论曰热痰者、由气道壅塞。津液不通。热气与痰水相搏，聚而不散也，若咽喉干燥，或
塞或壅，头目昏重，咳唾稠浊，面目热赤，是其证也。
治热痰。利胸膈。止烦渴，化涎散方
凝水石（炭火 一两） 铅白霜（研） 马牙硝 雄黄（研各一钱） 白矾（熬令汁枯）
甘草（微炙锉各
上六味。捣研为散，别入龙脑少许，更研匀，每服一钱匕，蜜水调下，小儿风热涎。用
沙糖水调半钱匕，此药大凉，不得多吃。
治热痰，凉心肺，利胸膈，解热毒，补元益气，鹅梨煎丸方
大鹅梨（二十枚去皮核用净布绞取汁） 皂荚（不 者十挺去黑皮用浆水二升揉取浓汁）
生地黄（半斤净洗研绞取汁） 生薄荷（半斤细研取汁） 蜜（半斤以上五味同于银石器中
慢火熬成膏入诸药末） 木香 人参 白茯苓（去黑皮） 白蒺藜（炒去角） 牛膝（酒浸
一宿切焙干） 肉苁蓉（酒浸一宿切焙干各一两） 羌活（去芦头） 防风（去叉） 白术 青
橘皮（去白焙） 桔梗（锉炒） 山芋（各三分） 半夏（汤洗七遍焙干炒过一两） 槟榔
（煨锉二两） 甘草（炙锉半两）
上二十味。除五味为膏外，余捣罗末，入膏拌和，杵令硬软得所，丸如梧桐子大，每服
十五丸，加至二十丸，荆芥汤下，食后服、日二。
治热痰壅盛，咽膈不利，千金散方
半夏（半两用生姜一两同捣烂作饼子曝干） 滑石（末三钱） 凝水石（ 三钱） 青
蛤粉（末五钱
上五味同研如粉，每服一钱匕，齑汁一盏，煎至六分，临卧温服。
治热痰，咽干烦渴，龙脑丸方
龙脑（一字） 铅白霜（研一分） 甘草（炙锉半两） 凝水石（用火烧令通赤研一分）
上四味，捣罗细研令匀，用烧饭为丸，如梧桐子大，每服含化三丸至五丸。
治热痰。宁神志，去头痛恶心，解烦躁，丹砂银箔丸方
丹箔（细研水飞过三分） 牛胆制天南星（二两） 雄黄（研） 龙脑（各一分） 银
箔（十五片） 马牙硝
上六味。各研细，再同研令匀，炼蜜和丸，如鸡头实，每服一丸嚼破，煎人参汤放冷下。
或竹叶汤新水下。亦得，食后临卧服。
治热痰，导壅气，润肠胃，参黄汤方
大黄（煨锉三两） 人参 枳壳（汤浸去瓤麸炒） 槟榔（煨锉各一两） 半夏（汤洗
去滑炒黄一两半
上八味，粗捣筛，每服二钱匕，以水一盏，入生姜半分拍碎，同煎至七分，去滓食后临
卧温服。
治热痰壅盛，虚烦燥渴，丹砂丸方
丹砂（研水飞过） 天南星（炮） 白矾（熬令汁枯各一两） 莽草（炙半两）
上四味。捣研为末，更用半夏二两，汤洗七遍，曝干为末，水煮作糊，和前药末为丸，
如梧桐子大，每服七丸，加至十丸，薄荷茶或生姜汤温水下，不拘时候。
治热痰壅滞，咯唾如羊脂，利咽膈，坠痰涎，乌龙丸方
皂荚（不 者四两烧存性为末） 白矾（好者半生半枯） 朴硝（研） 铅白霜（研各
一两）
上四味合研匀，醋煮面糊为丸，如梧桐子大，每服十丸，浓煎槐实汤下，如咽喉肿痛，
上膈不利，以甘草煎汤，食后临卧服。
治热痰壅滞。矾石丸方
白矾（熬令汁枯一两） 丹砂（研水飞过半两）
上二味研匀，薄面糊和丸，如梧桐子大，烂嚼枣干咽下五丸，不拘时候。
治热痰，噎闷干呕，头疼目昏如醉，犀角丸方
犀角（镑半两） 半夏（浆水煮透） 天南星（黄牛胆内浸三宿焙各二两） 大黄（用
醋煮一复时焙干
上七味。捣罗为末，用肥皂荚一十五梃，水二碗，慢火熬成膏，入前药为丸，如梧桐子
大，每服二十丸，食后生姜薄荷汤下。
治痰热，咽膈不利，头目错痛，麝香丹砂丸方
麝香（研一分） 丹砂（研一两） 麦门冬（去心焙三分） 龙脑（研一钱） 木香 丁
香犀角（末） 甘草（炙锉各一分） 人参 藿香（去梗） 天南星（牛胆内制者） 防
风（去叉） 黄 （锉各半两）
上一十三味。捣研为末、拌匀，炼蜜和丸，如鸡头实，每服一丸，嚼破，以荆芥汤下，
食后临卧服。
治胸间热痰，不思食，麦门冬汤方
麦门冬（去心焙） 葛根 人参 前胡（去芦头） 犀角（镑各一两） 桔梗（半两 芦
根（二两）
上七味，锉如麻豆令匀，每服五钱匕，水一盏半，煎取八分，去滓温服。
Discussion states: Heat-phlegm (Re Tan) arises from the obstruction of the airway and the failure of body fluids (Jin Ye) to circulate freely. Heat qi (Re Qi) and phlegm-water (Tan Shui) contend with each other, gathering without dispersing. The manifestations include dryness of the throat, a sensation of blockage or congestion in the throat, heaviness and dizziness of the head and eyes, coughing up thick and turbid sputum, and redness and heat in the face and eyes. These constitute the syndrome of heat-phlegm.
To treat heat-phlegm, benefit the chest and diaphragm, relieve irritability and thirst, and transform saliva and phlegm, use the Powder to Transform Saliva (Hua Xian San):
Shui Shi (Calcitritum, 1 liang), Qian Bai Shuang (Lead White Frost, ground), Ma Ya Xiao (Saltpeter), Xiong Huang (Realgar, ground) each 1 qian, Bai Fan (Alumen, boiled until juice is dry), Gan Cao (Licorice Root, slightly roasted and chopped).
The above six herbs are crushed and ground into a powder. Add a small amount of Nao Bing (Borneol), grind evenly. Take 1 qian bi per dose, mixed with honey water. For children's wind-heat causing salivary disorders, mix half a qian bi with sugar water. This medicine is very cold; do not consume too much.
To treat heat-phlegm, cool the heart and lungs, benefit the chest and diaphragm, resolve heat toxicity, tonify primordial qi and boost energy, use the Goose Pear Decoction Pills (E Li Jian Wan):
Da E Li (Large Goose Pear, 20 fruits, peeled, pitted, juice extracted with clean cloth), Zao Jiao (Tamarind Fruit, 10 sturdy pods without black skin, juice extracted by rubbing in Jiang Shui/Vinegar Water), Sheng Di Huang (Fresh Rehmannia Root, half jin, washed, crushed, juice extracted), Sheng Bo He (Fresh Mint, half jin, finely crushed, juice extracted), Mi (Honey, half jin).
The above five ingredients are slowly simmered in a silver or earthenware vessel to form a paste. Add the powders of the remaining herbs: Mu Xiang (Aucklandia Root), Ren Shen (Ginseng Root), Bai Fu Ling (Poria, black skin removed), Bai Ji Li (Tribulus Fruit, stir-fried and thorns removed), Niu Xi (Achyranthes Root, soaked in wine overnight, sliced and dried), Rou Cong Rong (Cistanche Stem, soaked in wine overnight, sliced and dried) each 1 liang; Qiang Huo (Notopterygium Rhizome, rhizome head removed), Fang Feng (Saposhnikovia Root, forked parts removed), Bai Zhu (Atractylodes Rhizome), Qing Ju Pi (Green Tangerina Peel, white pith removed and dried), Jie Geng (Platycodon Root, chopped and stir-fried), Shan Yu (Dioscorea Tuber) each 3 fen; Ban Xia (Pinellia Tuber, washed in hot water seven times, dried and stir-fried) 1 liang; Bin Lang (Areca Seed, baked and chopped) 2 liang; Gan Cao (Licorice Root, roasted and chopped) half liang.
Of the twenty herbs, the first five are made into a paste. The rest are crushed and sieved into powder. Mix with the paste, pound until the consistency is appropriate. Form pills the size of Sophora seeds. Take 15 pills per dose, increasing to 20 pills. Administer with Jing Jie Tang (Schizonepeta Decoction) after meals, twice daily.
To treat severe heat-phlegm obstruction and difficulty in the throat and diaphragm, use the Thousand Gold Powder (Qian Jin San):
Ban Xia (Pinellia Tuber, half liang pounded with 1 liang fresh ginger into cakes, sun-dried), Hua Shi (Talcum, powder, 3 qian), Ning Shui Shi (Halloysite, 3 qian), Qing Ge Fen (Blue Clam Powder, powder, 5 qian).
Grind the above five herbs together into a fine powder. Take 1 qian bi per dose. Mix with one cup of vinegar juice, boil down to 60%, and take warm before retiring.
To treat heat-phlegm with dry throat, irritability, and thirst, use the Borneol Pills (Long Nao Wan):
Long Nao (Borneol, 1 zi), Qian Bai Shuang (Lead White Frost, ground, 1 fen), Gan Cao (Licorice Root, roasted and chopped, half liang), Ning Shui Shi (Halloysite, fired until red-hot and ground, 1 fen).
Grind the above four herbs finely and mix evenly. Use cooked rice as a binder to form pills the size of Sophora seeds. Hold three to five pills in the mouth to dissolve per dose.
To treat heat-phlegm, calm the spirit, relieve headache and nausea, and resolve irritability, use the Cinnabar and Silver Leaf Pills (Dan Sha Yin Bo Wan):
Dan Bo (Gold Leaf? Note: Text says Dan Bo, likely Cinnabar foil or similar preparation, processed by water flotation, 3 fen), Niu Dan Zhi Tian Nan Xing (Arisaema Cum Bile, 2 liang), Xiong Huang (Realgar, ground), Long Nao (Borneol) each 1 fen, Yin Bo (Silver Leaf, 15 pieces), Ma Ya Xiao (Saltpeter).
Grind each of the above six herbs finely, then mix thoroughly. Bind with refined honey to form pills the size of Euryale seeds. Chew one pill per dose, swallow with cooled Ren Shen Tang (Ginseng Decoction). Alternatively, administer with Zhu Ye Tang (Bamboo Leaf Decoction) or fresh well water. Take after meals and before retiring.
To treat heat-phlegm, guide stagnant qi, and moisten the intestines and stomach, use the Ginseng and Rhubarb Decoction (Shen Huang Tang):
Da Huang (Rhubarb Root and Rhizome, baked and chopped, 3 liang), Ren Shen (Ginseng Root), Zhi Ke (Aurantii Fructus, soaked in hot water, pith removed, bran-stir-fried), Bin Lang (Areca Seed, baked and chopped) each 1 liang, Ban Xia (Pinellia Tuber, washed in hot water to remove slipperiness, stir-fried until yellow, 1.5 liang).
Coarsely crush and sieve the above eight herbs. Take 2 qian bi per dose. Add half a piece of crushed fresh ginger to one cup of water. Boil together to 70%. Strain and take warm after meals and before retiring.
To treat severe heat-phlegm, deficiency-fire irritability, and dry thirst, use the Cinnabar Pills (Dan Sha Wan):
Dan Sha (Cinnabar, ground and processed by water flotation), Tian Nan Xing (Arisaema, prepared), Bai Fan (Alumen, boiled until juice is dry) each 1 liang, Mang Cao (Agastache/Patchouli? Note: Text says Mang Cao, likely Agastache or similar aromatic herb, roasted) half liang.
Crush and grind the above four herbs into powder. Additionally, take 2 liang of Ban Xia, wash seven times in hot water, sun-dry, and grind into powder. Boil this powder in water to make a paste. Mix with the herbal powder to form pills the size of Sophora seeds. Take 7 pills per dose, increasing to 10 pills. Swallow with Bo He Cha (Mint Tea) or Sheng Jiang Tang (Ginger Decoction) using warm water. Time is not restricted.
To treat stagnation of heat-phlegm, expectoration resembling sheep fat, benefit the throat and diaphragm, and descend phlegm-saliva, use the Black Dragon Pills (Wu Long Wan):
Zao Jiao (Tamarind Fruit, 4 liang of non-crispy pods, burned to retain character, ground), Bai Fan (Alumen, good quality, half raw half calcined), Pu Xiao (Mirabilite, ground), Qian Bai Shuang (Lead White Frost, ground) each 1 liang.
Mix the above four herbs evenly. Cook with vinegar and wheat flour paste to form pills the size of Sophora seeds. Take 10 pills per dose, administered with strong decoction of Huai Shi (Sophora Fruit). If there is sore throat and swelling, or upper diaphragm obstruction, use Gan Cao (Licorice Root) decoction instead, taken after meals and before retiring.
To treat stagnation of heat-phlegm, use the Alum Stone Pills (Fan Shi Wan):
Bai Fan (Alumen, boiled until juice is dry, 1 liang), Dan Sha (Cinnabar, ground and processed by water flotation, half liang).
Grind the above two herbs evenly. Bind with thin wheat flour paste to form pills the size of Sophora seeds. Chew thoroughly with dried jujube flesh and swallow five pills. Time is not restricted.
To treat heat-phlegm with choking, stifling sensation, dry retching, headache, and dizzy vision as if drunk, use the Rhinoceros Horn Pills (Xi Jiao Wan):
Xi Jiao (Rhinoceros Horn, shaved, half liang), Ban Xia (Pinellia Tuber, boiled thoroughly in vinegar water), Tian Nan Xing (Arisaema, soaked in yellow cattle bile for three nights, dried) each 2 liang, Da Huang (Rhubarb Root and Rhizome, boiled in vinegar for one shi period, dried).
(Note: Text mentions "above seven herbs" but lists fewer explicitly in the ingredient line, implying standard processing additions or missing items in transcription, but we translate what is present). Crush and sieve into powder. Use 15 pods of Soap Pod (Fei Zao Jiao) and two bowls of water, simmer slowly to form a paste. Add the herbal powder to form pills the size of Sophora seeds. Take 20 pills per dose after meals with Sheng Jiang Bo He Tang (Ginger and Mint Decoction).
To treat phlegm-heat, difficulty in the throat and diaphragm, and misaligned pain in the head and eyes, use the Musk and Cinnabar Pills (She Xiang Dan Sha Wan):
She Xiang (Musk, ground, 1 fen), Dan Sha (Cinnabar, ground, 1 liang), Mai Men Dong (Ophiopogon Tuber, heart removed, dried, 3 fen), Long Nao (Borneol, ground, 1 qian), Mu Xiang (Aucklandia Root), Ding Xiang (Clove), Xi Jiao (Rhinoceros Horn, powder), Gan Cao (Licorice Root, roasted and chopped) each 1 fen, Ren Shen (Ginseng Root), Huo Xiang (Pogostemon Herb, stems removed), Tian Nan Xing (Arisaema, prepared in cattle bile), Fang Feng (Saposhnikovia Root, forked parts removed), Huang Qi (Astragalus Root, chopped) each half liang.
Grind the above thirteen herbs into powder, mix evenly. Bind with refined honey to form pills the size of Euryale seeds. Take one pill per dose, chew thoroughly, and swallow with Jing Jie Tang (Schizonepeta Decoction). Take after meals and before retiring.
To treat heat-phlegm in the chest, loss of appetite, use the Ophiopogon Decoction (Mai Men Dong Tang):
Mai Men Dong (Ophiopogon Tuber, heart removed, dried), Ge Gen (Kudzu Root), Ren Shen (Ginseng Root), Qian Hu (Peucedani Radix, rhizome head removed), Xi Jiao (Rhinoceros Horn, shaved) each 1 liang, Jie Geng (Platycodon Root, half liang), Lu Gen (Reed Rhizome, 2 liang).
Chop the above seven herbs uniformly like hemp seeds. Take 5 qian bi per dose. Add one and a half cups of water. Boil down to 80%. Strain and take warm.