〔仲〕诸呕吐，谷不得下者，小半夏汤主之。
呕家本渴，渴者为欲解，今反不渴，心下有支饮故也。小半夏汤主之。
用半夏一升，生姜半斤，以水七升，煮取一升半，分温再服。
卒呕吐、心下痞，肠闭有水眩悸者，小半夏加茯苓汤主之。
半夏（一升） 生姜（半斤） 茯苓（三两，一法四两）
上三味，以水七升，煮取一升半，分温再服。
陈皮汤 治呕。（方见干呕。）
〔孙〕治呕吐，以白槟榔一枚煨，陈皮十分炙，锉为末，水一盏，煎半盏服之。
上姜、半、橘，治呕吐必用之圣药。然东垣云∶辛药生姜之类治呕吐，但治上焦气壅表实之病，若胃虚
谷气不行，胸中闭塞而呕者，惟宜益胃，推扬谷气而已，勿作表实，用辛药泻之。
〔仲〕胃反呕吐者，大半夏汤主之。（服前小半夏汤诸汤不愈者，服此立愈。）
半夏（二升，洗完用） 人参（三两） 白蜜（一升）
上三味，以水一斗三升，和蜜扬之二百四十遍，煮药取三升，温服一升，余分再服。
李绛疗反胃呕吐无常，粥饮入口即吐，困倦无力垂死者，以上党人参三大两，劈破，水一大升，煮取四合，热顿服。
〔丹〕久病呕者，胃虚不纳谷也。
生姜 人参 黄 白术 香附
胃虚有寒呕吐者，东垣丁香茱萸汤、仲景理中汤，皆益胃推扬谷气之剂也。（方见寒条。）
〔垣〕若阴虚邪气逆上，窒塞呕哕不足之病，此地道不通也。正当用生地黄、当归、桃仁、红花之类，和
血凉血润血；兼用甘草以补其气；微加大黄、芒硝以通其闭，大便利，邪气去，则气逆呕哕自不见矣。复有胸
中虚热，谷气久虚，发而为呕哕者，但得五谷之阴以和之，则呕哕自止。（五谷皆属阴，或食，或饮白汤，或喜凉
者饮凉水，皆能止呕哕，不必用药也。）
〔仲〕呕而肠鸣，心下痞者，半夏泻心汤主之。（方见伤寒。）
〔垣〕加减二陈汤 治痰饮为患，或呕哕恶心；或头眩心悸；或中脘不快；或发为寒热；或因食生冷，脾胃不和，
并宜治之。
丁香（一两） 半夏（五两） 陈皮（五两） 茯苓（二两） 甘草（一两半）
上 咀。每服四钱，水一盏半，生姜三片，乌梅一个，同煎至七分，去渣热服无时。或治痰痞，加草豆蔻
面裹煨熟一两半。
藿香安胃散 治脾胃虚弱，不饮食，呕吐不时。
藿香（钱半） 丁香（二钱） 人参（二钱） 橘红（五钱）
上件四味为细末。每服二钱，水二盏，生姜三片，同煎至一盏，去渣服，食前。
〔垣〕丁香吴茱萸汤 治呕吐哕，胃寒所致。
丁香（五分） 吴茱萸 草豆蔻 人参（各一钱） 甘草（五分，炙） 黄芩（一钱） 柴胡（五分）
升麻（七分） 茯苓（五分） 当归（钱半） 苍术（一钱） 半夏（五分） 干姜（五分）
上为细末。每服半两，水二盏，煎至一盏，去渣热服，食前。忌冷物。
〔世〕藿香平胃散 治呕吐不止。
藿香（一两） 半夏（二两） 陈皮（去白，二两） 浓朴（一两，制） 苍术（三两，泔浸） 甘草（二两，炙）
上为粗未。每服五钱，水一盏半，生姜三片，枣三枚，同煎，去渣，温服。
〔罗〕红豆丸 诸药不愈者神效。（方见膈气寒条。）
〔杜〕安业坊，有阎氏家老妇人患呕吐，请石秀才医。曰∶胃冷而呕，下理中丸至百余丸，其病不愈。石
疑此患，召杜至。曰∶药病正相投，何必多疑。石曰∶何故药相投而病不愈？杜曰∶寒气甚，药力未及，更进
五十丸必愈。如其言果愈。石于是师法于杜。
〔海〕理中汤加减例。（理中汤方∶甘草、人参、白术、干姜，各等分。）
若为寒气、湿气所中者，附子一两，名附子理中汤。若霍乱吐泻者，加橘红、青橘皮各一两，名 治中汤。
若干霍乱，心腹作痛，先吃盐汤少许，顿服，呕吐出令透，即进此药。若呕吐者，于治中汤内加丁香、
半夏一两，生姜十片。若泄泻者，加橘红、茯苓各一两，名补中汤。若泄泻不已者，于补中汤内加附子一两，
不喜饮食，水谷不化者，再加炒砂仁一两，共成八味。若藿乱吐下，心腹作痛，手足逆冷，于本方中去白术、
加熟附，名四顺汤。若伤寒结胸，先以桔梗、枳壳等分煎服，不愈者，及吐利后胸痞欲绝，心膈高起，急痛
手不可近者，加枳实、茯苓各一两，名枳实理中汤。若渴者，但于枳实理中汤内加栝蒌根一两。若霍乱后转筋
者，理中汤内加石膏一两。（火 ）。若脐下筑者，肾气动也，去术，加官桂一两，肾恶燥故去术；
恐作奔豚，故加官桂。若悸多者，加茯苓一两。若渴欲饮水者，加术半两。若苦寒者，加干姜五钱。若腹
满者，去白术，加附子一两。若饮酒过多及啖炙爆热食发为鼻衄者，加川芎一两。若伤胃吐血，以此药能
理中脘，分利阴阳，安定血脉，只用本方。若中附子毒者，亦用此方；或止用甘草、生姜等分煎服，或以
乌豆煎汤解之。
〔仲〕呕而胸满者，吴茱萸汤主之。（方见伤寒吐。）呕而脉弱，小便复利，身有微热，见厥逆者，四
逆汤主之。（方见伤寒下利。）
〔杜〕王普侍郎病呕，饮食皆不得进，召孙，数日亦不愈，后复召杜。杜曰∶治呕愈呕，此胃风也。遂用
川乌一两，净洗去皮脐、不去尖，以浆水一碗煮干。每个作两片，复用浆水一碗，煮尽，更作四片。每细嚼一
片，以少温水下。少顷，呕遂止。痛既少息，杜遂问曰∶寻常好吃何物？曰∶好吃甘甜之物。杜曰∶是甘甜
乃膏粱之物，积久成热，因而生风，非一朝一夕之故也。王服其说。
痛而呕为寒。经云∶寒气客于肠胃，厥逆上出，故痛而呕者是也。
〔丹〕呕吐，胃中有热，膈上有痰，二陈汤加炒栀子、黄连、生姜主之。此方累试效。
〔仲〕呕而发热者，小柴胡汤主之。（方见往来寒热。）
〔洁〕用小柴胡汤加青黛，以姜汁打糊为丸，名青镇丸，治呕吐，脉弦，头痛，盖本诸此。
〔《本》〕治胃热呕，以竹茹汤。
干葛（三钱） 甘草（二钱） 半夏（三钱，姜汁半盏，浆水一升，煮耗半）
上末。每服五钱，水一盏，姜三片，竹茹一弹，大枣一枚，同煎至一盏，去渣温服。
有热者，手足心热。政和年，有京人病伤寒，得汗身凉，数日忽呕吐，药与饮食俱不下。医者皆进丁香、
藿香、滑石等药，下咽即吐。予曰∶此正汗后余热留胃脘，孙兆竹茹汤正相当尔。治药与之，实时愈。《良方》
中槐花散，亦相应。
定呕吐利膈，枇杷散。
枇杷叶（去毛，味苦平，下气） 人参（各一钱） 茯苓（五钱） 茅根（二两） 半夏（一钱）
上细锉。每服四钱，水一盏半，生姜七片，慢火煎至七分，去渣，入槟榔末五分，和匀服之。
〔仲〕呕吐而病在膈上，后思水解，急与之，思水者，猪苓散主之。
猪苓 茯苓 白术（各等分）
上三味，杵为散。饮服方寸匕，日三服。
仲景云∶呕吐思水解者，急与之。予长男每呕水三二碗，诸药不效，但吃井花水一口即住。用
白术茯苓汤服愈，信知先贤不诬也。
〔《本》〕治卒呕吐不止，不欲食，煮枇杷叶汁饮之，止渴，偏理呕 。
〔丹〕妇人月经时口渴，吃水多，心痞，善呕不食。
白术（二钱） 陈皮（二钱） 山栀（炒） 木通 黄芩（各一钱） 炙甘草（些）
分二帖，水二盏，煎小盏，入姜汁热饮之。
〔《本》〕治产后呕不止者，香灵丸。
丁香 辰砂（另研。各六分） 五灵脂（一钱）
上香、脂先研末；后入砂再研匀。用狗胆或猪胆丸如鸡头大，每服一丸，生姜陈皮汤磨下。
诸痿喘呕，皆属于上。（全文见诊。）
〔《素》〕太阴所谓食则呕者，物盛满而上溢，故呕。（脉解篇）
辛散逆气，诸方用姜、半、橘之类。（并见上壅条。）
〔《广》〕治呕逆不能食。诃黎勒皮二两，去核，捣为末，炼蜜和丸，槐子大。空心服二十丸，日二服。
〔《食》〕木瓜主呕 风气。又吐而转筋，煮木瓜汁饮之，甚良。
〔世〕若病患直患呕吐，而复脚弱、或疼，乃是香港脚，当作香港脚治之。
运气 呕吐有四∶
一曰火热。经云∶少阴司天，热气下临，呕逆躁烦。又云∶少阳所至，为呕涌。又云∶少阳之复，呕逆。
又云∶火郁之发，呕逆，治以咸寒、甘寒是也。
二曰风。经云∶厥阴在泉，风淫所胜，病食则呕。又云∶厥阴司天，风淫所胜，食则呕。又云∶厥阴之胜，
甚则呕。又云∶厥阴之复，呕吐，饮食不入，入而复出，甚则入脾食痹而吐，治以辛凉甘清、酸清是也。
三曰风火。经云∶少阳司天之政，风热参布，民病呕吐。二之气，病热郁于上，咳逆呕吐。三之气，民病
呕。又云∶太阳司天之政，初之气，病见热，头痛呕吐，治以酸寒、辛寒、咸寒是也。
四曰湿。经云∶阳明司天之政，初之气，其病呕。又云∶土郁之发，甚则心痛、脚肿、呕吐是也。
针灸 呕吐取法有二∶
其一取脾。经云∶脾足太阴之脉，是动则病食则呕，视盛虚热寒陷下取之也。
其二取肝。经云∶肝足厥阴之脉，所生病者，胸满呕逆，视盛虚热寒陷下取之也。
〔洁〕呕盛无度并干呕∶大陵 间使
〔扁〕呕逆∶中脘 尺泽
〔《摘》〕胸中痰饮，霍乱惊悸，腹胀暴痛，恍惚，吐逆不食∶巨阙（六分。） 三里（立愈。）
肝脉缓为善呕。（全文见诊虚实法。）
〔垣〕孙真人言生姜为呕家圣药，谓上焦气壅表实之病而言，非以泻气而言之也。若脾胃虚弱，谷气不行，
荣卫下流，是中气不利，清气津液不上，胸中闭塞，气道不开，亦令人哕，惟宜益胃推扬谷气而已。勿作外实，
以辛药生姜之类，泻其壅滞，及妄以泻气、泻血药下之。下之则转增闭塞疼痛，或变作结胸，复下其膈，由此
致危者多矣。盖气已虚而反泻之，是重泻其气，必胸中如刀削之痛，与正结胸无异，可不慎哉。
〔丹〕呕吐煎药，忌栝蒌、杏仁、桃仁，萝卜子、山栀，皆要作吐。丸药中带香药行散，不妨。注船大吐，
渴饮水者即死，童便最好。
[Zhang Zhongjing] For all cases of vomiting where food cannot be swallowed, Xiaobanxia Decoction (Minor Pinellia Decoction) is the primary treatment.
Those who frequently vomit should naturally feel thirsty; if they are thirsty, it indicates the disease is about to resolve. Now that there is no thirst, it is due to the presence of Zhiyin (branching fluid retention) in the heart region. Xiaobanxia Decoction (Minor Pinellia Decoction) is the primary treatment.
Usage: Banxia (Pinelliae Rhizoma) one sheng, Shengjiang (Zingiberis Rhizoma Recens) half a jin, with seven sheng of water, decoct to obtain one and a half sheng of liquid, divide into two warm doses.
For sudden vomiting, epigastric fullness/stuffiness (Xinxia Pi), intestinal obstruction accompanied by dizziness and palpitations caused by fluid retention, Xiaobanxia Jia Fuling Decoction (Minor Pinellia Decoction plus Poria Decoction) is the primary treatment.
Ingredients: Banxia (Pinelliae Rhizoma) (one sheng), Shengjiang (Zingiberis Rhizoma Recens) (half a jin), Fuling (Poria) (three liang, another method says four liang).
The above three herbs, with seven sheng of water, decoct to obtain one and a half sheng of liquid, divide into two warm doses.
Chenpi Tang (Tangerine Peel Decoction): Treats vomiting. (Formula see under Dry Vomiting.)
[Sun Simiao] To treat vomiting, use one Bai Binglang (Arecae Semen Preparatum) roasted, ten fen of Chenpi (Citri Reticulatae Pericarpium) roasted, grind into powder, take with one zhan of water, decoct to half a zhan and administer.
The aforementioned Ginger, Banxia, and Orange Peel are holy medicines inevitably used for treating vomiting. However, Li Dongyuan stated: Acrid medicines such as Shengjiang (Zingiberis Rhizoma Recens) treat vomiting only when the pathology involves Qi stagnation in the Upper Jiao and exterior excess syndrome. If the vomiting is due to Stomach deficiency causing Grain Qi to fail to move, resulting in chest stuffiness and vomiting, one should only benefit the Stomach and promote the rise of Grain Qi, rather than treating it as an exterior excess syndrome and using acrid medicines to purge it.
[Zhang Zhongjing] For gastric reversal vomiting, Dabanxia Tang (Major Pinellia Decoction) is the primary treatment. (If previous treatments like Xiaobanxia Tang and other decoctions failed, this formula will cure it immediately.)
Ingredients: Banxia (Pinelliae Rhizoma) (two sheng, washed before use), Renshen (Ginseng Radix et Rhizoma) (three liang), Baimi (Honey) (one sheng).
The above three herbs, with thirteen sheng of water, mix with honey and stir two hundred and forty times, decoct the medicine to obtain three sheng of liquid, take one sheng warm, and administer the remainder in divided doses.
Li Jiang treated irregular gastric reversal vomiting where porridge and drinks were vomited immediately upon entry, with extreme fatigue and weakness bordering on death, using three da liang of Shangdang Renshen (Ginseng Radix et Rhizoma from Shangdang), split open, decocted in one da sheng of water to obtain four ge, taken hot in one dose.
[Zhu Danxi] Chronic vomiting is due to Stomach deficiency failing to receive Grain.
Herbs: Shengjiang (Zingiberis Rhizoma Recens), Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Xiangfu (Cyperi Rhizoma).
For vomiting caused by Stomach deficiency and cold, Li Dongyuan's Dingxiang Zhuyu Tang (Clove and Evodia Decoction) and Zhang Zhongjing's Lizhong Tang (Regulate the Middle Decoction) are both formulas that benefit the Stomach and promote the rise of Grain Qi. (Formulas see under Cold section.)
[Li Dongyuan] If Yin deficiency leads to rebellious pathogenic Qi rising, causing obstruction and insufficient vomiting/hiccups, this is due to the failure of the Lower Jiao to unblock. One should appropriately use Shengdi Huang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Taoren (Persicae Semen), Honghua (Carthami Flos) to harmonize, cool, and moisten the blood; combine with Gancao (Glycyrrhizae Radix et Rhizoma) to tonify Qi; slightly add Dahuang (Rhei Radix et Rhizoma) and Mangxiao (Natri Sulfas) to unblock constipation. Once the bowels are free and pathogenic Qi is eliminated, the rebellious Qi and vomiting/hiccups will naturally cease. In cases of empty heat in the chest and long-term deficiency of Grain Qi leading to vomiting/hiccups, obtaining the Yin of the Five Grains to harmonize it will stop the vomiting/hiccups naturally. (The Five Grains all belong to Yin; whether eating them, drinking plain water, or preferring cold water, all can stop vomiting/hiccups without necessarily needing medicine.)
[Zhang Zhongjing] For vomiting with borborygmus and epigastric fullness/stuffiness (Xinxia Pi), Banxia Xiexin Tang (Pinellia Decoction to Drain the Epigastrium) is the primary treatment. (Formula see under Shaoyang Disease.)
[Li Dongyuan] Jiawei Erchen Tang (Modified Two-Chen Decoction): Treats disorders caused by Phlegm-Fluid, such as vomiting/hiccups and nausea; dizziness and palpitations; discomfort in the middle jiao; alternating chills and fever; or spleen-stomach disharmony due to consuming raw/cold foods. All are suitable for treatment.
Ingredients: Dingxiang (Caryophylli Flos) (one liang), Banxia (Pinelliae Rhizoma) (five liang), Chenpi (Citri Reticulatae Pericarpium) (five liang), Fuling (Poria) (two liang), Gancao (Glycyrrhizae Radix et Rhizoma) (one and a half liang).
Cut the above herbs coarsely. Take four qian per dose, with one and a half zhan of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), one Wumei (Mume Fructus), decoct together to seven parts, remove dregs, and take hot at any time. Or for treating Phlegm-fullness, add Caodoukou (Cardamomi Fructus) wrapped in flour and roasted to one and a half liang.
Huoxiang Angwei San (Agastache Powder to Stabilize the Stomach): Treats spleen-stomach weakness, loss of appetite, and intermittent vomiting.
Ingredients: Huoxiang (Pogostemonis Herba) (half qian), Dingxiang (Caryophylli Flos) (two qian), Renshen (Ginseng Radix et Rhizoma) (two qian), Juhong (Citri Reticulatae Pericarpium Rubrum) (five qian).
Grind the above four herbs into fine powder. Take two qian per dose, with two zhan of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct together to one zhan, remove dregs, and take before meals.
[Li Dongyuan] Dingxiang Zhuyu Tang (Clove and Evodia Decoction): Treats vomiting/hiccups caused by Stomach cold.
Ingredients: Dingxiang (Caryophylli Flos) (five fen), Wuzhuyu (Evodiae Fructus), Caodoukou (Cardamomi Fructus), Renshen (Ginseng Radix et Rhizoma) (one qian each), Gancao (Glycyrrhizae Radix et Rhizoma) (five fen, roasted), Huangqin (Scutellariae Radix) (one qian), Chaihu (Bupleuri Radix) (five fen), Shengma (Cimicifugae Rhizoma) (seven fen), Fuling (Poria) (five fen), Danggui (Angelicae Sinensis Radix) (one and a half qian), Cangzhu (Atractylodis Rhizoma) (one qian), Banxia (Pinelliae Rhizoma) (five fen), Ganjiang (Zingiberis Rhizoma) (five fen).
Grind into fine powder. Take half liang per dose, with two zhan of water, decoct to one zhan, remove dregs, take hot before meals. Avoid cold items.
[World Physicians] Huoxiang Pingwei San (Agastache Powder to Calm the Stomach): Treats persistent vomiting.
Ingredients: Huoxiang (Pogostemonis Herba) (one liang), Banxia (Pinelliae Rhizoma) (two liang), Chenpi (Citri Reticulatae Pericarpium) (peeled, two liang), Houpo (Magnoliae Officinalis Cortex) (one liang, processed), Cangzhu (Atractylodis Rhizoma) (three liang, soaked in rice water), Gancao (Glycyrrhizae Radix et Rhizoma) (two liang, roasted).
Grind into coarse powder. Take five qian per dose, with one and a half zhan of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), three dates, decoct together, remove dregs, and take warm.
[Luo Qianfu] Hongdou Wan (Red Bean Pill): Divine efficacy for cases unresponsive to other medicines. (Formula see under Diaphragmatic Qi Cold section.)
[Du Ren] An Ye Fang had an old woman surnamed Yan suffering from vomiting. Shi Xiucai was invited to treat her. He said: "It is cold in the Stomach causing vomiting." He administered Lizhong Tang (Regulate the Middle Decoction) for over a hundred pills, but the illness did not resolve. Shi suspected the case and summoned Du Ren. Du Ren said: "The medicine matches the disease perfectly; why doubt?" Shi asked: "Why does the illness not resolve despite the matching medicine?" Du Ren said: "The cold pathogen is severe, and the medicinal power has not yet reached its peak. Administer fifty more pills, and it will surely heal." Following his advice, she indeed healed. Shi then learned from Du Ren.
[Hai Zang] Examples of modifications to Lizhong Tang (Regulate the Middle Decoction). (Lizhong Tang Formula: Gancao (Glycyrrhizae Radix et Rhizoma), Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma), equal parts.)
If struck by cold-dampness, add Fuzi (Aconiti Lateralis Radix Praeparata) one liang, named Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction). If cholera with vomiting and diarrhea, add Juhong (Citri Reticulatae Pericarpium Rubrum) and Qingjupi (Citri Reticulatae Pericarpium Viride) one liang each, named Zhizhong Tang (Regulate the Middle Decoction).
If dry cholera with abdominal pain, first drink a small amount of salt water in one dose, induce thorough vomiting, then administer this medicine. If vomiting occurs, add Dingxiang (Caryophylli Flos) and Banxia (Pinelliae Rhizoma) one liang each, and ten slices of Shengjiang (Zingiberis Rhizoma Recens) to Zhizhong Tang (Regulate the Middle Decoction). If diarrhea occurs, add Juhong (Citri Reticulatae Pericarpium Rubrum) and Fuling (Poria) one liang each, named Buzhong Tang (Tonify the Middle Decoction). If diarrhea persists, add Fuzi (Aconiti Lateralis Radix Praeparata) one liang to Buzhong Tang (Tonify the Middle Decoction); for poor appetite and undigested food/water, add fried Sharen (Amomi Fructus Rotundus) one liang, totaling eight ingredients. If cholera with vomiting/diarrhea, abdominal pain, and cold limbs, remove Baizhu (Atractylodis Macrocephalae Rhizoma) from the base formula and add prepared Fuzi (Aconiti Lateralis Radix Praeparata), named Sishun Tang (Four Smoothnesses Decoction). If Shaoyang Disease presents with Jie Xiong (chest binding), first decoct Jiegeng (Platycodonis Radix) and Zhike (Aurantii Fructus Immaturus) in equal parts and take; if ineffective, and after vomiting/diarrhea there is severe chest stuffiness, high epigastric distension, and acute pain intolerable to touch, add Zhishi (Aurantii Fructus Immaturus) and Fuling (Poria) one liang each, named Zhishi Lizhong Tang (Zhishi Regulate the Middle Decoction). If thirsty, add Gualou Gen (Trichosanthis Radix) one liang to Zhishi Lizhong Tang (Zhishi Regulate the Middle Decoction). If muscle cramps occur after cholera, add Shigao (Gypsum Fibrosum) one liang to Lizhong Tang (Regulate the Middle Decoction) (Fire pathogen). If palpitations below the navel indicate Kidney Qi movement, remove Baizhu (Atractylodis Macrocephalae Rhizoma) and add Guigui (Cinnamomi Ramulus) one liang; because the Kidney dislikes dryness, Baizhu is removed; to prevent Ben Tun (running piglet), Guigui (Cinnamomi Ramulus) is added. If palpitations are frequent, add Fuling (Poria) one liang. If thirsty and desiring water, add Baizhu (Atractylodis Macrocephalae Rhizoma) half liang. If bitter cold sensation, add Ganjiang (Zingiberis Rhizoma) five qian. If abdominal fullness, remove Baizhu (Atractylodis Macrocephalae Rhizoma) and add Fuzi (Aconiti Lateralis Radix Praeparata) one liang. If excessive alcohol consumption or eating roasted/spicy hot food causes epistaxis, add Chuanxiong (Ligustici Chuanxiong Rhizoma) one liang. If Stomach injury causes hematemesis, this medicine regulates the Middle Jiao, separates Yin and Yang, and stabilizes the vessels; use only the base formula. If poisoned by Fuzi (Aconiti Lateralis Radix Praeparata), also use this formula; or simply decoct Gancao (Glycyrrhizae Radix et Rhizoma) and Shengjiang (Zingiberis Rhizoma Recens) in equal parts and take, or dissolve with Adzuki Bean decoction.
[Zhang Zhongjing] For vomiting with chest fullness, Wuzhuyu Tang (Evodia Decoction) is the primary treatment. (Formula see under Shaoyang Disease Vomiting.) For vomiting with weak pulse, frequent urination, slight body heat, and cold extremities (Jue Ni), Sini Tang (Counterflow Decoction) is the primary treatment. (Formula see under Shaoyang Disease Diarrhea.)
[Du Ren] Vice Minister Wang Pu suffered from vomiting and could not ingest food or drink. Sun Simiao was summoned, but after several days, there was no improvement. Du Ren was summoned again. Du Ren said: "Treating vomiting by inducing more vomiting indicates Wind in the Stomach." He used Chuanwu (Aconiti Radix) one liang, cleaned thoroughly removing skin and navel but keeping the tip, boiled in one bowl of Jiangshui (fermented grain water) until dry. Each piece was cut into two slices, then boiled again in one bowl of Jiangshui until the liquid was exhausted, then cut into four slices. Chew one slice finely and swallow with a little warm water. After a short while, the vomiting stopped. When the pain subsided slightly, Du Ren asked: "What do you usually like to eat?" He replied: "I like sweet things." Du Ren said: "Sweetness belongs to rich and greasy foods; accumulated over time it generates heat, which subsequently generates Wind. This is not a sudden onset." Wang Pu accepted his explanation.
Pain with vomiting indicates Cold. The Classics state: "When Cold Qi lodges in the intestines and stomach, Jue Qi rebels and rises outward, thus causing pain with vomiting."
[Zhu Danxi] For vomiting with Heat in the Stomach and Phlegm in the Diaphragm, Erchen Tang (Two-Chen Decoction) plus fried Zhizi (Gardeniae Fructus), Huanglian (Coptidis Rhizoma), and Shengjiang (Zingiberis Rhizoma Recens) is the primary treatment. This formula has proven effective repeatedly.
[Zhang Zhongjing] For vomiting with fever, Xiaochaihu Tang (Minor Bupleurum Decoction) is the primary treatment. (Formula see under Alternating Chills and Fever.)
[Zhang Jieyu] Use Xiaochaihu Tang (Minor Bupleurum Decoction) plus Qingdai (Indigo Naturalis), made into pills with Ginger Juice paste, named Qingzhen Wan (Blue Settling Pill), to treat vomiting, wiry pulse, and headache, based on this principle.
[Ben Cao] To treat Stomach Heat vomiting, use Zhuru Tang (Bamboo Shavings Decoction).
Ingredients: Ge Gen (Puerariae Lobatae Radix) (three qian), Gancao (Glycyrrhizae Radix et Rhizoma) (two qian), Banxia (Pinelliae Rhizoma) (three qian, boiled with half zhan of Ginger Juice and one sheng of Jiangshui until volume reduces by half).
Grind into powder. Take five qian per dose, with one zhan of water, three slices of Ginger, one ball-sized portion of Zhuru (Bambusa Textilis Internodium), and one date, decoct together to one zhan, remove dregs, and take warm.
Those with Heat have hot palms and soles. During the Zhenghe era, a person from the capital suffered from Shaoyang Disease; after sweating, his body cooled, but suddenly developed vomiting days later, rejecting both medicine and food. Doctors all prescribed Dingxiang (Caryophylli Flos), Huoxiang (Pogostemonis Herba), Huashi (Hematitum), etc., but everything was vomited immediately upon swallowing. I said: "This is residual heat remaining in the Stomach after sweating; Sun Zhao's Zhuru Tang (Bamboo Shavings Decoction) is precisely appropriate." I gave him the medicine, and he healed immediately. The Huaihua San (Sophora Flower Powder) in Liang Fang also corresponds.
To settle vomiting and benefit the diaphragm, use Pipa San (Loquat Powder).
Ingredients: Pipaye (Eriobotryae Folium) (dehired, bitter and neutral, directs Qi downward), Renshen (Ginseng Radix et Rhizoma) (one qian each), Fuling (Poria) (five qian), Maogen (Imperatae Rhizoma) (two liang), Banxia (Pinelliae Rhizoma) (one qian).
Cut finely. Take four qian per dose, with one and a half zhan of water, seven slices of Shengjiang (Zingiberis Rhizoma Recens), decoct slowly to seven parts, remove dregs, add five fen of Binglang (Arecae Semen) powder, mix well, and take.
[Zhang Zhongjing] For vomiting with pathology in the upper diaphragm, followed by desire for water to quench thirst, give water urgently. For those desiring water, Zhuling San (Polyporus Powder) is the primary treatment.
Ingredients: Zhuling (Polyporus), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma) (equal parts).
Grind the above three herbs into powder. Take one cun bi (square inch spoonful) with water, three times daily.
Zhang Zhongjing said: "For vomiting with desire for water to quench thirst, give water urgently." My eldest son vomited two or three bowls of water each time; various medicines were ineffective. Only one mouthful of well water stopped it. Using Baizhu Fuling Tang (Atractylis and Poria Decoction) cured him. Indeed, the words of the sages are not false.
[Ben Cao] To treat sudden persistent vomiting with loss of appetite, boil Pipaye (Eriobotryae Folium) juice and drink it; it quenches thirst and specifically treats vomiting.
[Zhu Danxi] Women experiencing thirst during menstruation, drinking much water, epigastric fullness/stuffiness, and frequent vomiting with loss of appetite.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma) (two qian), Chenpi (Citri Reticulatae Pericarpium) (two qian), Zhizi (Gardeniae Fructus) (fried), Mutong (Akebiae Caulis), Huangqin (Scutellariae Radix) (one qian each), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma) (a little).
Divide into two doses, decoct with two zhan of water to a small zhan, add Ginger Juice, and take hot.
[Ben Cao] To treat persistent vomiting after childbirth, use Xiangling Wan (Fragrant Spirit Pill).
Ingredients: Dingxiang (Caryophylli Flos), Chensha (Cinnabaris, separately ground) (six fen each), Wulingzhi (Trogopterori Faeces) (one qian).
First grind Dingxiang (Caryophylli Flos) and Wulingzhi (Trogopterori Faeces) into powder; then add Chensha (Cinnabaris) and grind evenly. Form pills the size of chicken heads using Dog Gallbladder or Pig Gallbladder. Take one pill per dose, grinding down with Ginger and Chenpi Decoction.
All Wei (atrophy), Chuan (panting), and Ou (vomiting) belong to the Upper Jiao. (Full text see under Diagnosis.)
[Su Wen] What Taiyin calls "vomiting after eating" is due to food being overly full and overflowing upward, hence vomiting. (Mai Jie Pian)
Acrid substances disperse rebellious Qi; various formulas use Ginger, Banxia, and Orange Peel. (See under Upper Obstruction section.)
[Guang Ji Fang] To treat rebellious vomiting preventing eating. Helile Pi (Terminalia Chebulae Pericarpium) two liang, remove pits, grind into powder, mix with refined honey to form pills the size of Sophora seeds. Take twenty pills on an empty stomach, twice daily.
[Shi Liao] Mugua (Chaenomelis Fructus) treats vomiting and Wind pathogen. Also, for vomiting with muscle cramps, boil Mugua (Chaenomelis Fructus) juice and drink it; very good.
[World Physicians] If a patient suffers directly from vomiting, accompanied by weak legs or pain, this is Hong Kong Foot (Jiao Qi / Beriberi), and should be treated as such.
In terms of Six Qi transformations, there are four types of vomiting:
1. Fire and Heat. The Classics state: "When Shaoyin governs the sky, Heat Qi descends, causing rebellious vomiting, restlessness, and irritability." Also: "When Shaoyang arrives, it causes vomiting and gushing." Also: "When Shaoyang rebounds, it causes rebellious vomiting." Also: "When Fire is郁 (stagnant) and erupts, it causes rebellious vomiting," treated with Salty-Cold and Sweet-Cold methods.
2. Wind. The Classics state: "When Jueyin governs the earth, Wind excess causes vomiting after eating." Also: "When Jueyin governs the sky, Wind excess causes vomiting after eating." Also: "When Jueyin prevails, severe cases cause vomiting." Also: "When Jueyin rebounds, it causes vomiting, inability to retain food, food enters and exits, severe cases affect the Spleen causing food obstruction and vomiting," treated with Acrid-Cool, Sweet-Clear, and Sour-Clear methods.
3. Wind and Fire. The Classics state: "When Shaoyang governs the administration, Wind and Heat are distributed, people suffer from vomiting." Second Qi: Heat stagnates in the upper, causing cough, rebellion, and vomiting. Third Qi: People suffer from vomiting. Also: "When Taiyang governs the administration, First Qi shows Heat, headache, and vomiting," treated with Sour-Cold, Acrid-Cold, and Salty-Cold methods.
4. Dampness. The Classics state: "When Yangming governs the administration, First Qi causes vomiting." Also: "When Earth is郁 (stagnant) and erupts, severe cases cause heart pain, leg swelling, and vomiting."
Acupuncture methods for vomiting include two approaches:
One targets the Spleen. The Classics state: "The Foot-Taiyin Spleen meridian, when disturbed, causes vomiting after eating; treat according to excess/deficiency, heat/cold, sinking/collapsing."
One targets the Liver. The Classics state: "Diseases generated by the Foot-Jueyin Liver meridian include chest fullness and rebellious vomiting; treat according to excess/deficiency, heat/cold, sinking/collapsing."
[Zhang Jieyu] Severe vomiting without limit and dry retching: Da Ling (Pericardium 7), Jian Shi (Pericardium 5).
[Bian Que] Rebellious vomiting: Zhongwan (Ren 12), Chi Ze (Lung 5).
[Zhen Jiu Zhai Ying] Phlegm-fluid in the chest, cholera with palpitations/fright, acute abdominal distension/pain, confusion, vomiting/rebellion preventing eating: Ju Que (Ren 14) (6 fen), San Li (Stomach 36) (instant cure).
Wiry and slow Liver pulse indicates prone to vomiting. (Full text see under Diagnosis of Excess/Deficiency.)
[Li Dongyuan] Sun Simiao stated that Shengjiang (Zingiberis Rhizoma Recens) is the holy medicine for vomiting, referring to pathology of Qi stagnation in the Upper Jiao and exterior excess, not referring to purging Qi. If Spleen-Stomach is weak, Grain Qi fails to move, Ying and Wei flow downward, Middle Qi is obstructed, Clear Qi and Body Fluids do not ascend, chest is blocked, and Qi channels are closed, this also causes hiccups. One should only benefit the Stomach and promote the rise of Grain Qi. Do not treat it as exterior excess and use acrid medicines like Shengjiang (Zingiberis Rhizoma Recens) to purge stagnation, nor recklessly use Qi-purging or Blood-purging laxatives. Purging will increase obstruction and pain, or transform into Jie Xiong (chest binding); further purging the diaphragm often leads to danger. Since Qi is already deficient, purging it again heavily depletes Qi, causing chest pain like knife cutting, identical to true Jie Xiong (chest binding). Can one not be cautious?
[Zhu Danxi] When decocting medicine for vomiting, avoid Gualou (Trichosanthis Fructus), Xingren (Armeniacae Semen Amarum), Taoren (Persicae Semen), Luobozi (Raphani Semen), Zhizi (Gardeniae Fructus), as they all induce vomiting. Pills containing aromatic dispersing herbs are acceptable. For ship sickness with severe vomiting, if the patient drinks water upon thirst, death ensues; Tongbian (Child's Urine) is best.