痰饮虽为一症，而因则有二。稠浊者为痰，痰因于火，
有热无寒，宜分在肺在脾；稀清者为饮，饮因于湿，有热有寒，此属在脾。然湿土寄旺四时，三时
主热，一时主寒，故饮症亦究寒湿酿成者少，湿热酿成者多。按仲淳云∶痰之生也，其由非一，其治
不同。如由阴虚火动，上炎烁肺，煎熬津液，凝结为痰，是为阴虚痰火，痰在乎肺，而本乎肾，宜
壮水清金，降气消痰为治。若由脾湿不能运化，积滞生痰，或因酒醪浓味生痰，浓浓胶固，甚至流于经
络，及皮里膜外，或结为大块；或不思饮食，或彻夜不眠；或身重腹胀，不得行走∶或卒然眩仆，不
知人事；或发为癫痫；或叫呼异常，或昔肥今瘦∶或泄泻不止，及成瘫痪种种怪症，皆痰之所为。故昔
人云∶怪病多属痰，暴病多属火，良有以夫。此症在脾胃，无关肺肾，宜燥脾行气，散结软坚为治。若
有风。寒闭热在肺，而痰嗽喘逆者，亦属在肺，宜豁痰降气，除肺热药中加辛温之剂，以散风寒。故利
润、利燥。利散，各有攸当，非可混施也。世以痰饮混称，而不辨稠粘之为痰，清水之为饮，混同施治，岂
中病情？要知饮之色状不同，或青、或黄、或绿、或黑、或酸、或苦，或伏于肠胃，或攻于胸胁，则为
心痛，为胃脘痛，为胁肋刺痛。或流于经络四肢，则关节不利。或憎寒、发热、自汗，或胸膈满闷喘
逆，或不思食，或不得眠，皆其候也。此症多因酒后过饮茶汤，与肠胃湿热之气，凝而为饮。或因怀抱
抑郁。或因脾胃虚弱，饮食之湿，不得消散、亦能成饮。总之，必由脾胃有
湿所致。宜健脾燥湿，消饮行水，降气散郁为治。考方书论痰，有在肺经者，名为燥痰，其痰涩而难出。
在脾经者，名为湿痰，其痰滑而易出。在心经者，名为热痰，其痰坚而成块。在肝经者，名为风痰，其痰
青而多泡。在肾经者，名为寒痰，其痰有黑点而多稀之别。《金匮》论饮症，有四∶水走肠间，沥沥有
声者，曰痰饮，水流胁下，咳唾引痛者，曰悬饮；水流行于四肢，汗不出而身重者，曰溢饮；咳逆倚息，
气短不得卧，其形如肿者，曰支饮。亦分在肺、在脾、在心、在肝、在肾，此诚痰饮病变之无穷，有志深
造者，所宜详究焉。
疏邪利金汤〔见伤风。〕
原方可加炒麻黄〔散风寒，三、五分。〕 石膏〔清肺热。量用。〕
此方因风寒闭热在肺，而痰嗽喘逆者，用以治之。
清金散 清宁膏 噙化丸〔俱见虚劳。〕 接命丸〔见中风。〕
此四方阴虚痰火者，择而用之，以肺为燥金，喜凉润而恶温燥故也。如胶固者，加霞天膏。
顺气开痰饮〔见中风，〕治气逆火升，痰滞喉间，如有核上。
原方〔顺气开痰。〕加麦冬 知母 黄柏〔清火。〕 白芍 五味〔敛火下降。〕
此顺气开痰降火之剂。
琥珀丸 治痰症如神。
真琥珀 朱砂〔镇心安神。〕 人参〔补气安神。〕 茯神 莲肉〔各三钱。〕 山
药〔一两。〕 甘草〔补心益脾。〕 天竺黄〔入心，除热痰。〕 陈胆星〔入肝，祛风
痰。〕 可加牛黄〔清心凉肺，除热化痰。一钱更妙。〕〔蜜丸重三钱，朱砂为衣，小儿每丸重一钱。〕
此镇心安神除热化痰之剂，为幼科之圣药，凡遇慢惊，所投辄应，兼治小儿一切虚症。
栝蒌橘红丸 治胃中有痰欲吐。
栝蒌仁 橘红〔各四两。〕〔竹沥、姜汁泛为丸。食后服。〕
此顺气开痰止呕之剂。
加味栝蒌半夏汤 痰嗽气逆频吐，胸膈如有冷物上塞，饮热汤稍下者，方可用此。
栝蒌霜〔蛤粉拌炒，三钱。〕 半夏〔姜汁炒，一钱五分。一润一燥。原方只二味，下药仲
淳加入。〕 苏子〔炒研。〕 橘红 茯苓〔皆消痰降逆之品。各三钱。〕 白豆蔻〔五
分。〕 吴茱萸〔有温中下气之能。三、五、七分。汤泡用。〕加竹沥〔一小杯。〕 姜
汁〔开痰止呕。五匙。〕
此消痰降逆温中下气之剂，因热者大忌之。
二陈汤〔见中风。〕治湿痰及一切饮症之要药。
此燥湿、理气、化痰之剂。虚者加人参、白术，补气健脾以运化其痰，名六君子汤。先哲云∶脾为生
痰之原。又曰∶治痰不理脾胃，非其治也。若吐涎沫，不甚稠粘，此脾
虚不能约束津液故也，六君子加益智仁治之。益智辛热，能摄涎 ，非虚寒勿用。每见劳嗝等症，多有
吐白涎沫者，此系热极所致。凡临症最宜细审，治始无误。
仲淳痰饮丸〔亦可煎服。〕治一切饮症如神。
六君子去甘草〔健脾燥湿，去甘草，嫌其缓中。各四两。〕加旋复花〔消痰。三两。〕
猎苓 泽泻〔行水。各三两。〕枳实〔一两。〕浓朴 木香〔降气散郁。各五钱。〕因酒
湿者，加黄连，〔一两。〕因寒湿者，加茅术，〔二两。〕白豆蔻，〔五钱。〕因抑郁者，加紫苏。〔
四两，〕〔姜汁稀米糊为丸，如绿豆大，淡姜汤下。每服三、四、五钱，日三服。〕
此健脾燥湿，消饮行水，降气散郁之剂。凡遇饮症，投之辄效。仲景用桂枝、茯苓、白术、甘草汤，
四味通阳，化气渗水，健脾胜湿消饮；用八味肾气丸，补益真阳，使肾气不虚，水不上泛为痰；用葶苈大
枣汤，以泻肺气之闭，使气行而饮自不聚。载在《金匮》痰饮门。其方非一，所宜参究。
神术丸 治湿痰〔肥人多患之。〕及一切饮症如神。
茅术〔一斤，黑芝麻一斤。同水研浆拌之，九蒸九晒。〕 〔枣肉为丸。秋月燥令，可用天冬钱
许，煎汤送下。〕
此治湿消饮之神剂，并治湿痹及脾湿肿胀极效。
茯苓丸 治痰停中脘，脾气壅滞，不得下行，上攻两臂，抽牵作痛，手不能举。〔脾主四肢故
也。〕服者立效。
半夏〔二两。〕茯苓〔一两。〕枳壳〔五钱。〕
风化硝〔引消痰利气之品，同润下归大肠。二钱五分。〕〔姜汁煮，面湖为丸，桐子大，每服
三、五十丸，淡姜汤下。〕
此导痰润下之缓剂。
礞石滚痰丸 治一切积聚痰结，百种怪症。〔病而至于变异百出，症不可凭，脉不可据，莫测端
倪者，大属于痰。〕
青礞石〔消积滞，坠痰涎之要药。火硝等分， 金色。汤氏治小儿用用一钱，岂有君药反少
之理，原方分量疑误。〕制大黄〔驱逐一切积滞，停淡留饮之神剂。〕黄芩〔芩之治痰，假以
降其火也。各八两。〕真沉香〔沉之治痰，借以降其气。一两。木香亦可。〕〔水泛为丸，白汤下
一、二、三钱。〕
此驱痰除热泄结之圣剂。若因于脾湿，不能运化，积滞生痰，或因酒醪浓味生痰，浓浓胶固，咯唾难
出者，此药但取痰积，次第而下，并不大泻，应如鼓桴。如阴虚痰火禁用，虚人亦禁。
痰得涩脉难治。
痰饮虽然被视为一种病症，但其成因主要有两种。质地稠浊的是痰，痰由火邪引起，表现为有热无寒，治疗时需分辨病位在肺还是在脾；质地稀清的是饮，饮由湿邪引起，可有热证也可有寒证，这主要归属于脾的病变。然而，湿土之气寄寓于四季之中，其中三个季节主热，一个季节主寒，所以饮证的形成，究其根源，由寒湿酿成的较少，由湿热酿成的较多。
按照仲淳（陈实功之子，或指明代医家陈司成等，此处泛指引用者）的说法：痰的产生，原因不止一种，治疗方法也各不相同。如果是由于阴虚导致虚火上炎，灼伤肺金，煎熬津液，凝结而成痰，这称为阴虚痰火，痰虽在肺，但根本在于肾，治疗宜采用壮水制火、清金润肺、降气消痰的方法。如果是由于脾湿不能运化，积滞而生痰，或者因为饮酒及食用浓味厚腻食物生痰，这些痰液浓稠胶固，甚至流注于经络，以及皮里膜外，或者结成大块；或者不思饮食，或者彻夜不眠；或者身体沉重腹胀，无法行走；或者突然眩晕跌倒，不知人事；或者发作癫痫；或者呼叫异常，或者以前肥胖现在消瘦；或者泄泻不止，甚至形成瘫痪等各种怪症，这些都是痰所致。所以古人说：“怪病多属痰，暴病多属火”，确实是有道理的。这种类型的病症病位在脾胃，与肺肾无关，治疗宜燥脾行气、散结软坚。如果有风寒闭郁，导致热邪在肺，出现痰嗽喘逆的症状，这也属于病位在肺，治疗宜豁痰降气，在清除肺热的药物中加入辛温之剂，以疏散风寒。因此，滋润、利燥、发散，各有其适用的情况，不可混淆施用。世人将痰饮混为一谈，而不辨别粘稠者为痰、清水者为饮，混合施治，怎么能符合病情呢？要知道饮的颜色和性状各不相同，有的呈青色、黄色、绿色、黑色，有的味道酸、苦，有的潜伏于肠胃，有的攻冲于胸胁，从而引起心痛、胃脘痛、胁肋刺痛。有的流注于经络四肢，导致关节活动不利。有的憎寒发热、自汗，有的胸膈满闷喘逆，有的不思饮食，有的不得安眠，这些都是它的征候。这种病症多因酒后过量饮茶或汤水，与肠胃中的湿热之气，凝结而成饮。或者因为情怀抑郁，或者因为脾胃虚弱，饮食产生的湿气不能消散，也能形成饮。总之，必定是由脾胃有湿所致。治疗宜健脾燥湿、消饮行水、降气散郁。
考察方书论述痰证，有的在肺经，名为燥痰，其痰涩滞难出；有的在脾经，名为湿痰，其痰滑利易出；有的在心经，名为热痰，其痰坚硬成块；有的在肝经，名为风痰，其痰色青且多泡沫；有的在肾经，名为寒痰，其痰有黑点且质地较稀。《金匮要略》论述饮证，有四种：水走肠间，沥沥有声的，称为痰饮；水流胁下，咳嗽吐唾时牵引作痛的，称为悬饮；水流行于四肢，无汗且身体沉重的，称为溢饮；咳嗽气逆，倚靠呼吸，气短不能平卧，身形如肿的，称为支饮。这也分为病位在肺、在脾、在心、在肝、在肾，这确实是痰饮病变无穷无尽，有志于深入钻研的人，应当详细探究。
疏邪利金汤〔见伤风章节〕
原方可加炒麻黄〔疏散风寒，三至五分〕、石膏〔清肺热，用量视情况而定〕
此方用于风寒闭郁、热邪在肺，导致痰嗽喘逆的患者。
清金散、清宁膏、噙化丸〔均见虚劳章节〕、接命丸〔见中风章节〕
这四方适用于阴虚痰火证，择一使用，因为肺为燥金，喜凉润而厌恶温燥。如果痰液胶固难化，可加霞天膏。
顺气开痰饮〔见中风章节〕，治疗气逆火升，痰滞喉间，如有核阻塞感。
原方〔顺气开痰〕加麦冬、知母、黄柏〔清热降火〕、白芍、五味子〔收敛浮火，引之下行〕
这是顺气开痰、降火的方剂。
琥珀丸，治疗痰证效果如神。
真琥珀、朱砂〔镇心安神〕、人参〔补气安神〕、茯神、莲肉〔各三钱〕、山药〔一两〕、甘草〔补心益脾〕、天竺黄〔入心经，除热痰〕、陈胆星〔入肝经，祛风痰〕。可加牛黄〔清心凉肺，除热化痰，用一钱更佳〕。〔蜜丸，每丸重三钱，朱砂为衣，小儿每丸重一钱〕
这是镇心安神、除热化痰的方剂，是儿科圣药，凡遇慢惊风，投用即效，兼治小儿一切虚证。
栝蒌橘红丸，治疗胃中有痰欲吐者。
栝蒌仁、橘红〔各四两〕。〔用竹沥、姜汁泛为丸，食后服用〕
这是顺气开痰、止呕的方剂。
加味栝蒌半夏汤，治疗痰嗽气逆、频繁呕吐，胸膈如有冷物上塞，喝热汤稍能缓解者，方可使用此方。
栝蒌霜〔蛤粉拌炒，三钱〕、半夏〔姜汁炒，一钱五分〕。一润一燥。原方只有这两味药，下药是仲淳加入的。苏子〔炒研〕、橘红、茯苓〔均为消痰降逆之品，各三钱〕、白豆蔻〔五分〕、吴茱萸〔有温中下气的作用，三至七分，开水泡后用〕。加竹沥〔一小杯〕、姜汁〔开痰止呕，五匙〕。
这是消痰降逆、温中下气的方剂，因热邪所致者大忌。
二陈汤〔见中风章节〕，是治疗湿痰及一切饮证的要药。
这是燥湿、理气、化痰的方剂。体虚者加人参、白术，补气健脾以运化其痰，名为六君子汤。先哲说：“脾为生痰之源”。又说：“治痰不理脾胃，不是正确的治法”。如果吐涎沫，不甚稠粘，这是脾虚不能约束津液所致，用六君子汤加益智仁治疗。益智仁辛热，能摄涎唾，非虚寒证勿用。常见噎膈等症，多有吐白涎沫者，这是热极所致。凡临症最宜仔细审察，治疗才不出错。
仲淳痰饮丸〔也可煎服〕，治疗一切饮证效果如神。
六君子汤去甘草〔健脾燥湿，去甘草是嫌它缓和药性，各四两〕，加旋覆花〔消痰，三两〕、猎苓（推测为猪苓或茯苓之误，结合上下文及常用配伍，此处保留原文“猎苓”或视为笔误，通常指利水药，暂按原文提取实体或忽略，鉴于要求只提取明确出现的，故列入）、泽泻〔行水，各三两〕、枳实〔一两〕、浓朴、木香〔降气散郁，各五钱〕。因酒湿者，加黄连〔一两〕；因寒湿者，加茅术〔二两〕、白豆蔻〔五钱〕；因抑郁者，加紫苏〔四两〕。〔用姜汁和稀米糊为丸，如绿豆大，淡姜汤送下。每次服三、四、五钱，每日三次〕
这是健脾燥湿、消饮行水、降气散郁的方剂。凡遇饮证，投用即效。张仲景用桂枝、茯苓、白术、甘草汤，四味药通阳化气、渗水利湿、健脾胜湿消饮；用八味肾气丸，补益真阳，使肾气不虚，水不上泛为痰；用葶苈大枣汤，以泻肺气之闭，使气行而饮自不聚。记载在《金匮要略》痰饮门中。其方不止一个，应当参考研究。
神术丸，治疗湿痰〔肥人多患此病〕及一切饮证效果如神。
茅术〔一斤，黑芝麻一斤。同水研磨成浆拌之，九蒸九晒〕。〔用枣肉为丸。秋季燥令之时，可用天冬少许，煎汤送下〕
这是治湿消饮的神效方剂，并治疗湿痹及脾湿肿胀极为有效。
茯苓丸，治疗痰停中脘，脾气壅滞，不得下行，上攻两臂，牵拉作痛，手不能举。〔脾主四肢的缘故〕。服用者立竿见影。
半夏〔二两〕、茯苓〔一两〕、枳壳〔五钱〕、风化硝〔引导消痰利气之品，同润下归大肠，二钱五分〕。〔用姜汁煮，面糊为丸，如梧桐子大，每次服三、五十丸，淡姜汤送下〕
这是导痰润下的缓剂。
礞石滚痰丸，治疗一切积聚痰结，百种怪症。〔病至于变异百出，症状不可凭信，脉象不可依据，莫测端倪的，大多属于痰〕。
青礞石〔消积滞、坠痰涎的要药。用火硝等分煅至金色。汤氏治疗小儿用一钱，哪有君药反而少的道理，原方分量疑似有误〕、制大黄〔驱逐一切积滞、停淡留饮的神剂〕、黄芩〔黄芩治痰，借以降其火，各八两〕、真沉香〔沉香治痰，借以降其气，一两。木香也可以〕。〔水泛为丸，白开水送下一、二、三钱〕
这是驱痰除热、泄结的圣剂。如果是由于脾湿不能运化，积滞生痰，或者因饮酒及浓味生痰，浓稠胶固，咯唾难出的，此药只取痰积，次第而下，并不猛烈泻下，应验如鼓桴。如果是阴虚痰火禁用，体虚之人也禁用。
痰得涩脉，难治。
Although Phlegm-Fluid (Tan-Yin) is regarded as a single syndrome, its etiology falls into two categories. The thick and turbid substance is Phlegm (Tan), caused by Fire (Huo), characterized by heat without cold; treatment requires distinguishing whether the pathology resides in the Lung (Fei) or the Spleen (Pi). The thin and clear substance is Fluid (Yin), caused by Dampness (Shi), which may present with either heat or cold, and primarily belongs to the Spleen. However, Damp-Earth (Shi-Tu) flourishes throughout the four seasons; three seasons are dominated by heat and one by cold. Therefore, among Fluid syndromes, those formed by Cold-Damp are few, while those formed by Damp-Heat are numerous.
According to Zhongchun: The generation of Phlegm has various causes and thus requires different treatments. If it arises from Yin Deficiency causing Empty Fire to flare upward, scorching the Lung, and boiling body fluids until they congeal into Phlegm, this is called Yin-Deficiency Phlegm-Fire. Although the Phlegm is in the Lung, its root lies in the Kidney. Treatment should focus on nourishing Water to clear Metal (Zhuang Shui Qing Jin), descending Qi, and resolving Phlegm. If it arises from Spleen Dampness failing to transform and transport, leading to stagnation and Phlegm formation, or if it results from excessive alcohol consumption and rich, greasy foods, the Phlegm becomes thick, sticky, and solidified. It may flow into the collaterals, or between the skin and membranes, forming large masses; or cause loss of appetite, insomnia all night, heavy body and abdominal distension preventing walking; or sudden dizziness and collapse with loss of consciousness; or manifest as epilepsy; or abnormal shouting; or change from obesity to emaciation; or persistent diarrhea, even paralysis. All these strange symptoms are caused by Phlegm. Hence, the ancients said: "Strange diseases often belong to Phlegm, acute diseases often belong to Fire," which is indeed true. This type of syndrome resides in the Spleen and Stomach, unrelated to the Lung and Kidney. Treatment should focus on drying the Spleen, moving Qi, dissipating nodules, and softening hardness. If Wind-Cold closes the exterior, trapping Heat in the Lung, resulting in Phlegm-cough and wheezing, this also belongs to the Lung. Treatment should focus on clearing Phlegm and descending Qi, adding acrid-warm agents to lung-clearing herbs to disperse Wind-Cold. Thus, moistening, drying, and dispersing each have their appropriate indications and must not be mixed indiscriminately. In modern times, Phlegm and Fluid are often confused without distinguishing sticky Phlegm from clear Fluid, leading to inappropriate treatment that fails to address the actual condition. One must know that Fluid varies in color and consistency: it may be green, yellow, blue-green, black, sour, or bitter. It may lie hidden in the intestines and stomach, or attack the chest and hypochondrium, causing Heart pain, Epigastric pain, or stabbing pain in the ribs. It may flow into the collaterals and limbs, causing joint stiffness. It may present with aversion to cold, fever, spontaneous sweating, chest oppression, wheezing, anorexia, or insomnia. These are all its manifestations. This syndrome is often caused by drinking tea or soup excessively after alcohol, condensing with Damp-Heat in the intestines and stomach. Or it may result from emotional depression, or Spleen-Stomach weakness where dietary Dampness fails to dissipate, also forming Fluid. In summary, it must stem from Dampness in the Spleen-Stomach. Treatment should focus on strengthening the Spleen, drying Dampness, eliminating Fluid, promoting water metabolism, descending Qi, and dissipating stagnation.
Examining medical texts regarding Phlegm syndromes: when in the Lung Meridian, it is called Dry Phlegm (Zao Tan), which is sticky and difficult to expectorate. When in the Spleen Meridian, it is called Damp Phlegm (Shi Tan), which is slippery and easy to expectorate. When in the Heart Meridian, it is called Heat Phlegm (Re Tan), which is hard and forms clumps. When in the Liver Meridian, it is called Wind Phlegm (Feng Tan), which is green and foamy. When in the Kidney Meridian, it is called Cold Phlegm (Han Tan), which contains black specks and is thin. *Jin Gui Yao Lue* discusses four types of Fluid syndromes: Water flowing between the intestines with gurgling sounds is called Tan-Yin (Phlegm-Fluid); water accumulating under the hypochondrium causing pain upon coughing and spitting is called Xuan-Yin (Hanging Fluid); water flowing into the limbs with no sweat and heaviness is called Yi-Yin (Overflowing Fluid); coughing and wheezing requiring leaning to breathe, shortness of breath, inability to lie flat, and swelling-like appearance is called Zhi-Yin (Piercing Fluid). These are also differentiated by location in the Lung, Spleen, Heart, Liver, and Kidney. This truly demonstrates the infinite variations of Phlegm-Fluid pathologies, which deserve detailed study by those committed to deep investigation.
Shu Xie Li Jin Tang [See Shang Feng]
Original formula can be added with Stir-fried Ephedrae Herba (Mahuang) [Disperses Wind-Cold, 3-5 fen], Gypsum Fibrosum (Shigao) [Clears Lung Heat, dosage adjusted].
This formula is used for cases where Wind-Cold closes the exterior and Heat is trapped in the Lung, causing Phlegm-cough and wheezing.
Qing Jin San, Qing Ning Gao, Qin Hua Wan [All see Xu Lao], Jie Ming Wan [See Zhong Feng]
These four formulas are selected for Yin-Deficiency Phlegm-Fire syndromes. Since the Lung is Dry Metal, it prefers cool-moistening and dislikes warm-drying. If the Phlegm is stubbornly stuck, add Xia Tian Gao.
Shun Qi Kai Tan Yin [See Zhong Feng]
Treats Qi rebellion and Fire rising, with Phlegm obstructing the throat, feeling like a lump.
Original formula [Shun Qi Kai Tan] adds Ophiopogonis Tuber ( Maidong), Anemarrhenae Rhizoma (Zhimu), Phellodendri Cortex (Huangbai) [Clears Fire], White Peony Root (Baishao), Schisandrae Fructus (Wuweizi) [Astringes Fire and guides it downward].
This is a formula for smoothing Qi, opening Phlegm, and descending Fire.
Hu Po Wan
Treats Phlegm syndromes with miraculous effect.
Real Amber (Hupo), Cinnabar (Zhusha) [Calms the Heart and anchors Spirit], Ginseng Radix et Rhizoma (Renshen) [Tonifies Qi and calms Spirit], Poria (Fushen), Lotus Seed (Lianrou) [Each 3 qian], Chinese Yam (Shanyao) [1 liang], Licorice Root (Gancao) [Tonifies Heart and benefits Spleen], Bamboo Dalium (Tian Zhu Huang) [Enters Heart, clears Heat Phlegm], Arisarum Rhizoma processed with bile (Chen Danxing) [Enters Liver, dispels Wind Phlegm]. Can add Calculus Bovis (Niuhuang) [Clears Heart, cools Lung, clears Heat and resolves Phlegm, 1 qian is better]. [Honey pills, each weighing 3 qian, coated with Cinnabar; children's pills weigh 1 qian each].
This is a formula for calming the Heart, anchoring Spirit, clearing Heat, and resolving Phlegm. It is a sacred medicine for pediatrics. For slow convulsions, it is effective upon administration, and also treats all deficiency syndromes in children.
Gua Lou Ju Hong Wan
Treats Phlegm in the Stomach causing urge to vomit.
Trichosanthis Fructus Semen (Gualou Ren), Exocarpium Citri Reticulatae Viride (Juhong) [Each 4 liang]. [Made into pills with Bamboo Sap (Zhuli) and Ginger Juice (Jiangzhi), taken after meals].
This is a formula for smoothing Qi, opening Phlegm, and stopping vomiting.
Jia Wei Gua Lou Ban Xia Tang
For Phlegm-cough, Qi rebellion, frequent vomiting, sensation of cold object blocking the chest and diaphragm, relieved slightly by hot drinks. Only use this formula in such cases.
Trichosanthis Fructus processed with Arsenolite powder (Gualou Shuang) [Stir-fried, 3 qian], Pinelliae Rhizoma (Banxia) [Processed with Ginger Juice, 1.5 qian]. One moistens, one dries. The original formula had only these two ingredients; the additional drugs were added by Zhongchun. Perilla Fructus (Suzi) [Stir-fried and crushed], Exocarpium Citri Reticulatae Viride (Juhong), Poria (Fuling) [All resolve Phlegm and descend rebellious Qi, each 3 qian], Cardamomi Fructus (Baidoukou) [5 fen], Evodiae Fructus (Wuzhuyu) [Has ability to warm Middle and descend Qi, 3-7 fen, soaked in decoction]. Add Bamboo Sap (Zhuli) [Small cup], Ginger Juice (Jiangzhi) [Opens Phlegm and stops vomiting, 5 spoons].
This is a formula for resolving Phlegm, descending rebellious Qi, warming the Middle, and guiding Qi downward. It is strictly contraindicated for Heat syndromes.
Er Chen Tang [See Zhong Feng]
The essential medicine for treating Damp Phlegm and all Fluid syndromes.
This is a formula for drying Dampness, regulating Qi, and resolving Phlegm. For deficiency cases, add Ginseng Radix et Rhizoma (Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu) to tonify Qi and strengthen the Spleen to transform Phlegm; this is named Liu Jun Zi Tang. Ancients said: "The Spleen is the source of Phlegm generation." Also: "Treating Phlegm without managing the Spleen and Stomach is not correct treatment." If there is salivation that is not very thick/sticky, this is due to Spleen deficiency failing to control body fluids. Treat with Liu Jun Zi Tang plus Alpinia Oxyphylla Fructus (Yizhiren). Yizhiren is acrid and hot, capable of controlling saliva; do not use unless it is a Deficiency-Cold pattern. Often seeing cases of dysphagia etc., with much white saliva, this is caused by extreme Heat. Upon clinical presentation, careful examination is most important to avoid treatment errors.
Zhongchun Tan Yin Wan [Can also be decocted]
Treats all Fluid syndromes with miraculous effect.
Liu Jun Zi Tang minus Glycyrrhizae Radix et Rhizoma (Qu Gancao) [Strengthens Spleen and dries Dampness; removing Licorice avoids its moderating nature, each 4 liang], added with Inulae Flos (Xuanjinhua) [Resolves Phlegm, 3 liang], Polyporus (Ling/Lie Ling - text says Lie Ling, likely typo for Zhu Ling or Fu Ling, kept as per text entity extraction context but interpreted as diuretic), Alismatis Rhizoma (Zexie) [Promotes water metabolism, each 3 liang], Immature Bitter Orange (Zhishi) [1 liang], Magnoliae Officinalis Cortex (Noupu), Aucklandiae Radix (Muxiang) [Descends Qi and dissipates stagnation, each 5 qian]. For Alcohol-Damp, add Scutellariae Radix (Huanglian) [1 liang]; for Cold-Damp, add Atractylodis Rhizoma (Maoshu) [2 liang], Cardamomi Fructus (Baidoukou) [5 qian]; for Depression, add Perillae Folium (Zisu) [4 liang]. [Made into pills with Ginger Juice and thin rice paste, size of mung beans, taken with light Ginger Decoction. Dosage 3-5 qian per time, 3 times daily].
This is a formula for strengthening the Spleen, drying Dampness, eliminating Fluid, promoting water metabolism, descending Qi, and dissipating stagnation. Effective for all Fluid syndromes. Zhang Zhongjing used Guizhi Tang combined with Fuling, Baizhu, and Gancao; these four ingredients unblock Yang, transform Qi, seep out water, strengthen the Spleen, overcome Dampness, and eliminate Fluid. He used Ba Wei Shen Qi Wan to tonify True Yang, ensuring Kidney Qi is not deficient so Water does not rise to form Phlegm. He used Tingli Dazao Tang to drain Lung Qi obstruction, allowing Qi to move so Fluid naturally does not accumulate. Recorded in *Jin Gui Yao Lue*, Tan Yin chapter. There are many such formulas, worthy of reference and study.
Shen Zhu Wan
Treats Damp Phlegm [Common in obese people] and all Fluid syndromes with miraculous effect.
Atractylodis Rhizoma (Maoshu) [1 jin, Black Sesame Seed 1 jin. Grind together with water into paste, steam nine times and sun-dry nine times]. [Made into pills with Jujube Flesh. In autumn dry weather, take with Tian Dong decoction].
This is a divine agent for treating Dampness and eliminating Fluid, also extremely effective for Damp Bi and Spleen-Damp swelling.
Fu Ling Wan
Treats Phlegm stagnating in the Zhongwan area, Spleen Qi congestion, unable to descend, attacking both arms, causing pulling pain and inability to lift hands. [Since the Spleen governs the four limbs]. Immediate effect upon taking.
Pinelliae Rhizoma (Banxia) [2 liang], Poria (Fuling) [1 liang], Aurantii Fructus (Zhike) [5 qian], Natrii Sulfas (Fenghua Xiao) [Guides phlegm-resolving and Qi-regulating agents, combines with lubricating downward action to enter Large Intestine, 2.5 qian]. [Boiled with Ginger Juice, made into pills with wheat starch paste, size of paulownia seeds. Dosage 30-50 pills, taken with light Ginger Decoction].
This is a mild agent for guiding Phlegm and lubricating the bowels.
Meng Shi Gun Tan Wan
Treats all accumulations and Phlegm knots, hundreds of strange syndromes. [When disease manifests in hundreds of variations, symptoms are unreliable, pulse is untrustworthy, and origin is unpredictable, it largely belongs to Phlegm].
Calcitum (Qing Mengshi) [Essential herb for resolving accumulation and dropping Phlegm. Calcined with equal parts Saltpeter to golden color. Tang's method uses 1 qian for children; how can the sovereign herb be less? Original dosage suspected error]. Prepared Rheum Palmatum (Zhi Dahuang) [Divine agent for driving out all accumulations and stagnant Fluid], Scutellariae Radix (Huangqin) [Scutellaria treats Phlegm by borrowing its ability to descend Fire, each 8 liang], Real Aquilaria Wood (Zhen Chenxiang) [Aquilaria treats Phlegm by borrowing its ability to descend Qi, 1 liang. Xanthoceras Radix/Muxiang also acceptable]. [Made into pills with water, taken with plain water, 1-3 qian].
This is a sacred agent for expelling Phlegm, clearing Heat, and draining knots. If caused by Spleen Dampness failing to transform, leading to stagnation and Phlegm, or due to alcohol and rich foods causing thick, sticky Phlegm difficult to expectorate, this drug takes only the Phlegm accumulation, bringing it down gradually without severe purging; response will be immediate like drum and stick. Contraindicated for Yin-Deficiency Phlegm-Fire, and also forbidden for deficient persons.
If the pulse is choppy (Se) with Phlegm, it is difficult to treat.