病源支饮，谓水饮停于胸膈之间支乘于心，故云支饮，其病令人咳逆喘息，身体如肿之
状谓之支饮。（出第二十卷中）
深师疗心下有支饮，其人喜眩，（一作苦冒）泽泻汤方。
白术（二两） 泽泻（五两）
上二味切，以水二升，煮取一升，又以水一升，煮取五合，合此二汁，分为再服。忌桃
李雀肉等。（此本仲景伤寒论方）
千金疗支饮不得息，葶苈大枣泻肺汤方。
葶苈子（熬令紫色捣为丸如弹丸大） 大枣（十二枚）
上二味，先以水三升煮大枣，得汁二升，纳葶苈，煎取一升，顿服三日一剂，可服三四
剂。（此本仲景伤寒论方）
又呕家不渴者为欲解，本渴今反不渴，心下有支饮故也，小半夏汤主之，加茯苓者是也
，先渴却呕，此为水停心下，小半夏加茯苓汤主之，卒呕吐，心下痞，膈间有水，目眩悸，
小半夏加茯苓汤方。
半夏（二斗） 生姜（半斤） 茯苓（四两）
上三味切，以水七升，煮取一升五合，分再服。忌羊肉饧大醋。（仲景伤寒论茯苓三两
余并同）
又假令瘦人脐下有悸者，吐涎沫而癫眩，水也，五苓散主之方。
猪苓（去皮） 白术 茯苓（各三分） 桂心（去皮二分） 泽泻（五分）
上五味下筛，水服方寸匕，日三，多饮水汗出愈。忌桃李雀肉生葱醋物等。（此本仲景
伤寒论方）
又心下有痰饮，胸胁支满，目眩，甘草汤主之方。
甘草（二两炙） 桂心 白术（各三两） 茯苓（四两）
上四味细切，以水六升，煮取三升，去滓，服一升，日三，小盒饭利。忌海藻菘菜生葱
桃李醋物等。（此本仲景伤寒论方）
又夫酒客咳者，必致吐血，此坐以极饮过多所致也，其脉虚者必冒，其人本有支饮在
胸中也，支饮胸满，浓朴大黄汤主之方。
浓朴（一两炙） 大黄（六两） 枳实（四两炙）
上三味细切，以水五升，煮取二升，去滓，分温再服之。（此本仲景伤寒论方）
又夫上气汗出而咳者，此为饮也，干枣汤主之，若下后不可与也，干枣汤主肿，及支满
饮方。
大黄 大戟（各一两） 芫花（炒） 荛花（各半两） 甘草（炙） 甘遂 黄芩（各
一两） 干
枣（十枚）
上八味切，以水五升，煮取一升六合，分四服，空心服，以快下为佳。忌海藻菘菜。
又膈间支饮，其人喘满，心下痞坚，面黧黑，其脉沉紧，得之数十日，医吐下之不愈，
木防己汤主之方。
木防己（三两） 石膏（鸡子大三枚） 桂心（二两） 人参（四两切）
上四味，以水四升，煮取二升，去滓，分再服，虚者即愈，实者三日复发，则复与，不
愈者，宜去石膏，加茯苓芒硝汤方。
木防己（三两） 桂心（二两） 人参 茯苓（各四两） 芒硝（三合）
上五味，以水六升，煮四味取二升，去滓，内芒硝，分温再服，取微下利则愈。忌生葱
。（此本仲景伤寒论方深师同并出第十八卷中）
病源支饮，是指水饮停滞在胸膈之间，支撑并侵犯心脏，所以称为支饮。这种病症使人咳嗽气逆、喘息，身体呈现出像水肿一样的状态，这就叫做支饮。（出自第二十卷中）
深师方治疗心下有支饮，患者喜欢头晕目眩（另一种说法是痛苦于头重昏蒙），用泽泻汤方。
白术（二两） 泽泻（五两）
以上两味药切碎，用水二升，煮取一升药液；再用另一升水，煮取五合药液。将这两次煎出的药汁合并，分两次服用。忌食桃、李、雀肉等食物。（此方原本出自张仲景《伤寒论》）
《千金方》治疗支饮导致呼吸困难的，用葶苈大枣泻肺汤方。
葶苈子（炒至紫色，捣碎制成如弹丸大小的药丸） 大枣（十二枚）
以上两味药，先用水三升煮大枣，取得二升汁液后，加入葶苈子，再煎取一升药液，一次性服下。三天使用一剂，可以服用三四剂。（此方原本出自张仲景《伤寒论》）
另外，呕吐的人如果不觉得口渴，说明病情将要解除；本来觉得口渴现在反而不渴了，是因为心下有支饮的缘故，用小半夏汤主治；如果加上茯苓的，就是小半夏加茯苓汤。先觉得口渴随后发生呕吐，这是因为水停聚在心下，用小半夏加茯苓汤主治。突然呕吐，心下痞塞，膈间有水气，头晕目眩且心悸，也用小半夏加茯苓汤方。
半夏（二斗） 生姜（半斤） 茯苓（四两）
以上三味药切碎，用水七升，煮取一升五合，分两次服用。忌食羊肉、饴糖、大醋。（张仲景《伤寒论》中茯苓为三两，其余相同）
另外，假如瘦人脐下有跳动感，吐涎沫并且发生癫狂眩晕，这是水饮作祟，用五苓散主治方。
猪苓（去皮） 白术 茯苓（各三分） 桂心（去皮二分） 泽泻（五分）
以上五味药研成细末，每次用水送服一方寸匕的药粉，每天三次，多喝水使汗出则痊愈。忌食桃、李、雀肉、生葱、醋物等。（此方原本出自张仲景《伤寒论》）
另外，心下有痰饮，胸胁部支撑胀满，头晕目眩，用甘草汤主治方。
甘草（二两，炙） 桂心 白术（各三两） 茯苓（四两）
以上四味药细细切碎，用水六升，煮取三升，去掉药渣，每次服用一升，每天三次，小便应当通利。忌食海藻、菘菜、生葱、桃、李、醋物等。（此方原本出自张仲景《伤寒论》）
另外，嗜酒之人咳嗽，必然会导致吐血，这是由于过度饮酒所致。其脉象虚弱的必定会头晕目眩，因为此人胸中本来就有支饮。支饮导致胸满，用浓朴大黄汤主治方。
浓朴（一两，炙） 大黄（六两） 枳实（四两，炙）
以上三味药细细切碎，用水五升，煮取二升，去掉药渣，分两次温服。（此方原本出自张仲景《伤寒论》）
另外，气逆上冲、出汗且咳嗽的，这是饮邪作祟，用干枣汤主治；如果是经过攻下治疗后出现的，不可给予此方。干枣汤也主治肿胀，以及支满饮方。
大黄 大戟（各一两） 芫花（炒制） 荛花（各半两） 甘草（炙制） 甘遂 黄芩（各一两） 干枣（十枚）
以上八味药切碎，用水五升，煮取一升六合，分四次服用，空腹服用，以大便通畅顺畅为佳。忌食海藻、菘菜。
另外，膈间有支饮，患者气喘胸闷，心下痞硬，面色黧黑，脉象沉紧，得病几十天了，医生用吐法和下法治疗都没有痊愈，用木防己汤主治方。
木防己（三两） 石膏（如鸡蛋大三块） 桂心（二两） 人参（四两，切碎）
以上四味药，用水四升，煮取二升，去掉药渣，分两次服用。体质虚弱者服药后即愈，体质实者三天后复发，则再次给予此方；如果仍不愈的，适宜去掉石膏，加上茯苓和芒硝，即去石膏加茯苓芒硝汤方。
木防己（三两） 桂心（二两） 人参 茯苓（各四两） 芒硝（三合）
以上五味药，用水六升，先煮前四味药取二升，去掉药渣，加入芒硝，分两次温服，取得轻微腹泻的效果则痊愈。忌食生葱。（此方原本出自张仲景《伤寒论》，深师方相同，均出自第十八卷中）
The etiology of *Zhi Yin* (Branching Fluid Retention) refers to fluid retention stagnating between the chest and diaphragm, supporting and invading the Heart, hence it is called *Zhi Yin*. This condition causes coughing with counterflow qi, panting, and a body appearance resembling edema; this is termed *Zhi Yin*. (From Volume 20)
Shen Shi's formula treats *Zhi Yin* under the Heart, where the patient experiences frequent dizziness (or alternatively, suffering from heavy-headedness), using Zexie Tang (Alisma Decoction).
Baizhu (Atractylodis Rhizoma, 2 liang) Zexie (Alismatis Rhizoma, 5 liang)
Cut the above two ingredients. Boil in 2 sheng of water to obtain 1 sheng of decoction. Then boil again with 1 sheng of water to obtain 5 he of decoction. Combine these two juices and divide into two doses. Avoid peaches, plums, sparrow meat, etc. (This formula originally comes from Zhang Zhongjing's Shanghan Lun).
Qianjin Fang treats *Zhi Yin* causing difficulty in breathing, using Tingli Dazao Xiefei Tang (Descurainia Seed and Jujube Decoction to Drain the Lungs).
Tinglizi (Descurainiae Semen Lepidii Semum, roasted until purple, pounded into pills the size of a bullet) Dazao (Jujubae Fructus, 12 pieces)
Take the above two ingredients. First, boil the Jujubes in 3 sheng of water to obtain 2 sheng of juice. Add Descurainia seeds, and simmer to obtain 1 sheng of decoction. Take all at once. One dose lasts three days; it can be taken for three to four doses. (This formula originally comes from Zhang Zhongjing's Shanghan Lun).
Furthermore, if a vomiting patient does not feel thirsty, it indicates the condition is about to resolve. If they were previously thirsty but now are not, it is because there is *Zhi Yin* under the Heart; Xiaobanxia Tang (Minor Pinellia Decoction) is the primary treatment. If Fu Ling (Poria) is added, it becomes Xiaobanxia Jia Fuling Tang (Minor Pinellia and Poria Decoction). If one feels thirsty first and then vomits, this is due to water stagnation under the Heart; Xiaobanxia Jia Fuling Tang (Minor Pinellia and Poria Decoction) is the primary treatment. For sudden vomiting, epigastric fullness and obstruction, water in the intercostal space, dizziness, and palpitations, Xiaobanxia Jia Fuling Tang (Minor Pinellia and Poria Decoction) is also used.
Banxia (Pinelliae Rhizoma, 2 dou) Shengjiang (Zingiberis Rhizoma Recens, half jin) Fuling (Poria, 4 liang)
Cut the above three ingredients. Boil in 7 sheng of water to obtain 1.5 sheng of decoction. Divide into two doses. Avoid mutton, maltose, and strong vinegar. (In Zhang Zhongjing's Shanghan Lun, Poria is 3 liang; the rest are the same).
Furthermore, suppose a thin person has palpitations below the umbilicus, expectorates saliva and foam, and suffers from epilepsy-like dizziness; this is caused by water. Wuling San (Five-Ingredient Powder with Poria) is the primary treatment.
Zhuling (Polyporus, skin removed) Baizhu (Atractylodis Rhizoma) Fuling (Poria) [each 3 fen] Guixin (Cinnamomi Cortex, skin removed, 2 fen) Zexie (Alismatis Rhizoma, 5 fen)
Sift the above five ingredients into fine powder. Take one fangcunbi (square-inch scoop) with water, three times daily. Drink plenty of water until sweating occurs for recovery. Avoid peaches, plums, sparrow meat, raw green onions, and vinegar products. (This formula originally comes from Zhang Zhongjing's Shanghan Lun).
Furthermore, when there is phlegm-fluid under the Heart, with fullness and distension in the chest and hypochondrium, and dizziness, Gancao Tang (Licorice Decoction) is the primary treatment.
Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang, honey-fried) Guixin (Cinnamomi Cortex) Baizhu (Atractylodis Rhizoma) [each 3 liang] Fuling (Poria, 4 liang)
Finely cut the above four ingredients. Boil in 6 sheng of water to obtain 3 sheng of decoction. Remove the dregs. Take 1 sheng per dose, three times daily. Urination should become smooth. Avoid seaweed, Chinese cabbage, raw green onions, peaches, plums, and vinegar products. (This formula originally comes from Zhang Zhongjing's Shanghan Lun).
Furthermore, wine drinkers who cough will inevitably hemoptysis; this is caused by excessive drinking. Those with a deficient pulse will inevitably suffer from dizziness, because they originally had *Zhi Yin* in the chest. For *Zhi Yin* causing chest fullness, Nongpou Dahuang Tang (Magnolia Bark and Rhubarb Decoction) is the primary treatment.
Nongpou (Magnoliae Officinalis Cortex, 1 liang, honey-fried) Dahuang (Rhei Radix et Rhizoma, 6 liang) Zhishi (Aurantii Fructus Immaturus, 4 liang, honey-fried)
Finely cut the above three ingredients. Boil in 5 sheng of water to obtain 2 sheng of decoction. Remove the dregs. Divide into two warm doses. (This formula originally comes from Zhang Zhongjing's Shanghan Lun).
Furthermore, for upward rushing qi, sweating, and coughing, this is due to fluid retention; Ganzao Tang (Dried Date Decoction) is the primary treatment. However, it should not be given after purgative therapy. Ganzao Tang also treats swelling, as well as the formula for *Zhi Man Yin* (Branching Fullness Fluid).
Dahuang (Rhei Radix et Rhizoma) Daji (Euphorbiae Pekinensis Radix) [each 1 liang] Yuanhua (Genkwa Flos, fried) Raohua (Adonidis Flaveriae Flos) [each 0.5 liang] Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Gansui (Kansui Radix) Huangqin (Scutellariae Radix) [each 1 liang] Ganzao (Jujubae Fructus, 10 pieces)
Cut the above eight ingredients. Boil in 5 sheng of water to obtain 1.6 sheng of decoction. Divide into four doses. Take on an empty stomach; aim for smooth bowel movement. Avoid seaweed and Chinese cabbage.
Furthermore, when there is *Zhi Yin* in the intercostal space, the patient experiences wheezing and fullness, hardness and obstruction under the Heart, darkened complexion, and a deep, tight pulse. After dozens of days, if emetic and purgative treatments by physicians have failed to cure, Mufangji Tang (Stephania Tetrandra Decoction) is the primary treatment.
Mufangji (Stephaniae Tetrandrae Radix, 3 liang) Shigao (Gypsum Fibrosum, three pieces the size of a chicken egg) Guixin (Cinnamomi Cortex, 2 liang) Renshen (Ginseng Radix, 4 liang, cut)
Take the above four ingredients. Boil in 4 sheng of water to obtain 2 sheng of decoction. Remove the dregs. Divide into two doses. If the deficiency is resolved, the patient recovers. If excess persists, relapse occurs after three days, then administer again. If still not cured, it is appropriate to remove Shigao (Gypsum Fibrosum) and add Fuling (Poria) and Mangxiao (Natrii Sulfas), i.e., Qu Shigao Jia Fuling Mangxiao Tang (Decoction without Gypsum plus Poria and Mirabilite).
Mufangji (Stephaniae Tetrandrae Radix, 3 liang) Guixin (Cinnamomi Cortex, 2 liang) Renshen (Ginseng Radix) Fuling (Poria) [each 4 liang] Mangxiao (Natrii Sulfas, 3 he)
Take the above five ingredients. Boil the first four in 6 sheng of water to obtain 2 sheng. Remove the dregs, add Mangxiao (Natrii Sulfas), and divide into two warm doses. Recovery occurs with mild diarrhea. Avoid raw green onions. (This formula originally comes from Zhang Zhongjing's Shanghan Lun; Shen Shi's formula is identical, both from Volume 18).