脉∶呕吐无他，寸紧滑数，微数血虚，单浮胃薄，芤则有瘀，最忌涩弱。
呕吐者，有声有物，胃气有所伤也。
保中汤 治呕吐不止，饮食不下。
藿香梗 白术（去芦，各一钱） 陈皮 半夏（姜制） 白茯苓（去皮。各八分） 黄连（土炒） 黄芩
（去朽，土炒） 山栀（姜汁炒，各一钱） 砂仁（三分） 甘草（二分）
上锉一剂，生姜三片，长流水和胶泥澄清二钟，煎至一钟，稍冷顿服。
呕哕清水冷涎，脉沉退者，是寒吐也。
理中汤 治胃寒呕吐清水冷涎。
人参 茯苓（去皮） 白术（去芦） 干姜（炒） 陈皮 藿香 丁香 半夏（姜汁炒） 砂仁（炒）
官桂（各二分）
上锉一剂，生姜三片、乌梅一个，水煎，徐徐温服。寒极手足冷，脉微、吐不出者，加附子，去官桂，烦躁
加辰砂、炒米。
烦渴脉数呕哕者，是热吐也。
黄连竹茹汤 治胃热烦渴呕吐。
黄连（姜汁炒） 山栀（炒黑） 竹茹（各一钱） 人参（五分） 白术（去芦） 茯苓（去皮）
陈皮 白芍（炒） 麦门冬（去心） 甘草（三分） 炒米（一撮） 发热加柴胡。
上锉一剂，乌梅一个、枣一枚，水煎。徐徐温服。
呕哕痰涎者，是痰火也。
二陈汤 治痰火呕吐也。
陈皮 半夏（姜炒） 茯苓（去皮） 甘草 加人参、白术、竹茹、砂仁、山栀（炒）、麦门冬
（去心，各等分）、乌梅（一个）。
上锉一剂，姜三片、枣一枚，水煎，不拘时徐徐温服。
水寒停胃呕吐者，宜燥湿也。
茯苓半夏汤 治水寒停胃呕吐。
茯苓（去皮） 半夏（姜汁炒） 陈皮 苍术（米泔浸炒） 浓朴（姜汁炒。各一钱） 砂仁（五分）
藿香（八分） 干姜（炒，三分） 乌梅（一个） 甘草（三分）
上锉一剂，水一钟、生姜三片，煎至六分，不拘时涂徐温服。
饱闷作酸呕吐者，是停食吐也。香砂平胃散，治停食呕吐。（方见伤寒）。
久病呕吐者，脾胃不纳谷也。
六君子汤 治久病胃虚呕吐。
人参（去芦） 白术（去芦） 茯苓（去皮） 白芍（炒） 山药（炒） 当归（各一钱） 藿香 砂仁
（各五分） 莲肉（十粒） 乌梅（一个） 半夏（姜汁炒） 陈皮（各八分） 甘草（三分） 炒米（百粒）
上锉一剂，生姜三片、枣一枚，水煎，徐徐温服。
恶心者，心中兀兀然无奈，欲吐不吐，欲呕不呕，此为恶心，非心经病。胃口有寒、有热、有痰火、有
胃虚、有停
食、有水饮，与呕吐同治法。
梁太府乃因患头晕呕吐，闻药即呕。诸医措手。余以伏龙肝为末，水丸塞两鼻孔，用保中汤以长流水入胶
泥搅澄煎，稍冷，频服之而安。
信陵府桂台殿下夫人，患因性气不好，一怒即便呕吐、胸膈不利、烦躁不睡、腹痛便闭、食下即吐，已经
八日，心慌喘急垂危，后事已备，举家哭泣。召余诊，六脉虚微，此血虚胃弱，气郁痰火也。以二陈汤加姜连、
酒芩、炒栀、当归、酒芍、香附、竹茹、白术，入竹沥、姜汁，二服而安。
Pulse: Vomiting has no other causes; a tight, slippery, and rapid pulse at the Cun position indicates heat or phlegm-heat; a slightly rapid pulse suggests Blood deficiency; a floating-only pulse indicates thin Stomach Qi; a Khou (Hollow) pulse suggests blood stasis; a choppy and weak pulse is most contraindicated.
Vomiting involves both sound and matter being expelled, indicating injury to Stomach Qi.
Baozhong Tang (Protect the Middle Decoction) treats incessant vomiting and inability to take food or drink.
Huoxiang Geng (Patchouli Stem), Baizhu (Atractylodis Rhizoma, de-radicated, each 1 qian), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma, processed with ginger juice), Baifuling (Poria, peeled, each 8 fen), Huanglian (Coptidis Rhizoma, soil-fried), Huangqin (Scutellariae Radix, remove rotten parts, soil-fried), Shanzhi (Gardeniae Fructus, fried with ginger juice, each 1 qian), Sharen (Amomi Fructus, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 2 fen).
Crush these into one dose, add three slices of fresh Ginger, and use two zhong of clear water from a long-flowing stream mixed with clarified clay mud. Decoct until one zhong remains, let it cool slightly, and take in one dose.
Vomiting or hiccups of clear water and cold saliva, with a sinking and retreating pulse, indicate Cold Vomiting.
Lizhong Tang (Regulate the Middle Decoction) treats Stomach Cold vomiting of clear water and cold saliva.
Renshen (Ginseng Radix), Fuling (Poria, peeled), Baizhu (Atractylodis Rhizoma, de-radicated), Ganjiang (Zingiberis Rhizoma, fried), Chenpi (Citri Reticulatae Pericarpium), Huoxiang (Agastaches Herba), Dingxiang (Caryophylli Flos), Banxia (Pinelliae Rhizoma, fried with ginger juice), Sharen (Amomi Fructus, fried), Guigui (Cinnamomi Cortex, each 2 fen).
Crush these into one dose, add three slices of fresh Ginger and one Wumei (Mume Fruit), decoct with water, and take slowly while warm. If extremities are cold due to extreme Cold, pulse is faint, and nothing can be vomited, add Fuzi (Aconiti Lateralis Radix Praeparata) and remove Guigui; if there is irritability, add Chensha (Cinnabar) and fried rice.
Irritability, thirst, rapid pulse, and vomiting/hiccups indicate Heat Vomiting.
Huanglian Zhuru Tang (Coptis and Bamboo Shavings Decoction) treats Stomach Heat with irritability, thirst, and vomiting.
Huanglian (Coptidis Rhizoma, fried with ginger juice), Shanzhi (Gardeniae Fructus, fried until black), Zhuru (Bambusae Caulis in Taeniam, each 1 qian), Renshen (Ginseng Radix, 5 fen), Baizhu (Atractylodis Rhizoma, de-radicated), Fuling (Poria, peeled), Chenpi (Citri Reticulatae Pericarpium), Baishao (Paeoniae Radix Alba, fried), Maidong (Ophiopogonis Radix, de-heart), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen), Fried Rice (a pinch). Add Chaihu (Bupleuri Radix) if fever is present.
Crush these into one dose, add one Wumei (Mume Fruit) and one Jujube, decoct with water, and take slowly while warm.
Vomiting or hiccups of phlegm-saliva indicate Phlegm-Fire.
Erchen Tang (Two-Aged Decoction) treats Phlegm-Fire vomiting.
Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma, fried with ginger), Fuling (Poria, peeled), Gancao (Glycyrrhizae Radix et Rhizoma). Add Renshen (Ginseng Radix), Baizhu (Atractylodis Rhizoma), Zhuru (Bambusae Caulis in Taeniam), Sharen (Amomi Fructus), Shanzhi (Gardeniae Fructus, fried), Maidong (Ophiopogonis Radix, de-heart, all in equal parts), and Wumei (Mume Fruit, one).
Crush these into one dose, add three slices of Ginger and one Jujube, decoct with water, and take slowly while warm at any time.
For vomiting caused by Cold-Damp stagnating in the Stomach, drying Dampness is appropriate.
Fuling Banxia Tang (Poria and Pinellia Decoction) treats vomiting due to Cold-Water stagnating in the Stomach.
Fuling (Poria, peeled), Banxia (Pinelliae Rhizoma, fried with ginger juice), Chenpi (Citri Reticulatae Pericarpium), Cangzhu (Atractylodis Rhizoma, soaked in rice wash water and fried), Houpo (Magnoliae Officinalis Cortex, fried with ginger juice, each 1 qian), Sharen (Amomi Fructus, 5 fen), Huoxiang (Agastaches Herba, 8 fen), Ganjiang (Zingiberis Rhizoma, fried, 3 fen), Wumei (Mume Fruit, one), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen).
Crush these into one dose, add one zhong of water and three slices of Ginger, decoct until six-tenths remain, and take slowly while warm at any time.
Vomiting accompanied by fullness, oppression, and sour regurgitation indicates Food Stagnation Vomiting. Xiangsha Pingwei San (Costus and Amomum Powder for Leveling the Stomach) treats Food Stagnation Vomicing (Formula see Shanghan section).
Vomiting in chronic illness indicates Spleen and Stomach inability to receive Grain.
Liujunzi Tang (Six Gentlemen Decoction) treats chronic Stomach Deficiency vomiting.
Renshen (Ginseng Radix, de-radicated), Baizhu (Atractylodis Rhizoma, de-radicated), Fuling (Poria, peeled), Baishao (Paeoniae Radix Alba, fried), Shanyao (Dioscoreae Rhizoma, fried), Danggui (Angelicae Sinensis Radix, each 1 qian), Huoxiang (Agastaches Herba), Sharen (Amomi Fructus, each 5 fen), Lianrou (Nelumbinis Semen, ten grains), Wumei (Mume Fruit, one), Banxia (Pinelliae Rhizoma, fried with ginger juice), Chenpi (Citri Reticulatae Pericarpium, each 8 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen), Fried Rice (one hundred grains).
Crush these into one dose, add three slices of Ginger and one Jujube, decoct with water, and take slowly while warm.
Nausea is a feeling of unease in the heart/mind, wanting to vomit but unable to, wanting to retch but unable to. This is Nausea, not a disease of the Heart Meridian. The Stomach opening may have Cold, Heat, Phlegm-Fire, Stomach Deficiency, Food Stagnation, or Water Retention; the treatment method is the same as for Vomiting.
Liang TaiFu suffered from dizziness and vomiting, vomiting upon smelling medicine. All physicians were at a loss. I used Fulonggan (Dragon's House Earth) ground into powder, made into pills with water, and stuffed into both nostrils. Then I administered Baozhong Tang decocted with clear water from a long-flowing stream mixed with clarified clay mud, cooled slightly, and given frequently, resulting in stabilization.
The Lady of Prince Guantai of Xinling Prefecture fell ill due to her bad temper; anger immediately triggered vomiting, chest and diaphragm discomfort, irritability, insomnia, abdominal pain, constipation, and vomiting after eating. This had persisted for eight days. She was in critical condition with palpitations and panting, funeral arrangements were made, and the whole family wept. I was summoned to diagnose her; the six pulses were empty and faint. This indicated Blood Deficiency and Stomach Weakness with Qi Stagnation and Phlegm-Fire. I prescribed Erchen Tang (Two-Aged Decoction) added with Jianglian (Ginger-processed Coptis), Jiuqin (Wine-processed Scutellaria), Chaozhi (Fried Gardenia), Danggui (Angelicae Sinensis Radix), Jiushao (Wine-processed Paeoniae Radix Alba), Xiangfu (Cyperi Rhizoma), Zhuru (Bambusae Caulis in Taeniam), and Baizhu (Atractylodis Rhizoma), added with Zhuli (Bamboo Sap) and Jiangzhi (Ginger Juice). After two doses, she stabilized.