大全云∶夫胃为水谷之海，水谷之精以为血气，荣润脏腑，因产则脏腑伤动，有时而气
独盛者，则气乘肠胃，肠胃燥涩，其气则逆，故呕逆不下食也。（吐属阳明，故以胃字为主尽之）
薛氏曰∶前证若因饮食过时，用四君子汤；饮食过多，用六君子汤；饮食过时而兼劳
役，用补中益气；若因饮食停滞，用人参养胃汤；脾胃气虚，用六君子汤；胃气虚寒，加炮姜
木香；寒水侮土，用益黄散；肝木侮脾土，用六君升麻柴胡；命门火衰，不能生土，用八味丸
（呕吐专主脾胃，乃理之常，八味丸恐非救急
之务）；呕吐泄泻，手足俱冷，或肚腹作痛，乃阳气虚寒，急用附子理中汤，多有生者。
一产妇朝吐痰，夜发热，昼夜无寐，或用清痰降火，肌体日瘦，饮食日少，前症愈甚。余
曰∶早间吐痰，脾气虚也；夜间发热，肝血虚也；昼夜无寐，脾血耗也。遂用六君子汤（此病
脾虚生痰，故以六君子为先，是总诀）、加味逍遥散、加味归脾汤，以次调理而痊。
香灵丸 治产后呕不止者。
丁香 辰砂（另研，各六分） 五灵脂（一钱）
上香脂先研，后入砂再研匀，用狗胆或猪胆丸如鸡头大，每服一丸，生姜陈皮汤磨下。
（此方不独产后可用，于杂症之有呕吐者亦效，妙在狗胆灵脂）
蒲黄散 治产后三四日恶露不下，呕逆壮热。
芍药（二两半） 当归 知母 生姜 蒲黄（各二两） 红花（半两） 荷叶心中蒂（一个） 生地黄
汁（一盏）
上 咀，水二升煎至一升，去渣，下蒲黄煎数沸，空心分三帖。（以恶露发为呕吐，人尝
失之。此方用荷蒂红花蒲黄当归治恶露不下，生姜止呕安胃是矣，若生地知母芍药能不寒
胃乎，要知此三味又为壮热者设，苟无壮热，其敢用乎，况在三四日之间，芍药尤为所忌，
读方者当知其源）
橘红半夏汤 治产后胃虚呕逆。
橘皮（一两） 半夏 甘草（炙，各半两） 藿香（三两）
上锉，每服五钱，加生姜五片，水煎服。（此方治痰理气，为治呕正方，前方一寒一热
之治瘀血者不同，当知此窍）
开胃散 治产后胃虚呕吐，胸满不食。
人参（一两） 诃子（一两半） 甘草（炙，半两）
上锉，每服五钱，加生姜五片，水煎服。（人参益胃气，诃子治胸满，一益气，一镇气，
自与前后诸方不同，别是一种见解，人所未知）
姜术散 治产后更无他疾，但多呕逆，不能食。
白术（一两二钱半） 生姜（一两半）
上锉作一服，酒水各二升煎取一升，分三服。（更无他疾，专主胃气虚寒也，故惟以温补
为主，既用生姜以佐术，复加酒以为煎，又法之妙也）
石莲散 治产后胃寒咳逆，呕吐不食，或腹作胀。
石莲肉（一两半） 白茯苓（一两） 丁香（半两）
上为细末，每服三钱，用姜汤或米饮调下，日三服。（本草∶石莲即莲实之沉水中千年
者也，其味甘，其性降，故能益胃清水而治呕，况加茯苓以下气，丁香以温寒，生姜佐之，其
中品味大非前方比矣。奈何今之所贸市中石莲，味极苦而内无心，形似莲实而实非莲实。
考之市人，乃云皆是山中木实。本体既殊，性味亦异，又岂有清胃和中之理，求治者宜审择
之，毋为市人之所误）
钱氏益黄散 治脾胃虚寒，水反来侮，以致呕吐不食，或肚腹作痛，或大便不实，手足
逆冷等症。（治脾虚有痰呕逆之正方也）
陈皮（一两） 青皮 诃子肉 甘草（炙） 丁香（各二钱）
上为粗末，每服四钱，水煎服。
加味四君子汤 治产后呕逆不已。
人参 白术 茯苓 甘草（炙） 半夏 陈皮 藿香 砂仁（各等分）
上锉，每服四钱，加生姜三片，枣一枚，水煎，温服。（以上八方各有见解，宜一一考证施
治，勿妄投也）
The *Yizong Bidu* states: The Stomach is the sea of water and grain. The essence from water and grain transforms into blood and qi, nourishing and moistening the zang-fu organs. Because childbirth causes injury and disturbance to the zang-fu organs, sometimes one type of qi becomes excessively dominant. This qi invades the intestines and stomach, causing dryness and stagnation within them, leading to rebellious qi. Consequently, vomiting, hiccups, and inability to eat occur. (Vomiting belongs to the Yangming channel syndrome; therefore, this phenomenon is primarily attributed to Stomach dysfunction.)
Xue Ji (Xue Shi) said: If the aforementioned symptoms are caused by irregular meal times, use Sijunzi Tang (Four Gentlemen Decoction). If caused by overeating, use Liujunzi Tang (Six Gentlemen Decoction). If caused by irregular meals combined with physical overexertion, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If caused by food stagnation, use Renshen Yangwei Tang (Ginseng Decoction for Nourishing the Stomach). If due to Spleen-Stomach qi deficiency, use Liujunzi Tang. If due to Stomach qi deficiency and cold, add Paoyijiang (Prepared Ginger) and Muxiang (Aucklandia Root). If Cold Water rebels against Earth (Kidney cold invading the Spleen), use Yihuang San (Benefit the Yellow Powder). If Liver Wood rebels against Spleen Earth (Liver qi attacking the Spleen), use Liujunzi Tang plus Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix). If Mingmen Fire declines and fails to warm Spleen Earth, use Bawei Wan (Eight-Ingredient Pill). (Although vomiting primarily concerns the Spleen and Stomach, which is the general principle, Bawei Wan may not be the immediate remedy for emergency situations.) If accompanied by vomiting, diarrhea, cold limbs, or abdominal pain, this indicates yang qi deficiency and cold; urgently use Fuzi Lizhong Tang (Aconite Decoction for Regulating the Middle), which often results in recovery.
A postpartum patient vomited phlegm in the morning, had fever at night, and could not sleep day or night. Someone used herbs to clear heat, resolve phlegm, and descend fire, resulting in daily emaciation, reduced food intake, and worsening of the previous symptoms. I said: Vomiting phlegm in the morning indicates Spleen qi deficiency; fever at night indicates Liver blood deficiency; insomnia day and night indicates consumption of Spleen blood. Thus, I prescribed Liujunzi Tang (This condition involves phlegm generated by Spleen deficiency, so Liujunzi Tang is the primary prescription, serving as the general principle), JiaWei Xiaoyao San (Modified Free and Easy Wanderer Powder), and JiaWei Guipi Tang (Modified Restore the Spleen Decoction), administered sequentially for regulation until recovery.
Xiangling Wan: Treats persistent vomiting after childbirth.
Dingxiang (Clove), Chen Sha (Cinnabar, separately ground, each 6 fen), Wulingzhi (Trogopterus Dung, 1 qian).
Grind Dingxiang and Wulingzhi first, then mix with Chen Sha and grind evenly. Form pills the size of a chicken head using Gallus gallus domesticus var. domestica bile (Gou Dan) or Sus scrofa domesticus bile (Zhu Dan). Take one pill per dose, grinding it down with a decoction of Shengjiang (Fresh Ginger) and Chenpi (Tangerine Peel).
(This formula is not only suitable for postpartum cases but also effective for vomiting in miscellaneous diseases. Its efficacy lies in the use of Gou Dan and Wulingzhi.)
Puhuang San: Treats lochia retention three to four days after childbirth, accompanied by vomiting, hiccups, and high fever.
Shaoyao (White Peony Root, 2 liang 5 qian), Danggui (Angelica Sinensis), Zhimu (Anemarrhenae Rhizoma), Shengjiang (Fresh Ginger), Puhuang (Typhae Pollen, each 2 liang), Honghua (Carthami Flos, 0.5 liang), Hetiao Xinzhongdi (Lotus Leaf Midrib, 1 piece), Shengdihuang Zhi (Rehmanniae Radix Juice, 1 zhan).
Cut the herbs, decoct in 2 sheng of water until 1 sheng remains, strain, add Puhuang, boil briefly, and divide into three doses to take on an empty stomach.
(Vomiting caused by lochia retention is often overlooked. This formula uses Hetiao, Honghua, Puhuang, and Danggui to treat lochia retention, and Shengjiang to stop vomiting and calm the Stomach, which is correct. However, do Shengdihuang, Zhimu, and Shaoyao not damage the Stomach Yang? Know that these three herbs are intended for high fever. Would they be used if there were no high fever? Moreover, in the first few days postpartum, Shaoyao is particularly contraindicated. Readers should understand the origin of this prescription.)
Juhong Banxia Tang: Treats vomiting and hiccups due to Stomach deficiency after childbirth.
Jupi (Tangerine Peel, 1 liang), Banxia (Pinelliae Rhizoma), Gancao (Licorice Root, honey-fried, each 0.5 liang), Huoxiang (Agastaches Herba, 3 liang).
Cut the herbs. Take 5 qian per dose, add 5 slices of Shengjiang (Fresh Ginger), decoct in water, and take orally.
(This formula resolves phlegm and regulates qi; it is a standard formula for treating vomiting. It differs from the previous formula, which treated blood stasis with cold and hot properties. One must understand this distinction.)
Kaiwei San: Treats postpartum vomiting due to Stomach deficiency, chest fullness, and anorexia.
Renshen (Ginseng Radix et Rhizoma, 1 liang), Hezi (Chebulae Fructus, 1.5 liang), Gancao (Licorice Root, honey-fried, 0.5 liang).
Cut the herbs. Take 5 qian per dose, add 5 slices of Shengjiang (Fresh Ginger), decoct in water, and take orally.
(Renshen tonifies Stomach qi, while Hezi treats chest fullness. One tonifies qi, the other stabilizes qi. This naturally differs from the preceding formulas, representing a unique perspective unknown to many.)
Jiangshu San: Treats postpartum patients with no other ailments who suffer from frequent vomiting, hiccups, and inability to eat.
Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang 2 qian 5 fen), Shengjiang (Fresh Ginger, 1.5 liang).
Cut the herbs as one dose. Decoct in 2 sheng of water and 2 sheng of wine until 1 sheng remains. Divide into three doses.
(With no other ailments, this specifically targets Stomach qi deficiency and cold, focusing solely on warming and tonifying. Using Shengjiang to assist Baizhu and adding wine for decoction demonstrates the subtlety of this method.)
Shilian San: Treats postpartum Stomach cold causing coughing, hiccups, vomiting, anorexia, or abdominal distension.
Shilian Rou (Nelumbinis Semen, 1.5 liang), Baifuling (Poria, 1 liang), Dingxiang (Clove, 0.5 liang).
Grind into fine powder. Take 3 qian per dose, mixed with Jiangtang (Ginger Tea) or Miyin (Rice Drink). Take three times daily.
(*Bencao* records: Shilian refers to lotus seeds that have sunk in water for a thousand years. They are sweet in taste and descending in nature, thus benefiting the Stomach, clearing heat, generating fluids, and treating vomiting. Combined with Fuling to direct qi downward and Dingxiang to warm cold, assisted by Shengjiang, its composition is vastly different from previous formulas. Alas, the 'Shilian' sold in markets today is extremely bitter, lacks a heart, resembles lotus seeds but is not them. Sellers claim they are fruits from trees in the mountains. Since the substance is different, its nature and taste differ, and it cannot possibly benefit the Stomach and harmonize the middle. Seekers should choose carefully and not be misled by merchants.)
Qian Shi Yihuang San: Treats Spleen-Stomach deficiency-cold where Water rebels against Earth, causing vomiting, anorexia, abdominal pain, loose stools, or cold extremities. (This is a standard formula for vomiting and hiccups due to Spleen deficiency with phlegm.)
Chenpi (Tangerine Peel, 1 liang), Qingpi (Green Tangerine Peel), Hezi Rou (Chebulae Mesocarp), Gancao (Licorice Root, honey-fried), Dingxiang (Clove, each 2 qian).
Grind into coarse powder. Take 4 qian per dose, decoct in water, and take orally.
JiaWei Sijunzi Tang: Treats persistent vomiting and hiccups after childbirth.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Gancao (Licorice Root, honey-fried), Banxia (Pinelliae Rhizoma), Chenpi (Tangerine Peel), Huoxiang (Agastaches Herba), Sharen (Amomi Fructus, equal parts).
Cut the herbs. Take 4 qian per dose, add 3 slices of Shengjiang (Fresh Ginger) and one Jujube, decoct in water, and take warm. (Each of the above eight formulas has its own rationale. Verify and apply them individually; do not administer arbitrarily.)