白鸽（一对，不落水，去毛肠杂，小破） 急性子（炒） 藜花子（水炒） 大黄（晒）
朴硝
（各五钱）
只为细末，入鸽腹扎紧，砂锅陈酒煮熟，待冷取出药，将鸽肉风晒半日，打碎炙炒，不
宜焦枯。同前药磨细末筛净，将糯米粉掬为丸，桐子大。空心服五钱。其块化为脓血，为鱼
冻，为粘胶，从大便出，潜消默化，妙难尽述。
叙曰∶嘈杂，火证也，而痰次之。终身嘈杂者，必夭天年。此胡云哉？
万物者，莫若火也。故考三方以疗嘈杂。
海石（研，水飞） 南星（牛胆者） 栝蒌仁（去油） 山栀（炒黑） 青黛（水飞过）
香附（
童便浸） 苍术（泔浸七日） 抚芎
痰因火动，令人嘈杂，此方主之。
嘈杂者，痰火内动，如粗食在膈，令人不自安也。是方也，海石之咸，可以软顽痰。南
星之燥，可以枯湿痰。栝蒌之苦，可以下逆痰。山栀、青黛，苦寒之品也，所以泻火。香附、
抚芎、苍术，辛香之品也，所以发越鞠郁。
黄芩 黄连 黄柏 香附（醋浸五日） 苍术（泔浸七日）
郁火嘈杂，此方亦良。
辛香能开郁，故用香附、苍术。苦寒能泻火，故用黄芩、黄连、黄柏。然三黄之寒，得
苍、附而不滞。苍、附之香，得三黄而不燥，其互以成功又如此。
半夏 陈皮 茯苓（去皮） 甘草（炙） 黄连 栀子
此治嘈杂之汤液也。
痰之生也，本于湿，故用半夏燥湿，茯苓渗湿，湿去则痰不生。甘草能健脾，脾健则能
制湿。陈皮能利气，气行则痰亦行。黄连、栀子之加，取其寒能胜热，苦能降火尔！
White pigeon (a pair, not submerged in water, feathers, intestines, and viscera removed, slightly opened) Psoraleae Fructus (Chonglouzi, 急性子) (stir-fried) Tribuli Fructus (Lihua, 藜花子) (water-stir-fried) Rheum Palmatum Radix et Rhizoma (Dahuang, 大黄) (sun-dried) Natrii Sulfas (Piaoxiao, 朴硝)
(each five qian)
Grind into fine powder, place inside the pigeon's abdomen, tie tightly, cook thoroughly in a clay pot with aged wine. After cooling, remove the herbs. Sun-dry the pigeon meat for half a day in the wind, crush it, and stir-fry until roasted, avoiding charring. Mix with the previously mentioned herbs, grind into fine powder, and sieve. Form pills using glutinous rice flour paste, size of Sophora japonica seeds. Take five qian on an empty stomach. The mass will transform into pus and blood, resembling fish mucus or sticky glue, and be discharged through the stool, dissolving imperceptibly; its wonders are too numerous to recount.
Narration: Clanging noise (Zacao, 嘈杂), is a Fire syndrome, with Phlegm being secondary. Those suffering from lifelong clanging noise will surely have a shortened lifespan. Is this mere nonsense?
Among all things, nothing is more potent than Fire. Therefore, I examine three formulas to treat clanging noise.
Ammi Fructus (Haishi, 海浮石) (ground, levigated with water) Pinelliae Rhizoma Preparatum (Nanxing, 南星) (prepared with ox bile) Benincasa Fructus Semen (Gualouren, 栝蒌仁) (oil removed) Gardeniae Fructus (Shanzhi, 山栀) (stir-fried until black) Indigo Naturalis (Qingdai, 青黛) (levigated with water) Cyperi Rhizoma (Xiangfu, 香附) (soaked in children's urine) Atractylodis Rhizoma (Cangzhu, 苍术) (soaked in rice washing water for seven days) Ligusticum Chuanxiong Rhizoma (Fuxiong, 抚芎)
Phlegm stirred by Fire causes clanging noise; this formula governs it.
Clanging noise is caused by Phlegm-Fire moving internally, feeling like coarse food stuck in the diaphragm, causing discomfort. In this formula, the salty nature of Ammi Fructus can soften stubborn Phlegm. The drying nature of Pinelliae Rhizoma Preparatum can dry damp Phlegm. The bitter nature of Benincasa Fructus Semen can descend rebellious Phlegm. Gardeniae Fructus and Indigo Naturalis are bitter-cold substances, used to drain Fire. Cyperi Rhizoma, Ligusticum Chuanxiong Rhizoma, and Atractylodis Rhizoma are pungent-aromatic substances, used to disperse constrained Qi.
Scutellariae Radix (Huangqin, 黄芩) Coptidis Rhizoma (Huanglian, 黄连) Phellodendri Cortex (Huangbai, 黄柏) Cyperi Rhizoma (Xiangfu, 香附) (soaked in vinegar for five days) Atractylodis Rhizoma (Cangzhu, 苍术) (soaked in rice washing water for seven days)
For clanging noise due to constrained Fire, this formula is also excellent.
Pungent-aromatic substances can open constraint, hence Cyperi Rhizoma and Atractylodis Rhizoma are used. Bitter-cold substances can drain Fire, hence Scutellariae Radix, Coptidis Rhizoma, and Phellodendri Cortex are used. However, the coldness of the Three Yellows does not become stagnant when combined with Atractylodis Rhizoma and Cyperi Rhizoma. The aromaticity of Atractylodis Rhizoma and Cyperi Rhizoma does not become drying when combined with the Three Yellows; their mutual cooperation achieves success in this manner.
Pinelliae Rhizoma (Banxia, 半夏) Citrus Reticulata Pericarpium (Chenpi, 陈皮) Poria (Fuling, 茯苓) (peel removed) Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (roasted) Coptidis Rhizoma (Huanglian, 黄连) Gardeniae Fructus (Zhizi, 栀子)
This is the decoction for treating clanging noise.
The generation of Phlegm originates from Dampness; thus, Pinelliae Rhizoma dries Dampness, and Poria leaches out Dampness. When Dampness is removed, Phlegm is not generated. Glycyrrhizae Radix et Rhizoma strengthens the Spleen; when the Spleen is strong, it can control Dampness. Citrus Reticulata Pericarpium promotes Qi movement; when Qi moves, Phlegm also moves. The addition of Coptidis Rhizoma and Gardeniae Fructus utilizes their coldness to overcome Heat and bitterness to descend Fire.