病源痰 者，由饮水未散，在于胸府之间，因遇寒热之气相搏，沉滞而成痰也，痰之停
聚，流移于胁肋之间，有时而痛，则谓之痰 。（出第二十卷中）
延年疗左肋下停痰 饮结在两胁，胀满羸瘦不能食，食不消化，喜唾干呕，大便或涩
或利，或赤或黄，腹中有时水声，腹内热，口干好饮水浆，卒起头眩欲倒，胁下痛，旋复花
丸方。
旋复花（五分） 大黄（七分蒸） 茯苓（三分） 泽泻（四分） 人参 桂心 皂荚
（去皮子
炙） 附子（炮去皮各二分） 芍药（四两） 蜀椒（三分去目汗） 干地黄（四两） 防
葵（取水中
浮者） 干姜 枳
上十六味捣筛为末，纳杏仁葶苈脂中碎研调筛，度蜜和为丸，每食后少时，白饮服三丸
如梧子。日二服，稍增，以微利为度，禁食猪肉鱼面蒜生葱酢，今既在肋下，有 气水饮结
聚不散，数发则闷刺心痛，又未鲁服如此破 饮药，虽服补药，癖气不除，终是不损，恐久
积聚更急，饮食减少，此方正与癖气相当，更有三两种毒药，今商量除讫，其方内有附子，
及别本续命丸有乌头，此并破癖疾，不得不用，复听临时不如服乌头，丸癖气得减，亦未必
须服旋复花丸。忌酢物生葱猪肉芜荑。（出第十六卷中）
集验疗痰 心腹痛兼冷方。
鳖甲（炙） 柴胡 赤芍药（各八分） 甘草（炙） 枳实（炙） 生姜 白术（各六
分） 槟榔
（七个）
上八味切，以水六升，煮七味，取二升半，去滓，纳槟榔末，分服八合，当利。忌海藻
菘菜苋菜桃李雀肉等。（出第五卷中）
【背景信息】
书名：外台秘要 作者：王焘 朝代：唐·天宝十一年 章节：痰饮方二首 类别：方剂
【待处理原文翻译】
病因中关于“痰”（此处指一种以胁肋疼痛为特征的痰饮病，非现代医学之呼吸道分泌物）的论述：是由于饮水后未能及时消散，停滞在胸膈之间，又遇到寒热之气相互搏结，沉滞凝聚而形成的。痰饮停聚，流移至两胁肋之间，有时会出现疼痛，这就称为“痰癖”（一种以胁下痞块、疼痛为主要表现的痰饮病证）。（出自第二十卷）
延年疗法治疗左侧胁下停聚的痰饮，痰饮结聚在两胁，导致腹部胀满、身体消瘦、不能进食，食物不消化，喜欢吐口水或干呕，大便时而便秘时而腹泻，颜色或红或黄，腹中有时能听到水声，腹内发热，口干喜欢喝水浆，突然起身时头晕目眩欲跌倒，胁下疼痛。旋复花丸方。
旋复花（五分） 大黄（七分，蒸制） 茯苓（三分） 泽泻（四分） 人参 桂心 皂荚（去皮去子，炙烤） 附子（炮制，去皮，各二分） 芍药（四两） 蜀椒（三分，去目及汗） 干地黄（四两） 防葵（取水中漂浮者） 干姜 枳实
以上十六味药捣碎过筛成粉末，加入杏仁和葶苈子的脂状物中，细细研磨调和过筛，用蜂蜜和成药丸。每次饭后稍许时间，用米汤送服三丸，大小如梧桐子。每日服用两次，逐渐增加剂量，以轻微腹泻为限度。禁忌食用猪肉、鱼、面食、蒜、生葱、醋。现在既然病位在肋下，有气和水饮结聚不散，多次发作会导致胸闷刺痛心痛，之前没有服用这种攻破痰饮的药物，虽然服用补益药，但癖积之气不能消除，最终也没有损害，恐怕日久积聚更加严重，饮食减少。此方正好与癖积之气相当，另有两三味毒药，现在商量除去后，其方内有附子，以及别本《续命丸》中有乌头，这些都是攻破癖疾所必须使用的药物，另外听从临时情况，如果不服用乌头，丸药使癖气得减，也不一定非要服用旋复花丸。禁忌醋物、生葱、猪肉、芜荑。（出自第十六卷）
鳖甲（炙烤） 柴胡 赤芍药（各八分） 甘草（炙烤） 枳实（炙烤） 生姜 白术（各六分） 槟榔（七个）
以上八味药切碎，用水六升，煮其余七味药，取汁二升半，去掉药渣，加入槟榔末，分次服用八合，应当会有腹泻排出。禁忌海藻、菘菜、苋菜、李子、桃子、雀肉等。（出自第五卷）
[Background Information]
Book Title: Waitai Miyao (Essential Prescriptions Worth a Thousand Gold for Emergencies)
Author: Wang Tao
Dynasty: Tang Dynasty, Tianbao 11th Year
Chapter: Two Formulas for Phlegm-Fluids (Tan Yin Fang Er Shou)
Category: Formula
[Translation]
Regarding the etiology of "Tan" (here referring to a specific type of phlegm-fluid disorder characterized by hypochondriac pain, distinct from modern respiratory secretions): It arises because drinking water fails to dissipate promptly and remains stagnant between the chest and diaphragm. When this stagnation encounters conflicting cold and heat qi, it condenses and accumulates into phlegm-fluids. When these phlegm-fluids accumulate and migrate to the hypochondriac region, causing intermittent pain, it is termed "Tan Pi" (a phlegm-fluid syndrome characterized by subcostal masses and pain) (From Volume 20).
Yannian's method treats retained phlegm-fluids in the left hypochondrium where phlegm-fluids are knotted in both hypochondria, leading to abdominal distension, emaciation, anorexia, indigestion, frequent spitting or dry heaving, alternating constipation and diarrhea with stools that may be red or yellow, borborygmus (water sounds in the abdomen), internal heat, dry mouth with craving for fluids, sudden dizziness and vertigo upon rising, and hypochondriac pain. Xuanfu Hua Wan (Inula Flower Pill) Formula.
Xuan Fu Hua (Inulae Flos, 5 fen) Da Huang (Rhei Radix et Rhizoma, 7 fen, steamed) Fu Ling (Poria, 3 fen) Ze Xie (Alismatis Rhizoma, 4 fen) Ren Shen (Ginseng Radix) Gui Xin (Cinnamomi Ramulus) Zao Jia (Gleditsiae Fructus, peeled, seeded, processed) Fu Zi (Aconiti Lateralis Radix Praeparata, processed, peeled, 2 fen each) Shao Yao (Paeoniae Radix, 4 liang) Shu Jiao (Zanthoxyli Pericarpium, 3 fen, remove seeds and perspiration) Gan Di Huang (Rehmanniae Radix Preparata, 4 liang) Fang Kui (Peucedani Radix, take those floating in water) Gan Jiang (Zingiberis Rhizoma) Zhi Shi (Aurantii Fructus Immaturus)
The above sixteen herbs are crushed and sifted into powder. Add the fatty substance of Xing Ren (Pruni Semen) and Ting Li Zi (Lepidii Semen), grind finely, mix, and sift. Combine with honey to form pills. Take three pills, sized like wu zi (seeds of Strychnos nux-vomica), with warm rice decoction shortly after each meal. Take twice daily. Gradually increase the dose until mild purgation occurs. Avoid pork, fish, wheat products, garlic, raw green onions, and vinegar. Since the pathology is located in the hypochondrium with qi and fluid retention knotting and failing to disperse, frequent attacks cause chest tightness and stabbing heart pain. Previously, without using such formulas to break up phlegm-fluids, although tonics were taken, the qi of the mass was not eliminated, resulting in no benefit. Fearful that long-term accumulation will worsen and reduce food intake, this formula corresponds appropriately to the qi of the mass. There are two or three other toxic herbs; after deliberation and removal, the formula contains Fu Zi (Prepared Aconite Root), and another version of Xuming Wan (Continuing Life Pill) contains Wu Tou (Aconiti Radix). These are necessary for breaking up mass diseases. Alternatively, one may choose not to use Wu Tou based on clinical judgment; if the pill reduces the qi of the mass, it is not strictly necessary to use Xuan Fu Hua Wan. Contraindications include vinegar, raw green onions, pork, and Coriandrum sativum seed (Wu Yi) (From Volume 16).
Jiyan method treats heart and abdominal pain caused by phlegm-fluids accompanied by cold sensations.
Bie Jia (Testudinis Carapax et Plastrum, processed) Chai Hu (Bupleuri Radix) Chi Shao Yao (Paeoniae Radix Rubra, 8 fen each) Gan Cao (Glycyrrhizae Radix et Rhizoma, processed) Zhi Shi (Aurantii Fructus Immaturus, processed) Sheng Jiang (Zingiberis Rhizoma Recens) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 6 fen each) Bing Lang (Arecae Semen, 7 pieces)
The above eight herbs are cut. Boil the seven herbs (excluding Bing Lang) in six sheng of water to obtain two and a half sheng of liquid. Remove the dregs, add the powder of Bing Lang, and divide into doses of eight ge. Purging should occur. Contraindications include Sargassum (Hai Zao), Chinese Cabbage (Song Cai), Amaranth (Xian Cai), plums, peaches, and quail meat (From Volume 5)