王（二二） 初用辛通见效。多服不应。想雨湿泛潮。都是浊阴上加。致胃阳更困。仿仲景胃中虚。客气
上逆。噫气不除例。（胃虚客气上逆）
人参 旋复花 代赭石 半夏 茯苓 干姜
某 味淡。呕恶嗳气。胃虚浊逆。
白旋复花 钉头代赭 炒黄半夏 姜汁 人参 茯苓
汪（三十） 壮年饮酒聚湿。脾阳受伤已久。积劳饥饱。亦令伤阳。遂食入反出。噫气不爽。格拒在乎中
焦。总以温通镇逆为例。
白旋复花 钉头代赭 茯苓 半夏 淡附子 淡干姜
徐 噫气不爽。食后甚。（脾肺郁）
杏仁 半夏曲 橘红 浓朴 郁金 桔梗
陈（二十） 多噎。胸膈不爽。胃阳弱。宜薄味。（胃阳虚）
生白术 茯苓 新会皮 半夏曲 益智仁 浓朴 生姜
某 嗳气。腹微痛。脾胃未和。（脾胃不和）
人参 焦白芍 茯苓 炙甘草
内经止有噫字。而无嗳字。故经云。五气所病。心为噫。又云。寒气客于胃。厥逆从下上散。复
出于胃。故为噫。夫噫嗳一症。或伤寒病后。及大病后。多有此症。盖以汗吐下后。大邪虽解。
胃气弱而不和。三焦因以失职。故清无所归而不升。浊无所纳而不降。是以邪气留连。嗳
酸作饱。胸膈不爽。而为心下痞硬。噫气不除。乃胃阳虚而为阴所格阻。阳足则充周流动。
不足则胶固格阻矣。仲景立旋复代赭汤。用人参甘草养正补虚。姜枣以和脾养胃。所以
安定中州者至矣。更以旋复花之力。旋转于上。使阴中格阻之阳。升而上达。又用代赭石
之重镇坠于下。使恋阳留滞之阴。降而下达。然后参甘大枣。可施其补虚之功。而生姜半
夏。可奏其开痞之效。而前贤治噫嗳一症。无出仲景右矣。故先生于胃虚客气上逆。及胃
阳虚。脾胃不和。肺气不降而为噫嗳者。每宗仲景法加减出入。或加杏仁桔梗以开肺。智
仁朴术以散满。甘草白芍以和胃。靡不应手取愈。可谓得仲景心法矣。（邹时乘）
Patient Wang, aged 22. Initially, pungent and unblocking methods showed efficacy. However, prolonged administration yielded no further effect. It is presumed that dampness from rainy weather has risen, causing turbid Yin pathogens to ascend, thereby further trapping the Stomach Yang. Following Zhang Zhongjing's example for deficiency in the Stomach with rebellious Qi ascending, leading to persistent belching (Pathogenesis: Stomach deficiency with rebellious Qi).
Ren Shen (Ginseng Radix), Xuan Fu Hua (Inulae Flos), Dai Zhe Shi (Hematitum), Ban Xia (Pinelliae Rhizoma), Fu Ling (Poria), Gan Jiang (Zingiberis Rhizoma)
Another patient. Taste is bland, vomiting, nausea, and belching. This indicates Stomach deficiency with rebellious turbid Qi.
Bai Xuan Fu Hua (Inulae Flos), Ding Tou Dai Zhe Shi (Hematitum prepared with nail-like texture), Chao Huang Ban Xia (Pinelliae Rhizoma stir-fried until yellow), Jiang Zhi (Zingiberis Juice), Ren Shen (Ginseng Radix), Fu Ling (Poria)
Patient Wang, aged 30. In his prime, alcohol consumption accumulated dampness, injuring Spleen Yang for a long time. Chronic fatigue and irregular eating habits also damaged Yang. Consequently, food is regurgitated after ingestion, and belching is unsatisfactory. The obstruction lies in the Middle Jiao. The general principle is warming, unblocking, and suppressing rebellion.
Bai Xuan Fu Hua (Inulae Flos), Ding Tou Dai Zhe Shi (Hematitum), Fu Ling (Poria), Ban Xia (Pinelliae Rhizoma), Dan Fu Zi (Aconiti Lateralis Radix Praeparata), Gan Jiang (Zingiberis Rhizoma)
Patient Xu. Belching is unsatisfactory, worsening after meals. (Pathogenesis: Spleen and Lung stagnation)
Xing Ren (Armeniacae Semen Amarum), Ban Xia Qu (Pinelliae Fermented Rhizoma), Ju Hong (Citri Reticulatae Pericarpium), Hou Po (Magnoliae Officinalis Cortex), Yu Jin (Curcumae Radix), Jie Geng (Platycodonis Radix)
Patient Chen, aged 20. Frequent dysphagia, chest and diaphragm discomfort. Weak Stomach Yang. Diet should be light. (Pathogenesis: Stomach Yang deficiency)
Sheng Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Xin Hui Pi (Citri Reticulatae Pericarpium), Ban Xia Qu (Pinelliae Fermented Rhizoma), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Hou Po (Magnoliae Officinalis Cortex), Sheng Jiang (Zingiberis Rhizoma Recens)
Another patient. Belching, slight abdominal pain. Spleen and Stomach are not harmonized. (Pathogenesis: Disharmony of Spleen and Stomach)
Ren Shen (Ginseng Radix), Jiao Bai Shao (Paeoniae Radix Alba stir-fried), Fu Ling (Poria), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata cum Melle)
The *Neijing* (*Inner Canon*) contains only the character "Yi" (belch) but not "Ai". Thus, the scripture states: "Among the diseases caused by the five Qi, the Heart manifests as Yi." It also says: "When cold pathogen lodges in the Stomach, rebellious Qi rises from below, scatters upward, and re-emerges from the Stomach, thus becoming Yi." Generally, the symptom of Yi and Ai often occurs after Taiyang disease or severe illness. This is because after sweating, vomiting, or purging, although major pathogens are resolved, the Stomach Qi becomes weak and disharmonious, causing the San Jiao (Triple Burner) to fail in its duties. Consequently, clear Qi has no destination and cannot ascend; turbid Qi has no reception and cannot descend. Therefore, pathogenic factors linger, belching carries an acidic taste, a sensation of fullness arises, chest and diaphragm discomfort ensues, leading to epigastric hardness and persistent belching. This results from Stomach Yang deficiency being obstructed by Yin pathogens. When Yang is sufficient, it circulates freely; when insufficient, it becomes stagnant and obstructed. Zhang Zhongjing established the Xuan Fu Dai Zhe Tang (Inula and Hematite Decoction), using Ren Shen and Gan Cao to support righteousness and tonify deficiency, and Sheng Jiang and Da Zao to harmonize the Spleen and nourish the Stomach. Its role in stabilizing the Middle Jiao is profound. Furthermore, the power of Xuan Fu Hua rotates upward, allowing Yang trapped by Yin to ascend and reach above. Meanwhile, the heavy nature of Dai Zhe Shi suppresses downward, causing lingering Yin to descend. Thereafter, Ren Shen, Gan Cao, and Da Zao can exert their tonifying effects, while Sheng Jiang and Ban Xia can achieve their action of dissipating nodulation. Among former experts treating Yi and Ai, none surpassed Zhang Zhongjing. Therefore, for cases of Stomach deficiency with rebellious Qi, Stomach Yang deficiency, Spleen-Stomach disharmony, or Lung Qi failing to descend causing belching, Master Ye consistently followed Zhang Zhongjing’s methods with modifications. He might add Xing Ren and Jie Geng to open the Lungs, Yi Zhi Ren, Hou Po, and Bai Zhu to disperse fullness, or Gan Cao and Bai Shao to harmonize the Stomach, achieving cures readily. This can be said to have grasped the essence of Zhang Zhongjing’s methodology. (Commentary by Zou Shicheng)