脉双弦者。寒饮也。其脉偏弦者。饮也。肺饮不弦。但喘短气。经云。脉浮而细滑。
伤饮。脉弦数。有寒饮。春夏难治。脉沉而弦者。悬饮内痛。其人短气。四肢历节走痛
脉沉者有留饮。左右手关前脉浮弦大而实。膈上有稠痰也。宜吐之。病患百药不效。关
上脉伏而大者。痰也。眼胞及眼下。如炭烟熏黑者。亦痰也。久得涩脉。痰饮胶固。脉道
阻涩也。卒难得开。必费调理。
痰者。病名也。生于脾胃。然脾胃气盛。饮食易克。何痰之有。或食后。因之气恼劳碌
惊恐风邪。致饮食之精华。不能传化。而成痰饮矣。有流于经络皮肤者。有
郁于脏腑支节者。游溢遍身。无所不至。痰气既盛。客必胜主。或夺于脾之大络。壅气则倏
然仆地。此痰厥也。升于肺者。则喘急咳嗽。迷于心者。则怔忡恍惚。走于肝则眩晕不仁。
胁肋胀满。关于肾则咯而多痰。唾流于中脘。则呕泻而作寒热。注于胸。则咽膈不利。眉棱
骨痛。入于肠。漉漉有声。散于胸背。则揪触一点疼痛。或塞于手足。或背痹一边。散则有
声。聚则不利。一身上下。变化百病。治当各从所因。是以虚宜补之。火宜降之。气宜顺之
郁宜开之。食宜导之。风寒湿热。宜发散清燥以除之。故曰治病必求其本。一论有湿痰。
热痰。风痰。老痰。寒痰。食积痰。宜后方加减。
二陈汤
陈皮（去白一钱） 半夏（汤泡二钱） 白茯苓（去皮一钱） 甘草（五分）
上锉一剂。生姜三片。水煎温服。
一湿痰盛者。身软而重。加苍白二术。
一热痰。加黄连、黄芩。痰因火盛逆上。降火为先加白术、黄芩、软石膏、黄连。
一眩晕嘈杂
者。火动其痰也。亦加山栀、黄连、黄芩。
一风痰。加天麻、枳壳、南星、白附子、僵蚕、牙皂之类。气虚者。加竹沥。气实者。
加荆沥。俱用姜汁。
一老痰。用海石、半夏、栝蒌、香附、连翘之类。五倍子佐此药。大治顽痰。宜丸药。
喉
中有物。咯不出。咽不下。此痰结也。用药化之。加咸药软坚之类。宜栝蒌、杏仁、海石、
桔梗、连翘、香附。少佐朴硝、姜汁。炼蜜和丸。噙服之。脉涩者。卒难得开。必费调理。
气实痰热结者。吐难得出。或成块吐咯不出。气滞者。难治。
一寒痰痞塞胸中。倍加半夏。甚者加麻黄、细辛、乌头之类。痰厥头痛。加半夏。
一食积痰。加神曲、麦芽、山楂、炒黄连、枳实以消之。甚者必用攻之。宜丸药。兼血
虚者。用补血药送下。中焦有痰者。食积也。胃气亦赖所养。卒不使虚。若攻之尽则虚矣。
噫气吞酸。此系食积而郁。有热。火气动上。加黄芩、南星。
一血虚有痰。加天门冬、知母、栝蒌仁、香附米、竹沥、姜汁。带血者。更加黄芩、白
芍、
桑皮。血滞不行。中焦有饮者。取竹沥加生姜汁、韭汁。饮三五盏。必胸中烦躁不宁后愈。
一气虚有痰。加人参、白术。脾虚者。宜补中气以运痰。降下加白术、白芍、神曲、麦
芽。兼用升麻提起。内伤夹痰。加人参、黄 、白术之类。姜汁传送。或加竹沥尤妙。
一痰在膈上。必用吐法。泻之不去。胶固稠浊者。必用吐。脉浮者。宜吐。痰在经络间
非
吐不可。吐中就有发散之义。凡用吐药。宜升提其气。便吐。加防风、川芎、桔梗、茶芽、
生姜、齑汁之类。或瓜蒂散。凡吐。用布紧勒肚。于不通风处行之。
一痰在肠胃间。可下而愈。枳实、甘遂、巴豆、大黄、芒硝之类。凡痰用利药过多。脾
气易虚。则痰易生而多。
一痰在胁下。非白芥子不能达。
一痰在皮里膜外。非姜汁、竹沥不可及。在四肢非竹沥不开。在经络亦用竹沥。必佐以
生姜
、韭汁。膈间有痰。或颠狂。或健忘。或风痰。俱用竹沥。与荆沥同功。气虚少食。用竹沥
气实能食。用荆沥。
一凡人身上中下有块。是痰也。问其平日好食何物。吐下后。方用药。
一凡人头面颈颊身中有结核。不痛不红。不作脓者。皆痰注也。宜随处用药消之。
一凡痰之为物。无处不到。为随气升降故也。
一论竹沥。大治热痰。又能养血清热。有痰厥不省人事几死者。得竹沥灌之。遂苏。诚
起死回生妙药也。
用水竹早姜竹。截长二尺许。小者每段劈作二片。大者劈作四片。入井水浸一时许。以
薄砖
两块排定。将竹片排于砖上。两头露一二寸。下以烈火迫之。两头以盆盛沥。每六分中。加
姜汁一分服之。热甚者。只可加半分耳。以竹沥加入汤药内服之尤妙。取荆沥亦治热痰。亦
照此法取之。
一论痰属湿。乃津液所化。因风寒湿热之感。或七情饮食所伤。以致气逆液浊。变为痰
饮。故曰痰因火动。降火为先。火因气逆。顺气为要。
加减二陈汤
橘红（去白一钱） 半夏（制一钱半） 白茯苓（去皮一钱） 贝母（一钱半） 枳实（炒一钱）
白术（去芦一钱二分） 连翘（五分） 黄芩（酒炒一钱） 防风（去芦五分） 天花粉（七分）
香附（童便炒一钱） 甘草（三分）
上锉。生姜三片。水煎。温服。
一论热痰在胸膈间不化。吐咯不出。寒热气急。满闷作痛者。名曰痰结。
开结化痰汤
陈皮（一钱） 半夏（制二钱） 茯苓（二钱） 桔梗（八分） 枳壳（七分） 贝母（一钱）
栝蒌仁（二钱） 黄连（五分） 黄芩（二钱） 栀子（二钱） 苏子（二钱） 桑皮（三钱）
朴硝（八分） 杏仁（三钱） 甘草（八分）
上锉。水煎。入姜汁磨木香服。
一论遍身四肢骨节走注疼痛。牵引胸背。亦作寒热。喘咳烦闷。或作肿块。痛难转侧。
或四肢麻痹不仁。或背心一点如冰冷。脉来沉滑。乃是湿痰流注。经络关节不利故也。
清湿化痰汤
南星（泡二钱） 半夏（制二钱） 陈皮（一钱五分去白） 茯苓（三钱去皮） 苍术（一钱五
分米泔炒） 羌活（二钱） 白芥子（三钱） 白芷（二钱） 甘草（八分）
上锉。水煎。入竹沥、姜汁。磨木香。温服。骨节痛甚。及有种块作痛者。名曰痰块。
加乳香一钱。没药一钱。海石三钱。朴硝五分。头顶痛。加川芎一钱五分。威灵仙三钱。
手臂膊痛。加薄桂引南星至痛处。
一论内伤七情。痰迷心窍。神不守舍。神出舍空。空则痰生。以致憎寒壮热。头痛昏沉
迷闷。上气喘急。口出涎沫。症类伤寒。兼治中风痰厥气厥。不省人事者。
清热导痰汤
人参（二钱） 白术（一钱五分去芦） 茯苓（三钱去皮） 陈皮（二钱去白） 半夏（二钱姜
制） 南星（二钱姜制） 枳实（三钱麸炒） 桔梗（八分） 黄连（五分） 黄芩（二钱）
栝蒌仁（三钱） 甘草（八分）
上锉。生姜煎。入竹沥、姜汁同服。
家传清气化痰丸
（制造甚得法。化痰清火。开膈顺气。消痞除胀。醒酒消食殊效。）
天南星（四两） 大半夏（四两）
二味先用米泔水。各浸三五日。以透为度。洗净切片。
以碗
一个。盛贮晒干。先姜汁。次皂汁。又次矾汁。又次硝水晒干。一用生姜汁。浸一旦夕晒干
一用皂角煎水去渣。浸一旦夕晒干。一用白矾一两煎水。浸一旦夕晒干。一用朴硝一两煎
水。浸一旦夕晒干。） 青皮（去穣） 陈皮（去白） 枳壳（去穣麸炒）
枳实（麸炒） 白术（去芦） 白茯苓（去皮） 苏子（炒） 白芥子（炒） 萝卜子（炒） 香附（盐
水炒） 栝蒌仁 干葛 桔梗（去芦
）苦杏仁（去皮） 黄芩（酒炒） 神曲（炒） 麦芽（炒） 山楂（蒸去子） 白豆蔻（去壳
）前胡（去芦） 甘草（各一两）
上为细末。用前浸四味药水。加竹沥一碗。泡蒸饼为丸如梧子大。每服五六十丸。或茶
或姜汤送下。
一论健脾胃。清火化痰。顽痰能软。结痰能开。疏风养血。清上焦之火。除胸膈之痰。
清头目。止眩晕。
千金化痰丸
胆星（四两） 半夏（姜矾牙皂同煮半日用四两） 陈皮（去白三两） 白茯苓（去皮二两）
枳实
（麸炒一两） 海石（火 一两） 天花粉（二两） 片芩（酒炒二两） 黄柏（酒炒二两） 知母（
酒
炒一两） 当归（酒炒四两） 天麻（火煨三两） 防风（去芦二两） 白附子（炮二两） 甘草（生
三两） 大黄（酒蒸九次五两） 白术（米泔浸炒四两） 气虚。加人参八钱。
上为细末。神曲二两。打糊为丸。如梧子大。每服七八十丸。茶水送下。
一秤金
一名金珠化痰丸。治痰嗽如神。又治劳嗽。
用半夏十斤。米泔水浸十日。换水三次。取出。切作两半晒干。用白矾五斤。水一桶。
入铁
锅内化开。将半夏入矾水内。浸二十日取出。切作四瓣晒干。用生姜十斤。另研取汁。再入
半夏浸二十日取出。晒干为细末。听用。粉草十斤。去皮。为粗末。入锅内。添水煮数沸
取出。以布滤去渣。将净水仍入锅内。熬成膏子。和成剂。每病重者。用药二钱半。轻者
二钱。金箔十张。和一大丸。与病患噙化。忌房事。此药神效。不可轻忽。
一治痰壅方
梨汁（一钱） 生姜汁（半钟） 蜜（半钟） 南薄荷末（三两）
上为匀。重汤煮十余沸。任意食。降痰。验如奔马。
一论痰饮为病。或狂或眩晕等症。无不奏效。
白丸子 中州传明岐传。
川南星（四两） 半夏（十两） 白附子（五两） 小川乌（三两）
上俱切片。春七夏三。秋八冬十日。水浸。一日一换。日晒夜露。南星、半夏放瓷器内
少
加姜汁同浸。去麻性。次将前药磨。又将绢巾滤去渣。澄白粉晒干。白米糊为丸。如梧子大
每服五六十丸。姜汤滚水任下。其药放舌上不麻为度方妙。
钓痰仙方 鲁府秘方
硼砂（一钱） 白矾（半生半焙一钱） 瓷青（上细瓷器打下青研细一钱） 甜瓜蒂（五分）
青礞石（ 红浸姜汁内一钱）
上共研细末。每用二厘。薄荷浓汤调入鼻内即愈。
一人气短有痰。小便赤涩。足跟作痛。尺脉浮大。按之则涩。此肾气丸补
饮也。用四物送六味丸。不月而康。仲景先生云。气虚有饮。用肾气丸补而逐之。诚开后学
之蒙 。济无穷之夭枉。肾气丸即六味丸也。
一儒者体肥善饮。仲秋痰喘。用二陈、芩、连。益甚。加桑皮、杏仁。盗汗气促。加知
母、枳壳。不时发热。余以为脾肺虚寒。用八味丸以补土母。补中益气以安中气而愈。
一妇人因怒吐痰。胸满作痛。服四物、二陈、芩连、枳壳之类。不应。更加祛风之剂。
半身不遂。筋渐挛缩。四肢痿软。日晡益甚。内热口干。形体倦怠。余以为郁怒伤肝
脾。气血复损而然。遂用逍遥散、补中益气汤、六味地黄丸调治。喜其
谨疾。年余悉愈。形体康健。
补中益气汤（见内伤） 六味丸 八味丸（俱见补益）
Pulse presenting as bilateral wiry (Xian) indicates Cold-Phlegm fluid retention. Pulse presenting as unilateral wiry also indicates Phlegm fluid retention. In Lung Phlegm, the pulse is not necessarily wiry, but there will be panting and shortness of breath. The Classics state: A pulse that is floating, fine, and slippery indicates injury by Phlegm fluid. A wiry and rapid pulse with Cold-Phlegm is difficult to treat in spring and summer. A deep and wiry pulse indicates Suspended Phlegm (fluid retention in the chest and hypochondrium) with internal pain; the patient has shortness of breath and wandering pain in the four limbs. A deep pulse indicates Retained Phlegm (long-standing fluid retention). If the pulse at the front of the Guan position on both left and right hands is floating, wiry, large, and excess, it indicates thick Phlegm above the diaphragm, and emesis should be induced. If a patient has taken many medicines without effect, and the pulse at the Guan position is hidden (Fu) and large, this is a Phlegm syndrome. Darkening of the eyelids and the area under the eyes, resembling soot stains, also indicates Phlegm. A long-term choppy (Se) pulse indicates that Phlegm and fluid are firmly consolidated, obstructing the pulse vessels, making them difficult to open suddenly, requiring prolonged regulation.
Phlegm is a disease name. It originates in the Spleen and Stomach. However, if Spleen and Stomach Qi are vigorous, food and drink are easily digested, so how can Phlegm form? Or after eating, due to anger, fatigue, fright, or wind pathogen invasion, the essence of food and drink fails to transform and transport, thereby forming Phlegm fluid. Some flow into the meridians and skin; some stagnate in the Zang-Fu organs and joints, overflowing throughout the body, reaching everywhere. Once Phlegm Qi becomes excessive, the pathogen overcomes the healthy Qi. If it invades the great collateral of the Spleen, blocking Qi mechanism, one may suddenly collapse, known as Phlegm Jue (syncope due to Phlegm). If Phlegm Qi ascends to the Lung, there is panting, urgency, and cough; if it disturbs the Heart, there is palpitations and mental confusion; if it moves to the Liver, there is dizziness, numbness, and distension/fullness in the costal region; if it affects the Kidney, there is expectoration of much Phlegm and saliva flowing; if it flows to the Middle Jiao (Zhongwan), there is vomiting, diarrhea, and alternating chills and fever; if it pours into the chest, there is obstruction in the throat and diaphragm, and pain in the supraorbital ridge; if it enters the intestines, there is gurgling sounds; if it scatters in the chest and back, there is point-specific pain upon touch; or it blocks the limbs, or causes hemiplegic numbness on one side of the back. Scattered Phlegm produces sound; aggregated Phlegm causes obstruction. Throughout the upper and lower body, it generates myriad diseases. Treatment must address the specific cause: deficiency requires tonification; fire requires descending; Qi stagnation requires smoothing; depression requires opening; food stagnation requires guiding/digestion; Wind-Cold-Damp-Heat require dispersing, clearing, and drying to eliminate. Thus, treating disease requires seeking the root. This section discusses Damp-Phlegm, Heat-Phlegm, Wind-Phlegm, Old-Phlegm, Cold-Phlegm, and Food-Stagnation Phlegm, which should be treated with modifications of the following formulas.
Er Chen Tang (Two-Aged Decoction)
Chenpi (Tangerine Peel, peeled of white pith, 1 qian) Banxia (Pinellia Tuber, soaked in hot water, 2 qian) Baifuling (White Poria, peeled, 1 qian) Gancao (Licorice Root, 0.5 qian)
Crush these into coarse pieces for one dose. Add three slices of fresh ginger, decoct with water, and take warm.
For cases of excessive Damp-Phlegm with soft and heavy body, add Cangzhu (Atractylodes Rhizome) and Baizhu (Atractylodes Macrocephala Rhizome).
For Heat-Phlegm, add Huanglian (Coptis Rhizome) and Huangqin (Scutellaria Root). Since Phlegm rises due to excessive Fire, descending Fire is the priority; add Baizhu, Huangqin, Ruan Shigao (Soft Gypsum), and Huanglian.
For dizziness and acid regurgitation/heartburn, which is Fire stirring Phlegm, also add Zhizi (Gardenia Fruit), Huanglian, and Huangqin.
For Wind-Phlegm, add Tianma (Gastrodia Rhizome), Zhike (Bitter Orange Fruit), Nanxing (Arisaema Rhizome), Baifuzi (Typhonii Rhizoma), Jiangcan (Bombyx Batryticatus), Yazao (Gleditsiae Spina), etc. For Qi deficiency, add Zhuli (Bamboo Sap); for Qi excess, add Jingli (Schizonepeta Sap). All should be taken with Jiangzhi (Fresh Ginger Juice).
For Old-Phlegm, use Haishi (Floating Limestone), Banxia, Gualou (Trichosanthes Fruit), Xiangfu (Cyperi Rhizoma), Lianqiao (Forsythia Fruit), etc. Wubeizi (Chinese Gall) assists these herbs to treat stubborn Phlegm; pills are suitable. If there is a sensation of an object in the throat that cannot be expectorated or swallowed, this is Phlegm knot; use medicine to resolve it, adding salty/herbs that soften hardness like Gualou, Xingren (Apricot Seed), Haishi, Jiegeng (Platycodon Root), Lianqiao, Xiangfu, with a small amount of Puxiao (Mirabilite) and Jiangzhi, refined honey to make pills, and hold in mouth to dissolve. If the pulse is choppy, it is hard to open suddenly and requires prolonged regulation. If Qi is excess and Phlegm-Heat is knotted, emesis is difficult; if it forms clumps that cannot be expectorated, or if Qi is stagnant, it is difficult to treat.
For Cold-Phlegm obstructing the chest, double the dosage of Banxia. For severe cases, add Mahuang (Ephedra Herb), Xixin (Asarum Root), and Wutou (Aconite Root). For Phlegm-Jue headache, add Banxia.
For Food-Stagnation Phlegm, add Shenqu (Medicated Leaven), Maiya (Sprouted Hordeum Fructus), Shanzha (Hawthorn Fruit), fried Huanglian, and Zhishi (Immature Bitter Orange Fruit) to digest. For severe cases, purgatives are necessary; pills are suitable. If accompanied by Blood deficiency, send down with Blood-tonifying medicine. Phlegm in the Middle Jiao is often due to food stagnation. Stomach Qi relies on nourishment; do not let it become deficient. If purged completely, it will become deficient. Belching and acid regurgitation indicate food stagnation with depression and heat, with Fire Qi moving upward; add Huangqin and Nanxing.
For Blood deficiency with Phlegm, add Tiandong (Asparagus Tuber), Zhimu (Anemarrhena Rhizome), Gualouren (Trichosanthes Seed), Xiangfum (Cyperi Rhizoma), Zhuli, and Jiangzhi. If blood is present, add Huangqin, Baishao (White Peony Root), and Sangpi (Morus Bark). If Blood stagnation does not move and there is fluid in the Middle Jiao, take Zhuli added with Jiangzhi and Jiuji (Leek Juice), drinking three to five cups; recovery follows after feeling restless and irritable in the chest.
For Qi deficiency with Phlegm, add Renshen (Ginseng Radix) and Baizhu. For Spleen deficiency, tonify Middle Qi to transport Phlegm; for descending, add Baizhu, Baishao, Shenqu, and Maiya, combined with Shengma (Cimicifugae Rhizoma) to lift. For internal injury with夹杂 Phlegm, add Renshen, Huangqi (Astragalus Root), and Baizhu, transmitted with Jiangzhi; adding Zhuli is excellent.
If Phlegm is above the diaphragm, emesis is mandatory. If purgatives fail and Phlegm is sticky and turbid, emesis is required. If the pulse is floating, emesis is indicated. If Phlegm is in the meridians, emesis is essential. Emesis contains the meaning of dispersing. When using emetic drugs, promote Qi ascent to facilitate vomiting; add Fangfeng (Saposhnikovia Root), Chuanxiong (Ligusticum Rhizome), Jiegeng, Cha Ya (Tea Bud), Jiangsheng (Fresh Ginger), and Qizhi (Pickled Mustard Greens), or Gouti San (Melon Peduncle Powder). For emesis, bind the abdomen tightly with cloth and perform in a non-drafty place.
If Phlegm is in the stomach and intestines, it can be resolved by purgation, using Zhishi, Gansui (Kansui Root), Badou (Croton Seed), Dahuang (Rhubarb Root), Mangxiao (Mirabilite), etc. Overuse of draining/purgative drugs for Phlegm weakens Spleen Qi, leading to increased Phlegm production.
For Phlegm in the hypochondrium, only Baijiezi (White Mustard Seed) can reach it.
For Phlegm between the skin and fascia, only Jiangzhi and Zhuli can reach it. For Phlegm in the four limbs, only Zhuli can open it. For Phlegm in the meridians, Zhuli is used, assisted by Jiangsheng and Jiuji. For Phlegm in the diaphragm causing mania, amnesia, or Wind-Phlegm, use Zhuli, which has the same efficacy as Jingli. For Qi deficiency with little appetite, use Zhuli; for Qi excess with good appetite, use Jingli.
Whenever there are lumps anywhere in the body, head, neck, cheeks, or torso, it is Phlegm. Ask what foods they usually prefer, then after emesis or purgation, administer medicine.
Whenever there are nodules in the head, face, neck, cheeks, or body that are painless, non-red, and do not suppurate, they are all Phlegm deposits; use medicine locally to dissipate them.
Phlegm, as a pathogenic factor, reaches everywhere because it moves up and down with Qi.
Regarding Zhuli (Bamboo Sap): It greatly treats Heat-Phlegm and nourishes Blood while clearing Heat. For Phlegm-Jue causing unconsciousness near death, administering Zhuli leads to revival; it is truly a miraculous drug bringing the dead back to life.
Take young bamboo shoots, cut into two-foot lengths. Small ones split into two pieces, large ones into four. Soak in well water for about an hour. Place two thin bricks, arrange bamboo pieces on them, leaving one or two inches exposed at both ends. Apply fierce fire underneath, collecting the dripping sap in basins at both ends. Mix one part Jiangzhi with six parts Zhuli. For severe heat, add only half part. Adding Zhuli to decoctions is excellent. Jingli also treats Heat-Phlegm and is obtained similarly.
Regarding Phlegm belonging to Dampness, transformed from body fluids, caused by Wind-Cold-Damp-Heat pathogens or emotional/dietary injuries, leading to rebellious Qi and turbid fluids transforming into Phlegm fluid. Thus, "Phlegm moves due to Fire," so descending Fire is primary. "Fire arises from Qi rebellion," so smoothing Qi is key.
Jiajian Er Chen Tang (Modified Two-Aged Decoction)
Juhong (Citrus Reticulata Peel, peeled, 1 qian) Banxia (Pinellia Tuber, processed, 1.5 qian) Baifuling (White Poria, peeled, 1 qian) Beimu (Fritillaria Bulb, 1.5 qian) Zhishi (Immature Bitter Orange Fruit, fried, 1 qian)
Baizhu (Atractylodes Macrocephala Rhizome, de-rhizome, 1.2 qian) Lianqiao (Forsythia Fruit, 0.5 qian) Huangqin (Scutellaria Root, wine-fried, 1 qian) Fangfeng (Saposhnikovia Root, de-rhizome, 0.5 qian) Tianhuafen (Trichosanthes Root, 0.7 qian)
Xiangfu (Cyperi Rhizoma, fried in child's urine, 1 qian) Gancao (Licorice Root, 0.3 qian)
Crush these. Add three slices of fresh ginger, decoct with water, and take warm.
Regarding Heat-Phlegm in the chest and diaphragm that does not transform, cannot be expectorated, accompanied by alternating chills/fever, urgency, fullness, and pain, named Phlegm Knot.
Kaijie Huatan Tang (Knot-Opening Phlegm-Resolving Decoction)
Chenpi (Tangerine Peel, 1 qian) Banxia (Pinellia Tuber, processed, 2 qian) Fuling (Poria, 2 qian) Jiegeng (Platycodon Root, 0.8 fen) Zhike (Bitter Orange Fruit, 0.7 qian) Beimu (Fritillaria Bulb, 1 qian)
Gualouren (Trichosanthes Seed, 2 qian) Huanglian (Coptis Rhizome, 0.5 qian) Huangqin (Scutellaria Root, 2 qian) Zhizi (Gardenia Fruit, 2 qian) Suzi (Perilla Fruit, 2 qian) Sangpi (Morus Bark, 3 qian)
Puxiao (Mirabilite, 0.8 fen) Xingren (Apricot Seed, 3 qian) Gancao (Licorice Root, 0.8 fen)
Crush these. Decoct with water, add Jiangzhi (Fresh Ginger Juice), and grind Muxiang (Aucklandia Root) before taking.
Regarding wandering pain in bones and joints of the whole body and four limbs, pulling to chest and back, with alternating chills/fever, panting/cough, irritability, or lump formation, difficulty turning, limb numbness, or a cold spot on the back, with a deep-slippery pulse, this is Damp-Phlegm flowing and depositing, causing meridian and joint obstruction.
Qingshi Huatan Tang (Clearing Dampness Phlegm-Resolving Decoction)
Nanxing (Arisaema Rhizome, soaked, 2 qian) Banxia (Pinellia Tuber, processed, 2 qian) Chenpi (Tangerine Peel, peeled, 1.5 qian) Fuling (Poria, peeled, 3 qian) Cangzhu (Atractylodes Rhizome, fried in rice wash, 1.5 qian) Qianghuo (Notopterygium Rhizome, 2 qian) Baijiezi (White Mustard Seed, 3 qian) Baizhi (Angelica Dahurica Root, 2 qian) Gancao (Licorice Root, 0.8 fen)
Crush these. Decoct with water, add Zhuli (Bamboo Sap) and Jiangzhi, grind Muxiang, and take warm. For severe joint pain or painful lumps, named Phlegm Lump, add Rushxiang (Frankincense Resin) 1 qian, Moyao (Myrrh Resin) 1 qian, Haishi (Floating Limestone) 3 qian, Puxiao (Mirabilite) 0.5 fen. For top-of-head pain, add Chuanxiong (Ligusticum Rhizome) 1.5 qian, Weilingxian (Salvia Miltiorrhiza Root) 3 qian. For arm/shoulder pain, add Bo Gui (Thin Cinnamon Twig) to guide Nanxing to the painful area.
Regarding internal injury from seven emotions, Phlegm confusing the Heart orifice, Spirit not guarding its residence, Spirit leaving the empty residence allowing Phlegm to generate, leading to aversion to cold with high fever, headache, drowsiness/confusion, upper air urgency, foaming at the mouth, symptoms resembling Taiyang disease, also treating Stroke Phlegm-Jue and Qi-Jue causing unconsciousness.
Qingre Daotan Tang (Clearing Heat Guiding Phlegm Decoction)
Renshen (Ginseng Radix, 2 qian) Baizhu (Atractylodes Macrocephala Rhizome, de-rhizome, 1.5 qian) Fuling (Poria, peeled, 3 qian) Chenpi (Tangerine Peel, peeled, 2 qian) Banxia (Pinellia Tuber, ginger-processed, 2 qian) Nanxing (Arisaema Rhizome, ginger-processed, 2 qian) Zhishi (Immature Bitter Orange Fruit, bran-fried, 3 qian) Jiegeng (Platycodon Root, 0.8 fen) Huanglian (Coptis Rhizome, 0.5 qian) Huangqin (Scutellaria Root, 2 qian)
Gualouren (Trichosanthes Seed, 3 qian) Gancao (Licorice Root, 0.8 fen)
Crush these. Decoct with fresh ginger, add Zhuli and Jiangzhi, and take together.
Family-Inherited Qingqi Huatan Wan (Clear Qi Phlegm-Resolving Pill)
(Manufacturing method is very appropriate: resolves Phlegm, clears Fire, opens diaphragm, smooths Qi, eliminates痞满/bloating,醒酒/sobering, and aids digestion.)
Tiannanxing (Arisaema Rhizome, 4 liang) Dabanxia (Large Pinellia Tuber, 4 liang)
Soak these two in rice wash water for 3-5 days until penetrated, wash clean, slice.
Use one bowl to store and dry. First Jiangzhi (Ginger Juice), then Zaoshui (Soap Pod Water), then Fan Shui (Alum Water), then Xiaoshui (Mirabilite Water) to dry. (One batch soaked in Ginger Juice overnight and dried; one batch soaked in Soap Pod water overnight and dried; one batch soaked in Alum water overnight and dried; one batch soaked in Mirabilite water overnight and dried.) Qingpi (Green Tangerine Peel, de-albedo) Chenpi (Tangerine Peel, de-albedo) Zhike (Bitter Orange Fruit, de-albedo, bran-fried)
Zhishi (Immature Bitter Orange Fruit, bran-fried) Baizhu (Atractylodes Macrocephala Rhizome, de-rhizome) Baifuling (White Poria, peeled) Suzi (Perilla Fruit, fried) Baijiezi (White Mustard Seed, fried) Luobozhongzi (Radish Seed, fried) Xiangfu (Cyperi Rhizoma, salt-water fried) Gualouren (Trichosanthes Seed) Genge (Kudzu Root) Jiegeng (Platycodon Root, de-rhizome) Ku Xingren (Bitter Apricot Seed, de-skin) Huangqin (Scutellaria Root, wine-fried) Shenqu (Medicated Leaven, fried) Maiya (Sprouted Hordeum Fructus, fried) Shanzha (Hawthorn Fruit, steamed de-seeded) Baudoukou (White Cardamom, de-shell) Qianhu (Peucedani Radix, de-rhizome) Gancao (Licorice Root, each 1 liang)
Grind into fine powder. Use the four soaking waters mentioned above, add one bowl of Zhuli (Bamboo Sap), soak steamed wheat cake to make pills the size of wu zi (wu berry). Take 50-60 pills per dose, sent down with tea or ginger soup.
Regarding strengthening Spleen and Stomach, clearing Fire and resolving Phlegm, softening stubborn Phlegm, opening knotted Phlegm, dispelling Wind and nourishing Blood, clearing Upper Jiao Fire, removing chest/diaphragm Phlegm, clearing head/eyes, stopping dizziness.
Qianjin Huatan Wan (Thousand Gold Phlegm-Resolving Pill)
Danning (Stewed Arisaema with Bile, 4 liang) Banxia (Pinellia Tuber, boiled with Ginger, Alum, and Soap Pod for half a day, 4 liang) Chenpi (Tangerine Peel, de-albedo, 3 liang) Baifuling (White Poria, peeled, 2 liang)
Zhishi (Immature Bitter Orange Fruit, bran-fried, 1 liang) Haishi (Floating Limestone, fired, 1 liang) Tianhuafen (Trichosanthes Root, 2 liang) Pian Qin (Scutellaria Root, wine-fried, 2 liang) Huangbai (Phellodendron Bark, wine-fried, 2 liang) Zhimu (Anemarrhena Rhizome, wine-fried, 1 liang) Danggui (Angelica Sinensis Root, wine-fried, 4 liang) Tianma (Gastrodia Rhizome, fired-warmed, 3 liang) Fangfeng (Saposhnikovia Root, de-rhizome, 2 liang) Baifuzi (Typhonii Rhizoma, processed, 2 liang) Gancao (Licorice Root, raw, 3 liang) Dahuang (Rhubarb Root, wine-steamed nine times, 5 liang) Baizhu (Atractylodes Macrocephala Rhizome, soaked in rice wash and fried, 4 liang) For Qi deficiency, add Renshen (Ginseng Radix) 8 qian.
Grind into fine powder. Use 2 liang of Shenqu (Medicated Leaven) to make paste for pills, size of wu zi. Take 70-80 pills per dose, sent down with tea/water.
Yi Cheng Jin (One Tael of Gold)
Also known as Jinzhu Huatan Wan, miraculously treats Phlegm cough and laborious cough.
Use 10 jin of Banxia, soak in rice wash water for 10 days, change water three times, take out, cut in half, dry. Use 5 jin of Baifan (Alum), one bucket of water, melt in iron pot, put Banxia in alum water, soak for 20 days, take out, cut into four petals, dry. Use 10 jin of Jiangsheng (Fresh Ginger), grind separately to get juice, put Banxia back in, soak for 20 days, take out, dry, grind to fine powder, set aside. Use 10 jin of Fangancao (Licorice Root), peel, make coarse powder, put in pot, add water, boil several times, take out, filter residue with cloth, return clear liquid to pot, boil into paste, mix into dough. For severe illness, use 2.5 qian of medicine; for mild, 2 qian. Mix with ten sheets of Jinbo (Gold Leaf) to make one large pill, hold in mouth to dissolve. Avoid sexual intercourse. This medicine is miraculous, do not neglect.
Formula for Treating Phlegm Obstruction
Lizhi (Pear Juice, 1 qian) Jiangsheng (Fresh Ginger Juice, half zhong) Mi (Honey, half zhong) Nan Bohe Mo (Southern Mint Powder, 3 liang)
Mix evenly, cook in double boiler for more than ten boils, eat as desired. Descends Phlegm, effective as a galloping horse.
Regarding Phlegm-Fluid diseases, whether mania or dizziness, no case is ineffective.
Bai Wan Zi (White Pills) Passed down from Ming Qi Zhuan in Central Plains.
Chuan Nanxing (Sichuan Arisaema Rhizome, 4 liang) Banxia (Pinellia Tuber, 10 liang) Baifuzi (Typhonii Rhizoma, 5 liang) Xiao Chuanwu (Small Sichuan Aconite Root, 3 liang)
Slice all. Soak in water for 7 days in Spring, 3 in Summer, 8 in Autumn, 10 in Winter, changing water daily, sun-drying by day and dew-exposing by night. Put Nanxing and Banxia in porcelain vessel with a little Jiangzhi to remove numbing property. Then grind the medicines, filter through silk cloth to remove residue, clarify white powder, dry, make pills with white rice paste, size of wu zi. Take 50-60 pills per dose, sent down with boiling ginger soup. The medicine is considered optimal when it no longer numbs the tongue.
Diaotan Xianfang (Immortal Formula for Hooking Phlegm) Secret Recipe of Lu Mansion
Pengsha (Borax, 1 qian) Baifan (Alum, half raw half calcined, 1 qian) Ciqing (Glaze powder from fine porcelain, ground fine, 1 qian) Tianguadi (Melon Peduncle, 0.5 qian)
Qingmengshi (Green Migmatite, calcined red, soaked in Jiangzhi, 1 qian)
Grind all into fine powder. Use 2 li per dose, mix with strong mint tea, instill into nose for immediate cure.
A person with shortness of breath and Phlegm, red and scanty urination, heel pain, Chi pulse floating and large, choppy on pressure. This is Shengqi Wan (Kidney Qi Pill) treating Fluid retention. Use Siwu Tang (Four Substances Decoction) to send Liuwei Wan (Six-Ingredient Pill) down. Recovered in less than a month. Master Zhang Zhongjing said: For Qi deficiency with Fluid retention, use Shengqi Wan to tonify and expel. Truly opening the ignorance of later learners and saving countless premature deaths. Note: The text states Shengqi Wan is Liuwei Wan, though traditionally they differ.
A scholar, fat and fond of drinking, suffered Phlegm-panting in mid-autumn. Used Er Chen Tang, Huangqin, Huanglian, condition worsened. Added Sangpi, Xingren. Night sweats and shortness of breath, added Zhimu, Zhike. Occasional fever, I considered it Spleen-Lung deficiency-cold. Used Bawei Wan (Eight-Ingredient Pill) to tonify Earth-Mother, and Buzhong Yiqi Tang (Tonify Middle and Augment Qi Decoction) to calm Middle Qi, and recovered.
A woman vomited Phlegm due to anger, chest fullness and pain. Took Siwu Tang, Er Chen Tang, Huangqin, Huanglian, Zhike, etc., without effect. Added Wind-dispelling agents. Resulted in hemiplegia, tendon contraction, limb flaccidity, worsening at dusk, internal heat, dry mouth, fatigue. I considered it Depression/Anger injuring Liver-Spleen, causing further Blood-Qi damage. Thus used Xiaoyao San (Free and Easy Wanderer Powder), Buzhong Yiqi Tang, and Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) for treatment. Glad she was careful with her health, fully recovered after more than a year, body healthy.
Buzhong Yiqi Tang (See Internal Injury) Liuwei Wan Bawei Wan (Both See Tonification)