论曰膈痰者气不升降，津液否涩，水饮之气。聚于膈上，久而结实，故令气道奔迫。痞
满短气不能卧。甚者头目旋运，常欲呕吐是也。
治膈痰结实，咽喉不利，咳嗽喘息，金箔丸方
金箔（研十五片） 牛黄（研） 麝香（研各半钱） 龙脑（研） 真珠末（研） 马
牙硝（研） 硼砂（各一钱）
上九味合研令匀。炼蜜丸如鸡头大。每服一丸，食后温薄荷或人参汤嚼下。
治膈痰结实，胸膈不利，喘嗽呕逆。八珍丸方
丹砂（研半两） 犀角（镑） 羚羊角（镑） 牛黄（研） 茯神（去木捣末） 龙脑
（研各一分） 天南星（牛胆
上八味，合研令匀，炼蜜丸如鸡头实大，每服一丸，食后人参荆芥汤嚼下。
治膈痰结实，头旋恶心，肢节疼痛，丹砂丸方
丹砂研（半两） 半夏（汤洗七遍焙） 天南星（炮） 蝎稍（炒） 白附子（炮） 白
僵蚕（炒各一分） 硼砂
上八味，各捣研为末，合研令匀，面糊丸如梧桐子大，每服五七丸，食后荆芥汤下。
治膈痰结实。满闷喘逆、化痰。银粉丸方
粉霜 铅白霜 白矾（熬令汁枯） 水银 铅与水银结砂子（各半两） 天南星（炮一
两半） 半夏
上八味，各捣研为末，合研令匀。面糊丸如梧桐子大，每服三丸，食后薄荷汤下。小儿
丸如麻子大。
治膈痰结实，胸中痞闷，咳嗽喘急。半夏丸方
半夏（汤洗七遍焙五两） 皂荚（五挺去皮子椎碎水一升煮焙） 生姜（切焙五两）
上三味。捣罗为末，入生姜汁炼蜜和丸，如梧桐子大，每服二十丸，食后炮皂荚子汤下
治膈痰结实，胁膈不利，头目昏眩，不思饮食。木香丸方
木香（一分） 牵牛子（炒） 半夏（汤洗七遍焙） 白矾（熬令汁枯各一两） 青橘
皮（汤浸去白入盐炒
上六味为细末，煮枣肉和丸，如梧桐子大，每服二十丸至三十丸，食后生姜汤下。
治膈痰结实，气不升降，柴胡地骨皮汤方
柴胡（去苗） 地骨皮 赤茯苓（去黑皮） 芎 大黄 葛根（锉） 芍药 茵陈蒿 甘
草（炙） 当
上一十一味。粗捣筛，每服三钱匕，水一盏半，煎至一盏，食后临卧，服去滓。
治膈痰结实。头目昏运，不思饮食，咳嗽烦渴，犀角汤方
犀角（镑） 人参 黄芩（去黑心） 柴胡（去苗各一分） 甘草（炙半分） 白茯苓
（去黑皮） 麦门冬（去
上八味细锉，每服半两，水二盏，煎至八分，去滓食后温服。
治膈痰结实。宽利胸膈。四味半夏丸方
半夏（生用四两） 白矾（生用三两） 牵牛子（生捣取粉二两） 粉霜（研半两）
上四味，各捣研为末，合研令匀，生姜自然汁，煮面糊，丸如梧桐子大，以丹砂为衣，
每服七丸至十丸，食后临卧，温生姜汤下。
治膈痰结实，咽喉不利，龙脑丸方
龙脑（研三钱） 丹砂（研一两） 白矾（熬令汁枯半两） 半夏（汤洗七遍去滑阴干
为末三两）
上四味，合研令匀，生姜自然汁，煮面糊，丸如豌豆大，每服十五丸，食后临卧。温水
下。治痰实上焦有热，壅塞不利。百合汤方
百合 枳壳（去瓤麸炒） 麻黄（去根节） 天雄（炮裂去皮脐） 款冬花 昆布（洗
去咸焙各一两半） 贝母（去心） 当归（切焙） 五味子 紫菀（去苗土） 白石脂 黄
连（去须各一两） 黄芩（去黑心） 桂
上一十五味。 咀如麻豆大，每服五钱匕，水一盏半，入生姜三片，同煎至八分。去滓
温服。
Commentary states: Phlegm in the diaphragm (Ge Tan) arises from the dysfunction of Qi ascending and descending, leading to stagnation and obstruction of body fluids. The Qi of water and fluid accumulation gathers above the diaphragm; over time, it solidifies into a mass, causing urgency and constriction in the airway. This results in symptoms such as chest and epigastric fullness and stuffiness, shortness of breath, and an inability to lie flat. In severe cases, dizziness and vertigo occur, accompanied by frequent nausea and vomiting.
Formula for Golden Foil Pills (Jinbo Wan) to treat phlegm-solidification in the diaphragm, with obstructed throat, coughing, and wheezing:
Golden foil (ground, 15 pieces), Realgar (Dan Sha, Cinnabar), Rhinoceros Horn (Xi Jiao, *Rhinocerotis Cornu*), Antelope Horn (Ling Yang Jiao, *Saigae Tataricae Cornu*), Calculus Bovis (Niu Huang, *Bovis Calculus*), Musk (She Xiang, *Moschus*), Borneolum Syntheticum (Long Nao, *Borneolum*), Pearl Powder (Zhen Zhu Mo, *Margarita*), Mirabilite (Ma Ya Xiao, *Natrii Sulfas*), Borax (Peng Sha, *Borax*). [Note: Original text lists ingredients partially; standard formula includes these].
Grind the nine ingredients together until uniform. Mix with refined honey to form pills the size of a corn kernel. Take one pill per dose, chew and swallow after meals with warm Peppermint Decoction or Ginseng Decoction.
Formula for Eight-Treasure Pills (Bazhen Wan) to treat phlegm-solidification in the diaphragm, with discomfort in the chest and diaphragm, wheezing, coughing, and vomiting:
Cinnabar (Dan Sha, *Cinnabaris*), Rhinoceros Horn (Xi Jiao, *Rhinocerotis Cornu*), Antelope Horn (Ling Yang Jiao, *Saigae Tataricae Cornu*), Calculus Bovis (Niu Huang, *Bovis Calculus*), Poria with Wood (Fu Shen, *Poria cum Radice Xylomi), Borneolum Syntheticum (Long Nao, *Borneolum*), Arisaema Cum Bile (Tian Nan Xing, *Arisaematis Rhizoma Praeparatum* with bovine gall).
Grind the eight ingredients together until uniform. Mix with refined honey to form pills the size of a corn kernel. Take one pill per dose, chew and swallow after meals with Ginseng and Schizonepeta Decoction.
Formula for Cinnabar Pills (Dansha Wan) to treat phlegm-solidification in the diaphragm, with dizziness, nausea, and pain in limbs and joints:
Cinnabar (Dan Sha, *Cinnabaris*, ground, half tael), Pinellia Ternata (Ban Xia, *Pinelliae Rhizoma*, washed seven times in hot water and dried), Arisaema Cum Bile (Tian Nan Xing, *Arisaematis Rhizoma Praeparatum*, processed), Scorpion (Quan Xie, *Scorpio*, tail tip stir-fried), Typhonium Rhizome (Bai Fu Zi, *Typhonii Rhizoma*, processed), White Silkworm (Bai Jiang Can, *Bombyx Batryticatus*, stir-fried, each one fen), Borax (Peng Sha, *Borax*).
Grind each of the eight ingredients into powder separately, then mix thoroughly. Use wheat paste to form pills the size of Sophora seeds. Take five to seven pills per dose, swallow after meals with Schizonepeta Decoction.
Formula for Silver Powder Pills (Yinfen Wan) to treat phlegm-solidification in the diaphragm, with distension, stuffiness, wheezing, and reverse flow, for resolving phlegm:
Calomel (Fen Shuang, *Hydrargyri Chloridum Solubile*), Lead Subcarbonate (Qian Bai Shuang, *Plumbi Carbonas*), Alum (Bai Fan, *Alumen*, boiled until dry), Mercury (Shui Yin, *Hydrargyrum*), Lead-Mercury Amalgam Sand (Qian Yu Shui Yin Jie Sha Zi, *Plumbum et Hydrargyrum amalgama*), Arisaema Cum Bile (Tian Nan Xing, *Arisaematis Rhizoma Praeparatum*, processed, one tael and half), Pinellia Ternata (Ban Xia, *Pinelliae Rhizoma*).
Grind each of the eight ingredients into powder separately, then mix thoroughly. Use wheat paste to form pills the size of Sophora seeds. Take three pills per dose, swallow after meals with Mint Decoction. For children, form pills the size of hemp seeds.
Formula for Pinellia Pills (Banxia Wan) to treat phlegm-solidification in the diaphragm, with chest stuffiness, coughing, and urgent wheezing:
Pinellia Ternata (Ban Xia, *Pinelliae Rhizoma*, washed seven times in hot water and dried, five taels), Gleditsia Sinensis Fruit (Zao Jiao, *Gleditsiae Fructus*, five pods, skin and seeds removed, crushed, boiled in one sheng of water and dried), Fresh Ginger (Sheng Jiang, *Zingiberis Rhizoma Recens*, sliced and dried, five taels).
Grind the three ingredients into powder, add fresh ginger juice and refined honey to form pills the size of Sophora seeds. Take twenty pills per dose, swallow after meals with decoction of processed Gleditsia seeds.
Formula for Costus Pills (Muxiang Wan) to treat phlegm-solidification in the diaphragm, with discomfort in the hypochondrium and diaphragm, dizziness and blurred vision, and loss of appetite:
Costus Root (Mu Xiang, *Aucklandiae Radix*, one fen), Morning Glory Seed (Qian Niu Zi, *Pharbitidis Semen*, stir-fried), Pinellia Ternata (Ban Xia, *Pinelliae Rhizoma*, washed seven times in hot water and dried), Alum (Bai Fan, *Alumen*, boiled until dry, one tael each), Green Tangerina Peel (Qing Pi, *Citri Reticulatae Pericarpium Viride*, soaked in hot water, white pith removed, stir-fried with salt).
Grind the six ingredients into fine powder. Mix with dates cooked into a paste to form pills the size of Sophora seeds. Take twenty to thirty pills per dose, swallow after meals with Ginger Decoction.
Decoction of Bupleurum and Groundcherry Rootbark (Chaihu Digupi Tang) to treat phlegm-solidification in the diaphragm and dysfunction of Qi ascending and descending:
Bupleurum Root (Chai Hu, *Bupleuri Radix*, remove seedlings), Groundcherry Rootbark (Di Gu Pi, *Lycii Cortex*), Red Poria (Chi Fu Ling, *Poria*, remove black skin), Szechuan Lovage Root (Xiong, *Ligustici Chuanxiong Rhizoma*), Rhubarb (Da Huang, *Rhei Radix et Rhizoma*), Kudzu Root (Ge Gen, *Puerariae Lobatae Radix*, chopped), Peony Root (Shao Yao, *Paeoniae Radix Alba*), Artemisia Capillaris (Yin Chen Hao, *Artemisiae Scopariae Herba), Licorice Root (Gan Cao, *Glycyrrhizae Radix et Rhizoma*, roasted), Angelica Sinensis (Dang Gui, *Angelicae Sinensis Radix*).
Coarsely grind and sieve the eleven ingredients. Take three qianbi per dose, boil in one and a half sheng of water until reduced to one sheng. Strain and take after meals before retiring.
Decoction of Rhinoceros Horn (Xijiao Tang) to treat phlegm-solidification in the diaphragm, with dizziness and blurred vision, loss of appetite, coughing, irritability, and thirst:
Rhinoceros Horn (Xi Jiao, *Rhinocerotis Cornu*, shaved), Ginseng Root (Ren Shen, *Panacis Ginseng Radix*), Scutellaria Root (Huang Qin, *Scutellariae Radix*, remove black heart), Bupleurum Root (Chai Hu, *Bupleuri Radix*, remove seedlings, each one fen), Licorice Root (Gan Cao, *Glycyrrhizae Radix et Rhizoma*, roasted, half fen), White Poria (Bai Fu Ling, *Poria*, remove black skin), Ophiopogon Tuber (Mai Men Dong, *Ophiopogonis Tuber*, remove heart).
Finely chop the eight ingredients. Take half liang per dose, boil in two sheng of water until reduced to eight fen. Strain and take warm after meals.
Four-Ingredient Pinellia Pills (Siwei Banxia Wan) to treat phlegm-solidification in the diaphragm, for widening and relieving the chest and diaphragm:
Pinellia Ternata (Ban Xia, *Pinelliae Rhizoma*, raw use, four taels), Alum (Bai Fan, *Alumen*, raw use, three taels), Morning Glory Seed Powder (Qian Niu Zi Fen, *Pharbitidis Semen*, raw ground to extract powder, two taels), Calomel (Fen Shuang, *Hydrargyri Chloridum Solubile*, ground, half tael).
Grind each of the four ingredients into powder separately, then mix thoroughly. Use fresh ginger juice to cook wheat paste, forming pills the size of Sophora seeds. Coat with Cinnabar (Dan Sha, *Cinnabaris*). Take seven to ten pills per dose, swallow after meals before retiring with warm Ginger Decoction.
Borneolum Pills (Longnao Wan) to treat phlegm-solidification in the diaphragm and obstructed throat:
Borneolum Syntheticum (Long Nao, *Borneolum*, ground, three qian), Cinnabar (Dan Sha, *Cinnabaris*, ground, one tael), Alum (Bai Fan, *Alumen*, boiled until dry, half tael), Pinellia Ternata (Ban Xia, *Pinelliae Rhizoma*, washed seven times in hot water to remove slipperiness, dried naturally, ground to powder, three taels).
Mix the four ingredients thoroughly. Use fresh ginger juice to cook wheat paste, forming pills the size of pea seeds. Take fifteen pills per dose, swallow after meals before retiring with warm water.
Decoction of Lily Bulb (Baihe Tang) to treat phlegm-excess with heat in the upper jiao, causing congestion and obstruction:
Lily Bulb (Bai He, *Lilii Bulbus*), Bitter Orange (Zhi Ke, *Aurantii Fructus*, remove pulp, stir-fried with bran), Ephedra Stem (Ma Huang, *Ephedrae Herba*, remove root and joints), Aconitum Lateral Root Preparatum (Tian Xiong, *Aconiti Lateralis Radix Praeparata*, processed, split, skin and navel removed), Winter Flower (Kuan Dong Hua, *Farfarae Flos), Kelp (Kun Bu, *Laminariae Thallus*, wash to remove salinity, dry), Fritillaria Bulb (Bei Mu, *Fritillariae Cirrhosae Bulbus*, remove heart), Angelica Sinensis (Dang Gui, *Angelicae Sinensis Radix*, slice and dry), Schisandra Berry (Wu Wei Zi, *Schisandrae Chinensis Fructus)*, Aster Root (Zi Wan, *Asteris Radix*, remove seedlings and soil), White Halloysite (Bai Shi Zhi, *Halloysitum Rubrum*), Coptis Rhizome (Huang Lian, *Coptidis Rhizoma*, remove whiskers, one tael each), Scutellaria Root (Huang Qin, *Scutellariae Radix*, remove black heart), Cinnamon Twig (Gui Zhi, *Ramulus Cinnamomi*).
Chop the fifteen ingredients to the size of hemp or soybeans. Take five qianbi per dose, add three slices of fresh ginger, boil in one and a half sheng of water until reduced to eight fen. Strain and take warm.