治痰之法，凡非风初病而痰气不甚者，必不可猜其为痰。而妄用痰药，此大戒也。若果
痰涎壅盛，填塞胸膈，汤液俱不能入，则不得不先开其痰，以通药食之道。而开痰之法，惟
吐为捷。如古方之独圣散、茶调散、稀涎散之属，皆吐痰之剂也。但恐元气大虚，不能当此
峻利之物，或但用新方之吐法为妥，或用牛黄丸、抱龙丸之类，但使咽喉气通，能进汤饮即
止，不可尽攻其痰，致令危困，则最所当慎。以故治痰之法，又必察其可攻与否，然后用之
，斯无误也。若其眼直切牙，肢体拘急，面赤，强劲有力者，虽见昏沉，亦为可治。先用粗
筋之类，挖开其口，随以坚实笔干擦住牙关，乃用淡淡姜盐汤徐徐灌之。然后以中食二
指探入喉中，徐引其吐。若指不能入，则以鹅翎醮汤代指探吐亦可。如是数次，得吐气通，
必渐苏矣。然后酌宜可以进药，此治实痰壅滞之法也。
一、若死证已具，而痰声漉漉于喉间者，吐亦无益，不必吐也。若痰气盛极而不能吐者
，亦不治之证也。又凡形气大虚者，忌用吐法，是皆不可攻者也。
一、凡形证已定而痰气不甚，则万勿治痰。但当调理气血，自可渐愈。如果痰涎未清，
则治痰之法当分虚实。若气不甚虚，而或寒或湿生痰者，宜六安煎，二陈汤主之。因火为痰
者，宜清膈饮及竹沥、童便；火甚者，抽薪饮主之。脾虚兼呕而多痰者，六君子汤，或五味
异功散。阴气不足，多痰兼燥而咳者，金水六君煎。阴虚水泛为痰者，六味丸、八味丸酌而
用之。或为汤亦妙。脾肾虚寒，不能运化而为痰者，不必兼治痰气，只宜温补根本。若中气
虚者，理中汤或温胃饮；阴不足者，理阴煎之类最佳。
一、薛立斋曰∶若脾气亏损，痰客中焦，闭塞清道，以致四肢百骸发为诸病者，理宜壮
脾气为主，兼佐以治痰，则中气健而痰涎自化。非补中益气，参术二陈之类不能治。最忌行
气化痰及倒仓之法。
治疗痰证的方法，凡是并非中风初起且痰气不严重的，绝不可猜测其为痰证。而妄用治痰的药物，这是极大的禁忌。如果确实痰涎壅盛，填塞胸膈，连汤药和食物都无法进入，则不得不先开通痰阻，以恢复药物和饮食的通道。而开通痰阻的方法，只有催吐最为快捷。如古方中的独圣散、茶调散、稀涎散等，都是催吐痰涎的方剂。但担心患者元气大虚，不能承受这种峻烈攻伐的药物，或者仅使用新创制的吐法较为稳妥，或者使用牛黄丸、抱龙丸之类，只要能使咽喉气道通畅，能够进食汤饮即可停止，不可彻底攻伐其痰，导致病情危重困顿，这是最应当谨慎的。因此治疗痰证的方法，又必须观察是否可以攻伐，然后才施用，这样才不会出错。如果患者眼睛直视、咬紧牙关、肢体拘挛紧急、面色红赤、身体强劲有力，虽然出现昏沉症状，也属于可治之证。先用粗筋之类的工具撬开其口，随即用坚实的笔杆抵住牙关，然后用淡淡的姜盐汤慢慢灌入。随后用中指和食指探入喉中，缓慢引导其呕吐。如果手指无法探入，则可以用鹅毛蘸取汤汁代替手指进行探吐也可以。像这样数次之后，若能吐出并气道通畅，患者必定会逐渐苏醒。然后根据情况酌情给予药物治疗，这是治疗实痰壅滞的方法。
一、如果死证的症状已经具备，而喉间痰声漉漉作响的，催吐也无益处，不必催吐。如果痰气极盛而无法催吐的，也是不治之证。另外，凡是形体和气机都极度虚弱的，忌用催吐法，这些都是不可攻伐的情况。
一、凡是形证已经确定且痰气不严重的，则千万不要治疗痰证。只当调理气血，自然可以逐渐痊愈。如果确实痰涎未清，那么治疗痰证的方法应当区分虚实。如果气机不是很虚弱，或因寒或因湿生痰的，适宜用六安煎、二陈汤为主方。因火邪炼液成痰的，适宜用清膈饮以及竹沥、童便；火邪严重的，适宜用抽薪饮为主方。脾虚兼有呕吐且多痰的，用六君子汤，或五味异功散。阴气不足，多痰兼干燥而咳嗽的，用金水六君煎。阴虚水液泛滥成痰的，六味丸、八味丸酌情使用。或者制成汤剂也很好。脾肾阳虚寒冷，不能运化水湿而成痰的，不必同时治疗痰气，只适宜温补根本。如果是中气虚的，理中汤或温胃饮；阴不足的，理阴煎之类最佳。
一、薛立斋说：如果脾气亏损，痰邪客居中焦，闭塞清阳之道，以致四肢百骸发生各种疾病的，理应壮补脾气为主，兼佐以治痰，则中气健旺而痰涎自然化解。不用补中益气汤、人参白术二陈汤之类是不能治疗的。最忌讳行气化痰及倒仓疗法。
The methods for treating phlegm: In cases where the disease is not initially wind-stroke and the phlegm-qi is not severe, one must never speculate that it is phlegm. To recklessly use phlegm-resolving drugs is a major taboo. If indeed there is excessive phlegm-saliva filling the chest and diaphragm, such that even decoctions and food cannot be taken in, then one must first open the phlegm obstruction to restore the pathway for medicine and food. The method for opening phlegm obstruction is vomiting, which is the most rapid. Ancient formulas such as Dusheng San (Single Miracle Powder), Chatiao San (Tea Regulation Powder), and Xixian San (Thin Saliva Powder) belong to this category of phlegm-vomiting agents. However, one must fear that if the primordial qi is severely deficient, the patient cannot withstand such harsh and penetrating substances. It may be more appropriate to use newly formulated vomiting methods, or to employ Niuhuang Wan (Calculus Bovis Pill) or Baolong Wan (Embracing Dragon Pill). As long as the throat's qi pathway becomes unobstructed and the patient can take fluids, stop immediately. Do not exhaustively attack the phlegm, causing critical distress; this requires utmost caution. Therefore, when treating phlegm, one must observe whether attack is feasible before applying treatment, thus avoiding errors. If the patient has fixed eyes, clenched teeth, limb stiffness and urgency, red face, and strong physical resistance, although unconsciousness is present, it is still treatable. First, use a coarse tendon-like tool to pry open the mouth, then hold the jaw firmly with a solid brush handle. Slowly pour in weak ginger-salt water. Then insert the middle and index fingers into the throat to gently induce vomiting. If fingers cannot enter, using a goose feather dipped in fluid to probe and induce vomiting is also acceptable. After several such attempts, if vomiting occurs and the airway clears, the patient will gradually regain consciousness. Subsequently, administer medication according to suitability. This is the method for treating excess phlegm stagnation.
One: If signs of death are already present, yet rattling phlegm sounds are heard in the throat, vomiting is of no benefit and should not be performed. If phlegm-qi is extremely abundant but cannot be vomited, it is also an untreatable condition. Furthermore, for those with severe deficiency of form and qi, vomiting methods are contraindicated; these are all cases where attack is prohibited.
One: When the clinical presentation is established and phlegm-qi is not severe, do not treat the phlegm at all. One should only regulate qi and blood, and gradual recovery will occur naturally. If phlegm-saliva remains unclear, the method for treating phlegm must distinguish between deficiency and excess. If qi is not significantly deficient, and phlegm is generated due to cold or dampness, Liu'an Jian (Six-Safe Decoction) or Erchen Tang (Two-Aged Decoction) should be used as main formulas. For phlegm caused by fire, Qingge Yin (Clear Diaphragm Infusion) along with Zhuli (Bamboo Sap) and Tongbian (Child's Urine) are suitable; for severe fire, Chouxin Yin (Draw Firewood Infusion) is the main formula. For spleen deficiency accompanied by vomiting and excessive phlegm, Liujunzi Tang (Six-Gentlemen Decoction) or Wuwei Yigong San (Five-Ingredient Extraordinary Merit Powder) are indicated. For insufficient yin qi, with excessive phlegm, dryness, and cough, Jinshui Liujun Jian (Metal-Water Six-Gentlemen Decoction) is used. For yin deficiency leading to water flooding and forming phlegm, Liuwei Wan (Six-Ingredient Pill) or Bawei Wan (Eight-Ingredient Pill) should be used酌情 (as appropriate). Making them into decoctions is also excellent. For spleen and kidney yang deficiency and cold, failing to transform and transport, leading to phlegm, there is no need to simultaneously treat phlegm-qi; instead, warming and tonifying the root is appropriate. For deficiency of middle qi, Lizhong Tang (Regulate the Middle Decoction) or Wenwei Yin (Warm Stomach Infusion); for yin insufficiency, Liyin Jian (Nourish Yin Decoction) is best.
One: Xue Lizhai stated: If spleen qi is damaged, and phlegm lodges in the middle jiao, blocking the clear pathways, thereby causing various diseases in the four limbs and hundred bones, the proper approach is primarily to strengthen spleen qi, supplemented by treating phlegm. Thus, middle qi becomes robust and phlegm-saliva transforms naturally. Without Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) or Renshen Baizhu Erchen Tang (Ginseng Atractylodes Two-Aged Decoction), it cannot be treated. One must strictly avoid qi-moving and phlegm-resolving methods, as well as the Daocang therapy (Stomach Purging Method).