病者心膈胀满,气逆于胸间,食入即呕,呕尽却快,名曰气呕。胃者,足阳明,合荣于
足,今随气上逆,结于胃口,故生呕病也。
治气呕胸满,不纳食,呕吐涎沫,头疼。
吴茱萸(汤洗数次,五两) 人参(三两)
上为锉散。每服四大钱,水一盏半,姜五片,枣三枚,煎七分,去滓,不以时服。
治心下虚满,饮食不入,时时呕吐, 短气;或大病将理不复,
胃气无以养,日渐羸弱。
藿香 人参 桂心 桔梗 木香 白术(各半两) 茯苓(半两) 枇杷叶(十片,去毛) 半夏(一
两,汤洗用姜汁制)
上为锉散。每服五钱,水二盏,入炒姜丝一分,煎七分,去滓,食前服。
病者身背皆热,肘臂挛痛,其气不续,膈间厌闷,食入,则先吐而后下,名曰漏气。此
因上焦伤风,开其腠理,上焦之气,剽悍滑疾,遇开即出,经气失道,邪气内着,故有是证。
治上焦伏热,腹满不欲食,食入胃未定,汗出,身背皆热;或食入,先吐而
后下,名曰漏气。
麦门冬(去心) 生芦根 竹茹 白术(各五两) 甘草(炙) 茯苓(各二两) 橘皮 人参 葳蕤(各三两)
上为锉散。每服四大钱,水一盏半,姜五片,陈米一撮,煎七分,去滓热服。
病者下焦实热,大小便不通,气逆不续,呕逆不禁,名曰走哺。此下焦气,起于胃下口
,别入回肠,注于膀胱,并与胃传糟粕而下大肠,令大小便不通,故知下焦实热之所为也。
The patient experiences distension and fullness in the heart and diaphragm, with Qi counterflow rising in the chest. Food is vomited immediately upon ingestion, but relief is felt after vomiting; this condition is named Qi Oup (Qi Vomiting). The Stomach belongs to the Foot Yangming channel; its Qi should descend and harmonize with Ying Qi (Nutritive Qi). Now, following the counterflow of Qi, it knots at the gastric opening, thus generating vomiting.
For treating Qi Oup accompanied by chest fullness, inability to accept food, vomiting of saliva and froth, and headache:
Evodiae Fructus (Wu Zhu Yu) (washed several times with hot water, 5 liang), Ren Shen (Ginseng Radix et Rhizoma) (3 liang).
Grind the above into a coarse powder. For each dose, take 4 qian, add 1.5 zhan of water, 5 slices of fresh ginger, and 3 jujubes. Decoct until reduced to 70%, strain, and take at any time.
For treating deficiency-fullness below the heart, inability to ingest food, frequent vomiting, shortness of breath; or when recovery from a severe illness is improper, leading to a lack of nourishment for Stomach Qi, resulting in gradual emaciation and weakness:
Agastegis Herba (Huo Xiang), Ren Shen (Ginseng Radix et Rhizoma), Cinnamomi Cortex (Gui Xin), Platycodi Radix (Jie Geng), Aquilariae Lignum Resinatum (Mu Xiang), Atractylodis Macrocephalae Rhizoma (Bai Zhu) (each 0.5 liang), Poria (Fu Ling) (0.5 liang), Loquat Leaf (Pi Pa Ye) (10 leaves, remove hairs), Pinelliae Rhizoma Preparatum (Ban Xia) (1 liang, washed with hot water and processed with fresh ginger juice).
Grind the above into a coarse powder. For each dose, take 5 qian, add 2 zhan of water, and 1 fen of stir-fried shredded ginger. Decoct until reduced to 70%, strain, and take before meals.
The patient feels heat over the back, spasmodic pain in the elbows and arms, interrupted breathing, oppression and stuffiness in the diaphragm. After eating, food is first vomited out and then excreted; this condition is named Lou Qi (Leaking Qi). This is caused by Wind injuring the Upper Jiao, causing the couli (pores) to open. The Qi of the Upper Jiao is fierce, rapid, and slippery; encountering the open couli, it escapes outward. The meridian Qi loses its proper path, and pathogenic factors settle internally, hence these symptoms.
For treating latent Heat in the Upper Jiao causing abdominal fullness, anorexia, sweating before food is digested in the Stomach, and heat over the entire back; or when food is ingested, first vomited out and then excreted, named Lou Qi (Leaking Qi):
Ophiopogonis Radix (Mai Men Dong) (remove the heart), Raw Reed Rhizome (Sheng Lu Gen), Bamboo Shavings (Zhu Ru), Atractylodis Macrocephalae Rhizoma (Bai Zhu) (each 5 liang), Glycyrrhizae Radix et Rhizoma Preparata (Zhi Gan Cao), Poria (Fu Ling) (each 2 liang), Citri Reticulatae Pericarpium (Ju Pi), Ren Shen (Ginseng Radix et Rhizoma), Polygonati Rhizoma (Wei Rui) (each 3 liang).
Grind the above into a coarse powder. For each dose, take 4 qian, add 1.5 zhan of water, 5 slices of fresh ginger, and a pinch of aged rice. Decoct until reduced to 70%, strain, and take while hot.
The patient suffers from Excess-Heat in the Lower Jiao, with obstruction of urination and defecation, counterflow Qi that cannot be sustained, and uncontrollable vomiting and regurgitation; this condition is named Zou Bu (Walking Nourishment/Feeding). This arises from Qi in the Lower Jiao originating from the lower opening of the Stomach, diverting into the ileum, and pouring into the Bladder. It works together with the Stomach to transmit dregs downward into the Large Intestine, causing obstruction of urination and defecation. Thus, it is known to be caused by Excess-Heat in the Lower Jiao.