治卒头痛如破，非中冷，又非中风方。
釜月下墨四分，附子三分，桂一分，捣，筛，以冷水服方寸匕。当吐，一方，无桂。
又方苦参，桂，半夏等分，捣，下筛，苦酒和以涂痛，则瘥。
又方，乌梅三十枚，盐三指撮，酒三升，煮取一升，去滓，顿服。当吐，愈。
此本在杂治中，其病是胸中膈，上。痰厥气上冲所致名为厥头痛，吐之，即瘥。
但单煮米作浓饮二三升许，适冷暖，饮尽二三升，须臾适吐，适吐毕。又饮，如此数过
，剧者，须臾吐胆乃止，不损人而即瘥。
治胸中多痰，头痛不欲食及饮酒，则瘀阻痰方。
常山二两，甘草一两，松萝一两，瓜蒂三七枚，酒水各一升半，煮取升半，初服七合，
取吐吐不尽，余更分二服，后可服半夏汤。
胡洽名粉隔汤，矾石一两，水二升，煮取一升，纳蜜半合，顿服。须臾，未吐，饮少热
汤。
又方，杜蘅三两，松萝三两，瓜蒂三十枚，酒一升二合，渍，再宿，去滓。温服五合，
一服不吐，晚更一服。
又方，瓜蒂一两，赤小豆四两，捣，末，温汤三合，和服，便安卧，欲摘之不吐，更服
之。
又方，先作一升汤，投水一升，名为生熟汤，及食三合盐，以此汤送之。须臾欲吐，便
摘出，未尽更服二合。饮汤二升后，亦可更服，汤不复也。
又方，常山四两，甘草半两，水七升，煮取二升，纳半升蜜，服一升，不吐，更服，无
蜜亦可。
方中能月服一种，则无痰水之患，又有旋覆五饮。在诸大方中，若胸中痞寒短气 者，
（敷逼切）。
甘草二两，茯苓三两，杏仁五十枚，碎之。水一斗三升，煮取六升，分为五服。
又方，桂四两，术，甘草二两，附子炮，水六升，煮取三升，分为三服，膈中有结积，
觉骇，骇不去者。
藜芦一两，炙末之，巴豆半两，去皮心熬之，先捣巴豆如泥，入藜芦末，又捣万杵，蜜
丸如麻子大，服一丸至二三丸。
膈中之病，名曰膏肓，汤丸经过。针灸不及，所以作丸含之。令气势得相熏染，有五膈
丸方。
麦门冬十分去心，甘草十分，炙，椒，远志，附子，炮，干姜，人参，桂，细辛各六分
，捣，筛，以上好蜜丸如弹丸。以一丸含，稍稍咽其汁，日三丸，服之，主短气，心胸满，
心下坚，冷气也。
此疾有十许方，率皆相类，此丸最胜，用药虽多，不合五膈之名，谓忧膈，气膈，恚膈
，寒膈，其病各有诊别，在大方中，又有七气方，大约与此大同小别耳。
附方
《圣惠方》，治痰厥头痛。
以乌梅十个取肉，盐二钱，酒一中盏，合煎至七分，去滓，非时温服，吐即佳。
又方，治冷痰饮恶心。
用荜拨一两，捣为末，于食前，用清粥饮调半钱服。
又方，治痰壅呕逆，心胸满闷不下食。
用浓朴一两，涂生姜汁，炙，令黄为末，非时粥饮，调下二钱匕。
《千金翼》论曰，治痰饮吐水，无时节者，其源以冷冻饮料过度，遂令脾胃气羸。不能消于
饮食，饮食入胃，则皆变成冷水，反吐不停者。
赤石脂散主之。
赤石脂一斤，捣，筛，服方寸匕，酒饮自任。稍稍加至三匕，服尽一斤，则终身不吐淡
水，又不下痢，补五脏。令人肥健，有人痰饮服诸药不效，用此方遂愈。
御药院方，真宗赐高祖相国，去痰清目，进饮食，生犀丸。
川芎十两，紧小者粟米泔，浸三日，换切片子，日干为末，作两料，每料入麝、脑各一
分，生犀半两，重汤煮蜜杵为丸，小弹子大，茶酒嚼下一丸，痰，加朱砂半两，膈壅，加牛
黄一分，水飞铁粉一分，头目昏眩，加细辛一分，口眼 斜，炮天南星一分。
又方，治膈壅风痰。
半夏不计多少，酸浆浸一宿，温汤洗五七遍，去恶气，日中晒干，捣为末，浆水搜饼子
，日中干之，再为末，每五两，入生脑子一钱，研匀，以浆水浓脚丸，鸡头大，纱袋贮，通
风处阴干，每一丸，好茶或薄荷汤下。
王氏《博济》，治三焦气不顺，胸膈壅塞，头昏目眩，涕唾痰涎，精神不爽。
利膈丸，牵牛子四两，半生、半熟，不 皂荚涂字二两为末，生姜自然汁煮，糊丸如桐
子大，每服二十丸，荆芥汤下。
《经验后方》，治头风化痰。
川芎不计分两，用净水洗浸，薄切片子，日干或焙，杵为末，炼蜜为丸，如小弹子大，
不拘时，茶酒嚼下。
又方，治风痰。
郁金一分，藜芦十分，各为末，和令匀，每服一字，用温浆水一盏，先以少浆水调下余
者，水漱口都服，便以食压之。
《外台秘要》，治一切风痰，风霍乱，食不消，大便涩。
诃黎勒三枚，捣取末，和酒顿服，三五度，良。
《胜金方》，治风痰。
白僵蚕七个直者，细研，以姜汁一茶脚，温水调灌之。
又方，治风痰。
以萝卜子为末，温水调一匙头，良久吐出涎沫，如是瘫痪风，以此吐后，用紧疏药服，
疏后服和气散，瘥。
《斗门方》，治胸膈壅滞，去痰开胃。
用半夏净洗，焙干，捣，罗为末，以生姜自然汁和为饼子，用湿纸裹，于慢火中煨令香
，热水两盏，用饼子一块，如弹丸大，入盐半钱，煎取一盏，温服，能去胸膈壅逆，大压痰
毒，及治酒食所伤，其功极验。
Treatment for sudden severe headache, feeling as if the head were bursting, not caused by cold invasion nor wind-stroke.
Take 4 fen of soot from the bottom of a cauldron (Fu Xia Mo), 3 fen of prepared Aconite Root (Fuzi), and 1 fen of Cinnamon Twig (Guizhi). Pound into powder, sieve, and administer with cold water in a dose of one cubic inch spoon (Fang Cun Bi). Vomiting is expected after administration. In another version, Cinnamon Twig is omitted.
Another prescription: Equal parts of Sophora Root (Kushen), Cinnamon Twig (Guizhi), and Pinellia Tuber (Banxia) are pounded and sieved. Mix with vinegar and apply to the painful area; the condition will heal.
Another prescription: Take 30 dried plums (Wumei), a pinch of salt (three fingers' width), and 3 sheng of wine. Boil until 1 sheng remains, strain, and take in one dose. Vomiting is expected, and the patient will recover.
This method originally appeared in the miscellaneous treatments section. The disease is caused by phlegm-jue qi rushing upward from the upper chest and diaphragm, named Jue Headache. Inducing vomiting leads to recovery.
Simply boil rice alone to make a thick rice gruel of about 2-3 sheng. Drink it at a comfortable temperature until finished. Soon, the urge to vomit will arise. After vomiting ceases, drink again. Repeat this several times. For severe cases, vomiting continues until bile is expelled. This method does not harm the body and brings immediate relief.
For treating excessive phlegm in the chest causing headache, loss of appetite, and phlegm obstruction after drinking alcohol.
Take 2 liang of Daphne Genkwa Flower (Changshan), 1 liang of Licorice Root (Gancao), 1 liang of Usnea (Songluo), and 37-70 Gourd Trichosanthes Fruit (Gua Di). Add 1.5 sheng each of wine and water. Boil until 0.5 sheng remains. Administer 0.7 he initially. If vomiting is incomplete, divide the remainder into two doses. Afterwards, Banxia Decoction can be taken.
Hu Qian named this formula Fen Ge Tang: Take 1 liang of Alum (Fanshi) and 2 sheng of water. Boil until 1 sheng remains. Add 0.5 he of honey and take in one dose. If vomiting does not occur shortly after, drink some hot soup to induce it.
Another prescription: Take 3 liang of Asarum (Duheng), 3 liang of Usnea (Songluo), and 30 Gourd Trichosanthes Fruit (Gua Di). Soak in 1.2 sheng of wine overnight. Strain. Warm and take 0.5 he. If one dose does not induce vomiting, take another dose in the evening.
Another prescription: Take 1 liang of Gourd Trichosanthes Fruit (Gua Di) and 4 liang of Red Adzuki Bean (Chixiaodou). Pound into powder. Mix with 0.3 he of warm water and take. Lie down quietly afterwards. If the urge to vomit arises but nothing comes out, take another dose.
Another prescription: First prepare 1 sheng of soup, add 1 sheng of water, called Shengshu Tang (Raw-Cooked Soup). Consume with 0.3 he of salt. Send down with this soup. Soon, the urge to vomit will arise; induce vomiting by stimulating the throat. If not fully expelled, take another 0.2 he. After drinking 2 sheng of soup, it can be taken again, but the soup should not be reused.
Another prescription: Take 4 liang of Daphne Genkwa Flower (Changshan) and 0.5 liang of Licorice Root (Gancao). Add 7 sheng of water. Boil until 2 sheng remains. Add 0.5 sheng of honey. Take 1 sheng. If no vomiting occurs, take more. Honey is optional.
Taking one type of these formulas monthly prevents phlegm-fluid retention. Additionally, there are five types of Yin syndromes treated by Inula Flower (Xuanfu). In major prescriptions, for symptoms of chest fullness, coldness, and shortness of breath...
Licorice Root (Gancao) 2 liang, Poria (Fuling) 3 liang, Apricot Seed (Xingren) 50 pieces, crushed. Add 13 sheng of water. Boil until 6 sheng remains. Divide into five doses.
Another prescription: Cinnamon Twig (Guizhi) 4 liang, Atractylodes Macrocephala Rhizome (Bai Zhu) and Licorice Root (Gancao) 2 liang each, Prepared Aconite Root (Pao Fuzi). Add 6 sheng of water. Boil until 3 sheng remains. Divide into three doses. Used for accumulation in the diaphragm causing feelings of fright or unrest that do not subside.
Veratrum Root (Lilu) 1 liang, roasted and powdered. Croton Seed (Badou) 0.5 liang, skin and heart removed, roasted. First pound Croton Seed into a paste, add Veratrum powder, and pound ten thousand times. Form pills with honey, size of hemp seeds. Take 1 to 2-3 pills per dose.
Diseases of the diaphragm are named Gaohuang. Decoctions and pills cannot reach them, and acupuncture is ineffective. Therefore, pills are made to be held in the mouth, allowing the medicinal qi to permeate. There are Five Diaphragm Pills.
Ophiopogon Tuber (Mendong) 10 fen, dehearted. Licorice Root (Gancao) 10 fen, roasted. Zanthoxylum Pericarpium (Jiao), Polygala Root (Yuanzhi), Prepared Aconite Root (Pao Fuzi), Dried Ginger (Ganjiang), Ginseng Root (Renshen), Cinnamon Twig (Guizhi), and Asarum (Xixin) each 6 fen. Pound and sieve. Mix with high-quality honey to form pills like bullet-sized spheres. Hold one pill in the mouth and slowly swallow the juice. Take three pills daily. It treats shortness of breath, chest and mind fullness, hardness below the heart, and cold qi.
There are about ten prescriptions for this disease, mostly similar. This pill is the most effective. Although it uses many herbs, it does not fit the name of the Five Diaphragms, namely You Ge (Worry Diaphragm), Qi Ge (Qi Diaphragm), Hui Ge (Anger Diaphragm), and Han Ge (Cold Diaphragm). These diseases have distinct diagnostic features. In major prescriptions, there is also the Seven Qi Formula, which is largely similar with minor differences.
Supplementary Prescriptions
*Shenghui Fang*: Treats Phlegm-Jue Headache.
Take the flesh of 10 dried plums (Wumei), 2 qian of salt, and one medium cup of wine. Decoct until 7/10 remains. Strain. Take warm outside of meal times. Vomiting is beneficial.
Another prescription: Treats nausea caused by cold-phlegm-fluid.
Take 1 liang of Long Pepper Fruit (Bibo), pound into powder. Before meals, mix with clear rice gruel and take 0.5 qian.
Another prescription: Treats phlegm congestion, retching, chest fullness, and inability to eat.
Take 1 liang of Magnolia Bark (Houpo), coat with fresh ginger juice, roast until yellow, then powder. Outside of meal times, take 2 Fang Cun Bi mixed with rice gruel.
*Qianjin Yi Lun* states: For treating phlegm-fluid causing vomiting of water without fixed timing, the root cause is excessive consumption of frozen drinks, weakening Spleen and Stomach qi. They fail to digest food. Food entering the stomach turns into cold water, causing continuous vomiting.
Treat with Chishizhi Powder.
Red Halloysite (Chishizhi) 1 jin, pound and sieve. Take 1 Fang Cun Bi. Drink wine or water as desired. Gradually increase to 3 Fang Cun Bi. Finish 1 jin. The patient will never vomit clear water again, nor suffer diarrhea. It tonifies the five Zang organs, making the person fat and strong. Someone with phlegm-fluid who failed other treatments was cured by this formula.
*Yuyao Yuan Fang*: Shengxi granted Gaozu Xiangguo *Shengxi Pill* to remove phlegm, clear eyes, and promote appetite.
Sichuan Lovage Rhizome (Chuanxiong) 10 liang (select tight, small ones). Soak in millet washing water for three days. Change water, slice, sun-dry, and powder. Divide into two batches. Each batch adds 1 fen Musk (Shexiang) and Borneol (Nao), plus 0.5 liang Raw Rhinoceros Horn (Shengxi - note: modern substitute often used). Process with honey heated in a double boiler, pounding into pills the size of small bullets. Chew and swallow one pill with tea or wine. For phlegm, add 0.5 liang Cinnabar (Zhusha). For diaphragm congestion, add 0.1 liang Calculus Bovis (Niuhuang). For iron dust (water-ground), add 0.1 liang. For dizziness, add 0.1 liang Asarum (Xixin). For facial paralysis, add 0.1 liang Prepared Arisaema (Pao Tiannanxing).
Another prescription: Treats diaphragm congestion and wind-phlegm.
Pinellia Tuber (Banxia) as needed. Soak in sour bean water overnight. Wash 5-7 times with warm water to remove bad odor. Sun-dry. Pound into powder. Make cakes with sour bean water. Sun-dry. Pound into powder again. For every 5 liang, add 1 qian raw Borneol (Sheng Naozi). Grind evenly. Form pills using the sediment of sour bean water, size of a chicken head. Store in gauze bags. Dry in a ventilated place. Take one pill with good tea or mint decoction.
Wang Shi's *Boji*: Treats stagnant Qi in the Triple Burner, chest/diaphragm congestion, dizziness, profuse saliva/phlegm, and mental fatigue.
Lige Wan (Diaphragm-Relieving Pill): Semen Kochiae (Qianniuzi) 4 liang (half raw, half cooked). Gleditsia Sinensis Fruit (Zaojia) coated, 2 liang, powdered. Cook with fresh ginger juice. Form pills with starch paste, size of sesame seeds. Take 20 pills with Schizonepeta Decoction (Jingjie Tang).
*Jingyan Houfang*: Treats wind-headache and transforms phlegm.
Sichuan Lovage Rhizome (Chuanxiong) as needed. Wash with clean water, soak, slice thinly, sun-dry or bake. Pound into powder. Form pills with refined honey, size of small bullets. Chew and swallow with tea or wine anytime.
Another prescription: Treats wind-phlegm.
Curcuma Zedoaria Rhizome (Yujin) 1 fen, Veratrum Root (Lilu) 10 fen. Powder separately, mix well. Take 1 zi per dose. Use 1 cup of warm sour bean water. First, mix a small amount of sour bean water with the powder and swallow. Rinse mouth with water and swallow the residue. Press with food afterwards.
*Waitai Miyao*: Treats all wind-phlegm, wind-huo-luan, indigestion, and constipation.
Chebula Fruit (Helile) 3 pieces. Pound to powder. Mix with wine and take in one dose. Repeat 3-5 times for good results.
*Shengjin Fang*: Treats wind-phlegm.
Seven straight white silkworm pupae (Bai Jiangcan). Fine powder. Mix with ginger juice (one tea-foot measure) and warm water. Administer by force-feeding.
Another prescription: Treats wind-phlegm.
Powdered Radish Seed (Luobozhong). Mix with warm water, one spoonful. Wait until salivary foam is vomited. For paralysis due to wind, after vomiting, take tightening/purgative medicines. After purging, take Heqi San. Recovery ensues.
*Doumen Fang*: Treats chest/diaphragm stagnation, removes phlegm, opens appetite.
Clean Pinellia Tuber (Banxia), bake dry, pound, and sieve. Mix with fresh ginger juice to form cakes. Wrap in wet paper. Roast over slow fire until fragrant. Take one cake (bullet-sized) with two cups of hot water and 0.5 qian salt. Decoct until 1 sheng remains. Take warm. It removes chest/diaphragm rebellion, suppresses phlegm toxicity, and treats damage from alcohol and food. Its efficacy is excellent.