夫痰结实者。由痰水积聚于胸腑。遇冷热之气相搏。结实不消。故令心腹痞满。气息不
利。头眩目暗。常欲呕逆。故言痰结实也。
治胸中宿痰结实。食欲减少。或发寒热。卧不欲起。前胡散方。
前胡（一两去芦头） 旋复花（半两） 桂心（半两） 人参（一两去芦头） 川大黄
（一两锉
碎微炒）
两汤浸去
皮尖双
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时
候温服。
治痰结实。心胸壅滞。常欲呕逆。不能下食。宜服此方。
半夏（一两汤洗七遍去滑） 郁李仁（一两汤浸去皮微炒） 旋复花（半两） 前胡（一
两去
芦头） 桔梗（半两去芦头） 枳壳（半两麸炒微黄去瓤）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候温服。
治痰结实。寒热发歇。心胸满闷。宜服此吐痰方。
瓜蒂（三十枚） 赤小豆（二十枚炒熟） 人参芦头（一分） 甘草（一分生锉）
上件药。捣细罗为散。每服。不计时候。以温酒调下一钱。日三服。以吐为度。
治痰结实不消。见食欲呕。半夏丸方。
半夏（二两汤洗七遍去滑） 干姜（一两炮裂锉） 白矾（一两烧令汁尽） 草豆蔻（一
两去
皮）
上件药。捣罗为末。以生姜汁煮面糊和丸。如梧桐子大。每服。不计时候。以
姜枣汤下十丸。日三服。
治痰实。胸中结聚不散。宜服此方。
半夏（五两） 皂荚（五挺打破）
上件药。同于大鼎子内。用水煮一日。去皂荚。只取半夏。晒干。捣细罗为散。每服
一钱。以水一中盏。入生姜半分。葱白七寸。煎至六分。去滓。不计时候温服。
又方。
皂荚（三十挺不 者去黑皮捶碎）
上以水五升。浸一宿。揉取汁。去滓。于锅内。以慢火。熬令可丸。即丸如梧桐子大。
每于食后。以盐浆水下十丸。
又方。
密陀僧（一两）
上件药。用醋一中盏。水一中盏。煎令醋水俱尽。候干。细研为散。每服一钱。以水一
小盏。酒一小盏。煎至一盏。不计时候。和滓温服。如人行一二里。当吐出痰涎为效
痰结实证，是由于痰饮与水湿积聚在胸膈和脏腑之间，遇到冷或热的气机相互搏结，导致凝结坚固而难以消散。因此引起心腹部痞塞胀满，呼吸气息不畅，头晕目眩，视物昏暗，经常想要呕吐逆气，所以称为痰结实证。
治疗胸中宿留的痰饮凝结结实，食欲减少，或者出现寒热往来，卧床不想起身，用前胡散方。
前胡（一两，去掉芦头） 旋复花（半两） 桂心（半两） 人参（一两，去掉芦头） 川大黄（一两，锉碎，微炒）
以上药物，捣碎过筛制成散剂。每次服用五钱，用水一大盏，加入生姜半分，煎煮至五分水量，去药渣。不分时候温服。
治疗痰饮凝结结实，心胸部壅滞不适，经常想要呕吐逆气，不能进食，适宜服用此方。
半夏（一两，用汤洗七遍，去除滑腻感） 郁李仁（一两，用汤浸泡去皮，微炒） 旋复花（半两） 前胡（一两，去掉芦头） 桔梗（半两，去掉芦头） 枳壳（半两，麸炒至微黄，去瓤）
以上药物，捣碎过筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分水量，去药渣。不分时候温服。
治疗痰饮凝结结实，寒热症状发作间歇不定，心胸满闷，适宜服用此催吐痰涎的方子。
瓜蒂（三十枚） 赤小豆（二十枚，炒熟） 人参芦头（一分） 甘草（一分，生锉）
以上药物，捣细过罗制成散剂。每次服用，不分时候，用温酒调服一钱。每日三次，以吐出为度。
治疗痰实凝结不散，见到食物就想呕吐，用半夏丸方。
半夏（二两，用汤洗七遍，去除滑腻感） 干姜（一两，炮裂后锉碎） 白矾（一两，烧至汁液流尽） 草豆蔻（一两，去皮）
以上药物，捣罗成粉末，用生姜汁煮面糊调和做成丸药，大小如梧桐子。每次服用，不分时候，用姜枣汤送下十丸。每日三次。
治疗痰实，胸中凝结聚积不散，适宜服用此方。
半夏（五两） 皂荚（五挺，打破）
以上药物，一同放入大鼎器内，用水煮一天，去掉皂荚，只取半夏，晒干，捣细过罗制成散剂。每次服用一钱，用水一中盏，加入生姜半分，葱白七寸，煎煮至六分水量，去药渣，不分时候温服。
又一方。
皂荚（三十挺，不蛀坏的，去掉黑皮，捶碎）
以上药物，用水五升，浸泡一夜，揉搓取汁，去药渣。在锅内，用慢火熬制到可以做成丸药的程度，即制成如梧桐子大小的丸药。每次在饭后，用盐浆水送下十丸。
又一方。
密陀僧（一两）
以上药物，用醋一中盏，水一中盏，煎煮直到醋和水都蒸发干净，等待干燥后，细研成散剂。每次服用一钱，用水一小盏，酒一小盏，煎煮至一盏水量，不分时候，连同药渣一起温服。如果人行走一二里路，应当吐出痰涎作为见效的标志。
Tum Jie Shi (Phlegm Solidification Syndrome) arises from the accumulation of phlegm-fluids and water-dampness in the chest and viscera. When these accumulate, they contend with cold or heat qi, leading to solidification that is difficult to dissipate. Consequently, this causes epigastric and abdominal fullness and obstruction, impaired breathing, dizziness, blurred vision, and a constant desire to vomit or regurgitate; hence it is termed Tum Jie Shi.
For treating old phlegm solidified in the chest, accompanied by reduced appetite, alternating chills and fever, and reluctance to rise from bed, use Qianhu San (Peucedanum Powder).
Qian Hu (Radix Peucedani, 1 liang, remove rhizome) Xuan Fu Hua (Flos Inulae, 0.5 liang) Gui Xin (Cortex Cinnamomi, 0.5 liang) Ren Shen (Radix Ginseng, 1 liang, remove rhizome) Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, cut into pieces, lightly stir-fried)
Crush and sieve the above herbs into a powder. Take 5 qian per dose. Add 1 da zhen (approx. 200ml) of water and 0.5 fen of fresh ginger. Decoct until the volume reduces to 0.5 zhen. Strain and take warm at any time.
For treating phlegm-solidification causing stagnation in the chest and heart, constant nausea/regurgitation, and inability to eat, this formula is suitable.
Ban Xia (Rhizoma Pinelliae, 1 liang, wash seven times with hot water to remove acridity) Yu Li Ren (Semen Pruni, 1 liang, soak in hot water, remove skin, lightly stir-fried) Xuan Fu Hua (Flos Inulae, 0.5 liang) Qian Hu (Radix Peucedani, 1 liang, remove rhizome) Jie Geng (Radix Platycodi, 0.5 liang, remove rhizome) Zhi Ke (Fructus Aurantii, 0.5 liang, stir-fried with bran until slightly yellow, remove pith)
Crush and sieve the above herbs into a powder. Take 3 qian per dose. Add 1 zhong zhen (approx. 150ml) of water and 0.5 fen of fresh ginger. Decoct until the volume reduces to 0.6 zhen. Strain and take warm at any time.
For treating phlegm-solidification with intermittent chills and fever, and chest/heart fullness and oppression, use this emetic formula to expel phlegm.
Gua Di (Fructus Momordicae, 30 pieces) Chi Xiao Dou (Semen Phaseoli, 20 pieces, stir-fried until cooked) Ren Shen Lu Tou (Rhizome of Radix Ginseng, 1 fen) Gan Cao (Radix Glycyrrhizae, 1 fen, raw and cut)
Grind and sieve the above herbs finely into a powder. Take 1 qian per dose at any time, mixed with warm wine. Take three times daily. Stop when vomiting occurs.
For treating phlegm-excess that fails to dissipate, with aversion to food and nausea, use Ban Xia Wan (Pinellia Pill).
Ban Xia (Rhizoma Pinelliae, 2 liang, wash seven times with hot water to remove acridity) Gan Jiang (Rhizoma Zingiberis, 1 liang, processed until cracked and cut) Bai Fan (Alumen, 1 liang, calcined until liquid evaporates) Cao Dou Kou (Semen Cardamomi Tsaoko, 1 liang, remove skin)
Grind the above herbs into powder. Use fresh ginger juice and wheat flour paste to bind them into pills, sized like Sophora japonica seeds. Take 10 pills per dose at any time, washed down with Ginger-Jujube Decoction. Take three times daily.
For treating phlegm-excess with condensation and accumulation in the chest that does not disperse, use this formula.
Ban Xia (Rhizoma Pinelliae, 5 liang) Zao Jiao (Fructus Gleditsiae Sinensis, 5 pods, broken)
Place the above herbs together in a large cauldron. Boil in water for one day. Remove the Zao Jiao, retaining only the Ban Xia. Dry thoroughly, grind finely through a sieve into a powder. Take 1 qian per dose. Add 1 zhong zhen of water, 0.5 fen of fresh ginger, and 7 cun of scallion white. Decoct until the volume reduces to 0.6 zhen. Strain and take warm at any time.
Another prescription.
Zao Jiao (Fructus Gleditsiae Sinensis, 30 pods, non-bitten, remove black skin, crush)
Soak the above in 5 sheng of water overnight. Rub to extract the juice, then strain. Place the juice in a pot and simmer slowly over low heat until it can be formed into pills. Shape into pills the size of Sophora japonica seeds. After meals, take 10 pills washed down with saline solution.
Another prescription.
Mi Tuo Seng (Lithargyrum, 1 liang)
Take 1 zhong zhen of vinegar and 1 zhong zhen of water. Decoct until both vinegar and water have completely evaporated. Allow to dry, then grind finely into a powder. Take 1 qian per dose. Add 1 xiao zhen of water and 1 xiao zhen of wine. Decoct until the volume reaches 1 zhong zhen. Take warm with the dregs at any time. If the patient walks for one or two li, expectoration of phlegm-saliva indicates efficacy.