-70 pills per dose, with clear tea as desired.