王（七二）脘痛不食。二便艰少。并不渴饮。此属阳气结于上。阴液衰于下。为关格。难治之症。
人参（一钱） 泡淡川附子（一钱） 枳实（五分） 淡干姜（一钱） 制半夏（一钱五分） 川连（四分） 茯
苓（三钱） 生白芍（一钱五分）
蔡（三五）胃衰。胸膈不爽。嗳气呕恶。此属清阳不升。浊气不降。舍理胃阳无别法。
人参（一钱） 制半夏（一钱五分） 淡干姜（一钱） 旋复花（一钱） 新会皮（一钱） 茯苓（三钱） 钉头
代赭（三钱）
洪（四八）嗳气不舒。脉缓便溏。此属胃阳虚。浊阴上干。
钉头代赭（三钱） 制半夏（一钱五分） 淡干姜（一钱） 旋复花（一钱） 新会皮（一钱） 茯苓（三钱） 制
淡川附子（一钱）
姚（三八）昨进凉解方。身热稍减。口渴已止。是大邪将解之象。但呕吐妨食。是余邪仍伏于胃。拟温胆汤去甘草。
加川斛、茯苓。
竹茹（一钱五分） 制半夏（一钱五分） 枳实（一钱） 川石斛（三钱） 广皮白（一钱） 姜汁（一匙临服冲
食） 茯苓（三钱）
蒋（三四）腑气热不解。清气渐退。蒸为痰。脘隔痰与气阻。为痞闷。不饥。食即吐。是胃不下降。亦由热邪深入
于胃。拟温胆汤佐以苦味。制其冲逆。
鲜竹茹 橘红 郁金 枳实 制半夏 杏仁 南花粉 川连
张（三二）春深气泄。阳气方张。呕恶吞酸。食入即吐。此属肝木乘犯阳明。胃脘清阳少旋。拟苦辛泄降。
Mr. Wang, aged 72. Epigastric pain and inability to eat. Scanty urination and defecation. No thirst or desire to drink. This belongs to the pattern of Yang Qi stagnating in the upper jiao and Yin fluids declining in the lower jiao, constituting Guan Ge (Obstruction and Rejection syndrome), a difficult-to-treat condition.
Ren Shen (Ginseng Radix) (1 qian) Pao Dan Chuan Fu Zi (Prepared Aconite Lateral Root) (1 qian) Zhi Shi (Immature Bitter Orange Fruit) (0.5 qian) Dan Gan Jiang (Dried Ginger) (1 qian) Zhi Ban Xia (Prepared Pinellia Tuber) (1.5 qian) Chuan Lian (Coptis Rhizome) (0.4 qian) Fu Ling (Poria) (3 qian) Sheng Bai Shao (Raw White Peony Root) (1.5 qian)
Mr. Cai, aged 35. Stomach Qi deficiency. Discomfort in the chest and diaphragm. Belching, nausea, and vomiting. This belongs to the pattern where Clear Yang fails to ascend and Turbid Yin fails to descend. There is no method other than regulating Stomach Yang.
Ren Shen (Ginseng Radix) (1 qian) Zhi Ban Xia (Prepared Pinellia Tuber) (1.5 qian) Dan Gan Jiang (Dried Ginger) (1 qian) Xuan Fu Hua (Inula Flower) (1 qian) Xin Hui Pi (Tangerine Peel from Xinhui) (1 qian) Fu Ling (Poria) (3 qian) Ding Tou Dai Zhe (Hematite with Nail-like Head) (3 qian)
Mr. Hong, aged 48. Uncomfortable belching. Slow pulse and loose stools. This belongs to the pattern of Stomach Yang deficiency with Turbid Yin invading upwards.
Ding Tou Dai Zhe (Hematite with Nail-like Head) (3 qian) Zhi Ban Xia (Prepared Pinellia Tuber) (1.5 qian) Dan Gan Jiang (Dried Ginger) (1 qian) Xuan Fu Hua (Inula Flower) (1 qian) Xin Hui Pi (Tangerine Peel from Xinhui) (1 qian) Fu Ling (Poria) (3 qian) Zhi Dan Chuan Fu Zi (Prepared Mild Aconite Lateral Root) (1 qian)
Mr. Yao, aged 38. Yesterday, after taking a cooling and resolving formula, body heat slightly decreased and thirst stopped, indicating that the major pathogenic factor is about to resolve. However, vomiting hinders food intake, suggesting that residual pathogens remain latent in the Stomach. The proposed formula is Wendan Tang (Warm the Gallbladder Decoction) without Gan Cao (Licorice Root), adding Chuan Huo (Dendrobium Caulis) and Fu Ling (Poria).
Zhu Ru (Bamboo Shavings) (1.5 qian) Zhi Ban Xia (Prepared Pinellia Tuber) (1.5 qian) Zhi Shi (Immature Bitter Orange Fruit) (1 qian) Chuan Shi Hu (Dendrobium Caulis) (3 qian) Guang Pi Bai (White Part of Tangerine Peel) (1 qian) Jiang Zhi (Fresh Ginger Juice) (1 spoon, mixed into the decoction before administration) Fu Ling (Poria) (3 qian)
Mr. Jiang, aged 34. Intestinal Qi heat has not resolved; Clear Qi gradually recedes, steaming into Phlegm. Phlegm and Qi obstruct the epigastrium and diaphragm, causing fullness and oppression. Lack of appetite and immediate vomiting after eating indicate that Stomach Qi fails to descend, also due to Heat Pathogen penetrating deeply into the Stomach. The proposed formula is Wendan Tang (Warm the Gallbladder Decoction) assisted by bitter herbs to restrain rebellious Qi.
Xian Zhu Ru (Fresh Bamboo Shavings) Ju Hong (Red Part of Tangerine Peel) Yu Jin (Curcuma Longa Rhizome) Zhi Shi (Immature Bitter Orange Fruit) Zhi Ban Xia (Prepared Pinellia Tuber) Xing Ren (Apricot Seed) Nan Hua Fen (Tinospora Sinensis Rhizome / Trichosanthes Root) Chuan Lian (Coptis Rhizome)
Mr. Zhang, aged 32. In late spring, Wind Qi leaks out, and Yang Qi is flourishing. Vomiting, nausea, acid regurgitation, and immediate vomiting after eating occur. This belongs to the pattern of Liver Wood overacting on the Yangming Stomach, resulting in insufficient rotation of Clear Yang in the epigastrium. The proposed treatment method is Bitter-Spicy Draining and Descending.