半月诸药不效。予记祖传一方，用池塘中鳖一个，如法修事，多用生姜米 作羹，入沙糖一小块，不用盐酱熟煮，吃一、
二碗，三日不登厕，大肠自此实矣，肛门亦收而不脱。夫此证盖因脾土受虚，致肺与大肠俱失化源之所滋养，是故大肠
不行收令也，此母能令子虚耳。鳖乃介虫属金，而有土性温，能补脾肺。又况肺恶寒，先得芩、连等寒凉之味已多，今
用生姜之辛以补肺金，用沙糖之甘以补脾土，肺气既实，其大肠亦随而实，故得以行收令也，故其功效如是之验焉。
论
《内经》曰∶诸呕吐酸，暴注下迫，皆属于火。东垣曰∶夫呕、吐、哕三者俱属于胃，胃者 司也，以其气血多少
为异耳。呕者阳明也，阳明多血多气，故有声有物，气血俱病也。吐者太阳也，太阳多血少气，故有物无声，血病也。
哕者少阳也，少阳多气少血，故有声无物，气病也。河间曰∶胃膈热甚则为呕，火气炎上之象也。吐证有三，气、积、
寒也，皆从三焦论之。上焦在胃口，上通于天气，主纳而不出。中焦在中脘，上通天气，下通地气，主腐熟水谷。下焦
在脐下，下通地气，主出而不纳。是故上焦吐者，皆从于气，气者天之阳也，其脉浮而洪，其证食已即吐，渴欲饮水，
大便燥结，气上冲胸而发痛，其治当降气和中。中焦吐者，皆从于积，有阴有阳，食与气相假为积而痛，其脉浮而长，
其证或先痛而后吐，或先吐而后痛，治法当以毒药去其积，槟榔、木香行其气。下焦吐者，皆从于寒，地道也，其脉沉
而迟，其证朝食暮吐，暮食朝吐，小便清利，大便秘而不通，治法当以毒药通其秘塞，温其寒气，大便渐通，复以中焦
药和之，不令大便秘结而自愈也。外有伤寒，阳明实热太甚而吐逆者。有内伤饮食，填塞太阴，以致胃气不得宣通而吐
者。有胃热而吐者。有胃寒而吐者。有久病气虚，胃气衰甚，闻谷气则呕哕者。有脾湿太甚，不能运化精微，致清痰留
饮郁滞上中二焦，时时恶心吐清水者。宜各以类推而治之，不可执一见也。
脉法
《脉经》曰∶呕而脉弱，小便复利，身有微热，见厥者，难治。
跌阳脉浮者，胃气虚，寒气在上，嗳气在下，二气相争，但出而不入，其人即呕而不得食，恐怖即死，宽缓即瘥。
脉阳紧阴数，其人食已则吐，阳浮而数亦为吐。
寸口脉紧而芤，紧则为寒，芤则为虚，虚寒相搏，脉为阴结而迟，其人则噎，关上脉数，其人则吐。
脉弦者虚也，胃气无余，朝食暮吐，暮食朝吐，变为反胃。寒在于上，医反下之，令脉反弦，故名曰虚。
寸口脉微而数，微则无气，无气则荣虚，荣虚则血不足，血不足则胸中冷，故吐。
方法
丹溪曰∶胃中有热，膈上有痰，二陈汤加炒栀子、姜炒黄连、生姜，煎服。
凡呕吐者，切不可下，逆之故也。
有久病吐者，胃气虚不纳谷也，生姜、人参、黄 、白术、香附治之。凡痞满短气而呕，宜补中气，止可用调中益
气汤。
肝火出胃，逆上呕吐，抑青丸。（方见火门。）
夏月呕吐不止，五苓散加姜汁，入汤调服。
吐虫而呕，用黑锡炒成灰，槟榔末、米饮调服。
恶心吐清水者，有热有痰有虚，皆用生姜，随证佐药治之。
胃中有热者，二陈汤加姜汁制炒黄连、黄芩。挟虚者，加人参、白术。又云∶胃虚弱，呕者，二陈汤加砂仁、藿香、
白术。
痰饮为患，或因多食生冷，脾胃不和，以致呕吐恶心，或头眩，或胃脘懊 不快，或发寒热，二陈汤加丁香、乌梅、
生姜，煎服。心下痞而痛者，加草豆蔻仁。
痰热恶心呕吐气盛者，导痰汤加缩砂、姜炒黄连、竹茹。
（以上丹溪方法凡十条）
藿香安胃散（河间） 治胃气虚弱，不能饮食，时时呕吐恶心者。
藿香 人参 陈皮（各一钱） 丁香（五分）
上细切，作一服，水一盏，煎至七分，温服。
和中桔梗汤（河间） 治上焦热气上冲，食已暴吐，脉浮而洪，宜先和中。
桔梗（一钱五分） 半夏曲（二钱） 陈皮（去白，一钱） 枳实（麸炒黄色，一钱） 白茯苓（一钱） 白术（一
钱五分） 浓朴（姜汁拌炒，一钱）
上细切，作一服，水一盏半，煎至一盏，去渣，取清汁调木香散二钱，空腹服。三服后，气渐下，吐渐止，然后去
木香散，加芍药二钱，黄 一钱半，煎服，病愈则已。如大便燥结，食不尽下，以大承气汤去芒硝微下之，再服前药补
之。如大便复结，又根据前微下之。
木香散（河间）
木香 槟榔各等分，为细末，前药调之服。
荆黄汤（河间） 治暴吐，上焦热气所冲，脉浮而洪者。
荆芥穗（五钱） 人参（二钱五分） 甘草（一钱） 大黄（一钱五分）
上细切，作一服，水二盏，煎至一盏，去渣，调槟榔散二钱，空腹服。
槟榔散（河间）
槟榔（三钱） 木香（一钱五分） 轻粉（少许）
上为细末，用前药调服。为丸亦可，用水浸蒸饼丸如小豆大，每服二十丸，食后服。
清镇丸（河间） 治上焦吐，头痛发热，有汗脉弦。
柴胡（二两，去芦） 黄芩（七钱五分） 甘草（五钱） 半夏（五钱） 青黛（二钱五分） 人参（五钱）
上为细末，姜汁浸蒸饼为丸，如梧桐子大，每服五十丸，生姜汤送下，食后服。
白术汤（河间） 治胃中虚损及有痰而吐者。
半夏曲（五钱） 白术（二钱） 槟榔（二钱五分） 木香（一钱） 甘草（一钱） 茯苓（二钱）
上为细末，每服二钱，生姜汤调下，食前服。
金花丸（河间） 治吐食脉弦者，肝乘于脾而吐，乃由脾胃之虚，宜治风安脾。
半夏（汤泡七次，一两） 槟榔（二钱） 雄黄（一钱五分）
上为细末，姜汁和蒸饼为丸，如梧桐子大，小儿丸如黍米大，生姜汤送下，从少至多渐加服之，以吐止为度。无羁
绊于脾，故饮食自下。
紫沉丸（河间） 治中焦吐食，由食积与寒气相假，故吐而痛，宜服此药。
半夏曲（二钱） 乌梅肉（二钱） 代赭石（三钱） 杏仁（去皮尖，另研，一钱） 砂仁（三钱） 丁香（二钱）
沉
香（一钱） 槟榔（二钱） 木香（一钱） 陈皮（五钱） 白豆蔻（五分） 白术（一钱） 巴豆霜（另研，五分）
上为细末，入巴豆霜和匀，醋面糊为丸，如黍米大，每服五十丸，食后生姜汤下，吐愈则止。小儿另丸如芝麻大，
治小儿食积吐食亦大妙。
小半夏汤（仲景） 治阳明伤寒，不纳谷而呕吐不已者。
半夏（汤泡七次，一两） 生姜（二钱）
上细切，水三盏，煎至一盏，去渣，分作二服服之。
生姜汁半夏汤（活人） 治胸中似喘不喘，似呕不呕，似哕不哕，彻心愦愦然无奈者。
半夏（汤泡洗七次，一两）
上细切，水一盏半，生姜自然汁半盏，同煎至一盏，温服。仲景曰∶呕多，虽有阳明证，慎不可下。孙思邈曰∶呕
家多服生姜，乃呕家之圣药也。气逆者以辛散之，故以生姜为主治之。
藿香平胃散（东垣） 治内伤饮食，填塞太阴，呕吐不已。
藿香（一钱） 浓朴（姜制，一钱） 苍术（一钱五分） 陈皮（一钱） 甘草（炙，三分） 砂仁（五分，研） 神
曲（五分，炒）
上细切，作一服，加生姜五片，大枣一枚，水一盏半，煎至一盏，去渣温服。
胃苓汤（局方） 治证同前。
平胃散加五苓散，加姜枣，水煎服之。
黄连六一汤（丹溪） 治因多食煎 烧饼热面之类，以致胃脘当心而痛，或呕吐不已，渐成反胃。
黄连（六钱） 甘草（炙，一钱）
上细切，作一服，水一大盏，煎至七分，去渣温服。
丁附治中汤（局方） 治胃伤寒冷之物，致心腹 痛而呕哕不止。
人参（五分） 白术（一钱） 干姜（一钱） 甘草（炙，三分） 陈皮 青皮 丁香（各一钱） 附子（二钱）
上细切，作一服，加生姜五片，大枣二枚，水一盏半，煎至一盏，去渣温服。
加味二陈汤（丹溪） 治胃中有伏火，膈上有稠痰，时常胃口作痛，及恶心吐清水不快。
陈皮（去白，一钱） 半夏（一钱五分，炮） 茯苓（一钱） 甘草（炙，三分） 栀子（炒，一钱） 黄连（姜
汁拌炒，一钱五分） 川芎（一钱） 白术（一钱） 干姜（炒，五分） 苍术（一钱） 香附（一钱） 牡荆子（炒
另研，一钱半） 挟虚者加人参（一钱）
上细切，作一服，水二盏，加生姜三片，煎至一盏，稍热服。如胃口痛甚，入生姜自然汁一合，和匀服。
丁香安胃汤（东垣） 治呕吐哕，胃虚寒所致。
丁香（五分） 吴茱萸（一钱） 草豆蔻（一钱） 黄 （二钱） 人参（一钱） 柴胡（五分） 甘草（炙，五
分） 升麻 当归身 陈皮（各五分） 黄柏（二分） 苍术（一钱）
上细切，作一服，水一大盏，煎至七分，食前温服。
茯苓半夏汤（东垣） 治脾胃虚弱，身重有痰，恶心欲吐。风邪羁绊于脾胃之间，当先实其脾土。
白术（一钱） 茯苓（一钱） 半夏（一钱） 神曲（炒，一钱） 橘红（七分） 天麻（七分） 麦 面（炒黄
色，一钱二分）
上细切，作一服，水一盏半，加生姜五片，煎至一盏，热服。
（丹溪活套）云∶胃中有热，膈中有痰，令人时常呕吐清水，作嗳气吞酸等证，用二陈汤加姜炒黄连、栀子、苍术、
川芎、香附、砂仁、神曲、山楂，少加木香以行滞气，加姜，水煎服。久病虚者，加人参、白术。胃寒者，加益智、草
豆蔻、干姜、桂心之类，去黄连、栀子。又甚者，加丁香、附子。如胁痛或脾痛，右关脉弦，呕吐不已，此木乘土之分
也，本方加人参、白术、升麻、柴胡、青皮、芍药、川芎、砂仁、神曲之类。如时常吐清水，或口甘不喜食，冷涎自下
而涌上者，此脾热所致也，本方加白术、芍药、升麻、土炒黄连、栀子、神曲、麦芽、干生姜，或丸或煎皆可。如时常
恶心吐清水，心胃作痛，得食则渐止，饥则甚者，此胃中有蛔也，本方加苦楝根、使君子，煎服即愈，或用黑锡灰、槟
榔末等分，米饮调下。
（医案）
在城黄氏妇，年将三十，产后困食伤，致胃虚不纳谷，四十余日矣，闻谷气则恶心而呕，闻药气亦呕，求予治。予
曰∶药不能入口，又将何法以治之乎。恳求不已，遂制一方，用人参、白术、茯苓各五钱，甘草二分，陈皮、藿香、砂
仁各五分，炒神曲一钱，十年以上陈仓米一合，顺流水二大白盏煎沸，泡伏龙肝研细，搅浑，放澄清，取一盏，加姜枣，
同煎前药至七分，稍冷服。此药遂纳而不吐，别以陈仓米煎汤时时与之，日进前药二、三服，渐能吃粥而安。后以此法
治十数人，皆验。
Half a month passed, and various medicines were ineffective. I recalled a family-prescribed formula: use one soft-shelled turtle from a pond, process it according to regulations, cook it into a soup with plenty of ginger and rice, add a small piece of brown sugar, do not use salt or soy sauce, boil until cooked. Eat one or two bowls; after three days without defecation, the large intestine will become firm, and the anus will retract and no longer prolapse. This condition is likely due to deficiency of Spleen Earth, causing both the Lung and Large Intestine to lose nourishment from the source of transformation (the origin of Qi and Blood generation). Therefore, the Large Intestine cannot perform its function of astringency; this is the mother organ (Spleen) being deficient leading to the deficiency of the child organ (Lung/Large Intestine). The turtle belongs to the class of shelled creatures, corresponds to Metal in Five Elements, but possesses the warm nature of Earth, and can tonify the Spleen and Lung. Moreover, the Lung dislikes cold, and previously many cold and cool herbs such as Huangqin (Scutellariae Radix) and Lianlian (Coptidis Rhizoma) had been used. Now, using the pungent nature of Shengjiang (Zingiberis Rhizoma) to tonify Lung Metal, and the sweet nature of Shatang (Saccharum) to tonify Spleen Earth, once Lung Qi is solid, the Large Intestine also becomes solid, thus able to perform its astringent function. Hence, the efficacy is so remarkable.
Discussion
The *Neijing* states: "All vomiting of acid fluids, sudden diarrhea with tenesmus, belong to Fire." Li Dongyuan said: "Vomiting (Ou), spitting (Tu), and hiccups (Yue) all belong to the Stomach. The Stomach is the manager, differing only by the quantity of Qi and Blood." Vomiting belongs to the Yangming channel; Yangming has abundant Blood and Qi, so there is sound and matter expelled, indicating disease in both Qi and Blood. Spitting belongs to the Taiyang channel; Taiyang has abundant Blood but little Qi, so there is matter expelled without sound, indicating disease in Blood. Hiccups belong to the Shaoyang channel; Shaoyang has abundant Qi but little Blood, so there is sound without matter expelled, indicating disease in Qi. Liu Hejian said: "Excessive heat in the Stomach and Diaphragm causes vomiting, which is the manifestation of Fire Qi flaming upward." There are three types of spitting: Qi, Accumulation, and Cold, all discussed from the perspective of the Triple Burner. The Upper Burner is at the stomach opening, connecting upwards to Heaven Qi, governing reception without discharge. The Middle Burner is at Zhongwan, connecting upwards to Heaven Qi and downwards to Earth Qi, governing the rotting and ripening of food and drink. The Lower Burner is below the navel, connecting downwards to Earth Qi, governing discharge without reception. Therefore, Upper Burner spitting arises from Qi; Qi is Yang of Heaven, its pulse is floating and surging, symptoms include vomiting immediately after eating, thirst for water, dry and constipated stool, Qi rushing up to the chest causing pain; treatment should focus on descending Qi and harmonizing the middle. Middle Burner spitting arises from accumulation; there is Yin and Yang, where food and Qi combine to form accumulation causing pain; its pulse is floating and long, symptoms may be pain followed by spitting, or spitting followed by pain; treatment should use potent drugs to remove accumulation, and use Binglang (Arecae Semen) and Muxiang (Aucklandiae Radix) to move Qi. Lower Burner spitting arises from Cold; it is a matter of Earth's way, its pulse is deep and slow, symptoms include morning food vomited in the evening, evening food vomited in the morning, clear and profuse urination, constipation; treatment should use potent drugs to unblock impaction, warm and disperse Cold, and once stool gradually passes, harmonize with Middle Burner herbs to prevent re-constipation, allowing spontaneous recovery. Additionally, there are cases of external Cold Damage where Yangming excess heat is too severe causing vomiting and reflux; internal injury from diet filling the Taiyin, preventing Stomach Qi from circulating freely causing vomiting; vomiting due to Stomach Heat; vomiting due to Stomach Cold; chronic illness with Qi deficiency and severely衰败 Stomach Qi, causing nausea and hiccups upon smelling grain aroma; excessive Spleen Dampness failing to transform fine essences, causing clear Phlegm and retained fluid stagnating in the Upper and Middle Burners, causing frequent nausea and vomiting of clear water. Each should be treated by analogy; one must not adhere to a single viewpoint.
Pulse Diagnosis
The *Maijing* states: "Vomiting with a weak pulse, free urination, slight body heat, and appearance of Jue (cold extremities) indicate a difficult-to-treat case."
If the Dizhong pulse is floating, it indicates deficient Stomach Qi, Cold Qi above, and belching below; the two Qi clash, exiting but not entering; the person vomits and cannot eat; if terrified, death ensues; if relaxed, improvement occurs.
If the pulse is tight on the Yang side and rapid on the Yin side, the person vomits immediately after eating; a floating and rapid Yang pulse also indicates vomiting.
If the Cun Kou pulse is tight and Kou (hollow), tight indicates Cold, hollow indicates Deficiency; Deficiency and Cold clashing result in a Yin knotting and slow pulse; the person experiences dysphagia; if the Guan position pulse is rapid, the person vomits.
A string-like (Xian) pulse indicates Deficiency; lack of residual Stomach Qi leads to morning food vomited in the evening, evening food vomited in the morning, transforming into Fanwei (reverse regurgitation). Cold is above, but the doctor mistakenly uses purgatives, causing the pulse to become Xian, hence named Deficiency.
If the Cun Kou pulse is faint and rapid, faint indicates lack of Qi; lack of Qi leads to Ying (Nutritive) Deficiency; Ying Deficiency leads to insufficient Blood; insufficient Blood leads to cold in the chest, thus vomiting.
Methods
Zhu Danxi said: "Heat in the Stomach and Phlegm in the Diaphragm: Erchen Tang (Two-Aged Decoction) added with stir-fried Zhizi (Gardeniae Fructus), Ginger-stir-fried Huanglian (Coptidis Rhizoma), and Shengjiang (Zingiberis Rhizoma), decocted and taken."
For any vomiting, purgatives must absolutely not be used, as this goes against the pathology.
For chronic vomiting due to Stomach Qi deficiency failing to receive grain, treat with Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqi (Astragali Radix), Baizhu, and Xiangfu (Cyperi Rhizoma). For distension, fullness, shortness of breath, and vomiting, tonify Middle Qi; only Tiao Zhong Yi Qi Tang (Regulate and Tonify Middle Qi Decoction) should be used.
Liver Fire emerging from the Stomach, reversing upward causing vomiting: Yiqing Wan (Suppress Green Pill). (Formula see Fire Section.)
Summer vomiting that does not cease: Wuling San (Five-Ingredient Powder with Poria) added with Ginger Juice, mixed into a decoction and taken.
Vomiting worms: Use Heixi (Black Tin) roasted to ash, mixed with Binglang (Arecae Semen) powder, and taken with Rice Drink.
Nausea and vomiting of clear water: Can be due to Heat, Phlegm, or Deficiency; always use Shengjiang (Zingiberis Rhizoma), adding other herbs according to the syndrome.
Heat in the Stomach: Erchen Tang added with Ginger-juice processed Huanglian (Coptidis Rhizoma) and Huangqin (Scutellariae Radix). If accompanied by Deficiency, add Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma). Also stated: For weak Stomach causing vomiting, Erchen Tang added with Sharen (Amomi Fructus), Huoxiang (Agastaches Herba), and Baizhu (Atractylodis Macrocephalae Rhizoma).
Pathology caused by Phlegm-Fluid, or due to excessive consumption of raw/cold foods causing Spleen-Stomach disharmony, leading to vomiting, nausea, dizziness, epigastric discomfort, or alternating chills and fever: Erchen Tang added with Dingxiang (Syzygii Flos), Wumei (Mume Fructus), and Shengjiang (Zingiberis Rhizoma), decocted and taken. If epigastric stuffiness and pain occur, add Caodoukou (Cardamomi Rotundus Fructus).
Excessive Phlegm-Heat causing nausea and vomiting: Daotan Tang (Guide Out Phlegm Decoction) added with Suosha (Amomi Fructus Rotundus), Ginger-stir-fried Huanglian (Coptidis Rhizoma), and Zhuru (Bambusae Caulis in Taenia).
(Above are ten methods from Danxi.)
Huoxiang Anwei San (Hejian) treats weak Stomach Qi, inability to eat, and frequent nausea/vomiting.
Huoxiang (Agastaches Herba), Renshen (Ginseng Radix), Chenpi (Citri Reticulatae Pericarpium) (each 1 qian); Dingxiang (Syzygii Flos) (0.5 qian).
Finely cut, make one dose, add one cup of water, decoct to 0.7 cups, take warm.
Hezhong Jiegeng Tang (Hejian) treats Upper Burner Heat Qi rushing upward, sudden vomiting after eating, floating and surging pulse; first harmonize the middle.
Jiegeng (Platycodonis Radix) (1.5 qian), Banxia Qu (Pinelliae Fermentatum) (2 qian), Chenpi (Citri Reticulatae Pericarpium, white part removed, 1 qian), Zhishi (Aurantii Fructus Immaturus, bran-fried yellow, 1 qian), Baifuling (Poria) (1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (1.5 qian), Houpo (Magnoliae Officinalis Cortex, ginger juice stir-fried, 1 qian).
Finely cut, make one dose, add 1.5 cups of water, decoct to 1 cup, strain, take the clear liquid mixed with 2 qian of Muxiang San (Aucklandia Powder), on an empty stomach. After three doses, Qi gradually descends, vomiting stops; then remove Muxiang San, add Shaoyao (Paeoniae Radix Alba) 2 qian and Huangqi (Astragali Radix) 1.5 qian, decoct and take. Stop when cured. If stool is dry and hard, food not digesting downward, use Dachengqi Tang (Major Order the Qi Decoction) removing Mangxiao (Natrii Sulfas) to mildly purge, then take previous tonic herbs. If stool constricts again, mildly purge again according to previous method.
Muxiang San (Hejian)
Muxiang (Aucklandiae Radix) and Binglang (Arecae Semen) in equal parts, ground to fine powder, taken mixed with previous medicine.
Jinghuang Tang (Hejian) treats sudden vomiting, Upper Burner Heat Qi rushing, floating and surging pulse.
Jingjie Sui (Schizonepetae Spica) (5 qian), Renshen (Ginseng Radix) (2.5 qian), Gancao (Licorice Root, honey-fried, 1 qian), Dahuang (Rhei Radix et Rhizoma) (1.5 qian).
Finely cut, make one dose, add 2 cups of water, decoct to 1 cup, strain, mix with 2 qian of Binglang San (Areca Powder), take on an empty stomach.
Binglang San (Hejian)
Binglang (Arecae Semen) (3 qian), Muxiang (Aucklandiae Radix) (1.5 qian), Qingfen (Calomelas, a little).
Grind to fine powder, take mixed with previous medicine. Can also be made into pills: soak steamed dough in water, pill like small beans, take 20 pills after meals.
Qingzhen Wan (Hejian) treats Upper Burner vomiting, headache, fever, sweating, string-like pulse.
Chaihu (Bupleuri Radix, remove radicle, 2 liang), Huangqin (Scutellariae Radix) (0.75 liang), Gancao (Licorice Root) (0.5 liang), Banxia (Pinelliae Rhizoma) (0.5 liang), Qingdai (Indigo Naturalis) (0.25 liang), Renshen (Ginseng Radix) (0.5 liang).
Grind to fine powder, soak steamed dough in Ginger Juice, pill like paulownia seeds, take 50 pills, send down with Ginger Soup, after meals.
Baizhu Tang (Hejian) treats Stomach deficiency damage and vomiting due to Phlegm.
Banxia Qu (Pinelliae Fermentatum) (5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (2 qian), Binglang (Arecae Semen) (2.5 qian), Muxiang (Aucklandiae Radix) (1 qian), Gancao (Licorice Root) (1 qian), Fuling (Poria) (2 qian).
Grind to fine powder, take 2 qian each time, send down with Ginger Soup, before meals.
Jinhua Wan (Hejian) treats vomiting food with string-like pulse, Liver invading Spleen causing vomiting, due to Spleen-Stomach deficiency; should treat Wind and calm Spleen.
Banxia (Pinelliae Rhizoma, soaked in water seven times, 1 liang), Binglang (Arecae Semen) (2 qian), Xionghuang (Realgar) (1.5 qian).
Grind to fine powder, mix with Ginger Juice and steamed dough, pill like paulownia seeds; for children, pill like millet grains, send down with Ginger Soup, start with small amount and increase gradually, stop when vomiting ceases. No obstruction to Spleen, so food digests naturally.
Zichen Wan (Hejian) treats Middle Burner vomiting food, caused by food accumulation clashing with Cold, causing vomiting and pain; take this medicine.
Banxia Qu (Pinelliae Fermentatum) (2 qian), Wumei Rou (Mume Fructus Flesh) (2 qian), Daizheshi (Hematitum) (3 qian), Xingren (Pruni Armeniaci Semen Amarum, skin and tip removed, separately ground, 1 qian), Sharen (Amomi Fructus) (3 qian), Dingxiang (Syzygii Flos) (2 qian), Chenxiang (Aquilariae Lignum Resinatum) (1 qian), Binglang (Arecae Semen) (2 qian), Muxiang (Aucklandiae Radix) (1 qian), Chenpi (Citri Reticulatae Pericarpium) (5 qian), Baidoukou (Cardamomi Albi Fructus) (0.5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (1 qian), Badoushuang (Crotonis Fructus Frost, separately ground, 0.5 qian).
Grind to fine powder, mix evenly with Badoushuang, use vinegar-dough paste to pill like millet grains, take 50 pills after meals, send down with Ginger Soup, stop when vomiting cures. For children, pill like sesame seeds; excellent for pediatric food-accumulation vomiting.
Xiao Banxia Tang (Zhongjing) treats Yangming Cold Damage, unable to receive grain, continuous vomiting.
Banxia (Pinelliae Rhizoma, soaked in water seven times, 1 liang), Shengjiang (Zingiberis Rhizoma) (2 qian).
Finely cut, add 3 cups of water, decoct to 1 cup, strain, divide into two doses.
Shengjiang Zhi Banxia Tang (Huoren) treats chest feeling like panting but not panting, like vomiting but not vomiting, like hiccups but not hiccups, deeply disturbing and helpless.
Banxia (Pinelliae Rhizoma, soaked and washed seven times, 1 liang).
Finely cut, add 1.5 cups of water and 0.5 cup of fresh Ginger Juice, decoct together to 1 cup, take warm. Zhongjing said: "For frequent vomiting, even if Yangming signs exist, caution against purgatives." Sun Simiao said: "Those who vomit should take much Ginger; it is the sacred herb for vomiters." Reversing Qi is dispersed by Pungent flavors, so Ginger is the main treatment.
Huoxiang Pingwei San (Dongyuan) treats internal injury from diet, filling Taiyin, continuous vomiting.
Huoxiang (Agastaches Herba) (1 qian), Houpo (Magnoliae Officinalis Cortex, ginger processed, 1 qian), Cangzhu (Atractylodis Rhizoma) (1.5 qian), Chenpi (Citri Reticulatae Pericarpium) (1 qian), Gancao (Licorice Root, honey-fried, 0.3 qian), Sharen (Amomi Fructus, ground, 0.5 qian), Shenqu (Massa Medicata Fermentata, stir-fried, 0.5 qian).
Finely cut, make one dose, add 5 slices of Ginger, 1 date, 1.5 cups of water, decoct to 1 cup, strain, take warm.
Weiling Tang (Jufang) treats same conditions as above.
Pingwei San (Calm the Stomach Powder) plus Wuling San (Five-Ingredient Powder with Poria), add Ginger and Date, decoct in water and take.
Huanglian Liuyi Tang (Danxi) treats pain in the epigastrium centering on the heart, or continuous vomiting, gradually becoming Fanwei (reverse regurgitation), caused by excessive consumption of fried, roasted cakes, hot noodles, etc.
Huanglian (Coptidis Rhizoma) (6 qian), Gancao (Licorice Root, honey-fried, 1 qian).
Finely cut, make one dose, add one large cup of water, decoct to 0.7 cups, strain, take warm.
Dingfu Zhizhong Tang (Jufang) treats Stomach injury from cold foods, causing abdominal pain and continuous vomiting/hiccups.
Renshen (Ginseng Radix) (0.5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (1 qian), Ganjiang (Zingiberis Rhizoma Recens) (1 qian), Gancao (Licorice Root, honey-fried, 0.3 qian), Chenpi (Citri Reticulatae Pericarpium), Qingpi (Citri Reticulatae Pericarpium Viride), Dingxiang (Syzygii Flos) (each 1 qian), Fuzi (Aconiti Lateralis Radix Preparata) (2 qian).
Finely cut, make one dose, add 5 slices of Ginger, 2 dates, 1.5 cups of water, decoct to 1 cup, strain, take warm.
Jiawei Erchen Tang (Danxi) treats latent Fire in Stomach, thick Phlegm in Diaphragm, frequent epigastric pain, and uncomfortable nausea/vomiting of clear water.
Chenpi (Citri Reticulatae Pericarpium, white part removed, 1 qian), Banxia (Pinelliae Rhizoma, processed, 1.5 qian), Fuling (Poria) (1 qian), Gancao (Licorice Root, honey-fried, 0.3 qian), Zhizi (Gardeniae Fructus, stir-fried, 1 qian), Huanglian (Coptidis Rhizoma, ginger juice stir-fried, 1.5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (1 qian), Ganjiang (Zingiberis Rhizoma Recens, stir-fried, 0.5 qian), Cangzhu (Atractylodis Rhizoma) (1 qian), Xiangfu (Cyperi Rhizoma) (1 qian), Mujingzi (Vitexis Trifoliae Fructus, stir-fried separately ground, 1.5 qian). If accompanied by Deficiency, add Renshen (Ginseng Radix) (1 qian).
Finely cut, make one dose, add 2 cups of water, 3 slices of Ginger, decoct to 1 cup, take slightly hot. If epigastric pain is severe, add 1 he of fresh Ginger Juice, mix well and take.
Dingxiang Anwei Tang (Dongyuan) treats vomiting and hiccups caused by Stomach Deficiency-Cold.
Dingxiang (Syzygii Flos) (0.5 qian), Wuzhuyu (Evodiae Fructus) (1 qian), Caodoukou (Cardamomi Rotundus Fructus) (1 qian), Huangqi (Astragali Radix) (2 qian), Renshen (Ginseng Radix) (1 qian), Chaihu (Bupleuri Radix) (0.5 qian), Gancao (Licorice Root, honey-fried, 0.5 qian), Shengma (Cimicifugae Rhizoma), Danggui Shen (Angelicae Sinensis Radix Body), Chenpi (Citri Reticulatae Pericarpium) (each 0.5 qian), Huangbai (Phellodendri Cortex) (0.2 fen), Cangzhu (Atractylodis Rhizoma) (1 qian).
Finely cut, make one dose, add one large cup of water, decoct to 0.7 cups, take warm before meals.
Fuling Banxia Tang (Dongyuan) treats Spleen-Stomach weakness, heavy body with Phlegm, nausea and desire to vomit. Wind pathogen binding between Spleen and Stomach; first solidify Spleen Earth.
Baizhu (Atractylodis Macrocephalae Rhizoma) (1 qian), Fuling (Poria) (1 qian), Banxia (Pinelliae Rhizoma) (1 qian), Shenqu (Massa Medicata Fermentata, stir-fried, 1 qian), Juhong (Citri Reticulatae Pericarpium Rubrum) (0.7 qian), Tianma (Gastrodiae Rhizoma) (0.7 qian), Maifan (Triticum Vulgare Farina, stir-fried yellow, 1.2 qian).
Finely cut, make one dose, add 1.5 cups of water, 5 slices of Ginger, decoct to 1 cup, take hot.
(Danxi Huotao) says: "Heat in Stomach, Phlegm in Diaphragm, causing frequent vomiting of clear water, belching, acid regurgitation, etc.: Use Erchen Tang (Two-Aged Decoction) added with Ginger-stir-fried Huanglian (Coptidis Rhizoma), Zhizi (Gardeniae Fructus), Cangzhu (Atractylodis Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xiangfu (Cyperi Rhizoma), Sharen (Amomi Fructus), Shenqu (Massa Medicata Fermentata), Shanzha (Crataegi Fructus), add a little Muxiang (Aucklandiae Radix) to move stagnant Qi, add Ginger, decoct in water and take. For chronic illness with Deficiency, add Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma). For Stomach Cold, add Yizhi (Alpiniae Oxyphyllae Fructus), Caodoukou (Cardamomi Rotundus Fructus), Ganjiang (Zingiberis Rhizoma Recens), Guixin (Cinnamomi Cortex), remove Huanglian (Coptidis Rhizoma) and Zhizi (Gardeniae Fructus). If more severe, add Dingxiang (Syzygii Flos) and Fuzi (Aconiti Lateralis Radix Preparata). If hypochondriac or Spleen pain, right Guan pulse is string-like, continuous vomiting, this is Wood overacting on Earth; add Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), Qingpi (Citri Reticulatae Pericarpium Viride), Shaoyao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Sharen (Amomi Fructus), Shenqu (Massa Medicata Fermentata) to the base formula. If frequently vomiting clear water, or mouth tastes sweet, dislike eating, cold saliva gushing up from below, this is caused by Spleen Heat; add Baizhu (Atractylodis Macrocephalae Rhizoma), Shaoyao (Paeoniae Radix Alba), Shengma (Cimicifugae Rhizoma), Earth-fried Huanglian (Coptidis Rhizoma), Zhizi (Gardeniae Fructus), Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), Ganjiang (Zingiberis Rhizoma Recens) to the base formula; pills or decoction are both acceptable. If frequently nauseous, vomiting clear water, Heart-Stomach pain, relieved by eating, worse when hungry, this is Ascaris in Stomach; add Kulangen (Toosendan Radix) and Shijunzi (Quisqualis Fructus) to the base formula, decoct and take to cure; or use Heixi Ash (Black Tin Ash) and Binglang Powder (Arecae Semen) in equal parts, mixed with Rice Drink and taken."
Medical Case
The wife of the Huang family in the city, nearly thirty years old, suffered postpartum fatigue and food injury, leading to Stomach deficiency unable to receive grain for over forty days. Upon smelling grain aroma, she felt nauseous and vomited; upon smelling medicine aroma, she also vomited. She sought my treatment. I said: "If medicine cannot enter the mouth, what method can be used?" Insisting repeatedly, I finally formulated a prescription: Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria) each 5 qian, Gancao (Licorice Root) 0.02 qian, Chenpi (Citri Reticulatae Pericarpium), Huoxiang (Agastaches Herba), Sharen (Amomi Fructus) each 0.5 qian, Stir-fried Shenqu (Massa Medicata Fermentata) 1 qian, Ten-year-old Chen Cangmi (Coeli Semen Retentum) 1 he, Shunliushui (Flowing Water) two large cups boiled, soak Fulonggan (Caulis Longani Folium / Lodestone Ash? Note: Fulonggan usually refers to Furnace Soil/Caulis Longani Folium contextually often interpreted as prepared earth/mineral in ancient texts, here likely prepared soil/ash), grind fine, stir turbid, let settle clear, take one cup, add Ginger and Date, decoct previous herbs to 0.7 cups, take slightly cool. This medicine was retained without vomiting. Separately, give Chen Cangmi decoction frequently, advance previous medicine 2-3 times daily, gradually able to eat porridge and stabilize. Later, treating over ten people with this method, all were effective.