论曰∶凡人有五脏,合则脾胃为水谷之府,且国府足谷,则足食足兵也。人胃足食,则
营卫不厥,若人能食则能悦也。阴阳和平,有何患乎,若服食之人,皆增于热,失时不食,
则胃口干焦,胃口干焦,则土不足,或因饮酒水,而食少变为痰结,酒水流下,迎令上升,
下焦无阳,即阳虚也,中腑无谷,上焦渐炎,致阳呕哕,经曰,阳数即呕吐,又曰呕哕发下
焦之间,此之义也,可以破痰结,通水谷,填胃腑,则无咎也,夫通填之义,不可虚其虚,
实其
疗因饥空腹饮酒饮水,食少痰结心头干呕方。
枳实(三两炙) 栀子仁(一两) 香豉(半升) 大黄(二两别浸)
上四味切,以水六升,煮取二升,分再服,忌如常法。
又疗结热 ,心下肿,胸中痞塞,呕逆不止,雁肪汤方。
雁肪(一具) 甘草(炙) 当归 桂心 芍药 人参 石膏(各二两碎) 桃仁(三
十枚去
皮尖) 大枣(二十枚擘) 大黄(二两)
上十味切,以水一斗二升煮雁肪,取汁一斗煮诸药,取五升,去滓分服,无雁肪,以雁
肉,无雁以鸭代之,鸡亦得。
又疗呕不止,不下食方。
薤白(一握) 橘皮(一两) 豉(半升) 麦门冬(二两去心) 粟米(一合)
上五味切,以水三升,煮取一升,去滓细细服之,瘥止。
又疗热发,胸中痰醋,干呕烦热方。
半夏(洗) 白薇(各一两) 干姜(一两) 甘草(半两炙)
上四味切,以苦酒五升,煮取三升,分服,夫苦酒能令石朽烂,故用之。
又疗数振动,烦闷呕逆,人参汤方。
人参 甘草(炙) 栝蒌 麦门冬(去心各二两) 黄芩 芦根(各一两)
上六味切,以水四升,煮取二升,分四服瘥止。
Commentary states: Generally, a human body possesses five zang organs, among which the Spleen and Stomach serve as the reservoirs for receiving and transforming food and fluids. Just as a nation's granaries being full ensures sufficient food and military supplies, when a person's Stomach has ample food, the Ying (Nutritive) Qi and Wei (Defensive) Qi will not become rebellious; if a person can eat, their spirit will be joyful. When Yin and Yang are in harmony, what worries could there be? However, those who consume elixirs (herbal/mineral preparations) invariably increase internal heat. If they miss regular meal times, their Stomach orifice becomes dry and scorched. A dry and scorched orifice leads to insufficiency of Earth Qi (Spleen/Stomach function). Sometimes, due to drinking alcohol or water, reduced food intake transforms into Phlegm accumulation. As wine fluid flows downward and rises upward following seasonal trends, the Lower Jiao lacks Yang Qi, resulting in Yang Deficiency. The Middle Jiao organs lack grain essence, causing gradual inflammation in the Upper Jiao, leading to Yang-type vomiting and hiccups. The Classics state that frequent Yang excess results in vomiting, and also that vomiting and hiccups originate between the Lower Jiao organs; this is the meaning here. Therefore, one can resolve phlegm accumulations, unblock the passage of food and fluids, and fill the Stomach organ, thus avoiding disaster. The principles of "unblocking" and "filling" imply that one must not further weaken the deficient, but rather strengthen them.
Formula for treating dry retching caused by phlegm accumulation in the heart region due to consuming alcohol and water on an empty stomach while hungry:
Zhi Shi (Immature Bitter Orange, prepared with fire) [3 liang]
Zhi Zi Ren (Gardenia Seed) [1 liang]
Xiang Chi (Prepared Soybean) [0.5 sheng]
Da Huang (Rhubarb Root, soaked separately) [2 liang]
Chop the above four ingredients. Decoct in 6 sheng of water until 2 sheng remains. Divide into two doses. Observe usual dietary restrictions.
Another formula, Yan Fang Tang (Wild Goose Fat Decoction), for treating constrained heat, swelling below the heart, chest stuffiness and obstruction, and incessant vomiting and regurgitation:
Yan Fang (Wild Goose Fat) [1 unit]
Gan Cao (Licorice Root, prepared with fire)
Dang Gui (Angelica Sinensis Root)
Gui Xin (Cinnamon Twig Heart)
Shao Yao (Peony Root)
Ren Shen (Ginseng Root)
Shi Gao (Gypsum Fibrosum) [each 2 liang, crushed]
Tao Ren (Peach Seed) [30 seeds, skin and tip removed]
Da Zao (Jujube Fruit) [20 fruits, split open]
Da Huang (Rhubarb Root) [2 liang]
Chop the above ten ingredients. First decoct the Wild Goose Fat in 12 sheng of water to obtain 10 sheng of juice. Then use this juice to decoct the remaining herbs until 5 sheng remains. Strain and divide into doses. If Wild Goose Fat is unavailable, Wild Goose meat may substitute; if not available, Duck may substitute; Chicken is also acceptable.
Another formula for treating incessant vomiting and inability to ingest food:
Xie Bai (Macrostemon Bulb) [1 handful]
Ju Pi (Citrus Reticulata Peel) [1 liang]
Chi (Fermented Soybean) [0.5 sheng]
Mai Men Dong (Ophiopogon Tuber) [2 liang, heart removed]
Su Mi (Millet Grain) [1 he]
Chop the above five ingredients. Decoct in 3 sheng of water until 1 sheng remains. Strain and take slowly in small sips. Discontinue when recovered.
Another formula for treating heat eruption, phlegm-acidity sensation in the chest, dry retching, and irritability with fever:
Ban Xia (Pinellia Tuber, washed)
Bai Wei (Cynanchum Atratum Root) [each 1 liang]
Gan Jiang (Dried Ginger Rhizome) [1 liang]
Gan Cao (Licorice Root, prepared with fire) [0.5 liang]
Chop the above four ingredients. Decoct in 5 sheng of Ku Jiu (Vinegar) until 3 sheng remains. Divide into doses. Ku Jiu is used because it can soften hard accumulations (metaphorically described as rotting stone).
Another formula, Ren Shen Tang (Ginseng Decoction), for treating frequent tremors, irritability, oppression, vomiting, and regurgitation:
Ren Shen (Ginseng Root)
Gan Cao (Licorice Root, prepared with fire)
Gua Lou (Trichosanthes Fruit)
Mai Men Dong (Ophiopogon Tuber, heart removed) [each 2 liang]
Huang Qin (Scutellaria Root)
Lu Gen (Reed Rhizome) [each 1 liang]
Chop the above six ingredients. Decoct in 4 sheng of water until 2 sheng remains. Divide into four doses. Discontinue when recovered.