病源支饮，谓水饮停于胸膈之间支乘于心，故云支饮，其病令人咳逆喘息，身体如肿之
状谓之支饮。（出第二十卷中）
深师疗心下有支饮，其人喜眩，（一作苦冒）泽泻汤方。
白术（二两） 泽泻（五两）
上二味切，以水二升，煮取一升，又以水一升，煮取五合，合此二汁，分为再服。忌桃
李雀肉等。（此本仲景伤寒论方）
千金疗支饮不得息，葶苈大枣泻肺汤方。
葶苈子（熬令紫色捣为丸如弹丸大） 大枣（十二枚）
上二味，先以水三升煮大枣，得汁二升，纳葶苈，煎取一升，顿服三日一剂，可服三四
剂。（此本仲景伤寒论方）
又呕家不渴者为欲解，本渴今反不渴，心下有支饮故也，小半夏汤主之，加茯苓者是也
，先渴却呕，此为水停心下，小半夏加茯苓汤主之，卒呕吐，心下痞，膈间有水，目眩悸，
小半夏加茯苓汤方。
半夏（二斗） 生姜（半斤） 茯苓（四两）
上三味切，以水七升，煮取一升五合，分再服。忌羊肉饧大醋。（仲景伤寒论茯苓三两
余并同）
又假令瘦人脐下有悸者，吐涎沫而癫眩，水也，五苓散主之方。
猪苓（去皮） 白术 茯苓（各三分） 桂心（去皮二分） 泽泻（五分）
上五味下筛，水服方寸匕，日三，多饮水汗出愈。忌桃李雀肉生葱醋物等。（此本仲景
伤寒论方）
又心下有痰饮，胸胁支满，目眩，甘草汤主之方。
甘草（二两炙） 桂心 白术（各三两） 茯苓（四两）
上四味细切，以水六升，煮取三升，去滓，服一升，日三，小盒饭利。忌海藻菘菜生葱
桃李醋物等。（此本仲景伤寒论方）
又夫酒客咳者，必致吐血，此坐以极饮过多所致也，其脉虚者必冒，其人本有支饮在
胸中也，支饮胸满，浓朴大黄汤主之方。
浓朴（一两炙） 大黄（六两） 枳实（四两炙）
上三味细切，以水五升，煮取二升，去滓，分温再服之。（此本仲景伤寒论方）
又夫上气汗出而咳者，此为饮也，干枣汤主之，若下后不可与也，干枣汤主肿，及支满
饮方。
大黄 大戟（各一两） 芫花（炒） 荛花（各半两） 甘草（炙） 甘遂 黄芩（各
一两） 干
枣（十枚）
上八味切，以水五升，煮取一升六合，分四服，空心服，以快下为佳。忌海藻菘菜。
又膈间支饮，其人喘满，心下痞坚，面黧黑，其脉沉紧，得之数十日，医吐下之不愈，
木防己汤主之方。
木防己（三两） 石膏（鸡子大三枚） 桂心（二两） 人参（四两切）
上四味，以水四升，煮取二升，去滓，分再服，虚者即愈，实者三日复发，则复与，不
愈者，宜去石膏，加茯苓芒硝汤方。
木防己（三两） 桂心（二两） 人参 茯苓（各四两） 芒硝（三合）
上五味，以水六升，煮四味取二升，去滓，内芒硝，分温再服，取微下利则愈。忌生葱
。（此本仲景伤寒论方深师同并出第十八卷中）
The etiology of *Zhi Yin* (Branching Fluid Retention) refers to fluid retention stagnating between the chest and diaphragm, supporting and invading the Heart, hence it is called *Zhi Yin*. This condition causes coughing with counterflow qi, panting, and a body appearance resembling edema; this is termed *Zhi Yin*. (From Volume 20)
Shen Shi's formula treats *Zhi Yin* under the Heart, where the patient experiences frequent dizziness (or alternatively, suffering from heavy-headedness), using Zexie Tang (Alisma Decoction).
Baizhu (Atractylodis Rhizoma, 2 liang) Zexie (Alismatis Rhizoma, 5 liang)
Cut the above two ingredients. Boil in 2 sheng of water to obtain 1 sheng of decoction. Then boil again with 1 sheng of water to obtain 5 he of decoction. Combine these two juices and divide into two doses. Avoid peaches, plums, sparrow meat, etc. (This formula originally comes from Zhang Zhongjing's Shanghan Lun).
Qianjin Fang treats *Zhi Yin* causing difficulty in breathing, using Tingli Dazao Xiefei Tang (Descurainia Seed and Jujube Decoction to Drain the Lungs).
Tinglizi (Descurainiae Semen Lepidii Semum, roasted until purple, pounded into pills the size of a bullet) Dazao (Jujubae Fructus, 12 pieces)
Take the above two ingredients. First, boil the Jujubes in 3 sheng of water to obtain 2 sheng of juice. Add Descurainia seeds, and simmer to obtain 1 sheng of decoction. Take all at once. One dose lasts three days; it can be taken for three to four doses. (This formula originally comes from Zhang Zhongjing's Shanghan Lun).
Furthermore, if a vomiting patient does not feel thirsty, it indicates the condition is about to resolve. If they were previously thirsty but now are not, it is because there is *Zhi Yin* under the Heart; Xiaobanxia Tang (Minor Pinellia Decoction) is the primary treatment. If Fu Ling (Poria) is added, it becomes Xiaobanxia Jia Fuling Tang (Minor Pinellia and Poria Decoction). If one feels thirsty first and then vomits, this is due to water stagnation under the Heart; Xiaobanxia Jia Fuling Tang (Minor Pinellia and Poria Decoction) is the primary treatment. For sudden vomiting, epigastric fullness and obstruction, water in the intercostal space, dizziness, and palpitations, Xiaobanxia Jia Fuling Tang (Minor Pinellia and Poria Decoction) is also used.
Banxia (Pinelliae Rhizoma, 2 dou) Shengjiang (Zingiberis Rhizoma Recens, half jin) Fuling (Poria, 4 liang)
Cut the above three ingredients. Boil in 7 sheng of water to obtain 1.5 sheng of decoction. Divide into two doses. Avoid mutton, maltose, and strong vinegar. (In Zhang Zhongjing's Shanghan Lun, Poria is 3 liang; the rest are the same).
Furthermore, suppose a thin person has palpitations below the umbilicus, expectorates saliva and foam, and suffers from epilepsy-like dizziness; this is caused by water. Wuling San (Five-Ingredient Powder with Poria) is the primary treatment.
Zhuling (Polyporus, skin removed) Baizhu (Atractylodis Rhizoma) Fuling (Poria) [each 3 fen] Guixin (Cinnamomi Cortex, skin removed, 2 fen) Zexie (Alismatis Rhizoma, 5 fen)
Sift the above five ingredients into fine powder. Take one fangcunbi (square-inch scoop) with water, three times daily. Drink plenty of water until sweating occurs for recovery. Avoid peaches, plums, sparrow meat, raw green onions, and vinegar products. (This formula originally comes from Zhang Zhongjing's Shanghan Lun).
Furthermore, when there is phlegm-fluid under the Heart, with fullness and distension in the chest and hypochondrium, and dizziness, Gancao Tang (Licorice Decoction) is the primary treatment.
Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang, honey-fried) Guixin (Cinnamomi Cortex) Baizhu (Atractylodis Rhizoma) [each 3 liang] Fuling (Poria, 4 liang)
Finely cut the above four ingredients. Boil in 6 sheng of water to obtain 3 sheng of decoction. Remove the dregs. Take 1 sheng per dose, three times daily. Urination should become smooth. Avoid seaweed, Chinese cabbage, raw green onions, peaches, plums, and vinegar products. (This formula originally comes from Zhang Zhongjing's Shanghan Lun).
Furthermore, wine drinkers who cough will inevitably hemoptysis; this is caused by excessive drinking. Those with a deficient pulse will inevitably suffer from dizziness, because they originally had *Zhi Yin* in the chest. For *Zhi Yin* causing chest fullness, Nongpou Dahuang Tang (Magnolia Bark and Rhubarb Decoction) is the primary treatment.
Nongpou (Magnoliae Officinalis Cortex, 1 liang, honey-fried) Dahuang (Rhei Radix et Rhizoma, 6 liang) Zhishi (Aurantii Fructus Immaturus, 4 liang, honey-fried)
Finely cut the above three ingredients. Boil in 5 sheng of water to obtain 2 sheng of decoction. Remove the dregs. Divide into two warm doses. (This formula originally comes from Zhang Zhongjing's Shanghan Lun).
Furthermore, for upward rushing qi, sweating, and coughing, this is due to fluid retention; Ganzao Tang (Dried Date Decoction) is the primary treatment. However, it should not be given after purgative therapy. Ganzao Tang also treats swelling, as well as the formula for *Zhi Man Yin* (Branching Fullness Fluid).
Dahuang (Rhei Radix et Rhizoma) Daji (Euphorbiae Pekinensis Radix) [each 1 liang] Yuanhua (Genkwa Flos, fried) Raohua (Adonidis Flaveriae Flos) [each 0.5 liang] Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Gansui (Kansui Radix) Huangqin (Scutellariae Radix) [each 1 liang] Ganzao (Jujubae Fructus, 10 pieces)
Cut the above eight ingredients. Boil in 5 sheng of water to obtain 1.6 sheng of decoction. Divide into four doses. Take on an empty stomach; aim for smooth bowel movement. Avoid seaweed and Chinese cabbage.
Furthermore, when there is *Zhi Yin* in the intercostal space, the patient experiences wheezing and fullness, hardness and obstruction under the Heart, darkened complexion, and a deep, tight pulse. After dozens of days, if emetic and purgative treatments by physicians have failed to cure, Mufangji Tang (Stephania Tetrandra Decoction) is the primary treatment.
Mufangji (Stephaniae Tetrandrae Radix, 3 liang) Shigao (Gypsum Fibrosum, three pieces the size of a chicken egg) Guixin (Cinnamomi Cortex, 2 liang) Renshen (Ginseng Radix, 4 liang, cut)
Take the above four ingredients. Boil in 4 sheng of water to obtain 2 sheng of decoction. Remove the dregs. Divide into two doses. If the deficiency is resolved, the patient recovers. If excess persists, relapse occurs after three days, then administer again. If still not cured, it is appropriate to remove Shigao (Gypsum Fibrosum) and add Fuling (Poria) and Mangxiao (Natrii Sulfas), i.e., Qu Shigao Jia Fuling Mangxiao Tang (Decoction without Gypsum plus Poria and Mirabilite).
Mufangji (Stephaniae Tetrandrae Radix, 3 liang) Guixin (Cinnamomi Cortex, 2 liang) Renshen (Ginseng Radix) Fuling (Poria) [each 4 liang] Mangxiao (Natrii Sulfas, 3 he)
Take the above five ingredients. Boil the first four in 6 sheng of water to obtain 2 sheng. Remove the dregs, add Mangxiao (Natrii Sulfas), and divide into two warm doses. Recovery occurs with mild diarrhea. Avoid raw green onions. (This formula originally comes from Zhang Zhongjing's Shanghan Lun; Shen Shi's formula is identical, both from Volume 18).