起卧不安，睡不稳，谓之烦。法宜清肺去痰，宜栀豉汤、竹叶石膏汤。（二方见伤寒门
。）躁者，颠狂恍惚之状，宜朱砂安神丸。（见《局方》。）
头目昏花，四肢疲软无力，羸瘦，不长肌肉，少年气血两虚，色欲过度，耳鸣者，宜服
补阴
补心丹。老年血气虚损者，宜古庵心肾丹，还少丹。
上诸方，俱见古方括内。
诸症补遗，大都痰火症中所必有者，采择数款，亦须以主治方中，随所见症，根据经络量
加一二味，以治其标可也。其间有阙略者，以俟后之君子参补焉。
一痰火呕血成盆而过多者，不思饮食，肌肉渐削者，此心气已绝，死不治。
一痰火左胁痛，不能转身者，此乃肝叶已干，名为干血痛，肝经已绝，死不治。右胁痛
，服清肺化痰药不止，夜不能卧者，此肺绝之候，不治。
一痰火喉痛，此胆火上炎，用治喉药不效，至生疮破皮，乃虫攻咽，此瘵疾之不可救者
，死不治。
一痰火声哑，乃肺经已绝，死不治。
一痰火臀尖无肉，此脾经已绝，死不治。
一痰火咳逆吐食者，此胃火炽甚，脾气受伤，多致不救。
一痰火泄泻，饮食不化，此胃气已绝，死不治。
按∶痰火之脉，以浮而芤濡虚缓，迟大无力，沉而迟涩，结代无力，皆虚而不足，外证
短气喘促，或肢厥者，皆属脾肺肾三脏俱虚，脉合其证，此受补者也。若脉来弦长紧实，外
证痰实气壅喘咳，或烦或热，或咽痛，或复见诸血，此为阴虚火动，脉不合证，此不受补者
也。又按∶《脉经》曰∶骨蒸发热，脉数而虚，热而涩小，必殒其躯。又曰∶劳极诸虚，浮
濡微弱，土败双弦，火炎急数。又曰∶诸病失血，脉必见芤，缓小可喜，数大可忧。又曰∶
病热有火，洪数可医，沉微无火，无根难医，此皆言脉证之宜忌也。凡有干于痰火痨瘵之脉
，悉详附之于后，惟不切于此证者，乃摘之。
躺卧坐起都不安稳，睡眠不踏实，这叫做“烦”。治疗法则应当清肺化痰，适宜使用栀豉汤、竹叶石膏汤。（这两方剂详见伤寒门。）躁动不安，表现为癫狂恍惚的状态，适宜使用朱砂安神丸。（见《太平惠民和剂局方》。）
头部眼睛昏花，四肢疲软无力，身体消瘦，肌肉不长，这是少年时期气血两虚，或因色欲过度导致耳鸣者，适宜服用补阴补心丹。老年人体血气虚损的，适宜使用古庵心肾丹、还少丹。
上述各方剂，均收录于《古方括》中。
以上症状的补充内容，大抵是痰火病症中必然会出现的情况，选取其中几项，也应当在主治方剂的基础上，根据所见症状，依据经络理论酌情增加一两味药，以治其标即可。其中若有遗漏之处，留给后来的君子们参考补充吧。
其一，痰火导致呕血成盆且出血量过多，不思饮食，肌肉逐渐消削的，这是心气已绝，属于死症，无法医治。
其二，痰火导致左胁疼痛，不能转身的，这是肝叶已经干枯，名为干血痛，肝经之气已绝，属于死症，无法医治。右胁疼痛，服用清肺化痰药物后不止痛，夜间不能卧床休息的，这是肺气将绝的征候，无法医治。
其三，痰火导致咽喉疼痛，这是胆火上炎所致，使用治喉药无效，直至生疮破皮，乃是虫毒攻咽，这是痨瘵疾（肺结核类疾病）不可救治的，属于死症。
其四，痰火导致声音嘶哑，这是肺经之气已绝，属于死症，无法医治。
其五，痰火导致臀部尖端无肉，这是脾经之气已绝，属于死症，无法医治。
其六，痰火导致咳嗽气逆、呕吐食物，这是胃火炽盛，脾气受伤，大多导致无法救治。
其七，痰火导致泄泻，饮食不消化，这是胃气已绝，属于死症，无法医治。
按语：痰火病的脉象，若呈现浮而芤、濡、虚、缓、迟且大无力，或沉而迟涩、结代且无力，都属于虚而不足之脉；若外证表现为短气喘促，或四肢厥冷，这些都属脾、肺、肾三脏俱虚，脉象与证候相符，这类患者是可以接受补益治疗的。如果脉象来势弦长紧实，外证表现为痰实气壅喘咳，或烦躁发热，或咽喉疼痛，或再次出现各种出血症状，此为阴虚火动，脉象与证候不符，这类患者是不受补的。又按：《脉经》说：骨蒸发热，脉数而虚，热而涩小，必定危及生命。又说：劳极诸虚，脉象浮濡微弱，土败则双弦，火炎则急数。又说：各种失血病，脉象必见芤脉，缓小为喜，数大为忧。又说：病热有火，洪数脉尚可医，沉微无火，无根脉难医，这些都是论述脉证相宜与相忌的道理。凡是涉及痰火痨瘵病的脉象，都详细附在后面，只有不切合此证的，便将其剔除。
Restlessness in lying down and sitting up, and unstable sleep, is termed "Fan" (Vexation). The treatment principle should be to clear the Lung and eliminate phlegm; Zhichi Tang (Gardenia and Fermented Soybean Decoction) and Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) are suitable. (These two formulas are detailed in the Shanghan Section.) Restlessness ("Zao") refers to a state of mania, delirium, and trance; Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill) is suitable. (See *Ju Fang* [Formulas of the Bureau]).
Dizziness and blurred vision of the head and eyes, weakness and lack of strength in the four limbs, emaciation, failure to gain muscle mass, occurring in youths with deficiency of both Qi and Blood, or due to excessive sexual indulgence causing tinnitus, are suitable for Buyin Buxin Dan (Yin-Nourishing Heart-Nourishing Pill). For the elderly with deficiency and damage to Qi and Blood, Gu'an Xinshe Dan (Gu'an Heart-Kidney Pill) and Huan Shao Dan (Return to Youth Pill) are suitable.
All the aforementioned formulas are recorded within *Gu Fang Kuo*.
The supplementary information on these symptoms largely covers conditions inevitably present in Phlegm-Fire disorders. Selecting several items from them, one should also, based on the observed symptoms, add one or two herbs according to the meridian theory to the main governing formula, to treat the branch manifestations. Any omissions herein are left for future scholars to supplement.
First, if Phlegm-Fire causes hemoptysis filling a basin with excessive blood loss, anorexia, and gradual wasting of muscles, this indicates that Heart Qi has been exhausted; it is a fatal condition and untreatable.
Second, if Phlegm-Fire causes pain in the left hypochondrium such that turning the body is impossible, this indicates that the liver lobes have dried up, known as Ganxue Tong (Dry Blood Pain); the Liver Meridian Qi has been exhausted; it is a fatal condition and untreatable. If pain in the right hypochondrium persists despite taking Lung-clearing and phlegm-resolving medicines, and the patient cannot lie down at night, this is a sign of impending Lung Qi exhaustion; it is untreatable.
Third, if Phlegm-Fire causes sore throat due to Gallbladder Fire flaming upward, and throat treatments prove ineffective until sores form and skin breaks, this indicates insect toxins attacking the pharynx; this is an incurable case of Zhai Ji (Consumption Disease/Tuberculosis); it is fatal.
Fourth, if Phlegm-Fire causes hoarseness, this indicates that Lung Meridian Qi has been exhausted; it is a fatal condition and untreatable.
Fifth, if Phlegm-Fire results in fleshless buttock tips, this indicates that Spleen Meridian Qi has been exhausted; it is a fatal condition and untreatable.
Sixth, if Phlegm-Fire causes coughing, counterflow qi, and vomiting of food, this indicates blazing Stomach Fire damaging Spleen Qi; it often leads to untreatability.
Seventh, if Phlegm-Fire causes diarrhea with undigested food, this indicates that Stomach Qi has been exhausted; it is a fatal condition and untreatable.
Commentary: The pulse of Phlegm-Fire disease, if floating and Kou (Hollow), Ru (Soggy), Xu (Deficient), Huan (Lax), Chi (Slow), large and powerless, or deep, slow, choppy, intermittent, and powerless, all indicate deficiency and insufficiency. If external signs include shortness of breath and panting, or cold extremities, these belong to deficiency of the Spleen, Lung, and Kidney organs; the pulse matches the syndrome, indicating the patient can tolerate tonification. If the pulse comes string-like, long, tight, and solid, with external signs of phlegm excess, qi stagnation, panting and coughing, or vexation, fever, sore throat, or recurrence of various bleeding syndromes, this indicates Yin deficiency with Fire hyperactivity; the pulse does not match the syndrome, indicating the patient cannot tolerate tonification. Furthermore, the *Mai Jing* states: Bone-steaming fever with a rapid but deficient pulse, or heat with choppy and small pulse, will surely result in death. It also states: Extreme fatigue and various deficiencies present with floating, soggy, weak pulses; Earth failure presents with double string-like pulses; Fire flaming upward presents with rapid and numerous pulses. It further states: In all diseases involving blood loss, the pulse must appear Kou (Hollow); slow and small is auspicious, rapid and large is ominous. It also states: In febrile diseases with Fire, Hong (Surging) and Shu (Rapid) pulses are treatable; Chen (Deep) and Wei (Micro) pulses without Fire, and Rootless pulses, are difficult to treat. These all discuss the appropriateness and contraindications of pulse-syndrome correspondence. All pulses relevant to Phlegm-Fire and Consumption Diseases are detailed below; those not pertinent to this syndrome are omitted.