或因热而生痰，或因痰而生热，交结不解，相助为疟。是以欲去其痰，必先清其热。昔
痰因火盛逆上者，治火为先也。其证咽喉干燥，或塞或壅，头目昏重，或咳吐稠粘，面目赤热。
洁古小黄丸
南星 半夏 黄芩（各一两）
上为末，姜汁浸蒸饼为丸，如桐子大，每五七十丸，生姜汤下，食后服。
二陈汤加黄芩、连翘、山栀、桔梗、薄荷亦佳。
《圣济》鹅梨煎丸 治热痰，凉心肺，利胸膈，解毒，补虚益气。
鹅梨（大者二十枚，去皮取汁） 皂夹（十条，去皮，水揉取汁） 生地黄（八两，捣取汁）
荷（生捣取汁） 白蜜（八两，同上汁熬成膏） 人参 白茯苓 半夏（各一两） 槟
榔（煨，三分） 青皮（去白，炒） 桔梗 甘草（炙，各三分）
上共为末，捣膏为丸，梧子大，荆芥汤下二十丸、日二。一方有木香、苁蓉、白蒺藜、
《圣济》千金散 治热痰壅盛，胸膈不利。
半夏（姜汁制） 蛤粉（各半两） 甘草 凝水石（三钱， ）
上共末，水下三钱，空心服，以利为度。一方有羌活。
肺虚阴涸，枯燥日至，气不化而成火，津以结而成痰，是不可以辛散，不可以燥夺。清
之则气自化，润之则痰自消。
杏仁煎 治燥痰在肺中，上气咳嗽，或心胸烦热。
杏仁（去皮尖，三两） 生姜汁 白蜜 饴糖（各一两半） 桑皮 贝母 木通（
各一两二钱半） 紫菀 五味（各一两）
上锉碎，用水三升，熬至半升，去滓，入前杏仁等四味，再熬成膏，每服一匕，含化。
一方有款冬、知母。一方有生地汁、紫苏子。
节斋化痰丸 治郁痰、老痰、胶固稠粘，难于咯唾。
天门冬 片芩（酒炒） 栝蒌仁 橘红 海石粉（各一两半） 香附（盐水炒） 芒
硝桔梗 连翘（各五钱） 青黛（二钱）
上为末，炼白蜜入姜汁少许，和丸樱桃大，细嚼一丸，清汤下。
Some cases arise from phlegm generated by heat, while others involve heat generated by phlegm; the two entangle each other and are difficult to resolve, mutually exacerbating symptoms resembling malaria (alternating chills and fever). Therefore, to eliminate phlegm, one must first clear the heat. In the past, it was held that when phlegm reverses upward due to excessive fire, treatment should prioritize clearing the fire. The manifestations include dryness of the throat, or a sensation of blockage and congestion, heaviness and dizziness of the head and eyes, coughing up thick and sticky sputum, and redness and heat in the face and eyes.
Jiegu Xiao Huang Wan (Clean Ancient Small Yellow Pill)
Tian Nan Xing (Arisaema Cum Bile), Ban Xia (Pinellia Rhizoma), Huang Qin (Scutellariae Radix) (each 1 liang)
Grind the above herbs into powder, soak steamed buns made from flour in ginger juice, and form pills the size of paulownia seeds. Take 50–70 pills per dose, administered after meals with ginger decoction.
Er Chen Tang (Two-Aged Decoction) added with Huang Qin (Scutellariae Radix), Lian Qiao (Forsythiae Fructus), Shan Zhi (Gardeniae Fructus), Jie Geng (Platycodonis Radix), and Bo He (Menthae Haplocalycis Herba) is also effective.
Shengji Zonglu E Li Jian Wan (Goose Pear Decoction Pills from the General Records of the Holy Relief): Treats hot phlegm; cools the heart and lungs, benefits the chest and diaphragm, detoxifies, tonifies deficiency, and boosts qi.
E Li (Goose Pear, 20 large ones, peeled for juice); Zao Jia (Gleditsiae Sinensis Fructus, 10 strips, peeled for juice via water rubbing); Sheng Di Huang (Rehmanniae Radix Recens, 8 liang, crushed for juice); He Ye (Nelumbinis Folium, crushed fresh for juice); Bai Mi (White Honey, 8 liang, boiled into paste with the aforementioned juices); Ren Shen (Ginseng Radix et Rhizoma); Bai Fu Ling (Poria); Ban Xia (Pinellia Rhizoma) (each 1 liang); Bing Lang (Arecae Semen, roasted, 3 qian); Qing Pi (Citri Reticulatae Pericarpium Viride, white pith removed, stir-fried); Jie Geng (Platycodonis Radix); Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 3 qian)
Grind all ingredients into powder, mix with the prepared paste to form pills the size of paulownia seeds. Take 20 pills per dose with Jing Jie Tang (Schizonepetae Herba Decoction), twice daily. Another version includes Mu Xiang (Aucklandiae Radix), Rong Rong (Cistanche Deserticolae Caulis), and Bai Ji Li (Tribuli Fructus).
Shengji Zonglu Qian Jin San (Thousand Gold Powder from the General Records of the Holy Relief): Treats severe accumulation of hot phlegm and discomfort in the chest and diaphragm.
Ban Xia (Pinellia Rhizoma, processed with ginger juice); Ge Fen (Concha Meretricis); Gan Cao (Glycyrrhizae Radix et Rhizoma); Ning Shui Shi (Alumen Rubrum, 3 qian, calcined)
Grind all ingredients into powder. Take 3 qian with water on an empty stomach, until bowel movement is achieved. Another version includes Qiang Huo (Notopterygii Rhizoma et Radix).
When the lung is deficient and yin fluids are exhausted, dryness increases daily; qi fails to transform normally, generating fire, and body fluids condense to form phlegm. In such cases, acrid dispersants should not be used, nor should desiccating agents be employed to forcibly remove the pathogen. Clearing heat allows qi to transform naturally; moistening ensures phlegm dissipates spontaneously.
Xing Ren Jian (Apricot Kernel Decoction): Treats dry phlegm in the lungs causing rebellious qi and cough, or irritability and heat in the chest and heart.
Xing Ren (Armeniacae Semen Amarum, skin and tip removed, 3 liang); Sheng Jiang Zhi (Fresh Ginger Juice); Bai Mi (White Honey); Yi Tang (Malt Sugar) (each 1.5 liang); Sang Bai Pi (Mori Cortex); Bei Mu (Fritillariae Bulbus); Mu Tong (Akebiae Caulis) (each 1.25 liang); Zi Wan (Asteris Radix); Wu Wei Zi (Schisandrae Chinensis Fructus) (each 1 liang)
Chop the herbs finely, add 3 sheng of water, and boil down to 0.5 sheng. Strain out the dregs, then add the four aforementioned ingredients (Apricot Kernel, Ginger Juice, White Honey, Malt Sugar) and boil again into a paste. Take one bi (measure) per dose, holding it in the mouth to dissolve slowly. Another version includes Kuan Dong Hua (Farfarae Flos) and Zhi Mu (Anemarrhenae Rhizoma). Another version includes Sheng Di Huang Zhi (Rehmanniae Radix Recens Juice) and Zi Su Zi (Perillae Fructus).
Jie Zai Hua Tan Wan (Jie Zai Phlegm-Resolving Pill): Treats stagnant phlegm, old phlegm, and tenacious, sticky phlegm that is difficult to expectorate.
Tian Men Dong (Asparagi Radix); Pian Qin (Scutellariae Radix, wine-fried); Gua Lou Ren (Trichosanthis Semen); Ju Hong (Citri Reticulatae Pericarpium); Hai Shi Fen (Calcitrum); Xiang Fu (Cyperi Rhizoma, salt-water fried); Mang Xiao (Natrii Sulfas); Jie Geng (Platycodonis Radix); Lian Qiao (Forsythiae Fructus) (each 5 qian); Qing Dai (Indigo Naturalis, 2 qian)
Grind all ingredients into powder. Mix with refined white honey and a small amount of ginger juice to form pills the size of cherries. Chew one pill thoroughly and swallow with clear water.