（附论）
夫诸病。吐之而愈者。邪在胸中也。伤寒大法。谓四日以上。若入阴经。其传未深。邪
气高
毒痰
部不同者。其证胸中心痞满。郁郁而痛。不能息。多涎唾。饮食入则吐。欲吐复不能出。或
手足厥冷。反心下满而烦。饥不能食。吐下后。心中懊 者是也。内经所谓其高者因而越之
。即其法也。
方
治温病胸中满闷。取吐。（出圣济总录）
猪胆（三枚） 苦酒（二合） 上同搅匀。绵漉过。顿服。未吐。再服。
人参汤（出圣济总录）治伤寒出汗后。心胸烦闷。烦热未通。
人参（半两） 灯心（一小束） 枳壳（去瓤麸炒一分） 大腹皮（一枚锉） 茶末（二
钱） 生
甘草
服。
以纸
治胸心痰盛。伤寒热病瘴疟须吐者。（出肘后方）
以盐末一大匙。或水或暖汤送下。须臾则吐。吐不快。明旦更服。良。肘后。用盐一升。
治伤寒汗出不解。已三四日。胸中闷吐。（出肘后方）
以豉并盐一合。水四升。煎取一升半。分服。当吐。一方无盐。用蜜一两。煮三沸。顿
服。
又方（出肘后方）
以生地黄三斤。细切。水一斗。煮取三升。分三服。亦可服藜芦吐散。及苦参龙胆散。
治伤寒心胸中满闷。取吐。
上以猪胆一枚。取汁。醋一小盏。酒一小盏。纳猪胆汁相和。温过。分为二服。当吐。
立瘥
(Attached Discussion)
For various diseases that are cured by emesis, the pathogenic factor is located in the chest. The general principle for treating Cold Damage (Shanghan) states that if four days have passed and the disease has entered the Yin meridians, but the transmission has not yet gone deep, and the pathogenic factor is high with different accumulations of toxic phlegm, the symptoms manifest as fullness and distension in the center of the chest, depression and pain, difficulty in breathing, excessive saliva, vomiting immediately after eating, a desire to vomit but inability to do so, or cold hands and feet, alternatively fullness and irritability below the heart, hunger but inability to eat, and mental restlessness and vexation after improper use of emetic or purgative methods. This corresponds to what the *Neijing* (Inner Canon) refers to as "where the pathology is high, induce it to go out from above," which is exactly this method.
Prescriptions:
To treat chest fullness and oppression caused by Warm Disease (Wenbing), induce emesis. (From *Shengji Zonglu*)
Three Pig Gallbladders (Sanmei), two He of bitter wine (Ku Jiu). Mix well together, filter through silk gauze, and take in one dose. If emesis does not occur, take another dose.
Renshen Decoction (Ren Shen Tang) (From *Shengji Zonglu*). Treats mental restlessness and chest oppression after sweating in Cold Damage (Shanghan), where heat and vexation are not yet resolved.
Ban Liang of Ginseng Root (Ren Shen), a small bundle of Juncus Effusus Stem (Deng Xin), one Fen of Aurantium Fructus (Zhi Ke, bran-fried and pith removed), one piece of Areca Peel (Da Fu Pi, chopped), two Qian of Tea Powder (Cha Mo), raw Licorice Root (Sheng Gan Cao). [Text incomplete/fragmented in source].
To treat excessive phlegm in the chest and heart, indicated for Cold Damage (Shanghan), febrile diseases, and malarial pestilence requiring emesis. (From *Zhou Hou Bei Ji Fang*)
Take one large spoonful of salt powder, swallow with water or warm water. Emesis will occur shortly. If the emesis is not thorough, take again the next morning. Effective. *Zhou Hou Bei Ji Fang* records using one Sheng of salt.
To treat Cold Damage (Shanghan) where sweating fails to resolve the condition, having lasted three to four days, with chest oppression and urge to vomit. (From *Zhou Hou Bei Ji Fang*)
Take one He of Fermented Soybean (Chi) and salt, add four Sheng of water, decoct to obtain one and a half Sheng. Take in divided doses. Emesis should occur. Another prescription uses no salt; instead, use one Liang of honey, boil three times, and take in one dose.
Another Prescription (From *Zhou Hou Bei Ji Fang*)
Use three Jin of fresh Rehmannia Root (Sheng Di Huang), finely chopped, add one Dou of water, decoct to obtain three Sheng. Take in three divided doses. One may also take Lili Emesis Powder (Lilu Tu San) or Kushen Longdan Powder (Kushen Longdan San).
To treat chest and heart fullness and oppression in Cold Damage (Shanghan), induce emesis.
Take juice from one Pig Gallbladder (Zhu Dan), mix with one small cup of vinegar and one small cup of wine. Combine with pig gallbladder juice, warm slightly, and divide into two doses. Emesis should occur. Immediate recovery.