病源此由痰水积聚，在于胸腑，遇冷热之气相搏，结实不消，故令人心腹痞满气息不安
头眩目暗，常欲呕逆，故言痰结实。（出第二十卷中）
集验疗宿食结实，及痰 癖实，瓜蒂散方。
瓜蒂（一两） 赤小豆（四两）
上二味捣筛，温汤三合，以散一钱匕，投汤中，和服之，须臾当吐，不吐更服半钱，汤
三合，令吐，如吐不止，饮冷水。（备急救急同出第四卷中）
千金松萝汤，主胸中痰积热皆除之方。
松萝（二两） 乌梅 栀子（各二七枚） 常山（三两） 甘草（一两炙）
上五味切，以酒三升渍一宿，平旦合水三升，煮取二升半，去滓，顿服之，亦可再服，
得快吐止。忌海藻菘菜生葱菜。
又撩膈散，疗心上结痰实，寒冷心闷方。
瓜丁（二十八枚） 赤小豆（二十枚） 人参 甘草（炙各一分）
上四味捣为散，酒服方寸匕，日二，亦疗诸黄。忌海藻菘菜。（并出第十八卷中）
肘后疗胸中多痰，头痛不欲食，及饮酒则瘀阻痰方。
矾石（一两）
上一味，以水二升，煮取一升，纳蜜半合，顿服之，须臾未吐，饮少热汤。
又方
杜蘅（三两） 瓜蒂（三七枚） 松萝（三两）
上三味切，以水酒一升二合渍之再宿，去滓，温分再服，一服不吐，晚更一服。（千金
同并出第三卷中）
千金治膈汤，主胸中痰 方。
常山（三两） 甘草（一两） 松萝（一两） 瓜蒂（二七枚）
上四味，酒水各二升半，煮取一升半，初服七合取吐，吐不尽，余更分二服，得快吐瘥
后，须服半夏汤，在前冷痰部中。忌海藻菘菜生葱生菜。（备急肘后同出第十八卷中）
Source: This condition arises from the accumulation of phlegm-fluids (Tan-Shui) in the chest and epigastrium. When cold or hot pathogenic factors contend with each other, they form solid accumulations that fail to dissipate. Consequently, this causes chest and abdominal fullness and distension, restless breathing, dizziness, blurred vision, and a constant desire to vomit; hence it is termed "Phlegm Solidification" (Tan-Jie-Shi). (From Volume 20)
Jiyan Formula: For treating retained food solidification and phlegm-pi (Tan-Pi) excess syndrome, Geng-Ti San (Melon Tip Powder).
Geng-Di (Cucumeris Fructus Semen, 1 liang) Chi-Xiao-Dou (Vigna umbellata Seed, 4 liang)
Pulverize the above two ingredients. Mix one qian-bi (approx. 3-5g) of the powder into three he (approx. 60ml) of warm water, stir, and ingest. Vomiting should occur shortly thereafter. If vomiting does not occur, administer half a qian-bi with three he of warm water to induce vomiting. If vomiting persists, drink cold water. (Emergency rescue methods are identical; From Volume 4)
Qianjin Formula: Song-Luo Tang (Longan Vine Decoction), for clearing heat and phlegm accumulation in the chest.
Song-Luo (Usnea Diffusa, 2 liang) Wu-Mei (Mume Fructus, 14 pieces) Zhi-Zi (Gardeniae Fructus, 14 pieces) Chang-Shan (Dichroae Radix, 3 liang) Gan-Cao (Glycyrrhizae Radix et Rhizoma, roasted, 1 liang)
Cut the above five ingredients. Soak in three sheng (approx. 600ml) of wine overnight. At dawn, add three sheng of water, decoct until two and a half sheng remain. Strain and take in one dose. It may be taken again. Stop when profuse vomiting occurs. Avoid consuming Hai-Zao (Sargassum), Song-Cai (Brassica vegetables), raw Cong (Allium fistulosum), and raw vegetables.
Another Formula: Liao-Ge San (Diaphragm-Lifting Powder), for treating solidified phlegm in the heart region causing chest oppression due to cold.
Gua-Ding (likely referring to Geng-Di/Cucumis melo seed, 28 pieces) Chi-Xiao-Dou (Vigna umbellata Seed, 20 pieces) Ren-Shen (Panax ginseng Root) Gan-Cao (Glycyrrhizae Radix et Rhizoma, roasted, 1 fen each)
Pulverize the above four ingredients. Take one fang-cun-bi (approx. 5-10g) with wine, twice daily. This formula also treats various types of jaundice. Avoid Hai-Zao and Song-Cai. (Both from Volume 18)
Zhouhou Formula: For excessive phlegm in the chest, headache, loss of appetite, and phlegm obstruction caused by alcohol consumption.
Fan-Shi (Alumen, 1 liang)
Decoct the above single ingredient in two sheng (approx. 400ml) of water until one sheng remains. Add half he (approx. 10ml) of honey and take in one dose. If vomiting does not occur shortly, drink a small amount of hot water.
Another Formula
Du-Heng (Asarum heterotropoides Root) (3 liang) Gua-Di (Cucumeris Fructus Semen, 21 pieces) Song-Luo (Usnea Diffusa, 3 liang)
Cut the above three ingredients. Soak in one and two-tenths sheng (approx. 240ml) of a mixture of water and wine for two nights. Strain and take warm, divided into two doses. If the first dose does not induce vomiting, take another dose in the evening. (Identical to Qianjin; From Volume 3)
Qianjin Formula: Zhi-Ge Tang (Diaphragm-Treating Decoction), for treating phlegm in the chest.
Chang-Shan (Dichroae Radix, 3 liang) Gan-Cao (Glycyrrhizae Radix et Rhizoma, 1 liang) Song-Luo (Usnea Diffusa, 1 liang) Gua-Di (Cucumeris Fructus Semen, 14 pieces)
Take the above four ingredients. Use two and a half sheng of water and two and a half sheng of wine. Decoct until one and a half sheng remain. Initially take seven he (approx. 140ml) to induce vomiting. If vomiting is incomplete, divide the remainder into two doses. Treatment stops when profuse vomiting occurs and symptoms resolve. Afterwards, Ban-Xia Tang (Pinellia Decoction) must be taken, which is located in the preceding "Cold Phlegm" section. Avoid Hai-Zao, Song-Cai, raw Cong, and raw vegetables. (Identical to Beiji and Zhouhou; From Volume 18)