夫痰结实者。由痰水积聚于胸腑。遇冷热之气相搏。结实不消。故令心腹痞满。气息不
利。头眩目暗。常欲呕逆。故言痰结实也。
治胸中宿痰结实。食欲减少。或发寒热。卧不欲起。前胡散方。
前胡（一两去芦头） 旋复花（半两） 桂心（半两） 人参（一两去芦头） 川大黄
（一两锉
碎微炒）
两汤浸去
皮尖双
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。不计时
候温服。
治痰结实。心胸壅滞。常欲呕逆。不能下食。宜服此方。
半夏（一两汤洗七遍去滑） 郁李仁（一两汤浸去皮微炒） 旋复花（半两） 前胡（一
两去
芦头） 桔梗（半两去芦头） 枳壳（半两麸炒微黄去瓤）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候温服。
治痰结实。寒热发歇。心胸满闷。宜服此吐痰方。
瓜蒂（三十枚） 赤小豆（二十枚炒熟） 人参芦头（一分） 甘草（一分生锉）
上件药。捣细罗为散。每服。不计时候。以温酒调下一钱。日三服。以吐为度。
治痰结实不消。见食欲呕。半夏丸方。
半夏（二两汤洗七遍去滑） 干姜（一两炮裂锉） 白矾（一两烧令汁尽） 草豆蔻（一
两去
皮）
上件药。捣罗为末。以生姜汁煮面糊和丸。如梧桐子大。每服。不计时候。以
姜枣汤下十丸。日三服。
治痰实。胸中结聚不散。宜服此方。
半夏（五两） 皂荚（五挺打破）
上件药。同于大鼎子内。用水煮一日。去皂荚。只取半夏。晒干。捣细罗为散。每服
一钱。以水一中盏。入生姜半分。葱白七寸。煎至六分。去滓。不计时候温服。
又方。
皂荚（三十挺不 者去黑皮捶碎）
上以水五升。浸一宿。揉取汁。去滓。于锅内。以慢火。熬令可丸。即丸如梧桐子大。
每于食后。以盐浆水下十丸。
又方。
密陀僧（一两）
上件药。用醋一中盏。水一中盏。煎令醋水俱尽。候干。细研为散。每服一钱。以水一
小盏。酒一小盏。煎至一盏。不计时候。和滓温服。如人行一二里。当吐出痰涎为效
Tum Jie Shi (Phlegm Solidification Syndrome) arises from the accumulation of phlegm-fluids and water-dampness in the chest and viscera. When these accumulate, they contend with cold or heat qi, leading to solidification that is difficult to dissipate. Consequently, this causes epigastric and abdominal fullness and obstruction, impaired breathing, dizziness, blurred vision, and a constant desire to vomit or regurgitate; hence it is termed Tum Jie Shi.
For treating old phlegm solidified in the chest, accompanied by reduced appetite, alternating chills and fever, and reluctance to rise from bed, use Qianhu San (Peucedanum Powder).
Qian Hu (Radix Peucedani, 1 liang, remove rhizome) Xuan Fu Hua (Flos Inulae, 0.5 liang) Gui Xin (Cortex Cinnamomi, 0.5 liang) Ren Shen (Radix Ginseng, 1 liang, remove rhizome) Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, cut into pieces, lightly stir-fried)
Crush 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 the volume reduces to 0.5 zhen. Strain and take warm at any time.
For treating phlegm-solidification causing stagnation in the chest and heart, constant nausea/regurgitation, and inability to eat, this formula is suitable.
Ban Xia (Rhizoma Pinelliae, 1 liang, wash seven times with hot water to remove acridity) Yu Li Ren (Semen Pruni, 1 liang, soak in hot water, remove skin, lightly stir-fried) Xuan Fu Hua (Flos Inulae, 0.5 liang) Qian Hu (Radix Peucedani, 1 liang, remove rhizome) Jie Geng (Radix Platycodi, 0.5 liang, remove rhizome) Zhi Ke (Fructus Aurantii, 0.5 liang, stir-fried with bran until slightly yellow, remove pith)
Crush and sieve the above herbs into a powder. Take 3 qian per dose. Add 1 zhong zhen (approx. 150ml) of water and 0.5 fen of fresh ginger. Decoct until the volume reduces to 0.6 zhen. Strain and take warm at any time.
For treating phlegm-solidification with intermittent chills and fever, and chest/heart fullness and oppression, use this emetic formula to expel phlegm.
Gua Di (Fructus Momordicae, 30 pieces) Chi Xiao Dou (Semen Phaseoli, 20 pieces, stir-fried until cooked) Ren Shen Lu Tou (Rhizome of Radix Ginseng, 1 fen) Gan Cao (Radix Glycyrrhizae, 1 fen, raw and cut)
Grind and sieve the above herbs finely into a powder. Take 1 qian per dose at any time, mixed with warm wine. Take three times daily. Stop when vomiting occurs.
For treating phlegm-excess that fails to dissipate, with aversion to food and nausea, use Ban Xia Wan (Pinellia Pill).
Ban Xia (Rhizoma Pinelliae, 2 liang, wash seven times with hot water to remove acridity) Gan Jiang (Rhizoma Zingiberis, 1 liang, processed until cracked and cut) Bai Fan (Alumen, 1 liang, calcined until liquid evaporates) Cao Dou Kou (Semen Cardamomi Tsaoko, 1 liang, remove skin)
Grind the above herbs into powder. Use fresh ginger juice and wheat flour paste to bind them into pills, sized like Sophora japonica seeds. Take 10 pills per dose at any time, washed down with Ginger-Jujube Decoction. Take three times daily.
For treating phlegm-excess with condensation and accumulation in the chest that does not disperse, use this formula.
Ban Xia (Rhizoma Pinelliae, 5 liang) Zao Jiao (Fructus Gleditsiae Sinensis, 5 pods, broken)
Place the above herbs together in a large cauldron. Boil in water for one day. Remove the Zao Jiao, retaining only the Ban Xia. Dry thoroughly, grind finely through a sieve into a powder. Take 1 qian per dose. Add 1 zhong zhen of water, 0.5 fen of fresh ginger, and 7 cun of scallion white. Decoct until the volume reduces to 0.6 zhen. Strain and take warm at any time.
Another prescription.
Zao Jiao (Fructus Gleditsiae Sinensis, 30 pods, non-bitten, remove black skin, crush)
Soak the above in 5 sheng of water overnight. Rub to extract the juice, then strain. Place the juice in a pot and simmer slowly over low heat until it can be formed into pills. Shape into pills the size of Sophora japonica seeds. After meals, take 10 pills washed down with saline solution.
Another prescription.
Mi Tuo Seng (Lithargyrum, 1 liang)
Take 1 zhong zhen of vinegar and 1 zhong zhen of water. Decoct until both vinegar and water have completely evaporated. Allow to dry, then grind finely into a powder. Take 1 qian per dose. Add 1 xiao zhen of water and 1 xiao zhen of wine. Decoct until the volume reaches 1 zhong zhen. Take warm with the dregs at any time. If the patient walks for one or two li, expectoration of phlegm-saliva indicates efficacy.