嘈杂，是痰因火动，治痰为先，姜炒黄连，入痰药。用炒山栀子、黄芩为君，南星
、半夏、陈皮为佐，热多加青黛。
嘈杂，此乃食郁有热，炒栀子、姜炒、黄连不可无。肥人嘈杂，二陈汤少加抚芎、苍术、
、炒山栀子。嘈杂，若湿痰气郁，不喜食，三补丸加苍术，倍香附子。医按∶蒋氏子条云
∶心嘈索食，以白术、黄连、陈皮作丸，白汤下，七八十丸，数服而止。又云∶眩运嘈杂，
是火动其痰，二陈汤加栀子、芩、连之类。
戴云∶此则俗谓之心嘈也。
三补丸 见补损。
伤食，恶食者，胸中有物，宜导痰补脾，用二陈汤加白术、山楂、川芎、苍术服
之。忧抑伤脾，不思饮食，炒黄连、酒芍药、香附，同清六丸末，用姜汁浸蒸饼丸服。
入方
治气抑痰，倦不思食。
白术（二两） 苍术 陈皮 黄连 黄柏 半夏（各二两） 扁柏（七钱半） 香附（一两半） 白芍（一
两半）
上为末，姜汁面糊丸。
治心腹膨肉多食积所致。
南星（一两半，姜制） 半夏 栝蒌仁（研和润，一两半） 香附（一两，童便浸） 黄连（三两，姜
炒） 礞石（硝 ） 萝卜子 连翘（半两） 麝（少许） 又方加陈皮半两
上为末，曲糊丸。
一人因吃面内伤，肚热头痛。
白术（一钱半） 白芍 陈皮 苍术（各一钱） 茯苓 黄连 人参 甘草（各五分）
上作一服，姜三片煎。如口渴，加干葛二钱，再调理。
补脾丸
白术（半斤） 苍术 茯苓 陈皮（各三两）
粥为丸。
清六丸 见泄泻。
〔附录〕伤食之证，右手气口必紧盛，胸膈痞塞，噫气如败卵臭，亦有头痛发热，但身不
痛为异耳，用治中汤加砂仁一钱，或用红丸子。
附方
加味二陈汤 治中脘闻食气则呕。
本方加砂仁一钱，青皮半钱。
红丸子 治伤食。
京三棱 蓬术（煨） 青皮 陈皮（五两） 干姜（炮） 胡椒（三两）
上为末，用醋糊丸如梧子大，矾红为衣。服三十丸，食后姜汤下。
治中汤 见脾胃。
Chaoza (Rumbling sensation in the stomach) is caused by phlegm stirred up by fire; treatment should prioritize resolving phlegm, using Coptidis Rhizoma (Huanglian, 黄连) stir-fried with ginger juice, incorporated into phlegm-resolving formulas. Gardeniae Fructus (Shanzhizi, 山栀子) and Scutellariae Radix (Huangqin, 黄芩), both stir-fried, serve as the sovereign drugs; Arisaematis Rhizoma Preparatum (Nanxing, 南星), Pinelliae Rhizoma (Banxia, 半夏), and Citri Reticulatae Pericarpium (Chenpi, 陈皮) act as assistant drugs; if heat signs are pronounced, Indigo Naturalis (Qingdai, 青黛) is added.
Chaoza results from food stagnation generating internal heat; stir-fried Gardeniae Fructus (Shanzhizi, 山栀子) and Ginger-processed Coptidis Rhizoma (Huanglian, 黄连) are indispensable. For obese individuals presenting with Chaoza, Erchen Tang (Two-Cured Decoction) is used with small additions of Chuanxiong Rhizoma (Fuxiong, 抚芎), Atractylodis Rhizoma (Cangzhu, 苍术), and stir-fried Gardeniae Fructus (Shanzhizi, 山栀子). If Chaoza arises from damp-phlegm and qi stagnation, accompanied by anorexia, Sanbu Wan (Three-Supplement Pill) is administered with added Atractylodis Rhizoma (Cangzhu, 苍zhu), doubling the dosage of Cyperi Rhizoma (Xiangfuzi, 香附子). Medical Note: Jiang’s son’s case states that for a rumbling sensation in the heart seeking food, pills made of Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Coptidis Rhizoma (Huanglian, 黄连), and Citri Reticulatae Pericarpium (Chenpi, 陈皮) are taken with warm water, 70–80 pills per dose, stopping after several doses. Another record states that dizziness accompanied by Chaoza is due to fire stirring phlegm; Erchen Tang (Two-Cured Decoction) is modified with Gardeniae Fructus (Zhizi, 栀子), Scutellariae Radix (Qin, 芩), and Coptidis Rhizoma (Lian, 连).
Dai Yuanli stated: This is what common people call "Heart Chao" (Xincao, 心嘈).
Sanbu Wan (Three-Supplement Pill) See the chapter on Tonifying Deficiency.
Shangshi (Food Injury) presents with aversion to food and a sensation of obstruction in the chest; treatment should guide out phlegm and tonify the spleen, using Erchen Tang (Two-Cured Decoction) with added Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Crataegi Fructus (Shanzha, 山楂), Chuanxiong Rhizoma (Chuanxiong, 川芎), and Atractylodis Rhizoma (Cangzhu, 苍术). Sorrow and depression injure the spleen, leading to loss of appetite; processed Coptidis Rhizoma (Huanglian, 黄连), Wine-processed Paeoniae Radix Alba (Shaoyao, 芍药), and Cyperi Rhizoma (Xiangfu, 香附) are combined with Qingliu Wan (Six-Clearing Pill) powder, formed into pills with steamed wheat cake soaked in ginger juice.
Prescription Entry
For treating qi stagnation causing phlegm obstruction, fatigue, and anorexia.
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (2 liang), Atractylodis Rhizoma (Cangzhu, 苍术), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Coptidis Rhizoma (Huanglian, 黄连), Phellodendri Cortex (Huangbai, 黄柏), Pinelliae Rhizoma (Banxia, 半夏) (each 2 liang), Platycladi Semen (Bianbo, 扁柏) (7 qian half), Cyperi Rhizoma (Xiangfu, 香附) (1 liang half), Paeoniae Radix Alba (Baishao, 白芍) (1 liang half).
Grind into powder, form pills with ginger juice and wheat paste.
For treating abdominal distension and flesh accumulation caused by excessive meat consumption and food stagnation.
Arisaematis Rhizoma Preparatum (Nanxing, 南星) (1 liang half, ginger-processed), Pinelliae Rhizoma (Banxia, 半夏), Benincasae Semen (Gualouren, 栝蒌仁) (ground and moistened, 1 liang half), Cyperi Rhizoma (Xiangfu, 香附) (1 liang, soaked in child's urine), Coptidis Rhizoma (Huanglian, 黄连) (3 liang, ginger-stir-fried), Melanis Lapis (Mengshi, 礞石) (calcined with saltpeter), Raphani Semen (Luobozzi, 萝卜子), Forsythiae Fructus (Lianqiao, 连翘) (0.5 liang), Moschus (She, 麝) (a small amount). Alternative prescription adds Citri Reticulatae Pericarpium (Chenpi, 陈皮) 0.5 liang.
Grind into powder, form pills with fermentum medicatum paste.
One patient suffered internal injury from eating noodles, resulting in abdominal heat and headache.
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (1.5 qian), Paeoniae Radix Alba (Baishao, 白芍), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Atractylodis Rhizoma (Cangzhu, 苍术) (each 1 qian), Poria (Fuling, 茯苓), Coptidis Rhizoma (Huanglian, 黄连), Ginseng Radix et Rhizoma (Renshen, 人参), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (each 0.5 qian).
Take as one dose, decoct with three slices of ginger. If thirsty, add Kudzu Root (Ge, 干葛) 2 qian, then adjust treatment.
Pipi Wan (Spleen-Tonifying Pill)
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (0.5 jin), Atractylodis Rhizoma (Cangzhu, 苍术), Poria (Fuling, 茯苓), Citri Reticulatae Pericarpium (Chenpi, 陈皮) (each 3 liang).
Form pills with congee.
Qingliu Wan (Six-Clearing Pill) See the chapter on Diarrhea.
[Appendix] In cases of Shangshi (Food Injury), the pulse at the Qi Kou point on the right hand is necessarily tight and vigorous; there is chest and diaphragm stuffiness, belching smelling like rotten eggs. There may also be headache and fever, but the body does not ache, which is distinctive. Use Zhizhong Tang (Regulate the Middle Decoction) with added Amomi Fructus Rotundus (Sharen, 砂仁) 1 qian, or use Hongwanzi (Red Pills).
Attached Prescriptions
Jiawei Erchen Tang (Modified Two-Cured Decoction) Treats vomiting upon smelling food in the Zhongwan area.
This formula adds Amomi Fructus Rotundus (Sharen, 砂仁) 1 qian, and Tangerine Peel (Qingpi, 青皮) 0.5 qian.
Hongwanzi (Red Pills) Treats Food Injury.
Burrellia Rhizome (Jingsanleng, 京三棱), Curcuma Zedoaria Rhizome (Pengzhu, 蓬术) (roasted), Tangerine Peel (Qingpi, 青皮), Citri Reticulatae Pericarpium (Chenpi, 陈皮) (5 liang), Dried Ginger (Ganjiang, 干姜) (pao-processed), Piper Longum Fruit (Hujiao, 胡椒) (3 liang).
Grind into powder, form pills the size of mulberry seeds using vinegar paste, coated with alum-red. Take 30 pills, washed down with ginger soup after meals.
Zhizhong Tang (Regulate the Middle Decoction) See the chapter on Spleen and Stomach.