夫脾气壅实。胃中有热。则阳气盛。阳气盛则胸膈烦满。痰饮积聚。则成呕哕。此皆体
力强盛之人。肌肤充满。脾胃之中。久多积热。致上焦不利。故令呕哕也。
治脾胃气壅痰滞。呕哕。见食即吐。宜服枇杷叶散方。
枇杷叶（一两拭去毛炙微黄） 木通（半两锉） 前胡（半两去芦头） 人参（一两去
芦头）
麦
苓（三分）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服。
治脾胃壅热。呕哕烦渴。不下食。宜服陈橘皮散方。
陈橘皮（一两汤浸去白瓤焙） 羚羊角屑（半两） 麦门冬（二两去心） 人参（一两
去芦头）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候温服。
又方。
陈橘皮（一两汤浸去白瓤焙） 人参（一两去芦头） 葛根〔二（一）两〕 芦根（一
两锉）
麦门冬（一两去心） 枇杷叶（半两拭去毛微炙）
上件药。细锉和匀。每服半两。以水一大盏。入生姜半分。煎至六分。去滓。不计时候
。分温二服。
治脾胃积热。胸膈烦壅。呕哕不下食。宜服芦根饮子方。
芦根（二两锉） 麦门冬（三两去心） 人参（一两去芦根） 黄 （一两） 陈橘皮
（一两汤
浸去白瓤焙） 淡竹茹（一两）
上件药。细锉和匀。每服一两。以水一中盏半。入生姜半两。煎至一盏。去滓。入蜜一
茶匙。生地黄汁半合。更煎一两沸。不计时候。分温二服。
治脾胃壅热。呕哕不下食。纵食。良久即吐。宜服麦门冬散方。
麦门冬〔三（二）两去心〕 赤茯苓（一两） 半夏〔一两汤浸（洗）七遍去滑〕 人
参（一
两去芦头
杷叶（一
两拭去毛
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服。
治脾胃壅热呕哕。烦渴不止。宜服茅香散方。
茅香花（一分） 芦根（一两） 麦门冬（三分去心） 赤茯苓（三分） 甘草（半两
炙微赤锉）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。竹茹一分。粳米五十粒。煎
至六分。去滓。不计时候温服。
治脾胃壅热。呕哕不能下食。心神烦乱。宜服芦根散方。
芦根（一两锉） 人参（一两去芦头） 甘草（半两炙微赤锉） 麦门冬（一两去心） 茯
神（一
两）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。入生地黄
汁半合。更煎一两沸。不计时候温服。
治脾胃壅热。气满不能食。纵食呕哕。宜服人参散方。
人参（一两去芦头） 前胡（一两去芦头） 生姜（半两） 粟米（半合） 薤白（七
茎） 豉（
半合）
上件药。细锉和匀。都以水二大盏。煎至一盏一分。去滓。不计时候。分温三服。
治脾胃壅热。呕哕不下食。心膈烦躁。宜服此方。
糯米（半合水淘生研） 绿豆（半合水淘生研） 生姜（三分研取汁） 蜜（一合）新
汲水（三
合）
上件药相和。研滤取汁。入蜜调令匀。不计时候。分为三服。
The Qi of the Spleen is stagnant and full, and there is heat in the Stomach, causing Yang Qi to flourish. When Yang Qi flourishes, there is vexation and fullness in the chest and diaphragm; phlegm-fluids accumulate, leading to vomiting and hiccups (dry heaving). These conditions mostly occur in individuals with strong constitutions and plump muscles, whose Spleen and Stomach have long accumulated heat, obstructing the upper Jiao (Upper Burner) and thus causing vomiting and hiccups.
For treating vomiting and hiccups caused by stagnant Qi and retained phlegm in the Spleen and Stomach, as well as vomiting immediately after eating, the Pi Pa Ye San Formula (Loquat Leaf Powder) is suitable.
Ingredients: Loquat Leaf (Pi Pa Ye, 1 liang, brushed to remove hairs, lightly roasted until yellow), Akebia Caulis (Mu Tong, 0.5 liang, chopped), Peucedani Radix (Qian Hu, 0.5 liang, radix removed), Ginseng Radix et Rhizoma (Ren Shen, 1 liang, radix removed), Poria (Fu Ling, 3 qian).
Crush and sieve the above ingredients into a powder. Take 4 qian per dose, decoct with one zhong of water and half a fen of fresh ginger until reduced to six parts, strain, and take warm at any time.
For treating vomiting, hiccups, vexation, thirst, and inability to eat due to stagnant heat in the Spleen and Stomach, the Chen Ju Pi San Formula (Aged Tangerine Peel Powder) is suitable.
Ingredients: Exocarpium Citri Reticulatae (Chen Ju Pi, 1 liang, soaked in hot water, white pith removed, dried), Cornu Saigae Tataricae (Ling Yang Jiao, 0.5 liang), Ophiopogonis Radix (Mai Men Dong, 2 liang, heart removed), Ginseng Radix et Rhizoma (Ren Shen, 1 liang, radix removed).
Coarsely crush and sieve the above ingredients into a powder. Take 4 qian per dose, decoct with one zhong of water and half a fen of fresh ginger until reduced to six parts, strain, and take warm at any time.
Another formula.
Ingredients: Exocarpium Citri Reticulatae (Chen Ju Pi, 1 liang, soaked in hot water, white pith removed, dried), Ginseng Radix et Rhizoma (Ren Shen, 1 liang, radix removed), Puerariae Radix (Ge Gen, 2 liang), Phragmitis Rhizoma (Lu Gen, 1 liang, chopped), Ophiopogonis Radix (Mai Men Dong, 1 liang, heart removed), Loquat Leaf (Pi Pa Ye, 0.5 liang, brushed to remove hairs, lightly roasted).
Finely chop and mix evenly. Take 0.5 liang per dose, decoct with one da zhong of water and half a fen of fresh ginger until reduced to six parts, strain, and divide into two doses to take warm at any time.
For treating accumulated heat in the Spleen and Stomach, vexation and stagnation in the chest and diaphragm, vomiting, hiccups, and inability to eat, the Lu Gen Yin Zi Formula (Reed Root Decoction) is suitable.
Ingredients: Phragmitis Rhizoma (Lu Gen, 2 liang, chopped), Ophiopogonis Radix (Mai Men Dong, 3 liang, heart removed), Ginseng Radix et Rhizoma (Ren Shen, 1 liang, radix removed), Scutellariae Radix (Huang Qin, 1 liang), Exocarpium Citri Reticulatae (Chen Ju Pi, 1 liang, soaked in hot water, white pith removed, dried), Bambusae Folium (Dan Zhu Ru, 1 liang).
Finely chop and mix evenly. Take 1 liang per dose, decoct with one and a half zhongs of water and half a liang of fresh ginger until reduced to one zhong, strain, add one tea spoon of honey and half a he of juice from Rehmanniae Radix (Sheng Di Huang), boil for one or two boils, and divide into two doses to take warm at any time.
For treating vomiting and hiccups due to stagnant heat in the Spleen and Stomach, inability to eat, and vomiting after a long time even if food is consumed, the Mai Men Dong San Formula (Ophiopogon Powder) is suitable.
Ingredients: Ophiopogonis Radix (Mai Men Dong, 3 liang, heart removed), Polyporus (Chi Fu Ling, 1 liang), Pinelliae Rhizoma (Ban Xia, 1 liang, soaked in hot water and washed seven times to remove slipperiness), Ginseng Radix et Rhizoma (Ren Shen, 1 liang, radix removed), Loquat Leaf (Pi Pa Ye, 1 liang, brushed to remove hairs).
Crush and sieve the above ingredients into a powder. Take 3 qian per dose, decoct with one zhong of water and half a fen of fresh ginger until reduced to six parts, strain, and take warm at any time.
For treating vomiting and hiccups due to stagnant heat in the Spleen and Stomach, with incessant vexation and thirst, the Mao Xiang San Formula (Mao Xiang Powder) is suitable.
Ingredients: Flos Agapanthi (Mao Xiang Hua, 1 fen), Phragmitis Rhizoma (Lu Gen, 1 liang), Ophiopogonis Radix (Mai Men Dong, 3 qian, heart removed), Polyporus (Chi Fu Ling, 3 qian), Glycyrrhizae Radix et Rhizoma (Gan Cao, 0.5 liang, roasted until slightly red and chopped).
Crush and sieve the above ingredients into a powder. Take 3 qian per dose, decoct with one zhong of water, half a fen of fresh ginger, 1 fen of bamboo shavings (Zhu Ru), and 50 grains of Japonica Oryza Sativa (Jing Mi) until reduced to six parts, strain, and take warm at any time.
For treating stagnant heat in the Spleen and Stomach, vomiting and hiccups preventing food intake, and mental restlessness, the Lu Gen San Formula (Reed Root Powder) is suitable.
Ingredients: Phragmitis Rhizoma (Lu Gen, 1 liang, chopped), Ginseng Radix et Rhizoma (Ren Shen, 1 liang, radix removed), Glycyrrhizae Radix et Rhizoma (Gan Cao, 0.5 liang, roasted until slightly red and chopped), Ophiopogonis Radix (Mai Men Dong, 1 liang, heart removed), Poria cum Radice (Fu Shen, 1 liang).
Crush and sieve the above ingredients into a powder. Take 3 qian per dose, decoct with one zhong of water and half a fen of fresh ginger until reduced to six parts, strain, add half a he of juice from Rehmanniae Radix (Sheng Di Huang), boil for one or two boils, and take warm at any time.
For treating stagnant heat in the Spleen and Stomach, abdominal fullness preventing food intake, and vomiting/hiccups after eating, the Ren Shen San Formula (Ginseng Powder) is suitable.
Ingredients: Ginseng Radix et Rhizoma (Ren Shen, 1 liang, radix removed), Peucedani Radix (Qian Hu, 1 liang, radix removed), Zingiberis Rhizoma Recens (Sheng Jiang, 0.5 liang), Panicum miliaceum (Su Mi, 0.5 he), Allii Macrostemonis Bulbus (Xie Bai, 7 stems), Sojae Semen Preparatum (Chi Dou, 0.5 he).
Finely chop and mix evenly. Decoct all in two da zhongs of water until reduced to one and one-tenth zhong, strain, and divide into three doses to take warm at any time.
For treating stagnant heat in the Spleen and Stomach, vomiting and hiccups preventing food intake, and vexation in the heart and diaphragm, this formula is suitable.
Ingredients: Oryza Sativa Glutinosa (Nuo Mi, 0.5 he, washed and ground raw), Phaseoli Radiati Semen (Lu Dou, 0.5 he, washed and ground raw), Zingiberis Rhizoma Recens (Sheng Jiang, 3 qian, pressed for juice), Mel (Mi, 1 he), Aqua Nova (Xin Ji Shui, 3 he).
Mix the above ingredients, grind and filter to obtain the juice, blend with honey until uniform, and divide into three doses to take at any time.