甘遂（面裹煨） 大戟（拌湿炒） 芫花（各半两，炒） 轻粉（一分） 大黄（一两）
黑丑（
二两，取头末）
前药为末，滴水为丸，如小豆大。初服五丸，每服加五丸，温水下，日三服，以利为度
。服后痞闷极甚者，此痰涎壅塞，顿攻不开，转加痛闷，即初服三丸，每加二丸，至快利即
止。
痰饮变生诸病，风热郁燥，肢体麻痹，走注疼痛，痰嗽，气血壅滞，不得宣通，人壮气
实者，此方主之。
甘遂能达痰涎窠匿之处，大戟、芫花能下十二经之饮，黑丑亦逐饮之物，大黄乃推荡之
剂，佐以轻粉者，取其无窍不入，且逐风痰积热，而解诸药之辛烈耳。此大毒类聚为丸，善
用之，则能定祸乱于升平；不善用之，则虚人真气。慎之。
叙曰∶膈有胶固之痰，外有非时之感，内有壅塞之气，然后令人哮喘。能温之、汗之、
吐之，皆是良法。若逡巡调理，则虚喘宜之；人而羸瘦气弱，则宜灸其背 。今考古方七首，
而
麻黄（去节，三钱） 桂枝（洗净，二钱） 杏仁（去皮尖，七枚） 甘草（一钱）
肺部原有风痰，背 复感寒邪而成哮喘者，此方主之。
背 者，背间之 穴，主输脏气者也。一受风寒，则脏气为寒邪所闭，不得宣越，故作
哮喘。麻黄之辛，能开腠散寒；桂枝之温，能解肌疏表；杏仁微辛，入肺利气；甘草甘平，
调中发散。
甘遂（用面粉包裹后煨制） 大戟（拌湿后炒制） 芫花（各半两，炒制） 轻粉（一分） 大黄（一两）
黑丑（二两，取头末）
将上述药物研为细末，滴入清水制成丸药，大小如小豆。初次服用五丸，每次增加五丸，用温水送服，每日三次，以大便通畅为度。服药后若出现极度痞闷的症状，这是因为痰涎壅塞，猛烈攻逐未能开通，反而加重了疼痛和闷胀感，此时应改为初次服用三丸，每次增加二丸，直到大便畅快即停止。
痰饮变生各种疾病，风热郁结燥化，导致肢体麻痹，游走性疼痛，痰嗽，气血壅滞，不能宣通，身体强壮、正气充足的人，此方主治。
甘遂能到达痰涎潜伏的深处，大戟、芫花能泻除十二经中的饮邪，黑丑也是逐饮的药物，大黄是推荡积滞的药剂，佐以轻粉，是因为它无孔不入，且能驱逐风痰积热，并缓解其他药物的辛烈之性。这是大毒类药物聚集制成的丸剂，善于使用它，就能在动荡中平定祸乱；不善于使用它，就会损伤虚弱之人的真气。务必谨慎。
叙述说：膈间有胶固难化的痰，外有非时节的感受，内有壅塞的气，然后才使人患哮喘。能够温散、发汗、涌吐的方法，都是良法。如果犹豫不决进行调理，则适用于虚喘；人如果羸瘦气弱，则适宜灸治背部的腧穴。如今考证古方七首，而
麻黄（去节，三钱） 桂枝（洗净，二钱） 杏仁（去皮尖，七枚） 甘草（一钱）
肺部原有风痰，背部又感受寒邪而成为哮喘的，此方主治。
“背”者，是指背部的腧穴，主要输注脏腑之气。一旦受到风寒侵袭，则脏腑之气被寒邪闭阻，不能宣发越出，所以发生哮喘。麻黄的辛味，能开泄腠理散发寒邪；桂枝的温性，能解肌疏表；杏仁微辛，入肺利气；甘草甘平，调和中焦发散。
Gansui (Radix Kansui, wrapped in flour and roasted) Daji (Radix Euphorbiae Pekinensis, mixed with moisture and stir-fried) Yuanhua (Flos Genkwa, each half tael, stir-fried) Qingfen (Calomelas, one fen) Dahuang (Radix et Rhizoma Rhei, one tael)
Heiqiu (Fructus Cassiae Tora, two taels, take the first powder)
Grind the above medicines into fine powder, add drops of water to form pills, sized like small beans. Initially take five pills, increase by five pills per dose, swallow with warm water, three times a day, stop when bowel movement is unobstructed. If extreme chest fullness and oppression occur after taking the medicine, this is due to phlegm-fluid obstructing the orifices; the violent attack fails to open them, exacerbating pain and oppression. In this case, start with three pills initially, increase by two pills per dose, and stop once smooth bowel movement is achieved.
When phlegm-fluid generates various diseases, wind-heat stagnates and dries, causing limb numbness, wandering pain, phlegmatic cough, qi-blood stagnation, and inability to circulate freely, this formula is indicated for those who are robust and have strong healthy qi.
Gansui can reach places where phlegm-fluid hides; Daji and Yuanhua can drain fluid from the twelve meridians; Heiqiu is also a drug that expels fluid; Dahuang is an agent that pushes away accumulation. The addition of Qingfen is because it penetrates every orifice, expels wind-phlegm and accumulated heat, and mitigates the acrid and harsh nature of other drugs. This pill gathers highly toxic substances; if used skillfully, it can quell chaos and restore peace; if misused, it will deplete the true qi of weak individuals. Be cautious.
Narrative: When there is stubborn phlegm in the diaphragm, external pathogenic factors from improper seasons, and internal obstructed qi, asthma results. Methods such as warming, sweating, and vomiting are all good approaches. If one hesitates and merely regulates, it suits deficiency-type asthma; if the person is emaciated and qi-deficient, moxibustion on the back shu points is suitable. Now examining seven ancient formulas, but
Mahuang (Herba Ephedrae, remove joints, three qian) Guizhi (Ramulus Cinnamomi, wash clean, two qian) Xingren (Semen Armeniacae Amarum, remove skin and tips, seven seeds) Gancao (Radix et Rhizoma Glycyrrhizae, one qian)
For asthma caused by original wind-phlegm in the lungs combined with cold-pathogen invasion of the back, this formula is indicated.
"Back" refers to the back shu points, which primarily transport the qi of the zang organs. Once invaded by wind-cold, the organ qi is closed by the cold-pathogen and cannot circulate outward, thus causing asthma. The acridity of Mahuang can open the couli and disperse cold; the warmth of Guizhi can resolve the muscle layer and vent the exterior; Xingren is slightly acrid, enters the lungs, and promotes qi flow; Gancao is sweet and neutral, harmonizes the middle jiao and aids dispersion.