（韩 ）
治老人气实痰盛，喘满懒食（痰不自动，因火而动。气有余便是火。气盛上涌故喘，痰
火
紫苏子（沉水者） 白芥子 莱菔子。各微炒、研，煎服。或等分，或看病所主为君。
此手足太阴药也。白芥子除痰，紫苏子降气，莱菔子消食，然皆行气豁痰之药，气行则
火降而痰消矣（吴鹤皋曰∶治痰先理气，此治标耳，终不若二陈能健脾去湿，有治本之功也。
李士
气虚
（严氏）
治中风痰迷心窍，舌强不能言（心在窍为舌，心别脉系舌根，脾脉连舌本、散舌下，肾
脉侠舌本，三脉虚则痰涎乘虚闭其脉道，故舌不能转运言语也；若三脉亡血，不能荣养而喑
者，又当加补血药。风痰塞其经络，舌强不能言，其证为重；若壅热上攻，舌肿不能转者，
其证为
半夏（姜制） 胆星（三钱五分） 橘红 枳实 茯苓（二钱） 人参 菖蒲（一钱） 竹
茹（
此手少阴、足太阴药也。心脾不足，风邪乘之，而痰与火塞其经络，故舌本强而难语也
。人
枳实破痰利膈；竹茹清燥开郁，使痰消火降，则经通而舌柔矣（喻嘉言曰∶此证最急，此药
最缓，有两不相当之势。审其属实，用此汤调下牛黄丸；审其属虚，用此汤调下二丹丸，庶
足开痰
（附∶二丹丸∶丹参 熟地 天冬（两半） 麦冬 茯神 甘草（一两） 丹砂 人参 菖
蒲远志（五钱。蜜丸）。安神养血，清热息风，服之得睡。有风中心脾者，有痰塞心窍者，
有风寒壅滞者，致舌本木强；又有气虚、血虚、肾虚，及老人暴不能言者，宜十全大补汤加
菖蒲、远志）。
（韩氏方）
治疗老年人气机壅实、痰涎旺盛，出现气喘胸闷、食欲不振的症状。（注：痰液不会自行产生，而是因火热之邪扰动所致。气机有余便化为火。气盛向上冲逆故而气喘，痰随火动。）
紫苏子（以沉入水中的为佳）、白芥子、莱菔子。将三味药轻微炒制后研磨成粉，煎汤服用。可以根据病情需要，各取等份，或者根据病症的主次来确定君药。
此方属于调理手太阴肺经和足太阴脾经的药物。白芥子能祛除痰浊，紫苏子能降泄肺气，莱菔子能消食导滞，然而它们都是行气豁痰的药物，气机通畅则火气下降而痰浊消除。（吴鹤皋说：治疗痰证首先要调理气机，这只是治标的方法，终究不如二陈汤能够健脾祛湿，具有治本的功效。）李士材认为：若属气虚者……
（严氏方）
治疗中风导致痰迷心窍，舌体僵硬不能言语。（注：心开窍于舌，心的别脉系连舌根，脾脉连接舌本并散布于舌下，肾脉夹持舌本，这三条经脉虚弱时，痰涎乘虚闭塞脉道，所以舌头不能灵活转动从而无法言语；如果是因为这三条经脉亡血，不能濡养舌体而导致失音的，又应当加入补血药物。风痰阻塞经络，舌强不能言语，这是重症；如果是热邪壅盛上攻，导致舌体肿胀不能转动的，其证候为……）
半夏（姜汁制）、胆南星（三钱五分）、橘红、枳实、茯苓（二钱）、人参、石菖蒲（一钱）、竹茹（……）。
此方属于调理手少阴心经和足太阴脾经的药物。心脾不足，风邪乘虚侵袭，导致痰与火阻塞经络，所以舌体僵硬难以言语。人……
枳实破除痰结、利膈宽胸；竹茹清热润燥、开郁散结，使痰消火降，则经络通畅而舌体柔和。（喻嘉言说：这种病证最为急迫，此药效力相对缓和，有不相称的情况。仔细辨别若属实证，用此汤送服牛黄丸；若属虚证，用此汤送服二丹丸，才足以开通痰闭……）
（附方：二丹丸：丹参、熟地黄、天冬（一两半）、麦冬、茯神、甘草（一两）、朱砂、人参、石菖蒲、远志（五钱，炼蜜为丸）。功效为安神养血，清热息风，服用后能入睡。有中风气侵心脾的，有痰塞心窍的，有风寒壅滞的，导致舌体麻木僵硬；又有气虚、血虚、肾虚，以及老年人突然不能言语的，适宜使用十全大补汤加石菖蒲、远志。）
(From Han's Formula)
Treats elderly patients with excess Qi and abundant phlegm, presenting with panting, chest fullness, and poor appetite. (Note: Phlegm does not arise spontaneously but is stirred by fire. Excess Qi transforms into fire. When Qi surges upward, it causes panting, and phlegm moves with the fire.)
Perillae Fructus (Zisuzi) [preferably those that sink in water], White Mustard Seed (Baijiezhi), and Radish Seed (Laifuzi). Lightly stir-fry each, grind them, and decoct for oral administration. Use equal parts, or adjust the principal herb according to the specific condition.
This formula acts on the Hand-Taiyin Lung Meridian and Foot-Taiyin Spleen Meridian. White Mustard Seed eliminates phlegm; Perillae Fructus directs Qi downward; Radish Seed aids digestion. However, all are herbs that promote Qi circulation and resolve phlegm. When Qi flows smoothly, fire descends and phlegm dissipates. (Wu Hegao stated: To treat phlegm, one must first regulate Qi; this treats the branch/symptoms, but ultimately it is inferior to Erchen Tang [Two-Chen Decoction] which strengthens the Spleen and removes dampness, thereby addressing the root cause.) Li Shicai noted: In cases of Qi deficiency...
(From Yan's Formula)
Treats stroke where phlegm confounds the Heart orifice, resulting in a stiff tongue and inability to speak. (Note: The Heart opens into the tongue; its collateral vessels connect to the root of the tongue. The Spleen meridian connects to the base of the tongue and spreads under it. The Kidney meridian flanks the base of the tongue. When these three meridians are deficient, phlegm-saliva takes advantage of the deficiency to block the vessel pathways, causing the tongue to be immobile and speechless. If aphonia results from blood loss in these three meridians failing to nourish the tongue, blood-nourishing herbs should be added. When wind-phlegm blocks the collaterals causing a stiff tongue and inability to speak, the condition is severe; if heat accumulation attacks upward causing tongue swelling and immobility, the condition is...)
Pinelliae Rhizoma Preparatum (Banxia) [prepared with ginger juice], Arisaematis Cum Bile Rhizoma (Danningxing) [1.5 qian], Tangerine Peel (Juhong), Immature Bitter Orange (Zhishi), Poria (Fuling) [0.8 qian], Ginseng (Renshen), Acori Tatarinowii Rhizoma (Changpu) [0.3 qian], Bamboo Shavings (Zhuru) [...].
This formula acts on the Hand-Shaoyin Heart Meridian and Foot-Taiyin Spleen Meridian. Deficiency of the Heart and Spleen allows wind pathogens to invade; phlegm and fire block the collaterals, causing tongue stiffness and difficulty in speech. Human...
Immature Bitter Orange breaks up phlegm and benefits the diaphragm; Bamboo Shavings clears dryness and opens depression, allowing phlegm to dissipate and fire to descend, thus unblocking the collaterals and softening the tongue. (Yu Jiayan stated: This condition is most urgent, yet this formula acts relatively slowly, creating a mismatch. Carefully determine if it is an excess pattern; if so, use this decoction to administer Niuhuang Wan [Calculus Bovis Pill]; if it is a deficiency pattern, use this decoction to administer Erdan Wan [Two-Red Pills], sufficient to open the phlegm obstruction...)
(Attached Formula: Erdan Wan: Salviae Miltiorrhizae Radix (Danshen), Prepared Rehmanniae Radix (Shudihuang), Asparagi Radix (Tiangong) [1.5 liang], Ophiopogonis Radix (Maidong), Poria with Wood (Fushen), Licorice Root (Gancao) [1 liang], Cinnabar (Zhusha), Ginseng (Renshen), Acori Tatarinowii Rhizoma (Changpu), Polygalae Radix (Yuanzhi) [5 qian, formed into pills with honey]. Functions: Calms the Spirit, nourishes Blood, clears heat, and extinguishes wind. Promotes sleep. For cases where wind strikes the Heart and Spleen, phlegm obstructs the Heart orifice, or wind-cold stagnation causes tongue numbness and stiffness; also for Qi deficiency, Blood deficiency, Kidney deficiency, and sudden aphonia in the elderly, Shiquan Dabu Tang [Ten Complete Tonifying Decoction] with added Changpu and Yuanzhi is appropriate.)