夫伤寒呕吐。呕者。有声者也。俗谓之 。吐者。吐出其物也。故有干呕。而无干吐。
是以于呕。则曰食谷欲呕。及吐。则曰饮食入口即吐。则呕吐之有轻重可知矣。伤寒呕。有
责为热者。有责为寒者。至于吐家。则悉言虚冷也。经曰。太阴之为病。腹满而吐。食不下。
自利益甚。时腹自痛。又曰。胃中虚冷。故吐也。呕家则不然。呕有热者。有寒者。有停饮
者。有胃脘有脓者。皆当明辨之。呕而发热者。柴胡汤证具。与其呕不止。心下急。郁郁微
烦。大柴胡汤主之者。是邪热为呕者也。膈上有寒饮干呕者。不可吐也。当温之。与其干呕。
吐涎沫。头痛者。吴茱萸汤主之。是寒邪为呕者也。先呕后渴者。此为欲解。先渴后呕者。
为水停心下。此属饮家。是停饮呕者。呕家有痈脓。不须治。脓尽自愈。是胃脘有脓而呕者
诸如此者。虽有殊别。大抵伤寒表邪欲传里。气上逆。则为呕也。是以半表半里证。多云呕
也。伤寒三日。三阳为尽。三阴当受邪。其人反能食而不呕。此为三阴不受邪。是知邪气传
里者。必致呕也。至于干姜附子汤证云。不呕不渴。为里无热。十枣汤证云。干呕短气。汗
出不恶寒者。此表解。里未和也。即此观之。其呕为里热明矣。呕家之为病。气逆者。必散
之。痰饮者。必下之。呕家多服生姜。此为呕家圣药。是要散其逆气也。又曰。用半夏者。
以去其水。水去。呕则止。是要下其痰饮也。呕多。虽有阳明证。不可攻者。谓其逆而未收
敛为实也。其呕而脉弱。小便复利。身有微热见厥者。已为难治。盖谓其虚寒之甚。医者。
必审其邪气之虚实。病证之逆顺。为施药。治则当矣。
歌括曰。脉浮有表并虚细。呕吐恶寒无失气。大便坚硬。小便清。或少或多或自利。
脉浮者。为有表也。不可下。大抵脉浮而恶寒者。为有表也。表证未罢。不可下。脉虚
细。王叔和脉微不可吐。虚细不可下。呕吐。仲景云。呕多。虽有阳明证。切不可下。恶寒
者。太阳阳明合病。属表。可发汗。若是少阴证。宜温之。无失气者。谓不转失气也。根据潮
大承气汤。大便坚而小便清者。不在里也。桂枝汤。大便坚而小便少。恐津液还入胃。而先
硬后溏也。每日三四行。今日再行。此津液还入胃。不久当自大便也。大便坚而小便多。其
脾为约。
又歌曰。呕吐阳明逆气行。数为胃热缓寒生。太阳合病利不利。肾证三条各有名。
呕吐阳明逆气。气上逆则为呕吐。水谷不下是也。伤寒呕吐证。表邪传里。里气上逆。
则为呕吐。水谷不下是也。伤寒呕吐。有胃热。有胃寒。有水气。有脓血。辨四者而已。胃
热。脉数或紧。必有口苦舌干。烦渴之证。有胃寒者。脉弦而迟。必有逆冷。下食。大小便
自利之证。水气者。先后呕。膈满。怔忪。若胃脘脓血。则腥气燥气奔逆上冲。经所谓呕家
有痈脓。不须治。呕。脓尽自愈。又谓服桂枝汤吐者。其后必吐脓血是矣。大抵呕吐。皆有
所出也。以下咽而出。呕也。未下咽而出者。吐也。吐特甚于呕耳。若概以呕无所出。则其
间所谓干呕者。独何耶。呕吐多属阳明气逆而上行。戒不可下。汗后水药不入口者逆。呕而
脉弱。小便自利。微热而厥者。虚极难调也。生姜呕家圣药。热燥者。乌梅代之。活人书云。
无
仲景云。呕多。虽不大便。不可下。可与小柴胡汤。上焦得通。津液得下。胃气因和。浃然
汗出而解。
大抵呕证不一各有治法。要之。小柴胡汤尤相主当耳。与小柴胡汤。胸胁满而呕。日晡
发潮热者。柴胡汤加芒硝也。若呕不止。心下急。郁郁微烦者。与大柴胡汤也。秘者加大黄。
大柴胡治呕最妙。为内有枳实故也。枳实去哕。压虚气须是去大黄。仲景云。呕多。虽有阳
明证。慎不可下。官局桔梗汤最良。亦用枳实耳。方具第十七卷。古人治呕。多用半夏生姜。
孙真人云。生姜是呕家圣药。仲景去呕皆用之。太阳与少阳合病。必下利。若不利。但呕者。
葛根加半夏生姜汤主之。胸中有热。胃中有邪气腹痛欲呕者。黄连汤主之。太阳与少阳合病
而自利。若呕者。黄芩加半夏生姜汤主之。金匮诸呕吐。谷不得下者。小半夏汤。小半夏加
茯苓汤。小半夏加橘皮汤。皆可选用也。呕而发热者。小柴胡汤主之。呕而发渴者。猪苓汤
主之。光呕却渴者。此为欲解。急与之。先渴却而呕者。为水停心下。此属饮家。仲景云。
本渴。饮水而呕者。柴胡不中与也。宜治膈间有水。赤茯苓汤主之。若少阴而呕者。真武汤
去附子。加生姜也。若汗若吐若下后。虚烦不得眠。若呕者。栀子生姜汤主之。伤寒瘥后呕
者有余热在胃脘也。竹叶汤加生姜主之。又云。吐有冷热二证。寸口脉数手心热。烦渴而吐。
以有热在胃脘。五苓散主之。伤寒有表证。渴欲饮水。水入口即吐者。名曰水逆。由心经受
热。而小肠不利故也。宜服五苓散。发汗后水药不得入口为逆。若更发汗。必吐下不止。小
半夏加茯苓汤。小半夏加橘皮汤主之。曾轻汗下。关脉迟。胃中虚冷而吐。干姜黄连黄芩人
参汤主之。寒多。不饮水而吐者。理中汤去白术加生姜主之。少阴病。饮食入口则吐。心中
温温欲吐。复不能吐。始得之。手足寒。脉弦迟者。此因胸中实。不可下也。当吐之。若膈
上有寒饮干呕者。不可吐也。当温之。宜四逆汤。吐利。手足逆冷。烦躁甚者。吴茱萸汤主
之。若伤寒解后。虚羸少气。气逆欲吐。竹叶石膏汤主之。呕吐而下利有两。仲景云。伤寒
发热。汗出不解。心痞硬。呕吐而下利者。大柴胡汤下之。又有霍乱证。霍乱呕吐而利。热
而渴者。五苓散。寒多不饮水者。理中丸。或有寒。腹满痛。或四肢拘急。下利。脚转筋。
理中汤。加附子一枚。生用。并粗末。作汤服之。吐利汗出。发热恶寒。四肢拘急。手足厥
冷者。四逆汤主之。少阴病。吐利。手足逆冷。烦躁欲死。吴茱萸汤主之。吐利止。而身体
痛不休者。当消息和解其外。宜桂枝汤。仲景大柴胡一证云。伤寒发热。汗出不解。心中痞。
呕吐而下利者。大柴胡汤主之。即非霍乱也。吐利已。汗出而厥。四肢拘急。不解。脉微欲
绝者。通脉四逆。加猪胆汤。若夏月中暑。霍乱上吐下利。心腹撮痛。大渴烦燥。四肢逆冷。
冷汗自出。两脚转筋者。宜服香薷散。井中悬极冷。频服之。乃效。香薷散。夏月预宜合下。
以备此证。其他药不能
方
橘皮汤 治阳明病。呕吐痰水青黄。胸中烦者。
橘皮 甘草（炙） 葛根 麦门冬（去心各一两） 半夏（四两切焙） 竹茹（一两） 小
麦
（三合） 上以水七升。先煮葛根。减二升。去上沫。纳诸药。生姜三两。煮取三升。去滓。
再煮取二升。温服七合。
和胃丸 治阳明病。心下痛而呕吐。腹胁满者。以有停水也。
大黄（酒浸） 甘遂 桂枝 干姜 白术 茯苓 芍药 浓朴 半夏（洗以上各一两） 巴
豆（十粒去皮心研如脂） 上捣筛。入巴豆。炼蜜和丸如梧子大。白饮下两丸。
大黄甘草汤（出金匮方）治食已即吐者。
大黄（四两） 甘草（一两） 上以水三升。煮取一升。分温再服。
茯苓泽泻汤（出金匮方）治胃反吐。而渴欲饮水者。
茯苓（半斤） 泽泻（四两） 甘草（二两） 桂枝（二两） 白术（三两） 生姜（四
两） 上以
水一斗。煮取三升。纳泽泻。再煮取二升半。温服八合。日三服。
文蛤汤（出金匮方）治吐后。渴欲得水而贪饮者。兼主微风。脉坚头痛。
文蛤（五两） 麻黄 甘草 生姜（各三两） 石膏（五两） 杏仁（五十枚） 大枣
（十二枚）
上以水六升。煮取二升。温服一升。汗出愈。
猪苓散（出金匮方）治呕吐。而病在膈上。后思水者。解急与之。思水者。宜
服。
猪苓 茯苓 白术（各等分） 上杵为散。饮服方寸匕。日三服。
藿香汤 治伤寒后。胃气未和。呕吐不下食。
藿香 竹茹 陈橘皮（汤浸去白焙） 麦门冬（去心焙） 枇杷叶（去毛姜汁炙各半两）
人
参（三分） 上粗捣筛。每服五钱匕。水一盏半。入生姜半分。拍碎。同煎至七分。去滓。
温
服
薤白饮 治伤寒后。脾胃虚冷。呕逆不下食。
薤白（切五茎） 生姜（切一两） 附子〔炮裂去皮脐锉一两（分）〕 上以水一盏半。
煎至
七分。去滓。再煎沸。入鸡子白一枚。搅匀。空心温服。
姜术半夏汤（出保生返回论）
干姜（二两炮） 白术（二两） 半夏（二两汤浸七次片切焙干） 上锉碎。如麦豆粒。
为散。
每服四钱。水一盏半。生姜五片。同煎至七分。去滓。温服。日进三服。不拘时候。
In Shaoyang (Lesser Yang) and Taiyin (Greater Yin) patterns of Cold Damage, vomiting occurs. "Ou" (vomiting with sound) refers to the production of sound, commonly known as "yue" (hiccups/belching); "Tu" (spitting out) refers to expelling the contents of the stomach. Therefore, there is "gan ou" (dry heaving without expulsion) but no "gan tu".
Thus, regarding "ou", it is said that one desires to vomit after eating; regarding "tu", it is said that food and drink are expelled immediately upon entering the mouth. From this, the severity of vomiting can be understood. In Cold Damage, vomiting may be attributed to heat or cold. However, in cases of spitting up, it is almost always considered a deficiency-cold pattern. The Classics state: "Taiyin disease manifests as abdominal fullness and vomiting, inability to eat, worsening diarrhea, and spontaneous abdominal pain." It also states: "Cold deficiency in the Stomach causes vomiting." However, vomiting is not uniform; it can be due to heat, cold, retained fluid (fluid retention), or pus in the epigastrium, all of which must be clearly distinguished.
If vomiting is accompanied by fever, the Xiao Chai Hu Tang (Minor Bupleurum Decoction) syndrome is present. If vomiting persists, accompanied by urgency and discomfort in the epigastrium and mild vexation, Da Chai Hu Tang (Major Bupleurum Decoction) should be administered; this indicates vomiting caused by pathogenic heat. If dry heaving is caused by cold-fluid in the diaphragm, emetics should not be used; instead, warming methods should be applied. If dry heaving is accompanied by the expulsion of saliva and headache, Wu Zhu Yu Tang (Evodia Decoction) should be administered; this indicates vomiting caused by pathogenic cold. If thirst follows vomiting, the condition is about to resolve. If thirst precedes vomiting, it indicates fluid retention in the epigastrium, belonging to the category of fluid retention patterns, indicating vomiting due to retained fluids. For patients with vomiting due to abscesses/pus, specific treatment is unnecessary; the vomiting will cease spontaneously when the pus is exhausted, indicating vomiting due to pus in the epigastrium. Although these cases differ, generally, in Cold Damage, when exterior pathogens attempt to transmit inward, Qi rebels upward, causing vomiting. Therefore, in half-exterior half-interior patterns, vomiting is common.
After three days of Cold Damage, the Three Yang meridians have exhausted their capacity, and the Three Yin meridians should receive the pathogen. If the patient can eat and does not vomit, it indicates that the Three Yin meridians have not received the pathogen. Thus, we know that when pathogens transmit inward, vomiting inevitably occurs. For example, the Gan Jiang Fu Zi Tang (Dried Ginger and Aconite Decoction) syndrome mentions "no vomiting and no thirst," indicating no heat in the interior. The Shi Zao Tang (Ten Jujube Decoction) syndrome mentions "dry heaving, shortness of breath, sweating, and aversion to cold has resolved," indicating the exterior is resolved but the interior is disharmonious. From this, it is clear that vomiting can be due to interior heat.
For vomiting diseases, if caused by rebellious Qi, dispersing methods must be used; if caused by phlegm-fluid, purging methods must be used. Sheng Jiang (Fresh Ginger Rhizome) is the sacred medicine for vomiting, primarily to disperse rebellious Qi. Ban Xia (Pinellia Tuber) is used to remove water; once the water is removed, vomiting stops, aiming to purge phlegm-fluid. If vomiting is frequent, even if Yangming (Interior Excess) symptoms exist, purgatives should not be used because the Qi is rebellious and has not yet consolidated into excess. If vomiting is accompanied by a weak pulse, free urination, slight fever, and cold extremities, it is difficult to treat, likely due to severe deficiency-cold. Physicians must examine the deficiency/excess of pathogens and the favorable/unfavorable nature of the syndrome before prescribing medication to ensure correct treatment principles.
The verse states: Floating pulse indicates exterior and deficiency-thin patterns; vomiting, aversion to cold, and absence of flatus. Hard stool, clear urine, or variable frequency/diarrhea. A floating pulse indicates an exterior pattern; purgatives are contraindicated. Generally, floating pulse with aversion to cold indicates an exterior pattern; if the exterior pattern is unresoved, purgatives are contraindicated. A deficiency-thin pulse, according to Wang Shuhe, means micro-pulse prohibits emesis, and deficiency-thin pulse prohibits purgation. Regarding vomiting, Zhang Zhongjing stated: Frequent vomiting, even with Yangming symptoms, absolutely prohibits purgation. Aversion to cold suggests Taiyang-Yangming combined disease, belonging to the exterior, suitable for sweating. If Shaoyin (Lesser Yin) pattern, warming is appropriate. Absence of flatus means no passage of gas. Based on tidal fever and Da Cheng Qi Tang (Major Order the Qi Decoction) syndrome, hard stool with clear urine indicates the pathology is not in the interior; Gui Zhi Tang (Cinnamon Twig Decoction) may be used. Hard stool with scant urine suggests fluids returning to the Stomach, leading to initial hardness then loose stools. Frequent bowel movements suggest fluids returning to the Stomach, and normal defecation will occur soon. Hard stool with abundant urine indicates Pi Yue (Spleen Constraint).
Another verse states: Vomiting is due to Yangming Qi rebelling upward; rapid pulse indicates Stomach heat, slow pulse indicates cold generation. Taiyang combined disease may have diarrhea or not; Shaoyin patterns have three distinct names. Vomiting results from Yangming Qi rebellion, where Qi rebels upward causing vomiting and inability to ingest food/water. In Cold Damage vomiting, exterior pathogens transmit inward, causing Interior Qi to rebel, leading to vomiting and inability to ingest. Cold Damage vomiting includes Stomach heat, Stomach cold, Water Qi (fluids), and pus/blood; distinguishing these four is sufficient. Stomach heat presents with rapid or tight pulse, bitter taste, dry tongue, vexation, and thirst. Stomach cold presents with string-tight and slow pulse, cold extremities, post-prandial symptoms, and free urination/defecation. Water Qi presents with sequential vomiting, diaphragmatic fullness, and palpitations. If pus/blood in the epigastrium, foul odor rushes upward; as per Classics, vomiting due to abscess requires no specific treatment; cessation occurs when pus is exhausted. Taking Gui Zhi Tang followed by vomiting may lead to expectoration of pus/blood later. Generally, vomiting involves expulsion through the mouth/throat. Vomiting exits via the throat; spitting occurs without passing the throat; spitting is more severe than vomiting. If one assumes vomiting implies no expulsion, what of dry heaving? Vomiting often belongs to Yangming Qi rebellion; purgation is forbidden. Post-sweating inability to retain fluids/medicine is rebellious. Vomiting with weak pulse, free urination, slight fever, and cold extremities indicates extreme deficiency, difficult to regulate. Sheng Jiang is the sacred medicine for vomiting; for heat-dryness, Wu Mei (Mume Fruit) may substitute. *Huo Ren Shu* states...
Zhang Zhongjing stated: Frequent vomiting, even with constipation, prohibits purgation; Xiao Chai Hu Tang may be given. Once the Upper Jiao is unblocked, fluids descend, Stomach Qi harmonizes, and resolution occurs with profuse sweating.
Generally, vomiting patterns vary with specific treatments, but Xiao Chai Hu Tang is particularly appropriate. With Xiao Chai Hu Tang, if chest/hypochondriac fullness and vomiting occur with afternoon tidal fever, use Chai Hu Jia Mang Xiao Tang (Bupleurum Decoction plus Gypsum). If vomiting persists with epigastric urgency and vexation, use Da Chai Hu Tang. Constipation warrants adding Da Huang (Rhubarb Root). Da Chai Hu Tang is excellent for vomiting due to Zhi Shi (Immature Bitter Orange). Zhi Shi eliminates hiccups and suppresses deficient Qi, but Da Huang must be removed. Zhang Zhongjing stated: Frequent vomiting, even with Yangming symptoms, strictly prohibits purgation. Guan Ju Jie Geng Tang (Official Bureau Platycodon Decoction) is also good, using Zhi Shi. See Volume 17. Ancients treated vomiting with Ban Xia and Sheng Jiang. Sun Simiao stated: Sheng Jiang is the sacred medicine for vomiting; Zhang Zhongjing used it for all vomiting. Taiyang-Shaoyang combined disease causes diarrhea; if no diarrhea but only vomiting, Ge Gen Jia Ban Xia Sheng Jiang Tang (Kudzu Decoction plus Pinellia and Fresh Ginger) is indicated. Heat in the Chest, pathogenic Qi in the Stomach with abdominal pain and desire to vomit, is treated with Huang Lian Tang (Coptis Decoction). Taiyang-Shaoyang combined disease with diarrhea and vomiting is treated with Huang Qin Jia Ban Xia Sheng Jiang Tang (Scutellaria Decoction plus Pinellia and Fresh Ginger). For various vomitings in *Jin Gui Yao Lue* where food cannot pass, Xiao Ban Xia Tang (Minor Pinellia Decoction), Xiao Ban Xia Jia Fu Ling Tang (Minor Pinellia plus Poria Decoction), or Xiao Ban Xia Jia Ju Pi Tang (Minor Pinellia plus Tangerine Peel Decoction) may be selected. Vomiting with fever is treated with Xiao Chai Hu Tang. Vomiting with thirst is treated with Zhu Ling Tang (Polyporus Decoction). Vomiting followed by thirst indicates resolution; provide water urgently. Thirst followed by vomiting indicates fluid retention in the epigastrium, a fluid pattern. Zhang Zhongjing stated: Original thirst followed by vomiting after drinking water contraindicates Chai Hu Tang; treat fluid between the Diaphragm with Chi Fu Ling Tang (Red Poria Decoction). Shaoyin vomiting is treated with Zhen Wu Tang (True Warrior Decoction) minus Fu Zi (Aconite Root) plus Sheng Jiang. Post-sweat/vomit/purge deficiency vexation with insomnia and vomiting is treated with Zhi Zi Sheng Jiang Tang (Gardenia and Fresh Ginger Decoction). Post-Cold Damage vomiting due to residual heat in the Stomach is treated with Zhu Ye Tang (Bamboo Leaf Decoction) plus Sheng Jiang. Vomiting has cold/heat types: Cunkou pulse rapid, palm heat, vexation/thirst/vomiting indicates Stomach heat, treated with Wu Ling San (Five-Ingredient Powder with Poria). Exterior Cold Damage with thirst, drinking water leads to immediate vomiting, named Shui Ni (Water Rebellion), due to Heart Meridian heat and Small Intestine dysfunction, treated with Wu Ling San. Post-sweat inability to retain fluids/medicine is rebellious; further sweating causes persistent vomiting/diarrhea, treated with Xiao Ban Xia Jia Fu Ling Tang or Xiao Ban Xia Jia Ju Pi Tang. Indiscriminate sweating/purging leading to slow Guan pulse, Stomach cold deficiency vomiting is treated with Gan Jiang Huang Lian Huang Qin Ren Shen Tang (Dried Ginger, Coptis, Scutellaria, and Ginseng Decoction). Cold predominance, non-drinking vomiting is treated with Li Zhong Tang (Regulate the Middle Decoction) minus Bai Zhu (Atractylodes Rhizome) plus Sheng Jiang. Shaoyin disease, food expulsion upon entry, warm sensation in heart desiring to vomit but unable, initial cold extremities, string-tight/slow pulse indicates Chest excess, prohibits purgation, requires emesis. Cold-fluid in diaphragm causing dry heaving prohibits emesis, requires warming, Si Ni Tang (Four Reversal Decoction) is indicated. Vomiting/diarrhea with cold extremities and severe irritability is treated with Wu Zhu Yu Tang. Post-Cold Damage emaciation, shortness of breath, rebellious Qi desiring to vomit is treated with Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction). Vomiting with diarrhea has two types. Zhang Zhongjing stated: Fever, unresolved sweating, epigastric stiffness, vomiting with diarrhea is treated with Da Chai Hu Tang (purging). Huo Luan (Cholera-like disorder) vomiting/diarrhea with heat/thirst is treated with Wu Ling San; cold predominance/non-drinking with Li Zhong Wan (Regulate the Middle Pill). Cold, abdominal fullness/pain, limb cramping, diarrhea, leg cramps are treated with Li Zhong Tang plus one raw Fu Zi, coarse powder, decocted. Vomiting/diarrhea with sweating, fever/aversion to cold, limb cramping, cold extremities is treated with Si Ni Tang. Shaoyin vomiting/diarrhea with cold extremities and severe irritability is treated with Wu Zhu Yu Tang. Cessation of vomiting/diarrhea with persistent body pain requires external harmonization, Gui Zhi Tang is indicated. Zhang Zhongjing's Da Chai Hu Tang syndrome: Fever, unresolved sweating, epigastric stuffiness, vomiting/diarrhea is Da Chai Hu Tang, not Huo Luan. Post-vomiting/diarrhea sweating with cold extremities, limb cramping, unresolved, micro-pulse nearly absent is Tong Mai Si Ni Jia Zhu Dan Tang (Pulse-Recovering Four Reversal plus Pig Bile Decoction). Summerheat Huo Luan with vomiting/diarrhea, abdominal cramping, severe thirst/irritability, cold extremities, cold sweat, leg cramps is treated with Xiang Ru San (Mosla Powder), chilled well water, frequent dosing. Prepare Xiang Ru San in summer for prevention. Other medicines cannot...
Formulas:
Ju Pi Tang (Tangerine Peel Decoction): Treats Yangming disease, vomiting green/yellow phlegm-fluid, chest vexation.
Ingredients: Ju Pi (Tangerine Peel), Zhi Gan Cao (Honey-fried Licorice Root), Ge Gen (Kudzu Root), Qu Xin Mai Dong (Ophiopogon Tuber, core removed, 1 liang each), Ban Xia (Pinellia Tuber, sliced and roasted, 4 liang), Zhu Ru (Bamboo Shavings, 1 liang), Xiao Mai (Wheat, 3 he). Decoct Ge Gen in 7 sheng water, reduce by 2 sheng, skim foam, add other herbs and 3 liang Sheng Jiang (Fresh Ginger), boil to 3 sheng, strain, boil again to 2 sheng, warm take 7 he.
He Wei Wan (Stomach-Harmonizing Pill): Treats Yangming disease, epigastric pain with vomiting, abdominal/flank fullness due to retained water.
Ingredients: Jiu Jin Da Huang (Wine-soaked Rhubarb Root), Gan Sui (Kansui Root), Gui Zhi (Cinnamon Twig), Gan Jiang (Dried Ginger), Bai Zhu (Atractylodes Macrocephala Rhizome), Fu Ling (Poria), Shao Yao (Peony Root), Hou Po (Magnolia Bark), Xi Ban Xia (Washed Pinellia, 1 liang each), Ba Dou (Croton Seed, 10 seeds, peeled/crushed to paste). Crush/sieve, mix with Ba Dou, honey-pill like Wuzi (Chinese Wolfberry size), take 2 pills with white rice drink.
Da Huang Gan Cao Tang (Rhubarb and Licorice Decoction, from *Jin Gui Fang*): Treats immediate vomiting after eating.
Ingredients: Da Huang (Rhubarb Root, 4 liang), Gan Cao (Licorice Root, 1 liang). Decoct in 3 sheng water to 1 sheng, divide into two warm doses.
Fu Ling Ze Xie Tang (Poria and Alisma Decoction, from *Jin Gui Fang*): Treats gastric reflux vomiting with thirst for water.
Ingredients: Fu Ling (Poria, 8 liang), Ze Xie (Alisma Rhizome, 4 liang), Gan Cao (Licorice Root, 2 liang), Gui Zhi (Cinnamon Twig, 2 liang), Bai Zhu (Atractylodes Rhizome, 3 liang), Sheng Jiang (Fresh Ginger, 4 liang). Decoct in 1 dou water to 3 sheng, add Ze Xie, boil to 2.5 sheng, warm take 8 he, three times daily.
Wen Sha Tang (Clam Shell Decoction, from *Jin Gui Fang*): Treats excessive thirst/desire to drink after vomiting. Also treats mild wind, firm pulse, headache.
Ingredients: Wen Sha (Clam Shell, 5 liang), Ma Huang (Ephedra Stem), Gan Cao (Licorice Root), Sheng Jiang (Fresh Ginger, 3 liang each), Shi Gao (Gypsum, 5 liang), Xing Ren (Apricot Seed, 50 pieces), Da Zao (Jujube, 12 pieces). Decoct in 6 sheng water to 2 sheng, warm take 1 sheng, resolution with sweating.
Zhu Ling San (Polyporus Powder, from *Jin Gui Fang*): Treats vomiting with pathology in the diaphragm, craving water afterwards. Give promptly when craved.
Ingredients: Zhu Ling (Polyporus), Fu Ling (Poria), Bai Zhu (Atractylodes Rhizome, equal parts). Pound to powder, take 1 cun bi with water, three times daily.
Huo Xiang Tang (Agastache Decoction): Treats post-Cold Damage disharmonious Stomach Qi, vomiting, inability to eat.
Ingredients: Huo Xiang (Agastache), Zhu Ru (Bamboo Shavings), Chen Ju Pi (Aged Tangerine Peel, soaked/washed/dried), Qu Xin Mai Dong (Ophiopogon Tuber, dried), Qu Mao Pi Ye (Loquat Leaf, ginger-juice fried, 0.5 liang each), Ren Shen (Ginseng Root, 0.3 liang). Coarse sieve, take 5 qian bi, 1.5 sheng water, 0.5 fen crushed Sheng Jiang, decoct to 0.7 sheng, strain, warm take.
Xie Bai Yin (Allium Macrostemon Drink): Treats post-Cold Damage Spleen/Stomach deficiency-cold, rebellious vomiting, inability to eat.
Ingredients: Xie Bai (Allium Macrostemon Bulb, 5 stalks sliced), Sheng Jiang (Fresh Ginger, 1 liang sliced), Pao Lie Fu Zi (Roasted/Cleaned Aconite Root, 1 liang). Decoct in 1.5 sheng water to 0.7 sheng, strain, boil again, add one Egg White, stir, warm take on empty stomach.
Jiang Zhu Ban Xia Tang (Dried Ginger, Atractylodes, and Pinellia Decoction, from *Bao Sheng Fan Lun*)
Ingredients: Pao Gan Jiang (Roasted Dried Ginger, 2 liang), Bai Zhu (Atractylodes Rhizome, 2 liang), Tang Jin Qi Ci Ban Xia (Seven-times soaked Pinellia, sliced/roasted, 2 liang). Cut to wheat/bean size, make powder. Take 4 qian, 1.5 sheng water, 5 slices Sheng Jiang, decoct to 0.7 sheng, strain, warm take, three times daily, any time.