翻胃大约有四，血虚、气虚、有热、有痰兼病。必用童便、韭汁、竹沥、牛羊乳、生
姜汁。气虚，入四君子汤，右手脉无力；血虚，入四物汤加童便，左手脉无力。切不可用香燥之药
若服之必死，宜薄滋味。治反胃，用黄连三钱，生姜汁浸，炒山楂肉二钱，保和丸二钱，
为末，糊丸如麻子大，胭脂为衣，人参汤入竹沥再煎一沸，下六十丸。有痰，二陈汤为主
寸关脉沉或伏而大；有气结，宜开滞导气之药，寸关脉沉而涩；有内虚阴火上炎而反胃者
作阴火治之。年少者，四物汤清胃脘，血燥不润便故涩，《格致余论》甚详；年老，虽不
用参术，关防气虚胃虚。气虚者，四君子汤加芦根、童便，或参苓白术散，或韭汁、牛羊
驴尿。又有积血停于内而致，当消息逐之，大便涩者难治，常令食兔肉，则便利。
翻胃即膈噎，膈噎乃翻胃之渐。《发挥》备言年高者不治。粪如羊屎者，断不可治，大肠
戴云∶翻胃，血虚者，脉必数而无力；气虚者，脉必缓而无力；气血俱虚者，则口中多
，但见沫大出者必死。有热者，脉数而有力；有痰者，脉滑数，二者可治。血虚者，四物
为主；气虚者，四君子为主；热以解毒为主；痰以二陈为主。
又方
用马剥儿烧灰存性一钱，好枣肉平胃散二钱。
上和匀，温酒调服，食即可下，然后随病源调理。
又方
茱萸 黄连 贝母 栝蒌 牛转草
治翻胃
韭菜汁（二两） 牛乳（一盏）
上用生姜汁半两，和匀温服，效。
治翻胃、积饮通用
益元散生姜自然汁澄白脚，丸小丸子。时时服。
附方
烧针丸 此药清镇，专主吐逆。
黄丹（不以多少）
上研细，用去皮小枣肉，丸如鸡头大。每用，针签于灯上，烧灰为末，乳汁下一丸。
枣肉平胃散
浓朴（姜制） 陈皮（去白，各三斤，二两） 甘草（炙） 红枣 生姜（各二斤） 苍术（泔浸一宿
炒，五斤）
上锉，拌匀，以水浸过面上半寸许，煮干，焙燥为末。
每服二钱，盐汤空心点服。
参苓白术散 见脾胃类。
保和丸 见积聚类。
Fanwei (Regurgitation) generally presents in four patterns: Blood Deficiency, Qi Deficiency, Heat, and Phlegm with concurrent pathogenic factors. Treatment must utilize Tongbian (Children's Urine), Jiu Zhi (Leek Juice), Zhu Li (Bamboo Sap), Cow or Sheep Milk, and Sheng Jiang Zhi (Fresh Ginger Juice). If the pattern is Qi Deficiency, add to Sijunzi Tang (Four Gentlemen Decoction), characterized by a weak pulse on the right hand; if Blood Deficiency, add to Siwu Tang (Four Substances Decoction) with Tongbian, characterized by a weak pulse on the left hand. One must strictly avoid using aromatic and drying herbs; ingestion of such will inevitably lead to death. The diet should be light and bland.
To treat Fanwei, use Huanglian (Coptis Rhizome) 3 qian, soaked in Sheng Jiang Zhi and stir-fried, Shan Zha Rou (Hawthorn Flesh) 2 qian, Baohe Wan (Harmonize the Stomach Pill) 2 qian. Grind into fine powder, bind with rice paste into pills the size of hemp seeds, coat with Zhī Yān (Vermilion/Cinnabar coating), and administer sixty pills after boiling Ren Shen Tang (Ginseng Decoction) with Zhu Li once. If Phlegm is present, Er Chen Tang (Two-Cured Decoction) is the primary formula, with deep or hidden yet large pulses at the Cun and Guan positions. If Qi stagnation is present, herbs that open stagnation and guide Qi should be used, with deep and choppy pulses at the Cun and Guan positions. If Fanwei is caused by internal deficiency with Yin Fire flaming upward, treat as Yin Fire syndrome. In young patients, Siwu Tang clears the stomach region; dryness of blood failing to moisten causes constipation, as detailed in *Gezhi Yulun*. In elderly patients, although Renshen (Ginseng) and Baizhu (Atractylodes Macrocephala Rhizome) may not always be used, one must guard against Qi Deficiency and Stomach Deficiency. For Qi Deficiency, use Sijunzi Tang plus Lugen (Reed Rhizome) and Tongbian, or Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder), or Jiu Zhi, Cow Milk, or Donkey Urine. Another cause is accumulated blood stagnating internally, which requires careful assessment and expulsion of stasis; cases with dry, difficult stools are hard to treat. Regular consumption of Rabbit Meat promotes bowel movement.
Fanwei is equivalent to Ge Ye (Dysphagia/Obstruction); Ge Ye is the precursor to Fanwei. *Fahui* states extensively that it is incurable in the elderly. Stools resembling sheep droppings indicate an incurable condition. Dai Yun stated: In Fanwei, Blood Deficiency presents with a rapid and weak pulse; Qi Deficiency presents with a slow and weak pulse; combined Qi and Blood Deficiency results in excessive saliva in the mouth, but massive salivation indicates inevitable death. Heat patterns present with a rapid and forceful pulse; Phlegm patterns present with slippery and rapid pulses, both of which are treatable. Blood Deficiency is primarily treated with Siwu Tang; Qi Deficiency with Sijunzi Tang; Heat with detoxification methods; Phlegm with Er Chen Tang.
Another Prescription:
Use Ma Bo'er (a specific insect/animal, retained as per source) burnt to ash but retaining its nature, 1 qian, mixed with good date flesh and Pingwei San (Regulate the Stomach Powder), 2 qian.
Mix evenly, take with warm wine to allow food to descend, then regulate according to the disease origin.
Another Prescription:
Zhu Yu (Evodia Fruit), Huanglian (Coptis Rhizome), Bei Mu (Fritillaria Bulb), Gua Lou (Trichosanthes Fruit), Niu Zhuan Cao (Herba Siegesbeckiae).
For treating Fanwei:
Jiu Cai Zhi (Leek Juice) 2 liang, Niu Ru (Cow Milk) 1 zhan.
Add Sheng Jiang Zhi (Fresh Ginger Juice) 0.5 liang, mix evenly, and take warm. Effective.
General Formula for Fanwei and Accumulated Fluids:
Yiyuan San (Benefit Prime Powder) clarified with natural juice of fresh ginger, taken as small pills frequently.
Attached Formulas:
Shao Zhen Wan (Burned Needle Pill): This medicine has clearing and sedating properties, specifically indicated for vomiting and rebellious Qi.
Huang Dan (Lead Monoxide) (quantity as needed).
Grind finely, bind with peeled small date flesh into pills the size of a chicken head. For each dose, hold with a needle, burn to ash over a lamp, grind to powder, and swallow one pill with milk.
Zao Rou Pingwei San (Date Flesh Regulate the Stomach Powder):
Nan Hou (Magnolia Bark, processed with ginger), Chen Pi (Citrus Peel, pith removed, each 3 liang), Gan Cao (Licorice Root, honey-fried), Hong Zao (Red Dates), Sheng Jiang (Fresh Ginger, each 2 jin), Cang Zhu (Atractylodes Lancea Rhizome, soaked in rice water overnight and stir-fried, 5 jin).
Cut into pieces, mix well, soak in water half a cun above the herb surface, boil until water is dry, dry and grind to powder.
Take 2 qian per dose, administered with salt water on an empty stomach.
Shenling Baizhu San: See Spleen and Stomach category.
Baohe Wan: See Accumulation and Mass category.