（朱震亨《丹溪心法附余》） 猝中痰迷，用此吹鼻。
皂角 细辛（等分） 研末吹。
稀涎（散）皂角白矾班，或益藜芦微吐间。（不可令大吐，但使咽喉疏通，能进汤药便
止。若尽攻其痰，则无液以养筋，令人挛急偏枯，此其禁也。）风中痰升人眩仆，当先服此
通其关。（白矾酸苦能涌泄，咸能软顽痰；皂角辛能通窍，咸能去垢，专制风木；藜芦吐风
痰，善通顶，令人嚏。此夺门之兵也。风国中时，痰盛宜先用此，令吐稀涎，续进他药。）
通关散用细辛皂，吹鼻得嚏保生还。（有嚏者可治；无嚏者为肺气已绝，不治。）
（汪 庵《医方集解》引张子和方） 吐疟痰。
稀涎散加甘草、常山、藜芦。
（汪 庵《医方集解》 治缠喉风痹，牙关紧闭。
前方去甘草、常山，加雄黄为末 鼻。（或以杜牛膝捣汁灌之）
甘草常山（散）吐疟痰，（常山善吐疟痰，得甘草则功更捷。）藜芦皂角白矾参。若除常
草雄黄入，（名如圣散）喉风痰壅此能探。（喉风胀急，汤水难进，必先吐去其痰，续进他药。
余友
（张介宾《新方八阵》 代瓜蒂、三圣之属。
萝卜子捣碎，以温汤和搅，取淡汤徐徐饮之，少顷即当吐出。即有吐不尽者，亦必从下
行矣。吐法新方最平稳，捣研卜子用宜生，温汤和搅徐徐饮，上越还能使下行。（按∶景岳
此方，凡邪实上焦，或痰或食，或气逆不通等证，皆可以此吐之，最为平稳。然恐未必即吐，
必以
（朱震亨《丹溪心法附余》）突发中风痰迷心窍，用此药吹入鼻腔。
皂角、细辛（等量），研成粉末吹入鼻中。
稀涎散由皂角和白矾组成，或者加入藜芦使其轻微呕吐。（不可令其剧烈呕吐，只要使咽喉疏通，能够进食汤药就停止。如果彻底攻逐体内的痰液，就会因津液枯竭无法滋养筋脉，导致肢体拘挛、偏瘫枯废，这是禁忌。）风邪引动痰升导致人眩晕仆倒，应当先服用此方开通闭塞。（白矾味酸苦能催吐泄浊，味咸能软化顽固痰结；皂角味辛能通利孔窍，味咸能去除污垢，专门克制肝木之风邪；藜芦能吐出风痰，善于通达头部，使人打喷嚏。这是如同夺取城门的奇兵。风邪侵袭人体时，若痰湿盛极，宜先用此方，令其吐出稀薄涎沫，随后再进服其他药物。）
通关散使用细辛和皂角，吹入鼻腔使人打喷嚏即可保全生命。（有喷嚏反应者可以治疗；无喷嚏反应者为肺气已绝，属于不治之症。）
（汪昂《医方集解》引用张子和方）用于吐出疟疾痰浊。
在稀涎散基础上加入甘草、常山、藜芦。
（汪昂《医方集解》）治疗缠喉风痹阻，牙关紧闭。
前方去掉甘草、常山，加入雄黄研成粉末，吹入鼻中。（或者用杜牛膝捣汁灌服）
甘草、常山组成的散剂可吐出疟疾痰浊，（常山善于吐出疟疾痰浊，得到甘草配合则功效更迅速。）藜芦、皂角、白矾参与其中。若除去常山、甘草，加入雄黄，（名为如圣散），对于喉风痰壅塞的症状可以探吐。（喉风肿胀急迫，汤水难进，必须先吐出痰液，随后再进服其他药物。我的朋友……）
（张介宾《新方八阵》）替代瓜蒂散、三圣散之类的方剂。
将萝卜子捣碎，用温开水调和搅拌，取清淡的药液慢慢饮下，片刻之后自然会吐出。即使有未吐尽的痰食，也必然随大便下行。此吐法新方最为平稳，捣碎生萝卜子使用适宜，用温开水调和慢慢饮下，向上涌吐的同时也能引导病邪下行。（按：景岳此方，凡是邪气实于上焦，无论是痰、食积还是气逆不通等证候，都可以用此方催吐，最为平稳。然而担心未必能立即引起呕吐，必须……）
(Zhu Zhenheng's *Fuyu of Danxi Xinfa*) For sudden stroke with phlegm misting the mind, use this medicine blown into the nasal cavity.
*Zaojiao* (Gleditsiae Fructus Spina) and *Xixin* (Asari Radix et Rhizoma) in equal parts, ground into powder and blown into the nose.
*Xixian San* (Thin Saliva Powder) consists of *Zaojiao* (Gleditsiae Fructus Spina) and *Baifan* (Alumen). Alternatively, add *Lilu* (Veratri Nigrum Rhizoma) to induce mild emesis. (Do not cause severe vomiting; stop once the throat is unblocked and the patient can take liquid medicine. If all phlegm is aggressively purged, body fluids will be depleted failing to nourish the sinews, leading to spasms, hemiplegia, and atrophy; this is a contraindication.) When wind-stroke causes phlegm to rise leading to dizziness and collapse, one should first administer this formula to open the orifices. (*Baifan* [Alumen] is sour and bitter, capable of inducing emesis and draining turbidity; its salty taste can soften stubborn phlegm. *Zaojiao* [Gleditsiae Fructus Spina] is pungent, opening orifices, and salty, removing filth; it specifically controls Wind-Liver. *Lilu* [Veratri Nigrum Rhizoma] expels wind-phlegm and effectively reaches the vertex, inducing sneezing. This is like a surprise troop breaching the gates. When wind pathogens invade and phlegm is abundant, use this first to induce expectoration of thin saliva, then proceed with other medications.)
*Tongguan San* (Orifice-Opening Powder) uses *Xixin* (Asari Radix et Rhizoma) and *Zaojiao* (Gleditsiae Fructus Spina); blowing it into the nose to induce sneezing ensures survival. (If sneezing occurs, the condition is treatable; if no sneezing occurs, Lung Qi is exhausted, which is untreatable.)
(Wang Ang's *Yifang Jijie*, citing Zhang Zihe's formula) To vomit out malaria phlegm.
Add *Gancao* (Glycyrrhizae Radix et Rhizoma), *Changshan* (Dichroae Radix), and *Lilu* (Veratri Nigrum Rhizoma) to *Xixian San* (Thin Saliva Powder).
(Wang Ang's *Yifang Jijie*) Treating Chanhou Feng (Entangling Throat Wind) with bi obstruction and locked jaw.
Remove *Gancao* (Glycyrrhizae Radix et Rhizoma) and *Changshan* (Dichroae Radix) from the previous formula, add *Xionghuang* (Realgar), grind into powder, and blow into the nose. (Alternatively, crush *Du Niuxi* [Achyranthis Bidentatae Radix] to extract juice and administer orally.)
The powder of *Gancao* (Glycyrrhizae Radix et Rhizoma) and *Changshan* (Dichroae Radix) vomits out malaria phlegm. (*Changshan* [Dichroae Radix] is effective in expelling malaria phlegm; combined with *Gancao* [Glycyrrhizae Radix et Rhizoma], its efficacy is more rapid.) *Lilu* (Veratri Nigrum Rhizoma), *Zaojiao* (Gleditsiae Fructus Spina), and *Baifan* (Alumen) are involved. If *Changshan* (Dichroae Radix) and *Gancao* (Glycyrrhizae Radix et Rhizoma) are removed and *Xionghuang* (Realgar) is added, (named *Rusheng San* [Like-Sage Powder]), it can induce emesis for throat wind with phlegm obstruction. (Throat wind presents with swelling and urgency, making it difficult to swallow liquids; one must first vomit out the phlegm, then proceed with other medications. My friend...)
(Zhang Jiebin's *Xin Fang Ba Zhen*) Substituting formulas such as *Gua Di Tang* (Melon Seed Decoction) and *San Sheng San* (Three Sage Powder).
Crush *Luobozi* (Raphani Semen), mix with warm water, stir, and slowly drink the clear decoction. After a short while, vomiting will occur. Even if some phlegm/food remains undischarged, it will likely move downward through the intestines. This new emetic formula is the most gentle. Crushing raw *Luobozi* (Raphani Semen) is suitable; mixing with warm water and drinking slowly allows upward expulsion while also guiding pathogens downward. (Note: Jingyue’s formula is suitable for any excess pathogen in the Upper Jiao, whether phlegm, food stagnation, or rebellious Qi causing obstruction. It is the safest method for emesis. However, there is a concern that it may not always induce immediate vomiting, requiring...)