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In the formula of Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction), add Gancao (Licorice Root, Glycyrrhizae Radix et Rhizoma) two liang. Follow the previous methods for preparation and administration; stop subsequent doses after vomiting occurs.

In the formula of Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction), add Shengjiang (Fresh Ginger, Zingiberis Rhizoma Recens) five liang. Follow the previous methods for preparation and administration; stop subsequent doses after vomiting occurs.

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After Shaoyang disease (Cold Damage) was treated with purgation, if the patient presents with vexation in the heart, abdominal fullness, and restlessness in lying down or sitting up, Zhizi Houpo Tang (Gardenia and Magnolia Bark Decoction) is the primary treatment.

[Annotation]
There are two types of abdominal fullness without vexation mentioned in the text following purgation: one is excess fullness caused by heat qi entering the stomach, treated with Chengqi Tang (Eucalyptus Pill Decoction) to purge; the other is deficiency fullness caused by cold qi counterflow, treated with Houpo Shengjiang Gancao Banxia Renshen Tang (Magnolia Bark, Fresh Ginger, Licorice, Pinellia, and Ginseng Decoction) to warm. There are also two types of vexation without abdominal fullness: one is deficiency vexation caused by pathogenic heat entering the chest, cleared with Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction); the other is vexation with a sensation of stifling oppression and desire to vomit, treated with Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) to induce vomiting. Now, since there is both vexation and fullness, severe fullness prevents sitting, and severe vexation prevents lying down, resulting in restlessness. However, since there are no excess syndromes of the Three Yang meridians, nor deficiency syndromes of the Three Yin meridians, it is merely heat and qi stagnation obstructing between the chest and abdomen. Therefore, it is appropriate to use Zhizi (Gardeniae Fructus), Zhishi (Immature Bitter Orange Fruit), and Houpo (Magnolia Bark) to surge out the heat qi. When the chest and abdomen harmonize, the vexation will naturally disappear, and the fullness will subside. This also embodies the meaning of harmonization within the method of inducing vomiting.

[Collected Annotations]
Cheng Yingmao stated: Whenever pathogens lodge in the chest, communication between the upper and lower parts is disrupted. This is comparable to Jie Xiong syndrome (Chest Binding) and Xin Xia Pi syndrome (Epigastric Glomus). Although the methods of inducing vomiting, purging, and harmonizing differ, their goal of facilitating communication between Yin and Yang is the same.
Shen Mingzong stated: After purgation, slight pathogens sink inward without phlegm-fluids binding together, so there is no Jie Xiong or diarrhea. The pathogens sink into the chest-diaphragm, disturbing the upper part causing heart vexation, and enter the abdomen, affecting the lower part causing abdominal fullness. The two pathogens press upon the chest and abdomen, hence the heart vexation and abdominal fullness. Using this formula involves both surging (vomiting) and purging, which is also a method of resolving both exterior and interior simultaneously.

Zhizi (broken open) fourteen pieces, Houpo (stir-fried with ginger juice) one liang, Zhishi (pulp removed, stir-fried) four liang.
The above three herbs are boiled in three and a half sheng of water to obtain one and a half sheng. Strain the dregs, divide into three doses, take one dose warm. If vomiting occurs, stop subsequent doses.

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In Shaoyang disease (Cold Damage), if the physician mistakenly used pill medicines for vigorous purgation, resulting in persistent body heat and slight vexation, Zhizi Ganjiang Tang (Gardenia and Dried Ginger Decoction) is the primary treatment.

[Commentary]
"Zhizi Ganjiang Tang" should be "Zhizi Chi Tang"; and "Zhizi Chi Tang" should be "Zhizi Ganjiang Tang". It is inconceivable that Ganjiang (Dried Ginger, Zingiberis Rhizoma) would be used for treating vexation-heat, or Chiyi (Prepared Fermented Soybean, Perillae Fructus Preparatory) for treating knotted pain.

[Annotation]
When the exterior pathogens of Shaoyang disease have not yet resolved, and the physician mistakenly uses pill medicines for vigorous purgation, although it does not lead to Jie Xiong or Pi syndromes, it has not yet become a critical deviation. However, persistent body heat indicates the exterior pathogen has not completely dissipated. Slight vexation indicates heat sinking into the chest. The exterior heat located in the chest is mild and slight, so it cannot be purged, nor can it be simply cleared. It is only appropriate to use Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) to slightly surge out the heat. Thus, the slight vexation can be eliminated, and since the method of vomiting contains the intent of dispersing, the body heat can also be resolved.

[Collected Annotations]
Wang Hu stated: Mistaken purgation with pills fails to eliminate pathogenic heat, hence body heat persists. Pathogens take advantage of the deficiency to lodge in the chest, causing slight vexation.