病源伤寒病后，胃气不和，此由初受病时，毒热气盛，多服冷药泻下，及饮冷水，病折
以后，热势既退，冷气乃动，故使心下坚牢，噫哕食臭，腹内雷鸣而泄利，此由脾胃气虚冷
故也。（出第八卷中）
仲景伤寒论疗呕哕心下悸，痞硬不能食小半夏汤方。
半夏（一升洗） 生姜（八两去皮）
上二味切，以水七升，煮取一升半，去滓，分再服。忌羊肉饧。
又疗呕哕心下痞硬者，以膈间有水，头眩悸半夏加茯苓汤方。
半夏（一升洗） 生姜（八两去皮） 茯苓（三两）
上三味切，以水七升，煮取一升半，去滓，温分再服。忌羊肉饧酢等物。
又疗胸内似喘不喘，似呕不呕，似哕不哕，心中愦愦然，彻无聊赖者生姜汁半夏汤兼主
天行方。
生姜（汁一升） 半夏（半升洗切）
上二味，以水三升，煮半夏取一升，纳姜汁，取一升半，绵漉小冷，分二服，一日一夜
服令尽，呕哕一服得止者，停后服。忌羊肉饧。（救急同）
又疗干呕哕，若手足厥冷者，小橘皮汤，兼主天行方。
橘皮（四两） 生姜（八两去皮）
上二味狭长切，以水七升煮取三升，去滓，小冷服一升，下咽则愈。（救急同出第十六
卷中）
深师疗伤寒病 不止，甘草汤方兼主天行
甘草（三两炙） 橘皮（三两）
上二味切，以水五升，煮取一升，去滓，顿服之，日三四服取瘥。忌海藻菘菜。（崔氏
同）
又半夏散方。
半夏（洗焙干）
上一味末之，生姜汤和服一钱匕。忌羊肉饧等。
又赤苏汤方。
赤苏（一把）
上一味，水三升，煮取一升，去滓，稍稍饮之。（肘后同）
又干姜丸方。
干姜（六分） 附子（四分炮）
上二味捣筛，以苦酒丸如梧子，服三丸，日三服，酒饮下皆得。忌猪肉。（肘后同）
又疗伤寒哕，甘竹茹汤方。
甘竹茹（四两） 生白米（一升）
上二味，以水八升煮之，取米熟汤成，去滓，分服，徐徐服，疗风热气哕甚神验，诸哕
亦佳。
又疗伤寒呕哕胸满虚烦不安，大橘皮汤方。
橘皮（一两） 甘草（一两炙） 生姜（四两） 人参（二两）
上四味切，以水六升，煮取二升，去滓，分三服。忌海藻菘菜。（并出第十四卷中）
短剧茅根橘皮汤，疗春夏天行伤寒，胃冷变 方
白茅根（切一升） 橘皮（三两） 桂心（二两切）
上三味切，以水六升，煮取三升，去滓，温分三服，数数服之，尽复合之 止乃停，
取微汗，有热减桂心一两。忌生葱。（文仲同出第六卷中一方有葛根二两）
千金疗伤寒后呕哕，及干呕不下食，生芦根饮方。
生芦根（切一升） 青竹茹（一升） 粳米（三合） 生姜（二两切）
上四味，以水七升，先煮千里鞋底一只，取五升澄清下药，煮取二升半，去滓，随意便
饮不瘥重作。
又疗伤寒后呕哕，通草汤方。
通草（三两） 生芦根（切一升） 橘皮（一两） 粳米（三合）
上四味切，以水五升，煮取二升，去滓，随意便稍饮，不瘥更作，取瘥止。（古今录
验文仲同出第十卷中）
千金翼干呕吐涎沫而头痛，茱萸汤主之方。
吴茱萸（一升炒） 大枣（十二枚擘） 生姜（六两切） 人参（三两细锉）
上四味，以水五升，煮取二升，去滓，分服七合，日三。（仲景同出第十卷中此张仲景
伤寒论方）
Pathogenesis: After a cold damage disease, the stomach qi is disharmonious. This occurs because when the disease was initially contracted, toxic heat qi was abundant. The patient took many cold medicines to purge, and drank cold water. This forcibly suppressed the disease course. Afterwards, although the heat pathogen receded, cold qi began to move. Consequently, this causes hardness and firmness in the epigastrium (heart below), belching, hiccups, and the smell of putrid food. There is borborygmus (rumbling in the intestines) within the abdomen accompanied by diarrhea. This is due to deficiency-cold of the spleen and stomach. (From Volume 8)
Zhang Zhongjing's *Treatise on Cold Damage Diseases* (*Shanghan Lun*) treats vomiting, hiccups, palpitations in the epigastrium, stuffiness and hardness, and inability to eat with Xiao Banxia Tang (Minor Pinellia Decoction).
Banxia (Pinelliae Rhizoma, one sheng, washed) Shengjiang (Zingiberis Rhizoma Recens, eight liang, peeled)
Cut the above two ingredients. Boil in seven sheng of water to obtain one and a half sheng. Remove the dregs. Divide into two doses for administration. Avoid mutton and malt sugar.
Another formula for treating vomiting, hiccups, and epigastric stuffiness and hardness, where there is fluid retention between the diaphragm, accompanied by vertigo and palpitations, is Banxia Jia Fuling Tang (Pinellia Decoction plus Poria).
Banxia (Pinelliae Rhizoma, one sheng, washed) Shengjiang (Zingiberis Rhizoma Recens, eight liang, peeled) Fuling (Poria, three liang)
Cut the above three ingredients. Boil in seven sheng of water to obtain one and a half sheng. Remove the dregs. Take warm, divided into two doses. Avoid mutton, malt sugar, vinegar, and similar substances.
Another formula for treating sensations in the chest that resemble panting but are not true panting, resemble vomiting but are not true vomiting, resemble hiccupping but are not true hiccupping, with a feeling of mental confusion and restlessness, causing a sense of utter helplessness. This is treated with Shengjiang Zhi Banxia Tang (Ginger Juice Pinellia Decoction), which also manages epidemic febrile diseases (Tianxing).
Shengjiangzhi (Ginger Juice, one sheng) Banxia (Pinelliae Rhizoma, half sheng, washed and cut)
Take the above two ingredients. Boil Banxia in three sheng of water to obtain one sheng. Add ginger juice. Boil again to obtain one and a half sheng. Strain through silk cloth. Let it cool slightly. Divide into two doses. Administer over one day and one night until finished. If vomiting and hiccups cease after one dose, stop taking the remaining dose. Avoid mutton and malt sugar. (Same as emergency rescue methods).
Another formula for treating dry heaves and hiccups, especially if the hands and feet are cold, is Xiao Jupi Tang (Minor Citrus Peel Decoction), which also manages epidemic febrile diseases.
Jupi (Citri Reticulatae Pericarpium, four liang) Shengjiang (Zingiberis Rhizoma Recens, eight liang, peeled)
Cut the above two ingredients into narrow strips. Boil in seven sheng of water to obtain three sheng. Remove the dregs. Take one sheng when slightly cool. Healing occurs upon swallowing. (Same as emergency rescue methods; from Volume 16).
*Shenshi Fang* (Deep Master Formulas) treats persistent hiccups after cold damage with Gancao Tang (Licorice Decoction), which also manages epidemic febrile diseases.
Gancao (Glycyrrhizae Radix et Rhizoma, three liang, honey-fried) Jupi (Citri Reticulatae Pericarpium, three liang)
Cut the above two ingredients. Boil in five sheng of water to obtain one sheng. Remove the dregs. Take all at once (dun fu). Take three to four times a day until recovery. Avoid seaweed and Chinese cabbage (Songcai). (Same as Cui Shi's formulas).
There is also Banxia San (Pinellia Powder).
Banxia (Pinelliae Rhizoma, washed, dried by baking)
Grind the single ingredient into powder. Mix with Shengjiang Tang (Ginger Decoction) and take one qianbi (a small measure). Avoid mutton and malt sugar.
There is also Chisu Tang (Red Perilla Decoction).
Chisu (Perillae Folium Rubrum, one handful)
Boil the single ingredient in three sheng of water to obtain one sheng. Remove the dregs. Drink slowly in small amounts. (Same as *Zhouhou Fang*).
There is also Ganjiang Wan (Dried Ginger Pills).
Ganjiang (Zingiberis Rhizoma, six fen) Fuzi (Aconiti Lateralis Radix Praeparata, four fen, processed)
Pound and sieve the above two ingredients. Use Kujiu (bitter wine/vinegar) to make pills the size of wutong seeds. Take three pills per dose, three times a day. Can be taken with wine or plain water. Avoid pork. (Same as *Zhouhou Fang*).
Another formula for treating hiccups after cold damage is Ganzhuru Tang (Sweet Bamboo Shavings Decoction).
Ganzhuru (Bambusae Caulis in Taenia, four liang) Sheng Baimi (White Rice, one sheng)
Boil the above two ingredients in eight sheng of water until the rice is cooked and the decoction is ready. Remove the dregs. Divide into doses. Take slowly. It is very effective for hiccups caused by wind-heat qi, and also good for other types of hiccups.
Another formula for treating vomiting and hiccups after cold damage, with chest fullness, deficiency-heat irritability, and restlessness, is Da Jupi Tang (Major Citrus Peel Decoction).
Jupi (Citri Reticulatae Pericarpium, one liang) Gancao (Glycyrrhizae Radix et Rhizoma, one liang, honey-fried) Shengjiang (Zingiberis Rhizoma Recens, four liang) Renshen (Ginseng Radix, two liang)
Cut the above four ingredients. Boil in six sheng of water to obtain two sheng. Remove the dregs. Divide into three doses. Avoid seaweed and Chinese cabbage. (All from Volume 14).
*Duanju Fang* (Short Drama Formulas) Maogen Jupi Tang (Imperata Root and Citrus Peel Decoction) treats spring and summer epidemic cold damage, specifically changes due to stomach cold.
Baimaogen (Imperatae Rhizoma, cut, one sheng) Jupi (Citri Reticulatae Pericarpium, three liang) Guixin (Cinnamomi Ramulus, two liang, cut)
Cut the above three ingredients. Boil in six sheng of water to obtain three sheng. Remove the dregs. Take warm, divided into three doses. Take frequently. Finish the decoction and re-boil if necessary, until hiccups stop. Aim for a slight sweat. If there is heat, reduce Guixin by one liang. Avoid raw green onions. (Wen Zhong's formula same; from Volume 6; one version has Gegen two liang).
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treats vomiting and hiccups after cold damage, as well as dry heaves with inability to keep food down, using Sheng Lugenyin (Fresh Reed Root Drink).
Sheng Lugen (Phragmitis Rhizoma, cut, one sheng) Qingzhuru (Green Bamboo Shavings, one sheng) Jingmi (Oryza Sativa Japonica Group, three ge) Shengjiang (Zingiberis Rhizoma Recens, two liang, cut)
Take the above four ingredients. Boil in seven sheng of water. First boil one "thousand-li shoe sole" (a traditional medicinal preparation aid) to obtain five sheng of clarified liquid. Then add the herbs. Boil to obtain two and a half sheng. Remove the dregs. Drink as desired. If not cured, prepare again.
Another formula for treating vomiting and hiccups after cold damage is Tongcao Tang (Tetrapanacis Medulla Decoction).
Tongcao (Tetrapanacis Medulla, three liang) Sheng Lugen (Phragmitis Rhizoma, cut, one sheng) Jupi (Citri Reticulatae Pericarpium, one liang) Jingmi (Oryza Sativa Japonica Group, three ge)
Cut the above four ingredients. Boil in five sheng of water to obtain two sheng. Remove the dregs. Drink slowly as desired. If not cured, prepare again. Stop when cured. (Same as *Gujin Luyan* and Wen Zhong; from Volume 10).
*Qianjin Yi Fang* (Supplement to Essential Prescriptions) treats dry heaving with salivary froth and headache, primarily treated with Zhuyu Tang (Evodia Decoction).
Wuzhuyu (Euodiae Fructus, one sheng, stir-fried) Dazao (Jujubae Fructus, twelve pieces, split) Shengjiang (Zingiberis Rhizoma Recens, six liang, cut) Renshen (Ginseng Radix, three liang, finely chopped)
Take the above four ingredients. Boil in five sheng of water to obtain two sheng. Remove the dregs. Divide into doses of seven ge. Take three times a day. (Same as Zhang Zhongjing; from Volume 10; this is a formula from Zhang Zhongjing's *Treatise on Cold Damage Diseases*).