治风痰不下, 喉中声如牵锯, 或中湿肿满.
半夏 ( 大者 ) 十四枚 猪牙皂角 ( 炙 ) 一挺 甘草一钱 白矾二
钱,右四味为末, 用生姜自然汁少许, 冲温水一盏, 调末一钱, 灌之
,得吐痰涎, 即醒.
【集注】柯琴曰: 攻邪有汗, 吐, 下三法, 仲景于吐剂立栀子豉, 瓜
蒂二方, 所以导热邪之上出, 逐寒邪而外散也. 其有不因外感, 因醇
酒厚味渐积, 凝结变为顽痰, 一旦乘虚上塞咽喉, 气不得通, 忽然昏
仆,目反直视, 喉中声如牵锯, 此为痰厥. 先辈所云: 怪证多属于痰
者,此也. 非用峻药以攻之, 顽痰不能遽退, 故用生姜, 半夏之辛以
散之, 甘草之甘以涌之, 白矾之涩以敛之, 牙皂之勇以开之. 此斩关
夺门之势, 惟禀气素实而暂虚者可用, 壅塞稍疏, 续进他药, 不可多
用以伤元气. 如平素虚弱者, 又当攻补兼施, 六君子汤中加牙皂, 白
矾末以吐之, 则庶几矣. 若误作中风治之, 去生便远.
治风寒客胃, 口眼喎斜, 恶见风寒, 四肢拘急, 脉浮而紧.
升麻 葛根 秦艽 白芷 防风 桂枝 甘草 人参 芍药 葱白,
右十味, 水煎服.
【集注】李中梓曰: 王哉坤元! 为五脏之主. 木胜风淫, 则仓廪之官
受制, 脾主四肢, 故痿痹也. 口为土之外候, 眼为木之外候, 故俱病
也.升麻, 白芷皆阳明本药, 故用为直入之兵. 桂枝, 芍药和其营卫
,防风, 奏艽驱散风邪, 葱根佐风药发汗, 则无微不达, 又藉人参 ,
甘草补而和之, 则大气周流, 而邪气有不散者乎!
治疗风痰阻滞无法下行，喉中发出像拉锯一样的声音，或者因中湿邪导致身体肿胀胀满。
半夏（大的）十四枚 猪牙皂角（炙烤）一挺 甘草一钱 白矾二钱，以上四味药研成细末，用生姜自然汁少许，冲入温水一盏，调取药末一钱，灌服患者，若能吐出痰涎，患者即可苏醒。
【集注】柯琴说：祛除邪气有汗、吐、下三种治法，张仲景在吐剂中设立了栀子豉汤和瓜蒂散两个方子，以此来引导热邪从上而出，驱逐寒邪向外消散。那些不是由外感引起的，而是因为长期饮用醇酒、食用厚味食物逐渐积累，凝结变成顽固的痰浊，一旦乘人体虚弱之时向上堵塞咽喉，气机不通，突然昏倒，眼睛上翻直视，喉中发出像拉锯一样的声音，这叫做痰厥。前辈所说的“怪病多属于痰”，指的就是这种情况。不用峻猛的药物来攻逐它，顽固的痰浊不能迅速消退，所以用生姜、半夏的辛味来发散它，用甘草的甘味来催吐它，用白矾的涩味来收敛它，用猪牙皂角的猛烈之性来开通闭塞。这是具有斩关夺门般气势的治法，只适用于平素体质壮实而暂时出现虚象的人，当壅塞稍微疏通后，再续用其他药物，不可多用以免损伤元气。如果平素就虚弱的人，应当攻补兼施，在六君子汤中加入猪牙皂角、白矾的细末来催吐，那就差不多了。如果误当作中风来治疗，离死亡就不远了。
治疗风寒客居于胃腑，口眼歪斜，害怕见到风和寒冷，四肢拘挛紧急，脉象浮而紧。
升麻 葛根 秦艽 白芷 防风 桂枝 甘草 人参 芍药 葱白，以上十味药，用水煎煮后服用。
【集注】李中梓说：伟大啊！脾胃是五脏的主宰。木气过胜导致风邪淫溢，则作为仓廪之官的脾胃受到制约，脾主四肢，所以会出现痿软痹阻的症状。口是脾土的外候，眼是肝木的外候，所以都会发病。升麻、白芷都是阳明经的本经药物，所以用作直入病所的先锋。桂枝、芍药调和营卫，防风、秦艽驱散风邪，葱白辅助风药发汗，则无处不到，又借助人参、甘草来补益和中，那么大气周流全身，邪气难道还有不散去的吗！
Treats wind-phlegm obstructing and failing to descend, with a sound in the throat like sawing, or swelling and fullness due to dampness invasion.
Banxia (Pinelliae Rhizoma) [large ones] 14 pieces; Zhuya Zaojiao (Gleditsiae Sinensis Fructus cum Spina) [roasted] 1 stalk; Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian; Baifan (Alumen) 2 qian. The above four ingredients are ground into powder. Take a small amount of fresh juice from Shengjiang (Zingiberis Rhizoma Recens), mix it with one zhan of warm water, add one qian of the powder, and administer by gavage. If phlegm and saliva are vomited out, the patient will regain consciousness.
[Collected Notes] Ke Qin stated: There are three methods for expelling pathogenic factors: sweating, vomiting, and purging. Zhang Zhongjing established two formulas for vomiting—Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) and Gouti San (Melon Seed Powder)—to guide heat pathogens upward and outward, and to drive cold pathogens away. Cases not caused by external contraction but resulting from the gradual accumulation of rich wine and heavy flavors, which condense into stubborn phlegm, can suddenly block the throat when taking advantage of deficiency. Qi fails to circulate, leading to sudden collapse, eyes rolling back and staring straight, and a sawing sound in the throat; this is called Tan Jue (Phlegm Syncope). As predecessors said, "strange diseases often belong to phlegm," referring to this condition. Without using harsh medicines to attack it, stubborn phlegm cannot be quickly eliminated. Therefore, the pungency of Shengjiang (Zingiberis Rhizoma Recens) and Banxia (Pinelliae Rhizoma) is used to disperse it; the sweetness of Gancao (Glycyrrhizae Radix et Rhizoma) is used to induce vomiting; the astringency of Baifan (Alumen) is used to consolidate it; and the勇 (courage/potency) of Zhuya Zaojiao (Gleditsiae Sinensis Fructus cum Spina) is used to open obstructions. This has the momentum of breaking through gates and seizing doors. It is only suitable for those whose constitution is generally solid but temporarily deficient. Once the obstruction is slightly relieved, other medicines should be continued; excessive use should be avoided to prevent damaging Yuan Qi (Primordial Qi). For those who are weak in their usual state, both attacking and tonifying should be combined. Adding powder of Zhuya Zaojiao (Gleditsiae Sinensis Fructus cum Spina) and Baifan (Alumen) to Liujunzi Tang (Six Gentlemen Decoction) to induce vomiting would be appropriate. If mistakenly treated as Fengzhong (Wind Stroke), life will be far away.
Treats Wind-Cold lodging in the Stomach, presenting with deviation of the mouth and eye, aversion to wind and cold, stiffness and spasm of the four limbs, and a floating and tight pulse.
Shengma (Cimicifugae Rhizoma); Gegen (Puerariae Lobatae Radix); Qinjiao (Gentianae Macrophyllae Radix); Baizhi (Angelicae Dahuricae Radix); Fangfeng (Saposhnikoviae Radix); Guizhi (Cinnamomi Ramulus); Gancao (Glycyrrhizae Radix et Rhizoma); Renshen (Panacis Ginseng Radix); Shaoyao (Paeoniae Radix); Congbai (Allii Fistulosi Bulbus). The above ten ingredients are decocted in water and taken orally.
[Collected Notes] Li Zhongzi stated: Great indeed! Pi Wei (Spleen and Stomach) serves as the master of the five Zang organs. When Wood excess causes Wind pathogen to overflow, the official responsible for granaries (Spleen/Stomach) is constrained. Since the Spleen governs the four limbs, flaccidity and bi-syndrome occur. The mouth is the external manifestation of Earth (Spleen), and the eyes are the external manifestation of Wood (Liver); thus, both are affected. Shengma (Cimicifugae Rhizoma) and Baizhi (Angelicae Dahuricae Radix) are herbs specific to the Yangming channel, so they are used as troops entering directly. Guizhi (Cinnamomi Ramulus) and Shaoyao (Paeoniae Radix) harmonize Ying (Nutrient) and Wei (Defensive) qi; Fangfeng (Saposhnikoviae Radix) and Qinjiao (Gentianae Macrophyllae Radix) disperse wind pathogens; Congbai (Allii Fistulosi Bulbus) assists wind-dispelling herbs in inducing sweating, ensuring no area is left unpenetrated. Furthermore, relying on Renshen (Panacis Ginseng Radix) and Gancao (Glycyrrhizae Radix et Rhizoma) to tonify and harmonize allows Da Qi (Great Qi) to circulate throughout the body, leaving no room for pathogenic factors to remain!