《病源论》云∶痰饮者，由气脉闭塞，津液不通，水饮气停在胸腑，结而成痰。又其人
素盛
肋，
气不
《南海传》云∶若觉痰饮填胸，口中唾数，鼻流清水，KT （徒感反，糜和也） （作
惨，息减反，杂也）咽开，户满抢喉，语声不转，饮食亡味，动历一旬。如此之流，绝食便
瘥，不劳
《千金方》云∶夫饮有四，其人素盛今瘦，水走肠间，沥沥有声，谓之痰饮；下后水流
在胁
其人
痰饮者，当以温药和之；
悬饮者，干枣汤主之∶
甘草（四两） 大枣（二十枚） 干姜（二两）
三味，以水一斗，煮取二升，分三服；
溢饮者，青龙汤主之∶
麻黄（六两） 桂心（二两） 甘草（二两，炙） 石膏〔（一名细石）二两〕 杏仁
（三十枚） 大枣
凡七物，以水九升，煮麻黄，减二升，乃纳余药，得二升，去滓，服一升，温覆令汗。
汗出
支饮者，木防己汤主之∶
木防己（三两） 石膏（鸡子大十二枚） 桂心（二两） 人参（四两）
四味，水六升，煮取二升，分再服。
又云∶茯苓汤，主胸膈痰满方∶
茯苓（四两） 半夏（一两） 生姜（一斤） 桂心（八两）
四味，水六升，煮取二升半，分四服。
又云∶治卒头痛如破，非冷又非中恶，其病是胸膈中痰厥气上冲所致，名为厥头痛，吐
之即
须吐
又云∶灸留饮冷 法∶灸通谷穴五十壮，在幽门下一寸，幽门在巨阙旁半寸。
《录验方》治胸膈痰饮，食啖经日并吐出方∶单服生姜汁一升，欲吐，吐之不吐，自向
下出
《葛氏方》治胸中多痰，头痛不欲食及饮酒人瘀僻菹痰方∶
恒山（二两） 甘草（一两） 松萝（十两） 瓜蒂（三七枚）
以酒水各一升半，煮取升半，初服七合，取吐，吐不尽，余更分二服，后可服半夏汤。
又方∶先作一升汤，投一升水，名为生熟汤，乃餐三合盐，以此易送，须臾欲吐，便摘
出，
又云∶若胸中常有痰冷水饮、虚羸不足取吐者方（《范汪方》号半夏茯苓汤∶）
半夏（一升，洗） 生姜（半斤） 茯苓（三两）
水七升，煮取一升半，分再服。
《短剧方》茱萸汤治胸中积冷，心下痰水，烦满汪汪，不下饮食，心胸应背欲痛方∶
生姜（三两） 半夏（三两） 桂心（三两） 吴茱萸（三两） 人参（一两） 大枣
（三十枚） 甘草（
凡七物，以水九升，煮取三升，纳白蜜五合，分三服。（今按∶《集验方》∶生姜五两。）
《胡洽方》治痰冷癖气方∶
生姜（八两） 附子（四两）
二物，以水三升，煮取一升半，分再服。
《僧深方》治五饮酒癖方∶
术（一斤） 桂（半斤） 干姜（半斤）
三物，冶下筛，和蜜丸如梧子，服十丸，不知稍增，初服当取下，先食服，日再。
《集验方》治胸中痰饮、腹中水鸣、食不消、呕吐水汤方∶
大槟榔（三十口，令子碎） 半夏（八两，洗） 生姜（四两） 杏仁（四两） 白术
（四两） 茯苓（
切，水一斗，煮取三升，分三服。
《效验方》甘草丸，治留饮方∶
甘草（二分，炙） 瓜蒂（一分）
凡二物，冶下筛，蜜丸如梧子，欲下病，服三丸，日一。三丸不下，增之，以吐为度。
又云∶断膈散，治痰百病常用验方∶
七月七日瓜蒂（二枚） 赤小豆（二两） 人参（二两）
凡三物，冶合下筛，以温汤和服方寸匕，当吐病愈。（今按∶《新录方》∶瓜丁一两，赤
小
又云∶断膈丸，治胸膈间有痰水方∶
蜀附子（一分） 黎芦（一卜，熬） 甘草（一卜，炙） 赤小豆（一卜） 瓜丁（一
卜）
凡五物，冶合下筛，蜜丸如小豆，一服五丸，当吐青黄汁，不知稍增。
《范汪方》病支饮不得息，葶苈大枣泻肺汤主之，方∶
葶苈（熬令紫色，冶合自丸，丸如弹丸） 大枣（二十枚）
以水二升，煮枣，令得一升半，去枣，纳药一丸，复煎得一升，尽服之。
《极要方》疗痰气方∶
橘皮（二两）
上，以水三（二，或本）升，煮取一升二合，为一服，间日服之。
《新录方》治痰饮方∶苦瓠穣、赤小豆等分捣筛，蜜丸，饮服，如小豆三丸，大佳。
又方∶瓜丁、赤小豆各一两，捣筛，蜜丸，饮服如小豆七丸，吐痰瘥。
《诸病源候论》说：痰饮这种病，是由于气脉闭塞，津液运行不通，水饮之气停滞在胸腑，凝结而成痰。另外，如果这个人平时身体肥胖，现在却消瘦，水湿流注于肠间，发出沥沥的声音，这叫做痰饮；水饮停留在胁下，称为悬饮；水饮溢于四肢，身体沉重疼痛，无汗，称为溢饮；咳嗽气喘，倚靠呼吸，不能平卧，外形如肿，称为支饮。治疗痰饮病，应当用温性药物来调和它。
《南海传》说：如果觉得痰饮充满胸中，口中唾液增多，鼻流清涕，（徒感反，意为糜烂和合）（作惨，息减反，意为混杂）咽喉开塞，胀满冲击喉咙，说话声音不顺畅，饮食没有味道，活动经历十天之久。像这样的情况，绝食就会好转，不需要……
《千金方》说：水饮有四种，如果人平时身体肥胖现在却消瘦，水走肠间，沥沥有声，这叫痰饮；水饮停在胁下，叫悬饮；水饮溢于四肢，叫溢饮；咳逆倚息，短气不得卧，其形如肿，叫支饮。
痰饮病，应当用温药调和；
悬饮病，用干枣汤主治：
甘草（四两） 大枣（二十枚） 干姜（二两）
以上三味药，用水一斗，煮取二升，分三次服用；
溢饮病，用青龙汤主治：
麻黄（六两） 桂心（二两） 甘草（二两，炙） 石膏〔（一名细石）二两〕 杏仁（三十枚） 大枣
共七味药，用水九升，先煮麻黄，减去二升水，然后加入其余药物，煮取二升，去渣，服用一升，服药后覆盖衣被令其出汗。
汗出……
支饮病，用木防己汤主治：
木防己（三两） 石膏（鸡蛋大小十二枚） 桂心（二两） 人参（四两）
以上四味药，用水六升，煮取二升，分两次服用。
又说：茯苓汤，主治胸膈痰满的方子：
茯苓（四两） 半夏（一两） 生姜（一斤） 桂心（八两）
以上四味药，用水六升，煮取二升半，分四次服用。
又说：治疗突然头痛剧烈如破，既不是受冷也不是中恶，这种病是胸膈中痰厥之气上冲所致，名叫厥头痛，催吐即可……
需要催吐……
又说：灸治留饮冷积的方法：灸通谷穴五十壮，该穴位于幽门穴下一寸，幽门穴在巨阙穴旁半寸。
《录验方》治疗胸膈痰饮，进食经过一天并吐出的方子：单服生姜汁一升，想吐就吐，不想吐，自然向下排出……
《葛氏方》治疗胸中多痰，头痛不想吃东西以及饮酒之人瘀僻菹痰的方子：
恒山（二两） 甘草（一两） 松萝（十两） 瓜蒂（三七枚）
用酒和水各一升半，煮取半升，初次服用七合，以引起呕吐，如果痰未尽，剩余的药再分两次服用，之后可以服用半夏汤。
又一方：先做一升汤，投入一升水，名叫生熟汤，然后吃三合盐，以此送服，一会儿想吐，就用手抠喉催吐……
又说：如果胸中常有痰冷水饮、身体虚弱羸瘦不足以耐受催吐者的方子（《范汪方》称为半夏茯苓汤）：
半夏（一升，洗） 生姜（半斤） 茯苓（三两）
用水七升，煮取一升半，分两次服用。
《短剧方》茱萸汤治疗胸中积冷，心下有痰水，烦闷胀满，不下饮食，心胸牵连背部欲痛的方子：
生姜（三两） 半夏（三两） 桂心（三两） 吴茱萸（三两） 人参（一两） 大枣（三十枚） 甘草（……）
共七味药，用水九升，煮取三升，加入白蜜五合，分三次服用。（现今按语：《集验方》中生姜为五两。）
《胡洽方》治疗痰冷癖气的方子：
生姜（八两） 附子（四两）
以上两味药，用水三升，煮取一升半，分两次服用。
《僧深方》治疗五种饮酒癖气的方子：
白术（一斤） 桂枝（半斤） 干姜（半斤）
以上三味药，捣碎过筛，和蜂蜜做成梧桐子大小的丸药，每次服用十丸，无效则稍增加剂量，初次服用应当排出积滞，饭前服用，每天两次。
《集验方》治疗胸中痰饮、腹中水鸣、食物不消化、呕吐水液的方子：
大槟榔（三十个，令子碎） 半夏（八两，洗） 生姜（四两） 杏仁（四两） 白术（四两） 茯苓（……）
切碎，用水一斗，煮取三升，分三次服用。
《效验方》甘草丸，治疗留饮的方子：
甘草（二分，炙） 瓜蒂（一分）
共两味药，捣碎过筛，蜂蜜和丸如梧桐子大小，想要攻下病邪时，服用三丸，每天一次。如果三丸未下，增加剂量，以呕吐为限度。
又说：断膈散，治疗痰引起的各种疾病常用的有效方子：
七月七日采集的瓜蒂（二枚） 赤小豆（二两） 人参（二两）
共三味药，捣合过筛，用温水调和服用方寸匕，应当吐出病邪即愈。（现今按语：《新录方》中瓜丁一两，赤小……）
又说：断膈丸，治疗胸膈间有痰水的方子：
蜀附子（一分） 黎芦（一卜，熬） 甘草（一卜，炙） 赤小豆（一卜） 瓜丁（一卜）
共五味药，捣合过筛，蜂蜜和丸如小豆大小，每次服用五丸，应当吐出青黄色的汁液，无效则稍增加剂量。
《范汪方》治疗支饮导致呼吸困难的，葶苈大枣泻肺汤主治，方子：
葶苈（炒至紫色，捣合自丸，丸如弹丸） 大枣（二十枚）
用水二升，煮枣，煮得一升半，去掉枣，放入药丸一丸，再煎煮得一升，全部服下。
《极要方》治疗痰气的方子：
橘皮（二两）
以上，用水三升（有的版本为二升），煮取一升二合，作为一次服用量，隔日服用。
《新录方》治疗痰饮的方子：苦瓠穣、赤小豆等分捣筛，蜂蜜和丸，饮水送服，如小豆大小三丸，效果很好。
又一方：瓜丁、赤小豆各一两，捣筛，蜂蜜和丸，饮水送服如小豆大小七丸，吐出痰液即痊愈。
The *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: Phlegm-fluid retention (Tan Yin) arises from the obstruction of Qi and meridians, leading to the blockage of fluid metabolism. When water and fluid qi stagnate in the chest and epigastrium, they condense to form phlegm. Furthermore, if a person who was previously obese becomes emaciated, with water flowing into the intestines producing a gurgling sound, this is termed **Phlegm-fluid** (Tan Yin); when water accumulates in the hypochondrium, it is called **Hanging Fluid** (Xuan Yin); when water overflows to the limbs causing heaviness and pain without sweating, it is called **Overflowing Fluid** (Yi Yin); and when coughing and wheezing require leaning forward for breath, inability to lie flat, and swelling-like appearance, it is called **Supporting Fluid** (Zhi Yin). The treatment for Phlegm-fluid retention should employ warm herbs to harmonize the body.
The *Nan Hai Zhuan* states: If one feels that phlegm-fluid fills the chest, produces excessive saliva, and causes clear nasal discharge, [with sensations of erosion/mixing] blocking the throat, causing fullness and pressure in the throat, hoarseness, loss of taste, and lasting for ten days or more, such conditions will improve with fasting and do not require...
The *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) states: There are four types of fluid retention. If a person who was previously obese becomes thin, with water moving through the intestines making a gurgling sound, this is called **Phlegm-fluid** (Tan Yin); if water stays in the hypochondriac region, it is called **Hanging Fluid** (Xuan Yin); if water overflows to the limbs, it is called **Overflowing Fluid** (Yi Yin); if there is coughing, asthma, shortness of breath preventing lying down, and a swollen appearance, it is called **Supporting Fluid** (Zhi Yin).
For Phlegm-fluid disease, warm herbs should be used to harmonize;
For Hanging Fluid disease, Gan Zao Tang (Licorice Decoction) is the primary prescription:
Gan Cao (Radix Glycyrrhizae, 4 liang), Da Zao (Fructus Jujubae, 20 pieces), Gan Jiang (Rhizoma Zingiberis, 2 liang).
These three ingredients are decocted in 1 dou of water to yield 2 sheng, divided into three doses.
For Overflowing Fluid disease, Qing Long Tang (Green Dragon Decoction) is the primary prescription:
Ma Huang (Herba Ephedrae, 6 liang), Gui Xin (Cortex Cinnamomi, 2 liang), Gan Cao (Radix Glycyrrhizae, roasted, 2 liang), Shi Gao (Lapis Gypsi, 2 liang), Xing Ren (Semen Armeniacae Amarum, 30 pieces), Da Zao (Fructus Jujubae).
These seven ingredients are decocted in 9 sheng of water. First, boil Ma Huang until the volume reduces by 2 sheng, then add the remaining herbs. Boil until 2 sheng remain, strain, and take 1 sheng. After taking the medicine, cover with blankets to induce sweating.
When sweat appears...
For Supporting Fluid disease, Mu Fang Ji Tang (Stephania Tetrandra Decoction) is the primary prescription:
Mu Fang Ji (Radix Stephaniae Tetrandrae, 3 liang), Shi Gao (Lapis Gypsi, size of 12 chicken eggs), Gui Xin (Cortex Cinnamomi, 2 liang), Ren Shen (Radix Ginseng, 4 liang).
These four ingredients are decocted in 6 sheng of water to yield 2 sheng, divided into two doses.
It also states: Fu Ling Tang (Poria Decoction) treats fullness of phlegm in the chest and diaphragm:
Fu Ling (Poria, 4 liang), Ban Xia (Rhizoma Pinelliae, 1 liang), Sheng Jiang (Rhizoma Zingiberis Recens, 1 jin), Gui Xin (Cortex Cinnamomi, 8 liang).
These four ingredients are decocted in 6 sheng of water to yield 2.5 sheng, divided into four doses.
It also states: For sudden severe headache as if breaking, neither due to cold nor evil invasion, this disease is caused by the upward rushing of Phlegm-Jue Qi from the chest and diaphragm, named Jue Tou Tong (Jue Headache). Inducing vomiting will resolve it...
Inducing vomiting is required...
It also states: The method for moxibustion treating retained cold fluid: Moxa Tong Gu point (BL-27) 50 cones. This point is located 1 cun below You Men (Ren-15), which is 0.5 cun lateral to Ju Que (Ren-15).
The *Lu Yan Fang* (Recorded Verified Prescriptions) treats chest-diaphragm phlegm-fluid where food eaten a day ago is vomited out: Take 1 sheng of fresh ginger juice alone. If vomiting is desired, induce it; if not, it will naturally move downward...
The *Ge Shi Fang* (Prescriptions of Master Ge) treats excessive phlegm in the chest, headache with loss of appetite, and phlegm in drinkers:
Heng Shan (Radix Dichroae, 2 liang), Gan Cao (Radix Glycyrrhizae, 1 liang), Song Luo (Ramulus Usneae, 10 liang), Gua Di (Fructus Citrulli, 37 pieces).
Decoct with 1.5 sheng of wine and 1.5 sheng of water to yield 0.5 sheng. Initially take 0.7 sheng to induce vomiting. If phlegm remains, divide the rest into two doses. Afterwards, Ban Xia Tang (Pinellia Decoction) can be taken.
Another prescription: First make 1 sheng of soup, add 1 sheng of water, named Sheng Shu Tang (Raw-Cooked Soup). Then consume 3 he of salt, swallowing it with this liquid. Soon after, vomiting will occur; induce it by stimulating the throat...
It also states: For those with constant cold phlegm-fluid in the chest, who are weak and emaciated and cannot tolerate emetics, use this prescription (called Ban Xia Fu Ling Tang in the *Fan Wang Fang*):
Ban Xia (Rhizoma Pinelliae, washed, 1 sheng), Sheng Jiang (Rhizoma Zingiberis Recens, half jin), Fu Ling (Poria, 3 liang).
Decoct in 7 sheng of water to yield 1.5 sheng, divided into two doses.
The *Duan Ju Fang* (Short Drama Prescriptions) uses Zhu Yu Tang (Evodia Decoction) to treat accumulated cold in the chest, phlegm-water in the epigastrium, vexation and fullness, inability to eat, and pain radiating from the chest to the back:
Sheng Jiang (Rhizoma Zingiberis Recens, 3 liang), Ban Xia (Rhizoma Pinelliae, 3 liang), Gui Xin (Cortex Cinnamomi, 3 liang), Wu Zhu Yu (Fructus Evodiae, 3 liang), Ren Shen (Radix Ginseng, 1 liang), Da Zao (Fructus Jujubae, 30 pieces), Gan Cao (Radix Glycyrrhizae...).
These seven ingredients are decocted in 9 sheng of water to yield 3 sheng. Add 5 he of white honey, divided into three doses. (Note: In the *Ji Yan Fang*, Sheng Jiang is 5 liang.)
The *Hu Qia Fang* (Hu Qia Prescriptions) treats phlegm-cold and fixed masses:
Sheng Jiang (Rhizoma Zingiberis Recens, 8 liang), Fu Zi (Radix Aconiti Lateralis Preparata, 4 liang).
These two ingredients are decocted in 3 sheng of water to yield 1.5 sheng, divided into two doses.
The *Seng Shen Fang* (Monk Shen's Prescriptions) treats five types of alcohol-induced fixed masses:
Bai Zhu (Rhizoma Atractylodis Macrocephalae, 1 jin), Gui (Ramulus Cinnamomi, half jin), Gan Jiang (Rhizoma Zingiberis, half jin).
These three ingredients are crushed, sifted, mixed with honey, and formed into pills the size of wutong seeds. Take 10 pills initially; if ineffective, increase slightly. The first dose should expel stagnation. Take before meals, twice daily.
The *Ji Yan Fang* (Verified Prescriptions Collection) treats phlegm-fluid in the chest, borborygmus in the abdomen, indigestion, and vomiting of water:
Da Bing Lang (Arecae Semen, 30 pieces, kernels crushed), Ban Xia (Rhizoma Pinelliae, washed, 8 liang), Sheng Jiang (Rhizoma Zingiberis Recens, 4 liang), Xing Ren (Semen Armeniacae Amarum, 4 liang), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 4 liang), Fu Ling (Poria...).
Cut into pieces, decoct in 1 dou of water to yield 3 sheng, divided into three doses.
The *Xiao Yan Fang* (Effective Prescriptions) Gan Cao Wan (Licorice Pill) treats retained fluid:
Gan Cao (Radix Glycyrrhizae, roasted, 2 fen), Gua Di (Fructus Citrulli, 1 fen).
These two ingredients are crushed, sifted, and formed into pills the size of wutong seeds with honey. To purge the pathogen, take 3 pills once daily. If not expelled after 3 pills, increase the dose until vomiting occurs.
It also states: Duan Ge San (Diaphragm-Severing Powder), a commonly effective prescription for various diseases caused by phlegm:
Gua Di (Fructus Citrulli, collected on the 7th day of the 7th lunar month, 2 pieces), Chi Xiao Dou (Semen Phaseoli Angularis, 2 liang), Ren Shen (Radix Ginseng, 2 liang).
These three ingredients are crushed, sifted together, and taken with warm water using a square-inch spoon measure. Vomiting the pathogen leads to cure. (Note: In the *Xin Lu Fang*, Gua Ding is 1 liang, Chi Xiao...)
It also states: Duan Ge Wan (Diaphragm-Severing Pill) treats phlegm-water in the chest and diaphragm:
Shu Fu Zi (Radix Aconiti Lateralis Preparata, 1 fen), Li Lu (Radix Veratri Nipponici, roasted, 1 bu), Gan Cao (Radix Glycyrrhizae, roasted, 1 bu), Chi Xiao Dou (Semen Phaseoli Angularis, 1 bu), Gua Ding (Fructus Citrulli, 1 bu).
These five ingredients are crushed, sifted together, and formed into pills the size of small beans with honey. Take 5 pills per dose. One should vomit green-yellow fluid. If ineffective, increase the dose slightly.
The *Fan Wang Fang* (Fan Wang Prescriptions) treats Supporting Fluid causing breathing difficulty, primarily using Ting Li Da Zao Xie Fei Tang (Descurainia Seed and Jujube Decoction to Drain the Lungs):
Ting Li (Semen Descurainiae, fried until purple, crushed and formed into pills the size of bullet shots), Da Zao (Fructus Jujubae, 20 pieces).
Decoct the dates in 2 sheng of water until 1.5 sheng remain. Remove the dates, insert one pill, and simmer until 1 sheng remains. Consume all at once.
The *Ji Yao Fang* (Extremely Important Prescriptions) treats phlegm-Qi:
Ju Pi (Pericarpium Citri Reticulatae, 2 liang).
Decoct in 3 sheng (some versions say 2 sheng) of water to yield 1.2 sheng. Take as one dose, administered every other day.
The *Xin Lu Fang* (New Record Prescriptions) treats phlegm-fluid: Equal parts Ku Hu Rang (Endocarp of Cucumis Melo Var. Flexuosus) and Chi Xiao Dou (Semen Phaseoli Angularis) are crushed, sifted, mixed with honey, and formed into pills. Take 3 pills the size of small beans with water for best results.
Another prescription: Gua Ding (Fructus Citrulli) and Chi Xiao Dou (Semen Phaseoli Angularis), each 1 liang, are crushed, sifted, mixed with honey, and formed into pills. Take 7 pills the size of small beans with water to vomit phlegm and achieve recovery.