滑主多痰，弦主留饮。热则滑数，寒则弦紧。
浮滑兼风，沉滑兼气。食伤短疾，湿留濡细。
滑为水物兼有之象。主多痰者，以痰为饮结成形故也。弦则弦直而敛，不能抑
扬鼓荡，是阳运之力薄，故饮留焉。（宜和剂倍术丸、苓桂术甘汤之类。）以饮较痰，尚未结聚，
所以弦不似滑之累累替替有物形也。大约气机鼓动属热，滑数是已。敛束属寒，弦
紧是已。鼓动浮越，风之象也，故浮滑者兼风。（宜青州白丸子、法制半夏、清心牛黄丸、沉香堕痰
丸、清气化痰丸之类。）动疾沉下，气之郁也，故动滑者兼气。停食于中，则气为食碍，不
能透达，脉为之短。短则气遏于内，势反成疾。短疾之脉，与滑近似，故滑亦主食
也。（宜丹溪保和丸之类。）湿为阴邪，留必缓渗，非若阳邪之变动迅疾，故脉亦濡细耳。
（宜仲景泽泻汤之类。）
和剂倍术丸（见第二十二）
仲景苓桂术甘汤（见第十六）
和剂青州白丸子 治男妇手足瘫痪，风痰壅盛，呕吐涎沫，及小儿惊风，妇人血风。
半夏（生七两，水浸洗） 南星（生三两） 白附子（生二两） 川乌（生半两，去皮脐）
上为末，以生绢袋盛，于井花水内摆出粉。如未出者，更以手揉出。如有滓，
更研，再入绢袋，摆尽为度。置瓷盆中，日晒夜露。至晓撇去旧水，别用井水搅，
又晒至来日早，再换新水，搅如此法。春五日，夏三日，秋七日，冬十日。去水晒干后如玉片。研
细，以糯米粉煎粥清丸绿豆大，姜汤下二十丸。无时。如瘫痪风，温酒下。小儿惊风，薄荷汤下五丸。
法制半夏 治一切痰嗽，或呕吐冷冻饮料酸水，风痰痰癖，胸膈痞闷，喘促等证。
半夏（拣大者五斤） 明矾（一斤四两捣碎） 生姜（一斤四两捣碎）
上三味，用泉水共浸七日，擦去半夏皮，加朴硝二斤八两，换水浸七日。加猪
牙皂角切片一斤四两，浸七日。此后用泉水，每日一换。至四十九日，捞起晒干
为末。每用二钱，煎萝卜汤调下。小儿量减之。
和剂清心牛黄丸 治诸风缓纵不随，语言蹇涩，心怔健忘，恍惚去来，头目眩冒，
胸中烦郁，痰涎壅塞，精神昏愦。又治心气不足，神志不定，惊恐悲忧，虚烦少
睡，喜怒无时。或发狂癫，神情昏乱。
白芍药 麦门冬（去心） 黄芩 当归（去苗） 防风（去苗） 白术（各一两半） 柴胡 桔
梗芎 白茯苓（去皮） 杏仁（去皮尖双仁、麸炒黄、别研，各一两二钱半） 神曲（研）
蒲黄（炒） 人参（去芦，各二两半） 羚羊角（屑） 麝香（研） 龙脑（研，各一两） 肉桂（去
粗皮） 大豆黄卷（碎、炒） 阿胶（碎、炒，各一两七钱半） 白蔹 干姜（炮，各七钱半） 牛
黄（研，一两二钱） 犀角（屑二两） 雄黄（研飞八钱） 干山药（七两） 甘草（锉炒，五两）
金箔（一千二百片，内四百片为衣） 大枣（一百枚，蒸熟、去皮核、研成膏）
上除枣、杏仁、金箔、二角屑及牛黄、雄黄、脑、麝外，共为细末，入余药和
匀。用炼蜜与枣膏为丸。每两作十丸，金箔为衣。每服一丸，温水化下，食后服。
小儿惊痫，酌量多少，竹叶汤化下。
沉香堕痰丸 治宿食不消，咽膈不利，咳嗽痰涎，头目昏晕，呕逆恶心，胸膈不快。
沉香 木香（各二钱） 青皮（去白，二钱半） 半夏曲（二两） 槟榔（大者，三枚，用
面裹煨熟）
上为细末，用生姜汁浸，蒸饼为丸，如小绿豆大。每服二十丸，不拘时，姜汤下。
清气化痰丸 顺气快脾，化痰消食。
半夏 南星（去皮脐） 皂角（切） 白矾 干姜（各四两）
上先将白矾等三味，用清水五碗，煎取水三碗。却入半夏二味，浸两日。再煮
至半夏、南星无白点为度，晒干。
青皮（去穣） 陈皮 真苏子（炒） 萝卜子（炒、另研） 杏仁（去皮尖、炒、研） 葛根
神曲（炒） 麦 （炒焦） 山楂（去核） 香附（各二两）
上为末，蒸饼丸桐子大。每服五七十丸，临卧食后茶汤下。
丹溪保和丸（见第十七）
仲景泽泻汤（见第二十二）
滑脉主多痰，弦脉主留饮。热证则见滑数脉，寒证则见弦紧脉。
浮滑脉兼夹风邪，沉滑脉兼夹气滞。饮食损伤则脉短而疾速，湿邪停留则脉濡细。
滑脉是水饮与有形之痰兼有的征象。主多痰的原因，是因为痰是由饮邪凝结而成形。弦脉则表现为弦直而收敛，不能像正常脉象那样抑扬鼓荡，这是因为阳气运化之力薄弱，所以饮邪停留。（适宜使用和剂倍术丸、苓桂术甘汤之类的方剂。）与痰相比，饮尚未完全结聚，所以弦脉不像滑脉那样累累替替（形容脉象流利圆滑如珠）而有明显的物形感。大致而言，气机鼓动属于热证，滑数脉即是；收敛束急属于寒证，弦紧脉即是。鼓动浮越，是风的征象，所以浮滑脉兼夹风邪。（适宜使用青州白丸子、法制半夏、清心牛黄丸、沉香堕痰丸、清气化痰丸之类的方剂。）脉动疾速且沉下，是气机郁滞的表现，所以动滑脉兼夹气滞。食物停积在胃中，则气机被食物阻碍，不能透达，脉象因此变短。短脉意味着气机遏阻于内，态势反而形成疾病。短疾脉与滑脉近似，所以滑脉也主食积。（适宜使用丹溪保和丸之类的方剂。）湿为阴邪，停留必然导致脉象缓渗，不像阳邪那样变动迅疾，所以脉象也是濡细的。（适宜使用仲景泽泻汤之类的方剂。）
和剂倍术丸（参见第二十二节）
仲景苓桂术甘汤（参见第十六节）
和剂青州白丸子 治疗男女手足瘫痪，风痰壅盛，呕吐涎沫，以及小儿惊风，妇人血风。
半夏（生七两，用水浸泡清洗） 南星（生三两） 白附子（生二两） 川乌（生半两，去皮脐）
以上药物研为细末，用生绢袋盛装，在井水中摆动出粉。如果未出尽，再用手揉搓出粉。如果有渣滓，再次研磨，重新放入绢袋，直到摆动干净为止。置于瓷盆中，日晒夜露。到早晨撇去旧水，另用井水搅拌，又晒到第二天早晨，再换上新水，如此操作。春季五日，夏季三日，秋季七日，冬季十日。去掉水分晒干后如玉片般。研细，用糯米粉煎粥清制成丸，大小如绿豆，姜汤送服二十丸。随时可服。如果是瘫痪风症，用温酒送服。小儿惊风，用薄荷汤送服五丸。
法制半夏 治疗一切痰嗽，或呕吐冷冻饮料酸水，风痰痰癖，胸膈痞闷，喘促等证。
半夏（挑选大的五斤） 明矾（一斤四两捣碎） 生姜（一斤四两捣碎）
以上三味药，用泉水共同浸泡七日，擦去半夏皮，加入朴硝二斤八两，换水浸泡七日。加入猪牙皂角切片一斤四两，浸泡七日。此后用泉水，每日一换。至四十九日，捞起晒干研为细末。每次用二钱，用萝卜汤调服。小儿酌情减量。
和剂清心牛黄丸 治疗各种风症导致的肢体弛缓不收，语言蹇涩，心悸健忘，恍惚不定，头目眩晕，心中烦郁，痰涎壅塞，精神昏愦。又治疗心气不足，神志不定，惊恐悲忧，虚烦少睡，喜怒无常。或者发狂癫，神情昏乱。
白芍药 麦门冬（去心） 黄芩 当归（去苗） 防风（去苗） 白术（各一两半） 柴胡 桔梗 川芎 白茯苓（去皮） 杏仁（去皮尖双仁、麸炒黄、别研，各一两二钱半） 神曲（研） 蒲黄（炒） 人参（去芦，各二两半） 羚羊角（屑） 麝香（研） 龙脑（研，各一两） 肉桂（去粗皮） 大豆黄卷（碎、炒） 阿胶（碎、炒，各一两七钱半） 白蔹 干姜（炮，各七钱半） 牛黄（研，一两二钱） 犀角（屑二两） 雄黄（研飞八钱） 干山药（七两） 甘草（锉炒，五两） 金箔（一千二百片，其中四百片作为包衣） 大枣（一百枚，蒸熟、去皮核、研成膏）
以上药物除枣、杏仁、金箔、犀角/羚羊角屑及牛黄、雄黄、龙脑、麝香外，共研为细末，加入其余药物混合均匀。用炼蜜与枣膏制成丸剂。每两药粉作十丸，用金箔包衣。每次服用一丸，温水化开送服，饭后服用。小儿惊痫，酌情用量，用竹叶汤化开送服。
沉香堕痰丸 治疗宿食不消，咽膈不利，咳嗽痰涎，头目昏晕，呕逆恶心，胸膈不快。
沉香 木香（各二钱） 青皮（去白，二钱半） 半夏曲（二两） 槟榔（大的三枚，用面裹煨熟）
以上研为细末，用生姜汁浸透，用蒸饼制成丸剂，大小如小绿豆。每次服用二十丸，不拘时间，姜汤送服。
清气化痰丸 顺气快脾，化痰消食。
半夏 南星（去皮脐） 皂角（切） 白矾 干姜（各四两）
以上先将白矾等三味药，用清水五碗，煎取药水三碗。然后放入半夏两味药，浸泡两天。再煮至半夏、南星无白点为止，晒干。
青皮（去穣） 陈皮 真苏子（炒） 萝卜子（炒、另研） 杏仁（去皮尖、炒、研） 葛根 神曲（炒） 麦芽（炒焦） 山楂（去核） 香附（各二两）
以上研为细末，用蒸饼制成梧桐子大小的丸剂。每次服用五七十丸，临睡前饭后用茶汤送服。
丹溪保和丸（参见第十七节）
仲景泽泻汤（参见第二十二节）
Hua (Slippery) pulse indicates excessive phlegm, Xian (Wiry) pulse indicates retained fluid. Heat presents with Hua Shu (Slippery-Rapid) pulse, Cold presents with Xian Jin (Wiry-Tight) pulse.
Fu (Floating) combined with Hua indicates Wind; Chen (Sinking) combined with Hua indicates Qi stagnation. Food injury presents with Duan (Short) and Ji (Rapid) pulses; Dampness retention presents with Ru (Soggy) and Xi (Fine) pulses.
Hua is the image of both water-fluids and tangible phlegm. It indicates excessive phlegm because phlegm is formed by the coagulation of fluids. Xian pulse is straight and constricting, lacking the ability to rise and fall or surge freely; this indicates weak Yang movement power, thus fluids remain. (Suitable formulas include Heji Beishu Wan [Formula of the Imperial Pharmacy with Doubled Atractylodes] and Linggui Zhugan Tang [Poria, Cinnamon Twig, Atractylodes Macrocephala, and Licorice Decoction].) Compared to phlegm, fluids have not yet fully coagulated, so the Xian pulse does not resemble the continuous, bead-like rolling sensation of the Hua pulse. Generally, Qi mechanism surging belongs to Heat, evidenced by Hua Shu pulse. Constriction and binding belong to Cold, evidenced by Xian Jin pulse. Surging and floating represent the image of Wind, so Fu Hua pulse indicates concurrent Wind. (Suitable formulas include Qingzhou Baiwanzi [Qingzhou White Pills], Fazhi Banxia [Processed Pinellia], Qingxin Niuhuang Wan [Clear Heart Calves' Gallstone Pills], Chenxiang Tuotan Wan [Agarwood Phlegm-Expelling Pills], and Qingqi Huatan Wan [Clear Qi and Resolve Phlegm Pills].) Rapid movement sinking down indicates Qi depression, so Dong Hua pulse indicates concurrent Qi stagnation. Food stagnating in the middle jiao obstructs Qi, preventing its penetration and distribution, causing the pulse to become Short. A Short pulse means Qi is constrained internally, potentially leading to disease. The Duan Ji (Short-Rapid) pulse is similar to Hua, so Hua pulse also governs food stagnation. (Suitable formula includes Danxi Baohe Wan [Danxi Harmonizing the Middle Pills].) Dampness is a Yin pathogen; its retention causes slow, seeping pulses, unlike Yang pathogens which change rapidly, hence the pulse is Ru Xi (Soggy-Fine). (Suitable formula includes Zhongjing Zexie Tang [Alisma Decoction].)
Heji Beishu Wan (See Section 22)
Zhongjing Linggui Zhugan Tang (See Section 16)
Heji Qingzhou Baiwanzi: Treats paralysis of limbs in men and women, excess wind-phlegm, vomiting of saliva and foam, pediatric convulsions, and women's blood-wind.
Banxia (Pinelliae Rhizoma, raw, 7 liang, soaked and washed in water) Nanxing (Arisaematis Rhizoma, raw, 3 liang) Baifuzi (Typhonii Rhizoma, raw, 2 liang) Chuanwu (Aconiti Radix, raw, half liang, skin and umbilicus removed)
Grind into powder, place in a raw silk bag, and wash out the starch in well water. If not fully extracted, rub by hand to extract more. If dregs remain, grind again, re-enter the silk bag, and wash until clean. Place in a porcelain basin, expose to sun by day and dew by night. In the morning, discard old water, stir with fresh well water, and dry until next morning. Repeat changing water. Spring: 5 days; Summer: 3 days; Autumn: 7 days; Winter: 10 days. After drying, it resembles jade flakes. Grind finely, make pills with rice gruel, size of mung beans. Take 20 pills with ginger decoction at any time. For paralysis-wind, take with warm wine. For pediatric convulsions, take 5 pills with mint decoction.
Fazhi Banxia: Treats all types of phlegm-cough, vomiting of cold drinks or sour water, wind-phlegm and phlegm-masses, chest and diaphragm fullness/stuffiness, panting, etc.
Banxia (Pinelliae Rhizoma, large ones, 5 jin) Mingfan (Alumen, 1 jin 4 liang, crushed) Shengjiang (Zingiberis Rhizoma Recens, 1 jin 4 liang, crushed)
Soak these three ingredients together in spring water for 7 days. Rub off the skin of Banxia. Add Puxiao (Natrii Sulfas, 2 jin 8 liang), change water, and soak for 7 days. Add Zhu Yazaojiao (Gleditsiae Sinensis Fructus Spina, sliced, 1 jin 4 liang), soak for 7 days. Thereafter, use spring water, changing daily. After 49 days, remove, dry, and grind into powder. Take 2 qian each time, mixed with radish soup. Reduce dose for children.
Heji Qingxin Niuhuang Wan: Treats various wind syndromes causing flaccidity and inability to move, slurred speech, palpitations, forgetfulness, mental confusion, dizziness, chest heat and oppression, phlegm-saliva obstruction, and mental dullness. Also treats insufficient Heart Qi, unstable spirit, fear/startle/sorrow/worry, deficiency-heat with insomnia, and irregular anger/happiness. Or mania/epilepsy with confused spirit.
Baishao (Paeoniae Radix Alba) Maimendong (Ophiopogonis Radix, heart removed) Huangqin (Scutellariae Radix) Danggui (Angelicae Sinensis Radix, radix removed) Fangfeng (Saposhnikoviae Radix, radix removed) Baizhu (Atractylodis Macrocephalae Rhizoma, each 1.5 liang) Chaihu (Bupleuri Radix) Jiegeng (Platycodonis Radix) Xiong (Ligustici Chuanxiong Rhizoma) Baifuling (Poria, cortex removed) Xingren (Armeniacae Semen Amarum, skin and tip removed, double kernels, bran-fried yellow, separately ground, 1.25 liang) Shenqu (Massa Medicata Fermentata, ground) Puhuang (Pollinis Typhae, fried) Renshen (Ginseng Radix et Rhizoma, rhizome removed, each 2.5 liang) Lingyangjiao (Saigae Tataricae Cornu, shaved) Shexiang (Moschus, ground) Longnao (Borneolum Syntheticum, ground, each 1 liang) Rougui (Cinnamomi Cortex, coarse bark removed) Dayouhuangjuan (Sojae Semen Praeparatum, broken, fried) Ejiao (Colla Corii Asini, broken, fried, each 1.75 liang) Balia (Ampelopsis Radix) Ganjiang (Zingiberis Rhizoma, processed, each 0.75 liang) Niuhuang (Calculus Bovis, ground, 1.2 liang) Xijiao (Rhinocerotis Cornu, shaved, 2 liang) Xionghuang (Realgar, refined, 0.8 qian) Ganshan Yao (Dioscoreae Hypoglaucae Rhizoma, 7 liang) Gancao (Glycyrrhizae Radix et Rhizoma, cut and fried, 5 liang) Jinbo (Folium Aureum, 1200 pieces, 400 pieces used as coating) Dazao (Jujubae Fructus, 100 pieces, steamed, skin and pits removed, ground into paste)
Except for dates, apricot seeds, gold leaf, horn shavings, calves' gallstone, realgar, borneol, and musk, grind the rest into fine powder, mix evenly with remaining drugs. Make pills using refined honey and date paste. Each liang makes 10 pills, coated with gold leaf. Take 1 pill per dose, dissolved in warm water, taken after meals. For pediatric convulsions/epilepsy, adjust dose, dissolve in bamboo leaf decoction.
Chenxiang Tuotan Wan: Treats undigested food, throat/diaphragm discomfort, cough with phlegm-saliva, dizziness, nausea/vomiting, chest/diaphragm discomfort.
Chenxiang (Aquilariae Lignum Resinatum) Muxiang (Aucklandiae Radix, each 2 qian) Qingpi (Citri Reticulatae Pericarpium Viride, white pith removed, 2.5 qian) Banxia Qu (Pinelliae Fermentatum, 2 liang) Binglang (Arecae Semen, large ones, 3 pieces, wrapped in flour and roasted)
Grind into fine powder, soak in ginger juice, make pills with steamed wheat cake, size of small mung beans. Take 20 pills per dose, anytime, with ginger decoction.
Qingqi Huatan Wan: Smooths Qi, benefits Spleen, resolves phlegm, digests food.
Banxia (Pinelliae Rhizoma) Nanxing (Arisaematis Rhizoma, skin and umbilicus removed) Zaojiao (Gleditsiae Fructus, sliced) Baifan (Alumen) Ganjiang (Zingiberis Rhizoma, each 4 liang)
First, boil Baifan and other two ingredients in 5 bowls of clear water to obtain 3 bowls of liquid. Then add Banxia and Nanxing, soak for two days. Boil again until no white spots remain on Banxia and Nanxing, then dry.
Qingpi (Citri Reticulatae Pericarpium Viride, albedo removed) Chenpi (Citri Reticulatae Pericarpium) Zhen Suzi (Perillae Fructus, fried) Luobozuo (Brassicae Semenicum, fried, separately ground) Xingren (Armeniacae Semen Amarum, skin and tip removed, fried, ground) Gegen (Puerariae Radix) Shenqu (Massa Medicata Fermentata, fried) Maiya (Hordei Fructus Germinatus, scorched) Shanzha (Crataegi Fructus, pits removed) Xiangfu (Cyperi Rhizoma, each 2 liang)
Grind into powder, make pills with steamed wheat cake, size of tung tree seeds. Take 50-70 pills per dose, before sleep and after meals, with tea water.
Danxi Baohe Wan (See Section 17)
Zhongjing Zexie Tang (See Section 22)