〔《本》〕治妇人有孕伤食，宜服木香丸。
木香（二钱） 三棱 白茯苓 人参（各三钱）
上为末，面糊丸。每服三十丸，熟汤下。
治妊娠气不和调，饮食少味，宜服白术散。
白术 紫苏（各一两） 白芷 人参 诃子皮 川芎 青皮（各半两） 甘草（一钱）
上为末。每服二钱，水一盏，姜三片，煎至七分，不拘时温服。妊娠伤食，又当于前条伤饮
食之轻剂参酌用之。
经云∶饮食自倍，肠胃乃伤。又云∶阴之所生，本在五味。阴之五宫，伤在五味。若妊妇饮
食不节，生冷毒物恣意食啖，致脾胃之疾。故妊娠伤食，难得药效，惟此二方稳便。
〔仲〕有痰饮，有悬饮，有溢饮，有支饮。其人素盛今瘦，水走肠间，沥沥有声，谓之痰饮。病
痰饮者，当以温药和之。（又云∶心下有痰饮者，苓桂甘术汤主之。）饮后水流在胁下，咳唾引
痛，谓之悬饮。病悬饮者，十枣汤主之。（方见伤寒。）留饮者，胁下痛引缺盆，咳嗽则转甚。
胸中有留饮，其人短气而渴，四肢历节疼，脉沉者有留饮。饮水流行，归于四肢，当汗出而不汗
出，身体疼重，谓之溢饮。病溢饮者，当发其汗，大青龙汤、小青龙汤主之。（二方并见伤寒）
咳逆倚息，短气不得卧，其形如肿，谓之支饮。人咳数年，其脉弱者可治；实大数者死。其脉数
者，必苦冒眩，其人本有支饮在胸中故也，治属饮家。支饮亦喘而不能卧，加短气，其脉平也。
水在心，心下坚筑短气，恶水不欲饮。水在肺，吐涎沫，欲饮水。水在脾，少气身重。水在肝，
胁下支满，嚏而痛。水在肾，心下悸。
呕吐是水饮在心胁。仲景云∶呕吐，心下痞者，胸中有水，宜半夏茯苓汤主之。又云∶呕
家本渴，今反不渴，心下有支饮故也，小半夏汤主之。又云∶先渴却呕者，水停心下，小半夏
加茯苓汤主之。罗谦甫云∶痰饮为患，或呕吐恶心，或头眩心悸，或半身不快，或为寒热，并
二陈汤主之。（方见丹溪痰门。）眩悸是饮。仲景云∶卒呕吐，心下痞，眩悸者，膈间有水，
半夏加茯苓汤主之。（方见呕吐。）又云∶瘦人脐下有悸，吐涎沫而癫眩者，此水也，五苓散
主之。（方见呕吐。）又云∶胸满目眩者，苓桂术甘汤主之。（方见短气。）又云∶心下有
支饮，其人苦冒眩，泽泻
汤主之。（方见眩门。）
〔仲〕膈上病痰，满喘咳吐，发则寒热背痛腰疼，目泣自出，其人振振身 剧，必有伏饮。
（治见振条。）脉大心下有留饮，其人背寒冷。病患臂不时疼痛，其脉沉细，非风也，必有饮
在上焦。其脉虚者为微劳，营卫气不和故也，久久自瘥。（脉虚，茯苓丸；不虚，控涎丹。）
胸满是饮。仲景云∶支饮胸满者，浓朴大黄汤主之。（方见胀满。）又云∶心下有痰饮，胸胁
支满，目眩，苓桂术甘汤主之。（方见短气。）
渴燥，是水饮在肠胃所生。仲景云∶渴而小便不利，宜五苓散主之。又云∶先渴却呕者，
为水停心下，小半夏加茯苓汤主之。又云∶腹满口舌干燥，此肠间有水气，防椒苈黄丸主之。
但因水所在之处不同，而所兼之症不一也。
自利有饮，故丹溪治久痢皆吐之，去胶痰自愈。又仲景云∶病者脉伏，其人欲自利，利反快，
虽利心下续坚满，此为留饮欲去故也，甘遂半夏汤主之。（方见泄泻。）又云∶小便不利，四
肢沉重疼痛，自利者，此为水气，宜用真武汤去芍药加干姜主之。久病伤寒表不解，呕咳自利者，
此为水气，宜服小青龙汤去麻黄加芫花主之。尺肤粗如枯鱼之鳞者，水饮候也。（全文见诊）色鲜
明者有留饮。
〔《素》〕肝脉 而散，色泽者，当病溢饮。溢饮者，暴渴多饮，而易入肌皮肠胃之外也。
（脉要精微论）肝脉涩甚为溢饮。（全文见治虚实法。）
〔仲〕脉双弦者饮也。皆大下后善虚，脉偏弦者饮也。肺饮不弦，但苦喘短气。脉弦数，有寒
饮，冬夏难治。脉沉而弦者，悬饮内痛。脉浮而细滑者伤饮。
〔孙〕 帛铺刘员外，患伤寒六七日，昼夜不得眠，方眠即起，方起即倒，未尝少息，看待
厌倦。召孙，孙曰∶若言是气，必喘作。今无此症，非气也。时复身上冷汗出，尺寸脉皆沉，关
中亦沉，重诊之鼓击于指下，此痰积寒聚于胸中也。遂用陈皮、半夏、干姜三物各一两为饮。姜
半两捶碎，以水两碗煎七分，去渣分二服。服药经时遂睡，经一昼夜不苏。既觉，下痰一块如鸡
子大．其疾遂愈。凡痰症皆有冷汗，其症明矣。
〔丹〕风痰多见奇症。凡风痰病，必用风痰药，白附子、天麻、雄黄、牛黄、僵蚕、皂角之类。
湿痰，多见倦怠软弱。湿痰，宜用苍、白二术，又用油炒半夏。
痰清者属寒，用二陈汤之类。
半夏 陈皮 茯苓 甘草
每服四钱，加生姜七片，乌梅一个煎，不拘热服。呕吐甚者，加丁香。
导痰汤
半夏（四两） 南星 橘红 枳壳 赤茯苓（各半两） 甘草 姜水煎服。
燥湿痰方
南星（制） 半夏（制。各半两） 蛤粉（二两） 青黛为衣。
热痰多挟风，外症为多。用青黛、黄连、天花粉，大快膈上热痰。痰因火盛逆上者，治火为
先，白术、黄芩、石膏之类。中气不足，加参、术、黄芩，假之以降其热也。食积痰，神曲、
麦、山楂。欲吐食积痰，用萝卜子油炒为末，浆水调下，探而吐之。食积痰必用攻，若气虚者，
用补气药送。老痰，海石、半夏、栝蒌、香附、五倍子，佐他药大治顽痰。郁痰，僵蚕、杏仁、
栝蒌、诃子、贝母、五倍子。痰而脾虚者，清中气，二陈汤加白术之类，兼用升提药。内伤挟痰，
必用参、术、 之类，多用姜汁传送，或加半夏之类，虚甚加竹沥。眩晕嘈杂，乃火动其痰，
用二陈汤加栀子、芩、连之类。噫气吞酸，此系食郁有热，火气上动，以黄芩为君，南星、半夏、
橘红为臣，热多加青黛。喉中如有物，咯不出、咽不下，此老痰也，重者吐之，用瓜蒂散，气实
用荆沥。（仲景用半朴茯姜治之神验。）痰结核在咽喉中，燥不能出入，化痰药内加咸药软坚
之味，栝蒌仁、杏仁、海石、桔梗、连翘，少佐以朴、硝、姜，蜜丸噙化。凡人身上中下有块是
痰，问其平日好食何物，吐下后，方用药。痰之为物，随气升降，无处不到。痰在肠胃间，可下而
愈。痰在经络中，非吐不可出，吐中就有发散意。痰在膈上，必用吐之，泻亦不出。痰胶固者，
及脉浮者，俱用吐法。（吐法见治法门上下条。）痰在胁下，非白芥子不能达。
痰在皮里膜外，以姜汁、竹沥导之。痰在四肢，非竹沥不能开。二陈汤善治人一身有痰，如在
下加下引药，在上加上引药。润下丸降痰最妙。青礞石丸重在风化硝。小胃丹能损胃，食积痰用
之，然不宜多服。苍术治痰饮成窠囊者极效。海粉能治热痰，降湿痰，软结痰，消顽痰，最效；
可入丸子，不可入煎药。枳实泻痰，能冲墙壁。竹沥能治膈间有痰，或癫狂，或健忘，或风痰最
效，又能养血。荆沥治痰稍重。用此二味，效速且稳当。二沥治痰结在皮里膜外及经络者，必佐
以姜汁。韭汁治血滞不行，中焦有饮，取自然汁冷冻饮料三四盏，必觉胸中烦躁不宁，后自愈。气实
热痰，吐难得出，或成块，或吐咯不出，及兼气郁者难治。中焦有痰，胃气亦赖所养，卒不便虚，
若攻之尽则虚矣。凡治痰用利药过多，致脾气下虚，则痰反易生而多矣。
〔丹〕痰之为病，方论少有细述之者。近惟《三因》略言，亦无加减法。夫痰之源不一，
有因痰而生热者，有因热而生痰者，有因气而生者，有因风而生者，有因惊而生者，有积饮而生
者，有多食而成者，有因暑而生者，有伤冷物而成者，有脾虚而成者，有饮酒而成者。其为病也，
惊痰，则成心包痛、颠疾；热痰，则成烦躁头风，烂眼燥结，怔忡懊 ，惊眩；风痰，成瘫痪，
大风眩晕，暗风闷乱；饮痰，成胁痛，四肢不举，每日呕吐；食痰，成疟痢，口出臭气；暑痰，
中晕眩冒，黄胆头疼；冷痰，骨痹，四肢不举，气刺痛；酒痰，饮酒不消，但得酒，次日又吐；
脾虚生痰，食不美，反胃呕吐；气痰，攻注走刺不定。妇人于惊痰最多，盖因产内交接，月事
方行，其惊因虚而入，结成块者为惊痰。必有一块在腹，发则如身孕，转动跳跃，痛不可忍。
凡人手臂或动不得，或骨节遍身痛，坐卧不宁，此痰入骨也。有人香港脚久不治，骨节痛，与脚
气药不效，此痰病也。凡伤寒病后呕吐，药不得入，亦因初病膈中有涎痰也。或因下之太早，而
遂议其非痰，未为确论。伤寒发黄，亦是痰病，盖因热搏而成。凡大便秘者，亦是痰结。
上前件诸症，变生不一，甚不易辨，指下难求。得此妙诀，慎勿轻敷。
凡有痰者，眼皮及眼下必有烟灰黑色，举目便知，不待切脉。眼黑而颊赤者，热痰也。面大
黄色，亦热痰也。外症必烦满膈热，口干思冷，大便秘结，小便赤热。久必生风，或眩晕耳鸣眼
花，多虚症，治之而用热药，
服久必脉大实，发大热而中风，可急下之。眼黑而行步呻吟，举动艰难者，入骨痰也，其症遍体
骨节疼痛。眼黑而面带土色，四肢痿痹屈伸不便者，风湿痰也。眼黑而气短促者，惊风痰也。
左右关脉大者，膈中有痰也，可吐之。怕吐者，消息下之。凡人每日背上一条如线而寒起
者，宜吐下之。
凡病百药不效，其关上脉伏而大者，痰也。用妙应丸加减法。（方见走注疼痛。即控涎丹。）
香港脚，加明松脂一钱，槟榔、木瓜各一两，卷柏半两。先以盐水煎半日，次日白水煮半日，同
前药为丸。每服二十丸，加至四五十丸，再服，下恶物立效。惊痰，加朱砂二钱，又加全蝎。每
用八九丸当与之，三五服去尽。酒痰，加雄黄、全蝎各二钱，每服十丸。走注腰痛，加核桃三个，
烧灰，每服三十丸，加至五十丸，温酒下。香港脚走注，于前方内加吴茱萸。惊气成块者，加穿山
甲、炒鳖甲烧各三钱，玄胡索、蓬术各四钱。每服五十丸，加至七十丸，以利为度。肾痹痛，
加木鳖子去壳研一两，桂半两。热痰，加盆硝等分，每服三两丸。寒痰，加胡椒、丁香、蝎、桂
各等分，每服二十五丸。
〔洞虚〕痰之为病，成偏头风，成雷头风，成太阳头痛。眩晕如坐舟车，精神恍惚。或口眼
动。或眉棱耳叶俱痒。或颔腮四肢游风肿硬。似疼非疼。或浑身燥痒，搔之则隐疹随生，皮毛
烘热，色如锦斑。或齿颊似痒似痛而疼无定所，满口牙浮，痛痒不一。或嗳气吞酸，鼻闻焦臭。
喉间豆腥气，心烦鼻塞，咽嗌不利，咯之不出，咽之不下。或因喷嚏而出，或因举动而唾，其
痰如墨，又如破絮，或如桃胶，或如蚬肉。或心下如停冰铁，闭滞妨闷，嗳嚏连声，状如膈气。
或寝梦刑戮，刀兵剑戟；或梦入人家四壁围绕，暂得一窦，百计得出，则不知何所；或梦在烧人
地上，四面烟火，枯骨焦气扑鼻，无路可出；或不因触发，忿怒悲啼，雨泪而寤；或时郊行，忽
见天边两月交辉；或见金光数道，回头无有。或足膝酸软，或骨节腰肾疼痛，呼吸难任。或四
肢肌骨间痛如击戳，乍起乍止，并无常所。或不时手臂麻疼，状如风湿。或卧如芒刺不安；
或如毛虫所螫。或四肢不举；或手足重滞。或眼如姜蜇，胶粘痒涩，开阖甚难。或阴晴交变之时，
胸痞气结，闭而不发，则齿痒咽痛，口糜舌烂，及其奋然而发，则喷嚏连声，初则涕唾稠粘，
次则清水如注。或眼前黑暗，脑后风声，耳内蝉鸣，眼
肉惕。治之者，或曰腠理不密，风府受邪；或曰上盛下虚；或曰虚；或曰寒；或曰发邪。惟洞虚
子备此疾苦，乃能治疗。病势之来，则胸腹间如有二气交纽，噎塞烦郁，有如烟火上冲，头面烘热，
眼花耳鸣，痰涎涕泪，并从肺胃间涌起，凛然毛竖，喷嚏千百。然后遍身烦躁，则去衣冻体稍止
片时。或春秋乍凉之时，多加衣袋亦得暂缓。或顿饮冰水而定；或痛饮一醉而宁，终不能逐去病
根。乃得神秘沉香丸方，屡获大效，愈人数万，但不欲轻传匪人，故以隐语括之。诗曰∶甑里
翻身甲带金，于今头戴草堂深，相逢二八求斤正，硝 青礞倍若沉，十七两中沉半两，水丸梧子
意须斟，除驱怪病安心志，水泻双身却不任。
大黄（蒸，八两） 黄芩（八两） 青礞石（一两，硝 如金色） 沉香（半两）
上为末，水丸，如梧子大。白汤食后空心服。一切新旧失心丧志，或癫或狂等症，每服一百
丸。气盛能食狂甚者，加二十丸，临时加减消息之。一切中风瘫痪，痰涎壅塞，大便或通或结者，
每服八九十丸，或加至百丸，永无秘结之患。一切阳症风毒香港脚，遍身游走疼痛，每服八九十丸，
未效加至百丸。一切无病之人，遍身筋骨疼痛不能名者；或头疼牙痛；或摇或痒，风蛀等症；
风寒鼻塞，身体或疼或不疼，非伤寒症者，服八九十丸。痰盛气实者，加之。一切吞酸、嗳逆、
【《本草》】治疗妇女怀孕期间饮食积滞，适宜服用木香丸。
木香（二钱） 三棱 白茯苓 人参（各三钱）
以上药物研为细末，用面糊制成丸剂。每次服用三十丸，用温热的汤水送服。
治疗妊娠期间气机不调，食欲不振、食物无味，适宜服用白术散。
白术 紫苏（各一两） 白芷 人参 诃子皮 川芎 青皮（各半两） 甘草（一钱）
以上药物研为细末。每次服用二钱，用水一盏，生姜三片，煎煮至七分水量，不拘时间温服。妊娠伤食，又应当参考前条关于伤饮食的轻缓方剂斟酌使用。
经典经文说：饮食过量一倍，肠胃就会受损。又说：阴精的生成，根本在于五味。主管阴精的五脏，损伤也在于五味。如果孕妇饮食不节制，恣意食用生冷毒物，导致脾胃疾病。所以妊娠伤食，很难取得药效，只有这两个方剂稳妥方便。
【张仲景】有痰饮，有悬饮，有溢饮，有支饮。病人原本身体壮盛现在消瘦，水流在肠间，沥沥有声，称为痰饮。患有痰饮病的人，应当用温性药物调和。（又说：心下有痰饮的，用苓桂甘术汤主治。）饮水后水流停留在胁下，咳嗽吐唾时牵引疼痛，称为悬饮。患有悬饮病的，用十枣汤主治。（方剂见伤寒篇。）留饮者，胁下疼痛牵引缺盆穴，咳嗽则加重。胸中有留饮，病人短气且口渴，四肢关节疼痛，脉沉的，是有留饮。饮水流行，归于四肢，应当出汗却不出汗，身体疼痛沉重，称为溢饮。患有溢饮病的，应当发汗，用大青龙汤、小青龙汤主治。（两个方剂并见伤寒篇。）咳嗽气逆，倚靠呼吸，短气不能平卧，身形浮肿，称为支饮。人咳嗽数年，脉弱的可以治愈；脉实大数的预后不良。脉数的，一定苦于头晕目眩，这是因为本有支饮在胸中的缘故，治疗归属于饮家范畴。支饮也气喘不能平卧，加上短气，脉象平和的。
水在心，心下坚硬筑动短气，厌恶水不想喝。水在肺，吐涎沫，想喝水。水在脾，少气身体重。水在肝，胁下支撑胀满，打喷嚏时疼痛。水在肾，心下悸动。
呕吐是水饮在心胁部位。张仲景说：呕吐，心下痞塞的，胸中有水，适宜用半夏茯苓汤主治。又说：呕吐的病人本来应该口渴，现在反而不渴，是因为心下有支饮的缘故，用小半夏汤主治。又说：先口渴随后呕吐的，是水停在心下，用小半夏加茯苓汤主治。罗谦甫说：痰饮为患，或者呕吐恶心，或者头晕心悸，或者半身不适，或者寒热往来，都用二陈汤主治。（方剂见丹溪痰门。）眩晕心悸是饮邪所致。张仲景说：突然呕吐，心下痞塞，眩晕心悸的，膈间有水，用半夏加茯苓汤主治。（方剂见呕吐篇。）又说：瘦人脐下有悸动感，吐涎沫且癫痫眩晕的，这是水邪，用五苓散主治。（方剂见呕吐篇。）又说：胸部满目眩的，用苓桂术甘汤主治。（方剂见短气篇。）又说：心下有支饮，病人苦于头晕目眩的，用泽泻汤主治。（方剂见眩门篇。）
【张仲景】膈上有痰病，胀满气喘咳嗽吐痰，发作时寒热背痛腰疼，眼泪自出，病人身体震颤剧烈，必有伏饮。（治疗见振条。）脉大心下有留饮，病人背部寒冷。病患手臂不时疼痛，脉沉细，不是风邪，必有饮邪在上焦。脉虚的是微劳，营卫气不和的缘故，时间久了自然痊愈。（脉虚用茯苓丸；不虚用控涎丹。）
胸满是饮邪。张仲景说：支饮胸满的，用浓朴大黄汤主治。（方剂见胀满篇。）又说：心下有痰饮，胸胁支撑胀满，目眩，用苓桂术甘汤主治。（方剂见短气篇。）
口渴燥热，是水饮在肠胃所生。张仲景说：口渴而小便不利，宜用五苓散主治。又说：先口渴随后呕吐的，是水停在心下，用小半夏加茯苓汤主治。又说：腹满口舌干燥，这是肠间有水气，用防椒苈黄丸主治。但因为水停留的部位不同，所兼夹的症状也不一。
自利（腹泻）有饮邪，所以朱丹溪治疗久痢都采用吐法，去除胶固之痰自愈。又张仲景说：病人脉伏，想要自利，利后反而爽快，虽然利但心下继续坚满，这是留饮欲去的原因，用甘遂半夏汤主治。（方剂见泄泻篇。）又说：小便不利，四肢沉重疼痛，自利的，这是水气，宜用真武汤去芍药加干姜主治。久病伤寒表证不解，呕吐咳嗽自利的，这是水气，宜服小青龙汤去麻黄加芫花主治。尺部皮肤粗糙如枯鱼鳞片的，是水饮的征候。（全文见诊法篇。）面色鲜明者有留饮。
【《素问》】肝脉弦而散，色泽好的，应当病溢饮。溢饮者，暴渴多饮，而易入肌皮肠胃之外也。（脉要精微论）肝脉涩甚为溢饮。（全文见治虚实法。）
【张仲景】脉双弦的是饮邪。都是大下之后善虚，脉偏弦的是饮邪。肺饮不弦，但苦喘短气。脉弦数，有寒饮，冬夏难治。脉沉而弦的，悬饮内痛。脉浮而细滑的伤饮。
【孙思邈】丝绸铺刘员外，患伤寒六七日，昼夜不得眠，刚睡就起，刚起就倒，未曾稍息，看护的人看厌倦了。请孙思邈诊治，孙思邈说：如果是气病，必定会喘息发作。现在没有这个症状，不是气病。时常身上冷汗出，寸关尺脉皆沉，关中亦沉，重按之鼓击于指下，这是痰积寒聚于胸中。于是用陈皮、半夏、干姜三物各一两为饮。姜半两捶碎，以水两碗煎至七分，去渣分两次服。服药经过一段时间就睡了，经过一昼夜不醒。醒来后，下痰一块如鸡蛋大，其病遂愈。凡痰症皆有冷汗，其症状明显了。
【朱丹溪】风痰多见奇症。凡风痰病，必用风痰药，白附子、天麻、雄黄、牛黄、僵蚕、皂角之类。湿痰，多见倦怠软弱。湿痰，宜用苍术、白术，又用油炒半夏。
痰清者属寒，用二陈汤之类。
半夏 陈皮 茯苓 甘草
每服四钱，加生姜七片，乌梅一个煎，不拘热服。呕吐甚者，加丁香。
导痰汤
半夏（四两） 南星 橘红 枳壳 赤茯苓（各半两） 甘草 姜水煎服。
燥湿痰方
南星（制） 半夏（制。各半两） 蛤粉（二两） 青黛为衣。
热痰多挟风，外症为多。用青黛、黄连、天花粉，大快膈上热痰。痰因火盛逆上者，治火为先，白术、黄芩、石膏之类。中气不足，加参、术、黄芩，假之以降其热也。食积痰，神曲、麦芽、山楂。欲吐食积痰，用萝卜子油炒为末，浆水调下，探而吐之。食积痰必用攻，若气虚者，用补气药送。老痰，海石、半夏、栝蒌、香附、五倍子，佐他药大治顽痰。郁痰，僵蚕、杏仁、栝蒌、诃子、贝母、五倍子。痰而脾虚者，清中气，二陈汤加白术之类，兼用升提药。内伤挟痰，必用参、术、[此处原文缺失，推测为某药]之类，多用姜汁传送，或加半夏之类，虚甚加竹沥。眩晕嘈杂，乃火动其痰，用二陈汤加栀子、芩、连之类。噫气吞酸，此系食郁有热，火气上动，以黄芩为君，南星、半夏、橘红为臣，热多加青黛。喉中如有物，咯不出、咽不下，此老痰也，重者吐之，用瓜蒂散，气实用荆沥。（张仲景用半夏、厚朴、茯苓、生姜治之神验。）痰结核在咽喉中，燥不能出入，化痰药内加咸药软坚之味，栝蒌仁、杏仁、海石、桔梗、连翘，少佐以朴、硝、姜，蜜丸噙化。凡人身上中下有块是痰，问其平日好食何物，吐下后，方用药。痰之为物，随气升降，无处不到。痰在肠胃间，可下而愈。痰在经络中，非吐不可出，吐中就有发散意。痰在膈上，必用吐之，泻亦不出。痰胶固者，及脉浮者，俱用吐法。（吐法见治法门上下条。）痰在胁下，非白芥子不能达。
痰在皮里膜外，以姜汁、竹沥导之。痰在四肢，非竹沥不能开。二陈汤善治人一身有痰，如在下面加下引药，在上面加上引药。润下丸降痰最妙。青礞石丸重在风化硝。小胃丹能损胃，食积痰用之，然不宜多服。苍术治痰饮成窠囊者极效。海粉能治热痰，降湿痰，软结痰，消顽痰，最效；可入丸子，不可入煎药。枳实泻痰，能冲墙壁。竹沥能治膈间有痰，或癫狂，或健忘，或风痰最效，又能养血。荆沥治痰稍重。用此二味，效速且稳当。二沥治痰结在皮里膜外及经络者，必佐以姜汁。韭汁治血滞不行，中焦有饮，取自然汁冷冻饮料三四盏，必觉胸中烦躁不宁，后自愈。气实热痰，吐难得出，或成块，或吐咯不出，及兼气郁者难治。中焦有痰，胃气亦赖所养，卒不便虚，若攻之尽则虚矣。凡治痰用利药过多，致脾气下虚，则痰反易生而多矣。
【朱丹溪】痰之为病，方论少有细述之者。近惟《三因》略言，亦无加减法。夫痰之源不一，有因痰而生热者，有因热而生痰者，有因气而生者，有因风而生者，有因惊而生者，有积饮而生者，有多食而成者，有因暑而生者，有伤冷物而成者，有脾虚而成者，有饮酒而成者。其为病也，惊痰，则成心包痛、颠疾；热痰，则成烦躁头风，烂眼燥结，怔忡懊憹，惊眩；风痰，成瘫痪，大风眩晕，暗风闷乱；饮痰，成胁痛，四肢不举，每日呕吐；食痰，成疟痢，口出臭气；暑痰，中晕眩冒，黄胆头疼；冷痰，骨痹，四肢不举，气刺痛；酒痰，饮酒不消，但得酒，次日又吐；脾虚生痰，食不美，反胃呕吐；气痰，攻注走刺不定。妇人于惊痰最多，盖因产内交接，月事方行，其惊因虚而入，结成块者为惊痰。必有一块在腹，发则如身孕，转动跳跃，痛不可忍。凡人手臂或动不得，或骨节遍身痛，坐卧不宁，此痰入骨也。有人香港脚久不治，骨节痛，与脚气药不效，此痰病也。凡伤寒病后呕吐，药不得入，亦因初病膈中有涎痰也。或因下之太早，而遂议其非痰，未为确论。伤寒发黄，亦是痰病，盖因热搏而成。凡大便秘者，亦是痰结。
上前件诸症，变生不一，甚不易辨，指下难求。得此妙诀，慎勿轻敷。
凡有痰者，眼皮及眼下必有烟灰黑色，举目便知，不待切脉。眼黑而颊赤者，热痰也。面大黄色，亦热痰也。外症必烦满膈热，口干思冷，大便秘结，小便赤热。久必生风，或眩晕耳鸣眼花，多虚症，治之而用热药，服久必脉大实，发大热而中风，可急下之。眼黑而行步呻吟，举动艰难者，入骨痰也，其症遍体骨节疼痛。眼黑而面带土色，四肢痿痹屈伸不便者，风湿痰也。眼黑而气短促者，惊风痰也。左右关脉大者，膈中有痰也，可吐之。怕吐者，消息下之。凡人每日背上一条如线而寒起者，宜吐下之。
凡病百药不效，其关上脉伏而大者，痰也。用妙应丸加减法。（方见走注疼痛。即控涎丹。）香港脚，加明松脂一钱，槟榔、木瓜各一两，卷柏半两。先以盐水煎半日，次日白水煮半日，同前药为丸。每服二十丸，加至四五十丸，再服，下恶物立效。惊痰，加朱砂二钱，又加全蝎。每用八九丸当与之，三五服去尽。酒痰，加雄黄、全蝎各二钱，每服十丸。走注腰痛，加核桃三个，烧灰，每服三十丸，加至五十丸，温酒下。香港脚走注，于前方内加吴茱萸。惊气成块者，加穿山甲、炒鳖甲烧各三钱，玄胡索、蓬术各四钱。每服五十丸，加至七十丸，以利为度。肾痹痛，加木鳖子去壳研一两，桂半两。热痰，加盆硝等分，每服三两丸。寒痰，加胡椒、丁香、蝎、桂各等分，每服二十五丸。
【洞虚子】痰之为病，成偏头风，成雷头风，成太阳头痛。眩晕如坐舟车，精神恍惚。或口眼动。或眉棱耳叶俱痒。或颔腮四肢游风肿硬。似疼非疼。或浑身燥痒，搔之则隐疹随生，皮毛烘热，色如锦斑。或齿颊似痒似痛而疼无定所，满口牙浮，痛痒不一。或嗳气吞酸，鼻闻焦臭。喉间豆腥气，心烦鼻塞，咽嗌不利，咯之不出，咽之不下。或因喷嚏而出，或因举动而唾，其痰如墨，又如破絮，或如桃胶，或如蚬肉。或心下如停冰铁，闭滞妨闷，嗳嚏连声，状如膈气。或寝梦刑戮，刀兵剑戟；或梦入人家四壁围绕，暂得一窦，百计得出，则不知何所；或梦在烧人地上，四面烟火，枯骨焦气扑鼻，无路可出；或不因触发，忿怒悲啼，雨泪而寤；或时郊行，忽见天边两月交辉；或见金光数道，回头无有。或足膝酸软，或骨节腰肾疼痛，呼吸难任。或四肢肌骨间痛如击戳，乍起乍止，并无常所。或不时手臂麻疼，状如风湿。或卧如芒刺不安；或如毛虫所螫。或四肢不举；或手足重滞。或眼如姜蜇，胶粘痒涩，开阖甚难。或阴晴交变之时，胸痞气结，闭而不发，则齿痒咽痛，口糜舌烂，及其奋然而发，则喷嚏连声，初则涕唾稠粘，次则清水如注。或眼前黑暗，脑后风声，耳内蝉鸣，眼肉惕。治之者，或曰腠理不密，风府受邪；或曰上盛下虚；或曰虚；或曰寒；或曰发邪。惟洞虚子备此疾苦，乃能治疗。病势之来，则胸腹间如有二气交纽，噎塞烦郁，有如烟火上冲，头面烘热，眼花耳鸣，痰涎涕泪，并从肺胃间涌起，凛然毛竖，喷嚏千百。然后遍身烦躁，则去衣冻体稍止片时。或春秋乍凉之时，多加衣袋亦得暂缓。或顿饮冰水而定；或痛饮一醉而宁，终不能逐去病根。乃得神秘沉香丸方，屡获大效，愈人数万，但不欲轻传匪人，故以隐语括之。诗曰∶甑里翻身甲带金，于今头戴草堂深，相逢二八求斤正，硝青礞倍若沉，十七两中沉半两，水丸梧子意须斟，除驱怪病安心志，水泻双身却不任。
大黄（蒸，八两） 黄芩（八两） 青礞石（一两，硝煅如金色） 沉香（半两）
以上为末，水丸，如梧子大。白汤食后空心服。一切新旧失心丧志，或癫或狂等症，每服一百丸。气盛能食狂甚者，加二十丸，临时加减消息之。一切中风瘫痪，痰涎壅塞，大便或通或结者，每服八九十丸，或加至百丸，永无秘结之患。一切阳症风毒香港脚，遍身游走疼痛，每服八九十丸，未效加至百丸。一切无病之人，遍身筋骨疼痛不能名者；或头疼牙痛；或摇或痒，风蛀等症；风寒鼻塞，身体或疼或不疼，非伤寒症者，服八九十丸。痰盛气实者，加之。一切吞酸、嗳逆、
[Ben Cao] For women suffering from food stagnation during pregnancy, Muxiang Wan (Aucklandia Pill) is appropriate.
Muxiang (2 qian), Sanleng, Baifuling, Renshen (each 3 qian).
Grind the above into powder, make pills with wheat paste. Take 30 pills each time, swallowed with warm water.
For qi disharmony during pregnancy, leading to loss of taste in food, Baizhu San (Atractylodes Powder) is appropriate.
Baizhu, Zisu (each 1 liang), Baizhi, Renshen, Hezipi, Chuanxiong, Qingpi (each 0.5 liang), Gancao (1 qian).
Grind the above into powder. Take 2 qian each time, with one cup of water and three slices of ginger, decoct until 70% remains, take warm at any time. For pregnancy-related food stagnation, refer to the mild formulas for fluid retention mentioned earlier for reference.
The classics state: "If food intake doubles, the intestines and stomach are injured." It also states: "The generation of Yin originates from the five flavors. The five organs governing Yin are damaged by the five flavors." If pregnant women do not regulate their diet and indulge in cold, raw, or toxic foods, it leads to spleen and stomach diseases. Therefore, for pregnancy-related food stagnation, obtaining therapeutic efficacy is difficult; only these two formulas are stable and convenient.
[Zhang Zhongjing] There is Tan-Yin (Phlegm-Fluid), Xuan-Yin (Hanging Fluid), Yi-Yin (Overflowing Fluid), and Zhi-Yin (Branching Fluid). A person who was previously robust but is now emaciated, with water flowing between the intestines making a gurgling sound, is called Tan-Yin. Patients with Tan-Yin should be treated with warm herbs to harmonize. (It is also said: For those with phlegm-fluid below the heart, Linggui Gan Zhu Tang (Poria, Cinnamon Twig, Licorice, and Atractylodes Decoction) is the primary treatment.) When drinking water, if the fluid flows into the hypochondrium causing pain upon coughing and spitting, it is called Xuan-Yin. Patients with Xuan-Yin are treated with Shizao Tang (Ten Jujube Decoction). (Formula seen in Shanghan Lun.) For Liu-Yin (Retained Fluid), there is pain in the hypochondrium radiating to the Dazhui point (Qie Ren), worsening with coughing. If there is retained fluid in the chest, the patient suffers from shortness of breath and thirst, pain in all joints of the four limbs, and a deep pulse indicates retained fluid. When drinking water flows to the four limbs, sweating should occur but does not, resulting in body pain and heaviness, it is called Yi-Yin. Patients with Yi-Yin should be induced to sweat, treated primarily with Da Qing Long Tang (Major Green Dragon Decoction) or Xiao Qing Long Tang (Minor Green Dragon Decoction). (Both formulas are seen in Shanghan Lun.) Coughing with inability to lie flat, shortness of breath, and swelling appearance is called Zhi-Yin. For chronic cough lasting years, a weak pulse indicates curability; a solid, large, and rapid pulse indicates death. A rapid pulse implies severe dizziness due to pre-existing Zhi-Yin in the chest; treatment falls under the category of fluid disorders. Zhi-Yin also causes wheezing and inability to lie flat with shortness of breath; if the pulse is normal, it is manageable.
Water in the Heart causes hardness and palpitations below the heart, shortness of breath, aversion to water, and lack of desire to drink. Water in the Lung causes salivation, desire to drink water. Water in the Spleen causes Qi deficiency and heavy body. Water in the Liver causes fullness in the hypochondrium and pain upon sneezing. Water in the Kidney causes palpitations below the heart.
Vomiting is caused by fluid accumulation in the chest and hypochondrium. Zhang Zhongjing says: For vomiting with epigastric stuffiness, there is water in the chest, treat with Banxia Fuling Tang (Pinellia and Poria Decoction). It is also said: Vomiting patients usually feel thirsty; if they are not thirsty, it is due to Zhi-Yin below the heart, treat with Xiao Banxia Tang (Minor Pinellia Decoction). It is also said: Thirst followed by vomiting indicates water retention below the heart, treat with Xiao Banxia Jia Fuling Tang (Minor Pinellia Plus Poria Decoction). Luo Qianfu says: Phlegm-fluid disorders may present as vomiting or nausea, dizziness or palpitations, discomfort in half the body, or alternating chills and fever; all are treated with Er Chen Tang (Two-Cured Decoction). (Formula seen in Danxi's Phlegm section.) Dizziness and palpitations are signs of fluid. Zhang Zhongjing says: Sudden vomiting, epigastric stuffiness, dizziness, and palpitations indicate water between the diaphragm, treat with Banxia Jia Fuling Tang (Pinellia Plus Poria Decoction). (Formula seen in Vomiting section.) It is also said: In thin people, palpitations below the navel, salivation, and vertigo indicate water, treat with Wuling San (Five-Ingredient Powder with Poria). (Formula seen in Vomiting section.) It is also said: Chest fullness with dizziness is treated with Linggui Zhugan Tang (Poria, Cinnamon Twig, Atractylodes, and Licorice Decoction). (Formula seen in Shortness of Breath section.) It is also said: Zhi-Yin below the heart causing severe dizziness is treated with Zexie Tang (Alisma Decoction). (Formula seen in Dizziness section.)
[Zhang Zhongjing] Phlegm disease above the diaphragm presents with fullness, wheezing, coughing, and expectoration. Attacks involve chills, fever, back pain, and waist pain, spontaneous tearing, and severe body tremors, indicating Fu-Yin (Hidden Fluid). (Treatment seen in Tremor section.) A large pulse with retained fluid below the heart causes coldness in the back. Intermittent arm pain with a deep and fine pulse, not wind, indicates fluid in the Upper Jiao. A deficient pulse indicates slight labor and disharmony of Ying and Wei Qi, which will heal naturally over time. (Deficient pulse: use Fuling Wan; Non-deficient pulse: use Kongyan Dan.)
Chest fullness is due to fluid. Zhang Zhongjing says: Zhi-Yin with chest fullness is treated with Nongpo Dahuang Tang (Magnolia Bark and Rhubarb Decoction). (Formula seen in Fullness section.) It is also said: Phlegm-fluid below the heart causing chest and hypochondriac fullness and dizziness is treated with Linggui Zhugan Tang. (Formula seen in Shortness of Breath section.)
Thirst and dryness are generated by fluid in the intestines and stomach. Zhang Zhongjing says: Thirst with ineffective urination is treated with Wuling San. It is also said: Thirst followed by vomiting indicates water retention below the heart, treated with Xiao Banxia Jia Fuling Tang. It is also said: Abdominal fullness with dry mouth and tongue indicates water gas in the intestines, treated with Fangjiao Lihuang Wan. However, symptoms vary depending on where the water resides.
Spontaneous diarrhea involves fluid, so Danxi treats chronic dysentery by inducing vomiting to remove sticky phlegm for self-healing. Zhang Zhongjing says: If the pulse is hidden, the patient desires spontaneous diarrhea, feels relief after defecation, but the epigastrium remains hard and full, this is retained fluid attempting to exit, treated with Gansui Banxia Tang. (Formula seen in Diarrhea section.) It is also said: Ineffective urination, heavy painful limbs, and spontaneous diarrhea indicate water Qi, treat with Zhenwu Tang removing Shaoyao and adding Ganjiang. For prolonged Shanghan with unresolved exterior syndrome, vomiting, coughing, and spontaneous diarrhea indicate water Qi, treat with Xiao Qing Long Tang removing Mahuang and adding Yuanhua. Rough skin on the Chi position like dried fish scales is a sign of fluid retention. (Full text seen in Diagnosis section.) Bright complexion indicates retained fluid.
[Su Wen] A liver pulse that is wiry and scattered, with lustrous color, indicates Yi-Yin (Overflowing Fluid). Yi-Yin presents with sudden thirst and excessive drinking, invading muscles, skin, and outside the intestines and stomach. (Jingwei Lun) A very choppy liver pulse indicates Yi-Yin. (Full text seen in Treating Deficiency and Excess section.)
[Zhang Zhongjing] Bilateral wiry pulses indicate fluid. This often occurs after severe purgation leading to deficiency. Unilateral wiry pulse indicates fluid. Lung fluid is not wiry but causes distress with wheezing and shortness of breath. Wiry and rapid pulse indicates cold fluid, difficult to treat in winter and summer. Deep and wiry pulse indicates internal pain from Xuan-Yin. Floating, fine, and slippery pulse indicates injury by fluid.
[Sun Simiao] Director Liu of a silk shop suffered from Shanghan for six or seven days, unable to sleep day or night, rising immediately upon lying down and collapsing immediately upon standing, without rest. The attendants grew weary. Sun Simiao was summoned and said: "If this were Qi disorder, there would be panting. Since there is no such symptom, it is not Qi. Occasional cold sweats on the body, deep pulses at Cun, Guan, and Chi positions, beating strongly against the fingers upon heavy pressure, indicate phlegm accumulation and cold gathering in the chest." He prescribed Chenpi, Banxia, and Ganjiang (1 liang each) as a decoction. Ginger (0.5 liang) crushed, decocted in two bowls of water until 70% remained, strained, and divided into two doses. After some time, the patient slept for a day and night without waking. Upon waking, he expectorated a mass of phlegm the size of a chicken egg, and the illness was cured. All phlegm disorders manifest with cold sweats, confirming the diagnosis.
[Zhu Danxi] Wind-phlegm often presents with strange symptoms. Wind-phlegm diseases require wind-phlegm herbs such as Baifuzi, Tianma, Xionghuang, Niuhuang, Jiangcan, and Zaorao. Damp-phlegm often presents with fatigue and weakness. Damp-phlegm is treated with Cangzhul and Baizhu, and oil-fried Banxia.
Clear phlegm belongs to cold, treated with Er Chen Tang.
Banxia, Chenpi, Fuling, Gancao.
Take 4 qian each time, add seven slices of ginger and one Wumei, decoct, take warm or cool as desired. For severe vomiting, add Dingxiang.
Daotan Tang
Banxia (4 liang), Nanxing, Juhong, Zhike, Chifuling (each 0.5 liang), Gancao. Decoct with ginger water.
Drying Damp-Phlegm Formula
Nanxing (processed), Banxia (processed, each 0.5 liang), Haifen (2 liang), coated with Qingdai.
Hot-phlegm often accompanies wind, presenting mostly with external symptoms. Use Qingdai, Huanglian, and Tianguafen to clear upper burner hot-phlegm. When phlegm rises due to excessive fire, treat the fire first with Baizhu, Huangqin, and Shigao. For insufficient Middle Qi, add Renshen, Baizhu, and Huangqin to descend the heat. Food-stagnation phlegm uses Shenqu, Maiya, and Shanzha. To induce vomiting of food-stagnation phlegm, use fried Radish seed powder mixed with grain water to provoke vomiting. Food-stagnation phlegm requires purging; if Qi is deficient, send the medicine with Qi-tonifying herbs. Old-phlegm uses Haishi, Banxia, Gualou, Xiangfu, and Wubeizi, assisted by other herbs to treat stubborn phlegm. Stagnant-phlegm uses Jiangcan, Xingren, Gualou, Hezi, Beimu, and Wubeizi. For phlegm with Spleen deficiency, clear Middle Qi with Er Chen Tang plus Baizhu, combined with lifting herbs. Internal injury with phlegm requires Renshen, Baizhu, [missing character], mostly transported with ginger juice, or added Banxia; if very deficient, add Zhuli. Vertigo and acid regurgitation result from fire moving phlegm, treated with Er Chen Tang plus Zhizi, Huangqin, and Lianqiao. Belching and acid regurgitation indicate food stagnation with heat and rising fire, using Huangqin as sovereign, Nanxing, Banxia, and Juhong as ministers; add Qingdai if heat is severe. A sensation of a lump in the throat that cannot be spat out or swallowed is old-phlegm; severe cases require vomiting with Guiti San; if Qi is excess, use Jingli. (Zhang Zhongjing used Banxia, Houpo, Fuling, and Shengjiang with miraculous effect.) Phlegm nodules in the throat that are dry and immobile require salty herbs to soften hardness in phlegm-resolving formulas, such as Gualouren, Xingren, Haishi, Jiegeng, and Lianqiao, with minor amounts of Houpo, Xiaoshao, and Jiang, made into honey pills to be held in the mouth. Any lump in the upper, middle, or lower body is phlegm; ask about dietary preferences, then use medication after vomiting or purging. Phlegm moves up and down with Qi, reaching everywhere. Phlegm in the intestines and stomach can be cured by purging. Phlegm in the meridians must be expelled by vomiting, which has a dispersing intent. Phlegm above the diaphragm must be vomited; purging will not remove it. Sticky phlegm and floating pulses both require vomiting methods. (Vomiting method seen in Treatment Methods sections.) Phlegm in the hypochondrium cannot be reached except by Baijiezi.
Phlegm in the subcutaneous tissue and membranes is guided by Jiangzhi and Zhuli. Phlegm in the four limbs cannot be opened except by Zhuli. Er Chen Tang effectively treats whole-body phlegm; add guiding herbs downwards for lower body phlegm and upwards for upper body phlegm. Runxia Wan is excellent for descending phlegm. Qingmengshi Wan focuses on Fenghua Xiao. Xiaowei Dan damages the stomach; use for food-stagnation phlegm, but do not take excessively. Cangzhu is extremely effective for phlegm-fluid forming nests. Haifen treats hot-phlegm, descends damp-phlegm, softens knotted phlegm, and eliminates stubborn phlegm; most effective; can be used in pills, not in decoctions. Zhishi drains phlegm, capable of breaking through walls. Zhuli treats phlegm between the diaphragm, manic depression, forgetfulness, and wind-phlegm; it also nourishes blood. Jingli treats slightly heavier phlegm. Using these two liquids is fast and steady. For phlegm knotted in subcutaneous tissues and meridians, assist with Jiangzhi. Jiuzhi treats blood stasis and fluid in the Middle Jiao; take chilled natural juice 3-4 cups, feeling chest irritability before healing. Excess Qi hot-phlegm is difficult to vomit out, forms clumps, or is accompanied by Qi stagnation, making it hard to treat. Phlegm in the Middle Jiao nourishes Stomach Qi; sudden depletion leads to deficiency. Overusing draining herbs for phlegm causes Spleen Qi deficiency, leading to increased phlegm production.
[Zhu Danxi] Discussions on phlegm diseases are rarely detailed. Only "San Yin" mentions it briefly, without modification methods. The sources of phlegm are diverse: generated by phlegm itself, by heat, by Qi, by wind, by fright, by accumulated fluid, by overeating, by summerheat, by cold injuries, by Spleen deficiency, or by alcohol consumption. Their manifestations include: Fright-phlegm causes Pericardium pain and epilepsy; Hot-phlegm causes irritability, headache, rotting eyes, dry constipation, palpitations, anxiety, and惊眩; Wind-phlegm causes paralysis, severe vertigo, and dark wind confusion; Fluid-phlegm causes hypochondriac pain, immobility of limbs, and daily vomiting; Food-phlegm causes malaria-dysentery and foul breath; Summerheat-phlegm causes dizziness, jaundice, and headache; Cold-phlegm causes bone bi, limb immobility, and stabbing Qi pain; Wine-phlegm causes indigestion of alcohol and next-day vomiting upon drinking again; Spleen-deficiency phlegm causes poor appetite, reverse vomiting; Qi-phlegm causes wandering stabbing pain. Women suffer most from fright-phlegm, often due to intercourse during menstruation when Qi is deficient, forming masses. There is always a mass in the abdomen, appearing like pregnancy, causing unbearable pain upon movement. Immobility of arms or widespread joint pain, restlessness, indicates phlegm entering bones. Chronic Hong Kong foot (gout) unresponsive to gout medicine is a phlegm disease. Post-Shanghan vomiting preventing medication intake is due to saliva-phlegm in the diaphragm from early purging. Yellowing in Shanghan is also a phlegm disease caused by heat binding. Constipation is also phlegm knotting.
These symptoms vary and are hard to distinguish or diagnose by pulse. Guard this secret carefully.
Anyone with phlegm has gray-black eyelids and under-eye areas, visible without pulse diagnosis. Black eyes with red cheeks indicate hot-phlegm. Large yellow face also indicates hot-phlegm. External symptoms include chest fullness, heat, dry mouth craving cold, constipation, and red hot urine. Long-term leads to wind, vertigo, tinnitus, and眼花, mostly deficiency syndromes; treating with hot herbs long-term leads to large solid pulses, high fever, and stroke, requiring urgent purging. Black eyes with groaning while walking and difficulty moving indicate bone-entering phlegm, with widespread joint pain. Black eyes with earthy complexion and flaccid paralysis indicate wind-damp phlegm. Black eyes with shortness of breath indicate fright-wind phlegm. Large pulses at left and right Guan positions indicate phlegm in the diaphragm, suitable for vomiting. If afraid of vomiting, gently purge. Daily line-like coldness rising on the back requires vomiting and purging.
For diseases unresponsive to hundreds of medicines, if the Guan pulse is hidden and large, it is phlegm. Use Miaoying Wan modifications. (Formula seen in Wandering Pain, i.e., Kongyan Dan.) For Hong Kong foot, add Songzhi (1 qian), Binglang and Mugua (1 liang each), Juanbai (0.5 liang). Decoct in salt water for half a day, then plain water for half a day, mix with previous herbs to make pills. Take 20 pills, increase to 40-50, expel evil matter for immediate effect. For fright-phlegm, add Zhusha (2 qian) and Quanxie. Take 8-9 pills, 3-5 doses to eliminate. For wine-phlegm, add Xionghuang and Quanxie (2 qian each), take 10 pills. For wandering lumbar pain, add 3 walnuts burnt to ash, take 30 pills, increase to 50, with warm wine. For Hong Kong foot wandering, add Wuzaoyu to the previous formula. For fright-Qi masses, add Shanjia, Chao Biejia (3 qian each), Yanshusu and Pengze (4 qian each). Take 50 pills, increase to 70, stop when purged. For Kidney Bi pain, add Mubiezi (1 liang) and Rougui (0.5 liang). For hot-phlegm, add Penxiao equally, take 3 pills. For cold-phlegm, add Huajiao, Dingxiang, Quanxie, and Rougui equally, take 25 pills.
[Dongxu Zi] Phlegm diseases cause hemiplegic headache, thunder-headache, and Taiyang headache. Vertigo like riding in boats, mental confusion. Mouth and eye twitching. Itching of eyebrows and ears. Swelling and hardness of jaw, cheeks, and limbs. Painful yet not painful. Whole body dry itching, scratching produces hidden rashes, hot skin, brocade-like spots. Teeth and cheeks itch and hurt unpredictably, floating teeth, varying pain and itch. Belching and acid regurgitation, smelling scorched odor. Fishy smell in throat,心烦, nasal congestion, difficulty swallowing, inability to spit out or swallow phlegm. Phlegm comes out with sneezing or movement, black like ink, broken cotton, peach gum, or clam meat. Heart feels like ice and iron, blocked and stifling, frequent belching and sneezing, resembling diaphragmatic Qi. Dreams of execution, swords, surrounded by walls, finding a way out but losing direction. Dreams of burning ground, smoke, burnt bones, no escape. Anger and weeping upon waking without trigger. Seeing two moons or golden lights in the sky. Sore knees, waist and kidney pain, difficult breathing. Pain in limbs like stabbing, intermittent. Arm numbness and pain like wind-damp. Restless sleeping like thorns or insect bites. Limb immobility, heavy hands and feet. Eyes like ginger sting, sticky and itchy, hard to open/close. During weather changes, chest stuffiness and Qi knotting, closed and not erupting, leading to tooth itch, throat pain, mouth ulcers, and tongue sores. Upon eruption, continuous sneezing, thick sputum then clear water. Darkness before eyes, wind sound behind head, cicada noise in ears, eye muscle twitching. Treatments vary: loose pores allowing wind invasion, upper excess lower deficiency, deficiency, cold, or pathogen eruption. Only Dongxu Zi understands this suffering and can treat it. Disease onset feels like two gases twisting in chest/abdomen, choking and depression, smoke/fire rushing up, hot head/face, dizziness, tinnitus, phlegm/saliva/tears surging from lungs/stomach, hair standing, hundreds of sneezes. Then whole-body irritability, removing clothes and chilling body brings temporary relief. Adding clothes in cool spring/autumn also helps. Drinking ice water or getting drunk calms it, but root cause remains. Obtained the mysterious Chenxiang Wan formula, effective for thousands, but kept secret. Poem: [Metaphorical description of ingredients].
Dahuang (steamed, 8 liang), Huangqin (8 liang), Qingmengshi (1 liang, fired with Xiao until gold-colored), Chenxiang (0.5 liang).
Grind into powder, make water pills, walnut-sized. Take with warm water after meals on an empty stomach. For all new or old mental loss, mania, or madness, take 100 pills. For excess Qi, eating ability, and severe mania, add 20 pills, adjust as needed. For all wind-stroke paralysis, phlegm-saliva obstruction, regular or irregular bowels, take 80-90 pills, up to 100, preventing constipation. For all Yang syndrome wind-toxic Hong Kong foot, wandering pain, take 80-90 pills, up to 100 if ineffective. For healthy people with unnamed bone/joint pain, headache/toothache, shaking/itching, wind-boring, wind-cold nasal congestion, body pain/non-pain, non-Shanghan conditions, take 80-90 pills. Increase for excess phlegm and Qi. For all acid regurgitation, belching,