翻胃之症有四说∶气虚血虚痰与热，此患多应脾胃虚。火动痰升谷不纳，右脉无力属气
虚，左脉无力血虚别。寸关之脉沉而涩，下手应知必气结，寸关浮大或沉沉，盖有升痰为呕
哕。四君子入二陈中，参术茯苓半夏逢，甘草栀连归枳实，木香神曲火姜同，煎加竹沥并姜
汁，一服须交有奏功。老者逢之气血虚，少年得此宜踌蹰。胃口血燥便赤涩，辨论须详格致
余，口中沫出终不止，粪如羊屎命应殂。
急救翻胃单方 马剥儿（烧灰存性）二钱，好枣肉、平胃散各二钱。和匀，温酒调服，
食即可
又方
以千叶白槿花阴干为末，陈米汤调下，三五口不转，再服。（如无花即叶亦可）
又方
黄丹（细研）、小枣（去皮核研），丸如鸡头大，每用一丸，针签于灯上烧灰为末，乳
汁下。
又方
觅翻翅鸡一只，煮熟去骨，入人参、当归、食盐（俱为细末）各五钱，再煮与食之。勿
令人共食。
又方
虎脂半斤（切如豆大），清油一斤，瓦瓶浸虎脂一月，浓绵纸封口，勿令泄气。每用清
油一两，入无灰好酒一大钟，调匀温服，服尽病自减。（其虎脂尚可浸二次，再可活二人）
又方
韭汁二两，牛乳一盏，姜汁五钱，和匀温服。
又方
治翻胃并积饮。生姜自然汁，澄白脚丸，益元散，如菜子大，时时服之。
又方
治翻胃、噎膈。螃蟹涎为末，每服五分，烧酒下。（取涎法∶以蟹洗净，置瓶内，水
四指，入油一小杯，捻白面撒水上即出，次日去蟹，晒干）
又方
治翻胃。以丁香十五粒刺入悉尼内，湿纸包煨食之。
又方
治干呕不止。用甘蔗浆七升，姜汁一升，和匀分五次服。
顺气和中汤 治呕吐、翻胃、嘈杂吞酸、痞闷噫气、噎膈刺痛、恶心吐痰等证。
陈皮（盐水浸炒） 香附（醋浸炒） 栀子（姜汁炒黑）各一钱 白术（去芦土炒）八
分白茯苓（去皮） 枳实（麸炒）各七分 半夏（姜汁浸炒） 黄连（姜汁炒晒干，再以
猪胆汁拌炒） 神曲（炒）各六分 砂仁（炒）三分 甘草（炙）二分
用长流水入胶泥搅和，再澄清，取水一钟，姜三片，煎七分，入竹沥、童便、姜汁，不
拘时细细温服。胃口痛加姜汁，气虚加参、 各八分；血虚加归七分，芎五分；气恼或气不
畅加乌药五分，木香三分；胸膈饱闷加萝卜子（炒）六分；嘈杂醋心加吴茱萸四分，倍黄连、
白术；呕吐不止加藿香根七分。
安中调气丸 治翻胃及一切痰膈。
香附三两（长流水浸三日，洗净炒黄色） 白术（去芦土炒） 陈皮（盐水浸炒）各二
两半夏（白矾、姜汁煮过晒干） 枳实（炒） 白茯苓（水洗去皮木） 神曲（炒）各一
两白芍（盐酒炒）八钱 萝卜子（炒）六钱 白豆蔻（去壳） 当归（酒洗） 川芎 紫
苏黄连（姜汁炒）各五钱 甘草三钱 木香一钱
十六味共为细末，姜汁、竹沥，打神曲糊为丸，如黄豆大，清米汤下八十丸。养血助胃
丸呕吐翻胃愈后用此。
养元气、健脾胃、生血脉、调营卫、清郁气、收功保后。
白术（去芦酒炒）一两三钱 白芍（盐水炒）一两二钱 当归（酒浸） 熟地（姜汁浸
炒） 川芎 莲肉（去皮心） 山药（炒）各一两 白茯苓（去皮） 扁豆（姜汁炒）各六
钱人参五钱 甘草（炙）三钱姜
汁打神曲糊为丸，如桐子大，空心滚汤下六七十丸。
余论
翻胃膈噎名虽殊而理则一。噎者饮食时火气炎上，猝然阻滞也。膈者气郁痰搏，初则咽
喉时觉有碍，吐之不出，咽之不下，久则妨食也。翻胃者痰火结于胃之上脘，食已即吐，结
于下腕，朝食暮吐也。皆阳火不降而上行也。由于忧思悲恐怒寒热劳食，扇动阳气积成膈热，
初津液不行不思饮食，或噫腐作酸，嘈杂痞闷，误认为寒，服辛香燥热之剂，时暂得快，七
情反复，旧病益深，不遇良工又行燥药，痰挟淤血遂结窠囊，是速翻胃之成也。善治者，不
治已病治未病。平时于脾胃门参究，有感于诸气门详观，见证于吞酸时用药，焉得至此。戴
氏云∶痰盛脉滑，以二陈为主；热甚脉数，解毒为主；血虚脉数而无力，以四物为主；气虚
脉缓而无力，以四君子为主。气血俱虚，脉沉而涩，口中出沫不治。盖气血未虚，用药劫痰，
火病不复生。气血虚者，劫去痰，火虽亦暂息，病必复作。所以然者，气虚则不能运化而生
痰，血虚则不能滋润而生火故也。龚氏主于清痰降火，以二陈加姜汁、韭汁、竹沥、童便及
牛乳为主。热闷加炒芩、连、瓜蒌、桔梗；气噎加香附、HT 芎、木香、槟榔、砂仁；气
虚□肥白合君子，用竹沥、姜汁；血虚痰弱，合四物汤，加红花、杏仁（研泥），用童便、
韭汁；大便燥结，用酒蒸大黄以润之；脾不磨者，加神曲、麦芽以助之；若将成翻胃，多服
牛乳为上策，但不可用人乳，内恐有饮食烹饪色欲劳倦之火也。张机峰云∶噎是神思过度，
惟内观以自养乃能安耳，至哉斯言也。切不可再服香燥，戒之，戒之。
治翻胃
取肥皂子五个或七个，月白面水调，包裹火上煨熟，去皂子，用面研细末，或酒或汤调
下，即吐稠痰愈。（以淮麦面妙）
又方
半夏五钱，茯苓五钱，水二碗，煎一碗，去滓，入生姜汁再煎三沸，不拘时热服。
治翻胃方 用甘蔗汁七升，生姜汁一升，相和如糊，分作三服。
又方
用荜澄茄为末，米和丸姜汤下，仍服平胃散三十帖。
又方
以年深蚬烂壳为白灰，米饮调下一钱。蚌壳亦可。
Fanwei (Reversal of the Stomach) is described by four main theories: Qi deficiency, Blood deficiency, Phlegm-dampness, and Heat. This condition mostly stems from Spleen-Stomach deficiency. When Fire moves and Phlegm rises, food cannot be retained; a weak pulse on the right side indicates Qi deficiency, while a weak pulse on the left side indicates Blood deficiency. If the Cun (inch) and Guan (bar) pulses are deep and choppy, treatment should address Qi stagnation; if the Cun and Guan pulses are floating and large or deep, it is due to rising Phlegm causing vomiting and hiccups. Combine Sizijunzi Tang (Four Gentlemen Decoction) with Erchen Tang (Two Aged Decoction), combining Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), and Pinelliae Rhizoma preparatum (Banxia). Add Licorice Root (Gancao), Gardenia Fruit (Zhizi), Coptis Rhizome (Huanglian), Angelica Sinensis Radix (Danggui), Immature Bitter Orange (Zhishi), Aucklandiae Radix (Muxiang), and Medicated Leaven (Shenqu) together with roasted Ginger (Hujiang). Decoct with Bamboo Sap (Zhuli) and Ginger Juice (Jiangzhi); one dose should yield results. For the elderly, whose Qi and Blood are already deficient, caution is advised when treating this condition in young people. If stomach heat causes dryness leading to red and difficult urination/defecation, differentiation must be detailed. If saliva flows continuously from the mouth and stools resemble sheep droppings, the prognosis is fatal.
Emergency single prescription for Fanwei: Ma Bo'er (burned to ash preserving its nature) 2 qian, good date flesh, and Pingwei San (Pingwei Powder) each 2 qian. Mix evenly, take with warm wine after meals.
Another prescription: Dry thousand-petal hibiscus flowers (Qianye Bai Jin Hua) in the shade, grind into powder, take with aged rice soup. If no improvement after three to five sips, take again. (Leaves can be used if flowers are unavailable).
Another prescription: Lead(II) Oxide (Huangdan, finely ground) and small dates (pitted and ground), form pills the size of a chestnut. Take one pill each time, burn to ash using a needle over a lamp, and take with milk.
Another prescription: Find one "fan-chi" chicken, boil until cooked, remove bones. Add Ginseng Radix et Rhizoma (Renshen), Angelica Sinensis Radix (Danggui), and Salt (all finely ground) each 5 qian. Boil again and consume. Do not let others eat it.
Another prescription: Tiger fat (Huzhi) half jin (cut into bean-sized pieces), clear oil one jin. Soak tiger fat in a clay jar for one month. Seal tightly with thick cotton paper to prevent leakage. Take one liang of clear oil mixed with one large cup of pure wine, warm and take. The illness will naturally subside after consumption. (The remaining tiger fat can be reused twice, potentially saving two more people).
Another prescription: Chinese Chive Juice (Jiu Zhi) 2 liang, Cow's Milk (Niu Ru) one zhan, Ginger Juice (Jiang Zhi) 5 qian. Mix evenly and take warm.
Another prescription: Treats Fanwei and accumulated fluid retention. Use natural juice of Fresh Ginger (Sheng Jiang), clarify the sediment, make pills the size of rapeseed, take frequently.
Another prescription: Treats Fanwei and Yige (Choking and obstruction). Grind crab mucus into powder, take 5 fen each time with distilled liquor. (Method to obtain mucus: Wash crab clean, place in bottle with water four fingers deep, add a small cup of oil, rub white flour and sprinkle on water surface; the crab will emerge. Remove crab next day and dry).
Another prescription: Treats Fanwei. Pierce fifteen cloves (Dingxiang) into [Sydney/niche - text unclear], wrap in wet paper and roast/bake, then eat.
Another prescription: Treats incessant dry heaving. Use seven sheng of sugarcane juice and one sheng of ginger juice, mix evenly, divide into five doses.
Shunqi Hezhong Tang: Treats vomiting, Fanwei, acid regurgitation with discomfort, chest fullness and belching, Yige with stabbing pain, nausea with phlegm expectoration.
Tangerine Peel (Chenpi, soaked in salt water and stir-fried), Cyperus Rhizome (Xiangfu, soaked in vinegar and stir-fried), Gardenia Fruit (Zhizi, stir-fried with ginger juice until black) each 1 qian; Atractylodis Macrocephalae Rhizoma (Baizhu, de-rhizome and soil, stir-fried) 8 fen; Poria (Fuling, peeled), Immature Bitter Orange (Zhishi, bran-stir-fried) each 7 fen; Pinelliae Rhizoma preparatum (Banxia, soaked in ginger juice and stir-fried), Coptis Rhizome (Huanglian, stir-fried with ginger juice, dried, then stir-fried with pig bile), Medicated Leaven (Shenqu, stir-fried) each 6 fen; Amomum Fruit (Sharen, stir-fried) 3 fen; Licorice Root (Gancao, honey-roasted) 2 fen.
Use long-flowing water mixed with clay mud, clarify, take one zhong of water, add three slices of ginger, decoct to 0.7 portion. Add Bamboo Sap (Zhuli), Child's Urine (Tongbian), and Ginger Juice (Jiangzhi). Take warm slowly at any time. For stomach pain, add Ginger Juice; for Qi deficiency, add Ginseng Radix et Rhizoma (Renshen) and [missing character] each 8 fen; for Blood deficiency, add Angelica Sinensis Radix (Danggui) 7 fen, Ligusticum Chuanxiong Rhizome (Chuanxiong) 5 fen; for anger or stagnant Qi, add Litsea Oil (Wuyao) 5 fen, Aucklandiae Radix (Muxiang) 3 fen; for chest fullness, add Radish Seed (Luobozhong, stir-fried) 6 fen; for acid regurgitation, add Evodia Fruit (Wuzhuyu) 4 fen, double Coptis Rhizome (Huanglian) and Atractylodis Macrocephalae Rhizoma (Baizhu); for incessant vomiting, add Agastache Root (Huoxianggen) 7 fen.
Anzhong Tiaoqi Wan: Treats Fanwei and all types of Phlegm-obstruction.
Cyperus Rhizome (Xiangfu) 3 liang (soaked in long-flowing water for three days, washed, stir-fried yellow); Atractylodis Macrocephalae Rhizoma (Baizhu, de-rhizome and soil, stir-fried); Tangerine Peel (Chenpi, soaked in salt water and stir-fried) each 2 liang; Pinelliae Rhizoma (Banxia, boiled with Alum and Ginger Juice, dried); Immature Bitter Orange (Zhishi, stir-fried); Poria (Fuling, washed, peeled); Medicated Leaven (Shenqu, stir-fried) each 1 liang; White Peony Root (Baishao, salt-wine stir-fried) 8 qian; Radish Seed (Luobozhong, stir-fried) 6 qian; Cardamom (Baidoukou, shelled); Angelica Sinensis Radix (Danggui, wine-washed); Ligusticum Chuanxiong Rhizome (Chuanxiong); Perilla Leaf (Zisu); Coptis Rhizome (Huanglian, stir-fried with ginger juice) each 5 qian; Licorice Root (Gancao) 3 qian; Aucklandiae Radix (Muxiang) 1 qian.
Grind sixteen ingredients into fine powder. Use Ginger Juice (Jiangzhi) and Bamboo Sap (Zhuli) to make Medicated Leaven paste for pills, size of soybeans. Take 80 pills with clear rice soup. Yangxue Zhuwei Wan: Used for recovery after vomiting and Fanwei have healed.
Nourishes Yuan Qi, strengthens Spleen and Stomach, generates Blood vessels, regulates Ying and Wei, clears stagnant Qi, consolidates results.
Atractylodis Macrocephalae Rhizoma (Baizhu, de-rhizome, wine-stir-fried) 1 liang 3 qian; White Peony Root (Baishao, salt-water stir-fried) 1 liang 2 qian; Angelica Sinensis Radix (Danggui, wine-soaked); Prepared Rehmannia Root (Shudi, ginger juice-soaked and stir-fried); Ligusticum Chuanxiong Rhizome (Chuanxiong); Lotus Seed Meat (Lianrou, peeled and de-heart); Chinese Yam (Shanyao, stir-fried) each 1 liang; Poria (Fuling, peeled); Lablab Bean (Biandou, ginger juice-stir-fried) each 6 qian; Ginseng Radix et Rhizoma (Renshen) 5 qian; Licorice Root (Gancao, honey-roasted) 3 qian.
Use Ginger Juice (Jiangzhi) to make Medicated Leaven paste for pills, size of paulownia seeds. Take 60-70 pills with boiling water on an empty stomach.
Remaining Discussion
Fanwei and Ge-Ye differ in name but share the same principle. Ye refers to sudden obstruction when eating due to flaming Fire rising. Ge refers to Qi stagnation and Phlegm binding; initially, there is a sensation of obstruction in the throat, unable to vomit or swallow, eventually hindering food intake. Fanwei is caused by Phlegm-Fire knotting in the upper Jiao of the Stomach, causing immediate vomiting after eating; if knotting occurs in the lower Jiao, morning food is vomited in the evening. All result from Yang Fire failing to descend and instead ascending. This is due to worry, thought, grief, fear, anger, cold, heat, labor, and diet stirring up Yang Qi, accumulating into Ge-Heat. Initially, body fluids do not flow, appetite is lost, or belching smells foul with acid regurgitation, discomfort and fullness occur. Misdiagnosed as Cold, patients take acrid-aromatic drying-hot agents. Temporary relief is felt, but emotional fluctuations deepen the old disease. Without a skilled physician, further drying drugs are used, causing Phlegm to bind with Stasis Blood, forming nests/cysts, accelerating the formation of Fanwei. Good practitioners treat potential disease before it manifests. One should study the Spleen-Stomach gates daily, observe various Qi gates carefully, and medicate when acid regurgitation appears to avoid such progression. Dai Shi said: Abundant Phlegm with slippery pulse, use Erchen Tang as main formula; severe Heat with rapid pulse, use detoxification as main; Blood deficiency with rapid and weak pulse, use Siwu Tang as main; Qi deficiency with slow and weak pulse, use Sizijunzi Tang as main. Both Qi and Blood deficient with deep and choppy pulse, and saliva flowing from mouth, is untreatable. Because when Qi and Blood are not yet deficient, using drugs to rob Phlegm prevents Fire disease from recurring. When Qi and Blood are deficient, robbing Phlegm may temporarily suppress Fire, but the disease will recur. This is because Qi deficiency fails to transform and generate Phlegm, while Blood deficiency fails to moisten and generate Fire. Gong Shi advocated clearing Phlegm and descending Fire, using Erchen Tang plus Ginger Juice, Chive Juice, Bamboo Sap, Child's Urine, and Cow's Milk as main. For heat and oppression, add stir-fried Scutellaria Root (Huangqin), Coptis Rhizome (Huanglian), Trichosanthes Fruit (Gualou), Platycodon Root (Jiegeng); for Qi choking, add Cyperus Rhizome (Xiangfu), [missing char]xiong, Aucklandiae Radix (Muxiang), Areca Seed (Binglang), Amomum Fruit (Sharen); for Qi deficiency [missing char] fat and white complexion, combine with Sizijunzi Tang, use Bamboo Sap, Ginger Juice; for Blood deficiency and weak Phlegm, combine with Siwu Tang, add Carthamus Flower (Honghua), Apricot Kernel (Xingren, ground into paste), use Child's Urine, Chive Juice; for dry constipation, use Wine-steamed Rhubarb (Dahuang) to moisten; for Spleen failure to digest, add Medicated Leaven (Shenqu), Malt (Maiya) to assist; if approaching Fanwei, taking much Cow's Milk is the best strategy, but Human Milk should not be used, as it may contain Fire from diet, cooking, lust, and fatigue. Zhang Jifeng said: Ye is caused by excessive mental exertion; only inner contemplation and self-nourishment can bring peace. How true these words are. Do not take acrid-drying drugs again, beware, beware.
Treatment for Fanwei
Take five or seven soap pods (Feizaozi), mix with Yuebai flour and water, wrap, roast on fire until cooked. Remove soap pods, grind the flour into fine powder, take with wine or water, inducing vomiting of thick phlegm leads to cure. (Huai wheat flour is better).
Another prescription
Pinelliae Rhizoma preparatum (Banxia) 5 qian, Poria (Fuling) 5 qian, Water two bowls, decoct to one bowl. Strain, add Ginger Juice (Shengjiangzhi), boil three more times. Take hot at any time.
Treatment for Fanwei
Use seven sheng of sugarcane juice, one sheng of ginger juice, mix like paste, divide into three doses.
Another prescription
Use Long Pepper Fruit (Bichengqie) ground into powder, mix with rice to make pills, take with Ginger Soup. Continue taking Pingwei San for thirty doses.
Another prescription
Use old clam shells decayed into white ash, take one qian mixed with rice drink. Mussel shells can also be used.