古云∶治痰先补脾，脾复健运之常，而痰自化。然停积既甚，譬如沟渠瘀壅，久则倒流
逆上，污浊臭秽，无所不有。若不决而去之，而欲澄治已壅之水而使之清，无是理也。故须攻逐
神仙坠痰丸
黑牵牛（取头末，三两） 皂角（酥炙用，一两） 白矾（生用，一两）
上为末，水丸桐子大，酒下三五十丸。
控涎丹
甘遂 大戟 白芥子（各等分）
上为末，水糊丸桐子大，临卧姜汤服五七丸，至十丸。痰猛加丸数。
李时珍曰∶痰涎为物，随气升降，无处不到。入心则成癫痫。入肺则壅窍，为喘咳背冷
肝则膈痛干呕，寒热往来。入经络则麻痹疼痛。入筋骨则牵引钓痛。入皮肉则瘰 痈肿。陈
无
骨牵引钓痛，走易不定，或手足冷痹，气脉不通，此乃痰涎伏在心膈上下，随气攻注，隧道
闭塞所致。误认瘫痪，非也，须以此药治之。
十枣汤
芫花（醋炒黑色） 甘遂（面裹水煮） 大戟（各等分）
上为细末，以水一升半，煮大枣十枚至八合，去滓调药末。强人一钱匕，弱人五分，平
之。不下更加五分，下后以糜粥调养之。河间云∶芫花之辛以散饮，大戟之苦以泄水，其甘
遂直达水气所结之处，乃泄水饮之圣药也。
礞石滚痰丸 王隐君曰∶痰病古今未详，方书虽有五饮诸饮之异，而莫知其病之
源。或头风作眩，目晕耳鸣；或口眼蠕动，眉棱耳叶痛痒；或四肢游风肿硬，似疼非疼；或齿颊
痛，牙齿浮痛；或嗳气吞酸，心下嘈杂；或痛或秽，咽嗌不利，咯之不出，咽之不下，其痰
如墨，或如破絮、桃胶、蚬肉之状；或心下如停冰铁，心气冷痛，梦寐奇怪，失志癫痫；或
足腕酸痛，腰背骨节卒痛；或四肢筋骨疼痛，难以名状，并无常处；或手臂痛麻，状若风湿
；或脊上一条如线之寒起者；或浑身习习如卧芒刺者；或眼粘湿痒，口糜舌烂喉痹等症；或
绕项结核，状若瘰疠；或胸腹间有如二气交纽，噎息烦闷，有如烟火上冲，头面烘热；或中
风瘫痪；或痨瘵荏苒之疾；或风毒香港脚，或心下怔忡，如畏人捕；或喘咳呕吐；或呕冷涎、
墨汁、绿水；甚为肺痈、肠毒、便脓、挛跛。内外为病百端，皆痰所致。其状不同，难以尽
述。盖津液既凝为痰，不复周润三焦，故口燥咽干，大便秘结，面如枯骨，毛发焦槁，妇人
则因此月水不通。若能逐去败痰，自然服饵有效。余用滚痰丸以愈诸疾，今特相传于世云。
青礞石（一两） 沉香（五钱） 大黄（酒蒸熟，切晒） 黄芩（各八两）
上将礞石打碎，用焰硝一两，同入瓦罐，盐泥固济，晒干火 ，石色如金为度。研末，
药，水丸如梧子大，白汤食后服。人壮气实者，可至百丸。服后仰卧，令药在胸膈间，徐徐
而下，除逐上焦痰滞恶物过膈，然后动作，食汤水，方能中病，明日当下痰积恶物。若不下
愚按∶痰之与饮，同类而异名者耳。痰者，食物所化，饮者，水饮所成，故痰质稠而饮质稀
也。痰多从火化，饮多从寒化，故痰宜清而饮宜温也。痰多胶固一处，饮多流溢上下，故痰
可润而饮可燥也。是以控涎、十枣，为逐饮之真方，礞石滚痰，乃下痰之的药。易而用之，罕有获效者矣。学人辨之。
古人说：治疗痰证首先要补益脾土，脾脏恢复其正常的运化功能，痰自然就会化解。然而，如果痰饮停积已经非常严重，就像沟渠淤塞堵塞一样，时间久了就会倒流逆上，变得污浊臭秽，什么脏东西都有。如果不通过攻逐的方法将其排出，却想澄清已经淤堵的水使其变清，这是没有道理的。因此必须使用攻逐法。
神仙坠痰丸
黑牵牛（取头末，三两） 皂角（用酥炙后使用，一两） 白矾（生用，一两）
以上药物研为细末，用水泛丸，如梧桐子大小，酒送服三五十丸。
控涎丹
甘遂 大戟 白芥子（各等分）
以上药物研为细末，用水糊制作成丸，如梧桐子大小，临睡前用姜汤送服五至七丸，最多增至十丸。若痰势猛烈，可增加丸数。
李时珍说：痰涎这种物质，随着气的升降而流动，无处不到。进入心脏则形成癫痫。进入肺脏则阻塞气道，导致喘咳、背部发冷。进入肝脏则引起膈部疼痛、干呕、寒热往来。进入经络则导致麻痹疼痛。进入筋骨则引起牵引样剧痛。进入皮肉则形成瘰疬、痈肿。陈无咎（注：原文“陈 无”疑为陈无咎或指代不明，此处依语境译为陈氏观点或保留人名）指出：骨节牵引剧痛，游走不定，或者手足寒冷麻木，气脉不通，这是由于痰涎潜伏在心膈上下，随着气机攻冲注注，导致隧道闭塞所致。误认为是瘫痪，是不对的，必须用这类药物治疗。
十枣汤
芫花（醋炒至黑色） 甘遂（面粉包裹水煮） 大戟（各等分）
以上药物研为细末，用水一升半，煮大枣十枚至八合，去渣滓，调入药末。体质强壮者服一钱匕，体质虚弱者服五分，平素服用。如果未见效，再增加五分；服药后出现泻下反应，之后用米粥调养。河间（刘完素）说：芫花的辛味可以消散水饮，大戟的苦味可以泄下水气，甘遂能直达水气凝结之处，是泄下水饮的圣药。
礞石滚痰丸 王隐君说：痰病古今记载不详，方书中虽有五饮、诸饮的区别，但没有人知道疾病的根源。有的表现为头风眩晕，眼睛昏花耳鸣；有的口眼抽动，眉棱骨、耳朵及耳叶疼痛瘙痒；有的四肢游走性风肿硬，似疼非疼；有的牙齿颊部疼痛，牙齿浮痛；有的嗳气吞酸，心下嘈杂；有的疼痛或秽浊，咽喉不利，咳之不出，咽之不下，痰色如墨，或者像破絮、桃胶、蚬肉的样子；有的感觉心下像停着冰铁，心气冷痛，梦境奇怪，意志丧失甚至癫痫；有的足腕酸痛，腰背骨节突然疼痛；有的四肢筋骨疼痛，难以名状，且没有固定位置；有的手臂疼痛麻木，状若风湿；有的脊背中间有一条线状的寒气升起；有的浑身刺痒如同卧在芒刺之上；有的眼睛粘湿发痒，口腔糜烂舌烂喉痹等症状；有的颈部周围结核，状若瘰疬；有的胸腹间好像有两条气交纽，噎息烦闷，好像烟火上冲，头面烘热；有的中风瘫痪；有的劳瘵缠绵难愈的疾病；有的风毒脚气，或者心下怔忡，好像害怕被人捕捉；有的喘咳呕吐；有的呕吐冷涎、墨汁、绿水；严重的甚至导致肺痈、肠毒、便脓、挛缩跛行。内外各种疾病百端，都是由痰引起的。症状不同，难以尽述。大概津液凝结成为痰，不再周流滋润三焦，所以口燥咽干，大便秘结，面色像枯骨，毛发焦枯，妇女因此月经不通。如果能逐去败痰，自然服药有效。我使用滚痰丸治好了各种疾病，现在特意传授于世。
青礞石（一两） 沉香（五钱） 大黄（酒蒸熟，切片晒干） 黄芩（各八两）
先将礞石打碎，用焰硝一两，同入瓦罐中，用盐泥密封固济，晒干后火煅，直到石头颜色变成金色为止。研为细末，混合药物，用水泛丸如梧桐子大小，饭后用白开水送服。身体壮实、气盛的人，可服至一百丸。服药后仰卧，让药物在胸膈间徐徐而下，待排除上焦痰滞恶物过膈之后，才能活动、进食喝汤水，这样才能击中病灶，第二天应当排出痰积恶物。如果没有排出……
愚按：痰与饮，是同类的东西只是名称不同罢了。痰是由食物转化而来，饮是由水饮所成，所以痰质地稠厚而饮质地稀薄。痰多从火热转化，饮多从寒湿转化，所以痰宜清热而饮宜温化。痰多胶固在一处，饮多流溢于上下，所以痰可用润法（注：此处原文逻辑可能有误或特指某种语境，通常痰燥宜润，但结合下文“痰可润而饮可燥”，意指针对痰的特性可用润剂以软化，或指痰去后需润，此处直译原文意思）而饮可用燥法。因此，控涎丹、十枣汤是逐饮的真正方剂，礞石滚痰丸是下痰的确切良药。如果互换使用，很少能收到效果的。学习者要仔细辨别。
Ancient texts state: To treat phlegm, one must first tonify the Spleen. Once the Spleen recovers its normal transportation and transformation functions, the phlegm will naturally resolve. However, if stagnation and accumulation are severe, it is like a ditch blocked by silt; over time, it flows backward and upward, becoming turbid, foul-smelling, and containing all manner of filth. If one does not employ purgative methods to remove it, but instead attempts to clarify already obstructed water to make it clear, this is impossible. Therefore, purgative methods are necessary.
Shenxian Zhuitan Wan (Immortal's Phlegm-Purging Pill)
Heiqianniu (Semen Sterculiae Lychnophorae, take the finest powder, 3 liang) Zaojiao (Fructus Gleditsiae Sinensis, roasted with butter, 1 liang) Baifan (Alumen, raw use, 1 liang)
Grind the above ingredients into fine powder, form pills with water resembling tung tree seeds in size. Take 30-50 pills with wine.
Kongxian Dan (Phlegm-Fluid Expelling Pill)
Gansui (Radix Euphorbiae Kansui) Daji (Radix Euphorbiae Lathyridis) Baijiezi (Semen Sinapis Albae) (equal parts)
Grind the above ingredients into fine powder, form pills with water paste resembling tung tree seeds in size. Take 5-7 pills before sleep with ginger decoction, increasing up to 10 pills. If phlegm is vigorous, increase the number of pills.
Li Shizhen said: Phlegm-fluid is a substance that ascends and descends with Qi, reaching everywhere. Entering the Heart, it becomes epilepsy. Entering the Lung, it blocks orifices, causing wheezing, coughing, and coldness in the back. Entering the Liver, it causes diaphragmatic pain, dry heaving, and alternating chills and fever. Entering the meridians, it causes numbness and pain. Entering the sinews and bones, it causes pulling and hook-like pain. Entering the skin and flesh, it forms scrofula and abscesses. Chen Wujiu stated: Bone traction and hook-like pain, moving unpredictably, or cold numbness in hands and feet, with obstruction of Qi and vessels, is caused by phlegm-fluid lurking above and below the heart and diaphragm, attacking and injecting along with Qi, leading to the blockage of tunnels. Mistaking this for paralysis is incorrect; it must be treated with these medicines.
Shizao Tang (Ten Jujube Decoction)
Yuanhua (Flos Genkwa, stir-fried with vinegar until black) Gansui (Radix Euphorbiae Kansui, boiled wrapped in flour) Daji (Radix Euphorbiae Lathyridis) (equal parts)
Grind the above into fine powder. Use 1.5 sheng of water to boil 10 jujubes until reduced to 0.8 sheng. Strain the dregs and mix with the medicine powder. Strong individuals take 1 qianbi; weak individuals take 0.5 fen. For maintenance. If no effect, add 0.5 fen. After purgation, nourish with millet porridge. Hejian (Liu Wansu) said: The pungency of Yuanhua disperses fluid retention; the bitterness of Daji drains water; Gansui reaches directly to where water-Qi binds. It is the holy medicine for draining water-fluid retention.
Mengshi Gun Tan Wan (Calamine Rolling Phlegm Pill) Wang Yinjun said: The pathology of phlegm has not been detailed since ancient times. Although formularies distinguish between five fluids and various fluids, no one knows the source of the disease. Some present as head wind causing vertigo, blurry vision, and tinnitus; some have twitching of mouth and eyes, pain/itching in brow ridge, ears, and earlobes; some have wandering wind swelling and hardness in four limbs, painful yet not painful; some have tooth and cheek pain, floating toothache; some have belching and acid regurgitation, epigastric discomfort; some have pain or foulness, throat obstruction, unable to expectorate or swallow, with phlegm like ink, or like broken cotton, peach gum, or clam meat; some feel ice and iron stopped in the epigastrium, cold pain of Heart-Qi, strange dreams, loss of will, and epilepsy; some have soreness and pain in ankle joints, sudden pain in waist, back, and bone joints; some have pain in four limbs' sinews and bones, indescribable and without fixed location; some have arm pain and numbness resembling wind-dampness; some have a line-like cold sensation rising along the spine; some have whole-body prickling as if lying on thorns; some have sticky wet itchy eyes, oral ulcers, tongue rot, and throat bi; some have neck nodules resembling scrofula; some have chest and abdomen feeling like two gases twisting, choking, suffocation, and vexation, as if fire/smoke rushing upward, with hot flushing of head and face; some have stroke and paralysis; some have chronic consumption diseases; some have wind-toxic gout; some have palpitations in the epigastrium, fearing capture; some have wheezing, coughing, and vomiting; some vomit cold saliva, black juice, or green water; severely, they develop lung abscess, intestinal toxicity, pus in stool, contracture, and limp. Internal and external diseases are myriad, all caused by phlegm. Symptoms differ and cannot be fully described. Generally, when body fluids congeal into phlegm, they no longer circulate and moisten the Triple Burner, causing dry mouth and throat, constipation, face like dead bone, scorched hair, and amenorrhea in women. If bad phlegm is purged, medication will naturally be effective. I used Gun Tan Wan to cure various diseases and now specially transmit it to the world.
Qingmengshi (Calamine, 1 liang) Chenxiang (Aquilaria Lignum Resinatum, 5 qian) Dahuang (Radix et Rhizoma Rhei, steamed with wine, sliced, and dried) Huangqin (Radix Scutellariae, 8 liang each)
First crush Mengshi, mix with 1 liang of Yanxiao (Natrii Nitratis), put into a clay pot, seal with salt mud, dry, and calcine until the stone turns golden color. Grind into powder, mix with other medicines, form pills like wu zi (wu-tzu seeds) in size. Take after meals with plain warm water. For robust individuals with strong Qi, up to 100 pills may be taken. After ingestion, lie supine to let the medicine descend slowly in the chest and diaphragm. Only after expelling upper Jiao phlegm stasis and evil substances past the diaphragm should one move, eat, or drink soup/water to hit the target. The next day, phlegm accumulation and evil substances should be discharged. If not discharged...
I observe: Phlegm and Yin (fluid retention) are of the same category but different names. Phlegm is transformed from food; Yin is formed from water-drink. Thus, phlegm is thick in quality, while Yin is thin. Phlegm often transforms via Fire; Yin often transforms via Cold. Thus, phlegm requires clearing, while Yin requires warming. Phlegm often sticks in one place; Yin often flows up and down. Thus, phlegm can be moistened (to soften), while Yin can be dried. Therefore, Kongxian Dan and Shizao Tang are true formulas for draining Yin; Mengshi Gun Tan Wan is the accurate medicine for purging phlegm. Using them interchangeably rarely yields results. Students must discriminate carefully.