未至头危者，虚弱疑似之间，只服三十丸，或五十丸，立见生意，然后续续进之，以瘥为度。兼
服生津化痰温中理气之药。一切荏苒疾病，凡男妇患非伤寒内外等症；或酒色过度；或吐血；或
月事愆期，心烦志乱；或腹胀胁痛，劳倦痰眩；或暴行日中，因暑伏痰。口眼 斜，目痛耳愦，
鼻塞骨节酸疼，干呕恶心，诸般内外疼痛，百药无
效，众医不识者，根据前法加减服之效。大抵服药，须临卧在床，用热水一口许，咽下便卧，
令药在喉膈间，徐徐而下。如日间病出不测，疼痛不可忍，必欲急除者，须是一根据前卧法服。大
半日不可食汤水，及不可起身行坐言语，直候药丸除逐上焦痰滞恶物过膈入腹，然后动作，方能
中病。每夜须连进二次，次日痰物既下三五次者，仍服前数；下五七吹，或只下二三次而病势顿
已者，次夜减二十丸；头夜所服，并不下恶物者，次夜加十丸。人壮病实者，多加至百丸。惟候
虚实消息之。或服过仰卧，咽喉稠粘壅塞不利者，痰气泛上，乃药病相攻之故也。少顷，药力既
胜，自然宁帖。往往病久结实于肺胃之间，或只暴病全无泛滥者，服药下咽即仰卧，顿然百骸安
静，五脏清宁。次早先去大便一次，其余遍数皆是痰涕恶物。看甚么粪，用水搅之，尽系痰片粘
涎。或稍稍腹痛腰肾拘急者，盖有一种顽痰恶物，闭气滑肠，里急后重者，状如痢疾，片晌即已。
若有痰涎易下者，快利不可胜言，顿然满口生津，百骸爽快。间有片时倦怠者，盖因连日病苦不
安，一时为药力所胜，气体暂和，如醉得醒，如浴方出，如睡方起。此药并不洞泄刮肠大泻，但
取痰积恶物，自肠胃次第而下，腹中糟粕，并不相伤。其推下肠腹之粪，则药力所到之处，是故
先去其粪。其余详悉，不能备述，服者当自知之。
黄连导痰汤二陈汤加黄连枳实是也。
〔垣〕黄芩利膈丸利胸中热，治膈上痰。
黄芩（生炒。各一两） 南星（三钱） 半夏（五钱） 黄连（三钱） 枳壳（三钱） 白术（五钱）
陈皮（三钱） 泽泻（五钱） 白矾（五分）
上为末，水浸蒸饼丸。每服三四十丸，白汤下，食远服。
〔丹〕中和丸
苍术 黄芩 半夏 香附
各等分为末，蒸饼糊丸。
〔垣〕小黄丸化痰止涎，除湿，和胃气。治胸膈不利。
黄芩（一两） 干姜（二钱） 白术（半两） 半夏（姜制，五钱） 泽泻（三钱） 黄 （半两）
上为末，蒸饼糊丸，白汤下。
〔罗〕祛风丸有人喜食酸咸，酒色过节，渗注成痰。饮聚于胸膈，满则呕逆，恶心涎流，
一臂麻木；升则头目昏眩；降则腰脚疼痛；深则左瘫右痪；浅则厥然倒地。此药宽中祛痰，搜风
理气，和血驻颜，延年益寿。
半夏曲 荆芥（各四两） 槐角子（炒） 白矾（生） 橘红 朱砂（各一两）
上为末，姜汁糊丸。每服五六十丸，生姜、皂角子仁汤送下，日三服。
〔《玄》〕导痰丸
半夏（六两，分作三处，一分矾水浸，一分肥皂角为末水浸，一分用巴豆百粒同水煎）
上余药在下，半夏在上，浸至十日半月，时时动水，令二药相透。次相合一处，拣去巴豆、
皂角，慢火煮干，取半夏切碎晒干入
甘遂（制，二两） 百药煎（二两） 僵蚕（一两） 全蝎（二两）
上为末。同前半夏末一处合和用，拣出皂角炼膏为丸。如硬，再入糊，令得所。每服十五丸，
实者二十五丸。
〔《本》〕膈上有痰，川芎丸。
川芎（二两，细锉，慢火熬熟） 川大黄（二两，蒸令干）
上件焙干为末。用不蛀皂角五七挺，温水揉汁，绢滤出渣，瓦罐中熬成膏，和前二味为丸，
如桐子大。每服十五丸，小儿三丸，生姜汤下。
〔《经》〕治风痰。用郁金一分，藜芦十分，各为末和匀。每服一字，用温浆水调下，以余浆水
漱口，仰服，以食压之。
〔海〕五饮汤治五饮最效。
旋复花 人参 陈皮（去白） 枳实 白术 茯苓 浓朴（制） 半夏（制） 泽泻 猪苓
前胡 桂心 白芍 甘草（炙）
上等分。每两分四服，姜十片，水二盏煎，去渣，温服无时。忌肉食、生冷等物。因酒成饮，
加葛根、葛花、砂仁。
〔《局》〕倍术丸治五饮。一曰留饮，停水在心下；二曰癖饮，水在两胁；三曰痰饮，水
在胃中；四曰溢饮，水溢在膈；五曰流饮，水在胁间，沥沥有声。皆由饮水过多，或饮冷酒所致。
白术 桂心（去皮） 干姜（炮。各一两）
上为末，蜜丸。每服二十丸，温米饮下。加至三十丸，食前。
〔《本》〕治心腹中脘痰水冷气，心下汪洋嘈杂，肠鸣多唾，口中清水自出，胁肋急胀，痛
不欲食。此因胃气虚冷所致，其脉沉弦细迟。旋复花汤。
细辛 陈皮 桂心 人参 甘草 桔梗 芍药 半夏 旋复花（以上各半两） 赤茯苓
上为末。每服四钱，姜七片煎，去渣，温服。
〔罗〕木香半夏丸治痰涎上壅，心胸不利，常服消痰宽膈。
木香（七钱） 半夏（一两） 陈皮 茯苓 姜屑 人参 草蔻 白附子（各五钱）
上为末，面糊丸。食后生姜汤下三五十丸。
降痰丸治三焦气涩，下痰饮，消食利膈，痞满咳唾稠粘，面热目赤，肢体倦怠，不思饮食。
常服升降滞气，消化痰涎。
木香 槟榔 青皮 陈皮 京三棱 枳壳（麸炒） 半夏（汤洗） 大黄 黑牵牛（各一两）
上为末，面糊丸。食后姜汤下。
运气痰饮，皆属湿土。经云∶太阴在泉，湿淫所胜，民病饮积。又云∶岁土太过，雨湿流行，
甚则饮发中满。又云∶土郁之发，饮发中满。又云∶太阴之胜，腹背病满，饮发于中。治以诸热
剂是也。
〔《撮》〕诸痰为病，头风喘嗽，一切痰饮∶丰隆、中脘。
〔《心》〕妇人年高，风痰作楚，脉沉实滑数。痰在下，则无力；在中，则胸膈闭闷；在上，
则头风喘嗽昏晕。发则抽牵，手足皆动∶风门（沿皮二寸半、） 巨阙（三寸二分、） 丰隆（二寸半、）
肩井（五分。）
〔《甲》〕溢饮，胁下坚痛，中脘主之。
If the condition has not yet reached a critical state involving the head, and lies between deficiency and suspicion of phlegm, administer only thirty or fifty pills. The signs of life will be seen immediately, after which the dosage should be gradually increased until recovery is achieved. Concurrently, take herbs that generate fluids, resolve phlegm, warm the middle, and regulate qi. For all lingering diseases, whether in men or women suffering from non-Shanghan internal and external conditions; or due to excess in alcohol and sexual activity; or hematemesis; or delayed menstruation with vexation and mental confusion; or abdominal distension and hypochondriac pain with fatigue-induced dizziness and phlegm; or sudden walking in the midday sun causing latent summer-heat phlegm. Manifestations such as deviation of the mouth and eye, eye pain, ear fullness, nasal congestion, bone and joint soreness, dry heaving, nausea, various internal and external pains, where hundreds of medicines have failed and many physicians cannot identify the cause, shall be treated by modifying and administering the aforementioned method with good effect.
Generally, medication should be taken before retiring to bed. Swallow the pill with about one mouthful of hot water, then lie down immediately, allowing the pill to remain between the throat and diaphragm, descending slowly. If a disease arises suddenly during the day with unbearable pain requiring urgent elimination, one must strictly follow the supine administration method. For half a day thereafter, no food or drink should be consumed, nor should one rise, walk, sit, or speak. One must wait until the pill has expelled the upper jiao phlegm stagnation and foul matter past the diaphragm into the abdomen before moving; only then will it hit the target. Take twice nightly. If the next day three to five bowel movements of phlegm occur, continue the previous dose; if five to seven movements occur, or only two or three but the disease势头 subsides suddenly, reduce the dose by twenty pills the next night; if no foul matter was expelled after the first night's dose, increase by ten pills the next night. For robust individuals with excess disease, increase up to one hundred pills. Adjust according to deficiency and excess.
If after taking the medicine in a supine position, one feels thick, sticky obstruction in the throat making breathing difficult, this is due to phlegm and qi surging upward, a result of the medicine fighting the disease. After a short while, when the medicinal power prevails, calmness will naturally return. Often, long-standing disease results in solid phlegm accumulation between the lungs and stomach, or acute disease without widespread flooding; upon swallowing the medicine and lying supine, the whole body becomes quiet and comfortable, and the five zang organs become clear and peaceful. The next morning, pass stool once; subsequent passages consist entirely of phlegm, mucus, and foul matter. Observe the stool; stirring it with water reveals it consists entirely of phlegm flakes and viscous saliva. If there is slight abdominal pain or stiffness in the lower back and kidneys, this is due to stubborn phlegm and foul matter blocking qi and lubricating the intestines, causing tenesmus resembling dysentery, which passes quickly. If phlegm and saliva are easy to expel, the relief is indescribable, with saliva filling the mouth and the whole body feeling refreshed. Occasionally, there may be momentary fatigue because the body has been uneasy due to illness for days; suddenly overcome by the medicinal power, the qi and blood temporarily harmonize, like waking from drunkenness, emerging from a bath, or rising from sleep. This medicine does not cause severe diarrhea or intestinal scraping, but rather takes phlegm accumulation and foul matter, expelling them sequentially from the intestines and stomach, without injuring the fecal waste in the abdomen. The feces pushed out from the intestines and abdomen are those where the medicinal power reaches, thus removing the feces first. The remaining details cannot be fully described; the user will know through experience.
Huanglian Daotan Tang (Coptis Phlegm-Resolving Decoction): Erchen Tang (Two-Aged Phlegm-Decoction) added with Huanglian (Coptidis Rhizoma) and Zhishi (Aurantii Fructus Immaturus).
[Li Dongyuan] Huangqin Lige Wan (Scutellaria Diaphragm-Clearing Pill): Clears heat in the chest, treats phlegm above the diaphragm.
Huangqin (Scutellariae Radix, raw or stir-fried, 1 liang each) Xingnan (Arisaematis Rhizoma, 3 qian) Banxia (Pinelliae Rhizoma, 5 qian) Huanglian (Coptidis Rhizoma, 3 qian) Zhiqiao (Aurantii Fructus, 3 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, 5 qian)
Chenpi (Citri Reticulatae Pericarpium, 3 qian) Zexie (Alismatis Rhizoma, 5 qian) Baifan (Alum, 5 fen)
Grind into powder, soak steamed wheat cake dough to make pills. Take 30–40 pills per dose, swallow with white boiled water, take far from meals.
[Zhu Danxi] Zhonghe Wan (Harmonizing Pill)
Cangzhu (Atractylodis Rhizoma) Huangqin (Scutellariae Radix) Banxia (Pinelliae Rhizoma) Xiangfu (Cyperi Rhizoma)
Equal parts, grind into powder, use steamed wheat cake paste to make pills.
[Li Dongyuan] Xiao Huang Wan (Little Yellow Pill): Resolves phlegm, stops salivation, removes dampness, harmonizes stomach qi. Treats chest and diaphragm discomfort.
Huangqin (Scutellariae Radix, 1 liang) Ganjiang (Zingiberis Rhizoma, 2 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang) Banxia (Pinelliae Rhizoma, prepared with ginger, 5 qian) Zexie (Alismatis Rhizoma, 3 qian) Huangqi (Astragali Radix, 0.5 liang)
Grind into powder, use steamed wheat cake paste to make pills, swallow with white boiled water.
[Luo Tianyi] Qufeng Wan (Wind-Expelling Pill): Some people enjoy sour and salty foods, indulge excessively in alcohol and sex, leading to fluid infiltration forming phlegm. Fluid accumulates in the chest and diaphragm; when full, it causes vomiting, nausea, and salivation flow; one arm becomes numb; rising causes dizziness of head and eyes; descending causes pain in waist and legs; deep involvement leads to left hemiplegia and right paralysis; shallow involvement causes sudden collapse. This medicine broadens the middle, resolves phlegm, searches for wind, regulates qi, harmonizes blood, preserves youth, and prolongs life.
Banxiaqu (Pinelliae Fermentatum) Jingjie (Schizonepetae Herba) (each 4 liang) Huaiaojizi (Sophorae Fructus, stir-fried) Baifan (Alum, raw) Juhong (Citri Reticulatae Pericarpium Rubrum) Zhusha (Cinnabar) (each 1 liang)
Grind into powder, use ginger juice paste to make pills. Take 50–60 pills per dose, send down with ginger and Gleditsiae Sinensis seed kernel decoction, three times daily.
[From "Xuan"] Daotan Wan (Phlegm-Guiding Pill)
Banxia (Pinelliae Rhizoma, 6 liang, divided into three parts: one part soaked in alum water, one part soaked with soap pod powder in water, one part boiled with 100 Crotonis Semen)
Place other herbs below, Banxia above, soak for 10 days to half a month, occasionally agitate the water to allow mutual penetration. Then combine, remove Crotonis Semen and Gleditsiae Sinensis, boil slowly until dry, take out Banxia, chop and dry, then add:
Gansui (Kansui Radix, prepared, 2 liang) Baiyaojian (Puerariae Flos fermentatum, 2 liang) Jiangcan (Bombyx Batryticatus, 1 liang) Quanxie (Scorpio, 2 liang)
Grind into powder. Mix with the first half of the Banxia powder. Extract Gleditsiae Sinensis, refine into paste to make pills. If too hard, add more paste to adjust. Take 15 pills per dose, 25 pills for excess patterns.
[From "Ben"] For phlegm above the diaphragm, use Chuanxiong Wan.
Chuanxiong (Ligustici Chuanxiong Rhizoma, 2 liang, finely chopped, slow-fire cooked) Dahuang (Rhei Radix et Rhizoma, 2 liang, steamed until dry)
Dry and grind into powder. Use 5–7 unrotten Gleditsiae Sinensis pods, rub in warm water to extract juice, filter residue through silk, boil in a clay pot into a paste, mix with the two powders to make pills, size of Sophorae Japonicae Fructus. Take 15 pills per dose, 3 pills for children, swallow with ginger decoction.
[From "Jing"] To treat wind-phlegm. Use Yujin (Curcumae Radix) 1 part, Lilü (Veratri Rhizoma) 10 parts, grind into powder and mix evenly. Take one "zi" measure per dose, mix with warm grain water, swallow. Rinse mouth with remaining grain water, take while looking up, press with food.
[Wang Haizhang] Wuyin Tang (Five Drinks Decoction): Most effective for treating the Five Drinks.
Xuanfuhua (Inulae Flos) Renshen (Ginseng Radix) Chenpi (Citri Reticulatae Pericarpium, white removed) Zhishi (Aurantii Fructus Immaturus) Baizhu (Atractylodis Macrocephalae Rhizoma) Fuling (Poria) Houpo (Magnoliae Officinalis Cortex, prepared) Banxia (Pinelliae Rhizoma, prepared) Zexie (Alismatis Rhizoma) Zhuling (Polyporus)
Qianhu (Peucedani Radix) Guixin (Cinnamomi Ramulus) Baishao (Paeoniae Radix Alba) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried)
Equal parts. Divide each liang into four doses. Add 10 slices of ginger, 2 cups of water, decoct, strain, take warm at any time. Avoid meat, raw/cold foods. For drinks caused by alcohol, add Gegen (Puerariae Radix), Gehua (Puerariae Flos), Sharen (Amomi Fructus Rotundus).
[From "Ju Fang"] Beizhu Wan (Double Atractylodes Pill): Treats the Five Drinks. 1. Liuyin (Retained Drink): water retained under the heart; 2. Pixyin (Partial Drink): water in both flanks; 3. Tanyin (Phlegm Drink): water in the stomach; 4. Yiyin (Overflowing Drink): water overflowing to the diaphragm; 5. Liuyin (Flowing Drink): water between the flanks, gurgling sound. All caused by excessive drinking or drinking cold wine.
Baizhu (Atractylodis Macrocephalae Rhizoma) Guixin (Cinnamomi Ramulus, bark removed) Ganjiang (Zingiberis Rhizoma, roasted) (each 1 liang)
Grind into powder, honey pills. Take 20 pills per dose, swallow with warm rice drink. Increase to 30 pills, before meals.
[From "Ben"] To treat cold qi and phlegm-water in the epigastrium, turbulent sensation in the heart region, borborygmus with excessive saliva, spontaneous flow of clear water from the mouth, tight distension in hypochondrium, pain unwilling to eat. Caused by deficiency-cold of stomach qi, pulse is deep, wiry, fine, and slow. Use Xuanfuhua Tang.
Xixin (Asari Radix et Rhizoma) Chenpi (Citri Reticulatae Pericarpium) Guixin (Cinnamomi Ramulus) Renshen (Ginseng Radix) Gancao (Glycyrrhizae Radix et Rhizoma) Jiegeng (Platycodonis Radix) Shaoyao (Paeoniae Radix) Banxia (Pinelliae Rhizoma) Xuanfuhua (Inulae Flos) (each 0.5 liang) Chifuling (Poria with Red Wood)
Grind into powder. Take 4 qian per dose, decoct with 7 slices of ginger, strain, take warm.
[Luo Tianyi] Muxiang Banxia Wan (Aucklandia Pinellia Pill): Treats phlegm-saliva surging upward, chest and heart discomfort. Regular use resolves phlegm and widens the diaphragm.
Muxiang ( Aucklandiae Radix, 7 qian) Banxia (Pinelliae Rhizoma, 1 liang) Chenpi (Citri Reticulatae Pericarpium) Fuling (Poria) Jiangxie (Zingiberis Rhizoma Fresh) Renshen (Ginseng Radix) Caokou (Amomi Fructus) Baifuzi (Aconiti Kusnezoffii Rhizoma) (each 5 qian)
Grind into powder, flour paste pills. Take 30–50 pills after meals with ginger decoction.
Jiantan Wan (Phlegm-Descending Pill): Treats sluggish qi in the Three Jiao, descends phlegm-drink, aids digestion and benefits the diaphragm, treats fullness, coughing with thick sputum, facial heat, red eyes, limb fatigue, loss of appetite. Regular use regulates stagnant qi and digests phlegm-saliva.
Muxiang (Aucklandiae Radix) Binglang (Arecae Semen) Qingpi (Citri Reticulatae Pericarpium Viride) Chenpi (Citri Reticulatae Pericarpium) Jingsanleng (Sparganii Rhizoma) Zhiqiao (Aurantii Fructus, bran-fried) Banxia (Pinelliae Rhizoma, washed with boiling water) Dahuang (Rhei Radix et Rhizoma) Heiqianniu (Pharbitidis Semen) (each 1 liang)
Grind into powder, flour paste pills. Take after meals with ginger decoction.
Qi Yun (Luck/Climate) phlegm-drinks all belong to Wet Earth. The Classic says: When Taiyin is in the泉 (subterranean position), excess dampness wins, people suffer from drink accumulation. It also says: In years of excessive Earth, rain and dampness prevail, severely causing drink formation and middle fullness. It also says: When Earth stagnation erupts, drink formation causes middle fullness. It also says: Taiyin victory causes abdominal and back fullness, drink forms in the middle. Treat with various hot agents.
[From "Cuo Yao"] For diseases caused by various phlegms, head wind, wheezing and coughing, all phlegm-drinks: Acupoints Fenglong (ST40), Zhongwan (CV12).
[From "Xin"] For elderly women, wind-phlegm causing distress, pulse is deep, solid, slippery, and rapid. Phlegm below causes weakness; in the middle causes chest/diaphragm closure; above causes head wind, wheezing, coughing, dizziness. Onset involves twitching and pulling, movement of hands and feet: Acupoints Fengmen (BL12, oblique insertion 2.5 cun), Juque (CV14, 3.2 cun), Fenglong (ST40, 2.5 cun), Jianjing (GB21, 0.5 cun).
[From "Jia Yi Jing"] Yiyin (Overflowing Drink), hardness and pain in the hypochondrium, governed by Zhongwan (CV12).