I have a 1989 B350 with the 318 5.2 engine. Its a camper van that I recently purchased w/ 94k miles on it.
It started Tap, tap, tapping prey loud. I have a friend who has worked on 1000 dodge motors and was a pro mechanic for 30 years. He has replaced enough lifters, rods, ect. in his time to know.
Said if the tapping was a fast tick at the top end (crankcase) that it was most likely a rocker not getting oil. Said to put Sea foam in the oil and run it around town/freeway. Said that Mopars are very well known for this. Especially if it had sat for longer periods of time witch Im sure it has.
So, I put 1/2-3/4 of a bottle of Seafoam in and started driving.
The very loud tapping went away completely after a few miles. Went from a loud knocking that had me worried to a purring kitten.
I am lucky. My problem was only a clogged oil pathway. If that wasn't the problem and it didn't work I would have moved on to opening the valve cover and testing further.
People who talk like Seafoam is the Devil and/or that it solves nothing are only speaking from LIMITED personal experience.
Seafoam it the first, most inexpensive step to take while trying to pinpoint your problem.
If it doesn't work, move to the next possibility and so on until you reach WORST case scenario.
BUT to say, "don't even waste your money" ($6.99) and go straight to pulling your intake manifold off and draining your coolant to replace rods/lifters is a little stupid.
That's my 2cents!
And please everyone, use discernment when reading all the information people spew out all over the internet these days. Some of it is invaluable, allot is worthless ;)