（王隐君）
治实热老痰。怪证百病（风木太过，克制脾土，气不运化，积滞生痰，壅塞上中二焦，
回
青礞石（一两） 沉香（五钱） 大黄（酒蒸） 黄芩（八两。）先将礞石打碎，用朴
硝一两，
服之，姜汤送下。服后仰卧，令药在胸膈之间，除逐上焦痰滞，不宜饮水行动（昂按∶凡药
必先入胃，然后能分布于
若云膈药必须在膈，将
随下，故为利痰圣药。
此手足太阴、阳明药也。礞石剽悍之性，能攻陈积伏历之痰；大黄荡热去实，以开下行
之路
也。然乃峻剂，非体实者不可轻投（王隐君曰∶痰证古今未详，方书虽有五饮诸饮之异，而
究莫知
似疼
咯
或梦寐奇怪之状；或足腕酸软，腰背骨节卒痛；或四肢筋骨疼痛，难以名状，并无常处，以
致手臂麻痛，状如风湿；或脊上一条如线之寒起者；或浑身习习如卧芒刺者；或眼粘湿痒，
口糜、舌烂、喉痹等证；或绕项结核，状若瘰 ；或胸腹间如有二气交纽，噎息烦闷，有如
烟火上冲，头面烘热；或为失志癫痫；或中风瘫痪；或劳瘵荏苒之疾；或风毒香港脚；或心下
怔忡，如畏人捕；或喘嗽呕吐；或呕冷涎绿水黑汁；甚为肺痈、肠毒，便脓、挛跛；内外为
病百端，皆痰所致，其状不同，难以尽述，盖津液既凝为痰，不复周润三焦，故口燥咽干，
大便闭结，面如枯骨，毛发焦槁，妇人则因此月水不通，若能逐去败痰，自然服饵有效，余
用滚痰丸以愈诸疾，不可胜数，特相传于世云）。
本方加玄明粉一两，朱砂为衣∶治同。本方减大黄、黄芩各六两，加橘红、半夏各二两
，甘
名
（王隐君）
治疗实热老痰。各种怪异的病证（风木之气太过，克制脾土，导致气机不运化，积滞而生痰，壅塞在上焦和中焦）。
青礞石（一两）、沉香（五钱）、大黄（酒蒸制）、黄芩（八两）。先将青礞石打碎，用朴硝一两，同煅至烟尽。制成丸药服用，用姜汤送服。服药后仰卧，让药力停留在胸膈之间，以清除上焦的痰滞。不宜饮水或活动（汪昂按：凡药物必须先入胃，然后才能分布到全身。如果说治膈的药必须作用于膈，那么……随之下行，所以是利痰的圣药）。这是手足太阴、阳明经的药物。青礞石具有剽悍的性质，能攻逐陈旧的、潜伏的痰积；大黄荡涤热邪、去除实证，以开通下行的道路。然而这是峻猛的方剂，非体质强壮者不可轻易使用（王隐君说：痰证的记载古今都不详尽，方书中虽然有五饮、诸饮的区别，但终究不知道……似乎疼痛、咯吐、或者梦寐中奇怪的状况；或者足腕酸软，腰背骨节突然疼痛；或者四肢筋骨疼痛，难以形容，没有固定的部位，导致手臂麻木疼痛，状如风湿；或者脊背中间有一条像线一样的寒气升起；或者浑身感觉像卧在芒刺上一样；或者眼睛粘湿发痒，口舌糜烂、喉痹等证；或者颈部周围结核，状如瘰疬；或者胸腹间好像有两条气交结，噎阻气息烦闷，好像烟火上冲，头面烘热；或者成为失志癫痫；或者中风瘫痪；或者劳瘵缠绵之疾；或者风毒香港脚；或者心下怔忡，好像害怕被人追捕；或者喘嗽呕吐；或者呕出冷涎、绿水、黑汁；甚至成为肺痈、肠毒，大便脓血、挛缩跛行；内外致病百端，都是痰所致，其症状不同，难以全部叙述。大概津液凝结为痰后，不再周流滋润三焦，所以口燥咽干，大便闭结，面色像枯骨，毛发焦枯，妇女则因此月经不通。如果能逐去败痰，自然服药有效。我使用滚痰丸治愈了各种疾病，数不胜数，特意流传于世云）。
(Wang Yinjun)
Treats excess-heat old phlegm. Various strange diseases (Excessive Wood wind overacts on Spleen Earth, causing Qi transformation to fail, leading to stagnation and phlegm accumulation, obstructing the Upper and Middle Jiao).
Qingmengshi (Lapis Aurichalci, 1 liang), Chenxiang (Aquilariae Lignum Resinatum, 5 qian), Dahuang (Rhei Radix et Rhizoma, steamed with wine), Huangqin (Scutellariae Radix, 8 liang). First, crush Qingmengshi, and calcine it together with Puxiao (Natrii Sulfas, 1 liang) until smoke ceases. Form into pills. Take with ginger decoction. After taking the medicine, lie supine to allow the medicinal effect to remain in the chest and diaphragm, thereby clearing phlegm stagnation in the Upper Jiao. Avoid drinking water or moving about (Wang Ang notes: All medicines must first enter the Stomach before they can distribute throughout the body. If one claims that medicines for the diaphragm must act specifically on the diaphragm, then... descending with the downward flow, thus making it a holy medicine for promoting phlegm discharge). This is a formula for the Hand-Taiyin and Hand-Yangming meridians. Qingmengshi has a fierce nature capable of attacking chronic and latent phlegm accumulations; Dahuang sweeps away heat and removes excess, opening the pathway for downward drainage. However, this is a harsh formula and should not be lightly administered to those without strong constitutions (Wang Yinjun said: Phlegm syndromes have not been detailed in ancient or modern texts. Although formularies distinguish between Five Drinks and various types of fluid retention, the essence remains unknown... seemingly painful, expectoration, or strange states in dreams; or soreness and weakness in the ankles, sudden pain in the lower back and joints; or pain in the four limbs and bones/tendons, indescribable, with no fixed location, leading to numbness and pain in the arms, resembling Wind-Dampness; or a line-like cold sensation rising along the spine; or a prickling sensation all over the body as if lying on thorns; or sticky, wet, itchy eyes, mouth ulcers, tongue sores, throat bi-syndrome, etc.; or cervical lymphadenopathy resembling scrofula; or a sensation of two Qi streams knotting in the chest and abdomen, causing dyspnea and oppression, as if fire and smoke were rushing upward, with flushing of the head and face; or becoming manic-depressive epilepsy; or stroke-induced paralysis; or consumptive diseases lingering for a long time; or Hongkong foot (gout); or palpitations in the epigastrium, as if fearing capture by others; or wheezing, coughing, and vomiting; or vomiting cold saliva, green water, or black juice; even progressing to lung abscess, intestinal toxicity, purulent stools, contracture, and lameness; internal and external pathologies manifest in hundreds of ways, all caused by phlegm. The symptoms vary and cannot be fully described. Generally, when body fluids congeal into phlegm, they no longer circulate and moisten the Three Jiao, resulting in dry mouth and throat, constipation, a sallow complexion like dried bone, and scorched hair. In women, menstruation may cease due to this. If the foul phlegm can be expelled, natural efficacy from medication will follow. I have used Guntan Wan to cure countless diseases, which I specially transmit to the world).
Add Xuanmingfen (Mirabilite, 1 liang) to this formula, coated with Zhusha (Cinnabaris): treats the same conditions. Reduce Dahuang and Huangqin by 6 liang each from this formula, add Juhong (Citri Reticulatae Pericarpium Rubrum) and Banxia (Pinelliae Rhizoma Preparatum), each 2 liang, Gancao (Glycyrrhizae Radix et Rhizoma)... named...