〔大〕妇人风痰者，由脏腑风冷、水饮停积在于胸膈所成也。人皆有痰，少者不能
为妨，多者成患。但胸膈有痰饮，停于胸中，则令眼昏，亦令头眩头痛者。
药隐老人评曰∶夫痰之为害，多因外感五邪，（五邪者，寒、暑、燥、湿、风也。）内伤七气，
（七气者，喜、怒、忧、思、惊、恐、恚也。）因五邪而得者，得风为风痰，得寒为寒痰，得暑为
暑痰。因七气所伤，多因妇人情性执着，不能容忍，而有些证，岂特只因风冷而成哉。所
以外感五邪，内伤七气，则一身之中，血液泪汗涕唾，身中湿者，败浊变而成痰，乘间
而为害也。经云∶清则运为精华，浊则凝为痰饮，此之谓也。然有痰、涎、饮、沫四种
相类，宜仔细详辨调治。因风而生痰者，宜服三生饮、（卒中暴厥。）星香饮、（杂病中风。）青
州白丸子、（杂病中风。）化痰丸。（杂病痰饮。）因寒冷而得者，宜服降气汤、（杂病气。）黑锡丹、（杂
病头痛。）养正丹。（头目眩晕。）因热而得者，宜服金沸草散、（杂病咳嗽。）柴胡半夏汤。（本条。）因暑
而得者，消暑丸。（杂病伤暑。）因气滞不调，郁结而成者，宜服参苏饮、（杂病发热。）四七汤、（杂
病气。）二陈汤。（杂病痰饮。）痰在上者，以瓜蒂散吐之，在下者，以控涎丹（臂痛。）利之。虽曰可
吐、可下，亦要观人之盛衰，察脉之虚实，方可投之，切记不可猛吐暴下。所以初虞世有
金虎、碧霞之戒也。
〔薛〕前证若肝经恚怒，用小柴胡汤。（伤寒少阳。）肝经风热，用钓藤散。（头目眩晕。）肝
肾气虚，用川芎散。（眩晕。）脾经郁结，用济生归脾汤。（杂病健忘。）郁怒伤肝脾，用加味逍遥
散。（调经。）脾虚痰逆，用白术半夏天麻汤。（杂病眩晕。）脾气虚弱，用六君子、益气汤。肺气
郁滞，用二陈、（杂病痰饮。）贝母、桔梗。阴亏水泛，用六味地黄丸。（杂病虚劳。）肾虚阴火，加
减八味丸。（杂病虚劳。）肾虚火不归源，八味丸。（杂病虚劳。）仍与前证互相用之。一妇人内热
口干，劳则头晕，吐痰带下。或用化痰理气药，前证益盛，肢体或麻，又用祛风化痰药，
肢体常麻，手足或冷或热，此脾土不能生肺金也。余用补中益气汤加茯苓、半夏、炮姜，
二十余剂渐愈。又用加味逍遥散，三十余剂全愈。后因怒吐痰胸痞，或用清气化痰丸，食
少痰甚，胸膈胀满，脉或浮大，或微细，余以六君倍用参、术，少加木香而康。 一妇
人咳嗽胁痛，或用清肺化痰降火等剂，久不愈，更加内热晡热。若两胁或小腹内热，其
咳益甚，少便自遗。余曰∶此属肝经血虚火动，用六味丸加五味子，滋肾水以生肝血；用
补中益气，生脾土以滋肺金而寻愈。
旋复花汤 治妇人风痰呕逆，不下饮食，头目昏闷。
旋复花 枇杷叶（去毛，炙） 川芎 细辛（去苗） 藿香 桂心 枳壳（去瓤，麸炒）
前胡（去芦） 人参（去芦） 半夏（姜制，各半两） 甘草（炙） 羚羊角屑 赤茯苓（各七钱半，
去皮） 羌活（去芦，半两）
上 咀，每服五钱，水一盏半，生姜五片，煎至一大盏，去滓温服，食远日进二服。
天南星丸 治妇人风痰，心膈壅滞。
天南星（姜制） 白附子（炮） 皂角仁（炒黄） 半夏曲（各一两） 白矾（枯，五钱）
上为细末，酒煮面糊丸如梧子大。每服
二十丸，煎生姜薄荷汤送下，食后，临卧，日进二服。
大半夏汤 治痰饮脾胃不和，咳嗽呕吐，饮食不入。
半夏 白茯苓 生姜（各二钱）
上姜水煎服。胃痞加陈皮。（四七汤亦善。）
导痰汤 治痰涎壅盛，胸膈痞塞，或咳嗽恶心，饮食少思。
半夏（二钱） 南星 枳实（麸炒） 茯苓 橘红（一钱） 甘草（五分）
上用姜十片，水煎服。
瓜蒂散 疗病痰胸膈痞塞，头不痛，项不强，寸脉微浮，胸中痞硬，气冲喉咽，不
得息者。此为胸中有痰也，当吐之，宜此法。（方见。）
柴胡半夏汤 治痰热头痛，利膈，除烦闷，手足烦热，荣卫不调，肢节拘倦，身体
疼痛，嗜卧少力，饮食无味。兼治五嗽痰癖。
柴胡（八钱） 半夏（三两半） 人参（去芦） 甘草 黄芩 麦门冬（各二两）
白术（二两）
上 咀，每服五钱，水一盏半，姜五片，枣一枚，煎至八分，去滓服。
【大】妇女患风痰证，是由于脏腑受风冷侵袭，导致水饮停积在胸膈部位而形成的。人人都有痰，量少时不会造成妨碍，量多时则成为病患。只要胸膈中有痰饮停留于胸中，就会导致眼睛昏花，也会引起头晕、头痛。
药隐老人评论说：痰这种病邪的危害，大多因为外感五邪（五邪是指寒、暑、燥、湿、风这五种邪气），内伤七气（七气是指喜、怒、忧、思、惊、恐、恚这七种情志），因感受五邪而得的，遇到风邪就成为风痰，遇到寒邪就成为寒痰，遇到暑邪就成为暑痰。因七气所伤，多是因为妇女人性情执着，不能容忍，从而产生某些证候，哪里仅仅是因为风冷造成的呢？所以外感五邪，内伤七气，使得身体中的血液、泪液、汗液、鼻涕、唾液等体内湿润之物，败坏浑浊后变形成痰，趁虚而入造成伤害。医经说：“清轻的运化为精华，浑浊的凝结为痰饮”，说的就是这个道理。然而有痰、涎、饮、沫四种性质相类似的病理产物，应当仔细辨别并调治。因风邪而生痰的，适宜服用三生饮（治疗卒中暴厥）、星香饮（治疗杂病中风）、青州白丸子（治疗杂病中风）、化痰丸（治疗杂病痰饮）。因寒冷而得的，适宜服用降气汤（治疗杂病气滞）、黑锡丹（治疗杂病头痛）、养正丹（治疗头目眩晕）。因热邪而得的，适宜服用金沸草散（治疗杂病咳嗽）、柴胡半夏汤（治疗本条所述病症）。因暑邪而得的，适宜服用消暑丸（治疗杂病伤暑）。因气机阻滞不调，郁结而成的，适宜服用参苏饮（治疗杂病发热）、四七汤（治疗杂病气滞）、二陈汤（治疗杂病痰饮）。痰在上部的，用瓜蒂散催吐；在下部的，用控涎丹（治疗臂痛）通利。虽然说是可以吐、可以下，但也必须观察病人的体质盛衰，诊察脉象的虚实，才可以投药，切记不可猛烈催吐或峻下攻下。所以初虞世有使用金虎、碧霞丹药的告诫。
【薛】上述证候如果是因为肝经恚怒引起的，用小柴胡汤（治疗伤寒少阳病）。肝经风热，用钓藤散（治疗头目眩晕）。肝肾气虚，用川芎散（治疗眩晕）。脾经郁结，用济生归脾汤（治疗杂病健忘）。郁怒损伤肝脾，用加味逍遥散（治疗调经）。脾虚痰逆，用白术半夏天麻汤（治疗杂病眩晕）。脾气虚弱，用六君子汤、益气汤。肺气郁滞，用二陈汤（治疗杂病痰饮）、贝母、桔梗。阴亏水泛，用六味地黄丸（治疗杂病虚劳）。肾虚阴火，用加减八味丸（治疗杂病虚劳）。肾虚火不归源，用八味丸（治疗杂病虚劳）。仍然与前证互相配合使用。有一位妇人内热口干，劳累后头晕，吐痰且带下。有人用化痰理气的药物，前面的症状更加严重，肢体有时麻木，又用祛风化痰的药物，肢体经常麻木，手足有时冷有时热，这是脾土不能生肺金的表现。我用补中益气汤加茯苓、半夏、炮姜，二十多剂后逐渐痊愈。又用加味逍遥散，三十多剂后完全痊愈。后来因为发怒吐痰、胸中痞闷，有人用清气化痰丸，导致食少痰多，胸膈胀满，脉象有的浮大，有的微细，我用六君子汤加倍用人参、白术，稍加木香而康复。
另一位妇人咳嗽胁痛，有人用清肺化痰降火等药剂，久治不愈，更加出现内热和傍晚发热。如果两胁或小腹内部发热，咳嗽更加严重，小便失禁。我说：这属于肝经血虚火动，用六味地黄丸加五味子，滋补肾水以生肝血；用补中益气汤，健脾土以滋肺金而逐渐痊愈。
旋复花汤 治疗妇女风痰呕逆，无法进食，头目昏闷。
药材：旋复花、枇杷叶（去毛，炙烤）、川芎、细辛（去苗）、藿香、桂心、枳壳（去瓤，麸炒）、前胡（去芦）、人参（去芦）、半夏（姜制，各半两）、甘草（炙）、羚羊角屑、赤茯苓（各七钱半，去皮）、羌活（去芦，半两）。
制法与用法：以上药材切碎，每次服用五钱，加水一盏半，生姜五片，煎至一大盏，去渣温服，饭后每日服用两次。
天南星丸 治疗妇女风痰，心膈壅滞。
药材：天南星（姜制）、白附子（炮制）、皂角仁（炒黄）、半夏曲（各一两）、白矾（枯，五钱）。
制法与用法：以上研为细末，用酒煮面糊制成梧桐子大小的丸药。每次服用二十丸，用煎好的生姜薄荷汤送下，饭后、临睡前服用，每日两次。
大半夏汤 治疗痰饮导致脾胃不和，咳嗽呕吐，饮食难进。
药材：半夏、白茯苓、生姜（各二钱）。
制法与用法：以上用姜水煎服。胃痞加陈皮。（四七汤也很好。）
导痰汤 治疗痰涎壅盛，胸膈痞塞，或咳嗽恶心，饮食减少。
药材：半夏（二钱）、南星、枳实（麸炒）、茯苓、橘红（一钱）、甘草（五分）。
制法与用法：以上用生姜十片，水煎服。
瓜蒂散 治疗病痰导致胸膈痞塞，头不痛，项不强，寸脉微浮，胸中痞硬，气冲喉咽，呼吸困难者。这是胸中有痰，应当用吐法，适宜此方。（方剂见前文。）
柴胡半夏汤 治疗痰热头痛，利膈，除烦闷，手足烦热，营卫不调，肢节拘倦，身体疼痛，嗜卧少力，饮食无味。兼治五嗽痰癖。
药材：柴胡（八钱）、半夏（三两半）、人参（去芦）、甘草、黄芩、麦门冬（各二两）、白术（二两）。
制法与用法：以上切碎，每次服用五钱，加水一盏半，生姜五片，大枣一枚，煎至八分，去渣服用。
[Da] When women suffer from wind-phlegm syndrome, it is formed by wind-cold invading the zang-fu organs, causing water-fluid retention and accumulation in the chest and diaphragm. Everyone has phlegm; when present in small amounts, it causes no hindrance, but when excessive, it becomes a disease. If fluid-retention (Tan-Yin) stagnates in the chest due to phlegm in the chest and diaphragm, it causes blurred vision, dizziness, and headache.
The Old Man of Yao Yin commented: The harm caused by phlegm often results from external contraction of the five pathogenic factors (the five factors are cold, summer-heat, dryness, dampness, and wind) or internal injury from the seven emotions (the seven emotions are joy, anger, worry, thought, fright, fear, and resentment). Contracting the five factors leads to wind-phlegm upon encountering wind, cold-phlegm upon encountering cold, and summer-heat phlegm upon encountering summer-heat. Injury from the seven emotions often stems from women's stubborn temperaments and inability to tolerate grievances, giving rise to certain syndromes; it is not solely caused by wind-cold. Thus, external contraction of the five factors and internal injury from the seven emotions cause the moist substances in the body—blood, tears, sweat, nasal mucus, and saliva—to become turbid and transform into phlegm, which takes advantage of vulnerabilities to cause harm. The Classics state: "Clear qi transforms into essence; turbid qi coagulates into phlegm and fluid-retention." This is what is meant. However, there are four similar pathological products: phlegm, saliva, fluid-retention, and foam. They must be carefully distinguished for treatment. For phlegm generated by wind, San Sheng Yin (Three Lives Decoction, treating sudden stroke and coma), Xing Xiang Yin (Aucklandia and Amomum Decoction, treating miscellaneous wind-stroke), Qing Zhou Bai Wan Zi (Qingzhou White Pills, treating miscellaneous wind-stroke), and Hua Tan Wan (Phlegm-Resolving Pill, treating miscellaneous phlegm-fluid retention) are suitable. For those caused by cold, Jiang Qi Tang (Qi-Descending Decoction, treating miscellaneous qi stagnation), Hei Xi Dan (Black Tin Pill, treating miscellaneous headache), and Yang Zheng Dan (Nourishing Righteousness Pill, treating dizziness and vertigo) are suitable. For those caused by heat, Jin Fei Cao San (Boilwort Powder, treating miscellaneous cough) and Chai Hu Ban Xia Tang (Bupleurum and Pinellia Decoction, treating the current condition) are suitable. For those caused by summer-heat, Xiao Shu Wan (Summer-Heat-Dispelling Pill, treating miscellaneous summer-heat injury) is suitable. For those caused by qi stagnation and imbalance leading to constraint, Shen Su Yin (Ginseng and Perilla Decoction, treating miscellaneous fever), Si Qi Tang (Four Qi Decoction, treating miscellaneous qi disorders), and Er Chen Tang (Two Aged Ingredients Decoction, treating miscellaneous phlegm-fluid retention) are suitable. For phlegm located in the upper part, Gua Di San (Melon Seed Powder) should be used to induce vomiting; for phlegm in the lower part, Kong Xian Dan (Saliva-Control Pill, treating arm pain) should be used to promote drainage. Although vomiting and purging are indicated, one must observe the patient's constitutional strength and examine the pulse for deficiency or excess before administering medication. It is crucial to remember not to use violent emetics or harsh purgatives. Therefore, Chu Yushi issued warnings regarding the use of Jin Hu (Golden Tiger) and Bi Xia (Green Jade) pills.
[Xue] In the aforementioned conditions, if caused by resentment affecting the Liver channel, Xiao Chai Hu Tang (Minor Bupleurum Decoction, treating Shaoyang syndrome in Cold Damage) should be used. For Liver channel wind-heat, Diao Teng San (Uncaria Powder, treating dizziness and vertigo) is indicated. For Liver and Kidney qi deficiency, Chuan Xiong San (Ligusticum Powder, treating vertigo) is appropriate. For Spleen channel constraint, Ji Sheng Gui Pi Tang (Ji Sheng Heart-Spleen Nourishing Decoction, treating miscellaneous forgetfulness) is used. For depression and anger injuring the Liver and Spleen, Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder, regulating menstruation) is indicated. For Spleen deficiency with rebellious phlegm, Bai Zhu Ban Xia Tian Ma Tang (Atractylodes, Pinellia, and Gastrodia Decoction, treating miscellaneous vertigo) is used. For Spleen qi deficiency, Liu Jun Zi Tang (Six Gentlemen Decoction) and Yi Qi Tang (Benefit Qi Decoction) are appropriate. For Lung qi stagnation, Er Chen Tang (Two Aged Ingredients Decoction, treating miscellaneous phlegm-fluid retention), Bei Mu (Fritillaria Bulb), and Jie Geng (Platycodon Root) are used. For yin deficiency with overflowing fluids, Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia, treating miscellaneous consumptive disease) is indicated. For Kidney deficiency with deficient fire, Jia Jian Ba Wei Wan (Modified Eight-Ingredient Pill, treating miscellaneous consumptive disease) is used. For Kidney deficiency with fire failing to return to its source, Ba Wei Wan (Eight-Ingredient Pill, treating miscellaneous consumptive disease) is indicated. These may still be combined with treatments for the aforementioned conditions.
One woman suffered from internal heat and dry mouth, dizziness upon exertion, expectoration of phlegm, and leukorrhea. Someone administered phlegm-resolving and qi-regulating herbs, causing the previous symptoms to worsen, with occasional numbness in the limbs. Subsequently, wind-dispelling and phlegm-resolving herbs were used, resulting in frequent limb numbness and alternating cold and hot sensations in the hands and feet. This indicated that Spleen earth failed to generate Lung metal. I prescribed Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) added with Fu Ling (Poria), Ban Xia (Pinellia Tuber), and Pao Jiang (Prepared Ginger). After more than twenty doses, she gradually improved. Then, using Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder), she fully recovered after thirty-plus doses. Later, due to anger-induced expectoration and chest oppression, someone used Qing Qi Hua Tan Wan (Clear Qi and Resolve Phlegm Pill), leading to poor appetite, excessive phlegm, and chest fullness. Her pulse was sometimes floating and large, sometimes minute and fine. I treated her with Liu Jun Zi Tang (Six Gentlemen Decoction), doubling the dosage of Ren Shen (Ginseng Root) and Bai Zhu (Atractylodes Rhizome), adding a small amount of Mu Xiang (Aucklandia Root), and she recovered.
Another woman suffered from cough and hypochondriac pain. Someone administered lung-clearing, phlegm-resolving, and fire-descending agents without success over a long period, leading to increased internal heat and afternoon tidal fever. If there was internal heat in both hypochondria or the lower abdomen, the cough worsened, accompanied by urinary incontinence. I stated: This belongs to Liver blood deficiency with stirring fire. I used Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia, treating miscellaneous consumptive disease) added with Wu Wei Zi (Schisandra Fruit) to nourish Kidney water to generate Liver blood; and Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) to strengthen Spleen earth to nourish Lung metal, leading to recovery.
Xuan Fu Hua Tang (Inula Flower Decoction) treats wind-phlegm, vomiting, and retching in women, inability to eat, and dizziness/vertigo of the head and eyes.
Ingredients: Xuan Fu Hua (Inula Flower), Pi Ye (Loquat Leaf, de-haired and roasted), Chuan Xiong (Ligusticum Rhizome), Xi Xin (Asarum Root, de-seeded), Huo Xiang (Patchouli Herb), Gui Xin (Cinnamon Twig Heart), Zhi Qiao (Bitter Orange Peel, de-pithed and bran-roasted), Qian Hu (Peucedanum Root, de-radicle), Ren Shen (Ginseng Root, de-radicle), Ban Xia (Pinellia Tuber, ginger-processed, each half liang), Gan Cao (Licorice Root, roasted), Ling Yang Jiao (Antelope Horn Shavings), Chi Fu Ling (Red Poria, de-bark, each seven qian half), Qiang Huo (Notopterygium Rhizome, de-radicle, half liang).
Preparation and Administration: Coarsely crush the above ingredients. Take five qian per dose, add one and a half cups of water and five slices of fresh ginger, decoct until one cup remains, strain, and take warm. Administer twice daily, well after meals.
Tian Nan Xing Wan (Arisaema Pill) treats wind-phlegm in women and stagnation in the heart and diaphragm.
Ingredients: Tian Nan Xing (Arisaema Rhizome, ginger-processed), Bai Fu Zi (Typhonium Rhizome, processed), Zao Jiao Ren (Gleditsia Sinensis Seed, stir-fried to yellow), Ban Xia Qu (Pinellia Fermented Dough, each one liang), Bai Fan (Alum, calcined, five qian).
Preparation and Administration: Grind into fine powder. Use wine-boiled wheat paste to form pills the size of wutong seeds. Take twenty pills per dose, washed down with decocted fresh ginger and mint tea. Take after meals and before bed, twice daily.
Da Ban Xia Tang (Major Pinellia Decoction) treats spleen-stomach disharmony due to phlegm-fluid retention, cough, vomiting, and inability to ingest food.
Ingredients: Ban Xia (Pinellia Tuber), Bai Fu Ling (White Poria), Sheng Jiang (Fresh Ginger, each two qian).
Preparation and Administration: Decoct with ginger water. For gastric obstruction, add Chen Pi (Tangerine Peel). (Si Qi Tang is also effective.)
Dao Tan Tang (Guiding Phlegm Decoction) treats excessive phlegm-saliva, chest and diaphragm oppression, or cough with nausea and poor appetite.
Ingredients: Ban Xia (Pinellia Tuber, two qian), Nan Xing (Arisaema Rhizome), Zhi Shi (Immature Bitter Orange, bran-roasted), Fu Ling (Poria), Ju Hong (Tangerine Red Peel, one qian), Gan Cao (Licorice Root, five fen).
Preparation and Administration: Decoct with ten slices of fresh ginger in water.
Gua Di San (Melon Seed Powder) treats pathological phlegm causing chest and diaphragm oppression, without headache or stiff neck, with a slightly floating cun pulse, hardness and oppression in the chest, qi rushing to the throat and pharynx, and dyspnea. This indicates phlegm in the chest; vomiting is indicated, and this formula is suitable. (Formula seen previously.)
Chai Hu Ban Xia Tang (Bupleurum and Pinellia Decoction) treats headache due to phlegm-heat, unblocks the diaphragm, relieves irritability,煩热 (restless heat) in hands and feet, disharmony of Ying and Wei, stiffness and fatigue in joints, body pain, lethargy and weakness, and loss of taste. Also treats five types of coughs and phlegm-gathering.
Ingredients: Chai Hu (Bupleurum Root, eight qian), Ban Xia (Pinellia Tuber, three liang half), Ren Shen (Ginseng Root, de-radicle), Gan Cao (Licorice Root), Huang Qin (Scutellaria Root), Mai Men Dong (Ophiopogon Tuber, each two liang), Bai Zhu (Atractylodes Macrocephala Rhizome, two liang).
Preparation and Administration: Coarsely crush. Take five qian per dose, add one and a half cups of water, five slices of ginger, and one jujube. Decoct until 80% remains, strain, and take.