干呕不止,粥食汤药皆吐,灸手间使三十壮。若四厥,脉沉绝不至者,灸之便通
病患干呕,灸心主尺泽佳。
又法,灸乳下一寸,三十壮。
治哕,灸承浆七壮,炷如麦大。
又灸脐下四指七壮。
吐逆呕不得食,灸心俞百壮。
吐呕逆不得下食,今日食明日吐者,灸膈俞百壮。
吐变不得下食,灸胸堂百壮。
吐逆不得食,灸巨阙五十壮。
吐逆食不止,灸胃脘百壮,三报。
吐逆饮食却出,灸脾募百壮,三报(章门穴也)。吐呕宿汁吞酸,灸神光一名胆募百壮,
三
吐逆霍乱吐血,灸心主五十壮。噫哕膈中气闭塞,灸腋下,聚毛下,附肋宛,宛中五十
壮。
噫哕呕逆,灸石关百壮。
(论一首 方三十五首)
治胸中久寒呕逆逆气,饮食不下,结气不消方(《古今录验》云∶五噎者,气噎、忧噎、
劳噎、食噎、思噎。气噎者,心悸,上下不通,噫哕不彻,胸胁苦痛。忧噎者,天阴苦厥逆,
心下悸动,手足逆冷。劳噎者,苦气膈,胁下支满,胸中填塞,手足逆冷,不能自温。食噎
者
恚嗔怒,寒气上入胸胁所致也。)
干姜 川椒 食茱萸 桂心 人参(各五分) 细辛 白术 茯苓 附子(各四分) 橘
皮
(六
上十味为末,蜜丸如梧子大,酒服三丸,日三。不止,稍加至十丸。
又方 治五种之气皆令人噎方。
人参 半夏 桂心 防风(一作防葵) 小草 附子 细辛 甘草(各二两) 紫菀 干
姜
食茱萸 芍药 乌头(各六分) 枳实(三两)
上十四味为末,蜜丸如梧子大,酒服五丸,日三。不止,加至十五丸。乌头与半夏相反
,但去一味合之。
Persistent dry heaving, vomiting all congee, solid food, soups, and medicinal decoctions; moxibustion on Jianshi (PC5) of the Hand-Shaoyin Pericardium Meridian for thirty moxa cones. If there is cold extremities (Si Jue) and the pulse is deep, faint, or imperceptible, moxibustion will restore the pulse flow.
For patients with dry heaving, moxibustion on Chize (LU5) of the Hand-Shaoyin Pericardium Meridian is beneficial.
Another method: moxibustion one cun below the nipple, thirty moxa cones.
To treat hiccups (Yue), moxibustion on Chengjiang (CV24) for seven moxa cones, with cone size like a wheat grain.
Additionally, moxibustion four finger-widths below the umbilicus, seven moxa cones.
For vomiting and regurgitation where food cannot be retained, moxibustion on Xinshu (BL15) for one hundred moxa cones.
For vomiting and regurgitation where food cannot go down, eating today and vomiting tomorrow, moxibustion on Geshu (BL17) for one hundred moxa cones.
For variable vomiting where food cannot be retained, moxibustion on Xiong tang (EX-CE3) for one hundred moxa cones.
For vomiting and regurgitation where food cannot be retained, moxibustion on Juque (CV14) for fifty moxa cones.
For persistent vomiting and regurgitation of food, moxibustion on Weiwuan (EX-CN8) for one hundred moxa cones, repeated three times (San Bao).
For vomiting and regurgitation where food is expelled, moxibustion on the Spleen Mu-Alarm point (Zhangmen, LR13) for one hundred moxa cones, repeated three times (San Bao). For vomiting accompanied by old fluid retention and acid regurgitation, moxibustion on Shenguang (also known as the Gallbladder Mu-Alarm point) for one hundred moxa cones, repeated three times.
For vomiting, regurgitation, Huoluan (Cholera-like syndrome), and hematemesis, moxibustion on the Hand-Shaoyin Pericardium Meridian points for fifty moxa cones. For belching, hiccups, and Qi blockage in the chest and diaphragm, moxibustion under the armpit, below the hair cluster, at the rib curvature depression, fifty moxa cones in the center of the depression.
For belching, hiccups, and vomiting/regurgitation, moxibustion on Shiguan (KI18) for one hundred moxa cones.
(One Treatise, Thirty-Five Formulas)
Formula to treat long-standing cold in the chest causing vomiting, regurgitation, upward counterflow of Qi, inability to swallow food, and stagnation of Qi (According to *Gujin Luyan*: The Five Types of Ye [Dysphagia] are Qi Ye, You Ye, Lao Ye, Shi Ye, and Si Ye. Qi Ye is characterized by palpitations, obstruction of Qi flow above and below, incomplete belching and hiccups, and severe pain in the chest and hypochondrium. You Ye is characterized by suffering from cold extremities during cloudy weather, palpitations in the epigastrium, and cold extremities. Lao Ye is characterized by suffering from Qi stagnation in the diaphragm, fullness and distension in the hypochondrium, sensation of filling in the chest, cold extremities, and inability to warm oneself. Shi Ye is caused by anger and resentment leading to cold Qi entering the chest and hypochondrium.)
Shengjiang (Dried Ginger), Chuanjiao (Sichuan Pepper), Shizhuyu (Edible Dogwood Fruit), Guixin (Cinnamon Twig), Renshen (Ginseng Root) (each 5 fen); Xixin (Asarum Root), Baizhu (Atractylodes Rhizome), Fuling (Poria), Fuzi (Prepared Aconite Root) (each 4 fen); Juapi (Tangerine Peel) (6 fen).
The above ten herbs are ground into powder, mixed with honey to form pills the size of mulberry seeds. Take three pills with wine, three times daily. If symptoms persist, gradually increase to ten pills.
Another formula to treat the five types of Qi causing Ye (Dysphagia).
Renshen (Ginseng Root), Banxia (Pinellia Tuber), Guixin (Cinnamon Twig), Fangfeng (Saposhnikovia Root) (alternatively Fangkui), Xiaocao (Scrophularia Root), Fuzi (Prepared Aconite Root), Xixin (Asarum Root), Gancao (Licorice Root) (each 2 liang); Ziwan (Aster Root), Ganjiang (Dried Ginger), Shizhuyu (Edible Dogwood Fruit), Shaoyao (Peony Root), Wutou (Aconite Root) (each 6 fen); Zhishi (Immature Bitter Orange) (3 liang).
The above fourteen herbs are ground into powder, mixed with honey to form pills the size of mulberry seeds. Take five pills with wine, three times daily. If symptoms persist, increase to fifteen pills. Note: Wutou and Banxia are incompatible; however, if used together, remove one ingredient.