〔《活》〕哕，胃寒所生，橘皮干姜汤、羌活附子散、半夏生姜汤、退阴散主之。若服药不瘥者，灸乳直
下一指许三壮，若妇人则屈乳头下尽处是穴。亦有阳症者，小柴胡汤、橘皮竹茹汤。（方见杂病哕。）
橘皮干姜汤
橘皮 通草 干姜 桂心 甘草（各三两） 人参（二两）
上 咀，每服四钱，水一盏，煎至六分，去渣温服，日三。
羌活附子散（方见杂病哕。）
半夏生姜汤 治哕欲死。
半夏（一两） 生姜（二两，切）
上水二盏，煎至八分，去渣温服。
〔海〕伤寒咳逆脉散死，仲景之言不虚伪。大抵原因失下生，咳逆喉中阴不内。便软惟宜用泻心，便硬尤
宜大承气。二药神任务者谁，东垣洁古为良剂。
〔洁〕咳逆者，火热奔急上行，而肺阴不内，何其当哉？故便秘者，宜大承气下之；便软者，泻心汤主之。
〔海〕少阴咳逆者，此失下也，阴消将尽，阳逆上行，使阴不内也。然阴既尽，阳亦将尽也。吸入肾与肝，
阳逆上行，阴入不内，故为阳极。脉微将尽者，不宜下，宜服泻心汤，养阴退阳而已。如不用泻心汤，凉膈散
去硝黄，清肺散亦可。若脉左浮右沉实，非表也，里极则反出于表也。何以然？咳逆舌强，右脉实者，知少阴
里也。饮水过多，心下痞而渴逆者，五苓散主之，别无恶候是也。恶候生，或兼以舌挛，语言不正，而反昏冒
与咽痛者，少阴也，速下之，宜大承气汤也。何以脉浮为表？浮之实大，沉之损小，是为表也；浮之实大，沉
之亦然，即非表也，邪入已深矣。内热当沉反浮，阳极复之表也。阴症者，内已伏阴，阴气太甚，肾水擅权，
肝气不生，胃火已病，丁火又消，所以游行相火，寒邪迫而萃集于胸中，亦欲尽也，故令人发热，大渴引饮，
欲去盖覆，病患独觉热，他人按执之，身体肌肉骨髓血脉俱寒，此火即无根之火也，宜用丁香、干姜之类，热
药温胃，其火自下。
匀气散
川乌头（大者三个，炮裂，去皮脐）
上为细末，每服三钱，用黑豆二十一粒，砂糖同泡汤调，乘热细细饮之。
〔《本》〕治阴毒呃逆方
川乌头 干姜 附子（以上俱炮） 肉桂 芍药 半夏 炙甘草 吴茱萸 陈皮 大黄（各等分）
上为细末，每服一钱，水一盏，生姜三五片，煎至七分，去渣温服。
肉豆蔻汤 治伤寒汗后，呃逆噫气。
肉豆蔻（一个） 石莲肉（炒） 茴香（各一两） 人参 丁香（各半两） 枇杷叶（五片，拭去毛炙）
上锉细，用水四盏，生姜十片，煎二盏，去渣，空心温服，分二服。
良姜汤
橘皮 良姜 桂枝 当归（各一两） 麻黄（半两） 杏仁（二十个） 甘草（半两） 槟榔（三个，另为末）
上 咀，用水四盏，姜十片，枣三枚，同煎至二盏，去渣，下槟榔末再煎三沸，通口服一盏。未已，再服，
庞老云；伤寒呃逆不止，是阴阳气升降欲作汗，升之不下，故胃气上逆，为呃逆无休止，宜服此方。
[From *Huoren Shu*] Hiccups (Yue) are caused by stomach cold. They should be primarily treated with Jupi Ganjiang Tang (Tangerine Peel and Dried Ginger Decoction), Qianghuo Fuzi San (Notopterygium and Aconite Powder), Banxia Shengjiang Tang (Pinellia and Fresh Ginger Decoction), or Tuiyin San (Eliminating Yin Powder). If the condition does not improve after taking medicine, moxibustion should be applied to the point located approximately one finger-width directly below the nipple, three moxa cones. For women, this point is at the very bottom of the nipple. There are also cases belonging to Yang syndromes, which can be treated with Xiaochaihu Tang (Minor Bupleurum Decoction) or Jupi Zhuru Tang (Tangerine Peel and Bamboo Shavings Decoction). (Formulas see Hiccups in Miscellaneous Diseases.)
Jupi Ganjiang Tang (Tangerine Peel and Dried Ginger Decoction)
Chenpi (Citri Reticulatae Pericarpium), Tongcao (Tetrapanacis Medulla), Ganjiang (Zingiberis Rhizoma Recens dried), Guixin (Cinnamomi Cortex), Gancao (Glycyrrhizae Radix et Rhizoma) (each 3 liang); Renshen (Ginseng Radix) (2 liang).
Crush the herbs. Take 4 qian per dose, add 1 sheng of water, decoct until 0.6 sheng remains, remove dregs, and take warm. Three times daily.
Qianghuo Fuzi San (Notopterygium and Aconite Powder) (Formula see Hiccups in Miscellaneous Diseases.)
Banxia Shengjiang Tang (Pinellia and Fresh Ginger Decoction) Treats severe hiccups nearing death.
Banxia (Pinelliae Rhizoma Preparatum) (1 liang); Shengjiang (Zingiberis Rhizoma Recens) (2 liang, sliced).
Add 2 sheng of water, decoct until 0.8 sheng remains, remove dregs, and take warm.
[Li Dongyuan] In Shanghan (Cold Damage), cough with upward rushing qi (Ke Ni, here referring to hiccups or rebellious Qi) accompanied by a scattered pulse indicates death; Zhang Zhongjing's words are not false. Generally, this arises from failure to purge earlier. The rebellious Qi in the throat prevents Yin from being retained internally. If stools are soft, Xiexin Tang (Gallbladder-Draining Decoction) is suitable; if stools are hard, Dachengqi Tang (Major Order the Qi Decoction) is especially suitable. Among these two medicines, the divine efficacy is best represented by the excellent prescriptions of Dongyuan and Jiegu.
[Zhang Congzheng/Jiegu] Ke Ni (rebellious Qi/hiccups) occurs when fire-heat rushes upward urgently, preventing Lung Yin from being retained internally. Is this not accurate? Therefore, for those with constipation, Dachengqi Tang (Major Order the Qi Decoction) should be used to purge; for those with soft stools, Xiexin Tang (Gallbladder-Draining Decoction) should be primarily used.
[Li Dongyuan] Shaoyin syndrome presenting with Ke Ni (rebellious Qi/hiccups) results from failure to purge earlier. Yin fluids are nearly exhausted, Yang Qi rebels upward, preventing Yin from entering internally. However, once Yin is exhausted, Yang will also soon be exhausted. Inhalation should belong to Kidney and Liver, but due to Yang rebellion, Yin cannot enter, thus manifesting as extreme Yang. If the pulse is minute and near exhaustion, purging is contraindicated; instead, Xiexin Tang (Gallbladder-Draining Decoction) should be taken to nourish Yin and retreat Yang. If Xiexin Tang is not used, Liangge San (Cool the Chest Powder) with Mangxiao (Natrii Sulfas) and Dahuang (Rhei Radix et Rhizoma) removed, or Qingfei San (Clear Lung Powder) may also be used. If the left pulse is floating and the right pulse is deep and excess, this is not a Exterior syndrome, but rather Interior extremity manifesting outwardly. Why is this so? Hiccups with tongue stiffness and an excess Right pulse indicate Shaoyin Interior syndrome. If excessive drinking leads to epigastric fullness, thirst, and rebellious Qi, Wuling San (Five-Ling Powder) should be primarily used, provided there are no other ominous signs. If ominous signs arise, or if accompanied by tongue spasm, abnormal speech, sudden dizziness/confusion, and sore throat, it belongs to Shaoyin syndrome; rapid purging is required, and Dachengqi Tang (Major Order the Qi Decoction) is suitable. Why is a floating pulse considered Exterior? If the pulse is solid and large on light pressure but diminished on heavy pressure, it is Exterior; if it is solid and large on both light and heavy pressure, it is not Exterior, but Deep Pathogen. Internal heat should present as Deep but floats; this is Extreme Yang returning to the Exterior. In Yin syndromes, Yin cold has潜伏 (latent) internally. Yin Qi is too excessive, Kidney Water dominates, Liver Qi fails to generate, Stomach Fire is diseased, Ding Fire (Heart Fire) declines. Thus, Ministerial Fire wanders, cold pathogen forces its way and gathers in the chest, and Yang Qi is also about to exhaust. This causes fever, extreme thirst with desire to drink, desire to remove covers, the patient feels hot, but others touching their body, muscles, bones, marrow, and blood vessels feel cold. This is Rootless Fire. It is suitable to use hot medicines like Dingxiang (Caryophylli Flos) and Ganjiang (Zingiberis Rhizoma) to warm the Stomach, and the fire will naturally descend.
Yunqi San (Harmonizing Qi Powder)
Chuanwutou (Aconiti Lateralis Radix Preparata) (3 large ones, processed until cracked, skin and root removed).
Grind into fine powder. Take 3 qian per dose. Soak 21 black soybeans (Heidou, Glycines Max Semen Nigrum) with brown sugar in water, mix well, and drink slowly while hot.
[Ben Cao Yan Yi etc.] Formula for treating Yin Toxin Hiccups
Chuanwutou (Aconiti Lateralis Radix Preparata), Ganjiang (Zingiberis Rhizoma Recens dried), Fuzi (Aconiti Lateralis Radix Preparata) (all above processed); Rougui (Cinnamomi Cortex), Shaoyao (Paeoniae Radix Alba), Banxia (Pinelliae Rhizoma Preparatum), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparata), Wuzhuyu (Evodiae Fructus), Chenpi (Citri Reticulatae Pericarpium), Dahuang (Rhei Radix et Rhizoma) (equal parts).
Grind into fine powder. Take 1 qian per dose. Add 1 sheng of water, 3-5 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct until 0.7 sheng remains, remove dregs, and take warm.
Roudoukou Tang (Myristica Decoction) Treats hiccups and belching after sweating in Shanghan (Cold Damage).
Roudoukou (Myristicae Semen), Shilianrou (Nelumbinis Plumula stir-fried), Huixiang (Foeniculi Fructus) (each 1 liang); Renshen (Ginseng Radix), Dingxiang (Caryophylli Flos) (each 0.5 liang); Pipaye (Eriobotryae Folium) (5 leaves, brushed clean of hairs and roasted).
Cut finely. Add 4 sheng of water, 10 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct until 2 sheng remains, remove dregs, and take warm on an empty stomach. Divide into two doses.
Liangjiang Tang (Galangal Decoction)
Chenpi (Citri Reticulatae Pericarpium), Liangjiang (Alpiniae Officinarum Rhizoma), Guizhi (Cinnamomi Ramulus), Danggui (Angelicae Sinensis Radix) (each 1 liang); Mahuang (Ephedrae Herba) (0.5 liang); Xingren (Armeniacae Semen Amarum) (20 pieces); Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang); Binglang (Arecae Semen) (3 pieces, ground separately into powder).
Cut finely. Add 4 sheng of water, 10 slices of Shengjiang (Zingiberis Rhizoma Recens), 3 dates (Dazao, Ziziphi Jujubae Fructus), decoct together until 2 sheng remains. Remove dregs, add the Binglang (Arecae Semen) powder, boil three more times, and drink one sheng all at once. If not stopped, take another dose. Elder Pang said: Unceasing hiccups in Shanghan (Cold Damage) indicate that the ascending and descending of Yin and Yang Qi are attempting to produce sweat. Ascending without descending causes Stomach Qi to rebel upward, resulting in unceasing hiccups. It is suitable to take this formula.