（附论）
夫热病。胃中有热。则谷气不和。新谷入与热气相搏。胃气不平。故致呕逆。或吐下以
后。脏气虚弱。亦令呕逆也。
方
前胡饮子（出圣惠方）治热病。恶寒壮热。食则呕逆。宜服。
前胡（去芦头） 麦门冬（去心） 竹茹 生地黄 葛根（各二两） 陈橘皮（汤浸去
白瓤焙）
甘草（炙微赤锉） 枇杷叶（拭去毛炙微黄各半两） 上都细锉和匀。每服五钱。以水一大
中盏。
煎至五分。去滓。不计时候。温服。
人参饮子（出圣惠方）治热病。壮热呕逆。不下饮食。宜服。
人参（去芦头） 陈橘皮（汤浸去白瓤焙） 生姜 赤茯苓 葛根（锉） 麦门冬（去
心各一
两） 上都细锉和匀。每服半两。以水一大盏。煎至五分。去滓。不计时候。温服。
麦门冬散（出圣惠方）治热病。壮热恶寒。食即呕逆。宜服。
麦门冬（去心） 前胡（去芦头） 生地黄（各一两） 甘草（炙微赤锉） 陈橘皮（汤
浸去白
瓤焙） 人参（去芦头各半两） 上为散。每服四钱。以水一中盏。入竹茹半鸡子大。煎至
六
分。去滓。不计时候。温服。
柴胡散（出圣惠方）治热病。数日未得汗。遍身壮热。呕逆不下食。宜服。
柴胡（去苗） 川升麻 人参（去芦头） 麦门冬（去心各一两） 麻黄（去根节一两
半） 甘
草（炙微赤锉） 枳实（麸炒微黄） 知母 栀子仁（各三两） 鳖甲（三两涂醋炙令黄去
裙）
上为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时候。温服。
白茅根饮子（出圣惠方）治热病。因服凉药过多。致胃冷呕。宜服。
白茅根（半两锉） 陈橘皮（汤浸去白瓤焙） 桂心 葛根（各一两） 高良姜（半两）
枇杷
叶（半两拭去毛炙微黄） 上都细锉和匀。每服半两。以水一大盏。入生姜半分。煎至五分。
去滓。不计时候。温服。
治热病烦渴。饮水过多。时有呕逆方。（出圣惠方）
枇杷叶（拭去毛炙微黄） 茅根（锉） 葛根（锉各一两） 上为散。以水三大盏。煎
至一盏
半。去滓。不计时候。分温三服。
七物黄连汤（出圣惠方）治夏月伤寒。四肢烦疼发热。其人喜烦。呕逆支满
。剧如祸祟。寒热相搏。故令喜烦。
黄连 茯苓 黄芩（各十八铢） 芍药 葛根（锉各一两） 甘草（一两六铢） 小麦
（二合）
上咀。以水七升。煮取三升。冷分三服。不能一升。稍稍服之。病势安乃卧。药主毒瓦斯。
服汤之后。胸中热及咽喉痛皆瘥。其明日复煮一剂。如法服之。此汤无毒。但除热下气安病
人。小儿服者取三分之一。以水四升。煮得二升。稍稍服。
黄连解毒汤（出经验良方）治烦呕不得眠。口燥呻吟错语。
黄连（三两） 黄柏 黄芩（各二两） 栀子（一十四枚） 上水六升。煎取二升。分
再服。
外台云。凡大热盛。烦呕呻吟。错语不得眠。皆宜此方。诸人用之亦效。此直解热毒。除热
酷。不必饮酒剧者。一方每服加半夏三枚。全用浓朴二钱锉。茯苓去皮锉。水一盏半。生
姜三片。煎至半盏温服。名曰半夏黄连解毒汤。或欲急下者。本方加大承气汤一服。生姜煎
如前法。以利为度。一法为细末。水丸如小豆大。温水下二十丸。治积热劳咳泻利。甚良。
小柴胡汤（出朱氏积验方）治热证呕吐。
柴胡（去芦半斤） 黄芩 人参 甘草（炙各三两） 半夏（汤洗七次焙干二两半） 上
锉
散。每服三钱半。生姜五片。枣一枚。煎服。
(Attached Discussion)
In febrile diseases, heat in the stomach disrupts the harmony of grain qi. When new food enters and contends with the pathogenic heat, the stomach qi becomes unbalanced, leading to vomiting and regurgitation. Alternatively, after vomiting or purging, the deficiency of visceral qi can also cause vomiting and regurgitation.
Formulas
Qianhu Yinzi (Anterior Veratrum Decoction, from *Shenghui Fang*) treats febrile diseases characterized by aversion to cold and high fever, with vomiting and regurgitation upon eating. It is suitable for consumption.
* Qianhu (Anterior Veratrum Rhizome, remove the root head)
* Maidong (Ophiopogon Tuber, remove the heart)
* Zhuru (Bamboo Shavings)
* Shengdihuang (Rehmannia Root, fresh)
* Gegen (Kudzu Root) (each 2 liang)
* Chenjupi (Aged Tangerine Peel, soak in boiling water, remove the white pith, bake)
* Gancao (Licorice Root, stir-bake until slightly red and cut into pieces)
* Pipaye (Loquat Leaf, wipe off hairs, stir-bake until slightly yellow, each 0.5 liang)
Crush all ingredients finely and mix evenly. Take 5 qian per dose. Add one large medium-sized cup of water. Decoct until reduced to two-fifths of the original volume. Remove the dregs. Drink warm at any time.
Renshen Yinzi (Ginseng Decoction, from *Shenghui Fang*) treats febrile diseases characterized by high fever, vomiting and regurgitation, and inability to retain food and drink. It is suitable for consumption.
* Renshen (Ginseng Root, remove the root head)
* Chenjupi (Aged Tangerine Peel, soak in boiling water, remove the white pith, bake)
* Shengjiang (Fresh Ginger)
* Chifuling (Red Poria, with skin)
* Gegen (Kudzu Root, cut into pieces)
* Maidong (Ophiopogon Tuber, remove the heart) (each 1 liang)
Crush all ingredients finely and mix evenly. Take 0.5 liang per dose. Add one large cup of water. Decoct until reduced to two-fifths of the original volume. Remove the dregs. Drink warm at any time.
Maidong San (Ophiopogon Powder, from *Shenghui Fang*) treats febrile diseases characterized by high fever, aversion to cold, and immediate vomiting and regurgitation upon eating. It is suitable for consumption.
* Maidong (Ophiopogon Tuber, remove the heart)
* Qianhu (Anterior Veratrum Rhizome, remove the root head)
* Shengdihuang (Rehmannia Root, fresh) (each 1 liang)
* Gancao (Licorice Root, stir-bake until slightly red and cut into pieces)
* Chenjupi (Aged Tangerine Peel, soak in boiling water, remove the white pith, bake)
* Renshen (Ginseng Root, remove the root head) (each 0.5 liang)
Grind all ingredients into a powder. Take 4 qian per dose. Add one medium cup of water and half an egg-sized portion of Zhuru (Bamboo Shavings). Decoct until reduced to three-fifths of the original volume. Remove the dregs. Drink warm at any time.
Chaihu San (Bupleurum Powder, from *Shenghui Fang*) treats febrile diseases where no sweat has occurred for several days, accompanied by high fever over the whole body, vomiting and regurgitation, and inability to eat. It is suitable for consumption.
* Chaihu (Bupleurum Root, remove the seedlings)
* Chuanshengma (Cimicifugae Rhizoma)
* Renshen (Ginseng Root, remove the root head)
* Maidong (Ophiopogon Tuber, remove the heart) (each 1 liang)
* Mahuang (Ephedra Stem, remove roots and joints, 1.5 liang)
* Gancao (Licorice Root, stir-bake until slightly red and cut into pieces)
* Zhishi (Immature Bitter Orange Fruit, stir-fry with bran until slightly yellow)
* Zhimu (Anemarrhenae Rhizoma)
* Zhizi Ren (Gardenia Seed) (each 3 liang)
* Biejia (Tartar Testudinis Carapax et Plastrum, coat with vinegar, stir-bake until yellow, remove the skirt)
Grind all ingredients into a powder. Take 5 qian per dose. Add one large cup of water and half a piece of Shengjiang (Fresh Ginger). Decoct until reduced to two-fifths of the original volume. Remove the dregs. Drink warm at any time.
Baimaogen Yinzi (Imperata Rhizome Decoction, from *Shenghui Fang*) treats febrile diseases where excessive intake of cooling medicines causes coldness in the stomach and vomiting. It is suitable for consumption.
* Baimaogen (Imperata Rhizome, 0.5 liang, cut into pieces)
* Chenjupi (Aged Tangerine Peel, soak in boiling water, remove the white pith, bake)
* Guixin (Cinnamon Twig Bark)
* Gegen (Kudzu Root) (each 1 liang)
* Gaoliangjiang (Galangal Rhizome, 0.5 liang)
* Pipaye (Loquat Leaf, 0.5 liang, wipe off hairs, stir-bake until slightly yellow)
Crush all ingredients finely and mix evenly. Take 0.5 liang per dose. Add one large cup of water and half a piece of Shengjiang (Fresh Ginger). Decoct until reduced to two-fifths of the original volume. Remove the dregs. Drink warm at any time.
Formula for treating irritability and thirst in febrile diseases, excessive drinking of water, and occasional vomiting and regurgitation. (From *Shenghui Fang*)
* Pipaye (Loquat Leaf, wipe off hairs, stir-bake until slightly yellow)
* Maogen (Imperata Rhizome, cut into pieces)
* Gegen (Kudzu Root, cut into pieces) (each 1 liang)
Grind all ingredients into a powder. Add three large cups of water. Decoct until reduced to one and a half cups. Remove the dregs. Divide into three warm doses and take at any time.
Qi Wu Huanglian Tang (Seven-Ingredient Coptis Decoction, from *Shenghui Fang*) treats summerheat-stricken cold characterized by painful limbs, fever, mental restlessness, vomiting and regurgitation with fullness in the flanks. Severe cases resemble possession by evil spirits. The contention between cold and heat causes mental restlessness.
* Huanglian (Coptis Rhizome)
* Fuling (Poria)
* Huangqin (Scutellaria Root) (each 18 zhu)
* Shaoyao (Peony Root)
* Gegen (Kudzu Root, cut into pieces) (each 1 liang)
* Gancao (Licorice Root, 1 liang 6 zhu)
* Xiaomai (Wheat Grain, 2 he)
Coarsely crush the ingredients. Add seven sheng of water. Boil to obtain three sheng. Divide into three cold doses. If unable to take one sheng, take small amounts gradually. Lie down only when the disease condition stabilizes. This medicine primarily clears toxic heat. After taking the decoction, chest heat and throat pain will heal. On the following day, boil another dose and take it according to the method. This decoction is non-toxic; it merely clears heat, directs qi downward, and calms the patient. For children, take one-third of the dose. Add four sheng of water, boil to obtain two sheng, and take small amounts gradually.
Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity, from *Jingyan Liangfang*) treats irritability, vomiting, insomnia, dry mouth, groaning, and confused speech.
* Huanglian (Coptis Rhizome, 3 liang)
* Huangbai (Phellodendron Bark)
* Huangqin (Scutellaria Root) (each 2 liang)
* Zhizi (Gardenia Fruit, 14 seeds)
Add six sheng of water. Decoct to obtain two sheng. Divide into two doses and take.
*Waitai Yaofang* states: In cases of severe high fever, irritability, vomiting, groaning, confused speech, and insomnia, this formula is appropriate. It is effective when used by others. It directly resolves heat toxicity and removes intense heat, without requiring alcohol administration. One variation adds three Banxia (Pinellia Tuber) per dose, uses 2 qian of Houpo (Magnolia Bark, coarsely crushed), peeled and crushed Fuling (Poria), one and a half cups of water, and three slices of Shengjiang (Fresh Ginger). Decoct until half a cup remains and take warm. This is named Banxia Huanglian Jiedu Tang (Pinellia and Coptis Decoction for Resolving Toxicity). For those desiring urgent purgation, add one dose of Dachengqi Tang (Major Order the Qi Decoction) to the base formula. Decoct with Shengjiang (Fresh Ginger) as before. Stop when bowel movement occurs. Another method grinds the ingredients into a fine powder, forms pills the size of small beans, and takes twenty pills with warm water. This treats accumulated heat, consumptive cough, diarrhea, and dysentery, and is very effective.
Xiao Chaihu Tang (Minor Bupleurum Decoction, from *Zhu Shi Ji Yan Fang*) treats vomiting in heat syndromes.
* Chaihu (Bupleurum Root, remove root heads, half jin)
* Huangqin (Scutellaria Root)
* Renshen (Ginseng Root)
* Gancao (Licorice Root, stir-baked, each 3 liang)
* Banxia (Pinellia Tuber, washed seven times in boiling water, baked dry, 2.5 liang)
Coarsely crush into a powder. Take 3.5 qian per dose. Add five slices of Shengjiang (Fresh Ginger) and one Jujube (Chinese Date). Decoct and take.