（指迷方） 治痰停中脘，两臂疼痛。（脾主四肢，脾滞而气不下，故上行攻臂，其脉
沉细者是也。）
半夏曲（二两） 茯苓（一两乳拌） 枳壳（五钱麸炒） 风化硝（二钱半。如一时未
易成，但以
姜汤下。
半夏燥湿，茯苓渗水，枳壳行气，化痰软坚。（去坚痰。）生姜制半夏之毒而除痰，使痰
行气
手疲
涎丹
（三 因一名妙应丸） 治人忽患胸背手足腰项筋骨牵引钓痛，走易不定。或手足冷痹
，气脉不通。此乃痰涎在胸膈上下，误认瘫痪，非也。
甘遂（去心） 大戟（去皮） 白芥子 等分为末，糊丸。临卧姜汤服五七丸，至十丸，
痰猛加
蓬术。
李时珍曰∶痰涎为物，随气升降，无处不到。入心则迷，成癫痫。入肺则塞窍，为喘咳
背冷
痈肿
得气
为用
赖痰
（灵苑） 治风痰诸痫，癫狂心疾。（诸痫因惊恐忧怒，火盛干心，痰塞心窍，发时卒
倒搐掣，叫吼吐涎，食顷乃醒。身热脉浮在表者，阳痫，属六腑，易治。身冷脉沉在里者，
阴痫，属五脏，难治。其实痰火与惊而已，癫狂亦由于此。）
辰砂（光明者一两） 乳香（光莹者） 枣仁（五钱炒） 温酒调下，恣饮沉醉，听睡
一二日勿动
加人参一两
（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。
上壅，故喘。痰火塞胸，故懒食。）
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。
白芥子除痰，紫苏子降气，莱菔消食。然皆行气豁痰之药，气行则火降而痰消矣。（吴
鹤皋
先攻
矣。
【指迷方】治疗痰湿停滞在胃脘部，导致双臂疼痛。（脾脏主管四肢，若脾脏气机阻滞而气不能下行，反而上行冲击手臂，此时脉象表现为沉细的便是此证。）
半夏曲（二两） 茯苓（一两，用乳汁拌制） 枳壳（五钱，用麦麸炒制） 风化硝（二钱半。如果一时难以制成丸剂，也可以直接用生姜汤送服。）
半夏能够燥湿，茯苓能够渗利水湿，枳壳能够行气，共同起到化痰软坚的作用。（用于去除顽固的痰结。）生姜可以制约半夏的毒性并消除痰浊，使痰随气行而消散。
【三子养亲汤】又名妙应丸。治疗患者突然患有的胸背、手足、腰项及筋骨牵引般的疼痛，痛处游走不定。或者出现手足寒冷麻木，气脉不通畅。这是因为痰涎停留在胸膈上下部位，容易被误认为是瘫痪，其实并非如此。
甘遂（去掉心部） 大戟（去掉皮） 白芥子 三者等分研为细末，用糊剂制作成丸药。临睡前用生姜汤服用五到七丸，最多增至十丸，若痰势猛烈可加入蓬术。
李时珍说：痰涎这种病理产物，随着气的升降运动，无处不到。进入心脏则使人神志迷乱，形成癫痫；进入肺部则阻塞窍道，导致喘咳、背部发冷、痈肿等症状。其发挥作用的关键在于气机的通畅。
【灵苑方】治疗风痰引起的各种痫病，以及癫狂等心神疾病。（各种痫病的成因是惊恐、忧愁、愤怒，导致火气旺盛干扰心脏，痰浊堵塞心窍。发病时突然昏倒、抽搐掣动、叫吼吐涎，过一会儿才苏醒。身体发热、脉象浮在表层的，属于阳痫，归属于六腑，容易治疗；身体发冷、脉象沉在里层的，属于阴痫，归属于五脏，难以治疗。其本质不过是痰、火与惊扰而已，癫狂也是由于这个原因造成的。）
辰砂（选用光明者一两） 乳香（选用光莹者） 酸枣仁（五钱，炒制） 用温酒调服，尽情饮酒至沉醉状态，听任其睡眠，一二天内不要移动病人。若病情需要可加人参一两。
【韩氏方】治疗老年人气机壅实、痰盛，出现气喘胸闷、食欲不振。（痰不会自动产生，是因火而动；气有余便化为火。火热之气上壅，所以导致气喘；痰火堵塞胸膈，所以导致懒食。）
紫苏子（以沉水的为佳） 白芥子 莱菔子 各轻微炒制后研磨。煎汤服用。或者三者等分，或根据病症的主次来确定君药。
白芥子能除痰，紫苏子能降气，莱菔子能消食。但这都是行气豁痰的药物，气机运行则火气下降，痰浊自然消除。（吴鹤皋认为应先攻邪，后补虚。）
[Zhimi Formula] Treats phlegm-dampness stagnating in the epigastrium, causing pain in both arms. (The Spleen governs the four limbs; when Spleen Qi is stagnant and fails to descend, it attacks the arms upward. The pulse being deep and fine indicates this condition.)
Banxia Qu (Prepared Pinellia Rhizome Paste) (2 liang) Fuling (Poria) (1 liang, mixed with milk) Zhike (Aurantii Fructus) (5 qian, stir-fried with bran) Fenghua Xiao (Natrii Sulfas Exsiccatus) (2.5 qian. If pills cannot be made immediately, they may be taken directly with Ginger Decoction.)
Banxia dries dampness, Fuling leaches out water, Zhike moves Qi, collectively resolving phlegm and softening hardness. (Used to remove stubborn phlegm.) Fresh Ginger counteracts the toxicity of Banxia and eliminates phlegm, allowing phlegm to dissipate as Qi moves.
[Sanziyangqin Tang] Also known as Miaoying Wan. Treats sudden onset of pulling or hook-like pain in the chest, back, hands, feet, waist, neck, joints, and bones, with the pain migrating unpredictably. Or cold numbness in the hands and feet, with unsmooth Qi and blood vessels. This is due to phlegm-saliva lingering above and below the diaphragm; it is often mistaken for paralysis, which is incorrect.
Gansui (Core removed) Daji (Euphorbiae Pekinensis Radix) (Skin removed) Baijiezi (Sinapis Semen) Equal parts ground into powder, formed into pills with paste. Take 5-7 pills before bed with Ginger Decoction, increasing up to 10 pills. For severe phlegm, add Pengzhu (Curcumae Rhizoma).
Li Shizhen stated: Phlegm-saliva, as a pathological product, rises and falls with Qi, reaching everywhere. Entering the Heart causes confusion, forming Epilepsy (Dianxian). Entering the Lungs blocks the orifices, causing wheezing, coughing, coldness of the back, and carbuncles. Its efficacy relies on the free flow of Qi.
[Lingyuan Formula] Treats various epilepsy caused by wind-phlegm, as well as manic-depressive disorders and heart diseases. (The cause of various epilepsies lies in fright, fear, worry, and anger, leading to excessive Fire harassing the Heart and phlegm blocking the Heart orifices. Upon onset, there is sudden collapse, convulsions, shouting, and salivation, followed by awakening after a while. Those with body heat and superficial floating pulses are Yang Epilepsy, belonging to the Six Fu Organs, and are easy to treat. Those with cold body and deep internal pulses are Yin Epilepsy, belonging to the Five Zang Organs, and are difficult to treat. Essentially, it is merely phlegm, fire, and fright. Manic-depression also stems from this.)
Chensha (Cinnabar) (1 liang, select bright pieces) Ruxiang (Olibanum) (select lustrous pieces) Zaoren (Ziziphi Spinosomi Semen) (5 qian, stir-fried) Mix with warm wine and take. Drink freely until intoxicated, allow the patient to sleep undisturbed for one or two days. Add Renshen (Ginseng Radix et Rhizoma) 1 liang if necessary.
[Han's Formula] Treats elderly patients with excess Qi and abundant phlegm, presenting with asthma, fullness, and poor appetite. (Phlegm does not arise spontaneously but moves due to Fire; excess Qi transforms into Fire. Upward congestion causes asthma; phlegm-fire blocking the chest causes loss of appetite.)
Zisuzi (Perillae Fructus) (prefer sinking ones) Baijiezi (Sinapis Semen) Laifuzi (Raphani Semen) Each lightly stir-fried and ground. Decoct and take. Alternatively, use equal parts, or designate the chief herb based on the primary symptoms.
Baijiezi removes phlegm, Zisuzi directs Qi downward, Laifu reduces food stagnation. All are herbs that move Qi and resolve phlegm; when Qi moves, Fire descends and phlegm dissipates. (Wu Hegao argued for attacking the pathogen first, then tonifying deficiency.)