上六味切，以水六升，煮取一升八合，去滓分温三服，如人行八九里进之，忌酢物、桃、李、雀肉等。仲
景《伤寒论》同。（《外台》）
深师消饮丸，疗酒 ，饮酒停痰水不消，满逆呕吐，目视KT KT ，耳聋，腹中水声方。
干姜 茯苓（各三两） 白术（八两） 枳实（四枚炙）
上四味捣筛，蜜和丸，服如梧子五丸，日三，稍加之。（同上）
予平生有二疾，一则脏腑下血，二则膈中停饮，下血有时而止，停饮则无时。始因年少时夜坐为文，左
向伏几案，是以饮食多坠向左边。中夜以后，稍困乏，必饮两三杯，既卧就枕，又向左边侧睡。气壮盛时，殊
不觉。三五年后，觉酒止从左边下，漉漉有声，胁痛，饮食殊减，十数日必呕数升酸苦水，暑月止是右边身有
汗， 常润，左边病处绝燥。遍访名医及海上方服之，少有验。间或中病，止得月余复作。其补则如天雄、
附子、矾石，其利则如牵牛、甘遂、大戟，备尝之矣。予后揣度之，已成癖囊，如潦水之有科臼，不盈科不行
。水盈科而行也，清者可行，浊者根据前停蓄，盖下无路以决之也。是以积之五七日，必呕而去，稍宽数日复
作。脾，土也，恶湿，而水则流湿。莫若燥脾以胜湿，崇土以填科臼，则疾当去矣。于是悉屏诸药，一味服苍
术，三月而疾
除。自此一向服数年，不吐不呕，胸膈宽，饮啖如故，暑月汗周身而身凉，饮亦当中下，前此饮渍其肝，目亦
多昏眩，其后灯下能书细字，皆苍术之力也。其法苍术一斤，去皮切末之。用生油麻半两，水二盏，研滤取汁
。大枣十五枚，烂煮去皮核研，以麻汁匀研成稀膏，搜和入臼熟杵，丸梧子大干之。每日空腹用盐汤吞下五十
丸，增至一百丸、二百丸，忌桃李雀鸽。初服时必膈微燥，且以茅术制之，觉燥甚，进山栀散一服，久之不燥
矣。予服半年以后，止用燥烈味极辛者，削去皮不浸，极有力，亦自然不燥也。山栀散，用山栀子一味，干之
为末，沸汤点服。故知久坐不可伏向一边，时或运动，亦消息之法。（《本事》）（按∶ 囊本出《千金》，
囊盖饮结如囊之谓，孙一奎以为状若胞囊，不可速去者，非是。）
病心腹虚冷，游痰气上，胸胁满，不下食，呕逆，胸中冷者，小半夏汤主之方。
半夏（一升） 生姜（一斤） 橘皮（四两）
上三味 咀，以水一斗，煮取三升，分三服。若心中急及心痛，内桂心四两。若腹满痛，内当归三两。羸
弱及老人，尤宜服之。一方用人参二两（仲景无橘皮、人参）。（《千金》）
治胸中积冷，心中嘈，烦满，汪汪不下饮食，心胸应背痛，吴茱萸汤方。
吴茱萸（三两） 半夏（四两） 桂心 人参（各二两） 甘草（一两） 生姜（三两） 大枣（二十枚）
上七味 咀，以水九升，煮取三升，去滓分三服，日三。（同上）
葛氏方，治腹中冷 ，水谷阴结，心下停淡，两胁痞满，按之鸣转，逆害饮食方。
茯苓一两，茱萸三两捣，蜜丸如梧子，服五丸，日三。（《医心》）《魏氏》茱枳丸，治中焦停饮癖，于
本方加枳实（姜汁煮神曲糊为丸）。
《短剧》半夏茯苓汤，疗胸膈心腹中淡水冷气，心下汪洋嘈烦，或水鸣多唾，口清水自出，胁肋急胀痛，
不欲食，此皆胃气弱受冷故也，其脉喜沉弦细迟，悉主之方。
半夏（五两洗） 生姜（五两） 茯苓（三两） 旋复花（一两） 陈橘皮人参 桔梗 芍药 甘草（炙各
二两） 桂心（一两）
上十味切，以水九升，煮取三升，分三服。欲得利者，加大黄。（《外台》）《千金》加细辛（不标方名，
《本事》名旋复花汤）。《济生》槟榔散，治胸膈痰饮，腹中虚鸣，食不消化，或加呕逆，或臂痛项疼，于
本方去桂心、茯苓、芍药，加槟榔，杏仁、干姜、白术。《直指》橘皮汤，治胸膈停痰，于本方去桂心、芍药，
加细辛、青皮、枳壳。《元戎》五饮汤，主一、留饮心下，二、 饮胁下，三、痰饮胃中，四、溢饮膈上，五、
流饮肠间。凡此五饮，酒后伤寒，饮冷汤多，故有此疾（按∶此取《千金翼》）。于本方去桔梗，加枳实、白
术、浓朴、泽泻、前胡、猪苓。若因饮酒有饮者，加葛花、缩砂仁。
大半夏汤，主痰冷 饮，胸膈中不理方。
半夏（一升） 白术（三两） 生姜（八两） 茯苓 人参 桂心 甘草 附子（各二两）
上八味 咀，以水八升，煮取三升，分三服。（《千金》）《外台》∶《删繁》疗肉极虚寒则脾咳，留饮
痰癖，大小便不利，小腹切痛，膈上寒，大半夏汤，于本方加橘皮。（《鸡峰》半夏茯苓饮子，与此方相类，
见《呕吐》中，宜参。）
半夏汤，主痰饮 气吞酸方。
半夏 吴茱萸（各三两） 生姜（六两） 附子（一枚）
上四味 咀，以水五升，煮取二升半，分三服，老小各半，日三。（《千金》）《圣济》治冷痰壅盛，
胸膈不利，胃口冷，脾气弱，呕吐痰涎，奇效汤。于本方去吴茱萸，加木香。
姜附汤，主痰冷 气，胸满气短，呕沫头痛，饮食不消化方。
生姜（八两） 附子（四两生用四破）
上二味 咀，以水八升，煮取二升，分四服。亦主卒风。（《千金》）（《医心方》引胡洽方云∶葛氏方
同之。）
新法半夏汤，郭医传，治脾胃气弱，痰饮不散，呕逆酸水，腹胁胀痛，头旋恶心，不思饮食。（原不载主
治，今从《和剂·淳 方》录入。）
大半夏（四两，汤洗七次，每个切作两片，用白矾一两碎之，沸汤一碗，乘热浸半夏一昼夜，汤洗去矾摊干
，一片切作两片，再用生姜自然汁。于银盂中没汤浸一昼夜，却于重汤中顿，令姜汁干尽，慢火焙干为细末，
再用生姜自然汁搜成饼子，曝或焙干，炙黄勿令焦。）
甘草（二两半炙） 陈橘红 草果（煨取肉） 神曲（炒） 缩砂仁（各一两） 丁香 白豆蔻仁（各半两）
上八味为细末，每服抄一钱，先用生姜自然汁一匙，调成膏子，入炒盐沸汤点服。（《是斋》）《和剂》
（宝庆添加）治脾胃不和，中脘气滞，宿寒留饮，停积不消，心腹刺痛，胁肋膨胀，呕吐痰水，噫气吞酸。于
本方去缩砂、白蔻，加干姜、木香、茯苓（用丁香皮）。治留饮，温脾胃，利胸膈，调顺气血，沉香茯苓丸方。
沉香（一两） 半夏（汤洗七遍去滑二两） 槟榔（锉） 陈橘皮（汤浸去白焙） 白茯苓（去黑皮）
肉豆蔻（去壳） 甘草（生用各半两）
丁香 人参（各三两）
上九味为末，炼蜜和丸，如梧桐子大，每服十五丸，食前生姜汤下。（《圣济》）
止逆丸，治停寒积饮
，呕吐痰水，无问冷热，不可食者，服之必愈。
沉香 丁香 木香 吴茱萸（汤洗焙干） 半夏（汤洗七遍生姜汁制各半两） 水银 硫黄（各一两二味
研令砂子星尽为度）
上件为细末，以生姜糊就和丸，如绿豆大，每服二三十丸，生姜汤下，不拘时候。（《御药院方》）
消饮诸方 二陈汤，治痰饮为患，或呕吐恶心，或头眩心悸，或中脘不快，或发为寒热，或因食生冷
，脾胃不和。
半夏（汤浸七次） 橘红（各五两） 白茯苓（三两） 甘草（炙一两半）
上为 咀，每服四钱，用水一盏，生姜七片，乌梅一个，同煎六分，去滓热服，不拘时候。（《和剂》）
枳缩二陈汤，即二陈汤加枳实、缩砂，理脾胃，顺气宽中，消痰饮。（《祖剂》）（按∶本汤加减诸方，互见
痰涎门。）
桔梗汤，除痰下气，治胸胁胀满，寒热呕哕，心下坚痞，短气烦闷，痰逆恶心，饮食不下。
陈皮（去穣） 半夏（生姜汁制） 桔梗（细锉微炒各一十两） 枳实（去穣麸炒赤黄五两）
上为粗末，每服二钱，水一中盏，生姜五片，同煎至七分，去滓温服。不计时候。（《和剂》）
涌吐诸方 治胸中多痰，头痛不欲食，乃（《外台》及）饮酒则瘀阻痰方。
先作一升汤，投水一升，名为生熟汤。及食三合盐，以此汤送之，须臾欲吐便 出。未尽，更服二合，饮
汤二升，后亦可更服汤，不复也。（《肘后》）
治卒头痛如破，非中冷，又非中风，其痛是胸膈中痰，厥气上冲所致，名为厥头痛，吐之即瘥方。
单煮茗作饮二三升许，适冷暖饮二升，须臾 即吐，吐毕又饮，如此数过，剧者须吐胆乃止，不损人而渴
则瘥。（《千金》）（按∶此方本出《肘后》茗作米。）
治淡饮头痛，往来寒热方。
常山（一两） 云母粉（二两）
上二味捣筛为散，热汤服一方寸匕，吐之止。吐不尽，更服。（《千金翼》）
治痰厥头痛，宜吐之方。
茶末（四钱） 灯心（一束） 人参芦头（一分）
上以水一大盏，煎至五分，去滓温服。如人行五里，未吐再服。（《圣惠》）
泻下诸方 葛氏方，治腹中冷 ，水谷阴结，心下停淡，两胁痞满，按之鸣转，逆害饮食方。
大黄（三两） 甘草（二两） 蜜（一升二合） 枣（二十七枚）
以水三升，煮枣取一升，内诸药，煮取一升七合，分再服。（《医心》）
茱萸消石汤，主久寒不欲饮食，数十年 饮方。
吴茱萸（八合） 消石（一升） 生姜（一斤）
上三味，以酒一斗，水解令得二斗，煮药取四升，服二升，病即下，去勿更服也。初下如泔，后如污泥。
若如沫滓吐者，更可服之。养如乳妇法。（《千金》）（《香港脚》及《伤食》载有类方。）
蠲饮枳实丸，逐饮消痰，导壅清膈。
枳实（麸炒去穣） 半夏（汤洗浸一宿切焙干） 陈橘皮（去白三味各二两） 黑牵牛（半斤取头末三两
余滓不用）
上件为细末，煮面糊为丸，如梧桐子大，每服五十丸，生姜汤下，不拘时候。（《杨氏》）
灸法 凡人患水疰，口中涌水，经谓之肺来乘肾，食后吐水，可灸肺俞，又灸三阴交、期门，泻肺补
肾也，各随年壮。然则痰涎有类此者，又当如此法灸之。（《资生经》）
以上六味药切碎，用水六升，煮取一升八合，去渣后分三次温服。服药间隔约人行走八九里的时间再服一次，忌食醋、桃、李、雀肉等食物。此方与张仲景《伤寒论》中的方剂相同。（出自《外台秘要》）
深师消饮丸，治疗因饮酒导致的痰水停滞不消，出现胸满气逆呕吐，视物模糊不清，耳聋，腹中有水声的症状。
干姜 茯苓（各三两） 白术（八两） 枳实（四枚，炙）
以上四味药捣碎过筛，用蜂蜜和成药丸，每次服用如梧桐子大小的五丸，每日三次，可逐渐增加剂量。（同上）
我平生有两种疾病，一是脏腑下血，二是膈间停饮。下血有时能停止，但停饮则无时休止。起初是因为年轻时夜间坐着写文章，身体向左倾斜伏在案几上，导致饮食多坠向左侧。半夜以后，稍感困乏，必定喝两三杯酒，躺下睡觉时也向左侧卧。气血旺盛时，并不觉得有什么不适。三五年后，感觉酒液只从左边下行，漉漉有声，胁部疼痛，饮食明显减少，每隔十几天必呕吐数升酸苦的水。夏季只有右侧身体出汗，经常湿润，而左侧患病部位绝对干燥。遍访名医及海外传来的方药服用，很少有见效的。偶尔中病，也只能维持一个多月又复发。其补益的药如天雄、附子、矾石，其利下的药如牵牛子、甘遂、大戟，我都尝试过了。后来我揣摩病情，认为已成癖囊（指体内形成的包块或积液），如同积水洼地有坑穴，水不满坑穴就不流动。水满坑穴才流动，清稀的部分可以流走，浑浊的部分就停留在前面蓄积，因为下面没有通路来决泄它。所以积聚五七天后，必然呕吐排出一些，稍宽舒几天后又发作。脾属土，恶湿，而水则流向潮湿之处。不如燥脾以胜湿，培土以填平坑穴，那么疾病应当去除。于是完全停用其他药物，单味服用苍术，三个月后疾病消除。从此一直服用数年，不再吐泻，胸膈宽舒，饮食如常，夏季全身出汗且身体凉爽，饮水也能正常下行。此前饮水浸渍肝脏，眼睛也多昏眩，后来能在灯下书写小字，都是苍术的功效。其方法是：苍术一斤，去皮切末。用生油麻半两，水二盏，研磨过滤取汁。大枣十五枚，烂煮去皮核研泥，用麻汁均匀研磨成稀膏，调和入臼中熟杵，制成如梧桐子大的药丸晒干。每日空腹用盐汤吞服五十丸，增至一百丸、二百丸，忌食桃李雀鸽。初服时必感到胸膈微燥，暂且用茅术炮制来缓解，如果感觉燥热严重，服用山栀散一剂，久而久之就不燥了。我服用半年以后，只用燥烈味极辛的药物，削去皮不浸泡，效力极强，也自然不燥了。山栀散，只用山栀子一味，晒干为末，用沸水冲服。所以知道久坐不可偏向一边，时常活动，也是调养的方法。（出自《本事方》）（按语：囊本出自《千金方》，囊是指饮邪结聚如囊状，孙一奎认为形状像胞囊，不能速去，这种看法是不对的。）
患心腹虚冷，游痰气上逆，胸胁胀满，不能进食，呕逆，胸中寒冷者，用小半夏汤主治。
半夏（一升） 生姜（一斤） 橘皮（四两）
以上三味药切碎，用水一斗，煮取三升，分三次服。如果心中急迫及心痛，加入桂心四两。如果腹满痛，加入当归三两。形体瘦弱及老人，尤其适宜服用。另一方案用人参二两（张仲景原方无橘皮、人参）。（出自《千金方》）
治疗胸中积冷，心中嘈杂烦闷，水液不下饮食，心胸对应背部疼痛，用吴茱萸汤主治。
吴茱萸（三两） 半夏（四两） 桂心 人参（各二两） 甘草（一两） 生姜（三两） 大枣（二十枚）
以上七味药切碎，用水九升，煮取三升，去渣分三次服，每日三次。（同上）
葛氏方，治疗腹中冷痛，水谷阴结，心下停淡，两胁痞满，按压时鸣转，逆害饮食。
茯苓一两，茱萸三两捣碎，蜜丸如梧桐子大，每次服五丸，每日三次。（出自《医心方》）《魏氏》茱枳丸，治疗中焦停饮癖，在本方基础上加枳实（用姜汁煮神曲糊为丸）。
《短剧》半夏茯苓汤，治疗胸膈心腹中的淡水冷气，心下汪洋嘈杂烦闷，或者水鸣多唾，口清水自出，胁肋急胀痛，不欲食，这都是胃气弱受冷所致，其脉象喜见沉弦细迟，此方统管这些症状。
半夏（五两，洗） 生姜（五两） 茯苓（三两） 旋复花（一两） 陈橘皮 人参 桔梗 芍药 甘草（炙，各二两） 桂心（一两）
以上十味药切碎，用水九升，煮取三升，分三次服。想要通利的，加大黄。（出自《外台秘要》）《千金方》加细辛（未标方名，《本事方》名为旋复花汤）。《济生方》槟榔散，治疗胸膈痰饮，腹中虚鸣，食不消化，或者加呕逆，或者臂痛项疼，在本方基础上去掉桂心、茯苓、芍药，加槟榔、杏仁、干姜、白术。《直指方》橘皮汤，治疗胸膈停痰，在本方基础上去掉桂心、芍药，加细辛、青皮、枳壳。《元戎方》五饮汤，主治一、留饮在心下，二、悬饮在胁下，三、痰饮在胃中，四、溢饮在膈上，五、流饮在肠间。凡这五种饮证，因酒后伤寒，饮用冷汤过多，所以有此疾病（按语：此取法于《千金翼方》）。在本方基础上去掉桔梗，加枳实、白术、浓朴、泽泻、前胡、猪苓。如果因饮酒而有饮证的，加葛花、缩砂仁。
大半夏汤，主治痰冷饮证，胸膈中不理顺。
半夏（一升） 白术（三两） 生姜（八两） 茯苓 人参 桂心 甘草 附子（各二两）
以上八味药切碎，用水八升，煮取三升，分三次服。（出自《千金方》）《外台秘要》记载：《删繁方》治疗肉极虚寒则脾咳，留饮痰癖，大小便不利，小腹切痛，膈上寒，用大半夏汤，在本方基础上加橘皮。（《鸡峰普济方》半夏茯苓饮子，与此方相似，见《呕吐》篇中，宜参考。）
半夏汤，主治痰饮气逆吞酸。
半夏 吴茱萸（各三两） 生姜（六两） 附子（一枚）
以上四味药切碎，用水五升，煮取二升半，分三次服，老幼各半量，每日三次。（出自《千金方》）《圣济总录》治疗冷痰壅盛，胸膈不利，胃口冷，脾气弱，呕吐痰涎，奇效汤。在本方基础上去掉吴茱萸，加木香。
姜附汤，主治痰冷气，胸满气短，呕沫头痛，饮食不消化。
生姜（八两） 附子（四两，生用，四破）
以上两味药切碎，用水八升，煮取二升，分四次服。也主治卒中风。（出自《千金方》）（《医心方》引胡洽方说：葛氏方与之相同。）
新法半夏汤，郭医传授，治疗脾胃气弱，痰饮不散，呕逆酸水，腹胁胀痛，头旋恶心，不思饮食。（原书不载主治，今从《和剂局方·淳化方》录入。）
大半夏（四两，汤洗七次，每个切作两片，用白矾一两碎之，沸汤一碗，乘热浸半夏一昼夜，汤洗去矾摊干，一片切作两片，再用生姜自然汁。于银盂中没汤浸一昼夜，却于重汤中顿，令姜汁干尽，慢火焙干为细末，再用生姜自然汁搜成饼子，曝晒或焙干，炙黄勿令焦。）
甘草（二两半，炙） 陈橘红 草果（煨取肉） 神曲（炒） 缩砂仁（各一两） 丁香 白豆蔻仁（各半两）
以上八味药为细末，每次服用一钱，先用生姜自然汁一匙，调成膏子，入炒盐沸水冲服。（出自《是斋百一选方》）《和剂局方》（宝庆年间添加）治疗脾胃不和，中脘气滞，宿寒留饮，停积不消，心腹刺痛，胁肋膨胀，呕吐痰水，噫气吞酸。在本方基础上去掉缩砂、白蔻，加干姜、木香、茯苓（用丁香皮）。治疗留饮，温脾胃，利胸膈，调顺气血，沉香茯苓丸方。
沉香（一两） 半夏（汤洗七遍去滑二两） 槟榔（锉） 陈橘皮（汤浸去白焙） 白茯苓（去黑皮）
肉豆蔻（去壳） 甘草（生用，各半两）
丁香 人参（各三两）
以上九味药为末，炼蜜和丸，如梧桐子大，每次服十五丸，食前生姜汤送下。（出自《圣济总录》）
止逆丸，治疗停寒积饮，呕吐痰水，无论冷热，不能进食者，服用必愈。
沉香 丁香 木香 吴茱萸（汤洗焙干） 半夏（汤洗七遍生姜汁制，各半两） 水银 硫黄（各一两，二味研令砂子星尽为度）
以上药材为细末，用生姜糊和匀成丸，如绿豆大，每次服二三十丸，生姜汤送下，不拘时候。（出自《御药院方》）
消饮诸方 二陈汤，治疗痰饮为患，或呕吐恶心，或头眩心悸，或中脘不快，或发为寒热，或因食生冷，脾胃不和。
半夏（汤浸七次） 橘红（各五两） 白茯苓（三两） 甘草（炙，一两半）
以上为粗末，每次服四钱，用水一盏，生姜七片，乌梅一个，同煎至六分，去渣热服，不拘时候。（出自《和剂局方》）
枳缩二陈汤，即二陈汤加枳实、缩砂，理脾胃，顺气宽中，消痰饮。（出自《祖剂》）（按语：本汤加减诸方，互见于痰涎门。）
桔梗汤，除痰下气，治疗胸胁胀满，寒热呕哕，心下坚痞，短气烦闷，痰逆恶心，饮食不下。
陈皮（去穣） 半夏（生姜汁制） 桔梗（细锉微炒，各一十两） 枳实（去穣麸炒赤黄，五两）
以上为粗末，每次服二钱，水一中盏，生姜五片，同煎至七分，去渣温服。不计时候。（出自《和剂局方》）
涌吐诸方 治疗胸中多痰，头痛不欲食，乃（《外台秘要》及）饮酒则瘀阻痰方。
先作一升汤，投水一升，名为生熟汤。及食三合盐，以此汤送之，须臾欲吐便吐出。未尽，更服二合，饮汤二升，后亦可更服汤，不复吐也。（出自《肘后备急方》）
治疗卒然头痛如破，非中冷，又非中风，其痛是胸膈中痰，厥气上冲所致，名为厥头痛，吐之即瘥。
单煮茗作饮二三升许，适冷暖饮二升，须臾即吐，吐毕又饮，如此数过，剧者须吐胆乃止，不损人而渴则瘥。（出自《千金方》）（按语：此方本出《肘后方》，茗作米。）
治疗淡饮头痛，往来寒热。
常山（一两） 云母粉（二两）
以上两味药捣筛为散，热汤服一方寸匕，吐之止。吐不尽，更服。（出自《千金翼方》）
治疗痰厥头痛，宜吐之方。
茶末（四钱） 灯心（一束） 人参芦头（一分）
以上以水一大盏，煎至五分，去渣温服。如人行五里，未吐再服。（出自《太平圣惠方》）
泻下诸方 葛氏方，治疗腹中冷痛，水谷阴结，心下停淡，两胁痞满，按之鸣转，逆害饮食。
大黄（三两） 甘草（二两） 蜜（一升二合） 枣（二十七枚）
以水三升，煮枣取一升，内诸药，煮取一升七合，分两次服。（出自《医心方》）
茱萸消石汤，主治久寒不欲饮食，数十年饮证。
吴茱萸（八合） 消石（一升） 生姜（一斤）
以上三味药，以酒一斗，水解令得二斗，煮药取四升，服二升，病即下，去勿更服也。初下如泔，后如污泥。若如沫滓吐者，更可服之。养如乳妇法。（出自《千金方》）（《香港脚》及《伤食》篇载有类似方剂。）
蠲饮枳实丸，逐饮消痰，导壅清膈。
枳实（麸炒去穣） 半夏（汤洗浸一宿切焙干） 陈橘皮（去白，三味各二两） 黑牵牛（半斤取头末三两，余滓不用）
以上药材为细末，煮面糊为丸，如梧桐子大，每次服五十丸，生姜汤送下，不拘时候。（出自《杨氏家藏方》）
灸法 凡人患水疰，口中涌水，经谓之肺来乘肾，食后吐水，可灸肺俞，又灸三阴交、期门，泻肺补肾也，各随年壮。然而痰涎有类似此症者，又应当如此法灸之。（出自《资生经》）
The above six herbs are sliced. Boil in six sheng of water until one sheng and eight he remain. Strain and divide into three warm doses. Administer the next dose after the patient has walked for a distance equivalent to eight or nine li. Avoid vinegar, peaches, plums, sparrow meat, etc. This formula is identical to that in Zhang Zhongjing's *Shanghan Lun* (Treatise on Cold Damage). (From *Waitai Miyao*)
Shenshi Xiaoyin Wan (Deep Master’s Drink-Dispersing Pill) treats phlegm-fluid retention caused by alcohol consumption, presenting with chest fullness, rebellious qi, vomiting, blurred vision, deafness, and borborygmus in the abdomen.
Ganjiang (Dried Ginger), Fuling (Poria) (each 3 liang), Baizhu (Atractylodes Macrocephala Rhizome) (8 liang), Zhishi (Immature Bitter Orange) (4 pieces, prepared by stir-frying with bran).
The above four herbs are crushed, sifted, and mixed with honey to form pills the size of wutong seeds. Take five pills per dose, three times daily, gradually increasing the dosage. (Ibid.)
In my life, I have suffered from two ailments: bleeding from the zang-fu organs below, and fluid retention in the diaphragm. The bleeding sometimes stops, but the fluid retention never ceases. Initially, because I used to sit up late at night writing, leaning left over the desk, food tended to settle on the left side. After midnight, feeling slightly fatigued, I would drink two or three cups of wine. When lying down to sleep, I also slept on my left side. When my qi and blood were vigorous, I felt no discomfort. Three or five years later, I noticed that the wine only flowed down on the left side, making a gurgling sound, accompanied by hypochondriac pain and significantly reduced appetite. Every ten days or so, I would vomit several sheng of sour and bitter fluid. In summer, only the right side of my body sweated and remained moist, while the left side, where the disease was located, was absolutely dry. I visited famous doctors and tried overseas remedies, with little effect. Occasionally, the treatment worked, but the condition relapsed after more than a month. I had tried tonifying herbs like Tianxiong (Aconitum Lateralis Radix Preparata), Fuzi (Prepared Aconite Root), and Fanshi (Alumen); and purgative herbs like Qianniu (Pharbitis Seed), Gansui (Kansui Root), and Daji (Euphorbia Pekinensis Root). Later, I analyzed the pathology and concluded that it had formed a "pi nang" (a pathological sac-like accumulation of fluid), similar to water accumulating in depressions; the water does not flow until the depression is filled. As the clear part flows away, the turbid part remains stagnant because there is no outlet below. Thus, after accumulating for five to seven days, it must be vomited out to provide temporary relief, only to recur a few days later. The Spleen belongs to Earth, dislikes dampness, and water flows toward damp areas. Therefore, it is best to dry the Spleen to overcome dampness and fortify Earth to fill the depressions, thereby eliminating the disease. Consequently, I discontinued all other medicines and took only Cangzhu (Atractylodis Rhizoma) for three months, after which the illness disappeared. I continued taking it for several years thereafter, without vomiting or diarrhea, with a relaxed chest and diaphragm, normal diet, and even sweating all over the body in summer with a cooling sensation. Water could now descend normally. Previously, fluid retention had soaked the Liver, causing frequent dizziness and blurred vision; afterwards, I could read small print under lamplight, all due to the power of Cangzhu. The method is as follows: Take one jin of Cangzhu, remove the skin and grind into powder. Use half a liang of raw Sesame Seeds, add two zhan of water, grind and filter to obtain the juice. Cook fifteen Jujubes until soft, remove skins and pits, and mash. Mix the sesame juice evenly with the mashed jujube paste to form a thin paste. Combine with the Cangzhu powder, pound thoroughly in a mortar, and form pills the size of wutong seeds. Dry them. Take fifty pills on an empty stomach each day with salted water, increasing to one hundred, then two hundred pills. Avoid peaches, plums, sparrow, and pigeon meat. Initially, there will be slight dryness in the chest; use processed Maoshu (Atractylodis Rhizoma) to mitigate this. If dryness becomes severe, take one dose of Shanzhi San (Gardenia Powder). Over time, the dryness subsides. After taking it for half a year, I used only extremely pungent and drying herbs, peeled without soaking, which were very potent yet naturally non-drying. Shanzhi San consists solely of dried Gardeniae Fructus ground into powder, taken with boiling water. Thus, one should know not to lean to one side when sitting for long periods; occasional movement is also a method of regulation. (From *Ben Shi Fang*) [Note: "Nang" originates from *Qianjin Fang*, referring to fluid accumulation forming a sac-like structure. Sun Yikui believed it resembled a uterine sac and could not be removed quickly, which is incorrect.]
For patients with deficiency-cold in the heart and abdomen, wandering phlegm rising upward, chest and hypochondriac fullness, inability to eat, vomiting and regurgitation, and coldness in the chest, Xiao Banxia Tang (Minor Pinellia Decoction) is indicated.
Banxia (Pinellia Tuber) (1 sheng), Shengjiang (Fresh Ginger) (1 jin), Chuanpiao (Tangerine Peel) (4 liang).
The above three herbs are sliced. Boil in one dou of water until three sheng remain. Divide into three doses. If there is urgency in the heart and heart pain, add Guixin (Cinnamon Twig) 4 liang. If there is abdominal fullness and pain, add Danggui (Angelica Sinensis Root) 3 liang. It is especially suitable for emaciated individuals and the elderly. Another prescription uses Renshen (Ginseng Root) 2 liang (Zhang Zhongjing’s original formula lacks Chuanpiao and Renshen). (From *Qianjin Fang*)
To treat accumulated cold in the chest, epigastric discomfort and irritability, fullness, inability to swallow food and fluids, and back pain corresponding to the chest, Wuzhuyu Tang (Evodia Decoction) is indicated.
Wuzhuyu (Evodia Fruit) (3 liang), Banxia (Pinellia Tuber) (4 liang), Guixin (Cinnamon Twig), Renshen (Ginseng Root) (each 2 liang), Gancao (Licorice Root, prepared) (1 liang), Shengjiang (Fresh Ginger) (3 liang), Dazao (Jujube) (20 pieces).
The above seven herbs are sliced. Boil in nine sheng of water until three sheng remain. Strain and divide into three doses, taken three times daily. (Ibid.)
Ge’s Formula treats cold pain in the abdomen, yin-binding of water and grain, stagnation in the epigastrium, fullness and distension in both hypochondria, borborygmus upon pressure, and dietary intolerance.
Fuling (Poria) 1 liang, Zhuyu (Evodia Fruit) 3 liang, crushed and made into pills the size of wutong seeds with honey. Take five pills, three times daily. (From *Yixin Fang*) *Wei Shi*’s Zhuzhi Wan (Evodia and Immature Bitter Orange Pill) treats fluid retention and癖 (accumulation) in the middle jiao. Add Zhishi (Immature Bitter Orange) to the above formula (prepared with Shenqu dough cooked in ginger juice).
*Duanju*’s Banxia Fuling Tang (Pinellia and Poria Decoction) treats cold air and dilute fluid in the chest, diaphragm, heart, and abdomen; epigastric flooding, irritability, excessive saliva, spontaneous drooling of clear fluid, acute and painful distension in the costal region, and anorexia. These are all caused by weak Stomach qi exposed to cold. The pulse is typically deep, wiry, fine, and slow. This formula addresses all these conditions.
Banxia (Pinellia Tuber, washed) (5 liang), Shengjiang (Fresh Ginger) (5 liang), Fuling (Poria) (3 liang), Xuanfuhua (Inula Flower) (1 liang), Chenjupi (Aged Tangerine Peel), Renshen (Ginseng Root), Jiegeng (Platycodon Root), Shaoyao (Peony Root), Gancao (Licorice Root, prepared) (each 2 liang), Guixin (Cinnamon Twig) (1 liang).
The above ten herbs are sliced. Boil in nine sheng of water until three sheng remain. Divide into three doses. To promote purgation, add Dahuang (Rhubarb Root). (From *Waitai Miyao*) *Qianjin Fang* adds Xixin (Asarum Root) (unnamed formula; called Xuanfuhua Tang in *Ben Shi Fang*). *Jisheng Fang*’s Binglang San (Areca Seed Powder) treats chest-diaphragm phlegm-fluid, abdominal borborygmus, indigestion, vomiting and regurgitation, arm pain, and neck pain. Remove Guixin, Fuling, and Shaoyao from the base formula; add Binglang (Areca Seed), Xingren (Apricot Seed), Ganjiang (Dried Ginger), and Baizhu (Atractylodes Macrocephala Rhizome). *Zhizhi Fang*’s Chuanpi Tang (Tangerine Peel Decoction) treats retained phlegm in the chest and diaphragm. Remove Guixin and Shaoyao; add Xixin (Asarum Root), Qingpi (Green Tangerine Peel), and Zhike (Bitter Orange Fruit). *Yuanrong Fang*’s Wu Yin Tang (Five Fluids Decoction) treats: 1. Liuyin (Retained Fluid) in the epigastrium; 2. Xuanyin (Hanging Fluid) in the hypochondria; 3. Tanyin (Phlegm Fluid) in the Stomach; 4. Yiyin (Overflowing Fluid) above the diaphragm; 5. Liuyin (Flowing Fluid) in the intestines. These five types of fluid retention result from cold damage after drinking alcohol or excessive consumption of cold beverages. [Note: Derived from *Qianjin Yi Fang*]. Remove Jiegeng from the base formula; add Zhishi (Immature Bitter Orange), Baizhu (Atractylodes Macrocephala Rhizome), Houpo (Magnolia Bark), Zexie (Alisma Rhizome), Qianhu (Peucedani Root), and Zhuling (Polyporus). If caused by alcohol consumption, add Gegua (Kudzu Flower) and Suosaren (Black Cardamom).
Dabanxia Tang (Major Pinellia Decoction) treats cold-phlegm fluid retention and disharmony in the chest and diaphragm.
Banxia (Pinellia Tuber) (1 sheng), Baizhu (Atractylodes Macrocephala Rhizome) (3 liang), Shengjiang (Fresh Ginger) (8 liang), Fuling (Poria), Renshen (Ginseng Root), Guixin (Cinnamon Twig), Gancao (Licorice Root), Fuzi (Prepared Aconite Root) (each 2 liang).
The above eight herbs are sliced. Boil in eight sheng of water until three sheng remain. Divide into three doses. (From *Qianjin Fang*) *Waitai Miyao*: *Shanfan Fang* treats spleen cough due to extreme flesh deficiency and cold, retained fluid and phlegm-pi, difficulty in urination and defecation, cutting pain in the lower abdomen, and cold above the diaphragm. Use Dabanxia Tang and add Chuanpi (Tangerine Peel). (*Jifeng Puji Fang*’s Banxia Fuling Yinzi is similar; see the chapter on Vomiting for reference.)
Banxia Tang (Pinellia Decoction) treats phlegm-fluid rebellion and acid regurgitation.
Banxia (Pinellia Tuber), Wuzhuyu (Evodia Fruit) (each 3 liang), Shengjiang (Fresh Ginger) (6 liang), Fuzi (Prepared Aconite Root) (1 piece).
The above four herbs are sliced. Boil in five sheng of water until two sheng and a half remain. Divide into three doses. Elderly and children take half the adult dose, three times daily. (From *Qianjin Fang*) *Shengji Zonglu* treats excessive cold-phlegm obstruction, chest-diaphragm disharmony, cold stomach, weak spleen qi, and vomiting of phlegm-saliva. Qixiao Tang (Miraculous Efficacy Decoction): Remove Wuzhuyu from the above formula; add Muxiang (Aucklandia Root).
Jiangfu Tang (Ginger and Aconite Decoction) treats cold-phlegm qi, chest fullness, shortness of breath, vomiting of foam, headache, and indigestion.
Shengjiang (Fresh Ginger) (8 liang), Fuzi (Prepared Aconite Root) (4 liang, raw, cut into four pieces).
The above two herbs are sliced. Boil in eight sheng of water until two sheng remain. Divide into four doses. It also treats sudden wind-stroke. (From *Qianjin Fang*) (*Yixin Fang* cites Hu Qia’s formula stating Ge’s formula is the same.)
New Method Banxia Tang, transmitted by Physician Guo, treats weak spleen and stomach qi, undispersed phlegm-fluid, vomiting and regurgitation of acid water, abdominal and hypochondriac distending pain, vertigo, nausea, and loss of appetite. (Original text does not list indications; recorded here from *Heji Ju Fang · Chunhua Fang*.)
Dabanxia (Major Pinellia Tuber) (4 liang, washed seven times in decoction, each tuber cut into two slices. Soak one slice with 1 liang of crushed Bai Fan (Alumen) in one bowl of boiling water for a day and night. Wash off the alum, dry, cut each slice into two again. Soak in fresh ginger juice in a silver vessel for a day and night. Steam until the ginger juice is absorbed completely. Dry slowly over low heat until fine powder. Knead into cakes with fresh ginger juice. Sun-dry or bake until yellow, avoiding charring.)
Gancao (Licorice Root, prepared) (2.5 liang), Chenjuhong (Red Tangerine Peel), Caoguo (Black Cardamom Fruit, roasted for flesh), Shenqu (Medicated Leaven, stir-fried), Suoren (Black Cardamom Seed) (each 1 liang), Dingxiang (Clove), Bairdoukou Ren (White Cardamom Seed) (each 0.5 liang).
The above eight herbs are ground into fine powder. For each dose, take one qian. First, mix with one spoonful of fresh ginger juice to form a paste. Add fried salt and boiling water to consume. (From *Shizhai Baiyi Xuanfang*) *Heji Ju Fang* (added during Baoqing era) treats spleen-stomach disharmony, qi stagnation in the middle jiao, residual cold and retained fluid, undigested accumulation, stabbing pain in the heart and abdomen, hypochondriac expansion, vomiting of phlegm-water, belching, and acid regurgitation. Remove Suoren and Bairdoukou from the base formula; add Ganjiang (Dried Ginger), Muxiang (Aucklandia Root), and Fuling (Poria using Dingxiang Pi/Clove Skin). To treat retained fluid, warm the spleen and stomach, benefit the chest and diaphragm, and regulate qi and blood, Chenxiang Fuling Wan (Agarwood and Poria Pill) is indicated.
Chenxiang (Agarwood) (1 liang), Banxia (Pinellia Tuber, washed seven times in decoction to remove slipperiness, 2 liang), Binglang (Areca Seed, chopped), Chenjupi (Aged Tangerine Peel, soaked in water, white pith removed, dried), Baifuling (White Poria, black skin removed), Rou Doukou (Nutmeg, shell removed), Gancao (Licorice Root, raw, each 0.5 liang), Dingxiang (Clove), Renshen (Ginseng Root) (each 3 liang).
The above nine herbs are ground into powder. Mix with refined honey to form pills the size of wutong seeds. Take fifteen pills per dose before meals, washed down with ginger decoction. (From *Shengji Zonglu*)
Zhiní Wan (Stop Rebellious Qi Pill) treats retained cold and accumulated fluid, vomiting of phlegm-water, regardless of cold or heat syndrome, in patients unable to eat. It ensures recovery.
Chenxiang (Agarwood), Dingxiang (Clove), Muxiang (Aucklandia Root), Wuzhuyu (Evodia Fruit, washed in decoction and baked dry), Banxia (Pinellia Tuber, washed seven times in decoction and prepared with ginger juice, each 0.5 liang), Shuiyin (Mercury), Liuhuang (Sulfur) (each 1 liang, ground together until they resemble sand grains).
The above ingredients are ground into fine powder. Mix with ginger paste to form pills the size of mung beans. Take twenty to thirty pills per dose, washed down with ginger decoction, at any time. (From *Yuyao Yuan Fang*)
Formulas for Dispersing Fluids: Erchen Tang (Two-Aged Decoction) treats disorders caused by phlegm-fluid, such as vomiting and nausea, dizziness and palpitations, epigastric discomfort, alternating cold and fever, or spleen-stomach disharmony due to consuming raw or cold foods.
Banxia (Pinellia Tuber, soaked in decoction seven times), Juhong (Aged Tangerine Peel) (each 5 liang), Baifuling (White Poria) (3 liang), Gancao (Licorice Root, prepared) (1.5 liang).
Grind into coarse powder. For each dose, take four qian. Add one zhan of water, seven slices of fresh ginger, and one dark plum. Decoct until six parts remain. Strain and take hot, at any time. (From *Heji Ju Fang*)
Zhishuo Erchen Tang is Erchen Tang plus Zhishi (Immature Bitter Orange) and Suoren (Black Cardamom Seed). It regulates the spleen and stomach, promotes qi circulation, relaxes the middle jiao, and disperses phlegm-fluid. (From *Zuji*) [Note: Various modifications of this formula are cross-referenced in the Phlegm-Saliva section.]
Jiegeng Tang (Platycodon Decoction) eliminates phlegm, directs qi downward, and treats chest and hypochondriac distension, alternating cold and fever, vomiting and hiccups, hardness and fullness in the epigastrium, shortness of breath, irritability, rebellious phlegm, nausea, and inability to eat.
Chenpi (Tangerine Peel, pulp removed), Banxia (Pinellia Tuber, prepared with ginger juice), Jiegeng (Platycodon Root, finely chopped and lightly stir-fried, each 10 liang), Zhishi (Immature Bitter Orange, pulp removed, stir-fried with bran until reddish-yellow, 5 liang).
Grind into coarse powder. For each dose, take two qian. Add one zhan of water and five slices of fresh ginger. Decoct until seven parts remain. Strain and take warm, at any time. (From *Heji Ju Fang*)
Formulas for Inducing Vomiting: Treats excessive phlegm in the chest, headache, anorexia, resulting from alcohol consumption causing blood stasis and phlegm obstruction.
First, prepare one sheng of boiling water, add one sheng of cold water, named "Raw-Cooked Water." Add three he of salt. Swallow with this water. Soon, vomiting will occur and the phlegm will be expelled. If not fully expelled, take another two he, drink two sheng of water, and may take more water afterward to prevent further vomiting. (From *Zhouhou Beiji Fang*)
Treats sudden severe headache as if breaking, not due to cold invasion or wind-stroke. The pain is caused by phlegm in the chest and diaphragm and rebellious qi rushing upward, named "Jue Tou Tong" (Rebellious Headache). Vomiting brings cure.
Boil tea leaves alone to make a beverage of about two to three sheng. Drink two sheng at a comfortable temperature. Soon, vomiting will occur. After vomiting, drink again. Repeat several times. In severe cases, vomiting bile is required to stop the pain. This does not harm the person; thirst indicates recovery. (From *Qianjin Fang*) [Note: This formula originates from *Zhouhou Fang*, where "tea" refers to rice.]
Treats headache due to dilute fluid retention with alternating cold and fever.
Changshan (Dichroa Root) (1 liang), Yunmu Fen (Mica Powder) (2 liang).
Crush and sift the above two herbs into powder. Take one cun bi (measure) with hot water to induce vomiting. Stop when vomiting occurs. If vomiting is incomplete, take more. (From *Qianjin Yi Fang*)
Treats headache due to phlegm-jue (phlegm syncope), suitable for inducing vomiting.
Cha Mo (Tea Powder) (4 qian), Dengxin (Juncus Effusus Stem) (one bundle), Renshen Lutou (Ginseng Root Stump) (1 fen).
Decoct the above in one large zhan of water until five parts remain. Strain and take warm. If vomiting has not occurred after walking for five li, take another dose. (From *Taiping Shenghui Fang*)
Purgative Formulas: Ge’s Formula treats cold pain in the abdomen, yin-binding of water and grain, stagnation in the epigastrium, fullness and distension in both hypochondria, borborygmus upon pressure, and dietary intolerance.
Dahuang (Rhubarb Root) (3 liang), Gancao (Licorice Root) (2 liang), Mi (Honey) (1 sheng 2 he), Zao (Jujube) (27 pieces).
Boil jujubes in three sheng of water until one sheng remains. Add the other herbs. Decoct until one sheng and seven he remain. Divide into two doses. (From *Yixin Fang*)
Zhuyu Xiaoshi Tang (Evodia and Niter Decoction) treats chronic cold, anorexia, and fluid retention lasting decades.
Wuzhuyu (Evodia Fruit) (8 he), Xiaoshi (Niter) (1 sheng), Shengjiang (Fresh Ginger) (1 jin).
Combine the above three herbs with one dou of wine. Add water to make two dou total. Decoct the herbs until four sheng remain. Take two sheng. The disease will evacuate downwards; do not take more after evacuation. Initially, the stool resembles rice water, later like mud sludge. If vomiting of frothy residue occurs, it can be taken again. Nurture the patient as one would a nursing mother. (From *Qianjin Fang*) [Similar formulas are recorded in the *Hongjiao* and *Shangshi* chapters.]
Juan Yin Zhishi Wan (Eliminate Fluid Immature Bitter Orange Pill) expels fluid, dissipates phlegm, guides congestion, and clears the diaphragm.
Zhishi (Immature Bitter Orange, stir-fried with bran, pulp removed), Banxia (Pinellia Tuber, soaked in decoction overnight, sliced, dried), Chenjupi (Aged Tangerine Peel, white pith removed, each 2 liang), Hei Qianniu (Black Pharbitis Seed, half a jin, take the first extraction powder 3 liang, discard the rest).
Grind the above ingredients into fine powder. Make pills with flour paste, the size of wutong seeds. Take fifty pills per dose, washed down with ginger decoction, at any time. (From *Yang Shi Jia C Fang*)
Moxibustion Method: For anyone suffering from Shui Zhu (Water Contagion Disease) with surging saliva in the mouth, the classics state this is Lung qi invading the Kidney. Postprandial vomiting of water can be treated by moxibustion on Feishu (BL13), Sanyinjiao (SP6), and Qimen (LR14). This drains the Lung and tonifies the Kidney. The number of moxa cones should correspond to the patient’s age. Similarly, for phlegm-saliva presenting with similar symptoms, moxibustion should be performed using this method. (From *Zisheng Jing*)