（朱震亨《丹溪心法附余》） 猝中痰迷，用此吹鼻。
皂角 细辛（等分） 研末吹。
稀涎（散）皂角白矾班，或益藜芦微吐间。（不可令大吐，但使咽喉疏通，能进汤药便
止。若尽攻其痰，则无液以养筋，令人挛急偏枯，此其禁也。）风中痰升人眩仆，当先服此
通其关。（白矾酸苦能涌泄，咸能软顽痰；皂角辛能通窍，咸能去垢，专制风木；藜芦吐风
痰，善通顶，令人嚏。此夺门之兵也。风国中时，痰盛宜先用此，令吐稀涎，续进他药。）
通关散用细辛皂，吹鼻得嚏保生还。（有嚏者可治；无嚏者为肺气已绝，不治。）
（汪 庵《医方集解》引张子和方） 吐疟痰。
稀涎散加甘草、常山、藜芦。
（汪 庵《医方集解》 治缠喉风痹，牙关紧闭。
前方去甘草、常山，加雄黄为末 鼻。（或以杜牛膝捣汁灌之）
甘草常山（散）吐疟痰，（常山善吐疟痰，得甘草则功更捷。）藜芦皂角白矾参。若除常
草雄黄入，（名如圣散）喉风痰壅此能探。（喉风胀急，汤水难进，必先吐去其痰，续进他药。
余友
（张介宾《新方八阵》 代瓜蒂、三圣之属。
萝卜子捣碎，以温汤和搅，取淡汤徐徐饮之，少顷即当吐出。即有吐不尽者，亦必从下
行矣。吐法新方最平稳，捣研卜子用宜生，温汤和搅徐徐饮，上越还能使下行。（按∶景岳
此方，凡邪实上焦，或痰或食，或气逆不通等证，皆可以此吐之，最为平稳。然恐未必即吐，
必以
(Zhu Zhenheng's *Fuyu of Danxi Xinfa*) For sudden stroke with phlegm misting the mind, use this medicine blown into the nasal cavity.
*Zaojiao* (Gleditsiae Fructus Spina) and *Xixin* (Asari Radix et Rhizoma) in equal parts, ground into powder and blown into the nose.
*Xixian San* (Thin Saliva Powder) consists of *Zaojiao* (Gleditsiae Fructus Spina) and *Baifan* (Alumen). Alternatively, add *Lilu* (Veratri Nigrum Rhizoma) to induce mild emesis. (Do not cause severe vomiting; stop once the throat is unblocked and the patient can take liquid medicine. If all phlegm is aggressively purged, body fluids will be depleted failing to nourish the sinews, leading to spasms, hemiplegia, and atrophy; this is a contraindication.) When wind-stroke causes phlegm to rise leading to dizziness and collapse, one should first administer this formula to open the orifices. (*Baifan* [Alumen] is sour and bitter, capable of inducing emesis and draining turbidity; its salty taste can soften stubborn phlegm. *Zaojiao* [Gleditsiae Fructus Spina] is pungent, opening orifices, and salty, removing filth; it specifically controls Wind-Liver. *Lilu* [Veratri Nigrum Rhizoma] expels wind-phlegm and effectively reaches the vertex, inducing sneezing. This is like a surprise troop breaching the gates. When wind pathogens invade and phlegm is abundant, use this first to induce expectoration of thin saliva, then proceed with other medications.)
*Tongguan San* (Orifice-Opening Powder) uses *Xixin* (Asari Radix et Rhizoma) and *Zaojiao* (Gleditsiae Fructus Spina); blowing it into the nose to induce sneezing ensures survival. (If sneezing occurs, the condition is treatable; if no sneezing occurs, Lung Qi is exhausted, which is untreatable.)
(Wang Ang's *Yifang Jijie*, citing Zhang Zihe's formula) To vomit out malaria phlegm.
Add *Gancao* (Glycyrrhizae Radix et Rhizoma), *Changshan* (Dichroae Radix), and *Lilu* (Veratri Nigrum Rhizoma) to *Xixian San* (Thin Saliva Powder).
(Wang Ang's *Yifang Jijie*) Treating Chanhou Feng (Entangling Throat Wind) with bi obstruction and locked jaw.
Remove *Gancao* (Glycyrrhizae Radix et Rhizoma) and *Changshan* (Dichroae Radix) from the previous formula, add *Xionghuang* (Realgar), grind into powder, and blow into the nose. (Alternatively, crush *Du Niuxi* [Achyranthis Bidentatae Radix] to extract juice and administer orally.)
The powder of *Gancao* (Glycyrrhizae Radix et Rhizoma) and *Changshan* (Dichroae Radix) vomits out malaria phlegm. (*Changshan* [Dichroae Radix] is effective in expelling malaria phlegm; combined with *Gancao* [Glycyrrhizae Radix et Rhizoma], its efficacy is more rapid.) *Lilu* (Veratri Nigrum Rhizoma), *Zaojiao* (Gleditsiae Fructus Spina), and *Baifan* (Alumen) are involved. If *Changshan* (Dichroae Radix) and *Gancao* (Glycyrrhizae Radix et Rhizoma) are removed and *Xionghuang* (Realgar) is added, (named *Rusheng San* [Like-Sage Powder]), it can induce emesis for throat wind with phlegm obstruction. (Throat wind presents with swelling and urgency, making it difficult to swallow liquids; one must first vomit out the phlegm, then proceed with other medications. My friend...)
(Zhang Jiebin's *Xin Fang Ba Zhen*) Substituting formulas such as *Gua Di Tang* (Melon Seed Decoction) and *San Sheng San* (Three Sage Powder).
Crush *Luobozi* (Raphani Semen), mix with warm water, stir, and slowly drink the clear decoction. After a short while, vomiting will occur. Even if some phlegm/food remains undischarged, it will likely move downward through the intestines. This new emetic formula is the most gentle. Crushing raw *Luobozi* (Raphani Semen) is suitable; mixing with warm water and drinking slowly allows upward expulsion while also guiding pathogens downward. (Note: Jingyue’s formula is suitable for any excess pathogen in the Upper Jiao, whether phlegm, food stagnation, or rebellious Qi causing obstruction. It is the safest method for emesis. However, there is a concern that it may not always induce immediate vomiting, requiring...)