论曰上焦有留饮,脾胃挟宿寒,致饮食滞于膈脘,不能传化,令人胀满气逆,所以噫醋
也。
治上焦冷气,噫醋吞酸,吐沫呕逆,不思饮食,半夏丸方
半夏(汤浸去滑焙干二两) 丁香(半两) 干姜(炮裂一分)
上三味,捣罗为末,生姜自然汁煮面糊为丸,如梧桐子大,每服十五丸,煎木瓜盐汤下
,不拘时。
治心胸有痰,噫醋吞酸,木香平气丸方
木香 沉香 丁香 肉豆蔻仁 丹砂(别研) 麝香(别研各半两) 槟榔(湿裹慢
火内煨熟去面不用) 桂(去粗皮) 浓朴(去粗皮生姜汁炙) 乳香(拣通明者生姜汁内
煮软别研如膏各一两) 半夏(二两汤浸七遍切作片子焙以生姜汁和作饼子焙干再杵为细末)
上一十一味,除丹砂乳香半夏麝香四味、别研外,将木香等七味,一处捣罗为细末,次
入丹砂麝香再拌匀研细后,将乳香半夏末,入生姜汁,煮作薄糊,拌和前药,如拌和未就,
更以生姜汁煮薄糊,取和拌硬软得所为度,丸如梧桐子大,每服十五丸至二十丸,食后温米
饮下。
治上膈痰滞,吞醋吐味,涕唾稠粘,胸膈不利,半夏丸方
半夏用(生姜同捣烂作饼子阴干二两) 山芋(一两) 矾石(飞过二两)
上三味,捣罗为末,用面糊为丸,梧桐子大,每服十丸至二十丸,食后临卧、生姜汤下
治噫醋息臭,胸中有痰,丁香丸方
丁香(炒) 荜茇(二味同为末各一两) 砂(半两用百沸汤化破研细纸滤过入磁碗
内慢火熬干
上三味,同研令匀,将好新黄蜡二两,瓷器内熔化,入上三味,搅匀候温,通手丸如梧
桐子大,如硬难丸,复近火温之,以丹砂一分研为衣,每用煨生姜煎汤下,空心夜卧各一服
,初服三丸,逐日加一丸至五丸,后三日加一丸至七丸止。
治胸膈有痰,脾胃积冷,噫醋吞酸,不思饮食,藿香半夏丸方
藿香叶(一分) 半夏(五两生姜汁浸一宿焙干) 丁香(半两)
上三味,捣罗为末,面糊和丸,如梧桐子大,每服十五丸,不拘时候,温生姜汤下。
治噫酸恶心,痰饮呕逆,不思饮食,和胃丸方
诃黎勒(炮去核四两) 浓朴(去粗皮生姜汁炙二两) 陈橘皮(汤浸去白焙四两) 青
橘皮(汤浸去白焙) 京三棱(炮锉各三两) 芍药(一两) 麦 炒(二两) 槟榔(锉
一两半) 干姜(炮裂三分) 鳖甲(九肋大者一枚 砂一两米醋一碗化 砂入鳖甲黄泥外
固慢火熬干取鳖甲二两杵末) 甘草(炙一两) 赤茯苓(去黑皮三分) 枳壳(去瓤麸炒)
人参(各三两) 陈曲(二两) 半夏(二两半洗去滑) 白术 桂(去粗皮各二两) 当
归(切焙一两半)
上一十九味,捣为末,炼蜜丸如小豆大,不拘时候,温水微嚼下二十丸,渐加三十丸,
老幼皆可服。
治噫醋吞酸,不欲饮食,丁香煮散方
丁香(半两) 赤茯苓(去黑皮) 桔梗 白术 白芷 桂(去粗皮) 半夏(汤洗七
遍生姜作曲焙) 甘草(炙锉) 人参(各一两) 干姜(炮裂半两) 槟榔(锉) 高良
姜肉豆蔻(去壳各一分)
上一十三味,捣罗为散,每服三钱匕,水一盏,入生姜三片,枣二枚劈,煎至六分,去
滓食前温服。
治胃寒痰饮,噫醋吞酸,胸膈妨闷,丁香丸方
丁香 母丁香 丹砂(研) 麝香(研) 硫黄(研) 干姜(炮裂) 矾石(飞过) 附
子(炮裂去皮脐) 吴
上一十味,捣研为末拌匀,别用肥好巴豆三十枚,去皮心膜净,别研为膏,出八分油了
,与前末同研拌匀,用蒸枣肉如剂,丸如豌豆大,放干,每服三五丸,不拘时候,温生姜汤
下。
治噫醋吞酸,或时恶心,消积进饮食,京三棱丸方
京三棱(湿纸裹煨熟别捣末二两) 槟榔(锉一两) 白术(二两) 丁香(半两) 半
夏(汤洗去滑四两)
上七味,除研者外,捣罗为细末,入研者药再研令匀,以生姜自然汁,煮面糊和丸,如
梧桐子大,每服二十丸至三十丸,以木香生姜汤下,不拘时候。
治胃寒痰逆,噫醋吞酸,胸膈不利,不思饮食,姜枣丸方
生姜(去皮片切焙干四两) 丁香 附子(炮裂去皮脐各一两)
上三味,捣罗为末,用蒸枣肉和丸,如梧桐子大,每服十五至二十丸,米饮下,不拘时
候。
治破停饮,温胃腑,消宿谷,去陈寒,升降气脉,分别清浊,气虚津液枯干,大便虚秘
者,最宜服之,磨滞丸方
木香(一两) 青橘皮(去白一两) 桂(去粗皮一两) 吴茱萸(二两炒) 砂(醋
熬成霜取一钱) 巴豆(取霜半钱)
上六味,同为末,醋煮面糊为丸,如绿豆大,每服七丸或十丸,温熟水下,食后临寝服
治食饮不化,噫气吞酸,丁香丸方
丁香 五味子 半夏(汤洗去滑七遍) 人参(各半两) 甘草(炙锉) 琥珀(研) 干
姜(炮裂各一
上一十一味,捣罗为末,炼蜜和丸,如梧桐子大,每服二十丸,煎生姜橘皮汤下。
治脾胃虚弱,噫气吞酸,食饮迟化,丁香散方
丁香 缩砂(去皮) 白术(炒) 干姜(炮裂) 陈橘皮(去白焙) 人参 附子(炮
裂去皮脐各三分) 高良姜 桂(去粗皮) 槟榔(锉) 白豆蔻(去皮) 陈曲(炒各半
两) 甘草(炙锉一分) 木香(一分半)
上一十四味,捣罗为散,每服二钱匕,炒生姜盐汤调下,不拘时。
治胃冷常吐清水,及醋心,干姜汤方
干姜(炮) 矾石(烧过别研各一两)
上二味,捣研为末,以饭丸如梧桐子大,葱茶下二十丸,食后服。
治调养脾胃,温暖中焦,滋助和气,思美饮食,升降阴阳,蠲去寒温,内消停饮,补
益诸虚,动气癖结,久而不去,牵连腹胁,蕴蕴而痛,饮食多伤者,最宜常服,助气丸方
京三棱(炮) 蓬莪术(炮各二斤) 白术 青橘皮(去白) 陈橘皮(去白各一十五
两) 槟榔 木
上八味,同捣罗为末,煮面糊为丸,如梧桐子大,每服五十丸,温熟水下,不计时候。
Commentary states: When there is retained fluid in the Upper Jiao (Upper Burner), and the Spleen and Stomach harbor chronic cold, food intake stagnates in the diaphragm and epigastrium, failing to be transported and transformed. This leads to distension and rebellious Qi, resulting in belching and acid regurgitation.
**Banxia Wan (Pinellia Pill) for treating Cold Qi in the Upper Jiao, belching with acid regurgitation, spitting saliva, vomiting, and loss of appetite:**
Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, soaked in decoction to remove slipperiness, dried by roasting, 2 liang); Dingxiang (Caryophylli Flos, half a liang); Ganjiang (Zingiberis Rhizoma, roasted until cracked, 1 fen).
The above three herbs are crushed, sieved into powder. Wheat paste is prepared using fresh ginger juice as the binder to form pills the size of *Koelreuteria paniculata* seeds. Take 15 pills per dose, administered with decocted salted papaya water, at any time.
**Muxiang Pingqi Wan (Aucklandia Calming Qi Pill) for treating Phlegm in the Heart and Chest, belching with acid regurgitation:**
Muxiang (Aucklandiae Radix); Chenxiang (Aquilariae Lignum Resinatum); Dingxiang (Caryophylli Flos); Roudoukou (Myristicae Semen); Dansha (Cinnabaris, ground separately); Shexiang (Moschus, ground separately, each half a liang); Binglang (Arecae Semen, wrapped in wet paper, slow-roasted until cooked, outer skin discarded); Guizhi (Cinnamomi Ramulus, coarse bark removed); Houpo (Magnoliae Officinalis Cortex, coarse bark removed, processed with ginger juice); Ruxiang (Boswelliae Resina, selected transparent pieces, boiled soft in ginger juice and ground into paste, 1 liang each); Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, 2 liang, soaked in decoction seven times, sliced, dried, mixed with ginger juice to form cakes, dried again, then ground to fine powder).
Of the eleven herbs, Dansha, Ruxiang, Banxia, and Shexiang are ground separately. The other seven herbs (Muxiang, etc.) are crushed and sieved into fine powder. Then Dansha and Shexiang are added and mixed well. Finally, the powders of Ruxiang and Banxia are mixed with ginger juice and boiled into a thin paste to bind the previous powder. If the consistency is not right, more ginger juice paste is added until the hardness is appropriate. Form into pills the size of *Koelreuteria paniculata* seeds. Take 15–20 pills per dose after meals with warm rice drink.
**Banxia Wan (Pinellia Pill) for treating Phlegm Stagnation in the Upper Diaphragm, acid regurgitation with bad taste, thick sticky nasal discharge and saliva, and chest discomfort:**
Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, pounded with fresh ginger into cakes, air-dried, 2 liang); Shanyu (Dioscoreae Rhizoma, 1 liang); Fanshi (Alumen, purified, 2 liang).
The above three herbs are crushed and sieved into powder. Wheat paste is used to form pills the size of *Koelreuteria paniculata* seeds. Take 10–20 pills per dose after meals and before bed with ginger water.
**Dingxiang Wan (Clove Pill) for treating belching with acid regurgitation accompanied by foul breath, and Phlegm in the Chest:**
Dingxiang (Caryophylli Flos, stir-fried); Bibo (Piperis Longi Fructus). These two are ground together into powder (1 liang each). Shachen (Cinnabaris, 0.5 liang, dissolved in boiling water, ground fine, filtered through paper, placed in a porcelain bowl, and slowly evaporated to dryness).
The above three ingredients are ground uniformly. Two liang of fresh yellow beeswax is melted in a porcelain vessel. The three powders are added and stirred evenly. When warm enough to handle, form into pills the size of *Koelreuteria paniculata* seeds. If too hard, warm near fire. Coat with 1 fen of ground Dansha. Take with decocted roasted ginger water. Dose: one dose when fasting and one at night. Start with 3 pills, increase by one pill daily up to 5 pills. After three days, increase by one pill up to 7 pills.
**Huoxiang Banxia Wan (Agastache and Pinellia Pill) for treating Phlegm in Chest/Diaphragm, Cold Accumulation in Spleen/Stomach, belching with acid regurgitation, and loss of appetite:**
Huoxiangye (Agastaches Herba, 1 fen); Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, 5 liang, soaked overnight in ginger juice, dried); Dingxiang (Caryophylli Flos, half a liang).
The above three herbs are crushed and sieved into powder. Wheat paste is used to form pills the size of *Koelreuteria paniculata* seeds. Take 15 pills per dose at any time with warm ginger water.
**Hewei Wan (Stomach-Harmonizing Pill) for treating acid regurgitation with nausea, Phlegm-Fluid vomiting, and loss of appetite:**
Helile (Terminaliae Fructus, roasted, pitted, 4 liang); Houpo (Magnoliae Officinalis Cortex, coarse bark removed, processed with ginger juice, 2 liang); Chenjupi (Citri Reticulatae Pericarpium Vetustum, soaked in decoction, white pith removed, dried, 4 liang); Qingjupi (Citri Reticulatae Pericarpium Viride, soaked in decoction, white pith removed, dried); Jingsanleng (Sparganii Rhizoma, roasted, chopped, 3 liang each); Shaoyao (Paeoniae Radix Alba, 1 liang); Maimai (not specified, likely Maiya/Malt, fried, 2 liang); Binglang (Arecae Semen, chopped, 1.5 liang); Ganjiang (Zingiberis Rhizoma, roasted until cracked, 3 fen); Biejia (Testudinis Carapax et Plastrum, large nine-ribbed one piece, processed with 1 liang of sand and 1 bowl of rice vinegar, sealed with yellow mud, slow-cooked until dry, extracted Biejia 2 liang ground to powder); Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 1 liang); Chifuling (Poria Cocos with Rubiginous Cortex, black skin removed, 3 fen); Zhike (Aurantii Fructus Immaturus, pulp removed, bran-fried); Renshen (Ginseng Radix, 3 liang each); Chenqu (Fermented Medicamentum Sacchari, 2 liang); Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, 2.5 liang, washed to remove slipperiness); Baizhu (Atractylodis Macrocephalae Rhizoma); Guizhi (Cinnamomi Ramulus, coarse bark removed, 2 liang each); Danggui (Angelicae Sinensis Radix, sliced and dried, 1.5 liang).
The above nineteen herbs are crushed into powder. Refined honey is used to form pills the size of small beans. Take 20 pills per dose, chewing gently with warm water. Gradually increase to 30 pills. Suitable for both elderly and children.
**Dingxiang Zhusan (Clove Decoction Powder) for treating belching with acid regurgitation and loss of appetite:**
Dingxiang (Caryophylli Flos, half a liang); Chifuling (Poria Cocos with Rubiginous Cortex, black skin removed); Jiegeng (Platycodonis Radix); Baizhu (Atractylodis Macrocephalae Rhizoma); Baizhi (Angelicae Dahuricae Radix); Guizhi (Cinnamomi Ramulus, coarse bark removed); Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, washed seven times in decoction, made into cake with ginger juice, dried); Gancao (Glycyrrhizae Radix et Rhizoma, roasted, chopped); Renshen (Ginseng Radix, 1 liang each); Ganjiang (Zingiberis Rhizoma, roasted until cracked, half a liang); Binglang (Arecae Semen, chopped); Gaoliangjiang (Alpiniae Officinarum Rhizoma); Roudoukou (Myristicae Semen, shelled, 1 fen each).
The above thirteen herbs are crushed and sieved into powder. Take 3 qianbi per dose with one cup of water, add 3 slices of fresh ginger and 2 split jujubes. Decoct to 6/10 volume, strain, and take warm before meals.
**Dingxiang Wan (Clove Pill) for treating Stomach Cold with Phlegm-Fluid, belching with acid regurgitation, and chest oppression:**
Dingxiang (Caryophylli Flos); Mudingxiang (Caryophylli Flos Matris); Dansha (Cinnabaris, ground); Shexiang (Moschus, ground); Liuhuang (Sulfur, ground); Ganjiang (Zingiberis Rhizoma, roasted until cracked); Fanshi (Alumen, purified); Fuzi (Aconiti Lateralis Radix Praeparata, roasted until cracked, skin and bud removed); Wuzhuyu (Evodiae Fructus).
The above ten herbs are crushed and ground into powder, mixed evenly. Separately, 30 fat Badou (Crotonis Fructus) are selected, skin, heart, and membrane removed, and ground into paste. Eight parts of oil are pressed out. The paste is mixed with the herb powder. Steamed date flesh is used as binder to form pills the size of pea seeds. Dry them. Take 3–5 pills per dose at any time with warm ginger water.
**Jingsanleng Wan (Sparganium Pill) for treating belching with acid regurgitation, occasional nausea, reducing accumulation, and promoting digestion:**
Jingsanleng (Sparganii Rhizoma, wrapped in wet paper, slow-roasted until cooked, ground separately into powder, 2 liang); Binglang (Arecae Semen, chopped, 1 liang); Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang); Dingxiang (Caryophylli Flos, half a liang); Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, washed in decoction to remove slipperiness, 4 liang).
Of the seven herbs, those already ground are set aside. The rest are crushed and sieved into fine powder. Add the ground powders and mix evenly. Use fresh ginger juice and wheat paste to form pills the size of *Koelreuteria paniculata* seeds. Take 20–30 pills per dose with Muxiang ginger water, at any time.
**Jiangzao Wan (Ginger and Date Pill) for treating Stomach Cold with Rebellious Phlegm, belching with acid regurgitation, chest discomfort, and loss of appetite:**
Shengjiang (Zingiberis Rhizoma Recens, peeled, sliced, dried, 4 liang); Dingxiang (Caryophylli Flos); Fuzi (Aconiti Lateralis Radix Praeparata, roasted until cracked, skin and bud removed, 1 liang each).
The above three herbs are crushed and sieved into powder. Steamed date flesh is used as binder to form pills the size of *Koelreuteria paniculata* seeds. Take 15–20 pills per dose with rice drink, at any time.
**Mozhi Wan (Stasis-Grinding Pill) for breaking down retained fluids, warming the Stomach Fu, digesting old grain, removing chronic cold, regulating Qi and pulse, separating clear from turbid. Most suitable for Qi deficiency with dry body fluids and false constipation:**
Muxiang (Aucklandiae Radix, 1 liang); Qingjupi (Citri Reticulatae Pericarpium Viride, white pith removed, 1 liang); Guizhi (Cinnamomi Ramulus, coarse bark removed, 1 liang); Wuzhuyu (Evodiae Fructus, 2 liang, stir-fried); Sharen (Amomi Fructus Rotundus, processed with vinegar into frost, take 1 qian); Badou (Crotonis Fructus, take paste, half a qian).
The above six herbs are ground into powder. Vinegar and wheat paste are used to form pills the size of mung beans. Take 7 or 10 pills per dose with warm cooked water, after meals and before sleep.
**Dingxiang Wan (Clove Pill) for treating indigestion of food and drink, belching, and acid regurgitation:**
Dingxiang (Caryophylli Flos); Wuweizi (Schisandrae Chinensis Fructus); Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, washed seven times in decoction to remove slipperiness); Renshen (Ginseng Radix, half a liang each); Gancao (Glycyrrhizae Radix et Rhizoma, roasted, chopped); Hupo (Electri Fulguris Silicatum, ground); Ganjiang (Zingiberis Rhizoma, roasted until cracked, [dose missing in source text, implied proportional]).
The above eleven herbs are crushed and sieved into powder. Refined honey is used to form pills the size of *Koelreuteria paniculata* seeds. Take 20 pills per dose with decocted ginger and tangerine peel water.
**Dingxiang San (Clove Powder) for treating Spleen-Stomach weakness, belching with acid regurgitation, and slow digestion of food and drink:**
Dingxiang (Caryophylli Flos); Suosha (Amomi Fructus Rotundus, husk removed); Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried); Ganjiang (Zingiberis Rhizoma, roasted until cracked); Chenjupi (Citri Reticulatae Pericarpium Vetustum, white pith removed, dried); Renshen (Ginseng Radix); Fuzi (Aconiti Lateralis Radix Praeparata, roasted until cracked, skin and bud removed, 3 fen each); Gaoliangjiang (Alpiniae Officinarum Rhizoma); Guizhi (Cinnamomi Ramulus, coarse bark removed); Binglang (Arecae Semen, chopped); Baidoukou (Cardamomi Albi Fructus, husk removed); Chenqu (Fermented Medicamentum Sacchari, stir-fried, half a liang each); Gancao (Glycyrrhizae Radix et Rhizoma, roasted, chopped, 1 fen); Muxiang (Aucklandiae Radix, 1.5 fen).
The above fourteen herbs are crushed and sieved into powder. Take 2 qianbi per dose, mixed with stir-fried ginger salt water, at any time.
**Ganjiang Tang (Ginger Decoction) for treating Cold Stomach with frequent vomiting of clear water and "vinegar heart" (acid regurgitation):**
Ganjiang (Zingiberis Rhizoma, roasted); Fanshi (Alumen, calcined, ground separately, 1 liang each).
The above two herbs are crushed and ground into powder. Rice is used to form pills the size of *Koelreuteria paniculata* seeds. Take 20 pills with scallion tea, after meals.
**Zhushi Wan (Qi-Assisting Pill) for nourishing Spleen and Stomach, warming the Middle Jiao, assisting harmonious Qi, improving appetite, regulating Yin and Yang, dispelling cold and heat, internally resolving retained fluids, tonifying various deficiencies, dissipating Qi masses and accumulations that persist long-term, involving the abdomen and hypochondrium with dull pain, especially for those with excessive dietary injury. Best taken regularly:**
Jingsanleng (Sparganii Rhizoma, roasted); Peng'ezhu (Curcumae Longae Rhizoma, roasted, 2 jin each); Baizhu (Atractylodis Macrocephalae Rhizoma); Qingjupi (Citri Reticulatae Pericarpium Viride, white pith removed); Chenjupi (Citri Reticulatae Pericarpium Vetustum, white pith removed, 15 liang each); Binglang (Arecae Semen); Muxiang (Aucklandiae Radix).
The above eight herbs are crushed and sieved into powder. Wheat paste is used to form pills the size of *Koelreuteria paniculata* seeds. Take 50 pills per dose with warm cooked water, at any time.