（刘完素《宣明论方》） 治实热积痰，翻胃噎膈，湿热肿满。十枣汤原方加大黄一两，
黑牵牛二两，轻粉一钱，滴水为丸。
十枣汤用芫遂戟，峻攻水气威灵赫。下利胸胁痞硬痛，汗出短气干呕逆。（诸证皆水气
为患。仲景利水之方，种种不同，此其最峻者也。芫花、甘遂、大戟为决水之猛药，故用大
枣甘以缓之，欲其缓循经络，不欲其径走肠胃也。缓攻则从心及胁之水饮，皆从二便出矣。）
咳唾引（胸胁）痛为悬饮，饮踞久必成囊癖。捣囊破癖饮斯蠲，（悬饮者，如悬物也。水饮
痰涎，久踞经络，结成窠囊，悬于胁下，惟此三味，能直达水饮窠囊隐僻之处，非他药所能
及。本论云“悬饮不猝死，至百日或一岁者，宜十枣汤”，可知其证之来有渐矣。）羸弱虚人
勿轻掷。河间三花神 丸，大黄轻粉牵牛益。善通壅塞劫痰涎，（牵牛、大黄大泻血气之壅
塞，轻粉劫痰，无窍不入。）积痰噎膈能开辟。（刘完素云∶“积痰翻胃噎膈，服此药三丸后
，转加痛闷者，此痰涎壅塞，顿攻不开，再服自利也。”）
（陈言《三因极一病证方论》）治人忽患胸背手足腰项筋骨牵引钓痛，走易不定；或手
足冷痹。此乃痰涎在胸膈上下，非风证也。
甘遂（去心） 大戟（去皮） 白芥子（各等分） 为末糊丸，每服五、七丸，加至十丸，临卧姜汤下。
控涎丹治痰之本，（痰之本，水也，湿也，得气与火，则结为痰。）痰涎变证悉能医。（李
时珍《本草纲目》曰∶“痰涎之为物，随气升降，无处不到∶入于心，则迷窍而成癫痫，妄
言妄见；入于肺，则塞窍而成咳唾稠粘，喘急背冷；入于肝，则留伏蓄聚而成胁痛干呕，寒
热往来；入于经络，则麻痹疼痛；入于筋骨，则颈项胸背腰胁手足牵引隐痛。陈言《三因方》
并以控涎丹主之，殊有奇效。”）走注麻痹牵引痛，胸背腰项或四肢，或噎或喘或癫痫，痈
肿瘰 并主之。脏腑水湿大戟泄，经隧水湿甘遂推，皮里膜外消痰气，芥子之功信甚奇。（
白芥子色白入肺而达上焦，消皮里膜外之痰；甘遂色黄入脾而行中焦，决经隧之水湿；大戟
色黑入肾而走下焦，泄脏腑之水湿。三者引经各异，而令三焦之水湿痰涎流出于水道则同，
故复用成方。惟善用者，能收奇功也。）
（出自刘完素《宣明论方》）治疗实热积痰、翻胃噎膈（饮食吞咽困难，呕吐反出）、湿热导致的肿胀腹满。在十枣汤原方基础上加大黄一两，黑牵牛二两，轻粉一钱，用水泛丸。
十枣汤由芫花、甘遂、大戟组成，峻猛攻逐水气，威力显赫。（这些症状皆由水气为患引起。张仲景利水的方剂多种多样，此方最为峻猛。芫花、甘遂、大戟是决泄水气的猛烈药物，所以用大枣的甘缓之性来制约它，希望药力缓慢循行经络，而不直接冲击肠胃。这样缓攻则心及胁下的水饮，都能从大小便排出。）咳嗽吐痰牵引胸胁疼痛称为悬饮（水饮停聚于胸胁），水饮久留必形成癖块（腹部积块）。捣破囊癖中的水饮即可消除，（所谓悬饮，就像悬挂物体一样。水饮痰涎久留经络，结成窠囊，悬挂在胁下，只有这三味药能直达水饮窠囊隐蔽之处，其他药物达不到。本论说“悬饮不立即死亡，拖延至百日或一年者，宜用十枣汤”，可知其病症由来已久。）身体羸弱虚人不要轻易使用。河间三花神丸，在大黄、轻粉、牵牛子的基础上增加配伍。善于通导壅塞，劫夺痰涎，（牵牛子、大黄大力泻除血气壅塞，轻粉劫痰，无孔不入。）积痰引起的噎膈也能开通。（刘完素说：“积痰导致的翻胃噎膈，服用此药三丸后，如果反而加重痛闷，这是因为痰涎壅塞，突然攻伐未能打开，再服用自然会腹泻。”）
（出自陈言《三因极一病证方论》）治疗人忽然出现胸背手足腰项筋骨牵引如钓绳般的疼痛，游走不定；或者手足冷痹。这是痰涎停留在胸膈上下，并非风证。
甘遂（去心）、大戟（去皮）、白芥子（各等分），研为细末，用糊制成丸剂，每次服用五到七丸，加至十丸，睡前用姜汤送服。
控涎丹治疗生痰的根本，（痰的根本是水湿，遇到气和火，就凝结成痰。）痰涎引起的各种变证都能医治。（李时珍《本草纲目》说：“痰涎这种物质，随着气机升降，无处不到：进入心脏，则迷蔽心窍而成癫痫，胡言乱语幻视；进入肺脏，则堵塞窍道而成咳嗽吐粘稠痰，喘急背冷；进入肝脏，则留伏蓄积而成胁痛干呕，寒热往来；进入经络，则麻痹疼痛；进入筋骨，则颈项胸背腰胁手足牵引隐痛。陈言《三因方》都用控涎丹主治，效果奇特。”）走注（疼痛游走）麻痹牵引痛，部位在胸背腰项或四肢，或者噎膈或者喘息或者癫痫，痈肿瘰疬也都主治。脏腑的水湿由大戟泄除，经隧的水湿由甘遂推荡，皮里膜外的痰气由白芥子消除，白芥子的功效确实奇妙。（白芥子色白入肺而达上焦，消除皮里膜外的痰；甘遂色黄入脾而行中焦，决泄经隧的水湿；大戟色黑入肾而走下焦，泄除脏腑的水湿。三者引经作用各异，但都使三焦的水湿痰涎流出于水道，所以复用成方。只有善于使用者，才能收到奇效。）
(From Liu Wansu's *Xuanming Lunfang*) Treats excess heat with accumulated phlegm, fanwei (vomiting and regurgitation due to obstruction), and swelling/abdominal fullness caused by damp-heat. To the original Shizao Tang (Ten Jujube Decoction), add Dahuang (Rhubarb Rhizome) 1 liang, Heiqianniu (Black Morning Glory Seed) 2 liang, and Qingfen (Calomel) 1 qian. Form into pills using water.
Shizao Tang consists of Yuanhua (Genkwa Flower), Gansui (Kansui Root), and Daji (Euphorbia Root). It vigorously attacks water qi with formidable power. (These symptoms are all caused by water qi. Zhang Zhongjing's formulas for draining water vary greatly, but this is the most potent one. Yuanhua, Gansui, and Daji are fierce drugs for breaking through water accumulation; therefore, the sweet nature of Dazao (Jujube Fruit) is used to moderate them, aiming for a slow action along the meridians rather than a direct assault on the intestines and stomach. By attacking gently, the fluid retention in the heart and hypochondrium will be discharged via urination and defecation.) Coughing and expectoration pulling with pain in the chest and hypochondrium is called Xuanyin (Hanging Fluid); if fluid retention persists for a long time, it must form Pixin (accumulated masses). Crushing the cysts and breaking the masses eliminates the fluid. (Xuanyin refers to fluid hanging like an object. Fluid retention and phlegm-saliva linger in the meridians, forming nests/cysts that hang under the hypochondrium. Only these three ingredients can reach the hidden places of these fluid nests, which other drugs cannot. The present treatise states, "If Xuanyin does not cause sudden death, but persists for a hundred days or a year, Shizao Tang is appropriate," indicating that the condition develops gradually.) Do not use lightly in emaciated or deficient individuals. Hejian Sanhuashen Wan (Three Flowers Divine Pill of Hejian) adds Da Huang, Qingfen, and Qianniu Zi. It effectively unblocks congestion and seizes phlegm-saliva. (Qianniu Zi and Dahuang strongly purge blood and qi congestion; Qingfen seizes phlegm, penetrating every orifice.) It can also open up Yige (dysphagia/choking) caused by accumulated phlegm. (Liu Wansu said: "For fanwei and yige caused by accumulated phlegm, if after taking three pills of this medicine the pain and oppression worsen, it is because the phlegm-saliva congestion was suddenly attacked but not yet opened; taking it again will naturally cause diarrhea.")
(From Chen Yan's *Sanyin Ji Yi Bing Zheng Fanglun*) Treats sudden onset of pulling, rope-like pain in the chest, back, hands, feet, waist, neck, and joints, moving unpredictably; or cold bi (obstruction) in the hands and feet. This is due to phlegm-saliva residing above and below the chest and diaphragm, not a wind syndrome.
Gansui (heart removed), Daji (skin removed), Baijiezhi (White Mustard Seed) (equal parts). Grind into powder, make into pills with paste. Take 5–7 pills per dose, increasing to 10 pills, taken at bedtime with ginger decoction.
Kongxian Dan treats the root of phlegm. (The root of phlegm is water/dampness; when combined with qi and fire, it condenses into phlegm.) It can cure all pathological changes caused by phlegm-saliva. (Li Shizhen in *Bencao Gangmu* says: "Phlegm-saliva, as a pathogen, ascends and descends with qi, reaching everywhere: entering the Heart, it confuses the orifices causing epilepsy, delirium, and hallucinations; entering the Lung, it blocks the orifices causing cough with thick sticky sputum, wheezing, and cold back; entering the Liver, it lingers and accumulates causing hypochondriac pain, dry retching, and alternating chills and fever; entering the meridians, it causes numbness and pain; entering the sinews and bones, it causes pulling and dull pain in the neck, chest, back, waist, hypochondrium, hands, and feet. Chen Yan's *Sanyin Fang* uses Kongxian Dan as the primary treatment for all these, achieving remarkable efficacy.") It treats wandering pain, numbness, pulling pain in the chest, back, waist, neck, or limbs; it also treats dysphagia, wheezing, epilepsy, carbuncles, and scrofula. Zangfu organ damp-water is drained by Daji; Jingmai meridian damp-water is pushed by Gansui; phlegm-qi in the subcutaneous tissue and membrane exterior is eliminated by Baijiezhi, whose efficacy is indeed miraculous. (Baijiezhi is white, enters the Lung, reaches the Upper Jiao, and eliminates phlegm in the subcutaneous/membrane exterior; Gansui is yellow, enters the Spleen, moves through the Middle Jiao, and drains damp-water from the meridians; Daji is black, enters the Kidney, moves to the Lower Jiao, and drains damp-water from the zang-fu organs. Although their guiding actions differ, they all facilitate the flow of damp-water and phlegm-saliva from the Three Jiao out through the water passages. Hence, they are combined into a formula. Only those who master its use can achieve miraculous results.)