（《指迷方》）
治痰停中脘，两臂疼痛（饮伏于内，停滞中脘，脾主四肢，脾滞而气不下，故上行攻臂，
其脉沉细者是也）。
半夏曲（二两） 茯苓（一两，乳拌） 枳壳（五钱，麸炒） 风化硝（二钱半。如
一时未易成，但以朴硝撒于盘中，少时成水，置当风处即干，如芒硝，刮取亦可用）。姜汁
糊丸，姜汤下。
此足太阴、阳明药也。半夏燥湿，茯苓渗水，枳壳行气，化硝软坚去坚痰，生姜制半夏
之毒而除痰，使痰行气通，臂痛自止矣（喻嘉言曰∶痰药虽多，此方甚效。痰饮流入四肢，
令人肩背酸痛，两手罢软，误以为风，则非其治，宜导痰汤加木香、姜黄各五分，轻者指迷
茯苓丸
（一名妙应丸。《三因方》）
治人忽患胸背手足腰项筋骨牵引灼痛，走易不定；或手足冷痹，气脉不通；此乃痰涎在
胸膈上下，误认瘫痪，非也。
甘遂（去心） 大戟（去皮） 白芥子，等分。为末，糊丸。临卧姜汤服五七丸至十丸，
痰
甲、延胡索
此手足太阳、太阴药也（十枣汤加减，行水例药，亦厉剂）。李时珍曰∶痰涎为物，随
气升降，无处不到，入心则迷成癫痫，入肺则塞窍为喘咳背冷，入肝则膈痛干呕、寒热往来；
入经络则麻痹疼痛，入筋骨则牵引灼痛，入皮肉则瘰 痈疽，陈无择《三因方》并以控涎丹
主之，殊有奇效。此乃治痰之本，痰之本，水也、湿也，得气与火，则结为痰，大戟能泄脏
腑水湿，甘遂能行经隧水湿（直达水气所结之处），以攻决为用，白芥子能散皮里膜外痰气，
唯善用者
（出自《指迷方》）
治疗痰饮停滞于中脘，导致两臂疼痛（这是因为水饮潜伏体内，停滞在中脘部位。脾脏主管四肢，脾脏气机阻滞导致气不能下行，反而上行攻冲手臂，其脉象表现为沉细的即是此证）。
半夏曲（二两），茯苓（一两，用乳汁拌炒），枳壳（五钱，用麦麸炒），风化硝（二钱半。如果一时难以制成风化硝，可以将朴硝撒在盘中，稍等片刻化成水，放在通风处使其干燥，形成类似芒硝的结晶，刮取下来也可以使用）。用姜汁调糊制成丸药，用姜汤送服。
这是足太阴脾经和足阳明胃经的药物。半夏燥湿，茯苓渗利水湿，枳壳行气，风化硝软化坚硬之痰并去除坚痰，生姜制约半夏的毒性并消除痰浊，使得痰浊运行、气机通畅，手臂疼痛自然停止。（喻嘉言说：治痰的药物虽然很多，但此方非常有效。痰饮流入四肢，使人肩背酸痛，两手软弱无力，如果误认为是风邪，就不是正确的治疗方法，应该使用导痰汤加入木香、姜黄各五分；病情较轻的，使用指迷茯苓丸。）
（又名妙应丸。出自《三因方》）
治疗人们突然患胸背、手足、腰项筋骨牵引灼痛，疼痛位置游走不定；或者手足寒冷麻木，气脉不通；这是因为痰涎停留在胸膈上下，误认为是瘫痪，其实不是。
甘遂（去掉心），大戟（去掉皮），白芥子，三者等分。研成粉末，用糊剂制成丸药。临睡前用姜汤服用五到七丸，最多十丸。
甲、延胡索
这是手足太阳经和手足太阴经的药物（由十枣汤加减而来，属于行水的常规药物，也是峻猛之剂）。李时珍说：痰涎这种东西，随着气机的升降而流动，无处不到。进入心脏则迷惑神志形成癫痫，进入肺脏则堵塞窍道导致喘咳、背部发冷，进入肝脏则导致膈部疼痛、干呕、寒热往来；进入经络则导致麻痹疼痛，进入筋骨则导致牵引灼痛，进入皮肉则导致瘰疬、痈疽。陈无择在《三因方》中都用控涎丹来主治，确实有奇效。这是治疗痰的根本方法。痰的根本，是水湿，遇到气和火，就凝结成痰。大戟能泄除脏腑中的水湿，甘遂能通行经络隧道中的水湿（直达水气凝结之处），以攻破决断为作用；白芥子能消散皮里膜外的痰气，只有善于使用的人……
(From *Zhi Mi Fang*)
Treats phlegm-fluid retention in the Middle Jiao (Middle Burner), causing pain in both arms (This is because water-fluids are latent within, stagnating in the Middle Jiao. The Spleen governs the four limbs; when Spleen Qi stagnates and fails to descend, it attacks the arms upwards. The pulse presenting as deep and fine indicates this condition).
Banxia Qu (Prepared Pinellia Paste) (2 liang), Fuling (Poria) (1 liang, mixed with milk and stir-fried), Zhike (Bitter Orange Fruit) (5 qian, stir-fried with bran), Fenghua Xiao (Weathered Mirabilite) (2.5 qian. If weathered mirabilite is difficult to prepare at once, one may sprinkle Puxiao (Mirabilite) on a plate, wait until it dissolves into water, place it in a windy spot to dry, forming crystals similar to Mangxiao (Mirabilite Prunatum), which can be scraped off for use). Form pills with ginger juice paste, take with ginger decoction.
These are herbs acting on the Foot-Taiyin (Spleen) and Foot-Yangming (Stomach) meridians. Banxia dries dampness, Fuling leaches out water, Zhike moves Qi, Fenghua Xiao softens hardness and removes tough phlegm, Shengjiang (Fresh Ginger) counteracts the toxicity of Banxia and eliminates phlegm, allowing phlegm to move and Qi to flow freely, thus arm pain ceases naturally. (Yu Jiayan said: Although there are many drugs for treating phlegm, this formula is very effective. When phlegm-fluid flows into the four limbs, it causes soreness and pain in the shoulders and back, and weakness in the hands. If mistaken for Wind pathogen, the treatment would be incorrect. One should use Daotan Tang (Great Phlegm-Resolving Decoction) added with Muxiang (Aucklandiae Radix) and Jianghuang (Curcumae Longae Rhizoma), each 5 fen; for mild cases, use Zhimi Fuling Wan.)
(Also known as Miaoying Wan. From *San Yin Fang*)
Treats sudden onset of pulling and burning pain in the chest, back, hands, feet, waist, neck, and joints, with pain migrating unpredictably; or cold numbness in hands and feet, and obstruction of Qi and pulses. This is due to phlegm-saliva residing above and below the chest and diaphragm. Mistaking it for paralysis is incorrect.
Gansui (Core removed), Daji (Periderm removed), Baijiez (White Mustard Seed), in equal proportions. Grind into powder, form pills with paste. Take 5 to 7 pills, up to 10 pills, with ginger decoction before going to bed.
Jia, Yanhusuo
These are herbs acting on the Hand-Foot Taiyang and Hand-Foot Taiyin meridians (Modified from Shizao Tang, following the principle of moving water, yet it is a harsh agent). Li Shizhen said: Phlegm-saliva is a substance that ascends and descends with Qi, reaching everywhere. Entering the Heart, it confuses the spirit causing epilepsy; entering the Lung, it blocks orifices causing wheezing, coughing, and coldness in the back; entering the Liver, it causes epigastric pain, dry heaving, and alternating chills and fever; entering the collaterals, it causes numbness and pain; entering the sinews and bones, it causes pulling and burning pain; entering the skin and flesh, it causes scrofula and carbuncles. Chen Wuzhe in *San Yin Fang* uses Kongxian Dan (Phlegm-Saliva Controlling Elixir) as the primary treatment for all these, achieving remarkable effects. This is the fundamental method for treating phlegm. The root of phlegm is water and dampness; encountering Qi and Fire, it condenses into phlegm. Daji can drain water-dampness from the Zang-Fu organs, Gansui can circulate water-dampness through the meridians and vessels (reaching directly where water-Qi has condensed), using attack and resolution as its function; Baijiez can dissipate phlegm-Qi in the subcutaneous tissue and membranes. Only those who skillfully use...