呕吐虽本于胃,然所因亦多端,故有寒热饮食血气之不同,皆使人呕吐。据论云∶寒气
在上,忧气在下,二气并争,但出不入。此亦一涂,未为尽论。且如气属内因,则有七种不
同;寒涉外因,则六淫分异,皆作逆,但郁于胃则致呕,岂拘于忧气而已。况有宿食不消,
中满溢出,五饮聚结,随气番吐,痼冷积热,及瘀血凝闭,更有三焦漏气走哺,吐利泄血,
皆有此证,不可不详辨也。
病者胃中寒,心下淡淡,四肢厥冷,食既呕吐,名曰寒呕。或因伤食多,致伤胃气;或
因病曾经汗下,致胃气虚冷之所为也。
治寒呕脉弱,小便复利,身有微热。见厥者难治。
甘草(一钱,炙) 干姜(三钱三字) 附子(六钱重,生去皮脐)
上为锉散。每服三钱重,水二盏,煎七分,去滓,食前温服。
治同前。
硫黄(不拘多少)
上一味,以柳木槌研细,生姜汁释炊饼糊为丸,如梧子大。每服五十丸,米汤下,食前。
灵液丹 治胃中虚寒,聚积痰饮,食饮不化,噫醋停酸,大便反坚,心胸胀满,恶闻食
气;妇人妊娠恶阻,呕吐不纳食者。
硫黄(打碎) 附子(去皮脐,切如绿豆大,各一两) 绿豆(四两,用水一碗煮干,焙)
上为末,生姜自然汁煮面糊为丸,如梧子大。每服五十丸,米汤下,食前服。
Although vomiting originates in the Stomach, its causes are manifold. Thus, there are differences due to Cold, Heat, food, blood, and Qi, all of which can cause vomiting. According to some theories: "Cold Qi is above, Sorrow Qi is below; when these two Qi contend, only ejection occurs without intake." This is but one perspective and not a comprehensive discussion. Moreover, Qi disorders belong to internal causes and have seven distinct types; Cold pathogens involve external causes, differentiated by the Six Excesses (Wind, Cold, Summerheat, Dampness, Dryness, Fire), all causing rebellious Qi. If they stagnate in the Stomach, vomiting ensues; it is not limited merely to Sorrow Qi. Furthermore, there is undigested retained food causing middle-jiao fullness and overflow; accumulation of the Five Drinks (Phlegm, Yin, Water, Dampness, Retained Fluid) leading to vomiting with Qi rebellion; entrenched Cold or accumulated Heat; and blood stasis causing obstruction. Additionally, there is leakage of Qi from the Triple Burner resulting in immediate vomiting after eating, vomiting with diarrhea, and bleeding from stool. All these present with similar symptoms and must be carefully differentiated.
When the patient has Cold in the Stomach, palpitations in the epigastrium (dandan), cold limbs, and vomiting immediately after eating, it is named Cold Vomiting. This may occur due to excessive food injury damaging Stomach Qi, or as a result of previous sweating or purging therapies during illness, leading to deficiency and Cold of the Stomach Qi.
For treating Cold Vomiting with a weak pulse, frequent urination, and slight fever on the body: if cold limbs are present, it is difficult to treat.
Gancao (Licorice Root, roasted): 1 qian; Ganjiang (Dried Ginger): 3 qian 3 fen; Fuzi (Prepared Aconite Root, raw, peeled, navel removed): 6 qian weight.
Grind into a coarse powder. Take 3 qian weight per dose, decoct with two zhan of water until reduced to 0.7 zhan, strain, and take warm before meals.
Treatment is the same as above.
Liuhuang (Sulfur): any amount.
Grind this single herb finely using a willow wood pestle. Mix with fresh Ginger Juice and steamed dough paste to form pills the size of Sophora seeds. Take 50 pills per dose, washed down with Rice Decoction, before meals.
Lingye Dan (Spiritual Liquid Pill) treats Deficiency-Cold in the Stomach, accumulation of Phlegm-Fluids, indigestion of food and drink, belching with acid regurgitation, constipation despite diarrhea, chest and heart fullness, and aversion to the smell of food; also for women with morning sickness (pregnancy-induced nausea/vomiting) who cannot retain food.
Liuhuang (Sulfur, crushed); Fuzi (Prepared Aconite Root, peeled, navel removed, cut to mung bean size, each 1 liang); Ludou (Mung Bean, 4 liang, boiled in one bowl of water until dry, then dried).
Grind into powder. Use fresh Ginger Juice to make a wheat flour paste for binding, forming pills the size of Sophora seeds. Take 50 pills per dose, washed down with Rice Decoction, before meals.