【燥火呕吐之症】喘逆呕吐，吐则气急，呕少难出，口唇干燥，烦渴引饮，此燥火呕吐
【燥火呕吐之因】燥气行令，肺胃有热，以热伤热，以燥伤燥，而诸喘呕之症作矣。
【燥火呕吐之脉】右寸浮数，燥邪伤肺，右关数大，燥邪伤胃。
【燥火呕吐之治】清燥汤，加芦根汁。葛根石膏汤、门冬知母汤。
清燥汤
知母 石膏 麦冬 枇杷叶 干葛 竹茹 甘草
冲芦根汁服。
干葛石膏汤 家秘治燥邪呕吐。
干葛 石膏 知母 甘草 陈皮 竹茹 鲜藿香
门冬知母汤 二味同煎。
【湿热呕吐之症】内热烦躁，口臭身热，面目黄肿，满闷恶心，闻谷气即呕，此湿热呕
【湿热呕吐之因】肠胃素有积热，又遇外感时行，则两热交蒸，攻冲清道，湿热呕吐之
【湿热呕吐之脉】脉多数大，浮数在表，沉数在里；右关脉数，肠胃湿热。
【湿热呕吐之治】口臭烦躁，素有积热，家秘清胃汤，面目黄肿，加防风、白芷；满闷
恶心，平胃二陈汤，加竹茹、葛根，湿热甚，加山栀、黄连。
家秘清胃汤 治胃热呕吐。
升麻 干葛 黄连 山栀 甘草 竹茹
平胃二陈汤 即平胃散加半夏、茯苓。
【胃火呕吐之症】食入即吐，其味或酸或苦，五心烦热，夜卧不宁，口中干渴，二便阻
涩，此胃火呕吐之症也。
【胃火呕吐之因】或恼怒伤肝，肝火时动；或忧思郁结，火起于脾；或过食膏粱，火起
于胃；或阴虚火旺，相火上冲，火气上炎，呕吐作矣。
【胃火呕吐之脉】脉多洪数，左关洪数，肝胆之火；右关洪数，火在脾胃；阴火上冲，
【胃火呕吐之治】胃火旺，家秘清胃汤，合栀连平胃散、栀连二陈汤、栀连正气散。肝
火动者，栀连柴胡汤。心火旺者，导赤各半汤。阴虚火旺，四物汤加知柏。
家秘清胃汤 见前章。
栀连平胃汤 即平胃散加山栀、川连。
栀连二陈汤 即二陈汤加山栀、川连。
栀连正气散
山栀 黄连 藿香 浓朴 广皮 半夏 甘草 苍术 竹茹 白茯苓
以上四方，家秘加竹茹，治胃热呕吐。
栀连柴胡汤 治肝火呕吐。
山栀 黄连 柴胡 黄芩 半夏 广皮 甘草
导赤各半汤 见心经咳嗽门。
知柏四物汤 四物加知母、黄柏。
[Symptoms of Vomiting due to Dryness-Fire]
Asthma with counterflow and vomiting occur; upon vomiting, the breath becomes rapid; dry heaving is difficult; the lips are dry; there is vexation, thirst, and a desire to drink. This constitutes vomiting due to Dryness-Fire (Zao Huo Fan Ou).
[Causes of Vomiting due to Dryness-Fire]
When Dryness Qi dominates, heat accumulates in the Lung and Stomach. Heat aggravates heat, and dryness injures dryness, thereby causing various symptoms of asthma and vomiting.
[Pulse Signs of Vomiting due to Dryness-Fire]
The pulse at the Right Cun position is Floating and Rapid (Fu Shu), indicating Dryness Evil injuring the Lung. The pulse at the Right Guan position is Rapid and Large (Shu Da), indicating Dryness Evil injuring the Stomach.
[Treatment of Vomiting due to Dryness-Fire]
Use Qing Zao Tang (Clearing Dryness Decoction) with added juice of Reed Rhizome (Lu Gen). Alternatively, use Gegen Shigao Tang (Pueraria and Gypsum Decoction) or Mendong Zhimu Tang (Ophiopogon and Anemarrhena Decoction).
Qing Zao Tang (Clearing Dryness Decoction)
Ingredients: Zhimu (Anemarrhenae Rhizoma), Shigao (Gypsum Fibrosum), Maidong (Ophiopogonis Radix), Pipa Ye (Loquat Leaf), Gan Ge (Puerariae Radix), Zhu Ru (Bambusae Caulis in Recession), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Administration: Take with Reed Rhizome juice.
Gegen Shigao Tang (Pueraria and Gypsum Decoction)
Author's secret prescription for treating vomiting caused by Dryness Evil.
Ingredients: Gan Ge (Puerariae Radix), Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Zhu Ru (Bambusae Caulis in Recession), Xian Huo Xiang (Vetiveriae Rhizoma, fresh).
Mendong Zhimu Tang (Ophiopogon and Anemarrhena Decoction)
Decoct the two ingredients together.
[Symptoms of Vomiting due to Damp-Heat]
Internal heat with vexation, bad breath, body fever, yellowish swelling of the face and eyes, chest and epigastric fullness with nausea, and vomiting upon smelling grain odor. This constitutes vomiting due to Damp-Heat (Shi Re Fan Ou).
[Causes of Vomiting due to Damp-Heat]
The intestines and stomach harbor accumulated heat from before. Upon encountering external seasonal pathogens, the internal and external heats steam each other, attacking the clear pathways (upper jiao), resulting in vomiting due to Damp-Heat.
[Pulse Signs of Vomiting due to Damp-Heat]
The pulse is mostly Rapid and Large. Floating and Rapid indicates the pathogen is in the Exterior; Sinking and Rapid indicates the pathogen is in the Interior. A Rapid pulse at the Right Guan position indicates Damp-Heat in the intestines and stomach.
[Treatment of Vomiting due to Damp-Heat]
If there is bad breath and vexation due to pre-existing accumulated heat, use the Author's Secret Qing Wei Tang (Clearing Stomach Decoction). If there is yellowish swelling of the face and eyes, add Fang Feng (Saposhnikoviae Radix) and Bai Zhi (Angelicae Dahuricae Radix). If there is chest/epigastric fullness and nausea, use Ping Wei Er Chen Tang (Calm the Stomach and Two-Chen Decoction) with added Zhu Ru (Bambusae Caulis in Recession) and Ge Gen (Puerariae Radix). If Damp-Heat is severe, add Shan Zhi (Gardeniae Fructus) and Huang Lian (Coptidis Rhizoma).
Author's Secret Qing Wei Tang (Clearing Stomach Decoction)
For treating vomiting due to Stomach Heat.
Ingredients: Sheng Ma (Cimicifugae Rhizoma), Gan Ge (Puerariae Radix), Huang Lian (Coptidis Rhizoma), Shan Zhi (Gardeniae Fructus), Gan Cao (Glycyrrhizae Radix et Rhizoma), Zhu Ru (Bambusae Caulis in Recession).
Ping Wei Er Chen Tang (Calm the Stomach and Two-Chen Decoction)
This is Ping Wei San (Calm the Stomach Powder) plus Ban Xia (Pinelliae Rhizoma) and Fu Ling (Poria).
[Symptoms of Vomiting due to Stomach Fire]
Vomiting immediately after eating; the vomitus tastes sour or bitter; vexation and heat in the five centers (palms, soles, and heart); restless sleep at night; dry mouth and thirst; obstruction and difficulty in urination and defecation. These are the symptoms of vomiting due to Stomach Fire (Wei Huo Fan Ou).
[Causes of Vomiting due to Stomach Fire]
Anger may injure the Liver, causing Liver Fire to flare intermittently; worry and thought may cause stagnation, generating Fire from the Spleen; excessive consumption of rich and greasy food may generate Fire in the Stomach; Yin deficiency with hyperactive Fire may cause Ministerial Fire to rush upward. As Fire Qi flares upward, vomiting occurs.
[Pulse Signs of Vomiting due to Stomach Fire]
The pulse is mostly Surging and Rapid. A Surging and Rapid pulse at the Left Guan position indicates Liver and Gallbladder Fire. A Surging and Rapid pulse at the Right Guan position indicates Fire in the Spleen and Stomach. If Ministerial Fire rushes upward...
[Treatment of Vomiting due to Stomach Fire]
For hyperactive Stomach Fire, use the Author's Secret Qing Wei Tang (Clearing Stomach Decoction), combined with Zhi Lian Ping Wei San (Gardenia and Coptis Calm-the-Stomach Powder), Zhi Lian Er Chen Tang (Gardenia and Coptis Two-Chen Decoction), or Zhi Lian Zheng Qi San (Gardenia and Coptis Regulating-Qi Powder). For Liver Fire movement, use Zhi Lian Chai Hu Tang (Gardenia and Coptis Bupleurum Decoction). For Heart Fire hyperactivity, use Dao Chi Ge Ban Tang (Guide Out Redness Half-and-Half Decoction). For Yin deficiency with hyperactive Fire, use Si Wu Tang (Four Substances Decoction) plus Zhimu (Anemarrhenae Rhizoma) and Huang Bo (Phellodendri Cortex).
Author's Secret Qing Wei Tang (Clearing Stomach Decoction)
See previous chapter.
Zhi Lian Ping Wei Tang (Gardenia and Coptis Calm-the-Stomach Decoction)
This is Ping Wei San (Calm the Stomach Powder) plus Shan Zhi (Gardeniae Fructus) and Chuan Lian (Coptidis Rhizoma).
Zhi Lian Er Chen Tang (Gardenia and Coptis Two-Chen Decoction)
This is Er Chen Tang (Two-Chen Decoction) plus Shan Zhi (Gardeniae Fructus) and Chuan Lian (Coptidis Rhizoma).
Zhi Lian Zheng Qi San (Gardenia and Coptis Regulating-Qi Powder)
Ingredients: Shan Zhi (Gardeniae Fructus), Huang Lian (Coptidis Rhizoma), Huo Xiang (Agastaches Herba), Hou Po (Magnoliae Officinalis Cortex), Guang Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Cang Zhu (Atractylodis Rhizoma), Zhu Ru (Bambusae Caulis in Recession), Bai Fu Ling (Poria).
For the above four formulas, the author adds Zhu Ru (Bambusae Caulis in Recession) to treat vomiting due to Stomach Heat.
Zhi Lian Chai Hu Tang (Gardenia and Coptis Bupleurum Decoction)
For treating vomiting due to Liver Fire.
Ingredients: Shan Zhi (Gardeniae Fructus), Huang Lian (Coptidis Rhizoma), Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Ban Xia (Pinelliae Rhizoma), Guang Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Dao Chi Ge Ban Tang (Guide Out Redness Half-and-Half Decoction)
See the section on Heart Meridian Cough.
Zhi Bo Si Wu Tang (Anemarrhena and Phellodendrum Four Substances Decoction)
Si Wu Tang (Four Substances Decoction) plus Zhimu (Anemarrhenae Rhizoma) and Huang Bo (Phellodendri Cortex).