夫痰热者。谓饮水浆结积所生也。言阴阳痞隔。上焦生热。热气与痰水相搏。聚而不散
故令身体虚热。逆害饮食。头面翕然而热。故云痰热也。
治上焦壅滞。痰热心烦。不欲食。犀角散方。
犀角屑（三分） 前胡（一两去芦头） 麦门冬（一两去心） 川升麻（三分） 黄
（三分锉）
半夏（三分汤洗七遍去滑） 甘草（半两生） 桑根白皮（三分锉） 枳壳（三分麸炒微黄
去瓤）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。食后良久
温服。
治痰热。胸膈壅滞。口干烦渴。不思饮食。麦门冬散方。
麦门冬（一两去心） 枇杷叶（三分拭去毛炙微黄） 石膏（一两） 川升麻（三分）
子芩（三
分） 甘草（一分炙微赤锉） 赤茯苓（三分） 枳壳（三分麸炒微黄去瓤）
上件药。捣筛为散。每服五钱。以水一大盏。入竹叶二七片。生姜半分。煎至五分。去
滓。食后良久温服。
治心肺壅热。胸膈烦闷。痰逆。不能下食。茅根散方。
茅根（二两锉） 子芩（一两） 枇杷叶（三分拭去毛炙微黄） 赤茯苓（一两） 陈
橘皮（半
两汤浸去白瓤焙） 甘草（半两炙微赤锉） 麦门冬（一两去心） 鸡苏（一两） 人参（半
两去芦
头）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。竹叶二七（十）片。煎至五
分
去滓。食后良久温服。
治心胸痰热。头目旋痛。饮食不下。旋复花散方。
旋复花（半两） 石膏（二两细研入） 枳壳（一两麸炒微黄去瓤） 赤茯苓（一两） 人
参（
一两去芦头）
草（半
两炙微赤锉）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。食后良久
温服。
治上焦痰热。头旋目运。心神烦躁。不下饮食。宜服此方。
犀角屑（三分） 苦参（一两捣） 旋复花（半两） 枳壳（三分麸炒微黄去瓤） 麦
门冬（一
两去心） 甘草（一分炙微赤锉） 前胡（一两去芦头） 枇杷叶（半两拭去毛炙微黄）
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。每于食后良久温服。
治痰热。心膈烦满。头痛目旋晕。不纳饮食。枳壳丸方。
枳壳（三分麸炒微黄去瓤） 石膏（一两研水飞） 牛蒡子（半两微炒） 前胡（一两
去芦头）
防风（半
大黄
（三分锉碎
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食后良久。煎竹叶汤下三
十丸。
Phlegm-heat refers to a pathological condition arising from the accumulation and coagulation of ingested fluids. It is characterized by the obstruction of Yin and Yang Qi, with heat generated in the Upper Jiao (Upper Burner). The heat pathogen contends with phlegm and fluid retention, aggregating without dispersing. Consequently, it causes a sensation of deficiency-heat throughout the body, impedes dietary intake, and produces a flushing heat in the head and face; hence, it is termed "Phlegm-Heat."
**Xijiao San (Rhino Horn Powder) Formula:** Indicated for stagnation in the Upper Jiao, phlegm-heat causing restlessness, and loss of appetite.
Ingredients: Xijiao (Rhinoceros Horn) [Note: Modern substitutes like Water Buffalo Horn are used] (3 fen), Qianhu (Peucedani Radix) (1 liang, remove radicle), Maimendong (Ophiopogonis Tuber) (1 liang, remove heart), Chuan Shengma (Cimicifugae Rhizoma) (3 fen), Huangqin (Scutellariae Radix) (3 fen, sliced), Banxia (Pinelliae Rhizoma) (3 fen, washed seven times in decoction to remove slipperiness), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, raw), Sangbaipipi (Mori Cortex) (3 fen, sliced), Zhike (Aurantii Fructus Immaturus) (3 fen, bran-fried until slightly yellow, placenta removed).
Preparation and Administration: Pound and sieve the above herbs into a powder. Take 5 qian per dose. Add 1 da zhen (approx. 200ml) of water and 0.5 fen of fresh ginger. Decoct until 0.5 zhen remains. Strain and take warm after a considerable time post-meal.
**Maimendong San (Ophiopogon Powder) Formula:** Indicated for phlegm-heat causing stagnation in the chest and diaphragm, dry mouth with irritability and thirst, and lack of desire for food.
Ingredients: Maimendong (Ophiopogonis Tuber) (1 liang, remove heart), Pipaye (Eriobotryae Folium) (3 fen, wipe off hairs, stir-bake until slightly yellow), Shigao (Gypsum Fibrosum) (1 liang), Chuan Shengma (Cimicifugae Rhizoma) (3 fen), Zixin (Scutellariae Radix) (3 fen), Gancao (Glycyrrhizae Radix et Rhizoma) (1 fen, stir-bake until slightly red, slice), Chi Fuling (Poria cum Risus) (3 fen), Zhike (Aurantii Fructus Immaturus) (3 fen, bran-fried until slightly yellow, placenta removed).
Preparation and Administration: Pound and sieve the above herbs into a powder. Take 5 qian per dose. Add 1 da zhen of water, 14 leaves of Zhu Ye (Bambusae Folium), and 0.5 fen of fresh ginger. Decoct until 0.5 zhen remains. Strain and take warm after a considerable time post-meal.
**Maogen San (Imperatae Rhizoma Powder) Formula:** Indicated for excess heat in the Heart and Lungs, oppression and stuffiness in the chest and diaphragm, rebellious phlegm Qi, and inability to ingest food.
Ingredients: Maogen (Imperatae Rhizoma) (2 liang, sliced), Huangqin (Scutellariae Radix) (1 liang), Pipaye (Eriobotryae Folium) (3 fen, wipe off hairs, stir-bake until slightly yellow), Chi Fuling (Poria cum Risus) (1 liang), Chenpi (Citri Reticulatae Pericarpium) (0.5 liang, soak in water, remove white pith, bake dry), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, stir-bake until slightly red, slice), Maimendong (Ophiopogonis Tuber) (1 liang, remove heart), Jisu (Elsholtziae Herba) (1 liang), Renshen (Ginseng Radix) (0.5 liang, remove radicle).
Preparation and Administration: Pound and sieve the above herbs into a powder. Take 5 qian per dose. Add 1 da zhen of water, 0.5 fen of fresh ginger, and 14 leaves of Zhu Ye (Bambusae Folium). Decoct until 0.5 zhen remains. Strain and take warm after a considerable time post-meal.
**Xuanfuhua San (Inula Flower Powder) Formula:** Indicated for phlegm-heat in the Heart and Chest, vertigo and painful dizziness, and difficulty swallowing food.
Ingredients: Xuanfuhua (Inulae Flos) (0.5 liang), Shigao (Gypsum Fibrosum) (2 liang, finely ground and added), Zhike (Aurantii Fructus Immaturus) (1 liang, bran-fried until slightly yellow, placenta removed), Chi Fuling (Poria cum Risus) (1 liang), Renshen (Ginseng Radix) (1 liang, remove radicle), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, stir-bake until slightly red, slice).
Preparation and Administration: Pound and sieve the above herbs into a powder. Take 5 qian per dose. Add 1 da zhen of water and 0.5 fen of fresh ginger. Decoct until 0.5 zhen remains. Strain and take warm after a considerable time post-meal.
**Another Formula for Upper Jiao Phlegm-Heat:** Indicated for phlegm-heat in the Upper Jiao, spinning vertigo and visual disturbance, mental restlessness, and inability to eat. This formula is suitable.
Ingredients: Xijiao (Rhinoceros Horn) [Note: Modern substitutes like Water Buffalo Horn are used] (3 fen), Kushen (Sophorae Flavescentis Radix) (1 liang, pounded), Xuanfuhua (Inulae Flos) (0.5 liang), Zhike (Aurantii Fructus Immaturus) (3 fen, bran-fried until slightly yellow, placenta removed), Maimendong (Ophiopogonis Tuber) (1 liang, remove heart), Gancao (Glycyrrhizae Radix et Rhizoma) (1 fen, stir-bake until slightly red, slice), Qianhu (Peucedani Radix) (1 liang, remove radicle), Pipaye (Eriobotryae Folium) (0.5 liang, wipe off hairs, stir-bake until slightly yellow).
Preparation and Administration: Pound and sieve the above herbs into a powder. Take 3 qian per dose. Add 1 zhong zhen (approx. 150ml) of water. Decoct until 0.6 zhen remains. Strain and take warm after a considerable time post-meal.
**Zhike Wan (Aurantium Pill) Formula:** Indicated for phlegm-heat, fullness and irritability in the Heart and Diaphragm, headache with spinning vertigo, and inability to retain food.
Ingredients: Zhike (Aurantii Fructus Immaturus) (3 fen, bran-fried until slightly yellow, placenta removed), Shigao (Gypsum Fibrosum) (1 liang, finely ground using water flotation method), Niubangzi (Arctii Fructus) (0.5 liang, lightly stir-fried), Qianhu (Peucedani Radix) (1 liang, remove radicle), Fangfeng (Saposhnikoviae Radix) (0.5 liang), Dahuang (Rhei Radix et Rhizoma) (3 fen, sliced into fragments).
Preparation and Administration: Pounded into fine powder. Mix with refined honey and pound/knead three or two hundred times. Form pills the size of Sophora seeds (Wutongzi). Take 30 pills after a considerable time post-meal, washed down with a decoction of Zhu Ye (Bambusae Folium).