上二味，用生姜自然汁略浸附子，纳瓷瓶中，重汤煮之令干，捣罗为细散，每服一钱匕，含化咽津。（《圣济》）
（按∶《和剂》煨姜丸，与此相类，见《脾胃》。）《医说》引《类编》治翻胃（修制略同），一钱匕，掺舌上，
漱津下。若烦渴则徐食糜粥，忌油腻生冷。《大成》曰∶翻胃如水谷不能下，《方便集》中一方，用丁香、附子
为末，于掌心舐吃，亦一法也。
张涣养中汤方，养脾胃呕吐不止。
大附子（炮裂去皮尖脐一枚） 沉香 木香（各半两） 人参（一两） 官桂 半夏（汤浸七遍焙干各一两）
上件捣罗为细末，每服一钱，水一小盏，入生姜三片，煎五合，去滓放温，时时服。（《幼幼》）
曾有患人用附子理中汤、四逆汤，加丁香，到口即吐，后去干姜、只参、附加丁、木二香，煎熟更磨入沉香
药（《准绳》无药字），立吐定。盖虚寒痰气凝结，丁、附既温，佐
以沉、木香则通，干姜、白术则泥耳。（《要诀》）
治脾胃气虚弱，呕吐不下食，人参丸方。
人参（二两） 白术（二两半） 干姜（炮半两） 山芋（二两） 附子（炮裂去皮脐一两） 甘草（炙锉
一两半）
上六味捣罗为末，炼蜜和丸，如弹子大，每服一丸，水一盏，入枣二枚劈破，同煎至六分，去滓温服，白汤
嚼服亦得。（《圣济》）
治干呕不下食，参粟汤方。
人参（一两） 陈粟米（一两） 生姜（切碎五两） 半夏（汤洗去滑七遍四两与生姜同杵碎曝干）
上四味同入银石锅中，慢火炒令焦黄，粗捣筛，每服三钱匕，水一盏，入生姜三片，大枣二枚去核，同煎至
七分，去滓微热服，空心食前。（同上）
治脾胃气虚弱，呕吐不下食，藿香浓朴汤方。
藿香叶 浓朴（去粗皮，用生姜二两切片，枣十枚劈破，同煮半日取出，去姜枣，锉焙。） 半夏（浆水浸一宿，切，
汤洗七遍，入粟米一协议炒黄，去米。） 甘草（生锉） 人参 白茯苓（去黑皮各一两） 陈橘皮（汤浸去白焙半两）
上七味粗捣筛，每服三钱匕，水一盏，入生姜三大片，大枣二枚劈破，同煎至七分，去滓温服。（同上）
在城黄氏妇，年将三十，产后因食伤，致胃虚不纳谷，四十余日矣。闻谷气则恶心而呕，闻药气亦呕，求予治。予
曰∶药不能入口，又将何法以治之乎。恳求不已，遂制一方，用人参、白术、茯苓各一钱，甘草二分，陈皮、藿香、
砂仁各五分，炒神曲一钱，十年以上陈仓米一合，顺流水二大白盏，煎沸泡伏龙肝，研细搅浑，放澄清，取一盏，加
姜、枣同煎前药，至七分，稍冷服。此药遂纳而不吐，别以
陈仓米煎汤，时时与之，日进前药二、三服，渐能吃粥而安。后以此法治十数人，皆验。（《正传》）《医鉴》
比和饮，治水谷不纳，闻食气即呕。（即本方）
家秘加减理中汤，治寒吐，阴盛格阳，不纳药者。
用理中汤加熟附，一剂共五钱，水二盏，煎至一盏，去渣入童便、 猪胆汁各半杯，煎一、二沸服之，神效。
（《保命歌括》）呕久而诸药不纳者，此胃口壮火关格之病也，煎服妙不可言。（《医学研悦》）
金，参药不受，皆浊阴在上，阻塞气机，几无法矣。勉与白通汤加人尿、猪胆汁急进，以通阳泄浊。（《临证指
南》）
王，胃虚少谷，肝来乘克，呕吐不能受纳，盖脏厥象也。
人参 川连 附子 黄芩 干姜 枳实（同上）
吴，寒热邪气扰中，胃阳大伤，酸浊上涌吐出，脘痛如刺，无非阳衰阴浊上僭，致胃气不得下行。高年下元
衰惫，必得釜底暖蒸，中宫得以流通。拟用仲景附子泻心汤，通阳之中，原可泄热开导，煎药按法用之。
人参（一钱半） 熟附子（一钱半） 淡干姜（一钱） 三味另煎汁。川连（六分） 炒半夏（一钱半） 枳
实（一钱） 茯苓（三钱）
后四味，用水一盏，滚水一杯，煎三十沸，和入前三味药汁服。（同上）
参连汤 治呕吐饮食不进，或胃中虚热恶心，宜服。（《医约》）（方见《滞下》中）
驱饮诸方 《僧深方》生姜汤，治食已吐逆方。
生姜（五两） 茯苓（四两） 半夏（一升） 橘皮（一两） 甘草（二两）
五种，水九升，煮取三升七合，分三服。（《医心》）
二陈汤，呕吐者，加丁香，如甘草之数。恶甜者，减甘
草。吐甚者，兼服半硫丸。仍用半夏为细末，每一两入丁香、槟榔各一钱，旋以生姜自然汁，丸如梧子大，名水
煮半夏丸。先以水二盏煎沸，次下丸子，煮令极热，以匙挑服，用药汁咽下。烦躁者，于二药中并去丁香。（《易
简》）二陈汤，治胸腹胀满，因伤宿食，或吐后噫败卵气。加丁香、缩砂，生姜七片，乌梅七个服，未效再服。
（《得效》）
旋复花汤，治中脘伏痰，吐逆眩晕。
旋复花（去梗） 半夏（汤泡七次） 橘红 干姜（炮各一两） 槟榔 人参 甘草（炙） 白术（各半两）
上 咀，每服四钱，水一盏半，生姜七片，煎至七分，去滓温服，不拘时候。（《济生》）（按∶此《短剧》
半夏茯苓汤变方，宜参《水饮》门。）
凡呕不止，挟虚者，旋复代赭汤妙。不虚者，旋复花一味煎汤，调下代赭石一、二钱。（《西塘感症》）
倪庆云病膈气，十四日粒米不入咽，始吐清水，次吐绿水，次吐黑水，次吐臭水，呼吸将绝。乃用旋复花一
味煎汤，调代赭石末二茶匙与之，立止。（《寓意草》）（节录。按∶喻氏所谓膈气，即是呕吐，故列于此。又
《汇补》以此方名旋复代储汤，治呕吐不已，真气逆而不降，用此镇坠。）
徐（四六），气冲偏左，厥逆欲呕，呕尽方适，伏饮在于肝络，辛以散之。
吴萸（泡淡八分） 半夏（三钱） 茯苓块（三钱） 淡干姜（一钱） 代赭石（三钱） 旋复花（二钱）（《临
证指南》）
治水逆呕吐。
上用生料五苓散去桂，熟煎去滓，入生姜自然汁，细细服之效。（《经验良方》）夏月呕吐不止，五苓散加姜汁。
（《丹溪》）
清中诸方《广济》疗烦热，呕逆不下食，食则吐出，麦门冬汤方。
生麦门冬（三两去心） 青竹茹（三两） 茅根（五两） 甘草（一两炙） 生姜（五两） 人参（一两）
上六味切，以水七升，煮取二升五合，去滓分温三服，如人行六、七里进一服，不吐利。（《外台》）又许
仁则积热在胃，呕逆不下食，生芦根五味饮服，于本方去茅根、甘草、人参，加生芦根、茯苓，水煮去滓，加竹沥
搅调服。《医鉴》枇杷散，治胃虚呕哕不止，于本方去茅根，加枇杷叶。
主热呕逆方。
生姜（二分） 甘草（一分炙） 竹叶（一握） 人参（二分） 栀子（七枚）
上以水一升，煎取半升，再服之。（《千金月令》）
治胃实热，呕逆不下食，宜服犀角散方。
犀角屑（三分） 枇杷叶（一两） 葛根（三分） 麦门冬（一两）
上件药捣，粗罗为散，每服三钱，以水一中盏，入生姜半分，煎至六分，去滓不计时候。（《圣惠》）
治胃膈热（按∶膈热原错易，据下文正），吐逆不定，吃诸药无效者，宜服干葛散方。（胃膈热者，手心热，
胸膈烦是也。）
干葛（十二两如白面肥好者） 甘草（三两上者生用） 齐州半夏（三两，用生姜汁半盏，水一升同煮，切，
焙干（按∶煮原作者，根据谊改）。
上件药同捣罗为散，每服五钱，水二盏（原脱五钱水三字，二作一，据《鸡峰》、《本事》补改），生姜三片，
枣二枚（《本事》一个，《鸡峰》不用枣）青竹茹一弹子大（此四字原作鬼子，今照《本事》补改，《鸡峰》枣许大），
同煎七分（煎原作前，今改。《鸡峰》、《本事》并作煎至一盏），去滓温服，日二服，亦可常
服以为效，小儿一钱。（传家秘宝）干葛汤，治心下微烦，恶闻热物，得热则呕，时时喜渴。此由邪热蓄于胃中，
胃中得热则气不清，气不清则阴阳浑，其脉虚数或细而疾，宜此（《鸡峰》）（即本方，干葛三两，甘草、半夏各
三分。）治胃热呕吐，竹茹汤（即本方，分量同《鸡峰》）。胃热者，手足心热。政和中，一宗人病伤寒，得汗
身凉，数日忽呕吐，药与饮食俱不下。医者皆进丁香、藿香、滑石等药，下咽即吐。予曰∶此正汗后余热留胃脘，
孙兆竹茹汤正相当尔。亟治药与之，实时愈。《良方》槐花散亦相类。（《本事》）《圣济》治胃实热，烦渴咽干，
吐逆，葛根汤，去枣，加黄连。
治上焦壅热，见食呕吐，头痛目赤，石膏竹茹汤方。
石膏（八两） 竹茹（焙） 人参 白茅根 半夏（汤洗七遍炒各一两） 玄明粉（研） 桔梗（炒）
甘草（炙锉） 葛根（锉各半两）
上九味粗捣筛，每服五钱匕，水一盏半，入生姜五片，同煎至八分，去滓温服。（《圣济》）（按∶又治小儿吐
逆，麦门冬散，用麦门冬、石膏、甘草为散。）
治呕吐属热者。
黄连（姜炒一钱） 石膏（水 二钱）
上为末，白滚水送下。（《保元》）
治上焦吐，头发痛有汗，脉弦，青镇丸主之。（《保命集》）（即小柴胡加青黛，方见《咳嗽》。）
竹叶汤，治热吐翻胃。及伤寒遍身发热冷，吐（冷字疑）亦宜服之。
竹叶（半斤） 白茯苓（一两锉） 真珠小半夏（一两洗） 生姜（四两切）
上以水十碗，煎一碗，去滓温服，不计时候，每服一盏
服亦可。（《家宝》）《经验良方》加味二陈汤，治胃热呕吐不已，于二陈汤加刮 竹青。
胃中有热，膈上有痰者，二陈汤加炒山栀、黄连、生姜。（《丹溪》）
新定清中止呕方。
半夏（一钱） 茯苓（二钱） 陈皮（一钱） 竹茹（一钱） 干葛（五分） 生姜（五分） 芦根（五钱）
枇杷叶（三片） 麦冬（一钱） 白风米（百粒）
（《金匮翼》）（按∶此系《济生》橘皮竹茹汤加减方。）
治热吐，槐花散。
皂荚（去皮烧烟绝） 白矾（熬沸定） 槐花（炒黄黑色） 甘草（炙）
右等分为末，每服二钱，白汤调下。嘉兴李使君曾病呕，每食讫即吐，如此两月，服翻胃药愈甚。或谓有痰饮，
投半夏散，旋服之，亦皆不验。幕下乐判官授此方，服之实时瘥。又有一老年人，久病呕，与服之又瘥。大凡吐
多是隔热，热且生痰（《本事》生涎），此药能化胃膈热涎，特有殊效。（《苏沈》）
疏里方法 足阳明之经，胃之络脉也，阳明之气下行则顺。今逆而上行，谨不可泄，固也；然呕吐者，每
每大便秘结，上下壅遏，气不流行，盍思所以区画而利导之。（《直指》）
此证决不可轻用利药，惟腹满脚胀（脚字盖讹），视其何部不利，然后利之。《三因》详论及此，不可不审。
（《大成》）
呕吐证忌用利药者，此言其常；然大小肠膀胱热结而不通，上作呕吐隔食，若不用利药，开通发泄，则呕吐何
由而上。（《丹溪附余》）
仲景云∶病患欲吐者，不可下之。又用大黄甘草汤治食已即吐，何也？曰∶欲吐者，其症在上，因而越之
可也。而逆之使下，则必抑塞愦乱而益以甚，故禁之。若既已吐矣，吐而不已，有升无降，则当逆而折之。
引令下行，无速于大黄者，故不禁也。兵法曰∶避其锐，击其惰。此之谓也。丹溪泥之，而曰凡病呕吐切不可
下，固矣哉。（《准绳》）
《古今录验》疗胸膈痰饮，食啖经日，则并吐出，食皆不消，出如初，空腹一两日聚食，还复吐之，极
不便，此由痰饮聚下绝不通，服此丸宣通下气方。
吴茱萸 泽泻 芍药 白术 汉防己 赤茯苓（各二两） 蜀大黄（二两）
上七味捣筛，蜜和为丸，如梧子大，饮服二十五丸。（《外台》）《集验》疗吐逆干呕，生姜汤方。
生姜（四两） 泽泻（三两） 桂心（二两） 橘皮（三两） 甘草（二两） 茯苓（四两） 人参（一两）
大黄（四两）
上八味切，以水七升，煮取三升，服五合，日三。（同上）（按∶据《医心》，此本僧深方，治胃逆干呕，
欲吐无所出，人参汤。）
三乙承气汤，治呕吐，水浆不入，或食已即吐，大便秘，或利而不松快，时觉腹满者，或下利赤白而呕吐食不下
者，或大肠小肠膀胱结而不通，上为呕吐隔食。
川大黄 浓朴 枳壳 芒硝（各半两） 甘草（一两）
上四味为粗末，每服四钱，水一盏，生姜三片，煎至六分，却入硝，细细啜服。（《经验良方》）
袁玉行患小腹厥气上冲即吐，得饮则吐愈甚，诸药不效，延余诊之。两脉虚涩，右尺独见弦急。余曰∶人身
之中，清气本乎上而反陷下，则为注为泄；浊气本乎下而反逆上，
则为呕为吐。今证正在下而不在上也。下焦之浊气上腾，则胸中之阳气不布，故饮入于胃，有上壅而不下达矣。
经云∶云雾不清，则上应白露不下。若非地道一通，浊气何由而降，呕吐何由而止耶。治以调胃承气汤，一剂而
得宿秽甚多，继渐培中气而愈。（印机草）
These two ingredients are slightly soaked in fresh ginger juice, placed in a porcelain bottle, and boiled in a double boiler until dry. They are then pounded and sieved into a fine powder. Each dose is one qianbi (a small measuring spoon), held in the mouth to dissolve and swallowed with saliva. (From *Shengji Zonglu*)
(Note: The Wei Jiang Wan [Baked Ginger Pill] from *Tai Ping Hui Min He Ji Ju Fang* is similar to this formula; see the "Spleen and Stomach" section.) *Yi Shuo* cites *Lei Bian* for treating Fan Wei [Reversal of Stomach Qi / Vomiting], with similar preparation methods. One qianbi is sprinkled on the tongue, rinsed with saliva, and swallowed. If there is irritability and thirst, consume congee slowly, avoiding greasy, raw, or cold foods. *Yi Xue Da Cheng* states that Fan Wei manifests as food and fluids failing to descend; a formula in *Fang Bian Ji* uses Ding Xiang [Clove] and Fu Zi [Aconite Root] powdered, licked from the palm, which is another method.
Zhang Huan's Yang Zhong Tang [Nourishing Middle Decoction] treats persistent vomiting due to Spleen and Stem deficiency.
Da Fu Zi [Prepared Aconite Root] (cracked by frying, peel and tip removed, one piece) Chen Xiang [Aquilaria Wood] Mu Xiang [Vladimiria Root] (each half liang) Ren Shen [Ginseng Root] (one liang) Guan Gui [Cinnamon Bark] Ban Xia [Pinellia Tuber] (soaked in water seven times, baked dry, each one liang)
Pound and sieve the above ingredients into a fine powder. Each dose is one qian, decocted with one small cup of water and three slices of fresh ginger until reduced to five he. Strain, allow to cool to warm, and take frequently. (From *You You Xin Shu*)
A patient previously took Fu Zi Li Zhong Tang [Aconite Regulate the Middle Decoction] and Si Ni Tang [Four Reversals Decoction] with added Ding Xiang [Clove], but vomited immediately upon ingestion. Later, Gan Jiang [Dried Ginger] was removed, using only Ren Shen [Ginseng Root], Fu Zi [Aconite Root], Ding Xiang [Clove], and Mu Xiang [Vladimiria Root]. After decoction, Chen Xiang [Aquilaria Wood] powder was ground in. This stopped the vomiting immediately. This is because deficiency-cold and phlegm-qi were congealed; Ding Xiang and Fu Zi warmed the interior, while Chen Xiang and Mu Xiang promoted circulation. Gan Jiang and Bai Zhu [Atractylodes Rhizome] would have been cloying and obstructive. (From *Jing Yue Quan Shu: Yao Jue*)
Ren Shen Wan [Ginseng Pill] treats vomiting and inability to eat due to Spleen and Stomach Qi deficiency.
Ren Shen [Ginseng Root] (two liang) Bai Zhu [Atractylodes Rhizome] (two and a half liang) Gan Jiang [Dried Ginger] (prepared, half liang) Shan Yu [Dioscorea Tuber] (two liang) Fu Zi [Aconite Root] (cracked by frying, peel and navel removed, one liang) Gan Cao [Licorice Root] (roasted and cut, one and a half liang)
Pound the six ingredients into a powder, mix with refined honey to make pills the size of a bullet. Take one pill per dose with one cup of water and two split red dates, decoct until reduced to six parts. Strain and take warm. It can also be taken chewed with plain water. (From *Shengji Zonglu*)
Can Su Tang [Ginseng and Millet Decoction] treats dry retching and inability to eat.
Ren Shen [Ginseng Root] (one liang) Chen Su Mi [Aged Millet] (one liang) Sheng Jiang [Fresh Ginger] (chopped, five liang) Ban Xia [Pinellia Tuber] (washed in water to remove slipperiness seven times, four liang, pounded together with fresh ginger until crushed, then dried in the sun)
Place the four ingredients in a silver or stone pot, stir-fry over slow fire until scorched yellow, coarsely crush and sieve. Each dose is three qianbi, decocted with one cup of water, three slices of fresh ginger, and two pitted red dates until reduced to seven parts. Strain, take warm, on an empty stomach or before meals. (Ibid.)
Huo Xiang Nong Po Tang [Pogostemon and Magnolia Bark Decoction] treats vomiting and inability to eat due to Spleen and Stomach Qi deficiency.
Huo Xiang Ye [Patchouli Leaf] Nong Po [Magnolia Bark] (outer bark removed, sliced with two liang fresh ginger and ten split red dates, boiled for half a day, remove ginger and dates, cut and bake) Ban Xia [Pinellia Tuber] (soaked in bean water overnight, cut, washed in water seven times, stir-fried with millet until yellow, remove millet) Gan Cao [Licorice Root] (raw, cut) Ren Shen [Ginseng Root] Bai Fu Ling [Poria] (black skin removed, each one liang) Chen Ju Pi [Aged Tangerine Peel] (soaked in water, white part removed, baked, half liang)
Coarsely crush and sieve the seven ingredients. Each dose is three qianbi, decocted with one cup of water, three large slices of fresh ginger, and two split red dates until reduced to seven parts. Strain and take warm. (Ibid.)
The wife of Mr. Huang in the city, nearly thirty years old, suffered from dietary injury postpartum, leading to Spleen-Stomach deficiency and inability to retain grain for over forty days. She nauseated and vomited at the smell of grain and even at the smell of medicine. I said, "If medicine cannot enter the mouth, what other method is there?" Upon her persistent request, I prescribed: Ren Shen [Ginseng Root], Bai Zhu [Atractylodes Rhizome], and Fu Ling [Poria] each one qian; Gan Cao [Licorice Root] two fen; Chen Pi [Tangerine Peel], Huo Xiang [Patchouli], and Sha Ren [Amomum Fruit] each five fen; Chao Shen Qu [Stir-fried Medicated Leaven] one qian; and Yi He [One He measure] of aged warehouse rice (over ten years old). Boil two large cups of flowing water, add Fu Long Gan [Stove Soil], grind finely, stir until turbid, let settle, and take one cup. Add ginger and dates to decoct the herbs until reduced to seven parts. Take when slightly cool. The medicine was retained without vomiting. Additionally, she drank soup made from aged warehouse rice frequently. Taking the main medicine two to three times daily, she gradually tolerated congee and recovered. This method was later used successfully on more than ten patients. (From *Shen Zhai Yi Shu*) Bi He Yin [Harmonizing Drink] in *Yi Jian* treats inability to retain food/fluids and vomiting at the smell of food. (This is the same formula.)
My family's modified Li Zhong Tang [Regulate the Middle Decoction] treats cold vomiting, Yin excess repelling Yang, and inability to retain medicine.
Use Li Zhong Tang [Regulate the Middle Decoction] plus Shu Fu Zi [Prepared Aconite Root]. One dose totals five qian, decocted in two cups of water until one cup remains. Remove dregs, add half a cup of child's urine and half a cup of pig bile, boil once or twice, and take. Miraculous effect. (From *Bao Ming Ge Kua*) For prolonged vomiting where all medicines are rejected, this is a condition of strong fire in the stomach causing Guan Ge [Obstruction and Repulsion]; the decoction method is exquisite. (From *Yi Xue Yan Yue*)
Patient Jin could not tolerate Ginseng or other medicines; this was due to turbid Yin rising and blocking Qi mechanism, almost untreatable. I reluctantly administered Bai Tong Tang [White Pass Decoction] with added human urine and pig bile urgently to unblock Yang and drain turbidity. (From *Lin Zheng Zhi Nan Yi An*)
Patient Wang had Spleen-Stomach deficiency with little grain intake, Liver Qi invading and overcoming, causing vomiting and inability to receive. This is a sign of Zang Jue [Visceral Cold Reversal].
Ren Shen [Ginseng Root] Chuan Lian [Coptis Rhizome] Fu Zi [Aconite Root] Huang Qin [Scutellaria Root] Gan Jiang [Dried Ginger] Zhi Shi [Immature Bitter Orange] (Ibid.)
Patient Wu had cold-heat pathogenic factors disturbing the middle, severely damaging Stomach Yang, causing sour turbidity to surge upward and vomit, with epigastric pain like stabbing. This is due to Yang deficiency and Yin turbidity usurping upward, preventing Stomach Qi from descending. In old age, the lower Yuan is weak; the bottom of the cauldron must be warmed so the middle palace can circulate. I propose using Zhang Zhongjing's Fu Zi Xie Xin Tang [Aconite Drain the Epigastrium Decoction], which unblocks Yang while draining heat and guiding downward. Decoct according to method.
Ren Shen [Ginseng Root] (one and a half qian) Shu Fu Zi [Prepared Aconite Root] (one and a half qian) Dan Gan Jiang [Light Dried Ginger] (one qian) — Decoct these three separately for juice. Chuan Lian [Coptis Rhizome] (six fen) Chao Ban Xia [Stir-fried Pinellia Tuber] (one and a half qian) Zhi Shi [Immature Bitter Orange] (one qian) Fu Ling [Poria] (three qian)
Decoct the latter four ingredients with one cup of water and one cup of boiling water for thirty boils, then mix with the juice of the first three ingredients and take. (Ibid.)
Can Lian Tang [Ginseng and Coptis Decoction] treats vomiting, inability to eat, or nausea due to deficient-heat in the Stomach. Suitable for use. (From *Yi Yue*) (Formula seen in "Dysentery" section.)
Formulas for Expelling Fluid Retention *Seng Shen Fang*: Sheng Jiang Tang [Fresh Ginger Decoction] treats vomiting after eating.
Sheng Jiang [Fresh Ginger] (five liang) Fu Ling [Poria] (four liang) Ban Xia [Pinellia Tuber] (one sheng) Ju Pi [Tangerine Peel] (one liang) Gan Cao [Licorice Root] (two liang)
Boil these five ingredients in nine sheng of water until three sheng qi he remain. Divide into three doses. (From *Yi Xin Fang*)
Er Chen Tang [Two-Aged Decoction]: For vomiting, add Ding Xiang [Clove] in quantity equal to Gan Cao [Licorice Root]. If sweet taste is disliked, reduce Gan Cao. For severe vomiting, concurrently take Ban Liu Wan [Pinellia and Sulfur Pill]. Also, make Ban Xia [Pinellia Tuber] into fine powder, add one qian each of Ding Xiang [Clove] and Bing Lang [Areca Seed] per one liang of powder, and bind with fresh ginger juice into pills the size of wutong seeds, named Shui Zhu Ban Xia Wan [Water-Boiled Pinellia Pill]. Boil two cups of water, drop in pills, boil until very hot, scoop out with a spoon, and swallow with decoction liquid. If irritable, remove Ding Xiang from both medicines. (From *Yi Jian Fang*) Er Chen Tang [Two-Aged Decoction] treats chest and abdominal fullness due to retained food, or belching of rotten egg odor after vomiting. Add Ding Xiang [Clove], Suo Sha [Cardamom], seven slices of fresh ginger, and seven dark plums. Take; if ineffective, repeat. (From *De Xiao Fang*)
Xuan Fu Hua Tang [Inula Flower Decoction] treats latent phlegm in the middle jiao, causing vomiting, retching, and vertigo.
Xuan Fu Hua [Inula Flower] (remove stem) Ban Xia [Pinellia Tuber] (soaked in water seven times) Ju Hong [Red Tangerine Peel] Gan Jiang [Dried Ginger] (prepared, each one liang) Bing Lang [Areca Seed] Ren Shen [Ginseng Root] Gan Cao [Licorice Root] (roasted) Bai Zhu [Atractylodes Rhizome] (each half liang)
Cut the ingredients. Each dose is four qian, decocted with one and a half cups of water and seven slices of fresh ginger until reduced to seven parts. Strain and take warm, at any time. (From *Ji Sheng Fang*) (Note: This is a modification of Ban Xia Fu Ling Tang [Pinellia and Poria Decoction] from *Duan Ju*; refer to the "Fluid Retention" section.)
For persistent vomiting with deficiency, Xuan Fu Dai Zhe Tang [Inula and Hematite Decoction] is excellent. If there is no deficiency, decoct Xuan Fu Hua [Inula Flower] alone and mix with one to two qian of Dai Zhe Shi [Hematite]. (From *Xi Tang Gan Zheng*)
Ni Qingyun suffered from Ge Qi [Diaphragmatic Qi Stagnation], unable to swallow any rice for fourteen days. First he vomited clear water, then green water, then black water, then foul-smelling water, with breathing nearly ceased. I used Xuan Fu Hua [Inula Flower] decocted alone, mixed with two tea spoons of Dai Zhe Shi [Hematite] powder, given to him. Vomiting stopped immediately. (From *Yu Yi Cao*) (Excerpt. Note: Yu Shi's Ge Qi refers to vomiting, hence listed here. Also, *Hui Bu* names this formula Xuan Fu Dai Chu Tang, treating persistent vomiting with rebellious true Qi; it uses this to anchor and descend.)
Xu (46 years old) had Qi rushing to the left side, cold reversals, and desire to vomit; only felt comfortable after vomiting. Latent fluid retention was in the Liver collaterals; use pungent herbs to disperse.
Wu Zhu Yu [Evodia Fruit] (soaked to remove bitterness, eight fen) Ban Xia [Pinellia Tuber] (three qian) Fu Ling Kuai [Poria Block] (three qian) Dan Gan Jiang [Light Dried Ginger] (one qian) Dai Zhe Shi [Hematite] (three qian) Xuan Fu Hua [Inula Flower] (two qian) (From *Lin Zheng Zhi Nan Yi An*)
Treats Shui Ni [Water Counterflow] vomiting.
Take the raw ingredients of Wu Ling San [Five-Ingredient Powder with Poria], remove Gui Zhi [Cinnamon Twig], decoct thoroughly, strain, add fresh ginger juice, and sip slowly for efficacy. (From *Jing Yan Liang Fang*) In summer, for persistent vomiting, add ginger juice to Wu Ling San [Five-Ingredient Powder with Poria]. (From *Dan Xi Xin Fa*)
Formulas for Clearing the Middle *Guang Ji*: Treats irritability, heat, vomiting, retching, inability to eat, and regurgitation of food. Mai Men Dong Tang [Ophiopogon Decoction].
Sheng Mai Men Dong [Fresh Ophiopogon Tuber] (three liang, remove heart) Qing Zhu Ru [Green Bamboo Shavings] (three liang) Mao Gen [Imperata Rhizome] (five liang) Gan Cao [Licorice Root] (one liang, roasted) Sheng Jiang [Fresh Ginger] (five liang) Ren Shen [Ginseng Root] (one liang)
Cut the six ingredients. Decoct in seven sheng of water until two sheng qi he remain. Strain, divide into three warm doses. Take every six to seven li of walking. Do not cause vomiting or diarrhea. (From *Wai Tai Mi Yao*) Xu Renze stated that accumulated heat in the Stomach causes vomiting and inability to eat; use Sheng Lu Gen Wu Wei Yin [Fresh Reed Five-Ingredient Drink]. Remove Mao Gen [Imperata Rhizome], Gan Cao [Licorice Root], and Ren Shen [Ginseng Root] from the above formula, add Sheng Lu Gen [Fresh Reed Rhizome] and Fu Ling [Poria], decoct in water, strain, add Zhu Li [Bamboo Sap], mix, and take. *Yi Jian* Pi Pa San [Loquat Powder] treats persistent vomiting and hiccups due to Stomach deficiency; remove Mao Gen [Imperata Rhizome] from the above formula and add Pi Pa Ye [Loquat Leaf].
Main Formula for Heat-induced Vomiting and Retching.
Sheng Jiang [Fresh Ginger] (two fen) Gan Cao [Licorice Root] (one fen, roasted) Zhu Ye [Bamboo Leaf] (one handful) Ren Shen [Ginseng Root] (two fen) Zhi Zi [Gardenia Fruit] (seven seeds)
Decoct in one sheng of water until half a sheng remains. Take again. (From *Qian Jin Yue Ling*)
Treats Stomach Excess-Heat, vomiting, retching, and inability to eat. Xi Jiao San [Rhinoceros Horn Powder] is suitable.
Xi Jiao Xie [Rhinoceros Horn Chips] (three fen) Pi Pa Ye [Loquat Leaf] (one liang) Ge Gen [Kudzu Root] (three fen) Mai Men Dong [Ophiopogon Tuber] (one liang)
Pound the ingredients, coarsely sieve into powder. Each dose is three qian, decocted with one medium cup of water and half a fen of fresh ginger until reduced to six parts. Strain and take at any time. (From *Tai Ping Sheng Hui Fang*)
Treats Wei Ge Re [Stomach-Diaphragm Heat], unstable vomiting and retching, ineffective with various medicines. Gan Ge San [Kudzu Powder] is suitable. (Wei Ge Re means heat in the palms and irritability in the chest/diaphragm.)
Ge Gen [Kudzu Root] (twelve liang, good quality like flour) Gan Cao [Licorice Root] (three liang, raw, upper quality) Qi Zhou Ban Xia [Ban Xia from Qizhou] (three liang, boiled with half a cup of fresh ginger juice and one sheng of water, cut, and baked)
Pound the ingredients together into powder. Each dose is five qian, decocted with two cups of water (original text missing "five qian water", changed "two" to "one" based on *Ji Feng* and *Ben Shi*), three slices of fresh ginger, two red dates (*Ben Shi* uses one, *Ji Feng* uses none), and a ball-sized amount of Qing Zhu Ru [Green Bamboo Shavings] (original text erroneous, corrected from *Ben Shi*; *Ji Feng* uses date-sized). Decoct until seven parts remain (original "qian", corrected to "jian"; *Ji Feng* and *Ben Shi* say "decoct until one cup"). Strain and take warm, twice daily, or regularly for efficacy. Children take one qian. (From *Chuan Jia Mi Bao*) Gan Ge Tang [Kudzu Decoction] treats slight irritability below the heart, aversion to hot things, vomiting upon heating, and frequent thirst. This is due to pathogenic heat accumulating in the Stomach; heat makes Qi unclear, confusing Yin and Yang. Pulse is deficient-rapid or fine-rapid. This formula is suitable. (From *Ji Feng Xian Shou Fang*) (Same formula: Ge Gen [Kudzu Root] three liang, Gan Cao [Licorice Root] and Ban Xia [Pinellia Tuber] each three fen.) Zhu Ru Tang [Bamboo Shavings Decoction] treats Stomach-heat vomiting (same formula, dosage same as *Ji Feng*). Stomach-heat presents with heat in palms and soles. During Zheng He era, a relative suffered from Shang Han [Cold Damage], became cool after sweating, but suddenly vomited days later, rejecting medicine and food. Physicians prescribed Ding Xiang [Clove], Huo Xiang [Patchouli], Hua Shi [Talc], etc., but vomiting occurred immediately upon swallowing. I said, "This is residual heat remaining in the Stomach Epigastrium after sweating; Sun Zhao's Zhu Ru Tang [Bamboo Shavings Decoction] is exactly appropriate." Quickly prepared and gave the medicine; he recovered instantly. *Liang Fang* Huai Hua San [Sophora Powder] is similar. (From *Ben Shi Fang*) *Sheng Ji Zong Lu* treats Stomach Excess-Heat, irritability, thirst, dry throat, and vomiting with Ge Gen Tang [Kudzu Decoction], removing red dates and adding Huang Lian [Scutellaria Root].
Treats Upper Jiao congestion-heat, vomiting upon seeing food, headache, and red eyes. Shi Gao Zhu Ru Tang [Gypsum and Bamboo Shavings Decoction].
Shi Gao [Gypsum] (eight liang) Zhu Ru [Bamboo Shavings] (baked) Ren Shen [Ginseng Root] Bai Mao Gen [Imperata Rhizome] Ban Xia [Pinellia Tuber] (washed in water seven times, fried, each one liang) Xuan Ming Fen [Mirabilite] (ground) Jie Geng [Platycodon Root] (fried) Gan Cao [Licorice Root] (roasted and cut) Ge Gen [Kudzu Root] (cut, each half liang)
Coarsely crush and sieve the nine ingredients. Each dose is five qianbi, decocted with one and a half cups of water and five slices of fresh ginger until reduced to eight parts. Strain and take warm. (From *Sheng Ji Zong Lu*) (Note: Also treats pediatric vomiting/retching; Mai Men Dong San [Ophiopogon Powder] uses Mai Men Dong [Ophiopogon Tuber], Shi Gao [Gypsum], and Gan Cao [Licorice Root] as powder.)
Treats vomiting due to heat.
Huang Lian [Scutellaria Root] (stir-fried with ginger, one qian) Shi Gao [Gypsum] (water-ground, two qian)
Grind into powder, take with boiling water. (From *Bao Yuan Tai Chan Bei Yao*)
Treats Upper Jiao vomiting, headache with sweating, wiry pulse. Qing Zhen Wan [Blue Calming Pill] is primary. (From *Lan Shi Mi Cang*) (This is Xiao Chai Hu Tang [Minor Bupleurum Decoction] plus Qing Dai [Indigo Naturalis]; formula seen in "Cough" section.)
Zhu Ye Tang [Bamboo Leaf Decoction] treats heat vomiting and Fan Wei [Reversal of Stomach Qi]. Also suitable for Shang Han [Cold Damage] with whole-body fever/chills and vomiting (character 'cold' may be erroneous).
Zhu Ye [Bamboo Leaf] (half jin) Bai Fu Ling [Poria] (one liang, cut) Zhen Zhu Xiao Ban Xia [True Pearl Small Pinellia] (one liang, washed) Sheng Jiang [Fresh Ginger] (four liang, cut)
Decoct in ten bowls of water until one bowl remains. Strain and take warm, at any time. One cup per dose is also acceptable. (From *Jia Bao Fang*) *Jing Yan Liang Fang* Modified Er Chen Tang [Two-Aged Decoction] treats persistent Stomach-heat vomiting; add Gua Zhu Qing [Scraped Green Bamboo Skin] to Er Chen Tang [Two-Aged Decoction].
When there is heat in the Stomach and phlegm in the Diaphragm, add Chao Shan Zhi [Stir-fried Gardenia Fruit], Huang Lian [Scutellaria Root], and Sheng Jiang [Fresh Ginger] to Er Chen Tang [Two-Aged Decoction]. (From *Dan Xi Xin Fa*)
Newly Formulated Formula for Clearing the Middle and Stopping Vomiting.
Ban Xia [Pinellia Tuber] (one qian) Fu Ling [Poria] (two qian) Chen Pi [Tangerine Peel] (one qian) Zhu Ru [Bamboo Shavings] (one qian) Gan Ge [Kudzu Root] (five fen) Sheng Jiang [Fresh Ginger] (five fen) Lu Gen [Reed Rhizome] (five qian) Pi Pa Ye [Loquat Leaf] (three leaves) Mai Dong [Ophiopogon Tuber] (one qian) Bai Feng Mi [White Wind Rice] (one hundred grains)
(From *Jin Kui Yi*) (Note: This is a modification of Ju Pi Zhu Ru Tang [Tangerine Peel and Bamboo Shavings Decoction] from *Ji Sheng Fang*.)
Treats heat vomiting. Huai Hua San [Sophora Powder].
Zao Jia [Soap Pod] (skin removed, burned until smoke ceases) Bai Fan [Alum] (boiled until solid) Huai Hua [Sophora Flower] (stir-fried until yellow-black) Gan Cao [Licorice Root] (roasted)
Grind equally into powder. Each dose is two qian, taken with plain water. Lord Li of Jiaxing once suffered from vomiting, regurgitating immediately after each meal for two months; taking Fan Wei medicines worsened it. Some suggested phlegm-fluid, prescribing Ban Xia San [Pinellia Powder], but it failed. Official Le taught him this formula; he recovered immediately. Another elderly man with chronic vomiting also recovered. Generally, vomiting is often due to blocked heat, and heat generates phlegm (*Ben Shi Fang* says generates saliva); this medicine transforms Stomach-Diaphragm heat-saliva, having special efficacy. (From *Su Shen Liang Fang*)
Methods for Draining the Interior The Foot-Yangming meridian is the collateral of the Stomach; Yangming Qi descends smoothly. Now it rebels and ascends; strictly do not purge, certainly. However, vomiting is often accompanied by constipation, obstruction above and below, and stagnant Qi. Why not consider methods to guide and promote drainage? (From *Zhi Zhi Fang*)
This condition absolutely should not lightly use purgatives. Only if there is abdominal fullness and leg swelling (character 'leg' likely erroneous), observe which part is obstructed, then purge it. *San Yin Fang* discusses this in detail; one must examine carefully. (From *Yi Xue Da Cheng*)
Saying that purgatives are contraindicated in vomiting refers to the general rule; however, if heat accumulation in the Large Intestine, Small Intestine, or Bladder causes obstruction, leading to vomiting and food blockage above, if purgatives are not used to open and vent, how will the vomiting cease? (From *Dan Xi Fu Yu*)
Zhong Jing said: If the patient desires to vomit, do not purge. Yet, Da Huang Gan Cao Tang [Rhubarb and Licorice Decoction] treats vomiting immediately after eating. Why? Answer: When desiring to vomit, the pathology is above; therefore, inducing vomiting is appropriate. Opposing it by forcing downward will cause suppression and confusion, worsening the condition, hence prohibited. If vomiting has already occurred and persists, with ascending but no descending, one must oppose and break it. Guiding it downward, nothing is faster than Da Huang [Rhubarb Root], hence not prohibited. Military strategy says: Avoid their sharpness, strike their fatigue. This is what is meant. Dan Xi rigidly adhered to this, saying vomiting must never be purged; truly, that is too absolute. (From *Yi Xue Zhun Sheng*)
*Gu Jin Lu Yan* treats Phlegm-Fluid in Chest/Diaphragm. Food eaten a day ago is vomited up undigested, appearing as new. Fasting for one or two days, accumulating food, then vomiting again, extremely inconvenient. This is due to Phlegm-Fluid accumulation below, completely blocked. Take this pill to promote Qi descent.
Wu Zhu Yu [Evodia Fruit] Ze Xie [Alisma Rhizome] Shao Yao [Peony Root] Bai Zhu [Atractylodes Rhizome] Han Fang Ji [Stephania Root] Chi Fu Ling [Red Poria] (each two liang) Shu Da Huang [Sichuan Rhubarb Root] (two liang)
Pound and sieve the seven ingredients, bind with honey into pills the size of wutong seeds. Take twenty-five pills with water. (From *Wai Tai Mi Yao*) *Ji Yan Fang* treats vomiting and dry retching. Sheng Jiang Tang [Fresh Ginger Decoction].
Sheng Jiang [Fresh Ginger] (four liang) Ze Xie [Alisma Rhizome] (three liang) Gui Xin [Cinnamon Heart] (two liang) Ju Pi [Tangerine Peel] (three liang) Gan Cao [Licorice Root] (two liang) Fu Ling [Poria] (four liang) Ren Shen [Ginseng Root] (one liang) Da Huang [Rhubarb Root] (four liang)
Cut the eight ingredients. Decoct in seven sheng of water until three sheng remain. Take five he, three times daily. (Ibid.) (Note: According to *Yi Xin Fang*, this originates from Seng Shen's formula for Stomach rebellion with dry retching, desire to vomit but nothing comes out, Ren Shen Tang [Ginseng Decoction].)
San Yi Cheng Qi Tang [Three-Ethyl Purging Decoction] treats vomiting, inability to take fluids, or vomiting immediately after eating, constipation, or loose stools without relief, occasional abdominal fullness, or dysentery with red/white discharge and vomiting/inability to eat, or obstruction in Large/Small Intestines and Bladder causing vomiting and food blockage above.
Chuan Da Huang [Sichuan Rhubarb Root] Nong Po [Magnolia Bark] Zhi Ke [Bitter Orange Fruit] Mang Xiao [Mirabilite] (each half liang) Gan Cao [Licorice Root] (one liang)
Make the four ingredients coarse powder. Each dose is four qian, decocted with one cup of water and three slices of fresh ginger until reduced to six parts. Then add Mang Xiao [Mirabilite], sip slowly. (From *Jing Yan Liang Fang*)
Yuan Yu Xing suffered from Qi counterflow from the lower abdomen causing vomiting; drinking worsened it. Various medicines failed. I examined his pulse: both sides deficient and choppy, Right Chi [Cubit position] specifically wiry and rapid. I said: In the body, Clear Qi belongs above but sinks down, causing diarrhea/leakage; Turbid Qi belongs below but rebels upward, causing vomiting. The pathology here is in the Lower Jiao, not the Upper. Turbid Qi from the Lower Jiao rises, preventing Chest Yang from distributing. Thus, fluids entering the Stomach accumulate above and fail to descend. The Classics say: If clouds/mist are unclear, White Dew does not descend below. Unless the Earthly Path opens, how can Turbid Qi descend and vomiting stop? Treat with Tiao Wei Cheng Qi Tang [Regulate the Stomach Purging Decoction]. One dose yielded much old feces; subsequently, nourish Middle Qi gradually until recovery. (From *Yin Ji Cao*)