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Commentary states: Phlegm-fluid (Tan-Yin) is a pathological condition caused by the stagnation and obstruction of the Qi mechanism, leading to the retention and accumulation of water fluids that condense and do not dissipate. This manifests as fullness and oppression in the chest, diaphragm, and epigastrium; vomiting, regurgitation, and nausea; heaviness of the body; excessive salivation; and loss of appetite. For phlegm-fluid during pregnancy, one should not exclusively use harsh agents that break down phlegm and drive out fluids. Therefore, ancient physicians stated that for phlegm-fluid in various diseases, warm herbs should be used to harmonize it.

**Formula for Treating Phlegm-Fluid in Pregnancy with Vomiting, Regurgitation, and Nausea: Lige Wan (Diaphragm-Relieving Pill)**
Banxia (Pinelliae Rhizoma, 3 liang, washed seven times with decoction to remove slipperiness, pounded and sieved into fine powder, mixed with fresh ginger juice to form cakes, dried by baking)
Qianhu (Peucedani Radix, de-rhizome, 1 liang)
Chifu Ling (Polyporus, stir-fried)
Zhike (Aurantii Fructus, bran-stir-fried)
Jiegeng (Platycodonis Radix, de-rhizome)
Zisu Ye (Perillae Folium)
Chenpi (Citri Reticulatae Pericarpium, washed with decoction, white pith removed, dried by baking)
Houpo (Magnoliae Officinalis Cortex, processed with ginger juice)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried)
Shengjiang (Zingiberis Rhizoma Recens)

The above ten ingredients are pounded and sieved into fine powder. A paste made from boiled flour and water is used as a binder to form pills the size of *Cocculus trilobus* seeds (Wutongzi). Each dose consists of 15 to 20 pills, taken after meals with warm ginger soup.

**Formula for Treating Persistent Phlegm-Fluid in Pregnancy with Vomiting, Regurgitation, and Anorexia: Banxia Tang (Pinellia Decoction)**
Banxia (Pinelliae Rhizoma, washed seven times with decoction to remove slipperiness)
Renshen (Ginseng Radix)
Xiong (Ligustici Chuanxiong Rhizoma)
Chifu Ling (Polyporus, black skin removed)
Sangbaipi (Mori Cortex, heated and cut)
Shenggan Dihuang (Rehmanniae Radix Preparata, dried by baking)

The above nine ingredients are coarsely crushed and sifted. Each dose uses 4 qianbi (approx. 4-6 grams), added to 1 zhang (approx. 200 ml) of water and half a qianbi of fresh ginger. Decoct until 7 fen remains, strain, and take warm. Time of administration is unrestricted.

**Formula for Treating Retained Phlegm-Fluid in Pregnancy with Loss of Appetite: Qianhu Tang (Peucedani Decoction)**
Qianhu (Peucedani Radix, de-rhizome, coarsely cut, 1 liang)
Banxia (Pinelliae Rhizoma, 2 liang, cooked slowly in a silver vessel with 1.5 sheng of fresh ginger juice and 1 sheng of sour rice water until the liquid is exhausted)
Jiegeng (Platycodonis Radix, de-rhizome)
Zhike (Aurantii Fructus, bran removed, stir-fried)
Baizhu (Atractylodis Macrocephalae Rhizoma) [Note: Text implies equal parts for Jie, Zhi, Bai]

The above twelve ingredients are coarsely crushed and sifted. Each dose uses 3 qianbi, added to 1 zhang of water and five slices of fresh ginger. Decoct together until 7 fen remains, strain, and take warm at any time.

**Formula for Treating Phlegm-Fluid in Pregnancy with Chest Diaphragm Discomfort and Loss of Appetite: Xuanfuhua Tang (Inula Flower Decoction)**
Xuanfuhua (Inulae Flos, calyx removed)
Zhike (Aurantii Fructus, bran removed, stir-fried, 0.5 liang each)
Banxia (Pinelliae Rhizoma, washed seven times with decoction, soaked in ginger juice, dried by baking)
Mutong (Akebiae Caulis, 1 liang each, coarsely cut)
Chifu Ling (Polyporus, black skin removed)
Qianhu (Peucedani Radix, de-rhizome)
Chenpi (Citri Reticulatae Pericarpium, washed with decoction, white pith removed, dried by baking)
Renshen (Ginseng Radix)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried)

The above nine ingredients are coarsely crushed and sifted. Each dose uses 5 qianbi, added to 1.5 zhang of water and five slices of fresh ginger. Decoct until 8 fen remains. Strain and take on an empty stomach. Take a second dose before noon. This formula benefits the chest and diaphragm, moves stagnant Qi, resolves phlegm-fluid, and is highly effective for treating distension and fullness. It is suitable for frequent use by those with wind-phlegm. Another version includes 3 qian of honey-fried Gancao.

**Formula for Treating Phlegm-Rebellion in Pregnancy with Loss of Appetite, Restless Thirst, and Cough: Maimendong Tang (Ophiopogon Decoction)**
Maimendong (Ophiopogonis Radix, heart removed, dried by baking)
Banxia (Pinelliae Rhizoma, soaked overnight in fresh ginger juice, sliced, stir-fried)
Beimu (Fritillariae Bulbus, processed, 0.5 liang each)
Qingjupi (Aurantii Fructus Viridis, white pith removed, dried by baking)

The above six ingredients are coarsely crushed and sifted. Each dose uses 3 qianbi, added to three slices of fresh ginger and 1 zhang of water. Decoct slowly over low heat until 7 fen remains. Strain and take orally on an empty stomach before meals.

**Formula for Treating Unresolved Phlegm-Fluid in Pregnancy with Chest and Hypochondriac Fullness, Vomiting, and Anorexia: Chifuling Tang (Red Polyporus Decoction)**
Chifuling (Polyporus, black skin removed)
Qianhu (Peucedani Radix, de-rhizome)
Baizhu (Atractylodis Macrocephalae Rhizoma)
Zisu (Perillae Folium) [Note: Text lists Baizhu, Zisu, Banxia, Dafupi]
Banxia (Pinelliae Rhizoma, washed seven times with decoction)
Dafupi (Arecae Pericarpium, coarsely cut)

The above eight ingredients are coarsely crushed and sifted. Each dose uses 4 qianbi, added to 1.5 zhang of water and half a qianbi of fresh ginger. Decoct until 8 fen remains. Strain and take warm at any time.

**Formula for Treating Phlegm-Fluid in Pregnancy with Cough, Vomiting, and Anorexia: Muxiang Wan (Costus Pill)**
Muxiang (Aucklandiae Radix)
Gancao (Glycyrrhizae Radix et Rhizoma)
Baizhu (Atractylodis Macrocephalae Rhizoma)
Chenjupi (Citri Reticulatae Pericarpium, washed with decoction, white pith removed, dried by baking, 1 liang each)
Tiannanxing (Arisaematis Rhizoma Preparatum)
Banxia (Pinelliae Rhizoma, soaked overnight in ginger juice, stir-fried)
Baizhi (Angelicae Dahuricae Radix, 0.5 liang each)
Ganjiang (Zingiberis Rhizoma, 1 fen, processed)

The above eight ingredients are pounded and sieved into powder. They are mixed with millet rice paste to form pills the size of *Cocculus trilobus* seeds. Each dose is 20 pills, taken after meals with ginger and jujube soup.

**Formula for Treating Phlegm-Fluid in Pregnancy with Chest/Epigastric Oppression, Vomiting, and Nausea: Tiannanxing Wan (Arisaema Pill)**
Tiannanxing (Arisaematis Rhizoma Preparatum)
Banxia (Pinelliae Rhizoma) [Note: These two are de-navel, soaked overnight in fresh ginger juice for three nights, finely cut, and dried by baking]
Renshen (Ginseng Radix)
Bai Ful Ling (Poria, black skin removed, 1 liang each)
Bai Fan (Alumen)

The above five ingredients: four are pounded and sieved into powder. Alumen is added and mixed. The mixture is ground again until uniform. A paste of boiled flour and water is prepared with ginger juice to achieve appropriate consistency. Pills are formed the size of *Cocculus trilobus* seeds. Each dose is 15 pills, taken with well-boiled water. Taken on an empty stomach, at midday, and before evening meals.

**Formula for Treating Phlegm-Rebellion in Pregnancy to Harmonize Spleen and Stomach and Restore Appetite: Huangqi Tang (Astragalus Decoction)**
Huangqi (Astragali Radix, coarsely cut, 1 liang)
Banxia (Pinelliae Rhizoma, 0.5 liang, washed seven times with decoction, dried by baking)
Xiong (Ligustici Chuanxiong Rhizoma, 0.5 liang)
Gancao (Glycyrrhizae Radix et Rhizoma, 1 fen, honey-fried)
Renshen (Ginseng Radix)
Baizhu (Atractylodis Macrocephalae Rhizoma)
Chenpi (Citri Reticulatae Pericarpium, washed with decoction, white pith removed, dried by baking)
Fuling (Poria)
Shengjiang (Zingiberis Rhizoma Recens)
Dazao (Jujubae Fructus)

The above ten ingredients are coarsely crushed and sifted. Each dose uses 2 qianbi, added to 1 zhang of water, three slices of fresh ginger, and one split jujube. Decoct until 6 fen remains. Strain and take warm. Time of administration is unrestricted.

**Formula for Treating Excessive Phlegm in Pregnancy with Vomiting, Nausea, and Vertigo: Zhike Wan (Aurantii Pill)**
Zhike (Aurantii Fructus, bran removed, stir-fried until yellow, 4 liang)
Ganjiang (Zingiberis Rhizoma, processed until cracked, 2 liang)
Baizhu (Atractylodis Macrocephalae Rhizoma, coarsely cut and stir-fried, 3 liang)
Banxia (Pinelliae Rhizoma, 2 liang, washed seven times with decoction to remove slipperiness, dried by baking)

The above four ingredients are pounded and sieved into powder. A paste of boiled flour and water is prepared with ginger juice. Pills are formed the size of *Cocculus trilobus* seeds. Each dose is 15 pills, taken with warm rice beverage before meals. Gradually increase to 20 pills.

**Formula for Treating Excessive Phlegm in Pregnancy with Chest/Epigastric Distension and Anorexia: Dansha Chenxiang Wan (Cinnabar and Agarwood Pill)**
Dansha (Cinnabaris, separately ground into powder)
Chenxiang (Aquilariae Lignum Resinatum, finely cut)
Roudoukou (Myristicae Semen, shell removed)
Banxia (Pinelliae Rhizoma, 1 liang each, washed seven times with decoction to remove slipperiness, sliced, dried by baking)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried)
Binglang (Arecae Semen)

The above ten ingredients, excluding Dansha, are pounded and sieved into powder. Dansha is added and mixed thoroughly. Honey is refined and used to bind the powder into pills the size of *Cocculus trilobus* seeds. Each dose is 15 pills, taken with ginger soup before meals.

**Formula for Treating Phlegm-Fluid Soaking the Chest and Epigastrium with Vertigo and Dizziness: Ganjiang Wan (Dried Ginger Pill)**
Ganjiang (Zingiberis Rhizoma, processed until cracked)
Bai Fan (Alumen, boiled until liquid is exhausted)
Xiong (Ligustici Chuanxiong Rhizoma)
Banxia (Pinelliae Rhizoma, stir-fried with ginger juice until yellow, 1 liang each)
Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang)

The above five ingredients are pounded and sieved into powder. Paste made from boiled jujube flesh is used to form pills the size of small beans. Each dose is 15 pills, taken with warm light ginger soup at any time.

**Formula for Treating Excessive Phlegm in Pregnancy to Regulate Spleen and Stomach and Promote Appetite: Renshen Wan (Ginseng Pill)**
Renshen (Ginseng Radix)
Gaoliangjiang (Alpiniae Officinarum Rhizoma)
Bai Ful Ling (Poria, black skin removed)
Chenpi (Citri Reticulatae Pericarpium, soaked in decoction, white pith removed, dried by baking)
Nongpo (Magnoliae Officinalis Cortex, coarse bark removed, processed with ginger juice until fragrant and cooked)

The above eight ingredients are pounded and sieved into powder. Steamed cake center soaked in ginger juice is used as a binder to form pills the size of *Cocculus trilobus* seeds. Each dose is 30 pills, taken after meals and before bed with ginger soup.

**Formula for Treating Excessive Phlegm in Pregnancy to Stop Cough, Relieve Chest Fullness, Harmonize Qi, and Promote Appetite: Baizhu San (Atractylodes Powder)**
Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang)
Renshen (Ginseng Radix, 2 liang)
Bai Ful Ling (Poria, black skin removed, 3 fen)
Huangqi (Astragali Radix, slightly heated and coarsely cut)
Jiangzhi Banxia (Pinelliae Rhizoma processed with ginger, 1 liang each)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried)

The above eleven ingredients are pounded and sieved into powder. Each dose uses 2 qianbi, mixed with boiling water. Take after meals and before bed.