夫胃为水谷之海。无物不受。若夫湿面鱼腥。水果生冷。以及烹饪不调。粘滑难化等物
恣
食无节。朝伤暮损。而成清痰稠饮。滞于中宫。故为嘈杂。嗳气吞酸痞满。甚则为翻胃膈噎
即此之由也。夫嘈杂之为症也。似饥不饥。似痛不痛。而有懊 不自宁之况者是也。其症
或兼嗳气。或兼恶心。或兼痞满。渐至胃脘作痛。实痰火之为患也。治法以南星、半夏、橘
红之类。以消其痰。芩、连、栀子、石膏、知母之类。以降其火。苍术、白术、芍药之类。
以健脾利湿。壮其本元。又当忌口节欲。无有不安者也。
一论嘈杂。乃痰因火动也。宜
化痰清火汤
南星（姜炒二钱） 半夏（姜炒二钱） 陈皮（二钱） 黄连（六分） 黄芩（二钱） 栀子（三
钱）
知母（一钱五分） 石膏（二钱） 苍术（一钱半米泔浸） 白术（一钱五分） 白芍（炒二钱） 甘
草（八分）
上锉。生姜煎服。
一论嘈杂。因血虚而作者。宜
养血四物汤
当归（三钱） 川芎（一钱五分） 白芍（炒二钱） 熟地黄（姜炒四钱） 人参（二钱） 白术
（去
芦一钱五分） 白茯苓（去皮二钱） 半夏（姜炒二钱） 黄连（姜炒六分） 栀子（三钱） 甘草（
八分）
一方。去人参。加香附二钱。贝母二钱。
上锉。生姜煎服。
一论妇人心胸嘈杂。多是痰症。或云是血嘈。而用猪余血炒食之则愈。此以血导血归原
耳。
此方治中脘心腹冷痰。心下嘈杂。口出清水。胁肋急。腹满痛。不欲食。此胃气虚冷。脉沉
迟弦细。宜此
旋复花汤
陈皮 半夏（姜炒） 赤茯苓 旋复花（去皮） 人参 白芍（炒） 细辛 桔梗 官桂 甘
草
上锉。生姜七片。水煎服。
一论妇人心胸嘈杂。用
茯苓补心汤 即四物汤。合参苏饮是也。
一治心中嘈杂。坐卧不宁。蔡完体传。
陈皮（一钱） 半夏（八分） 白茯苓（钱半） 赤茯神（八分） 酸枣仁（炒八分） 益智仁（
三分
）麦门冬（去心一钱） 甘草（二分）
上锉一剂。生姜水煎。半空心温服。
一人多思虑。以致血虚。五更时嘈杂是也。宜以四物汤加香附、山栀、黄连、贝母。
一肥人嘈杂。宜用二陈汤。少加川芎、苍术、炒栀子。水煎服。
一论嘈杂者。痰水内动。如阻食在膈。令人不自安也。用
痰火越鞠丸
海石（研水飞三两） 胆星（二两） 栝蒌仁（三两） 山栀（炒黑三两） 青黛（水飞过八分）
香附（童便浸二两） 苍术（米泔浸透搓去黑皮切片炒二两） 抚芎（二两）
上各等分。为细末。汤泡蒸饼为丸。如绿豆大。每服百丸。临卧。白汤送下。
一论嘈杂属郁火者。宜
加味三黄丸
黄芩（二两去朽酒炒） 黄连（六钱去毛姜炒） 黄柏（一两五钱去皮童便炒） 香附（二两
米醋浸透炒） 苍术（一两五钱米泔浸透搓去黑皮切片炒）
上各等分。为细末。打稀糊为丸。如绿豆大。每服七八十丸。卧时。清茶送下。
The Stomach is the sea of water and grain, accepting all things. If one consumes damp noodles, fishy foods, raw or cold fruits, as well as improperly cooked, sticky, and difficult-to-digest substances, and indulges in eating without restraint, causing morning injury and evening damage, clear phlegm and thick fluid retention will form and stagnate in the middle jiao (Middle Burner). Thus, it leads to *zaochao* (a sensation of hunger mixed with pain and inner restlessness), belching, acid regurgitation, and fullness. In severe cases, it develops into *fanwei* (vomiting immediately after eating) or *geye* (dysphagia). This is precisely the cause. The symptom of *zaochao* feels like hunger but is not hunger, like pain but is not pain, characterized by a state of inner vexation and inability to find peace. This symptom may be accompanied by belching, nausea, or fullness, gradually progressing to epigastric pain. It is caused by excess Phlegm-Fire. The treatment method involves using herbs such as *Nanxing* (Arisaema Rhizoma) and *Banxia* (Pinellia Rhizoma) to resolve phlegm; *Huangqin* (Scutellaria Root), *Huanglian* (Coptis Rhizome), *Zhizi* (Gardenia Fruit), *Shigao* (Gypsum Fibrosum), and *Zhimu* (Anemarrhenae Rhizoma) to descend fire; and *Cangzhu* (Atractylodis Rhizoma), *Baizhu* (Atractylodis Macrocephalae Rhizoma), and *Shaoyao* (Paeoniae Radix Alba) to strengthen the Spleen, promote diuresis to remove dampness, and bolster the root qi. One must also observe dietary restrictions and moderate sexual activity to ensure health.
One discussion states that *zaochao* is caused by Phlegm stirred up by Fire. The appropriate formula is Huatan Qinghuo Tang (Phlegm-Resolving and Fire-Clearing Decoction):
* Nanxing (Jiangchao Er Qian) [Processed Arisaema Rhizoma with Ginger, 2 qian]
* Banxia (Jiangchao Er Qian) [Processed Pinellia Rhizoma with Ginger, 2 qian]
* Chenpi (Er Qian) [Citrus Reticulatae Pericarpium, 2 qian]
* Huanglian (Liu Fen) [Coptidis Rhizoma, 6 fen]
* Huangqin (Er Qian) [Scutellariae Radix, 2 qian]
* Zhizi (San Qian) [Gardeniae Fructus, 3 qian]
* Zhimu (Yi Qian Wu Fen) [Anemarrhenae Rhizoma, 1.5 qian]
* Shigao (Er Qian) [Gypsum Fibrosum, 2 qian]
* Cangzhu (Yi Qian Ban Mi Jiang Jin) [Atractylodis Rhizoma soaked in rice wash water, 1.5 qian]
* Baizhu (Yi Qian Wu Fen) [Atractylodis Macrocephalae Rhizoma, 1.5 qian]
* Shaoyao (Chao Er Qian) [Paeoniae Radix Alba, stir-fried, 2 qian]
* Gancao (Ba Fen) [Glycyrrhizae Radix et Rhizoma, 8 fen]
Decoct these ingredients with fresh ginger and take warm.
Another discussion states that *zaochao* arises from Blood deficiency. The appropriate formula is Yangxue Siwu Tang (Blood-Nourishing Four Substances Decoction):
* Danggui (San Qian) [Angelicae Sinensis Radix, 3 qian]
* Chuanxiong (Yi Qian Wu Fen) [Chuanxiong Rhizoma, 1.5 qian]
* Shaoyao (Chao Er Qian) [Paeoniae Radix Alba, stir-fried, 2 qian]
* Shudihuang (Jiangchao Si Qian) [Prepared Rehmanniae Radix, processed with ginger, 4 qian]
* Renshen (Er Qian) [Ginseng Radix, 2 qian]
* Baizhu (Qu Lu Yi Qian Wu Fen) [Atractylodis Macrocephalae Rhizoma, de-rhizomatous, 1.5 qian]
* Baifuling (Qu Pi Er Qian) [Poria, peeled, 2 qian]
* Banxia (Jiangchao Er Qian) [Processed Pinellia Rhizoma with Ginger, 2 qian]
* Huanglian (Jiangchao Liu Fen) [Coptidis Rhizome, processed with ginger, 6 fen]
* Zhizi (San Qian) [Gardeniae Fructus, 3 qian]
* Gancao (Ba Fen) [Glycyrrhizae Radix et Rhizoma, 8 fen]
An alternative prescription removes Renshen and adds Xiangfu (2 qian) and Beimu (2 qian).
Decoct these ingredients with fresh ginger and take warm.
One theory suggests that chest *zaochao* in women is mostly due to Phlegm, or sometimes called Blood *zaochao*. Eating stir-fried residual blood from pigs can cure it. This works by using blood to guide blood back to its origin.
This formula treats cold-phlegm in the Zhongwan area and abdomen, subcardiac *zaochao*, salivation of clear fluid, hypochondriac tension, abdominal distension and pain, and loss of appetite. It indicates deficient-cold of Stomach Qi with a deep, slow, wiry, and fine pulse. The appropriate formula is Xuanfuhua Tang:
* Chenpi [Citrus Reticulatae Pericarpium]
* Banxia (Jiangchao) [Processed Pinellia Rhizoma with Ginger]
* Chifuling [Polyporus with Red Mycelium]
* Xuanfuhua (Qu Pi) [Inulae Flos, peeled]
* Renshen [Ginseng Radix]
* Shaoyao (Chao) [Paeoniae Radix Alba, stir-fried]
* Xixin [Asari Radix et Rhizoma]
* Jiegeng [Platycodonis Radix]
* Guangui [Cinnamomi Cortex]
* Gancao [Glycyrrhizae Radix et Rhizoma]
Decoct these ingredients with seven slices of fresh ginger in water and take warm.
Another discussion states that for chest *zaochao* in women, use Fuling Buxin Tang (Poria Heart-Nourishing Decoction), which is Siwu Tang combined with Rensu Yin.
A treatment for central *zaochao* with restlessness in sitting and lying down, transmitted by Cai Wanti:
* Chenpi (Yi Qian) [Citrus Reticulatae Pericarpium, 1 qian]
* Banxia (Ba Fen) [Pinellia Rhizoma, 8 fen]
* Baifuling (Qian Ban) [Poria, 1.5 qian]
* Chifushen (Ba Fen) [Polyporus with Red Mycelium, 8 fen]
* Suanzaoren (Chao Ba Fen) [Ziziphi Spinosae Semen, stir-fried, 8 fen]
* Yizhiren (San Fen) [Alpiniae Oxyphyllae Fructus, 3 fen]
* Maimendong (Qu Xin Yi Qian) [Ophiopogonis Radix, de-core, 1 qian]
* Gancao (Er Fen) [Glycyrrhizae Radix et Rhizoma, 2 fen]
Decoct one dose with ginger water and take warm on an empty stomach.
A person who overthinks suffers from Blood deficiency, manifesting as *zaochao* at dawn (Wugeng). The appropriate treatment is Siwu Tang added with Xiangfu, Zhizi, Huanglian, and Beimu.
For a obese person with *zaochao*, use Erchen Tang with small amounts of Chuanxiong, Cangzhu, and stir-fried Zhizi. Decoct in water and take.
One discussion states that *zaochao* is caused by internal movement of Phlegm-fluids, obstructing the diaphragm like food, causing discomfort. Use Tanhuo Yueju Wan (Phlegm-Fire Yueju Pills):
* Haishi (Yan Shui Fei San Liang) [Fossilia Implexum, ground and floated in water, 3 liang]
* Danning (Liang Liang) [Arismae Rhizoma cum Bile, 2 liang]
* Gualouren (San Liang) [Trichosanthis Semen, 3 liang]
* Zhizi (Chao Hei San Liang) [Gardeniae Fructus, stir-fried until black, 3 liang]
* Qingdai (Shui Fei Guo Ba Fen) [Indigo Naturalis, floated in water, 8 fen]
* Xiangfu (Tongbian Jin Er Liang) [Cyperi Rhizoma, soaked in children's urine, 2 liang]
* Cangzhu (Mijiang Tou Cuo Qu Hei Pi Qie Pian Chao Er Liang) [Atractylodis Rhizoma, soaked in rice wash water, rubbed to remove black skin, sliced and stir-fried, 2 liang]
* Fuxiong (Er Liang) [Chuanxiong Rhizoma, 2 liang]
Mix equal parts, grind into fine powder, make pills with steamed wheat cake soaked in decoction, size of mung beans. Take 100 pills before bed with plain water.
One discussion states that *zaochao* belongs to Depressed Fire. The appropriate formula is Jiawei Sanhuang Wan (Modified Three Yellows Pills):
* Huangqin (Liang Liang Qu Jiu Chao) [Scutellariae Radix, 2 liang, remove rotten parts, wine-fried]
* Huanglian (Liu Qian Qu Mao Jiang Chao) [Coptidis Rhizoma, 6 qian, remove hairs, ginger-fried]
* Huangbai (Yi Liang Wu Qian Qu Pi Tongbian Chao) [Phellodendri Cortex, 1.5 liang, remove bark, children's urine-fried]
* Xiangfu (Er Liang Mi Cu Jin Tou Chao) [Cyperi Rhizoma, 2 liang, soak in rice vinegar until saturated and fry]
* Cangzhu (Yi Liang Wu Qian Mi Jiang Tou Cuo Qu Hei Pi Qie Pian Chao) [Atractylodis Rhizoma, 1.5 liang, soak in rice wash water, rub off black skin, slice and fry]
Mix equal parts, grind into fine powder, make pills with thin paste, size of mung beans. Take 70-80 pills before sleep with clear tea.