或因热而生痰，或因痰而生热，交结不解，相助为疟。是以欲去其痰，必先清其热。昔
痰因火盛逆上者，治火为先也。其证咽喉干燥，或塞或壅，头目昏重，或咳吐稠粘，面目赤热。
洁古小黄丸
南星 半夏 黄芩（各一两）
上为末，姜汁浸蒸饼为丸，如桐子大，每五七十丸，生姜汤下，食后服。
二陈汤加黄芩、连翘、山栀、桔梗、薄荷亦佳。
《圣济》鹅梨煎丸 治热痰，凉心肺，利胸膈，解毒，补虚益气。
鹅梨（大者二十枚，去皮取汁） 皂夹（十条，去皮，水揉取汁） 生地黄（八两，捣取汁）
荷（生捣取汁） 白蜜（八两，同上汁熬成膏） 人参 白茯苓 半夏（各一两） 槟
榔（煨，三分） 青皮（去白，炒） 桔梗 甘草（炙，各三分）
上共为末，捣膏为丸，梧子大，荆芥汤下二十丸、日二。一方有木香、苁蓉、白蒺藜、
《圣济》千金散 治热痰壅盛，胸膈不利。
半夏（姜汁制） 蛤粉（各半两） 甘草 凝水石（三钱， ）
上共末，水下三钱，空心服，以利为度。一方有羌活。
肺虚阴涸，枯燥日至，气不化而成火，津以结而成痰，是不可以辛散，不可以燥夺。清
之则气自化，润之则痰自消。
杏仁煎 治燥痰在肺中，上气咳嗽，或心胸烦热。
杏仁（去皮尖，三两） 生姜汁 白蜜 饴糖（各一两半） 桑皮 贝母 木通（
各一两二钱半） 紫菀 五味（各一两）
上锉碎，用水三升，熬至半升，去滓，入前杏仁等四味，再熬成膏，每服一匕，含化。
一方有款冬、知母。一方有生地汁、紫苏子。
节斋化痰丸 治郁痰、老痰、胶固稠粘，难于咯唾。
天门冬 片芩（酒炒） 栝蒌仁 橘红 海石粉（各一两半） 香附（盐水炒） 芒
硝桔梗 连翘（各五钱） 青黛（二钱）
上为末，炼白蜜入姜汁少许，和丸樱桃大，细嚼一丸，清汤下。
有的因为热邪而生痰，有的因为痰浊而化热，两者相互纠结难以解开，互相助长形成疟疾（此处指寒热往来如疟的症状）。因此想要去除痰浊，必须先清除热邪。过去认为，痰因火盛而上逆的，治疗应以清火为先。其症状表现为咽喉干燥，或有堵塞感、壅滞感，头目昏沉沉重，或咳嗽吐出粘稠痰液，面目红赤发热。
洁古小黄丸
南星、半夏、黄芩（各一两）
将上述药物研为细末，用姜汁浸泡蒸饼制成丸药，大小如梧桐子，每次服用五七十丸，饭后用生姜汤送服。
二陈汤加入黄芩、连翘、山栀、桔梗、薄荷也是很好的方剂。
《圣济总录》鹅梨煎丸：治疗热痰，能清凉心肺，通利胸膈，解毒，补虚益气。
鹅梨（大的二十枚，去皮取汁）、皂荚（十条，去皮，用水揉搓取汁）、生地黄（八两，捣碎取汁）、荷（生捣取汁）、白蜜（八两，用上述汁液熬成膏状）、人参、白茯苓、半夏（各一两）、槟榔（煨制，三分）、青皮（去白瓤，炒制）、桔梗、甘草（炙制，各三分）
将上述药物共同研为细末，与熬好的膏混合制成丸药，大小如梧桐子，每次服用二十丸，用荆芥汤送服，每日两次。另一版本方剂中含有木香、肉苁蓉、白蒺藜。
《圣济总录》千金散：治疗热痰壅盛，胸膈不畅。
半夏（姜汁炮制）、蛤粉（各半两）、甘草、凝水石（三钱，煅制）
将上述药物共同研为细末，用水送服三钱，空腹服用，以大便通畅为度。另一版本方剂中含有羌活。
肺脏虚弱，阴液枯竭，日益干枯，气机不能正常转化而形成火邪，津液凝结而成痰浊，这种情况不可以用辛温发散的方法，也不可以用燥烈之品强行攻夺。用清热法则气机自然转化，用滋润法则痰浊自然消除。
杏仁煎：治疗燥痰在肺中，引起上气咳嗽，或心胸烦热。
杏仁（去皮尖，三两）、生姜汁、白蜜、饴糖（各一两半）、桑白皮、贝母、木通（各一两二钱半）、紫菀、五味子（各一两）
将药物切碎，用水三升，熬煮至半升，滤去药渣，加入前述杏仁等四味药，再次熬煮成膏状，每次服用一匕量，含在口中慢慢化开。另一版本方剂中含有款冬花、知母。另一版本方剂中含有生地黄汁、紫苏子。
节斋化痰丸：治疗郁痰、老痰、胶固粘稠，难以咳出。
天门冬、片芩（酒炒）、栝蒌仁、橘红、海浮石粉（各一两半）、香附（盐水炒）、芒硝、桔梗、连翘（各五钱）、青黛（二钱）
将上述药物研为细末，炼制的白蜜中加入少许姜汁，调和制成樱桃大小的丸药，细细咀嚼一丸，用清汤送下。
Some cases arise from phlegm generated by heat, while others involve heat generated by phlegm; the two entangle each other and are difficult to resolve, mutually exacerbating symptoms resembling malaria (alternating chills and fever). Therefore, to eliminate phlegm, one must first clear the heat. In the past, it was held that when phlegm reverses upward due to excessive fire, treatment should prioritize clearing the fire. The manifestations include dryness of the throat, or a sensation of blockage and congestion, heaviness and dizziness of the head and eyes, coughing up thick and sticky sputum, and redness and heat in the face and eyes.
Jiegu Xiao Huang Wan (Clean Ancient Small Yellow Pill)
Tian Nan Xing (Arisaema Cum Bile), Ban Xia (Pinellia Rhizoma), Huang Qin (Scutellariae Radix) (each 1 liang)
Grind the above herbs into powder, soak steamed buns made from flour in ginger juice, and form pills the size of paulownia seeds. Take 50–70 pills per dose, administered after meals with ginger decoction.
Er Chen Tang (Two-Aged Decoction) added with Huang Qin (Scutellariae Radix), Lian Qiao (Forsythiae Fructus), Shan Zhi (Gardeniae Fructus), Jie Geng (Platycodonis Radix), and Bo He (Menthae Haplocalycis Herba) is also effective.
Shengji Zonglu E Li Jian Wan (Goose Pear Decoction Pills from the General Records of the Holy Relief): Treats hot phlegm; cools the heart and lungs, benefits the chest and diaphragm, detoxifies, tonifies deficiency, and boosts qi.
E Li (Goose Pear, 20 large ones, peeled for juice); Zao Jia (Gleditsiae Sinensis Fructus, 10 strips, peeled for juice via water rubbing); Sheng Di Huang (Rehmanniae Radix Recens, 8 liang, crushed for juice); He Ye (Nelumbinis Folium, crushed fresh for juice); Bai Mi (White Honey, 8 liang, boiled into paste with the aforementioned juices); Ren Shen (Ginseng Radix et Rhizoma); Bai Fu Ling (Poria); Ban Xia (Pinellia Rhizoma) (each 1 liang); Bing Lang (Arecae Semen, roasted, 3 qian); Qing Pi (Citri Reticulatae Pericarpium Viride, white pith removed, stir-fried); Jie Geng (Platycodonis Radix); Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 3 qian)
Grind all ingredients into powder, mix with the prepared paste to form pills the size of paulownia seeds. Take 20 pills per dose with Jing Jie Tang (Schizonepetae Herba Decoction), twice daily. Another version includes Mu Xiang (Aucklandiae Radix), Rong Rong (Cistanche Deserticolae Caulis), and Bai Ji Li (Tribuli Fructus).
Shengji Zonglu Qian Jin San (Thousand Gold Powder from the General Records of the Holy Relief): Treats severe accumulation of hot phlegm and discomfort in the chest and diaphragm.
Ban Xia (Pinellia Rhizoma, processed with ginger juice); Ge Fen (Concha Meretricis); Gan Cao (Glycyrrhizae Radix et Rhizoma); Ning Shui Shi (Alumen Rubrum, 3 qian, calcined)
Grind all ingredients into powder. Take 3 qian with water on an empty stomach, until bowel movement is achieved. Another version includes Qiang Huo (Notopterygii Rhizoma et Radix).
When the lung is deficient and yin fluids are exhausted, dryness increases daily; qi fails to transform normally, generating fire, and body fluids condense to form phlegm. In such cases, acrid dispersants should not be used, nor should desiccating agents be employed to forcibly remove the pathogen. Clearing heat allows qi to transform naturally; moistening ensures phlegm dissipates spontaneously.
Xing Ren Jian (Apricot Kernel Decoction): Treats dry phlegm in the lungs causing rebellious qi and cough, or irritability and heat in the chest and heart.
Xing Ren (Armeniacae Semen Amarum, skin and tip removed, 3 liang); Sheng Jiang Zhi (Fresh Ginger Juice); Bai Mi (White Honey); Yi Tang (Malt Sugar) (each 1.5 liang); Sang Bai Pi (Mori Cortex); Bei Mu (Fritillariae Bulbus); Mu Tong (Akebiae Caulis) (each 1.25 liang); Zi Wan (Asteris Radix); Wu Wei Zi (Schisandrae Chinensis Fructus) (each 1 liang)
Chop the herbs finely, add 3 sheng of water, and boil down to 0.5 sheng. Strain out the dregs, then add the four aforementioned ingredients (Apricot Kernel, Ginger Juice, White Honey, Malt Sugar) and boil again into a paste. Take one bi (measure) per dose, holding it in the mouth to dissolve slowly. Another version includes Kuan Dong Hua (Farfarae Flos) and Zhi Mu (Anemarrhenae Rhizoma). Another version includes Sheng Di Huang Zhi (Rehmanniae Radix Recens Juice) and Zi Su Zi (Perillae Fructus).
Jie Zai Hua Tan Wan (Jie Zai Phlegm-Resolving Pill): Treats stagnant phlegm, old phlegm, and tenacious, sticky phlegm that is difficult to expectorate.
Tian Men Dong (Asparagi Radix); Pian Qin (Scutellariae Radix, wine-fried); Gua Lou Ren (Trichosanthis Semen); Ju Hong (Citri Reticulatae Pericarpium); Hai Shi Fen (Calcitrum); Xiang Fu (Cyperi Rhizoma, salt-water fried); Mang Xiao (Natrii Sulfas); Jie Geng (Platycodonis Radix); Lian Qiao (Forsythiae Fructus) (each 5 qian); Qing Dai (Indigo Naturalis, 2 qian)
Grind all ingredients into powder. Mix with refined white honey and a small amount of ginger juice to form pills the size of cherries. Chew one pill thoroughly and swallow with clear water.