Library

The Stomach is responsible for receiving food, and its primary function lies in smooth descent. Why does the Qi fail to descend and instead rebel upward? Vomiting is mostly caused by Liver Qi rebelling upward, obstructing the Stomach's descent.
Therefore, the *Ling Shu* (Spiritual Pivot) chapter on Meridians states: Diseases occurring in the Foot Jueyin (Liver) meridian include chest fullness and vomiting with rebellious Qi. Furthermore, according to the generation and restriction cycles of the Five Elements, when Wood moves, it must invade Earth; treating Stomach disease by addressing the Liver is a "treatment across one organ" method. Whenever green or black vomitus occurs, it must be due to turbid Qi from the bottom of the Stomach or intestines flowing out in rebellion.
Dry retching (i.e., hiccups/eupnea) produces sound without ejecting matter; vomiting (Ou) involves ejection of matter; having both sound and matter constitutes an excess syndrome. Mild cases are termed Ou, severe cases are dry retching (Xian), gradual ejection is Ou, frequent ejection is Tu. Neither vomiting nor retching but feeling nauseous indicates always that Stomach deficiency prevents eating. If there is Fire in the Stomach and Phlegm in the Diaphragm, one should clear Fire, regulate Qi, and treat Phlegm appropriately. Pingwei San can be administered with modifications; Ju Ban Zhu Ru Tang is also suitable. If there is irritability, thirst, and a surging, rapid pulse, Huang Qin, Zhu Ru, and Shan Zhi should be used. If cold saliva is vomited and the pulse is deep and slow, Gan Jiang, Rou Gui, and Wu Yu should be combined. If phlegm-foam is vomited and the pulse is surging and slippery, Nan Xing, Fu Ling, Bai Zhu, and Mai Dong should be tailored. If water retention exists beneath the Heart causing gurgling sounds, Fu Ling, Ze Xie, and Zhu Ling should be added. If fullness, acid regurgitation, and belching rise, indicating food injury, Mai Ya, Shen Qu, and Bing Lang should be used. If illness leads to anorexia and a fine, subtle pulse, Fu Ling, Ren Shen, and Bai Zhu should be used. For alcohol injury, Bai Kou and Ge Hua should be added; for wind-cold injury, Zi Su and Ge Gen should be combined.
Phlegm-fluid vomiting is all transformed from turbid Yin; if Yang Qi is not vigorous, evil heat will inevitably flare up again. Zhang Zhongjing advocated harmonizing it with warm medicines.

Liver invading the Stomach pattern:
Wendan Tang: Chen Pi, Ban Xia, Fu Ling, Gan Cao, Zhi Shi, Zhu Ru.
Combined with Zuojin Wan: Chuan Lian, Wu Yu.
Anwei Wan.
Xuanfu Daizhe Shi Tang: Xuan Fu Hua, Dai Zhe Shi, Ren Shen, Ban Xia, Gan Cao, Sheng Jiang, Da Zao.

Jueyin turbid rebellion pattern: Treatment method as above.

Stomach Yang deficiency with turbid Yin rebellion:
Bai Zhu, Hou Po, Yi Zhi, Ban Xia, Fu Ling, Jiang Zhi.
Ling Jiang Zhu Gui Tang: Add Hou Po, Chuan Jiao, Huang Lian, Fu Zi, Jing Mi.

Middle Yang deficiency:
Ren Shen, Fu Zi, Ban Xia, Sha Ren, Gan Jiang, Bai Zhu, Zhi Cao, Fu Ling, Chuan Jiao, Da Zao.

Yang deficiency with inhalation of foul turbid Qi:
Ren Shen, Mu Xiang, Guang Huo, Hou Po, Guang Pi, Ding Xiang, Fu Ling, Wei Jiang, Sha Ren, Rou Guo, Yi Zhi.

Liver and Kidney deficiency with Chong Mai Qi movement:
Rong Rong, Shang Rou Gui, Sha Ji Li, Fu Ling, Qi Zi, Lu Jiao Shuang, Dang Gui Shen.

Vomiting injuring Stomach fluids, evil heat seizing Jin Ye:
Wendan Tang remove Gan Cao, add Shan Zhi, Dou Chi, Jiang Zhi.

Evil heat internal knotting:
Banxia Xiexin Tang remove Sheng Jiang, Da Zao, add Zhi Shi, Shan Zhi, Xing Ren, Jiang Zhi.

Summerheat-dampness internal knotting: Treatment method as above.

Liver fire punishing Metal:
Sang Pi, Dan Pi, Su Zi, Shan Zhi, Pi Pa Ye, Yu Jin, Gua Lou, Ju Hong, Xing Ren, Zhu Li, Sha Shen, Mai Dong, Dou Chi.

Warmth-heat knotting in Jueyin (Symptoms: body heat with cold limbs, confusion, vomiting, critical condition of Jue Ni):
Chuan Lian, Ban Xia, Gan Jiang, Shan Zha, Hua Shi, Shi Chang Pu, Huang Qin, Zhi Shi, Guang Pi, Zhu Xin, Lian Qiao, Lv Dou Pi.

Phlegm-saliva hiccups, followed by vomiting black fluid pouring out like a bag (Critical condition, this is due to chaotic mixture from the bottom of the Stomach and intestines):
Zhen Xi Gan Cao four liang, decocted into a thick liquid and taken orally; if hiccups stop and vomiting ceases, rescue is possible.

Vomiting roundworms (Hui is interchangeable with You. Ancients believed that Huhuo disease and Hui Jue were due to Stomach deficiency and lack of grain; Zhang Zhongjing's Hui Jue was mostly obtained from fright).
Yan Hu, Lu Hui, Wu Yu, Zhi Shi, Fu Ling, Ren Shen, Xi Xin, Hong Zao, Anwei Wan, Banxia Xiexin Tang, Lizhong Tang add Gua Lou, Xiang Fu, Chuan Jiao, Xuanfu Daizhe Tang add Bai Shao, Fu Zi.