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。此皆气
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。
方
枇杷叶散（出圣惠方）治脾胃气壅。痰滞呕哕。见食即吐。
枇杷叶（一两拭去毛炙微黄色） 木通（半两锉） 前胡（半两去芦头） 人参（一两
去芦头）
麦门冬（一两去心） 麻仁（半两） 犀角屑（半两） 赤茯苓（三分） 陈橘皮（半两汤
浸去白瓤
焙） 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。
麦门冬散（出圣惠方）治脾胃壅热。呕哕不下食。纵食。良久即吐。
麦门冬（二两去心） 赤茯苓（一两） 人参（一两去芦头） 半夏（一两汤洗七遍去
滑净）
陈橘皮（半两汤浸去白瓤焙） 茅根（二两锉） 甘草（半两炙微赤锉） 前胡（半两去芦
头） 枇
杷叶（一两拭去毛炙微黄） 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
陈橘皮散（出圣惠方）治脾胃壅热。呕哕烦渴不下食。
陈橘皮（一两汤浸去白瓤焙） 羚羊角屑（半两） 麦门冬（三两去心） 人参（一两
去芦头）
泽泻（半两） 紫苏茎叶（一两） 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。
又方（出圣惠方）
陈橘皮（一两汤浸去白瓤焙） 人参（一两去芦头） 葛根（一两锉） 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
芦根饮子（出圣惠方）治脾胃积热。胸膈烦壅。呕哕不下食。
芦根（二两半锉） 麦门冬〔二（三）两去心〕 人参（一两去芦头） 黄 （一两） 淡竹茹
（一两） 陈橘皮（一两汤浸去白瓤焙） 上件药细锉和匀。每服一两。以水一大盏半。入生姜
三
茅香散（出圣惠方）治脾胃壅热。呕哕烦渴不止。
茅香花（三分） 芦根（一两锉） 麦门冬（三分去心） 赤茯苓（三分） 甘草（半
两炙微赤
锉） 枇杷叶（三分拭去毛炙微黄） 上件药捣筛为散。每服三钱。以水一中盏。入生姜半
分。
竹茹
人参饮子（出圣惠方）治脾胃壅热。气满不能食。纵食呕哕。
人参（去芦头） 前胡（去芦头各一两） 生姜（半两） 粟米（半合） 薤白（七茎）
豉（半
合）
芦根散（出圣惠方）治脾胃壅热。呕哕不能下食。心神烦乱。
芦根〔二（三）两锉〕 人参（一两去芦头） 甘草（半两炙微赤锉） 麦门冬（去心）
茯神
（各一两） 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
治脾胃壅热。呕哕不下食。心膈烦躁。宜服此方。（出圣惠方）
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
（五合）
When the Spleen Qi is obstructed and excessive, and there is heat in the Stomach, Yang Qi becomes hyperactive. Hyperactivity of Yang Qi leads to vexation and fullness in the chest and diaphragm; accumulation of phlegm-fluids results in vomiting and hiccups (or dry heaving). These conditions typically occur in individuals with strong physique and robust musculature, whose Spleen and Stomach have long accumulated internal heat, causing dysfunction of the Upper Jiao (Upper Burner), thereby inducing vomiting and hiccups.
Prescriptions:
Pipa Ye San (Loquat Leaf Powder) [from *Taiping Shenghui Fang*]: Treats obstruction of Qi in the Spleen and Stomach, stagnation of phlegm causing vomiting and hiccups, and immediate vomiting upon seeing food.
Ingredients: Loquat Leaf (*Folium Eriobotryae*, 1 liang, brushed clean of hairs, lightly roasted until yellowish); Akebia Caulis (*Caulis Aristolochiae Mollissimae*, 0.5 liang, sliced); Peucedani Radix (*Radix Peucedani*, 0.5 liang, radix removed); Ginseng Radix et Rhizoma (*Radix et Rhizoma Ginseng*, 1 liang, radix removed); Ophiopogonis Tuber (*Tuber Ophiopogonis*, 1 liang, heart removed); Cannabis Seed (*Semen Cannabis*, 0.5 liang); Rhinoceros Horn (*Cornu Rhinocerotis*, 0.5 liang, sliced); Poria Cocos (*Poria*, 3 qian, red variety); Tangerine Peel (*Pericarpium Citri Reticulatae*, 0.5 liang, soaked in water, white pith removed, dried).
Preparation: The above ingredients are crushed, sifted into a powder.
Dosage: Take 4 qian per dose. Add one zhong zhan of water and half a fen of fresh ginger. Decoct until reduced to six parts, strain, and take warm at any time.
Maimen Dong San (Ophiopogon Powder) [from *Taiping Shenghui Fang*]: Treats heat obstruction in the Spleen and Stomach, vomiting and hiccups with inability to eat; even if forced to eat, vomiting occurs after a long while.
Ingredients: Ophiopogonis Tuber (*Tuber Ophiopogonis*, 2 liang, heart removed); Poria Cocos (*Poria*, 1 liang, red variety); Ginseng Radix et Rhizoma (*Radix et Rhizoma Ginseng*, 1 liang, radix removed); Pinellia Tuber (*Tuber Pinelliae*, 1 liang, washed seven times in water to remove slipperiness); Tangerine Peel (*Pericarpium Citri Reticulatae*, 0.5 liang, soaked in water, white pith removed, dried); Imperata Rhizome (*Rhizoma Imperatae*, 2 liang, sliced); Glycyrrhiza Radix et Rhizoma (*Radix et Rhizoma Glycyrrhizae*, 0.5 liang, roasted until slightly red and sliced); Peucedani Radix (*Radix Peucedani*, 0.5 liang, radix removed); Loquat Leaf (*Folium Eriobotryae*, 1 liang, brushed clean of hairs, lightly roasted until yellow).
Preparation: The above ingredients are crushed, sifted into a powder.
Dosage: Take 3 qian per dose. Add one zhong zhan of water and half a fen of fresh ginger. Decoct until reduced to six parts, strain.
Chen Ju Pi San (Tangerine Peel Powder) [from *Taiping Shenghui Fang*]: Treats heat obstruction in the Spleen and Stomach, vomiting and hiccups with vexation, thirst, and inability to eat.
Ingredients: Tangerine Peel (*Pericarpium Citri Reticulatae*, 1 liang, soaked in water, white pith removed, dried); Antelope Horn (*Cornu Saigae Tataricae*, 0.5 liang, sliced); Ophiopogonis Tuber (*Tuber Ophiopogonis*, 3 liang, heart removed); Ginseng Radix et Rhizoma (*Radix et Rhizoma Ginseng*, 1 liang, radix removed); Alisma Rhizome (*Rhizoma Alismatis*, 0.5 liang); Perilla Stem and Leaf (*Caulis et Folium Perillae*, 1 liang).
Preparation: The above ingredients are crushed, sifted into a powder.
Dosage: Take 4 qian per dose. Add one zhong zhan of water and half a fen of fresh ginger. Decoct until reduced to six parts, strain, and take warm at any time.
Another Prescription [from *Taiping Shenghui Fang*]:
Ingredients: Tangerine Peel (*Pericarpium Citri Reticulatae*, 1 liang, soaked in water, white pith removed, dried); Ginseng Radix et Rhizoma (*Radix et Rhizoma Ginseng*, 1 liang, radix removed); Kudzu Root (*Radix Puerariae*, 1 liang, sliced); Reed Rhizome (*Rhizoma Phragmitis*, 1 liang, sliced); Ophiopogonis Tuber (*Tuber Ophiopogonis*, 1 liang, heart removed); Loquat Leaf (*Folium Eriobotryae*, 0.5 liang, brushed clean of hairs, lightly roasted).
Preparation: The above ingredients are finely sliced and mixed evenly.
Dosage: Take 0.5 liang per dose. Add one da zhan of water and fresh ginger.
Lugen Yinzi (Reed Root Drink) [from *Taiping Shenghui Fang*]: Treats accumulated heat in the Spleen and Stomach, vexation and obstruction in the chest and diaphragm, vomiting and hiccups with inability to eat.
Ingredients: Reed Rhizome (*Rhizoma Phragmitis*, 2.5 liang, sliced); Ophiopogonis Tuber (*Tuber Ophiopogonis*, 2-3 liang, heart removed); Ginseng Radix et Rhizoma (*Radix et Rhizoma Ginseng*, 1 liang, radix removed); Scutellaria Root (*Radix Scutellariae*, 1 liang); Bamboo Shavings (*Cortex Bambusae in Taeniam*, 1 liang); Tangerine Peel (*Pericarpium Citri Reticulatae*, 1 liang, soaked in water, white pith removed, dried).
Preparation: The above ingredients are finely sliced and mixed evenly.
Dosage: Take 1 liang per dose. Add 1.5 da zhan of water and three slices of fresh ginger.
Mao Xiang San (Acorus Flower Powder) [from *Taiping Shenghui Fang*]: Treats heat obstruction in the Spleen and Stomach, continuous vomiting and hiccups with vexation and thirst.
Ingredients: Acorus Flower (*Flos Acori Tatarinowii*, 3 qian); Reed Rhizome (*Rhizoma Phragmitis*, 1 liang, sliced); Ophiopogonis Tuber (*Tuber Ophiopogonis*, 3 qian, heart removed); Poria Cocos (*Poria*, 3 qian, red variety); Glycyrrhiza Radix et Rhizoma (*Radix et Rhizoma Glycyrrhizae*, 0.5 liang, roasted until slightly red and sliced); Loquat Leaf (*Folium Eriobotryae*, 3 qian, brushed clean of hairs, lightly roasted until yellow).
Preparation: The above ingredients are crushed, sifted into a powder.
Dosage: Take 3 qian per dose. Add one zhong zhan of water and half a fen of fresh ginger.
Zhuru Renshen Yinzi (Bamboo Shavings and Ginseng Drink) [from *Taiping Shenghui Fang*]: Treats heat obstruction in the Spleen and Stomach, abdominal fullness preventing eating; forced eating leads to vomiting and hiccups.
Ingredients: Ginseng Radix et Rhizoma (*Radix et Rhizoma Ginseng*, radix removed); Peucedani Radix (*Radix Peucedani*, radix removed, each 1 liang); Fresh Ginger (*Rhizoma Zingiberis Recens*, 0.5 liang); Millet (*Semen Setariae Italicae*, 0.5 he); Allium Macrostemon Bulb (*Bulbus Allii Macrostemonis*, 7 stems); Fermented Soybean (*Faba Fermentata*, 0.5 he).
Lugen San (Reed Root Powder) [from *Taiping Shenghui Fang*]: Treats heat obstruction in the Spleen and Stomach, vomiting and hiccups with inability to eat, and mental restlessness.
Ingredients: Reed Rhizome (*Rhizoma Phragmitis*, 2-3 liang, sliced); Ginseng Radix et Rhizoma (*Radix et Rhizoma Ginseng*, 1 liang, radix removed); Glycyrrhiza Radix et Rhizoma (*Radix et Rhizoma Glycyrrhizae*, 0.5 liang, roasted until slightly red and sliced); Ophiopogonis Tuber (*Tuber Ophiopogonis*, heart removed); Polygalae Radix (*Radix Polygalae*, each 1 liang).
Preparation: The above ingredients are crushed, sifted into a powder.
Dosage: Take 3 qian per dose. Add one zhong zhan of water and half a fen of fresh ginger. Decoct until reduced to six parts, strain, and add juice of Rehmannia Root (*Radix Rehmanniae Recens*).
To treat heat obstruction in the Spleen and Stomach, vomiting and hiccups with inability to eat, and vexation in the heart and diaphragm, this prescription is suitable. [from *Taiping Shenghui Fang*]
Ingredients: Glutinous Rice (*Semen Oryzae Sativae Glutinosa*, 0.5 he, washed and ground raw); Mung Bean (*Semen Phaseoli Radiati*, 0.5 he, washed and ground raw); Fresh Ginger (*Rhizoma Zingiberis Recens*, 3 qian, pressed for juice); Honey (*Mel*, 1 he); Freshly Drawn Water (*Aqua Fresca*, 5 he).