病源此由痰水积聚，在于胸腑，遇冷热之气相搏，结实不消，故令人心腹痞满气息不安
头眩目暗，常欲呕逆，故言痰结实。（出第二十卷中）
集验疗宿食结实，及痰 癖实，瓜蒂散方。
瓜蒂（一两） 赤小豆（四两）
上二味捣筛，温汤三合，以散一钱匕，投汤中，和服之，须臾当吐，不吐更服半钱，汤
三合，令吐，如吐不止，饮冷水。（备急救急同出第四卷中）
千金松萝汤，主胸中痰积热皆除之方。
松萝（二两） 乌梅 栀子（各二七枚） 常山（三两） 甘草（一两炙）
上五味切，以酒三升渍一宿，平旦合水三升，煮取二升半，去滓，顿服之，亦可再服，
得快吐止。忌海藻菘菜生葱菜。
又撩膈散，疗心上结痰实，寒冷心闷方。
瓜丁（二十八枚） 赤小豆（二十枚） 人参 甘草（炙各一分）
上四味捣为散，酒服方寸匕，日二，亦疗诸黄。忌海藻菘菜。（并出第十八卷中）
肘后疗胸中多痰，头痛不欲食，及饮酒则瘀阻痰方。
矾石（一两）
上一味，以水二升，煮取一升，纳蜜半合，顿服之，须臾未吐，饮少热汤。
又方
杜蘅（三两） 瓜蒂（三七枚） 松萝（三两）
上三味切，以水酒一升二合渍之再宿，去滓，温分再服，一服不吐，晚更一服。（千金
同并出第三卷中）
千金治膈汤，主胸中痰 方。
常山（三两） 甘草（一两） 松萝（一两） 瓜蒂（二七枚）
上四味，酒水各二升半，煮取一升半，初服七合取吐，吐不尽，余更分二服，得快吐瘥
后，须服半夏汤，在前冷痰部中。忌海藻菘菜生葱生菜。（备急肘后同出第十八卷中）
病源：这是由于痰饮与水湿积聚在胸膈部位，遇到冷或热的外邪之气相互搏结，导致凝结结实而不能消散，因此使人出现心腹部痞塞胀满、气息不安、头晕目眩、视物昏暗、经常想要呕吐等症状，所以称为“痰结实”。（出自第二十卷中）
集验方：治疗宿食凝结结实，以及痰癖实证，瓜蒂散方。
瓜蒂（一两） 赤小豆（四两）
将以上两味药捣碎并过筛，用温水三合，取药末一钱匕投入温汤中，调和后服用。不久应当吐出；如果未吐，再服用半钱，配合三合温汤，使其吐出。如果呕吐不止，饮用冷水。（备急急救方法相同，出自第四卷中）
千金方：松萝汤，主治清除胸中痰积热邪的方剂。
松萝（二两） 乌梅 栀子（各十四枚） 常山（三两） 甘草（一两，炙）
将以上五味药切碎，用酒三升浸泡一夜，清晨加入水三升，煎煮至剩余二升半，去渣，一次性服下。也可以再次服用，以得到剧烈呕吐为度而停止服药。忌食海藻、菘菜（白菜类）、生葱及蔬菜。
又方：撩膈散，治疗心部凝结之痰实，缓解寒冷引起的心胸闷痛。
瓜丁（二十八枚） 赤小豆（二十枚） 人参 甘草（炙，各一分）
将以上四味药捣成散剂，用酒送服一方寸匕，每日两次。此方也治疗各种黄疸病。忌食海藻、菘菜。（均出自第十八卷中）
肘后备急方：治疗胸中多痰，头痛不欲饮食，以及饮酒后瘀阻痰凝的方剂。
矾石（一两）
将以上一味药，用水二升，煎煮至剩余一升，加入蜂蜜半合，一次性服下。如果不久未吐，饮用少量热汤。
又方
杜蘅（三两） 瓜蒂（二十一枚） 松萝（三两）
将以上三味药切碎，用水和酒共一升二合浸泡两个夜晚，去渣，温热分两次服用。如果第一次服用未吐，晚上再服用一次。（千金方相同，均出自第三卷中）
千金方：治膈汤，主治胸中痰证。
常山（三两） 甘草（一两） 松萝（一两） 瓜蒂（十四枚）
将以上四味药，用水和酒各二升半，煎煮至剩余一升半。初次服用七合以引发呕吐，如果呕吐不彻底，剩余的药液再分两次服用，以得到剧烈呕吐且病愈为度。之后，必须服用半夏汤，该方位于前文“冷痰”部分中。忌食海藻、菘菜、生葱及生菜。（备急方、肘后方相同，均出自第十八卷中）
Source: This condition arises from the accumulation of phlegm-fluids (Tan-Shui) in the chest and epigastrium. When cold or hot pathogenic factors contend with each other, they form solid accumulations that fail to dissipate. Consequently, this causes chest and abdominal fullness and distension, restless breathing, dizziness, blurred vision, and a constant desire to vomit; hence it is termed "Phlegm Solidification" (Tan-Jie-Shi). (From Volume 20)
Jiyan Formula: For treating retained food solidification and phlegm-pi (Tan-Pi) excess syndrome, Geng-Ti San (Melon Tip Powder).
Geng-Di (Cucumeris Fructus Semen, 1 liang) Chi-Xiao-Dou (Vigna umbellata Seed, 4 liang)
Pulverize the above two ingredients. Mix one qian-bi (approx. 3-5g) of the powder into three he (approx. 60ml) of warm water, stir, and ingest. Vomiting should occur shortly thereafter. If vomiting does not occur, administer half a qian-bi with three he of warm water to induce vomiting. If vomiting persists, drink cold water. (Emergency rescue methods are identical; From Volume 4)
Qianjin Formula: Song-Luo Tang (Longan Vine Decoction), for clearing heat and phlegm accumulation in the chest.
Song-Luo (Usnea Diffusa, 2 liang) Wu-Mei (Mume Fructus, 14 pieces) Zhi-Zi (Gardeniae Fructus, 14 pieces) Chang-Shan (Dichroae Radix, 3 liang) Gan-Cao (Glycyrrhizae Radix et Rhizoma, roasted, 1 liang)
Cut the above five ingredients. Soak in three sheng (approx. 600ml) of wine overnight. At dawn, add three sheng of water, decoct until two and a half sheng remain. Strain and take in one dose. It may be taken again. Stop when profuse vomiting occurs. Avoid consuming Hai-Zao (Sargassum), Song-Cai (Brassica vegetables), raw Cong (Allium fistulosum), and raw vegetables.
Another Formula: Liao-Ge San (Diaphragm-Lifting Powder), for treating solidified phlegm in the heart region causing chest oppression due to cold.
Gua-Ding (likely referring to Geng-Di/Cucumis melo seed, 28 pieces) Chi-Xiao-Dou (Vigna umbellata Seed, 20 pieces) Ren-Shen (Panax ginseng Root) Gan-Cao (Glycyrrhizae Radix et Rhizoma, roasted, 1 fen each)
Pulverize the above four ingredients. Take one fang-cun-bi (approx. 5-10g) with wine, twice daily. This formula also treats various types of jaundice. Avoid Hai-Zao and Song-Cai. (Both from Volume 18)
Zhouhou Formula: For excessive phlegm in the chest, headache, loss of appetite, and phlegm obstruction caused by alcohol consumption.
Fan-Shi (Alumen, 1 liang)
Decoct the above single ingredient in two sheng (approx. 400ml) of water until one sheng remains. Add half he (approx. 10ml) of honey and take in one dose. If vomiting does not occur shortly, drink a small amount of hot water.
Another Formula
Du-Heng (Asarum heterotropoides Root) (3 liang) Gua-Di (Cucumeris Fructus Semen, 21 pieces) Song-Luo (Usnea Diffusa, 3 liang)
Cut the above three ingredients. Soak in one and two-tenths sheng (approx. 240ml) of a mixture of water and wine for two nights. Strain and take warm, divided into two doses. If the first dose does not induce vomiting, take another dose in the evening. (Identical to Qianjin; From Volume 3)
Qianjin Formula: Zhi-Ge Tang (Diaphragm-Treating Decoction), for treating phlegm in the chest.
Chang-Shan (Dichroae Radix, 3 liang) Gan-Cao (Glycyrrhizae Radix et Rhizoma, 1 liang) Song-Luo (Usnea Diffusa, 1 liang) Gua-Di (Cucumeris Fructus Semen, 14 pieces)
Take the above four ingredients. Use two and a half sheng of water and two and a half sheng of wine. Decoct until one and a half sheng remain. Initially take seven he (approx. 140ml) to induce vomiting. If vomiting is incomplete, divide the remainder into two doses. Treatment stops when profuse vomiting occurs and symptoms resolve. Afterwards, Ban-Xia Tang (Pinellia Decoction) must be taken, which is located in the preceding "Cold Phlegm" section. Avoid Hai-Zao, Song-Cai, raw Cong, and raw vegetables. (Identical to Beiji and Zhouhou; From Volume 18)