夫膈痰者。气不降。津液否涩。水饮之气。聚于膈上。久而隔食。故令气道奔迫。否满
短气
圣惠方论云。夫痰结实者。由痰水积聚于胸腑间。冷气相搏。结实不消。故令心腹否满。
气
方
百合汤 治痰食上焦有热。壅塞不利。
百合 枳壳（去瓤麸炒） 麻黄（去根节） 天雄（炮去皮脐） 款冬花 昆布（洗去
咸各两
半）
两） 黄
芩（去
一盏半。
入
柴胡地骨皮汤 治膈痰结实。气不升降。
柴胡（去苗） 地骨皮 赤茯苓（去黑皮） 芎 大黄 葛根（锉） 芍药 茵陈蒿 甘
草
当
后临
卧
金箔丸 治膈痰结实。咽喉不利。咳喘急。
龙脑（研） 珍珠（研末） 金箔（研十五片） 牛黄（研） 麝香（研各半两） 马
牙硝（研）
硼砂
每服一
丸。
前胡散 治胸中宿食。痰结实。饮减少。或发寒热。卧不欲起。
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
两汤浸去
皮尖
温服
八珍丸 治膈痰结实。胸不利。喘嗽呕逆。
丹砂（研半两） 犀角（镑） 羚羊角（镑） 牛黄（研） 茯神（去木捣末） 龙脑
（各二钱）
天南
服一
丸。
丹砂丸 治膈痰结实。头旋恶心。肢节疼痛。
丹砂（研半两） 半夏（汤浸七次焙） 天南星（炮） 虾梢（炒） 白附子（炮） 白
僵蚕（炒
各一
每服
五七
银粉丸 治膈痰结实。满闷喘逆。化痰。
粉霜 铅白霜 白矾（熬令汁枯） 水银 铅（与水银结炒各半两） 天南星（炮一两
半）
半夏
子大。
每
犀角汤 治膈痰结实。头目昏晕。不思饮食。
犀角（镑） 人参 黄芩（去黑心） 柴胡（去苗各一分） 甘草（炙半分） 白茯苓
（去黑心）
麦
服。
木香丸（一名香橘丸）治膈痰结实。胸膈不利。头目昏眩。不思饮食。
木香（一分） 牵牛子（炒） 半夏（汤洗七次焙） 白矾（熬令汁枯各一两） 槟榔 青
橘皮
（汤
生
姜
治痰膈食。心胸壅滞。常欲呕逆。不能下食。宜服此药。（出圣惠方）
半夏（汤浸七次去滑一两） 郁李仁（一两汤浸去皮微炒） 旋复花（半两） 前胡（一
两去
芦头）
盏。
入生姜
四味半夏丸 治痰隔结实。宽利胸膈。
半夏（生用四两） 白矾（生用三两） 粉霜（研半两） 牵牛子（生捣取粉三两） 上
合捣研
为末
后临
龙脑丸 治膈痰结实。咽喉不利。
龙脑（研三钱） 丹砂（研一两） 白矾（熬令汁枯半两） 半夏（汤洗七次去滑阴干
为末三
两）
半夏丸（出圣惠方）治痰。膈食不消。见食欲呕。
半夏（二两汤洗七次去滑） 干姜（一两炮锉） 白矾（一两烧令汗尽） 草豆蔻（一
两去皮）
上
吐痰丸（一名撩膈散）治痰实。寒热发渴。心胸满闷。
半夏丸（出十便良方）治结痰结实。胸中否闷。咳嗽喘急。
半夏（汤洗七次焙） 生姜（切焙各五钱） 皂角（五枚去皮子捶碎水一升煮焙） 上
为末。
入生
治痰实。胸中结聚不散。此方（一名半夏汤出圣惠方）
半夏（五两） 皂角（五梃捶皮） 上同大铫子内。用水煮一日。去皂角。取半夏。晒
干。
捣细
温
五膈丸（出肘后方）膈中之病。名膏肓。汤丸径过。针灸不及。所以作丸含之
。令气势得相
忧膈、气中膈、寒
上以麦门冬十分去心。甘草十分炙焦。远志、附子炮、干姜、人参、桂、细辛各六分。
捣
心
又方（出圣惠方）治痰实。胸中结聚不散。
皂角（三十梃不蛀者去黑皮捶碎） 上以水五升。浸一宿。揉取汁去滓。于锅内以慢火
熬
令可
又方（出圣惠方）
密陀僧（一两） 上用醋一盏。水一中盏。煎令醋水俱尽。候干。细研为散。每服一钱。
以水
鹤顶丹 治大人小儿风壅痰食。咽膈不利。口干烦渴。睡卧不安。及中暑头痛。燥
渴不解。
麝香（研二两半） 宿水石（粉一百一十两） 朱砂（研飞一百两） 牙硝（枯研一百
二十五
两）
水
化下一
减。又
治气不顺。停痰上攻头痛。（出澹寮方）
二陈汤（气实脉盛者温胆汤） 加沉香 木香 天南星（生各少许） 上姜五片。热服。
治一切痰实。上膈不利。大腑秘热。（出护命方）
皂角（半两去皮以酥炙） 旋复花 大黄 杏仁（各一两） 上为细末。炼蜜丸。如梧
桐子
大。
丁香半夏汤（出杨氏家藏方）平胃益气。宽膈化痰。治呕逆恶心。
半夏曲（炒黄） 白术 人参（去芦头各二两） 甘草（微炙） 白檀香 生姜（去皮
切片焙
秤各
逍遥丸（出御药院方）治膈食气痞。痰实喘促。
半夏（汤洗七次焙二两） 枳实（麸炒） 槟榔 赤茯苓（去皮各一两） 上四味为细
末。姜
汁糊
下膈解痰实。（出本草）
以前胡用姜汁渍捣服之。
开胸膈痰实结气。下并下焦冷气。下食。（出本草）
以干橘皮一斤。捣为末。蜜为丸。每食前酒下三十丸。
治痰饮膈上热。（出本草）
取离鬲草。生绞汁。服一合。当吐出胸膈间宿物。
下膈疏痰止吐。（出本草）
却以济水服之（济水出东阿县）
治膈痰吞酸。\x（出本草）
以皂角炮复选中黄心。嚼饵下。
膈痰，是由于气机不降，津液运行涩滞，水饮之气积聚在膈上，日久导致隔食（食物难以通过），从而引起气道急促紧迫、胸中痞满、呼吸短促。
《圣惠方》论述说：痰结实证，是因为痰和水积聚在胸腑之间，冷气与之相搏结，形成坚硬的结块而不消散，从而导致心腹部痞满、气机阻滞。
百合汤：治疗痰食在上焦有热，壅塞不通利。
药材：百合、枳壳（去除瓤，麸皮炒）、麻黄（去除根和节）、天雄（炮制，去皮和脐）、款冬花、昆布（洗去咸味，各一两半）。
用法：上方六味药，切碎如麻豆大，每次取四钱匕，加水一盏半，煎至一盏，去渣温服。
柴胡地骨皮汤：治疗膈痰结实，气机升降失常。
药材：柴胡（去苗）、地骨皮、赤茯苓（去黑皮）、川芎、大黄、葛根（锉碎）、芍药、茵陈蒿、甘草、当归。
用法：上方十味药，捣碎如麻豆大，每次取五钱匕，加水一盏半，煎至一盏，去渣，临睡前温服。
金箔丸：治疗膈痰结实，咽喉不利，咳嗽气喘急迫。
药材：龙脑（研细）、珍珠（研成末）、金箔（研十五片）、牛黄（研细）、麝香（研细，各半两）、马牙硝（研细）、硼砂。
用法：将上述药物研细过筛，用蒸饼和丸，如梧桐子大。每服一丸，用荆芥汤送下。
前胡散：治疗胸中宿食，痰结实，饮水减少，或出现寒热交替，卧床不想起身。
药材：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）。
用法：上方五味药，捣罗为散。每次取三钱匕，加水一中盏，入生姜半分，煎至六分，去渣，不拘时候温服。
八珍丸：治疗膈痰结实，胸部不利，气喘咳嗽呕吐逆气。
药材：丹砂（研半两）、犀角（镑片）、羚羊角（镑片）、牛黄（研细）、茯神（去木，捣成末）、龙脑（各二钱）。
用法：将上述药物研细过筛，用煮烂的枣肉和丸，如梧桐子大。每服三十丸，用温水送下。
丹砂丸：治疗膈痰结实，头晕恶心，肢体关节疼痛。
药材：丹砂（研半两）、半夏（汤浸七次，焙干）、天南星（炮制）、虾梢（炒）、白附子（炮制）、白僵蚕（炒，各一两）。
用法：将上述药物捣罗为细末，用面糊和丸，如梧桐子大。每服二十丸，用温水送下。
银粉丸：治疗膈痰结实，胀闷气喘逆气，化痰。
药材：粉霜、铅白霜、白矾（熬至汁枯）、水银、铅（与水银结砂，各半两）、天南星（炮制一两半）、半夏（汤洗七次，焙干）。
用法：将上述药物研细，用面糊和丸，如梧桐子大。每服五丸，用温水送下。
犀角汤：治疗膈痰结实，头目昏晕，不思饮食。
药材：犀角（镑片）、人参、黄芩（去黑心）、柴胡（去苗，各一分）、甘草（炙，半分）、白茯苓（去黑心）、麦门冬（去心）。
用法：上方七味药，切碎，用水一大盏，煎至五分，去渣，温服。
木香丸（一名香橘丸）：治疗膈痰结实，胸膈不利，头目昏眩，不思饮食。
药材：木香（一分）、牵牛子（炒）、半夏（汤洗七次，焙干）、白矾（熬至汁枯，各一两）、槟榔、青橘皮（汤浸去白，焙干）。
用法：将上述药物捣罗为细末，用姜汁和丸，如梧桐子大。每服二十丸，用温水送下。
半夏汤（出《圣惠方》）：治疗痰膈食积，心胸壅滞，常想呕吐逆气，不能进食。宜服此药。
药材：半夏（汤浸七次，去滑，一两）、郁李仁（一两，汤浸去皮，微炒）、旋复花（半两）、前胡（一两，去芦头）。
用法：上方四味药，捣罗为散。每次取三钱匕，加水一中盏，入生姜半分，煎至六分，去渣，温服。
四味半夏丸：治疗痰隔结实，宽利胸膈。
药材：半夏（生用四两）、白矾（生用三两）、粉霜（研半两）、牵牛子（生捣取粉三两）。
用法：将上述药物合在一起捣研为细末，用面糊和丸，如梧桐子大。每服二十丸，用温水送下，临卧时服用。
龙脑丸：治疗膈痰结实，咽喉不利。
药材：龙脑（研三钱）、丹砂（研一两）、白矾（熬至汁枯半两）、半夏（汤洗七次，去滑，阴干为末三两）。
用法：将上述药物研细过筛，用蒸饼和丸，如梧桐子大。每服一丸，用荆芥汤送下。
半夏丸（出《圣惠方》）：治疗痰证，膈食不消，见食物就想呕吐。
药材：半夏（二两，汤洗七次，去滑）、干姜（一两，炮制锉碎）、白矾（一两，烧令汗尽）、草豆蔻（一两，去皮）。
用法：将上述药物捣罗为细末，用面糊和丸，如梧桐子大。每服二十丸，用温水送下。
吐痰丸（一名撩膈散）：治疗痰实证，寒热发作口渴，心胸满闷。
药材：半夏（汤洗七次，焙干）、生姜（切，焙干，各五钱）、皂角（五枚，去皮子，捶碎，用水一升煮至半升，去滓，焙干为末）。
用法：将上述药物研细为末，用姜汁和丸，如梧桐子大。每服十丸，用温水送下。
治痰实证，胸中结聚不散。此方（一名半夏汤，出《圣惠方》）。
药材：半夏（五两）、皂角（五梃，捶去皮）。
用法：以上两味药同放在大铫子内，用水煮一天，去掉皂角，取出半夏，晒干，捣细。每次取二钱，用水一盏，煎至六分，去渣，温服。
五膈丸（出《肘后方》）：膈中的病，名为膏肓之疾，汤药丸剂径自经过，针灸也达不到，所以做成丸药含化，让药势得以相互感应。
药材：忧膈、气中膈、寒膈等症所用的药物：麦门冬十分（去心）、甘草十分（炙焦）、远志、附子（炮制）、干姜、人参、桂枝、细辛各六分。
用法：将上述药物捣罗为细末，炼蜜和丸，如梧桐子大。每服十丸，用温水送下。
又一方（出《圣惠方》）：治疗痰实证，胸中结聚不散。
药材：皂角（三十梃，不蛀者，去黑皮，捶碎）。
用法：以上一味药，用水五升，浸泡一夜，揉取汁液，去渣，在锅内用慢火熬，直到可以做成丸药的程度。
又一方（出《圣惠方》）。
药材：密陀僧（一两）。
用法：以上一味药，用醋一盏，水一中盏，煎至醋和水都耗尽，候干，细研为散。每服一钱，用水调下。
鹤顶丹：治疗大人小儿风壅痰食，咽膈不利，口干烦渴，睡卧不安，以及中暑头痛，燥渴不解。
药材：麝香（研二两半）、宿水石（粉一百一十两）、朱砂（研飞一百两）、牙硝（枯研一百二十五两）。
用法：将上述药物研细过筛，用糯米粥和丸，如梧桐子大。每服一丸，用温水化下。
减损方：治疗气不顺，停痰上攻头痛。（出《澹寮方》）。
药材：二陈汤（气实脉盛者用温胆汤），加沉香、木香、天南星（生用，各少许）。
用法：以上药物，加生姜五片，热服。
治一切痰实证，上膈不利，大便秘结有热。（出《护命方》）。
药材：皂角（半两，去皮，以酥炙）、旋复花、大黄、杏仁（各一两）。
用法：以上药物，捣罗为细末，炼蜜和丸，如梧桐子大。每服二十丸，用温水送下。
丁香半夏汤（出《杨氏家藏方》）：平胃益气，宽膈化痰，治疗呕吐逆气恶心。
药材：半夏曲（炒黄）、白术、人参（去芦头，各二两）、甘草（微炙）、白檀香、生姜（去皮切片，焙干，秤各一两）。
用法：以上药物，切碎，用水三大盏，煎至一盏半，去渣，分三次温服。
逍遥丸（出《御药院方》）：治疗膈食气痞，痰实喘促。
药材：半夏（汤洗七次，焙干，二两）、枳实（麸炒）、槟榔、赤茯苓（去皮，各一两）。
用法：以上四味药，捣罗为细末，用姜汁糊和丸，如梧桐子大。每服三十丸，用温水送下。
下膈解痰实。（出《本草》）。
用法：以前胡用姜汁浸泡后捣碎服用。
开胸膈痰实结气，下并下焦冷气，下食。（出《本草》）。
用法：以干橘皮一斤，捣为末，蜜为丸。每食前酒下三十丸。
治痰饮膈上热。（出《本草》）。
用法：取离鬲草，生绞汁，服一合，当吐出胸膈间宿物。
Phlegm obstruction in the diaphragm is caused by the failure of Qi to descend, leading to stagnation and涩 (astringency/stagnation) of body fluids. The Qi of water and fluid accumulates above the diaphragm. Over time, this results in food retention (difficulty in swallowing or passing food), causing the airway to feel rushed and urgent, chest fullness, and shortness of breath.
The *Shenghui Fang* states: Phlegm-solidification syndrome occurs when phlegm and water accumulate between the chest and abdomen. Cold Qi battles with these accumulations, forming hard knots that do not dissipate, resulting in chest and abdominal fullness and Qi blockage.
**Baihe Tang (Lily Bulb Decoction):** Treats heat from phlegm and food retention in the Upper Jiao (Upper Burner), causing congestion and lack of free flow.
Ingredients: Baihe (Lily Bulb), Zhike (Aurantium Fructus, pulp removed, stir-fried with bran), Mahuang (Ephedrae Herba, roots and nodes removed), Tianxiong (Aconiti Lateralis Radix Preparata, processed, skin and navel removed), Kuandonghua (Farfarae Flos), Kunbu (Laminariae Thallus, washed to remove saltiness). Dosage: Each ingredient 1.5 liang.
Usage: The above six ingredients are chopped like hemp seeds. Take 4 qianbi per dose, add 1.5 zhan of water, decoct to 1 zhan, strain, and take warm.
**Chaihu Digupi Tang (Bupleuri and Cortex Lycii Decoction):** Treats phlegm-solidification in the diaphragm with dysfunction of Qi ascending and descending.
Ingredients: Chaihu (Bupleuri Radix, stems removed), Digupi (Cortex Lycii), Chi Fuling (Poria with Red Skin, black skin removed), Xiong (Chuanxiong Rhizome), Dahuang (Rhei Radix et Rhizoma), Gegen (Puerariae Radix, sliced), Shaoyao (Paeoniae Radix), Yinchenshao (Artemisiae Scopariae Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix).
Usage: The above ten ingredients are crushed like hemp seeds. Take 5 qianbi per dose, add 1.5 zhan of water, decoct to 1 zhan, strain, and take warm before going to bed.
**Jinbo Wan (Gold Foil Pill):** Treats phlegm-solidification in the diaphragm, throat obstruction, coughing, and rapid asthma.
Ingredients: Longnao (Borneolum Syntheticum, ground), Zhenzhu (Margarita, ground to powder), Jinbo (Folium Aurii, ground fifteen pieces), Niuhuang (Calculus Bovis, ground), Shexiang (Moschus, ground, each 0.5 liang), Mayaxiao (Natrii Sulfas, ground), Pengsha (Borax).
Usage: Grind the above drugs finely and sieve. Mix with steamed wheat dough to form pills the size of wutong seeds. Take one pill per dose, swallowed with Jingjie (Schizonepetae Herba) decoction.
**Qianhu San (Peucedani Radix Powder):** Treats retained food in the chest, phlegm-solidification, reduced drinking desire, alternating chills and fever, and reluctance to rise from bed.
Ingredients: Qianhu (Peucedani Radix, 1 liang, rhizome removed), Xuanjinhua (Inulae Flos, 0.5 liang), Guixin (Cinnamomi Ramulus, 0.5 liang), Renshen (Ginseng Radix, 1 liang, rhizome removed), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, sliced and slightly stir-fried).
Usage: The above five ingredients are crushed and sieved into powder. Take 3 qianbi per dose, add 1 zhongzhan of water, add 0.5 fen of fresh ginger, decoct to 0.6 zhan, strain, and take warm at any time.
**Bazhen Wan (Eight Treasures Pill):** Treats phlegm-solidification in the diaphragm, chest discomfort, asthma, cough, vomiting, and regurgitation.
Ingredients: Dansha (Cinnabaris, ground 0.5 liang), Xijiao (Rhino CeratUs, shaved), Lingyangjiao (Saiga Tataricae Cornu, shaved), Niuhuang (Calculus Bovis, ground), Fushen (Poria with Pine Root, wood removed, pounded to powder), Longnao (Borneolum Syntheticum, each 2 qian).
Usage: Grind the above drugs finely and sieve. Mix with boiled jujube flesh to form pills the size of wutong seeds. Take 30 pills per dose, swallowed with warm water.
**Dansha Wan (Cinnabar Pill):** Treats phlegm-solidification in the diaphragm, dizziness, nausea, and pain in limbs and joints.
Ingredients: Dansha (Cinnabaris, ground 0.5 liang), Banxia (Pinelliae Rhizoma, soaked in water seven times, dried), Tiannanxing (Arisaematis Rhizoma, processed), Xiaoshao (Carid Shrimp Tips, stir-fried), Baifuzi (Typhonii Rhizoma, processed), Baijiangcan (Bombyx Batryticatus, stir-fried, each 1 liang).
Usage: Crush and sieve the above drugs into fine powder. Mix with flour paste to form pills the size of wutong seeds. Take 20 pills per dose, swallowed with warm water.
**Yinfen Wan (Silver Powder Pill):** Treats phlegm-solidification in the diaphragm, distension and fullness, asthma and regurgitation, and resolves phlegm.
Ingredients: Fen shuang (Hydrargyri Oxydum Rubrum), Qianbaishuang (Plumbi Subcarbonas), Baifan (Alumen, boiled until juice is dry), Shuiyin (Hydrargyrum), Qian (Plumbum, co-processed with hydrargyrum to form cinnabar-like substance, each 0.5 liang), Tiannanxing (Arisaematis Rhizoma, processed, 1.5 liang), Banxia (Pinelliae Rhizoma, soaked in water seven times, dried).
Usage: Grind the above drugs finely. Mix with flour paste to form pills the size of wutong seeds. Take 5 pills per dose, swallowed with warm water.
**Xijiao Tang (Rhino Horn Decoction):** Treats phlegm-solidification in the diaphragm, dizziness of head and eyes, and loss of appetite.
Ingredients: Xijiao (Rhino CeratUs, shaved), Renshen (Ginseng Radix), Huangqin (Scutellariae Radix, black heart removed), Chaihu (Bupleuri Radix, stems removed, each 1 fen), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 fen), Baifuling (Poria, black skin removed), Maimendong (Ophiopogonis Radix, heart removed).
Usage: The above seven ingredients are chopped. Add 1 zhan of water, decoct to 0.5 zhan, strain, and take warm.
**Muxiang Wan (Costus Root Pill, also known as Xiangju Wan):** Treats phlegm-solidification in the diaphragm, chest and diaphragm discomfort, dizziness of head and eyes, and loss of appetite.
Ingredients: Muxiang (Aucklandiae Radix, 1 fen), Qianniuzi (Semen Phaseoli, stir-fried), Banxia (Pinelliae Rhizoma, soaked in water seven times, dried), Baifan (Alumen, boiled until juice is dry, each 1 liang), Binglang (Arecae Semen), Qingju pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried).
Usage: Crush and sieve the above drugs into fine powder. Mix with ginger juice and flour paste to form pills the size of wutong seeds. Take 20 pills per dose, swallowed with warm water.
**Banxia Tang (Pinellia Decoction, from *Shenghui Fang*):** Treats phlegm-obstruction and food retention, chest and heart congestion, frequent nausea and regurgitation, inability to eat. This medicine is suitable.
Ingredients: Banxia (Pinelliae Rhizoma, soaked in water seven times to remove slipperiness, 1 liang), Yuliren (Semen Pruni Armeniacae, 1 liang, soaked in water, skin removed, slightly stir-fried), Xuanjinhua (Inulae Flos, 0.5 liang), Qianhu (Peucedani Radix, 1 liang, rhizome removed).
Usage: The above four ingredients are crushed and sieved into powder. Take 3 qianbi per dose, add 1 zhongzhan of water, add 0.5 fen of fresh ginger, decoct to 0.6 zhan, strain, and take warm.
**Siwei Banxia Wan (Four-Ingredient Pinellia Pill):** Treats phlegm-obstruction and solidification, opens and benefits the chest and diaphragm.
Ingredients: Banxia (Pinelliae Rhizoma, raw use, 4 liang), Baifan (Alumen, raw use, 3 liang), Fen shuang (Hydrargyri Oxydum Rubrum, ground 0.5 liang), Qianniuzi (Semen Phaseoli, raw pounded to extract powder, 3 liang).
Usage: Combine the above drugs, pound and grind into fine powder. Mix with flour paste to form pills the size of wutong seeds. Take 20 pills per dose, swallowed with warm water, taken before sleep.
**Longnao Wan (Borneol Pill):** Treats phlegm-solidification in the diaphragm, throat obstruction.
Ingredients: Longnao (Borneolum Syntheticum, ground 3 qian), Dansha (Cinnabaris, ground 1 liang), Baifan (Alumen, boiled until juice is dry, 0.5 liang), Banxia (Pinelliae Rhizoma, soaked in water seven times, slipperiness removed, dried in shade, pounded to powder, 3 liang).
Usage: Grind the above drugs finely and sieve. Mix with steamed wheat dough to form pills the size of wutong seeds. Take one pill per dose, swallowed with Jingjie (Schizonepetae Herba) decoction.
**Banxia Wan (Pinellia Pill, from *Shenghui Fang*):** Treats phlegm syndromes, diaphragmatic food retention that does not digest, urge to vomit upon seeing food.
Ingredients: Banxia (Pinelliae Rhizoma, 2 liang, soaked in water seven times, slipperiness removed), Ganjiang (Zingiberis Rhizoma, 1 liang, processed and sliced), Baifan (Alumen, 1 liang, burned until sweat is gone), Caodoukou (Cardamomi Fructus, 1 liang, skin removed).
Usage: Crush and sieve the above drugs into fine powder. Mix with flour paste to form pills the size of wutong seeds. Take 20 pills per dose, swallowed with warm water.
**Tutan Wan (Expectoration Pill, also known as Liaoge San):** Treats phlegm-excess syndromes, alternating chills and fever with thirst, chest and heart fullness and oppression.
Ingredients: Banxia (Pinelliae Rhizoma, soaked in water seven times, dried), Shengjiang (Zingiberis Rhizoma Recens, sliced and dried, each 5 qian), Zaojiao (Gleditsiae Fructus, 5 pods, skin and seeds removed, crushed, boiled in 1 sheng of water until half a sheng remains, strained, dried to powder).
Usage: Grind the above drugs finely into powder. Mix with ginger juice to form pills the size of wutong seeds. Take 10 pills per dose, swallowed with warm water.
To treat phlegm-excess syndromes where knotting accumulates in the chest and does not disperse. This formula (also known as Banxia Tang, from *Shenghui Fang*).
Ingredients: Banxia (Pinelliae Rhizoma, 5 liang), Zaojiao (Gleditsiae Fructus, 5 stalks, crushed, skin removed).
Usage: Place the above two ingredients together in a large pot. Boil in water for one day. Remove the Zaojiao, take out the Banxia, dry it, and grind finely. Take 2 qian per dose, add 1 zhan of water, decoct to 0.6 zhan, strain, and take warm.
**Wuge Wan (Five Diaphragms Pill, from *Zhouhou Fang*):** Diseases of the diaphragm are named "Gaohuang" (scapular region/difficult-to-treat area). Decoctions and pills pass through without effect; acupuncture and moxibustion cannot reach them. Therefore, pills are made to be held in the mouth, allowing the medicinal qi to interact with the body's qi.
Ingredients for Youge (Worry Diaphragm), Qizhongge (Qi Strike Diaphragm), Hange (Cold Diaphragm): Maimendong (Ophiopogonis Radix, 10 parts, heart removed), Gancao (Glycyrrhizae Radix et Rhizoma, 10 parts, honey-fried until scorched), Yuanzhi (Polygalae Radix), Fuzi (Aconiti Lateralis Radix Preparata, processed), Ganjiang (Zingiberis Rhizoma), Renshen (Ginseng Radix), Guizhi (Cinnamomi Ramulus), Xixin (Asari Radix et Rhizoma, each 6 fen).
Usage: Crush and sieve the above drugs into fine powder. Mix with refined honey to form pills the size of wutong seeds. Take 10 pills per dose, swallowed with warm water.
Another prescription (from *Shenghui Fang*): Treats phlegm-excess syndromes where knotting accumulates in the chest and does not disperse.
Ingredients: Zaojiao (Gleditsiae Fructus, 30 non-worm-eaten stalks, black skin removed, crushed).
Usage: Take the above single ingredient, soak in 5 sheng of water overnight. Knead to extract juice, strain off residues. Simmer slowly in a pot until it can be formed into pills.
Another prescription (from *Shenghui Fang*).
Ingredients: Miduoseng (Lepidocrocite, 1 liang).
Usage: Take the above single ingredient, decoct with 1 zhan of vinegar and 1 zhongzhan of water until both vinegar and water are exhausted. Dry, grind finely into powder. Take 1 qian per dose, mixed with water.
**Heding Dan (Crane Top Elixir):** Treats wind congestion, phlegm, and food retention in adults and children; throat and diaphragm obstruction; dry mouth and irritability/thirst; restlessness during sleep; as well as headache from summerheat and unrelenting dry thirst.
Ingredients: Shexiang (Moschus, ground 2.5 liang), Su Shuishishi (Calcitum, powdered 110 liang), Zhusha (Cinnabaris, flown/ground 100 liang), Yaxiao (Natrii Sulfas, calcined and ground 125 liang).
Usage: Grind the above drugs finely and sieve. Mix with glutinous rice porridge to form pills the size of wutong seeds. Take one pill per dose, dissolved and swallowed with warm water.
Reduction Formula: Treats irregular Qi flow and stagnant phlegm attacking upwards causing headache. (From *Danliao Fang*).
Ingredients: Erchen Tang (Two-Aged Decoction; if Qi is excess and pulse is vigorous, use Wendan Tang/Warm Gallbladder Decoction), add Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix), Tiannanxing (Arisaematis Rhizoma, raw, each a small amount).
Usage: Add 5 slices of fresh ginger to the above herbs. Take hot.
Treats all phlegm-excess syndromes, upper diaphragm obstruction, and constipation with heat. (From *Huming Fang*).
Ingredients: Zaojiao (Gleditsiae Fructus, 0.5 liang, skin removed, stir-fried with lard), Xuanjinhua (Inulae Flos), Dahuang (Rhei Radix et Rhizoma), Xingren (Pruni Semen, each 1 liang).
Usage: Crush and sieve the above drugs into fine powder. Mix with refined honey to form pills the size of wutong seeds. Take 20 pills per dose, swallowed with warm water.
**Dingxiang Banxia Tang (Clove and Pinellia Decoction, from *Yangshi Jiancang Fang*):** Calms the stomach, boosts Qi, opens the diaphragm, resolves phlegm. Treats vomiting, regurgitation, nausea, and disgust.
Ingredients: Banxiaqu (Pinelliae Fermented Rhizoma, stir-fried yellow), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix, rhizome removed, each 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, slightly honey-fried), Baitanxiang (Santalum Album Lignum), Shengjiang (Zingiberis Rhizoma Recens, skin removed, sliced, dried, weighed each 1 liang).
Usage: Chop the above herbs. Add 3 da zhan of water, decoct to 1.5 zhan, strain, divide into three doses, and take warm.
**Xiaoyao Wan (Free Wanderer Pill, from *Yuyao Yuan Fang*):** Treats diaphragmatic food retention and Qi痞 (fullness/blockage), phlegm-excess with asthma and panting.
Ingredients: Banxia (Pinelliae Rhizoma, soaked in water seven times, dried, 2 liang), Zhishi (Aurantii Fructus Immaturus, stir-fried with bran), Binglang (Arecae Semen), Chi Fuling (Poria with Red Skin, skin removed, each 1 liang).
Usage: The above four ingredients are crushed and sieved into fine powder. Use ginger juice to make a paste for binding. Form pills the size of wutong seeds. Take 30 pills per dose, swallowed with warm water.
Lower Diaphragm to Resolve Phlegm-Excess. (From *Bencao*).
Usage: Soak Qianhu (Peucedani Radix) in ginger juice, then pound and take.
Open Chest and Diaphragm Phlegm-Excess and Stagnant Qi; also lowers Cold Qi from the Lower Jiao and promotes digestion. (From *Bencao*).
Usage: Take 1 jin of dried Chenpi (Citri Reticulatae Pericarpium), pound into powder, mix with honey to form pills. Take 30 pills with wine before each meal.
Treats Heat of Phlegm-Fluid above the Diaphragm. (From *Bencao*).
Usage: Take Ligegre Cao (Herba Abutilonis?), squeeze fresh juice, take 1 he. It should induce vomiting of retained substances in the chest and diaphragm.
Lower Diaphragm, Disperse Phlegm, Stop Vomiting. (From *Bencao*).
Usage: Swallow with Ji Shui (Ji Water, sourced from Dong'e County).
Treats Diaphragmatic Phlegm with Acid Regurgitation. (From *Bencao*).
Usage: Roast Zaojiao (Gleditsiae Fructus), select the middle yellow heart, chew and swallow.