仲景大青龙汤
小青龙汤并治溢饮者当发其汗二方并见伤寒门
按二方太阳经发散风寒之药辛温之剂也小青龙用干姜细辛半夏以治水气盖伤寒表未解心
下有水饮水寒相搏乃为喘咳诸证故用此发汗散水金匮要略借为治饮之方也
三因参苏饮治痰积停积胸膈中脘闭呕逆痰涎眩晕嘈烦或头痛发热状如伤寒(方见局方)
按此出少阳柴胡例药治感冒异气挟痰饮之病本方云前胡葛根但能解肌枳壳橘红辈自能宽
中快膈母以性凉为疑愚观药性非凉亦是辛平之剂局方金沸草散治风化痰除头项强寒热咳嗽
旋复花 荆芥 麻黄(去节) 前胡(各一两) 甘草(炙) 赤芍 半夏(制各三钱)
上咀姜枣煎 活人金沸草散去麻黄赤芍加茯苓细辛
按此出阳明旋复花代赭石例解利治痰之药也局方气味辛平活人则辛温
金匮十枣汤治悬饮内痛
芫花(熬) 甘遂 大戟(各等分)
上捣筛以水一升半煮大枣十枚至八合去渣纳药末强人一钱匕羸人半钱平旦服之不下更加
半钱快下后以糜粥自养
按此出少阴水气例药芫花之辛以散饮二物之苦以泄水甘遂直达水气所结之处乃泄水之圣
药性有毒不可轻用下同
三因控涎丹凡人忽患胸背手足颈项腰胯隐痛不忍筋骨牵引钓痛时时走易不定乃是痰涎在
心鬲上下变为此疾或手足冷痹气脉不通误认瘫痪非也
甘遂(去心) 紫大戟(去皮) 真白芥子(各等分)
上为末糊丸桐子大晒干食后临卧淡姜汤或熟水下五七丸至十丸痰猛加丸数
一方妙应丸亦只上三味
惊痰加朱砂 痛者加全蝎 酒痰加雄黄全蝎 臂痹加木鳖子(去油壳) 惊气成块者加穿
山甲鳖甲玄胡索蓬术 热痰加盆硝 寒痰加丁香胡椒桂 宣明三花神佑丸
十枣汤加牵牛大黄轻粉(详见下剂)
按以上二方仍十枣汤加减法也并出少阴水气例前方去芫花加白芥子本草主上气发汗胸膈
痰冷盖胸有痰非此不达此方加牵牛大黄大泻血气之湿热而轻粉又去涎积也虚家不可轻用
金匮浓朴大黄汤治支饮胁满者
浓朴(一尺) 大黄(六两) 枳实(四枚)
上水五升煮二升温服
按此即小承气汤阳明可下例药也
王隐君衮痰丸
括曰甑里翻身甲挂金于今头戴草堂深相逢二八求斤正硝 青礞倍若沉十七两中零半两水
丸桐子意常斟千般怪证如神效水泻双身却不任
按此以大黄黄芩为君大泻阳明湿热之药礞石以坠痰沉香则引诸气上而至天下而及泉为使
也有实热者可用
脾胃论蠲饮枳实丸逐饮消痰导滞清膈
枳实 半夏 陈皮(去皮各二两) 黑牵牛(半斤取末二两)
上末水煮面糊丸桐子大每五十丸姜汤下
瑞竹堂方神仙坠痰丸
皂角不蛀者(去皮弦酥炙黄色去子净一两六钱) 黑牵牛(一斤取头末四两) 生白矾(一
两二钱)
上为细末清水丸桐子大每五十丸空心温酒下宝鉴大利膈丸风痰实满喘嗽风气上攻
黑牵牛(四两生用) 半夏 皂角 青皮(各二两) 槐角(一两炒) 木香(半两) 加槟榔
大黄(各五钱)
上为细末姜汁糊丸桐子大食后姜汤下五十丸
涤痰丸治三焦气塞下痰饮酒食
黑牵牛(二两炒取末) 木香 槟榔 青皮 陈皮 三棱 大黄(煨) 枳壳 半夏(各一
两)
上末糊丸桐子大每服五十丸食后姜汤下
按以上四方所用牵牛皂角木香槟榔者并出厥阴例药也牵牛以大黄引之则入血以诸气药引
之则入气本泻气中湿热之药大能脱人元气用者戒之透罗丹治痰实咳嗽胸膈不利
皂角(酥炙去皮弦一两) 黑牵牛(微炒一两) 杏仁(面炒黄去皮尖一钱) 巴豆(去油另
研一钱) 半夏(一两) 大黄(一两纸裹水浸慢火焙干)
上为细末生姜自然汁为丸桐子大食后姜汤下三十丸
按此仲景备急丸加减法也破坚积结聚寒热兼用之药也
三因破饮丸治五饮停蓄结为癖支满胸胁抢心疼痛
荜茇 丁香 胡椒 砂仁 青皮 乌梅肉 巴豆(去皮) 木香 蝎梢(各等分)
上以青皮同巴豆浆水浸一宿次日漉出同炒橘皮焦去巴豆将所浸水淹乌梅肉炊一熟饭细研
为膏如绿豆大每服五十丸临卧姜汤下津咽亦得
按此破坚积寒癖大热之药也
局方妙香丸治一切久远沉积
巴豆 腻粉 砂 朱砂 牛黄 水银 脑 麝
上分两修制见本方
按此用巴豆 砂削坚破癖加以脑麝等辛香飞窜通达五脏入骨透肌之药也
钱氏白饼子
巴豆(二十四个去皮膜水一斗煮水尽为度) 半夏(汤浸七次焙为末) 轻粉 滑石 天南
星(各一钱)
上研匀巴豆后入众药以糯米饭为丸小豆大捻作饼子煎葱白汤下
按此钱氏用治小儿风痰惊涎癫痫惊搐下痰之药也以上所用巴豆等方盖以痰饮癖积结聚坚
固非此不能除故易老号斩关夺门之将然大宜详审不可轻用
古方巴豆加减寒热温凉五色佐使之药甚多用之各随其宜(并见元戎)
张仲景的大青龙汤和小青龙汤，都用于治疗溢饮（水饮停留于四肢肌肤），应当采用发汗的方法治疗。这两方剂均记载在《伤寒论》章节中。
按语：这两方剂属于太阳经发散风寒的辛温药物。小青龙汤使用干姜、细辛、半夏来治疗水气。大概是因为伤寒表证未解，心下有水饮，水寒之气相互搏结，从而产生喘咳等各种症状，所以使用此方发汗以散水气。《金匮要略》借用此方作为治疗痰饮的方剂。
三因方的参苏饮，治疗痰积停滞在胸膈和胃脘部，导致胸闷、呕吐逆气、痰涎眩晕、嘈杂烦闷，或者头痛发热，症状类似伤寒（方剂见《局方》）。
按语：此方出自少阳病柴胡剂的法则，用于治疗感冒异气挟带痰饮的疾病。本方中提到前胡、葛根只能解除肌表之邪，枳壳、橘红之类自然能宽中快膈。有人因为药性偏凉而怀疑，但我观察药性并非凉性，也是辛平的方剂。《局方》的金沸草散，治疗风邪化痰，消除头项强痛、寒热咳嗽。
药材：旋复花、荆芥、麻黄（去节）、前胡（各一两）、甘草（炙）、赤芍、半夏（制，各三钱）。
煎服法：切碎，加生姜、大枣煎煮。
《活人书》的金沸草散去掉了麻黄、赤芍，加入了茯苓、细辛。
按语：此方出自阳明病旋复花代赭石剂的法则，是解利治疗痰饮的药物。《局方》的版本气味辛平，《活人书》的版本则辛温。
《金匮要略》的十枣汤，治疗悬饮（水饮停聚胁肋）引起的内部疼痛。
药材：芫花（熬制）、甘遂、大戟（各等分）。
煎服法：捣碎过筛，用水一升半，煮大枣十枚至八合，去渣，纳入药末。体质强壮的人服用一钱匕，体弱的人服用半钱匕，清晨空腹服用。如果未见效，再增加半钱匕，直到快速泻下为止。泻后以米粥调养身体。
按语：此方出自少阴病水气证的法则。药物方面，芫花的辛味可以消散水饮，甘遂和大戟的苦味可以泄下水气，甘遂直达水气凝结之处，是泄水的圣药。但药性有毒，不可轻易使用，下文同此。
三因方的控涎丹，凡人忽然患胸背、手足、颈项、腰胯隐痛难忍，筋骨牵引如钓痛，时时游走不定，这是痰涎在心膈上下变化导致的疾病。或者手足冷痹、气脉不通，误认为是瘫痪，其实不是。
药材：甘遂（去心）、紫大戟（去皮）、真白芥子（各等分）。
煎服法：研为末，用糊制成梧桐子大小的丸药，晒干。饭后临睡前，用淡姜汤或熟水送服五七丸至十丸。痰盛者增加丸数。
另一方案妙应丸也只由上述三味药组成。
惊痰加朱砂；痛者加全蝎；酒痰加雄黄、全蝎；臂痹加木鳖子（去油壳）；惊气成块者加穿山甲、鳖甲、玄胡索、蓬术；热痰加盆硝；寒痰加丁香、胡椒、桂。
宣明方的三花神佑丸，是在十枣汤基础上加牵牛子、大黄、轻粉（详见下剂）。
按语：以上两方仍是十枣汤的加减法，都出自少阴病水气证的法则。前方去掉了芫花，加入了白芥子。本草说白芥子主治上气、发汗、胸膈痰冷，大概是因为胸中有痰，非此药不能通达。此方加入牵牛子、大黄，大泻血气中的湿热，而轻粉又能去除涎积。虚损之人不可轻易使用。
《金匮要略》的浓朴大黄汤，治疗支饮（水饮支撑胸肺）引起的胁肋胀满。
药材：浓朴（一尺）、大黄（六两）、枳实（四枚）。
煎服法：用水五升，煮取二升，温服。
王隐君的衮痰丸。
歌诀曰：甑里翻身甲挂金，于今头戴草堂深。相逢二八求斤正，硝青礞倍若沉十七两中零半两。
水丸梧桐子大，意常斟量。千般怪证如神效，水泻双身却不任。
按语：此方以大黄、黄芩为君药，是大泻阳明湿热的药物；礞石用来坠痰；沉香则引导诸气上行而至天下，下行而至泉源，作为使药。有实热证的人可以使用。
李东垣《脾胃论》的蠲饮枳实丸，逐饮消痰，导滞清膈。
药材：枳实、半夏、陈皮（去皮，各二两）、黑牵牛（半斤，取末二两）。
煎服法：研为末，水煮面糊制成梧桐子大小的丸药。每次五十丸，姜汤送服。
瑞竹堂的方子神仙坠痰丸。
药材：不蛀的皂角（去皮弦，酥炙黄色，去子，净重一两六钱）、黑牵牛（一斤，取头末四两）、生白矾（一两二钱）。
煎服法：研为细末，清水制成梧桐子大小的丸药。每次五十丸，空心时温酒送服。
《宝鉴》的大利膈丸，治疗风痰实满、喘嗽、风气上攻。
药材：黑牵牛（四两，生用）、半夏、皂角、青皮（各二两）、槐角（一两，炒）、木香（半两），加槟榔、大黄（各五钱）。
煎服法：研为细末，姜汁糊制成梧桐子大小的丸药。饭后姜汤送服五十丸。
涤痰丸，治疗三焦气塞、下痰、饮酒食积。
药材：黑牵牛（二两，炒取末）、木香、槟榔、青皮、陈皮、三棱、大黄（煨）、枳壳、半夏（各一两）。
煎服法：研为末，糊制成梧桐子大小的丸药。每次服用五十丸，饭后姜汤送服。
按语：以上四方所用牵牛子、皂角、木香、槟榔，都出自厥阴病的法则药物。牵牛子配合大黄引之则入血分，配合诸气药引之则入气分，本是泻气中湿热的药物，大能损耗人的元气，使用者务必戒慎。透罗丹，治疗痰实咳嗽、胸膈不利。
药材：皂角（酥炙去皮弦，一两）、黑牵牛（微炒，一两）、杏仁（面炒黄，去皮尖，一钱）、巴豆（去油另研，一钱）、半夏（一两）、大黄（一两，纸裹水浸，慢火焙干）。
煎服法：研为细末，生姜自然汁制成梧桐子大小的丸药。饭后姜汤送服三十丸。
按语：这是张仲景备急丸的加减法，是破除坚积结聚、寒热兼用的药物。
三因方的破饮丸，治疗五饮停蓄结聚为癖，支撑胀满，胸胁抢心疼痛。
药材：荜茇、丁香、胡椒、砂仁、青皮、乌梅肉、巴豆（去皮）、木香、蝎梢（各等分）。
煎服法：用青皮同巴豆在豆浆水中浸泡一夜，次日滤出同炒，橘皮炒焦后去掉巴豆，将所浸的水淹渍乌梅肉，蒸熟饭，细研为膏，制成绿豆大小的丸药。每次服用五十丸，临睡前姜汤送服，津液吞咽也可以。
按语：这是破除坚积寒癖的大热药物。
《局方》的妙香丸，治疗一切久远沉积。
药材：巴豆、腻粉、砒、朱砂、牛黄、水银、脑、麝。
煎服法：分量修制见本方。
按语：此方使用巴豆、砒霜削坚破癖，加上脑、麝等辛香飞窜、通达五脏、入骨透肌的药物。
钱乙的白饼子。
药材：巴豆（二十四个，去皮膜，水一斗煮至水尽为止）、半夏（汤浸七次，焙干研为末）、轻粉、滑石、天南星（各一钱）。
煎服法：研匀后加入巴豆，用糯米饭制成小豆大小的丸药，捻作饼子状。煎葱白汤送服。
按语：这是钱乙用来治疗小儿风痰惊涎、癫痫惊搐、下痰的药物。以上所用巴豆等方，大概是因为痰饮癖积结聚坚固，非此药不能除去，所以易老（张元素）号称其为“斩关夺门之将”。然而必须详细审察，不可轻易使用。
Da Qing Long Tang (Major Blue Green Dragon Decoction) and Xiao Qing Long Tang (Minor Blue Green Dragon Decoction) by Zhang Zhongjing both treat Yi Yin (fluid retention in the limbs and muscles), which should be treated by inducing sweating. Both formulas are found in the Shang Han Lun (Treatise on Cold Damage) section.
Commentary: These two formulas belong to the acrid-warm agents that disperse wind-cold from the Tai Yang (Greater Yang) channel. Xiao Qing Long Tang uses Gan Jiang (Dried Ginger), Xi Xin (Asarum), and Ban Xia (Pinellia) to treat fluid qi. Generally, when the exterior syndrome of cold damage is unresolved and there is water-fluid under the heart, the water-cold qi clashes, leading to various symptoms such as wheezing and coughing; thus, this formula is used to induce sweating and dissipate fluid. Jin Gui Yao Lue (Essential Prescriptions of the Golden Cabinet) borrows this formula for treating Yin (fluid retention).
San Yin Fang's Shen Su Yin (Ginseng and Perilla Infusion) treats phlegm accumulation stagnating in the chest, diaphragm, and epigastrium, causing chest tightness, vomiting and regurgitation, phlegm-saliva, dizziness, burning discomfort, or headache and fever with symptoms resembling cold damage (formula seen in Ju Fang / Formulas of the Bureau).
Commentary: This formula derives from the Shaoyang (Lesser Yang) Chai Hu (Bupleurum) pattern principles, treating common cold pathogens complicated by phlegm-fluid disease. The formula mentions that Qian Hu (Peucedanum) and Ge Gen (Pueraria) can only release the muscle layer, while Zhi Ke (Aurantii Fructus) and Ju Hong (Citri Reticulatae Pericarpium) naturally widen the middle and clear the diaphragm. Some doubt it due to its cool nature, but I observe the drug properties are not cool; it is also an acrid-ping (neutral) agent. Ju Fang's Jin Fei Cao San (Golden Wave Herb Powder) treats wind-phlegm, eliminating neck stiffness, chills and fever, and coughing.
Herbs: Xuan Fu Hua (Inulae Flos), Jing Jie (Schizonepetae Herba), Ma Huang (Ephedrae Herba - removed nodes), Qian Hu (Peucedani Radix) (each 1 liang), Zhi Gan Cao (Prepared Licorice Root), Chi Shao (Red Peony Root), Zhi Ban Xia (Prepared Pinellia Tuber) (each 3 qian).
Decoction method: Coarsely crush, decoct with Sheng Jiang (Fresh Ginger) and Da Zao (Jujube).
Huo Ren Shu's Jin Fei Cao San removes Ma Huang and Chi Shao, adding Fu Ling (Poria) and Xi Xin (Asarum).
Commentary: This formula derives from the Yangming (Yang Brightness) Xuan Fu Hua Dai Zhe Shi (Inula and Hematite) pattern principles; it is a resolving and phlegm-dispersing agent. Ju Fang's version has an acrid-ping flavor, while Huo Ren's version is acrid-warm.
Jin Gui Yao Lue's Shi Zao Tang (Ten Jujubes Decoction) treats Xuan Yin (suspended fluid) causing internal pain.
Herbs: Yuan Hua (Genkwa Flower - roasted), Gan Sui (Kansui Root), Da Ji (Euphorbiae Pekinensis Radix) (equal parts).
Decoction method: Pound and sieve. Boil ten jujubes in 1.5 sheng of water until reduced to 0.8 sheng. Remove dregs and add the herbal powder. Strong individuals take 1 qian bi; frail individuals take half a qian bi. Take at dawn. If no effect, increase by half a qian bi until rapid purgation occurs. Afterward, nourish the body with millet porridge.
Commentary: This formula derives from the Shaoyin (Lesser Yin) water-fluid pattern principles. Pharmacologically, Yuan Hua's acridity disperses fluid, while the bitterness of the other two drains water. Gan Sui reaches directly to where fluid qi binds; it is the holy medicine for draining water. However, it is toxic and must not be used lightly; the same applies below.
San Yin Fang's Kong Xian Dan (Control Saliva Pill) treats sudden onset of hidden pain in the chest, back, hands, feet, neck, waist, and hips, unbearable with bone-tendon traction like a hook, moving constantly. This is caused by phlegm-saliva changing above and below the heart and diaphragm. Or cold numbness in hands and feet with blocked qi and vessels, mistakenly identified as paralysis, which is incorrect.
Herbs: Gan Sui (removed heart), Zi Da Ji (Purple Euphorbia Root - peeled), Zhen Bai Jie Zi (True White Mustard Seed) (equal parts).
Decoction method: Pound into powder, make pills with paste size of paulownia seeds. Dry in sun. Take after meals and before sleep, with light ginger soup or cooked water, 5-7 to 10 pills. Increase number for severe phlegm.
Another prescription, Miao Ying Wan (Miraculous Response Pill), consists only of the above three ingredients.
For shock-phlegm, add Zhu Sha (Cinnabar); for pain, add Quan Xie (Scorpion); for wine-phlegm, add Xiong Huang (Realgar) and Quan Xie; for arm numbness, add Mu Bie Zi (Strychnos Seed - remove oil shell); for shock-qi masses, add Chuan Shan Jia (Pangolin Scale), Bie Jia (Trionycis Carapax), Yan Hu Suo (Corydalis Rhizome), and Peng Ze (Curcuma Zedoaria). For heat-phlegm, add Pen Xiao (Saltpeter); for cold-phlegm, add Ding Xiang (Caryophylli Flos), Hu Jiao (Piperis Nigris Fructus), and Gui (Cinnamon Bark).
Xuan Ming Shu's San Hua Shen You Wan (Three Flowers Divine Protection Pill) adds Qian Niu Zi (Pharbitidis Semen), Da Huang (Rhei Radix et Rhizoma), and Qing Fen (Calomelas) to Shi Zao Tang (see detailed lower formula).
Commentary: The above two formulas are still modifications of Shi Zao Tang, deriving from the Shaoyin water-fluid pattern principles. The former formula removes Yuan Hua and adds Bai Jie Zi. Materia Medica states Bai Jie Zi treats upper qi, induces sweating, and clears chest-diaphragm cold-phlegm, likely because phlegm in the chest requires this herb to penetrate. Adding Qian Niu Zi and Da Huang greatly drains damp-heat in blood and qi, while Qing Fen removes salivary accumulation. Deficient persons must not use it lightly.
Jin Gui Yao Lue's Nong Po Da Huang Tang (Magnolia Bark and Rhubarb Decoction) treats Zhi Yin (supporting fluid) causing hypochondriac fullness.
Herbs: Nong Po (Magnoliae Officinalis Cortex - 1 chi), Da Huang (Rhei Radix et Rhizoma - 6 liang), Zhi Shi (Aurantii Fructus Immaturus - 4 pieces).
Decoction method: Boil in 5 sheng of water to obtain 2 sheng. Take warm.
Commentary: This is Xiao Cheng Qi Tang (Minor Order the Qi Decoction), belonging to the Yangming purgative pattern principles.
Wang Yin Jun's Gun Tan Wan (Rolling Phlegm Pill).
Verse: "Turning over in the steamer, armor hanging gold; now wearing grass hall deep. Meeting two eights seeking jin correct, nitre green malachite double if sinking seventeen taels plus half liang."
Make water pills size of paulownia seeds, intended for frequent measurement. Treats thousand strange syndromes with divine efficacy; causes water diarrhea, so double bodies cannot bear it.
Commentary: This formula uses Da Huang (Rhubarb) and Huang Qin (Scutellariae Radix) as sovereign drugs to greatly drain Yangming damp-heat; Meng Shi (Malachite) sinks phlegm; Chen Xiang (Aquilariae Lignum Resinatum) guides all qi up to heaven and down to spring, acting as envoy. It can be used for excess-heat syndromes.
Li Dongyuan's Pi Wei Lun (Treatise on the Spleen and Stomach) Juan Yin Zhi Shi Wan (Eliminate Fluid Aurantium Pill) drives out fluid, eliminates phlegm, directs stagnation, and clears the diaphragm.
Herbs: Zhi Shi (Aurantii Fructus Immaturus), Ban Xia (Pinelliae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium - peeled, each 2 liang), Hei Qian Niu (Black Pharbitis Seed - 8 liang, take 2 liang powder).
Decoction method: Pound into powder, boil water with wheat paste to make pills size of paulownia seeds. Take 50 pills each time with ginger soup.
Ruizhu Tang's Formula Shen Xian Zhui Tan Wan (Immortal Phlegm-Sinking Pill).
Herbs: Bu Zhu Zao Jiao (Non-decaying Gleditsia Sinensis Fruit - remove skin/string, roast with butter to yellow, remove seeds, net weight 1 liang 6 qian), Hei Qian Niu (Black Pharbitis Seed - 1 jin, take first powder 4 liang), Sheng Bai Fan (Raw Alum - 1 liang 2 qian).
Decoction method: Pound into fine powder, make pills with clear water size of paulownia seeds. Take 50 pills on empty stomach with warm wine.
Bao Jian's Da Li Ge Wan (Greatly Benefit Diaphragm Pill) treats wind-phlegm excess-fullness, wheezing-cough, and wind-qi attacking upward.
Herbs: Hei Qian Niu (Black Pharbitis Seed - 4 liang, raw), Ban Xia (Pinelliae Rhizoma), Zao Jiao (Gleditsia Sinensis Fruit), Qing Pi (Citri Reticulatae Pericarpium Viride - each 2 liang), Huai Jiao (Sophorae Tonkinensis Fructus - 1 liang, stir-fried), Mu Xiang (Aucklandiae Radix - 0.5 liang), add Bing Lang (Arecae Semen) and Da Huang (Rhei Radix et Rhizoma) (each 5 qian).
Decoction method: Pound into fine powder, make pills with ginger juice paste size of paulownia seeds. Take 50 pills after meals with ginger soup.
Di Tan Wan (Phlegm-Washing Pill) treats San Jiao (Triple Burner) qi blockage, downward phlegm, alcohol, and food stagnation.
Herbs: Hei Qian Niu (Black Pharbitis Seed - 2 liang, stir-fry take powder), Mu Xiang (Aucklandiae Radix), Bing Lang (Arecae Semen), Qing Pi (Citri Reticulatae Pericarpium Viride), Chen Pi (Citri Reticulatae Pericarpium), San Leng (Sparganii Rhizoma), Da Huang (Rhei Radix et Rhizoma - baked), Zhi Ke (Aurantii Fructus), Ban Xia (Pinelliae Rhizoma) (each 1 liang).
Decoction method: Pound into powder, make pills with paste size of paulownia seeds. Take 50 pills each time after meals with ginger soup.
Commentary: The above four formulas use Qian Niu Zi (Pharbitis Seed), Zao Jiao (Gleditsia Fruit), Mu Xiang (Aucklandia), and Bing Lang (Areca Nut), all deriving from Jueyin (Terminal Yin) pattern principles. Qian Niu Zi guided by Da Huang enters blood; guided by qi-moving herbs, it enters qi. It is originally a drug draining damp-heat in qi, capable of severely depleting primordial qi; users must beware. Tou Luo Dan (Transparent Net Pill) treats phlegm-excess coughing and chest-diaphragm obstruction.
Herbs: Zao Jiao (Gleditsia Sinensis Fruit - roast with butter, remove skin/string, 1 liang), Hei Qian Niu (Black Pharbitis Seed - slightly stir-fry, 1 liang), Xing Ren (Prunus Armeniacae Semen - flour-roast yellow, remove skin/point, 1 qian), Ba Dou (Crotonis Fructus - remove oil, grind separately, 1 qian), Ban Xia (Pinelliae Rhizoma - 1 liang), Da Huang (Rhei Radix et Rhizoma - 1 liang, wrap in paper, soak in water, slow-fire dry).
Decoction method: Pound into fine powder, make pills with fresh ginger juice size of paulownia seeds. Take 30 pills after meals with ginger soup.
Commentary: This is a modification of Zhang Zhongjing's Bei Ji Wan (Emergency Pill), a drug breaking hard accumulations and clusters, using both cold and heat.
San Yin Fang's Po Yin Wan (Break Fluid Pill) treats five fluids stagnating and accumulating into masses, supporting fullness, snatching heart pain in chest and hypochondrium.
Herbs: Bi Bo (Long Pepper Fruit), Ding Xiang (Caryophylli Flos), Hu Jiao (Piperis Nigris Fructus), Sha Ren (Amomi Fructus), Qing Pi (Citri Reticulatae Pericarpium Viride), Wu Mei Rou (Mume Fructus Flesh), Ba Dou (Crotonis Fructus - peeled), Mu Xiang (Aucklandiae Radix), Xie Shao (Scorpion Tail) (equal parts).
Decoction method: Soak Qing Pi together with Ba Dou in soy milk overnight. Strain next day and stir-fry together. Stir-fry orange peel until scorched, then remove Ba Dou. Use the soaked water to steam Wu Mei Rou until cooked. Grind finely into paste. Make pills size of mung beans. Take 50 pills before sleep with ginger soup; swallowing with saliva is also acceptable.
Commentary: This is a great heat drug breaking hard accumulations and cold masses.
Ju Fang's Miao Xiang Wan (Miraculous Fragrance Pill) treats all long-standing sedimentation.
Herbs: Ba Dou (Crotonis Fructus), Ni Fen (Calomelas), Pi (Arsenic), Zhu Sha (Cinnabar), Niu Huang (Bovis Calculus), Shui Yin (Mercurius), Nao (Borneolum Syntheticum), She Xiang (Moschus).
Decoction method: Dosages and preparation see original formula.
Commentary: This formula uses Ba Dou and Pi to break hardness and masses, added with Nao and She Xiang etc., acrid-aromatic, flying and penetrating drugs that unblock the five zang organs, enter bones, and penetrate muscles.
Qian Shi's Bai Bing Zi (White Cake Seeds).
Herbs: Ba Dou (Crotonis Fructus - 24 pieces, remove skin/membrane, boil in 1 dou water until water is gone), Ban Xia (Pinelliae Rhizoma - soak in boiling water seven times, bake and grind), Qing Fen (Calomelas), Hua Shi (Talcum), Tian Nan Xing (Arisaematis Rhizoma) (each 1 qian).
Decoction method: Grind evenly, then add Ba Dou. Make pills with glutinous rice paste size of small beans, shape into cakes. Decoct Cong Bai (Scallion White) soup to take.
Commentary: This is Qian Yi's drug for treating pediatric wind-phlegm, shock-saliva, epilepsy, and convulsions, promoting downward phlegm. The above formulas using Ba Dou etc., are likely because phlegm-fluid masses and accumulations bind firmly; without these, they cannot be removed. Thus, Yi Lao (Zhang Yuansu) calls them "Gate-Cutting and Door-Seizing Generals." However, careful examination is essential; do not use lightly.
Ancient formulas have many variations of Ba Dou (Crotonis Fructus) with cold, heat, warm, cool, and five-color assisting and guiding drugs. Use according to appropriateness (all seen in Yuan Rong).