夫痰饮者。由气脉闭塞。津液不通。水饮气停在胸腑。结而成痰。言其人素盛今瘦。水
走肠
动
肿
夫痰饮者。由血脉壅塞。饮水积聚而不消散。故成痰也。或冷或热。或结实。或食不消
或胸腹痞满。或短气好眠。诸候非一。故云痰饮也。
治胸膈痰饮。腹中虚鸣。食不消化。或加吐逆。槟榔散方。
槟榔（一两） 人参（一两去芦头） 半夏（一两汤洗七遍去滑） 杏仁（半两汤浸去
皮尖双仁麸炒微黄） 桔梗（半两去芦头） 陈橘皮（三分汤浸去白瓤焙） 干姜（一分炮
裂锉） 甘草（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。不计时候
温服。
治痰饮。发即烦闷不安。兼吐痰水。宜服枇杷叶散方。
枇杷叶（一两拭去毛炙微黄） 人参（一两去芦头） 半夏（一两汤洗七遍去滑） 陈
橘皮（
一两汤浸去白瓤焙） 白术（一两）
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。
治心腹胀满。痰饮不下食。浓朴散方。
浓朴（一两去粗皮涂生姜汁炙令香熟） 紫苏茎叶（三分） 陈橘皮（三分汤浸去白瓤
焙）
赤茯苓（三分） 前胡（三分去芦头） 半夏（三分汤洗七遍去滑） 槟榔（三分）
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。
治痰饮。冷气上冲。胸膈满闷。吐逆不下饮食。半夏散方。
半夏（二两汤浸七遍去滑） 陈橘皮（三分汤浸去白瓤焙） 草豆蔻（二两去皮）
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。
又方。
甘草（一两炙微赤锉） 桂心（三两） 半夏（一两汤洗七遍去滑）
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。
治痰饮。胃口久寒。吞酸吐水。宜服此方。
半夏（一两汤洗七遍去滑） 附子（一两炮裂去皮脐） 吴茱萸（半两汤浸七遍焙干微
炒）
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。
治心下有水不散。是胸中痰饮。不能下食。宜服此方。
白术（一两） 泽泻（二两） 半夏（一两汤洗七遍去滑）
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。
治痰饮。胸膈不利。宜服此方。
半夏（一两） 天南星（二两） 白矾灰（一两）
上件药。先以半夏天南星二味。用醋浆水煮一日。晒干。捣罗为末。研入白矾灰令匀。
以蒸饼和丸。如梧桐子大。每服不计时候。以生姜汤下二十丸。日三服。
治冷痰饮恶心。宜服此方。
荜茇
上捣细罗为散。每于食前。用清粥饮调下半钱。
Phlegm-fluid retention (Tan Yin) is a condition caused by the blockage of Qi and meridians, leading to impaired flow of body fluids. Water and fluid qi stagnate in the chest and abdomen, condensing into phlegm. It manifests as patients who were previously obese becoming emaciated, because water-dampness flows into the intestines, causing borborygmus and edema.
Phlegm-fluid retention arises from the congestion of blood vessels, where accumulated drinking water fails to dissipate, thus forming phlegm. Its nature may be cold or hot, solidified or related to indigestion. Symptoms include epigastric and abdominal fullness and stuffiness, shortness of breath, and excessive sleepiness. Since various manifestations exist, it is collectively termed Phlegm-Fluid Retention.
For treating phlegm-fluid retention in the chest and diaphragm, accompanied by hollow borborygmus in the abdomen, indigestion, or vomiting and regurgitation, use the Areca Seed Powder (Binglang San):
Areca Seed (Binglang, 1 liang), Ginseng Root (Renshen, 1 liang, remove radicle), Pinellia Tuber (Banxia, 1 liang, wash seven times with decoction to remove slipperiness), Apricot Seed (Xingren, 0.5 liang, soak in water, remove skin and pointed end, stir-fry with bran until slightly yellow), Platycodon Root (Jiegeng, 0.5 liang, remove radicle), Aged Tangerine Peel (Chenpi, 3 qian, soak in water, remove white pith, dry-roast), Dried Ginger (Ganjiang, 1 qian, process until cracked and chop), Licorice Root (Gancao, 0.5 liang, honey-fry until slightly red and chop).
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose, add 1 large cup of water and 0.5 qian of fresh ginger, decoct until 0.5 cup remains, strain. Take warm at any time.
For treating phlegm-fluid retention, characterized by irritability and restlessness upon onset, combined with vomiting of phlegm and clear fluid, use the Loquat Leaf Powder (Pipaye San):
Loquat Leaf (Pipaye, 1 liang, wipe off hairs, roast until slightly yellow), Ginseng Root (Renshen, 1 liang, remove radicle), Pinellia Tuber (Banxia, 1 liang, wash seven times with decoction to remove slipperiness), Aged Tangerine Peel (Chenpi, 1 liang, soak in water, remove white pith, dry-roast), Atractylodes Macrocephala Rhizome (Baizhu, 1 liang).
Crush and sieve the above ingredients to make a powder. Take 3 qian per dose, add 1 medium cup of water and 0.5 qian of fresh ginger, decoct until 0.6 cup remains, strain. Take warm at any time.
For treating abdominal distension and fullness due to phlegm-fluid retention preventing food intake, use the Magnolia Bark Powder (Noupo San):
Magnolia Bark (Noupo, 1 liang, remove rough bark, coat with fresh ginger juice, roast until fragrant and cooked), Perilla Stem and Leaf (Zisu Jingye, 3 qian), Aged Tangerine Peel (Chenpi, 3 qian, soak in water, remove white pith, dry-roast), Red Poria (Chifuling, 3 qian), Peucedanum Root (Qianhu, 3 qian, remove radicle), Pinellia Tuber (Banxia, 3 qian, wash seven times with decoction to remove slipperiness), Areca Seed (Binglang, 3 qian).
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose, add 1 large cup of water and 0.5 qian of fresh ginger, decoct until 0.5 cup remains, strain. Take warm at any time.
For treating phlegm-fluid retention with cold qi rushing upward, causing chest and diaphragmatic fullness and oppression, vomiting, and inability to eat, use the Pinellia Powder (Banxia San):
Pinellia Tuber (Banxia, 2 liang, soak in water seven times to remove slipperiness), Aged Tangerine Peel (Chenpi, 3 qian, soak in water, remove white pith, dry-roast), Cardamom Seed (Caodoukou, 2 liang, remove shell).
Crush and sieve the above ingredients to make a powder. Take 3 qian per dose, add 1 medium cup of water and 0.5 qian of fresh ginger, decoct until 0.6 cup remains, strain. Take warm at any time.
Another prescription:
Licorice Root (Gancao, 1 liang, honey-fry until slightly red and chop), Cinnamon Twig Heart (Guixin, 3 liang), Pinellia Tuber (Banxia, 1 liang, wash seven times with decoction to remove slipperiness).
Crush and sieve the above ingredients to make a powder. Take 3 qian per dose, add 1 medium cup of water and 0.5 qian of fresh ginger, decoct until 0.6 cup remains, strain. Take warm at any time.
For treating phlegm-fluid retention with long-standing cold in the stomach opening, acid regurgitation, and vomiting of water, use this prescription:
Pinellia Tuber (Banxia, 1 liang, wash seven times with decoction to remove slipperiness), Prepared Aconite Root (Fuzi, 1 liang, process until cracked, remove skin and umbilical scar), Evodia Fruit (Wuzhuyu, 0.5 liang, soak in water seven times, dry-roast, stir-fry slightly).
Crush and sieve the above ingredients to make a powder. Take 3 qian per dose, add 1 medium cup of water and 0.5 qian of fresh ginger, decoct until 0.6 cup remains, strain. Take warm at any time.
For treating water accumulation below the heart that does not dissipate, which is phlegm-fluid retention in the chest preventing food intake, use this prescription:
Atractylodes Macrocephala Rhizome (Baizhu, 1 liang), Alisma Rhizome (Zexie, 2 liang), Pinellia Tuber (Banxia, 1 liang, wash seven times with decoction to remove slipperiness).
Crush and sieve the above ingredients to make a powder. Take 3 qian per dose, add 1 medium cup of water and 0.5 qian of fresh ginger, decoct until 0.6 cup remains, strain. Take warm at any time.
For treating phlegm-fluid retention causing discomfort in the chest and diaphragm, use this prescription:
Pinellia Tuber (Banxia, 1 liang), Arisaema Tuber (Tiannanxing, 2 liang), Alum Ash (Baifanhui, 1 liang).
First, boil Pinellia Tuber and Arisaema Tuber in vinegar-water for one day, then sun-dry. Crush and sieve into fine powder, mix evenly with alum ash. Combine with steamed dough to form pills the size of paulownia seeds. Take 20 pills at any time, washed down with ginger decoction, three times daily.
For treating nausea caused by cold-phlegm-fluid retention, use this prescription:
Long Pepper Fruit (Bibo).
Grind into a fine powder. Before meals, take 0.5 qian mixed with thin rice gruel.