夫痰癖者。由饮水未散。在于胸膈之间。因遇寒热气相搏。沉滞而为痰也。又停聚流移
于胁肋之间。有时而痛。则谓之痰癖也。
治痰癖。心腹气滞。攻于胁肋。疼痛。木香散方。
木香（半两） 鳖甲（一两涂醋炙令微黄去裙 ） 前胡（一两去芦头） 赤芍药（一
两） 枳
壳〔二（三）分麸炒微黄去瓤） 半夏（三分汤洗七遍去滑） 甘草（三分炙微赤锉） 白
术（三分）
槟
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候温服。
治痰癖。胸中脐下强满呕逆。不思饮食。赤茯苓散方。
赤茯苓（一两） 白术（一两） 陈橘皮（一两汤浸去白瓤焙） 当归（一两锉微炒） 半
夏（一
两汤洗七遍去滑） 桂心（一两） 附子（一两炮裂去皮脐）
上件药。捣粗罗为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时
候温服。
治痰癖气不散。不思饮食。宜服此方。
生姜〔二（一）两〕 附子（一两炮裂去皮脐）
上件药。细锉。分为三服。每服。以水一大盏。煎至五分。去滓。
又方。
吴茱萸（一分汤浸七遍焙干微炒） 硝石（二分） 生姜（半两切）
上件药。以酒二大盏。煎至一盏。去滓。分为三服。一日服尽。
治痰癖。饮结两胁。满胀羸瘦。不能饮食。食不消化。喜唾干呕。大小便或涩或
利。或
丸方。
旋复花（半两） 川大黄（三分锉碎微炒） 赤茯苓〔二（一）分〕 人参（一分去芦
头） 桂
心
（一分）
川椒
（一分去目及闭口者微炒去汗） 熟干地黄（半两） 防葵（一分） 干姜（一分炮裂锉） 枳
壳
（一分麸炒微黄
上件药。捣罗为末。研入杏仁葶苈令匀。炼蜜和捣三二百杵。丸如梧桐子大。每服。以
粥饮下二十丸。日三四服。
又方。
川大黄（二两锉碎微炒） 甜葶苈（一两隔纸炒令紫色） 川芒硝（一两）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服。以粥饮下二十丸。日三服。
又方。
野狼毒（一两锉碎醋拌炒干） 附子（半两炮裂去皮脐） 旋复花（一两）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服。以粥饮下五丸。日三服。
又方。
巴豆（十枚去皮心研纸裹压去油） 杏仁（二十枚汤浸去皮尖双仁麸炒微黄） 桔梗（三
分
去芦头） 皂荚（三分去皮涂酥炙令焦黄去子）
上件药。捣罗为末。研入前二味令匀。炼蜜和丸。如小豆大。每服。以粥饮下三丸。日
二服。以利为度。
又方。
贝母（一两煨微黄） 桔梗（一两去芦头） 矾石（半两黄泥裹烧半日细研） 巴豆（一
分去
皮心研纸裹压去油）
上件药。捣罗为末。研入后一（二）味令匀。炼蜜和丸。如梧桐子大。每服。以粥饮下
二丸。日二服。以利为度。
又方。\x
赤茯苓〔三分（两）〕 吴茱萸（一两汤浸七遍焙干微炒）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服。以粥饮下二十丸。日三服。
Tanpi (Phlegm Stagnation) is a condition caused by drinking water that fails to dissipate, remaining between the chest and diaphragm. When cold and heat qi interact and contend with each other, stagnation occurs, leading to the formation of phlegm. Furthermore, this fluid accumulation may shift and settle in the hypochondriac region, causing pain at times; this is termed Tanpi (Phlegm Stagnation).
To treat Tanpi (Phlegm Stagnation), accompanied by Qi stagnation in the heart and abdomen, attacking the hypochondriac region and causing pain, use Muxiang San (Costus Powder).
Muxiang (Bark of Aucklandia Root, Banliang) Biejia (Carapax et Plastrum Testudinis, Liang, coated with vinegar and roasted until slightly yellow, remove skirt) Qianhu (Radix Peucedani, Liang, remove radicle) Chishao Yao (Radix Paevariae Rubra, Liang) Zhike (Pericarpium Citri Reticulatae, 2-3 Fen, stir-fried with bran until slightly yellow, remove pith) Banxia (Rhizoma Pinelliae, 3 Fen, washed seven times in hot water to remove slipperiness) Gancao (Radix Glycyrrhizae, 3 Fen, roasted until slightly red and cut) Baizhu (Rhizoma Atractylodis Macrocephalae, 3 Fen)
The above medicines are crushed, sifted, and made into a powder. Each dose consists of 4 qian. Add one zhong of water and half a fen of fresh ginger, decoct until reduced to six parts, strain, and take warm at any time.
To treat Tanpi (Phlegm Stagnation) with fullness and hardness in the chest and below the umbilicus, vomiting and regurgitation, and loss of appetite, use Chifuling San (Red Poria Powder).
Chifuling (Poria with Red Host, Liang) Baizhu (Rhizoma Atractylodis Macrocephalae, Liang) Chenjupi (Pericarpium Citri Reticulatae, Liang, soaked in water, white pith removed, dried) Danggui (Radix Angelicae Sinensis, Liang, cut and slightly stir-fried) Banxia (Rhizoma Pinelliae, Liang, washed seven times in hot water to remove slipperiness) Guixin (Cortex Cinnamomi, Liang) Fuzi (Radix Aconiti Lateralis Preparata, Liang, processed until cracked, skin and navel removed)
The above medicines are coarsely ground and sifted to make a powder. Each dose consists of 5 qian. Add one large bowl of water and half a fen of fresh ginger, decoct until reduced to five parts, strain, and take warm at any time.
For Tanpi (Phlegm Stagnation) where Qi does not disperse, resulting in loss of appetite, this formula is suitable.
Shengjiang (Rhizoma Zingiberis Recens, 2 or 1 Liang) Fuzi (Radix Aconiti Lateralis Preparata, Liang, processed until cracked, skin and navel removed)
The above medicines are finely cut and divided into three doses. For each dose, add one large bowl of water, decoct until reduced to five parts, and strain.
Another prescription:
Wuzhuyu (Fructus Evodiae, 1 Fen, soaked in water seven times, dried, slightly stir-fried) Xiaoshi (Natrii Nitras, 2 Fen) Shengjiang (Rhizoma Zingiberis Recens, Banliang, sliced)
The above medicines are decocted in two large bowls of wine until reduced to one bowl, strained, and divided into three doses, consumed within one day.
To treat Tanpi (Phlegm Stagnation) with fluid accumulation binding both hypochondria, distension, emaciation, inability to eat, indigestion, frequent spitting or dry heaving, and irregular bowel movements (either constipation or diarrhea), use the Pill Formula.
Xuanjinhua (Flos Inulae, Banliang) Chuandahuang (Radix et Rhizoma Rhei, 3 Fen, cut and slightly stir-fried) Chifuling (Poria with Red Host, 1-2 Fen) Renshen (Radix Ginseng, 1 Fen, remove radicle) Guixin (Cortex Cinnamomi, 1 Fen) Chuanjiao (Semen Zanthoxyli, 1 Fen, remove eyes and closed-mouth ones, slightly stir-fried to remove moisture) Shugan Dihuang (Radix Rehmanniae Preparata, Banliang) Fangkui (Radix Adenophorae, 1 Fen) Ganjiang (Rhizoma Zingiberis Secatus, 1 Fen, processed and cut) Zhike (Pericarpium Citri Reticulatae, 1 Fen, stir-fried with bran until slightly yellow)
The above medicines are ground into fine powder. Add Xingren (Semen Armeniacae Amarum) and Tingli (Semen Lepidii seu Descurainiae) and grind evenly. Mix with refined honey and pound for 300-200 strokes to form pills the size of paulownia seeds. Take 20 pills per dose with rice broth, 3-4 times daily.
Another prescription:
Chuandahuang (Radix et Rhizoma Rhei, 2 Liang, cut and slightly stir-fried) Tiantingli (Semen Lepidii seu Descurainiae, 1 Liang, stir-fried over paper until purple) Chuan Mangxiao (Natrii Sulfas, 1 Liang)
The above medicines are ground into fine powder. Mix with refined honey to form pills the size of paulownia seeds. Take 20 pills per dose with rice broth, 3 times daily.
Another prescription:
Yelangdu (Radix Euphorbiae Hedysfoliae, 1 Liang, cut, mixed with vinegar, and fried dry) Fuzi (Radix Aconiti Lateralis Preparata, Banliang, processed until cracked, skin and navel removed) Xuanjinhua (Flos Inulae, 1 Liang)
The above medicines are ground into fine powder. Mix with refined honey to form pills the size of paulownia seeds. Take 5 pills per dose with rice broth, 3 times daily.
Another prescription:
Badou (Semen Crotonis, 10 seeds, remove skin and heart, grind, wrap in paper, press to remove oil) Xingren (Semen Armeniacae Amarum, 20 seeds, soak in water, remove skin and tip, double-kernel, stir-fried with bran until slightly yellow) Jiegeng (Radix Platycodonis, 3 Fen, remove radicle) Zhaojia (Fructus Gleditsiae, 3 Fen, remove skin, coat with lard, roast until scorched yellow, remove seeds)
The above medicines are ground into fine powder. Incorporate the first two ingredients and grind evenly. Mix with refined honey to form pills the size of mung beans. Take 3 pills per dose with rice broth, twice daily, stopping when loose stools occur.
Another prescription:
Beimu (Bulbus Fritillariae Cirrhosae, 1 Liang, roasted until slightly yellow) Jiegeng (Radix Platycodonis, 1 Liang, remove radicle) Fanshi (Alumen, Banliang, wrapped in yellow clay and fired for half a day, finely ground) Badou (Semen Crotonis, 1 Fen, remove skin and heart, grind, wrap in paper, press to remove oil)
The above medicines are ground into fine powder. Incorporate the latter one or two ingredients and grind evenly. Mix with refined honey to form pills the size of paulownia seeds. Take 2 pills per dose with rice broth, twice daily, stopping when loose stools occur.
Another prescription:
Chifuling (Poria with Red Host, 3 Fen or 1 Liang) Wuzhuyu (Fructus Evodiae, 1 Liang, soaked in water seven times, dried, slightly stir-fried)
The above medicines are ground into fine powder. Mix with refined honey to form pills the size of paulownia seeds. Take 20 pills per dose with rice broth, 3 times daily.